WorldWideScience

Sample records for tube rupture incident

  1. Pressure tube rupture in a closed tank

    International Nuclear Information System (INIS)

    Khater, H.A.; Hadaller, G.I.; Stern, F.

    1985-06-01

    A study has been prepared on the feasibility of conducting pressure tube/calandria tube rupture tests in a closed tank, simulating a scaled-down calandria vessel. The study includes: i) a review of previous work, ii) an analytical investigation of the scaling problem of the calandria vessel and relevant in-core structures, iii) selection of a method for initiating pressure tube/calandria tube rupture, iv) a set of specifications for the test assembly, v) general arrangement drawings, vi) a proposal for a test matrix, vii) a survey and evaluation of existing facilities which could provide the required high pressure, temperature and fluid inventory, and viii) a cost estimate for the detailed design and construction, instrumentation, data acquisition and reduction, testing and reporting. The study concludes that it is both technically and practically feasible to conduct pressure tube rupture tests in a closed tank

  2. Nitrous oxide use and endotracheal tube rupture.

    Science.gov (United States)

    Mosby, E L; Schelkun, P M; Vincent, S K

    1988-01-01

    Nitrous oxide is an important and widely used anesthetic agent. However, during lengthy surgical procedures, significant amounts of nitrous oxide diffuse into the endotracheal tube cuff, causing sequelae that may include increased cuff pressures, tracheal trauma, increased postoperative discomfort, and cuff rupture. In this paper, two cases are presented in which the endotracheal tube cuff used to deliver this anesthetic agent ruptured after more than four hours of surgery. Two simple means of limiting the diffusion of nitrous oxide into the cuff and thus preventing this occurrence are described.

  3. Radioactivity transport following steam generator tube rupture

    International Nuclear Information System (INIS)

    Hopenfeld, J.

    1985-03-01

    A review of the capabilities of the CITADEL computer code as well as plant experience to project radioactivity releases following a steam generator tube rupture in PWR's shows that certain experimental data are needed for reliable off-site dose predictions. This article defines five parameters which are the key for such predictions and discusses the functional dependence of these parameters on various operational variables. The above parameters can be used in conjunction with CITADEL or they can be inserted in the appropriate equations which then conveniently can be programmed as a subroutine in thermal-hydraulic system codes. A joint Westinghouse, Electric Power Research Institute and Nuclear Regulatory Commission Program aimed at obtaining the five parameters empirically is described

  4. EP 1000 steam generator tube rupture analyses

    International Nuclear Information System (INIS)

    Saiu, G.; Frogheri, M.; Schulz, T.L.

    2001-01-01

    European electrical utility organizations together with Westinghouse and Ansaldo are participating in a program to utilize the Westinghouse passive nuclear plant technology to develop a plant which meets the European Utility Requirements (EUR) and is expected to be licensable in Europe. The program was initiated in 1994 and the plant is designated EP1000. The EP1000 design is notable for simplicity that comes from a reliance on passive safety systems to enhance plant safety. The use of passive safety systems has provided significant and measurable improvements in plant simplification, safety, reliability, investment protection and plant costs. These systems use only natural forces such as gravity, natural circulation, and compressed gas to provide the driving forces for the systems to adequately cool the reactor core following an initiating event. The EP1000 builds up on the Westinghouse passive nuclear plant technology to enhance plant safety and meet European Utility Requirements and specific European National Safety Criteria. This paper summarizes the main results of the Steam Generator Tube Rupture (SGTR) analysis activity, performed in Phase 2B of the European Passive Plant Program. The purpose of the study is to provide evidence that the passive safety system performance provides a significant improvement in terms of safety, providing significant margins to steam generator overfilling and reducing the need for operator actions. The behavior of the EP1000 plant following SGTR accidents has been analyzed by means of the RELAP5/Mod3.2 code. Sensitivity cases were performed, to address the impact of varying the number of steam generator tubes that rupture, and the potential adverse interactions that could result from operation of control systems (i.e., Chemical and Volume Control System, Startup Feedwater). Analyses have also been performed to define and verify improved protection system logic to avoid possible steam generator safety valve challenges both in the

  5. Steam generator tube rupture effects on a LOCA

    International Nuclear Information System (INIS)

    LaChance, J.L.

    1979-01-01

    A problem currently experienced in commercial operating pressurized water reactors (PWR) in the United States is the degradation of steam generator tubes. Safety questions have arisen concerning the effect of these degraded tubes rupturing during a postulated loss-of-coolant accident (LOCA). To determine the effect of a small number of tube ruptures on the behavior of a large PWR during a postulated LOCA, a series of computer simulations was performed. The primary concern of the study was to determine whether a small number (10 or less of steam generator tubes rupturing at the beginning surface temperatures. Additional reflood analyses were performed to determine the system behavior when from 10 to 60 tubes rupture at the beginning of core reflood. The FLOOD4 code was selected as being the most applicable code for use in this study after an extensive analysis of the capabilities of existing codes to perform simulations of a LOCA with concurrent steam generator tube ruptures. The results of the study indicate that the rupturing of 10 or less steam generator tubes in any of the steam generators during a 200% cold leg break will not result in a significant increase in the peak cladding temperature. However, because of the vaporization of the steam generator secondary water in the primary side of the steam generator, a significant increase in the core pressure occurs which retards the reflooding process

  6. Forecasting of rupture strain of graphite tubes by acoustic emission

    International Nuclear Information System (INIS)

    Chenion, Jacques; Leroux, Henri.

    1978-01-01

    A non destructive method based on acoustic emission of a stressed material allows to determine the breaking point of graphite tubes. The stress is produced by internal pressure through a rubber membrane. On a first group of tubes selected at random a law between acoustic emission and breaking pressure is established. The second group of tubes is stressed up to 80 percent of the average of the rupture pressure determined by the first group. Acoustic emission allows by the law established with the first group of tubes to determine by calculation the rupture pressure of each sample from the second group. A sampling of this second group stressed until rupture shows the validity of the method. At last the proposed method shows the different stages of craks propagation in the sample [fr

  7. Corrosion and Rupture of Steam Generator Tubings in PWRs

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Seong Sik; Kim, Hong Pyo

    2007-08-15

    This report is intended to provide corrosion engineers in the filed of nuclear energy with information on the corrosion and rupture behavior of steam generator tubing in PWRs. Various types of corrosion in PWR steam generator tubing have been reported all around the world, and countermeasures such as the addition of corrosion inhibitors, a water chemistry control, a tube plugging and sleeving have been applied. Steam generators equipped with alloy 600 tubing, which are not so resistant to a stress corrosion cracking (SCC), have generally been replaced with new steam generators made of alloy 690 TT (Thermally treated). Pull tube examination results which were performed of KAERI are summarized. The tubes were affected by a pitting, SCC, and a denting. Nondestructive examination method for the tubes and repair techniques are also reviewed. In addition, the regulatory guidance of some countries are reviewed. As a part of a tube integrity project in Korea, some results on a tube rupture and leak behaviors for axial cracks are also mentioned.

  8. Ruptures traumatiques du tube digestif | Dosseh | Journal de la ...

    African Journals Online (AJOL)

    Conclusion: even though clinical examination and plain x ray are important for diagnosis, CT scan would allow best diagnosis and earlier treatment. Prognosis is related to associated injuries highlighting the necessity to improve our intensive care unit. Objectif : faire le point sur les ruptures traumatiques du tube digestif ...

  9. Tracheal rupture after misplacement of Sengstaken-Blakemore tube ...

    African Journals Online (AJOL)

    The balloon were immediately deflated and a chest X-ray was performed, showing the tube in the right bronchus airway (A), so it was withdrawn. Right pneumothorax appeared and was treated with an intercostal drainage. The patient required orotracheal intubation and a CT scan was performed to show the rupture level ...

  10. Consequences of pressure tube rupture on in-core components

    International Nuclear Information System (INIS)

    Hill, P.G.; Hauptmann, E.G.; Lee, V.

    1982-12-01

    An investigation has been made of the consequences of pressure tube rupture in calandria vessels of heavy water cooled and moderated reactors. The study included a review of previous experimental and analytical work, as well as supplementary investigations carried out to examine the validity of previous assumptions and findings. The central questions considered were: the possibility of a propagating pressure tube failure; damage to the calandria vessel; and damage to the shut-off-rod guide tubes of the reactor shut-down system. The results of the investigation do not indicate mechanisms of sufficient strength to cause propagating failure in a well-designed, well-operated reactor following a tube burst under normal operating conditions. However, not all the details of the physical processes involved in a tube burst have been revealed by existing experimental and analytical work

  11. DEVELOPMENT OF AN ANALYTICAL METHOD TO EVALUATE THE INTEGRITY OF A CALANDRIA TUBE IN THE CASE OF PRESSURE TUBE RUPTURE

    OpenAIRE

    森下 善嗣

    1990-01-01

    An analytical method which consists of two‐dimensional thermal‐hydraulic analysis and three‐dimensional structural analysis has been proposed to evaluate the integrity of a calandria tube in the case of pressure tube rupture in a pressure tube type reactor.In order to validate the method,experiments were carried out with coaxially arranged double tubes simulating a pressure tube and a calandria tube.Experimental data were also comparedwith analytical results with the proposed method.

  12. Uterine rupture an obstetrics catastrophy; incidence, risk factors ...

    African Journals Online (AJOL)

    Context: Ruptured uterus is still an important obstetrics complication because it contributes significantly to both maternal and foetal morbidity and mortality in our setting. Therefore there is a need to further evaluate its causes and the outcome of its management. Objective: To determine the incidence, risk factors, ...

  13. Steam generator tube rupture in an experimental facility scaled from a pressurized water reactor

    International Nuclear Information System (INIS)

    Loomis, G.G.

    1984-09-01

    Results from an experimental investigation of steam generator tube rupture in the Semiscale Mod-2B system are presented. From the experimental results, the characteristic system response signature for a wide range of number of tubes ruptured has been described. The tube rupture was assumed to occur during normal full power operation (15.6 MPa system pressure, 37 0 K core differential temperature). In addition, recovery scenarios involving operator actions were examined. The recovery scenarios included use of pressurizer auxiliary spray and internal heaters, steam generator feed and steam, primary feed and bleed, and main cooling pump operation. Recovery scenarios suggested by typical US pressurized water reactor emergency operating procedures were followed

  14. Prognostics for Steam Generator Tube Rupture using Markov Chain model

    International Nuclear Information System (INIS)

    Kim, Gibeom; Heo, Gyunyoung; Kim, Hyeonmin

    2016-01-01

    This paper will describe the prognostics method for evaluating and forecasting the ageing effect and demonstrate the procedure of prognostics for the Steam Generator Tube Rupture (SGTR) accident. Authors will propose the data-driven method so called MCMC (Markov Chain Monte Carlo) which is preferred to the physical-model method in terms of flexibility and availability. Degradation data is represented as growth of burst probability over time. Markov chain model is performed based on transition probability of state. And the state must be discrete variable. Therefore, burst probability that is continuous variable have to be changed into discrete variable to apply Markov chain model to the degradation data. The Markov chain model which is one of prognostics methods was described and the pilot demonstration for a SGTR accident was performed as a case study. The Markov chain model is strong since it is possible to be performed without physical models as long as enough data are available. However, in the case of the discrete Markov chain used in this study, there must be loss of information while the given data is discretized and assigned to the finite number of states. In this process, original information might not be reflected on prediction sufficiently. This should be noted as the limitation of discrete models. Now we will be studying on other prognostics methods such as GPM (General Path Model) which is also data-driven method as well as the particle filer which belongs to physical-model method and conducting comparison analysis

  15. A case of Sengstaken-Blakemore tube-induced esophageal rupture repaired by endoscopic clipping.

    Science.gov (United States)

    Jung, Jin Hwan; Kim, Jin Il; Song, Jun Ho; Kim, Jeong Ho; Lee, Sang Hun; Cheung, Dae Young; Park, Soo Heon; Kim, Jae Kwang

    2011-01-01

    A 57-year-old man was admitted to another hospital for hematemesis due to heavy drinking. A Sengstaken-Blakemore tube was inserted and the patient was transferred to our hospital. The patient's ensuing movements inadvertently caused an esophageal rupture 2.5 cm in size. Since the patient's condition was stable, treatment via endoscopic repair using metallic clips was chosen over emergency surgery. Two hemoclips were fixed at the ends of the ruptured area; by employing an endoscopic detachable snare, the ruptured area was carefully repaired with 10 metallic clips. As a result, the esophageal rupture could be successfully repaired by endoscopic procedure rather than performing surgery.

  16. Analysis of Ruptured Heater Tube of Degasser Condenser in Wolsong Unit 4

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hong Pyo; Kim, J. S.; Lim, Y. S.; Kim, S. S.; Hwang, S. S.; Kim, D. J.; Kim, S. W.; Jeong, M. K.; Hong, J. H

    2007-08-15

    In a degasser condenser in Wolsong unit 4, the cracks were found in the heater tube no. 6 and no. 7. To avoid additional damages in the specimen during a decontamination process for the previous analysis, the cracks were analyzed without any decontamination process in this work. We performed the investigation of the ruptured surface morphology, the EDS analysis of the ruptured surface, the microstructural analysis of Alloy 800H sheath tube and literature survey to find the failure mechanism. From the results, it was expected that the sheath tube has been exposed in a steam condition as the coolant level was decreased in the degasser condenser, leading to the rupture of the sheath tube.

  17. Clinics in diagnostic imaging (165). Oesophageal rupture secondary to malposition of an SB tube gastric balloon.

    Science.gov (United States)

    Chan, Wan Ying; Cheong, Hsueh Wen; Tan, Tien Jin

    2016-02-01

    Oesophageal rupture is a life-threatening complication of balloon tamponade for bleeding oesophageal varices. We herein describe the clinical course and imaging findings in a 33-year-old Indian man who had a Sengstaken-Blakemore (SB) tube inserted for uncontrolled haematemesis, which was unfortunately complicated by malposition of the gastric balloon with resultant oesophageal rupture. The inflated SB tube gastric balloon was visualised within the right hemithorax on chest radiography after the SB tube insertion. Further evaluation of the thorax on computed tomography confirmed the diagnosis of oesophageal rupture associated with right-sided haemopneumothorax. It is crucial for both the referring clinician and reporting radiologist to recognise early the imaging features of an incorrectly positioned SB tube gastric balloon, so as to ensure prompt intervention and a reduction in patient morbidity and mortality. Copyright © Singapore Medical Association.

  18. Uncertainty analysis for probabilistic steam generators tube rupture in LBB applications

    International Nuclear Information System (INIS)

    Durbec, V.; Pitner, P.; Pages, D.; Riffard, T.; Flesch, B.

    1997-10-01

    Steam Generators (SG) of Pressurized Water Reactors have experienced world wide various types of tube degradations, mainly from stress corrosion cracking; because of this damage, primary-secondary leakage or tube rupture can occur. Safety against the risk of tube rupture is achieved through a combination of periodic in-service inspections (eddy current testing), surveillance of leaks during operation (leak before break concept) and tube plugging. In order to optimize the tube bundle SG maintenance, Electricite de France has developed a specific software named COMPROMIS. The model, based on probabilistic fracture mechanics makes it possible to quantify the influence of in service inspections and maintenance work on the risk of a SG Tube Rupture (SGTR), taking all significant parameters into account as random variables (initial defect size distribution, reliability of non-destructive examinations, crack initiation and propagation, critical sizes, leak before risk of break, etc...). This paper focuses on the leak rate calculation module and presents a sensitivity study of the influence of the leak before break on the conditional failure probability. (author)

  19. Uncertainty analysis for probabilistic steam generators tube rupture in LBB applications

    Energy Technology Data Exchange (ETDEWEB)

    Durbec, V.; Pitner, P.; Pages, D. [Electricite de France, 78 - Chatou (France). Research and Development Div.; Riffard, T. [Electricite de France, 69 - Villeurbanne (France). Engineering and Construction Div.; Flesch, B. [Electricite de France, 92 - Paris la Defense (France). Generation and Transmission Div.

    1997-10-01

    Steam Generators (SG) of Pressurized Water Reactors have experienced world wide various types of tube degradations, mainly from stress corrosion cracking; because of this damage, primary-secondary leakage or tube rupture can occur. Safety against the risk of tube rupture is achieved through a combination of periodic in-service inspections (eddy current testing), surveillance of leaks during operation (leak before break concept) and tube plugging. In order to optimize the tube bundle SG maintenance, Electricite de France has developed a specific software named COMPROMIS. The model, based on probabilistic fracture mechanics makes it possible to quantify the influence of in service inspections and maintenance work on the risk of a SG Tube Rupture (SGTR), taking all significant parameters into account as random variables (initial defect size distribution, reliability of non-destructive examinations, crack initiation and propagation, critical sizes, leak before risk of break, etc...). This paper focuses on the leak rate calculation module and presents a sensitivity study of the influence of the leak before break on the conditional failure probability. (author) 8 refs.

  20. A Kolsky tension bar technique using a hollow incident tube

    Science.gov (United States)

    Guzman, O.; Frew, D. J.; Chen, W.

    2011-04-01

    Load control of the incident pulse profiles in compression Kolsky bar experiments has been widely used to subject the specimen to optimal testing conditions. Tension Kolsky bars have been used to determine dynamic material behavior since the 1960s with limited capability to shape the loading pulses due to the pulse-generating mechanisms. We developed a modified Kolsky tension bar where a hollow incident tube is used to carry the incident stress waves. The incident tube also acts as a gas gun barrel that houses the striker for impact. The main advantage of this new design is that the striker impacts on an impact cap of the incident tube. Compression pulse shapers can be attached to the impact cap, thus fully utilizing the predictive compression pulse-shaping capability in tension experiments. Using this new testing technique, the dynamic tensile material behavior for Al 6061-T6511 and TRIP 800 (transformation-induced plasticity) steel has been obtained.

  1. A Kolsky tension bar technique using a hollow incident tube

    International Nuclear Information System (INIS)

    Guzman, O; Frew, D J; Chen, W

    2011-01-01

    Load control of the incident pulse profiles in compression Kolsky bar experiments has been widely used to subject the specimen to optimal testing conditions. Tension Kolsky bars have been used to determine dynamic material behavior since the 1960s with limited capability to shape the loading pulses due to the pulse-generating mechanisms. We developed a modified Kolsky tension bar where a hollow incident tube is used to carry the incident stress waves. The incident tube also acts as a gas gun barrel that houses the striker for impact. The main advantage of this new design is that the striker impacts on an impact cap of the incident tube. Compression pulse shapers can be attached to the impact cap, thus fully utilizing the predictive compression pulse-shaping capability in tension experiments. Using this new testing technique, the dynamic tensile material behavior for Al 6061-T6511 and TRIP 800 (transformation-induced plasticity) steel has been obtained

  2. Creep and creep rupture properties of cladding tube (type 316) in high temperature sodium

    International Nuclear Information System (INIS)

    Atsumo, H.

    1977-01-01

    The thin walled small sized seamless AISI 316 steel tubes, which are designated to be domestically used as the fuel cladding tube for sodium cooled fast breeder reactors in Japan, are irradiated in the following sodium of high temperature in the range of 370 deg. C to 700 deg. C, and receive gradually increased internal pressure caused by the fission produced gas generating from the nuclear fuel burn-up inside the cladding tube. Consequently, the creep behavior of fuel cladding tubes under a high temperature sodium environment is an important problem which must be determined and clarified together with their characteristic features under irradiation and in air. In relation to the creep performance of fuel cladding tubes made of AISI 316 steel and other comparable austenitic stainless steels, hardly any studies are found that are made systematically to examine the effect of sodium with sodium purity as parameter or any comparative studies with in-air data at various different temperatures. The present research work was aimed to obtain certain basic design data relating to in-sodium creep performance of the domestic made fuel cladding tubes for fast breeder reactors, and also to gain further date as considered necessary under several sodium conditions. That is, together with establishment of the technology for tensile creep test and internal pressure creep rupture test in flowing sodium of high temperature, a series of tests and studies were performed on the trial made cladding tubes of AISI Type-316 steel. In the first place, two kinds of purity conditions of sodium, close to the actual reactor-operating condition, (oxygen concentration of 10 ppm and 5 ppm respectively) were established, and then uniaxial tensile creep test and rupture test under various temperatures were performed and the resulting data were compared and evaluated against the in-air data. Then, secondly, an internal pressure creep rupture test was conducted under a single purity sodium environment

  3. Application of probabilistic fracture mechanics to estimate the risk of rupture of PWR steam generator tubes

    International Nuclear Information System (INIS)

    Pitner, P.; Riffard, T.; Granger, B.

    1992-01-01

    This paper describes the COMPROMIS code developed by Electricite de France (EDF) to optimize the tube bundle maintenance of steam generators. The model, based on probabilistic fracture mechanics, makes it possible to quantify the influence of in-service inspections and maintenance work on the risk of an SG tube rupture, taking all significant parameters into account as random variables (initial defect size distribution, reliability of non-destructive detection and sizing, crack initiation and propagation, critical sizes, leak before risk of break, etc.). (authors). 5 refs., 8 figs., 3 tabs

  4. Loss of feed flow, steam generator tube rupture and steam line break thermohydraulic experiments

    Energy Technology Data Exchange (ETDEWEB)

    Mendler, O J; Takeuchi, K; Young, M Y

    1986-10-01

    The Westinghouse Model Boiler No. 2 (MB-2) steam generator test model at the Engineering Test Facility in Tampa, Florida, was reinstrumented and modified for performing a series of tests simulating steam generator accident transients. The transients simulated were: loss of feed flow, steam generator tube rupture, and steam line break events. This document presents a description of (1) the model boiler and the associated test facility, (2) the tests performed, and (3) the analyses of the test results.

  5. Loss of feed flow, steam generator tube rupture and steam line break thermohydraulic experiments

    International Nuclear Information System (INIS)

    Mendler, O.J.; Takeuchi, K.; Young, M.Y.

    1986-10-01

    The Westinghouse Model Boiler No. 2 (MB-2) steam generator test model at the Engineering Test Facility in Tampa, Florida, was reinstrumented and modified for performing a series of tests simulating steam generator accident transients. The transients simulated were: loss of feed flow, steam generator tube rupture, and steam line break events. This document presents a description of (1) the model boiler and the associated test facility, (2) the tests performed, and (3) the analyses of the test results

  6. Five Tubes Rupture at Cold Side of Steam Generator Simulation Test Report Using the ATLAS

    International Nuclear Information System (INIS)

    Kang, Kyoung Ho; Park, Hyun Sik; Cho, Seok

    2010-12-01

    In this study, a postulated SGTR event of the APR1400 was experimentally investigated with the ATLAS. In order to simulate a double-ended rupture of five U-tubes in the APR1400, the SGTR-CL-02 test was performed with the ATLAS. The main objectives of this test were not only to provide a physical insight into the system response of the APR1400 during the SGTR but also to produce integral effect experimental data to validate the safety analysis code. In the present report, major thermal-hydraulic phenomena such as the system pressures, the collapsed water levels, and the break flow rate were presented and discussed. Compared to the case of a single U-tube rupture test, opening frequency of the MSSVs in the intact steam generator (SG-2) was highly reduced after 500 seconds in the present SGTR-CL-02 test. Large discharge of the primary inventory resulted in rapid depressurization of the primary system and consequently early injection of the SIP. Supply of cold ECC water by the SIPs reduced the energy transfer to the secondary side compared with the single U-tube rupture case. Less heat transfer to the secondary side had more influence on the secondary pressure of the affected steam generator than the break flow. This integral effect test data will be used to evaluate the prediction capability of existing safety analysis codes of the MARS and the RELAP5 as well as the SPACE code

  7. Risk assessment of severe accident-induced steam generator tube rupture

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    This report describes the basis, results, and related risk implications of an analysis performed by an ad hoc working group of the U.S. Nuclear Regulatory Commission (NRC) to assess the containment bypass potential attributable to steam generator tube rupture (SGTR) induced by severe accident conditions. The SGTR Severe Accident Working Group, comprised of staff members from the NRC`s Offices of Nuclear Reactor Regulation (NRR) and Nuclear Regulatory Research (RES), undertook the analysis beginning in December 1995 to support a proposed steam generator integrity rule. The work drew upon previous risk and thermal-hydraulic analyses of core damage sequences, with a focus on the Surry plant as a representative example. This analysis yielded new results, however, derived by predicting thermal-hydraulic conditions of selected severe accident scenarios using the SCDAP/RELAP5 computer code, flawed tube failure modeling, and tube failure probability estimates. These results, in terms of containment bypass probability, form the basis for the findings presented in this report. The representative calculation using Surry plant data indicates that some existing plants could be vulnerable to containment bypass resulting from tube failure during severe accidents. To specifically identify the population of plants that may pose a significant bypass risk would require more definitive analysis considering uncertainties in some assumptions and plant- and design-specific variables. 46 refs., 62 figs., 37 tabs.

  8. Risk assessment of severe accident-induced steam generator tube rupture

    International Nuclear Information System (INIS)

    1998-03-01

    This report describes the basis, results, and related risk implications of an analysis performed by an ad hoc working group of the U.S. Nuclear Regulatory Commission (NRC) to assess the containment bypass potential attributable to steam generator tube rupture (SGTR) induced by severe accident conditions. The SGTR Severe Accident Working Group, comprised of staff members from the NRC's Offices of Nuclear Reactor Regulation (NRR) and Nuclear Regulatory Research (RES), undertook the analysis beginning in December 1995 to support a proposed steam generator integrity rule. The work drew upon previous risk and thermal-hydraulic analyses of core damage sequences, with a focus on the Surry plant as a representative example. This analysis yielded new results, however, derived by predicting thermal-hydraulic conditions of selected severe accident scenarios using the SCDAP/RELAP5 computer code, flawed tube failure modeling, and tube failure probability estimates. These results, in terms of containment bypass probability, form the basis for the findings presented in this report. The representative calculation using Surry plant data indicates that some existing plants could be vulnerable to containment bypass resulting from tube failure during severe accidents. To specifically identify the population of plants that may pose a significant bypass risk would require more definitive analysis considering uncertainties in some assumptions and plant- and design-specific variables. 46 refs., 62 figs., 37 tabs

  9. EPR: steam generator tube rupture analysis in Finland and in France

    International Nuclear Information System (INIS)

    Israel, S.

    2006-01-01

    Different requirements between Finland and France lead EPR designer to define different features (system or action) for management of accidents on Olkiluoto 3 EPR that is under-construction in Finland compared to Flamanville 3 EPR that is foreseen in France. One of these differences concerns the management of Steam Generator Tube Rupture since no primary coolant (liquid and steam) release to the environment is allowed in Finland dislike in France where primary steam releases are not forbidden. This leads to define on Finnish EPR a strategy that anticipates mitigation action compared to French EPR and that only uses the unaffected steam generators. This strategy is intended to reduce the release to the environment. IRSN has analysed an other aspect of the Steam Generator Tube Rupture: the back-flow (flow of un-borated water from steam generator to the primary circuit). Indeed, if the Reactor Coolant Pumps have been shut down, the creation an un-borated water plug because of the back-flow could lead to reactivity accident in case of Reactor Coolant Pump restart. IRSN analysis shows that, using the current Olkiluoto 3 SGTR mitigation strategy and very penalizing assumptions, the amount of un-borated water transferred to the primary circuit on the Finnish EPR could be higher than on the French EPR in the long term. Discussions are going on between STUK and TVO to finalize the SGTR strategy so that both releases into the environment and risk of back-flow can be minimized. (author)

  10. Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol.

    Science.gov (United States)

    Kontogeorgakos, Vasileios; Koutalos, Antonios; Hantes, Michael; Manoudis, Gregory; Badras, Leonidas; Malizos, Konstantinos

    2015-03-01

    A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome.

  11. Mitigation of steam generator tube rupture in a pressurized water reactor with passive safety systems

    Science.gov (United States)

    McDermott, D.J.; Schrader, K.J.; Schulz, T.L.

    1994-05-03

    The effects of steam generator tube ruptures in a pressurized water reactor are mitigated by reducing the pressure in the primary loop by diverting reactor coolant through the heat exchanger of a passive heat removal system immersed in the in containment refueling water storage tank in response to a high feed water level in the steam generator. Reactor coolant inventory is maintained by also in response to high steam generator level introducing coolant into the primary loop from core make-up tanks at the pressure in the reactor coolant system pressurizer. The high steam generator level is also used to isolate the start-up feed water system and the chemical and volume control system to prevent flooding into the steam header. 2 figures.

  12. Mitigation of steam generator tube rupture in a pressurized water reactor with passive safety systems

    Science.gov (United States)

    McDermott, Daniel J.; Schrader, Kenneth J.; Schulz, Terry L.

    1994-01-01

    The effects of steam generator tube ruptures in a pressurized water reactor are mitigated by reducing the pressure in the primary loop by diverting reactor coolant through the heat exchanger of a passive heat removal system immersed in the in containment refueling water storage tank in response to a high feed water level in the steam generator. Reactor coolant inventory is maintained by also in response to high steam generator level introducing coolant into the primary loop from core make-up tanks at the pressure in the reactor coolant system pressurizer. The high steam generator level is also used to isolate the start-up feed water system and the chemical and volume control system to prevent flooding into the steam header. 2 figures.

  13. Steam-generator-tube-rupture transients for pressurized-water reactors

    International Nuclear Information System (INIS)

    Dobranich, D.; Henninger, R.J.; DeMuth, N.S.

    1982-01-01

    Steam generator tube ruptures with and without concurrent main-steam-line break are investigated for pressurized water reactors supplied by the major US vendors. The goal of these analyses is to provide thermodynamic and flow conditions for the determination of iodine transport to the environment and to provide an evaluation of the adequacy of the plant safety systems and operating procedures for controlling these transients. The automatic safety systems of the plant were found to be adequate for the mitigation of these transients. Emergency injection system flows equilibrated with the leakage flows and prevented core uncovery. Sufficient time was afforded by the plant safety systems for the operators to identify the problem and to take appropriate measures

  14. Pressurized water reactor core instrument tube ruptures: Experimental simulation at the ROSA-IV LSTF

    International Nuclear Information System (INIS)

    Kukita, Y.; Asaka, H.; Nakamura, H.; Tasaka, K.

    1990-01-01

    A small-break loss-of-coolant accident (SBLOCA) initiated by the rupture of pressurized water reactor (PWR) core instrument tubes was simulated using the ROSA-IV Large Scale Test Facility (LSTF). The experimental results were characterized by a single-phase liquid discharge continuing for a long period until the pressure vessel coolant inventory was significantly depleted. This experiment was analyzed using three advanced LOCA analysis codes, RELAP5/MOD2, TRACPF1/MOD1 and CATHARE-1, to assess the predictive abilities of these codes. Although all these codes simulated the experimental results qualitatively, discrepancies were found between the predictions and data regarding the break flowrate, spatial distribution of coolant in the primary system and core rod temperature responses. (orig.)

  15. Improvements in the simulation of a main steam line break with steam generator tube rupture

    Science.gov (United States)

    Gallardo, Sergio; Querol, Andrea; Verdú, Gumersindo

    2014-06-01

    The result of simultaneous Main Steam Line Break (MSLB) and a Steam Generator Tube Rupture (SGTR) in a Pressurized Water Reactor (PWR) is a depressurization in the secondary and primary system because both systems are connected through the SGTR. The OECD/NEA ROSA-2 Test 5 performed in the Large Scale Test Facility (LSTF) reproduces these simultaneous breaks in a Pressurized Water Reactor (PWR). A simulation of this Test 5 was made with the thermal-hydraulic code TRACE5. Some discrepancies found, such as an underestimation of SG-A secondary pressure during the depressurization and overestimation of the primary pressure drop after the first Power Operated Relief Valve (PORV) opening can be improved increasing the nodalization of the Upper Head in the pressure vessel and meeting the actual fluid conditions of Upper Head during the transient.

  16. Radioactivity release vs probability for a steam generator tube rupture accident

    International Nuclear Information System (INIS)

    Buslik, A.J.; Hall, R.E.

    1978-01-01

    A calculation of the probability of obtaining various radioactivity releases from a steam generator tube rupture (SGTR) is presented. The only radioactive isotopes considered are Iodine-131 and Xe-133. The particular accident path considered consists of a double-ended guillotine SGTR followed by loss of offsite power (LOSP). If there is no loss of offsite power, and no system fault other than the SGTR, it is judged that the consequences will be minimal, since the amount of iodine released through the condenser air ejector is expected to be quite small; this is a consequence of the fact that the concentration of iodine in the vapor released from the condenser air ejector is very small compared to that dissolved in the condensate water. In addition, in some plants the condenser air ejector flow is automatically diverted to containment or a high-activity alarm. The analysis presented here is for a typical Westinghouse PWR such as described in RESAR-3S

  17. Incidence and Determinants of Ventilation Tubes in Denmark.

    Science.gov (United States)

    Pedersen, Tine Marie; Mora-Jensen, Anna-Rosa Cecilie; Waage, Johannes; Bisgaard, Hans; Stokholm, Jakob

    2016-01-01

    Many children are treated for recurrent acute otitis media and middle ear effusion with ventilation tubes (VT). The objectives are to describe the incidence of VT in Denmark during 1997-2011 from national register data, furthermore, to analyze the determinants for VT in the Copenhagen Prospective Studies on Asthma in Childhood2010 (COPSAC2010) birth cohort. The incidence of VT in all children under 16 years from 1997-2011 were calculated in the Danish national registries. Determinants of VT were studied in the COPSAC2010 birth cohort of 700 children. Nationwide the prevalence of VT was 24% in children aged 0 to 3 three years, with a significant increase over the study period. For all children 0-15 years, the incidence of VT was 35/1,000. In the VT population, 57% was male and 43% females. In the COPSAC2010 birth cohort, the prevalence of VT during the first 3 years of life was 29%. Determinants of VT were: maternal history of middle ear disease; aHR 2.07, 95% CI [1.45-2.96] and siblings history of middle ear disease; aHR 3.02, [2.11-4.32]. Paternal history of middle ear disease, presence of older siblings in the home and diagnosis of persistent wheeze were significant in the univariate analysis but the association did not persist after adjustment. The incidence of VT is still increasing in the youngest age group in Denmark, demonstrating the highest incidence recorded in the world. Family history of middle ear disease and older siblings are the main determinants for VT.

  18. Rupture

    CERN Multimedia

    Association du personnel

    2006-01-01

    Our Director-General is indifferent to the tradition of concertation foreseen in our statutes and is "culturally" unable to associate the Staff Association with problem-solving in staff matters. He drags his heels as long as possible before entering into negotiations, presents "often misleading" solutions at the last minute which he only accepts to change once a power struggle has been established. Faced with this rupture and despite its commitment to concertation between gentlemen. The results of the poll in which the staff is invited to participate this week. We therefore need your support to state our claims to the Governing Bodies. The Staff Association proposes a new medium of communication and thus hopes to show that it is ready for future negotiations. The pages devoted to the Staff Association are presented in a more informative, reactive and factual manner and in line with the evolution of the social situation at CERN. We want to establish strong and continuous ties between the members of CERN and ou...

  19. ''Risk safety of high frequency fatigue rupture for the vapor generators tubes''; ''Prevention du risque de rupture par fatigue vibratoire des tubes de generateurs de vapeur''

    Energy Technology Data Exchange (ETDEWEB)

    Solgadi, E.; Le Duff, J.A. [FRAMATOME, 92 - Paris-La-Defense (France); Bussy, B. [Electricite de France, 75 - Paris (France). Service Etudes et Projets Thermiques et Nucleaires

    2001-07-01

    Among the different rupture ways identified since 1975 for the steam generators tubes, the fatigue damage occurred on four cases. Two of them are analyzed in this paper: the NORTH ANNA 1 and the MIHAMA 2. From these analysis, it appears that the fatigue crack happens with aggravating factors as the tube embedding, the anti-vibration bars or fretting corrosion. As a preventive, the number of anti-vibration bars has been increase for the vapor generators 1300 and a new system of damper has been developed and implemented on the vapor generator 900. (A.L.B.)

  20. Steam generator secondary pH during a steam generator tube rupture

    International Nuclear Information System (INIS)

    Adams, J.P.; Peterson, E.S.

    1991-12-01

    The Nuclear Regulatory Commission requires utilizes to determine the response of a pressurized water reactor to a steam generator tube rupture (SGTR) as part of the safety analysis for the plant. The SGTR analysis includes assumptions regarding the partitioning of iodine between liquid and vapor in steam generator secondary. Experimental studies have determined that the partitioning of iodine in water is very sensitive to the pH. Based on this experimental evidence, the NRC requested the INEL to perform an analytical assessment of secondary coolant system (SCS) pH during an SGTR. Design basis thermal and hydraulic calculations were used together with industry standard chemistry guidelines to determine the SCS chemical concentrations during an SGTR. These were used as input to the Facility for Analysis of Chemical Thermodynamics computer system to calculate the equilibrium pH in the SCS at various discrete time during an SGTR. The results of this analysis indicate that the SCS pH decreases from the initial value of 8.8 to approximately 6.5 by the end of the transient, independent of PWR design

  1. Analysis of steam generator tube rupture as a severe accident using MELCOR 1.8.4

    International Nuclear Information System (INIS)

    Yang Hongrun; Hidaka, Akihide; Sugimoto, Jun

    1999-03-01

    This report presents the results from the MELCOR 1.8.4 calculations for Steam Generator Tube Rupture (SGTR) with stuck open of all the safety valves in faulted SG as a severe accident. The calculations are based on Surry nuclear power plant. After performed using the once-through primary system model alone by 1.0x10 5 s, the calculations were conducted with both of the once-through and the hot leg countercurrent natural circulation models. The results, including event sequences, processes and progressions of core degradation, radionuclides release from core and reactor cavity, and source terms to the environment are described in detail. It is concluded that the availability of High Pressure Safety Injection (HPSI) can significantly delay the progression of core heat-up and approximately 7% of cesium iodide (CsI) can be released to the environment directly through the stuck open safety valve. Comparisons between the results from the two models are also given in this report. The present analyses also showed that during SGTR accident, the hot leg countercurrent natural circulation flow cannot be established well and therefore it has little effect on the mitigation of the core degradation. (author)

  2. Experiment data report for Semiscale Mod-1 test S-28-3 (steam generator tube rupture test). [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Gillins, R.L.; Sackett, K.E.

    1977-10-01

    Recorded test data are presented for Test S-28-3 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-3 was conducted from initial conditions of 15621 kPa and 555 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. Twelve steam generator tube ruptures were simulated by a controlled injection from a heated accumulator into the intact loop hot leg.

  3. Experiment data report for Semiscale Mod-1 Test S-28-1 (steam generator tube rupture test series)

    Energy Technology Data Exchange (ETDEWEB)

    Collins, B.L.; Coppin, C.E.; Sackett, K.E.

    1977-10-01

    Recorded test data are presented for Test S-28-1 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-1 was conducted from initial conditions of 15 767 kPa and 557 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. Sixty steam generator tube ruptures were simulated by a controlled injection from a heated accumulator into the intact loop hot leg.

  4. Experiment data report for semiscale Mod-1 test S-28-4 (steam generator tube rupture test)

    Energy Technology Data Exchange (ETDEWEB)

    Esparza, V.; Sackett, K.E.

    1977-10-01

    Recorded test data are presented for Test S-28-4 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-4 was conducted from initial conditions of 15 646 kPa and 557 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. Thirty steam generator tube ruptures were simulated by a controlled injection from a heated accumulator into the intact loop hot leg.

  5. Experiment data report for Semiscale Mod-1 test S-28-6 (steam generator tube rupture test)

    Energy Technology Data Exchange (ETDEWEB)

    Patton, M.L.; Sackett, K.E.; Coppin, C.E.

    1977-11-01

    Recorded test data are presented for Test S-28-6 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-6 was conducted from initial conditions of 15,770 kPa and 557 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. Sixteen steam generator tube ruptures were simulated by a controlled injection from a heated accumulator into the intact loop hot leg.

  6. Experiment data report for semiscale Mod-1 test S-28-2 (steam generator tube rupture test). [PWR

    Energy Technology Data Exchange (ETDEWEB)

    Patton, M.L.; Sackett, K.E.

    1977-10-01

    Recorded test data are presented for Test S-28-2 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-2 was conducted from initial conditions of 15 936 kPa and 558 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. For Test S-28-2, accumulator injection into the intact loop hot leg was provided to simulate simulate the rupture of six steam generator tubes.

  7. Experiment data report for Semiscale Mod-1 Test S-28-5 (steam generator tube rupture test). [PWR

    Energy Technology Data Exchange (ETDEWEB)

    1977-11-01

    Recorded test data are presented for Test S-28-5 of the Semiscale Mod-1 steam generator tube rupture test series. These tests are among several Semiscale Mod-1 experiments conducted to investigate the thermal and hydraulic phenomena accompanying a hypothesized loss-of-coolant accident in a pressurized water reactor (PWR) system. Test S-28-5 was conducted from initial conditions of 15,768 kPa and 556 K to investigate the response of the Semiscale Mod-1 system to a depressurization and reflood transient following a simulated double-ended offset shear of the broken loop cold leg piping. During the test, cooling water was injected into the cold leg of the intact and broken loops to simulate emergency core coolant injection in a PWR. For Test S-28-5, accumulator injection into the intact loop hot leg was provided to simulate the rupture of 20 steam generator tubes.

  8. Analysis of Communication between Main Control Room Operators in Decision-making Process in Steam Generator Tube Rupture Accident

    International Nuclear Information System (INIS)

    Petkov, M.; Petkov, G.

    2006-01-01

    The paper presents an investigation results for Main Control Room operators' reliability by Performance Evaluation of Teamwork method, based on FSS-1000 training archives in KNPP in case of Steam Generator Tube Rupture accident. The advantages of operators' teamwork are shown: a) group decision-making vs. individual one: b) positive influence of crew initiated communication consisting of orders and reports that are required by instruction. (authors)

  9. Analysis of multiple-tube ruptures in both steam generators for the Three Mile Island-1 pressurized water reactor

    International Nuclear Information System (INIS)

    Nassersharif, B.

    1985-01-01

    The operator guidelines were followed for both transients described. Both transients resulted in SG overfill and the tube-rupture flow did not terminate in either transient. The following statements can be deducted from the results of the calculations: the tube-rupture flow could not be stopped for either case during 2600 s (43 min) of transient time; each accident scenario resulted in SG overfill; both SGs overfilled by 1600 s (27 min) and 1800 s (30 min) for Cases 1 and 2, respectively; conditions for isolation of the SGs were not reached; and core subcooling was not lost in either case but the upper head was voided in Case 2. Comparison of the cooldown rates in the two cases after 1200 s (20 min) shows that these rates are equal (i.e., restart of the RCPs did not change the primary-system cooldown rate). However, in Case 2, a steam bubble was formed in the upper head, which did not disappear during the simulated time. One of the immediate actions in the guidelines was to fill both SGs to 95% level. This step was almost unnecessary because the tube-rupture flow was large enough that the 15.4 - mK/s (100 - 0 F h) cooldown-rate limit was exceeded and AFW could not be injected. Also, the guidelines did not address the SG overfill issue

  10. Intraoperative wide bore nasogastric tube knotting: A rare incidence

    OpenAIRE

    Lamba, Sangeeta; Sethi, Surendra K.; Khare, Arvind; Saini, Sudheendra

    2016-01-01

    Nasogastric tubes are commonly used in anesthetic practice for gastric decompression in surgical patients intraoperatively. The indications for its use are associated with a number of potential complications. Knotting of small-bore nasogastric tubes is usually common both during insertion and removal as compared to wide bore nasogastric tubes. Knotting of wide bore nasogastric tube is a rare complication and if occurs usually seen in long standing cases. We hereby report a case of incidental ...

  11. Thermal-hydraulic analysis of SMART steam generator tube rupture using TASS/SMR-S code

    International Nuclear Information System (INIS)

    Kim, Hee-Kyung; Kim, Soo Hyoung; Chung, Young-Jong; Kim, Hyeon-Soo

    2013-01-01

    Highlights: ► The analysis was performed from the viewpoint of primary coolant leakage. ► The thermal hydraulic responses and the maximum leakage have been identified. ► There is no direct release into the atmosphere caused by an SGTR accident. ► SMART safety system works well against an SGTR accident. - Abstract: A steam generator tube rupture (SGTR) accident analysis for SMART was performed using the TASS/SMR-S code. SMART with a rated thermal power of 330 MWt has been developed at the Korea Atomic Energy Research Institute. The TASS/SMR-S code can analyze the thermal hydraulic phenomena of SMART in a full range of reactor operating conditions. An SGTR is one of the most important accidents from a thermal hydraulic and radiological viewpoint. A conservative analysis against a SMART SGTR was performed. The major concern of this analysis is to find the thermal hydraulic responses and maximum leakage amount from a primary to a secondary side caused by an SGTR accident. A sensitivity study searching for the conservative thermal hydraulic conditions, break locations, reactivity and other conditions was performed. The dominant parameters related with the integral leak are the high RCS pressure, low core inlet coolant temperature and low break location of the SG cassette. The largest integral leak comes to 28 tons in the most conservative case during 1 h. But there is no direct release into the atmosphere because the secondary system pressure is maintained with a sufficient margin for the design pressure. All leaks go to the condenser. The analysis results show that the primary and secondary system pressures are maintained below the design pressure and the SMART safety system is working well against an SGTR accident

  12. Intraoperative wide bore nasogastric tube knotting: A rare incidence.

    Science.gov (United States)

    Lamba, Sangeeta; Sethi, Surendra K; Khare, Arvind; Saini, Sudheendra

    2016-01-01

    Nasogastric tubes are commonly used in anesthetic practice for gastric decompression in surgical patients intraoperatively. The indications for its use are associated with a number of potential complications. Knotting of small-bore nasogastric tubes is usually common both during insertion and removal as compared to wide bore nasogastric tubes. Knotting of wide bore nasogastric tube is a rare complication and if occurs usually seen in long standing cases. We hereby report a case of incidental knotting of wide bore nasogastric tube that occurred intraoperatively.

  13. Development of tube rupture evaluation code for FBR steam generator (II). Modification of heat transfer model in sodium side

    International Nuclear Information System (INIS)

    Hamada, H.; Kurihara, A.

    2003-05-01

    The thermal effect of sodium-water reaction jet on neighboring heat transfer tubes was examined to rationally evaluate the structural integrity of the tube for overheating rupture under a water leak in an FBR steam generator. Then, the development of new heat transfer model and the application analysis were carried out. Main results in this paper are as follows. (1) The evaluation method of heat flux and heat transfer coefficient (HTC) on the tube exposed to reaction jet was developed. By using the method, it was confirmed that the heat flux could be realistically evaluated in comparison with the previous method. (2) The HTC between reaction jet and the tube was theoretically examined in the two-phase flow model, and new heat transfer model considering the effect of fluid temperature and cover gas pressure was developed. By applying the model, a tentative experimental correlation was conservatively obtained by using SWAT-1R test data. (3) The new model was incorporated to the Tube Rupture Evaluation Code (TRUE), and the conservatism of the model was confirmed by using sodium-water reaction data such as the SWAT-3 tests. (4) In the application analysis of the PFR large leak event, there was no significant difference of calculation results between the new model and previous one; the importance of depressurization in the tube was confirmed. (5) In the application analysis of the Monju evaporator, it was confirmed that the calculation result in the previous model would be more conservative than that in the new one and that the maximum cumulative damage of 25% could be reduced in the new model. (author)

  14. Incidence of Sinusitis Associated With Endotracheal and Nasogastric Tubes: NIS Database.

    Science.gov (United States)

    Metheny, Norma A; Hinyard, Leslie J; Mohammed, Kahee A

    2018-01-01

    Endotracheal and nasogastric tubes are recognized risk factors for nosocomial sinusitis. The extent to which these tubes affect the overall incidence of nosocomial sinusitis in acute care hospitals is unknown. To use data for 2008 through 2013 from the Nationwide Inpatient Sample database to compare the incidence of sinusitis in patients with nasogastric tubes with that in patients with an endotracheal tube alone or with both an endotracheal tube and a nasogastric tube. Patients' data with any of the following International Classification of Disease, Ninth Revision, Clinical Modification codes were abstracted from the database: (1) 96.6, enteral infusion of concentrated nutritional substances; (2) 96.07, insertion of other (naso-)gastric tube; or (3) 96.04, insertion of an endotracheal tube. Sinusitis was defined by the appropriate codes. Weighted and unweighted frequencies and weighted percentages were calculated, categorical comparisons were made by χ 2 test, and logistic regression was used to examine odds of sinusitis development by tube type. Of 1 141 632 included cases, most (68.57%) had an endotracheal tube only, 23.02% had a nasogastric tube only, and 8.41% had both types of tubes. Sinusitis was present in 0.15% of the sample. Compared with patients with only a nasogastric tube, the risk for sinusitis was 41% greater in patients with an endotracheal tube and 200% greater in patients with both tubes. Despite the low incidence of sinusitis, a significant association exists between sinusitis and the presence of an endotracheal tube, especially when a nasogastric tube is also present. ©2018 American Association of Critical-Care Nurses.

  15. Experimental investigation of coolant and poisoned moderator mixing due to a simulated pressure tube/calandria tube fishmouth rupturing an overpoisoned guaranteed shutdown state

    International Nuclear Information System (INIS)

    Mackinnon, J.C.; Fortman, R.A.; Hadaller, G.I.

    1997-01-01

    During a guaranteed shutdown state (GSS) in a CANDU reactor, there must be sufficient negative reactivity to ensure subcriticality in the event of a process failure. In one of the acceptable states, the reactor is kept subcritical by a high concentration of a neutron-absorbing chemical (the poison gadolinium nitrate) dissolved in the moderator (i.e., the moderator is guaranteed overpoisoned). A postulated accident scenario which is considered as a part of reactor safety analysis is the rupture of a fuel channel (i.e., a pressure tube/calandria tube break) when the reactor is in a GSS. If one of the channels in the core breaks (requiring a simultaneous failure of both the pressure tube and the surrounding calandria tube), coolant from the primary heat transport system will be discharged into the moderator, causing an associated displacement of fluid through relief ducts at the top of the calandria vessel. The incoming (unpoisoned) coolant may mix quickly with the moderator, or may mix slowly while displacing poisoned moderator through the relief ducts. The effectiveness of mixing generally depends on the break location, the coolant discharge rate and the moderator circulation. If an in-core loss of coolant accident occurred while the reactor is in this overpoisoned state, it must be guaranteed that even with the dilution of the poison by the incoming coolant the reactor will remain subcritical on both a local and global basis. This paper presents an overview of an experimental program in progress at the Moderator Test Facility at Stern Laboratories to investigate coolant/poison mixing for a simulated in-core fishmouth pressure tube/calandria tube rupture. The nominal system at the same temperature as the heavily poisoned moderator, i.e., a depressurised 'cold' state. The results presented are those obtained during the commissioning of the modified Test Facility. The contents of the paper are as follows. First, the objectives of the experimental program are

  16. Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013

    DEFF Research Database (Denmark)

    Ganestam, Ann; Kallemose, Thomas; Troelsen, Anders

    2016-01-01

    . There was no difference in incidence of acute Achilles tendon rupture in the rural compared with urban geographical areas. A steady decline in surgical treatment was found over the whole period, with a noticeable decline from 2009 to 2013, possibly reflecting a rapid change in clinical practice following a range of high...

  17. Consideration on evaluation of internal pressure creep rupture for tube with circumferential joint

    International Nuclear Information System (INIS)

    Nagato, Kotaro; Satoh, Keisuke

    1983-01-01

    The behavior of internal pressure creep rupture of the thin-walled cylinders with circumferential joints is affected by the combination of creep characteristics of parent materials and weld metals. In particular, the compatibility of the creep strain rate of parent materials and weld metals becomes an important controlling factor. The behavior of internal pressure creep of the welded parts in circumferential joint cylinders can be evaluated simply with the uniaxial creep data of parent materials and weld metals, considering it by approximately substituting with the creep behavior of a uniaxial longitudinal joint. The method of evaluation is, first, to analyze the breaking behavior of uniaxial longitudinal joints using the uniaxial creep characteristic values of parent materials and weld metals, and next, by combining the equation for the relation between the rupture times of uniaxial creep and internal pressure creep with the analyzed breaking behavior of uniaxial joints, the internal pressure creep rupture behavior of the cylinders with circumferential joints can be evaluated. The internal pressure creep behavior of the thin-walled cylinders with circumferential joints, their rupture life and the uniaxial creep rupture life of longitudinal joints, and the examination of Hastelloy X cylinders are reported. (Kako, I.)

  18. A reappraisal of steam generator tube rupture in the French licensing process

    International Nuclear Information System (INIS)

    Conte, M.; Gouffon, A.; Moriette, P.

    1984-10-01

    Upon the examination of the safety options submitted by EDF (Electricite de France) for a new pressurized water reactor design (N4, 1400 MWe), the French safety authorities decided that the conventionnal list of events to take under consideration should be amended as follows: failure of 1 and 2 steam generator tubes. To meet these objectives, design improvements were decided and new operating criteria were required by the technical specifications. Various preventive measures have been adopted by EDF to reduce tube degradation risks at the design stage, at the secondary feedwater quality level, and concerning also the quality control. The radiological consequences of generator tube integrity failure can be mitigated if the primary coolant activity is low, the tube flow detection is rapid, the release time is short, and the operating procedure is suitable and easily implemented [fr

  19. The effect of the number of condensed phases modeled on aerosol behavior during an induced steam generator tube rupture sequence

    International Nuclear Information System (INIS)

    Bixler, N.E.; Schaperow, J.H.

    1998-06-01

    VICTORIA is a mechanistic computer code designed to analyze fission product behavior within a nuclear reactor coolant system (RCS) during a severe accident. It provides detailed predictions of the release of radioactive and nonradioactive materials from the reactor core and transport and deposition of these materials within the RCS. A recently completed independent peer review of VICTORIA, while confirming the overall adequacy of the code, recommended a number of modeling improvements. One of these recommendations, to model three rather than a single condensed phase, is the focus of the work reported here. The recommendation has been implemented as an option so that either a single or three condensed phases can be treated. Both options have been employed in the study of fission product behavior during an induced steam generator tube rupture sequence. Differences in deposition patterns and mechanisms predicted using these two options are discussed

  20. Acute postoperative neurological deterioration associated with surgery for ruptured intracranial aneurysm: incidence, predictors, and outcomes.

    Science.gov (United States)

    Mahaney, Kelly B; Todd, Michael M; Bayman, Emine O; Torner, James C

    2012-06-01

    Subarachnoid hemorrhage (SAH) results in significant morbidity and mortality, even among patients who reach medical attention in good neurological condition. Many patients have neurological decline in the perioperative period, which contributes to long-term outcomes. The focus of this study is to characterize the incidence of, characteristics predictive of, and outcomes associated with acute postoperative neurological deterioration in patients undergoing surgery for ruptured intracranial aneurysm. The Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST) was a multicenter randomized clinical trial that enrolled 1001 patients and assesssed the efficacy of hypothermia as neuroprotection during surgery to secure a ruptured intracranial aneurysm. All patients had a radiographically confirmed SAH, were classified as World Federation of Neurosurgical Societies (WFNS) Grade I-III immediately prior to surgery, and underwent surgery to secure the ruptured aneurysm within 14 days of SAH. Neurological assessment with the National Institutes of Health Stroke Scale (NIHSS) was performed preoperatively, at 24 and 72 hours postoperatively, and at time of discharge. The primary outcome variable was a dichotomized scoring based on an IHAST version of the Glasgow Outcome Scale (GOS) in which a score of 1 represents a good outcome and a score > 1 a poor outcome, as assessed at 90-days' follow-up. Data from IHAST were analyzed for occurrence of a postoperative neurological deterioration. Preoperative and intraoperative variables were assessed for associations with occurrence of postoperative neurological deterioration. Differences in baseline, intraoperative, and postoperative variables and in outcomes between patients with and without postoperative neurological deterioration were compared with Fisher exact tests. The Wilcoxon rank-sum test was used to compare variables reported as means. Multiple logistic regression was used to adjust for covariates associated with occurrence

  1. Parent-reported otorrhea in children with tympanostomy tubes: incidence and predictors.

    Directory of Open Access Journals (Sweden)

    Thijs M A van Dongen

    Full Text Available PURPOSE: Although common in children with tympanostomy tubes, the current incidence of tympanostomy tube otorrhea (TTO is uncertain. TTO is generally a sign of otitis media, when middle ear fluid drains through the tube. Predictors for otitis media are therefore suggested to have predictive value for the occurrence of TTO. OBJECTIVE: To determine the incidence of TTO and its predictors. METHODS: We performed a cohort study, using a parental web-based questionnaire to retrospectively collect data on TTO episodes and its potential predictors from children younger than 10 years of age with tympanostomy tubes. RESULTS: Of the 1,184 children included in analyses (total duration of time since tube placement was 768 person years with a mean of 7.8 months per child, 616 children (52% experienced one or more episodes of TTO. 137 children (12% had TTO within the calendar month of tube placement. 597 (50% children had one or more acute TTO episodes (duration <4 weeks and 46 children (4% one or more chronic TTO episodes (duration ≥4 weeks. 146 children (12% experienced recurrent TTO episodes. Accounting for time since tube placement, 67% of children developed one or more TTO episodes in the year following tube placement. Young age, recurrent acute otitis media being the indication for tube placement, a recent history of recurrent upper respiratory tract infections and the presence of older siblings were independently associated with the future occurrence of TTO, and can therefore be seen as predictors for TTO. CONCLUSIONS: Our survey confirms that otorrhea is a common sequela in children with tympanostomy tubes, which occurrence can be predicted by age, medical history and presence of older siblings.

