First Aid in Common Injuries and Accidents

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Self-machinery?: steel trusses and the management of ruptures in eighteenth-century Europe

Abstract: Effectiveness Of Rice Husk Ash And Poly Aluminum Chloride In Reducing Exposure Colour Liquid Waste Industry Sasirangan. Sasirangan fabric industry is the textile of industry in Kalimantan Selatan produce wastewater of dyeing cloth sasirangan process that uses water as a primary adjuvant in stage process.The study aims to determine the effectiveness of rice husk ash and Poly Aluminium Chloridereduce levels of dyes in wastewater sasirangan "Oriens Handycraft". This study tested a laboratory scale with dose variation of rice husk ash and Poly Aluminium Chloride for reduced levels of dyes in wastewater sasirangan. The study design is a randomized pretest - posttest control group design. The population of the waste liquid fabric manufacturesasirangan results and samples are the waste from the manufacture of cloth sasirangan which represents the population. This study conduct statistical tests usingKruskal Wallis and Mann-Whitney Test.Theresultsofthestudyof color levels priorto treatment equal to 2,712 PtCo and after treatment ranges from 676.3 to 978.7 PtCo at a dose of 58 grams of rice husk ash; 59 g; 60 g; 61 g; 62 gr and Poly Aluminium Chloride 0.5 gr. For a dose of 58 grams of rice husk ash; 59 g; 60 g; 61 g; 62 gr and Poly Aluminium Chloride 1 g of color levels before treatment and after PtCo 1775 amounted to 227.7 PtCo ranges up to 240 PtCo. Rice husk ash and Poly Aluminium Chloride effective at pH 6.5 - 7. Results of normality test showed abnormal data. Kruskal Wallis test probability value 0.002 <0.05, there is a difference between the average dosing in the control group and the treatment group and the Mann-Whitney Test probability value of 0.009 (0.018 <0.05), the rice husk ash dosing and Poly Aluminium Chloride 1 g more effective than rice husk ash dosing and Poly Aluminium Chloride 0.5 g.Efforts government can do is provide the appropriate policy on effluent quality standards and attention to industrial waste disposal sasirangan. For the industry can manage its waste before waste into the environment. Keywords: SasiranganWaste; Materials coagulant; pH; Dye

Understanding and applying compression therapy

Atkin L, Shirlow

Four layer bandage compared with short stretch bandage for venous leg ulcers: systematic review and meta-analysis of randomised controlled trials with data from individual patients

&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To compare the effectiveness of two types of compression treatment (four layer bandage and short stretch bandage) in people with venous leg ulceration.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Design:&lt;/b&gt; Systematic review and meta-analysis of patient level data.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Data:&lt;/b&gt; sources Electronic databases (the Cochrane Central Register of Controlled Trials, the Cochrane Wounds Group Specialised Register, Medline, Embase, CINAHL, and National Research Register) and reference lists of retrieved articles searched to identify relevant trials and primary investigators. Primary investigators of eligible trials were invited to contribute raw data for re-analysis.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Review:&lt;/b&gt; methods Randomised controlled trials of four layer bandage compared with short stretch bandage in people with venous leg ulceration were eligible for inclusion. The primary outcome for the meta-analysis was time to healing. Cox proportional hazards models were run to compare the methods in terms of time to healing with adjustment for independent predictors of healing. Secondary outcomes included incidence and number of adverse events per patient.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Seven eligible trials were identified (887 patients), and patient level data were retrieved for five (797 patients, 90% of known randomised patients). The four layer bandage was associated with significantly shorter time to healing: hazard ratio (95% confidence interval) from multifactorial model based on five trials was 1.31 (1.09 to 1.58), P=0.005. Larger ulcer area at baseline, more chronic ulceration, and previous ulceration were all independent predictors of delayed healing. Data from two trials showed no evidence of a difference in adverse event profiles between the two bandage types.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Venous leg ulcers in patients treated with four layer bandages heal faster, on average, than those of people treated with the short stretch bandage. Benefits were consistent across patients with differing prognostic profiles.&lt;/p&gt

Bioengineered Textiles and Nonwovens – the convergence of bio-miniaturisation and electroactive conductive polymers for assistive healthcare, portable power and design-led wearable technology

Today, there is an opportunity to bring together creative design activities to exploit the responsive and adaptive ‘smart’ materials that are a result of rapid development in electro, photo active polymers or OFEDs (organic thin film electronic devices), bio-responsive hydrogels, integrated into MEMS/NEMS devices and systems respectively. Some of these integrated systems are summarised in this paper, highlighting their use to create enhanced functionality in textiles, fabrics and non-woven large area thin films. By understanding the characteristics and properties of OFEDs and bio polymers and how they can be transformed into implementable physical forms, innovative products and services can be developed, with wide implications. The paper outlines some of these opportunities and applications, in particular, an ambient living platform, dealing with human centred needs, of people at work, people at home and people at play. The innovative design affords the accelerated development of intelligent materials (interactive, responsive and adaptive) for a new product & service design landscape, encompassing assistive healthcare (smart bandages and digital theranostics), ambient living, renewable energy (organic PV and solar textiles), interactive consumer products, interactive personal & beauty care (e-Scent) and a more intelligent built environment

