Sample records for vessel fracture remains

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

    National Research Council Canada - National Science Library

    YAMABE, Junichiro; FUJIWARA, Hirotada; NISHIMURA, Shin


    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...

  2. Evaluation of the fracture resistance of remaining thin-walled roots restored with different post systems


    Pinho, Luis Gustavo Nunes Dias; Vinholi, Gustavo Helder; Coelho, Tulio Kalife; Rodrigues Neto, Dimas João; Cerutti Kopplin, Daiane; Silva, Anísio Lima


    The purpose of this work was evaluating the fracture strength of bovine roots weakened experimentally, restored with two different techniques: internal reinforcement of root canal walls with composite resin and a cast metal post and core or anatomic post (glass fiber post associated with composite resin). Thirty bovine lower central incisive were selected and transversally sectioned, remaining 14 mm of root in order to approximate to the human maxillary central incisive.  A sequence of standa...

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


    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

  4. 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

  5. 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)


    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)

  6. [Fracture of implant abutment screws and removal of a remaining screw piece

    NARCIS (Netherlands)

    Broeke, S.M. van den; Baat, C. de


    Fracture of the implant abutment screws is a complication which can render an implant useless. The prevalence of abutment screw fracture does not exceed 2.5% after 10 years. Causes are loosening of implant abutment screw, too few, too short or too narrow implants, implants not inserted perpendicular

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

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    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)


    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

  8. 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)


    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.

  9. 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: [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)


    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.

  10. Influence of remaining coronal tooth structure on fracture resistance and failure mode of restored endodontically treated maxillary incisors. (United States)

    Santos Pantaleón, Domingo; Morrow, Brian R; Cagna, David R; Pameijer, Cornelis H; Garcia-Godoy, Franklin


    Limited information is available on the effect of an incomplete ferrule because of the varying residual axial wall heights and the volume of residual tooth structure on the fracture resistance of endodontically treated and restored maxillary incisors. The purpose of this in vitro investigation was to examine the effect of varying residual axial wall heights, residual coronal tooth structure, and the absence of 1 proximal axial wall on the fracture resistance and failure mode of endodontically treated teeth restored with metal posts. Sixty intact human maxillary central incisors were divided into 6 groups (n=10): no ferrule (NF), 2-mm complete ferrule (CF2), 2-mm (IF2), 3-mm (IF3), and 4-mm (IF4) incomplete ferrules missing a single interproximal wall, and a control group that had a 6-mm incomplete ferrule (IF6). Cast metal post-and-cores were placed in all experimental specimens except for controls. Control specimens received 1 interproximal cavity preparation extending to the root canal access and a composite resin restoration. Complete metal crowns were then cemented on all specimens. Completed specimens were subjected to thermocycling (6000 cycles, 5°C/55°C) followed by the immediate testing of fracture resistance. Failed specimens were sectioned buccolingually and evaluated to identify the failure mode. The data were analyzed with an analysis of variance (ANOVA) and the Student-Newman-Keuls multiple comparison test (α=.05). An incomplete ferrule (IF2) with 1 interproximal wall missing had significantly reduced fracture resistance (697 N) compared with a complete ferrule (932 N). An increase of 3 to 4 mm of remaining wall height improved fracture resistance, from 844 N (IF3) to 853 N (IF4). Partial decementation was noticed in 8 NF and 5 IF2 specimens. IF3 and IF4 had no decementations. Radicular fractures and cracks (catastrophic failure) were observed in all IF2, IF3, and IF4, 9 CF2, and 6 NF specimens. In 7 specimens without posts (IF6, control

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

    Energy Technology Data Exchange (ETDEWEB)

    Habil; Ziliukas, A.


    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.

  12. Analisis Remaining Life dan Penjadwalan Program Inspeksi pada Pressure Vessel dengan Menggunakan Metode Risk Based Inspection (RBI

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    Dyah Arina Wahyu Lillah


    Full Text Available Seiring perkembangan eksplorasi minyak dan gas bumi di dunia, perusahaan minyak dan gas di Indonesia juga turut berlomba-lomba untuk mendapatkan ladang minyak dan gas bumi sebanyak-banyaknya. Perkembangan ini turut dipengaruhi oleh aturan-aturan pemerintah mengenai keselamatan dan pencegahan bahaya baik pada unit yang dikelola maupun tenaga kerja pengelola. Untuk itu semua perlatan-peralatan (unit kerja harus dijamin kehandalaannya agar tidak menimbulkan bahaya baik bagi pekerja maupun lingkungan. Subjek penelitian dalam tugas akhir ini ialah pada pressure vessel yang dimiliki oleh Terminal LPG Semarang. Kemungkinan bahaya yang dapat menyebabkan kerusakan pada pressure vessel perlu dianalisis agar dapat meminimalkan resiko yang akan terjadi. Metode Risk Based Inspection (RBI diharapkan dapat meminimalkan resiko yang ada pada pressure vessel. Penilaian resiko dalam tugas akhir ini mengacu pada standar API RP 581. Untuk mengetahui besarnya resiko yang ada pada plant, maka terlebih dahulu harus dihitung besarnya probabilitas kegagalan dan konsekuensi apabila terjadi kegagalan. Langkah selanjutnya ialah membandingkan besarnya resiko yang didapat dengan target resiko yang dimiliki oleh perusahaan. Dari hasil perbandingan ini dapat diketahui tingkat resiko pressure vessel, sehingga dapat ditentukan jadwal inspeksi dan metode inspeksi yang tepat.

  13. 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)


    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

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

    Energy Technology Data Exchange (ETDEWEB)

    Grounes, M.


    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

  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)


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

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    Fatima Majid


    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

  17. 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.


    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.


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    Entin Hartini


    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

  19. Effect of Length and Diameter of Fiber Reinforced Composite Post on Fracture Resistance of Remaining Tooth Structure

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    Saeid Ebrahimzadeh


    Full Text Available Introduction: Post and core has been considered for endodontically treated tooth, especially in cases with severe damage crowns. Recently fiber reinforced composite posts (FRC post have been used in the treatment of endodontically treated teeth. Because the length and diameter of posts are effective in stress distribution, the purpose of this study is to evaluate the effect of length and diameter of FRC post on fracture resistance. Methods: In this experimental study, 36 glass fiber posts with combination of 7mm, 9mm, and 12mm length and 1.1mm, 1.3mm and 1.5mm diameter were divided into 9 groups of 4. These posts were cemented in root canals by Panavia. Samples were tested with 45° compressive forces for the evaluation of fracture resistance. Datas were analyzed using SPSS soft ware and One- way and Two-way ANOVA analyses. Results: Fracture resistance did not increase significantly with the effect of length and diameter simultaneously (P=0.85. Samples with 12mm length and 1.5mm diameter had the greatest fracture resistance (1023/33N±239/22. The minimum fracture resistance had occurred in post with 7mm length and 1.5mm diameter (503/13N ±69/18. Fracture resistance increased significantly by increasing the length and the same diameter. Conclusion: It can be concluded that fracture resistance is affected by the length and not the diameter of FRC post.

  20. Effect of length and diameter of fiber reinforced composite post (FRC on fracture resistance of remaining tooth structure

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    Mahdiyeh seifi


    Full Text Available Introduction: Post and core has been considered for endodontically treated tooth, especially in cases with severe damage crowns. Recently fiber reinforced composite posts (FRC post have been used in the treatment of endodontically treated teeth. Because the length and diameter of posts are effective in stress distribution, the purpose of this study is to evaluate the effect of length and diameter of FRC post on fracture resistance. Methods: In this experimental study, 36 glass fiber posts with combination of 7mm, 9mm, and 12mm length and 1.1mm, 1.3mm and 1.5mm diameter were divided into 9 groups of 4. These posts were cemented in root canals by Panavia. Samples were tested with 45° compressive forces for the evaluation of fracture resistance. Datas were analyzed using SPSS soft ware and One- way and Two-way ANOVA analyses. Results: Fracture resistance did not increase significantly with the effect of length and diameter simultaneously (P=0.85. Samples with 12mm length and 1.5mm diameter had the greatest fracture resistance (1023/33N±239/22. The minimum fracture resistance had occurred in post with 7mm length and 1.5mm diameter (503/13N ±69/18. Fracture resistance increased significantly by increasing the length and the same diameter. Conclusion: It can be concluded that fracture resistance is affected by the length and not the diameter of FRC post.

  1. 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


    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.

  2. 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


    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.

  3. Influence of remaining coronal structure and of the marginal design on the fracture strength of roots restored with cast post and core. (United States)

    Carlini-Júnior, Bruno; Cecchin, Doglas; Farina, Ana P; Pereira, Gisele D S; Prieto, Lúcia T; Paulillo, Luis A M S


    The purpose of this study was to evaluate the fracture strength of roots that were prosthetically restored with cast post and core with or without any remaining coronal structure and with different finish lines. Sixty bovine incisors were sectioned below the cementoenamel junction, endodontically treated and randomly divided into six experimental groups (n = 10) containing teeth with or without any remaining coronal structure and with a beveled shoulder, a chanfered or a shoulder finish line design. The cast post and core were luted with dual-cured resin cement. The metal crowns were cemented with zinc phosphate cement. The specimens were subjected to a tangential compressive load (135° angle) at a crosshead speed of 0.5 mm/min until failure, using a universal testing machine. The fracture strength data were analyzed using the ANOVA and LSMeans (least square means) tests (α = 0.05). The data indicated that the teeth with 2 mm of remaining coronal structure showed the highest fracture strength values when compared with the teeth without any remaining structure (p strength values were obtained for the beveled shoulder, followed by the chanfered and then by the shoulder designs (p strength, a beveled shoulder and 2 mm of remaining coronal structure are the ideal conditions.

  4. 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.


    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.

  5. 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


    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.

  6. 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)


    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

  7. 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


    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.

  8. 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)


    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

  9. Accuracy of Cone-beam Computed Tomography in Measuring Dentin Thickness and Its Potential of Predicting the Remaining Dentin Thickness after Removing Fractured Instruments. (United States)

    Xu, Jialei; He, Jingzhi; Yang, Qian; Huang, Dingming; Zhou, Xuedong; Peters, Ove A; Gao, Yuan


    The purpose of this study was to evaluate the accuracy of cone-beam computed tomographic (CBCT) to measure dentin thickness and its potential of predicting the remaining dentin thickness after the removal of fractured instrument fragments. Twenty-three human mandibular molars were selected, and 4-mm portions of #25/.06 taper K3 files (SybronEndo, Orange, CA) were fractured in mesial canals. The teeth were then scanned using a micro-computed tomographic (micro-CT) system and a CBCT unit. Dentin thickness was measured and compared between both micro-CT and CBCT images to study the accuracy of CBCT readings. Then, the process of removing the fragments was simulated in CBCT images using the MeVisLab package (MeVis Research, Bremen, Germany); the predicted minimal remaining dentin thickness after removal was measured in different layers using VGStudio MAX software (Volume Graphics, Heidelberg, Germany). Data were compared with the actual minimal remaining dentin thickness acquired from micro-CT images, which were scanned after removing fractured instruments using the microtrepan technique. The results were analyzed statistically using intraclass correlation coefficients (ICCs) and a forecasting regression model analysis. The ICC for the dentin thickness was 0.988. The forecasting regression model of CBCT imaging estimating dentin thickness was micro-CT imaging = 15.835 + 1.080*CBCT, R2 = 0.963. The ICC for the remaining dentin thickness was 0.975 (P < .001). The forecasting regression model of CBCT imaging forecasting remaining dentin thickness was micro-CT imaging = 147.999 + 0.879*adjusted CBCT, R2 = 0.906. The study showed that CBCT imaging could measure dentin thickness accurately. Furthermore, using CBCT images, it is reliable and feasible to forecast the remaining dentin thickness after simulated instrument removal. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  10. 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)


    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

  11. 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


    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.

  12. 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)


    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.

  13. 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: [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)


    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.

  14. 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: [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)


    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.

  15. 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)


    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.

  16. 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)


    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.

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

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


    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.

  18. Fracture


    Bourdin, Blaise; Francfort, Gilles A.


    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 ...

  19. [Fractures accompanied by injuries of the great vessels in sport and leisure accidents. Diagnosis and management concept]. (United States)

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


    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.

  20. Definition of Mutually Optimum NDI and Proof Test Criteria for 2219 Aluminum Pressure Vessels. Volume 2: Optimization and Fracture Studies (United States)

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


    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.

  1. 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


    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.

  2. 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.


    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.

  3. Vessel Operating Units (Vessels) (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...

  4. Calculating the price of tanks, vessels and process equipment of petrochemical industry second criteria of integrity and survival remaining of API RP 579 (Fitness for service); Calculo do preco de tanques, vasos e equipamentos de processo da industria petroquimica segundo criterios de integridade e sobrevida remanescente do API RP 579 (Fitness for service)

    Energy Technology Data Exchange (ETDEWEB)

    Morato, Paulo Cesar Vidal Morato [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)


    By owning many tanks, vessels and process equipment, PETROBRAS has developed the concept of 'Fitness-For-Service' (suitability for use) under the standard API RP 579, i.e. to verify the structural integrity and remaining useful life of equipment in service. In this paper we will discuss how to calculate the remaining useful life of equipment used in accordance with such criteria and with this technical data, calculate the depreciated price. Steps: verification of applicability; surveys of the technical data of the equipment; surveys the minimum thickness of plating equipment over the years; calculation of the average annual rate of corrosion (tc); calculation of the required minimum thickness according to the criteria of API RP 579 (tr); calculation of remaining useful life (nr); calculation of the depreciated price (Vd) equipment. Conclusions: intended for evaluation of tanks price, vessels and process equipment according to API RP 579 concepts. Estimate the remaining useful life of equipment used and calculates the depreciated price. Scientific method based, consistent and robust, due to calculating established the remaining useful life. (author)

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

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


    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.

  6. Stimulating Fracture Healing in Ischemic Environments: Does Oxygen Direct Stem Cell Fate during Fracture Healing? (United States)

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


    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

  7. 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.


    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.

  8. Nose fracture (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 ...

  9. High Toughness Light Weight Pressure Vessel Project (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...

  10. 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...

  11. Skull fracture (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 ...

  12. Fish remains and humankind

    Directory of Open Access Journals (Sweden)

    Andrew K G Jones


    Full Text Available The four papers in this issue represent a trawl of the reports presented to the Fourth meeting of the International Council for Archaeozoology (ICAZ Fish Remains Working Group, which met at the University of York in 1987. The conference discussed material from many parts of the world - from Australasia to the north-west coast of America - and many eras, ranging in date from the early Pleistocene to the 1980s. It demonstrated both the variety of work being carried out and the growing interest in ancient fish remains. Internet Archaeology plans to publish other batches of papers from this conference. These reports will demonstrate the effort being made to distinguish between assemblages of fish remains which have been deposited by people and those which occur in ancient deposits as a result of the action of other agents. To investigate this area, experiments with modern material and observations of naturally occurring fish bone assemblages are supplemented with detailed analysis of ancient and modern fish remains. The papers published here illustrate the breadth of research into osteology, biogeography, documentary research, and the practicalities of recovering fish remains. Read, digest and enjoy them! Using the Internet for publishing research papers is not only ecologically sound (saving paper, etc. it disseminates scholarship to anyone anywhere on the planet with access to what is gradually becoming necessary technology in the late 20th century. Hopefully, future groups of papers will include video and audio material recorded at the conference, and so enable those who could not attend to gain further insights into the meeting and the scholarship underpinning this area of research.

  13. 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


    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)

  14. Everted skull fracture. (United States)

    Balasubramaniam, Srikant; Tyagi, Devendra K; Savant, Hemant V


    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.

  15. Large vessel vasculitides


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


    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...

  16. Efficiency and accuracy of equivalent fracture models for predicting fractured geothermal reservoirs: the influence of fracture network patterns (United States)

    Chen, Tao; Clauser, Christoph; Marquart, Gabriele


    Frequently, flow and transport in fractured geothermal reservoirs are modeled using discrete and continuum fracture models. In discrete fracture models, each fracture is represented explicitly based on unstructured grids, which increases greatly the computational effort. In continuum models, e.g., equivalent fracture models, the hydraulic properties of fractures are averaged on coarse grids, which are often applied for the field-scale modeling. We use and compare both discrete and equivalent fracture models for predicting the field-scale temperature distribution in fractured geothermal reservoirs. We assess the efficiency and the accuracy of the equivalent fracture models regarding the influence of fracture network pattern: In one model fractures are parallel to the axes of the model, another one contains also non-parallel fractures. We use the OpenGeoSys and SHEMAT-Suite codes for discrete fracture modeling and for equivalent fracture modeling, respectively. For equivalent fracture modeling, both the classical finite volume scheme and the mimetic finite difference scheme are used for solving the flow equation. The Oda method is used for computing permeability for equivalent fracture models. For the non-parallel fracture network, the equivalent permeability tensor contains off-diagonal components. Our simulations show that the equivalent fracture models remain computationally efficient with changing fracture pattern. The temperature at the production well turns out to be less sensitive to fracture pattern variations compared to the discrete fracture model. And the equivalent fracture model yields efficient and accurate results in case of dominating parallel fractures.

  17. A computational algorithm addressing how vessel length might depend on vessel diameter (United States)

    Jing Cai; Shuoxin Zhang; Melvin T. Tyree


    The objective of this method paper was to examine a computational algorithm that may reveal how vessel length might depend on vessel diameter within any given stem or species. The computational method requires the assumption that vessels remain approximately constant in diameter over their entire length. When this method is applied to three species or hybrids in the...

  18. Multifocal humeral fractures. (United States)

    Maresca, A; Pascarella, R; Bettuzzi, C; Amendola, L; Politano, R; Fantasia, R; Del Torto, M


    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.

  19. Vessel Operator System (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. Pediatric Distal Radius Fractures. (United States)

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


    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.

  1. Evaluation of fracture resistance of endodontically treated teeth restored with prefabricated posts and composites with varying quantities of remaining coronal tooth structure Avaliação da resistência à fratura de dentes tratados endodonticamente restaurados com pinos pré-fabricados e resinas compostas variando o remanescente dentário coronal

    Directory of Open Access Journals (Sweden)

    Murilo Pereira de Melo


    Full Text Available OBJECTIVES: The aim of this study was to evaluate the influence of remaining coronal tooth structure on endodontically treated teeth restored with prefabricated posts and two different composites for core build-up: dual-cured resin (Enforce Core and light-cured resin (Z-250. METHODS: Fourty freshly extracted canines were endodontically treated and divided into four groups: Group I - teeth with 3mm remaining coronal structure, restored with Enforce Core; Group II - teeth with 3mm remaining coronal structure, restored with Z-250; Group III - teeth with no remaining coronal structure, restored with Enforce; Group IV - teeth with no remaining coronal structure, restored with Z-250. After restoration, the teeth were embedded in acrylic resin and the fracture resistance was measured on a universal testing machine at 45 degrees to the long axis of the tooth until failure. RESULTS: Data were analyzed by two-way analysis of variance, which showed significant differences between groups (p=0.00. The Tukey test did not show significant differences between specimens with and without remaining coronal structure. Conversely, significant difference was observed between groups with different core build-up. The highest values of fracture resistance were found in the group restored with light-cured resin. SIGNIFICANCE: The remaining coronal tooth structure did not influence the resistance of endodontically treated teeth; however, the change of core build-up was able to modify this resistence.O objetivo desta pesquisa foi avaliar a influência do remanescente dentário coronal de dentes tratados endodonticamente, restaurados com pinos pré-fabricados e duas resinas como núcleos de preenchimento, uma de presa dual (Enforce Core e outra fotopolimerizável (Z-250. Foram utilizados 40 caninos superiores humanos extraídos, divididos em quatro grupos de 10 espécimes: Grupo l - com remanescente dentário coronal de 3mm e restaurados com Enforce Core; Grupo ll - com

  2. Scaphoid fractures in children

    Directory of Open Access Journals (Sweden)

    Gajdobranski Đorđe


    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.


    Energy Technology Data Exchange (ETDEWEB)

    Vormelker, P


    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.

  4. 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.


    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).

  5. 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 (United States)

    Xu, W.; Wiesner, C. S.


    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.

  6. [Large vessel vasculitides]. (United States)

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


    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.

  7. Parasite remains in archaeological sites

    Directory of Open Access Journals (Sweden)

    Françoise Bouchet


    Full Text Available Organic remains can be found in many different environments. They are the most significant source for paleoparasitological studies as well as for other paleoecological reconstruction. Preserved paleoparasitological remains are found from the driest to the moistest conditions. They help us to understand past and present diseases and therefore contribute to understanding the evolution of present human sociality, biology, and behavior. In this paper, the scope of the surviving evidence will be briefly surveyed, and the great variety of ways it has been preserved in different environments will be discussed. This is done to develop to the most appropriated techniques to recover remaining parasites. Different techniques applied to the study of paleoparasitological remains, preserved in different environments, are presented. The most common materials used to analyze prehistoric human groups are reviewed, and their potential for reconstructing ancient environment and disease are emphasized. This paper also urges increased cooperation among archaeologists, paleontologists, and paleoparasitologists.

  8. Guam Abandoned Vessel Inventory (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...

  9. Florida Abandoned Vessel Inventory (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...

  10. Vessel Arrival Info - Legacy (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...

  11. ALICE HMPID Radiator Vessel

    CERN Multimedia


    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.

  12. 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 ...

  13. Shoulder Fractures (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 ...

  14. Hand Fractures (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 ...

  15. Root fractures

    DEFF Research Database (Denmark)

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


    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....

  16. Stress Fractures (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 ...

  17. Femoral Neck Fracture

    Directory of Open Access Journals (Sweden)

    Jonathan Lee


    Full Text Available History of present illness: A 74-year-old male presented to the emergency department with left hip pain after falling off his bicycle. Pain is 3/10 in severity and exacerbated by movement. Patient denied head trauma. Exam showed left hip tenderness, 3/5 left lower extremity strength secondary to pain, and 5/5 right lower extremity strength. Sensation and pulses were intact in bilateral lower extremities. Left hip X-ray and pelvic CT revealed comminuted, impacted transcervical and subcapital fracture of the left femoral neck. Significant findings: In the anteroposterior view bilateral hip x-ray, there is an evident loss of Shenton’s line on the left (red line when compared to the normal right (white line, indicative of a fracture in the left femoral neck. This correlates with findings seen on pelvic CT, which reveals both a subcapital fracture (blue arrow and transcervical fracture (yellow arrow. The neck of the femur is displaced superiorly relative to the head of the femur while the head of the femur remains in its anatomical position within the acetabulum. Discussion: Femoral neck fractures are one of the most common types of hip fractures, accounting for 49.4% of all hip fractures.1 Diagnosing a femoral neck fracture can be made with plain x-ray, CT, or MRI. Plain film radiographs have been found to be at least 90% sensitive for hip fractures CT’s have been found to be 87%-100% sensitive and 100% specific for occult hip fractures in which plain radiographs were read as negative, but the patient still complained of hip pain Although MRI is currently the gold standard for detecting occult hip fractures (sensitivity and specificity = 100%, given MRI’s limited accessibility in the ED as well as the high sensitivity and specificity of CT scans for occult hip fractures, it is generally recommended to obtain CT scans for patients with suspected occult hip fractures as a first-line investigation

  18. Is a pelvic fracture a predictor for thoracolumbar spine fractures after blunt trauma?

    NARCIS (Netherlands)

    Pouw, M.H.; Deunk, J.; Brink, M.; Dekker, H.M.; Kool, D.R.; Vugt, A.B. van; Edwards, M.J.R.


    BACKGROUND: Discussion still remains which polytraumatized patients require radiologic thoracolumbar spine (TL spine) screening. The purpose of this study is to determine whether pelvic fractures are associated with TL spine fractures after a blunt trauma. Additionally, the sensitivity of

  19. Pressure vessel design manual

    CERN Document Server

    Moss, Dennis R


    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 ...

  20. Hip fracture - discharge (United States)

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

  1. Acetabular Fracture

    Directory of Open Access Journals (Sweden)

    Chad Correa


    Full Text Available 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: The non-contrast CT images show a minimally displaced comminuted fracture of the right acetabulum involving the acetabular roof, medial and anterior walls (red arrows, with associated obturator muscle hematoma (blue oval. Discussion: Acetabular fractures are quite rare. There are 37 pelvic fractures per 100,000 people in the United States annually, and only 10% of these involve the acetabulum. They occur more frequently in the elderly totaling an estimated 4,000 per year. High-energy trauma is the primary cause of acetabular fractures in younger individuals and these fractures are commonly associated with other fractures and pelvic ring disruptions. Fractures secondary to moderate or minimal trauma are increasingly of concern in patients of advanced age.1 Classification of acetabular fractures can be challenging. However, the approach can be simplified by remembering the three basic types of acetabular fractures (column, transverse, and wall and their corresponding radiologic views. First, column fractures should be evaluated with coronally oriented CT images. This type of fracture demonstrates a coronal fracture line running caudad to craniad, essentially breaking the acetabulum into two halves: a front half and a back half. Secondly, transverse fractures should be evaluated by sagittally oriented CT images. By definition, a transverse fracture separates the acetabulum into superior and inferior halves with the fracture line extending from anterior to posterior

  2. New hominin remains from Uzbekistan. (United States)

    Glantz, Michelle; Viola, Bence; Wrinn, Patrick; Chikisheva, Tatiana; Derevianko, Anatoly; Krivoshapkin, Andrei; Islamov, Uktur; Suleimanov, Rustam; Ritzman, Terrence


    Although the Paleolithic occupations of Uzbekistan and the neighboring foothill regions of Tajikistan and Kazakhstan are well-documented, almost no hominin fossil material has been discovered in the area since Teshik-Tash 1 in 1938. Here we describe and offer a preliminary comparative framework for hominin remains that were recovered in 2003 from two Middle Paleolithic sites in Uzbekistan, Obi-Rakhmat Grotto and Anghilak Cave. The description of Teshik-Tash as a Neandertal and the preponderance of lithic assemblages identified as Mousterian in character has supported the interpretation of the region as the eastern-most extent of the Neandertal range. The material from Obi-Rakhmat (OR-1), a subadult represented by part of a permanent maxillary dentition and a fragmentary cranium, expresses a relatively Neandertal-like dentition coupled with more ambiguous cranial anatomy. The remains from Anghilak Cave include a non-diagnostic, diminutive right fifth metatarsal (AH-1). These findings are important additions to the Central Asia hominin fossil record.

  3. How to implement a fracture liaison service (United States)

    The case for Fracture Liaison Service (FLS) for the prevention of secondary fractures is clear. With an ageing population, the burden of osteoporosis is set to increase. Despite evidence for the clinical effectiveness of secondary fracture prevention, translation in the real world setting remains di...

  4. Maury Journals - German Vessels (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.

  5. Reactor vessel lower head integrity

    Energy Technology Data Exchange (ETDEWEB)

    Rubin, A.M.


    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.

  6. Atypical Pelvic Crescent Fracture Caused by Vertical Shear Force


    Park, Sang-Eun; Lee, Se-Won; Kim, Weon-Yoo; Park, Yong


    The crescent fracture consists of a posterior iliac wing fracture with extension into the sacroiliac joint and a dislocation of the sacroiliac joint. This fracture represents a subset of lateral compression injury. The strong posterior ligaments of sacroiliac joint remain intact and a fracture fragment (crescent shape) involving the posterior superior iliac spines remains firmly attached to the sacrum. We report a patient with atypical pelvic crescent fracture that is mainly influenced by ver...

  7. 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)


    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.

  8. Hip Fractures. (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.

  9. Hamate fractures. (United States)

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


    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.

  10. Colles Fracture


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


    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 ...


    NARCIS (Netherlands)

    Beukers, A.; De Jong, T.


    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. Containment vessel drain system

    Energy Technology Data Exchange (ETDEWEB)

    Harris, Scott G.


    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.

  13. Structural integrity of nuclear reactor pressure vessels (United States)

    Knott, John F.


    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.

  14. Greenstick Fractures (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 ...

  15. Recent Advancements in Retinal Vessel Segmentation. (United States)

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


    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.

  16. Reattachment of fractured tooth fragment: A case report | Ajayi ...

    African Journals Online (AJOL)

    ... uncomplicated crown fracture of the maxillary right and left central incisors, horizontal fracture on the labial aspect of the left maxillary central incisor as well as an oblique fracture palatally with the fractured fragment of the left central incisor still remained attached by gingival palatally. A light curing composite resin using ...

  17. Fracture Mechanics

    CERN Document Server

    Zehnder, Alan T


    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...

  18. Ankle fracture - aftercare (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 ...

  19. Purification of Mouse Brain Vessels. (United States)

    Boulay, Anne-Cécile; Saubaméa, Bruno; Declèves, Xavier; Cohen-Salmon, Martine


    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.

  20. The risk of major and any (non-hip) fragility fracture after hip fracture in the United Kingdom: 2000-2010

    NARCIS (Netherlands)

    Gibson-Smith, D.; Klop, C.; Elders, P.J.M.; Welsing, P.M.J.; van Schoor, N.M.; Leufkens, H.G.M.; Harvey, N.C.; van Staa, TP; de Vries, F.


    Introduction: Hip fractures are associated with subsequent fractures, particularly in the year following initial fracture. Age-adjusted hip fracture rates have stabilised in many developed countries, but secular trends in subsequent fracture remain poorly documented. We thus evaluated secular trends

  1. Arterial injury and pseudoaneurysm formation after lesser trochanter fracture

    Directory of Open Access Journals (Sweden)

    Susanne Regus


    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.

  2. Fracture fixation. (United States)

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


    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

  3. 2013 Vessel Density (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...

  4. 2011 Passenger Vessel Density (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...

  5. 2011 Vessel Density (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...

  6. 2013 Passenger Vessel Density (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...

  7. 2013 Tanker Vessel Density (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. 2013 Cargo Vessel Density (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. High Performance Marine Vessels

    CERN Document Server

    Yun, Liang


    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...

  10. Cheboygan Vessel Base (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...

  11. Maury Journals - US Vessels (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.

  12. 2011 Cargo Vessel Density (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. 2011 Tanker Vessel Density (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. 2013 Fishing Vessel Density (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. Coastal Logbook Survey (Vessels) (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,...

  16. Pediatric calcaneal fractures

    Directory of Open Access Journals (Sweden)

    Hobie Summers


    Full Text Available Although operative treatment of displaced, intra-articular fractures of the calcaneus in adults is generally accepted as standard practice, operative treatment for the same fractures in the skeletally immature remains controversial, potentially because the outcome for fracture types (intra- vs. extra-articular and severity (displaced vs. nondisplaced have been confounded in studies of children. We review herein the results of 21 displaced, intra-articular fractures in 18 skeletally immature patients, who were treated with open reduction and internal fixation using a standard surgical approach and protocol developed for adults. The average pre-operative Böhler's angle on the injured side was -5° (range: -35 - +35 compared to 31° (range: +22 - +47 on the uninjured side, indicating substantial displacement. There were no post-operative infections or wound healing problems, and all but one patient was followed to union (average follow-up: 1.5 years; range: 0.30-4.3 years. Maintenance of reduction was confirmed on follow-up radiographs with an average Böhler's angle of 31° (range: +22 - +49. We demonstrate that results for operative fixation of displaced, intra-articular calcaneal fractures in the skeletally immature are comparable to those in adults when the treatment protocol is the same.

  17. The Impact of Type 2 Diabetes on Bone Fracture Healing

    Directory of Open Access Journals (Sweden)

    Carlos Marin


    Full Text Available Type 2 diabetes mellitus (T2DM is a chronic metabolic disease known by the presence of elevated blood glucose levels. Nowadays, it is perceived as a worldwide epidemic, with a very high socioeconomic impact on public health. Many are the complications caused by this chronic disorder, including a negative impact on the cardiovascular system, kidneys, eyes, muscle, blood vessels, and nervous system. Recently, there has been increasing evidence suggesting that T2DM also adversely affects the skeletal system, causing detrimental bone effects such as bone quality deterioration, loss of bone strength, increased fracture risk, and impaired bone healing. Nevertheless, the precise mechanisms by which T2DM causes detrimental effects on bone tissue are still elusive and remain poorly studied. The aim of this review was to synthesize current knowledge on the different factors influencing the impairment of bone fracture healing under T2DM conditions. Here, we discuss new approaches used in recent studies to unveil the mechanisms and fill the existing gaps in the scientific understanding of the relationship between T2DM, bone tissue, and bone fracture healing.

  18. LANL Robotic Vessel Scanning

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  19. Fractures of the proximal humerus

    DEFF Research Database (Denmark)

    Brorson, Stig


    . The bandages were further supported by splints made of wood or coarse grass. Healing was expected in forty days. Different fracture patterns have been discussed and classified since Ancient Greece. Current classification of proximal humeral fractures mainly relies on the classifications proposed by Charles......, classification of proximal humeral fractures remains a challenge for the conduct, reporting, and interpretation of clinical trials. The evidence for the benefits of surgery in complex fractures of the proximal humerus is weak. In three systematic reviews I studied the outcome after locking plate osteosynthesis......Fractures of the proximal humerus have been diagnosed and managed since the earliest known surgical texts. For more than four millennia the preferred treatment was forceful traction, closed reduction, and immobilization with linen soaked in combinations of oil, honey, alum, wine, or cerate...

  20. Flexible fixation and fracture healing

    DEFF Research Database (Denmark)

    Schmal, Hagen; Strohm, Peter C; Jaeger, Martin


    , noncomminuted fractures. External fixation uses external bars for stabilization, whereas internal fixation is realized by subcutaneous placement of locking plates. Both of these "biologic" osteosynthesis methods allow a minimally invasive approach and do not compromise fracture hematoma and periosteal blood...... of articular fractures. They allow for subchondral stabilization using small-diameter angular stable screws as well as buttressing of the joint and the metaphyseal component of a fracture. Biomechanically, they can be far stiffer than external fixators, because subcutaneous plates are located much closer...... to the bone surface than external fixator bars. External fixators have the advantage of being less expensive, highly flexible, and technically less demanding. They remain an integral part of orthopaedic surgery for emergent stabilization, for pediatric fractures, for definitive osteosynthesis in certain...

