DIGESTIVE ENDOSCOPY, Issue 1 2009
Osamu Takasawa
Endosonography-guided biliary drainage (ESBD) is gaining acceptance as an effective treatment for obstructive jaundice. Only a few reports on the application of this technique to the gallbladder (endosonography-guided gallbladder drainage [ESGBD]) have been published in the literature. In order to relieve acute cholecystitis which developed in a patient with unresectable malignant biliary obstruction after deployment of a covered metal stent (CMS), we applied this technique. ESGBD was carried out by using an electronic curved linear array echoendoscope. After visualization of the gallbladder and determination of the puncture route, a needle knife papillotome was advanced with electrocautery to pierce the gastric and gallbladder walls. Under the guidance of a guidewire inserted through the needle sheath into the gallbladder, a 7.2 Fr, 30 cm-long, single pigtail plastic tube was placed to bridge the gallbladder and the stomach. No complications relevant to the procedure were encountered. ESGBD was quite effective in ameliorating the patient's acute cholecystitis and the drainage tube was removed after 10 days without sequelae. Acute cholecystitis following CMS deployment is considered to be a good indication for ESGBD. [source]

INTRADUCTAL ULTRASONOGRAPHY OF THE GALLBLADDER IN APPLICATION OF THE ENDOSCOPIC NASO-GALLBLADDER DRAINAGE

DIGESTIVE ENDOSCOPY, Issue 1 2007
Daisuke Masuda
Background:, Although endoscopic naso-gallbladder drainage (ENGBD) for gallbladder disease is useful, the procedure is difficult and investigations involving many cases are lacking. Furthermore, reports on transpapillary intraductal ultrasonography (IDUS) of the gallbladder using a miniature probe are rare. Methods:, A total of 150 patients (119 suspected of having gallbladder carcinoma, 24 with acute cholecystitis (AC), and seven with Mirizzi's syndrome (MS)) were the subject. (i) ENGBD: We attempted to put ENGBD tube into the GB. (ii) IDUS of the gallbladder: Using the previous ENGBD tube, we attempted to insert the miniature probe into the gallbladder and perform transpapillary IDUS of the gallbladder. In five patients, we attempted three-dimensional intraductal ultrasonography (3D-IDUS). Results:, (i) ENGBD: Overall success rate was 74.7% (112/150); the rate for the patients suspected of having gallbladder carcinoma was 75.6% (90/119), and was 71.0% (22/31) for the AC and MS patients. Inflammation and jaundice improved in 20/22 successful patients with AC and MS. Success rate was higher when cystic duct branching was from the lower and middle parts of the common bile duct than from the upper part, and was higher when branching was upwards than downwards. (ii) IDUS of the gallbladder: Success rate for miniature probe insertion into the gallbladder was 96.4% (54/56). Lesions could be visualized in 50/54 patients (92.6%). Of these, detailed evaluation of the locus could be performed in 41. In five patients attempted 3D-IDUS, the relationship between the lesion and its location was readily grasped. Conclusion:, IDUS of the gallbladder is superior for diagnosing minute images. Improvement on the device will further increase its usefulness. [source]

EFFECTS OF CONTROLLED DRAINAGE ON STORM EVENT HYDROLOGY IN A LOBLOLLY PINE PLANTATION,

JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 1 2000
D. M. Amatya
ABSTRACT: A paired watershed approach was utilized to study the effects of three water management regimes on storm event hydrology in three experimental watersheds in a drained loblolly pine (Pinus taeda L.) plantation in eastern North Carolina. The regimes were: (1) conventional drainage, (2) controlled drainage (CD) to reduce outflows during spring fish recruitment, and (3) controlled drainage to reduce outflows and conserve water during the growing season. Data from two pit-treatment years and three years of CD treatment with raised weirs at the watershed outlet are presented. CD treatment resulted in rises in water table elevations during the summer. But the rises were small and short-lived due to increased evapotranspiration (ET) rates as compared to the spring treatment with lower ET demands. CD treatment had no effect on water tables deeper than 1.3 m. CD treatments, however, significantly (,= 0.05) reduced the stoning outflows for all events, and peak outflow rates for most of the events depending upon the outlet weir level. In some events, flows did not occur at all in watersheds with CD. When event outflows occurred, duration of the event was sharply reduced because of reduced effective ditch depth. Water table depth at the start of an event influenced the effect of CD treatment on storm event hydrology. [source]

Coronary Artery Fistulas: A Review of the Literature and Presentation of Two Cases of Coronary Fistulas with Drainage into the Left Atrium

CONGENITAL HEART DISEASE, Issue 3 2007
Scott Ceresnak MD
Abstract We report 2 cases of infants presenting with a murmur shortly after birth and diagnosed with coronary artery fistulas with drainage into the left atrium. The first infant had a fistulous communication between the left main coronary artery and the left atrial appendage and presented with signs and symptoms of heart failure. The infant was repaired surgically in the first week of life. The second infant was asymptomatic and had a fistulous communication between the right coronary artery and the left atrium. The infant will have the fistula closed in the cardiac catheterization laboratory when the child is older. The literature on coronary artery fistulas is reviewed, and the diagnosis and management of coronary artery fistulas is discussed. [source]

