Equivalent properties for perforated plates. An analytical approach

International Nuclear Information System (INIS)

Cepkauskas, M.M.; Yang Jianfeng

2005-01-01

Structures that contain perforated plates have been a subject of interest in the Nuclear Industry. Steam generators, condensers and reactor internals utilize plates containing holes which act as flow holes or separate structures from flow by using a 'tube bank' design. The equivalent plate method has been beneficial in analyzing perforate plates. Details are found in various papers found in the bibliography. In addition the ASME code addresses perforated plates in Appendix A-8000, but is limited to a triangular hole pattern. This early work performed in this field utilized test data and analytical approaches. This paper is an examination of an analytical approach for determining equivalent plate mechanical and thermal properties. First a patch of the real plate is identified that provides a model for the necessary physical behavior of the plate. The average strain of this patch is obtained by first applying simplified one dimensional mechanical load to the patch, determining stress as a function of position, converting the stress to strain and then integrating the strain over the patch length. This average strain is then equated to the average strain of an equivalent fictitious rectangular patch. This results in obtaining equivalent Young's Modulus and Poison's Ratio for the equivalent plate in all three orthogonal directions. The corresponding equivalent shear modulus in all three directions is then determined. An orthotropic material stress strain matrix relationship is provided for the fictitious properties. By equating the real average strain with the fictitious average strain in matrix form, a stress multiplier is found to convert average fictitious stress to average real stress. This same type of process is repeated for heat conduction coefficients and coefficients of thermal expansion. Results are provided for both a square and triangular hole pattern. Reasonable results are obtained when comparing the effective Young's Modulus and Poison's Ratio with ASME

Experimental investigation of the unsteady two-phase flow through perforated plates

International Nuclear Information System (INIS)

Tartaglia, G.P.

1985-07-01

The coolant flow across the perforated dip-plate during a hypothetical core disruptive accident (HCDA) in a liquid metal fast breeder reactor was simulated in a one-dimensional model. Experiments with a water-air mixture as fluid were run by varying the following parameters: geometry of the dip-plate (perforation ratio, number of the holes), height of the fluid head over the dip-plate, air volumetric fraction, size of the air bubbles, acceleration of the fluid. The pressure drop across the dip-plate, the forces acting on the dip-plate and on the upper plate, acceleration and displacement of the piston, the air volumetric fraction and the size of the air bubbles were measured in a wide range of Strouhal and acceleration numbers. The flow pattern downstream the dip-plate was filmed with a high-speed camera. The following correlations were investigated: resistance coefficients as a function of the acceleration and Strouhal number, time delay of the force on the upper plate as a function of the cavitation number, and forces and impulses acting on the upper plate compared with those acting on the dip-plate. Finally, using high-speed film pictures, the formation of fluid jets downstream the dip-plate was investigated. The following relations were obtained: displacement of the mixture surface and of the jets as a function of the perforation ratio and of the air volumetric fraction, and cavitation volume as a function of the cavitation number. (orig.) [de

Prediction of macroscopic and local stress-strain behaviors of perforated plates under primary and secondary creep conditions

International Nuclear Information System (INIS)

Igari, Toshihide; Tokiyoshi, Takumi; Mizokami, Yorikata

2000-01-01

Prediction methods of macroscopic and local creep behaviors of perforated plates are examined in order to apply these methods to the structural design of perforated structures such as heat exchangers used in elevated temperatures. Both primary and secondary creeps are considered for predicting macroscopic and local creep behaviors of perorated plates which are made of actual structural materials. Both uniaxial and multiaxial loading of perforated plates are taken into consideration. The concept of effective stress is applied to the prediction of macroscopic creep behaviors of perforated plates, and the predicted results are compared with the numerical results by FEM for the unit section of perorated plated under creep, in order to confirm the propriety of the proposed method. Based on the idea that stress exponents in creep equations govern the stress distribution of perforated plates, a modified Neuber's rule is used for predicting local stress and strain concentrations. The propriety of this prediction method is shown through a comparison of the prediction with the numerical results by FEM for the unit section of perforated plates under creep, and experimental results by the Moire method. (author)

Oblique Wave-Induced Responses of A VLFS Edged with A Pair of Inclined Perforated Plates

Science.gov (United States)

Cheng, Yong; Ji, Chun-yan; Zhai, Gang-jun; Oleg, Gaidai

2018-03-01

This paper is concerned with the hydroelastic responses of a mat-like, rectangular very large floating structure (VLFS) edged with a pair of horizontal/inclined perforated anti-motion plates in the context of the direct coupling method. The updated Lagrangian formulae are applied to establish the equilibrium equations of the VLFS and the total potential formula is employed for fluids in the numerical model including the viscous effect of the perforated plates through the Darcy's law. The hybrid finite element-boundary element (FE-BE) method is implemented to determine the response reduction of VLFS with attached perforated plates under various oblique incident waves. Also, the numerical solutions are validated against a series of experimental tests. The effectiveness of the attached perforated plates in reducing the deflections of the VLFS can be significantly improved by selecting the proper design parameters such as the porous parameter, submergence depth, plate width and inclination angle for the given sea conditions.

Micro direct methanol fuel cell with perforated silicon-plate integrated ionomer membrane

DEFF Research Database (Denmark)

Larsen, Jackie Vincent; Dalslet, Bjarke Thomas; Johansson, Anne-Charlotte Elisabeth Birgitta

2014-01-01

This article describes the fabrication and characterization of a silicon based micro direct methanol fuel cell using a Nafion ionomer membrane integrated into a perforated silicon plate. The focus of this work is to provide a platform for micro- and nanostructuring of a combined current collector...... at a perforation ratio of 40.3%. The presented fuel cells also show a high volumetric peak power density of 2 mW cm−3 in light of the small system volume of 480 μL, while being fully self contained and passively feed....... and catalytic electrode. AC impedance spectroscopy is utilized alongside IV characterization to determine the influence of the plate perforation geometries on the cell performance. It is found that higher ratios of perforation increases peak power density, with the highest achieved being 2.5 mW cm−2...

Capacity limits in columns pulsed with stain steel perforated plates

International Nuclear Information System (INIS)

Maset, E.R.; Acosta, E.; Di Piano, M.; Maymo, J.A.

1987-01-01

This paper includes part of the second stage of the pulsed columns development program, using a water-nitric acid system as continuous phase and tri-n-butyl phosphate dissolved in kerosene at 30% v/v as disperse phase. Two kits of different geometry perforated plates (different diameter of perforation and free area percentage) were used. Due to the affinity importance of the plates' material with the continuous phase, in all the cases the continuous aqueous phase was used. The relation of flows varied, thus obtaining in each case a curve of characteristic 'flood'. The influence of the geometrical variables, the relation of flows, the medium acidity and the pulse's amplitude was applied in the capacity of the column. Besides, the dimensional correlation of Swift W.H. on the results obtained from 'flood' with both kits of plates to relate flows 1:1 and a minimum deviation was observed. (Author)

Stress and displacement analysis of a core plate, i.e. grid-perforated plate compound, modelled as an equivalent beam system

International Nuclear Information System (INIS)

Frank, R.; Engel, R.

1979-01-01

The core support plate is a very important component of the reactor pressure vessel internals. Therefore, an exact stress analysis is desired. This analysis will cause high computer costs with a detailed FEM-model because of the complexity of this compound system. In this paper, a method is suggested to solve the problem with a much cheaper beam element model. The main problem is to establish an equivalent beam system with nearly the same stiffness property as the perforated circular plate stiffened by a grid. Furthermore, the system must allow to determine the maximum stresses with sufficient accuracy. The calculation of the equivalent beam stiffness is based on the analysis of perforated plates by T. SLOT and W.J. O'DONNELL. This analysis method utilizes the concept of the equivalent solid plate. In this method, the perforated plate is replaced by a solid one which is geometrically similar to the perforated plate but has modified values of the elastic constants. The simple equivalent beam system of one half of the core support plate (symmetry) was loaded with a pressure difference and stresses and displacements were analysed. After that, these results were compared with the stress and displacement analysis of a part of the real structure. This substructure was discretized by three-dimensional 20-node brick-elements. The comparison of the results of the two models shows that the stresses and displacements, calculated with the simple beam model, are in good agreement with those of the real structure. (orig.)

Equivalent material properties of perforated plate with triangular or square penetration pattern for dynamic analysis

International Nuclear Information System (INIS)

Jhung, Myung Jo; Jo, Jong Chull

2006-01-01

For a perforated plate, it is challenging to develop a finite element model due to the necessity of the fine meshing of the plate, especially if it is submerged in fluid. This necessitates the use of a solid plate with equivalent material properties. Unfortunately, the effective elastic constants suggested by the ASME code are deemed not valid for a model analysis. Therefore, in this study the equivalent material properties of a perforated plate are suggested by performing several finite element analyses with respect to the ligament efficiencies

Numerical analysis of the flow field in a sloshing tank with a horizontal perforated plate

Science.gov (United States)

Jin, Heng; Liu, Yong; Li, Huajun; Fu, Qiang

2017-08-01

Liquid sloshing is a type of free surface flow inside a partially filled water tank. Sloshing exerts a significant effect on the safety of liquid transport systems; in particular, it may cause large hydrodynamic loads when the frequency of the tank motion is close to the natural frequency of the tank. Perforated plates have recently been used to suppress the violent movement of liquids in a sloshing tank at resonant conditions. In this study, a numerical model based on OpenFOAM (Open Source Field Operation and Manipulation), an open source computed fluid dynamic code, is used to investigate resonant sloshing in a swaying tank with a submerged horizontal perforated plate. The numerical results of the free surface elevations are first verified using experimental data, and then the flow characteristics around the perforated plate and the fluid velocity distribution in the entire tank are examined using numerical examples. The results clearly show differences in sloshing motions under first-order and third-order resonant frequencies. This study provides a better understanding of the energy dissipation mechanism of a horizontal perforated plate in a swaying tank.

Coupled oscillations of flow along a perforated plate

International Nuclear Information System (INIS)

Celik, E.; Rockwell, D.

2004-01-01

Turbulent shear flow past a perforated plate bounded by a closed cavity can give rise to highly coherent oscillations, which have a wavelength of the order of the plate length. The present investigation focuses on the coupling between unsteady events on either side of the plate when the oscillations are self-sustaining. A cinema technique of high-image-density particle image velocimetry, which provides a space-time representation of the unsteadiness at a large number of locations over entire planes, is employed to characterize the distinctively different patterns of flow structure on the back (low-speed) side of the plate relative to those on the front (high-speed) side. Global cross-spectral analysis leads to patterns of spectral peaks and phase variations, along and across the plate. This approach, along with complementary types of image evaluation, delineates the physics of the oscillations, which include downstream propagating disturbances along either side of the plate and a coherent region of unsteadiness at its trailing-edge. On the backside of the plate, a sequence of upstream-oriented, pulsatile jets are formed, and the time-averaged flow pattern is a counterflow wall jet

A study on the load distribution factor in the perforated square plate with elastic support

International Nuclear Information System (INIS)

Lee, Y.S.; Yim, J.S.

1993-01-01

The load distribution factor in the perforated square plate supporting by angle shape legs under concentrated load acting at arbitrary points through elastic media is calculated. For the calculation the perforated plate was converted into an orthotropic plate using the method suggested by J.B. Mahoney. The deflection for the calculation of the load distribution factor was obtained from the auxiliary plate which was extended both sides of the plate and it was compared with the results from ANSYS calculation. With this deflection, the calculation of the load distribution factor was performed. The result shows that the load distribution factor at the periphery of the plate is larger than that of in the central location. This load distribution factor could be used for re-distribution of the applied load in more accurate analysis of the plate as well as in the analysis of the elastic media as the load factor. (author)

Performance Study of Solar Air Heater Having Absorber Plate with Half-Perforated Baffles

OpenAIRE

Maheshwari, B. K.; Karwa, Rajendra; Gharai, S. K.

2011-01-01

The paper presents a detailed mathematical model for performance prediction of a smooth duct solar air heater validated against the experimental results. Experimental study on a solar air heater having absorber plate with half-perforated baffles on the air flow side shows thermal efficiency enhancement of 28%–45% over that of the smooth duct solar air heater, which is attributed to the heat transfer enhancement (of the order of 180%–235%) due to the perforated baffles attached to the absorber...

Axial holdup in pulsed perforated-plate column of pulser feeder type, (2)

International Nuclear Information System (INIS)

Ikeda, Hidematsu; Suzuki, Atsuyuki; Kiyose, Ryohei.

1987-01-01

In mathematical models for a pulsed perforated-plate column, the dispersed phase holdup has been considered to be uniform throughout the length of the column, but fairly recently it is treated as being nonuniform. In the previous paper, the axial holdup data were obtained in the dispersed aqueous and the dispersed organic modes. Experimental results showed that the axial holdup data become nonuniform throughout the column. It was also found that both of the plate type and the operation mode affected the axial holdup distribution. The present work is an attempt to formulate the axial holdup by means of a heuristic selforganization method that provides a nonlinear prediction model of complex system, since the holdup data did not directly show so significant trend as to formulate the axial holdup. The Group Method of Data Handling (GMDH) is used for this purpose. The GMDH can be used for selection and synthesis of input variables concerned with the axial holdup for the pulsed perforated-plate column. The axial holdup data have been successfully correlated and the identification models could be useful in discussing mathematical models. (author)

Stress analysis of perforated plates and plates with single and clustered nozzles

International Nuclear Information System (INIS)

Hulbert, L.E.; Hopper, A.T.; Rybicki, E.F.

1976-01-01

It is well known that stress distributions around a hole in a plate are drastically increased if there are other holes in the plate sufficiently near. Such stress interaction effects must be analyzed and accounted for in the design of a plate containing multiple perforations. Computer programs have been developed for the accurate analysis of the in-plane stresses of arbitrary multiholed plates. Stress interactions also occur between closely spaced nozzles attached to pressure vessels such as nuclear reactor vessels. Results of the investigations carried out during the second year of the research program are summarized. The first section of the report describes the structures analyzed, the loadings on these structures, and the mathematical statements of these problems. The second section explains the analysis techniques employed. The third section deals with the numerical results obtained for all of the problems solved. This section also gives a complete statement of each problem and the series of trial functions used to solve each nozzle-plate problem. Several appendices are also included. These appendices are intended to be users' manuals for the computer codes used in this research effort but which are not explained in the literature. Appendix A treats program TABLES while Appendix B explains the use of PEBBLES. Appendix C is the users' manual for program INTRTIE which is a large program actually consisting of six individual programs. Appendix D discusses the changes in the input data to program NONLIN to obtain certain input data for INTRTIE. Finally, Appendix E treats a small program called CONVERT which also generates input data for INTRTIE

Reliability assessment of stress concentration performance state for a perforated composite plate under traction

Directory of Open Access Journals (Sweden)

Jabbouri A.

2012-07-01

Full Text Available Considering a perforated sandwich plate made from two elastic homogenous and isotropic layers, and having a square hole, reliability assessment of stress concentration limit state for which the stress should not exceed a given threshold is performed in this work. Assuming that the plate dimensions and the applied loading are deterministic, focus is done on the square hole centre position and edge length considered to be random variables. The means and the standard deviations of these variables are assumed to be known, but no information is so far available about their densities of probabilities. To assess reliability of the performance state, reliability analysis known methods are applied to a response surface representation of the stress concentration factor of the perforated plate which is obtained through quadratic polynomial regression of finite element results. A parametric study is performed regarding the influence of the distributions of probabilities chosen to model the hole dimensions uncertainties. It is shown that the probability of failure depends largely on the selected densities of probabilities.

Theoretical studying the stability of steady-state regime of a channel with a coolant condensation

International Nuclear Information System (INIS)

Savikhin, O.G.

1987-01-01

Based on the boiling channel stability theory, the channel steady-state stability with the coolant condensation is studied. Condensable coolants are used in the NPP steam-separator superheaters as well as in cryogenic technique. Under certain conditions the coolant flow rate and temperature fluctuations may be excited in the parallel channel system with coolant condensation, which produce a sufficient effect on the heat exchange equipment operation reliability. To describe unsteady processes of heat and mass transfer in the channel, a homogeneous two-phase flow one dimensional model is used. The results obtained allow one to make a conclusion concerning the effect of some parameters on condensing channel steady-state regime stability: reduction of inlet and outlet unheated communication length, pressure drop increase at the outlet plate and its reduction at the inlet one lead to the increase of stability margin

Countercurrent air/water and steam/water flow above a perforated plate. Report for October 1978-October 1979

International Nuclear Information System (INIS)

Hsieh, C.; Bankoff, S.G.; Tankin, R.S.; Yuen, M.C.

1980-11-01

The perforated plate weeping phenomena have been studied in both air/water and steam/cold water systems. The air/water experiment is designed to investigate the effect of geometric factors of the perforated plate on the rate of weeping. A new dimensionless flow rate in the form of H star is suggested. The data obtained are successfully correlated by this H star scaling in the conventional flooding equation. The steam/cold water experiment is concentrated on locating the boundary between weeping and no weeping. The effects of water subcooling, water inlet flow rate, and position of water spray are investigated. Depending on the combination of these factors, several types of weeping were observed. The data obtained at high water spray position can be related to the air/water flooding correlation by replacing the stream flow rate to an effective stream flow rate, which is determined by the mixing efficiency above the plate

Multiple solutions and stability of the steady transonic small-disturbance equation

Directory of Open Access Journals (Sweden)

Ya Liu

2017-09-01

Full Text Available Numerical solutions of the steady transonic small-disturbance (TSD potential equation are computed using the conservative Murman−Cole scheme. Multiple solutions are discovered and mapped out for the Mach number range at zero angle of attack and the angle of attack range at Mach number 0.85 for the NACA 0012 airfoil. We present a linear stability analysis method by directly assembling and evaluating the Jacobian matrix of the nonlinear finite-difference equation of the TSD equation. The stability of all the discovered multiple solutions are then determined by the proposed eigen analysis. The relation of stability to convergence of the iterative method for solving the TSD equation is discussed. Computations and the stability analysis demonstrate the possibility of eliminating the multiple solutions and stabilizing the remaining unique solution by adding a sufficiently long splitter plate downstream the airfoil trailing edge. Finally, instability of the solution of the TSD equation is shown to be closely connected to the onset of transonic buffet by comparing with experimental data.

Equivalent Young's Modulus of Perforated Shell with Square Penetration Pattern

Energy Technology Data Exchange (ETDEWEB)

Jhung, Myung Jo; Ryu, Yong Ho [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2011-05-15

The analysis of a plate or shell perforated with a large number of holes, by finite element method for instance, was a very costly and time-consuming technique which solves only one particular problem. But it is possible to model the perforated plate or shell and to analyze it and it is no more time-consuming theses days due to the rapid development of the computer and software. However, if a perforated plate or shell is submerged in fluid it is almost impossible to model and analyze it as is and the fluid at the same time, which is needed to investigate the effect of the fluid structure interaction. The simplest way to avoid time consuming and costly analysis of perforated plate or shell submerged in fluid is to replace the perforated plate or shell by an equivalent solid one considering weakening effect of holes. Many authors have proposed experimental or theoretical method to solve this problem for the plate. Slot and O'Donnell determined the effective elastic constants for the thick perforated plates by equating strains in the equivalent solid material to the average strains in the perforated material. O'Donnell also presented those of thin perforated plates. These results are implemented in Article A-8000 of Appendix A to the ASME code Section III, which contains a method of analysis for flat perforated plates when subjected to directly applied loads or loadings resulting from structural interaction with adjacent members. Unfortunately the effective elastic constants for the perforated shell are not found in any references. Therefore in this study the modal characteristics of the perforated shell are investigated and the equivalent material properties of perforated shell are suggested by performing several finite element analyses with respect to the ligament efficiencies

Development and validation of a CFD based methodology to estimate the pressure loss of flow through perforated plates

International Nuclear Information System (INIS)

Barros Filho, Jose A.; Navarro, Moyses A.; Santos, Andre A.C. dos; Jordao, E.

2011-01-01

In spite of the recent great development of Computational Fluid Dynamics (CFD), there are still some issues about how to assess its accurateness. This work presents the validation of a CFD methodology devised to estimate the pressure drop of water flow through perforated plates similar to the ones used in some reactor core components. This was accomplished by comparing the results of CFD simulations against experimental data of 5 perforated plates with different geometric characteristics. The proposed methodology correlates the experimental data within a range of ± 7.5%. The validation procedure recommended by the ASME Standard for Verification and Validation in Computational Fluid Dynamics and Heat Transfer-V and V 20 is also evaluated. The conclusion is that it is not adequate to this specific use. (author)

computational study of Couette flow between parallel plates for steady and unsteady cases

International Nuclear Information System (INIS)

Rihan, Y.

2008-01-01

Couette flow between parallel plates is a classical problem that has important applications in various industrial processing. In this investigation an analytical solution was obtained to predict the steady and unsteady Couette flow between parallel plates. One of the plates was stationary and the other plate moved with constant velocity. The governing partial differential equations were solved numerically using Crank-Nicolson implicit method to represent the flow behavior of the fluid

Residual strains in a stainless steel perforated plate subjected to reverse loading at high temperature

International Nuclear Information System (INIS)

Durelli, A.J.; Buitrago, J.

1974-01-01

An investigation was made to determine strains in a stainless steel perforated plate subjected to a temperature of 1100 0 F and to a successively applied tensile and compressive in-plane loading sufficiently large to produce creep and plastic strains. The duration of the test was 1000 hours. Square grids of lines (at distance of 0.25 in.) and crossed-gratings (500 lines-per-inch) were engraved on both surfaces of the plate before the test. After the plate was unloaded and brought back to room temperature the grids were analyzed using traveling microscopes, and the gratings using the moire effect. Both Cartesian strains were determined from the moire isothetics along the axes of the plate, along the two lines tangent to the hole and parallel to those axes and along the edges of the plate. Grid measurements were made at specific points. The deformed shapes of the hole and of the plate are also given. It is estimated that strains larger than 0.001 can be determined with the techniques and methods used. (U.S.)

Determination of stress multipliers for thin perforated plates with square array of holes

International Nuclear Information System (INIS)

Bhattacharya, A.; Murli, B.; Kushwaha, H.S.

1991-01-01

The peak stress multipliers are required to determine the maximum stresses in perforated plates for the realistic evaluation of their fatigue life. The Section III of ASME Boiler and Pressure Vessels Code does not provide any information about such multipliers to be used in thin perforated plates with square penetration pattern. Although such multipliers for membrane loadings are available in literature, they were obtained either by classical analysis or by photoelastic experiments and there is no significant finite element analysis in this area. Also it has been a common practice among designers to apply the same multipliers for loads producing bending type of stress. The stress multipliers in bending are lower than those in membrane. Therefore a reduction of resultant peak stress occurs if proper stress multipliers are used for bending. The present paper is aimed at developing a finite element technique which can be used for determining the peak stress multipliers in thin plates for membrane as well as bending loads. A quarter symmetric part of a 3 x 3 square array was chosen for the analysis. The results were obtained by computer programs PAFEC and COSMOS/M using 2-D plane stress elements for the membrane and degenerated 3-D shell element for the bending part. The results for the membrane are compared with Bailey, Hicks and Hulbert and with Meijers' finite element results for the bending part. A study was made at the initial stage by analysing a 6 x 6 square array to see the effect of holes beyond one pitch, which were left out by the 3 x 3 array and the effect of additional holes was found to be negligible. Therefore it was decided to carry out further analysis with 3 x 3 square array. Photoelastic experiments were also performed to validate the results obtained by theoretical analysis. (author)

The Effect of Perforation on the Dynamics of a Flexible Panel

Directory of Open Access Journals (Sweden)

A. Putra

2014-01-01

Full Text Available Introduction of holes into plate-like structures is commonly found as one of the practical noise control measures to reduce sound radiation. However, perforation also reduces the panel stiffness and hence increases its vibration. The discussion on this effect is lacking and hence this paper discusses the dynamics of a perforated panel from the results obtained from Finite Element (FE model. Different hole geometries and arrangement are simulated to investigate their effect on the plate mobility. In general, it is found that increasing the perforation ratio increases the plate mobility. For a fixed perforation ratio, the mobility increases at high frequency (above 1 kHz for a smaller hole density in the plate. The plate with holes concentrated at the middle shows the largest increase of vibration around the plate centre compared to those uniformly distributed or away from the middle and concentrated at the plate edges. This is because as the hole separation becomes smaller, the reduction of the global stiffness around the mid area of the plate becomes greater. This also corresponds to the finding here that the mobility is greater at the vicinity of the hole. Different conditions of the plate edges are found to give consistent trend of the effect of perforation.

Study Effect of Central Rectangular Perforation on the Natural Convection Heat Transfer in an Inclined Heated Flat Plate

Directory of Open Access Journals (Sweden)

Kadhum Audaa Jehhef

2015-09-01

Full Text Available Anumerical solutions is presented to investigate the effect of inclination angle (θ , perforation ratio (m and wall temperature of the plate (Tw on the heat transfer in natural convection from isothermal square flat plate up surface heated (with and without concentrated hole. The flat plate with dimensions of (128 mm length × (64 mm width has been used five with square models of the flat plate that gave a rectangular perforation of (m=0.03, 0.06, 0.13, 0.25, 0.5. The values of angle of inclination were (0o, 15o 30o 45o 60o from horizontal position and the values of wall temperature (50oC, 60 oC, 70 oC, 90 oC, 100oC. To investigate the temperature, boundary layer thickness and heat flux distributions; the numerical computation is carried out using a very efficient integral method to solve the governing equation. The results show increase in the temperature gradient with increase in the angle of inclination and the high gradient and high heat transfer coefficients located in the external edges of the plate, for both cases: with and without holed plate. There are two separation regions of heat transfer in the external edge and the internal edges. The boundary layer thickness is small in the external edge and high in the center of the plate and it decreases as the inclination angle of plate increases. Theoretical results are compared with previous result and it is found that the Nusslet numbers in the present study are higher by (22 % than that in the previous studies. And the results show good agreement in range of Raleigh number from 105 to 106.

Locking screw-plate interface stability in carbon-fibre reinforced polyetheretherketone proximal humerus plates.

Science.gov (United States)

Hak, David J; Fader, Ryan; Baldini, Todd; Chadayammuri, Vivek B S

2017-09-01

Carbon-fibre reinforced polyetheretherketone (CFR-PEEK) plates have recently been introduced for proximal humerus fracture treatment. The purpose of this study was to compare the locking screw-plate interface stability in CFR-PEEK versus stainless steel (SS) proximal humerus plates. Locking screw mechanical stability was evaluated independently in proximal and shaft plate holes. Stiffness and load to failure were tested for three conditions: (1) on-axis locking screw insertion in CFR-PEEK versus SS plates, (2) on-axis locking screw insertion, removal, and reinsertion in CFR-PEEK plates, and (3) 10-degree off-axis locking screw insertion in CFR-PEEK plates. Cantilever bending at a rate of 1 mm/minute was produced by an Instron machine and load-displacement data recorded. Shaft locking screw load to failure was significantly greater in CFR-PEEK plates compared to SS plates (746.4 ± 89.7 N versus 596.5 ± 32.6 N, p PEEK plates (p PEEK plates. The mechanical stability of locking screws in CFR-PEEK plates is comparable or superior to locking screws in SS plates.

Elastic stability of thick auxetic plates

International Nuclear Information System (INIS)

Lim, Teik-Cheng

2014-01-01

Auxetic materials and structures exhibit a negative Poisson’s ratio while thick plates encounter shear deformation, which is not accounted for in classical plate theory. This paper investigates the effect of a negative Poisson’s ratio on thick plates that are subjected to buckling loads, taking into consideration the shear deformation using Mindlin plate theory. Using a highly accurate shear correction factor that allows for the effect of Poisson’s ratio, the elastic stability of circular and square plates are evaluated in terms of dimensionless parameters, namely the Mindlin-to-Kirchhoff critical buckling load ratio and Mindlin critical buckling load factors. Results for thick square plates reveal that both parameters increase as the Poisson’s ratio becomes more negative. In the case of thick circular plates, the Mindlin-to-Kirchhoff critical buckling load ratios and the Mindlin critical buckling load factors increase and decrease, respectively, as the Poisson’s ratio becomes more negative. The results obtained herein show that thick auxetic plates behave as thin conventional plates, and therefore suggest that the classical plate theory can be used to evaluate the elastic stability of thick plates if the Poisson’s ratio of the plate material is sufficiently negative. The results also suggest that materials with highly negative Poisson’s ratios are recommended for square plates, but not circular plates, that are subjected to buckling loads. (paper)

Axial mixing for both dispersed and continuous phases in pulsed perforated-plate extraction column by tracer co-injection method

International Nuclear Information System (INIS)

Ikeda, Hidematsu; Suzuki, Atsuyuki.

1991-01-01

The effects of operation mode and perforated-plate type on axial mixing of mixer-settler region in both dispersed and continuous phases were studied for a 5 cm I.D. pulsed perforated-plate extraction column of pulser-feeder type. The axial mixing coefficient was simultaneously measured to both phases by using the 'dynamic tracer co-injection method' proposed by the authors. The characteristics of both phases are observed obviously. Relatively to what it was in the continuous phase, the dispersed phase had short reaching time and long retardation time. The superficial axial mixing coefficient for dispersed phase becomes smaller than for the continuous phase. And experimental results showed that a backflow took place only in dispersed phase at a test section of 50 cm in axial length. The values of backflow ratio are observed from 0.5 to 1.8% of the dispersed net flow. (author)

Basin stability measure of different steady states in coupled oscillators

Science.gov (United States)

Rakshit, Sarbendu; Bera, Bidesh K.; Majhi, Soumen; Hens, Chittaranjan; Ghosh, Dibakar

2017-04-01

In this report, we investigate the stabilization of saddle fixed points in coupled oscillators where individual oscillators exhibit the saddle fixed points. The coupled oscillators may have two structurally different types of suppressed states, namely amplitude death and oscillation death. The stabilization of saddle equilibrium point refers to the amplitude death state where oscillations are ceased and all the oscillators converge to the single stable steady state via inverse pitchfork bifurcation. Due to multistability features of oscillation death states, linear stability theory fails to analyze the stability of such states analytically, so we quantify all the states by basin stability measurement which is an universal nonlocal nonlinear concept and it interplays with the volume of basins of attractions. We also observe multi-clustered oscillation death states in a random network and measure them using basin stability framework. To explore such phenomena we choose a network of coupled Duffing-Holmes and Lorenz oscillators which are interacting through mean-field coupling. We investigate how basin stability for different steady states depends on mean-field density and coupling strength. We also analytically derive stability conditions for different steady states and confirm by rigorous bifurcation analysis.

An acoustic metamaterial composed of multi-layer membrane-coated perforated plates for low-frequency sound insulation

Science.gov (United States)

Fan, Li; Chen, Zhe; Zhang, Shu-yi; Ding, Jin; Li, Xiao-juan; Zhang, Hui

2015-04-01

Insulating against low-frequency sound (below 500 Hz ) remains challenging despite the progress that has been achieved in sound insulation and absorption. In this work, an acoustic metamaterial based on membrane-coated perforated plates is presented for achieving sound insulation in a low-frequency range, even covering the lower audio frequency limit, 20 Hz . Theoretical analysis and finite element simulations demonstrate that this metamaterial can effectively block acoustic waves over a wide low-frequency band regardless of incident angles. Two mechanisms, non-resonance and monopolar resonance, operate in the metamaterial, resulting in a more powerful sound insulation ability than that achieved using periodically arranged multi-layer solid plates.

Boiling heat transfer in a flat slot between heating surface and perforated plate

International Nuclear Information System (INIS)

Kirichenko, Yu.A.; Rusanov, K.V.; Tyurina, E.G.

1987-01-01

The results are presented of the experimental study of heat transfer and crisis at nitrogen boiling in a flat gap between the horizontal heating surface and perforated plate. The gap width is 1.0 to 5.6 mm, diameter of holes is 1.0 to 2.0 mm, their spacing being 3.0 to 12.0 mm. The geometrical parameters dependence of the heat transfer coefficient and crisis characteristics is invesigated, the experimental data are compared with the results reported by other authors and calculations by some well-known formulas. 12 refs.; 3 figs.; 4 tabs

The effect on stability and thermal hydraulic quenchback of perforating the jacket of a cable-in-conduit conductor

International Nuclear Information System (INIS)

Dresner, L.

1994-01-01

This Paper continues earlier work on the reduction of the quench pressure in a doubler cable-in-conduit conductor achieved by perforating the inner jacket. The present study examines the effect of the perforations on the stability margin and on the ononset of thermal hydraulic quenchback

Steady and transient states of a two-phase counter current flow

International Nuclear Information System (INIS)

Siebert, S.

1984-06-01

The aim of this work is to estimate the efficiency of the counter current exchange between a heavy dispersed phase and a continous light phase in a pulse perforated plate column. From an experimental point, hydraulic measurements (retention ratio, droplet size) and residence time measurements (radioactive tracers). The model will be so applied to the calculation of retention ratios in steady conditions then of tracer concentrations in transient conditions. From a numerical point of view a fixed point type iteration then a method Runge Kutta are then adapted [fr

Steady-state, elastic-plastic growth of slanted cracks in symmetrically loaded plates

DEFF Research Database (Denmark)

Nielsen, Kim Lau; Hutchinson, J. W.

2017-01-01

parameter through the plate in the plastic zone at the crack tip. The distribution of the mode I and mode III stress intensity factors along the crack front are obtained for the elastic problem. The out-of-plane bending constraint imposed on the plate significantly influences the mixed mode behavior along......Elastic and elastic-plastic results are obtained for a semi-infinite slanted through-crack propagating in a symmetrically loaded plate strip with the aim of providing theoretical background to commonly observed plate tearing behavior. Were it is not for the slant of the crack through the thickness...... of the plate, the problem would be mode I, but due to the slant the local conditions along the crack front are a combination of mode I and mode III. A three-dimensional formulation for steady-state crack propagation is employed to generate distributions of effective stress, stress triaxiality and Lode...

Damping parameter study of a perforated plate with bias flow

Science.gov (United States)

Mazdeh, Alireza

role of LES for research studies concerned with damping properties of liners is limited to validation of other empirical or theoretical approaches. This research has shown that LES can go beyond that and can be used for performing parametric studies to characterize the sensitivity of acoustic properties of multi--perforated liners to the changes in the geometry and flow conditions and be used as a tool to design acoustic liners. The conducted research provides an insightful understanding about the contribution of different flow and geometry parameters such as perforated plate thickness, aperture radius, porosity factors and bias flow velocity. While the study agrees with previous observations obtained by analytical or experimental methods, it also quantifies the impact from these parameters on the acoustic impedance of perforated plate, a key parameter to determine the acoustic performance of any system. The conducted study has also explored the limitations and capabilities of commercial tool when are applied for performing simulation studies on damping properties of liners. The overall agreement between LES results and previous studies proves that commercial tools can be effectively used for these applications under certain conditions.

Performance of the PBX-M passive plate stabilization system

International Nuclear Information System (INIS)

Kugel, H.W.; Bell, R.; Bernabei, S.

1994-02-01

The PBX-M passive plate stabilization system provides significant stabilization of long-wavelength external kink modes, the slowing of vertical instability growth rates, and the amelioration of disruption characteristics. The passive plate stabilization system has allowed the use of LHCD and IBW to induce current density and pressure profile modifications, and m = 1 divertor biasing for modifying edge plasma transport. Improvements in the passive plate system insulators and support structures have provided reliable operation. Impurity influxes with the close-fitting passive plates are low. Solid target boronization is applied routinely to reduce conditioning time and maintain clean conditions

Stability and performance improvement of a polymer electrolyte membrane fuel cell stack by laser perforation of gas diffusion layers

Energy Technology Data Exchange (ETDEWEB)

Gerteisen, Dietmar; Sadeler, Christian [Fraunhofer Institute for Solar Energy Systems ISE, Department of Energy Technology, Heidenhofstrasse 2, 79110 Freiburg (Germany)

2010-08-15

The performance and stability of a hydrogen-driven polymer electrolyte membrane fuel cell stack (6-cell PEFC stack) are investigated with regard to pore flooding within the gas diffusion layers (GDLs). Two short stacks with various GDLs (Toray TGP-H-060 untreated and laser-perforated) were characterized at different operating conditions by several characterization techniques such as constant current load, polarization curve, chronoamperometry and chronovoltammetry. The experimental results reveal that the perforation of the cathode GDLs improves the water transport in the porous media and thus the performance as well as the stability of the operating stack in medium and high current density range. A reduced pore flooding is verified when using the customized laser-perforated GDLs. The GDL perforation has a huge potential to balance the inhomogeneous in-plane saturation conditions between the inlet and outlet area of the cell and to compensate to a certain degree the effects of temperature distribution within a stack regarding the water management. (author)

Stability and performance improvement of a polymer electrolyte membrane fuel cell stack by laser perforation of gas diffusion layers

Science.gov (United States)

Gerteisen, Dietmar; Sadeler, Christian

The performance and stability of a hydrogen-driven polymer electrolyte membrane fuel cell stack (6-cell PEFC stack) are investigated with regard to pore flooding within the gas diffusion layers (GDLs). Two short stacks with various GDLs (Toray TGP-H-060 untreated and laser-perforated) were characterized at different operating conditions by several characterization techniques such as constant current load, polarization curve, chronoamperometry and chronovoltammetry. The experimental results reveal that the perforation of the cathode GDLs improves the water transport in the porous media and thus the performance as well as the stability of the operating stack in medium and high current density range. A reduced pore flooding is verified when using the customized laser-perforated GDLs. The GDL perforation has a huge potential to balance the inhomogeneous in-plane saturation conditions between the inlet and outlet area of the cell and to compensate to a certain degree the effects of temperature distribution within a stack regarding the water management.

Infinite slope stability under steady unsaturated seepage conditions

Science.gov (United States)

Lu, Ning; Godt, Jonathan W.

2008-01-01

We present a generalized framework for the stability of infinite slopes under steady unsaturated seepage conditions. The analytical framework allows the water table to be located at any depth below the ground surface and variation of soil suction and moisture content above the water table under steady infiltration conditions. The framework also explicitly considers the effect of weathering and porosity increase near the ground surface on changes in the friction angle of the soil. The factor of safety is conceptualized as a function of the depth within the vadose zone and can be reduced to the classical analytical solution for subaerial infinite slopes in the saturated zone. Slope stability analyses with hypothetical sandy and silty soils are conducted to illustrate the effectiveness of the framework. These analyses indicate that for hillslopes of both sandy and silty soils, failure can occur above the water table under steady infiltration conditions, which is consistent with some field observations that cannot be predicted by the classical infinite slope theory. A case study of shallow slope failures of sandy colluvium on steep coastal hillslopes near Seattle, Washington, is presented to examine the predictive utility of the proposed framework.

Device to position selectively a tool carried by a vehicle moving on the perforated plate of a tube bundle

International Nuclear Information System (INIS)

Bernardin, M.

1985-01-01

The aim of the invention is an examination device for a tube bundle of an apparatus such as, but not restrictively, a steam generator, situated in a dangerous zone, e.g. radioactive and designed to be introduced into the water box of the said and placed against the perforated plate of the tube bundle by an operator working outside of the said apparatus and able to operate whatever the vertical or horizontal position of the tube plate. The device has a selectively positionable tool - carrying vehicle comprising pistons positioning fingers extendable into the tubes and mounted on extendable supports perpendicular to the pistons and to each other, and an articulated telescopic arm fixed at one end to a rotary mounting on the vehicle and at the other end to an access opening in the vessel containing the tube plate, to hold the vehicle against the plate [fr

Stratified steady and unsteady two-phase flows between two parallel plates

International Nuclear Information System (INIS)

Sim, Woo Gun

2006-01-01

To understand fluid dynamic forces acting on a structure subjected to two-phase flow, it is essential to get detailed information about the characteristics of two-phase flow. Stratified steady and unsteady two-phase flows between two parallel plates have been studied to investigate the general characteristics of the flow related to flow-induced vibration. Based on the spectral collocation method, a numerical approach has been developed for the unsteady two-phase flow. The method is validated by comparing numerical result to analytical one given for a simple harmonic two-phase flow. The flow parameters for the steady two-phase flow, such as void fraction and two-phase frictional multiplier, are evaluated. The dynamic characteristics of the unsteady two-phase flow, including the void fraction effect on the complex unsteady pressure, are illustrated

Experimental investigation of sound absorption properties of perforated date palm fibers panel

International Nuclear Information System (INIS)

Elwaleed, A K; Nikabdullah, N; Nor, M J M; Tahir, M F M; Zulkifli, R

2013-01-01

This paper presents the sound absorption properties of a natural waste of date palm fiber perforated panel. A single layer of the date palm fibers was tested in this study for its sound absorption properties. The experimental measurements were carried out using impedance tube at the acoustic lab, Faculty of Engineering, Universiti Kebangsaan Malaysia. The experiment was conducted for the panel without air gap, with air gap and with perforated plate facing. Three air gap thicknesses of 10 mm, 20 mm and 30 mm were used between the date palm fiber sample and the rigid backing of the impedance tube. The results showed that when facing the palm date fiber sample with perforated plate the sound absorption coefficient improved at the higher and lower frequency ranges. This increase in sound absorption coincided with reduction in medium frequency absorption. However, this could be improved by using different densities or perforated plate with the date palm fiber panel.

Sound absorption and transmission through flexible micro-perforated panels backed by an air layer and a thin plate.

Science.gov (United States)

Bravo, Teresa; Maury, Cédric; Pinhède, Cédric

2012-05-01

This paper describes theoretical and experimental investigations into the sound absorption and transmission properties of micro-perforated panels (MPP) backed by an air cavity and a thin plate. A fully coupled modal approach is proposed to calculate the absorption coefficient and the transmission loss of finite-sized micro-perforated panels-cavity-panel (MPPCP) partitions with conservative boundary conditions. It is validated against infinite partition models and experimental data. A practical methodology is proposed using collocated pressure-velocity sensors to evaluate in an anechoic environment the transmission and absorption properties of conventional MPPCPs. Results show under which conditions edge scattering effects should be accounted for at low frequencies. Coupled mode analysis is also performed and analytical approximations are derived from the resonance frequencies and mode shapes of a flexible MPPCP. It is found that the Helmholtz-type resonance frequency is deduced from the one associated to the rigidly backed MPPCP absorber shifted up by the mass-air mass resonance of the flexible non-perforated double-panel. Moreover, it is shown analytically and experimentally that the absorption mechanisms at the resonances are governed by a large air-frame relative velocity over the MPP surface, with either in-phase or out-of-phase relationships, depending on the MPPCP parameters.

Navier-Stokes Predictions of Dynamic Stability Derivatives: Evaluation of Steady-State Methods

National Research Council Canada - National Science Library

DeSpirito, James; Silton, Sidra I; Weinacht, Paul

2008-01-01

The prediction of the dynamic stability derivatives-roll-damping, Magnus, and pitch-damping moments-were evaluated for three spin-stabilized projectiles using steady-state computational fluid dynamic (CFD) calculations...

Prandtl boundary layer expansions of steady Navier-Stokes flows over a moving plate

OpenAIRE

Guo, Yan; Nguyen, Toan T.

2014-01-01

This paper concerns the validity of the Prandtl boundary layer theory in the inviscid limit for steady incompressible Navier-Stokes flows. The stationary flows, with small viscosity, are considered on $[0,L]\\times \\mathbb{R}_{+}$, assuming a no-slip boundary condition over a moving plate at $y=0$. We establish the validity of the Prandtl boundary layer expansion and its error estimates.

Performance study of solar air heater duct having absorber plate with V down perforated baffles

Directory of Open Access Journals (Sweden)

Sunil Chamoli

2014-04-01

Full Text Available This paper presents results of a study of the performance of solar air heaters with V down perforated baffles as roughness on the air flow side of the absorber plate. Investigations have been carried out using a mathematical model to study the effects of ambient conditions, operating and design parameters on effective efficiency of such air heaters. The thermal and effective efficiencies differ only marginally at lower flow rates. With an increase in the flow rate, the difference between the thermal and effective efficiencies increases because of the increase in the pumping power. The results of the study are presented in the form of plots to show the effect of ambient, design and operating conditions on thermal and effective efficiency.

Methods of computing steady-state voltage stability margins of power systems

Science.gov (United States)

Chow, Joe Hong; Ghiocel, Scott Gordon

2018-03-20

In steady-state voltage stability analysis, as load increases toward a maximum, conventional Newton-Raphson power flow Jacobian matrix becomes increasingly ill-conditioned so power flow fails to converge before reaching maximum loading. A method to directly eliminate this singularity reformulates the power flow problem by introducing an AQ bus with specified bus angle and reactive power consumption of a load bus. For steady-state voltage stability analysis, the angle separation between the swing bus and AQ bus can be varied to control power transfer to the load, rather than specifying the load power itself. For an AQ bus, the power flow formulation is only made up of a reactive power equation, thus reducing the size of the Jacobian matrix by one. This reduced Jacobian matrix is nonsingular at the critical voltage point, eliminating a major difficulty in voltage stability analysis for power system operations.

Elastic behavior and onset of cracking in cement composite plates reinforced by perforated thin steel sheets

Science.gov (United States)

Aronchik, V.

1996-03-01

Thin cement mortar plates reinforced by perforated thin steel sheets have been tested in four-point flexure loading. Six kinds of sheet reinforcement and to additional ones (for control) were used. Perforated sheets of the Daugavpils Factory of Machinery Chains differed by their thickness (0.6-1.8 mm), shape (round, rectangular, oval, "dumbbell"), and mark of steel (St. 08, 50, 70). Dimensions of plantes were 100×20×2 cm. Cements-sand mortar with a 1∶2 ratio of cement PZ35 and river sand of 3 mm grains was used as a matrix. Control specimens of similar dimensions and matrix were reinforced by wire cages and meshes (ferrocement). The testing was performed using an UMM-5 testing machine. Maximum deflection (at the midspan), tension, and shear strains were recorded. The expeimental data are presented in tables and graphs. The testing results showed that the elasticity modulus of material was in good agreement with the "admixture rule;" an onset of cracking for all types (excluding one) practically did not differ from reference samples; the mode of fracture in typical cases included an adhesion failure and significant shear strains. In one case the limit of the tension strength of the reinforcement was achieved.

Stability of periodic steady-state solutions to a non-isentropic Euler-Poisson system

Science.gov (United States)

Liu, Cunming; Peng, Yue-Jun

2017-06-01

We study the stability of periodic smooth solutions near non-constant steady-states for a non-isentropic Euler-Poisson system without temperature damping term. The system arises in the theory of semiconductors for which the doping profile is a given smooth function. In this stability problem, there are no special restrictions on the size of the doping profile, but only on the size of the perturbation. We prove that small perturbations of periodic steady-states are exponentially stable for large time. For this purpose, we introduce new variables and choose a non-diagonal symmetrizer of the full Euler equations to recover dissipation estimates. This also allows to make the proof of the stability result very simple and concise.

Stabilizing the border steady-state solution of two interacting ...

African Journals Online (AJOL)

In this paper, we have successfully developed a feedback control which has been used to stabilize an unstable steady-state solution (0, 3.3534). This convergence has occurred when the values of the final time are 190, 200, 210 and 220 which corresponds to the scenario when the value of the step length of our simulation ...

Effect of plate shapes in orifice plate type flowmeters

International Nuclear Information System (INIS)

Moeller, S.V.

1984-01-01

The study of unusual plate shapes in orifice plate type flowmeters is presented, with a view to providing data for the substitution of the plate with one centered circular orifice in those applications where its use is not possible. For this purpose, six pairs of plates with different forms, with and without chamfered edges, were made and tested in a closed water loop. Results show that, generally, the use of chamfers improves the results and, in the case of perforated and slotlike orificed plates, the narrow-ness of the fluid passage tends to make unnecessary its use. (Author) [pt

Dynamic plate osteosynthesis for fracture stabilization: how to do it

Directory of Open Access Journals (Sweden)

Juerg Sonderegger

2010-01-01

Full Text Available Plate osteosynthesis is one treatment option for the stabilization of long bones. It is widely accepted to achieve bone healing with a dynamic and biological fixation where the perfusion of the bone is left intact and micromotion at the fracture gap is allowed. The indications for a dynamic plate osteosynthesis include distal tibial and femoral fractures, some midshaft fractures, and adolescent tibial and femoral fractures with not fully closed growth plates. Although many lower limb shaft fractures are managed successfully with intramedullary nails, there are some important advantages of open-reduction-and-plate fixation: the risk of malalignment, anterior knee pain, or nonunion seems to be lower. The surgeon performing a plate osteosynthesis has the possibility to influence fixation strength and micromotion at the fracture gap. Long plates and oblique screws at the plate ends increase fixation strength. However, the number of screws does influence stiffness and stability. Lag screws and screws close to the fracture site reduce micromotion dramatically. Dynamic plate osteosynthesis can be achieved by applying some simple rules: long plates with only a few screws should be used. Oblique screws at the plate ends increase the pullout strength. Two or three holes at the fracture site should be omitted. Lag screws, especially through the plate, must be avoided whenever possible. Compression is not required. Locking plates are recommended only in fractures close to the joint. When respecting these basic concepts, dynamic plate osteosynthesis is a safe procedure with a high healing and a low complication rate. 

Mathematical models for diffusive mass transfer from waste package container with multiple perforations

International Nuclear Information System (INIS)

Lee, J.H.; Andrews, R.W.; Chambre, P.L.

1996-01-01

A robust engineered barrier system (EBS) is employed in the current design concept for the potential high-level nuclear waste repository at Yucca Mountain, Nevada, US. The primary component of the EBS is a multi-barrier waste package container. Simplifying the geometry of the cylindrical waste package container and the underlying invert into the equivalent spherical configuration, mathematical models are developed for steady-state and transient diffusive releases from the failed waste container with multiple perforations (or pit penetrations) at the boundary of the invert. Using the models the steady-state and transient diffusive release behaviors form the failed waste container are studied. The analyses show that the number of perforations, the size of perforation, the container wall thickness, the geometry of the waste container and invert, and the adsorption of radionuclide in the invert are the important parameters that control the diffusive release rate. It is emphasized that the failed (or perforated) waste package container can still perform as a potentially important barrier (or diffusion barrier) to radionuclide release

Multidisciplinary management of a mandibular buccal plate perforation

Directory of Open Access Journals (Sweden)

Yuli Nugraeni

2010-12-01

Full Text Available Background: Endodontists often have difficulty in the management of endo-perio cases, because they cannot visually detect the condition of outer root surfaces, especially in bucco-lateral roots. The bone defect is rare and its treatment needs collaboration of endodontists and periodontists. An endodontist treats cases based on dental history, radiograph of root canals to measure root canals, to uncover abnormalities and to diagnose, but as the endodontists cannot directly see the affected parts, the unseen portion of the tooth could only be seen after flap surgery. Purpose: This case presents the importance of multidisciplinary approach by the endodontist and periodontitis to treat bucal plate perforations in endo-perio cases. Case: The first patient, a 47-year-old female had endodontic treatment and a porcelain crown restoration; however, after several months she felt pain. The second patient, a 45 year-old female had endodontic treatment and after six months she feel painful. Case management: The first patient, was referred to a periodontist. The opening flap surgery has been done, a bone defect was found in tooth 45. Subsequently, the exposed crater was filled with a bone graft and the pain disappeared. The second patient, with improper endodontic treatment. The flap surgery was conducted, there was found a bone defect in tooth 36. The last treatment, a bone graft has been covered and then the pain was not present. Conclusion: Proper diagnosis and treatment of perforations on the buccal aspect of a root was able to eliminate pain and avoid tooth extraction.Latar belakang: Endodontis sering mengalami kesulitan dalam menangani kasus endo-perio karena secara visual kondisi ini tidak tampak diluar permukaan akar, khususnya pada akar bukolateral. Defek tulang sangatlah jarang dan perawatannya membutuhkan kolaborasi endodotis dan periodontis. Seorang endodontis merawat kasus-kasus berdasarkan riwayat gigi, radiografis saluran akar untuk melihat

Stiffness Analysis of Nail-Plate Joints Subjected to Short-Term Loads

DEFF Research Database (Denmark)

Nielsen, Jacob

nail-plates are designed for trusses. For many years, joints were made of boards with nails, but the increasing industrialism and the need for quick and usable assembly had the result that today nearly all trusses are pre-fabricated with nail-plates. The word "nail-plate" has been used for different...... types of plates. There are two main types of nail-plates: steel plates perforated with holes in which separate nails are used and steel plates perforated by a stamping machine, so the nails are made from the plate, see figur 1.2 on page 7. This type is sometimes called "punching metal plate...

Effects of governing parameters on steady-state inter-wrapper flow in an LMFBR

International Nuclear Information System (INIS)

Moriya, Shoichi

2001-01-01

Hydraulic experiments were performed using a 1/8th scale rectangular model, based on a Japanese demonstration fast breeder reactor design, in order to study fundamental characteristics of interwrapper flows occurring under steady state conditions in an LMFBR. The steady state interwrapper flow of which direction was downward in the center region and upward in the peripheral region of a core barrel was observed because of the radial static pressure gradient in the upper part of the core barrel, produced by a core blockage effect resulting from an above core structure with a perforated skirt. Thermal stratification phenomena were moreover observed in the interwrapper region, created by the hot steady state interwrapper flow from an upper plenum and the cold leakage flow through the separated plate of the core barrel. The thermal interface was generated in higher part of the core barrel when the core blockage effect was smaller and Richardson number and the leakage flow rate ratio were larger. Significant temperature fluctuations occurred in the peripheral region of the core barrel, when the difference between the interface elevations in the center and peripheral regions of the core barrel was enough large. (author)

Premixed Combustion of Coconut Oil on Perforated Burner

Directory of Open Access Journals (Sweden)

I.K.G. Wirawan

2013-10-01

Full Text Available Coconut oil premixed combustion behavior has been studied experimentally on perforated burner with equivalence ratio (φ varied from very lean until very rich. The results showed that burning of glycerol needs large number of air so that the laminar burning velocity (SL is the highest at very lean mixture and the flame is in the form of individual Bunsen flame on each of the perforated plate hole. As φ is increased the  SL decreases and the secondary Bunsen flame with open tip occurs from φ =0.54 at the downstream of perforated flame. The perforated flame disappears at φ = 0.66 while the secondary Bunsen flame still exist with SL increases following that of hexadecane flame trend and then extinct when the equivalence ratio reaches one or more. Surrounding ambient air intervention makes SL decreases, shifts lower flammability limit into richer mixture, and performs triple and cellular flames. The glycerol diffusion flame radiation burned fatty acids that perform cellular islands on perforated hole.  Without glycerol, laminar flame velocity becomes higher and more stable as perforated flame at higher φ. At rich mixture the Bunsen flame becomes unstable and performs petal cellular around the cone flame front. Keywords: cellular flame; glycerol; perforated flame;secondary Bunsen flame with open tip; triple flame

Optimization of Steady Wall Temperature for Disturbance Control

OpenAIRE

Pralits, Jan; Ardeshir, Hanifi

2003-01-01

We present a theory for computing the optimal steady wall temperature distribution to suppress the growth of convectively unstable disturbances in compressible boundary layer flows on flat plates. A gradient based iterative procedure is used to minimize an objective function measuring the disturbance kinetic energy. The gradient of interest is obtained from the solution of the adjoint of the boundary layer and parabolized stability equations, which are derived using a Lagrange multiplier tech...

