[Pressure sores unit--a one year study].

Science.gov (United States)

Jaul, E

2001-10-01

The phenomenon of pressure sores in the elderly patient often requires an alternative management policy to that of the standard treatment. In general, the therapeutic approach to pressure sores in the elderly should be different to that in younger patients. This modification is due to the accompanying comorbidity so often associated with aging. Due to accompanying illnesses, the aging population is at high risk and more predisposed to the development of pressure sores. The importance of the establishment of a unit for pressure sores arises from the specific geriatric team approach to the patient and the need to focus carefully on the pressure sores. The management of this special Pressure Sores Unit with a permanent capable staff requires skilled treatment, both localized and systemic, since pressure sores are very often a result of systemic failure or an indication of a terminal condition in the elderly patient. Over six months we followed-up on the number and location of the pressure sores in 47 patients in addition to other functional and nutritional parameters, in order to investigate any connection between the pressure sores and nutritional parameters. The results of the study indicate that the nutritional state of the patients admitted for pressure sores was very poor. Two thirds of the patients suffered from either dementia or stroke, and 90 percent were bedridden, incontinent and enterally fed. Despite the poor general condition of the patient, the study shows improvement in the pressure sores with a reduction from an average of 2.8 to 1.8 pressure sores per patient. The improvement in the pressure sore located on the legs was three times greater than those located in the pelvic area. By the end of the study, 50% of the patients had died, 33% of the original patients who were still in the unit showed improvement in the pressure sores and 15% were discharged showing complete recovery from the sores. No significant correlation was found between changes in the

How to care for pressure sores

Science.gov (United States)

... ency/patientinstructions/000740.htm How to care for pressure sores To use the sharing features on this page, ... Shoulders Back Back of head Caring for a Pressure Sore Stage I or II sores will heal if ...

[Sacral pressure sores and their treatment].

Science.gov (United States)

Bielecki, Marek; Skowroński, Rafał; Skowroński, Jan

2006-01-01

Sacral bed sores still present a serious problem in most surgery departments. They occur mainly in elderly patients of limited mobility. The treatment of such sores extends over long periods of time and therefore involves considerable costs. The material consisted of 11 sacral pressure ulcers treated surgically. The sores occurred in 4 severely disabled patients suffering from proximal third femur fractures, 4 patients with traumatic brain injury (treated in the Intensive Care Unit), and 3 patients suffering from bed sores after spinal cord injury. In 6 patients a fasciocutaneous flap was applied to the sores and in 5 cases a pedicled musculocutaneous gluteus maximus flap. The end results were assessed using Seiler's criteria. Complications of the "seroma" type were observed in 3 patients, and in 2 marginal necrosis. In all our patients complete healing was achieved within 2-4 weeks. On analysing our experience to date in surgical treatment of bed sores we are of the opinion that even extensive sacral sores can be covered with unilateral pedicled flaps provided that they are appropriately planned. Deep sores of the 4th degree sometimes with concomitant osteomyelitis require pedicled muscle flaps or in some cases musculocutaneous flaps to improve local circulation. The preparation of the patient for reconstruction surgery is just as important as the operation itself and therefore such preparation should never be neglected.

In-bore instrumentation/diagnostics for large-bore EMLs

International Nuclear Information System (INIS)

Fernandez, M.J.; Ager, S.A.; Hudson, R.D.

1991-01-01

This paper reports on a flying laboratory technique of in-bore diagnostics for large-bore electromagnetic launchers (EMLs). The high pressure, heat, and magnetic flux environment of the EML and its containment structures do not allow easy implementation of conventional diagnostic techniques. Researchers have relied on remote sensing methods, such as B probes (isolated from the bore), for data. The accuracy and relevance of such discrete, remote measurement is somewhat questionable. An in-house program has been initiated to determine the feasibility of making measurement of EML parameters on board a projectile. This technique utilizes off-the-shelf components in a configuration that has been proven effective in measuring projectile acceleration in the bore of propellant driven guns

[Pressure sores in a university hospital].

Science.gov (United States)

Barbut, Frédéric; Parzybut, Bérengère; Boëlle, Pierre-Yves; Neyme, Denis; Farid, Rachida; Kosmann, Marie-Jeanne; Luquel, Laurence

2006-05-01

To determine the prevalence of pressure sores, their risk factors, and the responsible microbial agents in an acute-care hospital and to evaluate their management. A prevalence survey was conducted from 5 July through 9 July 2004. Investigators completed a standardized questionnaire for each hospitalized patient, including demographic data (age, sex, previous hospitalizations, etc.) and Braden scale risk factors (sensory perception, humidity, activity, mobility, nutrition, and friction and shear). Two experts in skin care detected pressure sores by physical examination of the patients. Each pressure sore was swabbed and inoculated on selective media. Management was evaluated by reviewing the clinical charts of each patient with a pressure sore. The study included 535 adult patients (aged 59 +/- 19 years): 75 ulcer sores were observed in 37 patients (prevalence=6.9%). Stage I sores accounted for 24% of the total, stage II for 29%, stage III 31%, and stage IV 16%. The most frequent site was the heel (41%), followed by the sacrum (20%), elbow (11%), back (7%) and ischial tuberosities (7%). Sixty (80%) were acquired while hospitalized. Age-adjusted multivariate analyses found that the risk factors significantly associated with pressure sores were Braden scorepressure sores (OR=5.0 95% CI: 2.2-11.6, psores (24.5%), mostly stage III and IV, were colonized by multiple-drug-resistant bacteria (i.e., methicillin resistant Staphylococcus aureus, extended spectrum beta-lactamase Enterobacteriaceae). Seven (9.3%) of the 75 ulcers were diagnosed only during the survey, by the experts; of the 68 diagnosed before the survey, 57 (83.8%) had been under treatment. Treatment was considered inappropriate according to French guidelines in 31.6% of the cases. This prospective prevalence study resulted in better awareness of the patients at risk for pressure sores. It also made the recently created mobile geriatrics unit better known within the hospital.

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 ...

ISCHIECTOMY FOR PRESSURE SORES

Science.gov (United States)

Stern, Mark; Cozen, Lewis; Aldes, John

1960-01-01

Ischiectomy with primary closure was carried out in five paraplegic patients with pressure sores. This operation, less extensive than the wide excision with full thickness graft that is now widely advocated, was successful in four of the five cases. In the fifth case none of the several attempts to heal the sores was in the least successful. PMID:18732351

Antibiotics for sore throat.

Science.gov (United States)

Spinks, Anneliese; Glasziou, Paul P; Del Mar, Chris B

2013-11-05

Sore throat is a common reason for people to present for medical care. Although it remits spontaneously, primary care doctors commonly prescribe antibiotics for it. To assess the benefits of antibiotics for sore throat for patients in primary care settings. We searched CENTRAL 2013, Issue 6, MEDLINE (January 1966 to July week 1, 2013) and EMBASE (January 1990 to July 2013). Randomised controlled trials (RCTs) or quasi-RCTs of antibiotics versus control assessing typical sore throat symptoms or complications. Two review authors independently screened studies for inclusion and extracted data. We resolved differences in opinion by discussion. We contacted trial authors from three studies for additional information. We included 27 trials with 12,835 cases of sore throat. We did not identify any new trials in this 2013 update. 1. Symptoms Throat soreness and fever were reduced by about half by using antibiotics. The greatest difference was seen at day three. The number needed to treat to benefit (NNTB) to prevent one sore throat at day three was less than six; at week one it was 21. 2. Non-suppurative complications The trend was antibiotics protecting against acute glomerulonephritis but there were too few cases to be sure. Several studies found antibiotics reduced acute rheumatic fever by more than two-thirds within one month (risk ratio (RR) 0.27; 95% confidence interval (CI) 0.12 to 0.60). 3. Suppurative complications Antibiotics reduced the incidence of acute otitis media within 14 days (RR 0.30; 95% CI 0.15 to 0.58); acute sinusitis within 14 days (RR 0.48; 95% CI 0.08 to 2.76); and quinsy within two months (RR 0.15; 95% CI 0.05 to 0.47) compared to those taking placebo. 4. Subgroup analyses of symptom reduction Antibiotics were more effective against symptoms at day three (RR 0.58; 95% CI 0.48 to 0.71) if throat swabs were positive for Streptococcus, compared to RR 0.78; 95% CI 0.63 to 0.97 if negative. Similarly at week one the RR was 0.29 (95% CI 0.12 to 0

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.

Sore Throat

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... as those that cause colds, the flu, and mononucleosis) can lead to a sore throat. Bacteria (such ... to the valves of the heart. What is mononucleosis? Mononucleosis (mono) is a viral infection caused by ...

Canker Sores

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... mouth that move, such as the tongue, soft palate, cheeks, and lips. This condition is recurrent because ... week. Most of the time, canker sores are self-limiting. This means that they will go away ...

Cold Sore

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... may reduce how often they return. Symptoms A cold sore usually passes through several stages: Tingling and itching. Many people feel an itching, burning or tingling sensation around their lips for a day or so ...

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.

Canker Sores

Science.gov (United States)

... lack of vitamins and minerals, hormonal changes or menstrual periods. In some cases the cause is unknown. In most cases, the sores go away by themselves. Some ointments, creams or rinses may help with the pain. Avoiding hot, spicy food while you have a ...

Boring of full scale deposition holes using a novel dry blind boring method

International Nuclear Information System (INIS)

Autio, J.; Kirkkomaeki, T.

1996-11-01

As a part of the Finnish radioactive waste disposal research three holes (the size of deposition holes) were bored in the research tunnel at Olkiluoto in Finland. A novel full-face boring technique was used based on rotary crushing of rock and removal of crushed rock by vacuum flushing through the drill string an the purpose of the work was to demonstrate the feasibility of the technique. During the boring test procedures were carried out in order to determine the effect of charges in operating parameters on the performance of the boring machine and the quality of the hole. (refs.)

Boring of full scale deposition holes using a novel dry blind boring method

Energy Technology Data Exchange (ETDEWEB)

Autio, J.; Kirkkomaeki, T. [Saanio and Riekkola Consulting Engineers, Helsinki (Finland)

1996-11-01

As a part of the Finnish radioactive waste disposal research three holes (the size of deposition holes) were bored in the research tunnel at Olkiluoto in Finland. A novel full-face boring technique was used based on rotary crushing of rock and removal of crushed rock by vacuum flushing through the drill string an the purpose of the work was to demonstrate the feasibility of the technique. During the boring test procedures were carried out in order to determine the effect of charges in operating parameters on the performance of the boring machine and the quality of the hole. (refs.).

Preventing Pressure Sores

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Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS ... medical advice, recommend or endorse health care products or services, or control the information found on external websites. ...

[Program for lowering the incidence of pressure sores in neurosurgical patients].

Science.gov (United States)

Chang, Chau-Hui; Chen, Hui-Ling; Chen, Hsiang-Chi

2007-12-01

Pressure sores are one of the well known problems that occur in hospitals. As the literature on the subject indicates, a lot of money is expended in managing this problem every year, and 12-66% of pressure sores are caused during surgery. Patients who undergo neurosurgical procedures are susceptible to pressure sores because of lengthy operations. We collected data on patients with pressure sores who underwent surgery between May 2004 and August 2004, and found that the incidence of pressure sore in neurosurgical patients was 9.5%, which was the highest among all surgical patients. This project was developed to solve the problem of pressure sores by setting up standard preventive procedures, a nursing follow up system and continuing education courses, and utilizing cotton rolls to pad sites of pressure sores. The incidence of pressure sore in neurosurgical patients was reduced from 9.5% to 7% after the improvement project was carried out. The more concerned nurses are about pressure sores, the better the quality of operative nursing care.

[Surgical coverage technics of pressure sores and their outcomes].

Science.gov (United States)

Bilkay, Ufuk; Helvaci, Evren; Tokat, Cenk; Ozek, Cüneyt; Akin, Yalçin

2006-04-01

We reviewed the outcome of 66 patients with 100 pressure sores between 1984 and 2002. In the current study, 100 pressure sores in 66 patients (45 male, 21 female; mean age 39.4; range 13 to 80 years) who underwent surgical repair of pressure sores reconstructed using myocutaneous or fasciocutaneous flaps, skin grafts, excision and closure. The risk factors for pressure sores included acute trauma-induced spinal cord injury in 40 (61%) patients with paraplegia and in 5 (7%) patients with quadriplegia; congenital spina bifida and multiple sclerosis in 7 (11%) patients and prolonged immobilization in 14 (21 patients) patients. We achieved an overall pressure sore recurrence rate of 22% and overall patient recurrence of 24% in a-3-year follow-up. The recurrence rates according to anatomic sites; 23% (10 of 43) for the ischial pressure sore, sacral 21% (8 of 37), and trochanteric 20% (4 of 20). Fasciocutaneous and myocutaneous flap reconstructions were the most durable, as they were associated with 17% (6 of 34) and 12% recurrence rates (5 of 39). To reduce the recurrence rates the authors advocate the use of myocutaneous and fasciocutaneous flaps instead of skin grafts or direct closure for the coverage of pressure sores.

A boring solution

Energy Technology Data Exchange (ETDEWEB)

Radiuk, M I; Iushkova, N E; Kozubovskii, A I

1979-10-25

A boring solution is being patented for boring for oil and gas, which can be used in wells, where the temperature of the circulating liquid reaches 100/sup 0/. Polyvinyl acetate emulsion (PVE) is added for the purpose of decreasing viscosity of the solution at a temperature of agression into the boring solution containing clay, water, carboxymethylcellulose (CBC), a chloride from the number of sodium, potassium, or magnesium chlorides. The solution has the following composition in %: clay, 10 to 20; CBC, 1.5 to 2.0; chloride, 5 to 20; PVE, 0.5 to 2; water, up to 100. In accordance to GOST 1000-62 for the accepted PVE, the compound has the following composition, in %: monomer, 0.8; dry residue, greater than or equal to 50; plasticizer (tributyl phthalate), 5 to 15. The boring solution is processed according to the following method. The original solution, containing clay, water, salts, receives 1.5 to 2% CBC and afterwards it is processed with 0.5 to 2% PVE.

Preventing Pressure Sores

Medline Plus

Full Text Available ... Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...

Mind where you bore!

CERN Document Server

Anaïs Schaeffer

2012-01-01

With renewable energies on the up and up, geothermal heating is becoming increasingly popular. An ardent supporter of sustainable development, CERN welcomes this trend, even though it has certain risks for the Laboratory.   More and more people in Switzerland and France are switching to geothermal heating, with the result that more and more bore holes are being sunk for geothermal probes. Since, on average, such bore holes go down to depths of 100 m they can have an impact on CERN’s underground facilities, which are also located at approximately that depth. In the Canton of Geneva, all bore holes, whatever their depth, are subject to planning permission. Applications for planning permission are granted – or refused – only after consultation with the Ground survey department (GESDEC). In France, only bore holes below a depth of 100 m require planning permission. In theory, bore holes to lesser depths simply need to be declared to the DREAL (Dire...

Preventing Pressure Sores

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Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS Coping with a New ... not provide medical advice, recommend or endorse health care products or services, or control the information found ...

Preventing Pressure Sores

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Full Text Available ... hours? play_arrow What's the best way to do daily skin inspections? play_arrow What are the ... for someone with a spinal cord injury to do to prevent pressure sores? play_arrow Why is ...

Preventing Pressure Sores

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Preventing Pressure Sores

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Full Text Available ... L Sarah Harrison, OT Anne Bryden, OT The Role of the Social Worker after Spinal Cord Injury ... do to prevent pressure sores? play_arrow What role does diet and hydration play in preventing pressure ...

Boring of full scale deposition holes using a novel dry blind boring method

Energy Technology Data Exchange (ETDEWEB)

Autio, J.; Kirkkomaeki, T. [Saanio and Riekkola Oy, Helsinki (Finland)

1996-10-01

Three holes the size of deposition holes (depth 7.5 m and diameter 1.5 m) were bored in the Research Tunnel at Olkiluoto, Finland. A novel full-face boring technique was used based on rotary crushing of rock and removal of crushed rock by vacuum flushing through the drill string. The purpose of the work was to demonstrate the feasibility of the technique. During the boring test procedures were carried out in order to determine the effect of changes in operating parameters on the performance of the boring machine and the quality of the hole. The boring method was found to be technically feasible and efficient. Evaluation of the quality of the hole included studies of the geometry of the hole, measurements of the surface roughness using a laser profilometer and study of excavation disturbances in the zone adjacent to the surface of the holes using two novel methods, He-gas diffusion and the {sup 14}C-polymethylmethacrylate methods. 43 refs.

Preventing Pressure Sores

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Full Text Available ... arrow What's the best way to do daily skin inspections? play_arrow What are the most important ... to prevent pressure sores? play_arrow What is “skin tolerance” and how can it be increased? play_ ...

Preventing Pressure Sores

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Full Text Available ... cushion? play_arrow What’s important to know about positioning in bed to prevent pressure sores? play_arrow ... Disabilities Photography by Rona Talcott Website by Mobile Marketing LLC Understanding Spinal Cord Injury About Us Expert ...

Preventing Pressure Sores

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Preventing Pressure Sores

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Full Text Available ... Adult Injuries Spinal Cord Injury 101 David Chen, MD Preventing Pressure Sores Mary Zeigler, MS Transition from ... Rosenberg, PsyD Understanding SCI Rehabilitation Donald Peck Leslie, MD Adjusting to Social Life in a Wheelchair Lisa ...

Preventing Pressure Sores

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Full Text Available ... Medical Experts People Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...

Preventing Pressure Sores

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Full Text Available ... the most important thing to do to prevent pressure sores? What is a Spinal Cord Injury? SCI Medical Experts People Living With SCI Personal Experiences By Topic Resources Blog Peer Counseling About Media Donate Contact Us Terms of ...

Occipital pressure sores in two neonates.

Science.gov (United States)

Liu, Yi; Xiao, Bin; Zhang, Cheng; Su, Zhihong

2015-01-01

The preference for a specific head shape can be influenced by people's culture, religious beliefs and race. Modern Chinese people prefer a "talented" head shape, which is rounded and has a long profile. To obtain their preferred head shape, some parents try to change their neonates' sleeping position. Due to these forced sleeping positions, positional skull deformities, such as plagiocephaly, may be present during the first few months of life. In this article, we report two neonatal cases, of Hui nationality and Dongxiang nationality, with occipital pressure sores that were caused by using hard objects as pillows with the intention of obtaining a flattened occiput. The pressure sores were deep to the occipital bone and needed surgical management. These pressure sores caused wounds that were repaired by local skin flaps, after debridement, and the use of external constraints from a dense sponge-made head frame for approximately two weeks. One case recovered with primary healing after surgical operation. The other case suffered from a disruption of the sutured wound, and a secondary operation was performed to cover the wound. These occipital pressure sores are avoidable by providing guidance to the parents in ethnic minorities' area regarding the prevention, diagnosis and management of positional skull deformity.

Pressure sores and blood and serum dysmetabolism in spinal cord injury patients.

Science.gov (United States)

Scivoletto, G; Fuoco, U; Morganti, B; Cosentino, E; Molinari, M

2004-08-01

Spinal cord injury (SCI) patients with pressure sores were studied before and after surgical intervention for ulcer healing and compared with matched SCI patients without sores and with patients with pressure sores and other diseases. To analyse the relationship between pressure sores and anaemia and serum protein alteration in SCI patients. To study the pathogenesis of these alterations and suggest appropriate therapy. Spinal cord unit in Rome, Italy. A total of 13 SCI patients with pressure sores, 13 comparable patients without pressure sores and four patients with other diseases and pressure sores. Haematochemical parameters. Patients with pressure sore showed significant decreased red cells, decreased haemoglobin and haematocrit, increased white cells and ferritin and decreased transferrin and transferrin saturation; total hypoproteinemia and hypoalbuminemia with increased Alfa-1 and gamma globulins increased erythrocyte sedimentation rate and C-reactive protein were also present. The alterations returned to normal after surgical intervention for pressure sore healing. Patients with pressure sores suffer from anaemia and serum protein alteration that fells within the range of metabolic alteration of chronic disorders and neoplastic diseases. The alterations depend on a decreased utilisation of iron stores in the reticuloendothelial system and on inhibition of the hepatic synthesis of albumin. With regard to treatment, iron treatment should be avoided because of the risk of haemochromatosis.

[Prevalence of pressure sores in a university hospital in 2003].

Science.gov (United States)

Daideri, G; Berthier, F; Brocker, P; Darmon, M-J; Mignolet, F; Quaranta, J-F; Staccini, P

2006-12-01

To determine the prevalence of pressure sores in a university hospital and to assess the risk of developing a pressure sore. A one-day survey was performed in all hospitalized patients, day hospital excepted. The Garches scale was used to assess the severity of pressure sores and the Braden scale was used to measure the patient's risk for the development of pressure ulcers. One thousand six hundred and eleven patients were included, mean age was 62+/-23 years and 53.3% were over 65 years old. In hospitalized patients, 64% were in acute care, 29% in intermediate medicine and long-term care and 7% in intensive care units. We have found 675 pressure sores in 268 patients, mean age of 76 years; 263 decubitus ulcers were acquired during hospitalization. The most frequent sites were heels (46%) and sacrum (26%). Stage 1 pressure ulcers showed 33% of the total. The total prevalence was 16.6%, 95% CI (14.9-18.6), the hospital acquired pressure sores prevalence was 7.5%, all stages included. A Braden score less than or equal to 15 was found in 29.1% of hospitalized patients. Standard mattresses were used in 37% of patients with pressure sores. Multivariate analysis showed that age and a Braden score less than or equal to 15 were significantly associated with pressure sores. Pressure sores are still an important problem in hospital; occurrence must be considered as an iatrogenic event and management requires a multidisciplinary approach.

Atmospheric noise of a breaking tidal bore.

Science.gov (United States)

Chanson, Hubert

2016-01-01

A tidal bore is a surge of waters propagating upstream in an estuary as the tidal flow turns to rising and the flood tide propagates into a funnel-shaped system. Large tidal bores have a marked breaking roller. The sounds generated by breaking tidal bores were herein investigated in the field (Qiantang River) and in laboratory. The sound pressure record showed two dominant periods, with some similarity with an earlier study [Chanson (2009). J. Acoust. Soc. Am. 125(6), 3561-3568]. The two distinct phases were the incoming tidal bore when the sound amplitude increased with the approaching bore, and the passage of the tidal bore in front of the microphone when loud and powerful noises were heard. The dominant frequency ranged from 57 to 131 Hz in the Qiantang River bore. A comparison between laboratory and prototype tidal bores illustrated both common features and differences. The low pitch sound of the breaking bore had a dominant frequency close to the collective oscillations of bubble clouds, which could be modeled with a bubble cloud model using a transverse dimension of the bore roller. The findings suggest that this model might be over simplistic in the case of a powerful breaking bore, like that of the Qiantang River.

Pulverization of boron element and proportions of boron carbide in boron; Broyage de bore element et dosage de carbure de bore dans le bore

Energy Technology Data Exchange (ETDEWEB)

Lang, F M; Finck, C [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1956-07-01

It is possible to reduce boron element into fine powder by means of a mortar and pestle made of sintered boron carbide, the ratio of boron carbide introduced being less than one per cent. Boron element at our disposal is made of sharp edged, dark brown, little grains of average size greater than 5 {mu}. Grain sizes smaller than 1{mu} are required for applying thin layers of such boron. (author) [French] Il est possible de pulveriser finement du bore element au moyen de mortier et pilon en carbure de bore fritte, le taux de carbure de bore introduit etant inferieur a 1 pour cent. Le bore element dont nous disposons est constitue de petits grains brun fonce, a aretes vives, de dimension moyenne superieure a 5 {mu}. L'application de ce bore en couches minces demande des grains de dimensions inferieures a 1 {mu}. (aute0008.

[Pressure sores in geriatric medicine: the role of nutrition].

Science.gov (United States)

Fontaine, Juliette; Raynaud-Simon, Agathe

2008-01-01

Malnutrition is frequent in geriatric patients: it affects 30 to 60% of elderly residents of institutions and 30 to 70% of patients admitted for short-term hospitalization. Malnutrition is a risk factor for developing pressure sores, and patients with them are more often and more severely malnourished than patients without them. In elderly subjects, multiple and interlinked factors may trigger or aggravate malnutrition; they may be physical, psychological or social and may be worsened by drugs and some diets. Malnutrition has been recognized as a risk factor for the onset and perpetuation of pressure sores. Of the dietary factors, protein intake seems most important. A low body mass index (BMI), low serum albumin, and weight loss are associated with an increased risk of pressure sores. A physician observing pressure sores must conduct a nutritional assessment, using clinical and laboratory screening tools. The criteria for malnutrition in elderly subjects are weight loss > or =5% in 3 months or > or =10% in 6 months, BMIpressure sores in geriatric medicine. It must be adapted for each patient. The recommended calorie intake in malnourished patients at risk of or with pressure sores is 30-40 kcal/kg/d, with 1.2-1.5 g of proteins/kg/d.

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

Science.gov (United States)

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

2013-11-01

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 study of patients who were surgically treated for stage III and IV pressure sores between 2007 and 2010. Volumes of health-care use were obtained for all patients and direct medical costs were subsequently calculated. In addition, we evaluated the effect of location and number of pressure sores on total costs. A total of 52 cases were identified. Average direct medical costs in hospital were €20,957 for the surgical treatment of pressure sores stage III or IV; average direct medical costs for patients with one pressure sore on an extremity (group 1, n = 5) were €30,286, €10,113 for patients with one pressure sore on the trunk (group 2, n = 32) and €40,882 for patients with multiple pressure sores (group 3, n = 15). The additional costs for patients in group 1 and group 3 compared to group 2 were primarily due to longer hospitalisation. The average direct medical costs for surgical treatment of pressure sores stage III and IV were high. Large differences in costs were related to the location and number of pressure sores. Insight into the distribution of these costs allows identification of high-risk patients and enables the development of specific cost-reducing measures. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

[Options for flap coverage in pressure sores].

Science.gov (United States)

Nae, S; Antohi, N; Stîngu, C; Stan, V; Parasca, S

2010-01-01

Despite improvements in reconstructive techniques for pressure sores, recurrences are still seen frequently, and success rate remains variable. During 2003 - 2007, at the Emergency Hospital for Plastic Surgery and Burns in Bucharest, 27 patients underwent surgical repair of 45 pressure sores located at sacral (22 ulcers), ischial (12 ulcers) and trochanteric (11 ulcers) regions. The mean patient age was 57, 1 years (range 26 to 82 years). Mean postoperative follow-up was 6 months (range 2 months - 2 years). There were 18 complications for the 45 sores (40%). At 6 months postoperatively, recurrence was noted in 12 ulcers (27%). Details regarding indications, contraindications, advantages and disadvantages for different coverage options are outlined. The authors advocate the importance of surgical coverage in reducing morbidity, mortality and treatment costs.

Muscular soreness following prolonged intermittent high-intensity shuttle running.

Science.gov (United States)

Thompson, D; Nicholas, C W; Williams, C

1999-05-01

The aim of this study was to examine the impact of prolonged intermittent high-intensity shuttle running on soreness and markers of muscle damage. Sixteen males took part in the study, half of whom were assigned to a running group and half to a resting control group. The exercise protocol involved 90 min of intermittent shuttle running and walking (Loughborough Intermittent Shuttle Test: LIST), reflecting the activity pattern found in multiple-sprint sports such as soccer. Immediately after exercise, there was a significant increase (P < 0.05) in serum activities of creatine kinase and aspartate aminotransferase, and values remained above baseline for 48 h (P < 0.05). Median peak activities of creatine kinase and aspartate aminotransferase occurred 24 h post-exercise and were 774 and 43 U x l(-1), respectively. The intensity of general muscle soreness, and in the specific muscles investigated, was greater than baseline for 72 h after the shuttle test (P < 0.05), peaking 24-48 h post-exercise (P < 0.05). Muscle soreness was not correlated with either creatine kinase or aspartate aminotransferase activity. Soreness was most frequently reported in the hamstrings. Neither soreness nor serum enzyme activity changed in the controls over the 4 day observation period. It appears that unaccustomed performance of prolonged intermittent shuttle running produces a significant increase in both soreness and markers of muscle damage.

Flurbiprofen microgranules for relief of sore throat: a randomised, double-blind trial

Science.gov (United States)

Russo, Marc; Bloch, Mark; de Looze, Fred; Morris, Christopher; Shephard, Adrian

2013-01-01

Background Many people with sore throat seek, and are often inappropriately prescribed, antibiotics. Aim The objective of this study was to determine the analgesic efficacy of flurbiprofen 8.75 mg microgranules versus placebo. These microgranules are a possible alternative treatment for patients with sore throat due to upper respiratory tract infection (URTI). Design and setting Randomised, double-blind, placebo-controlled, multiple-dose study conducted at eight primary care sites in Australia. Method Participants with sore throat of onset within the past 4 days received either flurbiprofen 8.75 mg microgranules or non-medicated placebo microgranules. Throat soreness, difficulty in swallowing, sore throat pain intensity, sore throat relief, oral temperature, and treatment benefits were all assessed at regular intervals. Result Of 373 patients from eight centres, 186 received flurbiprofen 8.75 mg microgranules and 187 received placebo microgranules (intent-to-treat population). Throat soreness was significantly reduced over the first 2 hours after the first dose. Reductions in difficulty in swallowing were observed at all time points from 5 to 360 minutes after the first dose, after taking flurbiprofen microgranules versus placebo. Sore throat relief was also evident at 1 minute and lasted for at least 6 hours. The multiple-dose efficacy results showed reduction of difficulty in swallowing at the end of days 1–3 and sore throat relief at the end of day 1. Conclusion Microgranules containing flurbiprofen 8.75 mg provided fast and effective relief from sore throat due to URTI and represent an alternative treatment option to antibiotic therapy. PMID:23561694

Pressure sores following elective total hip arthroplasty: pitfalls of misinterpretation.

Science.gov (United States)

Keong, Nicole; Ricketts, David; Alakeson, Nuki; Rust, Philippa

2004-01-01

OBJECTIVE: To assess the reliability of reporting protocols regarding pressure sores. METHODS: Retrospective data were collected regarding pressure sore rates following total hip arthroplasty operations carried out during 2001 at two orthopaedic units in an NHS hospital (Princess Royal Hospital) and in a local private hospital. RESULTS: Preliminary results presented in audit and interim reports indicated an alarmingly high pressure sore rate across the two sites (17/172 [9.9%] NHS, 23/71 [32.4%] private hospital). On analysis, the data collection system was revealed to be flawed. Grade 1 areas (erythema with no ulceration) were included, leading to a dramatic discrepancy between reported and confirmed pressure sores. Re-analysis showed the confirmed pressure sore rates to be much lower (2.3% NHS, 1.0% private hospital). CONCLUSIONS: This audit suggests that both poor data collection and education lead to inaccurate audit. This may lead to subsequent inappropriate management and inappropriate NHS star ratings. PMID:15140301

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 stu...... of pressure sores prevents their development.......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...

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.

[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.

Osteomyelitis beneath pressure sores

International Nuclear Information System (INIS)

Sugarman, B.; Hawes, S.; Musher, D.M.; Klima, M.; Young, E.J.; Pircher, F.

1983-01-01

Twenty-eight pressure sores were evaluated prospectively. Osteomyelitis was reported histologically in nine of 28 bones and pressure-related changes were reported in 14 bones. Roentgenograms suggested the presence of osteomyelitis in four instances of histologically proved osteomyelitis. Technetium Tc 99m medronate bone scans were highly sensitive, showing increased uptake in all cases of osteomyelitis; however, increased uptake also occurred commonly in uninfected bones due to pressure-related changes or other noninfectious causes. Cultures of bone biopsy samples usually disclosed anaerobic bacteria, gram-negative bacilli, or both. The diagnosis of osteomyelitis must be considered if a pressure sore does not respond to local therapy. If the technetium Tc 99m medronate uptake is increased in the involved area, or roentgenographic findings are abnormal, the diagnosis can only be made with certainty by histologic examination of bone. Antibacterial treatment should be selected based on the results of bone culture

[The prevention of pressure sores in paediatric intensive care].

Science.gov (United States)

Thueux, Emilie

2014-01-01

In paediatric intensive care, children develop pressure sores as a result of various mechanical and clinical factors. The prevention and assessment of the risk of pressure sores constitute a key concern for the nursing teams which establish prevention strategies adapted to the young patients.

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

2006-12-29

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. 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. 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. 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.

Aetiology of pressure sores in patients with spinal cord injury.

Science.gov (United States)

Thiyagarajan, C; Silver, J R

1984-01-01

One hundred consecutive patients admitted to the National Spinal Injuries Centre, Stoke Mandeville Hospital, with pressure sores were studied to assess the relative importance of factors known to predispose to the development of scores. Loss of feeling was critical, because patients were unable to appreciate pain when the sore was developing. Risk of developing a sore increased with age, but duration of the paralysis was of equal importance. After discharge from hospital the presence of a caring relative or friend was essential for survival. Many patients developed sores because of poor facilities at home or inappropriate advice from those who looked after them. An even more distressing factor was the number of patients who developed sores in hospital owing to inadequate nursing care. There are relatively few paralysed patients in the community, but the lessons learnt in this study may be applied to all patients with orthopaedic injuries and to geriatric patients with limited mobility. Nursing and medical staff must turn patients regularly and ensure that there is proper equipment to relieve pressure on the skin. Patients should not be allowed to sit in a chair if they develop a sacral or trochanteric sore. More effort should be directed towards the appropriate education of patients, their relatives, and all those who are concerned with their welfare. Images FIG 1 FIG 2 FIG 3 PMID:6439284

Treatment of ischial pressure sores using a modified gracilis myofasciocutaneous flap.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen

2010-04-01

Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients with ischial sores were enrolled in the study. All patients underwent early aggressive surgical debridement followed by surgical reconstruction with a modified gracilis myofasciocutaneous flap. The follow-up period ranged from 13 to 86 months, with a mean of 44 months. Overall, 91.7% of the flaps (11 of 12) survived primarily. Partial flap necrosis occurred in one patient. Primary wound healing occurred without complications at both the donor and recipient sites in all cases. In one patient, grade II ischial pressure sores recurred 13 months after the operation. There was no recurrence in other 11 patients. A modified gracilis myofasciocutaneous flap provides a good cover for ischial pressure sores. Because it is easy to use and has favorable results, it can be used in the primary treatment for large and deep ischial pressure sores. Copyright Thieme Medical Publishers.

Sacral pressure sore reconstruction – the pedicled superior gluteal ...

African Journals Online (AJOL)

Pressure sore reconstruction has always been challenging. Immobile patients are prone to develop pressure sores from unre- lieved pressure on tissue over the sacral area, with shear, friction, moisture and malnutrition as contributing factors. Up to one-third of immobilised patients in long-term care facilities will develop.

Prevention of pressure sores by identifying patients at risk.

Science.gov (United States)

Andersen, K E; Jensen, O; Kvorning, S A; Bach, E

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. During seven months in 1977, 600 of 3571 patients were classified as at risk. Of these 35 (5.8%) developed sores compared with five (0.2%) of those not at risk. The results of this study compared with those over the same period in 1976 show that close observation of at-risk patients and early detection of pressure sores prevents their development. PMID:6803980

Boring of full scale deposition holes at the Aespoe Hard Rock Laboratory. Operational experiences including boring performance and a work time analysis

Energy Technology Data Exchange (ETDEWEB)

Andersson, Christer [Swedish Nuclear Fuel and Waste Management Co., Stockholm (Sweden); Johansson, Aasa [SWECO, Stockholm (Sweden)

2002-12-01

Thirteen experimental deposition holes similar to those in the present KBS-3 design have been bored at the Aespoe Hard Rock Laboratory, Oskarshamn, Sweden. The objective with the boring program was to test and demonstrate the current technique for boring of large vertical holes in granitic rock. Conclusions and results from this project is used in the planning process for the deposition holes that will be bored in the real repository for spent nuclear fuel. The boreholes are also important for three major projects. The Prototype Repository, the Canister Retrieval Test and the Demonstration project will all need full-scale deposition holes for their commissioning. The holes are bored in full scale and have a radius of 1.75 m and a depth of 8.5 m. To bore the holes an existing TBM design was modified to produce a novel type Shaft Boring Machine (SBM) suitable for boring 1.75 m diameter holes from a relatively small tunnel. The cutter head was equipped with two types of roller cutters: two row carbide button cutters and disc cutters. Removal of the cuttings was made with a vacuum suction system. The boring was monitored and boring parameters recorded by a computerised system for the evaluation of the boring performance. During boring of four of the holes temperature, stress and strain measurements were performed. Acoustic emission measurements were also performed during boring of these four holes. The results of these activities will not be discussed in this report since they are reported separately. Criteria regarding nominal borehole diameter, deviation of start and end centre point, surface roughness and performance of the machine were set up according to the KBS-3 design and were fulfilled with a fair margin. The average total time for boring one deposition hole during this project was 105 hours.

Boring of full scale deposition holes at the Aespoe Hard Rock Laboratory. Operational experiences including boring performance and a work time analysis

International Nuclear Information System (INIS)

Andersson, Christer; Johansson, Aasa

2002-12-01

Thirteen experimental deposition holes similar to those in the present KBS-3 design have been bored at the Aespoe Hard Rock Laboratory, Oskarshamn, Sweden. The objective with the boring program was to test and demonstrate the current technique for boring of large vertical holes in granitic rock. Conclusions and results from this project is used in the planning process for the deposition holes that will be bored in the real repository for spent nuclear fuel. The boreholes are also important for three major projects. The Prototype Repository, the Canister Retrieval Test and the Demonstration project will all need full-scale deposition holes for their commissioning. The holes are bored in full scale and have a radius of 1.75 m and a depth of 8.5 m. To bore the holes an existing TBM design was modified to produce a novel type Shaft Boring Machine (SBM) suitable for boring 1.75 m diameter holes from a relatively small tunnel. The cutter head was equipped with two types of roller cutters: two row carbide button cutters and disc cutters. Removal of the cuttings was made with a vacuum suction system. The boring was monitored and boring parameters recorded by a computerised system for the evaluation of the boring performance. During boring of four of the holes temperature, stress and strain measurements were performed. Acoustic emission measurements were also performed during boring of these four holes. The results of these activities will not be discussed in this report since they are reported separately. Criteria regarding nominal borehole diameter, deviation of start and end centre point, surface roughness and performance of the machine were set up according to the KBS-3 design and were fulfilled with a fair margin. The average total time for boring one deposition hole during this project was 105 hours

Sore Throat: Diagnosis and Treatment

Science.gov (United States)

... neck to check for swollen glands (lymph nodes) Listening to your or your child's breathing with a ... of your sore throat, these at-home care strategies can help you ease your symptoms: Rest. And ...

[Treatment of pubic osteomyelitis secondary to pressure sores].

Science.gov (United States)

Brunel, Anne-Sophie; Téot, Luc; Lamy, Brigitte; Masson, Raphaël; Morquin, David; Reynes, Jacques; Le Moing, Vincent

2014-01-01

There is no consensus regarding the diagnostic and therapeutic strategy for pubic osteomyelitis secondary to pelvic pressure sores. Diagnosis is often difficult and bone biopsies with microbiological and anatomical-pathological examination remain the gold standard. The rate of cicatrisation of pressure sores is low. Cleansing and negative pressure treatment are key elements of the treatment. Optimising the care management with medical-surgical collaboration is being studied in the Ostear protocol.

How effective are treatments other than antibiotics for acute sore throat?

OpenAIRE

Thomas, M; Del Mar, C; Glasziou, P

2000-01-01

To estimate the benefits of treatments other than antibiotics for acute sore throat, and the differences between non-antibiotic interventions and controls in patient-perceived pain of sore throat, a systematic review of controlled trials in Medline and the Cochrane Library was carried out. Sixty-six randomised controlled trials (with or without additional antibiotics) were identified and 17 met the selection criteria. Twenty-two non-antibiotic managements for sore throat were compared. Their ...

Mechanisms for closing bores and releasably securing articles within the bores under longitudinal load

International Nuclear Information System (INIS)

Klahn, F.C.; Nolan, J.H.; Wills, C.

1979-01-01

This invention relates to mechanisms for closing bores of tubular passages and for releasably securing articles within the bores under longitudinal load. The system includes an axially movable latch, an actuator and locking devices. Embodiments of the invention can be used as closure mechanisms for tubular irradiation surveillance specimen assembly holders used in nuclear reactors. (UK)

Mechanisms for closing bores and releasably securing articles within the bores under longitudinal load

International Nuclear Information System (INIS)

Kalen, D.D.; Mitchem, J.W.

1979-01-01

This invention relates to mechanisms for closing bores of tubular passages and for releasably securing articles within the bores under longitudinal load. The system includes an axially movable actuator and a latch which engages the tubular opening. Embodiments of the invention can be used as closure mechanisms for tubular irradiation surveillance specimen assembly holders used in nuclear reactors. (UK)

Pressure sores--a multifaceted approach to prevention and treatment.

Science.gov (United States)

Staas, W. E.; Cioschi, H. M.

1991-01-01

The incidence and effect of pressure sores on the disabled and elderly population have created a challenge to physicians and health care professionals, from emergency departments to rehabilitation units, and in the community. If not prevented, the morbidity and mortality of patients and the direct and indirect costs to both patients and the health care system are radically increased. In this article we define the impact on our health care system of pressure sores, provide an overview of a multifaceted approach to their prevention and management, and introduce successful behavioral and educational approaches for patients with chronic, recurrent sores. A coordinated approach with patients as informed participants and their care givers enhances the chances for success. PMID:1830985

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.

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

How elderly patients with femoral fracture develop pressure sores in hospital.

Science.gov (United States)

Versluysen, M

1986-01-01

The routine hospital management of 100 consecutive elderly patients was studied to determine the reason for the high incidence of pressure sores among patients admitted to hospital for femoral fractures. Of these patients, 66 developed sores, 83% occurring by the fifth day in hospital. This was due to the long periods that patients were immobilised on high pressure surfaces in the casualty department, wards, and theatres before repair of the fracture and restoration of their weight bearing function. Sores are not simply a ward or nursing problem, but an unintended consequence of hospital treatment. To reduce the incidence of sores elderly patients should be treated on low pressure patient support systems from the point of entry to hospital until mobility is restored. PMID:3085827

Energy Efficiency of Tunnel Boring Machines.

OpenAIRE

Grishenko, Vitaly

2014-01-01

Herrenknecht AG is a German world-leading Tunnel Boring Machines manufacturer showing strong awareness and concern regarding environmental issues. The company supports research on the Energy Efficiency (EE) of their products, aimed at the development of intelligent design for a green Tunnel Boring Machine. The aim of this project is to produce a ’status quo’ report on EE of three types of Tunnel Boring Machines (Hardrock, EPB and Mixshield TBM). In the framework of this research 39 projects a...

Treatment of ischial pressure sores with double adipofascial turnover flaps.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Xu, Zhen; Chen, Aiming

2010-01-01

Despite a variety of flap reconstruction options, the ischium remains the most difficult pressure sore site to treat. This article describes the authors' successful surgical procedure for coverage of ischial ulcers using double adipofascial turnover flaps.After debridement, the adipofascial flaps are harvested both cephalad and caudal to the defect. The flaps are then turned over to cover the exposed bone in a manner so as to overlap the 2 flaps. The skin is then closed with sutures in 2 layers. A total of 15 patients with ischial sores were treated using this surgical procedure.The follow-up period ranged from 11 to 159 months, with a mean of 93.6 months. Overall, 86.7% of the flaps (13 of 15) healed primarily. One patient had a recurrent grade II ischial pressure sore again 11 months after the operation. The other 14 patients did not have a recurrence.Treatment of ischial pressure sores with adipofascial turnover flaps provides an easy, minimally invasive procedure, with preservation of future flap options, and a soft-tissue supply sufficient for covering the bony prominence and filling dead space. This technique is a reliable and safe reconstructive modality for the management of minor ischial pressure sores.

Cutaneous flaps in the treatment of 338 pressure sores: a better choice.

Science.gov (United States)

Greco, Manfredi; Marchetti, Francesco; Tempesta, Massimo; Ruggiero, Marco; Marcasciano, Marco; Carlesimo, Bruno

2013-01-01

Muscular flaps are considered by many surgeons as a treatment of choice for pressure sores. Nevertheless fasciocutaneous and adipofascial flaps are less sensitive to ischemia, more resistant to pressure and have higher mechanical resistance. The aim of this study is to evaluate the results of our integrated rehabilitative and surgical protocol in pressure sore management based on the use of cutaneous flaps. Since 1998, we treated 338 pressure sores (PS) in 195 patients (120 males; 75 females), 189 patients were affected by paraplegia and tetraplegia and 6 of them by neurological disorders. Ninety sacral, 156 ischiatic, 75 trochanteric, 9 calcanean and 8 sores of the iliac-crest were succesfully treated. All showed an involvement of the bone element, with osteitis and/or periosteitis. 14 cases of trocanteric sores showed a deeper bone involvement, with evidences of osteomyelitis. Follow up ranges from 7 years to 2 months. Median time for wound healing was 18 days. The use of fasciocutaneous flaps, as an alternative to the traditional muscolocutaneous flaps in the treatment of pressure sores leads to good and statistically comparable, healing rate, time and incidence of complications. Reconstructive plastic surgery as is a decisive factor to reach a good rehabilitative outcome, minimizing the time of rehabilitation with a following decrease of hospitalization costs. In spinal cord injured patients, surgical treatment of pressure sores is not proposed as the main procedure, but it is an important stage during the natural history of pressure sores. Cutaneous, adipofascial and fasciocutaneous flaps are less invasive, of a relatively easy execution, provided by a reliable vascular pedicle and they could be "re-used" in case of recurrences.

Conditions for tidal bore formation in convergent alluvial estuaries

Science.gov (United States)

Bonneton, Philippe; Filippini, Andrea Gilberto; Arpaia, Luca; Bonneton, Natalie; Ricchiuto, Mario

2016-04-01

Over the last decade there has been an increasing interest in tidal bore dynamics. However most studies have been focused on small-scale bore processes. The present paper describes the first quantitative study, at the estuary scale, of the conditions for tidal bore formation in convergent alluvial estuaries. When freshwater discharge and large-scale spatial variations of the estuary water depth can be neglected, tide propagation in such estuaries is controlled by three main dimensionless parameters: the nonlinearity parameter ε0 , the convergence ratio δ0 and the friction parameter ϕ0. In this paper we explore this dimensionless parameter space, in terms of tidal bore occurrence, from a database of 21 estuaries (8 tidal-bore estuaries and 13 non tidal-bore estuaries). The field data point out that tidal bores occur for convergence ratios close to the critical convergence δc. A new proposed definition of the friction parameter highlights a clear separation on the parameter plane (ϕ0,ε0) between tidal-bore estuaries and non tidal-bore estuaries. More specifically, we have established that tidal bores occur in convergent estuaries when the nonlinearity parameter is greater than a critical value, εc , which is an increasing function of the friction parameter ϕ0. This result has been confirmed by numerical simulations of the two-dimensional Saint Venant equations. The real-estuary observations and the numerical simulations also show that, contrary to what is generally assumed, tide amplification is not a necessary condition for tidal bore formation. The effect of freshwater discharge on tidal bore occurrence has been analyzed from the database acquired during three long-term campaigns carried out on the Gironde/Garonne estuary. We have shown that in the upper estuary the tidal bore intensity is mainly governed by the local dimensionless tide amplitude ε. The bore intensity is an increasing function of ε and this relationship does not depend on freshwater

Reconstruction of pressure sores with perforator-based propeller flaps.

Science.gov (United States)

Jakubietz, Rafael G; Jakubietz, Danni F; Zahn, Robert; Schmidt, Karsten; Meffert, Rainer H; Jakubietz, Michael G

2011-03-01

Perforator flaps have been successfully used for reconstruction of pressure sores. Although V-Y advancement flaps approximate debrided wound edges, perforator-based propeller flaps allow rotation of healthy tissue into the defect. Perforator-based propeller flaps were planned in 13 patients. Seven pressure sores were over the sacrum, five over the ischial tuberosity, and one on the tip of the scapula. Three patients were paraplegic, six were bedridden, and five were ambulatory. In three patients, no perforators were found. In 10 patients, propeller flaps were transferred. In two patients, total flap necrosis occurred, which was reconstructed with local advancement flaps. In two cases, a wound dehiscence occurred and had to be revised. One hematoma required evacuation. No further complications were noted. No recurrence at the flap site occurred. Local perforator flaps allow closure of pressure sores without harvesting muscle. The propeller version has the added benefit of transferring tissue from a distant site, avoiding reapproximation of original wound edges. Twisting of the pedicle may cause torsion and venous obstruction. This can be avoided by dissecting a pedicle of at least 3 cm. Propeller flaps are a safe option for soft tissue reconstruction of pressure sores. © Thieme Medical Publishers.

What role can nurse leaders play in reducing the incidence of pressure sores?

Science.gov (United States)

Wurster, Joan

2007-01-01

Pressure sores have plagued the nursing profession for many years as a major health care problem in terms of a patient's suffering and financial cost. Pressure sores are increasingly common in hospitalized patients in the United States with a 63% increase from 1993 to 2003. The nurse leader is accountable for the occurrence of pressure sores, a nurse-sensitive indicator, by a scorecard which is benchmarked against other facilities. The nurse leader must take a systematic approach in the prevention of pressure sores, with the strategy being consistent and motivating to the staff in order to improve patient outcome. The chief nursing officer, the unit manager, and the bedside nurse must all collaborate to prevent tissue injury in patients at risk for developing pressure sores and to promote wound healing in patients with existing breakdown.

[High-grade pressure sores in frail older high-risk persons. A retrospective postmortem case-control-study].

Science.gov (United States)

Von Renteln-Kruse, W; Krause, T; Anders, J; Kühl, M; Heinemann, A; Püschel, K

2004-04-01

Some old persons at risk do develop, but others, at comparable risk, do not develop high-grade pressure sores. To evaluate potentially different risk factors, we performed a post mortem case-control study in old persons who developed high-grade pressure sores within six months until 14 days before death. Consecutive cases with pressure sores grade >/=3 and potential controls at comparably high risk for pressure sores were examined before cremation. After written informed consent had been obtained by the next relatives, all available nursing and medical records of the deceased were thoroughly evaluated. Cases and controls were matched according to age, gender, immobility, and cachexia.A total of 100 cases with 71 pressure sores grade 3 and 29 pressure sores grade 4 were compared to 100 controls with 27 pressure sores grade pressure sores in frail older high-risk persons. Sedative drug effects and impaired patient compliance with preventive and therapeutic measures may also be associated with the development of high-grade pressure sores in old persons at high risk.

Reduction of the incidence of pressure sores by an education program on nursing care.

Science.gov (United States)

Srisupan, Vijitr; Senaratana, Wilawan; Picheansatian, Wilawan; Chittreecheur, Jittaporn; Watanakool, Malinee; Chaisri, Pratin; Singhakumfu, Laddawan; Tribuddharat, Chanwit; Danchaivijitr, Somwang

2005-12-01

To determine whether an education and campaign program would reduce the incidence of pressure sores. The study was performed in a 1,400-bed teaching hospital in Thailand with a total number of 697patients from 47 wards for a point prevalence study; 1,201 and 1,268 patients from 12 wards to determine whether reduction of pressure sore occurrence would be obtained by an education program. The point prevalence of pressure sores was 10.8%. The significant risk factors were age older than 60 years, fecal incontinence, and history of diarrhea. The occurrence of pressure sores was significantly reduced after the educational program from 9.91% to 5. 76%. The education on patient care aiming at reduction of the occurrence of pressure sores could be adopted nation-wide in order to reduce the morbidity, mortality and expenses. The education program was effective in reducing the incidence of pressure sores.

Key technologies of drilling process with raise boring method

Directory of Open Access Journals (Sweden)

Zhiqiang Liu

2015-08-01

Full Text Available This study presents the concept of shaft constructed by raise boring in underground mines, and the idea of inverse construction can be extended to other fields of underground engineering. The conventional raise boring methods, such as the wood support method, the hanging cage method, the creeping cage method, and the deep-hole blasting method, are analyzed and compared. In addition, the raise boring machines are classified into different types and the characteristics of each type are described. The components of a raise boring machine including the drill rig, the drill string and the auxiliary system are also presented. Based on the analysis of the raise boring method, the rock mechanics problems during the raise boring process are put forward, including rock fragmentation, removal of cuttings, shaft wall stability, and borehole deviation control. Finally, the development trends of raise boring technology are described as follows: (i improvement of rock-breaking modes to raise drilling efficiency, (ii development of an intelligent control technique, and (iii development of technology and equipment for nonlinear raise boring.

[Surgical issues and outcomes in ischial pressure sores treatment].

Science.gov (United States)

Voulliaume, D; Grecea, M; Viard, R; Brun, A; Comparin, J-P; Foyatier, J-L

2011-12-01

Ischiatic pressure sores are frequent in spinal cord injury patients, associated with bad prognosis and high recurrence rate. Many surgical techniques were described, including surgical debridement followed by pedicled flap coverage. We aim to propose a practical decision tree for primary or secondary ischial pressure sore treatment. Our series of 48 operated ischial sores with an average follow up of 4 years (range 2 to 8years) is analyzed and compared to previously published reports. Surgical techniques are discussed according to their specific indications. The optimal recurrence rate in published reports about pressure sore treatment is 20%; a rate inferior to 19% is found in our series, showing the equal importance of flap selection and postoperative care and education. Depending on each situation, various available flaps are described and compared: gluteus maximus flap, biceps femoris flap, gracilis flap, tensor fascia lata flap, fasciocutaneous thigh flaps, rectus femoris and vastus lateralis flap, rectus abdominis flap. Specific surgical indications for more extensive wounds are studied: resection arthroplasty of the hip, hip disarticulation, fillet flaps from the leg, microsurgery. Based upon our experience, a decision tree summarizes our proposition of flap selection, depending on the wound size and the patient background. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Specific and cross over effects of massage for muscle soreness: randomized controlled trial.

Science.gov (United States)

Jay, Kenneth; Sundstrup, Emil; Søndergaard, Stine D; Behm, David; Brandt, Mikkel; Særvoll, Charlotte A; Jakobsen, Markus D; Andersen, Lars L

2014-02-01

Muscle soreness can negatively interfere with the activities of daily living as well as sports performance. In the working environment, a common problem is muscle tenderness, soreness and pain, especially for workers frequently exposed to unilateral high repetitive movements tasks. The aim of the study is therefore to investigate the acute effect of massage applied using a simple device Thera-band roller Massager on laboratory induced hamstring muscle soreness, and the potential cross over effect to the non-massaged limb. 22 healthy untrained men (Mean age 34 +/- 7 years; mean height 181.7 +/- 6.9 cm; mean weight 80.6 +/- 6.4 kg; BMI: 24.5 +/- 1.3) with no prior history of knee, low back or neck injury or other adverse health issues were recruited. Participants visited the researchers on two separate occasions, separated by 48 hours, each time providing a soreness rating (modified visual analog scale 0-10), and being tested for pressure pain threshold (PPT) and active range of motion (ROM) of the hamstring muscles. During the first visit, delayed onset muscular soreness of the hamstring muscles was induced by 10 x 10 repetitions of the stiff-legged dead-lift. On the second visit participants received either 1) 10 minutes of roller massage on one leg, while the contralateral leg served as a cross over control, or 2) Resting for 10 minutes with no massage at all. Measurement of soreness, PPT and ROM were taken immediately before and at 0, 10, 30 and 60 min. after treatment. There was a significant group by time interaction for soreness (p < 0.0001) and PPT (p = 0.0007), with the massage group experiencing reduced soreness and increasing PPT compared with the control group. There was no group by time interaction for ROM (p = 0.18). At 10 min. post massage there was a significant reduction in soreness of the non-massaged limb in the cross over control group compared to controls but this effect was lost 30 minutes post massage. Massage with a roller device reduces

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

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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.

