Effects of factors on direct screw withdrawal resistance in medium density fiberboard and particleboard

An increase in demand on solid wood that is insufficient supply to meet in the world necessarily directed to other engineering materials that could be an alternative to the solid wood. In this context, instead of using solid wood in furniture and construction industry, wood-based panels such as medium density fiberboard (MDF) and particleboard (PB) have become widely used as construction material. Limited research has been done in the field of fastener performance as mechanical properties with different parameters in the joints constructed with these panels. Therefore, in this study, the parameters of screw type, pilot hole, screw orientation, water treatment and adhesives were investigated in MDF and PB. The results indicated that the highest direct screw withdrawal (DSW) resistance was observed in the test blocks applied with PU and the lowest DSW resistance was in the test blocks without a pilot hole drilled in both materials. In addition, MDF in general had better DSW resistance than PB in almost all combinations of the parameters. The treatment of water into MDF and PB test blocks negatively affects the DSW resistance. The DSW resistance in the face orientation was found to be higher than the corresponding ones in the side orientation in both materials

Effects of factors on direct screw withdrawal resistance in medium density fiberboard and particle board

An increase in demand on solid wood that is insufficient supply to meet in the world necessarily directed to other engineering materials that could be an alternative to the solid wood. In this context, instead of using solid wood in furniture and construction industry, wood-based panels such as medium density fiberboard (MDF) and particleboard (PB) have become widely used as construction material. Limited research has been done in the field of fastener performance as mechanical properties with different parameters in the joints constructed with these panels. Therefore, in this study, the parameters of screw type, pilot hole, screw orientation, water treatment and adhesives were investigated in MDF and PB. The results indicated that the highest direct screw withdrawal (DSW) resistance was observed in the test blocks applied with PU and the lowest DSW resistance was in the test blocks without a pilot hole drilled in both materials. In addition, MDF in general had better DSW resistance than PB in almost all combinations of the parameters. The treatment of water into MDF and PB test blocks negatively affects the DSW resistance. The DSW resistance in the face orientation was found to be higher than the corresponding ones in the side orientation in both material

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically

Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care