[Experimental study on carbon fiber reinforced plastic plate--analysis of stabilizing force required for plate].

Science.gov (United States)

Iizuka, H

1990-11-01

Plates currently in use for the management of bone fracture made of metal present with various problems. We manufactured carbon fiber reinforced plastic (CFRP) plates from Pyrofil T/530 puriplegs overlaid at cross angles of +/- 10 degrees, +/- 20 degrees, and +/- 30 degrees for trial and carried out an experimental study on rabbit tibiofibular bones using 316L stainless steel plates of comparable shape and size as controls. The results indicate the influence of CFRP plate upon cortical bone was milder than that of stainless steel plate, with an adequate stabilizing force for the repair of fractured rabbit tibiofibular bones. CFRP has the advantages over metals of being virtually free from corrosion and fatigue, reasonably radiolucent and able to meet a wide range of mechanical requirements. This would make CFRP plate quite promising as a new devices of treating fracture of bones.

Peritoneal drainage does not stabilize extremely low birth weight infants with perforated bowel: data from the NET Trial.

Science.gov (United States)

Rees, Clare M; Eaton, Simon; Khoo, A Kate; Kiely, Edward M; Pierro, Agostino

2010-02-01

Proponents of peritoneal drainage (PD) hypothesize that it allows stabilization before laparotomy. We examined this hypothesis by comparing clinical status before and after either PD or primary laparotomy (LAP). In an ethically approved, international, prospective randomized controlled trial (2002-2006), extremely low birth weight (drainage does not immediately improve clinical status in extremely low birth weight infants with bowel perforation. The use of PD as a stabilizing or temporizing measure is not supported by these results. Copyright 2010 Elsevier Inc. All rights reserved.

Study on modal characteristics of perforated shell using effective Young's modulus

International Nuclear Information System (INIS)

Jhung, Myung Jo; Yu, Seon Oh

2011-01-01

Research highlights: → The effective Young's modulus of perforated shell is proposed for modal analysis. → The penetration pattern is almost negligible for effective elastic constants. → The frequency of perforated shell decreases significantly due to the hole effect. - Abstract: For the perforated cylindrical shell submerged in fluid, it is almost impossible to develop a finite element model due to the necessity of the fine meshing of the shell and the fluid at the same time. This necessitates the use of solid shell with effective material properties. Unfortunately the effective elastic constants are not found in any references even though the ASME code is suggesting those for perforated plate. Therefore in this study the effective material properties of perforated shell are suggested by performing several finite element analyses with respect to the ligament efficiencies.

Comparison of skeletal stability after sagittal split ramus osteotomy among mono-cortical plate fixation, bi-cortical plate fixation, and hybrid fixation using absorbable plates and screws.

Science.gov (United States)

Ueki, Koichiro; Moroi, Akinori; Yoshizawa, Kunio; Hotta, Asami; Tsutsui, Takamitsu; Fukaya, Kenichi; Hiraide, Ryota; Takayama, Akihiro; Tsunoda, Tatsuta; Saito, Yuki

2017-02-01

The purpose of this study was to examine skeletal stability and plate breakage after sagittal split ramus osteotomy (SSRO) with the mono-cortical plate fixation, bi-cortical plate fixation, and hybrid fixation techniques using absorbable plates and screws. A total of 76 Japanese patients diagnosed with mandibular prognathism with and without maxillary deformity were divided into 3 groups randomly. A total of 28 patients underwent SSRO with mono-cortical plate fixation, 23 underwent SSRO with bi-cortical plate fixation, and 25 underwent SSRO with hybrid fixation. Skeletal stability and horizontal condylar angle were analyzed by axial, frontal, and lateral cephalograms from before the operation to 1 year postoperatively. Breakage of the plate and screws was observed by 3-dimensional computed tomography (3DCT) immediately after surgery and after 1 year. Although there was a significant difference between the mono-cortical plate fixation group and hybrid fixation group regarding right MeAg in T1 (P = 0.0488) and occlusal plane in T1 (P = 0.0346), there were no significant differences between the groups for the other measurements in each time interval. In 2 cases, namely, 6 sides in the mono-cortical plate fixation group, breakage of the absorbable plate was found by 3DCT. However, there was no breakage in the bi-cortical plate fixation group and hybrid fixation group. This study results suggested that there were no significant differences in the postoperative skeletal stability among the 3 groups, and bi-cortical fixation as well as hybrid fixation was a reliable and useful method to prevent plate breakage even if an absorbable material was used. Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Steady state and linear stability analysis of a supercritical water natural circulation loop

International Nuclear Information System (INIS)

Sharma, Manish; Pilkhwal, D.S.; Vijayan, P.K.; Saha, D.; Sinha, R.K.

2010-01-01

Supercritical water (SCW) has excellent heat transfer characteristics as a coolant for nuclear reactors. Besides it results in high thermal efficiency of the plant. However, the flow can experience instabilities in supercritical water reactors, as the density change is very large for the supercritical fluids. A computer code SUCLIN using supercritical water properties has been developed to carry out the steady state and linear stability analysis of a SCW natural circulation loop. The conservation equations of mass, momentum and energy have been linearized by imposing small perturbation in flow rate, enthalpy, pressure and specific volume. The equations have been solved analytically to generate the characteristic equation. The roots of the equation determine the stability of the system. The code has been qualitatively assessed with published results and has been extensively used for studying the effect of diameter, height, heater inlet temperature, pressure and local loss coefficients on steady state and stability behavior of a Supercritical Water Natural Circulation Loop (SCWNCL). The present paper describes the linear stability analysis model and the results obtained in detail.

Yield surfaces for perforated plates with square arrays of holes

International Nuclear Information System (INIS)

Bhattacharya, A.; Venkat Raj, V.

2004-01-01

A symmetric model of a perforated plate containing a 3x3 array of circular holes, arranged in a square pattern, was chosen and elastoplastic finite element analyses were carried out to determine the limit stresses for both pitch and diagonal directions of loading, for different values of biaxiality ratios. Plane stress conditions were assumed and the Tresca and von Mises yield criteria were employed to obtain two different sets of results. Yield surfaces were constructed and 'general cut-out factors' were determined for four different ligament efficiencies. The FEM results obtained by the authors using the Tresca and von Mises yield criteria were compared with the corresponding results of [J. Pressure Vessel Technol. Trans. ASME (1975) 146-154] and [J. Pressure Vessel Technol. Trans. ASME (1997) 122-126], respectively. The results based on the Tresca yield criterion obtained by the present authors and those in [J. Pressure Vessel Technol. Trans. ASME (1975) 146-154] were found to agree well with each other. In the case of the von Mises yield criterion, the agreement with [J. Pressure Vessel Technol. Trans. ASME 122-126] is generally good. The estimates based on the Tresca yield criterion are seen to result in lower values of limit stresses and cut-out factors as compared to those based on the von Mises yield criterion. The difference is attributed to the yield criterion and the flow rule chosen for the analysis. The shape as well as the size of the yield surface was found to depend on the ligament efficiency

Local and global nonlinear dynamics of a parametrically excited rectangular symmetric cross-ply laminated composite plate

International Nuclear Information System (INIS)

Ye Min; Lu Jing; Zhang Wei; Ding Qian

2005-01-01

The present investigation deals with nonlinear dynamic behavior of a parametrically excited simply supported rectangular symmetric cross-ply laminated composite thin plate for the first time. The governing equation of motion for rectangular symmetric cross-ply laminated composite thin plate is derived by using von Karman equation. The geometric nonlinearity and nonlinear damping are included in the governing equations of motion. The Galerkin approach is used to obtain a two-degree-of-freedom nonlinear system under parametric excitation. The method of multiple scales is utilized to transform the second-order non-autonomous differential equations to the first-order averaged equations. Using numerical method, the averaged equations are analyzed to obtain the steady state bifurcation responses. The analysis of stability for steady state bifurcation responses in laminated composite thin plate is also given. Under certain conditions laminated composite thin plate may have two or multiple steady state bifurcation solutions. Jumping phenomenon occurs in the steady state bifurcation solutions. The chaotic motions of rectangular symmetric cross-ply laminated composite thin plate are also found by using numerical simulation. The results obtained here demonstrate that the periodic, quasi-periodic and chaotic motions coexist for a parametrically excited fore-edge simply supported rectangular symmetric cross-ply laminated composite thin plate under certain conditions

MHD stability regimes for steady state and pulsed reactors

International Nuclear Information System (INIS)

Jardin, S.C.; Kessel, C.E.; Pomphrey, N.

1994-02-01

A tokamak reactor will operate at the maximum value of β≡2μ 0 /B 2 that is compatible with MHD stability. This value depends upon the plasma current and pressure profiles, the plasma shape and aspect ratio, and the location of nearby conducting structures. In addition, a steady state reactor will minimize its external current drive requirements and thus achieve its maximum economic benefit with a bootstrap fraction near one, I bs /I p ∼ 1, which constrains the product of the inverse aspect ratio and the plasma poloidal beta to be near unity, ε β p ∼ 1. An inductively driven pulsed reactor has different constraints set by the steady-state Ohm's law which relates the plasma temperature and density profiles to the parallel current density. We present the results obtained during the ARIES I, II/IV, and III and the PULSAR reactor studies where these quantities were optimized subject to different design philosophies. The ARIES-II/IV and ARIES-III designs are both in the second stability regime, but differ in requirements on the form of the profiles at the plasma edge, and in the location of the conducting wall. The relation between these, as well as new attractive MHD regimes not utilized in the ARIES or PULSAR studies is also discussed

Magnetohydrodynamic stability regimes for steady state and pulsed reactors

International Nuclear Information System (INIS)

Jardin, S.C.; Kessel, C.E.; Pomphrey, N.

1994-01-01

A tokamak reactor will operate at the maximum value of β≡2μ 0 left angle p right angle /B 2 that is compatible with magnetohydrodynamic (MHD) stability. This value depends on the plasma current and pressure profiles, the plasma shape and aspect ratio, and the location of nearby conducting structures. In addition, a steady state reactor will minimize its external current drive requirements and thus achieve its maximum economic benefit with a bootstrap fraction near unity, I BS /I P ∼1, which constrains the product of the inverse aspect ratio and the plasma poloidal β to be near unity, arepsilonβ P ∼1. An inductively driven pulsed reactor has different constraints set by the steady-state Ohm's law which relates the plasma temperature and density profiles to the parallel current density. We present the results obtained during ARIES I, II/IV, and III and PULSAR reactor studies where these quantities were optimized subject to different design philosophies. The ARIES-II/IV and ARIES-III designs are both in the second stability regime, but differ in requirements in the form of the profiles at the plasma edge, and in the location of the conducting wall. The relation between these, as well as new attractive MHD regimes not utilized in the ARIES or PULSAR studies, is also discussed. ((orig.))

Time varying stress in ligaments of perforated plates with reference to prestressed concrete reactor vessels

International Nuclear Information System (INIS)

Stefanou, G.D.

1978-01-01

The work described herein relates to the prediction of stresses in materials which exhibit time varying strains with particular reference to the ligaments of perforated circular concrete slabs, subjected to long-term radial prestress and uniform elevated temperature. The perforations are reinforced with steel liners and arranged in a square central lattice symmetrical about two orthogonal axes. Special reference is made to the distribution of stress in the standpipe region of prestressed concrete cylindrical pressure or containment vessels for gas cooled reactors. In order to assess the stress distribution around the perforated zone of a circular slab, a method of analysis was developed by the author, based on the ''Equivalent Elastic Modulus'' of the perforated zone and the ''Effective Modulus Method'', utilizing experimental data obtained from tests performed on model specimens. The object of this paper is to extend the above method of analysis into the perforated region, and assess the long-term stresses in the ligaments. The proposed method is accomplished by an application of the Finite Element Method for the elastic plane stress case. Comparisons of experimental results and theoretical predictions by the proposed method, and other analytical methods are made for a series of perforated concrete slabs subjected to radial in-plane loading: 10,342 kN/m 2 (1,5000 psi), and uniform elevated temperature of 80 0 C. The investigation, though in general terms, could be applied to the perforated region of cylindrical pressure vessels for nuclear reactors. Finally the paper describes briefly in Appendix 3 a direct solution procedure for calculating time dependent stresses in concrete structures based on the principles of variational calculus. Analytical predictions obtained by the proposed method which is a step-by-step analysis, are compared with the variational principle method. (author)

Electromagnetic response of extraordinary transmission plates inspired on Babinet’s principle

OpenAIRE

Navarro Cía, Miguel; Beruete Díaz, Miguel; Sorolla Ayza, Mario

2011-01-01

This chapter is devoted to polarization effects arisen from perforated metallic plates exhibiting extraordinary transmission (ET). Setting aside the state-of-the-art of perforated metallic plates, we show that by applying Babinet’s principle, subwavelength hole arrays (SHAs) arranged in rectangular lattice can further enhance its potential polarization response. Different perspectives are brought about to describe and understand the particular behaviour of self-complementarines...

Study on modal characteristics of perforated shell using effective Young's modulus

Energy Technology Data Exchange (ETDEWEB)

Jhung, Myung Jo, E-mail: mjj@kins.re.kr [Korea Institute of Nuclear Safety, 19 Guseong-dong, Yuseong-gu, Daejeon 305-338 (Korea, Republic of); Yu, Seon Oh [Korea Institute of Nuclear Safety, 19 Guseong-dong, Yuseong-gu, Daejeon 305-338 (Korea, Republic of)

2011-06-15

Research highlights: > The effective Young's modulus of perforated shell is proposed for modal analysis. > The penetration pattern is almost negligible for effective elastic constants. > The frequency of perforated shell decreases significantly due to the hole effect. - Abstract: For the perforated cylindrical shell submerged in fluid, it is almost impossible to develop a finite element model due to the necessity of the fine meshing of the shell and the fluid at the same time. This necessitates the use of solid shell with effective material properties. Unfortunately the effective elastic constants are not found in any references even though the ASME code is suggesting those for perforated plate. Therefore in this study the effective material properties of perforated shell are suggested by performing several finite element analyses with respect to the ligament efficiencies.

Effect of steady deflections on the aeroelastic stability of a turbine blade

DEFF Research Database (Denmark)

Kallesøe, Bjarne Skovmose

2011-01-01

This paper deals with effects of geometric non-linearities on the aeroelastic stability of a steady-state defl ected blade. Today, wind turbine blades are long and slender structures that can have a considerable steady-state defl ection which affects the dynamic behaviour of the blade. The fl...... apwise blade defl ection causes the edgewise blade motion to couple to torsional blade motion and thereby to the aerodynamics through the angle of attack. The analysis shows that in the worst case for this particular blade, the edgewise damping can be decreased by half. Copyright © 2010 John Wiley & Sons......, Ltd....

VALIDITY OF EXCESS ENTROPY PRODUCTION CRITERION OF THERMODYNAMIC STABILITY FOR NONEQUILIBRIUM STEADY STATES

Institute of Scientific and Technical Information of China (English)

吴金平

1991-01-01

The relation between the excess entropy production criterion of thermodynamic stabilityfor nonequilibrium states and kinetic linear stability principle is discussed. It is shown thatthe condition required by the excess entropy production criterion generally is sufficient, butnot necessary to judge the system stability. The condition required by the excess entropyproduction criterion is stronger than that of the linear stability principle. Only when theproduct matrix between the linearized matrix of kinetic equations and matrix of quadraticform of second-order excess entropy is symmetric, is the condition required by the excessentropy production criterion that the steady steate is asymptotically stable (δ_xP>0) necessaryand sufficient. The counterexample given by Fox to prove that the excess entropy, (δ~2S)ss,is not a Liapunov function is incorrect. Contradictory to his conclusion, the counterexampleis just a positive one that proves that the excess entropy is a Liapunov function. Moreover,the excess entropy production criterion is not limited by symmetric conditions of the linear-ized matrix of kinetic equations. The excess entropy around nonequilibrium steady states,(δ~2S)ss, is a Liapunov function of thermodynamic system.

Asymptotic stability of steady compressible fluids

CERN Document Server

Padula, Mariarosaria

2011-01-01

This volume introduces a systematic approach to the solution of some mathematical problems that arise in the study of the hyperbolic-parabolic systems of equations that govern the motions of thermodynamic fluids. It is intended for a wide audience of theoretical and applied mathematicians with an interest in compressible flow, capillarity theory, and control theory. The focus is particularly on recent results concerning nonlinear asymptotic stability, which are independent of assumptions about the smallness of the initial data. Of particular interest is the loss of control that sometimes results when steady flows of compressible fluids are upset by large disturbances. The main ideas are illustrated in the context of three different physical problems: (i) A barotropic viscous gas in a fixed domain with compact boundary. The domain may be either an exterior domain or a bounded domain, and the boundary may be either impermeable or porous. (ii) An isothermal viscous gas in a domain with free boundaries. (iii) A h...

Stability of racemic and chiral steady states in open and closed chemical systems

Energy Technology Data Exchange (ETDEWEB)

Ribo, Josep M. [Departament de Quimica Organica, Universitat de Barcelona, c. Marti i Franques 1, Barcelona (Spain); Hochberg, David [Centro de Astrobiologia (CSIC-INTA), Ctra. Ajalvir Km. 4, 28850 Torrejon de Ardoz, Madrid (Spain)], E-mail: hochbergd@inta.es

2008-12-22

The stability properties of models of spontaneous mirror symmetry breaking in chemistry are characterized algebraically. The models considered here all derive either from the Frank model or from autocatalysis with limited enantioselectivity. Emphasis is given to identifying the critical parameter controlling the chiral symmetry breaking transition from racemic to chiral steady-state solutions. This parameter is identified in each case, and the constraints on the chemical rate constants determined from dynamic stability are derived.

Stability of racemic and chiral steady states in open and closed chemical systems

International Nuclear Information System (INIS)

Ribo, Josep M.; Hochberg, David

2008-01-01

The stability properties of models of spontaneous mirror symmetry breaking in chemistry are characterized algebraically. The models considered here all derive either from the Frank model or from autocatalysis with limited enantioselectivity. Emphasis is given to identifying the critical parameter controlling the chiral symmetry breaking transition from racemic to chiral steady-state solutions. This parameter is identified in each case, and the constraints on the chemical rate constants determined from dynamic stability are derived

Stresses and strains in thick perforated orthotropic plates

Science.gov (United States)

A. Alshaya; John Hunt; R. Rowlands

2016-01-01

Stress and strain concentrations and in-plane and out-of-plane stress constraint factors associated with a circular hole in thick, loaded orthotropic composite plates are determined by three-dimensional finite element method. The plate has essentially infinite in-plane geometry but finite thickness. Results for Sitka Spruce wood are emphasized, although some for carbon...

Undergoing spherically symmetric steady-state accretion stability of white dwarfs

Energy Technology Data Exchange (ETDEWEB)

Sienkiewicz, R [Polska Akademia Nauk, Warsaw. N. Copernicus Astronomical Center

1980-01-01

Thermal and vibrational stabilities of accreting white dwarfs with steady-state nuclear burning were considered, assuming spherically symmetric accretion of the hydrogen-rich matter and using linear stability analysis. Almost all models with masses 0.2 M(sun) - 1.39 M(sun) were found to be unstable in some way. The type of instability expected to dominate is given as a function of the accretion rate. For most accretion rates it is the thermal instability. Oscillation periods are given for the models in which the vibrational instability is the most violent one. These periods are of the order of seconds or minutes. We expect that our stability analysis may suggest the cause of the variabilities of the hot components of some symbiotic stars, for a wide range of the accretion rates. In this case our models may serve as the initial conditions for evolutionary computations. The results predict that short-period oscillations should be observed in some hot nuclei of planetary nebulae.

Changing trend in emergency surgery for perforated duodenal ulcer

International Nuclear Information System (INIS)

Gurteyik, E.

2003-01-01

Objective: To evaluate changes in the emergency surgery of the duodenal ulcer. Subjects and Methods: Hospital records of 523 surgically treated patients, with duodenal ulcer perforation, during the period of 25 years 91975-1999) in the same surgical department, was retrospectively analysed. Changing aspects of emergency surgery of peptic ulcer disease, in the recent period, were determined in respect to number of operations per year and in the choice of operative methods. Results: The average number of patients and emergency operations per year was 21. No significant change was observed during the study period. Elective operations gradually decreased in the last ten years, and none was performed in the last 4 years. On the other hand, 226 emergency interventions for duodenal ulcer perforation were performed in the last ten years and 84 interventions in the last 4 years. Definitive anti-ulcer surgery was performed in 42% of patients between 1985 and 1994. Simple closure of the perforation plus treatment with proton pump inhibitors and with anti-Helicobacter pylori medication was the method in 80% during the last year. Conclusion: Emergency surgery for perforated duodenal ulcer preserves its steady rate despite disappearance of elective operations after tremendous progress in medical control of peptic ulcer disease. There is an obvious return from definitive anti-ulcer surgery to simple closure of the perforation followed by antisecretory and antibacterial medications in the recent years. (author)

Fouling Resilient Perforated Feed Spacers for Membrane Filtration

KAUST Repository

Kerdi, Sarah

2018-04-24

The improvement of feed spacers with optimal geometry remains a key challenge for spiral-wound membrane systems in water treatment due to their impact on the hydrodynamic performance and fouling development. In this work, novel spacer designs are proposed by intrinsically modifying cylindrical filaments through perforations. Three symmetric perforated spacers (1-Hole, 2-Hole, and 3-Hole) were in-house 3D-printed and experimentally evaluated in terms of permeate flux, feed channel pressure drop and membrane fouling. Spacer performance is characterized and compared with standard no perforated (0-Hole) design under constant feed pressure and constant feed flow rate. Perforations in the spacer filaments resulted in significantly lowering the net pressure drop across the spacer filled channel. The 3-Hole spacer was found to have the lowest pressure drop (50% - 61%) compared to 0-Hole spacer for various average flow velocities. Regarding permeate flux production, the 0-Hole spacer produced 5.7 L.m-2.h-1 and 6.6 L.m-2.h-1 steady state flux for constant pressure and constant feed flow rate, respectively. The 1-Hole spacer was found to be the most efficient among the perforated spacers with 75% and 23% increase in permeate production at constant pressure and constant feed flow, respectively. Furthermore, membrane surface of 1-Hole spacer was found to be cleanest in terms of fouling, contributing to maintain higher permeate flux production. Hydrodynamic understanding of these perforated spacers is also quantified by performing Direct Numerical Simulation (DNS). The performance enhancement of these perforated spacers is attributed to the formation of micro-jets in the spacer cell that aided in producing enough unsteadiness/turbulence to clean the membrane surface and mitigate fouling phenomena. In the case of 1-Hole spacer, the unsteadiness intensity at the outlet of micro-jets and the shear stress fluctuations created inside the cells are higher than those observed with

Fouling resilient perforated feed spacers for membrane filtration.

Science.gov (United States)

Kerdi, Sarah; Qamar, Adnan; Vrouwenvelder, Johannes S; Ghaffour, Noreddine

2018-04-24

The improvement of feed spacers with optimal geometry remains a key challenge for spiral-wound membrane systems in water treatment due to their impact on the hydrodynamic performance and fouling development. In this work, novel spacer designs are proposed by intrinsically modifying cylindrical filaments through perforations. Three symmetric perforated spacers (1-Hole, 2-Hole, and 3-Hole) were in-house 3D-printed and experimentally evaluated in terms of permeate flux, feed channel pressure drop and membrane fouling. Spacer performance is characterized and compared with standard no perforated (0-Hole) design under constant feed pressure and constant feed flow rate. Perforations in the spacer filaments resulted in significantly lowering the net pressure drop across the spacer filled channel. The 3-Hole spacer was found to have the lowest pressure drop (50%-61%) compared to 0-Hole spacer for various average flow velocities. Regarding permeate flux production, the 0-Hole spacer produced 5.7 L m -2 .h -1 and 6.6 L m -2 .h -1 steady state flux for constant pressure and constant feed flow rate, respectively. The 1-Hole spacer was found to be the most efficient among the perforated spacers with 75% and 23% increase in permeate production at constant pressure and constant feed flow, respectively. Furthermore, membrane surface of 1-Hole spacer was found to be cleanest in terms of fouling, contributing to maintain higher permeate flux production. Hydrodynamic understanding of these perforated spacers is also quantified by performing Direct Numerical Simulation (DNS). The performance enhancement of these perforated spacers is attributed to the formation of micro-jets in the spacer cell that aided in producing enough unsteadiness/turbulence to clean the membrane surface and mitigate fouling phenomena. In the case of 1-Hole spacer, the unsteadiness intensity at the outlet of micro-jets and the shear stress fluctuations created inside the cells are higher than those

Comparing Interval Management Control Laws for Steady-State Errors and String Stability

Science.gov (United States)

Weitz, Lesley A.; Swieringa, Kurt A.

2018-01-01

Interval Management (IM) is a future airborne spacing concept that leverages avionics to provide speed guidance to an aircraft to achieve and maintain a specified spacing interval from another aircraft. The design of a speed control law to achieve the spacing goal is a key aspect in the research and development of the IM concept. In this paper, two control laws that are used in much of the contemporary IM research are analyzed and compared to characterize steady-state errors and string stability. Numerical results are used to illustrate how the choice of control laws gains impacts the size of steady-state errors and string performance and the potential trade-offs between those performance characteristics.

Numerical Study on Several Stabilized Finite Element Methods for the Steady Incompressible Flow Problem with Damping

Directory of Open Access Journals (Sweden)

Jilian Wu

2013-01-01

Full Text Available We discuss several stabilized finite element methods, which are penalty, regular, multiscale enrichment, and local Gauss integration method, for the steady incompressible flow problem with damping based on the lowest equal-order finite element space pair. Then we give the numerical comparisons between them in three numerical examples which show that the local Gauss integration method has good stability, efficiency, and accuracy properties and it is better than the others for the steady incompressible flow problem with damping on the whole. However, to our surprise, the regular method spends less CPU-time and has better accuracy properties by using Crout solver.

Typhoid Intestinal Perforation: 24 Perforations in One Patient

African Journals Online (AJOL)

Intestinal perforation is a common cause of peritonitis necessitating emergency surgical intervention. Perforation ... Mortality rates of typhoid intestinal perforation (TIP) cases are ... may be obscured clinical features with resultant delays in.

Design of the inboard passive stabilizer for TPX

International Nuclear Information System (INIS)

Hoffmann, E.; Boonstra, R.; Baxi, C.B.; Chin, E.; Drees, L.; Lee, W.; Redler, K.L.; Reis, E.E.; Bialek, J.

1995-01-01

The Inboard Passive Stabilizer (IPS) is part of the plasma stabilizing system built into the TPX. Its purpose is to provide passive stabilization of the plasma vertical instability on short time scales. With carbon fiber composite (CFC) armor tiles it serves as a startup limiter, protects the vacuum vessel from radiation heat load during steady state operation and also functions as Neutral Beam armor. The inboard passive stabilizer is a saddle coil, constructed of a ring of copper plates, armored with CFC tiles, that surrounds the inner vacuum vessel at the midplane. The design of the plates, the support structure, cooling lines, CFC tiles and tile attach method is described. Tiles that experience only the normal heat load of 0.4 MW/m 2 are attached with mechanical fasteners. Tiles in the neutral beam shine through area are exposed to as much as 1.7 MW/m 2 and are brazed to the IPS. Significant forces are generated in the plates by the stabilization currents as well as during the frequent bakeout cycles. These plates are required to be fully remotely handled, including tile replacement, and the influence of this requirement on the design is discussed

Rapid and controllable perforation of carbon nanotubes by microwave radiation

Science.gov (United States)

Ojaghi, Neda; Mokhtarifar, Maryam; Sabaghian, Zahra; Arab, Hamed; Maghrebi, Morteza; Baniadam, Majid

2018-05-01

This study presents a new controlled approach to deep perforation of millimeter-long carbon nanotube arrays (CNTAs) by fast oxidative cutting. The approach is based on decorating CNTAs with silver (Ag) nanoparticles, followed by heating Ag-decorated CNTAs with microwave radiation (2.48 GHz, 300 W). The perforation was evaluated using different techniques such as transmission electron microscopy, X-ray photoelectron spectroscopy, and Brunauer-Emmett-Teller method. The results of the oxidation of carbonaceous materials indicated that the relative amount of oxygen functional groups increased without total oxidation of carbon up to 60 s. After 60 s, the amount of functional groups decreased as the total oxidation started suddenly. Afterwards, at around 120 and 420 s, the oxidation of Ag-decorated CNTAs reached the point of total perforation and total cutting, respectively. Though carbon decomposition terminated at around 420 s, the total pore volume and surface area increased continuously. This was attributed to the steady growth of Ag nanoparticles located between CNTAs.

Stabilization of the potential multi-steady-state absolute instabilities in a gyrotron traveling-wave amplifier

International Nuclear Information System (INIS)

Du Chaohai; Liu Pukun

2009-01-01

The problem of spurious oscillations induced by absolute instabilities is the most challenging one that hinders the development of the millimeter-wave gyrotron traveling-wave amplifiers (gyro-TWTs). A spurious oscillation exists as a high order axial mode (HOAM) in the interaction circuit. This paper is devoted to demonstrating the complicated steady states of these HOAMs and exploring corresponding techniques to stabilize these potential multi-steady-state absolute instabilities. The stability-oriented design principle is conveyed in a start-to-end design flow of a Ka-band TE 11 mode gyro-TWT. Strong magnetic tapering near the downstream port, which is capable of cutting short the effective interaction circuit of a spurious oscillation and simultaneously boosting the amplification performance, is for the first time proposed to further improve the system stability. It is also found that an ideal prebunched electron beam in the linear stage is the necessary condition to efficient amplification in the nonlinear stage, suggesting that it is feasible to design a stable prebunching stage to replace the distributed-loss-loaded linear stage. The stability-oriented design principle provides more explicit reference for future design of a zero-drive stable gyro-TWT.

Rare occupational cause of nasal septum perforation: Nickel exposure

Directory of Open Access Journals (Sweden)

Ertugrul Cagri Bolek

2017-10-01

Full Text Available Many etiologies are held accountable for nasal septum perforations. Topical nasal drug usage, previous surgeries, trauma, nose picking, squamous cell carcinoma, some rheumatological disorders such as granulomatosis with polyangiitis (Wegener granulomatosis, some infectious diseases such as syphilis and leprosy are among the causes of the perforations. Occupational heavy metal exposures by inhalation rarely may also cause nasal septum perforation. Here, we present a 29-year-old patient without any known diseases, who is a worker at a metallic coating and nickel-plating factory, referred for investigation of his nasal cartilage septum perforation from an otorhinolaryngology clinic. The patient questioning, physical examination and laboratory assessment about rheumatic and infectious diseases were negative. There was a metallic smell in the breath during the physical examination. The analysis showed serum nickel level at 31 μg/l and urine nickel at 18 μg/l (84.11 μg/g creatinine. Other possible serum and urine heavy metal levels were within normal ranges. Nickel exposure is usually together with other heavy metals (chromium or cadmium, it is rarely alone. Nickel ingested by inhalation usually leads to respiratory problems such as reduced olfactory acuity, ulcers, septum perforation or tumors of the nasal sinuses. This case demonstrates the importance of occupational anamnesis and awareness of diagnosis. Int J Occup Med Environ Health 2017;30(6:963–967

Hydrodynamic loading and viscous damping of patterned perforations on microfabricated resonant structures

DEFF Research Database (Denmark)

Park, Kidong; Shim, Jeong; Solovyeva, Vita

2012-01-01

We examined the hydrodynamic loading of vertically resonating microfabricated plates immersed in liquids with different viscosities. The planar structures were patterned with focused ion beam, perforating various shapes with identical area but varying perimeters. The hydrodynamic loading of various...

The Effect of Honeycomb Cavity: Acoustic Performance of a Double-leaf Micro Perforated Panel

OpenAIRE

Huang, Yuxian; Li, Kai Ming

2016-01-01

A micro perforated panel (MPP) is a device consisting of a thin plate and submillimeter perforations for reducing low frequency noise. MPPs have many advantages compared to traditional sound absorption materials, such as durability and designability, and they can be used in a variety of places such as room interior designs, passenger and crew compartments of aircrafts and combustion engines. The models in this study were designed and fabricated with the latest 3-D printing technology. The tra...

Stability of unstably stratified shear flow between parallel plates

Energy Technology Data Exchange (ETDEWEB)

Fujimura, Kaoru; Kelly, R E

1987-09-01

The linear stability of unstably stratified shear flows between two horizontal parallel plates was investigated. Eigenvalue problems were solved numerically by making use of the expansion method in Chebyshev polynomials, and the critical Rayleigh numbers were obtained accurately in the Reynolds number range of (0.01, 100). It was found that the critical Rayleigh number increases with an increase of the Reynolds number. The result strongly supports previous stability analyses except for the analysis by Makino and Ishikawa (J. Jpn. Soc. Fluid Mech. 4 (1985) 148 - 158) in which a decrease of the critical Rayleigh number was obtained.

Stability of unstably stratified shear flow between parallel plates

International Nuclear Information System (INIS)

Fujimura, Kaoru; Kelly, R.E.

1987-01-01

The linear stability of unstably stratified shear flows between two horizontal parallel plates was investigated. Eigenvalue problems were solved numerically by making use of the expansion method in Chebyshev polynomials, and the critical Rayleigh numbers were obtained accurately in the Reynolds number range of [0.01, 100]. It was found that the critical Rayleigh number increases with an increase of the Reynolds number. The result strongly supports previous stability analyses except for the analysis by Makino and Ishikawa [J. Jpn. Soc. Fluid Mech. 4 (1985) 148 - 158] in which a decrease of the critical Rayleigh number was obtained. (author)

The STAT7 Code for Statistical Propagation of Uncertainties In Steady-State Thermal Hydraulics Analysis of Plate-Fueled Reactors

Energy Technology Data Exchange (ETDEWEB)

Dunn, Floyd E. [Argonne National Lab. (ANL), Argonne, IL (United States); Hu, Lin-wen [Massachusetts Inst. of Technology (MIT), Cambridge, MA (United States). Nuclear Reactor Lab.; Wilson, Erik [Argonne National Lab. (ANL), Argonne, IL (United States)

2016-12-01

The STAT code was written to automate many of the steady-state thermal hydraulic safety calculations for the MIT research reactor, both for conversion of the reactor from high enrichment uranium fuel to low enrichment uranium fuel and for future fuel re-loads after the conversion. A Monte-Carlo statistical propagation approach is used to treat uncertainties in important parameters in the analysis. These safety calculations are ultimately intended to protect against high fuel plate temperatures due to critical heat flux or departure from nucleate boiling or onset of flow instability; but additional margin is obtained by basing the limiting safety settings on avoiding onset of nucleate boiling. STAT7 can simultaneously analyze all of the axial nodes of all of the fuel plates and all of the coolant channels for one stripe of a fuel element. The stripes run the length of the fuel, from the bottom to the top. Power splits are calculated for each axial node of each plate to determine how much of the power goes out each face of the plate. By running STAT7 multiple times, full core analysis has been performed by analyzing the margin to ONB for each axial node of each stripe of each plate of each element in the core.

Multipactor saturation in parallel-plate waveguides

International Nuclear Information System (INIS)

Sorolla, E.; Mattes, M.

2012-01-01

The saturation stage of a multipactor discharge is considered of interest, since it can guide towards a criterion to assess the multipactor onset. The electron cloud under multipactor regime within a parallel-plate waveguide is modeled by a thin continuous distribution of charge and the equations of motion are calculated taking into account the space charge effects. The saturation is identified by the interaction of the electron cloud with its image charge. The stability of the electron population growth is analyzed and two mechanisms of saturation to explain the steady-state multipactor for voltages near above the threshold onset are identified. The impact energy in the collision against the metal plates decreases during the electron population growth due to the attraction of the electron sheet on the image through the initial plate. When this growth remains stable till the impact energy reaches the first cross-over point, the electron surface density tends to a constant value. When the stability is broken before reaching the first cross-over point the surface charge density oscillates chaotically bounded within a certain range. In this case, an expression to calculate the maximum electron surface charge density is found whose predictions agree with the simulations when the voltage is not too high.

Pedicled perforator flaps

DEFF Research Database (Denmark)

Demirtas, Yener; Ozturk, Nuray; Kelahmetoglu, Osman

2009-01-01

Described in this study is a surgical concept that supports the "consider and use a pedicled perforator flap whenever possible and indicated" approach to reconstruct a particular skin defect. The operation is entirely free-style; the only principle is to obtain a pedicled perforator flap...... to reconstruct the defect. The perforators are marked with a hand-held Doppler probe and multiple flaps are designed. The appropriate flap is elevated after identifying the perforator(s). Dissection of the perforator(s) or complete incision of the flap margins are not mandatory if the flap is mobilized...... adequately to cover the defect. Defects measuring 3 x 3 cm up to 20 x 20 cm at diverse locations were successfully reconstructed in 20 of 21 patients with 26 flaps. Pedicled perforator flaps offer us reliable and satisfactory results of reconstruction at different anatomic territories of the body. It sounds...

Rare occupational cause of nasal septum perforation: Nickel exposure.

Science.gov (United States)

Bolek, Ertugrul Cagri; Erden, Abdulsamet; Kulekci, Cagri; Kalyoncu, Umut; Karadag, Omer

2017-10-06

Many etiologies are held accountable for nasal septum perforations. Topical nasal drug usage, previous surgeries, trauma, nose picking, squamous cell carcinoma, some rheumatological disorders such as granulomatosis with polyangiitis (Wegener granulomatosis), some infectious diseases such as syphilis and leprosy are among the causes of the perforations. Occupational heavy metal exposures by inhalation rarely may also cause nasal septum perforation. Here, we present a 29-year-old patient without any known diseases, who is a worker at a metallic coating and nickel-plating factory, referred for investigation of his nasal cartilage septum perforation from an otorhinolaryngology clinic. The patient questioning, physical examination and laboratory assessment about rheumatic and infectious diseases were negative. There was a metallic smell in the breath during the physical examination. The analysis showed serum nickel level at 31 μg/l and urine nickel at 18 μg/l (84.11 μg/g creatinine). Other possible serum and urine heavy metal levels were within normal ranges. Nickel exposure is usually together with other heavy metals (chromium or cadmium), it is rarely alone. Nickel ingested by inhalation usually leads to respiratory problems such as reduced olfactory acuity, ulcers, septum perforation or tumors of the nasal sinuses. This case demonstrates the importance of occupational anamnesis and awareness of diagnosis. Int J Occup Med Environ Health 2017;30(6):963-967. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

Study of the effect of aggressive media on the long-term stability of reinforced plates

International Nuclear Information System (INIS)

Zelentsov, D.G.; Pochtman, Yu.M.

1995-01-01

Many important load-bearing structural elements that operate in agressive media are subjected to simultaneous mechanical and chemical attack. The current status of the problem of designing such members is adequately reflected. It follows from that only a few studies have been devoted to the long-term stability of reinforced plates in aggressive media, and most of them were based on structurally orthotropic theory. Such an approach makes it impossible to construct an adequate model of the deformation process. In particular, it precludes allowance for the effect of the discreteness of the reinforcement on plate stability and determination of changes in the character of deformation of the plate during service

Ideal MHD stability and performance of ITER steady-state scenarios with ITBs

Science.gov (United States)

Poli, F. M.; Kessel, C. E.; Chance, M. S.; Jardin, S. C.; Manickam, J.

2012-06-01

Non-inductive steady-state scenarios on ITER will need to operate with internal transport barriers (ITBs) in order to reach adequate fusion gain at typical currents of 9 MA. The large pressure gradients at the location of the internal barrier are conducive to the development of ideal MHD instabilities that may limit the plasma performance and may lead to plasma disruptions. Fully non-inductive scenario simulations with five combinations of heating and current drive sources are presented in this work, with plasma currents in the range 7-10 MA. For each configuration the linear, ideal MHD stability is analysed for variations of the Greenwald fraction and of the pressure peaking factor around the operating point, aiming at defining an operational space for stable, steady-state operations at optimized performance. It is shown that plasmas with lower hybrid heating and current drive maintain the minimum safety factor above 1.5, which is desirable in steady-state operations to avoid neoclassical tearing modes. Operating with moderate ITBs at 2/3 of the minor radius, these plasmas have a minimum safety factor above 2, are ideal MHD stable and reach Q ≳ 5 operating above the ideal no-wall limit.

The Effects of Electroless Nickel Plating Bath Conditions on Stability of Solution and Properties of Deposit

International Nuclear Information System (INIS)

Huh, Jin; Lee, Jae Ho

2000-01-01

Electroless depositions of nickel were conducted in different bath conditions to find optimum conditions of electroless nickel plating at low operating temperature and pH. The effect of complexing reagent on stability of plating solution was investigated. Sodium citrate complexed plating solution is more stable than sodium pyrophosphate complexed solution. The effects of nickel salt concentration, reducing agent, complexing agent and inhibitor on deposition rate was investigated. The effects of pH on deposition rate and content of phosphorous in deposited nickel were also analyzed. Electroless deposited nickel become crystallized with increasing pH due to lower phosphorous content. In optimum operating bath condition, deposition rate was 7 μm/hr at 60 .deg. C and pH 10.0 without stabilizer. The rate was decreased with stabilizer concentration

Stability of quasi-steady deflagrations in confined porous energetic materials

Energy Technology Data Exchange (ETDEWEB)

Alexander M. Telengator; Stephen B. Margolis; Forman A. Williams

2000-03-01

Previous analyses have shown that unconfined deflagrations propagating through both porous and nonporous energetic materials can exhibit a thermal/diffusive instability that corresponds to the onset of various oscillatory modes of combustion. For porous materials, two-phase-flow effects, associated with the motion of the gas products relative to the condensed material, play a significant role that can shift stability boundaries with respect to those associated with the nonporous problem. In the present work, additional significant effects are shown to be associated with confinement, which produces an overpressure in the burned-gas region that leads to reversal of the gas flow and hence partial permeation of the hot gases into the unburned porous material. This results in a superadiabatic effect that increases the combustion temperature and, consequently, the burning rate. Under the assumption of gas-phase quasi-steadiness, an asymptotic model is presented that facilitates a perturbation analysis of both the basic solution, corresponding to a steadily propagating planar combustion wave, and its stability. The neutral stability boundaries collapse to the previous results in the absence of confinement, but different trends arising from the presence of the gas-permeation layer are predicted for the confined problem. Whereas two-phase-flow effects are generally destabilizing in the unconfined geometry, the effects of increasing overpressure and hence combustion temperature associated with confinement are shown to be generally stabilizing with respect to thermal/diffusive instability, analogous to the effects of decreasing heat losses on combustion temperature and stability in single-phase deflagrations.

Effect of hydraulic hysteresis on the stability of infinite slopes under steady infiltration

Science.gov (United States)

Chen, Pan; Mirus, Benjamin B.; Lu, Ning; Godt, Jonathan W.

2017-01-01

Hydraulic hysteresis, including capillary soil water retention (SWR), air entrapment SWR, and hydraulic conductivity, is a common phenomenon in unsaturated soils. However, the influence of hydraulic hysteresis on suction stress, and subsequently slope stability, is generally ignored. This paper examines the influence of each of these three types of hysteresis on slope stability using an infinite slope stability analysis under steady infiltration conditions. First, hypothetical slopes for representative silty and sandy soils are examined. Then a monitored hillslope in the San Francisco Bay Area, California is assessed, using observed rainfall conditions and measured hydraulic and geotechnical properties of the colluvial soil. Results show that profiles of suction stress and the corresponding factor of safety are generally strongly affected by hydraulic hysteresis. Results suggest that each of the three types of hydraulic hysteresis may play a major role in the occurrence of slope failure, indicating that ignoring hydraulic hysteresis will likely lead to underestimates of failure potential and hence to inaccurate slope stability analysis.

Differentiating perforated from non-perforated appendicitis on contrast-enhanced magnetic resonance imaging

International Nuclear Information System (INIS)

Rosenbaum, Daniel G.; Kovanlikaya, Arzu; Askin, Gulce; Beneck, Debra M.

2017-01-01

The role of magnetic resonance imaging (MRI) in pediatric appendicitis is increasing; MRI findings predictive of appendiceal perforation have not been specifically evaluated. To assess the performance of MRI in differentiating perforated from non-perforated appendicitis. A retrospective review of pediatric patients undergoing contrast-enhanced MRI and subsequent appendectomy was performed, with surgicopathological confirmation of perforation. Appendiceal diameter and the following 10 MRI findings were assessed: appendiceal restricted diffusion, wall defect, appendicolith, periappendiceal free fluid, remote free fluid, restricted diffusion within free fluid, abscess, peritoneal enhancement, ileocecal wall thickening and ileus. Two-sample t-test and chi-square tests were used to analyze continuous and discrete data, respectively. Sensitivity and specificity for individual MRI findings were calculated and optimal thresholds for measures of accuracy were selected. Seventy-seven patients (mean age: 12.2 years) with appendicitis were included, of whom 22 had perforation. The perforated group had a larger mean appendiceal diameter and mean number of MRI findings than the non-perforated group (12.3 mm vs. 8.6 mm; 5.0 vs. 2.0, respectively). Abscess, wall defect and restricted diffusion within free fluid had the greatest specificity for perforation (1.00, 1.00 and 0.96, respectively) but low sensitivity (0.36, 0.25 and 0.32, respectively). The receiver operator characteristic curve for total number of MRI findings had an area under the curve of 0.92, with an optimal threshold of 3.5. A threshold of any 4 findings had the best ability to accurately discriminate between perforated and non-perforated cases, with a sensitivity of 82% and specificity of 85%. Contrast-enhanced MRI can differentiate perforated from non-perforated appendicitis. The presence of multiple findings increases diagnostic accuracy, with a threshold of any four findings optimally discriminating between

Differentiating perforated from non-perforated appendicitis on contrast-enhanced magnetic resonance imaging.

Science.gov (United States)

Rosenbaum, Daniel G; Askin, Gulce; Beneck, Debra M; Kovanlikaya, Arzu

2017-10-01

The role of magnetic resonance imaging (MRI) in pediatric appendicitis is increasing; MRI findings predictive of appendiceal perforation have not been specifically evaluated. To assess the performance of MRI in differentiating perforated from non-perforated appendicitis. A retrospective review of pediatric patients undergoing contrast-enhanced MRI and subsequent appendectomy was performed, with surgicopathological confirmation of perforation. Appendiceal diameter and the following 10 MRI findings were assessed: appendiceal restricted diffusion, wall defect, appendicolith, periappendiceal free fluid, remote free fluid, restricted diffusion within free fluid, abscess, peritoneal enhancement, ileocecal wall thickening and ileus. Two-sample t-test and chi-square tests were used to analyze continuous and discrete data, respectively. Sensitivity and specificity for individual MRI findings were calculated and optimal thresholds for measures of accuracy were selected. Seventy-seven patients (mean age: 12.2 years) with appendicitis were included, of whom 22 had perforation. The perforated group had a larger mean appendiceal diameter and mean number of MRI findings than the non-perforated group (12.3 mm vs. 8.6 mm; 5.0 vs. 2.0, respectively). Abscess, wall defect and restricted diffusion within free fluid had the greatest specificity for perforation (1.00, 1.00 and 0.96, respectively) but low sensitivity (0.36, 0.25 and 0.32, respectively). The receiver operator characteristic curve for total number of MRI findings had an area under the curve of 0.92, with an optimal threshold of 3.5. A threshold of any 4 findings had the best ability to accurately discriminate between perforated and non-perforated cases, with a sensitivity of 82% and specificity of 85%. Contrast-enhanced MRI can differentiate perforated from non-perforated appendicitis. The presence of multiple findings increases diagnostic accuracy, with a threshold of any four findings optimally discriminating between

Differentiating perforated from non-perforated appendicitis on contrast-enhanced magnetic resonance imaging

Energy Technology Data Exchange (ETDEWEB)

Rosenbaum, Daniel G.; Kovanlikaya, Arzu [New York-Presbyterian Hospital/Weill Cornell Medicine, Division of Pediatric Radiology, New York, NY (United States); Askin, Gulce [Weill Cornell Medical College, Division of Biostatistics and Epidemiology, New York, NY (United States); Beneck, Debra M. [New York-Presbyterian Hospital/Weill Cornell Medicine, Department of Pathology, New York, NY (United States)

2017-10-15

The role of magnetic resonance imaging (MRI) in pediatric appendicitis is increasing; MRI findings predictive of appendiceal perforation have not been specifically evaluated. To assess the performance of MRI in differentiating perforated from non-perforated appendicitis. A retrospective review of pediatric patients undergoing contrast-enhanced MRI and subsequent appendectomy was performed, with surgicopathological confirmation of perforation. Appendiceal diameter and the following 10 MRI findings were assessed: appendiceal restricted diffusion, wall defect, appendicolith, periappendiceal free fluid, remote free fluid, restricted diffusion within free fluid, abscess, peritoneal enhancement, ileocecal wall thickening and ileus. Two-sample t-test and chi-square tests were used to analyze continuous and discrete data, respectively. Sensitivity and specificity for individual MRI findings were calculated and optimal thresholds for measures of accuracy were selected. Seventy-seven patients (mean age: 12.2 years) with appendicitis were included, of whom 22 had perforation. The perforated group had a larger mean appendiceal diameter and mean number of MRI findings than the non-perforated group (12.3 mm vs. 8.6 mm; 5.0 vs. 2.0, respectively). Abscess, wall defect and restricted diffusion within free fluid had the greatest specificity for perforation (1.00, 1.00 and 0.96, respectively) but low sensitivity (0.36, 0.25 and 0.32, respectively). The receiver operator characteristic curve for total number of MRI findings had an area under the curve of 0.92, with an optimal threshold of 3.5. A threshold of any 4 findings had the best ability to accurately discriminate between perforated and non-perforated cases, with a sensitivity of 82% and specificity of 85%. Contrast-enhanced MRI can differentiate perforated from non-perforated appendicitis. The presence of multiple findings increases diagnostic accuracy, with a threshold of any four findings optimally discriminating between

Gunning for accuracy: Company targets human error with 'foolproof' perforating gun

Energy Technology Data Exchange (ETDEWEB)

Ross, E.

2002-12-01

An innovative new design for a scalloped expandable perforating gun is described. The gun is manufactured in Edmonton by LRI Perforating Systems, and it aimed at reducing the chances of human error that can result in sub-optimal performance. A perforating gun is used to pierce the well's casing to allow hydrocarbons to flow into the wellbore. It consists of a carrier, a pipe with an eighth-inch thick wall that protects the explosives downhole, and an inner tube containing the explosives. The LRI system has a unique interlocking mechanism for the end plates, which are attached to either end of the thin-walled charge holder tube, in addition to other advantageous features, including a price advantage of 10 to 15 per cent. Marketing strategy is designed to interest wi reline companies that focus on vertical well applications. 1 photo.

Spontaneous external gallbladder perforation

International Nuclear Information System (INIS)

Noeldge, G.; Wimmer, B.; Kirchner, R.

1981-01-01

Spontaneous perforation of the gallbladder is one complication of cholelithiasis. There is a greater occurence of free perforation in the peritoneal cavity with bilary pertonitis, followed by the perforation into the stomach, small intestine and colon. A single case of the nowadays rare spontaneous perforation in and through the abdominal wall will be reported. Spontaneous gallbladder perforation appears nearly asymptomatic in its clinical course because of absent biliary peritonitis. (orig.) [de

A simplified method for evaluating thermal performance of unglazed transpired solar collectors under steady state

International Nuclear Information System (INIS)

Wang, Xiaoliang; Lei, Bo; Bi, Haiquan; Yu, Tao

2017-01-01

Highlights: • A simplified method for evaluating thermal performance of UTC is developed. • Experiments, numerical simulations, dimensional analysis and data fitting are used. • The correlation of absorber plate temperature for UTC is established. • The empirical correlation of heat exchange effectiveness for UTC is proposed. - Abstract: Due to the advantages of low investment and high energy efficiency, unglazed transpired solar collectors (UTC) have been widely used for heating in buildings. However, it is difficult for designers to quickly evaluate the thermal performance of UTC based on the conventional methods such as experiments and numerical simulations. Therefore, a simple and fast method to determine the thermal performance of UTC is indispensable. The objective of this work is to provide a simplified calculation method to easily evaluate the thermal performance of UTC under steady state. Different parameters are considered in the simplified method, including pitch, perforation diameter, solar radiation, solar absorptivity, approach velocity, ambient air temperature, absorber plate temperature, and so on. Based on existing design parameters and operating conditions, correlations for the absorber plate temperature and the heat exchange effectiveness are developed using dimensional analysis and data fitting, respectively. Results show that the proposed simplified method has a high accuracy and can be employed to evaluate the collector efficiency, the heat exchange effectiveness and the air temperature rise. The proposed method in this paper is beneficial to directly determine design parameters and operating status for UTC.

The Versatile Modiolus Perforator Flap

DEFF Research Database (Denmark)

Gunnarsson, Gudjon Leifur; Thomsen, Jorn Bo

2016-01-01

BACKGROUND: Perforator flaps are well established, and their usefulness as freestyle island flaps is recognized. The whereabouts of vascular perforators and classification of perforator flaps in the face are a debated subject, despite several anatomical studies showing similar consistency. In our...... experience using freestyle facial perforator flaps, we have located areas where perforators are consistently found. This study is focused on a particular perforator lateral to the angle of the mouth; the modiolus and the versatile modiolus perforator flap. METHODS: A cohort case series of 14 modiolus...... perforator flap reconstructions in 14 patients and a color Doppler ultrasonography localization of the modiolus perforator in 10 volunteers. RESULTS: All 14 flaps were successfully used to reconstruct the defects involved, and the location of the perforator was at the level of the modiolus as predicted...

Scaling of the steady state and stability behaviour of single and two-phase natural circulation systems

International Nuclear Information System (INIS)

Vijayan, P.K.; Nayak, A.K.; Bade, M.H.; Kumar, N.; Saha, D.; Sinha, R.K.

