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Sample records for vessel fracture due

  1. [Addiction among patients hospitalized due to peripheral vessels disorders].

    Science.gov (United States)

    Wójcik, Alicja; Sodolski, Wojciech; Jaworska, Elzbieta; Borzecki, Andrzej; Brzeski, Zdzisław

    2005-01-01

    The study covered 160 patients - 80 females and 80 males, hospitalised due to arterial and venous vessels disorders. The objective of the study was an attempt to evaluate selected behaviours, such as tobacco smoking, consumption of alcohol and coffee among people with diseases of peripheral vessels. The research tool was a questionnaire form. Participation in the study was voluntary and patients were selected at random. The study showed that 60% of respondents suffered from peripheral vessels disorders, 67.5% of females had venous vessels disorders, and 87.5% of males - arterial vessels disorders. In the total population examined 69.38% of respondents consumed alcohol, 47.5% were current smokers, and 56.88% consumed coffee. The style of life of the people examined may result in the development of peripheral vessel disorders.

  2. Thermal Embrittlement of Reactor Pressure Vessel Steel due to Aging

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sung Soo; Park, Duck Gun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    Thermal SS sets are located above the nuclear core where a fast neutron flux is negligible and temperature is 320 .deg. C (as opposed to 290 .deg. C in locations of high-irradiated SS). These SS allow monitoring of continuous operation temperature exposure effect on mechanical characteristics of the steels. Although transgranular cleavage is the predominant mode of brittle fracture in RPV steels, solute (e.g. phosphorus) segregation to grain boundaries can result in another type of brittle fracture known as intergranular (grain boundary) fracture. Figures 1 a) and b) show examples of transgranular and intergranular (IG) fracture, respectively, as viewed in a scanning electron microscope. The investigators have interpreted the intergranular cracking occurs as a result of segregation of sulfur and/or phosphorus at grain boundary. The IG cracking is a kind of symptom of embrittlement. It is reported that the IG cracking occurs in inert (Ar) environment under slow strain rate test. 1. The lath grain size in SA508 RPV steel increases slightly due to thermal aging at 350, 420, and 420 .deg. C for 2,250H. 2. The decrease in toughness appeared 4-25% and the lattice contraction appeared to be +0.004% - -0.022% due to thermal aging at 350, 420, and 420 .deg. C for 2,250H. 3. The amount of decrease in Charpy impact energy due to thermal aging is correlated well with the magnitude of lattice contraction.

  3. Rib fractures in infants due to cardiopulmonary resuscitation efforts.

    Science.gov (United States)

    Dolinak, David

    2007-06-01

    Although it is widely known that adults may sustain fractures of the anterior and/or lateral aspects of the ribs due to cardiopulmonary resuscitation (CPR) efforts, relatively little is written about the generation of CPR-related rib fractures in the infant age range. In a series of 70 consecutive autopsies in infants ranging in age from 2 weeks to 8 months, with no history or indications of injury, the parietal pleura of the thoracic cage was stripped and the ribs carefully examined for fracture. Subtle fractures of the anterolateral aspects of the ribs were discovered in 8 (11%) of the 70 cases. In 7 of the 8 cases, multiple ribs were fractured (ranging up to 10 rib fractures), and in 5 of these cases, the rib fractures were bilateral. All of the rib fractures were subtle, had little if any associated blood extravasation, and would have been easily missed had the parietal pleura not been stripped. These anterolateral rib fractures in infants are the likely correlate of anterolateral rib fractures that are not uncommonly seen in the adult population, resulting from resuscitation efforts. The rib fractures are subtle and may not be identified unless the parietal pleura is stripped.

  4. Fracture Analysis of Rubber Sealing Material for High Pressure Hydrogen Vessel

    National Research Council Canada - National Science Library

    YAMABE, Junichiro; FUJIWARA, Hirotada; NISHIMURA, Shin

    2011-01-01

    In order to clarify the influence of high pressure hydrogen gas on mechanical damage in a rubber O-ring, the fracture analysis of the O-ring used for a sealing material of a pressure hydrogen vessel was conducted...

  5. Iliac Artery and Vein Injury Without Pelvic Fracture Due To Blunt Trauma: A Rare Case

    Directory of Open Access Journals (Sweden)

    Mustafa Cuneyt Cicek

    2014-08-01

    Full Text Available Iliac vascular injuries have high morbidity and mortality rates. Penetrant abdominal and pelvic vascular injuries are more common compared to blunt traumas. Pelvic vascular injuries associated with blunt trauma are quite likely to occur in accompaniment with pelvic fracture. A 23 year old male patient was admitted to the emergency room due to a motorcycle accident. Shock picture was prevalent in the patient. Shaft fracture was present in left femur and flow was not detected in arterial and venous colour Doppler ultrasonography. Patient underwent emergency surgery. Left main iliac artery and vein were normal, however, external iliac vein was lacerated in two spots, and blood vessel wall integrity was damaged in one part of left external iliac artery. Clinical presentation and traumatic retroperitoneal hematoma management of iliac artery and venous injuries due to blunt trauma without pelvic fracture are discussed in the presented case.

  6. [Atlas fracture due to aneurysmal bone cyst after minor trauma].

    Science.gov (United States)

    Topp, T; Krüger, A; Zettl, R; Figiel, J; Ruchholtz, S; Frangen, T M

    2014-05-01

    Aneurysmal bone cysts predominantly occur in young adults and the long bones, the lumbar spine and the pelvis are mainly affected. This article presents the case of a 22-year-old woman with the very rare localization of an aneurysmal bone cyst of the atlas and an atlas fracture after a minor trauma. The initial radiological diagnosis was a suspicted aneurysmal bone cyst which was confirmed histologically. Due to the unstable fracture it was decided to carry out surgical treatment with occipitocervical stabilization in combination with a transoral bone graft. After a period of 11 months the fracture had completely healed and the implants were removed without any complications.

  7. Transient evolution of inter vessel gap pressure due to relative thermal expansion between two vessels

    Science.gov (United States)

    Natesan, K.; Selvaraj, P.; Chellapandi, P.; Chetal, S. C.

    2002-08-01

    In a typical liquid metal cooled fast breeder reactor (LMFBR), a cylindrical sodium filled main vessel, which carries the internals such as reactor core, pumps, intermediate heat exchangers etc. is surrounded by another vessel called safety vessel. The inter vessel gap is filled with nitrogen. During a thermal transient in the pool sodium, because of the relative delay involved in the thermal diffusion between MV and SV, they are subjected to relative thermal expansion or contraction between them. This in turn results in pressurisation and depressurisation of inter vessel gap nitrogen respectively. In order to obtain the external pressurization for the buckling design of MV, transient thermal models for obtaining the evolutions of MV, SV and inter gap nitrogen temperatures and hence their relative thermal expansion and inter vessel gap pressure have been developed. This paper gives the details of the mathematical model, assumptions made in the calculation and the results of the analysis.

  8. Patterns of fracture and tidal stresses due to nonsynchronous rotation - Implications for fracturing on Europa

    Science.gov (United States)

    Helfenstein, P.; Parmentier, E. M.

    1985-01-01

    This study considers the global patterns of fracture that would result from nonsynchronous rotation of a tidally distorted planetary body. The incremental horizontal stresses in a thin elastic or viscous shell due to a small displacement of the axis of maximum tidal elongation are derived, and the resulting stress distributions are applied to interpret the observed pattern of fracture lineaments on Europa. The observed pattern of lineaments can be explained by nonsynchronous rotation if these features formed by tension fracturing and dike emplacement. Tension fracturing can occur for a small displacement of the tidal axis, so that the resulting lineaments may be consistent with other evidence suggesting a young age for the surface.

  9. Podoplanin immunopositive lymphatic vessels at the implant interface in a rat model of osteoporotic fractures.

    Science.gov (United States)

    Lips, Katrin Susanne; Kauschke, Vivien; Hartmann, Sonja; Thormann, Ulrich; Ray, Seemun; Kampschulte, Marian; Langheinrich, Alexander; Schumacher, Matthias; Gelinsky, Michael; Heinemann, Sascha; Hanke, Thomas; Kautz, Armin R; Schnabelrauch, Matthias; Schnettler, Reinhard; Heiss, Christian; Alt, Volker; Kilian, Olaf

    2013-01-01

    Insertion of bone substitution materials accelerates healing of osteoporotic fractures. Biodegradable materials are preferred for application in osteoporotic patients to avoid a second surgery for implant replacement. Degraded implant fragments are often absorbed by macrophages that are removed from the fracture side via passage through veins or lymphatic vessels. We investigated if lymphatic vessels occur in osteoporotic bone defects and whether they are regulated by the use of different materials. To address this issue osteoporosis was induced in rats using the classical method of bilateral ovariectomy and additional calcium and vitamin deficient diet. In addition, wedge-shaped defects of 3, 4, or 5 mm were generated in the distal metaphyseal area of femur via osteotomy. The 4 mm defects were subsequently used for implantation studies where bone substitution materials of calcium phosphate cement, composites of collagen and silica, and iron foams with interconnecting pores were inserted. Different materials were partly additionally functionalized by strontium or bisphosphonate whose positive effects in osteoporosis treatment are well known. The lymphatic vessels were identified by immunohistochemistry using an antibody against podoplanin. Podoplanin immunopositive lymphatic vessels were detected in the granulation tissue filling the fracture gap, surrounding the implant and growing into the iron foam through its interconnected pores. Significant more lymphatic capillaries were counted at the implant interface of composite, strontium and bisphosphonate functionalized iron foam. A significant increase was also observed in the number of lymphatics situated in the pores of strontium coated iron foam. In conclusion, our results indicate the occurrence of lymphatic vessels in osteoporotic bone. Our results show that lymphatic vessels are localized at the implant interface and in the fracture gap where they might be involved in the removal of lymphocytes, macrophages

  10. Podoplanin immunopositive lymphatic vessels at the implant interface in a rat model of osteoporotic fractures.

    Directory of Open Access Journals (Sweden)

    Katrin Susanne Lips

    Full Text Available Insertion of bone substitution materials accelerates healing of osteoporotic fractures. Biodegradable materials are preferred for application in osteoporotic patients to avoid a second surgery for implant replacement. Degraded implant fragments are often absorbed by macrophages that are removed from the fracture side via passage through veins or lymphatic vessels. We investigated if lymphatic vessels occur in osteoporotic bone defects and whether they are regulated by the use of different materials. To address this issue osteoporosis was induced in rats using the classical method of bilateral ovariectomy and additional calcium and vitamin deficient diet. In addition, wedge-shaped defects of 3, 4, or 5 mm were generated in the distal metaphyseal area of femur via osteotomy. The 4 mm defects were subsequently used for implantation studies where bone substitution materials of calcium phosphate cement, composites of collagen and silica, and iron foams with interconnecting pores were inserted. Different materials were partly additionally functionalized by strontium or bisphosphonate whose positive effects in osteoporosis treatment are well known. The lymphatic vessels were identified by immunohistochemistry using an antibody against podoplanin. Podoplanin immunopositive lymphatic vessels were detected in the granulation tissue filling the fracture gap, surrounding the implant and growing into the iron foam through its interconnected pores. Significant more lymphatic capillaries were counted at the implant interface of composite, strontium and bisphosphonate functionalized iron foam. A significant increase was also observed in the number of lymphatics situated in the pores of strontium coated iron foam. In conclusion, our results indicate the occurrence of lymphatic vessels in osteoporotic bone. Our results show that lymphatic vessels are localized at the implant interface and in the fracture gap where they might be involved in the removal of

  11. Patterns of Fracture and Tidal Stresses Due to Nonsynchronous Rotation: Implications for Fracturing on Europa

    Science.gov (United States)

    Parmentier, E. M.; Helfenstein, P.

    1985-01-01

    Global lineaments on Europa were interpreted as fractures in an icy crust. A variety of lineament types were identified, which appear to form a systematic pattern on the surface. For a synchronously rotating body, the patterns of fractures observed could be produced by a combination of stresses due to orbital recession, orbital eccentricity, and internal contraction. However, it was recently suggested that the forced eccentricity of Europa's orbit may result in nonsynchronous rotation. The hypothesis that fractures in a thin icy crust may have formed in response to stresses resulting from nonsynchronous rotation is studied.

  12. Open Fracture of the Forearm Bones due to Horse Bite

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    John Ashutosh Santoshi

    2014-01-01

    Full Text Available Introduction: Fractures have been described mainly following falling accidents in horse-related injuries. Horse bites are uncommon accidents. We present a case of open fracture of the forearm due to horse bite. Case Report: A 35-year-old male farm-worker presented to the emergency room with alleged history of horse bite to the right forearm about 2 hours prior to presentation while feeding the horse. There was deformity of the forearm with multiple puncture wounds, deep abrasions and small lacerations on the distal-third of the forearm. Copious irrigation with normal saline was done and he was administered anti-tetanus and post-exposure rabies prophylaxis. Prophylactic antibiotic therapy was commenced. Radiographs revealed fracture of radius and ulna in the mid-shaft region. He underwent emergency wound debridement, and the ulna was stabilised with an intra-medullary square nail. Seventy-two hours later, he underwent re-debridement and conversion osteosynthesis. He had an uneventful recovery and at three-month follow-up, the fractures had healed radiographically in anatomic alignment. At two-year follow-up, he is doing well, is pain free and has a normal range of motion compared to the contralateral side. Conclusion: Horse bites behave as compound fractures however rabies prophylaxis will be needed and careful observation is needed. Early radical debridement, preliminary skeletal stabilisation, re-debridement and conversion osteosynthesis to plate, and antibiotic prophylaxis were the key to the successful management of our patient. Keywords: Horse; animal bite; forearm; open fracture

  13. Evaluation of dynamic fracture toughness for Yong Gwang unit 5 reactor pressure vessel materials (Baseline Tests)

    Energy Technology Data Exchange (ETDEWEB)

    Chi Se Hwan; Kim, Joo Hag; Hong, Jun Hwa; Kwon, Sun Chil; Lee, Bong Sang [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-10-01

    The dynamic fracture toughness (K{sub d}) of intermediate shell and its weld in SA 508 CI. 3 Yong Gwang 5 reactor pressure vessel was determined and evaluated. Precracked thirty six Charpy specimens were tested by using an instrumented impact tester. The purpose of present work is to evaluate and confirm the un-irradiated dynamic fracture toughness and to provide pre-irradiation baseline data for future evaluation on dynamic fracture toughness change during operation. 18 refs., 5 figs., 5 tabs. (Author)

  14. Pore Capture in Shales Due to Pervasive Micro-fracturing

    Science.gov (United States)

    Hayman, N. W.; Daigle, H.; Kelly, E. D.; Milliken, K. L.; Jiang, H.

    2016-12-01

    Unconventional production from mudrock reservoirs is associated with steep production declines in individual wells. The decline curves may partly stem from the induced fracture spacing which is on the order of meters, whereas most of the hydrocarbon-bearing pores are at the nanoscale. Previous analysis of production data, however, indicates some permeability enhancement between the more widely spaced fractures that may be due to a small-scale microfracture network. In order to test the microfracture hypothesis, we fractured samples of shale under shear deformation and observed (post-experimental) changes in microstructure through scanning electron microscopy, CT-scanning and focused ion beam (FIB) imaging, low-pressure nitrogen sorption, and nuclear magnetic resonance. Our results indicate that a system of microcracks with apertures ranging from tens of nanometers to tens of microns forms in response to shear failure, which in some cases propagate into organic matter and intersect the organic-hosted pores, a process we refer to as "pore capture". This micromechanical process presumably underlies the bulk porosity response (increase) which is directly affected by the abundance of organic matter (OM), the fabric of the rock, and the direction of loading relative to any fabric. The trajectory of the fractures is governed by the contrasts in mechanical strength (and, potentially, the brittle-vs.-ductile response) among the different components of the shale and within the OM. Specifically, the fractures tend to follow trajectories through weaker material, which favors their propagation along grain contacts and into OM. However, such grain-boundary fractures do not typically intersect intergranular pores, possibly because these are preferentially located in mechanically stronger areas that resist deformation. The fractures we observed do not appear to contribute to enhanced connectivity of the overall intergranular pore system, potentially explaining why fracking yields

  15. Embrittlement recovery due to annealing of reactor pressure vessel steels

    Energy Technology Data Exchange (ETDEWEB)

    Eason, E.D.; Wright, J.E.; Nelson, E.E. [Modeling and Computing Services, Boulder, CO (United States); Odette, G.R.; Mader, E.V. [Univ. of California, Santa Barbara, CA (United States)

    1996-03-01

    Embrittlement of reactor pressure vessels (RPVs) can be reduced by thermal annealing at temperatures higher than the normal operating conditions. Although such an annealing process has not been applied to any commercial plants in the United States, one US Army reactor, the BR3 plant in Belgium, and several plants in eastern Europe have been successfully annealed. All available Charpy annealing data were collected and analyzed in this project to develop quantitative models for estimating the recovery in 30 ft-lb (41 J) Charpy transition temperature and Charpy upper shelf energy over a range of potential annealing conditions. Pattern recognition, transformation analysis, residual studies, and the current understanding of the mechanisms involved in the annealing process were used to guide the selection of the most sensitive variables and correlating parameters and to determine the optimal functional forms for fitting the data. The resulting models were fitted by nonlinear least squares. The use of advanced tools, the larger data base now available, and insight from surrogate hardness data produced improved models for quantitative evaluation of the effects of annealing. The quality of models fitted in this project was evaluated by considering both the Charpy annealing data used for fitting and the surrogate hardness data base. The standard errors of the resulting recovery models relative to calibration data are comparable to the uncertainty in unirradiated Charpy data. This work also demonstrates that microhardness recovery is a good surrogate for transition temperature shift recovery and that there is a high level of consistency between the observed annealing trends and fundamental models of embrittlement and recovery processes.

  16. Swedish Work on Brittle-Fracture Problems in Nuclear Reactor Pressure Vessels

    Energy Technology Data Exchange (ETDEWEB)

    Grounes, M.

    1966-03-15

    After a short review of the part of the Swedish nuclear energy program that is of interest in this context the Swedish reactor pressure vessels and the reasoning behind the choice of materials are surveyed. Problems and desirable aims for future reactors are discussed. Much work is now being done on new types of pressure vessel steels with high strength, low transition temperature and good corrosion resistance. These steels are of the martensitic austenitic type Bofors 2RMO (13 % Cr, 6 % Ni, 1. 5 % Mo) and of the ferritic martensitic austenitic type Avesta 248 SV (16 % Cr, 5 % Ni, 1 % Mo). An applied philosophy for estimating the brittle-fracture tendency of pressure vessels is described. As a criterion of this tendency we use the crack-propagation transition temperature, e. g. as measured by the Robertson isothermal crack-arrest test. An estimate of this transition temperature at the end of the reactor' s lifetime must take increases due to fabrication, welding, geometry, ageing and irradiation into account. The transition temperature vs. stress curve moves towards higher temperatures during the reactor' s lifetime. As long as this curve does not cross the reactor vessel stress vs. temperature curve the vessel is considered safe. The magnitude of the different factors influencing the final transition temperature are discussed and data for the Marviken reactor's pressure vessel are presented. At the end of the reactor's lifetime the estimated transition temperature is 115 deg C, which is below the maximum permissible value. A program for the study of strain ageing has been initiated owing to the uncertainty as to the extent of strain ageing at low strains. A study of a simple crack-arrest test, developed in Sweden, is in progress. An extensive irradiation-effects program on several steels is in progress. Results from tests on the Swedish carbon-manganese steels 2103/R3, SIS 142103 and SIS 142102, the low-alloy steels Degerfors DE-631A, Bofors NO

  17. Metallurgical failure investigation of a pipe connector fracture of an expansion vessel; Werkstofftechnische Schadensuntersuchung des Abrisses einer Rohrverschraubung eines Ausgleichsbehaelters

    Energy Technology Data Exchange (ETDEWEB)

    Neidel, Andreas [Siemens AG, Power and Gas, Gas Turbines and Generators, Gasturbinenwerk Berlin (Germany). Werkstoffprueflabor

    2016-08-15

    A pipe connector of an expansion vessel of a safety heat exchanger was torn off in a test facility's natural gas compressor. From a material point of view, the cause of the damage is a fatigue fracture induced by pulsating bending stress. The fatigue fracture originated from both, the pipe's outer surface as well as from its inner surface, which is consistent with the given stress situation (pulsating bending stress). Material defects or welding-induced flaws were not observed. Corrosion, wear, or thermal overload which may have promoted the damage, were not observed either. The primary cause was a major design error. Cases of dynamic load were obviously not duly taken into account during designing, so that the free-swinging mass of the expansion vessel which was mounted to a pipe of a diameter of only half an inch and, furthermore, installed in an angle of 45 (additional static preload.), could cause the fatigue failure induced by pulsating bending stress in the zone of highest stresses at the transition of the expansion vessel and the the pipe connector due to dynamic operating loads which always occur in plants like these.

  18. Initial Probabilistic Evaluation of Reactor Pressure Vessel Fracture with Grizzly and Raven

    Energy Technology Data Exchange (ETDEWEB)

    Spencer, Benjamin [Idaho National Lab. (INL), Idaho Falls, ID (United States); Hoffman, William [Univ. of Idaho, Moscow, ID (United States); Sen, Sonat [Idaho National Lab. (INL), Idaho Falls, ID (United States); Rabiti, Cristian [Idaho National Lab. (INL), Idaho Falls, ID (United States); Dickson, Terry [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Bass, Richard [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-10-01

    The Grizzly code is being developed with the goal of creating a general tool that can be applied to study a variety of degradation mechanisms in nuclear power plant components. The first application of Grizzly has been to study fracture in embrittled reactor pressure vessels (RPVs). Grizzly can be used to model the thermal/mechanical response of an RPV under transient conditions that would be observed in a pressurized thermal shock (PTS) scenario. The global response of the vessel provides boundary conditions for local models of the material in the vicinity of a flaw. Fracture domain integrals are computed to obtain stress intensity factors, which can in turn be used to assess whether a fracture would initiate at a pre-existing flaw. These capabilities have been demonstrated previously. A typical RPV is likely to contain a large population of pre-existing flaws introduced during the manufacturing process. This flaw population is characterized stastistically through probability density functions of the flaw distributions. The use of probabilistic techniques is necessary to assess the likelihood of crack initiation during a transient event. This report documents initial work to perform probabilistic analysis of RPV fracture during a PTS event using a combination of the RAVEN risk analysis code and Grizzly. This work is limited in scope, considering only a single flaw with deterministic geometry, but with uncertainty introduced in the parameters that influence fracture toughness. These results are benchmarked against equivalent models run in the FAVOR code. When fully developed, the RAVEN/Grizzly methodology for modeling probabilistic fracture in RPVs will provide a general capability that can be used to consider a wider variety of vessel and flaw conditions that are difficult to consider with current tools. In addition, this will provide access to advanced probabilistic techniques provided by RAVEN, including adaptive sampling and parallelism, which can dramatically

  19. Pressure vessels design methods using the codes, fracture mechanics and multiaxial fatigue

    Directory of Open Access Journals (Sweden)

    Fatima Majid

    2016-10-01

    Full Text Available This paper gives a highlight about pressure vessel (PV methods of design to initiate new engineers and new researchers to understand the basics and to have a summary about the knowhow of PV design. This understanding will contribute to enhance their knowledge in the selection of the appropriate method. There are several types of tanks distinguished by the operating pressure, temperature and the safety system to predict. The selection of one or the other of these tanks depends on environmental regulations, the geographic location and the used materials. The design theory of PVs is very detailed in various codes and standards API, such as ASME, CODAP ... as well as the standards of material selection such as EN 10025 or EN 10028. While designing a PV, we must design the fatigue of its material through the different methods and theories, we can find in the literature, and specific codes. In this work, a focus on the fatigue lifetime calculation through fracture mechanics theory and the different methods found in the ASME VIII DIV 2, the API 579-1 and EN 13445-3, Annex B, will be detailed by giving a comparison between these methods. In many articles in the literature the uniaxial fatigue has been very detailed. Meanwhile, the multiaxial effect has not been considered as it must be. In this paper we will lead a discussion about the biaxial fatigue due to cyclic pressure in thick-walled PV. Besides, an overview of multiaxial fatigue in PVs is detailed

  20. Probabilistic Fracture Mechanics of Reactor Pressure Vessels with Populations of Flaws

    Energy Technology Data Exchange (ETDEWEB)

    Spencer, Benjamin [Idaho National Lab. (INL), Idaho Falls, ID (United States); Backman, Marie [Univ. of Tennessee, Knoxville, TN (United States); Williams, Paul [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hoffman, William [Idaho National Lab. (INL), Idaho Falls, ID (United States); Alfonsi, Andrea [Idaho National Lab. (INL), Idaho Falls, ID (United States); Dickson, Terry [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Bass, B. Richard [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Klasky, Hilda [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-09-01

    This report documents recent progress in developing a tool that uses the Grizzly and RAVEN codes to perform probabilistic fracture mechanics analyses of reactor pressure vessels in light water reactor nuclear power plants. The Grizzly code is being developed with the goal of creating a general tool that can be applied to study a variety of degradation mechanisms in nuclear power plant components. Because of the central role of the reactor pressure vessel (RPV) in a nuclear power plant, particular emphasis is being placed on developing capabilities to model fracture in embrittled RPVs to aid in the process surrounding decision making relating to life extension of existing plants. A typical RPV contains a large population of pre-existing flaws introduced during the manufacturing process. The use of probabilistic techniques is necessary to assess the likelihood of crack initiation at one or more of these flaws during a transient event. This report documents development and initial testing of a capability to perform probabilistic fracture mechanics of large populations of flaws in RPVs using reduced order models to compute fracture parameters. The work documented here builds on prior efforts to perform probabilistic analyses of a single flaw with uncertain parameters, as well as earlier work to develop deterministic capabilities to model the thermo-mechanical response of the RPV under transient events, and compute fracture mechanics parameters at locations of pre-defined flaws. The capabilities developed as part of this work provide a foundation for future work, which will develop a platform that provides the flexibility needed to consider scenarios that cannot be addressed with the tools used in current practice.

  1. The influence of chemistry concentration on the fracture risk of a reactor pressure vessel subjected to pressurized thermal shocks

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Pin-Chiun [Institute of Nuclear Engineering and Science, National Tsing-Hua University, Hsinchu 30013, Taiwan, ROC (China); Chou, Hsoung-Wei, E-mail: hwchou@iner.gov.tw [Institute of Nuclear Energy Research, Taoyuan 32546, Taiwan, ROC (China); Ferng, Yuh-Ming [Institute of Nuclear Engineering and Science, National Tsing-Hua University, Hsinchu 30013, Taiwan, ROC (China)

    2016-02-15

    Highlights: • Probabilistic fracture mechanics method was used to analyze a reactor pressure vessel. • Effects of copper and nickel contents on RPV fracture probability under PTS were investigated and discussed. • Representative PTS transients of Beaver Valley nuclear power plant were utilized. • The range of copper and nickel contents of the RPV materials were suggested. • With different embrittlement levels the dominated PTS category is different. - Abstract: The radiation embrittlement behavior of reactor pressure vessel shell is influenced by the chemistry concentration of metal materials. This paper aims to study the effects of copper and nickel content variations on the fracture risk of pressurized water reactor (PWR) pressure vessel subjected to pressurized thermal shock (PTS) transients. The probabilistic fracture mechanics (PFM) code, FAVOR, which was developed by the Oak Ridge National Laboratory in the United States, is employed to perform the analyses. A Taiwan domestic PWR pressure vessel assumed with varied copper and nickel contents of beltline region welds and plates is investigated in the study. Some PTS transients analyzed from Beaver Valley Unit 1 for establishing the U.S. NRC's new PTS rule are applied as the loading condition. It is found that the content variation of copper and nickel will significantly affect the radiation embrittlement and the fracture probability of PWR pressure vessels. The results can be regarded as the risk incremental factors for comparison with the safety regulation requirements on vessel degradation as well as a reference for the operation of PWR plants in Taiwan.

  2. Fracture flow due to hydrothermally induced quartz growth

    Science.gov (United States)

    Kling, Tobias; Schwarz, Jens-Oliver; Wendler, Frank; Enzmann, Frieder; Blum, Philipp

    2017-09-01

    Mineral precipitations are a common feature and limitation of initially open, permeable rock fractures by forming sealing structures or secondary roughness in open voids. Hence, the objective of this numerical study is the evaluation of hydraulic properties of fractures sealed by hydrothermally induced needle and compact quartz growth. Phase-field models of progressive syntaxial and idiomorphic quartz growth are implemented into a fluid flow simulation solving the Navier-Stokes equation. Flow simulations for both quartz types indicate an obvious correlation between changes in permeability, fracture properties (e.g. aperture, relative roughness and porosity) and crystal growth behavior, which also forms distinct flow paths. Thus, at lower sealing stages initial fracture permeability significantly drops down for the 'needle fracture' forming highly tortuous flow paths, while the 'compact fracture' records a considerably smaller loss. Fluid flow in both sealing fractures most widely is governed by a ;parallel plate;-like cubic law behavior. However, the 'needle fracture' also reveals flow characteristics of a porous media. A semi-theoretical equation is introduced that links geometrical (am) with hydraulically effective apertures (ah) and the relative fracture roughness. For this purpose, a geometry factor α is introduced being α = 2.5 for needle quartz and α = 1.0 for compact quartz growth. In contrast to most common ah-am-relationships this novel formulation not only reveals more precise predictions for the needle (RMSE = 1.5) and the compact fractures (RMSE = 3.2), but also exhibit a larger range of validity concerning the roughness of the 'needle' (σ/am = 0-2.4) and the 'compact fractures' (σ/am = 0-1.8).

  3. L5 radiculopathy due to sacral stress fracture

    Energy Technology Data Exchange (ETDEWEB)

    Aylwin, Anthony; Saifuddin, Asif [Department of Diagnostic Imaging, Royal National Orthopaedic Hospital NHS Trust, HA7 4LP, Stanmore, Middlesex (United Kingdom); Tucker, Stuart [Department of Spinal Surgery, Royal National Orthopaedic Hospital NHS Trust, HA7 4LP, Stanmore, Middlesex (United Kingdom)

    2003-10-01

    We report the case of a 70-year-old man who presented with a history of left buttock pain with radiation into the left leg in an L5 distribution. MRI of the lumbar spine revealed a left sacral stress fracture with periosteal reaction involving the left L5 nerve root anterior to the sacral ala. With spontaneous healing of the fracture, the patient's symptoms resolved completely. (orig.)

  4. The criteria of fracture in the case of the leak of pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Habil; Ziliukas, A.

    1997-04-01

    In order to forecast the break of the high pressure vessels and the network of pipes in a nuclear reactor, according to the concept of leak before break of pressure vessels, it is necessary to analyze the conditions of project, production, and mounting quality as well as of exploitation. It is also necessary to evaluate the process of break by the help of the fracture criteria. In the Ignalina Nuclear Power Plant of, in Lithuania, the most important objects of investigation are: the highest pressure pipes, made of Japanese steel 19MN5 and having an anticorrosive austenitic: coal inside, the pipes of distribution, which arc made of 08X1810T steel. The steel of the network of pipes has a quality of plasticity: therefore the only criteria of fragile is impossible to apply to. The process of break would be best described by the universal criteria of elastic - plastic fracture. For this purpose the author offers the criterion of the double parameter.

  5. Dislocation after Hemiarthroplasty due to Insufficiency Fracture of the Superior Acetabulum: A Case Report

    Directory of Open Access Journals (Sweden)

    Masahiko Nozawa

    2009-01-01

    Full Text Available Insufficiency fracture of the superior part of the acetabulum after hemiarthroplasty has not been reported before. Here we report a case of dislocation after hemiarthroplaty due to insufficiency fracture of the acetabulum. In our patient, insufficiency fracture of the ilium immediately above the acetabulum produced obvious evidence of compression and collapse that led to dislocation of the outer head of the femoral component. This patient had subsequently been treated with a cementless socket inserted into the fractured acetabulum. We should remember the possibility of insufficiency fracture of the superior acetabulum after hemiarthroplasty, particularly in elderly patients suffering from chronic postoperative pain and disability.

  6. Sternal fracture due to airbag injury: case report.

    Science.gov (United States)

    Kapisiz, Nazmiye Selçuk; Ozpolat, Berkant; Kapisiz, Fahri; Yücel, Ertan

    2010-03-01

    Although airbags reduce the overall risk of injury and death from motor vehicle accidents, the airbag may cause injuries during deployment. We present a case of apparently isolated sternal fracture caused by airbag deployment during a motor vehicle crash and we discuss the ultrasonographic diagnosis. We also examine the mechanism of injury caused by the airbag.

  7. Fracture assessment of the Oskarshamn 1 reactor pressure vessel under cold over-pressurization

    Energy Technology Data Exchange (ETDEWEB)

    Sattari-Far, I. [DNV Technical Consulting AB, Stockholm (Sweden)

    2001-03-01

    The major motivation of this study was to develop a methodology for fracture assessment of surface defects in the 01 reactor pressure vessel under cold loading scenarios, particularly the cold over-pressurization event. According to a previous study, the FENIX project, the cold over-pressurization of the O1 reactor is a limiting loading case, as the ductile/brittle transition temperature (RT{sub NDT}) of certain welds in the O1 beltline region may be over 100 deg C at the-end-of-life condition. The FENIX project gave values of the acceptable and critical crack depth to be equal to the thickness of the cladding layer (about 6 mm) under this load case using the ASME K{sub Ic} reference curve methodology. This study is aimed to develop a methodology to give a more precise fracture assessment of the O1 reactor under cold loading scenarios. Some of the main objectives of this study have been as below: To prepare a material which can simulate the mechanical properties and RT{sub NDT} of the O1 reactor at the end-of-life conditions. To conduct a fracture mechanics test program to cover the essential influencing factors, such as crack geometry (shallow and deep cracks) and loading condition (uniaxial and biaxial) on the cleavage fracture toughness. To perform fracture mechanics analyses to identify a suitable methodology for assessment of the experimental results. To study the responses of engineering fracture assessment methods to the experimental results from the clad specimens. To propose a fracture assessment procedure for determination of the acceptable and critical flaw sizes in the 01 reactor under the cold loading events. A test program consisted of experiments on standard SEN(B) specimens and clad beams, containing surface cracks was conducted during the course of this project. A total of nine clad beams and clad cruciform specimens were tested under uniaxial and biaxial loading. The test material is reactor steel of type A 508 Grade B, which is specially heat

  8. Dislocation after Hemiarthroplasty due to Insufficiency Fracture of the Superior Acetabulum: A Case Report

    OpenAIRE

    Nozawa, Masahiko; Nishiura, Takashi; Maezawa, Katsuhiko; Matsuda, Keiji; Morio, Hidenori

    2009-01-01

    Insufficiency fracture of the superior part of the acetabulum after hemiarthroplasty has not been reported before. Here we report a case of dislocation after hemiarthroplaty due to insufficiency fracture of the acetabulum. In our patient, insufficiency fracture of the ilium immediately above the acetabulum produced obvious evidence of compression and collapse that led to dislocation of the outer head of the femoral component. This patient had subsequently been treated with a cementless socket...

  9. Fracture toughness of weld metal samples removed from a decommissioned Magnox reactor pressure vessel

    Energy Technology Data Exchange (ETDEWEB)

    Bolton, C.J.; Bischler, P.J.E.; Wootton, M.R.; Moskovic, R.; Morri, J.R.; Pegg, H.C.; Haines, A.B.; Smith, R.F.; Woodman, R

    2002-08-01

    Submerged-arc welds in Magnox RPVs are expected to show substantial shifts in ductile-to-brittle transition temperature (DBTT), due to their high copper content, and also because of a contribution from intergranular fracture. For structural integrity arguments, the fracture toughness of irradiated welds is predicted by applying an irradiation shift in DBTT to a start-of-life toughness curve. The shift is obtained from a trend curve derived from Charpy impact data. An uncertainty allowance is obtained by combining uncertainty contributions in start-of-life fracture toughness and shifts, including a contribution from uncertainties in neutron dose. Through-thickness samples were removed from four submerged-arc welds in a decommissioned Magnox RPV at Trawsfynydd. Fracture toughness tests were made on pre-cracked Charpy geometry specimens made from the samples, in order to compare the measured toughnesses with those predicted for irradiated material. Specimens were tested from several positions along the welds and also at four different through-thickness locations with dpa doses varying by a factor of more than 2. The paper presents the results of nearly 400 toughness measurements and demonstrates that the prediction methodology is sound.

  10. Isolated fracture of the fibular shaft due to alpine skiing; a specific injury

    OpenAIRE

    Yıldız, Atıl Atilla, Ozkan Kose, Ferhat Guler, H

    2013-01-01

    Although musculoskeletal injuries of lower leg due to alpine skiing is well known and widely reported, an acute isolated fibula fracture as a specific ski injury has not been reported in the relevant literature. Herein, we present a case of isolated fibula fracture which is missed at initial admission, and discuss the mechanism of injury and relationship with alpine skiing equipment.

  11. Effect of high-temperature water and hydrogen on the fracture behavior of a low-alloy reactor pressure vessel steel

    Energy Technology Data Exchange (ETDEWEB)

    Roychowdhury, S., E-mail: sroy27@gmail.com [Paul Scherrer Institut, Nuclear Energy and Safety Research Department, Laboratory for Nuclear Materials, 5232 Villigen, PSI (Switzerland); Materials Processing & Corrosion Engineering Division, Mod-Lab, D-Block, Bhabha Atomic Research Centre, Mumbai 400085 (India); Seifert, H.-P.; Spätig, P.; Que, Z. [Paul Scherrer Institut, Nuclear Energy and Safety Research Department, Laboratory for Nuclear Materials, 5232 Villigen, PSI (Switzerland)

    2016-09-15

    Structural integrity of reactor pressure vessels (RPV) is critical for safety and lifetime. Possible degradation of fracture resistance of RPV steel due to exposure to coolant and hydrogen is a concern. In this study tensile and elastic-plastic fracture mechanics (EPFM) tests in air (hydrogen pre-charged) and EFPM tests in hydrogenated/oxygenated high-temperature water (HTW) was done, using a low-alloy RPV steel. 2–5 wppm hydrogen caused embrittlement in air tensile tests at room temperature (25 °C) and at 288 °C, effects being more significant at 25 °C and in simulated weld coarse grain heat affected zone material. Embrittlement at 288 °C is strain rate dependent and is due to localized plastic deformation. Hydrogen pre-charging/HTW exposure did not deteriorate the fracture resistance at 288 °C in base metal, for investigated loading rate range. Clear change in fracture morphology and deformation structures was observed, similar to that after air tests with hydrogen. - Highlights: • Hydrogen content, microstructure of LAS, and strain rate affects tensile properties at 288 °C. • Strength affects hydrogen embrittlement susceptibility to a greater extent than grain size. • Hydrogen in LAS leads to strain localization and restricts cross-slip at 288 °C. • Possible hydrogen pickup due to exposure to 288 °C water alters fracture surface appearance without affecting fracture toughness in bainitic base material. • Simulated weld heat affected zone microstructure shows unstable crack propagation in 288 °C water.

  12. Total Pancreatic Fracture Due to Blunt Trauma: Report of a Rare Case

    Directory of Open Access Journals (Sweden)

    Kamil Gulpinar

    2016-05-01

    Full Text Available A rare case of pancreatic fracture due to blunt trauma was presented. The patient was 70 year old male who had a motor vehicle collision and was suspected a pancreatic trauma due his examinations with ultrasound and computerized tomography. The diagnosis of splenic injury and pancreas body total fracture in the point where the portal vein crosses the pancreatic body was made with the help of magnetic resonance cholangiopancreatography. He was taken to emergency surgery where a splenectomy and a distal pancreatectomy were performed. We represented this infrequent case of pancreatic fracture and its complications after blunt abdominal trauma and discuss the diagnostic and management practices.

  13. [Epidemiology of maxillofacial fractures due to traffic accidents in Medellin (Colombia)].

    Science.gov (United States)

    Agudelo-Suárez, Andrés A; Duque-Serna, Francisco Levi; Restrepo-Molina, Lucas; Martínez-Herrera, Eliana

    2015-09-01

    To characterize maxillofacial fractures due to traffic accidents in patients attending the Hospital Universitario San Vicente Fundación (Medellin-Colombia) from 1998 to 2010. A descriptive study (n =1609) was carried out with information from the medical records of patients meeting the inclusion criteria established by the general objective of the study. The variables consisted of sex, age, year, type and number of fractures, and type of vehicle. A descriptive analysis of the variables was performed and the frequency of fractures due to traffic accidents was calculated according to year and sex. Crude and adjusted odds ratios (aOR) were estimated to establish associations among age, type of vehicle, and the presence of two or more fractures with stratification by sex. The frequency of maxillofacial fractures due to traffic accidents increased in 2007 (men: n=198, women: n=35) and decreased from 2008 to 2010 in both sexes. Fractures were more frequent in persons aged <35 years (80%) and in men (82%). The highest frequency of fractures was observed in motorists. Male users of motorcycles (aOR=1.41; confidence interval 95% [95%CI]: 1.02- 1.94) and bicycles (aOR=1.61; 95%CI: 1.01- 2.56) were more likely to report two or more fractures compared with pedestrians, after adjustment for other variables. Most maxillofacial fractures occurred in men and in motorists. Future studies should analyze other determinants affecting the epidemiology of maxillofacial fractures. Strategies should be designed to improve the use of protective elements and drivers' knowledge and practices. Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.

  14. Mercury Poisoning in a Fisherman Working on a Pelagic Fishing Vessel Due to Excessive Tuna Consumption.

    Science.gov (United States)

    Ahn, Ji-Sung; Wook Kang, Kyung; Kang, Won-Yang; Lim, Hyeong-Min; Cho, Seunghyeon; Moon, Jai-Dong; Park, Won-Ju

    2017-11-01

    To report the case of a fisherman who developed chronic mercury poisoning due to excessive consumption of tuna while working on a pelagic fishing vessel. A 48-year-old male deep-sea fisherman developed paresthesia and pain in both legs while working at sea. He continued working for over 4 months on a pelagic fishing vessel but was eventually unable to function normally as his condition deteriorated. Upon arrival on land, he received specialist treatment, including imaging studies, for 2 months; however, the cause of the symptoms was not identified. An examination of his occupational history revealed that he had worked as a crew member on a pelagic fishing vessel catching tuna for the last 2 years and consumed tuna for two or more meals per day, every day. Two months after discontinuation of tuna consumption, he was tested for mercury. The result showed an elevated blood mercury level (BML) of 21.79 μg/L. Based on the half-life of mercury, the BML was evaluated as 38.70-53.20 μg/L when he was on board. Four months after discontinuing tuna consumption, his BML decreased to 14.18 μg/L, and the symptoms were almost ameliorated. The person responsible for preparing meals on a pelagic fishing ship should be aware that fish may contain high levels of heavy metals and should prepare meals for crew members according to the recommended levels. Crew members should also be aware that fish and shellfish may contain mercury, and hence, they should consume only an appropriate amount.

  15. Prediction and Monitoring Systems of Creep-Fracture Behavior of 9Cr-1Mo Steels for Teactor Pressure Vessels

    Energy Technology Data Exchange (ETDEWEB)

    Potirniche, Gabriel [Univ. of Idaho, Moscow, ID (United States); Barlow, Fred D. [Univ. of Idaho, Moscow, ID (United States); Charit, Indrajit [Univ. of Idaho, Moscow, ID (United States); Rink, Karl [Univ. of Idaho, Moscow, ID (United States)

    2013-11-26

    A recent workshop on next-generation nuclear plant (NGNP) topics underscored the need for research studies on the creep fracture behavior of two materials under consideration for reactor pressure vessel (RPV) applications: 9Cr-1Mo and SA-5XX steels. This research project will provide a fundamental understanding of creep fracture behavior of modified 9Cr-1Mo steel welds for through modeling and experimentation and will recommend a design for an RPV structural health monitoring system. Following are the specific objectives of this research project: Characterize metallurgical degradation in welded modified 9Cr-1Mo steel resulting from aging processes and creep service conditions; Perform creep tests and characterize the mechanisms of creep fracture process; Quantify how the microstructure degradation controls the creep strength of welded steel specimens; Perform finite element (FE) simulations using polycrystal plasticity to understand how grain texture affects the creep fracture properties of welds; Develop a microstructure-based creep fracture model to estimate RPVs service life; Manufacture small, prototypic, cylindrical pressure vessels, subject them to degradation by aging, and measure their leak rates; Simulate damage evolution in creep specimens by FE analyses; Develop a model that correlates gas leak rates from welded pressure vessels with the amount of microstructural damage; Perform large-scale FE simulations with a realistic microstructure to evaluate RPV performance at elevated temperatures and creep strength; Develop a fracture model for the structural integrity of RPVs subjected to creep loads; and Develop a plan for a non-destructive structural health monitoring technique and damage detection device for RPVs.

  16. Bilateral tibial stress fracture in a young man due to hypercalciuric osteoporosis: a case report.

    Science.gov (United States)

    Ofluoglu, Demet; Ofluoglu, Onder; Akyuz, Gulseren

    2006-03-01

    Osteoporosis is commonly thought of as a disease of postmenopausal women, and older men have a lower risk of fracture than women. A stress fracture is an overuse injury and an important cause of disability in the athletic population. Presented here is a 30-year-old healthy man with pain on the anterior surface of the bilateral tibia. He did not communicate any trauma or overuse activity. The neurologic and locomotor system examinations were normal. Radiological examinations revealed tibial stress fractures in both left and right tibia and he had low bone mineral density. Routine hematological tests, bone resorption and formation markers were normal, except for hypercalciuria. After analyzing the results of these tests, the patient was diagnosed with bilateral tibial stress fractures due to hypercalciuric secondary osteoporosis. Osteoporosis should be considered in the differential diagnosis of atraumatic insufficiency fractures, especially in young healthy adults.

  17. Pathological fractures of the proximal femur due to solitary bone cyst: classification, methods of treatment.

    Science.gov (United States)

    Miu, A

    2015-01-01

    Fractures are a very important issue in a child's orthopedic pathology. Neglected a good amount of time, being considered "not too serious", or "rare", having better and faster healing methods and not leaving sequels, like in the case of adults, a child's fractures remain an important chapter of traumatology in general. Because of the raising prevalence of child osteoarticular traumas, as well as new less invasive treatment methods, this theme is always to date. The paper analyzes particular cases of bone fractures that appeared due to minor traumas, on bones with a high brittleness, localized especially on the long bones. Although these fractures on a pathological bone can be seen at all levels of the human skeleton, this paper focuses on fractures located in the proximal third part of the femur. A group of children admitted in the Pediatric Orthopedic Department of "M.S. Curie" Hospital-Bucharest with this diagnostic, were analyzed between 2009 and 2013.

  18. Severe cholestatic hepatitis due to large vessel vasculitis: report of two cases.

    Science.gov (United States)

    Xu, Jason; Björnsson, Einar S; Sundaram, Vinay

    2015-12-14

    Giant cell arteritis (GCA) is a vasculitis of medium and large sized vessels that occurs most often in people >50 years of age with associated symptoms of fever, weight loss, headache and jaw claudication. Polymyalgia rheumatica (PMR), which is characterized by aching and stiffness in the shoulders, hip girdle, neck and torso, is intimately associated with GCA, and evidence suggests that GCA and PMR are two phases of the same disease. The occurrence of liver enzyme abnormalities in either of these conditions is rare. Furthermore, as these conditions occur most commonly in the elderly population who may be subject to polypharmacy, patients with elevated aminotransferases due to underlying GCA/PMR may mistakenly have their abnormal liver function tests attributed to drug-induced liver injury. Given the potential complications of these diseases if left untreated, including ischemic stroke and blindness, early recognition and treatment are critical. We report two patients who developed severe cholestatic liver enzyme elevation, which had been initially attributed to drug toxicity, but was ultimately caused by large vessel vasculitis, specifically GCA and PMR. © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited.

  19. Pathological Fracture due to pemphigus vulgaris: A case report ...

    African Journals Online (AJOL)

    Pemphigus vulgaris is a rare but serious autoimmune mucocutaneous bullous disease.The two cardinal pathological processes at work are a split within the epidermis and loss of adhesion of epidermal cells (Acantholysis). It is due to deposition of pathogenic IgG on the Keratinocyte cell surface. The mainstay of treatment is ...

  20. Development of a methodology for the assessment of shallow-flaw fracture in nuclear reactor pressure vessels: Generation of biaxial shallow-flaw fracture toughness data

    Energy Technology Data Exchange (ETDEWEB)

    McAfee, W.J.; Bass, B.R.; Bryson, J.W.

    1998-07-01

    A technology to determine shallow-flaw fracture toughness of reactor pressure vessel (RPV) steels is being developed for application to the safety assessment of RPVs containing postulated shallow-surface flaws. Shallow-flaw fracture toughness of RPV material has been shown to be higher than that for deep flaws, because of the relaxation of crack-tip constraint. This report describes the preliminary test results for a series of cruciform specimens with a uniform depth surface flaw. These specimens are all of the same size with the same depth flaw. Temperature and biaxial load ratio are the independent variables. These tests demonstrated that biaxial loading could have a pronounced effect on shallow-flaw fracture toughness in the lower transition temperature region for RPV materials. Through that temperature range, the effect of full biaxial (1:1) loading on uniaxial, shallow-flaw toughness varied from no effect near the lower shelf to a reduction of approximately 58% at higher temperatures.

  1. FRACTURE MECHANICS UNCERTAINTY ANALYSIS IN THE RELIABILITY ASSESSMENT OF THE REACTOR PRESSURE VESSEL: (2D SUBJECTED TO INTERNAL PRESSURE

    Directory of Open Access Journals (Sweden)

    Entin Hartini

    2016-06-01

    Full Text Available ABSTRACT FRACTURE MECHANICS UNCERTAINTY ANALYSIS IN THE RELIABILITY ASSESSMENT OF THE REACTOR PRESSURE VESSEL: (2D SUBJECTED TO INTERNAL PRESSURE. The reactor pressure vessel (RPV is a pressure boundary in the PWR type reactor which serves to confine radioactive material during chain reaction process. The integrity of the RPV must be guaranteed either  in a normal operation or accident conditions. In analyzing the integrity of RPV, especially related to the crack behavior which can introduce break to the reactor pressure vessel, a fracture mechanic approach should be taken for this assessment. The uncertainty of input used in the assessment, such as mechanical properties and physical environment, becomes a reason that the assessment is not sufficient if it is perfomed only by deterministic approach. Therefore, the uncertainty approach should be applied. The aim of this study is to analize the uncertainty of fracture mechanics calculations in evaluating the reliability of PWR`s reactor pressure vessel. Random character of input quantity was generated using probabilistic principles and theories. Fracture mechanics analysis is solved by Finite Element Method (FEM with  MSC MARC software, while uncertainty input analysis is done based on probability density function with Latin Hypercube Sampling (LHS using python script. The output of MSC MARC is a J-integral value, which is converted into stress intensity factor for evaluating the reliability of RPV’s 2D. From the result of the calculation, it can be concluded that the SIF from  probabilistic method, reached the limit value of  fracture toughness earlier than SIF from  deterministic method.  The SIF generated by the probabilistic method is 105.240 MPa m0.5. Meanwhile, the SIF generated by deterministic method is 100.876 MPa m0.5. Keywords: Uncertainty analysis, fracture mechanics, LHS, FEM, reactor pressure vessels   ABSTRAK ANALISIS KETIDAKPASTIAN FRACTURE MECHANIC PADA EVALUASI KEANDALAN

  2. Ignitor Vacuum Vessel Structural Design with Dynamic Loads Due to Plasma Disruption Event

    Science.gov (United States)

    Cucchiaro, Antonio; Crescenzi, Claudio; Mazzone, Giuseppe; Pizzuto, Aldo; Ramogida, Giuseppe; Roccella, Massimo; Bianchi, Aldo; Parodi, Bruno; Linari, Mauro; Lucca, Flavio; Marin, Anna; Coppi, Bruno

    2004-11-01

    The new reference plasma disruption for IGNITOR produces a significant increase of electromagnetic (EM) loads and requires a dynamic elastic-plastic structural analysis of the vacuum vessel (VV). The EM loads due to the worst disruption event (VDE) have been calculated using the MAXFEA 2D code and it is found that the stresses and deformation that would be produced on a relatively thin chamber could be excessive. A varying thickness configuration for the VV has been adopted on the basis of a step by step optimization with the aim of minimizing the vertical displacement while complying with the allowable plastic strains. A non-linear analysis is required with a modelling of the entire (360°) VV structure. With the new thickness distribution, the VV is capable to withstand several hundred of cycles under plasma disruption conditions in compliance with the ASME III code rules.

  3. Bilateral recurrent anterior fracture dislocation of shoulder joint due to grand mal epileptic convulsions

    Directory of Open Access Journals (Sweden)

    Chandrashekara Chowdipalya Maliyappa

    2013-01-01

    Full Text Available Bilateral shoulder dislocation is very much common with convulsions of different etiology. Often, these dislocations are associated with fractures due to violent muscle contractions. The typical lesion is bilateral posterior dislocation or fracture dislocations. The recurrent shoulder dislocations are common with traumatic etiology. The lack of asymmetry of the shoulders is stressed as a potential pitfall in the clinical evaluation of patients with this condition. We present a rare case of bilateral recurrent anterior fracture dislocation of the shoulder sustained due to repetitive episodes of convulsive seizures. Patient was treated by close reductions and immobilization on each episode. In epilepsy although posterior dislocations are common, the rare possibility of bilateral anterior fracture dislocation should be kept in mind. Often these patients are vulnerable for recurrence, similar to traumatic cases.

  4. Dementia due to cerebral small vessel damage: Current ideas on its pathogenesis and therapy

    Directory of Open Access Journals (Sweden)

    I. V. Damulin

    2014-01-01

    Full Text Available Ever-increasing attention now focusses on dementia caused by small vessel damage when considering cerebrovascular disease leading to cognitive impairments (CIs. Stroke is one of the most important risk factors (RFs of vascular CI, including vascular dementia. Experienced stroke increases thrice the risk of dementia. Diffuse changes in the cerebral white matter (leukoaraiosis due to fluctuating blood pressure (BP and cerebral small vessel damage in most cases play an important role in the genesis of vascular CIs. Executive dysfunctions frequently concurrent with delayed psychomotor speed are the leading clinical manifestations of subcortical vascular dementia. Severe memory impairments are nottypical for subcortical dementia, its early stages in particular. The basis for the pathogenesis of CIs is the dissociation phenomenon that disrupts connections between the frontal lobes and subcortical structures and other cerebral cortical areas. Inadequate hypertension correction at a middle age is responsible for more than one fourth of cases of dementia developing in the elderly. The detection and further elimination of vascular RFs can reduce the risk of developing dementia in elderly and senile patients. Correction of elevated BP in the middle-aged is regarded as an effective method to prevent dementia in the future, but no premium is placed upon antihypertensive therapy in the elderly to lower elevated BP that is an inherent characteristic of this category of patients. Medications affecting RFs and those improving cerebral metabolism and bloodflow, including nicergoline are widely used to treat PD.

  5. Non-symmetry of a hydraulic fracture due to the inhomogeneity of the reservoir

    CERN Document Server

    Baykin, Alexey N

    2016-01-01

    It is usually assumed that hydraulic fracture has two symmetrical wings with respect to the fluid injection point. Hence, authors limit themselves to modelling of one half of the fracture. In our work we demonstrate that the case of a symmetrical fracture occurs only in a homogeneous reservoir with constant physical parameters and confining {\\it in situ} stress. Otherwise, inhomogeneity in the stress or the rock permeability can significantly change the dynamics of the fracture propagation. The mathematical model of the hydraulic fracturing used in the paper is adopted from our earlier work \\cite{Golovin_Baykin_2016_Pore}. In present paper we perform numerical experiments demonstrating that in case of non-constant confining stress or reservoir permeability the fracture is developing non-symmetrically. An important role is played by the action of the backstress that is formed near the fracture due to the pore pressure. To support this observation we give a formal definition of the backstress and compare the va...

  6. Models for embrittlement recovery due to annealing of reactor pressure vessel steels

    Energy Technology Data Exchange (ETDEWEB)

    Eason, E.D.; Wright, J.E.; Nelson, E.E. [Modeling and Computing Services, Boulder, CO (United States); Odette, G.R.; Mader, E.V. [California Univ., Santa Barbara, CA (United States)

    1995-05-01

    The reactor pressure vessel (RPV) surrounding the core of a commercial nuclear power plant is subject to embrittlement due to exposure to high energy neutrons. The effects of irradiation embrittlement can be reduced by thermal annealing at temperatures higher than the normal operating conditions. However, a means of quantitatively assessing the effectiveness of annealing for embrittlement recovery is needed. The objective of this work was to analyze the pertinent data on this issue and develop quantitative models for estimating the recovery in 30 ft-lb (41 J) Charpy transition temperature and Charpy upper shelf energy due to annealing. Data were gathered from the Test Reactor Embrittlement Data Base and from various annealing reports. An analysis data base was developed, reviewed for completeness and accuracy, and documented as part of this work. Independent variables considered in the analysis included material chemistries, annealing time and temperature, irradiation time and temperature, fluence, and flux. To identify important variables and functional forms for predicting embrittlement recovery, advanced statistical techniques, including pattern recognition and transformation analysis, were applied together with current understanding of the mechanisms governing embrittlement and recovery. Models were calibrated using multivariable surface-fitting techniques. Several iterations of model calibration, evaluation with respect to mechanistic and statistical considerations, and comparison with the trends in hardness data produced correlation models for estimating Charpy upper shelf energy and transition temperature after irradiation and annealing. This work provides a clear demonstration that (1) microhardness recovery is generally a very good surrogate for shift recovery, and (2) there is a high level of consistency between the observed annealing trends and fundamental models of embrittlement and recovery processes.