  1. Identification of a progenitor cell population destined to form fracture fibrocartilage callus in Dickkopf-related protein 3-green fluorescent protein reporter mice. (United States)

    Mori, Yu; Adams, Douglas; Hagiwara, Yusuke; Yoshida, Ryu; Kamimura, Masayuki; Itoi, Eiji; Rowe, David W


    Fracture healing is a complex biological process involving the proliferation of mesenchymal progenitor cells, and chondrogenic, osteogenic, and angiogenic differentiation. The mechanisms underlying the proliferation and differentiation of mesenchymal progenitor cells remain unclear. Here, we demonstrate Dickkopf-related protein 3 (Dkk3) expression in periosteal cells using Dkk3-green fluorescent protein reporter mice. We found that proliferation of mesenchymal progenitor cells began in the periosteum, involving Dkk3-positive cell proliferation near the fracture site. In addition, Dkk3 was expressed in fibrocartilage cells together with smooth muscle α-actin and Col3.6 in the early phase of fracture healing as a cell marker of fibrocartilage cells. Dkk3 was not expressed in mature chondrogenic cells or osteogenic cells. Transient expression of Dkk3 disappeared in the late phase of fracture healing, except in the superficial periosteal area of fracture callus. The Dkk3 expression pattern differed in newly formed type IV collagen positive blood vessels and the related avascular tissue. This is the first report that shows Dkk3 expression in the periosteum at a resting state and in fibrocartilage cells during the fracture healing process, which was associated with smooth muscle α-actin and Col3.6 expression in mesenchymal progenitor cells. These fluorescent mesenchymal lineage cells may be useful for future studies to better understand fracture healing.

  2. Fracture mechanics

    CERN Document Server

    Perez, Nestor


    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...

  3. Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jessica Andrusaitis


    Full Text Available History of present illness: A 15-year-old male presented to the emergency department with right elbow pain after falling off a skateboard. The patient denied a decrease in strength or sensation but did endorse paresthesias to his hand. On exam, the patient had an obvious deformity of his right elbow with tenderness to palpation and decreased range of motion at the elbow. Sensation, motor function, and pulses were intact. Radiographic imaging was obtained. Significant findings: The pre-reduction films show a type III supracondylar fracture. There is complete displacement of the distal humerus anteriorly. Specific findings for supracondylar fracture include: a posterior fat pad (red arrow and a displaced anterior humeral line (yellow line.1 When no fracture is present, the anterior humeral line should intersect the middle third of the capitellum; in this X-ray, it does not intersect the capitellum at all. This X-ray demonstrates a normal radiocapitellar line (blue line that intersects the capitellum. The presence of a narrow anterior fat pad aka “sail sign” can be normal. Discussion: Supracondylar fractures of the humerus occur at the distal portion of the humerus without involving the growth plate.2 This is the second most common fracture in children overall. In children, it is the most common fracture of the elbow.3 This injury has a high risk of neurovascular compromise, such as compartment syndrome or ischemic contracture, and thus the clinician must perform immediate and frequent neurovascular assessments focusing on the distributions of the brachial artery in addition to the median, ulnar, and radial nerves.4 Hyperextension injuries that typically occur following a fall onto an outstretched arm are responsible for 95% of supracondylar fractures.1 A type I supracondylar fracture is non-displaced and can be treated with immobilization through a posterior splint and sling5 with close follow-up, type II is angulated but with an intact

  4. Fractures of the femoral neck. (United States)

    Kyle, Richard F


    Fractures of the femoral neck are increasing at an exponential rate as a result of the longevity of the general population. The Garden and Pauwels classifications both are routinely used to describe displacement and stability of femoral neck fractures. Osteonecrosis and nonunion remain problematic because of the compromised blood supply to the femoral head in displaced fractures. Nondisplaced fractures and displaced fractures in patients physiologically younger than 65 years are treated with closed or open reduction and internal fixation. Anatomic reduction is the single most important step in the treatment and fixation of these difficult fractures. Because of the higher complication rate in patients physiologically older than 65 years, a prosthetic replacement may be considered for the treatment of displaced fractures. In patients who are low-level community ambulators or nursing home ambulators with comorbidities and who are not expected to live more than 5 years after injury, a hemiprosthesis is indicated. In active, elderly patients physiologically older than 65 years who are expected to live longer than 5 years after injury, a total hip replacement is the treatment of choice. Total hip replacement relieves pain and allows faster rehabilitation than other forms of treatment in this age group. Patients with preexisting hip disease also are treated with total hip replacement. An algorithm that considers physiologic age and activity level of the patient is helpful when deciding whether to fix or replace the hip in a patient with a displaced femoral neck fracture. It is also useful in deciding what type of prosthesis to use. The treatment of femoral neck fractures remains complex and difficult. Because of the enormous burden of this injury, orthopaedists must improve results in the care of femoral neck fractures.

  5. Early history of scapular fractures. (United States)

    Bartoníček, Jan; Kozánek, Michal; Jupiter, Jesse B


    The first to use the term Scapula was Vesalius (1514-1564) and thus it has remained ever since. Probably the oldest injured scapula, from 250 million years ago, was described by Chinese authors of a skeletal examination of a fossilised remains of a dinosaur Yangchuanosaurus hepingensis. In humans, the oldest known scapular fractures date back to the prehistoric and early historic times. In ancient times, a fracture of acromion was described in the treatises of Hippocrates. Early modern history of the treatment of scapular fractures is closely interlinked with the history of the French surgery. The first to point out the existence of these fractures were Petit, Du Verney and Desault in the 18th century. The first study devoted solely to scapular fractures was published by Traugott Karl August Vogt in 1799. Thomas Callaway published in 1849 an extensive dissertation on injuries to the shoulder girdle, in which he discussed a number of cases known at that time. The first radiograph of a scapular fracture was published by Petty in 1907. Mayo Robson (1884), Lambotte (1913) and Lane (1914) were pioneers in the surgical treatment of these fractures, followed in 1923 by the French surgeons Lenormat, Dujarrier and Basset. The first internal fixation of the glenoid fossa, including a radiograph, was published by Fischer in 1939.

  6. Interpersonal violence and facial fractures. (United States)

    Lee, Kai H


    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.

  7. 76 FR 75492 - Atlantic Highly Migratory Species; Vessel Monitoring Systems (United States)


    ... rather than cell towers as the principle means of transmitting data. Furthermore, vessels need to provide position reports every hour when they are away from port, and cell phones cannot consistently provide that... and fishing gears possessed to be made by phone. Some small fishing vessels remain within cell phone...

  8. Integrating Multiple Autonomous Underwater Vessels, Surface Vessels and Aircraft into Oceanographic Research Vessel Operations (United States)

    McGillivary, P. A.; Borges de Sousa, J.; Martins, R.; Rajan, K.


    Autonomous platforms are increasingly used as components of Integrated Ocean Observing Systems and oceanographic research cruises. Systems deployed can include gliders or propeller-driven autonomous underwater vessels (AUVs), autonomous surface vessels (ASVs), and unmanned aircraft systems (UAS). Prior field campaigns have demonstrated successful communication, sensor data fusion and visualization for studies using gliders and AUVs. However, additional requirements exist for incorporating ASVs and UASs into ship operations. For these systems to be optimally integrated into research vessel data management and operational planning systems involves addressing three key issues: real-time field data availability, platform coordination, and data archiving for later analysis. A fleet of AUVs, ASVs and UAS deployed from a research vessel is best operated as a system integrated with the ship, provided communications among them can be sustained. For this purpose, Disruptive Tolerant Networking (DTN) software protocols for operation in communication-challenged environments help ensure reliable high-bandwidth communications. Additionally, system components need to have considerable onboard autonomy, namely adaptive sampling capabilities using their own onboard sensor data stream analysis. We discuss Oceanographic Decision Support System (ODSS) software currently used for situational awareness and planning onshore, and in the near future event detection and response will be coordinated among multiple vehicles. Results from recent field studies from oceanographic research vessels using AUVs, ASVs and UAS, including the Rapid Environmental Picture (REP-12) cruise, are presented describing methods and results for use of multi-vehicle communication and deliberative control networks, adaptive sampling with single and multiple platforms, issues relating to data management and archiving, and finally challenges that remain in addressing these technological issues. Significantly, the

  9. Reactor pressure vessel. Status report

    Energy Technology Data Exchange (ETDEWEB)

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


    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.

  10. Enhancing supply vessel safety

    Energy Technology Data Exchange (ETDEWEB)



    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.

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

    Directory of Open Access Journals (Sweden)

    Hsoung-Wei Chou


    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.

  12. Hydraulic fracturing

    Energy Technology Data Exchange (ETDEWEB)

    Clampitt, R.L.


    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)

  13. [Stress fractures]. (United States)

    Uhl, M


    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.

  14. 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.


    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.

  15. Distribution of the In-Vessel Diagnostics in ITER Tokamak

    Energy Technology Data Exchange (ETDEWEB)

    González, Jorge, E-mail: [Rüecker Lypsa, Carretera del Prat, 65, Cornellá de Llobregat (Spain); Clough, Matthew; Martin, Alex; Woods, Nick; Suarez, Alejandro [ITER Organization, Route de Vinon sur Verdon-CS 90 046 13067 Saint Paul Lez Durance (France); Martinez, Gonzalo [Technical University Of Catalonia (UPC), Barcelona-Tech, Barcelona (Spain); Stefan, Gicquel; Yunxing, Ma [ITER Organization, Route de Vinon sur Verdon-CS 90 046 13067 Saint Paul Lez Durance (France)


    The ITER In-Vessel Diagnostics have been distributed around the In-Vessel shell to understand burning plasma physics and assist in machine operation. Each diagnostics component has its own requirements, constraints, and even exclusion among them for the highly complex In-Vessel environment. The size of the plasma, the requirement to be able to align the blanket system to the magnetic centre of the machine, the cooling requirements of the blanket system and the size of the pressure vessel itself all add to the difficulties of integrating these systems into the remaining space available. The available space for the cables inside the special trays (in-Vessel looms) is another constraint to allocate In-Vessel electrical sensors. Besides this, there are issues with the Assembly sequences and surface & volumetric neutron heating considerations that have imposed several additional restrictions.

  16. Fracture Blisters

    Directory of Open Access Journals (Sweden)

    Uebbing, Claire M


    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.


    Smith, A.E.


    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)

  18. Network of endocardial vessels. (United States)

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


    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.

  19. Pressurized Vessel Slurry Pumping

    Energy Technology Data Exchange (ETDEWEB)

    Pound, C.R.


    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.

  20. Lung vessel segmentation in CT images using graph-cuts (United States)

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


    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.

  1. Is human fracture hematoma inherently angiogenic?

    LENUS (Irish Health Repository)

    Street, J


    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.

  2. Absolute Versus Relative Fracture Fixation: Impact on Fracture Healing. (United States)

    Norris, Brent L; Lang, Gerald; Russell, Thomas A Toney; Rothberg, David L; Ricci, William M; Borrelli, Joseph


    The goals of all orthopaedic surgeons treating fractures are, and will remain, obtaining union of the fracture with a well-aligned and functional limb while minimizing the risk of complications. This requires us to understand how the biomechanical environment of the fracture affects healing and to be able to discern which mechanical environment is preferred over another. Understanding the spectrum of stability imparted by our current surgical devices is paramount to giving our patients the best opportunity to heal and recover from their injury. Gone are the simplistic views of plates and screws being applied for absolute stability and nails and external fixators being applied for relative stability. This review sheds new light on how the use of different implants provides the appropriate stability to encourage fracture healing and limit the risk of complication and loss of function.

  3. The elastic properties of fractured rocks (United States)

    Darcel, C.; Le Goc, R.; Davy, P.


    The consequences of fracturing on rock mass strength still remain an issue for rock engineering practices, including excavation or repository design, support design, slope stability and caving in mines. The difficulty is twice and concerns both the description of the fracturing pattern, and the relationship between fracture characteristics and rock mass mechanical properties. This is generally assessed by empirical knowledge but no complete quantitative and theoretical relations are yet established. To our knowledge, the only theoretical work was to found a relationship between the elastic strength and the percolation parameter (i.e. a normalized sum of the cube of fracture radius) for 3D frictionless fracture networks. The relationship has been demonstrated for Poissonian (randomly distributed) low-density (i.e. where fractures are not almost intersecting) networks, with a narrow range of fracture radius. By means of finite-element models and Green's function methods, we extend the analysis to fracture networks with geologically realistic geometry: i.e. non-Poissonian, relatively high densities, and power-law length distributions. The elastic strength of the fractured rock mass is still found to decrease exponentially with the percolation parameter on average. But large deviations from the mean exist for heavy tailed fracture length distribution, i.e. when the probability of having fractures of the order of the system size is no more negligible. We discuss the way to ameliorate the prediction by taking into account configuration details that are not described by statistical parameters.

  4. Hawaii Abandoned Vessel Inventory, Kauai (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...

  5. CNMI Abandoned Vessel Inventory, Tinian (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...

  6. Puerto Rico Abandoned Vessel Inventory (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...

  7. American Samoa Abandoned Vessel Inventory (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...

  8. Hawaii Abandoned Vessel Inventory, Oahu (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...

  9. Hawaii Abandoned Vessel Inventory, Molokai (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...

  10. CNMI Abandoned Vessel Inventory, Rota (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...

  11. Hawaii Abandoned Vessel Inventory, Lanai (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...

  12. For-Hire Vessel Directory (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...

  13. CNMI Abandoned Vessel Inventory, Saipan (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...

  14. Hawaii Abandoned Vessel Inventory, Maui (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...

  15. Vessels in Transit - Web Tool (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...

  16. Pressure vessel design manual

    Energy Technology Data Exchange (ETDEWEB)

    Moss, D.R.


    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.

  17. New research vessels (United States)


    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.

  18. Fracture immobilization using round stainless wire | Nduka ...

    African Journals Online (AJOL)

    oral area. The best one depends on several factors, such as the extent of the fracture, number of remaining teeth, soft tissue damage, preferences and experience of the surgeon. Fractures of mandible and maxilla are commonly treated by either ...

  19. Bimalleolar ankle fracture with proximal fibular fracture

    NARCIS (Netherlands)

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


    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

  20. Very Versatile Vessel (United States)


    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

  1. Scott's Lake Excavation Letters on Human Remains (United States)

    US Fish and Wildlife Service, Department of the Interior — This is two letters written about the repatriation of Santee Indian human remains and funerary objects to Santee Sioux Tribe. Includes an inventory of human remains...

  2. Multiple Sclerosis Increases Fracture Risk: A Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Guixian Dong


    Full Text Available Purpose. The association between multiple sclerosis (MS and fracture risk has been reported, but results of previous studies remain controversial and ambiguous. To assess the association between MS and fracture risk, a meta-analysis was performed. Method. Based on comprehensive searches of the PubMed, Embase, and Web of Science, we identified outcome data from all articles estimating the association between MS and fracture risk. The pooled risk ratios (RRs with 95% confidence intervals (CIs were calculated. Results. A significant association between MS and fracture risk was found. This result remained statistically significant when the adjusted RRs were combined. Subgroup analysis stratified by the site of fracture suggested significant associations between MS and tibia fracture risk, femur fracture risk, hip fracture risk, pelvis fracture risk, vertebrae fracture risk, and humerus fracture risk. In the subgroup analysis by gender, female MS patients had increased fracture risk. When stratified by history of drug use, use of antidepressants, hypnotics/anxiolytics, anticonvulsants, and glucocorticoids increased the risk of fracture risk in MS patients. Conclusions. This meta-analysis demonstrated that MS was significantly associated with fracture risk.

  3. Ipsilateral humeral neck and shaft fractures

    Directory of Open Access Journals (Sweden)

    Zhu Bin


    Full Text Available Background/Aim. Fractures of the proximal humerus or shaft are common, however, ipsilateral neck and shaft humerus fracture is a rare phenomenon. This combination injury is challenging for orthopaedic surgeons because of its complex treatment options at present. The purpose of this study was to review a series of ipsilateral humeral neck and shaft fractures to study the fracture pattern, complications and treatment outcomes of each treatment options used. Methods. A total of six patients (four female and two male with the average age of 42.8 years (range: 36–49 years was collected and reviewed retrospectively. Two of them were treated with double plates and four with antegrade intramedullary nail. According to the Neer’s classification, all proximal fractures were two-part surgical neck fractures. All humeral shaft fractures were located at the middle of one third. Five fractures were simple transverse (A3, one fragmented wedge fracture (B3. One patient had associated radial nerve palsy. Results. All surgical neck fractures except one united uneventfully in the average time span of 8.7 weeks. Four humeral shaft fractures healed in near anatomic alignment. The remaining two patients had the nonunion with no radiological signs of fracture healing. The average University of California, Los Angeles End-Results (UCLA score was 23.1. On the contrary, the average American Shoulder and Elbow Surgeon's (ASES score was 73.3. The patients treated with antegrade intramedullary nails presented 70.5 points. The ASES scores were 79 in the double plates group. Conclusions. Ipsilateral humeral shaft and neck fracture is extremely rare. Both antegrade intramedullar nailing and double plates result in healing of fractures. However the risk of complication is lower in the double plating group.

  4. 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)


    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)

  5. Modeling a CO2 mineralization experiment of fractured peridotite from the Semail ophiolite/ Oman (United States)

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


    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

  6. Distal radius triplane fracture. (United States)

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


    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.

  7. Current Treatment Strategies for Patella Fractures. (United States)

    Schuett, Dustin J; Hake, Mark E; Mauffrey, Cyril; Hammerberg, E Mark; Stahel, Philip F; Hak, David J


    Patella fractures can be caused by excessive tension through the extensor mechanism or a direct impact. Non-displaced fractures with an intact extensor mechanism can be treated nonoperatively. Surgical treatment is recommended for fractures that either disrupt the extensor mechanism or have greater than 2 to 3 mm of step-off and greater than 1 to 4 mm of displacement. Tension band fixation is the most commonly employed surgical technique; however, this can be technically demanding, especially in multifragmentary fractures. Symptomatic hardware is the most common complication following operative treatment. Functional impairment remains common after treatment of patella fractures. The purpose of this article is to review current treatment strategies to help optimize the management of patients with such patella fractures. Copyright 2015, SLACK Incorporated.

  8. Vessel Traffic Services. (United States)


    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

  9. Vanishing corneal vessels (United States)

    Nicholson, Luke; Chana, Rupinder


    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

  10. Conservative Treatment for Bilateral Displaced Proximal Humerus Head Fracture


    Rodriguez-Corlay, Ruy E; Velutini-Becker, Ricardo; Aguilar-Alcal?, Luis D


    Proximal humerus fracture represents five to eight percent of all fractures and is twice as common in women than in men. Most cases of displaced fracture of the proximal humerus are treated surgically; it is probable that more cases are preferred to be treated surgically greater than required. The optimal treatment for these fractures remains controversial, but physicians have a tendency to treat via open reduction and fixation with angular locking plates or glenohumeral arthroplasty.? We pre...

  11. Acetabular Fractures in the Elderly

    Directory of Open Access Journals (Sweden)

    Joshua L. Gary


    Full Text Available As the population ages, the incidence of osteoporotic fractures, including those of the pelvis and acetabulum, continues to rise. Treatment of the elder patients with an acetabular fracture is much more controversial than the treatment of younger patients with similar injuries, where prevention of posttraumatic arthritis and total hip replacement remains optimal to limit need for revision arthroplasty. Arthroplasty for fractures of the proximal femur is commonplace in an older population and is a mainstay of treatment to promote early mobilization and weight-bearing. However, even with acute total hip arthroplasty for a geriatric acetabular fracture, most surgeons do not permit immediate weight-bearing postoperatively. Therefore, controversy regarding optimal treatment of these challenging fractures persists. Four treatment options have emerged: nonoperative treatment with early mobilization, open reduction and internal fixation (ORIF, limited open reduction and percutaneous screw fixation, and acute total hip arthroplasty. The exact indications and benefits of each treatment remain unknown. This article serves as a review of these four treatments and the data existing to support them.

  12. Hereditary cerebral small vessel disease and stroke. (United States)

    Søndergaard, Christian Baastrup; Nielsen, Jørgen Erik; Hansen, Christine Krarup; Christensen, Hanne


    Cerebral small vessel disease is considered hereditary in about 5% of patients and is characterized by lacunar infarcts and white matter hyperintensities on MRI. Several monogenic hereditary diseases causing cerebral small vessel disease and stroke have been identified. The purpose of this systematic review is to provide a guide for determining when to consider molecular genetic testing in patients presenting with small vessel disease and stroke. CADASIL, CARASIL, collagen type IV mutations (including PADMAL), retinal vasculopathy with cerebral leukodystrophy, Fabry disease, hereditary cerebral hemorrhage with amyloidosis, and forkhead box C1 mutations are described in terms of genetics, pathology, clinical manifestation, imaging, and diagnosis. These monogenic disorders are often characterized by early-age stroke, but also by migraine, mood disturbances, vascular dementia and often gait disturbances. Some also present with extra-cerebral manifestations such as microangiopathy of the eyes and kidneys. Many present with clinically recognizable syndromes. Investigations include a thorough family medical history, medical history, neurological examination, neuroimaging, often supplemented by specific examinations e.g of the of vision, retinal changes, as well as kidney and heart function. However molecular genetic analysis is the final gold standard of diagnosis. There are increasing numbers of reports on new monogenic syndromes causing cerebral small vessel disease. Genetic counseling is important. Enzyme replacement therapy is possible in Fabry disease, but treatment options remain overall very limited. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Hand fracture - aftercare (United States)

    ... this page: // 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 ...

  14. Fractured porous media

    CERN Document Server

    Adler, Pierre M; Mourzenko, Valeri V


    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.

  15. 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


    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.)

  16. 46 CFR 289.2 - Vessels included. (United States)


    ... 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...

  17. Acetabular Fracture


    Correa, Chad; Lahham, Sari


    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:...

  18. Galeazzi Fracture


    Reid Honda


    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...

  19. Radial Head Fractures (United States)

    Jordan, Robert W.; Jones, Alistair DR.


    Background: Radial head fractures are common elbow injuries in adults and are frequently associated with additional soft tissue and bone injuries. Methods: A literature search was performed and the authors’ personal experiences are reported. Results: Mason type I fractures are treated non-operatively with splinting and early mobilisation. The management of Mason type II injuries is less clear with evidence supporting both non-operative treatment and internal fixation. The degree of intra-articular displacement and angulation acceptable for non-operative management has yet to be conclusively defined. Similarly the treatment of type III and IV fractures remain controversial. Traditional radial head excision is associated with valgus instability and should be considered only for patients with low functional demands. Comparative studies have shown improved results from internal fixation over excision. Internal fixation should only be attempted when anatomic reduction and initiation of early motion can be achieved. Authors have reported that results from fixation are poorer and complication rates are higher if more than three fragments are present. Radial head arthroplasty aims to reconstruct the native head and is indicated when internal fixation is not feasible and in the presence of complex elbow injuries. Overstuffing of the radiocapitellar joint is a frequent technical fault and has significant adverse effects on elbow biomechanics. Modular design improves the surgeon’s ability to reconstruct the native joint. Two randomised controlled trials have shown improved clinical outcomes and lower complication rate following arthroplasty when compared to internal fixation. Conclusion: We have presented details regarding the treatment of various types of radial head fractures - further evidence, however, is still required to provide clarity over the role of these different management strategies. PMID:29290880

  20. Blood flow reprograms lymphatic vessels to blood vessels. (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


    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.

  1. 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))


    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.

  2. Mammalian Remains from Indian Sites on Aruba

    NARCIS (Netherlands)

    Hooijer, D.A.


    Mr. H. R. VAN HEEKEREN and Mr. C. J. DU RY, of the Rijksmuseum voor Volkenkunde at Leiden, entrusted me with the identification of some animal remains collected from Indian sites on Aruba by Professor J. P. B. DE JOSSELIN DE JONG in 1923. These remains relate for the most part to marine turtles

  3. Luminescence of thermally altered human skeletal remains

    NARCIS (Netherlands)

    Krap, Tristan; Nota, Kevin; Wilk, Leah; van de Goot, Frank; Ruijter, Jan; Duijst, Wilma; Oostra, Roelof Jan


    Literature on luminescent properties of thermally altered human remains is scarce and contradictory. Therefore, the luminescence of heated bone was systemically reinvestigated. A heating experiment was conducted on fresh human bone, in two different media, and cremated human remains were recovered

  4. EDITORIAL MALARIA DIAGNOSIS Malaria remains the most ...

    African Journals Online (AJOL)



    Mar 2, 2005 ... Malaria remains the most significant parasitic disease affecting man. Prompt and accurate diagnosis of malaria is the key to cost effective management (1). Since the identification of Plasmodium parasites in human blood in 1880, the diagnosis of malaria has remained a hot bed of scientific discussion.

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

    Directory of Open Access Journals (Sweden)

    Janet L. Neilson


    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.

  6. The vessel fluence; Fluence cuve

    Energy Technology Data Exchange (ETDEWEB)



    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.)

  7. Vessel segmentation in screening mammograms (United States)

    Mordang, J. J.; Karssemeijer, N.


    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.

  8. 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)


    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.

  9. Functional treatment for fractures to the base of the 5th metatarsal - influence of fracture location and fracture characteristics. (United States)

    Baumbach, Sebastian Felix; Prall, Wolf Christian; Kramer, Michael; Braunstein, Mareen; Böcker, Wolfgang; Polzer, Hans


    Fractures to the base of the fifth metatarsal are common, but their treatment remains controversial. Especially for Lawrence and Botte (L&B) type II fractures, there is conflicting evidence and consequently no consensus. Further, many authors consider displacement, articular involvement, and number of fragments an indication for surgery, although evidence is missing. The aim of this study was to evaluate the outcome of functional treatment for all L&B type I and II fractures. Of special interest were the influence of (1) the fracture location (L&B type I vs. II) and (2) the fracture characteristics (displacement, intra-articular involvement, communition) on the subjective outcome. Retrospective registry study with a prospective follow-up. Patients with an acute, isolated, epi-metaphyseal fracture to the fifth metatarsal bone (L&B type I and II) treated by full weightbearing with a minimum follow-up of 6 months were included. Fracture location (L&B type I and II) and characteristics (displacement 2 mm, intra-articular involvement, and number of fragments) were assessed. Outcome parameters were return to work, return to sports, VAS-FA, and SF-12. The influence of the fracture (1) location and (2) -characteristics on these parameters was tested. Thirty-nine patients (40 ± 15 years, 56% female) were enrolled with a mean follow-up of 22 ± 10 months. L&B type I fractures occurred in 59%, type II in 41%. Thirty-one percent of all fractures were dislocated, 74% intra-articular, and 41% multi-fragmentary. Patients returned to work after 17 ± 12 days, to sports after 53 ± 22 days. The VAS-FA score at the final follow-up was 96 ± 4, SF-12 PCS score 57 ± 5 and MCS score 51 ± 8. No complications were reported, no patient required surgery. None of the assessed outcome parameters differed significantly between (1) the different fracture locations (L&B type I vs. II) or (2) the different fracture characteristics (displacement, intra

  10. Remaining Life Expectancy With and Without Polypharmacy

    DEFF Research Database (Denmark)

    Wastesson, Jonas W; Canudas-Romo, Vladimir; Lindahl-Jacobsen, Rune


    OBJECTIVES: To investigate the remaining life expectancy with and without polypharmacy for Swedish women and men aged 65 years and older. DESIGN: Age-specific prevalence of polypharmacy from the nationwide Swedish Prescribed Drug Register (SPDR) combined with life tables from Statistics Sweden...... was used to calculate the survival function and remaining life expectancy with and without polypharmacy according to the Sullivan method. SETTING: Nationwide register-based study. PARTICIPANTS: A total of 1,347,564 individuals aged 65 years and older who had been prescribed and dispensed a drug from July 1...... to September 30, 2008. MEASUREMENTS: Polypharmacy was defined as the concurrent use of 5 or more drugs. RESULTS: At age 65 years, approximately 8 years of the 20 remaining years of life (41%) can be expected to be lived with polypharmacy. More than half of the remaining life expectancy will be spent...

  11. Anchorage strategies in geriatric hip fracture management

    Directory of Open Access Journals (Sweden)

    Knobe Matthias


    Full Text Available There is an enormous humanitarian and socioeconomic need to improve the quality and effectiveness of care for patients with hip fracture. To reduce mechanical complications in the osteosynthesis of proximal femoral fractures, improved fixation techniques have been developed including blade or screw-anchor devices, locked minimally invasive or cement augmentation strategies. However, despite numerous innovations and advances regarding implant design and surgical techniques, systemic and mechanical complication rates remain high. Treatment success depends on secure implant fixation in often-osteoporotic bone as well as on patient-specific factors (fracture stability, bone quality, comorbidity, and gender and surgeon-related factors (experience, correct reduction, and optimal screw placement in the head/neck fragment. For fracture fixation, the anchorage of the lag screw within the femoral head plays a crucial role depending on the implant’s design. Meta-analyses and randomized controlled studies demonstrate that there is a strong trend towards arthroplasty treating geriatric femoral neck fractures. However, for young adults as well as older patients with less compromised bone quality, or in undisplaced fractures, head-preserving therapy is preferred as it is less invasive and associated with good functional results. This review summarizes the evidence for the internal fixation of femoral neck fractures and trochanteric femoral fractures in elderly patients. In addition, biomechanical considerations regarding implant anchorage in the femoral head including rotation, migration, and femoral neck shortening are made. Finally, cement augmentation strategies for hip fracture implants are evaluated critically.

  12. Quantitative ultrasound assessment in children with fractures. (United States)

    Schalamon, Johannes; Singer, Georg; Schwantzer, Gerold; Nietosvaara, Yrjänä


    BMD of children with fractures was compared with healthy controls using QUS. We found significantly lower SOS values in children suffering from fractures. None of the studied environmental factors could explain the difference in BMD measurements. The aims of this study were to compare the results of quantitative ultrasound (QUS) in children with fractures with the respective values in children without fractures and to identify possible environmental factors influencing speed of sound (SOS) in our study cohort. BMD was measured by QUS in 50 children who had sustained an acute fracture and in 154 healthy children as controls. SOS values were obtained from the proximal phalanges of the last four fingers of the dominant hand. Nutritional habits and activity level of the children were documented by a standardized questionnaire. Children with fractures had a significantly lower SOS compared with children without a history of fractures. This difference in SOS could not be explained by differences in diet, body mass index, or physical activity. Previous studies have suggested that low BMD levels might contribute to an increased prevalence of fractures in patients with systemic diseases. Our study showed that, in an otherwise healthy pediatric population, the SOS values are lower in children with fractures compared with healthy controls. Despite statistical significance, the biological impact of the results remains unclear. The difference in SOS values could not be explained by any of the studied environmental factors.

  13. Mass Remaining During Evaporation of Sessile Drop (United States)


    oscillations in the mass remaining. • TRANSFORM ED t TRUEt TRUEtCont 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 TIMI (Hr) Figure 13. Effect of 3 min...2.5 2.55 2.8 TIMI (Hr) 2.86 2.1 275 2.8 Figure 14. Mass Remaining vs. Time Expanded Scale The assumed sinusoidal variation of the friction velocity

  14. Proximal third humeral shaft fractures -- a fracture entity not fully characterized by conventional AO classification. (United States)

    Stedtfeld, H W; Biber, R


    The retrospective study was made to evaluate the fracture patterns at the proximal humeral shaft for which the long version of a standard proximal humeral nail (PHNLV) has been used. The indication has been decided by the individual surgeons. Over a five year period 72 consecutive PHNLV cases of an acute fracture were identified and were included in the study. Mean patient age was 68.9 years. Gender ratio was m/f=22/50. 86.1% of the patients fractured their humerus by a fall, the rest by a high velocity accident. We analysed patient comorbidity, ASA score, osteoporosis, social status before accident, additional injuries affecting local soft tissues or other anatomic regions. We analysed the expansion of the fractures, dividing the humerus into five zones. Fracture morphology was categorized according to the standard AO/ASIF classification (if applicable). Comorbidities were found in 76.4% of the patients. Almost all patients (93.1%) had been living independently at home before the accident. 47.2% of patients had osteoporosis in their medical history. Five patients (6.9%) had a primary palsy of the radial nerve. Six fractures chosen for PHNLV fixation were clearly restricted to the humeral head. The remaining 66 fractures were located in the humeral shaft (AO region 12). There were 5 segmental fractures. Of the remaining 67 fractures affecting the proximal third of the humeral shaft 49.3 percent extended into the humeral head. 98 percent of these fractures displayed spiral morphology. Proximal humeral shaft fractures are amazingly similar to subtrochanteric and distal tibial shaft fractures: Spiral fracture types with different grades of comminution are absolutely dominant; a great proportion of the fractures extend into the humeral head with growing tendency of displacement if located closer to the humeral head. Diverging traction of deltoid and pectoralis muscle causes typical displacement if the fracture line runs in between their attachments substantiating the

  15. Fluid driven fracture mechanics in highly anisotropic shale: a laboratory study with application to hydraulic fracturing (United States)

    Gehne, Stephan; Benson, Philip; Koor, Nick; Enfield, Mark


    The finding of considerable volumes of hydrocarbon resources within tight sedimentary rock formations in the UK led to focused attention on the fundamental fracture properties of low permeability rock types and hydraulic fracturing. Despite much research in these fields, there remains a scarcity of available experimental data concerning the fracture mechanics of fluid driven fracturing and the fracture properties of anisotropic, low permeability rock types. In this study, hydraulic fracturing is simulated in a controlled laboratory environment to track fracture nucleation (location) and propagation (velocity) in space and time and assess how environmental factors and rock properties influence the fracture process and the developing fracture network. Here we report data on employing fluid overpressure to generate a permeable network of micro tensile fractures in a highly anisotropic shale ( 50% P-wave velocity anisotropy). Experiments are carried out in a triaxial deformation apparatus using cylindrical samples. The bedding planes are orientated either parallel or normal to the major principal stress direction (σ1). A newly developed technique, using a steel guide arrangement to direct pressurised fluid into a sealed section of an axially drilled conduit, allows the pore fluid to contact the rock directly and to initiate tensile fractures from the pre-defined zone inside the sample. Acoustic Emission location is used to record and map the nucleation and development of the micro-fracture network. Indirect tensile strength measurements at atmospheric pressure show a high tensile strength anisotropy ( 60%) of the shale. Depending on the relative bedding orientation within the stress field, we find that fluid induced fractures in the sample propagate in two of the three principal fracture orientations: Divider and Short-Transverse. The fracture progresses parallel to the bedding plane (Short-Transverse orientation) if the bedding plane is aligned (parallel) with the

  16. Survey of 52 fractures of the patella in 34 cats. (United States)

    Langley-Hobbs, S J


    Stress fractures of the patella were diagnosed in 34 cats with a mean age of two years and five months. Eighteen of the cats had bilateral fractures with a median interval of three months between fractures. All the fractures were transverse and occurred in the proximal aspect or base of the patella with no evidence of trauma. In 43 of the patellae there was radiographic evidence of sclerosis. Repairs with a pin and tension band in 18 cats resulted in a further fracture or failure of fixation in 86 per cent of the cases that were followed up. Ten of the cats had suffered fractures of other bones at different times to the patellae fractures. In the majority of the cats the fracture formed a functional non-union but some cats remained stiff and lame.

  17. Fractures in multiple sclerosis

    DEFF Research Database (Denmark)

    Stenager, E; Jensen, K


    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...

