Dissimilar materials laser welding characteristics of stainless steel and titanium alloy

Welding parameters are directly influenced by the work material properties. Thermal properties such as thermal conductivity and melting point are very important to estimate the range of power required and the allowable scanning speed. However, when two or more different materials are involved, modifying lasing parameters are not enough to counter the problems such as imbalance melting region and weak adhesion of contact surface. To counter this problem, the characteristics of welding beads formation for both materials need to be clarified. In this study, comparison of welding beads constructed using the same scanning parameters were done to understand the different and similarity of melted region for the both materials. Actual welding of the both materials were done under different offset distance to obtain a balanced melting area and well mixed melting region

Thrombose du sinus lateral et de la veine jugulaire apres un traumatisme cranien ferme

Introduction Les traumatismes crâniens fermés représentent une étiologie exceptionnelle des thromboses veineuses cérébrales (TVC). Seule une trentaine de cas sont rapportés, contrastant avec la grande fréquence des traumatismes crâniens. Cette situation pose des difficultés diagnostiques pouvant expliquer le pronostic relativement mauvais des TVC post traumatiques.Objectif Rapporter un cas de thrombose veineuse après un traumatisme crânien fermé.Observation Un patient de 23 ans suivi pour une schizophrénie, a présenté suite à une tentative de suicide, un traumatisme crânien fermé sans anomalie clinique ou à la TDM cérébrale initiale. Après un intervalle de 48 heures, un syndrome d’hypertension intracrânienne est apparu de façon rapide. Une thrombose du sinus latéral droit, étendue à la veine jugulaire a été découverte fortuitement sur la TDM cérébrale et confirmée par l’angio-IRM. Le reste du bilan étiologique de cette TVC est resté négatif et les anticoagulants ont permis une amélioration rapide des symptômes.Conclusion Dans les suites d’un traumatisme crânien, l’apparition de symptômes neurologiques, en particulier d’une HTIC doit faire rechercher une TVC après avoir éliminé des causes plus classiques à ce contexte (hématomes intracrâniens).Mots clés : Thrombose veineuse cérébrale; traumatisme crânien; anticoagulants

Épidémiologie des accidents domestiques graves de l’enfant admis en réanimation pédiatrique polyvalente à l’hôpital d’enfants de Rabat-Maroc

Introduction: les accidents domestiques de l'enfant représentent un vrai problème de santé publique dans les pays industrialisés. Au Maroc, lapriorité en santé publique est toujours donnée aux pathologies   infectieuses, et bien qu'elle soit très peu décrite, la pathologie accidentelle de l'enfant devient de plus en plus fréquente dans notre pays avec une mortalité importante. L'objectif est de mettre le point sur la prévalence, lagravité, les aspects étiologiques, les facteurs de risque et les circonstances de survenue de ces accidents, ainsi que les moyens de préventionactive et passive. Méthodes: enquête rétrospective descriptive sur une période de douze mois portant sur tous les enfants pris en charge pour accident domestique grave au service de réanimation pédiatrique polyvalente de l'hôpital universitaire d'enfants de Rabat. Résultats: parmi 698 admissions, 108 cas d'accidents domestiques graves ont étaient colligés (soit 15,5%), L'âge moyen des enfants était de 04ans tout accident confondu, avec un sex-ratio de 1,08 en faveur des garçons. L'évolution générale était marquée par le décès de 16 enfants (soit 14,8%) parmi 164 décès toute pathologie confondue au cours de la même période d'étude (soit 9,75% des décès) avec une durée moyenne   d'hospitalisation de 04jours. les brûlures constituaient le premier accident dans notre série par 37cas, et elles étaient la première cause de mortalité par huit cas; par ailleurs, la population la plus à risque de brûlure était les nourrissons (67,6%). L'inhalation intrabronchique d'épingle à foulard  (accident particulier dans notre contexte islamique) à été retrouvée chez six cas. Conclusion: les accidents domestiques de l'enfant constituent rarement une préoccupation de premier plan dans la population alors qu'ils sont parfois très graves et source d'une mortalité importante. Le meilleur  traitement reste la prévention active et passive