Sodium Hydroxide Chemical Matricectomy for the Treatment of Ingrown Toenails: Comparison of Three Different Application Periods

DERMATOLOGIC SURGERY, Issue 7 2005
Pelin Kocyigit MD
Objective Sodium hydroxide matricectomy is a successful method for the treatment of ingrown toenails. This study was designed to evaluate the optimal sodium hydroxide application period providing high success rates with minimal postoperative morbidity. Materials and Methods Sixty-six patients with 225 ingrown nail edges were treated in three groups receiving 30-second, 1-minute, and 2-minute applications of sodium hydroxide. Each patient was reviewed postoperatively for pain, drainage, and tissue damage. The median long-term follow-up period was 14 months. Results The success rate of the therapy was 70.9% in the first group, 92.7% in the second group, and 94.4% in the third group. In all groups, about half of the patients experienced minimal pain within 48 hours following the operation, but only in the third group, 20% of the patients had minimal pain, which continued about 1 week. Drainage and tissue damage were minimal or mild in all groups and disappeared within 3 weeks in the first and second groups but were prolonged to 6 weeks in the third group. conclusion The success rate of 30-second application is significantly lower than 1-minute and 2-minute applications. Although the success rates of the latter two procedures are similar, the prolonged healing time is the disadvantage of the 2-minute application. We conclude that 1-minute application of 10% sodium hydroxide is simple, safe, and highly effective for the treatment of ingrown nails. [source]

Minimizing Postoperative Drainage with 20% Ferric Chloride After Chemical Matricectomy with Phenol

DERMATOLOGIC SURGERY, Issue 2 2001
A. Burhan Aksakal MD
Background. Phenol used in partial matricectomy shows its effects by denaturing matrix proteins. This highly successful method has the major problem of oozing which can continue for 5,6 weeks. Objective. The goal of this study was to determine the effect of 20% ferric chloride (FC) (FeCl3) on minimizing the oozing after chemical matricectomy with phenol. Methods. Sixty-seven patients with stage III onychocryptosis were treated by chemical matricectomy with 90% aqueous phenol. In 32 of these patients FC was applied to the nail bed after the phenolization procedure. Results. We found a statistically significant (P < .001) reduction of oozing in the FC-applied group of patients. Conclusion. We think that using FC after phenol chemical matricectomy results in a significant reduction in oozing from the operation site. [source]

Drainage of the Inferior Vena Cava to the Left Atrium

ECHOCARDIOGRAPHY, Issue 2 2003
Haran Burri M.D.
Drainage of the inferior vena cava to the left atrium is an extremely unusual congenital heart disease. We describe a 54-year-old woman, in whom the diagnosis was suggested by transthoracic echocardiography, and then confirmed by a transesophageal exam and magnetic resonance imaging, which also revealed an associated secundum atrial septal defect. Surgical management involved reconstruction of the interatrial septum to include the inferior vena cava in the right atrium. The few previously reported cases in the literature are reviewed. (ECHOCARDIOGRAPHY, Volume 20, February 2003) [source]

Intracardiac Echocardiography in the Diagnosis of Right-Sided Partial Anomalous Pulmonary Venous Drainage

ECHOCARDIOGRAPHY, Issue 6 2002
Mario Zanchetta M.D.
No abstract is available for this article. [source]

The Role of Surface Water Drainage in Environmental Change: a Case Example of the Upper South East of South Australia; an Historical Review

GEOGRAPHICAL RESEARCH, Issue 3 2001
Kathryn H. Taffs
The role of surface water drainage in environmental change in Australia is rarely appreciated. Drains can modify surface water hydrology, not only altering flow regimes but also rapidly dispersing contaminants and altering the natural hydrological balance of associated flora and fauna. Yet drainage continues to be considered a viable management strategy rather than as a cause of land degradation. The impact of surface water drainage in an inherently saline area of South Australia, the Upper South East, is investigated. Surface water drains were constructed by developers in an attempt to increase the area of land available and viable for agricultural land use. Drainage strategies altered the natural direction, magnitude and frequency of surface water flow. The Upper South East has experienced periods of both increased surface water and flooding, and surface water deficit, in the past one hundred years. The region now receives less surface water than under pre-European conditions, but local runoff is channelled into and through the wetlands more rapidly than before European settlement. Future management strategies are likely to continue this trend, to the detriment of remnant natural wetlands. [source]

Comparison of the abilities of redtop (Agrostis alba L.) and zoysiagrass (Zoysia japonica Steud.) to purify liquid animal waste