  18. Evaluation of Data-Logging Transducer to Passively Collect Pressure Vessel p/T History (United States)

    Wnuk, Stephen P.; Le, Son; Loew, Raymond A.


    Pressure vessels owned and operated by NASA are required to be regularly certified per agency policy. Certification requires an assessment of damage mechanisms and an estimation of vessel remaining life. Since detail service histories are not typically available for most pressure vessels, a conservative estimate of vessel pressure/temperature excursions is typically used in assessing fatigue life. This paper details trial use of a data-logging transducer to passively obtain actual pressure and temperature service histories of pressure vessels. The approach was found to have some potential for cost savings and other benefits in certain cases.

  19. Fractures of the femoral neck. (United States)

    Lein, T; Bula, P; Jeffries, J; Engler, K; Bonnaire, F


    The ideal treatment of the intracapsular fracture of the femoral neck still is subject of discussion. The demographic development of the population in Europe with fractures of the neck of femur being typical in the older patient, requires conclusive and stringent concepts of treatment. Adequate and patient oriented therapy should be promoted, regional differences and provisional deficiencies need to be adjusted in order to minimize the rate of complications. The guideline "Schenkelhalsfraktur" of the German board of trauma surgeons, the 'Deutsche Gesellschaft für Unfallchirurgie', and the article at hand are meant to serve as a manual for the trauma surgeon. Based on evaluated data it simplifies rational decision-making for treatment of fractures of the proximal femur. Moreover, secondary prophylaxis as well as the subsequent outpatient treatment and the social reintegration of the patients recovering from fractures of the femoral neck remains vital- ly important. After all, even with ideal treatment of the fracture more than half of the patients are impaired for a long time and one out of four permanently depends on nursing assistance.

  20. Oblique Axis Body Fracture

    DEFF Research Database (Denmark)

    Takai, Hirokazu; Konstantinidis, Lukas; Schmal, Hagen


    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...

  1. 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:; 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)


    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.

  2. Neanderthal infant and adult infracranial remains from Marillac (Charente, France). (United States)

    Dolores Garralda, María; Maureille, Bruno; Vandermeersch, Bernard


    At the site of Marillac, near the Ligonne River in Marillac-le-Franc (Charente, France), a remarkable stratigraphic sequence has yielded a wealth of archaeological information, palaeoenvironmental data, as well as faunal and human remains. Marillac must have been a sinkhole used by Neanderthal groups as a hunting camp during MIS 4 (TL date 57,600 ± 4,600BP), where Quina Mousterian lithics and fragmented bones of reindeer predominate. This article describes three infracranial skeleton fragments. Two of them are from adults and consist of the incomplete shafts of a right radius (Marillac 24) and a left fibula (Marillac 26). The third fragment is the diaphysis of the right femur of an immature individual (Marillac 25), the size and shape of which resembles those from Teshik-Tash and could be assigned to a child of a similar age. The three fossils have been compared with the remains of other Neanderthals or anatomically Modern Humans (AMH). Furthermore, the comparison of the infantile femora, Marillac 25 and Teshik-Tash, with the remains of several European children from the early Middle Ages clearly demonstrates the robustness and rounded shape of both Neanderthal diaphyses. Evidence of peri-mortem manipulations have been identified on all three bones, with spiral fractures, percussion pits and, in the case of the radius and femur, unquestionable cutmarks made with flint implements, probably during defleshing. Traces of periostosis appear on the fibula fragment and on the immature femoral diaphysis, although their aetiology remains unknown. Copyright © 2014 Wiley Periodicals, Inc.

  3. Fish remains and humankind: part two

    Directory of Open Access Journals (Sweden)

    Andrew K G Jones


    Full Text Available The significance of aquatic resources to past human groups is not adequately reflected in the published literature - a deficiency which is gradually being acknowledged by the archaeological community world-wide. The publication of the following three papers goes some way to redress this problem. Originally presented at an International Council of Archaeozoology (ICAZ Fish Remains Working Group meeting in York, U.K. in 1987, these papers offer clear evidence of the range of interest in ancient fish remains across the world. Further papers from the York meeting were published in Internet Archaeology 3 in 1997.

  4. Evidence-Based Medicine: Mandible Fractures. (United States)

    Pickrell, Brent B; Hollier, Larry H


    After reading this article, the participant should be able to: 1. Explain the epidemiology of mandible fractures. 2. Discuss preoperative evaluation of the patient with a mandible fracture. 3. Compare the various modalities of fracture fixation. 4. Identify common complications after fracture repair. In this Maintenance of Certification/Continuing Medical Education article, the reader is provided with a review of the epidemiology, preoperative evaluation, perioperative management, and surgical outcomes of mandible fractures. The objective of this series is to present a review of the literature so that the practicing physician can remain up-to-date on key evidence-based guidelines to enhance management and improve outcomes. The physician can also seek further in-depth study of the topic through the references provided.

  5. Locking plate osteosynthesis of clavicle fractures

    DEFF Research Database (Denmark)

    Fridberg, Marie; Ban, Ilija; Issa, Zaid


    PURPOSE: Locking plate osteosynthesis has become the preferred method for operative treatment of clavicle fractures. The method offers stable fixation, and would theoretically be associated with a low rate of fracture-related complications and reoperations. However, this remains to be explored...... in a large cohort, and our purpose was to assess the overall rates of complications and reoperations following locking plate osteosynthesis of mid-shaft clavicle fractures. METHODS: We identified all locking plate osteosynthesis of mid-shaft clavicle fractures operated upon in our department from January...... 2008 to November 2010 (n = 114). Nine patients did not attend the follow-up at our institution. The study group of 105 fractures (104 patients, 86 males) had a median age of 36 years (14-75 years). Follow-up ranged from 0.5 to 3.5 years. No patients were allowed to load the upper extremity for six...

  6. 2014 New Trends in Fatigue and Fracture Conference

    CERN Document Server

    Milovic, Ljubica


    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.

  7. 50 CFR 648.8 - Vessel identification. (United States)


    ... 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...

  8. The annuity puzzle remains a puzzle

    NARCIS (Netherlands)

    Peijnenburg, Kim; Nijman, Theo; Werker, Bas J. M.

    We examine incomplete annuity menus, background risk, bequest motives, and default risk as possible drivers of divergence from full annuitization. Contrary to what is often suggested in the literature, we find that full annuitization remains optimal if saving is possible after retirement. This holds

  9. Predicting the remaining service life of concrete

    Energy Technology Data Exchange (ETDEWEB)

    Clifton, J.F.


    Nuclear power plants are providing, currently, about 17 percent of the U.S. electricity and many of these plants are approaching their licensed life of 40 years. The U.S. Nuclear Regulatory Commission and the Department of Energy`s Oak Ridge National Laboratory are carrying out a program to develop a methodology for assessing the remaining safe-life of the concrete components and structures in nuclear power plants. This program has the overall objective of identifying potential structural safety issues, as well as acceptance criteria, for use in evaluations of nuclear power plants for continued service. The National Institute of Standards and Technology (NIST) is contributing to this program by identifying and analyzing methods for predicting the remaining life of in-service concrete materials. This report examines the basis for predicting the remaining service lives of concrete materials of nuclear power facilities. Methods for predicting the service life of new and in-service concrete materials are analyzed. These methods include (1) estimates based on experience, (2) comparison of performance, (3) accelerated testing, (4) stochastic methods, and (5) mathematical modeling. New approaches for predicting the remaining service lives of concrete materials are proposed and recommendations for their further development given. Degradation processes are discussed based on considerations of their mechanisms, likelihood of occurrence, manifestations, and detection. They include corrosion, sulfate attack, alkali-aggregate reactions, frost attack, leaching, radiation, salt crystallization, and microbiological attack.

  10. The case for fencing remains intact. (United States)

    Packer, C; Swanson, A; Canney, S; Loveridge, A; Garnett, S; Pfeifer, M; Burton, A C; Bauer, H; MacNulty, D


    Creel et al. argue against the conservation effectiveness of fencing based on a population measure that ignores the importance of top predators to ecosystem processes. Their statistical analyses consider, first, only a subset of fenced reserves and, second, an incomplete examination of 'costs per lion.' Our original conclusions remain unaltered. © 2013 John Wiley & Sons Ltd/CNRS.

  11. Kadav Moun PSA (:60) (Human Remains)

    Centers for Disease Control (CDC) Podcasts


    This is an important public health announcement about safety precautions for those handling human remains. Language: Haitian Creole.  Created: 2/18/2010 by Centers for Disease Control and Prevention (CDC).   Date Released: 2/18/2010.

  12. Juveniles' Motivations for Remaining in Prostitution (United States)

    Hwang, Shu-Ling; Bedford, Olwen


    Qualitative data from in-depth interviews were collected in 1990-1991, 1992, and 2000 with 49 prostituted juveniles remanded to two rehabilitation centers in Taiwan. These data are analyzed to explore Taiwanese prostituted juveniles' feelings about themselves and their work, their motivations for remaining in prostitution, and their difficulties…

  13. 10 CFR 50.66 - Requirements for thermal annealing of the reactor pressure vessel. (United States)


    ... 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...

  14. 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


    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.

  15. 2D Fast Vessel Visualization Using a Vessel Wall Mask Guiding Fine Vessel Detection

    Directory of Open Access Journals (Sweden)

    Sotirios Raptis


    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.

  16. Progression of Inflammatory Bowel Disease to Cancer: Is the Patient Better Off without Lymphatic Vessels or Nodes (or Angiopoietin 2)? (United States)


    various theories of progression have remained elusive. We proposed that a reduced number of functioning lymphatic vessels and impaired lymph drainage ...having a reduced number of functioning lymphatic vessels and impaired lymph drainage ( lymphatic vascular insufficiency) in the colon actually protects... Lymphatic Vessels or Nodes (or Angiopoietin 2)? PRINCIPAL INVESTIGATOR: Marlys H. Witte, MD CONTRACTING ORGANIZATION: University of Arizona, Tucson


    Directory of Open Access Journals (Sweden)

    Javad Khazaei


    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.

  18. Southeast Region Headboat Survey-Vessel list/Vessel Directory (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...

  19. [Remaining solvents in dry cleaned over clothes]. (United States)

    Tashiro, H; Fujishiro, K; Matsuno, K; Kawamoto, T; Okubo, T


    We examined remaining solvents in dry cleaned trousers to estimate the magnitude of environmental pollution. A cleaning solvent of petroleum hydrocarbon was analyzed by means of capillary column mass spectrum gas chromatography. Principal ingredients were identified to be nonane, decane and undecane. The same main components were detected in dry cleaned trousers. Total amounts of evaporated vapor from a pair of trousers (480 g) in 5 days after dry cleaning were nonane (0.73 mg), decane (1.53 mg) and undecane (1.09 mg). The levels on the fifth day were 5%(nonane), 18%(decane) and 32%(undecane) of the first day's concentration, respectively. The half times of the remaining solvents were 1.0 day (nonane), 1.7 days (decane) and 2.7 days (undecane), respectively.

  20. Intramedullary nailing in distal tibial fracture

    Directory of Open Access Journals (Sweden)

    Damian Arroquy


    Methods The inclusion criteria of this study were skeletally mature patients with displaced fractures of the distal tibia treated with intramedullary nail with a minimum follow up of one year. Gustilo III open fractures and type C fractures of the AO classification (complete articular Stroke were excluded. The sample comprised 35 patients remained. The follow-up was 29.2 months. We evaluated the time of consolidation, malunion and complications. The functional results were described according to the AOFAS score. Results Of the 35 patients with fracture of the distal third of the tibia all of them presented fracture healing. The average time to union was 17.2 weeks (range: 11-26. Of the total sample, 5 patients had delayed union, requiring dynamic nail on average at 12 weeks. The malunion was present in 4 (11.4% patients. We found no  difference (p = 0.201 in the time to union between fractures associated with fractures of the fibula treated (13sem or not (17sem. The AOFAS score was 86 points. Conclusion Intramedullary nailing with multiple distal locks like a good alternative treatment for distal tibia fractures AO type A or B, with low complication rate and a high rate of consolidation.



    Poux, Florent; Neuville, Romain; Hallot, Pierre; Billen, Roland


    Dealing with coloured point cloud acquired from terrestrial laser scanner, this paper identifies remaining challenges for a new data structure: the smart point cloud. This concept arises with the statement that massive and discretized spatial information from active remote sensing technology is often underused due to data mining limitations. The generalisation of point cloud data associated with the heterogeneity and temporality of such datasets is the main issue regarding structure, segmenta...

  2. [Professional confidentiality: speak out or remain silent? ]. (United States)

    Daubigney, Jean-claude


    People who work with children, in their daily tasks, must choose whether to disclose information entrusted to them. However, they are subject to the law, which authorises or imposes speaking out or remaining silent. In terms of ethics, they can seek the best possible response while respecting professional secrecy when meeting an individual, in a situation, in a place or at a particular time. They must then take responsibility for that decision.

  3. Time since prior fracture is a risk modifier for 10-year osteoporotic fractures. (United States)

    Giangregorio, Lora M; Leslie, William D


    The objective of this study was to assess the importance of time since prior fracture as a risk factor for future osteoporotic fractures and how it affects 10-year fracture rates. We identified 39,991 women 45 years of age or older undergoing baseline bone mineral density (BMD) testing (1990-2007) from a regional database that contains dual-energy X-ray absorptiometry (DXA) results for Manitoba, Canada. Health service records were used to identify nontrauma ICD-9-CM fracture codes preceding DXA, grouped as "major" fractures (n = 5178; hip, spine, forearm, and humerus) or "minor" fractures (n = 3479; ribs, sternum, pelvis, trunk, clavicle, scapula, patella, tibia/fibula, and ankle). Time since prior fracture was coded in years as less than 1, 1 to 5, 5 to 10, and more than 10. Incident fractures (ie, hip, spine, forearm, and humerus) after BMD testing were identified (mean follow-up 4.2 years, maximum 10 years) and studied in Cox proportional-hazards models adjusted for age, BMD T-score, and other covariates. After BMD testing, n = 1749 (4.4%) women experienced an incident fracture. Prior major fracture was a strong risk factor for incident fracture, greatest risk in the first year [hazard ratio (HR) 1.90, 95% confidence interval (CI) 1.60-2.25], declining by more than 10 years (HR 1.62, 95% CI 1.25-2.10). Prior minor fracture was a weaker risk factor, greatest in the first year (HR 1.45, 95% CI 1.13-1.87) and no longer significant by 1 to 5 years. Major and minor fractures both showed a time-dependent decline in importance as risk factors. In conclusion, time since prior fracture modifies future fracture risk, but prior fractures of the hip, spine, forearm, and humerus remain strong risk factors even 10 years later. Fracture risk assessment should emphasize the importance of prior fractures at these sites. (c) 2010 American Society for Bone and Mineral Research.

  4. Circumferential wires as a supplement to intramedullary nailing in unstable trochanteric hip fractures

    DEFF Research Database (Denmark)

    Ban, Ilija; Birkelund, Lasse; Palm, Henrik


    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. Bone graft substitutes and bone morphogenetic proteins for osteoporotic fractures: What is the evidence?

    NARCIS (Netherlands)

    E.M.M. van Lieshout (Esther); V. Alt (Volker)


    textabstractDespite improvements in implants and surgical techniques, osteoporotic fractures remain challenging to treat. Among other major risk factors, decreased expression of morphogenetic proteins has been identified for impaired fracture healing in osteoporosis. Bone grafts or bone graft

  6. Plating of patella fractures: techniques and outcomes. (United States)

    Taylor, Benjamin C; Mehta, Sanjay; Castaneda, Joaquin; French, Bruce G; Blanchard, Chris


    Operative treatment of displaced patella fractures with tension band fixation remains the gold standard, but is associated with a significant rate of complications and symptomatic implants. Despite the evolution of tension band fixation to include cannulated screws, surprisingly little other development has been made to improve overall patient outcomes. In this article, we present the techniques and outcomes of patella plating for displaced patella fractures and patella nonunions.

  7. [Arthroscopic fracture management in proximal humeral fractures]. (United States)

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


    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.

  8. Pediatric Phalanx Fractures. (United States)

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


    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.

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

    CERN Document Server

    American Society for Testing and Materials. Philadelphia


    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...

  10. Practical Applications of Fracture Mechanics (United States)


    mounted in a universal teating free• and untaxial loads were applied at the bottom of the penal through a whiffletree system by six hydraulic jacks ...Structure". Published in "Fracture Prevention and Control", American Society for Metas, 1974. 6. C01101WrARY This example is a goodi illustration of the...remaining 13 at another. The lug was an undercarriage operating Jack attachment point, loaded once per Jack operation corresponding to constant

  11. Distribution of albatross remains in the Far East regions during the Holocene, based on zooarchaeological remains. (United States)

    Eda, Masaki; Higuchi, Hiroyoshi


    Many albatross remains have been found in the Japanese Islands and the surrounding areas, such as Sakhalin and South Korea. These remains are interesting for two reasons: numerous sites from which albatross remains have been found are located in coastal regions of the Far East where no albatrosses have been distributed recently, and there are some sites in which albatross remains represent a large portion of avian remains, although albatrosses are not easily preyed upon by human beings. We collected data on albatross remains from archaeological sites in the Far East regions during the Holocene and arranged the remains geographically, temporally and in terms of quantity. Based on these results, we showed that coastal areas along the Seas of Okhotsk and Japan have rarely been used by albatrosses in Modern times, though formerly there were many albatrosses. We proposed two explanations for the shrinkage of their distributional range: excessive hunting in the breeding areas, and distributional changes of prey for albatrosses.

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

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jy-An John [ORNL


    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.

  13. 2013 East Coast Vessel Tracklines (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. SC/OQ Vessel Database (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...

  15. 2011 Great Lakes Vessel Tracklines (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...

  16. 2011 West Coast Vessel Tracklines (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. 2013 Great Lakes Vessel Tracklines (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. 2011 East Coast Vessel Tracklines (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. Integrin binding: Sticking around vessels (United States)

    Blatchley, Michael R.; Gerecht, Sharon


    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.

  20. Transposition of the great vessels (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 ...

  1. 2013 West Coast Vessel Tracklines (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...

  2. Vessel Permit System Data Set (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...

  3. 2011 Tug Towing Vessel Density (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...

  4. Caribbean PR Logbook Survey (Vessels) (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...

  5. Coastal Discard Logbook Survey (Vessels) (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...

  6. Shotgun microbial profiling of fossil remains

    DEFF Research Database (Denmark)

    Der Sarkissian, Clio; Ermini, Luca; Jónsson, Hákon


    Millions to billions of DNA sequences can now be generated from ancient skeletal remains thanks to the massive throughput of next-generation sequencing platforms. Except in cases of exceptional endogenous DNA preservation, most of the sequences isolated from fossil material do not originate from...... community profiling of the seven specimens revealed site-specific environmental signatures. These microbial communities appear to comprise mainly organisms that colonized the fossils recently. Our approach significantly extends the amount of useful data that can be recovered from ancient specimens using...

  7. 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)


    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.

  8. Prosopomorphic vessels from Moesia Superior

    Directory of Open Access Journals (Sweden)

    Nikolić Snežana


    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.

  9. Permeability of displaced fractures (United States)

    Kluge, Christian; Milsch, Harald; Blöcher, Guido


    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.

  10. Infant skull fracture (image) (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 ...

  11. Nasal fracture (image) (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 ...

  12. Growth Plate Fractures (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 ...

  13. Bone fracture repair - slideshow (United States)

    ... page: // 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 ...

  14. Femur fracture repair - discharge (United States)

    ... page: // 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 ...

  15. Rib fracture - aftercare (United States)

    ... page: // 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 ...

  16. Nasal fracture - aftercare (United States)

    ... page: // 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 ...

  17. Hip fracture surgery (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 ...

  18. Metatarsal stress fractures - aftercare (United States)

    ... page: // 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 ...

  19. Does hypertension remain after kidney transplantation?

    Directory of Open Access Journals (Sweden)

    Gholamreza Pourmand


    Full Text Available Hypertension is a common complication of kidney transplantation with the prevalence of 80%. Studies in adults have shown a high prevalence of hypertension (HTN in the first three months of transplantation while this rate is reduced to 50- 60% at the end of the first year. HTN remains as a major risk factor for cardiovascular diseases, lower graft survival rates and poor function of transplanted kidney in adults and children. In this retrospective study, medical records of 400 kidney transplantation patients of Sina Hospital were evaluated. Patients were followed monthly for the 1st year, every two months in the 2nd year and every three months after that. In this study 244 (61% patients were male. Mean ± SD age of recipients was 39.3 ± 13.8 years. In most patients (40.8% the cause of end-stage renal disease (ESRD was unknown followed by HTN (26.3%. A total of 166 (41.5% patients had been hypertensive before transplantation and 234 (58.5% had normal blood pressure. Among these 234 individuals, 94 (40.2% developed post-transplantation HTN. On the other hand, among 166 pre-transplant hypertensive patients, 86 patients (56.8% remained hypertensive after transplantation. Totally 180 (45% patients had post-transplantation HTN and 220 patients (55% didn't develop HTN. Based on the findings, the incidence of post-transplantation hypertension is high, and kidney transplantation does not lead to remission of hypertension. On the other hand, hypertension is one of the main causes of ESRD. Thus, early screening of hypertension can prevent kidney damage and reduce further problems in renal transplant recipients.

  20. Management of common fractures. (United States)

    Walker, Jennie


    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.

  1. "Recent" macrofossil remains from the Lomonosov Ridge, central Arctic Ocean (United States)

    Le Duc, Cynthia; de Vernal, Anne; Archambault, Philippe; Brice, Camille; Roberge, Philippe


    The examination of surface sediment samples collected from 17 sites along the Lomonosov Ridge at water depths ranging from 737 to 3339 meters during Polarstern Expedition PS87 in 2014 (Stein, 2015), indicates a rich biogenic content almost exclusively dominated by calcareous remains. Amongst biogenic remains, microfossils (planktic and benthic foraminifers, pteropods, ostracods, etc.) dominate but millimetric to centrimetric macrofossils occurred frequently at the surface of the sediment. The macrofossil remains consist of a large variety of taxa, including gastropods, bivalvia, polychaete tubes, scaphopods, echinoderm plates and spines, and fish otoliths. Among the Bivalvia, the most abundant taxa are Portlandia arctica, Hyalopecten frigidus, Cuspidaria glacilis, Policordia densicostata, Bathyarca spp., and Yoldiella spp. Whereas a few specimens are well preserved and apparently pristine, most mollusk shells displayed extensive alteration features. Moreover, most shells were covered by millimeter scale tubes of the serpulid polychaete Spirorbis sp. suggesting transport from low intertidal or subtidal zone. Both the ecological affinity and known geographic distribution of identified bivalvia as named above support the hypothesis of transportation rather than local development. In addition to mollusk shells, more than a hundred fish otoliths were recovered in surface sediments. The otoliths mostly belong to the Gadidae family. Most of them are well preserved and without serpulid tubes attached to their surface, suggesting a local/regional origin, unlike the shell remains. Although recovered at the surface, the macrofaunal assemblages of the Lomonosov Ridge do not necessarily represent the "modern" environments as they may result from reworking and because their occurrence at the surface of the sediment may also be due to winnowing of finer particles. Although the shells were not dated, we suspect that their actual ages may range from modern to several thousands of

  2. 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%.

  3. 75 FR 68467 - Transportation for Individuals With Disabilities: Passenger Vessels (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION 49 CFR Part 39 RIN 2105-AB87 Transportation for Individuals With Disabilities: Passenger Vessels... remain consistent with those of DOJ. One of these organizations pointed out that the DOJ ADA rules become...

  4. Vessel Cauterization as a Therapeutic Adjunct in Persistent ...

    African Journals Online (AJOL)

    This is a case report of a symptomatic non‑clearing, vascularized, disciform, corneal stromal edema with a feeder vessel that has remained refractory to medical therapy of antiviral, steroid, and antibiotics, for a period of three weeks, but showed a rapid improvement in visual acuity of 0.1 Log mar within five days of feeder ...

  5. 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:; Hojreh, Azadeh [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)


    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.

  6. Sprains, Strains and Fractures (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 ...

  7. Obesity and fracture risk


    Gonnelli, S; Caffarelli, C.; Nuti, R.


    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.

  8. Genetic factors responsible for long bone fractures non-union


    Szczęsny, Grzegorz; Olszewski, Waldemar L.; Zagozda, Małgorzata; Rutkowska, Joanna; Czapnik, Żanetta; Swoboda-Kopeć, Ewa; Górecki, Andrzej


    Introduction Approximately 10–15% of all fractures of long bones heal with delay, prolonged immobilization and repetitive operative interventions. Despite intense investigations, the pathomechanism of impaired healing of skeletal tissue remains unclear. An important role in the pathomechanism of mal-union of close fractures plays subclinically proceeding infections. Aim The question arises whether colonization and proliferation of bacteria in the fracture gap could be related to the mutation ...

  9. A Review of Management Options for Proximal Humeral Fractures


    Jordan, Robert W; Modi, Chetan S


    Proximal humeral fractures are common and although the majority can be managed non-operatively, the optimal treatment of displaced or complex fractures remains controversial. Non-operative treatment is typically selected for minimally displaced fractures where union rates are high and good or excellent outcomes can be expected in approximately 80% of cases. The aims of surgical fixation are to restore articular surface congruency, alignment and the relationship between the tuberosities and th...


    Directory of Open Access Journals (Sweden)

    F. Poux


    Full Text Available Dealing with coloured point cloud acquired from terrestrial laser scanner, this paper identifies remaining challenges for a new data structure: the smart point cloud. This concept arises with the statement that massive and discretized spatial information from active remote sensing technology is often underused due to data mining limitations. The generalisation of point cloud data associated with the heterogeneity and temporality of such datasets is the main issue regarding structure, segmentation, classification, and interaction for an immediate understanding. We propose to use both point cloud properties and human knowledge through machine learning to rapidly extract pertinent information, using user-centered information (smart data rather than raw data. A review of feature detection, machine learning frameworks and database systems indexed both for mining queries and data visualisation is studied. Based on existing approaches, we propose a new 3-block flexible framework around device expertise, analytic expertise and domain base reflexion. This contribution serves as the first step for the realisation of a comprehensive smart point cloud data structure.

  11. The Human Remains from HMS Pandora

    Directory of Open Access Journals (Sweden)

    D.P. Steptoe


    Full Text Available In 1977 the wreck of HMS Pandora (the ship that was sent to re-capture the Bounty mutineers was discovered off the north coast of Queensland. Since 1983, the Queensland Museum Maritime Archaeology section has carried out systematic excavation of the wreck. During the years 1986 and 1995-1998, more than 200 human bone and bone fragments were recovered. Osteological investigation revealed that this material represented three males. Their ages were estimated at approximately 17 +/-2 years, 22 +/-3 years and 28 +/-4 years, with statures of 168 +/-4cm, 167 +/-4cm, and 166cm +/-3cm respectively. All three individuals were probably Caucasian, although precise determination of ethnicity was not possible. In addition to poor dental hygiene, signs of chronic diseases suggestive of rickets and syphilis were observed. Evidence of spina bifida was seen on one of the skeletons, as were other skeletal anomalies. Various taphonomic processes affecting the remains were also observed and described. Compact bone was observed under the scanning electron microscope and found to be structurally coherent. Profiles of the three skeletons were compared with historical information about the 35 men lost with the ship, but no precise identification could be made. The investigation did not reveal the cause of death. Further research, such as DNA analysis, is being carried out at the time of publication.

  12. 50 CFR 697.8 - Vessel identification. (United States)


    ... 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...

  13. Mechanosensing in developing lymphatic vessels. (United States)

    Planas-Paz, Lara; Lammert, Eckhard


    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.

  14. Meta-analysis: retinal vessel caliber and risk for coronary heart disease

    NARCIS (Netherlands)

    McGeechan, Kevin; Liew, Gerald; Macaskill, Petra; Irwig, Les; Klein, Ronald; Klein, Barbara E. K.; Wang, Jie Jin; Mitchell, Paul; Vingerling, Johannes R.; deJong, Paulus T. V. M.; Witteman, Jacqueline C. M.; Breteler, Monique M. B.; Shaw, Jonathan; Zimmet, Paul; Wong, Tien Y.


    Retinal vessel caliber may be a novel marker of coronary heart disease (CHD) risk. However, the sex-specific effect, magnitude of association, and effect independent of traditional CHD disease risk factors remain unclear. To determine the association between retinal vessel caliber and risk for CHD.

  15. 75 FR 45055 - Security Zone; 2010 Seattle Seafair Fleet Week Moving Vessels, Puget Sound, WA (United States)


    ... Vessels, Puget Sound, WA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The U.S. Coast... vessels while underway in the Puget Sound Captain of the Port (COTP) Area of Responsibility (AOR). These... remaining in the security zones unless authorized by the COTP, Puget Sound or Designated Representative...

  16. Controversies in ankle fracture treatment. Indications for fixation of stable Weber type B fractures and indications for syndesmosis stabilization. (United States)

    Miller, S D


    Although the treatment of ankle fractures is often straightforward, several controversies remain. This article reviews the need for open reduction and internal fixation of the displaced supination-external rotation fracture, and contrasts the studies that mandate anatomic reduction with clinical results. The many issues surrounding syndesmosis fixation are also reviewed, including the need for fixation of distal fractures and the timing of screw fixation.

  17. Variabilities detected by acoustic emission from filament-wound Aramid fiber/epoxy composite pressure vessels (United States)

    Hamstad, M. A.


    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.

  18. Coastal structural remains on the east coast of India: Evidence of maritime activities and their significance

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.

    in relation to the maritime history of the east coast of India. Keywords: Coastal structures, Ancient ports, Maritime activities, Structural remains, East coast of India. Introduction The Indian Peninsula has noticed a chain of development of seaports... number of ancient ports of India were located at the mouth of rivers and in case of lagoons at the outlets to the sea, where cargo can be handled easily and vessels can be anchored properly. Further, to corroborate the fact, the ancient Indian text...

  19. Fragility fractures at Auckland City Hospital: we can do better. (United States)

    Braatvedt, Geoffrey; Wilkinson, Susan; Scott, Marilyn; Mitchell, Paul; Harris, Roger


    This study describes in detail the burden of caring for patients aged ≥ 50 years seen in one year with a fragility fracture in a large urban environment and shows that these fractures result in a long length of stay and significant mortality. Intervention to prevent further fracture was poorly done. To examine the epidemiology of fragility fracture in patients over age 50 years and record the number who received appropriate secondary prevention treatment. All patients aged ≥ 50 years presenting with a fracture during the 12 months following July 1(st) 2011, to Auckland City Hospital or residing in central Auckland at the time of their fracture, were identified from hospital and Accident Compensation Corporation records. A random sample of 55% of these patient's records were reviewed to establish the type of fracture, prior fracture and falls history, and use of bisphosphonates in the 12 months before presentation. Their length of stay (LOS) by type of fracture was recorded. The use of bisphosphonate drugs in the following 12 months was obtained from centralised national records of prescriptions. 2729 patients aged ≥ 50 years presented with a fragility fracture in the central Auckland region in one year. Fifty-six percent of these patients were seen at Auckland Hospital and of these, 82% patients required admission with a mean LOS of 20 days (SD ± 24 days).The remaining 44% of patients were looked after in the private outpatient sector. Approximately 30% of the admissions were for hip fracture. Sixty-four percent of patients with a fragility fracture did not receive a potent bisphosphonate, 12% were considered not appropriate for treatment, and 24% received a potent bisphosphonate during their admission or in the next 12 months. Approximately 1 in 18 people aged ≥ 50 years presented in one year with a fragility fracture.Secondary prevention strategies were poorly implemented. Additional resources for identifying and initiating secondary fracture prevention

  20. Ghost Remains After Black Hole Eruption (United States)


    NASA's Chandra X-ray Observatory has found a cosmic "ghost" lurking around a distant supermassive black hole. This is the first detection of such a high-energy apparition, and scientists think it is evidence of a huge eruption produced by the black hole. This discovery presents astronomers with a valuable opportunity to observe phenomena that occurred when the Universe was very young. The X-ray ghost, so-called because a diffuse X-ray source has remained after other radiation from the outburst has died away, is in the Chandra Deep Field-North, one of the deepest X-ray images ever taken. The source, a.k.a. HDF 130, is over 10 billion light years away and existed at a time 3 billion years after the Big Bang, when galaxies and black holes were forming at a high rate. "We'd seen this fuzzy object a few years ago, but didn't realize until now that we were seeing a ghost", said Andy Fabian of the Cambridge University in the United Kingdom. "It's not out there to haunt us, rather it's telling us something - in this case what was happening in this galaxy billions of year ago." Fabian and colleagues think the X-ray glow from HDF 130 is evidence for a powerful outburst from its central black hole in the form of jets of energetic particles traveling at almost the speed of light. When the eruption was ongoing, it produced prodigious amounts of radio and X-radiation, but after several million years, the radio signal faded from view as the electrons radiated away their energy. HDF 130 Chandra X-ray Image of HDF 130 However, less energetic electrons can still produce X-rays by interacting with the pervasive sea of photons remaining from the Big Bang - the cosmic background radiation. Collisions between these electrons and the background photons can impart enough energy to the photons to boost them into the X-ray energy band. This process produces an extended X-ray source that lasts for another 30 million years or so. "This ghost tells us about the black hole's eruption long after

  1. Stress fractures in runners. (United States)

    McCormick, Frank; Nwachukwu, Benedict U; Provencher, Matthew T


    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.

  2. Computed tomography of the acetabular fractures

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Ho Young; Suh, Jin Suck; Park, Chang Yun; Lee, Kil Woo [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    In a retrospective study of 21 patients, in whom the acetabular fractures were suspected on initial radiographs, we compared and analysed the computed tomographic findings and plain radiographic findings. The results were as follow: 1. In patients with multiple trauma, no further change in position was required during CT examinations. 2. CT showed intraarticular loose bodies, which were invisible on plain radiographs. 3. CT was useful in detecting the fractures of acetabular rims, medial wall of acetabulum, and femoral head. 4. CT permitted better evaluation of shape, extent, and degree of separation of fracture fragments. 5. CT was helpful in detecting the associated fractures and soft tissue injuries. 6. CT also demonstrated the adequacy of reduction, the position of metallic fixation devices, and the presence or absence of remaining intraarticular osseous fragments after surgery.

  3. Grounding Damage to Conventional Vessels

    DEFF Research Database (Denmark)

    Lützen, Marie; Simonsen, Bo Cerup


    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...

  4. 19 CFR 4.5 - Government vessels. (United States)


    ... 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...

  5. [Fractures of the patella]. (United States)

    Wild, M; Windolf, J; Flohé, S


    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.