  7. BILATERAL ANTERIOR DISLOCATION OF SHOULDER WITH GREATER TUBEROSITY FRACTURE DUE TO HYPONATREMIA : A RARE PRESENTATION

    Directory of Open Access Journals (Sweden)

    Sivananda

    2015-01-01

    Full Text Available We here report a rare presentation of bilateral anterior dislocation of shoulder with associated fracture of greater tuberosity in a 38 year old male due to minor trauma which he sustained secondary to hyponatremia induced irritability. There was no associ ated rotator cuff tear which is often associated with BADS which makes this presentation unique. Unilateral dislocation of shoulder is a common condition which is frequently encountered in emergency trauma department. Anterior dislocation is more common th an posterior dislocation. However, simultaneous bilateral shoulder dislocations are usually posterior. Bilateral anterior dislocations with fractures of the greater tuberosity are even rarer and are usually associated with trauma or seizures

  8. Effects of fracture contact areas on seismic attenuation due to wave-induced fluid flow

    Science.gov (United States)

    Germán Rubino, J.; Müller, Tobias M.; Milani, Marco; Holliger, Klaus

    2014-05-01

    Wave-induced fluid flow (WIFF) between fractures and the embedding matrix is considered to be a predominant seismic attenuation mechanism in fractured rocks. That is, due to the strong compressibility contrast between fractures and embedding matrix, seismic waves induce strong fluid pressure gradients, followed by local fluid flow between such regions, which in turn produces significant energy dissipation. Natural fractures can be conceptualized as two surfaces in partial contact, containing very soft and highly permeable material in the inner region. It is known that the characteristics of the fracture contact areas control the mechanical properties of the rock sample, since as the contact area increases, the fracture becomes stiffer. Correspondingly, the detailed characteristics of the contact area of fractures are expected to play a major role in WIFF-related attenuation. To study this topic, we consider a simple model consisting of a horizontal fracture located at the center of a porous rock sample and represented by a number of rectangular cracks of constant height separated by contact areas. The cracks are modelled as highly compliant, porous, and permeable heterogeneities, which are hydraulically connected to the background material. We include a number of rectangular regions of background material separating the cracks, which represent the presence of contact areas of the fracture. In order to estimate the WIFF effects, we apply numerical oscillatory relaxation tests based on the quasi-static poro-elastic equations. The equivalent undrained, complex plane-wave modulus, which allows to estimate seismic attenuation and velocity dispersion for the vertical direction of propagation, is expressed in terms of the imposed displacement and the resulting average vertical stress at the top boundary. In order to explore the effects of the presence of fracture contact areas on WIFF effects, we perform an exhaustive sensitivity analysis considering different

  9. VEGF expression and new blood vessel after dental X-ray irradiation on fractured tooth extraction wound

    Directory of Open Access Journals (Sweden)

    Niluh Ringga Woroprobosari

    2015-09-01

    Full Text Available Background:Dental X-ray has an important role in dentistry. Complication case such as tooth fracture extraction requires this examination to determine the appropriate treatment measures. Dental X-ray can also cause a negative impact to the body at cellular and even molecular level. Purpose: The aim of this study was to evaluate the decrease of vascular endothelial growth factor (VEGF expression and new blood vessels number caused by dental X-ray irradiation on fractured tooth extraction wound on day 3 and 7 after extraction. Method: We used 30 wistar rats which was randomly divided into 6 groups. Each rat’s central insisive of left mandible was fractured and then extracted after or without X-ray irradiation. Group KA and KB were control groups without irradiation. Group P1 A and P1 B were treatment groups with 0.08 mSv irradiation dose. Group P2 A and P2 B were treatment groups with 0.16 mSv irradiation dose. The subject from group KA, P1 A, and P2 A were sacrficed and sockets were collected at day 3. The subject from group KB, P1 B, and P2 B were sacrficed and sockets were collected at day 7. Socket were processed and painted with hematoxylin eosin and immunohistochemistry, then observed with a microscope. Data processing was performed with SPSS 16 through one way anova test and post hoc Tukey test HS. Result: The lowest means expression of VEGF and the number of new blood vessels on the day 3 was found in P2 A group, and the highest found in the KA group. The lowest means expression of VEGF and the number of new blood vessels on the day 7 was found in P2 B group, and the highest found in the KB group. Conclusion: Dental X-ray irradiation dose of 0.08 mSv and 0.16 mSv causes decrease of VEGF expression and new blood vessels in the wound fractured tooth extraction in day 3 and day 7 post-extraction.

  10. Plastic deformation and fracture behaviour of 21/4 Cr-1 Mo pressure-vessel steel

    Energy Technology Data Exchange (ETDEWEB)

    Holzmann, M.; Vlach, B.; Man, J.; Bilek, Z.

    1989-01-01

    During the heat treatment of steel plates and forgings of large thicknesses, microstructures with various volume fractions of ferrite appear. Plastic properties and fracture behaviour of these mixed microstructures are a function of ferrite content. The influence of ferrite content in the range from 0% to 54% in the bainitic-ferritic microstructure on mechanical properties and fracture behaviour of 21/4 Cr-1 Mo steel was examined. The yield stress was found to decrease linearly with the volume fraction of ferrite. The tensile strength was independent of ferrite content up to 25%, after which the tensile strength decreased. Using the Charpy test it has been found that the critical ferrite content-25%-exists in a mixed microstructure, at which the propagation and initiation transition temperatures attain the highest values. The fracture toughness tests gave the same results. Increasing the volume fraction of ferrite, the cleavage fracture toughness/temperature curves were shifted to higher temperatures. Simultaneously, the ductile-brittle fracture toughness transition temperature was raised reaching the highest value for the critical ferrite content. The fracture behaviour could be tentatively explained through the influence of ferrite volume fraction on both the cleavage fracture stress and the stress level at the crack tip.

  11. Computational evaluation of the constraint loss on the fracture toughness of reactor pressure vessel steels; Evaluacion computacional del efecto de la perdida de constriccion en la tenacidad de fractura de la vasija de reactores nucleares

    Energy Technology Data Exchange (ETDEWEB)

    Serrano Garcia, M.

    2007-07-01

    The Master Curve approach is included on the ASME Code through some Code Cases to assess the reactor pressure vessel integrity. However, the margin definition to be added is not defined as is the margin to be added when the Master Curve reference temperature T{sub 0} is obtained by testing pre-cracked Charpy specimens. The reason is that the T{sub 0} value obtained with this specimen geometry is less conservative than the value obtained by testing compact tension specimens possible due to a loss of constraint. The two parameter fracture mechanics, considered as an extension of the classical fracture mechanics, coupled to a micromechanical fracture models is a valuable tool to assess the effect of constraint loss on fracture toughness. The definition of a parameter able to connect the fracture toughens value to the constraint level on the crack tip will allow to quantify margin to be added to the T{sub 0} value when this value is obtained testing the pre-cracked Charpy specimens included in the surveillance capsule of the reactor pressure vessel. The Nuclear Regulatory Commission (NRC) define on the To value obtained by testing compact tension specimens and ben specimens (as pre-cracked Charpy are) bias. the NRC do not approved any of the direct applications of the Master Curve the reactor pressure vessel integrity assessment until this bias will be quantified in a reliable way. the inclusion of the bias on the integrity assessment is done through a margin to be added. In this thesis the bias is demonstrated an quantified empirical and numerically and a generic value is suggested for reactor pressure vessel materials, so that it can be used as a margin to be added to the T{sub 0} value obtained by testing the Charpy specimens included in the surveillance capsules. (Author) 111 ref.

  12. A randomized trial comparing balloon kyphoplasty and vertebroplasty for vertebral compression fractures due to osteoporosis.

    Science.gov (United States)

    Dohm, M; Black, C M; Dacre, A; Tillman, J B; Fueredi, G

    2014-12-01

    Several trials have compared vertebral augmentation with nonsurgical treatment for vertebral compression fractures. This trial compares the efficacy and safety of balloon kyphoplasty and vertebroplasty. Patients with osteoporosis with 1-3 acute fractures (T5-L5) were randomized and treated with kyphoplasty (n = 191) or vertebroplasty (n = 190) and were not blinded to the treatment assignment. Twelve- and 24-month subsequent radiographic fracture incidence was the primary end point. Due to low enrollment and early withdrawals, the study was terminated with 404/1234 (32.7%) patients enrolled. The average age of patients was 75.6 years (77.4% female). Mean procedure duration was longer for kyphoplasty (40.0 versus 31.8 minutes, P kyphoplasty (50/140 versus 57/131) had subsequent radiographic fracture, and there were 8.6% fewer at 24 months (54/110 versus 64/111). The results were not statistically significant (P > .21). When we used time to event for new clinical fractures, kyphoplasty approached statistical significance in longer fracture-free survival (Wilcoxon, P = .0596). Similar pain and function improvements were observed. CT demonstrated lower cement extravasation for kyphoplasty (157/214 versus 164/201 levels treated, P = .047). For kyphoplasty versus vertebroplasty, common adverse events within 30 postoperative days were procedural pain (12/191, 9/190), back pain (14/191, 28/190), and new vertebral fractures (9/191, 17/190); similar 2-year occurrence of device-related cement embolism (1/191, 1/190), procedural pain (3/191, 3/190), back pain (2/191, 3/190), and new vertebral fracture (2/191, 2/190) was observed. Kyphoplasty and vertebroplasty had similar long-term improvement in pain and disability with similar safety profiles and few device-related complications. Procedure duration was shorter with vertebroplasty. Kyphoplasty had fewer cement leakages and a trend toward longer fracture-free survival. © 2014 by American Journal of Neuroradiology.

  13. Probabilistic Fracture Mechanics Analysis of Boling Water Reactor Vessel for Cool-Down and Low Temperature Over-Pressurization Transients

    Directory of Open Access Journals (Sweden)

    Jeong Soon Park

    2016-04-01

    Full Text Available The failure probabilities of the reactor pressure vessel (RPV for low temperature over-pressurization (LTOP and cool-down transients are calculated in this study. For the cool-down transient, a pressure–temperature limit curve is generated in accordance with Section XI, Appendix G of the American Society of Mechanical Engineers (ASME code, from which safety margin factors are deliberately removed for the probabilistic fracture mechanics analysis. Then, sensitivity analyses are conducted to understand the effects of some input parameters. For the LTOP transient, the failure of the RPV mostly occurs during the period of the abrupt pressure rise. For the cool-down transient, the decrease of the fracture toughness with temperature and time plays a main role in RPV failure at the end of the cool-down process. As expected, the failure probability increases with increasing fluence, Cu and Ni contents, and initial reference temperature-nil ductility transition (RTNDT. The effect of warm prestressing on the vessel failure probability for LTOP is not significant because most of the failures happen before the stress intensity factor reaches the peak value while its effect reduces the failure probability by more than one order of magnitude for the cool-down transient.

  14. Fracture mechanics characterisation of the WWER-440 reactor pressure vessel beltline welding seam of Greifswald unit 8

    Energy Technology Data Exchange (ETDEWEB)

    Viehrig, Hans-Werner; Schuhknecht, Jan [Forschungszentrum Dresden-Rossendorf (Germany)

    2008-07-01

    WWER-440 second generation (V-213) reactor pressure vessels (RPV) were produced by IZHORA in Russia and by SKODA in the former Czechoslovakia. The surveillance Charpy-V and fracture mechanics SE(B) specimens of both producers have different orientations. The main difference is the crack extension direction which is through the RPV thickness and circumferential for ISHORA and SKODA RPV, respectively. In particular for the investigation of weld metal from multilayer submerged welding seams the crack extension direction is of importance. Depending on the crack extension direction in the specimen there are different welding beads or a uniform structure along the crack front. The specimen orientation becomes more important when the fracture toughness of the weld metal is directly determined on surveillance specimens according to the Master Curve (MC) approach as standardised in the ASTM Standard Test Method E1921. This approach was applied on weld metal of the RPV beltline welding seam of Greifswald Unit 8 RPV. Charpy size SE(B) specimens from 13 locations equally spaced over the thickness of the welding seam were tested. The specimens are in TL and TS orientation. The fracture toughness values measured on the SE(B) specimens with both orientations follow the course of the MC. Nearly all values lie within the fracture toughness curves for 5% and 95% fracture probability. There is a strong variation of the reference temperature T{sub 0} though the thickness of the welding seam, which can be explained with structural differences. The scatter is more pronounced for the TS SE(B) specimens. It can be shown that specimens with TS and TL orientation in the welding seam have a differentiating and integrating behaviour, respectively. The statistical assumptions behind the MC approach are valid for both specimen orientations even if the structure is not uniform along the crack front. By comparison crack extension, JR, curves measured on SE(B) specimens with TL and TS orientation

  15. Adaptive remodeling at the pedicle due to pars fracture: a finite element analysis study.

    Science.gov (United States)

    İnceoğlu, Serkan; Mageswaran, Prasath; Modic, Michael T; Benzel, Edward C

    2014-09-01

    Spondylolysis is a common condition among the general population and a major cause of back pain in young athletes. This condition can be difficult to detect with plain radiography and has been reported to lead to contralateral pars fracture or pedicle fracture in the terminal stages. Interestingly, some patients with late-stage spondylolysis are observed to have radiographic or CT evidence of a sclerotic pedicle on the side contralateral to the spondylolysis. Although computational studies have shown stress elevation in the contralateral pedicle after a pars fracture, it is not known if these changes would cause sclerotic changes in the contralateral pedicle. The objective of this study was to investigate the adaptive remodeling process at the pedicle due to a contralateral spondylolysis using finite element analysis. A multiscale finite element model of a vertebra was obtained by combining a continuum model of the posterior elements with a voxel-based pedicle section. Extension loading conditions were applied with or without a fracture at the contralateral pars to analyze the stresses in the contralateral pedicle. A remodeling algorithm was used to simulate and assess density changes in the contralateral pedicle. The remodeling algorithm demonstrated an increase in bone formation around the perimeter of the contralateral pedicle with some localized loss of mass in the region of cancellous bone. The authors' results indicated that a pars fracture results in sclerotic changes in the contralateral pedicle. Such a remodeling process could increase overall bone mass. However, focal bone loss in the region of the cancellous bone of the pedicle might predispose the pedicle to microfractures. This phenomenon explains, at least in part, the origin of pedicle stress fractures in the sclerotic contralateral pedicles of patients with unilateral spondylolysis.

  16. Prediction of Reactor Vessel Water Level Using Fuzzy Neural Networks in Severe Accidents due to LOCA

    Energy Technology Data Exchange (ETDEWEB)

    Park, Soonho; Kim, Jaehawn; Na, Mangyun [Chosun Univ., Gwangju (Korea, Republic of)

    2013-05-15

    When the initial events that may lead to the severe accident such as Loss Of Coolant Accident (LOCA) and Steam Generator Tube Rupture (SGTR) occurs at a nuclear power plant, it is most important to check the status of the plant conditions by observing the safety-related parameters such as neutron flux, pressurizer pressure, steam generator pressure and water level. In this paper, we propose a method of predicting the water level of coolant in the reactor vessel that directly affect the important events such as the exposure of the reactor core and the damage of reactor vessel by using a Fuzzy Neural Network (FNN) method. In addition, the data for verifying a proposed model was obtained by simulating the severe accident scenarios for the OPR1000 nuclear power plant using the MAAP4 code. In this paper, a prediction model was developed for predicting the reactor vessel water level using the FNN method. The proposed FNN model was verified based on the simulation data of OPR1000 by using MAAP4 code. As a result of simulation, we could see that the performance of the proposed FNN model is quite satisfactory but some large errors are observed occasionally. If the proposed FNN model is optimized by using a variety of data, it is possible to predict the reactor vessel water level exactly.

  17. Pathologic Femoral Neck Fracture Due to Fanconi Syndrome Induced by Adefovir Dipivoxil Therapy for Hepatitis B

    OpenAIRE

    Lee, Yoon-Suk; Kim, Byung-Kook; Lee, Ho-Jae; Dan, Jinmyoung

    2016-01-01

    In Fanconi syndrome, hypophosphatemic osteomalacia is caused by proximal renal tubule dysfunction which leads to impaired reabsorption of amino acids, glucose, urate, and phosphate. We present a rare case of a 43-year-old Korean male who was found to have insufficiency stress fracture of the femoral neck secondary to osteomalacia due to Fanconi syndrome. He had been receiving low-dose adefovir dipivoxil (ADV, 10 mg/day) for the treatment of chronic hepatitis B virus infection for 7 years and ...

  18. A novel surgical tool for the revision hip arthroplasty due to neck stem’s fracture

    Science.gov (United States)

    Grivas, TB; Magnissalis, E; Papadakis, S

    2015-01-01

    During revision surgery of total hip arthroplasties, surgeons may come across the challenging complication of a proximally fractured femoral stem, which however maintains sufficient distal fixation. Such cases, although rare, are extremely demanding due to lack of available attachments that would assist surgical explantation of the broken implant. It is herein presented a metal sterilisable surgical tool designed for the removal of the femoral stem broken at the level of the “neck”. Hippokratia 2015; 19 (4): 352-355. PMID:27688701

  19. Facial ulcerations due to Acinetobacter baumannii: Vessel thrombosis with bacterial mycelia

    Directory of Open Access Journals (Sweden)

    Dong Ming Li

    2014-01-01

    Full Text Available A 14-year-old girl presented with a 2-week history of progressive facial ulcerations that did not respond to cephalexin and topical dexamethasone. Biopsy on the ulcer showed rod-shaped bacteria and actinomycetes-like mycelia in the vessel walls and within thrombi. Tissue culture yielded Acinetobacter baumannii, which was resistant to cephalexin. A favourite outcome was achieved with minocycline treatment. This is the first case report of A. baumannii-related vasculitis.

  20. Microstructure-dependent fracture toughness (JIC) variations in dissimilar pipe welds for pressure vessel system of nuclear plants

    Science.gov (United States)

    Rathod, Dinesh W.; Pandey, Sunil; Singh, P. K.; Kumar, Suranjit

    2017-09-01

    In present study, dissimilar metal weld (DMW) joints between SA508Gr.3cl.1 ferritic steel and SS304LN pipes were prepared using Inconel 82/182, and Inconel 52/152 consumables. Metallurgical properties and their influence on fracture toughness of weldment regions and interfacial regions could play a significant role in integrity assessment of these joints. Ni-based consumables exhibit complex metallurgical properties at interfacial regions. The metallurgical characterization and fracture toughness studies of Inconel 82/182 and Inconel 52/152 joints have been carried out for determining the optimum consumable for DMW joint requirements and the effect of microstructure on fracture toughness in weldment regions. The present codes and procedures for integrity assessment of DMW joints have not given due considerations of metallurgical properties. The requirements for metallurgical properties by considering their effect on fracture toughness properties in integrity assessment have been discussed for reliable analysis. Inconel 82/182 is preferred over Inconel 52/152 joints owing to favorable metallurgical and fracture toughness properties across the interfacial and weldment regions.

  1. Bilateral Incomplete Atypical Femoral Fracture due to Long-Term Bisphosphonate Use: A Case Report

    Directory of Open Access Journals (Sweden)

    Sibel Başaran

    2017-08-01

    Full Text Available Although the overall safety profile of bisphosphonates (BP is favorable, adverse effects associated with long-term use have came up during recent years. In this report, a case of bilateral incomplete atypical femoral fracture (AFF due to prolonged BP use was presented. A 69-year-old patient, who has been in surgical menopause for 20 years and was started on BP following vertebral fracture almost 10 years ago, was admitted with thigh pain, which was increased two weeks ago. On physical examination, she had antalgic gait, increased thoracic kyphosis and tenderness to percussion over the thoracolumbar region. Lateral cortical thickness in the subtrochanteric region of both femurs and cortical radiolucency on the left femur were observed on plain radiography. Loss of height in L3 and L4 vertebrae was detected on vertebral radiography. Serum 25-hydroxy vitamin D [25(OHD], parathyroid hormone, alkaline phosphatase and calcium levels, along with osteoporosis markers were all within the normal ranges. As the patient was diagnosed with AFF, BP therapy was terminated and vitamin D-calcium supplementation was continued. Since she did not have severe pain, conservative management (limited weight bearing, using a walking stick was recommended for 3 months. Teriparatide therapy was started and she was discharged with recommendations. AFF, which is a rare disorder, should be kept in mind in patients on long-term BP treatment who are admitted with thigh pain and, necessary interventions should be tailored before the occurrence of complete fracture.

  2. [Posterior spinal transpedicular wedge osteotomy for kyphosis due to delayed osteoporotic vertebral fracture in elderly].

    Science.gov (United States)

    Yang, Bao-hui; Li, Hao-peng; He, Xi-jing; Zhang, Chun; Qing, Jie

    2015-08-01

    To evaluate the clinical effects of posterior spinal transpedicular wedge osteotomy for kyphosis due to delayed osteoporotic vertebral fracture in elderly. From July 2009 to February 2014,26 patients with kyphosis caused by delayed osteoporotic vertebral fracture were treated with transpedicular wedge osteotomy. There were 10 males and 16 females,aged from 55 to 75 years old with an average of 67 years. There were 1 osteotomy in thoracic vertebra,21 osteotomies in thoracolumbar vertebrae and 4 in lumbar vertebrae. Total 29 vertebrae were involved, 23 cases with single vertebral fracture and 3 cases with double vertebral fractures. Preoperative Cobb angles were 32°~51° with the mean of (42.00 ± 4.75) ° and VAS scores were 6 to 9 points with an average of (8.40 ± 0.75) points. According to the Frankel grade of spinal cord function, 4 cases were grade D and 22 cases were grade E. Intraoperative bleeding, operation time and perioperative complications were recorded, and improvements of Cobb angle were evaluated by X-rays. VAS score and Frankel grade were respectively used to evaluate the pain and nerve function. The average operation time were 155 min (ranged, 120 to 175) and the mean intraoperative bleeding were 1 100 ml (ranged,800 to 1 500). Postoperative at 2 days, Cobb angle and VAS score were (9.60 ± 2.50) ° and (4.00 ± 1.00) points, respectively, ranged from 5° to 15° and 1 to 5 points. VAS score and Cobb angle improved obviously compared with preoperative (P Cobb angle was 76%. Frankel grade of 1 case changed from grade E to C, and the others did not become worse. The follow-up period ranged from 3 to 24 months with an average of 16.4 months. At the final follow-up, Cobb angles and VAS score were (11.00 ± 3.50)° and (4.40 ± 1.25) points, respectively, ranged from 5° to 19° and 1 to 6 points. The patient whose Frankel grade E changed to C at 2 days after surgery and changed to grade D at the latest follow-up. Vertebral body fracture below the

  3. Fracture mechanics characterisation of the WWER-440 reactor pressure vessel beltline welding seam of Greifswald unit 8

    Energy Technology Data Exchange (ETDEWEB)

    Viehrig, Hans-Werner; Schuhknecht, Jan [Forschungszentrum Dresden-Rossendorf, Dresden (Germany)

    2009-07-01

    Russian type WWER reactors are operated in Russia and many other European countries like Finland, Czech Republic, Slovak Republic, Hungary, Bulgaria and Ukraine. Surveillance specimen programmes for the inspection of the aging of the reactor pressure vessel (RPV) materials were implemented for the second generation of WWER-440/V-213 reactors. The test results and the RPV integrity assessment has been evaluated according to national codes based on the Russian code PNAE G-7-002-86 ''Strength Calculation Norms for Nuclear Power Plant Equipment and Piping'' [1]. This is an indirect and correlative approach of determining the fracture toughness of the RPV steels in the initial and irradiated condition. The Master Curve (MC) approach as adopted in the test procedure ASTM E1921 [2] for assessing the fracture toughness of sampled irradiated materials has been gaining acceptance throughout the world [3]. The MC approach is more naturally suited to probabilistic analyses because it defines both a mean transition toughness value and a distribution around that value. It contains the assumptions of macroscopically homogenous material with uniform distribution of crack initiating defects along the crack front. In contrast to present indirect and correlative approach the specimen orientation and especially the crack extension direction in multilayer weld metal becomes more important for the direct measurement of the fracture toughness with Charpy size SE(B) specimens. The orientation of the Charpy- and SE(B) specimens is different for RPVs manufactured in Russia and by the SKODA company in the former Czechoslovakia [4,5]. Particularly with regard to weld metal it can be expected that the parameters of fracture toughness measured with Charpy-V or SE(B) specimens are strongly influenced by the specimen orientation. It raises the question whether the MC approach is also applicable when the structure varies along the crack front which is happen in TL oriented SE

  4. An accidental death due to Freon 22 (monochlorodifluoromethane) inhalation in a fishing vessel.

    Science.gov (United States)

    Koreeda, Ako; Yonemitsu, Kosei; Mimasaka, Sohtarou; Ohtsu, Yuki; Tsunenari, Shigeyuki

    2007-05-24

    A case of accidental Freon 22 (monochlorodifluoromethane) poisoning in a fishing vessel is reported. Forensic autopsy revealed severe pulmonary edema and congestion (left lung; 576 g, right lung; 740 g). GC-MS analysis clearly showed that the deceased inhaled Freon 22 gas prior to his death. Freon 22 concentration was 169+/-7.0 microg/ml in the heart blood. The distribution pattern of Freon 22 in tissue samples was similar to that in previously reported cases. The brain had the highest concentration of Freon 22 followed by the spleen, liver, kidney and lung, respectively. Histopathologically, Oil red O staining of the liver showed many small, positive red areas in the cytosol, which have been reported in other cases of Freon 22 poisoning. However, Schmorl staining revealed that most areas of Oil red O positivity were lipofuscin granules. Lipofuscin in the liver, which closely relates to aging and other cell stresses, could have a relevance to Freon 22 exposure, but further experimental studies are needed to confirm it.

  5. Recurrent secondary postpartum hemorrhages due to placental site vessel subinvolution and local uterine tissue coagulopathy.

    Science.gov (United States)

    Zubor, Pavol; Kajo, Karol; Dokus, Karol; Krivus, Stefan; Straka, Lubomir; Bodova, Kristina Biskupska; Danko, Jan

    2014-02-21

    Postpartum hemorrhage (PPH) represents a serious problem for women and obstetricians. Because of its association with hemorrhagic shock and predisposition to disseminated coagulopathy, it is a leading cause of maternal deaths worldwide. Furthermore, the jeopardy of PPH is rising with the secondary form of PPH occurring between 24 hours and 6 weeks postpartum, when women are already discharged home. The causes of this pathology are severe inflammation (endometritis), inherited coagulation disorders, consumptive coagulopathy, and retained products of conceptions. Others are of rare occurrence, such as vessel subinvolution (VSI) of the placental implantation site, uterine artery pseudoaneurysm, or trauma. We present a rare form of recurrent secondary postpartum hemorrhage in a woman after uncomplicated cesarean delivery, with review of the literature linked to the management of this situation originating in the rare local VSI in the placental implantation site, defective decidual homeostasis, and coagulopathy confined to the uterus. The placental site VSI is one of the rare causes of secondary PPH, and this situation is frequently underdiagnosed by clinicians. The histological confirmation of dilated "clustered"-shaped myometrial arteries partially occluded by thrombi of variable "age" together with the presence of endovascular extravillous trophoblasts confirms the diagnosis.

  6. Development of Mini-Compact Tension Test Method for Determining Fracture Toughness Master Curves for Reactor Pressure Vessel Steels

    Energy Technology Data Exchange (ETDEWEB)

    Sokolov, Mikhail A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-05-01

    Small specimens are playing the key role in evaluating properties of irradiated materials. The use of small specimens provides several advantages. Typically, only a small volume of material can be irradiated in a reactor at desirable conditions in terms of temperature, neutron flux, and neutron dose. A small volume of irradiated material may also allow for easier handling of specimens. Smaller specimens reduce the amount of radioactive material, minimizing personnel exposures and waste disposal. However, use of small specimens imposes a variety of challenges as well. These challenges are associated with proper accounting for size effects and transferability of small specimen data to the real structures of interest. Any fracture toughness specimen that can be made out of the broken halves of standard Charpy specimens may have exceptional utility for evaluation of reactor pressure vessels (RPVs) since it would allow one to determine and monitor directly actual fracture toughness instead of requiring indirect predictions using correlations established with impact data. The Charpy V-notch specimen is the most commonly used specimen geometry in surveillance programs. Validation of the mini compact tension specimen (mini-CT) geometry has been performed on previously well characterized Midland beltline Linde 80 (WF-70) weld in the unirradiated condition. It was shown that the fracture toughness transition temperature, To, measured by these Mini-CT specimens is almost the same as To value that was derived from various larger fracture toughness specimens. Moreover, an International collaborative program has been established to extend the assessment and validation efforts to irradiated Linde 80 weld metal. The program is underway and involves the Oak Ridge National Laboratory (ORNL), Central Research Institute for Electrical Power Industry (CRIEPI), and Electric Power Research Institute (EPRI). The irradiated Mini-CT specimens from broken halves of previously tested Charpy

  7. Formation Damage due to Drilling and Fracturing Fluids and Its Solution for Tight Naturally Fractured Sandstone Reservoirs

    Directory of Open Access Journals (Sweden)

    Tianbo Liang

    2017-01-01

    Full Text Available Drilling and fracturing fluids can interact with reservoir rock and cause formation damage that impedes hydrocarbon production. Tight sandstone reservoir with well-developed natural fractures has a complex pore structure where pores and pore throats have a wide range of diameters; formation damage in such type of reservoir can be complicated and severe. Reservoir rock samples with a wide range of fracture widths are tested through a multistep coreflood platform, where formation damage caused by the drilling and/or fracturing fluid is quantitatively evaluated and systematically studied. To further mitigate this damage, an acidic treating fluid is screened and evaluated using the same coreflood platform. Experimental results indicate that the drilling fluid causes the major damage, and the chosen treating fluid can enhance rock permeability both effectively and efficiently at least at the room temperature with the overburden pressure.

  8. Inflammatory Morbidity due to Compound Mandibular Body Fractures: Does It Have a Relationship with Treatment Outcome?

    Science.gov (United States)

    Anyanechi, Charles E.; Saheeb, Birch D.

    2015-01-01

    Objective The aim of this study was to evaluate the relationship between the degree of preoperative pain and trismus with the development of complications following the repair of isolated unilateral compound mandibular body fractures using a closed reduction technique. Subjects and Methods This was a 7-year prospective study carried out at the Dental and Maxillofacial Surgery Clinic of the University of Calabar Teaching Hospital, Calabar, Nigeria. Of a total of 97 patients, 83 (85.6s%) subjects (66 males, 17 females, ratio 5:1) were preoperatively evaluated for trismus and pain in a blinded manner by a single examiner, and complications were recorded postoperatively. The data obtained were statistically analyzed with EPI Info 2008 software. Results Of the 83 patients treated, 13 (15.7s%) developed complications. The fractures were most common in the age range of 21–40 years (n = 45, 54.2s%). The age (p = 0.02) and gender (p = 0.01) distribution of the subjects was significant. The more severe the limitation of mouth opening (p = 0.03) and pain (p = 0.04) before treatment, the more complications developed, and these significantly affected treatment outcome. Impaired mastication and facial asymmetry (n = 17, 41.5s%) were the most common complications. Conclusion This study showed that posttrauma pain and trismus due to unilateral mandibular body fractures may be associated with the development of complications. An adequately powered prospective study treating patients at 5 or 7 days is required in order to make the case for later intervention. PMID:25791420

  9. Evidence Report: Risk of Bone Fracture due to Spaceflight-Induced Changes to Bone

    Science.gov (United States)

    Sibonga, Jean D.; Evans, Harlan J.; Smith, Scott A.; Spector, Elisabeth R.; Yardley, Greg; Myer, Jerry

    2017-01-01

    Given that spaceflight may induce adverse changes in bone ultimate strength with respect to mechanical loads during and post-mission, there is a possibility a fracture may occur for activities otherwise unlikely to induce fracture prior to initiating spaceflight.

  10. Computational Simulation of Fracture Behavior Due to Mechanical and Constituent Properties of CFCCs

    Science.gov (United States)

    Kwon, Oh Heon; Yun, Yu Seong

    Continuous fiber reinforced ceramic matrix composites (CFCCs) are recently a subject of a lot of research interest due to advantages which are high specific stiffness and strength, high toughness and nonbrittle failure as compared to monolithic ceramics. The basic purpose of the present study is to describe graphically the fracture behavior of CFCCs according to a dependence on constituent properties. In CFCCs, following matrix cracking, intact fibers bridge effects impose closure tractions behind the crack tip that reduce the driving force for further cracking. Thus matrix cracking stress and bridging stress are important. Then the change of fiber volume fraction is given for the matrix cracking stress by the numerical simulation. Numerical simulation are carried out by using a finite element analysis code ANSYS. The double mesh concept is applied to account for fiber and matrix material properties.

  11. Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union?

    Science.gov (United States)

    Riehl, John T; Connolly, Keith; Haidukewych, George; Koval, Ken

    2015-01-01

    Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center between March 2008 and August 2011 were retrospectively reviewed. Retained bullet load near the fracture site was calculated based on percentage of material retained compared to the cortical diameter of the involved bone. Analyses were performed to assess the effect of the lead-cortical ratio and amount of comminution on time to fracture union. Thirty-two patients (34 fractures) met the inclusion criteria, with an equal number of comminuted (17) and non-comminuted fractures (17). Seventeen of 34 fractures (50%) united within 4 months, 16/34 (47%) developed a delayed union, and 1/34 (3%) developed a nonunion requiring revision surgery. Sixteen of 17 fractures (94%) that united by 4 months had a cumulative amount of bullet fragmentation retained near the fracture site of less than 20% of the cortical diameter. Nine out of 10 fractures (90%) with retained fragments near the fracture site was equal to or exceeding 20% of the cortical diameter had delayed or nonunion. Fracture comminution had no effect on time to union. The quantity of retained bullet material near the fracture site was more predictive of the rate of fracture union than was comminution. Fractures with bullet fragmentation equal to or exceeding 20% of the cortical width demonstrated a significantly higher rate of delayed union/nonunion compared to those fractures with less retained bullet material, which may indicate a local cytotoxic effect from lead on bone healing. These findings may influence decisions on timing of secondary surgeries. Level III.

  12. Fracture mechanics applied to the evaluation of a nuclear reactor vessel structural integrity; Aplicacao da mecanica da fratura na avaliacao da integridade estrutural de um componente nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Tarpani, Jose Ricardo; Spinelli, Dirceu [Sao Paulo Univ., Sao Carlos, SP (Brazil). Escola de Engenharia. Dept. de Engenharia de Materiais

    1995-12-31

    Analytical predictions of PWR vessel instability were made based upon Linear Elastic Fracture Mechanics criterion Kl C and on Elastic-Plastic Fracture Mechanics Ji and J50. special attention was given to the influence of crack depth and aspect ratio for both approaches, as well as to the data extrapolation procedures in the latest. Simple and didactic format is supplied for the evaluation of the final results in terms of internal pressure, strain gradient and ductile crack extension. (author) 7 refs., 6 figs., 6 tabs.

  13. Low risk for hip fracture and high risk for hip arthroplasty due to osteoarthritis among Swedish farmers.

    Science.gov (United States)

    Johansson, H; Hongslo Vala, C; Odén, A; Lorentzon, M; McCloskey, E; Kanis, J A; Harvey, N C; Ohlsson, C; Stefan Lohmander, L; Kärrholm, J; Mellström, D

    2018-01-12

    We aimed to study the risk of hip fracture and risk of hip arthroplasty among farmers in Sweden. Our results indicate that farming, representing an occupation with high physical activity, in men is associated with a lower risk of hip fracture but an increased risk of hip arthroplasty. The risks of hip fracture and hip arthroplasty are influenced by factors including socioeconomic status, education, urbanization, latitude of residence, and physical activity. Farming is an occupation encompassing rural living and high level of physical activity. Therefore, we aimed to study the risk of hip fracture and risk of hip arthroplasty among farmers in Sweden. We studied the risk of hip fracture, and hip arthroplasty due to primary osteoarthritis, in all men and women aged 35 years or more in Sweden between 1987 and 2002. Documented occupations were available in 3.5 million individuals, of whom 97,136 were farmers. The effects of age, sex, income, education, location of residence, and occupation on risk of hip fracture or hip arthroplasty were examined using a modification of Poisson regression. A total of 4027 farmers and 93,109 individuals with other occupations sustained a hip fracture, while 5349 farmers and 63,473 others underwent a hip arthroplasty. Risk of hip fracture was higher with greater age, lower income, lower education, higher latitude, and urban area for all men and women. Compared to all other occupations, male farmers had a 20% lower age-adjusted risk of hip fracture (hazard ratio (HR) 0.80, 95%CI 0.77-0.84), an effect that was not seen in female farmers (HR 0.96, 95% CI 0.91-1.01). Both male and female farmers had a higher age-adjusted risk for hip arthroplasty. Our results indicate that farming, representing an occupation with high physical activity, in men is associated with a lower risk of hip fracture but an increased risk of hip arthroplasty.

  14. Multi-scale finite element modelling at the posterior lumbar vertebra: analysis of pedicle stresses due to pars fracture.

    Science.gov (United States)

    Inceoğlu, Serkan; Mageswaran, Prasath

    2014-05-01

    Multi-scale finite element (FE) model is a cost-effective way to analyse stress response of micro-level structures to the changes in loading at macro-level. This study deals with the development of a multi-scale model of a human vertebra and stress changes in the pedicle at high resolution after a gross fracture at the posterior neural arch. Spondylolysis (pars fracture) is a painful condition occurring in the vertebral neural arch and common especially among the athletic young population. The fracture of the pars significantly alters load distribution and load transfer characteristics at the neural arch. Structural changes in the posterior vertebra due to the new loading patterns can trigger secondary complications. Clinical reports have shown the association of pedicle hypertrophy or pedicle fracture with unilateral pars fractures. However, the biomechanical consequences of pars fracture and its effect on the pedicle have never been studied in detail. Therefore, we prepared a multi-scale model of posterior vertebra with continuum laminar complex model combined with micro-FE model of a pedicle section. The results showed that stress at the contralateral pars and pedicle increased after unilateral pars fracture simulation. High-stress regions were found around the outer boundaries of the pedicle. This model and information are helpful in understanding the stress changes in the pedicle and can be used for adaptive remodelling studies.

  15. Atypical femoral fracture due to chronic use of bisphosphonates: case report ☆

    Directory of Open Access Journals (Sweden)

    Eduardo Frois Temponi

    2015-08-01

    Full Text Available ABSTRACT The causal relationship between chronic use of bisphosphonates and occurrences of atypical femoral fractures has not yet been established. Nonetheless, it is known that their chronic use is more related to fractures with a pattern differing from that of classical osteoporotic fractures. Atypical fractures are still rare events and the benefit from using bisphosphonates remains greater for prevention and treatment of osteoporosis. There are few studies guiding the diagnosis and management of these fractures, thus making it difficult to achieve better results. In this report, we present the case of an elderly patient with an atypical femoral fracture that was managed in accordance with guidance from the American Society for Bone and Mineral Research.

  16. Ankylosis Due Sequel Of Fracture Of The Mandibular Condyle: Case Report

    Directory of Open Access Journals (Sweden)

    Alina Alencar Ferreira Gomes

    2017-08-01

    Full Text Available The Ankylosis of the Temporomandibular joint (TMJ is a disorder of craniofacial complex that results in the merger between the condyle and the mandibular fossa, causing partial or complete immobilization of the mandible. The etiological factors are local and systemic inflammation, infection in the area of TMJ, rheumatic diseases and neoplasms, having the trauma as the main etiologic factor. The traumas are responsible for 31% to 98% of cases of ankylosis. The diagnosis is made from the anamnesis and imaging scans (computed tomography pointing to the union of joint components. The treatment of ankylosis is a big challenge due the high rate of recurrence that can be affected by factors such as type of ankylosis, surgical technique, age of the patient, post-operative physiotherapy and systematic follow-up of the patient. The various forms of treatment require careful analysis of type of ankylosis if it is intra or extra-articular, unilateral or bilateral and if it is bony or fibrous, There is no consensus in current literature regarding the best treatment. The aim of this work is to present through the report of a clinical case, a surgical treatment of Unilateral Temporomandibular joint Ankylosis, due to sequel of condylar fracture with re-establishment of the stomatognathic functions in postoperative follow-up.

  17. Prediction of Failure Due to Thermal Aging, Corrosion and Environmental Fracture in Amorphous and Titanium Alloys

    Energy Technology Data Exchange (ETDEWEB)

    Farmer, J C

    2003-04-15

    DARPA is exploring a number of advanced materials for military applications, including amorphous metals and titanium-based alloys. Equipment made from these materials can undergo degradation due to thermal aging, uniform corrosion, pitting, crevice corrosion, denting, stress corrosion cracking, corrosion fatigue, hydrogen induced cracking and microbial influenced corrosion. Amorphous alloys have exceptional resistance to corrosion, due in part to the absence of grain boundaries, but can undergo crystallization and other phase instabilities during heating and welding. Titanium alloys are extremely corrosion resistant due to the formation of a tenacious passive film of titanium oxide, but is prone to hydrogen absorption in crevices, and hydrogen induced cracking after hydrogen absorption. Accurate predictions of equipment reliability, necessary for strategic planning, requires integrated models that account for all relevant modes of attack, and that can make probabilistic predictions. Once developed, model parameters must be determined experimentally, and the validity of models must be established through careful laboratory and field tests. Such validation testing requires state-of-the-art surface analytical techniques, as well as electrochemical and fracture mechanics tests. The interaction between those processes that perturb the local environment on a surface and those that alter metallurgical condition must be integrated in predictive models. The material and environment come together to drive various modes of corrosive attack (Figure 1). Models must be supported through comprehensive materials testing capabilities. Such capabilities are available at LLNL and include: the Long Term Corrosion Test Facility (LTCTF) where large numbers of standard samples can be exposed to realistic test media at several temperature levels; a reverse DC machine that can be used to monitor the propagation of stress corrosion cracking (SCC) in situ; and banks of potentiostats with

  18. Understanding the evolution of channeling and fracturing in porous medium due to fluid flow.

    Science.gov (United States)

    Turkaya, Semih; Toussaint, Renaud; Kvalheim Eriksen, Fredrik; Daniel, Guillaume; Langliné, Olivier; Grude Flekkøy, Eirik; Jørgen Måløy, Knut

    2017-04-01

    Fluid induced brittle deformation of porous medium is a phenomenon commonly present in everyday life. From an espresso machine to volcanoes, from food industry to construction, it is possible to see traces of this phenomenon. In this work, analogue models are developed in a linear geometry, with confinement and at low porosity to study the instabilities that occur during fast motion of fluid in dense porous materials: fracturing, fingering, and channeling. We study these complex fluid/solid mechanical systems - in a rectangular Hele-Shaw cell with three closed boundaries and one semi-permeable boundary - using two monitoring techniques: optical imaging using a high speed camera (1000 fps), high frequency resolution accelerometers and piezoelectrical sensors. Additionally, we develop physical models rendering for the fluid mechanics in the channels and the propagation of microseismic waves around the fracture. We then compare a numerical resolution of this physical system with the observed experimental system. In the analysis phase, we compute the power spectrum of the acoustic signal in time windows of 5 ms, recorded by shock accelerometers Brüel & Kjaer 4374 (Frq. Range 1 Hz - 26 kHz) with 1 MHz sampling rate. The evolution of the power spectrum is compared with the optical recordings. These peaks on the spectrum are strongly influenced by the size and branching of the channels, compaction of the medium, vibration of air in the pores and the fundamental frequency of the plate. Furthermore, the number of these stick-slip events, similar to the data obtained in hydraulic fracturing operations, follows a Modified Omori Law decay with an exponent p value around 0.5. An analytical model of overpressure diffusion predicting p = 0.5 and two other free parameters of the Omori Law (prefactor and origin time) is developed. The spatial density of the seismic events, and the time of end of formation of the channels can also be predicted using this developed model. Different

  19. Permeability evolution of fractured limestone due to reactive flow: Observation and prediction of wormhole formation

    Science.gov (United States)

    Deng, H.; Fitts, J. P.; Crandall, D.; McIntyre, D.; Peters, C. A.

    2014-12-01

    Fractures in porous media provide preferential pathways for flow and solute transport. Their hydraulic properties are critical parameters for determining fluid migration and leakage, and are subject to alterations when exposed to reactive flow, e.g. CO2-acidfied brine in the case of carbon storage. Our previous studies have shown how mineral heterogeneity could lead to increased roughness that mitigates the increase in fracture permeability. This study shows that, even in rocks with mineral homogeneity, fracture geometry is subject to complex alterations. In this presentation, we report an experimental study of CO2-acidified brine in fractured Indiana Limestone, with comprehensive characterization of effluent chemistry analyzed by ICP-OES, and 3D geometry evolution using micro-computed topography (xCT). Significant carbonate dissolution was observed but the reaction extent revealed by the effluent chemistry was less than what was predicted by simple reaction transport models. xCT imaging revealed the formation of wormhole channels in the fracture, and the channels grew larger downstream and more prominent over time. Using the fracture geometries derived from the xCT images, we simulated the flow field and inferred the evolution of fracture hydraulic properties. To interpret the process of wormholing and its impacts on fracture hydraulic properties, we used reactive transport modeling to simulate the interplay between fracture geometry, fluid flow and geochemical reactions. Our simulations predicted that wormholes were formed in fractures with initial roughness representative of natural subsurface systems. The presence of wormholes caused a disproportionately larger permeability increase than would be expected given the extent of volume change.

  20. [Direct and indirect costs of fractures due to osteoporosis in Austria].

    Science.gov (United States)

    Dimai, H-P; Redlich, K; Schneider, H; Siebert, U; Viernstein, H; Mahlich, J

    2012-10-01

    We examined the financial burden of osteoporosis in Austria. We took both direct and indirect costs into consideration. Direct costs encompass medical costs such as expenses for pharmaceuticals, inpatient and outpatient medical care costs, as well as other medical services (e.g., occupational therapies). Non-medical direct costs include transportation costs and medical devices (e.g., wheel chairs or crutches). Indirect costs refer to costs of productivity losses due to absence of work. Moreover, we included costs for early retirement and opportunity costs of informal care provided by family members. While there exist similar studies for other countries, this is the first comprehensive study for Austria. For our analysis, we combined data of official statistics, expert estimates as well as unique patient surveys that are currently conducted in the course of an international osteoporotic fracture study in Austria. Our estimation of the total annual costs in the year 2008 imposed by osteoporosis in Austria is 707.4 million €. The largest fraction of this amount is incurred by acute hospital treatment. Another significant figure, accounting for 29% of total costs, is the opportunity cost of informal care. The financial burden of osteoporosis in Austria is substantial. Economic evaluations of preventive and therapeutic interventions for the specific context of Austria are needed to inform health policy decision makers. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Time off work due to scaphoid fractures and other carpal injuries in the Netherlands in the period 1990 to 1993

    NARCIS (Netherlands)

    Mink van der Molen, AB; Groothoff, JW; Visser, GJP; Robinson, PH; Eisma, WH

    This study assessed the epidemiology, treatment, disability and time off work due to carpal injuries in the Netherlands in the period from 1990 to 1993. Most injuries were scaphoid fractures and carpal instabilities were rare, The time off work was considerable (mean, 155 days; median, 105 days;

  2. Thoracic Outlet Syndrome in a Volleyball Player Due to Nonunion of the First Rib Fracture.

    Science.gov (United States)

    Puttmann, Kathleen T; Satiani, Bhagwan; Vaccaro, Patrick

    2016-11-01

    Fracture of the first rib with ensuing callus formation is a rare cause of thoracic outlet syndrome. We report a case of a 17-year-old female volleyball player who presented with months of chronic arm pain. Radiographic imaging demonstrated nonunion fracture of the first rib. Physical therapy had been unsuccessful in relieving the pain, and surgical management was performed with resection of the first rib through a transaxillary approach with complete resolution of symptoms. Inflammation surrounding such fractures may destroy tissue planes, making dissection more technically difficult.

  3. Bilateral sternoclavicular joint dislocation due to sternal fracture: Is it a dislocation or a separation?

    Science.gov (United States)

    Yi, Jin Woong; Kim, Doo Hyun; Heo, Youn Moo; Jun, June Bum

    2016-05-01

    Traumatic bilateral sternoclavicular joint dislocation is very rare injury. In shoulder girdle injuries, anterior dislocation of the sternoclavicular joint accounts for 3 % and posterior sternoclavicular joint dislocation is lesser. Previous reported cases about bilateral sternoclavicular joint dislocation were result from proximal clavicle fracture with intact connection between sternum and ribs. But, the sternoclavicular joint dislocation secondary to fracture and angulation of the sternum with intact relationship between ribs and clavicle has not been reported. Authors experienced patient who has a bilateral anterior sternoclavicular joint dislocation caused by sternum fracture and anterior angulation, but intact relationship between ribs and clavicle. We report this case with satisfactory result.

  4. Age Related Macular Degeneration and Total Hip Replacement Due to Osteoarthritis or Fracture: Melbourne Collaborative Cohort Study.

    Directory of Open Access Journals (Sweden)

    Elaine W Chong

    Full Text Available Osteoarthritis is the leading cause of total hip replacement, accounting for more than 80% of all total hip replacements. Emerging evidence suggests that osteoarthritis has a chronic inflammatory component to its pathogenesis similar to age-related macular degeneration. We evaluated the association between age-related macular degeneration and total hip replacement as proxy for severe osteoarthritis or fractured neck of femur in the Melbourne Collaborative Cohort Study. 20,744 participants had complete data on both age-related macular degeneration assessed from colour fundus photographs taken during 2003-2007 and total hip replacement. Total hip replacements due to hip osteoarthritis and fractured neck of femur during 2001-2011 were identified by linking the cohort records to the Australian Orthopedic Association National Joint Replacement Registry. Logistic regression was used to examine the association between age-related macular degeneration and risk of total hip replacement due to osteoarthritis and fracture separately, adjusted for confounders. There were 791 cases of total hip replacement for osteoarthritis and 102 cases of total hip replacement due to fractured neck of femur. After adjustment for age, sex, body mass index, smoking, and grouped country of birth, intermediate age-related macular degeneration was directly associated with total hip replacement for osteoarthritis (odds ratio 1.22, 95% CI 1.00-1.49. Late age-related macular degeneration was directly associated with total hip replacement due to fractured neck of femur (odds ratio 5.21, 95% CI2.25-12.02. The association between intermediate age-related macular degeneration and an increased 10-year incidence of total hip replacement due to osteoarthritis suggests the possibility of similar inflammatory processes underlying both chronic diseases. The association of late age-related macular degeneration with an increased 10-year incidence of total hip replacement due to fractured

  5. Age Related Macular Degeneration and Total Hip Replacement Due to Osteoarthritis or Fracture: Melbourne Collaborative Cohort Study.

    Science.gov (United States)

    Chong, Elaine W; Wang, Yuanyuan; Robman, Liubov D; Aung, Khin Zaw; Makeyeva, Galina A; Giles, Graham G; Graves, Stephen; Cicuttini, Flavia M; Guymer, Robyn H

    2015-01-01

    Osteoarthritis is the leading cause of total hip replacement, accounting for more than 80% of all total hip replacements. Emerging evidence suggests that osteoarthritis has a chronic inflammatory component to its pathogenesis similar to age-related macular degeneration. We evaluated the association between age-related macular degeneration and total hip replacement as proxy for severe osteoarthritis or fractured neck of femur in the Melbourne Collaborative Cohort Study. 20,744 participants had complete data on both age-related macular degeneration assessed from colour fundus photographs taken during 2003-2007 and total hip replacement. Total hip replacements due to hip osteoarthritis and fractured neck of femur during 2001-2011 were identified by linking the cohort records to the Australian Orthopedic Association National Joint Replacement Registry. Logistic regression was used to examine the association between age-related macular degeneration and risk of total hip replacement due to osteoarthritis and fracture separately, adjusted for confounders. There were 791 cases of total hip replacement for osteoarthritis and 102 cases of total hip replacement due to fractured neck of femur. After adjustment for age, sex, body mass index, smoking, and grouped country of birth, intermediate age-related macular degeneration was directly associated with total hip replacement for osteoarthritis (odds ratio 1.22, 95% CI 1.00-1.49). Late age-related macular degeneration was directly associated with total hip replacement due to fractured neck of femur (odds ratio 5.21, 95% CI2.25-12.02). The association between intermediate age-related macular degeneration and an increased 10-year incidence of total hip replacement due to osteoarthritis suggests the possibility of similar inflammatory processes underlying both chronic diseases. The association of late age-related macular degeneration with an increased 10-year incidence of total hip replacement due to fractured neck of femur may be

  6. The relation between motions of moored ships due to wake wash of passing vessels and the hindrance thereof

    NARCIS (Netherlands)

    Luth, H; Bos, J.E.; Keuning, J.; Hout, I. van der

    2009-01-01

    After the introduction of Fast Ferry public transport in the Netherlands a number of complaints about wake wash induced hindrance onboard moored vessels appeared. It was already possible to calculate the wake wash characteristics of fast sailing vessels, the progress of these waves in a waterway and

  7. The Assessment and Validation of Mini-Compact Tension Test Specimen Geometry and Progress in Establishing Technique for Fracture Toughness Master Curves for Reactor Pressure Vessel Steels

    Energy Technology Data Exchange (ETDEWEB)

    Sokolov, Mikhail A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Nanstad, Randy K. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-09-01

    Small specimens are playing the key role in evaluating properties of irradiated materials. The use of small specimens provides several advantages. Typically, only a small volume of material can be irradiated in a reactor at desirable conditions in terms of temperature, neutron flux, and neutron dose. A small volume of irradiated material may also allow for easier handling of specimens. Smaller specimens reduce the amount of radioactive material, minimizing personnel exposures and waste disposal. However, use of small specimens imposes a variety of challenges as well. These challenges are associated with proper accounting for size effects and transferability of small specimen data to the real structures of interest. Any fracture toughness specimen that can be made out of the broken halves of standard Charpy specimens may have exceptional utility for evaluation of reactor pressure vessels (RPVs) since it would allow one to determine and monitor directly actual fracture toughness instead of requiring indirect predictions using correlations established with impact data. The Charpy V-notch specimen is the most commonly used specimen geometry in surveillance programs. Assessment and validation of mini-CT specimen geometry has been performed on previously well characterized HSST Plate 13B, an A533B class 1 steel. It was shown that the fracture toughness transition temperature measured by these Mini-CT specimens is within the range of To values that were derived from various large fracture toughness specimens. Moreover, the scatter of the fracture toughness values measured by Mini-CT specimens perfectly follows the Weibull distribution function providing additional proof for validation of this geometry for the Master Curve evaluation of rector pressure vessel steels. Moreover, the International collaborative program has been developed to extend the assessment and validation efforts to irradiated weld metal. The program is underway and involves ORNL, CRIEPI, and EPRI.

  8. Avulsion Fracture of the Extensor Carpi Ulnaris Due to Roller Injury

    Directory of Open Access Journals (Sweden)

    Ching-Yin Lee

    2005-05-01

    Full Text Available Avulsion fractures of the radial wrist extensor from the metacarpal base are rare injuries, and have previously been reported in only a few papers. Although 2 cases of closed rupture of the extensor carpi ulnaris (ECU were mentioned in 1 report, no case of avulsion fracture of the ECU from its insertion was found in the literature. We recently encountered such a case. The patient, a machine operator, suffered multiple fractures of his forearm, wrist and hand when his left hand was caught in a machine roller. He immediately underwent emergency operation, during which we found the avulsed bone fragment from the ECU insertion. This fragment was retracted to the ECU groove of the ulna, and was located beside the fracture fragment of the ulnar styloid on X-ray. The avulsed fragment was reattached to the base of the fifth metacarpal with Kirschner wires and wire loop, and the patient returned to work 4 months after the operation.

  9. Hydraulic sealing due to pressure solution contact zone growth in siliciclastic rock fractures

    National Research Council Canada - National Science Library

    Lang, P. S; Paluszny, A; Zimmerman, R. W

    2015-01-01

    Thermo‐hydro‐mechanical‐chemical simulations at the pore scale are conducted to study the hydraulic sealing of siliciclastic rock fractures as contact zones grow driven by pressure dissolution. The evolving fluid‐saturated three...

  10. Sternal fractures and delayed cardiac tamponade due to a severe blunt chest trauma.

    Science.gov (United States)

    Liang, Huai-min; Chen, Qiu-lin; Zhang, Er-yong; Hu, Jia

    2016-04-01

    Sternal fractures caused by blunt chest trauma are associated with an increased incidence of cardiac injury. Reports of the incidence of cardiac injury associated with sternal fracture range from 18% to 62%. Delayed cardiac tamponade is a rare phenomenon that appears days or weeks after injury. Moreover, after nonpenetrating chest trauma, cardiac tamponade is very rare and occurs in less than 1 of 1000. This case describes a patient who had delayed cardiac tamponade 17 days after a severe blunt chest trauma.

  11. Intrapartum sacral stress fracture due to pregnancy-related osteoporosis: a case report.

    Science.gov (United States)

    Oztürk, Gülcan; Külcü, Duygu Geler; Aydoğ, Ece

    2013-01-01

    Low back pain (LBP) and hip pain frequently occur during pregnancy and postpartum period. Although pelvic and mechanic lesions of the soft tissues are most responsible for the etiology, sacral fracture is also one of the rare causes. A 32-year-old primigravid patient presented with LBP and right hip pain which started 3 days after vaginal delivery. Although direct radiographic examination was normal, magnetic resonance imaging of the sacrum revealed sacral stress fracture. Lumbar spine and femoral bone mineral density showed osteoporosis as a risk factor. There were no other risk factors such as trauma, excessive weight gain, and strenuous physical activity. It is considered that the patient had sacral fatigue and insufficiency fracture in intrapartum period. The patient's symptoms subsided in 3 months after physical therapy and rest. In conclusion, sacral fractures during pregnancy and postpartum period, especially resulting from childbirth, are very rare. To date, there are two cases in the literature. In cases who even do not have risk factors related to vaginal delivery such as high birth weight infant and the use of forceps, exc., sacral fracture should be considered in the differential diagnosis of LBP and hip pain started soon after child birth. Pregnancy-related osteoporosis may lead to fracture during vaginal delivery.

  12. Surgical management of post-traumatic atlantoaxial rotatory fixation due to C2 facet fracture: 5 clinical cases.

    Science.gov (United States)

    Peyriere, H; Graillon, T; Pesenti, S; Tropiano, P; Blondel, B; Fuentes, S

    2017-02-01

    Report the results of surgical treatment of post-traumatic atlantoaxial rotatory fixation (AARF) due to C2 articular facet fracture in adults. The records of five patients treated since 2009 for AARF due to a C2 articular facet fracture were analyzed retrospectively. Three women and two men with an average age of 60 years (27-82) were included, one of whom initially had neurological deficits. In all cases, the surgical strategy consisted of posterior fixation: Harms-type in four cases and trans-articular with hooks in one case. Dislocations due to fracture of the C2 articular facet are rare in adults; various treatment strategies have been described. In our experience, posterior screw fixation leads to satisfactory clinical and radiological outcomes. Fusion is not necessary in these cases because the dislocation is related to an asymmetric fracture without ligament damage. Posterior fixation provides satisfactory reduction of these injuries and leads to satisfactory bone union. This surgical treatment can be performed early on after the trauma and is an interesting alternative to conservative treatment. Copyright © 2016. Published by Elsevier Masson SAS.

  13. Prediction Of The Fracture Due To Mannesmann Effect In Tube Piercing

    Science.gov (United States)

    Fanini, S.; Ghiotti, A.; Bruschi, S.

    2007-05-01

    Mannesmann piercing process is a well-known hot rolling process used for seamless tube production. Its special feature is the so-called Mannesmann effect, that is the cavity formation in the center of the cylindrical billet and its propagation along the axis due to stress state caused by the rolls in the early stages of the process. The cavity is then expanded and sized in its internal diameter by an incoming plug. The industrial requirement is to know quite precisely the characteristics of the cavity especially in terms of its location along the billet axis in order to minimize the plug wear and the oxidation of the pierced bar. However, the scientific knowledge about the fracture mechanism leading to the Mannesmann effect is still limited, even if several theories have been proposed; this lack makes the design and optimization of the process through numerical simulations still a challenging task. The aim of this work is then to develop a suitably calibrated FE model of the piercing process in its first stage before the plug arrival, in order to investigate the Mannesmann effect using different damage criteria. Hot tensile tests, capable to reproduce the industrial conditions in terms of temperature, strain rate, and stress states, are carried out to investigate the material workability and to determine the parameters of the damage models on specimens machined from continuous-casting steel billets. The calculated parameters are implemented in the numerical model of the process and a sensitivity analysis to the different criteria is carried out, comparing numerical results with non-plug piercing tests conducted in the industrial plant.

  14. [The Efficacy of Percutaneous Transluminal Angioplasty and Stenting for Traumatic Vertebral Artery Dissection due to Cervical Vertebral Fracture].