  2. Incidence and determinants of ventilation tubes in Denmark

    DEFF Research Database (Denmark)

    Pedersen, Tine Marie; Mora-Jensen, Anna Rosa Cecilie; Waage, Johannes

    2016-01-01

    in the Copenhagen Prospective Studies on Asthma in Childhood2010 (COPSAC2010) birth cohort. Methods: The incidence of VT in all children under 16 years from 1997-2011 were calculated in the Danish national registries. Determinants of VT were studied in the COPSAC2010 birth cohort of 700 children. Results......: Nationwide the prevalence of VT was 24% in children aged 0 to 3 three years, with a significant increase over the study period. For all children 0-15 years, the incidence of VT was 35/1,000. In the VT population, 57% was male and 43% females. In the COPSAC2010 birth cohort, the prevalence of VT during...... the first 3 years of life was 29%. Determinants of VT were: maternal history of middle ear disease; aHR 2.07, 95% CI [1.45-2.96] and siblings history of middle ear disease; aHR 3.02, [2.11-4.32]. Paternal history of middle ear disease, presence of older siblings in the home and diagnosis of persistent...

  3. Traumatic graft rupture after primary and revision anterior cruciate ligament reconstruction: retrospective analysis of incidence and risk factors in 2915 cases.

    Science.gov (United States)

    Schlumberger, Michael; Schuster, Philipp; Schulz, Martin; Immendörfer, Micha; Mayer, Philipp; Bartholomä, Jochen; Richter, Jörg

    2017-05-01

    To determine incidence and risk factors for traumatic graft rupture following primary and revision anterior cruciate ligament (ACL) reconstruction. All cases of isolated ACL reconstructions (primary or revision) performed at our institution between January 2007 and December 2010 were included. From this group of 2467 primary reconstructions (32.4 ± 12.2 years) and 448 revision reconstructions (33.0 ± 10.4 years), we identified all patients who underwent revision ACL reconstruction following traumatic graft rupture in further course and all patients who underwent contralateral primary ACL reconstruction until January 2014. Age, gender, time from index procedure and graft diameter (for hamstring autografts) were analysed in terms of being a potential risk factor for graft rupture. Within a follow-up period of 5.0 ± 1.1 years (3.0-7.0), a total of 82 traumatic graft ruptures were identified, resulting in an incidence of 2.8 %. Seventy-three cases were seen following primary reconstructions (3.0 %), and nine cases following revision reconstructions (2.0 %), respectively (n.s.). Age younger than 25 years was identified as a risk factor for both groups (p = 0.001 and p = 0.008; odds ratio 6.0 and 6.4, respectively). In primary reconstruction, male patients had a higher risk of graft rupture compared with females (3.7 vs. 1.6 %; p = 0.005), and the first year after index procedure was associated with a higher risk of graft rupture compared with the following (p < 0.001). Graft diameter did not influence the risk of graft rupture. Incidence of contralateral ACL rupture was 3.1 %, which was not different to the incidence of graft rupture ipsilaterally (n.s.). No statistically significant differences were seen between graft rupture incidence of primary and revision ACL reconstructions. Young age (<25 years) and short time to the index procedure (especially within the first year) were confirmed as risk factors for graft rupture in both groups. Male

  4. Creep-Rupture Behavior of Ni-Based Alloy Tube Bends for A-USC Boilers

    Science.gov (United States)

    Shingledecker, John

    Advanced ultrasupercritical (A-USC) boiler designs will require the use of nickel-based alloys for superheaters and reheaters and thus tube bending will be required. The American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section II PG-19 limits the amount of cold-strain for boiler tube bends for austenitic materials. In this summary and analysis of research conducted to date, a number of candidate nickel-based A-USC alloys were evaluated. These alloys include alloy 230, alloy 617, and Inconel 740/740H. Uniaxial creep and novel structural tests and corresponding post-test analysis, which included physical measurements, simplified analytical analysis, and detailed microscopy, showed that different damage mechanisms may operate based on test conditions, alloy, and cold-strain levels. Overall, creep strength and ductility were reduced in all the alloys, but the degree of degradation varied substantially. The results support the current cold-strain limits now incorporated in ASME for these alloys for long-term A-USC boiler service.

  5. Aspirin as a Promising Agent for Decreasing Incidence of Cerebral Aneurysm Rupture

    NARCIS (Netherlands)

    Hasan, David M.; Mahaney, Kelly B.; Brown, Robert D.; Meissner, Irene; Piepgras, David G.; Huston, John; Capuano, Ana W.; Torner, James C.; Groen, R.J.M.

    2011-01-01

    Background and Purpose-Chronic inflammation is postulated as an important phenomenon in intracranial aneurysm wall pathophysiology. This study was conducted to determine if aspirin use impacts the occurrence of intracranial aneurysm rupture. Methods-Subjects enrolled in the International Study of

  6. Application of dynamic probabilistic safety assessment approach for accident sequence precursor analysis: Case study for steam generator tube rupture

    International Nuclear Information System (INIS)

    Lee, Han Sul; Heo, Gyun Young; Kim, Tae Wan

    2017-01-01

    The purpose of this research is to introduce the technical standard of accident sequence precursor (ASP) analysis, and to propose a case study using the dynamic-probabilistic safety assessment (D-PSA) approach. The D-PSA approach can aid in the determination of high-risk/low-frequency accident scenarios from all potential scenarios. It can also be used to investigate the dynamic interaction between the physical state and the actions of the operator in an accident situation for risk quantification. This approach lends significant potential for safety analysis. Furthermore, the D-PSA approach provides a more realistic risk assessment by minimizing assumptions used in the conventional PSA model so-called the static-PSA model, which are relatively static in comparison. We performed risk quantification of a steam generator tube rupture (SGTR) accident using the dynamic event tree (DET) methodology, which is the most widely used methodology in D-PSA. The risk quantification results of D-PSA and S-PSA are compared and evaluated. Suggestions and recommendations for using D-PSA are described in order to provide a technical perspective

  7. High incidence of respiratory infections in 'nil by mouth' tube-fed acute ischemic stroke patients.

    Science.gov (United States)

    Langdon, P C; Lee, A H; Binns, C W

    2009-01-01

    Respiratory infections are common in acute stroke. Previous studies have found dysphagia is associated with respiratory infections. Of interest is whether patients who are 'Nil by Mouth' (NBM) and tube fed have higher risk of developing infections due to aspiration of bacteria-laden saliva or refluxed material than stroke patients who are fed orally. Prospective cohort of 330 ischemic stroke survivors were followed for 30 days and infections recorded. 115 infections were treated with antibiotics; these included 51 respiratory infections. Incidence of infection in NBM tube-fed stroke patients (n = 74) was 69%, with 30 respiratory infections occurring in 74 patients who received enteral feeding after stroke. Logistic regression analysis showed tube feeding during admission was a significant risk for respiratory infection. We also saw a significant time-to-event effect with 73% (22/30) respiratory infections in tube-fed survivors diagnosed on days 2-4 after stroke, and 76% (39/51) of infections in all tube-fed survivors occurring by day 7 after stroke. Relevance to a theory of critical period of susceptibility to infection in acute stroke is discussed. NBM tube-fed survivors were unlikely to have aspirated anything other than saliva/secretions or reflux, yet experienced significantly higher rates of respiratory infections than survivors fed orally. Stringent oral care and measures to prevent reflux are potentially modifiable aspects of stroke management. 2008 S. Karger AG, Basel.

  8. Digital PIV Measurements of Acoustic Particle Displacements in a Normal Incidence Impedance Tube

    Science.gov (United States)

    Humphreys, William M., Jr.; Bartram, Scott M.; Parrott, Tony L.; Jones, Michael G.

    1998-01-01

    Acoustic particle displacements and velocities inside a normal incidence impedance tube have been successfully measured for a variety of pure tone sound fields using Digital Particle Image Velocimetry (DPIV). The DPIV system utilized two 600-mj Nd:YAG lasers to generate a double-pulsed light sheet synchronized with the sound field and used to illuminate a portion of the oscillatory flow inside the tube. A high resolution (1320 x 1035 pixel), 8-bit camera was used to capture double-exposed images of 2.7-micron hollow silicon dioxide tracer particles inside the tube. Classical spatial autocorrelation analysis techniques were used to ascertain the acoustic particle displacements and associated velocities for various sound field intensities and frequencies. The results show that particle displacements spanning a range of 1-60 microns can be measured for incident sound pressure levels of 100-130 dB and for frequencies spanning 500-1000 Hz. The ability to resolve 1 micron particle displacements at sound pressure levels in the 100 dB range allows the use of DPIV systems for measurement of sound fields at much lower sound pressure levels than had been previously possible. Representative impedance tube data as well as an uncertainty analysis for the measurements are presented.

  9. Evaluation of a main steam line break with induced, multiple tube ruptures: A comparison of NUREG 1477 (Draft) and transient methodologies Palo Verde Nuclear Generating Station

    Energy Technology Data Exchange (ETDEWEB)

    Parrish, K.R.

    1995-09-01

    This paper presents the approach taken to analyze the radiological consequences of a postulated main steam line break event, with one or more tube ruptures, for the Palo Verde Nuclear Generating Station. The analysis was required to support the restart of PVNGS Unit 2 following the steam generator tube rupture event on March 14, 1993 and to justify continued operation of Units 1 and 3. During the post-event evaluation, the NRC expressed concern that Unit 2 could have been operating with degraded tubes and that similar conditions could exist in Units 1 and 3. The NRC therefore directed that a safety assessment be performed to evaluate a worst case scenario in which a non-isolable main steam line break occurs inducing one or more tube failures in the faulted steam generator. This assessment was to use the generic approach described in NUREG 1477, Voltage-Based Interim Plugging Criteria for Steam Generator Tubes - Task Group Report. An analysis based on the NUREG approach was performed but produced unacceptable results for off-site and control room thyroid doses. The NUREG methodology, however, does not account for plant thermal-hydraulic transient effects, system performance, or operator actions which could be credited to mitigate dose consequences. To deal with these issues, a more detailed analysis methodology was developed using a modified version of the Combustion Engineering Plant Analysis Code, which examines the dose consequences for a main steam line break transient with induced tube failures for a spectrum equivalent to 1 to 4 double ended guillotine U-tube breaks. By incorporating transient plant system responses and operator actions, the analysis demonstrates that the off-site and control room does consequences for a MSLBGTR can be reduced to acceptable limits. This analysis, in combination with other corrective and recovery actions, provided sufficient justification for continued operation of PVNGS Units 1 and 3, and for the subsequent restart of Unit 2.

  10. A Comparison of Nuclear Power Plant Simulator with RELAP5/MOD3 code about Steam Generator Tube Rupture

    International Nuclear Information System (INIS)

    Kim, Sung Hyun; Moon, Chan Ki; Park, Sung Baek; Na, Man Gyun

    2013-01-01

    The RELAP5/MOD3 code introduced in cooperation with U. S. NRC has been utilized mainly for validation calculation of accident analysis submitted by licensee in Korea. The Korea Institute of Nuclear Safety has built a verification system of LWR accident analysis with RELAP5/MOD3 code engine. Therefore, the simulator replicates the design basis accident and its results are compared with RELAP5/MOD3 code results that will have important implications in the verification of the simulator in the future. The SGTR simulations were performed by the simulator and its results were compared with ones by RELAP5/MOD3 code in this study. Thus, the results of this study can be used as materials to build the verification system of the nuclear power plant simulator. We tried to compare with RELAP5/MOD3 verification code by replicating major parameters of steam generator tube rupture using the simulator for OPR-1000 in Yonggwang training center. By comparing the changes in temperature, pressure and inventory of the reactor coolant system and main steam system during the SGTR, it was confirmed that the main behaviors of SGTR which the simulator and RELAP5/MOD3 code showed are similar. However, the behavior of SG pressure and level that are important parameters to diagnose the accident were a little different. We estimated that RELAP5/MOD3 code was not reflected the major control systems in detail, such as FWCS, SBCS and PPCS. The different behaviors of SG level and pressure in this study should be needed an additional review. As a result of the comparison, the major simulation parameters behavior by RELAP5/MOD3 code agreed well with the one by the simulator. Therefore, it is thought that RELAP5/MOD3 code is used as a tool for validation of NPP simulator in the near future through this study

  11. Breeding Strategy Determines Rupture Incidence in Post-Infarct Healing WARPing Cardiovascular Research.

    Directory of Open Access Journals (Sweden)

    Sophie Deckx

    Full Text Available Von Willebrand A domain Related Protein (WARP, is a recently identified extracellular matrix protein. Based upon its involvement in matrix biology and its expression in the heart, we hypothesized that WARP regulates cardiac remodeling processes in the post-infarct healing process.In the mouse model of myocardial infarction (MI, WARP expression increased in the infarcted area 3-days post-MI. In the healthy myocardium WARP localized with perlecan in the basement membrane, which was disrupted upon injury. In vitro studies showed high expression of WARP by cardiac fibroblasts, which further increases upon TGFβ stimulation. Furthermore, WARP expression correlated with aSMA and COL1 expression, markers of fibroblast to myofibroblast transition, in vivo and in vitro. Finally, WARP knockdown in vitro affected extra- and intracellular basic fibroblast growth factor production in myofibroblasts. To investigate the function for WARP in infarction healing, we performed an MI study in WARP knockout (KO mice backcrossed more than 10 times on an Australian C57Bl/6-J background and bred in-house, and compared to wild type (WT mice of the same C57Bl/6-J strain but of commercial European origin. WARP KO mice showed no mortality after MI, whereas 40% of the WT mice died due to cardiac rupture. However, when WARP KO mice were backcrossed on the European C57Bl/6-J background and bred heterozygous in-house, the previously seen protective effect in the WARP KO mice after MI was lost. Importantly, comparison of the cardiac response post-MI in WT mice bred heterozygous in-house versus commercially purchased WT mice revealed differences in cardiac rupture.These data demonstrate a redundant role for WARP in the wound healing process after MI but demonstrate that the continental/breeding/housing origin of mice of the same C57Bl6-J strain is critical in determining the susceptibility to cardiac rupture and stress the importance of using the correct littermate controls.

  12. Ligament rupture and unstable burst behaviors of axial flaws in steam generator U-bends

    International Nuclear Information System (INIS)

    Bahn, Chi Bum; Oh, Young-Jin; Majumdar, Saurin

    2015-01-01

    Highlights: • Ligament rupture and unstable burst pressure tests were conducted with U-bends. • In general, U-bends showed higher ligament rupture and burst pressures than straight tubes. • U-bend test data was bounded by 90% lower limit of the probabilistic models for straight tubes. • Prediction models for straight tubes could be conservatively applied to U-bends. - Abstract: Incidents of U-bend cracking in steam generator (SG) tubes have been reported, some of which have led to tube rupture. Experimental and analytical modeling efforts to determine the failure criteria of flawed SG U-bends are limited. To evaluate structural integrity of flawed U-bends, ligament rupture and unstable burst pressure tests were conducted on 57 and 152 mm bend radius U-bends with axial electrical discharge machining notches. In general, the ligament rupture and burst pressures of the U-bends were higher than those of straight tubes with similar notches. To quantitatively address the test data scatter issue, probabilistic models were introduced. All ligament rupture and burst pressures of U-bends were bounded by 90% lower limits of the probabilistic models for straight tubes. It was concluded that the prediction models for straight tubes could be applied to U-bends to conservatively evaluate the ligament rupture and burst pressures of U-bends with axial flaws.

  13. Prospects for stronger calandria tubes

    International Nuclear Information System (INIS)

    Ells, C.E.; Coleman, C.E.; Hosbons, R.R.; Ibrahim, E.F.; Doubt, G.L.

    1990-12-01

    The CANDU calandria tubes, made of seam welded and annealed Zircaloy-2, have given exemplary service in-reactor. Although not designed as a system pressure containment, calandria tubes may remain intact even in the face of pressure tube rupture. One such incident at Pickering Unit 2 demonstrated the economic advantage of such an outcome, and a case can be made for increasing the probability that other calandria tubes would perform in a similar fashion. Various methods of obtaining stronger calandria tubes are available, and reviewed here. When the tubes are internally pressurized, the weld is the weak section of the tube. Increasing the oxygen concentration in the starting sheet, and thickening the weld, are promising routes to a stronger tube

  14. The Atmospheric Pressure and Temperature Seem to Have No Effect on the Incidence of Rupture of Abdominal Aortic Aneurysm in a Mid-European Region.

    Science.gov (United States)

    Majd, Payman; Ahmad, Wael; Luebke, Thomas; Brunkwall, Jan Sigge

    2017-07-01

    This study aims to examine the relationship between weather changes (atmospheric pressure and temperature) and incidence of rupture of abdominal aortic aneurysm (AAA). All patients with ruptured infrarenal AAA and who were referred to our institution between August 1998 and August 2015 were prospectively entered into a database of which a retrospective review of a ruptured AAA was performed. The needed information about the daily atmospheric pressure and air temperature could be extracted from the meteorological unit in Cologne. During the study period (6,225 days), a total number of 154 patients with confirmed ruptured AAA were identified. Basic patients' characteristics are tabulated. The mean daily atmospheric pressure during the study was 1,004.04 ± 8.79 mBar ranging from 965.40-1031.80 mBar. The mean atmospheric pressure on the days of rupture was 1,004.03 vs. 1,004.68 on those days when no rupture occurred (P = 0.34). The mean atmospheric pressure on the day of rupture and that on the preceding day was not significantly different (1,004.78 vs. 1,005.44 with P = 0.13). The air temperature (10.62 ± 6.25 vs. 10.77 ± 6.83°C, P = 0.787) was equally distributed between days of rupture events and control days. The present study could not show a significant association between the monthly and seasonal difference in atmospheric pressure and the prevalence of AAA rupture as it has been supposed by previous studies. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Best Estimate Thermal-Hydraulic System Analysis using the MARS Code for the Steam Generator Tube Rupture Accident in the APR1400

    International Nuclear Information System (INIS)

    Kang, Kyoung Ho; Lee, Seung Wook; Bae, Sung Won; Choi, Ki Yong; Baek, Won Pil

    2010-01-01

    A postulated SGTR (Steam Generator Tube Rupture) accident of the APR1400 was analysed using the best estimate safety analysis code, MARS (Multidimensional Analysis of Reactor Safety). The SGTR accident is one of the design basis accidents, which has a unique feature of the penetration of the barrier between the reactor coolant system (RCS) and the secondary system resulting from the failure of a steam generator U-tube. The SGTR has an importance in safety due to a concern of a containment bypass of radioactive inventory. In the course of the SGTR, the radioactivity leaking from a broken steam generator Utube mixes with the shell-side water in an affected steam generator. Leak flow from ruptured U-tubes can increase a water level and a pressure of the affected steam generator. Following a reactor trip and a turbine trip, the main steam safety valves (MSSVs) can be open to mitigate an increase in the secondary system pressure. Meanwhile, the SGTR can provide a direct flow path from the primary to the secondary system resulting in the release of fission products into the atmosphere. As one of the most limiting SGTR accidents, a leak flow equivalent to a double-ended rupture of five Utubes was analysed in this study. The main objective of this study is not only to provide physical insight into the system response of the APR1400 reactor during a SGTR but also to investigate the effect of reactor trip type of the HSGL (High Steam Generator Level) trip and the LPP (Low Pressurizer Pressure) trip on the thermal-hydraulic system response

  16. Cellular response of healing tissue to DegraPol tube implantation in rabbit Achilles tendon rupture repair: an in vivo histomorphometric study.

    Science.gov (United States)

    Buschmann, Johanna; Meier-Bürgisser, Gabriella; Bonavoglia, Eliana; Neuenschwander, Peter; Milleret, Vincent; Giovanoli, Pietro; Calcagni, Maurizio

    2013-05-01

    In tendon rupture repair, improvements such as higher primary repair strength, anti-adhesion and accelerated healing are needed. We developed a potential carrier system of an electrospun DegraPol tube, which was tightly implanted around a transected and conventionally sutured rabbit Achilles tendon. Histomorphometric analysis of the tendon tissue 12 weeks postoperation showed that the tenocyte density, tenocyte morphology and number of inflammation zones were statistically equivalent, whether or not DegraPol tube was implanted; only the collagen fibres were slightly less parallelly orientated in the tube-treated case. Comparison of rabbits that were operated on both hind legs with ones that were operated on only one hind leg showed that there were significantly more inflammation zones in the two-leg cases compared to the one-leg cases, while the implantation of a DegraPol tube had no such adverse effects. These findings are a prerequisite for using DegraPol tube as a carrier system for growth factors, cytokines or stem cells in order to accelerate the healing process of tendon tissue. Copyright © 2012 John Wiley & Sons, Ltd.

  17. Incidence and MRI characterization of the spectrum of posterolateral corner injuries occurring in association with ACL rupture

    Energy Technology Data Exchange (ETDEWEB)

    Frois Temponi, Eduardo [Hospital Madre Teresa, Belo Horizonte, Minas Gerais (Brazil); Honorio de Carvalho, Lucio Jr. [Hospital Madre Teresa, Belo Horizonte, Minas Gerais (Brazil); Universidade Federal de Minas Gerais, Departamento do Aparelho Locomotor, Faculdade de Medicina, Belo Horizonte, Minas Gerais (Brazil); Saithna, Adnan [Southport and Ormskirk Hospitals, Southport (United Kingdom); University of Liverpool, Department of Clinical Engineering, Liverpool (United Kingdom); Thaunat, Mathieu; Sonnery-Cottet, Bertrand [Centre Orthopedic Santy, FIFA Medical Center of Excellence, Ramsay-Generale de Sante, Hopital Prive Jean Mermoz, Lyon (France)

    2017-08-15

    To determine the incidence and MRI characteristics of the spectrum of posterolateral corner (PLC) injuries occurring in association with anterior cruciate ligament (ACL) rupture. We carried out a level IV, retrospective case series study. All patients clinically diagnosed with an ACL rupture between July 2015 and June 2016 who underwent MRI of the knee were included in the study. In addition to standard MRI knee reporting, emphasis was placed on identifying injury to the PLC and a description of involvement of these structures by two musculoskeletal radiologists. Association with PLC involvement was sought with concomitant injuries using correlation analysis and logistic regression. One hundred sixty-two patients with MRI following ACL rupture were evaluated. Thirty-two patients (19.7%) had an injury to at least one structure of the PLC, including the inferior popliteomeniscal fascicle (n = 28), arcuate ligament (n = 20), popliteus tendon (n = 20), superior popliteomeniscal fascicle (n = 18), lateral collateral ligament (n = 8), popliteofibular ligament (n = 7), biceps tendon (n = 4), iliotibial band (n = 3), and fabellofibular ligament (n = 1). Seventy-five percent of all patients with combined ACL and PLC injuries had bone contusions involving the lateral compartment of the knee. The presence of these contusions strongly correlated with superior popliteomeniscal fascicle lesions (p < 0.05). There was no correlation between injuries to other structures of the PLC and other intra-articular lesions. Missed injuries of the PLC lead to considerable morbidity. The relevance of this study is to highlight that these injuries occur more frequently than previously described and that an appropriate index of suspicion, clinical examination, and MRI are all required to reduce the risk of missed diagnoses. The results of this study support previous suggestions that the rate of concomitant PLC injury in the ACL-deficient knee is under-reported. The rate of combined injuries in

  18. A spatial model to predict the incidence of neural tube defects

    Directory of Open Access Journals (Sweden)

    Li Lianfa

    2012-11-01

    Full Text Available Abstract Background Environmental exposure may play an important role in the incidences of neural tube defects (NTD of birth defects. Their influence on NTD may likely be non-linear; few studies have considered spatial autocorrelation of residuals in the estimation of NTD risk. We aimed to develop a spatial model based on generalized additive model (GAM plus cokriging to examine and model the expected incidences of NTD and make the inference of the incidence risk. Methods We developed a spatial model to predict the expected incidences of NTD at village level in Heshun County, Shanxi Province, China, a region with high NTD cases. GAM was used to establish linear and non-linear relationships between local covariates and the expected NTD incidences. We examined the following village-level covariates in the model: projected coordinates, soil types, lithodological classes, distance to watershed, rivers, faults and major roads, annual average fertilizer uses, fruit and vegetable production, gross domestic product, and the number of doctors. The residuals from GAM were assumed to be spatially auto-correlative and cokriged with regional residuals to improve the prediction. Our approach was compared with three other models, universal kriging, generalized linear regression and GAM. Cross validation was conducted for validation. Results Our model predicted the expected incidences of NTD well, with a good CV R2 of 0.80. Important predictive factors included the fertilizer uses, locations of the centroid of each village, the shortest distance to rivers and faults and lithological classes with significant spatial autocorrelation of residuals. Our model out-performed the other three methods by 16% or more in term of R2. Conclusions The variance explained by our model was approximately 80%. This modeling approach is useful for NTD epidemiological studies and intervention planning.

  19. To characterize the incidence of airway misplacement of nasogastric tubes in anesthetized intubated patients by using a manometer technique.

    Science.gov (United States)

    Hsieh, Shao-Wei; Chen, Hung-Shu; Chen, Yi-Ting; Hung, Kuo-Chuan

    2017-04-01

    This study characterized the incidence of airway misplacement of nasogastric (NG) tubes in surgical patients, and the benefit of using a manometer to discriminate gastric placement from airway placement of NG tubes. Subjects included adult patients scheduled for abdominal surgery. After tracheal intubation, a 16 Fr. NG tube was inserted blindly through the nostril, and its position was assessed using the auscultation (10-ml air insufflation) or manometer (attached to NG tubes) techniques. Briefly, a biphasic pressure change synchronous with airway pressure during mechanical ventilation indicated airway misplacement. The presence of a notable pressure change while compressing the epigastric area indicated a gastric placement. A surgeon made the final confirmation of NG tube placement within the stomach using manual palpation of the tube immediately after laparotomy. The first-attempt success rate was 82.7 % in 104 patients. There were 29 misplacements of 130 attempted insertions (oral cavity, n = 23; trachea, n = 3; distal esophagus, n = 3). The incidence of airway misplacement was 2.9 % (3 of 104 cases). For confirmation of gastric placement, the auscultation technique had a sensitivity of 100.0 % and a specificity of 79.3 %. In contrast, the manometer technique had a sensitivity of 100.0 % and a specificity of 100.0 % in the discrimination of gastric placement from airway placement of NG tubes. Airway misplacement of NG tubes is not uncommon in surgical patients, and the manometer technique may be a reliable and safe method to discriminate gastric placement from airway placement of NG tubes.

  20. Some approaches to numerical modelling of a phenomenon observed during steam generator tube rupture in the reactor with liquid metal coolant

    Directory of Open Access Journals (Sweden)

    Usov Eduard V.

    2017-01-01

    Full Text Available The presented paper contains a description of approaches to simulate processes, observed during leakage in the steam generator of the reactor with liquid metal coolant. These approaches have been implemented in thermal hydraulic code HYDRA-IBRAE/LM. To calculate motion of gas bubbles in liquid metal flow and heat transfer of gas bubbles with metal, different relations are used in HYDRA-IBRAE/LM code. The code contains models of chemical interaction between water and sodium for modelling of tube rupture in sodium cooled fast reactors, Modelling of the experiments has been made using HYDRA-IBRAE/LM code. The results of the modelling with determined main factors are presented in the article.

  1. The creep and stress-rupture behaviour under internal pressure of tubes made from austenitic stainless steel X8 CrNiMoNb 1616 (Material No. 1.4981)

    International Nuclear Information System (INIS)

    Schaefer, L.; Polifka, F.; Kempe, H.

    1979-05-01

    Creep and stress rupture tests have been performed at 600, 650, 700 and 750 0 C on tubes made from three different heats from the austenitic stainless steel X8 CrNiMoNb 1616 (Material No. 1.4981). The tubes were loaded by internal pressure and the tangential (hoop) creep strain was measured continuously. The results are presented in form of creep curves, stress-time to rupture curves and curves for a creep limit. The average and minimum creep rates as a function of the applied stress have been evaluated and are described with a creep law analogous to Norton's creep law. An interpolation and extrapolation of the stress-rupture-strength and the creep strength are possible using the time-temperature-parameter-plot after Larson and Miller. (orig.) [de

  2. [Project to Reduce the Incidence Rate of Nasogastric Tube Slippage in the Rehabilitation Ward].

    Science.gov (United States)

    Chen, Chiu-Chu; Su, Wei-Ling; Li, Ai-Cheng; Lin, Hsin-Yi

    2015-06-01

    Nasogastric (NG) tubes are used for providing nutrition to patients who have difficulties swallowing. However, the difficult process of repeatedly inserting NG tubes may lead to gastric erosions. The rehabilitation ward in this study had an NG tube slippage rate of 2.26% in 2012, significantly higher than the same rate in 2011. A proposal was developed to design better techniques for nurses to perform NG tube insertions in order to decrease the rate of NG tube slippage. The following were identified as the major causes of NG tube slippage: (1) caretaker is unfamiliar with NG tube care instructions, (2) caretaker disengages NG tube constraints, and (3) improper rotation of patients or carelessness when turning patients. Therefore, the following solutions were proposed: (1) establish an NG tube safety standard operating procedure, (2) publish bilingual (English and Bahasa Indonesia) pamphlets providing instructions on the correct method of securing and placing the NG tubes, (3) make bilingual (English and Bahasa Indonesia) instructional videos showing the correct method for securing and placing the NG tubes, (4) fabricate a novel tube constraint tool (the constraint ball) that is easy to use, (5) install creative bedside NG tube warning signs, and (6) reinforce the importance of NG tube constraint and placement among caretakers. The NG tube slippage rate was reduced from 2.26% to 0.77%, and was maintained at 0.75% during the follow-up period. The caretaker assessment further showed 100% understanding of the implemented NG tube safety procedures. This proposal was established using literature research, problem identification, and creative problem solving to achieve an effective reduction in NG tube slippage as well as to enhance nursing quality.

  3. Incidence of neural tube defects in the natural radiation coastal areas of Kerala

    International Nuclear Information System (INIS)

    Jaikrishan, G.; Sudheer, K.R.; Andrews, V.J.; Koya, P.K.M.; Cheriyan, V.D.; Seshadri, M.

    2010-01-01

    All consecutive births in selected government hospitals in and around the high level natural background radiation areas (HLNRA) of Kerala were monitored for congenital malformations observable at birth since 1995. The HLNR area, a coastal strip of land about 55 km in length and 0.5 km in breadth from Purakkad in the north in Alleppey district to Sakthikulangara in the south of Quilon district, stands out among the most prominent background radiation areas of the world. Natural deposit of monazite sand, containing Thorium (8-10%), Uranium (0.3%) and corresponding decay products, is the source of elevated background radiation, ranging from < 1 to 45 mGy/year. Wide variation in dose, due to the patchy and non-uniform distribution of Monazite sand, enables in built controls. High population density, limited migration, ethnic diversity, good literacy, health awareness, institutionalized births and acceptance of small family norm are some of the key features of the population. Areas with a mean radiation dose of more than 1.5 mGy/year were treated as HLNR areas and areas with a dose level of 1.5 mGy/year or less were treated as normal level radiation (NLNR) areas. The study carried out since 1995 does not seem to implicate HLNR in the incidence of neural tube defects among newborns

  4. A Numerical Theory for Impedance Education in Three-Dimensional Normal Incidence Tubes

    Science.gov (United States)

    Watson, Willie R.; Jones, Michael G.

    2016-01-01

    A method for educing the locally-reacting acoustic impedance of a test sample mounted in a 3-D normal incidence impedance tube is presented and validated. The unique feature of the method is that the excitation frequency (or duct geometry) may be such that high-order duct modes may exist. The method educes the impedance, iteratively, by minimizing an objective function consisting of the difference between the measured and numerically computed acoustic pressure at preselected measurement points in the duct. The method is validated on planar and high-order mode sources with data synthesized from exact mode theory. These data are then subjected to random jitter to simulate the effects of measurement uncertainties on the educed impedance spectrum. The primary conclusions of the study are 1) Without random jitter the method is in excellent agreement with that for known impedance samples, and 2) Random jitter that is compatible to that found in a typical experiment has minimal impact on the accuracy of the educed impedance.

  5. Pneumothorax, pleural effusion, and chest tube placement after radiofrequency ablation of lung tumors: incidence and risk factors.

    Science.gov (United States)

    Hiraki, Takao; Tajiri, Nobuhisa; Mimura, Hidefumi; Yasui, Kotaro; Gobara, Hideo; Mukai, Takashi; Hase, Soichiro; Fujiwara, Hiroyasu; Iguchi, Toshihiro; Sano, Yoshifumi; Shimizu, Nobuyoshi; Kanazawa, Susumu

    2006-10-01

    To retrospectively evaluate the incidence of and risk factors for pneumothorax, pleural effusion, and chest tube placement for pneumothorax after radiofrequency (RF) ablation of lung tumors. Institutional review board approval was obtained, with waiver of informed consent. This retrospective study comprised 224 ablation sessions for 392 tumors in 142 patients (92 men, 50 women; mean age, 64.0 years). Multiple variables were analyzed by using the Student t test or the Mann-Whitney U test for numerical values and by using the chi(2) test or the Fisher exact test for categorical values in order to assess risk factors for pneumothorax, pleural effusion, and chest tube placement for pneumothorax. The incidence of pneumothorax, pleural effusion, and chest tube placement for pneumothorax was 52% (117 of 224 sessions), 19% (42 of 224 sessions), and 21% (24 of 117 sessions), respectively. For pneumothorax, risk factors included male sex (P = .030), no history of pulmonary surgery (P pleural effusion, risk factors included the use of a cluster electrode (P = .008), decreased distance to the nearest pleura (P = .040), and decreased length of the aerated lung traversed by the electrode (P = .019). For chest tube placement for pneumothorax, risk factors included no history of pulmonary surgery (P = .002), the use of a cluster electrode (P pleural effusion can occur after RF ablation in patients with lung tumors, and chest tube placement for pneumothorax is sometimes required. (c) RSNA, 2006.

  6. Assessment of RELAP5/MOD3.1 with the LSTF SB-SG-06 experiment simulating a steam generator tube rupture transient

    Energy Technology Data Exchange (ETDEWEB)

    Seul, K.W.; Bang, Y.S.; Lee, S.; Kim, H.J. [Korea Inst. of Nuclear Safety, Taejon (Korea, Republic of)

    1996-09-01

    The objective of the present work is to identify the predictability of RELAP5/MOD3.1 regarding thermal-hydraulic behavior during a steam generator tube rupture (SGTR). To evaluate the computed results, LSTF SB-SG-06 test data simulating the SGTR that occurred at the Mihama Unit 2 in 1991 are used. Also, some sensitivity studies of the code change in RELAP5, the break simulation model, and the break valve discharge coefficient are performed. The calculation results indicate that the RELAP5/MOD3.1 code predicted well the sequence of events and the major phenomena during the transient, such as the asymmetric loop behavior, reactor coolant system (RCS) cooldown and heat transfer by natural circulation, the primary and secondary system depressurization by the pressurizer auxiliary spray and the steam dump using the intact loop steam generator (SG) relief valve, and so on. However, there are some differences from the experimental data in the number of the relief valve cycling in the affected SG, and the flow regime of the hot leg with the pressurizer, and the break flow rates. Finally, the calculation also indicates that the coolant in the core could remain in a subcooled state as a result of the heat transfer caused by the natural circulation flow even if the reactor coolant pumps (RCPs) turned off and that the affected SG could be properly isolated to minimize the radiological release after the SGTR.

  7. Severe accident analysis of a steam generator tube rupture accident using MAAP-CANDU to support level 2 PSA for the Point Lepreau Generating Station Refurbishment Project

    Energy Technology Data Exchange (ETDEWEB)

    Petoukhov, S.M.; Brown, M.J. [Canadian Nuclear Laboratories, Chalk River, ON (Canada)

    2015-07-01

    A Level 2 Probabilistic Safety Assessment was performed for the Point Lepreau Generating Station. The MAAP-CANDU code was used to simulate the progression of postulated severe core damage accidents and fission product releases. This paper discusses the results for the reference case of the Steam Generator Tube Rupture initiating event. The reference case, dictated by the Level 2 Probabilistic Safety Assessment, was extreme and assumed most safety-related plant systems were not available: all steam generator feedwater; the emergency water supply; the moderator, shield and shutdown cooling systems; and all stages of emergency core cooling. The reference case also did not credit any post Fukushima lessons or any emergency mitigating equipment. The reference simulation predicted severe core damage beginning at 3.7 h, containment failure at 6.4 h, moderator boil off by 8.2 h, and calandria vessel failure at 42 h. A total release of 5.3% of the initial inventory of radioactive isotopes of Cs, Rb and I was predicted by the end of the simulation (139 h). Almost all noble gas fission products were released to the environment, primarily after the containment failure. No hydrogen/carbon monoxide burning was predicted. (author)

  8. Coincident steam generator tube rupture and stuck-open safety relief valve carryover tests: MB-2 steam generator transient response test program

    International Nuclear Information System (INIS)

    Garbett, K.; Mendler, O.J.; Gardner, G.C.; Garnsey, R.; Young, M.Y.

    1987-03-01

    In PWR steam generator tube rupture (SGTR) faults, a direct pathway for the release of radioactive fission products can exist if there is a coincident stuck-open safety relief valve (SORV) or if the safety relief valve is cycled. In addition to the release of fission products from the bulk steam generator water by moisture carryover, there exists the possibility that some primary coolant may be released without having first mixed with the bulk water - a process called primary coolant bypassing. The MB-2 Phase II test program was designed specifically to identify the processes for droplet carryover during SGTR faults and to provide data of sufficient accuracy for use in developing physical models and computer codes to describe activity release. The test program consisted of sixteen separate tests designed to cover a range of steady-state and transient fault conditions. These included a full SGTR/SORV transient simulation, two SGTR overfill tests, ten steady-state SGTR tests at water levels ranging from very low levels in the bundle up to those when the dryer was flooded, and three moisture carryover tests without SGTR. In these tests the influence of break location and the effect of bypassing the dryer were also studied. In a final test the behavior with respect to aerosol particles in a dry steam generator, appropriate to a severe accident fault, was investigated

  9. Phenomena identification and ranking tables for Westinghouse AP600 small break loss-of-coolant accident, main steam line break, and steam generator tube rupture scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, G.E.; Fletcher, C.D.; Davis, C.B. [and others

    1997-06-01

    This report revision incorporates new experimental evidence regarding AP600 behavior during small break loss-of-coolant accidents. This report documents the results of Phenomena Identification and Ranking Table (PIRT) efforts for the Westinghouse AP600 reactor. The purpose of this PIRT is to identify important phenomena so that they may be addressed in both the experimental programs and the RELAP5/MOD3 systems analysis computer code. In Revision of this report, the responses of AP600 during small break loss-of-coolant accident, main steam line break, and steam generator tube rupture accident scenarios were evaluated by a committee of thermal-hydraulic experts. Committee membership included Idaho National Engineering and Environmental Laboratory staff and recognized thermal-hydraulic experts from outside of the laboratory. Each of the accident scenarios was subdivided into separate, sequential periods or phases. Within each phase, the plant behavior is controlled by, at most, a few thermal-hydraulic processes. The committee identified the phenomena influencing those processes, and ranked & influences as being of high, medium, low, or insignificant importance. The primary product of this effort is a series of tables, one for each phase of each accident scenario, describing the thermal-hydraulic phenomena judged by the committee to be important, and the relative ranking of that importance. The rationales for the phenomena selected and their rankings are provided. This document issue incorporates an update of the small break loss-of-coolant accident portion of the report. This revision is the result of the release of experimental evidence from AP600-related integral test facilities (ROSA/AP600, OSU, and SPES) and thermal-hydraulic expert review. The activities associated with this update were performed during the period from June 1995 through November 1996. 8 refs., 26 figs., 42 tabs.

  10. Phenomena identification and ranking tables for Westinghouse AP600 small break loss-of-coolant accident, main steam line break, and steam generator tube rupture scenarios

    International Nuclear Information System (INIS)

    Wilson, G.E.; Fletcher, C.D.; Davis, C.B.

    1997-06-01

    This report revision incorporates new experimental evidence regarding AP600 behavior during small break loss-of-coolant accidents. This report documents the results of Phenomena Identification and Ranking Table (PIRT) efforts for the Westinghouse AP600 reactor. The purpose of this PIRT is to identify important phenomena so that they may be addressed in both the experimental programs and the RELAP5/MOD3 systems analysis computer code. In Revision of this report, the responses of AP600 during small break loss-of-coolant accident, main steam line break, and steam generator tube rupture accident scenarios were evaluated by a committee of thermal-hydraulic experts. Committee membership included Idaho National Engineering and Environmental Laboratory staff and recognized thermal-hydraulic experts from outside of the laboratory. Each of the accident scenarios was subdivided into separate, sequential periods or phases. Within each phase, the plant behavior is controlled by, at most, a few thermal-hydraulic processes. The committee identified the phenomena influencing those processes, and ranked ampersand influences as being of high, medium, low, or insignificant importance. The primary product of this effort is a series of tables, one for each phase of each accident scenario, describing the thermal-hydraulic phenomena judged by the committee to be important, and the relative ranking of that importance. The rationales for the phenomena selected and their rankings are provided. This document issue incorporates an update of the small break loss-of-coolant accident portion of the report. This revision is the result of the release of experimental evidence from AP600-related integral test facilities (ROSA/AP600, OSU, and SPES) and thermal-hydraulic expert review. The activities associated with this update were performed during the period from June 1995 through November 1996. 8 refs., 26 figs., 42 tabs

  11. Apoptosis inhibitor of macrophage depletion decreased M1 macrophage accumulation and the incidence of cardiac rupture after myocardial infarction in mice.

    Directory of Open Access Journals (Sweden)

    Shohei Ishikawa

    Full Text Available Cardiac rupture is an important cause of death in the acute phase after myocardial infarction (MI. Macrophages play a pivotal role in cardiac remodeling after MI. Apoptosis inhibitor of macrophage (AIM is secreted specifically by macrophages and contributes to macrophage accumulation in inflamed tissue by maintaining survival and recruiting macrophages. In this study, we evaluated the role of AIM in macrophage accumulation in the infarcted myocardium and cardiac rupture after MI.Wild-type (WT and AIM‒/‒ mice underwent permanent left coronary artery ligation and were followed-up for 7 days. Macrophage accumulation and phenotypes (M1 pro-inflammatory macrophage or M2 anti-inflammatory macrophage were evaluated by immunohistological analysis and RT-PCR. Matrix metalloproteinase (MMP activity levels were measured by gelatin zymography. The survival rate was significantly higher (81.1% vs. 48.2%, P<0.05, and the cardiac rupture rate was significantly lower in AIM‒/‒ mice than in WT mice (10.8% vs. 31.5%, P<0.05. The number of M1 macrophages and the expression levels of M1 markers (iNOS and IL-6 in the infarcted myocardium were significantly lower in AIM‒/‒ mice than in WT mice. In contrast, there was no difference in the number of M2 macrophages and the expression of M2 markers (Arg-1, CD206 and TGF-β1 between the two groups. The ratio of apoptotic macrophages in the total macrophages was significantly higher in AIM‒/‒ mice than in WT mice, although MCP-1 expression did not differ between the two groups. MMP-2 and 9 activity levels in the infarcted myocardium were significantly lower in AIM‒/‒ mice than in WT mice.These findings suggest that AIM depletion decreases the levels of M1 macrophages, which are a potent source of MMP-2 and 9, in the infarcted myocardium in the acute phase after MI by promoting macrophage apoptosis, and leads to a decrease in the incidence of cardiac rupture and improvements in survival rates.

  12. Neural Tube Defect in Alive Neonates: Incidence Rate and Predisposing Factors

    Directory of Open Access Journals (Sweden)

    F Haghollahi

    2008-06-01

    Full Text Available Background: Neural Tube Defect (NTD characterized by failure of neural tube to close properly be the second most common born defect after congenital heart disease. The most prevalent forms of NTD are Anencephaly and Spinal-bifida. Many factors are involved in this anomaly. New researches suggest environmental factors like radiation, hyperthermia, Vitamin A and acid folic deficiency, anti epileptic drug like Carbamazepine, Phenobarbital, phenytoin, Folic acid antagonist like Sulfasalazine, Triametherine and systemic disease like diabet mellitus, obesity, genetic factors, the most schance 40 to 70 percentages.Methods: In this survey cross sectional study was conducted in five hospitals depend to Tehran university during three years. Study subject identified through review of admission and discharge at major hospital through regular contact with newborn nurseries and birth hospital.Results: In 38473 reported cases, 143 cases have neural tube defect. Among NTD cases, 11.9% of mothers had medical diseases in their previous history such as diabetes mellitus, epilepsy-psychiatric, and disorder-heart diseases. In this study group, 5.6% have preclampsia during pregnancy period. The most common NTD anomaly in this study was anencephaly and meningomyelocele that was different from studies in literature.Conclusion: NTD result from failure of neural tube close threats fetus health up to 28 days after conception. When is often prior to the recognition of pregnancy since many pregnancy are unplanned NTD prevention is best achieve by adequate daily folic acid intake thought of reproductive ages .educational effort to promote daily intake of folic acid supplemental by women of reproductive age and NTD risk factor should be done. Early diagnostic procedure for high risk pregnancy advised.

  13. Steam generator tube failures

    Energy Technology Data Exchange (ETDEWEB)

    MacDonald, P.E.; Shah, V.N.; Ward, L.W.; Ellison, P.G.

    1996-04-01

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service.

  14. Steam generator tube failures

    International Nuclear Information System (INIS)

    MacDonald, P.E.; Shah, V.N.; Ward, L.W.; Ellison, P.G.

    1996-04-01

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service

  15. Incidence of Complications Developed after the Insertion of Ventilation Tube in Children under 6 years old in 2008-2009

    Directory of Open Access Journals (Sweden)

    Nader Saki

    2012-01-01

    Full Text Available Introduction: One of the main treatments of chronic otitis media with effusion is ventilation of the middle ear with a ventilation tube (VT. The objective of this study was to determine the incidence and the types of VT complications in children with otitis media with effusion in Ahwaz. Materials and Methods: In this prospective study, the medical records of 208 children (52 male and 35 female in Imam Khomeini and Apadana hospitals were reviewed. The children were between 10 months and 6 years old. The patients were followed up 12-18 months after ventilation tube insertion. We reviewed age, sex, postoperative otorrhea, eardrum atrophy, tympanosclerosis and persistent perforation. In all these patients, the indication for surgery was chronic middle ear effusion. The data were analyzed and presented as numbers and percentages using SPSS17.0. Results: Transient otorrhea occurred in 12.5% and delayed otorrhea in 8.2%. Otorrhea non-responsive to medical treatment was seen in 1.9%. Complications after tympanostomy tube extrusion included atrophy (27.8% myringosclerosis (37.9%, and persistent perforation (2.4%.The average extrusion time was 10.5 ±5 months (ranging between 3-22 months. Conclusion: After extrusion of the ventilation tube, patients should be followed up regularly for recurrence of OME. Myringosclerosis, tympanic membrane atrophy and otorrhea are the most common complications of otitis media with effusion. However, they are generally insignificant. Consequently, in the majority of these complications, there is no need for any treatment.

  16. The effects of systematic educational interventions about nasogastric tube feeding on caregivers' knowledge and skills and the incidence of feeding complications.

    Science.gov (United States)

    Chang, Shu-Chen; Huang, Chin-Yi; Lin, Ching-Hsiung; Tu, Shu-Ling; Chao, Mei-Shih; Chen, Mei-Hua

    2015-06-01

    To compare the influence of a systematic nursing intervention on primary caregivers' knowledge and skills about nasogastric tube feeding and the number of nasogastric tube-related complications with that of routine nursing instructions To ensure the quality of care and reduce the incidence of complications, it is crucial that primary caregivers receive comprehensive health education about nasogastric tube feeding before hospital discharge. A quasi-experimental research with pretest/post-test evaluations. The control group included 127 inpatients whose caregivers received routine education about nasogastric tube feeding, while the experimental group included 106 inpatients whose caregivers received systematic nursing intervention including comprehensive educational pamphlets and video education. The evaluation questionnaire included demographic variables, a nasogastric tube care knowledge scale, and a nasogastric tube skills assessment scale. The post-test was administered after the caregiver performed nasogastric tube feeding for the first time, and complications were noted at follow-up within three months of discharge. In terms of post-test knowledge and skills, the experimental group scored significantly higher than the control group, despite no difference in the pretests. In addition, the incidence rates for constipation, diarrhoea and abdominal distention were lower in the experimental group. Systematic nursing intervention, including comprehensive educational pamphlets and video education, significantly improved the knowledge and skills of primary caregivers for nasogastric tube feeding. The increased ability of caregivers may have contributed to less incidence of complication. The results of this study underlined the importance of developing nasogastric tube-related nursing interventions and educational strategies for clinical nurses, home care nurses and caregivers. The research tool used here may serve as a reference for assessing the technical operations

  17. Rupture disc

    International Nuclear Information System (INIS)

    Newton, R.G.

    1977-01-01

    The intermediate heat transport system for a sodium-cooled fast breeder reactor includes a device for rapidly draining the sodium therefrom should a sodium-water reaction occur within the system. This device includes a rupturable member in a drain line in the system and means for cutting a large opening therein and for positively removing the sheared-out portion from the opening cut in the rupturable member. According to the preferred embodiment of the invention the rupturable member includes a solid head seated in the end of the drain line having a rim extending peripherally therearound, the rim being clamped against the end of the drain line by a clamp ring having an interior shearing edge, the bottom of the rupturable member being convex and extending into the drain line. Means are provided to draw the rupturable member away from the drain line against the shearing edge to clear the drain line for outflow of sodium therethrough

  18. Globe Rupture

    Directory of Open Access Journals (Sweden)

    Reid Honda

    2017-07-01

    Full Text Available History of present illness: A 46-year-old male presented to the emergency department (ED with severe left eye pain and decreased vision after tripping and striking the left side of his head on the corner of his wooden nightstand. The patient arrived as an inter-facility transfer for a suspected globe rupture with a protective eye covering in place; thus, further physical examination of the eye was not performed by the emergency physician in order to avoid further leakage of aqueous humor. Significant findings: The patient’s computed tomography (CT head demonstrated a deformed left globe, concerning for ruptured globe. The patient had hyperdense material in the posterior segment (see green arrow, consistent with vitreous hemorrhage. CT findings that are consistent with globe rupture may include a collapsed globe, intraocular air, or foreign bodies. Discussion: A globe rupture is a full-thickness defect in the cornea, sclera, or both.1 It is an ophthalmologic emergency. Globe ruptures are almost always secondary to direct perforation via a penetrating mechanism; however, it can occur due to blunt injury if the force generated creates sufficient intraocular pressure to tear the sclera.2 Globes most commonly rupture at the insertions of the intraocular muscles or at the limbus. They are associated with a high rate of concomitant orbital floor fractures.2,3 Possible physical examination findings include a shallow anterior chamber on slit-lamp exam, hyphema, and an irregular “teardrop” pupil. Additionally, a positive Seidel sign, which is performed by instilling fluorescein in the eye and then examining for a dark stream of aqueous humor, is indicative of a globe rupture.4 CT is often used to assess for globe rupture; finds of a foreign body, intraocular air, abnormal contour or volume of the globe, or disruption of the sclera suggest globe rupture.2 The sensitivity of CT scan for diagnosis of globe rupture is only 75%; thus, high clinical

  19. Application of a finite element method for computing grazing incidence wave structure in an impedance tube - Comparison with experiment. [for duct liner aeroacoustic design

    Science.gov (United States)

    Lester, H. C.; Parrott, T. L.

    1979-01-01

    The acoustic performance of a liner specimen, in a grazing incidence impedance tube, is analyzed using a finite element method. The liner specimen was designed to be a locally reacting, two-degree-of-freedom type with the resistance and reactance provided by perforated facesheets and compartmented cavities. Measured and calculated wave structures are compared for both normal and grazing incidence from 0.3 to 1.2 kHz. A finite element algorithm was incorporated into an optimization loop in order to predict liner grazing incidence impedance from measured SWR and null position data. Results suggest that extended reaction effects may have been responsible for differences between normal and grazing incidence impedance estimates.

  20. The incidence of ventilator-associated pneumonia using the PneuX System with or without elective endotracheal tube exchange: A pilot study

    OpenAIRE

    Doyle, Alex; Fletcher, Andrew; Carter, Joseph; Blunt, Mark; Young, Peter

    2011-01-01

    Abstract Background The PneuX System is a novel endotracheal tube and tracheal seal monitor, which has been designed to minimise the aspiration of oropharyngeal secretions. We aimed to determine the incidence of ventilator-associated pneumonia (VAP) in patients who were intubated with the PneuX System and to establish whether intermittent subglottic secretion drainage could be performed reliably and safely using the PneuX System. Findings In this retrospective observational study, data was co...

  1. Failure analysis of retired steam generator tubings

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hong Pyo; Kim, J. S.; Hwang, S. S. and others

    2005-04-15

    Degradation of steam generator leads to forced outage and extension of outage, which causes increase in repair cost, cost of purchasing replacement power and radiation exposure of workers. Steam generator tube rupture incident occurred in Uljin 4 in 2002, which made public sensitive to nuclear power plant. To keep nuclear energy as a main energy source, integrity of steam generator should be demonstrated. Quantitative relationship between ECT(eddy current test) signal and crack size is needed in assesment of integrity of steam generator in pressurized water reactor. However, it is not fully established for application in industry. Retired steam generator of Kori 1 has many kinds of crack such as circumferential and axial primary water stress corrosion crack and outer diameter stress corrosion crack(ODSCC). So, it can be used in qualifying and improving ECT technology and in condition monitoring assesment for crack detected in ISI(in service inspection). In addition, examination of pulled tube of Kori 1 retired steam generator will give information about effectiveness of non welded sleeving technology which was employed to repair defect tubes and remedial action which was applied to mitigate ODSCC. In this project, hardware such as semi hot lab. for pulled tube examination and modification transportation cask for pulled tube and software such as procedure of transportation of radioactive steam generator tube and non-destructive and destructive examination of pulled tube were established. Non-destructive and destructive examination of pulled tubes from Kori 1 retired steam generator were performed in semi hot lab. Remedial actions applied to Kori 1 retired steam generator, PWSCC trend and bulk water chemistry and crevice chemistry in Kori 1 were evaluated. Electrochemical decontamination technology for pulled tube was developed to reduce radiation exposure and enhance effectiveness of pulled tube examination. Multiparameter algorithm developed at ANL, USA was

  2. Ruptured rudimentary horn pregnancy with a history of an uneventful vaginal delivery.

    Science.gov (United States)

    Mishra, Nitin; Yadav, Nitin; Koshiya, Darshan; Jhanwar, Vikas

    2015-01-01

    Pregnancy in a rudimentary uterine horn is a rare event with an estimated incidence of 1 in 76,000 to 1 in 1,40,000 pregnancies. Unicornuate uterus with a rudimentary horn has a high incidence of obstetric and gynecological complications. Ruptured ectopic pregnancy in the rudimentary horn is one of the most dreaded complications, which can have grave consequences for both mother and fetus. In the majority of the cases, it is detected after rupture of the horn, usually during the first or second trimester of pregnancy. An ultrasonographic diagnosis made prior to rupture of the rudimentary horn may prevent this catastrophic outcome. We report a case of a G2 P1 L1 with a ruptured left rudimentary horn pregnancy at 16 weeks of gestation that was misdiagnosed as a pregnancy in the left uterine horn of a bicornuate uterus on prior prenatal ultrasound. The patient presented to our hospital with abdominal pain and vaginal bleeding. A diagnosis of ruptured left rudimentary horn pregnancy was made on the basis of emergency ultrasound and was later confirmed on laparotomy. The left rudimentary horn along with the ipsilateral fallopian tube was excised.

  3. The incidence of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms by microsurgical clipping versus endovascular coiling: a systematic review

    OpenAIRE

    Qing-guo LIU; Zhi-bin SONG; Jian-wei GAO; Xu-guang LI; Yun-li WU; Long WANG; Bing GUO

    2016-01-01

    Objective To systematically review the risk of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms by microsurgical clipping versus endovascular coiling.  Methods A comprehensive literature search from January 1990 to September 2015 was conducted in electronic databases, such as PubMed, EMBASE/SCOPUS, Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Infrastructure (CNKI) and Wanfang data, for randomized controlled trials (R...

  4. Uterine rupture without previous caesarean delivery

    DEFF Research Database (Denmark)

    Thisted, Dorthe L. A.; H. Mortensen, Laust; Krebs, Lone

    2015-01-01

    OBJECTIVE: To determine incidence and patient characteristics of women with uterine rupture during singleton births at term without a previous caesarean delivery. STUDY DESIGN: Population based cohort study. Women with term singleton birth, no record of previous caesarean delivery and planned...... vaginal delivery (n=611,803) were identified in the Danish Medical Birth Registry (1997-2008). Medical records from women recorded with uterine rupture during labour were reviewed to ascertain events of complete uterine rupture. Relative Risk (RR) and adjusted Relative Risk Ratio (aRR) of complete uterine...... rupture with 95% confidence intervals (95% CI) were ascertained according to characteristics of the women and of the delivery. RESULTS: We identified 20 cases with complete uterine rupture. The incidence of complete uterine rupture among women without previous caesarean delivery was about 3...

  5. The diagnosis of breast implant rupture

    DEFF Research Database (Denmark)

    Hölmich, Lisbet R; Vejborg, Ilse; Conrad, Carsten

    2005-01-01

    STUDY OBJECTIVE: The aim of this study was to evaluate the accuracy of Magnetic Resonance Imaging (MRI) as performed according to a strict study protocol in diagnosing rupture of silicone breast implants. MATERIAL AND METHODS: The study population consisted of 64 women with 118 implants, who had...... participated in either one or two study MRI examinations, aiming at determining the prevalence and incidence of silent implant rupture, respectively, and who subsequently underwent explantation. Implant rupture status was determined by four independent readers and a consensus diagnosis of either rupture...... (intracapsular or extracapsular), possible rupture or intact implant was then obtained. Strict predetermined rupture criteria were applied as described in this report and findings at surgery were abstracted in a standardised manner and results compared. RESULTS: At MRI, 66 implants were diagnosed as ruptured...