  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


    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. Ciguatera: recent advances but the risk remains. (United States)

    Lehane, L; Lewis, R J


    Ciguatera is an important form of human poisoning caused by the consumption of seafood. The disease is characterised by gastrointestinal, neurological and cardiovascular disturbances. In cases of severe toxicity, paralysis, coma and death may occur. There is no immunity, and the toxins are cumulative. Symptoms may persist for months or years, or recur periodically. The epidemiology of ciguatera is complex and of central importance to the management and future use of marine resources. Ciguatera is an important medical entity in tropical and subtropical Pacific and Indian Ocean regions, and in the tropical Caribbean. As reef fish are increasingly exported to other areas, it has become a world health problem. The disease is under-reported and often misdiagnosed. Lipid-soluble, polyether toxins known as ciguatoxins accumulated in the muscles of certain subtropical and tropical marine finfish cause ciguatera. Ciguatoxins arise from biotransformation in the fish of less polar ciguatoxins (gambiertoxins) produced by Gambierdiscus toxicus, a marine dinoflagellate that lives on macroalgae, usually attached to dead coral. The toxins and their metabolites are concentrated in the food chain when carnivorous fish prey on smaller herbivorous fish. Humans are exposed at the end of the food chain. More than 400 species of fish can be vectors of ciguatoxins, but generally only a relatively small number of species are regularly incriminated in ciguatera. Ciguateric fish look, taste and smell normal, and detection of toxins in fish remains a problem. More than 20 precursor gambiertoxins and ciguatoxins have been identified in G. toxicus and in herbivorous and carnivorous fish. The toxins become more polar as they undergo oxidative metabolism and pass up the food chain. The main Pacific ciguatoxin (P-CTX-1) causes ciguatera at levels=0.1 microg/kg in the flesh of carnivorous fish. The main Caribbean ciguatoxin (C-CTX-1) is less polar and 10-fold less toxic than P-CTX-1. Ciguatoxins

  9. Rare combination of ipsilateral acetabular fracture-dislocation and pertrochanteric fracture. (United States)

    Kuhn, Kevin M; Boudreau, John A; Watson, J T


    Acetabular fracture-dislocations are severe injuries that require urgent closed reduction of the hip and often require surgery to restore hip stability. Other authors have described acetabular fracture-dislocations associated with femoral neck fractures, but to our knowledge, this case report is the first to describe an acetabular fracture-dislocation in association with an ipsilateral pertrochanteric fracture and subtrochanteric extension. The polytraumatized patient initially was not stable enough for prolonged surgery. Through a 3-cm anterolateral hip incision, a 5-mm Schanz screw was introduced percutaneously into the femoral head through the primary fracture site under fluoroscopic guidance. With inline traction on the leg, the Schanz screw was used to manipulate the femoral head back into the acetabular fossa. The Schanz screw was removed, the head remained reduced, and a skeletal traction pin was placed to maintain length and alignment of the pertrochanteric fracture until definitive stabilization was possible. We propose a staged treatment strategy consisting of early closed reduction of the hip, and after the patient has been stabilized, reduction and fixation of the fractures. This strategy may be useful in managing an unstable polytraumatized patient or a patient who requires prolonged transfer to receive definitive care.

  10. Fracture strengths of chair‑side‑generated veneers cemented with ...

    African Journals Online (AJOL)

    Introduction: CAD/CAM (computer‑aided design and computer‑aided manufacturing) systems have refreshed the idea of chair‑side production of restorations, but the fracture of ceramic veneers remains a problem. Cementation with glass fibers may improve the fracture strengths and affect the failure modes of ...

  11. A comprehensive fracture prevention strategy in older adults

    DEFF Research Database (Denmark)

    Blain, H.; Masud, T.; Dargent-Molina, P.


    Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest group on falls and fracture prevention of the European union geriatric medicine society (EUGMS...

  12. [Pulmonary blood vessels in goats]. (United States)

    Roos, H; Hegner, K; Vollmerhaus, B


    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.

  13. Operative results of closed tibial plateau fractures

    Directory of Open Access Journals (Sweden)

    Mathur Hitin


    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

  14. On the fracture toughness of advanced materials

    Energy Technology Data Exchange (ETDEWEB)

    Launey, Maximilien E.; Ritchie, Robert O.


    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

  15. A case of acute bilateral femur fracture with vascular injury

    Directory of Open Access Journals (Sweden)

    Slavisa Zagorac


    Full Text Available The femoral fractures remain the great challenge for orthopedic surgeons regarding time of fixation and appropriate fixation techniques. There is a bimodal distribution of fractures occurring most frequently in young males after high-energy trauma (motor vehicle accidents and in elderly females after falls from standing. Young patients with femoral fracture are under the great risk of multiple injuries. Hence, the great significance is optimal time of fixation. We present a case of unusual pattern of injury and fixation technique of bilateral proximal femur fracture associated with vascular injury, with very satisfied outcome.

  16. Use of Huckstep nail in the periimplant femoral shaft fracture

    Directory of Open Access Journals (Sweden)

    Hong Kyun Kim


    Full Text Available 87-year-old female underwent open reduction of distal femoral fracture and internal fixation with locking compression plate and bone graft. She was operated for ipsilateral proximal femoral fractures and stabilized by intramedullary interlocked nail 5 years ago. She developed stress fracture proximal to locked plate. We inserted Huckstep nail after removal of the previous operated proximal femoral nail without removing the remaining plate and screws. At 15 month followup the fractures have united. The Huckstep nail has multiple holes available for screw fixation at any level in such difficult situations.

  17. A Comprehensive Fracture Prevention Strategy in Older Adults

    DEFF Research Database (Denmark)

    Blain, H; Masud, T; Dargent-Molina, P


    Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society (EUGMS),...... views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people....

  18. Commercial Passenger Fishing Vessel Fishery (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...

  19. Pressure vessel and method therefor

    Energy Technology Data Exchange (ETDEWEB)

    Saunders, Timothy


    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.

  20. BPC 157 and blood vessels. (United States)

    Seiwerth, Sven; Brcic, Luka; Vuletic, Lovorka Batelja; Kolenc, Danijela; Aralica, Gorana; Misic, Marija; Zenko, Anita; Drmic, Domagoj; Rucman, Rudolf; Sikiric, Predrag


    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.

  1. The determinants of fishing vessel accident severity. (United States)

    Jin, Di


    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.

  2. Odontoid Fracture: Computed Tomography

    Directory of Open Access Journals (Sweden)

    Jonathan Peña


    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. State-of-the-art review on fracture analysis of concrete structural ...

    Indian Academy of Sciences (India)

    This paper presents a critical review of literature on fracture analysis of concrete structural components. Review includes various fracture models, tension softening models, methodologies for crack growth analysis and remaining life prediction. The widely used fracture models which are based on fictitious crack approach ...

  4. The forgotten coracoid: A case report of a coracoid fracture in a male ...

    African Journals Online (AJOL)

    A fall onto the shoulder is a common mechanism of injury in cyclists. However, coracoid fractures remain unreported in the literature in this population. These authors report a case of a coracoid fracture missed on the initial plain film radiographs. Whilst these fractures can be easily missed on standard trauma series ...

  5. Biomechanical behavior of teeth without remaining coronal structure restored with different post designs and materials. (United States)

    Maroli, Angélica; Hoelcher, Kaue Andreas Lotice; Reginato, Vagner Flavio; Spazzin, Aloisio Oro; Caldas, Ricardo Armini; Bacchi, Atais


    The aim of this study was to access the biomechanical behavior of teeth without remaining coronal structure when restored with posts of different materials and configurations. Fifty bovine teeth (n=10 per group) with standard dimensions were restored as follows: cast post and core (CPC), prefabricated metallic post (PFM), parallel glass-fiber post (P-FP), conical glass-fiber post (C-FP) or composite core (no post, CC). The survival rate during thermomechanical challenging (TC), the fracture strength (FS), and failure pattern (FP) were evaluated. Finite element models were realized to evaluate the stress distribution with a 100N load. All post-containing teeth survived TC, while CC had 30% of failures. CPC and C-FP had the higher fracture strength, but a high number of irreparable fractures (60%), such as PFM (70%). Von Mises analysis has shown the maximum stresses into the canal in groups restored with metallic posts, while glass-fiber posts and CC presented the maximum stresses at load contact point in the crown. CPC led to higher modified von Mises (mvM) stress in the cervical third of dentin. However, mvM values did not reach the dentin fracture limit for any group. Analysis of maximal contact pressure has shown better stress distribution along with the dentin interface in post-containing groups, especially for CPC. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Pattern Recognition Of Blood Vessel Networks In Ocular Fundus Images (United States)

    Akita, K.; Kuga, H.


    We propose a computer method of recognizing blood vessel networks in color ocular fundus images which are used in the mass diagnosis of adult diseases such as hypertension and diabetes. A line detection algorithm is applied to extract the blood vessels, and the skeleton patterns of them are made to analyze and describe their structures. The recognition of line segments of arteries and/or veins in the vessel networks consists of three stages. First, a few segments which satisfy a certain constraint are picked up and discriminated as arteries or veins. This is the initial labeling. Then the remaining unknown ones are labeled by utilizing the physical level knowledge. We propose two schemes for this stage : a deterministic labeling and a probabilistic relaxation labeling. Finally the label of each line segment is checked so as to minimize the total number of labeling contradictions. Some experimental results are also presented.

  7. The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Ankle Fracture Pearls and Pitfalls. (United States)

    Parikh, Shital N; Mehlman, Charles T


    Pediatric ankle fractures are common and have unique fracture characteristics because of the presence of distal tibial and fibular physes. When displaced (>3 mm widening of the physis or >2 mm intra-articular gap/step-off), these fractures are typically treated with anatomical reduction and internal fixation. Computed tomography is recommended for preoperative evaluation and surgical planning for intra-articular fractures. These fractures in younger children with substantial growth remaining should be followed closely to monitor for any growth disturbance. Pearls and pitfalls related to the treatment of these fractures would emphasize the physeal-respecting approach to their management.

  8. Evaluation of nonunion fractures in dogs by use of B-mode ultrasonography, power Doppler ultrasonography, radiography, and histologic examination. (United States)

    Risselada, Marije; van Bree, Henri; Kramer, Martin; Chiers, Koen; Duchateau, Luc; Verleyen, Piet; Saunders, Jimmy H


    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.

  9. 46 CFR 42.05-63 - Ship(s) and vessel(s). (United States)


    ... 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...

  10. Vessel tree extraction using locally optimal paths

    DEFF Research Database (Denmark)

    Lo, Pechin Chien Pau; van Ginneken, Bram; de Bruijne, Marleen


    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...

  11. Electrically conductive containment vessel for molten aluminum (United States)

    Holcombe, C.E.; Scott, D.G.


    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.

  12. Mineralized Remains of Morphotypes of Filamentous Cyanobacteria in Carbonaceous Meteorites (United States)

    Hoover, Richard B.


    ) investigations of freshly fractured interior surfaces of carbonaceous meteorites, terrestrial rocks, and recent microbial extremophiles and filamentous cyanobacteria. These studies have resulted in the detection in a several carbonaceous meteorites of the mineralized remains of a wide variety of complex filamentous trichomic microorganisms. These embedded forms are consistent in size and microstructure with well-preserved morphotypes of mat- forming filamentous trichomic cyanobacteria and the degraded remains of microfibrils of cyanobacterial sheaths. We present the results of comparative imaging studies and EDAX elemental analyses of recent cyanobacteria (e.g. Calothrix, Oscillatoria, and Lyngbya) that are similar in size, morphology and microstructure to morphotypes found embedded in meteorites. EDAX elemental studies reveal that forms found in carbonaceous meteorites often have highly carbonized sheaths in close association with permineralized filaments, trichomes and microbial cells. Ratios of critical bioelements (C:O, C:N, C:P, and C:S) reveal dramatic differences between microfossils in Earth rocks and meteorites and in filaments, trichomes, hormogonia, and cells of recent cyanobacteria.

  13. -Lesser known stress fractures-. (United States)

    Wybier, M; Hamze, B; Champsaur, P; Parlier, C


    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.

  14. A New Tree-Type Fracturing Method for Stimulating Coal Seam Gas Reservoirs

    Directory of Open Access Journals (Sweden)

    Qian Li


    Full Text Available Hydraulic fracturing is used widely to stimulate coalbed methane production in coal mines. However, some factors associated with conventional hydraulic fracturing, such as the simple morphology of the fractures it generates and inhomogeneous stress relief, limit its scope of application in coal mines. These problems mean that gas extraction efficiency is low. Conventional fracturing may leave hidden pockets of gas, which will be safety hazards for subsequent coal mining operations. Based on a new drilling technique applicable to drilling boreholes in coal seams, this paper proposes a tree-type fracturing technique for stimulating reservoir volumes. Tree-type fracturing simulation experiments using a large-scale triaxial testing apparatus were conducted in the laboratory. In contrast to the single hole drilled for conventional hydraulic fracturing, the tree-type sub-boreholes induce radial and tangential fractures that form complex fracture networks. These fracture networks can eliminate the “blank area” that may host dangerous gas pockets. Gas seepage in tree-type fractures was analyzed, and gas seepage tests after tree-type fracturing showed that permeability was greatly enhanced. The equipment developed for tree-type fracturing was tested in the Fengchun underground coal mine in China. After implementing tree-type fracturing, the gas extraction rate was around 2.3 times greater than that for traditional fracturing, and the extraction rate remained high for a long time during a 30-day test. This shortened the gas drainage time and improved gas extraction efficiency.

  15. Discrete Fracture Network Characterization of Fractured Shale Reservoirs with Implications to Hydraulic Fracturing Optimization (United States)

    Jin, G.


    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

  16. Proximal humeral fractures


    Mauro, Craig S.


    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...

  17. Sphenotemporal buttress fracture

    Energy Technology Data Exchange (ETDEWEB)

    Jend, H.H.; Jend-Rossmann, I.


    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.

  18. 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


    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.


    Directory of Open Access Journals (Sweden)

    Igor V. Timofeev


    Full Text Available Introduction. The frequency of patellar fractures is approximately 0.5% to 1.5% of all skeletal injuries. The following types of fractures can be distinguished: avulsive, transverse, longitudinal, and comminuted. In cases of displacement of more than 2–3 mm and quadriceps tendon injuries open reduction and internal fixation with the restoration of the articular surface is more preferable. In cases of longitudinal fractures, arthroscopy is regarded as a highly effective method of surgical treatment. Materials and methods. Using arthroscopy, we have operated on 4 patients with longitudinal fracture of the patella. The average age of the injured persons was 15.4 years (14–17. These were 3 males and 1 female. All patients had sport-related injuries. Because of the longitudinal fracture of the patella, the lateral knee extensor mechanism remained intact, and arthrosopy-assisted surgical intervention with closed reposition of fragments and transcutaneous wire fixation was performed without wire suturing. Results and discussion. Minimal invasiveness, the possibility of visual control over the recovery quality of patellar surface, the reliability of fragment fixation, and a significant reduction in the subsequent rehabilitation make arthroscopy a highly effective method of surgical treatment for patellar fractures.

  20. Craniomaxillofacial fractures during recreational baseball and softball. (United States)

    Bak, Matthew J; Doerr, Timothy D


    Baseball and softball are leading causes of sports-related facial trauma in the United States. We review our institutional experience (Strong Memorial Hospital, Rochester, NY) with these injuries and discuss measures to reduce their incidence. We review our institutions experience with facial fractures sustained during the course of a softball or baseball game over a 12-year period. A total of 38 patients were identified and medical records analyzed for patient demographics, type of impact, and fracture location. The male-to-female ratio was 3.2:1; mean age was 24.2 years, with 17 (45%) of the injuries occurring in the pediatric population. The majority of the injuries were caused by direct impact with the ball (68%), while player-player collisions (18%) and impact from a swung bat (13%) were responsible for the remaining injuries. There were a total of 39 fractures; 18 fractures (46%) involved the midface (level 2), skull (level 1) fractures accounted for 12 (31%), while 9 (23%) were mandibular (level 3) fractures. With 68% of the injuries resulting from a ball impact, we endorse the recommendations of the Consumer Product Safety Commission for the use of low-impact National Operating Committee on Standards for Athletic Equipment-approved baseballs and softballs for youth and recreational leagues.

  1. Unusual patterns of Monteggia fracture-dislocation

    Directory of Open Access Journals (Sweden)

    Polychronidis Alexandros


    Full Text Available Abstract Background High-energy trauma may result in uncommon open injuries around the elbow joint. The management of these injuries can be difficult. Case description Fourteen patients were treated between 1999 and 2003 and their injuries consisted of Monteggia fracture-dislocations combined with segmental fractures of the ulna or fractures of the forearm bones and/or various more complex trauma such as neural injuries, bone comminution and severe soft tissue injuries around the elbow. Eight of them (57% were multiply injured with severe additional injuries. All patients underwent surgery within first 4–6 hours. Internal fixation, external fixation or a combination of both methods were used to stabilize fractures while open wounds had secondary closure. Results Additional operations were required in 6 patients. The functional results according to the Mayo Elbow Performance Index were excellent or good in eleven patients, and fair or poor in the remaining three. The patients with fair and poor results had suffered from severe neural and soft tissue trauma and/or multiple fractures of the upper extremity. Conclusion These injuries should be treated as an emergency. The surgeon should apply any available method that can provide stability to the bone fragments and safe handling of the soft tissues giving priority to internal fixation of the fractures. Severe osseous, soft tissue and neural trauma affect the functional results of the elbow region.

  2. Recertification of the air and methane storage vessels at the Langley 8-foot high-temperature structures tunnel (United States)

    Hudson, C. M.; Girouard, R. L.; Young, C. P., Jr.; Petley, D. H.; Hudson, J. L., Jr.; Hudgins, J. L.


    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.

  3. Particle Swarm Transport in Fracture Networks (United States)

    Pyrak-Nolte, L. J.; Mackin, T.; Boomsma, E.


    Colloidal particles of many types occur in fractures in the subsurface as a result of both natural and industrial processes (e.g., environmental influences, synthetic nano- & micro-particles from consumer products, chemical and mechanical erosion of geologic material, proppants used in gas and oil extraction, etc.). The degree of localization and speed of transport of such particles depends on the transport mechanisms, the chemical and physical properties of the particles and the surrounding rock, and the flow path geometry through the fracture. In this study, we investigated the transport of particle swarms through artificial fracture networks. A synthetic fracture network was created using an Objet Eden 350V 3D printer to build a network of fractures. Each fracture in the network had a rectangular cross-sectional area with a constant depth of 7 mm but with widths that ranged from 2 mm to 11 mm. The overall dimensions of the network were 132 mm by 166 mm. The fracture network had 7 ports that were used either as the inlet or outlet for fluid flow through the sample or for introducing a particle swarm. Water flow rates through the fracture were controlled with a syringe pump, and ranged from zero flow to 6 ml/min. Swarms were composed of a dilute suspension (2% by mass) of 3 μm fluorescent polystyrene beads in water. Swarms with volumes of 5, 10, 20, 30 and 60 μl were used and delivered into the network using a second syringe pump. The swarm behavior was imaged using an optical fluorescent imaging system illuminated by green (525 nm) LED arrays and captured by a CCD camera. For fracture networks with quiescent fluids, particle swarms fell under gravity and remained localized within the network. Large swarms (30-60 μl) were observed to bifurcate at shallower depths resulting in a broader dispersal of the particles than for smaller swarm volumes. For all swarm volumes studied, particle swarms tended to bifurcate at the intersection between fractures. These

  4. Hip fracture after hemiplegia. (United States)

    Mulley, G.; Espley, A. J.


    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

  5. [Fractures of the midfoot]. (United States)

    Boack, D H


    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.

  6. Pathological fractures in children (United States)

    De Mattos, C. B. R.; Binitie, O.; Dormans, J. P.


    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

  7. Treatment of forearm fractures

    National Research Council Canada - National Science Library

    Macintyre, N R; Ilyas, A M; Jupiter, J B


    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...

  8. Bracing for thoracolumbar fractures. (United States)

    Chang, Victor; Holly, Langston T


    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.

  9. Pediatric Scaphoid Fractures. (United States)

    Ting, Beverlie; Sesko Bauer, Andrea; Abzug, Joshua M; Cornwall, Roger; Wyrick, Theresa O; Bae, Donald S


    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.

  10. Fracture of the styloid process associated with the mandible fracture

    Directory of Open Access Journals (Sweden)

    K N Dubey


    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.

  11. AFSC/FMA/Vessel Assessment Logging (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...

  12. Hawaii Abandoned Vessel Inventory, Hawaii Island (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...

  13. US Virgin Islands Abandoned Vessel Inventory (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...

  14. Hawaii Abandoned Vessel Inventory, Midway Island, NWHI (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...

  15. Hawaii Abandoned Vessel Inventory, Kure, NWHI (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...

  16. Actemra Approved for Certain Blood Vessel Inflammation (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 ...

  17. Hawaii Abandoned Vessel Inventory, Maro Reef, NWHI (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...

  18. 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...

  19. Hawaii Abandoned Vessel Inventory, Lisianski Island, NWHI (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...

  20. 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)


    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.

  1. Effect of the crown, post, and remaining coronal dentin on the biomechanical behavior of endodontically treated maxillary central incisors. (United States)

    Veríssimo, Crisnicaw; Simamoto Júnior, Paulo Cézar; Soares, Carlos José; Noritomi, Pedro Yoshito; Santos-Filho, Paulo César Freitas


    It is unclear how the amount of remaining coronal dentin and the type of post and core rehabilitation affect the strain, stress distribution, and fracture resistance of endodontically treated teeth. The purpose of this study was to evaluate the effects of the type of post, type of crown, and the amount of remaining coronal dentin on the biomechanical behavior of endodontically treated teeth. The investigation was conducted by using 3-dimensional finite element analysis and laboratory tests. Three-dimensional models of a maxillary central incisor were generated: without remaining coronal dentin, with 1.0 mm of remaining coronal dentin, with 2.0 mm of remaining coronal dentin, and restored with a glass-fiber post or a cast post and core in combination with a metal crown or an alumina-reinforced ceramic crown. The results were evaluated by using the von Mises criterion and Maximum Principal Stress. One hundred twenty bovine incisors were selected and divided into 12 treatment groups (n=10). Specimens were loaded at a 135-degree angle to perform strain measurements and were then loaded until fracture. The strain and fracture resistance results were analyzed with 3-way analysis of variance and the Tukey honestly significant difference test (α=.05). The alumina-reinforced ceramic crowns and metal crowns associated with a glass-fiber post showed a homogeneous stress distribution within the root. The cast post and core concentrated higher stresses at the post-dentin interface. Significant differences were found among the mean fracture resistance values for all groups (Pcrowns. Roots restored with glass-fiber posts exhibited more favorable fractures. The presence of 2 mm of remaining coronal dentin improved the mechanical behavior of the endodontically treated maxillary incisors. Teeth restored with glass-fiber posts and composite resin cores showed a homogeneous stress distribution within the root dentin. Copyright © 2014 Editorial Council for the Journal of Prosthetic

  2. Hip Fractures among Older Adults (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 ...

  3. Compression fractures of the back (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 ...

  4. The Process of Hydraulic Fracturing (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.

  5. [Kyphoplasty in osteoporotic spinal fractures]. (United States)

    Prokop, A; Löhlein, F; Chmilniecki, M; Volbracht, J; Manner, M


    Kyphoplasty has been the standard procedure for osteoporotic fractures for more than 5 years but the material costs are still very high. The aim of this study was to clarify whether pain reduction could be achieved without increasing the rate of new fractures and also in what areas costs could possibly be reduced. From 15.01.2007 until 15.01.2008, a total of 100 patients with 126 recent osteoporotic spinal fractures were treated by kyphoplasty with an average operation time of 38 min and follow-up times up to 12 months. During this follow-up period 15 lateral and 2 dorsal cement leakages remained asymptomatic and 1 dorsal leakage caused an incomplete paraparesis, which was finally cured completely. All patients were very content and pain measured on the visual analogous scale could be lowered from 8.0 before the operation to 2.7 points after the operation. With material costs of 3,056 Euro, there were additional operation costs of 247 Euro per case. The average effective weight was 2.84. On average 7,810 Euro returns could be achieved, deducting material and operation costs left 4,507 Euro per case. More than 40% of gains were reinvested in operation and material costs. Within 12 months 6 new fractures occurred despite medicinal prophylactic treatment which could also be successfully treated by kyphoplasty. The average visual analogous scale after 12 months was 2.1 points.Kyphoplasty still causes financial deficits due to high material costs, however, patients benefit from a reduction of pain.

  6. Management of young femoral neck fractures: is there a consensus? (United States)

    Slobogean, G P; Sprague, S A; Scott, T; McKee, M; Bhandari, M


    Femoral neck fractures in young adults (ages fracture healing complications such as avascular necrosis, nonunion, and significant shortening. Historically, evidence from small trials has suggested multiple cannulated screws were the optimal implant; however, newer studies and implant designs warrant reevaluation of screws as the gold standard among surgeons. In addition, controversies surrounding reduction technique and urgency of surgical fixation have been previously identified. We aimed to survey surgeon treatment preferences for these challenging fractures. A 17-item survey was developed and tested for validity and reliability prior to administration. The questionnaire characterised surgeon demographics, treatment preferences for displaced and undisplaced fractures, and controversies for future clinical trials. The target population consisted of surgeons from the Canadian Orthopaedic Association, the Orthopaedic Trauma Association, and attendees at an international fracture course. 540 surgeons completed the survey, exceeding our sample size requirement. There was a similar proportion of respondents from academic and community hospitals. Most surgeons (61%) treat 1-5 young adult femoral neck fractures per year. For undisplaced fractures, 78% of respondents prefer to use multiple cannulated screws. For displaced fractures, equal preference for multiple screws (46%) and the sliding hip screw (SHS, 49%) was reported. The majority of surgeons perform an open reduction in less than 25% of cases, and the time to fixation was typically between 8 and 24h. Multiple cannulated screws remain the preferred treatment for most surgeons treating undisplaced fractures; however, there is an equal divide in preference between multiple screws and the SHS for displaced fractures. This increased preference for the SHS contradicts previous survey and small trial data recommending multiple screws for all fracture patterns. The lack of surgeon consensus and the high rates of fracture

  7. Collapsible Cryogenic Storage Vessel Project (United States)

    Fleming, David C.


    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.

  8. 50 CFR 660.305 - Vessel identification. (United States)


    ... 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...

  9. 50 CFR 660.704 - Vessel identification. (United States)


    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Vessel identification. 660.704 Section 660.704 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC... § 660.704 Vessel identification. (a) General. This section only applies to commercial fishing vessels...

  10. 50 CFR 660.504 - Vessel identification. (United States)


    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Vessel identification. 660.504 Section 660.504 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC... § 660.504 Vessel identification. (a) Official number. Each fishing vessel subject to this subpart must...

  11. 50 CFR 665.16 - Vessel identification. (United States)


    ... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Vessel identification. 665.16 Section 665... identification. (a) Applicability. Each fishing vessel subject to this part, except those identified in paragraph (e) of this section, must be marked for identification purposes, as follows: (1) A vessel that is...

  12. Displaced patella fractures. (United States)

    Della Rocca, Gregory J


    Displaced patella fractures often result in disruption of the extensor mechanism of the knee. An intact extensor mechanism is a requirement for unassisted gait. Therefore, operative treatment of the displaced patella fracture is generally recommended. The evaluation of the patella fracture patient includes examination of extensor mechanism integrity. Operative management of patella fractures normally includes open reduction with internal fixation, although partial patellectomy is occasionally performed, with advancement of quadriceps tendon or patellar ligament to the fracture bed. Open reduction with internal fixation has historically been performed utilizing anterior tension band wiring, although comminution of the fracture occasionally makes this fixation construct inadequate. Supplementation or replacement of the tension band wire construct with interfragmentary screws, cerclage wire or suture, and/or plate-and-screw constructs may add to the stability of the fixation construct. Arthrosis of the patellofemoral joint is very common after healing of patella fractures, and substantial functional deficits may persist long after fracture healing has occurred. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  13. Vertebral Fracture Prediction

    DEFF Research Database (Denmark)


    Vertebral Fracture Prediction A method of processing data derived from an image of at least part of a spine is provided for estimating the risk of a future fracture in vertebraeof the spine. Position data relating to at least four neighbouring vertebrae of the spine is processed. The curvature...

  14. Atypical femoral fractures

    African Journals Online (AJOL)


    Jan 24, 2013 ... A 73 year-old female patient was admitted to the orthogeriatrics unit at Helen Joseph Hospital in 2012 with a fracture of her right femur, following a fall from standing height. She was known to have severe osteoporosis, having sustained multiple previous fragility fractures involving her right distal radius, left ...

  15. Use of helical CT in assessment of crossing vessels in pelviureteric junction obstruction

    Energy Technology Data Exchange (ETDEWEB)

    Lacey, N.A.; Massouh, H


    AIM: The purpose of this study is to confirm the accuracy of non-invasive helical computed tomography (CT) with multiplanar reformatting in the diagnosis of crossing vessels in patients with pelviureteric junction (PUJ) obstruction. MATERIALS AND METHODS: Nineteen patients with confirmed PUJ obstruction underwent CT of the renal area with intravenous contrast medium. Patients shown to have crossing vessels had to undergo a pyeloplasty by open surgery or laparoscopy. Patients with no vessels could have their PUJ obstruction safely treated with less invasive techniques such as balloon dilatation. RESULTS: Fourteen patients were shown to have crossing vessels. Of these, 10 had their relationship to the PUJ confirmed at a subsequent laparotomy. Of the remaining four patients, one was lost to follow-up and two were unwell due to unrelated disease. The other patient had already had a vessel moved at a previous laparotomy. Of the five patients without obstructing vessels, two were confirmed not to have a related vessel at laparotomy, one has undergone balloon dilatation and the other two were lost to follow-up. CONCLUSION: Helical CT is an accurate and non-invasive method of demonstrating crossing vessels in PUJ obstruction. Diagnosis of these vessels has a major role in the choice of therapeutic treatment. Lacey, N.A., Massouh, H. (2000)

  16. Dating fractures in infants

    Energy Technology Data Exchange (ETDEWEB)

    Halliday, K.E., E-mail: [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Broderick, N.J.; Somers, J.M. [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Hawkes, R. [Department of Radiology, Paul O' Gorman Building, Bristol (United Kingdom)


    Aim: To document the timing of the appearance of the radiological features of fracture healing in a group of infants in which the date of injury was known and to assess the degree of interobserver agreement. Materials and methods: Three paediatric radiologists independently assessed 161 images of 37 long bone fractures in 31 patients aged 0-44 months. The following features were assessed: soft-tissue swelling, subperiosteal new bone formation (SPNBF), definition of fracture line, presence or absence of callus, whether callus was well or ill defined, and the presence of endosteal callus. Results: Agreement between observers was only moderate for all discriminators except SPNBF. SPNBF was invariably seen after 11 days but was uncommon before this time even in the very young. In one case SPNBF was seen at 4 days. Conclusion: With the exception of SPNBF, the criteria relied on to date fractures are either not reproducible or are poor discriminators of fracture age.

  17. Proximal femoral fractures

    DEFF Research Database (Denmark)

    Palm, Henrik; Teixidor, Jordi


    -displaced femoral neck fractures and prosthesis for displaced among the elderly; and sliding hip screw for stabile- and intramedullary nails for unstable- and sub-trochanteric fractures) but they are based on a variety of criteria and definitions - and often leave wide space for the individual surgeons' subjective...... guidelines for hip fracture surgery and discuss a method for future pathway/guideline implementation and evaluation. METHODS: By a PubMed search in March 2015 six studies of surgical treatment pathways covering all types of proximal femoral fractures with publication after 1995 were identified. Also we...... searched the homepages of the national heath authorities and national orthopedic societies in West Europe and found 11 national or regional (in case of no national) guidelines including any type of proximal femoral fracture surgery. RESULTS: Pathway consensus is outspread (internal fixation for un...

  18. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  19. Bone fractures after menopause. (United States)


    Every year 30% of individuals above age 65 fall, and falls are the principal cause of bone fractures. To reduce fracture incidence requires both prevention of falls and maintenance of bone strength. PubMed searches were performed, for studies of the epidemiology of fractures, bone physiology, endocrine effects, osteoporosis measurement, genetics, prevention and effectiveness. Topic summaries were presented to the Workshop Group and omissions or disagreements were resolved by discussion. Ageing reduces bone strength in post-menopausal women because estrogen deficiency causes accelerated bone resorption. Bone mineral density (BMD) decreased more than 2.5 standard deviation below the mean of healthy young adults defines osteoporosis, a condition associated with an increased risk of fractures. Risk factors such as age and previous fracture are combined with BMD for a more accurate prediction of fracture risk. The most widely used assessment tool is FRAX™ which combines clinical risk factors and femoral neck BMD. General preventive measures include physical exercise to reduce the risk of falling and vitamin D to facilitate calcium absorption. Pharmacological interventions consist mainly in the administration of inhibitors of bone resorption. Randomized controlled trials show treatment improves BMD, and may reduce the relative fracture risk by about 50% for vertebral, 20-25% for non-vertebral and up to 40% for hip fractures although the absolute risk reductions are much lower. Although diagnosis of osteoporosis is an important step, the threshold for treatment to prevent fractures depends on additional clinical risk factors. None of the presently available treatment options provide complete fracture prevention.