GRASSLAND SCIENCE, Issue 1 2006
Naoko Takada-Oikawa
Abstract The animal waste treatment facility of Azabu University utilizes cultivation beds where liquid animal waste is purified by filtration through soil and vegetation. The beds are presently covered with zoysiagrass (Zoysia japonica Steud.), which thrives in warm weather. However, the purification activities of this grass decrease during winter dormancy. To improve purification activity between autumn and early spring, we introduced redtop (Agrostis alba L.), which thrives in cool conditions, into an experimental bed and compared the purification efficiency with that of zoysiagrass. Drainage purified through the bed of redtop showed significantly lower values of turbidity, chemical oxygen demand, total phosphorus and ammonium-nitrogen concentrations, and significantly higher nitrate-nitrogen concentrations than that through zoysiagrass during the late vegetative stage when redtop had the highest biomass. This suggested vigorous nitrification activity of rhizosphere under aerobic conditions afforded by redtop. The high purification efficiency of redtop appeared to be associated with better essential salts absorption and improved physicochemical properties of soil supporting its growth. The results showed that the purification efficiency of redtop is higher than that of zoysiagrass under seasonal low temperatures. [source]

Chylous effusions complicating lymphoma: a serious event with octreotide as a treatment option

HEMATOLOGICAL ONCOLOGY, Issue 2 2003
J. Evans
Abstract Chylous effusions have an identical appearance to milk and occur when the thoracic duct is blocked. Since chyle represents direct absorption of fat from the small intestine lacteals, it is rich in fat, calories, vitamins and immunoglobulins. Drainage of this milk-like fluid from any cavity (chest or abdomen) results in rapid weight loss and profound cachexia. The recognition of this milk-like fluid as chyle is urgent for the implementation of the correct treatment. In adults, lymphoma is one of the commonest malignancies to cause blockages in the thoracic duct. Once the diagnosis is made, conservative treatment with strict dietary adjustment often fails to prevent weight loss or resolve the underlying cause. Since the condition is uncommon, no guidelines exist. Many surgeons recommend early surgical intervention before the patient becomes too weak. Surgery may also fail. We report the case of a 62-year-old man with chylous effusions and a weight loss of 30,kg. The nature of the effusion was unrecognized for the first 16 weeks. Upon diagnosis, dietary adjustment was made and a lymphangiogram organized with a view to surgery. Literature searches revealed two cases in which somatostatin was used after surgical procedures failed. We therefore used octreotide (a synthetic analogue of somatostatin). We report complete resolution of the condition within 72,h leading to the resumption of a normal diet and discharge within 2 weeks. Copyright © 2003 John Wiley & Sons, Ltd. [source]

Coma after spinal anaesthesia in a patient with an unknown intracerebral tumour

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 9 2010
T. METTERLEIN
Spinal anaesthesia is contraindicated in patients with elevated intracranial pressure or space-occupying intracranial lesions. Drainage of the lumbar cerebrospinal fluid (CSF) can increase the pressure gradient between the spinal, supratentorial and infratentorial compartments. This can result in rapid herniation of the brain stem or occluding hydrocephalus. We present a case of a female patient with an occult brain tumour who received a spinal anaesthesia for an orthopaedic procedure. The primary course of anaesthesia was uneventful. Several hours after surgery, the patient became increasingly disoriented and agitated. The next day, she was found comatose. A computed tomogram of the head revealed herniation of the brain stem, resulting in an occluding hydrocephalus due to a prior not known infratentorial mass. By acute relieving of the intracranial pressure by external CSF drainage, the mass was removed 2 days later. The further post-operative course was uneventful and the patient was discharged from the hospital without neurological deficit 3 weeks after the primary surgery. [source]

Leaf Associated Microbial Activities in a Stream Affected by Acid Mine Drainage

INTERNATIONAL REVIEW OF HYDROBIOLOGY, Issue 5-6 2004
Jeanette SchliefArticle first published online: 23 NOV 200
Abstract Microbial activity was assessed on birch leaves and plastic strips during 140 days of exposure at three sites in an acidic stream of the Lusatian post-mining landscape, Germany. The sites differed in their degrees of ochre deposition and acidification. The aim of the study was (1) to follow the microbial activities during leaf colonization, (2) to compare the effect of different environmental conditions on leaf associated microbial activities, and (3) to test the microbial availability of leaf litter in acidic mining waters. The activity peaked after 49 days and subsequently decreased gradually at all sites. A formation of iron plaques on leaf surfaces influenced associated microbial activity. It seemed that these plaques inhibit the microbial availability of leaf litter and serve as a microbial habitat by itself. (© 2004 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source]

