Management of intra-articular fractures of distal end radius in adults

Background: Incidence of intra articular fracture L/3rd radius is significantly on rise due to high velocity accidents in young and adults. Painless wrist function is of vital importance for functioning of upper extremity in almost all activities of daily living and precise function of hand. Intra articular fracture of L/3rd radius has generally gross comminution and so also small articular fragments. Orthopaedic community differ about specific implants to fix this complex injury. The present study was undertaken to know efficacy of different modalities of treatment for different fracture pattern. Comminuted intra articular fracture geometry varies widely, to fix these small fragments to achieve stable anatomical reduction is a challenging task.   Methods: It is a combined i.e. retrospective and prospective study conducted at Hardikar Hospital, Pune, India from 1999 to December 2000. Patients of intra-articular fracture of distal end radius by different modes of treatment are included in the study. 1 patient with unilateral fracture was lost for follow-up. Thus 50 fractures, in 49 patients. were included in study. Clinico-radiological assessment was carried out by Lidstrom's (1959) criteria.Results: Satisfactory early functional end results with plaster treatment is 72.2% whereas with other modality of treatment it rises to 87.5%, indicating superiority of other modalities of treatment as far as early functional end results are concerned.Conclusions: Manipulation and plaster cast method continues to be the treatment of choice in the stable intra articular distal radial fractures. Hence there is a need for a "differentiated therapy for distal radial fractures". The treatment plan for patients must be based not only on fracture pattern identified on plain radiographs but also on factors such as bone quality, bone comminution, energy of injury and associated soft tissue damage. Additional factors to be considered in individual patient are-life style associated medical conditions and compliance

Optimizing building energy ratings and disclosure in the U.S. residential sector

Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 2012.Cataloged from PDF version of thesis.Includes bibliographical references (p. 92-98).Residential energy efficiency in the U.S. has the potential to generate significant energy, carbon, and financial savings. Nonetheless, the market of home energy upgrades remains fragmented, and the number of homes being retrofitted remains insignificant compared to the volume of inefficient housing stock. Providing more complete information on the energy performance of homes can enable buyers and sellers to value energy efficiency and can catalyze the delivery of residential energy efficiency. To that end, the European Union and five cities in the U.S. and Australia have implemented, in recent years, the use of residential building labeling to convey home energy performance to market stakeholders. The transparency provided through such building labeling has the potential to tear down common barriers to efficiency and to provide ways for owners, tenants, homebuyers, and lenders alike to engage in home energy efficiency. However, there are numerous concerns surrounding the current approaches to building labeling, and the methods in use today are highly heterogeneous, leading to significant uncertainty surrounding this emerging policy tool. In particular, this thesis describes how building labeling can be optimized for the delivery of residential energy efficiency, focusing specifically on the type of rating that could be used and on the approach to disclosing home energy performance. To achieve this, the thesis examines literature and provides case studies of four cities in the U.S. that have implemented residential energy labeling. These case studies provide insight into the shortcomings of approaches in use today, as well as a look at the beneficial methods utilized in each city. In conjunction, the thesis examines the approach the E.U. is using, the role of the private sector, and voluntary approaches in the U.S. Based on the approaches discussed in the literature and case studies, there are several key attributes that a well-designed building labeling program should have. One key determination is that a strong labeling policy should combine asset ratings (based on an on-site assessment) and operational ratings (based on billing data) to maximize the clarity, functionality, and comparability of labels. Additionally, a well-designed labeling policy should maintain privacy while facilitating information access to the right stakeholders at the right time. Drawing on these findings, this thesis proposes a new model of disclosing residential energy performance. The model, centered on web-enabled data analysis and access, has the potential to provide timely, consistent, and visible ratings to key market actors and, in turn, provide more complete information to residential markets on building efficiency. This approach also combines multiple data sources and requirements into a single platform, in order to streamline the rating and disclosure process. This model offers several advantages for catalyzing residential energy efficiency, as compared to existing approaches.by Nikhil S. Nadkarni.M.C.P

A correlation of the thickness of the nitrocellulose films prepared using a spinning disk technique with the observable properties of nitrocellulose solution

209-218<span style="font-size:12.0pt;font-family: " times="" new="" roman";mso-fareast-font-family:"times="" roman";mso-ansi-language:="" en-in;mso-fareast-language:en-in;mso-bidi-language:ar-sa"="" lang="EN-IN">Spin coating method has been successfully used to cast CN-polyester composite films. Data have been presented after a systematic study of the nitrocellulose film format ion by this technique by using various types of solvents. The method can be extended to prepare CN-polyester composite solid state nuclear track detector films useful for environmental dosimetry.</span

Novel Synthesis and Characterization of Thiosemicarbazone Compounds Containing 4-Acyl-2-pyrazolin-5-ones

A novel synthesis of 4-acylthiosemicarbazone-3-methyl-1-(4`-methylphenyl)-2-pyrazolin-5-one by condensation of 4-acyl-3-methyl-1-(4`-methylphenyl)-2-pyrazolin-5-one with thiosemicarbazide is carried out. The compounds were characterized on the basis of elemental analysis, IR, 1H NMR, Mass, DSC and 13C NMR spectral data. The structures were investigated for their antibacterial and antifungal activity. They are very essential to study on cerebral infarction (Free radical scavenger). A single crystal X-ray study of this thiosemicarbazones and their metal complexes is in progress

Temporal trends of dialysis requiring acute kidney injury after orthotopic cardiac and liver transplant hospitalizations

Abstract Background The epidemiology and outcomes of acute kidney injury (AKI) in prevalent non-renal solid organ transplant recipients is unknown. Methods We assessed the epidemiology of trends in acute kidney injury (AKI) in orthotopic cardiac and liver transplant recipients in the United States. We used the Nationwide Inpatient Sample to evaluate the yearly incidence trends (2002 to 2013) of the primary outcome, defined as AKI requiring dialysis (AKI-D) in hospitalizations after cardiac and liver transplantation. We also evaluated the trend and impact of AKI-D on hospital mortality and adverse discharge using adjusted odds ratios (aOR). Results The proportion of hospitalizations with AKI (9.7 to 32.7% in cardiac and 8.5 to 28.1% in liver transplant hospitalizations; ptrend<0.01) and AKI-D (1.63 to 2.33% in cardiac and 1.32 to 2.65% in liver transplant hospitalizations; ptrend<0.01) increased from 2002-2013. This increase in AKI-D was explained by changes in race and increase in age and comorbidity burden of transplant hospitalizations. AKI-D was associated with increased odds of in hospital mortality (aOR 2.85; 95% CI 2.11-3.80 in cardiac and aOR 2.00; 95% CI 1.55-2.59 in liver transplant hospitalizations) and adverse discharge [discharge other than home] (aOR 1.97; 95% CI 1.53-2.55 in cardiac and 1.91; 95% CI 1.57-2.30 in liver transplant hospitalizations). Conclusions This study highlights the growing burden of AKI-D in non-renal solid organ transplant recipients and its devastating impact, and emphasizes the need to develop strategies to reduce the risk of AKI to improve health outcomes