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

Science.gov (United States)

Kataria, Kamal; Sagar, Sushma; Singhal, Manish; Yadav, Rajni

2012-01-01

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. PMID:29181131

A comparative analysis of pressure sore treatment modalities in community settings

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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.

TMI-2 core bore acquisition summary report

International Nuclear Information System (INIS)

Tolman, E.L.; Smith, R.P.; Martin, M.R.; McCardell, R.K.; Broughton, J.M.

1986-09-01

Core bore samples were obtained from the severely damaged TMI-2 core during July and August, 1986. A description of the TMI-2 core bore drilling unit used to obtain samples; a summary and discussion of the data from the ten core bore segments which were obtained; and the initial results of analysis and evaluation of these data are presented in this report. The impact of the major findings relative to our understanding of the accident scenario is also discussed

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.R.; 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

[Effects of massage on delayed-onset muscle soreness].

Science.gov (United States)

Bakowski, Paweł; Musielak, Bartosz; Sip, Paweł; Biegański, Grzegorz

2008-01-01

Delayed onset muscle soreness (DOMS) is the pain or discomfort often felt 12 to 24 hours after exercising and subsides generally within 4 to 6 days. Once thought to be caused by lactic acid buildup, a more recent theory is that it is caused by inflammatory process or tiny tears in the muscle fibers caused by eccentric contraction, or unaccustomed training levels. Exercises that involve many eccentric contractions will result in the most severe DOMS. Fourteen healthy men with no history of upper arm injury and no experience in resistance training were recruited. The mean age, height, and mass of the subjects were 22.8 +/- 1.2 years, 178.3 +/- 10.3 cm, and 75.0 +/- 14.2 kg, respectively. Subjects performed 8 sets of concentric and eccentric actions of the elbow flexors with each arm according to Stay protocol. One arm received 10 minutes of massage 30 minutes after exercise, the contralateral arm received no treatment. Measurements were taken at 9 assessment times: pre-exercise and postexercise at 10 min, 6, 12, 24, 36, 48, 72 and 96 hours. Dependent variables were range of motion, perceived soreness and upper arm circumference. There was noticed difference in perceived soreness across time between groups. The analysis indicated that massage resulted in a 10% to 20% decrease in the severity of soreness, but the differences were not significant. Difference in range of motion and arm circumference was not observed. Massage administered 30 minutes after exercises could have a beneficial influence on DOMS but without influence on muscle swelling and range of motion.

Detection and Isolation of Digital Dermatitis Treponemes from Bovine Pressure Sores.

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Clegg, S R; Crosby-Durrani, H E; Bell, J; Blundell, R; Blowey, R W; Carter, S D; Evans, N J

2016-05-01

Pressure sores cause severe pain and discomfort in hospitalized people and in farmed cattle and are often infected with unknown bacteria. Pressure sores occur on the upper legs of 6-10% of recumbent cattle and are generally considered to be caused by constant pressure, commonly on bony areas of the limbs. This study analyzed pressure sores taken from the upper limbs of 14 cattle using isolation in culture and nested polymerase chain reaction (PCR) to detect treponemes associated with digital dermatitis (DD). A 100% association of DD treponemes with the pressure sores was demonstrated, but treponemes were shown not to be part of the normal skin microbiota. Immunohistochemistry showed an association of DD treponemes with lesions and particularly with the hair follicles in lesions, identifying the bacteria deep within wounds, thereby suggesting that they could contribute to lesion pathogenesis. The bacteria isolated from the pressure sore lesions were similar or identical on analysis of the 16S rRNA gene to those found in DD foot lesions in cattle, suggesting the same bacteria can infect multiple lesions. Indeed, the results of this study suggest that these spirochaetal bacteria may be expanding in host range and in their ability to colonize different tissues and contribute to a range of disease manifestations in farm animals. Copyright © 2016 Elsevier Ltd. All rights reserved.

Pressure Sores and Systemic Inflammatory Response Syndrome: UC Davis Quality Improvement Initiative.

Science.gov (United States)

Jairam, Abhishek; Song, Ping; Patel, Nirav B; Wong, Michael S

2018-05-01

The National Pressure Ulcer Advisory Panel estimates pressure sore care to approach $11 billion annually. It is not uncommon for these patients to present to the emergency department (ED) with a chief concern of a pressure sore, while concurrently carrying an undiagnosed infectious process that is the culprit for the acute presentation, rather than the chronic pressure injury. We aim to identify patients who met systemic inflammatory response syndrome (SIRS) criteria at ED presentation who were referred to plastic and reconstructive surgery for pressure sore debridement prior to a complete medical workup. We hypothesize that a restructuring of the ED triaging system would help conserve hospital resources, reduce costs of pressure sore management, and improve patient care and outcomes by first treating primary, underlying pathologies. This is a retrospective chart review of 36 patients who presented to the University of California, Davis Medical Center Emergency Department with a pressure sore and met SIRS criteria, but obtained a plastic surgery consult prior to a full medical workup. We defined SIRS based on standardized criteria: temperature greater than 100.4°F or less than 96.8°F, pulse rate greater than 90 beats/min, respiratory rate greater than 20 breaths/min or PaCO2 less than 32 mm Hg, white blood cell count greater than 12,000, less than 4000, or greater than 10% bands. Fifty percent of patients (18/36) met SIRS criteria at ED presentation for their pressure sores. Of these SIRS patients, 9 (50%) had a diagnosis of urinary tract infection or urosepsis, 6 (33.3%) had sepsis of undefined origin, and 3 (16.7%) had other diagnoses such as osteomyelitis or acute respiratory distress syndrome. Half of patients consulted while in the University of California, Davis Medical Center Emergency Department with pressure sores met SIRS criteria and received a plastic and reconstructive surgery consult prior to a full medical workup. We propose a new algorithm for

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.

Vitamin C depletion and pressure sores in elderly patients with femoral neck fracture.

Science.gov (United States)

Goode, H. F.; Burns, E.; Walker, B. E.

1992-01-01

OBJECTIVE--To evaluate the contribution of specific nutritional deficiencies (as indicated by zinc; vitamin A, C, and E; albumin; and haemoglobin concentrations) to the risk of pressure sores. DESIGN--Observational cohort study. SETTING--St James's University Hospital, Leeds. SUBJECTS--21 elderly patients presenting consecutively to the orthopaedic unit with femoral neck fracture. MAIN OUTCOME MEASURE--Full thickness epidermal break over a pressure bearing surface. RESULTS--10 patients (48%) developed a pressure sore during their hospital stay. Indices of zinc status and concentrations of albumin, haemoglobin, and vitamins A and E were similar in patients who developed a pressure sore and those who did not. Mean leucocyte vitamin C concentration, however, was 6.3 (SD 2.2) micrograms/10(8) cells in patients who developed a pressure sore as compared with 12.8 (4.6) micrograms/10(8) cells in patients who did not. CONCLUSIONS--Low concentrations of leucocyte vitamin C appear to be associated with subsequent development of pressure sores in elderly patients with femoral neck fractures. PMID:1458073

Prophylaxis of postintubation sore throat by the use of single puff inhalation of clomethasone dipropionate preoperatively

International Nuclear Information System (INIS)

Bashir, I.; Masood, N.

2014-01-01

Objective: The objective of this study was to asses the occurrence and severity of sore throat following endotracheal anesthesia and its reduction by beclomethasone inhalation. Study Design: A randomized controlled trial. Place and Duration of Study: This study was carried out at the main operation theatre, Combined Military Hospital Rawalpindi from October 2002 to April 2003. Patients and Methods: Two hundred patients undergoing general anaesthesia for elective surgery were included. Patients were randomly assigned to two groups of 100 patients each. The patients in group A were given one puff inhalation of beclomethasone before intubation while group B was control group. The patients were evaluated for occurrence and severity of postoperative sore throat by direct questions 6, 12, 24 and 48 hours after surgery. Results: In the beclomethasone group, 10 patients had sore throat as compared to 55 in control group (p<0.01). All 10 patients who experienced symptoms in beclomethasone group had mild sore throat while among the patients in the control group 22 had mild, 13 had moderate and 20 had severe sore throat. After 48 hours, no patient had the symptoms in the study group while 9 of the control group still suffered from sore throat. No drug related side effects were observed. Conclusion: Postoperative sore throat after general anaesthesia is common (occurrence rate of 55%). Beclomethasone inhaler is highly effective in the prevention of postoperative sore throat. It reduces both the occurrence and severity of sore throat. (author)

[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.

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

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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.

Turbulent mixing and wave radiation in non-Boussinesq internal bores

DEFF Research Database (Denmark)

Borden, Zac; Koblitz, Tilman; Meiburg, Eckart

2012-01-01

Bores, or hydraulic jumps, appear in many natural settings and are useful in many industrial applications. If the densities of the two fluids between which a bore propagates are very different (i.e., water and air), the less dense fluid can be neglected when modeling a bore analytically-a single...... ratio, defined as the ratio of the density of the lighter fluid to the heavier fluid, is greater than approximately one half. For smaller density ratios, undular waves generated at the bore's front dominate over the effects of turbulent mixing, and the expanding layer loses energy across the bore. Based...

Removing well bore liquid blockage by gas injection

International Nuclear Information System (INIS)

Ahmed, Tarek

2000-01-01

Gas condensate reservoirs have long presented production problems when the pressure around the well bore drops below the dew point pressure. The formation of the condensate around the well bore can be thought of as an additional 'skin' that causes a reduction in the gas flow rates. Many processes have been used successfully to prevent or reduce the formation of liquids within the entire reservoir, such as pressure maintenance schemes and gas cycling processes. The pressure maintenance scheme is designed to keep the reservoir pressure at or above the dew point pressure while the gas cycling process is intended to reduce the liquid dropout by vaporization.Often times the pressure in the near-well bore region of the reservoir falls below the dew point pressure, while the pressure in the reservoir remains higher than the dew point pressure. As the near-well bore pressure drops below the dew point pressure, retrograde condensation occurs leading to the formation and then the mobilization of the condensate phase towards the producing wells. The liquid phase accumulates in the near Well bore region, forming a ring, which progressively reduces the gas deliverability. This study is designed to provide an insight into the mechanism of gas injection process in reducing gas-well productivity losses due to condensate blocking in the near well bore region. The study also evaluates the effectiveness of lean gas, N 2 , and CO 2 Huff 'n' Puff injection technique in removing the liquid dropout accumulation in and around the well bore. Results of the study show the importance of selecting the optimum injection volume and pressure. (author)

Liver acquisition with volume acceleration flex on 70-cm wide-bore and 60-cm conventional-bore 3.0-T MRI.

Science.gov (United States)

Saito, Shigeyoshi; Tanaka, Keiko; Hashido, Takashi

2016-07-01

This study aimed to compare the uniformity of fat suppression and image quality between liver acquisition with volume acceleration flex (LAVA-Flex) and LAVA on 60-cm conventional-bore and 70-cm wide-bore 3.0-T magnetic resonance imaging (MRI). The uniformity of fat suppression by LAVA-Flex and LAVA was assessed as the efficiency of suppression of superficial fat at the levels of the liver dome, porta, and renal hilum. Percentage standard deviation (%SD) was calculated using the following equation: %SD (%) = 100 × SD of the regions of interest (ROIs)/mean value of the signal intensity (SI) in the ROIs. Signal-to-noise ratio (SNR) and contrast ratio (CR) were calculated. In the LAVA sequence, the %SD in all slices on wide-bore 3.0-T MRI was significantly higher than that on conventional-bore 3.0-T MRI (P 3.0-T MRI.

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.

Improving outcomes following reconstruction of pressure sores in spinal injury patients: A multidisciplinary approach.

Science.gov (United States)

Tadiparthi, S; Hartley, A; Alzweri, L; Mecci, M; Siddiqui, H

2016-07-01

Pressure sore treatment in spinal injury patients is challenging. A multidisciplinary approach with joint management by the plastic surgery and spinal injury teams was initiated at our institution in 2005 to improve patient care and surgical outcomes following reconstruction. This study assessed the surgical outcomes following reconstruction using the team approach and to compare inpatient stay and readmissions for complications before and after the multidisciplinary protocol was introduced. A retrospective review of consecutive patients in the multidisciplinary pressure sore clinic was performed. Data were collected on patient demographics, reconstructive techniques, surgical outcomes and readmission for any complications. In total, 45 patients with 60 pressure sores (grade 3 or 4) were reviewed in the joint clinic between 2005 and 2011. The majority of patients were paraplegic (78%), while the remaining 22% were tetraplegic. Ischial sores were the most common (45%) followed by trochanteric (23%) and sacral (20%) sores. Multiple sores were noted in 44% of patients. Flap reconstruction was required in 32 patients (71%); after a mean follow-up time of 33 months (range 25-72 months), there were three (9%) major complications (two recurrences of pressure sores and one sinus) and seven (22%) minor complications. After introduction of patient care pathways through the multidisciplinary approach, the rate of readmission for complications decreased from 14% to 5.5% and inpatient stay upon readmission reduced from 65 to 45 days. Implementation of a multidisciplinary approach was key to optimising surgical outcomes, achieving a low recurrence rate (6%) and reducing readmissions. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

[Clinical application of modified upper gluteal rhomboid fasciocutaneous flap in repairing sacrococcygeal pressure sores].

Science.gov (United States)

Jiang, Maohua; Yang, Xiaoliang; Wei, Bangmin; Li, Yinghao

2012-03-01

To investigate the method and effectiveness of repairing sacrococcygeal pressure sores with modified upper gluteal rhomboid fasciocutaneous flap. Between January 2004 and March 2011, 43 patients with sacrococcygeal pressure sores were treated. There were 25 males and 18 females with an average age of 63 years (range, 38-95 years). The disease duration was 3 months to 2 years and 6 months (mean, 8.5 months). The size of pressure sores ranged from 6 cm x 5 cm to 18 cm x 13 cm. According to the extent and lesion degree of pressure scores, 23 pressure sores were rated as degree III and 20 pressure sores as degree IV. The modified upper gluteal rhomboid flap was designed, one-side upper gluteal fasciocutaneous flaps were transplanted to repair sacrococcygeal pressure sores in 19 cases and two-side flaps in 24 cases. The size of one side flap ranged from 6.5 cm x 4.5 cm to 18.0 cm x 11.5 cm. Fluid under flap occurred in 1 case and edge necrosis of the flaps in 3 cases at 7 days after operation, which were cured after drainage and dressing change; the other flaps survived, and incisions healed by first intention. All patients were followed up 6 months to 3 years with an average of 11 months. Two patients relapsed at 5 months and 8 months, respectively; the other patients had no recurrence. The color of the flaps was normal, and the appearance and elasticity of the flaps were good. The modified upper gluteal rhomboid fasciocutaneous flap has the advantages of simple design and operation, less injury, and reliable effect in repairing sacrococcygeal pressure sores.

Revisiting resolution in hydrodynamic countercurrent chromatography: tubing bore effect.

Science.gov (United States)

Berthod, A; Faure, K

2015-04-17

A major challenge in countercurrent chromatography (CCC), the technique that works with a support-free biphasic liquid system, is to retain the liquid stationary phase inside the CCC column (Sf parameter). Two solutions are commercially available: the hydrostatic CCC columns, also called centrifugal partition chromatographs (CPC), with disks of interconnected channels and rotary seals, and the hydrodynamic CCC columns with bobbins of coiled open tube and no rotary seals. It was demonstrated that the amount of liquid stationary phase retained by a coiled tube was higher with larger bore tubing than with small bore tubes. At constant column volume, small bore tubing will be longer producing more efficiency than larger bore tube that will better retain the liquid stationary phase. Since the resolution equation in CCC is depending on both column efficiency and stationary phase retention ratio, the influence of the tubing bore should be studied. This theoretical work showed that there is an optimum tubing bore size depending on solute partition coefficient and mobile phase flow rate. The interesting result of the theoretical study is that larger tubing bores allow for dramatically reduced experiment durations for all solutes: in reversed phase CCC (polar mobile phase), hydrophobic solutes are usually highly retained. These apolar solutes can be separated by the same coil at high flow rates and reduced Sf with similar retention times as polar solutes separated at smaller flow rates and much higher Sf. Copyright © 2015 Elsevier B.V. All rights reserved.

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

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...

[Urinary incontinence as a risk factor for pressure sores does not withstand a critical examination].

Science.gov (United States)

Krause, Tom; Anders, Jennifer; von Renteln-Kruse, Wolfgang

2005-10-01

The association between urinary incontinence and pressure sores is put down to various causes. Most frequently urinary wet and following maceration of the skin are mentioned. However, it is possible that urinary incontinence is only an indicator for other risk factors or a measure of the need for care without any causal relation to pressure sores. There are hardly any controlled or randomised studies; this lack of scientific evidence is problematic. Based on a case-control-study including data of 200 patients as well as on the existing models of explanation, the following study tries to examine critically the connections between pressure sores and urinary incontinence. Out of the patients in our study population 97.5 percent were incontinent. Different categories of the risk factor urinary incontinence and different dichotomisations have led to different statistical results. Statements concerning the connection between urinary incontinence and pressure sores have to be interpreted critically. The dependence of urinary incontinence on other risk factors such as patients' need for care or compliance suggests that the causal connection to pressure sores be not reduced to the influence of wetness. We advise to research connections between urinary incontinence and pressure sores in a methodologically appropriate setting.

Practical Management of Pressure Sores

Science.gov (United States)

Jordan, John M.

1992-01-01

Pressure sores are common in the debilitated elderly. Causal factors are unrelieved pressure, shearing forces, friction, and moisture. Preventive measures should be used for all high-risk patients, defined by general condition, mental status, degree of incontinence, amount of activity, and mobility. Principles of treating ulcers include pressure relief, reducing bacterial counts, debriding necrotic tissue, and providing a moist, clean environment. Imagesp2385-ap2389-ap2392-a PMID:21221298

Medial circumflex femoral artery flap for ischial pressure sore

Directory of Open Access Journals (Sweden)

Palanivelu S

2009-01-01

Full Text Available 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.

Integrated test plan for directional boring

International Nuclear Information System (INIS)

Volk, B.W.

1993-01-01

This integrated test plan describes the field testing of the DITCH WITCH Directional Boring System. DITCH WITCH is a registered trademark of The Charles Machine Works, Inc., Perry, Oklahoma. The test is being conducted as a coordinated effort between Charles Machine Works (CMW), Sandia National Laboratories (SNL), and the Westinghouse Hanford Company (WHC). Funding for the WHC portion of the project is through the Volatile Organic Compound-Arid Integrated Demonstration (VOC-Arid ID). The purpose of the test is to evaluate the performance of the directional boring system for possible future use on environmental restoration projects at Hanford and other Department of Energy (DOE) sites. The test will be conducted near the 200 Areas Fire Station located between the 200 East and 200 West Area of the Hanford Site. The directional boring system will be used to drill and complete (with fiberglass casing) two horizontal boreholes. A third borehole will be drilled to test sampling equipment but will not be completed with casing

Difference between a Sore Throat, Strep, and Tonsillitis

Science.gov (United States)

... often called Hand, Foot, and Mouth disease ). Infectious mononucleosis (often called "Mono") can produce a sore throat, ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep Throat ...

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

African Journals Online (AJOL)

Effects of intravenous diclofenac on postoperative sore throat in patients undergoing laparoscopic surgery at Aga Khan University Hospital, Nairobi: A prospective, randomized, double blind controlled trial.

[Primary investigation on fumigation and moxibustion in treatment ulcer and sore of yin syndrome].

Science.gov (United States)

Zhu, Chao-Jun; Zhang, Zhao-Hui; Ma, Jing; Li, Pin-Chuan; Liu, Xian-Zhou; Yin, Yue; Tian, Ying

2011-09-01

To explore the fumigation and moxibustion therapy in treatment of ulcer and sore of yin syndrome. The fumigation and moxibustion therapy is the combination of fumigation and moxibustion, in which, smoking fumigation is provided with warming effect and the actions as moxibustion. This therapy works on the efficacy of both fumigation and moxibustion. In treatment, different herbal medicines can be selected flexibly, acting on dispersing yin and rescuing yang. The fumigation and moxibustion therapy can drain toxin and remove ulcer and sore. It contributes to the treatment of boils and chronic sores of yin syndrome and promotes wound healing.

Long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen

2010-08-01

Among the many difficult problems presented by patients with spinal cord injuries, management of ischial pressure ulcers remains challenging for reconstructive surgeons. This study describes the long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores. Between January 1999 and June 2003, 12 patients with ischial sores were enrolled in this study. All the patients underwent early aggressive surgical debridement followed by surgical reconstruction with a laterally based posterior-thigh fasciocutaneous flap. The follow-up period ranged from 24 months to 97 months (mean, 62 months). All the flaps survived, and there were no partial flap losses. Primary-wound healing occurred in all the cases. In two patients, Grade II ischial pressure sores recurred 24 months and 27 months after the operation. There was no recurrence in the other 10 patients. The posterior-thigh fasciocutaneous pedicled flap was a good method for treating ischial bed sores. This flap could be used to treat recurrences observed after primary bed-sore treatment with other methods. The flap was easy to raise, and it did not cause any donor-site morbidity. The long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores was generally good. (c) Thieme Medical Publishers.

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

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.

[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.

Investigation on vibrational evaluation criteria for small-bore pipe

International Nuclear Information System (INIS)

Tsuji, Takashi; Maekawa, Akira; Takahashi, Tsuneo; Kato, Minoru; Torigoe, Yuichi

2013-01-01

The well-known organization such as API and SwRI in USA developed criteria for piping vibrational evaluation. These criteria are targeted for main pipes, but not branch pipes with small bore. In this study, applicability of criteria of API and SwRI to branch pipes was investigated. Vibration test using piping system with small bore branch pipe was conducted and amplitudes of vibrational stress and displacement were measured for various exciting force. In comparison of the measurements with the two criteria, though the criteria of API and SwRI were applicable to small bore branch pipe, they made too conservative evaluation. (author)

ASPECTS REGARDING THE EFFECT OF ANTIINFLAMMATORY DRUGS ON DELAYED ONSET MUSCLE SORENESS

OpenAIRE

Honceriu C.; Hagiu B.A.

2013-01-01

The objectives of the study are to investigate the effects of using Diclofenac ointment for delayed onset muscle soreness. The research has been conducted on two groups of junior football players, males, the number of 9 each (control and treated), which has been induced by this type of muscle soreness with specific exercises. The treated group used Diclofenac gel for the relief of musculoskeletal pain. The evaluation of values of muscular strength (Squat Jump, Jump Countermovement, Free Jump,...

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; Lee, Won Jai

2014-07-01

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. 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. 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. 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.

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.

Analysis of Driven Pile Capacity within Pre-Bored Soil : Research Project Capsule

Science.gov (United States)

2017-10-01

Pre-boring is a method used to facilitate large displacement pile driving in hard/dense soils (see Figure 1). By pre-boring a pilot hole, the end bearing and side friction within the pre-bored zone are reduced, thus aiding pile driving installation. ...

[A variant of island flaps for the covering of pressure sores: the hatchet flap. Apropos of 31 cases].

Science.gov (United States)

Quillot, M; Lodde, J P; Pegorier, O; Reynaud, J P; Cormerais, A

1994-08-01

The authors propose a modification of the classical design of island flaps for cover of pressure sores, applied to gluteus maximus and tensor fascia lata muscles: the hatchet flap. 31 flaps have been used including 13 gluteus maximus superior flaps for sacral pressure sores, 9 gluteal inferior flaps for ischial pressure sores and 9 tensor fascia lata flaps for trochanteric pressure sores. A small partial necrosis and two cases of sepsis were observed in this series, but did not require surgical revision. The authors emphasize the value of this modification of the classical flap design, which preserves an even better musculocutaneous capital in these patients, who are often already multi-operated. The very rapid recovery of patients supports the authors' application of hatchet flaps to the surgery of pressure sores, and suggests the extension to other musculocutaneous flaps in the future.

Treatment of pressure sores in spina bifida patients with calcium alginate and foam dressings.

Science.gov (United States)

Ausili, E; Paolucci, V; Triarico, S; Maestrini, C; Murolo, D; Focarelli, B; Rendeli, C

2013-06-01

Prospective study on local treatment of pressure sores using calcium alginate and foam dressings in spina bifida patients. Investigate if this sequential approach is valid and safe for selected patients with neurological impairments. Using European Pressure Ulcer Grading System, after clinical evaluation of local sore, selected patients of Spina Bifida Center of Rome were treated with sequential calcium alginate and foam dressings for 12 weeks. Pressure ulcere surfaces were measured monthly by ulcer tracing. The endpoints were the mean absolute areas surface reduction during every month and number of patients achieving a 50% or more during study. 14 patients (7 males aged 12-24 years) with spina bifida and pressure sores were treated. Mean and standard deviation of mean surface area reduction were 12.5 ± 7.5 cm 2 at start of the study versus 3.7 ± 5.2 cm 2 after 12 weeks, p pressure sores in selected patients with spina bifida. In fact, they protect the wound and create an environment favorable to healing.

Mouth Sores Caused by Cancer Treatment: How to Cope

Science.gov (United States)

... leading to sores and infections. Both chemotherapy and radiation can impair your body's germ-fighting system (immune system). With an impaired immune system, viruses, bacteria and fungi can more easily infect your mouth, ...

Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps.

Science.gov (United States)

Wang, Chih-Hsin; Chen, Shih-Yi; Fu, Ju-Peng; Dai, Niann-Tzyy; Chen, Shao-Liang; Chen, Tim-Mo; Chen, Shyi-Gen

2011-05-01

To provide an alternative choice for covering trochanteric pressure sores, we report on a modified pedicle anterolateral thigh (ALT) myocutaneous flap based on the descending branch of the lateral circumflex femoral artery. From August 2007 to January 2010, 20 consecutive patients (10 men and 10 women) underwent 21 pedicled ALT myocutaneous flaps for reconstruction of trochanteric pressure sores. The flap was designed and elevated, resembling the ALT perforator flap including part of the vastus lateralis muscle but without skeletonisation of the perforators. The mean age of patients was 79.4 years (range: 46-103). The mean follow-up period was 13.9 months (range: 3-32). The flaps were 8-21 cm long and 5-11 cm wide. All flaps healed without major complications. All donor sites were closed primarily without skin grafting and showed good aesthetic results. No recurrence was observed. This modified design of pedicled ALT myocutaneous flap without skeletonisation of perforators is a reliable and easily harvested flap for reconstruction of trochanteric pressure sores with limited morbidity. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

When a Sore Throat Is a More Serious Infection

Science.gov (United States)

... often called Hand, Foot, and Mouth disease). Infectious mononucleosis can produce a sore throat, often with marked ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep throat ...

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,

Continuous measurements of in-bore projectile velocity

International Nuclear Information System (INIS)

Asay, J.R.; Konrad, C.H.; Hall, C.A.; Shahinpoor, M.

1989-01-01

The application of velocity interferometry to the continuous measurement of in-bore projectile velocity in a small-bore three-stage railgun is described. These measurements are useful for determining projectile acceleration and for evaluating gun performance. The launcher employed in these studies consists of a two-stage light gas gun used to inject projectiles into a railgun for additional acceleration. Results obtained for projectile velocities to 7.4 km/s with the two-stage injector are reported and potential improvements for railgun applications are discussed

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.

[A scale for the assessment of the risk of pressure sores in paediatric intensive care].

Science.gov (United States)

Weigel, Virginie

2014-01-01

Pressure sores are a frequent complication in paediatric intensive care. A multi-disciplinary nursing team has drawn up an assessment scale for the risk of pressure sores and has put in place guidelines for caring for children in intensive care. Prevention actions are thereby adapted to each young patient.

Spotlight on Psoriasis: Preventing Patches of Itchy, Sore Skin

Science.gov (United States)

... Subscribe August 2016 Print this issue Spotlight on Psoriasis Preventing Patches of Itchy, Sore Skin En español ... Sun Damage Sun and Skin Wise Choices Avoid Psoriasis Triggers Factors that may trigger psoriasis or make ...

Bore pile foundation tall buildings closed in the heritage building

Science.gov (United States)

Triastuti, Nusa Setiani

2017-11-01

Bore pile foundation for high building surroundings heritage building should be not damage. Construction proses must good, no necking, no mixed deep water, no sliding soil, nonporous concrete. Objective the execution of bore pile so that heritage buildings and neighboring buildings that are old do not experience cracks, damage and tilting. The survey methodology was observe the process of the implementation of the dominant silt, clay soil, in addition a limited space and to analyze the results of loading tests, investigations of soil and daily reports. Construction process determines the success of the structure bore pile in high building structure bearing, without damaging a heritage building. Attainment the hard soil depth, density concrete, observable clean reinforcement in the implementation. Monitoring the implementation of, among others, the face of the ground water little reduce in the area and outside the footprint of the building, no impact of vibration drilling equipment, watching the mud content on the water coming out at the time of drilling, concrete volume was monitored each 2 m bore depth of pile, The result researched heritage building was not damage. The test results bore pile axial, lateral analyzed the results have the appropriate force design required.

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

Inferior gluteal artery perforator flap: a viable alternative for ischial pressure sores.

Science.gov (United States)

Kim, Young Seok; Lew, Dae Hyun; Roh, Tai Suk; Yoo, Won Min; Lee, Won Jai; Tark, Kwan Chul

2009-10-01

The ischial area is by far the most common site for pressure sores in wheelchair-bound paraplegic patients, because most of the pressure of the body is exerted on this area in the seated position. Even after a series of successful pressure sore treatments, the site is very prone to relapse from the simplest everyday tasks. Therefore, it is crucial to preserve the main pedicle during primary surgery. Several surgical procedures, such as myocutaneous flap and perforator flap, have been introduced for the treatment of pressure sores. During a 4-year time period at our institute, we found favourable clinical results using the inferior gluteal artery perforator (IGAP) procedure for ischial sore treatment. A total of 23 patients (20 males and three females) received IGAP flap surgery in our hospital from January 2003 to January 2007. Surgery was performed on the same site again in 10 (43%) patients who had originally relapsed after undergoing the conventional method of pressure sore surgery. The average age of patients was 47.4 years (range 26-71 years). Most of the patients were paraplegic (16 cases, 70%) and others were either quadriplegic (four cases, 17%) or ambulatory (three cases, 13%). Based on hospital records and clinical photographs, we attempted to assess the feasibility and practicability of the IGAP flap procedure through comparative analysis of several parameters including the size of the defective area, treatment modalities, relapses, complications, and postoperative treatments. The average follow-up duration for 23 subjects was 25.4 months (range 5-42 months). All flaps survived without major complications. Partial flap necrosis developed in one case but secondary healing was achieved and the final outcome was not impaired. Most of the cases healed well during the follow-up period. Postoperative complications such as wound dehiscence and fistula developed in some subjects, but all healed well with a secondary treatment. A total of five cases relapsed

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

Optimal chest drain size: the rise of the small-bore pleural catheter.

Science.gov (United States)

Fysh, Edward T H; Smith, Nicola A; Lee, Y C Gary

2010-12-01

Drainage of the pleural space is not a modern concept, but the optimal size of chest drains to use remains debated. Conventional teaching advocates blunt dissection and large-bore tubes; but in recent years, small-bore catheters have gained popularity. In the absence of high-quality randomized data, this review summarizes the available literature on the choice of chest drains. The objective data supporting the use of large-bore tubes is scarce in most pleural diseases. Increasing evidence shows that small-bore catheters induce less pain and are of comparable efficacy to large-bore tubes, including in the management of pleural infection, malignant effusion, and pneumothoraces. The onus now is on those who favor large tubes to produce clinical data to justify the more invasive approach. © Thieme Medical Publishers.

[Assessment of patients with pressure sores admitted in a tertiary care center].

Science.gov (United States)

Moro, Adriana; Maurici, Alice; do Valle, Juliana Barros; Zaclikevis, Viviane Renata; Kleinubing, Harry

2007-01-01

To determine the prevalence and analyze the profile of patients with pressure sores, focusing on risk factors, the patients' clinical characteristics at a tertiary care center, as well as stage and location of the lesions on the body. This was a cross sectional not controlled observational study, all patients admitted from April to June of 2005 were observed daily to identify all cases of pressure sores. The affected patients were evaluated by a standard questionnaire and the Scale of Braden was applied to define the risk of developing ulcers. Of the 690 patients admitted during the referred period, a prevalence of 5.9% of patients with lesions was observed, equivalent to 41 patients 63.9% of which were elderly and the average length of stay was 18 days. In the sample studied 41.5% of patients were found in the internal medicine section and the intensive care unit, ICU. The most common location for sores was the sacral area, corresponding to 73.1% of the patients, and stage II was the most frequent, observed in 58.5% of those patients. According to the Braden scale, most patients, 80.4%, had a high risk of developing pressure ulcers, compared to 9.7% of patients with moderate risk and 7.4% with low risk. The affected patients were at high risk of developing pressure sores. Prevalence of these lesions and the clinical and demographic profile of the affected patients are in accordance with the data in literature.

A composite gluteofemoral flap for reconstruction of large pressure sores over the sacrococcygeal region.

Science.gov (United States)

Xie, Yun; Zhuang, Yue-Hong; Xue, Lan; Zheng, He-Ping; Lin, Jian-Hua

2015-12-01

Gigantic pressure sores pose a daunting challenge for plastic surgeons. This paper presents a composite gluteofemoral flap for reconstruction of large pressure sores over the sacrococcygeal region. In this anatomical study, 30 embalmed cadaveric lower limbs were used for dissection to observe the musculocutaneous perforators of the inferior gluteal artery and the longitudinal nutritional vascular chain of the posterior femoral cutaneous nerve. In this clinical study, eight patients underwent surgical harvest of the composite gluteofemoral flap for coverage of grade IV sacrococcygeal pressure sores. The size of the pressure sores ranged between 16 × 9 cm and 22 × 10 cm. The inferior gluteal artery was present in 26 cases and absent in four cases. It gave off two to four musculocutaneous branches with a diameter larger than 0.5 mm to the gluteus maximus. A direct cutaneous branch was given off at the inferior margin of the gluteus maximus, serving as a nutritional artery for the posterior femoral cutaneous nerve. The size of the flap harvested ranged between 22 × 9 cm and 32 × 10 cm. Flaps in seven patients survived uneventfully and developed epidermal necrosis at the distal margin in one case. An average 2-year follow-up revealed no recurrence of pressure sores. The composite gluteofemoral flap, being robust in blood supply, simple in surgical procedure, and large in donor territory, is an important addition to the armamentarium. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Pressure sores--a constant problem for plegic patients and a permanent challenge for plastic surgery.

Science.gov (United States)

Giuglea, Carmen; Marinescu, Sllviu; Florescu, Ioan Petre; Jecan, Crenguta

2010-01-01

Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most commonly seen at the sacrum and trochanters in paralyzed patients and at ischium for the patients who sit in a wheelchair for a long time. For these patients, surgical treatment is very important because on one hand, it stops the loss of nutrients and proteins at the site of the pressure sore, and on the other hand, it permits the initiation of neuromuscular recuperation treatment much faster.

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

Formulating entompathogens for control of boring beetles in avocado orchards

Science.gov (United States)

A foam formulation of Beauveria bassiana was adapted to control boring beetles in avocado orchards. The two geographically independent avocado growing areas in the United States are threatened by emerging diseases vectored by boring beetles. In the California growing region, Fusarium dieback is vect...

Improvement of the center boring device for the irradiated fuel pellets

Energy Technology Data Exchange (ETDEWEB)

Usami, Koji; Onozawa, Atsushi; Kimura, Yasuhiko; Sakuraba, Naotoshi; Shiina, Hidenori; Harada, Akito; Nakata, Masahito [Japan Atomic Energy Agency, Nuclear Science Research Inst., Tokai, Ibaraki (Japan)

2012-03-15

The power ramp tests performed at JMTR in Oarai R and D Center are objected to study the safety margin of the high burnup fuels. One of the important parameters measured during this test is the center temperature of the fuel pellet. For this measurement, a thermocouple is installed into the hole bored at the pellet center by the center boring device, which can fix the fuel pellet with the frozen CO{sub 2} gas during its boring process. At the Reactor Fuel Examination Facility (RFEF) in Tokai R and D Center, several improvements were applied for the previous boring device to gain its performance and reliability. The major improvements are the change of the drill bit, modification of the boring process and the optimization of the remote operability. The mock-up test will be performed with the irradiated fuel pellet to confirm the benefit of improvement. This study was conducted under a contract with the Nuclear and Industrial Safety Agency (NISA) of the Ministry of Economy, Trade and Industry (METI). (author)

[A clinical audit on the use of medications for pressure sores, after the implementation of guidelines].

Science.gov (United States)

Chiari, Paolo; Fontana, Mirella; Bianchi, Tommaso; Bonzagni, Cristina; Galetti, Caterina

2006-01-01

Although guidelines for the management of pressure sores are widely available, their implementation is not always easy and sometimes does not produce the desired changes. To describe the results of a clinical audit aiming at assessing the appropriate use of medications for pressure sores, after the implementation of guidelines. The audit group, with an expert in assessment, a nurse expert in pressure sores, a microbiologist, a dermatologist and a chemist analysed the clinical and nursing records of all the patients with a pressure sore, discharged during the first trimester of 2005 and 2006, after the implementation of the guidelines, from wards with higher prevalence of pressure sores: geriatric, medical, intensive care, rehabilitation and post acute wards. Each documented treatment was classified as appropriate, not appropriate or "grey area", treatments inappropriate according to guidelines but not according to expert or current knowledge (e.g. poliurethane medications for heel pressure sores). After each stage, the results were returned and discussed with the involved wards. One hundred 74 patients were surveyed in 2005 and 199 in 2006, with a total of respectively 287 and 326 sores. The percentage of inappropriate treatments was 20% in 2005 and 12.8% in 2006 (OR 1.79 I.C. 95% 1.10- 2.91), while an increase of treatments considered grey area (from 7% to 13.5%) was observed. The medium number of medications used was 17.3 per lesion, in 2005 and 16.4 in 2006 with a cost respectively of 83.6 and 67.35 per lesion, but the two populations were not strictly comparable. Clinical audit is a strategy that involving doctors and nurses, may promote positive changes. The rate of inappropriate treatments (higher in areas with high turnover of nurses) can be improved with educational interventions. The identification of treatments of the grey area highlights the need of periodically revising guidelines to update their contents according to new knowledge and technologies.

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 tendon behavior may be an important mechanism underpinning the protective effect.

Medicinal Plants for Healing Sores and Wounds among the ...

African Journals Online (AJOL)

Medicinal Plants for Healing Sores and Wounds among the Communities Surrounding Ungoye Forest, Kwazulu-Natal, South Africa. ... The focus was on the medicinal plants that grow in the Ungoye forest and around the homesteads. The survey ... Keywords: Traditional medicine, documentation, Ethno-survey, wounds.

Cirugía reconstructiva de las úlceras por presión Reconstructive surgery of pressure sores

Directory of Open Access Journals (Sweden)

2007-09-01

Full Text Available Pressure sores are frequent in certain group of patients with predisposing conditions. In their evolution, this type of sores may require surgery, but the incidence of postoperative complications is high in this type of patients, given the confluence of factors that go against the sucessful surgery of these lesions in these patients. A retrospective cross-sectional descriptive study was made to evaluate the results of surgical treatment of pressure sores in a 3 years-period. Taking into account the studied variables, the drawn conclusions will allow designing new strategies for care of these patients, in order to reduce postoperative morbidity and lenght of stay at hospital

Boring crustaceans damage polystyrene floats under docks polluting marine waters with microplastic.

Science.gov (United States)

Davidson, Timothy M

2012-09-01

Boring isopods damage expanded polystyrene floats under docks and, in the process, expel copious numbers of microplastic particles. This paper describes the impacts of boring isopods in aquaculture facilities and docks, quantifies and discusses the implications of these microplastics, and tests if an alternate foam type prevents boring. Floats from aquaculture facilities and docks were heavily damaged by thousands of isopods and their burrows. Multiple sites in Asia, Australia, Panama, and the USA exhibited evidence of isopod damage. One isopod creates thousands of microplastic particles when excavating a burrow; colonies can expel millions of particles. Microplastics similar in size to these particles may facilitate the spread of non-native species or be ingested by organisms causing physical or toxicological harm. Extruded polystyrene inhibited boring, suggesting this foam may prevent damage in the field. These results reveal boring isopods cause widespread damage to docks and are a novel source of microplastic pollution. Copyright © 2012 Elsevier Ltd. All rights reserved.

Evaluating the effects of pentoxifylline administration on experimental pressure sores in rats by biomechanical examinations.

Science.gov (United States)

Velaei, Kobra; Bayat, Mohammad; Torkman, Giti; Rezaie, Fatemealsadat; Amini, Abdollah; Noruzian, Mohsen; Tavassol, Azaedh; Bayat, Mehernoush

2012-09-01

This study used a biomechanical test to evaluate the effects of pentoxifylline administration on the wound healing process of an experimental pressure sore induced in rats. Under general anesthesia and sterile conditions, experimental pressure sores generated by no. 25 Halsted mosquito forceps were inflicted on 12 adult male rats. Pentoxifylline was injected intraperitoneally at a dose of 50 mg/kg daily from the day the pressure sore was generated, for a period of 20 days. At the end of 20 days, rats were sacrificed and skin samples extracted. Samples were biomechanically examined by a material testing instrument for maximum stress (N mm(2)), work up to maximum force (N), and elastic stiffness (N/mm). In the experimental group, maximum stress (2.05±0.15) and work up to maximum force (N/mm) (63.75±4.97) were significantly higher than the control group (1.3±0.27 and 43.3±14.96, P=0.002 and P=0.035, respectively). Pentoxifylline administration significantly accelerated the wound healing process in experimental rats with pressure sores, compared to that of the control group.

APLIKASI PEMESANAN MAKANAN ONLINE BERBASIS WEB PADA RUMAH MAKAN PAGI SORE SIPIN JAMBI

Directory of Open Access Journals (Sweden)

Novhirtamely Kahar

2013-07-01

Full Text Available Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi cepat, akurat, memiliki jangkauan yang luas, serta dapat memesan makanan secara online. Sistem aplikasi pemesanan ini terdiri dari aplikasi untuk pelanggan dan admin. Aplikasi untuk pelanggan terdiri dari : Home, Profil, Menu, Paket Catering, Promotion, Info, dan Pemesanan. Aplikasi pemesanan untuk pelanggan terdiri dari Delivery Service, Paket Catering Service, dan Paket Catering Ruang Minang. Sedangkan aplikasi untuk admin terdiri dari olah data menu utama, transaksi, dan laporan. Untuk transaksi pembayaran dilakukan secara cash kepada bagian pengiriman. Sistem aplikasi ini dibangun dengan menggunakan PHP dan database MySQL. Dengan dibangunnya aplikasi ini, maka pelanggan dengan mudah mendapatkan informasi tentang Rumah Makan Pagi Sore Sipin Jambi dan dapat melakukan pemesanan makanan dimana saja dan kapan saja, sehingga dapat meningkatkan jumlah pelanggan dan berdampak pada peningkatan profit Rumah Makan Pagi Sore tersebut.Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi

Management of patients with sore throats in relation to guidelines: an interview study in Sweden.

Science.gov (United States)

Hedin, Katarina; Strandberg, Eva Lena; Gröndal, Hedvig; Brorsson, Annika; Thulesius, Hans; André, Malin

2014-12-01

To explore how a group of Swedish general practitioners (GPs) manage patients with a sore throat in relation to current guidelines as expressed in interviews. Qualitative content analysis was used to analyse semi-structured interviews. Swedish primary care. A strategic sample of 25 GPs. Perceived management of sore throat patients. It was found that nine of the interviewed GPs were adherent to current guidelines for sore throat and 16 were non-adherent. The two groups differed in terms of guideline knowledge, which was shared within the team for adherent GPs while idiosyncratic knowledge dominated for the non-adherent GPs. Adherent GPs had no or low concerns for bacterial infections and differential diagnosis whilst non-adherent GPs believed that in patients with a sore throat any bacterial infection should be identified and treated with antibiotics. Patient history and examination was mainly targeted by adherent GPs whilst for non-adherent GPs it was often redundant. Non-adherent GPs reported problems getting patients to abstain from antibiotics, whilst no such problems were reported in adherent GPs. This interview study of sore throat management in a strategically sampled group of Swedish GPs showed that while two-thirds were non-adherent and had a liberal attitude to antibiotics one-third were guideline adherent with a restricted view on antibiotics. Non-adherent GPs revealed significant knowledge gaps. Adherent GPs had discussed guidelines within the primary care team while non-adherent GPs had not. Guideline implementation thus seemed to be promoted by knowledge shared in team discussions.

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.

Laser homeostatics on delayed onset muscle soreness

Energy Technology Data Exchange (ETDEWEB)

Liu, T C Y; Fu, D R; Liu, X G; Tian, Z X, E-mail: liutcy@scnu.edu.cn [Lab Laser Sports Medicine, South China Normal University, University Town, Guangzhou, GD 510006 (China)

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.

Rational Pharmacotherapy for Sore Throat in Children at Different Stages of the Assistance

Directory of Open Access Journals (Sweden)

A.V. Zaychenko

2013-09-01

Full Text Available The article deals with one of the most pressing problems in pediatrics in the autumn and winter — a sore throat in children. The authors give its basic reasons, threatening symptoms that accompany sore throat, indicating an urgent need to visit a doctor, as well as the issues of treatment. It is noted that the most appropriate is the use of combination drugs that have complex (anti-microbial, anti-inflammatory, analgesic effect. The characteristics of Strepsils Kids preparation, developed specifically for use in children from 6 years, are given.

Quality Designed Twin Wire Arc Spraying of Aluminum Bores

Science.gov (United States)

König, Johannes; Lahres, Michael; Methner, Oliver

2015-01-01

After 125 years of development in combustion engines, the attractiveness of these powerplants still gains a great deal of attention. The efficiency of engines has been increased continuously through numerous innovations during the last years. Especially in the field of motor engineering, consequent friction optimization leads to cost-effective fuel consumption advantages and a CO2 reduction. This is the motivation and adjusting lever of NANOSLIDE® from Mercedes-Benz. The twin wire arc-spraying process of the aluminum bore creates a thin, iron-carbon-alloyed coating which is surface-finished through honing. Due to the continuous development in engines, the coating strategies must be adapted in parallel to achieve a quality-conformed coating result. The most important factors to this end are the controlled indemnification of a minimal coating thickness and a homogeneous coating deposition of the complete bore. A specific system enables the measuring and adjusting of the part and the central plunging of the coating torch into the bore to achieve a homogeneous coating thickness. Before and after measurement of the bore diameter enables conclusions about the coating thickness. A software tool specifically developed for coating deposition can transfer this information to a model that predicts the coating deposition as a function of the coating strategy.

Pressure sores and underlying bone infection

International Nuclear Information System (INIS)

Sugarman, B.

1987-01-01

Pressure sores are a serious complication of hospitalized and chronically ill patients. Evaluation for underlying bone infection can be made difficult by radiographic, nuclear imaging, and soft-tissue culture studies that are abnormal and suggest the presence of bone infection, when no infection is present. Evaluation by bone biopsy with histologic and microbiological studies can accurately and promptly diagnose whether bone infection is present. This allows appropriate treatment when infection is present, and prevents unneeded and potentially toxic antibiotic therapy when preliminary studies incorrectly suggest that infection is present

[Support devices for the prevention and treatment of pressure sores].

Science.gov (United States)

Perrouin-Verbe, Brigite

2014-12-01

There is a strategy to be followed in the treatment of patients with specific pathologies placing them at high risk of pressure sores. In some cases, sophisticated support devices are used.These techniques must be combined with basic good practices.

Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application.

Science.gov (United States)

Huang, Tze-Ta; Tseng, Chih-En; Lee, Tsan-Mu; Yeh, Jen-Ying; Lai, Yu-Yung

2009-03-01

Nasal-ala pressure sores induced by nasotracheal intubation are common complications of oral and maxillofacial surgery, but are easily ignored. To determine whether such sores could be prevented, we studied the effects of a combination of cushioning material in an animal model, and then analyzed the efficacy of this combination clinically. Four pigs received nasotracheal intubation. Each pig received intubation for 4, 8, 12, or 16 hours. Outcomes from pigs undergoing 500-gram-weight compression on each nostril were compared: one nostril received an application of cushioning materials, and the contralateral nostril did not. After the required study period, clinical assessment and further evaluation were performed by measuring pressure-sore dimensions and performing incisional biopsies. Clinical applications of this protective technique were then undertaken. Eight patients who underwent intubation without Soft Liner (GC Co, Tokyo, Japan) and DuoDERM CGF (ConvaTec, Inc, Princeton, NJ) protection, and 10 patients with Soft Liner and DuoDERM protection, were evaluated. The protective efficacy of the cushioning materials was significant in the animal model as well as in clinical practice. Pressure sores were avoided on the protected side, with severe tissue necrosis documented on the control side. We found that the combined use of Soft Liner and DuoDERM reduced the size and severity of nasal-ala pressure sores attributable to nasotracheal intubation during oral and maxillofacial surgery.

[Pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repair of large sacrococcygeal pressure sores].

Science.gov (United States)

Hai, Henglin; Li, Huatao; Chen, Yang; Li, Qiang; Wu, Shenggang; Lili, Wang; Yan, Lei; Xiaoying, Zhou

2013-03-01

To investigate the effectiveness of pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repairing large sacrococcygeal pressure sores. Between June 2003 and August 2011, 6 paraplegia patients with large sacrococcygeal pressure sores were repaired with the pedicled superior gluteal artery perforator bilateral quadrilobed flaps. There were 2 males and 4 females with an average age of 45.6 years (range, 37-62 years). The mean disease duration was 8.4 months (range, 3-26 months). According to National Pressure Ulcer Advisory Panel (NPUAP) standard, 6 cases rated as degree IV. The size of pressure sores ranged from 15 cm x 13 cm to 18 cm x 16 cm. The size of flaps ranged from 18 cm x 14 cm to 21 cm x 15 cm. After operation, all flaps survived successfully. The wounds healed by first intention in 5 cases; partial dehiscence of incision occurred in 1 case, which was cured after dressing change for 26 days. Six patients were followed up 6-24 months (mean, 12.5 months). The appearance and texture of the flaps were smooth and soft with good elasticity and no ulceration. Pedicled superior gluteal artery perforator bilateral quadrilobed flaps can repair large sacrococcygeal pressure sores. The appearance of flaps is smooth and has good compression-resistance effect.

Shaft Boring Machine: A method of mechanized vertical shaft excavation

International Nuclear Information System (INIS)

Goodell, T.M.

1991-01-01

The Shaft Boring Machine (SBM) is a vertical application of proven rock boring technology. The machine applies a rotating cutter wheel with disk cutters for shaft excavation. The wheel is thrust against the rock by hydraulic cylinders and slews about the shaft bottom as it rotates. Cuttings are removed by a clam shell device similar to conventional shaft mucking and the muck is hoisted by buckets. The entire machine moves down (and up) the shaft through the use of a system of grippers thrust against the shaft wall. These grippers and their associated cylinders also provide the means to maintain verticality and stability of the machine. The machine applies the same principles as tunnel boring machines but in a vertical mode. Other shaft construction activities such as rock bolting, utility installation and shaft concrete lining can be accomplished concurrent with shaft boring. The method is comparable in cost to conventional sinking to a depth of about 460 meters (1500 feet) beyond which the SBM has a clear host advantage. The SBM has a greater advantage in productivity in that it can excavate significantly faster than drill and blast methods

Delayed onset muscle soreness: No pain, no gain? The truth behind ...

African Journals Online (AJOL)

Delayed onset muscle soreness (DOMS) is muscle pain and stiffness that develops ... limited success in reducing the symptoms.1,4-6 The DOMS phenomenon ... Nutritional supplementation (antioxidants and L-carnitine) shows promise, but ...

Comparison of gluteal perforator flaps and gluteal fasciocutaneous rotation flaps for reconstruction of sacral pressure sores.

Science.gov (United States)

Chen, Yen-Chou; Huang, Eng-Yen; Lin, Pao-Yuan

2014-03-01

The gluteus maximus myocutaneous flap was considered the workhorse that reconstructed sacral pressure sores, but was gradually replaced by fasciocutaneous flap because of several disadvantages. With the advent of the perforator flap technique, gluteal perforator (GP) flap has gained popularity nowadays. The aim of this study was to compare the complications and outcomes between GP flaps and gluteal fasciocutaneous rotation (FR) flaps in the treatment of sacral pressure sores. Between April 2007 and June 2012, 63 patients underwent sacral pressure sore reconstructions, with a GP flap used in 31 cases and an FR flap used in 32 cases. Data collected on the patients included patient age, gender, co-morbidity for being bedridden and follow-up time. Surgical details collected included the defect size, operative time and estimated blood loss. Complications recorded included re-operation, dehiscence, flap necrosis, wound infection, sinus formation, donor-site morbidity and recurrence. The complications and clinical outcomes were compared between these two groups. We found that there was no significant difference in patient demographics, surgical complications and recurrence between these two groups. In gluteal FR flap group, all recurrent cases (five) were treated by reuse of previous flaps. Both methods are comparable, good and safe in treating sacral pressure sores. Gluteal FR flap can be performed without microsurgical dissection, and re-rotation is feasible in recurrent cases. The authors suggest using gluteal FR flaps in patients with a high risk of sore recurrence. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Evaluation methods of vibration stress of small bore piping

Energy Technology Data Exchange (ETDEWEB)

Hiramatsu, Miki; Sasaki, Toru [Institute of Nuclear Safety System Inc., Mihama, Fukui (Japan)

2001-09-01

Fatigue fracture by vibration stress is one of the main causes of troubles which occur at small bore piping in nuclear power plants. Therefore at the plants they manage small bore piping using a method in which their vibration accelerations are measured and the vibration stresses are calculated. In this work, vibration tests for two sets of mock-ups simulating actual piping in the plants by sinusoidal oscillation and by that obtained at an actual plant were carried out, and then an evaluation method was developed to obtain proper value of vibration stress from the measured data by the vibration tests. In comparison of the vibration stress obtained from the measured acceleration with that directly measured using strain gauges, it is confirmed that accurate vibration stress can be evaluated by a formula in which the real center of gravity of small bore piping and the acceleration of main (system) piping are considered. (author)

Comparison of Effectiveness of Betamethasone gel Applied to the Tracheal Tube and IV Dexamethasone on Postoperative Sore Throat: A Randomized Controlled Trial.

Science.gov (United States)

Tabari, Masumeh; Soltani, Ghasem; Zirak, Nahid; Alipour, Moammad; Khazaeni, Kamran

2013-09-01

Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed. Two hundred and twenty five American Society of Anesthesiologist (ASA)-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV) dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery. The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%), 8(10.4%), and 9(12.2%) patients, in the IV dexamethasone, betamethasone gel, and control group, respectively. We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.