The systematic approach to flooding problems,

IRRIGATION AND DRAINAGE, Issue S1 2006
J. (Hans) van Duivendijk
maîtrise des crues; mesures non-structurelles; gestion des inondations Abstract Since 1987 one of the working groups of the International Commission on Irrigation and Drainage (ICID) has, inter alia, been preparing two manuals concerning approaches to flooding problems. The Manual on Non-Structural Approaches to Flood Management was issued in 1999 while the Manual on the Planning of Structural Approaches to Flood Management has been issued recently (2005). In this paper a broad outline of both manuals is presented. The first manual describes in detail the various planning and response measures in flood management, which are known as non-structural measures. The latter are measures which alter the exposure of life and property to flooding but do not change the flood(ing) phenomenon as such. The said planning and response measures comprise such actions as floodplain land use management, flood forecasting and warning, flood fighting, flood proofing, etc. It is explained that such measures are sometimes the only ones feasible in the prevailing circumstances and that, moreover, non-structural measures should always be added to the so-called structural measures if the latter are considered feasible (i.e. feasible from a technical, economic, socio-economic and ecological point of view). In the second manual a methodology is presented for the planning of structural measures. This type of measure alters the physical characteristics of the floods and in this connection one must think of the operation of flood storage reservoirs, upstream catchment management, modification to river channels, construction of levees, special flood diversion channels (bypasses) and operation of hydraulics works. The idea behind this methodology is that it is difficult for planners and decision makers to select the appropriate flood protection system for a given situation including a range of possible floods if the problem is not approached in a systematic manner. Copyright © 2006 John Wiley & Sons, Ltd. Depuis 1987 un des groupes de travail de la CIID prépare, entre autres, deux manuels sur la manière d'approcher les problèmes d'inondation. Le ,Manuel d'approche non-structurelle de la gestion des crues' a été publié en 1999, tandis que le ,Manuel de la planification de l'approche structurelle de la gestion des crues' a été publié plus récemment (2005). Le présent article présente une vue d'ensemble de ces deux manuels. Le premier manuel donne une description détaillée des différentes mesures de préparation et de réponse à la gestion des crues, connues comme étant non-structurelles. Ces mesures changent l'exposition de la vie et des propriétés aux inondations mais ne modifient pas le phénomène proprement dit des crues et des inondations. Elles comprennent des actions telles que la gestion de l'espace dans les plaines d'inondations, les prévisions et alertes, la lutte contre les crues, la protection contre les inondations, etc. On y explique que ces mesures sont parfois les seules faisables dans les circonstances données et que, en outre, des mesures non-structurelles devraient toujours être ajoutées aux mesures dites structurelles si ces dernières sont considérées comme faisables (c'est-à-dire faisables d'un point de vue technique, économique, socio-économique et écologique). Dans le second manuel une méthodologie est présentée pour la planification des mesures structurelles. Ce type de mesures modifie les caractéristiques physiques des crues, comme par exemple réservoirs d'écrétage de crue, gestion des hauts bassins, modification des lits des fleuves, construction de digues, canaux spéciaux de déviation des crues (courts circuits) et fonctionnement d'ouvrages hydrauliques. L'idée qui est derrière cette méthodologie est qu'il est difficile aux planificateurs et aux décideurs de choisir le système de protection contre les crues correspondant exactement à une situation comprenant une large gamme d'inondations possibles si le problème n'est pas approché de manière systématique. Copyright © 2006 John Wiley & Sons, Ltd. [source]

Drainage and salinity assessment in the Huinong Canal Irrigation District, Ningxia, China,

IRRIGATION AND DRAINAGE, Issue 2 2005
Peter Hollanders
irrigation; drainage; salinisation; développement durable Abstract In the Huinong Canal Irrigation District, Ningxia, China, annually almost half of the amount of irrigation water, which is supplied from the Yellow River, is drained back to the river through an open drainage system. Waterlogging and salinization occur in parts of the irrigated area and part of the water drains to the surrounding desert. While 85,90% of inflow to the area is irrigation water there are good possibilities for water saving. To analyse water movement at field level and resulting drainage needs, from autumn 1998 until spring 2001 observations were made in two experimental areas: Pingluo and Huinong. The data were used for the calibration and validation of three computer models: SWAP, MODFLOW and DUFLOW. Different scenarios of water and salt behaviour in the unsaturated and saturated zone were simulated, as well as the flow through one of the main drains. The effects of various irrigation amounts and groundwater tables on crop growth, percolation and drainage needs were analysed. The present average irrigation water application during the growing season is 630,mm. On average 15% of the supplied water (665 million m3,yr,1) remains in the area. This is mainly irrigation water that was not used by the crops and did not reach the drainage system. It was found that an irrigation level of 75% of the present practice with a groundwater table of 1.0,m below the surface during the growing season gave the best results. Under such a practice the soil salinity will fluctuate around 3,3.5,dS,m,1, resulting in a good growth of wheat and a yield reduction for maize of about 20%. When adequate amounts of irrigation water are supplied in combination with local drainage improvements, the areas with middle and low-yielding crops can be reduced, as well as the area of wasteland. Copyright © 2005 John Wiley & Sons, Ltd. Annuellement presque la moitié de la quantité d'eau d'irrigation dans le district d'irrigation du canal Huinong, Ningxia, Chine, alimenté par la Rivière Jaune, est retournée à la rivière par un système de drainage à ciel ouvert. Des cas de saturation d'eau et de salinisation surgissent dans certaines parties de la zone irriguée et une partie de l'eau suinte vers le désert environnant. Comme 85,90% de l'entrée de l'eau dans la zone est de l'eau d'irrigation il y a de bonnes possibilités pour économiser de l'eau. Pour analyser la circulation de l'eau au niveau du champ et la nécessité de drainage des observations ont été effectuées pendant la période d'automne 1998 jusqu'au printemps 2001 dans deux zones expérimentales, Pingluo et Huinong. Les données rassemblées ont servi pour le calibrage et la validation de trois modèles informatiques: SWAP, MODFLOW et DUFLOW. Ces modèles ont été employés pour simuler plusieurs scénarios de comportement de l'eau et du sel dans la zone non saturée et dans la zone saturée tout comme l'écoulement par un des tuyaux d'écoulement principaux: le cinquième tuyau d'écoulement. L'effet de l'apport de différentes quantités d'eau d'irrigation, de différents niveaux de la nappe phréatique sur la croissance des cultures, la percolation et la nécessité de drainage a été analysé. L'actuel apport d'eau d'irrigation est de 630,mm en moyenne pendant la saison de croissance. Quinze pour cent en moyenne de l'eau fournie (665 millions m3/année) reste dans la zone, principalement de l'eau d'irrigation qui n'a pas servi aux cultures et qui n'a pas atteint le système de drainage. Un niveau d'irrigation représentant 75% des valeurs actuelles et une surface de la nappe phréatique de 1.0,m sous la surface donnent les meilleurs résultats pendant la saison de croissance. De tels apports entretiennent une salinisation du sol qui fluctuera entre environ 3 et 3.5,dS,m,1, donnant un bon résultat de la croissance du blé et une diminution du rendement pour le maïs d'environ 20%. Lorsque l'alimentation par des quantités adéquates d'eau d'irrigation sera assurée en combinaison avec des améliorations du drainage local, la zone donnant des récoltes moyennes et basses peut être réduite ainsi que les zones incultes. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Treatment of Cardiac Tamponade During Electrophysiology Procedures: Do Electrophysiologists Need More Than Drainage?