  6. Acute achilles tendon rupture in athletes.

    Science.gov (United States)

    Longo, Umile Giuseppe; Petrillo, Stefano; Maffulli, Nicola; Denaro, Vincenzo

    2013-06-01

    The incidence of AT rupture has increased in recent decades. AT ruptures frequently occur in the third or fourth decade of life in sedentary individuals who play sport occasionally. Ruptures also occur in elite athletes. Clinical examination must be followed by imaging. Conservative management and early mobilization can achieve excellent results, but the rerupture rate is not acceptable for the management of young, active, or athletic individuals. Open surgery is the most common option for AT ruptures, but there are risks of superficial skin breakdown and wound problems. These problems can be prevented with percutaneous repair. Copyright © 2013 Elsevier Inc. All rights reserved.

  7. Incidence of motion loss of the stifle joint in dogs with naturally occurring cranial cruciate ligament rupture surgically treated with tibial plateau leveling osteotomy: longitudinal clinical study of 412 cases.

    Science.gov (United States)

    Jandi, Avtar S; Schulman, Alan J

    2007-02-01

    To report the incidence of loss of stifle extension or flexion and its relationship with clinical lameness after tibial plateau leveling osteotomy (TPLO) for treatment of cranial cruciate ligament (CCL) rupture. Longitudinal study. Dogs (n=280) with CCL rupture (n=412). TPLO was performed without meniscal release or arthrotomy. Angles of extension and flexion of the stifle were measured by goniometry to determine range of motion. Based upon motion loss, stifles were divided in 3 groups: no loss of extension or flexion (n=322), or =10 degrees loss of extension or flexion (n=12). Loss of extension or flexion > or =10 degrees was associated with significantly (P=.001) higher clinical lameness scores in comparison with no loss, or loss of extension or flexion or =10 degrees was less tolerable and less amenable to physical rehabilitation than flexion loss. Loss of extension or flexion > or =10 degrees was responsible for higher clinical lameness scores. Osteoarthrosis in the cranial femorotibial joint led to extension loss. Loss of extension or flexion should be assessed in dogs with persistent clinical lameness after TPLO so that early intervention can occur. Our study provides guidelines to define clinically relevant loss of extension or flexion of stifle joint after TPLO.

  8. Ruptured Uterus At Afikpo, Southeast Nigeria. | Eze | Ebonyi Medical ...

    African Journals Online (AJOL)

    Context: Ruptured uterus is an obstetric catastrophe associated with high maternal and perinatal mortality. Objectives: To determine the incidence, causes, management and fetomaternal outcomes of ruptured uterus in Afikpo, Southeast Nigeria. Methods: Delivery records, theatre registers and case notes of all ruptured ...

  9. The incidence of ventilator-associated pneumonia using the PneuX System with or without elective endotracheal tube exchange: A pilot study

    Directory of Open Access Journals (Sweden)

    Blunt Mark

    2011-03-01

    Full Text Available Abstract Background The PneuX System is a novel endotracheal tube and tracheal seal monitor, which has been designed to minimise the aspiration of oropharyngeal secretions. We aimed to determine the incidence of ventilator-associated pneumonia (VAP in patients who were intubated with the PneuX System and to establish whether intermittent subglottic secretion drainage could be performed reliably and safely using the PneuX System. Findings In this retrospective observational study, data was collected from 53 sequential patients. Nine (17% patients were initially intubated with the PneuX System and 44 (83% patients underwent elective exchange to the PneuX System. There were no episodes of VAP while the PneuX System was in situ. On an intention to treat basis, the incidence VAP was 1.8%. There were no complications from, or failure of, subglottic secretion drainage during the study. Conclusions Our study demonstrates that a low incidence of VAP is possible using the PneuX System. Our study also demonstrates that elective exchange and intermittent subglottic secretion drainage can be performed reliably and safely using the PneuX System.

  10. The incidence of ventilator-associated pneumonia using the PneuX System with or without elective endotracheal tube exchange: A pilot study.

    Science.gov (United States)

    Doyle, Alex; Fletcher, Andrew; Carter, Joseph; Blunt, Mark; Young, Peter

    2011-03-30

    The PneuX System is a novel endotracheal tube and tracheal seal monitor, which has been designed to minimise the aspiration of oropharyngeal secretions. We aimed to determine the incidence of ventilator-associated pneumonia (VAP) in patients who were intubated with the PneuX System and to establish whether intermittent subglottic secretion drainage could be performed reliably and safely using the PneuX System. In this retrospective observational study, data was collected from 53 sequential patients. Nine (17%) patients were initially intubated with the PneuX System and 44 (83%) patients underwent elective exchange to the PneuX System. There were no episodes of VAP while the PneuX System was in situ. On an intention to treat basis, the incidence VAP was 1.8%. There were no complications from, or failure of, subglottic secretion drainage during the study. Our study demonstrates that a low incidence of VAP is possible using the PneuX System. Our study also demonstrates that elective exchange and intermittent subglottic secretion drainage can be performed reliably and safely using the PneuX System.

  11. PERINATAL AND MATERNAL OUTCOME IN PREMATURE RUPTURE OF MEMBRANES

    OpenAIRE

    Mercy Rodrigo; Abiramavalli

    2016-01-01

    BACKGROUND The objectives of this study are 1) To find out the incidence of premature rupture of membranes, 2) To evaluate the aetiology of premature rupture of membranes, 3) To assess foetal and maternal outcome in premature rupture of membranes. MATERIAL AND METHODS This prospective case control study was conducted in Govt. RSRM Lying In Hospital, Chennai, over a period of 6 months and 100 cases of spontaneous rupture of membranes attending the Department of Obstetrics an...

  12. Estimating rupture distances without a rupture

    Science.gov (United States)

    Thompson, Eric M.; Worden, Charles

    2017-01-01

    Most ground motion prediction equations (GMPEs) require distances that are defined relative to a rupture model, such as the distance to the surface projection of the rupture (RJB) or the closest distance to the rupture plane (RRUP). There are a number of situations in which GMPEs are used where it is either necessary or advantageous to derive rupture distances from point-source distance metrics, such as hypocentral (RHYP) or epicentral (REPI) distance. For ShakeMap, it is necessary to provide an estimate of the shaking levels for events without rupture models, and before rupture models are available for events that eventually do have rupture models. In probabilistic seismic hazard analysis, it is often convenient to use point-source distances for gridded seismicity sources, particularly if a preferred orientation is unknown. This avoids the computationally cumbersome task of computing rupture-based distances for virtual rupture planes across all strikes and dips for each source. We derive average rupture distances conditioned on REPI, magnitude, and (optionally) back azimuth, for a variety of assumed seismological constraints. Additionally, we derive adjustment factors for GMPE standard deviations that reflect the added uncertainty in the ground motion estimation when point-source distances are used to estimate rupture distances.

  13. Neutron tubes

    Science.gov (United States)

    Leung, Ka-Ngo [Hercules, CA; Lou, Tak Pui [Berkeley, CA; Reijonen, Jani [Oakland, CA

    2008-03-11

    A neutron tube or generator is based on a RF driven plasma ion source having a quartz or other chamber surrounded by an external RF antenna. A deuterium or mixed deuterium/tritium (or even just a tritium) plasma is generated in the chamber and D or D/T (or T) ions are extracted from the plasma. A neutron generating target is positioned so that the ion beam is incident thereon and loads the target. Incident ions cause D-D or D-T (or T-T) reactions which generate neutrons. Various embodiments differ primarily in size of the chamber and position and shape of the neutron generating target. Some neutron generators are small enough for implantation in the body. The target may be at the end of a catheter-like drift tube. The target may have a tapered or conical surface to increase target surface area.

  14. [Folate and iron in fertile age women from a Venezuelan community affected by incidence of neural tube defects].

    Science.gov (United States)

    Mariela, Montilva; Jham, Papale; Nieves, García-Casal María; Yelitza, Berné; Yudith, Ontiveros; Lourdes, Durán

    2010-06-01

    The objective of this transversal study was to determine folate and iron nutritional status of women in fertile age from Municipio Jiménez, Lara State, Venezuela. The sampling was probabilistic by conglomerates from the urban and rural areas, selecting 15 conglomerates from which women between 12 and 45 years (269), were studied. After signing informed consent, participating were interviewed for personal data, antecedents related to folate and iron, socioeconomic data (Graffar-Mendez Castellano method and unsatisfied basic needs). In blood sample was determined Hemoglobin, and Erythrocytic Folate (FE). Serum was obtained to determine Ferritin and Serum Folate (FS). 53.53% of the sample presented low FS levels, 10.78% were FS deficient. Severe FE deficiency was present in 80.7% of the cases, moderate deficiency affected 5.9%. For both tests, median was higher for women in treatment with Acido Fólico or pregnant (p = 0.000), median for FE was higher for adults (p = 0.001) and in non poor women (p = 0.011). There were no significant differences for coffee, alcohol, anticonceptive consumption, urban or rural resident or socioeconomic strata. The prevalence of anemia was 11.2% being significantly more frequent in adults than in adolescents (p = 0.029) and in urban women (p = 0.042). Low ferritin were found in 37.3% of the sample, the effect of different variables was not statistically significant. In conclusion, there is a high prevalence of iron and folate deficiencies in women of fertile age from Municipio Jiménez, which could constitute a conditioning factor for the appearance of neural tube defects.

  15. Uterine rupture at Lagos University Teaching Hospital

    OpenAIRE

    Omololu Adegbola; Adesumbo Kanyinsola Odeseye

    2017-01-01

    Background: Uterine rupture remains a major life-threatening obstetric disaster encountered in many developing countries and is associated with a high maternal and perinatal mortality and morbidity. Objectives: The objective of this study was to determine the incidence, associated risk factors, trend, clinical presentation, management as well as maternal and fetal outcome of uterine rupture at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. Materials and Methods: This was a ret...

  16. Use of fluroquinolone and risk of Achilles tendon rupture

    DEFF Research Database (Denmark)

    Sode, Jacob; Obel, Niels; Hallas, Jesper

    2007-01-01

    OBJECTIVE: Several case-control studies have reported that the use of fluoroquinolone increases the risk of rupture of the Achilles tendon. Our aim was to estimate this risk by means of a population-based cohort approach. SETTING: Data on Achilles tendon ruptures and fluoroquinolone use were...... retrieved from three population-based databases that include information on residents of Funen County (population: 470,000) in primary and secondary care during the period 1991-1999. A study cohort of all 28,262 first-time users of fluoroquinolone and all incident cases of Achilles tendon ruptures were...... identified. MAIN OUTCOME MEASURES: The incidence rate of Achilles tendon ruptures among users and non-users of fluoroquinolones and the standardised incidence rate ratio associating fluoroquinolon use with Achilles tendon rupture were the main outcome measures. RESULTS: Between 1991 and 2002 the incidence...

  17. Spontaneous uterine rupture

    African Journals Online (AJOL)

    ABSTRACT. Rupture of a gravid uterus is a surgical emergency. Predisposing factors include a scarred uterus. Spontaneous rupture of an unscarred uterus during pregnancy is a rare occurrence. We hereby present the case of a spontaneous complete uterine rupture at a gestational age of 34 weeks in a 35 year old patient ...

  18. The impact of hospital-wide use of a tapered-cuff endotracheal tube on the incidence of ventilator-associated pneumonia.

    Science.gov (United States)

    Bowton, David L; Hite, R Duncan; Martin, R Shayn; Sherertz, Robert

    2013-10-01

    Aspiration of colonized oropharyngeal secretions is a major factor in the pathogenesis of ventilator-associated pneumonia (VAP). A tapered-cuff endotracheal tube (ETT) has been demonstrated to reduce aspiration around the cuff. Whether these properties are efficacious in reducing VAP is not known. This 2-period, investigator-initiated observational study was designed to assess the efficacy of a tapered-cuff ETT to reduce the VAP rate. All intubated, mechanically ventilated patients over the age of 18 were included. During the baseline period a standard, barrel-shaped-cuff ETT (Mallinckrodt Hi-Lo) was used. All ETTs throughout the hospital were then replaced with a tapered-cuff ETT (TaperGuard). The primary outcome variable was the incidence of VAP per 1,000 ventilator days. We included 2,849 subjects, encompassing 15,250 ventilator days. The mean ± SD monthly VAP rate was 3.29 ± 1.79/1,000 ventilator days in the standard-cuff group and 2.77 ± 2.00/1,000 ventilator days in the tapered-cuff group (P = .65). While adherence to the VAP prevention bundle was high throughout the study, bundle adherence was significantly higher during the standard-cuff period (96.5 ± 2.7%) than in the tapered-cuff period (90.3 ± 3.5%, P = .01). In the setting of a VAP rate very near the average of ICUs in the United States, and where there was high adherence to a VAP prevention bundle, the use of a tapered-cuff ETT was not associated with a reduction in the VAP rate.

  19. Rupture of primigravid uterus and recurrent rupture

    Directory of Open Access Journals (Sweden)

    Nahreen Akhtar

    2016-08-01

    Full Text Available Uterine rupture is a deadly obstetrical emergency endangering the life of both mother and fetus. In Bangladesh, majority of deliveries arc attended by unskilled traditional birth attendant and maternal mortality is still quite high. It is rare Ln developed country but unfortunately it is common in a developing country like Bangladesh. We report a case history of a patient age 32yrs from Daudkandi, Comilla admitted with H/0 previous two rupture uterus and repair with no living issue. We did caesarean section at her 31+ weeks of pregnancy when she developed Jabour pain. A baby of 1.4 kg was delivered. During cesarean section, focal rupture was noted in previous scar of rupture. Unfortunately the baby expired in neonatal ICU after 36 hours.

  20. Uterine rupture at Lagos University Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Omololu Adegbola

    2017-01-01

    Full Text Available Background: Uterine rupture remains a major life-threatening obstetric disaster encountered in many developing countries and is associated with a high maternal and perinatal mortality and morbidity. Objectives: The objective of this study was to determine the incidence, associated risk factors, trend, clinical presentation, management as well as maternal and fetal outcome of uterine rupture at the Lagos University Teaching Hospital (LUTH, Lagos, Nigeria. Materials and Methods: This was a retrospective study of patients with uterine rupture at the LUTH, Idi-Araba, Lagos, Nigeria, from June 1, 2005 to May 31, 2013. The case records of patients in this period were retrieved from the medical health records department. The relevant data of sociodemographic characteristics, clinical presentation, management as well as maternal and perinatal outcome were collated using a structured questionnaire. Results: Of the 13,138 deliveries during the study period, there were eighty cases of uterine rupture giving a hospital incidence of 6.1/1000 deliveries. Patients with parities of 1 (28.36% and 2 (38.81% were identified to be at higher risk of uterine rupture. Previous caesarean section (46.28%, obstructed labor (26.87%, and injudicious use of oxytocin (16.42% were the common associated factors. Rupture along previous anterior scar was the most common site affected in 32.84%; repair with bilateral tubal ligation was the surgical procedure in most of the cases (47.76%. The case fatality rate for ruptured uterus was 11.94% for the mothers and the perinatal mortality rate of 791/1000 babies. Conclusion: Uterine rupture is a major cause of maternal and perinatal death in Lagos, Nigeria.

  1. Six-Inch Shock Tube Characterization

    Science.gov (United States)

    2016-12-09

    with compressed air separated from the rest of the tube by a frangible diaphragm and rupturing that diaphragm. On command, a mechanical knife ruptures...ruptured. The cylinder pressure decreased by 5 psi for subsequent sets of shots until the membrane no longer ruptured. The characterization fired five... shots for each of the Mylar® and pressure configurations: 92A at 5 to 10 psi; 200A at 5 to 22 psi; 200S at 5 to 15 psi; 500A at 40 to 80 psi; 1000A at

  2. Ruptured uterus in Azare, north eastern Nigeria | Dattijo | Jos ...

    African Journals Online (AJOL)

    Background:-Ruptured uterus is an obstetric emergency and results in significant maternal and perinatal morbidity and mortality in Nigeria. The objective of the review is to determine the incidence, predisposing factors, maternal and foetal outcome in cases of ruptured uterus. Methods:- A 4-year retrospective review of ...

  3. Ruptured tubal pregnancy in Makurdi, North Central Nigeria ...

    African Journals Online (AJOL)

    BACKGROUND: Ruptured tubal pregnancy remains a major cause of early foetal wastage and maternal mortality in Nigeria and other developing countries. This study was done to determine the incidence, predisposing factors, clinical presentation and management options of ruptured tubal pregnancy at the Federal ...

  4. Analysis of ruptured uterus in Debre Markos Hospital, Ethiopia ...

    African Journals Online (AJOL)

    Objective: To determine the incidence of uterine rupture in a rural hospital and to examine its cause, type and outcome. Design: A prospective study. Setting: Debre Markos Hospital, Ethiopia. Subject. All patients who were admitted and operated on for uterine rupture in the above mentioned hospital over a period of two ...

  5. Steam generator tube performance

    International Nuclear Information System (INIS)

    Tatone, O.S.; Pathania, R.S.

    1984-10-01

    A review of the performance of steam generator tubes in 116 water-cooled nuclear power reactors showed that tubes were plugged at 54 (46 percent) of the reactors. The number of tubes removed from service decreased from 4 692 (0.30 percent) in 1981 to 3 222 (0.20 percent) in 1982. The leading causes of tube failures were stress corrosion cracking from the primary side, stress corrosion cracking (or intergranular attack) from the secondary side and pitting corrosion. The lowest incidence of corrosion-induced defects from the secondary side occurred in reactors that have used only volatile treatment, with or without condensate demineralization

  6. X-ray tube

    International Nuclear Information System (INIS)

    Webley, R.S.

    1975-01-01

    The object of the invention described is to provide an X-ray tube providing a scanned X-ray output which does not require a scanned electron beam. This is obtained by an X-ray tube including an anode which is rotatable about an axis, and a source of a beam of energy, for example an electron beam, arranged to impinge on a surface of the anode to generate X-radiation substantially at the region of incidence on the anode surface. The anode is rotatable about the axis to move the region of incidence over the surface. The anode is so shaped that the rotation causes the region of incidence to move in a predetermined manner relative to fixed parts of the tube so that the generated X-radiation is scanned in a predetermined manner relative to the tube. (UK)

  7. Ruptured Ectopic Pregnancy

    Directory of Open Access Journals (Sweden)

    Valentina Park

    2016-09-01

    Full Text Available History of present illness: A 21-year-old female presented with sudden onset suprapubic abdominal pain associated with dysuria. The patient also experienced near syncope during bowel movements three times three days ago without falling or losing consciousness. She denied fever, nausea, and vomiting. She stated that she was five weeks pregnant by last menstrual period. She had an ultrasound a few weeks before that showed no intrauterine pregnancy, but she had not followed up for additional testing. Significant findings: The patient’s serum beta-hCG was 5,637 mIU/mL. The transvaginal ultrasound showed an empty uterus with free fluid posteriorly in the pelvis and Pouch of Douglas (00:00. A 4.5 cm heterogeneous mass was visible in the left adnexa concerning for an ectopic pregnancy (00:10. Discussion: Ectopic pregnancies are a leading cause of maternal morbidity and mortality, as well as decreased fertility.1,2 Differentiating between an ectopic pregnancy and a normal early pregnancy may be difficult, since ultrasound and quantitative beta-hCG may show inconclusive results.3,4 Patients who have used fertility treatment may further complicate the picture because they are at risk for heterotypic pregnancies.5 Ectopic pregnancies most commonly implant in the fallopian tube, but may alternatively implant in the ovary, cervix, abdomen, or uterine cornua.4 Ultrasonography may show an empty uterus, adnexal mass, pelvic free fluid, or an extra-uterine gestational sac, yolk sac, and/or embryo.6 Treatment options for ectopic pregnancy include surgery or methotrexate.2,4 Some patients may be candidates for close outpatient surveillance if the diagnosis is unclear or in very limited cases for early, non-ruptured ectopic pregnancies.2,4

  8. Isolated gallbladder rupture following blunt abdominal injury

    African Journals Online (AJOL)

    2015-05-26

    May 26, 2015 ... A retrospective review consisting of. 1449 patients reported the incidence around 0.067%.[3]. Here, we presented a case of isolated gallbladder rupture following a blunt abdominal injury. Case Report. A 39‑year‑old man with history of cholelithiasis, alcoholism‑related liver cirrhosis, and chronic pancreatitis.

  9. Medial ankle pain after lateral ligament rupture

    NARCIS (Netherlands)

    van Dijk, C. N.; Bossuyt, P. M.; Marti, R. K.

    1996-01-01

    After a severe ankle sprain the incidence of residual complaints, particularly on the medial side of the joint, is high. We studied a consecutive series of 30 patients who had operative repair of acute ruptures of lateral ligaments. During operation, arthroscopy revealed a fresh injury to the

  10. Steam generator tube performance

    International Nuclear Information System (INIS)

    Tatone, O.S.; Pathania, R.S.

    1983-08-01

    A review of the performance of steam generator tubes in 110 water-cooled nuclear power reactors showed that tubes were plugged at 46 (42 percent) of the reactors. The number of tubes removed from service increased from 1900 (0.14 percent) in 1980 to 4692 (0.30 percent) in 1981. The leading causes of tube failures were stress corrosion cracking from the primary side, stress corrosion cracking (or intergranular attack) from the secondary side and pitting corrosion. The lowest incidence of corrosion-induced defects from the secondary side occurred in reactors that used all-volatile treatment since start-up. At one reactor a large number of degraded tubes were repaired by sleeving which is expected to become an important method of tube repair in the future

  11. Chest radiography in acute traumatic rupture of the thoracic aorta

    Energy Technology Data Exchange (ETDEWEB)

    Heystraten, F.M.; Rosenbusch, G.; Kingma, L.M.; Lacquet, L.K.; Boo, T. de; Lemmens, W.A.

    Of 123 patients who had suffered blunt trauma to the chest traumatic aortic rupture was eventually confirmed in 61 and absent in 62 patients. The chest radiographs of these patients were examined for 15 signs reported in the literature as being associated with traumatic aortic rupture. Although many individual signs were significantly more frequent in the aortic rupture group they were not useful in differentiating between patients with and those without rupture of the aorta. By using discriminant analysis combining 2 or 3 signs, patients were classified as having aortic rupture or not. The best discrimination between the two groups was obtained using the combined signs of a widened paratracheal stripe, and opacified pulmonary window, a widened right paraspinal interface and a displaced nasogastric tube.

  12. Splenic rupture masquerading ruptured ectopic pregnancy | Kigbu ...

    African Journals Online (AJOL)

    The classical triad of presentation of delayed menses, irregular vaginal bleeding and abdominal pain may not be encountered at all! Overwhelming features of abdominal pain, amenorrhea, pallor, abdominal tenderness, shifting dullness with positive pregnancy test gave a clinical diagnosis of ruptured ectopic pregnancy.

  13. Feeding Tubes

    Science.gov (United States)

    ... the TPN. Tubes Used for Enteral Feeds NG (Nasogastric Tube) A flexible tube is placed via the nose, ... portion of the small intestine Naso – nose NG – Nasogastric Tube -ostomy – new opening Percutaneous – through the skin PEJ – ...

  14. Right ventricular hydatid cyst ruptured to pericardium

    Directory of Open Access Journals (Sweden)

    Feridoun Sabzi

    2015-01-01

    Full Text Available Cardiac hydatidosis is rare presentation of body hydatidosis. Incidence of cardiac involvements range from 5% to 5% of patients with hydatid disease. Most common site of hydatid cyst in heart is interventricular septum and left ventricular free wall. Right ventricular free wall involvement by cyst that ruptured to pericardial cavity is very rare presentation of hydatid cyst. Cardiac involvement may have serious consequences such as rupture to blood steam or pericardial cavity. Both the disease and its surgical treatment carry a high complication rate, including rupture leading to cardiac tamponade, anaphylaxis and also death. In the present report, a 43-year-old man with constrictive pericarditis secondary to a pericardial hydatid cyst is described.

  15. Ruptured Eardrum (Perforated Eardrum)

    Science.gov (United States)

    ... with air travel. Other events that can cause sudden changes in pressure — and possibly a ruptured eardrum — ... if it fails to heal. Possible complications include: Hearing loss. Usually, hearing loss is temporary, lasting only until ...

  16. Rupture traumatique du diaphragme

    OpenAIRE

    Nordback, P.L.G.

    2006-01-01

    Résumé Rupture traumatique du diaphragme La rupture traumatique du diaphragme a été décrite la première fois par Sennertus en 1541. Ambroise Paré, en 1579, décrivit le premier cas de rupture traumatique du diaphragme diagnostiqué à l'autopsie. Une rupture traumatique du diaphragme existe chez 3 à 5% des patients polytraumatisés. En général la réparation chirurgicale est simple. La mortalité globale atteint 20 à 25%, elle est en général liée aux lésions associées, à la sévérité de la ...

  17. Premature rupture of membranes

    Science.gov (United States)

    ... gov/ency/patientinstructions/000512.htm Premature rupture of membranes To use the sharing features on this page, ... water that surrounds your baby in the womb. Membranes or layers of tissue hold in this fluid. ...

  18. Ectopic Pregnancy: Reasons for The High Tubal Rupture Rates In A ...

    African Journals Online (AJOL)

    Context: Nigeria has a high incidence of ruptured ectopic pregnancy. Identification of predisposing factors will help reduce morbidity and mortality. Aim: To determine the reasons for the high incidence of ruptured ectopic pregnancy. Methods: All cases of ectopic pregnancies managed at Wesley Guild Hospital, Ilesha, ...

  19. Apparatus facilitates pressure-testing of metal tubing

    Science.gov (United States)

    Gyorgak, C. A.

    1965-01-01

    Burst-testing of refractory metal tubing is conducted in an apparatus in which tubular specimans are firmly gripped and test pressures and temperatures are applied. Porosity, flaw, and fatigue-stress rupture are also tested.

  20. Examination of the SG tube fatigue cracking at Fessenheim unit no.2 of EDF

    International Nuclear Information System (INIS)

    Boccanfuso, M.; Lorthios, J.; Thebault, Y.; Bruyere, B.; Duisabeau, L.; Herms, E.

    2015-01-01

    In February 2008, a primary-to-secondary leak occurred at Fessenheim Unit No.2 on a steam generator. A circumferential fatigue crack was observed at the upper tube support plate level of the R12C62 tube although the stability ratio evaluation performed to take into account some prior international events, concluded that this tube had no risk of fluid-elastic instability. A new tube pull process was developed and performed by AREVA in 2011 just before the SG replacement. The extraction at the uppermost TSP elevation was a first occurrence in the French EDF PWR. Destructive examinations were carried out in the EDF hot laboratory of CEIDRE/Chinon in order to characterize damage mechanisms at the initiation and propagation stage. The document relates the major results of laboratory examinations leading us to exclude the fluid-elastic instability scenario as previously reported in North-Anna (1987) and Mihama (1991) tube rupture incidents. Results analysis with particular focus on the fracture surface description using Scanning Electron microscopy observations and metallurgical investigations provide new elements concerning the aggravating factors of fatigue damage. Fracture surface investigations reveal that the circumferential crack was due to high cycle fatigue with a very low stress intensity factor. Some aggravating factors like intergranular corrosion appeared to be critical for the fatigue cracking initiation stage. The deterioration was also largely promoted by the lack of tube support at the Anti-Vibration Bars

  1. Impact of the moon on cerebral aneurysm rupture.

    Science.gov (United States)

    Kamp, Marcel A; Dibué, Maxine; Slotty, Philipp; Steiger, Hans-Jakob; Hänggi, Daniel

    2013-08-01

    Several external and internal risk factors for cerebral aneurysm rupture have been identified to date. Recently, it has been reported that moon phases correlate with the incidence of aneurysmal subarachnoid hemorrhage (SAH), however, another author found no such association. Therefore, the present study investigates the influence of the lunar cycle on the incidence of aneurysmal rupture, the initial clinical presentation, and the amount of subarachnoid blood. Lunar phase and the particular day of the lunar cycle were correlated to the date of aneurysm rupture, aneurysm location, initial clinical presentation, and amount of subarachnoid blood assessed from CT scans of all patients treated for basal SAH in our department from 2003 to 2010. We found no correlation between incidence of aneurysmal SAH, location of the aneurysm, initial clinical presentation, or amount of subarachnoid blood and the lunar cycle. The moon influences neither the incidence of aneurysmal SAH nor the grade of initial neurological deterioration or amount of subarachnoid blood.

  2. Uterine rupture: a retrospective analysis of causes, complications ...

    African Journals Online (AJOL)

    We conducted a retrospective review of case notes (from 2003 to 2009) to determine the incidence, causes, complications and foetal/maternal outcome among women with a diagnosis of ... Out of 72,570 deliveries 163 cases of ruptured uterus were recorded in seven years, making an incidence of 2.25 per 1000 births.

  3. Risk factors of recurrent anal sphincter ruptures

    DEFF Research Database (Denmark)

    Jangö, Hanna; Langhoff-Roos, J; Rosthøj, Steen

    2012-01-01

    Please cite this paper as: Jangö H, Langhoff-Roos J, Rosthøj S, Sakse A. Risk factors of recurrent anal sphincter ruptures: a population-based cohort study. BJOG 2012;00:000-000 DOI: 10.1111/j.1471-0528.2012.03486.x. Objective  To determine the incidence and risk factors of recurrent anal sphincter...... rupture (ASR). Design  Population-based retrospective cohort study. Setting  Data were taken from the National Medical Birth Registry, Denmark. Population  Patients with a first and a second vaginal delivery in the time period 1997-2010. Methods  Univariate analysis and multivariate logistic regression...... were used to determine risk factors of recurrent ASR. Main outcome measures  The incidence of recurrent ASR and odds ratios for possible risk factors of recurrent ASR: age, body mass index, grade of ASR, birthweight, head circumference, gestational age, presentation, induction of labour, oxytocin...

  4. Pectoralis major ruptures in professional American football players.

    Science.gov (United States)

    Tarity, T David; Garrigues, Grant E; Ciccotti, Michael G; Zooker, Chad C; Cohen, Steven B; Frederick, Robert W; Williams, Gerald R; DeLuca, Peter F; Dodson, Christopher C

    2014-09-01

    Pectoralis major injuries are an infrequent shoulder injury that can result in pain, weakness, and deformity. These injuries may occur during the course of an athletic competition, including football. The purpose of this study was to determine the incidence of pectoralis major ruptures in professional football players and time lost from the sport following injury. We hypothesized that ruptures most frequently occur during bench-press strength training. The National Football League Injury Surveillance System was reviewed for all pectoralis major injuries in all players from 2000 to 2010. Details regarding injury setting, player demographics, method of treatment, and time lost were recorded. A total of 10 injuries-complete ruptures-were identified during this period. Five of the 10 were sustained in defensive players, generally while tackling. Nine occurred during game situations, and 1 occurred during practice. Specific data pertinent to the practice injury was not available. No rupture occurred during weight lifting. Eight ruptures were treated operatively, and 2 cases did not report the method of definitive treatment. The average days lost was 111 days (range, 42-189). The incidence was 0.004 pectoralis major ruptures during the 11-year study period. Pectoralis major injuries are uncommon while playing football. In the National Football League, these injuries primarily occur not during practice or while bench pressing but rather during games. When pectoralis major ruptures do occur, they are successfully treated operatively. Surgery may allow for return to full sports participation. IV, case series.

  5. Steam generator tube performance

    International Nuclear Information System (INIS)

    Tatone, O.S.; Pathania, R.S.

    1982-04-01

    The performance of steam generator tubes in water-cooled nuclear power reactors has been reviewed for 1980. Tube defects occurred at 38% of the 97 reactors surveyed. This is a marginal improvement over 1979 when defects occurred at 41% of the reactors. The number of failed tubes was also lower, 0.14% of the tubes in service in 1980 compared with 0.20% of those in service in 1979. Analysis of the causes of these failures indicates that stress corrosion cracking was the leading failure mechanism. Reactors that used all-volatile treatment of secondary water, with or without full-flow condensate demineralization since start-up showed the lowest incidence of corrosion-related defects

  6. Clinical characteristics of ruptured distal middle cerebral artery aneurysms: Review of the literature.

    Science.gov (United States)

    Tsutsumi, Keiji; Horiuchi, Tetsuyoshi; Nagm, Alhusain; Toba, Yasuyuki; Hongo, Kazuhiro

    2017-06-01

    Middle cerebral artery (MCA) aneurysms usually arise at the primary MCA bifurcation or trifurcation. Distal MCA aneurysms are rarely considered as sources of aneurysmal subarachnoid hemorrhage (SAH). It has been reported that ruptured distal MCA aneurysms are associated with head trauma, neoplastic emboli, arterial dissection, or bacterial infection. We experienced five cases of ruptured distal MCA aneurysms and evaluated their clinical characteristics. Retrospective analysis of aneurysmal SAH at Kobayashi Neurosurgical Neurological Hospital was performed from January, 2004 to December, 2014. Clinical characteristics of ruptured distal MCA aneurysms were analyzed using our database. Among 191 aneurysmal SAH patients, there were five ruptured distal MCA aneurysms. All patients did not have any specific medical problems such as infectious disease, head trauma, or cardiac disorders. The incidence of ruptured distal MCA aneurysm was higher than expected and was equivalent to 9.4% of the total ruptured MCA aneurysms. Strong male predominance (80%) and M2-3 junction aneurysm preponderance (80%) were observed. In addition, there were only two patients (40%) with intracerebral hematoma in our study. We reported five cases of ruptured distal MCA aneurysms. Although ruptured distal MCA aneurysms are thought to be rare as sources of aneurysmal SAH, the incidence of ruptured distal MCA aneurysm was 9.4% of all ruptured MCA aneurysms in our study. Ruptured distal MCA aneurysms should be considered as sources of aneurysmal SAH without intracerebral hematoma. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Rupture, waves and earthquakes.

    Science.gov (United States)

    Uenishi, Koji

    2017-01-01

    Normally, an earthquake is considered as a phenomenon of wave energy radiation by rupture (fracture) of solid Earth. However, the physics of dynamic process around seismic sources, which may play a crucial role in the occurrence of earthquakes and generation of strong waves, has not been fully understood yet. Instead, much of former investigation in seismology evaluated earthquake characteristics in terms of kinematics that does not directly treat such dynamic aspects and usually excludes the influence of high-frequency wave components over 1 Hz. There are countless valuable research outcomes obtained through this kinematics-based approach, but "extraordinary" phenomena that are difficult to be explained by this conventional description have been found, for instance, on the occasion of the 1995 Hyogo-ken Nanbu, Japan, earthquake, and more detailed study on rupture and wave dynamics, namely, possible mechanical characteristics of (1) rupture development around seismic sources, (2) earthquake-induced structural failures and (3) wave interaction that connects rupture (1) and failures (2), would be indispensable.

  8. Rupture with Concurrent Splenic

    African Journals Online (AJOL)

    (Pavel et al., 2008). Infrequently, persistent or mild trauma can cause severe perirenal haematoma resulting in abdominal pain, hematuria and shock. In humans, kidney injury is common with falls and automobile accidents; however there is dearth of information of the causes ofkidney rupture in dogs. In veterinary patient ...

  9. Ruptured Eardrum (Perforated Eardrum)

    Science.gov (United States)

    ... your eardrum when the air pressure in your middle ear and the air pressure in the environment are out of balance. If the pressure is ... ruptured, the skin debris can pass into your middle ear and form a cyst. A ... a friendly environment for bacteria and contains proteins that can damage ...

  10. Rule and rupture

    DEFF Research Database (Denmark)

    Lund, Christian; Eilenberg, Michael

    This policy brief contributes to a novel understanding of public authority and state formation. It draws on a recent publication, Rule and Rupture, edited by Christian Lund and Michael Eilenberg (2016), and argues that public authority is not simply given but constituted through social contracts...

  11. Ruptured Abdominal Aortic Aneurysm

    Directory of Open Access Journals (Sweden)

    Jessica Andrusaitis

    2017-07-01

    Full Text Available History of present illness: A 69-year-old male with poorly controlled hypertension presented with 1 hour of severe low back pain that radiated to his abdomen. The patient was tachycardic and had an initial blood pressure of 70/40. He had a rigid and severely tender abdomen. The patient’s history of hypertension, abnormal vital signs, severity and location of his pain were suspicious for a ruptured abdominal aortic aneurysm (AAA. Therefore, a computed tomography angiogram (CTA was ordered. Significant findings: CTA demonstrated a ruptured 7.4 cm infrarenal abdominal aortic aneurysm with a large left retroperitoneal hematoma. Discussion: True abdominal aortic aneurysm is defined as at least a 3cm dilatation of all three layers of the arterial wall of the abdominal aorta.1 An estimated 15,000 people die per year in the US of this condition.2 Risk factors for AAA include males older than 65, tobacco use, and hypertension.1,3,4 There are also congenital, mechanical, traumatic, inflammatory, and infectious causes of AAA.3 Rupture is often the first manifestation of the disease. The classic triad of abdominal pain, pulsatile mass, and hypotension is seen in only 50% of ruptured AAAs.5 Pain (abdominal, groin, or back is the most common symptom. The most common misdiagnoses of ruptured AAAs are renal colic, diverticulitis, and gastrointestinal hemorrhage.6 Bedside ultrasonography is the fastest way to detect this condition and is nearly 100% sensitive.1 One study showed that bedside ultrasounds performed by emergency physicians had a sensitivity of .94 [95% CI = .86-1.0] and specificity of 1 [95% CI = .98-1.0] for detecting AAAs.7 CTA has excellent sensitivity (approximately 100% and yields the added benefit of facilitating surgical planning and management.1 Without surgical treatment, a ruptured AAA is almost uniformly fatal, and 50% of those who undergo surgery do not survive.1 Early resuscitation and coordination with vascular surgery should be

  12. Total rupture of hydatid cyst of liver in to common bile duct: a case report.

    Science.gov (United States)

    Robleh, Hassan; Yassine, Fahmi; Driss, Khaiz; Khalid, Elhattabi; Fatima-Zahra, Bensardi; Saad, Berrada; Rachid, Lefriyekh; Abdalaziz, Fadil; Najib, Zerouali Ouariti

    2014-01-01

    Rupture of hydatid liver cyst into biliary tree is frequent complications that involve the common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts,but rarely rupture into common bile duct. The rupture of hydatid cyst is serious life threating event. The authors are reporting a case of total rupture of hydatid cyst of liver into common bile duct. A 50-year-old male patient who presented with acute cholangitis was diagnosed as a case of totally rupture of hydatid cyst on Abdominal CT Scan. Rupture of hydatid cyst of liver into common bile duct and the gallbladder was confirmed on surgery. Treated by cholecystectomy and T-tube drainage of Common bile duct.

  13. Ruptured ectopic pregnancy diagnosed with computed tomography

    International Nuclear Information System (INIS)

    Michalak, Maciej; Żurada, Anna; Biernacki, Maciej; Zygmunt, Kozielec

    2010-01-01

    The rupture of ectopic pregnancy (EP) still remains the primary and direct cause of death in the first trimester of pregnancy. Ultrasonography is known to be a modality of choice in EP diagnostics. We found a severe discrepancy between the frequency of ectopic pregnancies (EP) and the number of available computed tomography (CT) examinations. A 29-year-old woman was admitted to the emergency department with a history of abdominal pain, nausea, vomiting and collapse. Sonographic findings of a suspected EP were unclear. Moreover, not all features of intrauterine pregnancy were present. Due to the patient’s life-threatening condition, an emergency multi-slice CT with MPR and VRT reconstructions was performed, revealing symptoms of a ruptured EP. In the right adnexal area, a well-vascularized, solid-cystic abnormal mass lesion was found. Intraperitoneal hemorrhage was confirmed intraoperatively, and the right fallopian tube with a tubal EP was resected. In the surgery in situ, as well as in the pathological examination of the tumor mass, a human embryo of approximately 1.5 cm in length (beginning of the 8 th week of gestation) was found. Although ultrasonography still remains the first-line imaging examination in EP diagnostics, sometimes the findings of suspected EPs are unclear and not sufficient. The rupture of EP, with serious bleeding and symptoms of shock, may require an emergent pelvic and abdominal CT inspection. A clear correlation was found between the macroscopic CT images and the intraoperatively sampled material

  14. Rupture of an expander prosthesis mimics axillary cancer recurrence.

    LENUS (Irish Health Repository)

    Ismael, T

    2005-10-01

    Regional silicone gel migration from a ruptured breast implant has been reported at different locations including the upper extremity, chest wall muscles, axilla and back. We report a patient who presented with an axillary mass that mimicked a regional recurrence 5 years after breast cancer reconstruction with a latissimus dorsi musculocutaneous flap and silicon gel expander-prosthesis. Surgical exploration revealed that the mass contained silicone gel around the port of the breast expander that had ruptured. The mass was confluent with an intracapsular silicone leak through a tract along the tube of the expander port.

  15. Clinical features of single and repeated globe rupture after penetrating keratoplasty

    Directory of Open Access Journals (Sweden)

    Murata N

    2013-03-01

    Full Text Available Noriaki Murata, Hideaki Yokogawa, Akira Kobayashi, Natsuko Yamazaki, Kazuhisa SugiyamaDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, Kanazawa, JapanBackground: In this paper, we report our experience of the clinical features of single and repeated globe rupture after penetrating keratoplasty.Methods: We undertook a retrospective analysis of single and repeated globe ruptures following keratoplasty in eight eyes from seven consecutive patients referred to Kanazawa University Hospital over a 10-year period from January 2002 to March 2012. We analyzed their ophthalmic and demographic data, including age at time of globe rupture, incidence, time interval between keratoplasty and globe rupture, cause of rupture, complicated ocular damage, and visual outcome after surgical repair.Results: Five patients (71.4% experienced a single globe rupture and two patients (28.6% experienced repeated globe ruptures. Patient age at the time of globe rupture was 75.4 ± 6.8 (range 67–83 years. Four of the patients were men and three were women. During the 10-year study period, the incidence of globe rupture following penetrating keratoplasty was 2.8%. The time interval between penetrating keratoplasty and globe rupture was 101 ± 92 months (range 7 months to 23 years. The most common cause of globe rupture in older patients was a fall (n = 5, 79.8 ± 3.7 years, all older than 67 years. Final best-corrected visual acuity was .20/200 in three eyes (37.5%. In all except one eye, globe rupture involved the graft-host junction; in the remaining eye, the rupture occurred after disruption of the extracapsular cataract extraction wound by blunt trauma.Conclusion: Preventative measures should be taken to avoid single and repeated ocular trauma following penetrating keratoplasty.Keywords: repeated globe ruptures, penetrating keratoplasty, postoperative complications, ocular trauma

  16. Distal biceps tendon rupture.

    Science.gov (United States)

    Savvidou, Olga D; Papagelopoulos, Panayiotis J; Mavrogenis, Andreas F; Partsinevelos, Antonios A; Karadimas, Evangelos J; Korres, Demetrios S

    2004-09-01

    The authors report a rupture of the distal tendon of biceps brachii in a 42-year-old athlete. Magnetic resonance imaging confirmed the injury. Early surgical repair was performed by reinsertion of the tendon on the radial tuberosity according to modified Boyd-Anderson technique. Indomethacin was administered prophylactically. No complications were noted. At the latest follow-up, the patient had full elbow range of motion and participated successfully in athletic activities and job.

  17. Acute complications associated with bedside placement of feeding tubes.

    Science.gov (United States)

    Baskin, William N

    2006-02-01

    Several types of feeding tubes can be placed at a patient's bedside; examples include nasogastric, nasointestinal, gastrostomy, and jejunostomy tubes. Nasoenteral tubes can be placed blindly at bedside or with the assistance of placement devices. Nasoenteric tubes can also be placed via fluoroscopy and endoscopy. Gastrostomy and jejunostomy tubes can be placed using endoscopic techniques. This paper will describe the indications and contraindications for different types of tubes that can be placed at the bedside and complications associated with tube placement. Complications associated with nasoenteral tubes include inadvertent malpositioning of the tube, epistaxis, sinusitis, inadvertent tube removal, tube clogging, tube-feeding-associated diarrhea, and aspiration pneumonia. Complications from percutaneous gastrostomy and jejunostomy tube placements include procedure-related mishaps, site infection, leakage, buried bumper syndrome, tube malfunction, and inadvertent removal. These complications will be reviewed, along with a discussion of incidence, cause, treatment, and prevention approaches.

  18. Ruptured ectopic pregnancy mimicking acute pancreatitis.

    Science.gov (United States)

    Mitura, Kryspin; Romanczuk, Mikolaj

    2009-05-01

    Ectopic pregnancy may lead to massive haemorrhage, infertility or death. Prompt diagnosis and treatment are crucial to save patients who would otherwise die. Serum amylase and lipase measurements are known biochemical markers of pancreatic inflammation and a recognized finding that may help diagnose acute pancreatitis. To the best of our knowledge (Medline, Pubmed, Cochrane Library have been researched) the following study presents the first case of ruptured ectopic pregnancy accompanied by markedly elevated amylase and lipase levels mimicking acute pancreatitis ever reported. A previously healthy, nulliparous 35-year-old woman was admitted to hospital with a 2-day history of abdominal pain and vomiting. Her last menstrual period was 7 weeks before presentation. At the admission, the patient was hemodynamically stable. The abdomen was soft with tenderness in its mesogastric area. Blood tests revealed markedly elevated activities of the pancreatic enzymes. Acute pancreatitis was the early clinical diagnosis and subsequent therapy was initiated. After 12 hours the condition of the patient suddenly worsened. She was clinically shocked with pallor, hypotension and tachycardia. Laboratory tests revealed anaemia and increased activities of pancreatic enzymes. An ultrasound examination demonstrated an accumulation of intraperitoneal fluid in the pelvis. Subsequently, the patient was subjected to immediate laparotomy. The peritoneal cavity contained large amount of blood. A cystic mass was found and extracted from the ruptured and bleeding right fallopian tube. Histological examination confirmed a rupture of an ectopic pregnancy of a 6-week-old foetus with an intact gestational sac. The patient made an uneventful recovery and was discharged from hospital after 8 days. Our case proves that a misdiagnosed ruptured ectopic pregnancy in the event of elevated activities of pancreatic enzymes may lead to delayed diagnosis of haemorrhage to peritoneum, resulting in hemodynamic

  19. Outcomes of Infants with Home Tube Feeding: Comparing Nasogastric Versus Gastrostomy Tubes

    Science.gov (United States)

    Khalil, Syed Tariq; Uhing, Michael R.; Duesing, Lori; Visotcky, Alexis; Tarima, Sergey; Nghiem-Rao, T. Hang

    2017-01-01

    Background Determine the tube-related complications and feeding outcomes of infants discharged home from the NICU with nasogastric (NG) tube feeding or gastrostomy (G-tube) feeding. Material & Methods We performed a chart review of 335 infants discharged from our NICU with home NG tube or G-tube feeding between January 2009 – December 2013. The primary outcome was the incidence of feeding tube-related complications requiring emergency department (ED) visits, hospitalizations, or deaths. Secondary outcome was feeding status at 6 months post-discharge. Univariate and multivariate analyses were conducted. Results There were 322 infants discharged with home enteral tube feeding, 84 NG tube and 238 G-tube, with available out-patient data for the 6 month post-discharge period. A total of 115 ED visits, 28 hospitalizations, and 2 deaths were due to a tube-related complication. The incidence of tube-related complications requiring an ED visit was significantly higher in the G-tube group compared to the NG tube group (33.6% vs 9.5%, p tube related complication. By 6 months post-discharge, full oral feeding was achieved in 71.4% of infants in the NG tube group compared to 19.3% in the G-tube group (p tube and percentage of oral feeding at discharge were significantly associated with continued tube feeding at 6 months post-discharge. Conclusion Home NG tube feeding is associated with fewer ED visits for tube-related complications compared to home G-tube feeding. There may be some infants who could benefit from a trial home NG tube feeding. PMID:27647478

  20. Outcomes of Infants With Home Tube Feeding: Comparing Nasogastric vs Gastrostomy Tubes.

    Science.gov (United States)

    Khalil, Syed Tariq; Uhing, Michael R; Duesing, Lori; Visotcky, Alexis; Tarima, Sergey; Nghiem-Rao, T Hang

    2017-11-01

    The aim of this study was to determine the tube-related complications and feeding outcomes of infants discharged home from the neonatal intensive care unit (NICU) with nasogastric (NG) tube feeding or gastrostomy (G-tube) feeding. We performed a chart review of 335 infants discharged from our NICU with home NG tube or G-tube feeding between January 2009 and December 2013. The primary outcome was the incidence of feeding tube-related complications requiring emergency department (ED) visits, hospitalizations, or deaths. Secondary outcome was feeding status at 6 months postdischarge. Univariate and multivariate analyses were conducted. There were 322 infants discharged with home enteral tube feeding (NG tube, n = 84; G-tube, n = 238), with available outpatient data for the 6-month postdischarge period. A total of 115 ED visits, 28 hospitalizations, and 2 deaths were due to a tube-related complication. The incidence of tube-related complications requiring an ED visit was significantly higher in the G-tube group compared with the NG tube group (33.6% vs 9.5%, P tube-related complication. By 6 months postdischarge, full oral feeding was achieved in 71.4% of infants in the NG tube group compared with 19.3% in the G-tube group ( P tube and percentage of oral feeding at discharge were significantly associated with continued tube feeding at 6 months postdischarge. Home NG tube feeding is associated with fewer ED visits for tube-related complications compared with home G-tube feeding. Some infants could benefit from a trial home NG tube feeding.

  1. Pre-Labour Rupture of Membranes at Term: A Review of ...

    African Journals Online (AJOL)

    Background: Pre-labour rupture of membranes (PROM) at term is often encountered in current obstetric practice. Its management is sometimes controversial. Objectives: This was to determine the incidence, management modalities and pregnancy outcomes of cases of pre-labour rupture of membranes at term in Nnewi, ...

  2. Ruptured thymoma managed via thoracotomy.

    Science.gov (United States)

    Iyer, Anand; Malik, Paras; Krishnan, Ramya; Kugathasan, Gana; Ayobami, Opeyemi; Edwards, Mark

    2013-12-01

    Thymomas rarely present with chest pain due to hemorrhage. This could cause shortness of breath if it ruptures into the pleural space, and is best managed surgically. We describe the case of an 83-year-old woman who presented with such symptoms. Computed tomography showed a ruptured mediastinal mass with pleural effusion. She was managed successfully by thoracotomy with excision of the mass and drainage of the effusion. Histopathology revealed a ruptured thymoma with infarction and necrosis.

  3. [Achilles tendon rupture].

    Science.gov (United States)

    Thermann, H; Hüfner, T; Tscherne, H

    2000-03-01

    The treatment of acute of Achilles tendon rupture experienced a dynamic development in the last ten years. Decisive for this development was the application of MRI and above all the ultrasonography in the diagnostics of the pathological changes and injuries of tendons. The question of rupture morphology as well as different courses of healing could be now evaluated objectively. These advances led consequently to new modalities in treatment concepts and rehabilitation protocols. The decisive input for improvements of the outcome results and particularly the shortening of the rehabilitation period came with introduction of the early functional treatment in contrast to immobilizing plaster treatment. In a prospective randomized study (1987-1989) at the Trauma Dept. of the Hannover Medical School could show no statistical differences comparing functional non-operative with functional operative therapy with a special therapy boot (Variostabil/Adidas). The crucial criteria for therapy selection results from the sonographically measured position of the tendon stumps in plantar flexion (20 degrees). With complete adaptation of the tendons' ends surgical treatment does not achieve better results than non-operative functional treatment in term of tendon healing and functional outcome. Regarding the current therapeutic standards each method has is advantages and disadvantages. Both, the operative and non-operative functional treatment enable a stable tendon healing with a low risk of re-rupture (1-2%). Meanwhile there is consensus for early functional after-treatment of the operated Achilles' tendons. There seems to be a trend towards non-operative functional treatment in cases of adequate sonographical findings, or to minimal invasive surgical techniques.

  4. Slow rupture of frictional interfaces

    Science.gov (United States)

    Bar Sinai, Yohai; Brener, Efim A.; Bouchbinder, Eran

    2012-02-01

    The failure of frictional interfaces and the spatiotemporal structures that accompany it are central to a wide range of geophysical, physical and engineering systems. Recent geophysical and laboratory observations indicated that interfacial failure can be mediated by slow slip rupture phenomena which are distinct from ordinary, earthquake-like, fast rupture. These discoveries have influenced the way we think about frictional motion, yet the nature and properties of slow rupture are not completely understood. We show that slow rupture is an intrinsic and robust property of simple non-monotonic rate-and-state friction laws. It is associated with a new velocity scale cmin, determined by the friction law, below which steady state rupture cannot propagate. We further show that rupture can occur in a continuum of states, spanning a wide range of velocities from cmin to elastic wave-speeds, and predict different properties for slow rupture and ordinary fast rupture. Our results are qualitatively consistent with recent high-resolution laboratory experiments and may provide a theoretical framework for understanding slow rupture phenomena along frictional interfaces.

  5. Bilateral Spontaneous rupture of the Patella Tendon without ...

    African Journals Online (AJOL)

    Bilateral spontaneous rupture of the patella tendon is an uncommon injury. However when found, it is usually associated with an underlying systemic disease or steroid use. We report an unusual case in a 50 year old male who was not on any medication prior to the incident and had no known systemic illness. The rarity of ...

  6. An analysis of uterine rupture at the Nnamdi Azikiwe University ...

    African Journals Online (AJOL)

    2011-07-31

    Jul 31, 2011 ... Previous caesarean section with concurrent use of oxytocics was the commonest risk factor documented.The maternal and perinatal ... update training programmes for health care providers and appropriate legislation on maternal care will significantly reduce the incidence of uterine rupture and improve its ...

  7. An analysis of uterine rupture at the Nnamdi Azikiwe University ...

    African Journals Online (AJOL)

    Materials and Methods: This descriptive case series was conducted at the department of Obstetrics and Gynaecology, Nnamdi Azikiwe, University Teaching Hospital Nnewi from March 2004 to February 2009. Results: The incidence of uterine rupture was 6.2 per 1000 deliveries. The commonest age range of occurrence ...

  8. A Rare Case of Peritonitis Following Spontaneous Rupture of ...

    African Journals Online (AJOL)

    Pyometra is the accumulation of pus in the uterine cavity. The reported incidence varies from 0.5% in ... The cause of pyometra is the occlusion of cervical canal by benign or malignant growth, stenosis following age‑related atrophy, radiation treatment, or surgery on the cervix. A spontaneous rupture of pyometra causing ...

  9. Diagnosis of Ruptured Ectopic Pregnancy is still a Challenge in ...

    African Journals Online (AJOL)

    Erah

    This was a cross sectional prospective study carried out in Kassala Maternity Hospital, Eastern Sudan (2008-2011) to investigate the incidence rate and factors associated with delayed presentation in ruptured ectopic pregnancy. The total number of deliveries during the study period was 9578. The total number of ectopic ...

  10. [Tracheal intubation with Parker Flex-Tip tubes assisted by tube-guiding devices].

    Science.gov (United States)

    Mizuno, Ju; Morita, Shigeho; Suzuki, Maya; Arita, Hideko; Hanaoka, Kazuo

    2010-04-01

    In tracheal intubation assisted by tube-guiding devices passing through the tube, such as fiberoptic scopes, bougies, tracheal tube exchange catheters, and light wands, passage of the tube-guiding device, by itself, is often easy. But advancing a tracheal tube with a conventional distal tip over these tube-guiding devices is frequently difficult or impossible, because its rigid, side-beveled tip frequently catches on anatomical features of the airway. A novel tracheal tube, the Parker Flex-Tip tube (Parker Medical, Colorado, USA) has a centered, curved, tapered and flexible distal tip that passes through the airway faster and easier than conventional tracheal tubes. As it is advanced along a tube-guiding device, the tip of the Parker tube travels along the midline of the airway, without the gap that usually exists between the distal edge of a conventional tracheal tube and the tube-guiding device. The gapless, midline travel of the Parker tube leads to a greater incidence of first-attempt intubation success with tube-guiding devices, because there is less risk of tube tip hang-ups on the arytenoids and the vocal cords. Clinically, use of the Parker tube is helpful for oral and nasal intubations, especially in patients with difficult airways.

  11. Ruptured Interstitial Ectopic Pregnancy at 18 Weeks Gestation Diagnosed by MRI: A Case Report

    OpenAIRE

    Hamouda, Ehab SM; Littooij, Annemieke S; Thia, Edwin WH; Ong, Chiou L

    2013-01-01

    Ectopic pregnancy in the interstitial part of the fallopian tube is a rare event, associated with a high rate of complications due to delayed diagnosis. Rupture of such pregnancy often results in catastrophic hemorrhage. Several reports highlighted the role of magnetic resonance imaging in establishing the diagnosis of interstitial pregnancy, but magnetic resonance imaging findings of a ruptured advanced interstitial ectopic pregnancy have not been published before. The authors therefore pres...

  12. Endovascular Therapy for Ruptured Cerebral Aneurysms in the Elderly: Poor Accessibility of the Guiding Catheter and Use of Local Anesthesia as the Predictors of Procedure-Related Rupture.

    Science.gov (United States)

    Fukuda, Hitoshi; Handa, Akira; Koyanagi, Masaomi; Yoshida, Kazumichi; Lo, Benjamin W Y; Yamagata, Sen

    2015-10-01

    Endovascular therapy is favored for ruptured intracranial aneurysms in the elderly. However, poor accessibility to the aneurysm through the parent artery and use of local anesthesia in this age group may predispose to intraprocedural complications. To evaluate whether age-related poor access to the ruptured target aneurysm and use of local anesthesia are associated with increased incidence of procedure-related rupture during endovascular embolization. A total of 117 patients with 117 ruptured aneurysms underwent endovascular embolization at a single institution. Correlation of increasing age with poor accessibility of the guiding catheter was analyzed. In addition, the distance from the aneurysm to the guiding catheter was investigated to identify an association with incidence of procedure-related rupture. Correlation of local anesthesia with procedure-related rupture was also evaluated in the multivariable analysis. Increasing age was significantly associated with poor accessibility of the guiding catheter (P = .001, Mann-Whitney U test). Procedure-related rupture occurred in 9 of 117 aneurysms (7.7%). Longer distance between distal aneurysms and low-positioned guiding catheters carried a higher risk of procedure-related rupture than a shorter distance between proximal aneurysms and high-positioned guiding catheters (odds ratio, 19.3; 95% confidence interval, 1.84-201; P = .01, multivariable analysis). Use of local anesthesia was also a significant risk factor of procedure-related rupture by multivariable analysis. Increasing age was correlated with poor accessibility of the guiding catheter in endovascular embolization of ruptured intracranial aneurysms. Distally located aneurysms treated through a low-positioned guiding catheter and use of local anesthesia increased the risk of procedure-related rupture.

