Calcaneal fractures in children

Eight patients with 9 calcaneal fractures were reviewed. Of the fractures 6 were intra articular and 3 extra-articular but in children this distinction appears to have little relevance to treatment or prognosis. While these fractures are relatively uncommon in children, clinical suspicion is important in making the diagnosis, since the presentation may be subtle. The overall prognosis in children is excellent

Assessment and prediction of tablet properties using transmission and backscattering Raman spectroscopy and transmission NIR spectroscopy

This study investigated whether Raman and Near Infrared (NIR) spectroscopy could predict tablet properties. Granules were produced on a continuous line by varying granulation parameters. Tableting process parameters were adjusted to obtain uniform tablet weight and thickness. Spectra were collected offline and tablet properties determined with traditional analyzing methods. Partial Least Squares (PLS) regression was used to correlate spectral information to tablet properties, but predictive models couldn't be established. Principal component analysis (PCA) was effectively used to distinguish theophylline concentrations and hydration levels and multiple linear regression (MLR) analysis allowed insight on how granulation parameters affect granule and tablet properties

Influence of extended dwell time during pre- and main compression on the properties of ibuprofen tablets

The low melting point, poor flow, physico-mechanical properties (particle size distribution, shape, particle surface roughness) and deformation mechanism of ibuprofen in combination with its high dose in tablets all contribute to the problems observed during the compaction of ibuprofen-based formulations. Since ibuprofen is plastically and elastically deforming, the rate of compaction plays an important role in both the final tablet properties and the risk of capping, laminating and sticking to the punches. While the compaction rate in most tableting machines is only determined by the tableting speed, the high speed rotary tableting machine used in this research project (MODUL (TM) P, GEA Process Engineering, Halle, Belgium) can adjust and control the dwell time independently from the tableting speed, using an air compensator which allows displacement of the upper (pre-) compression roller. The effect of this machine design on process parameters and tablet properties was investigated. Granules containing 80% ibuprofen were compressed into tablets at 250, 500 and 1000 tablets per minute via double compression (pre- and main compression) with or without extended dwell time. Prior to tableting, granule properties were determined. Process parameters and tablet properties were analyzed using Multivariate Data Analysis. Principal Component Analysis provided an overview of the main phenomena determining the tableting process and Partial Least Squares Analysis unveiled the main variables contributing to the observed differences in the tablet properties

Validity of corneal topography in refractive surgery with excimer laser

PURPOSE: To evaluate the refractive results and safety of PRK (photorefractive keratectomy) based on the preoperative corneal topography. METHODS: 44 operated eyes, using the photorefractive keratectomy process, and which presented preoperative topographical abnormalities. The control group consisted of 44 eyes with preoperative normal corneal topography. Eighty-eight eyes were submitted to the photorefractive keratectomy process using the Summit Apex plus Excimer Laser. Corneal topographies were accessed by the EyeSys Analysis system; the topographic abnormalities which were considered are the following: apex displacement above 1.5D (AD), asphericity above 0.25D/mm (AS), obliquity above 15 degrees (OB), inferior-superior asymmetry equal to or more than 1.5D (IS), curvature above 47D (CU) and two combined features (CB). Main measured outcome: loss of one or more lines were safety defined for the prognosis. RESULTS: All patients were followed up during 6 months. A significant loss of BCVA occurred in PRK-AD (p<0.001) and PRK-CO (p<0.05). CONCLUSION: These data suggest that patients, who wish to be submitted to the refractive surgery must undergo preoperative corneal topography analysis and if any topographic abnormality is found in these patients, this can indicate the loss of lines of corrected vision after surgery.OBJETIVO: Avaliar os resultados refracionais e a segurança do procedimento cirúrgico PRK (ceratectomia fotorrefrativa) com base na topografia de córnea no pré-operatório. MÉTODOS: Participantes - 44 sujeitos que tinham realizado cirurgia refrativa, com o procedimento ceratectomia fotorrefrativa, os quais apresentaram topografias irregulares pré-operatórias. O grupo controle consistiu de 44 sujeitos com topografia regular pré-operatória. Os 88 olhos foram submetidos a ceratectomia fotorrefrativa utilizando-se o Summit Apex plus Excimer Laser. As topografias irregulares e regulares foram obtidas pelo Corneal Analysis System(EyeSys), sendo consideradas como topografias irregulares os seguintes achados: ápice deslocado acima de 1,5 D (AD), asfericidade maior que 0,25 D/mm (AS), obliquidade maior que 15 graus (OB), assimetria inferior-superior igual ou maior que 1,5 D (IS), curvatura maior que 47 D (CU) e combinação de 2 critérios (CB). Principal efeito medido: perda de uma ou mais linhas que foram definidas com segurança para o prognóstico. RESULTADOS: Todos os pacientes foram acompanhados por 6 meses. Verificou-se perda significativa de acuidade visual corrigida em pacientes submetidos ao procedimento PRK-AD (p< 0,001), PRK-CO (p<0,05). CONCLUSÃO: Este estudo sugere que pacientes que desejam ser submetidos a cirurgia refrativa devem realizar a topografia de córnea pré-operatória e que, se encontradas irregularidades topográficas nestes pacientes, isto pode indicar a perda de linha de visão corrigida pós-operatória.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de OftalmologiaUniversidade de Mogi das Cruzes Departamento de Oftalmologia Setor de Córnea e Doenças externasUNIFESP, EPM, Depto. de OftalmologiaSciEL