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 3 2009
THOMAS DENEKE M.D.
No abstract is available for this article. [source]

Para-aural abscessation following traumatic ear canal separation in a dog

JOURNAL OF SMALL ANIMAL PRACTICE, Issue 5 2001
N. A. Connery
Traumatic ear canal separation is rare in animals, with only eight dogs and one cat reported with the condition in the English language literature. Para-aural abscessation occurred in six of these nine animals. Diagnosis was made on otoscopic observation of a shortened, abruptly ending external ear canal that was free from advanced disease. Radiographs in those cases which have been described showed a disruption of the normal air opacity of the affected ear canal. Drainage, by creating a separate opening for the horizontal ear canal, or total ear canal ablation and lateral bulla osteotomy (TECA/LBO), have led to resolution of the clinical signs. This report adds a further case to the literature in which TECA/LBO was employed successfully. [source]

Potential Prognostic Indicators in Diffuse Peritonitis Treated with Open Peritoneal Drainage in the Canine Patient

JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, Issue 4 2000
DACVS, Kevin P. Winkler DVM
Summary The purpose of this study was to identify prognostic indicators that may help to predict outcome in clinical cases of diffuse peritonitis treated with open peritoneal drainage. Medical records from 19 canine patients with generalized peritonitis treated with open peritoneal drainage between 1990 and 1996 were reviewed. The signalment, preoperative complete blood count (CBC), preoperative biochemical profiles, and number of days of open peritoneal drainage of surviving patients (n = 15) were compared to nonsurviving patients (n = 4). Significant differences were noted between the surviving and nonsurviving groups in the ALT (p = 0.02) and GGT (p = 0.01) values. Seventy-nine percent of the patients in this study survived. [source]

The intermittent Lake Cerknica: Various faces of the same ecosystem

LAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 3-4 2003
Alenka Gaber
Abstract The turnover of matter and through-flow of energy in the intermittent Lake Cerknica is facilitated by the exchanging wet and dry periods, which either promote or suppress growth and development of organisms, depending on the season of the year. Any deviation from normal floods significantly affects the productivity of reed stands. Drainage of the lake prevents a constant presence of aquatic organisms, particularly planktonic species. Drying and wetting accelerates the decomposition of organic matter. The nutrient input into the lake by one surface tributary proved to be relatively high. The quantity of nutrients in the lake water is lower, however, because of the high buffering capacity of the densely vegetated ecosystem. [source]

Surgical treatment of thoracolumbar fracture through an approach via the paravertebral muscle

