68 research outputs found
A study of the hood inlet and its possible use as an overflow structure for a sanitary lagoon
A closed conduit, such as an overflow pipe for a conservation pond or a sanitary lagoon, will not flow full if laid on a slope that is hydraulically steep unless the pipe entrance receives special attention. A steep conduit slope is necessary to insure that the pipe entrance controls flow.
The recently introduced hood inlet will permit the closed conduit to flow full, even if on a hydraulically steep slope, upon a slight submergence of the inlet crown. The hood inlet is formed by cutting the pipe at an angle so that the crown of the inlet projects beyond the invert.
In this study, optimum hood length and entrance loss coefficients are determined for the hood inlet. The effects on pipe flow of conduit slope and vortex action are presented. As a further development of the hood inlet, initial investigations are made on a surface flow excluder for use as an overflow structure for sanitary lagoons --Abstract, page 2
Technique to Improve Cement Penetration in Total Knee Arthroplasty
In total knee arthroplasty, infection has always been cited as being the number one cause of failure. However, more recent studies have shown aseptic loosening as the top reason for failure now. Proper cement technique is an important factor in reducing the occurrence of aseptic loosening. Clean and dried bone are important in achieving rigid cement fixation. Subchondral cysts may be hidden below the cut bone surface and may interfere with cement interdigitation. During a recent total knee arthroplasty case, a simple technique was developed for identifying and clearing out these cysts. By only using the suction tip, the gentle sweeping of the cut-surface will excavate hidden subchondral cysts allowing for improved cement interdigitation
Technique to Improve Cement Penetration in Total Knee Arthroplasty
In total knee arthroplasty, infection has always been cited as being the number one cause of failure. However, more recent studies have shown aseptic loosening as the top reason for failure now. Proper cement technique is an important factor in reducing the occurrence of aseptic loosening. Clean and dried bone are important in achieving rigid cement fixation. Subchondral cysts may be hidden below the cut bone surface and may interfere with cement interdigitation. During a recent total knee arthroplasty case, a simple technique was developed for identifying and clearing out these cysts. By only using the suction tip, the gentle sweeping of the cut-surface will excavate hidden subchondral cysts allowing for improved cement interdigitation
Trauma Team Activation for Geriatric Trauma at a Level II Trauma Center: Are the Elderly Under-triaged?
Abstract
Geriatric patients often sustain life-threatening injuries from minor trauma. A growing body of research suggests that these patients are often under-triaged in the emergency setting.The purpose of this research was to evaluate whether or not geriatric trauma patients are under-triaged at a community based level II trauma center.
1434 trauma patients over the age of 65 presenting from 2010-2015 were retrospectively reviewed from the Cabell Huntington Hospital trauma registry and analyzed for age, gender, arrival type, ED response, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), injury cause, ICD-9 diagnosis codes, and mortality. Under-triage and over-triage rates were determined using the Cribari method (under-triage = ISS ≥ 16 without full trauma team activation [TTA]; Over-triage = ISS ≤ 15 with full TTA).
The under-triage rate was 9.5% (132/1393) with the majority of under-triaged patients having head trauma (n=423). There were 371 head trauma patients with a recorded GCS and analysis shows those with a GCS ≥ 13 had a 1.2% mortality risk (n=326; ISS 10.2), but that risk drastically increases to 60% with GSC ≤ 12 (n=45; ISS 21.5). Of the 45 patients with GSC ≤ 12, only 4% had priority 1 TTA using the current protocol (2/45).
The American College of Surgeons-Committee of Trauma (ACS-COT) recommends an acceptable under-triage rate of \u3c 5%. In order to improve geriatric care and reduce under-triage rates, we recommend that an age-based criteria be added to our TTA protocol at our community based Level II trauma center: priority 1 TTA for all patients 65 years or older sustaining head trauma with a GCS ≤ 12 or suspicion of intracranial hemorrhage
Measuring the Higgs boson's parity using tau --> rho nu
We present a very promising method for a measurement of the Higgs boson
parity using the H/A -> tau^+ tau^- --> rho^+ nu rho^- nu --> pi^+ pi^0 nu pi^-
pi^0 nu decay chain. The method is both model independent and independent of
the Higgs production mechanism. Angular distributions of the tau decay products
which are sensitive to the Higgs boson parity are defined and are found to be
measurable using typical properties of a future detector for an e^+ e^- linear
collider. The prospects for the measurement of the parity of a Higgs boson with
a mass of 120 GeV are quantified for the case of e^+ e^- collisons of 500 GeV
center of mass energy with an integrated luminosity of 500 fb^-1. The Standard
Model Higgsstrahlung production process is used as an example.Comment: 10 pages, 4 figures, LaTeX, version of Phys. Lett.