2002-01-01

Scaling methods for both single-phase and two-phase natural circulation systems have been presented. For single-phase systems, simulation of the steady state flow can be achieved by preserving just one nondimensional parameter. For uniform diameter two-phase systems also, it is possible to simulate the steady state behaviour with just one non-dimensional parameter. Simulation of the stability behaviour requires geometric similarity in addition to the similarity of the physical parameters appearing in the governing equations. The scaling laws proposed have been tested with experimental data in case of single-phase natural circulation. (author)

Elastoplastic Stability and Failure Analysis of FGM Plate with Temperature Dependent Material Properties under Thermomechanical Loading

Directory of Open Access Journals (Sweden)

Kanishk Sharma

Full Text Available Abstract The present paper explores the stability and failure response of elastoplastic Ni/Al2O3 functionally graded plate under thermomechanical load using non-linear finite element formulation based on first-order shear deformation theory and von-Karman’s nonlinear kinematics. The temperature dependent thermoelastic material properties of FGM plate are varied in the thickness direction by controlling the volume fraction of the constituent materials (i.e., ceramic and metal with a power law, and Mori-Tanaka homogenization scheme is applied to evaluate the properties at a particular thickness coordinate of FGM plate. The elastoplastic behavior of FGM plate is assumed to follow J2-plasticity with isotropic hardening, wherein the ceramic phase is considered to be elastic whereas the metal is assumed to be elastic-plastic in accordance with the Tamura-Tomota-Ozawa model. Numerical studies are conducted to examine the effects of material and geometrical parameters, viz. material in-homogeneity, slenderness and aspect ratios on the elastoplastic bucking and postbuckling behavior and the failure response of FGM plate. It is revealed that material gradation affects the stability and failure behavior of FGM plate considerably. Furthermore, it is also concluded that FGM plate with elastic material properties exhibits only stable equilibrium path, whereas the elastoplastic FGM plate shows destabilizing response after the ultimate failure point.

Analysis of Terminal Metallic Armor Plate Free-Surface Bulging

National Research Council Canada - National Science Library

Rapacki, Jr, E. J

2008-01-01

An analysis of the bulge formed on the free-surface of the terminal metallic plate of an armor array is shown to lead to reasonable estimates of the armor array's remaining penetration/perforation resistance...

Control of the flow in the annular region of a shrouded cylinder with splitter plate

Directory of Open Access Journals (Sweden)

Ozkan Gokturk Memduh

2017-01-01

Full Text Available In the present study, the flow control with a splitter plate was studied considering the annular region of a shrouded cylinder. The effect of splitter plate angle, α which was defined according to the cylinder centreline is investigated experimentally in deep water using Particle image Velocimetry (PIV technique and flow visualization by dye injection method. The range of splitter plate angle was selected within 60°≤ α ≤180° with an increment of 30°. The porosity of the shroud which is a perforated cylinder was selected as β=0.7 in order to have larger fluid entrainment through the cylinder. The results were compared with the no-plate case and showed that the splitter plate located in the annular region of shrouded cylinders is effective on reducing the turbulence levels just behind the cylinder base, as well as the near wake of the perforated shroud.

Control of the flow in the annular region of a shrouded cylinder with splitter plate

Science.gov (United States)

Ozkan, Gokturk Memduh; Durhasan, Tahir; Pinar, Engin; Yenicun, Arda; Akilli, Huseyin; Sahin, Besir

In the present study, the flow control with a splitter plate was studied considering the annular region of a shrouded cylinder. The effect of splitter plate angle, α which was defined according to the cylinder centreline is investigated experimentally in deep water using Particle image Velocimetry (PIV) technique and flow visualization by dye injection method. The range of splitter plate angle was selected within 60°≤ α ≤180° with an increment of 30°. The porosity of the shroud which is a perforated cylinder was selected as β=0.7 in order to have larger fluid entrainment through the cylinder. The results were compared with the no-plate case and showed that the splitter plate located in the annular region of shrouded cylinders is effective on reducing the turbulence levels just behind the cylinder base, as well as the near wake of the perforated shroud.

Estimation of effective elastic constants for grid plate

International Nuclear Information System (INIS)

Shibanuma, Kiyoshi; Kuriyama, Masaaki; Okumura, Yoshikazu

1980-07-01

This article contains a method of estimation for the effective elastic constants of a grid plate, which is a flat perforated plate with pipes for cooling. The elastic constants of the grid plate are formulated for two symmetric axes. In the case of using OFCu(E 0 = 12500 kg/mm 2 , ν 0 = 0.34) as the material of the grid, the results are given as follows. E sub(L) = 3180 kg/mm 2 , E sub(T) = 3860 kg/mm 2 upsilon sub(LT) = 0.12, upsilon sub(TL) = 0.15 (author)

Premixed Combustion of Kapok (ceiba pentandra seed oil on Perforated Burner

Directory of Open Access Journals (Sweden)

I.K.G. Wirawan

2014-05-01

Full Text Available Availability of fossil fuels in the world decrease gradually due to excessive fuel exploitation. This situations push researcher to look for alternative fuels as a source of renewable energy, one of them is kapok (ceiba pentandra seed oil. The aim this study was to know the behavior of laminar burning velocity, secondary Bunsen flame with open tip, cellular and triple flame. Premixed combustion of kapok seed oil was studied experimentally on perforated burner with equivalence ratio (φ varied from 0.30 until 1.07. The results showed that combustion of glycerol requires a large amount of air so that laminar burning velocity (SL is the highest at very lean mixture (φ =0.36 in the form of individual Bunsen flame on each of the perforated plate hole.  Perforated and secondary Bunsen flame both reached maximum SL similar with that of ethanol and higher than that of hexadecane. Slight increase of φ decreases drastically SL of perforated and secondary Bunsen flame. When the mixture was enriched, secondary Bunsen and perforated flame disappears, and then the flame becomes Bunsen flame with open tip and triple flame (φ = 0.62 to 1.07. Flame was getting stable until the mixture above the stoichiometry. Being isolated from ambient air, the SL of perforated flame, as well as secondary Bunsen flame, becomes equal with non-isolated flame. This shows the decreasing trend of laminar burning velocity while φ is increasing. When the mixture was enriched island (φ = 0.44 to 0.48 and petal (φ = 0.53 to 0.62 cellular flame take place. Flame becomes more unstable when the mixture was changed toward stoichiometry.

Salmonella intestinal perforation: (27 perforations in one patient, 14 perforations in another Are the goal posts changing?

Directory of Open Access Journals (Sweden)

Adeniran J

2005-01-01

Full Text Available The pathology of salmonellosis after a faeco-oral transmission was first clearly described by Jenner in 1850. Over the years, the pathological manifestations in different tissues of the body have been described. The ileum is however mostly involved leading to enlarged Peyer′s patches, ulceration, and sometimes bleeding and perforation. Efforts at control have largely been improvement in public water supply, safe disposal of waste, and general public health measures. Despite these measures, intestinal perforation from salmonellosis remains the commonest cause of emergency operation in children above 3 years. The incidence continues to rise, so also the mortality, despite new antibiotics and improvement in facilities in the hospitals. Even more disturbing is that we now see more perforations per patient, and more involvement of the colon. Three recently managed patients with multiple ileal/colonic perforations were reviewed. Presenting problems, delay in referral, choice of antibiotics and postoperative complications were noted. One patient had 27 perforations and another 14 perforations. Both survived. Is salmonella changing? Are our patients changing? Is the environment changing? Are the goal posts changing? This article details our recent experience with this dreadful disease, reviews the new literature and makes suggestions for the way forwards.

Investigation on the Acoustic Absorption of Flexible Micro-Perforated Panel with Ultra-Micro Perforations

Science.gov (United States)

Li, Guoxin; Tang, Xiaoning; Zhang, Xiaoxiao; Qian, Y. J.; Kong, Deyi

2017-11-01

Flexible micro-perforated panel has unique advantages in noise reduction due to its good flexibility compared with traditional rigid micro-perforated panel. In this paper, flexible micro-perforated panel was prepared by computer numerical control (CNC) milling machine. Three kinds of plastics including polyvinylchloride (PVC), polyethylene terephthalate (PET), and polyimide (PI) were taken as the matrix materials to prepare flexible micro-perforated panel. It has been found that flexible micro-perforated panel made of PET possessing good porosity and proper density, elastic modulus and poisson ratio exhibited the best acoustic absorption properties. The effects of various structural parameters including perforation diameter, perforation ratio, thickness and air gap have also been investigated, which would be helpful to the optimization of acoustic absorption properties.

Plate performance in liquid-liquid extraction

International Nuclear Information System (INIS)

Wadkins, R.P.

1984-01-01

The relative effectiveness of perforated, nozzle, and burred plates from a capacity and extraction standpoint were studied in a pulsed liquid-liquid extraction system. The experiments were conducted in a 3.8 x 10 -2 m diameter column using a mixture of aluminum nitrate, nitric acid, and uranyl nitrate as the aqueous phase, and tributyl phosphate dissolved in AMSCO 125-90 W as the organic phase. The uranium was extracted from the aqueous phase to the organic phase. A standard cartridge was made for each type of plate and consisted of an assembly of plates spaced 5.08 x 10 -2 m apart. Each plate had 3.2 x 10 -3 m holes spaced on 6.1 x 10 -3 -m centers, and contained 23% free area. 16 references, 4 figures, 1 table

Steadiness of a “water bell” surface to a destruction at a flow around of the thin rods assembly

Directory of Open Access Journals (Sweden)

Slesareva Ekaterina

2015-01-01

Full Text Available The experimental research of hydrodynamic stability of a dome-shaped film liquid at a flow around a thin plate has been carried out. Experiments were carry out with a film in shape a «water bell». The film was formed by a leak-in jet of water width 10 mm on a hard disk with diameter 14.5 mm. The width of a plate ζ changed from 0.05 to 3.5 mm. The plate placed along or across relative to the vector of velocity of a liquid in a film. Experiments have shown, that stability of a film of liquid at a flow around the plate is defined by velocity of water and a thickness of a film δ in front of the rod. It is shown, that for the appointed value of Reynolds number Reδ probably continuous flow at a flow around the plate, if Weber number Weζ less than threshold value. The criterion of steadiness a film of the «water bell» by a surface destruction at a flow around the rod is determined on the transverse size of the rod relative to the vector of velocity of a liquid.

Plate Tearing by a Cone

DEFF Research Database (Denmark)

Simonsen, Bo Cerup

1997-01-01

The present paper is concerned with steady-state plate tearing by a cone. This is a scenario where a cone is forced through a ductile metal plate with a constant lateral tip penetration in a motion in the plane of the plate. The considered process could be an idealisaton of the damage, which...... as for the out-of-plane reaction force....

An empirically based steady state friction law and implications for fault stability.

Science.gov (United States)

Spagnuolo, E; Nielsen, S; Violay, M; Di Toro, G

2016-04-16

Empirically based rate-and-state friction laws (RSFLs) have been proposed to model the dependence of friction forces with slip and time. The relevance of the RSFL for earthquake mechanics is that few constitutive parameters define critical conditions for fault stability (i.e., critical stiffness and frictional fault behavior). However, the RSFLs were determined from experiments conducted at subseismic slip rates ( V   0.1 m/s) remains questionable on the basis of the experimental evidence of (1) large dynamic weakening and (2) activation of particular fault lubrication processes at seismic slip rates. Here we propose a modified RSFL (MFL) based on the review of a large published and unpublished data set of rock friction experiments performed with different testing machines. The MFL, valid at steady state conditions from subseismic to seismic slip rates (0.1 µm/s fault frictional stability with implications for slip event styles and relevance for models of seismic rupture nucleation, propagation, and arrest.

Differentiation of Acute Perforated from Non-Perforated Appendicitis: Usefulness of High-Resolution Ultrasonography

Energy Technology Data Exchange (ETDEWEB)

Choi, Gyu Chang [Dept. of Radiology, Gumi Hospital, Soonchunhyang University College of Medicine, Gumi (Korea, Republic of)

2011-07-15

To evaluate the usefulness of high-resolution ultrasonography (US) for the differentiation of acute perforated appendicitis from non-perforated appendicitis. The high-resolution US features in 96 patients (49 males, 47 females; mean age, 33.8 years; age range, 4-80 years) with pathologically proven acute appendicitis were evaluated. The following US findings were evaluated for differentiation of acute perforated appendicitis from non-perforated appendicitis: circumferential loss of the echogenic submucosal layer, periappendiceal fluid collection, disruption of the serosal layer, asymmetrical wall thickening, maximum overall diameter > 10.5 mm, and the presence of appendicoliths. The sensitivity and specificity of the US features in the diagnosis of acute perforated appendicitis were calculated. All of the US findings, except for appendicoliths, were significantly more common in the acute perforated appendicitis group (p < 0.001). The sensitivity of circumferential loss of the echogenic submucosal layer, periappendiceal fluid collection, disruption of the serosal layer, asymmetrical wall thickening, maximum overall diameter > 10.5 mm, and the presence of appendicoliths was 85.4, 73.2, 68.3, 70.7, 80.5, and 36.6%, respectively, while the specificity was 65.5, 89.1, 96.4, 98.2, 81.8, and 80.0%, respectively. High-resolution US was found to be useful for differentiating acute perforated appendicitis from non-perforated appendicitis.

Nontraumatic terminal ileal perforation

Directory of Open Access Journals (Sweden)

Wani Rauf A

2006-03-01

Full Text Available Abstract Background There is still confusion and controversy over the diagnosis and optimal surgical treatment of non traumatic terminal ileal perforation-a cause of obscure peritonitis. Methods This study was a prospective study aimed at evaluating the clinical profile, etiology and optimal surgical management of patients with nontraumatic terminal ileal perforation. Results There were 79 cases of nontraumatic terminal ileal perforation; the causes for perforation were enteric fever(62%, nonspecific inflammation(26%, obstruction(6%, tuberculosis(4% and radiation enteritis (1%. Simple closure of the perforation (49% and end to side ileotransverse anastomosis(42% were the mainstay of the surgical management. Conclusion Terminal ileal perforation should be suspected in all cases of peritonitis especially in developing countries and surgical treatment should be optimized taking various accounts like etiology, delay in surgery and operative findings into consideration to reduce the incidence of deadly complications like fecal fistula.

Analysis of the influence of the cutting edge geometry on parameters of the perforation process for conveyor and transmission belts

Directory of Open Access Journals (Sweden)

Wojtkowiak Dominik

2018-01-01

Full Text Available Perforated belts, which are used in vacuum conveyor belts, can have significantly different mechanical properties like strength and elasticity due to a variety of used materials and can have different thickness from very thin (0,7 mm to thick belts (6 mm. In order to design a complex machine for mechanical perforation, which can perforate whole range of belts, it is necessary to research the influence of the cutting edge geometry on the parameters of the perforation process. Three most important parameters, which describe the perforation process are the cutting force, the velocity and the temperature of the piercing punch. The results presented in this paper consider two different types of punching (a piercing punch with the punching die or with the reducer plate and different cutting edge directions, angles, diameters and material properties. Test were made for different groups of composites belts – with polyurethane and polyester fabric, polyamide core or aramid-fibre reinforced polymers. The main goal of this research is to specify effective tools and parameters of the perforation process for each group of composites belts.

Hydrogel based sensor arrays (2 × 2) with perforated piezoresistive diaphragms for metabolic monitoring (in vitro).

Science.gov (United States)

Orthner, M P; Lin, G; Avula, M; Buetefisch, S; Magda, J; Rieth, L W; Solzbacher, F

2010-03-19

This report details the first experimental results from novel hydrogel sensor array (2 × 2) which incorporates analyte diffusion pores into a piezoresistive diaphragm for the detection of hydrogel swelling pressures and hence chemical concentrations. The sensor assembly was comprised of three components, the active four sensors, HPMA/DMA/TEGDMA (hydroxypropyl methacrylate (HPMA), N,N-dimethylaminoethyl methacrylate (DMA) and crosslinker tetra-ethyleneglycol dimethacrylate (TEGDMA)) hydrogel, and backing plate. Each of the individual sensors of the array can be used with various hydrogels used to measure the presence of a number of stimuli including pH, ionic strength, and glucose concentrations. Ideally, in the future, these sensors will be used for continuous metabolic monitoring applications and implanted subcutaneously. In this paper and to properly characterize the sensor assembly, hydrogels sensitive to changes ionic strength were synthesized using hydroxypropyl methacrylate (HPMA), N,N-dimethylaminoethyl methacrylate (DMA) and crosslinker tetra-ethyleneglycol dimethacrylate (TEGDMA) and inserted into the sensor assembly. This hydrogel quickly and reversibly swells when placed environments of physiological buffer solutions (PBS) with ionic strengths ranging from 0.025 to 0.15 M, making it ideal for proof-of-concept testing and initial characterization. The assembly was wire bonded to a printed circuit board and coated with 3 ± 0.5 μm of Parylene-C using chemical vapor deposition (CVD) to protect the sensor and electrical connections during ionic strength wet testing. Two versions of sensors were fabricated for comparison, the first incorporated diffusion pores into the diaphragm, and the second used a solid diaphragm with perforated backing plate. This new design (perforated diaphragm) was shown to have slightly higher sensitivity than solid diaphragm sensors with separate diffuse backing plates when coupled with the hydrogel. The sensitivities for the 1 mm

Parametric Study of Cantilever Plates Exposed to Supersonic and Hypersonic Flows

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Sri Harsha, A.; Rizwan, M.; Kuldeep, S.; Giridhara Prasad, A.; Akhil, J.; Nagaraja, S. R.

2017-08-01

Analysis of hypersonic flows associated with re-entry vehicles has gained a lot of significance due to the advancements in Aerospace Engineering. An area that is studied extensively by researchers is the simultaneous reduction aerodynamic drag and aero heating in re-entry vehicles. Out of the many strategies being studied, the use of aerospikes at the stagnation point of the vehicle is found to give favourable results. The structural stability of the aerospike becomes important as it is exposed to very high pressures and temperatures. Keeping this in view, the deflection and vibration of an inclined cantilever plate in hypersonic flow is carried out using ANSYS. Steady state pressure distribution obtained from Fluent is applied as load to the transient structural module for analysis. After due validation of the methods, the effects of parameters like flow Mach number, plate inclination and plate thickness on the deflection and vibration are studied.

Reactive perforating collagenosis

Directory of Open Access Journals (Sweden)

Yadav Mukesh

2009-01-01

Full Text Available Reactive perforating collagenosis is a rare cutaneous disorder of unknown etiology. We hereby describe a case of acquired reactive perforating collagenosis in a patient of diabetes and chronic renal failure.

Combining rhinoplasty with septal perforation repair.

Science.gov (United States)

Foda, Hossam M T; Magdy, Emad A

2006-11-01

A combined septal perforation repair and rhinoplasty was performed in 80 patients presenting with septal perforations (size 1 to 5 cm) and external nasal deformities. The external rhinoplasty approach was used for all cases and the perforation was repaired using bilateral intranasal mucosal advancement flaps with a connective tissue interposition graft in between. Complete closure of the perforation was achieved in 90% of perforations of size up to 3.5 cm and in only 70% of perforations that were larger than 3.5 cm. Cosmetically, 95% were very satisfied with their aesthetic result. The external rhinoplasty approach proved to be very helpful in the process of septal perforation repair especially in large and posteriorly located perforations and in cases where the caudal septal cartilage was previously resected. Our results show that septal perforation repair can be safely combined with rhinoplasty and that some of the routine rhinoplasty maneuvers, such as medial osteotomies and dorsal lowering, could even facilitate the process of septal perforation repair.

Stability of radial head and neck fractures: a biomechanical study of six fixation constructs with consideration of three locking plates.

Science.gov (United States)

Burkhart, Klaus Josef; Mueller, Lars P; Krezdorn, David; Appelmann, Philipp; Prommersberger, Karl J; Sternstein, Werner; Rommens, Pol M

2007-12-01

Open reduction and internal fixation of radial neck fractures can lead to secondary loss of reduction and nonunion due to insufficient stability. Nevertheless, there are only a few biomechanical studies about the stability achieved by different osteosynthesis constructs. Forty-eight formalin-fixed, human proximal radii were divided into 6 groups according to their bone density (measured by dual-energy x-ray absorptiometry). A 2.7-mm gap osteotomy was performed to simulate an unstable radial neck fracture, which was fixed with 3 nonlocking implants: a 2.4-mm T plate, a 2.4-mm blade plate, and 2.0-mm crossed screws, and 3 locking plates: a 2.0-mm LCP T plate, a 2.0-mm 6x2 grid plate, and a 2.0-mm radial head plate. Implants were tested under axial (N/mm) and torsional (Ncm/ degrees ) loads with a servohydraulic materials testing machine. The radial head plate was significantly stiffer than all other implants under axial as well as under torsional loads, with values of 36 N/mm and 13 Ncm/ degrees . The second-stiffest implant was the blade plate, with values of 20 N/mm and 6 Ncm/ degrees . The weakest implants were the 2.0-mm LCP, with values of 6 N/mm and 2 Ncm/ degrees , and the 2.0-mm crossed screws, with values of 18 N/mm and 2 Ncm/ degrees . The 2.4-mm T plate, with values of 14 N/mm and 4 Ncm/ degrees , and the 2.0-mm grid plate, with values of 8 N/mm and 4 Ncm/ degrees came to lie in the midfield. The 2.0-mm angle-stable plates-depending on their design-allow fixation with comparable or even higher stability than the bulky 2.4-mm nonlocking implants and 2.0-mm crossed screws.

Plate Tearing by a Cone

DEFF Research Database (Denmark)

Simonsen, Bo Cerup

1998-01-01

The present paper is concerned with steady-state plate tearing by a cone. This is a scenario where a cone is forced through a ductile metal plate with a constant lateral tip penetration in a motion in the plane of the plate. The considered process could be an idealisation of the damage, which...... as for the out-of-plane reaction force. (C) 1998 Elsevier Science Ltd. All rights reserved....

Passive control of coherent structures in a modified backwards-facing step flow

Science.gov (United States)

Ormonde, Pedro C.; Cavalieri, André V. G.; Silva, Roberto G. A. da; Avelar, Ana C.

2018-05-01

We study a modified backwards-facing step flow, with the addition of two different plates; one is a baseline, impermeable plate and the second a perforated one. An experimental investigation is carried out for a turbulent reattaching shear layer downstream of the two plates. The proposed setup is a model configuration to study how the plate characteristics affect the separated shear layer and how turbulent kinetic energies and large-scale coherent structures are modified. Measurements show that the perforated plate changes the mean flow field, mostly by reducing the intensity of reverse flow close to the bottom wall. Disturbance amplitudes are significantly reduced up to five step heights downstream of the trailing edge of the plate, more specifically in the recirculation region. A loudspeaker is then used to introduce phase-locked, low-amplitude perturbations upstream of the plates, and phase-averaged measurements allow a quantitative study of large-scale structures in the shear-layer. The evolution of such coherent structures is evaluated in light of linear stability theory, comparing the eigenfunction of the Kelvin-Helmholtz mode to the experimental results. We observe a close match of linear-stability eigenfunctions with phase-averaged amplitudes for the two tested Strouhal numbers. The perforated plate is found to reduce the amplitude of the Kelvin-Helmholtz coherent structures in comparison to the baseline, impermeable plate, a behavior consistent with the predicted amplification trends from linear stability.

Spectrum of Perforation Peritonitis

Science.gov (United States)

Chakma, Sujit M.; Singh, Rahul L.; Parmekar, Mahadev V.; Singh, K.H. Gojen; Kapa, Buru; Sharatchandra, K.H.; Longkumer, Amenla T.; Rudrappa, Santhosh

2013-01-01

Introduction: Perforation peritonitis mostly results from the perforation of a diseased viscus. Other causes of perforation include abdominal trauma, ingestion of sharp foreign body and iatrogenic perforation. The diagnosis is mainly based on clinical grounds. Plain abdominal X-rays (erect) may reveal dilated and oedematous intestines with pneumoperitoneum. Ultrasound and CT scan may diagnose up to 72% and 82% of perforation respectively. The present study was carried out to study various etiological factors, modes of clinical presentation, morbidity and mortality patterns of perforation peritonitis presented in the RIMS hospital, Imphal, India. Material and Methods: The study was conducted from September 2010 to August 2012 on 490 cases of perforation peritonitis admitted and treated in the Department of Surgery. Initial diagnosis was made on the basis of detailed history, clinical examination and presence of pneumoperitoneum on erect abdominal X-ray. Results: A total of 490 patients of perforation peritonitis were included in the study, with mean age of 48.28 years. 54.29% patients were below 50 years and 45.71% patients were above 50 years. There were 54.29% male patients and 45.71% female patients. Only 30% patients presented within 24 hours of onset of symptoms, 31.43% patients presented between 24 to 72 hours and 38.57% patients presented 72 hours after the onset of symptoms. Mean duration of presentation was 54.7 hours. Overall 469 patients were treated surgically and 21 patients were managed conservatively. Overall morbidity and mortality recorded in this study were 52.24% and 10% respectively. PMID:24392388

Perforations during contrast enema

International Nuclear Information System (INIS)

Vogel, H.; Steinkamp, U.; Grabbe, E.; Allgemeines Krankenhaus Ochsenzoll, Hamburg

1983-01-01

During contrast enema, perforation into the retroperitoneal space can be differentiated from perforation into the peritoneum and perforation into the intestinal wall associated with formation of barium granulomas or submucosal spreading of the contrast medium. Other special forms are perforation with contrast medium embolism of diverticula; of the processus vermiformis; penetration of contrast medium into fistulous systems and from the operated areas. Risk factors are: balloon catheter, intestinal tubes with a hard tip, preternatural anus, excessive enema pressure, contrast medium additions, preceding manipulations, intestinal diseases, advanced age and delegation of manipulations to assistants and unskilled staff. Children are particularly at risk. (orig.) [de

The freestyle pedicle perforator flap

DEFF Research Database (Denmark)

Gunnarsson, Gudjon Leifur; Jackson, Ian T; Westvik, Tormod S

2015-01-01

BACKGROUND: Perforating vessels are a consistent anatomical finding and well described in the current literature. Any skin flap can be raised on a subcutaneous pedicle as long as it contains at least one supplying perforator. Perforator flaps have been interlinked with microsurgery and generally...... not widely performed by the general plastic surgeons. The aim of this paper is to present the simplicity of pedicled perforator flap reconstruction of moderate-sized defects of the extremities and torso. METHODS: We retrospectively reviewed the charts of 34 patients reconstructed using 34 freestyle pedicled...... perforator flaps for moderate-sized defects of the truncus and extremities. We registered indications, flap size and localization, success rate, and complications. Most importantly, we describe a simple approach to the design of freestyle pedicled perforator flaps and elaborate on technical aspects...

Radionuclide transport through perforations in nuclear waste containers

International Nuclear Information System (INIS)

Aidun, C.K.; Bloom, S.G.; Raines, G.E.

1987-11-01

Previous analytical models for the steady-state radionuclide release rate through perforations in nuclear waste containers into the surrounding medium are based on a zero wall thickness assumption. In this paper we investigate the effect of the wall thickness on the mass transfer rate through isolated cylindrical holes. We solve the steady-state diffusion equation for the concentration field and derive a model based on the analytical solution. By direct comparison, we show that the zero wall thickness model overpredicts the mass transfer rate by about 1300 percent for a circular hole with 1-cm radius and a wall thickness of 10 cm. As expected, the zero-thickness model becomes even less accurate as the hole radius decreases; it predicts a greater release rate from a large number of small holes than the mass transfer rate from an uncontained waste form cylinder. In contrast, the results predicted by our model remain bounded for isolated holes and never exceed the mass transfer from an uncontained waste form. 6 refs., 9 figs., 3 tabs

Plasticity, Fracture and Friction in Steady-State Plate Cutting

DEFF Research Database (Denmark)

Simonsen, Bo Cerup; Wierzbicki, Tomasz

1997-01-01

perpendicular to the direction of motion is derived theoretically in a consistent manner. The perpendicular reaction force is of paramount importance for prediction the structural damage of a ship hull because it governs the vertical ship motion and rock penetration which is strongly coupled with the horizontal...... extension of the presented plate model to include more structural members as for example the stiffeners attached to a ship bottom plating. The fracture process is discussed and the model is formulated partly on the basis of the material fracture toughness. The effect of friction and the reaction force...

Free vibration analysis of rectangular plates with central cutout

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Kanak Kalita

2016-12-01

Full Text Available A nine-node isoparametric plate element in conjunction with first-order shear deformation theory is used for free vibration analysis of rectangular plates with central cutouts. Both thick and thin plate problems are solved for various aspect ratios and boundary conditions. In this article, primary focus is given to the effect of rotary inertia on natural frequencies of perforated rectangular plates. It is found that rotary inertia has significant effect on thick plates, while for thin plates the rotary inertia term can be ignored. It is seen that the numerical convergence is very rapid and based on comparison with experimental and analytical data from literature, it is proposed that the present formulation is capable of yielding highly accurate results. Finally, some new numerical solutions are provided here, which may serve as benchmark for future research on similar problems.

Stability of film boiling on inclined plates and spheres

Science.gov (United States)

Aursand, Eskil; Hammer, Morten; Munkejord, Svend Tollak; Müller, Bernhard; Ytrehus, Tor

2017-11-01

In film boiling, a continuous sub-millimeter vapor film forms between a liquid and a heated surface, insulating the two from each other. While quite accurate steady state solutions are readily obtained, the intermediate Reynolds numbers can make transient analysis challenging. The present work is a theoretical study of film boiling instabilities. We study the formation of travelling waves that are a combination of Kelvin-Helmholtz and the Rayleigh-Taylor instabilities. In particular, we study how the nature of this process depends on the Reynolds number, the Bond number, and the inclination of the submerged heated plate. In addition we extend the analysis to the case of a submerged heated sphere. Modelling of the transient dynamics of such films is important for answering practical questions such as how instabilities affect the overall heat transfer, and whether they can lead to complete film boiling collapse (Leidenfrost point). This work has been financed under the MAROFF program. We acknowledge the Research Council of Norway (244076/O80) and The Gas Technology Centre NTNU-SINTEF (GTS) for support.

CT in acute perforated sigmoid diverticulitis

International Nuclear Information System (INIS)

Lohrmann, Christian; Ghanem, Nadir; Pache, Gregor; Makowiec, Frank; Kotter, Elmar; Langer, Mathias

2005-01-01

Background: To assess the value of computed tomography (CT) in patients with acute perforated sigmoid diverticulitis in correlation with the Hinchey classification of perforated diverticular disease. Methods: Thirty patients with acute perforated sigmoid diverticulitis underwent computed tomography prior to surgery. Computed tomography scans were compared with the surgical and histopathological reports, utilizing the Hinchey classification. Results: In 28 of the 30 (93%) patients examined, the Hinchey stage was correctly determined by means of computed tomography. One patient with Hinchey stage IV was falsely classified as Hinchey stage III, and one patient with Hinchey stage III as Hinchey stage II. Computed tomography revealed 12 out of 14 (86%) patients with perforation sites and 3 out of 3 (100%) patients with contained perforation. In one of 17 (6%) patients with surgically or histopathologically proven perforation or contained perforation, a bowel wall discontinuity was revealed by computed tomography. In 6 of the 17 (35%) patients with surgical or histopathological perforation or contained perforation, extraluminal contrast material was detected by computed tomography. Conclusions: Computed tomography is a valuable imaging tool for determining the degree of acute perforated sigmoid diverticulitis, by means of which patients can be stratified according to the severity of the disease; furthermore, this tool is of assistance in surgical planning

High-Resolution Ultrasonography (US) of Appendiceal Specimens: Differentiation of Acute Non-perforated Appendicitis from Perforated Appendicitis

Energy Technology Data Exchange (ETDEWEB)

Choi, Gyo Chang; Kim, Suk; Im, Han Hyeok; Lee, Sang Jin; Yang, Seung Boo; Lee, Seung Woo; Kim, Il Young [Soonchunhyang University Gumi Hospital, Gumi (Korea, Republic of); Lee, Hae Kyung [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of); Kwon, Kui Hyang; Shin, Hyung Chul [Soonchunhyang University, College of Medicine, Seoul (Korea, Republic of)

2007-09-15

To analyze surgical specimens from patients with acute non-perforated and perforated appendicitis using high-resolution ultrasonography (US), and to correlate the US features with the pathologic findings. One hundred and six surgical appendix specimens obtained from patients with suspected acute appendicitis were evaluated. The following US features were evaluated for differentiating acute non-perforated appendicitis from perforated appendicitis: circumferential loss of the echogenic submucosal layer, disruption of the serosal layer, asymmetrical wall thickening, the sum of opposing walls {>=} 9 mm and the presence of appendicoliths. The sensitivity and specificity of the US findings for diagnosing perforated appendicitis were determined. All US features were detected significantly more often in the perforated appendicitis group of specimens. The disruption of the serosal layer was the most significant independent predictor of perforation (p < .001). The sensitivity for circumferential loss of the echogenic submucosal layer, disruption of the serosal layer, asymmetrical wall thickening, wall thickness {>=} 9 mm, and the presence of appendicoliths individually was 84.6%, 69.2%, 61.5%, 73.1% and 46.2%, respectively. The specificity for all of these findings was 86.3%, 98.7%, 95.0%, 85.0% and 85.0%, respectively. High-resolution US of appendiceal specimens was very useful for differentiating acute non-perforated from perforated appendicitis

Re: Bone heat generated using conventional implant drills versus piezosurgery unit during apical cortical plate perforation. Lajolo C, Valente NA, Romandini WG, Petruzzi M, Verdugo F, D'Addona A. (J Periodontol. 2018 Mar 9. https://doi.org/10.1002/JPER.17-0502. [Epub ahead of print]).

Science.gov (United States)

Stacchi, Claudio; Robiony, Massimo; Jones, Jason Motta; Lombardi, Teresa; Verardi, Simone

2018-05-26

We read with great interest the article recently published by Dr. Lajolo et al, in which the authors compared conventional implant drills and piezoelectric technique during apical cortical plate perforation. Precisely, the aim of this study was to evaluate temperature variations occurring during implant site preparation at the apical cortical plate level of a porcine rib ex vivo model, by using the two aforementioned devices and different pressure loads. This article is protected by copyright. All rights reserved. © 2018 American Academy of Periodontology.

Management of biliary perforation in children

Directory of Open Access Journals (Sweden)

Mirza Bilal

2010-01-01

Full Text Available Background: To study the aetiology, management and outcome of biliary perforations in paediatric age group. Patients and Methods: In a retrospective study, the records of patients presented with biliary peritonitis due to biliary perforations, managed from March 2006 to July 2009, are reviewed. Results: Eight male patients with biliary peritonitis due to biliary perforation were managed. These patients were divided in two groups, A and B. Group A, (n = 3 patients, had common bile duct (CBD perforation, and Group B (n=5 patients had gallbladder perforation. The presenting features were abdominal pain, fever, abdominal distension, vomiting, constipation, jaundice and signs of peritonism. The management of CBD perforations in Group A was by draining the site of perforation and biliary diversion (tube cholecystostomy. In Group B, the gallbladder perforations were managed by tube cholecystostomy in four patients and cholecystectomy in one patient, however, one patient had to be re-explored and cholecystectomy performed due to complete necrosis of gall bladder. There was no mortality in our series. All patients were asymptomatic on regular follow-up. Conclusion: Early optimal management of biliary perforations remarkably improved the very high mortality and morbidity that characterised this condition in the past.

Design of pulsed perforated-plate columns for industrial scale mass transfer applications - present experience and the need for a model based approach

International Nuclear Information System (INIS)

Roy, Amitava

2010-01-01

Mass transfer is a vital unit operation in the processing of spent nuclear fuel in the backend of closed fuel cycle and Pulsed perforated plate extraction columns are used as mass transfer device for more than five decades. The pulsed perforated plate column is an agitated differential contactor, which has wide applicability due to its simplicity, high mass transfer efficiency, high through put, suitability for maintenance free remote operation, ease of cleaning/decontamination and cost effectiveness. Design of pulsed columns are based on a model proposed to describe the hydrodynamics and mass transfer. In equilibrium stage model, the HETS values are obtained from pilot plant experiments and then scaled empirically to design columns for industrial application. The dispersion model accounts for mass transfer kinetics and back-mixing. The drop population balance model can describe complex hydrodynamics of dispersed phase, that is, drop formation, break-up and drop-to-drop interactions. In recent years, significant progress has been made to model pulsed columns using CFD, which provides complete mathematical description of hydrodynamics in terms of spatial distribution of flow fields and 3D visualization. Under the condition of pulsation, the poly-dispersed nature of turbulent droplet swarm renders modeling difficult. In the absence of industry acceptance of proposed models, the conventional chemical engineering practice is to use HETS-NTS concept or HTU-NTU approach to design extraction columns. The practicability of HTU-NTU approach has some limitations due to the lack of experimental data on individual film mass transfer coefficients. Presently, the HETS-NTS concept has been used for designing the columns, which has given satisfactory performance. The design objective is mainly to arrive at the diameter and height of the mass transfer section for a specific plate geometry, fluid properties and pulsing condition to meet the intended throughput (capacity) and mass

Early Management Experience of Perforation after ERCP

Directory of Open Access Journals (Sweden)

Guohua Li

2012-01-01

Full Text Available Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations. Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (0.45% were identified and retrospectively reviewed. Results. Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis. All patients with perforations were recognized during ERCP by X-ray and managed immediately. One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD, endoscopic retrograde pancreatic duct drainage (ERPD, gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on. All patients with perforation recovered successfully. Conclusions. We found that: (1 the diagnosis of perforation during ERCP may be easy, but you must pay attention to it. (2 Most retroperitoneal perforations can recover with only medical conservative treatment in early phase. (3 Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.

The Perforation-Operation time Interval; An Important Mortality Indicator in Peptic Ulcer Perforation.

Science.gov (United States)

Surapaneni, Sushama; S, Rajkumar; Reddy A, Vijaya Bhaskar

2013-05-01

To find out the significance of the Perforation-Operation Interval (POI) with respect to an early prognosis, in patients with peritonitis which is caused by peptic ulcer perforation. Case series. Place and Duration of the Study: Department of General Surgery, Konaseema Institute of Medical Sciences and RF Amalapuram, Andhra Pradesh, India from 2008-2011. This study included 150 patients with generalized peritonitis, who were diagnosed to have Perforated Peptic Ulcers (PPUs). The diagnosis of the PPUs was established on the basis of the history , the clinical examination and the radiological findings. The perforation-operation interval was calculated from the time of onset of the symptoms like severe abdominal pain or vomiting till the time the patient was operated. Out of the 150 patients 134 were males and 16 were females, with a male : female ratio of 9:1. Their ages ranged between 25-70 years. Out of the 150 patients, 65 patients (43.3%) presented within 24 hours of the onset of severe abdominal pain (Group A), 27 patients (18%) presented between 24-48 hours of the onset of severe abdominal pain (Group B) and 58 patients (38.6%) presented after 48 hours. There was no mortality in Group A and the morbidity was more in Group B and Group C. There were 15 deaths in Group C. The problem of peptic ulcer perforation with its complication, can be decreased by decreasing the perforation -operation time interval, which as per our study, appeared to be the single most important mortality and morbidity indicator in peptic ulcer perforation.

COOLOD-N: a computer code, for the analyses of steady-state thermal-hydraulics in plate-type research reactors

International Nuclear Information System (INIS)

Kaminaga, Masanori

1990-02-01

The COOLOD-N code provides a capability for the analysis of the steady-state thermal-hydraulics of research reactors in which plate-type fuel is employed. This code is revised version of the COOLOD code, and is applicable not only to a forced convection cooling mode, but also to a natural convection cooling mode. In the code, a function to calculate flow rate under a natural convection, and a heat transfer package which was a subroutine program to calculate heat transfer coefficient, ONB temperature and DNB heat flux, and was especially developed for the upgraded JRR-3, have been newly added to the COOLOD code. The COOLOD-N code also has a capability of calculating the heat flux at onset of flow instability as well as DNB heat flux. (author)

Modeling the hydrodynamics of Phloem sieve plates

DEFF Research Database (Denmark)

Jensen, Kaare Hartvig; Mullendore, Daniel Leroy; Holbrook, Noel Michele

2012-01-01

Sieve plates have an enormous impact on the efficiency of the phloem vascular system of plants, responsible for the distribution of photosynthetic products. These thin plates, which separate neighboring phloem cells, are perforated by a large number of tiny sieve pores and are believed to play...... understood. We propose a theoretical model for quantifying the effect of sieve plates on the phloem in the plant, thus unifying and improving previous work in the field. Numerical simulations of the flow in real and idealized phloem channels verify our model, and anatomical data from 19 plant species...... a crucial role in protecting the phloem sap from intruding animals by blocking flow when the phloem cell is damaged. The resistance to the flow of viscous sap in the phloem vascular system is strongly affected by the presence of the sieve plates, but the hydrodynamics of the flow through them remains poorly...

Gain stabilized microchannel plates and a treatment method for microchannel plates

International Nuclear Information System (INIS)

1979-01-01

Microchannel plates having increased gain and significantly improved aging characteristics are provided by forming a thin film of a cesium compound on the channel walls. In an exemplary embodiment, a suface film of cesium hydroxide is applied to the interior wall surfaces of an MCP by saturating the plate with a solution of the compound, then allowing the solvent to evaporate. The cesium hydroxide residue on the walls subsequently is converted to cesium oxide by a high temperature bake. Microchannel plates are used in image amplifiers, radiation detectors and such like equipment. (Auth.)

Condylar Joint Fusion and Stabilization (by Screws and Plates) in Nontraumatic Atlanto-Occipital Dislocation: Technical Report of 2 Cases.

Science.gov (United States)

Chowdhury, Forhad H; Haque, Mohammod Raziul; Alam, Sarwar Murshed; Khaled Chowdhury, S M Noman; Khan, Shamsul Islam; Goel, Atul

2017-11-01

Nontraumatic spontaneous atlanto-occipital dislocation (AOD) is rare. In this report, we discuss the technical steps of condylar joint fusion and stabilization (by screws and plates) in nontraumatic AOD. To the best of our knowledge, it is the first report of such techniques. A young girl and a young man with progressive quadriparesis due to nontraumatic spontaneous atlanto-occipital dislocation were managed by microsurgical reduction, fusion, and stabilization of the joint by occipital condylar and C1 lateral mass screw and plate fixation after mobilization of vertebral artery. In both cases, condylar joints fixation and fusion were done successfully. Condylar joint stabilization and fusion may be a good or alternative option for AOD. Copyright © 2017 Elsevier Inc. All rights reserved.

Role of an anatomically contoured plate and metal block for balanced stability between the implant and lateral hinge in open-wedge high-tibial osteotomy.

Science.gov (United States)

Jang, Young Woong; Lim, DoHyung; Seo, Hansol; Lee, Myung Chul; Lee, O-Sung; Lee, Yong Seuk

2018-07-01

Open-wedge high tibial osteotomy (OWHTO) is a well-established surgical option for medial compartment osteoarthritis of the varus knee. The initial strength of the fixation plate is critical for successful correction maintenance and healing of the osteotomy site. This study was conducted to verify if a newly designed anatomical plate (LCfit) improves the stability of both the medial implant and lateral hinge area, as well as to evaluate how the metal block contributes to both medial and lateral stability. A finite element (FE) tibial model was combined with TomoFix plate, a LCfit plate with and without a metal block. Data analysis was conducted to evaluate the balanced stability, which refers to the enforced lateral stability resulting from redistribution of overall stress. We assessed the balanced stability of the medial implant and lateral hinge area in three cases using the same Sawbones and loads using the tibia FE model. The LCfit plate reduced stress by 23.1% at the lateral hinge compared to the TomoFix plate (TomoFix vs. LCfit: 34.2 ± 23.3 MPa vs. 26.3 ± 17.5 MPa). The LCfit plate with a metal block reduced stress by 40.1% at the medial plate (210.1 ± 64.2 MPa vs. 125.8 ± 65.7 MPa) and by 31.2% (26.3 ± 17.5 MPa vs. 18.1 ± 12.1 MPa) at the lateral hinge area compared to the reduction using the LCfit plate without a metal block. The newly designed fixation system for OWHTO balanced the overall stress distribution and reduced stress at the lateral hinge area compared to that using a conventional fixation system. The addition of the metal block showed additional benefits for balanced stability between the medial implant and lateral hinge area. However, this conclusion could only be drawn using the FE model in this study. Therefore, further clinical studies are necessary to reveal the clinical effect of reduced lateral stress on the occurrence of the lateral hinge fracture and the biologic effect of the metal block on the

[Identification of perforating vessels by augmented reality: Application for the deep inferior epigastric perforator flap].

Science.gov (United States)

Bosc, R; Fitoussi, A; Pigneur, F; Tacher, V; Hersant, B; Meningaud, J-P

2017-08-01

The augmented reality on smart glasses allows the surgeon to visualize three-dimensional virtual objects during surgery, superimposed in real time to the anatomy of the patient. This makes it possible to preserve the vision of the surgical field and to dispose of added computerized information without the need to use a physical surgical guide or a deported screen. The three-dimensional objects that we used and visualized in augmented reality came from the reconstructions made from the CT-scans of the patients. These objects have been transferred through a dedicated application on stereoscopic smart glasses. The positioning and the stabilization of the virtual layers on the anatomy of the patients were obtained thanks to the recognition, by the glasses, of a tracker placed on the skin. We used this technology, in addition to the usual locating methods for preoperative planning and the selection of perforating vessels for 12 patients operated on a breast reconstruction, by perforating flap of deep lower epigastric artery. The "hands-free" smart glasses with two stereoscopic screens make it possible to provide the reconstructive surgeon with binocular visualization in the operative field of the vessels identified with the CT-scan. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Scoring system for differentiating perforated and non-perforated pediatric appendicitis.

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Blumfield, Einat; Yang, Daniel; Grossman, Joshua

2017-10-01

Appendicitis is the most common indication for emergency pediatric surgery and its most significant complication is perforation. Perforated appendicitis (PA) may be managed conservatively, whereas non-perforated appendicitis (NP) is managed surgically. Recent studies have shown that ultrasound (US) is effective for differentiating between PA and NP, and does not expose pediatric patients to ionizing radiation. The purpose of this study is to enhance the accuracy of differentiation with a novel scoring system based on clinical, laboratory, and US findings. This retrospective study included 243 patients aged 2-17 years who presented between 2006 and 2013 with surgically proven appendicitis, of whom 60 had perforation. Clinical and laboratory data were collected and US images evaluated by a pediatric radiologist. To create the scoring system, point values were assigned to each parameter. A randomly selected training sample of 137 subjects was used to create a scoring prediction model. The model was tested on the remaining 106 patients. Scores of ≥6, ≥11, and ≥15 yielded specificities of 64, 91, and 99%, and sensitivities of 96, 61, and 29%, respectively (p < 0.001). We have designed a scoring system incorporating clinical, laboratory, and sonographic findings which can differentiate PA from NP with high specificity.

Analysis on the steady-state coherent synchrotron radiation with strong shielding

International Nuclear Information System (INIS)

Li, R.; Bohn, C.L.; Bisognano, J.J.

1997-01-01

There are several papers concerning shielding of coherent synchrotron radiation (CSR) emitted by a Gaussian line charge on a circular orbit centered between two parallel conducting plates. Previous asymptotic analyses in the frequency domain show that shielded steady-state CSR mainly arises from harmonics in the bunch frequency exceeding the threshold harmonic for satisfying the boundary conditions at the plates. In this paper the authors extend the frequency-domain analysis into the regime of strong shielding, in which the threshold harmonic exceeds the characteristic frequency of the bunch. The result is then compared to the shielded steady-state CSR power obtained using image charges

Effect of current imbalance on stability of a cable-in-conduit conductor consisting of chrome-plated strands

International Nuclear Information System (INIS)

Koizumi, Norikiyo; Takahashi, Yoshikazu; Nishi, Masataka; Isono, Takaaki; Tsuji, Hiroshi; Ono, Michitaka; Hamajima, Takataro; Fujioka, Tsutomu.

1997-02-01

The effect of an unbalanced current distribution in a conductor consisting of chrome plated strands on stability was investigated using a cable-in-conduit conductor (CICC) consisting of 27 NbTi chrome-plated strands. In addition, the quench behavior when a non-uniform current distribution was produced in the conductor was studied from the experimental results. Moreover, impedance of the chrome-plated strands was measured using the sample conductor. The results show that the stability is determined by the largest strand current when it is sufficiently large otherwise by the transport current when it is not high enough. It was found that it took a long time to make the conductor quench from the onset of the normal transition of the strand carrying the large current. This is explained by the good diffusivity of the coolant temperature in the conductor's cross section. Since the ramp-rate limitation cannot probably take place if the coolant temperature is diffused well in the conductor's cross section, it is expected the ramp-rate limitation can be prevented using this effect. It is also shown that the chrome-plated strands come into contact with one another with uniform transverse conductance on the order of 10 3 S/m. (author)

Dimensional changes of alginate impression by using perforated and non-perforated ring trays

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Sumadhi Sastrodihardjo

2010-03-01

Full Text Available Dimensional changes are a common occurrence in impressions, either during or after impression taking. It produces a difference in the dimensions of the object and the model, which leads to the restoration being ill-fitted. Several causal factors have been proposed such as friction between the impression material and the teeth, the bulk of the impression material, the type of impression materials used, the impression technique, the pouring time and many others. The exact causal factor is still unknown and the dimensional change mechanism is still poorly understood. The objective of this research was to investigate the role of the perforation on the ring trays in producing dimensional changes in the impression by using perforated and non-perforated ring trays. Alginate impressions were made on the frustum of cone metal master die with a 7.08 mm base diameter, 7.03 mm top diameter and 9.23 mm height using perforated and non-perforated ring trays with 9.40 mm in diameter and 14.17 mm in height. The dimensional change was determined by comparing the dimension of the dental stone die and its metal master die. The results showed that the percentage of dimensional changes that occurred by using perforated ring tray were (+ 0.56±0.40 on the top area, (- 3.54±2.92 on base area and (+ 1.54±0.83 in height, respectively. As compared to using non-perforated ring trays, the percentage of dimensional changes that occurred were (- 0.49±0.49 on top area, (- 8.76±3.95 on base area and (+ 1.19±0.71 in height, respectively. There was a significant difference in the direction of the dimensional changes on both the top areas, but not in the base areas and height.

Effect of plate permeability on nonlinear stability of the asymptotic suction boundary layer.

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Wedin, Håkan; Cherubini, Stefania; Bottaro, Alessandro

2015-07-01

The nonlinear stability of the asymptotic suction boundary layer is studied numerically, searching for finite-amplitude solutions that bifurcate from the laminar flow state. By changing the boundary conditions for disturbances at the plate from the classical no-slip condition to more physically sound ones, the stability characteristics of the flow may change radically, both for the linearized as well as the nonlinear problem. The wall boundary condition takes into account the permeability K̂ of the plate; for very low permeability, it is acceptable to impose the classical boundary condition (K̂=0). This leads to a Reynolds number of approximately Re(c)=54400 for the onset of linearly unstable waves, and close to Re(g)=3200 for the emergence of nonlinear solutions [F. A. Milinazzo and P. G. Saffman, J. Fluid Mech. 160, 281 (1985); J. H. M. Fransson, Ph.D. thesis, Royal Institute of Technology, KTH, Sweden, 2003]. However, for larger values of the plate's permeability, the lower limit for the existence of linear and nonlinear solutions shifts to significantly lower Reynolds numbers. For the largest permeability studied here, the limit values of the Reynolds numbers reduce down to Re(c)=796 and Re(g)=294. For all cases studied, the solutions bifurcate subcritically toward lower Re, and this leads to the conjecture that they may be involved in the very first stages of a transition scenario similar to the classical route of the Blasius boundary layer initiated by Tollmien-Schlichting (TS) waves. The stability of these nonlinear solutions is also investigated, showing a low-frequency main unstable mode whose growth rate decreases with increasing permeability and with the Reynolds number, following a power law Re(-ρ), where the value of ρ depends on the permeability coefficient K̂. The nonlinear dynamics of the flow in the vicinity of the computed finite-amplitude solutions is finally investigated by direct numerical simulations, providing a viable scenario for

Delta neutrophil index: A reliable marker to differentiate perforated appendicitis from non-perforated appendicitis in the elderly.

Science.gov (United States)

Shin, Dong Hyuk; Cho, Young Suk; Kim, Yoon Sung; Ahn, Hee Cheol; Oh, Young Taeck; Park, Sang O; Won, Moo-Ho; Cho, Jun Hwi; Kim, Young Myeong; Seo, Jeong Yeol; Lee, Young Hwan

2018-01-01

Delta neutrophil index (DNI) is a new inflammatory marker and the present study aimed to evaluate the predictive value of the DNI for the presence of a perforation in elderly with acute appendicitis. This retrospective observational study was conducted on 108 consecutive elderly patients (≥65 years old) with acute appendicitis treated over a 24-month period. Sixty-nine of the 108 patients (median, IQR: 72, 67-77 years) were allocated to the perforated appendicitis group (63.9%) and 39 to the non-perforated appendicitis group (36.1%). WBC, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and DNI were significantly higher in the perforated group. In multiple logistic regression analyses, initial DNI was the only independent marker that can significantly predict the presence of perforation in multiple regression [odds ratio 9.38, 95% confidence interval (2.51-35.00), P=.001]. Receiver operator characteristic curve analysis showed that DNI is a good predictor for the presence of appendiceal perforation at an optimal cut-off for DNI being 1.4% (sensitivity 67.7%, specificity 90.0%, AUC 0.807). Clinicians can reliably differentiate acute perforated appendicitis from non-perforated appendicitis by DNI level of 1.4 or more in elderly patients. © 2017 Wiley Periodicals, Inc.

CT findings of exophageal perforation

Energy Technology Data Exchange (ETDEWEB)

Heo, Jeong Nam; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Hahm, Chang Kok [Hanyang University College of Medicine, Seoul (Korea, Republic of)

2002-09-01

To determine which CT findings are useful for the early disgnosis of esophageal perforation, and on the basis of these findings, to assess the accuracy of prediction of the perforation site. A review of medical records indicated that between January 1995 and December 2001, 36 patients with esophageal perforation were admitted to our hospital. Thirteen of these [M:F=8:5, age; 28-69 (mean, 52.4) years], who had undergone CT chest scanning, were included in this study. The causes of esophageal perforation were trauma (n=5), infectious diseases (n=4), Boerhaave syndrome (n=1), lung cancer (n=1), esophageal cancer (n=1), and idiopathic. Two chest radiologists unaware of the clinical findings reviewed the CT scans and predicted whether the upper or lower esophagus was perforated. The most common CT finding was extraluminal air at the posterior mediastinum (n=11), while other findings included pulmonary consolidation (n=10), pleural effusion (n=7), discontinuity of the esophageal wall (n=6) and subcutaneous emphysema (n=4), fluid collection around the esophagus (n-4), esophageal wall thickening (n=4), pneumothorax (n=2), and lung abscess (n=2). The perforation site was accurately predicted in 76.9% of cases (10/13). The CT findings which help the diagnosis of esophageal perforation, and prediction of the sites at which it occurs, are extraluminal air of fluid collection, focal defect of the esophageal wall, and esophageal wall thickening.