ORTHOPAEDIC SURGERY, Issue 3 2009
Wei Pang MD
Objective:, To investigate the methods for, and clinical outcome of, the operative treatment of thoracolumbar fractures through an approach via the paravertebral muscle (PVM). Methods:, From June 2005 to August 2006, 62 patients, comprising 48 men and 14 women with an average age of 45.2 years (range, 21,58) with thoracolumbar fractures without neurological involvement underwent surgical treatment. Twenty-one fractures were located at T12, 24 at L1 and 17 at L2. The study comprised 15 compression and 47 burst fractures with an intact posterior column. Thirty-four cases were selected randomly to undergo surgery through the above approach, while the other 28 cases underwent the traditional procedure. After making a posterior midline incision, which not only facilitates insertion of pedicle screws and fusion of the graft bone at facet joints, but spares the attachment of PVM, the interval between the longissimus and multifidus muscles was undermined. Drainage was not routinely needed and the patients became ambulant with a brace earlier post-operatively. Results:, The new approach had statistically significant advantages (P < 0.005) over the traditional one in regard to blood loss, drainage, duration of recumbency and visual analogue scale (VAS), although the time required was almost the same for the two procedures. Till August 2007, 56 patients were successfully followed up for 12 to 26 months (mean, 18.6) and bone fusion was identified in all cases. Neither reduction loss nor loosening or breakage of the fixation occurred. Conclusion:, The technique of operating through an approach between the PVM is recommended for thoracolumbar fractures because it is much less invasive, can reduce blood loss and accelerates rehabilitation. [source]

The hydrological response of heavy clay grassland soils to rainfall in south-west England using ,2H,

RAPID COMMUNICATIONS IN MASS SPECTROMETRY, Issue 5 2010
Steven J. Granger
Stable isotopes of water have been previously used in catchment studies to separate rain-event water from pre-event groundwater. However, there are a lack of studies at the smaller scale looking at the separation of event water from pre-event water. This is particularly relevant for heavy clay soil systems through which the movement of water is uncertain but is thought to be rainwater-dominated. The data presented here were collected at a rural site in the south-west of England. The historic rainfall at the site was isotopically varied but similar to the global meteoric water line, with annual weighted means of ,37, for ,2H and ,5.7, for ,18O and with no seasonal variation. Drainage was sampled from the inter-flow (surface runoff,+,lateral through-flow) and drain-flow (55,cm deep mole drains) pathways of two 1,ha lysimeters during two rainfall events, which had ,2H values of ,68, and ,92,, respectively. The ,2H values of the lysimeter drainage water suggest that there was no contribution of event water during the first, small discharge (Q) event; however, the second larger event did show isotopic variation in ,2H values negatively related to Q indicating that rainwater was contributing to Q. A hydrograph separation indicated that only 49,58% of the inter-flow and 18,25% of the drain-flow consisted of event water. This was surprising given that these soil types are considered retentive of soil water. More work is needed on heavy clay soils to understand better the nature of water movement from these systems. Copyright © 2010 John Wiley & Sons, Ltd. [source]

Assessing efforts to mitigate the impacts of drainage on wetlands in Ontario, Canada

THE CANADIAN GEOGRAPHER/LE GEOGRAPHE CANADIEN, Issue 2 2005
Dan Walters
The protection of wetlands through the Ontario Drainage Act has been the subject of much debate. While seen as essential for increasing production and/or productivity of agricultural areas, drainage schemes have been usually approved at the expense of wetlands. Despite the presence of a referral process in Ontario's Drainage Act that is supposed to prevent the significant loss of wetland area, incremental losses continue to occur. The referral process allows landowners, drainage engineers, Drainage Superintendents, local conservation authorities and Ontario Ministry of Natural Resource officials to participate in the decision-making process. This research examines the recommended mitigation measures and wetland gains/losses in Zorra Township between 1978 and 1997. Data sources included drainage files, wetland evaluation files, aerial photography and interviews with government officials. The results indicate that while recommended mitigation measures of drainage schemes in the vicinity of wetlands have increased, incremental losses continue to occur. The negotiated settlements among drainage engineers and the referral agencies appear to be inadequate to maintain the spatial extent of wetlands. The regulatory approach fails to motivate changes in land-use management practices. This supports the need to include nonregulatory incentives in the effort to protect wetlands. La protection de wetlands par l'Acte de Drainage de Ontario a été le sujet de beaucoup de débat. Pendant que vu comme essentiel pour augmenter la productivité de et/ou de production de secteurs agricoles, les arrangements de drainage ont été d'habitude approuvés à la dépense de wetlands. Malgré la présence d'un procédé de référence dans l'Acte de Drainage de Ontario'le procédé de référence de s qui est supposé empêcher la perte significative de secteur de wetland, les pertes cumulatives continuent à arriver. Le procédé de référence permet inclut landowners, les ingénieurs de drainage, les Directeurs de Drainage, les autorités de conservation locales, et le Ministère de Ontario d'officiers de Ressource Naturels pour participer dans le procédé de prise de décision. Cette recherche examine les mesures de réduction recommandés et les gains/pertes de wetland dans la Commune de Zorra entre 1978 et 1997. Les sources de données ont inclu le drainage classe, les dossiers d'évaluation de wetland, la photographie aérienne, et les entretiens avec les fonctionnaires. Les résultats indiquent que pendant que les mesures de réduction recommandées d'arrangements de drainage à proximité de wetlands ont augmenté, les pertes cumulatives continuent à arriver. Les règlements négociés parmi les ingénieurs de drainage et les agences de référence ont l'air d'être inadéquats sur le plan de maintenir les secteurs de wetland. L'approche régulatrice ne motive pas des changements dans les pratiques de direction d'usage de terre. Ceci soutient le besoin d'inclure des encouragements nonrégulateurs dans l'effort pour protéger wetlands. [source]