Physiological properties of astroglial cell lines derived from mice with high (SAMP8) and low (SAMR1, ICR) levels of endogenous retrovirus
Previous studies have reported that various inbred SAM mouse strains differ markedly with regard to a variety of parameters, such as capacity for learning and memory, life spans and brain histopathology. A potential cause of differences seen in these strains may be based on the fact that some strains have a high concentration of infectious murine leukemia virus (MuLV) in the brain, whereas other strains have little or no virus. To elucidate the effect of a higher titer of endogenous retrovirus in astroglial cells of the brain, we established astroglial cell lines from SAMR1 and SAMP8 mice, which are, respectively, resistant and prone to deficit in learning and memory and shortened life span. MuLV-negative astroglial cell lines established from ICR mice served as controls. Comparison of these cell lines showed differences in: 1) levels of the capsid antigen CAgag in both cell lysates and culture media, 2) expression of genomic retroelements, 3) the number of virus particles, 4) titer of infectious virus, 5) morphology, 6) replication rate of cells in culture and final cell concentrations, 7) expression pattern of proinflammatory cytokine genes. The results show that the expression of MuLV is much higher in SAMP8 than SAMR1 astrocyte cultures and that there are physiological differences in astroglia from the 2 strains. These results raise the possibility that the distinct physiological differences between SAMP8 and SAMR1 are a function of activation of endogenous retrovirus
A sampling study of blood pressure levels in White and Negro residents of Nassau, Bahamas
Results of a study of blood pressure levels in Negro and white residents of Nassau, Bahamas, have been presented. Persons for study were selected by means of probability sample design. The purpose of the study was to describe as accurately as possible the differing patterns of blood pressure with regard to race, age, and sex. The site was selected because of the opportunity to study the two races in a somewhat different environment and perhaps mode of life than previously reported by others. Also, the water supply of the area is known to be high in salt.The following facts were disclosed: 1. 1. A definite racial difference is seen. The pattern of progression of blood pressure with age is almost linear in the Negro. The white race, however, shows a flattening or "plateau" effect from the time adult ages are reached until middle life, when mean blood pressure again tends to rise. This is seen in the means of both systolic and diastolic pressure, but most noticeably in regard to the systolic.2. 2. Sex differences are shown. Women of both races have lower mean systolic pressures during the reproductive years than men of their race. Negro men have slightly but consistently higher mean diastolic pressures than women almost throughout life.3. 3. Comparison with population studies elsewhere leads to the conclusion that Bahamian Negroes resemble Negroes elsewhere in the Western Hemisphere and Bahamian white persons resemble white people in other geographic locations in regard to blood pressure. A particularly provocative comparison is that of Bahamian Negroes with Negroes in St. Kitts (Leeward Islands),8 since blood pressure patterns appear similar, despite high salt intake in the Bahamas and low salt intake in St. Kitts.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/32390/1/0000465.pd
Assessing the Cost of Global Biodiversity and Conservation Knowledge
Knowledge products comprise assessments of authoritative information supported by standards, governance, quality control, data, tools, and capacity building mechanisms. Considerable resources are dedicated to developing and maintaining knowledge products for biodiversity conservation, and they are widely used to inform policy and advise decision makers and practitioners. However, the financial cost of delivering this information is largely undocumented. We evaluated the costs and funding sources for developing and maintaining four global biodiversity and conservation knowledge products: The IUCN Red List of Threatened Species, the IUCN Red List of Ecosystems, Protected Planet, and the World Database of Key Biodiversity Areas. These are secondary data sets, built on primary data collected by extensive networks of expert contributors worldwide. We estimate that US116–204 million), plus 293 person-years of volunteer time (range: 278–308 person-years) valued at US12–16 million), were invested in these four knowledge products between 1979 and 2013. More than half of this financing was provided through philanthropy, and nearly three-quarters was spent on personnel costs. The estimated annual cost of maintaining data and platforms for three of these knowledge products (excluding the IUCN Red List of Ecosystems for which annual costs were not possible to estimate for 2013) is US6.2–6.7 million). We estimated that an additional US12 million. These costs are much lower than those to maintain many other, similarly important, global knowledge products. Ensuring that biodiversity and conservation knowledge products are sufficiently up to date, comprehensive and accurate is fundamental to inform decision-making for biodiversity conservation and sustainable development. Thus, the development and implementation of plans for sustainable long-term financing for them is critical
Trauma Team Activation for Geriatric Trauma at a Level II Trauma Center: Are the Elderly Under-triaged?