CT findings of exophageal perforation

International Nuclear Information System (INIS)

Heo, Jeong Nam; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Hahm, Chang Kok

2002-01-01

To determine which CT findings are useful for the early disgnosis of esophageal perforation, and on the basis of these findings, to assess the accuracy of prediction of the perforation site. A review of medical records indicated that between January 1995 and December 2001, 36 patients with esophageal perforation were admitted to our hospital. Thirteen of these [M:F=8:5, age; 28-69 (mean, 52.4) years], who had undergone CT chest scanning, were included in this study. The causes of esophageal perforation were trauma (n=5), infectious diseases (n=4), Boerhaave syndrome (n=1), lung cancer (n=1), esophageal cancer (n=1), and idiopathic. Two chest radiologists unaware of the clinical findings reviewed the CT scans and predicted whether the upper or lower esophagus was perforated. The most common CT finding was extraluminal air at the posterior mediastinum (n=11), while other findings included pulmonary consolidation (n=10), pleural effusion (n=7), discontinuity of the esophageal wall (n=6) and subcutaneous emphysema (n=4), fluid collection around the esophagus (n-4), esophageal wall thickening (n=4), pneumothorax (n=2), and lung abscess (n=2). The perforation site was accurately predicted in 76.9% of cases (10/13). The CT findings which help the diagnosis of esophageal perforation, and prediction of the sites at which it occurs, are extraluminal air of fluid collection, focal defect of the esophageal wall, and esophageal wall thickening

Current management of peptic ulcer perforations

International Nuclear Information System (INIS)

Menakuru, S.R.

2004-01-01

Perforation is a life-threatening complication of peptic ulcer disease. Smoking and use of non-steroidal anti-inflammatory drugs are important risk factors for perforation. Diagnosis is made clinically and confirmed by the presence of pneumoperitoneum on radiographs. Nonoperative management is successful in patients identified to have a spontaneously sealed perforation proven by water-soluble contrast gastroduodenogram. Operative management consists of the time-honoured practice of mental patch closure, but now this can be done by laparoscopic methods. The practice of addition of acid-reducing procedures is currently being debated though it continues to be recommended in good-risk patients. Laparoscopic approaches to closure of duodenal perforation are now being applied widely and may become the gold standard in the future especially in patients with < 10 mm perforation size presenting within the first 24 hours of onset of pain. The role of Helicobacter pylori in duodenal ulcer perforation is controversial and more studies are needed to answer this question though recent indirect evidence suggests that eradicating H pylori may reduce the necessity for adding acid reducing procedures and the associated morbidity. Perforation is a life-threatening complication of peptic ulcer disease. The management of peptic ulcer disease has evolved over the decades, due to advances in operative techniques, bacteriology and pharmacology. While the recognition of the role of Helicobacter pylori (H. pylori) in peptic ulceration has resulted in a paradigm shift in the management of uncomplicated peptic ulcers, debate continues about the appropriate management of perforated duodenal bulb and prepyloric ulcers. A new dimension has been added to this controversy by the advent of laparoscopic techniques for closing the perforation. A Medline search of all articles dealing with the management of peptic ulcer perforation published after 1985 was undertaken. The short listed articles were

Glove Perforations During Interventional Radiological Procedures

International Nuclear Information System (INIS)

Leena, R. V.; Shyamkumar, N. K.

2010-01-01

Intact surgical gloves are essential to avoid contact with blood and other body fluids. The objective of this study was to estimate the incidence of glove perforations during interventional radiological procedures. In this study, a total of 758 gloves used in 94 interventional radiological procedures were examined for perforations. Eleven perforations were encountered, only one of which was of occult type. No significant difference in the frequency of glove perforation was found between the categories with varying time duration.

Investigations on the effect of heater and cooler orientation on the steady state, transient and stability behaviour of single-phase natural circulation in a rectangular loop

International Nuclear Information System (INIS)

Vijayan, P.K.; Bhojwani, V.K.; Bade, M.H.; Sharma, M.; Nayak, A.K.; Saha, D.; Sinha, R.K.

2002-01-01

An instability demonstration facility has been in operation in the heat transfer laboratory of the Reactor Engineering Div. for the past few years. This report deals with the investigations carried out in this facility so far. The facility is essentially a rectangular loop designed to generate single-phase natural circulation data on the steady state and stability behaviour for different orientations of the heat source and the heat sink. Effect of different heat addition paths (i.e. start-up from rest, power raising from initial stable steady and decay of instability due to power step back) and flow direction on the stability behaviour was also studied. The stability map of the system was generated both by the linear and the nonlinear methods

Helicobacter pylori in gastroduodenal perforation

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Bharat B Dogra

2014-01-01

Full Text Available Background:peptic ulcers were earlier believed to be caused by dietary factors, gastric acid, and stress. However, in 1983, Warren and Marshall identified the correlation between Helicobacter pylori (H. pylori and peptic ulcers. It is now well established that most of the peptic ulcers occur as a result of H. pylori infection. But the co-relation between perforated peptic ulcer and H. pylori infection is not yet fully established. Aims and objectives : to study the prevalence of H. pylori infection in patients with perforated peptic ulcer. Materials and methods: this was a prospective study carried out in all cases of perforated peptic ulcer reporting in surgical wards of a medical college during 2008-2010. A total of 50 cases, presenting as acute perforation of duodenum and stomach during this period, formed the study group. After resuscitation, all the cases were subjected to emergency exploratory laparotomy. The exact site of perforation was identified, biopsy was taken from the ulcer margin from 2-3 sites and the tissue was sent for H. pylori culture and histopathological examination. Simple closure of perforation, omentoplasty, thorough peritoneal lavage and drainage was carried out. Results: out of the 50 cases of perforated peptic ulcer, 38 happened to be males, and only 12 were females. The age of the patients ranged from 20 to 70 years. All the patients underwent only emergency laparotomy. As many as 46 cases (92% turned out to be positive for H. pylori and only four cases (8% were negative for this infection. Postoperatively, patients who were found to be positive for H. pylori were put on anti-H. pylori treatment. Conclusion: there was a high prevalence of H. pylori infection in patients with perforated gastroduodenal ulcers.

Numerical analysis of steady state and transient analysis of high temperature ceramic plate-fin heat exchanger

International Nuclear Information System (INIS)

Nagarajan, Vijaisri; Chen, Yitung; Wang, Qiuwang; Ma, Ting

2014-01-01

Highlights: • Rip saw fin design is considered to be the best because it has thin fins and has higher heat transfer coefficient. • Minimum principal stress and maximum safety factor are obtained for the inverted bolt fin design. • Maximum principal stress and minimum safety factor are obtained for triangular fin design. • Thermal stress has significant impact than mechanical stress. • High principal stress is found at the startup and shutdown stage. - Abstract: In this study three-dimensional model of ceramic plate-fin high temperature heat exchanger with different fin designs and arrangements is analyzed numerically using ANSYS FLUENT and ANSYS structural module. The ability of ceramics to withstand high temperature and corrosion makes silicon carbide (SiC) suitable candidate material to be used in high temperature heat exchanger. The operating temperature of heat exchanger is 950 °C and the operating pressure is 1.5 MPa. The working fluids are helium, sulfur trioxide, sulfur dioxide, oxygen and the water vapor. Fluid flow and heat transfer analysis are carried out for steady and transient state in FLUENT. The obtained thermal and pressure load for the steady and transient state from ANSYS FLUENT are imported to ANSYS structural module to obtain the principal stress and the factor of safety. Different arrangements of rectangular fins, triangular fins, inverted bolt fins and ripsaw fins are studied. From the results it is found that the minimum stress and the maximum safety factor are obtained for inverted bolt fins. The triangular fins have the maximum principal stress and minimum factor of safety. However, the fluid flow and heat transfer analysis show inverted bolt fins and triangular fins produce higher pressure drop and friction factor. The steady state maximum principal stress is 10.08 MPa, 9.90 MPa and 11.43 MPa for straight, staggered and top and bottom ripsaw fin arrangement. The corresponding safety factors are 21.80, 21.95 and 19

Spectrum of perforation peritonitis in delhi: 77 cases experience.

Science.gov (United States)

Yadav, Dinesh; Garg, Puneet K

2013-04-01

Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 consecutive patients of perforation peritonitis studied in terms of clinical presentations, causes, site of perforation, surgical treatment, postoperative complications, and mortality at Hindu Rao Hospital, Delhi, from March 1, 2011 to December 1, 2011, over a period of 8 months. All patients were resuscitated and underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. The most common cause of perforation peritonitis noticed in our series was perforated duodenal ulcer (26.4 %) and ileal typhoid perforation (26.4 %), each followed by small bowel tuberculosis (10.3 %) and stomach perforation (9.2 %), perforation due to acute appendicitis (5 %). The highest number of perforations was seen in ileum (39.1 %), duodenum (26.4 %), stomach (11.5 %), appendix (3.5 %), jejunum (4.6 %), and colon (3.5 %). Overall mortality was 13 %. The spectrum of perforation peritonitis in India continuously differs from western countries. The highest number of perforations was noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. The most common cause of perforation peritonitis was perforated duodenal ulcer and small bowel typhoid perforation followed by typhoid perforation. Large bowel perforations and malignant perforations were least common in our setup.

Modeling the hydrodynamics of phloem sieve plates

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Kaare Hartvig Jensen

2012-07-01

Full Text Available Sieve plates have an enormous impact on the efficiency of the phloem vascular system of plants, responsible for the distribution of photosynthetic products. These thin plates, which separate neighboring phloem cells, are perforated by a large number of tiny sieve pores and are believed to play a crucial role in protecting the phloem sap from intruding animals by blocking flow when the phloem cell is damaged. The resistance to the flow of viscous sap in the phloem vascular system is strongly affected by the presence of the sieve plates, but the hydrodynamics of the flow through them remains poorly understood. We propose a theoretical model for quantifying the effect of sieve plates on the phloem in the plant, thus unifying and improving previous work in the field. Numerical simulations of the flow in real and idealized phloem channels verify our model, and anatomical data from 19 plant species are investigated. We find that the sieve plate resistance is correlated to the cell lumen resistance, and that the sieve plate and the lumen contribute almost equally to the total hydraulic resistance of the phloem translocation pathway.

The management of large perforations of duodenal ulcers

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Sharma Rajeev

2005-06-01

Full Text Available Abstract Background Duodenal ulcer perforations are a common surgical emergency, but literature is silent on the exact definition, incidence, management and complications of large perforations of duodenal ulcers. Methods The case files of 162 patients who underwent emergency laparotomy for duodenal ulcer perforations over a period of three years (2001 – 2003 were retrospectively reviewed and sorted into groups based on the size of the perforations – one group was defined as 'small 'perforations (less than 1 cm in diameter, another 'large' (when the perforation was more than 1 cm but less than 3 cms, and the third, 'giant'(when the perforation exceeded 3 cm. These groups of patients were then compared with each other in regard to the patient particulars, duration of symptoms, surgery performed and the outcome. Results A total of 40 patients were identified to have duodenal ulcer perforations more than 1 cm in size, thus accounting for nearly 25 % of all duodenal ulcer perforations operated during this period. These patients had a significantly higher incidence of leak, morbidity and mortality when compared to those with smaller perforations. Conclusion There are three distinct types of perforations of duodenal ulcers that are encountered in clinical practice. The first, are the 'small' perforations that are easy to manage and have low morbidity and mortality. The second are the 'large' perforations, that are also not uncommon, and omental patch closure gives the best results even in this subset of patients. The word 'giant' should be reserved for perforations that exceed 3 cms in diameter, and these are extremely uncommon.

Electro-mechanical vibration analysis of functionally graded piezoelectric porous plates in the translation state

Science.gov (United States)

Wang, Yan Qing

2018-02-01

To provide reference for aerospace structural design, electro-mechanical vibrations of functionally graded piezoelectric material (FGPM) plates carrying porosities in the translation state are investigated. A modified power law formulation is employed to depict the material properties of the plates in the thickness direction. Three terms of inertial forces are taken into account due to the translation of plates. The geometrical nonlinearity is considered by adopting the von Kármán non-linear relations. Using the d'Alembert's principle, the nonlinear governing equation of the out-of-plane motion of the plates is derived. The equation is further discretized to a system of ordinary differential equations using the Galerkin method, which are subsequently solved via the harmonic balance method. Then, the approximate analytical results are validated by utilizing the adaptive step-size fourth-order Runge-Kutta technique. Additionally, the stability of the steady state responses is examined by means of the perturbation technique. Linear and nonlinear vibration analyses are both carried out and results display some interesting dynamic phenomenon for translational porous FGPM plates. Parametric study shows that the vibration characteristics of the present inhomogeneous structure depend on several key physical parameters.

Laparoscopic pyloroplasty for perforated peptic ulcer.

Science.gov (United States)

Grišin, Edvard; Mikalauskas, Saulius; Poškus, Tomas; Jotautas, Valdemaras; Strupas, Kęstutis

2017-09-01

Peptic ulcer is a common disease affecting millions of people every year. Despite improved understanding and treatment of the disease, the number of patients admitted with duodenal peptic ulcer perforation has not decreased. Deaths from peptic ulcer disease overcome other common emergency situations. Laparoscopic repair of the perforated peptic ulcer (PPU) is the gold standard approach for simple perforation. However, in patients with large perforated chronic ulcers laparotomy with pyloroplasty is the standard treatment. It is generally accepted to perform open surgery in PPU emergencies because of the greater knowledge and experience gathered over the past decades and less potential harm for the patient or surgical complications. We present a case of successful laparoscopic pyloroplasty of a perforated duodenal ulcer with stenosis.

CLINICAL STUDY OF DUODENAL PERFORATION

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Sambasiva Rao

2016-04-01

Full Text Available BACKGROUND The duodenal injury can pose a formidable challenge to the surgeon and failure to manage it properly may have devastating results. Over the centuries, there was little to offer the patient of acute abdomen beyond cupping, purgation and enemas, all of which did more harm than good. It was not until 1884 that Mikulicz made an attempt to repair a perforation. Recent statistics indicate roughly 10% of population develop gastric or duodenal ulcer in life time. Roughly 1-3% of population above the age of 20 years have some degree of peptic ulcer activity during any annual period. A detailed history with regards to the signs and symptoms of the patient, a meticulous examination, radiological and biochemical investigations help to arrive at a correct preoperative diagnosis. In this study, a sincere effort has been put to understand the demographic patterns, to understand the underlying aetiology and to understand the effectiveness of the standard methods of investigation and treatment in use today. METHODS This is a 24 months prospective study i.e., from September 2011 to September 2013 carried out at Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation. The study included the patients presenting to Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation to emergency ward with signs and symptoms of hollow viscus perforation. The sample size included 30 cases of duodenal perforation. RESULTS Duodenal ulcer perforation commonly occurs in the age group of 30-60 years, but it can occur in any age group. Majority of the patients were male. Smoking and alcohol consumption were risk factors in most cases (53.3% for the causation of duodenal ulcer perforation. Sudden onset of abdominal pain, situated at epigastrium and right hypochondrium was a constant symptom (100%. Vomiting, constipation and fever were not so common. CONCLUSION The emergency surgical management for perforated duodenal ulcer is by

Micro-ring structures stabilize microdroplets to enable long term spheroid culture in 384 hanging drop array plates.

Science.gov (United States)

Hsiao, Amy Y; Tung, Yi-Chung; Kuo, Chuan-Hsien; Mosadegh, Bobak; Bedenis, Rachel; Pienta, Kenneth J; Takayama, Shuichi

2012-04-01

Using stereolithography, 20 different structural variations comprised of millimeter diameter holes surrounded by trenches, plateaus, or micro-ring structures were prepared and tested for their ability to stably hold arrays of microliter sized droplets within the structures over an extended period of time. The micro-ring structures were the most effective in stabilizing droplets against mechanical and chemical perturbations. After confirming the importance of micro-ring structures using rapid prototyping, we developed an injection molding tool for mass production of polystyrene 3D cell culture plates with an array of 384 such micro-ring surrounded through-hole structures. These newly designed and injection molded polystyrene 384 hanging drop array plates with micro-rings were stable and robust against mechanical perturbations as well as surface fouling-facilitated droplet spreading making them capable of long term cell spheroid culture of up to 22 days within the droplet array. This is a significant improvement over previously reported 384 hanging drop array plates which are susceptible to small mechanical shocks and could not reliably maintain hanging drops for longer than a few days. With enhanced droplet stability, the hanging drop array plates with micro-ring structures provide better platforms and open up new opportunities for high-throughput preparation of microscale 3D cell constructs for drug screening and cell analysis.

A perforated diverticulum in Cushing's disease

OpenAIRE

de Havenon, Adam; Ehrenkranz, Joel

2011-01-01

We report a case of perforated colonic diverticulum in Cushing's disease. Although perforated diverticuli have been described in patients with Cushing's syndrome secondary to exogenous glucocorticoids, this complication has not been described in patients with Cushing's disease. Patients with hypercortisolism, from either exogenous or endogenous sources, should be monitored for diverticular perforation.

CLINICAL STUDY AND MANAGEMENT OF BENIGN GASTROINTESTINAL PERFORATIONS

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Kishan

2016-05-01

Full Text Available INTRODUCTION Peritonitis due to gastrointestinal perforation is one of the commonest surgical emergencies encountered by a general surgeon. (1,2 Mortality and morbidity is still very high despite early diagnosis and intensive management. This study is aimed to find common causes of perforations, its presentations, mode of investigations and treatment done and outcome of patients. METHODS Case records of all patients, in exclusion and inclusion criteria, who were admitted in emergency surgical ward with suspected GI perforation and peritonitis were included in study and diagnosis confirmed by either investigations preoperatively or by laparotomy and results analysed over a period of 16 months. RESULTS GI perforations due to benign causes are most common causes of peritonitis, of which gastroduodenal perforations are commonest followed by appendicular perforation closely followed by infective perforations. CONCLUSION Benign causes of upper gastroduodenal perforations are common causes of peritonitis (2,3. Mortality increases with delay in presentation and treatment. Abdominal signs like guarding rigidity are present in majority of cases. X-ray erect abdomen was effective in detecting perforation in majority of cases. Surgery is the treatment in all cases of perforation.

History of internal fixation with plates (part 2): new developments after World War II; compressing plates and locked plates.

Science.gov (United States)

Hernigou, Philippe; Pariat, Jacques

2017-07-01

The first techniques of operative fracture with plates were developed in the 19th century. In fact, at the beginning these methods consisted of an open reduction of the fracture usually followed by a very unstable fixation. As a consequence, the fracture had to be opened with a real risk of (sometimes lethal) infection, and due to unstable fixation, protection with a cast was often necessary. During the period between World Wars I and II, plates for fracture fixation developed with great variety. It became increasingly recognised that, because a fracture of a long bone normally heals with minimal resorption at the bone ends, this may result in slight shortening and collapse, so a very rigid plate might prevent such collapse. However, as a consequence, delayed healing was observed unless the patient was lucky enough to have the plate break. One way of dealing with this was to use a slotted plate in which the screws could move axially, but the really important advance was recognition of the role of compression. After the first description of compression by Danis with a "coapteur", Bagby and Müller with the AO improved the technique of compression. The classic dynamic compression plates from the 1970s were the key to a very rigid fixation, leading to primary bone healing. Nevertheless, the use of strong plates resulted in delayed union and the osteoporosis, cancellous bone, comminution, and/or pathological bone resulted in some failures due to insufficient stability. Finally, new devices represented by locking plates increased the stability, contributing to the principles of a more biological osteosynthesis while giving enough stability to allow immediate full weight bearing in some patients.

Perforated peptic ulcer

DEFF Research Database (Denmark)

Søreide, Kjetil; Thorsen, Kenneth; Harrison, Ewen M

2015-01-01

Perforated peptic ulcer is a common emergency condition worldwide, with associated mortality rates of up to 30%. A scarcity of high-quality studies about the condition limits the knowledge base for clinical decision making, but a few published randomised trials are available. Although Helicobacter...... need further assessment. Adequate trials with low risk of bias are urgently needed to provide better evidence. We summarise the evidence for perforated peptic ulcer management and identify directions for future clinical research....

Management of pediatric mandibular fractures using bioresorbable plating system - Efficacy, stability, and clinical outcomes: Our experiences and literature review.

Science.gov (United States)

Singh, Mahinder; Singh, R K; Passi, Deepak; Aggarwal, Mohit; Kaur, Guneet

2016-01-01

The purpose of this study was to determine the efficacy and stability of the biodegradable fixation system for treatment of mandible fractures in pediatric patients by measuring the bite force. Sixty pediatric patients with mandibular fractures (36 males, 24 females) were included in this study. The 2.5-mm resorbable plates were adapted along Champy's line of ideal osteosynthesis and secured with four 2.5 mm diameter monocortical resorbable screws, 8 mm in length. All patients were followed for 10 months. Clinical parameters, such as soft tissue infection, nonunion, malunion, implant exposure, malocclusion, nerve injury, and bite force for stability, were prospectively assessed. Adequate fixation and primary bone healing was achieved in 100% of the cases. Six minor complications (10%) were observed: 2 soft tissue infections (3%), 1 plate dehiscence (2%), 1 malocclusion (2%), and 2 paresthesia (3%). 2.5-mm resorbable plating system along Champy's line of ideal osteosynthesis is a good treatment modality for mandible fractures in pediatric patients.

Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

Science.gov (United States)

Masood, Irfan; Majid, Zain; Rafiq, Ali; Rind, Waqas; Zia, Aisha; Raza, Sajjad

2015-01-01

Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before. PMID:26798540

Mortality risk factor analysis in colonic perforation: would retroperitoneal contamination increase mortality in colonic perforation?

Science.gov (United States)

Yoo, Ri Na; Kye, Bong-Hyeon; Kim, Gun; Kim, Hyung Jin; Cho, Hyeon-Min

2017-10-01

Colonic perforation is a lethal condition presenting high morbidity and mortality in spite of urgent surgical treatment. This study investigated the surgical outcome of patients with colonic perforation associated with retroperitoneal contamination. Retrospective analysis was performed for 30 patients diagnosed with colonic perforation caused by either inflammation or ischemia who underwent urgent surgical treatment in our facility from January 2005 to December 2014. Patient characteristics were analyzed to find risk factors correlated with increased postoperative mortality. Using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) audit system, the mortality and morbidity rates were estimated to verify the surgical outcomes. Patients with retroperitoneal contamination, defined by the presence of retroperitoneal air in the preoperative abdominopelvic CT, were compared to those without retroperitoneal contamination. Eight out of 30 patients (26.7%) with colonic perforation had died after urgent surgical treatment. Factors associated with mortality included age, American Society of Anesthesiologists (ASA) physical status classification, and the ischemic cause of colonic perforation. Three out of 6 patients (50%) who presented retroperitoneal contamination were deceased. Although the patients with retroperitoneal contamination did not show significant increase in the mortality rate, they showed significantly higher ASA physical status classification than those without retroperitoneal contamination. The mortality rate predicted from Portsmouth POSSUM was higher in the patients with retroperitoneal contamination. Patients presenting colonic perforation along with retroperitoneal contamination demonstrated severe comorbidity. However, retroperitoneal contamination was not found to be correlated with the mortality rate.

Multiple, Pan-Enteric Perforation Secondary to Intestinal Tuberculosis

Directory of Open Access Journals (Sweden)

Irfan Masood

2015-01-01

Full Text Available Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90% perforations are solitary. Herein, we describe a case of a 25-year-old male who presented with generalized peritonitis requiring an emergency exploratory laparotomy, which revealed pan-enteric perforation characterized by multiple perforations of the small bowel extending 10–15 cm from the DJ flexure up to the terminal ileum. The perforations were primarily closed, while 6–8 cm of the diseased terminal ileum was resected and the two ends were brought out as double-barreled ostomy. To the best of our knowledge, such an extensive tuberculous perforation of the small bowel has not been previously reported in the literature before.

Analysis of Plasticity, Fracture and Friction in Steady State Plate Cutting

DEFF Research Database (Denmark)

Simonsen, Bo Cerup; Wierzbicki, Tomasz

1996-01-01

perpendicular to the direction of motion is derived theoretically in a new consistent manner. The perpendicular reaction force is of paramount importance for predicting the structural damage of a ship hull because it governs the vertical ship motion and rock penetration which is strongly coupled...... extension of the presented plate model to include more structural members as for example the stiffeners attached to a ship bottom plating. The fracture process is discussed and the model is formulated partly on the basis of the material fracture toughness. The effect of friction and the reaction force...

STUDY OF CLINICAL OUTCOMES OF SUBFASCIAL PERFORATOR LIGATION SURGERY IN PERFORATOR INCOMPETENCE

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Vasuki Rajam

2017-02-01

Full Text Available BACKGROUND Chronic venous insufficiency presents with a spectrum of clinical features ranging from pain or heaviness of affected limbs to non-healing ulcers over the lower limbs and usually require some form of surgical intervention, performing direct perforator vein division preferably by subfascial endoscopic perforator ligation surgery for perforator incompetence, as despite aggressive conservative therapy including compression, lifestyle modification and venotonic medications which are of high cost treatment with increased risk of increasing symptoms. MATERIALS AND METHODS A prospective longitudinal clinical study of 30 patients selected by systematic sampling method from November 2014 to September 2015 at our institution was conducted to determine the results of subfascial endoscopic perforator vein surgery (SEPS in perforator incompetence. RESULTS For venous clinical severity scoring pre operatively and after 3 weeks post-surgery, the mean for VCSS pre-operatively was 6.66 and a standard deviation of 2.399. The T value was calculated and was found to be 4.9321 and p value of 0.00001(p value less than 0.05 is significant. Similarly for the cases with active ulcer, the size assessment pre-operatively and post-SEPS was again analysed using student t test and the mean ulcer size prior to surgery was found to be 3.3 and standard deviation of 1.984. The T value was calculated and was found to be 1.789009 and a p value of 0.04 (p value less than 0.05 is significant. CONCLUSION Our study concluded that favourable and significant ulcer healing rate with improvement and reduction in clinical severity suggests that SEPS plays an important role in surgical management of advanced stages of venous insufficiency.

Tricholithobezoar Causing Gastric Perforation

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Juliana Santos Valenciano

2012-01-01

Full Text Available A bezoar is an intraluminal mass formed by the accumulation of undigested material in the gastrointestinal tract. Trichobezoar is a rare condition seen almost exclusively in young women with trichotillomania and trichotillophagia. When not recognized, the trichobezoar continues to grow, which increases the risk of severe complications such as gastric ulceration and even perforation. Formation of a gallstone within the trichobezoar (tricholithobezoar is an event that has not yet been described. We report the case of a 22-year-old woman admitted to the emergency room with signals and symptoms of an epigastric mass and perforative acute abdomen. Radiological study revealed bilateral pneumoperitoneum. Personal history revealed depressive syndrome, trichotillomania and trichophagia. With a diagnosis of visceral perforation, an urgent exploratory laparotomy was performed. This confirmed the diagnosis of gastric perforation due to a large trichobezoar with the formation of a gastrolith that was removed by anterior gastrotomy. Biochemical study of the gastric stone revealed that it was composed of bile salts. There were no complications. The patient was discharged on the 5th postoperative day and was referred for psychiatric treatment.

Clinical applications of the superior epigastric artery perforator (SEAP) flap: anatomical studies and preoperative perforator mapping with multidetector CT.

Science.gov (United States)

Hamdi, Moustapha; Van Landuyt, Koenraad; Ulens, Sara; Van Hedent, Eddy; Roche, Nathalie; Monstrey, Stan

2009-09-01

Pedicled superior epigastric artery perforator (SEAP) flaps can be raised to cover challenging thoracic defects. We present an anatomical study based on multidetector computerized tomography (MDCT) scan findings of the SEA perforators in addition to the first reported clinical series of SEAP flaps in anterior chest wall reconstruction. (a) In the CT scan study, images of a group of 20 patients who underwent MDCT scan analysis were used to visualise bilaterally the location of musculocutaneous SEAP. X- and Y-axes were used as landmarks to localise the perforators. The X-axis is a horizontal line at the junction of sternum and xyphoid (JCX) and the Y-axis is at the midline. (b) In the clinical study, seven pedicled SEAP flaps were performed in another group of patients. MDCT images revealed totally 157 perforators with a mean of 7.85 perforators per patient. The dominant perforators (137 perforators) were mainly localised in an area between 1.5 and 6.5 cm from the X-axis on both sides and between 3 and 16 cm below the Y-axis. The calibre of these dominant perforators was judged as 'good' to 'very good' in 82.5% of the cases. The average dimension of the flap was 21.7x6.7 cm. All flaps were based on one perforator. Mean harvesting time was 110 min. There were no flap losses. Minor tip necrosis occurred in two flaps. One of them was treated with excision and primary closure. Our clinical experience indicates that the SEAP flap provides a novel and useful approach for reconstruction of anterior chest wall defects. CT-based imaging allows for anatomical assessment of the perforators of the superior epigastric artery (SEA).

Research on the Perforating Algorithm Based on STL Files

Science.gov (United States)

Yuchuan, Han; Xianfeng, Zhu; Yunrui, Bai; Zhiwen, Wu

2018-04-01

In the process of making medical personalized external fixation brace, the 3D data file should be perforated to increase the air permeability and reduce the weight. In this paper, a perforating algorithm for 3D STL file is proposed, which can perforate holes, hollow characters and engrave decorative patterns on STL files. The perforating process is composed of three steps. Firstly, make the imaginary space surface intersect with the STL model, and reconstruct triangles at the intersection. Secondly, delete the triangular facets inside the space surface and make a hole on the STL model. Thirdly, triangulate the inner surface of the hole, and thus realize the perforating. Choose the simple space equations such as cylindrical and rectangular prism equations as perforating equations can perforate round holes and rectangular holes. Through the combination of different holes, lettering, perforating decorative patterns and other perforated results can be accomplished. At last, an external fixation brace and an individual pen container were perforated holes using the algorithm, and the expected results were reached, which proved the algorithm is feasible.

Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience.

Science.gov (United States)

Afridi, Shahida Parveen; Malik, Faiza; Ur-Rahman, Shafiq; Shamim, Shahid; Samo, Khursheed A

2008-11-08

Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part. This study was conducted at Dow University of health sciences and Civil Hospital Karachi (DUHS & CHK) Pakistan, designed to highlight the spectrum of perforation peritonitis in the East and to improve its outcome. A prospective study includes three hundred consecutive patients of perforation peritonitis studied in terms of clinical presentations, Causes, site of perforation, surgical treatment, post operative complications and mortality, at (DUHS&CHK) Pakistan, from 1st September 2005 - 1st March 2008, over a period of two and half years. All patients were resuscitated underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. The most common cause of perforation peritonitis noticed in our series was acid peptic disease 45%, perforated duodenal ulcer (43.6%) and gastric ulcer 1.3%. followed by small bowel tuberculosis (21%) and typhoid (17%). large bowel perforation due to tuberculosis 5%, malignancy 2.6% and volvulus 0.3%. Perforation due to acute appendicitis (5%). Highest number of perforations has seen in the duodenum 43.6%, ileum37.6%, and colon 8%, appendix 5%, jejunum 3.3%, and stomach 2.3%. Overall mortality was (10.6%). The spectrum of perforation peritonitis in Pakistan continuously differs from western country. Highest number of perforations noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. Most common cause of perforation peritonitis is perforated duodenal ulcer, followed by small bowel tuberculosis and typhoid perforation. Majority of the large bowel perforations are also tubercular. Malignant perforations are least common in our setup.

Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience

Directory of Open Access Journals (Sweden)

Ur-Rahman Shafiq

2008-11-01

Full Text Available Abstract Background Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part. This study was conducted at Dow University of health sciences and Civil Hospital Karachi (DUHS & CHK Pakistan, designed to highlight the spectrum of perforation peritonitis in the East and to improve its outcome. Methods A prospective study includes three hundred consecutive patients of perforation peritonitis studied in terms of clinical presentations, Causes, site of perforation, surgical treatment, post operative complications and mortality, at (DUHS&CHK Pakistan, from 1st September 2005 – 1st March 2008, over a period of two and half years. All patients were resuscitated underwent emergency exploratory laparotomy. On laparotomy cause of perforation peritonitis was found and controlled. Results The most common cause of perforation peritonitis noticed in our series was acid peptic disease 45%, perforated duodenal ulcer (43.6% and gastric ulcer 1.3%. followed by small bowel tuberculosis (21% and typhoid (17%. large bowel perforation due to tuberculosis 5%, malignancy 2.6% and volvulus 0.3%. Perforation due to acute appendicitis (5%. Highest number of perforations has seen in the duodenum 43.6%, ileum37.6%, and colon 8%, appendix 5%, jejunum 3.3%, and stomach 2.3%. Overall mortality was (10.6%. Conclusion The spectrum of perforation peritonitis in Pakistan continuously differs from western country. Highest number of perforations noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part. Most common cause of perforation peritonitis is perforated duodenal ulcer, followed by small bowel tuberculosis and typhoid perforation. Majority of the large bowel perforations are also tubercular

Colonic perforation following endoscopic retrograde ...

African Journals Online (AJOL)

She developed severe upper abdominal pain after the ... non-surgical management of pancreatitis and associated complications, colonic perforation should be considered in patients who deteriorate ... To our knowledge this is the first case of a secure pre-operative diagnosis of colonic perforation due to to pancreatitis.

Radiologic Study of Meniscus Perforations in the Temporomandibular Joint

International Nuclear Information System (INIS)

Kim, Kee Duck; Park, Chang Seo

1990-01-01

Thirty-nine patients (forty-four joints) who had been diagnosed as having meniscus perforation of the temporomandibular joint by inferior joint space arthrography and had been treated by surgical procedures were evaluated retrospectively. Information of clinical findings, arthrotomographic findings and surgical findings was collected on a standardized form and evaluated. The results were as follows: 1. On the 34 patients of 38 joints which were surgically confirmed perforation of meniscus or its attachments of the temporomandibular joint, there were 29 females and 5 males (5.8:1). The average age was 36 years (range 17 to 70). 2. The common clinical findings of group that had meniscus displacement without reduction and with perforation were pain on the affected joint and limitation of mouth opening. In the group showing meniscus displacement with reduction and with perforation the common clinical findings were pain and clicking on the affected joint. 3. 32 joints (84.2%) were arthrotomographically anterior meniscus displacement without reduction and with perforation, 6 joints (15.8%) showed anterior meniscus displacement with reduction and with perforation. 4. Joints categorized arthrotomographically as having meniscus displacement without reduction and with perforation were less likely to have full translation of the condyle in comparison with the normal or meniscus displacement with reduction and with perforation groups (p<0.05) 5. The arthrographic findings of 44 joints having meniscus perforation were compared with surgical findings, there were 6 false positive findings of meniscus perforation, the reliability of arthrographic findings of meniscus perforation was a 86.4% correlation with surgical findings. 6. On the site of perforations of 38 joints which were surgically confirmed perforation of meniscus or its attachments, twenty-three of perforations (60.5%) were in location at the junction of the meniscus and posterior attachment, fourteen (36.9%) were

Isolated jejunal perforation following blunt abdominal trauma

Directory of Open Access Journals (Sweden)

Ahmet Pergel

2012-09-01

Full Text Available Isolated perforation of the jejunum, following blunt abdominaltrauma, is extremely rare. These injuries aredifficult to diagnose because initial clinical signs are frequentlynonspecific and a delay in treatment increasesmortality and morbidity of the patients. Conventional radiogramsare often inadequate for diagnosing this subsetof trauma. For an accurate and timely diagnosis, thepossibility of bowel perforation and the need for repeatedexaminations should be kept in mind. Herein, we presenta 28-year-old man with isolated jejunal perforation followingblunt abdominal trauma.Key words: Blunt abdominal trauma, isolated jejunal perforation,early diagnosis

Perforated peptic ulcer.

Science.gov (United States)

Søreide, Kjetil; Thorsen, Kenneth; Harrison, Ewen M; Bingener, Juliane; Møller, Morten H; Ohene-Yeboah, Michael; Søreide, Jon Arne

2015-09-26

Perforated peptic ulcer is a common emergency condition worldwide, with associated mortality rates of up to 30%. A scarcity of high-quality studies about the condition limits the knowledge base for clinical decision making, but a few published randomised trials are available. Although Helicobacter pylori and use of non-steroidal anti-inflammatory drugs are common causes, demographic differences in age, sex, perforation location, and underlying causes exist between countries, and mortality rates also vary. Clinical prediction rules are used, but accuracy varies with study population. Early surgery, either by laparoscopic or open repair, and proper sepsis management are essential for good outcome. Selected patients can be managed non-operatively or with novel endoscopic approaches, but validation of such methods in trials is needed. Quality of care, sepsis care bundles, and postoperative monitoring need further assessment. Adequate trials with low risk of bias are urgently needed to provide better evidence. We summarise the evidence for perforated peptic ulcer management and identify directions for future clinical research. Copyright © 2015 Elsevier Ltd. All rights reserved.

Radiation shielding plate

International Nuclear Information System (INIS)

Kobayashi, Torakichi; Sugawara, Takeo.

1983-01-01

Purpose: To reduce the weight and stabilize the configuration of a radiation shielding plate which is used in close contact with an object to be irradiated with radiation rays. Constitution: The radiation shielding plate comprises a substrate made of lead glass and a metallic lead coating on the surface of the substrate by means of plating, vapor deposition or the like. Apertures for permeating radiation rays are formed to the radiation shielding plate. Since the shielding plate is based on a lead glass plate, a sufficient mechanical strength can be obtained with a thinner structure as compared with the conventional plate made of metallic lead. Accordingly, if the shielding plate is disposed on a soft object to be irradiated with radiation rays, the object and the plate itself less deform to obtain a radiation irradiation pattern with distinct edges. (Moriyama, K.)

[Saphenous perforator flap].

Science.gov (United States)

Winkel, R; Tajsic, N; Husum, H; Schlageter, M; Hanebuth, G; Hoffmann, R

2013-04-01

Replacement of full thickness soft tissue defects in the lower leg and ankle, appropriate to the defect and following the course of blood vessels feeding the skin of a distally hinged fasciocutaneous flap most reliably based on the individual anatomy of distal perforators of the posterior tibial artery. Full thickness soft tissue defects, up to 12 cm in length and up to 8 cm in width. Sufficient vascularization of the foot required, in osteomyelitis, and when joints, fractures, implants and tendons are exposed and when a split skin graft, a local flap, a suralis perforator flap or a free flap is not indicated. For patients, in whom a 1-2 h operation is not possible; necessity of angioplasty; decollement or scars around the distal perforators of the posterior tibial artery; local infection or necrosis of soft tissues and/or bone, which cannot be totally excised. Radical debridement; flap dissection without tourniquet; microdissection; design of the flap on the skin: pivot point ~ 10 cm (6-14 cm) proximal of the tip of the medial malleolus; base ~ 5 cm in width, between the course of the saphenous nerve and of the great saphenous vein and the Achilles tendon; adipofascial pedicle up to 15 cm in length sited over the septum between soleus and flexor digitorum muscles, following the course of the saphenous nerve, with a central skin stripe, which expands into a proximal skin island; skin island is outlined similar to the defect, but larger by 1 to 2 cm, surrounded by an adipofascial border: adjustment of the planning as well as of the elevation of these flaps according to the individual position and the caliber of perforators requires in each case the search for a perforator at the estimated pivot point. Delay of transposition, if the division of more than one perforator proximal to the pivot point obviously diminishes circulation. No "tunnelling "of the pedicle; defects of skin due to the elevation of the flap are replaced by split and meshed skin grafts or temporary

Perforated marginal ulcers after laparoscopic gastric bypass.

Science.gov (United States)

Felix, Edward L; Kettelle, John; Mobley, Elijah; Swartz, Daniel

2008-10-01

Perforated marginal ulcer (PMU) after laparoscopic Roux-en-Y gastric bypass (LRYGB) is a serious complication, but its incidence and etiology have rarely been investigated. Therefore, a retrospective review of all patients undergoing LRYGB at the authors' center was conducted to determine the incidence of PMU and whether any causative factors were present. A prospectively kept database of all patients at the authors' bariatric center was retrospectively reviewed. The complete records of patients with a PMU were examined individually for accuracy and analyzed for treatment, outcome, and possible underlying causes of the marginal perforation. Between April 1999 and August 2007, 1% of the patients (35/3,430) undergoing laparoscopic gastric bypass experienced one or more perforated marginal ulcers 3 to 70 months (median, 18 months) after LRYGB. The patients with and without perforation were not significantly different in terms of mean age (37 vs 41 years), weight (286 vs 287 lb), body mass index (BMI) (46 vs 47), or female gender (89% vs 83%). Of the patients with perforations, 2 (6%) were taking steroids, 10 (29%) were receiving nonsteroidal antiinflammatory drugs (NSAIDs) at the time of the perforation, 18 (51%) were actively smoking, and 6 of the smokers also were taking NSAIDs. Eleven of the patients (31%) who perforated did not have at least one of these possible risk factors, but 4 (36%) of the 11 patients in this group had been treated after bypass for a marginal ulcer. Only 7 (20%) of the 35 patients who had laparoscopic bypass, or 7 (0.2%) in the entire group of 3,430 patients, perforated without any warning. There were no deaths, but three patients reperforated. The incidence of a marginal ulcer perforating after LRYGB was significant (>1%) and appeared to be related to smoking or the use of NSAIDs or steroids. Because only 0.2% of all patients acutely perforated without some risk factor or warning, long-term ulcer prophylaxis or treatment may be necessary

Imaging gastrointestinal perforation in pediatric blunt abdominal trauma

International Nuclear Information System (INIS)

Jamieson, D.H.; Babyn, P.S.; Pearl, R.

1996-01-01

Objective. To assess the role of imaging, in particular CT, in the early detection of GI perforation. Subjects and methods. In a 10-year period, 43 patients with surgically confirmed GI perforation were identified from hospital records; 22 of these had preoperative CT evaluation. Medical records and radiology were retrospectively reviewed and CT studies were particularly assessed for extraluminal air, free intraperitoneal fluid, bowel wall thickening, bowel wall enhancement, and bowel dilatation. During the study period an additional 12 trauma patients were identified who had CT studies demonstrating the above findings, but who had hypovolemic shock bowel or nondisrupting bowel injury without perforation evident. Results. Extraluminal air was demonstrated in 47 % of the imaged perforations. There was one false-positive extraluminal air. Perforation was confirmed in patients who had all five of the above CT findings, but this was the case for only 18 % of patients with perforation. One or more of the five specified CT findings were present in all CT studies reviewed. No false-negative CT study was performed in the study period. Conclusion. Separating nondisrupting bowel injury from perforation is diagnostically difficult; however, CT remains a good modality for assessing GI perforation in pediatric blunt trauma, but it cannot replace diligent and repeated clinical evaluation of all potential perforation victims. (orig.). With 4 figs., 1 tab

Monte Carlo simulations of microchannel plate detectors I: steady-state voltage bias results

Energy Technology Data Exchange (ETDEWEB)

Ming Wu, Craig Kruschwitz, Dane Morgan, Jiaming Morgan

2008-07-01

X-ray detectors based on straight-channel microchannel plates (MCPs) are a powerful diagnostic tool for two-dimensional, time-resolved imaging and timeresolved x-ray spectroscopy in the fields of laser-driven inertial confinement fusion and fast z-pinch experiments. Understanding the behavior of microchannel plates as used in such detectors is critical to understanding the data obtained. The subject of this paper is a Monte Carlo computer code we have developed to simulate the electron cascade in a microchannel plate under a static applied voltage. Also included in the simulation is elastic reflection of low-energy electrons from the channel wall, which is important at lower voltages. When model results were compared to measured microchannel plate sensitivities, good agreement was found. Spatial resolution simulations of MCP-based detectors were also presented and found to agree with experimental measurements.

Thermal Hydraulic Fortran Program for Steady State Calculations of Plate Type Fuel Research Reactors

International Nuclear Information System (INIS)

Khedr, H.

2008-01-01

The safety assessment of Research and Power Reactors is a continuous process over their life and that requires verified and validated codes. Power Reactor codes all over the world are well established and qualified against a real measuring data and qualified experimental facilities. These codes are usually sophisticated, require special skills and consume much more running time. On the other hand, most of the Research Reactor codes still requiring more data for validation and qualification. Therefore it is benefit for a regulatory body and the companies working in the area of Research Reactor assessment and design to have their own program that give them a quick judgment. The present paper introduces a simple one dimensional Fortran program called THDSN for steady state best estimate Thermal Hydraulic (TH) calculations of plate type fuel RRs. Beside calculating the fuel and coolant temperature distribution and pressure gradient in an average and hot channel the program calculates the safety limits and margins against the critical phenomena encountered in RR such as the burnout heat flux and the onset of flow instability. Well known TH correlations for calculating the safety parameters are used. THDSN program is verified by comparing its results for 2 and 10 MW benchmark reactors with that published in IAEA publications and good agreement is found. Also the program results are compared with those published for other programs such as PARET and TERMIC. An extension for this program is underway to cover the transient TH calculations

Thermal-hydraulic Fortran program for steady-state calculations of plate-type fuel research reactors

Directory of Open Access Journals (Sweden)

Khedr Ahmed

2008-01-01

Full Text Available The safety assessment of research and power reactors is a continuous process covering their lifespan and requiring verified and validated codes. Power reactor codes all over the world are well established and qualified against real measuring data and qualified experimental facilities. These codes are usually sophisticated, require special skills and consume a lot of running time. On the other hand, most research reactor codes still require much more data for validation and qualification. It is, therefore, of benefit to any regulatory body to develop its own codes for the review and assessment of research reactors. The present paper introduces a simple, one-dimensional Fortran program called THDSN for steady-state thermal-hydraulic calculations of plate-type fuel research reactors. Besides calculating the fuel and coolant temperature distributions and pressure gradients in an average and hot channel, the program calculates the safety limits and margins against the critical phenomena encountered in research reactors, such as the onset of nucleate boiling, critical heat flux and flow instability. Well known thermal-hydraulic correlations for calculating the safety parameters and several formulas for the heat transfer coefficient have been used. The THDSN program was verified by comparing its results for 2 and 10 MW benchmark reactors with those published in IAEA publications and a good agreement was found. Also, the results of the program are compared with those published for other programs, such as the PARET and TERMIC.

The Asymptotic Solution for the Steady Variable-Viscosity Free ...

African Journals Online (AJOL)

Under an arbitrary time-dependent heating of an infinite vertical plate (or wall), the steady viscosity-dependent free convection flow of a viscous incompressible fluid is investigated. Using the asymptotic method of solution on the governing equations of motion and energy, the resulting Ordinary differential equations were ...

Experimental perforation of tubing with a hydraulic sand jet

Energy Technology Data Exchange (ETDEWEB)

Semenov, Yu V

1970-01-01

A series of field tests has shown that perforation with a hydraulic sand jet improves the quality of well completion. The sand jet does not crack the cement sheath or the casing, and the perforations are larger and deeper than perforations formed by explosive charges. Fluid circulation during sand jet perforation can safely be stopped for at least 10 min. Water containing a surfactant can be used as a sand carrier. Sand jet perforation allows successful completion of wells cased by 2 tubing strings. Sand jet perforation can be used to clean the borehole well and to remove foreign objects from the well.

A simple heat transfer model for a heat flux plate under transient conditions

International Nuclear Information System (INIS)

Ryan, L.; Dale, J.D.

1985-01-01

Heat flux plates are used for measuring rates of heat transfer through surfaces under steady state and transient conditions. Their usual construction is to have a resistive layer bounded by thermopiles and an exterior layer for protection. If properly designed and constructed a linear relationship between the thermopile generated voltage and heat flux results and calibration under steady state conditions is straight forward. Under transient conditions however the voltage output from a heat flux plate cannot instantaneously follow the heat flux because of the thermal capacitance of the plate and the resulting time lag. In order to properly interpret the output of a heat flux plate used under transient conditions a simple heat transfer model was constructed and tested. (author)

Perforated Sigmoid Diverticular Disease: a Management Protocol

Science.gov (United States)

Moin, Thajammul

2008-01-01

Background: To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. Methods: A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. Results: Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination. Conclusions: A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease. PMID:18435896

Ex vivo biomechanical evaluation of pigeon (Columba livia) cadaver intact humeri and ostectomized humeri stabilized with caudally applied titanium locking plate or stainless steel nonlocking plate constructs.

Science.gov (United States)

Darrow, Brett G; Biskup, Jeffrey J; Weigel, Joseph P; Jones, Michael P; Xie, Xie; Liaw, Peter K; Tharpe, Josh L; Sharma, Aashish; Penumadu, Dayakar

2017-05-01

OBJECTIVE To evaluate mechanical properties of pigeon (Columba livia) cadaver intact humeri versus ostectomized humeri stabilized with a locking or nonlocking plate. SAMPLE 30 humeri from pigeon cadavers. PROCEDURES Specimens were allocated into 3 groups and tested in bending and torsion. Results for intact pigeon humeri were compared with results for ostectomized humeri repaired with a titanium 1.6-mm screw locking plate or a stainless steel 1.5-mm dynamic compression plate; the ostectomized humeri mimicked a fracture in a thin cortical bone. Locking plates were secured with locking screws (2 bicortical and 4 monocortical), and nonlocking plates were secured with bicortical nonlocking screws. Constructs were cyclically tested nondestructively in 4-point bending and then tested to failure in bending. A second set of constructs were cyclically tested non-destructively and then to failure in torsion. Stiffness, strength, and strain energy of each construct were compared. RESULTS Intact specimens were stiffer and stronger than the repair groups for all testing methods, except for nonlocking constructs, which were significantly stiffer than intact specimens under cyclic bending. Intact bones had significantly higher strain energies than locking plates in both bending and torsion. Locking and nonlocking plates were of equal strength and strain energy, but not stiffness, in bending and were of equal strength, stiffness, and strain energy in torsion. CONCLUSIONS AND CLINICAL RELEVANCE Results for this study suggested that increased torsional strength may be needed before bone plate repair can be considered as the sole fixation method for avian species.

Perforator anatomy of the ulnar forearm fasciocutaneous flap.

Science.gov (United States)

Mathy, Jon A; Moaveni, Zachary; Tan, Swee T

2012-08-01

The ulnar forearm fasciocutaneous flap (UFFF) is a favourable alternative to the radial forearm flap when thin and pliable tissue is required. The precise anatomy of the cutaneous perforators of UFFF has not been previously reported. The position of cutaneous perforators>0.5 mm was recorded while raising 52 consecutive free UFFFs in 51 patients at our Centre. Three (6%) UFFFs in two patients demonstrated direct cutaneous supply through a superficial ulnar artery, a known anatomic variance. There was no cutaneous perforator>0.5 mm in one flap. Among the remaining 48 dissections, an average of 3 (range, 1-6) cutaneous perforators were identified. Ninety-four percent of these forearms demonstrated at least one perforator>0.5 mm within 3 cm, and all had at least one perforator within 6 cm of the midpoint of the forearm. Proximal perforators were more likely to be musculo-cutaneous through the edge of flexor carpi ulnaris or flexor digitorum superficialis, while mid- to distal perforators were septo-cutaneous. UFFF skin paddle designed to overlie an area within 3 cm of the midpoint between the medial epicondyle and the pisiform is most likely to include at least one cutaneous perforator from the ulnar artery, without a need for intra-operative skin island adjustment. This novel anatomic finding and other practical generalisations are discussed to facilitate successful elevation of UFFF. Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Perforated gastric carcinoma in a young-age patient

Directory of Open Access Journals (Sweden)

Feng-Hsu Wu

2018-06-01

Full Text Available Perforation is a rare complication of gastric carcinoma, and it occurs in less than 5% of all gastric carcinoma cases and in less than 1% within all acute abdomen cases. The diagnosis of malignancy is usually not validated preoperatively. In previous reported English literature, all patients with perforated gastric cancer have the feature of old age. This feature might be able to guide the surgeon to impress the differential diagnosis of malignancy before or during the emergent operation of gastric perforation.This 32-year-old male patient suffered from sudden onset of epigastric pain. We performed emergent operation under the impression of hollow organ perforation. The postoperative pathologic report of gastric ulcer revealed gastric carcinoma. We performed second-stage operation of total gastrectomy with D2 lymphadenectomy smoothly 7 days later. As we know, this is the youngest patient having the condition of perforated gastric carcinoma reported in the literature. This case reminds us that it is possible for perforated gastric carcinoma to occur in young-age patients. Keywords: Gastric cancer, Acute abdomen, Gastric perforation

Simulation and Experimental Study on the Steady Conduction Solution for Continuous Rheo-Casting for A356 Alloy

Energy Technology Data Exchange (ETDEWEB)

Duc, Do Minh; Hai, Nguyen Hong; Quang, Pham [Hanoi University of Science and Technology (HUST), Hanoi (Viet Nam)

2017-03-15

Computational fluid dynamic modeling of a continuous rheo-casting technology was conducted, consistent with the manufacturing of 3 {sup mm-thin} plates made of aluminum alloy A356. The A numerical simulation on of the stabilizing time of the material crystallization was carried out using the ANSYS FLUENT code. Solidification and melting models were simulated with heat transfer and solid-liquid phase transformation involving the latent heat of crystallization were simulated. The calculated temperature distribution and the evolution of cooling rate through the material were examined and used to clarify their influence on microstructure, and further investigated with hardness testing. The thickness of the mushy zone was determined for the steady conduction solution of the continuous rheo-casting process.

PERFORATED PEPTIC ULCER: A CLINICAL ANALYSIS AND OUTCOME

OpenAIRE

Bijit

2016-01-01

BACKGROUND The incidence of perforated peptic ulcer is approximately 7-10 cases per one lakh population per year. Perforation is seen in about 7% of patients hospitalized for peptic ulcer disease. Peptic ulcer perforation, which can be gastric/duodenal perforation can be a serious life-threatening condition if not detected early and treated urgently. Peptic ulcer disease has decreased considerably worldwide with the advent of potent anti-ulcer medicines, but its complication l...

Stability of Carotid Artery Under Steady-State and Pulsatile Blood Flow: A Fluid–Structure Interaction Study

Science.gov (United States)

Saeid Khalafvand, Seyed; Han, Hai-Chao

2015-01-01

It has been shown that arteries may buckle into tortuous shapes under lumen pressure, which in turn could alter blood flow. However, the mechanisms of artery instability under pulsatile flow have not been fully understood. The objective of this study was to simulate the buckling and post-buckling behaviors of the carotid artery under pulsatile flow using a fully coupled fluid–structure interaction (FSI) method. The artery wall was modeled as a nonlinear material with a two-fiber strain-energy function. FSI simulations were performed under steady-state flow and pulsatile flow conditions with a prescribed flow velocity profile at the inlet and different pressures at the outlet to determine the critical buckling pressure. Simulations were performed for normal (160 ml/min) and high (350 ml/min) flow rates and normal (1.5) and reduced (1.3) axial stretch ratios to determine the effects of flow rate and axial tension on stability. The results showed that an artery buckled when the lumen pressure exceeded a critical value. The critical mean buckling pressure at pulsatile flow was 17–23% smaller than at steady-state flow. For both steady-state and pulsatile flow, the high flow rate had very little effect (<5%) on the critical buckling pressure. The fluid and wall stresses were drastically altered at the location with maximum deflection. The maximum lumen shear stress occurred at the inner side of the bend and maximum tensile wall stresses occurred at the outer side. These findings improve our understanding of artery instability in vivo. PMID:25761257

Stability of carotid artery under steady-state and pulsatile blood flow: a fluid-structure interaction study.