    Science.gov (United States)

    Kawaguchi, Misato; Nii, Kouhei; Sakamoto, Kimiya; Kawahara, Kanae; Inoue, Ritsurou; Hiraoka, Fumihiro; Morinaga, Yusuke; Mitsutake, Takafumi; Hanada, Hayatsura; Tsutsumi, Masanori

    2018-02-01

    A 73-year-old man was admitted at another hospital after a traffic accident. The diagnosis was cervical vertebral fracture. Despite conservative treatment, 5 days later he manifested dysarthria due to cerebellar infarction and was transferred to our hospital. Imaging studies revealed right vertebral arterial dissection at the level of the axial fracture. We performed percutaneous transluminal angioplasty with stenting to address his subacute vertebral artery dissection prior to treating the cervical vertebral fracture using external fixation. His clinical course was good;ischemia did not recur after stenting and his dysarthria disappeared upon rehabilitation. Cerebral angiograms obtained 6 months later revealed no significant in-stent restenosis. While medical management tends to be the first-line treatment of traumatic vertebral artery dissection, percutaneous transluminal angioplasty with stenting is necessary before treating other traumatic lesions to prevent neurologic events.

  15. Perturbation-induced secondary flow structures due to fractured stents in arterial curvatures

    Science.gov (United States)

    Bulusu, Kartik V.; Popma, Christopher; Penna, Leanne; Plesniak, Michael W.

    2012-11-01

    An in vitro experimental investigation of secondary flow structures was performed downstream of a model stent that embodied a ``Type-IV'' stent fracture, i.e. complete transverse fracture of elements and element displacement (of 3 diameters). One part of the fractured stent was located in the curved region of a test section comprised of a 180-degree bent tube, and the velocity field measured with PIV. Secondary flow morphologies downstream of the stent were identified with a continuous wavelet transform (CWT) algorithm (PIVlet 1.2) using a 2D Ricker wavelet. A comparison of wavelet transformed vorticity fields of fractured and unfractured model stents is presented under physiological inflow conditions. During systolic deceleration, a breakdown in symmetry of vortical structures occurred with the unfractured stent, but not with the fractured model stent. Potential mechanisms to explain the differences in secondary flow morphologies include redirection of vorticity from the meridional plane of the bend to the normal plane and diffusion of vorticity. Supported by the National Science Foundation, Grant No. CBET-0828903 and GW Center for Biomimetics and Bioinspired Engineering (COBRE).

  16. Maxillofacial Fractures due to Falls: does Fall Modality Determine the Pattern of Injury?

    Directory of Open Access Journals (Sweden)

    Fabio Roccia

    2014-12-01

    Full Text Available Objectives: In several epidemiological studies of maxillofacial trauma, falls were one of the most frequent causes of facial injury. The aim of this study is to analyse the patterns of fall-related maxillofacial injuries based on the height of the fall. Material and Methods: Using a systematic computer-assisted database of patients hospitalised with maxillofacial fractures, only those with fall-related injuries were considered. The falls were divided into four groups: falls from slipping, tripping or stumbling (STSF, loss of consciousness (LOCF, stairs (SAF, and height (HF. Data on the age, gender, fracture site, Facial Injury Severity Scale (FISS, facial lacerations, associated lesions, type of treatment, and length of hospital stay were also analysed. Results: This study included 557 patients (338 males, 219 females; average age 51.5 years [range 4 - 99 years]. In the over 60 age group, females were more prevalent in STSF than males. According to aetiology, STSF was the most frequent cause of maxillofacial fractures (315 patients; 56.5% followed by LOCF (157; 28.2%, HF (55; 9.9%, and SAF (30; 5.4%. The middle third of the face was affected most frequently. After LOCF, however, the inferior third was prevalently involved. The majority of associated fractures, as well as the most severe injuries and greatest rate of facial lacerations, occurred secondary to HF. Conclusions: This study showed that fracture severity and site are influenced not only by patient age, but also by the nature of the fall.

  17. Analysis of the master curve approach on the fracture toughness properties of SA508 Gr.4N Ni-Mo-Cr low alloy steels for reactor pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ki-Hyoung, E-mail: shirimp@kaist.ac.kr [Department of Materials Science and Engineering, KAIST, Daejeon 305-701 (Korea, Republic of); Kim, Min-Chul; Lee, Bong-Sang [Nuclear Materials Research Division, KAERI, Daejeon 305-353 (Korea, Republic of); Wee, Dang-Moon [Department of Materials Science and Engineering, KAIST, Daejeon 305-701 (Korea, Republic of)

    2010-06-15

    This study aims at assessing the fracture toughness behavior of tempered martensitic Ni-Mo-Cr low alloy steels for reactor pressure vessels in a transition temperature region using a master curve approach. The fracture toughness tests for model alloys with various chemical compositions were carried out following ASTM E1921-08. The microstructures, tensile properties, and Charpy impact toughness were also evaluated. Alloying elements such as Ni, Cr, and Mo affected the mechanical properties of alloys from changes in the phase fraction and precipitation behavior. In the fracture toughness test results, the data sets showed a deviation from the median curve and a smaller scatter than that of the prediction of the ASTM standard, especially in the lower transition region. The exponential parameter of the master curve equation was adjusted by an exponential fitting to data sets for expressing well the temperature dependency of the fracture toughness. The adjusted parameter provided good agreement for data distribution and the independence of T{sub 0} from test temperatures through an overall temperature range in contrast with the results from the standard master curve.

  18. J-R Fracture Resistance of SA533 Gr.B-Cl.1 Steel for Reactor Pressure Vessel

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Ji-Hyun; Hong, Seokmin; Lee, Bong-Sang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    A rolled plate might show different mechanical behaviors from a forging, even though they contain same chemical compositions. Furthermore, it is known that the fracture behavior of a rolled plate is very sensitive to material orientation comparing to a forging. In this study, the J-R fracture resistances of SA533 Gr.B-Cl.1 plate were measured at reactor operating temperature and the material orientation sensitivity was discussed. The decrease of fracture resistance of this kind of low alloy steel at an elevated temperature is known as the effect of dynamic strain aging (DSA). It was attributed to that the carbides and grains elongated to primary rolling direction, so that the aspect ratio of carbides and grains in the specimen with T-L orientation is larger. Generally, the hard second phase could take a roll of trigger point of unstable fracture. It is needed that the fracture surfaces of the tested specimens to be examined profoundly.

  19. The Changed Route of Anterior Tibial Artery due to Healed Fracture

    Directory of Open Access Journals (Sweden)

    Kemal Gökkuş

    2016-01-01

    Full Text Available We would like to highlight unusual sequelae of healed distal third diaphyseal tibia fracture that was treated conservatively 36 years ago, in which we incidentally detected peripheral CT angiography. The anterior tibial artery was enveloped three-quarterly by the healing callus of the bone (distal tibia.

  20. Identical fracture patterns in combat vehicle blast injuries due to improvised explosive devices; a case series

    Directory of Open Access Journals (Sweden)

    Commandeur Joris

    2012-10-01

    Full Text Available Abstract Background In November 2008, a surgical team from the Red Cross Hospital Beverwijk, the Netherlands, was deployed in Afghanistan for three months to attend in the army hospital of Kandahar. During their stay, four incidents of armored personnel carriers encountering an improvised explosive device were assessed. In each incident, two soldiers were involved, whose injuries were strikingly similar. Case presentation The described cases comprise paired thoracic vertebral fractures, radial neck fractures, calcaneal fractures and talar fractures. Moreover, the different types of blast injury are mentioned and related to the injuries described in our series. Acknowledging the different blast mechanisms is important for understanding possible injury patterns. Conclusion From this case series, as well as the existing literature on injury patterns caused by blast injuries, it seems appropriate to pay extra attention to bodily areas that were injured in other occupants of the same vehicle. Obviously, the additional surveillance for specific injuries should be complementary to the regular trauma work-up (e.g., ATLS.

  1. Bilateral simultaneous fracture-dislocation of the shoulder due to muscular violence

    Directory of Open Access Journals (Sweden)

    Yadav S

    1977-01-01

    Full Text Available A convulsive seizure may be fraught with hazard. A case of bilateral anterior fracture-dislocation of the shoulder as a result of convulsions is reported. The need of an awareness of such a possibility during fits is emphasized and a conservative thera-peutic approach is recommended.

  2. Hydraulic sealing due to pressure solution contact zone growth in siliciclastic rock fractures

    Science.gov (United States)

    Lang, P. S.; Paluszny, A.; Zimmerman, R. W.

    2015-06-01

    Thermo-hydro-mechanical-chemical simulations at the pore scale are conducted to study the hydraulic sealing of siliciclastic rock fractures as contact zones grow driven by pressure dissolution. The evolving fluid-saturated three-dimensional pore space of the fracture results from the elastic contact between self-affine, randomly rough surfaces in response to the effective confining pressure. A diffusion-reaction equation controls pressure solution over contact zones as a function of their emergent geometry and stress variations. Results show that three coupled processes govern the evolution of the fracture's hydraulic properties: (1) the dissolution-driven convergence of the opposing fracture walls acts to compact the pore space; (2) the growth of contact zones reduces the elastic compression of the pore space; and (3) the growth of contact zones leads to flow channeling and the presence of stagnant zones in the flow field. The dominant early time compaction mechanism is the elastic compression of the fracture void space, but this eventually becomes overshadowed by the irreversible process of pressure dissolution. Growing contact zones isolate void space and cause an increasing disproportion between average and hydraulic aperture. This results in the loss of hydraulic conductivity when the mean aperture is a third of its initial value and the contact ratio approaches the characteristic value of one half. Convergence rates depend on small-wavelength roughness initially and on long-wavelength roughness in the late time. The assumption of a characteristic roughness length scale, therefore, leads to a characteristic time scale with an underestimation of dissolution rates before and an overestimation thereafter.

  3. [Aseptic, simultaneous and bilateral mobilisation due to an acetabular shell fracture in a 43 year-old patient].

    Science.gov (United States)

    Ceretti, M; Fanelli, M; Pappalardo, S

    2014-01-01

    The acetabular shell mobilization is the main long-term complication in total hip replacement. Metal-back fracture has also to be considered among the possible causes of shell mobilization. A case is presented of bilateral acetabular shell mobilization due to the trabecular covering de-soldering from the metal-back in a 43 year-old patient, 13-14 years after the first surgery. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  4. [Osteoporosis fracture in a male patient secondary to hypogonadism due to androgen deprivation treatment for prostate cancer].

    Science.gov (United States)

    Verdú Solans, J; Roig Grau, I; Almirall Banqué, C

    2014-01-01

    A 84 year-old patient, in therapy with androgen deprivation during the last 5 years due a prostate cancer, is presented with a osteoporotic fracture of the first lumbar vertebra. The pivotal role of the primary care physician, in the prevention of the osteoporosis secondary to the hypogonadism in these patients, is highlighted. Copyright © 2012 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  5. Evaluation on the Feasibility of Using Ultrasonic Testing of Reactor Pressure Vessel Welds for Assessing Flaw Density/Distribution per 10 CFR 50.61a, Alternate Fracture Toughness Requirements for Protection Against Pressurized Thermal Shock

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, Edmund J.; Anderson, Michael T.

    2014-06-10

    This technical letter report provides the status of an assessment undertaken by PNNL at the request of the NRC to verify the capability of periodic ASME-required volumetric examinations of reactor vessels to characterize the density and distribution of flaws of interest for applying §50.61a on a plant-by-plant basis. The PTS rule, described in the Code of Federal Regulations, Title 10, Section 50.61 (§50.61), "Fracture Toughness Requirements for Protection against Pressurized Thermal Shock Events," establishes screening criteria to ensure that the potential for a reactor vessel to fail due to a PTS event is deemed to be acceptably low. Recently, the NRC completed a research program that concluded that the risk of through-wall cracking due to a PTS event is much lower than previously estimated. The NRC subsequently developed and promulgated an alternate PTS rule, §50.61a, that can be implemented by PWR licensees. The §50.61a rule differs from §50.61 in that it requires licensees who choose to follow this alternate method to analyze the results from periodic volumetric examinations required by the ASME Code, Section XI, Rules for Inservice Inspection (ISI) of Nuclear Power Plants.

  6. Fracture Analysis of Vessels. Oak Ridge FAVOR, v06.1, Computer Code: Theory and Implementation of Algorithms, Methods, and Correlations

    Energy Technology Data Exchange (ETDEWEB)

    Williams, P. T. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Dickson, T. L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Yin, S. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2007-12-01

    The current regulations to insure that nuclear reactor pressure vessels (RPVs) maintain their structural integrity when subjected to transients such as pressurized thermal shock (PTS) events were derived from computational models developed in the early-to-mid 1980s. Since that time, advancements and refinements in relevant technologies that impact RPV integrity assessment have led to an effort by the NRC to re-evaluate its PTS regulations. Updated computational methodologies have been developed through interactions between experts in the relevant disciplines of thermal hydraulics, probabilistic risk assessment, materials embrittlement, fracture mechanics, and inspection (flaw characterization). Contributors to the development of these methodologies include the NRC staff, their contractors, and representatives from the nuclear industry. These updated methodologies have been integrated into the Fracture Analysis of Vessels -- Oak Ridge (FAVOR, v06.1) computer code developed for the NRC by the Heavy Section Steel Technology (HSST) program at Oak Ridge National Laboratory (ORNL). The FAVOR, v04.1, code represents the baseline NRC-selected applications tool for re-assessing the current PTS regulations. This report is intended to document the technical bases for the assumptions, algorithms, methods, and correlations employed in the development of the FAVOR, v06.1, code.

  7. Lower pole renal cut injury due to the iliac wing fracture: A rare case report

    Directory of Open Access Journals (Sweden)

    Çaglar Yildirim

    2015-07-01

    Full Text Available The most frequent causes of blunt genitourinary injuries are falls from heights, motor vehicle accidents and sports injuries. Firearm injuries and penetrating stab wounds are also frequently encountered. Skeletal system traumas in the vicinity of the urogenital system can cause urological organ injuries. Though rarely, renal traumas can be dependent on the kinetic energy of the trauma and the retroperitoneal movement capacity of the kidneys and cannot be explained with the proximity of the kidney to the skeletal system. In cases with high-energy decelerations, renal pedicle and ureteropelvic junction traumas are more frequently observed. Herein, we presented a grade 3 left kidney lower pole injury developed secondary to A2 type pelvic fracture following a high energy deceleration trauma. It should not be forgotten that especially in this type of fractures, injuries of the lower renal pole can occur.

  8. A case of multiple bone fractures due to the use of topical corticosteroid therapy for psoriasis.

    Science.gov (United States)

    Gönül, Müzeyyen; Gönül, Engin

    2015-06-01

    A 45-year-old man who had psoriasis had applied topical clobetasol 17 propionate ointment on his whole body 2-3 times a week after the bath for 20 years. Physical examination showed abdominal distension, atrophy all over the skin, psoriatic plaques on the trunk, and extremities and multiple striae on the shoulders and legs. Morning plasma cortisol level and ACTH stimulation test confirmed the diagnosis of hypothalamic insufficiency. Bone mineral densitometry showed severe osteoporosis. Multiple bone fractures in the vertebrae and costa were detected on lumbar magnetic resonance imaging, the (99)Tc MDP whole-body bone scan, and thoracoabdominal computerized tomography imaging. Topical corticosteroid therapies have possible local and/or systemic side effects such as atrophy, telangiectasia, hypertricosis, and suppression of pituitary-adrenal axis. We present an interesting case with multiple bone fractures caused by long-time topical corticosteroid use.

  9. Chronic low back pain after lumbosacral fracture due to sagittal and frontal vertebral imbalance.

    Science.gov (United States)

    Boyoud-Garnier, L; Boudissa, M; Ruatti, S; Kerschbaumer, G; Grobost, P; Tonetti, J

    2017-06-01

    Over time, some patients with unilateral or bilateral lumbosacral injuries experience chronic low back pain. We studied the sagittal and frontal balance in a population with these injuries to determine whether mismatch in the pelvic and lumbar angles are associated with chronic low back pain. Patients with posterior pelvic ring fractures (Tile C1, C2, C3 and A3.3) that had healed were included. Foreign patients and those with an associated spinal or acetabular fracture or nonunion were excluded. The review consisted of subjective questionnaires, a clinical examination, and standing A/P and lateral stereoradiographic views. The pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), measured lumbar lordosis (LLm), T9 sagittal offset, leg discrepancy (LD) and lateral curvature (LC). The expected lumbar lordosis (LLe) was calculated using the formula LLe=PI+9°. We defined lumbopelvic mismatch (LPM) as the difference between LLm and LLe being equal or greater than 25% of LLe. Fifteen patients were reviewed after an average follow-up of 8.8 years [5.4-15]. There were four Tile C1, five Tile C2, five Tile C3 and one Tile A3.3 fracture. Ten of the 15 patients had low back pain. The mean angles were: LLm 49.6° and LLe 71.9° (P=0.002), PT 21.3°, SS 44.1°, PI 62.9° in patients with low back pain and LLm 57.4° and LLe 63.2° (P=0.55), PT 13°, SS 43.1°, PI 54.2° in those without. LPM was present in 9 patients, 8 of who had low back pain (P=0.02). Six patients, all of whom had low back pain, had a mean LC of 7.5° [4.5-23] (P=0.02). The mean LD was 0.77cm. The findings of this small study suggest that patients who experience low back pain after their posterior arch of the pelvic ring fracture has healed, have a lumbopelvic mismatch. Early treatment of these patients should aim to reestablish the anatomy of the pelvic base relative to the frontal and sagittal balance. IV. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  10. Detection of Atrial Fibrillation Among Patients With Stroke Due to Large or Small Vessel Disease: A Meta-Analysis

    OpenAIRE

    Demeestere, Jelle; Fieuws, Steffen; Lansberg, Maarten G.; Lemmens, Robin

    2016-01-01

    Background-Recent trials have demonstrated that extended cardiac monitoring increases the yield of paroxysmal atrial fibrillation (AF) detection in patients with cryptogenic stroke. The utility of extended cardiac monitoring is uncertain among patients with stroke caused by small and large vessel disease. We conducted a meta-analysis to estimate the yield of AF detection in this population. Methods and Results-We searched PubMed, Cochrane, and SCOPUS databases for studies on AF detection in s...

  11. Influence of operation factors on brittle fracture initiation and critical local normal stress in SE(B) type specimens of VVER reactor pressure vessel steels

    Science.gov (United States)

    Kuleshova, E. A.; Erak, A. D.; Kiselev, A. S.; Bubyakin, S. A.; Bandura, A. P.

    2015-12-01

    A complex of mechanical tests and fractographic studies of VVER-1000 RPV SE(B) type surveillance specimens was carried out: the brittle fracture origins were revealed (non-metallic inclusions and structural boundaries) and the correlation between fracture toughness parameters (CTOD) and fracture surface parameters (CID) was established. A computational and experimental method of the critical local normal stress determination for different origin types was developed. The values of the critical local normal stress for the structural boundary origin type both for base and weld metal after thermal exposure and neutron irradiation are lower than that for initial state due to the lower cohesive strength of grain boundaries as a result of phosphorus segregation.

  12. Influence of Anisotropic Microcracking Due to Swelling on the Fracture Toughness of a Clay-Bearing Sandstone

    Science.gov (United States)

    Tiennot, M.; Mertz, J.-D.; Bourgès, A.

    2017-11-01

    Flaking is a well-known pattern on rich clay stone. As swelling of clay minerals may induce crack propagation under fatigue, a fracture mechanics approach is proposed to investigate its impact on such decay pattern. A clay-bearing sandstone from the Thüringen region is studied because of the scaling effect observed at its surface when exposed to environmental conditions. Semi-circular bending specimens adapted to stone heritage studies are prepared and three configurations are tested, in order to measure toughness with respect to the bedding of this sandstone. Deformations are measured during relative humidity variations. They are measured anisotropic due to position and orientation of the clay phases within the stone. The influence of such natural dimensional variations on Young modulus and fracture toughness is studied. It appears that the induced damage is oriented and is the consequence of opening of the initial microcracks in the direction perpendicular to the maximum swelling. This damage induces an evolution of the fracture properties and behaviour. Toughness decreases as relative humidity increases depending on the orientation of the microcracking. Moreover, the toughness anisotropy of this sandstone appears during humidification. After several cycles of swelling, the microcracking induces an increase in toughness when notch is perpendicular to them. This may explain some stone deterioration patterns, as flakes subparallel to the stone surface.

  13. A Thermo-Hydro-Mechanical modeling of fracture opening and closing due heat extraction from geothermal reservoir

    Science.gov (United States)

    Nand Pandey, Sachchida; Chaudhuri, Abhijit; Kelkar, Sharad

    2015-04-01

    Increasing the carbon dioxide concentration in atmosphere become challenging task for the scientific community. To achieve the sustainable growth with minimum pollution in atmosphere requires the development of low carbon technology or switch towards renewable energy. Geothermal energy is one of the promising source of clean energy. Geothermal energy is also considered a sustainable, reliable and least-expensive. This study presents a numerical modeling of subsurface heat extraction from the reservoir. The combine flow, heat transfer and geo-mechanical problem are modeled using FEHM code, which was validated against existing field data, numerical code and commercial software. In FEHM the flow and heat transfer in reservoir are solved by control volume method while for mechanical deformation finite element technique is used. The 3-D computational domain (230m × 200m × 1000m) has single horizontal fault/fracture, which is located at 800 m depth from the ground surface. The fracture connects the injection and production wells. The distance between the wells is 100 m. A geothermal gradient 0.08 °C/m is considered. The temperatures at top and bottom boundaries are held fixed as 20 and 100 °C respectively. The zero heat and mass flux boundary conditions are imposed to all vertical side boundaries of the domain. The simulation results for 100 days suggests that the computational domain is sufficiently large as the temperature along the vertical boundaries are not affected by cold-water injection. To model the thermo-poro-elastic deformation, zero all three components of displacement are specified as zero at the bottom. The zero stress condition along all other boundaries allows the boundaries to move freely. The temperature and pressure dependent fluid properties such as density and viscosity with single phase flow in saturated medium is considered. We performed a series of thermo-hydro-mechanical (THM) simulations to show aperture alteration due to cold

  14. AB037. Role of nocturnal penile erection test on response to daily sildenafil in patients with erectile dysfunction due to pelvic fracture urethral disruption

    OpenAIRE

    Lin, Jian; Peng, Jing; Zhang, Zhichao; Cui, Wanshou; Yuan, Yiming; Gao, Bing; Song, Weidong; Tang, Yan; Xin, Zhongcheng

    2015-01-01

    Objective To evaluate the results of nocturnal penile erection test and response to daily sildenafil in patients with erectile dysfunction (ED) due to pelvic fracture urethral disruption. Methods In the past three years, we included 38 patients with ED due to pelvic fracture urethral disruption. The mean age was 33.1 years (range, 22-49 years). All were evaluated subjectively and objectively by the International Index of Erectile Function-5, nocturnal penile tumescence and rigidity (NPTR) tes...

  15. Fracture

    OpenAIRE

    Bourdin, Blaise; Francfort, Gilles A.

    2011-01-01

    These notes begin with a review of the mainstream theory of brittle fracture, as it has emerged from the works of Griffi th and Irwin. We propose a re-formulation of that theory within the confi nes of the calculus of variations, focussing on crack path prediction. We then illustrate the various possible minimality criteria in a simple 1d-case as well as in a tearing experiment and discuss in some details the only complete mathematical formulation so far, that is that where global minimality ...

  16. [Fractures accompanied by injuries of the great vessels in sport and leisure accidents. Diagnosis and management concept].

    Science.gov (United States)

    Schlickewei, W; Kuner, E H; Spillner, G; Götze, B

    1989-11-01

    Extremity fractures with concomitant vascular injuries are surgical emergencies. Especially injuries of the upper extremities require a preoperative angiographic examination for the localization of the vascular lesion. In vascular lesions of the lower extremities a primary angiography is not necessary, if there is an opportunity for an intraoperative radiologic evaluation. In our traumatological department 104 patients were treated over the last 15 years with that combined injury. The concept of immediate stabilization of the fracture with simultaneous or postponed arterial repair has been proved to be appropriate. The fasciotomy as prophylactic procedure of a postischemic compartment syndrome is also a part of our concept during the last years. The late results in our mostly young patients depended on the degree of soft tissue damage and the time of ischemia. The often untreatable nerve lesions contributed to a loss of use of about 30% in the late courses.

  17. Definition of Mutually Optimum NDI and Proof Test Criteria for 2219 Aluminum Pressure Vessels. Volume 2: Optimization and Fracture Studies

    Science.gov (United States)

    Schwartzberg, F. R.; Toth, C., Jr.; King, R. G.; Todd, P. H., Jr.

    1979-01-01

    Certain behavioral aspects associated with fracture and crack extension that cannot be studied using other techniques were evaluated with the ultrasonic method. Characterization of collimated beam techniques showed that significant beam width reduction could be accomplished. Techniques for collimation are given. The crack-opening displacement-gage correction-factor study showed that displacement resulting from crack opening and that from plasticity could be readily differentiated. Crack closure studies using both ultrasonic and crack-opening displacement measurements showed an opening and closing behavior associated with load-unload curves. The results of this work were in general agreement with the closure concepts of Elber. Ultrasonic measurements used to study the nature of flaw extension characteristics associated with failure of the ligament between the flaw front and back surface showed that penetration could occur by an abrupt fracturing after subcritical growth or by continuous growth.

  18. Particle Imaging Velocimetry Technique Development for Laboratory Measurement of Fracture Flow Inside a Pressure Vessel Using Neutron Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Polsky, Yarom [ORNL; Bingham, Philip R [ORNL; Bilheux, Hassina Z [ORNL; Carmichael, Justin R [ORNL

    2015-01-01

    This paper will describe recent progress made in developing neutron imaging based particle imaging velocimetry techniques for visualizing and quantifying flow structure through a high pressure flow cell with high temperature capability (up to 350 degrees C). This experimental capability has great potential for improving the understanding of flow through fractured systems in applications such as enhanced geothermal systems (EGS). For example, flow structure measurement can be used to develop and validate single phase flow models used for simulation, experimentally identify critical transition regions and their dependence on fracture features such as surface roughness, and study multiphase fluid behavior within fractured systems. The developed method involves the controlled injection of a high contrast fluid into a water flow stream to produce droplets that can be tracked using neutron radiography. A description of the experimental setup will be provided along with an overview of the algorithms used to automatically track droplets and relate them to the velocity gradient in the flow stream. Experimental results will be reported along with volume of fluids based simulation techniques used to model observed flow.

  19. Estimated trichloroethene transformation rates due to naturally occurring biodegradation in a fractured-rock aquifer

    Science.gov (United States)

    Chapelle, Francis H.; Lacombe, Pierre J.; Bradley, Paul M.

    2012-01-01

    Rates of trichloroethene (TCE) mass transformed by naturally occurring biodegradation processes in a fractured rock aquifer underlying a former Naval Air Warfare Center (NAWC) site in West Trenton, New Jersey, were estimated. The methodology included (1) dividing the site into eight elements of equal size and vertically integrating observed concentrations of two daughter products of TCE biodegradation–cis-dichloroethene (cis-DCE) and chloride–using water chemistry data from a network of 88 observation wells; (2) summing the molar mass of cis-DCE, the first biodegradation product of TCE, to provide a probable underestimate of reductive biodegradation of TCE, (3) summing the molar mass of chloride, the final product of chlorinated ethene degradation, to provide a probable overestimate of overall biodegradation. Finally, lower and higher estimates of aquifer porosities and groundwater residence times were used to estimate a range of overall transformation rates. The highest TCE transformation rates estimated using this procedure for the combined overburden and bedrock aquifers was 945 kg/yr, and the lowest was 37 kg/yr. However, hydrologic considerations suggest that approximately 100 to 500 kg/yr is the probable range for overall TCE transformation rates in this system. Estimated rates of TCE transformation were much higher in shallow overburden sediments (approximately 100 to 500 kg/yr) than in the deeper bedrock aquifer (approximately 20 to 0.15 kg/yr), which reflects the higher porosity and higher contaminant mass present in the overburden. By way of comparison, pump-and-treat operations at the NAWC site are estimated to have removed between 1,073 and 1,565 kg/yr of TCE between 1996 and 2009.

  20. Kyphoplasty for Intractable Pain Due to Glucocorticosteroid-induced Osteoporotic Vertebra Fracture of a 9-Year-Old Patient With Systemic Lupus Erythematosus: 8-Year Follow-up.

    Science.gov (United States)

    Kanatli, Ulunay; Ataoğlu, Baybars; Özer, Mustafa; Şenköylü, Alpaslan; Çetinkaya, Mehmet

    2015-09-01

    The incidence of glucocorticoid-induced osteoporosis is approximately 50% in patients treated for >6 months, and in the long-term usage fracture risk is approximately 34%. The awareness of pediatric vertebral fractures due to glucocorticoid-induced osteoporosis is increasing. Although most of these fractures are asymptomatic, a small number of children may have severe pain. In this case report we are presenting long-term result of a 9-year-old patient with intractable pain due to glucocorticoid-induced osteoporotic vertebral fracture managed by kyphoplasty. Case report. Case report of a 9-year-old girl who had L3 vertebral fracture due to glucocorticoid-induced osteoporosis treated by kyphoplasty. The patient was a 9-year-old girl with severe back pain, and lupus nephritis. Glucocorticoid-induced L3 vertebral fracture was detected and the case was resistant to conservative treatment. Seeing this, we have performed balloon kyphoplasty procedure to L3 vertebrae. No complication and pain was observed after the operation although L3 vertebral height could not restored. On the 8-year control, L3 vertebral height was almost totally restored with a compression index of 10% without any clinical problem. To the best of the authors' knowledge, the patient sample of this case report is the first and the youngest patient who was treated with kyphoplasty for vertebral compression fracture intractable pain due to glucocorticoid-induced osteoporosis, mentioned in literature. During the 8-year follow-up, no adverse effect was reported that was related to kyphoplasty procedure. This case report indicates that kyphoplasty can be an alternative method for selective pediatric intractable painful vertebral glucocorticoid-induced osteoporotic fractures, but it should be performed after careful consideration in pediatric group. We do not advise routine usage of kyphoplasty for pediatric vertebral fractures.

  1. Pavement deterioration due to horizontal hydraulic fracturing and wind farm development in Kansas : final report.

    Science.gov (United States)

    2017-03-01

    The purpose of this research was to determine the impact on pavements and roadbeds due to the : increase in truck traffic from oil and gas fracking activities, as well as from expansion of the wind energy : industry, and estimate the resulting reduct...

  2. Pavement deterioration due to horizontal hydraulic fracturing and wind farm development in Kansas : technical summary.

    Science.gov (United States)

    2017-03-01

    The purpose of this research was to determine the impact on pavements and : roadbeds due to the increase in truck traffic from oil and gas fracking activities, : as well as from expansion of the wind energy industry, and estimate the resulting : redu...

  3. Canine total knee replacement performed due to osteoarthritis subsequent to distal femur fracture osteosynthesis: two-year objective outcome.

    Science.gov (United States)

    Eskelinen, E V; Liska, W D; Hyytiäinen, H K; Hielm-Björkman, A

    2012-01-01

    A 27-kg German Shorthaired Pointer was referred for evaluation due to the complaint of left pelvic limb lameness and signs of pain in the left stifle joint. Radiographs revealed signs of a healed supracondylar femoral fracture that had been previously repaired at another hospital with an intramedullary pin and two cross pins. In addition, there were signs of severe osteoarthritis (OA). The OA had been managed medically with administration of carprofen and nutraceuticals for nine months without any improvement. Left total knee replacement (TKR) surgery was performed to alleviate signs of pain. The patient was assessed preoperatively and at six months, one year, and two years after surgery using radiology, force platform analysis of gait, thigh circumference measures, goniometry, and lameness evaluation. Following surgery, the dog resumed normal activity without any signs of pain and a good quality of life at 3.5 months. Force plate analysis found that peak vertical force on the TKR limb was 85.7% of the normal contralateral limb after two years. Total knee replacement was a successful treatment to manage knee OA associated with a healed distal femoral fracture and internal fixation in this dog.

  4. Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report

    OpenAIRE

    Jung, Min-Ho; Lee, Jung-Kil; Hur, Hyuk; Jang, Jae-Won; Kim, Jae-Hyoo; Kim, Soo-Han

    2014-01-01

    Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skul...

  5. Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report

    Directory of Open Access Journals (Sweden)

    Seyitali Gumustas

    2014-04-01

    Full Text Available Compression of the ulnar nerve in the cubital tunnel is the second most common nerve entrapment syndrome in the upper extremity after carpal tunnel syndrome. Although various etiologies have been described, heterotrophic ossification is rarely seen. Heterotrophic ossification should be kept in mind as a cause of ulnar nerve entrapment after elbow trauma. Early diagnosis and surgical intervention are important in such cases before completion of the maturation phase. We report a case of heterotrophic ossification due to elbow trauma that caused cubital tunnel syndrome. [Hand Microsurg 2014; 3(1.000: 24-28

  6. Geriatric Trauma Patients With Cervical Spine Fractures due to Ground Level Fall: Five Years Experience in a Level One Trauma Center

    Science.gov (United States)

    Wang, Hao; Coppola, Marco; Robinson, Richard D.; Scribner, James T.; Vithalani, Veer; de Moor, Carrie E.; Gandhi, Raj R.; Burton, Mandy; Delaney, Kathleen A.

    2013-01-01

    Background It has been found that significantly different clinical outcomes occur in trauma patients with different mechanisms of injury. Ground level falls (GLF) are usually considered “minor trauma” with less injury occurred in general. However, it is not uncommon that geriatric trauma patients sustain cervical spine (C-spine) fractures with other associated injuries due to GLF or less. The aim of this study is to determine the injury patterns and the roles of clinical risk factors in these geriatric trauma patients. Methods Data were reviewed from the institutional trauma registry of our local level 1 trauma center. All patients had sustained C-spine fracture(s). Basic clinical characteristics, the distribution of C-spine fracture(s), and mechanism of injury in geriatric patients (65 years or older) were compared with those less than 65 years old. Furthermore, different clinical variables including age, gender, Glasgow coma scale (GCS), blood alcohol level, and co-existing injuries were analyzed by multivariate logistic regression in geriatric trauma patients due to GLF and internally validated by random bootstrapping technique. Results From 2006 - 2010, a total of 12,805 trauma patients were included in trauma registry, of which 726 (5.67%) had sustained C-spine fracture(s). Among all C-spine fracture patients, 19.15% (139/726) were geriatric patients. Of these geriatric patients 27.34% (38/139) and 53.96% (75/139) had C1 and C2 fractures compared with 13.63% (80/587) and 21.98% (129/587) in young trauma patients (P geriatric trauma patients 13.67% (19/139) and 18.71% (26/139) had C6 and C7 fractures compared with 32.03% (188/587) and 41.40% (243/587) in younger ones separately (P geriatric patients had sustained C-spine fractures due to GLF with more upper C-spine fractures (C1 and C2). Only 3.2% of those had positive blood alcohol levels compared with 52.9% of younger patients (P geriatric patients due to GLF had intracranial pathology (ICP) which was one

  7. Fractures in elderly due to falls registered in a traumatology tertiary reference hospital in the year 2004 - doi:10.5020/18061230.2007.p226

    Directory of Open Access Journals (Sweden)

    Marcelo de Carvalho Filgueiras

    2012-01-01

    Full Text Available The falls followed by fractures in elderly patients consist in an important cause of morbidity and mortality, being a public health problem, due to the high incidence of cases, their seriousness and socioeconomic cost. They may range from a small lesion to the loss of mobility and even death. This study aimed at analyzing the topographical distribution, from the anatomical aspect, of post-fall fractures in elders registered at the Dr. José Frota Institute, in Fortaleza – Ceará, relating it to the gender, the age group, internment period and possible complications. This was an epidemiological, descriptive and retrospective study based on data collected from documented evidence. The study population was composed of patients over 60, victims of post-fall fractures, attended at the institution, in the year 2004. As results, it was verified that 50.25% of the fractures occurred in the neck of the femur, followed by femoral shaft fractures (15.57%, cranial fractures (12.57% and radium (9.58%. Approximately 36.5% stayed interned from 1 to 10 days, the majority of the cases being female (55.69%, with predominance of the age group above 81 years old. In males, the most affected age group was that of 76 to 80 years old, comprising 28.38% of the men. From this research, it was possible to delineate a profile of the risk factors of fractures in elderly, allowing studies directed to susceptive groups.

  8. Detection of travel time delay caused by dilation of an artificial fracture due to pressurization; Jinko chika kiretsu kaatsu ni tomonau toka danseiha denpa jikan henka no kenshutsu

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, K.; Moriya, H.; Asanuma, H.; Niitsuma, H. [Tohoku University, Sendai (Japan). Faculty of Engineering

    1996-10-01

    By revealing the relation between dilation of a subsurface fracture due to pressurization and travel time delay, it may be possible to measure the information as to the subsurface fracture system as a geothermal reservoir. In this study, field experiment was conducted to clarify the relation between the travel time delay of elastic waves and the dilation of fracture, pressure, and incident angles. The travel time delay of P-wave and S-wave tended to increase with the pressurization. When incident angle was about 90{degree} against the fracture, the increase was ranging between 0 and 0.2 ms. The magnitude of this delay could not be explained only by the opening of main fracture. It was considered that there were micro-crack zones around the main fracture. The difference of P-S delay depended on the pressurization and change of the pressure. The delay depended on the incident angle against the fracture. The delay of S-wave showed the polarized wave direction dependency. However, the obtained results might greatly depend on the analytical method and parameters. 4 refs., 10 figs.

  9. Rare sleeve fracture of the superior patella pole in an adult due to forceful passive physiotherapy following cast immobilization.

    Science.gov (United States)

    Ro, Kyung-Han; Park, Jong-Hoon; Kim, Myo-Jong; Lee, Dae-Hee

    2014-03-01

    Sleeve fractures are generally restricted to children or adolescents, and usually occur at the lower patella pole. Here we report on a superior pole sleeve fracture in an adult that occurred following forceful passive physiotherapy after cast immobilization. To our knowledge, this is the first report of a superior pole sleeve fracture in an otherwise healthy adult. The case highlighted that a diagnosis of a superior patella pole sleeve fracture in an adult can easily be missed because it is a rare injury, and hence is unlikely to be suspected by physicians. Copyright © 2013 Elsevier B.V. All rights reserved.

  10. Comparative analysis of the development of collateral vessels in macular edema due to branch retinal vein occlusion following grid laser or ranibizumab treatment

    Directory of Open Access Journals (Sweden)

    Kokolaki AE

    2015-09-01

    Full Text Available Afroditi Eleni Kokolaki, Ilias Georgalas, Chryssanthi Koutsandrea, Athanasios Kotsolis, Maria Niskopoulou, Ioannis LadasDepartment of Ophthalmology, University of Athens, Athens, Greece Purpose: To evaluate the differences in the development of collateral vessels in patients with macular edema due to branch retinal vein occlusion (BRVO after treatment with either grid laser or ranibizumab (RNB.Methods: Comparative study including patients with macular edema due to acute BRVO and best-corrected visual acuity (BCVA between 20/40 and 20/200. The sample was divided into two groups according to the treatment applied: laser group, including eyes treated with Argon laser when retinal hemorrhages were sufficiently absorbed to perform the treatment, and RNB group,  including patients treated initially with one monthly intravitreal injection for a period of 3 months of RNB and more injections according to need thereafter.. Before treatment patients in both groups, received a complete ophthalmic examination, including BCVA, fundus examination, optical coherence tomography, fundus color photography, and fundus fluorescein angiography (FA. This same protocol of examination was repeated in every visit after treatment, except FA that was only repeated every 3 months. The detection of the collateral vessels was done by two experienced examiners based on the analysis of the early phase of the FA. If there was a discrepancy in their judgment, the criterion of a third examiner evaluating the FA was considered.Results: Mean baseline BCVA was 0.86±0.26 and 0.82±0.25 (logMAR [logarithm of the minimum angle of resolution] in the RNB and laser groups, respectively (P=0.83. At the end of the follow-up, mean BCVA was 0.38±0.18 and 0.64±0.33 (logMAR in the RNB and laser groups, respectively. The difference in the final BCVA between both groups was statistically significant (P=0.002. Collaterals developed in both groups; 66.67% of patients (14 out of 21

  11. An experimental investigation of the hemodynamic variations due to aplastic vessels within three-dimensional phantom models of the Circle of Willis.

    LENUS (Irish Health Repository)

    Fahy, Paul

    2013-09-10

    A complete circle of Willis (CoW) is found in approximately 30-50% of the population. Anatomical variations, such as absent or surgically clamped vessels, can result in undesirable flow patterns. These can affect the brain\\'s ability to maintain cerebral perfusion and the formation of cerebral aneurysms. An experimental test system was developed to simulate cerebral physiological conditions through three flexible 3D patient-specific models of complete and incomplete CoW geometries. Flow visualizations were performed with isobaric dyes and the mapped dye streamlines were tracked throughout the models. Three to seven flow impact locations were observed for all configurations, corresponding to known sites for aneurysmal formation. Uni and bi-directional cross-flows occurred along the communicating arteries. The greatest shunting of flow occurred for a missing pre-communicating anterior (A1) and posterior (P1) cerebral arteries. The anterior cerebral arteries had the greatest reduction (15-37%) in efferent flow rates for missing either a unilateral A1 or bilateral P1 segments. The bi-directional cross-flows, with multiple afferent flow mixing, observed along the communicating arteries may explain the propensity of aneurysm formation at these sites. Reductions in efferent flow rates due to aplastic vessel configurations may affect normal brain function.

  12. Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report

    Science.gov (United States)

    Jung, Min-Ho; Hur, Hyuk; Jang, Jae-Won; Kim, Jae-Hyoo; Kim, Soo-Han

    2014-01-01

    Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury. PMID:27169054

  13. Pathologic fracture of the thoracic spine in a male master ultra-marathoner due to the combination of a vertebral hemangioma and osteopenia

    Directory of Open Access Journals (Sweden)

    Beat Knechtle

    2017-01-01

    Full Text Available Vertebral hemangiomas are the most common benign vertebral neoplasms and are generally asymptomatic. In the present study, we report the case of a 52-year-old male master ultra-marathoner suffering from a pathologic fracture of the thoracic spine due to a vertebral hemangioma. A further examination in the athlete revealed an accompanying osteopenia, which was most likely due to a deficiency in both vitamin D and testosterone. The treatment of the fracture consisted of percutaneous vertebroplasty. Shortly after the operation the athlete was able to continue running. The most likely reason for the pathologic fracture of the vertebral body was the combination of the vertebral hemangioma and osteopenia. The further treatment consisted of supplementation of both vitamin D and testosterone. Athletes and physicians should be aware that male master ultra-marathoners older than 50 years might suffer from osteopenia, where a deficiency in vitamin D and testosterone could be contributing factors for osteopenia development in general.

  14. The use of intravenous bisphosphonate therapy to treat vertebral fractures due to osteoporosis among boys with Duchenne muscular dystrophy.

    Science.gov (United States)

    Sbrocchi, A M; Rauch, F; Jacob, P; McCormick, A; McMillan, H J; Matzinger, M A; Ward, L M

    2012-11-01

    The impact of intravenous bisphosphonate treatment to treat painful vertebral fractures in boys with DMD has not been documented. In this retrospective observational study of seven boys, 2 years of intravenous bisphosphonate therapy was associated with back pain improvement and stabilization or increases in the height ratios of fractured vertebrae. Boys with Duchenne muscular dystrophy (DMD) are at risk for vertebral fractures. We studied the impact of intravenous bisphosphonate therapy for the treatment of painful vertebral fractures in DMD. This was a retrospective observational study in seven boys with DMD (median 11.6 years, range 8.5 to 14.3) treated with intravenous pamidronate (9 mg/kg/year) or zoledronic acid (0.1 mg/kg/year) for painful vertebral fractures. At baseline, 27 vertebral fractures were evident in the seven boys. After 2 years of bisphosphonate therapy, 17 of the fractures had an increase in the most severely affected vertebral height ratio, 10 vertebrae stabilized, and none showed a decrease in height ratio. Back pain resolved completely (N = 3) or improved (N = 4). The median change in lumbar spine volumetric bone mineral density Z-score was 0.5 standard deviations (interquartile range, -0.3 to 1.7). Two boys had three incident vertebral fractures in previously normal vertebral bodies that developed over the observation period. There was a decline in the trabecular bone formation rate on trans-iliac bone biopsy but no evidence of osteomalacia. First-dose side effects included fever and malaise (N = 4), hypocalcemia (N = 2), and vomiting (N = 1); there were no side effects with subsequent infusions. Intravenous bisphosphonate therapy was associated with improvements in back pain and stabilization to improvement in vertebral height ratios of previously fractured vertebral bodies. At the same time, such therapy does not appear to completely prevent the development of new vertebral fractures in this context.

  15. Low cost continuous femoral nerve block for relief of acute severe cancer related pain due to pathological fracture femur

    Directory of Open Access Journals (Sweden)

    Rachel Cherian Koshy

    2010-01-01

    Full Text Available Pathological fractures in cancer patient cause severe pain that is difficult to control pharmacologically. Even with good pain relief at rest, breakthrough and incident pain can be unmanageable. Continuous regional nerve blocks have a definite role in controlling such intractable pain. We describe two such cases where severe pain was adequately relieved in the acute phase. Continuous femoral nerve block was used as an efficient, cheap and safe method of pain relief for two of our patients with pathological fracture femur. This method was proved to be quite efficient in decreasing the fracture-related pain and improving the level of well being.

  16. Pore pressure migration during hydraulic stimulation due to permeability enhancement by low-pressure subcritical fracture slip

    Science.gov (United States)

    Mukuhira, Yusuke; Moriya, Hirokazu; Ito, Takatoshi; Asanuma, Hiroshi; Häring, Markus

    2017-04-01

    Understanding the details of pressure migration during hydraulic stimulation is important for the design of an energy extraction system and reservoir management, as well as for the mitigation of hazardous-induced seismicity. Based on microseismic and regional stress information, we estimated the pore pressure increase required to generate shear slip on an existing fracture during stimulation. Spatiotemporal analysis of pore pressure migration revealed that lower pore pressure migrates farther and faster and that higher pore pressure migrates more slowly. These phenomena can be explained by the relationship between fracture permeability and stress state criticality. Subcritical fractures experience shear slip following smaller increases of pore pressure and promote migration of pore pressure because of their enhanced permeability. The difference in migration rates between lower and higher pore pressures suggests that the optimum wellhead pressure is the one that can stimulate relatively permeable fractures, selectively. Its selection optimizes economic benefits and minimizes seismic risk.

  17. Vessel Operating Units (Vessels)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains data for vessels that are greater than five net tons and have a current US Coast Guard documentation number. Beginning in1979, the NMFS...

  18. Pathological fracture of the patella due to an atypical located aneurysmal bone cyst: verification by means of ultrasound-guided biopsy.

    Science.gov (United States)

    Plaikner, Michaela; Gruber, Hannes; Henninger, Benjamin; Gruber, Leonhard; Kosiol, Juana; Loizides, Alexander

    2016-03-01

    We report on a rare case of an atypical located aneurysmal bone cyst (ABC) in the patella presenting with pathological fracture after trauma. Using all available diagnostic modalities and by means of ultrasound-guided core-needle biopsy an unclear and suspected pathological fractured cystic bone lesion in the patella of a young man could be further clarified. The acquired images suggested the diagnosis of a pathological fractured aneurysmal bone cyst after mild trauma. However, due to the extraordinary location and clinical presentation the diagnosis was secured by means of ultrasound-guided biopsy through a small cortical gap. As shown in this rare case of an atypical aneurysmal bone cyst of the patella, the quite seldom but sometimes possible ultrasound-guided biopsy of intraosseous lesions can help to achieve the diagnostic clarification and should also be taken into account as a non-standard procedure.

  19. Compartment syndrome like picture in metaphyseal comminuted fracture of tibia treated by locking plate due to tight closure

    OpenAIRE

    Prafulla Herode; Dhammapal S Bhamare; Bhamare K Biswas; Bharati Deokar

    2013-01-01

    A 22-year-old male came to casualty on 5 th May 2012 after a fall from motorcycle. He complained of excruciating pain and swelling over right knee. There was an open wound of 7 × 2 cm over supra-patellar region and diffuse swelling over knee joint with severe tenderness over proximal aspect of right tibia. X-ray showed intra-articular fracture of proximal tibia extending to diaphysis classified as type 6 by Schatzker classification for proximal tibia, with fibula shaft transverse fracture. Th...

  20. Preliminary Assessment of the Impact on Reactor Vessel dpa Rates Due to Installation of a Proposed Low Enriched Uranium (LEU) Core in the High Flux Isotope Reactor (HFIR)

    Energy Technology Data Exchange (ETDEWEB)

    Daily, Charles R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-10-01

    An assessment of the impact on the High Flux Isotope Reactor (HFIR) reactor vessel (RV) displacements-per-atom (dpa) rates due to operations with the proposed low enriched uranium (LEU) core described by Ilas and Primm has been performed and is presented herein. The analyses documented herein support the conclusion that conversion of HFIR to low-enriched uranium (LEU) core operations using the LEU core design of Ilas and Primm will have no negative impact on HFIR RV dpa rates. Since its inception, HFIR has been operated with highly enriched uranium (HEU) cores. As part of an effort sponsored by the National Nuclear Security Administration (NNSA), conversion to LEU cores is being considered for future HFIR operations. The HFIR LEU configurations analyzed are consistent with the LEU core models used by Ilas and Primm and the HEU balance-of-plant models used by Risner and Blakeman in the latest analyses performed to support the HFIR materials surveillance program. The Risner and Blakeman analyses, as well as the studies documented herein, are the first to apply the hybrid transport methods available in the Automated Variance reduction Generator (ADVANTG) code to HFIR RV dpa rate calculations. These calculations have been performed on the Oak Ridge National Laboratory (ORNL) Institutional Cluster (OIC) with version 1.60 of the Monte Carlo N-Particle 5 (MCNP5) computer code.

  1. Hypercalcemia due to Milk-Alkali Syndrome and Fracture-Induced Immobilization in an Adolescent Boy with Hypoparathyroidism.

    Science.gov (United States)

    Henry, Rohan K; Gafni, Rachel I

    2016-01-01

    Hypercalcemia of immobilization, while rare, may occur in adolescent boys after fracture. Although not fully understood, the mechanism appears to be related to bone turnover uncoupling, in part mediated by upregulation of RANKL. Animal studies suggest that parathyroidectomy suppresses RANKL-stimulated osteoclastogenesis in immobilized bone. Thus, immobilization-induced hypercalcemia should be uncommon in patients with hypoparathyroidism. We present a 15-year-old boy with well-controlled hypoparathyroidism who developed hypercalcemia and milk-alkali syndrome 5 weeks after sustaining a severe tibia/fibula fracture requiring bedrest. Milk-alkali syndrome (hypercalcemia, alkalosis, and renal insufficiency) results from chronic excessive ingestion of calcium and absorbable alkali. Prior to fracture, our patient had not experienced hypercalcemia despite high doses of supplements, necessary during puberty. Supplements were discontinued and his biochemistries normalized with saline diuresis and a dose of pamidronate. Alkaline phosphatase, which was low at presentation, returned to normal 5 weeks later with remobilization. Fracture and immobilization caused acute suppression of bone formation with persistent bone resorption in this rapidly growing adolescent; continuation of carbonate-containing calcium supplements resulted in the milk-alkali syndrome. Therefore, close monitoring of serum calcium with adjustments in supplementation are indicated in immobilized patients with hypoparathyroidism. © 2016 S. Karger AG, Basel.

  2. Hypercalcemia due to Milk –Alkali Syndrome and Fracture-induced Immobilization in an Adolescent Boy with Hypoparathyroidism

    Science.gov (United States)

    Henry, Rohan K.; Gafni, Rachel I.

    2016-01-01

    Background Hypercalcemia of immobilization, while rare, may occur in adolescent boys after fracture. Although not fully understood, the mechanism appears to be related to bone turnover uncoupling, in part mediated by upregulation of RANKL. Animal studies suggest that parathyroidectomy suppresses RANKL-stimulated osteoclastogenesis in immobilized bone. Thus, immobilization-induced hypercalcemia should be uncommon in patients with hypoparathyroidism. Methods/Results We present a 15-year-old boy with well-controlled hypoparathyroidism who developed hypercalcemia and milk-alkali syndrome 5 weeks after sustaining a severe tibia/fibula fracture requiring bedrest. Milk-alkali syndrome (hypercalcemia, alkalosis, and renal insufficiency) results from chronic excessive ingestion of calcium and absorbable alkali. Prior to fracture, our patient had not experienced hypercalcemia despite high doses of supplements, necessary during puberty. Supplements were discontinued and his biochemistries normalized with saline diuresis and a dose of pamidronate. Alkaline phosphatase, which was low at presentation, returned to normal 5 weeks later with remobilization. Conclusions Fracture and immobilization caused acute suppression of bone formation with persistent bone resorption in this rapidly growing adolescent; continuation of carbonate-containing calcium supplements resulted in the milk-alkali syndrome. Therefore, close monitoring of serum calcium with adjustments in supplementation are indicated in immobilized patients with hypoparathyroidism. PMID:27184240

  3. Fracture Mechanics Models for Brittle Failure of Bottom Rails due to Uplift in Timber Frame Shear Walls

    Directory of Open Access Journals (Sweden)

    Joergen L. Jensen

    2016-01-01

    Full Text Available In partially anchored timber frame shear walls, hold-down devices are not provided; hence the uplift forces are transferred by the fasteners of the sheathing-to-framing joints into the bottom rail and via anchor bolts from the bottom rail into the foundation. Since the force in the anchor bolts and the sheathing-to-framing joints do not act in the same vertical plane, the bottom rail is subjected to tensile stresses perpendicular to the grain and splitting of the bottom rail may occur. This paper presents simple analytical models based on fracture mechanics for the analysis of such bottom rails. An existing model is reviewed and several alternative models are derived and compared qualitatively and with experimental data. It is concluded that several of the fracture mechanics models lead to failure load predictions which seem in sufficiently good agreement with the experimental results to justify their application in practical design.

  4. [Removal due to cut-out effect in pertrochanteric femoral fractures: what is the rescue treatment of choice?].

    Science.gov (United States)

    Cuervas-Mons, M; Mora, F; López Fernández, J; Chana, F; Vaquero, J

    2014-01-01

    The goal of the study was to compare functional results in different treament options in cutting-out, and analize factors associated to failure. Retrospective cohort study in 56 patients diagnosed with cutting-out between 2000-2010. Groups were based on rescue treatment: arthroplasty versus alternative treatment. Demographics, fracture characteristics, osteosynthesis, tip to apex distance (TAD), follow-up, complications, and final functional capacity were analyzed. Rescue treatment: 36 (64.28%) hip replacement (arthroplasty group), and 20 (35.72%) alternative treatment preserving femoral head (alternative group). Groups comparable on demographic parameters, fracture pattern and osteosynthesis characteristics. Radiography analysis: low inter-observer variability (k=0.83, 95% CI 0.78-0.88), mean TAD 28.66mm (arthroplasty group 32.9mm, 21.5mm control group; p=0.01), insufficient fracture reduction 39.3% (p=0.001). Cutting-out diagnosis median 60 days (arthroplasty group 90 days, 18 days alternative group; p=0.001). Follow up at least 12 months from rescue treatment. Similar complications rate in both groups (p=0.16). Re-operation rate 3.57% (11.7% arthroplasty group, alternative group 0%; p=0.01). Better final functional capacity in arthroplasty group (p=0.004). Hip arthroplasty offers better results, being considered the gold standard in geriatric patients, although re-operation rate is higher. We recommend new nailing before arthroplasty in early failure (4 weeks) in patients with femoral head integrity. An insufficient fracture reduction is the main short term factor predicting failure; and TAD higher than 20mm is a middle-long term one. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  5. Deterioration of surface roughness and hydraulic transmissivity of a rock fracture due to pressure-solution compaction

    Science.gov (United States)

    Paluszny, A.; Lang, P. S.; Zimmerman, R. W.

    2014-12-01

    Results of three-dimensional hydro-mechanical-chemical (HMC) pore-scale simulations of fractures in siliciclastic rocks are presented. The coupled processes of pressure-solution at contacting asperities, diffusion of dissolved mass in the pore-fluid, and precipitation-dissolution at the free pore space, are modelled in pore and contact regions defined by self-affine fracture surfaces under confining pressure. The governing equations derive from the Boussinesq solution for elastic contact between rough surfaces and diffusion-reaction equations. No constitutive relationships are assumed relating dissolution/precipitation to changes in surface geometry and contact area; these changes arise as a direct result of the simulation. Results are compared against existing conceptual models derived from pressure solution experiments to assess the effect of scale dependency, and against theoretical models to assess the effect of assuming an idealized surface geometry. Results suggest that when using realistic stress distributions, local concentration of contact pressure leads to rapid compaction at early times, compared to the lower dissolution rates obtained by applying averaged pressures. The geomechanical model confirms that the increase in contact area reduces the energy available to deform the free fracture surface, thereby reducing elastic compaction, and leading to a non-linear relationship between dissolved asperity height, pore-volume, and transmissivity. The complex effect on static friction is discussed by quantifying two contrasting phenomena: the increase in contact area over which adhesive forces act, and the concurrent reduction in surface roughness that is responsible for interlocking between the surfaces.

  6. Compartment syndrome like picture in metaphyseal comminuted fracture of tibia treated by locking plate due to tight closure

    Directory of Open Access Journals (Sweden)

    Prafulla Herode

    2013-01-01

    Full Text Available A 22-year-old male came to casualty on 5 th May 2012 after a fall from motorcycle. He complained of excruciating pain and swelling over right knee. There was an open wound of 7 × 2 cm over supra-patellar region and diffuse swelling over knee joint with severe tenderness over proximal aspect of right tibia. X-ray showed intra-articular fracture of proximal tibia extending to diaphysis classified as type 6 by Schatzker classification for proximal tibia, with fibula shaft transverse fracture. The skin over the fracture was contused. Debridement with primary wound closure was done in emergency. Skeletal traction was applied through a lower tibial Steinman pin. Patient was operated after 15 days when wound healed and swelling subsided. Locking plate was applied on medial aspect using Minimally invasive percutaneous plate osteosysthesis (MIPPO technique. Post-operatively over 4 hours patient developed severe pain and swelling in operated leg which mimicked compartment syndrome. Suture removal was done immediately in the ward from the distal aspect, which relieved the symptoms but lead to exposure of the plate. A rotational flap was done to cover the plate in coordination with a plastic surgeon on the next day.

  7. Subtrochanteric femoral fracture in a 26 year old woman affected by beta-thalassemia major due to minor trauma: analysis of bone modification causing the complication.

    Science.gov (United States)

    Di Matteo, R; Liuzza, F; Pezzillo, F; Gerardino, L; Maccauro, G

    2007-01-01

    Beta-Thalassemia Major (TM), firstly described by Cooley, is and inherited blood disorder that leads to anaemia due to an imbalanced globin chain synthesis effecting erythroid maturation and red cells survival and requests regular life-long blood transfusions and iron-chelating therapy. Among all the complications and organ diseases, osteopenia and osteoporosis, as progressive diseases are getting important cause of morbidity in a population whose longevity is increasing. The authors describe a case of a 26-year-old female with Beta-Thalassemia Major affected by a subtrochanteric fracture of the right femur on minor trauma. Cardiovascular, endocrinologic and thrombotic pattern leading to bone modifications are reported and Literature reviewed. Fracture was surgically treated with anterograde reconstructive intramedullary locked nail (AFN, Synthes) with 2 distal screws inserted in a static mode.

  8. A study of the changes in freeboard, stability and motion response of ships and semi-submersible platforms due to vessel icing

    OpenAIRE

    Wold, Lise Eide

    2014-01-01

    There is an increasing demand for energy in the world, and as the traditional fossil fuel supplies are diminishing, it is pushing the oil and gas industry to seek for natural resources in remote and harsh environments. One of these distant and tough environments is in the Arctic region. Vessel icing from both sea-spray icing and atmospheric icing are common in these waters and can impact the safety of a platform or a ship in different ways. Ice accumulation on vessels contributes to an ext...

