183 research outputs found

    Acute tubulo-interstitial nephritis leading to acute renal failure following multiple hornet stings

    Get PDF
    BACKGROUND: Hornet stings are generally associated with local and occasionally anaphylactic reactions. Rarely systemic complications like acute renal failure can occur following multiple stings. Renal failure is usually due to development of acute tubular necrosis as a result of intravascular haemolysis, rhabdomyolysis or shock. Rarely it can be following development of acute tubulo-interstitial nephritis. CASE PRESENTATION: We describe a young male, who was stung on face, head, shoulders and upper limbs by multiple hornets (Vespa orientalis). He developed acute renal failure as a result of acute tubulo-interstitial nephritis and responded to steroids. CONCLUSION: Rare causes of acute renal failure like tubulo-interstitial nephritis should be considered in a patient with persistent oliguria and azotemia following multiple hornet stings. Renal biopsy should be undertaken early, as institution of steroid therapy may help in recovery of renal functio

    Edge turbulence in ISTTOK : a multi-code fluid validation

    Get PDF
    Fluid models used to study the edge plasma region need to be benchmarked against similar conditions given that models can strongly differ in complexity and therefore the results they produce. Via this validation study undertaken through the framework of EUROfusion Enabling Research, four state-of-the art models - GBS, Hermes/BOUT++, HESEL and TOKAM3X - are compared to experimental plasma turbulence measurements on the ISTTOK tokamak. Statistical comparisons of simulation and experiment data show that fluid models used here can replicate most of the experiment in terms of IsatI_{sat} and VfloatV_{float} fluctuations. Furthermore, it is shown that without including more complex information (like core turbulence information and domain geometry details and magnetic topological aspects) in fluid models, the results recovered can fall short from the experimental results. Via the simulations using these codes, it is demonstrated that fluid models continue to be a good cost-effective tool in recovering many global aspects of edge plasma behaviour

    International consensus conference recommendations on ultrasound education for undergraduate medical students

    Get PDF
    Objectives: The purpose of this study is to provide expert consensus recommendations to establish a global ultrasound curriculum for undergraduate medical students. Methods: 64 multi-disciplinary ultrasound experts from 16 countries, 50 multi-disciplinary ultrasound consultants, and 21 medical students and residents contributed to these recommendations. A modified Delphi consensus method was used that included a systematic literature search, evaluation of the quality of literature by the GRADE system, and the RAND appropriateness method for panel judgment and consensus decisions. The process included four in-person international discussion sessions and two rounds of online voting. Results: A total of 332 consensus conference statements in four curricular domains were considered: (1) curricular scope (4 statements), (2) curricular rationale (10 statements), (3) curricular characteristics (14 statements), and (4) curricular content (304 statements). Of these 332 statements, 145 were recommended, 126 were strongly recommended, and 61 were not recommended. Important aspects of an undergraduate ultrasound curriculum identified include curricular integration across the basic and clinical sciences and a competency and entrustable professional activity-based model. The curriculum should form the foundation of a life-long continuum of ultrasound education that prepares students for advanced training and patient care. In addition, the curriculum should complement and support the medical school curriculum as a whole with enhanced understanding of anatomy, physiology, pathophysiological processes and clinical practice without displacing other important undergraduate learning. The content of the curriculum should be appropriate for the medical student level of training, evidence and expert opinion based, and include ongoing collaborative research and development to ensure optimum educational value and patient care. Conclusions: The international consensus conference has provided the first comprehensive document of recommendations for a basic ultrasound curriculum. The document reflects the opinion of a diverse and representative group of international expert ultrasound practitioners, educators, and learners. These recommendations can standardize undergraduate medical student ultrasound education while serving as a basis for additional research in medical education and the application of ultrasound in clinical practice

    Corrosion Inhibitors for Sour Oilfield Environment (H2S Corrosion)

    Get PDF
    Lower-grade steel materials are the most commonly used construction materials for oil and gas wells due to their low cost and high performance. However, they are susceptible to corrosion when they come in contact with corrosive environments that are highly acidic. In oil wells, particularly deep oil wells, hydrogen sulfide (H2S) is commonly found. The dissolution of H2S gas in produced water makes the fluid corrosive. The use of corrosion inhibitors is perhaps the most practical and costeffective means of controlling corrosion of low carbon steels in the sour environment. In this chapter, typical corrosion inhibitors used in oil and gas fields to control the internal corrosion of oilfield equipment caused by H2S are being examined. The inhibitors found to be effective are polar functional compounds, with many being based on nitrogen-containing compounds, such as amines, imidazolines, and quaternary ammonium salts. Drawbacks of these compounds in practical applications and potentials of future developments are discussed

    MicroRNAs : An Emerging Player In Autophagy

    Full text link

    Addressing climate change with behavioral science: a global intervention tournament in 63 countries

    Get PDF
    Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

    Addressing climate change with behavioral science:A global intervention tournament in 63 countries

    Get PDF
    corecore