Airgun shot wound to the orbit with retention of pellet. Case report and review of the literature

Shot wounds become a growing clinical concern in the civilian setting, due to increasing popularity of air guns among minors. We present a pediatric case of a shot wound to the orbit with sparing of the eyeball and retention of airgun pellet in the retrobulbar space. The pellet was removed 3 months after injury via lateral orbitotomy. Pathophysiology and ballistics of shot wounds are briefly reviewed and current views on the management strategy of shot wounds with retained projectile are discussed

Surgical treatment of neuronal-glial tumors of mesial-basal part of temporal lobe: Long term outcome and control of epilepsy in pediatric patients

Background Neuronal-glial tumors (ganglioglioma and dysembryoplastic neuroepithelial tumor) are a frequent cause of focal, drug-resistant and epilepsy in children and young adults, that is amenable for surgical treatment. Aim of paper Assessment of late outcome of surgical treatment and degree of seizure control, as well as prognostic significance of selected clinical factors. Material and method 52 Pediatric patients presenting with epilepsy, lesion of mesio-basal temporal lobe and histologically verified neuronal-glial tumor treated at our facility since 2000–2011. Results After the mean follow-up of 2.94 years, satisfactory treatment outcome (Engel classes I and II) was obtained in 92% of the patients (n=48). Poor outcome (Engel class III) was seen in 8% of patients (n=4). New neurological deficits appeared in 28% of the patients (n=20) but in most of them resolved over time. Conclusions In patients with drug-resistant epilepsy and a lesion of mesial-basal part of temporal lobe suggestive of a glial-neuronal tumor, surgical treatment is strongly recommended, aiming at excision of tumor and elimination of seizures. Histological verification of the lesion is a pre-requisite for optimal treatment planning. In most patients, both treatment goals may be reached. Short duration of epilepsy prior to surgery and young age are favorable prognostic factors. Histological diagnosis of GG, co-existence of cortical dysplasia and location of tumor extending beyond mesial-basal temporal structures are associated with a higher risk of postoperative complications. These may out-weight expected benefits of surgery

Olbrzymi naczyniak jamisty móżdżku u 4-miesięcznego niemowlęcia. Opis przypadku i przegląd piśmiennictwa

Cavernous malformations (CMs) are rare vascular lesions that affect 0.4–0.9% of the population. The diagnosis of CMs is simple in most typical cases although some lesions may present unusual imaging features: localization, signal intensity, or size. Extremely rare giant CMs can mimic neoplastic lesion because of their size. We report a case of giant cerebellar CM that is more than 6 cm in size, diagnosed in 4-month-old boy. We discuss magnetic resonance findings and histopathological features of this lesion.Naczyniaki jamiste to rzadkie zmiany naczyniowe, występujące u 0,4–0,9% populacji. Ich rozpoznanie w większości typowych przypadków jest łatwe, ale niektóre zmiany mogą stwarzać trudności diagnostyczne związane z nietypową lokalizacją, ich intensywnością sygnału lub wielkością. Niezwykle rzadkie gigantyczne naczyniaki jamiste mogą imitować zmiany nowotworowe. Autorzy przedstawiają 4-miesięczne niemowlę, u którego rozpoznano olbrzymi naczyniak jamisty zlokalizowany w móżdżku o wymiarze większym niż 6 cm. Omawiają cechy naczyniaka w badaniu za pomocą rezonansu magnetycznego oraz wynik badania histopatologicznego

Research of ecological indicators of two-way vehicle in stationary conditions

The article concerns the research on the emission of pollutants of a rail-road tractor in two stationary research tests. The purpose of the tests was to carry out control tests of pollutant emissions and their analysis. The object used during the works was approved in accordance with the Stage V standard, which requires measurements of emissivity both in stationary, dynamic and real conditions. Despite the requirement to test engines installed on a vehicle during their normal duty cycle with PEMS, the emission limits measured in this test have not yet been defined. Therefore, the work below focuses on the stationary test cycle. The measurements were carried out in accordance with the combustion engine operating points described in the approval test, and then compared with the modernized NRSC test. It contains modified measuring points and rotational speeds of the crankshaft, adopted on the basis of the most common operating parameters of agricultural tractor combustion engines in real operating conditions. The measurements were performed with the use of a mobile dynamometer and devices for measuring emissions of harmful exhaust gas compounds and recording on-board data. In the test, the vehicle drive system worked at fixed operating points, with defined values of crankshaft rotational speed and load. Based on the recorded data on the concentrations of pollutants in the exhaust gases, the specific emission of the object was determined. In the final stage of the work, these data were used to perform a comparative analysis with the emission limits contained in the standard

Issues of emission evaluation of road-rail vehicles in the aspect of current type approval regulations

One of the ways to reduce exhaust emissions from vehicles is to replace worn-out shunting locomotives with road-rail tractors. The main purpose of this solution is to reduce the negative environmental impact of the vehicle and to reduce the fuel consumption compared to a shunting locomotive performing the same work. The tests on exhaust emissions of rail vehicles are carried out on an engine test bench, making it impossible to determine the environmental performance of these vehicles during real operation. Therefore, it is advisable to carry out measurements in real operating conditions in order to obtain reliable reference results. This enables the verification of vehicles ecological indicators in a wide range of operational work parameters. It is possible to obtain reliable results regarding the impact of the tested vehicle on the natural environment in this way and compare them with the applicable emission standards

Wpływ sterowania wałkiem rozrządu na procesy spalania w silniku VCR z zapłonem samoczynnym

The article contains an analysis of thermodynamic indicators of the CI engine1 with direct fuel injection. The tested unit was an engine with an unconventional crank-piston configuration, in which at a constant compression ratio, different engine crankshaft control variants were compared In this article the time ranges in which the piston was located in the TDC2 were analyzed. Additionally, tests were carried out on a conventional unit for comparative purposes. For the purposes of the work, a piston displacement characteristic was generated in dynamic analysis in SolidWorks Motion3. Then, this characteristic was used in the simulations of the combustion process in the AVL Fire program, where the most important thermodynamic indicators of the engine cycle were analyzed.Artykuł zawiera analizę wskaźników termodynamicznych procesu spalania silnika CI z bezpośrednim wtryskiem paliwa. Badaną jednostką był silnik o niekonwencjonalnym układzie korbowo-tłokowym, w którym przy stałym stopniu sprężania poprzez wysterowanie krzywki w silniku porównano różne warianty jej ustawienia. W niniejszym artykule poddane analizie zostały zakresy czasowe w jakich tłok znajdował się w Górnym Martwym Punkcie (GMP). Dodatkowo w celach porównawczych przeprowadzono badania na jednostce konwencjonalnej. Na potrzeby pracy wygenerowana została droga tłoka w analizie dynamicznej w programie Solidworks Motion. Następnie charakterystyka ta została wykorzystana w symulacjach procesu spalania w programie AVL Fire, gdzie analizie zostały poddane najważniejsze wskaźniki termodynamiczne obiegu silnikowego

The analysis of thermodynamic indicators of the VCR engine made with AVL Fire program

W ramach pracy wykorzystano drogę tłoka wygenerowaną w symulacji dynamicznej w programie Solidworks do badania procesów zachodzących podczas procesu spalania. Symulację przeprowadzono w programie AVL Fire dla jednakowych warunków początkowych. Porównywano różne warianty wysterowania krzywki silnika przy jednakowym stopniu sprężania. W rozpatrywanym artykule analizowano moment oraz okres czasu jaki tłok pozostaje w Górnym Martwym Położeniu (GMP).As part of the work, the piston path generated in the dynamic simulation in the Solidworks program was used to study the processes occurring during the combustion process. The simulation was carried out in the AVL Fire program for the same initial conditions. Different variants of the motor cam control were compared at the same compression ratio. In the analyzed article, the moment and period of time that the piston remains in the Upper Dead Location (TDC) were analyzed