Comparison of Effectiveness of Betamethasone gel Applied to the Tracheal Tube and IV Dexamethasone on Postoperative sore Throat: A Randomized Controlled Trial

Directory of Open Access Journals (Sweden)

Masoomeh Tabari

2013-10-01

Full Text Available Introduction: Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed.   Materials and Methods: Two hundred and twenty five American Society of Anesthesiologist (ASA-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery.   Results: The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%, 8(10.4%, and 9(12.2% patients, in the IV dexamethasone, betamethasone gel, and control group, respectively.   Conclusion:  We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.

Antioxidants for preventing and reducing muscle soreness after exercise.

Science.gov (United States)

Ranchordas, Mayur K; Rogerson, David; Soltani, Hora; Costello, Joseph T

2017-12-14

Muscle soreness typically occurs after intense exercise, unaccustomed exercise or actions that involve eccentric contractions where the muscle lengthens while under tension. It peaks between 24 and 72 hours after the initial bout of exercise. Many people take antioxidant supplements or antioxidant-enriched foods before and after exercise in the belief that these will prevent or reduce muscle soreness after exercise. To assess the effects (benefits and harms) of antioxidant supplements and antioxidant-enriched foods for preventing and reducing the severity and duration of delayed onset muscle soreness following exercise. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, SPORTDiscus, trial registers, reference lists of articles and conference proceedings up to February 2017. We included randomised and quasi-randomised controlled trials investigating the effects of all forms of antioxidant supplementation including specific antioxidant supplements (e.g. tablets, powders, concentrates) and antioxidant-enriched foods or diets on preventing or reducing delayed onset muscle soreness (DOMS). We excluded studies where antioxidant supplementation was combined with another supplement. Two review authors independently screened search results, assessed risk of bias and extracted data from included trials using a pre-piloted form. Where appropriate, we pooled results of comparable trials, generally using the random-effects model. The outcomes selected for presentation in the 'Summary of findings' table were muscle soreness, collected at times up to 6 hours, 24, 48, 72 and 96 hours post-exercise, subjective recovery and adverse effects. We assessed the quality of the evidence using GRADE. Fifty randomised, placebo-controlled trials were included, 12 of which used a cross-over design. Of the 1089 participants, 961 (88.2%) were male and 128 (11.8%) were female. The age range for

Tunnel boring an alternative method in construction of spent fuel repositories

International Nuclear Information System (INIS)

Christersson, Jukka

1984-05-01

In projecting of the final disposal of nuclear waste in geological formations a great importance should be paid to the selection of the tunneling method. The environment of the chosen repository area should not be exposed to any but as minor disturbances as possible by the excavation method applied. This study approaches full face tunneling methods as an alternative to conventional drill-and-blast methods in the construction of spent fuel repository tunnels. According to experiences up till now it is obvious, that tunnelboring today is fully capable technically competing with conventional tunneling methods, even in the hardest granitic rocks. The most important advantages, it provides for the construction of repositories, are: The methods does not produce any damage in the surrounding rock. Possibility to use placement techniques, which do not require preparing of additive repository holes for the fuel elements. Saving in the use of expensive filling material. The fact, that tunnel boring in hard rock is an expensive alternative, is still valid. Constuction of straight lined tunnels in unfractured rocks by tunnel boring would cost about 30-40% more than by conventional methods. The lay out arrangement of bored tunnels still have a great influence on tunnel boring machine's economy. Due to this it would be round 40-70% more expensive method in the construction of spent fuel repositories. However intensive development w is being carried out to eliminate these limitations and to make machines more flexible. Future trends in tunnel boring look good at the moment. The number of sold units has been increasing and new applications have widen out during last ten years. Harder and more abrasive rocks can now be bored than ever before and the trend seems to continue. It also looks like the cost difference in the hardest rocks is firmly getting smaller and smaller all the time. (author)

[Reduction of pressure sores during prone positioning of ventilated intensive care patients by the prone-head support system: a pilot study].

Science.gov (United States)

Prebio, Michael; Katz-Papatheophilou, Elfriede; Heindl, Werner; Gelbmann, Herbert; Burghuber, Otto C

2005-02-01

Prone positioning in patients with adult respiratory distress syndrome is a well-known method to improve oxygenation. The aim of our study was to evaluate a new device for prone positioning, the prone-head support system (PHS system), with regard to reduction of cutaneous pressure sores. In a pilot study we randomized 8 patients with ARDS in two groups: 180 degrees standard prone positioning (group without mask) and prone positioning with the PHS system (group with mask). The PHS system consists of a facemask support, which is connected to an adapted air suspension bed. The patients of both groups were intermittently proned for several days. We evaluated the pressure sores on head and neck before turning the patients prone for the first time and after each period of prone positioning. We documented the quantity, the size, the type and the localization of the pressure sores. There was no significant difference in the mean duration of prone positioning (27.1+/-14.7 hours in the group with mask versus 24.5+/-18.7 h in the group without mask). In the group with mask there were 1.5+/-0.8 new pressure sores by each proning, whereas in the group without mask there were 2.37+/-1.6 new pressure sores, which was lower, but not significantly. The overall area of pressure sores (798 mm2 versus 3184 mm2, p=0.004), the area of pressure sores per patient (199.5+/-104.7 mm2 versus 796+/-478 mm2, p=0.03) and the increase of the area of pressure sores per proning (79.8+/-52.0 mm2 versus 398.0+/-214.3 mm2, p=0.004) were significantly lower in the group with mask in comparison to the group without mask. The lips were the most effected localization in both groups. The pressure sores in the group with mask were less severe and showed a homogenous distribution in comparison to the group without mask. Blisters dominated in the group with mask in comparison to erosions, necrosis and ulcers in the group without mask. The PHS system with its face mask is able to reduce the extent and the

[Skin care and prevention of bed sores in bedridden patients].

Science.gov (United States)

Martínez Cuervo, Fernando; Soldevilla Agreda, J Javier; Verdú Soriano, José; Segovia Gómez, Teresa; García Fernández, Francisco Pedro; Pancorbo Hidalgo, Pedro Luís

2007-12-01

The aging process and environmental aggressions will leave their imprints on the state of a person's skin, possibly compromising some of its functions. Age is a risk factor for the development of bed sores, but not the only factor nor the most important one; therefore, we need to develop prevention programs directed to all patients who spend long periods of time sedentary or bedridden. Prevention programs for bed sores must be based on the best evidence available and include a risk evaluation on these factors: suffering a lesion due to pressure, specific skin treatment, incontinence control, excessive humidity posture changes and the use of special surfaces to manage pressure during an increase in mobility or activity by the patient, local pressure reducing devices as well as paying attention to special situations. All of these care measures have to be developed based on a continuity of treatment among the institutions and caretakers involved with treating each patient.

Procedure for seismic evaluation and design of small bore piping

International Nuclear Information System (INIS)

Bilanin, W.; Sills, S.

1991-01-01

Simplified methods for the seismic design of small bore piping in nuclear power plants have teen used for many years. Various number of designers have developed unique methods to treat the large number of class 2 and 3 small bore piping systems. This practice has led to a proliferation of methods which are not standardized in the industry. These methods are generally based on enveloping the results of rigorous dynamic or conservative static analysis and result in an excessive number of supports and unrealistically high support loadings. Experience and test data have become available which warranted taking another look at the present methods for analysis of small bore piping. A recently completed Electric Power Research Institute and NCIG (a utility group) activity developed a new procedure for the seismic design and evaluation of small bore piping which provides significant safety and cost benefits. The procedure streamlines the approach to inertial stresses, which is the main feature that achieves the new benefits. Criteria in the procedure for seismic anchor movement and support design are based analysis and focus the designer on credible failure mechanisms. A walkdown of the as-constructed piping system to identify and eliminate undesirable piping features such as adverse spatial interaction is required

How social media meet patients’ questions: YouTube™ review for mouth sores in children.

Science.gov (United States)

Di Stasio, D; Romano, A; Paparella, R S; Gentile, C; Serpico, R; Minervini, G; Candotto, V; Laino, L

2018-01-01

Recurrent aphthous stomatitis (RAS) is one of the most common causes of mouth sores in children so the management of this condition is a matter of great importance. YouTube™ is increasingly being used by patients to obtain health-related information. The aim of this work is to examine the quality of information offered by YouTube™ about mouth sores in children (MSC). Searching the term ‘mouth sores in children’, (MSC) displayed 12.300 results. Of the top 60 videos analyzed, 31 were excluded following exclusion criteria. The major source of upload was from healthcare information channels (HC-41,38%), followed by individual users (HP-25.59%), healthcare professionals (IU-17.24%) and generalist information channels (HC-13.78%); 20.69% of them deal with predisposing factors, and related pathologies, the majority of these propose home remedies (60.72%) rather than topical analgesic drugs (21.43%), antimicrobials (7.14%) and topical steroids (3.57). Most of the videos analyzed were slightly useful (68.97%). Information about mouth sores in children on YouTube™ was poor regardless of the upload source. Analyzing health content on social platforms is a starting point for providing greater quality of health-related information.

The posterior thigh flap for defect coverage of ischial pressure sores - a critical single-centre analysis.

Science.gov (United States)

Djedovic, Gabriel; Morandi, Evi M; Metzler, Julia; Wirthmann, Anna; Matiasek, Johannes; Bauer, Thomas; Rieger, Ulrich M

2017-12-01

The development of pressure sores is still not only an enormous economical but also a medical burden. Especially in the ischial region, the local defect coverage remains demanding as it is the main weight-bearing area in wheelchair-mobilised patients and is prone to high mobility. The purpose of our study was to report our long-time experience with the reconstruction of ischial pressure ulcers with the medially based posterior thigh flap. A retrospective analysis of all primary pressure sores grade III-IV in the ischial area, which were covered with a medially based posterior thigh flap between January 2008 and December 2014, at our department was conducted. A total of 28 patients underwent defect coverage of an ischial pressure sore with the aforementioned flap. The subgroup with complications showed a statistically significant longer hospital stay. A statistically significant correlation between age and the coincidence of comorbidities could be seen. Older patients showed significantly higher grades of pressure sores. The medially based posterior thigh flap is a safe and reliable flap design. Complication rates are comparable to other flaps. Nevertheless, in case of complications, a significantly longer duration of hospitalisation has to be taken into account. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Empyema and Effusion: Outcome of Image-Guided Small-Bore Catheter Drainage

International Nuclear Information System (INIS)

Keeling, A. N.; Leong, S.; Logan, P. M.; Lee, M. J.

2008-01-01

Empyema and complicated pleural effusion represent common medical problems. Current treatment options are multiple. The purpose of this study was to access the outcome of image-guided, small-bore catheter drainage of empyema and effusion. We evaluated 93 small-bore catheters in 82 patients with pleural effusion (n = 30) or empyema (n = 52), over a 2-year period. Image guidance was with ultrasound (US; n = 56) and CT (n = 37). All patients were followed clinically, with catheter dwell times, catheter outcome, pleural fluid outcome, reinsertion rates, and need for urokinase or surgery recorded. Ninety-three small-bore chest drains (mean=10.2 Fr; range, 8.2-12.2 Fr) were inserted, with an average dwell time of 7.81 days for empyemas and 7.14 days for effusions (p > 0.05). Elective removal rates (73% empyema vs 86% effusions) and dislodgement rates (12% empyema vs 13% effusions) were similar for both groups. Eight percent of catheters became blocked and 17% necessitated reinsertion in empyemas, with no catheters blocked or requiring reinsertion in effusions (p < 0.05). Thirty-two patients (51%) required urokinase in the empyema group, versus 2 patients (6%) in the effusion group (p < 0.05). All treatment failures, requiring surgery, occurred in the empyema group (19%; n = 12; p < 0.05). In conclusion, noninfected pleural collections are adequately treated with small-bore catheters, however, empyemas have a failure rate of 19%. The threshold for using urokinase and larger-bore catheters should be low in empyema

Parental contribution to over prescription of antibiotics for sore throat ...

African Journals Online (AJOL)

Introduction: Antibiotics are often prescribed by physicians for sore throat in children because of the danger of post streptococcal complications. The role of the parents in over prescription of antibiotics is less well known. Objective: To evaluate the knowledge, attitudes and practice of parents to antibiotic prescription for ...

Railgun bore material test results

International Nuclear Information System (INIS)

Wang, S.Y.; Burton, R.L.; Witherspoon, F.D.; Bloomberg, H.W.; Goldstein, S.A.; Tidman, D.A.; Winsor, N.K.

1987-01-01

GT-Devices, Inc. has constructed a material test facility (MTF) to study the fundamental heat transfer problem of both railgun and electrothermal guns, and to test candidate gun materials under real plasma conditions. The MTF electrothermally produces gigawatt-level plasmas with pulse lengths of 10-30 microseconds. Circular bore and non-circular bore test barrels have been successfully operated under a wide range of simulated heating environments for EM launchers. Diagnostics include piezoelectric MHz pressure probes, time-of-flight probes, and current and voltage probes. Ablation measurements are accomplished by weighing and optical inspection, including borescope, optical microscope, and scanning electron microscope (SEM). From these measurements the ablation threshold for both the rail and insulator materials can be determined as a function of plasma heating. The MTF diagnostics are supported by an unsteady 1-D model of MTF which uses the flux-corrected transport (FCT) algorithm to calculate the fluid equations in conservative form. A major advantage of the FCT algorithm is that it can model gas dynamic shock behaviour without the requirement of numerical diffusion. The principle use of the code is to predict the material surface temperature ΔT/α from the unsteady heat transfer q(t)

Clinical effects of Angelica dahurica dressing on patients with I-II phase pressure sores.

Science.gov (United States)

Gong, Fen; Niu, Junzhi; Pei, Xing

2016-11-02

Angelica dahurica is a well-known traditional Chinese Medicine (TCM), while little information is available about its effects on pressure sores. We aimed to investigate the clinical effect of Angelica dahurica on patients with I-II phase pressure sores, as well as the underlying mechanism. Patients (n = 98) with phase I and phase II pressure sores were enrolled and randomly assigned to control and treated groups. In addition to holistic nursing, patients in the control group received compound clotrimazole cream, while patients in the treated group received continuous 4 weeks of external application of Angelica dahurica dressing. Therapeutic effect was recorded, along with the levels of interleukin-8 (IL-8), epidermal growth factor (EGF), transforming growth factor (TGF)-β, and vascular endothelial growth factor (VEGF). Besides, HaCaT cells were cultured with different concentrations of Angelica dahurica, and then cell viability, clone formation numbers, cell cycle, and levels of cyclin D1 and cyclin-dependent kinase (CDK) 2 were determined. The total effective rate in the treated group was significantly higher than in the control group. Levels of IL-8, EGF, TGF-β, and VEGF were statistically increased by Angelica dahurica. In addition, the cell viability and clone formation numbers were significantly upregulated by Angelica dahurica in a dose-dependent manner. Also, the percentage of cells in G0/G1 phase, and levels of cyclin D1 and CDK2 were significantly elevated. Our results suggest that Angelica dahurica may provide an effective clinical treatment for I-II phase pressure sores.

30 CFR 18.22 - Boring-type machines equipped for auxiliary face ventilation.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Boring-type machines equipped for auxiliary..., DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES Construction and Design Requirements § 18.22 Boring-type machines equipped for...

Sore throat · vaginal discharge · labial ulcer · Dx?

Science.gov (United States)

Caravelli, Ashley; Bhatnagar, Rupal; Ashaye, Adelola

2016-06-01

The patient complained of worsening vaginal pain and increased vaginal discharge, but reported resolution of her back and chest pain. She also said that a week earlier, she'd had a fever that reached 104° F and a sore throat. She denied urinary frequency/urgency, sexual activity, or sexual abuse.

Efficacy of flurbiprofen 8.75 mg lozenge in patients with a swollen and inflamed sore throat.

Science.gov (United States)

Aspley, Sue; Shephard, Adrian; Schachtel, Emily; Sanner, Kathleen; Savino, Laurie; Schachtel, Bernard

2016-09-01

Sore throat is often over-treated with antibiotics, therefore there is a need for non-antibiotic treatments that provide effective relief. From the patient's point of view, symptoms of pharyngeal inflammation such as a "swollen" and "inflamed" throat are often considered the most bothersome; so, a non-steroidal anti-inflammatory drug could be an appropriate treatment. We investigated the efficacy and safety of flurbiprofen 8.75 mg lozenge in adults with a swollen and inflamed throat. We enrolled adults with moderate-to-severe sore throat and evidence of tonsillo-pharyngitis into a randomized, double-blind study. Patients received flurbiprofen 8.75 mg or placebo lozenges every 3-6 hours as needed (up to five lozenges in 24 hours) and rated their symptoms (sore throat pain, difficulty swallowing and the sensation of a swollen throat) on standard linear scales regularly over 24 hours. The efficacy of flurbiprofen lozenge was determined in patients reporting a swollen and inflamed throat at baseline, as well as those with relatively severe symptoms. ClinicalTrials.gov NCT01049334. The main outcome measures were the time-weighted summed differences in patient-reported sore throat pain, difficulty swallowing and swollen throat over 24 hours. Out of 204 patients, 124 (60.8%) described their throats as swollen and inflamed at baseline. Flurbiprofen lozenges provided greater relief than placebo over 24 hours: 79.8%, 99.6% and 69.3% (for sore throat pain, difficulty swallowing and swollen throat, respectively, all P ≤ 0.01). These outcomes were more substantial in patients with relatively severe symptoms. No serious or unexpected adverse events occurred. Flurbiprofen 8.75 mg lozenge appears to provide effective, well-tolerated relief of sore throat, difficulty swallowing and swollen throat in adults with a swollen and inflamed throat, as well as those with relatively severe symptoms. A limitation of these findings is that, while predetermined, these are

Flap surgery for pressure sores: should the underlying muscle be transferred or not?

Science.gov (United States)

Thiessen, Filip E; Andrades, Patricio; Blondeel, Philip N; Hamdi, Moustapha; Roche, Nathalie; Stillaert, Filip; Van Landuyt, Koenraad; Monstrey, Stan

2011-01-01

Musculocutaneous flaps have become the first choice in the surgical repair of pressure sores, but the indication for including muscle in the transferred flaps still remains poorly defined. This study compares outcomes after muscle and non-muscle flap coverage of pressure sores to investigate whether it is still necessary to incorporate muscle tissue as part of the surgical treatment of these ulcers. A retrospective revision of 94 consecutive patients with ischial or sacral pressure sores operated between 1996 and 2002 was performed. Depending on the inclusion of muscle into the flap, the patients were divided in two groups: musculocutaneous flap group and fasciocutaneous flap group. Charts were reviewed for patient characteristics, ulcer features and reconstructive information. Data between groups were compared with emphasis on early (haematoma or seroma, dehiscence, infections, necrosis and secondary procedures) and late (recurrence) postoperative complications. A total of 37 wounds were covered with muscle and 57 wounds covered without muscle tissue. The groups were comparable in relation to age, gender, ulcer characteristics and timing for surgery. There were no significant differences in early complications between the study groups. The mean follow-up period was 3.10 ± 1.8 years (range: 0.5 to 6.7). There were no statistical differences in ulcer recurrence between the groups. The type of flap used was not associated with postoperative morbidity or recurrence in the univariate and multivariate analyses. The findings of this clinical study indicate that the musculocutaneous flaps are as good as fasciocutaneous flaps in the reconstruction of pressure sores, and they question the long-standing dogma that muscle is needed in the repair of these ulcers. Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Resting energy expenditure and body composition in bedridden institutionalized elderly women with advanced-stage pressure sores.

Science.gov (United States)

Sergi, Giuseppe; Coin, Alessandra; Mulone, Silvana; Castegnaro, Eugenio; Giantin, Valter; Manzato, Enzo; Busetto, Luca; Inelmen, Emine Meral; Marin, Sara; Enzi, Giuliano

2007-03-01

Our study investigated nutritional status, body composition, and resting energy expenditure (REE) in elderly patients with advanced-stage pressure sores (PS), in addition to researching any hypermetabolic condition and its relationship with PS size. The study involved 52 institutionalized bedridden elderly women (aged 83.7 +/- 6.3 years), divided into two groups: 23 with advanced-stage (stage 3 and 4) PS and 29 without PS. Albumin, prealbumin, and retinol-binding protein were measured in all patients, and fat-free mass (FFM) and fat mass (FM) were obtained by dual-energy x-ray absorptiometry (DEXA). REE was measured by indirect calorimetry and predicted with the Harris-Benedict formula. PS area and volume were also measured. The elderly women with and without PS were comparable in age, FFM, and FM. Mean albumin, prealbumin, and retinol-binding protein values were lower in cases with PS. Unadjusted mean REE was significantly higher in patients with PS (1212.3 +/- 236.7 vs 1085.5 +/- 161.3 kcal/d; p 110% of the predicted REE, was seen in 74% of patients with PS and 38% of controls. The difference between measured and predicted REE (DeltaREE) correlated with PS volume (r = 0.58; p elderly women are associated with a hypermetabolic state that is influenced by the volume of the PS.

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.

Ten Years of bored tunnels in the Netherlands : Part I: Geotechnical issues

NARCIS (Netherlands)

Bakker, K.J.; Bezuijen, A.

2008-01-01

Ten years have passed since in 1997 for the first time construction of bored tunnels in the Netherlands soft soil was undertaken. Before that date essentially only immersed tunnels and cut-and-cover tunnels were constructed in the Netherlands. The first two bored tunnels were Pilot Projects, the 2nd

Tunnel Boring Machine Performance Study. Final Report

Science.gov (United States)

1984-06-01

Full face tunnel boring machine "TBM" performance during the excavation of 6 tunnels in sedimentary rock is considered in terms of utilization, penetration rates and cutter wear. The construction records are analyzed and the results are used to inves...

Efficacy of flurbiprofen 8.75 mg spray in patients with sore throat due to an upper respiratory tract infection: A randomised controlled trial.

Science.gov (United States)

de Looze, Ferdinandus; Russo, Marc; Bloch, Mark; Montgomery, Barney; Shephard, Adrian; Smith, Gary; Aspley, Sue

2016-06-01

Viral infections cause most cases of pharyngitis (sore throat); consequently, antibiotics are generally not warranted. However, a treatment targeting pain and inflammation, e.g. a topical non-steroidal anti-inflammatory spray, may be helpful for patients. To evaluate the efficacy and safety of flurbiprofen 8.75 mg spray. This randomised, double-blind, parallel group study was conducted at six community-based clinical research centres in Australia and two in New Zealand. Adults with sore throat due to upper respiratory tract infection (onset ≤ four days) took one dose of flurbiprofen (n = 249) or placebo spray (n = 256); after six hours, they could re-dose every three-six hours as required, for three days (max. five doses/day). The primary endpoint was the area under the change from baseline curve in throat soreness from zero-two hours (AUC0-2h). The change from baseline in other sore throat symptoms also assessed efficacy. The mean AUC0-2h for throat soreness was significantly greater with flurbiprofen spray (-1.82; 95% CI: -1.98 to 1.65) compared with placebo (-1.13; 95% CI: -1.27 to 0.99) (P flurbiprofen spray compared with placebo from the first time-points assessed (five minutes for throat soreness/difficulty swallowing, 20 minutes for sore throat pain intensity and 30 minutes for swollen throat) for up to six hours (P Flurbiprofen spray provides rapid and long-lasting relief from sore throat symptoms, and is well-tolerated over three days.

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)

Karabalaeifar Sara

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.

Analysis on pile testing results of post-grouting bored pile

Science.gov (United States)

Zheng, A. R.

2017-04-01

Based on static load test results, the bearing capacity of bored piles with pile-toe and pile-shaft post-grouting has been analyzed. The analysis reveals that: with post-grouting, the interface between pile and surrounding soil are strengthened and the relative sliding displacement in between is reduced; end resistance of pile is enhanced and can be mobilized at earlier stage with smaller sliding displacement. As a result, the performance of bored pile is improved with increased bearing capacity and reduced settlement.

Therapeutic Effect of External Application of Ligustrazine Combined with Holistic Nursing on Pressure Sores.

Science.gov (United States)

Niu, Junzhi; Han, Lin; Gong, Fen

2016-08-15

BACKGROUND This study aimed to explore the therapeutic effect of external application of ligustrazine combined with holistic nursing on pressure sores, as well as the underlying mechanism. MATERIAL AND METHODS From February 2014 to March 2015, a total of 32 patients with Phase II and Phase III pressure sores were enrolled and randomly assigned to an experimental group or a control group. The clinical data were comparable between the 2 groups. In addition to holistic nursing, the patients in the experimental group received 4 weeks of continuous external application of ligustrazine, whereas patients in the control group received compound clotrimazole cream. Therapeutic effect and healing time were recorded. HaCaT cells were used as an in vitro model for mechanism analysis of the effect of ligustrazine in treating pressure sores. After culturing with different concentrations of ligustrazine or the inhibitor of AKT (LY294002) for 72 h, cell viability, clone formation numbers, and levels of phosphatidyl inositol 3-kinase (PI3K), p-AKT, and p-mammalian target of rapamycin (mTOR) were determined. RESULTS Compared to the control group, the total effective rate in the experimental group was significantly higher, and the healing time was significantly reduced. Cell viability and clone formation numbers were significantly upregulated by ligustrazine in a dose-dependent manner. Both the cell viability and clone formation numbers were significantly inhibited by application of LY294002. CONCLUSIONS Our results suggest that ligustrazine combined with holistic nursing is an effective treatment of pressure sores. The protective effect may be associated with the promotion of cell growth by activation of the PI3K/AKT pathway.

A Computer-Controlled Laser Bore Scanner

Science.gov (United States)

Cheng, Charles C.

1980-08-01

This paper describes the design and engineering of a laser scanning system for production applications. The laser scanning techniques, the timing control, the logic design of the pattern recognition subsystem, the digital computer servo control for the loading and un-loading of parts, and the laser probe rotation and its synchronization will be discussed. The laser inspection machine is designed to automatically inspect the surface of precision-bored holes, such as those in automobile master cylinders, without contacting the machined surface. Although the controls are relatively sophisticated, operation of the laser inspection machine is simple. A laser light beam from a commercially available gas laser, directed through a probe, scans the entire surface of the bore. Reflected light, picked up through optics by photoelectric sensors, generates signals that are fed to a mini-computer for processing. A pattern recognition techniques program in the computer determines acceptance or rejection of the part being inspected. The system's acceptance specifications are adjustable and are set to the user's established tolerances. However, the computer-controlled laser system is capable of defining from 10 to 75 rms surface finish, and voids or flaws from 0.0005 to 0.020 inch. Following the successful demonstration with an engineering prototype, the described laser machine has proved its capability to consistently ensure high-quality master brake cylinders. It thus provides a safety improvement for the automotive braking system. Flawless, smooth cylinder bores eliminate premature wearing of the rubber seals, resulting in a longer-lasting master brake cylinder and a safer and more reliable automobile. The results obtained from use of this system, which has been in operation about a year for replacement of a tedious, manual operation on one of the high-volume lines at the Bendix Hydraulics Division, have been very satisfactory.

Pressure sores in spinal cord injury: Active intervention saves costs

African Journals Online (AJOL)

2008-07-22

Jul 22, 2008 ... interrogated for all cervical spine injuries. Patients were identified retrospectively for the period April 2003 to May 2006 and divided into 4 groups according to the level of intervention they received to prevent pressure sores. Group A. These were the first 100 patients with cervical injuries managed in the unit ...

Flurbiprofen 8.75 mg lozenges for treating sore throat symptoms: a randomized, double-blind, placebo-controlled study.

Science.gov (United States)

Schachtel, Bernard P; Shephard, Adrian; Shea, Timothy; Sanner, Kathleen; Savino, Laurie; Rezuke, Jeanne; Schachtel, Emily; Aspley, Sue

2016-11-01

This study assessed multiple doses of flurbiprofen 8.75 mg lozenges for the relief of three prominent symptoms of acute pharyngitis: pain intensity (primary end point), difficulty swallowing and swollen throat. A total of 204 patients (102 in each group) with confirmed pharyngitis (onset ≤4 days) were randomly assigned to take up to five flurbiprofen or placebo lozenges every 3-6 h, for 7 days. Using validated rating scales (sore throat pain intensity, difficulty swallowing and swollen throat) patients rated their symptoms for the duration of the study. Over the first 24 h, patients treated with flurbiprofen lozenges reported significantly greater reductions in sore throat pain (47%) as well as difficulty swallowing (66%) and swollen throat (40%) compared with placebo (all p flurbiprofen lozenges provide effective relief of sore throat pain intensity as well as difficulty swallowing and swollen throat.

The operative treatment of pressure sores in the pelvic region: A 10-year period overview.

Science.gov (United States)

Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B; Varga, Zsombor Z; Pesthy, Pál Cs

2015-07-01

Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.

Watermelon juice: potential functional drink for sore muscle relief in athletes.

Science.gov (United States)

Tarazona-Díaz, Martha P; Alacid, Fernando; Carrasco, María; Martínez, Ignacio; Aguayo, Encarna

2013-08-07

l-Citrulline is an excellent candidate to reduce muscle soreness, and watermelon is a fruit rich in this amino acid. This study investigated the potential of watermelon juice as a functional drink for athletes. An in vitro study of intestinal absorption of l-citrulline in Caco-2 cells was performed using unpasteurized (NW), pasteurized (80 °C for 40 s) watermelon juice (PW) and, as control, a standard of l-citrulline. l-citrulline bioavailability was greater when it was contained in a matrix of watermelon and when no heat treatment was applied. In the in vivo experiment (maximum effort test in a cycloergometer), seven athletes were supplied with 500 mL of natural watermelon juice (1.17 g of l-citrulline), enriched watermelon juice (4.83 g of l-citrulline plus 1.17 g from watermelon), and placebo. Both watermelon juices helped to reduce the recovery heart rate and muscle soreness after 24 h.

Comparative study of patients suffering sore throat after general anesthesia using laryngeal mask airway and cuffed pharyngeal tube in adults

Directory of Open Access Journals (Sweden)

Hassani V

2001-09-01

Full Text Available Post-operative sore throat is one of the most common complications and complaints of patients after general anesthesia especially in operations that need endotracheal intubations. Its causes are: size of endotracheal tube and type of its cuff, inadequate airway humidification, trauma during intubation and suctioning, high flow of inspiratory gases, surgical manipulation of airway and adjacent organs, ect. Use of instruments with less invasion to upper respiratory tract, for example, face mask and airway, LMA or CPT are methods, used for decreasing the rate of post-operative sore throat. This study was performed to compare the rate of sore throat after general anesthesia between Laryngeal Mask Airway (LMA and Cuffed Pharyngeal Tube (CPT. From the patients, 120 ASA: PS-I cases, were selected, who were candidates for elective surgery of Orthopedics, Urology, General surgery and Gynecology in Hazrat Rasool-Akram Hospital Complex in the year 2000. Their operation were performed in supine position and did not need muscle relaxation and the patients had spontaneous breathing. Duration of surgery was less than 2 hours. The patients were randomly allocated into two groups: LMA was used for one group and CPT for others. Immediately after operation, in the recovery room and at 6, 12, 18 and 24 hours after removing the tube, the patients were asked about sore throat and the results were recorded in the related sheets. The results was 31.7 percent of patients in group LMA and 0 percent of patients in group CPT, had sore throat. There were significant difference between groups (LMA and CPT in presentation of sore throat (P<0.001.

Grinding tool for making hemispherical bores in hard materials

Science.gov (United States)

Duran, E.L.

1985-04-03

A grinding tool for forming hemispherical bores in hard materials such as boron carbide. The tool comprises a hemicircular grinding bit, formed of a metal bond diamond matrix, which is mounted transversely on one end of a tubular tool shaft. The bit includes a spherically curved outer edge surface which is the active grinding surface of the tool. Two coolant fluid ports on opposite sides of the bit enable introduction of coolant fluid through the bore of the tool shaft so as to be emitted adjacent the opposite sides of the grinding bit, thereby providing optimum cooling of both the workpiece and the bit.

Soreness during non-music activities is associated with playing-related musculoskeletal problems: an observational study of 731 child and adolescent instrumentalists

Directory of Open Access Journals (Sweden)

Sonia Ranelli

2014-06-01

Full Text Available Question: Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Design: Observational study using a questionnaire and physical measures. Participants: 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Results: Of the 731 respondents who completed the questionnaire adequately, 412 (56% experienced instrument-playing problems; 219 (30% had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%, vigorous physical activity (57%, writing (51% and computer use (45%. Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5 for watching television to 2.08 (95% CI 0.5 to 3.3 for intensive hand activities. Four hundred and seventy eight (65% children reported soreness related to non-music activities, such as vigorous physical activity (52%, writing (40%, computer use (28%, intensive hand activities (22%, electronic game use (17% and watching television (15%. Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9 for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1 for soreness during intensive hand activities. Conclusion: Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent

Cutting tool for removing materials from well bore

International Nuclear Information System (INIS)

Lynde, G.D.; Harvey, H.H. Jr.

1991-01-01

This patent describes a cutting tool adapted to be positioned downhole in a well bore for removing a metal member from the well bore; a tool body adapted to be received within said well bore and to be supported at its upper end for rotation about a longitudinal axis; blades at spaced intervals on the body and extending outwardly therefrom, each of the blades having a base with a leading surface relative to the direction of rotation; closely spaced cutting elements of hard cutting material secured to said leading surface of the base in a plurality of transversely extending rows, each cutting element being of a predetermined size and shape and arranged in a predetermined generally symmetrical pattern on the base relative to the other elements, each of said cutting elements having an exposed from cutting face forming a cutting surface, a rear face secured to the leading surface of said base, a peripheral surface extending between said faces, and a relatively sharp edge formed at the juncture of the front face and peripheral surface; the front cutting face of each cutting element being arranged and constructed for directing an extending end portion of a turning cut form said member to effect a breaking of said turning from the member being cut in a predetermined manner to minimize interesting of the turning

Reducing risk of pressure sores: effects of watch prompts and alarm avoidance on wheelchair push-ups.

Science.gov (United States)

White, G W; Mathews, R M; Fawcett, S B

1989-01-01

People who use wheelchairs are at risk for developing pressure sores. Regular pressure relief, in the form of a wheelchair push-up, is one way to reduce the likelihood of pressure sores. We examined the effects of antecedent (i.e., instructions, audible prompts) and consequent (i.e., alarm avoidance) events on wheelchair push-ups, using a multiple baseline analysis with 2 participants with spina bifida. Results suggest that the combined procedure was more effective than either antecedent or consequent events alone, and there is some evidence suggesting maintenance of effects over time. PMID:2793635

[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.

Soreness during non-music activities is associated with playing-related musculoskeletal problems: an observational study of 731 child and adolescent instrumentalists.

Science.gov (United States)

Ranelli, Sonia; Straker, Leon; Smith, Anne

2014-06-01

Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Observational study using a questionnaire and physical measures. 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Of the 731 respondents who completed the questionnaire adequately, 412 (56%) experienced instrument-playing problems; 219 (30%) had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%), vigorous physical activity (57%), writing (51%) and computer use (45%). Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5) for watching television to 2.08 (95% CI 0.5 to 3.3) for intensive hand activities. Four hundred and seventy eight (65%) children reported soreness related to non-music activities, such as vigorous physical activity (52%), writing (40%), computer use (28%), intensive hand activities (22%), electronic game use (17%) and watching television (15%). Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9) for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1) for soreness during intensive hand activities. Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent population, as well as music-specific risk factors. This is an

Simulation of bearing capacity of bored piles

Directory of Open Access Journals (Sweden)

Majeed Ahmed

2018-01-01

Full Text Available This study focuses on how one can possibly predict the ultimate load for the piles that did not reach failure. This challenge was acquired through Chin- Konder method by which, the estimated settlement that correspond to failure load is well defined. Hence, this research aims to make a comparative study between the results of pile load tests carried out in Al-Basrah sewage treatment plant project, and those results induced from the numerical analysis in term of ultimate pile capacity. Consequently, it may give a clear idea on the ability of numerical simulation in getting close to the actual behavior of piles. In the current study, a numerical study using Plaxis 3D Foundation program has been performed on bored piles by the assistance of site investigations of soil. Mohr- Coulomb and linear elastic models were adopted in the simulation for soil and pile respectively. Ten bored piles were used in this analysis under different values of loading. The diameter and length of pile are 0.6m and 24m respectively. The test results indicate that, an excellent agreement has been found as a response of pile capacity between the field and numerical studies. Also, ideal load- settlement curves were created using Chin- Konder method to predict the failure load of bored piles. Also, the results have demonstrated that, the pile capacity obtained from the simulation process is larger about 51% than that design load estimated before the design of piles. This may present a priority to use the finite element method to be accounted as an effective approach in the primary analysis.

Profunda Femoris Artery Perforator Propeller Flap: A Valid Method to Cover Complicated Ischiatic Pressure Sores.

Science.gov (United States)

Scalise, Alessandro; Tartaglione, Caterina; Bolletta, Elisa; Pierangeli, Marina; Di Benedetto, Giovanni

2015-08-01

We report the case of a 50-year-old paraplegic man with a complicated grade III/IV ischiatic pressure sore treated with a propeller flap based on the first perforator of the profunda femoris artery. Our aim was to surgically reconstruct an ischiatic pressure sore in a patient with ankylosis using a fasciocutaneous perforator propeller flap obtained from the posterior region of the thigh. Our decision to perform a profunda femoris artery perforator propeller flap reconstruction was mainly due to the anatomical contiguity of the flap with the site of the lesion and the good quality of the skin harvested from the posterior region of the thigh. The use of the perforator fasciocutaneous flap represents a muscle-sparing technique, providing a better long-term result in surgical reconstruction. The choice of the 180-degree propeller flap was due to its ability to provide a good repair of the pressure ulcer and to pass over the ischiatic prominence in the patient in the forced decubitus position. The operatory course did not present any kind of complication. Using this reconstructive treatment, we have obtained complete coverage of the ischiatic pressure sore.

In-bore setup and software for 3T MRI-guided transperineal prostate biopsy

International Nuclear Information System (INIS)

Tokuda, Junichi; Tuncali, Kemal; Song, Sang-Eun; Fedorov, Andriy; Oguro, Sota; Fennessy, Fiona M; Tempany, Clare M; Hata, Nobuhiko; Iordachita, Iulian; Lasso, Andras

2012-01-01

MRI-guided prostate biopsy in conventional closed-bore scanners requires transferring the patient outside the bore during needle insertion due to the constrained in-bore space, causing a safety hazard and limiting image feedback. To address this issue, we present our custom-made in-bore setup and software to support MRI-guided transperineal prostate biopsy in a wide-bore 3 T MRI scanner. The setup consists of a specially designed tabletop and a needle-guiding template with a Z-frame that gives a physician access to the perineum of the patient at the imaging position and allows the physician to perform MRI-guided transperineal biopsy without moving the patient out of the scanner. The software and Z-frame allow registration of the template, target planning and biopsy guidance. Initially, we performed phantom experiments to assess the accuracy of template registration and needle placement in a controlled environment. Subsequently, we embarked on our clinical trial (N = 10). The phantom experiments showed that the translational errors of the template registration along the right–left (RP) and anterior–posterior (AP) axes were 1.1 ± 0.8 and 1.4 ± 1.1 mm, respectively, while the rotational errors around the RL, AP and superior–inferior axes were (0.8 ± 1.0)°, (1.7 ± 1.6)° and (0.0 ± 0.0)°, respectively. The 2D root-mean-square (RMS) needle-placement error was 3 mm. The clinical biopsy procedures were safely carried out in all ten clinical cases with a needle-placement error of 5.4 mm (2D RMS). In conclusion, transperineal prostate biopsy in a wide-bore 3T scanner is feasible using our custom-made tabletop setup and software, which supports manual needle placement without moving the patient out of the magnet. (paper)

Evaluation of an advanced rotor bore examination system

International Nuclear Information System (INIS)

Alford, J.W.

1990-01-01

Evaluations of in-service turbine-generator rotor forgings are often based on an ultrasonic examination of the near-bore region. A portable rotor bore examination system has been developed that provides discontinuity characterization required for a thorough rotor evaluation. This automated system, its procedures and operations personnel have now been qualified for full-scale field application. System development has benefited from merging several technologies with new methods for precise alignment of the drive unit, calibration block and rotor. The system runs a custom interactive software package that allows for flexible calibration and motion control as well as data acquisition and manipulation. A comprehensive evaluation procedure was developed for system qualification using test specimens with natural and artificial reflectors, including a unique fatigue-crack block. Following a discussion of the system features, this paper discusses the system evaluation based on this procedure

Large Bore Powder Gun Qualification (U)

Energy Technology Data Exchange (ETDEWEB)

Rabern, Donald A. [Los Alamos National Laboratory; Valdiviez, Robert [Los Alamos National Laboratory

2012-04-02

A Large Bore Powder Gun (LBPG) is being designed to enable experimentalists to characterize material behavior outside the capabilities of the NNSS JASPER and LANL TA-55 PF-4 guns. The combination of these three guns will create a capability to conduct impact experiments over a wide range of pressures and shock profiles. The Large Bore Powder Gun will be fielded at the Nevada National Security Site (NNSS) U1a Complex. The Complex is nearly 1000 ft below ground with dedicated drifts for testing, instrumentation, and post-shot entombment. To ensure the reliability, safety, and performance of the LBPG, a qualification plan has been established and documented here. Requirements for the LBPG have been established and documented in WE-14-TR-0065 U A, Large Bore Powder Gun Customer Requirements. The document includes the requirements for the physics experiments, the gun and confinement systems, and operations at NNSS. A detailed description of the requirements is established in that document and is referred to and quoted throughout this document. Two Gun and Confinement Systems will be fielded. The Prototype Gun will be used primarily to characterize the gun and confinement performance and be the primary platform for qualification actions. This gun will also be used to investigate and qualify target and diagnostic modifications through the life of the program (U1a.104 Drift). An identical gun, the Physics Gun, will be fielded for confirmatory and Pu experiments (U1a.102D Drift). Both guns will be qualified for operation. The Gun and Confinement System design will be qualified through analysis, inspection, and testing using the Prototype Gun for the majority of process. The Physics Gun will be qualified through inspection and a limited number of qualification tests to ensure performance and behavior equivalent to the Prototype gun. Figure 1.1 shows the partial configuration of U1a and the locations of the Prototype and Physics Gun/Confinement Systems.

Simulation of Single Reed Instruments Oscillations Based on Modal Decomposition of Bore and Reed Dynamics

OpenAIRE

Silva, Fabrice; Debut, Vincent; Kergomard, Jean; Vergez, Christophe; Deblevid, Aude; Guillemain, Philippe

2007-01-01

This paper investigates the sound production in a system made of a bore coupled with a reed valve. Extending previous work (Debut, 2004), the input impedance of the bore is projected on the modes of the air column. The acoustic pressure is therefore calculated as the sum of modal components. The airrrflow blown into the bore is modulated by reed motion, assuming the reed to be a single degree of freedom oscillator. Calculation of self-sustained oscillations controlled by time-varyi...

Large-bore pipe decontamination

International Nuclear Information System (INIS)

Ebadian, M.A.

1998-01-01

The decontamination and decommissioning (D and D) of 1200 buildings within the US Department of Energy-Office of Environmental Management (DOE-EM) Complex will require the disposition of miles of pipe. The disposition of large-bore pipe, in particular, presents difficulties in the area of decontamination and characterization. The pipe is potentially contaminated internally as well as externally. This situation requires a system capable of decontaminating and characterizing both the inside and outside of the pipe. Current decontamination and characterization systems are not designed for application to this geometry, making the direct disposal of piping systems necessary in many cases. The pipe often creates voids in the disposal cell, which requires the pipe to be cut in half or filled with a grout material. These methods are labor intensive and costly to perform on large volumes of pipe. Direct disposal does not take advantage of recycling, which could provide monetary dividends. To facilitate the decontamination and characterization of large-bore piping and thereby reduce the volume of piping required for disposal, a detailed analysis will be conducted to document the pipe remediation problem set; determine potential technologies to solve this remediation problem set; design and laboratory test potential decontamination and characterization technologies; fabricate a prototype system; provide a cost-benefit analysis of the proposed system; and transfer the technology to industry. This report summarizes the activities performed during fiscal year 1997 and describes the planned activities for fiscal year 1998. Accomplishments for FY97 include the development of the applicable and relevant and appropriate regulations, the screening of decontamination and characterization technologies, and the selection and initial design of the decontamination system

Diabetes: Good Diabetes Management and Regular Foot Care Help Prevent Severe Foot Sores

Science.gov (United States)

Amputation and diabetes: How to protect your feet Good diabetes management and regular foot care help prevent severe foot sores that ... and may require amputation. By Mayo Clinic Staff Diabetes complications can include nerve damage and poor blood ...

Seismic response and damping tests of small bore LMFBR piping and supports

International Nuclear Information System (INIS)

Barta, D.A.; Anderson, M.J.; Severud, L.K.; Lindquist, M.R.

1984-01-01

Seismic testing and analysis of a prototypical Liquid Metal Fast Breeder Reactor (LMFBR) small bore piping system is described. Measured responses to simulated seismic excitations are compared with analytical predictions based on NRC Regulatory Guide 1.61 and measured system damping values. The test specimen was representative of a typical LMFBR insulated small bore piping system, and it was supported from a rigid test frame by prototypic dead weight supports, mechanical snubbers and pipe clamps

Looking ahead of a tunnel boring machine with 2-D SH full waveform inversion

NARCIS (Netherlands)

Pisupati, P.B.; Mulder, W.A.; Drijkoningen, G.G.; Reijnen, R.

2015-01-01

In the near-surface with unconsolidated soils, shear properties can be well imaged, sometimes better than P-wave properties. To facilitate ground prediction ahead of a tunnel boring machine (TBM), active ‘surveys’ with shear-wave vibrators are carried out during boring. In such surveys, only a few

Boring sponges (Porifera, Clionidae) collected during the "Tydeman" Canary Islands expedition Cancap-II, 1977

NARCIS (Netherlands)

Groot, de R.A.

1980-01-01

INTRODUCTION AND MATERIAL The boring sponges of the Canary Islands have never been studied in any detail, but the boring fauna of this archipelago cannot be expected to be very rich. All islands are volcanic and calcareous rocks are not common. Consequently, in most areas large shells and rhodophyte

The Use of Magnetic Resonance Imaging in Planning a Pedicled Perforator Flap for Pressure Sores in the Gluteal Region.

Science.gov (United States)

Park, Sun-June; Lee, Kyeong-Tae; Jeon, Byung-Joon; Woo, Kyong-Je

2018-04-01

Pedicled perforator flaps (PPFs) have been widely used to treat pressure sores in the gluteal region. Selection of a reliable perforator is crucial for successful surgical treatment of pressure sores using PPFs. In this study, we evaluate the role of magnetic resonance imaging (MRI) in planning PPF reconstruction of pressure sores in the gluteal region. A retrospective chart review was performed in patients who had undergone these PPF reconstructions and who had received preoperative MRI. Preoperatively, the extent of infection and necrotic tissue was evaluated using MRI, and a reliable perforator was identified, considering the perforator location in relation to the defect, perforator size, and perforator courses. Intraoperatively, the targeted perforator was marked on the skin at the locations measured on the MRI images, and the marked location was confirmed using intraoperative handheld Doppler. Superior gluteal artery, inferior gluteal artery, or parasacral perforators were used for the PPFs. Surgical outcomes were evaluated. A total of 12 PPFs were performed in 12 patients. Superior gluteal artery perforator flaps were performed in 7 patients, inferior gluteal artery perforator flaps were performed in 3 patients, and parasacral perforator flaps were performed in 2 patients. We could identify a reliable perforator on MRI, and it was found at the predicted locations in all cases. There was only one case of partial flap necrosis. There was no recurrence of the pressure sores during the mean follow-up period of 6.7 months (range = 3-15 months). In selected patients with gluteal pressure sores, MRI is a suitable means for not only providing information about disease extent and comorbidities but also for evaluating perforators for PPF reconstructions.

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

African Journals Online (AJOL)

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

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

[Topic efficacy of ialuronic acid associated with argentic sulphadiazine (Connettivina Plus) in the treatment of pressure sores: a prospective observational cohort study].

Science.gov (United States)

Paghetti, Angela; Bellingeri, Andrea; Pomponio, Giovanni; Sansoni, Julita; Paladino, Dario

2009-01-01

The aim of this observational study was to evaluate the efficacy, tolerability and methods of application of ialuronic acid associated with argentic sulphadiazine (Connettivina Plus) in routine clinical activity, on a target of "complex" patients with pressure sores, for the most realistic assessment possible. The study comprised 127 patients hospitalized between January 2006 and December 2007, who received ialuronic acid associated with argentic sulphadiazine in addition to the standard treatment. Inclusion criteria were th presence of at least one stage 2 or 3 pressure sore (NPUAP '89 classification), pressure sore that the researcher had already decided to treat using ialuronic acid associated with argentic sulphadiazine , according to hospital protocol, area of the lesion less than 25cm2, patient age 18 years or more, informed patient consensus. Patients with these characteristics were , however, excluded if they did not provide written consent or if they had one of the following: presence of pressure sores with escara, concomitant neoplastic disease, concomitant insulin-dependent diabetes or other pathologies that interfere with skin regeneration, allergic diasthesis (acclaimed or presumed) to ialuronic acid - argentic sulphadiazine, inability / refusal to undergo all the subsequent controls required by the study. Improvement or complete healing of the pressure sores was observed in 67% of patients at early follow-up (10 days), increasing to 76% and 87% at 20 and 35 day controls respectively. The Push tool further improved in patients who carried on treatment. Use of ialuronic acid associated with argentic sulphadiazine was effective for treating grade 2-3 pressure sores in patients with chronic lesions and its efficacy was confirmed in association with both advanced and traditional types of medication.

Bore erosion due to plasma armatures in EM launchers

International Nuclear Information System (INIS)

Askew, R.F.; Brown, J.L.; Jensen, D.B.

1987-01-01

Bore erosion, both to insulators and rails, has been a major concern in the EM Launcher community. Plasma armatures have generally produced both melting and ablation from the rails, with the result that the surface texture of the rails is course and uneven upon resolidification. Ablation evidence for insulators varies with material but mass lose by decomposition appears prevalent. Theoretical models for EML performance, both one and two dimensional, have a strong dependence on armature mass, which is turn is influenced by rail and insulator ablation. Ablation models are strongly dependent on the armature plasma temperature. In order to test the accuracy of models detailed information is needed on the time dependence of the in-bore plasma parameters such as pressure, temperature, and electron density. Previously reported experimental data indicated that mechanisms other than plasma radiation are involved in the ablation process. New experiments have been conducted using a small, square bore (1 cm) facility, 60 cm in length, to quantify the erosions and to relate this to conditions within the armature and possible plasma chemistry processes at the rails and insulators. Mass loss has been measured as a function of position on both the rails and insulators. These have been correlated with the time history of the gas dynamic pressure at that location. In addition, the armature current time history has been correlated with the pressure

Environmental impact of a flocculant used to enhance solids transport during well bore clean-up operations

International Nuclear Information System (INIS)

Yunus, M.N.M.; Procyk, A.D.; Malbrel, C.A.; Ling, K.L.C.

1995-01-01

This paper investigates particle flocculation as a mechanism to remove residual contaminants in well bores during completion operations. Laboratory tests and field trials were conducted demonstrating the ability of flocculating polymer sweeps to improve well bore cleaning efficiency. This process reduces the volume of fluid accumulated in the well bore that is discharged to the environment and minimizes the risk of formation damage by residuals left in the well bore. In addition, a comprehensive environmental impact study was performed on the flocculating polymers which included 72 hrs-EC50, 48 hrs-LC50, 10 day- LC50 tests on a variety of marine organisms, and bioaccumulation and biodegradability tests. In all cases, the flocculating polymers were shown to be environmentally safe at the recommended concentrations

An Intelligent FPGA Based Anti-Sweating System for Bed Sore Prevention in a Clinical Environment

Directory of Open Access Journals (Sweden)

K. S. Jaichandar

2011-01-01

Full Text Available Bed sores, a common problem among immobile patients occur as a result of continuous sweating due to increase in skin to bed surface temperature in patients lying on same posture for prolonged period. If left untreated, the skin can break open and become infected. Currently adopted methods for bed sores prevention include: use of two hourly flip chat for repositioning patient or use of air fluidized beds. However, the setbacks of these preventive measures include either use of costly equipment or wastage of human resources. This paper introduces an intelligent low cost FPGA based anti-sweating system for bed sores prevention in a clinical environment. The developed system consists of bed surface implanted temperature sensors interfaced with an FPGA chip for sensing the temperature change in patient’s skin to bed surface. Based on the temperature change, the FPGA chip select the - mode (heater/cooler and speed of the fan module. Furthermore, an alarm module was implemented to alert the nurse to reposition the patient only if patient’s skin to bed surface temperature exceeds a predefined threshold thereby saving human resources. By integrating the whole system into a single FPGA chip, we were able to build a low cost compact system without sacrificing processing power and flexibility.

The Pacman Perforator-Based V-Y Advancement Flap for Reconstruction of Pressure Sores at Different Locations.

Science.gov (United States)

Bonomi, Stefano; Salval, André; Brenta, Federica; Rapisarda, Vincenzo; Settembrini, Fernanda

2016-09-01

Many procedures have been proposed for the treatment of pressure sores, and V-Y advancement flaps are widely used to repair a defect. Unfortunately, the degree of mobility of a V-Y advancement flap is dependent on the laxity of the underlying subcutaneous tissue. This is an important disadvantage of traditional V-Y advancement flap and limits its use.We used V-Y advancement flaps as perforator-based to overcome mobility restriction problem, with a further modification (Pacman-like shape) to improve the covering surface area of the flap. Between January 2012 and December 2014, the authors used 37 V-Y Pacman perforator-based flaps in 33 consecutive patients for coverage of defects located at sacral (n = 21), ischial (n = 13), trochanter (n = 1) regions. There were 27 male and 6 female patients with a mean age of 49.9 years (range, 15-74 years). All flaps survived completely (92.3%) except 3 in which one of them had undergone total necrosis due to hematoma and the other 2 had partial necrosis. No venous congestion was observed. The mean follow-up period was 14.9 months (range, 2-38 months). No flap surgery-related mortality or recurrence of pressure sores was noted. The V-Y Pacman perforator-based advancement flaps are safe and very effective for reconstruction of pressure sores at various regions. The advantage of our modification procedure include shorter operative time, lesser pedicle dissection, low donor site morbidity, good preservation of muscle, and offers remarkable excursion to the V-Y flap, which make the V-Y Pacman perforator-based flaps an excellent choice for large pressure sore coverage.

Development of a screening procedure for vibrational fatigue in small bore piping

International Nuclear Information System (INIS)

Smith, J.K.; Riccardella, P.C.; Gosselin, S.R.

