Flow characteristics and exchange in complex biological systems as observed by pulsed-field-gradient magnetic-resonance imaging

Water flow through model porous media was studied in the presence of surface relaxation, internal magnetic field inhomogeneities and exchange with stagnant water pools with different relaxation behavior, demonstrating how the apparent flow parameters average velocity, volume flow and flow conducting area in these situations depend on the observation time. To investigate the water exchange process a two component biological model system consisting of water flowing through a biofilm reactor (column packed with methanogenic granular sludge beads) was used, before and after a heat treatment to introduce exchange. We show that correction of the stagnant fluid signal amplitude for relaxation at increasing observation time using the observed relaxation times reveals exchange between the two fractions in the system. Further it is demonstrated how this exchange can be quantifie

Laparoscopic repair of pericardio-diaphragmatic rupture: A case report

Diaphragmatic rupture following blunt trauma is a common pathology which has good outomes when discovered early and treated. The common practice has been to manage these patients with either a laparotomy or thoracotomy, with some reports showing the safety of laparoscopy. We present a case of a patient who presented with a pericadio-diaphragmatic rupture who was managed successfully using laparoscopy

A review of blood transfusions in a trauma unit for young children

Background. Trauma is the leading cause of mortality and morbidity worldwide. Blood transfusions play an incremental role in the acute phase, yet practice varies owing to variations in transfusion thresholds and concerns about potential complications, especially in children.Objectives. To evaluate protocol adherence to blood transfusion thresholds in paediatric trauma patients and determine the degree of blood product wastage, as defined by discarded units.Methods. A retrospective, descriptive study of trauma patients (age 0 - 13 years) who received a blood transfusion in the trauma unit at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa, over a 5.5-year period (1 January 2009 - 1 July 2014). Haemoglobin (Hb) transfusion thresholds were defined as 10 g/dL for neurotrauma patients and patients requiring skin grafting or a musculocutaneous flap (group 1). All other trauma patients had an Hb transfusion threshold of 7 g/dL (group 2).Results. A total of 144 patients were included (mean age 5.2 years (standard deviation (SD) 3.3), 68.1% male). The mean Hb increase after transfusion was 3.5 g/dL (SD 1.7). Adherence to the transfusion Hb threshold protocol was 96.7% for group 1 v. 34.0% for group 2. No complications were reported. Average blood wastage was 3.5 units per year during the study period.Conclusions. Adherence to paediatric blood transfusion protocol was low in the Hb threshold group <7 g/dL. However, transfusion-related complications and wastage were minimal. Further prospective research is required to determine optimal blood transfusion guidelines for paediatric trauma patients

An introduction to surgical challenges and priorities in rural areas

An introduction to surgical challenges and priorities in rural area

Global patterns in students’ views of science and interest in science

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.International studies have shown that interest in science and technology among primary and secondary school students in Western European countries is low and seems to be decreasing. In many countries outside Europe, and especially in developing countries, interest in science and technology remains strong. As part of the large-scale European Union funded ‘Science Education for Diversity’ project, a questionnaire probing potential reasons for this difference was completed by students in the UK, Netherlands, Turkey, Lebanon, India and Malaysia. This questionnaire sought information about favourite courses, extracurricular activities and views on the nature of science. Over 9,000 students aged mainly between 10 and 14 years completed the questionnaire. Results revealed that students in countries outside Western Europe showed a greater interest in school science, in careers related to science and in extracurricular activities related to science than didWestern European students. Non-European studentswere also more likely to hold an empiricist viewof the nature of science and to believe that science can solve many problems faced by the world. Multilevel analysis revealed a strong correlation between interest in science and having such a view of the Nature of Science.This publication received funding from the European Union Science in Society Framework 7 Programme (FP7/2007/2013) under grant agreement 244717. We would like to thank the following people for collecting data and contributing to this research project: Roel Janssen, Huseyin Bag, Lindsay Hetherington, Alun Morgan, Keith Postlethwaite, Rupert Wegerif, Ng Swee Chin, Choy Siew Chee, Oo Pou San, Chin Fui Chung, Teh Lee Wah, Sugra Chunawala, Chitra Natarajan and Beena Chok

Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy

Sacral neuromodulation (SNM) may be beneficial in the treatment of patients with chronic pelvic pain, although it is not an FDA-approved indication. We present a case of a 51-year-old patient that presented with symptoms of lower urinary tract dysfunction and clitoral pain after an abdominal hysterectomy. Electrophysiological evaluation suggested a pudendal nerve lesion. After failure of conservative treatment, she was offered SNM as a treatment for her voiding symptoms. During test stimulation, she experienced only moderate improvement in voiding symptoms, but a striking improvement in pain symptoms. She underwent a two-stage implantation of a neurostimulator with a successful outcome after 6 months’ follow-up. The results of this report suggest that SNM may be effective in patients with neuropathic pelvic pain

Glauber theory of initial- and final-state interactions in (p,2p) scattering

We develop the Glauber theory description of initial- and final-state interactions (IFSI) in quasielastic A(p,2p) scattering. We study the IFSI-distortion effects both for the inclusive and exclusive conditions. In inclusive reaction the important new effect is an interaction between the two sets of the trajectories which enter the calculation of IFSI-distorted one-body density matrix for inclusive (p,2p) scattering and are connected with incoherent elastic rescatterings of the initial and final protons on spectator nucleons. We demonstrate that IFSI-distortions of the missing momentum distribution are large over the whole range of missing momentum both for inclusive and exclusive reactions and affect in a crucial way the interpretation of the BNL data on (p,2p) scattering. Our numerical results show that in the region of missing momentum p_{m}\lsim 100-150 MeV/c the incoherent IFSI increase nuclear transparency by 5-10\%. The incoherent IFSI become dominant at p_{m}\gsim 200 MeV/c.Comment: Accepted in Z. Phys.A, Latex, 26 pages, uuencoded 9 figure