  20. Effects of ligation of lateral intermuscular septum perforating vessels on blood supply to the femur. (United States)

    Grob, K; Manestar, M; Lang, A; Ackland, T; Gilbey, H; Kuster, M S


    With a subvastus approach to the femur, the vessels that perforate the lateral intermuscular septum (LISP-vessels) must be ligated. The effect on the blood supply to the femur remains unclear. The purpose of the current study was to investigate the effect of ligation of the LISP-Vessels on the blood supply and to examine the anatomy of the LISP-vessels and the anastomoses around the femur. In six human cadavers the LISP vessels were ligated by a lateral subvastus approach on one side. The contralateral side served as control group. After bilateral injection of different coloured silicon dyes into the lateral and medial circumflex femoral artery (green), deep femoral artery (red) and the superficial femoral artery (blue) dissection was performed bilaterally. The arterial perfusion on both sides was compared and the anatomy of the LISP vessels studied. The medullary perfusion of the femur was not altered by the ligation of the LISP vessels. It did also not lead to a decrease in periosteal vessel filling. The LISP vessels were shown to be a part of a complex and rich anastomotic network and play an important role in the perfusion of the femur and quadriceps muscle group. The ligature could be compensated for by this anastomotic network. Branches to the periosteum separate from the LISP vessels immediately after perforating the lateral intermuscular septum. The linea aspera turned out to be an important area for the femoral blood supply. Exposure of the femur through a lateral subvastus approach with ligation of LISP vessels causes a certain degree of soft tissue trauma. However, by using a gentle surgical technique the periostal perfusion of the femur can be preserved by a potent anastomotic network after ligation of the LISP vessels if they are not ligated to close to the lateral intermuscular septum and the linea aspera is not unnecessarily exposed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. BMD T-score discriminates trochanteric fractures from unfractured controls, whereas geometry discriminates cervical fracture cases from unfractured controls of similar BMD. (United States)

    Pulkkinen, P; Partanen, J; Jalovaara, P; Jämsä, T


    The ability of bone mineral density (BMD) to discriminate cervical and trochanteric hip fractures was studied. Since the majority of fractures occur among people who are not diagnosed as having osteoporosis, we also examined this population to elucidate whether geometrical risk factors can yield additional information on hip fracture risk beside BMD. The study showed that the T-score criterion was able to discriminate fracture patients from controls in the cases of trochanteric fractures, whereas geometrical measures may discriminate cervical fracture cases in patients with T-score >-2.5. Low bone mineral density (BMD) is a well-established risk factor for hip fracture. However, majority of fractures occur among people not diagnosed as having osteoporosis. We studied the ability of BMD to discriminate cervical and trochanteric hip fractures. Furthermore, we examined whether geometrical measures can yield additional information on the assessment of hip fracture risk in the fracture cases in subjects with T-score >-2.5. Study group consisted of postmenopausal females with non-pathologic cervical (n = 39) or trochanteric (n = 18) hip fracture (mean age 74.2 years) and 40 age-matched controls. BMD was measured at femoral neck, and femoral neck axis length, femoral neck and shaft cortex thicknesses (FNC and FSC), and femoral neck-shaft angle (NSA) were measured from radiographs. BMD T-score threshold of -2.5 was able to discriminate trochanteric fractures from controls (p fractures occurred in individuals with T-score cervical fractures. Twenty of these fractures (51.3%) occurred in individuals with BMD in osteoporotic range and 19 (48.7%) in individuals with T-score >-2.5. Within these non-osteoporotic cervical fracture patients (N = 19) and non-osteoporotic controls (N = 35), 83.3% were classified correctly based on a model including NSA and FNC (p fractures could be discriminated based on a BMD T-score cervical fracture cases would remain under-diagnosed if solely

  2. HIV protease inhibitor exposure predicts cerebral small vessel disease


    Soontornniyomkij, V; Umlauf, A; Chung, SA; Cochran, ML; Soontornniyomkij, B; Gouaux, B; Toperoff, W; Moore, DJ; Masliah, E; Ellis, RJ; Grant, I.; Achim, CL


    © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins. Objective: HIV-associated neurocognitive disorders (HANDs) remain prevalent in patients who receive HAART and may be associated with cumulative exposure to antiretroviral medications and other factors. We proposed that chronic toxic effects of antiretroviral drugs could contribute to cerebral small vessel disease (CSVD), which might be one of the key underpinnings of HAND. Design: Clinicopathological cross-sectional study of HIV-...

  3. Lymphatic vessels: an emerging actor in atherosclerotic plaque development. (United States)

    Kutkut, Issa; Meens, Merlijn J; McKee, Thomas A; Bochaton-Piallat, Marie-Luce; Kwak, Brenda R


    Atherosclerosis is a chronic inflammatory disease of large- to medium-sized arteries and is the main underlying cause of death worldwide. The lymphatic vasculature is critical for processes that are intimately linked to atherogenesis such as the immune response and cholesterol metabolism. However, whether lymphatic vessels truly contribute to the pathogenesis of atherosclerosis is less clear despite increasing research efforts in this field. PubMed and Ovid MEDLINE databases were searched. In addition, key review articles were screened for relevant original publications. Current knowledge about lymphatic vessels in the arterial wall came from studies that examined the presence and location of such vessels in human atherosclerotic plaque specimens, as well as in a variety of arteries in animal models for atherosclerosis (e.g. rabbits, dogs, rats and mice). Generally, three experimental approaches have been used to investigate the functional role of plaque-associated lymphatic vessels; experimental lymphostasis was used to investigate lymphatic drainage of the arterial wall, and more recently, studies with genetic interventions and/or surgical transplantation have been performed. Lymphatic vessels seem to be mostly present in the adventitial layer of the arterial walls of animals and humans. They are involved in reverse cholesterol transport from atherosclerotic lesions, and arteries with a dense lymphatic network seem naturally protected against atherosclerosis. Lymphangiogenesis is a process that is an important part of the inflammatory loop in atherosclerosis. However, how augmenting or impeding the distribution of lymphatic vessels impacts disease progression remains to be investigated in future studies. © 2014 Stichting European Society for Clinical Investigation Journal Foundation.

  4. Fracture of the acetabulum with femoral artery injury presenting late: A case report

    Directory of Open Access Journals (Sweden)

    Sivaprasad Kalyanasundaram


    Full Text Available This study reports a rare case of both column acetabulum fracture with femoral artery injury that presented late and was managed with arterial reconstruction and fracture fixation.A thirty-one year old man sustained both column acetabular fracture on the left in a motor vehicle accident. On admission there was no obvious neuro-vascular deficit. During surgery for the fracture after 7 days of the injury the femoral artery was found to be severely crushed with no blood flow. The anterior column of the acetabulum was stabilised followed by resection and reconstruction of the femoral artery. The post-operative period was uneventful and he was discharged normally. At 6 months from injury the fractures had united well with excellent limb circulation and good lower limb function.Femoral artery injury with acetabular fracture is rare and late presentations are unreported hitherto. The results of fracture stabilisation and vessel reconstruction seem to be excellent. Literature of similar injuries is reviewed. Keywords: Acetabular fractures, Both column fractures, Anterior column fractures, Vascular injury, Femoral artery injury

  5. Application of high strength MnMoNi steel to pressure vessels for nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, K.; Kurihara, I.; Sasaki, T.; Koyama, Y.; Tanaka, Y. [The Japan Steel Works, Ltd. (Japan)


    Recent increase in output of nuclear power plant has been attained by enlargement of major components such as pressure vessels. Such large components have almost reached limit of size from the points of manufacturing capacity and cost in both forgemasters and fabricaters. In order to solve this problem, it must be beneficial to apply design by use of material of higher strength which brings reduction of pressure vessel thickness and weight. The Japan Steel Works, Ltd. (JSW) has many manufacturing experiences of large integrated forgings made from high strength MnMoNi steel with tensile strength level of 620MPa for steam generator (SG) pressure vessel, and has made confirmation tests of its material properties. This paper describes the confirmation test results such as tensile and impact properties, nil-ductility transition temperature (NDT-T), static and dynamic fracture toughness weldability including under clad cracking (UCC) sensitivity and metallurgical factors which influence on such material properties. (orig.)

  6. Application of high strength MnMoNi steel to pressure vessels for nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, K. E-mail:; Kurihara, I.; Sasaki, T.; Koyoma, Y.; Tanaka, Y


    Recent increase in output of nuclear power plant has been attained by enlargement of major components such as pressure vessels. Such large components have almost reached a size limit from the points of manufacturing capacity and cost in both forgemasters and fabricaters. In order to solve this problem, it must be beneficial to apply design by use of material of higher strength, which brings reduction of pressure vessel thickness and weight. The Japan Steel Works Ltd. (JSW) has many manufacturing experiences of large integrated forgings made from high strength MnMoNi steel with tensile strength level of 620 MPa for steam generator (SG) pressure vessel, and has performed confirmation tests of its material properties. This paper describes the confirmation test results such as tensile and impact properties, nil-ductility transition temperature (NDT-T), static and dynamic fracture toughness, weldability including under-clad cracking (UCC) sensitivity, as well as metallurgical factors which influence on such material properties.

  7. Studies of Transport Properties of Fractures: Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Stephen R. Brown


    We proposed to study several key factors controlling the character and evolution of fracture system permeability and transport processes. We suggest that due to surface roughness and the consequent channeling in single fractures and in fracture intersections, the tendency of a fracture system to plug up, remain permeable, or for permeability to increase due to chemical dissolution/precipitation conditions will depend strongly on the instantaneous flow channel geometry. This geometry will change as chemical interaction occurs, thus changing the permeability through time. To test this hypothesis and advance further understanding toward a predictive capability, we endeavored to physically model and analyze several configurations of flow and transport of inert and chemically active fluids through channels in single fractures and through fracture intersections. This was an integrated program utilizing quantitative observations of fractures and veins in drill core, quantitative and visual observations of flow and chemical dissolution and precipitation within replicas of real rough-walled fractures and fracture intersections, and numerical modeling via lattice Boltzmann methods.

  8. Optimization and studies of the welding processes, automation of the sealing welding system and fracture mechanics in the vessels surveillance in nuclear power plants; Optimizacion y estudios de los procesos de soldadura, automatizacion del sistema de soldadura de sellado y mecanica de fractura en la vigilancia de vasijas en nucleoelectricas

    Energy Technology Data Exchange (ETDEWEB)

    Gama R, G.


    Inside this work the optimization of two welding systems is described, as well as the conclusion of a system for the qualification of containers sealing in the National Institute of Nuclear Research that have application in the surveillance programs of nuclear reactors vessels and the correspondent extension of the operation license. The test tubes Charpy are assay to evaluate the embrittlement grade, when obtaining the increment in the reference temperature and the decrease of the absorbed maximum energy, in the transition curve fragile-ductile of the material. After the test two test tube halves are obtained that should take advantage to follow the surveillance of the vessel and their possible operation extension, this is achieved by means of rebuilding (being obtained of a tested test tube two reconstituted test tubes). The welding system for the rebuilding of test tubes Charpy, was optimized when diminishing the union force at solder, achieving the elimination of the rejection for penetration lack for spill. For this work temperature measurements were carried out at different distances of the welding interface from 1 up to 12 mm, obtaining temperature profiles. With the maximum temperatures were obtained a graph and equation that represents the maximum temperature regarding the distance of the interface, giving as a result practical the elimination of other temperature measurements. The reconstituted test tubes were introduced inside pressurized containers with helium of ultra high purity to 1 pressure atmosphere. This process was carried out in the welding system for containers sealing, where an automatic process was implemented by means of an application developed in the program LabVIEW, reducing operation times and allowing the remote control of the process, the acquisition parameters as well as the generation of welding reports, avoiding with this the human error. (Author)

  9. Friction of Shear-Fracture Zones (United States)

    Riikilä, T. I.; Pylväinen, J. I.; Åström, J.


    A shear fracture of brittle solids under compression undergoes a substantial evolution from the initial microcracking to a fully formed powder-filled shear zone. Experiments covering the entire process are relatively easy to conduct, but they are very difficult to investigate in detail. Numerically, the large strain limit has remained a challenge. An efficient simulation model and a custom-made experimental device are employed to test to what extent a shear fracture alone is sufficient to drive material to spontaneous self-lubrication. A "weak shear zone" is an important concept in geology, and a large number of explanations, specific for tectonic conditions, have been proposed. We demonstrate here that weak shear zones are far more general, and that their emergence only demands that a microscopic, i.e., fragment-scale, stress relaxation mechanism develops during the fracture process.

  10. Progress of ITER vacuum vessel

    Energy Technology Data Exchange (ETDEWEB)

    Ioki, K., E-mail: [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


    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.

  11. Impact of Stress on Anomalous Transport in Fractured Rock (United States)

    Kang, P. K.; Lei, Q.; Lee, S.; Dentz, M.; Juanes, R.


    Fluid flow and transport in fractured rock controls many natural and engineered processes in the subsurface. However, characterizing flow and transport through fractured media is challenging due to the large heterogeneity of fractured rock properties. In addition to these "static" challenges, geologic fractures are always under significant overburden stress, and changes in the stress state can lead to changes in the fracture's ability to conduct fluids. While confining stress has been shown to impact fluid flow through fractures in a fundamental way, the impact of confining stress on transport through fractured rock remains largely unexplored. The link between anomalous (non-Fickian) transport and confining stress has been shown only recently, at the level of a single rough fracture [1]. Here, we investigate the impact of confining stress on flow and transport through discrete fracture networks. We model geomechanical effects in 2D fractured rock by means of a finite-discrete element method (FEMDEM), which can capture the deformation of matrix blocks, reactivation and propagation of cracks. We implement a joint constitutive model within the FEMDEM framework to simulate the effect of fracture roughness. We apply the model to a fracture network extracted from the geological map of an actual outcrop to obtain the aperture field at different stress conditions (Figure 1). We then simulate fluid flow and particle transport through the stressed fracture networks. We observe that anomalous transport emerges in response to confining stress on the fracture networks, and show that this anomalous behavior can be linked to the stress state of the rock. Finally, we develop an effective transport model that captures the anomalous transport through stressed fractures. Our results point to a heretofore unrecognized link between geomechanics and anomalous transport in discrete fractured networks. [1] P. K. Kang, S. Brown, and R. Juanes, Emergence of anomalous transport in stressed

  12. Mineralized remains of morphotypes of filamentous cyanobacteria in carbonaceous meteorites (United States)

    Hoover, Richard B.


    The quest for conclusive evidence of microfossils in meteorites has been elusive. Abiotic microstructures, mineral grains, and even coating artifacts may mimic unicellular bacteria, archaea and nanobacteria with simple spherical or rod morphologies (i.e., cocci, diplococci, bacilli, etc.). This is not the case for the larger and more complex microorganisms, colonies and microbial consortia and ecosystems. Microfossils of algae, cyanobacteria, and cyanobacterial and microbial mats have been recognized and described from many of the most ancient rocks on Earth. The filamentous cyanobacteria and sulphur-bacteria have very distinctive size ranges, complex and recognizable morphologies and visibly differentiated cellular microstructures. The taphonomic modes of fossilization and the life habits and processes of these microorganisms often result in distinctive chemical biosignatures associated with carbonization, silicification, calcification, phosphatization and metal-binding properties of their cell-walls, trichomes, sheaths and extracellular polymeric substances (EPS). Valid biogenicity is provided by the combination of a suite of known biogenic elements (that differ from the meteorite matrix) found in direct association with recognizable and distinct biological features and microstructures (e.g., uniseriate or multiseriate filaments, trichomes, sheaths and cells of proper size/size range); specialized cells (e.g., basal or apical cells, hormogonia, akinetes, and heterocysts); and evidence of growth characteristics (e.g., spiral filaments, robust or thin sheaths, laminated sheaths, true or false branching of trichomes, tapered or uniform filaments) and evidence of locomotion (e.g. emergent cells and trichomes, coiling hormogonia, and hollow or flattened and twisted sheaths). Since 1997 we have conducted Environmental and Field Emission Scanning Electron Microscopy (ESEM and FESEM) studies of freshly fractured interior surfaces of carbonaceous meteorites, terrestrial

  13. Spontaneous rib fractures. (United States)

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


    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.

  14. An Improved Rate-Transient Analysis Model of Multi-Fractured Horizontal Wells with Non-Uniform Hydraulic Fracture Properties

    Directory of Open Access Journals (Sweden)

    Youwei He


    Full Text Available Although technical advances in hydraulically fracturing and drilling enable commercial production from tight reservoirs, oil/gas recovery remains at a low level. Due to the technical and economic limitations of well-testing operations in tight reservoirs, rate-transient analysis (RTA has become a more attractive option. However, current RTA models hardly consider the effect of the non-uniform production on rate decline behaviors. In fact, PLT results demonstrate that production profile is non-uniform. To fill this gap, this paper presents an improved RTA model of multi-fractured horizontal wells (MFHWs to investigate the effects of non-uniform properties of hydraulic fractures (production of fractures, fracture half-length, number of fractures, fracture conductivity, and vertical permeability on rate transient behaviors through the diagnostic type curves. Results indicate obvious differences on the rate decline curves among the type curves of uniform properties of fractures (UPF and non-uniform properties of fractures (NPF. The use of dimensionless production integral derivative curve magnifies the differences so that we can diagnose the phenomenon of non-uniform production. Therefore, it’s significant to incorporate the effects of NPF into the RDA models of MFHWs, and the model proposed in this paper enables us to better evaluate well performance based on long-term production data.

  15. Bone-muscle indices as risk factors for fractures in men: the Osteoporotic Fractures in Men (MrOS) Study. (United States)

    Wong, A K O; Cawthon, P M; Peters, K W; Cummings, S R; Gordon, C L; Sheu, Y; Ensrud, K; Petit, M; Zmuda, J M; Orwoll, E; Cauley, J


    To assess bone-muscle (B-M) indices as risk factors for incident fractures in men. Participants of the Osteoporotic Fractures in Men (MrOS) Study completed a peripheral quantitative computed tomography scan at 66% of their tibial length. Bone macrostructure, estimates of bone strength, and muscle area were computed. Areal bone mineral density (aBMD) and body composition were assessed with dual-energy X-ray absorptiometry. Four year incident non-spine and clinical vertebral fractures were ascertained. B-M indices were expressed as bone-to-muscle ratios for: strength, mass and area. Discriminative power and hazards ratios (HR) for fractures were reported. In 1163 men (age: 77.2±5.2 years, body mass index (BMI): 28.0±4.0 kg/m(2), 4.1±0.9 follow-up years, 7.7% of men ⋝1 fracture), B-M indices were smaller in fractured men except for bending and areal indices. Smaller B-M indices were associated with increased fracture risk (HR: 1.30 to 1.74) independent of age and BMI. Strength and mass indices remained significant after accounting for lumbar spine but not total hip aBMD. However, aBMD correlated significantly with B-M indices. Mass and bending B-M indices are risk factors for fractures in men, but may not improve fracture risk prediction beyond that provided by total hip aBMD.

  16. Angiographic Findings of the Multicenter Randomized Study With the Sirolimus-Eluting Bx Velocity Balloon-Expandable Stent (RAVEL) : Sirolimus-Eluting Stents Inhibit Restenosis Irrespective of the Vessel Size

    NARCIS (Netherlands)

    E.S. Regar (Eveline); M. Degertekin (Muzaffer); M-C. Morice (Marie-Claude); K. Tanabe (Kengo); E. Wülfert (Egon); C. Disco (Clemens); C. Holubarsch; J-L. Guermonprez (Jean-Leon); W. Wijns (William); A. Bartorelli (Antonio); P.W.J.C. Serruys (Patrick); C.H. Bode (Christoph); C. Constantini (Constantino)


    markdownabstractBACKGROUND: Restenosis remains the major limitation of coronary catheter-based intervention. In small vessels, the amount of neointimal tissue is disproportionately greater than the vessel caliber, resulting in higher restenosis rates. In the Randomized Study With the

  17. Pediatric Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jonathan Peña


    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

  18. Origin of Permeability and Structure of Flows in Fractured Media (United States)

    De Dreuzy, J.; Darcel, C.; Davy, P.; Erhel, J.; Le Goc, R.; Maillot, J.; Meheust, Y.; Pichot, G.; Poirriez, B.


    After more than three decades of research, flows in fractured media have been shown to result from multi-scale geological structures. Flows result non-exclusively from the damage zone of the large faults, from the percolation within denser networks of smaller fractures, from the aperture heterogeneity within the fracture planes and from some remaining permeability within the matrix. While the effect of each of these causes has been studied independently, global assessments of the main determinisms is still needed. We propose a general approach to determine the geological structures responsible for flows, their permeability and their organization based on field data and numerical modeling [de Dreuzy et al., 2012b]. Multi-scale synthetic networks are reconstructed from field data and simplified mechanical modeling [Davy et al., 2010]. High-performance numerical methods are developed to comply with the specificities of the geometry and physical properties of the fractured media [Pichot et al., 2010; Pichot et al., 2012]. And, based on a large Monte-Carlo sampling, we determine the key determinisms of fractured permeability and flows (Figure). We illustrate our approach on the respective influence of fracture apertures and fracture correlation patterns at large scale. We show the potential role of fracture intersections, so far overlooked between the fracture and the network scales. We also demonstrate how fracture correlations reduce the bulk fracture permeability. Using this analysis, we highlight the need for more specific in-situ characterization of fracture flow structures. Fracture modeling and characterization are necessary to meet the new requirements of a growing number of applications where fractures appear both as potential advantages to enhance permeability and drawbacks for safety, e.g. in energy storage, stimulated geothermal energy and non-conventional gas productions. References Davy, P., et al. (2010), A likely universal model of fracture scaling and

  19. A Rare Nasal Bone Fracture: Anterior Nasal Spine Fracture

    Directory of Open Access Journals (Sweden)

    Egemen Kucuk


    Full Text Available Anterior nasal spine fractures are a quite rare type of nasal bone fractures. Associated cervical spine injuries are more dangerous than the nasal bone fracture. A case of the anterior nasal spine fracture, in a 18-year-old male was presented. Fracture of the anterior nasal spine, should be considered in the differential diagnosis of the midface injuries and also accompanying cervical spine injury should not be ignored.

  20. Paediatric acetabular fractures. Data from the German Pelvic Trauma Registry Initiative

    DEFF Research Database (Denmark)

    von Heyden, Johanna; Hauschild, Oliver; Strohm, Peter C


    The aim of this study was to present an analysis of acetabular fractures during childhood as compared to those in adults. Within a multicenter register study, data of 3 time periods (1991-93, 1998-2000, 2004-2008) were pooled and analyzed for incidence, epidemiology, classification, outcome and t......%. Fractures of the acetabulum in childhood remain a rare injury with distinct fracture characteristics, usually caused by high impact accidents.......The aim of this study was to present an analysis of acetabular fractures during childhood as compared to those in adults. Within a multicenter register study, data of 3 time periods (1991-93, 1998-2000, 2004-2008) were pooled and analyzed for incidence, epidemiology, classification, outcome...... and treatment of acetabular fractures in children (fractures were included in the study. Only 15 children sustained an acetabular fracture (9.8%). Simple fracture types according to Letournels' classification were more frequent...

  1. Fracture eponyms: personal names

    Directory of Open Access Journals (Sweden)

    A. S. Zolotov


    Full Text Available The paper describes the origin of bone fracture eponyms. The authors compiled a list of 60 most established fracture names proposed by physicians in 16th-20th centuries who mainly were skilled, mature and outstanding experts from countries with advanced conventional medicine and often represented the recognized surgical schools. Eponym records are important for understanding the history and subject of the chosen profession as well as knowledge of eponymic fractures facilitates communication between physicians of allied disciplines.

  2. Periprosthetic fractures around total knee arthroplasty (United States)

    Sarmah, SS; Patel, S; Reading, G; El-Husseiny, M; Douglas, S; Haddad, FS


    INTRODUCTION The number of total knee arthroplasties performed continues to rise annually and it would be expected that complications, which include periprosthetic fractures, will also therefore become more commonplace. This article reviews the current literature regarding this injury and identifies the treatment principles that enable patients to regain optimal function. METHODS A comprehensive search of the Pubmed and Embase™ databases was performed to identify relevant articles. Keywords and MeSH (Medical Subject Headings) terms included in the search strategy were ‘periprosthetic fracture(s)’, ‘femur’, ‘tibia’, ‘patella(r)’, ‘complication(s)’, ‘failure(s)’, ‘risk(s)’, ‘prevalence’, ‘incidence’, ‘epidemiology’ and ‘classification(s)’. The search was limited to all articles published in English and reference lists from the original articles were reviewed to identify pertinent articles to include in this review. A total number of 43 studies were identified. RESULTS Common treatment aims have been identified when managing patients with a periprosthetic fracture around total knee arthoplasty. The main criterion that determines which option to choose is the degree of remaining bone stock and the amount of fracture displacement. CONCLUSIONS Treatment of a periprosthetic fracture around total knee arthroplasty will either be non-operative, osteosynthesis or revision arthroplasty. It is imperative that a suitable option is chosen and based on the published literature, pathways are outlined to aid the surgeon. PMID:22943223

  3. Shock-induced collapse of a bubble inside a deformable vessel (United States)

    Coralic, Vedran; Colonius, Tim


    Shockwave lithotripsy repeatedly focuses shockwaves on kidney stones to induce their fracture, partially through cavitation erosion. A typical side effect of the procedure is hemorrhage, which is potentially the result of the growth and collapse of bubbles inside blood vessels. To identify the mechanisms by which shock-induced collapse could lead to the onset of injury, we study an idealized problem involving a preexisting bubble in a deformable vessel. We utilize a high-order accurate, shock- and interface-capturing, finite-volume scheme and simulate the three-dimensional shock-induced collapse of an air bubble immersed in a cylindrical water column which is embedded in a gelatin/water mixture. The mixture is a soft tissue simulant, 10% gelatin by weight, and is modeled by the stiffened gas equation of state. The bubble dynamics of this model configuration are characterized by the collapse of the bubble and its subsequent jetting in the direction of the propagation of the shockwave. The vessel wall, which is defined by the material interface between the water and gelatin/water mixture, is invaginated by the collapse and distended by the impact of the jet. The present results show that the highest measured pressures and deformations occur when the volumetric confinement of the bubble is strongest, the bubble is nearest the vessel wall and/or the angle of incidence of the shockwave reduces the distance between the jet tip and the nearest vessel surface. For a particular case considered, the 40 MPa shockwave utilized in this study to collapse the bubble generated a vessel wall pressure of almost 450 MPa and produced both an invagination and distention of nearly 50% of the initial vessel radius on a 𝒪(10) ns timescale. These results are indicative of the significant potential of shock-induced collapse to contribute to the injury of blood vessels in shockwave lithotripsy. PMID:24015027

  4. Characterizing Fractures Across the Astronaut Corps: Preliminary Findings from Population-Level Analysis (United States)

    Rossi, Meredith M.; Charvat, Jacqueline; Sibonga, Jean; Sieker, Jeremy


    Despite evidence of bone loss during spaceflight and operational countermeasures to mitigate this loss, the subsequent risk of fracture among astronauts is not known. The physiologic process of diminished bone density and bone recovery during or following spaceflight is multifactorial. Such factors as age, sex, fracture history, and others may combine to increase fracture risk among astronauts. As part of the 2016 Bone Research and Clinical Advisory Panel (RCAP), the authors analyzed data collected on 338 NASA astronauts to describe the demographics, bone-relevant characteristics, and fracture history of the astronaut population. The majority of the population are male (n=286, 84.6%), have flown at least one mission (n=306, 90.5%), and were between the ages of 30 and 49 at first mission (n=296, 96.7% of those with at least one mission). Of the 338 astronauts, 241 (71.3%) experienced a fracture over the course of their lifetime. One hundred and five (43.5%) of these 241 astronauts only experienced a fracture prior to being selected into the Astronaut Corps, whereas 53 (22.0%) only experienced a fracture after selection as an astronaut. An additional 80 astronauts (33.2%) had both pre- and post-selection fractures. The remaining 3 astronauts had a fracture of unknown date, which could not be categorized as pre- or post-selection. Among the 133 astronauts with at least one post-selection fracture, males comprised 90.2% (n=120) compared to 84.5% of the entire Corps, and females accounted for 9.8% (n=13) compared to 15.4% of the Corps. Ninety-seven of the 133 astronauts with post-selection fractures (72.9%) had one fracture event, 22 (16.5%) had two fractures, and 14 (10.5%) had three or more fractures. Some astronauts with multiple fractures suffered these in a single event, such as an automobile accident. The 133 astronauts with a post-selection fracture accounted for a total of 188 fracture events. One hundred and four (78.2%) of astronauts with post

  5. Reasons and remedies of inland passenger vessels accidents in Bangladesh (United States)

    Rashid, Cdr Kaosar; Islam, Muhammad Rabiul


    The waterways are very important means of communication in Bangladesh. Every year over 95 million passengers are carried through this route. But, this important mode of transport is ridden with tragic disasters every year, incurring a heavy toll of human lives. In last twenty years (1994 to 2014), around 5,500 people have died and 1,500 gone missing in 658 launch disasters. The inland routes of Barisal, Bhola, Chandpur and Patuakhali and their connected water ways to Dhaka and Chittagong are found to be more accident prone. Lack of Awareness, boundless operation of unfit vessels, overloading of passengers, recruitment of unskilled crews, poor capacity of relevant bodies and low standard maintenance of Inland Water Transport (IWT) channels, poor weather forecasting, profit centered attitude of vessel owners and corruption are initiating these deadly accidents. Despite of a number of initiatives by the government, concerned departments and foreign consultants, the safety aspect of the inland passenger vessels still remains in dark. Combined effort of Department of Shipping, BIWTA, and the attitude of vessels owners as well as passengers are very essential in this respect.

  6. The penalty points system in Ireland - Does it remain effective 14 years on? (United States)

    Downey, C; Donnelly, M


    Road traffic accidents (RTAs) are the leading cause of trauma related mortality in Ireland. The penalty points system (PPS) was introduced in Ireland in 2002 to incentivise safer driving and reduce injury. Its early effect was studied previously1 which concluded that there was a slight reduction in RTA related femoral shaft fractures (a sensitive indicator of high energy trauma) and a dramatic reduction in RTA related discharges. We hypothesized that over the following 14 years, the penalty points system might lose its effectiveness. Data was again collected from the same HIPE departments from six Dublin teaching hospitals and also University Hospital Waterford (to represent both an urban and a more rural population cohort respectively) examining RTA related femoral shaft fractures over an identical 6 month period (October-April). RTA related discharge data over an identical 6 month period was again acquired and analysed from Beaumont Hospital, Dublin (identical data source to previous study). These results were compared with the identical 6 month period in 2001/02 & 2002/03 (October-April). The total number of RTA related femoral shaft fracture discharges in Dublin decreased from 16 post introduction of PPS in the 2002/03 6-month period to 7 in 2015/16 6-month period. The number remained the same in the Waterford region (n = 5). The total RTA related discharges in Beaumont Hospital, Dublin decreased from 70 post PPS introduction to 57 in the 2015/16 6-month period. This represents an incidence rate of 4.5/1000 discharges (vs 6.9 post introduction) which was a statistically significant reduction (p = 0.014). The mean length of stay for these patients reduced from 13 to 7.7 days. There were consistent reductions in head injury (major & minor), lower limb fracture and facial fracture since the introduction of the PPS. The upper limb, pelvic/acetabular and thoracic injuries remained largely unchanged. Whilst RTA related spinal and abdominal injuries decreased

  7. Pelvic fractures in professional cyclists: a report of 3 cases. (United States)

    Cerynik, Douglas L; Roshon, Michael; Abzug, Joshua M; Harding, Susan P; Tom, James A


    Professional riders demonstrate increased risk factors for such injuries including both extensive time on the bike in addition to a possible underlying osteopenia secondary to the nonimpact nature of the sport. Nonoperative management of stable, nondisplaced pelvic fractures in professional cyclists offers excellent results. Case series. Three cases of professional cyclists with pelvic fractures were reviewed. All 3 cyclists were able to return to professional competition and remain symptom free. Accurate early diagnosis of pelvic fractures, with the aid of computed tomography, is crucial. Early nonweightbearing with a progression to weightbearing as tolerated and early return to stationary training are appropriate. Accurate diagnosis and careful nonoperative management of stable, nondisplaced pelvic fractures in professional cyclists offers excellent results. Accurate diagnosis of pelvic fractures in high-demand athletes with few complaints and no obvious findings on plain film radiographs. Control of weightbearing and competitive status to prevent injury progression. Gauged return to competition at professional level.

  8. Tibial shaft fracture

    DEFF Research Database (Denmark)

    Larsen, Peter

    The overall purpose of the present PhD thesis was to provide up-to-date information of the epidemiology of tibial shaft fractures and to investigate the development in quality of life, pain and functional outcomes from surgery and onwards, following a tibial shaft fracture treated...... with intramedullary nailing. Study I reported an incidence of 16.9/100,000/year from a complete population. Study II reported the long-term patient-reported outcomes and showed that approximately 8 years after the fracture patients reported significantly worse outcome for 4 of the 5 KOOS subscales compared...... suggested that regaining pre injured QOL and muscle strength following a tibial shaft fracture takes considerable time....

  9. Paediatric talus fracture.

    LENUS (Irish Health Repository)

    Byrne, Ann-Maria


    Paediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.

  10. Clavicle Fracture (Broken Collarbone) (United States)

    ... birth canal. Symptoms Clavicle fractures can be very painful and may make it hard to move your arm. Additional symptoms include: • Sagging shoulder (down and forward) • Inability to li the arm ...

  11. Radial head fracture - aftercare (United States)

    ... begin using your elbow. You may need physical therapy if you have a severe fracture. Your doctor or physical therapist will tell you when you can start playing sports or using your elbow for other activities.

  12. Geothermal Ultrasonic Fracture Imager

    Energy Technology Data Exchange (ETDEWEB)

    Patterson, Doug [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States); Leggett, Jim [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States)


    The Geothermal Ultrasonic Fracture Imager project has a goal to develop a wireline ultrasonic imager that is capable of operating in temperatures up to 300°C (572°F) and depths up to 10 km (32,808 ft). This will address one of the critical needs in any EGS development of understanding the hydraulic flow paths in the reservoir. The ultrasonic imaging is well known in the oil and gas industry as one of the best methods for fracture evaluation; providing both high resolution and complete azimuthal coverage of the borehole. This enables fracture detection and characterization, both natural and induced, providing information as to their location, dip direction and dip magnitude. All of these factors are critical to fully understand the fracture system to enable the optimization of the thermal drainage through injectors and producers in a geothermal resource.

  13. Aging with HIV: osteoporosis and fractures. (United States)

    Mallon, Patrick W G


    Osteoporosis remains an important focus of contemporary research in HIV, with co-morbidities and mortality from non-AIDS illnesses now a major barrier to normal lifespan in many populations living with HIV. This review outlines the major recent advances in our understanding of osteoporosis and fractures in those living with HIV and identifies remaining gaps in our knowledge of this complex but increasingly important aspect of aging research in HIV. Low bone mineral density (BMD), osteoporosis and fractures are all more common in those living with HIV, with recent data pointing for the first time to causal links between low BMD and fractures in those with HIV. The natural history and pathogenesis of osteoporosis in HIV and the epidemiology of fractures in this vulnerable population differ considerably from the general population, with both disease-related and treatment-related factors both contributing to its development through alterations in bone turnover and defects in bone architecture. Only through a greater understanding of the pathogenesis can appropriate screening and preventive measures be taken in people living with HIV to preserve bone health as they age.