  9. Osteoporosis with vertebral fractures in young males, due to bone marrow mastocytosis: a report of two cases.

    Science.gov (United States)

    Manara, M; Varenna, M; Cantoni, S; Parafioriti, A; Gallazzi, M B; Sinigaglia, L

    2010-01-01

    Male osteoporosis in young patients is an unusual condition, always worth investigating as a possible manifestation of secondary osteoporosis. Mastocytosis is a clonal disorder of mast cells with heterogeneous presentations; when pathologic cells accumulate only in the bone marrow, vertebral fractures and systemic osteoporosis may represent the sole clinical presentation at the onset of the disease. We report on two young male patients who came to our attention because of multiple dorsal and lumbar vertebral fractures, with no other signs of systemic mastocytosis (SM). Lumbar and femoral dual x-ray absorptiometry showed reduced bone mineral density values; biochemical investigations did not report significant anomalies, suggestive of secondary osteoporosis. One of the patients underwent iliac crest bone biopsy, which was not diagnostic. A vertebral intralesional CT-guided bone biopsy was performed in both patients, which allowed the diagnosis of SM. Our experience pointed out that bone biopsy still remains the gold standard for the diagnosis of SM. However, iliac crest biopsy can be not significant because of circumscribed bone marrow involvement: in these cases only intralesional bone biopsy could be diagnostic.

  10. Role of nocturnal penile erection test on response to daily sildenafil in patients with erectile dysfunction due to pelvic fracture urethral disruption: a single-center experience.

    Science.gov (United States)

    Peng, Jing; Zhang, Zhichao; Cui, Wanshou; Yuan, Yiming; Gao, Bing; Song, Weidong; Xin, Zhongcheng

    2014-12-01

    To evaluate the results of nocturnal penile erection test and response to daily sildenafil in patients with erectile dysfunction (ED) due to pelvic fracture urethral disruption. From January 2010 to January 2012, we included 38 patients with ED due to pelvic fracture urethral disruption. The mean age was 33.1 years (range, 22-49 years). All were evaluated subjectively and objectively by the International Index of Erectile Function-5, nocturnal penile tumescence and rigidity (NPTR) test, and penile Doppler ultrasonography. Patients received daily sildenafil 50 mg for 3 months. Thirty-one patients were followed up: 54.8% showed response to sildenafil defined as reporting successful vaginal penetration and intercourse. Patients with neurogenic, arterial, and venous EDs did not differ in efficiency rates (P = .587). However, the penile erectile rigidity recorded by NPTR test affected efficiency significantly (P = .046). Patients with tip rigidity >40% had the highest response rate (76.9%), but the response rate for patients with tip rigidity erectile function in patients with ED due to trauma and is significant for selecting pharmacologic treatment as optimal therapy. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. Fracture and Collapse of Balloon-Expandable Stents in the Bilateral Common Iliac Arteries Due to Shiatsu Massage

    Energy Technology Data Exchange (ETDEWEB)

    Ichihashi, Shigeo, E-mail: shigeoichihashi@yahoo.co.jp; Higashiura, Wataru; Itoh, Hirofumi; Sakaguchi, Shoji; Kichikawa, Kimihiko [Nara Medical University, Department of Radiology (Japan)

    2012-12-15

    We report a case of stent fracture and collapse of balloon-expandable stents caused by shiatsu massage. A 76-year-old man presented with complaints of intermittent claudication of the right lower extremity. Stenoses of the bilateral common iliac arteries (CIAs) were detected. Balloon-expandable stents were deployed in both CIAs, resulting in resolution of symptoms. Five months later, pelvis x-ray showed collapse of both stents. Despite the stent collapse, the patient was asymptomatic, and his ankle brachial index values were within the normal range. Further history showed that the patient underwent daily shiatsu therapy in the umbilical region, which may have triggered collapse of the stent. Physicians should advise patients to avoid compression of the abdominal wall after implantation of a stent in the iliac artery.

  12. Fracture and collapse of balloon-expandable stents in the bilateral common iliac arteries due to shiatsu massage.

    Science.gov (United States)

    Ichihashi, Shigeo; Higashiura, Wataru; Itoh, Hirofumi; Sakaguchi, Shoji; Kichikawa, Kimihiko

    2012-12-01

    We report a case of stent fracture and collapse of balloon-expandable stents caused by shiatsu massage. A 76-year-old man presented with complaints of intermittent claudication of the right lower extremity. Stenoses of the bilateral common iliac arteries (CIAs) were detected. Balloon-expandable stents were deployed in both CIAs, resulting in resolution of symptoms. Five months later, pelvis x-ray showed collapse of both stents. Despite the stent collapse, the patient was asymptomatic, and his ankle brachial index values were within the normal range. Further history showed that the patient underwent daily shiatsu therapy in the umbilical region, which may have triggered collapse of the stent. Physicians should advise patients to avoid compression of the abdominal wall after implantation of a stent in the iliac artery.

  13. Pressure vessel design manual

    CERN Document Server

    Moss, Dennis R

    2013-01-01

    Pressure vessels are closed containers designed to hold gases or liquids at a pressure substantially different from the ambient pressure. They have a variety of applications in industry, including in oil refineries, nuclear reactors, vehicle airbrake reservoirs, and more. The pressure differential with such vessels is dangerous, and due to the risk of accident and fatality around their use, the design, manufacture, operation and inspection of pressure vessels is regulated by engineering authorities and guided by legal codes and standards. Pressure Vessel Design Manual is a solutions-focused guide to the many problems and technical challenges involved in the design of pressure vessels to match stringent standards and codes. It brings together otherwise scattered information and explanations into one easy-to-use resource to minimize research and take readers from problem to solution in the most direct manner possible. * Covers almost all problems that a working pressure vessel designer can expect to face, with ...

  14. Acetabular Fracture

    Directory of Open Access Journals (Sweden)

    Chad Correa

    2017-09-01

    ; they will show a sagittally oriented fracture line at the roof of the acetabulum on axial CT. Lastly, wall fractures should be evaluated with axial CT images. This is because wall fractures have an obliquely oriented fracture line on axial CT images at the roof of the acetabulum, as opposed to the coronal and sagittal fracture lines described with column and transverse fractures, respectively.2 Fractures are organized using the Letournel Classification based on whether the fracture site lies in the anterior or posterior walls and columns of bone. After diagnosis, early surgical intervention is critical in achieving good results.3 The majority of acetabular fractures are repaired by open reduction and internal fixation. Patients with significant osteopenia or communition benefit most from total hip arthroplasty. However, due to the complex nature of these fractures, there is potential for poor outcome regardless of the injury pattern due to contributing factors such as imperfect reduction, osteochondral defects in the acetabulum or femoral head, osteoarthritis, avascular necrosis of the femoral head, sciatic nerve injury and infection.4

  15. Nanograin formation and reaction-induced fracturing due to decarbonation: Implications for the microstructures of fault mirrors

    Science.gov (United States)

    Pluymakers, A.; Røyne, A.

    2017-10-01

    Principal slip zones often contain highly reflective surfaces referred to as fault mirrors, shown to consist of a nanogranular coating. There is currently no consensus on how the nanograins form, or why they survive weathering on a geological time-scale. To simplify the complex system of a natural fault zone, where slip and heat generation are inherently coupled, we investigated the effect of elevated temperatures on carbonate rock surfaces, as well as their resistance to water exposure. This allows us to isolate the role of the decarbonation process in the formation of nanograins. We used cleaved crystals of Iceland spar calcite, manually polished dolomite protolith, as well as natural dolomite fault mirror surfaces. The samples were heated to 200-800 °C in a ∼5 h heating cycle, followed by slow cooling (∼12 h) to room temperature. Subsequently, we imaged the samples using scanning electron microscopy and atomic force microscopy. Nanograin formation on all sample surfaces was pervasive at and above 600 °C. The Foiana fault mirror samples were initially coated with aligned naturally-formed nanograins, but display a non-directional nanogranular coating after heating. The nanograins that were formed by heating rapidly recrystallized to bladed hydroxides upon exposure to deionized water, whereas the nanograins on unheated fault mirror samples remained unchanged in water. This shows that the nanograins formed by heating alone are different from those formed in fault zones, and calls for a better characterization of nanograins and their formation mechanisms. Furthermore, we find a characteristic star-shaped crack pattern associated with reacted regions of the carbonate surfaces. The existence of this pattern implies that the mechanical stresses set up by the decarbonation reaction can be sufficiently large to drive fracturing in these systems. We propose that this mechanism may contribute to grain size reduction in fault zones.

  16. A study of the changes in freeboard, stability and motion response of ships and semi-submersible platforms due to vessel icing

    OpenAIRE

    Wold, Lise Eide

    2014-01-01

    Master's thesis in Offshore technology There is an increasing demand for energy in the world, and as the traditional fossil fuel supplies are diminishing, it is pushing the oil and gas industry to seek for natural resources in remote and harsh environments. One of these distant and tough environments is in the Arctic region. Vessel icing from both sea-spray icing and atmospheric icing are common in these waters and can impact the safety of a platform or a ship in different ways. Ice acc...

  17. Nose fracture

    Science.gov (United States)

    Fracture of the nose; Broken nose; Nasal fracture; Nasal bone fracture; Nasal septal fracture ... A fractured nose is the most common fracture of the face. It most ... occurs with other fractures of the face. Nose injuries and neck ...

  18. High Toughness Light Weight Pressure Vessel Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Proposed is a pressure vessel with 25% better Fracture Strength over equal strength designed Fiberglass to help reduce 10 to 25% weight for aerospace use. Phase I is...

  19. Stimulating Fracture Healing in Ischemic Environments: Does Oxygen Direct Stem Cell Fate during Fracture Healing?

    Science.gov (United States)

    Miclau, Katherine R.; Brazina, Sloane A.; Bahney, Chelsea S.; Hankenson, Kurt D.; Hunt, Thomas K.; Marcucio, Ralph S.; Miclau, Theodore

    2017-01-01

    Bone fractures represent an enormous societal and economic burden as one of the most prevalent causes of disability worldwide. Each year, nearly 15 million people are affected by fractures in the United States alone. Data indicate that the blood supply is critical for fracture healing; as data indicate that concomitant bone and vascular injury are major risk factors for non-union. However, the various role(s) that the vasculature plays remains speculative. Fracture stabilization dictates stem cell fate choices during repair. In stabilized fractures stem cells differentiate directly into osteoblasts and heal the injury by intramembranous ossification. In contrast, in non-stable fractures stem cells differentiate into chondrocytes and the bone heals through endochondral ossification, where a cartilage template transforms into bone as the chondrocytes transform into osteoblasts. One suggested role of the vasculature has been to participate in the stem cell fate decisions due to delivery of oxygen. In stable fractures, the blood vessels are thought to remain intact and promote osteogenesis, while in non-stable fractures, continual disruption of the vasculature creates hypoxia that favors formation of cartilage, which is avascular. However, recent data suggests that non-stable fractures are more vascularized than stable fractures, that oxygen does not appear associated with differentiation of stem cells into chondrocytes and osteoblasts, that cartilage is not hypoxic, and that oxygen, not sustained hypoxia, is required for angiogenesis. These unexpected results, which contrast other published studies, are indicative of the need to better understand the complex, spatio-temporal regulation of vascularization and oxygenation in fracture healing. This work has also revealed that oxygen, along with the promotion of angiogenesis, may be novel adjuvants that can stimulate healing in select patient populations. PMID:28523266

  20. Research vessels

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, P.S.

    by the research vessels RV Gaveshani and ORV Sagar Kanya are reported. The work carried out by the three charted ships is also recorded. A short note on cruise plans for the study of ferromanganese nodules is added...

  1. Skull fracture

    Science.gov (United States)

    Basilar skull fracture; Depressed skull fracture; Linear skull fracture ... Skull fractures may occur with head injuries . The skull provides good protection for the brain. However, a severe impact ...

  2. Skeletal traction and delayed percutaneous fixation of complicated supracondylar humerus fractures due to delayed or unsuccessful reductions and extensive swelling in children.

    Science.gov (United States)

    Ağuş, Haluk; Kalenderer, Onder; Kayali, Cemil; Eryanilmaz, Gürkan

    2002-04-01

    The functional and radiological results of 13 supracondylar humerus fractures of 13 children were evaluated to determine the efficiency of delayed percutaneous fixation of the fractures after a period of skeletal overhead traction. All the fractures were complicated by delayed reduction, extensive swelling or unsuccessful reduction manipulations. As the unfavourable preexisting factors subsided under skeletal traction, anatomical reduction and fixation of fractures by percutaneous pinning were performed under general anesthesia. The average follow-up period was 21 months. Bauman and lateral capitellohumeral angles were measured and statistically analyzed. Functional and cosmetic results were evaluated by physical examination of the elbows. There were 11 excellent and two fair functional results while all cosmetic results were excellent or good. As a result, skeletal traction and delayed percutaneous pinning is accepted as an alternative method of treatment for complicated supracondylar humerus fractures in children.

  3. Discontinuous finite element formulation for bodies of revolution with application in the prevention of fragile fracture in pressure vessel of PWR reactors; Formulacao de elementos finitos descontinuos para corpos de revolucao com aplicacao na prevencao de fratura fragil em vaso de pressao de reatores PWR

    Energy Technology Data Exchange (ETDEWEB)

    Benitez Alvarez, Gustavo

    1999-08-15

    In this work, a hybrid formulation is established for bodies of revolution, based on the equation of Fourier series for the discontinuous finite element method, analogous to the one that exists in the classical finite element method. Furthermore, a methodology to analyse the prevention of fragile fracture in pressure vessel of pressurized water reactors is presented. The results obtained suggest that careful analysis must be made for non symmetric refrigeration. (author)

  4. Intra-arterial thrombolysis using rt-PA in patients with acute stroke due to vessel occlusion of anterior and/or posterior cerebral circulation

    Energy Technology Data Exchange (ETDEWEB)

    Tountopoulou, Argyro; Ahl, Bjoern; Weissenborn, Karin [Hannover Medical School, Department of Neurology and Clinical Neurophysiology, Hannover (Germany); Becker, Hartmut; Goetz, Friedrich [Hannover Medical School, Department of Neuroradiology, Hannover (Germany)

    2008-01-15

    The aim of our study was to evaluate the safety and efficacy of intra-arterial (IA) thrombolysis using recombinant tissue plasminogen activator (rt-PA) in patients with acute stroke due to occlusion in the anterior or posterior circulation. We retrospectively analyzed the clinical and radiological data of 88 consecutive patients with acute ischemic stroke who underwent emergency cerebral angiography for the purpose of subsequent IA thrombolysis. The neurological deficit on admission and discharge was graded using the National Institutes of Health Stroke Scale (NIHSS) score. Baseline computer tomography (CT) scans were examined for any signs indicative of cerebral ischemia. The angiographic findings were classified according to the Thrombolysis in Myocardial Infarction (TIMI) score for myocardial infarction. Follow-up CT scans were examined for hemorrhagic complication. Of the 88 patients who underwent IA thrombolysis, 63 presented with complete or partial arterial occlusion in the suspected perfusion area. In these 63 patients, the median NIHSS score dropped from 15 points on admission to 10 points at discharge. The recanalization rate was 52.6% for partial and complete reperfusion. In-hospital mortality was 20.6% (9.1% for carotid, 44.4% for basilar territory occlusion). Intracerebral bleeding (ICB) occurred in 38.6% of the patients with occlusion in the anterior circulation, resulting in these patients presenting a worse clinical outcome than those without ICB. Only minor extracranial bleedings occurred in 20.6% of patients. Patients with ICB had a significantly higher frequency of ischemic signs on the baseline CT scan. Occlusion of a cerebral artery is present in about 75% of the patients eligible for thrombolytic therapy. Intra-arterial thrombolysis using rt-PA in patients with acute ischemic stroke can achieve re-vascularization, although ICB remains the major risk factor affecting its efficacy. (orig.)

  5. ANALYSIS OF RESULTS ON CROP LOSS CLOVES WOODEN VESSELS DUE TO ATTACK BACTERIA CLOVES (BPKC CASE STUDY IN SUB-DISTRICT WONOSALAM DISTRICT JOMBANG

    Directory of Open Access Journals (Sweden)

    Bambang Wicaksono Hariyadi

    2017-07-01

    Full Text Available The purpose of this study is to a determine and tabulate the ownership of land area and the number of plants (trees planted clove farmers or planters; b to analyze how much the intensity of disease BPKC to damage plants (trees clove owned by farmers or planters; c to analyze how much yield loss and loss of production (in rupiah cloves BPKC due to disease; d describing the public perception of farmers or planters to disease (BPKC and the efforts to prevent and mitigate them. This research is a descriptive case study. The population in this study is the clove farmers in the District Wonosalam Jombang. The sample of the study population is determined by purposive side of a group of cloves farmers. Respondents consisted of eight (8 farmer groups and eight (8 members of farmer groups, so that a total of 16 people. Data collection, both primary data and secondary data by interview, observation and documentation. The results of this study indicate that the total tenure of 16 respondents covering 33.3 hectares with a total population of clove plant 4435 trees, which consists of 2,704 trees and 1,663 healthy trees attacked BPKC conditions. So the affected plants BPKC as much as 37.49% or intensity values Attacks (ISR amounted to 37.49%. Average land ownership per farmer area of 2.1 hectares with a population of 277.1 clove plant a tree, where the number of trees attacked by 108.1 healthy trees and 169 trees, then the value of Intensity Attack (ISR amounted to 39.01%. Losing Results Cloves of 22.5 quintal per year, or approximately 39.01% per year, thus reducing the income or the income of farmers or planters clovesRp. 276 750 000, - per year, if the average price of cloves now Rp. 123,000, - per kg of dry harvest. Perception clove farmers against attacks BPKC is very detrimental to farmers, especially those that attacked the plants productive. Besides, they need their superior seeds that are resistant to BPKC and farmers are desperate because they failed

  6. Assessment of pain-related fear in patients with the thrust plate prosthesis (TPP): due to hip fracture and hip osteoarthritis.

    Science.gov (United States)

    Sengul, Yesim Salik; Unver, Bayram; Karatosun, Vasfi; Gunal, Izge

    2011-01-01

    The aim of this study is to determine the differences between hip fracture and hip arthrosis groups and to assess pain related fear of injury in patients who were operated using the TPP following hip fracture or hip arthrosis. Fifty-eight patients (mean age = 63.9 ± 10.3 years) who were operated using the TPP, following hip fracture (hip fracture group; n = 25) or coxarthrosis (coxarthrosis group; n = 33) were recruited. All of the measurements were performed after a follow-up time of at least 2 years. Functional level by Harris Hip Scoring System (HHS), pain related fear by Tampa Scale for Kinesiophobia (TSK) and pain intensity by numerical rating scale (NRS) was evaluated. There were no significant differences between demographic and clinical characteristics of two groups. However, pain intensity was higher in coxarthrosis group than hip fracture group. There was no correlation between the TSK scores and either Harris scores or NRS scores (p > 0.05) in the hip fracture group. No correlation between NRS and TSK was found in coxarthrosis group but there was a significant correlation between TSK and HHS. TSK scores were high in both groups. High TSK scores proved us that the patients with TPP had fear of movement even they had enough physical performance. The coxarthrosis group had higher pain intensity. Rehabilitation clinicians should consider pain-related belief which is more important than pain intensity and functional level in coxarthrosis patients. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  7. Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jessica Andrusaitis

    2017-07-01

    posterior cortex and can be treated either surgically or with immobilization, and type III is completely displaced and requires orthopedic intervention and surgery.1,4 Due to the unstable nature of these type III fractures, rapid anatomic reduction is recommended followed by further orthopedic surgical stabilization.2 Orthopedic consultation should be obtained in the following scenarios: open fracture, neurovascular compromise, compartment syndrome, and a type II or III fracture.5

  8. Vessel Patency at 24 Hours and Its Relationship With Clinical Outcomes and Infarct Volume in REVASCAT Trial (Randomized Trial of Revascularization With Solitaire FR Device Versus Best Medical Therapy in the Treatment of Acute Stroke Due to Anterior Circulation Large Vessel Occlusion Presenting Within Eight Hours of Symptom Onset).

    Science.gov (United States)

    Millán, Mònica; Remollo, Sebastià; Quesada, Helena; Renú, Arturo; Tomasello, Alejandro; Minhas, Priyanka; Pérez de la Ossa, Natalia; Rubiera, Marta; Llull, Laura; Cardona, Pedro; Al-Ajlan, Fahad; Hernández, María; Assis, Zarina; Demchuk, Andrew M; Jovin, Tudor; Dávalos, Antoni

    2017-04-01

    Higher rates of target vessel patency at 24 hours were noted in the thrombectomy group compared with control group in recent randomized trials. As a prespecified secondary end point, we aimed to assess 24-hour revascularization rates by treatment groups and occlusion site as they related to clinical outcome and 24-hour infarct volume in REVASCAT (Randomized Trial of Revascularization With Solitaire FR Device Versus Best Medical Therapy in the Treatment of Acute Stroke Due to Anterior Circulation Large Vessel Occlusion Presenting Within Eight Hours of Symptom Onset). Independent core laboratory adjudicated vessel status according to modified arterial occlusive lesion classification at 24 hours on computed tomographic/magnetic resonance (94.2%/5.8%) angiography and 24-hour infarct volume on computed tomography were studied (95/103 patients in the thrombectomy group versus 94/103 in the control group, respectively). Complete revascularization was defined as modified arterial occlusive lesion grade 3. Its effect on clinical outcome was analyzed by ordinal logistic regression. Complete revascularization was achieved in 70.5% of the solitaire group and in 22.3% of the control group (Prevascularization rates were found for terminus internal carotid artery, M1, and tandem occlusions (all Prevascularization was associated with improved outcome in both thrombectomy (adjusted odds ratio, 4.5; 95% confidence interval, 1.9-10.9) and control groups (adjusted odds ratio, 2.7; 95% confidence interval, 1.0-6.7). Revascularization (modified arterial occlusive lesion grade 2/3) was associated with smaller infarct volumes in either treatment arm. Complete revascularization at 24 hours is a powerful predictor of favorable clinical outcome, whereas revascularization of any type results in reduced infarct volume in both thrombectomy and control groups. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01692379. © 2017 American Heart Association, Inc.

  9. Management of common fractures.

    Science.gov (United States)

    Walker, Jennie

    2013-02-01

    The incidence of fractures increases with advancing age partly due to the presence of multiple comorbidities and increased risk of falls. Common fracture sites in older people include femoral neck, distal radius and vertebral bodies. Nurses have an important role in caring for older patients who have sustained fractures, not only to maximise function and recovery, but as part of a team to minimise the morbidity and mortality associated with fractures in this group.

  10. Discrete Fracture Network Characterization of Fractured Shale Reservoirs with Implications to Hydraulic Fracturing Optimization

    Science.gov (United States)

    Jin, G.

    2016-12-01

    Shales are important petroleum source rocks and reservoir seals. Recent developments in hydraulic fracturing technology have facilitated high gas production rates from shale and have had a strong impact on the U.S. gas supply and markets. Modeling of effective permeability for fractured shale reservoirs has been challenging because the presence of a fracture network significantly alters the reservoir hydrologic properties. Due to the frequent occurrence of fracture networks, it is of vital importance to characterize fracture networks and to investigate how these networks can be used to optimize the hydraulic fracturing. We have conducted basic research on 3-D fracture permeability characterization and compartmentization analyses for fractured shale formations, which takes the advantages of the discrete fracture networks (DFN). The DFN modeling is a stochastic modeling approach using the probabilistic density functions of fractures. Three common scenarios of DFN models have been studied for fracture permeability mapping using our previously proposed techniques. In DFN models with moderately to highly concentrated fractures, there exists a representative element volume (REV) for fracture permeability characterization, which indicates that the fractured reservoirs can be treated as anisotropic homogeneous media. Hydraulic fracturing will be most effective if the orientation of the hydraulic fracture is perpendicular to the mean direction of the fractures. A DFN model with randomized fracture orientations, on the other hand, lacks an REV for fracture characterization. Therefore, a fracture permeability tensor has to be computed from each element. Modeling of fracture interconnectivity indicates that there exists no preferred direction for hydraulic fracturing to be most effective oweing to the interconnected pathways of the fracture network. 3-D fracture permeability mapping has been applied to the Devonian Chattanooga Shale in Alabama and the results suggest that an

  11. Admissions to hospital due to fracture in England in patients with prostate cancer treated with androgen-deprivation therapy - do we have to worry about the hormones?

    Science.gov (United States)

    Jefferies, Edward R; Bahl, Amit; Hounsome, Luke; Eylert, Maike F; Verne, Julia; Persad, Raj A

    2016-09-01

    To investigate the association between androgen-deprivation therapy (ADT) and fracture risk in men with prostate cancer in England. Using the Hospital Episodes Statistics database, which contains all the information about National Health Service (NHS) and NHS-funded hospital admissions in England, for the years 2004-2008, 8 902 patients were found to have had prostate cancer and an admission to hospital with a fracture. Of these patients, 3 372 (37.8%) were identified as being treated with ADT, whilst 5 530 (62.2%) were not. There was a total of 228 852 admissions in the background population. The risk of a fracture requiring hospitalisation increased from 1.12 to 1.41 per 100 person-years in a man with prostate cancer treated with ADT compared with those without ADT, an absolute increase of only 0.29 per 100 person-years. When compared with the background population, there was an increase from 0.58 to 1.41 per 100 person-years, a relative rate ratio increase of 2.4 (P < 0.01) with an absolute increase of 0.83 per 100 person-years. In England there was a small but statistically significant increased risk of fracture in men who had been treated with ADT. Men with prostate cancer, with or without ADT, were at an increased risk of fracture compared with the background population. We therefore suggest that if bone health is to be taken seriously in men with prostate cancer that all these men should be risk assessed (FRAX(®) or Qfracture(®) tools, as National Institute for Health and Care Excellence advised), as all men with prostate cancer have an increased risk of fracture, with those on ADT having slightly higher risk. © 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.

  12. Prediction of risk of fracture in the tibia due to altered bone mineral density distribution resulting from disuse: a finite element study.

    Science.gov (United States)

    Gislason, Magnus K; Coupaud, Sylvie; Sasagawa, Keisuke; Tanabe, Yuji; Purcell, Mariel; Allan, David B; Tanner, K Elizabeth

    2014-02-01

    The disuse-related bone loss that results from immobilisation following injury shares characteristics with osteoporosis in post-menopausal women and the aged, with decreases in bone mineral density leading to weakening of the bone and increased risk of fracture. The aim of this study was to use the finite element method to: (i) calculate the mechanical response of the tibia under mechanical load and (ii) estimate of the risk of fracture; comparing between two groups, an able-bodied group and spinal cord injury patients group suffering from varying degrees of bone loss. The tibiae of eight male subjects with chronic spinal cord injury and those of four able-bodied age-matched controls were scanned using multi-slice peripheral quantitative computed tomography. Images were used to develop full three-dimensional models of the tibiae in Mimics (Materialise) and exported into Abaqus (Simulia) for calculation of stress distribution and fracture risk in response to specified loading conditions - compression, bending and torsion. The percentage of elements that exceeded a calculated value of the ultimate stress provided an estimate of the risk of fracture for each subject, which differed between spinal cord injury subjects and their controls. The differences in bone mineral density distribution along the tibia in different subjects resulted in different regions of the bone being at high risk of fracture under set loading conditions, illustrating the benefit of creating individual material distribution models. A predictive tool can be developed based on these models, to enable clinicians to estimate the amount of loading that can be safely allowed onto the skeletal frame of individual patients who suffer from extensive musculoskeletal degeneration (including spinal cord injury, multiple sclerosis and the ageing population). The ultimate aim is to reduce fracture occurrence in these vulnerable groups.

  13. Two-year cyclic infusion of pamidronate improves bone mass density and eliminates risk of fractures in a girl with osteoporosis due to Hajdu-Cheney syndrome.

    Science.gov (United States)

    Galli-Tsinopoulou, A; Kyrgios, I; Giza, S; Giannopoulou, E Z; Maggana, I; Laliotis, N

    2012-09-01

    Hajdu-Cheney syndrome (HCS) is a rare disorder principally characterized by acro-osteolysis, distinctive craniofacial and skull changes, dental anomalies and short stature. A common finding in HCS patients is secondary osteoporosis that progresses over time and contributes to various skeletal problems, especially fractures. Although autosomal dominant inheritance has been documented in several families, sporadic (non-familial) cases have also been reported. Here, a case of a 9-year-old girl with familial HCS and multiple spinal fractures, who has been effectively treated with pamidronate, is presented. This is the first report of a beneficial effect of intravenous bisphosphonate administration on a child with HCS-related osteoporosis.

  14. [Stress fractures].

    Science.gov (United States)

    Uhl, M

    2016-07-01

    Bone stress injuries are due to repetitive mechanical overuse of the skeleton and occur as a result of microscopic lesions sustained when bone is subjected to repeated submaximal stress. Over time accumulation of such injuries can lead to bone failure and fractures. Stress-related bone injuries are relatively common among otherwise healthy persons who have recently started new or intensified forms of physical training activities. Stress injuries lead to typical findings on radiography, bone scintigraphy, computed tomography (CT) and magnetic resonance imaging (MRI) and need to be discriminated from other conditions, in particular infections and neoplasms. Stress fractures must be differentiated from insufficiency fractures that occur in bones with reduced mechanical resistance or disturbed structure.

  15. What is the risk of death or severe harm due to bone cement implantation syndrome among patients undergoing hip hemiarthroplasty for fractured neck of femur? A patient safety surveillance study

    Science.gov (United States)

    Rutter, Paul D; Panesar, Sukhmeet S; Darzi, Ara; Donaldson, Liam J

    2014-01-01

    Objective To estimate the risk of death or severe harm due to bone cement implantation syndrome (BCIS) among patients undergoing hip hemiarthroplasty for fractured neck of femur. Setting Hospitals providing secondary and tertiary care throughout the National Health Service (NHS) in England and Wales. Participants Cases reported to the National Reporting and Learning System (NRLS) in which the reporter clearly describes severe acute patient deterioration associated with cement use in hip hemiarthroplasty for fractured neck of femur (assessed independently by two reviewers). Outcome measures Primary—number of reported deaths, cardiac arrests and periarrests per year. Secondary—timing of deterioration and outcome in relation to cement insertion. Results Between 2005 and 2012, the NRLS received 62 reports that clearly describe death or severe harm associated with the use of cement in hip hemiarthroplasty for fractured neck of femur. There was one such incident for every 2900 hemiarthroplasties for fractured neck of femur during the period. Of the 62 reports, 41 patients died, 14 were resuscitated from cardiac arrest and 7 from periarrest. Most reports (55/62, 89%) describe acute deterioration occurring during or within a few minutes of cement insertion. The vast majority of deaths (33/41, 80%) occurred on the operating table. Conclusions These reports provide narrative evidence from England and Wales that cement use in hip hemiarthroplasty for fractured neck of femur is associated with instances of perioperative death or severe harm consistent with BCIS. In 2009, the National Patient Safety Agency publicised this issue and encouraged the use of mitigation measures. Three-quarters of the deaths in this study have occurred since that alert, suggesting incomplete implementation or effectiveness of those mitigation measures. There is a need for stronger evidence that weighs the risks and benefits of cement in hip hemiarthroplasty for fractured neck of femur. PMID

  16. Mycotic aneurysm of the femoral artery resulting from mismanagement of a pathological femur fracture due to chronic osteomyelitis: a case report

    Directory of Open Access Journals (Sweden)

    Mwaka Erisa Sabakaki

    2013-01-01

    Full Text Available Abstract Introduction Mycotic aneurysms are rarely listed among the possible complications of osteomyelitis of the long bones. To the best of our knowledge this is the first case of chronic osteomyelitis associated with a pathological fracture of the femur and a mycotic aneurysm of the femoral artery. Case presentation We present the case of a 13-year-old Ugandan boy who was referred to our hospital with chronic osteomyelitis associated with a pathological fracture of the right femur and a mycotic aneurysm of the femoral artery. He underwent a successful above-knee amputation and is currently undergoing rehabilitation. Conclusions Aneurysms associated with chronic osteomyelitis of the long bones are very rare. However, in Africa, where people often still believe in crude traditional remedies, they should be considered among the possible diagnoses especially where acute injuries of the limbs are massaged and manipulated.

  17. Is non-union of tibial shaft fractures due to nonculturable bacterial pathogens? A clinical investigation using PCR and culture techniques

    Directory of Open Access Journals (Sweden)

    Gille Justus

    2012-05-01

    Full Text Available Abstract Background Non-union continues to be one of the orthopedist’s greatest challenges. Despite effective culture methods, the detection of low-grade infection in patients with non-union following tibial fracture still presents a challenge. We investigated whether “aseptic” tibial non-union can be the result of an unrecognized infection. Methods A total of 23 patients with non-union following tibial shaft fractures without clinical signs of infection were investigated. Intraoperative biopsy samples obtained from the non-union site were examined by means of routine culture methods and by polymerase chain reaction (PCR for the detection of 16 S ribosomal RNA (rRNA. Control subjects included 12 patients with tibial shaft fractures. Results 23 patients (8 women and 15 men; mean age: 47.4 years were included into this study. Preoperative C-reactive protein levels (mean: 20.8 mg/l and WBC counts (mean: 8,359/μl in the study group were not significantly higher than in the control group. None of the samples of non-union routine cultures yielded microorganism growth. Bacterial isolates were found by conventional culturing methods in only 1 case of an open fracture from the control group. In this case, PCR yielded negative results. 16 S rRNA was detected in tissue specimens from 2 patients (8.7% with non-union. The analysis of these variable species-specific sequences enabled the identification of specific microorganisms (1x Methylobacterium species, 1x Staphylococcus species. Both PCR-positive patients were culture-negative. Conclusions The combination of microbiological culture and broad-range PCR seems to substantially add to the number of microbiological diagnoses obtained and may improve the clinican’s ability to tailor therapy to the individual patient’s needs.

  18. [Fractures of the patella].

    Science.gov (United States)

    Wild, M; Windolf, J; Flohé, S

    2010-05-01

    Fractures of the patella account for approximately 0.5% to 1.5% of all skeletal injuries. The diagnosis is made by means of the mechanism of injury, physical and radiological findings. The kind of treatment of patella fractures depends on the type of fracture, the size of the fragments, the integrity of the extensor mechanism and the congruity of the articular surface. Independent of the kind of treatment an early rehabilitation is recommended. Modified tension band wiring is the most commonly used surgical treatment for patella fractures and can be used for almost every type of fracture. Due the superior stability in biomechanical studies two parallel cannulated lag screws combined with a tension band wiring are the treatment of choice for horizontally displaced two-part fractures. In comminuted fractures a partial or total patellectomy may be necessary. However, since the loss of quadriceps muscle power and the poor outcome total patellectomy should be considered as a salvage procedure.

  19. Vessel Operator System

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Operator cards are required for any operator of a charter/party boat and or a commercial vessel (including carrier and processor vessels) issued a vessel permit from...

  20. Fractures in high-strength bolts due to hydrogen induced stress corrosion. Causes and corrective actions; Brueche hochfester Schrauben infolge wasserstoffinduzierter Spannungsrisskorrosion. Ursachen und Abhilfemassnahmen

    Energy Technology Data Exchange (ETDEWEB)

    Hoche, Holger; Oechsner, Matthias [Technische Univ. Darmstadt (Germany). Zentrum fuer Konstruktionswerkstoffe

    2017-03-15

    Delayed brittle fractures of high-strength bolts of the strength class 10.9 are presented, taking the example of three damage cases. The respective damage mechanisms could be attributed to hydrogen induced stress corrosion which was caused, in turn, by hydrogen absorption during operation. The examples were chosen with a particular focus on the material condition's susceptibility which explains the cause for the occurrence of the damage mechanism. However, in only one of the three cases the susceptibility was evident and could be explained by violations of normative specifications and an unfavorable material choice. Whereas in the two other examples, only slight or no deviations from the standards and/or regulations could be found. The influencing parameters that caused the damage, those that further promoted the damage, as well as possible corrective actions are discussed taking into account the three exemplary damage cases.

  1. Leg ulcer and osteomyelitis due to methicillin-susceptible Staphylococcus aureus infection after fracture repair treatment: a case highlighting the potential role of prostaglandin E₁ vasodilator.

    Science.gov (United States)

    Bentivegna, Erminia; Citarrella, Emanuele; Vivaldi, Roberto; De Luca, Dario; Maira, Giovanna Grazia; Casuccio, Alessandra; Di Carlo, Paola

    2015-03-01

    Prostaglandins appear to reduce biofilm formation and chronicization of infections, and stimulate a rapid and effective clearance of infecting micro-organisms. We report a case of recovery from methicillin-susceptible Staphylococcus aureus (MSSA) osteomyelitis after multidisciplinary management with antibiotics, anti-thrombotics and prostaglandin E1 (PGE1) vasodilator, in a patient with tibial plateau fracture repaired with internal fixation devices. A 47-year-old HIV-negative male with chronic ulcer on the proximal third of the left leg was admitted to the Orthopaedic Unit of the Orestano Clinic in Palermo, Italy, for suspected osteomyelitis. A biopsy of the skin ulcer and blood cultures were performed and resulted positive for MSSA. Labelled leukocyte scintigraphy confirmed osteomyelitis. No clinical improvement was observed after combined antibiotic treatment with rifampicin plus trimethoprim-sulfamethoxazole. The patient underwent a 4-day therapeutic cycle: PGE1 (alprostadil 60 mg/day IV) combined with nadroparin calcium plus gentamicin, followed by treatment with aminaftone plus sulodexide plus levofloxacin. At discharge, the patient's painful symptoms had completely resolved and the ulcer had cicatrized; recovery from osteomyelitis was confirmed by scintigraphy. This treatment protocol including PGE1 may result in a significant improvement in quality of life and functional status of patients with a reduction in direct and indirect costs and economic benefit for the National Health Service.

  2. Odontoid Fracture: Computed Tomography

    Directory of Open Access Journals (Sweden)

    Jonathan Peña

    2016-09-01

    Full Text Available History of present illness: An 84-year-old male presented with left-sided posterior head, neck, and back pain after a ground level fall. Exam was notable for left parietal scalp laceration and midline cervical spine tenderness with no obvious deformities. He was neurovascularly intact, and placed in an Aspen Collar with strict spine precautions. Significant findings: Computed Tomography (CT of the cervical spine showed a stable, acute, non-displaced fracture of the odontoid process extending into the body of C2, consistent with a Type III Odontoid Fracture. He was evaluated by orthopedic spine service who recommended conservative, non-operative management. Discussion: The cervical spine is composed of seven vertebrae, with C1 and C2 commonly referred to as the Atlas and Axis, respectively. Unique to C2 is a bony prominence, the Odontoid Process (Dens. Hyperextension or hyperflexion injuries can induce significant stress causing fractures. Odontoid fractures comprise approximately 10% of vertebral fractures, and there are three types with varying stability.1 Type 1 is the rarest and is a fracture involving the superior segment of the Dens. It is considered a stable fracture. Type 2 is the most common and is a fracture involving the base of the odontoid process, below the transverse component of the cruciform ligament. This fracture is unstable and requires operative stabilization. 2 Type 3 odontoid fractures are classified by a fracture of the Odontoid process, as well as the lateral masses of the C2. Determining the stability of a Type III Odontoid fracture requires radiographic evaluation. Strict cervical spine precautions must be adhered to until adequate imaging and surgical consultation is obtained. CT of the of cervical spine fractures poses several advantages to plain film radiography due to the ability to view the anatomy in three planes. 3 However, if there is concern for ligamentous injury, MRI is the preferred modality.3

  3. Foal Fractures: Osteochondral Fragmentation, Proximal Sesamoid Bone Fractures/Sesamoiditis, and Distal Phalanx Fractures.

    Science.gov (United States)

    Reesink, Heidi L

    2017-08-01

    Foals are susceptible to many of the same types of fractures as adult horses, often secondary to external sources of trauma. In addition, some types of fractures are specific to foals and occur routinely in horses under 1 year of age. These foal-specific fractures may be due to the unique musculoskeletal properties of the developing animal and may present with distinct clinical signs. Treatment plans and prognoses are tailored specifically to young animals. Common fractures not affecting the long bones in foals are discussed in this article, including osteochondral fragmentation, proximal sesamoid bone fractures/sesamoiditis, and distal phalanx fractures. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. The Effects of a Pilates-Based Exercise Rehabilitation Program on Functional Outcome and Fall Risk Reduction in an Aging Adult Status-Post Traumatic Hip Fracture due to Fall.

    Science.gov (United States)

    Stivala, Adam; Hartley, Greg

    2013-11-25

    Currently, little information describing the relationship of Pilates-based strength and stability exercises with fall risk in the geriatric population exists. The purpose of this report was to examine the impact of a Pilates-based rehabilitation (PBR) program on reducing fall risk in an aging adult status postfall with resulting hip fracture and open reduction and internal fixation. The patient was an 84-year-old woman admitted to a skilled nursing facility (SNF) after a right hip fracture resulting from a fall at home. The patient's relevant medical history included frequent falls due to loss of balance, a previous left hip fracture with resultant arthroplasty, and a stroke roughly 20 years prior. The patient received physical therapy and occupational therapy 6 days per week for 26 days in an SNF. The physical therapy intervention consisted of gait and transfer training, neuromuscular reeducation, and an adjunct of specialized PBR exercises for the following impairments: decreased core strength and awareness and poor dynamic stabilization during functional activities. The patient demonstrated increases in lower extremity strength and active range of motion, ambulation distance and speed, and transfer ability. The patient was able to return home and live with her husband while requiring only incidental assistance with activities of daily living. She was able to independently ambulate around her home with her rolling walker. Her fall risk was also reduced from initial evaluation based on several fall risk assessments, including the Four Square Step Test, the Berg Balance Scale, and the Timed Up and Go. This case illustrates the benefit of integrating PBR exercises into a standard SNF rehabilitation program, which may contribute to decreased fall risk.

  5. The effects of a Pilates-based exercise rehabilitation program on functional outcome and fall risk reduction in an aging adult status-post traumatic hip fracture due to a fall.

    Science.gov (United States)

    Stivala, Adam; Hartley, Greg

    2014-01-01

    Currently, little information describing the relationship of Pilates-based strength and stability exercises with fall risk in the geriatric population exists. The purpose of this report was to examine the impact of a Pilates-based rehabilitation (PBR) program on reducing fall risk in an aging adult status postfall with resulting hip fracture and open reduction and internal fixation. The patient was an 84-year-old woman admitted to a skilled nursing facility (SNF) after a right hip fracture resulting from a fall at home. The patient's relevant medical history included frequent falls due to loss of balance, a previous left hip fracture with resultant arthroplasty, and a stroke roughly 20 years prior. The patient received physical therapy and occupational therapy 6 days per week for 26 days in an SNF. The physical therapy intervention consisted of gait and transfer training, neuromuscular reeducation, and an adjunct of specialized PBR exercises for the following impairments: decreased core strength and awareness and poor dynamic stabilization during functional activities. The patient demonstrated increases in lower extremity strength and active range of motion, ambulation distance and speed, and transfer ability. The patient was able to return home and live with her husband while requiring only incidental assistance with activities of daily living. She was able to independently ambulate around her home with her rolling walker. Her fall risk was also reduced from initial evaluation based on several fall risk assessments, including the Four Square Step Test, the Berg Balance Scale, and the Timed Up and Go. This case illustrates the benefit of integrating PBR exercises into a standard SNF rehabilitation program, which may contribute to decreased fall risk.

  6. BIOASSAY VESSEL FAILURE ANALYSIS

    Energy Technology Data Exchange (ETDEWEB)

    Vormelker, P

    2008-09-22

    Two high-pressure bioassay vessels failed at the Savannah River Site during a microwave heating process for biosample testing. Improper installation of the thermal shield in the first failure caused the vessel to burst during microwave heating. The second vessel failure is attributed to overpressurization during a test run. Vessel failure appeared to initiate in the mold parting line, the thinnest cross-section of the octagonal vessel. No material flaws were found in the vessel that would impair its structural performance. Content weight should be minimized to reduce operating temperature and pressure. Outer vessel life is dependent on actual temperature exposure. Since thermal aging of the vessels can be detrimental to their performance, it was recommended that the vessels be used for a limited number of cycles to be determined by additional testing.

  7. Test of 6-in. -thick pressure vessels. Series 3: intermediate test vessel V-7. [PWR and BWR

    Energy Technology Data Exchange (ETDEWEB)

    Merkle, J.G.; Robinson, G.C.; Holz, P.P.; Smith, J.E.; Bryan, R.H.

    1976-08-01

    The test of intermediate test vessel V-7 was a crack-initiation fracture test of a 152-mm-thick (6-in.), 990-mm-OD (39-in.) vessel of ASTM A533, grade B, class 1 steel plate with a sharp outside surface flaw 457 mm (18 in.) long and about 135 mm (5.3 in.) deep. The vessel was heated to 91/sup 0/C (196/sup 0/F) and pressurized hydraulically until leakage through the flaw terminated the test at a peak pressure of 147 MPa (21,350 psi). Fracture toughness data obtained by testing precracked Charpy-V and compact-tension specimens machined from a prolongation of the cylindrical test shell were used in pretest analyses of the flawed vessel. The vessel, as expected, did not burst. Upon depressurization, the ruptured ligament closed so as to maintain static pressure without leakage at about 129 MPa (18,700 psi).

  8. Static and dynamic fracture toughness of 25mm thick single edge notch bend (SENB) specimen of C-Mn pressure vessel submerged arc weld metal and flaw assessment under dynamic loading

    Science.gov (United States)

    Xu, W.; Wiesner, C. S.

    2003-09-01

    Although there are well established procedures for assessing the significance of defects in welded structures in a number of countries, such as BS7910 and R6 procedures in the UK, the Japanese WES 2807 procedure, the API and MPC procedures in the USA and the recently completed SINT AP procedure resulting from European collaboration, there are no clear guidelines for assessment of the effects of dynamic loading. In principle, the standard procedure can be applied for any rate of loading but there is little or no experience of how to allow for the effects of dynamic loading on load magnitude and material properties. Submerge arc weldments of 100mm thick have been manufactured. The effect of loading rate was investigated by testing 25mm thick SENB specimens. The fracture toughness of the weld metal exhibited marked loading rate sensitivity; shift in fracture toughness transition temperature for high loading rate tests of up to 115^{circ}C for 25mm specimens. Finite element (FE) analyses have been carried out to obtain plastic collapse load solutions for SENB fracture mechanics test piece. A simple equation for estimate of dynamic plastic yielding load has been suggested. Flaw assessment under dynamic loading has been demonstrated using the results of dynamic fracture toughness and plastic yiending load. The general methods of assessment of the significance of defects in BS7910 is shown to be applicable to assessments under dynamic loading up to impact.

  9. Guam Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Guam. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  10. Florida Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Florida. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  11. Vessel Arrival Info - Legacy

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Vessel Arrival Info is a spreadsheet that gets filled out during the initial stage of the debriefing process by the debriefer. It contains vessel name, trip...

  12. ALICE HMPID Radiator Vessel

    CERN Multimedia

    2003-01-01

    View of the radiator vessels of the ALICE/HMPID mounted on the support frame. Each HMPID module is equipped with 3 indipendent radiator vessels made out of neoceram and fused silica (quartz) windows glued together. The spacers inside the vessel are needed to stand the hydrostatic pressure. http://alice-hmpid.web.cern.ch/alice-hmpid

  13. Incidencia y factores de riesgo de la fractura de fémur proximal por osteoporosis Incidence of and risk factors associated with fractures of the proximal femur due to osteoporosis

    Directory of Open Access Journals (Sweden)

    María Teresa Mosquera

    1998-04-01

    fractures will become more frequent from year to year and will constitute a growing public health problem. The largest increase is expected to occur in countries of Latin America around the year 2050. Since nearly 70% of all atraumatic fractures in persons over 45 are due to osteoporosis, a case-control study was conducted in the city of Mar del Plata, Argentina, for the purpose of investigating the incidence of and the risk factors associated with proximal femur fractures due to osteoporosis. Between 1 August 1992 and 31 July 1993, a record was kept of all fractures of the proximal femur due to osteoporosis in persons over 50 years of age that visited any of the city's 30 public and private health centers. A total of 246 cases was recorded. The incidence rate per 100 000 inhabitants in the above-50 population was 259 among women and 92 among men, for a ratio of 2.8:1. The incidence was consistently higher in the older age groups, especially in persons over 75. Factors associated with a statistically significant increased risk of fracture of the proximal femur were: a history of neurologic disorders, psychotherapeutic drug use, alcohol consumption, previous fractures, cardiovascular disease, and a decreased intake of milk products. There were no observed differences between cases and controls with respect to age at menopause, weight, height, previous activity, smoking habits, or sun exposure, nor were such differences detected in terms of the percentage of women who had undergone oophorectomy.

  14. Spontaneous rib fractures.

    Science.gov (United States)

    Katrancioglu, Ozgur; Akkas, Yucel; Arslan, Sulhattin; Sahin, Ekber

    2015-07-01

    Other than trauma, rib fracture can occur spontaneously due to a severe cough or sneeze. In this study, patients with spontaneous rib fractures were analyzed according to age, sex, underlying pathology, treatment, and complications. Twelve patients who presented between February 2009 and February 2011 with spontaneous rib fracture were reviewed retrospectively. The patients' data were evaluated according to anamnesis, physical examination, and chest radiographs. The ages of the patients ranged from 34 to 77 years (mean 55.91 ± 12.20 years), and 7 (58.4%) were male. All patients had severe cough and chest pain. The fractures were most frequently between 4th and 9th ribs; multiple rib fractures were detected in 5 (41.7%) patients. Eight (66.7%) patients had chronic obstructive pulmonary disease, 2 (16.7%) had bronchial asthma, and 2 (16.7%) had osteoporosis. Bone densitometry revealed a high risk of bone fracture in all patients. Patients with chronic obstructive pulmonary disease or bronchial asthma had been treated with high-dose steroids for over a year. Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be performed to check for bone lesions. © The Author(s) 2015.

  15. fracture criterion

    Indian Academy of Sciences (India)

    Fracture in metallic glasses. What are the connections between nano- and micro- mechanisms and toughness? Metallic glasses are schizophrenic in the fracture sense. PDF Create! 5 Trial www.nuance.com ...

  16. Shoulder Fractures

    Science.gov (United States)

    ... arm bone), the scapula (shoulder blade) and the clavicle (collarbone) (Figure 1). The upper end of the humerus ... age. Most fractures in children occur in the clavicle bone. In adults, the most common fracture is ...

  17. Hand Fractures

    Science.gov (United States)

    ... lead to arthritis down the road. In addition, fractures in children occasionally affect future growth of that bone. Figure 1: Examples of fractures in fingers Figure 2: Examples of plates, pins ...

  18. Root fractures

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg; Tsilingaridis, Georgios

    2012-01-01

    The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed.......The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed....

  19. Stress Fractures

    Science.gov (United States)

    Stress fractures Overview Stress fractures are tiny cracks in a bone. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures can also arise from normal use of ...

  20. Which Fractures Are Most Attributable to Osteoporosis?

    Science.gov (United States)

    Warriner, Amy H.; Patkar, Nivedita M.; Curtis, Jeffrey R.; Delzell, Elizabeth; Gary, Lisa; Kilgore, Meredith; Saag, Kenneth G.

    2014-01-01

    Background Determining anatomic sites and circumstances under which a fracture may be a consequence of osteoporosis is a topic of ongoing debate and controversy that is important to both clinicians and researchers. Methods We conducted a systematic literature review and generated an evidence report on fracture risk based on specific anatomic bone sites as well as fracture diagnosis codes. Using the RAND/UCLA appropriateness process, we convened a multi-disciplinary panel of 11 experts who rated fractures according to their likelihood of being due to osteoporosis based on the evidence report. Fracture sites (as determined by ICD-CM codes) were stratified by four clinical risk factor categories based on age, sex, race/ethnicity (African- American and Caucasian) and presence or absence of trauma. Results Consistent with current clinical experience, the fractures rated most likely due to osteoporosis were the femoral neck, pathologic fractures of the vertebrae, and lumbar and thoracic vertebral fractures. The fractures rated least likely due to osteoporosis were open proximal humerus fractures, skull, and facial bones. The expert panel rated open fractures of the arm (except proximal humerus) and fractures of the tibia/fibula, patella, ribs, and sacrum as being highly likely due to osteoporosis in older Caucasian women but a lower likelihood in younger African American men. Conclusion Osteoporosis attribution scores for all fracture sites were determined by a multidisciplinary expert panel to provide an evidence-based continuum of the likelihood of a fracture being associated with osteoporosis. PMID:21130353

  1. Hip fracture - discharge

    Science.gov (United States)

    Inter-trochanteric fracture repair - discharge; Subtrochanteric fracture repair - discharge; Femoral neck fracture repair - discharge; Trochanteric fracture repair - discharge; Hip pinning surgery - ...

  2. Maury Journals - German Vessels

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — German vessels observations, after the 1853 Brussels Conference that set International Maritime Standards, modeled after Maury Marine Standard Observations.

  3. Pediatric Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jonathan Peña

    2017-01-01

    Full Text Available History of present illness: A 7-year-old left-handed male presented with left arm pain and deformity after being tackled while playing. On exam, there appeared to be dorsal displacement of the distal segment of the upper extremity. He had two-plus radial and ulnar pulses, and normal capillary refill. Sensation was intact to axillary, radial, ulnar, and median nerve distributions. Compartments were soft. Significant findings: Plain film radiography showed a displaced supracondylar fracture with disrupted anterior and posterior periostea, consistent with a type 3 supracondylar fracture. Discussion: Supracondylar fractures are the most common pediatric elbow fracture.1 Approximately 95% are due to a fall onto an outstretched hand while the elbow is in extension. Direct trauma to the posterior aspect of a flexed elbow accounts for the remainder.2 There are three classifications of supracondylar fractures: type 1 is non-displaced, type 2 is displaced, but has an intact posterior periosteum, and type 3 is displaced with disrupted anterior and posterior periostea. Careful examination assessing for pulses, perfusion, neurologic integrity, and elevated compartment pressures are important in the evaluation.3 The brachial artery is often injured in posterior lateral displaced fractures.4 Neurologic deficits to the median, ulnar, or radial nerves are seen in as many of 49% of Type 3 supracondylar fractures; however, neuropraxias often resolve within two to three months.5 Untimely treated compartment syndrome may lead to Volkmann ischemic contractors, which are characterized by flexion of the elbow, pronation of the forearm, flexion of the wrist, and extension of the metacarpal phalangeal joints.6 Plain film radiography oriented in the anterior-posterior (AP and lateral fashions are typically sufficient for diagnosis; however, a fracture may exist without overt signs on X-ray.7 Given the high morbidity associated with Type 3 fractures, emergent Orthopedic

  4. Hydrogen fracture toughness tester completion

    Energy Technology Data Exchange (ETDEWEB)

    Morgan, Michael J. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2015-09-30

    The Hydrogen Fracture Toughness Tester (HFTT) is a mechanical testing machine designed for conducting fracture mechanics tests on materials in high-pressure hydrogen gas. The tester is needed for evaluating the effects of hydrogen on the cracking properties of tritium reservoir materials. It consists of an Instron Model 8862 Electromechanical Test Frame; an Autoclave Engineering Pressure Vessel, an Electric Potential Drop Crack Length Measurement System, associated computer control and data acquisition systems, and a high-pressure hydrogen gas manifold and handling system.

  5. Hip Fractures.

    Science.gov (United States)

    Ramponi, Denise R; Kaufmann, Judith; Drahnak, Gwendolen

    Hip fractures are associated with significant morbidity and mortality and a major health problem in the United States (). Eighty percent of hip fractures are experienced by 80-year-old women. Plain radiographs usually confirm the diagnosis, but if there is a high level of suspicion of an occult hip fracture, magnetic resonance imaging or bone scan is the next step to confirm the diagnosis. Areas of the hip bone have varied bone strength and blood supply, making the femoral neck one of the most vulnerable areas for fracture. A consultation to an orthopedic surgeon will determine surgical interventions.

  6. Hamate fractures.

    Science.gov (United States)

    Sarabia Condés, J M; Ibañez Martínez, L; Sánchez Carrasco, M A; Carrillo Julia, F J; Salmerón Martínez, E L

    2015-01-01

    The purpose of this paper is to present our experience in the treatment of the fractures of the hamate and to make a review of the literature on this topic. We retrospectively reviewed 10 patients treated in our clinic between 2005-2012 suffering from fractures of the hamate. Six cases were fractures of the body and four were fractures of the hamate. Five cases were of associated injuries. Diagnostic delay ranged from 30 days to 2 years. Patient follow-up ranged from 1 to 10 years. Patient satisfaction was evaluated using the DASH questionnaire. Five patients with a fracture of the body underwent surgery, and one was treated conservatively. Two patients with fracture of the hook of the hamate were treated with immobilization, and two more patients had the fragment removed. The grip strength and the digital clip were reduced in 2 cases. Flexion and extension of the wrist was limited in 3 cases. The mobility of the fingers was normal in all the cases, except in one. The results obtained from the DASH questionnaire were normal in all the cases, except in one case of fracture of the hamate, and in two cases of fracture of the body. The surgical treatment should reduce the dislocation and stabilize the injuries with osteosynthesis. The fractures of the hamate are usually diagnosed late, and the most recommended treatment is removal of the fragment, although it cannot be deduced from this study. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  7. Colles Fracture

    OpenAIRE

    Sánchez León, Belisario; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    Our expertise is the study of more than 2,000 cases of Colles' fractures. Colles name should in this case to synthesize the type of fractures of the lower end of the radius. There have been various proposed classifications according to the different fracture lines can be demonstrated radiologically in the region of the wrist. We believe that these ratings should only be retained if the concept of the articular fracture or not in the classical sense, since it has great value in the functional ...

  8. Multiphysics of Fractures across Scales

    Science.gov (United States)

    Pyrak-Nolte, L. J.

    2016-12-01

    Remote monitoring of fluid flow in fractured rock faces challenges because fractures are topologically complex, span a range of length scales, and are routinely altered due to physical and chemical processes. A long-standing goal has been to find a link between fluid flow supported by a fracture and the seismic response of that fracture. This link requires a relationship between intrinsic fracture properties and macroscopic scattered wave fields. Furthermore, such a link among multiphysical properties of fracture should be retained as the scale of observation changes. Recently, Pyrak-Nolte and Nolte (Nature Comm., 2016) demonstrated, numerically, that a scaling relationship exists between fluid flow and fracture specific stiffness, linked through the topology of the fracture void geometry (i.e. fracture void space and contact area spatial distributions). This scaling relationship holds for fractures with either random or spatially correlated aperture distributions. To extend these results, a heuristic numerical study was performed to determine if fracture specific stiffness determined from seismic wave attenuation (defined through a displacement-discontinuity boundary condition) corresponds to static stiffness based on deformation measurements. In the long wavelength limit, static and dynamic stiffness are closely connected. As the scattering conditions of the fracture move out of the long-wavelength limit, a frequency-dependent stiffness is defined that captures low-order corrections, extending the regime of applicability of the displacement discontinuity model. The displacement discontinuity theory has a built-in scaling parameter that ensures some set of discontinuities will be optimal for detection as different wavelengths sample different subsets of fractures. Future studies will extend these concepts to fracture networks. Acknowledgments: The U.S. Department of Energy, Office of Science, Basic Energy Sciences, Chemical Sciences, Geosciences, and Biosciences

  9. Item response theory analysis to evaluate reliability and minimal clinically important change of the Roland-Morris Disability Questionnaire in patients with severe disability due to back pain from vertebral compression fractures.