1995-01-01

Approximately 80% of the documented fatigue failures in nuclear power plants are caused by high cycle vibrational fatigue. These failures typically occur in socket welded pipe fittings in small bore piping (2 in. nominal diameter and smaller). These failures have been unexpected, and have caused costly, unscheduled outages in some cases. In order to reduce the number of vibrational fatigue failures in operating nuclear power plants, a vibrational fatigue screening procedure has been developed under Electric Power Research Institute (EPRI) sponsorship. The purpose of this paper is to describe this procedure, and to discuss topics related to vibrational fatigue failures. These topics include sources of vibration in nuclear power plants, the effect of socket welds on vibrational fatigue failures, vibrational fatigue screening criteria for small bore piping systems, and good design practices for reducing the number of vibrational fatigue failures in small bore piping

Straddle packer system design and operation for vertical characterization of open bore holes

International Nuclear Information System (INIS)

Olsen, J.K.

1994-01-01

Bore holes open to large intervals provide groundwater samples and test results which represent an unknown integration of properties throughout the depth of the hole. The State of Idaho's INEL Oversight Program is utilizing a custom straddle-packer system to develop a vertical characterization of water chemistry and hydrology in selected open bore holes at the Idaho National Engineering Laboratory. This report describes the design and operation for bore hole zone isolation, water sampling, and hydrologic testing. To reduce potential influences on in situ water chemistry, the system utilizes chemically inert components to the extent possible. Straddle packer systems are effective in producing representative water samples from isolated formations. Hydrologic testing is limited by the ability to produce a measurable stress on the aquifer in individual formations, and head measurement sensitivity. 4 figs

Incident wave, infragravity wave, and non-linear low-frequency bore evolution across fringing coral reefs

Science.gov (United States)

Storlazzi, C. D.; Griffioen, D.; Cheriton, O. M.

2016-12-01

Coral reefs have been shown to significantly attenuate incident wave energy and thus provide protection for 100s of millions of people globally. To better constrain wave dynamics and wave-driven water levels over fringing coral reefs, a 4-month deployment of wave and tide gauges was conducted across two shore-normal transects on Roi-Namur Island and two transects on Kwajalein Island in the Republic of the Marshall Islands. At all locations, although incident wave (periods 250 s) heights on the outer reef flat just inshore of the zone of wave breaking, the infragravity wave heights generally equaled the incident wave heights by the middle of the reef flat and exceeded the incident wave heights on the inner reef flat by the shoreline. The infragravity waves generally were asymmetric, positively skewed, bore-like forms with incident-band waves riding the infragravity wave crest at the head of the bore; these wave packets have similar structure to high-frequency internal waves on an internal wave bore. Bore height was shown to scale with water depth, offshore wave height, and offshore wave period. For a given tidal elevation, with increasing offshore wave heights, such bores occurred more frequently on the middle reef flat, whereas they occurred less frequently on the inner reef flat. Skewed, asymmetric waves are known to drive large gradients in velocity and shear stress that can transport material onshore. Thus, a better understanding of these low-frequency, energetic bores on reef flats is critical to forecasting how coral reef-lined coasts may respond to sea-level rise and climate change.

Analytical and Numerical Modeling of Tsunami Wave Propagation for double layer state in Bore

Science.gov (United States)

Yuvaraj, V.; Rajasekaran, S.; Nagarajan, D.

2018-04-01

Tsunami wave enters into the river bore in the landslide. Tsunami wave propagation are described in two-layer states. The velocity and amplitude of the tsunami wave propagation are calculated using the double layer. The numerical and analytical solutions are given for the nonlinear equation of motion of the wave propagation in a bore.

A foam formulation of an entomopathogenic fungus for control of boring beetles in avocado orchards

Science.gov (United States)

A foam formulation of Beauveria bassiana was adapted to control boring beetles in avocado orchards. The two geographically independent avocado growing areas in the United States are threatened by emerging diseases vectored by boring beetles. In the California growing region, Fusarium dieback is vect...

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

Solid-to-hybrid transitioning armature railgun with non-conforming-to-prejudice bore profile

Science.gov (United States)

Solberg, Jerome Michael

2012-12-04

An improved railgun, railgun barrel, railgun projectile, and railgun system for accelerating a solid-to-hybrid transitioning armature projectile using a barrel having a bore that does not conform to a cross-sectional profile of the projectile, to contact and guide the projectile only by the rails in a low pressure bore volume so as to minimize damage, failure, and/or underperformance caused by plasma armatures, insulator ablation, and/or restrikes.

Ethylene glycol as bore fluid for hollow fiber membrane preparation

KAUST Repository

Le, Ngoc Lieu

2017-03-31

We proposed the use of ethylene glycol and its mixture with water as bore fluid for the preparation of poly(ether imide) (PEI) hollow fiber membranes and compared their performance and morphology with membranes obtained with conventional coagulants (water and its mixture with the solvent N-methylpyrrolidone (NMP)). Thermodynamics and kinetics of the systems were investigated. Water and 1:1 water:EG mixtures lead to fast precipitation rates. Slow precipitation is observed for both pure EG and 9:1 NMP:water mixture, but the reasons for that are different. While low osmotic driving force leads to slow NMP and water transport when NMP:water is used, the high EG viscosity is the reason for the slow phase separation when EG is the bore fluid. The NMP:water mixture produces fibers with mixed sponge-like and finger-like structure with large pores in the inner and outer layers; and hence leading to a high water permeance and a high MWCO suitable for separation of large-sized proteins. As compared to NMP:water, using EG as bore fluid provides fibers with a finger-like bilayered structure and sponge-like layers near the surfaces, and hence contributing to the higher water permeance. It also induces small pores for better protein rejection.

Ethylene glycol as bore fluid for hollow fiber membrane preparation

KAUST Repository

Le, Ngoc Lieu; Nunes, Suzana Pereira

2017-01-01

We proposed the use of ethylene glycol and its mixture with water as bore fluid for the preparation of poly(ether imide) (PEI) hollow fiber membranes and compared their performance and morphology with membranes obtained with conventional coagulants (water and its mixture with the solvent N-methylpyrrolidone (NMP)). Thermodynamics and kinetics of the systems were investigated. Water and 1:1 water:EG mixtures lead to fast precipitation rates. Slow precipitation is observed for both pure EG and 9:1 NMP:water mixture, but the reasons for that are different. While low osmotic driving force leads to slow NMP and water transport when NMP:water is used, the high EG viscosity is the reason for the slow phase separation when EG is the bore fluid. The NMP:water mixture produces fibers with mixed sponge-like and finger-like structure with large pores in the inner and outer layers; and hence leading to a high water permeance and a high MWCO suitable for separation of large-sized proteins. As compared to NMP:water, using EG as bore fluid provides fibers with a finger-like bilayered structure and sponge-like layers near the surfaces, and hence contributing to the higher water permeance. It also induces small pores for better protein rejection.

Evidence for antibiotic use for sore throat and URTI in general practice

African Journals Online (AJOL)

banzi

508 C M E September 2003 Vol.21 No.9. There is a common misconception among many people that antibiotics are necessary for common colds and their symptoms. Evidence- based medicine can provide a rational approach to this problem. Evidence for antibiotic use for sore throat and URTI in general practice. G T J KA ...

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.

Utility of the sore throat pain model in a multiple-dose assessment of the acute analgesic flurbiprofen: a randomized controlled study.

Science.gov (United States)

Schachtel, Bernard; Aspley, Sue; Shephard, Adrian; Shea, Timothy; Smith, Gary; Schachtel, Emily

2014-07-03

The sore throat pain model has been conducted by different clinical investigators to demonstrate the efficacy of acute analgesic drugs in single-dose randomized clinical trials. The model used here was designed to study the multiple-dose safety and efficacy of lozenges containing flurbiprofen at 8.75 mg. Adults (n=198) with moderate or severe acute sore throat and findings of pharyngitis on a Tonsillo-Pharyngitis Assessment (TPA) were randomly assigned to use either flurbiprofen 8.75 mg lozenges (n=101) or matching placebo lozenges (n=97) under double-blind conditions. Patients sucked one lozenge every three to six hours as needed, up to five lozenges per day, and rated symptoms on 100-mm scales: the Sore Throat Pain Intensity Scale (STPIS), the Difficulty Swallowing Scale (DSS), and the Swollen Throat Scale (SwoTS). Reductions in pain (lasting for three hours) and in difficulty swallowing and throat swelling (for four hours) were observed after a single dose of the flurbiprofen 8.75 mg lozenge (Pflurbiprofen-treated patients experienced a 59% greater reduction in throat pain, 45% less difficulty swallowing, and 44% less throat swelling than placebo-treated patients (all Pflurbiprofen 8.75 mg lozenges were shown to be an effective, well-tolerated treatment for sore throat pain. Other pharmacologic actions (reduced difficulty swallowing and reduced throat swelling) and overall patient satisfaction from the flurbiprofen lozenges were also demonstrated in this multiple-dose implementation of the sore throat pain model. This trial was registered with ClinicalTrials.gov, registration number: NCT01048866, registration date: January 13, 2010.

Acoustic Monitoring for Tunnel Boring in Soft Soils

NARCIS (Netherlands)

Swinnen, G.

2003-01-01

The TBM, not a blind mole! This thesis deals with some aspects of seismic imaging of the soft soil in front of a Tunnel Boring Machine to help tunnel constructors ``see'' the subsurface they are approaching, instead of steering the TBM forward like a ``blind mole''. The Dutch shallow subsurface has

Use of inferior gluteal artery and posterior thigh perforators in management of ischial pressure sores with limited donor sites for flap coverage.

Science.gov (United States)

Unal, Cigdem; Ozdemir, Jale; Yirmibesoglu, Oktay; Yucel, Ergin; Agir, Hakan

2012-07-01

Reconstructive surgery for ischial pressure sore defects presents a challenge because of high rates of recurrence. The aim of this study was to describe the use of inferior gluteal artery (IGA) and posterior thigh perforators in management of ischial pressure sores with limited donor sites. Between September 2005 and 2009, 11 patients (9 male, 2 female) with ischial sores were operated by using IGA and posterior thigh perforator flaps. The data of patients included age, sex, cause of paraplegia, flap size, perforator of flap, previous surgeries, recurrences, complications, and postoperative follow-up. Nine IGA and 5 posterior thigh perforator flaps were used. Six patients presented with recurrent lesions, 5 patients were operated for sacral and contralateral ischial pressure sores previously. In 2 patients, IGA and posterior thigh perforator flaps were used in combination. Patients were followed for an average of 34.3 months. In 2 recurrent cases, readvancement of IGA perforator flap and gluteus maximus myocutaneous flap were treatment of choice. Treatment of patients with recurrent lesions or multiple pressure sores is challenging because of limited available flap donor sites. In this study, posterior thigh perforator flaps were preferred in patients in whom the previous donor site was the gluteal region. IGA perforator flaps were the treatment of choice in patients for whom posterior thigh region was previously used. Alternately, preserved perforators of previous conventional myocutaneous flaps enabled us to use these perforators in recurrences.

Tunnel Boring Machine for nuclear waste repository research project

International Nuclear Information System (INIS)

Janzon, H.A.

1994-01-01

A description is presented of a Tunnel Boring Machine and its intended use on a research project underway in Sweden for demonstrating and testing methods for rock investigation at a suitable depth for a deep repository for nuclear waste

The evolution of an internal bore at the Malin shelf break

Directory of Open Access Journals (Sweden)

J. Small

1999-04-01

Full Text Available Observations of internal waves were made at the Malin shelf edge during SESAME (Shelf Edge Studies Acoustic Measurement Experiment, a part of the NERC LOIS-SES experiment, in August-September 1996. These measurements provide a high resolution dataset demonstrating internal wave generation and propagation. This note presents observations of the evolution of an internal bore. The process is shown clearly in a sequence of thermistor chain tows across the shelf break covering a complete tidal cycle, as the double-sided bore transforms into a group of undulations and eventually into more distinct solitary waveforms. Current structures associated with the bore and waves were also observed by ship-mounted ADCP. Analysis of the waveforms in terms of the linear modes and empirical orthogonal functions (EOFs indicate the dominance of the first mode, which is typical of a shallow water seasonal thermocline environment. Determination of the phase speed of the waves from the consecutive ship surveys enabled the Doppler shift in the towed data to be removed, allowing analysis of the real length scales of the waves. The bore evolution has been modelled using a first order non-linear KdV model for the first mode, initialised with the waveform in the first survey. Comparison of the model and the observations show close agreement in the amplitudes, length scales, phase speeds and separations of the leading internal waves as they evolve. Finally, analysis of the observed internal wave shapes indicates that, within the uncertainties of measurement, the wave-lengths lie between those predicted by first and second order soliton theory.Key words. Oceanography: general (continental shelf processes; ocean prediction. Oceanography: physical (internal and inertial waves

The evolution of an internal bore at the Malin shelf break

Directory of Open Access Journals (Sweden)

J. Small

Full Text Available Observations of internal waves were made at the Malin shelf edge during SESAME (Shelf Edge Studies Acoustic Measurement Experiment, a part of the NERC LOIS-SES experiment, in August-September 1996. These measurements provide a high resolution dataset demonstrating internal wave generation and propagation. This note presents observations of the evolution of an internal bore. The process is shown clearly in a sequence of thermistor chain tows across the shelf break covering a complete tidal cycle, as the double-sided bore transforms into a group of undulations and eventually into more distinct solitary waveforms. Current structures associated with the bore and waves were also observed by ship-mounted ADCP. Analysis of the waveforms in terms of the linear modes and empirical orthogonal functions (EOFs indicate the dominance of the first mode, which is typical of a shallow water seasonal thermocline environment. Determination of the phase speed of the waves from the consecutive ship surveys enabled the Doppler shift in the towed data to be removed, allowing analysis of the real length scales of the waves. The bore evolution has been modelled using a first order non-linear KdV model for the first mode, initialised with the waveform in the first survey. Comparison of the model and the observations show close agreement in the amplitudes, length scales, phase speeds and separations of the leading internal waves as they evolve. Finally, analysis of the observed internal wave shapes indicates that, within the uncertainties of measurement, the wave-lengths lie between those predicted by first and second order soliton theory.

Key words. Oceanography: general (continental shelf processes; ocean prediction. Oceanography: physical (internal and inertial waves

Flow and turbulence structure in a hypertidal estuary with the world's biggest tidal bore

Science.gov (United States)

Tu, Junbiao; Fan, Daidu

2017-04-01

Turbulent and flow structure associated with breaking tidal bores are deliberately investigated on the basis of field measurements. High-resolution velocity and hydrographic data are collected in the middle Qiantang Estuary by a vertical array of acoustic Doppler velocimeters and optical backscatter sensors, collaborated with a bottom-mounted acoustic Doppler current profiler. Besides obvious variations in diurnal and spring-neap tidal cycles, the estuarine dynamics is featured by extreme asymmetry in flood and ebb tides. The flood tide is abnormally accelerated to generate tidal bores at the first 10 min or more, with breaking or undular configurations at the front. The occurrence of peak flow velocity, turbulent kinetic energy (TKE), and TKE dissipation rate (ɛ) is definitely associated with breaking bores, with their values several times to 2 orders of magnitude larger than the corresponding secondary peak values during the maximum ebb flows. Flow and turbulence dynamics are significantly affected by the tidal-bore Froude number. A sandwich ɛ structure is clear exhibited with the maximum value at the surface, secondary maximum near the bed, and the minimum at the intermediate. Dual TKE sources are indicated by an approximate local balance between shear production and dissipation near the bottom, and a top-down TKE dissipation using the modified Froude scaling in the vertical water column. The highly elevated dissipation by breaking bores is comparable to that by intense breaking waves in the surf zone, and the former potentially penetrates the entire water column to produce extreme sediment-resuspension events in combination with intense bottom shear stress.

Comparison of fasciocutaneous V-Y and rotational flaps for defect coverage of sacral pressure sores: a critical single-centre appraisal.

Science.gov (United States)

Djedovic, Gabriel; Metzler, Julia; Morandi, Evi M; Wachter, Tanja; Kühn, Shafreena; Pierer, Gerhard; Rieger, Ulrich M

2017-12-01

Pressure sore rates remain high in both nursing homes as well as in hospitals. Numerous surgical options are available for defect coverage in the sacral region. However, objective data is scarce as to whether a specific flap design is superior to another. Here, we aim to compare two fasciocutaneous flap designs for sacral defect coverage: the gluteal rotation flap and the gluteal V-Y flap. All primary sacral pressure sores of grades III-IV that were being covered with gluteal fasciocutaneous rotational or V-Y flaps between January 2008 and December 2014 at our institution were analysed. A total of 41 patients received a total of 52 flaps. Of these, 18 patients received 20 gluteal rotational flaps, and 23 patients received 32 V-Y flaps. Both groups were comparable with regards to demographics, comorbidities and complications. Significantly more V-Y flaps were needed to cover smaller defects. Mean length of hospital stay was significantly prolonged when surgical revision had to be carried out. Both flap designs have proven safe and reliable for defect coverage after sacral pressure sores. Gluteal rotational flaps appear to be more useful for larger defects. Both flap designs facilitate their reuse in case of pressure sore recurrence. Complication rates appear to be comparable in both designs and to the current literature. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

The Bored Self in Knowledge Work

DEFF Research Database (Denmark)

Costas, Jana; Kärreman, Dan

2016-01-01

of the bored self as a combination of unfilled aspirations and the sense of stagnation, leading to an arrested identity. Our contribution is to expand extant conceptualizations of employee interactions with identity regulation, in particular relating to identity work and identification. The findings provide......This article draws attention to reported experiences of boredom in knowledge work. Drawing on extensive qualitative data gathered at two management consultancy firms, we analyze these experiences as a particular interaction with identity regulation and work experiences. We conceptualize the reports...

A novel technique for preventing skin pressure sores using a rubber tube during surgical treatment of mandibular condyle fractures.

Science.gov (United States)

Kawase-Koga, Yoko; Mori, Yoshiyuki; Hoshi, Kazuhito; Takato, Tsuyoshi

2013-11-01

Craniofacial surgery occasionally results in sores and necrosis of the facial skin because of pressure from surgical instruments. During surgical treatment of mandibular condylar process fractures, the main mandibular fragment is routinely retracted downward using a wire to achieve a satisfactory anatomic reduction. This procedure may injure the facial skin. This potential complication is easily overlooked by medical staff, but it is easily preventable. We herein describe a method of using a rubber tube to avoid causing pressure sores of the facial skin during surgical treatment of mandibular condylar process fractures.

Separation of amino acids and antibiotics by narrow-bore and normal-bore high-performance liquid chromatography with pre-column derivatization.

Science.gov (United States)

Fiedler, H P; Plaga, A

1987-01-16

The selectivity, efficiency and lifetime of normal- and narrow-bore columns for high-performance liquid chromatography were investigated for the separation and quantification of amino acids and the amino acid-like antibiotics phosphinothricin and phosphinothricylalanylalanine in biological samples. These compounds were determined by an automated pre-column derivatization with o-phthalaldehyde-2-mercaptoethanol reagent and UV detection at 338 nm.

Parasacral Perforator Flaps for Reconstruction of Sacral Pressure Sores.

Science.gov (United States)

Lin, Chin-Ta; Chen, Shih-Yi; Chen, Shyi-Gen; Tzeng, Yuan-Sheng; Chang, Shun-Cheng

2015-07-01

Despite advances in reconstruction techniques, pressure sores continue to present a challenge to the plastic surgeon. The parasacral perforator flap is a reliable flap that preserves the entire contralateral side as a future donor site. On the ipsilateral side, the gluteal muscle itself is preserved and all flaps based on the inferior gluteal artery are still possible. We present our experience of using parasacral perforator flaps in reconstructing sacral defects. Between August 2004 and January 2013, 19 patients with sacral defects were included in this study. All the patients had undergone surgical reconstruction of sacral defects with a parasacral perforator flap. The patients' sex, age, cause of sacral defect, flap size, flap type, numbers of perforators used, rotation angle, postoperative complications, and hospital stay were recorded. There were 19 parasacral perforator flaps in this series. All flaps survived uneventfully except for 1 parasacral perforator flap, which failed because of methicillin-resistant Staphylococcus aureus infection. The overall flap survival rate was 95% (18/19). The mean follow-up period was 17.3 months (range, 2-24 months). The average length of hospital stay was 20.7 days (range, 9-48 days). No flap surgery-related mortality was found. Also, there was no recurrence of sacral pressure sores or infected pilonidal cysts during the follow-up period. Perforator-based flaps have become popular in modern reconstructive surgery because of low donor-site morbidity and good preservation of muscle. Parasacral perforator flaps are durable and reliable in reconstructing sacral defects. We recommend the parasacral perforator flap as a good choice for reconstructing sacral defects.

Tunnel boring machine applications

International Nuclear Information System (INIS)

Bhattacharyya, K.K.; McDonald, R.; Saunders, R.S.

1992-01-01

This paper reports that characterization of Yucca Mountain for a potential repository requires construction of an underground Exploratory Studies Facility (ESF). Mechanical excavating methods have been proposed for construction of the ESF as they offer a number of advantages over drilling and blasting at the Yucca Mountain site, including; less ground disturbance and therefore a potential for less adverse effects on the integrity of the site, creation of a more stable excavation cross section requiring less ground support, and an inherently safer and cleaner working environment. The tunnel boring machine (TBM) provides a proven technology for excavating the welded and unwelded Yucca Mountain tuffs. The access ramps and main underground tunnels form the largest part of the ESF underground construction work, and have been designed for excavation by TBM

Plasma dynamics near critical density inferred from direct measurements of laser hole boring

Science.gov (United States)

Gong, Chao; Tochitsky, Sergei Ya.; Fiuza, Frederico; Pigeon, Jeremy J.; Joshi, Chan

2016-06-01

We have used multiframe picosecond optical interferometry to make direct measurements of the hole boring velocity, vHB, of the density cavity pushed forward by a train of C O2 laser pulses in a near critical density helium plasma. As the pulse train intensity rises, the increasing radiation pressure of each pulse pushes the density cavity forward and the plasma electrons are strongly heated. After the peak laser intensity, the plasma pressure exerted by the heated electrons strongly impedes the hole boring process and the vHB falls rapidly as the laser pulse intensity falls at the back of the laser pulse train. A heuristic theory is presented that allows the estimation of the plasma electron temperature from the measurements of the hole boring velocity. The measured values of vHB, and the estimated values of the heated electron temperature as a function of laser intensity are in reasonable agreement with those obtained from two-dimensional numerical simulations.

THE EFFECT OF WELL-BORE REVERSE FLOW OF FLUID ON ...

African Journals Online (AJOL)

ES Obe

1980-03-01

Mar 1, 1980 ... ABSTRACT. Well-bore storage may dominate the bottom-hole pressure profile of ... Type- curve matching is however only accurate when the storage factor .... numerical integration technique ... existence of a measure of well-.

In-Bore MR-Guided Biopsy Systems and Utility of PI-RADS.

Science.gov (United States)

Fütterer, Jurgen J; Moche, Michael; Busse, Harald; Yakar, Derya

2016-06-01

A diagnostic dilemma exists in cases wherein a patient with clinical suspicion for prostate cancer has a negative transrectal ultrasound-guided biopsy session. Although transrectal ultrasound-guided biopsy is the standard of care, a paradigm shift is being observed. In biopsy-naive patients and patients with at least 1 negative biopsy session, multiparametric magnetic resonance imaging (MRI) is being utilized for tumor detection and subsequent targeting. Several commercial devices are now available for targeted prostate biopsy ranging from transrectal ultrasound-MR fusion biopsy to in bore MR-guided biopsy. In this review, we will give an update on the current status of in-bore MRI-guided biopsy systems and discuss value of prostate imaging-reporting and data system (PIRADS).

Tubular bending and pull-out forces in high-curvature well bores

International Nuclear Information System (INIS)

Dareing, D.W.; Ahlers, C.A.

1991-01-01

This paper is concerned with drag forces developed on tubulars in high-curvature well bores typically found in drainhole and horizontal drilling. The dog-leg severity of these types of boreholes are considerably higher than those typically found in conventional directional drilling. The objective of the study was to determine the significance of bending stiffness on drag forces in the pull-out mode. The method of analysis treats the tubular as a multi-spanned curved beam under tension and solves for radial displacements, slope, shear and bending moment over each span. Calculations show that bending stiffness is a minor factor provided there are no locally severe dog legs superimposed in the high-curvature well bore

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.

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

[Prescribing antibiotics for sore throat: a persistent habit].

Science.gov (United States)

Damoiseaux, Roger A M J; Venekamp, Roderick P

2015-01-01

Recently the revision of the guideline of the Dutch College of General Practitioners on sore throat has been published. Again, one of the key messages is restricting the use of antibiotics. In the Netherlands general practitioners prescribe antibiotics in 50% of cases of tonsillitis. Although there has been a decrease in the number of antibiotic prescriptions for tonsillitis in the last 30 years, they are still being prescribed twice as often as is recommended by the guideline. The beliefs of both patient and doctor play an important role in prescribing and better communication might help to improve the situation. Public campaigns can also help by providing the best knowledge on the effectiveness of antibiotics to the public.

Late Permian wood-borings reveal an intricate network of ecological relationships.

Science.gov (United States)

Feng, Zhuo; Wang, Jun; Rößler, Ronny; Ślipiński, Adam; Labandeira, Conrad

2017-09-15

Beetles are the most diverse group of macroscopic organisms since the mid-Mesozoic. Much of beetle speciosity is attributable to myriad life habits, particularly diverse-feeding strategies involving interactions with plant substrates, such as wood. However, the life habits and early evolution of wood-boring beetles remain shrouded in mystery from a limited fossil record. Here we report new material from the upper Permian (Changhsingian Stage, ca. 254-252 million-years ago) of China documenting a microcosm of ecological associations involving a polyphagan wood-borer consuming cambial and wood tissues of the conifer Ningxiaites specialis. This earliest evidence for a component community of several trophically interacting taxa is frozen in time by exceptional preservation. The combination of an entry tunnel through bark, a cambium mother gallery, and up to 11 eggs placed in lateral niches-from which emerge multi-instar larval tunnels that consume cambium, wood and bark-is ecologically convergent with Early Cretaceous bark-beetle borings 120 million-years later.Numerous gaps remain in our knowledge of how groups of organisms interacted in ancient ecosystems. Here, Feng and colleagues describe a late Permian fossil wood-boring beetle microcosm, with the oldest known example of complex tunnel geometry, host tissue response, and the presence of fungi within.

Measurement of Antenna Bore-Sight Gain

Science.gov (United States)

Fortinberry, Jarrod; Shumpert, Thomas H.

2016-01-01

The absolute or free-field gain of a simple antenna can be approximated using standard antenna theory formulae or for a more accurate prediction, numerical methods may be employed to solve for antenna parameters including gain. Both of these methods will result in relatively reasonable estimates but in practice antenna gain is usually verified and documented via measurements and calibration. In this paper, a relatively simple and low-cost, yet effective means of determining the bore-sight free-field gain of a VHF/UHF antenna is proposed by using the Brewster angle relationship.

Tension Tests On Bored Piles In Sand

DEFF Research Database (Denmark)

Krabbenhøft, Sven; Clausen, Johan; Damkilde, Lars

2006-01-01

The lengths of the bored piles varied from 2 m to 6 m and all were of a diameter of 140 mm. The piles were tested to failure in tension and the load-displacement relations were recorded. The investigation has shown pronounced differences between the load bearing capacities obtained by different...... design methods. The methods proposed by Fleming et al. and Reese & O’Neill seem to produce the best match with the test results....

Development of self-boring type pressuremeter and proposal of empirical formula to estimate mechanical properties of gravelly soil

International Nuclear Information System (INIS)

Yoshida, Yasuo; Ikemi, Motonobu; Kokusho, Takaji

1990-01-01

Diluvial gravelly grounds seem to have the great potential as the foundation ground for constructing nuclear power plants. The Central Research Institute of Electric Power Industry develops the in-situ testing method to evaluate the settlement and the stability of the foundations of important nuclear power plant structures against earthquakes. As a part of the development, the CRIEPI has developed a new self boring type pressure meter which enables a probe to penetrate into gravelly deposit with minimum disturbance. This equipment can impose static or dynamic repeated pressure on bore walls. In this report, the test results of this equipment used in five gravelly grounds in Japan are described. The test results were compared with those obtained by other methods, and the efficiency of this in situ method was demonstrated. The bore wall pressurizing tester which can be inserted simultaneously with boring was developed, and its features are the effects of stress release and bore wall disturbance are little. Consequently, the accurate data on ground stability can be obtained. (K.I.)

Amylmetacresol/2,4-dichlorobenzyl alcohol, hexylresorcinol, or carrageenan lozenges as active treatments for sore throat

Directory of Open Access Journals (Sweden)

Morokutti-Kurz M

2017-02-01

Full Text Available Martina Morokutti-Kurz, Christine Graf, Eva Prieschl-Grassauer Marinomed Biotechnologie GmbH, Vienna, Austria Abstract: Up to 80% of sore throats are caused by viruses. Several over the counter products are available which provide symptomatic, not causal relief. For such lozenges, containing the antiseptics and local anesthetics amylmetacresol (AMC and 2,4-dichlorobenzyl alcohol (DCBA or hexylresorcinol (HR, recently an additional virucidal effect was published. Therefore, we tested a set of Strepsils® lozenges, containing either HR (Max [#2] or AMC/DCBA (Original [#3], Extra Strong [#4], Warm [#5], Orange and Vitamin C [#6], Sugar free Lemon [#7], Children/Strawberry [#8] and Soothing Honey and Lemon [#9] for their antiviral efficiency against representatives of respiratory viruses known to cause sore throat: human rhinovirus (HRV 1a, HRV8, influenza virus A H1N1n, Coxsackievirus A10, and human coronavirus (hCoV OC43. The lozenges were tested head to head with Coldamaris® lozenges (#1, which contain the patented antiviral iota-carrageenan. None of the tested AMC/DCBA or HR containing lozenges shows any antiviral effectiveness against HRV8 at the tested concentrations, whereas all are moderately active against HRV1a. Only lozenge #5 shows any activity against hCoV OC43 and Coxsackievirus A10 at the tested concentrations. Similarly, only lozenge #3 is moderately active against influenza A H1N1n virus. The data indicates that neither the isolated effect of the active ingredients nor the pH but rather one or more of the excipients of the specific formulations are responsible for the antiviral effect of some of the AMC/DCBA or HR containing lozenges. In contrast, carrageenan-containing lozenges are highly active against all viruses tested. In another experiment, we showed that binding and inactivation of virus particles by iota-carrageenan are fast and highly effective. During the residence time of the lozenge in the mouth, the viral titer is

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

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.

[Cohort study of the incidence of heel pressure sores in patients with leg casts at the Rizzoli Orthopedic Hospital and of the associated risk factors].

Science.gov (United States)

Forni, Cristiana; Zoli, Marina; Loro, Loretta; Tremosini, Morena; Mini, Sandra; Pirini, Valter; Turrini, Roberta; Durante, Stefano; Nicolini, Annamaria; Riccioni, Francesca; Girolami, Roberto

2009-01-01

Pressure sores, especially at the heel, are a side effect of the cast. To assess the incidence of late skin complications (heel pressure sores) of a cast and determine risk factors. All consecutive patients treated with a leg cast over a 16 months observation time were recruited. Risk factors were identified by the nurse that placed the cast and skin lesions classified with the NPUAP scale when the cast was removed. In the 216 enrolled patients 17.6% (38) developed a pressure sore: 16/124 in orthopedic wards; 22/92 in oncology wards. The multivariate analysis identified the following risk factors: administration of cytotoxic drugs (p = 0.033; OR = 2.61; having a cancer did not increase the risk); skin redness before cast application (p = 0.001; OR = 4.44) and having reported symptoms after the application (p = 0.000; OR = 7.86). Pressure sores were mainly stage 1 and only 6/216 (2.4%) > or = stage II. The type of plaster cast, the material, the number of days it was worn and having had a surgery are not significant risk factors. Pressure sores related to leg plaster casts are a frequent complication in at risk sub-groups. The acknowledgement and identification of specific risk factors may allow to identify and evaluate preventive interventions to improve the care of these patients.

Preliminary Study for Development of Welds Integrity Verification Equipment for the Small Bore Piping

International Nuclear Information System (INIS)

Choi, Geun Suk; Lee, Jong Eun; Ryu, Jung Hoon; Cho, Kyoung Youn; Sohn, Myoung Sung; Lee, Sanghoon; Sung, Gi Ho; Cho, Hong Seok

2016-01-01

It has been reported leakage accident of small-bore piping in Korea. Leakage accident of small-bore pipes are those that will increase due to the aging of the nuclear power plant. And if leakage of the pipe is repaired by using the clamping device when it occur accident, it is economically benefits. The clamping device is a fastening device used to hold or secure objects tightly together to prevent movement or separation through the application of inward pressure. However, when the accident occurs, it can't immediately respond because maintenance and repairing technology are not institutionalized in KEPIC. Thus it appears an economic loss. The technology for corresponding thereto is necessary for the safety of the operation of nuclear power plants. The purpose of this research is to develop an online repairing technology of socket welded pipe and vibration monitoring system of small-bore pipe in the nuclear power plant. Specifically, detailed studies are as follows : • Development of weld overlay method of safety class socket welded connections • Development of Mechanical Clamping Devices for Safety Class 2, 3 small-bore pipe. The purpose of this study is to develop an online repairing technology of socket welded pipe and vibration monitoring system of small-bore pipe, resulting in degraded plant systems. And it is necessary to institutionalize the technology. The fatigue crack testing of socket welded overlay will be performed and fatigue life evaluation method will be developed in second year. Also prototype fabrication of mechanical clamping device will be completed. Base on final goal, the intent is to propose practical evaluation tools, design and fabrication methods for socket welded connection integrity. And result of this study is to development of KEPIC code case approved technology for on-line repairing system of socket welded connection and fabrication of mechanical clamping device

Navigated MRI-guided liver biopsies in a closed-bore scanner: experience in 52 patients.

Science.gov (United States)

Moche, Michael; Heinig, Susann; Garnov, Nikita; Fuchs, Jochen; Petersen, Tim-Ole; Seider, Daniel; Brandmaier, Philipp; Kahn, Thomas; Busse, Harald

2016-08-01

To evaluate clinical effectiveness and diagnostic efficiency of a navigation device for MR-guided biopsies of focal liver lesions in a closed-bore scanner. In 52 patients, 55 biopsies were performed. An add-on MR navigation system with optical instrument tracking was used for image guidance and biopsy device insertion outside the bore. Fast control imaging allowed visualization of the true needle position at any time. The biopsy workflow and procedure duration were recorded. Histological analysis and clinical course/outcome were used to calculate sensitivity, specificity and diagnostic accuracy. Fifty-four of 55 liver biopsies were performed successfully with the system. No major and four minor complications occurred. Mean tumour size was 23 ± 14 mm and the skin-to-target length ranged from 22 to 177 mm. In 39 cases, access path was double oblique. Sensitivity, specificity and diagnostic accuracy were 88 %, 100 % and 92 %, respectively. The mean procedure time was 51 ± 12 min, whereas the puncture itself lasted 16 ± 6 min. On average, four control scans were taken. Using this navigation device, biopsies of poorly visible and difficult accessible liver lesions could be performed safely and reliably in a closed-bore MRI scanner. The system can be easily implemented in clinical routine workflow. • Targeted liver biopsies could be reliably performed in a closed-bore MRI. • The navigation system allows for image guidance outside of the scanner bore. • Assisted MRI-guided biopsies are helpful for focal lesions with a difficult access. • Successful integration of the method in clinical workflow was shown. • Subsequent system installation in an existing MRI environment is feasible.

Intense Undular Bores on the Autumn Pycnocline of Shelf Waters of the Peter the Great Bay (Sea of Japan)

Science.gov (United States)

Dolgikh, G. I.; Novotryasov, V. V.; Yaroshchuk, I. O.; Permyakov, M. S.

2018-03-01

The results of field observations of an internal undular bore that were performed in a coastal zone of constant depth in the Sea of Japan are presented. A hydrodynamic model of undular bores is discussed according to which the recorded disturbances of the water medium are an experimental prototype of strongly nonlinear (intense) internal undular bores on the pycnocline of shelf waters of Peter the Great Bay with an intensity close to the limit.

Tri-bore PVDF hollow fibers with a super-hydrophobic coating for membrane distillation

KAUST Repository

Lu, Kang-Jia; Zuo, Jian; Chung, Tai-Shung

2016-01-01

Membranes with good mechanical strength, high vapor flux and outstanding anti-wetting properties are essential for membrane distillation (MD) applications. In this work, porous polyvinylidene fluoride (PVDF) tri-bore hollow fiber membranes with super-hydrophobicity are developed to achieve these desired properties. The tri-bore hollow fiber offers better mechanical strength than the conventional single-bore fiber. To improve its anti-wetting properties, Teflon® AF 2400 is coated on the membrane surface. The effects of coating on membrane morphology, performance and anti-wetting properties have been thoroughly investigated. With an optimal coating condition (0.025 wt% of Teflon® AF 2400, 30 s), a super-hydrophobic surface with a contact angle of 151o is achieved. The resultant membrane shows an increase of 109% in liquid entry pressure (LEP) with a slight sacrifice of 21% in flux. Long term direct contact MD tests have confirmed that the Teflon® AF 2400 coated membrane has enhanced stability with an average flux of 21 kg m-2 h-1 and rejection of 99.99% at 60 °° C for desalination application.

Tri-bore PVDF hollow fibers with a super-hydrophobic coating for membrane distillation

KAUST Repository

Lu, Kang-Jia

2016-04-26

Membranes with good mechanical strength, high vapor flux and outstanding anti-wetting properties are essential for membrane distillation (MD) applications. In this work, porous polyvinylidene fluoride (PVDF) tri-bore hollow fiber membranes with super-hydrophobicity are developed to achieve these desired properties. The tri-bore hollow fiber offers better mechanical strength than the conventional single-bore fiber. To improve its anti-wetting properties, Teflon® AF 2400 is coated on the membrane surface. The effects of coating on membrane morphology, performance and anti-wetting properties have been thoroughly investigated. With an optimal coating condition (0.025 wt% of Teflon® AF 2400, 30 s), a super-hydrophobic surface with a contact angle of 151o is achieved. The resultant membrane shows an increase of 109% in liquid entry pressure (LEP) with a slight sacrifice of 21% in flux. Long term direct contact MD tests have confirmed that the Teflon® AF 2400 coated membrane has enhanced stability with an average flux of 21 kg m-2 h-1 and rejection of 99.99% at 60 °° C for desalination application.

Development of a cushion to prevent ischial pressure sores.

Science.gov (United States)

Bowker, P; Davidson, L M

1979-01-01

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

Compact and air-transportable ultrasonic turbine disc bore inspection system

International Nuclear Information System (INIS)

Larsen, R.E.; Leon-Salamanca, T.

1990-01-01

A compact, lightweight, air-transportable ultrasonic inspection system for bore and keyway regions of shrunk-on turbine discs has been developed. The system utilizes a proprietary ultrasound liquid coupling technique in conjunction with a single pair of gimballed search units to achieve rapid and thorough coverage of bores and keyways in both heavy nuclear and standard fossil discs of nearly any size and having any conceivable web surface contour. Search unit positioning and angulation parameter settings are established in near real-time through a computation algorithm based on a compact vector ray tracing protocol. Modular construction and the use of lightweight, stiff materials throughout facilitates air shipment of the system and its rapid deployment at continental and overseas field sites. Mechanical and ultrasonic features of the system are described. Development and application of the computation algorithm to the ultrasonic inspection of heavy discs at an overseas power station is discussed

Development of Inspection Technique for Socket Weld of Small Bore Piping in Nuclear Power Plant

International Nuclear Information System (INIS)

Yoon, Byungsik; Kim, Yongsik; Lee, Jeongseok

2013-01-01

The losses incurred by unplanned shutdowns are significant; consequently, early crack initiation and crack detection, including the detection of fillet weld manufacturing defects, is of the utmost importance. Current inspection techniques are not capable of reliably inspecting socket welds; therefore, new approaches are needed. The new technique must be sensitive to socket weld cracking, which usually initiates from the root, in order to detect the cracking during the early failure phase. In 2008, Kori unit 3 experienced leakage from the drain line socket weld of a steam generator. From this experience, KHNP enforced a management program to focus on enhancing the reliability of small bore socket weld piping inspections. Currently, conventional manual ultrasonic inspection techniques are used to detect service induced fatigue cracks. But there was uncertainty on manual ultrasonic inspection because of limited access to the welds and difficulties with contact between the ultrasonic probe and the OD surface of small bore piping. In this study, phased array ultrasonic inspection techniques are applied to increase inspection speed and reliability. Additionally a manually encoded scanner has been developed to enhance contact conditions and maintain constant signal quality. A phased array UT technique and system was developed to inspect small bore socket welds. The experimental results show all artificial flaws in the specimen were detected and measured. These experimental results show, that the newly developed inspection system, has improved the reliability and speed of small bore socket weld inspection. Based on these results, future works shall focus on additional experiments, with more realistic flaw responses. By applying this technique to the field, we expect that it can improve the integrity of small bore piping in nuclear power plants

A finite element thermohydrodynamic analyis of profile bore bearing

International Nuclear Information System (INIS)

Shah Nor bin Basri

1994-01-01

A finite element-based method is presented for analysing the thermohydrodynamic (THD) behaviour of profile bore bearing. A variational statement for the governing equation is derived and used to formulate a non-linear quadrilateral finite element of serendipity family. The predicted behaviour is compared with experimental evidence where possible and favorable correlation is obtained

Retained foreign body following pleural drainage with a small-bore catheter.

Science.gov (United States)

Paddle, Alenka; Elahi, Maqsood; Newcomb, Andrew

2010-01-01

Small-bore radiopaque drains can be used to drain pleural effusions. They offer reliable drainage of simple pleural effusions and provide a safe, less-invasive, more comfortable alternative to the standard tube thoracostomy. Importantly, removal of such drains does not require purse-string sutures and hence can be removed without assistance. We report here the cautionary tale of a retained foreign body related to drainage of a pleural effusion with a Pleurocath in a patient following cardiac surgery to raise awareness of this potential complication. Emphasized is the need for all staff to be familiar with the normal appearance of equipment being utilized in the ward and to report when incomplete removal of drain equipment is suspected. In addition, amendments to insertion techniques for such small-bore drains are proposed to avoid similar undue complications.

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.

[Multicentre, prospective cohort study, to validate the Italian version of the Braden Q scale for the risk of the pressure sores in newborns and up to 8 years old children].

Science.gov (United States)

Chiari, Paolo; Poli, Marco; Magli, Claudia; Bascelli, Emanuele; Rocchi, Roberto; Bolognini, Silvia; Tartari, Piero; Armuzzi, Roberta; Rossi, Gianna; Peghetti, Angela; Biavati, Catia; Fontana, Mirella; Gazineo, Domenica; Cordella, Simona; Tiozzo, Emanuela; Ciliento, Gaetano; Carta, Giovanna; Taddia, Patrizia

2012-01-01

Multicenter prospective cohort study, to validate the Italian version of the Braden Q scale for the risk of pressure sores in newborns and up to 8 years old children. Children admitted to Intensive care Units (ICU), oncology and neurology/neurosurgery wards are at risk of developing pressure sores. To validate the Italian version of the Braden Q scale for the assessment of the risk of developing pressure sores in children. Children from 21 days to 8 years, admitted to intensive and sub intensive units were recruited. Premature babies, children admitted with a pressure sore and with a story of congenital cardiomiopathy were excluded. In this cohort, multicentre and with repeated measurements study, the first assessment was performed after 24 hours from hospital admission, using the Braden Q Scale (Suddaby's version). The pressure sores were assessed with the Skin assessment Tool and staged according to the National Pressure Ulcer Advisory Panel. RESULTS. On the 157 children 524 observation were conducted. The incidence of pressure sores was 17.2%. Only the analysis on specific subgroups of patients showed a good diagnostic accuracy: 71.4% on children 3-8 years; 85.6% in sub intensive wards. The Braden Q scale may be reliably used and shows a good diagnostic accuracy in children 3-8 years of age admitted to sub-intensive, neurology, oncology and heamatology wards.

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

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

2018-01-01

Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result...... 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... in accumulated algesic substances being a part of the sensitization in DOMS. Methods: Twelve healthy subjects (5 women) performed dorsiflexion exercise (5 sets of 10 repeated eccentric contractions) in one leg, while the contralateral leg was the control. The maximal voluntary contraction (MVC) of the tibialis...

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…

Exploring the role of wood waste landfills in early detection of non-native alien wood-boring beetles

Science.gov (United States)

Davide Rassati; Massimo Faccoli; Lorenzo Marini; Robert A. Haack; Andrea Battisti; Edoardo. Petrucco Toffolo

2015-01-01

Non-native wood-boring beetles (Coleoptera) represent one of the most commonly intercepted groups of insects at ports worldwide. The development of early detection methods is a crucial step when implementing rapid response programs so that non-native wood-boring beetles can be quickly detected and a timely action plan can be produced. However, due to the limited...

Deposition of high-level radioactive waste products in bore-holes with buffer substance

International Nuclear Information System (INIS)

Jacobsson, A.; Pusch, R.

1977-05-01

The present investigation comprised a compilation of available literature data concerning the possible use of clayey masses as buffer substances in bore-holes (in rock) with canisters containing radioactive waste products. The aim was to find a suitable composition of the buffer mass and to recommend a suitable storing technique. The criteria concerning the function of the buffer substance were: Sufficient mechanical supporting power, suitable mechanical properties, prevention of free circulation of ground water, ion-adsorption ability, sufficiently good heat conduction properties. These criteria suggest that a buffer substance containing Na-montmorillonite would be suitable. Literature studies and own experience show that montmorillonite is permanently stable at 100 degrees C temperature and 5 MPa pressure when pH is within the range of 6.5-10 while quartz is stable at pH <9. The authors conclude that the suggested principle of storing the canisters in sealed bore-holes filled with a 10 percent bentonite/90 percent quartz (silt, sand) mass is suitable provided that the tunnel system, from which the holes are bored, is sealed with a dense buffer mass consisting of quartz (silt, sand) and 20-50 percent bentonite powder. (author)

External Microflora of a Marine Wood-Boring Isopod

OpenAIRE

Boyle, Paul J.; Mitchell, Ralph

1981-01-01

Bacteria associated with the marine wood-boring isopod Limnoria lignorum were enumerated by acridine orange epifluorescence microscopy and by plate counts on several media; the plate-viable bacteria were isolated and identified. Similar procedures were followed to enumerate and identify bacteria associated with the wood substrate from which the isopods were collected and with the surrounding water from the isopod habitat. Approximately 1.4 × 107 bacterial cells were associated with each indiv...

Recent development in the design of hard rock tunnel boring machines for the mining industry

International Nuclear Information System (INIS)

Snyder, L.L.; Williams, R.I.

1991-01-01

Underground development for nuclear waste storage will possibly require tunnels to be excavated in a variety of rock conditions and configurations. Recent innovations in Tunnel Boring Machine (TBM) design have allowed for an evolved style of TBM which has distinct advantages over the standard machines. Present day conventional hard rock TBM's were developed primarily for the long, relatively straight tunnels of the civil construction industry, thereby making them for the most part, unsuitable for the sharp curves, turnouts, declines, inclines and ramps required in many underground environments. The five foot to 36 foot (1.52 to 11 m) diameter machines are capable of boring tunnels with curve radiuses as small as 40 to 90 feet (12.2 to 27.5 m) depending on size. These short turning radiuses can be accomplished while gripping the tunnel walls horizontally in the traditional manner or vertically as required when intersecting existing tunnels, or making turnouts from the tunnel that the machine has just bored. The machine's length is approximately half of a traditional machine's length while still employing a full measure of thrust, horsepower and rock cutting ability. The machine's short length, combined with a patented machine structure allows it to steer while boring without causing harmful eccentric loads on the cutterhead and main bearing assembly. The machine configuration is versatile and can be easily modified to operate in a wide variety of conditions

Pain relief of sore throat with a new anti-inflammatory throat lozenge, ibuprofen 25 mg: A randomised, double-blind, placebo-controlled, international phase III study.

Science.gov (United States)

Bouroubi, Athmane; Donazzolo, Yves; Donath, Franck; Eccles, Ron; Russo, Marc; Harambillet, Nadine; Gautier, Stéphanie; Montagne, Agnès

2017-09-01

The aim of this study was to compare the efficacy and safety of a new oromucosal ibuprofen form, ibuprofen 25 mg lozenge, in single and repeat dosing for up to 4 days, to the matched placebo, in the treatment of acute sore throat pain in adults. In this randomised, double-blind, placebo-controlled trial, adult patients with non-streptococcal sore throat and signs of moderate-to-severe associated pain (≥5 on the objective Tonsillo-Pharyngitis Assessment 21-point scale and ≥60 mm on the subjective 0-100 mm visual analogue Sore Throat Pain Intensity Scale [STPIS]) were assigned ibuprofen 25 mg (n=194) or matching placebo (n=191) lozenge treatment. Efficacy was assessed (at the investigating centre up to 2 hours after first dosing, then on an ambulatory basis) by parameters derived from patient's scores on scales of pain relief, pain intensity, and global efficacy assessment. The primary efficacy end-point was the time-weighted TOTal PAin Relief (TOTPAR) over 2 hours after first dosing using the Sore Throat Relief Scale (STRS). Safety and local tolerability were assessed. Ibuprofen 25 mg was superior to placebo on numerous pain relief parameters; TOTPAR was significantly higher with ibuprofen 25 mg over 2 hours after first dosing (Ppain (n=128), after an average 4 days (Prelief of sore throat pain and is as well tolerated as placebo. ClinicalTrials.gov, NCT01785862. © 2017 John Wiley & Sons Ltd.

Small-bore chest tubes seem to perform better than larger tubes in treatment of spontaneous pneumothorax

DEFF Research Database (Denmark)

Iepsen, Ulrik Winning; Ringbæk, Thomas

2013-01-01

The aim of this study was to compare the efficacy and complications of surgical (large-bore) chest tube drainage with smaller and less invasive chest tubes in the treatment of non-traumatic pneumothorax (PT). ......The aim of this study was to compare the efficacy and complications of surgical (large-bore) chest tube drainage with smaller and less invasive chest tubes in the treatment of non-traumatic pneumothorax (PT). ...

[Reliability and validity of the Braden Scale for predicting pressure sore risk].

Science.gov (United States)

Boes, C

2000-12-01

For more accurate and objective pressure sore risk assessment various risk assessment tools were developed mainly in the USA and Great Britain. The Braden Scale for Predicting Pressure Sore Risk is one such example. By means of a literature analysis of German and English texts referring to the Braden Scale the scientific control criteria reliability and validity will be traced and consequences for application of the scale in Germany will be demonstrated. Analysis of 4 reliability studies shows an exclusive focus on interrater reliability. Further, even though examination of 19 validity studies occurs in many different settings, such examination is limited to the criteria sensitivity and specificity (accuracy). The range of sensitivity and specificity level is 35-100%. The recommended cut off points rank in the field of 10 to 19 points. The studies prove to be not comparable with each other. Furthermore, distortions in these studies can be found which affect accuracy of the scale. The results of the here presented analysis show an insufficient proof for reliability and validity in the American studies. In Germany, the Braden scale has not yet been tested under scientific criteria. Such testing is needed before using the scale in different German settings. During the course of such testing, construction and study procedures of the American studies can be used as a basis as can the problems be identified in the analysis presented below.

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 R A; Minett, Geoffrey M; Bieuzen, Francois; Stewart, Ian B; Bleakley, Chris

2015-09-18

Recovery strategies are often used with the intention of preventing or minimising muscle soreness after exercise. Whole-body cryotherapy, which involves a single or repeated exposure(s) to extremely cold dry air (below -100 °C) in a specialised chamber or cabin for two to four minutes per exposure, is currently being advocated as an effective intervention to reduce muscle soreness after exercise. To assess the effects (benefits and harms) of whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, the British Nursing Index and the Physiotherapy Evidence Database. We also searched the reference lists of articles, trial registers and conference proceedings, handsearched journals and contacted experts.The searches were run in August 2015. We aimed to include randomised and quasi-randomised trials that compared the use of whole-body cryotherapy (WBC) versus a passive or control intervention (rest, no treatment or placebo treatment) or active interventions including cold or contrast water immersion, active recovery and infrared therapy for preventing or treating muscle soreness after exercise in adults. We also aimed to include randomised trials that compared different durations or dosages of WBC. Our prespecified primary outcomes were muscle soreness, subjective recovery (e.g. tiredness, well-being) and adverse effects. Two review authors independently screened search results, selected studies, assessed risk of bias and extracted and cross-checked data. Where appropriate, we pooled results of comparable trials. The random-effects model was used for pooling where there was substantial heterogeneity. We assessed the quality of the evidence using GRADE. Four laboratory-based randomised controlled trials were included. These reported results for 64

Four-layer, two-inch bore, superconducting dipole magnet

International Nuclear Information System (INIS)

Hassenzahl, W.V.; Peters, C.; Gilbert, W.; Taylor, C.; Meuser, R.

1982-11-01

Superconductors provide the accelerator designer with a unique opportunity to construct machines that can achieve high particle energies and yet have low operating costs. This paper describes the design, fabrication and testing of a 4 layer, 50 mm bore superconducting dipole magnet, D-9A. The magnet reached short sample, 5.8 T at 4.4 K and 8.0 T and 1.8 K, with little training, and exhibited low losses and low ramp rate sensitivity

Study on tsunami damage mechanism in Fukushima Prefecture focusing on the generation of bores

International Nuclear Information System (INIS)

Okuma, Shohei; Sato, Shinji; Yamanaka, Yusuke; Sanuki, Hiroshi

2015-01-01

Destruction mechanisms of coastal structures due to the 2011 Tohoku Tsunami were investigated on the basis of field surveys in Fukushima Prefecture. Severe destruction appeared to be developed by the action of breaking bores. Laboratory experiments demonstrated that the angle of the tsunami front was an essential parameter for the generation of breaking bores. Larger wave force was observed as the angle of the tsunami front became steeper. Numerical simulation revealed that such a steep tsunami was developed in the central part of Fukushima Prefecture, where the reflection of the preceding tsunami by coastal cliff enhanced the steepness of the largest tsunami. (author)

Tunnelling in Soft Soil : Tunnel Boring Machine Operation and Soil Response

NARCIS (Netherlands)

Festa, D.; Broere, W.; Bosch, J.W.

2013-01-01

Constructing tunnels in soft soil with the use of Tunnel Boring Machines may induce settlements including soil movements ahead of the face, soil relaxation into the tail void, possible heave due to grouting, long lasting consolidation processes, and potentially several other mechanisms. A

Pressure bump instability in very large cold bore storage rings

International Nuclear Information System (INIS)

Limon, P.

1983-12-01

Calculations have been done to estimate the circulating current necessary to induce the onset of a pressure bump instability in a cold bore storage ring. For a wide range of storage ring parameters, the instability threshold current is more than an order of magnitude higher than the operating current. 4 references, 2 tables

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

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

2018-01-01

Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result ...

Effects of winter military training on energy balance, whole-body protein balance, muscle damage, soreness, and physical performance.

