245 research outputs found

    Clinico-pathological characteristics of colorectal carcinoma at university teaching hospital, Nepal

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    Introductions: Colorectal cancer is a major health problem in developingcountries. The purpose of this study was to analyze the clinico-pathologicalcharacteristics of colorectal carcinoma at Patan hospital, Nepal.Methods: A retrospective chart review was done for patients operatedfor colorectal carcinoma at Patan Hospital from May 2004 to April 2012.Demographic information, chief complains, site of primary cancer, andhistological types were analyzed.Results: There were 73 patients (37 males and 36 females) with colorectalcarcinoma. The mean age was 52 years. There were 21 (28.77%) patients below 40 years of age. Patients with rectal carcinoma presented with bleeding per rectum in 69.70% and 60% of patients with colon cancer presented with pain abdomen. Rectum was involved in 31 (42.47%) and right colon in 30 (41.10%). Adenocarcinoma was seen in 72 (98.63%).Conclusions: The colorectal carcinoma is not only the disease of old age. Wehad 29% of our patients below 40 year. Rectum and right colon were equallyaffected.Keywords: bleeding, colorectal carcinoma, pain abdome

    Studying Initiation and Growth of Shear Cracks in Reinforced Concrete Beams Using Full-Field Digital Imaging

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    The mechanisms which lead to shear failure of longitudinally reinforced concrete beams are complex and often misunderstood. In this paper, a combination of a special closed loop test technique and machine vision are applied to tests on two reinforced concrete beams failing in shear: one made of normal strength concrete and the second of high strength concrete. To control the progression of the shear crack, a closed-loop test technique was devised and employed such that the crack propagation was stable even during the post peak. To locate the crack and to measure the crack displacements, machine vision, a nondestructive measuring technique, was employed which gives full-field displacements of a viewed area. The displacement measurements are obtained by first grabbing digital images of the observed area at different stages of loading during the test. By comparing discrete subsets of the reference and target images using normalized cross correlation matching, the displacement fields of the images are calculated. Shear crack initiation and progression are monitored for the two beams tested through complete failure, and differences in the shear failures between reinforced beams made of normal and high strength concretes are noted

    Conversion from Laparoscopic to Open Cholecystectomy

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    Introductions: With the advent of newer technology, the era of open surgery for gall bladder diseases has been preferably taken over by laparoscopic cholecystectomy. However, certain cases still require conversion to open surgery. In this review we aim to analyze the reason for conversion.Methods: This retrospective study was conducted at Patan Hospital, Patan Acdemy of Health Sciences, Nepal. All patients who underwent laparoscopic cholecystectomy from February 2009 to July 2012 were included in the study. File numbers of all the patients were obtained from operation room register. The patient files were analyzed for age, sex, duration of symptoms, liver function tests, ultrasound findings and the description in operation note for reason for conversion.Results: The age ranged from 12 to 81 years with mean age of patients 32.76 years and male to female ratio 1:2.9. The mean operating time was 65 minutes and average post operative hospital stay was 1.61 days. Out of 305 patients, 34 (11.14%) required open conversion. Factors esponsible for open conversion were dense fibrosis at Calots in 11 (3.6%), adhesions due to previous abdominal surgery in 6 (1.9%), uncontrollable bleeding in 5 (1.6%), bile duct injury in 4 (1.3%) cholecystoenteric fistula in 3 (0.9%), Mirizzi’s syndrome 2(0.6%).Conclusions: Adhesions at the calot’s triangle was the common reason for conversion from laparoscopic to open cholecystectomy.Keywords: adhesions, conversion, gallstone, laparoscopic cholecystectom

    Analysis of corrugated shells

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    Thesis (Sc. D.)--Massachusetts Institute of Technology, Dept. of Civil and Sanitary Engineering, 1959.Vita.Includes bibliographical references (leaves 147-148).by Surendra Tulsidas Shah.Sc.D

    Surface Treatment of Cement-Based Materials with NanoSiO2

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    A dense surface structure of cement-based material is favorable for its resistance to the impacts of environment. In this work, effectiveness and mechanisms of the surface treatment of cement-based materials with nanoSiO2 of different states, that is, colloidal nanoSiO2 (CNS) and the in situ formed nanoSiO2 gel through the hydrolysis of its precursor of tetraethoxysilane (TEOS), by brushing and soaking techniques, were investigated. Results showed that both CNS and TEOS are capable of reducing the liquid and gaseous transport properties of hardened cement-based materials, although at a different extent. It revealed that the pozzolanic reactivity and the filler effect of nanoSiO2 are the main causes for the refining of the threshold size and the reduction of volume of the capillary pores, and they finally lead to a linearly reduction of the transport property. From this study, it can be reflected that surface treatment of cement-based materials with nanoSiO2 would be an optimal alternative of making concrete structure more durable

    Influence of Purified Attapulgite Clays on the Adhesive Properties of Cement Pastes as Measured by the Tack Test

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    This study evaluates the influence of small additions of highly-purified attapulgite clays (0.2% and 0.5% addition by mass of cement) on the adhesive properties of cement pastes. Adhesive properties are measured by the tack test, a novel method of evaluating the rheological properties of granular materials. To better understand the results of the tack test as they pertain to cementitious materials, a highly concentrated material that is evolving due to thixotropic rebuilding and hydration, they are supplemented with a measure of the viscoelastic properties over time obtained through low-amplitude oscillatory shear rheometry. The influence of different preshear conditions and resting times (age of paste) on the adhesive properties are determined. Results show the tack test to be a suitable method for obtaining useful information about the adhesive properties and structural evolution of the material in the fresh state
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