    Science.gov (United States)

    Lee, Minji K; Yost, Kathleen J; McDonald, Jennifer S; Dougherty, Ryne W; Vine, Roanna L; Kallmes, David F

    2017-06-01

    The majority of validation done on the Roland-Morris Disability Questionnaire (RMDQ) has been in patients with mild or moderate disability. There is paucity of research focusing on the psychometric quality of the RMDQ in patients with severe disability. To evaluate the psychometric quality of the RMDQ in patients with severe disability. Observational clinical study. The sample consisted of 214 patients with painful vertebral compression fractures who underwent vertebroplasty or kyphoplasty. The 23-item version of the RMDQ was completed at two time points: baseline and 30-day postintervention follow-up. With the two-parameter logistic unidimensional item response theory (IRT) analyses, we derived the range of scores that produced reliable measurement and investigated the minimal clinically important difference (MCID). Scores for 214 (100%) patients at baseline and 108 (50%) patients at follow-up did not meet the reliability criterion of 0.90 or higher, with the majority of patients having disability due to back pain that was too severe to be reliably measured by the RMDQ. Depending on methodology, MCID estimates ranged from 2 to 8 points and the proportion of patients classified as having experienced meaningful improvement ranged from 26% to 68%. A greater change in score was needed at the extreme ends of the score scale to be classified as having achieved MCID using IRT methods. Replacing items measuring moderate disability with items measuring severe disability could yield a version of the RMDQ that better targets patients with severe disability due to back pain. Improved precision in measuring disability would be valuable to clinicians who treat patients with greater functional impairments. Caution is needed when choosing criteria for interpreting meaningful change using the RMDQ. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. LNG cascading damage study. Volume I, fracture testing report.

    Energy Technology Data Exchange (ETDEWEB)

    Petti, Jason P.; Kalan, Robert J.

    2011-12-01

    As part of the liquefied natural gas (LNG) Cascading Damage Study, a series of structural tests were conducted to investigate the thermal induced fracture of steel plate structures. The thermal stresses were achieved by applying liquid nitrogen (LN{sub 2}) onto sections of each steel plate. In addition to inducing large thermal stresses, the lowering of the steel temperature simultaneously reduced the fracture toughness. Liquid nitrogen was used as a surrogate for LNG due to safety concerns and since the temperature of LN{sub 2} is similar (-190 C) to LNG (-161 C). The use of LN{sub 2} ensured that the tests could achieve cryogenic temperatures in the range an actual vessel would encounter during a LNG spill. There were four phases to this test series. Phase I was the initial exploratory stage, which was used to develop the testing process. In the Phase II series of tests, larger plates were used and tested until fracture. The plate sizes ranged from 4 ft square pieces to 6 ft square sections with thicknesses from 1/4 inches to 3/4 inches. This phase investigated the cooling rates on larger plates and the effect of different notch geometries (stress concentrations used to initiate brittle fracture). Phase II was divided into two sections, Phase II-A and Phase II-B. Phase II-A used standard A36 steel, while Phase II-B used marine grade steels. In Phase III, the test structures were significantly larger, in the range of 12 ft by 12 ft by 3 ft high. These structures were designed with more complex geometries to include features similar to those on LNG vessels. The final test phase, Phase IV, investigated differences in the heat transfer (cooling rates) between LNG and LN{sub 2}. All of the tests conducted in this study are used in subsequent parts of the LNG Cascading Damage Study, specifically the computational analyses.

  11. PRESSURE-RESISTANT VESSEL

    NARCIS (Netherlands)

    Beukers, A.; De Jong, T.

    1997-01-01

    Abstract of WO 9717570 (A1) The invention is directed to a wheel-shaped pressure-resistant vessel for gaseous, liquid or liquefied material having a substantially rigid shape, said vessel comprising a substantially continuous shell of a fiber-reinforced resin having a central opening, an inner

  12. Bilateral acetabular fracture without trauma

    OpenAIRE

    Rosa, M. A.; Maccauro, G.; D’Arienzo, M.

    1999-01-01

     In the absence of trauma fracture of the acetabulum is an extremely rare injury. We describe a 70 year old man who spontaneously developed fractures in both acetabulae due to bony insufficiency. It was successfully treated by bilateral total hip replacement.

  13. Containment vessel drain system

    Energy Technology Data Exchange (ETDEWEB)

    Harris, Scott G.

    2018-01-30

    A system for draining a containment vessel may include a drain inlet located in a lower portion of the containment vessel. The containment vessel may be at least partially filled with a liquid, and the drain inlet may be located below a surface of the liquid. The system may further comprise an inlet located in an upper portion of the containment vessel. The inlet may be configured to insert pressurized gas into the containment vessel to form a pressurized region above the surface of the liquid, and the pressurized region may operate to apply a surface pressure that forces the liquid into the drain inlet. Additionally, a fluid separation device may be operatively connected to the drain inlet. The fluid separation device may be configured to separate the liquid from the pressurized gas that enters the drain inlet after the surface of the liquid falls below the drain inlet.

  14. Structural integrity of nuclear reactor pressure vessels

    Science.gov (United States)

    Knott, John F.

    2013-09-01

    The paper starts from concerns expressed by Sir Alan Cottrell, in the early 1970s, related to the safety of the pressurized water reactor (PWR) proposed at that time for the next phase of electrical power generation. It proceeds to describe the design and operation of nuclear generation plant and gives details of the manufacture of PWR reactor pressure vessels (RPVs). Attention is paid to stress-relief cracking and under-clad cracking, experienced with early RPVs, explaining the mechanisms for these forms of cracking and the means taken to avoid them. Particular note is made of the contribution of non-destructive inspection to structural integrity. Factors affecting brittle fracture in RPV steels are described: in particular, effects of neutron irradiation. The use of fracture mechanics to assess defect tolerance is explained, together with the failure assessment diagram embodied in the R6 procedure. There is discussion of the Master Curve and how it incorporates effects of irradiation on fracture toughness. Dangers associated with extrapolation of data to low probabilities are illustrated. The treatment of fatigue-crack growth is described, in the context of transients that may be experienced in the operation of PWR plant. Detailed attention is paid to the thermal shock associated with a large loss-of-coolant accident. The final section reviews the arguments advanced to justify 'Incredibility of Failure' and how these are incorporated in assessments of the integrity of existing plant and proposed 'new build' PWR pressure vessels.

  15. Fractures of the hallux in children.

    Science.gov (United States)

    Petnehazy, Thomas; Schalamon, Johannes; Hartwig, Charlotte; Eberl, Robert; Kraus, Tanja; Till, Holger; Singer, Georg

    2015-01-01

    Foot fractures account for 5% to 13% of pediatric fractures. Fractures of the hallux require special attention due to its role in weight bearing, balance, and pedal motion. In this study, a large series of children with hallux fractures is presented. All children treated with fractures of the hallux between June 2004 and December 2011 were included. The medical records were analyzed and X-rays were reviewed. The fractures were classified according to their anatomic location and the type of fracture. Three hundred seventeen patients (mean age = 11.7 years; range, 1-18 years; 65% male) sustained a fracture of the hallux. Most accidents (28%) occurred at sports facilities, and soccer was the most common cause of a fracture of the hallux (28%). Closed injuries were diagnosed in 92% of the patients; 8% of the children presented with open fractures. In 144 children, the growth plate was affected. Fifty-nine patients presented with diaphyseal fractures, 42 patients with osseous avulsions, and 40 patients with fractures of the distal part of the phalanx. Nineteen children had incomplete and 13 patients comminuted fractures. The vast majority of the children (86%) were treated conservatively. Operative interventions were required in 14% of the patients. Good outcome was achieved in both conservatively and operatively treated patients. In children, fractures of the hallux were most often caused by ball sports and had a good prognosis. The vast majority of these fractures could be treated conservatively yielding good outcome. Level IV, case series. © The Author(s) 2014.

  16. A review of numerical simulation strategies for hydraulic fracturing, natural fracture reactivation and induced microseismicity prediction

    NARCIS (Netherlands)

    Shahid, A.S.A.; Fokker, P.A.; Rocca, V.

    2016-01-01

    Hydraulic fracturing, natural fracture reactivation and resulting induced microseismicity are interconnected phenomena involved in shale gas exploitation. Due to their multi-physics and their complexity, deep understanding of these phenomena as well as their mutual interaction require the adoption

  17. Greenstick Fractures

    Science.gov (United States)

    ... small, "green" branch on a tree. Most greenstick fractures occur in children younger than 10 years of age. This type ... mistaken for sprains or bruises. More-severe greenstick fractures may cause an obvious ... your doctor if your child has persistent pain in an injured limb. Seek ...

  18. Management of pediatric mandibular fracture using orthodontic ...

    African Journals Online (AJOL)

    Fractures of the mandible are relatively less frequent in children when compared to adults. The anatomic features of children are protected. Children have a higher adaptation to maxillofacial fractures compared to adults. Treatment principles of mandibular fractures in children differ from that of adults due to concerns ...

  19. Fracture Mechanics

    CERN Document Server

    Zehnder, Alan T

    2012-01-01

    Fracture mechanics is a vast and growing field. This book develops the basic elements needed for both fracture research and engineering practice. The emphasis is on continuum mechanics models for energy flows and crack-tip stress- and deformation fields in elastic and elastic-plastic materials. In addition to a brief discussion of computational fracture methods, the text includes practical sections on fracture criteria, fracture toughness testing, and methods for measuring stress intensity factors and energy release rates. Class-tested at Cornell, this book is designed for students, researchers and practitioners interested in understanding and contributing to a diverse and vital field of knowledge. Alan Zehnder joined the faculty at Cornell University in 1988. Since then he has served in a number of leadership roles including Chair of the Department of Theoretical and Applied Mechanics, and Director of the Sibley School of Mechanical and Aerospace Engineering.  He teaches applied mechanics and his research t...

  20. Relative permeability through fractures

    Energy Technology Data Exchange (ETDEWEB)

    Diomampo, Gracel, P.

    2001-08-01

    The mechanism of two-phase flow through fractures is of importance in understanding many geologic processes. Currently, two-phase flow through fractures is still poorly understood. In this study, nitrogen-water experiments were done on both smooth and rough parallel plates to determine the governing flow mechanism for fractures and the appropriate methodology for data analysis. The experiments were done using a glass plate to allow visualization of flow. Digital video recording allowed instantaneous measurement of pressure, flow rate and saturation. Saturation was computed using image analysis techniques. The experiments showed that gas and liquid phases flow through fractures in nonuniform separate channels. The localized channels change with time as each phase path undergoes continues breaking and reforming due to invasion of the other phase. The stability of the phase paths is dependent on liquid and gas flow rate ratio. This mechanism holds true for over a range of saturation for both smooth and rough fractures. In imbibition for rough-walled fractures, another mechanism similar to wave-like flow in pipes was also observed. The data from the experiments were analyzed using Darcy's law and using the concept of friction factor and equivalent Reynold's number for two-phase flow. For both smooth- and rough-walled fractures a clear relationship between relative permeability and saturation was seen. The calculated relative permeability curves follow Corey-type behavior and can be modeled using Honarpour expressions. The sum of the relative permeabilities is not equal one, indicating phase interference. The equivalent homogeneous single-phase approach did not give satisfactory representation of flow through fractures. The graphs of experimentally derived friction factor with the modified Reynolds number do not reveal a distinctive linear relationship.

  1. BY FRUSTUM CONFINING VESSEL

    Directory of Open Access Journals (Sweden)

    Javad Khazaei

    2016-09-01

    Full Text Available Helical piles are environmentally friendly and economical deep foundations that, due to environmental considerations, are excellent additions to a variety of deep foundation alternatives available to the practitioner. Helical piles performance depends on soil properties, the pile geometry and soil-pile interaction. Helical piles can be a proper alternative in sensitive environmental sites if their bearing capacity is sufficient to support applied loads. The failure capacity of helical piles in this study was measured via an experimental research program that was carried out by Frustum Confining Vessel (FCV. FCV is a frustum chamber by approximately linear increase in vertical and lateral stresses along depth from top to bottom. Due to special geometry and applied bottom pressure, this apparatus is a proper choice to test small model piles which can simulate field stress conditions. Small scale helical piles are made with either single helix or more helixes and installed in fine grained sand with three various densities. Axial loading tests including compression and tension tests were performed to achieve pile ultimate capacity. The results indicate the helical piles behavior depends essentially on pile geometric characteristics, i.e. helix configuration and soil properties. According to the achievements, axial uplift capacity of helical model piles is about equal to usual steel model piles that have the helixes diameter. Helical pile compression bearing capacity is too sufficient to act as a medium pile, thus it can be substituted other piles in special geoenvironmental conditions. The bearing capacity also depends on spacing ratio, S/D, and helixes diameter.

  2. Ankle fracture - aftercare

    Science.gov (United States)

    Malleolar fracture; Tri-malleolar; Bi-malleolar; Distal tibia fracture; Distal fibula fracture; Malleolus fracture ... Some ankle fractures may require surgery when: The ends of the bone are out of line with each other (displaced). The ...

  3. Arterial injury and pseudoaneurysm formation after lesser trochanter fracture

    Directory of Open Access Journals (Sweden)

    Susanne Regus

    2015-01-01

    Conclusion: Surgeons should pay attention to any displaced bone fragments close to calcified vessels, especially in the evaluation of routine x-rays following surgical treatment of fractures. This could minimize the potential life-threatening risk of delayed diagnosis, especially because it represents a routine image following surgical fracture treatments.

  4. Development of High Strength and High Toughness Steels for Reactor Vessel and Surgeline Pipe

    Energy Technology Data Exchange (ETDEWEB)

    Lee, B. S.; Kim, M. C.; Yoon, J. H.; Kim, K. B.; Choi, K. J.; Cho, H. D.

    2010-07-15

    In addition to evaluating the effects of alloying elements, heat treatment conditions, weldability and neutron irradiation behavior were evaluated with 15 types of SA508 Gr.4N model alloys for reactor pressure vessel. The maximum yield strength of 630MPa were obtained by controlling chemical compositions and heat treatment conditions. Model alloys also showed excellent impact toughness and fracture toughness. The microstructure and mechanical properties of weld heat affected zone were evaluated by using simulated specimens and the effects of post weld heat treatment conditions were also investigated. Neutron irradiation behavior at high fluence level were characterized and then compared with commercial reactor pressure vessel steel. The value of transition temperature shift(TTS) was 22 .deg. C at 6.4x10{sup 19} n/cm{sup 2} which is similar to commercial RPV steel. However, its toughness after irradiation is much better than that of unirradiated commercial RPV steel due to the superior initial toughness. Leak-before-break(LBB) properties of type 316 stainless steel model alloys and their welds for surge line were evaluated as well as microstructure and mechanical properties. Tensile tests and J-R fracture resistance tests were carried out at RT and 316 .deg. C. The model alloys showed good tensile strength over standard value, except type 316L which has lower C/N. In the LBB safety analysis result, all of type 316 model alloys have higher allowable load than that of OPR1000 surge line

  5. Recent Advancements in Retinal Vessel Segmentation.

    Science.gov (United States)

    L Srinidhi, Chetan; Aparna, P; Rajan, Jeny

    2017-04-01

    Retinal vessel segmentation is a key step towards the accurate visualization, diagnosis, early treatment and surgery planning of ocular diseases. For the last two decades, a tremendous amount of research has been dedicated in developing automated methods for segmentation of blood vessels from retinal fundus images. Despite the fact, segmentation of retinal vessels still remains a challenging task due to the presence of abnormalities, varying size and shape of the vessels, non-uniform illumination and anatomical variability between subjects. In this paper, we carry out a systematic review of the most recent advancements in retinal vessel segmentation methods published in last five years. The objectives of this study are as follows: first, we discuss the most crucial preprocessing steps that are involved in accurate segmentation of vessels. Second, we review most recent state-of-the-art retinal vessel segmentation techniques which are classified into different categories based on their main principle. Third, we quantitatively analyse these methods in terms of its sensitivity, specificity, accuracy, area under the curve and discuss newly introduced performance metrics in current literature. Fourth, we discuss the advantages and limitations of the existing segmentation techniques. Finally, we provide an insight into active problems and possible future directions towards building successful computer-aided diagnostic system.

  6. Fracture fixation.

    Science.gov (United States)

    Taljanovic, Mihra S; Jones, Marci D; Ruth, John T; Benjamin, James B; Sheppard, Joseph E; Hunter, Tim B

    2003-01-01

    The basic goal of fracture fixation is to stabilize the fractured bone, to enable fast healing of the injured bone, and to return early mobility and full function of the injured extremity. Fractures can be treated conservatively or with external and internal fixation. Conservative fracture treatment consists of closed reduction to restore the bone alignment. Subsequent stabilization is then achieved with traction or external splinting by slings, splints, or casts. Braces are used to limit range of motion of a joint. External fixators provide fracture fixation based on the principle of splinting. There are three basic types of external fixators: standard uniplanar fixator, ring fixator, and hybrid fixator. The numerous devices used for internal fixation are roughly divided into a few major categories: wires, pins and screws, plates, and intramedullary nails or rods. Staples and clamps are also used occasionally for osteotomy or fracture fixation. Autogenous bone grafts, allografts, and bone graft substitutes are frequently used for the treatment of bone defects of various causes. For infected fractures as well as for treatment of bone infections, antibiotic beads are frequently used. Copyright RSNA, 2003

  7. 2013 Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  8. 2011 Passenger Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  9. 2011 Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  10. 2013 Passenger Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  11. 2013 Tanker Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  12. 2013 Cargo Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  13. High Performance Marine Vessels

    CERN Document Server

    Yun, Liang

    2012-01-01

    High Performance Marine Vessels (HPMVs) range from the Fast Ferries to the latest high speed Navy Craft, including competition power boats and hydroplanes, hydrofoils, hovercraft, catamarans and other multi-hull craft. High Performance Marine Vessels covers the main concepts of HPMVs and discusses historical background, design features, services that have been successful and not so successful, and some sample data of the range of HPMVs to date. Included is a comparison of all HPMVs craft and the differences between them and descriptions of performance (hydrodynamics and aerodynamics). Readers will find a comprehensive overview of the design, development and building of HPMVs. In summary, this book: Focuses on technology at the aero-marine interface Covers the full range of high performance marine vessel concepts Explains the historical development of various HPMVs Discusses ferries, racing and pleasure craft, as well as utility and military missions High Performance Marine Vessels is an ideal book for student...

  14. Cheboygan Vessel Base

    Data.gov (United States)

    Federal Laboratory Consortium — Cheboygan Vessel Base (CVB), located in Cheboygan, Michigan, is a field station of the USGS Great Lakes Science Center (GLSC). CVB was established by congressional...

  15. Maury Journals - US Vessels

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — U.S. vessels observations, after the 1853 Brussels Conference that set International Maritime Standards, modeled after Maury Marine Standard Observations.

  16. 2011 Cargo Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  17. 2011 Tanker Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  18. 2013 Fishing Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  19. Coastal Logbook Survey (Vessels)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains catch (landed catch) and effort for fishing trips made by vessels that have been issued a Federal permit for the Gulf of Mexico reef fish,...

  20. Structural Properties of EB-Welded AlSi10Mg Thin-Walled Pressure Vessels Produced by AM-SLM Technology

    Science.gov (United States)

    Nahmany, Moshe; Stern, Adin; Aghion, Eli; Frage, Nachum

    2017-09-01

    Additive manufacturing of metals by selective laser melting (AM-SLM) is hampered by significant limitations in product size due to the limited dimensions of printing trays. Electron beam welding (EBW) is a well-established process that results in relatively minor metallurgical modifications in workpieces due to the ability of EBW to pass high-density energy to the related substance. The present study aims to evaluate structural properties of EB-welded AlSi10Mg thin-walled pressure vessels produced from components prepared by SLM technology. Following the EB welding process, leak and burst tests were conducted, as was fractography analysis. The welded vessels showed an acceptable holding pressure of 30 MPa, with a reasonable residual deformation up to 2.3% and a leak rate better than 1 × 10-8 std-cc s-1 helium. The failures that occurred under longitudinal stresses reflected the presence of two weak locations in the vessels, i.e., the welded joint region and the transition zone between the vessel base and wall. Fractographic analysis of the fracture surfaces of broken vessels displayed the ductile mode of the rupture, with dimples of various sizes, depending on the failure location.

  1. Structural Properties of EB-Welded AlSi10Mg Thin-Walled Pressure Vessels Produced by AM-SLM Technology

    Science.gov (United States)

    Nahmany, Moshe; Stern, Adin; Aghion, Eli; Frage, Nachum

    2017-10-01

    Additive manufacturing of metals by selective laser melting (AM-SLM) is hampered by significant limitations in product size due to the limited dimensions of printing trays. Electron beam welding (EBW) is a well-established process that results in relatively minor metallurgical modifications in workpieces due to the ability of EBW to pass high-density energy to the related substance. The present study aims to evaluate structural properties of EB-welded AlSi10Mg thin-walled pressure vessels produced from components prepared by SLM technology. Following the EB welding process, leak and burst tests were conducted, as was fractography analysis. The welded vessels showed an acceptable holding pressure of 30 MPa, with a reasonable residual deformation up to 2.3% and a leak rate better than 1 × 10-8 std-cc s-1 helium. The failures that occurred under longitudinal stresses reflected the presence of two weak locations in the vessels, i.e., the welded joint region and the transition zone between the vessel base and wall. Fractographic analysis of the fracture surfaces of broken vessels displayed the ductile mode of the rupture, with dimples of various sizes, depending on the failure location.

  2. Radioactive material release from a containment vessel during a fire accident

    Energy Technology Data Exchange (ETDEWEB)

    Hensel, S. [Savannah River Site (SRS), Aiken, SC (United States); Norkus, J. [Savannah River Site (SRS), Aiken, SC (United States)

    2015-02-26

    A methodology is presented to determine the source term for leaks and ruptures of pressurized vessels. The generic methodology is applied to a 9975 Primary Containment Vessel (PCV) which losses containment due to a hypothesized fire accident. The release due to a vessel rupture is approximately two orders of magnitude greater than the release due to a leak.

  3. Odontoid fracture biomechanics.

    Science.gov (United States)

    Ivancic, Paul C

    2014-11-15

    In vitro biomechanical study. To investigate mechanisms of odontoid fracture. Odontoid fractures in younger adults occur most often due to high-energy trauma including motor vehicle crashes and in older adults due to fall from standing height. Horizontally aligned head impacts into a padded barrier were simulated using a human upper cervical spine specimen (occiput through C3) mounted to a surrogate torso mass on a sled and carrying a surrogate head. We divided 13 specimens into 3 groups on the basis of head impact location: upper forehead in the midline, upper lateral side of the forehead, and upper lateral side of the head. Post-impact fluoroscopy and anatomical dissection documented the injuries. Time-history biomechanical responses were determined. Four of the 5 specimens subjected to impact to the upper forehead in the midline sustained type II or high type III odontoid fractures due to abrupt deceleration of the head and continued forward torso momentum. Average peak force reached 1787.1 N at the neck at 50.3 milliseconds. Subsequently, the motion peaks occurred for the head relative to C3 reaching 15.2° for extension, 2.1 cm for upward translation, and 5.3 cm for horizontal compression, between 62 and 68 milliseconds. We identified impact to the upper forehead in the midline as a mechanism that produced odontoid fracture and associated atlas and ligamentous injuries similar to those observed in real-life trauma. We were not able to create odontoid fractures during impacts to the upper lateral side of the forehead or upper lateral side of the head. Dynamic odontoid fracture was caused by rapid deceleration of the head, which transferred load inferiorly combined with continued torso momentum, which caused spinal compression and anterior shear force and forward displacement of the axis relative to the atlas.

  4. LANL Robotic Vessel Scanning

    Energy Technology Data Exchange (ETDEWEB)

    Webber, Nels W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-11-25

    Los Alamos National Laboratory in J-1 DARHT Operations Group uses 6ft spherical vessels to contain hazardous materials produced in a hydrodynamic experiment. These contaminated vessels must be analyzed by means of a worker entering the vessel to locate, measure, and document every penetration mark on the vessel. If the worker can be replaced by a highly automated robotic system with a high precision scanner, it will eliminate the risks to the worker and provide management with an accurate 3D model of the vessel presenting the existing damage with the flexibility to manipulate the model for better and more in-depth assessment.The project was successful in meeting the primary goal of installing an automated system which scanned a 6ft vessel with an elapsed time of 45 minutes. This robotic system reduces the total time for the original scope of work by 75 minutes and results in excellent data accumulation and transmission to the 3D model imaging program.

  5. Osteoporosis, Fractures, and Diabetes

    OpenAIRE

    Peter Jackuliak; Juraj Payer

    2014-01-01

    It is well established that osteoporosis and diabetes are prevalent diseases with significant associated morbidity and mortality. Patients with diabetes mellitus have an increased risk of bone fractures. In type 1 diabetes, the risk is increased by ∼6 times and is due to low bone mass. Despite increased bone mineral density (BMD), in patients with type 2 diabetes the risk is increased (which is about twice the risk in the general population) due to the inferior quality of bone. Bone fragility...

  6. Fracture mechanics

    CERN Document Server

    Perez, Nestor

    2017-01-01

    The second edition of this textbook includes a refined presentation of concepts in each chapter, additional examples; new problems and sections, such as conformal mapping and mechanical behavior of wood; while retaining all the features of the original book. The material included in this book is based upon the development of analytical and numerical procedures pertinent to particular fields of linear elastic fracture mechanics (LEFM) and plastic fracture mechanics (PFM), including mixed-mode-loading interaction. The mathematical approach undertaken herein is coupled with a brief review of several fracture theories available in cited references, along with many color images and figures. Dynamic fracture mechanics is included through the field of fatigue and Charpy impact testing. Explains computational and engineering approaches for solving crack-related problems using straightforward mathematics that facilitate comprehension of the physical meaning of crack growth processes; Expands computational understandin...

  7. One-year mortality among elderly people after hospitalization due to fall-related fractures: comparison with a control group of matched elderly Mortalidade em um ano de idosos após hospitalização por fratura decorrente de queda: comparação com idosos pareados da população

    Directory of Open Access Journals (Sweden)

    Evandro Silva Freire Coutinho

    2012-04-01

    Full Text Available Fall-related fractures among the elderly represent an important public health problem. Severe fractures have been related to increased risk of death. In order to investigate the mortality profile of elderly individuals with severe fractures, 250 patients aged 60 years and over, hospitalized due to fall-related fractures and 250 elderly without fractures living in the local community were followed-up for one year. They were matched according to sex, age, time of hospitalization and neighborhood. Deaths were identified using probabilistic linkage of the research dataset and the local mortality registry. The one-year cumulative mortality was 25.2% in the case of individuals with severe fractures and 4% for those individuals without. The mortality distribution was not homogeneous across the follow-up period. Two-thirds of deaths among the elderly individuals hospitalized due to fracture occurred within the first 3 months, whereas mortality among those individuals without fractures took place later. Heart disease, pneumonia, GI bleeding, sepsis, and pulmonary embolism, diabetes and stroke were important causes of one-year mortality.Fraturas decorrentes de queda entre idosos são um importante problema de saúde pública. Fraturas graves têm sido associadas com o maior risco de morte. Para investigar o perfil de mortalidade de idosos que sofreram fraturas graves, 250 indivíduos com 60 anos ou mais, hospitalizados devido à fratura decorrente de queda, e 250 idosos da população foram acompanhados por um ano. Esses grupos foram pareados por idade, sexo, momento da hospitalização do caso e vizinhança. Os óbitos foram identificados por meio do relacionamento probabilístico do banco de dados do estudo com a base de dados de mortalidade do estado. A mortalidade acumulada em um ano foi de 25,2% e 4% para idosos com e sem fratura grave, respectivamente. A distribuição dos óbitos não foi homogênea ao longo do tempo de seguimento. Dois terços das

  8. Reactor pressure vessel. Status report

    Energy Technology Data Exchange (ETDEWEB)

    Elliot, B.J.; Hackett, E.M.; Lee, A.D. [and others

    1996-10-01

    This report describes the issues raised as a result of the staffs review of Generic Letter (GL) 92-01, Revision 1, responses and plant-specific reactor pressure vessel (RPV) assessments and the actions taken or work in progress to address these issues. In addition, the report describes actions taken by the staff and the nuclear industry to develop a thermal annealing process for use at U.S. commercial nuclear power plants. This process is intended to be used as a means of mitigating the effects of neutron radiation on the fracture toughness of RPV materials. The Nuclear Regulatory Commission (NRC) issued GL 92-01, Revision 1, Supplement 1, to obtain information needed to assess compliance with regulatory requirements and licensee commitments regarding RPV integrity. GL 92-01, Revision 1, Supplement 1, was issued as a result of generic issues that were raised in the NRC staff`s reviews of licensee responses to GL 92-01, Revision 1, and plant-specific RPV evaluations. In particular, an integrated review of all data submitted in response to GL 92-01, Revision 1, indicated that licensees may not have considered all relevant data in their RPV assessments. This report is representative of submittals to and evaluations by the staff as of September 30, 1996. An update of this report will be issued at a later date.

  9. Radiological classification of retroperitoneal hematoma resulting from lumbar vertebral fracture.

    Science.gov (United States)

    Nakao, Shota; Ishikawa, Kazuo; Ono, Hidefumi; Kusakabe, Kenji; Fujimura, Ichiro; Ueno, Masato; Idoguchi, Koji; Mizushima, Yasuaki; Matsuoka, Tetsuya

    2018-01-24

    Lumbar vertebral fracture (LVF) infrequently produces massive retroperitoneal hematoma (RPH). This study aimed to systematically review the clinical and radiographic characteristics of RPH resulting from LVF. For 193 consecutive patients having LVF who underwent computed tomography (CT), demographic data, physiological conditions, and outcomes were reviewed from their medical records. Presence or absence of RPH, other bone fractures, or organ/vessel injury was evaluated in their CT images, and LVF or RPH, if present, was classified according to either the Orthopaedic Trauma Association classification or the concept of interfascial planes. RPH resulting only or dominantly from LVF was found in 66 (34.2%) patients, whereas among the others, 64 (33.2%) had no RPH, 38 (19.7%) had RPH from other injuries, and 25 (13.0%) had RPH partly attributable to LVF. The 66 RPHs resulting only or dominantly from LVF were radiologically classified into mild subtype of minor median (n = 35), moderate subtype of lateral (n = 11), and severe subtypes of central pushing-up (n = 13) and combined (n = 7). Of the 20 patients with severe subtypes, 18 (90.0%) were in hemorrhagic shock on admission, and 6 (30.0%) were clinically diagnosed as dying due to uncontrollable RPH resulting from vertebral body fractures despite no anticoagulant medication. LVF can directly produce massive RPH leading to hemorrhagic death. A major survey of such pathology should be conducted to establish appropriate diagnosis and treatment.

  10. [Mandibular fracture in an infant].

    Science.gov (United States)

    Alberth, M; Szilágyi, Z; Póti, S; Redl, P

    1997-02-01

    Maxillofacial fractures under 10 years of age are uncommon, with an occurrence of 7.3%. Isolated fractures of the mandible are even more rare, due to the fact that in young children the mandible is relatively small and resilient. Some authors suggest that the occurrence of this form of fracture is about 1-5%. Different methods have been described for treatment of fractures off the mandible in children. In the therapy since the introduction of titanium mini plates the trend has been to select surgical repositioning followed by osteosynthesis. This paper describes the management of a 7-month old boy with isolated mandibular fracture, using this method to avoid the damage of the tooth germs. This particular case raises the issue of child abuse, which is on the increase in Hungary as well. To find a kind of solution would be not only a task of dentists but also of society in general.

  11. Enhancing supply vessel safety

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    A supply-vessel bridge installation consists of a navigating bridge and a control position aft, from which operators control the ship when close to rigs or platforms, and operate winches and other loading equipment. The international Convention for Safety of I Ale at Sea (SOLAS) does not regulate the layout, so design varies to a large degree, often causing an imperfect working environment. As for other types of ships, more than half the offshore service vessel accidents at sea are caused by bridge system failures. A majority can be traced back to technical design, and operational errors. The research and development project NAUT-OSV is a response to the offshore industry's safety concerns. Analysis of 24 incidents involving contact or collision between supply vessels and offshore installations owned or operated by Norwegian companies indicated that failures in the bridge system were often the cause.

  12. Olfactory Dysfunction in Nasal Bone Fracture.

    Science.gov (United States)

    Kim, Sug Won; Park, Beom; Lee, Tae Geun; Kim, Ji Ye

    2017-06-01

    All nasal bone fractures have the potential for worsening of olfactory function. However, few studies have studied the olfactory outcomes following reduction of nasal bone fractures. This study evaluates posttraumatic olfactory dysfunction in patients with nasal bone fracture before and after closed reduction. A prospective study was conducted for all patients presenting with nasal bone fracture (n=97). Each patient consenting to the study underwent the Korean version of Sniffin' Sticks test (KVSS II) before operation and at 6 month after closed reduction. The nasal fractures were divided according to the nasal bone fracture classification by Haug and Prather (Types I-IV). The olfactory scores were compared across fracture types and between preoperative and postoperative settings. Olfactory dysfunction was frequent after nasal fracture (45/97, 46.4%). Our olfactory assessment using the KVSS II test revealed that fracture reduction was not associated with improvements in the mean test score in Type I or Type II fractures. More specifically, the mean posttraumatic Threshold, discrimination and identification score decreased from 28.8 points prior to operation to 23.1 point at 6 months for Type II fracture with septal fracture. Our study has revealed two alarming trends regarding post-nasal fracture olfactory dysfunction. First, our study demonstrated that almost half (46.4%) of nasal fracture patients experience posttraumatic olfactory dysfunction. Second, closed reduction of these fractures does not lead to improvements olfaction at 6 months, which suggest that olfactory dysfunction is probably due to factors other than the fracture itself. The association should be further explored between injuries that lead to nasal fracture and the mechanism behind posttraumatic olfactory dysfunction.

  13. Probabilistic Structural Integrity Analysis of Boiling Water Reactor Pressure Vessel under Low Temperature Overpressure Event

    Directory of Open Access Journals (Sweden)

    Hsoung-Wei Chou

    2015-01-01

    Full Text Available The probabilistic structural integrity of a Taiwan domestic boiling water reactor pressure vessel has been evaluated by the probabilistic fracture mechanics analysis. First, the analysis model was built for the beltline region of the reactor pressure vessel considering the plant specific data. Meanwhile, the flaw models which comprehensively simulate all kinds of preexisting flaws along the vessel wall were employed here. The low temperature overpressure transient which has been concluded to be the severest accident for a boiling water reactor pressure vessel was considered as the loading condition. It is indicated that the fracture mostly happens near the fusion-line area of axial welds but with negligible failure risk. The calculated results indicate that the domestic reactor pressure vessel has sufficient structural integrity until doubling of the present end-of-license operation.

  14. Geriatric trauma hip fractures: is there a difference in outcomes based on fracture patterns?

    OpenAIRE

    Mangram, Alicia; Moeser, Phillip; Corneille, Michael G; Prokuski, Laura J; Zhou, Nicolas; Sohn, Jacqueline; Chaliki, Shalini; Oguntodu, Olakunle F; Dzandu, James K

    2014-01-01

    Background Annually in the US, there are over 300,000 hospital admissions due to hip fractures in geriatric patients. Consequently, there have been several large observational studies, which continue to provide new insights into differences in outcomes among hip fracture patients. However, few hip fracture studies have specifically examined the relationship between hip fracture patterns, sex, and short-term outcomes including hospital length of stay and discharge disposition in geriatric trau...

  15. Arthroscopy-assisted fracture fixation.

    Science.gov (United States)

    Atesok, Kivanc; Doral, M Nedim; Whipple, Terry; Mann, Gideon; Mei-Dan, Omer; Atay, O Ahmet; Beer, Yiftah; Lowe, Joseph; Soudry, Michael; Schemitsch, Emil H

    2011-02-01

    the purpose of this article was to systematically analyze the results of published studies in the literature which evaluated the use of arthroscopically assisted techniques in intra-articular fracture fixation. published investigations to date were analyzed by classifying them according to joints that were involved with intra-articular fractures including: knee, ankle, hip, shoulder, elbow, and wrist joints. The results were studied to assess the feasibility, efficiency, and outcomes of arthroscopy-assisted fracture fixation. arthroscopy-assisted techniques have been used successfully for the treatment of fractures of the tibial plateau, tibial eminence, malleoli, pilon, calcaneus, femoral head, glenoid, greater tuberosity, distal clavicle, radial head, coronoid, distal radius, and scaphoid. The major advantages of arthroscopic fracture fixation over open methods are direct visualization of the intra-articular space, decreased invasiveness, and the possibility for multitask interventions through which fixation of the fracture, and repair of the soft tissues and the cartilage can be performed simultaneously. The time-consuming and technically demanding nature of the procedures with a prolonged learning curve and limited fixation alternatives are the main disadvantages of this technique. arthroscopic fixation is increasingly utilized for certain intra-articular fracture types due to the minimally invasive nature of the procedures and high accuracy. Randomized controlled trials are needed to justify wider use of arthroscopy-assisted techniques for treatment of intra-articular fractures.

  16. Interpersonal violence and facial fractures.

    Science.gov (United States)

    Lee, Kai H

    2009-09-01

    Interpersonal violence is a major health hazard that contributes to the high volume of trauma seen in the emergency department. It is also one of the principal causes of maxillofacial fractures. The present study was a retrospective analysis of patients referred to, and treated at, the Oral and Maxillofacial Surgery Unit at Christchurch Hospital during an 11-year period (1996 to 2006). The variables examined included patient demographics, fracture types, mode of injury, and treatment delivered. An increase was found in the number of fractures due to interpersonal violence in the second half of the study, although the proportion remained the same. The age of the patients ranged from 9 to 89 years (mean 28). The male-to-female ratio was 9:1. Of the patients, 87% had alcohol involvement. The mandible was the most common site of fracture, followed by the zygoma. Other midface fractures, including Le Fort fractures, were less frequently observed. Of the patients, 59% were hospitalized and 56% required surgery, with internal fixation necessary in 41% of patients. An increase occurred in the number of facial fractures associated with interpersonal violence during the study period. Young male adults were the most affected demographic group, with alcohol a main contributing factor. Violence-related facial fracture is a health hazard that deserves more public awareness and implementation of preventive programs.

  17. Intergranular fracture stress and phosphorus grain boundary segregation of a Mn-Ni-Mo steel

    Energy Technology Data Exchange (ETDEWEB)

    Naudin, C.; Frund, J.M. [EDF, Moret sur Loing (France). Direction des Etudes et Recherches; Pineau, A. [Ecole des Mines de Paris, Evry (France). Centre des Materiaux

    1999-04-09

    Nuclear Reactor Pressure Vessel (RPV) steel A508 class 3 which is a low alloyed steel is not usually sensitive to reversible temper embrittlement when properly heat treated. However heterogeneous zones may be present in particular near the inner side of the vessel. These zones result from the segregation of the alloying elements (C, Mn, Ni, Mo) and impurities (S, P) taking place during solidification of the material. They are called segregated zones (or ghost lines). They can reach 2 mm thick along the radius and 30 mm long through the circumferential direction. Their susceptibility to reversible temper embrittlement is mainly due to grain boundary phosphorus segregation triggering brittle intergranular fracture when the material is tested at low temperature. In this material like in other steels the influence of some other alloying elements (Mo, Mn...) is clearly significant and should also be taken into account. But phosphorus effect has proved to be predominant. The aim of the present study is therefore to find out a quantitative relationship between grain boundary phosphorus segregation and critical intergranular fracture stress. A synthetic steel with a chemical composition representative of an average segregated zone was prepared for the present study. A number of heat treatments were applied to reach different embrittlement conditions. Then brittle fracture properties were obtained by performing cryogenic fracture tests on notched tensile specimens while the corresponding grain boundary phosphorus levels were measured by Auger electron spectroscopy. Systematic fractographic observations were carried out. Moreover an attempt to determine the influence of temperature on the critical intergranular fracture stress was made.

  18. Hydraulic fracturing

    Energy Technology Data Exchange (ETDEWEB)

    Clampitt, R.L.

    1973-04-17

    A method of fracturing a subterranean porous formation penetrated by a well bore consists of injecting down the well and into the formation, at a pressure sufficient to fracture the formation, a fracturing fluid comprising an aqueous gel. This gel is composed of water to which there has been added: a water-thickening amount of a water-dispersible polymer selected from the group consisting of polyacrylamides and polymethacrylamides; crosslinked polyacrylamides and crosslinked polyacrylamides; polyacrylic acid and polymethacrylic acid; polyacrylates; polymers of N-substituted acrylamides; copolymers of acrylamide with another ethylenically unsaturated monomer copolymerizable therewith; mixtures of the polymers; a water-soluble compound of a polyvalent metal which is capable of gelling the water when the valence of the metal is reduced to a lower valence state; and a water-soluble reducing agent. (31 claims)

  19. Test of 6-in. -thick pressure vessels. Series 4: intermediate test vessels V-5 and V-9 with inside nozzle corner cracks. [BWR and PWR

    Energy Technology Data Exchange (ETDEWEB)

    Merkle, J.G.; Robinson, G.C.; Holz, P.P.; Smith, J.E.

    1977-08-01

    Failure testing is described for two 99-cm-diam (39-in.), 15.2-cm-thick (6-in.) steel pressure vessels, each containing one flawed nozzle. Vessel V-5 was tested at 88/sup 0/C (190/sup 0/F) and failed by leaking without fracturing after extensive stable crack growth. Vessel V-9 was tested at 25/sup 0/C (75/sup 0/F) and failed by fracturing. Material properties measured before the tests were used for pretest and posttest fracture analyses. Test results supported by analysis indicate that inside nozzle corner cracks are not subject to plane strain under pressure loading. The preparation of inside nozzle corner cracks is described in detail. Extensive experimental data are tabulated and plotted.

  20. Fracture Blisters

    Directory of Open Access Journals (Sweden)

    Uebbing, Claire M

    2011-02-01

    Full Text Available Fracture blisters are a relatively uncommon complication of fractures in locations of the body, such as the ankle, wrist elbow and foot, where skin adheres tightly to bone with little subcutaneous fat cushioning. The blister that results resembles that of a second degree burn.These blisters significantly alter treatment, making it difficult to splint or cast and often overlying ideal surgical incision sites. Review of the literature reveals no consensus on management; however, most authors agree on early treatment prior to blister formation or delay until blister resolution before attempting surgical correction or stabilization. [West J Emerg Med. 2011;12(1;131-133.

  1. GOLD PRESSURE VESSEL SEAL

    Science.gov (United States)

    Smith, A.E.

    1963-11-26

    An improved seal between the piston and die member of a piston-cylinder type pressure vessel is presented. A layer of gold, of sufficient thickness to provide an interference fit between the piston and die member, is plated on the contacting surface of at least one of the members. (AEC)

  2. Network of endocardial vessels.

    Science.gov (United States)

    Lee, Byung-Cheon; Kim, Hong Bae; Sung, Baeckkyoung; Kim, Ki Woo; Sohn, Jamin; Son, Boram; Chang, Byung-Joon; Soh, Kwang-Sup

    2011-01-01

    Although there have been reports on threadlike structures inside the heart, they have received little attention. We aimed to develop a method for observing such structures and to reveal their ultrastructures. An in situ staining method, which uses a series of procedures of 0.2-0.4% trypan blue spraying and washing, was applied to observe threadlike structures on the surfaces of endocardia. The threadlike structures were isolated and observed by using confocal laser scanning microscopy (CLSM) and transmission electron microscopy (TEM). Networks of endocardial vessels (20 μm in thickness) with expansions (40-100 μm in diameter) were visualized; they were movable on the endocardium of the bovine atrium and ventricle. CLSM showed that (1) rod-shaped nuclei were aligned along the longitudinal direction of the endocardial vessel and (2) there were many cells inside the expansion. TEM on the endocardial vessel revealed that (1) there existed multiple lumens (1-7 μm in diameter) and (2) the extracellular matrices mostly consisted of collagen fibers, which were aligned along the longitudinal direction of the endocardial vessel or were locally organized in reticular structures. We investigated the endocardial circulatory system in bovine cardiac chambers and its ultrastructures, such as nucleic distributions, microlumens, and collagenous extracellular matrices. Copyright © 2011 S. Karger AG, Basel.

  3. Pressurized Vessel Slurry Pumping

    Energy Technology Data Exchange (ETDEWEB)

    Pound, C.R.

    2001-09-17

    This report summarizes testing of an alternate ''pressurized vessel slurry pumping'' apparatus. The principle is similar to rural domestic water systems and ''acid eggs'' used in chemical laboratories in that material is extruded by displacement with compressed air.

  4. 78 FR 14053 - Vessel Documentation Renewal Fees

    Science.gov (United States)

    2013-03-04

    ... the comment, if submitted on behalf of an association, business, labor union, etc.). You may review a... effects, distributive impacts, and equity). Executive Order 13563 emphasizes the importance of quantifying... additional costs due to increased need in labor and capital costs, would cost each vessel owner $26 per...

  5. Is human fracture hematoma inherently angiogenic?

    LENUS (Irish Health Repository)

    Street, J

    2012-02-03

    This study attempts to explain the cellular events characterizing the changes seen in the medullary callus adjacent to the interfragmentary hematoma during the early stages of fracture healing. It also shows that human fracture hematoma contains the angiogenic cytokine vascular endothelial growth factor and has the inherent capability to induce angiogenesis and thus promote revascularization during bone repair. Patients undergoing emergency surgery for isolated bony injury were studied. Raised circulating levels of vascular endothelial growth factor were seen in all injured patients, whereas the fracture hematoma contained significantly higher levels of vascular endothelial growth factor than did plasma from these injured patients. However, incubation of endothelial cells in fracture hematoma supernatant significantly inhibited the in vitro angiogenic parameters of endothelial cell proliferation and microtubule formation. These phenomena are dependent on a local biochemical milieu that does not support cytokinesis. The hematoma potassium concentration is cytotoxic to endothelial cells and osteoblasts. Subcutaneous transplantation of the fracture hematoma into a murine wound model resulted in new blood vessel formation after hematoma resorption. This angiogenic effect is mediated by the significant concentrations of vascular endothelial growth factor found in the hematoma. This study identifies an angiogenic cytokine involved in human fracture healing and shows that fracture hematoma is inherently angiogenic. The differences between the in vitro and in vivo findings may explain the phenomenon of interfragmentary hematoma organization and resorption that precedes fracture revascularization.

  6. Progress of ITER vacuum vessel

    Energy Technology Data Exchange (ETDEWEB)

    Ioki, K., E-mail: Kimihiro.Ioki@iter.org [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Bayon, A. [F4E, c/ Josep Pla, No. 2, Torres Diagonal Litoral, Edificio B3, E-08019 Barcelona (Spain); Choi, C.H.; Daly, E.; Dani, S.; Davis, J.; Giraud, B.; Gribov, Y.; Hamlyn-Harris, C.; Jun, C.; Levesy, B. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Kim, B.C. [NFRI, 52 Yeoeundong Yuseonggu, Daejeon 305-333 (Korea, Republic of); Kuzmin, E. [NTC “Sintez”, Efremov Inst., 189631 Metallostroy, St. Petersburg (Russian Federation); Le Barbier, R.; Martinez, J.-M. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Pathak, H. [ITER-India, A-29, GIDC Electronic Estate, Sector 25, Gandhinagar 382025 (India); Preble, J. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Sa, J.W. [NFRI, 52 Yeoeundong Yuseonggu, Daejeon 305-333 (Korea, Republic of); Terasawa, A.; Utin, Yu. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); and others

    2013-10-15

    Highlights: ► This covers the overall status and progress of the ITER vacuum vessel activities. ► It includes design, R and D, manufacturing and approval process of the regulators. ► The baseline design was completed and now manufacturing designs are on-going. ► R and D includes ISI, dynamic test of keys and lip-seal welding/cutting technology. ► The VV suppliers produced full-scale mock-ups and started VV manufacturing. -- Abstract: Design modifications were implemented in the vacuum vessel (VV) baseline design in 2011–2012 for finalization. The modifications are mostly due to interface components, such as support rails and feedthroughs for the in-vessel coils (IVC). Manufacturing designs are being developed at the domestic agencies (DAs) based on the baseline design. The VV support design was also finalized and tests on scale mock-ups are under preparation. Design of the in-wall shielding (IWS) has progressed, considering the assembly methods and the required tolerances. Further modifications are required to be consistent with the DAs’ manufacturing designs. Dynamic tests on the inter-modular and stub keys to support the blanket modules are being performed to measure the dynamic amplification factor (DAF). An in-service inspection (ISI) plan has been developed and R and D was launched for ISI. Conceptual design of the VV instrumentation has been developed. The VV baseline design was approved by the agreed notified body (ANB) in accordance with the French Nuclear Pressure Equipment Order procedure.

  7. [Algorithms for the identification of hospital stays due to osteoporotic femoral neck fractures in European medical administrative databases using ICD-10 codes: A non-systematic review of the literature].

    Science.gov (United States)

    Caillet, P; Oberlin, P; Monnet, E; Guillon-Grammatico, L; Métral, P; Belhassen, M; Denier, P; Banaei-Bouchareb, L; Viprey, M; Biau, D; Schott, A-M

    2017-10-01

    Osteoporotic hip fractures (OHF) are associated with significant morbidity and mortality. The French medico-administrative database (SNIIRAM) offers an interesting opportunity to improve the management of OHF. However, the validity of studies conducted with this database relies heavily on the quality of the algorithm used to detect OHF. The aim of the REDSIAM network is to facilitate the use of the SNIIRAM database. The main objective of this study was to present and discuss several OHF-detection algorithms that could be used with this database. A non-systematic literature search was performed. The Medline database was explored during the period January 2005-August 2016. Furthermore, a snowball search was then carried out from the articles included and field experts were contacted. The extraction was conducted using the chart developed by the REDSIAM network's "Methodology" task force. The ICD-10 codes used to detect OHF are mainly S72.0, S72.1, and S72.2. The performance of these algorithms is at best partially validated. Complementary use of medical and surgical procedure codes would affect their performance. Finally, few studies described how they dealt with fractures of non-osteoporotic origin, re-hospitalization, and potential contralateral fracture cases. Authors in the literature encourage the use of ICD-10 codes S72.0 to S72.2 to develop algorithms for OHF detection. These are the codes most frequently used for OHF in France. Depending on the study objectives, other ICD10 codes and medical and surgical procedures could be usefully discussed for inclusion in the algorithm. Detection and management of duplicates and non-osteoporotic fractures should be considered in the process. Finally, when a study is based on such an algorithm, all these points should be precisely described in the publication. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  8. Blood vessel segmentation in magnetic resonance angiography imagery

    Science.gov (United States)

    Kozaitis, S. P.; Chandramohan, R.

    2011-06-01

    Small blood vessels may be difficult to detect in magnetic resonance angiography due to the lack of blood flow caused by disease or injury. Our method, which uses a block-matching denoising approach to segment blood vessels, works well in the presence of noise. We examined extended regions of an image to determine whether they contained blood vessels by fitting a Gaussian mixture model to a region's histogram. Then, dissimilar regions were denoised separately. This approach was beneficial in low-contrast settings. It can be used to detect higher-order blood vessels that may be difficult to detect under normal conditions.

  9. Hawaii Abandoned Vessel Inventory, Kauai

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Kauai. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  10. CNMI Abandoned Vessel Inventory, Tinian

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Tinian. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  11. Puerto Rico Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Puerto Rico. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  12. American Samoa Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for American Samoa. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  13. Hawaii Abandoned Vessel Inventory, Oahu

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Oahu, Hawaii. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  14. Hawaii Abandoned Vessel Inventory, Molokai

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Molokai, Hawaii. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  15. CNMI Abandoned Vessel Inventory, Rota

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Rota. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  16. Hawaii Abandoned Vessel Inventory, Lanai

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Lanai. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  17. For-Hire Vessel Directory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Vessel Directory is maintained as the sample frame for the For-Hire Survey. I contains data on for-hire vessels on the Atlantic and Gulf coasts. Data include...

  18. CNMI Abandoned Vessel Inventory, Saipan

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Saipan. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  19. Hawaii Abandoned Vessel Inventory, Maui

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Maui. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral habitats...

  20. Vessels in Transit - Web Tool

    Data.gov (United States)

    Department of Transportation — A web tool that provides real-time information on vessels transiting the Saint Lawrence Seaway. Visitors may sort by order of turn, vessel name, or last location in...

  1. Sustainable Oceanographic Vessels - Setting an Example

    Science.gov (United States)

    van Leer, J. C.

    2009-12-01

    In response to climate change, global warming and post “peak oil” fuel scarcity, the oceanographic community should consider reducing its carbon foot print. Why should scientists operate inefficient vessels while lecturing the general public on the need to reduce CO2 emissions? We have already seen curtailment of ship schedules and ship lay-ups, due in part to rising fuel costs, following $140/barrel crude oil. When the global recession ends, upward pressure on oil prices will again commence. Who can forecast how high fuel prices may ultimately rise during the typical 25-30 year lifetime of a research vessel? Are we to curtail future work at sea when oceanic climate research is becoming ever more important? A catamaran research vessel has been designed which can be electrically propelled from by a combination of high efficiency generators, photovoltaic panels and/or sails. Sail produced power is transformed with propellers and motor/generators into electric power which is stored in battery banks. This vessel could operate as the first true hybrid oceanographic research vessel. It could even continue operations without fuel in cases of a severe fuel shortage or fueling denial. Since the power produced by any water turbine increases with the cube of the velocity flowing over its propeller, the low fluid friction and high stability of a catamaran, with reasonably slender hulls, provide an important boost to efficient hybrid operation. The author has chartered a 42’ hybrid catamaran sailboat and found it efficient and extremely easy to operate and control. A 79’ motor sailing catamaran research vessel by Lock Crowther Designs will be presented as one example of a sustainable research vessel with excellent speed and sea-keeping. A center well makes operation as a small drilling/coring ship for coastal climate investigation possible. The center well also supports a host of remote sensing and robotic gear handling capabilities.

  2. Vessel discoloration detection in malarial retinopathy

    Science.gov (United States)

    Agurto, C.; Nemeth, S.; Barriga, S.; Soliz, P.; MacCormick, I.; Taylor, T.; Harding, S.; Lewallen, S.; Joshi, V.

    2016-03-01

    Cerebral malaria (CM) is a life-threatening clinical syndrome associated with malarial infection. It affects approximately 200 million people, mostly sub-Saharan African children under five years of age. Malarial retinopathy (MR) is a condition in which lesions such as whitening and vessel discoloration that are highly specific to CM appear in the retina. Other unrelated diseases can present with symptoms similar to CM, therefore the exact nature of the clinical symptoms must be ascertained in order to avoid misdiagnosis, which can lead to inappropriate treatment and, potentially, death. In this paper we outline the first system to detect the presence of discolored vessels associated with MR as a means to improve the CM diagnosis. We modified and improved our previous vessel segmentation algorithm by incorporating the `a' channel of the CIELab color space and noise reduction. We then divided the segmented vasculature into vessel segments and extracted features at the wall and in the centerline of the segment. Finally, we used a regression classifier to sort the segments into discolored and not-discolored vessel classes. By counting the abnormal vessel segments in each image, we were able to divide the analyzed images into two groups: normal and presence of vessel discoloration due to MR. We achieved an accuracy of 85% with sensitivity of 94% and specificity of 67%. In clinical practice, this algorithm would be combined with other MR retinal pathology detection algorithms. Therefore, a high specificity can be achieved. By choosing a different operating point in the ROC curve, our system achieved sensitivity of 67% with specificity of 100%.

  3. Pressure vessel design manual

    Energy Technology Data Exchange (ETDEWEB)

    Moss, D.R.

    1987-01-01

    The first section of the book covers types of loadings, failures, and stress theories, and how they apply to pressure vessels. The book delineates the procedures for designing typical components as well as those for designing large openings in cylindrical shells, ring girders, davits, platforms, bins and elevated tanks. The techniques for designing conical transitions, cone-cylinder intersections, intermediate heads, flat heads, and spherically dished covers are also described. The book covers the design of vessel supports subject to wind and seismic loads and one section is devoted to the five major ways of analyzing loads on shells and heads. Each procedure is detailed enough to size all welds, bolts, and plate thicknesses and to determine actual stresses.

  4. New research vessels

    Science.gov (United States)

    1984-04-01

    Two “new” ocean-going research vessels operated by the Scripps Institution of Oceanography and the National Science Foundation (NSF) will soon begin full-time scientific duties off the coast of California and in the Antarctic, respectively. The 37.5-m Scripps vessel, named Robert Gordon Sprout in honor of the ex-president of the University of California, replaces the smaller ship Ellen B. Scripps, which had served the institution since 1965. The new ship is a slightly modified Gulf Coast workboat. Under the name of Midnight Alaskan, it had been used for high-resolution geophysical surveys in American and Latin American waters by such firms as Arco Oil & Gas, Exxon, Pennzoil, and Racal-Decca before its purchase by Scripps from a Lousiana chartering firm last summer.

  5. Bimalleolar ankle fracture with proximal fibular fracture

    NARCIS (Netherlands)

    Colenbrander, R. J.; Struijs, P. A. A.; Ultee, J. M.

    2005-01-01

    A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. The proximal fibular

  6. Nonlinear retinal image enhancement for vessel detection

    Science.gov (United States)

    Wang, Xiaohong; Jiang, Xudong

    2017-07-01

    Retinal vessel detection is an essential part of the computer-aided diagnosis of eye diseases. Due to non-perfect imaging environment, retinal images often appear with intensity variations and artificial noises. This work proposes a two-step nonlinear retinal image enhancement to compensate for those imperfections of retinal images. The first step reduces intensity fluctuations of the image and the second step attenuates impulsive noise while preserving retinal vessels. Classification on the feature vector extracted from the enhanced retinal images is performed by using a linear SVM classifier. Experimental results demonstrate that the proposed method of two-step nonlinear image enhancement visibly improves the vessel detection performance, achieving better accuracy than that without enhancement process on the both DRIVE and STARE databases.

  7. Large vessel vasculitides

    OpenAIRE

    Morović-Vergles, Jadranka; Pukšić, Silva; Gudelj Gračanin, Ana

    2013-01-01

    Large vessel vasculitis includes Giant cell arteritis and Takayasu arteritis. Giant cell arteritis is the most common form of vasculitis affect patients aged 50 years or over. The diagnosis should be considered in older patients who present with new onset of headache, visual disturbance, polymyalgia rheumatica and/or fever unknown cause. Glucocorticoides remain the cornerstone of therapy. Takayasu arteritis is a chronic panarteritis of the aorta ant its major branches presenting commonly in y...

  8. Very Versatile Vessel

    Science.gov (United States)

    2009-09-01

    data. This source provides information on aluminum hydrofoil vessels without the added weight of foil structures. The composite armor around the...seating compartment. The sides should also limit wave splash on the deck. The freeboard should contribute reserve buoyancy , increasing large-angle and...Resistance, Powering, and Propulsion Savitsky’s Method Since model testing data or other reliable performance data was unavailable for the proposed

  9. Lung vessel segmentation in CT images using graph-cuts

    Science.gov (United States)

    Zhai, Zhiwei; Staring, Marius; Stoel, Berend C.