Science.gov (United States)

Margolis, Lee M; Murphy, Nancy E; Martini, Svein; Spitz, Marissa G; Thrane, Ingjerd; McGraw, Susan M; Blatny, Janet-Martha; Castellani, John W; Rood, Jennifer C; Young, Andrew J; Montain, Scott J; Gundersen, Yngvar; Pasiakos, Stefan M

2014-12-01

Physiological consequences of winter military operations are not well described. This study examined Norwegian soldiers (n = 21 males) participating in a physically demanding winter training program to evaluate whether short-term military training alters energy and whole-body protein balance, muscle damage, soreness, and performance. Energy expenditure (D2(18)O) and intake were measured daily, and postabsorptive whole-body protein turnover ([(15)N]-glycine), muscle damage, soreness, and performance (vertical jump) were assessed at baseline, following a 4-day, military task training phase (MTT) and after a 3-day, 54-km ski march (SKI). Energy intake (kcal·day(-1)) increased (P balance was lower (P military training provide the basis for future studies to evaluate nutritional strategies that attenuate protein loss and sustain performance during severe energy deficits.

A simple concept for covering pressure sores: wound edge-based propeller perforator flap.

Science.gov (United States)

Kelahmetoglu, Osman; Van Landuyt, Koenraad; Yagmur, Caglayan; Sommeling, Casper E; Keles, Musa K; Tayfur, Volkan; Simsek, Tekin; Demirtas, Yener; Guneren, Ethem

2017-12-01

We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 41·25 (range, 16-70) years. All patients underwent follow-up for 0-12 months. The mean follow-up duration was 5·03 months. Venous congestion was observed in three flaps that were rotated by 180° (9·1%). However, there was a significant difference between flaps rotated by 90° and 180° according to the complication rate (P = 0·034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. In our study, we were able to obtain satisfying final results using these novel flaps. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

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.

Space-borne observation of mesospheric bore by Visible and near Infrared Spectral Imager onboard the International Space Station

Science.gov (United States)

Hozumi, Y.; Saito, A.; Sakanoi, T.; Yamazaki, A.; Hosokawa, K.

2017-12-01

Mesospheric bores were observed by Visible and near Infrared Spectral Imager (VISI) of the ISS-IMAP mission (Ionosphere, Mesosphere, upper Atmosphere and Plasmasphere mapping mission from the International Space Station) in O2 airglow at 762 nm wavelength. The mesospheric bore is moving front of sharp jump followed by undulations or turbulence in the mesopause region. Since previous studies of mesospheric bore were mainly based on ground-based airglow imaging that is limited in field-of-view and observing site, little is known about its horizontal extent and global behavior. Space-borne imaging by ISS-IMAP/VISI provides an opportunity to study the mesospheric bore with a wide field-of-view and global coverage. A mesospheric bore was captured by VISI in two consecutive paths on 9 July 2015 over the south of African continent (48ºS - 54ºS and 15ºE). The wave front aligned with south-north direction and propagated to west. The phase velocity and wave length of the following undulation were estimated to 100 m/s and 30 km, respectively. Those parameters are similar to those reported by previous studies. 30º anti-clockwise rotation of the wave front was recognized in 100 min. Another mesospheric bore was captured on 9 May 2013 over the south Atlantic ocean (35ºS - 43ºS and 24ºW - 1ºE) with more than 2,200 km horizontal extent of wave front. The wave front aligned with southeast-northwest direction. Because the following undulation is recognized in the southwest side of the wave front, it is estimated to propagate to northeast direction. The wave front was modulated with 1,000 km wave length. This modulation implies inhomogeneity of the phase velocity.

Effects of protein supplements on muscle damage, soreness and recovery of muscle function and physical performance: a systematic review.

Science.gov (United States)

Pasiakos, Stefan M; Lieberman, Harris R; McLellan, Tom M

2014-05-01

Protein supplements are frequently consumed by athletes and recreationally-active individuals, although the decision to purchase and consume protein supplements is often based on marketing claims rather than evidence-based research. To provide a systematic and comprehensive analysis of literature examining the hypothesis that protein supplements enhance recovery of muscle function and physical performance by attenuating muscle damage and soreness following a previous bout of exercise. English language articles were searched with PubMed and Google Scholar using protein and supplements together with performance, exercise, competition and muscle, alone or in combination as keywords. Inclusion criteria required studies to recruit healthy adults less than 50 years of age and to evaluate the effects of protein supplements alone or in combination with carbohydrate on performance metrics including time-to-exhaustion, time-trial or isometric or isokinetic muscle strength and markers of muscle damage and soreness. Twenty-seven articles were identified of which 18 dealt exclusively with ingestion of protein supplements to reduce muscle damage and soreness and improve recovery of muscle function following exercise, whereas the remaining 9 articles assessed muscle damage as well as performance metrics during single or repeat bouts of exercise. Papers were evaluated based on experimental design and examined for confounders that explain discrepancies between studies such as dietary control, training state of participants, sample size, direct or surrogate measures of muscle damage, and sensitivity of the performance metric. High quality and consistent data demonstrated there is no apparent relationship between recovery of muscle function and ratings of muscle soreness and surrogate markers of muscle damage when protein supplements are consumed prior to, during or after a bout of endurance or resistance exercise. There also appears to be insufficient experimental data

On the derivation of a creep law from isothermal bore hole convergence

International Nuclear Information System (INIS)

Prij, J.; Mengelers, J.H.J.

1981-01-01

Some analytical as well as numerical aspects relevant to the creep behaviour of cavity-like structures in salt domes are presented. Two finite element models are presented for the modelling of the bore hole configuration, both dealing with the problem of a correct choice of the amount of salts which must be taken into account. A numerical procedure is suggested to derive a material creep law from measured bore hole convergence. This procedure is applied on convergence measurement in the ASSE mine (Germany) leading to a secondary creep law (depsilon/dt)sup(c)=8.8x10 -11 sigmasup(5.5) (sigma in MPa, (depsilon/dt)sup(c) in days -1 ) which describes the transient convergence behaviour correctly. Some questions concerning the uniqueness of the derived creep law are discussed

A study of the complications of small bore 'Seldinger' intercostal chest drains.

Science.gov (United States)

Davies, Helen E; Merchant, Shairoz; McGown, Anne

2008-06-01

Use of small bore chest drains (drainage over a 12-month period. One hundred consecutive small bore Seldinger (12F) chest drain insertions were evaluated. Few serious complications occurred. However, 21% of the chest drains were displaced ('fell out') and 9% of the drains became blocked. This contributed to high morbidity rates, with 13% of patients requiring repeat pleural procedures. The frequency of drain blockage in pleural effusion was reduced by administration of regular normal saline drain flushes (odds ratio for blockage in flushed drains compared with non-flushed drains 0.04, 95% CI: 0.01-0.37, P < 0.001). Regular chest drain flushes are advocated in order to reduce rates of drain blockage, and further studies are needed to determine optimal fixation strategies that may reduce associated patient morbidity.

Wood-Boring Bivalves (Mollusca: Teredinidae, Pholadidae) of Pacific coast of Colombia

International Nuclear Information System (INIS)

Cantera K, Jaime R

2010-01-01

Twelve species of wood-boring bivalves, ten of the family Teredinidae and two of family Pholadidae were collected in mangroves at 6 locations of the Pacific coast of Colombia. This paper presents a brief escription of these species, including size, ecological notes and geographical distribution.

Impact of thermal loading and other water quality parameters on the epizootiology of red-sore disease in centrarchids. Progress report, December 1, 1977--November 30, 1978

Energy Technology Data Exchange (ETDEWEB)

Esch, G.W.; Hazen, T.C.

1978-07-01

The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass.

Impact of thermal loading and other water quality parameters on the epizootiology of red-sore disease in centrarchids. Progress report, December 1, 1977--November 30, 1978

International Nuclear Information System (INIS)

Esch, G.W.; Hazen, T.C.

1978-07-01

The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass

Gun bore flaw image matching based on improved SIFT descriptor

Science.gov (United States)

Zeng, Luan; Xiong, Wei; Zhai, You

2013-01-01

In order to increase the operation speed and matching ability of SIFT algorithm, the SIFT descriptor and matching strategy are improved. First, a method of constructing feature descriptor based on sector area is proposed. By computing the gradients histogram of location bins which are parted into 6 sector areas, a descriptor with 48 dimensions is constituted. It can reduce the dimension of feature vector and decrease the complexity of structuring descriptor. Second, it introduce a strategy that partitions the circular region into 6 identical sector areas starting from the dominate orientation. Consequently, the computational complexity is reduced due to cancellation of rotation operation for the area. The experimental results indicate that comparing with the OpenCV SIFT arithmetic, the average matching speed of the new method increase by about 55.86%. The matching veracity can be increased even under some variation of view point, illumination, rotation, scale and out of focus. The new method got satisfied results in gun bore flaw image matching. Keywords: Metrology, Flaw image matching, Gun bore, Feature descriptor

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.

Activation of lower back muscles via FES for pressure sores prevention in paraplegia: a case study.

Science.gov (United States)

Vanoncini, M; Holderbaum, W; Andrews, B J

2010-04-01

The aim of this paper is to show the feasibility of the use of functional electrical stimulation (FES) applied to the lower back muscles for pressure sores prevention in paraplegia. The hypothesis under study is that FES induces a change in the pressure distribution on the contact area during sitting. Tests were conducted on a paraplegic subject (T5), sitting on a standard wheelchair and cushion. Trunk extensors (mainly the erector spinae) were stimulated using surface electrodes placed on the skin. A pressure mapping system was used to measure the pressure on the sitting surface in four situations: (a) no stimulation; (b) stimulation on one side of the spine only; (c) stimulation on both sides, at different levels; and (d) stimulation at the same level on both sides, during pressure-relief manoeuvres. A session of prolonged stimulation was also conducted. The experimental results show that the stimulation of the erector spinae on one side of the spine can induce a trunk rotation on the sagittal plane, which causes a change in the pressure distribution. A decrease of pressure on the side opposite to the stimulation was recorded. The phenomenon is intensified when different levels of stimulation are applied to the two sides, and such change can be sustained for a considerable time (around 5 minutes). The stimulation did not induce changes during pressure-relief manoeuvres. Finally, from this research we can conclude that the stimulation of the trunk extensors can be a useful tool for pressure sores prevention, and can potentially be used in a routine for pressure sores prevention based on periodical weight shifts.

Supplementation with a Polyphenol-Rich Extract, TensLess® , Attenuates Delayed Onset Muscle Soreness and Improves Muscle Recovery from Damages After Eccentric Exercise.

Science.gov (United States)

Romain, Cindy; Freitas, Tomás T; Martínez-Noguera, Francisco J; Laurent, Caroline; Gaillet, Sylvie; Chung, Linda H; Alcaraz, Pedro E; Cases, Julien

2017-11-01

High-intensity exercises are known to provoke delayed onset muscle soreness (DOMS). Delayed onset muscle soreness typically occurs within the first 24 h, peaks between 24 and 72 h, and can last as long as 5-7 days post-exercise. Delayed onset muscle soreness is a multifactorial process involving both mechanical and biochemical components, associated with clinical features that may limit range of motion, and athletes seek for effective recovery strategies to optimize future training sessions. TensLess ® is a food supplement developed to help manage post-exercise recovery. The supplement has been investigated on 13 recreationally active athletes of both sex, during a randomized, double-blind, and crossover clinical investigation, including a 3-week washout period. The clinical investigation was based on the study of TensLess ® effects for DOMS management and on the reduction of associated muscle damages following an eccentric exercise protocol. Supplementation with TensLess ® induced significant decrease in DOMS perception (-33%; p = 0.008) as of the first 24 h; this was significantly correlated with a lowered release of muscle damage-associated biomarkers, namely myoglobin, creatinine, and creatine kinase, for the whole length of the recovery period. Taken together, these positive results clearly indicate that post-exercise supplementation with TensLess ® may preserve myocytes and reduce soreness following eccentric exercise-induced damages, and, accordingly, significantly shorten muscle recovery. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

[Repair of pressure sores over ischial tuberosity with long head of biceps femoris muscle flap combined with semi-V posterior thigh fasciocutaneous flap].

Science.gov (United States)

Hai, Heng-lin; Shen, Chuan-an; Chai, Jia-ke; Li, Hua-tao

2012-02-01

To explore the clinical effect of transplantation of the long head of biceps femoris muscle flap in combination with semi-V posterior thigh fasciocutaneous flap for repair of pressure sores over ischial tuberosity. Eight patients with 10 deep pressure sores over ischial tuberosity were admitted to the First Affiliated Hospital to the PLA General Hospital and the 98th Hospital of PLA from April 2004 to June 2010. The wounds measured from 2 cm × 2 cm to 6 cm × 4 cm were covered with the long head of biceps femoris muscle flap and semi-V posterior thigh fasciocutaneous flap (ranged from 10 cm × 6 cm to 13 cm × 8 cm). The condition of flaps was observed and followed up for a long time. All flaps survived. Nine wounds healed by first intention. Subcutaneous accumulation of fluids occurred in one wound with formation of a sinus at drainage site, and it healed after dressing change for 25 days. Patients were followed up for 7 to 34 months. Sore recurred in one patient 9 months after surgery, and it was successfully repaired with the same flap for the second time. Flaps in the other 7 patients appeared satisfactory with soft texture and without ulceration. This combined flap is easy in formation and transfer, and it causes little side injury with good resistance against pressure. It is a new method for repair of pressure sore over sacral region.

Investigation of the structure of filter cakes from bore flushing

Energy Technology Data Exchange (ETDEWEB)

Hartmann, A; Oezerler, M; Marx, C; Hartmann, A; Oezerler, M; Marx, C; Poege, S; Young, F

1985-01-01

After a description of the tasks and functions of the filter cake in bores, the requirements for filter cakes are explained. The aim of the investigation is finding a correlation between the filter cake structures and the prehistory of flushing. The technique of preparing the samples and previous results from investigations with electron microscopes are introduced and discussed.

Effect of St.John's wort (Hypericum perforatum) oily extract for the care and treatment of pressure sores; a case report.

Science.gov (United States)

Yücel, Ali; Kan, Yüksel; Yesilada, Erdem; Akın, Onat

2017-01-20

Topical formulations such as oily extracts or ointments prepared with the flowering aerial parts of St. John's wort (Hypericum perforatum L., Hypericaceae) have been used in the management of a wide range dermatological problems including superficial wounds and burns, bruises, contusions and many others in the worldwide traditional medicines. This is the first case study reporting the beneficial effects of an oily extract of St. John's wort in the treatment of pressure sores in a intensive care unit (ICU) patient. The oily extract of St. John's wort was applied to a volunteer patient at ICU daily for forty successive days for wound care and treatment. Healing status was monitored macroscopically by measuring the wound size and stages at certain intervals as well as histopathological evaluation of the tissue sections taken at the initial and final dates of treatment. Evaluation of the results obtained from the macroscopical and histopathological experimentation have shown that oily extract of St. John's wort provided significant efficacy for the treatment of pressure sore wounds. St. John's wort oily extract may be suggested as a cost-effective option for the prevention or treatment of pressure sores in ICU patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Design of a machine to bore and line a long horizontal hole in tuff: Nevada Nuclear Waste Storage Investigations Project

International Nuclear Information System (INIS)

Friant, J.E.; Dowden, P.B.

1987-09-01

This report describes an engineering design for equipment capable of simultaneously drilling and lining deep horizontal bore holes. The ultimate use of the equipment is to bore up to 600 ft long, 3 ft diameter emplacement holes for a nuclear waste repository. The specific system designed is referred to as a Development Prototype Boring Machine (DPBM) which will be used to demonstrate the drilling/lining capability in field development tests. The system utilizes as in-hole electric drive and a vacuum chip removal and handling system. The drilling unit is capable of active directional control and uses laser-type alignment equipment. The system combines the features of a small steerable tunnel boring machine, combined with a horizontally-oriented raise drill, thereby utilizing current technology. All elements of the system are compact and mobile as required for a shaft entry, underground mining environment. 3 refs., 35 figs., 1 tab

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. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Chemical and mechanical bioerosion of boring sponges from Mexican Pacific coral reefs.

Science.gov (United States)

Nava, Héctor; Carballo, José Luis

2008-09-01

Species richness (S) and frequency of invasion (IF) by boring sponges on living colonies of Pocillopora spp. from National Park Isla Isabel (México, East Pacific Ocean) are presented. Twelve species belonging to the genera Aka, Cliona, Pione, Thoosa and Spheciospongia were found, and 56% of coral colonies were invaded by boring sponges, with Cliona vermifera Hancock 1867 being the most abundant species (30%). Carbonate dissolution rate and sediment production were quantified for C. vermifera and Cliona flavifodina Rützler 1974. Both species exhibited similar rates of calcium carbonate (CaCO3) dissolution (1.2+/-0.4 and 0.5+/-0.2 kg CaCO3 m(-2) year(-1), respectively, mean +/- s.e.m.), and sediment production (3.3+/-0.6 and 4.6+/-0.5 kg CaCO3 m(-2) year(-1)), resulting in mean bioerosion rates of 4.5+/-0.9 and 5.1+/-0.5 kg CaCO3 m(-2) year(-1), respectively. These bioerosion rates are close to previous records of coral calcification per unit of area, suggesting that sponge bioerosion alone can promote disequilibrium in the reef accretion/destruction ratio in localities that are heavily invaded by boring sponges. The proportion of dissolved material by C. vermifera and C. flavifodina (27 and 10.2%, respectively) confirms that chemical bioerosion plays an important role in sponge bioerosion and in the CaCO3 cycle in coral reefs.

Intraoperative indocyanine green fluorescent angiography-assisted modified superior gluteal artery perforator flap for reconstruction of sacral pressure sores.

Science.gov (United States)

Chang, Chun-Kai; Wu, Chien-Ju; Chen, Chun-Yu; Wang, Chi-Yu; Chu, Tzi-Shiang; Hsu, Kuo-Feng; Chiu, Han-Ting; Liu, Hung-Hui; Chou, Chang-Yi; Wang, Chih-Hsin; Lin, Chin-Ta; Dai, Niann-Tzyy; Tzeng, Yuan-Sheng

2017-12-01

Pressure sores are often observed in patients who are bedridden. They can be a severe problem not only for patients and their caregivers but also for plastic surgeons. Here, we describe a new method of superior gluteal artery perforator flap harvesting and anchoring with the assistance of intraoperative indocyanine green fluorescent angiography. In this report, we describe the procedure and outcomes for 19 patients with grades III and IV sacral pressure sores who underwent the operation between September 2015 and November 2016. All flaps survived, and two experienced wound-edge partial dehiscence. With the assistance of this imaging device, we were able to acquire a reliable superior gluteal artery perforator flap and perform modified operations with it that are safe, easy to learn and associated with fewer complications than are traditional. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Influence of friction on buckling of a drill string in the circular channel of a bore hole

Directory of Open Access Journals (Sweden)

Valery Gulyayev

2016-10-01

Full Text Available Abstract Enhancement of technology and techniques for drilling deep directed oil and gas bore hole is one of the most important problems of the current petroleum industry. Not infrequently, the drilling of these bore holes is attended by occurrence of extraordinary situations associated with technical accidents. Among these is the Eulerian loss of stability of a drill string in the channel of a curvilinear bore hole. Methods of computer simulation should play a dominant role in prediction of these states. In this paper, a new statement of the problem of critical buckling of the drill strings in 3D curvilinear bore holes is proposed. It is based on combined use of the theory of curvilinear elastic rods, Eulerian theory of stability, theory of channel surfaces, and methods of classical mechanics of systems with nonlinear constraints. It is noted that the stated problem is singularly perturbed and its solutions have the shapes of localized harmonic wavelets. The calculation results showed that the friction effects lead to essential redistribution of internal axial forces, as well as changing the eigenmode shapes and sites of their localization. These features make the buckling phenomena less predictable and raise the role of computer simulation of these effects.

High Frequency Field Measurements of an Undular Bore Using a 2D LiDAR Scanner

Directory of Open Access Journals (Sweden)

Kévin Martins

2017-05-01

Full Text Available The secondary wave field associated with undular tidal bores (known as whelps has been barely studied in field conditions: the wave field can be strongly non-hydrostatic, and the turbidity is generally high. In situ measurements based on pressure or acoustic signals can therefore be limited or inadequate. The intermittent nature of this process in the field and the complications encountered in the downscaling to laboratory conditions also render its study difficult. Here, we present a new methodology based on LiDAR technology to provide high spatial and temporal resolution measurements of the free surface of an undular tidal bore. A wave-by-wave analysis is performed on the whelps, and comparisons between LiDAR, acoustic and pressure-derived measurements are used to quantify the non-hydrostatic nature of this phenomenon. A correction based on linear wave theory applied on individual wave properties improves the results from the pressure transducer (Root mean square error, R M S E of 0 . 19 m against 0 . 38 m; however, more robust data is obtained from an upwards-looking acoustic sensor despite high turbidity during the passage of the whelps ( R M S E of 0 . 05 m. Finally, the LiDAR scanner provides the unique possibility to study the wave geometry: the distribution of measured wave height, period, celerity, steepness and wavelength are presented. It is found that the highest wave from the whelps can be steeper than the bore front, explaining why breaking events are sometimes observed in the secondary wave field of undular tidal bores.

Automating horizontal boring and milling machine

International Nuclear Information System (INIS)

Naqvi, S.A.R.; Mahmood, T.; Choudhry, M.A.; Hanif, A.

2012-01-01

Aiming at the requirements of modification for many old import machine tools in industry, the schemes suited to the renovation are presented in this paper. A horizontal boring and milling machine (HBM) involved in machining of tank Al-Khalid has been modified using Mitsubishi FX-1N and FX-2N PLC. The developed software is for control of all the functions of the said machine. These functions include power on/off oil pump, spindle rotation and machine movement in all axes. All the decisions required by the machine for actuation of instructions are based on the data acquired from the control panel, timers and limit switches. Also the developed software minimize the down time, safety of operator and error free actuation of instructions. (author)

Marine oil dietary supplementation reduces delayed onset muscle soreness after a 30 km run

OpenAIRE

Baum, Klaus; Telford, Richard D; Cunningham, Ross B

2013-01-01

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 int...

Estimation of strength parameters of small-bore metal-polymer pipes

Science.gov (United States)

Shaydakov, V. V.; Chernova, K. V.; Penzin, A. V.

2018-03-01

The paper presents results from a set of laboratory studies of strength parameters of small-bore metal-polymer pipes of type TG-5/15. A wave method was used to estimate the provisional modulus of elasticity of the metal-polymer material of the pipes. Longitudinal deformation, transverse deformation and leak-off pressure were determined experimentally, with considerations for mechanical damage and pipe bend.

Histopathology of red-sore disease (aeromonas hydrophila) in naturally and experimentally infected largemouth bass micropterus salmoides(lacepede)

Energy Technology Data Exchange (ETDEWEB)

Huizinga, H W [Illinois State Univ., Normal; Esch, G W; Hazen, T C

1979-01-01

The histopathology of red-sore disease, caused by the gram-negative bacterium, Aeromonas hydrophila, is described for largemouth bass, Micropterus salmoides. Externally, lesions range from those affecting a few scales (pin-point), to those associated with extensive chronic ulcerations; there is focal hemorrhage, oedema and dermal necrosis which exposes underlying muscles producing infiltration of mononuclear and granulocytic inflammatory cells. Internally, the liver and kidneys are foci for toxic products produced by A. hydrophila with, in the most severe cases, complete destruction of the structural integrity of both organs. Pathological changes were not serious in either the spleen or heart, even in cases with massive damage in the liver and kidney. Internal and external lesions were similar in both natural and experimentally induced infections. The pathobiology of red-sore disease in bass was postulated to be linked to elevated water temperature stimulating increased metabolism, decreased body condition and stress, leading to the increased production of corticosteroids and the concommitant rise in susceptibility to infection.

Nuclear piping and pipe support design and operability relating to loadings and small bore piping

International Nuclear Information System (INIS)

Stout, D.H.; Tubbs, J.M.; Callaway, W.O.; Tang, H.T.; Van Duyne, D.A.

1994-01-01

The present nuclear piping system design practices for loadings, multiple support design and small bore piping evaluation are overly conservative. The paper discusses the results developed for realistic definitions of loadings and loading combinations with methodology for combining loads under various conditions for supports and multiple support design. The paper also discusses a simplified method developed for performing deadweight and thermal evaluations of small bore piping systems. Although the simplified method is oriented towards the qualification of piping in older plants, this approach is applicable to plants designed to any edition of the ASME Section III or B31.1 piping codes

Chatter reduction in boring process by using piezoelectric shunt damping with experimental verification

Science.gov (United States)

Yigit, Ufuk; Cigeroglu, Ender; Budak, Erhan

2017-09-01

Chatter is a self-excited type of vibration that develops during machining due to process-structure dynamic interactions resulting in modulated chip thickness. Chatter is an important problem as it results in poor surface quality, reduced productivity and tool life. The stability of a cutting process is strongly influenced by the frequency response function (FRF) at the cutting point. In this study, the effect of piezoelectric shunt damping on chatter vibrations in a boring process is studied. In piezoelectric shunt damping method, an electrical impedance is connected to a piezoelectric transducer which is bonded on cutting tool. Electrical impedance of the circuit consisting of piezoceramic transducer and passive shunt is tuned to the desired natural frequency of the cutting tool in order to maximize damping. The optimum damping is achieved in analytical and finite element models (FEM) by using a genetic algorithm focusing on the real part of the tool point FRF rather than the amplitude. Later, a practical boring bar is considered where the optimum circuit parameters are obtained by the FEM. Afterwards, the effect of the optimized piezoelectric shunt damping on the dynamic rigidity and absolute stability limit of the cutting process are investigated experimentally by modal analysis and cutting tests. It is both theoretically and experimentally shown that application of piezoelectric shunt damping results in a significant increase in the absolute stability limit in boring operations.

PROGNOSTIC FACTORS IN PATIENTS WITH PRESSURE SORES IN A UNIVERSITY HOSPITAL IN SOUTHERN BRAZIL.

Science.gov (United States)

Walter, Gustavo Palmeiro; Seidel, William; Giustina, Renata Della; Bins-Ely, Jorge; Maurici, Rosemeri; Narciso-Schiavon, Janaína Luz

2017-01-01

Despite advances in medical care, patients who are hospitalized or have spinal cord injuries often develop pressure sores. The objective of this study was to describe the epidemiological characteristics of pressure sores and evaluate factors associated with recurrence and cure. In this historical cohort study, clinical and laboratory data were collected from medical records between 1997 and 2016. Sixty individuals with pressure ulcers were included; mean patient age was 38.1±16.5 (37.0) years, 83.3% were men, and 86.8% identified as white. Most patients (85.1%) had paraplegia, amputation, or trauma of the lower limbs with motor sequelae; the remainder (14.9%) were quadriplegic. Most (78.3%) underwent surgery, and the mean follow-up time was 1.8±2.5 years. The lesions were cured in 25 patients; they recurred in 25% of the patients, and recurrence was seen to be associated with the location of the lesions. Patients with recurrent lesions had more medical consultations and a longer treatment time. Individuals whose ulcers had healed had fewer lesions, higher body mass index (BMI), and a higher proportion of these patients underwent surgery. BMI and location and number of lesions are prognostic factors. Level of Evidence IV, Case Series.

Neutron activation for logging the distribution of gold in bore-hole cores

International Nuclear Information System (INIS)

Rahmanian, H.; Watterson, J.I.W.

1992-01-01

A new method for the non-destructive determination of gold in bore-hole cores has been developed using instrumental neutron activation analysis with a 252 Cf source. The procedure obtains the distribution and concentration of gold along the longitudinal axis of the core i.e. a log of the gold concentration. The accuracy of the method is comparable to fire assay at a level of 2 ppm and has a detection limit of 1 ppm under the conditions used. The assay of the gold is carried out by employing a novel variation of the conventional comparator method using gold wires as both standard and flux monitor. A method is described for logging gold in bore-hole cores using neutron activation with a 160 μg 252 Cf neutron source. The method has a limit of detection of about 1 ppm under the described conditions. (author)

Development of large bore superconducting magnet for wastewater treatment application

Energy Technology Data Exchange (ETDEWEB)

Liu, Hui Ming; Xu, Dong; Shen, Fuzhi; Zhang, Hengcheng; Li, Lafeng [State Key Laboratory of Technologies in Space Cryogenic Propellants, Technical Institute of Physics and Chemistry, Chinese Academy of Sciences, Beijing (China)

2017-03-15

Water issue, especially water pollution, is a serious issue of 21st century. Being an significant technique for securing water resources, superconducting magnetic separation wastewater system was indispensable. A large bore conduction-cooled magnet was custom-tailored for wastewater treatment. The superconducting magnet has been designed, fabricated and tested. The superconducting magnet was composed of NbTi solenoid coils with an effective horizontal warm bore of 400 mm and a maximum central field of 2.56T. The superconducting magnet system was cooled by a two-stage 1.5W 4K GM cryocooler. The NbTi solenoid coils were wound around an aluminum former that is thermally connected to the second stage cold head of the cryocooler through a conductive copper link. The temperature distribution along the conductive link was measured during the cool-down process as well as at steady state. The magnet was cooled down to 4.8K in approximately 65 hours. The test of the magnetic field and quench analysis has been performed to verify the safe operation for the magnet system. Experimental results show that the superconducting magnet reached the designed magnetic performance.

Automatic detection of ''bore slug'' in tubes; Detection automatique des manques de metal internes sur tubes

Energy Technology Data Exchange (ETDEWEB)

Bisiaux, B.; Deutsch, S.; Tailleux, O.; Mette, F. [CEV Vallourec, Aulnoye (France)

2001-07-01

During the tube manufacturing for the petroleum industry, the lacks of internal metal (called Bore Slug) can be created during the hot rolling. These large defects are not good detected by the classic UT and by the wall thickness measurement. That's why VALLOUREC developed an automatic UT device which works by transmission. Nevertheless, this system is too little selective and can cause no doubtful pipes (tubes good detected bad). We adapted a Bore Slug control system on the VMOG UK RP20 at the end of August. The results are rather good and showed a good detection of the Bore Slug and very little no doubtful pipes. (authors)

A β-cyclodextrin, polyethyleneimine and silk fibroin hydrogel containing Centella asiatica extract and hydrocortisone acetate: releasing properties and in vivo efficacy for healing of pressure sores.

Science.gov (United States)

Lee, M S; Seo, S R; Kim, J-C

2012-10-01

  Pressure sores are lesions caused by impaired blood flow. Conventional dressings can absorb exudates, but do not promote wound healing. A hydrogel composed of β-cyclodextrin (β-CD), polyethyleneimine (PEI) and silk fibroin (SF) was assessed for use in healing of pressure sores. The hydrogel was prepared by crosslinking β-CD-grafted PEI and SF using epichlorohydrin. The gel was then immersed in an aqueous solution of Centella asiatica extract (CAE) 0.7 mg/mL and/or hydrocortisone acetate (HCA) 0.5 mg/mL. The in vivo pressure sore-healing efficacy of the dry gel (with or without the drugs) was investigated in terms of the hyperplasia of epidermis and the number of neutrophils in the skin tissue. The specific loading of CAE was 0.0091 g/g of dry gel. The percentage of CAE released at 24 h at pH 3.0, 5.0 and 7.4 was approximately 63.9%, 55.0% and 44.4%, respectively. This pH-dependent release is possibly due to the degree of gel swelling, which decreased with increasing pH. The specific loading of HCA was 0.0050 g/g dry gel, and the percentage release of HCA at 24 h was around 20% at all three pH points. It is likely that HCA release is independent of pH. HCA is a hydrophobic compound, and therefore the release of HCA is affected by the partitioning of HCA between the β-CD cavity and the bulk water phase, but not by the degree of swelling of the hydrogel. The pressure sores treated with the hydrogel healed in 6 days, compared with 10 days for controls. In this study, a β-CD/PEI/SF hydrogel containing CAE and HCA reduced the healing time for pressure sores. © The Author(s). CED © 2012 British Association of Dermatologists.

West Germany's super-deep boring project KTB. To make thw world deepest dream come true

Energy Technology Data Exchange (ETDEWEB)

Urabe, Tetsuro [Geological Survey of Japan, Tsukuba, (Japan)

1989-07-01

West Germany has started a project of the world deepest boring of 14km depth which requires more than 10 years and as much as 40 billion yen. This is a national project of scientific research called Continental Deep Boring Project(abbreviated as KTB). This project was proposed by the West German Research Association about 10 years ago, and pre-investigation, technical investigation and selection of proper field were started in 1981. The project was approved by the Federal Research Technology Ministry in 1985 and was started with the overall budget(upper limit) of 450 million Deutchemarks. At present, a 5,000m deep well for the investigation of the shallow part is being drilled, and mud analysis and core analysis are being carried out. Super deep drilling is comprehensive system engineering that includes the robotizing of lifts, the development of drill pipe material which is strong and light enough not to be torn by its own weight, the improvement of the turbo drill bit, and the development of heat resisting and pressure-tight semiconductor for in-the-bore-measuring instruments. In West Germany, the official, civil and academic circles participate in this project. 18 figs., 2 tabs.

Internal-bore-welding of 2 1/4 Cr--1 Mo steel tube-to-tubesheet joints

International Nuclear Information System (INIS)

Moorhead, A.J.; Slaughter, G.M.

1976-01-01

In order to avoid the disadvantages of the conventional face-side tube-to-tubesheet weld, the steam generators for the Clinch River Breeder Reactor Plant (a power-producing demonstration LMFBR) will be built using a relatively new technique known as internal-bore-welding (IBW). In IBW the tube does not pass through the tubesheet but rather is welded to a short stub machined on the tube side of the tubesheet. This joint has the important advantages of being inspectable by radiography and eliminating the crevice; however, it is much more difficult to weld than is the face-side design. Because of the close proximity of the tubes, there is not room for an orbiting-arc welding head on the outside of the tube. Consequently, this weld must be made by welding from the inside- or bore-side of the tube. The results are presented of the initial phases of a program undertaken at ORNL to develop improved bore-side welding equipment, to gain further understanding of this technique, and to develop mechanical property data for autogeneous welds in 2 1/4 Cr-1 Mo steel tube and tubesheet materials

Edwin G. Boring: The Historian's Path in the Pages of The American Journal of Psychology.

Science.gov (United States)

Gallagher, Shawn R

2017-01-01

Although he is best known for his classic textbook, A History of Experimental Psychology, Edwin Garrigues Boring published dozens of articles in The American Journal of Psychology and used its various formats to guide the discipline in the early 20th century. This report reviews a small sample of his publications, including obituaries, notes, and experimental articles, and presents them in historical and biographical context. A central objective is to show how Boring shared the values of his structuralist training with the emerging American schools and how time allowed him to reconsider his approach to history and the legacy of his iconic mentor, Edward Bradford Titchener.

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.

Imaging system models for small-bore DOI-PET scanners

International Nuclear Information System (INIS)

Takahashi, Hisashi; Kobayashi, Tetsuya; Yamaya, Taiga; Murayama, Hideo; Kitamura, Keishi; Hasegawa, Tomoyuki; Suga, Mikio

2006-01-01

Depth-of-interaction (DOI) information, which improves resolution uniformity in the field of view (FOV), is expected to lead to high-sensitivity PET scanners with small-bore detector rings. We are developing small-bore PET scanners with DOI detectors arranged in hexagonal or overlapped tetragonal patterns for small animal imaging or mammography. It is necessary to optimize the imaging system model because these scanners exhibit irregular detector sampling. In this work, we compared two imaging system models: (a) a parallel sub-LOR model in which the detector response functions (DRFs) are assumed to be uniform along the line of responses (LORs) and (b) a sub-crystal model in which each crystal is divided into a set of smaller volumes. These two models were applied to the overlapped tetragonal scanner (FOV 38.1 mm in diameter) and the hexagonal scanner (FOV 85.2 mm in diameter) simulated by GATE. We showed that the resolution non-uniformity of system model (b) was improved by 40% compared with that of system model (a) in the overlapped tetragonal scanner and that the resolution non-uniformity of system model (a) was improved by 18% compared with that of system model (b) in the hexagonal scanner. These results indicate that system model (b) should be applied to the overlapped tetragonal scanner and system model (a) should be applied to the hexagonal scanner. (author)

Plasma immersion ion implantation of the interior surface of a large cylindrical bore using an auxiliary electrode

International Nuclear Information System (INIS)

Zeng, X.C.; Kwok, T.K.; Liu, A.G.; Chu, P.K.; Tang, B.Y.

1998-01-01

A model utilizing cold, unmagnetized, and collisionless fluid ions as well as Boltzmann electrons is used to comprehensively investigate the sheath expansion into a translationally invariant large bore in the presence of an auxiliary electrode during plasma immersion ion implantation (PIII) of a cylindrical bore sample. The governing equation of ion continuity, ion motion, and Poisson close-quote s equation are solved by using a numerical finite difference method for different cylindrical bore radii, auxiliary electrode radii, and voltage rise times. The ion density and ion impact energy at the cylindrical inner surface, as well as the ion energy distribution, maximum ion impact energy, and average ion impact energy for the various cases are obtained. Our results show a dramatic improvement in the impact energy when an auxiliary electrode is used and the recommended normalized auxiliary electrode radius is in the range of 0.1 endash 0.3. copyright 1998 American Institute of Physics

On the Interaction between a Tunnel Boring Machine and the Surrounding Soil

NARCIS (Netherlands)

Festa, D.

2015-01-01

The thesis investigates the mechanical equilibrium of a Tunnel Boring Machine (TBM) driving in soft soil. The interaction between the TBM-shield and the soil is also investigated. The analysis is based on monitoring data gathered during the construction of the Hubertus tunnel in The Hague,

Experimental Study on Post Grouting Bearing Capacity of Large Diameter Bored Piles

Directory of Open Access Journals (Sweden)

Wang Duanduan

2015-01-01

Full Text Available Post grouting can improve the inherent defects such as the formation of the mud cake at pile side and the sediment at pile end in the process of bored pile construction. Thus post grouting has been widely used in Engineering. The purpose of this paper is to research the influences of post grouting to pile bearing capacity more systematically and intuitively. Combined with the static load test of four test piles in Weihe River Bridge test area of new airport highway in Xi’an, the bearing capacity and settlement of routine piles and post grouting piles are comparatively analyzed. The test results show that under the same geological condition, post grouting can improve the properties of pile tip and pile shaft soil of bored piles significantly, enhance the ultimate resistance, improve the ultimate bearing capacity and reduce the pile tip settlement. Then post grouting can aim to optimize pile foundation.

Outcome of ultrasound-guided small-bore catheter drainage in exudative pleural effusions.

Science.gov (United States)

Kiranantawat, Nantaka; Sungsiri, Jitpreedee; Geater, Sarayut L

2014-05-01

To evaluate the outcome and safety of ultrasound-guided percutaneous catheter drainage of exudative pleural effusion. The present study was a retrospective analysis of 412 pleural effusions from 373 patients that underwent ultrasound-guided small-bore catheter drainage in exudative pleural effusions between 2004 and 2009. The two most common causes for drainage were parapneumonic effusion or empyema (52.2%) and malignant effusion (30.3%), while the remains were trauma, iatrogenic, and others. Overall clinical success rate was 76.5%. The success rate was lower among malignant pleural effusion (p = 0.003). Causes of effusion were the only independent predictors related to success. Only five (1.2%) patients developed complication during the procedure. Seventy-five of 412 effusions (15.8%) developed complication during the period of drainage; the majority were drain blockage (9%) and accidental dislodgment (4.1%). Ultrasound-guided small-bore catheter drainage was a safe and efficient procedure for exudative pleural effusions.

Determination of bore efficiency loss employed as powder in boral fabrication, proportionately to the dimension of grain; Determination de la reduction d'efficacite du bore ou d'un autre absorbeur employe sous forme de poudre dissemine dans un produit non absorbant, en fonction de la grosseur des grains

Energy Technology Data Exchange (ETDEWEB)

Laforge, P; Millot, J P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1957-07-01

Authors' mind was attracted by the importance of bore granulometry when employed as powder in boral fabrication. The calculation, object of this report, permits to give values for bore efficiency loss, proportionately to the dimension of spherical or ellipsoidal supposed grains. Grains to be employed should exceptionally only exceed 20 {mu} for a correspondent efficiency loss of 8 per cent about. (author) [French] L'attention des auteurs a ete attiree sur l'importance de la granulometrie du bore employe sous forme de poudre dans la fabrication du boral. Le calcul qui fait l'objet de ce rapport permet de chiffrer la perte d'efficacite du bore en fonction de la dimension des grains supposes spheriques ou ellipsoidaux. Les grains a employer ne devraient qu'exceptionnellement etre superieurs a 20 microns, ce qui correspond a une perte d'efficacite d'environ 8 pour cent. (auteur)

Evidence of cellulose digestion in the wood boring isopod Sphaeroma terebrans

Science.gov (United States)

Lori K. Benson; Stanley A. Rice; Bruce R. Johnson

1999-01-01

Sphaeroma terebrans Bate is a widespread estuarine, wood-boring, isopod found in red mangrove (Rhizophora mangle) forests of tropical and subtropical estuarine waters. Because it causes extensive damage to man-made structures in marine coastal zones and is resistant to common methods of wood preservation it is important to understand fully how S. terebrans uses the...

Seismic damping factors of small-bore piping as influenced by insulation and support elements

International Nuclear Information System (INIS)

Severud, L.K.; Anderson, M.J.; Barta, D.A.

1983-01-01

Seismic damping tests of a prototypical Liquid Metal Fast Breeder Reactor (LMFBR) small-bore piping system is described, and measured transient responses to pulse excitations are reported. The test specimen was representative of a typical LMFBR insulated small-bore piping system, and it was supported from a rigid test fame by prototypic dead-weight supports, mechanical snubbers, and pipe clamps. Various support configurations were tested to assess the reponse sensitivity to insulation and use of mechanical snubbers. Factors much higher than the magnitudes currently allowed in design, by the USNRC Regulatory Guide 1.61, were found. This verified the design values but also pointed out the possibility of undue conservatism and costly overdesign resulting from use of the present design values

A geostatistical estimation of zinc grade in bore-core samples

International Nuclear Information System (INIS)

Starzec, A.

1987-01-01

Possibilities and preliminary results of geostatistical interpretation of the XRF determination of zinc in bore-core samples are considered. For the spherical model of the variogram the estimation variance of grade in a disk-shape sample (estimated from the grade on the circumference sample) is calculated. Variograms of zinc grade in core samples are presented and examples of the grade estimation are discussed. 4 refs., 7 figs., 1 tab. (author)

Maintaining Masculinity in Mid-Twentieth-Century American Psychology: Edwin Boring, Scientific Eminence, and the "Woman Problem".

Science.gov (United States)

Rutherford, Alexandra

2015-01-01

Using mid-twentieth-century American psychology as my focus, I explore how scientific psychology was constructed as a distinctly masculine enterprise and was navigated by those who did not conform easily to this masculine ideal. I show how women emerged as problems for science through the vigorous gatekeeping activities and personal and professional writings of disciplinary figurehead Edwin G. Boring. I trace Boring's intellectual and professional socialization into masculine science and his efforts to understand women's apparent lack of scientific eminence, efforts that were clearly undergirded by preexisting and widely shared assumptions about men's and women's capacities and preferences.

Subsurface deposition of Cu-rich massive sulphide underneath a Palaeoproterozoic seafloor hydrothermal system—the Red Bore prospect, Western Australia

Science.gov (United States)

Agangi, Andrea; Reddy, S. M.; Plavsa, D.; Vieru, C.; Selvaraja, V.; LaFlamme, C.; Jeon, H.; Martin, L.; Nozaki, T.; Takaya, Y.; Suzuki, K.

2018-02-01

The Proterozoic Bryah and Yerrida basins of Western Australia contain important base and precious metal deposits. Here we present microtextural data, trace element and S isotope analyses of massive sulphide mineralisation hosted in Palaeoproterozoic subvolcanic rocks (dolerite) recently discovered at Red Bore. The small-scale high-grade mineralisation, which extends from the sub-surface to at least 95 m down-hole, is dominated by massive chalcopyrite and contains minor pyrite and Bi-Te-(Se) phases. Massive sulphide mineralisation is surrounded by discontinuous brecciated massive magnetite, and a narrow (data are permissive of a genetic association of Red Bore mineralisation with VHMS deposits nearby, thus suggesting a direct connection between magmatism and mineralising fluids responsible for VHMS deposition at surface. Therefore, the Red Bore mineralisation may represent the magmatic roots of a VHMS system.

The accordion gracilis muscle flap: a new design for coverage of recurrent and complicated ischeal pressure sores.

Science.gov (United States)

El-Sabbagh, Ahmed H

2011-10-01

Management of patients with large or recurrent pressure ulcerations can be complicated by the lack of available local flap, whether already used or because adjacent lesions make such flap insufficient for complete coverage. In this article, the gracilis muscle was modified to cover large defects without help from its cutaneous territory. Twelve ischeal pressure sores were treated between August 2007 and 2009 with the modified gracilis muscle flap in a single-staged procedure. Five ulcers were recurrent and seven patients have associated pressure ulcers. All reconstructions were successful. Mean patient age was 35 years and nearly all patients had multiple significant comorbidities, including associated ulcers, diabetes and urethrocutaneous fistula. All flaps and donor sites healed uneventfully. There was one complication presented as cellulites at the donor site. Follow-up in some cases extend up to 1·5 years. No recurrence was observed. The accordion gracilis muscle flap is a handy, safe and fast flap for reconstruction of recurrent, difficult ischeal pressure sores. © 2011 The Author. © 2011 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

The Boring Billion, a slingshot for Complex Life on Earth.

Science.gov (United States)

Mukherjee, Indrani; Large, Ross R; Corkrey, Ross; Danyushevsky, Leonid V

2018-03-13

The period 1800 to 800 Ma ("Boring Billion") is believed to mark a delay in the evolution of complex life, primarily due to low levels of oxygen in the atmosphere. Earlier studies highlight the remarkably flat C, Cr isotopes and low trace element trends during the so-called stasis, caused by prolonged nutrient, climatic, atmospheric and tectonic stability. In contrast, we suggest a first-order variability of bio-essential trace element availability in the oceans by combining systematic sampling of the Proterozoic rock record with sensitive geochemical analyses of marine pyrite by LA-ICP-MS technique. We also recall that several critical biological evolutionary events, such as the appearance of eukaryotes, origin of multicellularity & sexual reproduction, and the first major diversification of eukaryotes (crown group) occurred during this period. Therefore, it appears possible that the period of low nutrient trace elements (1800-1400 Ma) caused evolutionary pressures which became an essential trigger for promoting biological innovations in the eukaryotic domain. Later periods of stress-free conditions, with relatively high nutrient trace element concentration, facilitated diversification. We propose that the "Boring Billion" was a period of sequential stepwise evolution and diversification of complex eukaryotes, triggering evolutionary pathways that made possible the later rise of micro-metazoans and their macroscopic counterparts.

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

Directory of Open Access Journals (Sweden)

Seyed Hamid Reza Faiz

2014-01-01

Full Text Available 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 hysterectomy. Materials and Methods: 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. Results: 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 < 0.001. Conclusion: The pain scale after surgery was reduced by using both ketamine and benzydamine, but the ketamine effect was more noticeable.

The Effect of Pharyngeal Packing during Nasal Surgery on the Incidence of Post Operative Nausea, Vomiting, and Sore Throat

Directory of Open Access Journals (Sweden)

Ali Karbasfrushan

2014-10-01

Full Text Available Introduction: Nausea and vomiting after ear, nose and throat (ENT surgery is one of the most common and notable problems facing anesthesiologists in this area. This study was conducted to determine the effect of a pharyngeal pack on the severity of nausea, vomiting, and sore throat among patients after ear, pharynx, and throat surgeries.   Materials and Methods: This randomized clinical study was performed in 140 patients (61 men and 79 women; age range, 20–40 years who had undergone nasal surgery in 2010. Patients were divided into two groups: the first group were treated using a pharyngeal pack (case group and the second group were managed without a pharyngeal pack (control group. Statistical analysis was performed using the Chi-square test and the Mann-Whitney U test. SPSS software was used for data analysis.   Results: The mean severity of nausea and vomiting in the two groups was 2.057, 1.371 and 1.100, respectively, with no significant differences between groups. However, the mean severity of sore throat was 1.714 in the group with the pharyngeal pack and 1.385 in the group without pharyngeal pack (P=0.010.   Conclusion:  Not only does a pharyngeal pack in ENT surgery not reduce the extent and severity of nausea and vomiting, but it also increases the severity of sore throat in patients when leaving the recovery room and discharging hospital.

Interaction between groundwater and TBM (Tunnel Boring Machine) excavated tunnels

OpenAIRE

Font Capó, Jordi

2012-01-01

A number of problems, e.g. sudden inflows are encountered during tunneling under the piezometric level, especially when the excavation crosses high transmissivity areas. These inflows may drag materials when the tunnel crosses low competent layers, resulting in subsidence, chimney formation and collapses. Moreover, inflows can lead to a decrease in head level because of aquifer drainage. Tunnels can be drilled by a tunnel boring machine (TBM) to minimize inflows and groundwater impacts, restr...

Enhanced hole boring with two-color relativistic laser pulses in the fast ignition scheme

Energy Technology Data Exchange (ETDEWEB)

Yu, Changhai; Tian, Ye; Li, Wentao; Wang, Wentao; Zhang, Zhijun; Qi, Rong; Wang, Cheng [State Key Laboratory of High Field Laser Physics, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China); Deng, Aihua, E-mail: aihuadeng1985@gmail.com [Department of Physics and Astronomy, University of California, Los Angeles, California 90095 (United States); Liu, Jiansheng, E-mail: michaeljs-liu@siom.ac.cn [State Key Laboratory of High Field Laser Physics, Shanghai Institute of Optics and Fine Mechanics, Chinese Academy of Sciences, Shanghai 201800 (China); Collaborative Innovation Center of IFSA (CICIFSA), Shanghai Jiao Tong University, Shanghai 200240 (China)

2016-08-15

A scheme of using two-color laser pulses for hole boring into overdense plasma as well as energy transfer into electron and ion beams has been studied using particle-in-cell simulations. Following an ultra-short ultra-intense hole-boring laser pulse with a short central wavelength in extreme ultra-violet range, the main infrared driving laser pulse can be guided in the hollow channel preformed by the former laser and propagate much deeper into an overdense plasma, as compared to the case using the infrared laser only. In addition to efficiently transferring the main driving laser energy into energetic electrons and ions generation deep inside the overdense plasma, the ion beam divergence can be greatly reduced. The results might be beneficial for the fast ignition concept of inertial confinement fusion.

Seismic damping factors of small bore piping as influenced by insulation and support elements

International Nuclear Information System (INIS)

Severud, L.K.; Anderson, M.J.; Barta, D.A.

1985-01-01

Seismic damping tests of a prototypical Liquid Metal Fast Breeder Reactor (LMFBR) small bore piping system is described, and measured transient responses to pulse excitations are reported. The test specimen was representative of a typical LMFBR insulated small bore piping system, and it was supported from a rigid test frame by prototypic dead weight supports, mechanical snubbers, and pipe clamps. Various support configurations were tested to assess the response sensitivity to insulation and other nonlinear support characteristics. Damping factors increased significantly due to the insulation and use of mechanical snubbers. Factors much higher than the magnitudes currently allowed in design by the USNRC Regulatory Guide 1.61, were found. This verified the design values, and it also pointed out the possibility of undue conservatism and costly overdesign resulting from use of the present design values

Seismic damping factors of small bore piping as influenced by insulation and support elements

International Nuclear Information System (INIS)

Severud, L.K.; Barta, D.A.

1983-01-01

Seismic damping tests of a prototypical Liquid Metal Fast Breeder Reactor (LMFBR) small bore piping system is described, and measured transient responses to pulse excitations are reported. The test specimen was representative of a typical LMFBR insulated small bore piping system, and it was supported from a rigid test frame by prototypic dead weight supports, mechanical snubbers, and pipe clamps. Various support configurations were tested to assess the response sensitivity to insulation and other nonlinear support characteristics. Damping factors increased significantly due to the insulation and use of mechanical snubbers. Factors much higher than the magnitudes currently allowed in design, by the USNRC Regulatory Guide 1.61, were found. This verified the design values but also pointed out the possibility of undue conservatism and costly overdesign resulting from use of the present design values

[Plastic surgery treatment techniques for interdisciplinary therapy of pressure sores].

Science.gov (United States)

Müller, Karin; Becker, Frederic; Pfau, Matthias; Werdin, Frank

2017-06-01

Pressure sores in geriatric patients represent a challenge for all disciplines involved in the treatment process; however, the prerequisite for successful treatment is the elaboration of an interdisciplinary treatment concept. The treatment goals should be adapted to the individual needs of the patients including the life situation, general condition and local findings. In addition to general basic operative techniques, such as wound cleansing and conditioning, plastic and reconstructive surgery provides a wide range of highly specialized operative techniques for the treatment of these patients by which a definitive defect coverage can be achieved. The aim of this article is to raise awareness for these complex and highly specialized procedures for all disciplines participating in the treatment in order to improve the interdisciplinary cooperation and ultimately the quality of treatment.

Large-diameter boring of rock bed by a reveres circulation drill; Ribasu sakyureshon doriru ni yoru daikokei ganban sakko

Energy Technology Data Exchange (ETDEWEB)

Sakae, S.; Torii, K. [Kajima Corp., Tokyo (Japan); Hoshino, S.; Motoyama, M.

1995-09-25

The Itojima Large Bridge is a road bridge of 675 m in the total length connecting together the Nagashima Island and the Itojima Island in the northwest district of Kagoshima Prefecture, having a central span of 260 m and comprising a 5-span-continuous PC cable stayed bridges and PC box girder bridges. The foundation of this bridge employs a multi-pillar type pile structure. The piling work was started in July, 1991 by a hole inset method in a severe working environment where the depth of water is 20 m, the range of the tides is 4 m, the speed of tidal current is 2 kt, the rock bed structure is complicated and the steep seabed is steeply inclined. This report describes the results of the execution of the reverse circulation drilling, which has a high general versatility in rock bed boring, using self-lifting barges and large working boats during the rock bed boring for the foundation piling for the construction of the Itojima Large Bridge. The report, especially, also introduces the details of the work that casing pipes were driven into a stable rock bed by a vibrojet method for the measure against the collapse of a bore wall which occurred during the boring work. 24 figs., 14 tabs.

Borehole imaging tool detects well bore fractures

International Nuclear Information System (INIS)

Ma, T.A.; Bigelow, E.L.

1993-01-01

This paper reports on borehole imaging data which can provide high quality geological and petrophysical information to improve fracture identification, dip computations, and lithology determinations in a well bore. The ability to visually quantify the area of a borehole wall occupied by fractures and vugs enhances reservoir characterization and well completion operations. The circumferential borehole imaging log (CBIL) instrument is an acoustic logging device designed to produce a map of the entire borehole wall. The visual images can confirm computed dips and the geological features related to dip. Borehole geometry, including breakout, are accurately described by complete circumferential caliper measurements, which is important information for drilling and completion engineers. In may reservoirs, the images can identify porosity type, bedding characteristics, and petrophysical parameters

Nanopore Device for Reversible Ion and Molecule Sensing or Migration

Science.gov (United States)

Pourmand, Nader (Inventor); Vilozny, Boaz (Inventor); Actis, Paolo (Inventor); Seger, R. Adam (Inventor); Singaram, Bakthan (Inventor)

2015-01-01

Disclosed are methods and devices for detection of ion migration and binding, utilizing a nanopipette adapted for use in an electrochemical sensing circuit. The nanopipette may be functionalized on its interior bore with metal chelators for binding and sensing metal ions or other specific binding molecules such as boronic acid for binding and sensing glucose. Such a functionalized nanopipette is comprised in an electrical sensor that detects when the nanopipette selectively and reversibly binds ions or small molecules. Also disclosed is a nanoreactor, comprising a nanopipette, for controlling precipitation in aqueous solutions by voltage-directed ion migration, wherein ions may be directed out of the interior bore by a repulsing charge in the bore.