  13. Rigid inflatable gastrostomy tube malposition

    Directory of Open Access Journals (Sweden)

    Timothy E. Murray, MB, MCh, MRCS, FFR

    2017-12-01

    Full Text Available Rigid inflatable gastrostomy (RIG tubes are widely used in contemporary clinical practice for a variety of indications. Insertion of RIG tubes is associated with a high technical success rate and low incidence of mortality. In this case report, a procedural pitfall associated with intraperitoneal-extragastric malposition is described. Rigorous assessment of abdominal radiographs, as well as awareness of the expected appearance of the RIG tube and gastropexy T-fasteners, allows the abdominal radiologist to detect early RIG position in the early postprocedural period. Abdominal radiography is a widely available and inexpensive technique. The high spatial resolution it provides makes it a valuable tool in determining hardware position.

  14. Four cases of spontaneous rupture of the urinary bladder

    International Nuclear Information System (INIS)

    Amano, Toshiyasu; Miwa, Sotaro; Takashima, Hiroshi; Takemae, Katsuro

    2002-01-01

    Between November 1997 and March 2001, 4 female patients from 44 to 65 years of age with a spontaneous rupture of the urinary bladder were analyzed. They complained of abdominal pain and had undergone an intra-pelvic gynecological operation (3 for uterine cancer, 1 for an ovarian cyst) several years before. The three with uterine cancer had also received radiation therapy. For their present condition, spontaneous urinary bladder rupture, their treatment was indwelling a urethral catheter. Two of them have had no recurrence of urinary bladder rupture after one month since having the urethral catheter indwelt. One, however, had to have the catheter re-indwelt due to unsuccessful suturing of the urinary bladder wall. The fourth patient had bilateral nephrostomy tubes due to severe radiation cystitis. Thus, one can infer that intra-pelvic gynecological operations and radiation therapy are major factors causing spontaneous urinary bladder rupture. While indwelling a urethral catheter may be effective for some patients with a spontaneous rupture of the urinary bladder, it may be very difficult to treat more complicated cases. (author)

  15. Rubber matting on an obstacle course causes anterior cruciate ligament ruptures and its removal eliminates them.

    Science.gov (United States)

    Pope, Rodney P

    2002-04-01

    In June 1998, six unexpected anterior cruciate ligament (ACL) ruptures within 12 months were detected by routine injury surveillance in a cohort of Australian Army recruits. Local investigation, reported separately as a Case Report in this issue, suggested the cause to be an excessive coefficient of friction between rubber boot soles and newly laid rubber matting on one obstacle course, creating excessive knee torques. The matting was removed progressively, but not before two more ruptures occurred on one remaining section. In this retrospective study, chi 2 analyses were used to compare the incidence of ACL rupture in prehazard, hazard-exposed, and postintervention cohorts, and the average costs to the institution of each ACL rupture were determined. Zero, eight, and zero ACL ruptures occurred in the prehazard, hazard-exposed, and postintervention cohorts, respectively (chi 2 > 4.75 for 1 df, p < 0.03 for each change in incidence). The temporal relationships between hazard introduction or removal and changes in the incidence of ACL rupture were strong. The average institutional cost of each ACL rupture was AU$54,627 or US$34,322. Rubber matting on obstacle courses increases the risk of ACL rupture in the presence of speed and rubber-soled footwear. Routine injury surveillance and simple preventive processes save money and personnel.

  16. Analysis of the Steam Generator Tubes Rupture Initiating Event

    International Nuclear Information System (INIS)

    Trillo, A.; Minguez, E.; Munoz, R.; Melendez, E.; Sanchez-Perea, M.; Izquierd, J.M.

    1998-01-01

    In PSA studies, Event Tree-Fault Tree techniques are used to analyse to consequences associated with the evolution of an initiating event. The Event Tree is built in the sequence identification stage, following the expected behaviour of the plant in a qualitative way. Computer simulation of the sequences is performed mainly to determine the allowed time for operator actions, and do not play a central role in ET validation. The simulation of the sequence evolution can instead be performed by using standard tools, helping the analyst obtain a more realistic ET. Long existing methods and tools can be used to automatism the construction of the event tree associated to a given initiator. These methods automatically construct the ET by simulating the plant behaviour following the initiator, allowing some of the systems to fail during the sequence evolution. Then, the sequences with and without the failure are followed. The outcome of all this is a Dynamic Event Tree. The work described here is the application of one such method to the particular case of the SGTR initiating event. The DYLAM scheduler, designed at the Ispra (Italy) JRC of the European Communities, is used to automatically drive the simulation of all the sequences constituting the Event Tree. Similarly to the static Event Tree, each time a system is demanded, two branches are open: one corresponding to the success and the other to the failure of the system. Both branches are followed by the plant simulator until a new system is demanded, and the process repeats. The plant simulation modelling allows the treatment of degraded sequences that enter into the severe accident domain as well as of success sequences in which long-term cooling is started. (Author)

  17. Steam generator tube rupture: studies to improve plant procedure

    International Nuclear Information System (INIS)

    Tellier, N.; Zilliox, C.

    1984-10-01

    These accidents have the particularities to lead to atmospheric radioactive release and to be able to be determinated with appropriate operator actions. These radioactive releases are function of several parameters of which sensitivity is analyzed. The major part of the calculations were performed by EDF with an home made code called ''AXEL''. The main conclusions are: - the optimization of the safety injection monitoring to minimize radioactive releases to atmosphere, while ensuring the cooling of the core; - the radioactive releases to atmosphere are very low in any case but much more important if the filling of the steam generator secondary side cannot be avoided

  18. Ruptured interstitial ectopic pregnancy at 18 weeks gestation diagnosed by MRI: a case report.

    Science.gov (United States)

    Hamouda, Ehab S M; Littooij, Annemieke S; Thia, Edwin W H; Ong, Chiou L

    2013-10-01

    Ectopic pregnancy in the interstitial part of the fallopian tube is a rare event, associated with a high rate of complications due to delayed diagnosis. Rupture of such pregnancy often results in catastrophic hemorrhage. Several reports highlighted the role of magnetic resonance imaging in establishing the diagnosis of interstitial pregnancy, but magnetic resonance imaging findings of a ruptured advanced interstitial ectopic pregnancy have not been published before. The authors therefore present characteristic findings on magnetic resonance imaging of a ruptured interstitial ectopic pregnancy which had reached 18 weeks, in a 25-year-old woman who presented with acute abdominal pain.

  19. Predictive risk factors for multiple intracranial aneurysms rupture

    International Nuclear Information System (INIS)

    Wang Jue; Zhao Yuwu; Li Minghua; Lu Haitao

    2014-01-01

    Objective: To analyze the risk factors inducing the rupture of multiple intracranial aneurysms. Methods: Between July 2007 and July 2011, a total of 134 patients with 294 aneurysms were admitted to the hospital. Of the 294 aneurysms, 50 were ruptured and 244 were unruptured. Every patient had two or more aneurysms. Univariate and multivariate logistic regression analysis methods were used to analyze the risk factors, including age, gender, site and size, for multiple intracranial aneurysms. Results: The 134 patients were divided into three groups according to patient's age, including <4.5 group, (45-6.5) group and > 65 group. The rupture incidence of aneurysm in the (4.5-65) group was highest in the three groups. The difference was significant (P=0.001). Of 35 patients with anterior communicating arterial aneurysms, 13 (37.1%) were ruptured, accounting for 26% of all ruptured aneurysms, and the rupture rate of anterior communicating arterial aneurysms was significantly higher than that of the aneurysms located at other sites (P= 0.001). Of all 294 aneurysms, 88.1% were <5 mm, 58.2% were <3 mm. Of the ruptured aneurysms, 680-/o were <5 mm. Conclusion: This study indicates that the rupture of multiple intracranial aneurysm is closely related to the patient's age, the size and location of aneurysm. Therefore, patient's age, the size and location of aneurysm should be taken into consideration when to make the therapeutic plan. In multiple intracranial aneurysms, the anterior communicating arterial aneurysm is most prone to bleeding. (authors)

  20. Biceps Tendon Rupture

    Directory of Open Access Journals (Sweden)

    Daniel M Polvino

    2018-01-01

    Full Text Available History of present illness: A 55-year-old male presented to the emergency department with a chief complaint of right arm pain. Five days prior to arrival, he attempted to lift himself up on his van and experienced what he described as a “rubber band snapping” in his right arm. He reported severe pain at the time that persisted but lessened in severity. Additionally, he reported increasing bruising over the proximal right arm. He had no history of prior right arm or shoulder injury. Significant findings: Physical exam was significant for ecchymosis and mild swelling of the right bicep. When the right arm was flexed at the elbow, a prominent mass was visible and palpable over the right bicep. Right upper extremity strength was 4/5 with flexion at the elbow. Discussion: The biceps brachii muscle is comprised of a long and short head, which share a common attachment at the bicipital tuberosity on the radius. The short head originates from the coracoid process of the scapula and the long head originates from the supraglenoid tubercle.1 Biceps tendon rupture has been found to occur at a rate of 0.53/100,000 over five years, and is three times more likely to occur in men than women.2 Risk factors for biceps tendon rupture include male sex, old age, increased body mass index, smoking, and pre-existing shoulder pathology.3,4 Diagnosis of biceps tendon rupture is typically a clinical diagnosis utilizing inspection and palpation as well as special testing such as the Speed’s and/or Yergason’s tests. Ultrasound may be used to aid in diagnosis; in full-thickness tears, ultrasound was found to have a sensitivity of 88% and a specificity of 98%. However, in partial thickness tears ultrasound has a sensitivity of 27% and a specificity of 100%.5 Often considered the gold standard in diagnosis, MRI has been found to have a sensitivity of only 67% and specificity of 98% in detecting complete tears6. Treatment initially consists of rest, ice, compression

  1. Blunt traumatic diaphragmatic rupture

    Directory of Open Access Journals (Sweden)

    Antonio Carlos Nogueira

    2011-09-01

    Full Text Available Traumatic injury of the diaphragm ranges from 0.6 to 1.2% and rise up to 5%among patients who were victims of blunt trauma and underwent laparotomy.Clinical suspicion associated with radiological assessment contributes to earlydiagnosis. Isolated diaphragmatic injury has a good prognosis. Generallyworse outcomes are associated with other trauma injuries. Bilateral andright diaphragmatic lesions have worse prognosis. Multi detector computed tomography (MDCT scan of the chest and abdomen provides better diagnosticaccuracy using the possibility of image multiplanar reconstruction. Surgicalrepair via laparotomy and/ or thoracotomy in the acute phase of the injury hasa better outcome and avoids chronic complications of diaphragmatic hernia.The authors present the case of a young male patient, victim of blunt abdominaltrauma due to motor vehicle accident with rupture of the diaphragm, spleenand kidney injuries. The diagnosis was made by computed tomography of thethorax and abdomen and was confirmed during laparotomy.

  2. Ear Tubes

    Science.gov (United States)

    ... of the ear drum or eustachian tube, Down Syndrome, cleft palate, and barotrauma (injury to the middle ear caused by a reduction of air pressure, ... specialist) may be warranted if you or your child has experienced repeated ... fluid in the middle ear, barotrauma, or have an anatomic abnormality that ...

  3. Unexpected traumatic rupture of left atrium mimicking aortic rupture

    Directory of Open Access Journals (Sweden)

    Abdallah K Alameddine

    2014-01-01

    Full Text Available Left atrial (LA rupture is rare following blunt chest injury. We describe a case of blunt LA rupture that was treated surgically. This report is intended to alert practitioners for a need of a close multiple disciplinary collaborations among them for optimal management of patients with this type of trauma; because other non-cardiac injuries involving the head, abdomen, or extremities are considered covariates for in-hospital mortality. As in the present case, the patient eventually died from associated extrathoracic injuries. The diagnosis of LA rupture is by exclusion. However, the initial radiological reading may be misinterpreted, because this injury can easily be mistaking for an aortic rupture. The final reappraisal of the chest imaging studies should be interpreted by a skilled radiologist to avoid misdiagnosis. Subtle radiological features can help distinguish aortic thoracic injury as illustrated in this patient. These factors may be useful to the practicing surgeon in deciding surgical approach.

  4. An analysis of uterine rupture at the Nnamdi Azikiwe University Teaching Hospital Nnewi, Southeast Nigeria.

    Science.gov (United States)

    Mbamara, S U; Obiechina, Nja; Eleje, G U

    2012-01-01

    Uterine rupture is a preventable condition which has persistently remained in our environment. The aim of this study therefore is to ascertain the incidence of uterine rupture, examine the predisposing factors and maternal and fetal outcome of patients managed of uterine rupture in a tertiary hospital. This descriptive case series was conducted at the department of Obstetrics and Gynaecology, Nnamdi Azikiwe, University Teaching Hospital Nnewi from March 2004 to February 2009. The incidence of uterine rupture was 6.2 per 1000 deliveries. The commonest age range of occurrence was 30-34 years. Uterine rupture occurred predominantly among women of low parity. Previous caesarean section with concurrent use of oxytocics was the commonest risk factor documented.The maternal and perinatal mortality ratio was 94 per 100,000 deliveries and 6 per 1000 births respectively. Surgery was the main stay of treatment and the commonest procedure carried out was uterine repair only. Rupture of the gravid uterus is still a significant cause of maternal mortality and morbidity in our environment. The causes are commonly preventable. The provision of maternal care by skilled personnel, proper antenatal care, update training programmes for health care providers and appropriate legislation on maternal care will significantly reduce the incidence of uterine rupture and improve its prognosis.

  5. Untreated silicone breast implant rupture

    DEFF Research Database (Denmark)

    Hölmich, Lisbet R; Vejborg, Ilse M; Conrad, Carsten

    2004-01-01

    Implant rupture is a well-known complication of breast implant surgery that can pass unnoticed by both patient and physician. To date, no prospective study has addressed the possible health implications of silicone breast implant rupture. The aim of the present study was to evaluate whether...... breast implants for a median period of 12 years (range, 3 to 25 years). A follow-up magnetic resonance imaging examination was carried out in 2001, excluding women who underwent explantation in the period between the two magnetic resonance imaging examinations (n = 44). On the basis of these examinations......, the authors identified 64 women who had at least one ruptured implant at the first magnetic resonance imaging examination and, for comparison, all women who had intact implants at both examinations (n = 98). Magnetic resonance images from the two examinations were compared and changes in rupture configuration...

  6. Ectopic pregnancy with tubal rupture: an analysis of 80 cases

    International Nuclear Information System (INIS)

    Ashfaq, S.; Aziz, S.; Hasan, M.; Sultan, S.; Irfan, S.M.

    2017-01-01

    Ectopic pregnancy (EP) is a major problem in obstetrics as there is evidence of increasing incidence throughout the world. It is an important cause of maternal morbidity and mortality. In Pakistan, the care seeking behaviour among female is limited that makes female vulnerable to die due to complication of ectopic pregnancy. The aim of this study is to determine the frequency of tubal rupture in ectopic pregnancy in Pakistani patients. Method: In this cross-sectional study data pertaining to age, gestational age, parity and duration of presenting symptoms were collected and analysed. Result: 80 patients were diagnosed to have ectopic pregnancy. The frequency of tubal rupture was 91.25%. It is encountered significantly more often in women with age of 26 years. More tubal rupture is found in patient with low parity, in which the frequency of tubal rupture is up to 100% and decrease up to 78.6% with increasing parity up to four. Furthermore, it is noted that increase in gestational age from 8 weeks to 10 weeks caused an increase in frequency of tubal rupture from 80 to 100% respectively. It is also noted that earlier the patient presents the lesser is the frequency of tubal rupture, as compared to late presentation beyond 3-4 days which make frequency up to 95%. Conclusion: Tubal rupture is still common cause of maternal morbidity and mortality, and is still a major challenge in gynaecological practice. Creating awareness amongst midwives and GPs regarding early diagnosis can contribute to decrease the mortality, morbidity and fertility loss related to EP. (author)

  7. Ruptured Splenic Artery Aneurysm

    African Journals Online (AJOL)

    1974-05-04

    May 4, 1974 ... Radiological confirmation of the commonness of the condition found at coeliac angiography,' adds further support for a high autopsy incidence. The unusual preponderance of females with splenic artery aneurysms3.•.• cannot be explained on the basis of aetiology, as they are most often caused by arterio- ...

  8. Simultaneous bilateral patellar tendon rupture ?

    OpenAIRE

    Moura, Diogo Lino; Marques, Jos? Pedro; Lucas, Francisco Manuel; Fonseca, Fernando Pereira

    2016-01-01

    Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary end-to-end tendon repair protected temporarily with cerclage wiring, followed by a s...

  9. Limiting the Accidental Pressure Drop in NIF Beam Tubes

    International Nuclear Information System (INIS)

    Garcia, M

    2000-01-01

    This report summarizes the use of a one-dimensional model of a time-dependent compressible flow condition to validate the results from a more sophisticated three-dimensional model. The flow conditions consist of the sudden decompression of a pressurized tube joined to an evacuated sphere, where the tube also has a leak to external atmosphere that is triggered open at a given pressure difference below sea-level pressure. This flow model is used to calculate conditions in a NIF beam tube if an internal vacuum barrier fails, and to calculate how the size and timing of an opening to external atmosphere changes tube pressure. Decompression of a NIF beam tube is a potential safety hazard since the tube could collapse if the tube pressure is reduced below the buckling limit. To prevent this from occurring, each pressurized section includes a rupture panel which is designed to open to external atmosphere at a given pressure difference. The inrush of external atmosphere through the rupture panel fills both the tube and the vacuum drawing on it, and in this way the pressure drop in the tube is quickly limited and reversed. In summary, the results from the 1D model indicate that the 3-D calculations are accurate and reasonable

  10. Spontaneous Extensor Tendon Rupture in the Rheumatoid Wrist: Risk Factors and Preventive Role of Extended Tenosynovectomy.

    Science.gov (United States)

    Hsueh, Jung-Hua; Liu, Wen-Chung; Yang, Kuo-Chung; Hsu, Kuei-Chang; Lin, Cheng-Ta; Chen, Lee-Wei

    2016-03-01

    Spontaneous extensor tendon rupture is often seen in rheumatoid arthritis (RA) patients, but the risk factors are not clearly defined. We therefore collected the data of RA patients with previous extensor tendon rupture and those with tenosynovitis and analyzed the relationship between extended tenosynovectomy and spontaneous extensor tendon rupture. We retrospectively reviewed 17 spontaneous extensor tendon rupture episodes in 15 RA patients and 14 tenosynovitis episodes that required tenosynovectomy in 12 RA patients from 1997 to 2013. Correlations between the incidence of tendon rupture, X-ray findings, and clinical findings in the affected wrists before tendon rupture were analyzed statistically using the test for proportion. The following parameters were significantly correlated with spontaneous extensor tendon rupture: disease duration longer than 8 years, persistent tenosynovitis longer than 1 year duration, and Larsen grade greater than 4 (P = 0.02, 0.03, and 0.01, respectively). Dislocation of the distal end of the ulna, carpal collapse, and the scallop sign on X-ray contributed to a higher spontaneous extensor tendon rupture rate among RA patients (P = 0.01, 0.05, and 0.03, respectively). Extended tenosynovectomy was performed on 14 wrists in 12 RA patients with persistent tenosynovitis longer than 6 months, and Larsen grade did not deteriorate in this group compared with those who did not undergo the surgery. No spontaneous extensor tendon rupture occurred following the surgery. Risk factors of spontaneous extensor tendon rupture included disease duration longer than 8 years, persistent tenosynovitis longer than 1 year, and wrist Larsen grade greater than 4. Dislocation of the distal end of the ulna, carpal collapse, and the scallop sign on X-ray indicated a higher probability of extensor tendon rupture. Rheumatologists should consult with hand surgeons promptly to preserve hand function before tendon rupture. Prophylactic extended tenosynovectomy

  11. Creep rupture properties of indigenously developed 304 HCu austenitic stainless steel

    International Nuclear Information System (INIS)

    Ganesan, V.; Laha, K.; Bhaduri, A.K.

    2016-01-01

    The 304HCu austenitic stainless steel tubes are being produced for the first time indigenously in India. Creep tests have been carried out at 923 K and 973 K on two heats with different solution annealed conditions. Stress levels ranged from 180 - 300 MPa at 923 K and 100-170 MPa at 973 K. The creep curves showed a small instantaneous strain followed by primary, secondary and tertiary creep stages. The rupture lives varied in the range of 50 to 8700 hours. Higher rupture life was observed in the heat with higher solutionising temperature. The variation of creep rupture life with applied stress at different temperatures is compared with internationally reported data and it is found that the indigenous 304HCu SS tube material has creep rupture strength comparable with internationally reported data. The variation of steady state creep rate with stress showed a power law relationship. Rupture ductility generally found to decrease with increase in rupture life. SEM fractography revealed mixed mode failure with predominance of intergranular creep cavitation. (author)

  12. Inner tubing technique used for the treatment of anastomotic aneurism.

    Science.gov (United States)

    Gaspar, Márcio Teodoro da Costa; de Mattos, Bruno Vinicius Hortences; Sofia, Milena Cristina Dias; Mulatti, Grace Carvajal; Lederman, Alex

    2016-01-01

    The authors report the case of a 66-year-old male patient diagnosed with a pseudoaneurysm of the distal aorto-aortic anastomosis treated with the inner tubing technique. The patient had been operated on 1 year before when he had an aortic prosthesis implanted as treatment for a ruptured abdominal aortic aneurysm. The inner tubing technique was developed to facilitate the treatment in bifurcated vascular lesions, where endovascular conventional prosthesis is not available.

  13. photomultiplier tubes

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  14. photomultiplier tube

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  15. Fields Of View Of X-Ray-Telescope Collimator Tubes

    Science.gov (United States)

    Safren, Harvey G.

    1992-01-01

    Results of theoretical analysis conducted to determine fields of view and irradiation patterns of collimator tubes of various shapes indicates, while background flux incident on surface at outlet of tube determined by ratio between diameter and length, shape of tube important in screening out background radiation.

  16. Biventricular Mechanical Circulatory Support Does Not Prevent Delayed Myocardial Ventricular Rupture following Myocardial Infarction

    Directory of Open Access Journals (Sweden)

    Yazhini Ravi

    2013-01-01

    Full Text Available Cardiogenic shock and myocardial rupture can complicate an acute myocardial infarction (AMI. A case is reported in which a 58-year-old male with an acute inferior myocardial infarction required placement of biventricular assist device for hemodynamic support eight days after the onset of his AMI; eleven days after his AMI, the patient developed abrupt onset of hemodynamic instability with massive bleeding from his chest tube due to delayed free wall myocardial rupture that was discovered when he was taking emergently to the operating room. Myocardial rupture in patients with a ventricular assist device should be considered in the differential diagnosis in the event of acute hemodynamic compromise. A high level of suspicion for such a complication should prompt aggressive and emergent actions including surgery. We present a case of delayed free wall myocardial rupture following an acute inferior wall myocardial infarction in a patient with biventricular mechanical circulatory support.

  17. Causes of renal forniceal rupture.

    Science.gov (United States)

    Gershman, Boris; Kulkarni, Naveen; Sahani, Dushyant V; Eisner, Brian H

    2011-12-01

    What's known on the subject? and What does the study add? Renal forniceal rupture is a common finding in patients with ureteral obstruction. It is thought to be due to increased renal pelvis pressure from backup of urine, causing one or more renal fornices to leak urine. This phenomenon has not been systematically studied. Herein we retrospectively review the causes and associated clinical findings in over 100 cases of renal forniceal rupture. • To perform a retrospective review aiming to identify causes of renal forniceal rupture. • A retrospective review was performed of the longitudinal medical record and CT records for patients identified as having renal 'forniceal rupture' or 'calyceal rupture' using a radiological database. • In total, 108 patients were identified with the CT diagnosis of renal 'forniceal' or 'calyceal' rupture. • Forniceal rupture was caused by ureteric stones in 80 cases (74.1%), malignant extrinsic ureteric compression in nine cases (8.3%), benign extrinsic ureteric compression in two cases (1.9%), pelvic-ureteric junction obstruction in two cases (1.9%), vesico-ureteric junction (VUJ) obstruction in one case (0.9%), bladder outlet obstruction in one case (0.9%) and iatrogenic causes in four cases (3.7%). • No definitive cause was found in nine cases (8.3%). For patients in whom a ureteric stone was the cause of forniceal rupture, the level of obstruction was proximal ureter in 24.3% of cases, distal ureter in 17.6% of cases and VUJ in 58.1% of cases. • Mean (sd) stone size was 4.09 (2.0) mm. Mean (sd) stone size was 5.34 (1.87) mm for proximal stones, 4.08 (1.69) mm for distal stones and 3.53 (1.96) mm for VUJ stones (P= 0.005). • Urinary tract infection was present in five out of 97 patients (5.2%) in whom data were available for analysis. • The most common aetiology of renal forniceal rupture is obstruction caused by distal ureteric stones followed by malignant extrinsic ureteric compression. © 2011 THE

  18. Failure analysis of the boiler water-wall tube

    Directory of Open Access Journals (Sweden)

    S.W. Liu

    2017-10-01

    Full Text Available Failure analysis of the boiler water-wall tube is presented in this work. In order to examine the causes of failure, various techniques including visual inspection, chemical analysis, optical microscopy, scanning electron microscopy and energy dispersive spectroscopy were carried out. Tube wall thickness measurements were performed on the ruptured tube. The fire-facing side of the tube was observed to have experienced significant wall thinning. The composition of the matrix material of the tube meets the requirements of the relevant standards. Microscopic examinations showed that the spheroidization of pearlite is not very obvious. The failure mechanism is identified as a result of the significant localized wall thinning of the boiler water-wall tube due to oxidation.

  19. She's the boss: signaling in pollen tube reception.

    Science.gov (United States)

    Kessler, Sharon A; Grossniklaus, Ueli

    2011-10-01

    In angiosperms, the sperm cells are carried within the pollen tubes (male gametophytes) to the female gametophyte so that double fertilization can occur. The female gametophyte exerts control over the male, with specialized cells known as synergids guiding the pollen tubes and controlling their behavior when they enter the female gametophyte so that the sperm cells can be delivered to the egg and central cell. Upon pollen tube arrival at the ovule, signal transduction cascades mediated by receptor-like kinases are initiated in both the synergid and the tip of the pollen tube, leading to synergid cell death and pollen tube rupture. In this review, we discuss the role of these receptors and of newly discovered members of the pollen tube reception pathway. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. Spontaneous rupture of the pregnant uterus following salpingectomy: a literature review.

    Science.gov (United States)

    Stanirowski, Paweł Jan; Trojanowski, Seweryn; Słomka, Anna; Cendrowski, Krzysztof; Sawicki, Włodzimierz

    2015-01-01

    Spontaneous rupture of the uterus is a life-threatening obstetric complication in rare cases associated with previously performed salpingectomy. This paper presents an analysis of uterine rupture cases during pregnancy in patients after surgical removal of the fallopian tubes. The English and Polish language literature was reviewed for studies published between January 1, 1980 and September 30, 2014 to identify articles that described rupture of the uterus in women with a previous history of salpingectomy. Thirteen case reports and case series studies in 18 women were identified. 33% of cases of uterine rupture following salpingectomy occurred during intrauterine pregnancy, whereas the rest was associated with interstitial ectopic pregnancy. Laparoscopic salpingectomy more often resulted in rupture of the uterus during non-ectopic pregnancy as compared to laparotomy (4 vs. 2 cases, respectively). When interstitial pregnancies were excluded, uterine rupture was a cause of fetal death in 67% of reported gestations. There were no cases of maternal mortality. Conservative treatment was the preferred management option, and total hysterectomy was performed in only 2 patients. Particular attention should be paid to patients with a previous history of salpingectomy due to the risk of uterine rupture throughout the entire pregnancy. © 2015 S. Karger AG, Basel.

  1. Proposals for investigating instrument tube line breaks in pressurized water reactors

    International Nuclear Information System (INIS)

    Fletcher, C.D.; Charlton, T.R.; Loomis, G.G.; Hall, D.G.; Cozzuol, J.M.

    1985-11-01

    Questions posed by the NRC pertaining to instrument tube critical flow and applicability of the Semiscale experimental facility are evaluated. A program is recommended to investigate the issue of generic PWR safety following hypothetical rupture of instrument tubes due to consequences of seismic events

  2. Underreporting of complete uterine rupture and uterine dehiscence in women with previous cesarean section.

    Science.gov (United States)

    Fogelberg, Maria; Baranov, Anton; Herbst, Andreas; Vikhareva, Olga

    2017-09-01

    To determine the true incidence of complete uterine rupture and uterine dehiscence among women delivered by cesarean section after a previous cesarean section. Medical records of all women who delivered at University Hospital in Malmö, Sweden, during 2005-2009 (n = 21 420) were retrieved from the electronic patient record system (EPRS). After adjustment for inaccuracies, 716 women who had undergone repeat cesarean section were identified and their operation reports were reviewed. Descriptions of complete uterine rupture or uterine dehiscence in operation reports were compared with diagnoses registered in EPRS with International Classification of Diseases codes version 10 (ICD-10). Sensitivity and specificity of complete uterine rupture registration were calculated. There were 13 women with a registered diagnosis of uterine rupture. After reviewing medical records of women with repeat cesarean section, seven additional cases of complete uterine rupture, 33 cases of uterine dehiscence and 39 cases of extremely thin myometrium were identified. The incidence of complete uterine rupture and uterine dehiscence for women who delivered by repeat cesarean section was 2.8% and 10.1%, respectively. Diagnosis of complete uterine rupture was underreported in the EPRS by 35% and diagnosis of uterine dehiscence was missing in 100% of cases.

  3. [Traumatic rupture of the diaphragm].

    Science.gov (United States)

    Mazuch, J; Kuník, Z; Herczegh, S; Pelc, J; Machan, L; Chamko, M

    1990-07-01

    Traumatic ruptures of the diaphragm occur most frequently at blunt injuries of the abdomen or thorax as a component of polytraumatism. At the acute stage they present a serious diagnostic problem since signs of polytrauma are predominant. The authors report 3 cases of traumatic rupture of the diaphragm with thoracotomy as the therapeutic approach. The first patient presented with severe polytraumatism and shock, rupture of the diaphragm, pericardium and lungs, along with serial fracture of the left ribs. The second patient was not in shock, he had suffered serial fracture of the left ribs and fracture of the pelvis. In both these cases of blunt injury to the thorax, careful examination of the patients resulted in early diagnosis and surgery. The third patient presented with open injury of the right side of the thorax, injured diaphragm and liver, serial fracture of the ribs, fractured sternum, and was in a state of deep shock. There was no mortality, all three patients recovered.

  4. Untreated silicone breast implant rupture

    DEFF Research Database (Denmark)

    Hölmich, Lisbet R; Vejborg, Ilse M; Conrad, Carsten

    2004-01-01

    Implant rupture is a well-known complication of breast implant surgery that can pass unnoticed by both patient and physician. To date, no prospective study has addressed the possible health implications of silicone breast implant rupture. The aim of the present study was to evaluate whether...... untreated ruptures are associated with changes over time in magnetic resonance imaging findings, serologic markers, or self-reported breast symptoms. A baseline magnetic resonance imaging examination was performed in 1999 on 271 women who were randomly chosen from a larger cohort of women having cosmetic...... breast implants for a median period of 12 years (range, 3 to 25 years). A follow-up magnetic resonance imaging examination was carried out in 2001, excluding women who underwent explantation in the period between the two magnetic resonance imaging examinations (n = 44). On the basis of these examinations...

  5. Simultaneous bilateral patellar tendon rupture.

    Science.gov (United States)

    Moura, Diogo Lino; Marques, José Pedro; Lucas, Francisco Manuel; Fonseca, Fernando Pereira

    2017-01-01

    Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary end-to-end tendon repair protected temporarily with cerclage wiring, followed by a short immobilization period and intensive rehabilitation program. Five months after surgery, the patient was able to fully participate in sport activities.

  6. Simultaneous bilateral patellar tendon rupture

    Directory of Open Access Journals (Sweden)

    Diogo Lino Moura

    Full Text Available ABSTRACT Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary end-to-end tendon repair protected temporarily with cerclage wiring, followed by a short immobilization period and intensive rehabilitation program. Five months after surgery, the patient was able to fully participate in sport activities.

  7. Ruptured Cesarean Scar Ectopic Pregnancy

    Directory of Open Access Journals (Sweden)

    Sujatha BS

    2017-07-01

    Full Text Available A pregnancy with implantation on the scar of a past cesarean section is uncommon. However such pregnancies are on the rise due to the increasing number of lower segment cesarean section. One of the complications of such a pregnancy is uterine rupture in early pregnancy which can be life threatening to the patient. The following is a report of a patient who presented at 10 weeks of gestational age with features of hypovolemic shock and lower position of the gestational sac in relation to the uterus with normal fetal heart rate. The diagnosis of ruptured cesarean scar pregnancy was made only after laparotomy.

  8. Intrapleural rupture of a cystic thymoma.

    Science.gov (United States)

    Haniuda, M; Numanami, H; Kondo, R; Kurai, M; Takashima, S; Amano, J

    2000-10-01

    Although cystic degeneration of a thymoma is not uncommon, rupture of a cystic thymoma is rare. The authors report a patient with sudden chest pain and dyspnea due to rupture of a cystic thymoma into the right pleural space.

  9. The relative impact of sizing errors on steam generator tube failure probability

    International Nuclear Information System (INIS)

    Cizelj, L.; Dvorsek, T.

    1998-01-01

    The Outside Diameter Stress Corrosion Cracking (ODSCC) at tube support plates is currently the major degradation mechanism affecting the steam generator tubes made of Inconel 600. This caused development and licensing of degradation specific maintenance approaches, which addressed two main failure modes of the degraded piping: tube rupture; and excessive leakage through degraded tubes. A methodology aiming at assessing the efficiency of a given set of possible maintenance approaches has already been proposed by the authors. It pointed out better performance of the degradation specific over generic approaches in (1) lower probability of single and multiple steam generator tube rupture (SGTR), (2) lower estimated accidental leak rates and (3) less tubes plugged. A sensitivity analysis was also performed pointing out the relative contributions of uncertain input parameters to the tube rupture probabilities. The dominant contribution was assigned to the uncertainties inherent to the regression models used to correlate the defect size and tube burst pressure. The uncertainties, which can be estimated from the in-service inspections, are further analysed in this paper. The defect growth was found to have significant and to some extent unrealistic impact on the probability of single tube rupture. Since the defect growth estimates were based on the past inspection records they strongly depend on the sizing errors. Therefore, an attempt was made to filter out the sizing errors and to arrive at more realistic estimates of the defect growth. The impact of different assumptions regarding sizing errors on the tube rupture probability was studied using a realistic numerical example. The data used is obtained from a series of inspection results from Krsko NPP with 2 Westinghouse D-4 steam generators. The results obtained are considered useful in safety assessment and maintenance of affected steam generators. (author)

  10. Investigation of small ruptured aneurysms

    International Nuclear Information System (INIS)

    Abiko, Masaru; Ikawa, Fusao; Obayashi, Naohiko; Mitsuhara, Takafumi; Nosaka, Ryou; Inagawa, Tetsuji

    2008-01-01

    Subarachnoid hemorrhage (SAH) patients with ruptured aneurysms smaller than 5 mm in diameter are sometimes encountoied at our hospital. However, the operative indication for unruptured aneurysm is over 5 mm according to the JAPANESE SOCIETY FOR DETECTION OF ASYMPTOMATIC BRAIN DISEASES. We therefore analyzed the characteristics of ruptured aneurysms smaller than 5 mm in diameter. A retrospective review of all SAH patients using digital subtraction angiography (DSA) between April 1999 and March 2004 was conducted. We compared 201 SAH patients with DSA (group A) and 61 with aneurysms smaller than 5 mm (group B). Age, gender, familial history, hypertension, and location of the ruptured aneurysm were examined. In males younger than 40 years old, anterior communicating artery/distal anterior cerebral artery (Acom/DACA) aneurysms were significantly correlated with group B rather than group A. Familial history and hypertension were not found to be characteristic in group B in this study. Small unruptured aneurysms may have a risk of rupture especially in young males with Acom/DACA aneurysms. Further investigations on small aneurysms are needed. (author)

  11. PREMATURE RUPTURE OF THE MEMBRANES*

    African Journals Online (AJOL)

    In patients presenting with premature rupture of the membranes there are two factors which influence the foetal morbidity and mortality. These factors are prema- turity and intra-uterine infection. The purpose of this analysis was to elucidate which factor carried the greater risk to the foetus. Recently there has been a spate of.

  12. Spontaneous Splenic Rupture in Melanoma

    Directory of Open Access Journals (Sweden)

    Hadi Mirfazaelian

    2014-01-01

    Full Text Available Spontaneous rupture of spleen due to malignant melanoma is a rare situation, with only a few case reports in the literature. This study reports a previously healthy, 30-year-old man who came with chief complaint of acute abdominal pain to emergency room. On physical examination, abdominal tenderness and guarding were detected to be coincident with hypotension. Ultrasonography revealed mild splenomegaly with moderate free fluid in abdominopelvic cavity. Considering acute abdominal pain and hemodynamic instability, he underwent splenectomy with splenic rupture as the source of bleeding. Histologic examination showed diffuse infiltration by tumor. Immunohistochemical study (positive for S100, HMB45, and vimentin and negative for CK, CD10, CK20, CK7, CD30, LCA, EMA, and chromogranin confirmed metastatic malignant melanoma. On further questioning, there was a past history of a nasal dark skin lesion which was removed two years ago with no pathologic examination. Spontaneous (nontraumatic rupture of spleen is an uncommon situation and it happens very rarely due to neoplastic metastasis. Metastasis of malignant melanoma is one of the rare causes of the spontaneous rupture of spleen.

  13. Endometriosis-related spontaneous diaphragmatic rupture.

    Science.gov (United States)

    Triponez, Frédéric; Alifano, Marco; Bobbio, Antonio; Regnard, Jean-François

    2010-10-01

    Non-traumatic, spontaneous diaphragmatic rupture is a rare event whose pathophysiology is not known. We report the case of endometriosis-related spontaneous rupture of the right diaphragm with intrathoracic herniation of the liver, gallbladder and colon. We hypothesize that the invasiveness of endometriotic tissue caused diaphragm fragility, which finally lead to its complete rupture without traumatic event. The treatment consisted of a classical management of diaphragmatic rupture, with excision of the endometriotic nodule followed by medical ovarian suppression for six months.

  14. ACL Rupture in Collegiate Wrestler

    Directory of Open Access Journals (Sweden)

    Lindsay A. Palmer

    2016-05-01

    Full Text Available Objective: To educate others on unique Anterior Cruciate Ligament tears and percentage of usage of the ACL in normal daily function. Background: Patient is an eighteen year old male participating in wrestling and football at the time of the injury. Patient now only participates in wrestling. No previous knee or chronic injuries were reported prior to this injury. Patient was playing football during the time of injury. The patient stated that he planted his foot down and was tackled at the same time when the injury occurred. The patient felt his knee twist and buckle. Patient complained of clicking inside the knee and had minimal swelling. He also complained of it being difficult to bear weight at the time. The patient did not seek further treatment until two months after the injury occurred when he received an MRI. His MRI showed a positive finding for an Anterior Cruciate Ligament rupture. His previous Athletic Trainer could not find a positive diagnosis for the patient prior to the MRI. Differential Diagnosis: Possible meniscal or ACL injury. Treatment: Doctors officially diagnosed the injury as a complete rupture of the ACL. The patient did not receive surgery immediately. Doctors have stated that he only uses about 50% of his ACL on a daily basis compared to a normal person who uses about 95% of their ACL daily. Because of this, the patient played on his rupture for seven months before receiving surgery. He played a whole season of high school football and a whole season of wrestling his senior year with the ACL ruptured. The patient only used a brace for better comfort during the seven months. The patient then received reconstructive surgery to repair the rupture. A hamstring tendon graft was used to repair the ruptured ACL. Because a tendon was taken from the hamstring, patient experienced a tight ACL and hamstring of the left leg post-surgery. The patient participated in Physical Therapy for five months to strengthen and stretch the new

  15. High temperature deformation behavior of gradually pressurized zircaloy-4 tubes

    International Nuclear Information System (INIS)

    Suzuki, Motoye

    1982-03-01

    In order to obtain preliminary perspectives on fuel cladding deformation behavior under changing temperature and pressure conditions in a hypothetical loss-of-coolant accident of PWR, a Zircaloy-4 tube burst test was conducted in both air and 99.97% Ar atomospheres. The tubes were directly heated by AC-current and maintained at various temperatures, and pressurized gradually until rupture occurred. Rupture circumferential strains were generally larger in Ar gas than in air and attained a maximum around 1100 K in both atmospheres. Some tube tested in air produced axially-extended long balloons, which proved not to be explained by such properties or ideas as effect of cooling on strain rate, superplasticity, geometrical plastic instability and stresses generated by surface oxide layer. A cause of the long balloon may be obtained in the anisotropy of the material structure. But even a qualitative analysis based on this property can not be made due to insufficient data of the anisotropy. (author)

  16. 46 CFR 64.61 - Rupture disc.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Rupture disc. 64.61 Section 64.61 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MARINE PORTABLE TANKS AND CARGO HANDLING SYSTEMS Pressure Relief Devices and Vacuum Relief Devices for MPTs § 64.61 Rupture disc. If a rupture disc...

  17. A Retrospective Analysis of Ruptured Breast Implants

    Directory of Open Access Journals (Sweden)

    Woo Yeol Baek

    2014-11-01

    Full Text Available BackgroundRupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants.MethodsWe performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone, duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management.ResultsForty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case, microfat graft (2 case, removal only (14 case, and follow-up loss (17 case.ConclusionsSaline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs.

  18. Tracheostomy tube - eating

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000464.htm Tracheostomy tube - eating To use the sharing features on ... when you swallow foods or liquids. Eating and Tracheostomy Tubes When you get your tracheostomy tube, or ...

  19. Eustachian tube patency

    Science.gov (United States)

    Eustachian tube patency refers to how much the eustachian tube is open. The eustachian tube runs between the middle ear and the throat. It controls the pressure behind the eardrum and middle ear space. This helps keep ...

  20. Risk factors and perinatal outcome of uterine rupture in a low-resource setting.

    Science.gov (United States)

    Igwegbe, Anthony Osita; Eleje, George Uchenna; Udegbunam, Onyebuchi Izuchukwu

    2013-11-01

    Uterine rupture has continued to be a catastrophic feature of obstetric practice especially in the low-resource settings. This study determined the incidence, predisposing factors, treatment options and feto-maternal outcome of ruptured uterus. A 10-year retrolective study of all cases of uterine ruptures that were managed in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria between 1st January, 2001 and 31st December, 2010 was undertaken. The proforma was initially used for data collection, which was transferred to a data sheet before entering them into the Epi-info software. Analysis was done using Epi info 2008 (version 3.5.1). Out of 5,585 deliveries over the study period, 47 had uterine rupture, giving an incidence of 0.84% or 1 in 119 deliveries. All the patients were multiparous and majority (63.8%) was unbooked. Traumatic (iatrogenic) rupture predominated (72.1%). Uterine repair with (55.8%) or without (34.9%) bilateral tubal ligation was the commonest surgery performed. Case fatality rate was 16.3%, while the perinatal mortality rate was 88.4%. Average duration of hospitalization following uterine rupture was 10.3 days. Uterine rupture constituted a major obstetric emergency in the study hospital and its environs. The incidence, maternal and perinatal mortalities were high. The traumatic/iatrogenic ruptures constituted the majority of cases, hence, majority of the cases are preventable. There is therefore a dire need for education of our women on health-related issues, utilization of available health facilities, adequate supervision of labour and provision of facilities for emergency obstetric care.

  1. Heat exchanger tube mounts

    Science.gov (United States)

    Wolowodiuk, W.; Anelli, J.; Dawson, B.E.

    1974-01-01

    A heat exchanger in which tubes are secured to a tube sheet by internal bore welding is described. The tubes may be moved into place in preparation for welding with comparatively little trouble. A number of segmented tube support plates are provided which allow a considerable portion of each of the tubes to be moved laterally after the end thereof has been positioned in preparation for internal bore welding to the tube sheet. (auth)

  2. Medical image of the week: stomach rupture

    Directory of Open Access Journals (Sweden)

    Raschke RA

    2018-01-01

    Full Text Available No abstract available. Article truncated at 150 words. A 61-year-old man was transferred from another hospital for further care. He had a history of oxygen-dependent chronic obstructive pulmonary disease in addition to congestive heart failure, hypertension and diabetes mellitus. He had been seen earlier in the day at his primary care physician’s office for a routine visit. Although he was asymptomatic, emergency medical services (EMS were called because of significant hypoxemia detected by pulse oximetry. EMS noted that the patient said he “feels OK”. However, a decision was made to intubate the patient. Multiple failed intubation attempts failed and he suffered a cardiopulmonary arrest. He was successfully resuscitated and underwent a cricotracheotomy with an uncuffed endotracheal tube. When transferred his mouth was taped shut and his nose clamped. His abdomen was markedly distended and tympanic (Figure 1. A supine chest x-ray showed air under the diaphragm. Abdominal exploration showed a ruptured stomach which was repaired. He made an …

  3. Tube holding system

    International Nuclear Information System (INIS)

    Cunningham, R.C.

    1978-01-01

    A tube holding rig is described for the lateral support of tubes arranged in tight parcels in a heat exchanger. This tube holding rig includes not less than two tube supporting assemblies, with a space between them, located crosswise with respect to the tubes, each supporting assembly comprising a first set of parallel components in contact with the tubes, whilst a second set of components is also in contact with the tubes. These two sets of parts together define apertures through which the tubes pass [fr

  4. Unique case of esophageal rupture after a fall from height

    Directory of Open Access Journals (Sweden)

    van Berge Henegouwen Mark I

    2009-12-01

    Full Text Available Abstract Background Traumatic ruptures of the esophagus are relatively rare. This condition is associated with high morbidity and mortality. Most traumatic ruptures occur after motor vehicle accidents. Case Presentation We describe a unique case of a 23 year old woman that presented at our trauma resuscitation room after a fall from 8 meters. During physical examination there were no clinical signs of life-threatening injuries. She did however have a massive amount of subcutaneous emphysema of the chest and neck and pneumomediastinum. Flexible laryngoscopy revealed a lesion in the upper esophagus just below the level of the upper esophageal sphincter. Despite preventive administration of intravenous antibiotics and nutrition via a nasogastric tube, the patient developed a cervical abscess, which drained spontaneously. Normal diet was gradually resumed after 2.5 weeks and the patient was discharged in a reasonable condition 3 weeks after the accident. Conclusions This case report presents a high cervical esophageal rupture without associated local injuries after a fall from height.

  5. Ruptured Tendons in Anabolic-Androgenic Steroid Users: A Cross-Sectional Cohort Study.

    Science.gov (United States)

    Kanayama, Gen; DeLuca, James; Meehan, William P; Hudson, James I; Isaacs, Stephanie; Baggish, Aaron; Weiner, Rory; Micheli, Lyle; Pope, Harrison G

    2015-11-01

    Accumulating case reports have described tendon rupture in men who use anabolic-androgenic steroids (AAS). However, no controlled study has assessed the history of tendon rupture in a large cohort of AAS users and comparison nonusers. Men reporting long-term AAS abuse would report an elevated lifetime incidence of tendon rupture compared with non-AAS-using bodybuilders. Cohort study; Level of evidence, 3. Medical histories were obtained from 142 experienced male bodybuilders aged 35 to 55 years recruited in the course of 2 studies. Of these men, 88 reported at least 2 years of cumulative lifetime AAS use, and 54 reported no history of AAS use. In men reporting a history of tendon rupture, the circumstances of the injury, prodromal symptoms, concomitant drug or alcohol use, and details of current and lifetime AAS use (if applicable) were recorded. Surgical records were obtained for most participants. Nineteen (22%) of the AAS users, but only 3 (6%) of the nonusers, reported at least 1 lifetime tendon rupture. The hazard ratio for a first ruptured tendon in AAS users versus nonusers was 9.0 (95% CI, 2.5-32.3; P < .001). Several men reported 2 or more independent lifetime tendon ruptures. Interestingly, upper-body tendon ruptures occurred exclusively in the AAS group (15 [17%] AAS users vs 0 nonusers; risk difference, 0.17 [95% CI, 0.09-0.25]; P < .001 [hazard ratio not estimable]), whereas there was no significant difference between users and nonusers in risk for lower-body ruptures (6 [7%] AAS users, 3 [6%] nonusers; hazard ratio, 3.1 [95% CI, 0.7-13.8]; P = .13). Of 31 individual tendon ruptures assessed, only 6 (19%) occurred while weightlifting, with the majority occurring during other sports activities. Eight (26%) ruptures followed prodromal symptoms of nonspecific pain in the region. Virtually all ruptures were treated surgically, with complete or near-complete ultimate restoration of function. AAS abusers, compared with otherwise similar bodybuilders, showed

  6. A study on integrity of LMFBR secondary cooling system to hypothetical tube failure propagation in the steam generator

    International Nuclear Information System (INIS)

    Yoshihisa Shindo; Kazuo Haga

    2005-01-01

    Full text of publication follows: A fundamental safety issue of liquid-metal-cooled fast breeder reactor (LMFBR) is to maintain the integrity of the secondary cooling system components against violent chemical sodium-water reaction caused by the water leak from the heat transfer tube of steam generators (SG). The produced sodium-water reaction jet would attack more severely surrounding tubes and would cause other tube failures (tube failure propagation), if it was assumed that the water leak was not detected by function-less detectors and proper operating actions to mitigate the tube failure propagation, such as isolations of the SG from the secondary cooling system and turbine water/steam system, and blowing water and steam inside tubes in the SG, were not taken. This study has been made focusing on the affection of large-scale water leak enlarged due to SG tube failure propagation to the structural integrity of the secondary cooling system because the generated pressure pulse caused by a large-scale sodium-water reaction might break heat transfer tubes of the intermediate heat exchanger (IHX). The present work has been made as one part of the study of probabilistic safety assessment (PSA) of LMFBR, because if the heat-transfer tubes of IHX were failed, the reactor core may be affected by the pressure pulse and/or by the sodium-water reaction products transported through the primary cooling system. As tools for PSA of the water leak incident of SG, we have developed QUARK-LP Version 4 code that mainly analyzes the high temperature rupture phenomena and estimates the number of failed tubes during the middle-scale water leak. The pressure pulse behavior generated by sodium-water reaction in the failure SG and the pressure propagation in the secondary cooling system are calculated by using the SWAAM-2 code developed by ANL. Furthermore, the quasi-steady state high pressure and temperature of the secondary cooling system in a long term is estimated by using the SWAAM

  7. Renal allograft rupture: US diagnosis

    International Nuclear Information System (INIS)

    Maklad, N.F.

    1987-01-01

    The US appearances in seven pathologically and/or surgically proved cases of renal allograft rupture are presented. These include a triangular or amorphous echogenic area in the cortex and medulla in a polar location, an echogenic band or wavy, branching anechoic lines in the hyperechoic region, a subcapsular hematoma, and an extrarenal hematoma in direct continuity with the echogenic area. Duplex Doppler examination in renal allograft rupture shows marked reduction of absence of the diastolic component of the velocity waveform in the arcuate and interlobar arteries, with reduction in amplitude of the systolic wave form. Correlation of the US appearances with gross and microscopic pathologic findings indicates that the echogenic area is due to an intrarenal hematoma, while the echogenic band represents the cortical laceration with adherent blood clots. The US-duplex Doppler examination should be the primary diagnostic modality in this life-threatening condition

  8. Plasticité et Rupture

    OpenAIRE

    Marigo, Jean-Jacques

    2016-01-01

    Engineering school; Ce cours a un double objectif:1. renforcer les notions de mécanique des milieux continus;2. présenter les concepts fondamentaux de la plasticité et de la rupture, premiers exemples du comportement irréversible des solides.En conséquence, le cours sera divisé en trois parties: une consacrée à l'élasticité, une deuxième à la plasticité et la troisième à la mécanique de la rupture. Partie Elasticité:On commencera par un rappel sur les concepts fondamentaux de la mécanique des...

  9. The Risk of Achilles Tendon Rupture in the Patients with Achilles Tendinopathy: Healthcare Database Analysis in the United States

    Directory of Open Access Journals (Sweden)

    Youichi Yasui

    2017-01-01

    Full Text Available Introduction. Disorders of the Achilles tendon can be broadly classified into acute and chronic entities. Few studies have established chronic Achilles tendinopathy as a precursor to acute Achilles ruptures. In this study, we assessed the relationship between Achilles tendinopathy and rupture, clarifying the incidence of rupture in the setting of underlying tendinopathy. Methods. The United Healthcare Orthopedic Dataset from the PearlDiver Patient Record Database was used to identify patients with ICD-9 codes for Achilles rupture and/or Achilles tendinopathy. The number of patients with acute rupture, chronic tendinopathy, and rupture following a prior diagnosis of tendinopathy was assessed. Results. Four percent of patients with an underlying diagnosis of Achilles tendinopathy went on to sustain a rupture (7,232 patients. Older patients with tendinopathy were most vulnerable to subsequent rupture. Conclusions. The current study demonstrates that 4.0% of patients who were previously diagnosed with Achilles tendinopathy sustained an Achilles tendon rupture. Additionally, older patients with Achilles tendinopathy were most vulnerable. These findings are important as they can help clinicians more objectively council patients with Achilles tendinopathy.

  10. X-ray tube

    International Nuclear Information System (INIS)

    Mayo, B.J.

    1980-01-01

    An x-ray tube in which the x-ray origin is scanned on a circle around the patient, comprises a ring-shaped anode, an electron beam travelling along a circular path being deflected onto the anode at the desired positions. The electron beam path may be in a plane parallel to the anode and perhaps at the same radius. It may be in the same plane as a transmission target/anode and at a greater radius. The anode should extend over at least 180 0 although it may extend to 360 0 . Electrostatic means may be provided to constrain the beam to the circular path and further electrostatic means deflect it to the anode of the beam and ensure it is focused at the point of incidence. Collimators provide a planar fan-shaped beam and the anode may be shaped to attenuate side lobes of the radiation. Electrode collects electrons not deflected. The focal regions may be adjacent or otherwise. Coils may provide periodic focusing to overcome space charge dispersion and dynamic adjustment of the focusing before deflection ensures focusing at target incidence. Focusing may be absent near the deflection region, and current in the coil section near the focal region should be zero. (author)

  11. Repeat acute abdomen and hemoperitoneum during the same pregnancy due to a ruptured ectopic treated by salpingostomy.

    Science.gov (United States)

    Canelas, Caroline M; Shih, Richard D; Clayton, Lisa M; Giroski, Laura J; Alter, Scott M; Feinstein, Stacey; Learman, Lee A

    2017-06-01

    A leading cause of maternal mortality in the first trimester is hemorrhage due to a ruptured ectopic pregnancy. With the advent of tube salvage surgery, ectopic pregnancies can be removed while ensuring hemostasis and preserving the integrity of the fallopian tube. A major drawback of tube salvage surgery is the significant risk of persistent trophoblastic tissue being left behind. We report a case of a 30year old female who presented to the ED with acute abdomen and hemoperitoneum due to a ruptured ectopic pregnancy. She was treated with salpingostomy and the pathologic report confirmed removal of the ectopic pregnancy. After an initially uneventful post-operative recovery, she presented to the ED 27days later with signs of acute abdomen and hemoperitoneum. Surgical intervention confirmed a ruptured ectopic pregnancy in the same site as previous, and salpingectomy was performed, after which the patient recovered without complications. The increased risk of persistent trophoblastic tissue associated with tube salvage surgery can lead to subsequent reoperation for tubal rupture. Patients undergoing these procedures should be closely monitored in the following weeks and undergo serial β-hCG testing in order to confirm successful removal of the ectopic. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. In-Pile creep rupture properties of ODS ferritic steel claddings

    International Nuclear Information System (INIS)

    Kaito, T.; Uwaba, T.; Mizuta, S.; Ito, C.; Kagota, E.; Kitamura, R.; Ohtsuka, S.; Inoue, M.; Asayama, T.; Ukai, S.; Furukawa, T.; Inoue, T.