    2016-03-01

    Accurate lung vessel segmentation is an important operation for lung CT analysis. Filters that are based on analyzing the eigenvalues of the Hessian matrix are popular for pulmonary vessel enhancement. However, due to their low response at vessel bifurcations and vessel boundaries, extracting lung vessels by thresholding the vesselness is not sufficiently accurate. Some methods turn to graph-cuts for more accurate segmentation, as it incorporates neighbourhood information. In this work, we propose a new graph-cuts cost function combining appearance and shape, where CT intensity represents appearance and vesselness from a Hessian-based filter represents shape. Due to the amount of voxels in high resolution CT scans, the memory requirement and time consumption for building a graph structure is very high. In order to make the graph representation computationally tractable, those voxels that are considered clearly background are removed from the graph nodes, using a threshold on the vesselness map. The graph structure is then established based on the remaining voxel nodes, source/sink nodes and the neighbourhood relationship of the remaining voxels. Vessels are segmented by minimizing the energy cost function with the graph-cuts optimization framework. We optimized the parameters used in the graph-cuts cost function and evaluated the proposed method with two manually labeled sub-volumes. For independent evaluation, we used 20 CT scans of the VESSEL12 challenge. The evaluation results of the sub-volume data show that the proposed method produced a more accurate vessel segmentation compared to the previous methods, with F1 score 0.76 and 0.69. In the VESSEL12 data-set, our method obtained a competitive performance with an area under the ROC curve of 0.975, especially among the binary submissions.

  10. Deaths Related to Vessel Injuries in Extremities

    Directory of Open Access Journals (Sweden)

    Nursel Türkmen

    2003-12-01

    Full Text Available Lethal or non-lethal extremity injuries are often seen in medico-legal practice. In this study, we planned to investigate medico-legal properties of deaths related to vessel injuries in extremities. In forensic autopsies performed in Bursa, we examined total 4242 autopsy reports between 1996-2003 in included 40 (0,94% cases of deaths caused by vessel injuries in extremities. 90% of cases were male with median age 35.87 (17-66. Stabbing device account for 60% of injuries. Most frequent injuries were in femoral artery and branches. In 82.5% of cases, homicide was the origin of death. In 30% of cases, mean 159.33 mg/dl alcohol blood concentration was detected. In the scene investigation reports, 47.5% of documented incidents were outdoor and 47.5% of the cases died in the scene. As a conclusion, it is observed that alcoholic males of middle age are the risk group for vascular injuries in extremities. In the deaths related to isolated vessel injuries in extremities, the detection of injured vessel, localisation and number of total and lethal wounds would offer a solution for the evil intent; and as in the other violent death cases autopsy is required in the deaths due to vessel injuries in extremities. Key words: Vascular injuries, Extremity, Forensic autopsy.

  11. Trends in Tissue Engineering for Blood Vessels

    Directory of Open Access Journals (Sweden)

    Judee Grace Nemeno-Guanzon

    2012-01-01

    Full Text Available Over the years, cardiovascular diseases continue to increase and affect not only human health but also the economic stability worldwide. The advancement in tissue engineering is contributing a lot in dealing with this immediate need of alleviating human health. Blood vessel diseases are considered as major cardiovascular health problems. Although blood vessel transplantation is the most convenient treatment, it has been delimited due to scarcity of donors and the patient’s conditions. However, tissue-engineered blood vessels are promising alternatives as mode of treatment for blood vessel defects. The purpose of this paper is to show the importance of the advancement on biofabrication technology for treatment of soft tissue defects particularly for vascular tissues. This will also provide an overview and update on the current status of tissue reconstruction especially from autologous stem cells, scaffolds, and scaffold-free cellular transplantable constructs. The discussion of this paper will be focused on the historical view of cardiovascular tissue engineering and stem cell biology. The representative studies featured in this paper are limited within the last decade in order to trace the trend and evolution of techniques for blood vessel tissue engineering.

  12. Spontaneous bilateral fracture of patella.

    Science.gov (United States)

    Moretti, Biagio; Speciale, Domenico; Garofalo, Raffaele; Moretti, Lorenzo; Patella, Silvio; Patella, Vittorio

    2008-03-01

    Bilateral patellae fractures represent a rare entity, accounting for approximately 2.9% of all lesions interesting in this anatomical district. In most cases found in the published work, they are described as stress fractures or as complications of chronic diseases such as osteoporosis, renal failure and secondary hyperparathyroidism. Although many pathogenetic mechanisms have been supposed, none have been proved for certain. Insufficiency fractures of the patellae are rare events and no data has been published on their incidence. We present a case of bilateral fracture of the patellae due to an indirect trauma occurring in an 85-year-old patient affected by Parkinson's disease, osteoporosis and diffuse degenerative osteoarthritis. X-ray of the knees (anteroposterior and lateral) and magnetic resonance imaging evaluation confirmed the fractures. The patient was treated conservatively. She had a good result, returning to her previous autonomous ambulation. This case is unusual because there was no direct trauma to the knees because of bilaterality, but confirmed previous observations about insufficiency fractures of patellae in the presence of comorbidity. Insufficiency fractures of patellae can be an insidious condition in elderly people. Prepatellar pain, a common symptom in the relapse phase of degenerative arthritis of the knee, should not be underestimated, particularly in patients with diseases influencing metabolism of bone and with an elevated risk of fall. A periodical clinical and instrumental follow up should be done in these patient. Moreover, we underline the necessity of a multidisciplinary approach.

  13. RESEARCH PROGRAM ON FRACTURED PETROLEUM RESERVOIRS

    Energy Technology Data Exchange (ETDEWEB)

    Abbas Firoozabadi

    2002-04-12

    Numerical simulation of water injection in discrete fractured media with capillary pressure is a challenge. Dual-porosity models in view of their strength and simplicity can be mainly used for sugar-cube representation of fractured media. In such a representation, the transfer function between the fracture and the matrix block can be readily calculated for water-wet media. For a mixed-wet system, the evaluation of the transfer function becomes complicated due to the effect of gravity. In this work, they use a discrete-fracture model in which the fractures are discretized as one dimensional entities to account for fracture thickness by an integral form of the flow equations. This simple step greatly improves the numerical solution. Then the discrete-fracture model is implemented using a Galerkin finite element method. The robustness and the accuracy of the approach are shown through several examples. First they consider a single fracture in a rock matrix and compare the results of the discrete-fracture model with a single-porosity model. Then, they use the discrete-fracture model in more complex configurations. Numerical simulations are carried out in water-wet media as well as in mixed-wet media to study the effect of matrix and fracture capillary pressures.

  14. Low energy fractures of the acetabulum.

    Science.gov (United States)

    Papadakos, N; Pearce, R; Bircher, M D

    2014-05-01

    Acetabular fractures due to high energy injuries are common and well documented; those secondary to low energy mechanisms are less well described. We undertook a retrospective study of the acetabular fracture referrals to our unit to evaluate the proportion of injuries resulting from a low energy mechanism. A total of 573 acetabular fractures were evaluated from 1 January 2005 to 31 December 2008. The plain radiography and computed tomography of those sustaining a low energy fracture were assessed and the fracture patterns classified. Of the 573 acetabular fractures, 71 (12.4%) were recorded as being a result of a low energy mechanism. The male-to-female ratio was 2.4:1 and the mean patient age was 67.0 years (standard deviation: 19.1 years). There was a significantly higher number of fractures (pfracture studies. Our results demonstrate that low energy fractures make up a considerable proportion of acetabular fractures with a distinctly different fracture pattern distribution. With the continued predicted rise in the incidence of osteoporosis, life expectancy and an aging population, it is likely that this type of fracture will become increasingly more common, posing difficult management decisions and leading to procedures that are technically more challenging.

  15. Fluid Production Induced Stress Analysis Surrounding an Elliptic Fracture

    Science.gov (United States)

    Pandit, Harshad Rajendra

    Hydraulic fracturing is an effective technique used in well stimulation to increase petroleum well production. A combination of multi-stage hydraulic fracturing and horizontal drilling has led to the recent boom in shale gas production which has changed the energy landscape of North America. During the fracking process, highly pressurized mixture of water and proppants (sand and chemicals) is injected into to a crack, which fractures the surrounding rock structure and proppants help in keeping the fracture open. Over a longer period, however, these fractures tend to close due to the difference between the compressive stress exerted by the reservoir on the fracture and the fluid pressure inside the fracture. During production, fluid pressure inside the fracture is reduced further which can accelerate the closure of a fracture. In this thesis, we study the stress distribution around a hydraulic fracture caused by fluid production. It is shown that fluid flow can induce a very high hoop stress near the fracture tip. As the pressure gradient increases stress concentration increases. If a fracture is very thin, the flow induced stress along the fracture decreases, but the stress concentration at the fracture tip increases and become unbounded for an infinitely thin fracture. The result from the present study can be used for studying the fracture closure problem, and ultimately this in turn can lead to the development of better proppants so that prolific well production can be sustained for a long period of time.

  16. Tensile and Fatigue Behavior of ASS304 for Cold Stretching Pressure Vessels at Cryogenic Temperature

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hoon Seok [The 5th R and D Institute, Agency for Defense Development, Daejeon (Korea, Republic of); Kim, Jae Hoon; Na, Seong Hyun [Chungnam National Univ., Daejon (Korea, Republic of); Lee, Youn Hyung [Korean Gas Safety Corporation, Chungju (Korea, Republic of); Kim, Sung Hun [Daechang Solution Co. Ltd, Busan (Korea, Republic of); Kim, Young Kyun; Kim, Ki Dong [Korean Gas Corporation, R and D Division, Ansan (Korea, Republic of)

    2016-05-15

    Cold stretching(CS) pressure vessels from ASS304 (austenitic stainless steel 304) are used for the transportation and storage of liquefied natural gas(LNG). CS pressure vessels are manufactured by pressurizing the finished vessels to a specific pressure to produce the required stress σk. After CS, there is some degree of plastic deformation. Therefore, CS vessels have a higher strength and lighter weight compared to conventional vessels. In this study, we investigate the tensile and fatigue behavior of ASS304 sampled by CS pressure vessels in accordance with the ASME code at cryogenic temperature. From the fatigue test results, we show S-N curves using a statistical method recommended by JSEM-S002. We carried out the fractography of fractured specimens using scanning electron microscopy (SEM)

  17. Distal radius triplane fracture.

    Science.gov (United States)

    Parkar, A A H; Marya, S; Auplish, S

    2014-11-01

    A triplane fracture is so named because of the three planes traversed by the fracture line. These are physeal fractures that result from injury during the final phase of maturation and cessation of growth. This fracture pattern typically involves the distal tibia. We present a rare case of a triplane fracture involving the distal radius.

  18. Vessel Traffic Services.

    Science.gov (United States)

    1982-12-01

    Yorker" articles titled Silent Spring by Rachel Carson in 1963 produced a unifying effect, "the sort of rallying point of the movement to protect the...6232, 92d Cong., 1st. sess., 1971, p. 2. 15. Carson , Rachel L. , The Sea Around Us, New York: Oxford Univesity Press, 195-, p. IV. 16. U.S., Congress...Government Printing Office, 1974. 63. Buhler, L. and Geiger, J., Vessel Traffic Data Extraction MethodoloqX, Silver Spring , Maryland, O6erFae-tns

  19. Vanishing corneal vessels

    Science.gov (United States)

    Nicholson, Luke; Chana, Rupinder

    2013-01-01

    We wish to highlight the importance of acknowledging the accompanying effects of topical phenylephrine drops on the eye other than its intended mydriasis. We reported a case of a 92-year-old woman with a corneal graft who was noted to have superficial corneal vascularisation which was not documented previously. After the instillation of topical tropicamide 1% and phenylephrine 2.5%, for funduscopy, the corneal vascularisation was not visible. When reassessed on another visit, tropicamide had no effect on the vessels and only phenylephrine did. We wish to highlight that when reviewing patients in cornea clinics, instilling phenylephrine prior to being seen may mask important corneal vascularisation. PMID:24121816

  20. Percutaneous plating of distal tibial fractures.

    Science.gov (United States)

    Khoury, Amal; Liebergall, Meir; London, Eli; Mosheiff, Rami

    2002-09-01

    This article presents our experience with 24 patients who had distal tibial fractures and were treated by percutaneous plate fixation. Distribution of the fractures according to the AO/OTA classification was as follows: five patients suffered from a 43 A type fracture, six from a 43 B type fracture, and 13 from a 43 C type fractures. Four of the fractures were open. Exclusion criteria included 43 C3 fractures and Gustilo III open fractures. All fractures showed radiographic signs of union enough to enable full weightbearing within an average time of 12.3 weeks. All patients showed a good range of motion (average dorsiflexion 12 degrees and average plantiflexion 18 degrees). Two fractures united with mal-union: one with an 8 degrees valgus deformity and another with a 7 degrees varus deformity. Both cases, which had a metaphyseal component, were treated by means of a "soft" (flexible and manually adjustable) AO 3.5 mm reconstruction plate. Except for one case of superficial infection, no infections were detected in any of the patients. The biological percutaneous plate fixation of distal tibial fractures with no extensive intra-articular involvement is a good soft tissue preserving technique. It provides a rigid and anatomical fixation in most cases. We conclude that type B fractures with one intact column can be fixed with either "soft" or "rigid" plates, and type A and C fractures with a metaphyseal component should be fixed with "rigid" plates (AO 4.5 mm Dynamic Compression Plate). In these fractures the reduction should be performed cautiously due to the tendency of sagittal plane mal-reduction.

  1. Fracture and Fatigue: Some New Insights

    Indian Academy of Sciences (India)

    Fracture and Fatigue: Some New Insights. FOREWORD. It is over nine decades since fracture mechanics found its importance in the design of mechanical, aerospace ... I sincerely thank all the authors for presenting their current ideas. My personal thanks are due to Professor R N Iyengar, the former editor of the Journal, ...

  2. Geomechanics of fracture caging in wellbores

    NARCIS (Netherlands)

    Weijermars, R.; Zhang, X.; Schultz-Ela, D.

    2013-01-01

    This study highlights the occurrence of so-called ‘fracture cages’ around underbalanced wellbores, where fractures cannot propagate outwards due to unfavourable principal stress orientations. The existence of such cages is demonstrated here by independent analytical and numerical methods. We explain

  3. Hand fracture - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000552.htm Hand fracture - aftercare To use the sharing features on ... need to be repaired with surgery. Types of Hand Fractures Your fracture may be in one of ...

  4. Fractured porous media

    CERN Document Server

    Adler, Pierre M; Mourzenko, Valeri V

    2013-01-01

    This monograph on fractures, fracture networks, and fractured porous media provides a systematic treatment of their geometrical and transport properties for students and professionals in geophysics, materials science, and Earth sciences.

  5. Initial evaluation of ultrasonic attenuation measurements for estimating fracture toughness of RPV steels

    Energy Technology Data Exchange (ETDEWEB)

    Hiser, A.L. Jr.; Green, R.E. Jr. [Johns Hopkins Univ., Baltimore, MD (United States). Center for Nondestructive Evaluation

    1999-08-01

    Neutron bombardment of reactor pressure vessel (RPV) steels causes reductions in fracture toughness in these steels, termed neutron irradiation embrittlement. Currently, there are no accepted methods for nondestructive determination of the extent of the irradiation embrittlement nor the actual fracture toughness of the reactor pressure vessel. This paper provides initial results of an effort addressing the use of ultrasonic attenuation as a suitable parameter for nondestructive determination of irradiation embrittlement in RPV steels. (orig.)

  6. 46 CFR 289.2 - Vessels included.

    Science.gov (United States)

    2010-10-01

    ... CONSTRUCTION-DIFFERENTIAL SUBSIDY VESSELS, OPERATING-DIFFERENTIAL SUBSIDY VESSELS AND OF VESSELS SOLD OR ADJUSTED UNDER THE MERCHANT SHIP SALES ACT 1946 § 289.2 Vessels included. Vessels subject to the provisions of this part are: (a) All vessels which may in the future be constructed or sold with construction...

  7. Acetabular Fracture

    OpenAIRE

    Correa, Chad; Lahham, Sari

    2017-01-01

    History of present illness: A 77-year-old female presented to her primary care physician (PCP) with right hip pain after a mechanical fall. She did not lose consciousness or have any other traumatic injuries. She was unable to ambulate post-fall, so X-rays were ordered by her PCP. Her X-rays were concerning for a right acetabular fracture (see purple arrows), so the patient was referred to the emergency department where a computed tomography (CT) scan was ordered. Significant findings:...

  8. Galeazzi Fracture

    OpenAIRE

    Reid Honda

    2017-01-01

    History of present illness: A 19-year-old male presented to the ED with right forearm pain after being struck in the forearm by a baseball. The patient then threw the ball and felt a sharp “pop” in his arm. The patient complained of sharp pain, worse with movement. Upon examination, the patient was neurovascularly intact. Significant findings: The X-ray showed an acute comminuted fracture of the distal diaphysis of the radius with disruption of the distal radioulnar joint, consisten...

  9. Modeling a CO2 mineralization experiment of fractured peridotite from the Semail ophiolite/ Oman

    Science.gov (United States)

    Muller, Nadja; Zhang, Guoxiang; van Noort, Reinier; Spiers, Chris; Ten Grotenhuis, Saskia; Hoedeman, Gerco

    2010-05-01

    Most geologic CO2 sequestration technologies focus on sedimentary rocks, where the carbon dioxide is stored in a fluid phase. A possible alternative is to trap it as a mineral in the subsurface (in-situ) in basaltic or even (ultra)mafic rocks. Carbon dioxide in aqueous solution reacts with Mg-, Ca-, and Fe-bearing silicate minerals, precipitates as (MgCa,Fe)CO3 (carbonate), and can thus be permanently sequestered. The cation donors are silicate minerals such as olivine and pyroxene which are abundant in (ultra)mafic rocks, such as peridotite. Investigations are underway to evaluate the sequestration potential of the Semail Ophiolite in Oman, utilizing the large volumes of partially serpentinized peridotite that are present. Key factors are the rate of mineralization due to dissolution of the peridotite and precipitation of carbonate, the extent of the natural and hydraulic fracture network and the accessibility of the rock to reactive fluids. To quantify the influence of dissolution rates on the overall CO2 mineralization process, small, fractured peridotite samples were exposed to supercritical CO2 and water in laboratory experiments. The samples are cored from a large rock sample in the dimension of small cylinders with 1 cm in height and diameter, with a mass of ~2g. Several experimental conditions were tested with different equipment, from large volume autoclave to small volume cold seal vessel. The 650 ml autoclave contained 400-500g of water and a sample under 10 MPa of partial CO2 pressure up to 150. The small capsules in the cold seal vessel held 1-1.5g of water and the sample under CO2 partial pressure from 15MPa to 70 MPa and temperature from 60 to 200°C. The samples remained for two weeks in the reaction vessels. In addition, bench acid bath experiments in 150 ml vials were performed open to the atmosphere at 50-80°C and pH of ~3. The main observation was that the peridotite dissolved two orders of magnitude slower in the high pressure and temperature

  10. Blood flow reprograms lymphatic vessels to blood vessels.

    Science.gov (United States)

    Chen, Chiu-Yu; Bertozzi, Cara; Zou, Zhiying; Yuan, Lijun; Lee, John S; Lu, MinMin; Stachelek, Stan J; Srinivasan, Sathish; Guo, Lili; Vicente, Andres; Vincente, Andres; Mericko, Patricia; Levy, Robert J; Makinen, Taija; Oliver, Guillermo; Kahn, Mark L

    2012-06-01

    Human vascular malformations cause disease as a result of changes in blood flow and vascular hemodynamic forces. Although the genetic mutations that underlie the formation of many human vascular malformations are known, the extent to which abnormal blood flow can subsequently influence the vascular genetic program and natural history is not. Loss of the SH2 domain-containing leukocyte protein of 76 kDa (SLP76) resulted in a vascular malformation that directed blood flow through mesenteric lymphatic vessels after birth in mice. Mesenteric vessels in the position of the congenital lymphatic in mature Slp76-null mice lacked lymphatic identity and expressed a marker of blood vessel identity. Genetic lineage tracing demonstrated that this change in vessel identity was the result of lymphatic endothelial cell reprogramming rather than replacement by blood endothelial cells. Exposure of lymphatic vessels to blood in the absence of significant flow did not alter vessel identity in vivo, but lymphatic endothelial cells exposed to similar levels of shear stress ex vivo rapidly lost expression of PROX1, a lymphatic fate-specifying transcription factor. These findings reveal that blood flow can convert lymphatic vessels to blood vessels, demonstrating that hemodynamic forces may reprogram endothelial and vessel identity in cardiovascular diseases associated with abnormal flow.

  11. Single vessel air injection estimates of xylem resistance to cavitation are affected by vessel network characteristics and sample length.

    Science.gov (United States)

    Venturas, Martin D; Rodriguez-Zaccaro, F Daniela; Percolla, Marta I; Crous, Casparus J; Jacobsen, Anna L; Pratt, R Brandon

    2016-10-01

    Xylem resistance to cavitation is an important trait that is related to the ecology and survival of plant species. Vessel network characteristics, such as vessel length and connectivity, could affect the spread of emboli from gas-filled vessels to functional ones, triggering their cavitation. We hypothesized that the cavitation resistance of xylem vessels is randomly distributed throughout the vessel network. We predicted that single vessel air injection (SVAI) vulnerability curves (VCs) would thus be affected by sample length. Longer stem samples were predicted to appear more resistant than shorter samples due to the sampled path including greater numbers of vessels. We evaluated the vessel network characteristics of grapevine (Vitis vinifera L.), English oak (Quercus robur L.) and black cottonwood (Populus trichocarpa Torr. & A. Gray), and constructed SVAI VCs for 5- and 20-cm-long segments. We also constructed VCs with a standard centrifuge method and used computer modelling to estimate the curve shift expected for pathways composed of different numbers of vessels. For all three species, the SVAI VCs for 5 cm segments rose exponentially and were more vulnerable than the 20 cm segments. The 5 cm curve shapes were exponential and were consistent with centrifuge VCs. Modelling data supported the observed SVAI VC shifts, which were related to path length and vessel network characteristics. These results suggest that exponential VCs represent the most realistic curve shape for individual vessel resistance distributions for these species. At the network level, the presence of some vessels with a higher resistance to cavitation may help avoid emboli spread during tissue dehydration. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  12. Minimally invasive plate osteosynthesis in proximal humeral fractures: one-year results of a prospective multicenter study.

    Science.gov (United States)

    Falez, Francesco; Papalia, Matteo; Greco, Alessandro; Teti, Antonio; Favetti, Fabio; Panegrossi, Gabriele; Casella, Filippo; Necozione, Stefano

    2016-03-01

    The aim of this multicentric study was to evaluate results of minimally invasive plate osteosynthesis (MIPO) for proximal humeral fractures in terms of postoperative shoulder function, radiological outcome and number of complications. A consecutive series of 76 patients with proximal humeral fractures were treated with locking plate using a minimally invasive antero-lateral approach in two orthopaedic departments. Functional results with Constant score and radiographic evaluation were available for 74 patients at one-year follow up. The patients achieved a mean Constant score of 71 (range 28-100). Each functional result was evaluated also for both centres without significant differences. Significant statistical differences were only found for younger patients with better results (p proximal plate positioning (9.5%). Primary screws perforation (2.7%), secondary perforation due to cut-out (1.4%), avascular necrosis (AVN) of humeral head (1.4%), partial resorption of greater tuberosity (2.7%), secondary dislocation of the greater tuberosity (2.7%) and stiffness (2.7%) were the other complications observed. The MIPO technique for proximal humeral fractures was safe and reproducible for most common patterns of fracture. Major complication rate was apparently low due to a soft tissue sparing, deltoid muscle and circumflex vessels, with easy access of the bar area to correct positioning of the plate.

  13. Analysis of the micro-structural damages by neutronic irradiation of the steel of reactor vessels of the nuclear power plant of Laguna Verde. Characterization of the design steel; Analisis de los danos micro-estructurales por irradiacion neutronica del acero de la vasija de los reactores de la Central Nuclear de Laguna Verde. Caracterizacion del acero de diseno

    Energy Technology Data Exchange (ETDEWEB)

    Moranchel y Rodriguez, M.; Garcia B, A. [IPN, Escuela Superior de Fisica y Matematicas, Departamento de Fisica, Av. Luis Enrique Erro s/n, Unidad Profesional Adolfo Lopez Mateos, Col. Lindavista, 07738 Mexico D. F. (Mexico); Longoria G, L. C., E-mail: mmoranchel@ipn.m [ININ, Direccion de Investigacion Cientifica, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2010-09-15

    The vessel of a nuclear reactor is one of the safety barriers more important in the design, construction and operation of the reactor. If the vessel results affected to the grade of to have fracture and/or cracks it is very probable the conclusion of their useful life in order to guarantee the nuclear safety and the radiological protection of the exposure occupational personnel, of the public and the environment avoiding the exposition to radioactive sources. The materials of the vessel of a nuclear reactor are exposed continually to the neutronic irradiation that generates the same nuclear reactor. The neutrons that impact to the vessel have the sufficient energy to penetrate certain depth in function of the energy of the incident neutron until reaching the repose or to be absorbed by some nucleus. In the course of their penetration, the neutrons interact with the nuclei, atoms, molecules and with the same crystalline nets of the vessel material producing vacuums, interstitial, precipitate and segregations among other defects that can modify the mechanical properties of the steel. The steel A533-B is the material with which is manufactured the vessel of the nuclear reactors of nuclear power plant of Laguna Verde, is an alloy that, among other components, it contains atoms of Ni that if they are segregated by the neutrons impact this would favor to the cracking of the same vessel. This work is part of an investigation to analyze the micro-structural damages of the reactor vessels of the nuclear power plant of Laguna Verde due to the neutronic irradiation which is exposed in a continuous way. We will show the characterization of the design steel of the vessel, what offers a comprehension about their chemical composition, the superficial topography and the crystalline nets of the steel A533-B. It will also allow analyze the existence of precipitates, segregates, the type of crystalline net and the distances inter-plains of the design steel of the vessel. (Author)

  14. Integral experiments on in-vessel coolability and vessel creep: results and analysis of the FOREVER-C1 test

    Energy Technology Data Exchange (ETDEWEB)

    Sehgal, B.R.; Nourgaliev, R.R.; Dinh, T.N.; Karbojian, A. [Division of Nuclear Power Safety, Royal Institute of Technology, Drottning Kristinas Vaeg., Stockholm (Sweden)

    1999-07-01

    This paper describes the FOREVER (Failure Of REactor VEssel Retention) experimental program, which is currently underway at the Division of Nuclear Power Safety, Royal Institute of Technology (RIT/NPS). The objectives of the FOREVER experiments are to obtain data and develop validated models (i) on the melt coolability process inside the vessel, in the presence of water (in particular, on the efficacy of the postulated gap cooling to preclude vessel failure); and (ii) on the lower head failure due to the creep process in the absence of water inside and/or outside the lower head. The paper presents the experimental results and analysis of the first FOREVER-C1 test. During this experiment, the 1/10th scale pressure vessel, heated to about 900degC and pressurized to 26 bars, was subjected to creep deformation in a non-stop 24-hours test. The vessel wall displacement data clearly shows different stages of the vessel deformation due to thermal expansion, elastic, plastic and creep processes. The maximum displacement was observed at the lowermost region of the vessel lower plenum. Information on the FOREVER-C1 measured thermal characteristics and analysis of the observed thermal and structural behavior is presented. The coupled nature of thermal and mechanical processes, as well as the effect of other system conditions (such as depressurization) on the melt pool and vessel temperature responses are analyzed. (author)

  15. Recommendations for the shallow-crack fracture toughness testing task within the HSST (Heavy-Section Steel Technology) Program

    Energy Technology Data Exchange (ETDEWEB)

    Theiss, T.J. (Oak Ridge National Lab., TN (USA))

    1990-09-01

    Recommendations for Heavy-Section Steel Technology Program's investigation into the influence of crack depth on the fracture toughness of a steel prototypic of those in a reactor pressure vessel are included in this report. The motivation for this investigation lies in the fact that probabilistic fracture mechanics evaluations show that shallow flaws play a dominant role in the likelihood of vessel failure, and shallow-flaw specimens have exhibited an elevated toughness compared with conventional deep-notch fracture toughness specimens. Accordingly, the actual margin of safety of vessels may be greater than that predicted using existing deep-notch fracture-toughness results. The primary goal of the shallow-crack project is to investigate the influence of crack depth on fracture toughness under conditions prototypic of a reactor vessel. A limited data base of fracture toughness values will be assembled using a beam specimen of prototypic reactor vessel material and with a depth of 100 mm (4 in.). This will permit comparison of fracture-toughness data from deep-cracked and shallow-crack specimens, and this will be done for several test temperatures. Fracture-toughness data will be expressed in terms of the stress-intensity factor and crack-tip-opening displacement. Results of this investigation are expected to improve the understanding of shallow-flaw behavior in pressure vessels, thereby providing more realistic information for application to the pressurized-thermal shock issues. 33 refs., 17 figs.

  16. Tibial Fractures in Alpine Skiing and Snowboarding in Finland: A Retrospective Study on Fracture Types and Injury Mechanisms in 363 Patients.

    Science.gov (United States)

    Stenroos, A; Pakarinen, H; Jalkanen, J; Mälkiä, T; Handolin, L

    2016-09-01

    Alpine skiing and snowboarding share the hazards of accidents accounting for tibial fractures. The aim of this study was to evaluate the fracture patterns and mechanisms of injury of tibial fractures taking place in downhill skiing and snowboarding. All patients with tibial fracture due to alpine skiing or snowboarding accident treated in four trauma centers next to the largest ski resorts in Finland were analyzed between 2006 and 2012. The hospital records were retrospectively reviewed for data collection: equipment used (skis or snowboard), age, gender, and mechanism of injury. Fractures were classified according to AO-classification. There were 342 skiing and 30 snowboarding related tibial fractures in 363 patients. Tibial shaft fracture was the most common fracture among skiers (n = 215, 63%), followed by proximal tibial fractures (n = 92, 27%). Snowboarders were most likely to suffer from proximal tibial fracture (13, 43%) or tibial shaft fracture (11, 37%). Snowboarders were also more likely than skiers to suffer complex AO type C fractures (23% vs 9%, p snowboarders due to loss of control while jumping (46%). The most important finding was the relatively high number of the tibial plateau fractures among adult skiers. The fracture patterns between snowboarding and skiing were different; the most common fracture type in skiers was spiral tibial shaft fracture compared to proximal tibial fractures in snowboarders. Children had more simple fractures than adults. © The Finnish Surgical Society 2016.

  17. Functional Treatment of a Child with Extracapsular Mandibular Fracture

    Directory of Open Access Journals (Sweden)

    Diana Cassi

    2017-01-01

    Full Text Available Condylar fractures are among the most frequent fractures in the context of traumatic lesions of the face. The management of condylar fractures is still controversial, especially when fractures occur in children: if overlooked or inappropriately treated, these lesions may lead to severe sequelae, both cosmetic and functional. The therapy must be careful because severe long-term complications can occur. In this case report, the authors present a case of mandibular fracture in which the decision between surgical therapy and functional therapeutic regimen may be controversial due to the particular anatomy of the fracture line and the age of the patient.

  18. Geomechanics of fracture caging in wellbores

    Science.gov (United States)

    Weijermars, Ruud; Zhang, Xi; Schultz-Ela, Dan

    2013-06-01

    This study highlights the occurrence of so-called `fracture cages' around underbalanced wellbores, where fractures cannot propagate outwards due to unfavourable principal stress orientations. The existence of such cages is demonstrated here by independent analytical and numerical methods. We explain the fracture caging mechanism and pinpoint the physical parameters and conditions for its control. This new insight has great practical relevance for the effectiveness and safety of drilling operations in general, and hydraulic fracturing in particular. Fracture caging runaway poses a hazard for drilling operations in overpressured formations. Recognition of the fracture caging mechanism also opens up new opportunities for controlled engineering of its effects by the manipulation of the Frac number in wells in order to bring more precision in the fracking process of tight formations.

  19. Stress fractures. A review of the literature

    Energy Technology Data Exchange (ETDEWEB)

    Troussier, B.; Drevet, J.G.; Lelong, C.; Juvin, R.; Phelip, X.

    1988-04-07

    Stress fractures result from increased bone remodelling induced by intense, unusual and repeated physical activity. They occur mainly in young individuals who are either servicemen or athletes, and are usually located in the tibias, calcaneums, metatarsals and femurs. Stress fractures should be distinguished from fractures due to bone loss, which are fractures of weakened bones occurring after a moderate or even negligeable injury in adults over 50 years of age, mainly in the bones of the pelvic girdle and lower leg. The diagnosis of stress fracture is suggested by the history and unremarkable physical findings, and confirmed by roentgenologic and scintigraphic investigations. The early, marked, localized increase in bone uptake demonstrated by isotopic scans is suggestive. Roentgenologic changes are delayed and inconspicuous, explaining diagnostic mistakes. Prompt therapy consists in refraining from weightbearing and represents the most effective means for preventing the only possible complication, ie, true fracture.

  20. Isolated Zygomatic Arch Fracture: A Case Report

    Directory of Open Access Journals (Sweden)

    Hasan Onur Şimşek

    2017-11-01

    Full Text Available Zygomatic bone is situated at the lateral part of the facial triangle, and is frequently exposed to maxillofacial traumas, since it forms the most prominent region of the facial skeleton. Isolated zygomatic arch fractures comprise 5% of all facial fractures and 10% of zygomatic bone fractures. In this case report, the clinical and radiological characteristics, and the treatment options of isolated zygomatic arch fractures have been discussed. The traumatic zygomatic arch fracture of the left zygomatic arch region of a 35-year-old male patient and its treatment have been reported in this case report. The Gillies method should be considered as an effective treatment method in isolated zygomatic arch fracture cases due to its feasibility and esthetic properties.

  1. [Talus fractures--fractures of the most important tarsal bone].

    Science.gov (United States)

    Klaue, K

    2004-07-01

    The talus is the key bone of the foot due to its location between the ankle and the subtalar joints. Through the flexion and extension of the ankle joint, the talus is the "propulsive bone" situated at the root of the first ray and the hallux. Through the subtalar and talo-navicular joints, the talus allows the foot to be "suspended" using a fancy spring mechanism involving ligaments and tendons. The talus thus transmits forces through two important joints without any direct muscular constraint. The talo-calcaneo-navicular joint may be called the "coxa pedis" due to the anatomical and functional similitudes with the coxofemoral joint ("coxa pelvis"). Fractures of the talus are rare. Talus fractures can be classified in "central" and "peripheral" fractures. Central fractures occur through a strong axial blow provided that the ankle and coxa pedis are locked by extrinsic muscular contraction. Peripheral fractures instead occur in an extreme position of the ankle or the coxa pedis, with a subluxation or complete dislocation of one or more of those joints. Central fractures produce a bony solution of continuity in between at least two of the ankle, subtalar and talo-navicular joints. Peripheral fractures mostly do implement joint surfaces which are sheared off. Aim of treating talus fractures is precise and stable reduction of the fragments because most often, the fractures cross the articular layers. The surgical approaches are critical, especially in displaced central fractures, because the reduction may require visual control all around the bone. There are three approaches which might be used as single approaches or combined simultaneously: the anteromedial approach along the subtalar joint from the navicular to the retro-malleolar region, the anterolateral approach centered on the sinus tarsi (Ollier) and the postero-lateral approach (Gallie). In many cases, a joint distraction device may help visualization of the different joint spaces as well as assist reduction

  2. Ductile-Brittle Transition Behavior in Tempered Martensitic SA508 Gr. 4N Ni-Mo-Cr Low Alloy Steels for Reactor Pressure Vessels

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ki Hyoung; Wee, Dang Moon [KAIST, Daejeon (Korea, Republic of); Kim, Min Chul; Lee, Bong Sang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2010-05-15

    Reactor pressure vessels (RPVs) operate under severe conditions of elevated temperature, high pressure, and irradiation. Therefore, a combination of sufficient strength, toughness, good weldability, and high irradiation resistance are required for RPV materials. SA508 Gr.4N low alloy steel, which has higher Ni and Cr contents than those of commercial RPV steel, Gr.3 steel, is considered as a candidate material due to its excellent mechanical properties from tempered martensitic microstructure. The ferritic steels such as Gr.3 and Gr.4N low alloy steels reveal a ductile-brittle transition and large scatters in the fracture toughness within a small temperature range. Recently, there are some observations of the steeper transition behavior in the tempered martensitic steels, such as Eurofer97 than the transition behavior of commercial RPV steels. It was also reported that the fracture toughness increased discontinuously when the phase fraction of the tempered martensite was over a critical fraction in the heat affected zones of SA508 Gr.3. Therefore, it may be necessary to evaluate the changes of transition behavior with a microstructure for the tempered martensitic SA508 Gr.4N low alloy steel. In this study, the fracture toughness for SA508 Gr.4N low alloy steels was evaluated from a view point of the temperature dependency with phase fraction of tempered martensite controlled by cooling rate. Additionally, a possible modification of the fracture toughness master curve was proposed and discussed

  3. Cricket related maxillofacial fractures.

    Science.gov (United States)

    Lee, Kai

    2012-06-01

    Cricket is a popular sport in New Zealand, enjoyed both at social and competitive level. Although it is a non-contact sport and there is in place good facial protection, injury to the head and neck region is still frequently seen in the emergency department. Data were collected from departmental records between 1996 and 2006. Variables examined included incidence, demographics, site of fracture and treatment method. Of the 561 patients with sports-related maxillofacial fractures during the study period, 40 were cricket-related. Male to female ratio was 36:1. 45% of patients were in the 16-30 year age group. 55% of injuries were due to impact from cricket ball. 70% of injuries occurred at midface level, while 30% at the mandible. 38% of patients required surgery and hospitalization. Maxillofacial fracture from cricket playing is a frequent injury in patients presenting with sports-related injuries. Cricket players need to be educated on the safety measures in playing the sport, including facial protection devices.

  4. Higher incidence of hip fracture in newly diagnosed schizophrenic ...

    African Journals Online (AJOL)

    Higher incidence of hip fracture in newly diagnosed schizophrenic patients in Taiwan. Hip fracture is a major public health concern due to its poor outcome and serious socioeconomic burden in older people (1). Evidence has shown that many factors are related to increased risk of hip fracture, but psychiatric diseases are ...

  5. Two new methods for the determination of hydraulic fracture ...

    African Journals Online (AJOL)

    Fracture apertures play a significant role in groundwater systems. For proper groundwater quantity and contamination management, fractures have to be properly characterised. However, due to their complexity, fracture characterisation is one of the main challenges for hydrogeologists all over the world. This is particularly ...

  6. Correcting for nonlinear effects in fracture toughness testing.

    Science.gov (United States)

    Liebowitz, H.; Eftis, J.

    1972-01-01

    Expressions for fracture toughness, which include nonlinear effects due to crack front plastic yield and possible small crack extension prior to fracture instability, are obtained for several test specimen configurations. Inclusion of such effects is based on a simple compliance type determination of the total energy rate at onset of fast fracture.

  7. Hydraulic Fracturing Fluid Analysis for Regulatory Parameters - A Progress Report

    Science.gov (United States)

    This presentation is a progress report on the analysis of Hydraulic Fracturing Fluids for regulatory compounds outlined in the various US EPA methodologies. Fracturing fluids vary significantly in consistency and viscosity prior to fracturing. Due to the nature of the fluids the analytical challenges will have to be addressed. This presentation also outlines the sampling issues associated with the collection of dissolved gas samples.

  8. The vessel fluence; Fluence cuve

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This book presents the proceedings of the technical meeting on the reactors vessels fluence. They are grouped in eight sessions: the industrial context and the stakes of the vessels control; the organization and the methodology for the fluence computation; the concerned physical properties; the reference computation methods; the fluence monitoring in an industrial context; vessels monitoring under irradiation; others methods in the world; the research and development programs. (A.L.B.)

  9. FRACTURE SHAFT HUMERUS: INTERLOCKING

    Directory of Open Access Journals (Sweden)

    Deepak Kaladagi

    2014-12-01

    Full Text Available BACKGROUND: The incidence of humeral fracture has significantly increased during the present years due to the population growth and road traffic, domestic, industrial, automobile accidents & disasters like tsunami, earthquakes, head-on collisions, polytrauma etc. In order to achieve a stable fixation followed by early mobilization, numerous surgical implants have been devised. PURPOSE: The purpose of this study is to analyze the results of intramedullary fixation of proximal 2/3rd humeral shaft fractures using an unreamed interlocking intramedullary nail. INTRODUCTION: In 40 skeletally matured patients with fracture shaft of humerus admitted in our hospital, we used unreamed antegrade interlocking nails. MATERIAL: We carried out a prospective analysis of 40 patients randomly selected between 2001 to 2014 who were operated at JNMC Belgaum, MMC Mysore & Navodaya Medical College, Raichur. All cases were either RTAs, Domestic, Industrial, automobile accidents & also other modes of injury. METHOD: Routine investigations with pre-anaesthetic check-up & good quality X-rays of both sides of humerus was taken. Time of surgery ranged from 5-10 days from the time of admission. Only upper 1/3rd & middle 1/3rd humeral shaft fractures were included in the study. In all the cases antegrade locked unreamed humeral nails were inserted under C-arm. Patient was placed in supine position & the shoulder was kept elevated by placing a sandbag under the scapula. In all patients incision taken from tip of acromion to 3cm over deltoid longitudinally. Postoperatively sling applied with wrist & shoulder movements started after 24 hours. All the patients ranged between the age of 21-50 years. RESULTS: Total 40 patients were operated. Maximum fracture site were in the middle third- 76%, 14% upper 1/3rd. All 40 patients achieved union. The average time of union was 8-10 weeks. All patients regained full range of movements except in few cases, where there was shoulder

  10. Curvature affects Doppler investigation of vessels: implications for clinical practice.

    Science.gov (United States)

    Balbis, S; Roatta, S; Guiot, C

    2005-01-01

    In clinical practice, blood velocity estimations from Doppler examination of curved vascular segments are normally different from those of nearby straight segments. The observed "accelerations," sometimes considered as a sort of stochastic disturbances, can actually be related to very specific physical effects due to vessel curvature (i.e., the development of nonaxial velocity [NAV] components) and the spreading of the axial velocity direction in the Doppler sample volume with respect to the insonation axis. The relevant phenomena and their dependence on the radius of curvature of the vessels and on the insonation angle are investigated with a beam-vessel geometry as close as possible to clinical setting, with the simplifying assumptions of steady flow, mild vessel curvature, uniform ultrasonic beam and complete vessel insonation. The insonation angles that minimize the errors are provided on the basis of the study results.

  11. [Large vessel vasculitides].

    Science.gov (United States)

    Morović-Vergles, Jadranka; Puksić, Silva; Gracanin, Ana Gudelj

    2013-01-01

    Large vessel vasculitis includes Giant cell arteritis and Takayasu arteritis. Giant cell arteritis is the most common form of vasculitis affect patients aged 50 years or over. The diagnosis should be considered in older patients who present with new onset of headache, visual disturbance, polymyalgia rheumatica and/or fever unknown cause. Glucocorticoides remain the cornerstone of therapy. Takayasu arteritis is a chronic panarteritis of the aorta ant its major branches presenting commonly in young ages. Although all large arteries can be affected, the aorta, subclavian and carotid arteries are most commonly involved. The most common symptoms included upper extremity claudication, hypertension, pain over the carotid arteries (carotidynia), dizziness and visual disturbances. Early diagnosis and treatment has improved the outcome in patients with TA.

  12. Vessel segmentation in screening mammograms

    Science.gov (United States)

    Mordang, J. J.; Karssemeijer, N.

    2015-03-01

    Blood vessels are a major cause of false positives in computer aided detection systems for the detection of breast cancer. Therefore, the purpose of this study is to construct a framework for the segmentation of blood vessels in screening mammograms. The proposed framework is based on supervised learning using a cascade classifier. This cascade classifier consists of several stages where in each stage a GentleBoost classifier is trained on Haar-like features. A total of 30 cases were included in this study. In each image, vessel pixels were annotated by selecting pixels on the centerline of the vessel, control samples were taken by annotating a region without any visible vascular structures. This resulted in a total of 31,000 pixels marked as vascular and over 4 million control pixels. After training, the classifier assigns a vesselness likelihood to the pixels. The proposed framework was compared to three other vessel enhancing methods, i) a vesselness filter, ii) a gaussian derivative filter, and iii) a tubeness filter. The methods were compared in terms of area under the receiver operating characteristics curves, the Az values. The Az value of the cascade approach is 0:85. This is superior to the vesselness, Gaussian, and tubeness methods, with Az values of 0:77, 0:81, and 0:78, respectively. From these results, it can be concluded that our proposed framework is a promising method for the detection of vessels in screening mammograms.

  13. Americium behaviour in plastic vessels

    Energy Technology Data Exchange (ETDEWEB)

    Legarda, F.; Herranz, M. [Departamento de Ingenieria Nuclear y Mecanica de Fluidos, Escuela Tecnica Superior de Ingenieria de Bilbao, Universidad del Pais Vasco (UPV/EHU), Alameda de Urquijo s/n, 48013 Bilbao (Spain); Idoeta, R., E-mail: raquel.idoeta@ehu.e [Departamento de Ingenieria Nuclear y Mecanica de Fluidos, Escuela Tecnica Superior de Ingenieria de Bilbao, Universidad del Pais Vasco (UPV/EHU), Alameda de Urquijo s/n, 48013 Bilbao (Spain); Abelairas, A. [Departamento de Ingenieria Nuclear y Mecanica de Fluidos, Escuela Tecnica Superior de Ingenieria de Bilbao, Universidad del Pais Vasco (UPV/EHU), Alameda de Urquijo s/n, 48013 Bilbao (Spain)

    2010-07-15

    The adsorption of {sup 241}Am dissolved in water in different plastic storage vessels was determined. Three different plastics were investigated with natural and distilled waters and the retention of {sup 241}Am by these plastics was studied. The same was done by varying vessel agitation time, vessel agitation speed, surface/volume ratio of water in the vessels and water pH. Adsorptions were measured to be between 0% and 70%. The adsorption of {sup 241}Am is minimized with no water agitation, with PET or PVC plastics, and by water acidification.

  14. Divergent effects of obesity on fragility fractures

    Directory of Open Access Journals (Sweden)

    Caffarelli C

    2014-09-01

    Full Text Available Carla Caffarelli, Chiara Alessi, Ranuccio Nuti, Stefano Gonnelli Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy Abstract: Obesity was commonly thought to be advantageous for maintaining healthy bones due to the higher bone mineral density observed in overweight individuals. However, several recent studies have challenged the widespread belief that obesity is protective against fracture and have suggested that obesity is a risk factor for certain fractures. The effect of obesity on fracture risk is site-dependent, the risk being increased for some fractures (humerus, ankle, upper arm and decreased for others (hip, pelvis, wrist. Moreover, the relationship between obesity and fracture may also vary by sex, age, and ethnicity. Risk factors for fracture in obese individuals appear to be similar to those in nonobese populations, although patterns of falling are particularly important in the obese. Research is needed to determine if and how visceral fat and metabolic complications of obesity (type 2 diabetes mellitus, insulin resistance, chronic inflammation, etc are causally associated with bone status and fragility fracture risk. Vitamin D deficiency and hypogonadism may also influence fracture risk in obese individuals. Fracture algorithms such as FRAX® might be expected to underestimate fracture probability. Studies specifically designed to evaluate the antifracture efficacy of different drugs in obese patients are not available; however, literature data may suggest that in obese patients higher doses of the bisphosphonates might be required in order to maintain efficacy against nonvertebral fractures. Therefore, the search for better methods for the identification of fragility fracture risk in the growing population of adult and elderly subjects with obesity might be considered a clinical priority which could improve the prevention of fracture in obese individuals. Keywords: bone mineral density, BMI

  15. Geriatric trauma hip fractures: is there a difference in outcomes based on fracture patterns?

    Science.gov (United States)

    Mangram, Alicia; Moeser, Phillip; Corneille, Michael G; Prokuski, Laura J; Zhou, Nicolas; Sohn, Jacqueline; Chaliki, Shalini; Oguntodu, Olakunle F; Dzandu, James K

    2014-01-01

    Annually in the US, there are over 300,000 hospital admissions due to hip fractures in geriatric patients. Consequently, there have been several large observational studies, which continue to provide new insights into differences in outcomes among hip fracture patients. However, few hip fracture studies have specifically examined the relationship between hip fracture patterns, sex, and short-term outcomes including hospital length of stay and discharge disposition in geriatric trauma patients. We performed a retrospective study of hip fractures in geriatric trauma patients. Hip fracture patterns were based on ICD -9 CM diagnostic codes for hip fractures (820.00-820.9). Patient variables were patient demographics, mechanism of injury, injury severity score, hospital and ICU length of stay, co-morbidities, injury location, discharge disposition, and in-patient mortality. A total of 325 patient records met the inclusion criteria. The mean age of the patients was 82.2 years, and the majority of the patients were white (94%) and female (70%). Hip fractures patterns were categorized as two fracture classes and three fracture types. We observed a difference in the proportion of males to females within each fracture class (Femoral neck fractures Z-score = -8.86, p fractures Z-score = -5.63, p fractures were fixed based on fracture pattern and patient characteristics. Hip fracture class or fracture type did not predict short-term outcomes such as in-hospital or ICU length of stay, death, or patient discharge disposition. The majority of patients (73%) were injured at home. However, 84% of the patients were discharged to skilled nursing facility, rehabilitation, or long-term care while only 16% were discharged home. There was no evidence of significant association between fracture pattern, injury severity score, diabetes mellitus, hypertension or dementia. Hip fracture patterns differ between geriatric male and female trauma patients. However, there was no

  16. A due

    DEFF Research Database (Denmark)

    to acknowledge the excellence of these two scholars by a double Festschrift, "A due". Both have been working at the Music Department of the University of Copenhagen and have collaborated with The Royal Library on various projects. This publication contains contributions from 44 colleagues, who thus - in topics...

  17. [Pycnodysostosis: a rare disease with frequent fractures].

    Science.gov (United States)

    Sánchez Lázaro, J A; Linares Álvarez, L

    2014-04-01

    Pycnodysostosis is a rare disease caused by a dysfunction of the osteoclasts due to a mutation in the cathepsin K gene. We present a case of a young adult patient with the above mentioned syndrome, who suffered an atypical fracture of the tibia after a low energy fall. Some bone changes that could have predisposed the fracture were observed when examined in the Emergency Department. Not long afterwards he suffered the same type of fracture in another tibia. Due to the conditions typical of the pycnodysostosis, the above mentioned fracture required an unconventional approach for this mid-shaft tibial fracture (osteosynthesis plate), combined with a longer consolidation time. The case was finally resolved satisfactorily. Copyright © 2013 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  18. Quadrilateral plate fractures of the acetabulum: an update.

    Science.gov (United States)

    White, Grace; Kanakaris, Nikolaos K; Faour, Omar; Valverde, Jose Antonio; Martin, Miguel Angel; Giannoudis, Peter V

    2013-02-01

    Acetabular fractures with quadrilateral plate involvement form a heterogeneous group of fractures, which are not specifically defined by any current classification system. Their incidence is increasing due to the rising number of elderly osteoporotic fractures. They have always been notoriously difficult fractures to treat. We present a systematic review of conservative and operative management and their respective outcomes over the last century. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Hydraulic fracturing system and method

    Energy Technology Data Exchange (ETDEWEB)

    Ciezobka, Jordan; Maity, Debotyam

    2018-01-30

    A hydraulic fracturing system and method for enhancing effective permeability of earth formations to increase hydrocarbon production, enhance operation efficiency by reducing fluid entry friction due to tortuosity and perforation, and to open perforations that are either unopened or not effective using traditional techniques, by varying a pump rate and/or a flow rate to a wellbore.

  20. Hydraulic fracturing system and method

    Science.gov (United States)

    Ciezobka, Jordan; Salehi, Iraj

    2017-02-28

    A hydraulic fracturing system and method for enhancing effective permeability of earth formations to increase hydrocarbon production, enhance operation efficiency by reducing fluid entry friction due to tortuosity and perforation, and to open perforations that are either unopened or not effective using traditional techniques, by varying a pump rate and/or a flow rate to a wellbore.

  1. Summary of Reported Whale-Vessel Collisions in Alaskan Waters

    Directory of Open Access Journals (Sweden)

    Janet L. Neilson

    2012-01-01

    Full Text Available Here we summarize 108 reported whale-vessel collisions in Alaska from 1978–2011, of which 25 are known to have resulted in the whale's death. We found 89 definite and 19 possible/probable strikes based on standard criteria we created for this study. Most strikes involved humpback whales (86% with six other species documented. Small vessel strikes were most common (<15 m, 60%, but medium (15–79 m, 27% and large (≥80 m, 13% vessels also struck whales. Among the 25 mortalities, vessel length was known in seven cases (190–294 m and vessel speed was known in three cases (12–19 kn. In 36 cases, human injury or property damage resulted from the collision, and at least 15 people were thrown into the water. In 15 cases humpback whales struck anchored or drifting vessels, suggesting the whales did not detect the vessels. Documenting collisions in Alaska will remain challenging due to remoteness and resource limitations. For a better understanding of the factors contributing to lethal collisions, we recommend (1 systematic documentation of collisions, including vessel size and speed; (2 greater efforts to necropsy stranded whales; (3 using experienced teams focused on determining cause of death; (4 using standard criteria for validating collision reports, such as those presented in this paper.

  2. Pattern of distal radius fracture in malaysian children.

    Science.gov (United States)

    Asim, A M; Noor Fadzilah, R; Rukmanikanthan, S; Saw, A

    2012-10-01

    The distal radius is the most common fracture site in children, but local information on the fracture pattern, mechanism of injury and socio-demographic characteristics of the fracture is lacking. We interviewed 126 children and their family members who were under follow up for this fracture in a single institution over a period of 2 years. Radiological images were reviewed to ensure that only those with fracture in the distal one third of the forearm were included. The overall incidence of this fracture increased with age, and male dominance was noted starting from schooling age. Most fractures occurred at home (38.8%), and 52.3% of all fractures were due to low energy falls. Sports injuries were mainly due to playing football, and road accidents due to riding bicycles. There were 49 (38.8%) children with incomplete fractures, and 19 (15.0%) with physeal plate fractures. Male dominance for distal radius fracture occurred at a comparatively younger age in our population. Preventive measures should focus on home environment since this is the most common place for fracture to occur. Special attention should be paid to boys after the school going age.

  3. Fractures in multiple sclerosis

    DEFF Research Database (Denmark)

    Stenager, E; Jensen, K

    1991-01-01

    In a cross-sectional study of 299 MS patients 22 have had fractures and of these 17 after onset of MS. The fractures most frequently involved the femoral neck and trochanter (41%). Three patients had had more than one fracture. Only 1 patient had osteoporosis. The percentage of fractures increase...

  4. Influence of fracture extension on in-situ stress in tight reservoir

    Science.gov (United States)

    Zhang, Yongping; Wei, Xu; Zhang, Ye; Xing, Libo; Xu, Jianjun

    2018-01-01

    Currently, hydraulic fracturing is an important way to develop low permeability reservoirs. The fractures produced during the fracturing process are the main influencing factors of changing in-situ stress. In this paper, the influence of fracture extension on in-situ stress is studied by establishing a mathematical model to describe the relationship between fracture length and in-situ stress. The results show that the growth rate gradually decreases after the fracture reaches a certain length with the increase of fracturing time; the continuous extension of the fracture is the main factor to change the in-situ stress. In order to reduce the impact on the subsequent fracture extension due to the changing of in-situ stress, controlling fracturing time and fracture length without affecting the stimulated reservoir effect is an important way. The results presented in this study can effectively reduce the impact of changing of in-situ stress on subsequent fracturing construction.

  5. Oblique Axis Body Fracture

    DEFF Research Database (Denmark)

    Takai, Hirokazu; Konstantinidis, Lukas; Schmal, Hagen

    2016-01-01

    Anderson type III fractures with a characteristic fracture pattern that we refer to as "oblique type axis body fracture." Results. The female patients aged 90 and 72 years, respectively, were both diagnosed with minimally displaced Anderson type III fractures. Both fractures had a characteristic "oblique...... was uneventful. Conclusions. Oblique type axis body fractures resemble a highly unstable subtype of Anderson type III fractures with the potential of severe secondary deformity following conservative treatment, irrespective of initial grade of displacement. The authors therefore warrant a high index of suspicion...

  6. Assessment of fracture risk

    Energy Technology Data Exchange (ETDEWEB)

    Kanis, John A. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom)], E-mail: w.j.pontefract@sheffield.ac.uk; Johansson, Helena; Oden, Anders [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); McCloskey, Eugene V. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); Osteoporosis Centre, Northern General Hospital, Sheffield (United Kingdom)

    2009-09-15

    Fractures are a common complication of osteoporosis. Although osteoporosis is defined by bone mineral density at the femoral neck, other sites and validated techniques can be used for fracture prediction. Several clinical risk factors contribute to fracture risk independently of BMD. These include age, prior fragility fracture, smoking, excess alcohol, family history of hip fracture, rheumatoid arthritis and the use of oral glucocorticoids. These risk factors in conjunction with BMD can be integrated to provide estimates of fracture probability using the FRAX tool. Fracture probability rather than BMD alone can be used to fashion strategies for the assessment and treatment of osteoporosis.

  7. FRACTURED PETROLEUM RESERVOIRS

    Energy Technology Data Exchange (ETDEWEB)

    Abbas Firoozabadi

    1999-06-11

    The four chapters that are described in this report cover a variety of subjects that not only give insight into the understanding of multiphase flow in fractured porous media, but they provide also major contribution towards the understanding of flow processes with in-situ phase formation. In the following, a summary of all the chapters will be provided. Chapter I addresses issues related to water injection in water-wet fractured porous media. There are two parts in this chapter. Part I covers extensive set of measurements for water injection in water-wet fractured porous media. Both single matrix block and multiple matrix blocks tests are covered. There are two major findings from these experiments: (1) co-current imbibition can be more efficient than counter-current imbibition due to lower residual oil saturation and higher oil mobility, and (2) tight fractured porous media can be more efficient than a permeable porous media when subjected to water injection. These findings are directly related to the type of tests one can perform in the laboratory and to decide on the fate of water injection in fractured reservoirs. Part II of Chapter I presents modeling of water injection in water-wet fractured media by modifying the Buckley-Leverett Theory. A major element of the new model is the multiplication of the transfer flux by the fractured saturation with a power of 1/2. This simple model can account for both co-current and counter-current imbibition and computationally it is very efficient. It can be orders of magnitude faster than a conventional dual-porosity model. Part II also presents the results of water injection tests in very tight rocks of some 0.01 md permeability. Oil recovery from water imbibition tests from such at tight rock can be as high as 25 percent. Chapter II discusses solution gas-drive for cold production from heavy-oil reservoirs. The impetus for this work is the study of new gas phase formation from in-situ process which can be significantly

  8. Trapezoid fracture caused by assault

    Directory of Open Access Journals (Sweden)

    Malshikare V

    2007-01-01

    Full Text Available In this report we describe an open fracture of trapezoid and break in anterior cortex of capitate due to assault in a young adult male. Direct impact force of a sharp object to the first web space caused the above fractures. Open reduction and internal fixation of the trapezoid was carried out using Kirschner wires. Cut extensor tendons, extensor retaniculum, capsule, adductor pollicis muscle, first dorsal interosseous muscle, soft tissue and overlying skin were sutured primarily. Three months after the operation the patient has made a complete recovery. There is no similar case reported in the literature.

  9. 2014 New Trends in Fatigue and Fracture Conference

    CERN Document Server

    Milovic, Ljubica

    2017-01-01

    This book is a compilation of selected papers from the 2014 New Trends in Fatigue and Fracture (NT2F14) Conference, which was held in Belgrade, Serbia. This prestigious conference brought together delegates from around the globe to discuss how to characterize, predict and analyze the fatigue and fracture of engineering materials, components, and structures using theoretical, experimental, numerical and practical approaches. It highlights some important new trends in fracture mechanics presented at the conference, such as: • two-parameter fracture mechanics, arising from the coupling of fracture toughness and stress constraints • high-performance steel for gas and oil transportation and production (pressure vessels and boilers) • safety and reliability of welded joints This book includes 12 contributions from well-known international scientists and a special tribute dedicated to the scientific contributions of Stojan Sedmark, who passed away in 2014.

  10. 50 CFR 648.8 - Vessel identification.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false Vessel identification. 648.8 Section 648.8... identification. (a) Vessel name and official number. Each fishing vessel subject to this part and over 25 ft (7.6... or ocean quahog vessels licensed under New Jersey law may use the appropriate vessel identification...

  11. Immersive volume rendering of blood vessels

    Science.gov (United States)

    Long, Gregory; Kim, Han Suk; Marsden, Alison; Bazilevs, Yuri; Schulze, Jürgen P.

    2012-03-01

    In this paper, we present a novel method of visualizing flow in blood vessels. Our approach reads unstructured tetrahedral data, resamples it, and uses slice based 3D texture volume rendering. Due to the sparse structure of blood vessels, we utilize an octree to efficiently store the resampled data by discarding empty regions of the volume. We use animation to convey time series data, wireframe surface to give structure, and utilize the StarCAVE, a 3D virtual reality environment, to add a fully immersive element to the visualization. Our tool has great value in interdisciplinary work, helping scientists collaborate with clinicians, by improving the understanding of blood flow simulations. Full immersion in the flow field allows for a more intuitive understanding of the flow phenomena, and can be a great help to medical experts for treatment planning.

  12. 10 CFR 50.66 - Requirements for thermal annealing of the reactor pressure vessel.

    Science.gov (United States)

    2010-01-01

    ... reactors where neutron radiation has reduced the fracture toughness of the reactor vessel materials, a... operation using appropriate test data. (iii) The methods, including heat source, instrumentation and... monitoring, inspections, and tests proposed to demonstrate that the limitations on temperatures, times and...

  13. Strontium Ranelate Reduces the Risk of Vertebral Fractures in Patients with Osteopenia

    DEFF Research Database (Denmark)

    Seeman, E; Devogelaer, J; Lorenc, R

    2007-01-01

    Microabstract Many fractures occur in women with moderate fracture risk due to osteopenia. Strontium ranelate was studied in 1431 postmenopausal women with osteopenia. Vertebral fracture risk reduction of 41% to 59% was shown depending on the site and fracture status at baseline. This is the first...

  14. A Spatial Clustering Approach for Stochastic Fracture Network Modelling

    Science.gov (United States)

    Seifollahi, S.; Dowd, P. A.; Xu, C.; Fadakar, A. Y.

    2014-07-01

    Fracture network modelling plays an important role in many application areas in which the behaviour of a rock mass is of interest. These areas include mining, civil, petroleum, water and environmental engineering and geothermal systems modelling. The aim is to model the fractured rock to assess fluid flow or the stability of rock blocks. One important step in fracture network modelling is to estimate the number of fractures and the properties of individual fractures such as their size and orientation. Due to the lack of data and the complexity of the problem, there are significant uncertainties associated with fracture network modelling in practice. Our primary interest is the modelling of fracture networks in geothermal systems and, in this paper, we propose a general stochastic approach to fracture network modelling for this application. We focus on using the seismic point cloud detected during the fracture stimulation of a hot dry rock reservoir to create an enhanced geothermal system; these seismic points are the conditioning data in the modelling process. The seismic points can be used to estimate the geographical extent of the reservoir, the amount of fracturing and the detailed geometries of fractures within the reservoir. The objective is to determine a fracture model from the conditioning data by minimizing the sum of the distances of the points from the fitted fracture model. Fractures are represented as line segments connecting two points in two-dimensional applications or as ellipses in three-dimensional (3D) cases. The novelty of our model is twofold: (1) it comprises a comprehensive fracture modification scheme based on simulated annealing and (2) it introduces new spatial approaches, a goodness-of-fit measure for the fitted fracture model, a measure for fracture similarity and a clustering technique for proposing a locally optimal solution for fracture parameters. We use a simulated dataset to demonstrate the application of the proposed approach

  15. Mandibular fracture in a neonate.

    Science.gov (United States)

    Gopalakrishnan, V; Sahoo, N K; Roy, I D

    2017-01-01

    Mandibular fractures in the neonate are rare. The aetiological factors are traumatic delivery, accidental fall, road traffic accidents, and attempted infanticide. The diagnosis is difficult due to facial oedema masking the clinical features and the absence of dentition. The treatment of fractures in the newborn represents a unique problem in terms of investigations, diagnosis, selection of anaesthesia, and method of fixation. The case of a 1-day-old infant referred for the management of a mandibular fracture sustained in an accidental fall is presented herein. During oral suctioning, the neonatologist observed continuous blood-stained secretions, which raised the suspicion of a trauma to the oral cavity. The infant was diagnosed as having a fracture of the mandibular symphysis with displacement. The fracture was reduced under local anaesthesia with sedation, and was stabilized with an acrylic splint, which was secured with circum-mandibular wiring. The patient was followed up for 1.5 years and the healing was satisfactory. Copyright © 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  16. 2D Fast Vessel Visualization Using a Vessel Wall Mask Guiding Fine Vessel Detection

    Directory of Open Access Journals (Sweden)

    Sotirios Raptis

    2010-01-01

    and then try to approach the ridges and branches of the vasculature's using fine detection. Fine vessel screening looks into local structural inconsistencies in vessels properties, into noise, or into not expected intensity variations observed inside pre-known vessel-body areas. The vessels are first modelled sufficiently but not precisely by their walls with a tubular model-structure that is the result of an initial segmentation. This provides a chart of likely Vessel Wall Pixels (VWPs yielding a form of a likelihood vessel map mainly based on gradient filter's intensity and spatial arrangement parameters (e.g., linear consistency. Specific vessel parameters (centerline, width, location, fall-away rate, main orientation are post-computed by convolving the image with a set of pre-tuned spatial filters called Matched Filters (MFs. These are easily computed as Gaussian-like 2D forms that use a limited range sub-optimal parameters adjusted to the dominant vessel characteristics obtained by Spatial Grey Level Difference statistics limiting the range of search into vessel widths of 16, 32, and 64 pixels. Sparse pixels are effectively eliminated by applying a limited range Hough Transform (HT or region growing. Major benefits are limiting the range of parameters, reducing the search-space for post-convolution to only masked regions, representing almost 2% of the 2D volume, good speed versus accuracy/time trade-off. Results show the potentials of our approach in terms of time for detection ROC analysis and accuracy of vessel pixel (VP detection.

  17. Southeast Region Headboat Survey-Vessel list/Vessel Directory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This is a database of vessels that have been on the SRHS through time, their owners/operators, marinas/docks and their contact information. This assists in...

  18. Atraumatic femoral neck fracture secondary to prolonged lactation induced osteomalacia

    Directory of Open Access Journals (Sweden)

    Dhammapal Sahebrao Bhamare

    2013-01-01

    Full Text Available Presenting a case of atraumatic fracture neck femur secondary to 2 years of prolonged lactation. A 26-year-old lactating mother presented with pain in left hip from last 12 months. She was apparently alright before and during pregnancy. Plain radiograph showed a complete undisplaced fracture of femoral neck. Osteomalacia was diagnosed by radiological and serological investigations. The fracture was fixed using AO type cannulated cancellous screws. The fracture showed good clinical and radiological union at 3 months. Literature review shows that this is a first case of atraumatic fracture of neck femur due to prolonged lactational osteomalacia. It showed that even apparently healthy Indians are susceptible to osteomalacia, more so during pregnancy and lactation and can be presented as atraumatic fracture. Although considered relatively stable, a compression type incomplete fracture neck femur may progress to a complete fracture if not treated in time.

  19. Laboratory hydraulic fracturing experiments in intact and pre-fractured rock

    Science.gov (United States)

    Zoback, M.D.; Rummel, F.; Jung, R.; Raleigh, C.B.

    1977-01-01

    Laboratory hydraulic fracturing experiments were conducted to investigate two factors which could influence the use of the hydrofrac technique for in-situ stress determinations; the possible dependence of the breakdown pressure upon the rate of borehole pressurization, and the influence of pre-existing cracks on the orientation of generated fractures. The experiments have shown that while the rate of borehole pressurization has a marked effect on breakdown pressures, the pressure at which hydraulic fractures initiate (and thus tensile strength) is independent of the rate of borehole pressurization when the effect of fluid penetration is negligible. Thus, the experiments indicate that use of breakdown pressures rather than fracture initiation pressures may lead to an erroneous estimate of tectonic stresses. A conceptual model is proposed to explain anomalously high breakdown pressures observed when fracturing with high viscosity fluids. In this model, initial fracture propagation is presumed to be stable due to large differences between the borehole pressure and that within the fracture. In samples which contained pre-existing fractures which were 'leaky' to water, we found it possible to generate hydraulic fractures oriented parallel to the direction of maximum compression if high viscosity drilling mud was used as the fracturing fluid. ?? 1977.

  20. [Arthroscopic fracture management in proximal humeral fractures].

    Science.gov (United States)

    Lill, H; Katthagen, C; Jensen, G; Voigt, C

    2013-04-01

    Arthroscopy has become increasingly more established in the treatment of proximal humeral fractures. In addition to the known advantages of minimally invasive surgery fracture and implant positioning can be optimized and controlled arthroscopically and relevant intra-articular concomitant pathologies (e.g. biceps tendon complex and rotator cuff) can be diagnosed and treated. Arthroscopic techniques have proven to be advantageous in the treatment of various entities of greater tuberosity fractures, lesser tuberosity fractures (suture bridging technique) and subcapital humeral fractures (arthroscopic nailing). This article presents an overview on innovative arthroscopic modalities for treating proximal humeral fractures, describes the surgical techniques and the advantages compared to open procedures as well as initial clinical results.

  1. Pediatric Phalanx Fractures.

    Science.gov (United States)

    Abzug, Joshua M; Dua, Karan; Sesko Bauer, Andrea; Cornwall, Roger; Wyrick, Theresa O

    2017-02-15

    Phalangeal fractures are the most common type of hand fracture that occurs in the pediatric population and account for the second highest number of emergency department visits in the United States for fractures. The incidence of phalangeal fractures is the highest in children aged 10 to 14 years, which coincides with the time that most children begin playing contact sports. Younger children are more likely to sustain a phalangeal fracture in the home setting as a result of crush and laceration injuries. Salter-Harris type II fractures of the proximal phalanx are the most common type of finger fracture. An unmineralized physis is biomechanically weaker compared with the surrounding ligamentous structures and mature bone, which make fractures about the physis likely. A thorough physical examination is necessary to assess the digital cascade for signs of rotational deformity and/or coronal malalignment. Plain radiographs of the hand and digits are sufficient to confirm a diagnosis of a phalangeal fracture. The management of phalangeal fractures is based on the initial severity of the injury and depends on the success of closed reduction techniques. Nondisplaced phalanx fractures are managed with splint immobilization. Stable, reduced phalanx fractures are immobilized but require close monitoring to ensure maintenance of fracture reduction. Unstable, displaced phalanx fractures require surgical management, preferably via closed reduction and percutaneous pinning.

  2. Standard Guide for In-Service Annealing of Light-Water Moderated Nuclear Reactor Vessels

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2003-01-01

    1.1 This guide covers the general procedures to be considered for conducting an in-service thermal anneal of a light-water moderated nuclear reactor vessel and demonstrating the effectiveness of the procedure. The purpose of this in-service annealing (heat treatment) is to improve the mechanical properties, especially fracture toughness, of the reactor vessel materials previously degraded by neutron embrittlement. The improvement in mechanical properties generally is assessed using Charpy V-notch impact test results, or alternatively, fracture toughness test results or inferred toughness property changes from tensile, hardness, indentation, or other miniature specimen testing (1). 1.2 This guide is designed to accommodate the variable response of reactor-vessel materials in post-irradiation annealing at various temperatures and different time periods. Certain inherent limiting factors must be considered in developing an annealing procedure. These factors include system-design limitations; physical constrain...

  3. Intramedullary compression device for proximal ulna fracture.

    Science.gov (United States)

    Hong, Choon Chiet; Han, Fucai; Decruz, Joshua; Pannirselvam, Vinodhkumar; Murphy, Diarmuid

    2015-02-01

    Proximal ulna fractures account for 20% of all proximal forearm fractures. Many treatment options are available for such fractures, such as cast immobilisation, plate and screw fixation, tension band wiring and intramedullary screw fixation, depending on the fracture pattern. Due to the subcutaneous nature of the proximal forearm, it is vulnerable to open injuries over the dorsal aspect of the proximal ulna. This may in turn prove challenging, as it is critical to obtain adequate soft tissue coverage to reduce the risk of implant exposure and bony infections. We herein describe a patient with a Gustillo III-B open fracture of the proximal ulna, treated with minimally invasive intramedullary screw fixation using a 6.0-mm cannulated headless titanium compression screw (FusiFIX, Péronnas, France).

  4. Confinement Vessel Assay System: Design and Implementation Report

    Energy Technology Data Exchange (ETDEWEB)

    Frame, Katherine C. [Los Alamos National Laboratory; Bourne, Mark M. [Los Alamos National Laboratory; Crooks, William J. [Los Alamos National Laboratory; Evans, Louise [Los Alamos National Laboratory; Mayo, Douglas R. [Los Alamos National Laboratory; Gomez, Cipriano D. [Retired CMR-OPS: OPERATIONS; Miko, David K. [Los Alamos National Laboratory; Salazar, William R. [Los Alamos National Laboratory; Stange, Sy [Los Alamos National Laboratory; Vigil, Georgiana M. [Los Alamos National Laboratory

    2012-07-18

    Los Alamos National Laboratory has a number of spherical confinement vessels remaining from tests involving nuclear materials. These vessels have an inner diameter of 6 feet with 1- to 2-inch thick steel walls. The goal of the Confinement Vessel Disposition (CVD) project is to remove debris and reduce contamination inside the vessels. We have developed a neutron assay system for the purposes of Materials Control and Accountability (MC&A) measurements of the vessel prior to and after cleanout. We present our approach to confronting the challenges in designing, building, and testing such a system. The system was designed to meet a set of functional and operational requirements. A Monte Carlo model was developed to aid in optimizing the detector design as well as to predict the systematic uncertainty associated with confinement vessel measurements. Initial testing was performed to optimize and determine various measurement parameters, and then the system was characterized using {sup 252}Cf placed a various locations throughout the measurement system. Measurements were also performed with a {sup 252}Cf source placed inside of small steel and HDPE shells to study the effect of moderation. These measurements compare favorably with their MCNPX model equivalent, making us confident that we can rely on the Monte Carlo simulation to predict the systematic uncertainty due to variations in response to material that may be localized at different points within a vessel.

  5. Danish, national cross-sectional observational study on the prevalence of prior major osteoporotic fractures in adults presenting with hip fracture—limitations and scope for fracture liaison services in prevention of hip fracture

    DEFF Research Database (Denmark)

    Frederiksen, A.; Abrahamsen, B.; Johansen, P. B.

    2018-01-01

    . Identification of vertebral fractures in particular is lacking. Introduction: The purpose of this study was to examine the prevalence of prior major osteoporotic fractures (MOF) in the prior 10 years preceding hip fracture in order to provide information about the potential for prevention of hip fractures...... if occurring more than 6 months before the present fracture. Results: A total of 28% of hip fracture patients (32% of women and 19% of men) had at least one recognized MOF in the preceding 10 years. Forearm and humerus fractures constituted > 70% of prior MOF. In both genders, vertebral fractures only...... represented a small percentage (2.6%) of previously recognized MOF. Men were less likely than women to have experienced a prior MOF, chiefly due to fewer forearm and humerus fractures. Conclusion: The majority of hip fractures—and in particular hip fractures in men—occur without a previously treated MOF...

  6. Lessons Learned From Developing Reactor Pressure Vessel Steel Embrittlement Database

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jy-An John [ORNL

    2010-08-01

    Materials behaviors caused by neutron irradiation under fission and/or fusion environments can be little understood without practical examination. Easily accessible material information system with large material database using effective computers is necessary for design of nuclear materials and analyses or simulations of the phenomena. The developed Embrittlement Data Base (EDB) at ORNL is this comprehensive collection of data. EDB database contains power reactor pressure vessel surveillance data, the material test reactor data, foreign reactor data (through bilateral agreements authorized by NRC), and the fracture toughness data. The lessons learned from building EDB program and the associated database management activity regarding Material Database Design Methodology, Architecture and the Embedded QA Protocol are described in this report. The development of IAEA International Database on Reactor Pressure Vessel Materials (IDRPVM) and the comparison of EDB database and IAEA IDRPVM database are provided in the report. The recommended database QA protocol and database infrastructure are also stated in the report.

  7. Evaluation of Fibular Fracture Type vs Location of Tibial Fixation of Pilon Fractures.

    Science.gov (United States)

    Busel, Gennadiy A; Watson, J Tracy; Israel, Heidi

    2017-06-01

    Comminuted fibular fractures can occur with pilon fractures as a result of valgus stress. Transverse fibular fractures can occur with varus deformation. No definitive guide for determining the proper location of tibial fixation exists. The purpose of this study was to identify optimal plate location for fixation of pilon fractures based on the orientation of the fibular fracture. One hundred two patients with 103 pilon fractures were identified who were definitively treated at our institution from 2004 to 2013. Pilon fractures were classified using the AO/OTA classification and included 43-A through 43-C fractures. Inclusion criteria were age of at least 18 years, associated fibular fracture, and definitive tibial plating. Patients were grouped based on the fibular component fracture type (comminuted vs transverse), and the location of plate fixation (medial vs lateral) was noted. Radiographic outcomes were assessed for mechanical failures. Forty fractures were a result of varus force as evidenced by transverse fracture of the fibula and 63 were due to valgus force with a comminuted fibula. For the transverse fibula group, 14.3% mechanical complications were noted for medially placed plate vs 80% for lateral plating ( P = .006). For the comminuted fibular group, 36.4% of medially placed plates demonstrated mechanical complications vs 16.7% for laterally based plates ( P = .156). Time to weight bearing as tolerated was also noted to be significant between groups plated medially and laterally for the comminuted group ( P = .013). Correctly assessing the fibular component for pilon fractures provides valuable information regarding deforming forces. To limit mechanical complications, tibial plates should be applied in such a way as to resist the original deforming forces. Level of Evidence Level III, comparative study.

  8. Preliminary assessment of the fracture behavior of weld material in full-thickness clad beams

    Energy Technology Data Exchange (ETDEWEB)

    Keeney, J.A.; Bass, B.R.; McAfee, W.J.; Iskander, S.K. [Oak Ridge National Lab., TN (United States)

    1994-10-01

    This report describes a testing program that utilizes full-thickness clad beam specimens to quantify fracture toughness for shallow cracks in material for which metallurgical conditions are prototypic of those found in reactor pressure vessels (RPVs). The beam specimens are fabricated from a section of an RPV wall (removed from a canceled nuclear plant) that includes weld, plate, and clad material. Metallurgical factors potentially influencing fracture toughness for shallow cracks in the beam specimens include material gradients due to welding and cladding applications, as well as material inhomogeneities in welded regions due to reheating in multiple weld passes. A summary of the testing program includes a description of the specimen geometry, material properties, the testing procedure, and the experimental results form three specimens. The yield strength of the weld material was determined to be 36% higher than the yield strength of the base material. An irradiation-induced increase in yield strength of the weld material could result in a yield stress that exceeds the upper limit where code curves are valid. The high yield strength for prototypic weld material may have implications for RPV structural integrity assessments. Analyses of the test data are discussed, including comparisons of measured displacements with finite-element analysis results, applications of toughness estimation techniques, and interpretations of constraint conditions implied by stress-based constraint methodologies. Metallurgical conditions in the region of the cladding heat-affected zone are proposed as a possible explanation for the lower-bound fracture toughness measured with one of the shallow-crack clad beam specimens. Fracture toughness data from the three clad beam specimens are compared with other shallow- and deep-crack uniaxial beam and cruciform data generated previously from A 533 Grade B plate material.

  9. 2013 East Coast Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  10. SC/OQ Vessel Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Data tables holding information for the Surf Clam/Ocean Quahog vessel and dealer/processor logbooks (negative and positive), as well as individual tag information...

  11. 2011 Great Lakes Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  12. 2011 West Coast Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  13. 2013 Great Lakes Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  14. 2011 East Coast Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  15. Integrin binding: Sticking around vessels

    Science.gov (United States)

    Blatchley, Michael R.; Gerecht, Sharon

    2017-09-01

    A study demonstrates that controlled integrin binding on a biomaterial was capable of promoting vascular cell sprouting and formation of a non-leaky blood vessel network in a healthy and diseased state.

  16. Transposition of the great vessels

    Science.gov (United States)

    ... vessel called the ductus arteriosus open, allowing some mixing of the 2 blood circulations. A procedure using ... they are not already immune. Eating well, avoiding alcohol, and controlling diabetes both before and during pregnancy ...

  17. 2013 West Coast Vessel Tracklines

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  18. Vessel Permit System Data Set

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — GARFO issues federal fishing permits annually to owners of fishing vessels who fish in the Greater Atlantic region, as required by federal regulation. These permits...

  19. 2011 Tug Towing Vessel Density

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Automatic Identification Systems (AIS) are a navigation safety device that transmits and monitors the location and characteristics of many vessels in U.S. and...

  20. Caribbean PR Logbook Survey (Vessels)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains catch (landed catch) and effort for fishing trips made by vessels fishing in Puerto Rico. The catch and effort data for the entire trip are...

  1. Coastal Discard Logbook Survey (Vessels)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains data on the type and amount of marine resources that are discarded or interacted with by vessels that are selected to report to the Southeast...

  2. Fatigue crack propagation in steels for reactor pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Klesnil, M.; Lukas, P.; Kunz, L. (Ceskoslovenska Akademie Ved, Brno. Ustav Fyzikalni Metalurgie); Troshchenko, V.T.; Pokrovskij, V.V.; Yasnij, P.V.; Skorenko, Y.S. (AN Ukrainskoj SSR, Kiev. Inst. Problem Prochnosti)

    1983-01-01

    Fatigue crack propagation data were measured on 15Kh2NMFA steel of Czechoslovak and Soviet makes. The results obtained by two laboratories were compared with other available data regarding materials for pressure vessels of nuclear power plants. Crack propagation curves were measured at temperatures -60, 20 and 350 degC and the corresponding parameters of crack growth equation were found. Threshold values of stress intensity factor amplitude, Ksub(apz), and the influence of stress ratio R in the range of small crack rates were determined experimentally. Fractography revealed either transgranular or mixed transgranular and interaranular fracture modes depending on stress intensity amplitude Ksub(a) and the environment.

  3. Prosopomorphic vessels from Moesia Superior

    Directory of Open Access Journals (Sweden)

    Nikolić Snežana

    2008-01-01

    Full Text Available The prosopomorphic vessels from Moesia Superior had the form of beakers varying in outline but similar in size. They were wheel-thrown, mould-made or manufactured by using a combination of wheel-throwing and mould-made appliqués. Given that face vessels are considerably scarcer than other kinds of pottery, more than fifty finds from Moesia Superior make an enviable collection. In this and other provinces face vessels have been recovered from military camps, civilian settlements and necropolises, which suggests that they served more than one purpose. It is generally accepted that the faces-masks gave a protective role to the vessels, be it to protect the deceased or the family, their house and possessions. More than forty of all known finds from Moesia Superior come from Viminacium, a half of that number from necropolises. Although tangible evidence is lacking, there must have been several local workshops producing face vessels. The number and technological characteristics of the discovered vessels suggest that one of the workshops is likely to have been at Viminacium, an important pottery-making centre in the second and third centuries.

  4. Permeability of displaced fractures

    Science.gov (United States)

    Kluge, Christian; Milsch, Harald; Blöcher, Guido

    2017-04-01

    Flow along fractures or in fissured systems becomes increasingly important in the context of Enhanced Geothermal Systems (EGS), shale gas recovery or nuclear waste deposit. Commonly, the permeability of fractures is approximated using the Hagen-Poiseuille solution of Navier Stokes equation. Furthermore, the flow in fractures is assumed to be laminar flow between two parallel plates and the cubic law for calculating the velocity field is applied. It is a well-known fact, that fracture flow is strongly influenced by the fracture surface roughness and the shear displacement along the fracture plane. Therefore, a numerical approach was developed which calculates the flow pattern within a fracture-matrix system. The flow in the fracture is described by a free fluid flow and the flow in the matrix is assumed to be laminar and therefore validates Darcy's law. The presented approach can be applied for artificially generated fractures or real fractures measured by surface scanning. Artificial fracture surfaces are generated using the power spectral density of the surface height random process with a spectral exponent to define roughness. For calculating the permeability of such fracture-matrix systems the mean fracture aperture, the shear displacement and the surface roughness are considered by use of a 3D numerical simulator. By use of this approach correlation between shear displacement and mean aperture, shear displacement and permeability, as well as surface roughness and permeability can be obtained. Furthermore, the intrinsic measured permeability presents a combination of matrix and fracture permeability. The presented approach allows the separation and quantification of the absolute magnitudes of the matrix and the fracture permeability and the permeability of displaced fractures can be calculated. The numerical approach which is a 3D numerical simulation of the fracture-matrix system can be applied for artificial as well as real systems.

  5. Comparison of approaches for microscopic imaging of skin lymphatic vessels.

    Science.gov (United States)

    Wu, Xiufeng; Yu, Zheyuan; Liu, Ningfei

    2012-01-01

    Assessment of skin lymphatic vessels is of great significance in understanding their roles in many pathological conditions. Our aim was to identify the optimal approach for investigation of cutaneous lymphatic system. We performed comparative studies on skin lymphatic vessels using immunohistochemistry of tissue sections, computer graphic reconstruction method together with immunohistochemically stained serial sections and whole mount fluorescence in human lower limb. Lymphatic vessels were identified with podoplanin antibody. The relative merits and drawbacks of each method in evaluation of structure, spatial organization, and distribution of cutaneous lymphatic vessels were described. Immunohistology of tissue sections enabled the investigation of the structure and distribution of the whole cutaneous lymphatic system in two-dimensional slices, whereas three-dimensional morphology of only the most superficial lymph capillary network immediately under the epidermis could be evaluated with the whole mount technique. Meanwhile, only little segmentation of skin lymphatic vessel from five immunohistochemically stained serial sections was reconstructed and evaluated due to expense and special skills required using computer graphic three-dimensional reconstruction. Furthermore, a great number of artifacts and special skills required in its processes leaded to less accurate structure of skin lymphatic vessels. Our findings demonstrated that the use of either of the proposed techniques alone could not allow a comprehensive analysis of the skin lymphatic system due to their relative drawbacks. Combination of immunohistology of tissue sections and three-dimensional whole-mount preparations appears to be the best candidate for comprehensive evaluation of skin lymphatic system. © Wiley Periodicals, Inc.

  6. Simulation of Hydraulic and Natural Fracture Interaction Using a Coupled DFN-DEM Model

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, J.; Huang, H.; Deo, M.

    2016-03-01

    The presence of natural fractures will usually result in a complex fracture network due to the interactions between hydraulic and natural fracture. The reactivation of natural fractures can generally provide additional flow paths from formation to wellbore which play a crucial role in improving the hydrocarbon recovery in these ultra-low permeability reservoir. Thus, accurate description of the geometry of discrete fractures and bedding is highly desired for accurate flow and production predictions. Compared to conventional continuum models that implicitly represent the discrete feature, Discrete Fracture Network (DFN) models could realistically model the connectivity of discontinuities at both reservoir scale and well scale. In this work, a new hybrid numerical model that couples Discrete Fracture Network (DFN) and Dual-Lattice Discrete Element Method (DL-DEM) is proposed to investigate the interaction between hydraulic fracture and natural fractures. Based on the proposed model, the effects of natural fracture orientation, density and injection properties on hydraulic-natural fractures interaction are investigated.

  7. Sleeve fracture of the adult patella

    Science.gov (United States)

    Xie, Linjun; Xu, Hong; Zhang, Lizhi; Xu, Rong; Guo, Yingkun

    2017-01-01

    Abstract Rationale: The patellar fractures are common in adults, but rare in children. As a particular type of patellar fracture, however, sleeve fractures are almost always limited to children in the under 16's group. Patient concerns: Herein, we report a rare case of a 19-year-old healthy adult female who presented sleeve fracture at the superior pole of the left patella. The clinical and radiological features are found including joint effusion, anterior tilt of the patella and a shell of bone lying proximally to the patella. Diagnoses: Computed tomography and magnetic resonance imaging examination have been performed to further confirm the diagnosis of sleeve fracture, rupture of the quadriceps tendon and the cartilaginous injury. Interventions: Under general anaesthesia, she underwent open surgical procedures for reconstituting anatomically the fracture and repairing the rupture of the quadriceps tendon. Outcomes: Six months after the operation, she could fully use her left knee without any pain and disability. Lessons: Sleeve fractures of the patellar in adults are extremely rare, and our case is of interest for the first time occurring in healthy female adults. Our case report and literature review was aim to describe the clinic and imaging characteristics of superior pole sleeve fractures in adults, and highlight that physicians must be aware of this entity in adults so as to reduce misdiagnosis due to unfamiliarity. PMID:28796028

  8. Pseudoarthrosis in atypical femoral fracture: case report.

    Science.gov (United States)

    Giannotti, S; Bottai, V; Dell'Osso, G; De Paola, G; Ghilardi, M; Guido, G

    2013-11-01

    Atypical femoral fractures can be subsequent to a long-term biphosphonates treatment; they have a high frequency of delayed healing. The authors describe a femoral pseudoarthrosis of an atypical fracture treated with intramedullary nailing in a female after prolonged alendronate therapy. Atypical femoral fractures can be subsequent to a long-term biphosphonates treatment even if, in the literature, there is no clarity on the exact pathogenetic mechanism. The Task Force of the American Society for Bone and Mineral Research described the major and minor features to define atypical fractures and recommends that all the five major features must be present while minor features are not necessary. Another controversial aspect regarding the atypical femoral fractures is the higher frequency of the delayed healing that can be probably related to a suppressed bone turnover caused by a prolonged period of bisphosphonates treatment. This concept could be corroborated by the Spet Tc exam. In the case of a pseudoarthrosis, there is not a standardization of the treatment. In this report, the authors describe a femoral pseudoarthrosis of an atypical fracture treated with intramedullary nailing in a female after prolonged alendronate therapy; the patient was studied with clinical, bioumoral end SPECT-Tc exam of both femurs. Many studies show the relationship between bisphosphonates and the presence of atypical fractures. These fractures should be monitored more closely due to the risk of nonunion and they require considering an initial treatment with pharmacological augmentation to reduce the complications for the patient and the health care costs.

  9. Splinting of Longitudinal Fracture: An Innovative Approach

    Directory of Open Access Journals (Sweden)

    Rashmi Bansal

    2016-01-01

    Full Text Available Trauma may result in craze lines on the enamel surface, one or more fractured cusps of posterior teeth, cracked tooth syndrome, splitting of posterior teeth, and vertical fracture of root. Out of these, management of some fractures is of great challenge and such teeth are generally recommended for extraction. Literature search reveals attempts to manage such fractures by full cast crown, orthodontic wires, and so forth, in which consideration was given to extracoronal splinting only. However, due to advancement in materials and technologies, intracoronal splinting can be achieved as well. In this case report, longitudinal fractures in tooth #27, tooth #37, and tooth #46 had occurred. In #27, fracture line was running mesiodistally involving the pulpal floor resulting in a split tooth. In teeth 37 and 46, fractures of the mesiobuccal cusp and mesiolingual cusp were observed, respectively. They were restored with cast gold inlay and full cast crown, respectively. Longitudinal fracture of 27 was treated with an innovative approach using intracanal reinforced composite with Ribbond, external reinforcement with an orthodontic band, and full cast metal crown to splint the split tooth.

  10. Master curve analysis of the SA508 Gr. 4N Ni-Mo-Cr low alloy steels for reactor pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ki Hyoung; Wee, Dang Moon [KAIST, Daejeon (Korea, Republic of); Kim, Min Chul; Lee, Bong Sang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2009-10-15

    Low alloy steels used as Reactor Pressure Vessels (RPVs) materials directly relate to the safety margin and the life span of reactors. Currently, SA508 Gr.3 low alloy steel is generally used for RPV material. But, for larger capacity and long-term durability of RPV, materials that have better properties including strength and toughness are needed. Therefore, tempered martensitic SA508 Gr.4N low alloy steel is considered as a candidate material due to excellent mechanical properties. The fracture toughness loss caused by irradiation embrittlement during reactor operation is one of the important issues for ferritic RPV steels, because the decrease of fracture toughness is directly related to the integrity of RPVs. One reliable and efficient concept to evaluate the fracture toughness of ferritic steels is master curve method. In ASTM E1921, it is clearly mentioned the universal shape of the median toughness-temperature curve for ferritic steels including tempered martensitic steels. However, currently, concerns have arisen regarding the appropriateness of the universal shape in ASTM for the tempered martensitic steels such as Eurofer97. Therefore, it may be necessary to assess the master curve applicability for the tempered martensitic SA508 Gr.4N low alloy steel. In this study, the fracture toughness behavior with temperature of the tempered martensitic SA508 Gr.4N low alloy steels was evaluated using the ASTM E1921 master curve method. And the results were compared with those of the bainitic SA508 Gr.3 low alloy steel. Furthermore, the way to define the fracture toughness behavior of Gr.4N steels well is discussed.

  11. Database for hydraulically conductive fractures. Update 2009

    Energy Technology Data Exchange (ETDEWEB)

    Palmen, J.; Tammisto, E.; Ahokas, H. (Poeyry Finland Oy, Espoo (Finland))

    2010-03-15

    Posiva flow logging (PFL) with a 0.5 m test interval and made in 10 cm steps can be used for the determination of the depth of hydraulically conductive fractures. Together with drillhole wall images and fracture data from core logging, PFL provides possibilities to detect individual conductive fractures. In this report, the results of PFL are combined with fracture data on drillholes OL-KR41 - OL-KR48, OL-KR41B - OLKR45B and pilot holes ONK-PH8 - ONK-PH10. In addition, HTU-data measured by 2 m section length and 2 m steps in holes OL-KR39 and OL-KR40 at depths 300-700 m were analyzed and combined with fracture data in a similar way. The conductive fractures were first recognised from PFL data and digital drillhole images and then the fractures from the core logging that correspond to the ones picked from the digital drillhole images were identified. The conductive fractures were primarily recognised in the images based on the openness of fractures or a visible flow in the image. In most of the cases, no tails of flow were seen in the image. In these cases the conductive fractures were recognised in the image based on the openness of fractures and a matching depth. On the basis of the results hydraulically conductive fractures/zones could in most cases be distinguished in the drillhole wall images. An important phase in the work is the calibration of the depth of the image, flow logging and the HTU logging with the sample length. In addition to results of PFL-correlation, Hydraulic Testing Unit (HTU) data measured by 2 m section length and 2 m steps was studied at selected depths for holes OL-KR39, OL-KR40, OL-KR42 and OL-KR45. Due to low HTU section depth accuracy the conducting fractures were successfully correlated with Fracture Data Base (FDB) fractures only in drillholes OL-KR39 and OL-KR40. HTU-data depth matching in these two drillholes was performed using geophysical Single Point Resistance (SPR) data both from geophysical and PFL measurements as a depth

  12. 2016 Accomplishments. Tritium aging studies on stainless steel. Forging process effects on the fracture toughness properties of tritium-precharged stainless steel

    Energy Technology Data Exchange (ETDEWEB)

    Morgan, Michael J. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-01-01

    Forged austenitic stainless steels are used as the materials of construction for pressure vessels designed to contain tritium at high pressure. These steels are highly resistant to tritium-assisted fracture but their resistance can depend on the details of the forging microstructure. During FY16, the effects of forging strain rate and deformation temperature on the fracture toughness properties of tritium-exposed-and-aged Type 304L stainless steel were studied. Forgings were produced from a single heat of steel using four types of production forging equipment – hydraulic press, mechanical press, screw press, and high-energy-rate forging (HERF). Each machine imparted a different nominal strain rate during the deformation. The objective of the study was to characterize the J-Integral fracture toughness properties as a function of the industrial strain rate and temperature. The second objective was to measure the effects of tritium and decay helium on toughness. Tritium and decay helium effects were measured by thermally precharging the as-forged specimens with tritium gas at 34.5 MPa and 350°C and aging for up to five years at -80°C to build-in decay helium prior to testing. The results of this study show that the fracture toughness properties of the as-forged steels vary with forging strain rate and forging temperature. The effect is largely due to yield strength as the higher-strength forgings had the lower toughness values. For non-charged specimens, fracture toughness properties were improved by forging at 871°C versus 816°C and Screw-Press forgings tended to have lower fracture toughness values than the other forgings. Tritium exposures reduced the fracture toughness values remarkably to fracture toughness values averaging 10-20% of as-forged values. However, forging strain rate and temperature had little or no effect on the fracture toughness after tritium precharging and aging. The result was confirmed by fractography which indicated that fracture modes

  13. Impaired Fracture Healing after Hemorrhagic Shock

    Directory of Open Access Journals (Sweden)

    Philipp Lichte

    2015-01-01

    Full Text Available Impaired fracture healing can occur in severely injured patients with hemorrhagic shock due to decreased soft tissue perfusion after trauma. We investigated the effects of fracture healing in a standardized pressure controlled hemorrhagic shock model in mice, to test the hypothesis that bleeding is relevant in the bone healing response. Male C57/BL6 mice were subjected to a closed femoral shaft fracture stabilized by intramedullary nailing. One group was additionally subjected to pressure controlled hemorrhagic shock (HS, mean arterial pressure (MAP of 35 mmHg for 90 minutes. Serum cytokines (IL-6, KC, MCP-1, and TNF-α were analyzed 6 hours after shock. Fracture healing was assessed 21 days after fracture. Hemorrhagic shock is associated with a significant increase in serum inflammatory cytokines in the early phase. Histologic analysis demonstrated a significantly decreased number of osteoclasts, a decrease in bone quality, and more cartilage islands after hemorrhagic shock. μCT analysis showed a trend towards decreased bone tissue mineral density in the HS group. Mechanical testing revealed no difference in tensile failure. Our results suggest a delay in fracture healing after hemorrhagic shock. This may be due to significantly diminished osteoclast recruitment. The exact mechanisms should be studied further, particularly during earlier stages of fracture healing.

  14. Infant skull fracture (image)

    Science.gov (United States)

    Skull fractures may occur with head injuries. Although the skull is both tough and resilient and provides excellent protection ... a severe impact or blow can result in fracture of the skull and may be accompanied by ...

  15. Nasal fracture (image)

    Science.gov (United States)

    A nasal fracture is a break in the bone over the ridge of the nose. It usually results from a blunt ... and is one of the most common facial fracture. Symptoms of a broken nose include pain, blood ...

  16. Growth Plate Fractures

    Science.gov (United States)

    .org Growth Plate Fractures Page ( 1 ) The bones of children and adults share many of the same risks for ... also subject to a unique injury called a growth plate fracture. Growth plates are areas of cartilage ...

  17. Bone fracture repair - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100077.htm Bone fracture repair - series—Indications To use the sharing features ... Go to slide 4 out of 4 Overview Fractures of the bones are classified in a number ...

  18. Femur fracture repair - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000166.htm Femur fracture repair - discharge To use the sharing features on this page, please enable JavaScript. You had a fracture (break) in the femur in your leg. It ...

  19. Rib fracture - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000539.htm Rib fracture - aftercare To use the sharing features on this page, please enable JavaScript. A rib fracture is a crack or break in one or ...

  20. Nasal fracture - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000554.htm Nasal fracture - aftercare To use the sharing features on this ... that gives your nose its shape. A nasal fracture occurs when the bony part of your nose ...

  1. Hip fracture surgery

    Science.gov (United States)

    ... neck fracture repair; Trochanteric fracture repair; Hip pinning surgery; Osteoarthritis - hip ... You may receive general anesthesia for this surgery. This means you ... spinal anesthesia . With this kind of anesthesia, medicine is ...

  2. Metatarsal stress fractures - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000553.htm Metatarsal stress fractures - aftercare To use the sharing features on ... that connect your ankle to your toes. A stress fracture is a break in the bone that ...

  3. Everted skull fracture.

    Science.gov (United States)

    Balasubramaniam, Srikant; Tyagi, Devendra K; Savant, Hemant V

    2011-11-01

    Skull bone fractures are common in trauma. They are usually linear undisplaced or depressed; however, a distinct possibility of elevated fracture remains. We describe an entity of everted fracture skull in which the fracture segment is totally everted. The nature of trauma, management, and complications of this unique case are discussed. A 21-year-old woman involved in a railway accident presented to us with a primary dressing on her wound. Investigations revealed an everted fracture skull. She underwent surgery with good results. We would like to add everted fracture skull to the nomenclature describing skull fractures in addition to elevated compound fracture skull as a new entity. Copyright © 2011 Elsevier Inc. All rights reserved.

  4. Bilateral Insufficiency Fracture of the Pelvis Following THA: A Case Report

    OpenAIRE

    Shinya Hayashi; Takayuki Nishiyama; Takaaki Fujishiro; Shingo Hashimoto; Masahiro Kurosaka

    2012-01-01

    Insufficiency fracture is of the stress fractures and is caused by repetitive stress on fragile bone. Insufficiency fractures of pubic rami are rare occurrences in association with total hip arthroplasty (THA). Postoperative stress fractures occur due to increase of patients activity following years of disability. The physician should consider the possibility of a pelvic insufficiency fracture in patients with RA after THA, if the patients present with groin pain. We demonstrate here the fir...

  5. Amyloidoma, an Unusual Cause of Fracture

    Directory of Open Access Journals (Sweden)

    Frank Verhoeven

    2014-01-01

    Full Text Available We report a case of a spontaneous hip fracture in a context of dysglobulinemia. The bone histologic examination found amyloidoma. Amyloidoma is an overload pathology and an unusual cause of fracture. In most of the cases, it is associated with myeloma and the difference between bone invasion of myeloma and amyloidoma in an osteolytic radiographic picture is not easy but is of importance because prognosis and treatment may be totally different. Thus, in the context of dysglobulinemia, one must keep in mind that spontaneous bone fracture may be due to amyloidoma with another prognosis.

  6. Automated method for identification and artery-venous classification of vessel trees in retinal vessel networks.

    Directory of Open Access Journals (Sweden)

    Vinayak S Joshi

    Full Text Available The separation of the retinal vessel network into distinct arterial and venous vessel trees is of high interest. We propose an automated method for identification and separation of retinal vessel trees in a retinal color image by converting a vessel segmentation image into a vessel segment map and identifying the individual vessel trees by graph search. Orientation, width, and intensity of each vessel segment are utilized to find the optimal graph of vessel segments. The separated vessel trees are labeled as primary vessel or branches. We utilize the separated vessel trees for arterial-venous (AV classification, based on the color properties of the vessels in each tree graph. We applied our approach to a dataset of 50 fundus images from 50 subjects. The proposed method resulted in an accuracy of 91.44% correctly classified vessel pixels as either artery or vein. The accuracy of correctly classified major vessel segments was 96.42%.

  7. Imaging of insufficiency fractures

    Energy Technology Data Exchange (ETDEWEB)

    Krestan, Christian [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)], E-mail: christian.krestan@meduniwien.ac.at; Hojreh, Azadeh [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)

    2009-09-15

    This review focuses on the occurrence, imaging and differential diagnosis of insufficiency fractures. Prevalence, the most common sites of insufficiency fractures and their clinical implications are discussed. Insufficiency fractures occur with normal stress exerted on weakened bone. Postmenopausal osteoporosis is the most common cause of insufficiency fractures. Other conditions which affect bone turnover include osteomalacia, hyperparathyroidism, chronic renal failure and high-dose glucocorticoid therapy. It is a challenge for the radiologist to detect and diagnose insufficiency fractures, and to differentiate them from other bone lesions. Radiographs are still the most widely used imaging method for identification of insufficiency fractures, but sensitivity is limited, depending on the location of the fractures. Magnetic resonance imaging (MRI) is a very sensitive tool to visualize bone marrow abnormalities associated with insufficiency fractures. Thin section, multi-detector computed tomography (MDCT) depicts subtle fracture lines allowing direct visualization of cortical and trabecular bone. Bone scintigraphy still plays a role in detecting fractures, with good sensitivity but limited specificity. The most important differential diagnosis is underlying malignant disease leading to pathologic fractures. Bone densitometry and clinical history may also be helpful in confirming the diagnosis of insufficiency fractures.

  8. Sprains, Strains and Fractures

    Science.gov (United States)

    ... the bone. Causes Injuries are the most common causes of foot and ankle sprains and fractures. Many fractures and sprains occur during ... or stumbling on uneven ground is another common cause of foot and ankle sprains and fractures. Symptoms Pain, swelling, bruising, and difficulty ...

  9. Obesity and fracture risk

    OpenAIRE

    Gonnelli, S; Caffarelli, C.; Nuti, R.

    2014-01-01

    Obesity and osteoporosis are two common diseases with an increasing prevalence and a high impact on morbidity and mortality. Obese women have always been considered protected against osteoporosis and osteoporotic fractures. However, several recent studies have challenged the widespread belief that obesity is protective against fracture and have suggested that obesity is a risk factor for certain fractures.

  10. Analytical Modeling of Shale Hydraulic Fracturing and Gas Production

    Science.gov (United States)

    Xu, W.

    2012-12-01

    Shale gas is abundant all over the world. Due to its extremely low permeability, extensive stimulation of a shale reservoir is always required for its economic production. Hydraulic fracturing has been the primary method of shale reservoir stimulation. Consequently the design and optimization of a hydraulic fracturing treatment plays a vital role insuring job success and economic production. Due to the many variables involved and the lack of a simple yet robust tool based on fundamental physics, horizontal well placement and fracturing job designs have to certain degree been a guessing game built on previous trial and error experience. This paper presents a method for hydraulic fracturing design and optimization in these environments. The growth of a complex hydraulic fracture network (HFN) during a fracturing job is equivalently represented by a wiremesh fracturing model (WFM) constructed on the basis of fracture mechanics and mass balance. The model also simulates proppant transport and placement during HFN growth. Results of WFM simulations can then be used as the input into a wiremesh production model (WPM) constructed based on WFM. WPM represents gas flow through the wiremesh HFN by an elliptic flow and the flow of gas in shale matrix by a novel analytical solution accounting for contributions from both free and adsorbed gases stored in the pore space. WPM simulation is validated by testing against numerical simulations using a commercially available reservoir production simulator. Due to the analytical nature of WFM and WPM, both hydraulic fracturing and gas production simulations run very fast on a regular personal computer and are suitable for hydraulic fracturing job design and optimization. A case study is presented to demonstrate how a non-optimized hydraulic fracturing job might have been optimized using WFM and WPM simulations.Fig. 1. Ellipsoidal representation of (a) stimulated reservoir and (b) hydraulic fracture network created by hydraulic

  11. A different trauma, a different fracture

    Directory of Open Access Journals (Sweden)

    Ü. Kaldırım

    2013-12-01

    Discussion and conclusion: The epiphyses and the apophyses are the weakest part of all the skeletal system. In these regions, avulsion fractures may occur with sudden and severe spasm of the muscles. Avulsion fractures of SIAS are mostly treated conservatively unless there is more than 2 cm fragment separated and non-union case in which case surgery is recommended. This type of injuries can be easily overlooked or misdiagnosed due to history of trauma free. It may also effects

  12. Effect of the quality of health care on permanent inability secondary to femoral fractures due to occupational accidents Efecto de la calidad de la atención médica en los casos de fractura de fémur con incapacidad permanente secundaria a accidentes de trabajo

    Directory of Open Access Journals (Sweden)

    Santiago Salinas-Tovar

    2001-04-01

    Full Text Available OBJECTIVE: To construct and validate an indicator for evaluating the quality of care for femoral fractures, and to assess the contribution of the quality of health care as a determinant of partial permanent inability secondary to femoral fractures due to occupational accidents. MATERIALS AND METHODS: The study was conducted from January to December 1995 at Mexican Institute of Social Security. The instrument was designed with experts' contribution along different stages and validated using implicit criteria and factorial analysis. A case-control study was then conducted to evaluate the contribution of the quality of care to inability secondary to femoral fractures. Cases were 108 active workers with permanent inability secondary to femoral fracture; controls were 94 active workers with fracture of femur but no permanent inability. Logistic regression modeling was used to establish the association between quality of care and partial permanent inability, adjusting by relevant variables. RESULTS: The ultimate indicator of quality of care consisted of the following: Timely care, pre-surgical management, surgical management, and fracture complications. A final score over 229 points meant that the worker had received good quality of care. Workers getting 229 or less points had received poor quality of care. Forty-eight (44% cases and 66 (70% controls received good quality of medical care. The likelihood of partial permanent inability was almost three times higher among workers given poor quality of care (OR 2.95; 95% CI 1.5 - 5.5. According to the multivariate model, predictors of partial permanent inability were: Having exposed or epiphysiary fractures, being re-submitted to surgery, having less than 90 days of rehabilitation care, and receiving deficient medical care. CONCLUSIONS: The constructed instrument was validated. The level of the quality of care received by workers is a determining factor for the generation of partial permanent inability

  13. 50 CFR 697.8 - Vessel identification.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Vessel identification. 697.8 Section 697.8 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION....8 Vessel identification. (a) Vessel name and official number. Each fishing vessel issued a limited...

  14. Mechanosensing in developing lymphatic vessels.

    Science.gov (United States)

    Planas-Paz, Lara; Lammert, Eckhard

    2014-01-01

    The lymphatic vasculature is responsible for fluid homeostasis, transport of immune cells, inflammatory molecules, and dietary lipids. It is composed of a network of lymphatic capillaries that drain into collecting lymphatic vessels and ultimately bring fluid back to the blood circulation. Lymphatic endothelial cells (LECs) that line lymphatic capillaries present loose overlapping intercellular junctions and anchoring filaments that support fluid drainage. When interstitial fluid accumulates within tissues, the extracellular matrix (ECM) swells and pulls the anchoring filaments. This results in opening of the LEC junctions and permits interstitial fluid uptake. The absorbed fluid is then transported within collecting lymphatic vessels, which exhibit intraluminal valves that prevent lymph backflow and smooth muscle cells that sequentially contract to propel lymph.Mechanotransduction involves translation of mechanical stimuli into biological responses. LECs have been shown to sense and respond to changes in ECM stiffness, fluid pressure-induced cell stretch, and fluid flow-induced shear stress. How these signals influence LEC function and lymphatic vessel growth can be investigated by using different mechanotransduction assays in vitro and to some extent in vivo.In this chapter, we will focus on the mechanical forces that regulate lymphatic vessel expansion during embryonic development and possibly secondary lymphedema. In mouse embryos, it has been recently shown that the amount of interstitial fluid determines the extent of lymphatic vessel expansion via a mechanosensory complex formed by β1 integrin and vascular endothelial growth factor receptor-3 (VEGFR3). This model might as well apply to secondary lymphedema.

  15. Multifocal humeral fractures.

    Science.gov (United States)

    Maresca, A; Pascarella, R; Bettuzzi, C; Amendola, L; Politano, R; Fantasia, R; Del Torto, M

    2014-02-01

    Multifocal humeral fractures are extremely rare. These may affect the neck and the shaft, the shaft alone, or the diaphysis and the distal humerus. There is no classification of these fractures in the literature. From 2004 to 2010, 717 patients with humeral fracture were treated surgically at our department. Thirty-five patients presented with an associated fracture of the proximal and diaphyseal humerus: synthesis was performed with plate and screws in 34 patients, and the remaining patient had an open fracture that was treated with an external fixator. Mean follow-up was 3 years and 3 months. A classification is proposed in which type A fractures are those affecting the proximal and the humeral shaft, type B the diaphysis alone, and type C the diaphysis in association with the distal humerus. Type A fractures are then divided into three subgroups: A-I, undisplaced fracture of the proximal humerus and displaced shaft fracture; A-II: displaced fracture of the proximal and humeral shaft; and A-III: multifragmentary fracture affecting the proximal humerus and extending to the diaphysis. Multifocal humeral fractures are very rare and little described in the literature, both for classification and treatment. The AO classification describes bifocal fracture of the humeral diaphysis, type B and C. The classification suggested in this article mainly concerns fractures involving the proximal and humeral shaft. A simple classification of multifocal fractures is suggested to help the surgeon choose the most suitable type of synthesis for surgical treatment. Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. Variabilities detected by acoustic emission from filament-wound Aramid fiber/epoxy composite pressure vessels

    Science.gov (United States)

    Hamstad, M. A.

    1978-01-01

    Two hundred and fifty Aramid fiber/epoxy pressure vessels were filament-wound over spherical aluminum mandrels under controlled conditions typical for advanced filament-winding. A random set of 30 vessels was proof-tested to 74% of the expected burst pressure; acoustic emission data were obtained during the proof test. A specially designed fixture was used to permit in situ calibration of the acoustic emission system for each vessel by the fracture of a 4-mm length of pencil lead (0.3 mm in diameter) which was in contact with the vessel. Acoustic emission signatures obtained during testing showed larger than expected variabilities in the mechanical damage done during the proof tests. To date, identification of the cause of these variabilities has not been determined.

  17. Incidence of hip fracture in Kermanshah, Iran.

    Science.gov (United States)

    Beyranvand, Mandana; Mohammadi, Goergee

    2009-12-01

    SUMMARY: The aim of this study was to estimate the incidence of hip fracture in Kermanshah, Iran. 161 cases (88 men and 73 women) were recorded. The annual age-standardized incidence rates were 181.1/100,000 in men and 214.6/100,000 in women. Incidence rate of hip fracture was less than in Western countries. INTRODUCTION: Hip fracture is the most serious complication of osteoporosis, the most common metabolic bone disease worldwide. The incidence of hip fracture in the elderly patients varies in different areas. The aim of this study was to estimate the incidence rate of hip fracture in Kermanshah, Iran. MATERIALS AND METHODS: All cases of hip fracture patients who aged 50 years or more admitted in six referral orthopedic hospitals in Kermanshah from May 21, 2007 to May 21, 2008 were studied. The age- and sex-specific incidence rates of hip fracture per 100,000 persons were calculated using the population data from the last national census in Iran, 2007. RESULTS: A total of 161 cases of hip fracture (88 men and 73 women) were recorded. The annual age-standardized incidence rates were 181.1/100,000 in men and 214.6/100,000 in women. The female to male ratio of hip fracture incidence was 1.18. CONCLUSION: We found a relatively low incidence of hip fracture in Iran than in Western countries, which is mostly due to the lower rate in women. This is probably related to the different lifestyle factors in different societies.

  18. Interobserver variation in classification of malleolar fractures

    Energy Technology Data Exchange (ETDEWEB)

    Verhage, S.M.; Hoogendoorn, J.M. [MC Haaglanden, Department of Surgery, The Hague (Netherlands); Secretariaat Heelkunde, MC Haaglanden, locatie Westeinde, Postbus 432, CK, The Hague (Netherlands); Rhemrev, S.J. [MC Haaglanden, Department of Surgery, The Hague (Netherlands); Keizer, S.B. [MC Haaglanden, Department of Orthopaedic Surgery, The Hague (Netherlands); Quarles van Ufford, H.M.E. [MC Haaglanden, Department of Radiology, The Hague (Netherlands)

    2015-10-15

    Classification of malleolar fractures is a matter of debate. In the ideal situation, a classification system is easy to use, shows good inter- and intraobserver agreement, and has implications for treatment or research. Interobserver study. Four observers distributed 100 X-rays to the Weber, AO and Lauge-Hansen classification. In case of a trimalleolar fracture, the size of the posterior fragment was measured. Interobserver agreement was calculated with Cohen's kappa. Agreement on the size of the posterior fragment was calculated with the intraclass correlation coefficient. Moderate agreement was found with all classification systems: the Weber (K = 0.49), AO (K = 0.45) and Lauge-Hansen (K = 0.47). Interobserver agreement on the presence of a posterior fracture was substantial (K = 0.63). Estimation of the size of the fragment showed moderate agreement (ICC = 0.57). Classification according to the classical systems showed moderate interobserver agreement, probably due to an unclear trauma mechanism or the difficult relation between the level of the fibular fracture and syndesmosis. Substantial agreement on posterior malleolar fractures is mostly due to small (<5 %) posterior fragments. A classification system that describes the presence and location of fibular fractures, presence of medial malleolar fractures or deep deltoid ligament injury, and presence of relevant and dislocated posterior malleolar fractures is more useful in the daily setting than the traditional systems. In case of a trimalleolar fracture, a CT scan is in our opinion very useful in the detection of small posterior fragments and preoperative planning. (orig.)

  19. Failure analysis of fractured dental zirconia implants.

    Science.gov (United States)

    Gahlert, M; Burtscher, D; Grunert, I; Kniha, H; Steinhauser, E

    2012-03-01

    The purpose of the present study was the macroscopic and microscopic failure analysis of fractured zirconia dental implants. Thirteen fractured one-piece zirconia implants (Z-Look3) out of 170 inserted implants with an average in situ period of 36.75±5.34 months (range from 20 to 56 months, median 38 months) were prepared for macroscopic and microscopic (scanning electron microscopy [SEM]) failure analysis. These 170 implants were inserted in 79 patients. The patient histories were compared with fracture incidences to identify the reasons for the failure of the implants. Twelve of these fractured implants had a diameter of 3.25 mm and one implant had a diameter of 4 mm. All fractured implants were located in the anterior side of the maxilla and mandibula. The patient with the fracture of the 4 mm diameter implant was adversely affected by strong bruxism. By failure analysis (SEM), it could be demonstrated that in all cases, mechanical overloading caused the fracture of the implants. Inhomogeneities and internal defects of the ceramic material could be excluded, but notches and scratches due to sandblasting of the surface led to local stress concentrations that led to the mentioned mechanical overloading by bending loads. The present study identified a fracture rate of nearly 10% within a follow-up period of 36.75 months after prosthetic loading. Ninety-two per cent of the fractured implants were so-called diameter reduced implants (diameter 3.25 mm). These diameter reduced implants cannot be recommended for further clinical use. Improvement of the ceramic material and modification of the implant geometry has to be carried out to reduce the failure rate of small-sized ceramic implants. Nevertheless, due to the lack of appropriate laboratory testing, only clinical studies will demonstrate clearly whether and how far the failure rate can be reduced. © 2011 John Wiley & Sons A/S.

  20. Stress fractures in runners.

    Science.gov (United States)

    McCormick, Frank; Nwachukwu, Benedict U; Provencher, Matthew T

    2012-04-01

    Stress fractures are a relatively common entity in athletes, in particular, runners. Physicians and health care providers should maintain a high index of suspicion for stress fractures in runners presenting with insidious onset of focal bone tenderness associated with recent changes in training intensity or regimen. It is particularly important to recognize “high-risk” fractures, as these are associated with an increased risk of complication. A patient with confirmed radiographic evidence of a high-risk stress fracture should be evaluated by an orthopedic surgeon. Runners may benefit from orthotics, cushioned sneakers, interval training, and vitamin/calcium supplementation as a means of stress fracture prevention.