TMI-2 core boring machine

International Nuclear Information System (INIS)

Croft, K.M.; Helbert, H.J.; Laney, W.M.

1986-01-01

An important and essential aspect of the TMI-2 defueling effort is to determine what occurred in the core region during the accident. Remote cameras and probes only portray a portion of the overall picture. What lies beneath the rubble bed and solidified sublayer is, as yet, unknown. This paper discusses the TMI-2 Core Boring Machine, which has been developed to drill into the damaged core of the TMI-2 reactor and extract stratified samples of the core. This machine, its unique support structure, positioning and leveling systems, and specially designed drill bits, combine to provide a unique mechanical system. In addition, the machine is controlled by a microprocessor; which actually controls the drilling operation, allowing relatively inexperienced operators to drill the core samples. A data acquisition system is data integral with the controlling system and collects data relative to system conditions and monitored parameters during drilling. Data obtained during the actual drilling operations are collected in a data base which will be used for actual mapping of the core region, identifying materials and stratification levels that are present

Tunnel boring waste test plan

International Nuclear Information System (INIS)

Patricio, J.G.

1984-03-01

The test plan has been prepared in anticipation of the need to excavate certain repository openings by relying upon mechanical excavation techniques. The test plan proposes that specific technical issues can be resolved and key design parameters defined by excavating openings in basalt near the surface, utilizing a full face tunnel boring machine (TBM). The purpose and objective of this type of testing will define the overall feasibility and attributes of mechanical excavation in basalt. The test plan recognizes that although this technology is generally available for underground construction for some geologic settings, the current state of technology for excavation in basalt is limited and the potential for improvement is considerable. The test plan recommends that it is economically advantageous to conduct additional testing in the laboratory to allow refinement of this plan based on the laboratory results. Thus, this test plan is considered preliminary in nature, with respect to detailed testing recommendations. However, the gross design attributes and resource requirements of a near-surface TBM demonstration are considered to be valid. 15 refs., 7 figs., 3 tabs

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.

Generic methods for design of small-bore pipe supports

International Nuclear Information System (INIS)

Clark, G.L.; LaSalle, F.R.

1981-01-01

Large numbers of supports for small-bore, low-temperature pipe are utilized in nuclear power plants. These supports often must meet ASME code and project seismic design requirements. Detailed analysis for each support is time consuming and costly. This paper describes some economical generic methods developed to design and qualify supports for two-inch and smaller pipe operating at temperatures less than 300 0 F (185 0 C), on the Fast Flux Test Facility. Use of standard designs, standard support spacing tables, anchor bolt and baseplate considerations, and field qualification methods are discussed

Customer Overview of Pulsed Laser Heating for Evaluation of Gun Bore Materials

Science.gov (United States)

2015-05-01

properties of the gun bore materials. Ideally, well validated interior ballistics modeling has been carried out (typically with NOVA) to provide time...03002, February 2003. 5. J. Warrender, C. Mulligan, and J. Underwood , “Analysis of thermo-mechanical cracking in refractory coatings using variable pulse duration laser pulse heating,” Wear 263 1540 (2007).

Measurement of in-bore side loads and comparison to first maximum yaw

Directory of Open Access Journals (Sweden)

Donald E. Carlucci

2016-04-01

Full Text Available In-bore yaw of a projectile in a gun tube has been shown to result in range loss if the yaw is significant. An attempt was made to determine if relationships between in-bore yaw and projectile First Maximum Yaw (FMY were observable. Experiments were conducted in which pressure transducers were mounted near the muzzle of a 155 mm cannon in three sets of four. Each set formed a cruciform pattern to obtain a differential pressure across the projectile. These data were then integrated to form a picture of what the overall pressure distribution was along the side of the projectile. The pressure distribution was used to determine a magnitude and direction of the overturning moment acting on the projectile. This moment and its resulting angular acceleration were then compared to the actual first maximum yaw observed in the test. The degree of correlation was examined using various statistical techniques. Overall uncertainty in the projectile dynamics was between 20% and 40% of the mean values of FMY.

Enhanced Automated Guidance System for Horizontal Auger Boring Based on Image Processing.

Science.gov (United States)

Wu, Lingling; Wen, Guojun; Wang, Yudan; Huang, Lei; Zhou, Jiang

2018-02-15

Horizontal auger boring (HAB) is a widely used trenchless technology for the high-accuracy installation of gravity or pressure pipelines on line and grade. Differing from other pipeline installations, HAB requires a more precise and automated guidance system for use in a practical project. This paper proposes an economic and enhanced automated optical guidance system, based on optimization research of light-emitting diode (LED) light target and five automated image processing bore-path deviation algorithms. An LED light target was optimized for many qualities, including light color, filter plate color, luminous intensity, and LED layout. The image preprocessing algorithm, direction location algorithm, angle measurement algorithm, deflection detection algorithm, and auto-focus algorithm, compiled in MATLAB, are used to automate image processing for deflection computing and judging. After multiple indoor experiments, this guidance system is applied in a project of hot water pipeline installation, with accuracy controlled within 2 mm in 48-m distance, providing accurate line and grade controls and verifying the feasibility and reliability of the guidance system.

Primary Signet Ring Cell Carcinoma of Rectum Diagnosed by Boring Biopsy in Combination with Endoscopic Mucosal Resection

Directory of Open Access Journals (Sweden)

Yoshito Hirata

2018-01-01

Full Text Available A 46-year-old man with severe back pain visited our hospital. Magnetic resonance imaging revealed extensive bone metastasis and rectal wall thickness. Colonoscopy revealed circumferential stenosis with edematous mucosa, suggesting colon cancer. However, histological findings of biopsy specimens revealed inflammatory cells but no malignant cells. The patient underwent endoscopic ultrasound, which demonstrated edematous wall thickness without destruction of the normal layer structure. After unsuccessful detection of neoplastic cells by boring biopsies, we performed endoscopic mucosal resection followed by boring biopsies that finally revealed signet ring cell carcinoma. Herein, we present a case and provide a review of the literature.

Effects of acupuncture on symptoms and muscle function in delayed-onset muscle soreness.

Science.gov (United States)

Hübscher, Markus; Vogt, Lutz; Bernhörster, Marcus; Rosenhagen, Andreas; Banzer, Winfried

2008-10-01

This study was done to investigate the effects of a standardized acupuncture treatment on symptoms and muscle function in exercise-induced delayed-onset muscle soreness (DOMS). A prospective, randomized, controlled, observer and subject-blinded trial was undertaken. Twenty-two (22) healthy subjects (22-30 years; 10 males and 12 females) were randomly assigned to three treatment groups: real acupuncture (deep needling at classic acupuncture points and tender points; n = 7), sham-acupuncture (superficial needling at nonacupuncture points; n = 8), and control (no needling; n = 7). DOMS of the nondominant elbow-flexors was experimentally induced through eccentric contractions until exhaustion. The outcome measures were pain perception (visual analogue scale; VAS; range: 0-10 cm), mechanical pain threshold (MPT; pressure algometer), and maximum isometric voluntary force (MIVF; force transducer). Treatment was applied immediately, 24 and 48 hours after DOMS induction. Measurements of MPT and MIVF were made prior to DOMS induction as well as before and after every treatment session. VAS data were acquired after DOMS induction as well as pre- and post-treatment. Final pain, MPT, and MIVF measurements were performed 72 hours after DOMS induction. Following nonparametric testing, there were no significant differences between groups in outcome measures at baseline. After 72 hours, pain perception (VAS) was significantly lower in the acupuncture group compared to the sham acupuncture and control subjects. However, the mean MPT and MIVF scores were not significantly different between groups. Although acupuncture seemed to have no effects on mechanical pain threshold and muscle function, it proved to reduce perceived pain arising from exercise-induced muscle soreness.

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

Randomized clinical study comparing Compeed (R) cold sore patch to acyclovir cream 5% in the treatment of herpes simplex labialis

DEFF Research Database (Denmark)

Karlsmark, T.; Goodman, J.J.; Drouault, Y.

2008-01-01

Background Hydrocolloid technology has been proven effective in treating dermal wounds. A previous study showed that a newly developed thin hydrocolloid patch [Compeed (R) cold sore patch (CSP)] provided multiple wound-healing benefits across all stages of a herpes simplex labialis (HSL) outbreak...

Influence of ethanol as bore fluid component on the morphological structure and performance of PES hollow fiber membrane for oil in water separation

Energy Technology Data Exchange (ETDEWEB)

Otitoju, Tunmise Ayode; Ahmad, Abdul Latif; Ooi, Boon Seng [Universiti Sains Malaysia, Penang (Malaysia)

2017-10-15

The relationships among varying bore fluid compositions containing ethanol/water were studied. The ethanol composition was varied in the ratio of 0%, 25%, 50%, 75% and 100%. The membrane dope solutions were prepared from 17.25 wt% polyethersulfone (PES), 0.75 wt% polyethylene glycol (PEG), 3 wt% silicon dioxide sol and 78.25 wt% of 1-methyl-2-pyrrolidone (NMP) via dry-jet spinning process. The membranes’ morphology as a result of varying ethanol ratio in the bore fluid composition was characterized and their effects on crude oil/water emulsion separation were evaluated. Results show that the membrane pore size and porosity decreased with increasing ethanol content in the bore fluid mixture, whereas the inner wall thickness of fibers increased. Furthermore, an increase in ethanol concentration also resulted in a slight increase in water contact angle. The use of 100/0 of ethanol/water resulted in UF membranes with the lowest performance. On the other hand, bore fluid mixture containing 25/75 ethanol/water produced membrane with the best performance for crude oil/water separation. Overall, the use of bore fluid mixture containing 25/75 ethanol/water mixture was found to be a powerful way to tune the morphological properties and performance of HF membrane.

Influence of ethanol as bore fluid component on the morphological structure and performance of PES hollow fiber membrane for oil in water separation

International Nuclear Information System (INIS)

Otitoju, Tunmise Ayode; Ahmad, Abdul Latif; Ooi, Boon Seng

2017-01-01

The relationships among varying bore fluid compositions containing ethanol/water were studied. The ethanol composition was varied in the ratio of 0%, 25%, 50%, 75% and 100%. The membrane dope solutions were prepared from 17.25 wt% polyethersulfone (PES), 0.75 wt% polyethylene glycol (PEG), 3 wt% silicon dioxide sol and 78.25 wt% of 1-methyl-2-pyrrolidone (NMP) via dry-jet spinning process. The membranes’ morphology as a result of varying ethanol ratio in the bore fluid composition was characterized and their effects on crude oil/water emulsion separation were evaluated. Results show that the membrane pore size and porosity decreased with increasing ethanol content in the bore fluid mixture, whereas the inner wall thickness of fibers increased. Furthermore, an increase in ethanol concentration also resulted in a slight increase in water contact angle. The use of 100/0 of ethanol/water resulted in UF membranes with the lowest performance. On the other hand, bore fluid mixture containing 25/75 ethanol/water produced membrane with the best performance for crude oil/water separation. Overall, the use of bore fluid mixture containing 25/75 ethanol/water mixture was found to be a powerful way to tune the morphological properties and performance of HF membrane.

Optical probe for porosity defect detection on inner diameter surfaces of machined bores

Science.gov (United States)

Kulkarni, Ojas P.; Islam, Mohammed N.; Terry, Fred L.

2010-12-01

We demonstrate an optical probe for detection of porosity inside spool bores of a transmission valve body with diameters down to 5 mm. The probe consists of a graded-index relay rod that focuses a laser beam spot onto the inner surface of the bore. Detectors, placed in the specular and grazing directions with respect to the incident beam, measure the change in scattered intensity when a surface defect is encountered. Based on the scattering signatures in the two directions, the system can also validate the depth of the defect and distinguish porosity from bump-type defects coming out of the metal surface. The system can detect porosity down to a 50-μm lateral dimension and ~40 μm in depth with >3-dB contrast over the background intensity fluctuations. Porosity detection systems currently use manual inspection techniques on the plant floor, and the demonstrated probe provides a noncontact technique that can help automotive manufacturers meet high-quality standards during production.

Importance of diagnostic laboratory methods of beta hemolytic streptococcus group A in comparison with clinical findings in the diagnosis of streptococcal sore throat and unnecessary antibacterial therapy

Directory of Open Access Journals (Sweden)

Peiman Eini

2012-04-01

Full Text Available Background: Streptococcus Pyogenes (group A streptococcus, GAS is the most important cause of bacterial pharyngitis in children and adolescents. Acute pharyngitis is one of the most common conditions in all ages but it is most common in children. Over diagnosis of acute pharyngitis represents one of the major causes of antibiotic abuse. The goal of this study is to make an estimate of the frequency of group A streptococcus in sore throat patients in Farshchian hospital emergency department and clinic in Hamadan. Methods: For estimation of the clinical features role in diagnosis of streptococcal sore throat, we took samples of 100 patients with average age of 32.96±29.86 years with sore throat. We took samples from pharynx and used standard methods of bacteriology in order to detect streptococcus. Results: Group A Streptococcus (GAS accounts for 3 percent of all cases of pharyngitis. Clinically, all of the patients had sore throat. The percent breakdowns are as follows: 30% had exudate, 78% had fever, 8% had lymphadenopathy and 7.7 percent of exudative pharyngitis was streptococcal. The cost for unnecessary antibiotic therapy for every single patient who had negative pharynx culture was approximately 32160 Rails. Conclusion: The low frequency of streptococcus pharyngitis in treated patients reveal that diagnosis based on clinical features is not reliable. We recommend use of other diagnostic methods such as Rapid Antigen Detection Tests (RATs. Only reliable and scientific protocols for antibiotic to therapy.

A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres.

Science.gov (United States)

Bulfone, Giampiera; Marzoli, Ilaria; Quattrin, Rosanna; Fabbro, Carmen; Palese, Alvisa

2012-02-01

To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.3 years (range 20-87), 12.7% (13/102) developed a pressure ulcer in the operating theatre; 46.1% (6/13) of these ulcers were still present on the third postoperative day. Some health conditions (diabetes mellitus, cardiac diseases) and intra-operative factors (lying on the operating table for more than 6.15 hours, intraoperative hypothermia) are associated with the occurrence of pressure sores.

Construction of a cylindrical brine test room using a tunnel boring machine

International Nuclear Information System (INIS)

Likar, V.F.; Burrington, T.P.

1990-01-01

This paper discusses the construction of a horizontal cylindrical brine test room at the Waste Isolation Pilot Plant (WIPP). The room was constructed in the bedded salt formation at a depth of 655 meters with a tunnel boring machine. The machine leasing technical and operational management, parameters involved, and successful completion of this effort are included. 3 figs

Construction of a cylindrical brine test room using a tunnel boring machine

International Nuclear Information System (INIS)

Likar, V.F.; Burrington, T.P.

1990-01-01

This paper discusses the construction of a horizontal cylindrical brine test room at the Waste Isolation Pilot Plant (WIPP). The room was constructed in the bedded salt formation at a depth of 655 meters with a tunnel boring machine. The machine leasing, technical and operational management, parameters involved, and successful completion of this effort are included. 3 figs

Analysis and separation of boron isotopes; Analyse et separation des isotopes du bore

Energy Technology Data Exchange (ETDEWEB)

Perie, M [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1966-11-01

The nuclear applications of boron-10 justify the study of a method of measurement of its isotopic abundance as well as of very small traces of boron in different materials. A systematic study of thermionic emission of BO{sub 2}Na{sub 2}{sup +} has been carried out. In the presence of a slight excess of alkalis, the thermionic emission is considerably reduced. On the other hand, the addition of a mixture of sodium hydroxide-glycerol (or mannitol) to borax permits to obtain an intense and stable beam. These results have permitted to establish an operative method for the analysis of traces of boron by isotopic dilution. In other respects, the needs of boron-10 in nuclear industry Justify the study of procedures of separation of isotopes of boron. A considerable isotopic effect has been exhibited in the chemical exchange reaction between methyl borate and borate salt in solution. In the case of exchange between methyl borate and sodium borate, the elementary separation factor {alpha} is: {alpha}=(({sup 11}B/{sup 10}B)vap.)/(({sup 11}B/{sup 10}B)liq.)=1.03{sub 3}. The high value of this elementary effect has been multiplied in a distillation column in which the problem of regeneration of the reactive has been resolved. An alternative procedure replacing the alkali borate by a borate of volatile base, for example diethylamine, has also been studied ({alpha}=1,02{sub 5} in medium hydro-methanolic with 2,2 per cent water). (author) [French] Les applications nucleaires du bore 10 justifient l'etude d'une methode de mesure de son abondance isotopique dans divers materiaux ainsi que le dosage de tres faibles traces de bore. Une etude systematique de l'emission thermoionique de BO{sub 2} Na{sub 2}{sup +} a ete effectuee. En presence d'un leger exces d'alcalins, l'emission thermoionique est considerablement reduite. Par contre l'addition au borax d'un melange soude-glycerol (ou mannitol) permet d'obtenir un faisceau stable et intense. Ces resultats ont permis d'etablir un mode

Seismic monitoring experiment of raise boring in 2014

International Nuclear Information System (INIS)

Saari, J.; Malm, M.

2015-01-01

In Olkiluoto, Posiva Oy has operated a local seismic network since February 2002. The purpose of the microearthquake measurements at Olkiluoto is to improve understanding of the structure, behaviour and long term stability of the bedrock. The studies include both tectonic and excavation-induced microearthquakes. An additional task of monitoring is related to safeguarding of ONKALO. The possibility to excavate an illegal access to ONKALO has been concerned when the safeguards are discussed. Therefore all recorded explosions in the Olkiluoto area and in ONKALO are located. If a concentration of explosions is observed, the origin of that is found out. Also a concept of hidden illegal explosions, detonated at the same time as the real excavation blasts, has been examined. According to the experience gained in Olkiluoto, it can be concluded that, as long the seismic network is in operation and the results are analysed by a skilled person, it is practically impossible to do illegal undetected excavation by blasting within the Olkiluoto seismic network area. In this report a possibility of seismic monitoring of undeclared excavation done by tunnel boring machine (TBM) has been investigated. In the earlier investigations the instruments were at the ground surface and the sensors were triaxial short period (1 Hz) geophones or broadband geophones. The characteristics (frequency content, polarity and amplitude) of the continuous seismic vibration generated by TMB were studied. The onset time of the seismic signal were not distinguished. Altogether 16 new 10 kHz accelerometers were installed in boreholes inside ONKALO March 2012. The sensors comprised a new subnetwork that monitored the raise boring of two shafts done 2014, from the level -455 m to the level -290 m. The aim was to record the seismic signal generated when the drill bit hits the rock at the moment the tunnel boring begins. Altogether 113 seismic signals generated by the drill bit were located during the

Seismic monitoring experiment of raise boring in 2014

Energy Technology Data Exchange (ETDEWEB)

Saari, J.; Malm, M. [AaF-Consult Oy, Espoo (Finland)

2015-01-15

In Olkiluoto, Posiva Oy has operated a local seismic network since February 2002. The purpose of the microearthquake measurements at Olkiluoto is to improve understanding of the structure, behaviour and long term stability of the bedrock. The studies include both tectonic and excavation-induced microearthquakes. An additional task of monitoring is related to safeguarding of ONKALO. The possibility to excavate an illegal access to ONKALO has been concerned when the safeguards are discussed. Therefore all recorded explosions in the Olkiluoto area and in ONKALO are located. If a concentration of explosions is observed, the origin of that is found out. Also a concept of hidden illegal explosions, detonated at the same time as the real excavation blasts, has been examined. According to the experience gained in Olkiluoto, it can be concluded that, as long the seismic network is in operation and the results are analysed by a skilled person, it is practically impossible to do illegal undetected excavation by blasting within the Olkiluoto seismic network area. In this report a possibility of seismic monitoring of undeclared excavation done by tunnel boring machine (TBM) has been investigated. In the earlier investigations the instruments were at the ground surface and the sensors were triaxial short period (1 Hz) geophones or broadband geophones. The characteristics (frequency content, polarity and amplitude) of the continuous seismic vibration generated by TMB were studied. The onset time of the seismic signal were not distinguished. Altogether 16 new 10 kHz accelerometers were installed in boreholes inside ONKALO March 2012. The sensors comprised a new subnetwork that monitored the raise boring of two shafts done 2014, from the level -455 m to the level -290 m. The aim was to record the seismic signal generated when the drill bit hits the rock at the moment the tunnel boring begins. Altogether 113 seismic signals generated by the drill bit were located during the

A Dual Operational Refrigerator/Flow Cryostat with Wide Bore Medium Field Magnet for Application Demonstration

Science.gov (United States)

Young, E. A.; Bailey, W. O. S.; Al-Mosawi, M. K.; Beduz, C.; Yang, Y.; Chappell, S.; Twin, A.

Since stand alone cryocooler systems have become more widely available, there has been increased commercial interest in superconductor applications in the temperature range intermediate to liquid helium and liquid nitrogen. There are however few facilities that have large in-field bore size with variable temperatures. A large bore system can reduce costs associated with full scale demonstration magnets by testing smaller coils and qualify medium length (up to meters) conductors. A 5 T, wide bore, (170 mm) Nb3Sn Oxford Instrument magnet has been integrated into a custom built dual mode refrigerator/helium flow cryostat with 600A HTS current leads. In one mode the system can be used with zero field without cost of liquid helium relying for cooling on a Sumitomo GM cryocooler with 1.5W at 4.2K: (no He) this can be used either as the sole characterisation method, or as a preliminary check before more expensive and extensive measurements are taken. The first measurements using MgB2 wire from 10 to 20K were made using a transient current step of ∼5s duration, as opposed to a DC measurement. This has the advantage of not requiring thermal equilibrium to be achieved at nominal current. The feasibility of this technique for determining critical transport properties is discussed.

Respiratory-Gated MRgHIFU in Upper Abdomen Using an MR-Compatible In-Bore Digital Camera

Directory of Open Access Journals (Sweden)

Vincent Auboiroux

2014-01-01

Full Text Available Objective. To demonstrate the technical feasibility and the potential interest of using a digital optical camera inside the MR magnet bore for monitoring the breathing cycle and subsequently gating the PRFS MR thermometry, MR-ARFI measurement, and MRgHIFU sonication in the upper abdomen. Materials and Methods. A digital camera was reengineered to remove its magnetic parts and was further equipped with a 7 m long USB cable. The system was electromagnetically shielded and operated inside the bore of a closed 3T clinical scanner. Suitable triggers were generated based on real-time motion analysis of the images produced by the camera (resolution 640×480 pixels, 30 fps. Respiratory-gated MR-ARFI prepared MRgHIFU ablation was performed in the kidney and liver of two sheep in vivo, under general anaesthesia and ventilator-driven forced breathing. Results. The optical device demonstrated very good MR compatibility. The current setup permitted the acquisition of motion artefact-free and high resolution MR 2D ARFI and multiplanar interleaved PRFS thermometry (average SNR 30 in liver and 56 in kidney. Microscopic histology indicated precise focal lesions with sharply delineated margins following the respiratory-gated HIFU sonications. Conclusion. The proof-of-concept for respiratory motion management in MRgHIFU using an in-bore digital camera has been validated in vivo.

A Shear-Wave Seismic System to Look Ahead of a Tunnel Boring Machine

NARCIS (Netherlands)

Bharadwaj, Pawan; Drijkoningen, G.G.; Mulder, W.A.; Tscharner, Thomas; Jenneskens, Rob

2016-01-01

The Earth’s properties, composition and structure ahead of a tunnel boring machine (TBM) should be mapped for hazard assessment during excavation. We study the use of seismic-exploration techniques for this purpose. We focus on a seismic system for soft soils, where shear waves are better and easier

Ultra narrow bore thick film capillaries for microcolumn separations. Part 1. GC experiments

NARCIS (Netherlands)

Steenackers, D.; Sandra, P.J.F.; Sandra, P.; Devos, G.

1993-01-01

Ultra narrow bore (50 mum 1.0.) fused silica columns were statically coated with apolar stationary phases to obtain beta values ranging from 6.25 to 50 (filmthickness 2 to 0.25 mum). Performance of the 1 and 2 mum columns in Capillary Gas Chromatography (CGC) is highlighted.

Stakeholders' views of recurrent sore throat, tonsillitis and their management: a qualitative interview study for the NAtional Trial of Tonsillectomy IN Adults (NATTINA Part 1).

Science.gov (United States)

McSweeney, L A; Rousseau, N S; Wilson, J A; Wilkes, S; Haighton, C A

2017-04-01

To determine the impact of recurrent sore throats and tonsillitis in adults and stakeholder views of treatment pathways. Qualitative semistructured interview design reporting novel data from a feasibility study for a UK national trial of tonsillectomy in adults. Nine study sites linked to ear, nose and throat departments in National Health Service hospitals located across the United Kingdom. Fifteen patients, 11 general practitioners and 22 ear, nose and throat staff consented to in-depth interviews, which were analysed using a framework analysis approach. Views of stakeholder groups. Recurrent sore throats were reported to severely impact patients' family, work and social life. Ear, nose and throat staff stated that patients faced increasing barriers to secondary care service access. General practitioners were under pressure to reduce 'limited clinical value' surgical procedures. The findings from this study suggest that there is a disconnect between the attitudes of the stakeholders and the reality of recurrent sore throat, tonsillectomy procedures and service provision. More evidence for the role of tonsillectomy is needed from randomised controlled trials to determine whether it should continue to be ranked as a procedure of limited clinical effectiveness. © 2016 John Wiley & Sons Ltd.

An MRI-Conditional External Cardiac Defibrillator for Resuscitation Within the MRI Scanner Bore

Science.gov (United States)

Schmidt, Ehud J.; Watkins, Ronald D.; Zviman, Menekhem M.; Guttman, Michael A.; Wang, Wei; Halperin, Henry A.

2016-01-01

Background Subjects undergoing cardiac arrest within an MRI scanner are currently removed from the bore and then from the MRI suite, prior to delivery of CPR and defibrillation, potentially increasing risk of mortality. This precludes many higher-risk (acute-ischemic, acute-stroke) patients from undergoing MRI imaging and MRI-guided intervention. An MRI-conditional cardiac defibrillator should enable scanning with defibrillation pads attached and the generator ON, enabling application of defibrillation within the MRI seconds after a cardiac event. An MRI-conditional external defibrillator may improve patient acceptance for MRI procedures. Methods and Results A commercial external defibrillator was rendered 1.5 Tesla MRI-conditional by addition of novel Radio-Frequency (RF) filters between the generator and commercial disposable surface-pads. The RF filters reduced emission into the MRI scanner, and prevented cable/surface-pad heating during imaging, while preserving all the defibrillator’s monitoring and delivery functions. Human volunteers were imaged using high Specific-Absorption-Rate sequences to validate MRI image quality (IQ) and lack of heating. Swine were electrically fibrillated (N=4) and thereafter defibrillated both outside and inside the MRI bore. MRI IQ was reduced by 0.8 or 1.6 dB, with the generator in monitoring mode and operating on battery or AC power, respectively. Commercial surface-pads did not create artifacts deeper than 6mm below the skin surface. RF heating was within FDA guidelines. Defibrillation was completely successful inside and outside the MRI bore. Conclusions A prototype MRI-conditional defibrillation system successfully defibrillated in the MRI without degrading image quality, or increasing the time needed for defibrillation. It can increase patient acceptance for MRI procedures. PMID:27729363

Combined V-Y Fasciocutaneous Advancement and Gluteus Maximus Muscle Rotational Flaps for Treating Sacral Sores

Directory of Open Access Journals (Sweden)

Hyun Ho Han

2016-01-01

Full Text Available The sacral area is the most common site of pressure sore in bed-ridden patients. Though many treatment methods have been proposed, a musculocutaneous flap using the gluteus muscles or a fasciocutaneous flap is the most popular surgical option. Here, we propose a new method that combines the benefits of these 2 methods: combined V-Y fasciocutaneous advancement and gluteus maximus muscle rotational flaps. A retrospective review was performed for 13 patients who underwent this new procedure from March 2011 to December 2013. Patients’ age, sex, accompanying diseases, follow-up duration, surgical details, complications, and recurrence were documented. Computed tomography was performed postoperatively at 2 to 4 weeks and again at 4 to 6 months to identify the thickness and volume of the rotational muscle portion. After surgery, all patients healed within 1 month; 3 patients experienced minor complications. The average follow-up period was 13.6 months, during which time 1 patient had a recurrence (recurrence rate, 7.7%. Average thickness of the rotated muscle was 9.43 mm at 2 to 4 weeks postoperatively and 9.22 mm at 4 to 6 months postoperatively (p=0.087. Muscle thickness had not decreased, and muscle volume was relatively maintained. This modified method is relatively simple and easy for reconstructing sacral sores, provides sufficient padding, and has little muscle donor-site morbidity.

Protocol for north of England and Scotland study of tonsillectomy and adeno-tonsillectomy in children (NESSTAC). A pragmatic randomised controlled trial comparing surgical intervention with conventional medical treatment in children with recurrent sore throats.

Science.gov (United States)

Bond, John; Wilson, Janet; Eccles, Martin; Vanoli, Alessandra; Steen, Nick; Clarke, Ray; Zarod, Andrew; Lock, Catherine; Brittain, Katie; Speed, Chris; Rousseau, Nikki

2006-08-09

Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4-15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001-July 2008). As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in consultation rates, the results from the National Prospective Tonsillectomy

Protocol for north of England and Scotland study of tonsillectomy and adeno-tonsillectomy in children (NESSTAC. A pragmatic randomised controlled trial comparing surgical intervention with conventional medical treatment in children with recurrent sore throats

Directory of Open Access Journals (Sweden)

Lock Catherine

2006-08-01

Full Text Available Abstract Background Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. Methods/design A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4–15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001- July 2008. Discussion As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in

Interpretation of Geological Correlation Borings 1, 2, 3 in the A/M Area of the Savannah River Site, South Carolina

International Nuclear Information System (INIS)

Wyatt, D.E.; Cumbest, R.J.; Aadland, R.K.; Syms, F.H.; Stephenson, D.E.; Sherrill, J.C.

1997-06-01

The Geophysical Correlation Boring (GCB) Program was organized to provide a comprehensive correlation capability between geological core and advanced borehole geophysical data, surface high resolution reflection seismic information and, when available, borehole geochemical and cone penetrometer data. This report provides results and initial geological interpretations of borings one, two, and three (GCB-1, GCB-2, GCB-3) located within the Upper Three Runs Watershed (A/M Area) of the Savannah River Site

An Intense Traveling Airglow Front in the Upper Mesosphere-Lower Thermosphere with Characteristic of a Turbulent Bore Observed over Alice Springs, Australia

Science.gov (United States)

Walterscheid, R. L.; Hecht, J. H.; Hickey, M. P.; Gelinas, L. J.; Vincent, R. A.; Reid, I. M.; Woithe, J.

2010-12-01

The Aerospace Corporation’s Nightglow Imager observed a large step-function change in airglow in the form of a traveling front in the OH and O2 airglow emissions over Alice Springs Australia on February 2, 2003. The front exhibited a stepwise increase of nearly a factor two in the OH brightness and a stepwise decrease in the O2 brightness. The change in brightness in each layer was associated with a strong leading disturbance followed by a train of weak barely visible waves. The OH airglow brightness behind the front was the brightness night for 02 at Alice Springs that we have measured in seven years of observations. The OH brightness was among the five brightest. The event was associated with a strong phase-locked two-day wave (TDW).We have analyzed the stability conditions for the upper mesosphere and lower thermosphere and found that the airglow layers were found in a region of strong ducting. The thermal structure was obtained from combining data from the SABER instrument on the TIMED satellite and the NRLMSISE-00 model. The wind profile was obtained by combining the HWM07 model and MF radar winds from Buckland Park Australia. We found that the TDW-disturbed profile was significantly more effective in supporting a high degree of ducting than a profile based only on HWM07 winds. Dramatic wall events have been interpreted as manifestations of undular bores (e.g., Smith et al. [2003]). Undular bores are nonlinear high Froude number events that must generate an ever increasing train of waves to carry the excess energy away from the bore front. Only a very weak wave train behind the initial disturbance was seen for the Alice Springs event. The form of the amplitude ordering was not typical of a nonlinear wave train. Therefore a bore interpretation requires another means of energy dissipation, namely turbulent dissipation. We suggest that a reasonable interpretation of the observed event is a turbulent bore. We are unaware of any previous event having

Bored tunnel storage of nuclear waste

International Nuclear Information System (INIS)

Penberthy, L.

1983-01-01

Contrary to the current emphasis on deep geologic disposal of high-level nuclear waste, simple bored tunnels offer many advantages. Much lower cost is important in this period of severe budget crisis. Recoverability is feasible from a tunnel in a mountain, but dubious from a flooded mine 3000 ft deep. It is quite possible that the world will need the breeder energy cycle urgently 200 years from now. In the writer's opinion, it would be a sin for our generation to make so much fertile and fissile uranium fuel unavailable for future generations. Storage conditions in a near-surface repository are much better than deep because the temperature can be kept down, pressure will be atmospheric instead of potentially 1200 psi, and flooding will not occur. The so-called ''hydrothermal'' conditions are thus completely avoided. Accordingly, endless studies of hydrogeology, water pathway times, waste-host rock interactions and the like are unnecessary, and the time for action is much shorter

[The practice guideline 'Sore throat' (second revision) from the Dutch College of General Practitioners; a response from the perspective of otorhinolaryngology

NARCIS (Netherlands)

Marres, H.A.M.

2008-01-01

In this comment, the practice guideline 'Sore throat' (second revision) is discussed. This guideline, composed by the Dutch College of General Practitioners, offers general practitioners a well-appreciated overview of the common practices regarding diagnostic tests and treatment of pharyngitis and

Frictional effects between Overton sand and a simulated casing for a bore hole

International Nuclear Information System (INIS)

Dong, R.G.

1975-01-01

A series of tests were run to simulate the frictional effects between Overton sand and the casing for a bore hole for an underground nuclear test. The objective was to find a description for this frictional interaction which can be applied to an analysis of stemming materials under field conditions

A research for Class II defect Bored Pile’s Accept Criteria: A case of Penang Second Marine bridge

Science.gov (United States)

Huang, Kang

2018-03-01

The aim of this preliminary research is to study the accept criteria of class II bored pile with subtle defect. According to a detailed comparison of the existed different standards, Chinese ones are more applicable especially for the large diameter bored piles. Through the concrete coring at pile No P25-03 of this case and the comparison to the actual calculation, the Class II pile’s defects were very minor. Comparison was also made for the effects on pile structural capacities before and after repair of the defects. the feasible repair proposal may bring forward to more defects to the piles. The Class II piles don’t need any further repairation when piles have typical of similar character and sonic logging test result with P25-03‘s one. For other Class II piles with some differences in characters, verification is needed through further concrete coring on the pile. The recommendation of this research could be adopted for the similar huge marine structures which installed large diameter bored piles.

An Account on marine wood-boring organisms of offshore waters of Bombay High, India

Digital Repository Service at National Institute of Oceanography (India)

Wagh, A.B.; Raveendran, T.V.

An incidence of wood-boring organisms in a water column of 75 meters depth, 160 km off the Bombay coast is reported. The destruction of untreated panels of mango wood exposed for periods varying from 1-12 months was caused by eight species...

Long-term influence of multiple heat extraction bore-holes; programme 3-D FRACTure and comparison with a g-function calculated with the SBM programme

Energy Technology Data Exchange (ETDEWEB)

Brenni, R.; Kohl, Th. [Eidgenoessische Technische Hochschule (ETH), Institut fuer Geophysik, Hoenggerberg (Switzerland); Pahud, D. [Scuola universitaria professionale della Svizzera italiana (SUPSI), Dipartimento delle costruzioni e del territorio (DCT), Laboratorio di energia, ecologia ed economia LEEE, Canobbio (Switzerland)

2001-07-01

For typical bore-hole heat exchangers (length of about 100 m), the long-term influence of neighbouring bore-hole heat exchangers normally appears after several years of operation, and approaches asymptotically a stationary state. Depending on the number of bore-holes involved, it may take from several tens up to several hundred of years before the magnitude of the influence stabilises. Under these conditions it is difficult to collect measurements of thermally interacting bore-hole heat exchangers. However, there is a need to be able to answer the question of the long-term influence of neighbouring borehole heat exchangers, as this situation is supposed to occur more often in the future, as the number of ground-coupled heat pump systems (GCHP system) steadily increases with time. This topic needs also to be studied if themes such as 'neighbour rights' or sustainability related to GCHP system are discussed. This report is focused on the first phase of the project, whose objective is to check the g-function calculation with a more detailed programme. Three bore-holes on an equilateral triangle is the borehole configuration chosen for the comparison between the two computer programmes FRACTure and SBM. SBM is used in the g-function mode, in order to test the concept of g-function against the more detailed programme FRACTure. The agreement between the results obtained with the two programmes indicates that for typical 100 m deep bore-holes the g-function analysis provides fast and sufficiently accurate results. (author)

Grouting guidelines for Hanford Tanks Initiative cone penetrometer borings

International Nuclear Information System (INIS)

Iwatate, D.F.

1998-01-01

Grouting of an open cone penetrometer (CP) borehole is done to construct a barrier that prevents the vertical migration of fluids and contaminants between geologic units and aquifers intersected by the boring. Whether to grout, the types of grout, and the method of deployment are functions of the site-specific conditions. This report recommends the strategy that should be followed both before and during HTI [Hanford Tanks Initiative] CP deployment to decide specific borehole grouting needs at Hanford SST farms. Topics discussed in this report that bear on this strategy include: Regulatory guidance, hydrogeologic conditions, operational factors, specific CP grouting deployment recommendations

Analysis of in-situ renewal technology for the backhoe bucket bores

Energy Technology Data Exchange (ETDEWEB)

Torims, Toms; Ratkus, Andris; Vilcans, Janis; Zarins, Marcis; Rusa, Aldis [Department of Material Processing Technology Faculty of Transport and Mechanical Engineering Riga Technical University, Riga (Latvia)

2011-07-01

The overall aim of this article is to outline the progress of the research on how to develop an economically and scientifically justified backhoe buckets boreholes renewal technology by using mobile on-site technological equipment. Today the new mobile (in-situ) repair technologies are extensively used for the specialized equipment and machinery repairs. This repair technology is deployed directly on the damaged product: repair equipment is installed by using specialized centering devices. The bucket bores central axes are used as a reference base and damaged layer of material is removed mechanically applying turning operation. Subsequently the renewable surface is covered by new material layer by means of regular MIG/MAG welding. The last technological operation is final turning to the nominal diameter. Outlined renewal technology should meet high expectations – this necessitates in-depth and systematic study of pins and bores which are the most repaired objects of shovel bucket excavators. Therefore, research on established accuracy and technical requirements, both for the repaired unit and technological equipment in line with in-situ repair technology specifics, has been done. It was supported by impact analysis of the technological regimes to surface integrity with ambition to provide practical recommendations for the optimal choice of the technological regimes. Key words: in-situ repair technology, surface integrity, technological parameters.

Stakeout electronic total station construction layout boring of the experience and precision

International Nuclear Information System (INIS)

Xu Zhiqiang

2012-01-01

Electronic total station can simultaneously measure angle and distance, together with the appropriate calculation methods and operating skills, able to efficiently complete the survey work, this paper based on practical experience, theoretical analysis, based on total station introduced in setting out a few boring in the skills and the measurement of total station in the construction layout for accuracy. (authors)

Estimation of Tsunami Bore Forces on a Coastal Bridge Using an Extreme Learning Machine

Directory of Open Access Journals (Sweden)

Iman Mazinani

2016-04-01

Full Text Available This paper proposes a procedure to estimate tsunami wave forces on coastal bridges through a novel method based on Extreme Learning Machine (ELM and laboratory experiments. This research included three water depths, ten wave heights, and four bridge models with a variety of girders providing a total of 120 cases. The research was designed and adapted to estimate tsunami bore forces including horizontal force, vertical uplift and overturning moment on a coastal bridge. The experiments were carried out on 1:40 scaled concrete bridge models in a wave flume with dimensions of 24 m × 1.5 m × 2 m. Two six-axis load cells and four pressure sensors were installed to the base plate to measure forces. In the numerical procedure, estimation and prediction results of the ELM model were compared with Genetic Programming (GP and Artificial Neural Networks (ANNs models. The experimental results showed an improvement in predictive accuracy, and capability of generalization could be achieved by the ELM approach in comparison with GP and ANN. Moreover, results indicated that the ELM models developed could be used with confidence for further work on formulating novel model predictive strategy for tsunami bore forces on a coastal bridge. The experimental results indicated that the new algorithm could produce good generalization performance in most cases and could learn thousands of times faster than conventional popular learning algorithms. Therefore, it can be conclusively obtained that utilization of ELM is certainly developing as an alternative approach to estimate the tsunami bore forces on a coastal bridge.

Catastrophic failure of a raise boring machine during underground reaming operations

CSIR Research Space (South Africa)

James, A

1997-03-01

Full Text Available rights reserved. 1. INTRODUCTION The process of raise boring (or back reaming) has been in use for over 30 years, and has proved to be a very successful technique in underground mining operations. Its primary use... the overhaul, the equipment was moved from its underground location to the surface. All the drive head bolts were replaced. A cutaway diagram of the drive head installation, showing the relative positions of the cover, drive...

Foam Rolling for Delayed-Onset Muscle Soreness and Recovery of Dynamic Performance Measures

Science.gov (United States)

Pearcey, Gregory E. P.; Bradbury-Squires, David J.; Kawamoto, Jon-Erik; Drinkwater, Eric J.; Behm, David G.; Button, Duane C.

2015-01-01

Context: After an intense bout of exercise, foam rolling is thought to alleviate muscle fatigue and soreness (ie, delayed-onset muscle soreness [DOMS]) and improve muscular performance. Potentially, foam rolling may be an effective therapeutic modality to reduce DOMS while enhancing the recovery of muscular performance. Objective: To examine the effects of foam rolling as a recovery tool after an intense exercise protocol through assessment of pressure-pain threshold, sprint time, change-of-direction speed, power, and dynamic strength-endurance. Design: Controlled laboratory study. Setting: University laboratory. Patients or Other Participants: A total of 8 healthy, physically active males (age = 22.1 ± 2.5 years, height = 177.0 ± 7.5 cm, mass = 88.4 ± 11.4 kg) participated. Intervention(s): Participants performed 2 conditions, separated by 4 weeks, involving 10 sets of 10 repetitions of back squats at 60% of their 1-repetition maximum, followed by either no foam rolling or 20 minutes of foam rolling immediately, 24, and 48 hours postexercise. Main Outcome Measure(s): Pressure-pain threshold, sprint speed (30-m sprint time), power (broad-jump distance), change-of-direction speed (T-test), and dynamic strength-endurance. Results: Foam rolling substantially improved quadriceps muscle tenderness by a moderate to large amount in the days after fatigue (Cohen d range, 0.59 to 0.84). Substantial effects ranged from small to large in sprint time (Cohen d range, 0.68 to 0.77), power (Cohen d range, 0.48 to 0.87), and dynamic strength-endurance (Cohen d = 0.54). Conclusions: Foam rolling effectively reduced DOMS and associated decrements in most dynamic performance measures. PMID:25415413

Which medical device and/or which local treatment for prevention in patients with risk factors for pressure sores in 2012? Developing French guidelines for clinical practice.

Science.gov (United States)

Nicolas, B; Moiziard, A S; Barrois, B; Colin, D; Michel, J M; Passadori, Y; Ribinik, P

2012-10-01

Implementation of a prevention strategy after the identification of risk factors is essential at the entrance in a care unit or in a medical-social unit. Determine which medical devices and which treatments may be used in order to prevent pressure sore in 2012. Systematic review of the literature using databases: Pascal, Biomed, PubMed, and Cochrane library between 2000 and 2010. Nursing care including use of soft product, non-irritating for the cleaning, hydration of the skin with emollients, protection of fragile skin in case of incontinence by applying a skin protector and application of dressings in front of bony prominences to reduce shear forces, remain valid (level C). Nursing cares and use of dressing in patients with high risks of pressure sores are the responsibility of the nurses. The engagement of health care teams involves screening of risk factors and the knowledge of treatments and local devices. Local preventive treatment in a patient with risk factors of pressure sore is of great interest at entrance in a care unit or in a medical-social unit. Copyright © 2012. Published by Elsevier Masson SAS.

Flexible add-on solution for MR image-guided interventions in a closed-bore scanner environment.

Science.gov (United States)

Busse, Harald; Garnov, Nikita; Thörmer, Gregor; Zajonz, Dirk; Gründer, Wilfried; Kahn, Thomas; Moche, Michael

2010-09-01

MRI is of great clinical utility for the guidance of various diagnostic and therapeutic procedures. In a standard closed-bore scanner, the simplest approach is to manipulate the instrument outside the bore and move the patient into the bore for reference and control imaging only. Without navigational assistance, however, such an approach can be difficult, inaccurate, and time consuming. Therefore, an add-on navigation solution is described that addresses these limitations. Patient registration is established by an automatic, robust, and fast (<30 sec) localization of table-mounted MR reference markers and the instrument is tracked optically. Good hand-eye coordination is provided by following the virtual instrument on MR images that are reconstructed in real time from the reference data. Needle displacements of 2.2 +/- 0.6 mm and 3.9 +/- 2.4 mm were determined in a phantom (P < 0.05), depending on whether the reference markers were placed at smaller (98-139 mm) or larger (147-188 mm) distances from the isocenter. Clinical functionality of the navigation concept is demonstrated by a double oblique, subscapular hook-wire insertion in a patient with a body mass index of 30.1 kg/m(2). Ease of use, compactness, and flexibility of this technique suggest that it can be used for many other procedures in different body regions. More patient cases are needed to evaluate clinical performance and workflow. 2010 Wiley-Liss, Inc.

Geotechnical maps for recommendation on bored pile capacity in Nakhon Ratchasima municipality, Thailand

Directory of Open Access Journals (Sweden)

Suksun Horpibulsuk

2013-08-01

Full Text Available This paper presents the development of geotechnical maps in Nakhon Ratchasima municipality, Nakhon Ratchasima province, Thailand based on the boring logs and in situ test results collected from public and private sector sources. The standard penetration number, N was used to identify the soil type. The soil deposits in Nakhon Ratchasima municipality are divided into three layers: medium-to-stiff silty clay with N 50. The medium-to-stiff silty clay layer has a thickness varying from 1.8 to 7.5 metres and an average N value of 14 with a relatively low standard deviation of 1.08. The first hard silty clay layer has a thickness varying from 1.2 to 3.0 metres and an average N value of 42 with a standard deviation of 1.37. For a practical application in foundation engineering in which the pile tips of the bored piles are located in the second hard stratum with N > 50, eight pile tip zones with approximated load capacity are recommended for pile lengths of 3-10 metres.

Fragmentation Energy-Saving Theory of Full Face Rock Tunnel Boring Machine Disc Cutters

Science.gov (United States)

Zhang, Zhao-Huang; Gong, Guo-Fang; Gao, Qing-Feng; Sun, Fei

2017-07-01

Attempts to minimize energy consumption of a tunnel boring machine disc cutter during the process of fragmentation have largely focused on optimizing disc-cutter spacing, as determined by the minimum specific energy required for fragmentation; however, indentation tests showed that rock deforms plastically beneath the cutters. Equations for thrust were developed for both the traditional, popularly employed disc cutter and anew design based on three-dimensional theory. The respective energy consumption for penetration, rolling, and side-slip fragmentations were obtained. A change in disc-cutter fragmentation angles resulted in a change in the nature of the interaction between the cutter and rock, which lowered the specific energy of fragmentation. During actual field excavations to the same penetration length, the combined energy consumption for fragmentation using the newly designed cutters was 15% lower than that when using the traditional design. This paper presents a theory for energy saving in tunnel boring machines. Investigation results showed that the disc cutters designed using this theory were more durable than traditional designs, and effectively lowered the energy consumption.

Plastohydrodynamic drawing and coating of stainless steel wire using a tapered bore die of no metal to metal contact

Science.gov (United States)

Hasan, S.; Basmage, O.; Stokes, J. T.; Hashmi, M. S. J.

2018-05-01

A review of wire coating studies using plasto-hydrodynamic pressure shows that most of the works were carried out by conducting experiments simultaneously with simulation analysis based upon Bernoulli's principle and Euler and Navier-Stokes (N-S) equations. These characteristics relate to the domain of Computational Fluid Dynamics (CFD) which is an interdisciplinary topic (Fluid Mechanics, Numerical Analysis of Fluid flow and Computer Science). This research investigates two aspects: (i) simulation work and (ii) experimentation. A mathematical model was developed to investigate the flow pattern of the molten polymer and pressure distribution within the wire-drawing dies, assessment of polymer coating thickness on the coated wires and speed of coating on the wires at the outlet of the drawing dies, without deploying any pressurizing pump. In addition to a physical model which was developed within ANSYS™ environment through the simulation design of ANSYS™ Workbench. The design was customized to simulate the process of wire-coating on the fine stainless-steel wires using drawing dies having different bore geometries such as: stepped parallel bore, tapered bore and combined parallel and tapered bore. The convergence of the designed CFD model and numerical and physical solution parameters for simulation were dynamically monitored for the viscous flow of the polypropylene (PP) polymer. Simulation results were validated against experimental results and used to predict the ideal bore shape to produce a thin coating on stainless wires with different diameter. Simulation studies confirmed that a specific speed should be attained by the stainless-steel wires while passing through the drawing dies. It has been observed that all the speed values within specific speed range did not produce a coating thickness having the desired coating characteristic features. Therefore, some optimization of the experimental set up through design of experiments (Stat-Ease) was applied to

System safety analysis of the Yucca Mountain tunnel boring machine

International Nuclear Information System (INIS)

Smith, M.G.; Booth, L.; Eisler, L.

1995-01-01

The purpose of this analysis was to systematically identify and evaluate hazards related to the tunnel boring machine to be used at Yucca Mountain. This analysis required three steps to complete the risk evaluation: hazard/scenario identification, consequence assessment, and frequency assessment. The result was a 'risk evaluation' of the scenarios identified in this analysis in accordance with MIL-STD-882C. The risk assessment in this analysis characterized the accident scenarios associated with the TBM in terms of relative risk and included recommendations for mitigating all identified risks

A study on optimal scan conditions of big bore multi-slice computed tomography based on radiation dose and image noise

International Nuclear Information System (INIS)

Lee, J. S.; Ye, S. J.; Kim, E. H.

2011-01-01

The newly introduced Big Bore computed tomography (CT) has a possibility to increase the tube current product scan time (mA s) for compensation of image degradation due to larger gentry opening without sound guideline. The objective of this paper is to derive optimal scan conditions for Big Bore CT scanner, mainly relating to the dose of diagnostic CT. The weighted CT dose index (CTDI w ) was estimated at five typical protocols, such as head and neck, brain, paediatric, chest and abdomen. Noises were analysed in a circle of 1 or 2 cm of diameter in CT image slice. The results showed that measured CTDI w values generally follow the theoretical rule at all scanning conditions of every protocol. Although image noises decrease with increment of mA s, analysed image noises do follow the theoretical rule, but only in specific protocols. This phenomenon is presumed to result from the photon energy spectra arriving at the detection system of the Big Bore scanner. (authors)

Ion acceleration by laser hole-boring into plasmas

International Nuclear Information System (INIS)

Pogorelsky, I. V.; Dover, N. P.; Babzien, M.; Bell, A. R.; Dangor, A. E.; Horbury, T.; Palmer, C. A. J.; Polyanskiy, M.; Schreiber, J.; Schwartz, S.; Shkolnikov, P.; Yakimenko, V.; Najmudin, Z.

2012-01-01

By experiment and simulations, we study the interaction of an intense CO 2 laser pulse with slightly overcritical plasmas of fully ionized helium gas. Transverse optical probing is used to show a recession of the front plasma surface with an initial velocity >10 6 m/s driven by hole-boring by the laser pulse and the resulting radiation pressure driven electrostatic shocks. The collisionless shock propagates through the plasma, dissipates into an ion-acoustic solitary wave, and eventually becomes collisional as it slows further. These observations are supported by PIC simulations which prove the conclusion that monoenergetic protons observed in our earlier reported experiment with a hydrogen jet result from ion trapping and reflection from a shock wave driven through the plasma.

Distribution and biomass estimation of shell-boring algae in the intertidal area at Goa India

Digital Repository Service at National Institute of Oceanography (India)

Raghukumar, C.; Sharma, S.; Lande, V.

The distribution and frequency of shell-boring green and blue-green algae in the intertidal at Goa, India were studied. The green alga Gomontia sp. and the blue green algae Hyella caespitosa Bornet et Flahault, H. gigas Lucas et Golubic...

Aspiration of breast abscess through wide bore 14-gauge intravenous cannula.

Science.gov (United States)

Afridi, Shahida Parveen; Alam, Shams Nadeem; Ainuddin, Saman

2014-10-01

To aspirate breast abscess through a wide bore (14-gauge) intravenous (I/V) cannula and determine its efficacy in terms of the number of recurrences and number of aspirations. Case series. Dow University of Health Sciences and Civil Hospital and Bantva Hospital, Karachi, Pakistan, from January 2009 to December 2011. Patients with breast abscesses confirmed on ultrasound without skin ulceration were selected. The soft area of breast abscess with positive fluctuation was marked and fixed with index finger and thumb. A 14-gauge cannula was inserted. Pus was aspirated through a 50 cc syringe, repeated till no aspirate could be obtained. All patients were followed weekly for 4 weeks, clinically for size of lump, local tenderness and temperature, while complete resolution was confirmed on ultrasound, as resolution of the lesion. A total of 55 patients were included in this study. Mean age was 29 ± 5.58 years while ranging from 20 - 40 years. Complete resolution of abscess was seen in 31 (56.4%) cases by single aspiration. Second aspiration was required in 24 (43.6%) patients and third aspiration in single setting was required in one case only. Recurrence after the second aspiration occurred in 08 (14.5%). Incision drainage was required in 7 (12.7%) patients. Percutaneous aspiration of breast abscess through a wide bore (14-gauge) I/V cannula is a simple alternative to incision and drainage.

Magnetic susceptibility measurements of boring cores obtained from regional hydrological study project

International Nuclear Information System (INIS)

Hasegawa, Ken

2010-02-01

We measured the magnetic susceptibility of boring cores obtained from the Regional Hydrological Study Project to interpret the aeromagnetic survey data which was carried out in Tono area with about 40km square surrounding Tono Geoscience Center. The result of measurements indicates that the magnetic susceptibility of the Toki Granite is not distributed uniformly and the maximum value becomes two orders in magnitude larger than its minimum value. (author)

A New Option for the Reconstruction of Primary or Recurrent Ischial Pressure Sores: Hamstring-Adductor Magnus Muscle Advancement Flap and Direct Closure.

