Conciones quadruplices / R.P.F. Philippi Diez Lusitani, Ordinis Minorum, regularis obseruantiæ ... ; tomus primus, in quatuor partes distinctus ...

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Porous Absorber of Noise Control Panel Manufacturing From Coconut Fiber and Pet Waste Fiber (Shoody Fiber)

Noise exposure could have a negative effect on humans in the form of hearing loss, sleep disturbances, high blood pressure and heart problems, respiratory and metabolic disorders, mental health disorders and cognitive impairment. So noise control efforts are needed. Noise control efforts was carried out by making porous absorber of noise control panel by utilizing abundant natural resources in the form of coconut fiber, utilization of PET fiber from textile waste (shoody fiber) and low melt polyester. From the test results obtained that all combinations meet the criteria for sound absorption from class B to E, and the results of maximum absorption are 0.88 absorption coefficient obtained by a combination of three layers between 50% coconut fiber, 20% shoody fiber and 30% low melt polyester

Respiratory presentation of diffuse idiopathic skeletal hyperostosis (DISH): Management and review of the literature

Background: Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by the ossification of entheses. When localized in the cervical paravertebral region, typical signs and symptoms include stiffness, pain, loss of range of motion, and difficulty swallowing. Clinical Presentation: The authors present two less typical respiratory manifestations of DISH due to cervical osteophytes protrusion and obstruction of the upper airway. The first patient was treated conservatively (application of CPAP during nighttime), while the second required emergency intubation and a combined ENT-neurosurgical operation for the removal of osteophytes. Clinical Relevance: Even though dysphagic symptoms are more frequent, DISH may be a cause of airway obstruction and should be included in the differential diagnosis of respiratory distress and OSA