  14. Is There an Impact of Concomitant Injuries and Timing of Fixation of Major Fractures on Fracture Healing? A Focused Review of Clinical and Experimental Evidence. (United States)

    Hildebrand, Frank; van Griensven, Martijn; Huber-Lang, Markus; Flohe, Stefanie B; Andruszkow, Hagen; Marzi, Ingo; Pape, Hans-Christoph


    This review aims to summarize current knowledge regarding the underlying patho-mechanisms of delayed fracture healing in polytraumatized patients. The following search terms were used: "fracture", "hemorrhage," "chest trauma," "inflammation," "inflammatory response," "fracture healing," "delayed healing," "nonunion," "fracture stabilisation," "intramedullary nailing," "external fixation," "early total care," and "damage control." Medline, Embase, and Cochrane Library were searched for studies published between January 1, 1990 through March 30, 2014. Of 1322 publications, 68 were included in the current summary. Concomitant injuries and the strategy for fracture stabilization seem to affect bone metabolism and fracture healing. Among the relevant patho-mechanisms, interactions between the local and systemic inflammatory response seem to play a role. However, the consequences of fracture fixation strategies in case of severe concomitant injuries on local inflammation and bone healing remain unknown. Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  15. An in situ optical imaging system for measuring lipid uptake, vessel contraction, and lymph flow in small animal lymphatic vessels (United States)

    Kassis, Timothy; Weiler, Michael J.; Dixon, J. Brandon


    All dietary lipids are transported to venous circulation through the lymphatic system, yet the underlying mechanisms that regulate this process remain unclear. Understanding how the lymphatics functionally respond to changes in lipid load is important in the diagnosis and treatment of lipid and lymphatic related diseases such as obesity, hypercholesterolemia, and lymphedema. Therefore, we sought to develop an in situ imaging system to quantify and correlate lymphatic function as it relates to lipid transport. A custom-built optical set-up provides us with the capability of dual-channel imaging of both high-speed bright-field video and fluorescence simultaneously. This is achieved by dividing the light path into two optical bands. Utilizing high-speed and back-illuminated CCD cameras and post-acquisition image processing algorithms, we have the potential quantify correlations between vessel contraction, lymph flow and lipid concentration of mesenteric lymphatic vessels in situ. Local flow velocity is measured through lymphocyte tracking, vessel contraction through measurements of the vessel walls and lipid uptake through fluorescence intensity tracking of a fluorescent long chain fatty acid analogue, Bodipy FL C16. This system will prove to be an invaluable tool for both scientists studying lymphatic function in health and disease, and those investigating strategies for targeting the lymphatic system with orally delivered drugs.

  16. Relative permeability through fractures

    Energy Technology Data Exchange (ETDEWEB)

    Diomampo, Gracel, P.


    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.

  17. Radial Head Fractures


    Jordan, Robert W.; Jones, Alistair DR.


    Background: Radial head fractures are common elbow injuries in adults and are frequently associated with additional soft tissue and bone injuries. Methods: A literature search was performed and the authors’ personal experiences are reported. Results: Mason type I fractures are treated non-operatively with splinting and early mobilisation. The management of Mason type II injuries is less clear with evidence supporting both non-operative treatment and internal fixation. The degree of intra-arti...

  18. The Effect of Osteoporosis on Healing of Distal Radius Fragility Fractures. (United States)

    Tulipan, Jacob; Jones, Christopher M; Ilyas, Asif M


    Although the decision for operative versus nonoperative treatment of distal radius fractures remains subjective and is performed on a case-by-case basis, evaluation and treatment of patients with concomitant osteoporosis requires understanding of the behavior of this injury as a distinct subset of distal radius fractures. Age, infirmity, and osteoporosis affect every aspect of the fracture. Understanding what makes these fractures unique assists surgeons in more effective and efficient treatment. The authors present the current understanding of osteoporotic fragility fractures of the distal radius, focusing on epidemiology, biomechanics of bone healing, and its implication on strategies for management. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Hydrogen storage in insulated pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Aceves, S.M.; Garcia-Villazana, O. [Lawrence Livermore National Lab., CA (United States)


    Insulated pressure vessels are cryogenic-capable pressure vessels that can be fueled with liquid hydrogen (LH{sub 2}) or ambient-temperature compressed hydrogen (CH{sub 2}). Insulated pressure vessels offer the advantages of liquid hydrogen tanks (low weight and volume), with reduced disadvantages (lower energy requirement for hydrogen liquefaction and reduced evaporative losses). This paper shows an evaluation of the applicability of the insulated pressure vessels for light-duty vehicles. The paper shows an evaluation of evaporative losses and insulation requirements and a description of the current analysis and experimental plans for testing insulated pressure vessels. The results show significant advantages to the use of insulated pressure vessels for light-duty vehicles.

  20. Periprosthetic fractures around polished collarless cemented stems: the effect of stem design on fracture pattern. (United States)

    Erhardt, Johannes B; Khoo, Paul P; Stoffel, Karl K; Yates, Piers J


    Predictable patterns of periprosthetic fracture have been observed around polished double tapered stems. Finite element studies have suggested that triple-tapered stems cause less cement strain in torsion compared to double-tapered stems. Hence, we hypothesised that the in vitro behaviour of implanted double- and triple-tapered polished stems, like the CPT (Zimmer, Warsaw, USA) or C-Stem (DePuy, Leeds, U.K.) when subjected to pathological torsional loads may cause different patterns of periprosthetic fractures. Ten double-tapered stems (CPT) and ten triple-tapered stems (C-Stem) were cemented into synthetic femur bones. A constant axial compression load of 100 N and a torsional pre-load of 0.1 N.m were applied using a biaxial testing machine. The distal femur was then loaded in external rotation at 45 degrees until failure. Seven of the 10 CPT stems fractured at the level of the stem body while fracturing the cement mantle at the same level. In three of ten of the CPT stems and all ten C-Stems, the synthetic bone fractured at the tip of the prosthesis while the cement mantle remained intact. This was significant for the resulting fracture pattern (P=0.001). There was no significant difference between the groups for either torque (P=0.13) or angle at failure (P=0.49). This biomechanical study indicates that the CPT and C-Stem create a different fracture pattern under the same loading condition. The C-Stem (a triple tapered stem) may produce lower strain in torsion to the cement mantle of a cemented THA. However, fractures that do occur may be more difficult to treat than those produced around a stem like the CPT subjected to comparable loading.


    Energy Technology Data Exchange (ETDEWEB)

    Subhash Shah


    Hydraulic fracturing technology has been successfully applied for well stimulation of low and high permeability reservoirs for numerous years. Treatment optimization and improved economics have always been the key to the success and it is more so when the reservoirs under consideration are marginal. Fluids are widely used for the stimulation of wells. The Fracturing Fluid Characterization Facility (FFCF) has been established to provide the accurate prediction of the behavior of complex fracturing fluids under downhole conditions. The primary focus of the facility is to provide valuable insight into the various mechanisms that govern the flow of fracturing fluids and slurries through hydraulically created fractures. During the time between September 30, 1992, and March 31, 2000, the research efforts were devoted to the areas of fluid rheology, proppant transport, proppant flowback, dynamic fluid loss, perforation pressure losses, and frictional pressure losses. In this regard, a unique above-the-ground fracture simulator was designed and constructed at the FFCF, labeled ''The High Pressure Simulator'' (HPS). The FFCF is now available to industry for characterizing and understanding the behavior of complex fluid systems. To better reflect and encompass the broad spectrum of the petroleum industry, the FFCF now operates under a new name of ''The Well Construction Technology Center'' (WCTC). This report documents the summary of the activities performed during 1992-2000 at the FFCF.

  2. A Fracture Decoupling Experiment (United States)

    Stroujkova, A. F.; Bonner, J. L.; Leidig, M.; Ferris, A. N.; Kim, W.; Carnevale, M.; Rath, T.; Lewkowicz, J.


    Multiple observations made at the Semipalatinsk Test Site suggest that conducting nuclear tests in the fracture zones left by previous explosions results in decreased seismic amplitudes for the second nuclear tests (or "repeat shots"). Decreased seismic amplitudes reduce both the probability of detection and the seismically estimated yield of a "repeat shot". In order to define the physical mechanism responsible for the amplitude reduction and to quantify the degree of the amplitude reduction in fractured rocks, Weston Geophysical Corp., in collaboration with Columbia University's Lamont Doherty Earth Observatory, conducted a multi-phase Fracture Decoupling Experiment (FDE) in central New Hampshire. The FDE involved conducting explosions of various yields in the damage/fracture zones of previously detonated explosions. In order to quantify rock damage after the blasts we performed well logging and seismic cross-hole tomography studies of the source region. Significant seismic velocity reduction was observed around the source regions after the initial explosions. Seismic waves produced by the explosions were recorded at near-source and local seismic networks, as well as several regional stations throughout northern New England. Our analysis confirms frequency dependent seismic amplitude reduction for the repeat shots compared to the explosions in un-fractured rocks. The amplitude reduction is caused by pore closing and/or by frictional losses within the fractured media.

  3. J-Integral characterization of the nozzle steels from intermediate test vessels IV-5 and IV-9

    Energy Technology Data Exchange (ETDEWEB)

    Auten, T.A.; Macdonald, B.D.; Scavone, D.W.; Bozik, D.


    Reported here are the results of elastic-plastic fracture toughness tests performed on low alloy steels from the nozzles of the intermediate test vessels IV-5 and IV-9 from the Heavy Steel Section Technology Program at Oak Ridge National Laboratory. These vessels had been given prototypic nozzle corner flaw tests prior to the development of the ASTM E-813 standard test procedure for J-integral testing. The objective of this work is to provide J-integral material test support for future elastic-plastic fracture mechanics analysis of the nozzles. J-integral tests at 88{degrees}C (190{degrees}F) of the IV-5 nozzle material produced stable ductile tearing. The tearing resistance data are expected to support analysis of the observed similar stable tearing response of the nozzle corner flaw. J-integral tests at 24{degrees}C (75{degrees}F) of the IV-9 nozzle produced elastic-plastic fracture instability preceded by stable tearing. A similar response was observed in the IV-9 nozzle corner flaw test. It will be a major and important challenge to develop a fracture mechanics rationale that reconciles these small specimen and nozzle corner flaw test results. These test results are being made available to allow their use by a wide variety of organizations in developing such a rationale, which would be a significant contribution to quantifying the flaw tolerance of reactor pressure vessels.

  4. Exponential Stabilization of an Underactuated Surface Vessel

    Directory of Open Access Journals (Sweden)

    Kristin Y. Pettersen


    Full Text Available The paper shows that a large class of underactuated vehicles cannot be asymptotically stabilized by either continuous or discontinuous state feedback. Furthermore, stabilization of an underactuated surface vessel is considered. Controllability properties of the surface vessels is presented, and a continuous periodic time-varying feedback law is proposed. It is shown that this feedback law exponentially stabilizes the surface vessel to the origin, and this is illustrated by simulations.

  5. Thoracic and lumbar fractures associated with skiing and snowboarding injuries according to the AO Comprehensive Classification. (United States)

    Gertzbein, Stanley D; Khoury, David; Bullington, Andrew; St John, Thomas A; Larson, Andrew I


    The incidence of spinal fractures varies from 1% to 17% in alpine skiing injuries. Distinctions have been made regarding the differences in the mechanisms of injury and fracture types between skiing and snowboarding. Although fracture patterns have been described, there have not been any detailed descriptions of the specific fracture types and subgroups. To address the patterns of spinal fractures associated with these sports and to determine the incidence of various fracture groups and subgroups as well as to determine whether the fracture patterns differ between skiing and snowboarding injuries. Descriptive epidemiology study. This is a retrospective review of thoracic and lumbar spinal fractures associated with either skiing or snowboarding over a period of 5 years. The injuries were classified according to the AO Comprehensive Classification. In addition, isolated transverse process fractures and isolated spinous process fractures were included. Cervical spine fractures were excluded from this study. There were a total of 119 patients with thoracic and lumbar fractures that were identified after 1,283,348 skiing/snowboarding days. There were a total of 146 fractures, of which 114 were classified according to the AO Comprehensive Classification, with the remaining fractures (n = 32) consisting of isolated transverse or spinous process fractures. The preponderance of these injuries (94.7%) was compression injuries. Burst fractures (A3.1 and A3.2) made up 23%, and simple compression fractures (A1.1, A1.2, and A1.3) made up 71% of the total. Distraction injuries composed only 4.4%, and rotation injuries composed 0.9% of the total. The snowboarders incurred only compression fractures, whereas the 5 distraction injuries and the 1 rotational injury were noted only in the skier population. There were no patients with neurological deficits in this review. Fourteen skiers (14%) and 10 snowboarders (8%) were found to have isolated transverse process fractures. All 6

  6. Mechanical study in vitro of the resistance of axial forces of 3.5 mm cannulated and conventional screws in head and femoral neck fractures


    Ferrigno, Cassio Ricardo Auada; Baccarin,Daniel Castelo Branco; Pereira, César Augusto Martins; Ferreira, Márcio Poletto


    Background: Proximal femoral fractures account for 25% of all femoral fractures in dogs and are more common in young animals. Osteosynthesis of femoral head and neck fractures is a complex procedure that can be performed using conventional screws or wires. However, proper fracture reduction and fi xation are diffi cult to achieve and, despite many advancements, such fractures remain challenging to solve. Cannulated screws have good compressive capacity and can be employed to simplify the surg...

  7. Caesarean section rates following pelvic fracture: a systematic review. (United States)

    Riehl, John T


    Following pelvic fracture in females of childbearing age, the question of whether or not natural pregnancy and childbirth can occur is often asked by both patients and clinicians. The following is a systematic review of the literature examining caesarean section rate in patients with prior pelvic fracture. An extensive search of the English-language literature was performed to include all articles describing pregnancy outcomes in women with prior pelvic fracture. The primary outcomes analyzed were vaginal delivery and caesarean section. Secondary outcomes investigated included the rate of new caesarean section, indications for caesarean section, and caesarean section rates with operative versus nonoperative treatment of the pelvic fracture. Eight articles assessing 148 patients who underwent childbirth after pelvic fracture were eligible for inclusion. Among the 148 patients who underwent childbirth after pelvic fracture, 79 (53%) delivered vaginally and 69 (47%) underwent caesarean section. When patients who had already undergone a caesarean section prior to their pelvic fracture were excluded, 137 patients remained. Among these 137 patients, 79 (58%) delivered vaginally and 58 (42%) had caesarean section performed. Indications for caesarean section were sporadically listed but in some series did include patient or obstetrician preference as a result of prior pelvic fracture. Prior pelvic fixation had no demonstrable effect on pregnancy outcomes (p>0.05). Patients with prior pelvic fracture undergo caesarean section at a rate greater than those without prior pelvic fracture. The cause for this is not entirely understood but seems to be related at least in part to patient and obstetrician bias rather than solely due to the pelvic fracture and cephalopelvic disproportion. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. Probabilistic Risk Assessment for Astronaut Post Flight Bone Fracture (United States)

    Lewandowski, Beth; Myers, Jerry; Licata, Angelo


    Introduction: Space flight potentially reduces the loading that bone can resist before fracture. This reduction in bone integrity may result from a combination of factors, the most common reported as reduction in astronaut BMD. Although evaluating the condition of bones continues to be a critical aspect of understanding space flight fracture risk, defining the loading regime, whether on earth, in microgravity, or in reduced gravity on a planetary surface, remains a significant component of estimating the fracture risks to astronauts. This presentation summarizes the concepts, development, and application of NASA's Bone Fracture Risk Module (BFxRM) to understanding pre-, post, and in mission astronaut bone fracture risk. The overview includes an assessment of contributing factors utilized in the BFxRM and illustrates how new information, such as biomechanics of space suit design or better understanding of post flight activities may influence astronaut fracture risk. Opportunities for the bone mineral research community to contribute to future model development are also discussed. Methods: To investigate the conditions in which spaceflight induced changes to bone plays a critical role in post-flight fracture probability, we implement a modified version of the NASA Bone Fracture Risk Model (BFxRM). Modifications included incorporation of variations in physiological characteristics, post-flight recovery rate, and variations in lateral fall conditions within the probabilistic simulation parameter space. The modeled fracture probability estimates for different loading scenarios at preflight and at 0 and 365 days post-flight time periods are compared. Results: For simple lateral side falls, mean post-flight fracture probability is elevated over mean preflight fracture probability due to spaceflight induced BMD loss and is not fully recovered at 365 days post-flight. In the case of more energetic falls, such as from elevated heights or with the addition of lateral movement

  9. Spectral analysis of pharmaceutical formulations prepared according to ancient recipes in comparison with old museum remains. (United States)

    Gamberini, M Cristina; Baraldi, C; Freguglia, G; Baraldi, P


    A study of the composition of the remains of ancient ointments from museums was undertaken to enable understanding of the preparation techniques. Comparison of ancient recipes from different historical periods and spectroscopic characteristics of inorganic and/or organic remains recovered in museum vessels enabled preparation of ancient pharmaceutical-cosmetic formulations. Farmacopea Augustana by Occo was one the most important books studied for the 14 formulations prepared in the laboratory. Three formulations are discussed in detail and raw materials and new preparations were proposed for ozone ageing. The most important micro Raman results are discussed. The spectra of the raw materials lipids, beeswax, and resins are discussed; beeswax and pig suet (axŭngia) Raman spectra were found to be similar, but different from those of the aged oils. SERS was applied to ancient ointments and galbanum and the Raman spectra are reported and discussed for the first time.

  10. [Sacral fracture with spino-pelvic dissociation: a literature review]. (United States)

    Cearra, I; Alonso, R; Martínez-Ogalla, D; Hoyos, J; Lauzirika, A; Mongil, R; Alvarez-Irusteta, E


    The term, sacral fracture with traumatic spino-pelvic dissociation, is applied to those fractures of the sacrum in which there are both transverse and sagittal fracture lines in the sacrum, leading to a mechanical dissociation of the spine and the proximal fragment of the sacrum from the remaining sacrum and the pelvis. It is a quite rare pathological condition, and probably underdiagnosed. As it usually results from a high energy multiple trauma, an early diagnosis and treatment are mandatory for a better functional prognosis. We present a literature review of this relatively unknown injury. © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  11. Proximal femoral fractures: Principles of management and review of literature (United States)

    Mittal, Ravi; Banerjee, Sumit


    Purpose The purpose of this study was to review the principles involved in the management of proximal femoral fractures as reported in the literature. Methods: A medical literature search in the MEDLINE (PubMed) and Cochrane database was undertaken to review strategies and principles in proximal femoral fracture treatment. Randomized control trials and meta analysis were given preference while case reports/small series were rejected. Results and conclusions: Early anatomical reduction and surgical fixation remains the best option to reduce the risk of complications like non-union and avascular necrosis in treating fracture neck femurs. Cancellous screws continue to be the preferred treatment for fixation of neck femur fractures in younger population until the benefit of using sliding hip screws is validated by large multicentric studies. In the geriatric age group, early prosthetic replacement brings down the mortality and morbidity associated with neck femur fractures. Sliding hip screw (DHS) is the best available option for stable inter trochanteric fractures. The use of intramedullary nails e.g. PFN is beneficial in treating inter trochanteric fractures with comminution and loss of lateral buttress. Intramedullary implants have been proven to have increased success rates in subtrochanteric fractures and should be preferred over extramedullary plate fixation systems. PMID:25983451


    Directory of Open Access Journals (Sweden)

    Ran Yanovich


    Full Text Available To investigate the association of polymorphisms within candidate genes which we hypothesized may contribute to stress fracture predisposition, a case-control, cross- sectional study design was employed. Genotyping 268 Single Nucleotide Polymorphisms- SNPs within 17 genes in 385 Israeli young male and female recruits (182 with and 203 without stress fractures. Twenty-five polymorphisms within 9 genes (NR3C1, ANKH, VDR, ROR2, CALCR, IL6, COL1A2, CBG, and LRP4 showed statistically significant differences (p < 0.05 in the distribution between stress fracture cases and non stress fracture controls. Seventeen genetic variants were associated with an increased stress fracture risk, and eight variants with a decreased stress fracture risk. None of the SNP associations remained significant after correcting for multiple comparisons (false discovery rate- FDR. Our findings suggest that genes may be involved in stress fracture pathogenesis. Specifically, the CALCR and the VDR genes are intriguing candidates. The putative involvement of these genes in stress fracture predisposition requires analysis of more cases and controls and sequencing the relevant genomic regions, in order to define the specific gene mutations

  13. A Review of Hard Palate Fracture Repair Techniques. (United States)

    Moss, William J; Kedarisetty, Suraj; Jafari, Aria; Schaerer, Daniel E; Husseman, Jacob W


    Hard palate trauma is a relatively infrequent occurrence compared with other craniofacial injuries. Several techniques of hard palate fracture repair have been described. To date, there is no consensus on the optimal management of this type of fracture. The purpose of this study was to compile and analyze studies describing hard palate fracture repair techniques with outcomes data. A systematic review of the Medline, Scopus, and Web of Science databases was performed for articles describing hard palate fracture repair techniques. Eight articles were ultimately included in the review. Of the collective 310 fractures reported, postoperative malocclusion occurred in 21 of 235 cases (8.9%) and other complications occurred in 13 of 299 cases (4.3%). The most important variability in technique was the method of palatal vault stabilization. Three studies described wiring techniques, 3 described internal fixation techniques, and 2 described external fixation techniques. Studies describing internal fixation techniques reported higher rates of wound complications. Proponents of rigid internal fixation believe that this technique provides better fracture reduction. External fixation techniques appear to impart low rates of wound complications, but their overall effectiveness remains in question. Hard palate fractures are associated with high rates of malocclusion and wound complications. The most established methods of palatal vault stabilization are closed reduction with wiring and internal plate fixation. Depending on the fracture type, patient comorbidities, and associated injuries, either technique might be preferable in a given circumstance. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  14. Fatal occupational accidents in Danish fishing vessels 1989-2005

    DEFF Research Database (Denmark)

    Laursen, Lise Hedegaard; Hansen, Henrik L; Jensen, Olaf


    /capsizing due to stability changes in rough weather and collisions; 39 fatal occupational accidents mainly occurred on the larger inspection obligated trawlers during fishing. In the remaining 14 other fatal accidents, the main causal factors were difficult embarking/disembarking conditions by darkness......The purpose of the study was to study the circumstances and incidence rates of fatal accidents in inspection obligated and non-inspection obligated Danish fishing vessels to identify areas for prevention. Information about the fatalities came from maritime authority reports, including vessel...... in foreign ports and alcohol intoxication. In the period 1995-2005, the overall incidence rate was 10 per 10,000 fishermen per year with no down-going trend during that period. The fatal accident rates are still too high, despite the efforts to reduce the risk. Increased focus on regular and repeated safety...

  15. Combat-Related Pelvis Fractures in Nonsurvivors (United States)


    injuries seen in civilian trauma.1–3 Motor vehicle collisions (MVCs) remain the most common mechanism of injury followed by falls, motorcycle collisions ...455. 11. Stein D, O’Connor J, Kufera J, et al. Risk factors associated with pelvic fractures sustained in motor vehicle collisions involving newer...military combat mortalities.21 All demographic factors in the study were summarized using percentages. A 2 test was used to compare frequencies of

  16. Coincidence of mandibular fractures with isolated posterior maxillary sinus fractures. (United States)

    Blatt, Sebastian; Rahimi-Nedjat, Roman; Sagheb, Keyvan; Piechowiak, Lisa; Walter, Christian; Brüllmann, Dan


    There are no data available to show whether there is a relationship between mandibular fractures and isolated fractures of the posterior and/or lateral walls of the maxillary sinus. The aim of this study was to determine whether there is a coincidence between these fracture patterns. Four hundred large volume cone beam computed tomography scans (CBCT) of patients with a fracture of the mandible between 2008 and 2013 were analyzed retrospectively. Patients with multiple midfacial fractures were excluded. The radiographic findings were correlated with epidemiological and clinical data of the patients such as gender, age, treatment methods, or complications. The most frequent fracture sites of the mandible were the jaw angle, the parasymphysis region, and the condyle. Nineteen of the 400 patients (4.75%) had an isolated fracture of the lateral and/or posterior maxillary sinus. Odds-ratio analysis revealed a high tendency for significant correlation of condylar process fractures with isolated maxillary sinus fractures. Chi-square test demonstrated a P-value near statistical significance (P=.054). No other fracture site of the mandible could be associated with an isolated fracture of the maxillary sinus. A condylar process fracture of the mandible after trauma without any further injury of the midface may be associated with an isolated fracture of the lateral and/or posterior maxillary sinus. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. Avicennia germinans (black mangrove vessel architecture is linked to chilling and salinity tolerance in the Gulf of Mexico

    Directory of Open Access Journals (Sweden)

    Eric N Madrid


    Full Text Available Over the last several decades, the distribution of the black mangrove Avicennia germinans in the Gulf of Mexico has expanded, in part because it can survive the occasional freeze events and high soil salinities characteristic of the area. Vessel architecture may influence mangrove chilling and salinity tolerance. We surveyed populations of A. germinans throughout the Gulf to determine if vessel architecture was linked to field environmental conditions. We measured vessel density, hydraulically weighted vessel diameter, potential conductance capacity, and maximum tensile fracture stress. At each sampling site we recorded mangrove canopy height and soil salinity, and determined average minimum winter temperature from archived weather records. At a subset of sites, we measured carbon fixation rates using a LI-COR 6400XT Portable Photosynthesis System. Populations of A. germinans from cooler areas (Texas and Louisiana had narrower vessels, likely reducing the risk of freeze-induced embolisms but also decreasing water conductance capacity. Vessels were also narrower in regions with high soil salinity, including Texas, USA and tidal flats in Veracruz, Mexico. Vessel density did not consistently vary with temperature or soil salinity. In abiotically stressful areas, A. germinans had a safe hydraulic architecture with narrower vessels that may increase local survival. This safe architecture appears to come at a substantial physiological cost in terms of reduction in conductance capacity and carbon fixation potential, likely contributing to lower canopy heights. The current distribution of A. germinans in the Gulf is influenced by the complex interplay between temperature, salinity, and vessel architecture. Given the plasticity of A. germinans vessel characters, it is likely that this mangrove species will be able to adapt to a wide range of potential future environmental conditions, and continue its expansion in the Gulf of Mexico in response to near

  18. New paleoradiological investigations of ancient human remains from North West Lombardy archaeological excavations

    Energy Technology Data Exchange (ETDEWEB)

    Licata, Marta; Borgo, Melania; Armocida, Giuseppe; Nicosia, Luca; Ferioli, Elena [University of Insubria (Varese), Department of Biotechnology and Life Sciences, Varese (Italy)


    Since its birth in 1895, radiology has been used to study ancient mummies. The purpose of this article is to present paleoradiological investigations conducted on several medieval human remains in Varese province. Anthropological (generic identification) and paleopathological analyses were carried out with the support of diagnostic imaging (X-ray and CT scans). Human remains were discovered during excavations of medieval archaeological sites in northwest Lombardy. Classical physical anthropological methods were used for the macroscopic identification of the human remains. X-ray and CT scans were performed on the same scanner (16-layer Hitachi Eclos 16 X-ray equipment). Radiological analysis permitted investigating (1) the sex, (2) age of death, (3) type of trauma, (4) therapeutic interventions and (5) osteomas in ancient human remains. In particular, X-ray and CT examinations showed dimorphic facial traits on the mummified skull, and the same radiological approaches allowed determining the age at death from a mummified lower limb. CT analyses allow investigating different types of traumatic lesions in skulls and postcranial skeleton portions and reconstructing the gait and functional outcomes of a fractured femur. Moreover, one case of possible Gardner's syndrome (GS) was postulated from observing multiple osteomas in an ancient skull. Among the medical tests available to the clinician, radiology is the most appropriate first-line procedure for a diagnostic approach to ancient human remains because it can be performed without causing any significant damage to the specimen. (orig.)

  19. Predictors of treatment preference for mandibular fracture. (United States)

    Der-Martirosian, Claudia; Gironda, Melanie W; Black, Edward E; Belin, Thomas R; Atchison, Kathryn A


    Patient treatment preferences do not necessarily remain stable over time. This study focuses on predictors of patient treatment choice and on the extent to which patients are willing to take risks by choosing surgical versus nonsurgical treatment for mandibular fracture. Surveys of African-American and Hispanic adults receiving treatment at King/Drew Medical Center for either a mandibular fracture (n = 98) or third-molar removal (n = 105) were used to investigate patterns of patient preference over the course of a 4-month study period using generalized estimating equations controlling for age, gender, income, and fracture versus third-molar patient. The study examined the effects of symptom rating and a"standard gamble" measure reflecting a patient's willingness to accept scarring or nerve damage. This analysis is based on 169 patients who participated in four waves of data collection. The most salient predictor of patient treatment was the standard gamble measure at 1-month follow-up. Subjects with higher risk tolerance were more likely to select surgery versus jaw wiring. A higher likelihood of choosing surgery was associated with higher income and greater symptom severity. Fracture patients were more likely to select surgery compared with third-molar patients. The significance of symptom severity 1-month post-surgery raises an important issue regarding the healing process. Moreover, the significance of standard gamble as a predictor of treatment choice for mandibular fracture should encourage other researchers to use this measure of willingness to accept risk when studying acute conditions such as jaw fracture.

  20. Open tibia fractures in HIV positive patients. (United States)

    Harrison, W J


    Open tibia fractures are common injuries, particularly in developing countries.Pedestrian or bicycle to motor car contact is the most common mechanism. These injuries result in high morbidity and often long-term disability. HIV infection complicates open fractures by raising the incidence of infectionin the open wound (5 of 7 patients in our series). This risk may be compounded if internal fixation techniques are used (5 of 12 HIV patients with internal fixation of any open fracture). There is also a suggestion that HIV may delay bone union (4 of 7 patients united at 6 months). External fixation offers an alternative method of fracture stabilisation. It avoids the risks associated with putting metal-ware in the wound, but creates a new issue of pin track sepsis. We found that pin track infection was more common in patients with HIV, but the rate at which pins required removal was 7%. We consider external fixation to be a lower-risk strategy than internal fixation in such patients but open fracture wound sepsis remains a problem. We have not yet demonstrated a difference in severity or frequency of complications in patients of low CD4 count, but logically one expects septic complications to increase as CD4 count falls. Antiretroviral medication decreases viral load and elevates the CD4 count. Research is underway regarding potential effectiveness of such drugs in reducing wound and fracture healing complications. Above all, meticulous and timely all-round care is required to achieve satisfactory results in immune-compromised patients. This includes, debridement, bony stability, and soft-tissue reconstruction.

  1. [Severe haemorrhage secondary to an osteoporotic pelvic fracture: presentation of a case]. (United States)

    Palacio, J; Albareda, J


    Low-energy osteoporotic pelvic fractures in the elderly are a very common problem. They are usually stable fractures, non-life threatening and only require conservative treatment. The pelvic bone structure is closely related to important vascular structures. The Corona Mortis, located in the retropubis, has an important anastomotic value as it serves as communication between the internal and external iliac vessels. The case is presented of an 87 year-old woman, who, after a casual fall, was diagnosed with an osteoporotic fracture of the left pubic rami associated to a lesion of the Corona Mortis, which led to a severe picture of haemodynamic instability. After angiography with supra-selective embolisation of the lesioned vessel, and the transfusion of several haemoderivatives, the patient progressed satisfactorily, and was discharged after a few days. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  2. Inimluud Mihkli kiriku võlvidelt / Human remains on the vaulted ceiling of Mihkli Church

    Directory of Open Access Journals (Sweden)

    Martin Malve


    Full Text Available Altogether 4029 human bones or their fragments from the C 13th–18th were gathered and analysed from soil on the vaults of Mihkli (St Michael’s Church in western Estonia during the rescue works in 2011 (photo 1. Ribs and vertebrae formed the majority of bones, but wholly preserved long bones and other larger bones, as well as, hand and foot bones that are quite typical among mixed human remains were almost absent in this case. Therefore, it can be concluded that during the earthworks larger bones were taken from the soil. The minimum number of adults was determined by the ribs of the right side. Only the ribs with preserved heads (figure 1 were used in calculations. The rib fragments indicate approximately 60 adults among the assorted bones. Judging by the radius, there were at least 16 children among the bone assemblage. Scarceness of children in the Mihkli church can be the result of poor preservation, smallness and fragility of their bones, but the possibility that subadult (child and juvenile burials were fewer in the destroyed part of the churchyard cannot be ruled out.Pathological analysis of the osteological material ascertained several diseases and traumas, the most common pathologies being connected to ageing, for example, wearing of joints (Osteoarthrosis. Various diseases related to degeneration of the spine were present – spondylosis, spondyloarthrosis and osteochondrosis. Compression fractures (fractura compressiva and Schmorl´s nodes (nodi Schmorl indicated strenuous physical activity and/or traumas. Dental diseases included caries (photo 2, alveolar reduction, hypoplasia and tooth abscesses. Several upper and lower jaws showed traces of ante mortem lost teeth (photo 3. In one case a canine of the right mandible of an adult man (age 45 + years had formed but had not erupted (photo 4.Various healed fractures of ribs and limb bones formed the bulk of traumas detected on the bones. Three right ribs had fractures in a stage of

  3. Polymer liquids fracture like solids

    DEFF Research Database (Denmark)

    Huang, Qian; Hassager, Ole


    While fracture in brittle solids has been studied for centuries until today, there are few studies on fracture in polymer liquids. Recent developments in experimental techniques, especially the combination of controlled filament stretching rheometry and high speed imaging, have opened new windows...... into the detailed study of fracture processes for polymer liquids. High speed imaging shows that polymer liquids fracture like solids with initiation and propagation of an edge fracture. However, remarkable features such as highly reproducible critical stress, independent appearance of multiple fractures...

  4. CT classification of acetabular fractures

    Energy Technology Data Exchange (ETDEWEB)

    Marincek, B.; Porcellini, B.; Robotti, G.


    The contribution of computed tomography (CT) in classifying acetabular fractures was analysed retrospectively in 33 cases. CT and plain radiography classification agreed in 27 cases (82%). CT revealed more extensive fractures in 6 patients (thereof 5 patients with associated fractures). In 10 patients (thereof 9 patients with associated fractures) CT showed intraarticular fragments; radiographically intraarticular fragments were seen only in 2 patients and suspected in 4. CT is of considerable aid in defining the fracture pattern. It should be used mainly in patients with radiographically difficult interpretable associated fractures in order to assess preoperatively the weight-bearing part of the acetabulum, the degree of displacement and the presence of intraarticular fragments.

  5. Vessel classification method based on vessel behavior in the port of Rotterdam

    NARCIS (Netherlands)

    Zhou, Y.; Daamen, W.; Vellinga, T.; Hoogendoorn, S.P.


    AIS (Automatic Identification System) data have proven to be a valuable source to investigate vessel behavior. The analysis of AIS data provides a possibility to recognize vessel behavior patterns in a waterway area. Furthermore, AIS data can be used to classify vessel behavior into several

  6. 76 FR 59660 - Proposed Information Collection; Comment Request; Permitting, Vessel Identification, and Vessel... (United States)


    ...; Permitting, Vessel Identification, and Vessel Monitoring System Requirements for the Commercial Bottomfish... compliance with federal identification requirements and carry and maintain a satellite- based vessel monitoring system (VMS). This collection of information is needed for permit issuance, to identify actual or...