Science.gov (United States)

Burm, Jin Sik; Hwang, Jungil; Lee, Yung Ki

2018-04-01

Owing to the high recurrence rates of ischial pressure sores, surgeons should consider the possibility of future secondary flap surgery during flap selection. The purpose of this article is to present a new surgical option for the reconstruction of primary or recurrent ischial pressure sores using a simple hamstring-adductor magnus advancement flap and direct closure. After horizontal fusiform skin excision, complete bursa excision and ischiectomy were performed. The tenomuscular origin of the adductor magnus and the conjoined tenomuscular origin of the biceps femoris long head and semitendinosus were isolated and completely detached from the inferior border of the ischial tuberosity. They were then advanced in a cephalad direction without detachment of the distal tendon or muscle and securely affixed to the sacrotuberous ligament. The wound was directly closed without further incision or dissection. Twelve ischial pressure sores (6 primary and 6 recurrent; 12 patients) were surgically corrected. The follow-up period was 12 to 65 months. All patients healed successfully without early postoperative complications, such as hematoma, seroma, infection, wound dehiscence, or partial necrosis. Late complications included wound disruption 5 weeks after surgery that spontaneously healed in 1 case and recurrence 3 years later in another case. The new surgical option presented herein, which involves hamstring-adductor magnus advancement flap and direct closure, is a simple and reliable method for providing sufficient muscle bulk to fill the dead space and proper padding to the bone stump while preserving the main vascular perforators and pedicles as well as future surgical options.

Echo-Planar Imaging for a 9.4 Tesla Vertical-Bore Superconducting Magnet Using an Unshielded Gradient Coil.

Science.gov (United States)

Kodama, Nao; Kose, Katsumi

2016-10-11

Echo-planar imaging (EPI) sequences were developed for a 9.4 Tesla vertical standard bore (~54 mm) superconducting magnet using an unshielded gradient coil optimized for live mice imaging and a data correction technique with reference scans. Because EPI requires fast switching of intense magnetic field gradients, eddy currents were induced in the surrounding metallic materials, e.g., the room temperature bore, and this produced serious artifacts on the EPI images. We solved the problem using an unshielded gradient coil set of proper size (outer diameter = 39 mm, inner diameter = 32 mm) with time control of the current rise and reference scans. The obtained EPI images of a phantom and a plant sample were almost artifact-free and demonstrated the promise of our approach.

Echo-Planar Imaging for a 9.4 Tesla Vertical-Bore Superconducting Magnet Using an Unshielded Gradient Coil

Science.gov (United States)

KODAMA, Nao; KOSE, Katsumi

2016-01-01

Echo-planar imaging (EPI) sequences were developed for a 9.4 Tesla vertical standard bore (∼54 mm) superconducting magnet using an unshielded gradient coil optimized for live mice imaging and a data correction technique with reference scans. Because EPI requires fast switching of intense magnetic field gradients, eddy currents were induced in the surrounding metallic materials, e.g., the room temperature bore, and this produced serious artifacts on the EPI images. We solved the problem using an unshielded gradient coil set of proper size (outer diameter = 39 mm, inner diameter = 32 mm) with time control of the current rise and reference scans. The obtained EPI images of a phantom and a plant sample were almost artifact-free and demonstrated the promise of our approach. PMID:27001398

Mechanics of Cutting and Boring. Part 7. Dynamics and Energetics of Axial Rotation Machines,

Science.gov (United States)

1981-12-01

systematic analytical scheme that can be used to facilitate future work on the mechanics of cutting and boring machines. In the industrial sector, rock...Proceedings. Chapter 66, p. 1149-1158. Mellor, M. and I. Hawkes (1972) How to rate a hard-rock borer. World Construction, Sept, p. 21-23. (Also in Ingenieria

Quantification and localisation of damage in rat muscles after controlled loading; a new approach to study the aetiology of pressure sores

NARCIS (Netherlands)

Bosboom, E.M.H.; Bouten, C.V.C.; Oomens, C.W.J.; Straaten, van H.W.M.; Baaijens, F.P.T.; Kuipers, H.

2001-01-01

To obtain more insight in the aetiology of deep pressure sores, an animal model was developed to relate controlled externalloading to local muscle damage. The tibialis anterior muscle (TA) and overlying skin of a rat were compressed between indentorand tibia. Loads of 10, 70 and 250 kPa at skin

Twin header bore welded steam generator for pressurized water reactors

International Nuclear Information System (INIS)

Davies, R.J.; Hirst, B.

1979-01-01

A description is given of a pressurized water reactor (PWR) steam generator concept, several examples of which have been in service for up to fourteen years. Details are given of the highly successful service record of this equipment and the features which have been incorporated to minimize corrosion and deposition pockets. The design employs a vertical U tube bundle carried off two horizontal headers to which the tubes are welded by the Foster Wheeler Power Products (FWPP) bore welding process. The factors to be considered in uprating the design to meet the current operating conditions for a 1000 MW unit are discussed. (author)

Non-contact and contact measurement system for detecting projectile position in electromagnetic launch bore

Science.gov (United States)

Xu, Weidong; Yuan, Weiqun; Xu, Rong; Zhao, Hui; Cheng, Wenping; Zhang, Dongdong; Zhao, Ying; Yan, Ping

2017-12-01

This paper introduces a new measurement system for measuring the position of a projectile within a rapid fire electromagnetic launching system. The measurement system contains both non-contact laser shading and metal fiber contact measurement devices. Two projectiles are placed in the rapid fire electromagnetic launch bore, one in the main accelerating segment and the other in the pre-loading segment. The projectile placed in the main accelerating segment should be shot first, and then the other is loaded into the main segment from the pre-loading segment. The main driving current (I-main) can only be discharged again when the second projectile has arrived at the key position (the projectile position corresponds to the discharging time) in the main accelerating segment. So, it is important to be able to detect when the second projectile arrives at the key position in the main accelerating segment. The B-dot probe is the most widely used system for detecting the position of the projectile in the electromagnetic launch bore. However, the B-dot signal is affected by the driving current amplitude and the projectile velocity. There is no current in the main accelerating segment when the second projectile moves into this segment in rapid fire mode, so the B-dot signal for detecting the key position is invalid. Due to the presence of a high-intensity magnetic field, a high current, a high-temperature aluminum attachment, smoke and strong vibrations, it is very difficult to detect the projectile position in the bore accurately. So, other measurements need to be researched and developed in order to achieve high reliability. A measurement system based on a laser (non-contact) and metal fibers (contact) has been designed, and the integrated output signal based on this detector is described in the following paper.

Monitoring pilot projects on bored tunnelling : The Second Heinenoord Tunnel and the Botlek Rail Tunnel

NARCIS (Netherlands)

Bakker, K.J.; De Boer, F.; Admiraal, J.B.M.; Van Jaarsveld, E.P.

1999-01-01

Two pilot projects for bored tunnelling in soft soil have been undertaken in the Netherlands. The monitoring was commissioned under the authority of the Centre for Underground Construction (COB). A description of the research related to the Second Heinenoord Tunnel and the Botlek Rail Tunnel will be

Considerations for design of a Fourier transform mass spectrometer in the 4.2 K cold bore of a superconducting magnet.

Science.gov (United States)

O'Connor, Peter B

2002-01-01

An external source Fourier transform mass spectrometer (FTMS) constructed inside the vertical cold bore of a superconducting magnet will have dramatic advantages in effective magnetic field, noise figures, and base pressure over current commercially available external source FTMS systems. There are substantial, but solvable, difficulties in the design, primarily with regard to control of the helium boiloff rate to an acceptable level, as well as relatively minor design challenges with heat sinks, contraction of metallic ion optic elements in the extreme temperature, and tandem mass spectrometry experiments. However, the ability to construct the FTMS inside the narrow bore tube of existing, commercially available vertical bore NMR magnets will allow access to the upper magnetic field limit currently used by 900 MHz (21 Tesla) - 1 GHz (23.3 Tesla) NMR experiments. The vacuum system, simply by being held inside the cold bore at 4.2 K, will cryopump itself dropping base pressures substantially, and heat sinking the input resistor of the preamplifier to this cryogenically cooled vacuum chamber will allow reduction of the input Johnson noise by a factor of 8.4 with associated 8.4-fold improvement in signal/noise, sensitivity, and dynamic range. The simultaneous improvement of three fundamental limiting factors in the FTMS (field strength, base pressure, and Johnson noise figure) will clearly outweigh the concomitant increased helium boiloff rate particularly if this rate can be dropped to the estimated <5 L/day range. The additional use of modern cryorefrigerators will further reduce helium boiloff to zero except during MS(n) experiments and system cooldown. Copyright 2002 John Wiley & Sons, Ltd.

Aspiration of Breast Abscess through Wide Bore 14-Gauge Intravenous Cannula

International Nuclear Information System (INIS)

Afridi, S. P.; Alam, S. N.; Ainuddin, S.

2014-01-01

Objective: To aspirate breast abscess through a wide bore (14-gauge) intravenous (I/V) cannula and determine its efficacy in terms of the number of recurrences and number of aspirations. Study Design: Case series. Place and Duration of Study: Dow University of Health Sciences and Civil Hospital and Bantva Hospital, Karachi, Pakistan, from January 2009 to December 2011. Methodology: Patients with breast abscesses confirmed on ultrasound without skin ulceration were selected. The soft area of breast abscess with positive fluctuation was marked and fixed with index finger and thumb. A 14-gauge cannula was inserted. Pus was aspirated through a 50 cc syringe, repeated till no aspirate could be obtained. All patients were followed weekly for 4 weeks, clinically for size of lump, local tenderness and temperature, while complete resolution was confirmed on ultrasound, as resolution of the lesion. Results: A total of 55 patients were included in this study. Mean age was 29 +- 5.58 years while ranging from 20 - 40 years. Complete resolution of abscess was seen in 31 (56.4%) cases by single aspiration. Second aspiration was required in 24 (43.6%) patients and third aspiration in single setting was required in one case only. Recurrence after the second aspiration occurred in 08 (14.5%). Incision drainage was required in 7 (12.7%) patients. Conclusion: Percutaneous aspiration of breast abscess through a wide bore (14-gauge) I/V cannula is a simple alternative to incision and drainage. (author)

The effect of topical thiocolchicoside in preventing and reducing the increase of muscle tone, stiffness, and soreness: A real-life study on top-level road cyclists during stage competition.

Science.gov (United States)

Gervasi, Marco; Sisti, Davide; Benelli, Piero; Fernández-Peña, Eneko; Calcabrini, Cinzia; Rocchi, Marco B L; Lanata, Luigi; Bagnasco, Michela; Tonti, Andrea; Vilberto, Stocchi; Sestili, Piero

2017-07-01

In professional road cyclists, the majority of overuse injuries affect the lower limbs and are mostly represented by contractures or muscle shortening, characterized by an increase of tone and stiffness and a variation of elasticity. Treatment and prevention of these specific conditions may include physical, supplementary, and pharmacologic support. The aim of this real-life study was to determine: first, the alterations of tone, stiffness, elasticity, and soreness of rectus femoris (RF) and biceps femoris (BF) in top class cyclists engaged in 3 multistage races, and second, whether any variable in the management of the athletes may affect the prevention and/or reduction of such alterations.Twenty-three professional cyclists competing in 3 international, cycling stage races were assessed. Athletes could receive, upon the approval of the medical staff, physical, dietary, and/or pharmacological management which could include treatments with topical over-the-counter myorelaxants to prevent and/or reduce muscle contractures. MyotonPro was used to daily measure tone, stiffness, and elasticity in RF and BF in relaxed and contracted state after every stage. In parallel, BF and RF soreness was also assessed with a Likert scale.All athletes received the same general massage management; none of them received dietary supplements; some of the athletes were treated with a topical myorelaxant thiocolchicoside (TCC 0.25%) foam 3 times daily. TCC was identified as the only variable able to affect these muscle parameters in the cyclists. Tone, stiffness (regardless of the state), and soreness significantly increased over time either in BF or RF in all athletes. In the group of athletes that used TCC (n = 11; TCC+) the increase in tone, stiffness, and soreness was significantly lower than in the group not receiving TCC (n = 12; No-TCC). Elasticity varied coherently with tone and stiffness.A very intense and protracted sport activity increases muscular tone, stiffness, and

Optimization of large bore gas engine

International Nuclear Information System (INIS)

Laiminger, S.

1999-01-01

This doctoral thesis is concerned with the experimental part of combustion optimization of a large bore gas engine. Nevertheless there was a very close co-operation with the simultaneous numeric simulation. The terms of reference were a systematic investigation of the optimization potential of the current combustion mode with the objective target to get a higher brake efficiency and lower NO x emissions. In a second part a new combustion mode for fuels containing H 2 , for fuels with very low heating value and for special fuels should be developed. The optimization contained all relevant components of the engine to achieve a stable and well suited combustion with short duration even with very lean mixture. After the optimization the engine was running stable with substantial lower NO x emissions. It was world-wide the first time when a gas medium-sized engine could reach a total electrical efficiency of more than 40 percent. Finally a combustion mode for gaseous fuels containing H 2 was developed. The engine is running now with direct ignition and with prechamber ignition. Both modes reach approximately the same efficiency and thermodynamic stability. (author)

Characterization of the excavation disturbance caused by boring of the experimental full scale deposition holes in the Research Tunnel of Olkiluoto

International Nuclear Information System (INIS)

Autio, J.

1997-09-01

Three holes, the size of deposition holes, were bored in the Research Tunnel using a novel full-face boring technique. During the boring test, procedures were carried out in order to determine the effect of changes in operating parameters on the performance of the boring machine and the quality of the hole. Evaluation of the quality of the hole included studies of the geometry of the holes, measurements of surface roughness using a laser profilometer, rock mechanical determinations and study of excavation disturbances in the zone adjacent to the surface of the holes using two novel methods, the He-gas method and the 14 C-polymethylmethacrylate ( 14 C-PMMA) method. It was found that there is a distinct disturbed zone adjacent to the surface of the full scale deposition holes which can be divided into three different zones. The zones are as follows: a crushed zone penetrating to a depth of about 3 mm from the surface, a fractured zone extending to a depth of 6 - 10 mm from the crushed zone and a micro fractured zone extending to a depth of 15 - 31 mm from the fractured zone. The porosity of the rock in the disturbed zone measured using the 14 C-PMMA method was clearly greater than the porosity of undisturbed rock to a depth of about 11 mm. The values of permeability and effective diffusion coefficient in the disturbed zone measured in a direction perpendicular to the disturbed surface were found to be approximately one order of magnitude larger than those of undisturbed rock. The degree of disturbance was found to be greater where higher levels of thrust had been employed during the boring process. The results obtained also suggest that the disturbance caused by using 4- and 5-row cutters in the cutter head is more pronounced than the disturbance caused when using 5- and 6-row cutters

North American Lauraceae: terpenoid emissions, relative attraction and boring preferences of redbay ambrosia beetle, Xyleborus glabratus (coleoptera: curculionidae: scolytinae.

Directory of Open Access Journals (Sweden)

Paul E Kendra

Full Text Available The invasive redbay ambrosia beetle, Xyleborus glabratus, is the primary vector of Raffaelea lauricola, a symbiotic fungus and the etiologic agent of laurel wilt. This lethal disease has caused severe mortality of redbay (Persea borbonia and swampbay (P. palustris trees in the southeastern USA, threatens avocado (P. americana production in Florida, and has potential to impact additional New World species. To date, all North American hosts of X. glabratus and suscepts of laurel wilt are members of the family Lauraceae. This comparative study combined field tests and laboratory bioassays to evaluate attraction and boring preferences of female X. glabratus using freshly-cut bolts from nine species of Lauraceae: avocado (one cultivar of each botanical race, redbay, swampbay, silkbay (Persea humilis, California bay laurel (Umbellularia californica, sassafras (Sassafras albidum, northern spicebush (Lindera benzoin, camphor tree (Cinnamomum camphora, and lancewood (Nectandra coriacea. In addition, volatile collections and gas chromatography-mass spectroscopy (GC-MS were conducted to quantify terpenoid emissions from test bolts, and electroantennography (EAG was performed to measure olfactory responses of X. glabratus to terpenoids identified by GC-MS. Significant differences were observed among treatments in both field and laboratory tests. Silkbay and camphor tree attracted the highest numbers of the beetle in the field, and lancewood and spicebush the lowest, whereas boring activity was greatest on silkbay, bay laurel, swampbay, and redbay, and lowest on lancewood, spicebush, and camphor tree. The Guatemalan cultivar of avocado was more attractive than those of the other races, but boring response among the three was equivalent. The results suggest that camphor tree may contain a chemical deterrent to boring, and that different cues are associated with host location and host acceptance. Emissions of α-cubebene, α-copaene, α-humulene, and

North American Lauraceae: terpenoid emissions, relative attraction and boring preferences of redbay ambrosia beetle, Xyleborus glabratus (coleoptera: curculionidae: scolytinae).

Science.gov (United States)

Kendra, Paul E; Montgomery, Wayne S; Niogret, Jerome; Pruett, Grechen E; Mayfield, Albert E; MacKenzie, Martin; Deyrup, Mark A; Bauchan, Gary R; Ploetz, Randy C; Epsky, Nancy D

2014-01-01

The invasive redbay ambrosia beetle, Xyleborus glabratus, is the primary vector of Raffaelea lauricola, a symbiotic fungus and the etiologic agent of laurel wilt. This lethal disease has caused severe mortality of redbay (Persea borbonia) and swampbay (P. palustris) trees in the southeastern USA, threatens avocado (P. americana) production in Florida, and has potential to impact additional New World species. To date, all North American hosts of X. glabratus and suscepts of laurel wilt are members of the family Lauraceae. This comparative study combined field tests and laboratory bioassays to evaluate attraction and boring preferences of female X. glabratus using freshly-cut bolts from nine species of Lauraceae: avocado (one cultivar of each botanical race), redbay, swampbay, silkbay (Persea humilis), California bay laurel (Umbellularia californica), sassafras (Sassafras albidum), northern spicebush (Lindera benzoin), camphor tree (Cinnamomum camphora), and lancewood (Nectandra coriacea). In addition, volatile collections and gas chromatography-mass spectroscopy (GC-MS) were conducted to quantify terpenoid emissions from test bolts, and electroantennography (EAG) was performed to measure olfactory responses of X. glabratus to terpenoids identified by GC-MS. Significant differences were observed among treatments in both field and laboratory tests. Silkbay and camphor tree attracted the highest numbers of the beetle in the field, and lancewood and spicebush the lowest, whereas boring activity was greatest on silkbay, bay laurel, swampbay, and redbay, and lowest on lancewood, spicebush, and camphor tree. The Guatemalan cultivar of avocado was more attractive than those of the other races, but boring response among the three was equivalent. The results suggest that camphor tree may contain a chemical deterrent to boring, and that different cues are associated with host location and host acceptance. Emissions of α-cubebene, α-copaene, α-humulene, and calamenene were

Three-dimensional rail-current distribution near the armature of simple, square-bore, two-rail railguns

International Nuclear Information System (INIS)

Beno, J.H.

1991-01-01

In this paper vector potential is solved as a three dimensional, boundary value problem for a conductor geometry consisting of square-bore railgun rails and a stationary armature. Conductors are infinitely conducting and perfect contact is assumed between rails and the armature. From the vector potential solution, surface current distribution is inferred

Telemedicine Physical Examination Utilizing a Consumer Device Demonstrates Poor Concordance with In-Person Physical Examination in Emergency Department Patients with Sore Throat: A Prospective Blinded Study.

Science.gov (United States)

Akhtar, Moneeb; Van Heukelom, Paul G; Ahmed, Azeemuddin; Tranter, Rachel D; White, Erinn; Shekem, Nathaniel; Walz, David; Fairfield, Catherine; Vakkalanka, J Priyanka; Mohr, Nicholas M

2018-02-22

Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED. A telemedicine and a face-to-face examination were performed independently by two advanced practice providers (APP), blinded to the results of the other evaluator. The primary outcome was agreement on pharyngeal redness between the evaluators, with secondary outcomes of agreement and inter-rater reliability on 14 other aspects of the pharyngeal physical examination. We also conducted a survey of patients and providers to evaluate perceptions and preferences for sore throat evaluation using telemedicine. Sixty-two patients were enrolled, with a median tonsil size of 1.0. Inter-rater agreement (kappa) for tonsil size was 0.394, which was worse than our predetermined concordance threshold. Other kappa values ranged from 0 to 0.434, and telemedicine was best for detecting abnormal coloration of the palate and tender superficial cervical lymph nodes (anterior structures), but poor for detecting abnormal submandibular lymph nodes or asymmetry of the posterior pharynx (posterior structures). In survey responses, telemedicine was judged easier to use and more comfortable for providers than patients; however, neither patients nor providers preferred in-person to telemedicine evaluation. Telemedicine exhibited poor agreement with the in-person physical examination on the primary outcome of tonsil size, but exhibited moderate agreement on coloration of the palate and cervical lymphadenopathy. Future work should better characterize the importance of

Design of an RF Antenna for a Large-Bore, High Power, Steady State Plasma Processing Chamber for Material Separation

International Nuclear Information System (INIS)

Rasmussen, D.A.; Freeman, R.L.

2001-01-01

The purpose of this Cooperative Research and Development Agreement (CRADA) between UT-Battelle, LLC, (Contractor), and Archimedes Technology Group, (Participant) is to evaluate the design of an RF antenna for a large-bore, high power, steady state plasma processing chamber for material separation. Criteria for optimization will be to maximize the power deposition in the plasma while operating at acceptable voltages and currents in the antenna structure. The project objectives are to evaluate the design of an RF antenna for a large-bore, high power, steady state plasma processing chamber for material separation. Criteria for optimization will be to maximize the power deposition in the plasma while operating at acceptable voltages and currents in the antenna structure

Boring but important: a self-transcendent purpose for learning fosters academic self-regulation.

Science.gov (United States)

Yeager, David S; Henderson, Marlone D; Paunesku, David; Walton, Gregory M; D'Mello, Sidney; Spitzer, Brian J; Duckworth, Angela Lee

2014-10-01

Many important learning tasks feel uninteresting and tedious to learners. This research proposed that promoting a prosocial, self-transcendent purpose could improve academic self-regulation on such tasks. This proposal was supported in 4 studies with over 2,000 adolescents and young adults. Study 1 documented a correlation between a self-transcendent purpose for learning and self-reported trait measures of academic self-regulation. Those with more of a purpose for learning also persisted longer on a boring task rather than giving in to a tempting alternative and, many months later, were less likely to drop out of college. Study 2 addressed causality. It showed that a brief, one-time psychological intervention promoting a self-transcendent purpose for learning could improve high school science and math grade point average (GPA) over several months. Studies 3 and 4 were short-term experiments that explored possible mechanisms. They showed that the self-transcendent purpose manipulation could increase deeper learning behavior on tedious test review materials (Study 3), and sustain self-regulation over the course of an increasingly boring task (Study 4). More self-oriented motives for learning--such as the desire to have an interesting or enjoyable career--did not, on their own, consistently produce these benefits (Studies 1 and 4). 2014 APA, all rights reserved

Safety precautions of Dover Channel Tunnel boring machine; Kaitei tonneru kussakuki to anzen

Energy Technology Data Exchange (ETDEWEB)

Kondo, Y.; Fujioka, K. [Kawasaki Heavy Industries Ltd., Kobe (Japan)

1995-02-15

In May 6th 1994, the Dover Channel Tunnel referred to the largest project in this century has been opened for traffic. France and England, which have been separated by the strait with a width of about 38 km, have been connected through the submarine railway tunnel and became to be a land continuation. Since Napoleon the first, who conquested European Continent, has made a tunnel construction plan towards England, in really 27th planning, the Eurotunnel, which has been a dream in Europe for 200 years, was realized. A position of this tunnel is at a depth of 100 m under marine surface, and a geology of the strait part is a chalk layer with a calcium carbonate as a main component. For a tunnel excavation, 6 units in England side, and 5 units in France side, and therefore total 11 units of tunnel boring machines were used. Out of them, in 2 tunnels for train from France side, 2 units of tunnel boring machine (TBM) made in Japan were used. In this paper a structure and excavation method of TBM was explained, and a safety countermeasure of TBM adopted in this project was outlined. 1 ref., 10 figs.

D Modelling of Tunnel Excavation Using Pressurized Tunnel Boring Machine in Overconsolidated Soils

Science.gov (United States)

Demagh, Rafik; Emeriault, Fabrice

2013-06-01

The construction of shallow tunnels in urban areas requires a prior assessment of their effects on the existing structures. In the case of shield tunnel boring machines (TBM), the various construction stages carried out constitute a highly three-dimensional problem of soil/structure interaction and are not easy to represent in a complete numerical simulation. Consequently, the tunnelling- induced soil movements are quite difficult to evaluate. A 3D simulation procedure, using a finite differences code, namely FLAC3D, taking into account, in an explicit manner, the main sources of movements in the soil mass is proposed in this paper. It is illustrated by the particular case of Toulouse Subway Line B for which experimental data are available and where the soil is saturated and highly overconsolidated. A comparison made between the numerical simulation results and the insitu measurements shows that the 3D procedure of simulation proposed is relevant, in particular regarding the adopted representation of the different operations performed by the tunnel boring machine (excavation, confining pressure, shield advancement, installation of the tunnel lining, grouting of the annular void, etc). Furthermore, a parametric study enabled a better understanding of the singular behaviour origin observed on the ground surface and within the solid soil mass, till now not mentioned in the literature.

The necessity and application of stratigraphic borings in hydrogeologic site assessments

International Nuclear Information System (INIS)

Sciacca, J.

1991-01-01

The siting and placement of monitoring wells is one of the most critical elements in hydrogeologic assessments of contaminated sites. Monitoring wells are placed to collect hydraulic and chemical concentration data to: (1) determine potential groundwater flow paths and rates: (2) analyze the nature and extent of chemical constituents in groundwater; and (3) estimate contaminant fate and transport. In many instances monitoring wells provide inappropriate or erroneous hydraulic data, do not provide coverage of potential high permeability flow pathways (such as channel sands) or may themselves create (through improper construction) a vertical conduit for contaminant flow from low permeability to high permeability units. This problem is commonly due to installing monitoring wells before conducting essential stratigraphic analysis and formulating a depositional model for the site area. This paper presents case examples where stratigraphic borings were drilled and logged in the vicinity of proposed well locations to effectively design and install the monitoring well network. The borings were continuously sampled or geophysically logged to provide a vertical profile of the borehole. In addition, the geophysical logs provided curve signatures which allowed interpretation of depositional facies. These data were used to interpret subsurface stratigraphy and effectively position monitoring wells that achieve the above objectives and prevent problems associated with faulty well positioning. This method may cost more initially. However, these initial costs are cheaper than long-term project expenses for abandoning improperly completed wells. subsequently installing supplemental monitoring wells or modifying poorly designed treatment systems which resulted from improper or insufficient data generated from the initial monitoring network

Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management).

Science.gov (United States)

Little, Paul; Hobbs, F D Richard; Moore, Michael; Mant, David; Williamson, Ian; McNulty, Cliodna; Cheng, Ying Edith; Leydon, Geraldine; McManus, Richard; Kelly, Joanne; Barnett, Jane; Glasziou, Paul; Mullee, Mark

2013-10-10

To determine the effect of clinical scores that predict streptococcal infection or rapid streptococcal antigen detection tests compared with delayed antibiotic prescribing. Open adaptive pragmatic parallel group randomised controlled trial. Primary care in United Kingdom. Patients aged ≥ 3 with acute sore throat. An internet programme randomised patients to targeted antibiotic use according to: delayed antibiotics (the comparator group for analyses), clinical score, or antigen test used according to clinical score. During the trial a preliminary streptococcal score (score 1, n=1129) was replaced by a more consistent score (score 2, n=631; features: fever during previous 24 hours; purulence; attends rapidly (within three days after onset of symptoms); inflamed tonsils; no cough/coryza (acronym FeverPAIN). Symptom severity reported by patients on a 7 point Likert scale (mean severity of sore throat/difficulty swallowing for days two to four after the consultation (primary outcome)), duration of symptoms, use of antibiotics. For score 1 there were no significant differences between groups. For score 2, symptom severity was documented in 80% (168/207 (81%) in delayed antibiotics group; 168/211 (80%) in clinical score group; 166/213 (78%) in antigen test group). Reported severity of symptoms was lower in the clinical score group (-0.33, 95% confidence interval -0.64 to -0.02; P=0.04), equivalent to one in three rating sore throat a slight versus moderate problem, with a similar reduction for the antigen test group (-0.30, -0.61 to -0.00; P=0.05). Symptoms rated moderately bad or worse resolved significantly faster in the clinical score group (hazard ratio 1.30, 95% confidence interval 1.03 to 1.63) but not the antigen test group (1.11, 0.88 to 1.40). In the delayed antibiotics group, 75/164 (46%) used antibiotics. Use of antibiotics in the clinical score group (60/161) was 29% lower (adjusted risk ratio 0.71, 95% confidence interval 0.50 to 0.95; P=0.02) and in the

Load-deflection characteristics of small-bore insulated-pipe clamps

International Nuclear Information System (INIS)

Severud, L.K.; Clark, G.L.

1981-12-01

The special insulated clamps used on both FFTF and CRBR piping utilize a Belleville spring arrangement to compensate for pipe thermal expansion. Analysis indicates that this produces a non-linear, directionally sensitive clamp spring rate. Since these spring rates influence the seismic response of a supported piping system, it was deemed necessary to evaluate them further by test. This has been accomplished for the FFTF clamps. A more standard insulated pipe clamp, which does not incorporate Belleville springs to accommodate thermal expansion, was also tested. This type clamp is simple in design, and economically attractive. It may have wide application prospects for use in LMFBR small bore auxiliary piping operating at temperatures below 427 0 C. Load deflection tests were conducted on 2.54 CM and 7.62 CM diameter samples of these commercial clamps

High-Pressure Hot-Gas Self-Acting Floating Ring Shaft Seal for Liquid Rocket Turbopumps. [tapered bore seals

Science.gov (United States)

Burcham, R. E.; Diamond, W. A.

1980-01-01

Design analysis, detail design, fabrication, and experimental evaluation was performed on two self acting floating ring shaft seals for a rocket engine turbopump high pressure 24132500 n/sq m (3500 psig) hot gas 533 K 9500 F) high speed 3142 rad/sec (30000 rmp) turbine. The initial design used Rayleigh step hydrodynamic lift pads to assist in centering the seal ring with minimum rubbing contact. The final design used a convergent tapered bore to provide hydrostatic centering force. The Rayleigh step design was tested for 107 starts and 4.52 hours total. The leakage was satisfactory; however, the design was not acceptable due to excessive wear caused by inadequate centering force and failure of the sealing dam caused by erosion damage. The tapered bore design was tested for 370 starts and 15.93 hours total. Satisfactory performance for the required life of 7.5 hours per seal was successfully demonstrated.

Urban sores. On the interaction between segregation, urban decay and deprived neighbourhoods

DEFF Research Database (Denmark)

Andersen, Hans Skifter

Most European countries have experienced special problems that have emerged in certain more or less well-defined parts of cities called de-prived or depressed urban neighbourhoods. These problems were initially found in the oldest urban areas with the lowest quality housing. Since the beginning...... of the 1980s, however, in Europe they have also emerged in newer social housing estates outside city centres. These neighbourhoods display visible physical and social problems that can disfigure the perhaps otherwise attractive urban landscape. They could in severe cases even be termed sores on the face...... of the city. They are often perceived by the public as places that are not inhabited or frequented by decent people – they are seen as ‘places of exclusion’. The purpose of this book is to contribute to a deeper understanding of why such neighbourhoods come to exist and the impacts they have on cities. Urban...

Sintering of beryllium oxide with 3-4 per cent elemental boron; Frittage de l'oxyde de beryllium a 3 et 5 pour cent de bore element

Energy Technology Data Exchange (ETDEWEB)

Pointud, R; Rispal, Ch; Le Garec, M [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1958-07-01

In order to manufacture a baffle absorbing neutrons of various energies, there was developed or mixture of a slower and an absorber. It is made by hot pressing impure beryllium containing boron carbide. The dense briquette has 100 x 100 x 50 mm and is machined on all her faces. She is of 2,85 density and about 3 to 4 per cent porosity, according to 5 per cent of boron. Difference of boron amount is lower than ten per cent between any two points of the briquette. (author) [French] Pour fabriquer un ecran absorbeur des neutrons d'energies diverses, on a realise l'association d'un element ralentisseur, Ie beryllium, et d'un element absorbant, le bore, par frittage sous charge d'une poudre mixte contenant de l'oxyde de beryllium technique et du carbure de bore technique. Le comprime obtenu est une brique de 100 x 100 x 50 mm, usinee sur toutes sur toutes surfaces, d'une densite de 2,85, porosite d'environ 3 a 4 pour cent pour une teneur en bore de 5 pour cent. L'heterogeneite en bore entre les differents points de cette brique est inferieure a 10 pour cent. (auteur)

A bayesian nework based risk model for volume loss in soft soils in mechanized bored tunnels

NARCIS (Netherlands)

Chivatá Cárdenas, Ibsen; Al-Jibouri, Saad H.S.; Halman, Johannes I.M.

2012-01-01

Volume loss is one of the most important risks when boring a tunnel. This is particularly true when a tunnel is being constructed in soft soils. The risk of excessive volume loss, if materialised can lead to large consequences such as damage in buildings on the surface. This paper describes the

Efficacy of flurbiprofen 8.75 mg delivered as a spray or lozenge in patients with sore throat due to upper respiratory tract infection: a randomized, non-inferiority trial in the Russian Federation

Directory of Open Access Journals (Sweden)

Radkova E

2017-07-01

Full Text Available Eugenia Radkova,1 Natalia Burova,2 Valeria Bychkova,3 Robert DeVito4 1OCT Clinical Trials, Saint Petersburg, Russia; 2Federal State Establishment Clinical Diagnostic Medical Center, Saint Petersburg, Russia; 3Reckitt Benckiser (Russia, Moscow, Russia; 4Reckitt Benckiser, Parsippany, NJ, USA Objective: To assess the efficacy of flurbiprofen 8.75 mg delivered as a spray or lozenge in patients with sore throat due to upper respiratory tract infection (URTI.Materials and methods: This multicenter, double-blind, double-dummy, non-inferiority study randomized 440 adults with recent-onset, moderate-to-severe sore throat due to URTI to a single dose of either flurbiprofen 8.75 mg spray (n=218 or flurbiprofen 8.75 mg lozenge (n=222. The presence or absence of beta-hemolytic streptococci (A or C was confirmed by culture tests (throat swab. The primary efficacy end point was the difference from baseline to 2 hours post-dose in sore throat pain intensity scale (STPIS pain intensity difference [PID] 2h, a validated 100 mm visual analog scale (from 0=“no pain” to 100=“severe pain”, with a non-inferiority margin of −6 mm. Secondary end points included STPIS PID at 1 hour (STPIS PID 1h and over 2 hours (STPIS sum of sore throat pain intensity differences [SPID]0–2h and ratings of patient satisfaction and investigator assessment of drug efficacy at 2 hours. Safety (adverse events [AEs] was also assessed.Results: Reductions in sore throat pain intensity at 2 hours (STPIS PID 2h were similar for spray (least square mean −40.51 and lozenge (−40.10 (difference: 0.41, 95% confidence interval [95% CI] −3.20, 4.01, with non-inferiority demonstrated. Subgroup analyses showed similar efficacy (STPIS PID 2h for patients testing positive or negative for Strep A or C. There was no significant difference between spray and lozenge in STPIS PID 1h or STPIS SPID0–2h, and patient satisfaction and investigators’ assessment of efficacy at 2�

Comparison of the Characteristics and Performance of Flurbiprofen 8.75 mg Spray for Sore Throat.

Science.gov (United States)

Veale, David; Shephard, Adrian; Adams, Verity; Lidster, Charlotte

2017-01-01

Sore throat sprays provide targeted relief by delivering the active ingredient directly to the site of pain. Different sprays vary in characteristics, thus affecting delivery of the active ingredient to the throat, which can impact compliance. The characteristics and performance of FLURBIPROFEN 8.75 mg SPRAY were compared with 12 other sprays. Parameters assessed included spray angle and pattern, droplet size distribution, shot weight uniformity and shot weight throughout life. Among all sprays tested WICK Sulagil Halsspray had the smallest spray angle (46°) and also the smallest diameter spray pattern (X=32.8 mm; Y=34.4 mm). Thiovalone® Buccal Spray Suspension had both the largest spray angle (82°) and largest diameter spray pattern (X=62.6 mm; Y=78.0 mm). Hasco Sept® Aerosol Spray had the smallest droplet size (Dv90=118.4 μm) whereas OKi infiammazione e dolore® 0.16% spray had the largest (Dv90=214.34 μm). In terms of shot weight uniformity, TANTUM® VERDE GOLA 0.25% spray showed the least variation (2% RSD) between shots and UNIBEN Aerosol Spray the most (23.4% RSD). Shot weight throughout life studies showed that FLURBIPROFEN 8.75 mg SPRAY had the least deviation from shot weight (1.77%) whereas OKi infiammazione e dolore® 0.16% spray deviated the most (44.9%). FLURBIPROFEN 8.75 mg SPRAY had the second smallest spray angle/pattern and droplet size distribution and also the least variation in shot weight. Different sore throat sprays vary in different attributes, affecting delivery of the active ingredient. FLURBIPROFEN 8.75 mg SPRAY performed well overall, ranking first among all sprays tested, and providing a dose which is targeted and uniformly delivered throughout the life of the bottle. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Evaluation of the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) scoring system in elderly patients with pressure sores undergoing fasciocutaneous flap-reconstruction.

Science.gov (United States)

Mizumoto, Kazuo; Morita, Eishin

2009-01-01

The aim of the present study was to predict operative morbidity in elderly patients with deep pressure sores by using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) scoring system. Fifteen patients over 70 years old were retrospectively reviewed who had undergone gluteus maximus fasciocutaneous flap-reconstruction for pressure sores of the sacral region from 1 April 2005 to 31 March 2007. Complications were seen in six cases (40%) after operation. Four were wound infection, one was chest infection and another was septicemia. The subjects were divided into two groups by the presence (complicated group) or absence (non-complicated group) of postoperative complications. Each item of physiological scores, physiological score (PS), operative severity score (OS) and predicted morbidity rate (R) were calculated and compared between two groups. As a result, hemoglobin (P = 0.0276), PS (P = 0.0023) and R (P = 0.0078) differed significantly between the two groups. It is noteworthy that the PS were over 25 in all of the complicated group, but in only one of nine in the non-complicated group (P = 0.0014). Our study suggests that, for pressure sores in the sacral region in elderly patients, gluteus maximus fasciocutaneous flap-reconstruction can be employed in patients whose PS are under 24 in the POSSUM scoring system.

Bivalve wood borings of the ichnogenus Teredolites Leymerie from the Bohemian Cretaceous Basin (Upper Cretaceous, Czech Republic)

Czech Academy of Sciences Publication Activity Database

Kříž, J.; Mikuláš, Radek

2006-01-01

Roč. 13, č. 3 (2006), s. 159-174 ISSN 1042-0940 Institutional research plan: CEZ:AV0Z30130516 Keywords : Borings * Mollusca * sedimentary environment Subject RIV: EG - Zoology http://rzblx1.uni-regensburg.de/ezeit/detail.phtml?bibid=CASCR& colors =7&lang=en&jour_id=41560

Computed tomography of pressure sores, pelvic abscess, and osteomyelitis in patients with spinal cord injury

International Nuclear Information System (INIS)

Firooznia, H.; Rafii, M.; Golimbu, C.; Lam, S.; Sokolow, J.; Kung, J.S.

1982-01-01

Nine patients with spinal cord injury (SCI) and large pressure ulcers and other possible complications, were evaluated by computed tomography (CT), conventional radiography, tomography, bone scanning, gallium scanning, and sonography. CT revealed the depth, extent, and relationship of the ulcer-bed to the underlying structures in all 9 patients. CT also positively identified unsuspected intra- and extra-pelvic abscess and pelvic osteomyelitis in 4 patients each. Other modalities identified only 2 of these complications. We believe CT is the modality of choice for evaluation of these complications in SCI patients, because of its superior ability in evaluation of pressure sores and detection of pathologic changes in soft tissue and bone in the pelvic region

A 120 mm Bore Quadrupole for the Phase 1 LHC Upgrade

CERN Document Server

Fessia, P; Borgnolutti, F; Regis, F; Richter, D; Todesco, E

2010-01-01

The phase I LHC upgrade foresees the installation of a new final focusing for the high luminosity experiences in order to be able to focus the beams in the interaction points to b*~ 0.25 cm. Key element of this upgrade is a large bore (120 mm) superconducting quadrupole. This article proposes a magnet design that will make use of the LHC main dipole superconducting cable. Due to the schedule constraints and to the budget restrictions, it is mandatory to integrate in the design the maximum number of features successfully used during the LHC construction. This paper presents this design option and the rationales behind the several technical choices.

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......STUDY DESIGN: Case report. OBJECTIVE: Report of an unusual case, where a Marjolin's ulcer that developed 2.5 years after surgical excision and successful closure. SETTING: Department of Plastic and Reconstructive Surgery and Burn Unit and the Clinic for Spinal Cord Injuries, Copenhagen University...... Hospital, Rigshospitalet, Copenhagen, Denmark. METHODS AND RESULTS: A 22-year-old man sustained a fracture with luxation of the 5th and 6th cervical vertebrae and loss of sensory and motor function after a diving accident (complete C8 lesion). During initial hospitalization, he developed a sacral ulcer...

Pressure sores among malnourished necropsied adults - preliminary data Escaras de decúbito em adultos necropsiados com subnutrição - dados preliminares

Directory of Open Access Journals (Sweden)

Daniel Ferreira da Cunha

2000-06-01

Full Text Available Pressure sores are common among bedridden, elderly, or malnourished patients, and may occur in terminal ill patients because of impaired mobility, fecal or urinary incontinence, and decreased healing capacity. The aim of this study was to compare frequency of pressure sores between malnourished and non-malnourished necropsied adults. METHOD: All (n = 201 adults (age ³ 18 years autopsied between 1986 and 1996 at the Teaching Hospital of Triangulo Mineiro Medical School (Uberaba were eligible for the study. Gender, race, weight, height and main diagnoses were recorded. Ninety-six cases were excluded because of probable body water retention (congestive heart failure, hepatic insufficiency, nephrotic syndrome or pressure sores secondary to peripheral vascular ischemia. Body mass index (BMI was used to define malnourished (BMI 18.5kg/m² groups. RESULTS: Except for weight (42.5kg; range: 28-57 vs. 60; 36-134.5kg and BMI (16.9; range: 12.4-18.5 vs. 22.7; range: 18.5-54.6kg/m², respectively, there were no statistical differences among 43 malnourished and 62 non-malnourished cases in relation to age (54.9 ± 20.4 vs. 52.9 ± 17.9 years, percentage of white persons (74.4 vs. 64.5%, male gender (76.7 vs. 69.3% and main diagnoses. Five malnourished (11.6% and 7 (11.5% non-malnourished cases had pressure sores (p=0.89. CONCLUSION: Pressure sores were equally common findings in necropsied persons with protein-energy malnutrition, as assessed by body mass index.Escaras de decúbito são comuns em pacientes acamados, idosos e subnutridos e podem ocorrer em pacientes terminais devido à imobilidade, incontinência fecal e urinária e imunodepressão. Além disso, a contaminação das Escaras de decúbito aumentam o risco de sepsis e podem piorar o estado nutricional. O objetivo deste estudo foi comparar a freqüência de Escaras de decúbito entre adultos necropsiados com ou sem subnutrição. MÉTODO: Adultos (n=201 necropsiados no Hospital Escola da FMTM

Pressure sores significantly increase the risk of developing a Fournier's gangrene in patients with spinal cord injury.

Science.gov (United States)

Backhaus, M; Citak, M; Tilkorn, D-J; Meindl, R; Schildhauer, T A; Fehmer, T

2011-11-01

Retrospective chart review. The aim of our study was to evaluate the mortality rate and further specific risk factors for Fournier's gangrene in patients with spinal cord injury (SCI). Division of Spinal Cord Injury, BG-University Hospital Bergmannsheil Bochum, Ruhr-University Bochum, Germany. All patients with a SCI and a Fournier's gangrene treated in our hospital were enrolled in this study. Following parameters were taken form patients medical records: age, type of SCI, cause of Fournier's gangrene, number of surgical debridements, length of hospital and intensive care unit stay, co morbidity factors and mortality rate. In addition, laboratory parameter including the laboratory risk indicator for necrotizing fasciitis (LRINEC) score and microbiological findings were analyzed. Clinical diagnosis was made via histological examination. A total of 16 male patients (15 paraplegic and one tetraplegic) were included in the study. In 81% of all cases, the origin of Fournier's gangrene was a pressure sore. The median LRINEC score on admission was 6.5. In the vast majority of cases, a polybacterial infection was found. No patient died during the hospital stay. The mean number of surgical debridements before soft tissue closure was 1.9 and after a mean time interval of 39.1 days wound closure was performed in all patients. Pressure sores significantly increase the risk of developing Fournier's gangrene in patients with SCI. We reported the results of our patients to increase awareness among physicians and training staff working with patients with a SCI in order to expedite the diagnosis.

On the testing fast response NPP's valves of large nominal bores and high parameters

International Nuclear Information System (INIS)

Majorov, A.P.; Ostretsov, I.N.

1990-01-01

Investigation technique for valves of large norminal bores and high parameters which is based on application of simulation effect for operation and accident loadings during movement of valve lock at bench tests with medium flow rate by 100-1000 times less than during operation is given. Loading simulation technique is provided using simulator of lock loading. Investigation results are essential to make decision concerning advisability of serial production of fittings without full-scale test conducting

Increased productivity in construction of civil and mining tunnels through the use of high-capacity tunnel-boring machines and continuous belt conveyor muck haulage

Energy Technology Data Exchange (ETDEWEB)

Beatty, J.G.; Ganey, R.J.; Killingsworth, J.E. [Perini Corp., Chicago, IL (United States). US Heavy Division

1994-12-31

The use of a large diameter high production tunnel boring machine interfaced with a high capacity continuous belt conveyor system provides a highly productive and cost effective construction system for both civil and mining tunnels. Continuous advance of the tunnel boring machine for a distance of 1,000 feet (305 m) allows for very efficient operation of the system. The available cost reductions will likely prove that this approach to waste handling will make marginally viable projects economically feasible. 9 refs., 10 figs., 1 tab.

Biogeography of Wood-Boring Crustaceans (Isopoda: Limnoriidae) Established in European Coastal Waters

Science.gov (United States)

Borges, Luísa M. S.; Merckelbach, Lucas M.; Cragg, Simon M.

2014-01-01

Marine wood-borers of the Limnoriidae cause great destruction to wooden structures exposed in the marine environment. In this study we collated occurrence data obtained from field surveys, spanning over a period of 10 years, and from an extensive literature review. We aimed to determine which wood-boring limnoriid species are established in European coastal waters; to map their past and recent distribution in Europe in order to infer species range extension or contraction; to determine species environmental requirements using climatic envelopes. Of the six species of wood-boring Limnoria previously reported occurring in Europe, only Limnoria lignorum, L. quadripunctata and L. tripunctata are established in European coastal waters. L. carinata and L. tuberculata have uncertain established status, whereas L. borealis is not established in European waters. The species with the widest distribution in Europe is Limnoria lignorum, which is also the most tolerant species to a range of salinities. L. quadripunctata and L. tripunctata appear to be stenohaline. However, the present study shows that both L. quadripunctata and L. tripunctata are more widespread in Europe than previous reports suggested. Both species have been found occurring in Europe since they were described, and their increased distribution is probably the results of a range expansion. On the other hand L. lignorum appears to be retreating poleward with ocean warming. In certain areas (e.g. southern England, and southern Portugal), limnoriids appear to be very abundant and their activity is rivalling that of teredinids. Therefore, it is important to monitor the distribution and destructive activity of these organisms in Europe. PMID:25313796

Dosage of boron traces in graphite, uranium and beryllium oxide; Dosage de traces de bore dans le graphite, l'uranium et l'oxyde de beryllium

Energy Technology Data Exchange (ETDEWEB)

Coursier, J [Ecole Nationale Superieure de Physique et Chimie Industrielles, 75 - Paris (France); Hure, J; Platzer, R [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1955-07-01

The problem of the dosage of the boron in the materials serving to the construction of nuclear reactors arises of the following way: to determine to about 0,1 ppm close to the quantities of boron of the order of tenth ppm. We have chosen the colorimetric analysis with curcumin as method of dosage. To reach the indicated contents, it is necessary to do a previous separation of the boron and the materials of basis, either by extraction of tetraphenylarsonium fluoborate in the case of the boron dosage in uranium and the beryllium oxide, either by the use of a cations exchanger resin of in the case of graphite. (M.B.) [French] Le probleme du dosage du bore dans les materiaux servant a la construction de reacteurs nucleaires se pose de la facon suivante: determiner a environ 0,1 ppm pres des quantites de bore de l'ordre de quelques dixiemes de ppm. Nous avons choisit la colorimetrie a la curcumine comme methode de dosage. Pour atteindre les teneurs indiquees, il est necessaire d'effectuer une separation prealable du bore et des materiaux de base, soit par extraction du fluoborate de tetraphenylarsonium dans le cas du dosage de bore dans l'uranium et l'oxyde de beryllium, soit par l'utilisation d'une resine echangeuse de cations dans le cas du graphite. (M.B.)

Fast Determination of Toxic Arsenic Species in Food Samples Using Narrow-bore High-Performance Liquid-Chromatography Inductively Coupled Plasma Mass Spectrometry.

Science.gov (United States)

Terol, Amanda; Marcinkowska, Monika; Ardini, Francisco; Grotti, Marco

2016-01-01

A new method for the speciation analysis of arsenic in food using narrow-bore high-performance liquid-chromatography inductively coupled plasma mass spectrometry (HPLC-ICP-MS) has been developed. Fast separation of arsenite, arsenate, monomethylarsonic acid and dimethylarsinic acid was carried out in 7 min using an anion-exchange narrow-bore Nucleosil 100 SB column and 12 mM ammonium dihydrogen phosphate of pH 5.2 as the mobile phase, at a flow rate of 0.3 mL min(-1). A PFA-ST micronebulizer jointed to a cyclonic spray chamber was used for HPLC-ICP-MS coupling. Compared with standard-bore HPLC-ICP-MS, the new method has provided higher sensitivity, reduced mobile-phase consumption, a lower matrix plasma load and a shorter analysis time. The achieved instrumental limits of detection were in the 0.3 - 0.4 ng As mL(-1) range, and the precision was better than 3%. The arsenic compounds were efficiently (>80%) extracted from various food samples using a 1:5 methanol/water solution, with additional ultrasonic treatment for rice products. The applicability of this method was demonstrated by the analysis of several samples, such as seafood (fish, mussels, shrimps, edible algae) and rice-based products (Jasmine and Arborio rice, spaghetti, flour, crackers), including three certified reference materials.

Prechamber ignition concepts for stationary large bore gas engines; Vorkammerzuendkonzepte fuer stationaer betriebene Grossgasmotoren

Energy Technology Data Exchange (ETDEWEB)

Heinz, Christoph [MTU Friedrichshafen GmbH (Germany); Kammerstaetter, Stefan; Sattelmayer, Thomas [Technische Univ. Muenchen (Germany). Lehrstuhl fuer Thermodynamik

2012-01-15

A testing facility for the optical investigation of ignition and combustion in large bore gas engines is described. The test rig was developed at the Institute of Thermodynamics at Technical University of Munich. Core element of the setup is an optically accessible high pressure combustion cell which can be charged, ignited, and discharged repeatedly according to the cycle times of a real engine. Until now the apparatus was used for the investigation of two different prechamber concepts. (orig.)

Ultra-intense laser pulse propagation in plasmas: from classic hole-boring to incomplete hole-boring with relativistic transparency

International Nuclear Information System (INIS)

Weng, S M; Murakami, M; Mulser, P; Sheng, Z M

2012-01-01

Relativistic laser pulse propagation into homogeneous plasmas has been investigated as a function of plasma density. At first, the propagation features are compared systematically between relativistic transparency (RT) and hole-boring (HB). Paramountly, a considerably broad intermediate regime, namely the incomplete HB regime, has been found between the RT regime and the HB regime for an extremely intense circularly polarized (CP) pulse. In this regime HB proceeds in collaboration with RT, resulting in a much faster propagation speed and a higher cut-off energy of fast ions than in the classic HB regime. Similarly to the classic HB regime, formulae are presented to model the laser propagation and the ion acceleration according to the modified momentum flux balance in this incomplete HB regime. The simulations give the density boundary between this incomplete HB regime and the classic HB regime for CP pulses, which is crucial for estimating the maximum mean ion energy and the maximum conversion efficiency that can be achieved by the classic HB acceleration at a given laser intensity. For linear polarization (LP) the propagation mechanism apparently undergoes a transition in time between these two regimes. A detailed comparison between LP and circular polarization is made for these phenomena. (paper)

Antibiotic prescription strategies for acute sore throat: a prospective observational cohort study.

Science.gov (United States)

Little, Paul; Stuart, Beth; Hobbs, F D Richard; Butler, Chris C; Hay, Alastair D; Delaney, Brendan; Campbell, John; Broomfield, Sue; Barratt, Paula; Hood, Kerenza; Everitt, Hazel; Mullee, Mark; Williamson, Ian; Mant, David; Moore, Michael

2014-03-01

Data from trials suggest that antibiotics reduce the risk of complications of sore throat by at least 50%, but few trials for complications have been done in modern settings, and datasets of delayed antibiotic prescription are underpowered. Observational evidence is important in view of poor compliance with antibiotic treatment outside trials, but no prospective observational cohort studies have been done to date. We generated a large prospective cohort from the DESCARTE study, and the PRISM component of DESCARTE, of 12,829 adults presenting with sore throat (≤ 2 weeks duration) in primary care. Our follow-up of the cohort was based on a detailed and structured review of routine medical records, and analysis of the comparison of three antibiotic prescription strategies (no antibiotic prescription, immediate antibiotic prescription, and delayed antibiotic prescription) to control for the propensity to prescribe antibiotics. Information about antibiotic prescription was recorded in 12,677 individuals (4805 prescribed no antibiotics, 6088 prescribed antibiotics immediately, and 1784 prescribed delayed antibiotics). We documented by review of patients' notes (n=11,950) the development of suppurative complications (eg, quinsy, impetigo and cellulitis, otitis media, and sinusitis) or reconsultation with new or non-resolving symptoms). We used multivariate analysis to control for variables significantly related to the propensity to prescribe antibiotics and for clustering by general practitioner. 164 (1.4%) of the 11,950 patients with information available developed complications; otitis media and sinusitis were the most common complications (101 patients [62%]). Compared with no antibiotic prescription, immediate antibiotic prescription was associated with fewer complications (adjusted risk ratio [RR] 0.62, 95% CI 0.43-0.91, estimated number needed to treat [NNT 193) as was delayed prescription of antibiotics (0.58, 0.34-0.98; NNT 174). 1787 of the 11,950 patients (15

Effects of a High Protein and Omega-3-Enriched Diet with or Without Creatine Supplementation on Markers of Soreness and Inflammation During 5 Consecutive Days of High Volume Resistance Exercise in Females

Directory of Open Access Journals (Sweden)

Sara Hayward, Colin D. Wilborn, Lem W. Taylor, Stacie L. Urbina, Jordan J. Outlaw, Cliffa A. Foster, Michael D. Roberts

2016-12-01

Full Text Available We examined if two different dietary interventions affected markers of soreness and inflammation over a 5-day high-volume resistance training protocol in females that resistance-trained 8 weeks prior. Twenty-eight females (age: 20 ± 1 yr; body mass: 63.5 ± 1.6 kg, height: 1.67 ± 0.01 m completed 4 weeks of pre-training (weeks 1-4 followed by a subsequent 4-week training period along with a dietary intervention (weeks 5-8. Dietary interventions from weeks 5-8 included: a no intervention (CTL, n = 10 b a higher-protein diet supplemented with hydrolyzed whey protein (50 g/d and omega-3 fatty acids (900 mg/d (DI, n = 8, and c the DI condition as well as creatine monohydrate (5 g/d (DI+C, n = 10. During week 9, participants resistance-trained for five consecutive days whereby 8 sets of 10 target repetitions at 70% one repetition maximum (1RM were performed each day for bench press, back squat, deadlift, and hip-thrusters with the intent of eliciting muscle soreness and inflammation. Prior to and 24 h following each of the 5 bouts muscle soreness (DOMS was assessed via questionnaire, and fasting blood was obtained and analyzed for serum cortisol, interleukin-6 (IL-6 and C-reactive protein (CRP. No group*time (G*T or time effects were observed for training volume over the 5-d overreaching protocol. Furthermore, no group*time (G*T or time effects were observed for serum cortisol, IL-6 or CRP, and DOMS actually decreased in all groups 24 h following the fifth day training bout. This study demonstrates that, regardless of protein, omega-3 fatty acid and/or creatine supplementation, 5 days of consecutive resistance training does not alter perceived muscle soreness, training volume, and/or markers of inflammation in novice resistance-trained females.