Abscessos cerebrais múltiplos causados por infecção por Penicillium spp

We present a case of central nervous system (CNS) infection by a member of the Penicillium genera in a HIV-negative man in Brazil. The patient was admitted complaining of loss of visual fields and speech disturbances. CT scan revealed multiple brain abscesses. Stereothacic biopsies revealed fungal infection and amphotericin B treatment begun with initial improvement. The patient died few days later as a consequence of massive gastrointestinal bleeding due to ruptured esophageal varices. The necropsy and final microbiologic analyses disclosed infection by Penicillium sp. There are thousands of fungal species of the Penicillium genera. Systemic penicilliosis is caused by the P. marneffei and was formerly a rare disease, but now is one of the most common opportunistic infection of AIDS patients in Southeast Asia. The clinical presentation usually involves the respiratory system and the skin, besides general symptoms like fever and weight loss. Penicillium spp infection caused by species other than P. marneffei normally cause only superficial or allergic disease but rare cases of invasive disease do occur. We report the fourth case of Penicillium spp CNS infection.Apresentamos um caso de infecção do sistema nervoso central (SNC) por Penicillium spp em paciente do sexo masculino, HIV-negativo no Brasil. O paciente apresentou-se ao Serviço de Urgência do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo queixando-se de alteração visual e dificuldade na fala. Exames de neuroimagem mostraram lesões múltiplas, compatíveis com abscessos. A biópsia esterotáxica revelou infecção fúngica, iniciando-se o tratamento com anfotericina B com sucesso inicial. O paciente morreu poucos dias depois, vítima de uma hemorragia digestiva maciça devido a varizes de esôfago. A necropsia e a análise microbiológica final da biópsia cerebral revelaram infecção por Penicillium spp. Exixtem centenas de espécies de fungos do gênero Penicillium. A peniciliose sistêmica é causada pelo P. marneffei e costumava ser uma doença rara, mas atualmente é uma das infecções oportunistas mais comuns em associação com AIDS no Sudeste Asiático. Infecção pelo Penicillium spp de espécie diferente do P. marneffei normalmente causa apenas doenças superficiais ou alérgicas mas doenças invasivas também ocorrem raramente. Nós relatamos o quarto caso de infecção do SNC por Penicillium spp

Analysis of a Stator-Rotor-Stator Spinning Disk Reactor in Single-Phase and Two-Phase Boiling Conditions Using a Thermo-Fluid Flow Network and CFD

Cryogenic liquid propellants are used in liquid rocket engines to obtain high specific impulse. The flow rates are controlled by turbopumps that deliver liquid propellant to the engine at high pressure levels. Due to the very low saturation temperature of the cryogenic propellant, in the first phases of the transient operation, in which the engine is at ambient temperature, its surfaces are subject to boiling conditions. The effect of boiling on the heat transfer between the solid and the fluid needs to be well characterized in order to correctly predict the cryopump metal temperature temporal evolution and the necessary amount of propellant. With the aim of benchmarking numerical tools against experimental data, a representative test case was chosen. This consists of a stator-rotorstator spinning disc reactor studied under single-phase and two-phase heat transfer conditions. The numerical approaches used are represented by a 1D network solver, where the pressure drop and heat transfer are calculated by correlations, and Computational Fluid Dynamics (CFD) simulations, carried out with ANSYS Fluent. Both the numerical tools returned a reasonable agreement in single-phase conditions, also thanks to the use of adequate correlations in the flow network solver and typical conditions for the CFD simulations. Two-phase conditions on the contrary are more challenging, with underpredictions up to 20% and 80%, respectively. The issues are ascribable to the use of correlations that are inadequate to capture the two-phase phenomena occurring in the srs reactor and numerical limitations in the actual implementation of the boiling model in the CFD solver

Isolation and preliminary characterization of a caprine rotavirus

Five cytopathic rotavirus strains were isolated in MA 104 cells from stool specimens of kids with diarrhoea. Pre-treatment of the virus with trypsin and incorporation of low levels of trypsin in the maintenance medium were important for the successful cultivation of the strains in these cells. The isolates were shown to be group A rotaviruses by antigenic reactivity with a group A monoclonal antibody. This was confirmed by the migration patterns of the viral RNA genome during polyacrylamide gel electrophoresis, which also confirmed that all five strains had an identical RNA electropherotype. Analysis with monoclonal antibodies to the subgroup-specific VP6 antigen showed that these strains carried the subgroup I epitope.The articles have been scanned in colour with a HP Scanjet 5590; 600dpi. Adobe Acrobat XI Pro was used to OCR the text and also for the merging and conversion to the final presentation PDF-format.mn201

The Deep Water Abundance on Jupiter: New Constraints from Thermochemical Kinetics and Diffusion Modeling

We have developed a one-dimensional thermochemical kinetics and diffusion model for Jupiter's atmosphere that accurately describes the transition from the thermochemical regime in the deep troposphere (where chemical equilibrium is established) to the quenched regime in the upper troposphere (where chemical equilibrium is disrupted). The model is used to calculate chemical abundances of tropospheric constituents and to identify important chemical pathways for CO-CH4 interconversion in hydrogen-dominated atmospheres. In particular, the observed mole fraction and chemical behavior of CO is used to indirectly constrain the Jovian water inventory. Our model can reproduce the observed tropospheric CO abundance provided that the water mole fraction lies in the range (0.25-6.0) x 10^-3 in Jupiter's deep troposphere, corresponding to an enrichment of 0.3 to 7.3 times the protosolar abundance (assumed to be H2O/H2 = 9.61 x 10^-4). Our results suggest that Jupiter's oxygen enrichment is roughly similar to that for carbon, nitrogen, and other heavy elements, and we conclude that formation scenarios that require very large (>8 times solar) enrichments in water can be ruled out. We also evaluate and refine the simple time-constant arguments currently used to predict the quenched CO abundance on Jupiter, other giant planets, and brown dwarfs.Comment: 42 pages, 7 figures, 4 tables, with note added in proof. Accepted for publication in Icarus [in press