  7. Seismic Imaging of Open Subsurface Fractures (United States)

    Myers, S. C.; Pitarka, A.; Matzel, E.; Aguiar, A. C.


    Injection of high-pressure fluid into the subsurface is proven to stimulate geothermal, oil, and gas production by opening cracks that increase permeability. The effectiveness of increasing permeability by high-pressure injection has been revolutionized by the introduction of "proppants" into the injected fluid to keep cracks open after the pressure of the stimulation activity ends. The network of fractures produced during stimulation is most commonly inferred by the location of micro-earthquakes. However, existing (closed) fractures may open aseismically, so the whole fracture network may not be imaged by micro-seismic locations alone. Further, whether all new fractures remain open and for how long remains unclear. Open cracks, even fluid-filled cracks, scatter seismic waves because traction forces are not transmitted across the gap. Numerical simulation confirms that an open crack with dimensions on the order of 10 meters can scatter enough seismic energy to change the coda of seismic signals. Our simulations show that changes in seismic coda due to newly opened fractures are only a few percent of peak seismogram amplitudes, making signals from open cracks difficult to identify. We are developing advanced signal processing methods to identify candidate signals that originate from open cracks. These methods are based on differencing seismograms that are recorded before and after high-pressure fluid injection events to identify changes in the coda. The origins of candidate signals are located using time-reversal techniques to determine if the signals are indeed associated with a coherent structure. The source of scattered energy is compared to micro-seismic event locations to determine whether cracks opened seismically or aseismically. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. LLNL-ABS-675612.

  8. Fracture Mechanics of Concrete

    DEFF Research Database (Denmark)

    Ulfkjær, Jens Peder

    Chapter 1 Chapter l contains the introduction to this thesis. The scope of the thesis is partly to investigate different numerical and analytical models based on fracture mechanical ideas, which are able to predict size effects, and partly to perform an experimental investigation on high-strength......Chapter 1 Chapter l contains the introduction to this thesis. The scope of the thesis is partly to investigate different numerical and analytical models based on fracture mechanical ideas, which are able to predict size effects, and partly to perform an experimental investigation on high......-strength concrete. Chapter 2 A description of the factors which influence the strength and cracking of concrete and high strength concrete is made. Then basic linear fracture mechanics is outlined followed by a description and evaluation of the models used to describe concrete fracture in tension. The chapter ends...... to describe fracture in concrete are presented. Two of the methods are combined into a power method which is stable for all brittleness numbers and which is able of calculating the entire load-displacement curve even for very ductile beams. This method is used extensively in the rest of the thesis. Chapter 4...

  9. Frontal bone fractures. (United States)

    Marinheiro, Bruno Henrique; de Medeiros, Eduardo Henrique Pantosso; Sverzut, Cássio Edvard; Trivellato, Alexandre Elias


    The aim of this retrospective study was to evaluate the epidemiology, treatment, and complications of frontal bone fractures associated, or not, with other facial fractures. This evaluation also sought to minimize the influence of the surgeon's skills and the preference for any rigid internal fixation system. The files from 3758 patients who attended the Oral and Maxillofacial Surgery Department of the School of Dentistry of Ribeirao Preto, University of Sao Paulo, from March 2004 to November 2011 and presented with facial trauma were scanned, and 52 files were chosen for the review. Eleven (21.15%) of these patients had pure fractures of the frontal bone, and trauma incidence was more prevalent in men (92.3%), whites (61.53%), and adults (50%). Despite the use of helmets at the moment of the trauma, motorcycle crashes were the most common etiological factor (32.69%). Fracture of the anterior wall of the frontal sinus with displacement was the main injury observed (54.9%), and the most common treatment was internal fixation with a plate and screws (45.09%). Postoperative complications were observed in 35.29% of the cases. The therapy applied was effective in handling this type of fracture, and the success rate was comparable to that reported in other published studies.

  10. Development of a binder fracture test to determine fracture energy. (United States)


    It has been found that binder testing methods in current specifications do not accurately predict cracking performance at intermediate temperatures. Fracture energy has been determined to be strongly correlated to fracture resistance of asphalt mixtu...

  11. 15 CFR 970.205 - Vessel safety. (United States)


    ... following: (1) That any foreign flag vessel whose flag state is party to the International Convention for Safety of Life at Sea, 1974 (SOLAS 74) possesses current valid SOLAS 74 certificates; (2) That any foreign flag vessel whose flag state is not party to SOLAS 74 but is party to the International Convention...

  12. Assessing Vessel Traffic Service Operator Situation Awareness

    NARCIS (Netherlands)

    Wiersma, J.W.F.


    This thesis describes my study of situation awareness assessment of Vessel Traffic Service (VTS) operators. VTS operators are the traffic controllers on the water. They are responsible for a safe and efficient handling of vessel traffic. They monitor traffic, provide information on request and

  13. Hereditary cerebral small vessel disease and stroke

    DEFF Research Database (Denmark)

    Søndergaard, Christian Baastrup; Nielsen, Jørgen Erik; Hansen, Christine Krarup


    Cerebral small vessel disease is considered hereditary in about 5% of patients and is characterized by lacunar infarcts and white matter hyperintensities on MRI. Several monogenic hereditary diseases causing cerebral small vessel disease and stroke have been identified. The purpose of this system...

  14. 33 CFR 401.67 - Explosive vessels. (United States)


    ... TRANSPORTATION SEAWAY REGULATIONS AND RULES Regulations Dangerous Cargo § 401.67 Explosive vessels. A vessel carrying explosives, either Government or commercial, as defined in the Dangerous Cargo Act of the United States and in the International Maritime Dangerous Goods Code, Class 1, Divisions 1.1 to 1.5 inclusive...

  15. Analyzing Vessel Behavior Using Process Mining

    NARCIS (Netherlands)

    Maggi, F.M.; Mooij, A.J.; Aalst, W.M.P. van der


    In the maritime domain, electronic sensors such as AIS receivers and radars collect large amounts of data about the vessels in a certain geographical area. We investigate the use of process mining techniques for analyzing the behavior of the vessels based on these data. In the context of maritime

  16. 78 FR 39649 - Passenger Vessels Accessibility Guidelines (United States)


    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1196 RIN 3014-AA11 Passenger Vessels Accessibility... Tuesday, June 25, 2013, make the following correction: PART 1196--PASSENGER VESSELS ACCESSIBILITY... ``Figure V703.7.2.1 International Symbol of Accessibility'' and are added to read as set forth below...

  17. Transstyloid, transscaphoid, transcapitate fracture: a variant of scaphocapitate fractures.

    LENUS (Irish Health Repository)

    Burke, Neil G


    Transstyloid, transscaphoid, transcapitate fractures are uncommon. We report the case of a 28-year-old man who sustained this fracture following direct trauma. The patient was successfully treated by open reduction internal fixation of the scaphoid and proximal capitate fragment, with a good clinical outcome at 1-year follow-up. This pattern is a new variant of scaphocapitate fracture as involves a fracture of the radial styloid as well.

  18. Nuclear reactor vessel fuel thermal insulating barrier (United States)

    Keegan, C. Patrick; Scobel, James H.; Wright, Richard F.


    The reactor vessel of a nuclear reactor installation which is suspended from the cold leg nozzles in a reactor cavity is provided with a lower thermal insulating barrier spaced from the reactor vessel that has a hemispherical lower section that increases in volume from the center line of the reactor to the outer extent of the diameter of the thermal insulating barrier and smoothly transitions up the side walls of the vessel. The space between the thermal insulating harrier and the reactor vessel forms a chamber which can be flooded with cooling water through passive valving to directly cool the reactor vessel in the event of a severe accident. The passive inlet valve for the cooling water includes a buoyant door that is normally maintained sealed under its own weight and floats open when the cavity is Hooded. Passively opening steam vents are also provided.

  19. 7 CFR 160.29 - Containers to remain intact. (United States)


    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Containers to remain intact. 160.29 Section 160.29... STANDARDS FOR NAVAL STORES Analysis, Inspection, and Grading on Request § 160.29 Containers to remain intact... the containers holding such naval stores remain intact as sampled until the analysis, classification...

  20. Do Selective Serotonin Reuptake Inhibitors (SSRIs) Cause Fractures? (United States)

    Warden, Stuart J; Fuchs, Robyn K


    Recent meta-analyses report a 70 % increase in fracture risk in selective serotonin reuptake inhibitor (SSRI) users compared to non-users; however, included studies were observational and limited in their ability to establish causality. Here, we use the Bradford Hill criteria to explore causality between SSRIs and fractures. We found a strong, consistent, and temporal relationship between SSRIs and fractures, which appears to follow a biological gradient. However, specificity and biological plausibility remain concerns. In terms of specificity, the majority of available data have limitations due to either confounding by indication or channeling bias. Self-controlled case series address some of these limitations and provide relatively strong observational evidence for a causal relationship between SSRIs and fracture. In doing so, they suggest that falls contribute to fractures in SSRI users. Whether there are also underlying changes in skeletal properties remains unresolved. Initial studies provide some evidence for skeletal effects of SSRIs; however, the pathways involved need to be established before biological plausibility can be accepted. As the link between SSRIs and fractures is based on observational data and not evidence from prospective trials, there is insufficient evidence to definitively determine a causal relationship and it appears premature to label SSRIs as a secondary cause of osteoporosis. SSRIs appear to contribute to fracture-inducing falls, and addressing any fall risk associated with SSRIs may be an efficient approach to reducing SSRI-related fractures. As fractures stemming from SSRI-induced falls are more likely in individuals with compromised bone health, it is worth considering bone density testing and intervention for those presenting with risk factors for osteoporosis.

  1. Foal Fractures: Osteochondral Fragmentation, Proximal Sesamoid Bone Fractures/Sesamoiditis, and Distal Phalanx Fractures. (United States)

    Reesink, Heidi L


    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.

  2. DEM Particle Fracture Model

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Boning [Univ. of Colorado, Boulder, CO (United States); Herbold, Eric B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Homel, Michael A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Regueiro, Richard A. [Univ. of Colorado, Boulder, CO (United States)


    An adaptive particle fracture model in poly-ellipsoidal Discrete Element Method is developed. The poly-ellipsoidal particle will break into several sub-poly-ellipsoids by Hoek-Brown fracture criterion based on continuum stress and the maximum tensile stress in contacts. Also Weibull theory is introduced to consider the statistics and size effects on particle strength. Finally, high strain-rate split Hopkinson pressure bar experiment of silica sand is simulated using this newly developed model. Comparisons with experiments show that our particle fracture model can capture the mechanical behavior of this experiment very well, both in stress-strain response and particle size redistribution. The effects of density and packings o the samples are also studied in numerical examples.

  3. Geometrically Frustrated Fracture Mechanics (United States)

    Mitchell, Noah; Koning, Vinzenz; Vitelli, Vincenzo; Irvine, William T. M.


    When a flat elastic sheet is forced to conform to a surface with Gaussian curvature, stresses arise in the sheet. The mismatch between initial and final metrics gives rise to new fracture behavior which cannot be achieved by boundary loading alone. Using experiments of PDMS sheets frustrated on 3D-printed surfaces and a linearized analytical model, we demonstrate the ability of curvature to govern the sheets' fracture phenomenology. In this talk, we first show that curvature can both stimulate and suppress fracture initiation, depending on the position and orientation of the initial slit. Secondly, we show that curvature can steer the path of a crack as it propagates through the material. Lastly, the curvature can arrest cracks which would otherwise continue to propagate.

  4. Fabrication Flaw Density and Distribution In Repairs to Reactor Pressure Vessel and Piping Welds

    Energy Technology Data Exchange (ETDEWEB)

    GJ Schuster, FA Simonen, SR Doctor


    The Pacific Northwest National Laboratory is developing a generalized fabrication flaw distribution for the population of nuclear reactor pressure vessels and for piping welds in U.S. operating reactors. The purpose of the generalized flaw distribution is to predict component-specific flaw densities. The estimates of fabrication flaws are intended for use in fracture mechanics structural integrity assessments. Structural integrity assessments, such as estimating the frequency of loss-of-coolant accidents, are performed by computer codes that require, as input, accurate estimates of flaw densities. Welds from four different reactor pressure vessels and a collection of archived pipes have been studied to develop empirical estimates of fabrication flaw densities. This report describes the fabrication flaw distribution and characterization in the repair weld metal of vessels and piping. This work indicates that large flaws occur in these repairs. These results show that repair flaws are complex in composition and sometimes include cracks on the ends of the repair cavities. Parametric analysis using an exponential fit is performed on the data. The relevance of construction records is established for describing fabrication processes and product forms. An analysis of these records shows there was a significant change in repair frequency over the years when these components were fabricated. A description of repair flaw morphology is provided with a discussion of fracture mechanics significance. Fabrication flaws in repairs are characterized using optimized-access, high-sensitivity nondestructive ultrasonic testing. Flaw characterizations are then validated by other nondestructive evaluation techniques and complemented by destructive testing.

  5. open fractures - effect of infection on fracture fixation

    African Journals Online (AJOL)

    stability, soft tissue cover, union of the fracture and above all prevent infection. Therefore various methods ... Also soft tissue cover should be done as soon as possible following the fix and flap-protocal (7) for open fractures ... and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia.

  6. Optimizing fracture prevention: the fracture liaison service, an observational study

    NARCIS (Netherlands)

    Eekman, D.A.; van Helden, S.H.; Huisman, A.M.; Verhaar, H.J.J.; Bultink, I.E.M.; Geusens, P.P.; Lips, P.T.A.M.; Lems, W.F.


    Summary: The response rate to the invitation to the fracture liaison service and reasons for non-response were evaluated in 2,207 fragility fracture patients. Fifty-one percent responded; non-responders were most often not interested (38%) or were hip fracture patients. After 1 year of treatment,

  7. Odontoid fracture biomechanics. (United States)

    Ivancic, Paul C


    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.

  8. Fracture risk in Danish men with prostate cancer: a nationwide register study

    DEFF Research Database (Denmark)

    Abrahamsen, Bo; Nielsen, Morten F; Eskildsen, Peter


    OBJECTIVE: To assess the risk of fracture attributable to prostate cancer, and the impact of exposure to prescribed gonadotrophin-releasing hormone agonists and antiandrogens on this risk in a nationwide, population-based case-control study. PATIENTS AND METHODS: Data from the Danish National...... been recorded in 1.3% of controls and 2.5% of those with a fracture. RESULTS: Prostate cancer was associated with an increased odds ratio (95% confidence interval) for all fractures of 1.8 (1.6-2.1), for hip fractures of 3.7 (3.1-4.4), but no increased risk of vertebral fractures. The increased...... fracture risk became apparent early after diagnosis and remained pronounced even in long-term survivors. Androgen deprivation therapy (ADT) with an odds ratio of 1.7 (1.2-2.5; P risk. In all, 3.1% of hip fractures in Danish...

  9. Bilateral Femoral Neck Fracture-Related Hyperparathyroidism


    Ezirmik, Naci; Yildiz, Kadri; Cadirci, Kenan


    Bilateral femoral neck fracture is not common as unilateral femoral fracture. Femoral neck fracture generally occurs by the high energized traumas. Traffic accidents and fallings are the most common reason for this fracture kind. But suddenly and minor traumatic fractures is not common. Especially, in the hormonal and pathogenic fractures is not common. In this case minor traumatic bilateral femoral fracture is presented. The fracture occurs in the background of critical medical condition by ...

  10. Fracture in Duchenne Muscular Dystrophy: Natural History and Vitamin D Deficiency. (United States)

    Perera, Nadia; Sampaio, Hugo; Woodhead, Helen; Farrar, Michelle


    The present study examined the natural history of fracture and vitamin D levels in Duchenne muscular dystrophy patients, who are vulnerable to osteoporosis and fractures. Retrospective analysis of a cohort of 48 Duchenne muscular dystrophy patients revealed that 43% of patients experienced ≥1 fracture. Fracture probabilities at ages 6, 9, 12, and 15 years were 4%, 9%, 31%, and 60% respectively, accelerating around the time of ambulation loss (mean age 11.8 ± 2.7 years). Chronic corticosteroid therapy was utilized in 69% of patients and was associated with all vertebral fractures. A history of vitamin D deficiency occurred in 84%, and 35% were currently deficient. Despite chronic vitamin D supplementation, 38% remained deficient. These results demonstrate that osteoporosis and fracture remain major concerns in Duchenne muscular dystrophy. Bone health should be optimized well before loss of ambulation, however current levels of vitamin D supplementation may be inadequate given high levels of deficiency. © The Author(s) 2016.

  11. Fracture After Total Hip Replacement (United States)

    ... osteolysis. Symptoms The most common symptoms of periprosthetic hip fracture include: • Pain around the hip or thigh • Swelling ... o en very painful, someone with a periprosthetic hip fracture will most likely go directly to the emergency ...

  12. [Fractures of the thumb ray]. (United States)

    Mehling, I M; Schillo, K; Arsalan-Werner, A; Seegmüller, J; Langheinrich, A C; Sauerbier, M


    Fractures of the first thumb ray are common and need accurate differential treatment to restore gripping hand functions. Displaced fractures of the distal and proximal phalanx of the thumb are often treated with screws or Kirschner wires. Stable fractures can also be treated non-operatively. Fractures of the base of the first metacarpal should be differentiated into extra-articular Winterstein fractures and intra-articular Bennett or Rolando fractures. Traction forces by the abductor pollicis longus tendon regularly lead to displacement of the shaft of the first metacarpal; therefore, these fractures usually require reduction and fixation. Good functional results can be achieved by operative treatment. Fractures of the trapezium are rare. If they are displaced, operative treatment is recommended to prevent osteoarthritis of the first carpometacarpal joint.

  13. Vertebroplasty for Spine Fracture Pain (United States)

    ... and break.How are spinal fractures treated?Most fractures of the spine are treated with bed rest until the pain goes away. Pain medicines, back braces and physical therapy may also be used. For some patients, doctors ...

  14. Sacral insufficiency fractures caudal to instrumented posterior lumbosacral arthrodesis. (United States)

    Klineberg, Eric; McHenry, Timothy; Bellabarba, Carlo; Wagner, Theodore; Chapman, Jens


    Retrospective review of sacral insufficiency fractures. Determine incidence of sacral insufficiency fractures after posterior lumbosacral fusion. Review the pertinent literature. Describe the ability of lumbopelvic fixation to restore the alignment of these fractures. Fractures of the sacrum are rare injuries that have been described at the caudal end of lumbopelvic constructs. Without a high index of suspicion, this entity can be overlooked, causing a diagnostic delay. Review of patients treated at our institution from 2002 to 2005. Nine patients meet our inclusion criteria. Sacral insufficiency fractures were recognized on an average of 5 weeks in the 6 patients with the index procedure performed at our institution (Incidence of fracture with short segment instrumentation is 1.3%, whereas long segment fixation has an incidence of 3.1%). The other 3 referred patients had an average delay in diagnosis of 8 months. Two patients underwent immediate fracture stabilization and fusion. The remaining 7 patients were initially treated nonoperatively. Four patients abandoned bracing an average of 3.3 months after initiation of treatment. For all of the surgical candidates, preoperative kyphosis measured 9.7 degrees and anterolisthesis averaged 10 mm. Postoperative measurement improved to a mean kyphosis of 2.3 degrees and mean displacement of 1.2 mm. All operatively treated fractures healed and the patients regained their ambulatory capacity. Sacral insufficiency fractures are an uncommon complication of segmental posterior lumbosacral fixation in osteoporotic patients. They are potentially unstable fractures and kyphosis and displacement may contribute to persistent problems of pain and postural malalignment. The diagnosis may be difficult and should be considered in the differential diagnosis in patients who do not improve during the postoperative course. Lumbopelvic fixation is a useful salvage treatment modality for patients who fail nonoperative treatment.

  15. Prevalence of thoracolumbar vertebral fractures on multidetector CT

    Energy Technology Data Exchange (ETDEWEB)

    Bartalena, Tommaso [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy)], E-mail:; Giannelli, Giovanni; Rinaldi, Maria Francesca [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy); Rimondi, Eugenio [Department of Radiology, Rizzoli Orthopaedic Institute, Via G.C. Pupilli 1 - 40136 Bologna (Italy); Rinaldi, Giovanni [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy); Sverzellati, Nicola [Department of Clinical Sciences, Section of Radiology, University of Parma, Via Gramsci, 14 - 43100 Parma (Italy); Gavelli, Giampaolo [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy)


    Objective: To evaluate the prevalence of osteoporotic vertebral fractures in patients undergoing multidetector computed tomography (MDCT) of the chest and/or abdomen. Materials and methods: 323 consecutive patients (196 males, 127 females) with a mean age of 62.6 years (range 20-88) who had undergone chest and/or abdominal MDCT were evaluated. Sagittal reformats of the spine obtained from thin section datasets were reviewed by two radiologists and assessed for vertebral fractures. Morphometric analysis using electronic calipers was performed on vertebral bodies which appeared abnormal upon visual inspection. A vertebral body height loss of 15% or more was considered a fracture and graded as mild (15-24%), moderate (25-49%) or severe (more than 50%). Official radiology reports were reviewed and whether the vertebral fractures had been reported or not was noted. Results: 31 out of 323 patients (9.5%) had at least 1 vertebral fracture and 7 of those patients had multiple fractures for a total of 41 fractures. Morphometric grading revealed 10 mild, 16 moderate and 15 severe fractures. Prevalence was higher in women (14.1%) than men (6.6%) and increased with patients age with a 17.1% prevalence in post-menopausal women. Only 6 out 41 vertebral fractures (14.6%) had been noted in the radiology final report while the remaining 35 (85.45) had not. Conclusion: although vertebral fractures represent frequent incidental findings on multidetector CT studies and may be easily identified on sagittal reformats, they are often underreported by radiologists, most likely because of unawareness of their clinical importance.

  16. Panoramic radiomorphometry and vertebral fractures in Spanish postmenopausal women. (United States)

    Martínez-Maestre, María Ángeles; Corcuera Flores, José Ramón; Machuca, Guillermo; González-Cejudo, Carmen; Torrejón, Rafael; Castelo-Branco, Camil


    To evaluate the relationship between panoramic radiomorphometric indexes, and the presence of osteoporotic fractures in a Spanish postmenopausal women. A sample of 120 women (60 with fragility spine fractures and 60 healthy), aged 55-70 years, with fragility spine fractures, were included in this cross-sectional study that was conducted from 2008 to 2011. All the women were referred to undergo a radiological spine examination, spinal densitometry and a panoramic radiograph for assessing osteoporosis using 3 radiomorphometric indexes: Panoramic Mandibular Index (PMI), Mental Index (MI) and Mandibular Cortical Index (MCI). According to mandibular cortical shape, in MCI, three groups were defined: C3 (osteoporosis), C2 (osteopenia), C1 (health). Significant differences were found between all the MCI groups due to their composition between fractures and non-fractures. C1 group (healthy) has less fractures women than C2 (Bonferroni p<0.001), C1 has less fractures than C3 (Bonferroni p<0.001) and finally, C2 has less fractures than C3 (Bonferroni p<0.006). PMI and MI values were significantly lower in cases than in controls (U Mann-Whitney p<0.001). Panoramic radiomorphometrics mandibular indexes such as MCI, PMI, and MI, may be useful for identifying the population at higher risk for fracture. The relationship between panoramic index and osteoporosis remains unclear and further studies using fragility fracture as a real marker of osteoporosis are warranted to clarify the exact role and effect of one condition on the other and the corresponding clinical implications. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  17. Fracture characterization in a deep geothermal reservoir (United States)

    Rühaak, Wolfram; Hehn, Vera; Hassanzadegan, Alireza; Tischner, Torsten


    At the geothermal research drilling Horstberg in North West Germany studies for the characterization of a vertical fracture are performed. The fracture was created by a massive hydraulic stimulation in 2003 in approx. 3700 m depth within rocks of the middle Buntsandstein. The fracture surface is in the order of 100,000 m2, depending on the flow rate at which water is injected. Besides hydraulic characterization, multiple tracer tests are planned. At the depth of interest the reservoir temperature is around 150 °C, pressure is around 600 bar (60 MPa) and due to salinity the water density is around 1200 kg/m3. Knowledge of tracer stability and behavior at these reservoir conditions is limited. Additionally, the planned tracer tests will be performed within one single borehole. In a closed cycle water is injected into the inner pipe of the well (tubing), which is separated by a permanent packer from the outer pipe (annulus). The water is produced back from the annulus approximately 150 m above the injection point. Thus, the circulation of thermal water between two sandstone layers via an artificial fracture can be achieved. Tests will be carried out with different flow rates and accordingly with different pressures, resulting in different fracture areas. Due to this test setup tracer signals will be stacked and will remain for a longer time in the fracture - which is the reason why different tracers are required. For an optimal characterization both conservative and reactive tracers will be used and different injection methods (continuous, instantaneous and pulsed) will be applied. For a proper setup of the tracer test numerical modelling studies are performed in advance. The relevant thermal, hydraulic and chemical processes (mainly adsorption and degredation) are coupled, resulting in a THC model; additionally the dependence of fracture aperture and area on fluid pressure has to be considered. Instead of applying a mechanically coupled model (THMC) a simplified

  18. Pediatric Orbital Fractures (United States)

    Oppenheimer, Adam J.; Monson, Laura A.; Buchman, Steven R.


    It is wise to recall the dictum “children are not small adults” when managing pediatric orbital fractures. In a child, the craniofacial skeleton undergoes significant changes in size, shape, and proportion as it grows into maturity. Accordingly, the craniomaxillofacial surgeon must select an appropriate treatment strategy that considers both the nature of the injury and the child's stage of growth. The following review will discuss the management of pediatric orbital fractures, with an emphasis on clinically oriented anatomy and development. PMID:24436730

  19. Fractured Petroleum Reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Firoozabadi, Dr. Abbas


    In this report the results of experiments of water injection in fractured porous media comprising a number of water-wet matrix blocks are reported for the first time. The blocks experience an advancing fracture-water level (FWL). Immersion-type experiments are performed for comparison; the dominant recovery mechanism changed from co-current to counter-current imbibition when the boundary conditions changed from advancing FWL to immersion-type. Single block experiments of co-current and counter-current imbibition was performed and co-current imbibition leads to more efficient recovery was found.

  20. 46 CFR 535.312 - Vessel charter party-exemption. (United States)


    ... 46 Shipping 9 2010-10-01 2010-10-01 false Vessel charter party-exemption. 535.312 Section 535.312... Vessel charter party-exemption. (a) For purposes of this section, vessel charter party shall mean a... operational limitations, if any) under which the vessel will be employed. (b) Vessel charter parties, as...

  1. Current Options for Determining Fracture Union

    Directory of Open Access Journals (Sweden)

    Saam Morshed


    Full Text Available Determining whether a bone fracture is healed is one of the most important and fundamental clinical determinations made in orthopaedics. However, there are currently no standardized methods of assessing fracture union, which in turn has created significant disagreement among orthopaedic surgeons in both clinical and research settings. An extensive amount of research has been dedicated to finding novel and reliable ways of determining healing with some promising results. Recent advancements in imaging techniques and introduction of new radiographic scores have helped decrease the amount of disagreement on this topic among physicians. The knowledge gained from biomechanical studies of bone healing has helped us refine our tools and create more efficient and practical research instruments. Additionally, a deeper understanding of the molecular pathways involved in the bone healing process has led to emergence of serologic markers as possible candidates in assessment of fracture union. In addition to our current physician centered methods, patient-centered approaches assessing quality of life and function are gaining popularity in assessment of fracture union. Despite these advances, assessment of union remains an imperfect practice in the clinical setting. Therefore, clinicians need to draw on multiple modalities that directly and indirectly measure or correlate with bone healing when counseling patients.

  2. L4 fractures, biomechanics of cure foretold

    Directory of Open Access Journals (Sweden)

    Daniel Alberto Ramírez Islas


    Full Text Available Objectives: To analyze the clinical and radiographic outcomes in fracture of the fourth lumbar vertebra, under conservative or surgical treatment. Methods: Patients diagnosed with L4 fracture with or without neurological injury were studied and to whom conservative or surgical treatment was provided. Radiographic measurements were performed taking into account the kyphosis angle, the sagittal index, loss of vertebral body height, percentage of canal occlusion and height compression percentage. Results: Twenty-five patients were treated, five conservatively and 20 surgically. The vertebral kyphosis angle in both groups was 12°, no regional kyphosis was present, the sagittal index was 11.9 (Farcy, the loss of vertebral body height was 53.17%, the percentage of canal occlusion was 23% and the height compression percentage was 38.06%. The residual pain according to the visual analog scale was two in both groups. Conclusions: Patients with a fractured L4 have a satisfactory outcome with both treatments, the height of the vertebral body remains the same, the lordosis is preserved and therefore the sagittal balance, allowing recovering the mechanical functions of the spine as opposed to other segment fractures.

  3. Robotic Long Bone Fracture Reduction


    Graham, A. E.; Xie, S. Q.; Aw, K. C.; Xu, W.L.; Mukherjee, S.


    This research into a medical robot for realigning fractured bones aims to develop the interface, robot, and database technologies to improve the working situation for users and outcome for recipients. Compared with other approaches to fracture reduction, the system being developed here has a number of novel features. The geometric modeling has been effective in allowing a surgeon to visualize the fractured bone and has not been reported elsewhere for fracture reduction to the authors knowledg...

  4. Predicting remaining life in upper sugar-mill shafts

    Directory of Open Access Journals (Sweden)

    Sara Rodríguez Pulecio


    Full Text Available A fracture mechanics-based method is presented for determining critical crack size and residual life of upper sugar-mill shafts having semi-elliptical and circumferential cracks. Due to the multiaxial stress field, an equivalent strain energy release rate stress intensity solution is used in Paris’ law to predict crack growth. Ultrasonic inspection intervals for the shaft were established. The crack zone evaluated was located in the shoulder of the bearing nearest to the square box coupling where about 25% of service failures in these types of shaft are observed.


    African Journals Online (AJOL)


    Fracture of ilium, the most common fracture seen in the pelvis account for 46% of all pelvic fracture (Henry, 1985; De Camp, 2005). Whereas, acetabular fracture comprises 12 % of pelvic fractures in dogs (De Camp, 2005). In smaller dogs, most of the pelvic fractures recover without surgery. But immediate surgery is.

  6. Numerical Modeling of Fracture Propagation in Naturally Fractured Formations (United States)

    Wang, W.; Prodanovic, M.; Olson, J. E.; Schultz, R.


    Hydraulic fracturing consists of injecting fluid at high pressure and high flowrate to the wellbore for the purpose of enhancing production by generating a complex fracture network. Both tensile failure and shear failure occur during the hydraulic fracturing treatment. The shear event can be caused by slip on existing weak planes such as faults or natural fractures. From core observation, partially cemented and fully cemented opening mode natural fractures, often with considerable thickness are widely present. Hydraulic fractures can propagate either within the natural fracture (tensile failure) or along the interface between the natural fracture and the rock matrix (tensile/shear failure), depending on the relative strength of cement and rock matrix materials, the bonding strength of interface, as well as the presence of any heterogeneities. In this study, we evaluate the fracture propagation both experimentally and numerically. We embed one or multiple inclusions of different mechanical properties within synthetic hydrostone samples in order to mimic cemented natural fractures and rock. A semi-circular bending test is performed for each set of properties. A finite element model built with ABAQUS is used to mimic the semi-circular bending test and study the fracture propagation path, as well as the matrix-inclusion bonding interface status. Mechanical properties required for the numerical model are measured experimentally. The results indicate that the match between experiment and modeling fracture path are extremely sensitive to the chosen interface (bonding) model and related parameters. The semi-circular bending test is dry and easily conducted, providing a good platform for validating numerical approaches. A validated numerical model will enable us to add pressurized fluid within the crack and simulate hydraulic fracture-natural fracture interaction in the reservoir conditions, ultimately providing insights into the extent of the fracture network.

  7. Calcaneal fractures • In children

    African Journals Online (AJOL)


    Jul 15, 1989 ... Eight patients with 9 calcaneal fractures were reviewed. Of the fractures 6 were intra-articular and 3 extra-articular but in children this distinction appears to have little relevan~e to treatment or prognosis. While these fractures are relatively uncommon in children, clinical suspicion is important in making the ...

  8. An Equivalent Fracture Modeling Method (United States)

    Li, Shaohua; Zhang, Shujuan; Yu, Gaoming; Xu, Aiyun


    3D fracture network model is built based on discrete fracture surfaces, which are simulated based on fracture length, dip, aperture, height and so on. The interesting area of Wumishan Formation of Renqiu buried hill reservoir is about 57 square kilometer and the thickness of target strata is more than 2000 meters. In addition with great fracture density, the fracture simulation and upscaling of discrete fracture network model of Wumishan Formation are very intense computing. In order to solve this problem, a method of equivalent fracture modeling is proposed. First of all, taking the fracture interpretation data obtained from imaging logging and conventional logging as the basic data, establish the reservoir level model, and then under the constraint of reservoir level model, take fault distance analysis model as the second variable, establish fracture density model by Sequential Gaussian Simulation method. Increasing the width, height and length of fracture, at the same time decreasing its density in order to keep the similar porosity and permeability after upscaling discrete fracture network model. In this way, the fracture model of whole interesting area can be built within an accepted time.

  9. An Innovative Approach for Management of Vertical Coronal Fracture in Molar: Case Report

    Directory of Open Access Journals (Sweden)

    Ambica Kathuria


    Full Text Available Unlike anterior teeth, acute exogenous trauma is an infrequent cause of posterior coronal vertical tooth fractures. Endodontic and restorative management of such fractures is a great challenge for the clinician. Newer advancements in adhesive techniques can provide successful intracoronal splinting of such teeth to reinforce the remaining tooth structure. This paper describes the diagnosis and management of a case of complicated vertical coronal fracture in mandibular first molar induced by a traffic accident.

  10. Increased risk for early periprosthetic fractures after uncemented total hip replacement

    DEFF Research Database (Denmark)

    Solgaard, Søren; Kjersgaard, Anne Grete


    in women. No correlation with diagnosis, age, body mass index, operation time, operative technique or implant position could be demonstrated, but a possible correlation with post-operative mobilisation and pain treatment was observed. Trainees had more fractures than experienced surgeons (non......-significant). CONCLUSION: We conclude that the increasing use of uncemented hip replacements implies an increasing risk of perioperative femoral fracture. The cause of the fractures remains unclear, but is probably multifactorial. FUNDING: not relevant. TRIAL REGISTRATION: not relevant....