Science.gov (United States)

Saeid Khalafvand, Seyed; Han, Hai-Chao

2015-06-01

It has been shown that arteries may buckle into tortuous shapes under lumen pressure, which in turn could alter blood flow. However, the mechanisms of artery instability under pulsatile flow have not been fully understood. The objective of this study was to simulate the buckling and post-buckling behaviors of the carotid artery under pulsatile flow using a fully coupled fluid-structure interaction (FSI) method. The artery wall was modeled as a nonlinear material with a two-fiber strain-energy function. FSI simulations were performed under steady-state flow and pulsatile flow conditions with a prescribed flow velocity profile at the inlet and different pressures at the outlet to determine the critical buckling pressure. Simulations were performed for normal (160 ml/min) and high (350 ml/min) flow rates and normal (1.5) and reduced (1.3) axial stretch ratios to determine the effects of flow rate and axial tension on stability. The results showed that an artery buckled when the lumen pressure exceeded a critical value. The critical mean buckling pressure at pulsatile flow was 17-23% smaller than at steady-state flow. For both steady-state and pulsatile flow, the high flow rate had very little effect (<5%) on the critical buckling pressure. The fluid and wall stresses were drastically altered at the location with maximum deflection. The maximum lumen shear stress occurred at the inner side of the bend and maximum tensile wall stresses occurred at the outer side. These findings improve our understanding of artery instability in vivo.

Perforated membrane-type acoustic metamaterials

International Nuclear Information System (INIS)

Langfeldt, F.; Kemsies, H.; Gleine, W.; Estorff, O. von

2017-01-01

This letter introduces a modified design of membrane-type acoustic metamaterials (MAMs) with a ring mass and a perforation so that an airflow through the membrane is enabled. Simplified analytical investigations of the perforated MAM (PMAM) indicate that the perforation introduces a second anti-resonance, where the effective surface mass density of the PMAM is much higher than the static value. The theoretical results are validated using impedance tube measurements, indicating good agreement between the theoretical predictions and the measured data. The anti-resonances yield high low-frequency sound transmission loss values with peak values over 25 dB higher than the corresponding mass-law. - Highlights: • A new membrane-type acoustic metamaterial exhibiting negative density is presented. • The metamaterial design contains a ring mass with a perforation through the membrane. • The sound transmission loss exhibits narrow-band peaks much higher than the mass-law. • The emergence of the peaks is explained using a simple theoretical model. • Impedance tube measurements are used to validate the theoretical predictions.

Perforated membrane-type acoustic metamaterials

Energy Technology Data Exchange (ETDEWEB)

Langfeldt, F., E-mail: Felix.Langfeldt@haw-hamburg.de [Department of Automotive and Aeronautical Engineering, Hamburg University of Applied Sciences, Berliner Tor 9, D-20099 Hamburg (Germany); Kemsies, H., E-mail: Hannes.Kemsies@haw-hamburg.de [Department of Automotive and Aeronautical Engineering, Hamburg University of Applied Sciences, Berliner Tor 9, D-20099 Hamburg (Germany); Gleine, W., E-mail: Wolfgang.Gleine@haw-hamburg.de [Department of Automotive and Aeronautical Engineering, Hamburg University of Applied Sciences, Berliner Tor 9, D-20099 Hamburg (Germany); Estorff, O. von, E-mail: estorff@tu-harburg.de [Institute of Modelling and Computation, Hamburg University of Technology, Denickestr. 17, D-21073 Hamburg (Germany)

2017-04-25

This letter introduces a modified design of membrane-type acoustic metamaterials (MAMs) with a ring mass and a perforation so that an airflow through the membrane is enabled. Simplified analytical investigations of the perforated MAM (PMAM) indicate that the perforation introduces a second anti-resonance, where the effective surface mass density of the PMAM is much higher than the static value. The theoretical results are validated using impedance tube measurements, indicating good agreement between the theoretical predictions and the measured data. The anti-resonances yield high low-frequency sound transmission loss values with peak values over 25 dB higher than the corresponding mass-law. - Highlights: • A new membrane-type acoustic metamaterial exhibiting negative density is presented. • The metamaterial design contains a ring mass with a perforation through the membrane. • The sound transmission loss exhibits narrow-band peaks much higher than the mass-law. • The emergence of the peaks is explained using a simple theoretical model. • Impedance tube measurements are used to validate the theoretical predictions.

Effects of Damping Plate and Taut Line System on Mooring Stability of Small Wave Energy Converter

Directory of Open Access Journals (Sweden)

Zhen Liu

2015-01-01

Full Text Available Ocean wave energy can be used for electricity supply to ocean data acquisition buoys. A heaving buoy wave energy converter is designed and the damping plate and taut line system are used to provide the mooring stability for better operating conditions. The potential flow assumption is employed for wave generation and fluid structure interactions, which are processed by the commercial software AQWA. Effects of damping plate diameter and taut line linking style with clump and seabed weights on reduction of displacements in 6 degrees of freedom are numerically studied under different operating wave conditions. Tensile forces on taut lines of optimized mooring system are tested to satisfy the national code for wire rope utilization.

Oriented cluster perforating technology and its application in horizontal wells

Directory of Open Access Journals (Sweden)

Huabin Chen

2016-11-01

Full Text Available An oriented cluster perforating technology, which integrates both advantages of cluster and oriented perforating, will help solve a series of technical complexities in horizontal well drilling. For realizing its better application in oil and gas development, a series of technologies were developed including perforator self-weight eccentricity, matching of the electronic selective module codes with the surface program control, axial centralized contact signal transmission, and post-perforation intercluster sealing insulation. In this way, the following functions could be realized, such as cable-transmission horizontal well perforator self-weight orientation, dynamic signal transmission, reliable addressing & selective perforation and post-perforation intercluster sealing. The combined perforation and bridge plug or the multi-cluster perforation can be fulfilled in one trip of perforation string. As a result, the horizontal-well oriented cluster perforating technology based on cable conveying was developed. This technology was successfully applied in unconventional gas reservoir exploitation, such as shale gas and coalbed methane, with accurate orientation, reliable selective perforation and satisfactory inter-cluster sealing. The horizontal-well oriented cluster perforating technology benefits the orientation of horizontal well drilling with a definite target and direction, which provides a powerful support for the subsequent reservoir stimulation. It also promotes the fracturing fluid to sweep the principal pay zones to the maximum extent. Moreover, it is conductive to the formation of complex fracture networks in the reservoirs, making quality and efficient development of unconventional gas reservoirs possible.

The value of CT in detecting pathologic bowel perforation

International Nuclear Information System (INIS)

Chang, Jong Wun; Shin, Joo Yong; Kim, Hong; Rhee, Chang Soo; Lee, Sung Moon; Joo, Yang Goo; Suh, Soo Jhi

1997-01-01

To evaluate the usefulness of CT for assessing the location and cause of pathologic gastrointestinal perforation. A retrospective analysis of abdominal CT was performed in 27 perforations of 26 patients with underlying gastrointestinal pathology. Fifteen benign and 12 malignant perforations consisted of five gastric cancers, one gastric ulcer, ten duodenal bulb ulcers. two bowel adhesions, one jejunal metastasis from lung cancer, one ileocolic Crohn's disease, one radiation colitis and six colon cancers. CT scans were evaluated for 1) diagnosis of bowel perforation, 2) assessment of the cause and site of perforation, and, in particular, differentiation between benignancy and malignancy, and 3) complications and their extent. CT easily detected varying amounts of free air or fluid collection, and infiltration or abscess formation adjacent to the main lesion, and the diagnosis of gastrointestinal perforation was therefore easy. In 11 of the 12 malignancies (92%), primary tumor was diagnosed, but detection of the site of perforation was possible in only seven cases(7/12, 58%). The 15 benign lesions revealed nonspecific CT findings, and the perforation site could be presumed in six (6/15, 40%). In one case of Crohn's disease, the primary cause was visualized. Among six colonic cancers, four pericolic abscesses and two fistulas to adjacent organs were found, but there was no evidence of diffuse peritonitis. CT was helpful to lead to optimal treatment of pathologic gastrointestinal On CT the detectability of perforation, primary benign or malignant lesion, perforation site and extent of complication was high, and this modality was therefore a useful indicator of the optimal treatment for pathologic gastrointestinal perforations.=20

Duodenal perforation during percutaneous nephrolithotomy (PCNL ...

African Journals Online (AJOL)

A. Bansal

2016-06-03

Jun 3, 2016 ... Calculus;. Duodenum;. Injury;. Paediatric;. Percutaneous nephrolithotomy. Abstract. Introduction: Colonic perforations are known complications of percutaneous nephrolithotomy (PCNL). However, to the best of our knowledge, small bowel perforation has rarely been reported.. Observation: We report the ...

External perforated window Solar Screens: The effect of screen depth and perforation ratio on energy performance in extreme desert environments

KAUST Repository

Sherif, A.

2012-09-01

In hot arid desert environments, the solar radiation passing through windows increases the cooling loads and the energy consumption of buildings. Shading of windows can reduce these loads. Unlike the woven solar screens, wooden solar screens have a thickness that provides selective shading properties. Perforated wooden solar screens were traditionally used for windows shading. Developing modern types of these shading systems can lead to significant energy savings. The paper addresses the influence of changing the perforation percentage and depth of these screens on the annual energy loads, hence defining the optimum depth/perforation configurations for various window orientations. Series of experiments were performed using the EnergyPlus simulation software for a typical residential building in the Kharga Oasis, located in the Egyptian desert. A range of perforation percentages and depths were tested. Conclusions prove that external fixed deep perforated solar screens could effectively achieve energy savings up to 30% of the total energy consumption in the West and South orientations. Optimum range of depths and perforation percentages were recommended. These are: 80-90% perforation rate and 1:1 depth/opening width ratio. These lighter and deeper solar screen configurations were found to be more efficient in energy consumption in comparison with the traditional ones. © 2012 Elsevier B.V. All rights reserved.

Management of pediatric mandibular fractures using bioresorbable plating system – Efficacy, stability, and clinical outcomes: Our experiences and literature review

Science.gov (United States)

Singh, Mahinder; Singh, R.K.; Passi, Deepak; Aggarwal, Mohit; Kaur, Guneet

2015-01-01

Aims The purpose of this study was to determine the efficacy and stability of the biodegradable fixation system for treatment of mandible fractures in pediatric patients by measuring the bite force. Methods Sixty pediatric patients with mandibular fractures (36 males, 24 females) were included in this study. The 2.5-mm resorbable plates were adapted along Champy's line of ideal osteosynthesis and secured with four 2.5 mm diameter monocortical resorbable screws, 8 mm in length. All patients were followed for 10 months. Clinical parameters, such as soft tissue infection, nonunion, malunion, implant exposure, malocclusion, nerve injury, and bite force for stability, were prospectively assessed. Results Adequate fixation and primary bone healing was achieved in 100% of the cases. Six minor complications (10%) were observed: 2 soft tissue infections (3%), 1 plate dehiscence (2%), 1 malocclusion (2%), and 2 paresthesia (3%). Conclusion 2.5-mm resorbable plating system along Champy's line of ideal osteosynthesis is a good treatment modality for mandible fractures in pediatric patients. PMID:27195206

Intestinal perforation by an ingested foreign body*

Science.gov (United States)

Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F. S.; de Castro, Francisco Gomes; Miller, Wagner Peitl; de Lima, Raphael Rodrigues; Tazima, Leandro; Geraldo, Jamylle

2016-01-01

Objective To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. PMID:27818542

Intestinal perforation by an ingested foreign body

International Nuclear Information System (INIS)

Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F.S.; Castro, Francisco Gomes de; Miller, Wagner Peitl; Lima, Raphael Rodrigues de; Tazima, Leandro; Geraldo, Jamylle

2016-01-01

Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. (author)

Intestinal perforation by an ingested foreign body.

Science.gov (United States)

Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F S; de Castro, Francisco Gomes; Miller, Wagner Peitl; de Lima, Raphael Rodrigues; Tazima, Leandro; Geraldo, Jamylle

2016-01-01

To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

Intestinal perforation by an ingested foreign body

Energy Technology Data Exchange (ETDEWEB)

Nicolodi, Gabriel Cleve; Trippia, Cesar Rodrigo; Caboclo, Maria Fernanda F.S.; Castro, Francisco Gomes de; Miller, Wagner Peitl; Lima, Raphael Rodrigues de; Tazima, Leandro; Geraldo, Jamylle, E-mail: gabrielnicolodi@gmail.com [Hospital Sao Vicente - Funef, Curitiba, PR (Brazil)

2016-09-15

Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation. (author)

Intestinal perforation by an ingested foreign body

Directory of Open Access Journals (Sweden)

Gabriel Cleve Nicolodi

Full Text Available Abstract Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases, increased density of mesenteric fat (in all four cases, identification of the foreign body passing through the intestinal wall (in three cases, and gas in the peritoneal cavity (in one case. Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

Neurodevelopmental outcome after neonatal perforator stroke

NARCIS (Netherlands)

Ecury-Goossen, Ginette M; van der Haer, Marit; Smit, Liesbeth S; Feijen-Roon, Monique; Lequin, Maarten; de Jonge, Rogier C J; Govaert, Paul; Dudink, Jeroen

AIM: To assess outcome after neonatal perforator stroke in the largest cohort to date. METHOD: Survivors from a cohort of children diagnosed with neonatal perforator stroke using cranial ultrasound or magnetic resonance imaging were eligible for inclusion. Recovery and Recurrence Questionnaire

Well-plate freeze-drying

DEFF Research Database (Denmark)

Trnka, Hjalte; Rantanen, Jukka; Grohganz, Holger

2015-01-01

Abstract Context: Freeze-drying in presence of excipients is a common practice to stabilize biomacromolecular formulations. The composition of this formulation is known to affect the quality of the final product. Objective: The aim of this study was to evaluate freeze-drying in well-plates as a h......Abstract Context: Freeze-drying in presence of excipients is a common practice to stabilize biomacromolecular formulations. The composition of this formulation is known to affect the quality of the final product. Objective: The aim of this study was to evaluate freeze-drying in well......-plates as a high throughput platform for formulation screening of freeze-dried products. Methods: Model formulations consisting of mannitol, sucrose and bovine serum albumin were freeze-dried in brass well plates, plastic well plates and vials. Physical properties investigated were solid form, residual moisture......, cake collapse and reconstitution time. Results: Samples freeze-dried in well-plates had an acceptable visual cake appearance. Solid form analysis by high throughput X-ray powder diffraction indicated comparable polymorphic outcome independent of the container. The expected increase in moisture level...

Duodenal perforation: an unusual complication of sickle cell anemia.

Science.gov (United States)

Acıpayam, Can; Aldıç, Güliz; Akçora, Bülent; Çelikkaya, Mehmet Emin; Aşkar, Hasan; Dorum, Bayram Ali

2014-01-01

Duodenal perforation in childhood is a rare condition with a high mortality rate if not treated surgically. Primary gastroduodenal perforation is frequently associated with peptic ulcer and exhibits a positive family history. Helicobacter pylorus is the most significant agent. Secondary gastroduodenal perforation may be a finding of specific diseases, such as Crohn disease, or more rarely may be associated with diseases such as cystic fibrosis or sickle cell anemia. A 14-year-old boy presented with abdominal and back pain. The patient was operated on for acute abdomen and diagnosed with duodenal perforation. Helicobacter pylorus was negative. There was no risk factor to account for duodenal perforation other than sickle cell anemia. Surgical intervention was successful and without significant sequelae. Duodenal perforation is a rare entity described in patients with sickle cell anemia. To our knowledge, this is the first report of duodenal perforation in a patient sickle cell anemia.

Vitrification of F006 plating waste sludge by Reactive Additive Stabilization Process (RASP)

International Nuclear Information System (INIS)

Martin, H.L.; Jantzen, C.M.; Pickett, J.B.

1994-01-01

Solidification into glass of nickel-on-uranium plating wastewater treatment plant sludge (F006 Mixed Waste) has been demonstrated at the Savannah River She (SRS). Vitrification using high surface area additives, the Reactive Additive Stabilization Process (RASP), greatly enhanced the solubility and retention of heavy metals In glass. The bench-scale tests using RASP achieved 76 wt% waste loading In both soda-lime-silica and borosilicate glasses. The RASP has been Independently verified by a commercial waste management company, and a contract awarded to vitrify the approximately 500,000 gallons of stored waste sludge. The waste volume reduction of 89% will greatly reduce the disposal costs, and delisting of the glass waste is anticipated. This will be the world's first commercial-scale vitrification system used for environmental cleanup of Mixed Waste. Its stabilization and volume reduction abilities are expected to set standards for the future of the waste management Industry

The value of CT in detecting pathologic bowel perforation

Energy Technology Data Exchange (ETDEWEB)

Chang, Jong Wun; Shin, Joo Yong; Kim, Hong; Rhee, Chang Soo; Lee, Sung Moon; Joo, Yang Goo; Suh, Soo Jhi [Keimyung Univ. School of Medicine, Taegu (Korea, Republic of)

1997-10-01

To evaluate the usefulness of CT for assessing the location and cause of pathologic gastrointestinal perforation. A retrospective analysis of abdominal CT was performed in 27 perforations of 26 patients with underlying gastrointestinal pathology. Fifteen benign and 12 malignant perforations consisted of five gastric cancers, one gastric ulcer, ten duodenal bulb ulcers. two bowel adhesions, one jejunal metastasis from lung cancer, one ileocolic Crohn's disease, one radiation colitis and six colon cancers. CT scans were evaluated for (1) diagnosis of bowel perforation, (2) assessment of the cause and site of perforation, and, in particular, differentiation between benignancy and malignancy, and (3) complications and their extent. CT easily detected varying amounts of free air or fluid collection, and infiltration or abscess formation adjacent to the main lesion, and the diagnosis of gastrointestinal perforation was therefore easy. In 11 of the 12 malignancies (92%), primary tumor was diagnosed, but detection of the site of perforation was possible in only seven cases(7/12, 58%). The 15 benign lesions revealed nonspecific CT findings, and the perforation site could be presumed in six (6/15, 40%). In one case of Crohn's disease, the primary cause was visualized. Among six colonic cancers, four pericolic abscesses and two fistulas to adjacent organs were found, but there was no evidence of diffuse peritonitis. CT was helpful to lead to optimal treatment of pathologic gastrointestinal On CT the detectability of perforation, primary benign or malignant lesion, perforation site and extent of complication was high, and this modality was therefore a useful indicator of the optimal treatment for pathologic gastrointestinal perforations.=20.

Laparoscopic treatment of perforated appendicitis

Science.gov (United States)

Lin, Heng-Fu; Lai, Hong-Shiee; Lai, I-Rue

2014-01-01

The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. PMID:25339821

DETERMINATION OF THE TEMPERATURE DISTRIBUTION THE PERFORATED FINS UNDER

Directory of Open Access Journals (Sweden)

Aziz7 M. Mhamuad

2015-02-01

Full Text Available This work treats the problem of heat transfer for perforated fins under natural convection. The temperature distribution is examined for an array of rectangular fins (15 fins with uniform cross-sectional area (100x270 mm embedded with various vertical body perforations that extend through the fin thickness. The patterns of perforations include 18 circular perforations (holes. Experiments were carried out in an experimental facility that was specifically design and constructed for this purpose. The heat transfer rate and the coefficient of heat transfer increases with perforation diameter increased. 

Perforated peptic ulcer: How to improve outcome?

DEFF Research Database (Denmark)

Møller, Morten Hylander; Adamsen, Sven; Wøjdemann, Morten

2008-01-01

Despite the introduction of histamine H(2)-receptor antagonists, proton-pump inhibitors and the discovery of Helicobacter pylori, both the incidence of emergency surgery for perforated peptic ulcer and the mortality rate for patients undergoing surgery for peptic ulcer perforation have increased...... with an emphasis on risks that are preventable. A systematic review including randomized studies was carried out. There are a limited number of studies of patients with peptic ulcer perforation. Most of these studies are of low evidential status. Only a few randomized, controlled trials have been published...... to improve the outcome of patients with peptic ulcer perforation, sepsis needs to be factored into the existing knowledge and treatment Udgivelsesdato: 2008/8/27...

Study of hydrodynamic and mass transfer parameters in pulsed sieve-plate columns

International Nuclear Information System (INIS)

Safdari, J.

2001-01-01

One of the most important liquid-liquid extractor in industry is pulsed column. The pulsed columns are generally classified into the following categories: 1-Pulsed perforated-plate column. 2- Pulsed packed column. The pulsed plate column is differential contactor with the application of mechanical energy and is used for a diverse range of processes. Probably its best known application has been in the nuclear fuel industry. The pulsed plate column consists of a cylindrical shell with settling zones at the top and the bottom of the column. The liquids are fed continuously to the column (flowing counter-currently) and are removed continuously from opposite ends of the column. In this work using a pilot pulsed plate column and two different chemical systems (toluene/acetone/water and n-butyl acetate/acetone/water) various experiments are carried out. In each experiment direction of mass transfer is from organic phase (dispersed phase) into aqueous phase (continuous phase) and the continuous phase is water. The main objects of this thesis are as follow: a- Investigation of effect of operating parameters on dispersed phase hold up, volumetric overall mass transfer coefficients based on dispersed and continuous phase, extraction efficiency, pressure drop of column and flooding velocities (maximum column capacities). Obtained results in this part show that if the calorimetric flow rate of aqueous phase or pulsation intensity increase, hold up, volumetric overall mass transfer coefficients based on both two phases and extraction efficiency will increase and flooding velocities will decrease. Also results show that if volumetric flow rate of organic phase increase, hold up, volumetric mass transfer coefficients based on both two phases and pressure drop will increase and extraction efficiency and flooding velocities will decrease. b- Investigation of effect of internal circulation inside drops in designing pulsed perforated-plate column

Fast track pathway for perforated appendicitis.

Science.gov (United States)

Frazee, Richard; Abernathy, Stephen; Davis, Matthew; Isbell, Travis; Regner, Justin; Smith, Randall

2017-04-01

Perforated appendicitis is associated with an increased morbidity and length of stay. "Fast track" protocols have demonstrated success in shortening hospitalization without increasing morbidity for a variety of surgical processes. This study evaluates a fast track pathway for perforated appendicitis. In 2013, a treatment pathway for perforated appendicitis was adopted by the Acute Care Surgery Service for patients having surgical management of perforated appendicitis. Interval appendectomy was excluded. Patients were treated initially with intravenous antibiotics and transitioned to oral antibiotics and dismissed when medically stable and tolerating oral intake. A retrospective review of patients managed on the fast track pathway was undertaken to analyze length of stay, morbidity, and readmissions. Thirty-four males and twenty-one females with an average age of 46.8 years underwent laparoscopic appendectomy for perforated appendicitis between January 2013 and December 2014. Pre-existing comorbidities included hypertension 42%, diabetes mellitus 11%, COPD 5% and heart disease 2%. No patient had conversion to open appendectomy. Average length of stay was 2.67 days and ranged from 1 to 12 days (median 2 days). Postoperative morbidity was 20% and included abscess (6 patients), prolonged ileus (3 patients), pneumonia (1 patient), and congestive heart failure (1 patient). Five patients were readmitted for abscess (3 patients), congestive heart failure (1 patient), and pneumonia (1 patient). A fast track pathway for perforated appendicitis produced shorter length of stay and acceptable postoperative morbidity and readmission. This offers the potential for significant cost savings over current national practice patterns. Copyright © 2016 Elsevier Inc. All rights reserved.

Aluminum cathode plates in zinc electrowinning cells: microstructural and failure analysis

International Nuclear Information System (INIS)

Buarzaiga, M.; Dreisinger, D.; Tromans, D.; Gonzalez, J.A.

2001-01-01

The microstructure of aluminum cathode plates used in zinc electrowinning was analyzed using optical microscopy, scanning electron microscopy, and transmission electron microscopy. Three principal phases dominated the microstructure: primary aluminum, uniformly distributed intermetallic particles, and round rosettes. The intermetallics exhibited blade shape morphology, light gray color, and were aligned in the rolling direction. The chemical composition of the intermetallic particles was consistent with FeAl 3 . Angular particles of elemental silicon were also detected. Failure characteristics of industrial cathode plates were analyzed using optical microscopy, scanning electron microscopy, energy dispersive x-ray analysis, and x-ray diffraction analysis. Three distinct corrosion zones were identified on failed plates: Zone I below the electrolyte/air interface, Zone II 0-40 mm above the electrolyte/air interface, and Zone III 40-140 mm above the electrolyte/air interface. After 24 months in service, the corrosion damage in Zones I and III was equivalent to ca. 10% reduction in plate thickness. Zone II experienced the greatest corrosion damage; the reduction in plate thickness was ca. 80%. Some plates exhibited severe thinning and perforation, which occurred preferentially near the electrical contact edge. Plates often fail in service by fracture in Zone II. (author)

The Heidelberg Appendicitis Score Predicts Perforated Appendicitis in Children.

Science.gov (United States)

Boettcher, Michael; Günther, Patrick; Breil, Thomas

2017-10-01

In the future, surgical management of pediatric appendicitis might become limited to nonperforating appendicitis. Thus, it becomes increasingly important to differentiate advanced from simple appendicitis and to predict perforated appendicitis among a group of children with right-sided abdominal pain, which was the aim of this study. An institutionally approved, single-center retrospective analysis of all patients with appendectomy from January 2009 to December 2010 was conducted. All diagnostic aspects were evaluated to identify predictors and differentiators of perforated appendicitis. In 2 years, 157 children suffered from appendicitis. Perforation occurred in 47 (29.9%) of the patients. C-reactive protein (CRP) levels higher than 20 mg/dL ( P = .037) and free abdominal fluid on ultrasonography ( P = .031) are the most important features to differentiate perforated from simple appendicitis. Moreover, all children with perforation had a positive Heidelberg Appendicitis Score (HAS). A negative HAS excludes perforation in all cases (negative predictive value = 100%). Perforated appendicitis can be ruled out by the HAS. In a cohort with right-sided abdominal pain, perforation should be considered in children with high CRP levels and free fluids or abscess formation on ultrasound.

Medicolegal aspects of iatrogenic root perforations

DEFF Research Database (Denmark)

Tsesis, I; Rosen, E; Bjørndal, L

2014-01-01

AIM: To retrospectively analyze the medico-legal aspects of iatrogenic root perforations (IRP) that occurred during endodontic treatments. METHODOLOGY: A comprehensive search in a professional liability insurance database was conducted to retrospectively identify cases of IRP following root canal...... treatment (p root perforation is a complication of root canal treatment and may result in tooth extraction...... and in legal actions against the treating practitioner. Mandibular molars are more prone to medico-legal claims related to root perforations. The patient should be informed of the risks during RCT and should get information on alternative treatments and their risks and prognosis...

Spontaneous ileal perforation complicating low anorectal malformation

Directory of Open Access Journals (Sweden)

TiJesuni Olatunji

2015-01-01

Full Text Available Anorectal malformation is a common anomaly in neonates. Although colorectal perforations have been reported as a complication, ileal perforation is rarely encountered. This is a report of a 2-day-old boy presenting with a low anorectal malformation, complicated with ileal perforation, necessitating laparotomy and ileal repair. Anoplasty was done for the low anomaly. Early presentation and prompt treatment of anorectal malformations is important to prevent such potential life threatening complication.

Steady-state and transient heat transfer through fins of complex geometry

Directory of Open Access Journals (Sweden)

Taler Dawid

2014-06-01

Full Text Available Various methods for steady-state and transient analysis of temperature distribution and efficiency of continuous-plate fins are presented. For a constant heat transfer coefficient over the fin surface, the plate fin can be divided into imaginary rectangular or hexangular fins. At first approximate methods for determining the steady-state fin efficiency like the method of equivalent circular fin and the sector method are discussed. When the fin geometry is complex, thus transient temperature distribution and fin efficiency can be determined using numerical methods. A numerical method for transient analysis of fins with complex geometry is developed. Transient temperature distributions in continuous fins attached to oval tubes is computed using the finite volume - finite element methods. The developed method can be used in the transient analysis of compact heat exchangers to calculate correctly the heat flow rate transferred from the finned tubes to the fluid.

Microvascular anatomy of the cerebellar parafloccular perforating space.

Science.gov (United States)

Sosa, Pablo; Dujovny, Manuel; Onyekachi, Ibe; Sockwell, Noressia; Cremaschi, Fabián; Savastano, Luis E

2016-02-01

The cerebellopontine angle is a common site for tumor growth and vascular pathologies requiring surgical manipulations that jeopardize cranial nerve integrity and cerebellar and brainstem perfusion. To date, a detailed study of vessels perforating the cisternal surface of the middle cerebellar peduncle-namely, the paraflocculus or parafloccular perforating space-has yet to be published. In this report, the perforating vessels of the anterior inferior cerebellar artery (AICA) in the parafloccular space, or on the cisternal surface of the middle cerebellar peduncle, are described to elucidate their relevance pertaining to microsurgery and the different pathologies that occur at the cerebellopontine angle. Fourteen cadaveric cerebellopontine cisterns (CPCs) were studied. Anatomical dissections and analysis of the perforating arteries of the AICA and posterior inferior cerebellar artery at the parafloccular space were recorded using direct visualization by surgical microscope, optical histology, and scanning electron microscope. A comprehensive review of the English-language and Spanish-language literature was also performed, and findings related to anatomy, histology, physiology, neurology, neuroradiology, microsurgery, and endovascular surgery pertaining to the cerebellar flocculus or parafloccular spaces are summarized. A total of 298 perforating arteries were found in the dissected specimens, with a minimum of 15 to a maximum of 26 vessels per parafloccular perforating space. The average outer diameter of the cisternal portion of the perforating arteries was 0.11 ± 0.042 mm (mean ± SD) and the average length was 2.84 ± 1.2 mm. Detailed schematics and the surgical anatomy of the perforating vessels at the CPC and their clinical relevance are reported. The parafloccular space is a key entry point for many perforating vessels toward the middle cerebellar peduncle and lateral brainstem, and it must be respected and protected during surgical approaches to the

Analytical and numerical stability analysis of Soret-driven convection in a horizontal porous layer: the effect of conducting bounding plates

Energy Technology Data Exchange (ETDEWEB)

Ouattara, B; Khouzam, A; Mojtabi, A [Universite de Toulouse (France); INPT, UPS (France); IMFT (Institut de Mecanique des Fluides de Toulouse), Allee Camille Soula, F-31400 Toulouse (France); Charrier-Mojtabi, M C, E-mail: bouattar@imft.fr, E-mail: akhouzam@imft.fr, E-mail: mojtabi@imft.fr, E-mail: cmojtabi@cict.fr [PHASE, EA 810, UFR PCA, Universite Paul Sabatier, 118 route de Narbonne, 31062 Toulouse cedex (France)

2012-06-01

The aim of this study was to investigate the effect of conducting boundaries on the onset of convection in a binary fluid-saturated porous layer. The isotropic saturated porous layer is bounded by two impermeable but thermally conducting plates, subjected to a constant heat flux. These plates have identical conductivity. Moreover, the conductivity of the plates is generally different from the porous layer conductivity. The overall layer is of large extent in both horizontal directions. The problem is governed by seven dimensionless parameters, namely the normalized porosity of the medium {epsilon}, the ratio of plates over the porous layer thickness {delta} and their relative thermal conductivities ratio d, the separation ratio {delta}, the Lewis number Le and thermal Rayleigh number Ra. In this work, an analytical and numerical stability analysis is performed. The equilibrium solution is found to lose its stability via a stationary bifurcation or a Hopf bifurcation depending on the values of the dimensionless parameters. For the long-wavelength mode, the critical Rayleigh number is obtained as Ra{sub cs}=12(1+2d{delta} )/[1+{psi} (2d{delta}Le+Le+1)] and k{sub cs}=0 for {psi}> {psi} {sub uni}> 0. This work extends an earlier paper by Mojtabi and Rees (2011 Int. J. Heat Mass Transfer 54 293-301) who considered a configuration where the porous layer is saturated by a pure fluid.

Homogenization of a thermal problem with the fourier conditions in the thin plates of a heat exchanger

International Nuclear Information System (INIS)

Rahmattulla, A.A.; Taghite, M.B.

1996-01-01

In this paper was studied a thermal problem with the fourier boundary conditions on the edges of the holes in a periodically perforated plate of a heat exchanger. This problem contains several reduced parameters which can be very small (the period ε of the distribution of the holes, the reduced thickness e of the plate and the three Biot numbers relative to the different parts of the boundary). The homogenization technique was used to estimate the field of temperatures attainable in the upper plate, depending on the relative order of magnitude of the smell parameters. (authors). 9 refs

A Novel Perforator Flap Training Model Using a Chicken Leg.

Science.gov (United States)

Cifuentes, Ignacio J; Yañez, Ricardo A; Salisbury, Maria C; Rodriguez, José R; Varas, Julian E; Dagnino, Bruno L

2016-04-01

Living animal models are frequently used for perforator flap dissection training, but no ex vivo models have been described. The aim of this study is to present a novel nonliving model for perforator flap training based on a constant perforator in the chicken leg. A total of 15 chicken legs were used in this study. Anatomical dissection of the perforator was performed after its identification using ink injection, and in four of these specimens a perforator-based flap was raised. The anatomical dissection revealed a constant intramuscular perforator with a median length of 5.7 cm. Median proximal and distal vessel diameters were 0.93 and 0.4 mm, respectively. The median dissection time was 77.5 minutes. This study introduces a novel, affordable, and reproducible model for the intramuscular dissection of a perforator-based flap using an ex vivo animal model. Its consistent perforator and appropriate-sized vessels make it useful for training.

Esophageal perforation

Science.gov (United States)

... esophagus into the space around the lungs. Collapsed lung. X-rays taken after you drink a non-harmful dye can help pinpoint the location of the perforation. You may also have chest CT scan look for an abscess in the chest or esophageal cancer.

Stabilized copper plating method by programmed electroplated current: Accumulation of densely packed copper grains in the interconnect

Energy Technology Data Exchange (ETDEWEB)

Kao, Li-Chi; Hsu, Li-Hsuan; Brahma, Sanjaya; Huang, Bo-Chia; Liu, Chun-Chu; Lo, Kuang-Yao, E-mail: kuanglo@mail.ncku.edu.tw

2016-12-01

Highlights: • Actual Cu interconnect experiences many times of annealing and then cause the stress. • Stack Cu grains with varying grain size successively to enhance packed density. • XRD and PBR analyze the residual stress of local and average area of plated Cu film. • High packed Cu grain with stable stress proved by texture of Cu(1 1 1) and Cu(2 0 0). - Abstract: In this work, we programmed the plating current to stack the different size of copper (Cu) grain and analyzed the relation between the sequence of different Cu grain size and the stability of the residual stress. The residual stress was measured with varying times of annealing process in order to reach the purpose of simulating the actual Cu interconnect process. We found that varied plating strategy will make different stabilization condition of residual stress through the proof of X-ray diffraction (XRD) and optical parallel beams reflection (PBR) method. The accumulation of Cu grains, formed by Cu grain with successive variation in grain size, would enhance the packing density better than only single grain size in the finite space. The high density of the grain boundary in the electroplated Cu film will be eliminated through annealing process and it will help to suppress the void formation in further interconnect process. The electroplated Cu film with the plating current of saw tooth wave can soon reach a stable tensile stress through annealing since the Cu grains with high packing density will be quickly eliminated to approach the minimum of the strain energy which reflects to variation in the texture of Cu (2 0 0). The result of this work illustrates the importance of how to stack different size of Cu grain, for achieving a densely packed Cu film which close to the Cu bulk.

[Iatrogen perforation of the rectum after colon radiography].

Science.gov (United States)

Eggum, R; Kressner, U; Haffner, J

1998-05-10

Perforation of the rectum following barium enema is relatively rare, occurring in 1 of 3,000 procedures. Colorectal perforation is a serious condition and early diagnosis is of paramount importance in order to avoid any delay in treating the patient. Direct suture of the perforation, lavage, presacral drainage and stomia are the preferred methods of primary surgical treatment.

Simulation and Experimental Study on the Steady Conduction Solution for Continuous Rheo-Casting for A356 Alloy

International Nuclear Information System (INIS)

Duc, Do Minh; Hai, Nguyen Hong; Quang, Pham

2017-01-01

Computational fluid dynamic modeling of a continuous rheo-casting technology was conducted, consistent with the manufacturing of 3 "m"m"-"t"h"i"n plates made of aluminum alloy A356. The A numerical simulation on of the stabilizing time of the material crystallization was carried out using the ANSYS FLUENT code. Solidification and melting models were simulated with heat transfer and solid-liquid phase transformation involving the latent heat of crystallization were simulated. The calculated temperature distribution and the evolution of cooling rate through the material were examined and used to clarify their influence on microstructure, and further investigated with hardness testing. The thickness of the mushy zone was determined for the steady conduction solution of the continuous rheo-casting process.

Performance Comparison of Sweeping/Steady Jet Actuators

Science.gov (United States)

Hirsch, Damian; Mercier, Justin; Noca, Flavio; Gharib, Morteza

2015-11-01

Flow control through the use of steady jet actuators has been used on various aircraft models since the late 1950's. However, the focus of recent studies has shifted towards the use of sweeping jets (fluidic oscillators) rather than steady jet actuators. In this work, experiments using various jet actuator designs were conducted at GALCIT's Lucas Wind Tunnel on a NACA 0012 vertical tail model similar to that of the Boeing 767 vertical stabilizer at Reynolds numbers ranging from 0.5 to 1.2 million. The rudder angle was fixed at 20 degrees. A total of 32 jet actuators were installed along the wingspan perpendicular to the trailing edge and the rudder shoulder of the vertical stabilizer. It is known that these types of flow control prevent separation. However, the goal of this work is to compare different jet designs and evaluate their performance. Parameters such as the number of actuators, their volumetric flow, and the wind tunnel speed were varied. The lift generation capabilities of steady and sweeping jet actuators were then compared. Another set of experiments was conducted to compare a new sweeping jet actuator design with one of the standard versions. Supported by Boeing.

Analysis of thermal dispersion in an array of parallel plates with fully-developed laminar flow

International Nuclear Information System (INIS)

Xu Jiaying; Lu Tianjian; Hodson, Howard P.; Fleck, Norman A.

2010-01-01

The effect of thermal dispersion upon heat transfer across a periodic array of parallel plates is studied. Three basic heat transfer problems are addressed, each for steady, fully-developed, laminar fluid flow: (a) transient heat transfer due to an arbitrary initial temperature distribution within the fluid, (b) steady heat transfer with constant heat flux on all plate surfaces, and (c) steady heat transfer with constant wall temperatures. For problems (a) and (b), the effective thermal dispersivity scales with the Peclet number Pe according to 1 + CPe 2 , where the coefficient C is independent of Pe. For problem (c) the coefficient C is a function of Pe.

Perforated duodenal ulcer: an unusual complication of gastroenteritis.

OpenAIRE

Wilson, J M; Darby, C R

1990-01-01

A 7 year old boy was admitted to hospital with gastroenteritis, which was complicated by an acute perforated duodenal ulcer. After oversewing of the perforation he made an uncomplicated recovery. Peptic ulceration is under-diagnosed in childhood and this leads to delay in diagnosis and appropriate management. Ulceration is associated with severe illness and viral infections, but perforation is rare.

Iatrogen perforation of the rectum following barium enema

International Nuclear Information System (INIS)

Eggum, R.; Kressner, U.; Haffner, J.

1998-01-01

Perforation of the rectum following barium enema is relatively rare, occurring in 1 of 3,000 procedures. Colorectal perforation is a serious condition and early diagnosis is of paramount importance in order to avoid any delay in treating the patient. Direct suture of the perforation, lavage, presacral drainage and stomia are the preferred methods of primary surgical treatment. 10 refs., 1 fig

Characteristics of martensite as a function of the Ms temperature in low-carbon armour steel plates

International Nuclear Information System (INIS)

Maweja, Kasonde; Stumpf, Waldo; Berg, Nic van der

2009-01-01

The microstructure, morphology, crystal structure and surface relief of martensite in a number of experimental armour steel plates with different M s temperatures were analysed. Atomic force microscopy, thin foil transmission electron microscopy and scanning electron microscopy allowed the identification of three groups of low-carbon martensitic armour steels. The investigation showed that the size of individual martensite products (plates or packets, laths or blocks) increases as the M s temperature increases. Comparison of ballistic performances suggests that the morphology (plate or lath) and size of the individual martensite products dictate the effective 'grain size' in resisting fracture or perforation due to ballistic impact.

Chest wall stabilization and reconstruction: short and long-term results 5 years after the introduction of a new titanium plates system.

Science.gov (United States)

De Palma, Angela; Sollitto, Francesco; Loizzi, Domenico; Di Gennaro, Francesco; Scarascia, Daniele; Carlucci, Annalisa; Giudice, Giuseppe; Armenio, Andrea; Ludovico, Rossana; Loizzi, Michele

2016-03-01

We report short and long-term results with the dedicated Synthes(®) titanium plates system, introduced 5 years ago, for chest wall stabilization and reconstruction. We retrospectively analyzed (January 2010 to December 2014) 27 consecutive patients (22 males, 5 females; range 16-83 years, median age 60 years), treated with this system: primary [3] and secondary [8] chest wall tumor; flail chest [5]; multiple ribs fractures [5]; sternal dehiscence-diastasis [3]; sternal fracture [1]; sternoclavicular joint dislocation [1]; Poland syndrome [1]. Short-term results were evaluated as: operating time, post-operative morbidity, mortality, hospital stay; long-term results as: survival, plates-related morbidity, spirometric values, chest pain [measured with Verbal Rating Scale (VRS) and SF12 standard V1 questionnaire]. Each patient received from 1 to 10 (median 2) titanium plates/splints; median operating time was 150 min (range: 115-430 min). Post-operative course: 15 patients (55.6%) uneventful, 10 (37%) minor complications, 2 (7.4%) major complications; no post-operative mortality. Median post-operative hospital stay was 13 days (range: 5-129 days). At a median follow-up of 20 months (range: 1-59 months), 21 patients (78%) were alive, 6 (22%) died. Three patients presented long-term plates-related morbidity: plates rupture [2], pin plate dislodgment [1]; two required a second surgical look. One-year from surgery median spirometric values were: FVC 3.31 L (90%), FEV1 2.46 L (78%), DLCO 20.9 mL/mmHg/min (76%). On 21 alive patients, 7 (33.3%) reported no pain (VRS score 0), 10 (47.6%) mild (score 2), 4 (19.1%) moderate (score 4), no-one severe (score >4); 15 (71.5%) reported none or mild, 6 (28.5%) moderate pain influencing quality of life. An optimal chest wall stabilization and reconstruction was achieved with the Synthes(®) titanium plates system, with minimal morbidity, no post-operative mortality, acceptable operating time and post-operative hospital stay. Long

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.

Acquired perforating dermatosis in a patient with chronic renal failure.

Science.gov (United States)

Fernandes, Karen de Almeida Pinto; Lima, Lourenço de Azevedo; Guedes, Juliana Chaves Ruiz; Lima, Ricardo Barbosa; D'Acri, Antônio Macedo; Martins, Carlos José

2016-01-01

Perforating dermatoses are a group of skin diseases characterized by transepidermal elimination of dermal material. The disease is divided into two groups: the primary group and the secondary group. The classical or primary perforating dermatoses are subdivided into four types according to the eliminated dermal materials: Kyrle disease, perforating reactive collagenosis, elastosis perforans serpiginosa, and perforating folliculitis. The secondary form is known as acquired perforating dermatosis. The term was proposed in 1989 by Rapini to designate the perforating dermatoses affecting adult patients with systemic disease, regardless of the dermal materials eliminated. This report describes a case of the disease with elimination of collagen and elastic fibers in a patient with chronic renal failure.

Use of pulsed neutron logging to evaluate perforation washing

International Nuclear Information System (INIS)

Dimon, C.A.

1986-01-01

This invention relates to the use of pulsed neutron logging techniques before and after perforation washing operations are performed to evaluate the degree of success of the perforation washing operations. Well logging operations of a type designed to respond to the difference between a formation immediately behind the well sheath and voids in the formation are performed both before and after the perforation washing operation. differences between the two resulting logs are then indicative of voids created by perforation washing. In a preferred embodiment, pulsed neutron logging is used as the logging technique, while a weighted brine having a high absorption cross section to pulsed neutrons is used as the perforation washing fluid

Idiopathic gastric perforation in an asplenic infant | Olsen | African ...

African Journals Online (AJOL)

Introduction: The cause of idiopathic gastric perforations in neonates remains unknown. Perforations of the abdominal oesophagus, stomach and duodenum in infants and children are the rarest type of intestinal perforations. There are 21 reported cases of an idiopathic gastric rupture in nonneonates. Case Report: A ...

Reverse Less Invasive Stabilization System (LISS) Plating for Proximal Femur Fractures in Poliomyelitis Survivors: A Report of Two Cases.

Science.gov (United States)

Yao, Chen; Jin, Dongxu; Zhang, Changqing

2017-11-15

BACKGROUND Poliomyelitis is a neuromuscular disease which causes muscle atrophy, skeletal deformities, and disabilities. Treatment of hip fractures on polio-affect limbs is unique and difficult, since routine fixation methods like nailing may not be suitable due to abnormal skeletal structures. CASE REPORT We report one femoral neck fracture and one subtrochanteric fracture in polio survivors successfully treated with reverse less invasive stabilization system (LISS) plating technique. Both fractures were on polio-affected limbs with significant skeletal deformities and low bone density. A contralateral femoral LISS plate was applied upside down to the proximal femur as an internal fixator after indirect or direct reduction. Both patients had uneventful bone union and good functional recovery. CONCLUSIONS Reverse LISS plating is a safe and effective technique to treat hip fractures with skeletal deformities caused by poliomyelitis.

Impact of flame-wall interaction on premixed flame dynamics and transfer function characteristics

KAUST Repository

Kedia, K.S.; Altay, H.M.; Ghoniem, A.F.

2011-01-01

In this paper, we numerically investigate the response of a perforated-plate stabilized laminar methane-air premixed flame to imposed inlet velocity perturbations. A flame model using detailed chemical kinetics mechanism is applied and heat exchange

CORRELATION BETWEEN TYMPANIC MEMBRANE PERFORATION AND HEARING LOSS

Directory of Open Access Journals (Sweden)

Lidija RISTOVSKA

2016-04-01

Full Text Available Introduction: Perforation of the tympanic membrane primarily results from middle ear infections, trauma or iatrogenic causes. The perforation causes conductive hearing loss by reducing the surface area available for sound transmission to the ossicular chain. Objective: The objective was to analyze the characteristics of tympanic membrane perforations in relation to hearing loss and to determine the type and degree of hearing loss. Materials and methods: We analyzed audiometric, otoscopic findings and medical reports of 218 patients, 114 males (52.3% and 104 females (47.7%, aged 9 to 75 years (mean age of 47.9 years, examined during the period of November 2012 to October 2015. For statistical data analysis we used Chi-square test with level of significance p<0.05. Results: Most of the patients had unilateral perforations (89% with right ear predominance and involvement of two quadrants of pars tensa (37.2%. Mean air-bone gap was 23.9 dB. The largest air-bone gap was at frequency of 250 Hz. Most of the patients (73.1% had mixed hearing loss (p=0.032, and average hearing thresholds from 21 to 40 dB. Conclusion: Mean air-bone gap is largest at the lower frequencies, and decreases as frequency increases. Size of the perforation has effect on hearing loss. Mean air-bone gap increases with increasing size of the perforation. There is no big difference between the mean air-bone gap in posterior versus anterior perforations.

Gallbladder perforation complicating typhoid fever: report of two cases.

Science.gov (United States)

Gali, B M; Ali, N; Agbese, G O; Duna, V D; Dawha, S D; Ismai, G I; Mohammed, M

2011-01-01

Gallbladder perforation (GBP) is rare and as a complication of typhoid fever is extremely rare. We present two consecutive patients with GBP diagnosed incidentally at laparotomy. Information on the management of two patients with gallbladder perforation seen at Federal Medical Centre Azare in June and October 2008 was extracted from their case records. The two patients were both males aged 13 years and 16 years. They both presented with high fever of more than 2 weeks duration; and abdominal pain and distension. Both patients had features of generalised peritonitis. Pre-operative diagnoses of typhoid enteric perforation were made based on a positive Widal test. Intra-operative findings however, were that of bile peritonitis and gallbladder perforation. Both had cholecystectomy. Culture of the bile aspirate yielded Salmonella typhi. Gallbladder perforation secondary to typhoid fever should be considered as a differential diagnosis in patients with suspected typhoid enteric perforation in typhoid fever endemic region.

Experimental Study and steady state stability analysis of CLL-T Series Parallel Resonant Converter with Fuzzy controller using State Space Analysis

Directory of Open Access Journals (Sweden)

C. Nagarajan

2012-09-01

Full Text Available This paper presents a Closed Loop CLL-T (capacitor inductor inductor Series Parallel Resonant Converter (SPRC has been simulated and the performance is analysised. A three element CLL-T SPRC working under load independent operation (voltage type and current type load is presented in this paper. The Steady state Stability Analysis of CLL-T SPRC has been developed using State Space technique and the regulation of output voltage is done by using Fuzzy controller. The simulation study indicates the superiority of fuzzy control over the conventional control methods. The proposed approach is expected to provide better voltage regulation for dynamic load conditions. A prototype 300 W, 100 kHz converter is designed and built to experimentally demonstrate, dynamic and steady state performance for the CLL-T SPRC are compared from the simulation studies.

On the optimization of a steady-state bootstrap-reactor

International Nuclear Information System (INIS)

Polevoy, A.R.; Martynov, A.A.; Medvedev, S.Yu.

1993-01-01

A commercial fusion tokamak-reactor may be economically acceptable only for low recirculating power fraction r 0 ≡ P CD /P α BS ≡I BS /I > 0.9 to sustain the steady-state operation mode for high plasma densities > 1.5 10 20 m -3 , fulfilled the divertor conditions. This paper presents the approximate expressions for the optimal set of reactor parameters for r BS /I∼1, based on the self-consistent plasma simulations by 1.5D ASTRA code. The linear MHD stability analysis for ideal n=1 kink and ballooning modes has been carried out to determine the conditions of stabilization for bootstrap steady state tokamak reactor BSSTR configurations. (author) 10 refs., 1 tab

Hyperbilirubinemia as a predictor for appendiceal perforation

DEFF Research Database (Denmark)

Burcharth, J; Pommergaard, H C; Rosenberg, J

2013-01-01

Delayed or wrong diagnosis in patients with appendicitis can result in perforation and consequently increased morbidity and mortality. Serum bilirubin may be a useful marker for appendiceal perforation. The purpose of this systematic review was to evaluate studies investigating elevated serum...

Sigmoid Colonic Perforation with Faecal Peritonitis due to Faecaloma

Directory of Open Access Journals (Sweden)

Ibrahim Khalil

2014-09-01

Full Text Available Colon perforation is an uncommon event usually caused by malignancy, diverticular disease, amoebic colitis, steroid therapy, trauma and ulcerative colitis, but stercoral perforation is very rare. Severe chronic constipation is considered to be the main causative factor in development of stercoral perforation of colon. Sometimes it can also produce catastrophic complications like colonic obstruction, faecal peritonitis and septicaemia. We report a rare case of sigmoid colonic perforation with faecal peritonitis and pneumoperitonium due to faecaloma which was diagnosed after exploratory laparotomy.

Peptic ulcer perforation

African Journals Online (AJOL)

FinePrint

2015-06-01

Jun 1, 2015 ... Peptic ulcer perforation is one of the surgical complications of peptic ulcer ... Treatment can be operative or non-operative followed by proton .... chronic gastritis without evidence of ... inhibits pancreatic bicarbonate secretion.

Fuel plate stability experiments and analysis for the Advanced Neutron Source

International Nuclear Information System (INIS)

Swinson, W.F.; Battiste, R.L.; Luttrell, C.R.; Yahr, G.T.

1992-01-01

The planned Advanced Neutron Source (ANS) and several existing reactors use closely spaced arrays of involute shaped fuel-plates which are cooled by water flowing through the channels between the plates. There is concern that at certain coolant flow velocities adjacent plates may deflect and touch, with resulting failure of the plates. Experiments have been conducted at the Oak Ridge National Laboratory to examine this potential phenomenon. Results of the experiments and comparison with analytical predictions are reported in this paper. The tests were conducted using full scale epoxy plate models of the aluminum/uranium silicide ANS involute shaped fuel plates. Use of epoxy plates and model theory allowed lower flow velocities and pressures to explore the potential failure mechanism. Plate deflections and channel pressures as function of the flow velocity are examined. Comparisons with mathematical models are noted. 12 refs

Fuel plate stability experiments and analysis for the Advanced Neutron Source

International Nuclear Information System (INIS)

Swinson, W.F.; Battiste, R.L.; Luttrell, C.R.; Yahr, G.T.

1993-05-01

The planned reactor for the Advanced Neutron Source (ANS) will use closely spaced arrays of involute-shaped fuel plates that will be cooled by water flowing through the channels between the plates. There is concern that at certain coolant flow velocities, adjacent plates may deflect and touch, with resulting failure of the plates. Experiments have been conducted at the Oak Ridge National Laboratory to examine this potential phenomenon. Results of the experiments and comparison with analytical predictions are reported. The tests were conducted using full-scale epoxy plate models of the aluminum/uranium silicide ANS involute-shaped fuel plates. Use of epoxy plates and model theory allowed lower flow velocities and pressures to explore the potential failure mechanism. Plate deflections and channel pressures as functions of the flow velocity are examined. Comparisons with mathematical models are noted

Perforated peptic ulcer following gastric bypass for obesity.