    2007-01-01

    Full text of publication follows: Oxide Dispersion Strengthened (ODS) ferritic steels are the most prospective material for both advanced sodium cooled fast breeder reactor (SFR) fuels and fusion reactor components. In the SFR core, superior radiation resistance and high temperature capability are essential for fuel pin cladding tubes which will be exposed to high neutron doses up to 250 dpa relevant to peak burnup of 250 GWd/t in high temperature flowing sodium ranging from 673 K to 973 K. Japan Atomic Energy Agency (JAEA) has been developing two types of ODS steels, which are 9Cr-ODS steel (9Cr-0.13C-2W-0.2Ti-0.35Y 2 O 3 ) and 12Cr-ODS steel (12Cr-0.05C-2W-0.3Ti-0.25Y 2 O 3 ). For the cladding tubes, internal creep rupture strength is one of the most important properties; for example, internal pressure gradually increases with burnup and finally reaches at 120 MPa in the highest burnup fuel pins. In order to examine irradiation effect on creep rupture strength of the ODS steels, an in-pile internal creep rupture test has been conducted in the experimental fast reactor JOYO using Material Testing Rig with Temperature Control (MARICO). Twenty-four pressurized tube specimens made from both 9Cr- and 12Cr-ODS steels have been irradiated at temperatures of 943 K, 973 K and 1023 K up to 20 dpa. Hoop stress for each specimen was varied with filling helium gas volume to attain predetermined pressure ranging from 45 MPa to 155 MPa at desired test temperature. Small amount of xenon and krypton mixed gas with unique isotopic composition was also filled into each specimen and released into cover gas systems after creep rupture in order to identify its creep rupture time by analyzing gas species by means of Laser Resonance Ionization Mass Spectrometry (RIMS). In MARICO test, 14 creep ruptures have been detected by the end of February 2007. Up to now, no irradiation effect on creep rupture strength of the ODS steels has been distinguished. This indicates that nanometer size

  13. Plugging criteria for WWER SG tubes

    Energy Technology Data Exchange (ETDEWEB)

    Papp, L.; Wilam, M. [Vitkovice NPP Services (Switzerland); Herman, M. [Vuje, Trnava (Slovakia)

    1997-12-31

    At operated Czech and Slovak nuclear power plants the 80 % criteria for crack or other bulk defect depth is used for steam generator heat exchanging tubes plugging. This criteria was accepted as the recommendation of designer of WWER steam generators. Verification of this criteria was the objective of experimental program performed by Vitkovice, J.S.C., UJV Rez, J.S.C. and Vuje Trnava, J.S.C .. Within this program the following factors were studied: (1) Influence of secondary water chemistry on defects initiation and propagation, (2) Statistical evaluation of corrosion defects progression at operated SG, and (3) Determination of critical pressure for tube rupture as a function of eddy current indications. In this presentation items (2) and (3) are considered.

  14. A probabilistic method for leak-before-break analysis of CANDU reactor pressure tubes

    Energy Technology Data Exchange (ETDEWEB)

    Puls, M.P.; Wilkins, B.J.S.; Rigby, G.L. [Whiteshell Labs., Pinawa (Canada)] [and others

    1997-04-01

    A probabilistic code for the prediction of the cumulative probability of pressure tube ruptures in CANDU type reactors is described. Ruptures are assumed to result from the axial growth by delayed hydride cracking. The BLOOM code models the major phenomena that affect crack length and critical crack length during the reactor sequence of events following the first indications of leakage. BLOOM can be used to develop unit-specific estimates of the actual probability of pressure rupture in operating CANDU reactors and supplement the existing leak before break analysis.

  15. The rupture in visual language:

    OpenAIRE

    Kula, Ömür; Kula, Omur

    2006-01-01

    The shift of arts from conventional forms of canvas-painting and sculpture to collage, ready-mades, installations and performances as it had occurred in the history of western art follow a linear and natural unfolding in parallel with sociopolitical evolvements. In the case of Turkish visual arts, this kind of a transformation projects to the time period between 1960s to 1990s where the face of arts change not smoothly but rather in the form of a 'rupture' as new tendencies are embraced, prac...

  16. Espaces ruraux et ruptures territoriales

    OpenAIRE

    Hilal , Mohamed; Détang-Dessendre , Cécile; Schaeffer , Yves

    2013-01-01

    Sur une grande partie du territoire métropolitain, villes et campagnes font système et échangent quotidiennement des ressources. Néanmoins, certains espaces restent en creux du maillage urbain, qu’il soit principal ou secondaire. Cet éloignement peut être à l’origine de désavantages dans de nombreuses dimensions de l’existence et c’est de ces ruptures dans l’accès aux avantages urbains que traite ce chapitre. L’éclairage proposé est organisé en trois temps. La première section situe les espac...

  17. Neck curve polynomials in neck rupture model

    International Nuclear Information System (INIS)

    Kurniadi, Rizal; Perkasa, Yudha S.; Waris, Abdul

    2012-01-01

    The Neck Rupture Model is a model that explains the scission process which has smallest radius in liquid drop at certain position. Old fashion of rupture position is determined randomly so that has been called as Random Neck Rupture Model (RNRM). The neck curve polynomials have been employed in the Neck Rupture Model for calculation the fission yield of neutron induced fission reaction of 280 X 90 with changing of order of polynomials as well as temperature. The neck curve polynomials approximation shows the important effects in shaping of fission yield curve.

  18. Traumatic rupture of an intracranial dermoid cyst

    Directory of Open Access Journals (Sweden)

    Raksha Ramlakhan, BMedSc, MBBCh

    2015-01-01

    Full Text Available Intracranial dermoid cysts are congenital tumors of ectodermal origin. Rupture of these cysts can occur spontaneously, but rupture in association with trauma is reported infrequently. The diagnosis of rupture is made by the presence of lipid (cholesterol droplets in the subarachnoid spaces and ventricles. Nonenhanced CT of the head demonstrates multiple foci of low attenuation that correspond with hyperintense signal on T1-weighted MRI. We present a case of an adult patient with rupture of an intracranial dermoid cyst, precipitated by minor trauma.

  19. Umbilical hernia rupture with evisceration of omentum from massive ascites: a case report.

    LENUS (Irish Health Repository)

    Good, Daniel W

    2011-01-01

    The incidence of hernias is increased in patients with alcoholic liver disease with ascites. To the best of our knowledge, this is the first report of an acute rise in intra-abdominal pressure from straining for stool as the cause of a ruptured umbilical hernia.

  20. Risk factors and perinatal outcome of uterine rupture in a low ...

    African Journals Online (AJOL)

    The proforma was initially used for data collection, which was transferred to a data sheet before entering them into the Epi-info software. Analysis was done using Epi info 2008 (version 3.5.1). Results: Out of 5,585 deliveries over the study period, 47 had uterine rupture, giving an incidence of 0.84% or 1 in 119 deliveries.

  1. Comparison of Clinical Outcomes of Intracranial Aneurysms: Procedural Rupture versus Spontaneous Rupture.

    Science.gov (United States)

    Choi, H H; Ha, E J; Lee, J J; Yoo, D H; Cho, W-S; Kim, J E; Cho, Y D; Han, M H; Kang, H-S

    2017-11-01

    Procedural rupture of an intracranial aneurysm is a devastating complication in endovascular treatment. The purpose of this study was to evaluate the clinical outcomes of patients with procedural rupture of unruptured saccular intracranial aneurysms compared with those with spontaneously ruptured aneurysms. A retrospective review was performed for 1340 patients with 1595 unruptured saccular intracranial aneurysms that underwent endovascular coil embolization between February 2010 and December 2014. The clinical outcomes of patients with procedural rupture of unruptured saccular intracranial aneurysms were compared with those of 198 patients presenting with spontaneously ruptured aneurysms. In this series, procedural rupture developed in 19 patients (1.4% per patient and 1.2% per aneurysm), and the morbidity related to procedural rupture was 26.3% (95% confidence interval, 8.5%-61.4%) with no mortality. Hunt and Hess scale grades and hospitalization days of patients with procedural rupture were equivalent to those of patients presenting with spontaneous aneurysm rupture. Subsequent treatment procedures after hemorrhage (including lumbar drainage, extraventricular drainage, decompressive craniectomy, and permanent shunt) showed no difference between the 2 groups. The hemorrhage volumes were smaller in the procedural-rupture group ( P = .03), and the endovascular vasospasm therapies tended to be more frequently required in the spontaneous aneurysm-rupture group ( P = .08). At postictus 6 months, the proportion of modified Rankin Scale scores of ≥2 were lower in the procedural-rupture group (5.3% versus 26.8%, P = .049). In multivariate analysis, spontaneous aneurysm rupture was a significant risk factor for worse clinical outcome (OR = 14.9; 95% CI, 1.2-193.1; P = .039). This study showed better clinical outcomes in the procedural-rupture group. Even though there is a potential chance of aneurysm rupture during treatment, the clinical outcomes after procedural

  2. A change in humidification system can eliminate endotracheal tube occlusion.

    Science.gov (United States)

    Doyle, Alex; Joshi, Manasi; Frank, Peter; Craven, Thomas; Moondi, Parvez; Young, Peter

    2011-12-01

    Inadequate airway humidification can result in endotracheal tube occlusion. There is evidence that heat and moisture exchangers (HMEs) are more prone to endotracheal tube occlusion than heated humidifiers (HHs) that contain a heated wire circuit. We aimed to compare the incidence of endotracheal tube occlusion while introducing a new dual-heated wire circuit HH in place of an established hydrophobic HME. This was a prospective observational study. All patients who required intubation were included in our analysis. Univariate statistical analysis was performed using a Fisher exact test. P humidification exclusively by HH. In the subsequent 18-month period, there were no further episodes of endotracheal tube occlusion. Our study demonstrates that there is a significant increase in the incidence of endotracheal tube occlusion when using a hydrophobic HME compared with an HH and that using a dual-heated wire circuit HH can eliminate endotracheal tube occlusion. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Non-bleeding Spontaneous Rupture of Hepatocellular Carcinoma ...

    African Journals Online (AJOL)

    Non-bleeding Spontaneous Rupture of Hepatocellular Carcinoma. M Islam, P Deka, R Kapur, AM Ansari. Abstract. Rupture of hepatocellular carcinoma (HCC) is not uncommon and most ruptured HCC present with hemoperitoneum and hemorrhagic shock. Management of ruptured HCC is different than non.ruptured one.

  4. Influence of atmospheric pressure on infrarenal abdominal aortic aneurysm rupture.

    Science.gov (United States)

    Robert, Nicolas; Frank, Michael; Avenin, Laure; Hemery, Francois; Becquemin, Jean Pierre

    2014-04-01

    Meteorologic conditions have a significant impact on the occurrence of cardiovascular events. Previous studies have shown that abdominal aortic aneurysm rupture (AAAR) may be associated with atmospheric pressure, with conflicting results. Therefore, we aimed to further investigate the nature of the correlation between atmospheric pressure variations and AAAR. Hospital admissions related to AAAR between 2005-2009 were assessed in 19 districts of metropolitan France and correlated with geographically and date-matched mean atmospheric pressures. In parallel and from 2005-2009, all fatal AAARs as reported by death certificates were assessed nationwide and correlated to local atmospheric pressures at the time of aortic rupture. Four hundred ninety-four hospital admissions related to AAAR and 6,358 deaths nationwide by AAAR were identified between 2005-2009. Both in-hospital ruptures and aneurysm-related mortality had seasonal variations, with peak/trough incidences in January and June, respectively. Atmospheric pressure peaks occurred during winter. Univariate analysis revealed a significant association (P atmospheric pressure values and AAAR. After multivariate analysis, mean maximum 1-month prerupture atmospheric pressure had a persistent correlation with both in-hospital relative risk (1.05 [95% confidence interval: 1.03-1.06]; P atmospheric pressure. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. Post eclamptic aneurysmal rupture subarachnoid haemorrhage diagnosed in the puerperium

    International Nuclear Information System (INIS)

    Coolen, Teresa

    2006-01-01

    The incidence of subarachnoid and/or intracerebral haemorrhage in women during pregnancy is rare. The risk depends on the stage of pregnancy, but seems to be highest during the late third trimester, during delivery and in the puerperium. Headache can be a symptom of both preeclampsia, subarachnoid haemorrhage and other pathologies or conditions. It is essential for pregnant women with a suspected ruptured aneurysm to be investigated and treated without delay, irrespective of fear of harm to the foetus, to avoid complications from aneurysm rupture. This case study presents a 39-year-old woman who was 35 weeks and 3 days pregnant with known preeclampsia. She endured a headache for the three days leading up to the delivery with associated diplopia on the third day, but these symptoms were thought to be related to her preeclampsia. Over the three hours following childbirth, her headache became more severe and she suffered from vomiting, loss of vision, torticollis and seizures. Computed tomography (CT) of her head revealed a subarachnoid haemorrhage while CT angiography of the Circle of Willis failed to reveal an aneurysm and 4-vessel angiography only demonstrated an area slightly suspicious for the presence of an aneurysm. 3D rotational angiography clearly demonstrated a 1-2 mm aneurysm superior to the left terminal internal carotid artery. In this case, 3D rotational angiography proved to be a valuable additional technique. This patient underwent surgery for her ruptured aneurysm and has made an excellent recovery

  6. Warming Endotracheal Tube in Blind Nasotracheal Intubation throughout Maxillofacial Surgeries

    Directory of Open Access Journals (Sweden)

    Hamzeh Hosseinzadeh

    2013-12-01

    Conclusion: In conclusion, our study showed that using an endotracheal tube softened by warm water could reduce the incidence and severity of epistaxis during blind nasotracheal intubation; however it could not facilitate blind nasotracheal intubation.

  7. Tracheostomy tube - speaking

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000465.htm Tracheostomy tube - speaking To use the sharing features on ... are even speaking devices that can help you. Tracheostomy Tubes and Speaking Air passing through vocal cords ( ...

  8. X-ray tubes

    International Nuclear Information System (INIS)

    Young, R.W.

    1979-01-01

    A form of x-ray tube is described which provides satisfactory focussing of the electron beam when the beam extends for several feet from gun to target. Such a tube can be used for computerised tomographic scanning. (UK)

  9. Neural Tube Defects

    Science.gov (United States)

    Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the ... that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In ...

  10. Jejunostomy feeding tube

    Science.gov (United States)

    ... may replace the tube every now and then. Cleaning the Skin Around the J-tube To clean ... this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial ...

  11. Structural and leakage integrity assessment of WWER steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Splichal, K.; Otruba, J. [Nuclear Research Inst., Rez (Switzerland)

    1997-12-31

    The integrity of heat exchange tubes may influence the life-time of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirement is to assure a very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evolution and heat exchange tubes plugging based on eddy current test inspection. The stress corrosion cracking and pitting are the main corrosion damage of WWER heat exchange tubes and are initiated from the outer surface. They are influenced by water chemistry, temperature and tube wall stress level. They take place under crevice corrosion condition and are indicated especially (1) under the tube support plates, where up to 90-95 % of defects detected by the ECT method occur, and (2) on free spans under tube deposit layers. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through-wall cracks, oriented above all in the axial direction. 10 refs.

  12. Designing a feedback control algorithm for the tube hydroforming process

    DEFF Research Database (Denmark)

    Endelt, Benny Ørtoft; Cheng, Ming; Zhang, Shihong

    2013-01-01

    feeding). The objective of the present work is to identify a suitable and representative set of state variables and to develop a feedback algorithm enabling online control of material flow throughout the part using only limited/local information regarding the filling of the tool cavity. The filling...... to the dynamic behavior of the system and the numerical tests show that it is possible to control the quality and plastic deformation of the tube. Numerical simulations show that the control system can eliminate both rupture and irreversible wrinkling - which are the two major failure modes in tube hydroforming....

  13. Treatment of traumatic rupture of the thoracic aorta

    Directory of Open Access Journals (Sweden)

    Davidović Lazar

    2008-01-01

    Full Text Available INTRODUCTION Interest for traumatic thoracic aorta rupture stems from the fact that its number continually increases, and it can be rapidly lethal. OBJECTIVE The aim of this study is to present early and long term results as well as experiences of our team in surgical treatment of traumatic thoracic aorta rupture. METHOD Our retrospective study includes 12 patients with traumatic thoracic aorta rupture treated between 1985 and 2007. There were 10 male and two female patients of average age 30.75 years (18-74. RESULTS In six cases, primary diagnosis was established during the first seven days days after trauma, while in 6 more than one month later. In 11 cases, classical open surgical procedure was performed, while endovascular treatment was used in one patient. Three (25% patients died, while two (16.6% had paraplegia. Nine patients (75% were treated without complications, and are in good condition after a mean follow-up period of 9.7 years (from one month to 22 years. CONCLUSION Surgical treatment requires spinal cord protection to prevent paraplegia, using cardiopulmonary by-pass (three of our cases or external heparin-bonded shunts (five of our cases. Cardiopulmonary by-pass is followed with lower incidence of paraplegia, however it is not such a good solution for patients with polytrauma because of hemorrhage. The endovascular repair is a safe and feasible procedure in the acute phase, especially because of traumatic shock and polytrauma which contributes to higher mortality rate after open surgery. On the other hand, in chronic postrauamatic aortic rupture, open surgical treatment is connected with a lower mortality rate and good long-term results. There have been no published data about long-term results of endovascular treatment in the chronic phase.

  14. Review of damages of nuclear power plants steam generator's tubes and way of detecting by using eddy current method

    International Nuclear Information System (INIS)

    Stanic, D.

    1996-01-01

    Steam generator tubing integrity is very important factor for reliable and safe operation of NPP. Several different types of tube degradation mechanisms were experienced in SG operation. To avoid possible tube rupture and primary-to-secondary leak, the EC examination of tubing should be performed. Different eddy current techniques may be used for detecting defects and theirs characterization. A comparison of data analysis results with pulled tube destructive metallography results can provide valuable insights in determining the capability of existing technology and provide guidance for procedure or technology improvements. (author)

  15. Uterine rupture: A seven year review at a tertiary care hospital in New Delhi, India

    Directory of Open Access Journals (Sweden)

    Maruti Sinha

    2016-01-01

    Full Text Available Objective: To identify the obstetric risk factors, incidence, and causes of uterine rupture, management modalities, and the associated maternal and perinatal morbidity and mortality in one of the largest tertiary level women care hospital in Delhi. Materials and Methods: A 7-year retrospective analysis of 47 cases of uterine rupture was done. The charts of these patients were analyzed and the data regarding demographic characteristics, clinical presentation, risk factors, management, operative findings, maternal and fetal outcomes, and postoperative complications was studied. Results: The incidence of rupture was one in 1,633 deliveries (0.061%. The vast majority of patients had prior low transverse cesarean section (84.8%. The clinical presentation of the patients with rupture of the unscarred uterus was more dramatic with extensive tears compared to rupture with scarred uterus. The estimated blood loss ranged from 1,200 to 1,500 cc. Hemoperitoneum was identified in 95.7% of the patient and 83% of the patient underwent repair of rent with or without simultaneous tubal ligation. Subtotal hysterectomy was performed in five cases. There were no maternal deaths in our series. However, there were 32 cases of intrauterine fetal demise and five cases of stillbirths. Conclusions: Uterine rupture is a major contributor to maternal morbidity and neonatal mortality. Four major easily identifiable risk factors including history of prior cesarean section, grand multiparity, obstructed labor, and fetal malpresentations constitute 90% of cases of uterine rupture. Identification of these high risk women, prompt diagnosis, immediate transfer, and optimal management needs to be overemphasized to avoid adverse fetomaternal complications.

  16. Nasogastric and feeding tubes.

    Science.gov (United States)

    Gharib, Ahmed M; Stern, Eric J; Sherbin, Vandy L; Rohrmann, Charles A

    1996-05-01

    Preview The authors' experience in a radiology department suggested to them that there is a wide range of beliefs among practitioners regarding proper placement of nasogastric and feeding tubes. Improper positioning can cause serious problems, as they explain. Indications for different tube positions, complications of incorrect tube placement, and directions for proper positioning are discussed and illustrated.

  17. Migraine before rupture of intracranial aneurysms

    DEFF Research Database (Denmark)

    Lebedeva, Elena R; Gurary, Natalia M; Sakovich, Vladimir P

    2013-01-01

    Rupture of a saccular intracranial aneurysm (SIA) causes thunderclap headache but it remains unclear whether headache in general and migraine in particular are more prevalent in patients with unruptured SIA.......Rupture of a saccular intracranial aneurysm (SIA) causes thunderclap headache but it remains unclear whether headache in general and migraine in particular are more prevalent in patients with unruptured SIA....

  18. Ruptured Retina Artery Macroaneurysm Presenting with Recurrent ...

    African Journals Online (AJOL)

    A 74-year-old hypertensive presented with recurrent vitreous haemorrhage. Examination showed a ruptured retinal arterial macroaneurysm. Control of systemic hypertension was associated with resolution. Risk factors and management are discussed. Ruptured retinal arterial macroaneurysm should be considered in ...

  19. Spontaneous Achilles tendon rupture in alkaptonuria | Mohammed ...

    African Journals Online (AJOL)

    Spontaneous Achilles tendon ruptures are uncommon. We present a 46-year-old man with spontaneous Achilles tendon rupture due to ochronosis. To our knowledge, this has not been previously reported in Sudan literature. The tendon of the reported patient healed well after debridement and primary repairs.

  20. Spontaneous rupture of choledochal cyst: case report

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Ho Seob; Nam, Kyung Jin; Lee, Jin Hwa; Kim, Chan Sung; Choi, Jong Cheol; Oh, Jong Young [Dong-a University College of Medicine, Pusan (Korea, Republic of)

    2002-11-01

    Spontaneous rupture of a choledochal cyst leading to biliary peritonitis is a rare complication which can be fatal if not promptly diagnosed. The authors report the ultrasound and CT findings of two cases of spontaneous choledochal cystic rupture and the biliary peritonitis which ensued.

  1. Coiling of ruptured pericallosal artery aneurysms.

    NARCIS (Netherlands)

    Menovsky, T.; Rooij, W.J.J. van; Sluzewski, M.; Wijnalda, D.

    2002-01-01

    OBJECTIVE: To assess the technical feasibility of treating ruptured pericallosal artery aneurysms with detachable coils and to evaluate the anatomic and clinical results. METHODS: Over a period of 27 months, 12 patients with a ruptured pericallosal artery aneurysm were treated with detachable

  2. Ruptured hepatoblastoma treated with primary surgical resection

    African Journals Online (AJOL)

    The aim of this study was to review two cases of ruptured hepatoblastoma treated with primary surgical resection. Hepatoblastoma is the most common primary liver malignancy of childhood, although it remains infrequent. A rare, but serious condition is when the tumor presents with spontaneous rupture. This is a ...

  3. Treatment alternative for irreparable rotator cuff ruptures ...

    African Journals Online (AJOL)

    Background: The treatment of massive irreparable rotator cuff rupture has still no consensus among shoulder surgeons. It is assumed that symptomatic rotator cuff tendon rupture is accepted as irreparable if retraction amount of tendon is Patte stage 3 on MRI; degree of fatty atrophy is Goutallier stage 3 or 4; narrowing of ...

  4. Rupture of esophagus by compressed air.

    Science.gov (United States)

    Wu, Jie; Tan, Yuyong; Huo, Jirong

    2016-11-01

    Currently, beverages containing compressed air such as cola and champagne are widely used in our daily life. Improper ways to unscrew the bottle, usually by teeth, could lead to an injury, even a rupture of the esophagus. This letter to editor describes a case of esophageal rupture caused by compressed air.

  5. MRI of tibialis anterior tendon rupture

    International Nuclear Information System (INIS)

    Gallo, Robert A.; DeMeo, Patrick J.; Kolman, Brett H.; Daffner, Richard H.; Sciulli, Robert L.; Roberts, Catherine C.

    2004-01-01

    Ruptures of the tibialis anterior tendon are rare. We present the clinical histories and MRI findings of three recent male patients with tibialis anterior tendon rupture aged 58-67 years, all of whom presented with pain over the dorsum of the ankle. Two of the three patients presented with complete rupture showing discontinuity of the tendon, thickening of the retracted portion of the tendon, and excess fluid in the tendon sheath. One patient demonstrated a partial tear showing an attenuated tendon with increased surrounding fluid. Although rupture of the tibialis anterior tendon is a rarely reported entity, MRI is a useful modality in the definitive detection and characterization of tibialis anterior tendon ruptures. (orig.)

  6. Triple Achilles Tendon Rupture: Case Report.

    Science.gov (United States)

    Saxena, Amol; Hofer, Deann

    We present a case report with 1-year follow-up data of a 57-year-old male soccer referee who had sustained an acute triple Achilles tendon rupture injury during a game. His triple Achilles tendon rupture consisted of a rupture of the proximal watershed region, a rupture of the main body (mid-watershed area), and an avulsion-type rupture of insertional calcific tendinosis. The patient was treated surgically with primary repair of the tendon, including tenodesis with anchors. Postoperative treatment included non-weightbearing for 4 weeks and protected weightbearing until 10 weeks postoperative, followed by formal physical therapy, which incorporated an "antigravity" treadmill. The patient was able to return to full activity after 26 weeks, including running and refereeing, without limitations. Copyright © 2017 The American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  7. Simultaneous bilateral patellar tendon rupture without

    Directory of Open Access Journals (Sweden)

    LU Hua-ding

    2012-04-01

    Full Text Available 【Abstract】There is a dearth of case reports de-scribing simultaneous bilateral patellar tendon ruptures in the medical literature. These ruptures are often associated with systemic disorders such as lupus erythematosus or chronic steroid use. The author describes a case of a 24-year-old man who sustained traumatic bilateral patellar ten-don ruptures without any history of systemic disease or steroidal medication. We repaired and reattached the rup-tured tendons to the patella and augmented our procedure with allogeneic tendon followed by wire loop reinforcement. One year after operation, the patient regained a satisfactory range of motion of both knees with good quadriceps strength and no extensor lag. The recurrent microtrauma from a history of intense sports activity and a high body mass index may have played an important role in this trauma event. Key words: Patella; Patellar ligament; Rupture; Ten-don injuries; Knee

  8. Ruptured gastroepiploic artery aneurysm: A case report

    Directory of Open Access Journals (Sweden)

    Ahmad S. Ashrafi

    Full Text Available Introduction: Gastroepiploic artery aneurysms are extremely rare, with few reported cases in the literature. The risk of rupture however, is high and thus warrants attention. Presentation of case: Here we present a rare case of a women who presented to the emergency department in shock and was found to have a ruptured gastroepiploic artery aneurysm during surgical exploration. Suture ligation of the aneurysm was completed. Discussion: Although rare, gastroepiploic artery aneurysms have up to a 90% rate of rupture and therefore require intervention. A laparoscopic approach has been described however, in cases where rupture has occurred, urgent laparotomy and control of hemorrhage is needed. Conclusion: We describe a rare case of a ruptured gastroepiploic aneurysm that was successfully managed with urgent laparotomy and aneurysmal resection. Keywords: Gastroepiploic, Aneurysm, Hemorrhage, Case report

  9. 21 CFR 868.5800 - Tracheostomy tube and tube cuff.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tracheostomy tube and tube cuff. 868.5800 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5800 Tracheostomy tube and tube cuff. (a) Identification. A tracheostomy tube and tube cuff is a device intended to be placed into a...

  10. Bronchial and cardiac ruptures due to blunt trauma.

    Science.gov (United States)

    Misao, Takahiko; Yoshikawa, Takeshi; Aoe, Motoi; Iga, Norichika; Furukawa, Masashi; Suezawa, Takanori; Tago, Mamoru

    2011-03-01

    Tracheobronchial and cardiac injuries following blunt thoracic trauma are uncommon but can be life-threatening. We report a case in which the patient with bronchial and right atrial ruptures due to blunt trauma survived after emergent repairs. An 18-year-old female driver was transported to our hospital after a traffic accident and was hemodynamically stable on arrival. Chest computed tomography revealed cervicomediastinal emphysema and hemopericardium, and fiberoptic bronchoscopy showed a tear in the right main bronchus. She was intubated with a double-lumen endotracheal tube guided by bronchoscopy. A median sternotomy was undertaken, and a laceration of the right atrium was oversewn without the use of cardiopulmonary bypass. After that, right-sided thoracotomy was performed. The tear in the membranous portion of the right main bronchus was repaired with interrupted sutures, and the suture lines were wrapped with a pedicled flap of intercostal muscle.

  11. FOETOMATERNAL AND NEONATAL OUTCOME OF PRETERM PREMATURE RUPTURE OF MEMBRANES

    Directory of Open Access Journals (Sweden)

    Kusumam Vilangot Nhalil

    2017-10-01

    Full Text Available BACKGROUND Preterm premature rupture of membrane is defined as rupture of foetal membrane before onset of labour at less than 37 completed weeks of gestation. Incidence of PPROM is around 3-10% of all deliveries. Primary complication for mother is infection and for foetus and neonate is prematurity, foetal distress, cord compression, deformation, pulmonary hypoplasia, necrotising enterocolitis and neurologic disorders. Most likely outcome is preterm delivery within 1 week. The aim of the study is to study the foetomaternal and neonatal outcome in PPROM patients and the common prevalent organism in PPROM. MATERIALS AND METHODS This is a cohort study of pregnant women from 24-37 weeks with PPROM admitted to IMCH for a period of 1 year, January 2016 to December 2016. 100 patients with PPROM were taken up for the study. The data was collected using the following inclusion and exclusion criteria. Inclusion criteria are gestational age 24-37 weeks confirmed by dates, clinical examination and ultrasound with lack of uterine contractions for at least 1 hour from PPROM; single live pregnancy in vertex presentation; PPROM confirmed by direct visualisation, neonates admitted in NICU soon after delivery. RESULTS 49% of patients with preterm premature rupture of membranes were from 18-24 years.68% of patients had a latency period of 3 weeks.15% of patients had maternal tachycardia, 4% had tenderness of uterus and 4% had leucocytosis and 14% had an elevated CRP. Thus, clinical chorioamnionitis was seen in 14% of patients, 38% of babies born had prematurity and 2% had sepsis and 19% had respiratory distress syndrome and hyperbilirubinaemia, 2% had perinatal asphyxia, 2% had anomalies, 1% had necrotising enterocolitis and 5% were NND. Common organisms were normal flora, E. coli, Streptococci and Enterococci. CONCLUSION PPROM increases the incidence of maternal morbidity with longer hospital stay due to chorioamnionitis. Neonatal morbidity is increased due to

  12. Rupture of the meniscofibular ligament

    Directory of Open Access Journals (Sweden)

    Poyanli Oguz

    2010-05-01

    Full Text Available Abstract The meniscofibular ligament is an anatomically defined ligament of the knee in humans. However, there are no data regarding the prognosis following injury to this ligament. Our case was a 42-year-old man who presented at our clinic with pain of the lateral side of his left knee. MRI of his left knee revealed the rupture of the meniscofibular ligament. The mechanism of injury was consistent with anatomical and mechanical studies of the meniscofibular ligament. The patient was treated conservatively for 1 year, but his pain did not resolve completely. A case series of patients with the same injury is required to establish an effective treatment for this rare injury.

  13. Achilles tendon rupture in athletes.

    Science.gov (United States)

    Deangelis, Joseph P; Wilson, Kristina M; Cox, Charles L; Diamond, Alex B; Thomson, A Brian

    2009-01-01

    Achilles tendon ruptures commonly affect middle-aged athletes and can result in considerable functional impairment. While the cause is multifactorial, the greatest risk is present for athletes involved in sports that involve sudden acceleration and deceleration. A thorough history and physical examination can accurately yield a diagnosis, but when question remains, magnetic resonance imaging is superior to ultrasound-guided evaluation. The best evidence available suggests that operative treatment has a lower rate of rerupture, a higher rate of return to the same level of sport participation, and a higher complication rate, if an open technique is used. Percutaneous methods of fixation have lower complication rates without an increase in the rate of rerupture when compared with open methods. Augmentation of an Achilles tendon repair has demonstrated no clinical benefit. Rehabilitation with early mobilization leads to improved patient-reported outcomes.

  14. Earthquake lights and rupture processes

    Directory of Open Access Journals (Sweden)

    T. V. Losseva

    2005-01-01

    Full Text Available A physical model of earthquake lights is proposed. It is suggested that the magnetic diffusion from the electric and magnetic fields source region is a dominant process, explaining rather high localization of the light flashes. A 3D numerical code allowing to take into account the arbitrary distribution of currents caused by ground motion, conductivity in the ground and at its surface, including the existence of sea water above the epicenter or (and near the ruptured segments of the fault have been developed. Simulations for the 1995 Kobe earthquake were conducted taking into account the existence of sea water with realistic geometry of shores. The results do not contradict the eyewitness reports and scarce measurements of the electric and magnetic fields at large distances from the epicenter.

  15. A Case Report of Ruptured Spontaneous Heterotopic Pregnancy

    Directory of Open Access Journals (Sweden)

    F Seidoshohadaei

    2008-04-01

    Full Text Available ABSTRACT: Introduction & Objective: Heterotopic pregnancy refers to the simultaneous occurrence of pregnancy intrauterine and outside of uterine corpus. It is most often manifested in women who have undergone artificial reproductive technology (ART but rarely occurs spontaneously. Heterotopic pregnancy still remains as a diagnostic and therapeutic challenge to practitioners. In this situation physicians should have high suspicion for diagnosis and intrauterine pregnancy protection. This study reported a case of ruptured spontaneous heterotopic pregnancy. Case: A 32 year-old woman with abdominal pain, nausea, vomiting and hypovolumic shock in 1386 referred to emergency department in Sanandaj hospital. She reported one previous cesarean section. On examination, the patient's abdomen was distended. She had generalized tenderness and rebound tenderness in abdomen. The ultrasonographic examination revealed large amount of fluid in pelvic and abdominal cavity with a large hematoma in right adnex but there was intrauterine pregnancy at 7 weeks with normal fetal heart activity. She underwent laparotomy for heterotopic pregnancy and ruptured tube with tubal pregnancy removed. Intrauterine pregnancy continued without problem and led to birth of a healthy female neonate. Conclusion: Physicians should be quite cautious of heterotopic pregnancy in woman at reproductive age. Any abnormality on physical examination or ultrasonography of a patient with intrauterine pregnancy and abdominal pain should heighten the clinician's suspicion for heterotopic pregnancy

  16. Influence of composition on precipitation behavior and stress rupture properties in INCONEL RTM740 series superalloys

    Science.gov (United States)

    Casias, Andrea M.

    Increasing demands for energy efficiency and reduction in CO2 emissions have led to the development of advanced ultra-supercritical (AUSC) boilers. These boilers operate at temperatures of 760 °C and pressures of 35 MPa, providing efficiencies close to 50 pct. However, austenitic stainless steels typically used in boiler applications do not have sufficient creep or oxidation resistance. For this reason, nickel (Ni)-based superalloys, such as IN740, have been identified as potential materials for AUSC boiler tube components. However, IN740 is susceptible to heat-affected-zone liquation cracking in the base metal of heavy section weldments. To improve weldability, IN740H was developed. However, IN740H has lower stress rupture ductility compared to IN740. For this reason, two IN740H modifications have been produced by lowering carbon content and increasing boron content. In this study, IN740, IN740H, and the two modified IN740H alloys (modified 1 and 2) were produced with equiaxed grain sizes of 90 ìm (alloys IN740, IN740H, and IN740H modified 1 alloys) and 112 µm (IN740H modified 2 alloy). An aging study was performed at 800 °C on all alloys for 1, 3, 10, and 30 hours to assess precipitation behavior. Stress rupture tests were performed at 760 °C with the goal of attaining stress levels that would yield rupture at 1000 hours. The percent reduction in area was measured after failure as a measure of creep ductility. Light optical, scanning electron, and transmission electron microscopy were used in conjunction with X-ray diffraction to examine precipitation behavior of annealed, aged, and stress rupture tested samples. The amount and type of precipitation that occurred during aging prior to stress rupture testing or in-situ during stress rupture testing influenced damage development, stress rupture life, and ductility. In terms of stress rupture life, IN740H modified 2 performed the best followed by IN740H modified 1 and IN740, which performed similarly, and IN740

  17. Studies of the steam generator degraded tubes behavior on BRUTUS test loop

    Energy Technology Data Exchange (ETDEWEB)

    Chedeau, C.; Rassineux, B. [EDF/DER/MTC, Moret Sur Loing (France); Flesch, B. [EDF/EPN/DMAINT, Paris (France)] [and others

    1997-04-01

    Studies for the evaluation of steam generator tube bundle cracks in PWR power plants are described. Global tests of crack leak rates and numerical calculations of crack opening area are discussed in some detail. A brief overview of thermohydraulic studies and the development of a mechanical probabilistic design code is also given. The COMPROMIS computer code was used in the studies to quantify the influence of in-service inspections and maintenance work on the risk of a steam generator tube rupture.

  18. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... YouTube Videos >> NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia Embedded video for NEI YouTube Videos: ...

  19. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia ... of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia Embedded video for NEI YouTube Videos: Amblyopia ...

  20. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia Embedded video for NEI YouTube Videos: ...

  1. Bilateral spontaneous rupture of 'hale' kidneys

    International Nuclear Information System (INIS)

    Naumov, N.; Zozikov, B.; Otzetov, A.; Kamenova, M.; Martinova, F.; Kalyonski, R.

    2002-01-01

    A rare case of spontaneous bilateral rupture of the kidneys, occurring consecutively over a one-year period in a young male patient with 'hale' kidneys until then, is described. The patient's past history and thorough examination performed do not justify to assign the case under the heading of some of the etiological factors as the underlying cause of spontaneous kidney rupture. The literature survey on spontaneous bilateral non-tumor ruptures of kidneys shows that over a 20-year period, only 3 cases of bilateral spontaneous ruptures have been reported. It is pointed out that panarteritis nodosa followed by hemorrhagic fever with renal syndrome is the commonest underlying cause of such ruptures. Clinically spontaneous ruptures become manifest with emergency condition presenting severe renal colic, impaired to serious general condition, often with acute abdomen and hemodynamic breakdown, and no past history evidence of renal disease or injury. In the initial phase diagnosing is not always easy; it is usually made on the ground of physical examination and the full range of imaging studies used in urological practice and during operative treatment. Emphasis is laid on the fact that the imaging methods are not invariably sufficient to identify the exact etiological factor giving rise to such a severe condition, but nevertheless these methods have an essential practical bearing on diagnosing a rupture. (authors)

  2. Wheelchair incidents

    NARCIS (Netherlands)

    Drongelen AW van; Roszek B; Hilbers-Modderman ESM; Kallewaard M; Wassenaar C; LGM

    2002-01-01

    This RIVM study was performed to gain insight into wheelchair-related incidents with powered and manual wheelchairs reported to the USA FDA, the British MDA and the Dutch Center for Quality and Usability Research of Technical Aids (KBOH). The data in the databases do not indicate that incidents with

  3. Failure analysis of boiler tubes in lakhra coal power plant

    International Nuclear Information System (INIS)

    Shah, A.; Baluch, M.M.; Ali, A.

    2010-01-01

    Present work deals with the failure analysis of a boiler tube in Lakhra fluidized bed combustion power station. Initially, visual inspection technique was adopted to analyse the fractured surface. Detailed microstructural investigations of the busted boiler tube were carried out using light optical microscope and scanning electron microscope. The hardness tests were also performed. A 50 percent decrease in hardness of intact portion of the tube material and from area adjacent to failure was measured, which was found to be in good agreement with the wall thicknesses measured of the busted boiler tube i.e. 4 mm and 2 mm from unaffected portion and ruptured area respectively. It was concluded that the major cause of failure of boiler tube is erosion of material which occurs due the coal particles strike at the surface of the tube material. Since the temperature of boiler is not maintained uniformly. The variations in boiler temperature can also affect the material and could be another reason for the failure of the tube. (author)

  4. Structural and leakage integrity assessment of WWER steam generator tubes

    International Nuclear Information System (INIS)

    Splichal, K.; Otruba, J.; Keilova, E.; Krhounek, V.; Turek, J.

    1996-01-01

    The leakage and plugging limits were derived for WWER steam generators based on leak and burst tests using tubes with axial part-through and through-wall defects. The following conclusions were arrived at: (i) The permissible primary-to-secondary leak rate with respect to the permissible through-wall defect size of WWER-440 and WWER-1000 steam generator tubes is 8 l/h. (ii) The primary-to-secondary leak rate is reduced by the blocking of the tube cracks by corrosion product particles and other substances. (iii) The rate of crack penetration through the tube wall is higher than the crack widening. (iv) The validity of the criterion of instability for tubes with through-wall cracks was confirmed experimentally. For the WWER-440 and WWER-1000 steam generators, the critical size of axial through-wall cracks, for the threshold primary-to-secondary pressure difference, is 13.8 and 12.0 mm, respectively. (v) The calculated leakage for the rupture of one tube and for the assumed extreme defects is two orders and one order of magnitude, respectively, higher than the proposed primary water leakage limit of 8 l/h. (vi) The experiments gave evidence that the use of the permissible thinning limit of 80% for the heat exchange tube plugging does not bring about uncontrollable leakage or unstable crack growth. This is consistent with experience gained at WWER-440 type nuclear power plants. 4 tabs., 5 figs., 9 refs

  5. Patellar tendon: From tendinopathy to rupture

    Directory of Open Access Journals (Sweden)

    Federica Rosso

    2015-10-01

    Full Text Available Patellar tendinopathy is very common in patients complaining of anterior knee pain. Its aetiology is still unclear, but neovascularisation seems to play a role. Different treatments have been proposed overtime, from rehabilitation to platelet-rich-plasma injections, but there is no agreement on the best treatment protocol. The final stage of patellar tendinopathy is patellar tendon rupture. In these cases surgical treatment is often required. The aim of this literature review is to focus on the aetiology, diagnosis, and treatment of both patellar tendinopathy and rupture. We report the conservative treatments proposed for patellar tendinopathy and the surgical techniques described for its rupture.

  6. Misdiagnosed Chest Pain: Spontaneous Esophageal Rupture

    Science.gov (United States)

    Inci, Sinan; Gundogdu, Fuat; Gungor, Hasan; Arslan, Sakir; Turkyilmaz, Atila; Eroglu, Atila

    2013-01-01

    Chest pain is one of themost common complaints expressed by patients presenting to the emergency department, and any initial evaluation should always consider life-threatening causes. Esophageal rupture is a serious condition with a highmortality rate. If diagnosed, successful therapy depends on the size of the rupture and the time elapsed between rupture and diagnosis.We report on a 41-year-old woman who presented to the emergency department complaining of left-sided chest pain for two hours. PMID:27122690

  7. Creep-rupture properties of Hastellogy-X used as structural component in OGL-1

    International Nuclear Information System (INIS)

    Yokoi, S.; Monma, Y.; Fujimura, T.; Kikuyama, T.; Itami, K.

    Creep rupture tests were conducted on Hastelloy-X that is the material used for the inner wall tubes of the OGL-1 on the forged base material at 800, 900, and 1000 0 C and on the electron beam and TIG welded material at 900 and 1000 0 C, and the following results were obtained: (1) The stress-rupture time relationship for the forged base material was a linear relationship on a log-log plot for all three temperatures. (2) Rupture time of the electron beam weld material was of the same order as that of the base material at both 900 and 1000 0 C. (3) Rupture time of TIG weld material at 900 0 C was about the same as that of the base material, but this material ruptured at 1 / 2 - 1 / 3 the time of the base material at 1000 0 C. (4) Deformation and rupture modes of the base material were such that localized reduction in area was large to the low-temperature high-stress side, and the intragrain rupture was accompanied by cavity type microcracks. On the other hand, localized reduction in area was virtually nonexistent to the high-temperature low-stress side, and grain-boundary rupture due to wedge-shaped microcracks took place. (5) Rupture in TIG weld material at 1000 0 C took place through microcracks that formed along the Mo compounds precipitating continuously as large particles at the crystal grain boundaries of the welded metal. (6) The precipitate in the base material to the low temperature high stress side was Mo compounds distributed in uniform and minute manner within the grains, but it was a large Cr--Mo composite compound distributed along the grain boundary to the high temperature low stress side. (7) Large Mo compound precipitate deposited rapidly along the grain boundary of the welded metal of the TIG weld material at 1000 0 C as a result of which a Mo deficient layer was formed in the base about the precipitate, and this formation weakens the solid solution reinforcement of the base

  8. Lunar Lava Tube Sensing

    Science.gov (United States)

    York, Cheryl Lynn; Walden, Bryce; Billings, Thomas L.; Reeder, P. Douglas

    1992-01-01

    Large (greater than 300 m diameter) lava tube caverns appear to exist on the Moon and could provide substantial safety and cost benefits for lunar bases. Over 40 m of basalt and regolith constitute the lava tube roof and would protect both construction and operations. Constant temperatures of -20 C reduce thermal stress on structures and machines. Base designs need not incorporate heavy shielding, so lightweight materials can be used and construction can be expedited. Identification and characterization of lava tube caverns can be incorporated into current precursor lunar mission plans. Some searches can even be done from Earth. Specific recommendations for lunar lava tube search and exploration are (1) an Earth-based radar interferometer, (2) an Earth-penetrating radar (EPR) orbiter, (3) kinetic penetrators for lunar lava tube confirmation, (4) a 'Moon Bat' hovering rocket vehicle, and (5) the use of other proposed landers and orbiters to help find lunar lava tubes.

  9. Real-Time Detection of Rupture Development: Earthquake Early Warning Using P Waves From Growing Ruptures

    Science.gov (United States)

    Kodera, Yuki

    2018-01-01

    Large earthquakes with long rupture durations emit P wave energy throughout the rupture period. Incorporating late-onset P waves into earthquake early warning (EEW) algorithms could contribute to robust predictions of strong ground motion. Here I describe a technique to detect in real time P waves from growing ruptures to improve the timeliness of an EEW algorithm based on seismic wavefield estimation. The proposed P wave detector, which employs a simple polarization analysis, successfully detected P waves from strong motion generation areas of the 2011 Mw 9.0 Tohoku-oki earthquake rupture. An analysis using 23 large (M ≥ 7) events from Japan confirmed that seismic intensity predictions based on the P wave detector significantly increased lead times without appreciably decreasing the prediction accuracy. P waves from growing ruptures, being one of the fastest carriers of information on ongoing rupture development, have the potential to improve the performance of EEW systems.

  10. Efficiency of defect specific maintenance od steam generator tubes: the case of ODSCC

    International Nuclear Information System (INIS)

    Cizelj, L.; Dvorsek, T.

    1996-01-01

    The outside diameter stress corrosion cracking at tube support plates became the dominating ageing mechanism in steam generators tubes made of Inconel 600. A variety of maintenance approaches were developed and implemented worldwide to deal with this mechanism. Despite different philosophical and physical backgrounds implemented, all of the applied approaches satisfy the relevant regulatory requirements. For our purpose, the maintenance approach consist of: (1) inspection of tubes, (2) accepting or rejecting the defective tube and (3) plugging of rejected tubes. The problem of selecting an optimal maintenance approach is raised in the paper. Consequently, a method comparing the efficiency of applicable maintenance approaches is proposed. The efficiency is defined by three parameters: (a) number of plugged tubes, (b) probability of steam generator tube rupture and (c) predicted accidental leak rates through the defects. An original probabilistic model is proposed to quantify the probability of tube rupture, while procedures available in literature were used to define the accidental leak rates. The numerical example considers the data from Krsko NPP (Westinghouse 632 MWe). The maintenance approaches analyzed include: (i) no repair at all, (ii) traditional defect depth (40%) based maintenance, (iii) alternate plugging criterion (bobbin coil voltage as defined by EPRI and U.S. NRC) and (iv) combined traditional and alternate approach. Advantages of the defect specific approaches (iii) and (iv) over the traditional one (defect depth) are clearly shown. A brief discussion on the optimization of safe life of steam generator is given. (author)

  11. Quadriceps Tendon Rupture and Contralateral Patella Tendon Avulsion Post Primary Bilateral Total Knee Arthroplasty: A Case Report

    Directory of Open Access Journals (Sweden)

    Gaurav Sharma

    2016-07-01

    Full Text Available Background: Extensor mechanism failure secondary to knee replacement could be due to tibial tubercle avulsion, Patellar tendon rupture, patellar fracture or quadriceps tendon rupture. An incidence of Patella tendon rupture of 0.17% and Quadriceps tendon rupture of around 0.1% has been reported after Total knee arthroplasty. These are considered a devastating complication that substantially affects the clinical results and are challenging situations to treat with surgery being the mainstay of the treatment. Case Description: We report here an interesting case of a patellar tendon rupture of one knee and Quadriceps tendon rupture of the contralateral knee following simultaneous bilateral knee replacement in a case of inflammatory arthritis patient. End to end repair for Quadriceps tear and augmentation with Autologous Hamstring tendon graft was done for Patella tendon rupture. OUTCOME: Patient was followed up for a period of 1 year and there was no Extension lag with a flexion of 100 degrees in both the knees. DISCUSSION: The key learning points and important aspects of diagnosing these injuries early and the management techniques are described in this unique case of bilateral extensor mechanism disruption following knee replacements.

  12. Manual tube welding torch

    International Nuclear Information System (INIS)

    Kiefer, J.H.; Smith, D.J.

    1981-01-01

    In a welding torch which fits over a tube intermediate the ends thereof for welding the juncture between the tube and a boss on the back side of a tube plate, a split housing encloses a tungsten electrode, a filler wire duct and a fiber optic bundle arranged to observe the welding process. A shielding gas duct is provided in the housing. A screw is provided for setting electrode/work distance. Difficult remote tube welding operations can be performed with the apparatus. (author)

  13. Wound tube heat exchanger

    Science.gov (United States)

    Ecker, Amir L.

    1983-01-01

    What is disclosed is a wound tube heat exchanger in which a plurality of tubes having flattened areas are held contiguous adjacent flattened areas of tubes by a plurality of windings to give a double walled heat exchanger. The plurality of windings serve as a plurality of effective force vectors holding the conduits contiguous heat conducting walls of another conduit and result in highly efficient heat transfer. The resulting heat exchange bundle is economical and can be coiled into the desired shape. Also disclosed are specific embodiments such as the one in which the tubes are expanded against their windings after being coiled to insure highly efficient heat transfer.

  14. Sapphire tube pressure vessel

    Science.gov (United States)

    Outwater, John O.

    2000-01-01

    A pressure vessel is provided for observing corrosive fluids at high temperatures and pressures. A transparent Teflon bag contains the corrosive fluid and provides an inert barrier. The Teflon bag is placed within a sapphire tube, which forms a pressure boundary. The tube is received within a pipe including a viewing window. The combination of the Teflon bag, sapphire tube and pipe provides a strong and inert pressure vessel. In an alternative embodiment, tie rods connect together compression fittings at opposite ends of the sapphire tube.

  15. Fuel nozzle tube retention

    Energy Technology Data Exchange (ETDEWEB)

    Cihlar, David William; Melton, Patrick Benedict

    2017-02-28

    A system for retaining a fuel nozzle premix tube includes a retention plate and a premix tube which extends downstream from an outlet of a premix passage defined along an aft side of a fuel plenum body. The premix tube includes an inlet end and a spring support feature which is disposed proximate to the inlet end. The premix tube extends through the retention plate. The spring retention feature is disposed between an aft side of the fuel plenum and the retention plate. The system further includes a spring which extends between the spring retention feature and the retention plate.

  16. Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation

    Directory of Open Access Journals (Sweden)

    Priscila Silveira Salvadori

    2015-10-01

    Full Text Available AbstractEpithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis.

  17. Spontaneous rupture of ovarian cystadenocarcinoma: pre- and post-rupture computed tomography evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Salvadori, Priscila Silveira; Atzingen, Augusto Castelli von; D' Ippolito, Giuseppe [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina; Bomfim, Lucas Novais [Universidade Tiradentes (UNIT), Maceio, AL, (Brazil)

    2015-09-15

    Epithelial ovarian tumors are the most common malignant ovarian neoplasms and, in most cases, eventual rupture of such tumors is associated with a surgical procedure. The authors report the case of a 54-year-old woman who presented with spontaneous rupture of ovarian cystadenocarcinoma documented by computed tomography, both before and after the event. In such cases, a post-rupture staging tends to be less favorable, compromising the prognosis. (author)

  18. Reevaluation of chest radiography in aortic rupture

    International Nuclear Information System (INIS)

    Lee, F. Jr.; Gutierrez, O.H.; Burgener, F.A.; Yee, W.K.; Katzberg, R.W.; Morris, T.W.

    1989-01-01

    Mediastinal widths in 50 volunteers with varying inspiration and positioning were compared with values obtained in 17 patients with known aortic rupture. Mediastinal width was significantly affected by the degree of inspiration and positioning in control subjects. Mediastinal width after rupture was outside normal 95% confidence limits in 12 of 17 cases (71%), as compared with inspiration-matched controls. Fourteen of seventeen patients with rupture (82%) had mediastina wider than 8.0 cm, but so did 23 of 150 controls (15%), all on expiratory films. On average, patients with rupture had wider mediastina for all degrees of inspiration, but deeper inspiration helped accentuate differences in width between these patients and normal controls

  19. Right Diaphragm Spontaneous Rupture: A Surgical Approach

    Directory of Open Access Journals (Sweden)

    Duilio Divisi

    2011-01-01

    Full Text Available We present a case of spontaneous rupture of the diaphragm, characterized by nonspecific symptoms. The rapid diagnosis and appropriate surgical approach led to a positive resolution of the pathology.

  20. Surgical treatment of distal biceps rupture.

    Science.gov (United States)

    Sutton, Karen M; Dodds, Seth D; Ahmad, Christopher S; Sethi, Paul M

    2010-03-01

    Rupture of the distal biceps tendon accounts for 10% of all biceps brachii ruptures. Injuries typically occur in the dominant elbow of men aged 40 to 49 years during eccentric contraction of the biceps. Degenerative changes, decreased vascularity, and tendon impingement may precede rupture. Although nonsurgical management is an option, healthy, active persons with distal biceps tendon ruptures benefit from early surgical repair, gaining improved strength in forearm supination and, to a lesser degree, elbow flexion. Biomechanical studies have tested the strength and displacement of various repairs; the suspensory cortical button technique exhibits maximum peak load to failure in vitro, and suture anchor and interosseous screw techniques yield the least displacement. Surgical complications include sensory and motor neurapraxia, infection, and heterotopic ossification. Current trends in postoperative rehabilitation include an early return to motion and to activities of daily living.

  1. Medical management of ruptured appendicitis in pregnancy.

    Science.gov (United States)

    Young, Brett C; Hamar, Benjamin D; Levine, Deborah; Roqué, Henry

    2009-08-01

    Ruptured appendicitis in pregnancy is an advanced stage of appendicitis that imposes significant maternal and fetal morbidity; the best treatment for the obstetric patient in this situation is unclear. In the first case, a nulliparous woman at 32 weeks of gestation presented with ruptured appendicitis. She was treated nonsurgically with intravenous antibiotics and had an uncomplicated vaginal delivery at term. In the second case, a nulliparous woman presented at 27 weeks of gestation with ruptured appendicitis and was treated nonsurgically with intravenous antibiotics. She had a recurrence of appendicitis at 32 weeks of gestation, and again was treated with medical management. She delivered a viable infant by cesarean at 34 weeks of gestation for breech presentation and preterm labor. Similar to in the nonpregnant population, medical management of ruptured appendicitis in pregnancy may be a reasonable treatment option.

  2. Cognitive frames in psychology: demarcations and ruptures.

    Science.gov (United States)

    Yurevich, Andrey V

    2009-06-01

    As there seems to be a recurrent feeling of crisis in psychology, its present state is analyzed in this article. The author believes that in addition to the traditional manifestations that have dogged psychology since it emerged as an independent science some new features of the crisis have emerged. Three fundamental "ruptures" are identified: the "horizontal" rupture between various schools and trends, the "vertical" rupture between natural science and humanitarian psychology, and the "diagonal" rupture between academic research and applied practice of psychology. These manifestations of the crisis of psychology have recently been compounded by the crisis of its rationalistic foundations. This situation is described in terms of the cognitive systems in psychology which include meta-theories, paradigms, sociodigms and metadigms.

  3. Traumatic Fundal Rupture of unscarred Uterus in a Primigravida ...

    African Journals Online (AJOL)

    Background: Uterine rupture is an infrequent but life threatening obstetric emergency. Rupture of previously scarred uterus is often encountered especially in multiparous women, but the traumatic rupture of an unscarred primigravid uterus as presented here is a relatively rare event. We report a case of rupture of an ...

  4. Micromechanical properties and collagen composition of ruptured human achilles tendon

    DEFF Research Database (Denmark)

    Hansen, Philip; Kovanen, Vuokko; Hölmich, Per

    2013-01-01

    The Achilles tendon is one of the strongest tendons in the human body, and yet it frequently ruptures, which is a substantial clinical problem. However, the cause of ruptures remains elusive.......The Achilles tendon is one of the strongest tendons in the human body, and yet it frequently ruptures, which is a substantial clinical problem. However, the cause of ruptures remains elusive....

  5. Bladder And Uterine Rupture At Vaginal Birth After Cesarean Section

    African Journals Online (AJOL)

    Rupture of the uterus is still a major obstetric problem in developing countries. The urinary bladder is often affected especially when a lower segment Caesarean scar ruptures. We present a case of bladder rupture associated with uterine rupture in a patient who was attempting vaginal delivery after two previous Caesarean ...

  6. Data book of examination of the ruptured pipe at the Hamaoka Nuclear Power Station Unit-1

    International Nuclear Information System (INIS)

    2002-03-01

    In order to investigate root cause of the pipe rupture, which took place at the Hamaoka Nuclear Power Station Unit-1 of Chubu Electric Power Company on November 7, 2001, a task force was established within the Nuclear and Industrial Safety Agency (NISA) and initiated a detailed investigation of the ruptured pipe. The Japan Atomic Energy Research Institute (JAERI) was asked from the Ministry of Education, Culture, Sports, Science and Technology (MEXT) in response to the request from NISA to cooperate as an independent neutral organization with NISA and perform an examination of the ruptured pipe independently from Chubu Electric Power Company. JAERI accepted the request by considering the fact that JAERI is an integrated research institution for nuclear research and development, a prime research institution for nuclear safety research, a research institution with experience of root-cause investigation of various nuclear incidents and accidents of domestic as well as overseas, and a research institution provided with advanced examination facilities necessary for examination of the ruptured pipe. The JAERI examination group was formed at the Tokai Research Establishment and conducted detailed and thorough examination of the pieces taken from the ruptured pipe primarily in the Reactor Fuel Examination Facility (RFEF) with the use of tools such as scanning electron microscopes and other equipments. Purpose of examination was to provide technical information in order to identify causes of the pipe rupture through examination of the pieces taken from the ruptured region of the pipe. The result of the present examination has already been reported to NISA and has also been published as the JAERI-Tech report No.2001-94. This report is a data book containing the detailed data obtained by the present examination. (author)

  7. Time between membrane rupture and delivery and septicemia in term neonates.

    Science.gov (United States)

    Herbst, Andreas; Källén, Karin

    2007-09-01

    To investigate how the interval between membrane rupture and delivery affects the risk of neonatal sepsis and whether duration of labor influences the risk. A registry study included 113,568 singleton infants born at term after a trial of labor (elective cesarean deliveries excluded). The incidence of a diagnosis of sepsis during the neonatal period was correlated to the interval between membrane rupture and delivery. Multiple logistic regression analysis was done with adjustments for maternal age, parity, infant gender, gestational age, birth weight, and duration of labor. Receiver operating characteristics curves were created to estimate the optimal cutoff of membrane rupture time associated with an increased risk of neonatal septicemia. The rate of neonatal sepsis was 0.3% at a membrane rupture to delivery interval below 6 hours, 0.5% at 6-18 hours, 0.8% at 18-24 hours, and 1.1% after 24 hours. The risk of neonatal sepsis increased independently and nearly linearly with duration of membrane rupture up to 36 hours, with an odds ratio of 1.29 for each 6-hour increase in membrane rupture duration. The risk also increased with birth weight, gestational age, primiparity, and male infant gender. Duration of labor was not an independent risk factor for neonatal sepsis. Receiver operating characteristics curve analysis revealed an area under the curve of 0.66, but a superior cutoff time limit for the risk of sepsis was not found. The risk of neonatal sepsis increases with duration of membrane rupture in a linear fashion during the first 36 hours, independently of labor duration. II.

