Hollow viscus injury in children: Starship Hospital experience

Starship Children's Hospital in Auckland, New Zealand, serves a population of 1.2 million people and is a tertiary institution for pediatric trauma. This study is designed to review all cases of abdominal injury (blunt and penetrating) that resulted in injury of a hollow abdominal viscus including the stomach, duodenum, small intestine, large intestine and urinary bladder. The mechanism of injury; diagnosis and outcome were studied. This was done by retrospective chart review of patients admitted from January 1995 to December 2001. Thirty two injuries were found in 29 children. The age ranged from 7 months to 15 years with boys represented more commonly. Small bowel was the most frequently injured hollow viscus. Computerized Tomography (CT scan) is an extremely useful tool for the diagnosis of HVI

Resection of peritoneal metastases causing malignant small bowel obstruction

Background: Resection of peritoneal metastases has been shown to improve survival in patients with abdominal metastatic disease from abdominal or extra abdominal malignancy. This study evaluates the benefit of peritoneal metastatic resection in patients with malignant small bowel obstruction and a past history of treated cancer. Patients and methods: Patients undergoing laparotomy for resection of peritoneal metastases from recurrence of previous cancer between 1992-2003 were reviewed retrospectively. Data were collected about type of primary cancer, interval to recurrence, extent of the disease and completeness of resection, morbidity and mortality and long-term survival. Results: Between 1992 and 2003 there were 79 patients (median age 62, range 19-91) who had laparotomy for small bowel obstruction due to recurrent cancer. The primary cancer was colorectal (31), gynaecologic cancer (19), melanoma (16) and others (13). Overall, the rate of complications was 35% and mortality was 10%. Median survival was 5 months; patients with history of colorectal cancer had better survival than other cancer (median survival 7 months vs. 4 months; p = 0.02). Multivariate analysis showed that the extent of recurrent disease was the only factor that affected overall survival. Conclusion: Laparotomy for small bowel obstruction is a worthwhile option for patients with malignant small bowel obstruction. Although it is associated with significant morbidity and mortality it offers a reasonable survival benefit in particular for patients with completely resectable disease

What clinical and laboratory parameters determine significant intra abdominal pathology for patients assessed in hospital with acute abdominal pain?

Background: Abdominal pain is a common cause for emergency admission. While some patients have serious abdominal pathology, a significant group of those patients have no specific cause for the pain. This study was conducted to identify those who have non-specific abdominal pain who can be either admitted short term for observation or reassured and discharged for outpatient management. Patients and methods: A prospective documentation of clinical and laboratory data was obtained on a consecutive cohort of 286 patients who were admitted to a surgical unit over a nine month period with symptoms of abdominal pain regarded severe enough for full assessment in the casualty department and admission to a surgical ward. The patients were followed until a definite diagnosis was made or the patient\u27s condition and abdominal pain improved and the patient discharged. The hospital where the study took place is a small peripheral general hospital draining a population of 120,000 people in a rural area in New Zealand. Results: There were 286 admissions to the emergency department. Logistic regression multivariate statistical analysis showed that guarding raised white cells count, tachycardia and vomiting were the only variables associated with significant pathology. Conclusion: Patients with no vomiting, no guarding, who have normal pulse rates and normal white cell counts are unlikely to have significant pathology requiring further active intervention either medical or surgical

Suitability of viscosity measurement methods for liquid food variety and applicability in food industry - A review.

Although there are several approaches to measure viscosity of liquid foods in the literature, the successful selected technique depends on the specific product and the functional characteristics that need to be analyzed. Accordingly, it is not an easy task for food technologists to determine the suitable approach to be used. Therefore briefing the existing methods, working principles, advantages, limitations and their successful applications for well known published articles, may enable the researchers to choose the optimum approach. The intensive review revealed that the most commonly used viscosity measurement devices are capillary flow viscometers, orifice type viscometers, falling ball viscometers, and rotational viscometers. Glass capillary viscometers are widely used for measuring low to medium viscosity of Newtonian fluids. In order to measure the viscosity of difficult fluids like those having large particles non-conventional geometries such as mixer viscometry method is used. Tube viscometer method which might be considered as a wide-bore capillary viscometer with a special capability to handle suspensions is currently used to determine rheological behaviour of a product after a thermal treatment. Scraped surface heat exchangers (SSHE) are widely used in food industry for thermal treatment of very viscous food products. Mass detecting capillary viscometer is a new technique to measure the viscosity of milk and soymilk products. In order to measure the viscosity of food stabilizers coaxial viscometers are recommended. Also, possibly the best known of the orifice viscometers in the food industry is the dipping-type Zahn viscometer. Finally, it could be inferred that the viscosity ought to be independent on the instrument, so different instruments will yield the same results, but this is a theoretical concept and different instruments rarely yield identical results

The recent advances in the nanotechnology and its applications in food processing : a review.