Science.gov (United States)

Macgregor, A M; Pickens, N E; Thoburn, E K

1999-03-01

Peptic ulcer in the excluded segment of a gastric bypass performed in the management of morbid obesity has only rarely been reported in the literature. The purpose of this study is to review our experience with the condition in a series of 4300 patients who underwent gastric-restrictive surgery between 1978 and 1997. Eleven patients presented with acute perforation of a peptic ulcer in the excluded gastric segment. Nine ulcers were duodenal, one was gastric, and one patient had both gastric and duodenal perforations. The time between primary gastric-restrictive surgery and ulcer perforation varied from 20 days to 12 years. All patients presented with upper abdominal pain. The classical radiological sign of perforated peptic ulcer, free air under the diaphragm, did not occur in any patient. Nine patients were initially treated by primary closure of the perforation with subsequent definitive ulcer therapy by vagotomy, pyloroplasty, or gastrectomy. One case, initially treated elsewhere, was managed by placement of a Malecot catheter through the duodenal perforation, gastrostomy, and peritoneal drainage. One recent case remains symptom-free on H2 blockers after simple closure. There was no mortality. Six cases were previously reported in the literature with a 33 per cent mortality rate.

Stercoral perforation in a 17-year old.

LENUS (Irish Health Repository)

McHugh, S

2012-02-01

INTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.

Stercoral perforation in a 17-year old.

LENUS (Irish Health Repository)

McHugh, S

2009-04-02

INTRODUCTION: Stercoral perforation is a rare cause of perforation. This is the first reported case where a partial eating disorder (ED) is the primary causative differential. CASE PRESENTATION: We present the case of a 17-year-old girl who presented to her local Emergency Department with a 24-h history of left-sided abdominal pain. She subsequently deteriorated and a computed tomography scan of her abdomen showed gross distension of the large bowel with a sigmoid perforation. She underwent total colectomy with end ileostomy. Histology reported stercoral perforation but normal bowel ganglia. While an inpatient she was reviewed by the Psychiatric team who were concerned she was suffering from a partial ED. CONCLUSION: This case highlights the importance of a multidisciplinary approach in optimally treating patients such as these. Aggressive medical management with involvement of a psychiatric team and dietetics addresses any underlying causative psychiatric issues and helps prevent recurrence.

Colonic carcinoma with multiple small bowel perforations mimicking intestinal obstruction

Directory of Open Access Journals (Sweden)

Khanna Rahul

2006-09-01

Full Text Available Abstract Background Carcinoma of the colon may present with perforation proximal to the site of malignancy. Caecum is the commonest site of perforation if the ileocecal valve is patent and the jejunal and ileal perforations are very rare. Case presentation A 35 year male presented with intestinal obstruction. Emergency laparotomy revealed carcinoma of the transverse colon with multiple pinpoint perforations along antimesenteric border of ileum, which were wrapped with omentum, and no peritoneal contamination was present. Extended right hemicolectomy with jejunocolic anastomosis was done. Patient made uneventful recovery in postoperative period and was treated with adjuvant chemotherapy. Conclusion Patients with colonic carcinoma and incompetent ileocecal valve may present with intestinal perforation. Increased intraluminal pressure and closed loop obstruction may lead to ischemia and perforation of the small bowel.

Arrangement for formation perforating and fracturing

Energy Technology Data Exchange (ETDEWEB)

Belyaev, B M; Vitsenii, E M; Zheltov, Yu P; Nikolaev, S I

1962-03-06

An arrangement for perforating and hydraulic fracturing, to be lowered on a wire line, consists of a chamber with a shaped charge, a head and a nozzle. This arrangement enables carrying out, simultaneously, the operations of perforating and fracturing. The device may be equipped with separate sections with shaped charges and a powder chamber in which powder charges are placed, designed to be ignited in sequence by slow- acting electric igniters. For controlling the gas pressure and strengthening the arrangement in the zone of perforation, the device is equipped with rubber seals which release the ring elements under pressure of explosive gas. Between the walls of the casing and the rubber seals is an annular space through the gas escapes.

Pseudo Steady-State Free Precession for MR-Fingerprinting.

Science.gov (United States)

Assländer, Jakob; Glaser, Steffen J; Hennig, Jürgen

2017-03-01

This article discusses the signal behavior in the case the flip angle in steady-state free precession sequences is continuously varied as suggested for MR-fingerprinting sequences. Flip angle variations prevent the establishment of a steady state and introduce instabilities regarding to magnetic field inhomogeneities and intravoxel dephasing. We show how a pseudo steady state can be achieved, which restores the spin echo nature of steady-state free precession. Based on geometrical considerations, relationships between the flip angle, repetition and echo time are derived that suffice to the establishment of a pseudo steady state. The theory is tested with Bloch simulations as well as phantom and in vivo experiments. A typical steady-state free precession passband can be restored with the proposed conditions. The stability of the pseudo steady state is demonstrated by comparing the evolution of the signal of a single isochromat to one resulting from a spin ensemble. As confirmed by experiments, magnetization in a pseudo steady state can be described with fewer degrees of freedom compared to the original fingerprinting and the pseudo steady state results in more reliable parameter maps. The proposed conditions restore the spin-echo-like signal behavior typical for steady-state free precession in fingerprinting sequences, making this approach more robust to B 0 variations. Magn Reson Med 77:1151-1161, 2017. © 2016 International Society for Magnetic Resonance in Medicine. © 2016 International Society for Magnetic Resonance in Medicine.

Instability of a cantilevered flexible plate in viscous channel flow

Science.gov (United States)

Balint, T. S.; Lucey, A. D.

2005-10-01

The stability of a flexible cantilevered plate in viscous channel flow is studied as a representation of the dynamics of the human upper airway. The focus is on instability mechanisms of the soft palate (flexible plate) that cause airway blockage during sleep. We solve the Navier Stokes equations for flow with Reynolds numbers up to 1500 fully coupled with the dynamics of the plate motion solved using finite-differences. The study is 2-D and based upon linearized plate mechanics. When both upper and lower airways are open, the plate is found to lose its stability through a flutter mechanism and a critical Reynolds number exists. When one airway is closed, the plate principally loses its stability through a divergence mechanism and a critical flow speed exists. However, below the divergence-onset flow speed, flutter can exist for low levels of structural damping in the flexible plate. Our results serve to extend understanding of flow-induced instability of cantilevered flexible plates and will ultimately improve the diagnosis and treatment of upper-airway disorders.

VA-LCP anterior clavicle plate: the anatomically precontoured fixation system with angular stability for clavicle shaft.

Science.gov (United States)

van Olden, G D J

2014-12-01

The aim of this investigation was to evaluate the introduction of the VA-LCP anterior clavicle plate in the treatment of clavicle fractures. From March 2011 to March 2013, 42 clavicle fractures were treated; 40 were middle-third and 2 lateral-third, and 13/42 (31 %) patients were treated due to painful nonunion. Patient age ranged from 16 to 81 years. Complications were screw placement through the AC-joint, one superficial wound infection and one neuropraxia of the nervus radialis with dropping hand. We had some difficulties prebending both lateral to low and lateral to high but without clinical consequences. In all cases, the fracture healed with full functionality. After 1 year, 4 patients underwent a removal of the hardware. The VA-LCP anterior plate showed good reliability and sufficient stability with both middle-third, lateral and nonunion fractures of the clavicle.

Intraabdominal contamination after gallbladder perforation during laparoscopic cholecystectomy and its complications.

Science.gov (United States)

Kimura, T; Goto, H; Takeuchi, Y; Yoshida, M; Kobayashi, T; Sakuramachi, S; Harada, Y

1996-09-01

Gallbladder perforation often occurs during laparoscopic cholecystectomy. The frequency and causes of gallbladder perforation as well as the relevant clinical background factors were investigated in 110 patients undergoing laparoscopic cholecystectomy. We also evaluated intraperitoneal contamination by bacteria and gallstones at the time of gallbladder perforation and investigated whether perforation caused early or late postoperative complications. Intraoperative gallbladder perforation occurred in 29 of the 110 patients (26.3%). It was caused by injury with an electric knife during dissection of the gallbladder bed, injury during gallbladder retraction with grasping forceps, injury during gallbladder extraction from the abdomen, and slippage of cystic duct clips (potentially causing bile and stone spillage). Perforation was more frequent in patients with positive bile cultures and in those with pigment stones (p gallbladder perforation is sometimes unavoidable during laparoscopic cholecystectomy, the risk of severe complications appears to be minimized by early closure of perforation, retrieval of as many of the spilled stones as possible, and intraperitoneal lavage.

MRI of perforated gall bladder

International Nuclear Information System (INIS)

Sood, B.; Jain, M.; Khandelwal, N.; Singh, P.; Suri, S.

2002-01-01

Gall bladder perforation is a dreaded complication of acute cholecystitis that, if not diagnosed early in the course, might have a poor prognosis. Both CT and ultrasonography have been used until now extensively for the diagnosis of acute cholecystitis, but diagnosis of perforation is always difficult. Magnetic resonance, by its superior soft tissue resolution and multiplanar capability, is a better modality and should fare better than ultrasonography and CT, as demonstrated in our case. Magnetic resonance imaging demonstrates the wall of the gall bladder and defects to a much better advantage and more convincingly. In addition, MR colangiopancreatography images demonstrate the biliary tree better than other modalities. We suggest that in the case of acute cholecystitis, if perforation is suspected and CT and ultrasonography are not conclusive, MR should be the modality of choice. It can be used as a first line of investigation; however, it might not be cost-effective. Copyright (2002) Blackwell Science Pty Ltd

Stabilization of Olecranon Fractures by Tension Band Wiring or Plate Osteosynthesis: A Retrospective Study of 41 Cases.

Science.gov (United States)

Fournet, Alexandre; Boursier, Jean-François; Corbeau, Solène; Decambron, Adeline; Viateau, Véronique; Fayolle, Pascal; Bedu, Anne-Sophie; Leperlier, Dimitri; Manassero, Mathieu

2018-01-01

 This article aimed to describe olecranon fracture in dogs and cats and their stabilization with tension band wiring or plate osteosynthesis, and to evaluate complications associated with each technique.  Medical records of cats and dogs that had been surgically treated for olecranon fractures with either tension band wiring or plate osteosynthesis were retrospectively reviewed. The surgical technique, complications and long-term outcomes were assessed.  Forty-one olecranon fractures were included. Fractures were articular, comminuted and open in 90, 31 and 27% of cases, respectively. Tension band wiring and plate osteosynthesis were performed in 22 and 19 fractures, respectively. Complications occurred more commonly after tension band wiring (74%) compared with plate osteosynthesis (27%) ( p  = 0.002) and these were probably related to it being used in comminuted fractures ( p  = 0.01) or to errors in technique. Minor complications included Kirschner wires migration ( n  = 5), pain ( n  = 3), osteomyelitis ( n  = 3), skin breakdown ( n  = 3) and seroma ( n  = 1). Implant failure requiring further fixation ( n  = 4) was observed only in the tension band wiring group. Other major complications included skin wound debridement and closure ( n  = 1) and chronic lameness requiring implant removal ( n  = 7). Long-term functional outcomes were excellent regardless of the technique used.  Plate osteosynthesis should be performed for olecranon fracture repair if technically feasible. Schattauer GmbH Stuttgart.

Aerodynamics of a translating comb-like plate inspired by a fairyfly wing

Science.gov (United States)

Lee, Seung Hun; Kim, Daegyoum

2017-08-01

Unlike the smooth wings of common insects or birds, micro-scale insects such as the fairyfly have a distinctive wing geometry, comprising a frame with several bristles. Motivated by this peculiar wing geometry, we experimentally investigated the flow structure of a translating comb-like wing for a wide range of gap size, angle of attack, and Reynolds number, Re = O(10) - O(103), and the correlation of these parameters with aerodynamic performance. The flow structures of a smooth plate without a gap and a comb-like plate are significantly different at high Reynolds number, while little difference was observed at the low Reynolds number of O(10). At low Reynolds number, shear layers that were generated at the edges of the tooth of the comb-like plate strongly diffuse and eventually block a gap. This gap blockage increases the effective surface area of the plate and alters the formation of leading-edge and trailing-edge vortices. As a result, the comb-like plate generates larger aerodynamic force per unit area than the smooth plate. In addition to a quasi-steady phase after the comb-like plate travels several chords, we also studied a starting phase of the shear layer development when the comb-like plate begins to translate from rest. While a plate with small gap size can generate aerodynamic force at the starting phase as effectively as at the quasi-steady phase, the aerodynamic force drops noticeably for a plate with a large gap because the diffusion of the developing shear layers is not enough to block the gap.

Optimization of the process of steel strip perforation and nickel platting for the purpose of elimination of trichloroethylene from the cleaning process of perforated steel strip

Directory of Open Access Journals (Sweden)

Petrović Aleksandra B.

2009-01-01

Full Text Available In the production of pocket type electrodes for Ni-Cd batteries perforation of proper steel strips and then nickel platting of perforated steel strips were made. In the nickel platting process, the organic solvent, trichloroethylene, has previously been used for cleaning. Due to the carcinogenic nature of trichloroethylene and the many operations previously required during cleaning, it was considered to do cleaning of perforated steel strips without use of the mentioned organic solvent. In the purpose of elimination of trichloroethylene from the cleaning process of perforated steel strips, the tests of perforation of steel strips with use of oils of different viscosity were made. It was shown that there was no dysfunction during the work of the perforation plants, meaning there was no additional heating of the strips, deterring of the steel filings, nor excessive wearing of the perforation apparatus. The perforation percent was the same irrelevant of the viscosity of the used oil. Before being perforated using the oils with different viscosity, the nickel platting steel strips were cleaned in different degreasers (based on NaOH as well as on KOH. It was shown that efficient cleaning without the use of trichloroethylene is possible with the use of oil with smaller viscosity in the perforated steel strips process and the degreaser based on KOH in the cleaning process, before nickel platting. It also appeared that the alkali degreaser based on KOH was more efficient, bath corrections were made less often and the working period of the baths was longer, which all in summary means less quantity of chemicals needed for degreasing of perforated steel strips.

Measurement and Modelling of Tearing Mode Stability for Steady-State Plasmas in DIII-D

Energy Technology Data Exchange (ETDEWEB)

Turco, F; Luce, T; Ferron, J; Petty, C; Politzer, P; Turnbull, A; Brennan, D; Murakami, M; LoDestro, L; Pearlstein, L; Casper, T; Jayakumar, R; Holcomb, C

2009-06-23

High-beta, quasi-steady state scenarios represent a fundamental step towards the performance required for future fusion reactors. In DIII-D steady-state scenario discharges, the normalized beta {beta}{sub N} {triple_bond} {beta}(%) {center_dot} a(m) {center_dot} B{sub T}(T)/I{sub p}(MA) (where {beta} is the ratio of the plasma pressure to the magnetic field pressure, {alpha} the plasma minor radius, B{sub T} the toroidal magnetic field and I{sub p} the plasma current) exceeds the no-wall ideal kink beta limit. The performance of this scenario is limited by the onset of an n = 1 tearing mode, which appears on the resistive evolution time-scale (1-2 s) at constant pressure and causes both a loss of confinement and a radial redistribution of the current density from which the available current drive sources cannot recover. It is routinely observed that the injection of electron cyclotron current drive (ECCD), with a broad deposition localized around {rho} {approx} 0.35, can prevent the mode from appearing. It must be noted that this is not a case of a direct stabilization due to the interaction with the mode's rational surface. These variations of the scenario are illustrated in Fig. 1, where the total injected power [neutral beam injection (NBI) and ECCD], {beta}{sub N} and the n = 1 magnetic perturbation at the outer wall are shown. In case (a), the onset of the n = 1 mode is observed when the EC power is not present or if it is stopped before the end of the high {beta} phase, whereas in case (b) the difference is pointed out between broad and narrow current deposition (with the narrow deposition case becoming unstable). The current density profile evolution and the MHD modes of several sets of significant discharges with and without ECCD (at different locations) have been analyzed, using motional Stark effect (MSE) spectroscopy measurements for the former and edge magnetic probes measurements, toroidal rotation profiles and fast electron cyclotron emission

Measurement and Modelling of Tearing Mode Stability for Steady-State Plasmas in DIII-D

International Nuclear Information System (INIS)

Turco, F.; Luce, T.; Ferron, J.; Petty, C.; Politzer, P.; Turnbull, A.; Brennan, D.; Murakami, M.; LoDestro, L.; Pearlstein, L.; Casper, T.; Jayakumar, R.; Holcomb, C.

2009-01-01

High-beta, quasi-steady state scenarios represent a fundamental step towards the performance required for future fusion reactors. In DIII-D steady-state scenario discharges, the normalized beta β N (triple b ond) β(%) · a(m) · B T (T)/I p (MA) (where β is the ratio of the plasma pressure to the magnetic field pressure, α the plasma minor radius, B T the toroidal magnetic field and I p the plasma current) exceeds the no-wall ideal kink beta limit. The performance of this scenario is limited by the onset of an n = 1 tearing mode, which appears on the resistive evolution time-scale (1-2 s) at constant pressure and causes both a loss of confinement and a radial redistribution of the current density from which the available current drive sources cannot recover. It is routinely observed that the injection of electron cyclotron current drive (ECCD), with a broad deposition localized around ρ ∼ 0.35, can prevent the mode from appearing. It must be noted that this is not a case of a direct stabilization due to the interaction with the mode's rational surface. These variations of the scenario are illustrated in Fig. 1, where the total injected power (neutral beam injection (NBI) and ECCD), β N and the n = 1 magnetic perturbation at the outer wall are shown. In case (a), the onset of the n = 1 mode is observed when the EC power is not present or if it is stopped before the end of the high β phase, whereas in case (b) the difference is pointed out between broad and narrow current deposition (with the narrow deposition case becoming unstable). The current density profile evolution and the MHD modes of several sets of significant discharges with and without ECCD (at different locations) have been analyzed, using motional Stark effect (MSE) spectroscopy measurements for the former and edge magnetic probes measurements, toroidal rotation profiles and fast electron cyclotron emission (ECE) data for the latter. One equilibrium based on EFIT reconstruction (1) with kinetic

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African Journals Online (AJOL)

Osondu

2014-04-08

Apr 8, 2014 ... and foliage yield obtained in this study showed that soils amended with ashed and unashed corn cob and coconut husk ... in stabilizing agricultural systems in the humid tropics is to ... covered with perforated plastic plates an.

Characteristics of martensite as a function of the M{sub s} temperature in low-carbon armour steel plates

Energy Technology Data Exchange (ETDEWEB)

Maweja, Kasonde, E-mail: mawejak@yahoo.fr [Council for Scientific and Industrial Research, CSIR, Materials Science and Manufacturing, PO Box 395, Pretoria 0001 (South Africa); Department of Materials Science and Metallurgical Engineering, University of Pretoria, Pretoria 0002 (South Africa); Stumpf, Waldo [Department of Materials Science and Metallurgical Engineering, University of Pretoria, Pretoria 0002 (South Africa); Berg, Nic van der [Department of Physics, University of Pretoria, Pretoria 0002 (South Africa)

2009-08-30

The microstructure, morphology, crystal structure and surface relief of martensite in a number of experimental armour steel plates with different M{sub s} temperatures were analysed. Atomic force microscopy, thin foil transmission electron microscopy and scanning electron microscopy allowed the identification of three groups of low-carbon martensitic armour steels. The investigation showed that the size of individual martensite products (plates or packets, laths or blocks) increases as the M{sub s} temperature increases. Comparison of ballistic performances suggests that the morphology (plate or lath) and size of the individual martensite products dictate the effective 'grain size' in resisting fracture or perforation due to ballistic impact.

Tracheocutaneous Fistula Closure with Turnover Flap and Polydioxanone Plate

Directory of Open Access Journals (Sweden)

Justin R. Bryant, DO, MBA

2017-10-01

Full Text Available Summary:. An alternative surgical treatment is proposed for closure of tracheocutaneous fistulas. The authors present a new technique for reconstruction of persistent tracheocutaneous fistula resultant from temporary tracheostomy. The single-stage closure under local anesthesia involves a fistulous tract turnover flap with a perforated 0.15 mm polydioxanone plate between the flap and the subcutaneous closure. This article presents 3 cases of persistent tracheocutaneous fistula treated by this method. At follow-up examination after follow-up, no recurrent fistula formation had occurred, and no respiratory deformity was present.

Nasal Septum Perforation due to Methamphetamine abuse

Directory of Open Access Journals (Sweden)

Mehdi Bakhshaee

2012-07-01

Full Text Available Introduction: Spontaneous Perforation of the nasal septum is an uncommon condition. Nasal inhalation of substances such as cocaine has long been linked to this Perforation. Case Report: This report describes the case of a 46-year-old woman who was addicted to methamphetamine and who presented with perforation of the nasal septum.This is the first reported case of nasal septal necrosis linked to nasal inhalation of methamphetamine. Conclusions: Patient history and assurance regardingillegal drug consumption and abuse is a key point for fast and accurate diagnosis. The pathophysiology of drug-induced sinunasal disease and a review of the literature are also presented.

Spectrum of perforation peritonitis in India--review of 504 consecutive cases.

Science.gov (United States)

Jhobta, Rajender Singh; Attri, Ashok Kumar; Kaushik, Robin; Sharma, Rajeev; Jhobta, Anupam

2006-09-05

Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH), Chandigarh. Five hundred and four consecutive cases of perforation peritonitis over a period of five years were reviewed in terms of clinical presentation, operative findings and postoperative course retrospectively at GMCH, Chandigarh. The most common cause of perforation in our series was perforated duodenal ulcer (289 cases) followed by appendicitis (59 cases), gastrointestinal perforation due to blunt trauma abdomen (45 cases), typhoid fever (41 cases) and tuberculosis (20 cases). Despite delay in seeking medical treatment (53%), the overall mortality (10%) was favourably comparable with other published series though the overall morbidity (50%) was unusually high. In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. The increasing incidence of post-traumatic gastro-enteric injuries may be due to an increase in high speed motor vehicle accidents which warrant early recognition and prompt treatment to avoid serious complications and death.

Spectrum of perforation peritonitis in India-review of 504 consecutive cases

Directory of Open Access Journals (Sweden)

Sharma Rajeev

2006-09-01

Full Text Available Abstract Background/objective Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH, Chandigarh. Methods Five hundred and four consecutive cases of perforation peritonitis over a period of five years were reviewed in terms of clinical presentation, operative findings and postoperative course retrospectively at GMCH, Chandigarh. Results The most common cause of perforation in our series was perforated duodenal ulcer (289 cases followed by appendicitis (59 cases, gastrointestinal perforation due to blunt trauma abdomen (45 cases, typhoid fever (41 cases and tuberculosis (20 cases. Despite delay in seeking medical treatment (53%, the overall mortality (10% was favourably comparable with other published series though the overall morbidity (50% was unusually high. Conclusion In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. The increasing incidence of post-traumatic gastro-enteric injuries may be due to an increase in high speed motor vehicle accidents which warrant early recognition and prompt treatment to avoid serious complications and death.

Hydroelastic Oscillations of a Circular Plate, Resting on Winkler Foundation

Science.gov (United States)

Kondratov, D. V.; Mogilevich, L. I.; Popov, V. S.; Popova, A. A.

2018-01-01

The forced hydroelastic oscillations of a circular plate resting on elastic foundation are investigated. The oscillations are caused by a stamp vibration under interaction with a plate through a thin layer of viscous incompressible liquid. The axis-symmetric problem for the regime of the steady-state harmonic oscillations is considered. On the basis of hydroelasticity problem solution the laws of plate deflection and pressure in the liquid are found. The functions of the amplitudes deflection distribution and liquid pressure along the plate are constructed. The presented mathematical model provides for investigating viscous liquid layer interaction dynamics with a circular plate resting on an elastic foundation. The above-mentioned model makes it possible to define the plate oscillations resonance frequencies and the corresponding amplitudes of deflection and liquid pressure, as well.

Paper Microzone Plates as Analytical Tools for Studying Enzyme Stability: A Case Study on the Stabilization of Horseradish Peroxidase Using Trehalose and SU-8 Epoxy Novolac Resin.

Science.gov (United States)

Ganaja, Kirsten A; Chaplan, Cory A; Zhang, Jingyi; Martinez, Nathaniel W; Martinez, Andres W

2017-05-16

Paper microzone plates in combination with a noncontact liquid handling robot were demonstrated as tools for studying the stability of enzymes stored on paper. The effect of trehalose and SU-8 epoxy novolac resin (SU-8) on the stability of horseradish peroxidase (HRP) was studied in both a short-term experiment, where the activity of various concentrations of HRP dried on paper were measured after 1 h, and a long-term experiment, where the activity of a single concentration of HRP dried and stored on paper was monitored for 61 days. SU-8 was found to stabilize HRP up to 35 times more than trehalose in the short-term experiment for comparable concentrations of the two reagents, and a 1% SU-8 solution was found to stabilize HRP approximately 2 times more than a 34% trehalose solution in both short- and long-term experiments. The results suggest that SU-8 is a promising candidate for use as an enzyme-stabilizing reagent for paper-based diagnostic devices and that the short-term experiment could be used to quickly evaluate the capacity of various reagents for stabilizing enzymes to identify and characterize new enzyme-stabilizing reagents.

Contact lens rehabilitation following repaired corneal perforations

Science.gov (United States)

Titiyal, Jeewan S; Sinha, Rajesh; Sharma, Namrata; Sreenivas, V; Vajpayee, Rasik B

2006-01-01

Background Visual outcome following repair of post-traumatic corneal perforation may not be optimal due to presence of irregular keratometric astigmatism. We performed a study to evaluate and compare rigid gas permeable contact lens and spectacles in visual rehabilitation following perforating corneal injuries. Method Eyes that had undergone repair for corneal perforating injuries with or without lens aspiration were fitted rigid gas permeable contact lenses. The fitting pattern and the improvement in visual acuity by contact lens over spectacle correction were noted. Results Forty eyes of 40 patients that had undergone surgical repair of posttraumatic corneal perforations were fitted rigid gas permeable contact lenses for visual rehabilitation. Twenty-four eyes (60%) required aphakic contact lenses. The best corrected visual acuity (BCVA) of ≥ 6/18 in the snellen's acuity chart was seen in 10 (25%) eyes with spectacle correction and 37 (92.5%) eyes with the use of contact lens (p < 0.001). The best-corrected visual acuity with spectacles was 0.20 ± 0.13 while the same with contact lens was 0.58 ± 0.26. All the patients showed an improvement of ≥ 2 lines over spectacles in the snellen's acuity chart with contact lens. Conclusion Rigid gas permeable contact lenses are better means of rehabilitation in eyes that have an irregular cornea due to scars caused by perforating corneal injuries. PMID:16536877

Frequency of wound infection in non-perforated appendicitis with use of single dose perforative antibiotics

International Nuclear Information System (INIS)

Ali, K.; Latif, H.; Ahmad, S.

2015-01-01

Antibiotics are used both pre and post-operatively in acute appendicitis for preventing wound infection. It has been observed that the routine use of post-operative antibiotics is not necessary in cases of non-perforated appendicitis as only prophylactic antibiotics are sufficient to prevent wound infection. The aim of this study was to see the frequency of wound infection in non-perforated appendicitis with single dose preoperative antibiotics only. Method: This observational study was conducted at the Department of Surgery, Ayub Medical College, Abbottabad from May to November 2014. A total of 121 patients with non-perforated appendicitis were included in the study. Only single dose preoperative antibiotics were used. The patients were followed for wound infection till 8th post-operative day. Results: 121 patients, 56(46.28%) male and 65(53.72%) female were included in the study. The mean age of patients was 27.41 ± 7.12 years with an age range of 18 to 45 years. In the entire series, 7(5.78%) patients developed wound infection. The infection was minor which settled with conservative therapy. Prophylactic antibiotics were found efficacious in 114(94.21%) patients. There was no significant association between wound infection and age and gender. Conclusion: Single dose preoperative antibiotics were found effective in controlling post-operative wound infection without the need of extending the antibiotics to post-operative period in cases of non-perforated appendicitis. (author)

Preoperative chest x-ray findings in peptic ulcer perforation

Energy Technology Data Exchange (ETDEWEB)

Kim, T. H.; Kim, S. W.; Lim, J. S.; Kim, Y. J. [Kyungpook National University School of Medicine, Taegu (Korea, Republic of)

1981-12-15

This study was carried out to analyze the distribution of age, sex, chief complaint, physical examination and findings of chest x-ray films before operation in 59 cases of peptic ulcer perforation. The ratio of male to female was 1.7 : 1 and incidence of the ulcer perforation was most common in 5th decades. Thirty five among 59 cases showed pleural effusion, segmental atelectasis and pneumonic infiltration on chest x-ray film. Twenty nine among 50 cases of duodenal ulcer perforation and 6 of 9 cases of stomach ulcer perforation showed positive chest x-ray findings. No relationship was found between fever and preoperative chest x-ray findings.

Preoperative chest x-ray findings in peptic ulcer perforation

International Nuclear Information System (INIS)

Kim, T. H.; Kim, S. W.; Lim, J. S.; Kim, Y. J.

1981-01-01

This study was carried out to analyze the distribution of age, sex, chief complaint, physical examination and findings of chest x-ray films before operation in 59 cases of peptic ulcer perforation. The ratio of male to female was 1.7 : 1 and incidence of the ulcer perforation was most common in 5th decades. Thirty five among 59 cases showed pleural effusion, segmental atelectasis and pneumonic infiltration on chest x-ray film. Twenty nine among 50 cases of duodenal ulcer perforation and 6 of 9 cases of stomach ulcer perforation showed positive chest x-ray findings. No relationship was found between fever and preoperative chest x-ray findings

Primary Closure versus Gastric Resection for Perforated Gastric

African Journals Online (AJOL)

Perforated gastric ulcer is one of the most life‑threatening complications of peptic ulcer disease with high .... tubes were removed and oral nutrition resumed. The .... surgical approach for perforated gastric cancer: One‑stage vs. two‑stage ...

High Beta Steady State Research and Future Directions on JT-60U and JFT-2M

Science.gov (United States)

Ishida, Shinichi

2003-10-01

JT-60U and JFT-2M research is focused on high beta steady state operation towards economically and environmentally attractive reactors. In JT-60U, a high-βp H-mode plasma was sustained with βN 2.7 for 7.4 s in which neoclassical tearing modes (NTMs) limited the attainable β_N. Real-time tracking NTM stabilization system using ECCD demonstrated complete suppression of NTM leading to recovery of βN before onset of NTM. Performance in a fully non-inductive H-mode plasma was improved up to n_i(0) τE T_i(0) = 3.1 x 10^20 keV s m-3 using N-NBCD with βN 2.4, HH_y,2=1.2 and bootstrap fraction f_BS 0.5. ECH experiments extended the confinement enhancement for dominantly electron heated reversed shear plasmas up to HH_y,2 2 at T_e/Ti 1.25. A world record ECCD efficiency, 4.2 x 10^18 A/W/m^2, was achieved at Te 23 keV with a highly localized central current density. Innovative initiation and current build-up without center solenoid currents were established by LHCD/ECH and bootstrap current up to f_BS 0.9. In JFT-2M, the inside of the vacuum vessel wall was fully covered with low-activation ferritic steel plates to investigate their use in plasmas near fusion conditions. High βN plasmas were produced up to βN = 3.3 with an internal transport barrier (ITB) and a steady H-mode edge. A new H-mode regime with steady high recycling (HRS) and an ITB was exploited leading to βN H_89P 6.2 at n_e/nG 0.7. In 2003, JT-60U will be able to operate for the duration up to 65 s at 1 MA/2.7 T and the heating/current-drive duration up to 30 s at 17 MW to prolong high-βN and/or high-f_BS discharges with feedback controls. JFT-2M is planning to implement wall stabilization experiments in 2004 to pursue plasmas above the ideal no-wall limit using a ferritic wall. The modification of JT-60 to a fully superconducting tokamak is under discussion to explore high-β steady state operation in collision-less plasmas well above no-wall limit with ferritic wall in a steady state.

Study on Dynamic Response of Downhole Tools under Perforation Impact Load

Directory of Open Access Journals (Sweden)

Liu Jun

2017-01-01

Full Text Available A model of a multibody system is established to investigate the dynamic response of an oil tube-shock absorber-perforating gun system in downhole perforation-test joint operation. In the model, the oil tube and perforating gun are modeled as elastic rods and the shock absorber is modeled as single particle system with damping and a spring. Two force continuity conditions are used to simulate the interactions among the three components. The perforation impact load is determined by an experiment of underwater explosion of perforating bullets. Using the model, the effects of charge quantity of perforating bullet, the number of shock absorbers, and the length of oil tube on the dynamic response of oil tube and packer are investigated. On this basis, a basic principle of the combination design of shock absorber and oil tube is proposed to improve the mechanical state of downhole tools. The study results can provide theoretical support for the design of downhole perforation-test joint operation.

Biomechanical comparison of double-row locking plates versus single- and double-row non-locking plates in a comminuted metacarpal fracture model.

Science.gov (United States)

Gajendran, Varun K; Szabo, Robert M; Myo, George K; Curtiss, Shane B

2009-12-01

Open or unstable metacarpal fractures frequently require open reduction and internal fixation. Locking plate technology has improved fixation of unstable fractures in certain settings. In this study, we hypothesized that there would be a difference in strength of fixation using double-row locking plates compared with single- and double-row non-locking plates in comminuted metacarpal fractures. We tested our hypothesis in a gap metacarpal fracture model simulating comminution using fourth-generation, biomechanical testing-grade composite sawbones. The metacarpals were divided into 6 groups of 15 bones each. Groups 1 and 4 were plated with a standard 6-hole, 2.3-mm plate in AO fashion. Groups 2 and 5 were plated with a 6-hole double-row 3-dimensional non-locking plate with bicortical screws aimed for convergence. Groups 3 and 6 were plated with a 6-hole double-row 3-dimensional locking plate with unicortical screws. The plated metacarpals were then tested to failure against cantilever apex dorsal bending (groups 1-3) and torsion (groups 4-6). The loads to failure in groups 1 to 3 were 198 +/- 18, 223 +/- 29, and 203 +/- 19 N, respectively. The torques to failure in groups 4 to 6 were 2,033 +/- 155, 3,190 +/- 235, and 3,161 +/- 268 N mm, respectively. Group 2 had the highest load to failure, whereas groups 5 and 6 shared the highest torques to failure (p row plates had equivalent bending and torsional stiffness, significantly higher than observed for the single-row non-locking plate. No other statistical differences were noted between groups. When subjected to the physiologically relevant forces of apex dorsal bending and torsion in a comminuted metacarpal fracture model, double-row 3-dimensional non-locking plates provided superior stability in bending and equivalent stability in torsion compared with double-row 3-dimensional locking plates, whereas single-row non-locking plates provided the least stability.

Clinical Factors of Delayed Perforation after Endoscopic Submucosal Dissection for Gastric Neoplasms

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Yoshinobu Yamamoto

2017-01-01

Full Text Available Background. Delayed perforation is a rare but severe complication of endoscopic submucosal dissection (ESD for early gastric neoplasm (EGN. The aim of this study was to clarify clinical factors related to delayed perforation after ESD. Methods. A total of 1158 consecutive patients with 1199 EGNs underwent ESD at our hospital between January 2000 and December 2015. Univariate analysis was used to identify clinicopathological factors related to delayed perforation. Moreover, duration of cautery needed for hemostasis was measured by comparison between perforated and nonperforated points in patients with delayed perforation. Results. Delayed perforation occurred in 5 of 1158 consecutive patients with 1199 EGNs who underwent ESD (0.42%. All cases were diagnosed within 24 h after ESD and recovered with conservative management. On univariate analysis, location in the upper stomach was the factor most significantly associated with delayed perforation (P<0.01. Duration of cautery needed for hemostasis was significantly longer at perforated points (9 s than at nonperforated points (3.5 s in five patients. Conclusions. Location in the upper stomach was the risk factor most prominently associated with delayed perforation after ESD for EGNs. In addition, delayed perforation appears associated with excessive electrocautery for hemostasis.

Clinicopathological Analysis of Factors Related to Colorectal Tumor Perforation

OpenAIRE

Medina-Arana, Vicente; Martínez-Riera, Antonio; Delgado-Plasencia, Luciano; Rodríguez-González, Diana; Bravo-Gutiérrez, Alberto; Álvarez-Argüelles, Hugo; Alarcó-Hernández, Antonio; Salido-Ruiz, Eduardo; Fernández-Peralta, Antonia M.; González-Aguilera, Juan J.

2015-01-01

Abstract Colorectal tumor perforation is a life-threatening complication of this disease. However, little is known about the anatomopathological factors or pathophysiologic mechanisms involved. Pathological and immunohistochemical analysis of factors related with tumoral neo-angiogenesis, which could influence tumor perforation are assessed in this study. A retrospective study of patients with perforated colon tumors (Group P) and T4a nonperforated (controls) was conducted between 2001 and 20...

Predictors of appendiceal perforation in an equal access system.

Science.gov (United States)

Walker, Avery; Hatch, Quinton; Drake, Thurston; Nelson, Daniel W; Fitzpatrick, Emilie; Bingham, Jason; Black, George; Maykel, Justin A; Steele, Scott R

2014-07-01

Discrepancies in socioeconomic factors have been associated with higher rates of perforated appendicitis. As an equal-access health care system theoretically removes these barriers, we aimed to determine if remaining differences in demographics, education, and pay result in disparate outcomes in the rate of perforated appendicitis. All patients undergoing appendectomy for acute appendicitis (November 2004-October 2009) at a tertiary care equal access institution were categorized by demographics and perioperative data. Rank of the sponsor was used as a surrogate for economic status. A multivariate logistic regression model was performed to determine patient and clinical characteristics associated with perforated appendicitis. A total of 680 patients (mean age 30±16 y; 37% female) were included. The majority were Caucasian (56.4% [n=384]; African Americans 5.6% [n=38]; Asians 1.9% [n=13]; and other 48.9% [n=245]) and enlisted (87.2%). Overall, 6.4% presented with perforation, with rates of 6.6%, 5.8%, and 6.7% (P=0.96) for officers, enlisted soldiers, and contractors, respectively. There was no difference in perforation when stratified by junior or senior status for either officers or enlisted (9.3% junior versus 4.40% senior officers, P=0.273; 6.60% junior versus 5.50% senior enlisted, P=0.369). On multivariate analysis, parameters such as leukocytosis and temperature, as well as race and rank were not associated with perforation (P=0.7). Only age had a correlation, with individuals aged 66-75 y having higher perforation rates (odds ratio, 1.04; 95% confidence interval, 1.02-1.05; P<0.001). In an equal-access health care system, older age, not socioeconomic factors, correlated with increased appendiceal perforation rates. Published by Elsevier Inc.

Influence of operating microscope in the sealing of cervical perforations.

Science.gov (United States)

Schmidt, Bruna Schwingel; Zaccara, Ivana Maria; Reis Só, Marcus Vinícius; Kuga, Milton Carlos; Palma-Dibb, Regina Guenka; Kopper, Patrícia Maria Poli

2016-01-01

Accidental root canal perforations are among the main complications of endodontic treatment. This study evaluated the influence of operating microscope (OM) in the marginal adaptation of mineral trioxide aggregate (MTA) (Angelus(®)) and glass ionomer (Vitremer) inserted into cervical perforations. Perforations were made in the cervical third of the buccal wall of the root canal in mandibular incisors. Next, the teeth were divided into four groups (N = 10): MG - MTA without OM; VG - Vitremer without OM; MOMG - MTA with OM; VOMG - Vitremer with OM. The perforations were sealed according to the group and the teeth were prepared for analysis by confocal laser scanning microscope. Images of perforation region (1,024×) were made and the gap presented by the materials was measured using the Image J program. LEXT OLS4100 three dimensional (3D) measuring laser microscope measured the volumetric misfit. Data of gap were analyzed by Kruskal-Wallis and Dunn's tests. Analysis of variance (ANOVA) and Tukey's tests compared the volumetric misfits. The results showed lower volume and gap in the interface dentin/material in VOMG compared to the other groups (P < 0.05). The use of OM improved the quality of cervical perforations sealed with Vitremer, being indicated in clinical situations of iatrogenic cervical perforations.

Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy

Directory of Open Access Journals (Sweden)

Eric M. Haas

2013-01-01

Full Text Available Purpose. We present our experience with laparoscopic colorrhaphy as definitive surgical modality for the management of colonoscopic perforations. Methods. Over a 17-month period, we assessed the outcomes of consecutive patients presenting with acute colonoscopic perforations. Patient characteristics and perioperative parameters were tabulated. Postoperative outcomes were evaluated within 30 days following discharge. Results. Five female patients with a mean age of 71.4 ± 9.7 years (range: 58–83, mean BMI of 26.4 ± 3.4 kg/m2 (range: 21.3–30.9, and median ASA score of 2 (range: 2-3 presented with acute colonoscopic perforations. All perforations were successfully managed through laparoscopic colorrhaphy within 24 hours of development. The perforations were secondary to direct trauma (n=3 or thermal injury (n=2 and were localized to the sigmoid (n=4 or cecum (n=1. None of the patients required surgical resection, diversion, or conversion to an open procedure. No intra- or postoperative complications were encountered. The mean length of hospital stay was 3.8 ± 0.8 days (range: 3–5. There were no readmissions or reoperations. Conclusion. Acute colonoscopic perforations can be safely managed via laparoscopic primary repair without requiring resection or diversion. Early recognition and intervention are essential for successful outcomes.

Ricochet of a tungsten heavy alloy long-rod projectile from deformable steel plates

International Nuclear Information System (INIS)

Lee, Woong; Lee, Heon-Joo; Shin, Hyunho

2002-01-01

Ricochet of a tungsten heavy alloy long-rod projectile from oblique steel plates with a finite thickness was investigated numerically using a full three-dimensional explicit finite element method. Three distinctive regimes resulting from oblique impact depending on the obliquity, namely simple ricochet, critical ricochet and target perforation, were investigated in detail. Critical ricochet angles were calculated for various impact velocities and strengths of the target plates. It was predicted that critical ricochet angle increases with decreasing impact velocities and that higher ricochet angles were expected if higher strength target materials are employed. Numerical predictions were compared with existing two-dimensional analytical models. Experiments were also carried out and the results supported the predictions of the numerical analysis

Local Projection-Based Stabilized Mixed Finite Element Methods for Kirchhoff Plate Bending Problems

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Xuehai Huang

2013-01-01

Full Text Available Based on stress-deflection variational formulation, we propose a family of local projection-based stabilized mixed finite element methods for Kirchhoff plate bending problems. According to the error equations, we obtain the error estimates of the approximation to stress tensor in energy norm. And by duality argument, error estimates of the approximation to deflection in H1-norm are achieved. Then we design an a posteriori error estimator which is closely related to the equilibrium equation, constitutive equation, and nonconformity of the finite element spaces. With the help of Zienkiewicz-Guzmán-Neilan element spaces, we prove the reliability of the a posteriori error estimator. And the efficiency of the a posteriori error estimator is proved by standard bubble function argument.

Esophageal Perforation due to Transesophageal Echocardiogram: New Endoscopic Clip Treatment

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John Robotis

2014-07-01

Full Text Available Esophageal perforation due to transesophageal echocardiogram (TEE during cardiac surgery is rare. A 72-year-old female underwent TEE during an operation for aortic valve replacement. Further, the patient presented hematemesis. Gastroscopy revealed an esophageal bleeding ulcer. Endoscopic therapy was successful. Although a CT scan excluded perforation, the patient became febrile, and a second gastroscopy revealed a big perforation at the site of ulcer. The patient's clinical condition required endoscopic intervention with a new OTSC® clip (Ovesco Endoscopy, Tübingen, Germany. The perforation was successfully sealed. The patient remained on intravenous antibiotics, proton pump inhibitors and parenteral nutrition for few days, followed by enteral feeding. She was discharged fully recovered 3 months later. We clearly demonstrate an effective, less invasive treatment of an esophageal perforation with a new endoscopic clip.

Perforated duodenal diverticulum caused by Bezoar: A case report

Energy Technology Data Exchange (ETDEWEB)

Lee, Eun Jung; Moon, Sung Kyoung; Park, Seong Jin; Lim, Joo Won; Lee, Dong Ho; Ko, Young Tae [Dept. of Radiology, College of Medicine, Kyung Hee University, Seoul (Korea, Republic of)

2013-11-15

Duodenal diverticulum is common, but its perforation is a rare complication. Duodenal diverticulum perforation requires prompt treatments because of its high mortality rate. However, an accurate diagnosis is difficult to make due to nonspecific symptoms and signs. It can be misdiagnosed as pancreatitis, cholecystitis, or peptic ulcer. Herein, we report a case of perforated duodenal diverticulum caused by bezoar in a 33-year-old woman whom was diagnosed by abdomen computed tomography and ultrasonography.

Duodenal perforation: an unusual complication of sickle cell anemia

OpenAIRE

Acıpayam, Can; Aldıç, Güliz; Akçora, Bülent; Çelikkaya, Mehmet Emin; Aşkar, Hasan; Dorum, Bayram Ali

2014-01-01

Duodenal perforation in childhood is a rare condition with a high mortality rate if not treated surgically. Primary gastroduodenal perforation is frequently associated with peptic ulcer and exhibits a positive family history. Helicobacter pylorus is the most significant agent. Secondary gastroduodenal perforation may be a finding of specific diseases, such as Crohn disease, or more rarely may be associated with diseases such as cystic fibrosis or sickle cell anemia. A 14-year-old boy presente...

Spectrum of Perforation Peritonitis in Delhi: 77 Cases Experience

OpenAIRE

Yadav, Dinesh; Garg, Puneet K.

2012-01-01

Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world as well in India. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counterpart. This study was conducted at Hindu Rao Hospital, Municipal Corporation of Delhi, New Delhi, India, designed to highlight the spectrum of perforation peritonitis in the eastern countries and to improve its outcome. This prospective study included 77 co...

Perforated duodenal diverticulum caused by Bezoar: A case report

International Nuclear Information System (INIS)

Lee, Eun Jung; Moon, Sung Kyoung; Park, Seong Jin; Lim, Joo Won; Lee, Dong Ho; Ko, Young Tae

2013-01-01

Duodenal diverticulum is common, but its perforation is a rare complication. Duodenal diverticulum perforation requires prompt treatments because of its high mortality rate. However, an accurate diagnosis is difficult to make due to nonspecific symptoms and signs. It can be misdiagnosed as pancreatitis, cholecystitis, or peptic ulcer. Herein, we report a case of perforated duodenal diverticulum caused by bezoar in a 33-year-old woman whom was diagnosed by abdomen computed tomography and ultrasonography.

Perforated peptic ulcer

Science.gov (United States)

Søreide, Kjetil; Thorsen, Kenneth; Harrison, Ewen M.; Bingener, Juliane; Møller, Morten H.; Ohene-Yeboah, Michael; Søreide, Jon Arne

2015-01-01

Summary Perforated peptic ulcer (PPU) is a frequent emergency condition worldwide with associated mortality up to 30%. A paucity of studies on PPU limits the knowledge base for clinical decision-making, but a few randomised trials are available. While Helicobacter pylori and use of non-steroidal anti-inflammatory drugs are frequent causes of PPU, demographic differences in age, gender, perforation location and aetiology exist between countries, as do mortality rates. Clinical prediction rules are used, but accuracy varies with study population. Early surgery, either by laparoscopic or open repair, and proper sepsis management are essential for good outcome. Selected patients can perhaps be managed non-operatively or with novel endoscopic approaches, but validation in trials is needed. Quality of care, sepsis care-bundles and postoperative monitoring need further evaluation. Adequate trials with low risk of bias are urgently needed for better evidence. Here we summarize the evidence for PPU management and identify directions for future clinical research. PMID:26460663

Fragmentation of armor piercing steel projectiles upon oblique perforation of steel plates

Directory of Open Access Journals (Sweden)

Aizik F.

2012-08-01

Full Text Available In this study, a constitutive strength and failure model for a steel core of a14.5 mm API projectile was developed. Dynamic response of a projectile steel core was described by the Johnson-Cook constitutive model combined with principal tensile stress spall model. In order to obtain the parameters required for numerical description of projectile core material behavior, a series of planar impact experiments was done. The parameters of the Johnson-Cook constitutive model were extracted by matching simulated and experimental velocity profiles of planar impact. A series of oblique ballistic experiments with x-ray monitoring was carried out to study the effect of obliquity angle and armor steel plate thickness on shattering behavior of the 14.5 mm API projectile. According to analysis of x-ray images the fragmentation level increases with both steel plate thickness and angle of inclination. The numerical modeling of the ballistic experiments was done using commercial finite element code, LS-DYNA. Dynamic response of high hardness (HH armor steel was described using a modified Johnson-Cook strength and failure model. A series of simulations with various values of maximal principal tensile stress was run in order to capture the overall fracture behavior of the projectile’s core. Reasonable agreement between simulated and x-ray failure pattern of projectile core has been observed.

Surgical management of perforated duodenal ulcer: the changing scene.

Science.gov (United States)

Plummer, J M; McFarlane, M E C; Newnham

2004-12-01

To determine the management of perforated duodenal ulcer at the University Hospital of the West Indies (UHWI) in this era of Helicobacter pylori, the medical records of all patients seen at the UHWI during the period July 1997 to June 2002 with an intra-operative diagnosis of perforated peptic ulcer were reviewed The records were analyzed for the following: age, gender, duration of symptoms, non-steroidal anti-inflammatory drug (NSAID) use, smoking status, operative repair duration of hospitalization, Helicobacter pylori status and medical therapy, peri-operative complications, mortality and recurrence. Ninety per cent of the cases were males. All females in whom perforation occurred were age 50 years and older compared to males where 58% of cases presented before age 50 years. Perforations in acute ulcers occurred in 80% of cases. The majority of patients were male smokers. Non-steroidal anti-inflammatory drug use was also an important risk factor in elderly females. Simple surgical closure and standard triple therapy antibiotics to eradicate Helicobacter pylori was the most common treatment offered. Mortality was one per cent and follow-up poor but 11% of patients had documented recurrent peptic ulceration. In this study population, perforated duodenal ulcer occured overwhelmingly in males less than 50 years of age. There is a trend towards exclusive simple surgical closure and H pylori eradication at the UHWI for patients with perforated duodenal ulcer but this needs to be supported by documentation of H pylori prevalence in the population of patients presenting with perforated peptic ulcers.

Factors related to persisting perforations after ventilation tube insertion.

Science.gov (United States)

O'Connell Ferster, Ashley P; Tanner, April Michelle; Karikari, Kodjo; Roberts, Christopher; Wiltz, Derek; Carr, Michele M

2016-02-01

Over a million ventilation tubes are placed annually in the United States, making this one of the most commonly performed procedures in the field of medicine. Certain factors increase the risk of persistent tympanic membrane perforation following the extrusion of short term ventilation tubes. Persistent perforations may fail to heal on their own, necessitating surgical closure to avoid conductive hearing loss. It is important to detect factors that may predict children who are at increased risk for persistent perforations. This study was a retrospective chart review that involved 757 patients between 2003 and 2008. The patients studied were within the age of 2 months-17 years, and all had short term tubes placed. The chart data also included demographic information, comorbidities, and information related to tube insertion and follow-up care. Chi-square, t-test, and multivariate logistic regression were conducted to compare variables between patients with perforations and those without. Data from 757 patients was analyzed, showing that perforation rate is associated with rhinorrhea, operative tube removal, aural polyps, and otorrhea (OR 1.72, 8.16, 4.69, and 1.72 respectively). The absence of otorrhea decreased the likelihood of TM perforations and no significant differences were found in gender, total number of sets of tubes, type of tube, use of nasal steroids, adenoidectomy, or nasal congestion. Our findings suggest that children with rhinorrhea, otorrhea, aural polyps, or prolonged intubation requiring operative tube removal should be identified clinically as children at risk of persisting perforation. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Common Bile Duct Perforation Due to Tuberculosis: A Case Report

OpenAIRE

Razman Jarmin; Shaharin Shaharuddin

2004-01-01

A young man with HIV presented with biliary peritonitis secondary to spontaneous common bile duct perforation. Investigation revealed that the perforation was due to Mycobacterium tuberculosis. Tuberculosis of the bile duct is uncommon and usually presents with obstructive jaundice due to stricture. Bile duct perforation due to tuberculosis is extremely rare. Its management is discussed.

Focused Fluid Flow along Convergent Plate Boundaries - Deriving Flow Rates along Faults from Local Upwarping of the Base of the Gas Hydrate Stability Zone

Science.gov (United States)

Kunath, P.; Chi, W. C.; Liu, C. S.

2017-12-01

Convergent plate boundaries provide the ideal opportunity to examine the interactions of deformation, fluid flow and gas hydrate stability. However, there are still processes and parameters that remain unclear or scarce. This may be in part due to the fact that in situ determination of fluid flow rate is very difficult. Here, we present a newly developed 2-D hydrothermal model for (1) simulating the steady state, thermal effect of forced heat advection along a thin and shallow dipping fault and (2) quantifying fluid velocities required to deliver a thermal anomalies manifested at the bottom-simulating reflector (BSR) at its intersection with the fault zone. Assuming the horizontal thermal conduction is negligible, we derive our model using only a few crucial parameters: (a) the thermal conductivity structure between seafloor and fault; (b) the temperature at BSR depth and the seafloor; (c) fluid flow rate; (d) geometry of the fault conduit, including depth and thickness. Temperature disturbance is then described as a function of Peclet number and of the dip of the fault. Application of our model to Site 892 at Cascadia accretionary wedge (ODP Leg 146), where borehole data provide excellent thermal constraints on the hydrology, shows consistent results. By comparing the temperatures derived at the BSRs with the temperature field of our model, the results demonstrate that the temperature discrepancy is about 0 - 0.5 oC. We propose that this simple approach can provide, on the basis of a few parameters, rough estimate of the disturbance of the temperature caused by advecting fluid. Localized lateral BSR-based heat flow variations have been observed near thrust faults along many convergent plate boundaries around the world and are associated with strong localized fluid flow. We wish to further testing this approach using other seismic datasets to estimate first order of magnitude fluid migration patterns in other convergent boundaries.

Spectrum of perforation peritonitis in India-review of 504 consecutive cases

OpenAIRE

Jhobta, Rajender Singh; Attri, Ashok Kumar; Kaushik, Robin; Sharma, Rajeev; Jhobta, Anupam

2006-01-01

Abstract Background/objective Perforation peritonitis is the most common surgical emergency in India. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered by us at Government Medical College and Hospital (GMCH), Chandigarh. Methods Five hundred and four consecutive cases of perforation peritonitis over a period of five years were r...

Diaphragmatic eventration complicated by gastric volvulus with perforation

OpenAIRE

Gupta, V; Chandra, A; Gupta, P

2012-01-01

Eventration of the diaphragm with gastric volvulus is uncommon. Gastric perforation in these cases is rare and usually associated with acute gastric volvulus with strangulation. We describe a case of diaphragmatic eventration with chronic gastric volvulus with gastric perforation without strangulation in an elderly man.

Common Bile Duct Perforation Due to Tuberculosis: A Case Report

Directory of Open Access Journals (Sweden)

Razman Jarmin

2004-10-01

Full Text Available A young man with HIV presented with biliary peritonitis secondary to spontaneous common bile duct perforation. Investigation revealed that the perforation was due to Mycobacterium tuberculosis. Tuberculosis of the bile duct is uncommon and usually presents with obstructive jaundice due to stricture. Bile duct perforation due to tuberculosis is extremely rare. Its management is discussed.