  1. Mechanisms for fast flow in unsaturated fractured rock

    Energy Technology Data Exchange (ETDEWEB)

    Tokunaga, Tetsu K.; Wan, Jiamin

    1998-03-01

    Although fractures in rock are well-recognized as pathways for fast percolation of water, the possibility that fast flow could occur along unsaturated fracture pathways is commonly not considered in vadose zone hydrology. In this study, two mechanisms for fast flow along unsaturated fractures were investigated, film flow and surface zone flow. The importance of fracture surface roughness was demonstrated through experiments conducted on ceramic blocks having simple surface topographies. Those experiments showed that film flow on fracture surfaces is largely due to flow along continuous surface channels which become water-filled at near-zero matric (capillary) potentials. The second mechanism, surface zone flow, is important when the permeability of the rock along fractures (fracture skin) is significantly greater than that of the bulk rock matrix. Surface zone fast flow was demonstrated through water imbibition (sorptivity) experiments. These mechanisms help explain observations of rapid solute transport in unsaturated subsurface environments.

  2. Grounding Damage to Conventional Vessels

    DEFF Research Database (Denmark)

    Lützen, Marie; Simonsen, Bo Cerup

    2003-01-01

    regulations for design of bottom compartment layout with regard to grounding damages are largely based on statistical damage data. New and updated damage statistics holding 930 grounding accident records has been investigated. The bottom damage statistics is compared to current regulations for the bottom......The present paper is concerned with rational design of conventional vessels with regard to bottom damage generated in grounding accidents. The aim of the work described here is to improve the design basis, primarily through analysis of new statistical data for grounding damage. The current...... for the relation between the amount of deformed structure and the energy absorption. Finally, the paper shows how damage statistics for existing, conventional vessels can be used together with theoretical prediction methods for determining grounding damage distributions for new vessel types not included...

  3. 19 CFR 4.5 - Government vessels.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Government vessels. 4.5 Section 4.5 Customs Duties... VESSELS IN FOREIGN AND DOMESTIC TRADES Arrival and Entry of Vessels § 4.5 Government vessels. (a) No... that is the property of, the U.S. Department of Defense (DoD) will be treated as a Government vessel...

  4. Circumferential wires as a supplement to intramedullary nailing in unstable trochanteric hip fractures

    DEFF Research Database (Denmark)

    Ban, Ilija; Birkelund, Lasse; Palm, Henrik

    2012-01-01

    Fixation of unstable trochanteric fractures is challenging. Application of a circumferential wire may facilitate bone contact and avoid postoperative fracture displacement. However, the use of circumferential wires remains controversial due to possible disturbance of the blood supply to the under...

  5. Type II Intertrochanteric Fractures: Proximal Femoral Nailing (PFN) Versus Dynamic Hip Screw(DHS)

    National Research Council Canada - National Science Library

    Cyril Jonnes; Shishir Suranigi; Syed Najimudeen

    2016-01-01

    Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS...

  6. Fracture in Soft Materials

    DEFF Research Database (Denmark)

    Hassager, Ole

    Fracture is a phenomenon that is generally associated with solids. A key element in fracture theory is the so-called weakest link idea that fracture initiates from the largest pre-existing material imperfection. However, recent work has demonstrated that fracture can also happen in liquids, where...... surface tension will act to suppress such imperfections. Therefore, the weakest link idea does not seem immediately applicable to fracture in liquids. This presentation will review fracture in liquids and argue that fracture in soft liquids is a material property independent of pre-existing imperfections....... The following questions then emerge: What is the material description needed to predict crack initiation, crack speed and crack shape in soft materials and liquids....

  7. Orbital fractures: a review

    Directory of Open Access Journals (Sweden)

    Jeffrey M Joseph

    2011-01-01

    Full Text Available Jeffrey M Joseph, Ioannis P GlavasDivision of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, School of Medicine, New York University, New York, NY, USA; Manhattan Eye, Ear, and Throat Hospital, New York, NY, USAAbstract: This review of orbital fractures has three goals: 1 to understand the clinically relevant orbital anatomy with regard to periorbital trauma and orbital fractures, 2 to explain how to assess and examine a patient after periorbital trauma, and 3 to understand the medical and surgical management of orbital fractures. The article aims to summarize the evaluation and management of commonly encountered orbital fractures from the ophthalmologic perspective and to provide an overview for all practicing ophthalmologists and ophthalmologists in training.Keywords: orbit, trauma, fracture, orbital floor, medial wall, zygomatic, zygomatic complex, zmc fracture, zygomaticomaxillary complex fractures 

  8. [Pulmonary blood vessels in goats].

    Science.gov (United States)

    Roos, H; Hegner, K; Vollmerhaus, B

    1999-05-01

    The blood vessels in the lung of the goat, which until now have received little attention, are described in detail for the first time. With regard to the segments of the lung, blood vessels are bronchovascular units in the lobi craniales, lobus medius and lobus accessorius, but bronchoartery units in the lobi caudales. We investigated the types of branches of the Aa. pulmonales dextra et sinistra, the inter- and intraspecific principles of the outlet of the pulmonary veins and the importance of bronchopulmonary segmentation of the lungs.

  9. Bioreactor rotating wall vessel

    Science.gov (United States)

    2001-01-01

    The NASA Bioreactor provides a low turbulence culture environment which promotes the formation of large, three-dimensional cell clusters. Due to their high level of cellular organization and specialization, samples constructed in the bioreactor more closely resemble the original tumor or tissue found in the body. The work is sponsored by NASA's Office of Biological and Physical Research. The bioreactor is managed by the Biotechnology Cell Science Program at NASA's Johnson Space Center (JSC). NASA-sponsored bioreactor research has been instrumental in helping scientists to better understand normal and cancerous tissue development. In cooperation with the medical community, the bioreactor design is being used to prepare better models of human colon, prostate, breast and ovarian tumors. Cartilage, bone marrow, heart muscle, skeletal muscle, pancreatic islet cells, liver and kidney are just a few of the normal tissues being cultured in rotating bioreactors by investigators. Cell constructs grown in a rotating bioreactor on Earth (left) eventually become too large to stay suspended in the nutrient media. In the microgravity of orbit, the cells stay suspended. Rotation then is needed for gentle stirring to replenish the media around the cells.

  10. On the fracture toughness of advanced materials

    Energy Technology Data Exchange (ETDEWEB)

    Launey, Maximilien E.; Ritchie, Robert O.

    2008-11-24

    Few engineering materials are limited by their strength; rather they are limited by their resistance to fracture or fracture toughness. It is not by accident that most critical structures, such as bridges, ships, nuclear pressure vessels and so forth, are manufactured from materials that are comparatively low in strength but high in toughness. Indeed, in many classes of materials, strength and toughness are almost mutually exclusive. In the first instance, such resistance to fracture is a function of bonding and crystal structure (or lack thereof), but can be developed through the design of appropriate nano/microstructures. However, the creation of tough microstructures in structural materials, i.e., metals, polymers, ceramics and their composites, is invariably a compromise between resistance to intrinsic damage mechanisms ahead of the tip of a crack (intrinsic toughening) and the formation of crack-tip shielding mechanisms which principally act behind the tip to reduce the effective 'crack-driving force' (extrinsic toughening). Intrinsic toughening is essentially an inherent property of a specific microstructure; it is the dominant form of toughening in ductile (e.g., metallic) materials. However, for most brittle (e.g., ceramic) solids, and this includes many biological materials, it is largely ineffective and toughening conversely must be developed extrinsically, by such shielding mechanisms as crack bridging. From a fracture mechanics perspective, this results in toughening in the form of rising resistance-curve behavior where the fracture resistance actually increases with crack extension. The implication of this is that in many biological and high-strength advanced materials, toughness is developed primarily during crack growth and not for crack initiation. This is an important realization yet is still rarely reflected in the way that toughness is measured, which is invariably involves the use of single-value (crack-initiation) parameters such as

  11. [Fractures of the proximal interphalangeal joint: Diagnostic and operative therapy options].

    Science.gov (United States)

    Unglaub, F; Langer, M F; Hahn, P; Müller, L P; Ahrens, C; Spies, C K

    2016-02-01

    Joint fractures of the fingers often entail operative interventions in contrast to extra-articular fractures. These types of fracture are inclined to dislocate in addition to the actual fracture. The proximal interphalangeal (PIP) joint in particular often shows comminuted fractures due to the long leverage of the finger and a relatively small diameter of the joint. The clinical examination, X-ray diagnostics and if necessary computed tomography allow the classification into stable and unstable fractures. Unstable fractures must be treated by surgical reduction and fixation. A multitude of operative techniques are available for these mostly complicated fractures. The foremost goal is a stable osteosynthesis of the fracture with repositioning of the dislocation, which enables early physiotherapy in order to prevent tendon adhesion and contracture. This article presents the different types of PIP joint fractures, their specific surgical treatment and postoperative treatment regimens.

  12. Results of open tibial fracture treatment using external fixation

    Directory of Open Access Journals (Sweden)

    Golubović Ivan

    2016-01-01

    Full Text Available Introduction. Open lower leg fractures are the most common open fractures of the locomotor system and their treatment is associated with a number of complications. Objective. The aim of the paper was to present the results of the treatment of 68 patients with open lower leg fractures, as well as the complications that accompany the treatment of these fractures. Methods. In the analyzed group, there were 45 (66.18% men and 23 (33.82% women. The majority of patients - 33 (48.53% of them - were injured in motor vehicle accidents, whereas 24 (35.29% patients sustained injuries due to falls from heights. In two (2.94% patients the cause of open tibial fractures was gunshot injuries. In the analyzed group, there were 18 (26.47% type I open fractures, 21 (30.88% type II open fractures, 19 (27.94% type IIIA open fractures, seven (10.29% type IIIB open fractures, and three (4.41% type IIIC open fractures. Results. The tibial shaft fracture healed without serious complications in 50 (73.53% patients, whereas in 18 (26.47% patients we observed some complications. Nonunion was found in 10 (14.71% patients, osteitis in four (5.88, malunion in two (2.94% patients. Milder complications such as soft tissue pin tract infection developed in 13 (19.12% patients, infection of the open fracture wound soft tissue was observed in four (5.88% patients. Conclusion. Basic principles in the treatment of open lower leg fractures in this study are thorough primary open fracture wound treatment followed by the delayed wound closure, stable fracture fixation using unilateral external skeletal device, proper antibiotic treatment and tetanus prophylaxis. The results correlate with similar studies. [Projekat Ministarstva nauke Republike Srbije, br. III 41017: Virtual Human Osteoarticular System and its Application in Preclinical and Clinical Practice

  13. Pediatric Distal Radius Fractures.

    Science.gov (United States)

    Dua, Karan; Abzug, Joshua M; Sesko Bauer, Andrea; Cornwall, Roger; Wyrick, Theresa O

    2017-02-15

    Distal radius fractures are the most common orthopaedic injury that occur in the pediatric population. The annual incidence of distal radius fractures has increased as a result of earlier participation in sporting activities, increased body mass index, and decreased bone mineral density. Most distal radius fractures are sustained after a fall onto an outstretched arm that results in axial compression on the extremity or from direct trauma to the extremity. Physeal fractures of the distal radius are described based on the Salter-Harris classification system. Extraphyseal fractures of the distal radius are described as incomplete or complete based on the amount of cortical involvement. A thorough physical examination of the upper extremity is necessary to rule out any associated injuries. PA and lateral radiographs of the wrist usually are sufficient to diagnose a distal radius fracture. The management of distal radius fractures is based on several factors, including patient age, fracture pattern, and the amount of growth remaining. Nonsurgical management is the most common treatment option for patients who have distal radius fractures because marked potential for remodeling exists. If substantial angulation or displacement is present, closed reduction maneuvers with or without percutaneous pinning should be performed. Patients with physeal fractures of the distal radius that may result in malunion who present more than 10 days postinjury should not undergo manipulation of any kind because of the increased risk for physeal arrest.

  14. Commercial Passenger Fishing Vessel Fishery

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains the logbook data from U.S.A. Commercial Passenger Fishing Vessels (CPFV) fishing in the U.S.A. EEZ and in waters off of Baja California, from...

  15. Pressure vessel and method therefor

    Energy Technology Data Exchange (ETDEWEB)

    Saunders, Timothy

    2017-09-05

    A pressure vessel includes a pump having a passage that extends between an inlet and an outlet. A duct at the pump outlet includes at least one dimension that is adjustable to facilitate forming a dynamic seal that limits backflow of gas through the passage.

  16. BPC 157 and blood vessels.

    Science.gov (United States)

    Seiwerth, Sven; Brcic, Luka; Vuletic, Lovorka Batelja; Kolenc, Danijela; Aralica, Gorana; Misic, Marija; Zenko, Anita; Drmic, Domagoj; Rucman, Rudolf; Sikiric, Predrag

    2014-01-01

    This review focuses on the described effects of BPC 157 on blood vessels after different types of damage, and elucidate by investigating different aspects of vascular response to injury (endothelium damage, clotting, thrombosis, vasoconstriction, vasodilatation, vasculoneogenesis and edema formation) especially in connection to the healing processes. In this respect, BPC 157 was concluded to be the most potent angiomodulatory agent, acting through different vasoactive pathways and systems (e.g. NO, VEGF, FAK) and leading to optimization of the vascular response followed, as it has to be expected, by optimization of the healing process. Formation of new blood vessels involves two main, partly overlapping mechanisms, angiogenesis and vasculogenesis. The additional mechanism of arteriogenesis is involved in the formation of collaterals. In conjunction with blood vessel function, we at least have to consider leakage of fluid/proteins/plasma, resulting in edema/exudate formation as well as thrombogenesis. Blood vessels are also strongly involved in tumor biology. In this aspect, we have neoangiogenesis resulting in pathological vascularization, vascular invasion resulting in release of metastatic cells and the phenomenon of homing resulting in formation of secondary tumors--metastases.

  17. The determinants of fishing vessel accident severity.

    Science.gov (United States)

    Jin, Di

    2014-05-01

    The study examines the determinants of fishing vessel accident severity in the Northeastern United States using vessel accident data from the U.S. Coast Guard for 2001-2008. Vessel damage and crew injury severity equations were estimated separately utilizing the ordered probit model. The results suggest that fishing vessel accident severity is significantly affected by several types of accidents. Vessel damage severity is positively associated with loss of stability, sinking, daytime wind speed, vessel age, and distance to shore. Vessel damage severity is negatively associated with vessel size and daytime sea level pressure. Crew injury severity is also positively related to the loss of vessel stability and sinking. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. SPONTANEOUS FRACTURE IN THERMALLY STRENGTHENED GLASS - A REVIEW AND OUTLOOK

    OpenAIRE

    Stefan Karlsson

    2017-01-01

    Thermal strengthening of glass is common for many different purposes including architecture, automotive, glasses for solar energy, tableware and occasionally also containers. It is an easy and relatively cheap method to make glasses stronger, however, with an Achilles heel that it can spontaneously fracture without the slightest applied external force. Though, fracture due to applied external force is the most common case, spontaneous fracture is rare. The current paper reviews the literature...

  19. Cesarean Section and Femur Fracture: A Rare Complication

    Directory of Open Access Journals (Sweden)

    Eyup Zengin

    2013-08-01

    Full Text Available Femoral fracture due to birth trauma which is rare, can ocur during cesarean section. This case represents a new born delivered by cesarean section for breech presentation who sustained proximal fracture of the femur. Then newborn was treated with immobilization in bryant traction. Bryant%u2019s traction for 3 weeks in hospital is a safe method for the treatment of femoral fractures in neonates,and the outcome is good.

  20. Point-of-care ultrasound detection of acute scaphoid fracture.

    Science.gov (United States)

    Tessaro, Mark O; McGovern, Terrance R; Dickman, Eitan; Haines, Lawrence E

    2015-03-01

    In cases of traumatic wrist pain, emergency physicians must maintain a high index of suspicion for scaphoid fractures due to their potential for serious complications. A growing body of literature supports the use of point-of-care ultrasonography by emergency physicians in the evaluation of potential fractures. We report a case of a pediatric scaphoid fracture that was initially not visualized on x-ray and was subsequently detected using point-of-care ultrasound in the ED.

  1. Management of Crown Root Fracture by Interdisciplinary Approach

    OpenAIRE

    Nair, K. Radhakrishnan; Das, Anoop N.; Kuriakose, Manoj C.; Krishnankutty, Nandakumar

    2013-01-01

    Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable...

  2. Operational model for vessel traffic using optimal control and calibration

    NARCIS (Netherlands)

    Shu, Y.; Daamen, W.; Ligteringen, H.; Hoogendoorn, S.P.

    2015-01-01

    Due to the ever-increasing economic globalization, the scale of transportation through ports and waterways has increased sharply. As the capacity of maritime infrastructure in ports and inland waterways is limited, it is important to simulate vessel behavior to balance safety and capacity in

  3. [Classification and treatment of patella fractures].

    Science.gov (United States)

    Springorum, H-P; Siewe, J; Dargel, J; Schiffer, G; Michael, J W P; Eysel, P

    2011-10-01

    Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2 mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2 mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) need exact reconstruction of the joint surface. In elderly patients conservative treatment or surgical patella-enclosing wiring techniques for stabilization are the best options due to low bone quality.

  4. Reactor vessel lower head integrity

    Energy Technology Data Exchange (ETDEWEB)

    Rubin, A.M.

    1997-02-01

    On March 28, 1979, the Three Mile Island Unit 2 (TMI-2) nuclear power plant underwent a prolonged small break loss-of-coolant accident that resulted in severe damage to the reactor core. Post-accident examinations of the TMI-2 reactor core and lower plenum found that approximately 19,000 kg (19 metric tons) of molten material had relocated onto the lower head of the reactor vessel. Results of the OECD TMI-2 Vessel Investigation Project concluded that a localized hot spot of approximately 1 meter diameter had existed on the lower head. The maximum temperature on the inner surface of the reactor pressure vessel (RPV) in this region reached 1100{degrees}C and remained at that temperature for approximately 30 minutes before cooling occurred. Even under the combined loads of high temperature and high primary system pressure, the TMI-2 RPV did not fail. (i.e. The pressure varied from about 8.5 to 15 MPa during the four-hour period following the relocation of melt to the lower plenum.) Analyses of RPV failure under these conditions, using state-of-the-art computer codes, predicted that the RPV should have failed via local or global creep rupture. However, the vessel did not fail; and it has been hypothesized that rapid cooling of the debris and the vessel wall by water that was present in the lower plenum played an important role in maintaining RPV integrity during the accident. Although the exact mechanism(s) of how such cooling occurs is not known, it has been speculated that cooling in a small gap between the RPV wall and the crust, and/or in cracks within the debris itself, could result in sufficient cooling to maintain RPV integrity. Experimental data are needed to provide the basis to better understand these phenomena and improve models of RPV failure in severe accident codes.

  5. pathological fracture due to pemphigus vulgaris: a case report

    African Journals Online (AJOL)

    cyclophosphamide, gold, dapsone and mycophenolate mofetil have an adjunctive role to improve response to corticosteroids and also for their corticosteroid- sparing effect. Intravenous Immunoglobulin (IVIG) have recently come on board as effective though expensive treatment agents . In extremely resistant cases complex.

  6. Multiple Fractures and Iatrogenic Burns in a Newborn Due to ...

    African Journals Online (AJOL)

    Erah

    was insufficient data to demonstrate the cost effectiveness of these programmes. The authors concluded that if traditional birth attendants were to be trained, that their training be adequately evaluated in order to develop the strong evidence base that is lacking to date and that is necessary for sound policy and programming.

  7. Evaluation of nonunion fractures in dogs by use of B-mode ultrasonography, power Doppler ultrasonography, radiography, and histologic examination.

    Science.gov (United States)

    Risselada, Marije; van Bree, Henri; Kramer, Martin; Chiers, Koen; Duchateau, Luc; Verleyen, Piet; Saunders, Jimmy H

    2006-08-01

    To investigate the use of ultrasonography to assess nonunion of fractures in dogs and to compare results of ultrasonography, radiography, and histologic examination. 8 nonunion fractures in 6 dogs (1 each in 5 dogs and 3 in 1 dog); dogs ranged from 7 to 94 months of age and weighed 6 to 30 kg. Diagnostic assessment consisted of complete clinical and orthopedic examinations, radiography, B-mode (brightness mode) ultrasonography, and power Doppler ultrasonography. Biopsy samples were obtained during surgery for histologic examination. They were stained with H&E and immunolabeled by use of anti-CD31 antibodies. Correlations of power Doppler score, power Doppler count, vessel area, and radiographic prediction with the mean number of vessels counted per hpf were derived. Radiographically, 7 of 8 nonunion fractures were diagnosed as atrophic and were therefore estimated to be nonviable. Vascularity of nonunion fractures during power Doppler ultrasonography ranged from nonvascularized to highly vascularized. Absolute vessel count during histologic examination ranged from 0 to 63 vessels/hpf; 5 nonunion sites had a mean count of > 10 vessels/hpf. Vascularity during power Doppler ultrasonography was highly correlated with the number of vessels per hpf, whereas the correlation between the radiographic assessment and histologic evaluation was low. Radiographic prediction of the viability of nonunion fractures underestimated the histologically assessed vascularity of the tissue. Power Doppler ultrasonography provided a more accurate estimation of the viability of the tissue and therefore the necessity for debridement and autografts during revision surgery.

  8. 46 CFR 42.05-63 - Ship(s) and vessel(s).

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Ship(s) and vessel(s). 42.05-63 Section 42.05-63... BY SEA Definition of Terms Used in This Subchapter § 42.05-63 Ship(s) and vessel(s). The terms ship(s) and vessel(s) are interchangeable or synonymous words, and include every description of watercraft...

  9. Management of distal humeral coronal shear fractures

    Science.gov (United States)

    Yari, Shahram S; Bowers, Nathan L; Craig, Miguel A; Reichel, Lee M

    2015-01-01

    Coronal shear fractures of the distal humerus are rare, complex fractures that can be technically challenging to manage. They usually result from a low-energy fall and direct compression of the distal humerus by the radial head in a hyper-extended or semi-flexed elbow or from spontaneous reduction of a posterolateral subluxation or dislocation. Due to the small number of soft tissue attachments at this site, almost all of these fractures are displaced. The incidence of distal humeral coronal shear fractures is higher among women because of the higher rate of osteoporosis in women and the difference in carrying angle between men and women. Distal humeral coronal shear fractures may occur in isolation, may be part of a complex elbow injury, or may be associated with injuries proximal or distal to the elbow. An associated lateral collateral ligament injury is seen in up to 40% and an associated radial head fracture is seen in up to 30% of these fractures. Given the complex nature of distal humeral coronal shear fractures, there is preference for operative management. Operative fixation leads to stable anatomic reduction, restores articular congruity, and allows initiation of early range-of-motion movements in the majority of cases. Several surgical exposure and fixation techniques are available to reconstruct the articular surface following distal humeral coronal shear fractures. The lateral extensile approach and fixation with countersunk headless compression screws placed in an anterior-to-posterior fashion are commonly used. We have found a two-incision approach (direct anterior and lateral) that results in less soft tissue dissection and better outcomes than the lateral extensile approach in our experience. Stiffness, pain, articular incongruity, arthritis, and ulnohumeral instability may result if reduction is non-anatomic or if fixation fails. PMID:25984515

  10. Operative results of closed tibial plateau fractures

    Directory of Open Access Journals (Sweden)

    Mathur Hitin

    2005-01-01

    Full Text Available Background: Management of tibial plateau fractures remains challenging because of their number, variety and associated soft tissue injuries that further augment their complexity. Comparison of operative results in recent reports has been difficult due to a lack of standard fracture classification scheme and uniform standardized objective criteria for evaluating results. Methods: Between August 1998 to December 2002, 27 closed tibial plateau fractures were treated operatively using methods and principles advocated by AO/ASIF and followed up for an average of 35.74 months (range 24-68 months. Fractures were classified according to Schatzker′s staging system and results evaluated using Rasmussen′s 30-point clinical grading system and Rasmussen′s radiological evaluation of the knee at a minimum follow up of 2 years. Results: Type II was the most common fracture type (9 cases followed by type I (6 cases. There were 37% excellent and 51.85% good functional results with only 3 patients having unacceptable results. The mean Rasmussen′s functional score was 25.062 (range 15-30. Minimal fixation in comminuted or depressed fractures as compared to rigid fixation was the cause of unacceptable results. Loss of knee range of motion in a few cases was attributed to delayed knee mobilization in these cases. Using Rasmussen′s radiological grading, 2 patients had excellent results and 81.48 % patients had good results. Only 3 patients had poor radiological results. The mean Rasmussen′s radiological score was 15.33 (range 10-18. Moreover, clinical evaluation did not correlate with the follow up radiograph. Conclusion: Anatomic reduction and rigid internal fixation followed by early knee motion and partial weight bearing during bone healing are the cornerstones in the treatment of tibial plateau fractures. Standard fracture classification, uniform reporting and evaluating criteria, along with detailed analysis of uniform treatment methods, has helped us

  11. [Unstable pertrochanteric fractures, biomechanic, classification and therapy.].

    Science.gov (United States)

    Cech, O; Kostál, R; Váchal, J

    2000-01-01

    The authors deal with unstable pertrochanteric, intertrochanteric and subtrochanteric fractures extending as far as calcar femorale. The treatment of pertrochanteric issues is a serious issue as their total number in the Czech Republic exceeds 5.000 annually and with the exception of those which are contraindicated due to their health condition, all patients are indicated to surgery. In the treatment of unstable pertrochanteric fractures there occurs failure of internal fixation also with the use of implants such as dynamic hip screw or Gamma nail. The cause of unsuccessful treatment of unstable fractures is the defect in calcar femorale - impairment of the weightbearing area of proximal femur and failure of the implant as a result of its cyclic overloading - breakage of the nail, cutting out of the screw from the head in the osteoporotic bone or breaking out of screws fixing the plate to the femoral shaft. For a causal procedure the authors consider the reconstruction of the calcar femorale by a wedge valgus osteotomy of the comminuted zone after the original design of Debrunner and Cech (1969). Simultaneously with reconstruction of the medial cortical support in the calcar femorale the 160 degrees valgization is performed. In the AO classification the authors consider for unstable the fractures of types 31.A2.1, A2.2, A3.3. Significant from the therapeutic viewpoint is the classification of stable fractures (with open reduction the anatomic reconstruction of weight-bearing calcar femorale is possible) and unstable fractures - where with open reduction the defect of calcar femorale persists. For stabilization of unstable the authors recommend fixation by DHS at 150 degrees angle. If need be, this fixation may be combined with lag screws and in case of a simultaneous fracture of greater trochanter and in reverse fractures a trochanteric buttress plate has to be added. Key words: unstable pertrochanteric fractures, nonanatomic valgus reduction, DHS fixation.

  12. Vessel tree extraction using locally optimal paths

    DEFF Research Database (Denmark)

    Lo, Pechin Chien Pau; van Ginneken, Bram; de Bruijne, Marleen

    2010-01-01

    This paper proposes a method to extract vessel trees by continually extending detected branches with locally optimal paths. Our approach uses a cost function from a multi scale vessel enhancement filter. Optimal paths are selected based on rules that take into account the geometric characteristics...... of the vessel tree. Experiments were performed on 10 low dose chest CT scans for which the pulmonary vessel trees were extracted. The proposed method is shown to extract a better connected vessel tree and extract more of the small peripheral vessels in comparison to applying a threshold on the output...

  13. Electrically conductive containment vessel for molten aluminum

    Science.gov (United States)

    Holcombe, C.E.; Scott, D.G.

    1984-06-25

    The present invention is directed to a containment vessel which is particularly useful in melting aluminum. The vessel of the present invention is a multilayered vessel characterized by being electrically conductive, essentially nonwettable by and nonreactive with molten aluminum. The vessel is formed by coating a tantalum substrate of a suitable configuration with a mixture of yttria and particulate metal 10 borides. The yttria in the coating inhibits the wetting of the coating while the boride particulate material provides the electrical conductivity through the vessel. The vessel of the present invention is particularly suitable for use in melting aluminum by ion bombardment.

  14. -Lesser known stress fractures-.

    Science.gov (United States)

    Wybier, M; Hamze, B; Champsaur, P; Parlier, C

    1997-01-01

    Stress fractures of the tibia may disclose a longitudinal orientation which is obvious at bone scanning; a mild periostosis may appear on plain films; CT demonstrates a radially-oriented fracture in one aspect of the diaphyseal cortex. A cortical dissection-like vertically oriented insufficiency fracture may involve the medial aspect of the femoral shaft underlying the lesser trochanter; the fracture is concentric to the femoral cortex at CT. Insufficiency fractures of the sacrum may be misdiagnosed on plain films; bone scanning displays a typical H-shaped increased uptake which is a specific pattern. Insufficiency fractures of the pubis may appear as tumoral bone destruction; however no soft tissue mass is present at CT which in addition demonstrates normal fat tissue abutting the osseous lesion.

  15. 76 FR 63547 - Security Zone; Columbia and Willamette Rivers, Dredge Vessels Patriot and Liberty

    Science.gov (United States)

    2011-10-13

    ... Patriot and Liberty AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary security zone within 200 yards of the Dredge Vessels Patriot and Liberty while the... due to insufficient time in which to publish an NPRM since the Dredge Vessels Patriot and Liberty...

  16. A control-theoretic outlook at the no-go zone in sailing vessels

    DEFF Research Database (Denmark)

    Yang, Bin; Xiao, Lin; Jouffroy, Jerome

    2011-01-01

    Sailing vessels, due to their particular propulsive mechanism, gradually lose power as they face the wind, i.e. when they are in the so-called “no-go zone”. Interestingly, dynamical models of sailing vessels, which are usually quite complex, all have in common this no-go zone effect. Using a cont...

  17. En bloc ligation of renal vessels is safe and reduces duration of surgery

    DEFF Research Database (Denmark)

    Azawi, Nessn Htum; Hult, Mariam Annalisa Skibsted; Dahl, Claus

    2016-01-01

    INTRODUCTION: Conventionally, individual ligation of the renal vessels with clips is performed during laparoscopic nephrectomy (LN). Concomitant ligation of the vessels is not a standard procedure due to an expected risk of stapler dysfunction and the development of arteriovenous fistulas (AVF). ...

  18. Proximal humeral fractures

    OpenAIRE

    Mauro, Craig S.

    2011-01-01

    Proximal humeral fractures may present with many different configurations in patients with varying co-morbities and expectations. As a result, the treating physician must understand the fracture pattern, the quality of the bone, other patient-related factors, and the expanding range of reconstructive options to achieve the best functional outcome and to minimize complications. Current treatment options range from non-operative treatment with physical therapy to fracture fixation using percuta...

  19. Sphenotemporal buttress fracture

    Energy Technology Data Exchange (ETDEWEB)

    Jend, H.H.; Jend-Rossmann, I.

    1984-09-01

    A new fracture type visible of CT images of the base of the skull is described. In this fracture the sphenoidal connection to the zygomatic and temporal bone breaks off all its three extensions. It was recognized in five patients with severe head injuries. In three surviving patients it was associated with ipsilateral persistent amaurosis. This fracture should alert the investigator to the possible sequelae of the head injury.

  20. Cleavage Fracture Toughness of SA508 Gr.4N High Strength Low Alloy Steel with Different Phase Fraction

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ki Hyoung; Kim, Min Chul; Choi, Kwon Jae; Lee, Bong Sang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2012-05-15

    Materials for reactor pressure vessel (RPV) are required to have good mechanical properties to endure the severe operating conditions inside the reactor. Various researches have focused on improving mechanical properties by the controlling the heat treatment process of commercial SA508 Gr.3 RPV steel. Some studies for identifying new material with high strength and toughness for larger capacity and longer lifetime of reactor are being performed. SA508 Gr.4N low alloy steel may be a promising RPV material due to its excellent mechanical properties from its tempered martensitic microstructure. Recently, some research showed that F/M steel composed of the tempered martensite has a steeper temperature dependency of the fracture toughness than the master curve expression. We have also focused on the steep transition properties of tempered martensitic SA508 Gr.4N steel in previous research. However, it has not yet confirmed that the transition behavior including temperature dependency with tempered martensite fraction. This investigation aims to evaluate the relationship between cleavage fracture toughness and tempered martensite fraction for SA508 Gr.4N low alloy steel. For this purpose, the model alloys were prepared by controlling the cooling rate from the austenitization temperature. The cleavage fracture toughness was characterized in transition temperature region by 3-point bending tests. Based on the test results and a stress distribution near crack tip calculated in FE analysis, the relationship between the carbide size distributions and the transition properties are analyzed

  1. Comparison of BR3 Surveillance and Vessel Plates to the Surrogate Plates Representative of the Yankee Rowe PWR Vessel

    Energy Technology Data Exchange (ETDEWEB)

    Fabry, A.; Chaouadi, R.; Puzzolante, J.L.; Van de Velde, J.; Biemiller, E.C.; Rosinski, S.T.; Carter, R.G

    1998-07-01

    that the BR3 vessel anneal was necessary nor efficient. Furthermore, the practice to index fracture toughness to an absorbed energy level of 41 Joules in the CVN impact test is challenged in light of micromechanical modelling considerations and of supportive three-point slow bend precracked Charpy tests of the BR3 and YA1 plates. Finally, the sensitivity of embrittlement, annealing and post-anneal reembrittlement to irradiation temperature, nickel and other alloying or impurity elements is discussed, with a view to justify reducing the conservatism of regulatory prescriptions for these materials.

  2. Committee III.2 Fatigue and Fracture

    DEFF Research Database (Denmark)

    Brennan, F. P.; Branner, Kim; den Besten, J.H.

    2015-01-01

    Concern for crack initiation and growth under cyclic loading as well as unstable crack propagation and tearing in ship and offshore structures. Due attention shall be paid to practical application and statistical description of fracture control methods in design, fabrication and service. Consider......Concern for crack initiation and growth under cyclic loading as well as unstable crack propagation and tearing in ship and offshore structures. Due attention shall be paid to practical application and statistical description of fracture control methods in design, fabrication and service...

  3. Recertification of the air and methane storage vessels at the Langley 8-foot high-temperature structures tunnel

    Science.gov (United States)

    Hudson, C. M.; Girouard, R. L.; Young, C. P., Jr.; Petley, D. H.; Hudson, J. L., Jr.; Hudgins, J. L.

    1977-01-01

    This center operates a number of sophisticated wind tunnels in order to fulfill the needs of its researchers. Compressed air, which is kept in steel storage vessels, is used to power many of these tunnels. Some of these vessels have been in use for many years, and Langley is currently recertifying these vessels to insure their continued structural integrity. One of the first facilities to be recertified under this program was the Langley 8-foot high-temperature structures tunnel. This recertification involved (1) modification, hydrotesting, and inspection of the vessels; (2) repair of all relevant defects; (3) comparison of the original design of the vessel with the current design criteria of Section 8, Division 2, of the 1974 ASME Boiler and Pressure Vessel Code; (4) fracture-mechanics, thermal, and wind-induced vibration analyses of the vessels; and (5) development of operating envelopes and a future inspection plan for the vessels. Following these modifications, analyses, and tests, the vessels were recertified for operation at full design pressure (41.4 MPa (6000 psi)) within the operating envelope developed.

  4. Marine Vessel Models in Changing Operational Conditions - A Tutorial

    DEFF Research Database (Denmark)

    Perez, Tristan; Sørensen, Asgeir; Blanke, Mogens

    2006-01-01

    This tutorial paper provides an introduction, from a systems perspective, to the topic of ship motion dynamics of surface ships. It presents a classification of parametric models currently used for monitoring and control of marine vessels. These models are valid for certain vessel operational...... conditions (VOC). However, since marine systems operate in changing VOCs, there is a need to adapt the models. To date, there is no theory available to describe a general model valid across different VOCs due to the complexity of the hydrodynamic involved. It is believed that system identification could...

  5. Analysis and Measurement of NOx Emissions in Port Auxiliary Vessels

    Directory of Open Access Journals (Sweden)

    German de Melo Rodriguez

    2013-09-01

    Full Text Available This paper is made NOx pollution emitted by port auxiliary vessels, specifically by harbour tugs, due to its unique operating characteristics of operation, require a large propulsion power changes discontinuously, also possess some peculiar technical characteristics, large tonnage and high propulsive power, that differentiate them from other auxiliary vessels of the port. Taking into account all the above features, there are no studies of the NOx emission engines caused by different working regimes of power because engine manufacturers have not measured these emissions across the range of operating power, but usually we only report the pollution produced by its engines to a maximum continuous power.

  6. Scaphoid fractures in children

    Directory of Open Access Journals (Sweden)

    Gajdobranski Đorđe

    2014-01-01

    Full Text Available Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed fracture healing various types of treatment are available. Objective. To determine the mechanism of injury, clinical healing process, types and outcome of treatment of scaphoid fractures in children. Methods. We retrospectively analyzed patients with traumatic closed fracture of the scaphoid bone over a ten-year period (2002-2011. The outcome of the treatment of “acute” scaphoid fracture was evaluated using the Mayo Wrist Score. Results. There were in total 34 patients, of mean age 13.8 years, with traumatic closed fracture of the scaphoid bone, whose bone growth was not finished yet. Most common injury mechanism was fall on outstretched arm - 76% of patients. During the examined period 31 children with “acute” fracture underwent conservative treatment, with average immobilization period of 51 days. Six patients were lost to follow-up. In the remaining 25 patients, after completed rehabilitation, functional results determined by the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of “acute” scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.

  7. Hip fracture after hemiplegia.

    Science.gov (United States)

    Mulley, G.; Espley, A. J.

    1979-01-01

    In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke patients to fall to the affected side as a result of impaired locomotor function, and the development of disuse osteoporosis in the hemiplegic limb. PMID:471862

  8. [Fractures of the midfoot].

    Science.gov (United States)

    Boack, D H

    2004-07-01

    The immediate reduction of luxations and severe dislocations is necessary to protect the soft tissue. The soft tissue lesions determine the timing and partially the options of the operative treatment too. The conventional standard X-rays are sufficient to classify most of the fractures. Conservative treatment or minimal-invasive intramedullary techniques of fixation are sufficient in the treatment in most of the fractures. Screw- and plate-osteosynthesis are a good choice only in intra-articular fractures or sometimes in fractures of the first or fifth metatarsals. The clinical outcome is almost good and the rate of complications is low.

  9. Pathological fractures in children

    Science.gov (United States)

    De Mattos, C. B. R.; Binitie, O.; Dormans, J. P.

    2012-01-01

    Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although pathological fractures through a primary bone malignancy are rare, these should be recognised quickly in order to achieve better outcomes. A thorough history, physical examination and review of plain radiographs are crucial to determine the cause and guide treatment. In most benign cases the fracture will heal and the lesion can be addressed at the time of the fracture, or after the fracture is healed. A step-wise and multidisciplinary approach is necessary in caring for paediatric patients with malignancies. Pathological fractures do not have to be treated by amputation; these fractures can heal and limb salvage can be performed when indicated. PMID:23610658

  10. Treatment of forearm fractures

    National Research Council Canada - National Science Library

    Macintyre, N R; Ilyas, A M; Jupiter, J B

    2009-01-01

    Fractures of the forearm represent common injuries. Understanding the anatomy and function of the radius, ulna, interosseous membrane, proximal and distal radioulnar joints is critical to appropriate management...

  11. Bracing for thoracolumbar fractures.

    Science.gov (United States)

    Chang, Victor; Holly, Langston T

    2014-01-01

    Traumatic fractures of the thoracolumbar spine are relatively common occurrences that can be a source of pain and disability. Similarly, osteoporotic vertebral fractures are also frequent events and represent a significant health issue specific to the elderly. Neurologically intact patients with traumatic thoracolumbar fractures can commonly be treated nonoperatively with bracing. Nonoperative treatment is not suitable for patients with neurological deficits or highly unstable fractures. The role of operative versus nonoperative treatment of burst fractures is controversial, with high-quality evidence supporting both options. Osteoporotic vertebral fractures can be managed with bracing or vertebral augmentation in most cases. There is, however, a lack of high-quality evidence comparing operative versus nonoperative fractures in this population. Bracing is a low-risk, cost-effective method to treat certain thoracolumbar fractures and offers efficacy equivalent to that of surgical management in many cases. The evidence for bracing of osteoporotic-type fractures is less clear, and further investigation will be necessary to delineate its optimal role.

  12. Pediatric Scaphoid Fractures.

    Science.gov (United States)

    Ting, Beverlie; Sesko Bauer, Andrea; Abzug, Joshua M; Cornwall, Roger; Wyrick, Theresa O; Bae, Donald S

    2017-02-15

    Scaphoid fractures are the most common type of carpal injuries that occur in children and adolescents. The injury pattern seen in children and adolescents who have scaphoid fractures has recently shifted to resemble that of adults who have scaphoid fractures, with scaphoid waist fractures being the most common injury pattern. This shift has been attributed to increased body mass index in children and adolescents as well as more intense participation in extreme sports by both children and adolescents. The diagnosis of scaphoid fractures is based on both a clinical examination and radiographic fi ndings. If a scaphoid fracture is clinically suspected but initial radiographs are negative, cast immobilization followed by repeat imaging can lead to accurate diagnosis of the injury. MRI can aid in the diagnosis of a scaphoid injury in pediatric patients with incomplete ossifi cation of the scaphoid. Acute nondisplaced scaphoid fractures have a high rate of healing with cast immobilization; however, surgery should be considered in patients who have displaced scaphoid fractures with delayed presentation. In general, patients with scaphoid fractures who undergo appropriate treatment and achieve successful union have excellent long-term functional outcomes.

  13. Imaging hydraulic fractures by microseismic migration for downhole monitoring system

    Science.gov (United States)

    Lin, Ye; Zhang, Haijiang

    2016-12-01

    It has been a challenge to accurately characterize fracture zones created by hydraulic fracturing from microseismic event locations. This is because generally detected events are not complete due to the associated low signal to noise ratio and some fracturing stages may not produce microseismic events even if fractures are well developed. As a result, spatial distribution of microseismic events may not well represent fractured zones by hydraulic fracturing. Here, we propose a new way to characterize the fractured zones by reverse time migration (RTM) of microseismic waveforms from some events. This is based on the fact that fractures filled with proppants and other fluids can act as strong scatterers for seismic waves. Therefore, for multi-stage hydraulic fracturing, recorded waveforms from microseismic events induced in a more recent stage may be scattered by fractured zones from previous stages. Through RTM of microseismic waveforms in the current stage, we can determine fractured zones created in previous stages by imaging area of strong scattering. We test the feasibility of this method using synthetic models with different configurations of microseismic event locations and borehole sensor positions for a 2D downhole microseismic monitoring system. Synthetic tests show that with a few events fractured zones can be directly imaged and thus the stimulated reservoir volume (SRV) can be estimated. Compared to the conventional location-based SRV estimation method, the proposed new method does not depend on the completeness of detected events and only a limited number of detected and located events are necessary for characterizing fracture distribution. For simplicity, the 2D model is used for illustrating the concept of microseismic RTM for imaging the fracture zone but the method can be adapted to real cases in the future.

  14. Missed opportunities for prevention of hip fracture in older patients

    Directory of Open Access Journals (Sweden)

    Dubljanin-Raspopović Emilija

    2012-01-01

    Full Text Available Background/Aim. Osteoporotic fractures are a major cause of morbidity in the population. Therefore, fracture prevention strategies should be a major concern, and one of the priorities in the primary health care system. The aim of the study was to assess fracture and fall risk factors, and fracture risk level in patients with acute hip fracture, and to evaluate if there had been adequate osteoporosis treatment prior to fracture in this group of patients. Methods. Fracture and fall risk factors were assessed in 342 patients, ≥ 65 years old, hospitalized due to acute hip fracture at the Clinic for Orthopedic Surgery and Traumatology, Clinical Centre of Serbia in a 12-month period. Fall risk factors were assessed with the Fracture Risk Assessment (FRAX® algorithm, and patients were classified in respect to fracture risk level. Results. Hip fracture occurred in the majority of the patients in the high risk group (74.2%, where no additional bone mineral density testing was needed. Less than 10% of the patients had a diagnosis of osteoporosis before injury, while less than 2% were treated. Cognitive impairment (95.3%, visual impairment (58.2%, lower index of daily activities (51.8%, and depression (47.1% were the most frequently observed fall risk factors. Conclusion. The results of our investigation reveal insufficient identification of clinical fracture risk factors in the primary care setting, inadequate treatment of osteoporosis and, consequently, ineffective prevention of hip fractures in the geriatric population. The introduction of FRAX® into clinical practice enables more effective acknowledgment of patients with elevated fracture risk, even if bone density measurement is not available. The results of this study have a special significance for everyday clinical practice, because they impose a need for reviewing the existing approaches to osteoporosis prevention, and precise definiment of hip prevention strategies.

  15. Fracture of the styloid process associated with the mandible fracture

    Directory of Open Access Journals (Sweden)

    K N Dubey

    2013-01-01

    Full Text Available Fracture of the styloid process (SP of temporal bone is an uncommon injuries. Fracture of the SP can be associated with the facial injuries including mandible fracture. However, injury to the SP may be concealed and missed diagnosis may lead to the improper or various unnecessary treatments. A rare case of SP fracture associated with the ipsilateral mandibular fracture and also the diagnostic and management considerations of the SP fracture are discussed.

  16. Cerebral vessels segmentation for light-sheet microscopy image using convolutional neural networks

    Science.gov (United States)

    Hu, Chaoen; Hui, Hui; Wang, Shuo; Dong, Di; Liu, Xia; Yang, Xin; Tian, Jie

    2017-03-01

    Cerebral vessel segmentation is an important step in image analysis for brain function and brain disease studies. To extract all the cerebrovascular patterns, including arteries and capillaries, some filter-based methods are used to segment vessels. However, the design of accurate and robust vessel segmentation algorithms is still challenging, due to the variety and complexity of images, especially in cerebral blood vessel segmentation. In this work, we addressed a problem of automatic and robust segmentation of cerebral micro-vessels structures in cerebrovascular images acquired by light-sheet microscope for mouse. To segment micro-vessels in large-scale image data, we proposed a convolutional neural networks (CNNs) architecture trained by 1.58 million pixels with manual label. Three convolutional layers and one fully connected layer were used in the CNNs model. We extracted a patch of size 32x32 pixels in each acquired brain vessel image as training data set to feed into CNNs for classification. This network was trained to output the probability that the center pixel of input patch belongs to vessel structures. To build the CNNs architecture, a series of mouse brain vascular images acquired from a commercial light sheet fluorescence microscopy (LSFM) system were used for training the model. The experimental results demonstrated that our approach is a promising method for effectively segmenting micro-vessels structures in cerebrovascular images with vessel-dense, nonuniform gray-level and long-scale contrast regions.

  17. Reactive flow in fractured porous media

    Science.gov (United States)

    Jasinski, L.; Thovert, J.; Mourzenko, V.; Adler, P. M.

    2011-12-01

    Reactive flow through geological formations occurs in many situations due to human intervention or during natural processes. For instance, chemical dissolution and precipitation play a major role in diagenesis or in the formation of karsts. The quantitative description of the injection of a reacting fluid from a well into a fractured porous medium is also a subject of high interest. It can be provoked, as in the acidization stimulation technique for increasing well productivity, or accidental, in CO2 sequestration. Ideally, one wishes to analyze the improvements or damages caused by the fluid to the well itself and to its immediate surroundings. To this end, a coupled system of equations has to be solved. It includes the description of the flow in the porous matrix and in the fracture network by Darcy-like equations, and the description of the reactive solute transport and of the reactions which occur in the two structures. In addition, constitutive equations are required for the evolution of these two structures, such as evolution laws for permeability and reactivity as functions of porosity. Our discrete fracture numerical model involves three major steps. First, an unstructured tetrahedral mesh of the fractures and of the porous matrix is built. Second, the Darcy equations are discretized and solved, in a finite volume formulation. Third, the evolution of the solute concentration has to be calculated. This is the most difficult point if one wants to avoid numerical diffusion and accurately describe the transfers between the fractures and the matrix. A non linear flux limiting scheme of the Superbee type coupled with a systematic use of triple control volumes proved to be the most efficient. Various simple model situations have been considered, for validation purposes or to illustrate some physical points. In particular, it is shown that even when the matrix permeability is small and the flow is predominantly carried by the fracture network, convective exchanges

  18. Reactive transport in fractured porous media

    Science.gov (United States)

    Adler, P.; Jasinski, L.; Thovert, J.-F.; Mourzenko, V. V.

    2012-04-01

    Reactive flow through geological formations occurs in many situations due to human intervention or during natural processes. For instance, chemical dissolution and precipitation play a major role in diagenesis or in the formation of karsts. The quantitative description of the injection of a reacting fluid from a well into a fractured porous medium is also a subject of high interest. It can be provoked, as in the acidization stimulation technique for increasing well productivity, or accidental, in CO2 sequestration. Ideally, one wishes to analyze the improvements or damages caused by the fluid to the well itself and to its immediate surroundings. To this end, a coupled system of equations has to be solved. It includes the description of the flow in the porous matrix and in the fracture network by Darcy-like equations, and the description of the reactive solute transport and of the reactions which occur in the two structures. In addition, constitutive equations are required for the evolution of these two structures, such as evolution laws for permeability and reactivity as functions of porosity. Our discrete fracture numerical model involves three major steps. First, an unstructured tetrahedral mesh of the fractures and of the porous matrix is built. Second, the Darcy equations are discretized and solved, in a finite volume formulation. Third, the evolution of the solute concentration has to be calculated. This is the most difficult point if one wants to avoid numerical diffusion and accurately describe the transfers between the fractures and the matrix. A non linear flux limiting scheme of the Superbee type coupled with a systematic use of triple control volumes proved to be the most efficient. Various simple model situations have been considered, for validation purposes or to illustrate some physical points. In particular, it is shown that even when the matrix permeability is small and the flow is predominantly carried by the fracture network, convective exchanges

  19. AFSC/FMA/Vessel Assessment Logging

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Vessels fishing trawl gear, vessels fishing hook-and-line and pot gear that are also greater than 57.5 feet overall, and shoreside and floating processing facilities...

  20. Hawaii Abandoned Vessel Inventory, Hawaii Island

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Hawaii Island. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  1. US Virgin Islands Abandoned Vessel Inventory

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for US Virgin Islands. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of...

  2. Hawaii Abandoned Vessel Inventory, Midway Island, NWHI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Midway Island, NWHI. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of...

  3. Hawaii Abandoned Vessel Inventory, Kure, NWHI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Kure, NWHI. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  4. Actemra Approved for Certain Blood Vessel Inflammation

    Science.gov (United States)

    ... 165836.html Actemra Approved for Certain Blood Vessel Inflammation Drug will treat adults with a condition called ... to treat adults with giant cell arteritis, an inflammation of the blood vessels (vasculitis). In a media ...

  5. Hawaii Abandoned Vessel Inventory, Maro Reef, NWHI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Maro Reef, NWHI. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction of coral...

  6. PCs and networking for oceanographic research vessels

    Digital Repository Service at National Institute of Oceanography (India)

    Desai, R.G.P.; Desa, E.; Vithayathil, G.

    This paper, first describes briefly the evolution of data acquisition techniques and different system implementation, on board research vessels. A data acquisition system being developed for a coastal research vessel is then described which is based...

  7. Hawaii Abandoned Vessel Inventory, Lisianski Island, NWHI

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Abandoned Vessel Project Data for Lisianski Island, NWHI. Abandoned vessels pose a significant threat to the NOAA Trust resources through physical destruction...

  8. IAEA international studies on irradiation embrittlement of reactor pressure vessel steels

    Energy Technology Data Exchange (ETDEWEB)

    Brumovsky, M. [Nuclear Research Institute Rez plc (Czech Republic); Steele, L.E. [Chief Scientific Investigator of the Programme, Springfield, VA (United States)

    1997-02-01

    In last 25 years, three phases a Co-operative Research Programme on Irradiation Embrittlement of Reactor Pressure Vessel Steels has been organized by the International Atomic Energy Agency. This programme started with eight countries in 1971 and finally 16 countries took part in phase III of the Programme in 1983. Several main efforts were put into preparation of the programme, but the principal task was concentrated on an international comparison of radiation damage characterization by different laboratories for steels of {open_quotes}old{close_quotes} (with high impurity contents) and {open_quotes}advanced{close_quotes} (with low impurity contents) types as well as on development of small scale fracture mechanics procedures applicable to reactor pressure vessel surveillance programmes. This year, a new programme has been opened, concentrated mostly on small scale fracture mechanics testing.

  9. Gunshot fractures of tibia and femur - excellent results with reamed ...

    African Journals Online (AJOL)

    East African Medical Journal ... Objective: To document the outcome of treatment of femur and tibia diaphyseal fractures due to gunshot injury grafted with reamed bone marrow and immobilised with Surgical Implant ... Mean outcome measure: Clinical and radiological evidences of healing of the fracture at six weeks.

  10. Facial Fracture Management in Northwest Nigeria | Taiwo | Journal ...

    African Journals Online (AJOL)

    Background: Facial fracture is gradually become a public health problem in our community due to the attendant morbidity and mortality. Hence, the aim of this study was to determine the pattern of facial fracture in Dental and Maxillofacial Surgery Department of Usmanu Danfodiyo University Teaching Hospital.

  11. Subtrochanteric and Distal Femur Fractures in a Patient with ...

    African Journals Online (AJOL)

    This study aims to describe a rare and challenging case of a patient who presented ipsilateral subtrochanteric and distal femur fractures due to low‑energy trauma. The peculiarity of this case is the presence of femoral shaft fracture malunion and knee disarticulation in the same limb resulting from an accident suffered 30 ...

  12. Analysis of Fractured Teeth Utilizing Digital Microscopy: A Pilot Study

    Science.gov (United States)

    2016-06-01

    dentistry . This is due to longevity of life and ability to maintain natural dentition longer, supporting an increase in the number of fractured teeth...method for producing experimental simple vertical root fractures in dog teeth. J Endod 1993;19:512-5. 17. Bornstein MM, Wölner-Hanssen AB, Sendi P

  13. Hip Fractures among Older Adults

    Science.gov (United States)

    ... online training for health care providers. Learn More Hip Fractures Among Older Adults Recommend on Facebook Tweet Share ... get older. What You Can Do to Prevent Hip Fractures You can prevent hip fractures by taking steps ...

  14. Compression fractures of the back

    Science.gov (United States)

    ... most effective way to prevent compression or insufficiency fractures. Getting regular load-bearing exercise (such as walking) can help you avoid bone loss. Alternative Names Vertebral compression fractures Images Compression fracture References Cosman F, de Beur ...

  15. The Process of Hydraulic Fracturing

    Science.gov (United States)

    Hydraulic fracturing, know as fracking or hydrofracking, produces fractures in a rock formation by pumping fluids (water, proppant, and chemical additives) at high pressure down a wellbore. These fractures stimulate the flow of natural gas or oil.

  16. An Experimental Investigation of Hydraulic Fracturing in Shale Considering Anisotropy and Using Freshwater and Supercritical CO2

    Directory of Open Access Journals (Sweden)

    Jianming He

    2018-03-01

    Full Text Available The process of hydraulic fracturing makes use of a liquid to fracture reservoir rocks for the exploitation of unconventional resources. Hence, it is vital to understand the processes that produce the fracture networks that occur during hydraulic fracturing. A shale reservoir is one of the largest unconventional resources and it displays obvious anisotropic characteristics due to its inherent sedimentary structures. The viscosity and flow ability of the fracturing fluid plays an important role in this process. We conducted a series of hydraulic fracturing tests on shale cores (from the southern Sichuan Basin using freshwater and supercritical CO2 (SCO2 as fracturing fluids to investigate the different modes of fracture propagation. The pump pressure curves that we obtained during the fracturing experiment show how the shale responded to each of the fracturing fluids. We examined the influence of the anisotropic characteristics on the propagation of hydraulic fractures by conducting a series of hydraulic fracturing experiments on the shale cores using different bedding orientations. The bedding orientation of the shale had a profound influence on the fracture propagation when using either freshwater or a SCO2 fluid. The breakdown pressure of the shale core was affected not only by the bedding orientation but also by the fracturing fluid. A macroscopic observation of the fractures revealed different fracture geometries and propagation patterns. The results demonstrated that the anisotropic structures and the fracturing fluids could influence the path of the hydraulic fracture.

  17. [Severe fractures while driving a Segway personal transporter].

    Science.gov (United States)

    Heiselberg, Svend Erik; Brink, Ole

    2014-07-21

    We present two cases of patients who sustained severe fractures while driving a Segway in an amusement park. The first, a 59-year-old man, had a displaced femoral neck fracture operated with three screws. After two and a half months he had a total hip replacement. After three weeks he had another re-placement due to infection. The second, a 26-year-old male, had a displaced femoral neck fracture operated with three screws. The fracture healed uneventfully. The Segway's legal position, in Denmark, is like bicycles. For statistics, we have specific codes for trauma with a Segway.

  18. Purification of Mouse Brain Vessels.

    Science.gov (United States)

    Boulay, Anne-Cécile; Saubaméa, Bruno; Declèves, Xavier; Cohen-Salmon, Martine

    2015-11-10

    In the brain, most of the vascular system consists of a selective barrier, the blood-brain barrier (BBB) that regulates the exchange of molecules and immune cells between the brain and the blood. Moreover, the huge neuronal metabolic demand requires a moment-to-moment regulation of blood flow. Notably, abnormalities of these regulations are etiological hallmarks of most brain pathologies; including glioblastoma, stroke, edema, epilepsy, degenerative diseases (ex: Parkinson's disease, Alzheimer's disease), brain tumors, as well as inflammatory conditions such as multiple sclerosis, meningitis and sepsis-induced brain dysfunctions. Thus, understanding the signaling events modulating the cerebrovascular physiology is a major challenge. Much insight into the cellular and molecular properties of the various cell types that compose the cerebrovascular system can be gained from primary culture or cell sorting from freshly dissociated brain tissue. However, properties such as cell polarity, morphology and intercellular relationships are not maintained in such preparations. The protocol that we describe here is designed to purify brain vessel fragments, whilst maintaining structural integrity. We show that isolated vessels consist of endothelial cells sealed by tight junctions that are surrounded by a continuous basal lamina. Pericytes, smooth muscle cells as well as the perivascular astrocyte endfeet membranes remain attached to the endothelial layer. Finally, we describe how to perform immunostaining experiments on purified brain vessels.

  19. Collapsible Cryogenic Storage Vessel Project

    Science.gov (United States)

    Fleming, David C.

    2002-01-01

    Collapsible cryogenic storage vessels may be useful for future space exploration missions by providing long-term storage capability using a lightweight system that can be compactly packaged for launch. Previous development efforts have identified an 'inflatable' concept as most promising. In the inflatable tank concept, the cryogen is contained within a flexible pressure wall comprised of a flexible bladder to contain the cryogen and a fabric reinforcement layer for structural strength. A flexible, high-performance insulation jacket surrounds the vessel. The weight of the tank and the cryogen is supported by rigid support structures. This design concept is developed through physical testing of a scaled pressure wall, and through development of tests for a flexible Layered Composite Insulation (LCI) insulation jacket. A demonstration pressure wall is fabricated using Spectra fabric for reinforcement, and burst tested under noncryogenic conditions. An insulation test specimens is prepared to demonstrate the effectiveness of the insulation when subject to folding effects, and to examine the effect of compression of the insulation under compressive loading to simulate the pressure effect in a nonrigid insulation blanket under the action atmospheric pressure, such as would be seen in application on the surface of Mars. Although pressure testing did not meet the design goals, the concept shows promise for the design. The testing program provides direction for future development of the collapsible cryogenic vessel concept.

  20. 50 CFR 660.305 - Vessel identification.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Vessel identification. 660.305 Section 660.305 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC... Fisheries § 660.305 Vessel identification. (a) Display. The operator of a vessel that is over 25 ft (7.6 m...