Procedural Outcomes of Double Vs. Single Fluoroscopy for Fixing Supracondylar Humerus Fractures in Children: A Case-Control Study

Background: Supracondylar humerus fractures (SHFs) are frequently seen in the pediatric population. The aim of this study was to compare single- and double-fluoroscopy methods for the closed reduction and percutaneous pinning (CRPP) of Gartland type 2 and type 3 SHFs. Materials and Methods: Forty patients who underwent surgery between March 2016 and April 2018 were evaluated retrospectively. Twenty-one patients (group 1) who received double fluoroscopy and 19 patients (group 2) who had single fluoroscopy were evaluated. The preparation period, surgical duration, radiation exposure time, fracture types, sex distributions, distribution of sides, radiologic results at the third month, cosmetic and functional results, and the incidence of complications were recorded. Results: The mean age of the patients in group 1 and group 2 was 4.76 and 4.68 years, respectively. The mean preparation time of group 1 was 11.3 min; whereas in group 2, it was 8.7 min (p < 0.01). The mean surgical duration was 31.76 min in group 1, and 40.47 min in group 2 (p < 0.01). The mean radiation exposure time in group 1 and group 2 was 41.19 and 47.36 s, respectively (p = 0.04). There were statistically significant differences between the two groups in terms of the preparation period, surgical duration, and radiation exposure time. Radiation exposure time and surgical duration were significantly shorter in group 1; the preparation period was shorter in group 2. Conclusions: The double-fluoroscopy technique can significantly reduce surgical duration and radiation exposure time during surgery while treating SHFs of children. © 2020, Indian Orthopaedics Association

The morphological investigations on the heart and some vessels of bovine foetus between the 15th and 25th weeks of gestation

Background: The aim of this study was to define the morphological and morphometric development of the foetus heart obtained from the domestic cattle in the gestation period of 15–25 weeks. Materials and methods: For this purpose, a total of 30 hearts belonging to cattle foetuses (15 males, 15 females) were used. The ages of foetuses were calculated according to the forehead-to-tail length and examined in three different groups. After dissection; biometric, macroanatomic, morphometric and histological findings were obtained from the foetal hearts according to the groups. In addition, mean values of the morphometric findings were determined. Results: As a result of the study, it was found that with the advancing age the convexity of margo ventricularis dexter increased and margo ventricularis sinister transformed from a convex-concave shape to a flat shape. The heart-to-body weight ratio was determined as 0.08% for Group II female foetuses and 0.09% for all other groups. The heart heights for Groups I, II, and III females were identified as 26.21, 41.00, and 46.27 mm, respectively, and for the males 26.45, 34.89, and 47.15 mm, respectively. In the statistical analysis, it was determined that all the morphometric values measured from the heart correlated significantly with the forehead-to-tail length. Conclusions: The data obtained as a result of the study is thought to help understand the morphological and morphometrical development of the heart, pioneer the attempts to create a foetal cattle heart model, and thus help in the diagnosis of the foetal heart pathologies.acieleck

Estimation of the specific enthalpy–temperature functions for plastering mortars containing hybrid mixes of phase change materials

The use of phase change materials (PCMs) for the building sector is increasingly attracting attention from researchers and practitioners. Several research studies forwarded the possibility of incorporating microencapsulated PCM in plastering mortars for building facades, in pursuit of increased energy efficiency associated with the heat storage capacity of PCM. However, most of these studies are centred in the use of a single type of PCM, which is bound to be more adequate for a given season of the year (e.g. winter or summer) than for all the seasons. The study proposed in this work regards the evaluation of the possibility of using more than one kind of PCM, with distinct melting ranges, here termed as hybrid PCMs, in plastering mortars, to achieve adequately advantageous performance in all seasons of the year. To characterize the PCM, the specific enthalpy and phase change temperature should be adequately measured. The main purpose of this study was to show the conceptual feasibility of combining PCMs in mortars and to evaluate the behaviour of the resulting mortars with differential scanning calorimeter. The results showed that the behaviour of the mortar that contains more than one type of PCM can be predicted through the superposition of effects of the independent PCMs and no interaction occurs between them. The knowledge obtained from the experimental testing established bases for a framework of numerical simulation of real-scale applications, which can be used to ascertain the feasibility of the hybrid PCM concept for decreases in energy consumption of heating/cooling demands in the buildings.Fundação para a Ciência e a Tecnologia (FCT

Experimental analysis of a paraffin-based cold storage tank

[EN] The aim of this study is to characterize a paraffin-based cold storage tank. Novel experimental results are presented for this system which combines a significant amount of paraffin (1450 kg) immersed around 18 spiral-shaped coils disposed in counter-current flow. The paraffin has a phase-change temperature in the range 4 8 °C as measured by a 3-layer calorimeter. Different tests have been carried out with a constant mass flow rate and supply temperature. Around 31% of the paraffin has hardly any contact with the coils and hereby acts as a dead mass. The results show the importance of natural convection within the phase-change-material, particularly during the melting process. The highest efficiency has been achieved for the lowest supply temperatures and mass flow rates of the heat transfer fluid.The authors gratefully acknowledge the fundings from ACCIONA Infraestructuras.Torregrosa-Jaime, B.; López-Navarro, A.; Corberán, JM.; Esteban-Matías, JC.; Klinkner, L.; Payá-Herrero, J. (2013). Experimental analysis of a paraffin-based cold storage tank. International Journal of Refrigeration. 36(6):1632-1640. doi:10.1016/j.ijrefrig.2013.05.001S1632164036