Secondary bacterial infections of buruli ulcer lesions before and after chemotherapy with streptomycin and rifampicin

Buruli ulcer (BU), caused by Mycobacterium ulcerans is a chronic necrotizing skin disease. It usually starts with a subcutaneous nodule or plaque containing large clusters of extracellular acid-fast bacilli. Surrounding tissue is destroyed by the cytotoxic macrolide toxin mycolactone produced by microcolonies of M. ulcerans. Skin covering the destroyed subcutaneous fat and soft tissue may eventually break down leading to the formation of large ulcers that progress, if untreated, over months and years. Here we have analyzed the bacterial flora of BU lesions of three different groups of patients before, during and after daily treatment with streptomycin and rifampicin for eight weeks (SR8) and determined drug resistance of the bacteria isolated from the lesions. Before SR8 treatment, more than 60% of the examined BU lesions were infected with other bacteria, with Staphylococcus aureus and Pseudomonas aeruginosa being the most prominent ones. During treatment, 65% of all lesions were still infected, mainly with P. aeruginosa. After completion of SR8 treatment, still more than 75% of lesions clinically suspected to be infected were microbiologically confirmed as infected, mainly with P. aeruginosa or Proteus miriabilis. Drug susceptibility tests revealed especially for S. aureus a high frequency of resistance to the first line drugs used in Ghana. Our results show that secondary infection of BU lesions is common. This could lead to delayed healing and should therefore be further investigated

Recyclable Synthesis, Characterization, and Antimicrobial Activity of Chitosan-based Polysaccharide Composite Materials

We have successfully developed a simple and totally recyclable method to synthesize novel, biocompatible, and biodegradable composite materials from cellulose (CEL) and chitosan (CS). In this method, [BMIm+Cl−], an ionic liquid (IL), was used as a green solvent to dissolve and synthesize the [CEL+CS] composites. Since, the IL can be removed from the composites by washing them with water, and recovered by distilling the washed solution, the method is totally recyclable. Spectroscopic and imaging techniques including XRD, FTIR, NIR, and SEM were used to monitor the dissolution, to characterize and to confirm that CEL and CS were successfully regenerated. More importantly, we have successfully demonstrated that [CEL+CS] composite is particularly suited for many applications including antimicrobial property. This is because the composites have combined advantages of their components, namely superior chemical and mechanical stability (from CEL) and bactericide (from CS). Results of tensile strength measurements clearly indicate that adding CEL into CS substantially increase its tensile strength. Up to 5× increase in tensile strength can be achieved by adding 80% of CEL into CS. Results of in vitro antibacterial assays confirm that CS retains its antibacterial property in the composite. More importantly, the composites reported here can inhibit growth of wider range of bacteria than other CS-based materials prepared by conventional methods; that is over 24 h period, the composites substantially inhibited growth of bacteria such as MRSA, VRE, S. aureus, E. coli. These are bacteria that are often found to have the highest morbidity and mortality associated with wound infections. © 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part A, 2013

Case study: obesity, genital oedema and lower limb compression bandaging

The purpose of this article is to present an evidenced based rationale for lymphoedema compression bandaging one aspect of treatment for a patient with complex lower limb lymphoedema. The current health care climate requires treatment decisions to be transparent based on the best available evidence. The challenge faced by community nurses is to formulate treatment plans which incorporate the patients’ preferences and best utilise limited resources provided by clinical environments. The article appraises research in order to formulate a suitable treatment plan and provides discussion and reflection regarding the challenges faced by the nursing profession in achieving evidence based practice. Evidence based practice is beneficial in formulating patient centred and cost effective treatment plans, developing competence is not straightforward, however clinical guidelines can provide much needed guidance

Muscle activity of the stance knee in elite race walkers

The purpose of this study was to compare knee muscle activity in race walkers with different knee extension patterns. Three international athletes walked over two force plates recording at 1000 Hz. Video data were simultaneously recorded at 100 Hz; the digitised data were combined with the force data to calculate net muscle moments and joint powers. EMG testing was carried out on three muscles which cross the knee. The two walkers with legal techniques had similar moment and power patterns, whereas the non-legal walker experienced a longer period of eccentric flexor moment at the beginning of stance, which may have affected his ability to extend his knee correctly. After this, all three athletes experienced a period of isometric contraction at the knee. Achieving correct technique requires both strength endurance exercises and mobility development