Numerical analysis of laser preheating for laser assisted micro milling of Inconel 718

Micro milling of super alloy materials such as Inconel 718 is challenging due to their excellent mechanical properties. Therefore, new techniques have been suggested to enhance the machinability such as pre-heating the workpiece’s surface to reduce their strength and ductility. Applying pulsed wave laser as a heat source, the prediction of fluctuated temperature distribution in laser assisted micro milling (LAMM) is crucially important. The selection of processing parameters with minimum effect on the processing characteristic is decisive in obtaining high machining quality. Clarifying the effect of heat generated underneath the laser irradiated surface is important to predict the allowable maximum cutting depth and to minimize the risk of tool wear and failure. In this study, ANSYS APDL numerical analysis was used to characterise the workpiece temperature distribution. The numerical model was validated by comparing the results with actual laser irradiation experiment. The experiment was conducted by using Nd:YAG laser with wavelength 1064 nm

Real-time qPCR improves meningitis pathogen detection in invasive bacterial-vaccine preventable disease surveillance in Fiji.

As part of the World Health Organization Invasive Bacterial-Vaccine Preventable Diseases (IB-VPD) surveillance in Suva, Fiji, cerebrospinal fluid (CSF) samples from suspected meningitis patients of all ages were examined by traditional methods (culture, Gram stain, and latex agglutination for bacterial antigen) and qPCR for Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Of 266 samples tested, pathogens were identified in 47 (17.7%). S. pneumoniae was the most common pathogen detected (n = 17) followed by N. meningitidis (n = 13). The use of qPCR significantly increased detection of IB-VPD pathogens (P = 0.0001): of 35 samples that were qPCR positive for S. pneumoniae, N. meningitidis, and H. influenzae, only 10 were culture positive. This was particularly relevant for N. meningitidis, as only 1/13 cases was culture positive. Molecular serotyping by microarray was used to determine pneumococcal serotypes from 9 of 16 (56%) of samples using DNA directly extracted from CSF specimens. Results indicate that qPCR significantly increases detection of S. pneumoniae, N. meningitidis, and H. influenzae in CSF, and that application of molecular diagnostics is a feasible way to enhance local and global surveillance for IB-VPD

The influence of injection molding parameter on properties of thermally conductive plastic

Thermally conductive plastic is the composite between metal-plastic material that is becoming popular because if it special characteristic. Injection moulding was regarded as the best process for mass manufacturing of the plastic composite due to its low production cost. The objective of this research is to find the best combination of the injection parameter setting and to find the most significant factor that effect the strength and thermal conductivity of the composite. Several parameter such as the volume percentage of copper powder, nozzle temperature and injection pressure of injection moulding machine were investigated. The analysis was done using Design Expert Software by implementing design of experiment method. From the analysis, the significant effects were determined and mathematical models of only significant effect were established. In order to ensure the validity of the model, confirmation run was done and percentage errors were calculated. It was found that the best combination parameter setting to maximize the value of tensile strength is volume percentage of copper powder of 3.00%, the nozzle temperature of 195oC and the injection pressure of 65%, and the best combination parameter settings to maximize the value of thermal conductivity is volume percentage of copper powder of 7.00%, the nozzle temperature of 195oC and the injection pressure of 65% as recommended

Factors associated with pneumococcal carriage and density in children and adults in Fiji, using four cross-sectional surveys.