The objectives of this paper was to discuss the latest development of nanotechnology, especially in food industries, to give clearer picture about the effect of nanotechnology in food industries and to highlight the latest applications of nanotechnology in food processing industry. However, the risk issues involving the use of nanotechnology in food were also explored. The outcome of this research revealed that the nanotechnology could be useful for controlling and manipulating the matter at the nanoscale level during processing. On the other hand, nanotechnology could also help the consumers to modify the food depending on their own nutritional needs and tastes. However, from health viewpoint, the potential risks of nanoscale materials and the possibility of the accumulation and translocation of nanoparticles in the body should be avoided

Significance and application of psychrometric chart in food processing: a review

The aims were to give a general review on the significance of psychrometric chart in food production and to discuss its applications in various food processing operations. For this purpose, the paper was written by bringing together information and findings from recent published articles as well as from some well-established food engineering textbooks, handbooks and university extensions. The review revealed that the psychrometric chart plays a vital role in the design, analyses and optimization of various food engineering systems and processing equipments. This review stressed the most common food processes where there is heat and moisture transfer between the food and the surrounding air. These processes are food drying, chilling, storage of grains and frozen storage of foods to draw the attention of industry in the overall understanding of the psychrometrics in food production and provide a positive insight to the literature of psychrometrics in those processes

Evaluating the performance of some Primitive Wheat Triticum dicoccum Genotypes

Seven wheat genotypes (Triticum dicoccum) and the local check sham5 variety were planted during  growing season 2010/2011under rainfed conditions using RCBD with three replications. Yield components (number of total and fertile tillers, number and weight of grains per spike, weight of thousand grain and individual plant grain yield) were studied in two sites in order to define the differences between the studied genotypes in both sites and to provide the superior genotypes for breeding programs. Results showed that the genotype PW70 was significantly superior in (grain yield, number and weight of grain per spike) comparing to check. While, the genotypes (PW96, PW119, PW123) were significantly superior in thousand grain weight comparing to check, as well as the genotype (PW81, PW127) were significantly superior in total and fertile tillers number comparing to check. Most traits were significantly superior in Al-Ghab site

Correlation, Regression and Path analysis among yield and yield traits in Triticum dicoccum

Seven wheat genotypes (Triticum dicoccum) and the local check sham5 were planted all at Al-Ghab and Izra Research centers in The General Commission for Scientific Agricultural Research in Syria during growing season 2010/2011. Yield components (number of total and fertile tillers per plant, number and weight of grains per spike, weight of thousand grain and individual plant grain yield) were studied in two sites in order to predict their effect and to determine their effects on grain yield in order to define selection criteria for grain yield. Results revealed all studied traits except total tillers number were positively correlated with grain yield, and only (fertile tillers number and grain number per spike and grain weight per spike) had a significant regression with grain yield and these traits can explain about (27.6, 67.7, 62.2)% respectively of the variation final grain yield. Results of path analysis indicated that the direct effect of fertile tillers per plant and grain weight per spike on grain yield was positive and high (0.6178, 0.7563) respectively, so that we can depend on them in breeding program as selection criteria to increase grain yield in plant

PENERAPAN METODE ANALYTICAL HIERARCHY PROCESS DALAM PENENTUAN PRIORITAS PENANGANAN PEMELIHARAAN JALAN DI KOTA BANDA ACEH

Determination of road maintenance involves complex multi-criteria in decision making process. Analytical Hierarchy Process (AHP) method has been used to determine the weight of criteria in evaluating the road maintenance priority. In this study, the priority decisions for maintaining collector roads in Banda Aceh city were determined using the AHP method. The objective of this study is to describe the decision making process in determining the road maintenance handling priority accurately involving the key persons. There are 4 (four) criteria used, namely road condition, traffic volume, policy, and land use factors. The results showed that the highest criteria weight was achieved by road condition with a score of 0,454, followed by traffic volume (0.255) and land use (0.158), respectively. Surprisingly, the lowest score was obtained by policy factor. It was really beyond expectation since road maintenance priorities were usually relied on the government policy. The results indicated that road condition and traffic volume were the main factors in determining the road maintenance priorities.Keywords: road handling priority, road condition, traffic volume, AHP metho

Zinc oxide nanoparticles inhibits quorum sensing and virulence in Pseudomonas aeruginosa

Background: Quorum sensing inhibitionis an advanced strategy that aims to interfere with bacterial cell-to-cell communication systems (quorum sensing), which regulate virulence factors production in Pseudomonas aeruginosa, in order to overcome the globalcrisis of antimicrobial resistance.Objectives: Study the potential quorum sensing inhibitory effect of Zinc oxide (ZnO)nanoparticlesin Pseudomonas aeruginosa and the impact on production of virulence factors.Methods: Quorum sensing inhibitory effect of ZnO was evaluated by assessing its ability to reducePseudomonas aeruginosa virulence factors production; rhamnolipids, pyocyanin, pyoverdin, hemolysins, elastase and proteases. Furthermore, qRT-PCR was performed to determine ZnO inhibitory effect onQS-regulatory geneslasI, lasR,rhlI, rhlR, pqsA and pqsR that control virulence factors secretion. Moreover, mice survival test was conducted to investigate the influence of ZnO on Pseudomonas aeruginosa-induced mortality in vivo.Results: ZnO revealed a statistically significant reduction in the production of QS-controlled virulence factors rhamnolipids, pyocyanin, pyoverdin, hemolysins, elastase and proteases. Furthermore, ZnO exhibited a significant decrease in the relative expression of QS-regulatory geneslasI, lasR,rhlI, rhlR,pqsA and pqsR. Additionally, ZnO significantly reduced the pathogenesis of Pseudomonas aeruginosa in vivoConclusion: ZnO nanoparticles can be used as a quorum sensing inhibitor in Pseudomonas aeruginosa infections either as an adjuvant or alternative to conventional antimicrobials.Keywords: Pseudomonas aeruginosa, ZnO, quorum sensing, virulence inhibition