  8. Aortic ruptures in seat belt wearers.

    Science.gov (United States)

    Arajärvi, E; Santavirta, S; Tolonen, J

    1989-09-01

    Several investigations have indicated that rupture of the thoracic aorta is one of the leading causes of immediate death in victims of road traffic accidents. In Finland in 1983, 92% of front-seat passengers were seat belt wearers on highways and 82% in build-up areas. The mechanisms of rupture of the aorta have been intensively investigated, but the relationship between seat belt wearing and injury mechanisms leading to aortic rupture is still largely unknown. This study comprises 4169 fatally injured victims investigated by the Boards of Traffic Accident Investigation of Insurance Companies during the period 1972 to 1985. Chest injuries were recorded as the main cause of death in 1121 (26.9%) victims, 207 (5.0%) of those victims having worn a seat belt. Aortic ruptures were found at autopsy in 98 victims and the exact information of the location of the aortic tears was available in 68. For a control group, we analyzed 72 randomly chosen unbelted victims who had a fatal aortic rupture in similar accidents. The location of the aortic rupture in unbelted victims was more often in the ascending aorta, especially in drivers, whereas in seat belt wearers the distal descending aorta was statistically more often ruptured, especially in right-front passengers (p less than 0.05). The steering wheel predominated statistically as the part of the car estimated to have caused the injury in unbelted victims (37/72), and some interior part of the car was the most common cause of fatal thoracic impacts in seat belt wearers (48/68) (p less than 0.001). The mechanism of rupture of the aorta in the classic site just distal to the subclavian artery seems to be rapid deceleration, although complex body movements are also responsible in side impact collisions. The main mechanism leading to rupture of the ascending aorta seems to be severe blow to the bony thorax. This also often causes associated thoracic injuries, such as heart rupture and sternal fracture. Injuries in the ascending

  9. Biomechanical rupture risk assessment of abdominal aortic aneurysms based on a novel probabilistic rupture risk index.

    Science.gov (United States)

    Polzer, Stanislav; Gasser, T Christian

    2015-12-06

    A rupture risk assessment is critical to the clinical treatment of abdominal aortic aneurysm (AAA) patients. The biomechanical AAA rupture risk assessment quantitatively integrates many known AAA rupture risk factors but the variability of risk predictions due to model input uncertainties remains a challenging limitation. This study derives a probabilistic rupture risk index (PRRI). Specifically, the uncertainties in AAA wall thickness and wall strength were considered, and wall stress was predicted with a state-of-the-art deterministic biomechanical model. The discriminative power of PRRI was tested in a diameter-matched cohort of ruptured (n = 7) and intact (n = 7) AAAs and compared to alternative risk assessment methods. Computed PRRI at 1.5 mean arterial pressure was significantly (p = 0.041) higher in ruptured AAAs (20.21(s.d. 14.15%)) than in intact AAAs (3.71(s.d. 5.77)%). PRRI showed a high sensitivity and specificity (discriminative power of 0.837) to discriminate between ruptured and intact AAA cases. The underlying statistical representation of stochastic data of wall thickness, wall strength and peak wall stress had only negligible effects on PRRI computations. Uncertainties in AAA wall stress predictions, the wide range of reported wall strength and the stochastic nature of failure motivate a probabilistic rupture risk assessment. Advanced AAA biomechanical modelling paired with a probabilistic rupture index definition as known from engineering risk assessment seems to be superior to a purely deterministic approach. © 2015 The Author(s).

  10. Dynamic rupture activation of backthrust fault branching

    Science.gov (United States)

    Xu, Shiqing; Fukuyama, Eiichi; Ben-Zion, Yehuda; Ampuero, Jean-Paul

    2015-03-01

    We perform dynamic rupture simulations to investigate the possible reactivation of backthrust branches triggered by ruptures along a main thrust fault. Simulations with slip-weakening fault friction and uniform initial stress show that fast propagation speed or long propagation distance of the main rupture promotes reactivation of backthrust over a range of branch angles. The latter condition may occur separately from the former if rupture speed is limited by an increasing slip-weakening distance towards the junction direction. The results suggest a trade-off between the amplitude and duration of the dynamic stress near the main rupture front for backthrust reactivation. Termination of the main rupture by a barrier can provide enhanced loading amplitude and duration along a backthrust rooted near the barrier, facilitating its reactivation especially with a high frictional resistance. The free surface and depth-dependent initial stress can have several additional effects. The sign of the triggered motion along the backthrust can be reversed from thrust to normal if a deeply nucleated main rupture breaks the free surface, while it is preserved as thrust if the main rupture is terminated by a barrier at depth. The numerical results are discussed in relation to several recent megathrust earthquakes in Sumatra, Chile, and Japan, and related topics such as branch feedbacks to the main fault. The dynamic view on backthrust fault branching provided by the study fills a gap not covered by quasi-static models or observations. A specific examined case of antithetic fault branching may be useful for indicating a barrier-like behavior along the main fault.

  11. Diagnostic Modalities in Premature Rupture of Membranes

    OpenAIRE

    Fatma Eskicioğlu; Esra Bahar Gur

    2015-01-01

    Objectives: Rupture of membranes prior to the onset of labor is known as Premature Rupture of Membranes (PROM). Early and correct diagnosis is crucial in order to prevent fetal and maternal risks that can be life threatening. We aimed to investigate the diagnostic ability of the tests in PROM. Materials and Methods: Nitrazine test, fern test, amnio-dye test, biochemical tests (insulin-like growth factor binding protein-1 and placental alpha microglobulin-1) were evaluated in terms of effec...

  12. Blunt cardiac rupture in a toddler

    Directory of Open Access Journals (Sweden)

    Peep Talving

    2016-08-01

    Full Text Available Blunt cardiac rupture is typically a fatal injury with overall mortality exceeding 90%. Most of the patients never reach the hospital alive. In pediatric patients, only 0.03% of cases following blunt trauma admissions have a cardiac injury. This report presents a rare survivor of 16-months old toddler injured in a domestic accident suffering a right atrial rupture repaired through a median sternotomy. To the best of our knowledge this is the youngest case reported in the literature.

  13. Outcome following use of the Achillon jig for the repair of acutely ruptured Achilles tendons.

    Science.gov (United States)

    Davies, Howard; Agrawal, Yuvraj; Blundell, Chris; Davies, Mark B

    2017-03-01

    We report a series of 143 patients who underwent limited open Achilles tendon repair using the Achillon device at a mean follow-up of 25 months. All patients attending our institution with a diagnosis of acute Achilles tendon rupture were considered for operative repair using the Achillon jig unless they declined surgery or met the exclusion criteria. Following surgery patients were contacted and asked to complete an Achilles Tendon Rupture Score (ATRS). The clinical records were reviewed for evidence of complications, demographic information and evidence of re-rupture. Statistical analysis of subgroups including age at presentation, delay to surgery and patients with complications was carried out using the Kruskal Wallis non-parametric test. We report no re-ruptures at a mean of 25 months (minimum 12 months) following surgery. The mean ATRS score was 84/100 (range 15-100). There was no statistical significance between any of the subgroups analyzed. In conclusion, acute Achilles repair using the Achillon jig is safe, with a low re-rupture rate, excellent ATRS scores at a minimum of 12 months post-operatively and low complications. The incidence of sural nerve injury is much lower than published series of percutaneous Achilles tendon repair without the use of a jig. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  14. Laser Welding Of Finned Tubes Made Of Austenitic Steels

    Directory of Open Access Journals (Sweden)

    Stolecki M.

    2015-09-01

    Full Text Available This paper describes the technology of welding of finned tubes made of the X5CrNi1810 (1.4301 austenitic steel, developed at Energoinstal SA, allowing one to get high quality joints that meet the requirements of the classification societies (PN-EN 15614, and at the same time to significantly reduce the manufacturing costs. The authors described an automatic technological line equipped with a Trumph disc laser and a tube production technological process. To assess the quality of the joints, one performed metallographic examinations, hardness measurements and a technological attempt to rupture the fin. Analysis of the results proved that the laser-welded finned tubes were performed correctly and that the welded joints had shown no imperfections.

  15. Isolated right atrial appendage (RAA) rupture in blunt trauma--a case report and an anatomic study comparing RAA and right atrium (RA) wall thickness.

    Science.gov (United States)

    Figueiredo, Adoniram M; Poggetti, Renato S; Quintavalle, Fabio G; Fontes, Belchor; Dalva, Moise; Younes, Riad N; Jatene, Fabio B; Birolini, Dario

    2007-02-15

    Heart chambers rupture in blunt trauma is uncommon and is associated with a high mortality. The determinant factors, and the incidence of isolated heart chambers rupture remains undetermined. Isolated rupture of the right atrium appendage (RAA) is very rare, with 8 cases reported in the reviewed literature. The thin wall of the RAA has been presumed to render this chamber more prone to rupture in blunt trauma. To report a case of isolated RAA rupture in blunt trauma, and to compare right atrium (RA) and RAA wall thickness in a necropsy study. The thickness of RA and RAA wall of hearts from cadavers of fatal penetrating head trauma victims was measured. Our case of isolated RAA rupture is presented. The main findings of the 8 cases reported in the literature, and the findings of our case, were organized in a table. The comparison of the data showed that wall thickness of the RAA (0.53 +/- 0.33 mm) was significantly thinner than that of RA (1.11 +/- 0.42 mm) (p < 0.05). In all these 9 cases of isolated RAA rupture, cardiac tamponade occurred, RAA rupture was diagnosed intraoperatively and sutured, and the patients survived. Main mechanisms hypothesized for heart chamber rupture include mechanical compression coincident with phases of cardiac cycle, leading to high hydrostatic pressure inside the chamber. Published series include numerous cases of RA rupture, and only a few cases of RAA rupture. Thus, our data suggests that wall thickness is not a determinant factor for RA or RAA rupture in blunt trauma.

  16. Isolated right atrial appendage (RAA rupture in blunt trauma – a case report and an anatomic study comparing RAA and right atrium (RA wall thickness

    Directory of Open Access Journals (Sweden)

    Jatene Fabio B

    2007-02-01

    Full Text Available Abstract Background Heart chambers rupture in blunt trauma is uncommon and is associated with a high mortality. The determinant factors, and the incidence of isolated heart chambers rupture remains undetermined. Isolated rupture of the right atrium appendage (RAA is very rare, with 8 cases reported in the reviewed literature. The thin wall of the RAA has been presumed to render this chamber more prone to rupture in blunt trauma. Objective To report a case of isolated RAA rupture in blunt trauma, and to compare right atrium (RA and RAA wall thickness in a necropsy study. Methods The thickness of RA and RAA wall of hearts from cadavers of fatal penetrating head trauma victims was measured. Our case of isolated RAA rupture is presented. The main findings of the 8 cases reported in the literature, and the findings of our case, were organized in a table. Result The comparison of the data showed that wall thickness of the RAA (0.53 ± 0.33 mm was significantly thinner than that of RA (1.11 ± 0.42 mm (p Comments In all these 9 cases of isolated RAA rupture, cardiac tamponade occurred, RAA rupture was diagnosed intraoperatively and sutured, and the patients survived. Main mechanisms hypothesized for heart chamber rupture include mechanical compression coincident with phases of cardiac cycle, leading to high hydrostatic pressure inside the chamber. Published series include numerous cases of RA rupture, and only a few cases of RAA rupture. Conclusion Thus, our data suggests that wall thickness is not a determinant factor for RA or RAA rupture in blunt trauma.

  17. Isolated right atrial appendage (RAA) rupture in blunt trauma – a case report and an anatomic study comparing RAA and right atrium (RA) wall thickness

    Science.gov (United States)

    Figueiredo, Adoniram M; Poggetti, Renato S; Quintavalle, Fabio G; Fontes, Belchor; Dalva, Moise; Younes, Riad N; Jatene, Fabio B; Birolini, Dario

    2007-01-01

    Background Heart chambers rupture in blunt trauma is uncommon and is associated with a high mortality. The determinant factors, and the incidence of isolated heart chambers rupture remains undetermined. Isolated rupture of the right atrium appendage (RAA) is very rare, with 8 cases reported in the reviewed literature. The thin wall of the RAA has been presumed to render this chamber more prone to rupture in blunt trauma. Objective To report a case of isolated RAA rupture in blunt trauma, and to compare right atrium (RA) and RAA wall thickness in a necropsy study. Methods The thickness of RA and RAA wall of hearts from cadavers of fatal penetrating head trauma victims was measured. Our case of isolated RAA rupture is presented. The main findings of the 8 cases reported in the literature, and the findings of our case, were organized in a table. Result The comparison of the data showed that wall thickness of the RAA (0.53 ± 0.33 mm) was significantly thinner than that of RA (1.11 ± 0.42 mm) (p < 0.05). Comments In all these 9 cases of isolated RAA rupture, cardiac tamponade occurred, RAA rupture was diagnosed intraoperatively and sutured, and the patients survived. Main mechanisms hypothesized for heart chamber rupture include mechanical compression coincident with phases of cardiac cycle, leading to high hydrostatic pressure inside the chamber. Published series include numerous cases of RA rupture, and only a few cases of RAA rupture. Conclusion Thus, our data suggests that wall thickness is not a determinant factor for RA or RAA rupture in blunt trauma. PMID:17302990

  18. Ultrasonography for confirmation of gastric tube placement.

    Science.gov (United States)

    Tsujimoto, Hiraku; Tsujimoto, Yasushi; Nakata, Yukihiko; Akazawa, Mai; Kataoka, Yuki

    2017-04-17

    %) studies to have low risk of bias in the participant selection domain because they performed ultrasound after they confirmed correct position by other methods.Few data (43 participants) were available for misplacement detection (specificity) due to the low incidence of misplacement. We did not perform a meta-analysis because of considerable heterogeneity of the index test such as the difference of echo window, the combination of ultrasound with other confirmation methods (e.g. saline flush visualization by ultrasound) and ultrasound during the insertion of the tube. For all settings, sensitivity estimates for individual studies ranged from 0.50 to 1.00 and specificity estimates from 0.17 to 1.00. For settings where X-ray was not readily available and participants underwent gastric tube insertion for drainage (four studies, 305 participants), sensitivity estimates of ultrasound in combination with other confirmatory tests ranged from 0.86 to 0.98 and specificity estimates of 1.00 with wide confidence intervals.For the studies using ultrasound alone (four studies, 314 participants), sensitivity estimates ranged from 0.91 to 0.98 and specificity estimates from 0.67 to 1.00. Of 10 studies that assessed the diagnostic accuracy of gastric tube placement, few studies had a low risk of bias. Based on limited evidence, ultrasound does not have sufficient accuracy as a single test to confirm gastric tube placement. However, in settings where X-ray is not readily available, ultrasound may be useful to detect misplaced gastric tubes. Larger studies are needed to determine the possibility of adverse events when ultrasound is used to confirm tube placement.

  19. Rupture-associated changes of cerebral aneurysm geometry: high-resolution 3D imaging before and after rupture

    NARCIS (Netherlands)

    Schneiders, J. J.; Marquering, H. A.; van den Berg, R.; VanBavel, E.; Velthuis, B.; Rinkel, G. J. E.; Majoie, C. B.

    2014-01-01

    Comparisons of geometric data of ruptured and unruptured aneurysms may yield risk factors for rupture. Data on changes of geometric measures associated with rupture are, however, sparse, because patients with ruptured aneurysms rarely have undergone previous imaging of the intracranial vasculature.

  20. Ac-SDKP decreases mortality and cardiac rupture after acute myocardial infarction.

    Directory of Open Access Journals (Sweden)

    Pablo Nakagawa

    Full Text Available The natural peptide N-Acetyl-Seryl-Aspartyl-Lysyl-Proline (Ac-SDKP decreases inflammation in chronic diseases such as hypertension and heart failure. However, Ac-SDKP effects on acute inflammatory responses during myocardial infarction (MI are unknown. During the first 72 hours post-MI, neutrophils, M1 macrophages (pro-inflammatory, and M2 macrophages (pro-resolution and release of myeloperoxidase (MPO and matrix metalloproteinases (MMP are involved in cardiac rupture. We hypothesized that in the acute stage of MI, Ac-SDKP decreases the incidence of cardiac rupture and mortality by preventing immune cell infiltration as well as by decreasing MPO and MMP expression. MI was induced by ligating the left descending coronary artery in C57BL/6 mice. Vehicle or Ac-SDKP (1.6 mg/kg/d was infused via osmotic minipump. Cardiac immune cell infiltration was assessed by flow cytometry, cardiac MPO and MMP levels were measured at 24-48 hrs post-MI. Cardiac rupture and mortality incidence were determined at 7 days post-MI. In infarcted mice, Ac-SDKP significantly decreased cardiac rupture incidence from 51.0% (26 of 51 animals to 27.3% (12 of 44 and mortality from 56.9% (29 of 51 to 31.8% (14 of 44. Ac-SDKP reduced M1 macrophages in cardiac tissue after MI, without affecting M2 macrophages and neutrophils. Ac-SDKP decreased MMP-9 activation in infarcted hearts with no changes on MPO expression. Ac-SDKP prevents cardiac rupture and decreases mortality post-acute MI. These protective effects of Ac-SDKP are associated with decreased pro-inflammatory M1 macrophage infiltration and MMP-9 activation.

  1. Chest Tube Thoracostomy

    Science.gov (United States)

    ... in the space around the lungs (called a pleural effusion) . A chest tube may also be needed when a patient has ... or chest CT are also done to evaluate pleural fluid. If the X-ray shows a need for a chest tube to drain fluid or air, the procedure is ...

  2. Ventricular tachycardia following tube thoracotomy.

    Science.gov (United States)

    Hibbert, Benjamin; Lim, Toon Wei; Hibbert, Rebecca; Green, Martin; Gollob, Michael H; Davis, Darryl R

    2010-10-01

    Arrhythmias provoked by tube thoracotomy are a rare complication. We report a ventricular tachycardia after chest tube insertion for a device-related pneumothorax. Sinus rhythm was restored only by removal of the chest tube and insertion of a pliable pleural drain. Identification of the chest tube as an arrhythmic trigger following tube thoracotomy is essential in definitive management of refractory arrhythmias.

  3. RESEARCH ON REDUCING PREMATURITY RUPTURE OF MEMBRANE

    Directory of Open Access Journals (Sweden)

    Maria URSACHI (BOLOTA

    2016-12-01

    Full Text Available The membranes surrounding the amniotic cavity are composed from amnion and chorion, tightly adherent layers which are composed of several cell types, including epithelial cells, trophoblasts cells and mesenchyme cells, embedded in a collagenous matrix. They retain amniotic fluid, secret substances into the amniotic fluid, as well as to the uterus and protect the fetus against upward infections from urogenital tract. Normally, the membranes it breaks during labor. Premature rupture of the amniotic sac (PRAS is defined as rupture of membranes before the onset of labor. Premature rupture of the fetal membrane, which occurs before 37 weeks of gestation, usually, refers to preterm premature rupture of membranes. Despite advances in the care period, premature rupture of membranes and premature rupture of membranes preterm continue to be regarded as serious obstetric complications. On the term 8% - 10% of pregnant women have premature rupture of membranes; these women are at increased risk of intrauterine infections, where the interval between membrane rupture and expulsion is rolled-over. Premature rupture of membranes preterm occurs in approximately 1% of all pregnancies and is associated with 30% -40% of preterm births. Thus, it is important to identify the cause of pre-term birth (after less than 37 completed weeks of "gestation" and its complications, including respiratory distress syndrome, neonatal infection and intraventricular hemorrhage. Objectives: the development of the protocol of the clinical trial on patients with impending preterm birth, study clinical and statistical on the socio-demographic characteristics of patients with imminent preterm birth; clinical condition of patients and selection of cases that could benefit from the application of interventional therapy; preclinical investigation (biological and imaging of patients with imminent preterm birth; the modality therapy; clinical investigation of the effectiveness of short

  4. Molybdenum Tube Characterization report

    Energy Technology Data Exchange (ETDEWEB)

    Beaux II, Miles Frank [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Usov, Igor Olegovich [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-02-07

    Chemical vapor deposition (CVD) techniques have been utilized to produce free-standing molybdenum tubes with the end goal of nuclear fuel clad applications. In order to produce tubes with properties desirable for this application, deposition rates were lowered requiring long deposition durations on the order of 50 hours. Standard CVD methods as well as fluidized-bed CVD (FBCVD) methods were applied towards these objectives. Characterization of the tubes produced in this manner revealed material suitable for fuel clad applications, but lacking necessary uniformity across the length of the tubes. The production of freestanding Mo tubes that possess the desired properties across their entire length represents an engineering challenge that can be overcome in a next iteration of the deposition system.

  5. Categorising YouTube

    DEFF Research Database (Denmark)

    Simonsen, Thomas Mosebo

    2011-01-01

    This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s...... technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition...... and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within...

  6. Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Nam, Kyung Bum; Namkung, Sook; Hong, Myung Sun; Kim, Heung Cheol; Cho, Young; Choi, Young Hee [Chuncheon Sacred Heart Hospital, Chyncheon (Korea, Republic of)

    2012-06-15

    Heterotopic pregnancy refers to the simultaneous development of an intrauterine pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic pregnancy for a patient with a history of a right segmental salpingectomy from an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a deformed cyst with no echogenic double ring or peripheral hypervascularity in the right adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum cyst as an ultrasonographic finding and found a ruptured tubal mass in the right salpinx and hemoperitoneum through an emergency laparotomy. We performed a right salpingectomy, and the histopathologic report confirmed ectopic pregnancy.

  7. Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report

    International Nuclear Information System (INIS)

    Nam, Kyung Bum; Namkung, Sook; Hong, Myung Sun; Kim, Heung Cheol; Cho, Young; Choi, Young Hee

    2012-01-01

    Heterotopic pregnancy refers to the simultaneous development of an intrauterine pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic pregnancy for a patient with a history of a right segmental salpingectomy from an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a deformed cyst with no echogenic double ring or peripheral hypervascularity in the right adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum cyst as an ultrasonographic finding and found a ruptured tubal mass in the right salpinx and hemoperitoneum through an emergency laparotomy. We performed a right salpingectomy, and the histopathologic report confirmed ectopic pregnancy.

  8. Realistic Chest Tube Simulator Using Pork Belly with Skin

    Directory of Open Access Journals (Sweden)

    Donald Patrick Mebust

    2017-07-01

    Full Text Available Audience: The pork belly chest tube simulator is designed to instruct Emergency Medicine residents and Emergency Medicine-bound students. Introduction: Chest tube insertion is an essential procedural skill that must be mastered by practicing emergency and surgical providers. It is a lifesaving procedure indicated in cases of pneumothorax, hemothorax, chylothorax, empyema, esophageal/gastric rupture into the pleural space, and traumatic arrest.1,2 These critical patients require immediate decompression and evacuation of pleural space pathology. Therefore, chest tube insertion must be performed competently and expeditiously to prevent further morbidity and mortality. Performed improperly, chest tube placement can lead to ineffective decompression as well as life threatening visceral and vascular injury. Overall complications rates have been quoted up to 37%.3,4 Simulation offers a safe and effective method to master such procedural techniques. Unfortunately, many chest tube simulators are expensive5 or do not offer a realistic simulation experience. Therefore, we have designed an economical device that has a life-like feel, very similar to human skin and tissue. Objective: The purpose of this model is to teach residents and students how to competently perform and properly secure a surgical chest tube. Methods: This chest tube simulator uses a piece of pork belly that includes skin with underlying muscle and fascia. This tissue is placed over wooden strips and foam tape which are a proxy for human ribs and pleura. This chest wall anatomy allows the learner to locate landmarks, palpate intercostal spaces on real skin, and perform blunt dissection with a realistic “pop” of pleural tissue. Finally, since chest tube dislodgment is a common and unfortunate cause of morbidity and mortality, this chest wall design allows the learner to practice the essential and various techniques of securing the chest tube to real skin.

  9. Depressurisation study of a tank-tubing assemble

    International Nuclear Information System (INIS)

    Freitas, R.L.

    1975-08-01

    The depressurisation of a nuclear reactor following the rupture of the primary coolant circuit is studied, using the simple analogy of the rupture of the tubing connected to a pressurised tank. The method of characteristics has been used in this theoretical analysis. The partial differential equations of conservation of mass, momentum and energy forming a hyperbolic system and defining real characteristic directions, allow the integration of these equations to be carried out along these directions. The method allows calculations to be made of the pressure, temperature, density and fluid velocity in the reactor circuit at any time after the beginning of depressurisation. A computer code MECA I has been written to calculate all the parameters after the rupture for any point in the coolant tubing. The computers used for these calculations were the IBM 360/40 and 370/145 and the Burroughs 6700. In this preliminary study, the simplest case of a system using a perfect gas coolant has been used [pt

  10. Incidents analysis

    International Nuclear Information System (INIS)

    Francois, P.

    1996-01-01

    We undertook a study programme at the end of 1991. To start with, we performed some exploratory studies aimed at learning some preliminary lessons on this type of analysis: Assessment of the interest of probabilistic incident analysis; possibility of using PSA scenarios; skills and resources required. At the same time, EPN created a working group whose assignment was to define a new approach for analysis of incidents on NPPs. This working group gave thought to both aspects of Operating Feedback that EPN wished to improve: Analysis of significant incidents; analysis of potential consequences. We took part in the work of this group, and for the second aspects, we proposed a method based on an adaptation of the event-tree method in order to establish a link between existing PSA models and actual incidents. Since PSA provides an exhaustive database of accident scenarios applicable to the two most common types of units in France, they are obviously of interest for this sort of analysis. With this method we performed some incident analyses, and at the same time explores some methods employed abroad, particularly ASP (Accident Sequence Precursor, a method used by the NRC). Early in 1994 EDF began a systematic analysis programme. The first, transient phase will set up methods and an organizational structure. 7 figs

  11. The roentgenographic findings of achilles tendon rupture

    Energy Technology Data Exchange (ETDEWEB)

    Seouk, Kang Hyo; Keun, Rho Yong [Shilla General Hospital, Seoul (Korea, Republic of)

    1999-03-01

    To evaluate the diagnostic value of a lateral view of the ankles in Achilles tendon rupture. We performed a retrospective analysis of the roentgenographic findings of 15 patients with surgically proven Achilles tendon rupture. Four groups of 15 patients(normal, ankle sprain, medial lateral malleolar fracture, and calcaneal fracture) were analysed as reference groups. Plain radiographs were reviewed with regard to Kager's triangle, Arner's sign, Toygar's angle, ill defined radiolucent shadow through the Achilles tendon, sharpness of the anterior margin of Achilles tendon, and meniscoid smooth margin of the posterior skin surface of the ankle. Kager's triangle was deformed and disappeared after rupture of the Achilles tendon in nine patients(60%) with operative verification of the rupture, six patients(40%) had a positive Arner's sign, while none had a diminished Toygars angle. In 13 patients(87%) with a ruptured Achilles tendon, the thickness of this was nonuniform compared with the reference group. The anterior margin of the Achilles tendon became serrated and indistinct in 14 patients(93%) in whom this was ruptured. An abnormal ill defined radiolucent shadow through the Achilles tendon was noted in nine patient(60%), and nonparallelism between the anterior margin of the Achilles tendon and posterior skin surface of the ankle was detected in 11 patients(73%). The posterior skin surface of the ankle had a nodular surface margin in 13 patients(87%). A deformed Kager's triangle and Achilles tendon, and an abnormal ill defined radiolucent shadow through the Achilles tendon in a lateral view of the ankles are important findings for the diagnesis of in diagnosing achilles tendon rupture.

  12. The roentgenographic findings of achilles tendon rupture

    International Nuclear Information System (INIS)

    Seouk, Kang Hyo; Keun, Rho Yong

    1999-01-01

    To evaluate the diagnostic value of a lateral view of the ankles in Achilles tendon rupture. We performed a retrospective analysis of the roentgenographic findings of 15 patients with surgically proven Achilles tendon rupture. Four groups of 15 patients(normal, ankle sprain, medial lateral malleolar fracture, and calcaneal fracture) were analysed as reference groups. Plain radiographs were reviewed with regard to Kager's triangle, Arner's sign, Toygar's angle, ill defined radiolucent shadow through the Achilles tendon, sharpness of the anterior margin of Achilles tendon, and meniscoid smooth margin of the posterior skin surface of the ankle. Kager's triangle was deformed and disappeared after rupture of the Achilles tendon in nine patients(60%) with operative verification of the rupture, six patients(40%) had a positive Arner's sign, while none had a diminished Toygars angle. In 13 patients(87%) with a ruptured Achilles tendon, the thickness of this was nonuniform compared with the reference group. The anterior margin of the Achilles tendon became serrated and indistinct in 14 patients(93%) in whom this was ruptured. An abnormal ill defined radiolucent shadow through the Achilles tendon was noted in nine patient(60%), and nonparallelism between the anterior margin of the Achilles tendon and posterior skin surface of the ankle was detected in 11 patients(73%). The posterior skin surface of the ankle had a nodular surface margin in 13 patients(87%). A deformed Kager's triangle and Achilles tendon, and an abnormal ill defined radiolucent shadow through the Achilles tendon in a lateral view of the ankles are important findings for the diagnesis of in diagnosing achilles tendon rupture

  13. General Considerations of Ruptured Abdominal Aortic Aneurysm: Ruptured Abdominal Aortic Aneurysm

    OpenAIRE

    Lee, Chung Won; Bae, Miju; Chung, Sung Woon

    2015-01-01

    Although development of surgical technique and critical care, ruptured abdominal aortic aneurysm still carries a high mortality. In order to obtain good results, various efforts have been attempted. This paper reviews initial management of ruptured abdominal aortic aneurysm and discuss the key point open surgical repair and endovascular aneurysm repair.

  14. Traumatic rupture of the thoracic aorta. A review of 49 cases

    Energy Technology Data Exchange (ETDEWEB)

    Stark, P.; Cook, M.; Vincent, A.; Smith, D.C.

    1987-09-01

    We examined retrospectively the chest radiograph of forty-nine patients with angiographically proven aortic ruptures. The plain film findings found most consistently were a wide mediastinum (69.5%), partial obliteration of the descending aorta (67.3%), left apical cap (65.3%), downward displacement of the left main bronchus (65.3%), tracheal deviation to the right (63.2%), obscuration of the aortic arch (55.1%), right paratracheal stripe thickening (53%) and nasogastric tube deviation to the right (50%). We also examined 113 sequential aortograms performed after thoracic trauma over 3 years, to determine the positive rate in our series; 14 studies were positive for a rate of 12.4%. No single case of proved ruptured aorta with a normal chest radiograph was detected.

  15. The Computational Fluid Dynamics Rupture Challenge 2013—Phase I: prediction of rupture status in intracranial aneurysms.

    Science.gov (United States)

    Janiga, G; Berg, P; Sugiyama, S; Kono, K; Steinman, D A

    2015-03-01

    Rupture risk assessment for intracranial aneurysms remains challenging, and risk factors, including wall shear stress, are discussed controversially. The primary purpose of the presented challenge was to determine how consistently aneurysm rupture status and rupture site could be identified on the basis of computational fluid dynamics. Two geometrically similar MCA aneurysms were selected, 1 ruptured, 1 unruptured. Participating computational fluid dynamics groups were blinded as to which case was ruptured. Participants were provided with digitally segmented lumen geometries and, for this phase of the challenge, were free to choose their own flow rates, blood rheologies, and so forth. Participants were asked to report which case had ruptured and the likely site of rupture. In parallel, lumen geometries were provided to a group of neurosurgeons for their predictions of rupture status and site. Of 26 participating computational fluid dynamics groups, 21 (81%) correctly identified the ruptured case. Although the known rupture site was associated with low and oscillatory wall shear stress, most groups identified other sites, some of which also experienced low and oscillatory shear. Of the 43 participating neurosurgeons, 39 (91%) identified the ruptured case. None correctly identified the rupture site. Geometric or hemodynamic considerations favor identification of rupture status; however, retrospective identification of the rupture site remains a challenge for both engineers and clinicians. A more precise understanding of the hemodynamic factors involved in aneurysm wall pathology is likely required for computational fluid dynamics to add value to current clinical decision-making regarding rupture risk. © 2015 by American Journal of Neuroradiology.

  16. Radioactive fallout and neural tube defects

    Directory of Open Access Journals (Sweden)

    Nejat Akar

    2015-10-01

    Full Text Available Possible link between radioactivity and the occurrence of neural tube defects is a long lasting debate since the Chernobyl nuclear fallout in 1986. A recent report on the incidence of neural defects in the west coast of USA, following Fukushima disaster, brought another evidence for effect of radioactive fallout on the occurrence of NTD’s. Here a literature review was performed focusing on this special subject.

  17. Resistance to rupture of the equine stomach

    Directory of Open Access Journals (Sweden)

    Paula A. Di Filippo

    Full Text Available ABSTRACT: Equine colic is an important and common cause of disease and death in horses. Gastric rupture has been extensively described in the literature, and is known to affect expressive numbers of horses. Gastric dilatation, which precedes rupture, may be observed when the animal consumes large amounts of recently harvested grass or drinks water too fast, though diagnosis criteria also include infestation with Gastherophilus and the presence of ileus and distal intestinal obstructions. The objective of the present study was to determine the resistance to rupture of the equine stomach to air (mm Hg and water (L injection. Forty stomachs of young horses (20 geldings and 20 mares with no defined breed were analyzed. Total organ length (cm, weight (g, greater curved length (cm, lesser curved length (cm and height (cm were measured, with no statistical difference between males and females (p > .05. However, stomachs of horses were larger than those of mares and therefore presented higher volumetric capacity (p<0.05. No difference between males and females was observed in the pressure assay (93mmg Hg. Rupture occurred along the greater curvature (99% and on the visceral (80% and diaphragmatic (20% surfaces, across all layers of the gastric wall. Although the equine stomach is relatively small, the organ is considerably resistant to rupture, whether by injection of air or liquid. Horses and mares exhibit similar resistance values, although the stomach of females has smaller volumetric capacity.

  18. High-temperature deformation and rupture behavior of internally-pressurized Zircaloy-4 cladding in vacuum and steam enivronments

    International Nuclear Information System (INIS)

    Chung, H.M.; Garde, A.M.; Kassner, T.F.

    1977-01-01

    The high-temperature diametral expansion and rupture behavior of Zircaloy-4 fuel-cladding tubes have been investigated in vacuum and steam environments under transient-heating conditions that are of interest in hypothetical loss-of-coolant accident situations in light-water reactors. The effects of internal pressure, heating rate, axial constraint, and localized temperature nonuniformities in the cladding on the maximum circumferential strain have been determined for burst temperatures between approximately 650 and 1350 0 C

  19. Isolated Fallopian Tube Torsion

    Directory of Open Access Journals (Sweden)

    S. Kardakis

    2013-01-01

    Full Text Available Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

  20. Automation in tube finishing bay

    International Nuclear Information System (INIS)

    Bhatnagar, Prateek; Satyadev, B.; Raghuraman, S.; Syama Sundara Rao, B.

    1997-01-01

    Automation concept in tube finishing bay, introduced after the final pass annealing of PHWR tubes resulted in integration of number of sub-systems in synchronisation with each other to produce final cut fuel tubes of specified length, tube finish etc. The tube finishing bay which was physically segregated into four distinct areas: 1. tube spreader and stacking area, 2. I.D. sand blasting area, 3. end conditioning, wad blowing, end capping and O.D. wet grinding area, 4. tube inspection, tube cutting and stacking area has been studied

  1. Electroacoustic control of Rijke tube instability

    Science.gov (United States)

    Zhang, Yumin; Huang, Lixi

    2017-11-01

    Unsteady heat release coupled with pressure fluctuation triggers the thermoacoustic instability which may damage a combustion chamber severely. This study demonstrates an electroacoustic control approach of suppressing the thermoacoustic instability in a Rijke tube by altering the wall boundary condition. An electrically shunted loudspeaker driver device is connected as a side-branch to the main tube via a small aperture. Tests in an impedance tube show that this device has sound absorption coefficient up to 40% under normal incidence from 100 Hz to 400 Hz, namely over two octaves. Experimental result demonstrates that such a broadband acoustic performance can effectively eliminate the Rijke-tube instability from 94 Hz to 378 Hz (when the tube length varies from 1.8 m to 0.9 m, the first mode frequency for the former is 94 Hz and the second mode frequency for the latter is 378 Hz). Theoretical investigation reveals that the devices act as a damper draining out sound energy through a tiny hole to eliminate the instability. Finally, it is also estimated based on the experimental data that small amount of sound energy is actually absorbed when the system undergoes a transition from the unstable to stable state if the contrpaol is activated. When the system is actually stabilized, no sound is radiated so no sound energy needs to be absorbed by the control device.

  2. Sudden onset congestive heart failure with a continuous murmur: ruptured sinus of Valsalva aneurysm complicated by anomalous origin of the left coronary artery.

    Science.gov (United States)

    Seto, Arnold H; Hermer, Alan; Kern, Morton

    2008-01-01

    Ruptured sinus of Valsalva aneurysm is an unusual cause for congestive heart failure, and anomalous coronary arteries have rarely been found in association. A 47-year-old man developed sudden onset heart failure due to a ruptured noncoronary sinus of Valsalva fistula to the right atrium. Coronary angiography revealed an anomalous left coronary artery arising from the right coronary sinus, limiting percutaneous options for repair. We review the incidence, complications, and management of sinus of Valsalva aneurysms and anomalous left coronary arteries.

  3. Linguine sign in musculoskeletal imaging: calf silicone implant rupture

    Energy Technology Data Exchange (ETDEWEB)

    Duryea, Dennis; Petscavage-Thomas, Jonelle [Milton S. Hershey Medical Center, Department of Radiology, H066, 500 University Drive, P.O. Box 850, Hershey, PA (United States); Frauenhoffer, Elizabeth E. [Milton S. Hershey Medical Center, Department of Pathology, 500 University Drive, P.O. Box 850, Hershey, PA (United States); Walker, Eric A. [Milton S. Hershey Medical Center, Department of Radiology, H066, 500 University Drive, P.O. Box 850, Hershey, PA (United States); Uniformed Services University of the Health Sciences, Department of Radiology and Nuclear Medicine, Bethesda, MD, 20814 (United States)

    2015-08-15

    Imaging findings of breast silicone implant rupture are well described in the literature. On MRI, the linguine sign indicates intracapsular rupture, while the presence of silicone particles outside the fibrous capsule indicates extracapsular rupture. The linguine sign is described as the thin, wavy hypodense wall of the implant within the hyperintense silicone on T2-weighted images indicative of rupture of the implant within the naturally formed fibrous capsule. Hyperintense T2 signal outside of the fibrous capsule is indicative of an extracapsular rupture with silicone granuloma formation. We present a rare case of a patient with a silicone calf implant rupture and discuss the MRI findings associated with this condition. (orig.)

  4. Linguine sign in musculoskeletal imaging: calf silicone implant rupture

    International Nuclear Information System (INIS)

    Duryea, Dennis; Petscavage-Thomas, Jonelle; Frauenhoffer, Elizabeth E.; Walker, Eric A.

    2015-01-01

    Imaging findings of breast silicone implant rupture are well described in the literature. On MRI, the linguine sign indicates intracapsular rupture, while the presence of silicone particles outside the fibrous capsule indicates extracapsular rupture. The linguine sign is described as the thin, wavy hypodense wall of the implant within the hyperintense silicone on T2-weighted images indicative of rupture of the implant within the naturally formed fibrous capsule. Hyperintense T2 signal outside of the fibrous capsule is indicative of an extracapsular rupture with silicone granuloma formation. We present a rare case of a patient with a silicone calf implant rupture and discuss the MRI findings associated with this condition. (orig.)

  5. Effect of position, time in the season, and playing surface on Achilles tendon ruptures in NFL games: a 2009-10 to 2016-17 review.

    Science.gov (United States)

    Krill, Michael K; Borchers, James R; Hoffman, Joshua T; Krill, Matthew L; Hewett, Timothy E

    2017-09-01

    Achilles tendon (AT) ruptures are a potentially career-altering and ending injury. Achilles tendon ruptures have a below average return-to-play rate compared to other common orthopaedic procedures for National Football League (NFL) players. The objective of this study was to monitor the incidence and injury rates (IR) of AT ruptures that occurred during the regular season in order to evaluate the influence of player position, time of injury, and playing surface on rupture rates. A thorough online review was completed to identify published injury reports and public information regarding AT ruptures sustained during regular season and post-season games in the National Football League (NFL) during the 2009-10 to 2016-17 seasons. Team schedules, player position details and stadium information was used to determine period of the season of injury and playing surface. IRs were calculated per 100 team games (TG). Injury rate ratios (IRR) were utilized to compare IRs. During eight monitored seasons, there were 44 AT ruptures in NFL games. A majority of AT ruptures were sustained in the first eight games of the regular season (n = 32, 72.7%). There was a significant rate difference for the first and second four-game segments of the regular season compared to the last two four-game segments of the regular season. Defensive players suffered a majority of AT ruptures (n = 32, 72.7%). The IR on grass was 1.00 per 100 TG compared to 1.08 per 100 TG on artificial turf (IRR: 0.93, p = .80). A significant increase in AT ruptures occurred in the first and second four game segments of the regular season compared to the last two-four game segments of the regular season. Defensive players suffered a majority of AT ruptures compared to offensive or specialist players. There was no difference between AT rupture rates and playing surface in games.

  6. Pedicle screw rupture: A case study

    Directory of Open Access Journals (Sweden)

    Giorgio E.O. Giacaglia

    2015-10-01

    Full Text Available In this work we present a technical description related to the rupture of a titanium alloy pedicle screw and connecting bar implanted in dorsal vertebras of a patient. Only metallurgical facts are described, with no attempt to identify any imperfections in the clinical aspects related to the rupture. The results described here are based on extensive analysis of the broken materials in a material sciences specialized laboratory. Excluding an incorrect prosthesis implantation in the surgical procedure and a possible low bone density, an information not available to the research team, with high probability the rupture of metallic pieces used in the prosthetic implant, was produced by the low fatigue resistance resulting by an improper machining process and excessive bending of the connecting bar prior to implant.

  7. Achilles tendon rupture; assessment of nonoperative treatment

    DEFF Research Database (Denmark)

    Barfod, Kristoffer Weisskirchner

    2014-01-01

    BACKGROUND: Acute Achilles tendon rupture is a frequent and potentially disabling injury. Over the past decade a change in treatment of acute Achilles tendon rupture away from operative towards non-operative treatment has taken place. However, the optimal non-operative treatment protocol remains...... to be clarified, particularly the role of weight-bearing during early rehabilitation. Also, there is a need for a clinically applicable and accurate measurement to detect patients in risk of developing Achilles tendon elongation. PURPOSE: The aim of this PhD thesis was to evaluate non-operative treatment of acute...... Achilles tendon rupture. METHODS: In study I, a cross-sectional survey was performed investigating the chosen treatment protocols across Scandinavia. In study II, the effect of immediate weight-bearing on patient reported and functional outcomes was investigated in a randomized controlled trial (RCT...

  8. Achilles tendon rupture; assessment of nonoperative treatment

    DEFF Research Database (Denmark)

    Barfod, Kristoffer Weisskirchner

    2014-01-01

    BACKGROUND: Acute Achilles tendon rupture is a frequent and potentially disabling injury. Over the past decade a change in treatment ofacute Achilles tendon rupture away from operative towards non-operative treatment has taken place. However, the optimal non-operative treatment protocol remains...... to be clarified, particularly the role of weight-bearing during early rehabilitation. Also, there is a need for a clinically applicable and accurate measurement to detect patients in risk of developing Achilles tendon elongation. PURPOSE: The aim of this PhD thesis was to evaluate non-operative treatment of acute...... Achilles tendon rupture. METHODS: In study I, a cross-sectional survey was performed investigating the chosen treatment protocols across Scandinavia. In study II, the effect of immediate weight-bearing on patient reported and functional outcomes was investigated in a randomized controlled trial (RCT...

  9. Rupture of pectoralis major muscle: review article

    Directory of Open Access Journals (Sweden)

    Guity MR

    2010-05-01

    Full Text Available "nBackground: Rupture of pectoralis major muscle is a very rare and often athletic injury. These days in our country this injury occurs more frequently. This could be due to increase in professional participation of amateur people in different types of sport, like body building and weight-lifting (especially bench-pressing without adequate preparation, training and taking necessary precautions. In this article, we have tried to review several aspects of complex anatomy of pectoralis major muscle, epidemiology, mechanism, clinical presentations, imaging modalities, surgical indications and techniques of its rupture. Complex and especial anatomy of pectoralis major muscle, in its humeral insertion particularly, have a major role of its vulnerability to sudden and eccentric contraction as the main mechanism of rupture. Also, restoration of this complex anatomy seems to be important during surgical repair to have normal function of the muscle again.

  10. Ruptured Massa Intermedia Secondary to Hydrocephalus.

    Science.gov (United States)

    El Damaty, Ahmed; Langner, Soenke; Schroeder, Henry W S

    2017-01-01

    We report a case of ruptured massa intermedia (MI) as a sequela of hydrocephalus. A single case report is presented describing the sequelae of tumor bed hematoma after a posterior fossa hemangioblastoma resection in which the patient bled 3 days after surgery, resulting in secondary hydrocephalus and subsequently dilatation of the third ventricle, which resulted in rupture of the MI. The patient was managed on emergency basis with an external ventricular drain then endoscopically with a third ventriculostomy and clot extraction. Absent MI is not uncommon in hydrocephalic patients, and it is assumed to be the result of rupture from acute dilatation of the third ventricle. Our case report proves this assumption and documents the presence and absence of the MI before and after developing hydrocephalus. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Tube Alinement for Machining

    Science.gov (United States)

    Garcia, J.

    1984-01-01

    Tool with stepped shoulders alines tubes for machining in preparation for welding. Alinement with machine tool axis accurate to within 5 mils (0.13mm) and completed much faster than visual setup by machinist.

  12. Ear tube insertion

    Science.gov (United States)

    ... mastoiditis) or the brain, or that damages nearby nerves Injury to the ear after sudden changes in ... does not heal after the tube falls out. Most of the time, these problems DO NOT last long. They also ...

  13. Tube Feeding Troubleshooting Guide

    Science.gov (United States)

    ... the diameter is measured in units known as French sizes, or “Fr”; a low profile tube also ... your quality of life. You are encouraged to speak with your physician, dietitian, home care company, or ...

  14. Magnesium tube hydroforming

    Energy Technology Data Exchange (ETDEWEB)

    Liewald, M.; Pop, R. [Institute for Metal Forming Technology (IFU), Stuttgart (Germany)

    2008-04-15

    Magnesium alloys reveal a good strength-to-weight ratio in the family of lightweight metals and gains potential to provide up to 30% mass savings compared to aluminium and up to 75 % compared to steel. The use of sheet magnesium alloys for auto body applications is however limited due to the relatively low formability at room temperature. Within the scope of this paper, extruded magnesium tubes, which are suitable for hydroforming applications, have been investigated. Results obtained at room temperature using magnesium AZ31 tubes show that circumferential strains are limited to a maximal value of 4%. In order to examine the influence of the forming temperature on tube formability, investigations have been carried out with a new die set for hot internal high pressure (IHP) forming at temperatures up to 400 C. Earlier investigations with magnesium AZ31 tubes have shown that fractures occur along the welding line at tubes extruded over a spider die, whereby a non-uniform expansion at bursting with an elongation value of 24% can be observed. A maximum circumferential strain of approx. 60% could be attained when seamless, mechanically pre-expanded and annealed tubes of the same alloy have been used. The effect of annealing time on materials forming properties shows a fine grained structure for sufficient annealing times as well as deterioration with a large increase at same time. Hence, seamless ZM21 tubes have been used in the current investigations. With these tubes, an increased tensile fracture strain of 116% at 350 C is observed as against 19% at 20 C, obtained by tensile testing of milled specimens from the extruded tubes. This behaviour is also seen under the condition of tool contact during the IHP forming process. To determine the maximum circumferential strain at different forming temperatures and strain rates, the tubes are initially bulged in a die with square cross-section under plane stress conditions. Thereafter, the tubes are calibrated by using an

  15. Power vacuum tubes handbook

    CERN Document Server

    Whitaker, Jerry

    2012-01-01

    Providing examples of applications, Power Vacuum Tubes Handbook, Third Edition examines the underlying technology of each type of power vacuum tube device in common use today. The author presents basic principles, reports on new development efforts, and discusses implementation and maintenance considerations. Supporting mathematical equations and extensive technical illustrations and schematic diagrams help readers understand the material. Translate Principles into Specific Applications This one-stop reference is a hands-on guide for engineering personnel involved in the design, specification,

  16. Consequences of expansion joint bellows rupture

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W.L.; Miller, R.F.; Cramer, D.S.

    1992-01-01

    Expansion joints are used in piping systems to accommodate pipe deflections during service and to facilitate fitup. Typically, the expansion joint bellows is the thinnest part of the pressure boundary, bellows rupture frequencies are typically several orders of magnitude higher than pipe rupture frequencies. This paper reviews an effort to estimate the flow rates associated with bellows rupture. The Level I PRA (probabilistic risk assessment) for the Savannah River Site production reactors made the bounding assumption that bellows rupture would produce the maximum possible leakage - that of a double-ended guillotine break (DEGB). This assumption resulted in predictions of flooding of the reactor building with a high conditional probability that a Loss of Pumping Accident and core melting would follow. This paper describes analyses that were performed to develop a realistic break area and leak rate resulting from bellows rupture and therefore reduce the impact that bellows rupture can have on the estimated total core melt frequency. In the event of a 360 degree circumferential break of the bellows the resulting two sections will separate to the point where the force from the internal pressure acting to push the bellows open is just balanced by the spring force of the bellows itself. For the bellows addressed in this analysis, the equilibrium separation distance is 0.7 inches with normal pump lineup. The opening area is influenced by any initial compression or extension due to installation alignment, and by any operational displacements such as thermal expansion of the adjoining pipe. The influence of such factors is considered and the impact on the flooding rate and, hence, core melt frequency is reviewed.

  17. Consequences of expansion joint bellows rupture

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W.L.; Miller, R.F.; Cramer, D.S.

    1992-11-01

    Expansion joints are used in piping systems to accommodate pipe deflections during service and to facilitate fitup. Typically, the expansion joint bellows is the thinnest part of the pressure boundary, bellows rupture frequencies are typically several orders of magnitude higher than pipe rupture frequencies. This paper reviews an effort to estimate the flow rates associated with bellows rupture. The Level I PRA (probabilistic risk assessment) for the Savannah River Site production reactors made the bounding assumption that bellows rupture would produce the maximum possible leakage - that of a double-ended guillotine break (DEGB). This assumption resulted in predictions of flooding of the reactor building with a high conditional probability that a Loss of Pumping Accident and core melting would follow. This paper describes analyses that were performed to develop a realistic break area and leak rate resulting from bellows rupture and therefore reduce the impact that bellows rupture can have on the estimated total core melt frequency. In the event of a 360 degree circumferential break of the bellows the resulting two sections will separate to the point where the force from the internal pressure acting to push the bellows open is just balanced by the spring force of the bellows itself. For the bellows addressed in this analysis, the equilibrium separation distance is 0.7 inches with normal pump lineup. The opening area is influenced by any initial compression or extension due to installation alignment, and by any operational displacements such as thermal expansion of the adjoining pipe. The influence of such factors is considered and the impact on the flooding rate and, hence, core melt frequency is reviewed.

  18. Ventricular septal rupture, right ventricular free wall rupture, hemopericardium, cardiac tamponade, cardiogenic shock, and death in a patient with acute ST elevation myocardial infarction during transthoracic echocardiography

    Directory of Open Access Journals (Sweden)

    Osama A El Kady

    2017-01-01

    Full Text Available The incidence of mechanical complications related to myocardial infarction has decreased due to various factors over the last few decades. Patients admitted for acute ST segment elevation myocardial infarction (STEMI may respond well to thrombolytic therapy before being taken up for coronary angiography and percutaneous coronary intervention depending on the facilities available at the specific center. Unfortunately, some patients develop complications of myocardial infarction during hospital stay or postdischarge. We present a patient admitted with acute STEMI responding well to thrombolytic therapy. During transthoracic echocardiography of the patient in Intensive Care Unit, the patient developed ventricular septal rupture, right ventricular free wall rupture, hemopericardium, cardiac tamponade, and cardiogenic shock and expired.

  19. Dynamics of tubes in fluid with tube-baffle interaction

    International Nuclear Information System (INIS)

    Chen, S.S.; Jendrzejczyk, J.A.; Wambsganss, M.W.

    1983-09-01

    Three series of tests are performed to evaluate the effects of tube to tube-support-plate (TSP) clearance on tube dynamic characteristics and instability phenomena for tube arrays in crossflow. Test results show that, for relatively large clearances, tubes may possess TSP-inactive modes in which the tubes rattle inside some of the tube-support-plate holes, and that the natural frequencies of TSP-inactive modes are lower than those of TSP-active modes, in which the support plates provide knife-edge type support. Tube response characteristics associated with TSP-inactive modes are sensitive to tube-to-TSP clearance, TSP thickness, excitation amplitude, tube alignment, and the fluid inside the clearance. In addition, tube response is intrinsically nonlinear, with the dominance of TSP-inactive or TSP-active modes depending on the magnitudes of different system parameters. In general, such a system is difficult to model; only a full-scale test can provide all the necessary characteristics. A tube array supported by TSPs with relatively large clearances may be subjected to dynamic instability in some of the TSP-inactive modes; tube response characteristics and impact forces on TSPs for a tube row are studied in detail in this report. Tube displacements associated with the instability of a TSP-inactive mode are small; however, impacts of the tube against TSPs may result in significant damage in a relatively short time. 52 figures

  20. A Rare Case of Simultaneous Acute Bilateral Quadriceps Tendon Rupture and Unilateral Achilles Tendon Rupture

    Directory of Open Access Journals (Sweden)

    Wei Yee Leong

    2013-07-01

    Full Text Available Introduction: There have been multiple reported cases of bilateral quadriceps tendon ruptures (QTR in the literature. These injuries frequently associated with delayed diagnosis, which results in delayed surgical treatment. In very unusual cases, bilateral QTRs can be associated with other simultaneous tendon ruptures. Case Report: We present a rare case of bilateral QTR with a simultaneous Achilles Tendon Rupture involving a 31 years old Caucasian man who is a semi-professional body builder taking anabolic steroids. To date bilateral QTR with additional TA rupture has only been reported once in the literature and to our knowledge this is the first reported case of bilateral QTR and simultaneous TA rupture in a young, fit and healthy individual. Conclusion: The diagnosis of bilateral QTR alone can sometimes be challenging and the possibility of even further tendon injuries should be carefully assessed. A delay in diagnosis could result in delay in treatment and potentially worse outcome for the patient. Keywords: Quadriceps tendon rupture; Achilles tendon rupture; Bilateral.

  1. Does small aneurysm size predict intraoperative rupture during coiling in ruptured and unruptured aneurysms?

    Science.gov (United States)

    Mitchell, Peter J; Muthusamy, Subramanian; Dowling, Richard; Yan, Bernard

    2013-11-01

    Aneurysm size is a possible risk factor for intraoperative rupture (IOR) during coiling procedures. We aim to determine if aneurysm size 4 mm or smaller predicts IOR. Between January 1997 and August 2010, 689 aneurysms in 595 patients were treated by coiling at a single institution. In all, 41 were excluded from statistical analysis due to missing data leaving 648 aneurysms in 562 patients. Demographic, clinical, and procedural outcomes were collected. We compared the rate of IOR in small aneurysms (≤4 mm) with larger aneurysms (>4 mm). We also compared the rate of IOR in ruptured versus unruptured aneurysms in the above categories. The overall rate of IOR was 4.9%. Aneurysms 4 mm or smaller were more than twice as likely to rupture on table compared to larger aneurysms (8.7% versus 3.9%; P=.022). Of note, ruptured aneurysms were more prone to IOR compared to unruptured aneurysms (7.0% versus 2.2%; P=.005). Aneurysm size 4 mm or smaller was a risk factor in small, ruptured aneurysms only (P=.019). In addition, unruptured aneurysms that were complicated by IOR were associated with higher rates of 30-day mortality (P<.001). Aneurysm size 4 mm or smaller is a risk factor for IOR in ruptured but not unruptured aneurysms. This additional risk factor should be considered when planning the management of small, ruptured aneurysms. Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  2. COMPARISON OF CLADDING CREEP RUPTURE MODELS

    Energy Technology Data Exchange (ETDEWEB)

    P. Macheret

    2000-06-12

    The objective of this calculation is to compare several creep rupture correlations for use in calculating creep strain accrued by the Zircaloy cladding of spent nuclear fuel when it has been emplaced in the repository. These correlations are used to calculate creep strain values that are then compared to a large set of experimentally measured creep strain data, taken from four different research articles, making it possible to determine the best fitting correlation. The scope of the calculation extends to six different creep rupture correlations.

  3. Unusual Complete Proximal Biceps Tendon Rupture

    Directory of Open Access Journals (Sweden)

    Abdullah F. Raizah

    2013-12-01

    Full Text Available Proximal biceps brachii tendon rupture is an unusual presentation in young individuals. This report is an extremely rare case of a complete rupture of the proximal biceps brachii tendon in a young patient as a result of a high-energy water-skiing injury. It was associated with displacement of the biceps muscle into the forearm with skin necrosis. The patient was treated successfully by débridement of the skin and complete resection of the biceps brachii muscle.

  4. Repair of distal biceps brachii tendon ruptures.

    Science.gov (United States)

    Bell, R H; Wiley, W B; Noble, J S; Kuczynski, D J

    2000-01-01

    This study consisted of 26 male patients with distal biceps tendon ruptures, 2 of whom had bilateral injuries, making the total number of ruptures 28. The average age at injury was 45 years. The treatment groups were the following: 3 were treated without surgery, 4 were repaired with brachialis tenodesis, and 21 were reattached to the radial tuberosity by the 2-incision Boyd-Anderson approach. Patients underwent follow-up a minimum of 14 months after surgery, with the average being 43 months. Outcome was evaluated based on the physical examination, isokinetic testing of strength and endurance of flexion and supination, and radiographic analysis.

  5. POVRATAK SPORTSKIM AKTIVNOSTIMA POSLIJE RUPTURE AHILOVE TETIVE

    Directory of Open Access Journals (Sweden)

    Miroslav Kezunović

    2010-09-01

    Full Text Available One of the most important goals of the treatment of sports injuries is athletes’ early return to normal sporting activities. Time when the athletes will return to normal sporting activities, after Achilles tendon acute rupture, depends on the level of sports involvement. Average time of return to sport is usually between 5-6 months after rupture. Patients, who are treated using postoperative functional cast, can expect an average return to their sport a month earlier than those who after surgery used solid cast immobilization. The most important signs that indicate possible slow rehabilitation process are the pain and swelling after activity and late recovery of the tissue.

  6. ACHILLES TENDON RUPTURE AND PLATELET RICH PLASMA

    Directory of Open Access Journals (Sweden)

    Pietro Zedde

    2012-03-01

    Full Text Available Achilles tendon rupture is currently one of the most frequent injuries in athletes. Such rupture may be caused by a sudden dorsiflexion of the ankle, pushing off with the weight bearing forefoot while extending the knee or violent dorsiflexion of a plantar flexed foot. The treatment goal consists of restoring the normal tendon length and tension, as well as the function and strength of the gastrocnemius-soleus complex. The biological repair process can be enhanced in all stages of recovery with the use of PRP (Platelet Rich Plasma without any side effects.

  7. Retinal detachment associated with traumatic chorioretinal rupture.

    Science.gov (United States)

    Papakostas, Thanos D; Yonekawa, Yoshihiro; Wu, David; Miller, John B; Veldman, Peter B; Chee, Yewlin E; Husain, Deeba; Eliott, Dean

    2014-01-01

    Traumatic chorioretinal rupture, also known as sclopetaria, is a full-thickness break of the choroid and retina caused by a high-velocity projectile striking or passing adjacent to, but not penetrating, the globe. Previous reports have emphasized that retinal detachment seldom occurs, and observation alone has been the recommended management strategy. However, the authors present herein a series of consecutive patients with retinal detachment associated with sclopetaria and provide a literature review of the topic. They recommend that patients with traumatic chorioretinal rupture be monitored closely for the development of retinal detachment during the first few weeks after the injury. Copyright 2014, SLACK Incorporated.

  8. [Development of Achilles tendon rupture in skiing].

    Science.gov (United States)

    Suckert, K; Benedetto, K P; Vogel, A

    1983-06-01

    This is an analysis of decline of rupture of the Achilles tendon in skiing while there is a steady increase of skiing injuries. Three groups, equipped with three different types of ski boots were observed once on a plane slope on the other hand on a bump track. The simultaneous size of angle of knee and ankle was measured by telemetry. The high plastic ski boot, which obstructs the ankle forward and lateral is apart from the rise of heel in the boot, the safety binding and the new skiing style the main reason for decline of rupture of the Achilles tendon in skiing.

  9. Incidence of and Risk Factors for Birth Trauma in Iran

    Directory of Open Access Journals (Sweden)

    Hajiehe Borna

    2010-06-01

    Conclusion: The incidence of birth trauma was 41.16 per 1,000 vaginal deliveries. Induction of labor, premature rupture of membranes, academic degree of attendant physician at delivery, higher birth weight, and gestational age were associated with fetal injuries.

  10. Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decade

    Energy Technology Data Exchange (ETDEWEB)

    Pitton, Michael B.; Dappa, Evelyn; Jungmann, Florian; Kloeckner, Roman; Schotten, Sebastian; Wirth, Gesine M.; Mildenberger, Peter; Kreitner, Karl-Friedrich; Oberholzer, Katja; Dueber, Christoph [University Hospital of Mainz, Department of Diagnostic and Interventional Radiology, Mainz (Germany); Mittler, Jens; Lang, Hauke [University Hospital of Mainz, Department of Abdominal, Visceral and Transplantation Surgery, Mainz (Germany)

    2015-07-15

    To evaluate the incidence, management, and outcome of visceral artery aneurysms (VAA) over one decade. 233 patients with 253 VAA were analyzed according to location, diameter, aneurysm type, aetiology, rupture, management, and outcome. VAA were localized at the splenic artery, coeliac trunk, renal artery, hepatic artery, superior mesenteric artery, and other locations. The aetiology was degenerative, iatrogenic after medical procedures, connective tissue disease, and others. The rate of rupture was much higher in pseudoaneurysms than true aneurysms (76.3 % vs.3.1 %). Fifty-nine VAA were treated by intervention (n = 45) or surgery (n = 14). Interventions included embolization with coils or glue, covered stents, or combinations of these. Thirty-five cases with ruptured VAA were treated on an emergency basis. There was no difference in size between ruptured and non-ruptured VAA. After interventional treatment, the 30-day mortality was 6.7 % in ruptured VAA compared to no mortality in non-ruptured cases. Follow-up included CT and/or MRI after a mean period of 18.0 ± 26.8 months. The current status of the patient was obtained by a structured telephone survey. Pseudoaneurysms of visceral arteries have a high risk for rupture. Aneurysm size seems to be no reliable predictor for rupture. Interventional treatment is safe and effective for management of VAA. (orig.)

  11. WWER steam generator tube structural and leakage integrity

    International Nuclear Information System (INIS)

    Splichal, K.; Krhounek, Vl.; Otruba, J.; Ruscak, M.

    1998-01-01

    The integrity of heat exchange tubes may influence the lifetime of WWER steam generators and appears to be an important criterion for the evaluation of their safety and operational reliability. The basic requirements are to assure very low probability of radioactive water leakage, preventing unstable crack growth and sudden tube rupture. These requirements led to development of permissible limits for primary to secondary leak evaluation and heat exchange tubes plugging. The stress corrosion cracking and pitting are the main corrosion damages of WWER heat exchange tubes and are initiated from the outer surface. Both the initiation and crack growth cause thinning of the tube wall and lead to part thickness cracks and through wall cracks, oriented preferentially in the axial direction. The paper presents the leakage and plugging limits for WWER steam generators, which have been determined from leak tests and burst tests. The tubes with axial part-through and through-wall defects have been used. The permissible value of primary to secondary leak rate was evaluated with respect to permissible axial through-wall defect size of WWER 440 and 1000 steam generator tubes. Blocking of the tube cracks by corrosion product particles and other compounds reduces the primary to secondary leak rate. The plugging limits involve the following factors: permissible tube wall thickness which determine further operation of the tubes with defects and assures their integrity under operating conditions and permissible size of a through-wall crack which is sufficiently stable under normal and accident conditions in relation to the critical crack length. For the evaluation of burst test of heat exchange tubes with longitudinal through-wall defects the instability criterion has been used and the dependence of the normalised burst pressure on the normalised length of an axial through-wall defect has been determined. The validity of the criterion of instability for WWER tubes with through

  12. Gastrostomy feeding tube - pump - child

    Science.gov (United States)

    ... tube feeding; PEG tube care; Feeding - gastrostomy tube - pump; G-tube - pump; Gastrostomy button - pump; Bard Button - pump; MIC-KEY - pump ... Gather supplies: Feeding pump (electronic or battery powered) Feeding ... pump (includes a feeding bag, drip chamber, roller clamp, ...

  13. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... search for current job openings visit HHS USAJobs Home >> NEI YouTube Videos >> NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract ...

  14. Chemical cleaning's role in tube failure prevention and correction

    International Nuclear Information System (INIS)

    Shields, K.J.; Dooley, R.B.

    2002-01-01

    Properly applied, chemical cleaning is a valuable tool used to prevent tube failures involving overheating and corrosion due to waterside deposits. In many cases, however, cleaning becomes yet an additional cost associated with correction of tube failure incidents. Discussion is focused on approaches taken to appraise tube waterside cleanliness and determine the need to clean, as typically practiced in conventional fossil plants. Also presented is an assessment of the suitability and limitations of these approaches to plants with heat recovery steam generator (HRSG) units. (orig.)

  15. Tubal rupture in ectopic pregnancy: is it predictable?

    Science.gov (United States)

    Karadeniz, R S; Tasci, Y; Altay, M; Akkuş, M; Akkurt, O; Gelisen, O

    2015-02-01

    Ectopic pregnancies account for 10-15% of all maternal deaths. Rupture of an ectopic pregnancy is an urgent medical situation, therefore prediction of any tubal rupture before its occurrence is extremely important. The aim of this study was to evaluate the tubal rupture rate in different treatment modalities in EP cases and to find a hCG level on admission and/or size of ectopic mass predictive for tubal rupture. Demographic data and medical data were extracted from patient charts for 211 cases who had diagnosis of tubal ectopic pregnancy. Women with tubal rupture were compared to those without rupture. Expectant management, single dose methotrexate and primary surgical treatment were applied to 83 cases (39%), 93 cases (44%) and 35 cases (17%), respectively. The tubal rupture occurred in 14.7% of the study population. If the EP mass diameter is ectopic pregnancy cases, hCG level on admission and size of ectopic pregnancy mass can predict tubal rupture.

  16. Misdiagnosed uterine rupture of an advanced cornual pregnancy

    DEFF Research Database (Denmark)

    Sant, Christian Linus Hastrup; Andersen, Poul Erik

    2012-01-01

    Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination...

  17. [Uterine rupture in the third trimester after a hysteroscopic metroplasty].

    Science.gov (United States)

    Chokri, A; Chekib, M; Fethi, Z; Anis, F; Sadok, M

    2000-01-01

    Uterine rupture during a pregnancy may occur following hysteroscopic metropasty. We report the case of a patient with a history of hysteroscopic resection complicated by of uterine rupture during pregnancy.

  18. Rupture of the neck in nuclear fission

    International Nuclear Information System (INIS)

    Davies, K.T.R.; Managan, R.A.; Nix, J.R.; Sierk, A.J.

    1977-01-01

    We introduce a degree of freedom to describe the rupture of the neck in nuclear fission and calculate the point at which the neck ruptures as the nucleus descends dynamically from its fission saddle point. This is done by mentally slicing the system into two portions at its minimum neck radius and calculating the force required to separate the two portions while keeping their shapes fixed. This force is obtained by differentiating with respect to separation the sum of the Coulomb and nuclear interaction energies between the two portions. For nuclei throughout the Periodic Table we calculate this force along dynamical paths leading from the fission saddle point. The force is initially attractive but becomes repulsive when the neck reaches a critical size. For actinide nuclei the neck radius at which rupture occurs is about 2 fm. This increases the calculated translational kinetic energy of the fission fragments at infinity relative to that calculated for scission occurring at zero neck radius. With the effect of neck rupture taken into account, we calculate and compare with experimental results fission-fragment kinetic energies for two types of nuclear dissipation: ordinary two-body viscosity and one-body dissipation

  19. Ruptured Cervical Aneurysm with Neurofibromatosis | Smith | South ...

    African Journals Online (AJOL)

    A case is presented of spontaneous rupture of an aneurysm of a lateral branch of the right thyrocervical trunk in a patient suffering from diffuse neurofibromatosis. The operative findings are reported. S. Afr. Med. J., 48, 945 (1974). Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT ...

  20. The electrocardiogram in traumatic right atrial rupture

    NARCIS (Netherlands)

    van Veldhuisen, DJ; van den Berg, MP

    1999-01-01

    We:report the case of a previously healthy 20-year-old man who had a traumatic rupture of the right atrium. On admission an electrocardiogram (ECG) was recorded which is highly remarkable and, retrospectively, suggestive for the diagnosis. The patient died soon after the EGG, and the diagnosis was

  1. Bilateral synchronous rupture of the quadriceps tendon.

    LENUS (Irish Health Repository)

    Ellanti, P

    2012-09-01

    Bilateral simultaneous rupture of the quadriceps tendon is a rare entity. They are often associated with degenerative changes of the tendons and predisposing conditions such as diabetes or excessive steroid use. They most commonly tend to occur in patients of 40 years of age or older.

  2. Rupture of the tibialis anterior tendon

    NARCIS (Netherlands)

    van Acker, Gijs; Pingen, Francien; Luitse, Jan; Goslings, Carel

    2006-01-01

    Rupture of the tibialis anterior tendon is rare. There is usually a delay in diagnosis, probably because it is an uncommon entity. Diagnosis is easy however, and recovery with surgical treatment is satisfactory if repair is performed within the first three months following the initial trauma. After

  3. The reactor Phenix - cartridge rupture detection

    International Nuclear Information System (INIS)

    Graftieaux, J.

    1967-01-01

    This report defines the role of cartridge rupture detection in the reactor Phenix. It gives the possible methods, their probable performances, their advantages and disadvantages. The final form of the installation will be determined mainly by the degree of safety required, by the technical possibilities of the reactor design and by the operational flexibility wanted. (author) [fr

  4. Rupture of uterus treated with suture.

    Science.gov (United States)

    Klungsøyr, P; Kiserud, T

    1990-01-01

    Between August 1983 and August 1985, 63 patients in labor with uterine rupture were treated at Sidamo Regional Hospital, Yirgaalem, South Ethiopia, mainly by suture of the uterus. None of those operated on died. We recommend suturing as the treatment of choice. Hysterectomy is rarely indicated.

  5. CT and MRI of ruptured intracranial dermoids

    Energy Technology Data Exchange (ETDEWEB)

    Wilms, G.; Demaerel, P.; Baert, A.L. (Leuven Univ. Hospital (Belgium). Dept. of Radiology); Casselman, J. (Akademisch Ziekenhuis St. Jan, Brugge (Belgium). Dept. of Radiology); Plets, C. (Leuven Univ. Hospital (Belgium). Dept. of Neurosurgery); Haene, I. de (Akademisch Ziekenhuis St. Jan, Brugge (Belgium). Dept. of Neurology)

    1991-04-01

    Two patients with ruptured intracranial dermoids, examined with both CT and MRI are reported. Clinical presentation was transient cerebral ischemia in one patient and acute meningeal signs in the other. CT scan showed typical fat density of the tumor and the subarachnoid space. On MRI both the tumor and the subarachnoid fat, were strongly hyperintense on T1-weighted images. (orig.).

  6. Spontaneous rupture of an infected renal cyst

    Energy Technology Data Exchange (ETDEWEB)

    Kopp, W.; Toelly, E.; Ebner, F.; Kullnig, P.

    1986-07-01

    Spontaneous or traumatic rupture of renal cysts is a rare occurrence. The contents of the cyst can perforate into the renal calyx system or into the perirenal space. Perforation into the peritoneal cavity has also been described (1, 2, 4, 5).

  7. Atherosclerotic plaque rupture: local or systemic process?

    NARCIS (Netherlands)

    Lutgens, Esther; van Suylen, Robert-Jan; Faber, Birgit C.; Gijbels, Marion J.; Eurlings, Petra M.; Bijnens, Ann-Pascale; Cleutjens, Kitty B.; Heeneman, Sylvia; Daemen, Mat J. A. P.

    2003-01-01

    It is generally established that the unstable plaque is the major cause of acute clinical sequelae of atherosclerosis. Unfortunately, terms indicating lesions prone to plaque instability, such as "vulnerable plaque," and the different phenotypes of unstable plaques, such as plaque rupture, plaque

  8. Surgical management of spontaneous ruptured hepatocellular adenoma

    Directory of Open Access Journals (Sweden)

    Marcelo Augusto Fontenelle Ribeiro Junior

    2009-01-01

    Full Text Available AIMS: Spontaneous ruptured hepatocellular adenoma (SRHA is a rare life-threatening condition that may require surgical treatment to control hemorrhaging and also stabilize the patient. We report a series of emergency surgeries performed at our institution for this condition. METHODS: We reviewed medical records and radiology files of 28 patients (from 1989 to 2006 with a proven diagnosis of hepatocellular adenoma (HA. Three (10.7% of 28 patients had spontaneous ruptured hepatocellular adenoma, two of which were associated with intrahepatic hemorrhage while one had intraperitoneal bleeding. Two patients were female and one was male. Both female patients had a background history of oral contraceptive use. Sudden abdominal pain associated with hemodynamic instability occurred in all patients who suffered from spontaneous ruptured hepatocellular adenoma. The mean age was 41.6 years old. The preoperative assessment included liver function tests, ultrasonography and computed tomography. RESULTS: The surgical approaches were as follows: right hemihepatectomy for controlling intraperitoneal bleeding, and right extended hepatectomy and non-anatomic resection of the liver for intrahepatic hemorrhage. There were no deaths, and the postoperative complications were bile leakage and wound infection (re-operation, as well as intraperitoneal abscess (re-operation and pleural effusion. CONCLUSION: Spontaneous ruptured hepatocellular adenoma may be treated by surgery for controlling hemorrhages and stabilizing the patient, and the decision to operate depends upon both the patient's condition and the expertise of the surgical team.

  9. Rupture process of the 2011 Lorca earthquake

    International Nuclear Information System (INIS)

    Buforn Peiro, E.; Pro Munoz, C.; Cesca, S.; Sanz de Galdeano, C.; Udias Vallina, A.

    2012-01-01

    The focal mechanism of the Lorca 2011 earthquake has been estimated from the inversion of the seismic moment tensor at regional and P and SH waveforms at tele seismic distances. Results shown a reverse fault with planes oriented in E-W direction and shallow focus (4km). The rupture process may be explained using a extended fault (circular fracture of 2 km radius) and rupture velocity of 2.2 km/s. From this model we have generated velocity and acceleration synthetic records for a range of distances from 20 to 200 km. From joint inversion of these synthetic and observed data we have identify the WSW E NE plane as the rupture plane, with the rupture propagating to the WSW. The 2011 Lorca earthquake is an evidence of the complexity of the region, where we have normal (Lorca, 1977), reverse (Mula, 1999 and Lorca 2011) and strike-slip (Bullas (2002, 2005) motions, while the regional stress pattern corresponds to horizontal N-S compression, with the exception of Lorca 1977 shock. (Author) 9 refs.

  10. Diagnosis of foetal membrane ruptures: Placental alpha ...

    African Journals Online (AJOL)

    AbstRACt. Context: Pre‑labour rupture of membranes (PROM) is a common obstetric complication which presents a diagnostic challenge, especially in equivocal cases. Standard methods of diagnosis are limited by high false positives and negatives. This study compared the accuracy of a biomarker placental alpha ...

  11. Endovascular treatment of ruptured distal posterior inferior ...

    African Journals Online (AJOL)

    2014-03-01

    Mar 1, 2014 ... Methods: 11 consecutive patients (7 women, 4 men, mean age of 49.2 years) with ruptured distal PICA aneurysms were studied retrospectively. All had onset of acute intraventricular or cerebellar haemorrhage, and subarachnoid hemorrhage. (SAH). Hunt-Hess (HH) grades were H-H I in 1 patient, H-H II in ...

  12. Case report: Traumatic unilateral testicular rupture

    Directory of Open Access Journals (Sweden)

    Natasha J.G. Bauer

    2016-01-01

    Conclusion: Emergency assessment and diagnosis as well as scrotal exploration are important components of the management of acute testicular rupture. Analysis of the literature proves that timely surgical intervention is crucial; early intervention results in higher rates of preservation and avoids the need for an orchidectomy.

  13. Ruptured hepatoblastoma treated with primary surgical resection

    African Journals Online (AJOL)

    1]. ... episodes of syncope, with a hematocrit of 23. A computed ... ruptured tumor in the right lobe of the liver. The patient was then taken to the operating room, where a bleeding tumor was noted on the right side of the liter. Intraoperative.

  14. timber joists subjected to creep-rupture

    African Journals Online (AJOL)

    user

    Wood experiences a significant loss of strength and stiffness when loaded over period of time. This phenomenon is known as creep-rupture. Several models were developed for the estimation of the reduction of load carrying capacity of timber with time. In this paper, the results of time dependent structural reliability analysis ...

  15. On the unit rupture work of metals and alloys

    International Nuclear Information System (INIS)

    Verkhoturov, A.D.; Kovalenko, V.S.; Dyatel, V.P.

    1980-01-01

    Studied is the effect of the nature of the treated material treatment regimes on their unit rupture work at laser treatment in the regime of quasistationary evaporation. It is shown that the unit rupture work changes its values depending on the treatment regimes, coincidences between experimental and calculation values of unit rupture work are not being observed, especially for refractory metals of the 6th group and for solid alloys. Established are optimum regimes for determination of stable values of unit rupture work

  16. Life prediction of steam generator tubing due to stress corrosion crack using Monte Carlo Simulation

    International Nuclear Information System (INIS)

    Hu Jun; Liu Fei; Cheng Guangxu; Zhang Zaoxiao

    2011-01-01

    Highlights: → A life prediction model for SG tubing was proposed. → The initial crack length for SCC was determined. → Two failure modes called rupture mode and leak mode were considered. → A probabilistic life prediction code based on Monte Carlo method was developed. - Abstract: The failure of steam generator tubing is one of the main accidents that seriously affects the availability and safety of a nuclear power plant. In order to estimate the probability of the failure, a probabilistic model was established to predict the whole life-span and residual life of steam generator (SG) tubing. The failure investigated was stress corrosion cracking (SCC) after the generation of one through-wall axial crack. Two failure modes called rupture mode and leak mode based on probabilistic fracture mechanics were considered in this proposed model. It took into account the variance in tube geometry and material properties, and the variance in residual stresses and operating conditions, all of which govern the propagations of cracks. The proposed model was numerically calculated by using Monte Carlo Simulation (MCS). The plugging criteria were first verified and then the whole life-span and residual life of the SG tubing were obtained. Finally, important sensitivity analysis was also carried out to identify the most important parameters affecting the life of SG tubing. The results will be useful in developing optimum strategies for life-cycle management of the feedwater system in nuclear power plants.

  17. Categorising YouTube

    Directory of Open Access Journals (Sweden)

    Thomas Mosebo Simonsen

    2011-09-01

    Full Text Available This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC of YouTube. The article investigates the construction of navigationprocesses on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within the interacting relationship of new and old genres are discussed. It is argued that the utility of a conventional categorical system is primarily of analytical and theoretical interest rather than as a practical instrument.

  18. Ruptured uterus in Kano, Nigeria - study of risk factors | Omole ...

    African Journals Online (AJOL)

    This is a comparative prospective study of the risk factors for ruptured uterus in Aminu Kano Teaching Hospital, Kano, Nigeria, between 1st January 2000 and 31st December 2005. Forty six women with ruptured uterus (cases) were compared with two hundred and thirty women who delivered without ruptured uterus ...

  19. Rupture of a primigravid uterus following a domestic accident | Oriji ...

    African Journals Online (AJOL)

    Background: Uterine rupture is an infrequent but life threatening obstetric emergency especially in a developing country such as Nigeria. Often encountered is the rupture of previously scarred uterus especially in multiparous women, but the traumatic rupture of an unscarred primigravid uterus as presented here is a ...

  20. Case Report: Rupture of the Pregnant Uterus in an Unbooked ...

    African Journals Online (AJOL)

    Uterine rupture is a life threatening complication in pregnancy in developing countries. While multiparity is a commonly associated factor, primigravida are said to be immune to uterine rupture. We present a case of uterine rupture in an unbooked primigravida who had massive bolus doses of intravenous oxytocin in the ...

  1. Challenging Friesian horse diseases : aortic rupture and megaesophagus

    NARCIS (Netherlands)

    Ploeg, M.

    2015-01-01

    Aortic rupture is quite rare in Warmblood horses and is best known as an acute and fatal rupture of the aortic root in older breeding stallions. It has now become clear that aortic rupture, which is diagnosed around an age of 4 years, is more frequent in the Friesian breed than in others. The high

  2. Maternal and perinatal outcomes in premature rupture of membranes

    OpenAIRE

    Maissa Marçola Scandiuzzi; Thiago Cerizza Pinheiro; André Afonso Nimtz Rodrigues; Fernando Antonio Maria Claret Alcadipani

    2014-01-01

    Introducion: pregnancies complicated by premature rupture of membranes (PROM) are associated with bad outcomes and controvertial management. Although underlain mechanism is unknown, strong evidences point infection as the main cause underneath preterm premature rupture of membranes and preterm labour. Objective: to determine maternal and neonatal outcomes in pregnancies complicated by premature rupture of membranes. Method: retrospective analysis of maternal and neonatal outcomes of pregnanci...

  3. Delivery of placenta before baby in ruptured uterus | Ameh | Annals ...

    African Journals Online (AJOL)

    An unusual case of ruptured uterus characterized by spontaneous delivery of the placenta while the foetus is retained in the abdomen is presented. The management and prevention of ruptured uterus in Sub- Saharan Africa is discussed. Key Words: Delivery of placenta, ruptured uterus. Annals of African Medicine Vol.3(3) ...

  4. Review Paper: Myocardial Rupture After Acute Myocardial Infarction ...

    African Journals Online (AJOL)

    Myocardial rupture complications after acute myocardial infarction are infrequent but lethal. They mainly involve rupture of the ventricular free wall, ventricular septum, papillary muscle, or combined. We compare features of different kinds of myocardial ruptures after acute myocardial infarction by reviewing the clinical ...

  5. Bilateral spontaneous rupture of flexor digitorum profundus tendons.

    LENUS (Irish Health Repository)

    O'Sullivan, S T

    2012-02-03

    Spontaneous tendon rupture is an unusual condition usually associated with underlying disease processes such as rheumatoid arthritis, chronic renal failure or bony abnormalities of the hand. We report a case of spontaneous, non-concurrent bilateral rupture of flexor profundus tendons in an otherwise healthy individual. Treatment was successful and consisted of a two-stage reconstruction of the ruptured tendon.

  6. Idiopathic Gastric Rupture in a Child: Critical Situation

    African Journals Online (AJOL)

    xp

    Index Word: Gastric rupture, Pneumoperitoneum, Abdominal distension, Resuscitation. INTRODUCTION astric rupture (GR) has been ... necrosis, with No evidence of malignancy or acute inflammation in the ruptured gastric edges ... GR in neonates may be idiopathic or caused by birth trauma, congenital muscle defects, ...

  7. Computing broadband accelerograms using kinematic rupture modeling

    International Nuclear Information System (INIS)

    Ruiz Paredes, J.A.

    2007-05-01

    In order to make the broadband kinematic rupture modeling more realistic with respect to dynamic modeling, physical constraints are added to the rupture parameters. To improve the slip velocity function (SVF) modeling, an evolution of the k -2 source model is proposed, which consists to decompose the slip as a sum of sub-events by band of k. This model yields to SVF close to the solution proposed by Kostrov for a crack, while preserving the spectral characteristics of the radiated wave field, i.e. a w 2 model with spectral amplitudes at high frequency scaled to the coefficient of directivity C d . To better control the directivity effects, a composite source description is combined with a scaling law defining the extent of the nucleation area for each sub-event. The resulting model allows to reduce the apparent coefficient of directivity to a fraction of C d , as well as to reproduce the standard deviation of the new empirical attenuation relationships proposed for Japan. To make source models more realistic, a variable rupture velocity in agreement with the physics of the rupture must be considered. The followed approach that is based on an analytical relation between the fracture energy, the slip and the rupture velocity, leads to higher values of the peak ground acceleration in the vicinity of the fault. Finally, to better account for the interaction of the wave field with the geological medium, a semi-empirical methodology is developed combining a composite source model with empirical Green functions, and is applied to the Yamaguchi, M w 5.9 earthquake. The modeled synthetics reproduce satisfactorily well the observed main characteristics of ground motions. (author)

  8. Expressly Fabricated Molar Tube Bases: Enhanced Adhesion

    Science.gov (United States)

    Phull, Tarun Singh; Rana, Tarun; Kumar, Varun

    2014-01-01

    Clinicians, Orthodontists and their patients’ parents often expect the best results in the shortest time span possible. Orthodontic bonding of molar tubes has been an acceptable risk in a modern era of refined biomaterials and instrumentation. Although many orthodontists still prefer banding to bonding, it is the failure rate of the tubes on molars which accounts to an impedance in molar bonding. One of the reasons for molar attachment failures is attributed to improper adaptation of the buccal tube base with or without increased thickness of composite. Merits of banding the second molars especially when these are the terminal teeth for anchorage have been overemphasized in the literature. The present article presents a simple and relatively less time consuming technique of preparing molar tubes to be bonded on tooth surfaces which may be quite difficult to isolate especially for bonding, for example, mandibular second molars. The increased surface area of the composite scaffold helps not only in enhanced bond strength but also serves to reduce the incidence of plaque accumulation given the dexterity of invitro preparation. The removal of the occlusal part of the molar tube scaffold helps in prevention of open / raised bite tendencies. The present innovation, therefore, is not merely serendipity but a structured technique to overcome a common dilemma for the clinical orthodontist. The present dictum of banding being superior to molar tube bonding may prove to be futile with trendsetting molar attachments. It is also an established fact that bonding proves to be a lesser expensive modality when compared to banding procedures. PMID:25121070

  9. Reflood Heat Transfer in SiC and Graphene Oxide Coated Tube

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyung Mo; Lee, Seung Won; Bang, In Cheol [Ulsan National Institute of Science and Technology, Ulsan (Korea, Republic of)

    2013-10-15

    The reflood tests have been performed flowing water into bare tube and nanoparticles coated tube at constant flow rate (3 cm/s). The quenching curves have been obtained at atmospheric pressure. Finally, Scanning Electron Microscopy (SEM) images are acquired and contact angles are measured in order to observe the surface structures and wettability effect on cooling performance. The quenching time decreases and quenching velocity increases as the coating time of nanoparticles on the tube increases, because the nanoparticles deposited on the tube destabilize and rupture the vapor film early in the effect of increased Leidenfrost point temperature. The SiC nanoparticles coated tubes have better quenching performance than GO nanoparticles coated tubes. The SEM images and contact angle observations proved the enhanced wettability and rough surface due to deposition of SiC nanoparticles. And the wettability of GO nanoparticles coated tubes shows the increase at 600 s coating. But, the wettability decreases on GO nanoparticles tube coated for 900 s despite the enhanced quenching performance. Thus, the porous structure affects to the better cooling performance in case of GO nanoparticles coated tubes.

  10. Pipework failures - a review of historical incidents

    International Nuclear Information System (INIS)

    Blything, K.W.; Parry, S.T.

    1988-01-01

    A description is presented of the gathering of historical pipework incident data and its analysis to determine the causes and underlying reasons for failure. The following terms of reference were agreed: (a) To review data on failures associated with pipework to establish the principal causes of failure. This should include not only rupture of the pipe itself, but also pipework induced failures, such as severe flange leaks and excessive strains resulting in failure of connected equipment. (b) To suggest an incident classification for pipework systems which will alert design, construction, maintenance, and operating personnel to the need for special care. (c) To advise non-piping specialists of the type of situation which could result in failure if not allowed for in the design, e.g. dynamic and transient conditions. (d) To recommend, possibly as the result of (a) above, areas where present procedures and codes of practice may require amplification. Brief descriptions are given of selected incidents where the consequences are considered to be serious in terms of damage and financial loss. For consequence analysis, the release rate is an important parameter and, where possible, the proportion of incidents in the failure mode categories, leaks, ''ruptures/severances'' are given. Although not one of the agreed objectives, the determination of failure rates was recognised as an important requirement in the risk assessment of pipework systems. The quality of data gathered however was found to be inadequate for any statistical analysis and no failure rate values are given in this report. (author)

  11. Interventional treatment of un-ruptured tubal pregnancy

    International Nuclear Information System (INIS)

    Shan Hong; Ma Zhuang; Jiang Zaibo; Yan Ying; Guan Shouhai; Zhu Kangshun; Huang Mingsheng; Chen Hanwei

    2000-01-01

    Objective: To discuss some concept about interventional treatment of tubal pregnancy. Methods: The procedure of trans-vaginal tubal intra-gestational SAC injection (IGSI) or percutaneous intra-utero-arterial infusion (IUAI) was selected for treatment of 40 patients with un-ruptured tubal pregnancy. Methotrexate (MTX), Rosch-Thurmoud fallopian tube catheterization set, and the general angiographic catheters of 4.1-5.0 F were used for the procedure. Ultrasound and urine beta-hCG were the main indexes monitoring the therapeutic effects. Results: 12 of 40 patients underwent a total of 15 IGSI. Of these, 3 patients required a second injection; 28 of 40 cases were treated with IUAI. The total successful rate of termination of ectopic pregnancy was 97.5%, the mean resolution time for reduction of beta-hCG concentration was 11.7 days (range 4-28), the range of menstruation recovery time was 7-45 days. Conclusion: The interventional therapy for tubal pregnancy will be more widely applied, on the basis of a better understanding about the pathology, characteristics of embryonic sac development and blood supply, the regular change of concentration of serum and urine hCG in tubal pregnancy

  12. Treatment of Achilles tendon rupture using different methods

    Directory of Open Access Journals (Sweden)

    Grubor Predrag

    2012-01-01

    Full Text Available Background/Aim. Today there are controversies about searching for the ideal surgical method (conservatively with plaster cast, with open and percutaneous tenorrhaphy for repairing a ruptured Achilles tendon. The aim of this study study was to examine the results of treating Achilles tendon ruptures in patients by using the following methods: percutaneous suturing, open surgery technique and non-surgical treatment by plaster cast immobilisation. Methods. Forty two patients treated at our facility in the period August 2003 - September 2010 for Achilles tendon ruptures were included in the study. They were operated on by using different orthopedic procedures (percutaneous reconstruction of the Achilles tendon, open surgery, plaster cast only and two anaesthesia technique (spinal aneasthesia and local infiltrational anaesthesia. The following parameters were monitored after interventions performed and compared: duration of hospital stay, postsurgical complications, incidence of the reruptures of the Achilles tendon and time for full leg functionality. Results. The patients sustained their respective injuries in the following manner: 8 of them while pursuing sports activities, 24 while pursuing recreational activities, 4 at workplace, 4 while performing everyday activities, and 2 of the patients did not know how they had sustained their injuries. The average age of the patients was 40.5, with 37 (88% men and 5 (12% women. Surgeries were performed under spinal anaesthesia in 29 (69% patients, and in 5 (12% patients tenorrhaphy was performed under local anaesthesia. Anaesthesia was not used in 8 (19% patients treated with plaster cast. We performed percutaneous reconstruction of the Achilles tendon in 19 (45% patients. A total of 14 (33% patients were treated under spinal anaesthesia, and 5 (11.9% under local infiltrational anaesthesia with 2% xylocain. We treated 15 (36% patients with open surgery. The patients treated conservatively stayed in

  13. Fill tube fitted spheres

    International Nuclear Information System (INIS)

    Ives, B.H.

    1981-01-01

    The high temperature diffusion technique for fuel filling of some future direct drive cryogenic ICF targets may be unacceptable. The following describes a technique of fitting a 1 mm diameter x 6 μm thick glass microsphere with an approx. 50 μm O.D. glass fill tube. The process of laser drilling a 50 μm diameter hole in the microsphere wall, technique for making the epoxy joint between the sphere and fill tube, as well as the assembly procedure are also discussed

  14. Steam generator tube vibration study

    International Nuclear Information System (INIS)

    Enderlin, W.I.

    1986-01-01

    Chemical cleaning has been proposed to remove magnetite buildup in some pressurized water reactor steam generators. The US Nuclear Regulatory Commission (NRC) has expressed concern that such cleaning would combine with the tube denting caused by magnetite formation to enlarge tube/tube support plate clearances, increasing the level of flow-induced vibrations that could lead to unacceptably high tube wear and failure rates. In support of NRC, the Pacific Northwest Laboratory investigated whether such increased clearances would exacerbate tube fretting wear. Using a full-length scale model of a steam generator tube bundle, flow tests were conducted at an instrumented location through clearances representing as-built and post-cleaned tube conditions. Test results indicated little potential for increased tube wear as a result of chemical cleaning, under normal operating conditions at tube support locations similar to that tested

  15. Placental histologic patterns and neonatal seizure, in preterm premature rupture of membrane.

    Science.gov (United States)

    Ko, Hyun Sun; Cheon, Ju Young; Choi, Sae Kyung; Lee, Hye Won; Lee, Ahwon; Park, In Yang; Shin, Jong Chul

    2017-04-01

    To investigate the relationship between placenta and perinatal outcomes, in preterm infants born to mothers with preterm premature rupture of fetal membrane (PPROM). We report detailed histology of placentas and perinatal outcomes of infants from 79 PPROM pregnancies. Placental histologic pattern and adverse perinatal outcomes were assessed by logistic regression, adjusting for gestational age at birth, birth weight and interval from rupture of membrane to delivery. Mean gestational age at membrane rupture was 29.5 ± 3.4 weeks. The incidence of histologic chorioamnionitis (HCA), fetal inflammatory response (FIR) and vascular thrombotic abnormalities in placental histologic examination were 63.3, 25.3 and 78.5%, respectively. Neonates with FIR showed significantly higher incidence of periventricular leukomalacia (PVL) (85% versus 59.3%, p = 0.0364) at brain ultrasonography, than neonates without FIR, in univariate analysis, but not in logistic regression analysis. In logistic regression analysis, the odds ratio of low Apgar score at 1 min in the neonates with clinical chorioamnionitis was 5.009 (95% CI, 1.242-20.195). The odds ratio of neonatal seizure in the neonates with FIR and vascular thrombotic problem was 7.486 (95% CI, 1.617-34.653). Our findings support the association between FIR with vascular thrombotic problem in placenta and neonatal seizure, in pregnancies with PPROM.

  16. Rupture of a True Profunda Femoris Artery Aneurysm: Two Case Reports and Review of the English Language Literature.

    Science.gov (United States)

    Reslan, Ossama M; Sundick, Scott; Razayat, Combiz; Brener, Bruce J; Raffetto, Joseph D

    2017-02-01

    Profunda femoris artery aneurysms (PFAAs) are very rare and easily overlooked because they are located deeply within thigh muscle. PFAAs have a high rate of rupture in comparison with other peripheral arterial aneurysms, resulting in emergency surgical procedures with significant morbidity. PFAA is diagnosed with color arterial Doppler ultrasound, although computed tomography angiography remains the best imaging method to precisely define the exact site and length of arterial involvement. PFAAs should be treated surgically once diagnosed, even if they are asymptomatic due to the high incidence of complications. Currently, around 28 patients with PFAA rupture, including the 2 cases from this report, have been described in the English language literature. In this report, we describe the diagnosis and treatment of 2 true ruptured aneurysms of the profunda femoris artery with 2 different approaches, and will review the relevant literature. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Misdirected minitracheostomy tube

    Directory of Open Access Journals (Sweden)

    Ajmer Singh

    2017-01-01

    Full Text Available We report a patient who after an uneventful coronary artery bypass graft surgery and left ventricular aneurysmorrhaphy developed intracerebral hemorrhage and subsequently required minitracheostomy. Chest X-ray showed misdirected minitracheostomy tube facing upward toward the laryngeal opening which was repositioned using bronchoscope.

  18. A New Resonance Tube

    Science.gov (United States)

    Bates, Alan

    2017-01-01

    The measurement of the speed of sound in air with the resonance tube is a popular experiment that often yields accurate results. One approach is to hold a vibrating tuning fork over an air column that is partially immersed in water. The column is raised and lowered in the water until the generated standing wave produces resonance: this occurs at…

  19. Thoughts of accelerator tubes

    International Nuclear Information System (INIS)

    Larson, J.D.

    1977-01-01

    A brief, subjective review is given of mechanisms that may be limiting electrostatic accelerator tubes to present levels of performance. Suggestions are made for attacking these limitations with the purpose of stimulating the thinking of designers and users of electrostatic accelerators

  20. Thoughts of accelerator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Larson, J D

    1977-01-01

    A brief, subjective review is given of mechanisms that may be limiting electrostatic accelerator tubes to present levels of performance. Suggestions are made for attacking these limitations with the purpose of stimulating the thinking of designers and users of electrostatic accelerators.

  1. Eustachian Tube Dysfunction

    Science.gov (United States)

    ... When it is inflated, the balloon opens a pathway for mucus and air to flow through the tube. This can help it function properly. FDA warning The U.S. Food and Drug Administration (FDA) advises against the use of ear candles. ...

  2. Tube-dwelling invertebrates

    NARCIS (Netherlands)

    Hölker, Franz; Vanni, Michael J.; Kuiper, Jan J.; Meile, Christof; Grossart, Hans Peter; Stief, Peter; Adrian, Rita; Lorke, Andreas; Dellwig, Olaf; Brand, Andreas; Hupfer, Michael; Mooij, Wolf M.; Nützmann, Gunnar; Lewandowski, Jörg

    2015-01-01

    There is ample evidence that tube-dwelling invertebrates such as chironomids significantly alter multiple important ecosystem functions, particularly in shallow lakes. Chironomids pump large water volumes, and associated suspended and dissolved substances, through the sediment and thereby compete

  3. Chest tube insertion

    Science.gov (United States)

    ... of your chest cavity. This is called the pleural space. It is done to allow your lungs to fully expand. ... pneumothorax ) Fluid buildup in the chest (called a pleural ... in the esophagus (the tube that allows food to go from the mouth ...

  4. [Proximal and distal rupture of the m. biceps brachii].

    Science.gov (United States)

    Lorbach, O; Kieb, M; Grim, C; Engelhardt, M

    2010-12-01

    Ruptures of the biceps tendon account for a high percentage of tendon ruptures. The aetiology of proximal ruptures of the long head of the biceps tendon is often degenerative and they are frequently associated with lesions of the rotator cuff. The clinical findings are often not specific and long lasting. Distal ruptures of the biceps tendon mostly occur during eccentric contraction of the biceps muscle.Clinical tests, the associated haematoma and a distalisation or proximalisation of the muscle belly in combination with ultrasound or MRI to rule out combined diseases lead to the diagnosis. The possible options include conservative and operative treatment. Tenotomy and tenodesis lead to comparable results in the literature. Therefore, conservative treatment is mostly recommended in proximal ruptures. Operative treatment is preferred in distal ruptures of the biceps tendon in order to achieve an anatomical reconstruction of the muscle function. Chronic ruptures of the distal biceps tendon can be successfully treated with free autografts or allografts.

  5. Clinical recovery of two hip adductor longus ruptures

    DEFF Research Database (Denmark)

    Thorborg, Kristian; Petersen, Jesper; Nielsen, Michael Bachmann

    2013-01-01

    longus ruptures, using novel, reliable and validated assessment methods. CASE PRESENTATION: A 22-year old male soccer player (Caucasian) sustained two subsequent acute adductor longus ruptures, one in each leg. The injuries occurred 10 months apart, and were treated non-surgically in both situations. He...... was evaluated using hip-strength assessments, self-report and ultrasonography until complete muscle-strength recovery of the hip adductors had occurred. The player was able to participate in a full soccer training session without experiencing pain 15 weeks after the first rupture, and 12 weeks after the second...... rupture. Full hip adductor muscle-strength recovery was obtained 52 weeks after the first rupture and 10 weeks after the second rupture. The adductor longus injuries, as verified by initial ultrasonography (10 days post-injury), showed evidence of a complete tendon rupture in both cases, with an almost...

  6. Interaction of p modes with a collection of thin magnetic tubes

    Science.gov (United States)

    Jain, R.; Gascoyne, A.; Hindman, B. W.

    2011-08-01

    We investigate the net effect of a multitude of thin magnetic tubes on the energy of ambient acoustic p modes. A p mode, when incident on a thin magnetic flux tube, excites magnetohydrodynamic (MHD) tube waves. These tube waves propagate vertically along the flux tube carrying away energy from the p-mode cavity resulting in the absorption of incident p-mode energy. We calculate the absorption arising from the excitation of sausage MHD waves within a collection of many non-interacting magnetic flux tubes with differing plasma properties. We find that the shape and magnitude of the absorption, when compared with the observationally measured absorption, favours a model with a maximum-flux boundary condition applied at the photosphere and a narrow distribution of plasma β in an ensemble with mean β value between 0.5 and 1.

  7. Identification of athletes at future risk of anterior cruciate ligament ruptures by neuromuscular screening

    DEFF Research Database (Denmark)

    Zebis, Mette K; Andersen, Lars L; Bencke, Jesper

    2009-01-01

    for the vastus lateralis (VL) (P standard deviation above the mean VL-ST difference. In our population, 5 of 10 subjects with a VL-ST difference in this zone sustained an ACL injury during the study period. CONCLUSION: In the present......) aged 24 +/- 5 years with no history of ACL injury were tested for EMG preactivity of vastus lateralis and medialis, rectus femoris, semitendinosus, and biceps femoris during a standardized side-cutting maneuver. The incidence of ACL ruptures was registered in the following 2 match seasons. RESULTS...... of future ACL rupture. Consequently, individual preventive efforts can be introduced in time. However, large prospective studies are needed to confirm this finding before definitive clinical recommendations can be made....

  8. Case report: rupture of popliteal artery aneurysm

    Directory of Open Access Journals (Sweden)

    Altino Ono Moraes

    2015-06-01

    Full Text Available An 83-year-old female patient with a history of prior endovascular treatment to repair an abdominal aortic aneurysm presented with intense pain and edema in the left leg, with hyperemia and localized temperature increase. Doppler ultrasonography revealed a voluminous aneurysm of the popliteal artery with a contained rupture, and hematoma involving the popliteal fossa and the medial and anterior surfaces of the knee causing compression of the popliteal vein. Endovascular repair was accomplished with covered stents and the rupture was confirmed. during the procedure The aneurysm was excluded and the signs and symptoms it had caused resolved completely, but during the postoperative period the patient developed sepsis of pulmonary origin and died.

  9. Ruptured Pebbles - a coseismic and paleoseismic indicator?

    Science.gov (United States)

    Weismüller, Christopher; Reicherter, Klaus

    2017-04-01

    To increase the understanding of paleo-earthquakes and deformation patterns, and the propagation of surface waves in the proximity of active faults, we use the mainly disregarded features of ruptured or broken pebbles within in a clayey matrix. Deformation of unconsolidated sediments (alluvium, colluvium) due to earthquake ruptures is a long investigated topic, including the degradation of the fault scarp. However, during many trenching studies aligned pebbles along the fault planes have been described, and attributed to coseismic deformation. Over the last decades, we have found many ruptured pebbles in trenches at active faults with historic earthquakes, but also aligned (rotated?) pebbles. Here, we describe ruptured pebbles from a Pleistocene debris flow near the coastline between the towns Carboneras and Mojácar (SE Spain), East of the Sierra Cabrera. The outcrop is on-fault at the transition of the active Carboneras and Palomares faults (major historical earthquakes with M 7 in 1518 and 1522), implying proximity to the earthquakes epicenters. The Carboneras (NE-SW), Gafarillos (E-W) and Palomares (NNE-SSW) faults form major faults in eastern Andalucia. The outcrop contains ruptured pebbles in an only slightly consolidated, Pleistocene debris flow with 50 % matrix content. Similar near-fault ruptured pebbles have already been observed in the Carrizales quarry near Baelo Claudia, S Spain, and many other sites (e.g., Italy, Greece, Russia), but always in the proximity of active faults. We measured the fractures of 100 pebbles as planes, if possible, or trend, in case no measureable plane was accessible. Complementary 3D-models of the outcrop and each ruptured pebble were created using Structure from Motion, allowing us to further study the pebbles morphology and geometry. Mode II and conjugate fractures are prevailing in the pebbles and the lack of surface-loading such as striations and dissolution pits neglects clast-interaction. Un-cemented shear planes

  10. Influence of Evaporation on Soap Film Rupture.

    Science.gov (United States)

    Champougny, Lorène; Miguet, Jonas; Henaff, Robin; Restagno, Frédéric; Boulogne, François; Rio, Emmanuelle

    2018-03-02

    Although soap films are prone to evaporate due to their large surface to volume ratio, the effect of evaporation on macroscopic film features has often been disregarded in the literature. In this work, we experimentally investigate the influence of environmental humidity on soap film stability. An original experiment allows to measure both the maximum length of a film pulled at constant velocity and its thinning dynamics in a controlled atmosphere for various values of the relative humidity [Formula: see text]. At first order, the environmental humidity seems to have almost no impact on most of the film thinning dynamics. However, we find that the film length at rupture increases continuously with [Formula: see text]. To rationalize our observations, we propose that film bursting occurs when the thinning due to evaporation becomes comparable to the thinning due to liquid drainage. This rupture criterion turns out to be in reasonable agreement with an estimation of the evaporation rate in our experiment.

  11. RARE PRESENTATION OF RUPTURED RUDIMENTARY HORN PREGNANCY

    Directory of Open Access Journals (Sweden)

    Shergill Harbhajan K, Grover Suparna, Chhabra Ajay

    2015-10-01

    Full Text Available It is a rare occurrence for the rudimentary horn of uterus to harbour a pregnancy and the usual outcome is devastating leading to a spontaneous rupture in second trimester with the patient presenting in shock with massive intra-peritoneal haemorrhage and if appropriate management is not instituted in time it may lead to high rate of mortality. We report an unusual case of rupture rudimentary horn pregnancy who presented as a chronic ectopic with an adnexal mass and surprisingly with no sign of shock. Diagnosis is often difficult in such a situation which puts the treating gynaecologist in dilemma. High clinical suspicion supplemented with radiological findings helped clinch the diagnosis and laparotomy was performed followed by resection of the rudimentary horn to prevent future complications.

  12. Liquid salt environment stress-rupture testing

    Science.gov (United States)

    Ren, Weiju; Holcomb, David E.; Muralidharan, Govindarajan; Wilson, Dane F.

    2016-03-22

    Disclosed herein are systems, devices and methods for stress-rupture testing selected materials within a high-temperature liquid salt environment. Exemplary testing systems include a load train for holding a test specimen within a heated inert gas vessel. A thermal break included in the load train can thermally insulate a load cell positioned along the load train within the inert gas vessel. The test specimen can include a cylindrical gage portion having an internal void filled with a molten salt during stress-rupture testing. The gage portion can have an inner surface area to volume ratio of greater than 20 to maximize the corrosive effect of the molten salt on the specimen material during testing. Also disclosed are methods of making a salt ingot for placement within the test specimen.

  13. Plaque rupture in humans and mice

    DEFF Research Database (Denmark)

    Schwartz, Stephen M; Galis, Zorina S; Rosenfeld, Michael E

    2007-01-01

    " should be discouraged. Similarly, terms such as "buried fibrous caps" that imply preceding events that are unproven tend to create confusion. We will argue that such terminology may mislead readers by implying knowledge that does not yet exist. We suggest, instead, a focus on specific processes......Despite the many studies of murine atherosclerosis, we do not yet know the relevance of the natural history of this model to the final events precipitated by plaque disruption of human atherosclerotic lesions. The literature has become particularly confused because of the common use of terms...... such as "instability", "vulnerable", "rupture", or even "thrombosis" for features of plaques in murine model systems not yet shown to rupture spontaneously and in an animal surprisingly resistant to formation of thrombi at sites of atherosclerosis. We suggest that use of conclusory terms like "vulnerable" and "stable...

  14. Fatigue and rupture codified rules comparison

    International Nuclear Information System (INIS)

    Faidy, C.

    2004-01-01

    The European Directive on Pressure Equipment requests risk studies and in particular to assure no risk of fatigue and rupture in operation. The answers to these questions are different in the different existing design codes (EN Standards, ASME III and VIII or RCC-M or CODAP-CODETI codes) and corresponding in operation codes (ASME or RSE-M). Design safety factors, material properties, fabrication, refinement in the analysis methods, monitoring in operation, hydro-proof test level... Around these Codes, different rules are under development. A16 in France, R6 in UK or FITNET at the EC level. This paper is concerned by a comparison between 2 different Codes to analyze the risk of fatigue or rupture of pressure equipments and mainly a comparison between RCC-M Code and EN 13445 standard for pressure vessel. Recommendations for future work will be proposed. (authors)

  15. Creep rupture behavior of Stirling engine materials

    Science.gov (United States)

    Titran, R. H.; Scheuerman, C. M.; Stephens, J. R.

    1985-01-01

    The automotive Stirling engine, being investigated jointly by the Department of Energy and NASA Lewis as an alternate to the internal combustion engine, uses high-pressure hydrogen as the working fluid. The long-term effects of hydrogen on the high temperature strength properties of materials is relatively unknown. This is especially true for the newly developed low-cost iron base alloy NASAUT 4G-A1. This iron-base alloy when tested in air has creep-rupture strengths in the directionally solidified condition comparable to the cobalt base alloy HS-31. The equiaxed (investment cast) NASAUT 4G-A1 has superior creep-rupture to the equiaxed iron-base alloy XF-818 both in air and 15 MPa hydrogen.

  16. RESEARCH ON REDUCING PREMATURITY RUPTURE OF MEMBRANE

    OpenAIRE

    Maria URSACHI (BOLOTA); Emil ANTON; Sorana Caterina ANTON

    2016-01-01

    The membranes surrounding the amniotic cavity are composed from amnion and chorion, tightly adherent layers which are composed of several cell types, including epithelial cells, trophoblasts cells and mesenchyme cells, embedded in a collagenous matrix. They retain amniotic fluid, secret substances into the amniotic fluid, as well as to the uterus and protect the fetus against upward infections from urogenital tract. Normally, the membranes it breaks during labor. Premature rupture of the amn...

  17. Thompson Test in Achilles Tendon Rupture

    Directory of Open Access Journals (Sweden)

    Spencer Albertson

    2016-07-01

    Full Text Available HPI: A 26-year old male presented to the emergency department after experiencing the acute onset of left ankle pain while playing basketball. Upon jumping, he felt a “pop” in his left posterior ankle, followed by pain and difficulty ambulating. His exam was notable for a defect at the left Achilles tendon on palpation. The practitioner performed a Thompson test, which was positive (abnormal on the left. Significant Findings: The left Achilles tendon had a defect on palpation, while the right Achilles tendon was intact. When squeezing the right (unaffected calf, the ankle spontaneously plantar flexed, indicating a negative (normal Thompson test. Upon squeeze of the left (affected calf, the ankle did not plantar flex, signifying a positive (abnormal Thompson test. The diagnosis of left Achilles tendon rupture was confirmed intraoperatively one week later. Discussion: The Achilles tendon (also: calcaneal tendon or heel cord is derived from the medial and lateral heads of the gastrocnemius muscle, as well as the soleus muscle. Rupture of the Achilles tendon most commonly occurs in the distal tendon, approximately 2-6 cm from its attachment to the calcaneal tuberosity, in an area of hypovascularity known as the “watershed” or “critical” zone.1-3 The Thompson test (also: Simmonds-Thompson test, described by Simmonds in 1957 and Thompson in 1962, is done while the patient is in the prone position, with feet hanging over the end of a table/gurney, or with the patient kneeling on a stool or chair.4-5 Squeezing the calf of an unaffected limb will cause the ankle to plantar flex, but squeezing the calf of a limb with an Achilles tendon rupture will cause no motion. The sensitivity of the Thompson’s test for the diagnosis of a complete Achilles tendon rupture is 96-100% and the specificity is 93-100%, but data is limited.6-8

  18. Service life estimation for a reformer tube against creep dominated failure

    Energy Technology Data Exchange (ETDEWEB)

    Baydogan, Murat; Sabri, Eyup; Cimenoglu, Huseyin [Technical Univ, Istanbul (Turkey). Dept. of Metallurgy and Materials Engineering; Cimenoglu, Kayali

    2012-07-01

    Remaining service life of a petrochemical plant reformer tube, which has been exposed to water vapour at 540 C for 22 years under an internal pressure of 88 bar, was analysed via the Larson-Miller approach. Samples machined from the exposed and the original tubes were subjected to stress rupture tests at various stress levels and temperatures to determine the variation of the Larson-Miller parameter with the applied stress. At a service temperature of 540 C, the remaining service life decreased with increasing applied stress. For the stress of 42 MPa, which corresponded to the hoop stress generated on the tube during service, it was estimated that the tube has completed about 50 % of its actual service life.