Incision and Drainage of a Retropharyngeal Abscess Located Adjacent to C1 with InstaTrak Image Guidance,

THE LARYNGOSCOPE, Issue 3 2006
Amar C. Suryadevara MD
No abstract is available for this article. [source]

Total Duodenectomy with Enteric Duct Drainage: A Rescue Operation for Duodenal Complications Occurring after Pancreas Transplantation

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 3 2010
U. Boggi
Duodenal graft complications (DGC) occur frequently after pancreas transplantation but rarely cause graft loss. Graft pancreatectomy, however, may be required when DGC compromise recipient's safety. We herein report on two patients with otherwise untreatable DGC in whom the entire pancreas was salvaged by means of total duodenectomy with enteric drainage of both pancreatic ducts. The first patient developed recurrent episodes of enteric bleeding, requiring hospitalization and blood transfusions, starting 21 months after transplantation. The disease causing hemorrhage could not be defined, despite extensive investigations, but the donor duodenum was eventually identified as the site of bleeding. The second patient was referred to us with a duodenal stump leak, 5 months after transplantation. Two previous surgeries had failed to seal the leak, despite opening a diverting stoma above the duodenal graft. Thirty-nine and 16 months after total duodenectomy with dual duct drainage, respectively, both patients are insulin-independent and free from abdominal complaints. Magnetic resonance pancreatography shows normal ducts both basal and after intravenous injection of secretin. The two cases presented herein show that when DGC jeopardize pancreas function or recipient safety, total duodenectomy with enteric duct drainage may become an option. [source]

Drainage of hepatic hydatid cyst with a surgiport

ANZ JOURNAL OF SURGERY, Issue 11 2005
Vincent W. T. Lam
This article describes the safe and effective technique of hepatic hydatid cyst drainage. [source]

Skin Abscess Model for Incision and Drainage

ACADEMIC EMERGENCY MEDICINE, Issue 2009
Myto Duong
Background: Skin and soft tissue infection diagnosis is increasing dramatically across the nation. All healthcare providers need to be trained in adequate incision and drainage of these lesions. The only descriptions of skin and soft tissue models in the literature involve the use of cadavers or chickens. We devised an inexpensive and easily assembled skin abscess model that will be invaluable for the training of this procedure for all healthcare providers. This relatively realistic skin abscess model can be assembled within minutes using materials that can be purchased in your local grocery or home improvement store. The steps required in the creation of this abscess model will be depicted in the exhibit. Supplies for assembly of the model will be available during the exhibition for participants to build their own abscess and practice incising and draining their abscess. Materials: ? Lotion (white) mixed with food coloring (red, blue, yellow) ? Baby oil gel ? 1" Urethane Foam sheeting ? Heavy cardboard or poster board ? Food handler gloves (Textra Cast Poly) ? Glue gun (low temp) ? Low temp glue gun sticks ?"Smooth Top® Easy Liner®" shelf liner ? Abscess incision and drainage kit. Conclusion: This exhibit will provide a detailed description of how to assemble a quick and easy skin abscess model for incision and drainage. This model can be used in the skills lab to demonstrate and practice this basic procedure. [source]

Dynamic gadolinium-enhanced magnetic resonance urography for assessing drainage in dilated pelvicalyceal systems with moderate renal function: preliminary results and comparison with diuresis renography

BJU INTERNATIONAL, Issue 6 2004
W.C.W. Chu
OBJECTIVE To evaluate the use of dynamic gadolinium diethylenetriaminepenta-acetic acid (DTPA)-enhanced magnetic resonance urography (Gd-MRU) for assessing kidneys with markedly dilated pelvicalyceal systems and impaired function. PATIENTS AND METHODS Eight children (mean age 30 months, sd 25) were assessed, diagnosed as having gross unilateral hydronephrosis with a mean (sd) anteroposterior renal pelvic diameter of 36 (7) mm and reduced (30,40%) renal function. Dynamic Gd-MRU was performed after the patients were pre-loaded with intravenous fluid and diuretics, and comprised a dynamic T1-weighted sequence after Gd-DTPA (0.1 mmol/kg body weight) was administered, with a time-intensity curve of each kidney produced. Drainage was diagnosed by a clearly declining time-intensity curve and direct visualization of contrast medium within the ureter in several frames. High-grade or complete obstruction was diagnosed when drainage of contrast medium could not be detected. Gd-MRU results were compared with diuresis radionuclide (mercapto-acetyltriglycine, MAG3) renography within the same week. Unobstructive units detected by Gd-MRU were treated conservatively with a close follow-up by ultrasonography and radionuclide studies. RESULTS Diuresis MAG3 renography showed drainage in three dilated units and poor washout in five; in contrast, Gd-MRU showed drainage in seven dilated systems (three showed poor washout by MAG3), and obstruction in the remaining case. The unobstructed units detected by MRU under conservative treatment thus showed no further deterioration of renal function or progressive hydronephrosis in the subsequent follow-up (mean 18 months, range 15,23). CONCLUSION These preliminary results suggest that dynamic Gd-MRU is a useful noninvasive imaging method in distinguishing obstructive from unobstructive dilated systems, particularly in patients with hydronephrosis and reduced renal function. [source]

