The study of prevalence of Hepatitis B surface antigen during pregnancy

Background: Hepatitis B virus infection is a major public health problem accounting to 400 million chronic infections worldwide and great majority of the transmission of Hepatitis B in India and other developing countries occurs by vertical transmission from an infected carrier mother to the neonate, intrapartum or antenatally. Objective: To determine the prevalence of Hepatitis B surface antigen (HBsAg) in Pregnant Women. Methods: The study was conducted at M.P. Shah Govt. medical college and G.G. hospital, Jamnagar, Gujarat, India during July 2013 to December 2013, including 1810 antenatal women. All of them were evaluated using history, examination, and test for serum HBsAg using Commercial enzyme immunoassay kits. Result: Of the total 1810 antenatal women, 15 were found to be positive for HBsAg (0.83%). Highest prevalence was found in age group 21-25 years (53.3%) followed by age group 26-30 years (33.3%), age group 17-20 and age more than 30 years (6.7%). Conclusion: Hepatitis B is highly infectious, associated with maternal complications and transmission to the child. It is mandatory that all the antenatal women should be screened for HBsAg and appropriately managed

Centrifuge modelling of the behaviour of pile groups under vertical eccentric load

Annular shaped pile groups are a very common foundation layout for onshore wind turbines and other slender structures. In this study, their performance under vertical loads of moderate to high eccentricity, including moment rotation response and bearing capacity, was investigated by centrifuge testing on small scale physical models embedded in kaolin clay. To identify experimentally the capacity of the examined pile groups under different load paths, the model foundations were loaded monotonically until a clear collapse mechanism was achieved. The testing procedure and the proposed interpretation methodology can be easily adapted to load paths or pile layouts other than those considered in the current study. The experimental data can be adopted as a useful benchmark for mathematical models aimed at predicting the response of pile groups to complex load paths. The results of this testing program can also be used to assess the degree of conservatism of current methods adopted by industry for the design of piled foundations subjected to eccentric loads

Iliopsoas Tendon Reformation after Psoas Tendon Release

Internal snapping hip syndrome, or psoas tendonitis, is a recognised cause of nonarthritic hip pain. The majority of patients are treated conservatively; however, occasionally patients require surgical intervention. The two surgical options for iliopsoas tendinopathy are step lengthening of the iliopsoas tendon or releasing the tendon at the lesser trochanter. Although unusual, refractory snapping usually occurs soon after tenotomy. We report a case of a 47-year-old active female with internal snapping and pain following an open psoas tenotomy. Postoperatively she was symptom free for 13 years. An MRI arthrogram revealed reformation of a pseudo iliopsoas tendon reinserting into the lesser trochanter. The pain and snapping resolved after repeat iliopsoas tendon release. Reformation of tendons is an uncommon sequela of tenotomies. However the lack of long-term studies makes it difficult to calculate prevalence rates. Tendon reformation should be included in the differential diagnosis of failed tenotomy procedures after a period of symptom relief

Influence of Van der Waals Forces on Elastic and Buckling Characteristics of Vertically Aligned Carbon Nanotubes

Vertically aligned carbon nanotubes (VACNTs) have been explored widely in various applications due to their unique anisotropic properties. However, its application is limited due to large aspect ratio of nanotubes which lead to buckling phenomena. In this paper, we perform a finite element analysis to predict the variation of elastic modulus and critical buckling load of VACNTs. While elastic modulus is obtained from the slope of stress-strain variation of tubes when one end is fixed and another end is subjected to longitudinal loading, critical buckling load is found using eigenvalue analysis corresponding to first buckling mode. We also perform study to show size dependence of elastic modulus and buckling load of single walled carbon nanotubes (SWCNTs) using FEM approach and compare the results with MD results found in the literature. After validating FEM approach with available results of single-walled and double-walled carbon nanotubes, we apply the same method to arrays of VACNTs. It is found that elastic modulus of VACNTs increases from 1.18 TPa to 2.02 TPa when the size increases from 4 to 36 tubes and then it becomes nearly size independent. The variations of critical buckling load versus other parameters such as tube diameter, intertube spacing, etc., are also obtained. It is found that with the increase in diameter, there is a steep rise in the buckling load for the case of VACNTs arrays. In order to show the influence of non-linear van der Waals force in VACNTs, we compare the above results with and without the presence of van der Waals force and discuss its significance. The modelling and analysis presented in the paper can be used to optimise the number density of VACNTs for different applications

Experimental investigation of kinematic pile bending in layered soils using dynamic centrifuge modelling

This research provides an insight into the previously unexplored aspects of kinematic pile bending, especially for large-intensity earthquakes where the soil behaviour is highly non-linear. In this study, a series of dynamic centrifuge experiments was conducted on pile foundations embedded in a two-layered soil profile to investigate the kinematic effects on pile foundations during model earthquakes. A single pile and a closely spaced 3 × 1 row pile group were used as model pile foundations, and the soil model consisted of a soft clay underlain by dense sand. It was observed that the peak kinematic pile bending moment occurs slightly beneath the interface of the soil layers and this depth is larger for the pile group compared to a single pile. Also, the piles in a group attract lower bending moments but carry larger residual kinematic pile bending moments compared to a single pile. Furthermore, the elastic solutions available in the literature for estimating the kinematic pile bending moments are shown to yield satisfactory results only for small-intensity earthquakes, but vastly underestimate for large-intensity earthquakes, if methods are applied injudiciously. The importance of considering soil non-linearity effects and accurate determination of shear strain at the interface of layered soils during large-intensity earthquakes for a reliable assessment of kinematic pile bending moment from methods in the literature is demonstrated using dynamic centrifuge test data