Assessment of the physical and mechanical properties of plaster of Paris bandage cast used as a splinting and casting materials

Abstract Aim: To assess the physical and mechanical properties of plaster of Paris (POP) bandage cast used as a splinting and casting materials. Materials and Methods: POP casts were divided into three Groups A, B and C with 2, 3 and 8 layer for POP bandage, respectively (n=6 in each group). Handling characters, technical easiness or difficulties, setting time, weight, diameter and thickness of the casts were recorded for different groups. The casts were mounted on universal testing machine and axial load was applied @ 10 mm/min until failure. The load deflection graphs were plotted. The maximum force at which failure of the casts occurred was recorded. Stress, strain, modulus of elasticity (MOE) and stiffness of casts were calculated. Result: Construction of POP bandage cast was messy and required 45-60 min for hardening. 8 layer POP cast was comparatively heavier in weight and thicker in cross section than 3 layer cast followed by 2 layer cast. Under axial compression, the load bearing capacity of 8 layer POP casts was more than 2 and 3 layer cast. Conclusion: The values of load bearing capacity, stress, stiffness and MOE of cast were the highest for 8 layer POP cast followed by 2 and 3 layer cast. Use if splints with POP cast is recommended due to its poor mechanical properties

Superior mesenteric artery syndrome: a unique complication following carboplatin-based chemotherapy

Mudit Chowdhary, Heer P Pansuria, Bilal Farooqi, Hemant Goyal Department of Internal Medicine, Mercer University School of Medicine, Macon, GA, USA Abstract: Superior mesenteric artery syndrome (SMAS) is an uncommon condition, attributable to vascular compression of the third part of the duodenum between the superior mesenteric artery and the abdominal aorta. It can present in patients due to mechanical compression or severe weight loss. We present a unique case of SMAS in a patient undergoing carboplatin-based chemotherapy for mesothelioma. An 81-year-old male with mesothelioma was treated with carboplatin-based chemotherapy. He subsequently suffered a progressive, unintentional 18 kg weight loss and presented acutely with intense epigastric pain, severe nausea, and vomiting. Diagnosis was confirmed by abdominal computed tomography and esophagogram with upper gastrointestinal series, which revealed gastric and duodenal distention and a narrow angle between the superior mesenteric artery and aorta, causing compression of the duodenum. Prompt recognition of this syndrome allowed us to treat our patient successfully and avoid the risks of operative interventions. To our knowledge, this is the first reported case of SMAS in patients receiving carboplatin. Furthermore, this case of SMAS was unique in that it was due to weight loss as compared with mechanical obstruction. Our experience illustrates the importance of considering SMAS in chemotherapy patients, especially those with substantial weight loss. A high index of suspicion for this potential complication coupled with appropriate radiographic studies are necessary for early diagnosis and can prevent severe consequences. Keywords: superior mesenteric artery syndrome, mesothelioma, carboplatin, chemotherap

Assessment of the physical and mechanical properties of plaster of Paris bandage cast used as a splinting and casting materials

Aim: To assess the physical and mechanical properties of plaster of Paris (POP) bandage cast used as a splinting and casting materials. Materials and Methods: POP casts were divided into three Groups A, B and C with 2, 3 and 8 layer for POP bandage, respectively (n=6 in each group). Handling characters, technical easiness or difficulties, setting time, weight, diameter and thickness of the casts were recorded for different groups. The casts were mounted on universal testing machine and axial load was applied @ 10 mm/min until failure. The load deflection graphs were plotted. The maximum force at which failure of the casts occurred was recorded. Stress, strain, modulus of elasticity (MOE) and stiffness of casts were calculated. Result: Construction of POP bandage cast was messy and required 45-60 min for hardening. 8 layer POP cast was comparatively heavier in weight and thicker in cross section than 3 layer cast followed by 2 layer cast. Under axial compression, the load bearing capacity of 8 layer POP casts was more than 2 and 3 layer cast. Conclusion: The values of load bearing capacity, stress, stiffness and MOE of cast were the highest for 8 layer POP cast followed by 2 and 3 layer cast. Use if splints with POP cast is recommended due to its poor mechanical properties