Preoperative factors influencing mortality and morbidity in peptic ulcer perforation.

Science.gov (United States)

Sivaram, P; Sreekumar, A

2018-04-01

Perforated peptic ulcer is one of the most common surgical emergencies worldwide. With the improvement in medical therapy for peptic ulcers, the number of elective surgical procedures has come down. However, the incidence of perforated peptic ulcer is still increasing and remains as a substantial health problem with significant postoperative morbidity and mortality. This study aimed to find out the association between various preoperative and intraoperative factors with the postoperative mortality and morbidity in patients operated for peptic ulcer perforation. This prospective observational study had a time based sample of 101 perforation peritonitis cases admitted to the surgical wards of a tertiary care center from February 2015 to January 2016 who underwent laparotomy, diagnosed to have peptic ulcer perforation and underwent simple closure with an omental patch. Data regarding age, gender, presenting complaints, time elapsed from the onset of symptoms to surgery, physical examination findings, comorbid diseases, laboratory and imaging findings, intraoperative findings, length of hospital stay, postoperative morbidity, and mortality were recorded and analyzed. Female gender, older age group, perforation surgery interval more than 36 h, and size of perforation more than 1 cm 2 were found to be significant factors influencing postoperative mortality and morbidity. Postoperative morbidity was also associated with comorbid diseases. Abnormal renal function on presentation was identified as an additional risk factor for postoperative morbidity and longer hospital stay. An understanding of these factors, identification of patients at risk and early intervention can help in reducing the postoperative morbidity and mortality in peptic ulcer perforation.

Jejunal Diverticular Perforation due to Enterolith

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Ronaldo Nonose

2011-08-01

Full Text Available Jejunal diverticulosis is a rare entity with variable clinical and anatomical presentations. Although there is no consensus on the management of asymptomatic jejunal diverticular disease, some complications are potentially life-threatening and require early surgical treatment. Small bowel perforation secondary to jejunal diverticulitis by enteroliths is rare. The aim of this study was to report a case of small intestinal perforation caused by a large jejunal enterolith. An 86-year-old woman was admitted with signs of diffuse peritonitis. After initial fluid recovery the patient underwent emergency laparotomy. The surgery showed that she had small bowel diverticular disease, mainly localized in the proximal jejunum. The peritonitis was due to intestinal perforation caused by an enterolith 12 cm in length, localized inside one of these diverticula. The intestinal segment containing the perforated diverticulum with the enterolith was removed and an end-to-end anastomosis was done to reconstruct the intestinal transit. The patient recovered well and was discharged from hospital on the 5th postoperative day. There were no signs of abdominal pain 1 year after the surgical procedure. Although jejunal diverticular disease with its complications, such as formation of enteroliths, is difficult to suspect in patients with peritonitis, it should be considered as a possible source of abdominal infection in the elderly patient when more common diagnoses have been excluded.

Sonographic templates of newborn perforator stroke.

Science.gov (United States)

Abels, Lyanne; Lequin, Maarten; Govaert, Paul

2006-07-01

Many paediatric strokes occur in the perinatal period. Improvement in neuroimaging has increased detection in newborns with neurological symptoms. To define sonographic templates of neonatal stroke in the territory of perforators of the anterior choroidal artery (AChA) and the anterior (ACA), middle (MCA) and posterior (PCA) cerebral arteries. In 24 neonates with perforator stroke, we retrospectively studied antenatal and perinatal events. Brain sonography was performed with an 8.5-MHz probe. Only hyperechoic lesions in the thalamus and/or striatum and/or centrum semiovale were included. MRI was obtained using a 1.5-T machine. We detected 28 perforator strokes in 24 infants (6 preterm): 5 MCA medial striate, 8 MCA lateral striate, 3 MCA centrum semiovale, 4 ACA Heubner's, 5 PCA thalamic arteries, 1 AChA, and 2 hypothalamic perforators. We attributed clinical seizures to stroke in two infants only. Catheter-related embolism (certain in three, possible in six others) and birth trauma (two) were probable causes. Specific conditions were found in six others. Only one infant (in nine evaluated) had an increased prothrombotic risk (fII mutation). In describing the lesions, we focused on the templates of infarction as seen in a parasagittal US sweep. Infarcts were confirmed by MRI in 21 patients. Our study showed that infarct topography can be evaluated reliably with brain sonography. This is important given the asymptomatic character of most lesions.

Soil moisture storage and hillslope stability

Directory of Open Access Journals (Sweden)

A. Talebi

2007-09-01

Full Text Available Recently, we presented a steady-state analytical hillslope stability model to study rain-induced shallow landslides. This model is based on kinematic wave dynamics of saturated subsurface storage and the infinite slope stability assumption. Here we apply the model to investigate the effect of neglecting the unsaturated storage on the assessment of slope stability in the steady-state hydrology. For that purpose we extend the hydrological model to compute the soil pore pressure distribution over the entire flow domain. We also apply this model for hillslopes with non-constant soil depth to compare the stability of different hillslopes and to find the critical slip surface in hillslopes with different geometric characteristics. In order to do this, we incorporate more complex approaches to compute slope stability (Janbu's non-circular method and Bishop's simplified method in the steady-state analytical hillslope stability model. We compare the safety factor (FS derived from the infinite slope stability method and the more complex approach for two cases: with and without the soil moisture profile in the unsaturated zone. We apply this extended hillslope stability model to nine characteristic hillslope types with three different profile curvatures (concave, straight, convex and three different plan shapes (convergent, parallel, divergent. Overall, we find that unsaturated zone storage does not play a critical role in determining the factor of safety for shallow and deep landslides. As a result, the effect of the unsaturated zone storage on slope stability can be neglected in the steady-state hydrology and one can assume the same bulk specific weight below and above the water table. We find that steep slopes with concave profile and convergent plan shape have the least stability. We also demonstrate that in hillslopes with non-constant soil depth (possible deep landslides, the ones with convex profiles and convergent plan shapes have

Sen perforation af tyndtarm efter laparoskopisk gastrisk bypass

DEFF Research Database (Denmark)

Spanager, Lene; Sigild, Ulf Henrik; Neuenschwander, Anders Ulrich

2010-01-01

We present two cases in which the patients were admitted to a local hospital with acute abdominal pain four or five months after having undergone laparoscopic gastric bypass. In both cases, operation revealed a perforation of the small bowel close to the distal anastomosis. In the first case......, a massive constipation of the small bowel was most likely a contributing factor. In the second case, the cause was a kink of the entero-entero anastomosis leading to obstruction and finally perforation of the biliary limp. Late perforations are among the rarely reported complications associated with gastric...

Morphological instability during steady electrodeposition at overlimiting currents

DEFF Research Database (Denmark)

Nielsen, Christoffer Peder; Bruus, Henrik

2015-01-01

We present a linear stability analysis of a planar metal electrode during steady electrodeposition. We extend the previous work of Sundstrom and Bark by accounting for the extended space-charge density, which develops at the cathode once the applied voltage exceeds a few thermal voltages...

An efficient and general numerical method to compute steady uniform vortices

Science.gov (United States)

Luzzatto-Fegiz, Paolo; Williamson, Charles H. K.

2011-07-01

Steady uniform vortices are widely used to represent high Reynolds number flows, yet their efficient computation still presents some challenges. Existing Newton iteration methods become inefficient as the vortices develop fine-scale features; in addition, these methods cannot, in general, find solutions with specified Casimir invariants. On the other hand, available relaxation approaches are computationally inexpensive, but can fail to converge to a solution. In this paper, we overcome these limitations by introducing a new discretization, based on an inverse-velocity map, which radically increases the efficiency of Newton iteration methods. In addition, we introduce a procedure to prescribe Casimirs and remove the degeneracies in the steady vorticity equation, thus ensuring convergence for general vortex configurations. We illustrate our methodology by considering several unbounded flows involving one or two vortices. Our method enables the computation, for the first time, of steady vortices that do not exhibit any geometric symmetry. In addition, we discover that, as the limiting vortex state for each flow is approached, each family of solutions traces a clockwise spiral in a bifurcation plot consisting of a velocity-impulse diagram. By the recently introduced "IVI diagram" stability approach [Phys. Rev. Lett. 104 (2010) 044504], each turn of this spiral is associated with a loss of stability for the steady flows. Such spiral structure is suggested to be a universal feature of steady, uniform-vorticity flows.

Perforated pyloroduodenal peptic ulcer and sonography.

Science.gov (United States)

Kuzmich, Siarhei; Harvey, Chris J; Fascia, Daniel T M; Kuzmich, Tatsiana; Neriman, Deena; Basit, Rizwan; Tan, Kai Lee

2012-11-01

The purpose of this article is to illustrate the spectrum of sonographic findings in perforated pyloroduodenal peptic ulcer and discuss the potential role of sonography in the diagnosis. Although sonography is not the first-line investigation of choice in suspected perforated peptic ulcer, understanding of the characteristic appearances seen during general abdominal sonography may aid the reader in the diagnosis of this important and sometimes overlooked cause of nonspecific abdominal pain. This may shorten time to the diagnosis and ultimate surgical management.

Spontaneous Uterine Perforation due to Pyometra Presenting as Acute Abdomen

Directory of Open Access Journals (Sweden)

Loabat Geranpayeh

2006-01-01

Full Text Available Spontaneous perforation of the uterus is rare, its incidence being about 0.01%–0.05%. We report a rare case of diffuse peritonitis caused by spontaneously perforated pyometra. A 63-year-old woman with severe abdominal pain was admitted to our hospital. Laparotomy was performed because of the suspicion of gastrointestinal perforation with generalized peritonitis. At laparotomy, about 900 mL of pus was found in the peritoneal cavity. There were no abnormal findings in the alimentary tract, liver, or gallbladder. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Pathological investigation of the surgical specimen revealed endometritis and myometritis of the uterus; but there was no evidence of malignancy, and the cervical canal was patent. Although spontaneously perforated pyometra is rare, a perforated pyometra should therefore also be considered when elderly women present with acute abdominal pain.

Evidence for forcing-dependent steady states in a turbulent swirling flow.

Science.gov (United States)

Saint-Michel, B; Dubrulle, B; Marié, L; Ravelet, F; Daviaud, F

2013-12-06

We study the influence on steady turbulent states of the forcing in a von Karman flow, at constant impeller speed, or at constant torque. We find that the different forcing conditions change the nature of the stability of the steady states and reveal dynamical regimes that bear similarities to low-dimensional systems. We suggest that this forcing dependence may be applicable to other turbulent systems.

Reviewing metallic PEMFC bipolar plates

Energy Technology Data Exchange (ETDEWEB)

Wang, H.; Turner, J.A. [National Renewable Energy Laboratory, Golden, CO (United States)

2010-08-15

A bipolar plate is one of the most important components in a polymer exchange membrane fuel cell (PEMFC) stack and has multiple functions. Metallic bipolar plate candidates have advantages over composite rivals in excellent electrical and thermal conductivity, good mechanical strength, high chemical stability, very wide alloy choices, low cost and, most importantly, existing pathways for high-volume, high-speed mass production. The challenges with metallic bipolar plates are the higher contact resistance and possible corrosion products, which may contaminate the membrane electrode assembly. This review evaluates the candidate metallic and coating materials for bipolar plates and gives the perspective of the research trends. (Abstract Copyright [2010], Wiley Periodicals, Inc.)

Risk of surgical glove perforation in oral and maxillofacial surgery.

Science.gov (United States)

Kuroyanagi, N; Nagao, T; Sakuma, H; Miyachi, H; Ochiai, S; Kimura, Y; Fukano, H; Shimozato, K

2012-08-01

Oral and maxillofacial surgery, which involves several sharp instruments and fixation materials, is consistently at a high risk for cross-contamination due to perforated gloves, but it is unclear how often such perforations occur. This study aimed to address this issue. The frequency of the perforation of surgical gloves (n=1436) in 150 oral and maxillofacial surgeries including orthognathic surgery (n=45) was assessed by the hydroinsufflation technique. Orthognathic surgery had the highest perforation rate in at least 1 glove in 1 operation (91.1%), followed by cleft lip and palate surgery (55.0%), excision of oral soft tumour (54.5%) and dental implantation (50.0%). The perforation rate in scrub nurses was 63.4%, followed by 44.4% in surgeons and first assistants, and 16.3% in second assistants. The odds ratio for the perforation rate in orthognathic surgery versus other surgeries was 16.0 (95% confidence interval: 5.3-48.0). The protection rate offered by double gloving in orthognathic surgery was 95.2%. These results suggest that, regardless of the surgical duration and blood loss in all fields of surgery, orthognathic surgery must be categorized in the highest risk group for glove perforation, following gynaecological and open lung surgery, due to the involvement of sharp objects. Copyright © 2012 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Anatomically contoured plates for fixation of rib fractures.

Science.gov (United States)

Bottlang, Michael; Helzel, Inga; Long, William B; Madey, Steven

2010-03-01

: Intraoperative contouring of long bridging plates for stabilization of flail chest injuries is difficult and time consuming. This study implemented for the first time biometric parameters to derive anatomically contoured rib plates. These plates were tested on a range of cadaveric ribs to quantify plate fit and to extract a best-fit plating configuration. : Three left and three right rib plates were designed, which accounted for anatomic parameters required when conforming a plate to the rib surface. The length lP over which each plate could trace the rib surface was evaluated on 109 cadaveric ribs. For each rib level 3-9, the plate design with the highest lP value was extracted to determine a best-fit plating configuration. Furthermore, the characteristic twist of rib surfaces was measured on 49 ribs to determine the surface congruency of anatomic plates with a constant twist. : The tracing length lP of the best-fit plating configuration ranged from 12.5 cm to 14.7 cm for ribs 3-9. The corresponding range for standard plates was 7.1-13.7 cm. The average twist of ribs over 8-cm, 12-cm, and 16-cm segments was 8.3 degrees, 20.6 degrees, and 32.7 degrees, respectively. The constant twist of anatomic rib plates was not significantly different from the average rib twist. : A small set of anatomic rib plates can minimize the need for intraoperative plate contouring for fixation of ribs 3-9. Anatomic rib plates can therefore reduce the time and complexity of flail chest stabilization and facilitate spanning of flail segments with long plates.

Perforated peptic ulcer associated with abdominal compartment syndrome.

Science.gov (United States)

Lynn, Jiun-Jen; Weng, Yi-Ming; Weng, Chia-Sui

2008-11-01

Abdominal compartment syndrome (ACS) is defined as an increased intra-abdominal pressure with adverse physiologic consequences. Abdominal compartment syndrome caused by perforated peptic ulcer is rare owing to early diagnosis and management. Delayed recognition of perforated peptic ulcer with pneumoperitoneum, bowel distension, and decreased abdominal wall compliance can make up a vicious circle and lead to ACS. We report a case of perforated peptic ulcer associated with ACS. A 74-year-old man with old stroke and dementia history was found to have distended abdomen, edema of bilateral legs, and cyanosis. Laboratory tests revealed deterioration of liver and kidney function. Abdominal compartment syndrome was suspected, and image study was arranged to find the cause. The study showed pneumoperitoneum, contrast stasis in heart with decreased caliber of vessels below the abdominal aortic level, and diffuse lymphedema at the abdominal walls. Emergent laparotomy was performed. Perforated peptic ulcer was noted and the gastrorrhaphy was done. The symptoms, and liver and kidney function improved right after emergent operation.

Perforated peptic ulcer in an infant.

Science.gov (United States)

Feng, C Y; Hsu, W M; Chen, Y

2001-02-01

We describe a case of perforated peptic ulcer (PPU) in a 9-month-old boy. Abdominal distension was the first clinical sign of PPU. Before he developed abdominal distension, the patient had suffered from an upper respiratory tract infection with fever for about 2 weeks, which was treated intermittently with ibuprofen. A plain abdominal radiograph revealed pneumoperitoneum with a football sign. At laparotomy, a 0.8-cm perforated hole was found over the prepyloric area. Simple closure with omental patching was performed after debridement of the perforation. Pathologic examination showed chronic peptic ulcer with Helicobacter pylori infection. The postoperative course and outcome were satisfactory. The stress of underlying disease, use of ibuprofen, blood type (A), and H. pylori infection might have contributed to the development of PPU in this patient. PPU in infancy is rare and has a high mortality rate; early recognition and prompt surgical intervention are key to successful management.

Posterior fossa reconstruction using titanium plate for the treatment of cerebellar ptosis after decompression for Chiari malformation.

Science.gov (United States)

Udani, Vikram; Holly, Langston T; Chow, Daniel; Batzdorf, Ulrich

2014-01-01

We describe our use of a perforated titanium plate to perform a partial posterior fossa cranioplasty in the treatment of cerebellar ptosis and dural ectasia after posterior fossa decompression (PFD). Twelve patients who had undergone PFD underwent posterior fossa reconstruction using a titanium plate. Symptoms were related to either descent of the cerebellum into the decompression or to dural ectasia into the craniectomy defect. Twelve patients who had undergone large suboccipital craniectomies and who presented with persistent headaches and some with neurological symptoms related to syringomyelia, underwent reoperation with placement of a small titanium plate. Ten of 12 patients showed symptomatic improvement after reoperation. Placement of a titanium plate appears to be an effective method of treatment of cerebellar ptosis and dural ectasia after PFD for Chiari malformation. Copyright © 2014 Elsevier Inc. All rights reserved.

A case report of esophageal perforation: Complication of nasogastric tube placement

Science.gov (United States)

Isik, Arda; Firat, Deniz; Peker, Kemal; Sayar, Ilyas; Idiz, Oguz; Soytürk, Mehmet

2014-01-01

Patient: Male, 70 Final Diagnosis: Esophageal perforation Symptoms: Abdominal pain • nausea • vomiting Medication: — Clinical Procedure: — Specialty: Surgery Objective: Unusual clinical course Background: Esophageal perforation is a well-defined and severe clinical condition. There are several etiologies of esophagus perforation. Case Report: We report the case of a 70-year-old Caucasian man who underwent an emergency cholecystectomy due to acute cholecystitis. Two days after surgery, his condition deteriorated. Thorax computerized tomography revealed an esophageal perforation. Conclusions: Esophageal perforation due to nasogastric application is relatively rare but the consequences are potentially serious. The anatomy of the upper gastrointestinal system should be understood by all healthcare professionals involved in the treatment. PMID:24803977

Low-energy plasma-cathode electron gun with a perforated emission electrode

Science.gov (United States)

Burdovitsin, Victor; Kazakov, Andrey; Medovnik, Alexander; Oks, Efim; Tyunkov, Andrey

2017-11-01

We describe research of influence of the geometric parameters of perforated electrode on emission parameters of a plasma cathode electron gun generating continuous electron beams at gas pressure 5-6 Pa. It is shown, that the emission current increases with increasing the hole diameters and decreasing the thickness of the perforated emission electrode. Plasma-cathode gun with perforated electron can provide electron extraction with an efficiency of up to 72 %. It is shown, that the current-voltage characteristic of the electron gun with a perforated emission electrode differs from that of similar guns with fine mesh grid electrode. The plasma-cathode electron gun with perforated emission electrode is used for electron beam welding and sintering.

The interference between two flat plates normal to a stream in staggered arrangement, 1

International Nuclear Information System (INIS)

Hirano, Kimitaka; Kawashima, Akira; Ohsako, Hideyuki.

1983-01-01

The clarification of the mutual interference characteristics between the bodies with sharp corners, such as flat plates and rectangular prisms placed perpendicularly to flow, is a fundamental and important problem. But it has not yet been sufficiently clarified. In flat plates, the points of breaking away do not move, a large breaking away region is in the wake, and the thickness is very thin in the direction of main flow. Moreover, a moment arises around the center of flat plates. In this study, a new parameter expressing the influence of channel walls on a single flat plate in the measuring part of two-dimensional wind tunnel experiment was proposed. The change of steady drag coefficient and Strouhal number corresponding to the series and parallel arrangements of two plates was clarified, and the patterns of the mutual interference were classified by using the results of visualizing flow in a circulation tank together. By the experimental results in the widely changed staggered arrangements, the isodrag contour diagram and isomoment contour diagram were drawn, and the general characteristics of mutual interference related to steady drag and moment were clarified. The experimental setup and method and the results are reported. (Kako, I.)

Perforate on CHO cell membranes induced by electromagnetic ...

African Journals Online (AJOL)

STORAGESEVER

2009-06-17

Jun 17, 2009 ... Key words: Electromagnetic pulse (EMP), atomic force microscope, CHO cell, cell membrane. INTRODUCTION .... of perforation ranges from 390 to 660 nm and the depth is. 392.95 nm. ... cell membrane perforations increased when both the field intensity and ..... Melatonin and a spin-trap compound block.

Perforated appendicitis: Risk factors and outcomes of management ...

African Journals Online (AJOL)

The case files of patients with perforated appendicitis were analysed in relation to age, sex, clinical presentation, management and outcome of management. The aim was to detect the main factors that contributed to the perforation of the appendix in these patients and assess the effectiveness of the treatment offered.

Color Doppler Ultrasonography-Targeted Perforator Mapping and Angiosome-Based Flap Reconstruction

DEFF Research Database (Denmark)

Gunnarsson, Gudjon Leifur; Tei, Troels; Thomsen, Jørn Bo

2016-01-01

Knowledge about perforators and angiosomes has inspired new and innovative flap designs for reconstruction of defects throughout the body. The purpose of this article is to share our experience using color Doppler ultrasonography (CDU)-targeted perforator mapping and angiosome-based flap reconstr......Knowledge about perforators and angiosomes has inspired new and innovative flap designs for reconstruction of defects throughout the body. The purpose of this article is to share our experience using color Doppler ultrasonography (CDU)-targeted perforator mapping and angiosome-based flap...

Optimizing time management after perforation by colonoscopy results in better outcome for the patients.

Science.gov (United States)

Rumstadt, Bernhard; Schilling, Dieter

2008-01-01

Perforation during colonoscopy is a rare but severe complication. The aim of this study was to assess the time management and laparoscopic therapy of this complication and to evaluate patient outcomes. A retrospective analysis was done on 15 patients operated for a perforation from colonoscopy between January 2000 and December 2006. Three perforations occurred during diagnostic and 12 perforations during interventional colonoscopy. Two perforations occurred as transmural thermal injury to the colon wall. Peritonitis was found in 4 cases and significantly correlated with the mean time between perforation and operation. Twelve perforations were oversewn laparoscopically and 3 perforations were oversewn by laparotomy. After laparoscopic treatment, hospital stay was significantly shorter than after laparotomy. One patient had a postoperative wound infection, mortality was 0%. Laparoscopic oversewing is a safe and effective method in the treatment of perforation from colonoscopy. Optimizing the time range between perforation and laparoscopic therapy results in a better outcome for the patients.

Bladder perforations in children

African Journals Online (AJOL)

2014-11-20

Nov 20, 2014 ... Mean recovery time for patients was 15 days. ... fracture.[1,2] Isolated bladder perforations are rare, and they .... PA, perineal injury, pelvic fracture. Trauma .... Lower genitourinary injury and pelvic fractures in pediatric patients.

Traumatic oesophageal perforation due to haematoma

DEFF Research Database (Denmark)

Grønhøj Larsen, Christian; Brandt, Bodil

2014-01-01

. Three explanations postulated to be the cause for late perforation which might be due to esophageal wall ischemia from pressure built up between the hematoma, azygos vein and the lower part of thoracic trachea; or could be an immediate rupture walled-off until the patient became symptomatic......; or the intramural hematoma gradually lysed and causing late perforation. CONCLUSION: Although extremely rare, an oesophageal haematoma and late complications must be considered in patients on anti-coagulant therapy following blunt thoracic trauma and complaining only of chest pain....

NICKEL PLATING PROCESS

Science.gov (United States)

Hoover, T.B.; Zava, T.E.

1959-05-12

A simplified process is presented for plating nickel by the vapor decomposition of nickel carbonyl. In a preferred form of the invention a solid surface is nickel plated by subjecting the surface to contact with a mixture containing by volume approximately 20% nickel carbonyl vapor, 2% hydrogen sulfide and .l% water vapor or 1% oxygen and the remainder carbon dioxide at room temperature until the desired thickness of nickel is obtained. The advantage of this composition over others is that the normally explosive nickel carbonyl is greatly stabilized.

Effect of Loop Diameter on the Steady State and Stability Behaviour of Single-Phase and Two-Phase Natural Circulation Loops

Directory of Open Access Journals (Sweden)

P. K. Vijayan

2008-01-01

Full Text Available In natural circulation loops, the driving force is usually low as it depends on the riser height which is generally of the order of a few meters. The heat transport capability of natural circulation loops (NCLs is directly proportional to the flow rate it can generate. With low driving force, the straightforward way to enhance the flow is to reduce the frictional losses. A simple way to do this is to increase the loop diameter which can be easily adopted in pressure tube designs such as the AHWR and the natural circulation boilers employed in fossil-fuelled power plants. Further, the loop diameter also plays an important role on the stability behavior. An extensive experimental and theoretical investigation of the effect of loop diameter on the steady state and stability behavior of single- and two-phase natural circulation loops have been carried out and the results of this study are presented in this paper.

Complication with Removal of a Lumbar Spinal Locking Plate

Directory of Open Access Journals (Sweden)

Brooke Crawford

2015-01-01

Full Text Available Introduction. The use of locking plate technology for anterior lumbar spinal fusion has increased stability of the vertebral fusion mass over traditional nonconstrained screw and plate systems. This case report outlines a complication due to the use of this construct. Case. A patient with a history of L2 corpectomy and anterior spinal fusion presented with discitis at the L4/5 level and underwent an anterior lumbar interbody fusion (ALIF supplemented with a locking plate placed anterolaterally for stability. Fifteen months after the ALIF procedure, he returned with a hardware infection. He underwent debridement of the infection site and removal of hardware. Results. Once hardware was exposed, removal of the locking plate screws was only successful in one out of four screws using a reverse thread screw removal device. Three of the reverse thread screw removal devices broke in attempt to remove the subsequent screws. A metal cutting drill was then used to break hoop stresses associated with the locking device and the plate was removed. Conclusion. Anterior locking plates add significant stability to an anterior spinal fusion mass. However, removal of this hardware can be complicated by the inherent properties of the design with significant risk of major vascular injury.

Perforation of the Esophagus Secondary to Insertion of Covered Wallstent Endoprostheses

International Nuclear Information System (INIS)

Farrugia, Mark; Morgan, Robert A.; Latham, Jennifer A.; Glynos, Michael; Mason, Robert C.; Adam, Andreas

1997-01-01

Perforation of the esophagus is a very rare complication of metallic esophageal stent insertion. Two cases are presented in which esophageal perforations were caused by the sharp ends of metallic stents impinging on the esophageal wall. In retrospect, both perforations might have been prevented by additional stent insertion

The US findings of acute nonperforated and perforated appendicitis in children

International Nuclear Information System (INIS)

Bae, Jun Gi; Lee, Young Seok; Jung, Yoon Ho; Kim, Ji Hye; Lee, Woon Ki; Lee, Tae Hoon

1996-01-01

To analyse and interpret different sonographic findings in acute nonperforated and appendicitis. In 46 cases of acute appendicitis in children(26 girls, 20 boys) proven by surgery, sonographic findings were reviewed retrospectively. The findings of nonperforated and perforated appendicitis were analysed, focusing on the size, shape and echogenicity of the appendix, echo patterns of periappendiceal abscesses, mesenteric lymphadenopathy, and the prevalence of appendicolith. A noncompressible distended appendix was present in 18 of 21 patients with nonperforated appendicitis and in 13 of 25 patients with perforation. In 18 patients with nonperforated appendicitis, the average diameter of distended appendix was 8.6 mm ; target appearance was noted in 16 patients and loss of echogenic submucosa in two. In 13 patients with perforated appendicitis, the average diameter of appendix was 9.1 mm ; target appearance was noted in four patients and loss of echogenic submucosa in nine. Periappendiceal abscesses were present in 21 of 25 cases of perforated appendicitis, and the echogenicity of abscesses was mixed in 12 patients, hypoechogenic in eight, and hyperechogenic in one. Mesenteric lymphadenopathy was present in two of 21 patients with nonperforated appendicitis and in four of 25 with perforation. Appendicolith was detected on sonography in three of 25 patients with perforated appendicitis, but was found in seven patients during surgery. One patients with perforated appendicitis also had right side hydronephrosis. Sonographically false-negative results were obtained in six cases. A sonographic examination was useful to differenciate perforated and nonperforated appendicitis in children. Loss of echogenic submucosa in the distended appendix and periappendiceal abscess formation were important findings in diagnosis of perforated appendicitis

Esophageal perforation during or after conformal radiotherapy for esophageal carcinoma

International Nuclear Information System (INIS)

Chen Haiyan; Ma Xiumei; Ye Ming; Hou Yanli; Xie Huaying; Bai Yongrui

2014-01-01

The aim of this study was to analyze the risk factors and prognosis for patients with esophageal perforation occurring during or after radiotherapy for esophageal carcinoma. We retrospectively analyzed 322 patients with esophageal carcinoma. These patients received radiotherapy for unresectable esophageal tumors, residual tumors after operation, or local recurrence. Of these, 12 had radiotherapy to the esophagus before being admitted, 68 patients had concurrent chemoradiotherapy (CRT), and 18 patients had esophageal perforation after RT (5.8%). Covered self-expandable metallic stents were placed in 11 patients. Two patients continued RT after stenting and control of infection; one of these suffered a new perforation, and the other had a massive hemorrhage. The median overall survival was 2 months (0-3 months) compared with 17 months in the non-perforation group. In univariate analysis, the Karnofsky performance status (KPS) being ≤ 70, age younger than 60, T4 stage, a second course of radiotherapy to the esophagus, extracapsular lymph nodes (LN) involving the esophagus, a total dose > 100 Gy (biologically effective dose -10 ), and CRT were risk factors for perforation. In multivariate analysis, age younger than 60, extracapsular LN involving the esophagus, T4 stage, and a second course of radiotherapy to the esophagus were risk factors. In conclusion, patients with T4 stage, extracapsular LN involving the esophagus, and those receiving a second course of RT should be given particular care to avoid perforation. The prognosis after perforation was poor. (author)

Experimental study on behavior of RC panels covered with steel plates subjected to missile impact

International Nuclear Information System (INIS)

Jun Hashimoto; Katsuki Takiguchi; Koshiro Nishimura; Kazuyuki Matsuzawa; Mayuko Tsutsui; Yasuhiro Ohashi; Isao Kojima; Haruhiko Torita

2005-01-01

This paper describes an experimental study on the behavior of concrete panels with steel plate subjected to missile impact. Two tests were carried out, divided in accordance with the types of projectile, non-deformable and deformable. In all, 40 specimens of 750 mm square were prepared. The panel specimen was suspended vertically by two steel wire ropes to allow free movement after projectile impact, and was subjected to a projectile. As a result, it is confirmed that a RC panel with steel plate on its back side has higher impact resistance performance than a RC panel and that thickness of concrete panel, thickness of steel plate and the impact velocity of the projectile have a great effect on the failure modes of steel concrete panels. Moreover, based on the experimental results, the quantitative evaluation method for impact resistance performance of RC panels covered with steel plates is examined. The formula for perforation velocity of a half steel concrete panel, proposed in accordance with the bulging height, is effective to evaluate the impact resistance performance of RC panels with steel plates. (authors)

A CLINICAL STUDY ON PATIENTS WITH DUODENAL ULCER PERFORATION

Directory of Open Access Journals (Sweden)

Kishore Babu

2016-03-01

Full Text Available INTRODUCTION Perforated duodenal ulcer, the most catastrophic complication was Associated with high mortality in the past due to late presentation of the patients, delay in surgery and lack of antibiotics. Various authors state that the incidence of peptic ulcer disease and perforation has been declining for the past 3 decades. Because of advances in the medical therapy of peptic ulcer with a wide range of drugs the management of peptic ulcer disease has been changing and the role of surgery has been declining. Perforation is usually seen in 3rd and 4th decades with a male preponderance and the epidemiological trend is not the same worldwide. Incidence is slightly declining in western countries. The present study has been done during the period between 2013 and 2014 in S. V. R. R. Government general hospital Tirupati. AIMS AND OBJECTIVES The aim of the present study is to analyze the probable factors for increase in incidence of duodenal ulcer perforation, with particular emphasis on assessment of impact of H2 receptor antagonists and Proton Pump inhibitors on the incidence of perforation. STUDY SETTING S. V. Medical College, Department of General Surgery, Tirupati. STUDY PERIOD Patients attending S. V. Medical College, Department of General Surgery with perforation during the period from November 2013 to October 2014. INCLUSION CRITERIA Patients between age group of more than 14 years presenting with pain abdomen and who are diagnosed to have peritonitis due to duodenal ulcer perforation. EXCLUSION CRITERIA Patients with peritonitis due causes other than duodenal ulcer. STUDY METHOD Prospective Observational study among the selected patients. Total numbers of peptic ulcer cases that were admitted in this hospital and treated either medically or surgically were noted. The details of their clinical history and findings, investigation reports, operative findings, post-operative complications were recorded. Simple closure was performed for all the

Jejunal perforation by swallowed ibuprofen caplet | Njoku | Nigerian ...

African Journals Online (AJOL)

We present a case of jejunal perforation caused by an unusual foreign body, an ibuprofen caplet in its blister packing believed to be the first of its kind, perforation of the intestine caused by an ingested medication. The patient eventually developed an enterocutaneous fistula through the weak wall of a preexisting incisional ...

Cause rare d'une perforation de la cloison nasale

Science.gov (United States)

Jahidi, Ali; Hemmaoui, Bouchaïb; Itoua, Wulfran Rosaire; Errami, Noureddine; Benariba, Fouad

2014-01-01

Les perforations de la cloison nasale constituent une pathologie fréquente en ORL. Leurs causes sont multiples et restent dominées par les traumatismes chirurgicaux. Les étiologies infectieuses et notamment la tuberculose sont rares. Nous présentons le cas d'une patiente ayant bénéficié d'une méatotomie bilatérale et chez laquelle une perforation de la cloison nasale a été découverte lors d'un examen systématique à un an de son intervention. D'abord considérée comme une complication de la chirurgie, la biopsie des berges de la perforation a permis de déterminer son origine tuberculeuse. La présentation clinique des perforations de la cloison nasale n'est pas spécifique. Elles sont souvent asymptomatiques et de découverte fortuite. Les traumatismes notamment chirurgicaux sont le plus siuvent en cause. L′orogine tuberculeuse resta très rare. Le diagnostic de certitude de tuberculose repose sur la biopsie des berges de cette perforation. Le but de ce travail est de mettre en avant l'intérêt de la biopsie dans le diagnostic de la tuberculose de la cloison nasale. Cette biopsie doit être systématique même en cas d'antécédents de chirurgie endonasale qui est le plus souvent en cause dans les perforations de la cloison nasale. PMID:24932334

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.

Small bowel perforation due to fish bone: A case report

Directory of Open Access Journals (Sweden)

Huseyin Pulat

2015-09-01

Full Text Available Accidental ingestion of foreign bodies are a common condition in clinical practice. However, small bowel perforation which dues to ingestion foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation which dues to ingestion foreign body. A 80-year-old female patient, presenting with complaints of acute abdomen, was admitted to the emergency department. She denied abdominal pain, nausea and vomiting. The patient had tenderness and defense on the right lower quadrant. Contrast enhanced abdominal computed tomography has been used on the patient's diagnosis. This revealed small bowel perforation due to the ingestion of foreign body. The patient was operated emergency. A microperforation due to fish bone was detected on the terminal ileum. The patient underwent debridement and primary repair. The patient was discharged postoperative 7th day without problem. Bowel perforation due to the ingestion of foreign bodies should be considered in the differential diagnosis of acute abdomen. Keywords: Foreign body, Small intestine, Perforation

Experimental and numerical study of the wave run-up along a vertical plate

DEFF Research Database (Denmark)

Molin, Bernard; Kimmoun, O.; Liu, Y.

2010-01-01

Results from experiments on wave interaction with a rigid vertical plate are reported. The 5m long plate is set against the wall of a 30m wide basin, at 100m from the wavemaker. This set-up is equivalent to a 10m plate in the middle of a 60m wide basin. Regular waves are produced, with wavelength...... on extended Boussinesq equations. In most of the experimental tests, despite the large distance from the wavemaker to the plate and the small amplitude of the incident wave, no steady state is attained by the end of the exploitable part of the records....

Reliability improvement in GaN HEMT power device using a field plate approach

Science.gov (United States)

Wu, Wen-Hao; Lin, Yueh-Chin; Chin, Ping-Chieh; Hsu, Chia-Chieh; Lee, Jin-Hwa; Liu, Shih-Chien; Maa, Jer-shen; Iwai, Hiroshi; Chang, Edward Yi; Hsu, Heng-Tung

2017-07-01

This study investigates the effect of implementing a field plate on a GaN high-electron-mobility transistor (HEMT) to improve power device reliability. The results indicate that the field plate structure reduces the peak electrical field and interface traps in the device, resulting in higher breakdown voltage, lower leakage current, smaller current collapse, and better threshold voltage control. Furthermore, after high voltage stress, steady dynamic on-resistance and gate capacitance degradation improvement were observed for the device with the field plate. This demonstrates that GaN device reliability can be improved by using the field plate approach.

Stress and stability of plate-screw fixation and screw fixation in the treatment of Schatzker type IV medial tibial plateau fracture: a comparative finite element study.

Science.gov (United States)

Huang, Xiaowei; Zhi, Zhongzheng; Yu, Baoqing; Chen, Fancheng

2015-11-25

The purpose of this study is to compare the stress and stability of plate-screw fixation and screw fixation in the treatment of Schatzker type IV medial tibial plateau fracture. A three-dimensional (3D) finite element model of the medial tibial plateau fracture (Schatzker type IV fracture) was created. An axial force of 2500 N with a distribution of 60% to the medial compartment was applied to simulate the axial compressive load on an adult knee during single-limb stance. The equivalent von Mises stress, displacement of the model relative to the distal tibia, and displacement of the implants were used as the output measures. The mean stress value of the plate-screw fixation system was 18.78 MPa, which was significantly (P stress value of the triangular fragment in the plate-screw fixation system model was 42.04 MPa, which was higher than that in the screw fixation model (24.18 MPa). But the mean stress of the triangular fractured fragment in the screw fixation model was significantly higher in terms of equivalent von Mises stress (EVMS), x-axis, and z-axis (P < 0.001). This study demonstrated that the load transmission mechanism between plate-screw fixation system and screw fixation system was different and the stability provided by the plate-screw fixation system was superior to the screw fixation system.

An Irrotational Flow Field That Approximates Flat Plate Boundary Conditions

OpenAIRE

Ruffa, Anthony A.

2004-01-01

An irrotational solution is derived for the steady-state Navier-Stokes equations that approximately satisfies the boundary conditions for flow over a finite flat plate. The nature of the flow differs substantially from boundary layer flow, with severe numerical difficulties in some regions.

Stability, accuracy and numerical diffusion analysis of nodal expansion method for steady convection diffusion equation

International Nuclear Information System (INIS)

Zhou, Xiafeng; Guo, Jiong; Li, Fu

2015-01-01

Highlights: • NEMs are innovatively applied to solve convection diffusion equation. • Stability, accuracy and numerical diffusion for NEM are analyzed for the first time. • Stability and numerical diffusion depend on the NEM expansion order and its parity. • NEMs have higher accuracy than both second order upwind and QUICK scheme. • NEMs with different expansion orders are integrated into a unified discrete form. - Abstract: The traditional finite difference method or finite volume method (FDM or FVM) is used for HTGR thermal-hydraulic calculation at present. However, both FDM and FVM require the fine mesh sizes to achieve the desired precision and thus result in a limited efficiency. Therefore, a more efficient and accurate numerical method needs to be developed. Nodal expansion method (NEM) can achieve high accuracy even on the coarse meshes in the reactor physics analysis so that the number of spatial meshes and computational cost can be largely decreased. Because of higher efficiency and accuracy, NEM can be innovatively applied to thermal-hydraulic calculation. In the paper, NEMs with different orders of basis functions are successfully developed and applied to multi-dimensional steady convection diffusion equation. Numerical results show that NEMs with three or higher order basis functions can track the reference solutions very well and are superior to second order upwind scheme and QUICK scheme. However, the false diffusion and unphysical oscillation behavior are discovered for NEMs. To explain the reasons for the above-mentioned behaviors, the stability, accuracy and numerical diffusion properties of NEM are analyzed by the Fourier analysis, and by comparing with exact solutions of difference and differential equation. The theoretical analysis results show that the accuracy of NEM increases with the expansion order. However, the stability and numerical diffusion properties depend not only on the order of basis functions but also on the parity of

Stability, accuracy and numerical diffusion analysis of nodal expansion method for steady convection diffusion equation

Energy Technology Data Exchange (ETDEWEB)

Zhou, Xiafeng, E-mail: zhou-xf11@mails.tsinghua.edu.cn; Guo, Jiong, E-mail: guojiong12@tsinghua.edu.cn; Li, Fu, E-mail: lifu@tsinghua.edu.cn

2015-12-15

Highlights: • NEMs are innovatively applied to solve convection diffusion equation. • Stability, accuracy and numerical diffusion for NEM are analyzed for the first time. • Stability and numerical diffusion depend on the NEM expansion order and its parity. • NEMs have higher accuracy than both second order upwind and QUICK scheme. • NEMs with different expansion orders are integrated into a unified discrete form. - Abstract: The traditional finite difference method or finite volume method (FDM or FVM) is used for HTGR thermal-hydraulic calculation at present. However, both FDM and FVM require the fine mesh sizes to achieve the desired precision and thus result in a limited efficiency. Therefore, a more efficient and accurate numerical method needs to be developed. Nodal expansion method (NEM) can achieve high accuracy even on the coarse meshes in the reactor physics analysis so that the number of spatial meshes and computational cost can be largely decreased. Because of higher efficiency and accuracy, NEM can be innovatively applied to thermal-hydraulic calculation. In the paper, NEMs with different orders of basis functions are successfully developed and applied to multi-dimensional steady convection diffusion equation. Numerical results show that NEMs with three or higher order basis functions can track the reference solutions very well and are superior to second order upwind scheme and QUICK scheme. However, the false diffusion and unphysical oscillation behavior are discovered for NEMs. To explain the reasons for the above-mentioned behaviors, the stability, accuracy and numerical diffusion properties of NEM are analyzed by the Fourier analysis, and by comparing with exact solutions of difference and differential equation. The theoretical analysis results show that the accuracy of NEM increases with the expansion order. However, the stability and numerical diffusion properties depend not only on the order of basis functions but also on the parity of

Role of Spiral and Multislice Computed Tomography in the evaluation of traumatic and spontaneous oesophageal perforation. Our experience

International Nuclear Information System (INIS)

De Lutio di Castelguidone, Elisabetta; Pinto, Antonio; Merola, Stefanella; Stavolo, Ciro; Romano, Luigia

2005-01-01

Purpose: To assess the role of CT in the evaluation of traumatic and spontaneous oesophageal perforation. Materials and methods: From March 2001 to May 2003, we studied 12 patients (7 males and 5 females; age range: 25-66 years, mean age: 43.5 years) with suspected oesophageal perforation due to motor-vehicle accidents (4 cases), stab wound (one case), post-intubation (2 cases), foreign body ingestion (2 cases) and spontaneous (3 cases). Five patients underwent standard chest and cervical radiography; two patients with suspected foreign body ingestion also underwent a gastrografin swallow study; all of the 12 patients underwent CT of the neck, chest and abdomen before and after intravenous, and in four cases oral, administration of contrast material. Results: In 5 patients with cervical, thoracic and abdominal trauma, the CT examination showed the presence of pleuroparenchymal injury (pneumothorax, pleural effusion and subcutaneous emphysema) as well as findings suggestive of oesophageal perforation: peri-oesophageal air (5 cases), peri-oesophageal fluid (4 cases), oesophageal wall thickening (3 cases), oesophageal wall laceration (2 cases) with abnormal course of the nasogastric tube in one of them and extraluminal extravasation of oral contrast material (2 cases). In two patients with post-intubation complications, CT showed the presence of a small peri-oesophageal fluid collection containing small gas bubbles in one case, and a gross peri-oesophageal abscess-like collection in the second case. In the 2 patients with foreign body ingestion, the plain radiography associated with CT showed the presence of a thin metal object in the cervical region (fragment of a dental plate) and a small extraluminal extravasation of gastrografin in one case, whereas in the other case CT showed the presence of a foreign body (chicken bone) in the hypopharynx with oesophageal wall thickening and peri-oesophageal oedema. In the remaining three patients with suspected spontaneous

Perforated Duodenal Ulcer in a Young Child: An Uncommon Condition

Directory of Open Access Journals (Sweden)

Rohit Prasad Yadav

2009-04-01

Full Text Available Duodenal ulcer is an uncommonly diagnosed entity in children. H. pyloriinfection, blood group ‘O’ or secondary to medications like non steroidal anti-infl ammatory drugs (NSAID and corticosteroids or physiological stress in burns, head injury and mucosal ischemia are implicated as risk factors for their causation. The diagnosis is usually overlooked because of vague and variable symptoms and remote index of suspicion accounted for their low incidence in children. Undiagnosed or mistreated perforations may carry high morbidity and mortality. We report a successfully treated 41/2 year old male child who presented with features of perforation peritonitis and was incidentally found to have a perforated duodenal ulcer. Key Words: duodenal ulcer, laparotomy, perforation

Biharmonic split ring resonator metamaterial: Artificially dispersive effective density in thin periodically perforated plates

KAUST Repository

Farhat, Mohamed

2014-08-01

We present in this paper a theoretical and numerical analysis of bending waves localized on the boundary of a platonic crystal whose building blocks are Split Ring Resonators (SRR). We first derive the homogenized parameters of the structured plate using a three-scale asymptotic expansion in the linearized biharmonic equation. In the limit when the wavelength of the bending wave is much larger than the typical heterogeneity size of the platonic crystal, we show that it behaves as an artificial plate with an anisotropic effective Young modulus and a dispersive effective mass density. We then analyze dispersion diagrams associated with bending waves propagating within an infinite array of SRR, for which eigen-solutions are sought in the form of Floquet-Bloch waves. We finally demonstrate that this structure displays the hallmarks of All-Angle Negative Refraction (AANR) and it leads to superlensing and ultrarefraction effects, interpreted thanks to our homogenization model as a consequence of negative and vanishing effective density, respectively. © EPLA, 2014.

Biharmonic split ring resonator metamaterial: Artificially dispersive effective density in thin periodically perforated plates

KAUST Repository

Farhat, Mohamed; Enoch, Stefan; Guenneau, Sé bastien

2014-01-01

We present in this paper a theoretical and numerical analysis of bending waves localized on the boundary of a platonic crystal whose building blocks are Split Ring Resonators (SRR). We first derive the homogenized parameters of the structured plate using a three-scale asymptotic expansion in the linearized biharmonic equation. In the limit when the wavelength of the bending wave is much larger than the typical heterogeneity size of the platonic crystal, we show that it behaves as an artificial plate with an anisotropic effective Young modulus and a dispersive effective mass density. We then analyze dispersion diagrams associated with bending waves propagating within an infinite array of SRR, for which eigen-solutions are sought in the form of Floquet-Bloch waves. We finally demonstrate that this structure displays the hallmarks of All-Angle Negative Refraction (AANR) and it leads to superlensing and ultrarefraction effects, interpreted thanks to our homogenization model as a consequence of negative and vanishing effective density, respectively. © EPLA, 2014.

Perforated choledochal cyst in a Jehovah's Witness patient.

Science.gov (United States)

Jones, V S; Philip, C

2007-07-01

Perforation is a rare presentation of a choledochal cyst. The case reported is a 9-month-old female baby with a perforated choledochal cyst. Being a Jehovah's Witness, blood tranfusion was refused. Apart from highlighting this social dilemma, the suitability of a cystojejunostomy as a temporary measure in the above scenario is evaluated and discussed.

Gastric Perforation by Ingested Rabbit Bone Fragment

Directory of Open Access Journals (Sweden)

Giulio Gambaracci

2016-04-01

Full Text Available The majority of accidentally ingested foreign bodies is excreted from the gastrointestinal (GI tract without any complications. Sometimes sharp foreign bodies – like chicken and fish bones – can lead to intestinal perforation and may present insidiously with a wide range of symptoms and, consequently, different diagnoses. We report the case of a 59-year-old woman presenting with fever and a 1-month history of vague abdominal pain. Computed tomography (CT showed the presence of a hyperdense linear image close to the gastric antrum surrounded by a fluid collection and free peritoneal air. At laparotomy, a 4-cm rabbit bone fragment covered in inflamed tissue was detected next to a gastric wall perforation. Rabbit bone fragment ingestion, even if rarely reported, should not be underestimated as a possible cause of GI tract perforation.

A rare manifestation of perforated diverticulitis: parastomal subcutaneous abscess.

NARCIS (Netherlands)

Peters, J.H.; Bleichrodt, R.P.; Goor, H. van

2003-01-01

Perforation is a serious complication of diverticular disease. The sigmoid is the main affected anatomic site of perforated diverticulitis and sigmoid resection followed either by Hartmann procedure or primary anastomosis are the standard surgical approaches. Surgery, however, does not cure

Delayed Diagnosis of Pharyngeal Perforation following Exploding Tyre Blast Barotrauma

Directory of Open Access Journals (Sweden)

Samantha M. Field

2014-01-01

Full Text Available Introduction. Pharyngoesophageal perforation secondary to barotrauma is a rare phenomenon that can have serious complications if identified late. It is challenging to detect due to nonspecific symptoms. We present a case in which detection proved difficult leading to delayed diagnosis. Case Report. A 27-year-old mechanic presented with haemoptysis, dysphonia, and odynophagia after a car tyre exploded in his face. Flexible nasoendoscopy (FNE revealed blood in the pharynx, thought to represent mucosal haemorrhage. Initial treatment consisted of IV dexamethasone and antibiotics. After 3 days, odynophagia persisted prompting a CT scan. This revealed a defect in the posterior hypopharynx and surgical emphysema in the deep neck tissues. Contrast swallow confirmed posterior hypopharyngeal leak. NG feeding was commenced until repeated contrast swallow confirmed resolution of the defect. Discussion. Prompt nonsurgical management of pharyngoesophageal perforation has good outcomes but untreated perforation can have serious complications. FNE should be performed routinely, but only a contrast swallow can diagnose a functional perforation. Clinicians should have a high index of clinical suspicion when patients present with barotrauma and odynophagia. Patients should be kept nil by mouth until perforation has been excluded. Conclusion. When faced with cases of facial barotrauma, clinicians should have a low threshold for further imaging to exclude pharyngoesophageal perforation.

Laparoscopic lavage for perforated diverticulitis with purulent peritonitis

DEFF Research Database (Denmark)

Thornell, Anders; Angenete, Eva; Bisgaard, Thue

2016-01-01

Background: Perforated diverticulitis with purulent peritonitis has traditionally been treated with open colon resection and stoma formation with risk for reoperations, morbidity, and mortality. Laparoscopic lavage alone has been suggested as definitive treatment. Objective: To compare laparoscopic...... lavage with open colon resection and colostomy (Hartmann procedure) for perforated diverticulitis with purulent peritonitis. Design: Randomized, controlled, multicenter, open-label trial. (ISRCTN registry number: ISRCTN82208287) Setting: 9 hospitals in Sweden and Denmark. Patients: Patients who have...... confirmed Hinchey grade III perforated diverticulitis with purulent peritonitis at diagnostic laparoscopy. Intervention: Randomization between laparoscopic lavage and the Hartmann procedure. Measurements: Primary outcome was the percentage of patients having 1 or more reoperations within 12 months. Key...

Transmural coil embolization—alternative technique for management of arterial perforation during subintimal angioplasty

Directory of Open Access Journals (Sweden)

Karthikeyan Damodharan

2016-01-01

Full Text Available Subintimal angioplasty of lower limb arterial occlusion carries a relatively higher risk of vessel perforation compared to transluminal angioplasty. Vessel perforation is a potentially life threatening complication which requires prompt recognition and management. They are usually managed by endovascular techniques such as low-pressure balloon tamponade, covered stents, and coil embolization of the ruptured artery. We describe a technique of treating vessel perforation following balloon angioplasty. Patient developed a large perforation of the proximal superficial femoral artery (SFA after balloon inflation during subintimal angioplasty of complete SFA occlusion. Following failure of balloon tamponade in sealing the perforation, we successfully treated it by deploying an embolization coil at the site of perforation through the vessel wall followed by balloon tamponade. Our technique could be a useful relatively inexpensive alternative treatment option in the management of vessel perforation compared to covered stents.

External perforated Solar Screens for daylighting in residential desert buildings: Identification of minimum perforation percentages

KAUST Repository

Sherif, Ahmed

2012-06-01

The desert climate is endowed by clear sky conditions, providing an excellent opportunity for optimum utilization of natural light in daylighting building indoor spaces. However, the sunny conditions of the desert skies, in countries like Egypt and Saudi Arabia, result in the admittance of direct solar radiation, which leads to thermal discomfort and the incidence of undesired glare. One type of shading systems that is used to permit daylight while controlling solar penetration is " Solar Screens" Very little research work addressed different design aspects of external Solar Screens and their influence on daylighting performance, especially in desert conditions, although these screens proved their effectiveness in controlling solar radiation in traditional buildings throughout history.This paper reports on the outcomes of an investigation that studied the influence of perforation percentage of Solar Screens on daylighting performance in a typical residential living room of a building in a desert location. The objective was to identify minimum perforation percentage of screen openings that provides adequate illuminance levels in design-specific cases and all-year-round.Research work was divided into three stages. Stage one focused on the analysis of daylighting illuminance levels in specific dates and times, while the second stage was built on the results of the first stage, and addressed year round performance using Dynamic Daylight Performance Metrics (DDPMs). The third stage addressed the possibility of incidence of glare in specific cases where illuminance levels where found very high in some specific points during the analysis of first stage. The research examined the daylighting performance in an indoor space with a number of assumed fixed experimentation parameters that were chosen to represent the principal features of a typical residential living room located in a desert environment setting.Stage one experiments demonstrated that the screens fulfilled the

Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience

OpenAIRE

Ur-Rahman Shafiq; Malik Faiza; Afridi Shahida; Shamim Shahid; Samo Khursheed A

2008-01-01

Abstract Background Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part. This study was conducted at Dow University of health sciences and Civil Hospital Karachi (DUHS & CHK) Pakistan, designed to highlight the spectrum of perforation peritonitis in the East and to improve its outcome. Methods ...

