Effect of Freeze-Thaw Cycling on the Compression Strength of Folding Cartons Made from Different Materials

The quality of frozen food is known to deteriorate in storage due to water migration, in-pack desiccation and frost formation. These same factors can affect folding cartons. The rate of frozen food and folding carton deterioration is further dependent on temperature fluctuations during storage, transportation, loading and unloading. This study was conducted to compare the compression strength of folding cartons made from CNK (Coated Natural Kraft), SBS (Solid Bleached Sulfate), CRP (Coated recycled paperboard) and PCSBS (Poly coated Solid Bleach Sulfate) after subjecting them to multiple freeze-thaw cycles. Compression tests were performed on empty cartons and cartons filled with frozen peas. A two inch headspace was maintained above the peas to prevent them from contributing to carton compression strength. The moisture content of all four carton materials was also determined for all treatments. CNK cartons showed better capacity to withstand compression compared to folding cartons made from SBS, CRP and PCSBS, following freeze thaw cycling

Predictive factors for malignancy in undiagnosed isolated small bowel strictures

Background/Aims: Patients with small bowel strictures have varied etiologies, including malignancy. Little data are available on the demographic profiles and etiologies of small bowel strictures in patients who undergo surgery because of intestinal obstruction but do not have a definitive pre-operative diagnosis.Methods: Retrospective data were analyzed for all patients operated between January 2000 and October 2014 for small bowel strictures without mass lesions and a definite diagnosis after imaging and endoscopic examinations. Demographic parameters, imaging, endoscopic, and histological data were extracted from the medical records. Univariate and multivariate analyses were conducted to identify factors that could differentiate between intestinal tuberculosis (ITB) and Crohn's disease (CD) and between malignant and benign strictures.Results: Of the 7,425 reviewed medical records, 89 met the inclusion criteria. The most common site of strictures was the proximal small intestine (41.5%). The most common histological diagnoses in patients with small bowel strictures were ITB (26.9%), CD (23.5%), non-specific strictures (20.2%), malignancy (15.5%), ischemia (10.1%), and other complications (3.4%). Patients with malignant strictures were older than patients with benign etiologies (47.6±15.9 years vs. 37.4±16.4 years, P=0.03) and age >50 years had a specificity for malignant etiology of 80%. Only 7.1% of the patients with malignant strictures had more than 1 stricture and 64% had proximally located strictures. Diarrhea was the only factor that predicted the diagnosis of CD 6.5 (95% confidence interval, 1.10–38.25; P=0.038) compared with the diagnosis of ITB.Conclusions: Malignancy was the cause of small bowel strictures in approximately 16% patients, especially among older patients with a single stricture in the proximal location. Empirical therapy should be avoided and the threshold for surgical resection is low in these patients