Acid Mine Drainage and Heavy Metal Pollution from Solid Waste in the Tongling Mines, China

ACTA GEOLOGICA SINICA (ENGLISH EDITION), Issue 1 2008
XU Xiaochun
Abstract: Based on investigation of the characteristics of solid waste of two different mines, the Fenghuangshan copper mine and the Xinqiao pyrite mine in Tongling, Anhui province in central-east China, the possibility and the differences of acid mine drainage (AMD) of the tailings and the waste rocks are discussed, and the modes of occurrence of heavy metal elements in the mine solid waste are also studied. The Fenghuangshan copper mine hardly produces AMD, whereas the Xinqiao pyrite mine does and there are also differences in the modes of occurrence of heavy metal elements in the tailings. For the former, toxic heavy metals such as Cu, Pb, Zn, Cd, As and Hg exist mostly in the slag mode, as compared to the latter, where the deoxidization mode has a much higher content, indicating that large amounts minerals in the waste rocks have begun to oxidize at the earth surface. AMD is proved to promote the migration and spread of the heavy metals in mining waste rocks and lead to environmental pollution of the surroundings of the mine area. [source]

Comparing fecundity in parthenogenetic versus sexual populations of the freshwater snail Campeloma limum: is there a two-fold cost of sex?

INVERTEBRATE BIOLOGY, Issue 1 2009
Lisa T. Crummett
Abstract. The predominance of sexuality in eukaryotes remains an evolutionary paradox, given the "two-fold cost of sex" also known as the "cost of males." [Correction added after online publication 29 January 2009: in the preceding sentence, extraneous words were deleted.] As it requires two sexual parents to reproduce and only one parthenogenetic parent, parthenogens should have twice the reproductive rate compared with their sexual counterparts and their genes should spread twice as fast, if all else is equal. Yet, parthenogenesis is relatively rare and considered an evolutionary dead-end, while sexuality is the dominant form of reproduction in multicellular eukaryotes. Many studies have explored short-term benefits of sex that could outweigh its two-fold cost, but few have compared fecundity between closely related sexuals and parthenogens to first verify that "all else is equal" reproductively. We compared six fecundity measures between sexual and parthenogenetic populations of the freshwater snail, Campeloma limum, during a brooding cycle (1 year) across two drainages. Drainages were analyzed separately because of a significant drainage effect. In the Savannah drainage, fecundity was not significantly different between sexuals and parthenogens, even though parthenogens had significantly more empty egg capsules per brood. In the Ogeechee drainage, parthenogens had significantly more egg capsules with multiple embryos and more hatched embryos than sexuals. Taken over 1 year, embryo size was not significantly different between parthenogens and sexuals in either drainage. Given these results and the close proximity of sexual and parthenogenetic populations, it is perplexing why parthenogenetic populations have not completely replaced sexual populations in C. limum. [source]

Hepatectomy for pyogenic liver abscess

HPB, Issue 2 2003
RW Strong
Background Commensurate with the advances in diagnostic and therapeutic radiology in the past two decades, percutaneous needle aspiration and catheter drainage have replaced open operation as the first choice of treatment for both single and multiple pyogenic liver abscesses. There has been little written on the place of surgical resection in the treatment of pyogenic liver abscess due to underlying hepatobiliary pathology or after failure of non-operative management. Methods The medical records of patients who underwent resection for pyogenic liver abscess over a 15-year period were retrospectively reviewed. The demographics, time from onset of symptoms to medical treatment and operation, site of abscess, organisms cultured, aetiology, reason for operation, type of resection and outcome were analysed. There were 49 patients in whom the abscesses were either single (19), single but multiloculated (11) or multiple (19). The median time from onset of symptoms to medical treatment was 21 days and from treatment to operation was 12 days. The indications for operation were underlying hepatobiliary pathology in 20% and failed non-operative treatment in 76%. Two patients presented with peritonitis from a ruptured abscess. Results The resections performed were anatomic (44) and non-anatomic (5). No patient suffered a recurrent abscess or required surgical or radiological intervention for any abdominal collection. Antibiotics were ceased within 5 days of operation in all but one patient. The median postoperative stay was 10 days. There were two deaths (4%), both following rupture of the abscess. Discussion Except for an initial presentation with intraperitoneal rupture and, possibly, cases of hepatobiliary pathology causing multiple abscesses above an obstructed duct system that cannot be negotiated non-operatively, primary surgical treatment of pyogenic liver abscess is not indicated. Non-operative management with antibiotics and percutaneous aspiration/drainage will be successful in most patients. If non-operative treatment fails, different physical characteristics of the abscesses are likely to be present and partial hepatectomy of the involved portion of liver is good treatment when performed by an experienced surgeon. [source]