  19. Tube failures due to cooling process problem and foreign materials in power plants

    Energy Technology Data Exchange (ETDEWEB)

    Ahmad, J. [Kapar Energy Ventures Sdn Bhd, Jalan Tok Muda, Kapar 42200 (Malaysia); Purbolaksono, J., E-mail: judha@uniten.edu.m [Department of Mechanical Engineering, Universiti Tenaga Nasional, Km 7 Jalan Kajang-Puchong, Kajang 43009, Selangor (Malaysia); Beng, L.C. [Kapar Energy Ventures Sdn Bhd, Jalan Tok Muda, Kapar 42200 (Malaysia)

    2010-07-15

    Cooling process which uses water for heat transfer is an essential factor in coal-fired and nuclear plants. Loss of cooling upset can force the plants to shut down. In particular, this paper reports visual inspections and metallurgical examinations on the failed SA210-A1 right-hand side (RHS) water wall tube of a coal-fired plant. The water wall tube showed the abnormal outer surface colour and has failed with wide-open ductile rupture and thin edges indicating typical signs of short-term overheating. Metallurgical examinations confirmed the failed tube experiencing higher temperature operation. Water flow starvation due to restriction inside the upstream tube is identified as the main root cause of failure. The findings are important to take failure mitigation actions in the future operation. Discussion on the typical problems related to the cooling process in nuclear power plants is also presented.

  20. Tube failures due to cooling process problem and foreign materials in power plants

    International Nuclear Information System (INIS)

    Ahmad, J.; Purbolaksono, J.; Beng, L.C.

    2010-01-01

    Cooling process which uses water for heat transfer is an essential factor in coal-fired and nuclear plants. Loss of cooling upset can force the plants to shut down. In particular, this paper reports visual inspections and metallurgical examinations on the failed SA210-A1 right-hand side (RHS) water wall tube of a coal-fired plant. The water wall tube showed the abnormal outer surface colour and has failed with wide-open ductile rupture and thin edges indicating typical signs of short-term overheating. Metallurgical examinations confirmed the failed tube experiencing higher temperature operation. Water flow starvation due to restriction inside the upstream tube is identified as the main root cause of failure. The findings are important to take failure mitigation actions in the future operation. Discussion on the typical problems related to the cooling process in nuclear power plants is also presented.

  1. Development of a computer model to predict aortic rupture due to impact loading.

    Science.gov (United States)

    Shah, C S; Yang, K H; Hardy, W; Wang, H K; King, A I

    2001-11-01

    Aortic injuries during blunt thoracic impacts can lead to life threatening hemorrhagic shock and potential exsanguination. Experimental approaches designed to study the mechanism of aortic rupture such as the testing of cadavers is not only expensive and time consuming, but has also been relatively unsuccessful. The objective of this study was to develop a computer model and to use it to predict modes of loading that are most likely to produce aortic ruptures. Previously, a 3D finite element model of the human thorax was developed and validated against data obtained from lateral pendulum tests. The model included a detailed description of the heart, lungs, rib cage, sternum, spine, diaphragm, major blood vessels and intercostal muscles. However, the aorta was modeled as a hollow tube using shell elements with no fluid within, and its material properties were assumed to be linear and isotropic. In this study fluid elements representing blood have been incorporated into the model in order to simulate pressure changes inside the aorta due to impact. The current model was globally validated against experimental data published in the literature for both frontal and lateral pendulum impact tests. Simulations of the validated model for thoracic impacts from a number of directions indicate that the ligamentum arteriosum, subclavian artery, parietal pleura and pressure changes within the aorta are factors that could influence aortic rupture. The model suggests that a right-sided impact to the chest is potentially more hazardous with respect to aortic rupture than any other impact direction simulated in this study. The aortic isthmus was the most likely site of aortic rupture regardless of impact direction. The reader is cautioned that this model could only be validated on a global scale. Validation of the kinematics and dynamics of the aorta at the local level could not be done due to a lack of experimental data. It is hoped that this model will be used to design

  2. Multiple fracture of medullary tube during intramedullary nailing of long bone fractures.

    Science.gov (United States)

    Vakharia, M R; Lehto, S A; Mohler, D G

    2000-01-01

    Intramedullary nailing is an accepted treatment for the fixation of femoral and tibial shaft fractures. There is a low but significant incidence of intraoperative complications during intramedullary nailing. During this procedure, a medullary tube may be used to exchange the bent olive-tipped reaming guidewire for the straight guidewire. A review of the literature found only one report of a fracture of the medullary tube. Two cases in which the medullary tube fractured into multiple pieces are presented.

  3. [Traumatic rupture of the thoracic aorta].

    Science.gov (United States)

    Glock, Y; Roux, D; Soula, P; Cerene, A; Fournial, G

    1996-01-01

    This is a retrospective analysis of 50 postraumatic aortic rupture (1968-1996, 39 males, mean age: 34.5). Group A is composed of 35 patients with an acute aortic rupture and a prompt diagnosis. Group B includes 13 patients with a chronic rupture. All patients from group A had a severe politraumatism with abdominal, cranial, extremities or hip fractures. Mediastinal thickening with or without hemothorax indicated an angiography or a transesophageal echocardiography lately. In group A, 36 patients have been operated on urgently (12-24 hours); cardiopulmonary bypass was performed on 20 patients; an aorto-aortical bypass was done in 27 cases and a direct suture in the remaining 9. In group B, cardiopulmonary bypass was performed on 9 patients; a aorto-aortical bypass was done in 11 cases and a direct suture in 2. Overall hospital mortality was 16%; 19% in group A and 7.6% in group B. Ischemic paraplejia appeared in 5 patients (10%), all from group A. No false aneurysm developed after 4.5 years of follow-up (3-135 months) in the 38 survivors. The usefulness of transesophageal echocardiography, the importance of medular protection and the utility of several interventionist radiologic techniques are discussed.

  4. Drift tubes of Linac 2

    CERN Multimedia

    Photographic Service

    1977-01-01

    Being redied for installation, those at the right are for tank 1, those on the left for tank 2. Contrary to Linac 1, which had drift-tubes supported on stems, here the tubes are suspended, for better mechanical stability.

  5. Rubens Flame-Tube Demonstration.

    Science.gov (United States)

    Ficken, George W.; Stephenson, Francis C.

    1979-01-01

    Investigates and explains the phenomenon associated with Rubens flame-tube demonstration, specifically the persistance of flames at regular intervals along the tube for few minutes after the gas is turned off. (GA)

  6. Draining Collars and Lenses in Liquid-Lined Vertical Tubes.

    Science.gov (United States)

    Jensen

    2000-01-01

    The speed at which an annular liquid collar drains under gravity g in a vertical tube of radius a, when the tube has an otherwise thin viscous liquid lining on its interior, is determined by a balance between the collar's weight and viscous shear stresses confined to narrow regions in the neighborhood of the collar's effective contact lines. Whether a collar grows or shrinks in volume as it drains depends on the modified Bond number B=rho g a(2)/(sigmaepsilon), where rho is the fluid density, sigma is its surface tension, and epsilona is the thickness of the thin film immediately ahead of the collar. Asymptotic methods are used here to determine the following nonlinear stability criteria for an individual collar, valid in the limit of small epsilon. For 0draining collars grow in volume and, in sufficiently long tubes, ultimately "snap off" to form stable lenses. For 0.5960drain, so that any lens ultimately ruptures, unless stabilizing intermolecular forces allow the formation of a lamella supported by a macroscopic Plateau border. If surfactant immobilizes the liquid's free surface, these critical values of B are reduced by a factor of 2 but the distance a collar must travel before it snaps off is unchanged. Gravitationally driven snap off is therefore most likely to occur in long tubes with radii substantially less than the capillary lengthscale sigma/rhog)(1/2). Copyright 2000 Academic Press.

  7. Application of probabilistic fracture mechanics to optimize the maintenance of PWR steam generator tubes

    International Nuclear Information System (INIS)

    Pitner, P.; Riffard, T.

    1993-09-01

    This paper describes the COMPROMIS code developed by Electricite de France (EDF) to optimize the tube bundle maintenance of steam generators (SG). The model, based on probabilistic fracture mechanics, makes it possible to quantify the influence of in-service inspections and maintenance work on the risk of an SG tube rupture, taking all significant parameters into account as random variables (initial defect size distribution, reliability of nondestructive detection and sizing, crack initiation and propagation, critical sizes, leak before risk of break, etc). (authors). 14 figs., 4 tabs., 12 refs

  8. Expansion lyre-shaped tube

    International Nuclear Information System (INIS)

    Andro, Jean.

    1973-01-01

    The invention relates the expansion lyre-shaped tube portions formed in dudgeoned tubular bundles between two bottom plates. An expansion lyre comprises at least two sets of tubes of unequal lengths coplanar and symmetrical with respect to the main tube axis, with connecting portions between the tubes forming said sets. The invention applies to apparatus such as heat exchangers, heaters, superheaters or breeders [fr

  9. Radioactive fallout and neural tube defects | Akar | Egyptian Journal ...

    African Journals Online (AJOL)

    Possible link between radioactivity and the occurrence of neural tube defects is a long lasting debate since the Chernobyl nuclear fallout in 1986. A recent report on the incidence of neural defects in the west coast of USA, following Fukushima disaster, brought another evidence for effect of radioactive fallout on the ...

  10. Implications of zinc on fetal neural tube defects | Vats | Internet ...

    African Journals Online (AJOL)

    Zinc is essential for normal growth and differentiation in all mammalian species and it is reported that folic acid supplementation has reduced the incidence of neural tube defects (NTD). It is still considered one of the important congenital malformations having wide implications. Zinc deficiency has been reported to produce ...

  11. Assessment on Event Classification of One Steam Generator Tube Rupture in EU-APR

    International Nuclear Information System (INIS)

    Kim, Ji Hwan; Kim, Yong Soo

    2016-01-01

    The Fukushima Daiichi nuclear power plant accident showed the vulnerability of coping strategy to beyond design natural disaster such as beyond design earthquake and tsunami. In Korea, the government and industry performed comprehensive safety inspection on all domestic nuclear power plants against beyond design basis external events and fifty action items have been issued. In addition to post- Fukushima action items, the stress tests for all domestic nuclear power plants are on the way to enhance the safety of domestic nuclear power plants through finding the vulnerabilities in intentional stress conditions initiated by beyond design natural disaster. Recently, the stress tests for WOLSONG Unit 1 and KORI Unit 1 have been performed and their assessment results have been reviewed by Korean regulatory body. The assessment of the coping capability of KORI Unit 1 has been performed under simultaneous the extended loss of AC power and loss of ultimate heat sink initiated by beyond design natural disaster. It is concluded that KORI Unit 1 has the capability, in the event of loss of safety functions by beyond design natural disaster, to sufficiently cool down the reactor core without fuel damage, to keep pressure boundaries of the reactor coolant system in transient condition and to control containment and temperature to maintain the integrity of the containment buildings. The several additional items for safety improvement has been drawn to enhance the coping capability for loss of safety functions under beyond design natural disaster in addition to post Fukushima action items

  12. Assessment on Event Classification of One Steam Generator Tube Rupture in EU-APR

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ji Hwan; Kim, Yong Soo [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    The Fukushima Daiichi nuclear power plant accident showed the vulnerability of coping strategy to beyond design natural disaster such as beyond design earthquake and tsunami. In Korea, the government and industry performed comprehensive safety inspection on all domestic nuclear power plants against beyond design basis external events and fifty action items have been issued. In addition to post- Fukushima action items, the stress tests for all domestic nuclear power plants are on the way to enhance the safety of domestic nuclear power plants through finding the vulnerabilities in intentional stress conditions initiated by beyond design natural disaster. Recently, the stress tests for WOLSONG Unit 1 and KORI Unit 1 have been performed and their assessment results have been reviewed by Korean regulatory body. The assessment of the coping capability of KORI Unit 1 has been performed under simultaneous the extended loss of AC power and loss of ultimate heat sink initiated by beyond design natural disaster. It is concluded that KORI Unit 1 has the capability, in the event of loss of safety functions by beyond design natural disaster, to sufficiently cool down the reactor core without fuel damage, to keep pressure boundaries of the reactor coolant system in transient condition and to control containment and temperature to maintain the integrity of the containment buildings. The several additional items for safety improvement has been drawn to enhance the coping capability for loss of safety functions under beyond design natural disaster in addition to post Fukushima action items.

  13. NEONATAL COMPLICATIONS OF PREMATURE RUPTURE OF MEMBRANES

    Directory of Open Access Journals (Sweden)

    F. Nili AA. Shams Ansari

    2003-07-01

    Full Text Available Premature rupture of membranes (PROM is one of the most common complications of pregnancy that has a major impact on neonatal outcomes. With respect to racial, nutritional and cultural differences between developed and developing countries, this study was conducted to detect the prevalence of neonatal complications following PROM and the role of the duration of rupture of membranes in producing morbidities and mortalities in these neonates in our hospital. Among 2357 pregnant women, we found 163 (6.91% cases of premature rupture of the fetal membranes in Tehran Vali-e-Asr Hospital during April 2001 to April 2002. Route of delivery was cesarean section in 65.6% of women. Urinary tract infection occured in 1.8%, maternal leukocytosis and fever in 20.2% and 5.5%, chorioamnionitis in 6.1%, fetal tachycardia in 1.2% and olygohydramnios in 4.9%. Gestational age in 138 (86% of neonates was less than 37 completed weeks. Thirty five infants (21.47% had respiratory distress syndrome and 33 (20.245% had clinical sepsis. Pneumonia in 6 (3.7% and skeletal deformity in 7 (4.294% were seen. Rupture of membrane of more than 24 hours duration occurred in 71 (43.6% of the patients. Comparison of morbidities between two groups of neonates and their mothers according to the duration of PROM (less and more than 24 hours showed significant differences in NICU admission, olygohydramnios, maternal fever, leukocytosis and chorioamnionitis rates (p24 hr of PROM with an odds ratio of 2.68 and 2.73, respectively. Positive blood and eye cultures were detected in 16 cases during 72 hours of age. Staphylococcus species, klebsiella, E.coli and streptococcus were the predominant organisms among positive blood cultures. Mortality was seen in 18 (11% of neonates because of respiratory failure, disseminated intravascular coagulation, septic shock, and a single case of congenital toxoplasmosis. In this study, the prevalence of prematurity, sepsis and prolonged rupture of membrane

  14. NEI You Tube Videos: Amblyopia

    Science.gov (United States)

    ... NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low ...

  15. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low ...

  16. On the mechanism of explosive eruption of mount erebus volcano: the dynamics of the rupture structure in a cavitating layer

    Science.gov (United States)

    Bol'shakova, E. S.; Kedrinskiy, V. K.

    2016-10-01

    This paper presents the results of an experimental simulation of rupture development in heavily cavitating magma melt flow in volcanic conduits and its effect on the structure of explosive volcanic eruptions. The dynamics of the state of a layer of distilled water (similar in the density of cavitation nuclei to magma melt) under shock-wave loading was studied. The experiments were performed using electromagnetic hydrodynamic shock tubes (EM HST) with maximum capacitor bank energy of up to 100 J and 5 kJ. It was found that the topology of the rupture formed on the membrane surface did not change during its development. Empirical estimates were obtained for the proportion of the capacitor bank energy expended in the development of the rupture and the characteristic time of its existence. The study revealed a number of fundamentally new physical effects in the cavity dynamics in a cavitating medium: a cavitation “boundary layer” is formed on the surface of the quasi-empty rupture, which is transformed into a cluster of high energy density upon closure of the flow.

  17. The significance of a uterine rupture in subsequent births.

    Science.gov (United States)

    Eshkoli, Tamar; Weintraub, Adi Yehuda; Baron, Joel; Sheiner, Eyal

    2015-10-01

    To determine whether women with a previous uterine rupture have a higher risk of adverse perinatal outcome in subsequent births. A retrospective study comparing all subsequent singleton cesarean deliveries (CD) of women with a previous uterine rupture, with CD of women with no such history, during the years 1988-2011 was conducted. Out of 34,601 singleton CD that occurred during the study period, 0.1 % (n = 46) were of women with a previous uterine rupture. Previous uterine rupture was significantly associated with preterm delivery (birth weight (<2500 g), cervical tears, and dehiscence of the uterine scar. Pregnancies following a previous uterine rupture were associated with lower Apgar scores at 5 min. However, the perinatal mortality rate did not differ between the two groups. A recurrent uterine rupture occurred in 15.2 % of patients with a previous uterine rupture. Previous uterine rupture is a risk factor for adverse maternal and perinatal outcome and specifically recurrent uterine rupture. Appropriate consultation regarding these risks is needed for patients with a previous uterine rupture.

  18. Coupling geodynamic earthquake cycles and dynamic ruptures

    Science.gov (United States)

    van Zelst, Iris; van Dinther, Ylona; Gabriel, Alice-Agnes; Heuret, Arnauld

    2016-04-01

    Studying the seismicity in a subduction zone and its effects on tsunamis requires diverse modelling methods that span spatial and temporal scales. Hundreds of years are necessary to build the stresses and strengths on a fault, while consequent earthquake rupture propagation is determined by both these initial fault conditions and the feedback of seismic waves over periods of seconds up to minutes. This dynamic rupture displaces the sea floor, thereby causing tsunamis. The aim of the ASCETE (Advanced Simulations of Coupled Earthquake and Tsunami Events) project is to study all these aspects and their interactions. Here, we present preliminary results of the first aspects in this modelling chain: the coupling of a seismo-thermo-mechanical (STM) code to the dynamic rupture model SeisSol. STM models of earthquake cycles have the advantage of solving multiple earthquake events in a self-consistent manner concerning stress, strength and geometry. However, the drawback of these models is that they often lack in spatial or temporal resolution and do not include wave propagation. In contrast, dynamic rupture models solve for frictional failure coupled to seismic wave propagation. We use the software package SeisSol (www.seissol.org) based on an ADER-DG discretization allowing high-order accuracy in space and time as well as flexible tetrahedral meshing. However, such simulations require assumptions on the initial fault stresses and strengths and its geometry, which are hard to constrain due to the lack of near-field observations and the complexity of coseismic conditions. By adapting the geometry as well as the stress and strength properties of the self-consistently developing non-finite fault zones from the geodynamic models as initial conditions for the dynamic rupture models, the advantages of both methods are exploited and modelling results may be compared. Our results show that a dynamic rupture can be triggered spontaneously and that the propagating rupture is

  19. Neutron image intensifier tubes

    International Nuclear Information System (INIS)

    Verat, M.; Rougeot, H.; Driard, B.

    1983-01-01

    The most frequently used techniques in neutron radiography employ a neutron converter consisting of either a scintillator or a thin metal sheet. The radiation created by the neutrons exposes a photographic film that is in contact with the converter: in the direct method, the film is exposed during the time that the object is irradiated with neutrons; in the transfer method, the film is exposed after the irradiation of the object with neutrons. In industrial non-destructive testing, when many identical objects have to be checked, these techniques have several disadvantages. Non-destructive testing systems without these disadvantages can be constructed around neutron-image intensifier tubes. A description and the operating characteristics of neutron-image intensifier tubes are given. (Auth.)

  20. Neural tube defects

    Directory of Open Access Journals (Sweden)

    M.E. Marshall

    1981-09-01

    Full Text Available Neural tube defects refer to any defect in the morphogenesis of the neural tube, the most common types being spina bifida and anencephaly. Spina bifida has been recognised in skeletons found in north-eastern Morocco and estimated to have an age of almost 12 000 years. It was also known to the ancient Greek and Arabian physicians who thought that the bony defect was due to the tumour. The term spina bifida was first used by Professor Nicolai Tulp of Amsterdam in 1652. Many other terms have been used to describe this defect, but spina bifida remains the most useful general term, as it describes the separation of the vertebral elements in the midline.

  1. [Value of nasogastric decompression tube in patients with gastric cancer].

    Science.gov (United States)

    Yu, Xue-feng; Wei, Yu-zhe; Xue, Ying-wei

    2012-06-01

    To evaluate the effect of nasogastric decompression tube after gastric cancer operation on the postoperative recovery. A total of 174 patients with gastric cancer were prospectively enrolled from December 2009 to March 2011 and randomly divided into non-nasogastric tube control group(n=88) and nasogastric tube group(n=86). Postoperative symptoms, complications, recovery time, and quality of life during hospital stay were compared between the two groups. The incidences of nausea(14.8% vs. 47.7%, Pnasogastric tube group than those in the control group. The intervals to ambulation and flatus were(1.46±0.58) d and(3.11±0.77) d in the non-nasogastric tube group, significantly shorter those in nasogastric tube group[(1.68±0.61) d and(3.75±1.03) d]. There was no anastomotic leak or bowel obstruction. The difference in bleeding was not statistically significant[3.4%(3/88) vs. 5.8%(5/86), P>0.05] between the two groups. The quality of life differed between the two groups(mean score, 3.36 vs. 2.78, Pnasogastric decompression tube is safe and reasonable and can improve the quality of life during hospital stay.

  2. T-tube vs Primary Common Bile Duct Closure

    Directory of Open Access Journals (Sweden)

    M R Joshi

    2010-09-01

    Full Text Available INTRODUCTION: Closure of the common bile duct over T-tube after exploration is a widely practiced traditional method. However, its use may give rise to many complications. We do primary closure of common bile duct after exploration. Aim of the study is to see the efficacy and safety of the primary closure. METHODS: Study was carried out to compare the results of both the techniques from 2006 to 2009 in the cases proven to have common bile duct stone with or without the features of obstructive jaundice. Post operative hospital stay and morbidities related to both the groups were recorded and analyzed. RESULTS: There were total 71 cases included in the study. Thirty one in T-tube group and 40 in primary closure group. T-tube was removed in most of the cases after three weeks where as average time of drain removal in primary closure group is 5.79 +/-1.79 days. Incidence of retained stone was equal in each group. Major complication in T-tube group is biliary peritonitis in four patients at the time of T-tube removal whereas none of the patient from primary closure group suffered from such major complication. CONCLUSIONS: Primary closure after the common bile duct exploration is safe and it helps to avoid the morbidities related to T-tube. Keywords: Choledocholithiasis, Primary closure, retained stone, T-tube, Ureterorenoscope.

  3. Structure and properties of high-temperature austenitic steels for superheater tubes

    Science.gov (United States)

    Blinov, V. M.

    2009-12-01

    The structure and properties of high-temperature austenitic steels intended for superheater tubes are analyzed. Widely used Kh18N10T (AISI 304) and Kh16N13M3 (AISI 316) steels are found not to ensure a stable austenitic structure and stable properties during long-term thermal holding under stresses. The hardening of austenitic steels by fine particles of vanadium and niobium carbides and nitrides and γ'-phase and Fe2W and Fe2Mo Laves phase intermetallics is considered. The role of Cr23C6 chromium carbides, the σ phase, and coarse precipitates of an M 3B2 phase and a boron-containing eutectic in decreasing the time to failure and the stress-rupture strength of austenitic steels is established. The mechanism of increasing the stress-rupture strength of steels by boron additions is described. The chemical compositions, mechanical properties, stress-rupture strength, and creep characteristics of Russian and foreign austenitic steels used or designed for superheater tubes intended for operation under stress conditions at temperatures above 600°C are presented. The conditions are found for increasing the strength, plasticity, and thermodeformation stability of austenite in steels intended for superheater tubes operating at 700°C under high stresses for a long time.

  4. CRL X-ray tube

    International Nuclear Information System (INIS)

    Kolchevsky, N.N.; Petrov, P.V.

    2015-01-01

    A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed. (authors)

  5. CRL X-RAY TUBE

    OpenAIRE

    Kolchevsky, N. N.; Petrov, P. V.

    2015-01-01

    A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed.

  6. Induced seismicity provides insight into why earthquake ruptures stop

    KAUST Repository

    Galis, Martin

    2017-12-21

    Injection-induced earthquakes pose a serious seismic hazard but also offer an opportunity to gain insight into earthquake physics. Currently used models relating the maximum magnitude of injection-induced earthquakes to injection parameters do not incorporate rupture physics. We develop theoretical estimates, validated by simulations, of the size of ruptures induced by localized pore-pressure perturbations and propagating on prestressed faults. Our model accounts for ruptures growing beyond the perturbed area and distinguishes self-arrested from runaway ruptures. We develop a theoretical scaling relation between the largest magnitude of self-arrested earthquakes and the injected volume and find it consistent with observed maximum magnitudes of injection-induced earthquakes over a broad range of injected volumes, suggesting that, although runaway ruptures are possible, most injection-induced events so far have been self-arrested ruptures.

  7. Relap5/Mod3.1 analysis of main steam header rupture in VVER- 440/213 NPP

    Energy Technology Data Exchange (ETDEWEB)

    Kral, P. [Nuclear Research Inst. Rez (Switzerland)

    1995-12-31

    The presentation is focused on two main topics. First the applied modelling of PGV-4 steam generator for RELAP5 code are described. The results of steady-state calculation under reference conditions are compared against measured data. The problem of longitudinal subdivision of SG tubes is analysed and evaluated. Secondly, a best-estimate analysis of main steam header (MSH) rupture accident in WWER-440/213 NPP is presented. The low reliability of initiation of ESFAS signal `MSH Rupture` leads in this accident to big loss of secondary coolant, full depressurization of main steam system, extremely fast cool-down of both secondary and primary system, opening of PRZ SV-bypass valve with later liquid outflow, potential reaching of secondary criticality by failure of HPIS. 7 refs.

  8. IMPACT OF PREMATURE RUPTURE OF MEMBRANES ON MATERNAL & NEONATAL HEALTH IN CENTRAL INDIA

    Directory of Open Access Journals (Sweden)

    Kshama

    2015-11-01

    Full Text Available OBJECTIVES: (1 To study incidence of PROM with respect to age, gravidity, gestational age and abnormal presentation. (2 To study impact of PROM on maternal health in terms of mode of delivery, maternal and fetal morbidity. METHODS: 347 married women of age more than 18 years, who had premature rupture of membranes, delivered in G.M.H., Rewa (M.P. over the period of 1year were included in the study and enquired about various demographic factors and its effect on pregnancy outcome and maternal health. RESULTS: Incidence of PROM was 3.75%. majority of women came from rural area, majority were of age group 21-25 years, primigravidae, 66.6% women delivered within 24 hours of ruptured membranes, 47.4% of women delivered after 24 hours of have undergone caesarean section. Over all caesarean section rate among these patients was 33.4%. Abnormal presentation has a higher incidence of PROM. PROM had higher maternal morbidity-postoperative fever, wound sepsis, abdominal distension, chorioamnionitis and neonatal sepsis and still birth. CONCLUSION: PROM has a great impact on maternal health and perinatal outcome, hence these patients should be managed aggressively. Women with adequate pelvis and favourable conditions for vaginal delivery should be augmented/ induced and decision for caesarean section should be taken early to avoid complications.

  9. Improving the performance of photomultiplier tubes

    Energy Technology Data Exchange (ETDEWEB)

    Harmer, S W [Department of Engineering and Technology, Manchester Metropolitan University, Manchester M1 5GD (United Kingdom); Townsend, P D, E-mail: pdtownsend@googlemail.co [Science and Technology, University of Sussex, Brighton BN1 9QH (United Kingdom)

    2010-10-20

    Photomultipliers are ubiquitous detectors of low level light signals, but their performance is limited by the complexity of photocathode technology. Two contributory problems are that light is lost both by surface reflection and by transmission through the photocathode layer. Knowledge of the dielectric constants has allowed predictive modelling of the reflectivity and absorption of the light as a function of angle of incidence, cathode thickness and polarization. The predictions have stimulated designs of extremely simple and very low cost retrofit approaches to improve the overall effectiveness of photomultipliers. One simple design presented here exploits signal that is normally lost by the surface reflection. A simple external conical torch reflector is clipped over the photomultiplier end face. The reflector raised the efficiency of an S20 multialkali photocathode by between 20% and 10% across the blue to red spectral range. An alternative semi-cylindrical glass coupler has improved the absorption efficiency by allowing the input signal to arrive at 60{sup 0} incidence to the photocathode surface, rather than normal incidence as in the standard head-on geometry. Enhancements are from 30% to 500% across the spectral range. The greater gains are at long wavelengths, and so are particularly valuable as this is the region of lowest quantum efficiency. The latter high-incidence angle approach, when applied to a low-efficiency C grade tube, has raised the performance to greater than the best of the A grade tubes, as used in the normal head-on operation. Both methods are equally applicable to other cathode compositions.

  10. MRI in flexor tendon rupture after collagenase injection

    Energy Technology Data Exchange (ETDEWEB)

    Khurana, Shruti [Lady Hardinge Medical College, New Delhi (India); Wadhwa, Vibhor [University of Arkansas for Medical Sciences, Little Rock, AR (United States); Chhabra, Avneesh [UT Southwestern Medical Center, Dallas, TX (United States); Johns Hopkins University, Baltimore, MD (United States); Amirlak, Bardia [UT Southwestern Medical Center, Dallas, TX (United States)

    2017-02-15

    Flexor tendon rupture is an unusual complication following collagenase injection to relieve contractures. These patients require a close follow-up and in the event of tendon rupture, a decision has to be made whether to repair the tendon or manage the complication conservatively. The authors report the utility of MRI in the prognostication and management of a patient with Dupuytren's contracture, who underwent collagenase injection and subsequently developed flexor digitorum profundus tendon rupture. (orig.)

  11. Is vitamin C able to prevent premature rupture of membranes?

    OpenAIRE

    Citra Aryanti

    2016-01-01

    Premature rupture of membranes (PROM) is leakage of amniotic fluid through ruptured chorioamniotic membranes that occur before starting the labor pain at any gestational age. This is one of the most common problems in obstetrics with many adverse pregnancy outcomes. Main and final mechanisms of membrane rupture is disturbances in its collagen content metabolism. Vitamin C is found to stabilize the cross link triple helix collagen structure and scavange oxidant that involved in PPROM. Associat...

  12. [Delayed rupture of the spleen in a multiply injured patient].

    Science.gov (United States)

    Lică, I; Venter, M D; Mehic, R; Marian, R; Ionescu, G

    1997-01-01

    The authors present a case of delayed rupture of the spleen in a polytraumatised patient. This entity was defined as a late occurrence of signs and symptoms attributed to splenic injury not detected by diagnostic computed tomographic scanning during the initial examination. The mechanisms in which the delayed rupture of the spleen occurs are discussed and the conclusion is that the delayed rupture of the spleen represent a real clinical entity.

  13. Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

    Directory of Open Access Journals (Sweden)

    Christian Linus Hastrup Sant

    2012-01-01

    Full Text Available Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination and computer tomography revealed no sign of abnormal pregnancy. The correct diagnosis was first made at emergency laparotomy. Uterine rupture should be considered in pregnant women presenting with abdominal pain and haemodynamic instability.

  14. MRI in flexor tendon rupture after collagenase injection

    International Nuclear Information System (INIS)

    Khurana, Shruti; Wadhwa, Vibhor; Chhabra, Avneesh; Amirlak, Bardia

    2017-01-01

    Flexor tendon rupture is an unusual complication following collagenase injection to relieve contractures. These patients require a close follow-up and in the event of tendon rupture, a decision has to be made whether to repair the tendon or manage the complication conservatively. The authors report the utility of MRI in the prognostication and management of a patient with Dupuytren's contracture, who underwent collagenase injection and subsequently developed flexor digitorum profundus tendon rupture. (orig.)

  15. Acute papillary muscle rupture in a patient with clostridial sepsis.

    Science.gov (United States)

    Schulz, R; Andreas, S; Weise, B; Werner, G S

    1997-03-01

    We describe the clinical course of a 58-year-old man who died from acute papillary muscle rupture as a complication of clostridial sepsis. There was no evidence for myocardial infarction, infective endocarditis, prior chest trauma or other known causes of papillary muscle rupture. Histological specimens taken at autopsy demonstrated clostridial infection of the heart. To our knowledge the occurrence of papillary muscle rupture in the setting of clostridial sepsis has not yet been reported in the literature.

  16. Intraoperative endobronchial rupture of pulmonary hydatid cyst: An airway catastrophe

    Directory of Open Access Journals (Sweden)

    Richa Gupta

    2013-01-01

    Full Text Available Hydatid cyst disease of lungs may not be symptomatic. It may present as spontaneous rupture in pleura or a bronchus. During spontaneous breathing, cyst content of endobronchially ruptured pulmonary hydatid cyst is mostly evacuated by coughing. However, during positive pressure ventilation such extruded fragments may lodge into smaller airway leading to an airway catastrophe. We present such accidental endobronchial rupture of pulmonary hydatid cyst during surgery, its prompt detection, and management by rigid bronchoscopy.

  17. Rupture of the left atrial roof due to blunt trauma.

    Science.gov (United States)

    Ryu, Dae Woong; Lee, Sam Youn; Lee, Mi Kyung

    2013-11-01

    Cardiac rupture after blunt trauma is rare and associated with high mortality. The anatomic pattern of blunt cardiac rupture has been demonstrated with the right cardiac chambers more frequently affected than the left. Furthermore, left atrial injury is usually restricted to the atrial appendage and the pulmonary vein-atrial junction. Herein, we report the first case of a 61-year old man with a rupture of the left atrial roof after blunt trauma with minimal thoracic injury.

  18. Rupture of the left atrial roof due to blunt trauma

    OpenAIRE

    Ryu, Dae Woong; Lee, Sam Youn; Lee, Mi Kyung

    2013-01-01

    Cardiac rupture after blunt trauma is rare and associated with high mortality. The anatomic pattern of blunt cardiac rupture has been demonstrated with the right cardiac chambers more frequently affected than the left. Furthermore, left atrial injury is usually restricted to the atrial appendage and the pulmonary vein–atrial junction. Herein, we report the first case of a 61-year old man with a rupture of the left atrial roof after blunt trauma with minimal thoracic injury.

  19. Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension.

    Science.gov (United States)

    Rodrigues, Ana Clara Tude; Afonso, José E; Cordovil, Adriana; Monaco, Claudia; Piveta, Rafael; Cordovil, Rodrigo; Fischer, Claudio H; Vieira, Marcelo; Lira-Filho, Edgar; Morhy, Samira S

    2016-03-01

    Rupture of tricuspid valve is unusual, occurring mainly in the setting of blunt trauma or endomyocardial biopsy. Spontaneous tricuspid valve chordal rupture is particularly rare. We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. Diagnosis and treatment, along with possible mechanisms for this complication, are discussed. © 2015, Wiley Periodicals, Inc.

  20. Postinfarction heart rupture of posterior wall repaired by covering patch.

    Science.gov (United States)

    Kimura, Naoyuki; Yamaguchi, Atsushi; Tanaka, Masashi; Okamura, Homare; Adachi, Hideo; Ino, Takashi

    2008-10-01

    A 46-year-old man underwent emergency surgery for heart rupture after acute infarction of the posterior wall. Echocardiography revealed limited myocardial thinning, so rather than sutureless repair, a covering patch was used in view of the risk of recurrent rupture. Postoperative echocardiography showed the myocardial thinning had progressed to a wide defect, and computed tomography demonstrated that the covering patch had prevented a repeat rupture.

  1. Rupture of popliteal arterial aneurysm due to salmonella infection

    International Nuclear Information System (INIS)

    Kim, Dong Hun; Oh, Hyung Woo; Kim, Dong Hyun; Byun, Joo Nam

    2006-01-01

    We report here on a case of popliteal aneurysm and rupture that occurred over a 10-day period and this was all secondary to salmonella infection. Computed tomography (CT) angiography of the extremity that was performed before and after aneurysmal rupture showed the aneurysm's rapid evolution to rupture over a short period of time. We also review the pathogenesis, clinical presentation, diagnostic approach and management of salmonella aneurysms

  2. Treatment of Ruptured Vertebral Artery Dissecting Aneurysms

    Science.gov (United States)

    Hamasaki, Osamu; Ikawa, Fusao; Hidaka, Toshikazu; Kurokawa, Yasuharu; Yonezawa, Ushio

    2014-01-01

    Summary We evaluated the outcomes of endovascular or surgical treatment of ruptured vertebral artery dissecting aneurysms (VADAs), and investigated the relations between treatment complications and the development and location of the posterior inferior cerebellar artery (PICA). We treated 14 patients (12 men, two women; mean age, 56.2 years) with ruptured VADAs between March 1999 and June 2012 at our hospital. Six and eight patients had Hunt and Hess grades 1-3 and 4-5, respectively. Twelve patients underwent internal endovascular trapping, one underwent proximal endovascular occlusion alone, and one underwent proximal endovascular occlusion in the acute stage and occipital artery (OA)-PICA anastomosis and surgical trapping in the chronic stage. The types of VADA based on their location relative to the ipsilateral PICA were distal, PICA-involved, and non-PICA in nine, two, and three patients, respectively. The types of PICA based on their development and location were bilateral anterior inferior cerebellar artery (AICA)-PICA, ipsilateral AICA-PICA, extradural, and intradural type in one, two, two, and nine patients, respectively. Two patients with high anatomical risk developed medullary infarction, but their midterm outcomes were better than in previous reports. The modified Rankin scale indicated grades 0-2, 3-5, and 6 in eight, three, and three patients, respectively. A good outcome is often obtained in the treatment of ruptured VADA using internal endovascular trapping, except in the PICA-involved type, even with high-grade subarachnoid hemorrhage. Treatment of the PICA-involved type is controversial. The anatomical location and development of PICA may be predicted by complications with postoperative medullary infarction. PMID:24976093

  3. [Intrabiliary rupture of hepatic hydatid cysts: results of 17 years' experience].

    Science.gov (United States)

    Tomuş, C; Iancu, C; Pop, F; Al Hajjar, N; Puia, C; Munteanu, D; Bălă, O; Graur, F; Furcea, L; Vlad, L

    2009-01-01

    Between 1990 and 2006 in the III-rd Surgical Clinic Cluj-Napoca, 366 pacients with hepatic hydatid cyst were admitted and underwent surgery; 81 (22.13%) of them, who had a cyst-biliary comunication, were retrospectively reviewed: 52 (64.2%) had an occult communications and 29 (35.8%) had a frank intrabiliary rupture. The sex ratio was M/F=46/35 with a mean age of 44.5 years and with ages between 17 and 73 years. Choledochotomy, evacuation of parasitic material and lavage of the CBP were performed in all patients with frank intrabiliary rupture. In 25 patients, partial pericystectomy and choledochoduodenostomy/T-tube drainage of CBP was performed. Internal drainage by a Roux-en-Y pericystectojejunostomy and biliodigestive anastomosis was carried out in 2 patients, while other two patients underwent external drainage of cystic cavity and T-tube drainage of CBP. 15 patients (51.7%) had postoperative external bile leaks (fistulas). Occult communications were managed by partial pericystectomy +/- narrowing of the residual cavity (capitonage with an omentum flap or invagination of the fibrosis capsule margins into the cavity) in 35 patients (67.3%) while in 10 patients (19.2%) internal drainage by a Roux-en-Y pericystectojejunostomy was carried out. Regional resection of the liver was performed in 4 cases (7.7%) and external drainage of residual cavity in 3 patients (5.7%). 13 patients (25%) had postoperative external bile leaks (fistulas). The mean postoperative hospitalisation was 20 days with the range 5-85 days. The mortality rate was 2.4% (2 patients): one died due to septicemia and MOFS and the other due to pulmonary thromboembolism. Postoperative bile leaks (fistulas) fallowing conservative surgery of ruptured hydatid hepatic cyst into the biliary tract are not rare regardless of the type of rupture (frank or occult). Although the opening of the biliary duct is sutured, the risk of biliary fistulas is not clearly corelated with this approach; in such cases

  4. Risk factors affecting chronic rupture of the plantar fascia.

    Science.gov (United States)

    Lee, Ho Seong; Choi, Young Rak; Kim, Sang Woo; Lee, Jin Yong; Seo, Jeong Ho; Jeong, Jae Jung

    2014-03-01

    Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred primarily in athletes. However, plantar fascia ruptures have recently been reported in the setting of preexisting plantar fasciitis. We analyzed risk factors causing plantar fascia rupture in the presence of preexisting plantar fasciitis. We retrospectively reviewed 286 patients with plantar fasciitis who were referred from private clinics between March 2004 and February 2008. Patients were divided into those with or without a plantar fascia rupture. There were 35 patients in the rupture group and 251 in the nonrupture group. The clinical characteristics and risk factors for plantar fascia rupture were compared between the 2 groups. We compared age, gender, the affected site, visual analog scale pain score, previous treatment regimen, body mass index, degree of ankle dorsiflexion, the use of steroid injections, the extent of activity, calcaneal pitch angle, the presence of a calcaneal spur, and heel alignment between the 2 groups. Of the assessed risk factors, only steroid injection was associated with the occurrence of a plantar fascia rupture. Among the 35 patients with a rupture, 33 had received steroid injections. The odds ratio of steroid injection was 33. Steroid injections for plantar fasciitis should be cautiously administered because of the higher risk for plantar fascia rupture. Level III, retrospective comparative study.

  5. Closed proximal muscle rupture of the biceps brachii in wakeboarders.

    Science.gov (United States)

    Pascual-Garrido, Cecilia; Swanson, Britta L; Bannar, Stephen M

    2012-06-01

    Closed proximal muscle rupture of the biceps brachii is a rare injury. In this report, two cases of closed proximal muscle rupture of the biceps brachii after wakeboard traumas are described. Both patients presented with a swollen arm, weakness during flexion, and a mass in the affected forearm. Magnetic resonance imaging showed displacement of the biceps brachii into the forearm. The rupture was successfully treated with muscle removal in one case and muscle repair in the other. In patients with a wakeboard trauma and similar presentations, closed proximal muscle rupture of the biceps brachii should be suspected.

  6. Challenging Friesian horse diseases : aortic rupture and megaesophagus

    OpenAIRE

    Ploeg, M.

    2015-01-01

    Aortic rupture is quite rare in Warmblood horses and is best known as an acute and fatal rupture of the aortic root in older breeding stallions. It has now become clear that aortic rupture, which is diagnosed around an age of 4 years, is more frequent in the Friesian breed than in others. The high prevalence in Friesians may be due to increased genetic susceptibility Whereas Friesian horses with aortic rupture may develop acute forms, the majority of Friesians will display a subacute or chron...

  7. [Spontaneous kidney ruptures--a complication of panarteritis nodosa].

    Science.gov (United States)

    Brkovic, D; Möhring, K; Nöldge, G; Dörsam, J; Kälble, T; Pomer, S; Staehler, G

    1995-11-01

    Besides renal cell carcinomas and angiomyolipomas panarteritis nodosa (PAN) is a common underlying disorder for spontaneous perirenal hematomas (SPH). Herein we report on 3 cases with PAN associated kidney ruptures where diagnosis of PAN was not known before in 2 instances. The hematoma was identified by computerized tomography (CT) in all patients, nevertheless CT failed to reveal the underlying disorder in any case. In this situation angiography was extremely valuable visualizing multiple renal microaneurysms that are typical for PAN. Operative exploration and drainage of the hematoma was necessary in two patients because of hemodynamic instability. In one patient bleeding could be controlled after an immediate immunosuppressive therapy with prednisone and cyclophosphamide. Due to the high incidence of PAN associated spontaneous perirenal hematomas angiography should be performed in all cases with unclear SPH after CT evaluation. In our opinion an immediate surgical intervention is only indicated in cases with hemodynamic instability. Otherwise a conservative approach including immediate immunosuppression seems justified. Nephrectomy should be avoided whenever possible.

  8. CT findings of subarachnoid hemorrhage due to ruptured cerebral aneurysm

    International Nuclear Information System (INIS)

    Kim, Pyo Nyun; Bae, Won Kyung; Kim, Il Young; Lee, Kyung Soo; Lee, Byoung Ho; Kim, Ki Jung

    1990-01-01

    CT scans were analysed retrospectively in 130 patients with subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysm to evaluate the relationship of the locations of aneurysms and the patterns of hemorrhage. Hemorrhage corresponded to the site of aneurysmal origin in a general way and in more specific ways to anterior communicating and middle cerebral artery aneurysms when there was parenchymal or cisternal hemorrhage. In anterior communicating artery aneurysm, SAH in the interhemispheric fissure, both sylvian fissures, and basal cistern was usually noted and intracerebral hemorrhage in anteroinferior frontal lobe was sometimes associated. In cases of middle cerebral artery aneurysm, hemorrhage in the ipsilateral sylvian fissure, interhemispheric fissure, and ipsilateral basal cistern was usual. Intracerebral hemorrhage in lateral temporal lobe was sometimes associated. Posterior communicating artery aneurysm demonstrated SAH in the ipsilateral basal cistern or in entire cisternal spaces specifically, so with higher incidence of involvement of the quadrigeminal and superior cerebellar cistern than anterior cerebral or middle cerebral artery aneurysm. We suggest the locations of aneurysm might be predicted with patterns of SAH and / or associated intracerebral hemorrhage with CT

  9. Thinning and rupture of liquid films by moving slot jets.

    Science.gov (United States)

    Berendsen, Christian W J; Zeegers, Jos C H; Darhuber, Anton A

    2013-12-23

    We present systematic experiments of the rupture and dewetting of thin films of a nonvolatile polar liquid on partially wetting substrates due to a moving slot jet, which impinges at normal incidence. The relative motion was provided by a custom-built spin coater with a bidirectionally accessible axis of rotation that enabled us to measure film thickness profiles in situ as a function of substrate velocity using dual-wavelength interference microscopy. On partially wetting polymeric substrates, dry spots form in liquid films with a residual thickness well below 1 μm. We measured the density of dry spots as well as the density and size distribution of the residual droplets as a function of film thickness. In a certain parameter range, the droplet distributions exhibit pronounced anisotropy due to the effect of long-range shear stresses on the dewetting rim instability. We find robust power-law scaling relations over a large range of film thicknesses and a striking similarity to literature data obtained with ultrathin polymer melt layers on silicon substrates.

  10. Estrogen, Estrogen Receptors and Rupture of Brain Aneurysms: Brief Review of the Literature

    Directory of Open Access Journals (Sweden)

    Navas-Marrugo Sandy Zuleica

    2014-10-01

    Full Text Available Estrogen, is involved in much of the life women lives, having great importance in many functions of the female body including the definition of secondary sexual characters, but also has been linked as protective factor regard to catastrophic events such as cerebral aneurysms, probably related to estrogen deficiency and described high incidence in menopausal women. It is known the effects of estrogen on vascular physiology and pathophysiologic mechanisms with potential therapeutic implications. We present a brief review focused in the role of estrogens and the rupture of cerebral aneurysms.

  11. A case of duodenal rupture secondary to massive inguino-scrotal hernia.

    Science.gov (United States)

    Martin-Smith, J D; Garvin, J T; Knox, M; Boyle, T

    2013-08-01

    Surgical intervention for giant inguino-scrotal herniae in the acute setting is high risk with significantly increased incidence of morbidity and mortality. While uncommon in modern practise, there are several surgical issues and approaches that need to be considered when this problem presents. We describe the unusual occurrence of acute duodenal rupture as a direct result of a giant inguino-scrotal hernia. The literature on the operative management of giant inguino-scrotal hernia is also reviewed. Giant inguino-scrotal herniae are best managed electively with full preoperative work up and assessment. Surgery in the acute patient is fraught with difficulty leading to increased morbidity.

  12. Modified mathematical model for evaluating the performance of water-in-glass evacuated tube solar collector considering tube shading effect

    International Nuclear Information System (INIS)

    Kabeel, A.E.; Khalil, A.; Elsayed, S.S.; Alatyar, A.M.

    2015-01-01

    The aim of this paper is to introduce a procedure for simulating the absorbed solar radiation and heat transfer process in water-in-glass evacuated tube solar collectors. The procedure is developed to calculate the daily utilized solar energy and outlet collector temperature for different tilt angles, collector azimuth angles and geometric parameters without requirement for any experimental factor determination. Total absorbed solar radiation is evaluated by integrating the flat-plate solar collector performance equations over the tube circumference taking into account the shading of the adjacent tubes and variance of transmissivity–absorptivity product with the incidence angle of radiation. The heat transfer into the collector fluid is evaluated by subtracting the heat loss from the total absorbed solar radiation. Comparison between calculated and measured tank temperature shows a good agreement between them under different heating loads. Performance of solar collector at different tilt angles, collector Azimuth angles, tubes spacing and collector mass flow rate is investigated theoretically. In Egypt (30° Latitude angle), the results show that 10°, 30° and 45° are the optimum solar collector tilt angles during the summer, vernal and autumnal equinox and winter operation respectively. Also, the utilized solar energy increases about 2.8% when the mass flow rate increases 100%, and the solar collector with south-facing has the best performance except for vertical tube solar collector. The simulation results also show that solar collector with wide tube spacing reduce the shading effect and hence increase the absorbed radiation. The final tank temperature as a function of collector's mass flow rate for three different days; 21 March, 21 June and 21 December is also investigated. The total incidence radiation, absorbed solar radiation and utilized heat per tube are presented for the three optimum tilt angles 10°, 30° and 45°. Efficiency curve of water

  13. Long-term results after repair of ruptured and non-ruptured abdominal aortic aneurysm

    Directory of Open Access Journals (Sweden)

    Kuzmanović Ilija B.

    2004-01-01

    Full Text Available INTRODUCTION Abdominal aortic aneurysm can be repaired by elective procedure while asymptomatic, or immediately when it is complicated - mostly due to rupture. Treating abdominal aneurysm electively, before it becomes urgent, has medical and economical reason. Today, the first month mortality after elective operations of the abdominal aorta aneurysm is less than 3%; on the other hand, significant mortality (25%-70% has been recorded in patients operated immediately because of rupture of the abdominal aneurysm. In addition, the costs of elective surgical treatment are significantly lower. OBJECTIVE The objective of this study is to compare long-term survival of patients that underwent elective or immediate repair of abdominal aortic aneurysm (due to rupture, and to find out the factors influencing the long-term survival of these patients. MATERIAL AND METHODS Through retrospective review of prospectively collected data of the Institute for Cardiovascular Diseases of Clinical Center of Serbia, Belgrade, 56 patients that had elective surgery and 35 patients that underwent urgent operation due to rupture of abdominal aneurysm were followed up. Only the patients that survived 30 postoperative days were included in this review, and were followed up (ranging from 2 to 126 months. Electively operated patients were followed during 58.82 months on the average (range 7 to 122, and urgently operated were followed over 52.26 months (range 2 to 126. There was no significant difference of the length of postoperative follow-up between these two groups. RESULTS During this period, out of electively operated and immediately operated patients, 27 and 22 cases died, respectively. There was no significant difference (p>0,05a of long-term survival between these two groups. Obesity and early postoperative complications significantly decreased long-term survival of both electively and immediately operated patients. Graft infection, ventral hernia, aneurysm of

  14. Umbilical hernia rupture with evisceration of omentum from massive ascites: a case report

    LENUS (Irish Health Repository)

    Good, Daniel W

    2011-05-03

    Abstract Introduction The incidence of hernias is increased in patients with alcoholic liver disease with ascites. To the best of our knowledge, this is the first report of an acute rise in intra-abdominal pressure from straining for stool as the cause of a ruptured umbilical hernia. Case presentation An 81-year-old Caucasian man with a history of alcoholic liver disease presented to our emergency department with an erythematous umbilical hernia and clear, yellow discharge from the umbilicus. On straining for stool, after initial clinical assessment, our patient noted a gush of fluid and evisceration of omentum from the umbilical hernia. An urgent laparotomy was performed with excision of the umbilicus and devitalized omentum. Conclusion We report the case of a patient with a history of alcoholic liver disease with ascites. Ascites causes a chronic increase in intra-abdominal pressure. A sudden increase in intra-abdominal pressure, such as coughing, vomiting, gastroscopy or, as in this case, straining for stool can cause rupture of an umbilical hernia. The presence of discoloration, ulceration or a rapid increase in size of the umbilical hernia signals impending rupture and should prompt the physician to reduce the intra-abdominal pressure.

  15. [Successive ruptures of patellar and Achilles tendons. Anabolic steroids in competitive sports].

    Science.gov (United States)

    Isenberg, J; Prokop, A; Skouras, E

    2008-01-01

    Derivatives of testosterone or of 19-nor-testosterone are used as anabolics for the purpose of improving performance although the effect of anabolics is known still to be under discussion. The use of anabolic steroids continues among competitive athletes despite increased controls and increasingly frequent dramatic incidents connected with them. Whereas metabolic dysfunction during anabolic use is well documented, ruptures of the large tendons are rarely reported. Within 18 months, a 29-year-old professional footballer needed surgery for rupture of the patellar tendon and of both Achilles tendons. Carefully directed questioning elicited confirmation that he had taken different anabolic steroids regularly for 3 years with the intention of improving his strength. After each operation anabolic steroids were taken again at a high dosage during early convalescence and training. Minimally invasive surgery and open suturing techniques led to complete union of the Achilles tendons in good time. Training and anabolic use (metenolon 300 mg per week) started early after suturing of the patellar tendon including bone tunnels culminated in histologically confirmed rerupture after 8 weeks. After a ligament reconstruction with a semitendinosus tendon graft with subsequent infection, the tendon and reserve traction apparatus were lost. Repeated warnings of impaired healing if anabolic use was continued had been given without success. In view of the high number of unrecorded cases in competitive and athletic sports, we can assume that the use of anabolic steroids is also of quantitative relevance in the operative treatment of tendon ruptures.

  16. SURGICAL PERCUTANEOUS TREATMENT OF AN ACUTE RUPTURE OF ACHILLES TENDON IN ATHLETES

    Directory of Open Access Journals (Sweden)

    Zarko Dasic

    2005-01-01

    Full Text Available We have registered that with growing interest of the middle-aged in sport activities in our country the incidence of Achilles tendon ruptures has increased. It was usually preceded by its degenerative changes. Our aim was to examine the results of Achiles tendon rupture treatment in the group treated with our modified percutaneous technique with double - crossed suture.We compared these results with those obtained by the treatment with the nonsurgical method.Our study included 139 patients who gained injuries during their sports activities. They were active professionals or ex-active who continued training sports for recreation, and finally, amateurs who trained sports for the sake of recreation. We also analyzed differences in the results of those three groups after the treatment and checked them statistically.The results have showed superiority of this percutaneous operative treatment because of its simple operative technique, possibility of doing it in the local anaesthesia, continuous ultrasonographic following of the rupture during the process of healing up and shorter immobilisation time, practically without hospitalization and rare complications.

  17. A PROSPECTIVE STUDY OF FOETOMATERNAL OUTCOME OF THE PATIENT WITH PREMATURE RUPTURE OF MEMBRANES

    Directory of Open Access Journals (Sweden)

    Satyaveer Singh

    2017-12-01

    Full Text Available BACKGROUND Before onset of labour, rupture of membrane is known as Premature rupture of membrane (PROM. PROM is one of the most common complications of pregnancy that has major impact on foetal and maternal outcomes. The aim of the present study was to evaluate the foetomaternal outcome of the patient with premature rupture of membranes, in Department of Obstetrics and Gynaecology, Umaid Hospital, Dr. Sampuranand Medical College, Jodhpur, Rajasthan, India. MATERIALS AND METHODS Randomly 100 cases were studied out during six months of period from Jan. 2016 to June 2016. RESULTS Out of 100 cases it was observed that the mean age of PROM patients was 25 ± 2.59 years with higher incidence in unbooked cases of hospital. Gestational age from 24 weeks to 42 weeks of pregnancy were included in the study. The mode of delivery in 73 patients was vaginal and 27 delivered by LSCS. The implicated risk was found i.e. anaemia (22, UTI (14, lower genital tract infection (8, Cervical stitched (1, malpresentation (5, twin (2 and 48 cases were without any risk factor. CONCLUSION Evaluation of risks of PROM and timely diagnosis is essential to reduce maternal and perinatal morbidity and mortality. Women who experience PROM should be informed that they are at higher risk of a similar complication in a subsequent pregnancy and that early initiation of prenatal care in future pregnancies could reduce the risk of another preterm delivery.

  18. Physical therapy in the conservative treatment for anterior cruciate ligament rupture followed by contralateral rupture: case report

    OpenAIRE

    Almeida,Gabriel Peixoto Leão; Arruda,Gilvan de Oliveira; Marques,Amélia Pasqual

    2014-01-01

    Although the surgical reconstruction be the obvious indication for the anterior cruciate ligament (ACL) lesion, there is no consensus on whether the results of surgery are superior to those obtained with nonsurgical management. The objective of this report was to describe a case of nonsurgical treatment for ACL rupture followed by a contralateral rupture. A 28-year-old female practitioner of muay-thai and handball suffered a non-contact ACL rupture in the left knee, and three months after the...

  19. [Rupture of the left diaphragmatic cupola with pericardiac rupture complicated by heart luxation. Apropos of 2 new cases].

    Science.gov (United States)

    Giraud, C; Hoff, J; Bruel, A; Peltier, J P

    1983-10-01

    Pericardiac rupture associated with a rupture of the left diaphragmatic cupola is a seldom possibility. This possibility is principally observed during important thoracic and abdominal traumatism. Heart luxation through the pericardiac break is a complication which can involve brutal death, stay unknown or be an operative discovery. Two new cases of left diaphragmatic cupola rupture are related. The authors analyse ways of this pericardiac luxation, definite diagnostic components and the therapeutic methods. Prognosis stays serious because of the importance of the associated lesions.

  20. Tube and column agglutination technology for autocontrol testing.

    Science.gov (United States)

    Courtney, J E; Vincent, J L; Indrikovs, A J

    2001-01-01

    The incidence of positive autocontrol test results with column agglutination technology is a concern. This study investigates the incidence and significance of positive autocontrols in the ID Micro Typing System (gel) and the Gamma ReACT (ReACT). The study encompassed a total of 1021 randomly selected samples from patients and 95 samples from donors collected during 1 month. The autocontrol testing was carried out according to the manufacturer's instructions for the column agglutination tests. The tube method was carried out using low-ionic-strength solution (LISS). The direct antiglobulin test (DAT) was performed using the tube method, and further investigated with elution studies if warranted. Seventy-nine patient's samples (7.74%) had a positive autocontrol: the gel test, 72 (91.13%); ReACT, 21 (26.58%); and the tube method, 27 (34.18%). Of the 79 positive autocontrols, 44 samples had a negative DAT. Of the samples with positive DAT results, only one possessed a clinically significant antibody, anti-D. Moreover, the same sample also tested positive in all three methods. Column agglutination techniques have increased sensitivity for a positive autocontrol beyond the conventional tube method. However, ReACT and gel tests differ significantly in their frequency of positives. Investigation of the significance of a positive autocontrol in column agglutination technology when the conventional tube method is also positive is suggested.