48 research outputs found

    Developments in silicone technology for use in stoma care

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    YesSoft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit trans-epidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal trans-epidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life

    TMJ disorders: what are they and how are they treated?

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    Interaction of gravity waves with the QBO: A satellite perspective

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    One of the most important dynamical processes in the tropical stratosphere is the quasi-biennial oscillation (QBO) of the zonal wind. Still, the QBO is not well represented in weather and climate models. To improve the representation of the QBO in the models, a better understanding of the driving of the QBO by atmospheric waves is required. In particular, the contribution of gravity waves is highly uncertain because of the small horizontal scales involved, and there is still no direct estimation based on global observations. We derive gravity wave momentum fluxes from temperature observations of the satellite instruments HIRDLS and SABER. Momentum flux spectra observed show that particularly gravity waves with intrinsic phase speeds <30m/s (vertical wavelengths <10km) interact with the QBO. Gravity wave drag is estimated from vertical gradients of observed momentum fluxes and compared to the missing drag in the tropical momentum budget of ERA-Interim. We find reasonably good agreement between their variations with time and in their approximate magnitudes. Absolute values of observed and ERA-Interim missing drag are about equal during QBO eastward wind shear. During westward wind shear, however, observations are about 2 times lower than ERA-Interim missing drag. This could hint at uncertainties in the advection terms in ERA-Interim. The strong intermittency of gravity waves we find in the tropics might play an important role for the formation of the QBO and may have important implications for the parameterization of gravity waves in global models. © 2014. American Geophysical Union. All Rights Reserved

    Interaction of gravity waves with the QBO: A satellite perspective

    No full text
    One of the most important dynamical processes in the tropical stratosphere is the quasi-biennial oscillation (QBO) of the zonal wind. Still, the QBO is not well represented in weather and climate models. To improve the representation of the QBO in the models, a better understanding of the driving of the QBO by atmospheric waves is required. In particular, the contribution of gravity waves is highly uncertain because of the small horizontal scales involved, and there is still no direct estimation based on global observations. We derive gravity wave momentum fluxes from temperature observations of the satellite instruments HIRDLS and SABER. Momentum flux spectra observed show that particularly gravity waves with intrinsic phase speeds <30m/s (vertical wavelengths <10km) interact with the QBO. Gravity wave drag is estimated from vertical gradients of observed momentum fluxes and compared to the missing drag in the tropical momentum budget of ERA-Interim. We find reasonably good agreement between their variations with time and in their approximate magnitudes. Absolute values of observed and ERA-Interim missing drag are about equal during QBO eastward wind shear. During westward wind shear, however, observations are about 2 times lower than ERA-Interim missing drag. This could hint at uncertainties in the advection terms in ERA-Interim. The strong intermittency of gravity waves we find in the tropics might play an important role for the formation of the QBO and may have important implications for the parameterization of gravity waves in global models. © 2014. American Geophysical Union. All Rights Reserved
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