The Anomalous Early Afterglow of GRB 050801

The ROTSE-IIIc telescope at the H.E.S.S. site, Namibia, obtained the earliest detection of optical emission from a Gamma-Ray Burst (GRB), beginning only 21.8 s from the onset of Swift GRB 050801. The optical lightcurve does not fade or brighten significantly over the first ~250 s, after which there is an achromatic break and the lightcurve declines in typical power-law fashion. The Swift/XRT also obtained early observations starting at 69 s after the burst onset. The X-ray lightcurve shows the same features as the optical lightcurve. These correlated variations in the early optical and X-ray emission imply a common origin in space and time. This behavior is difficult to reconcile with the standard models of early afterglow emission.Comment: 5 pages, 1 figure. Accepted for publication in ApJ Letter

Turner syndrome and associated problems in turkish children: A multicenter study

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population. Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014. Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosi) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto’s thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%. Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespan. © Journal of Clinical Research in Pediatric Endocrinology

Performance characterization of a PCM storage tank

This paper presents the experimental results of a versatile latent heat storage tank capable of working with organic phase-change materials within a temperature range from -10 °C to 100 °C. The tank contains a paraffin with a phase-change temperature between 3 °C and 8 °C. Firstly, this study focuses on explaining the design criteria which were followed to build the tank. Secondly, a full experimental characterization of the performance has been carried out. The enthalpy temperature curve, the specific heat and density have been measured for the tested paraffin. The performance of the tank has been analyzed in terms of the vertical stratification within the PCM, the effectiveness, the reacted fraction and the total heat transfer of the tank. The results indicate that up to 78% of the maximum capacity is reached within 4 h. The performance is mainly controlled by the supply temperature and the effect of the mass flow rate is almost negligible given that all the tests are in laminar flow.The authors from the Polytechnic University of Valencia gratefully acknowledge ACCIONA Infraestructuras for the funding of the LHTS installation. The authors from University of Zaragoza would like to thank the Spanish Government for the partial funding of this work within the framework of research projects ENE2008-06687-C02-02 and ENE2011-28269-C03-01.López Navarro, A.; Biosca Taronger, J.; Corberán Salvador, JM.; Peñalosa, C.; Lázaro, A.; Dolado, P.; Payá Herrero, J. (2014). Performance characterization of a PCM storage tank. Applied Energy. 119:151-162. doi:10.1016/j.apenergy.2013.12.041S15116211

Preparation and thermal properties of mineral-supported polyethylene glycol as form-stable composite phase change materials (CPCMs) used in asphalt pavements

Tis work was supported by the National Natural Science Foundation of China (51704040, 51778071, 51608058), the Scientifc Research Project of Hunan Provincial Department of Education for Excellent Young Scholars (16B007), Open Fund of Key Laboratory of Special Environment Road Engineering of Hunan Province (Changsha University of Science & Technology, kf160501), and Open Fund of Key Laboratory of Biohydrometallurgy, Ministry of Education (Central South University, MOEKLB1708)

Seroprevalence and risk factors for toxoplasma infection among pregnant women in Aydin province, Turkey

BACKGROUND: The aims of the present study were to determine the prevalence of toxoplasmosis in pregnant women at first trimester of their pregnancy and to follow up the seroconversion for next two trimesters, and to identify the risk factors and possible contamination routes in Aydin province, Turkey. METHOD: The sample size was calculated as 423 on a prevalence of 50%, d=0.05 at a confidence level of 95% with 10% addition. It was a cross-sectional study with multistage sampling. After a questionnaire applied to the pregnant women, anti-Toxoplasma IgG antibodies were studied with ELISA and IFA, values in conflict with DA test, where IgM antibodies were studied with ELISA and for borderline or positive values of IgM avidity test was used. RESULTS: The mean age of 389 (92.9%) of pregnant women in the study was 24.28+/-4.56 years, the seroprevalence of anti-Toxoplasma IgG antibodies for toxoplasmosis was 30.1%. Seroprevalence was increased with age (p=0.001) and with drinking water consumption other than bottled water (p=0.042). No significant relations were observed between anti-Toxoplasma IgG antibodies and education level, being native or migrant, abortion history, consumption of meat, vegetable and milk/milk products, personal or kitchen hygiene habits, cat owning at home of the pregnant women. No IgM antibody was detected. CONCLUSION: One of every three pregnant women in Aydin was at risk of toxoplasmosis at the first trimester of their pregnancy. Increased seroprevalance with age was a predictable result because of increasing time of exposure. Increased seroprevalence with consumption of municipal and uncontrolled water (well/spring water) supplies was similar with latest epidemiological findings