CLINICAL STUDY OF APPENDICULAR PERFORATION IN A TERTIARY CARE HOSPITAL

Directory of Open Access Journals (Sweden)

Venkata Anantha Lakshmi Manabala

2016-06-01

Full Text Available INTRODUCTION Acute Appendicitis is the commonest abdominal surgical emergency in young adults all over the world. In early 1900s, Ochsner in Chicago and Sherren at the London Hospital were both advocates of conservative treatment in late cases. Appendicular perforation is a serious complication in view of the ensuing peritonitis with the consequent sequelae and morbidity. AIM To study the incidence, morbidity and sequelae of appendicular perforation. MATERIALS & METHODS This is a prospective study done in our hospital where 110 cases of peritonitis due to appendicular perforation were selected for our study. All the cases where peritonitis was due to appendicular perforation at laparotomy were included. The study period was from January 2014 to December 2015. The cases of peritonitis due to other causes like duodenal, gastric, enteric perforation were excluded. Patients with acute abdominal emergency with clinical diagnosis of peritonitis were examined carefully with detailed history and clinical examination. Necessary investigations were done and patients taken up for emergency surgery. CONCLUSIONS Acute Appendicitis is the commonest abdominal surgical emergency in young adults all over the world. Age incidence of appendicular perforation is maximum in the age group of 21–30 years. Next common age group is 31–40 yrs. Incidence is more in males. Male to female ratio is 2.4:1. Pain abdomen, vomiting, fever and anorexia were common symptoms in all the patients. Majority of the patients came late to the hospital accounting for the cause of perforation and subsequent mortality and morbidity.

Progress on advanced tokamak and steady-state scenario development on DIII-D and NSTX

Energy Technology Data Exchange (ETDEWEB)

Doyle, E J [Department of Electrical Engineering and PSTI, University of California, Los Angeles, California 90095 (United States); Garofalo, A M [Columbia University, New York, New York 10027 (United States); Greenfield, C M [General Atomics, San Diego, California 92186-5608 (United States); Kaye, S M [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543-0451 (United States); Menard, J E [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543-0451 (United States); Murakami, M [Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States); Sabbagh, S A [Columbia University, New York, New York 10027 (United States); Austin, M E [University of Texas-Austin, Austin, Texas 78712 (United States); Bell, R E [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543-0451 (United States); Burrell, K H [General Atomics, San Diego, California 92186-5608 (United States); Ferron, J R [General Atomics, San Diego, California 92186-5608 (United States); Gates, D A [Princeton Plasma Physics Lab., Princeton, New Jersey 08543-0451 (United States); Groebner, R J; Hyatt, A W; Luce, T C; Petty, C C; Wade, M R; Waltz, R E [General Atomics, San Diego, California 92186-5608 (United States); Jayakumar, R J [Lawrence Livermore National Lab., Livermore, California 94550 (United States); Kinsey, J E [Lehigh Univ., Bethlehem, Pennsylvania 18015 (United States); LeBlanc, B P [Princeton Plasma Physics Lab., Princeton, New Jersey 08543-0451 (United States); McKee, G R [Univ. of Wisconsin-Madison, Madison, Wisconsin 53706 (United States); Okabayashi, M [Princeton Plasma Physics Lab., Princeton, New Jersey 08543-0451 (United States); Peng, Y-K M [Oak Ridge National Lab., Oak Ridge, Tennessee 37831 (United States); Politzer, P A [General Atomics, San Diego, California 92186-5608 (United States); Rhodes, T L [Dept. of Electrical Engineering and PSTI, Univ. of California, Los Angeles, California 90095 (United States)

2006-12-15

Advanced tokamak (AT) research seeks to develop steady-state operating scenarios for ITER and other future devices from a demonstrated scientific basis. Normalized target parameters for steady-state operation on ITER are 100% non-inductive current operation with a bootstrap current fraction f{sub BS} {>=} 60%, q{sub 95} {approx} 4-5 and G {identical_to}{beta}{sub N}H{sub scaling}/q{sub 95}{sup 2} {>=}0.3. Progress in realizing such plasmas is considered in terms of the development of plasma control capabilities and scientific understanding, leading to improved AT performance. NSTX has demonstrated active resistive wall mode stabilization with low, ITER-relevant, rotation rates below the critical value required for passive stabilization. On DIII-D, experimental observations and GYRO simulations indicate that ion internal transport barrier (ITB) formation at rational-q surfaces is due to equilibrium zonal flows generating high local E ? B shear levels. In addition, stability modelling for DIII-D indicates a path to operation at {beta}{sub N} {>=} 4 with q{sub min} {>=} 2, using broad, hollow current profiles to increase the ideal wall stability limit. Both NSTX and DIII-D have optimized plasma performance and expanded AT operational limits. NSTX now has long-pulse, high performance discharges meeting the normalized targets for an spherical torus-based component test facility. DIII-D has developed sustained discharges combining high beta and ITBs, with performance approaching levels required for AT reactor concepts, e.g. {beta}{sub N} = 4, H{sub 89} = 2.5, with f{sub BS} > 60%. Most importantly, DIII-D has developed ITER steady-state demonstration discharges, simultaneously meeting the targets for steady-state Q {>=} 5 operation on ITER set out above, substantially increasing confidence in ITER meeting its steady-state performance objective.

Reoperative surgical stabilization of a painful nonunited rib fracture using bone grafting and a metal plate.

Science.gov (United States)

Cho, Yang Hyun; Kim, Hyun Koo; Kang, Du-Young; Choi, Young Ho

2009-09-01

We report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth rib was excised. A longitudinal gutter crossing the fracture site was fashioned and splinted with an inlay block of cancellous bone grafted from the iliac crest; stabilization was accomplished with a reconstruction plate and screws. The following 2 years of follow-up demonstrated no instability or pain.

The research progress of acute small bowel perforation

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Rudolf Schiessel

2015-08-01

Full Text Available This article reviews the various aetiologies of small bowel perforations and their management. In addition to the well-known aetiologies such as trauma, inflammation and circulatory disorders, several new causes of small bowel perforation have been described in recent years. The spectrum reaches from iatrogenic perforations during laparoscopic surgery or enteroscopies to drug-induced perforations with new anticancer agents. The management of small bowel perforations requires a concept consisting of the safe revision of the leaking bowel and the treatment of the peritonitis. Depending on the local situation and the condition of the patient, several treatment options are available. The surgical management of the bowel leak can range from a simple primary closure to a delayed restoration of bowel continuity. When the condition of the bowel or patient is frail, the risk of a failure of a closure or anastomosis is too high, and the exteriorization of the bowel defect as a primary measure is a safe option. The treatment of the peritonitis is also dependent on the condition of the patient and the local situation. Early stages of peritonitis can be treated by a simple peritoneal lavage, either performed by laparoscopy or laparotomy. Severe forms of peritonitis with multi-organ failure and an abdominal compartment syndrome need repeated peritoneal revisions. In such cases, the abdomen can only be closed temporarily. Different technical options are available in order to overcome the difficult care of these patients.

Analysis of colonoscopic perforations at a local clinic and a tertiary hospital.

Science.gov (United States)

Sagawa, Toshihiko; Kakizaki, Satoru; Iizuka, Haruhisa; Onozato, Yasuhiro; Sohara, Naondo; Okamura, Shinichi; Mori, Masatomo

2012-09-21

To define the clinical characteristics, and to assess the management of colonoscopic complications at a local clinic. A retrospective review of the medical records was performed for the patients with iatrogenic colon perforations after endoscopy at a local clinic between April 2006 and December 2010. Data obtained from a tertiary hospital in the same region were also analyzed. The underlying conditions, clinical presentations, perforation locations, treatment types (operative or conservative) and outcome data for patients at the local clinic and the tertiary hospital were compared. A total of 10  826 colonoscopies, and 2625 therapeutic procedures were performed at a local clinic and 32  148 colonoscopies, and 7787 therapeutic procedures were performed at the tertiary hospital. The clinic had no perforations during diagnostic colonoscopy and 8 (0.3%) perforations were determined to be related to therapeutic procedures. The perforation rates in each therapeutic procedure were 0.06% (1/1609) in polypectomy, 0.2% (2/885) in endoscopic mucosal resection (EMR), and 3.8% (5/131) in endoscopic submucosal dissection (ESD). Perforation rates for ESD were significantly higher than those for polypectomy or EMR (P hospital. Six perforations occurred with therapeutic endoscopy (perforation rate, 0.08%; 1 per 1298 procedures). Perforation rates for specific procedure types were 0.02% (1 per 5500) for polypectomy, 0.17% (1 per 561) for EMR, 2.3% (1 per 43) for ESD in the tertiary hospital. There were no differences in the perforation rates for each therapeutic procedure between the clinic and the tertiary hospital. The incidence of iatrogenic perforation requiring surgical treatment was quite low in both the clinic and the tertiary hospital. No procedure-related mortalities occurred. Performing closure with endoscopic clipping reduced the C-reactive protein (CRP) titers. The mean maximum CRP titer was 2.9 ± 1.6 mg/dL with clipping and 9.7 ± 6.2 mg/dL without clipping

Perforated peptic ulcer in southeastern Taiwan.

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Li, Chin-Hsien; Chang, Wen-Hsiung; Shih, Shou-Chuan; Lin, Shee-Chan; Bair, Ming-Jong

2010-09-01

No studies focus on the population with perforated peptic ulcer in southeastern Taiwan. The present study aimed to assess the differences between the different races and the risk factors related to mortality and morbidity in postoperative patients in southeastern Taiwan. The medical records of 237 patients were reviewed retrospectively. The following factors were analyzed: patient profiles, coexisting illnesses, diagnostic method, fever, preoperative shock, clinical data at emergency room, delay operation, site of perforation, operative method, positive ascites culture, species of microbes in ascites culture, postoperative complications, death and the length of hospital stay. Aborigines were significantly different from non-aborigines in the ratio of female cases and in the habits of alcohol drinking and betel nut chewing. There were also four significantly different variables between them: fever, hemoglobin value, site of perforation and operative method. Total postoperative complication rate was 41.3% and 39 patients (16.6%) died. In multivariate analysis, age > or = 65 years, lipase > upper normal limit and preoperative shock were independent predictors of mortality. Significant risk factors associated with morbidity were NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock. Aborigines were different from non-aborigines in several categories. In southeastern Taiwan, NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock were independent risk factors of morbidity, and age > or = 65 years, lipase > upper normal limit and preoperative shock were independent risk factors of mortality in postoperative perforated peptic ulcer. Lipase > upper normal limit is needed for further research on the influence on mortality.

Matlab Stability and Control Toolbox: Trim and Static Stability Module

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Crespo, Luis G.; Kenny, Sean P.

2006-01-01

This paper presents the technical background of the Trim and Static module of the Matlab Stability and Control Toolbox. This module performs a low-fidelity stability and control assessment of an aircraft model for a set of flight critical conditions. This is attained by determining if the control authority available for trim is sufficient and if the static stability characteristics are adequate. These conditions can be selected from a prescribed set or can be specified to meet particular requirements. The prescribed set of conditions includes horizontal flight, take-off rotation, landing flare, steady roll, steady turn and pull-up/ push-over flight, for which several operating conditions can be specified. A mathematical model was developed allowing for six-dimensional trim, adjustable inertial properties, asymmetric vehicle layouts, arbitrary number of engines, multi-axial thrust vectoring, engine(s)-out conditions, crosswind and gyroscopic effects.

Case report: Stercoral sigmoid colonic perforation with fecal peritonitis

International Nuclear Information System (INIS)

Sharma, Monika; Agrawal, Anjali

2010-01-01

Chronic constipation can lead to fecal impaction. It can also rarely lead to catastrophic complications like perforation, colonic obstruction, and fecal peritonitis. We report a rare case of stercoral sigmoid colonic perforation with fecal peritonitis and pneumoperitoneum, which was diagnosed on preoperative CT scan

Generalized multiscale finite element methods for problems in perforated heterogeneous domains

KAUST Repository

Chung, Eric T.

2015-06-08

Complex processes in perforated domains occur in many real-world applications. These problems are typically characterized by physical processes in domains with multiple scales. Moreover, these problems are intrinsically multiscale and their discretizations can yield very large linear or nonlinear systems. In this paper, we investigate multiscale approaches that attempt to solve such problems on a coarse grid by constructing multiscale basis functions in each coarse grid, where the coarse grid can contain many perforations. In particular, we are interested in cases when there is no scale separation and the perforations can have different sizes. In this regard, we mention some earlier pioneering works, where the authors develop multiscale finite element methods. In our paper, we follow Generalized Multiscale Finite Element Method (GMsFEM) and develop a multiscale procedure where we identify multiscale basis functions in each coarse block using snapshot space and local spectral problems. We show that with a few basis functions in each coarse block, one can approximate the solution, where each coarse block can contain many small inclusions. We apply our general concept to (1) Laplace equation in perforated domains; (2) elasticity equation in perforated domains; and (3) Stokes equations in perforated domains. Numerical results are presented for these problems using two types of heterogeneous perforated domains. The analysis of the proposed methods will be presented elsewhere. © 2015 Taylor & Francis

Colonic perforation with peritonitis in amoebiasis: a tropical disease with high mortality.

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Jain, Bhupendra Kumar; Garg, Pankaj Kumar; Kumar, Anjay; Mishra, Kiran; Mohanty, Debajyoti; Agrawal, Vivek

2013-01-01

Invasive colonic amoebiasis presents primarily with dysentery; colonic perforation occurs rarely. Cases of amoebic colonic perforations have been reported sporadically over the past 20 years. A retrospective study was done in the surgical unit of a tertiary care hospital in North India. The case records of those patients were reviewed who underwent exploratory laparotomy from January 2011 to September 2012 and were diagnosed with amoebic colonic perforation on histopathological examination. Details concerning the clinical presentation, investigations, intraoperative findings, operative procedures, and postoperative outcomes were retrieved. Amongst, a total of 186 emergency exploratory laparotomies carried out during the study, 15 patients of amoebic colonic perforation were identified. The median age of the patients was 42 years (IQR 32.0-58.0) and the male to female ratio was 13:2. Previous history of colitis was present in only 1 patient. The preoperative diagnosis was perforation peritonitis in 12 patients; and intussusception, intestinal obstruction and ruptured liver abscess in 1 patient each. Ten patients had single perforation while 5 had multiple colonic perforations. All the patients except one had perforations in the right colon. Bowel resection was performed depending upon the site and extent of the colon involved-right hemicolectomy (8), limited ileocolic resection (6) and sigmoidectomy (1). Bowel continuity could be restored only in 2 of the 15 patients and a stoma was constructed in the remaining 13 patients. The overall mortality rate was found to be 40% (6/15). Amoebic colonic perforation is associated with unusually high mortality.

[Laparoscopic surgery for perforated peptic ulcer].

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Yasuda, Kazuhiro; Kitano, Seigo

2004-03-01

Laparoscopic surgery has become the treatment of choice for the management of perforated peptic ulcer. The advantages of laparoscopic repair for perforated peptic ulcer include less pain, a short hospital stay, and an early return to normal activity. Although the operation time of laparoscopic surgery is significantly longer than that of open surgery, laparoscopic technique is safe, feasible, and with morbidity and mortality comparable to that of the conventional open technique. To benefit from the advantages offered by minimally invasive laparoscopic technique, further study will need to determine whether laparoscopic surgery is safe in patients with generalized peritonitis or sepsis.

Perforated Meckel's diverticulum in omphalocele

OpenAIRE

Jin, Hanna; Han, Ji-Won; Oh, Chaeyoun; Kim, Hyun-Young; Jung, Sung-Eun

2017-01-01

Meckel's diverticulum is a rare condition in neonates with reports of concurrent Meckel's diverticulum and omphalocele being few. Herein, we present a case of omphalocele associated with perforated Meckel's diverticulum.

SOUND TRANSMISSION LOSS OF A DOUBLE-LEAF PARTITION WITH MICRO-PERFORATED PLATE INSERTION UNDER DIFFUSE FIELD INCIDENCE

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A. Putra

2013-06-01

Full Text Available In noise control applications, a double-leaf partition has been applied widely as a lightweight structure for noise insulation, such as in car doors, train bodies, and aircraft fuselages. Unfortunately, the insulation performance deteriorates significantly at mass-air-mass resonance due to coupling between the panels and the air in the gap. This paper investigates the effect of a micro-perforated panel (MPP, inserted in the conventional double-panel partition, on sound transmission loss at troublesome resonant frequencies. It is found that the transmission loss improves at this resonance if the MPP is located at a distance of less than half that of the air gap. A mathematical model is derived for the diffuse field incidence of acoustic loading.

Perforated Meckel's diverticulitis complicating active Crohn's ileitis: a case report.

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Schwenter, Frank; Gervaz, Pascal; de Saussure, Philippe; McKee, Thomas; Morel, Philippe

2009-01-13

In Crohn's disease, the extension of active terminal ileitis into a Meckel's diverticulum is possible, but usually has no impact on clinical decision-making. We describe an original surgical approach in a young woman presenting with a combination of perforated Meckel's diverticulitis and active Crohn's ileitis. We report the case of a 22-year-old woman with Crohn's disease, who was admitted for abdominal pain, fever and diarrhoea. CT scan demonstrated active inflammation of the terminal ileum, as well as a fluid collection in the right iliac fossa, suggesting intestinal perforation. Laparoscopy was performed and revealed, in addition to extensive ileitis, a 3 x 3 cm abscess in connection with perforated Meckel's diverticulitis. It was therefore possible to avoid ileocaecal resection by only performing Meckel's diverticulectomy; pathological examination of the surgical specimen revealed the presence of transmural inflammation with granulomas and perforation of the diverticulum at its extremity. Crohn's disease of the ileum may be responsible for Meckel's diverticulitis and cause perforation which, in this case, proved to be a blessing in disguise and spared the patient an extensive small bowel resection.

Experimental and modelling study of the effect of elevated pressure on ethane and propane flames

NARCIS (Netherlands)

Goswami, M.; Bastiaans, R.J.M.; de Goey, L.P.H.; Konnov, A.A.

2016-01-01

Laminar burning velocities, SL, of ethane + air and propane + air flames within an equivalence ratio range between 0.8 and 1.3 were determined at atmospheric and elevated pressures up to 4 atm. Measurements were performed in non-stretched flames, stabilized on a perforated plate burner at adiabatic

The acoustic response of burner-stabilised flat flames : a two-dimensional numerical analysis

NARCIS (Netherlands)

Rook, R.; Goey, de L.P.H.

2003-01-01

The response of burner-stabilized flat flames to acoustic perturbations is studied numerically. So far, one-dimensional models have been used to study this system. However, in most practical surface burners, the scale of the perforations in the burner plate is of the order of the flame thickness.

Laminar burning velocities of acetone in air at room and elevated temperatures

NARCIS (Netherlands)

Nilsson, E.J.K.; Goey, de L.P.H.; Konnov, A.

2013-01-01

Laminar burning velocities of acetone + air mixtures at initial gas mixture temperatures of 298, 318, 338 and 358 K are reported. Non-stretched flames were stabilized on a perforated plate burner at 1 atm, and laminar burning velocities were determined using the heat flux method, at conditions where

Stabilization of multiple rib fractures in a canine model.

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Huang, Ke-Nan; Xu, Zhi-Fei; Sun, Ju-Xian; Ding, Xin-Yu; Wu, Bin; Li, Wei; Qin, Xiong; Tang, Hua

2014-12-01

Operative stabilization is frequently used in the clinical treatment of multiple rib fractures (MRF); however, no ideal material exists for use in this fixation. This study investigates a newly developed biodegradable plate system for the stabilization of MRF. Silk fiber-reinforced polycaprolactone (SF/PCL) plates were developed for rib fracture stabilization and studied using a canine flail chest model. Adult mongrel dogs were divided into three groups: one group received the SF/PCL plates, one group received standard clinical steel plates, and the final group did not undergo operative fracture stabilization (n = 6 for each group). Radiographic, mechanical, and histologic examination was performed to evaluate the effectiveness of the biodegradable material for the stabilization of the rib fractures. No nonunion and no infections were found when using SF-PCL plates. The fracture sites collapsed in the untreated control group, leading to obvious chest wall deformity not encountered in the two groups that underwent operative stabilization. Our experimental study shows that the SF/PCL plate has the biocompatibility and mechanical strength suitable for fixation of MRF and is potentially ideal for the treatment of these injuries. Copyright © 2014 Elsevier Inc. All rights reserved.

A Five-Year Review of Perforated Peptic Ulcer Disease in Irrua, Nigeria.

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Dongo, A E; Uhunmwagho, O; Kesieme, E B; Eluehike, S U; Alufohai, E F

2017-01-01

Peptic ulcer perforation is a common cause of emergency admission and surgery. This is the first study that documents the presentation and outcome of management in Irrua, Nigeria. This is a prospective study of all patients operated on for perforated peptic ulcer between April 1, 2010, and March 31, 2015. A structured questionnaire containing patients' demographics, operation findings, and outcome was filled upon discharge or death. There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 17 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham's Omentopexy. Death rate was 17.3%. We note that gastric perforation is a far commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify fasting amongst Christians as a risk factor for perforation.

Spontaneous perforation of sigmoid colon in a child with acute lymphoblastic leukemia

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Miolski Jelena

2017-01-01

Full Text Available Introduction. Perforation of the sigmoid colon is rare in children and its descriptions in medical literature are infrequent. Case Outline. In a 13-year-old boy with acute lymphoblastic leukemia, a ten-month course of chemotherapy was accompanied by many complications: parasitic infestation (Enterobius vermicularis, lung candidiasis, esophageal candidiasis, steroid diabetes, anaphylactoid reaction to L-asparaginase, febrile neutropenia, mucositis, anemia, thrombocytopenia, enterocolitis, and respiratory distress syndrome. During reinduction treatment, consisting of dexamethasone, vincristine, doxorubicin, and crisantaspase, he complained of abdominal pain and, upon radiographic examination, was found to have pneumoperitoneum. Because of suspicion of abdominal hollow organ perforation, he was subjected to explorative laparotomy, which yielded the diagnosis of perforation of the sigmoid colon. Conclusion. After an extensive review of the published reports on sigmoid perforation, all associated conditions that could possibly induce perforation – such as Hirschsprung’s disease or foreign body – were systematically excluded in our patient. Although typhlitis was the first diagnostic hypothesis, this was excluded by intraoperative findings, histopathology, and perforation site. To the best of our knowledge, this is the first report of a spontaneous perforation of the sigmoid colon in a child with acute lymphoblastic leukemia.

Laparoscopic management of duodenal ulcer perforation: is it advantageous?

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Palanivelu, C; Jani, Kalpesh; Senthilnathan, P

2007-01-01

Surgery is the mainstay of treatment of patients with peptic duodenal perforation. With the advent of minimal access techniques, laparoscopy is being used for the treatment of this condition. Retrospective analysis of 120 consecutive patients (mean age 44.5 years; 111 men) with duodenal ulcer perforation who had undergone laparoscopic surgery. 87 patients had history of tobacco consumption, 12 were chronic NSAID users, 72 had Helicobacter pylori infection and 36 had a co-morbid condition. The mean time to surgery from onset of symptoms was 28.4 hours. The median operating time was 46 minutes. All patients underwent laparoscopic closure of the perforation with Graham's patch omentopexy; 12 patients underwent additional definitive ulcer surgery. The morbidity rate was 7.5%; no patient needed conversion to open surgery or died. The mean postoperative hospital stay was 5.8 days. Results of laparoscopic management of perforated peptic ulcer are encouraging, with no conversion to open surgery, low morbidity and no mortality.

Corneal perforation after conductive keratoplasty with previous refractive surgery.

Science.gov (United States)

Kymionis, George D; Titze, Patrik; Markomanolakis, Marinos M; Aslanides, Ioannis M; Pallikaris, Ioannis G

2003-12-01

A 56-year-old woman had conductive keratoplasty (CK) for residual hyperopia and astigmatism. Three years before the procedure, the patient had arcuate keratotomy, followed by laser in situ keratomileusis 2 years later for high astigmatism correction in both eyes. During CK, a corneal perforation occurred in the right eye; during the postoperative examination, an iris perforation and anterior subcapsule opacification were seen beneath the perforation site. The perforation was managed with a bandage contact lens and an antibiotic-steroid ointment; it had a negative Seidel sign by the third day. The surgery in the left eye was uneventful. Three months after the procedure, the uncorrected visual acuity was 20/32 and the best corrected visual acuity 20/20 in both eyes with a significant improvement in corneal topography. Care must be taken to prevent CK-treated spots from coinciding with areas in the corneal stroma that might have been altered by previous refractive procedures.

Process stability during fiber laser-arc hybrid welding of thick steel plates

Science.gov (United States)

Bunaziv, Ivan; Frostevarg, Jan; Akselsen, Odd M.; Kaplan, Alexander F. H.

2018-03-01

Thick steel plates are frequently used in shipbuilding, pipelines and other related heavy industries, and are usually joined by arc welding. Deep penetration laser-arc hybrid welding could increase productivity but has not been thoroughly investigated, and is therefore usually limited to applications with medium thickness (5-15 mm) sections. A major concern is process stability, especially when using modern welding consumables such as metal-cored wire and advanced welding equipment. High speed imaging allows direct observation of the process so that process behavior and phenomena can be studied. In this paper, 45 mm thick high strength steel was welded (butt joint double-sided) using the fiber laser-MAG hybrid process utilizing a metal-cored wire without pre-heating. Process stability was monitored under a wide range of welding parameters. It was found that the technique can be used successfully to weld thick sections with appropriate quality when the parameters are optimized. When comparing conventional pulsed and the more advanced cold metal transfer pulse (CMT+P) arc modes, it was found that both can provide high quality welds. CMT+P arc mode can provide more stable droplet transfer over a limited range of travel speeds. At higher travel speeds, an unstable metal transfer mechanism was observed. Comparing leading arc and trailing arc arrangements, the leading arc configuration can provide higher quality welds and more stable processing at longer inter-distances between the heat sources.

The posterolateral mid-forearm perforator flap: anatomical study and clinical application.

Science.gov (United States)

Zhuang, Yue-Hong; Lin, Jian; Fu, Fei-Huan; Cai, Zhen-De; Huang, Hui-Mei; Zheng, He-Ping

2013-11-01

Defects sustained at the distal forearm are common and pedicled perforator flaps have unique advantages in resurfacing it. The purpose of this study is to reappraise the anatomy of the perforator in the posterolateral aspect of the mid-forearm and present our clinical experience on using perforator flaps based on it for reconstruction of defects in the distal forearm. This study was divided into anatomical study and clinical application. In the anatomical study, 30 preserved upper limbs were used. Clinically, 11 patients with defects at the forearm underwent reconstruction with the posterolateral mid-forearm perforator flaps. The defects, ranging from 4.5 × 2.5 cm to 10.5 × 4.5 cm, were located at the dorsal aspect of the distal forearm in 6 cases and at the volar aspect of the distal forearm in 5 cases. Three patterns of the perforator were observed in the posterolateral aspect of the mid-forearm, which originated from the posterior interosseous artery, the proximal segment of the radial artery or the radial recurrent artery, and the middle segment of the radial artery, respectively. The perforator was located 11.8 ± 0.2 cm to 15.8 ± 0.4 cm inferior to the lateral humeral epicondyle. Clinically, flaps in 8 cases survived uneventfully, while the other 3 cases suffered mild marginal epidermal necrosis, which was cured with continuous dress changing. The location of the perforator at the posterolateral aspect of the mid-forearm is consistent; the posterolateral mid-forearm perforator flap is particularly suitable to cover defects in the distal one-third of the forearm. Copyright © 2013 Wiley Periodicals, Inc.

Three-dimensional numerical simulation of wave interaction with perforated quasi-ellipse caisson

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Yong-xue Wang

2011-03-01

Full Text Available The finite difference method and the volume of fluid (VOF method were used to develop a three-dimensional numerical model to study wave interaction with a perforated caisson. The partial cell method was adopted to solve this type of problem for the first time. The validity of the present model, with and without the presence of caisson structures, was examined by comparing the model results with experimental data. Then, the numerical model was used to investigate the effects of various wave and structure parameters on the wave force and wave runup of the perforated quasi-ellipse caisson. Compared with the solid quasi-ellipse caisson, the wave force on the perforated quasi-ellipse caisson is significantly reduced with increasing porosity of the perforated quasi-ellipse caisson. Furthermore, the perforated quasi-ellipse caisson can also reduce the wave runup, and it tends to decrease with the increase of the porosity of the perforated quasi-ellipse caisson and the relative wave height.

Peritonitis by jejunal ulcer perforation in a child: a case report

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Ndèye Aby Ndoye

2017-01-01

Full Text Available Ulcer perforation is a rare cause of peritonitis in children. The cases reported in the literature are caused by peptic ulcer. We report on a case of peritonitis caused by jejunal ulcer perforation, discovered in a girl's abdomen during an acute surgical procedure. The treatment consisted of a resection of the perforation followed by an end-to-end anastomosis. Postoperative period was uneventful.

Catalysts characteristics of Ni/YSZ core-shell according to plating conditions using electroless plating

Science.gov (United States)

Park, Hyun-Wook; Jang, Jae-Won; Lee, Young-Jin; Kim, Jin-Ho; Jeon, Dae-Woo; Lee, Jong-Heun; Hwang, Hae-jin; Lee, Mi-Jai

2017-11-01

This study aims to develop an anode catalyst for a solid oxide fuel cell (SOFC) using electroless nickel plating. We have proposed a new method for electroless plating of Ni metal on yttria-stabilized zirconia (YSZ) particles. We examine the uniformity of the Ni layer on the plated core-shell powder, in addition to the content of Ni and the reproducibility of the plating. We have also evaluated the carbon deposition rate and characteristics of the SOFC anode catalyst. To synthesize Ni-plated YSZ particles, the plated powder is heat-treated at 1200 °C. The resultant particles, which have an average size of 50 μm, were subsequently used in the experiment. The size of the Ni particles and the Ni content both increase with increasing plating temperature and plating time. The X-ray diffraction pattern reveals the growth of Ni particles. After heat-treatment, Ni is oxidized to NiO, leading to the co-existence of Ni and NiO; Ni3P is also observed due to the presence of phosphorous in the plating solution. Following heat treatment for 1 h at 1200 °C, Ni is mostly oxidized to NiO. The carbon deposition rate of the reference YSZ powder is 135%, while that of the Ni-plated YSZ is 1%-6%.

Single center experience in laparoscopic treatment of gallbladder perforation.

Science.gov (United States)

Sahbaz, Nuri Alper; Peker, Kivanc Derya; Kabuli, Hamit Ahmet; Gumusoglu, Alpen Yahya; Alis, Halil

2017-12-01

Gallbladder perforation (GBP) is a rare disease with potential mortality. Previous series have reported an incidence of approximately 2-11% and it still continues to be a significant problem for surgeons. To present our clinical experience with gallbladder perforation. The records of 2754 patients who received surgical treatment for cholelithiasis between 2010 and 2016 were reviewed retrospectively. One hundred thirty-three patients had gallbladder perforation. Age, gender, time from the onset of symptoms, diagnostic procedures, surgical treatment, morbidity and mortality rates were evaluated. 15.78% of patients had a body mass index > 35. 6.76% had chronic obstructive pulmonary disease, 6.76% had cardiac disease, 10.52% had diabetes and 4.51% had sepsis. American Society of Anesthesiology scores were I in 54.13%, II in 35.33%, III in 6.01% and IV in 4.51% of the patients. 27.81% of patients were diagnosed during surgery. The perforation site was the gallbladder fundus in 69.17%, body in 17.30%, Hartman's pouch in 10.53% and cystic duct in 3% of patients. Treatment modalities were laparoscopic cholecystectomy in 82.71%, open cholecystectomy in 3%, percutaneous drainage catheters + laparoscopic cholecystectomy in 3%, laparoscopic cholecystectomy + fistula repair in 10.53% and open cholecystectomy + fistula repair in 0.75% of patients. Mean length of hospital stay was 1.69 days. Mortality and morbidity rates were 8.27% and 10.52%, respectively. Histopathology results were acute cholecystitis in 69.93%, chronic cholecystitis in 20.30% and acute exacerbation over chronic cholecystitis in 9.77% of patients. Appropriate classification and management of perforated cholecystitis is essential. Laparoscopic cholecystectomy is a safe and feasible method to decrease morbidity in gallbladder perforations.

Perforated peptic ulcer - an update.

Science.gov (United States)

Chung, Kin Tong; Shelat, Vishalkumar G

2017-01-27

Peptic ulcer disease (PUD) affects 4 million people worldwide annually. The incidence of PUD has been estimated at around 1.5% to 3%. Perforated peptic ulcer (PPU) is a serious complication of PUD and patients with PPU often present with acute abdomen that carries high risk for morbidity and mortality. The lifetime prevalence of perforation in patients with PUD is about 5%. PPU carries a mortality ranging from 1.3% to 20%. Thirty-day mortality rate reaching 20% and 90-d mortality rate of up to 30% have been reported. In this review we have summarized the current evidence on PPU to update readers. This literature review includes the most updated information such as common causes, clinical features, diagnostic methods, non-operative and operative management, post-operative complications and different scoring systems of PPU. With the advancement of medical technology, PUD can now be treated with medications instead of elective surgery. The classic triad of sudden onset of abdominal pain, tachycardia and abdominal rigidity is the hallmark of PPU. Erect chest radiograph may miss 15% of cases with air under the diaphragm in patients with bowel perforation. Early diagnosis, prompt resuscitation and urgent surgical intervention are essential to improve outcomes. Exploratory laparotomy and omental patch repair remains the gold standard. Laparoscopic surgery should be considered when expertise is available. Gastrectomy is recommended in patients with large or malignant ulcer.

Perforated peptic ulcer - an update

Science.gov (United States)

Chung, Kin Tong; Shelat, Vishalkumar G

2017-01-01

Peptic ulcer disease (PUD) affects 4 million people worldwide annually. The incidence of PUD has been estimated at around 1.5% to 3%. Perforated peptic ulcer (PPU) is a serious complication of PUD and patients with PPU often present with acute abdomen that carries high risk for morbidity and mortality. The lifetime prevalence of perforation in patients with PUD is about 5%. PPU carries a mortality ranging from 1.3% to 20%. Thirty-day mortality rate reaching 20% and 90-d mortality rate of up to 30% have been reported. In this review we have summarized the current evidence on PPU to update readers. This literature review includes the most updated information such as common causes, clinical features, diagnostic methods, non-operative and operative management, post-operative complications and different scoring systems of PPU. With the advancement of medical technology, PUD can now be treated with medications instead of elective surgery. The classic triad of sudden onset of abdominal pain, tachycardia and abdominal rigidity is the hallmark of PPU. Erect chest radiograph may miss 15% of cases with air under the diaphragm in patients with bowel perforation. Early diagnosis, prompt resuscitation and urgent surgical intervention are essential to improve outcomes. Exploratory laparotomy and omental patch repair remains the gold standard. Laparoscopic surgery should be considered when expertise is available. Gastrectomy is recommended in patients with large or malignant ulcer. PMID:28138363

Medical image of the week: eosphageal perforation

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Bilal J

2015-04-01

Full Text Available No abstract available. Article truncated after 150 words. A 74 year old man with a past medical history of esophageal strictures status post dilatation, coronary artery disease status post CABG, and atrial fibrillation presented to hospital with complaints of severe chest pain that began after the consumption of tortilla chips one hour prior to presentation. Electrocardiogram and cardiac enzymes were not consistent with acute coronary syndrome. Chest X-ray was consistent with a widened mediastinal silhouette. Contrast esophogram was negative for extra luminal extravasation. CT scan of the chest with oral contrast demonstrated thickening of the mid-thoracic esophagus with an extra-luminal focus of gas in the mediastinum along with fluid along the inferior aspect of the esophagus (Figures 1 and 2. These findings were concerning for esophageal perforation. The patient was taken to the operating room for endoscopy which showed micro perforation in mid-esophagus. Esophageal perforation remains a highly morbid condition. Mortality rates are based predominantly on time of ...

Use of Computed Tomography to Determine Perforation in Patients With Acute Appendicitis.

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Gaskill, Cameron E; Simianu, Vlad V; Carnell, Jonathan; Hippe, Daniel S; Bhargava, Puneet; Flum, David R; Davidson, Giana H

Urgent appendectomy has long been the standard of care for acute appendicitis. Six randomized trials have demonstrated that antibiotics can safely treat appendicitis, but approximately 1 in 4 of these patients eventually requires appendectomy. Overall treatment success may be limited by complex disease including perforation. Patients׳ success on antibiotic therapy may depend on preoperative identification of complex disease on imaging. However, the effectiveness of computed tomography (CT) in differentiating complex disease including perforated from nonperforated appendicitis remains to be determined. The purpose of this study was to assess the preoperative diagnostic accuracy of CT in determining appendiceal perforation in patients operated for acute appendicitis. We performed a retrospective review of pathology and radiology reports from consecutive patients who presented to the emergency department with suspicion for acute appendicitis between January 2012 and May 2015. CT scans were re-reviewed by abdominal imaging fellowship-trained radiologists using standardized criteria, and the radiologists were blinded to pathology and surgical findings. Radiologists specifically noted presence or absence of periappendiceal gas, abscess, appendicolith, fat stranding, and bowel wall thickening. The overall radiologic impression as well as these specific imaging findings was compared to results of pathology and operative reports. Pathology reports were considered the standard for diagnostic accuracy. Eighty-nine patients (65% male, average age of 34 years) presenting with right lower quadrant pain underwent CT imaging and prompt appendectomy. Final pathology reported perforation in 48% (n = 43) of cases. Radiologic diagnosis of perforation was reported in 9% (n = 8), correctly identifying perforation in 37.5% (n = 3), and incorrectly reporting perforation in 62.5% of nonperforated cases per pathology. Radiology missed 93% (n = 40) of perforations postoperatively diagnosed

Perforated Meckel's diverticulum in omphalocele

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Hanna Jin

2017-02-01

Full Text Available Meckel's diverticulum is a rare condition in neonates with reports of concurrent Meckel's diverticulum and omphalocele being few. Herein, we present a case of omphalocele associated with perforated Meckel's diverticulum.

External fixation using locking plate in distal tibial fracture: a finite element analysis.

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Zhang, Jingwei; Ebraheim, Nabil; Li, Ming; He, Xianfeng; Schwind, Joshua; Liu, Jiayong; Zhu, Limei

2015-08-01

External fixation of tibial fractures using a locking plate has been reported with favorable results in some selected patients. However, the stability of external plate fixation in this fracture pattern has not been previously demonstrated. We investigated the stability of external plate fixation with different plate-bone distances. In this study, the computational processing model of external fixation of a distal tibial metaphyseal fracture utilizing the contralateral femoral less invasive stabilization system plate was analyzed. The plate was placed on the anteromedial aspect of tibia with different plate-bone distances: 1, 10, 20, and 30 mm. Under axial load, the stiffness of construct in all groups was higher than intact tibia. Under axial load with an internal rotational force, the stiffness of construct with 1 and 10 mm plate-bone distances was similar to that of an intact tibia and the stiffness of the construct with 20 and 30 mm distances was lower than that of an intact tibia. Under axial load with an external rotational force, the stiffness of the construct in all groups was lower than that of an intact tibia. The maximum plate stresses were concentrated at the two most distal screws and were highest in the construct with the 10 mm plate-bone distance, and least in the construct with a 1 mm plate-bone distance. To guarantee a stable external plate fixation in distal tibial fracture, the plate-bone distance should be less than 30 mm.

Vitrectomy in double-perforation gunshot injury

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Abd El Alim Mohamed A

2013-11-01

Full Text Available Ahmed Abd El Alim MohamedOphthalmology department, Ain Shams University, Cairo, EgyptObjective: This study sought to evaluate the result of pars plana vitrectomy in patients with gunshot wounds involving double perforation.Methods: This was a retrospective, noncomparative, interventional case series.Results: Eighteen patients (18 eyes with double-perforation gunshot injuries were treated from February 2010 to March 2012. The group included 16 men (88% and two women (11%; the mean age was 24 (15–33 years. In each case, vitrectomy was scheduled 1–6 weeks after repair of the entrance site. Associated retinal detachments were observed in two eyes (11%, retinal incarceration was observed surrounding the exit site in three eyes (16%, and retention of an intraocular foreign body was observed in two cases. After a follow-up period of 8 ± 2 months, two eyes (11% had achieved visual acuity (VA of 0.5, nine eyes (50% had achieved VA between 0.5 and 0.1, and seven eyes (38% had achieved VA between 0.1 and hand movement. The main reasons for functional failure (VA 0.1 to hand movement were macular dragging (due to fibrosis at the exit site near the macula in seven cases (38%, submacular hemorrhage in four cases (22%, and epimacular fibrosis in five cases (27%. All cases developed postoperative exotropia. One case (5% developed postoperative hemorrhage. No cases exhibited signs of postoperative redetachment.Conclusion: The outcome of pars plana vitrectomy in cases with double perforations is variable. Factors including the surgeon's skill level, the time to surgery, and the efficacy of the intraocular tamponade affect the postoperative outcome.Keywords: pars plana vitrectomy, gunshot injury, double perforation

Lack of utility of measuring serum bilirubin concentration in distinguishing perforation status of pediatric appendicitis.

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Bonadio, William; Bruno, Santina; Attaway, David; Dharmar, Logesh; Tam, Derek; Homel, Peter

2017-06-01

Pediatric appendicitis is a common, potentially serious condition. Determining perforation status is crucial to planning effective management. Determine the efficacy of serum total bilirubin concentration [STBC] in distinguishing perforation status in children with appendicitis. Retrospective review of 257 cases of appendicitis who received abdominal CT scan and measurement of STBC. There were 109 with perforation vs 148 without perforation. Although elevated STBC was significantly more common in those with [36%] vs without perforation [22%], the mean difference in elevated values between groups [0.1mg/dL] was clinically insignificant. Higher degrees of hyperbilirubinemia [>2mg/dL] were rarely encountered [5%]. Predictive values for elevated STBC in distinguishing perforation outcome were imprecise [sensitivity 38.5%, specificity 78.4%, PPV 56.8%, NPV 63.4%]. ROC curve analysis of multiple clinical and other laboratory factors for predicting perforation status was unenhanced by adding the STBC variable. Specific analysis of those with perforated appendicitis and percutaneously-drained intra-abdominal abscess which was culture-positive for Escherichia coli showed an identical rate of STBC elevation compared to all with perforation. The routine measurement of STBC does not accurately distinguish perforation status in children with appendicitis, nor discern infecting organism in those with perforation and intra-abdominal abscess. Copyright © 2017 Elsevier Inc. All rights reserved.

Realizing steady-state tokamak operation for fusion energy

International Nuclear Information System (INIS)

Luce, T. C.

2011-01-01

Continuous operation of a tokamak for fusion energy has clear engineering advantages but requires conditions beyond those sufficient for a burning plasma. The fusion reactions and external sources must support both the pressure and the current equilibrium without inductive current drive, leading to demands on stability, confinement, current drive, and plasma-wall interactions that exceed those for pulsed tokamaks. These conditions have been met individually, and significant progress has been made in the past decade to realize scenarios where the required conditions are obtained simultaneously. Tokamaks are operated routinely without disruptions near pressure limits, as needed for steady-state operation. Fully noninductive sustainment with more than half of the current from intrinsic currents has been obtained for a resistive time with normalized pressure and confinement approaching those needed for steady-state conditions. One remaining challenge is handling the heat and particle fluxes expected in a steady-state tokamak without compromising the core plasma performance.

An unusual cause of duodenal perforation due to a lollipop stick

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Mi Jin Kim

2013-04-01

Full Text Available Children have a natural tendency to explore objects with their mouths; this can result in the swallowing of foreign objects. Most ingested foreign bodies pass uneventfully through the gastrointestinal tract.However, some foreign bodies cause obstruction or perforation of the gastrointestinal tract, requiring surgical intervention. Perforation of the gastrointestinal tract may be associated with considerable morbidity and mortality. The most common sites of intestinal foreign body perforation are the ileocecal and rectosigmoid regions. Foreign body perforation of the duodenum is relatively uncommon. We report the first Korean case of duodenal perforation by an ingested 8-cm lollipop stick. Lollipops are popular with the children and fairly accessible to them, as most parents are not aware of their potential harm. Pediatric clinicians should be aware of the risks associated with lollipop stick ingestion. Our report also describes the feasibility and safety of laparoscopic diagnosis and management of pediatric patients with peritonitis induced by the ingestion of foreign bodies.

Endoscopic Management of Gastrointestinal Leaks and Perforation with Polyglycolic Acid Sheets

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Sojung Han

2017-05-01

Full Text Available Gastrointestinal (GI leakage, fistulae, and perforations can be serious and life threatening. There has been a paradigm shift in the management approach of these conditions, from surgical to conservative, including endoscopic management. Here, we report two cases of endoscopic closure of a GI fistula and perforation using polyglycolic acid (PGA sheets with fibrin glue. The first case is of an anastomotic leak detected after subtotal gastrectomy with gastroduodenostomy. After failed application of endoclips, a PGA sheet was applied, and the fistula was successfully closed. The second case was of a 15-mm large perforated gastric ulcer, which was also successfully closed with a PGA sheet. This is the first case report that PGA sheet was used for the treatment of overt perforation. The outcome of these cases suggest that endoscopic closure using PGA sheets can be considered as a useful alternative for the management of GI leakage, fistulae, and perforations.

Gastric cancer perforation: experience from a tertiary care hospital.

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Kandel, Bishnu Prasad; Singh, Yogendra; Singh, Keshav Prasad; Khakurel, Mahesh

2013-01-01

Gastric cancer perforation can occurs in advanced stage of the disease and is often associated with a high morbidity and mortality. Peritonitis due to perforation needs emergency laparotomy and different surgical procedures can be performed for definitive treatment. Surgical procedures largely depend on the stage of the disease and general condition of the patient. This study was carried out to evaluate the outcome and role of different surgical procedures in gastric cancer perforation. Medical record of patients with gastric perforation, who were treated during ten years period, was reviewed retrospectively. Data regarding clinical presentation, surgical procedures, staging and survival of patients were obtained. Features suggestive of diffuse peritonitis were evident in all cases. The majority of the patients underwent emergency surgery except one who died during resuscitation. The majority of patients were in stage III and stage IV. Surgical procedure includes simple closure and omental patch in five patients, simple closure and gastrojejunostomy in nine patients, gastrectomy in six patients and Devine's antral exclusion in one patient. Surgical site infection was the most common (45.5%) postoperative complication. Four patients died within one month of the surgery. Three patients who underwent gastrectomy survived for one year and one patient survived for five years. Although gastric cancer perforation usually occurs in advanced stage of the disease, curative resection should be considered as far as possible.

Duodenal perforation precipitated by scrub typhus

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Raghunath Rajat

2015-01-01

Full Text Available Scrub typhus is an acute febrile illness usually presenting with fever, myalgia, headache, and a pathognomonic eschar. Severe infection may lead to multiple organ failure and death. Gastrointestinal tract involvement in the form of gastric mucosal erosions and ulcerations owing to vasculitis resulting in gastrointestinal bleeding is common. This process may worsen a pre-existent asymptomatic peptic ulcer, causing duodenal perforation, and present as an acute abdomen requiring surgical exploration. We report the case of a patient with no previous symptoms or risk factors for a duodenal ulcer, who presented with an acute duodenal perforation, probably precipitated by scrub typhus infection.

Bowel Perforation in Premature Infants with Necrotizing Enterocolitis: Risk Factors and Outcomes

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Lingling Yu

2016-01-01

Full Text Available We aim to determine risk factors and clinical outcomes for bowel perforation in premature infants with NEC. We analyzed clinical data of 57 cases of premature infants with NEC at our NICU between January 2010 and December 2012. Based on the presence of bowel perforation, we divided these infants into two groups: perforated NEC group (n=10 and nonperforated NEC group (n=47. We compared general information, clinical characteristics, and laboratory findings between groups. The perforated NEC group, compared to the nonperforated NEC group, had significantly lesser gestational age, lower birth weight, higher prevalence of apnea, mechanical ventilation, sepsis and shock, lower blood pH, higher levels of blood glucose, abnormal WBC count and thrombocytopenia, and elevated CRP (all P<0.05. Moreover, the perforated NEC group had significantly longer durations of fasting and TPN usage, higher incidences of EUGR and cholestasis, longer duration of antibiotics, higher frequency of advanced antibiotics use, and poorer prognosis than the nonperforated NEC group (all P<0.05. Bowel perforation in premature infants with NEC was associated with multiple risk factors. Early identification of some of these risk factors in premature infants with NEC may help implement early intervention to reduce the incidence of bowel perforation and thereby improve the prognosis.

Risk factors for reintervention after surgery for perforated gastroduodenal ulcer

DEFF Research Database (Denmark)

Hasselager, R B; Lohse, N; Duch, P

2016-01-01

BACKGROUND: Perforated gastroduodenal ulcer carries a high mortality rate. Need for reintervention after surgical repair is associated with worse outcome, but knowledge on risk factors for reintervention is limited. The aim was to identify prognostic risk factors for reintervention after perforated...... gastroduodenal ulcer in a nationwide cohort. METHODS: All patients treated surgically for perforated gastroduodenal ulcer in Denmark between 2003 and 2014 were included using data from the Danish Clinical Register of Emergency Surgery. Potential risk factors for reintervention were assessed, and their crude...... and adjusted associations calculated by the competing risks subdistribution hazards approach. RESULTS: A total of 4086 patients underwent surgery for perforated gastroduodenal ulcer during the study interval. Median age was 71·1 (i.q.r. 59·6-81·0) years and the overall 90-day mortality rate was 30·8 per cent...

Posterior perforation of gastric ulcer: a rare surgical emergency ...

African Journals Online (AJOL)

BACKGROUND:Gastric ulcer perforation is a rare surgical emergency.Posterior gastric ulcer is even rarer and usually has a delayed presentation with attendant greater morbidity and mortality. AIM:To report a case of posterior perforation of gastric ulcer and review the literature. CASE REPORT:A 65yr old driver was seen in ...

LOWLID FORMATION AND PLATE TECTONICS ON EXOPLANETS

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Stamenkovic, V.; Noack, L.; Breuer, D.

2009-12-01

The last years of astronomical observation have opened the doors to a universe filled with extrasolar planets. Detection techniques still only offer the possibility to detect mainly Super-Earths above five Earth masses. But detection techniques do steadily improve and are offering the possibility to detect even smaller planets. The observations show that planets seem to exist in many possible sizes just as the planets and moons of our own solar system do. It is only a natural question to ask if planetary mass has an influence on some key habitability factors such as on plate tectonics, allowing us to test which exoplanets might be more likely habitable than others, and allowing us to understand if plate tectonics on Earth is a stable or a critical, instable process that could easily be perturbed. Here we present results derived from 1D parameterized thermal evolution and 2D/3D computer models, showing how planetary mass influences the propensity of plate tectonics for planets with masses ranging from 0.1 to 10 Earth masses. Lately [2, 3] studied the effect of planetary mass on the ability to break plates and hence initiate plate tectonics - but both derived results contradictory to the other. We think that one of the reasons why both studies [2, 3] are not acceptable in their current form is partly due to an oversimplification. Both treated viscosity only temperature-dependent but neglected the effect pressure has on enlarging the viscosity in the deep mantle. More massive planets have therefore a stronger pressure-viscosity-coupling making convection at high pressures sluggish or even impossible. For planets larger than two Earth masses we observe that a conductive lid (termed low-lid) forms above the core-mantle boundary and thus reduces the effective convective part of the mantle when including a pressure-dependent term into the viscosity laws as shown in [1]. Moreover [2, 3] use time independent steady state models neglecting the fact that plate tectonics is a

ASSESSMENT OF SEVERITY OF PERFORATED PERITONITIS USING MODIFIED APACHE II SCORE

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L. Rajeswar Reddy

2016-06-01

Full Text Available Acute generalised peritonitis from gastrointestinal hollow viscus perforation is a potentially life threatening condition. It is a common surgical emergency in many general surgical units in the developing countries and it is often associated with high morbidity and mortality. Grading the severity of acute peritonitis has assisted in no small way in decision making and has improved therapy in the management of severely ill patients. Empirically based risk assessment for important clinical events has been extremely useful in evaluating new therapies, in monitoring resources for effective use and improving quality of care. MATERIAL AND METHODS A prospective survey of patients with acute generalised peritonitis due to gastrointestinal perforation was carried out in general surgical wards of KIMS Hospital, Amalapuram during the period starting from July 2013-November 2016. The study population consisted of 50 consecutive patients who had laparotomy during the study period for acute peritonitis due to gastrointestinal perforation, after diagnostic conformation. RESULT AND DISCUSSION The most common cause of peritonitis in our study was perforated duodenal ulcer (31 cases, followed by appendicular perforation (7 cases, followed by stomach perforation (7 cases. Despite delay in seeking treatment, the overall mortality rate (14% was favourably comparable with other published series.

Biomechanical evaluation of the impact of various facet joint lesions on the primary stability of anterior plate fixation in cervical dislocation injuries: a cadaver study: Laboratory investigation.

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Oberkircher, Ludwig; Born, Sebastian; Struewer, Johannes; Bliemel, Christopher; Buecking, Benjamin; Wack, Christina; Bergmann, Martin; Ruchholtz, Steffen; Krüger, Antonio

2014-10-01

Injuries of the subaxial cervical spine including facet joints and posterior ligaments are common. Potential surgical treatments consist of anterior, posterior, or anterior-posterior fixation. Because each approach has its advantages and disadvantages, the best treatment is debated. This biomechanical cadaver study compared the effect of different facet joint injuries on primary stability following anterior plate fixation. Fractures and plate fixation were performed on 15 fresh-frozen intact cervical spines (C3-T1). To simulate a translation-rotation injury in all groups, complete ligament rupture and facet dislocation were simulated by dissecting the entire posterior and anterior ligament complex between C-4 and C-5. In the first group, the facet joints were left intact. In the second group, one facet joint between C-4 and C-5 was removed and the other side was left intact. In the third group, both facet joints between C-4 and C-5 were removed. The authors next performed single-level anterior discectomy and interbody grafting using bone material from the respective thoracic vertebral bodies. An anterior cervical locking plate was used for fixation. Continuous loading was performed using a servohydraulic test bench at 2 N/sec. The mean load failure was measured when the implant failed. In the group in which both facet joints were intact, the mean load failure was 174.6 ± 46.93 N. The mean load failure in the second group where only one facet joint was removed was 127.8 ± 22.83 N. In the group in which both facet joints were removed, the mean load failure was 73.42 ± 32.51 N. There was a significant difference between the first group (both facet joints intact) and the third group (both facet joints removed) (p cadaver study, primary stability of anterior plate fixation for dislocation injuries of the subaxial cervical spine was dependent on the presence of the facet joints. If the bone in one or both facet joints is damaged in the clinical setting, anterior plate