Geriatric patients often sustain life-threatening injuries from minor trauma. A growing body of research suggests that these patients are often under-triaged in the emergency setting.The purpose of this research was to evaluate whether or not geriatric trauma patients are under-triaged at a community based level II trauma center.
1434 trauma patients over the age of 65 presenting from 2010-2015 were retrospectively reviewed from the Cabell Huntington Hospital trauma registry and analyzed for age, gender, arrival type, ED response, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), injury cause, ICD-9 diagnosis codes, and mortality. Under-triage and over-triage rates were determined using the Cribari method (under-triage = ISS ≥ 16 without full trauma team activation [TTA]; Over-triage = ISS ≤ 15 with full TTA).
The under-triage rate was 9.5% (132/1393) with the majority of under-triaged patients having head trauma (n=423). There were 371 head trauma patients with a recorded GCS and analysis shows those with a GCS ≥ 13 had a 1.2% mortality risk (n=326; ISS 10.2), but that risk drastically increases to 60% with GSC ≤ 12 (n=45; ISS 21.5). Of the 45 patients with GSC ≤ 12, only 4% had priority 1 TTA using the current protocol (2/45).
The American College of Surgeons-Committee of Trauma (ACS-COT) recommends an acceptable under-triage rate of < 5%. In order to improve geriatric care and reduce under-triage rates, we recommend that an age-based criteria be added to our TTA protocol at our community based Level II trauma center: priority 1 TTA for all patients 65 years or older sustaining head trauma with a GCS ≤ 12 or suspicion of intracranial hemorrhage
Assessing the cost of global biodiversity and conservation knowledge
Knowledge products comprise assessments of authoritative information supported by stan-dards, governance, quality control, data, tools, and capacity building mechanisms. Considerable resources are dedicated to developing and maintaining knowledge productsfor biodiversity conservation, and they are widely used to inform policy and advise decisionmakers and practitioners. However, the financial cost of delivering this information is largelyundocumented. We evaluated the costs and funding sources for developing and maintain-ing four global biodiversity and conservation knowledge products: The IUCN Red List ofThreatened Species, the IUCN Red List of Ecosystems, Protected Planet, and the WorldDatabase of Key Biodiversity Areas. These are secondary data sets, built on primary datacollected by extensive networks of expert contributors worldwide. We estimate that US116–204 million), plus 293 person-years of volunteer time (range: 278–308 person-years) valued at US12–16 million), were invested inthese four knowledge products between 1979 and 2013. More than half of this financingwas provided through philanthropy, and nearly three-quarters was spent on personnelcosts. The estimated annual cost of maintaining data and platforms for three of these knowl-edge products (excluding the IUCN Red List of Ecosystems for which annual costs were notpossible to estimate for 2013) is US6.2–6.7 million). We esti-mated that an additional US12 million. These costs are much lower than those tomaintain many other, similarly important, global knowledge products. Ensuring that biodi-versity and conservation knowledge products are sufficiently up to date, comprehensiveand accurate is fundamental to inform decision-making for biodiversity conservation andsustainable development. Thus, the development and implementation of plans for sustain-able long-term financing for them is critical
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