  11. Differing trends in fall-related fracture and non-fracture injuries in older people with and without dementia. (United States)

    Harvey, Lara; Mitchell, Rebecca; Brodaty, Henry; Draper, Brian; Close, Jacqueline


    To explore the impact of dementia on the trends in fall-related fracture and non-fracture injuries for older people. Individuals aged ≥65years who were admitted to a NSW hospital for at least an over-night stay for a fall-related injury from 2003 to 2012 were identified. Age-standardised hospitalisation rates, length of stay, access to in-hospital rehabilitation, 30-day and 1-year mortality were examined. Annual percentage change (PAC) over time was calculated using negative binomial regression. Of the 228,628 fall-related injury hospitalisations, 20.6% were for people with dementia. People with dementia were more likely to be admitted with a hip fracture, and less likely to be admitted with a fracture of the forearm/wrist, and received less in-hospital rehabilitation than people without dementia. Fall-related hip-fracture rates for people with dementia decreased by 4.2% (95%CI -5.6 to -2.7, pdementia (PAC-0.2%; 95%CI -0.8 to 0.5, p=0.643). Rates for other fractures decreased by 1.2% (95%CI -1.9 to -0.5, pdementia, while rates increased by 2.2% (95%CI 1.9-2.5, pdementia. By contrast, non-fracture injuries including traumatic brain injury increased significantly for both people with and without dementia. Rates of fall-related fracture and non-fracture hospitalisations for people with dementia remain higher than for those without dementia. However, fall-related fracture hospitalisation rates have decreased for people with dementia, while there has not been a corresponding decrease in people without dementia. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  12. Fracture Patterns Differ Between Osteogenesis Imperfecta and Routine Pediatric Fractures. (United States)

    Peddada, Kranti V; Sullivan, Brian T; Margalit, Adam; Sponseller, Paul D


    It is important to estimate the likelihood that a pediatric fracture is caused by osteogenesis imperfecta (OI), especially the least severe type of OI (type 1). We reviewed records of 29,101 pediatric patients with fractures from 2003 through 2015. We included patients with closed fractures not resulting from motor vehicle accidents, gunshot wounds, nonaccidental trauma, or bone lesions. Patients with OI of any type were identified through International Classification of Diseases-9 code. We randomly sampled 500 pediatric patients in whom OI was not diagnosed to obtain a control (non-OI) group. We reviewed age at time of fracture, sex, fracture type, laterality, and bone and bone region fractured. Bisphosphonate use and OI type were documented for OI patients. Subanalysis of patients with type-1 OI was performed. The Fisher exact and χ tests were used to compare fracture rates between groups. P<0.05 was considered significant. Positive likelihood ratios for OI were calculated by fracture pattern. The non-OI group consisted of 500 patients with 652 fractures. The OI group consisted of 52 patients with 209 fractures. Non-OI patients were older at the time of fracture (mean, 9.0±5.0 y) than OI patients (mean, 5.5±4.4 y) (P<0.001). OI patients had more oblique, transverse, diaphyseal, and bilateral long-bone fractures than non-OI patients (all P<0.001). Non-OI patients had more buckle (P=0.013), metaphyseal (P<0.001), and physeal (P<0.001) fractures than OI patients. For patients with type-1 OI and long-bone fractures (n=18), rates of transverse and buckle fractures were similar compared with controls. Transverse humerus (15.2), olecranon (13.8), and diaphyseal humerus (13.0) fractures had the highest positive likelihood ratios for OI, and physeal (0.09) and supracondylar humerus (0.1) fractures had the lowest. Transverse and diaphyseal humerus and olecranon fractures were most likely to indicate OI. Physeal and supracondylar humerus fractures were least likely

  13. Pre-fracture hospitalization is associated with worse functional outcome and higher mortality in geriatric hip fracture patients. (United States)

    Aigner, Rene; Buecking, Benjamin; Hack, Juliana; Eschbach, Daphne; Oberkircher, Ludwig; Ruchholtz, Steffen; Bliemel, Christopher


    Hip fractures are common in elderly people. Despite great progress in surgical care, the outcomes of these patients remain disappointing. This study determined pre-fracture hospital admission as a prognostic variable for inferior functional outcomes and increased mortality rates in the perioperative phase and in the first postoperative year. The influence of a pre-fracture hospitalization on outcomes in hip fracture patients has not yet been investigated. Four hundred two patients who were surgically treated for hip fracture were prospectively enrolled. Patients with a hospital stay within the last 3 months prior to a hip fracture were compared to patients without a pre-fracture hospitalization. Postoperative functional outcomes and mortality rates were compared between groups at the time of hospital discharge and additionally at the six- and twelve-month follow-up appointments. A multivariate regression analysis was performed. A pre-fracture hospitalization was reported by 67 patients (17%). In 63% of cases, patients were admitted due to non-surgical, general medical conditions. In 37% of cases, patients were treated due to a condition related to a surgical subject. In the multivariate analysis, pre-fracture hospitalization was an independent risk factor for reduced values on the Barthel Index at 6 months after surgery (B, -9.918; 95%CI of B, -19.001--0.835; p = 0.032) and on the Tinetti Test at 6 months (B, -2.914; 95%CI of B, -1.992--0.047; p = 0.047) and 12 months after surgery (B, -4.680; 95%CI of B, -8.042--1.319; p = 0.007). Pre-fracture hospitalization was additionally associated with increased mortality rates at 6 months (OR 1.971; 95%CI 1.052-3.693; p = 0.034) and 12 months after surgery (OR 1.888; 95%CI 1.010-9.529; p = 0.046). Hip fracture patients with a recent pre-fracture hospital admission are at a substantial risk for inferior functional outcomes and increased mortality rates not only in the perioperative phase but also in the first

  14. Increased lymphatic vessels in patients with encapsulating peritoneal sclerosis. (United States)

    Yaginuma, Tatsuhiro; Yamamoto, Izumi; Yamamoto, Hiroyasu; Mitome, Jun; Tanno, Yudo; Yokoyama, Keitaro; Hayashi, Takenori; Kobayashi, Tetsuya; Watanabe, Michiaki; Yamaguchi, Yutaka; Hosoya, Tatsuo


    The angiogenic response is partly involved in the progression of encapsulating peritoneal sclerosis (EPS). However, the details of the angiogenic response, especially for lymphatic vessels in patients with EPS, remain unclear. In addition, because of technical limitations, morphology studies reported to date have examined only the parietal peritoneum. The morphologies of parietal and visceral lymphatic vessels in patients with EPS both need to be analyzed. We examined peritoneal samples from 18 patients with EPS who underwent enterolysis of the visceral peritoneum and compared them with samples from 17 autopsy cases (controls). To examine the angiogenic response, we performed immunohistochemistry for the endothelial markers CD34 (blood vessels) and podoplanin (lymphatic vessels) and for the cell proliferation marker Ki-67. Immunogold electron microscopy analysis for podoplanin was also performed. In 7 of 18 cases, we compared differences in the angiogenic response of the parietal and visceral peritoneal membranes. Angiogenic responses were more frequent in the compact zone than in regenerated layers. The number of capillaries positive for anti-CD34 and anti-podoplanin monoclonal antibodies per unit area of visceral peritoneal tissue was, respectively, 41.1 ± 29.3/mm(2) in EPS patients and 2.7 ± 4.4/mm(2) in controls (p ≤ 0.01) and 48.1 ± 43.9/mm(2) in EPS patients and 4.1 ± 5.4/mm(2) in controls (p ≤ 0.01). The percentage of capillaries positive for anti-Ki-67, CD34, and podoplanin was 4.6% in EPS patients (p ≤ 0.01) and 0.8% in controls (p = 0.09). The immunogold electron microscopy analysis revealed that podoplanin was localized to endothelial cells with anchoring filaments, a specific feature of lymphatic vessels. Furthermore, compared with parietal peritoneal membrane, visceral peritoneal membrane had a more prominent podoplanin-positive capillary profile, but not a prominent CD34-positive capillary profile. In addition, fibroblast-like cells double

  15. Fracture mechanics and parapsychology (United States)

    Cherepanov, G. P.


    The problem of postcritical deformation of materials beyond the ultimate strength is considered a division of fracture mechanics. A simple example is used to show the relationship between this problem and parapsychology, which studies phenomena and processes where the causality principle fails. It is shown that the concept of postcritical deformation leads to problems with no solution

  16. Inclusion Requires Fracturing (United States)

    Anila, Swarupa


    Inclusion strategies and approaches in interpretive planning processes for exhibitions are often resisted because they challenge precedents in museum practice. Maintaining traditional models may seem more comfortable for many museum professionals than to do the work of closely examining, fracturing, and transforming the practices that prioritize…

  17. Colles wrist fracture - aftercare (United States)

    The initial recovery from a wrist fracture can take 3 to 4 months or more. You may need physical therapy. You should start working with a physical therapist as soon as your provider recommends. The work may seem hard and at times ...

  18. Vertebral Compression Fractures (United States)

    ... should be avoided. Steps to take after the fracture has healed include: • Chair cushions to provide support to the lower spine • Getting up out of a desk chair at least a few minutes every hour • A gradual return to exercise such as walking and/or swimming 2007; reviewed ...

  19. Neglected hangman fracture

    Directory of Open Access Journals (Sweden)

    Sudhir Kumar Srivastava


    Full Text Available Acute management of hangman fracture is well described; however the surgical management of neglected hangman fracture has not been described in literature. We report the surgical management of an untreated hangman′s fracture. A 30-year-old male had fallen from a tree 12 weeks back. Patient presented with cervical myelopathy and restricted neck movements. Radiographs and computed tomography (CT scan revealed fracture of pars interarticularis of axis with Grade III C2-C3 spondylolisthesis with localized kyphosis of 33°. Gentle reduction under general anesthesia (GA failed to improve the alignment. Patient was operated in three stages in a single setting. In Stage I, release of contracted anterior structures and C2-C3 discectomy was done in supine position followed by C2-C3 posterior fixation and fusion in Stage II. C2-C3 interbody bone grafting and anterior plating completed the third stage. C2-C3 interbody fusion was seen at 5 months and a CT scan at 18 months postoperative confirmed fusion and maintenance of alignment. The satisfactory outcome in our patient leads us to believe that anterior-posterior-anterior is the appropriate surgical approach for treatment of such patients.

  20. Pipkin Fractures: Fracture of the Head of Femur A Case Report ...

    African Journals Online (AJOL)

    Pipkin fracture is the fracture of the head of the femur. It can be associated with neck of femur fracture or / and posterior dislocation of the hip. This fracture is very rare fracture and has not been reported at our sub- region. We present this fracture in a 26 year old with a type I Pipkin fracture treated with closed reduction and ...

  1. Physical Activity and Hip Fracture Disability: A Review (United States)

    Marks, Ray


    Objective. The present paper examines pertinent literature sources published in the peer-reviewed English language between 1980 and November 1, 2010 concerning hip fractures. The aim was to highlight potential intervention points to offset the risk of incurring a hip fracture and its attendant disability. Methods. An in-depth search of the literature using the key terms: disability, epidemiology, hip fracture, prevention, and risk factors was conducted, along with data from the author's research base detailing the disability associated with selected hip fracture cases. All articles that dealt with these key topics were reviewed, and relevant data were tabulated and analyzed. Results. Hip fractures remain an important but potentially preventable public health problem. Among the many related remediable risk factors, low physical activity levels are especially important. Related determinants of suboptimal neuromuscular function also contribute significantly to hip fracture disability. Conclusion. Physical activity participation can help to reduce the prevalence and excess disability of hip fractures and should be encouraged. PMID:21584248

  2. A freeze-fracture replication apparatus for biological specimens. (United States)

    Stolinski, C


    A freeze-fracture apparatus of original design has been constructed which can be fitted onto a standard vacuum evaporator unit. In it, cell suspensions and organized tissue may be processed by inserting a sample into a cylindrical holder. By leaving a small part of the tissue protruding from the holder, pre-selected and aligned portions of the specimen can subsequently be revealed by fracture under vacuum. After rapid freezing, the specimen remains firmly attached to the inner wall of the sample holder, preventing its possible loss during fracturing. A mechanism, in the form of a double-sided converging wedge, which is operated from outside the vacuum chamber, is used to produce a fracture in the specimen. The device gently induces a fracture in the desired part of the tissue and lifts the protruding part of the specimen out of the way. In this way, reasonably flat fracture faces are produced for subsequent replication. As the fracturing mechanism comes into contact only with the outer edges of the specimen, damage and contamination liable to occur when the entire specimen is traversed by a blade, is avoided. In addition the specimen stage is surrounded by a cold metal shroud which acts as an efficient trap for contaminants. In this way, favourable vacuum conditions are produced in the vicinity of the specimen. Such effective enclosing of the specimen also facilitates controlled sublimation of the sample.

  3. Understanding hydraulic fracturing: a multi-scale problem (United States)

    Hyman, J. D.; Jiménez-Martínez, J.; Viswanathan, H. S.; Carey, J. W.; Porter, M. L.; Rougier, E.; Karra, S.; Kang, Q.; Frash, L.; Chen, L.; Lei, Z.; O’Malley, D.; Makedonska, N.


    Despite the impact that hydraulic fracturing has had on the energy sector, the physical mechanisms that control its efficiency and environmental impacts remain poorly understood in part because the length scales involved range from nanometres to kilometres. We characterize flow and transport in shale formations across and between these scales using integrated computational, theoretical and experimental efforts/methods. At the field scale, we use discrete fracture network modelling to simulate production of a hydraulically fractured well from a fracture network that is based on the site characterization of a shale gas reservoir. At the core scale, we use triaxial fracture experiments and a finite-discrete element model to study dynamic fracture/crack propagation in low permeability shale. We use lattice Boltzmann pore-scale simulations and microfluidic experiments in both synthetic and shale rock micromodels to study pore-scale flow and transport phenomena, including multi-phase flow and fluids mixing. A mechanistic description and integration of these multiple scales is required for accurate predictions of production and the eventual optimization of hydrocarbon extraction from unconventional reservoirs. Finally, we discuss the potential of CO2 as an alternative working fluid, both in fracturing and re-stimulating activities, beyond its environmental advantages. This article is part of the themed issue ‘Energy and the subsurface’. PMID:27597789

  4. Mandibular Ramus Fracture: An Overview of Rare Anatomical Subsite

    Directory of Open Access Journals (Sweden)

    Anendd Jadhav


    Full Text Available Aim. The present study aims at exemplifying the incidence, and aetiology and analyses the outcomes of open reduction internal fixation (ORIF over closed treatment of mandibular ramus fractures. Patients and Method. In the present retrospective analysis of mandibular fracture patients, variables analysed were age, sex, cause of injury, pretreatment occlusion, treatment given, period of maxillo-mandibular fixation (MMF, and posttreatment occlusion. Results. Out of 388 mandibular fractures treated, ramus fractures were 12 (3.09%. In the present study, predominant cause of mandibular ramus fracture was road traffic accident (RTA n = 07 (58.33% followed by fall n = 04 (33.33% and assault n = 1 (8.33%. The average age was 35.9 years with a male predilection. Of these, 9 patients were treated with ORIF while remaining 3 with closed treatment. The average MMF after closed treatment was 21 days and 3 to 5 days after ORIF. There was improvement in occlusion in all 12 patients posttreatment with no major complication except for reduced mouth opening in cases treated with ORIF which recovered with physiotherapy and muscle relaxants. Conclusion. Mandibular ramus fractures accounted for 3.09% with RTA as a common aetiology. ORIF of ramus fractures facilitated adequate functional and anatomic reduction with early return of function.

  5. [Modern implant design for the osteosynthesis of osteoporotic bone fractures]. (United States)

    Augat, P; Bühren, V


    Osteoporosis is characterized by a reduction of bone mass and changes in bone micro-architecture. The resulting reduction in bone strength leads to the well recognized increase in the risk of fracture, particularly at the radius, hip, and spine. The treatment of osteoporotic fractures is challenged by the reduced mechanical capacity of osteoporotic bone, reflected in reduced holding power and increased fragility. The aim of successful fracture treatment in individuals with osteoporosis is early fixation of the fracture with immediate and almost unrestricted weight-bearing capacity. The key factor for effective fracture treatment is strict adherence to the basic principles of stable fracture fixation: reposition, compression, long, wide supports, as well as additive techniques such as angular stability and bone augmentation. Modern osteosynthesis implants effectively support the application of these principles. Modifications in implant design and techniques enable the surgeon to apply and combine the essential components of the basic principles for the treatment of mechanically impaired bone. The key components employed in modern implants include integrated compression techniques, multidirectional angular stability, expandable support surfaces, as well as multiple augmentation options. However, despite modern implant technology, osteoporotic bone fractures remain a significant challenge for the orthopaedic surgeon and require meticulous planning and implementation of the basic principles.

  6. A study of reactor vessel integrity assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Hoon [Korea Institute of Nuclear Safety, Taejon (Korea, Republic of); Kim, Jong Kyung; Shin, Chang Ho; Seo, Bo Kyun [Hanyang Univ., Seoul (Korea, Republic of)


    The fast neutron fluence at the Reactor Pressure Vessel(RPV) of KNGR designed for 60 years lifetime was calculated by full-scope Monte Carlo simulation for reactor vessel integrity assessment. KNGR core geometry was modeled on a three-dimensional representation of the one-sixteenth of the reactor in-vessel component. Each fuel assemblies were modeled explicitly, and each fuel pins were axially divided into 5 segments. The maximum flux of 4.3 x 10{sup 10} neutrons/cm{sup 2}. sec at the RPV was obtained by tallying neutrons crossing the beltline of inner surface of the RPV.

  7. Correlation of hip fracture with other fracture types: Toward a rational composite hip fracture endpoint. (United States)

    Colón-Emeric, Cathleen; Pieper, Carl F; Grubber, Janet; Van Scoyoc, Lynn; Schnell, Merritt L; Van Houtven, Courtney Harold; Pearson, Megan; Lafleur, Joanne; Lyles, Kenneth W; Adler, Robert A


    With ethical requirements to the enrollment of lower risk subjects, osteoporosis trials are underpowered to detect reduction in hip fractures. Different skeletal sites have different levels of fracture risk and response to treatment. We sought to identify fracture sites which cluster with hip fracture at higher than expected frequency; if these sites respond to treatment similarly, then a composite fracture endpoint could provide a better estimate of hip fracture reduction. Cohort study using Veterans Affairs and Medicare administrative data. Male Veterans (n=5,036,536) aged 50-99 years receiving VA primary care between 1999 and 2009 were included. Fractures were ascertained using ICD9 and CPT codes and classified by skeletal site. Pearson correlation coefficients, logistic regression and kappa statistics were used to describe the correlation between each fracture type and hip fracture within individuals, without regard to the timing of the events. 595,579 (11.8%) men suffered 1 or more fractures and 179,597 (3.6%) suffered 2 or more fractures during the time under study. Of those with one or more fractures, the rib was the most common site (29%), followed by spine (22%), hip (21%) and femur (20%). The fracture types most highly correlated with hip fracture were pelvic/acetabular (Pearson correlation coefficient 0.25, pfractures cluster with hip fractures within individuals at greater than expected frequency. If we observe similar treatment risk reductions within that cluster, subsequent trials could consider the use of a composite endpoint to better estimate hip fracture risk. Published by Elsevier Inc.

  8. Development of advanced manufacturing technologies for low cost hydrogen storage vessels

    Energy Technology Data Exchange (ETDEWEB)

    Leavitt, Mark [Quantum Fuel Systems Technologies Worldwide, Inc., Irvine, CA (United States); Lam, Patrick [Boeing Research and Technology (BR& T), Seattle, WA (United States)


    baseline all filament wound vessel. Due to project timing, there was no additional time available to fine tune the design to improve the load transfer between AFP and FW. Further design modifications will likely help pass the extreme temperature cycle test, the remaining test that is critical to the hybrid design.

  9. Patterns and perspectives in applied fracture mechanics

    Energy Technology Data Exchange (ETDEWEB)

    Merkle, J.G.


    This lecture begins with a overview of applied fracture mechanics pertinent to safety of pressure vessels. It then progresses to a chronological panorama of experimental and analytical results. To be useful and dependable in safety analysis of real structures, new analysis developments must be physically realistic, which means that they must accurately describe physical cause and effect. Consequently, before mathematical modeling can begin, cause and effect must be established from experimental data. This can be difficult and time consuming, but worth the effort. Accordingly, the theme of this paper is that the search for patterns is constant and vital. This theme is illustrated by the development of small, single-specimen, fracture toughness testing techniques. It is also illustrated by the development, based on two different published large-strain, elastic-plastic, three-dimensional finite-element analyses, of a hypothesis concerning three-dimensional loss of constraint. When a generalization of Irwin`s thickness-normalized plastic-zone parameter, reaches a value close to 2{pi}, the through-thickness contraction strain at the apex of the near-tip logarithmic-spiral slip-line region becomes the dominant negative strain accommodating crack opening. Because slip lines passing from the midplane to the stress-free side surfaces do not have to curve, once these slip lines are established, stresses near the crack tip are only elevated by strain hardening and constraint becomes significantly relaxed. This hypothesis, based on published three-dimensional elastic-plastic analyses, provides a potentially valuable means for gaining additional insight into constraint effects on fracture toughness by considering the roles played by the plastic strains as well as the stresses that develop near a crack tip.

  10. Treatment of an open distal tibia fracture with segmental bone loss in combination with a closed proximal tibia fracture: a case report. (United States)

    Park, Jin; Yang, Kyu Hyun


    The treatment of open distal tibia fractures remains challenging, particularly when the fracture is infected and involves segmental bone loss. We report the case of a 38-year-old man who sustained an open distal tibiofibular fracture with segmental bone loss and a closed proximal tibial fracture. The fractures were initially fixed with a temporary external fixator. The open distal tibial fracture was infected, and the skin was covered after the wound became culture negative. The tibia was then internally transported with a ring external fixator; the closed fracture of the proximal tibia served as the corticotomy for internal transport without conventional corticotomy. After 5 cm internal transport, the docking site of the distal tibia was fixed with a locking plate and autogenous cancellous bone graft. Bone graft was also used to the distal tibiofibular space to achieve distal tibiofibular synostosis. We describe one treatment option for an infected open fracture of the distal tibia with segmental bone loss that is accompanied by a closed fracture of the proximal tibia. This method can treat two fractures simultaneously.


    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, William M.; Riley, Matthew E.; Spencer, Benjamin W.


    In nuclear light water reactors (LWRs), the reactor coolant, core and shroud are contained within a massive, thick walled steel vessel known as a reactor pressure vessel (RPV). Given the tremendous size of these structures, RPVs typically contain a large population of pre-existing flaws introduced in the manufacturing process. After many years of operation, irradiation-induced embrittlement makes these vessels increasingly susceptible to fracture initiation at the locations of the pre-existing flaws. Because of the uncertainty in the loading conditions, flaw characteristics and material properties, probabilistic methods are widely accepted and used in assessing RPV integrity. The Fracture Analysis of Vessels – Oak Ridge (FAVOR) computer program developed by researchers at Oak Ridge National Laboratory is widely used for this purpose. This program can be used in order to perform deterministic and probabilistic risk-informed analyses of the structural integrity of an RPV subjected to a range of thermal-hydraulic events. FAVOR uses a one-dimensional representation of the global response of the RPV, which is appropriate for the beltline region, which experiences the most embrittlement, and employs an influence coefficient technique to rapidly compute stress intensity factors for axis-aligned surface-breaking flaws. The Grizzly code is currently under development at Idaho National Laboratory (INL) to be used as a general multiphysics simulation tool to study a variety of degradation mechanisms in nuclear power plant components. The first application of Grizzly has been to study fracture in embrittled RPVs. Grizzly can be used to model the thermo-mechanical response of an RPV under transient conditions observed in a pressurized thermal shock (PTS) scenario. The global response of the vessel provides boundary conditions for local 3D models of the material in the vicinity of a flaw. Fracture domain integrals are computed to obtain stress intensity factors, which can in

  12. Temporal trends in fracture rates and postdischarge outcomes among hemodialysis patients. (United States)

    Beaubrun, Anne C; Kilpatrick, Ryan D; Freburger, Janet K; Bradbury, Brian D; Wang, Lily; Brookhart, M Alan


    Patients with ESRD have a substantially increased risk of bone fractures, but the burden of fractures has not been sufficiently characterized in this population. Here, we analyzed fracture rates and postdischarge outcomes using Medicare data from hemodialysis patients in the United States between 2000 and 2009. We assessed adjusted quarterly fracture rates (inpatient and outpatient) and consequences of postfracture hospitalization for seven categories of fracture location. Pelvis/hip, vertebral, and lower leg fractures were the most prevalent fracture types. Pelvis/hip fractures declined slightly from 29.6 to 20.6 per 1000 patient-years between early 2000 and late 2009, but the incidence rates for all other fracture types remained relatively constant. Median lengths of stay for the primary fracture hospitalization ranged from 5 days (interquartile range [IQR], 3-9 days) for forearm/wrist fractures to 8 days (IQR, 5-12 days) for femur fractures. The proportion of patients discharged from the primary hospitalization to a skilled-nursing facility ranged from 28% (ribs/sternum) to 47% (pelvis/hip). A negative binomial regression model suggested that patients had an adjusted mean of 3.8-5.2 additional hospitalizations during the year after discharge from the index hospitalization, varying by fracture type, comprising a mean of 33-52 inpatient days. Case-mix-adjusted mortality rates after discharge ranged from 0.43 to 0.91 per patient-year and were highest for vertebral, pelvis/hip, and femur fractures. In conclusion, fractures in the dialysis population are common and are associated with a substantially increased risk for death and hospitalization.


    Directory of Open Access Journals (Sweden)

    Đivo Ban


    Full Text Available Children and adolescents today, all before starting with regular sports activities and involvement in semi-professional and top professional sport, so it increases the num- ber of discovered stress fractures in this age. This type of injury can occur as a consequence of action one strong force, or the many repeated small force strength, to be exact, when the load (stress transcend ability reparations bones. Stress fractures are recorded and described up to the lower limbs. Research has been confirmed that the bones of lower leg are mostly made in injury, and with the el- derly and with the population of children and young adolescents. Occur in many sports, something to them is greater when the frequency of running and often are present in the female population. According to the results of numerous investigations, mistakes in the training are the most common cause of the emergence of stress fracture. In a direct comparison with complemented these injuries is the condition of muscles, so it is important that at the sa- me time carry out exercises strengthen muscles and stretching. Typical clinical signs of stress fractures are localized painful sensitivity to palpa- tion and runoff in a small number of cases. The basic diagnostic procedure is a medical check, it is the small, radiology and scintigraphyc diagnostics (most accurate and mag- netic resonance imaging. Treatment is usually without surgery and conservative, with rest and reducing stress, and its activity athlete breaks mainly between four and eight weeks. Only the very need surgical treatment The most important thing is that attention is focused on the proper prevention and to take all that it ever occurred to stress fractures that athletes ramble of the courts and the competition (better education of sports workers, separation of groups with increa- sed risk of the formation of an injury, adaptation activities age and abilities of athletes, adequate sports equipment, high-quality sports

  14. A scale-space curvature matching algorithm for the reconstruction of complex proximal humeral fractures. (United States)

    Vlachopoulos, Lazaros; Székely, Gábor; Gerber, Christian; Fürnstahl, Philipp


    The optimal surgical treatment of complex fractures of the proximal humerus is controversial. It is proven that best results are obtained if an anatomical reduction of the fragments is achieved and, therefore, computer-assisted methods have been proposed for the reconstruction of the fractures. However, complex fractures of the proximal humerus are commonly accompanied with a relevant displacement of the fragments and, therefore, algorithms relying on the initial position of the fragments might fail. The state-of-the-art algorithm for complex fractures of the proximal humerus requires the acquisition of a CT scan of the (healthy) contralateral anatomy as a reconstruction template to address the displacement of the fragments. Pose-invariant fracture line based reconstruction algorithms have been applied successful for reassembling broken vessels in archaeology. Nevertheless, the extraction of the fracture lines and the necessary computation of their curvature are susceptible to noise and make the application of previous approaches difficult or even impossible for bone fractures close to the joints, where the cortical layer is thin. We present a novel scale-space representation of the curvature, permitting to calculate the correct alignment between bone fragments solely based on corresponding regions of the fracture lines. The fractures of the proximal humerus are automatically reconstructed based on iterative pairwise reduction of the fragments. The validation of the presented method was performed on twelve clinical cases, surgically treated after complex proximal humeral fracture, and by cadaver experiments. The accuracy of our approach was compared to the state-of-the-art algorithm for complex fractures of the proximal humerus. All reconstructions of the clinical cases resulted in an accurate approximation of the pre-traumatic anatomy. The accuracy of the reconstructed cadaver cases outperformed the current state-of-the-art algorithm. Copyright © 2017 Elsevier B

  15. Surgical Management of Patellar Fractures. (United States)

    Kakazu, Rafael; Archdeacon, Michael T


    The patella plays a crucial role in the extensor mechanism to increase the mechanical advantage of the quadriceps. Fractures can be classified based on displacement, comminution, and fracture pattern, which often guide treatment. Modern treatment options include internal fixation using tension bands with Kirschner wires or cannulated screws, lag screw fixation, partial patellectomy, and rarely total patellectomy. Nondisplaced, closed patellar fractures or fractures with less than 2-mm articular steps can be successfully treated conservatively. Open fractures, articular step of 2 mm or greater, and loss of knee extension are indications for surgical intervention. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Fracture Phenomena in Amorphous Selenium

    DEFF Research Database (Denmark)

    Lindegaard-Andersen, Asger; Dahle, Birgit


    Fracture surfaces of amorphous selenium broken in flexure at room temperature have been studied. The fracture velocity was found to vary in different regions of the fracture surface. Peculiar features were observed in a transition zone between fast and slower fracture. In this zone cleavage steps...... with a nearly constant spacing of approximately 1 µ were found. Occasionally long cleavage whiskers—up to some millimeters long—were observed. Within certain regions the cleavage steps were crossed and interrupted by two line systems. The maximum fracture velocity has been measured to 350 m/sec. Further...


    Energy Technology Data Exchange (ETDEWEB)

    Mukul M. Sharma


    The primary objective of this research was to improve completion and fracturing practices in gas reservoirs in marginal plays in the continental United States. The Bossier Play in East Texas, a very active tight gas play, was chosen as the site to develop and test the new strategies for completion and fracturing. Figure 1 provides a general location map for the Dowdy Ranch Field, where the wells involved in this study are located. The Bossier and other tight gas formations in the continental Unites States are marginal plays in that they become uneconomical at gas prices below $2.00 MCF. It was, therefore, imperative that completion and fracturing practices be optimized so that these gas wells remain economically attractive. The economic viability of this play is strongly dependent on the cost and effectiveness of the hydraulic fracturing used in its well completions. Water-fracs consisting of proppant pumped with un-gelled fluid is the type of stimulation used in many low permeability reservoirs in East Texas and throughout the United States. The use of low viscosity Newtonian fluids allows the creation of long narrow fractures in the reservoir, without the excessive height growth that is often seen with cross-linked fluids. These low viscosity fluids have poor proppant transport properties. Pressure transient tests run on several wells that have been water-fractured indicate a long effective fracture length with very low fracture conductivity even when large amounts of proppant are placed in the formation. A modification to the water-frac stimulation design was needed to transport proppant farther out into the fracture. This requires suspending the proppant until the fracture closes without generating excessive fracture height. A review of fracture diagnostic data collected from various wells in different areas (for conventional gel and water-fracs) suggests that effective propped lengths for the fracture treatments are sometimes significantly shorter than those

  18. The impact of in-situ stress and outcrop-based fracture geometry on hydraulic aperture and upscaled permeability in fractured reservoirs

    DEFF Research Database (Denmark)

    Bisdom, Kevin; Bertotti, Giovanni; Nick, Hamid


    and permeability, where hydraulic opening is maximum for an angle of 15°. At this angle, the fracture experiences a minor amount of shear displacement that allows the fracture to remain open even when fluid pressure is lower than the local normal stress. Averaging the heterogeneous aperture to scale up......Aperture has a controlling impact on porosity and permeability and is a source of uncertainty in modeling of naturally fractured reservoirs. This uncertainty results from difficulties in accurately quantifying aperture in the subsurface and from a limited fundamental understanding of the mechanical...... and diagenetic processes that control aperture. In the absence of cement bridges and high pore pressure, fractures in the subsurface are generally considered to be closed. However, experimental work, outcrop analyses and subsurface data show that some fractures remain open, and that aperture varies even along...

  19. Study of fluid dynamics reveals direct communications between lymphatic vessels and venous blood vessels at lymph nodes of mice. (United States)

    Takeda, Kazu; Mori, Shiro; Kodama, Tetsuya


    Cancer cells metastasize to lymph nodes, with distant metastasis resulting in poor prognosis. The role of lymph node metastasis (LNM) in the spread of cancer to distant organs remain incompletely characterized. The visualization of flow dynamics in the lymphatic and blood vessels of MXH10/Mo-lpr/lpr mice, which develop systemic swelling of lymph nodes up to 10mm in diameter, has revealed that lymph nodes have the potential to be a direct source of systemic metastasis. However, it is not known whether these fluid dynamics characteristics are universal phenomena present in other strains of laboratory mice. Here we show that the fluid dynamics observed in MXH10/Mo-lpr/lpr mice are the same as those observed in C57BL/6J, BALB/cAJcl and NOD/ShiJic-scidJcl mice. Furthermore, when fluorescent solution was injected into a tumor-bearing lymph node, the flow dynamics observed in the efferent lymphatic vessels and thoracoepigastric vein depended on the type of tumor cell. Our results indicate that fluid dynamics in the lymphatic and blood vessels of MXH10/Mo-lpr/lpr mice are generalized phenomena seen in conventional laboratory mice. We anticipate our results can facilitate studies of the progression of lymphatic metastasis to hematogenous metastasis via lymph nodes and the early diagnosis and treatment of LNM. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. [Osteoporotic fractures of the pelvis]. (United States)

    Böhme, J; Höch, A; Josten, C


    The incidence of osteoporotic pelvic fractures is rapidly increasing. Following low energy trauma fractures are frequently classified as pelvic girdle fractures. Based on the pelvic expert group database of the German Trauma Society the estimated rate of osteoporotic pelvic ring fractures is about 51%. In cases of fractured pubic rami standard X-ray in anterior-posterior, inlet and outlet views should be carried out by computed tomography (CT) scanning to identify fractures of the sacrum. Only if pain persists and no fracture is evident with CT is magnetic resonance imaging (MRI) indicated. Therapy should be carried out under biomechanical instability aspects. Pubic rami fractures are stable and treated conservatively with sufficient pain medication, thromboembolic prophylaxis and physiotherapy. In cases of persisting pain or biomechanical instability operative treatment is indicated and stabilization methods should be chosen under biomechanical aspects. Therefore external fixator for pubic rami fractures and iliosacral screws, optionally with cement augmentation for posterior pelvic girdle fractures are the preferred techniques. Sacral fractures with severe osteolysis should be stabilized by lumbopelvic fixation techniques.