Sintering of beryllium oxide with 3-4 per cent elemental boron; Frittage de l'oxyde de beryllium a 3 et 5 pour cent de bore element

Energy Technology Data Exchange (ETDEWEB)

Pointud, R.; Rispal, Ch.; Le Garec, M. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1958-07-01

In order to manufacture a baffle absorbing neutrons of various energies, there was developed or mixture of a slower and an absorber. It is made by hot pressing impure beryllium containing boron carbide. The dense briquette has 100 x 100 x 50 mm and is machined on all her faces. She is of 2,85 density and about 3 to 4 per cent porosity, according to 5 per cent of boron. Difference of boron amount is lower than ten per cent between any two points of the briquette. (author) [French] Pour fabriquer un ecran absorbeur des neutrons d'energies diverses, on a realise l'association d'un element ralentisseur, Ie beryllium, et d'un element absorbant, le bore, par frittage sous charge d'une poudre mixte contenant de l'oxyde de beryllium technique et du carbure de bore technique. Le comprime obtenu est une brique de 100 x 100 x 50 mm, usinee sur toutes sur toutes surfaces, d'une densite de 2,85, porosite d'environ 3 a 4 pour cent pour une teneur en bore de 5 pour cent. L'heterogeneite en bore entre les differents points de cette brique est inferieure a 10 pour cent. (auteur)

Estimation of the equilibrium formation temperature in the presence of bore fluid invasion

DEFF Research Database (Denmark)

Poulsen, Søren Erbs; Nielsen, S.B.; Balling, N.

2012-01-01

from BHT measurements in the presence of bore fluid invasion. The scheme is based on finite element analysis in conjunction with Markov chain Monte Carlo inversion. The axisymmetric forward model assumes a cylindrical source of finite radius and contrasting thermal parameters, which includes...... by correction schemes based on purely conductive models. The influence of the borehole radius and fluid invasion on the temperature measured at the borehole axis attenuates over time. It is further demonstrated that the invasion radius and the matrix thermal conductivity cannot be estimated simultaneously...

A Magnetic Resonance Imaging-Conditional External Cardiac Defibrillator for Resuscitation Within the Magnetic Resonance Imaging Scanner Bore.

Science.gov (United States)

Schmidt, Ehud J; Watkins, Ronald D; Zviman, Menekhem M; Guttman, Michael A; Wang, Wei; Halperin, Henry A

2016-10-01

Subjects undergoing cardiac arrest within a magnetic resonance imaging (MRI) scanner are currently removed from the bore and then from the MRI suite, before the delivery of cardiopulmonary resuscitation and defibrillation, potentially increasing the risk of mortality. This precludes many higher-risk (acute ischemic and acute stroke) patients from undergoing MRI and MRI-guided intervention. An MRI-conditional cardiac defibrillator should enable scanning with defibrillation pads attached and the generator ON, enabling application of defibrillation within the seconds of MRI after a cardiac event. An MRI-conditional external defibrillator may improve patient acceptance for MRI procedures. A commercial external defibrillator was rendered 1.5 Tesla MRI-conditional by the addition of novel radiofrequency filters between the generator and commercial disposable surface pads. The radiofrequency filters reduced emission into the MRI scanner and prevented cable/surface pad heating during imaging, while preserving all the defibrillator monitoring and delivery functions. Human volunteers were imaged using high specific absorption rate sequences to validate MRI image quality and lack of heating. Swine were electrically fibrillated (n=4) and thereafter defibrillated both outside and inside the MRI bore. MRI image quality was reduced by 0.8 or 1.6 dB, with the generator in monitoring mode and operating on battery or AC power, respectively. Commercial surface pads did not create artifacts deeper than 6 mm below the skin surface. Radiofrequency heating was within US Food and Drug Administration guidelines. Defibrillation was completely successful inside and outside the MRI bore. A prototype MRI-conditional defibrillation system successfully defibrillated in the MRI without degrading the image quality or increasing the time needed for defibrillation. It can increase patient acceptance for MRI procedures. © 2016 American Heart Association, Inc.

Assembly and Test of HD2, a 36 mm bore high field Nb3Sn Dipole Magnet

International Nuclear Information System (INIS)

Ferracin, P.; Bingham, B.; Caspi, S.; Cheng, D.W.; Dietderich, D.R.; Felice, H.; Godeke, A.; Hafalia, A.R.; Hannaford, C.R.; Joseph, J.; Lietzke, A.F.; Lizarazo, J.; Sabbi, G.; Trillaud, F.; Wang, X.

2008-01-01

We report on the fabrication, assembly, and test of the Nb 3 Sn dipole magnet HD2. The magnet, aimed at demonstrating the application of Nb 3 Sn superconductor in high field accelerator-type dipoles, features a 36 mm clear bore surrounded by block-type coils with tilted ends. The coil design is optimized to minimize geometric harmonics in the aperture and the magnetic peak field on the conductor in the coil ends. The target bore field of 15 T at 4.3 K is consistent with critical current measurements of extracted strands. The coils are horizontally pre-stressed during assembly using an external aluminum shell pre-tensioned with water-pressurized bladders. Axial pre-loading of the coil ends is accomplished through two end plates and four aluminum tension rods. The strain in coil, shell, and rods is monitored with strain gauges during assembly, cool-down and magnet excitation, and compared with 3D finite element computations. Magnet's training performance, quench locations, and ramp-rate dependence are then analyzed and discussed.

Detailed design of the large-bore 8 T superconducting magnet for the NAFASSY test facility

Science.gov (United States)

Corato, V.; Affinito, L.; Anemona, A.; Besi Vetrella, U.; Di Zenobio, A.; Fiamozzi Zignani, C.; Freda, R.; Messina, G.; Muzzi, L.; Perrella, M.; Reccia, L.; Tomassetti, G.; Turtù, S.; della Corte, A.

2015-03-01

The ‘NAFASSY’ (NAtional FAcility for Superconducting SYstems) facility is designed to test wound conductor samples under high-field conditions at variable temperatures. Due to its unique features, it is reasonable to assume that in the near future NAFASSY will have a preeminent role at the international level in the qualification of long coiled cables in operative conditions. The magnetic system consists of a large warm bore background solenoid, made up of three series-connected grading sections obtained by winding three different Nb3Sn Cable-in-Conduit Conductors. Thanks to the financial support of the Italian Ministry for University and Research the low-field coil is currently under production. The design has been properly modified to allow the system to operate also as a stand-alone facility, with an inner bore diameter of 1144 mm. This magnet is able to provide about 7 T on its axis and about 8 T close to the insert inner radius, giving the possibility of performing a test relevant for large-sized NbTi or medium-field Nb3Sn conductors. The detailed design of the 8 T magnet, including the electro-magnetic, structural and thermo-hydraulic analysis, is here reported, as well as the production status.

Improved magnetic-field homogeneity of NMR HTS bulk magnet using a new stacking structure and insertion of an HTS film cylinder into a bulk bore

International Nuclear Information System (INIS)

Itoh, Yoshitaka; Yanagi, Yousuke; Nakamura, Takashi

2017-01-01

A new type of superconducting bulk magnet for compact nuclear magnetic resonance (NMR) devices with high magnetic-field homogeneity has been developed by inserting an HTS film cylinder into a bulk superconductor bore. Annular 60 mmϕ Eu-Ba-Cu-O bulk superconductors with a larger inner diameter (ID) of 36 mm were sandwiched between bulk superconductors with a smaller ID of 28 mm, and the total height of the bulk superconductor set was made to be 120 mm. The inner height of central wide bore space was optimized by magnetic-field simulation so that the influence of the bulk superconductor's paramagnetic moment on applied field homogeneity was minimized during the magnetization process. An HTS film cylinder, in which Gd-Ba-Cu-O tapes were wound helically in three layers around a copper cylinder, was inserted into the bulk bore in order to compensate for the inhomogeneous field trapped by the bulk superconductor. The superconducting bulk magnet composed of the above bulk superconductor set and the film cylinder were cooled by a GM pulse tube refrigerator and magnetized at 4.747 T using the field cooling (FC) method and a conventional superconducting coil magnet adjusted to below 0.5 ppm in magnetic-field homogeneity. The NMR measurement was conducted for an H_2O sample with a diameter of 6.9 mm and a length of 10 mm by setting the sample in the center of the 20 mm ID room-temperature bore of the bulk magnet. The magnetic-field homogeneity derived from the full width at half maximum (FWHM) of the "1H spectrum of H_2O was 0.45 ppm. We confirmed that the HTS film inner cylinder was effective in maintaining the homogeneity of the magnetic field applied in the magnetization process, and as a result, a magnetic field with a homogeneity of less than 1 ppm can be generated in the bore of the bulk magnet without using shim coils. (author)

The effect of alternative graphical displays used to present the benefits of antibiotics for sore throat on decisions about whether to seek treatment: a randomized trial.

Science.gov (United States)

Carling, Cheryl L L; Kristoffersen, Doris Tove; Flottorp, Signe; Fretheim, Atle; Oxman, Andrew D; Schünemann, Holger J; Akl, Elie A; Herrin, Jeph; MacKenzie, Thomas D; Montori, Victor M

2009-08-01

We conducted an Internet-based randomized trial comparing four graphical displays of the benefits of antibiotics for people with sore throat who must decide whether to go to the doctor to seek treatment. Our objective was to determine which display resulted in choices most consistent with participants' values. This was the first of a series of televised trials undertaken in cooperation with the Norwegian Broadcasting Company. We recruited adult volunteers in Norway through a nationally televised weekly health program. Participants went to our Web site and rated the relative importance of the consequences of treatment using visual analogue scales (VAS). They viewed the graphical display (or no information) to which they were randomized and were asked to decide whether to go to the doctor for an antibiotic prescription. We compared four presentations: face icons (happy/sad) or a bar graph showing the proportion of people with symptoms on day three with and without treatment, a bar graph of the average duration of symptoms, and a bar graph of proportion with symptoms on both days three and seven. Before completing the study, all participants were shown all the displays and detailed patient information about the treatment of sore throat and were asked to decide again. We calculated a relative importance score (RIS) by subtracting the VAS scores for the undesirable consequences of antibiotics from the VAS score for the benefit of symptom relief. We used logistic regression to determine the association between participants' RIS and their choice. 1,760 participants completed the study. There were statistically significant differences in the likelihood of choosing to go to the doctor in relation to different values (RIS). Of the four presentations, the bar graph of duration of symptoms resulted in decisions that were most consistent with the more fully informed second decision. Most participants also preferred this presentation (38%) and found it easiest to understand (37

Cost-Effectiveness Comparison of Imaging-Guided Prostate Biopsy Techniques: Systematic Transrectal Ultrasound, Direct In-Bore MRI, and Image Fusion

NARCIS (Netherlands)

Venderink, W.; Govers, T.M.; Rooij, M. de; Futterer, J.J.; Sedelaar, J.P.M.

2017-01-01

OBJECTIVE: Three commonly used prostate biopsy approaches are systematic transrectal ultrasound guided, direct in-bore MRI guided, and image fusion guided. The aim of this study was to calculate which strategy is most cost-effective. MATERIALS AND METHODS: A decision tree and Markov model were

In-bore transrectal MRI-guided prostate biopsies: Are there risk factors for complications?

Energy Technology Data Exchange (ETDEWEB)

Meier-Schroers, Michael, E-mail: michael.meier@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Homsi, Rami, E-mail: rami.homsi@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Kukuk, Guido, E-mail: guido.kukuk@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Wolter, Karsten, E-mail: karsten.wolter@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Decker, Georges, E-mail: georges.decker@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Fischer, Stefan, E-mail: stefan.fischer@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Marx, Christian, E-mail: christian.marx@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Schmeel, Frederic Carsten, E-mail: carsten.schmeel@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Block, Wolfgang, E-mail: wolfgang.block@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Sprinkart, Alois Martin, E-mail: sprinkart@uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Traeber, Frank, E-mail: frank.traeber@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Schild, Hans Heinz, E-mail: hans.schild@ukb.uni-bonn.de [Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn (Germany); Willinek, Winfried, E-mail: w.willinek@bk-trier.de [Department of Radiology, Neuroradiology, Sonography and Nuclear Medicine, Hospital of the Barmherzige Brüder Trier, Nordallee 1, 54292 Trier (Germany)

2016-12-15

Purpose: To systematically analyze risk factors for complications of in-bore transrectal MRI-guided prostate biopsies (MRGB). Materials and methods: 90 patients, who were scheduled for MRGB were included for this study. Exclusion criteria were coagulation disorders, therapy with anticoagulant drugs, and acute infections of the urinary and the lower gastrointestinal tract. Directly after, one week and one year after the biopsy, we assessed biopsy related complications (e.g. hemorrhages or signs of prostatitis). Differences between patients with and without complications were analyzed regarding possible risk factors: age, prostate volume, number of taken samples, biopsy duration, biopsy of more than one lesion, diabetes, arterial hypertension, hemorrhoids, benign prostate hyperplasia, carcinoma or prostatitis (according to histopathological analysis), and lesion localization. Complications were classified according to the Clavien-Dindo classification. Results: We observed 15 grade I complications in 90 biopsies (16.7%) with slight hematuria in 9 cases (10%), minor vasovagal reactions in 4 cases (4.4%), and urinary retention and positioning-related facial dysesthesia in 1 case each (1.1%). One patient showed acute prostatitis requiring antibiotics as the only grade II complication (1.1%). There were no adverse events that occurred later than one week. Complications grade III or higher such as pelvic abscesses, urosepsis or severe hemorrhages were not seen. There were no significant associations between the assessed risk factors and biopsy-related complications. Conclusion: In-bore transrectal MRI-guided prostate biopsies can be considered safe procedures in the diagnosis of prostate cancer with very low complication rates. There seem to be no risk factors for complications.

In-bore transrectal MRI-guided prostate biopsies: Are there risk factors for complications?

International Nuclear Information System (INIS)

Meier-Schroers, Michael; Homsi, Rami; Kukuk, Guido; Wolter, Karsten; Decker, Georges; Fischer, Stefan; Marx, Christian; Schmeel, Frederic Carsten; Block, Wolfgang; Sprinkart, Alois Martin; Traeber, Frank; Schild, Hans Heinz; Willinek, Winfried

2016-01-01

Purpose: To systematically analyze risk factors for complications of in-bore transrectal MRI-guided prostate biopsies (MRGB). Materials and methods: 90 patients, who were scheduled for MRGB were included for this study. Exclusion criteria were coagulation disorders, therapy with anticoagulant drugs, and acute infections of the urinary and the lower gastrointestinal tract. Directly after, one week and one year after the biopsy, we assessed biopsy related complications (e.g. hemorrhages or signs of prostatitis). Differences between patients with and without complications were analyzed regarding possible risk factors: age, prostate volume, number of taken samples, biopsy duration, biopsy of more than one lesion, diabetes, arterial hypertension, hemorrhoids, benign prostate hyperplasia, carcinoma or prostatitis (according to histopathological analysis), and lesion localization. Complications were classified according to the Clavien-Dindo classification. Results: We observed 15 grade I complications in 90 biopsies (16.7%) with slight hematuria in 9 cases (10%), minor vasovagal reactions in 4 cases (4.4%), and urinary retention and positioning-related facial dysesthesia in 1 case each (1.1%). One patient showed acute prostatitis requiring antibiotics as the only grade II complication (1.1%). There were no adverse events that occurred later than one week. Complications grade III or higher such as pelvic abscesses, urosepsis or severe hemorrhages were not seen. There were no significant associations between the assessed risk factors and biopsy-related complications. Conclusion: In-bore transrectal MRI-guided prostate biopsies can be considered safe procedures in the diagnosis of prostate cancer with very low complication rates. There seem to be no risk factors for complications.

Measurements of cutter forces and cutter temperature of boring machine in Aespoe Hard Rock Laboratory

Energy Technology Data Exchange (ETDEWEB)

Zhang, Z.X.; Kou, S.Q.; Lindqvist, P.-A. [Luleaa Univ. of Technology (Sweden)

2001-04-01

This report presents both the testing methods used and the testing results obtained for cutter forces and cutter temperature during field boring in Aespoe Hard Rock Laboratory. In order to estimate the strains induced by cutter forces in the cutter shaft and choose proper transducers, first a numerical simulation was performed. The simulation results indicated that the cutter forces should be measurable by ordinary strain gauges. Furthermore, an independent three-direction loading system for laboratory calibration was set up to solve force-coupling problems appearing in field measurements. By means of the established measuring system, which was proved successfully in the laboratory, the normal forces, tangential forces, and side forces of two button cutters in the boring machine were measured in the field. In addition, the temperature in the shaft of the front cutter was measured. After the measurements of the cutter forces and cutter temperature, rock core samples were taken from the bottom and the wall of the testing borehole. Then the samples were cut, polished, and examined by means of the Scanning Electron Microscope (SEM). After that, the lengths of major cracks induced by the cutters in the rock samples were measured, and an approximate relationship between the length of the medium cracks and the relevant cutter forces was obtained. This relationship was compared with the theoretical relationship established before. Finally, according to the measured results, the cracked zones around the borehole were described. The results show that: (1) there are two kinds of cracked zones: one in the borehole wall and the other in the bottom of the borehole. The depth of the cracked zone in the borehole bottom is much larger than that in the borehole wall because the maximum normal force of the front cutter is always much larger than that of the gauge cutter. (2) Each cracked zone includes a densely cracked zone and all the longest medium cracks caused by mechanical

An innovative jet boring mining method available for the high grade uranium ore underground deposits

International Nuclear Information System (INIS)

Narcy, J.L.

1996-01-01

An innovative mining method, based on the capability of a high pressure water jet to desaggregate rock, has been conceived and tested with success at the highest grade uranium ore deposit in the world, the Cigar Lake deposit in Saskatchewan, Canada. 113 tonnes of ore at 13% U were mined out by a new jet-boring mining method operated on a semi-industrial basis, in 1992 during the test mining program of Cigar Lake Project. (author). 9 figs

Dynamic study of a compressed electron layer during the hole-boring stage in a sharp-front laser interaction region

Directory of Open Access Journals (Sweden)

W. P. Wang

2012-08-01

Full Text Available This study investigates the dynamics of a compressed electron layer (CEL when a circularly polarized laser pulse with a sharp front irradiates a high-density foil. A time-dependent model for CEL motion during the hole-boring stage is proposed to describe details of the interaction for any shape of laser pulse. The opacity case, where the laser pulse is totally reflected, is investigated using this model. The results obtained are consistent with the results from particle-in-cell (PIC simulations. A relaxation distance determined by the laser-front steepness is necessary to build a stable CEL state before ions rejoin into the CEL. For the transparent case, the laser-front steepness is important for the formation of the stable CEL state at the back surface of the target. Considering the motion of ions, both the CEL and ion dynamics are important to rebalance the laser pressure and electrostatic charge-separation force as the hole-boring stage changes to the light-sail stage.

A systematic review of complication and recurrence rates of musculocutaneous, fasciocutaneous, and perforator-based flaps for treatment of pressure sores.

Science.gov (United States)

Sameem, Mojib; Au, Michael; Wood, Thomas; Farrokhyar, Forough; Mahoney, James

2012-07-01

Management of pressure sores poses a significant reconstructive challenge for plastic surgeons. Currently, there is no consensus on whether musculocutaneous, fasciocutaneous, or perforator-based flaps provide superior results for treating pressure sores. The following databases were searched: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, LILACS (January of 1950 to November of 2010), MEDLINE (January of 1950 to November of 2010), and EMBASE (January of 1980 to November of 2010). Only articles reporting on the use of musculocutaneous, fasciocutaneous, and perforator-based flaps were included. The primary study outcomes were complication and recurrence rates. Fifty-five articles were included in the final analysis (kappa = 0.78). From this total, 28 were categorized as pertaining to musculocutaneous flaps, 13 studied fasciocutaneous flaps, and 14 evaluated perforator-based flaps. The authors' review revealed recurrence and complication rates of 8.9 and 18.6 percent, respectively, following reconstruction with musculocutaneous flaps, 11.2 and 11.7 percent following reconstruction with fasciocutaneous flaps, and 5.6 and 19.6 percent following reconstruction with perforator-based flaps. Overall, statistical analysis revealed no significant difference in complication or recurrence rates among these three techniques. The authors' review revealed that there was no statistically significant difference with regard to recurrence or complication rates among musculocutaneous, fasciocutaneous, or perforator-based flaps. This suggests that surgeons performing such reconstructive procedures may choose to consider the advantages of a specific approach rather than the complication and recurrence rates. Therapeutic, IV.

Deep bore well water level fluctuations in the Koyna region, India: the presence of a low order dynamical system in a seismically active environment

Directory of Open Access Journals (Sweden)

D. V. Ramana

2009-05-01

Full Text Available Water level fluctuations in deep bore wells in the vicinity of seismically active Koyna region in western India provides an opportunity to understand the causative mechanism underlying reservoir-triggered earthquakes. As the crustal porous rocks behave nonlinearly, their characteristics can be obtained by analysing water level fluctuations, which reflect an integrated response of the medium. A Fractal dimension is one such measure of nonlinear characteristics of porous rock as observed in water level data from the Koyna region. It is inferred in our study that a low nonlinear dynamical system with three variables can predict the water level fluctuations in bore wells.

Comparative characterization of the quaternary deposits of Northwest Peninsular Malaysia by wash boring and CPTU site investigation methods

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Selamat, Mohamad R.; Rosli, Ros N.; Ramli, Muhd H.; Azmi, Mastura; Kumaravelu, Prakash; Govindasamy, Darvintharen

2017-10-01

A site investigation by wash boring method was carried out in the compound of the Engineering Campus, Universiti Sains Malaysia, in Northwest Peninsular Malaysia. The subsurface soils of the region are known to be comprised of quaternary deposits including the prominent marine clays of the Gula formation. The conventional Standard Penetration Test, or SPT, was carried out for every 1.5m depth. The 18 disturbed samples collected were tested for grain size distribution, Atterberg limits, and specific gravity; and categorized according to the unified soil classification system. The results indicate low SPT numbers, or SPTN, i.e. SPTN8 for depths deeper than 12m. Samples from shallower than 12m were mostly classified as low plasticity clay, or CL, which represents the soft marine clay while the underlying materials were mostly sands, namely poorly graded sand, or SP, silty sand, or SM, clayey sand, or SC, and well graded sand, or SW. Another site investigation by the CPTU method was also carried out 5m from the wash boring position, penetrating the entire soft clay stratum, thus giving another marine clay characterization in addition to the one given by the first method. The CPTU results generally gave SPTN≤2 for depths lesser than 8m, 2≤;SPTN≤4 for depths between 8 and 12m, and SPTN=23 at 12.5m, where the CPTU test terminated. The CPTU method classified the soft materials as sensitive fine grains, clays, and clayey silts to silty clays. Thus the CPTU results did not agree very well with the conventional wash boring SPT results in terms of the SPTN obtained. Nevertheless both methods equally identified the prominent presence of the soft marine clay stratum in the top 12.5m and the underlying strong sandy bed with higher bearing capacity values.

Comparing sensitivity and count rate performance of small-bore DOI-PET scanners by computer simulation

International Nuclear Information System (INIS)

Kobayashi, Tetsuya; Takahashi, Hisashi; Yamaya, Taiga; Murayama, Hideo; Kitamura, Keishi; Hasegawa, Tomoyuki; Suga, Mikio

2006-01-01

In the development of a dedicated small-bore DOI-PET scanner for small animals (jPET-RD), we performed Monte Carlo simulations using the GATE based on Geant4 and investigated the influence of the proximity of the detectors to the target object on the sensitivity and count rate performance. The jPET-RD is based on a large-size depth-of-interaction (DOI) block detector that consists of a 4-layered array of 32 x 32 LSO crystals (1.4 mm x 1.4 mm x 4.5 mm) and a 256-ch flat panel position-sensitive photomultiplier tube. In this work, three detector geometries were simulated: two rings of six detector blocks arranged in a hexagonal pattern (FOV 85 mm in diameter) and four detector blocks arranged in a tetragonal pattern (FOV 49 mm in diameter) and in an overlapped tetragonal pattern (FOV 38 mm in diameter). The simulation results showed that the smaller bore geometry can provide higher sensitivity because of its larger solid angle. Although it clearly affected the noise equivalent count rate (NECR) due to its high dead-time, parallel readout with appropriate anode segmentation improved the NECR at 20 MBq by a factor of 1.1 to 1.4 compared with the case of 256-ch anodes read out by one front-end circuit. (author)

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.

Fiscal 1999 geothermal development promotion survey. Structural boring survey work and analysis report (No.B-6 - Tsujinodake area); 1999 nendo chinetsu kaihatsu sokushin chosa. Kozo shisui chosa koji oyobi kaiseki hokokusho (No.B-6 Tsujinodake chiiki)

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-12-01

Cuttings from bores N11-TD-2 and N11-TD-3 drilled for the purpose of confirming the existence of geothermal resources in the Tsujinodake area were examined and tested, and the results of temperature logging, electrical logging, and water injection tests carried out during the structural boring work were analyzed. Activities were conducted in the four fields of (1) test boring work, (2) survey and measurement, (3) core cutting examination, and (4) comprehensive analysis. In bore N11-TD-2 positioned in the northern part of Tsujinodake, a sharp temperature rise was detected in the clay converted alteration zone between 200m above sea level and 200m below sea level. A high temperature of 215 degrees C was recorded at 200m below sea level, and it was found that high temperature geothermal water was in reserve at the bottom of the clay converted alteration zone between 100m above sea level and 200m below sea level. In bore N11-TD-3 in the southern wall of the Ata caldera, a convection type low temperature profile was observed at a shallow level and low temperature convection of underground water was detected there. (NEDO)

Dynamic nuclear polarization for magnetic resonance imaging. An in-bore approach

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Krummenacker, Jan G.

2012-07-01

In this thesis, the development of an in-bore liquid state DNP polarizer for MRI applications operating in flow through mode at a magnetic field strength of 1.5 T was described. After an introductory chapter 1 and a chapter 2 on the theoretical background, chapter 3 dealt chiefly with the challenge of performing liquid state DNP at a high magnetic field of 9.2 T. The feasibility of performing liquid state DNP at this field was demonstrated for various solvents, as well as for metabolites in solution. Chapter 4 then moved to the aim of this work, the application of liquid state DNP for MRI experiments. It introduced the rationale of our approach, the hardware that was developed and demonstrated its performance in a clinical MRI tomograph.

Dynamic nuclear polarization for magnetic resonance imaging. An in-bore approach

International Nuclear Information System (INIS)

Krummenacker, Jan G.

2012-01-01

In this thesis, the development of an in-bore liquid state DNP polarizer for MRI applications operating in flow through mode at a magnetic field strength of 1.5 T was described. After an introductory chapter 1 and a chapter 2 on the theoretical background, chapter 3 dealt chiefly with the challenge of performing liquid state DNP at a high magnetic field of 9.2 T. The feasibility of performing liquid state DNP at this field was demonstrated for various solvents, as well as for metabolites in solution. Chapter 4 then moved to the aim of this work, the application of liquid state DNP for MRI experiments. It introduced the rationale of our approach, the hardware that was developed and demonstrated its performance in a clinical MRI tomograph.

Implementation of virtual simulation with a wide-bore multislice helcalct scanner

International Nuclear Information System (INIS)

Greer, P.; Kenny, J.

2004-01-01

Full text: Multislice large-bore CT scanners specifically designed for radiotherapy have very recently become available. The issues relating to these type of scanners in radiotherapy and the implementation of virtual simulation are therefore of much current interest. A GE LightSpeed RT 4-slice helical CT scanner with a 80 cm bore size was installed in the radiation oncology department of the Newcastle Mater Hospital. This replaced our only simulator, a conventional unit. Specific issues relating to the imaging performance, and virtual simulation process with the large-bore multislice scanner were studied to ensure an accurate radiotherapy process. The detector array fully samples a 50 cm diameter scan circle. The reconstructed diameter can be increased to 65 cm with partial sampling of the extra volume. The GE Advantage Sim (ASim) virtual simulation software was commissioned, with transfer of CT images and DICOM RT plans to the Pinnacle radiotherapy planning system (RTPS) for dose calculation. Some specific issues investigated were: 1) The image quality performance for image reconstruction with the 65 cm area compared to 50 cm was measured with a line-pair phantom. 2) The accuracy of CT numbers with lateral position was assessed with a commercial electron density phantom. 3) Couch lateral movement and sag during acquisition were measured with the couch weighted with 86 kg. 4) The accuracy of the transfer of plans from ASim to Pinnacle was verified with known plan geometries. Image resolution throughout the entire CT image was found to be significantly lower when scan reconstruction was performed with 65 cm scan circle compared to 50 cm. The 0.3, 0.38 and 0.5 1p/mm bars were clearly distinguishable with the 50 cm reconstruction compared to only the 0.3 1p/mm bars in the 65 cm reconstruction. 2) CT numbers varied significantly outside the 50 cm reconstructed area. 3) Couch lateral movement during scanning was within 1 mm. Couch sag was 4 mm at the imaging plane

Dosimetric impact of image artifact from a wide-bore CT scanner in radiotherapy treatment planning

Energy Technology Data Exchange (ETDEWEB)

Wu, Vincent; Podgorsak, Matthew B.; Tran, Tuan-Anh; Malhotra, Harish K.; Wang, Iris Z. [Department of Radiation Medicine, Roswell Park Cancer Institute, Buffalo, New York 14263 (United States); Department of Radiation Medicine, Roswell Park Cancer Institute, Buffalo, New York 14263 and Department of Physiology and Biophysics, State University of New York at Buffalo, Buffalo, New York 14214 (United States); Department of Radiation Medicine, Roswell Park Cancer Institute, Buffalo, New York 14263 (United States); Department of Radiation Medicine, Roswell Park Cancer Institute, Buffalo, New York 14263 and Department of Physiology and Biophysics, State University of New York at Buffalo, Buffalo, New York 14214 (United States)

2011-07-15

Purpose: Traditional computed tomography (CT) units provide a maximum scan field-of-view (sFOV) diameter of 50 cm and a limited bore size, which cannot accommodate a large patient habitus or an extended simulation setup in radiation therapy (RT). Wide-bore CT scanners with increased bore size were developed to address these needs. Some scanners have the capacity to reconstruct the CT images at an extended FOV (eFOV), through data interpolation or extrapolation, using projection data acquired with a conventional sFOV. Objects that extend past the sFOV for eFOV reconstruction may generate image artifacts resulting from truncated projection data; this may distort CT numbers and structure contours in the region beyond the sFOV. The purpose of this study was to evaluate the dosimetric impact of image artifacts from eFOV reconstruction with a wide-bore CT scanner in radiotherapy (RT) treatment planning. Methods: Testing phantoms (i.e., a mini CT phantom with equivalent tissue inserts, a set of CT normal phantoms and anthropomorphic phantoms of the thorax and the pelvis) were used to evaluate eFOV artifacts. Reference baseline images of these phantoms were acquired with the phantom centrally positioned within the sFOV. For comparison, the phantoms were then shifted laterally and scanned partially outside the sFOV, but still within the eFOV. Treatment plans were generated for the thoracic and pelvic anthropomorphic phantoms utilizing the Eclipse treatment planning system (TPS) to study the potential effects of eFOV artifacts on dose calculations. All dose calculations of baseline and test treatment plans were carried out using the same MU. Results: Results show that both body contour and CT numbers are altered by image artifacts in eFOV reconstruction. CT number distortions of up to -356 HU for bone tissue and up to 323 HU for lung tissue were observed in the mini CT phantom. Results from the large body normal phantom, which is close to a clinical patient size, show

Load-deflection characteristics of small bore insulated pipe clamps

International Nuclear Information System (INIS)

Severud, L.K.; Clark, G.L.

1982-01-01

High temperature LMFBR piping is subject to rapid temperature changes during transient events. Typically, this pipe is supported by specially designed insulated pipe clamps to prevent excessive thermal stress from developing during these transients. The special insulated clamps used on both FFTF and CRBR piping utilize a Belleville spring arrangement to compensate for pipe thermal expansion. Analysis indicates that this produces a non-linear, directionally sensitive clamp spring rate. Since these spring rates influence the seismic response of a supported piping system, it was deemed necessary to evaluate them further by test. This has been accomplished for the FFTF clamps. A more standard insulated pipe clamp, which does not incorporate Belleville springs to accommodate thermal expansion, was also tested. This type clamp is simple in design, and economically attractive. It may have wide application prospects for use in LMFBR small bore auxiliary piping operating at temperatures below 427 0 C. Load deflection tests were conducted on 2.54 CM and 7.62 CM diameter samples of these commercial clamps

Geological mappability of bored versus drill and blast excavations for radioactive waste repositories

International Nuclear Information System (INIS)

Nilsen, B.; Ozdemir, L.

1992-01-01

The issue of accurate geological mappability has been subject of intense debate in the selection of bored versus drill and blast excavation for radioactive waste repositories. This paper is intended to provide an assessment of the problems usually encountered in mappability on the basis of field experience from a large number of completed tunnels, mainly as part of the Norwegian hydropower projects. The main conclusion is that mapping in a mechanically excavated underground opening, with very few exceptions, reflects the in-situ conditions more accurately than mapping in a drill and blast tunnel. This is due to the overbreak effects of drill and blast excavation, primarily

Intraoperative and postoperative feasibility and safety of total tubeless, tubeless, small-bore tube, and standard percutaneous nephrolithotomy: a systematic review and network meta-analysis of 16 randomized controlled trials.

Science.gov (United States)

Lee, Joo Yong; Jeh, Seong Uk; Kim, Man Deuk; Kang, Dong Hyuk; Kwon, Jong Kyou; Ham, Won Sik; Choi, Young Deuk; Cho, Kang Su

2017-06-27

Percutaneous nephrolithotomy (PCNL) is performed to treat relatively large renal stones. Recent publications indicate that tubeless and total tubeless (stentless) PCNL is safe in selected patients. We performed a systematic review and network meta-analysis to evaluate the feasibility and safety of different PCNL procedures, including total tubeless, tubeless with stent, small-bore tube, and large-bore tube PCNLs. PubMed, Cochrane Central Register of Controlled Trials, and EMBASE™ databases were searched to identify randomized controlled trials published before December 30, 2013. One researcher examined all titles and abstracts found by the searches. Two investigators independently evaluated the full-text articles to determine whether those met the inclusion criteria. Qualities of included studies were rated with Cochrane's risk-of-bias assessment tool. Sixteen studies were included in the final syntheses including pairwise and network meta-analyses. Operation time, pain scores, and transfusion rates were not significantly different between PCNL procedures. Network meta-analyses demonstrated that for hemoglobin changes, total tubeless PCNL may be superior to standard PCNL (mean difference [MD] 0.65, 95% CI 0.14-1.13) and tubeless PCNLs with stent (MD -1.14, 95% CI -1.65--0.62), and small-bore PCNL may be superior to tubeless PCNL with stent (MD 1.30, 95% CI 0.27-2.26). Network meta-analyses also showed that for length of hospital stay, total tubeless (MD 1.33, 95% CI 0.23-2.43) and tubeless PCNLs with stent (MD 0.99, 95% CI 0.19-1.79) may be superior to standard PCNL. In rank probability tests, small-bore tube and total tubeless PCNLs were superior for operation time, pain scores, and hemoglobin changes. For hemoglobin changes, total tubeless and small-bore PCNLs may be superior to other methods. For hospital stay, total tubeless and tubeless PCNLs with stent may be superior to other procedures.

No Differences Between Alter G-Trainer and Active and Passive Recovery Strategies on Isokinetic Strength, Systemic Oxidative Stress and Perceived Muscle Soreness After Exercise-Induced Muscle Damage.

Science.gov (United States)

Cooke, Matthew B; Nix, Carrie M; Greenwood, Lori D; Greenwood, Mike C

2018-03-01

Cooke, MB, Nix, C, Greenwood, L, and Greenwood, M. No Differences Between Alter G-Trainer and Active and Passive Recovery Strategies on Isokinetic Strength, Systemic Oxidative Stress and Perceived Muscle Soreness After Exercise-Induced Muscle Damage. J Strength Cond Res 32(3): 736-747, 2018-The incidence of muscle injuries is prevalent in elite sport athletes and weekend warriors and strategies that safely and effectively hasten recovery are highly desirable. The purpose of this study was to examine the differences between 3 recovery methods after eliciting muscle damage in recreationally active men relative to maximal isokinetic contractions, perceived muscle soreness, and psychological mood states. Twenty-five recreationally active men (22.15 ± 3.53 years, 75.75 ± 11.91 kg, 180.52 ± 7.3 cm) were randomly matched by V[Combining Dot Above]O2 peak (53.86 ± 6.65 ml·kg·min) and assigned to one of 3 recovery methods: anti-gravity treadmill (G-Trainer) (N = 8), conventional treadmill (N = 8) or static stretching (N = 9). Recovery methods were performed 30 minutes, 24, 48, and 72 hours after a 45-minute downhill run. Following eccentrically biased running, no significant differences were noted in isokinetic knee flexion and extension peak torque, systemic markers of muscle damage, oxidative stress and lipid peroxidation such as serum creatine kinase (CK), superoxide dismutase (SOD), and malondialdehyde (MDA), respectively, and subjective ratings of perceived muscle soreness between recovery methods. The G-Trainer group did however display a higher mood state as indicated by the Profile of Mood State global scores at 24 hours postexercise when compared to the conventional treadmill recovery group (p = 0.035). The improved mood state after the use of the anti-gravity treadmill may provide clinical relevance to other populations.

Increased technetium uptake is not equivalent to muscle necrosis: scintigraphic, morphological and intramuscular pressure analyses of sore muscles after exercise

Science.gov (United States)

Crenshaw, A. G.; Friden, J.; Hargens, A. R.; Lang, G. H.; Thornell, L. E.

1993-01-01

A scintigraphic technique employing technetium pyrophosphate uptake was used to identify the area of skeletal muscle damage in the lower leg of four runners 24 h after an ultramarathon footrace (160 km). Most of the race had been run downhill which incorporated an extensive amount of eccentric work. Soreness was diffuse throughout the posterior region of the lower leg. In order to interpret what increased technetium uptake reflects and to express extreme endurance related damages, a biopsy was taken from the 3-D position of abnormal uptake. In addition, intramuscular pressures were determined in the deep posterior compartment. Scintigraphs revealed increased technetium pyrophosphate uptake in the medial portion of the gastrocnemius muscle. For 3698 fibres analysed, 33 fibres (1%) were necrotic, while a few other fibres were either atrophic or irregular shaped. A cluster of necrotic fibres occurred at the fascicular periphery for one subject and fibre type grouping occurred for another. Ultrastructural analysis revealed Z-line streaming near many capillaries and variously altered subsarcolemmal mitochondria including some with paracrystalline inclusions. The majority of the capillaries included thickened and irregular shaped endothelial cells. Intramuscular pressures of the deep posterior compartment were slightly elevated (12-15 mmHg) for three of the four subjects. Increased technetium uptake following extreme endurance running does not just reflect muscle necrosis but also subtle fibre abnormalities. Collectively, these pathological findings are attributed to relative ischaemia occurring during the race and during pre-race training, whereas, intramuscular pressure elevations associated with muscle soreness are attributed to mechanical stress caused by extensive eccentric work during the race.

SU-E-I-20: Comprehensive Quality Assurance Test of Second Generation Toshiba Aquilion Large Bore CT Simulator Based On AAPM TG-66 Recommendations

Energy Technology Data Exchange (ETDEWEB)

Zhang, D [Toshiba America Medical Systems, Tustin, CA (United States)

2015-06-15

Purpose: AAPM radiation therapy committee task group No. 66 (TG-66) published a report which described a general approach to CT simulator QA. The report outlines the testing procedures and specifications for the evaluation of patient dose, radiation safety, electromechanical components, and image quality for a CT simulator. The purpose of this study is to thoroughly evaluate the performance of a second generation Toshiba Aquilion Large Bore CT simulator with 90 cm bore size (Toshiba, Nasu, JP) based on the TG-66 criteria. The testing procedures and results from this study provide baselines for a routine QA program. Methods: Different measurements and analysis were performed including CTDIvol measurements, alignment and orientation of gantry lasers, orientation of the tabletop with respect to the imaging plane, table movement and indexing accuracy, Scanogram location accuracy, high contrast spatial resolution, low contrast resolution, field uniformity, CT number accuracy, mA linearity and mA reproducibility using a number of different phantoms and measuring devices, such as CTDI phantom, ACR image quality phantom, TG-66 laser QA phantom, pencil ion chamber (Fluke Victoreen) and electrometer (RTI Solidose 400). Results: The CTDI measurements were within 20% of the console displayed values. The alignment and orientation for both gantry laser and tabletop, as well as the table movement and indexing and scanogram location accuracy were within 2mm as specified in TG66. The spatial resolution, low contrast resolution, field uniformity and CT number accuracy were all within ACR’s recommended limits. The mA linearity and reproducibility were both well below the TG66 threshold. Conclusion: The 90 cm bore size second generation Toshiba Aquilion Large Bore CT simulator that comes with 70 cm true FOV can consistently meet various clinical needs. The results demonstrated that this simulator complies with the TG-66 protocol in all aspects including electromechanical component

A cradle-shaped gradient coil to expand the clear-bore width of an animal MRI scanner

Energy Technology Data Exchange (ETDEWEB)

Gilbert, K M; Gati, J S; Klassen, L M; Menon, R S [Centre for Functional and Metabolic Mapping, Robarts Research Institute, The University of Western Ontario, PO Box 5015, 100 Perth Drive, London, Ontario, N6A 5K8 (Canada)], E-mail: kgilbert@imaging.robarts.ca

2010-01-21

The never ending quest for higher magnetic field strengths in MRI and MRS has led to small and medium bore scanners at 9.4 T and above for both human and animal use; however, these bore diameters restrict the size of object that can be accommodated when using a conventional gradient coil. By replacing a cylindrical gradient-coil insert with a single-sided gradient coil, the scanner's functionality can be extended to include localized imaging of wider samples. As a prototype, a three-axis, cradle-shaped gradient coil was designed, fabricated and implemented in a 9.4 T animal MRI scanner. Since gradient fields are required only to be monotonic over the desired field of view, the cradle gradient coil was designed to produce high gradient efficiencies (up to 2.25 mT m{sup -1} A{sup -1} over a 5 cm imaging region) at the expense of gradient linearity. A dedicated three-dimensional algorithm was developed to correct the resultant image distortion. Preliminary images of a grid phantom and a mouse demonstrated the fidelity of the algorithm in correcting image distortion of greater than 200%. Eddy currents were measured along each gradient axis. A large 65.2 (Hz mT{sup -1} m) B{sub 0} eddy current was produced by the y-axis, suggesting potential limitations of single-sided gradient coils.

Development of the teneral adult Anoplophora glabripennis (Coleoptera: Cerambycidae): time to initiate and completely bore out of maple wood

Science.gov (United States)

V. Sanchez; M.A. Keena

2013-01-01

Anoplophora glabripennis (Motschulsky) is an introduced invasive pest with the potential to devastate hardwood forests in North America. Using artificial pupal chambers, we documented the time required by teneral adults at three temperatures (20, 25, and 30°C), 60-80% RH, and a photoperiod of 16:8 (L:D) h to initiate boring after eclosion...

Efficacy and safety in performing of large bore percutaneous nephrostomy under ultrasound guidance

International Nuclear Information System (INIS)

Smilov, N.; Mlachkova, D.; Rizov, A.; Lozev, I.

2009-01-01

The aim of the study was to compare the success rate, complications and the outcomes from large-bore percutaneous nephrostomy under ultrasound guidance performed to 178 cases with another 54 when nephrostomy under x-ray control was performed. We have performed 178 large-bore percutaneous nephrostomy under ultrasound guidance and another 54 percutaneous nephrostomy under x-ray guidance to patients diagnosed with obstructive uropathy resulting from benign or malignant supravesical obstruction. We have performed successful nephrostomy in 93,8% of the cases under ultrasound guidance and 100% successful nephrostomy in the cases under x-ray control. In 2,8% of patients under ultrasound guidance the nephrostomy was performed using 4 additional punctures of the pyelocaliceal system and artificially caused hydronephrosis via infiltration of normal saline; and in the remaining 1,7% it was successful at the second attempt after 24 hours. It was not necessary to perform open surgery nephrostomy in any of the cases. The performance of percutaneous nephrostomy under ultrasound guidance has a success rate similar to the one done under x-ray guidance and with commensurable frequency and severity of complications, however without the patient and the operator being exposed to x-ray radiation. In general, the percutaneous nephrostomy under ultrasound guidance is performed without difficulties in the cases of third or fourth degree hydronephrosis. The lateral decubital patient position, the appropriate place for the puncture, the usage of Color Doppler imaging when the puncture is performed and the continuos ultrasound guidance during dilatation and placement of the nephrostomy tube should ensure the successful performance of the procedure in the case of first or second degree hydronephrosis. When hydronephrosis is absent, the nephrostomy should be performed under x-ray guidance. In emergency cases the application of ultrasound guidance allows the nephrostomy to be performed along the

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

Osedax borings in fossil marine bird bones

Science.gov (United States)

Kiel, Steffen; Kahl, Wolf-Achim; Goedert, James L.

2011-01-01

The bone-eating marine annelid Osedax consumes mainly whale bones on the deep-sea floor, but recent colonization experiments with cow bones and molecular age estimates suggesting a possible Cretaceous origin of Osedax indicate that this worm might be able grow on a wider range of substrates. The suggested Cretaceous origin was thought to imply that Osedax could colonize marine reptile or fish bones, but there is currently no evidence that Osedax consumes bones other than those of mammals. We provide the first evidence that Osedax was, and most likely still is, able to consume non-mammalian bones, namely bird bones. Borings resembling those produced by living Osedax were found in bones of early Oligocene marine flightless diving birds (family Plotopteridae). The species that produced these boreholes had a branching filiform root that grew to a length of at least 3 mm, and lived in densities of up to 40 individuals per square centimeter. The inclusion of bird bones into the diet of Osedax has interesting implications for the recent suggestion of a Cretaceous origin of this worm because marine birds have existed continuously since the Cretaceous. Bird bones could have enabled this worm to survive times in the Earth's history when large marine vertebrates other than fish were rare, specifically after the disappearance of large marine reptiles at the end-Cretaceous mass extinction event and before the rise of whales in the Eocene.

Development of Managing Program for Small Bore Piping Socket Weld on the Secondary System of NPP

International Nuclear Information System (INIS)

Lee, Dong Min; Ryu, Jong Myeong; Cho, Hong Seok; Cho, Ki Hyun; Choi, Sang Hoon; Kim, Man Hee

2011-01-01

Kori unit 3 had stopped operation due to leakage at steam generator drain line socket weld on June 6th, 2008. The cause of socket weld damage was known as welding defect and fatigue by vibration under normal operation. With above reason, the government has been required developing management program for small bore piping socket weld. Therefore, we have developed the socket weld management program to secure reliability and soundness of socket welds which are located at all domestic NPPs

Minimal analytical model for undular tidal bore profile; quantum and Hawking effect analogies

Science.gov (United States)

Berry, M. V.

2018-05-01

Waves travelling up-river, driven by high tides, often consist of a smooth front followed by a series of undulations. A simple approximate theory gives the rigidly travelling profile of such ‘undular hydraulic jumps’, up to scaling, as the integral of the Airy function; applying self-consistency fixes the scaling. The theory combines the standard hydraulic jump with ideas borrowed from quantum physics: Hamiltonian operators and zero-energy eigenfunctions. There is an analogy between undular bores and the Hawking effect in relativity: both concern waves associated with horizons. ‘Physics is not just Concerning the Nature of Things, but Concerning the Interconnectedness of all the Natures of Things’(Sir Charles Frank, retirement speech 1976).

Small bore pipe acceptance criteria for watts bar nuclear plant Tennessee Valley Authority

International Nuclear Information System (INIS)

Sun, W.S.; Lee, R.L.; Kalyanan, N.

1991-01-01

Small bore pipe (≤2 inches NPS) is traditionally analyzed by simplified techniques using Cook Book approach, which yield conservative results. However, reconciliation of these systems for as-built condition where the original criteria is observed to have been exceeded (or due to additions etc.) generally becomes a time consuming and expensive operation since a rigorous computer aided analysis or a detailed hand calculation becomes necessary. The acceptance criteria in this paper can be effectively used in such cases. The approach involves utilizing basic engineering principles and plant specific parameters (such as earthquake spectra) to estimate the system response such as pipe stress due to various loading conditions, piping frequency, support and anchor loads, valve acceleration etc

An ultra-high field strength MR image-guided robotic needle delivery system for in-bore small animal interventions.

Science.gov (United States)

Gravett, Matthew; Cepek, Jeremy; Fenster, Aaron

2017-11-01

The purpose of this study was to develop and validate an image-guided robotic needle delivery system for accurate and repeatable needle targeting procedures in mouse brains inside the 12 cm inner diameter gradient coil insert of a 9.4 T MR scanner. Many preclinical research techniques require the use of accurate needle deliveries to soft tissues, including brain tissue. Soft tissues are optimally visualized in MR images, which offer high-soft tissue contrast, as well as a range of unique imaging techniques, including functional, spectroscopy and thermal imaging, however, there are currently no solutions for delivering needles to small animal brains inside the bore of an ultra-high field MR scanner. This paper describes the mechatronic design, evaluation of MR compatibility, registration technique, mechanical calibration, the quantitative validation of the in-bore image-guided needle targeting accuracy and repeatability, and demonstrated the system's ability to deliver needles in situ. Our six degree-of-freedom, MR compatible, mechatronic system was designed to fit inside the bore of a 9.4 T MR scanner and is actuated using a combination of piezoelectric and hydraulic mechanisms. The MR compatibility and targeting accuracy of the needle delivery system are evaluated to ensure that the system is precisely calibrated to perform the needle targeting procedures. A semi-automated image registration is performed to link the robot coordinates to the MR coordinate system. Soft tissue targets can be accurately localized in MR images, followed by automatic alignment of the needle trajectory to the target. Intra-procedure visualization of the needle target location and the needle were confirmed through MR images after needle insertion. The effects of geometric distortions and signal noise were found to be below threshold that would have an impact on the accuracy of the system. The system was found to have negligible effect on the MR image signal noise and geometric distortion

Feasibility study and technical proposal for seismic monitoring of tunnel boring machine in Olkiluoto

Energy Technology Data Exchange (ETDEWEB)

Saari, J.; Lakio, A. (AF-Consult Ltd, Vantaa (Finland))

2009-01-15

In Olkiluoto, Posiva Oy has operated a local seismic network since February 2002. The purpose of the microearthquake measurements at Olkiluoto is to improve understanding of the structure, behaviour and long term stability of the bedrock. The studies include both tectonic and excavation-induced microearthquakes. An additional task of monitoring is related to safeguarding of the ONKALO. The possibility to excavate an illegal access to the ONKALO, have been concerned when the safeguards are discussed. Therefore all recorded explosions in the Olkiluoto area and in the ONKALO are located. If a concentration of explosions is observed, the origin of that is found out. Also a concept of hidden illegal explosions, detonated at the same time as the real excavation blasts, has been examined. According to the experience gained in Olkiluoto, it can be concluded that, as long the seismic network is in operation and the results are analysed by a skilled person, it is practically impossible to do illegal excavation by blasts. In this report a possibility of seismic monitoring of illegal excavation done by tunnel boring machine (TBM) has been investigated. Characteristics of the seismic signal generated by the raise boring machine are described. According to this study, it can be concluded that the generated seismic signal can be detected and the source of the signal can be located. However, this task calls for different kind of monitoring system than that, which is currently used for monitoring microearthquakes and explosions. The presented technical proposal for seismic monitoring of TBM in Olkiluoto is capable to detect and locate TBM coming outside the ONKALO area about two months before it would reach the ONKALO. (orig.)

Feasibility study and technical proposal for seismic monitoring of tunnel boring machine in Olkiluoto

International Nuclear Information System (INIS)

Saari, J.; Lakio, A.

2009-01-01

In Olkiluoto, Posiva Oy has operated a local seismic network since February 2002. The purpose of the microearthquake measurements at Olkiluoto is to improve understanding of the structure, behaviour and long term stability of the bedrock. The studies include both tectonic and excavation-induced microearthquakes. An additional task of monitoring is related to safeguarding of the ONKALO. The possibility to excavate an illegal access to the ONKALO, have been concerned when the safeguards are discussed. Therefore all recorded explosions in the Olkiluoto area and in the ONKALO are located. If a concentration of explosions is observed, the origin of that is found out. Also a concept of hidden illegal explosions, detonated at the same time as the real excavation blasts, has been examined. According to the experience gained in Olkiluoto, it can be concluded that, as long the seismic network is in operation and the results are analysed by a skilled person, it is practically impossible to do illegal excavation by blasts. In this report a possibility of seismic monitoring of illegal excavation done by tunnel boring machine (TBM) has been investigated. Characteristics of the seismic signal generated by the raise boring machine are described. According to this study, it can be concluded that the generated seismic signal can be detected and the source of the signal can be located. However, this task calls for different kind of monitoring system than that, which is currently used for monitoring microearthquakes and explosions. The presented technical proposal for seismic monitoring of TBM in Olkiluoto is capable to detect and locate TBM coming outside the ONKALO area about two months before it would reach the ONKALO. (orig.)