This study describes predictors of pneumococcal nasopharyngeal carriage and density in Fiji. We used data from four annual (2012-2015) cross-sectional surveys, pre- and post-introduction of ten-valent pneumococcal conjugate vaccine (PCV10) in October 2012. Infants (5-8 weeks), toddlers (12-23 months), children (2-6 years), and their caregivers participated. Pneumococci were detected and quantified using lytA qPCR, with molecular serotyping by microarray. Logistic and quantile regression were used to determine predictors of pneumococcal carriage and density, respectively. There were 8,109 participants. Pneumococcal carriage was negatively associated with years post-PCV10 introduction (global P<0.001), and positively associated with indigenous iTaukei ethnicity (aOR 2.74 [95% CI 2.17-3.45] P<0.001); young age (infant, toddler, and child compared with caregiver participant groups) (global P<0.001); urban residence (aOR 1.45 [95% CI 1.30-2.57] P<0.001); living with ≥2 children <5 years of age (aOR 1.42 [95% CI 1.27-1.59] P<0.001); low family income (aOR 1.44 [95% CI 1.28-1.62] P<0.001); and upper respiratory tract infection (URTI) symptoms (aOR 1.77 [95% CI 1.57-2.01] P<0.001). Predictors were similar for PCV10 and non-PCV10 carriage, except PCV10 carriage was negatively associated with PCV10 vaccination (0.58 [95% CI 0.41-0.82] P = 0.002) and positively associated with exposure to household cigarette smoke (aOR 1.21 [95% CI 1.02-1.43] P = 0.031), while there was no association between years post-PCV10 introduction and non-PCV10 carriage. Pneumococcal density was positively associated with URTI symptoms (adjusted median difference 0.28 [95% CI 0.16, 0.40] P<0.001) and toddler and child, compared with caregiver, participant groups (global P = 0.008). Predictors were similar for PCV10 and non-PCV10 density, except infant, toddler, and child participant groups were not associated with PCV10 density. PCV10 introduction was associated with reduced the odds of overall and PCV10 pneumococcal carriage in Fiji. However, after adjustment iTaukei ethnicity was positively associated with pneumococcal carriage compared with Fijians of Indian Descent, despite similar PCV10 coverage rates

Simple elbow dislocations: a systematic review of the literature

Objective: To identify if functional treatment is the best available treatment for simple elbow dislocations. Search strategy: Electronic databases MEDLINE, EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials. Selection criteria: Studies were eligible for inclusion if they were trials comparing different techniques for the treatment of simple elbow dislocations. Data analysis: Results were expressed as relative risk for dichotomous outcomes and weighted mean difference for continuous outcomes with 95% confidence intervals. Main results: This review has included data from two trials and three observational comparative studies. Important data were missing from three observational comparative studies and the results from these studies were extracted for this review. No difference was found between surgical treatment of the collateral ligaments and plaster immobilisation of the elbow joint. Better range of movement, less pain, better functional scores, shorter disability and shorter treatment time were seen after functional treatment versus plaster immobilisation

Short communication: Epidemiological assessment of Strongyloides stercoralis in Fijian children

As a part of the lymphatic filariasis (LF) transmission assessment survey (TAS)/soil-transmitted helminths (STH) prevalence survey in Western Division of Fiji, a pilot screen for Strongyloides stercoralis (SS) in school children was undertaken using a combination of the Baermann concentration (BC) method and real-time PCR assays. Using BC, faecal samples collected from 111 children of 7 schools were examined. A single child was positive for larvae of SS and underwent a clinical examination finding an asymptomatic infection. Other members of this child's household were screened with BC, finding none infected. Aliquots of 173 faecal samples preserved in ethanol originating from all schools were examined by real-time PCR, and the prevalence of SS infection was 3.5%. Our study confirms the existence of SS infection on Fiji and showed that assessing SS prevalence alongside TAS/STH survey is a convenient access platform, allowing introduction of other surveillance techniques such as BC and real-time PCR.OAIID:RECH_ACHV_DSTSH_NO:T201623896RECH_ACHV_FG:RR00200001ADJUST_YN:EMP_ID:A076000CITE_RATE:0FILENAME:1-s2.0-S2405673116300253-main.pdfDEPT_NM:의학과EMAIL:[email protected]_YN:YFILEURL:https://srnd.snu.ac.kr/eXrepEIR/fws/file/39688340-4aed-4290-942e-06f46e4c9de3/linkCONFIRM: