A Meta-Analysis of the Effect of Preoperative Biliary Stenting on Patients With Obstructive Jaundice

PubMed Central

Sun, Chengyi; Yan, Guirong; Li, Zhiming; Tzeng, Chi-Meng

2014-01-01

Abstract The goal of this study was to systematically review the effects of biliary stenting on postoperative morbidity and mortality of patients with obstructive jaundice. PubMed, Embase, Cochrane Library, and other relevant databases were searched by computer and manually for published and unpublished studies on the impact of preoperative biliary drainage on patients with obstructive jaundice from 2000 to the present day. Two investigators independently selected the studies according to the inclusion and exclusion criteria, extracted the data, and assessed the quality of the selected studies. Meta-analysis was performed to compare postoperative morbidity and mortality of patients between the drainage and nondrainage groups. Compared with the nondrainage group, the overall mortality, overall morbidity, infectious morbidity, incidence of wound infection, intra-abdominal abscess, pancreatic fistulas, bile leak, and delayed gastric emptying in the drainage group were not significantly different. Compared with the nondrainage group, the drainage group had a drainage time of <4 weeks with an increased overall morbidity by 7% to 23%; however, the overall morbidity of the drainage group with a drainage time >4 weeks was not significantly different. Compared with the nondrainage group, the overall mortality of the drainage group using metal stents and plastic stents as internal drainage devices was reduced by 0.5% to 6%, whereas that of the drainage group using plastic stent devices was not significantly different. In summary, preoperative drainage should be applied selectively. The drainage time should be >4 weeks, and metal stents should be used for internal drainage. PMID:25474436

[The impact of preoperative biliary drainage on surgical morbidity in hilar cholangiocarcinoma patients].

PubMed

Li, Shao-qiang; Chen, Dong; Liang, Li-jian; Peng, Bao-gang; Yin, Xiao-yu

2009-08-01

To evaluate the impact of preoperative biliary drainage on surgical morbidity in hilar cholangiocarcinoma patients underwent surgery. One hundred and eleven consecutive patients with hilar cholangiocarcinoma whose serum total bilirubin (TBIL) level > 85 micromol/L and underwent surgery in the period from June 1998 to August 2007 were enrolled. There were 67 male and 44 female patients, aged from 26 to 82 years old with a mean of 56 years old. Fifty-five patients underwent preoperative biliary drainage with a mean of 11.4 d of drainage period (drainage group), the other (n = 56) were the non-drainage group. The preoperative TBIL level of drainage group was (154 +/- 69) micromol/L, which was significantly lower than the value of pre-drainage (256 +/- 136) micromol/L (P = 0.000) and the value of non-drainage group (268 +/- 174) micromol/L (P = 0.005). ALT and GGT levels could be lowered by preoperative biliary drainage. The postoperative complications of these two groups were comparable (36.3% vs. 28.6%, P = 0.381). Four patients in drainage group and 5 patients in non-drainage group died of liver failure. Multivariate logistic regression indicated that hepatectomy (OR = 0.284, P = 0.003) was the independent risk factor associated with postoperative morbidity. Bismuth-Corlette classification (OR = 0.211, P = 0.028) was the independent risk factor linked to postoperative mortality. Preoperative biliary drainage could alleviate liver injury due to hyperbilirubin, but it could not decrease the surgical morbidity and postoperative mortality. Concomitant hepatectomy and Bismuth-Corlette classification were independent risk factors linked to surgical risks.

Drainage capture and discharge variations driven by glaciation in the Southern Alps, New Zealand

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ann V. Rowan; Mitchell A. Plummer; Simon H. Brocklehurst

Sediment flux in proglacial fluvial settings is primarily controlled by discharge, which usually varies predictably over a glacial–interglacial cycle. However, glaciers can flow against the topographic gradient to cross drainage divides, reshaping fluvial drainage networks and dramatically altering discharge. In turn, these variations in discharge will be recorded by proglacial stratigraphy. Glacial-drainage capture often occurs in alpine environments where ice caps straddle range divides, and more subtly where shallow drainage divides cross valley floors. We investigate discharge variations resulting from glacial-drainage capture over the past 40 k.y. for the adjacent Ashburton, Rangitata, and Rakaia basins in the Southern Alps, Newmore » Zealand. Although glacial-drainage capture has previously been inferred in the range, our numerical glacier model provides the first quantitative demonstration that this process drives larger variations in discharge for a longer duration than those that occur due to climate change alone. During the Last Glacial Maximum, the effective drainage area of the Ashburton catchment increased to 160% of the interglacial value with drainage capture, driving an increase in discharge exceeding that resulting from glacier recession. Glacial-drainage capture is distinct from traditional (base level–driven) drainage capture and is often unrecognized in proglacial deposits, complicating interpretation of the sedimentary record of climate change.« less

Assessment of the service performance of drainage system and transformation of pipeline network based on urban combined sewer system model.

PubMed

Peng, Hai-Qin; Liu, Yan; Wang, Hong-Wu; Ma, Lu-Ming

2015-10-01

In recent years, due to global climate change and rapid urbanization, extreme weather events occur to the city at an increasing frequency. Waterlogging is common because of heavy rains. In this case, the urban drainage system can no longer meet the original design requirements, resulting in traffic jams and even paralysis and post a threat to urban safety. Therefore, it provides a necessary foundation for urban drainage planning and design to accurately assess the capacity of the drainage system and correctly simulate the transport effect of drainage network and the carrying capacity of drainage facilities. This study adopts InfoWorks Integrated Catchment Management (ICM) to present the two combined sewer drainage systems in Yangpu District, Shanghai (China). The model can assist the design of the drainage system. Model calibration is performed based on the historical rainfall events. The calibrated model is used for the assessment of the outlet drainage and pipe loads for the storm scenario currently existing or possibly occurring in the future. The study found that the simulation and analysis results of the drainage system model were reliable. They could fully reflect the service performance of the drainage system in the study area and provide decision-making support for regional flood control and transformation of pipeline network.

Pseudocyst in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage.

PubMed

Naitoh, Itaru; Ohara, Hirotaka; Okayama, Yasutaka; Nakazawa, Takahiro; Ando, Tomoaki; Hayashi, Kazuki; Okumura, Fumihiro; Kitajima, Yasuhiro; Ban, Tessin; Miyabe, Katsuyuki; Ueno, Koichiro; Joh, Takashi; Sano, Hitoshi

2008-09-01

We report a 50-year-old male with pseudocysts in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage. He had previously undergone ultrasonography-guided percutaneous cyst drainage for a pancreatic pseudocyst in our hospital. He was readmitted due to abdominal pain and fever. Computed tomography showed recurrence of a pseudocyst in the pancreatic tail measuring 5 cm in diameter. Since conservative treatment failed, endoscopic retrograde pancreatography was performed. There was communication between the pseudocyst and the main pancreatic duct, and pancreatic duct stenosis proximal to the pseudocyst. First, transpapillary pancreatic duct drainage was performed using a plastic stent, but the pseudocyst did not decrease in size and became infected. After removal of the stent, a pigtail type nasocystic catheter was placed in the pseudocyst via the pancreatic duct. The pseudocyst infection immediately disappeared, and the pseudocyst gradually decreased and disappeared. After removal of the nasocystic catheter, no recurrence was observed. As transpapillary drainage of pancreatic pseudocyst, cyst drainage and pancreatic duct drainage have been reported. In our patient with pseudocyst in the pancreatic tail, duct drainage was ineffective and the pseudocyst was infected, whereas cyst drainage was very effective. We considered that cyst drainage by a nasocystic catheter was the first-line therapy as the transpapillary drainage of the pancreatic pseudocyst.

Inventory of drainage wells and potential sources of contaminants to drainage-well inflow in Southwest Orlando, Orange County, Florida

USGS Publications Warehouse

Taylor, George Fred

1993-01-01

Potential sources of contaminants that could pose a threat to drainage-well inflow and to water in the Floridan aquifer system in southwest Orlando, Florida, were studied between October and December 1990. Drainage wells and public-supply wells were inventoried in a 14-square-mile area, and available data on land use and activities within each drainage well basin were tabulated. Three public-supply wells (tapping the Lower Floridan aquifer) and 38 drainage wells (open to the Upper Floridan aquifer) were located in 17 drainage basins within the study area. The primary sources of drainage-well inflow are lake overflow, street runoff, seepage from the surficial aquifer system, and process-wastewater disposal. Drainage-well inflow from a variety of ares, including resi- dential, commercial, undeveloped, paved, and industrial areas, are potential sources of con- taminants. The four general types of possible contaminants to drainage-well inflow are inorganic chemicals, organic compounds, turbidity, and microbiological contaminants. Potential contami- nant sources include plant nurseries, citrus groves, parking lots, plating companies, auto- motive repair shops, and most commonly, lake- overflow water. Drainage wells provide a pathway for contaminants to enter the Upper Floridan aquifer and there is a potential for contaminants to move downward from the Upper Floridan to the Lower Floridan aquifer.

[Application research of presacral space drainage tube combined with subcutaneous vacuum pressure suction in the laparoscopic-assisted abdominoperineal resection].

PubMed

Chen, Liqi; Zeng, Changqing; Chi, Liangjie; Huang, Liangxiang; Li, Jiandang

2017-08-25

To study the management for the perineal incision after laparoscopic-assisted abdominoperineal resection for rectal cancer. Clinical data of 87 patients undergoing laparoscopic Miles operation for lower rectal cancer from June 2009 to February 2014 were collected and studied. Presacral space drainage group: presacral space drainage tube was applied in 42 patients. Combined drainage group: presacral space drainage tube combined with subcutaneous vacuum pressure suction was applied in 45 cases. In combined drainage group, except the presacral drainage tube, another drainage tube was placed subcutaneously and connected to a negative pressure ball, which was fixed on the lateral anterior of perineal wound by the further incision and drainage. After subcutaneous tube was placed for 2 weeks, as drainage fluid was limpid and <15 ml/d for 3 days, meanwhile no obvious pelvic fluid was detected by ultrasound, and the wound healed quite well without redness and edema, then the subcutaneous tube with the negative pressure ball could be removed. There were 51 males and 36 females with the mean age of 26-78(56.9±10.8) years old. The laparoscopic Miles operation was successfully completed in all the cases without death and complications. The drainage tube was placed for 4-13(8.0±2.5) days in presacral space drainage group, and for 4-14(6.7±2.4) days in combined drainage group. The subcutaneous tube was placed for 14-24(15.8±3.0) days. The primary healing rate of perineal wound in presacral space drainage group and combined drainage group was 66.7%(28/42) and 91.1%(41/45) respectively, while the perineal wound infection rate was 21.4%(9/42) and 4.4%(2/45) respectively, whose differences between two groups were both significant (χ 2 =7.911, P=0.005 and χ 2 =5.674, P=0.017). Presacral space drainage tube combined with subcutaneous vacuum pressure suction in laparoscopic-assisted abdominoperineal resection for rectal cancer has better efficacy and lower infection rate for perineal incision, which is worth wide application.

Effect of abdominopelvic abscess drain size on drainage time and probability of occlusion

PubMed Central

Rotman, Jessica A.; Getrajdman, George I.; Maybody, Majid; Erinjeri, Joseph P.; Yarmohammadi, Hooman; Sofocleous, Constantinos T.; Solomon, Stephen B.; Boas, F. Edward

2016-01-01

Background The purpose of this study is to determine whether larger abdominopelvic abscess drains reduce the time required for abscess resolution, or the probability of tube occlusion. Methods 144 consecutive patients who underwent abscess drainage at a single institution were reviewed retrospectively. Results: Larger initial drain size did not reduce drainage time, drain occlusion, or drain exchanges (p>0.05). Subgroup analysis did not find any type of collection that benefitted from larger drains. A multivariate model predicting drainage time showed that large collections (>200 ml) required 16 days longer drainage time than small collections (<50 ml). Collections with a fistula to bowel required 17 days longer drainage time than collections without a fistula. Initial drain size and the viscosity of the fluid in the collection had no significant effect on drainage time in the multivariate model. Conclusions 8 F drains are adequate for initial drainage of most serous and serosanguineous collections. 10 F drains are adequate for initial drainage of most purulent or bloody collections. PMID:27634422

Modeling of subglacial hydrological development following rapid supraglacial lake drainage.

PubMed

Dow, C F; Kulessa, B; Rutt, I C; Tsai, V C; Pimentel, S; Doyle, S H; van As, D; Lindbäck, K; Pettersson, R; Jones, G A; Hubbard, A

2015-06-01

The rapid drainage of supraglacial lakes injects substantial volumes of water to the bed of the Greenland ice sheet over short timescales. The effect of these water pulses on the development of basal hydrological systems is largely unknown. To address this, we develop a lake drainage model incorporating both (1) a subglacial radial flux element driven by elastic hydraulic jacking and (2) downstream drainage through a linked channelized and distributed system. Here we present the model and examine whether substantial, efficient subglacial channels can form during or following lake drainage events and their effect on the water pressure in the surrounding distributed system. We force the model with field data from a lake drainage site, 70 km from the terminus of Russell Glacier in West Greenland. The model outputs suggest that efficient subglacial channels do not readily form in the vicinity of the lake during rapid drainage and instead water is evacuated primarily by a transient turbulent sheet and the distributed system. Following lake drainage, channels grow but are not large enough to reduce the water pressure in the surrounding distributed system, unless preexisting channels are present throughout the domain. Our results have implications for the analysis of subglacial hydrological systems in regions where rapid lake drainage provides the primary mechanism for surface-to-bed connections. Model for subglacial hydrological analysis of rapid lake drainage eventsLimited subglacial channel growth during and following rapid lake drainagePersistence of distributed drainage in inland areas where channel growth is limited.

Modeling of subglacial hydrological development following rapid supraglacial lake drainage

PubMed Central

Dow, C F; Kulessa, B; Rutt, I C; Tsai, V C; Pimentel, S; Doyle, S H; van As, D; Lindbäck, K; Pettersson, R; Jones, G A; Hubbard, A

2015-01-01

The rapid drainage of supraglacial lakes injects substantial volumes of water to the bed of the Greenland ice sheet over short timescales. The effect of these water pulses on the development of basal hydrological systems is largely unknown. To address this, we develop a lake drainage model incorporating both (1) a subglacial radial flux element driven by elastic hydraulic jacking and (2) downstream drainage through a linked channelized and distributed system. Here we present the model and examine whether substantial, efficient subglacial channels can form during or following lake drainage events and their effect on the water pressure in the surrounding distributed system. We force the model with field data from a lake drainage site, 70 km from the terminus of Russell Glacier in West Greenland. The model outputs suggest that efficient subglacial channels do not readily form in the vicinity of the lake during rapid drainage and instead water is evacuated primarily by a transient turbulent sheet and the distributed system. Following lake drainage, channels grow but are not large enough to reduce the water pressure in the surrounding distributed system, unless preexisting channels are present throughout the domain. Our results have implications for the analysis of subglacial hydrological systems in regions where rapid lake drainage provides the primary mechanism for surface-to-bed connections. Key Points Model for subglacial hydrological analysis of rapid lake drainage events Limited subglacial channel growth during and following rapid lake drainage Persistence of distributed drainage in inland areas where channel growth is limited PMID:26640746

Performance of Subsurface Tube Drainage System in Saline Soils: A Case Study

NASA Astrophysics Data System (ADS)

Pali, A. K.

2015-06-01

In order to improve the saline and water logged soils caused due to groundwater table rise, installation of subsurface drainage system is considered as one of the best remedies. However, the design of the drainage system has to be accurate so that the field performance results conform to the designed results. In this investigation, the field performance of subsurface tube drainage system installed at the study area was evaluated. The performance was evaluated on the basis of comparison of the designed value of water table drop as 30 cm after 2 days of drainage and predicted and field measured hydraulic heads for a consecutive drainage period of 14 days. The investigation revealed that the actual drop of water table after 2 days of drainage was 25 cm, about 17 % less than the designed value of 30 cm after 2 days of drainage. The comparison of hydraulic heads predicted by Van Schilfgaarde equation of unsteady drainage with the field-measured hydraulic heads showed that the deviation of predicted hydraulic heads varied within a range of ±8 % indicating high acceptability of Van Schlifgaarde equation for designing subsurface drainage system in saline and water logged soils resembling to that of the study area.

Amylase, lipase, and volume of drainage fluid in gastrectomy for the early detection of complications caused by pancreatic leakage.

PubMed

Seo, Kyung Won; Yoon, Ki Young; Lee, Sang Ho; Shin, Yeon Myung; Choi, Kyung Hyun; Hwang, Hyun Yong

2011-12-01

Pancreatic leakage is a serious complication of gastrectomy due to stomach cancer. Therefore, we analyzed amylase and lipase concentrations in blood and drainage fluid, and evaluated the volume of drainage fluid to discern their usefulness as markers for the early detection of serious pancreatic leakage requiring reoperation after gastrectomy. From January 2001 to December 2007, we retrospectively analyzed data from 24,072 patient samples. We divided patients into two groups; 1) complications with pancreatic leakage (CG), and 2) no complications associated with pancreatic leakage (NCG). Values of amylase and lipase in the blood and drainage fluid, volume of the drainage fluid, and relationships among the volumes, amylase values, and lipase values in the drainage fluid were evaluated, respectively in the two groups. The mean amylase values of CG were significantly higher than those of NCG in blood and drainage fluid (P < 0.05). For lipase, statistically significant differences were observed in drainage fluid (P < 0.05). The mean volume (standard deviation) of the drained fluid through the tube between CG (n = 22) and NCG (n = 236) on postoperative day 1 were 368.41 (266.25) and 299.26 (300.28), respectively. There were no statistically significant differences between the groups (P = 0.298). There was a correlation between the amylase and lipase values in the drainage fluid (r = 0.812, P = 0.000). Among postoperative amylase and lipase values in blood and drainage fluid, and the volume of drainage fluid, the amylase in drainage fluid was better differentiated between CG and NCG than other markers. The volume of the drainage fluid did not differ significantly between groups.

Comparison of Suction Versus Nonsuction Drainage After Lung Resections: A Prospective Randomized Trial.

PubMed

Gocyk, Wojciech; Kużdżał, Jarosław; Włodarczyk, Janusz; Grochowski, Zbigniew; Gil, Tomasz; Warmus, Janusz; Kocoń, Piotr; Talar, Piotr; Obarski, Piotr; Trybalski, Łukasz

2016-10-01

Sufficiently large, prospective randomized trials comparing suction drainage and nonsuction drainage are lacking. The aim of the present study was to compare the effects of suction drainage and nonsuction drainage on the postoperative course in patients who have undergone lung resection. This prospective, randomized trial included patients undergoing different types of lung resections. On the day of surgery, suction drainage at -20 cm H2O was used. On the morning of the first postoperative day, patients, in whom the pulmonary parenchyma was fully reexpanded, were randomized in the ratio of 1:1. Patients assigned to group A continued with suction drainage, while those assigned to group B underwent nonsuction drainage. The study included 254 patients, with 127 patients in each group. The drainage volumes were 1098.8 mL and 814.4 mL in groups A and B, respectively (p = 0.0014). The times to chest tube removal were 5.61 days and 4.49 days in groups A and B, respectively (p = 0.0014). Prolonged air leakage occurred in 5.55% of patients in group A and in 0.7% of patients in group B (p = 0.032), and asymptomatic residual air spaces were noted in 0.8% of patients in group A and 9.4% of patients in group B (p = 0.0018). Nonsuction drainage is more effective than suction drainage with regard to drainage volume, drainage duration, and incidence of persistent air leakage. However, it is associated with a higher incidence of asymptomatic residual air spaces. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Effect of viscosity on tear drainage and ocular residence time.

PubMed

Zhu, Heng; Chauhan, Anuj

2008-08-01

An increase in residence time of dry eye medications including artificial tears will likely enhance therapeutic benefits. The drainage rates and the residence time of eye drops depend on the viscosity of the instilled fluids. However, a quantitative understanding of the dependence of drainage rates and the residence time on viscosity is lacking. The current study aims to develop a mathematical model for the drainage of Newtonian fluids and also for power-law non-Newtonian fluids of different viscosities. This study is an extension of our previous study on the mathematical model of tear drainage. The tear drainage model is modified to describe the drainage of Newtonian fluids with viscosities higher than the tear viscosity and power-law non-Newtonian fluids with rheological parameters obtained from fitting experimental data in literature. The drainage rate through canaliculi was derived from the modified drainage model and was incorporated into a tear mass balance to calculate the transients of total solute quantity in ocular fluids and the bioavailability of instilled drugs. For Newtonian fluids, increasing the viscosity does not affect the drainage rate unless the viscosity exceeds a critical value of about 4.4 cp. The viscosity has a maximum impact on drainage rate around a value of about 100 cp. The trends are similar for shear thinning power law fluids. The transients of total solute quantity, and the residence time agrees at least qualitatively with experimental studies. A mathematical model has been developed for the drainage of Newtonian fluids and power-law fluids through canaliculi. The model can quantitatively explain different experimental observations on the effect of viscosity on the residence of instilled fluids on the ocular surface. The current study is helpful for understanding the mechanism of fluid drainage from the ocular surface and for improving the design of dry eye treatments.

40 CFR 440.144 - New source performance standards (NSPS).

Code of Federal Regulations, 2011 CFR

2011-07-01

...-cut mine plant site shall not exceed the volume of infiltration, drainage and mine drainage waters... of infiltration, drainage and mine drainage waters which is in excess of the make up water required...

40 CFR 440.144 - New source performance standards (NSPS).

Code of Federal Regulations, 2010 CFR

2010-07-01

...-cut mine plant site shall not exceed the volume of infiltration, drainage and mine drainage waters... of infiltration, drainage and mine drainage waters which is in excess of the make up water required...

Drainage area data for Alabama streams

USGS Publications Warehouse

Stallings, J.S.; Peirce, L.B.

1957-01-01

The drainage area of a river basin is an important parameter in many engineering equations used for hydrologic design. It is not a parameter, however, that always requires precise measurement. Factors in the hydrologic cycle such as rainfall, runoff, transpiration, and infiltration cannot be measured nearly as closely as drainage area. Largely for this reason, drainage areas are often measured to varying degrees of precision depending upon the immediate need, with little thought to some other use or some other user of the figure obtained. It can readily be appreciated that this practice, continued for long by many different agencies, will result in a heterogeneous collection of drainage area figures, often discordant and of an accuracy unknown to any but those who computed them. Figures of drainage area published by various Federal agencies are frequently discrepant or contradictory, giving rise to confusion in the use of drainage area data. Seeking to better this situation, the Federal Inter-Agency River Basin Committee (FIARBC) in November 1951 published its Bulletin No. 4, Inter-Agency Coordination of Drainage Area Data. That Bulletin recommended procedures to be followed by the interested Federal agencies “for coordinating drainage area data in the interest of promoting uniformity, reducing confusion and contradiction of published figures, and improving the ready availability of drainage area data pertaining to drainage basins of the United States and its possessions.”

Pseudocyst in the Pancreatic Tail Associated with Chronic Pancreatitis Successfully Treated by Transpapillary Cyst Drainage

PubMed Central

Naitoh, Itaru; Ohara, Hirotaka; Okayama, Yasutaka; Nakazawa, Takahiro; Ando, Tomoaki; Hayashi, Kazuki; Okumura, Fumihiro; Kitajima, Yasuhiro; Ban, Tessin; Miyabe, Katsuyuki; Ueno, Koichiro; Joh, Takashi; Sano, Hitoshi

2008-01-01

We report a 50-year-old male with pseudocysts in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage. He had previously undergone ultrasonography-guided percutaneous cyst drainage for a pancreatic pseudocyst in our hospital. He was readmitted due to abdominal pain and fever. Computed tomography showed recurrence of a pseudocyst in the pancreatic tail measuring 5 cm in diameter. Since conservative treatment failed, endoscopic retrograde pancreatography was performed. There was communication between the pseudocyst and the main pancreatic duct, and pancreatic duct stenosis proximal to the pseudocyst. First, transpapillary pancreatic duct drainage was performed using a plastic stent, but the pseudocyst did not decrease in size and became infected. After removal of the stent, a pigtail type nasocystic catheter was placed in the pseudocyst via the pancreatic duct. The pseudocyst infection immediately disappeared, and the pseudocyst gradually decreased and disappeared. After removal of the nasocystic catheter, no recurrence was observed. As transpapillary drainage of pancreatic pseudocyst, cyst drainage and pancreatic duct drainage have been reported. In our patient with pseudocyst in the pancreatic tail, duct drainage was ineffective and the pseudocyst was infected, whereas cyst drainage was very effective. We considered that cyst drainage by a nasocystic catheter was the first-line therapy as the transpapillary drainage of the pancreatic pseudocyst. PMID:21897788

Randomised clinical trial of chest drainage systems.

PubMed Central

Graham, A N; Cosgrove, A P; Gibbons, J R; McGuigan, J A

1992-01-01

BACKGROUND: Problems in the management of thoracic trauma have stimulated the search for an alternative to underwater seals for drainage of the pleural cavity. A chest drainage bag incorporating a one way flutter valve has been compared with underwater seal drains in a randomised clinical trial. METHODS: During June-December 1989 119 patients undergoing elective thoracotomy were randomised to receive postoperative chest drainage by drainage bags (56 patients, 87 drains) or by underwater seal drains (63 patients, 98 drains). Daily drainage volumes, the requirement for pleural suction, mobility, and complications were recorded prospectively. RESULTS: There was no significant difference between the two groups in the mean volume drained, the requirements for pleural suction, or the occurrence of complications. Patients with drainage bags were fully mobile 23 hours (95% confidence interval 0-47 hours) earlier than the others. CONCLUSIONS: When used after elective thoracotomy drainage bags are safe and effective and permit earlier mobility than underwater seal drains. PMID:1496507

Endoscopic ultrasound-guided transmural drainage of postoperative pancreatic collections.

PubMed

Tilara, Amy; Gerdes, Hans; Allen, Peter; Jarnagin, William; Kingham, Peter; Fong, Yuman; DeMatteo, Ronald; D'Angelica, Michael; Schattner, Mark

2014-01-01

Pancreatic leak is a major cause of morbidity after pancreatectomy. Traditionally, peripancreatic fluid collections have been managed by percutaneous or operative drainage. Data for endoscopic ultrasound (EUS)-guided drainage of postoperative fluid collections are limited. Here we report on the safety, efficacy, and timing of EUS-guided drainage of postoperative peripancreatic collections. This is a retrospective review of 31 patients who underwent EUS-guided drainage of fluid collections after pancreatic resection. Technical success was defined as successful transgastric deployment of at least one double pigtail plastic stent. Clinical success was defined as resolution of the fluid collection on follow-up CT scan and resolution of symptoms. Early drainage was defined as initial transmural stent placement within 30 days after surgery. Endoscopic ultrasound-guided drainage was performed effectively with a technical success rate of 100%. Clinical success was achieved in 29 of 31 patients (93%). Nineteen of the 29 patients (65%) had complete resolution of their symptoms and collection with the first endoscopic procedure. Repeat drainage procedures, including some with necrosectomy, were required in the remaining 10 patients, with eventual resolution of collection and symptoms. Two patients who did not achieve durable clinical success required percutaneous drainage by interventional radiology. Seventeen (55%) of 31 patients had successful early drainage completed within 30 days of their operation. Endoscopic ultrasound-guided drainage of fluid collections after pancreatic resection is safe and effective. Early drainage (<30 days) of postoperative pancreatic fluid collections was not associated with increased complications in this series. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Effect of abdominopelvic abscess drain size on drainage time and probability of occlusion.

PubMed

Rotman, Jessica A; Getrajdman, George I; Maybody, Majid; Erinjeri, Joseph P; Yarmohammadi, Hooman; Sofocleous, Constantinos T; Solomon, Stephen B; Boas, F Edward

2017-04-01

The purpose of this study is to determine whether larger abdominopelvic abscess drains reduce the time required for abscess resolution or the probability of tube occlusion. 144 consecutive patients who underwent abscess drainage at a single institution were reviewed retrospectively. Larger initial drain size did not reduce drainage time, drain occlusion, or drain exchanges (P > .05). Subgroup analysis did not find any type of collection that benefitted from larger drains. A multivariate model predicting drainage time showed that large collections (>200 mL) required 16 days longer drainage time than small collections (<50 mL). Collections with a fistula to bowel required 17 days longer drainage time than collections without a fistula. Initial drain size and the viscosity of the fluid in the collection had no significant effect on drainage time in the multivariate model. 8 F drains are adequate for initial drainage of most serous and serosanguineous collections. 10 F drains are adequate for initial drainage of most purulent or bloody collections. Copyright © 2016 Elsevier Inc. All rights reserved.

Land Application of Wastes: An Educational Program. Drainage for Land Application Sites - Module 21, Objectives, and Script.

ERIC Educational Resources Information Center

Clarkson, W. W.; And Others

Drainage for land treatment sites must be evaluated with respect to the purpose the system is meant to achieve. Off-site drainage controls the flow of storm runoff onto the site or groundwater incursion into the soil within the site. On-site drainage is employed for a variety of reasons. These two areas of drainage control must be designed as a…

Comparison of closed-chest drainage with rib resection closed drainage for treatment of chronic tuberculous empyema

PubMed Central

Fang, Yong; Xiao, Heping; Hu, Haili

2018-01-01

Background This study aimed to compare the efficacy of closed-chest drainage with rib resection closed drainage of chronic tuberculous empyema. Methods This retrospective study reviewed 86 patients with tuberculous empyema in Shanghai Pulmonary Hospital from August 2010 to November 2015. Among these included patients, 22 patients received closed-chest drainage, and 64 patients received rib resection closed drainage. Results The results showed that after intercostal chest closed drain treatment, 2 (9.09%) patients were recovery, 13 (59.09%) patients had significantly curative effect, 6 (27.27%) patients had partly curative effect, and 1 (4.55%) patient had negative effect. After treatment of rib resection closed drainage, 9 (14.06%) patients were successfully recovery, 31 (48.44%) patients had significantly curative effect, 19 (29.69%) patients had partly curative effect, and 5 (7.81%) patients had negative effect. There was no significant difference in the curative effect (P>0.05), while the average catheterization time of rib resection closed drainage (130.05±13.12 days) was significant longer than that (126.14±36.84 days) in course of intercostal chest closed drain (P<0.05). Conclusions This study had demonstrated that closed-chest drainage was an effective procedure for treating empyema in young patients. It was less invasive than rib resection closed drainage and was associated with less severe pain. We advocated closed-chest drainage for the majority of young patients with empyema, except for those with other diseases. PMID:29600066

40 CFR 440.143 - Effluent limitations representing the degree of effluent reduction attainable by the application...

Code of Federal Regulations, 2011 CFR

2011-07-01

... an open-cut mine plant site shall not exceed the volume of infiltration, drainage and mine drainage... of infiltration, drainage and mine drainage waters which is in excess of the make up water required...

40 CFR 440.143 - Effluent limitations representing the degree of effluent reduction attainable by the application...

Code of Federal Regulations, 2010 CFR

2010-07-01

... an open-cut mine plant site shall not exceed the volume of infiltration, drainage and mine drainage... of infiltration, drainage and mine drainage waters which is in excess of the make up water required...

Closed-Suction Drainage and Cerebrospinal Fluid Leakage Following Microvascular Decompression : A Retrospective Comparison Study

PubMed Central

Kim, Young-Hoon; Kim, Chae-Yong; Oh, Chang Wan

2013-01-01

Objective We performed this study to investigate whether the use of closed-suction drainage following microvascular decompression (MVD) causes cerebrospinal fluid (CSF) leakage. Methods Between 2004 and 2011, a total of 157 patients with neurovascular compression were treated with MVD. MVD was performed for hemifacial spasm in 150 (95.5%) cases and for trigeminal neuralgia in 7 (4.5%) cases. The mean age of the patients was 49.8±9.6 years (range, 20-69). Dural substitutes were used in 44 (28.0%) patients. Ninety-two patients (58.6%) were underwent a 4-5 cm craniotomy using drainage (drainage group), and 65 (41.4%) did a small 2-2.5 cm retromastoid craniectomy without closed-suction drainage (no-drainage group). Results Eleven (7.0%) patients experienced CSF leakage following MVD based on the criteria of this study; all of these patients were in the drainage group. In the unadjusted analyses, the incidence of CSF leakage was significantly related with the use of closed-suction drainage following MVD (12.0% in the drainage group vs. 0% in the no-drainage group, respectively; p=0.003; Fisher's exact test). Those who received dural substitutes and the elderly (cut-off value=60 years) exhibited a tendency to develop CSF leakage (p=0.075 and p=0.090, respectively; Fisher's exact test). In the multivariate analysis, only the use of closed-suction drainage was significantly and independently associated with the development of CSF leakage following MVD (odds ratio=9.900; 95% confidence interval, 1.418 to infinity; p=0.017). Conclusion The use of closed-suction drainage following MVD appears to be related to the development of CSF leakage. PMID:24175025

Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma.

PubMed

Kawakubo, Kazumichi; Kawakami, Hiroshi; Kuwatani, Masaki; Haba, Shin; Kudo, Taiki; Taya, Yoko A; Kawahata, Shuhei; Kubota, Yoshimasa; Kubo, Kimitoshi; Eto, Kazunori; Ehira, Nobuyuki; Yamato, Hiroaki; Onodera, Manabu; Sakamoto, Naoya

2016-05-10

To identify the most effective endoscopic biliary drainage technique for patients with hilar cholangiocarcinoma. In total, 118 patients with hilar cholangiocarcinoma underwent endoscopic management [endoscopic nasobiliary drainage (ENBD) or endoscopic biliary stenting] as a temporary drainage in our institution between 2009 and 2014. We retrospectively evaluated all complications from initial endoscopic drainage to surgery or palliative treatment. The risk factors for biliary reintervention, post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis, and percutaneous transhepatic biliary drainage (PTBD) were also analyzed using patient- and procedure-related characteristics. The risk factors for bilateral drainage were examined in a subgroup analysis of patients who underwent initial unilateral drainage. In total, 137 complications were observed in 92 (78%) patients. Biliary reintervention was required in 83 (70%) patients. ENBD was significantly associated with a low risk of biliary reintervention [odds ratio (OR) = 0.26, 95%CI: 0.08-0.76, P = 0.012]. Post-ERCP pancreatitis was observed in 19 (16%) patients. An absence of endoscopic sphincterotomy was significantly associated with post-ERCP pancreatitis (OR = 3.46, 95%CI: 1.19-10.87, P = 0.023). PTBD was required in 16 (14%) patients, and Bismuth type III or IV cholangiocarcinoma was a significant risk factor (OR = 7.88, 95%CI: 1.33-155.0, P = 0.010). Of 102 patients with initial unilateral drainage, 49 (48%) required bilateral drainage. Endoscopic sphincterotomy (OR = 3.24, 95%CI: 1.27-8.78, P = 0.004) and Bismuth II, III, or IV cholangiocarcinoma (OR = 34.69, 95%CI: 4.88-736.7, P < 0.001) were significant risk factors for bilateral drainage. The endoscopic management of hilar cholangiocarcinoma is challenging. ENBD should be selected as a temporary drainage method because of its low risk of complications.

Number and location of drainage catheter side holes: in vitro evaluation.

PubMed

Ballard, D H; Alexander, J S; Weisman, J A; Orchard, M A; Williams, J T; D'Agostino, H B

2015-09-01

To evaluate the influence of number and location of catheter shaft side holes regarding drainage efficiency in an in vitro model. Three different drainage catheter models were constructed: open-ended model with no side holes (one catheter), unilateral side hole model (six catheters with one to six unilateral side holes), and bilateral side hole model (six catheters with one to six bilateral side holes). Catheters were inserted into a drainage output-measuring device with a constant-pressure reservoir of water. The volume of water evacuated by each of the catheters at 10-second intervals was measured. A total of five trials were performed for each catheter. Data were analysed using one-way analysis of variance. The open-ended catheter had a mean drainage volume comparable to the unilateral model catheters with three, four, and five side holes. Unilateral model catheters had significant drainage volume increases up to three side holes; unilateral model catheters with more than three side holes had no significant improvement in drainage volume. All bilateral model catheters had significantly higher mean drainage volumes than their unilateral counterparts. There was no significant difference between the mean drainage volume with one, two, or three pairs of bilateral side holes. Further, there was no drainage improvement by adding additional bilateral side holes. The present in vitro study suggests that beyond a critical side hole number threshold, adding more distal side holes does not improve catheter drainage efficiency. These results may be used to enhance catheter design towards improving their drainage efficiency. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Petrous apex cholesterol granuloma: maintenance of drainage pathway, the histopathology of surgical management and histopathologic evidence for the exposed marrow theory.

PubMed

Hoa, Michael; House, John W; Linthicum, Fred H

2012-08-01

(1) To assess the maintenance of drainage pathway patency in patients who undergo surgical management of cholesterol granulomas, (2) to review the histopathologic and radiologic changes associated with surgical drainage of petrous apex (PA) cholesterol granulomas, and (3) to provide histopathologic evidence regarding the exposed marrow theory of PA cholesterol granulomas. Retrospective case review and histopathologic analysis. Tertiary referral center. Records of 17 patients with surgically managed PA cholesterol granulomas were reviewed. Histopathologic analysis was performed on temporal bones of 11 patients with PA cholesterol granulomas from the Temporal Bone repository at the House Research Institute. Surgical drainage of PA cholesterol granulomas; follow-up radiologic imaging (computed tomography or magnetic resonance imaging), when available. Primary outcome is demonstrated maintenance of a PA outflow drainage pathway after the surgical drainage procedure as assessed by radiologic imaging, available histopathology, and/or recurrence of symptoms indicating failure of maintenance. Other measures include need for revision surgery and histopathology findings. A majority (65%) of patients exhibited maintenance of their PA drainage pathway. Histopathologic evidence suggests that the PA drainage pathway can be maintained for many years after surgical drainage. Recurrence of symptoms was related to obstruction of the drainage pathway by fibrous tissue and/or granulomatous tissue. Placement of a stent improved the patient's chance of remaining symptom-free, with recurrence of symptoms and revision surgery required in only 2 stent cases (18%) as compared with 83% of those with no stent (p ≤ 0.035). Histopathologic evidence for the exposed marrow theory of PA cholesterol granulomas was found. The majority of patients who undergo surgical drainage of PA cholesterol granulomas remain symptom-free after surgical drainage. Histopathologic analysis of temporal bone specimens provides evidence supporting the exposed marrow theory of PA cholesterol granuloma formation. Loss of patency of the PA drainage pathway may be an important predictor for symptomatic recurrence of PA cholesterol granulomas. Placement of a stent may decrease the likelihood of symptomatic recurrence.

Experimental use of high density polyethylene drainage pipe as a cross roadway drainage structure.

DOT National Transportation Integrated Search

2001-01-01

Adequate drainage is one of the most important requirements in the reconstruction of a highway. Often it represents an appreciable expense of construction. In some applications installation costs may be reduced by the use of lighter weight drainage p...

PASSIVE TREATMENT OF ACID ROCK DRAINAGE FROM A SUBSURFACE MINE

EPA Science Inventory

Acidic, metal-contaminated drainages are a critical problem facing many areas of the world. Acid rock drainage results when metal sulfide minerals, particularly pyrite, are oxidized by exposure to oxygen and water. The deleterious effects of these drainages on receiving streams a...

Assessment and synthesis of 50 years of published drainage phosphorus losses

USDA-ARS?s Scientific Manuscript database

The prevalence of artificial drainage systems in intensively cropped areas across North America combined with the importance of freshwater resources in these regions has created a critical intersection where understanding drainage phosphorus (P) transport is vital. In this study, drainage nutrient ...

The Seepage Simulation of Single Hole and Composite Gas Drainage Based on LB Method

NASA Astrophysics Data System (ADS)

Chen, Yanhao; Zhong, Qiu; Gong, Zhenzhao

2018-01-01

Gas drainage is the most effective method to prevent and solve coal mine gas power disasters. It is very important to study the seepage flow law of gas in fissure coal gas. The LB method is a simplified computational model based on micro-scale, especially for the study of seepage problem. Based on fracture seepage mathematical model on the basis of single coal gas drainage, using the LB method during coal gas drainage of gas flow numerical simulation, this paper maps the single-hole drainage gas, symmetric slot and asymmetric slot, the different width of the slot combined drainage area gas flow under working condition of gas cloud of gas pressure, flow path diagram and flow velocity vector diagram, and analyses the influence on gas seepage field under various working conditions, and also discusses effective drainage method of the center hole slot on both sides, and preliminary exploration that is related to the combination of gas drainage has been carried on as well.

Bibliography for acid-rock drainage and selected acid-mine drainage issues related to acid-rock drainage from transportation activities

USGS Publications Warehouse

Bradley, Michael W.; Worland, Scott C.

2015-01-01

Acid-rock drainage occurs through the interaction of rainfall on pyrite-bearing formations. When pyrite (FeS2) is exposed to oxygen and water in mine workings or roadcuts, the mineral decomposes and sulfur may react to form sulfuric acid, which often results in environmental problems and potential damage to the transportation infrastructure. The accelerated oxidation of pyrite and other sulfidic minerals generates low pH water with potentially high concentrations of trace metals. Much attention has been given to contamination arising from acid mine drainage, but studies related to acid-rock drainage from road construction are relatively limited. The U.S. Geological Survey, in cooperation with the Tennessee Department of Transportation, is conducting an investigation to evaluate the occurrence and processes controlling acid-rock drainage and contaminant transport from roadcuts in Tennessee. The basic components of acid-rock drainage resulting from transportation activities are described and a bibliography, organized by relevant categories (remediation, geochemical, microbial, biological impact, and secondary mineralization) is presented.

Tile Drainage Expansion Detection using Satellite Soil Moisture Dynamics

NASA Astrophysics Data System (ADS)

Jacobs, J. M.; Cho, E.; Jia, X.

2017-12-01

In the past two decades, tile drainage installation has accelerated throughout the Red River of the North Basin (RRB) in parts of western Minnesota, eastern North Dakota, and a small area of northeastern South Dakota, because the flat topography and low-permeability soils in this region necessitated the removal of excess water to improve crop production. Interestingly, streamflow in the Red River has markedly increased and six of 13 major floods during the past century have occurred since the late 1990s. It has been suggested that the increase in RRB flooding could be due to change in agricultural practices, including extensive tile drainage installation. Reliable information on existing and future tile drainage installation is greatly needed to capture the rapid extension of tile drainage systems and to locate tile drainage systems in the north central U.S. including the RRB region. However, there are few reliable data of tile drainage installation records, except tile drainage permit records in the Bois de Sioux watershed (a sub-basin in southern part of the RRB where permits are required for tile drainage installation). This study presents a tile drainage expansion detection method based on a physical principle that the soil-drying rate may increase with increasing tile drainage for a given area. In order to capture the rate of change in soil drying rate with time over entire RRB (101,500 km2), two satellite-based microwave soil moisture records from the Advanced Microwave Scanning Radiometer for Earth Observing System (AMSR-E) and AMSR2 were used during 2002 to 2016. In this study, a sub-watershed level (HUC10) potential tile drainage growth map was developed and the results show good agreement with tile drainage permit records of six sub-watersheds in the Bois de Sioux watershed. Future analyses will include improvement of the potential tile drainage map through additional information using optical- and thermal-based sensor products and evaluation of its hydrological impacts on intensity, duration, and frequency of extreme streamflow from watershed to basin scale.

Controls on deep drainage beneath the root soil zone in snowmelt-dominated environments

NASA Astrophysics Data System (ADS)

Hammond, J. C.; Harpold, A. A.; Kampf, S. K.

2017-12-01

Snowmelt is the dominant source of streamflow generation and groundwater recharge in many high elevation and high latitude locations, yet we still lack a detailed understanding of how snowmelt is partitioned between the soil, deep drainage, and streamflow under a variety of soil, climate, and snow conditions. Here we use Hydrus 1-D simulations with historical inputs from five SNOTEL snow monitoring sites in each of three regions, Cascades, Sierra, and Southern Rockies, to investigate how inter-annual variability on water input rate and duration affects soil saturation and deep drainage. Each input scenario was run with three different soil profiles of varying hydraulic conductivity, soil texture, and bulk density. We also created artificial snowmelt scenarios to test how snowmelt intermittence affects deep drainage. Results indicate that precipitation is the strongest predictor (R2 = 0.83) of deep drainage below the root zone, with weaker relationships observed between deep drainage and snow persistence, peak snow water equivalent, and melt rate. The ratio of deep drainage to precipitation shows a stronger positive relationship to melt rate suggesting that a greater fraction of input becomes deep drainage at higher melt rates. For a given amount of precipitation, rapid, concentrated snowmelt may create greater deep drainage below the root zone than slower, intermittent melt. Deep drainage requires saturation below the root zone, so saturated hydraulic conductivity serves as a primary control on deep drainage magnitude. Deep drainage response to climate is mostly independent of soil texture because of its reliance on saturated conditions. Mean water year saturations of deep soil layers can predict deep drainage and may be a useful way to compare sites in soils with soil hydraulic porosities. The unit depth of surface runoff often is often greater than deep drainage at daily and annual timescales, as snowmelt exceeds infiltration capacity in near-surface soil layers. These results suggest that processes affecting the duration of saturation below the root zone could compromise deep recharge, including changes in snowmelt rate and duration as well as the depth and rate of ET losses from the soil profile.

Assessment of Native Salmonids Above Hells Canyon Dam, Idaho, 2001 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Meyer, Kevin A.; Lamansky, Jr., James A.

We investigated factors affecting the distribution and abundance of Yellowstone cutthroat trout (YCT), the abundance of all trout, and species richness in several drainages in the upper Snake River basin in Idaho. A total of 326 randomly selected sites were visited within the four study drainages, and of these, there was sufficient water to inventory fish and habitat in 56 of the sites in the Goose Creek drainage, 64 in the Raft River drainage, 54 in the Blackfoot River drainage, and 27 in the Willow Creek drainage. Fish were captured in 36, 55, 49, and 22 of the sites, respectively,more » and YCT were present at 17, 37, 32, and 13 of the sites, respectively. There was little consistency or strength in the models developed to predict YCT presence/absence and density, trout density, or species richness. Typically, the strongest models had the lowest sample sizes. In the Goose Creek drainage, sites with YCT were higher in elevation and lower in conductivity. In the Raft River drainage, trout cover was more abundant at sites with YCT than without YCT. In the Blackfoot River drainage, there was less fine substrate and more gravel substrate at sites with YCT than at sites without YCT. In the Willow Creek drainage, 70% of the sites located on public land contained YCT, but only 35% of private land contained YCT. The differences in variable importance between drainages suggests that factors that influence the distribution of YCT vary between drainages, and that for the most part the variables we measured had little influence on YCT distribution. n sites containing YCT, average cutthroat trout density was 0.11/m{sup 2}, 0.08/m{sup 2}, 0.10/m{sup 2}, and 0.08/m{sup 2} in the Goose Creek, Raft River, Blackfoot River, and Willow Creek drainages, respectively. In sites containing trout in general, average total trout density in these same drainages was 0.16/m{sup 2}, 0.15/m{sup 2}, 0.10/m{sup 2}, and 0.10/m{sup 2}. Models to predict YCT density, total trout density, and species richness were either weak (i.e., explained little variation) or contained small sample sizes. Based on our results, it appears that factors other than those we measured are affecting fish populations in these drainages.« less

Biliary drainage strategy of unresectable malignant hilar strictures by computed tomography volumetry.

PubMed

Takahashi, Ei; Fukasawa, Mitsuharu; Sato, Tadashi; Takano, Shinichi; Kadokura, Makoto; Shindo, Hiroko; Yokota, Yudai; Enomoto, Nobuyuki

2015-04-28

To identify criteria for predicting successful drainage of unresectable malignant hilar biliary strictures (UMHBS) because no ideal strategy currently exists. We examined 78 patients with UMHBS who underwent biliary drainage. Drainage was considered effective when the serum bilirubin level decreased by ≥ 50% from the value before stent placement within 2 wk after drainage, without additional intervention. Complications that occurred within 7 d after stent placement were considered as early complications. Before drainage, the liver volume of each section (lateral and medial sections of the left liver and anterior and posterior sections of the right liver) was measured using computed tomography (CT) volumetry. Drained liver volume was calculated based on the volume of each liver section and the type of bile duct stricture (according to the Bismuth classification). Tumor volume, which was calculated by using CT volumetry, was excluded from the volume of each section. Receiver operating characteristic (ROC) analysis was performed to identify the optimal cutoff values for drained liver volume. In addition, factors associated with the effectiveness of drainage and early complications were evaluated. Multivariate analysis showed that drained liver volume [odds ratio (OR) = 2.92, 95%CI: 1.648-5.197; P < 0.001] and impaired liver function (with decompensated liver cirrhosis) (OR = 0.06, 95%CI: 0.009-0.426; P = 0.005) were independent factors contributing to the effectiveness of drainage. ROC analysis for effective drainage showed cutoff values of 33% of liver volume for patients with preserved liver function (with normal liver or compensated liver cirrhosis) and 50% for patients with impaired liver function (with decompensated liver cirrhosis). The sensitivity and specificity of these cutoff values were 82% and 80% for preserved liver function, and 100% and 67% for impaired liver function, respectively. Among patients who met these criteria, the rate of effective drainage among those with preserved liver function and impaired liver function was 90% and 80%, respectively. The rates of effective drainage in both groups were significantly higher than in those who did not fulfill these criteria (P < 0.001 and P = 0.02, respectively). Drainage-associated cholangitis occurred in 9 patients (12%). A smaller drained liver volume was associated with drainage-associated cholangitis (P < 0.01). Liver volume drainage ≥ 33% in patients with preserved liver function and ≥ 50% in patients with impaired liver function correlates with effective biliary drainage in UMHBS.

40 CFR 434.40 - Applicability; description of the alkaline mine drainage subcategory.

Code of Federal Regulations, 2012 CFR

2012-07-01

... alkaline mine drainage subcategory. 434.40 Section 434.40 Protection of Environment ENVIRONMENTAL... BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Alkaline Mine Drainage § 434.40 Applicability; description of the alkaline mine drainage subcategory. The provisions of this subpart are...

40 CFR 434.40 - Applicability; description of the alkaline mine drainage subcategory.

Code of Federal Regulations, 2013 CFR

2013-07-01

... alkaline mine drainage subcategory. 434.40 Section 434.40 Protection of Environment ENVIRONMENTAL... BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Alkaline Mine Drainage § 434.40 Applicability; description of the alkaline mine drainage subcategory. The provisions of this subpart are...

40 CFR 434.40 - Applicability; description of the alkaline mine drainage subcategory.

Code of Federal Regulations, 2014 CFR

2014-07-01

... alkaline mine drainage subcategory. 434.40 Section 434.40 Protection of Environment ENVIRONMENTAL... BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Alkaline Mine Drainage § 434.40 Applicability; description of the alkaline mine drainage subcategory. The provisions of this subpart are...

40 CFR 434.40 - Applicability; description of the alkaline mine drainage subcategory.

Code of Federal Regulations, 2010 CFR

2010-07-01

... alkaline mine drainage subcategory. 434.40 Section 434.40 Protection of Environment ENVIRONMENTAL..., BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Alkaline Mine Drainage § 434.40 Applicability; description of the alkaline mine drainage subcategory. The provisions of this subpart are applicable to...

40 CFR 434.40 - Applicability; description of the alkaline mine drainage subcategory.

Code of Federal Regulations, 2011 CFR

2011-07-01

... alkaline mine drainage subcategory. 434.40 Section 434.40 Protection of Environment ENVIRONMENTAL..., BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Alkaline Mine Drainage § 434.40 Applicability; description of the alkaline mine drainage subcategory. The provisions of this subpart are applicable to...

24 CFR 3280.610 - Drainage systems.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Drainage systems. 3280.610 Section... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Plumbing Systems § 3280.610 Drainage systems. (a) General. (1) Each fixture directly connected to the drainage system shall be installed with a...

Possible origin and significance of extension-parallel drainages in Arizona's metamophic core complexes

USGS Publications Warehouse

Spencer, J.E.

2000-01-01

The corrugated form of the Harcuvar, South Mountains, and Catalina metamorphic core complexes in Arizona reflects the shape of the middle Tertiary extensional detachment fault that projects over each complex. Corrugation axes are approximately parallel to the fault-displacement direction and to the footwall mylonitic lineation. The core complexes are locally incised by enigmatic, linear drainages that parallel corrugation axes and the inferred extension direction and are especially conspicuous on the crests of antiformal corrugations. These drainages have been attributed to erosional incision on a freshly denuded, planar, inclined fault ramp followed by folding that elevated and preserved some drainages on the crests of rising antiforms. According to this hypothesis, corrugations were produced by folding after subacrial exposure of detachment-fault foot-walls. An alternative hypothesis, proposed here, is as follows. In a setting where preexisting drainages cross an active normal fault, each fault-slip event will cut each drainage into two segments separated by a freshly denuded fault ramp. The upper and lower drainage segments will remain hydraulically linked after each fault-slip event if the drainage in the hanging-wall block is incised, even if the stream is on the flank of an antiformal corrugation and there is a large component of strike-slip fault movement. Maintenance of hydraulic linkage during sequential fault-slip events will guide the lengthening stream down the fault ramp as the ramp is uncovered, and stream incision will form a progressively lengthening, extension-parallel, linear drainage segment. This mechanism for linear drainage genesis is compatible with corrugations as original irregularities of the detachment fault, and does not require folding after early to middle Miocene footwall exhumations. This is desirable because many drainages are incised into nonmylonitic crystalline footwall rocks that were probably not folded under low-temperature, surface conditions. An alternative hypothesis, that drainages were localized by small fault grooves as footwalls were uncovered, is not supported by analysis of a down-plunge fault projection for the southern Rincon Mountains that shows a linear drainage aligned with the crest of a small antiformal groove on the detachment fault, but this process could have been effective elsewhere. Lineation-parallel drainages now plunge gently southwestward on the southwest ends of antiformal corrugations in the South and Buckskin Mountains, but these drainages must have originally plunged northeastward if they formed by either of the two alternative processes proposed here. Footwall exhumation and incision by northeast-flowing streams was apparently followed by core-complex arching and drainage reversal.

Blood loss associated with Ring uncemented total knee replacement: comparison between continuous and intermittent suction drainage.

PubMed Central

Wittmann, F W; Ring, P A

1984-01-01

In a retrospective comparison of blood loss following uncemented total knee replacement, in which either continuous or intermittent suction drainage was used, measured blood loss was significantly greater with continuous drainage. However, a method of calculating actual blood loss demonstrated no significant difference. With intermittent drainage, more blood remains undetected around the knee joint; this technique should therefore be abandoned in favour of continuous suction drainage. PMID:6747978

A dynamic model of soil salinity and drainage generation in irrigated agriculture: A framework for policy analysis

NASA Astrophysics Data System (ADS)

Dinar, Ariel; Aillery, Marcel P.; Moore, Michael R.

1993-06-01

This paper presents a dynamic model of irrigated agriculture that accounts for drainage generation and salinity accumulation. Critical model relationships involving crop production, soil salinity, and irrigation drainage are based on newly estimated functions derived from lysimeter field tests. The model allocates land and water inputs over time based on an intertemporal profit maximization objective function and soil salinity accumulation process. The model is applied to conditions in the San Joaquin Valley of California, where environmental degradation from irrigation drainage has become a policy issue. Findings indicate that in the absence of regulation, drainage volumes increase over time before reaching a steady state as increased quantities of water are allocated to leaching soil salts. The model is used to evaluate alternative drainage abatement scenarios involving drainage quotas and taxes, water supply quotas and taxes, and irrigation technology subsidies. In our example, direct drainage policies are more cost-effective in reducing drainage than policies operating indirectly through surface water use, although differences in cost efficiency are relatively small. In some cases, efforts to control drainage may result in increased soil salinity accumulation, with implications for long-term cropland productivity. While policy adjustments may alter the direction and duration of convergence to a steady state, findings suggest that a dynamic model specification may not be necessary due to rapid convergence to a comon steady state under selected scenarios.

Oxynoemacheilus zarzianus, a new loach from the Lesser Zab River drainage in Iraqi Kurdistan (Teleostei: Nemacheilidae).

PubMed

Freyhof, Jörg; Geiger, Matthias

2017-06-02

Oxynoemacheilus zarzianus, new species, is described from the Lesser Zab River drainage, a tributary of the lower Tigris. It is distinguished from other Oxynoemacheilus species in the Tigris drainage by having a slightly emarginate caudal fin, no suborbital groove in males, a complete lateral line, the posterior process of the bony air-bladder capsule directed posteriorly, the flank and posterior part of back covered by scales, short barbels and a deep caudal peduncle. It is the fourth Oxynoemacheilus species known from the Lesser Zab drainage, where such loaches seem to be highly isolated in headwaters. Oxynoemacheilus species diversity in the Euphrates and Tigris drainage is exceptional high. Today 22 species are known from the entire Euphrates and Tigris drainage and 15 from the Tigris drainage alone.

Pleural space infections after image-guided percutaneous drainage of infected intraabdominal fluid collections: a retrospective single institution analysis.

PubMed

Avella, Diego M; Toth, Jennifer W; Reed, Michael F; Gusani, Niraj J; Kimchi, Eric T; Mahraj, Rickeshvar P; Staveley-O'Carroll, Kevin F; Kaifi, Jussuf T

2015-04-11

Percutaneous drainage of infected intraabdominal fluid collections is preferred over surgical drainage due to lower morbidity and costs. However, it can be a challenging procedure and catheter insertion carries the potential to contaminate the pleural space from the abdomen. This retrospective analysis demonstrates the clinical and radiographic correlation between percutaneous drainage of infected intraabdominal collections and the development of iatrogenic pleural space infections. A retrospective single institution analysis of 550 consecutive percutaneous drainage procedures for intraabdominal fluid collections was performed over 24 months. Patient charts and imaging were reviewed with regard to pleural space infections that were attributed to percutaneous drain placements. Institutional review board approval was obtained for conduct of the study. 6/550 (1.1%) patients developed iatrogenic pleural space infections after percutaneous drainage of intraabdominal fluid collections. All 6 patients presented with respiratory symptoms and required pleural space drainage (either by needle aspiration or chest tube placement), 2 received intrapleural fibrinolytic therapy and 1 patient had to undergo surgical drainage. Pleural effusion cultures revealed same bacteria in both intraabdominal and pleural fluid in 3 (50%) cases. A video with a dynamic radiographic sequence demonstrating the contamination of the pleural space from percutaneous drainage of an infected intraabdominal collection is included. Iatrogenic pleural space infections after percutaneous drainage of intraabdominal fluid collections occur at a low incidence, but the pleural empyema can be progressive requiring prompt chest tube drainage, intrapleural fibrinolytic therapy or even surgery. Expertise in intraabdominal drain placements, awareness and early recognition of this complication is critical to minimize incidence, morbidity and mortality in these patients.

Clinical outcomes of percutaneous drainage of breast fluid collections following mastectomy with expander-based breast reconstruction

PubMed Central

2015-01-01

PURPOSE To determine clinical outcomes of patients who underwent imaging-guided percutaneous drainage of breast fluid collections following mastectomy and breast reconstruction. MATERIAL AND METHODS Retrospective review included all consecutive patients who underwent percutaneous drainage of fluid collections following mastectomy with tissue expander-based reconstruction between January 2007 and September 2012. A total of 879 mastectomies (563 patients) with expander-based breast reconstruction were performed during this period. 28 patients (5%) developed fluid collections, which led to 30 imaging-guided percutaneous drainage procedures. The median follow up time was 533 days. Patient characteristics, surgical technique, microbiology analysis, and clinical outcomes were reviewed. RESULTS The mean age was 51.5 years (range 30.9 to 69.4 years) and the median time between breast reconstruction and drainage was 35 days (range 4 to 235 days). Erythema and swelling were the most common presenting symptoms. The median volume of fluid evacuated at the time of drain placement was 70 mL. Drains were left in place for a median 14 days (range 6 to 34 days). Microorganisms were detected in the fluid in 12 of 30 drainage procedures, with Staphylococcus aureus being the most common microorganism. No further intervention was needed in 21 of 30 drainage procedures (70%). However, surgical intervention (removal of expanders) was needed following 6 (20%) drainages, and additional percutaneous drainage procedures were performed following 3 (10%) drainages. CONCLUSION Percutaneous drainage is an effective means of treating post operative fluid collections after expander-based breast reconstruction and can obviate the need for repeat surgery in most cases. PMID:23810309

Mediastinal micro-vessels clipping during lymph node dissection may contribute to reduce postoperative pleural drainage

PubMed Central

Yan, Shi; Wang, Xing; Lv, Chao; Phan, Kevin; Wang, Yuzhao; Wang, Jia; Yang, Yue

2016-01-01

Background Postoperative pleural drainage markedly influences the length of postoperative stay and financial costs of medical care. The aim of this study is to retrospectively investigate potentially predisposing factors related to pleural drainage after curative thoracic surgery and to explore the impact of mediastinal micro-vessels clipping on pleural drainage control after lymph node dissection. Methods From February 2012 to November 2013, 322 consecutive cases of operable non-small cell lung cancers (NSCLC) undergoing lobectomy and mediastinal lymph node dissection with or without application of clipping were collected. Total and daily postoperative pleural drainage were recorded. Propensity score matching (1:2) was applied to balance variables potentially impacting pleural drainage between group clip and group control. Analyses were performed to compare drainage volume, duration of chest tube and postoperative hospital stay between the two groups. Variables linked with pleural drainage in whole cohort were assessed using multivariable logistic regression analysis. Results Propensity score matching resulted in 197 patients (matched cohort). Baseline patient characteristics were matched between two groups. Group clip showed less cumulative drainage volume (P=0.020), shorter duration of chest tube (P=0.031) and postoperative hospital stay (P=0.022) compared with group control. Risk factors significantly associated with high-output drainage in multivariable logistic regression analysis were being male, age >60 years, bilobectomy/sleeve lobectomy, pleural adhesion, the application of clip applier, duration of operation ≥220 minutes and chylothorax (P<0.05). Conclusions This study suggests that mediastinal micro-vessels clipping during lymph node dissection may reduce postoperative pleural drainage and thus shorten hospital stay. PMID:27076936

Effect of subsurface drainage on streamflow in an agricultural headwater watershed

USDA-ARS?s Scientific Manuscript database

Artificial drainage, also known as subsurface or tile drainage is paramount to sustaining crop production agriculture in the poorly-drained, humid regions of the world. Hydrologic assessments of individual plots and fields with tile drainage are becoming common; however, a major void exists in our u...

Decreasing nitrate-N loads to coastal ecosystems with innovative drainage management strategies in agricultural landscapes: An experimental approach

USDA-ARS?s Scientific Manuscript database

Controlled drainage in agricultural ditches contributes to a drainage management strategy with potential environmental and production benefits. Innovative drainage strategies including spatially orientated low-grade weirs show promise to significantly improve nutrient (e.g. nitrate-N) reductions by...

46 CFR 178.440 - Drainage of open boats.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Drainage of open boats. 178.440 Section 178.440 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.440 Drainage of open boats. The deck...

46 CFR 178.420 - Drainage of cockpit vessels.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Drainage of cockpit vessels. 178.420 Section 178.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.420 Drainage of cockpit...

46 CFR 178.440 - Drainage of open boats.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Drainage of open boats. 178.440 Section 178.440 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.440 Drainage of open boats. The deck...

46 CFR 178.420 - Drainage of cockpit vessels.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Drainage of cockpit vessels. 178.420 Section 178.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.420 Drainage of cockpit...

46 CFR 178.440 - Drainage of open boats.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Drainage of open boats. 178.440 Section 178.440 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.440 Drainage of open boats. The deck...

46 CFR 178.420 - Drainage of cockpit vessels.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of cockpit vessels. 178.420 Section 178.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.420 Drainage of cockpit...

46 CFR 178.420 - Drainage of cockpit vessels.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Drainage of cockpit vessels. 178.420 Section 178.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.420 Drainage of cockpit...

46 CFR 178.440 - Drainage of open boats.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of open boats. 178.440 Section 178.440 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.440 Drainage of open boats. The deck...

46 CFR 178.420 - Drainage of cockpit vessels.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Drainage of cockpit vessels. 178.420 Section 178.420 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.420 Drainage of cockpit...

46 CFR 178.440 - Drainage of open boats.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Drainage of open boats. 178.440 Section 178.440 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.440 Drainage of open boats. The deck...

The construction technology of Chinese ancient city drainage facilities

NASA Astrophysics Data System (ADS)

Hequn, Li; Yufengyun

2018-03-01

In ancient china, according to the local natural environment, a variety of drainage facilities were built in order to excrete rainwater, domestic sewage, production wastewater and so on. These drainage facilities were mainly made of pottery, bricks, wood, stone, etc. For example, ceramic water pipelines, buried in the ground, connect together one by one, and there was a slight drop from one end to the other in favor of drainage. These measures can also be used for reference in today’s urban drainage and flood control.

Endoscopic ultrasonography guided drainage: Summary of consortium meeting, May 21, 2012, San Diego, California

PubMed Central

Kahaleh, Michel; Artifon, Everson LA; Perez-Miranda, Manuel; Gaidhane, Monica; Rondon, Carlos; Itoi, Takao; Giovannini, Marc

2015-01-01

Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary and pancreatic drainage. While ERCP is successful in about 95% of cases, a small subset of cases are unsuccessful due to altered anatomy, peri-ampullary pathology, or malignant obstruction. Endoscopic ultrasound-guided drainage is a promising technique for biliary, pancreatic and recently gallbladder decompression, which provides multiple advantages over percutaneous or surgical biliary drainage. Multiple retrospective and some prospective studies have shown endoscopic ultrasound-guided drainage to be safe and effective. Based on the currently reported literature, regardless of the approach, the cumulative success rate is 84%-93% with an overall complication rate of 16%-35%. endoscopic ultrasound-guided drainage seems a viable therapeutic modality for failed conventional drainage when performed by highly skilled advanced endoscopists at tertiary centers with expertise in both echo-endoscopy and therapeutic endoscopy PMID:25624708

Non-surgical biliary drainage - technique, indications and results.

PubMed

Riemann, J F; Lux, G; Rösch, W; Beickert-Sterba, A

1981-07-01

Nonsurgical biliary drainage offers a therapeutic alternative in the palliation of malignant obstructive jaundice. Two basic approaches are available. The percutaneous transhepatic method can be employed either for external drainage or for the placement of an internal endoprosthesis. In the case of the transduodenal, transpapillary approach, either a pigtail catheter can be placed, after prior papillotomy, or - with or without the need to split the papillar - a nasobiliary drainage tube can be introduced. Successful drainage was achieved in 67 patients. In the majority of cases, external drainage was performed as a palliative measure in inoperable carcinoma of the biliodigestive system. In addition, however, pre-operative temporary drainage was also carried out to reduce the risks of surgery in patients with severe obstructive jaundice. The complication rate was low. Apart from biliary peritonitis, cholangitis and minor bleeds were observed. The rate of failure for technical reasons was a relatively low 10%.

24 CFR 3280.610 - Drainage systems.

Code of Federal Regulations, 2014 CFR

2014-04-01

... diameter piping shall be required for water closets. (f) Wet-vented drainage system. Plumbing fixture traps... connected to the drainage system shall be installed with a water seal trap (§ 3280.606(a)). (2) The drainage... to which it is connected and shall be equipped with a water-tight cap or plug matching the drain...

40 CFR 434.30 - Applicability; description of the acid or ferruginous mine drainage subcategory.

Code of Federal Regulations, 2014 CFR

2014-07-01

... SOURCE CATEGORY BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Acid or Ferruginous Mine Drainage § 434.30 Applicability; description of the acid or ferruginous mine drainage subcategory. The provisions of this subpart are applicable to acid or ferruginous mine drainage from an active mining area...

40 CFR 434.30 - Applicability; description of the acid or ferruginous mine drainage subcategory.

Code of Federal Regulations, 2010 CFR

2010-07-01

... BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Acid or Ferruginous Mine Drainage § 434.30 Applicability; description of the acid or ferruginous mine drainage subcategory. The provisions of this subpart are applicable to acid or ferruginous mine drainage from an active mining area resulting...

40 CFR 434.30 - Applicability; description of the acid or ferruginous mine drainage subcategory.

Code of Federal Regulations, 2011 CFR

2011-07-01

... BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Acid or Ferruginous Mine Drainage § 434.30 Applicability; description of the acid or ferruginous mine drainage subcategory. The provisions of this subpart are applicable to acid or ferruginous mine drainage from an active mining area resulting...

40 CFR 434.30 - Applicability; description of the acid or ferruginous mine drainage subcategory.

Code of Federal Regulations, 2012 CFR

2012-07-01

... SOURCE CATEGORY BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Acid or Ferruginous Mine Drainage § 434.30 Applicability; description of the acid or ferruginous mine drainage subcategory. The provisions of this subpart are applicable to acid or ferruginous mine drainage from an active mining area...

40 CFR 434.30 - Applicability; description of the acid or ferruginous mine drainage subcategory.

Code of Federal Regulations, 2013 CFR

2013-07-01

... SOURCE CATEGORY BPT, BAT, BCT LIMITATIONS AND NEW SOURCE PERFORMANCE STANDARDS Acid or Ferruginous Mine Drainage § 434.30 Applicability; description of the acid or ferruginous mine drainage subcategory. The provisions of this subpart are applicable to acid or ferruginous mine drainage from an active mining area...

46 CFR 171.150 - Drainage of a vessel with a well deck.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Drainage of a vessel with a well deck. 171.150 Section 171.150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.150 Drainage of a...

46 CFR 171.155 - Drainage of an open boat.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of an open boat. 171.155 Section 171.155 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.155 Drainage of an open boat. The...

46 CFR 171.150 - Drainage of a vessel with a well deck.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Drainage of a vessel with a well deck. 171.150 Section 171.150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.150 Drainage of a...

46 CFR 171.155 - Drainage of an open boat.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Drainage of an open boat. 171.155 Section 171.155 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.155 Drainage of an open boat. The...

46 CFR 171.150 - Drainage of a vessel with a well deck.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of a vessel with a well deck. 171.150 Section 171.150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.150 Drainage of a...

46 CFR 171.150 - Drainage of a vessel with a well deck.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Drainage of a vessel with a well deck. 171.150 Section 171.150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.150 Drainage of a...

46 CFR 171.155 - Drainage of an open boat.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Drainage of an open boat. 171.155 Section 171.155 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.155 Drainage of an open boat. The...

46 CFR 171.150 - Drainage of a vessel with a well deck.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Drainage of a vessel with a well deck. 171.150 Section 171.150 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.150 Drainage of a...

46 CFR 171.155 - Drainage of an open boat.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Drainage of an open boat. 171.155 Section 171.155 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.155 Drainage of an open boat. The...

46 CFR 171.155 - Drainage of an open boat.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Drainage of an open boat. 171.155 Section 171.155 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.155 Drainage of an open boat. The...

Agricultural drainage pipe detection using ground penetrating radar: Effects of antenna orientation relative to drainage pipe directional trend

USDA-ARS?s Scientific Manuscript database

Locating buried agricultural drainage pipes is a difficult problem confronting farmers and land improvement contractors, especially in the Midwest U.S., where the removal of excess soil water using subsurface drainage systems is a common farm practice. Enhancing the efficiency of soil water removal ...

Impact of seasonality on artificial drainage discharge under temperate climate conditions

Treesearch

Ulrike Hirt; Annett Wetzig; Devandra Amatya; Marisa Matranga

2011-01-01

Artificial drainage systems affect all components of the water and matter balance. For the proper simulation of water and solute fluxes, information is needed about artificial drainage discharge rates and their response times. However, there is relatively little information available about the response of artificial drainage systems to precipitation. To address this...

Comparison of performance of tile drainage routines in SWAT 2009 and 2012 in an extensively tile-drained watershed in Midwest

USDA-ARS?s Scientific Manuscript database

Subsurface tile drainage systems are widely used in agricultural watersheds in the Midwestern U.S. Tile drainage systems enable the Midwest area to become highly productive agricultural lands, but can also create environmental problems, for example nitrate-N contamination associated with drainage w...

Impacts of drainage water management on subsurface drain flow, nitrate concentration, and nitrate loads in Indiana

EPA Science Inventory

Drainage water management is a conservation practice that has the potential to reduce drainage outflow and nitrate (NO3) loss from agricultural fields while maintaining or improving crop yields. The goal of this study was to quantify the impact of drainage water management on dra...

Development of Real-Time System for Urban Flooding by Surcharge of Storm Drainge and River Inundation

NASA Astrophysics Data System (ADS)

Shim, J. B.; Won, C. Y.; Park, J.; Lee, K.

2017-12-01

Korea experiences frequent flood disasters, which cause considerable economic losses and damages to towns and farms. Especially, a regional torrential storm is about 98.5mm/hr on September 21, 2010 in Seoul. The storm exceeds the capacity of urban drainage system of 75mm/hr, and 9,419 houses. How to monitor and control the urban flood disasters is an important issue in Korea. To mitigate the flood damage, a customizing system was developed to estimate urban floods and inundation using by integrating drainage system data and river information database which are managed by local governments and national agencies. In the case of Korean urban city, there are a lot of detention ponds and drainage pumping stations on end of drainage system and flow is going into river. The drainage pumping station, it is very important hydraulic facility for flood control between river and drainage system. So, it is possible to occur different patterns of flood inundation according to operation rule of drainage pumping station. A flood disaster is different damage as how to operate drainage pumping station and plan operation rule.

Socially optimal drainage system and agricultural biodiversity: a case study for Finnish landscape.

PubMed

Saikkonen, Liisa; Herzon, Irina; Ollikainen, Markku; Lankoski, Jussi

2014-12-15

This paper examines the socially optimal drainage choice (surface/subsurface) for agricultural crop cultivation in a landscape with different land qualities (fertilities) when private profits and nutrient runoff damages are taken into account. We also study the measurable social costs to increase biodiversity by surface drainage when the locations of the surface-drained areas in a landscape affect the provided biodiversity. We develop a general theoretical model and apply it to empirical data from Finnish agriculture. We find that for low land qualities the measurable social returns are higher to surface drainage than to subsurface drainage, and that the profitability of subsurface drainage increases along with land quality. The measurable social costs to increase biodiversity by surface drainage under low land qualities are negative. For higher land qualities, these costs depend on the land quality and on the biodiversity impacts. Biodiversity conservation plans for agricultural landscapes should focus on supporting surface drainage systems in areas where the measurable social costs to increase biodiversity are negative or lowest. Copyright © 2014 Elsevier Ltd. All rights reserved.

A portable thoracic closed drainage instrument for hemopneumothorax.

PubMed

Tang, Hua; Pan, Tiewen; Qin, Xiong; Xue, Lei; Wu, Bin; Zhao, Xuewei; Sun, Guangyuan; Yuan, Xinyu; Xu, Zhifei

2012-03-01

Hemopneumothorax is a common sequelae of traumatic thoracic injury. The most effective treatment of this condition is thoracic drainage. Despite the common occurrence of this condition, available instruments are difficult to use emergently, particularly when large amounts of patients need to be drained. In the present experiment, a newly designed chest tube and thoracic closed drainage package is described and preliminarily evaluated with the goal to improve the treatment of traumatic hemopneumothorax. Twenty canines were divided into two groups. In one group, the newly designed thoracic closed drainage package was used, whereas in the other group a currently available chest tube and bottle were used. Drainage test, ultrasound examination, flushing test, and tension test were performed to evaluate the effectiveness of the drainage package. We found that the newly-designed drainage tube is as effective as the common tube when evaluated using all of the chosen methods. In addition, the package is very lightweight and portable. The newly-designed thoracic drainage package is very effective in the emergency treatment of thoracic trauma and may be more suitable for the emergency treatment of hemopneumothorax.

An application of the AHP in water resources management: a case study on urban drainage rehabilitation in Medan City

NASA Astrophysics Data System (ADS)

Tarigan, A. P. M.; Rahmad, D.; Sembiring, R. A.; Iskandar, R.

2018-02-01

This paper illustrates an application of Analytical Hierarchy Process (AHP) as a potential decision-making method in water resource management related to drainage rehabilitation. The prioritization problem of urban drainage rehabilitation in Medan City due to limited budget is used as a study case. A hierarchical structure is formed for the prioritization criteria and the alternative drainages to be rehabilitated. Based on the AHP, the prioritization criteria are ranked and a descending-order list of drainage is made in order to select the most favorable drainages to have rehabilitation. A sensitivity analysis is then conducted to check the consistency of the final decisions in case of minor changes in judgements. The results of AHP computed manually are compared with that using the software Expert Choice. It is observed that the top three ranked drainages are consistent, and both results of the AHP methods, calculated manually and performed using Expert Choice, are in agreement. It is hoped that the application of the AHP will help the decision-making process by the city government in the problem of urban drainage rehabilitation.

Routine pelvic drainage not required after open or robotic radical prostatectomy.

PubMed

Sharma, Satish; Kim, Hyung Lae; Mohler, James L

2007-02-01

To determine whether radical prostatectomy requires urinary drainage. All patients with clinically localized prostate cancer had complete clinical and pathologic information recorded prospectively in a database. The criteria for omission of pelvic drainage were successful bladder neck preservation; urethrovesical anastomosis performed using 6 interrupted sutures in open cases or 12 continuous sutures in robotic cases; and a watertight urethrovesical anastomosis on irrigation. Most patients were discharged on the first or second postoperative day. The catheters were removed routinely on postoperative day 9. A pelvic drain was not placed in 78% of 325 consecutive patients. A drain was omitted in 73% of 225 open cases and 90% of 100 robotic cases. The recovery of continence and the complication rates were similar between the two groups with and without pelvic drainage. Complications occurred in 11% of the group with pelvic drainage and 6% in the group without pelvic drainage. In the past 2 years, 17 of 126 patients required pelvic drainage. The frequency of complications in robotic versus open procedures was similar (chi-square test, P >0.05). Pelvic drainage may be omitted after radical prostatectomy when the urethrovesical anastomosis is performed well. Drainage omission could contribute to shortened hospital stays and reduced costs, without added complications. These benefits can be extended safely to patients undergoing open or robotic radical prostatectomy.

Influence of the stopcock on the efficiency of percutaneous drainage catheters: laboratory evaluation.

PubMed

D'Agostino, H B; Park, Y; Moyers, J P; vanSonnenberg, E; Sanchez, R B; Goodacre, B W; Kim, Y H; Vieira, M V

1992-08-01

The effects of stopcocks on percutaneous fluid drainage were tested in a laboratory model by using a standard stopcock (6-French inner diameter) and a prototype stopcock (9-French inner diameter) connected to 8-, 10-, 12-, 14-, and 16-French catheters. Catheters were immersed in water alone or in viscous fluid with particulate matter, and the system was connected to low wall suction or gravity drainage. The average volume of fluid aspirated in a given period with and without a stopcock was compared for each catheter. The standard stopcock decreased drainage efficiency for these catheters by 13-42%. This decreased drainage efficiency was worse with the larger catheters. Particulate fluid blocked the stopcock connection for all catheters. With the prototype stopcock, drainage of water alone was reduced by 0-9% for the catheters of different sizes. Particulate fluid did not obstruct the prototype stopcock with any size catheter. With gravity drainage, the volume of water aspirated was reduced by 12-42% with the standard stopcock and by 3-6% with the prototype stopcock. These data suggest that stopcock connections greatly influence the efficiency of the percutaneous drainage systems. Stopcocks with larger inner diameters may improve drainage over that achievable with the stopcocks that are currently available.

Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos).

PubMed

Mori, Yasuhisa; Itoi, Takao; Baron, Todd H; Takada, Tadahiro; Strasberg, Steven M; Pitt, Henry A; Ukai, Tomohiko; Shikata, Satoru; Noguchi, Yoshinori; Teoh, Anthony Yuen Bun; Kim, Myung-Hwan; Asbun, Horacio J; Endo, Itaru; Yokoe, Masamichi; Miura, Fumihiko; Okamoto, Kohji; Suzuki, Kenji; Umezawa, Akiko; Iwashita, Yukio; Hibi, Taizo; Wakabayashi, Go; Han, Ho-Seong; Yoon, Yoo-Seok; Choi, In-Seok; Hwang, Tsann-Long; Chen, Miin-Fu; Garden, O James; Singh, Harjit; Liau, Kui-Hin; Huang, Wayne Shih-Wei; Gouma, Dirk J; Belli, Giulio; Dervenis, Christos; de Santibañes, Eduardo; Giménez, Mariano Eduardo; Windsor, John A; Lau, Wan Yee; Cherqui, Daniel; Jagannath, Palepu; Supe, Avinash Nivritti; Liu, Keng-Hao; Su, Cheng-Hsi; Deziel, Daniel J; Chen, Xiao-Ping; Fan, Sheung Tat; Ker, Chen-Guo; Jonas, Eduard; Padbury, Robert; Mukai, Shuntaro; Honda, Goro; Sugioka, Atsushi; Asai, Koji; Higuchi, Ryota; Wada, Keita; Yoshida, Masahiro; Mayumi, Toshihiko; Hirata, Koichi; Sumiyama, Yoshinobu; Inui, Kazuo; Yamamoto, Masakazu

2018-01-01

Since the publication of the Tokyo Guidelines in 2007 and their revision in 2013, appropriate management for acute cholecystitis has been more clearly established. Since the last revision, several manuscripts, especially for alternative endoscopic techniques, have been reported; therefore, additional evaluation and refinement of the 2013 Guidelines is required. We describe a standard drainage method for surgically high-risk patients with acute cholecystitis and the latest developed endoscopic gallbladder drainage techniques described in the updated Tokyo Guidelines 2018 (TG18). Our study confirmed that percutaneous transhepatic gallbladder drainage should be considered the first alternative to surgical intervention in surgically high-risk patients with acute cholecystitis. Also, endoscopic transpapillary gallbladder drainage or endoscopic ultrasound-guided gallbladder drainage can be considered in high-volume institutes by skilled endoscopists. In the endoscopic transpapillary approach, either endoscopic naso-gallbladder drainage or gallbladder stenting can be considered for gallbladder drainage. We also introduce special techniques and the latest outcomes of endoscopic ultrasound-guided gallbladder drainage studies. Free full articles and mobile app of TG18 are available at: http://www.jshbps.jp/modules/en/index.php?content_id=47. Related clinical questions and references are also included. © 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

Timing of drainage tube removal after thyroid surgery: a retrospective study.

PubMed

Minami, Shigeki; Sakimura, Chika; Hayashida, Naomi; Yamanouchi, Kosho; Kuroki, Tamotsu; Eguchi, Susumu

2014-01-01

The aim of this study was to evaluate the chronological changes in the amount of drainage fluid after thyroidectomy, and to establish standard indications for the drain to be removed. We examined a cohort of 249 patients undergoing thyroid surgery. The patients were divided into four groups: a Graves' group, a non-dissection group, a central-dissection group and a lateral-dissection group. The amount of drainage was measured every 6 h, and the drain was removed postoperatively when the drainage decreased in amount and contained serous fluid after a meal. In all four groups, the most drainage occurred in the first 6 h after surgery. The total amount of drainage from the operation to the time of drain removal was significantly higher in Graves' group and in the lateral-dissection group than in the other two groups. The median wound drainage significantly decreased from 12 to 18 h after surgery in all four groups. In the lateral-dissection group, the wound drainage significantly decreased again in the first 24-30 h. The findings of this study suggest that drains can be removed postoperatively if the drainage was less than 15 mL during a 6-h period and contain serous fluid.

Comparison of infection between internal-external and external percutaneous transhepatic biliary drainage in treating patients with malignant obstructive jaundice.

PubMed

Xu, Chuan; Huang, Xin-En; Wang, Shu-Xiang; Lv, Peng-Hua; Sun, Ling; Wang, Fu-An

2015-01-01

Percutaneous transhepatic biliary drainage (PTBD) is a form of palliative care for patients with malignant obstructive jaundice. We here compared the infection incidence between internal-external and external drainage for patients with malignant obstructive jaundice. Patients with malignant obstructive jaundice without infection before surgery receiving internal-external or external drainage from January 2008 to July 2014 were recruited. According to percutaneous transhepatic cholangiography (PTC), if the guide wire could pass through the occlusion and enter the duodenum, we recommended internal-external drainage, and external drainage biliary drainage was set up if the occlusion was not crossed. All patients with infection after procedure received a cultivation of blood and a bile bacteriological test. Among 110 patients with malignant obstructive jaundice, 22 (52.4%) were diagnosed with infection after the procedure in the internal-external drainage group, whereas 19 (27.9%) patients were so affected in the external drainage group, the difference being significant (p<0.05). In 8 patients (36.3%) in the internal-external group infection was controlled, as compared to 12 (63.1%) in the external group (p<0.05). The mortality rate for patients with infection not controlled in internal-external group in one month was 42.8%, while this rate in external group was 28.6% (p<0.05). External drainage is a good choice, which could significantly reduce the chance of biliary infection caused by bacteria, and decrease the mortality rate at one month and improve the long-term prognosis.

Comparison of natural drainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study.

PubMed

Woo, Seung Hoon; Kim, Jin Pyeong; Park, Jung Je; Shim, Hyun Seok; Lee, Sang Ha; Lee, Ho Joong; Won, Seong Jun; Son, Hee Young; Kim, Rock Bum; Son, Young-Ik

2013-01-01

The aim of this study was to compare a negative pressure drain with a natural drain in order to determine whether a negative pressure drainage tube causes an increase in the drainage volume. Sixty-two patients who underwent total thyroidectomy for papillary thyroid carcinoma (PTC) were enrolled in the study between March 2010 and August 2010 at Gyeongsang National University Hospital. The patients were prospectively and randomly assigned to two groups, a negative pressure drainage group (n=32) and natural drainage group (n=30). Every 3 hours, the volume of drainage was checked in the two groups until the tube was removed. The amount of drainage during the first 24 hours postoperatively was 41.68 ± 3.93 mL in the negative drain group and 25.3 ± 2.68 mL in the natural drain group (p<0.001). After 24 additional hours, the negative drain group was 35.19 ± 4.26 mL and natural drain groups 21.53 ± 2.90 mL (p<0.001). However, the drainage at postoperative day 3 was not statistically different between the two groups. In addition, the vocal cord palsy and temporary and permanent hypocalcemia were not different between the two groups. These results indicate that a negative pressure drain may increase the amount of drainage during the first 24-48 hours postoperatively. Therefore, it is not necessary to place a closed suction drain when only a total thyroidectomy is done.

Tile Drainage Density Reduces Groundwater Travel Times and Compromises Riparian Buffer Effectiveness.

PubMed

Schilling, Keith E; Wolter, Calvin F; Isenhart, Thomas M; Schultz, Richard C

2015-11-01

Strategies to reduce nitrate-nitrogen (nitrate) pollution delivered to streams often seek to increase groundwater residence time to achieve measureable results, yet the effects of tile drainage on residence time have not been well documented. In this study, we used a geographic information system groundwater travel time model to quantify the effects of artificial subsurface drainage on groundwater travel times in the 7443-ha Bear Creek watershed in north-central Iowa. Our objectives were to evaluate how mean groundwater travel times changed with increasing drainage intensity and to assess how tile drainage density reduces groundwater contributions to riparian buffers. Results indicate that mean groundwater travel times are reduced with increasing degrees of tile drainage. Mean groundwater travel times decreased from 5.6 to 1.1 yr, with drainage densities ranging from 0.005 m (7.6 mi) to 0.04 m (62 mi), respectively. Model simulations indicate that mean travel times with tile drainage are more than 150 times faster than those that existed before settlement. With intensive drainage, less than 2% of the groundwater in the basin appears to flow through a perennial stream buffer, thereby reducing the effectiveness of this practice to reduce stream nitrate loads. Hence, strategies, such as reconnecting tile drainage to buffers, are promising because they increase groundwater residence times in tile-drained watersheds. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Nitrate concentration-drainage flow (C-Q) relationship for a drained agricultural field in Eastern North Carolina Plain

NASA Astrophysics Data System (ADS)

Liu, W.; Youssef, M.; Birgand, F.; Chescheir, G. M.; Maxwell, B.; Tian, S.

2017-12-01

Agricultural drainage is a practice used to artificially enhance drainage characteristics of naturally poorly drained soils via subsurface drain tubing or open-ditch systems. Approximately 25% of the U.S. agricultural land requires improved drainage for economic crop production. However, drainage increases the transport of dissolved agricultural chemicals, particularly nitrates to downstream surface waters. Nutrient export from artificially drained agricultural landscapes has been identified as the leading source of elevated nutrient levels in major surface water bodies in the U.S. Controlled drainage has long been practiced to reduce nitrogen export from agricultural fields to downstream receiving waters. It has been hypothesized that controlled drainage reduces nitrogen losses by promoting denitrification, reducing drainage outflow from the field, and increasing plant uptake. The documented performance of the practice was widely variable as it depends on several site-specific factors. The goal of this research was to utilize high frequency measurements to investigate the effect of agricultural drainage and related management practices on nitrate fate and transport for an artificially drained agricultural field in eastern North Carolina. We deployed a field spectrophotometer to measure nitrate concentration every 45 minutes and measured drainage flow rate using a V-notch weir every 15 minutes. Furthermore, we measured groundwater level, precipitation, irrigation amount, temperature to characterize antecedent conditions for each event. Nitrate concentration-drainage flow (C-Q) relationships generated from the high frequency measurements illustrated anti-clockwise hysteresis loops and nitrate flushing mechanism in response to most precipitation and irrigation events. Statistical evaluation will be carried out for the C-Q relationships. The results of our analysis, combined with numerical modeling, will provide a better understanding of hydrological and biogeochemical processes controlling the fate and transport of nitrate in drained agricultural landscapes.

Simulation of streamflow in small drainage basins in the southern Yampa River basin, Colorado

USGS Publications Warehouse

Parker, R.S.; Norris, J.M.

1989-01-01

Coal mining operations in northwestern Colorado commonly are located in areas that have minimal available water-resource information. Drainage-basin models can be a method for extending water-resource information to include periods for which there are no records or to transfer the information to areas that have no streamflow-gaging stations. To evaluate the magnitude and variability of the components of the water balance in the small drainage basins monitored, and to provide some method for transfer of hydrologic data, the U.S. Geological Survey 's Precipitation-Runoff Modeling System was used for small drainage basins in the southern Yampa River basin to simulate daily mean streamflow using daily precipitation and air-temperature data. The study area was divided into three hydrologic regions, and in each of these regions, three drainage basins were monitored. Two of the drainage basins in each region were used to calibrate the Precipitation-Runoff Modeling System. The model was not calibrated for the third drainage basin in each region; instead, parameter values were transferred from the model that was calibrated for the two drainage basins. For all of the drainage basins except one, period of record used for calibration and verification included water years 1976-81. Simulated annual volumes of streamflow for drainage basins used in calibration compared well with observed values; individual hydrographs indicated timing differences between the observed and simulated daily mean streamflow. Observed and simulated annual average streamflows compared well for the periods of record, but values of simulated high and low streamflows were different than observed values. Similar results were obtained when calibrated model parameter values were transferred to drainage basins that were uncalibrated. (USGS)

Endoscopic transmural management of abdominal fluid collection following gastrointestinal, bariatric, and hepato-bilio-pancreatic surgery.

PubMed

Donatelli, Gianfranco; Fuks, David; Cereatti, Fabrizio; Pourcher, Guillaume; Perniceni, Thierry; Dumont, Jean-Loup; Tuszynski, Thierry; Vergeau, Bertrand Marie; Meduri, Bruno; Gayet, Brice

2018-05-01

Post-operative collections are a recognized source of morbidity after abdominal surgery. Percutaneous drainage is currently considered the standard treatment but not all collections are accessible using this method. Since the adoption of EUS, endoscopic transmural drainage has become an attractive option in the management of such complications. The present study aimed to assess the efficacy, safety and modalities of endoscopic transmural drainage in the treatment of post-operative collections. Data of all patients referred to our dedicated multidisciplinary facility from 2014 to 2017 for endoscopic drainage of symptomatic post-operative collections after failure of percutaneous drainage or when it was deemed impossible, were retrospectively analyzed. Thirty-two patients (17 males and 15 females) with a median age of 53 years old (range 31-74) were included. Collections resulted from pancreatic (n = 10), colorectal (n = 6), bariatric (n  = 5), and other type of surgery (n  = 11). Collection size was less than 5 cm in diameter in 10 (31%), between 5 and 10 cm in 17 (53%) ,and more than 10 cm in 5 (16%) patients. The median time from surgery to endoscopic drainage was 38 days (range 6-360). Eight (25%) patients underwent endoscopic guided drainage whereas 24 (75%) patients underwent EUS-guided drainage. Technical success was 100% and clinical success was achieved in 30 (93.4%) after a mean follow-up of 13.5 months (1.2-24.8). Overall complication was 12.5% including four patients who bled following trans-gastric drainage treated with conservative therapy. The present series suggests that endoscopic transmural drainage represents an interesting alternative in the treatment of post-operative collection when percutaneous drainage is not possible or fails.

Systematic review and meta-analysis of prophylactic abdominal drainage after pancreatic resection

PubMed Central

Dou, Chang-Wei; Liu, Zhi-Kui; Jia, Yu-Li; Zheng, Xin; Tu, Kang-Sheng; Yao, Ying-Min; Liu, Qing-Guang

2015-01-01

AIM: To investigate whether prophylactic abdominal drainage is necessary after pancreatic resection. METHODS: PubMed, Web of Science, and the Cochrane Library were systematically searched to obtain relevant articles published before January 2014. Publications were retrieved if they met the selection criteria. The outcomes of interest included: mortality, morbidity, postoperative pancreatic fistula (POPF), clinically relevant pancreatic fistula (CR-PF), abdominal abscess, reoperation rate, the rate of interventional radiology drainage, and the length of hospital stay. Subgroup analyses were also performed for pancreaticoduodenectomy (PD) and for distal pancreatectomy. Begg’s funnel plot and the Egger regression test were employed to assess potential publication bias. RESULTS: Nine eligible studies involving a total of 2794 patients were identified and included in this meta-analysis. Of the included patients, 1373 received prophylactic abdominal drainage. A fixed-effects model meta-analysis showed that placement of prophylactic drainage did not have beneficial effects on clinical outcomes, including morbidity, POPF, CR-PF, reoperation, interventional radiology drainage, and length of hospital stay (Ps > 0.05). In addition, prophylactic drainage did not significantly increase the risk of abdominal abscess. Overall analysis showed that omitting prophylactic abdominal drainage resulted in higher mortality after pancreatectomy (OR = 1.56; 95%CI: 0.93-2.92). Subgroup analysis of PD showed similar results to those in the overall analysis. Elimination of prophylactic abdominal drainage after PD led to a significant increase in mortality (OR = 2.39; 95%CI: 1.22-4.69; P = 0.01). CONCLUSION: Prophylactic abdominal drainage after pancreatic resection is still necessary, though more evidence from randomized controlled trials assessing prophylactic drainage after PD and distal pancreatectomy are needed. PMID:25987799

[Research on the application of "H shaped" single-tube double-lumen drainage tube in the treatment of chronic subdural hematoma].

PubMed

Sun, T; Jiang, Z Q; Zhang, S J; Lou, F Y; Zhang, T; Han, Y; Zheng, X L

2016-04-05

To explore the effect of chronic subdural hematoma external drainage surgery using self-made "H shaped" flush type single-tube double-lumen drainage tube. There were 56 cases chosen from the First Affiliated Hospital of Bengbu Medical College between Jan 2013 and Aug 2015. These patients with unilateral chronic subdural hematoma requiring surgery to place drilling external drainage catheter were randomly divided into group A (21 cases, using self-made single-tube double lumen "H shaped" drainage tube) and group B (35 cases, traditional silicone drainage tube), then the residual liquid volume after drainage on the first day, the days that the tube stay in body and the residual fluid volume after removing the tube were compared between the two groups. The residual liquid volume after drainage on the first day in group A was (23±15)ml, in group B was (31±15)ml. The days that the tube stay in body in group A was (2.7±1.0)d, in group B was (3.3±1.1)d, the two groups had statistical differences (P<0.05). The residual fluid volume after removing the tube in group A was (13±7) ml, in group B was (16±8)ml, but the data in these two groups had no significantly statistical differences (P>0.05). The effect of self-made "H shaped" flush type single-tube double-lumen drainage tube in the drainage of chronic subdural hematoma drainage is good, with short tube stay in the body; therefore, it is a safe and effective way to treat chronic subdural hematoma, and is worthy of clinical application.

Adaptation Options for Land Drainage Systems Towards Sustainable Agriculture and Environment: A Czech Perspective

NASA Astrophysics Data System (ADS)

Kulhavý, Zbyněk; Fučík, Petr

2015-04-01

In this paper, issues of agricultural drainage systems are introduced and discussed from the views of their former, current and future roles and functioning in the Czech Republic (CR). A methodologically disparate survey was done on thirty-nine model localities in CR with different intensity and state of land drainage systems, aimed at description of commonly occurred problems and possible adaptations of agricultural drainage as perceived by farmers, land owners, landscape managers or by protective water management. The survey was focused on technical state of drainage, fragmentation of land ownership within drained areas as well as on possible conflicts between agricultural and environmental interests in a landscape. Achieved results confirmed that there is obviously an increasing need to reassess some functions of prevailingly single-purpose agricultural drainage systems. Drainage intensity and detected unfavourable technical state of drainage systems as well as the risks connected with the anticipated climate change from the view of possible water scarcity claims for a complex solution. An array of adaptation options for agricultural drainage systems is presented, aiming at enhancement of water retention time and improvement of water quality. It encompasses additional flow-controlling measures on tiles or ditches, or facilities for making selected parts of a drainage system inoperable in order to retain or slow down the drainage runoff, to establish water accumulation zones and to enhance water self-cleaning processes. However, it was revealed that the question of landowner parcels fragmentation on drained land in CR would dramatically complicate design and realization of these measures. Presented solutions and findings are propounded with a respect to contemporary and future state policies and international strategies for sustainable agriculture, water management and environment.

[SIMULTANEOUS MEASUREMENT OF INTRAVENTRICULAR AND PARENCHYMAL INTRACRANIAL PRESSURE IN PATIENTS WITH SEVERE TRAUMA BRAIN INJURY].

PubMed

Oshorov, A V; Popugaev, K A; Savin, I A; Potapov, A A

2016-01-01

"Standard" assessment of ICP by measuring liquor ventricular pressure recently questioned. THE OBJECTIVE OF THE STUDY: Compare the values of ventricular and parenchymal ICP against the closure of open liquor drainage and during active CSF drainage. Examined 7 patients with TBI and intracranial hypertension syndrome, GCS 5.6 ± 1.2 points, 4.2 ± age 33 years. Compared parenchymal and ventricular ICP in three time periods: 1--during closure of ventricular drainage, 2--during of the open drains and drainage at the level of 14-15 mmHg, 3--during the period of active drainage. When comparing two methods of measurement used Bland-Altman method. 1. During time period of the closed drainage correlation coefficient was r = 0.83, p < 0.001. Bland-Altman method: the difference of the two measurements is equal to the minimum and 0.7 mm Hg, the standard deviation of 2.02 mm Hg 2. During time period of the open drainage was reduction of the correlation coefficient to r = 0.46, p < 0.01. Bland-Altman method: an increase in the difference of the two measurements to -0.84 mmHg, standard deviation 2.8 mm Hg 3. During time period of the active drainage of cerebrospinal fluid was marked difference between methods of measurement. Bland-Altman method: the difference was 8.64 mm Hg, and a standard deviation of 2.6 mm Hg. 1. During the closure of the ventricular drainage were good correlation between ventricular and parenchymal ICR 2. During open the liquor drainage correlation between the two methods of measuring the intracranial pressure is reduced. 3. During the active CSF drainage correlation between the two methods of measuring intracranial pressure can be completely lost. Under these conditions, CSF pressure is not correctly reflect the ICP 4. For an accurate and continuous measurement of intracranial pressure on the background of the active CSF drainage should be carried out simultaneous parenchymal ICP measurement.

The effective mitigation of greenhouse gas emissions from rice paddies without compromising yield by early-season drainage.

PubMed

Islam, Syed Faiz-Ul; van Groenigen, Jan Willem; Jensen, Lars Stoumann; Sander, Bjoern Ole; de Neergaard, Andreas

2018-01-15

Global rice production systems face two opposing challenges: the need to increase production to accommodate the world's growing population while simultaneously reducing greenhouse gas (GHG) emissions. Adaptations to drainage regimes are one of the most promising options for methane mitigation in rice production. Whereas several studies have focused on mid-season drainage (MD) to mitigate GHG emissions, early-season drainage (ED) varying in timing and duration has not been extensively studied. However, such ED periods could potentially be very effective since initial available C levels (and thereby the potential for methanogenesis) can be very high in paddy systems with rice straw incorporation. This study tested the effectiveness of seven drainage regimes varying in their timing and duration (combinations of ED and MD) to mitigate CH 4 and N 2 O emissions in a 101-day growth chamber experiment. Emissions were considerably reduced by early-season drainage compared to both conventional continuous flooding (CF) and the MD drainage regime. The results suggest that ED+MD drainage may have the potential to reduce CH 4 emissions and yield-scaled GWP by 85-90% compared to CF and by 75-77% compared to MD only. A combination of (short or long) ED drainage and one MD drainage episode was found to be the most effective in mitigating CH 4 emissions without negatively affecting yield. In particular, compared with CF, the long early-season drainage treatments LE+SM and LE+LM significantly (p<0.01) decreased yield-scaled GWP by 85% and 87% respectively. This was associated with carbon being stabilised early in the season, thereby reducing available C for methanogenesis. Overall N 2 O emissions were small and not significantly affected by ED. It is concluded that ED+MD drainage might be an effective low-tech option for small-scale farmers to reduce GHG emissions and save water while maintaining yield. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Drainage and tillage practices in the winter fallow season mitigate CH4 and N2O emissions from a double-rice field in China

NASA Astrophysics Data System (ADS)

Zhang, Guangbin; Yu, Haiyang; Fan, Xianfang; Yang, Yuting; Ma, Jing; Xu, Hua

2016-09-01

Traditional land management (no tillage, no drainage, NTND) during the winter fallow season results in substantial CH4 and N2O emissions from double-rice fields in China. A field experiment was conducted to investigate the effects of drainage and tillage during the winter fallow season on CH4 and N2O emissions and to develop mitigation options. The experiment had four treatments: NTND, NTD (drainage but no tillage), TND (tillage but no drainage), and TD (both drainage and tillage). The study was conducted from 2010 to 2014 in a Chinese double-rice field. During winter, total precipitation and mean daily temperature significantly affected CH4 emission. Compared to NTND, drainage and tillage decreased annual CH4 emissions in early- and late-rice seasons by 54 and 33 kg CH4 ha-1 yr-1, respectively. Drainage and tillage increased N2O emissions in the winter fallow season but reduced it in early- and late-rice seasons, resulting in no annual change in N2O emission. Global warming potentials of CH4 and N2O emissions were decreased by 1.49 and 0.92 t CO2 eq. ha-1 yr-1, respectively, and were reduced more by combining drainage with tillage, providing a mitigation potential of 1.96 t CO2 eq. ha-1 yr-1. A low total C content and high C / N ratio in rice residues showed that tillage in the winter fallow season reduced CH4 and N2O emissions in both early- and late-rice seasons. Drainage and tillage significantly decreased the abundance of methanogens in paddy soil, and this may explain the decrease of CH4 emissions. Greenhouse gas intensity was significantly decreased by drainage and tillage separately, and the reduction was greater by combining drainage with tillage, resulting in a reduction of 0.17 t CO2 eq. t-1. The results indicate that drainage combined with tillage during the winter fallow season is an effective strategy for mitigating greenhouse gas releases from double-rice fields.

Does the usage of digital chest drainage systems reduce pleural inflammation and volume of pleural effusion following oncologic pulmonary resection?-A prospective randomized trial.

PubMed

De Waele, Michèle; Agzarian, John; Hanna, Waël C; Schieman, Colin; Finley, Christian J; Macri, Joseph; Schneider, Laura; Schnurr, Terri; Farrokhyar, Forough; Radford, Katherine; Nair, Parameswaran; Shargall, Yaron

2017-06-01

Prolonged air leak and high-volume pleural drainage are the most common causes for delays in chest tube removal following lung resection. While digital pleural drainage systems have been successfully used in the management of post-operative air leak, their effect on pleural drainage and inflammation has not been studied before. We hypothesized that digital drainage systems (as compared to traditional analog continuous suction), using intermittent balanced suction, are associated with decreased pleural inflammation and postoperative drainage volumes, thus leading to earlier chest tube removal. One hundred and three [103] patients were enrolled and randomized to either analog (n=50) or digital (n=53) drainage systems following oncologic lung resection. Chest tubes were removed according to standardized, pre-defined protocol. Inflammatory mediators [interleukin-1B (IL-1B), 6, 8, tumour necrosis factor-alpha (TNF-α)] in pleural fluid and serum were measured and analysed. The primary outcome of interest was the difference in total volume of postoperative fluid drainage. Secondary outcome measures included duration of chest tube in-situ, prolonged air-leak incidence, length of hospital stay and the correlation between pleural effusion formation, degree of inflammation and type of drainage system used. There was no significant difference in total amount of fluid drained or length of hospital stay between the two groups. A trend for shorter chest tube duration was found with the digital system when compared to the analog (P=0.055). Comparison of inflammatory mediator levels revealed no significant differences between digital and analog drainage systems. The incidence of prolonged post-operative air leak was significantly higher when using the analog system (9 versus 2 patients; P=0.025). Lobectomy was associated with longer chest tube duration (P=0.001) and increased fluid drainage when compared to sub-lobar resection (P<0.001), regardless of drainage system. Use of post-lung resection digital drainage does not appear to decrease pleural fluid formation, but is associated with decreased prolonged air leaks. Total pleural effusion volumes did not differ with the type of drainage system used. These findings support previously established benefits of the digital system in decreasing prolonged air leaks, but the advantages do not appear to extend to decreased pleural fluid formation.

A case study examining the efficacy of drainage setbacks for limiting effects to wetlands in the Prairie Pothole Region, USA

USGS Publications Warehouse

Tangen, Brian; Finocchiaro, Raymond

2017-01-01

The enhancement of agricultural lands through the use of artificial drainage systems is a common practice throughout the United States, and recently the use of this practice has expanded in the Prairie Pothole Region. Many wetlands are afforded protection from the direct effects of drainage through regulation or legal agreements, and drainage setback distances typically are used to provide a buffer between wetlands and drainage systems. A field study was initiated to assess the potential for subsurface drainage to affect wetland surface-water characteristics through a reduction in precipitation runoff, and to examine the efficacy of current U.S. Department of Agriculture drainage setback distances for limiting these effects. Surface-water levels, along with primary components of the catchment water balance, were monitored over 3 y at four seasonal wetland catchments situated in a high-relief terrain (7–11% slopes). During the second year of the study, subsurface drainage systems were installed in two of the catchments using drainage setbacks, and the drainage discharge volumes were monitored. A catchment water-balance model was used to assess the potential effect of subsurface drainage on wetland hydrology and to assess the efficacy of drainage setbacks for mitigating these effects. Results suggest that overland precipitation runoff can be an important component of the seasonal water balance of Prairie Pothole Region wetlands, accounting on average for 34% (19–49%) or 45% (39–49%) of the annual (includes snowmelt runoff) or seasonal (does not include snowmelt) input volumes, respectively. Seasonal (2014–2015) discharge volumes from the localized drainage systems averaged 81 m3 (31–199 m3), and were small when compared with average combined inputs of 3,745 m3 (1,214–6,993 m3) from snowmelt runoff, direct precipitation, and precipitation runoff. Model simulations of reduced precipitation runoff volumes as a result of subsurface drainage systems showed that ponded wetland surface areas were reduced by an average of 590 m2 (141–1,787 m2), or 24% (3–46%), when no setbacks were used (drainage systems located directly adjacent to wetland). Likewise, wetland surface areas were reduced by an average of 141 m2 (23–464 m2), or 7% (1–28%), when drainage setbacks (buffer) were used. In totality, the field data and model simulations suggest that the drainage setbacks should reduce, but not eliminate, impacts to the water balance of the four wetlands monitored in this study that were located in a high-relief terrain. However, further study is required to assess the validity of these conclusions outside of the limited parameters (e.g., terrain, weather, soils) of this study and to examine potential ecological effects of altered wetland hydrology.

Pre-operative biliary drainage for obstructive jaundice

PubMed Central

Fang, Yuan; Gurusamy, Kurinchi Selvan; Wang, Qin; Davidson, Brian R; Lin, He; Xie, Xiaodong; Wang, Chaohua

2014-01-01

Background Patients with obstructive jaundice have various pathophysiological changes that affect the liver, kidney, heart, and the immune system. There is considerable controversy as to whether temporary relief of biliary obstruction prior to major definitive surgery (pre-operative biliary drainage) is of any benefit to the patient. Objectives To assess the benefits and harms of pre-operative biliary drainage versus no pre-operative biliary drainage (direct surgery) in patients with obstructive jaundice (irrespective of a benign or malignant cause). Search methods We searched the Cochrane Hepato-Biliary Group Controlled Trials Register, Cochrane Central Register of Controlled Clinical Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded until February 2012. Selection criteria We included all randomised clinical trials comparing biliary drainage followed by surgery versus direct surgery, performed for obstructive jaundice, irrespective of the sample size, language, and publication status. Data collection and analysis Two authors independently assessed trials for inclusion and extracted data. We calculated the risk ratio (RR), rate ratio (RaR), or mean difference (MD) with 95% confidence intervals (CI) based on the available patient analyses. We assessed the risk of bias (systematic overestimation of benefit or systematic underestimation of harm) with components of the Cochrane risk of bias tool. We assessed the risk of play of chance (random errors) with trial sequential analysis. Main results We included six trials with 520 patients comparing pre-operative biliary drainage (265 patients) versus no pre-operative biliary drainage (255 patients). Four trials used percutaneous transhepatic biliary drainage and two trials used endoscopic sphincterotomy and stenting as the method of pre-operative biliary drainage. The risk of bias was high in all trials. The proportion of patients with malignant obstruction varied between 60% and 100%. There was no significant difference in mortality (40/265, weighted proportion 14.9%) in the pre-operative biliary drainage group versus the direct surgery group (34/255, 13.3%) (RR 1.12; 95% CI 0.73 to 1.71; P = 0.60). The overall serious morbidity was higher in the pre-operative biliary drainage group (60 per 100 patients in the pre-operative biliary drainage group versus 26 per 100 patients in the direct surgery group) (RaR 1.66; 95% CI 1.28 to 2.16; P = 0.0002). The proportion of patients who developed serious morbidity was significantly higher in the pre-operative biliary drainage group (75/102, 73.5%) in the pre-operative biliary drainage group versus the direct surgery group (37/94, 37.4%) (P < 0.001). Quality of life was not reported in any of the trials. There was no significant difference in the length of hospital stay (2 trials, 271 patients; MD 4.87 days; 95% CI −1.28 to 11.02; P = 0.12) between the two groups. Trial sequential analysis showed that for mortality only a small proportion of the required information size had been obtained. There seemed to be no significant differences in the subgroup of trials assessing percutaneous compared to endoscopic drainage. Authors’ conclusions There is currently not sufficient evidence to support or refute routine pre-operative biliary drainage for patients with obstructive jaundice. Pre-operative biliary drainage may increase the rate of serious adverse events. So, the safety of routine pre-operative biliary drainage has not been established. Pre-operative biliary drainage should not be used in patients undergoing surgery for obstructive jaundice outside randomised clinical trials. PMID:22972086

North Branch Potomac River Basin mine drainage study. Phase I. Baseline survey. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1977-05-06

This baseline survey of the mine drainage and related water resources of the North Branch Potomac River Basin established the extent, magnitude, and effects of coal mine drainage pollution. Alternative abatement and reclamation solutions were considered. The study included an analysis of socioeconomic and environmental conditions as related to the mine drainage problem.

14 CFR 29.653 - Pressure venting and drainage of rotor blades.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Pressure venting and drainage of rotor... § 29.653 Pressure venting and drainage of rotor blades. (a) For each rotor blade— (1) There must be means for venting the internal pressure of the blade; (2) Drainage holes must be provided for the blade...

14 CFR 27.653 - Pressure venting and drainage of rotor blades.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Pressure venting and drainage of rotor....653 Pressure venting and drainage of rotor blades. (a) For each rotor blade— (1) There must be means for venting the internal pressure of the blade; (2) Drainage holes must be provided for the blade; and...

40 CFR 112.8 - Spill Prevention, Control, and Countermeasure Plan requirements for onshore facilities (excluding...

Code of Federal Regulations, 2010 CFR

2010-07-01

... drainage from diked storage areas by valves to prevent a discharge into the drainage system or facility... facility drainage systems from undiked areas with a potential for a discharge (such as where piping is... pumps. Whatever techniques you use, you must engineer facility drainage systems to prevent a discharge...

A GPR agricultural drainage pipe detection case study: Effects of antenna orientation relative to drainage pipe directional trend

USDA-ARS?s Scientific Manuscript database

Locating buried drainage pipes is a difficult task confronting farmers and land improvement contractors, especially in the Midwest U.S., where the removal of excess soil water using subsurface drainage systems is a common farm practice. Enhancing the efficiency of soil water removal on land containi...

[Effect of epidural drainage and dural tenting suture on epidural hematoma in 145 cases of craniotomy].

PubMed

Zhao, Jie; Liu, Zhixiong; Liu, Yunsheng; Liu, Jinfang; Fang, Wenhua; Rao, Yihua; Yang, Liang; Yuan, Xianrui

2010-03-01

To evaluate the efficacy of dural tenting suture and epidural drainage in craniotomy. In 145 cases of intracranial lesions, dural tenting suture and epidural drainage were performed to prevent epidural hematoma. Postoperative computed tomography (CT) showed no epidural hematoma required surgery in both groups. Both dural tenting suture and epidural drainage are effective in preventing epidural hematoma. Hemostasis is the key step. Dural tenting suture without epidural drainage relieves psychological stress. It decreases the risk of intracranial infection and avoids some unusual complications.

Stormwater Drainage Wells

EPA Pesticide Factsheets

Provides information for identifying stormwater drainage wells, learn how to comply with regulations for storm water drainage wells, and how to reduce the threat to ground water from stormwater injection wells.

CT Fluoroscopy-Guided Transsacral Intervertebral Drainage for Pyogenic Spondylodiscitis at the Lumbosacral Junction

DOE Office of Scientific and Technical Information (OSTI.GOV)

Matsumoto, Tomohiro, E-mail: t-matsu@tokai-u.jp; Mine, Takahiko, E-mail: mine@tsc.u-tokai.ac.jp; Hayashi, Toshihiko, E-mail: t.hayashi@tokai.ac.jp

PurposeTo retrospectively describe the feasibility and efficacy of CT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction with a combination of two interventional radiological techniques—CT-guided bone biopsy and abscess drainage.Materials and methodsThree patients with pyogenic spondylodiscitis at the lumbosacral junction were enrolled in this study between July 2013 and December 2015. The procedure of CT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction was as follows: the sacrum at S1 pedicle was penetrated with an 11-gauge (G) bone biopsy needle to create a path for an 8-French (F) pigtail drainage catheter. The bone biopsymore » needle was withdrawn, and an 18-G needle was inserted into the intervertebral space of the lumbosacral junction. Then, a 0.038-inch guidewire was inserted into the intervertebral space. Finally, the 8-F pigtail drainage catheter was inserted over the guidewire until its tip reached the intervertebral space. All patients received six-week antibiotics treatment.ResultsSuccessful placement of the drainage catheter was achieved for each patient without procedural complications. The duration of drainage was 17–33 days. For two patients, specific organisms were isolated; thus, definitive medical therapy was possible. All patients responded well to the treatment.ConclusionsCT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction is feasible and can be effective with a combination of two interventional techniques—CT fluoroscopy-guided bone biopsy and abscess drainage.« less

Peritoneal Drainage Versus Pleural Drainage After Pediatric Cardiac Surgery.

PubMed

Gowda, Keshava Murty Narayana; Zidan, Marwan; Walters, Henry L; Delius, Ralph E; Mastropietro, Christopher W

2014-07-01

We aimed to determine whether infants undergoing cardiac surgery would more efficiently attain negative fluid balance postoperatively with passive peritoneal drainage as compared to traditional pleural drainage. A prospective, randomized study including children undergoing repair of tetralogy of Fallot (TOF) or atrioventricular septal defect (AVSD) was completed between September 2011 and June 2013. Patients were randomized to intraoperative placement of peritoneal catheter or right pleural tube in addition to the requisite mediastinal tube. The primary outcome measure was fluid balance at 48 hours postoperatively. Variables were compared using t tests or Fisher exact tests as appropriate. A total of 24 patients were enrolled (14 TOF and 10 AVSD), with 12 patients in each study group. Mean fluid balance at 48 hours was not significantly different between study groups, -41 ± 53 mL/kg in patients with periteonal drainage and -9 ± 40 mL/kg in patients with pleural drainage (P = .10). At 72 hours however, postoperative fluid balance was significantly more negative with peritoneal drainage, -52.4 ± 71.6 versus +2.0 ± 50.6 (P = .04). On subset analysis, fluid balance at 48 hours in patients with AVSD was more negative with peritoneal drainage as compared to pleural, -82 ± 51 versus -1 ± 38 mL/kg, respectively (P = .02). Fluid balance at 48 hours in patients with TOF was not significantly different between study groups. Passive peritoneal drainage may more effectively facilitate negative fluid balance when compared to pleural drainage after pediatric cardiac surgery, although this benefit is not likely universal but rather dependent on the patient's underlying physiology. © The Author(s) 2014.

Comparison of Natural Drainage Group and Negative Drainage Groups after Total Thyroidectomy: Prospective Randomized Controlled Study

PubMed Central

Woo, Seung Hoon; Kim, Jin Pyeong; Park, Jung Je; Shim, Hyun Seok; Lee, Sang Ha; Lee, Ho Joong; Won, Seong Jun; Son, Hee Young; Kim, Rock Bum

2013-01-01

Purpose The aim of this study was to compare a negative pressure drain with a natural drain in order to determine whether a negative pressure drainage tube causes an increase in the drainage volume. Materials and Methods Sixty-two patients who underwent total thyroidectomy for papillary thyroid carcinoma (PTC) were enrolled in the study between March 2010 and August 2010 at Gyeongsang National University Hospital. The patients were prospectively and randomly assigned to two groups, a negative pressure drainage group (n=32) and natural drainage group (n=30). Every 3 hours, the volume of drainage was checked in the two groups until the tube was removed. Results The amount of drainage during the first 24 hours postoperatively was 41.68±3.93 mL in the negative drain group and 25.3±2.68 mL in the natural drain group (p<0.001). After 24 additional hours, the negative drain group was 35.19±4.26 mL and natural drain groups 21.53±2.90 mL (p<0.001). However, the drainage at postoperative day 3 was not statistically different between the two groups. In addition, the vocal cord palsy and temporary and permanent hypocalcemia were not different between the two groups. Conclusion These results indicate that a negative pressure drain may increase the amount of drainage during the first 24-48 hours postoperatively. Therefore, it is not necessary to place a closed suction drain when only a total thyroidectomy is done. PMID:23225820

Environmental controls on drainage behavior of an ephemeral stream

USGS Publications Warehouse

Blasch, K.W.; Ferré, T.P.A.; Vrugt, J.A.

2010-01-01

Streambed drainage was measured at the cessation of 26 ephemeral streamflow events in Rillito Creek, Tucson, Arizona from August 2000 to June 2002 using buried time domain reflectometry (TDR) probes. An unusual drainage response was identified, which was characterized by sharp drainage from saturation to near field capacity at each depth with an increased delay between depths. We simulated the drainage response using a variably saturated numerical flow model representing a two-layer system with a high permeability layer overlying a lower permeability layer. Both the observed data and the numerical simulation show a strong correlation between the drainage velocity and the temperature of the stream water. A linear combination of temperature and the no-flow period preceding flow explained about 90% of the measured variations in drainage velocity. Evaluation of this correlative relationship with the one-dimensional numerical flow model showed that the observed temperature fluctuations could not reproduce the magnitude of variation in the observed drainage velocity. Instead, the model results indicated that flow duration exerts the most control on drainage velocity, with the drainage velocity decreasing nonlinearly with increasing flow duration. These findings suggest flow duration is a primary control of water availability for plant uptake in near surface sediments of an ephemeral stream, an important finding for estimating the ecological risk of natural or engineered changes to streamflow patterns. Correlative analyses of soil moisture data, although easy and widely used, can result in erroneous conclusions of hydrologic cause—effect relationships, and demonstrating the need for joint physically-based numerical modeling and data synthesis for hypothesis testing to support quantitative risk analysis.

Omitting chest tube drainage after thoracoscopic major lung resection.

PubMed

Ueda, Kazuhiro; Hayashi, Masataro; Tanaka, Toshiki; Hamano, Kimikazu

2013-08-01

Absorbable mesh and fibrin glue applied to prevent alveolar air leakage contribute to reducing the length of chest tube drainage, length of hospitalization and the rate of pulmonary complications. This study investigated the feasibility of omitting chest tube drainage in selected patients undergoing thoracoscopic major lung resection. Intraoperative air leakages were sealed with fibrin glue and absorbable mesh in patients undergoing thoracoscopic major lung resection. The chest tube was removed just after tracheal extubation if no air leakages were detected in a suction-induced air leakage test, which is an original technique to confirm pneumostasis. Patients with bleeding tendency or extensive thoracic adhesions were excluded. Chest tube drainage was omitted in 29 (58%) of 50 eligible patients and was used in 21 (42%) on the basis of suction-induced air leakage test results. Male gender and compromised pulmonary function were significantly associated with the failure to omit chest tube drainage (both, P < 0.05). Regardless of omitting the chest tube drainage, there were no adverse events during hospitalization, such as subcutaneous emphysema, pneumothorax, pleural effusion or haemothorax, requiring subsequent drainage. Furthermore, there was no prolonged air leakage in any patients: The mean length of chest tube drainage was only 0.9 days. Omitting the chest tube drainage was associated with reduced pain on the day of the operation (P = 0.046). The refined strategy for pneumostasis allowed the omission of chest tube drainage in the majority of patients undergoing thoracoscopic major lung resection without increasing the risk of adverse events, which may contribute to a fast-track surgery.

Regulation of drainage canals on the groundwater level in a typical coastal wetlands

NASA Astrophysics Data System (ADS)

Liu, Qiang; Mou, Xia; Cui, Baoshan; Ping, Fan

2017-12-01

Activities related to reclamation alter wetland hydrological regimes and inevitably cause changes to groundwater level, which can result in the ecological degradation of coastal wetlands. Decreasing the groundwater level by the construction of drainage canals is an approach that has been widely used to control levels of root zone soil salinity as well as to protect freshwater wetlands or to expand agricultural land area in coastal wetlands. In this study, we assessed the influences of different drainage canal designs on the groundwater level using the Visual MODFLOW (VMOD) interface. We also provided an optimized drainage canal design suitable for the Yellow River Delta (YRD). Results showed that: (i) the groundwater level decreased in areas close to drainage canals, while only negligible effects were found on the groundwater level in areas with no drainage canals; (ii) the influence of drainage canals on the groundwater level decreased as distance increased; and (iii) a drainage canal network design of a depth of 5 m, with canal configuration of north-south direction and canal spacing of 1000 m was more effective in reducing the groundwater level in the study area. Our findings indicated that changes in groundwater level by the construction of drainage canals could help in our understanding of how groundwater influences freshwater wetlands and also aid in maintaining the integrity of coastal wetlands.

Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration.

PubMed

Xu, Yakun; Dong, Chengyong; Ma, Kexin; Long, Fei; Jiang, Keqiu; Shao, Ping; Liang, Rui; Wang, Liming

2016-09-01

Several studies have shown the safety and feasibility of laparoscopic common bile duct exploration (LCBDE) as a minimally invasive treatment options for choledocholithiasis. Use of T-tube or biliary stent drainage tube placement after laparoscopic choledochotomy for common bile duct (CBD) stones is still under debate. This study tried to confirm the safety of spontaneously removable biliary stent in the distal CBD after LCBDE to allow choledochus primary closure. A total of 47 patients with choledocholithiasis underwent LCBDE with primary closure and internal drainage using a spontaneously removable biliary stent drainage tube (stent group, N = 22) or T-tube (T-tube group, N = 25). Operative parameters and outcomes are compared. Surgical time, intraoperative blood loss, length of hospital stay, drainage tube removal time, postoperative intestinal function recovery, and cost of treatment were all significantly lower in the stent group as compared to that in the T-tube group (P < 0.05 for all). Otherwise, Bile leakage between the two groups had no significant difference (P > 0.05). The biliary stent drainage tube was excreted spontaneously 4 to 14 days after surgery with the exception of one case, where endoscopic removal of biliary tube was required due to failure of its spontaneous discharge. LCBDE with primary closure and use of spontaneously removable biliary stent drainage showed advantage over the use of traditional T-tube drainage in patients with choledocholithiasis.

Influence of drainage and nutrient-solution nitrogen and potassium concentrations on the agronomic behavior of bell-pepper plants cultivated in a substrate.

PubMed

Wamser, Anderson Fernando; Cecilio Filho, Arthur Bernardes; Nowaki, Rodrigo Hiyoshi Dalmazzo; Mendoza-Cortez, Juan Waldir; Urrestarazu, Miguel

2017-01-01

The interactive effects of N (6, 9, 12 and 15 mmol L-1) and K (3, 5, 7, and 9 mmol L-1) concentrations in nutrient solutions were evaluated on bell pepper grown in a coconut-coir substrate and fertilized without drainage. An additional treatment with drainage was evaluated using N and K concentrations of 12 and 7 mmol L-1, respectively. The hybrid Eppo cultivar of yellow bell pepper was cultivated for 252 days beginning 9 November 2012. Electrical conductivity (EC), the N and K concentrations in the substrate solution, marketable fruit yield, total dry weight and macronutrient concentrations in shoots were periodically evaluated. Fruit production was lower in the system without drainage, regardless of the N and K concentrations, compared to the recommended 10-20% drainage of the volume of nutrient solution applied. Higher K concentrations in the nutrient solution did not affect plant production in the system without drainage for the substrate with an initial K concentration of 331.3 mg L-1. Fruit yield was higher without drainage at a nutrient-solution N concentration of 10.7 mmol L-1. The upper EC limit of the substrate solution in the system without drainage was exceeded 181 days after planting. Either lower nutrient concentrations in the nutrient solution or a drainage system could thus control the EC in the substrate solution.

Urine drainage bags

MedlinePlus

... this page: //medlineplus.gov/ency/patientinstructions/000142.htm Urine drainage bags To use the sharing features on this page, please enable JavaScript. Urine drainage bags collect urine. Your bag will attach ...

46 CFR 171.135 - Weather deck drainage on a vessel of 100 gross tons or more.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Weather deck drainage on a vessel of 100 gross tons or...) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.135 Weather deck drainage on a vessel of 100 gross tons or more. The weather deck must have...

46 CFR 171.135 - Weather deck drainage on a vessel of 100 gross tons or more.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Weather deck drainage on a vessel of 100 gross tons or...) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.135 Weather deck drainage on a vessel of 100 gross tons or more. The weather deck must have...

46 CFR 171.135 - Weather deck drainage on a vessel of 100 gross tons or more.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Weather deck drainage on a vessel of 100 gross tons or...) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.135 Weather deck drainage on a vessel of 100 gross tons or more. The weather deck must have...

46 CFR 171.135 - Weather deck drainage on a vessel of 100 gross tons or more.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Weather deck drainage on a vessel of 100 gross tons or...) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.135 Weather deck drainage on a vessel of 100 gross tons or more. The weather deck must have...

46 CFR 171.135 - Weather deck drainage on a vessel of 100 gross tons or more.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Weather deck drainage on a vessel of 100 gross tons or...) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.135 Weather deck drainage on a vessel of 100 gross tons or more. The weather deck must have...

Endoscopic Gallbladder Drainage for Acute Cholecystitis

PubMed Central

Widmer, Jessica; Alvarez, Paloma; Sharaiha, Reem Z.; Gossain, Sonia; Kedia, Prashant; Sarkaria, Savreet; Sethi, Amrita; Turner, Brian G.; Millman, Jennifer; Lieberman, Michael; Nandakumar, Govind; Umrania, Hiren; Gaidhane, Monica

2015-01-01

Background/Aims Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have been proposed as safe and effective modalities for gallbladder drainage. Methods Data from patients with cholecystitis were prospectively collected from August 2004 to May 2013 from two United States academic university hospitals and analyzed retrospectively. The following treatment algorithm was adopted. Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and cystic duct stenting was initially attempted. If deemed feasible by the endoscopist, EUS-GBS was then pursued. Results During the study period, 139 patients underwent endoscopic gallbladder drainage. Among these, drainage was performed in 94 and 45 cases for benign and malignant indications, respectively. Successful endoscopic gallbladder drainage was defined as decompression of the gallbladder without incidence of cholecystitis, and was achieved with ERCP and cystic duct stenting in 117 of 128 cases (91%). Successful endoscopic gallbladder drainage was also achieved with EUS-guided gallbladder drainage using transmural stent placement in 11 of 11 cases (100%). Complications occurred in 11 cases (8%). Conclusions Endoscopic gallbladder drainage techniques are safe and efficacious methods for gallbladder decompression in non-surgical patients with comorbidities. PMID:26473125

Thoracoscopic Surgery for Pneumothorax Following Outpatient Drainage Therapy.

PubMed

Sano, Atsushi; Yotsumoto, Takuma

2017-10-20

We investigated the outcomes of surgery for pneumothorax following outpatient drainage therapy. We reviewed the records of 34 patients who underwent operations following outpatient drainage therapy with the Thoracic Vent at our hospital between December 2012 and September 2016. Indications for outpatient drainage therapy were pneumothorax without circulatory or respiratory failure and pleural effusion. Indications for surgical treatment were persistent air leakage and patient preference for surgery to prevent or reduce the incidence of recurrent pneumothorax. Intraoperatively, 9 of 34 cases showed loose adhesions around the Thoracic Vent, all of which were dissected bluntly. The preoperative drainage duration ranged from 5 to 13 days in patients with adhesions and from 3 to 19 days in those without adhesions, indicating no significant difference. The duration of preoperative drainage did not affect the incidence of adhesions. The operative duration ranged from 30 to 96 minutes in patients with adhesions and from 31 to 139 minutes in those without adhesions, also indicating no significant difference. Outpatient drainage therapy with the Thoracic Vent was useful for spontaneous pneumothorax patients who underwent surgery, and drainage for less than 3 weeks did not affect intraoperative or postoperative outcomes.

Preoperative biliary drainage in hilar cholangiocarcinoma: When and how?

PubMed Central

Paik, Woo Hyun; Loganathan, Nerenthran; Hwang, Jin-Hyeok

2014-01-01

Hilar cholangiocarcinoma is a tumor of the extrahepatic bile duct involving the left main hepatic duct, the right main hepatic duct, or their confluence. Biliary drainage in hilar cholangiocarcinoma is sometimes clinically challenging because of complexities associated with the level of biliary obstruction. This may result in some adverse events, especially acute cholangitis. Hence the decision on the indication and methods of biliary drainage in patients with hilar cholangiocarcinoma should be carefully evaluated. This review focuses on the optimal method and duration of preoperative biliary drainage (PBD) in resectable hilar cholangiocarcinoma. Under certain special indications such as right lobectomy for Bismuth type IIIA or IV hilar cholangiocarcinoma, or preoperative portal vein embolization with chemoradiation therapy, PBD should be strongly recommended. Generally, selective biliary drainage is enough before surgery, however, in the cases of development of cholangitis after unilateral drainage or slow resolving hyperbilirubinemia, total biliary drainage may be considered. Although the optimal preoperative bilirubin level is still a matter of debate, the shortest possible duration of PBD is recommended. Endoscopic nasobiliary drainage seems to be the most appropriate method of PBD in terms of minimizing the risks of tract seeding and inflammatory reactions. PMID:24634710

Transurethral Drainage of Prostatic Abscess: Points of Technique

PubMed Central

El-Shazly, Mohamed; El- Enzy, Nawaf; El-Enzy, Khaled; Yordanov, Encho; Hathout, Badawy; Allam, Adel

2012-01-01

Background The incidence of prostatic abscess (PA) has markedly declined with the widespread use of antibiotics and the decreasing incidence of urethral gonococcal infections. Objectives To evaluate different treatment methods for prostatic abscess and to describe technical points that will improve the outcome of transurethral (TUR) drainage of prostatic abscess. Patients and Methods We performed a retrospective study of a series of 11 patients diagnosed with prostatic abscess, who were admitted and treated in Farwaniya Hospital, Kuwait, between February 2008 and November 2010. Drainage was indicated when antibiotic therapy did not cause clinical improvement and after prostatic abscess was confirmed by TRUS (Transrectal ultrasonography) and/or CT computed Tomographyscan. TUR drainage was indicated in 7 cases, ultrasound-guided transrectal drainage was performed in 2 cases, and ultrasound-guided perineal drainage was performed in 2 cases. Results All patients that underwent TUR-drainage had successful outcomes, without the need of secondary treatment or further surgery. Conclusions TUR drainage of a prostatic abscess increases the likelihood of a successful outcome and lowers the incidence of treatment failure or repeated surgery. Less invasive treatment, with perineal or transrectal aspiration, may be preferred as a primary treatment in relatively young patients with localized abscess cavities. PMID:23573466

Evaluation of drainage-area ratio method used to estimate streamflow for the Red River of the North Basin, North Dakota and Minnesota

USGS Publications Warehouse

Emerson, Douglas G.; Vecchia, Aldo V.; Dahl, Ann L.

2005-01-01

The drainage-area ratio method commonly is used to estimate streamflow for sites where no streamflow data were collected. To evaluate the validity of the drainage-area ratio method and to determine if an improved method could be developed to estimate streamflow, a multiple-regression technique was used to determine if drainage area, main channel slope, and precipitation were significant variables for estimating streamflow in the Red River of the North Basin. A separate regression analysis was performed for streamflow for each of three seasons-- winter, spring, and summer. Drainage area and summer precipitation were the most significant variables. However, the regression equations generally overestimated streamflows for North Dakota stations and underestimated streamflows for Minnesota stations. To correct the bias in the residuals for the two groups of stations, indicator variables were included to allow both the intercept and the coefficient for the logarithm of drainage area to depend on the group. Drainage area was the only significant variable in the revised regression equations. The exponents for the drainage-area ratio were 0.85 for the winter season, 0.91 for the spring season, and 1.02 for the summer season.

Evaluation of Life Cycle Assessment (LCA) for Roadway Drainage Systems.

PubMed

Byrne, Diana M; Grabowski, Marta K; Benitez, Amy C B; Schmidt, Arthur R; Guest, Jeremy S

2017-08-15

Roadway drainage design has traditionally focused on cost-effectively managing water quantity; however, runoff carries pollutants, posing risks to the local environment and public health. Additionally, construction and maintenance incur costs and contribute to global environmental impacts. While life cycle assessment (LCA) can potentially capture local and global environmental impacts of roadway drainage and other stormwater systems, LCA methodology must be evaluated because stormwater systems differ from wastewater and drinking water systems to which LCA is more frequently applied. To this end, this research developed a comprehensive model linking roadway drainage design parameters to LCA and life cycle costing (LCC) under uncertainty. This framework was applied to 10 highway drainage projects to evaluate LCA methodological choices by characterizing environmental and economic impacts of drainage projects and individual components (basin, bioswale, culvert, grass swale, storm sewer, and pipe underdrain). The relative impacts of drainage components varied based on functional unit choice. LCA inventory cutoff criteria evaluation showed the potential for cost-based criteria, which performed better than mass-based criteria. Finally, the local aquatic benefits of grass swales and bioswales offset global environmental impacts for four impact categories, highlighting the need to explicitly consider local impacts (i.e., direct emissions) when evaluating drainage technologies.

Percutaneous biliary drainage for high obstruction.

PubMed

Barth, K H

1990-11-01

PBD is the preferred route of palliative drainage for patients with high biliary obstruction. The frequency of bifurcational obstruction in this setting requires familiarity with drainages from both the right and the left transhepatic approach. The preferred right transhepatic approach is fluoroscopically guided; on the left, ultrasonography is the guidance of choice. Large caliber drainage catheters are required, and dilatation of the necessary transhepatic tracts is extremely painful unless adequate inhalation anesthesia or, preferably, epidural anesthesia, is provided. Long-term biliary drainage requires a choice between internal-external external drainage catheters and endoprostheses that is made by considering the patient's life expectancy and his or her adjustment to a stent extending to the outside. The feasibility of corrective procedures if an internal-external drainage catheter or an endoprosthesis becomes blocked needs to be considered before definitive placement. The interventional radiologist becomes intimately involved in the follow-up care of patients and frequently has to direct appropriate patient evaluation. Familiarity with antibiotic regimens is important.

Lymphatic Drainage to the Paravertebral Lymph Nodes in Breast Cancer Patients.

PubMed

Roman, Mirela Mariana; Barbieux, Romain; Leduc, Olivier; Bourgeois, Pierre

2017-03-01

Aberrant, altered, or blocked lymphatic drainage may contribute to the high recurrence rate of breast cancer. Thus, an efficient evaluation of lymphatic drainage from the breasts and/or upper limbs is essential in the management of lymphedema and in ipsilateral primary or contralateral recurrent breast cancer patients. There are very few reports of lymphatic drainage to the paravertebral lymph nodes in patients with a lymphedema after breast cancer surgery with or without reconstruction. We used lymphoscintigraphy to examine lymphatic drainage in a case series. We observed five patients with upper limb and/or mammary lymphedema (after breast cancer surgery with or without reconstruction) who had lymphatic drainage from the upper limb or breast to the posterior intercostal and/or paravertebral lymph nodes. One patient also presented with nodal relapse at the time of our investigation. The cases from this study demonstrate the unusual, and mostly unrecognized, lymphatic drainage pathways toward lymph nodes, which may be at risk for further evolution of breast cancer.

Drainage Behavior in Soap Films Above and Below the CMC

NASA Astrophysics Data System (ADS)

Berg, S.; Adelizzi, E. A.; Troian, S. M.

2003-11-01

We investigate through laser interferometry the drainage behavior of Newtonian soap films initially entrained on a fiber frame at small and constant capillary number. The initial film thickness is sufficiently small that gravitational drainage is presumed minimal. The drainage of rigid soap films by capillary forces alone should proceed according to h(t) ˜ t^- 1/2. Our experimental results show much more rapid drainage with exponents as large as -2, especially for those solutions whose surfactant concentrations are below the CMC. Video recordings of the entire film surface reveal a variety of structures during the drainage process, some attributable to marginal regeneration. Though still a controversial issue, this regeneration process is believed to be caused by surfactant accumulation in the meniscus region (1). We show that modification of the relevant capillary drainage equation to account for Marangoni effects through a course-grained slip condition at the air-liquid interface produces exponents in better agreement with experimental findings. (1) V. A. Nierstrasz and G. Frens, JCIS 215, 28 (1999).

Ultrasound assessment of lung consolidation and reaeration after pleural effusion drainage in patients with Acute Respiratory Distress Syndrome: a pilot study.

PubMed

Chinardet, B; Brisson, H; Arbelot, C; Langeron, O; Rouby, J J; Lu, Q

2016-01-01

The aim of the pilot study was to assess by ultrasound changes in dimensions of lung consolidation and reaeration after drainage of large pleural effusion in patients with acute respiratory distress syndrome (ARDS). Lung ultrasound and blood gas were performed before, 2 hours (H2) and 24 hours (H24) after drainage of pleural effusion. Lung ultrasound aeration score was calculated. Cephalocaudal dimension and diaphragmatic transversal area of lung consolidation were measured. Ten patients were studied. Median volume of drained effusion was 675 ml at H2 and 895 at H24. Two hours after drainage, dimension of cephalocaudal consolidation and diaphragmatic transversal area decreased significantly. Lung reaeration after drainage occurred mainly in latero-inferior and postero-superior regions. PaO2/FiO2 increased significantly at H24. Ultrasound is a useful method to assess lung consolidation after pleural effusion drainage. Drainage of pleural effusion may lead to a decrease of lung consolidation and improvement of lung reaeration.

EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses

PubMed Central

Sadik, Riadh; Kalaitzakis, Evangelos; Thune, Anders; Hansen, Jan; Jönson, Claes

2011-01-01

AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded. RESULTS: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm × 13 cm and 5 cm × 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated. CONCLUSION: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage. PMID:21274380

Comparative analysis of the outflow water quality of two sustainable linear drainage systems.

PubMed

Andrés-Valeri, V C; Castro-Fresno, D; Sañudo-Fontaneda, L A; Rodriguez-Hernandez, J

2014-01-01

Three different drainage systems were built in a roadside car park located on the outskirts of Oviedo (Spain): two sustainable urban drainage systems (SUDS), a swale and a filter drain; and one conventional drainage system, a concrete ditch, which is representative of the most frequently used roadside drainage system in Spain. The concentrations of pollutants were analyzed in the outflow of all three systems in order to compare their capacity to improve water quality. Physicochemical water quality parameters such as dissolved oxygen, total suspended solids, pH, electrical conductivity, turbidity and total petroleum hydrocarbons were monitored and analyzed for 25 months. Results are presented in detail showing significantly smaller amounts of outflow pollutants in SUDS than in conventional drainage systems, especially in the filter drain which provided the best performance.

Effects of hillslope gully stabilization on erosion and sediment production in the Torreon Wash watershed, New Mexico, 2009–12

USGS Publications Warehouse

Matherne, Anne Marie; Tillery, Anne C.; Douglas-Mankin, Kyle R.

2018-04-10

Sediment erosion and deposition in two sets of paired (treated and untreated) upland drainages in the Torreon Wash watershed, upper Rio Puerco Basin, New Mexico, were examined over a 3 1/2-year period from spring 2009 through fall 2012. The objective was to evaluate the effectiveness of shallow, loose-stone check dams, or “one-rock dams,” as a hillslope gully erosion stabilization and mitigation method, and its potential for retaining upland eroded soils and decreasing delivery of sediment to lower ephemeral stream channels. Two high-resolution topographic surveys, completed at the beginning and end of the study period, were used to assess the effects of the mitigation measures at paired-drainage sites in both Penistaja Arroyo and Papers Wash watersheds, and at six main-stem-channel cross-section clusters along Penistaja Arroyo and Torreon Wash in the Torreon Wash watershed.For both drainage pairs, the treated drainage had greater sediment aggradation near the channel than the untreated drainage. Erosion was the dominant geomorphic process in the untreated Penistaja Arroyo drainage, whereas aggradation was the dominant process in the other three drainages. For the Penistaja Arroyo paired drainages, the treated site showed a 51-percent increase in area aggraded and 67-percent increase in volume aggraded per area analyzed over the untreated site. Both Papers Wash drainages showed net aggradation, but with similar treatment effect, with the treated site showing a 29-percent increase in area aggraded and 60-percent increase in volume aggraded per area analyzed over the untreated site. In the untreated Penistaja Arroyo drainage, the calculated minimum erosion rate was 0.0055 inches per year (in/yr; 0.14 millimeters per year [mm/yr]), whereas the calculated aggradation rates for the three drainages for which aggradation was the dominant geomorphic process were 0.0063 in/yr (0.16 mm/yr) for the Penistaja Arroyo treated drainage, 0.012 in/yr (0.31 mm/yr) for the Papers Wash untreated drainage, and 0.988 in/yr (2.51 mm/yr) for the Papers Wash treated drainage.Changes in the channel cross section along the main-stem Penistaja Arroyo and Torreon Wash were also examined. Channel-bank slumping and erosion of previously deposited bed material were apparent sources for sediment suspended in ephemeral streamflow. Cross-sectional channel surveys indicated examples of both erosion and deposition along each channel over the study period. Because the drainage area of the treated drainages is small compared to that of the Torreon Wash watershed, the upland mitigation measures would not be expected to measurably affect short-term concentrations of suspended sediment in main-stem channels.One-rock-dam mitigation structures in the upland drainages appear to have resulted in a decrease in sediment delivery to the main-stem channel. One-rock-dam mitigation structures may affect streamflow through their influence on runoff volume (via infiltration) and runoff rate (via detention), both of which may vary with time after structure installation.

Unique usage of a partially covered metal stent for drainage of a pancreatic pseudocyst via endosonography-guided transcystgastrostomy.

PubMed

Nici, Anthony J; Hussain, Syed A; Kim, Sang H; Mehta, Preeti

2012-05-01

Pancreatic pseudocysts are frequent complications of pancreatitis episodes. The current therapeutic modalities for drainage of pancreatic pseudocysts include surgical, percutaneous, and endoscopic drainage modalities. Endosonography-assisted endoscopic drainage of these pseudocysts with the placement of multiple plastic or fully covered self-expanding biliary metal stents is becoming more commonly carried out. The present case report discusses the unique and successful drainage of a pancreatic pseudocyst with the placement of a partially covered self-expanding metal stent. © 2012 The Authors. Digestive Endoscopy © 2012 Japan Gastroenterological Endoscopy Society.

Ureteroscopic holmium laser cutting for inadvertently sutured drainage tube (report of five cases).

PubMed

Gao, Xu; Lu, Xin; Ren, Shancheng; Xu, Chuanliang; Sun, Yinghao

2008-07-01

The aim of this paper is to report a simple solution for inadvertently sutured drainage tube after urological surgery and discuss the different managements according to different types of this embarrassing complication. From September 2001 to January 2007, five inadvertently sutured drainage tubes were treated with ureteroscopic holmium laser cutting for the suture. All drainage tubes were removed after the operation without other complications. Holmium laser cutting via ureteroscope is a simple solution for the embarrassing problem of inadvertently sutured drainage tube. It can save the patient from undergoing another open surgery.

Mine Water Treatment in Hongai Coal Mines

NASA Astrophysics Data System (ADS)

Dang, Phuong Thao; Dang, Vu Chi

2018-03-01

Acid mine drainage (AMD) is recognized as one of the most serious environmental problem associated with mining industry. Acid water, also known as acid mine drainage forms when iron sulfide minerals found in the rock of coal seams are exposed to oxidizing conditions in coal mining. Until 2009, mine drainage in Hongai coal mines was not treated, leading to harmful effects on humans, animals and aquatic ecosystem. This report has examined acid mine drainage problem and techniques for acid mine drainage treatment in Hongai coal mines. In addition, selection and criteria for the design of the treatment systems have been presented.

Can Nocturnal Cold Air Drainage be Used to Monitor Ecosystem Function?

NASA Astrophysics Data System (ADS)

Pypker, T. G.; Unsworth, M. H.; Sulzman, E. W.; Lamb, B.; Allwine, G.; Mix, A. C.; Bond, B. J.

2005-12-01

Ecosystem carbon dynamics in flat, uniform terrain are commonly studied using standard micrometeorological techniques such as eddy covariance or gradient methods. But many of the world's ecosystems are in complex topography that is inappropriate for these methods. Nocturnal cold air drainage commonly occurs in mountainous terrain. This drainage provides an opportunity to monitor ecosystem carbon dynamics because as air flows downhill through a watershed, it collects respired CO2 from the soil and vegetation. If the nocturnal drainage can be treated as a river of air flowing down a valley, sampling this air from a tower at the base of a watershed could provide an estimate of ecosystem respiration and the 12C/13C ratio. To interpret the measured CO2 and the 12C/13C ratio, the characteristics of the drainage and the footprint (source area) of air passing the tower must be understood. To explore the potential of using nocturnal cold air drainage we built a 37 m tower at the base of a deeply incised watershed of ~40 y-old Douglas-fir in the Oregon Cascades. At various heights on the tower we monitored air temperature, wind speed/direction, and the CO2 concentration and 12C/13C isotopic ratio with a combination of thermistors, sonic anemometers (2-D and 3-D) and a CO2 profile system. The temperature gradient along the axis of the watershed was monitored by 30 temperature sensors from the base to the top of the watershed. The maximum drainage windspeeds on the tower occurred near sunset and, unlike past reports of cold air drainage, this drainage was very deep (> 37 m). The drainage became well mixed when the vertical profile of potential temperature became isothermal. It remained well mixed through the night into the early morning. The drainage occurred on most summer nights and typically provided a range of CO2 (> 60 ppm) sufficient for "Keeling plot" analysis. In September 2005, we released a tracer in the watershed (SF6) to determine the varying footprint size of the tower. The footprint size and windspeed varied throughout the night, resulting in a change in the CO2 concentration at the tower. Further analysis will determine how the CO2 passing the tower is altered by entrainment of the air overlying the drainage and the change in the source area of the drainage.

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess.

PubMed

Maldonado Pérez, Belén; Guerra Veloz, María Fernanda; Romero Castro, Rafael

2018-04-01

Endoscopic ultrasound (EUS)-guided drainage of pancreatic collections has replaced surgery as the first line of treatment due its accuracy and safety profile. A higher success rate and fewer adverse events has been observed using fully covered metal stent for the drainage. However, complications of EUS-guided drainage can appear. We present a case of late migration of the stent.

Is peritoneal drainage essential after pancreatic surgery?: A meta-analysis and systematic review.

PubMed

Huan, Lu; Fei, Qilin; Lin, Huapeng; Wan, Lun; Li, Yue

2017-12-01

Our objective is to assess the function of peritoneal drainage, which is placed after pancreatic surgery. With the medical advancement some study put forward that peritoneal drainage is not the necessary after pancreatic surgery; it cannot improve the complications of postoperation even leading to more infection and so on. However, there is no one study can clear and definite whether omitting the drainage after surgery or not. Searching databases consist of all kinds of searching tools, such as Medline, The Cochrane Library, Embase, PubMed, etc. All the included studies should meet our demand of this meta-analysis. In the all interest outcomes blow we take the full advantage of RevMan5 to assess, the main measure is odds ratio (OR) with 95% confidence, the publication bias are assessed by Egger test and Begg test. The rate of postoperative pancreatic fistula (POPF) in no drainage group is much lower than that in routine drainage group (OR = 0.47, I = 43%, P < .00001). The result of the 2 randomized controlled trials (RCTs) in this pool are almost accord with the former (OR = 0.57, I = 0%, P = .05). In subgroup the result suggest that the peritoneal drainage can increase the morbidity (OR = 0.71, I = 15%, P = .0002) after pancreaticoduodenectomy (PD), but reduce the mortality (OR = 1.92, I = 8%, P = .03) after PD. In distal pancreatectomy (DP) the rate of POPF and clinically relevant pancreatic fistula (CR-PF) is lower without drainage; there is no significant difference in the CR-PF, hospital stay, intra-abdominal abscess, radiologic invention, and the reoperation. In the current meta-analysis, we cannot make a clear conclusion whether to abandon the routine drainage or not, but from the subgroup we can see something is safer than nothing to routine peritoneal drainage. And the patients who underwent DP can attempt to omit the drainage. But it still needs more RCTs to assess the necessity of drainage. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

Is peritoneal drainage essential after pancreatic surgery?

PubMed Central

Huan, Lu; Fei, Qilin; Lin, Huapeng; Wan, Lun; Li, Yue

2017-01-01

Abstract Aim: Our objective is to assess the function of peritoneal drainage, which is placed after pancreatic surgery. Background: With the medical advancement some study put forward that peritoneal drainage is not the necessary after pancreatic surgery; it cannot improve the complications of postoperation even leading to more infection and so on. However, there is no one study can clear and definite whether omitting the drainage after surgery or not. Method: Searching databases consist of all kinds of searching tools, such as Medline, The Cochrane Library, Embase, PubMed, etc. All the included studies should meet our demand of this meta-analysis. In the all interest outcomes blow we take the full advantage of RevMan5 to assess, the main measure is odds ratio (OR) with 95% confidence, the publication bias are assessed by Egger test and Begg test. Result: The rate of postoperative pancreatic fistula (POPF) in no drainage group is much lower than that in routine drainage group (OR = 0.47, I2 = 43%, P < .00001). The result of the 2 randomized controlled trials (RCTs) in this pool are almost accord with the former (OR = 0.57, I2 = 0%, P = .05). In subgroup the result suggest that the peritoneal drainage can increase the morbidity (OR = 0.71, I2 = 15%, P = .0002) after pancreaticoduodenectomy (PD), but reduce the mortality (OR = 1.92, I2 = 8%, P = .03) after PD. In distal pancreatectomy (DP) the rate of POPF and clinically relevant pancreatic fistula (CR-PF) is lower without drainage; there is no significant difference in the CR-PF, hospital stay, intra-abdominal abscess, radiologic invention, and the reoperation. Conclusion: In the current meta-analysis, we cannot make a clear conclusion whether to abandon the routine drainage or not, but from the subgroup we can see something is safer than nothing to routine peritoneal drainage. And the patients who underwent DP can attempt to omit the drainage. But it still needs more RCTs to assess the necessity of drainage. PMID:29390482

Properties of the subglacial till inferred from supraglacial lake drainage

NASA Astrophysics Data System (ADS)

Neufeld, J. A.; Hewitt, D.

2017-12-01

The buildup and drainage of supraglacial lakes along the margins of the Greenland ice sheet has been previously observed using detailed GPS campaigns which show that rapid drainage events are often preceded by localised, transient uplift followed by rapid, and much broader scale, uplift and flexure associated with the main drainage event [1,2]. Previous models of these events have focused on fracturing during rapid lake drainage from an impermeable bedrock [3] or a thin subglacial film [4]. We present a new model of supraglacial drainage that couples the water flux from rapid lake drainage events to a simplified model of the pore-pressure in a porous, subglacial till along with a simplified model of the flexure of glacial ice. Using a hybrid mathematical model we explore the internal transitions between turbulent and laminar flow throughout the evolving subglacial cavity and porous till. The model predicts that an initially small water flux may locally increase pore-pressure in the till leading to uplift and a local divergence in the ice velocity that may ultimately be responsible for large hydro-fracturing and full-scale drainage events. Furthermore, we find that during rapid drainage while the presence of a porous, subglacial till is crucial for propagation, the manner of spreading is remarkably insensitive to the properties of the subglacial till. This is in stark contrast to the post-drainage relaxation of the pore pressure, and hence sliding velocity, which is highly sensitive to the permeability, compressibility and thickness of subglacial till. We use our model, and the inferred sensitivity to the properties of the subglacial till after the main drainage event, to infer the properties of the subglacial till. The results suggest that a detailed interpretation of supraglacial lake drainage may provide important insights into the hydrology of the subglacial till along the margins of the Greenland ice sheet, and the coupling of pore pressure in subglacial till with the observed ice velocity. 1 Das et al. Science 320, 778-781 (2008) 2 Stevens et al. Nature 522, 73-76 (2015) 3 Tsai & Rice J. Geophys. Res. 115, 1-18 (2010) 4 Adhikari & Tsai J. Geophys. Res. 120, 580-603 (2015)

Intermediate-term and long-term outcome of piggyback drainage: connecting glaucoma drainage device to a device in-situ for improved intraocular pressure control.

PubMed

Dervan, Edward; Lee, Edward; Giubilato, Antonio; Khanam, Tina; Maghsoudlou, Panayiotis; Morgan, William H

2017-11-01

This study provides results of a treatment option for patients with failed primary glaucoma drainage device. The study aimed to describe and evaluate the long-term intraocular pressure control and complications of a new technique joining a second glaucoma drainage device directly to an existing glaucoma drainage device termed 'piggyback drainage'. This is a retrospective, interventional cohort study. Eighteen eyes of 17 patients who underwent piggyback drainage between 2004 and 2013 inclusive have been studied. All patients had prior glaucoma drainage device with uncontrolled intraocular pressure. The piggyback technique involved suturing a Baerveldt (250 or 350 mm) or Molteno3 glaucoma drainage device to an unused scleral quadrant and connecting the silicone tube to the primary plate bleb. Failure of intraocular pressure control defined as an intraocular pressure greater than 21 mmHg on maximal therapy on two separate occasions or further intervention to control intraocular pressure. The intraocular pressure was controlled in seven eyes (39%) at last follow-up with a mean follow-up time of 74.2 months. The mean preoperative intraocular pressure was 27.1 mmHg (95% confidence interval 23.8-30.3) compared with 18.4 mmHg (95% confidence interval 13.9-22.8) at last follow-up. The mean time to failure was 57.1 months (95% confidence interval 32.2-82), and the mean time to further surgery was 72.3 months (95% confidence interval 49.9-94.7). Lower preoperative intraocular pressure was associated with longer duration of intraocular pressure control (P = 0.048). If the intraocular pressure was controlled over 2 years, it continued to be controlled over the long term. Two eyes (11%) experienced corneal decompensation. Piggyback drainage represents a viable surgical alternative for the treatment of patients with severe glaucoma with failing primary glaucoma drainage device, particularly in those at high risk of corneal decompensation. © 2017 Royal Australian and New Zealand College of Ophthalmologists.

Gravitational shunt units may cause under-drainage in bedridden patients.

PubMed

Kaestner, S; Kruschat, T; Nitzsche, N; Deinsberger, W

2009-03-01

Implantation of a shunt in a hydrocephalic patient still carries a risk of complications such as over-drainage and under-drainage. Gravitational shunt units are especially designed to minimize the problem of over-drainage. Nevertheless, these valves carry a risk of under-drainage. The best choice of valve for a patient is still challenging. The purpose of this survey was to identify in which patients a gravitational shunt valve is liable to lead to under-drainage. Patients with hydrocephalus entered prospectively into a data base were reviewed retrospectively. The patients were treated between January 2006 to the end of Feb 2007 and those experiencing under- or over-drainage were identified. Thirty-five ventriculo-peritoneal shunt systems were implanted in adult patients. The cause of the hydrocephalus was: normal pressure hydrocephalus in 18 patients, post-haemorrhagic following subarachnoid or intracerebral haemorrhage in 11, associated with a tumour in four and followed a head injury in two patients. Three different valves were used: an adjustable shunt valve with gravitational unit (Pro-GAV 0-20/25 in 21 patients), a gravitational shunt valve with fixed opening pressure (GAV 5/30 in nine patients) and an adjustable differential valve (Hakim medos in five patients). Four patients developed severe, valve-related under-drainage. Each had received a gravitational shunt valve and all were bedridden. In two of these patients it was necessary to change the valve. One patient who had received a differential valve, after regaining mobility developed severe over-drainage with bilateral subdural haematomas. Over-drainage was not seen in long-term bedridden patients with a differential shunt valve. If a bedridden patient with a gravitational shunt valve system lies with a slightly elevated head, this leads to activation of the gravitational unit and this may cause under drainage. As a result, we advise not using an anti-siphon devices in a patient who is bedridden for a long period.

Drainage reorganization and divide migration induced by the excavation of the Ebro basin (NE Spain)

NASA Astrophysics Data System (ADS)

Vacherat, Arnaud; Bonnet, Stéphane; Mouthereau, Frédéric

2018-05-01

Intracontinental endorheic basins are key elements of source-to-sink systems as they preserve sediments eroded from the surrounding catchments. Drainage reorganization in such a basin in response to changing boundary conditions has strong implications on the sediment routing system and on landscape evolution. The Ebro and Duero basins represent two foreland basins, which developed in response to the growth of surrounding compressional orogens, the Pyrenees and the Cantabrian mountains to the north, the Iberian Ranges to the south, and the Catalan Coastal Range to the east. They were once connected as endorheic basins in the early Oligocene. By the end of the Miocene, new post-orogenic conditions led to the current setting in which the Ebro and Duero basins are flowing in opposite directions, towards the Mediterranean Sea and the Atlantic Ocean. Although these two hydrographic basins recorded a similar history, they are characterized by very different morphologic features. The Ebro basin is highly excavated, whereas relicts of the endorheic stage are very well preserved in the Duero basin. The contrasting morphological preservation of the endorheic stage represents an ideal natural laboratory to study the drivers (internal and/or external) of post-orogenic drainage divide mobility, drainage network, and landscape evolution. To that aim, we use field and map observations and we apply the χ analysis of river profiles along the divide between the Ebro and Duero drainage basins. We show here that the contrasting excavation of the Ebro and Duero basins drives a reorganization of their drainage network through a series of captures, which resulted in the southwestward migration of their main drainage divide. Fluvial captures have a strong impact on drainage areas, fluxes, and their respective incision capacity. We conclude that drainage reorganization driven by the capture of the Duero basin rivers by the Ebro drainage system explains the first-order preservation of endorheic stage remnants in the Duero basin, due to drainage area loss, independently from tectonics and climate.

Illinois drainage water management demonstration project

USGS Publications Warehouse

Pitts, D.J.; Cooke, R.; Terrio, P.J.; ,

2004-01-01

Due to naturally high water tables and flat topography, there are approximately 4 million ha (10 million ac) of farmland artificially drained with subsurface (tile) systems in Illinois. Subsurface drainage is practiced to insure trafficable field conditions for farm equipment and to reduce crop stress from excess water within the root zone. Although drainage is essential for economic crop production, there have been some significant environmental costs. Tile drainage systems tend to intercept nutrient (nitrate) rich soil-water and shunt it to surface water. Data from numerous monitoring studies have shown that a significant amount of the total nitrate load in Illinois is being delivered to surface water from tile drainage systems. In Illinois, these drainage systems are typically installed without control mechanisms and allow the soil to drain whenever the water table is above the elevation of the tile outlet. An assessment of water quality in the tile drained areas of Illinois showed that approximately 50 percent of the nitrate load was being delivered through the tile systems during the fallow period when there was no production need for drainage to occur. In 1998, a demonstration project to introduce drainage water management to producers in Illinois was initiated by NRCS4 An initial aspect of the project was to identify producers that were willing to manage their drainage system to create a raised water table during the fallow (November-March) period. Financial assistance from two federal programs was used to assist producers in retrofitting the existing drainage systems with control structures. Growers were also provided guidance on the management of the structures for both water quality and production benefits. Some of the retrofitted systems were monitored to determine the effect of the practice on water quality. This paper provides background on the water quality impacts of tile drainage in Illinois, the status of the demonstration project, preliminary monitoring results, and other observations.

Geohydrologic reconnaissance of drainage wells in Florida

USGS Publications Warehouse

Kimrey, J.O.; Fayard, L.D.

1984-01-01

Drainage wells are used to inject surface waters directly into an aquifer, or shallow ground waters directly into a deeper aquifer, primarily by gravity. Such wells in Florida may be grouped into two broad types: (1) surface-water injection wells, and (2) interaquifer connector wells. Drainage wells of the first type are further categorized as either Floridan aquifer drainage wells or Biscayne aquifer drainage wells. Floridan aquifer drainage wells are commonly used to supplement drainage for urban areas in karst terranes of central and north Florida. Data are available for 25 wells in the Ocala, Live Oak, and Orlando areas that allow comparison of the quality of water samples from these Floridan aquifer drainage wells with allowable contaminant levels. Comparison indicates that maximum contaminant levels for turbidity, color, and iron, manganese, and lead concentrations are equaled or exceeded in some drainage-well samples, and relatively high counts for coliform bacteria are present in most wells. Biscayne aquifer drainage wells are used locally to dispose of stormwater runoff and other surplus water in southeast Florida, where large numbers of these wells have been permitted in Dade and Broward Counties. The majority of these wells are used to dispose of water from swimming pools or to dispose of heated water from air-conditioning units. The use of Biscayne aquifer drainage wells may have minimal effect on aquifer potability so long as injection of runoff and industrial wates is restricted to zones where chloride concentrations exceed 1,500 milligrams per liter. Interaquifer connector wells are used in the phosphate mining areas of Polk and Hillsborough Counties, to drain mines and recharge the Floridan aquifer. Water-quality data available from 13 connector wells indicate that samples from most of these wells exceed standards values for iron concentration and turbidity. One well yielded a highly mineralized water, and samples from 6 of the other 12 wells exceed standards values for gross alpha concentrations. (USGS)

Comparison of the South Florida Natural System Model with Pre-canal Everglades Hydrology Estimated from Historical Sources

USGS Publications Warehouse

McVoy, Christopher; Park, Winifred A.; Obeysekera, Jayantha

1996-01-01

Preservation and restoration of the remaining Everglades ecosystem is focussed on two aspects: improving upstream water quality and improving 'hydropatterns' - the timing, depth and flow of surface water. Restoration of hydropatterns requires knowledge of the original pre-canal drainage conditions as well as an understanding of the soil, topo-graphic, and vegetation changes that have taken place since canal drainage began in the 1880's. The Natural System Model (NSM), developed by the South Florida Water Management District (SFWMD) and Everglades National Park, uses estimates of pre-drainage vegetation and topography to estimate the pre-drainage hydrologic response of the Everglades. Sources of model uncertainty include: (1) the algorithms, (2) the parameters (particularly those relating to vegetation roughness and evapotranspiration), and (3) errors in the assumed pre-drainage vegetation distribution and pre-drainage topography. Other studies are concentrating on algorithmic and parameter sources of uncertainty. In this study we focus on the NSM output -- predicted hydropattern -- and evaluate this by comparison with all available direct and indirect information on pre-drainage hydropatterns. The unpublished and published literature is being searched exhaustively for observations of water depth, flow direction, flow velocity and hydroperiod, during the period prior and just after drainage (1840-1920). Additionally, a comprehensive map of soils in the Everglades region, prepared in the 1940's by personnel from the University of Florida Agricultural Experiment Station, the U.S. Soil Conservation Service, the U.S. Geological Survey, and the Everglades Drainage District, is being used to identify wetland soils and to infer the spatial distribution of pre-drainage hydrologic conditions. Detailed study of this map and other early soil and vegetation maps in light of the history of drainage activities will reveal patterns of change and possible errors in the input to the NSM. Changes in the wetland soils are important because of their effects on topography (soil subsidence) and in their role as indicators of hydropattern.

Postoperative drainage in head and neck surgery.

PubMed

Amir, Ida; Morar, Pradeep; Belloso, Antonio

2010-11-01

A major factor affecting patients' length of hospitalisation following head and neck surgery remains the use of surgical drains. The optimal time to remove these drains has not been well defined. A routine practice is to measure the drainage every 24 h and remove the drain when daily drainage falls below 25 ml. This study aims to determine whether drainage measurement at shorter intervals decreases the time to drain removal and hence the length of in-patient stays. A 6-month prospective observational study was performed. The inclusion criteria were patients who underwent head and neck surgery without neck dissection and had a closed suction drain inserted. Drainage rates were measured at 8-hourly intervals. Drains were removed when drainage-rate was ≤ 1 ml/h over an 8-h period. A total of 43 patients were evaluated. The highest drainage rate occurred in the first 8 postoperative hours and decreased significantly in the subsequent hours. The median drainage rates at 8, 16, 24, 32 and 40 postoperative hours were 3.375, 1, 0, 0 and 0 ml/h, respectively. Applying our new removal criteria of ≤ 1 ml/h drainage rate, the drains were removed in 22 (51%) patients at the 16th postoperative hour; 37 (86%) were removed by 24 h after operation. In comparison, only nine (20.9%) patients could potentially be discharged the day after surgery if previous criteria of ≤ 25 ml/24-h were used to decide on drain removal. Our 8-hourly drainage-rate monitoring has facilitated safe earlier discharge of an additional 28 (65%) patients on the day after surgery. This has led to improvement in patient care, better optimisation of hospital resources and resulted in positive economic implications to the department.

Using a hybrid model to predict solute transfer from initially saturated soil into surface runoff with controlled drainage water.

PubMed

Tong, Juxiu; Hu, Bill X; Yang, Jinzhong; Zhu, Yan

2016-06-01

The mixing layer theory is not suitable for predicting solute transfer from initially saturated soil to surface runoff water under controlled drainage conditions. By coupling the mixing layer theory model with the numerical model Hydrus-1D, a hybrid solute transfer model has been proposed to predict soil solute transfer from an initially saturated soil into surface water, under controlled drainage water conditions. The model can also consider the increasing ponding water conditions on soil surface before surface runoff. The data of solute concentration in surface runoff and drainage water from a sand experiment is used as the reference experiment. The parameters for the water flow and solute transfer model and mixing layer depth under controlled drainage water condition are identified. Based on these identified parameters, the model is applied to another initially saturated sand experiment with constant and time-increasing mixing layer depth after surface runoff, under the controlled drainage water condition with lower drainage height at the bottom. The simulation results agree well with the observed data. Study results suggest that the hybrid model can accurately simulate the solute transfer from initially saturated soil into surface runoff under controlled drainage water condition. And it has been found that the prediction with increasing mixing layer depth is better than that with the constant one in the experiment with lower drainage condition. Since lower drainage condition and deeper ponded water depth result in later runoff start time, more solute sources in the mixing layer are needed for the surface water, and larger change rate results in the increasing mixing layer depth.

Role of percutaneous abscess drainage in the management of young patients with Crohn disease.

PubMed

Pugmire, Brian S; Gee, Michael S; Kaplan, Jess L; Hahn, Peter F; Doody, Daniel P; Winter, Harland S; Gervais, Debra A

2016-05-01

Intra-abdominal abscess is a common complication of Crohn disease in children. Prior studies, primarily in adults, have shown that percutaneous abscess drainage is a safe and effective treatment for this condition; however, the data regarding this procedure and indications in pediatric patients is limited. Our aim was to determine the success rate of percutaneous abscess drainage for abscesses related to Crohn disease in pediatric patients with a focus on treatment endpoints that are relevant in the era of biological medical therapy. We retrospectively reviewed 25 cases of patients ages ≤20 years with Crohn disease who underwent percutaneous abscess drainage. Technical success was defined as catheter placement within the abscess with reduction in abscess size on post-treatment imaging. Clinical success was defined as (1) no surgery within 1 year of drainage or (2) surgical resection following drainage with no residual abscess at surgery or on preoperative imaging. Multiple clinical parameters were analyzed for association with treatment success or failure. All cases were classified as technical successes. Nineteen cases were classified as clinical successes (76%), including 7 patients (28%) who required no surgery within 1 year of percutaneous drainage and 12 patients (48%) who had elective bowel resection within 1 year. There was a statistically significant association between resumption of immunosuppressive therapy within 8 weeks of drainage and both clinical success (P < 0.01) and avoidance of surgery after 1 year (P < 0.01). Percutaneous abscess drainage is an effective treatment for Crohn disease-related abscesses in pediatric patients. Early resumption of immunosuppressive therapy is statistically associated with both clinical success and avoidance of bowel resection, suggesting a role for percutaneous drainage in facilitating prompt initiation of medical therapy and preventing surgical bowel resection.

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up.

PubMed

Caillol, Fabrice; Godat, Sebastien; Turrini, Olivier; Zemmour, Christophe; Bories, Erwan; Pesenti, Christian; Ratone, Jean Phillippe; Ewald, Jacques; Delpero, Jean Robert; Giovannini, Marc

2018-03-29

Postoperative fluid collection due to pancreatic leak is the most frequent complication after pancreatic surgery. Endoscopic ultrasound (EUS)-guided drainage of post-pancreatic surgery fluid collection is the gold standard procedure; however, data on outcomes of this procedure are limited. The primary endpoint of our study was relapse over longterm followup, and the secondary endpoint was the efficiency and safety of EUS-guided drainage of post-pancreatic surgery fluid collection. This retrospective study was conducted at a single center from December 2008 to April 2016. Global morbidity was defined as the occurrence of an event involving additional endoscopic procedures, hospitalization, or interventional radiologic or surgical procedures. EUS-guided drainage was considered a clinical failure if surgery was required to treat a relapse after stent removal. Fortyone patients were included. The technical success rate was 100%. Drainage was considered a clinical success in 93% (39/41) of cases. Additionally, 19 (46%) complications were identified as global morbidity. The duration between surgery and EUS-guided drainage was not a significantly related factor for morbidity rate (P = 0.8); however, bleeding due to arterial injuries (splenic artery and gastroduodenal artery) from salvage drainage procedures occurred within 25 days following the initial surgery. There was no difference in survival between patients with and without complications. No relapse was reported during the followup (median: 44.75 months; range: 29.24 to 65.74 months). EUSguided drainage for post-pancreatic surgery fluid collection was efficient with no relapse during longterm followup. Morbidity rate was independent of the duration between the initial surgery and EUS-guided drainage; however, bleeding risk was likely more important in cases of early drainage.

Controls on valley spacing in landscapes subject to rapid base-level fall

USGS Publications Warehouse

McGuire, Luke; Pelletier, John D.

2015-01-01

What controls the architecture of drainage networks is a fundamental question in geomorphology. Recent work has elucidated the mechanisms of drainage network development in steadily uplifting landscapes, but the controls on drainage-network morphology in transient landscapes are relatively unknown. In this paper we exploit natural experiments in drainage network development in incised Plio-Quaternary alluvial fan surfaces in order to understand and quantify drainage network development in highly transient landscapes, i.e. initially unincised low-relief surfaces that experience a pulse of rapid base-level drop followed by relative base-level stasis. Parallel drainage networks formed on incised alluvial-fan surfaces tend to have a drainage spacing that is approximately proportional to the magnitude of the base-level drop. Numerical experiments suggest that this observed relationship between the magnitude of base-level drop and mean drainage spacing is the result of feedbacks among the depth of valley incision, mass wasting and nonlinear increases in the rate of colluvial sediment transport with slope gradient on steep valley side slopes that lead to increasingly wide valleys in cases of larger base-level drop. We identify a threshold magnitude of base-level drop above which side slopes lengthen sufficiently to promote increases in contributing area and fluvial incision rates that lead to branching and encourage drainage networks to transition from systems of first-order valleys to systems of higher-order, branching valleys. The headward growth of these branching tributaries prevents the development of adjacent, ephemeral drainages and promotes a higher mean valley spacing relative to cases in which tributaries do not form. Model results offer additional insights into the response of initially unincised landscapes to rapid base-level drop and provide a preliminary basis for understanding how varying amounts of base-level change influence valley network morphology.

Routine Sub-hepatic Drainage versus No Drainage after Laparoscopic Cholecystectomy: Open, Randomized, Clinical Trial.

PubMed

Shamim, Muhammad

2013-02-01

Surgeons are still following the old habit of routine subhepatic drainage following laparoscopic cholecystectomy (LC). This study aims to compare the outcome of subhepatic drainage with no drainage after LC. This prospective study was conducted in two phases. Phase I was open, randomized controlled trial (RCT), conducted in Civil Hospital Karachi, from August 2004 to June 2005. Phase II was descriptive case series, conducted in author's practice hospitals of Karachi, from July 2005 to December 2009. In phase I, 170 patients with chronic calculous cholecystitis underwent LC. Patients were divided into two groups, subhepatic drainage (group A: 79 patients) or no drainage (group B: 76 patients). The rest 15 patients were excluded either due to conversion or elective subhepatic drainage. In phase II, 218 consecutive patients were enrolled, who underwent LC with no subhepatic drainage. Duration of operation, character, and amount of drain fluid (if placed), postoperative ultrasound for subhepatic collection, postoperative chest X-ray for the measurement of subdiaphragmatic air, postoperative pain, postoperative nausea/vomiting, duration of hospital stay, and preoperative or postoperative complications were noted and analyzed. Duration of operation and hospital stay was slightly longer in group A patients (P values 0.002 and 0.029, respectively); postoperative pain perception, nausea/vomiting, and postoperative complications were nearly same in both groups (P value 0.064, 0.078, and 0.003, respectively). Subhepatic fluid collection was more in group A (P = 0.002), whereas subdiaphragmatic air collection was more in group B (P = 0.003). Phase II results were nearly similar to group B patients in phase I. Routine subhepatic drainage after LC is not necessary in uncomplicated cases.

A comparative assessment of irrigation and drainage characteristics for commercially available urethral catheters

PubMed Central

Davis, Niall F.; McMahon, Barry P.; Walsh, Michael; McDermott, Thomas E.D.; Thornhill, John A.; Manecksha, Rustom P.

2017-01-01

Introduction We aimed to investigate irrigation and drainage characteristics of commercially available urethral catheters and determined which catheter offers the best flow characteristics. Material and methods Twelve different commercially available urethral catheters from three companies (Bard™, Rusch™ and Dover™) were investigated to compare their irrigation and drainage properties. Irrigation port, drainage port and overall cross-sectional areas for a 24Fr 3-way catheter was measured and compared. The maximum (Qmax) and average (Qavg) irrigation and drainage flow rates for each catheter was measured for 20–40 seconds using uroflowmetry. The primary endpoint was to determine which catheter offers optimal irrigation and drainage parameters. Results Overall cross-sectional area, irrigation port cross-sectional area, and drainage port cross-sectional area differed significantly for each 24Fr 3-way catheter assessed (p <0.001). The 24Fr 3-way Rusch Simplastic™ catheter consistently demonstrated the greatest maximal flow rate (Qmax: 5 ±0.3 ml/s) and average flow rate (Qavg: 4.6 ±0.2 ml/s) for irrigation. The 24Fr 3-way Dover™ catheter provided the greatest drainage properties (Qmax: 19.7 ±2 ml/s; Q avg: 15.9 ±5 ml/s). In the setting of continuous bladder irrigation, the 24Fr 3-way Rusch Simplastic™ catheter provided the highest irrigation rates (Qmax: 6.6 ±1.8 ml/s; Q avg: 4.6 ±0.9 ml/s). Conclusions Three-way catheters demonstrate significant differences in their irrigation and drainage characteristics. The type of catheter selected should be based on the appropriate prioritization of efficient bladder irrigation versus efficient bladder drainage. PMID:29410890

Impact of tile drainage on evapotranspiration in South Dakota, USA, based on high spatiotemporal resolution evapotranspiration time series from a multi-satellite data fusion system

USGS Publications Warehouse

Yang, Yun; Anderson, Martha C.; Gao, Feng; Hain, Christopher; Kustas, William P.; Meyers, Tilden P.; Crow, Wade; Finocchiaro, Raymond G.; Otkin, Jason; Sun, Liang; Yang, Yang

2017-01-01

Soil drainage is a widely used agricultural practice in the midwest USA to remove excess soil water to potentially improve the crop yield. Research shows an increasing trend in baseflow and streamflow in the midwest over the last 60 years, which may be related to artificial drainage. Subsurface drainage (i.e., tile) in particular may have strongly contributed to the increase in these flows, because of its extensive use and recent gain in the popularity as a yield-enhancement practice. However, how evapotranspiration (ET) is impacted by tile drainage on a regional level is not well-documented. To explore spatial and temporal ET patterns and their relationship to tile drainage, we applied an energy balance-based multisensor data fusion method to estimate daily 30-m ET over an intensively tile-drained area in South Dakota, USA, from 2005 to 2013. Results suggest that tile drainage slightly decreases the annual cumulative ET, particularly during the early growing season. However, higher mid-season crop water use suppresses the extent of the decrease of the annual cumulative ET that might be anticipated from widespread drainage. The regional water balance analysis during the growing season demonstrates good closure, with the average residual from 2005 to 2012 as low as -3 mm. As an independent check of the simulated ET at the regional scale, the water balance analysis lends additional confidence to the study. The results of this study improve our understanding of the influence of agricultural drainage practices on regional ET, and can affect future decision making regarding tile drainage systems.

Initial Australasian experience with portal-enteric drainage in simultaneous pancreas-kidney transplantation.

PubMed

Kave, Ben; Yii, Ming; Bell, Roger; Kanellis, John; Scott, David; Saunder, Alan

2010-10-01

Pancreas-kidney transplantation is currently the most effective method to re-establish euglycaemia in insulin-dependent diabetics with associated renal failure. The standard technique employed has been bladder drainage of exocrine secretions coupled with systemic venous drainage ('systemic-bladder' (SB) drainage). The more physiological technique, enteric exocrine with portal venous drainage ('portal-enteric' (PE) drainage), has been utilized sparingly in the past as a result of fears of technical complications. This paper compares the Monash Medical Centre experience with both techniques. A total of 68 simultaneous pancreas-kidney transplantations were performed at Monash Medical Centre from 1991 until 2004. The first 37 received SB drainage. Since March 2001, 27 have received PE drainage. This retrospective study compared the SB group (n= 37) with the PE group (n= 27), with a 2-year follow-up, examining a number of surgical outcomes. Two-year patient (94.3 versus 96.0%), kidney (89.2 versus 85.2%), pancreas (77.9 versus 71.4%) and event-free (73.0 versus 67.7%) survivals were all similar between the SB and PE groups, respectively. Although surgery took longer in PE subjects (4 h : 47 min ± 0:48 versus 5 h : 16 min ± 1:00; P= 0.045), less intraoperative transfusions were required (1.3 ± 1.43 versus 0.52 ± 0.90; P= 0.024). Length of hospital stay and time to insulin independence were similar. Pancreas graft thrombosis rates were similar (10.8% SB versus 7.4% PE, P= 0.497). PE drainage is a safe and viable method for pancreas transplantation, which can be performed with excellent outcomes. An increased rate of complications with PE drainage has not been demonstrated in this series. © 2009 The Authors. ANZ Journal of Surgery © 2009 Royal Australasian College of Surgeons.

Design of bridge deck drainage : HEC 21

DOT National Transportation Integrated Search

1993-05-01

The manual provides guidelines and procedures for designing bridge deck drainage systems, inclusing illustrative examples. Should the design process indicate a drainage system is needed, utilization of the most hydraulically efficient and maintenance...

Foamed emulsion drainage: flow and trapping of drops.

PubMed

Schneider, Maxime; Zou, Ziqiang; Langevin, Dominique; Salonen, Anniina

2017-06-07

Foamed emulsions are ubiquitous in our daily life but the ageing of such systems is still poorly understood. In this study we investigate foam drainage and measure the evolution of the gas, liquid and oil volume fractions inside the foam. We evidence three regimes of ageing. During an initial period of fast drainage, both bubbles and drops are very mobile. As the foam stabilises drainage proceeds leading to a gradual decrease of the liquid fraction and slowing down of drainage. Clusters of oil drops are less sheared, their dynamic viscosity increases and drainage slows down even further, until the drops become blocked. At this point the oil fraction starts to increase in the continuous phase. The foam ageing leads to an increase of the capillary pressure until the oil acts as an antifoaming agent and the foam collapses.

Malignant biliary disease: percutaneous interventions.

PubMed

Morgan, R A; Adam, A N

2001-09-01

Interventional radiologists have an important role in the management of patients with malignant biliary obstruction. This article describes the techniques for percutaneous biliary drainage, insertion of biliary endoprostheses, and the management of occluded biliary endoprostheses. Most procedures are performed by using fluoroscopic guidance alone. Ultrasound is also a useful modality for guiding biliary drainage, particularly drainage of the left biliary ducts. Patients should be treated by internal drainage if possible. Metallic endoprostheses can be inserted at the time of the initial biliary drainage procedure. Plastic tubes should be inserted a few days after biliary drainage because of their relatively large size compared with metallic stents. Occluded plastic stents should be replaced. Blocked metallic stents should be treated either by placement of additional overlapping metallic stents or by placement of plastic stents within the metallic stent lumen. Copyright 2001 by W.B. Saunders Company

Priority Scale of Drainage Rehabilitation of Cilacap City

NASA Astrophysics Data System (ADS)

Rudiono, Jatmiko

2018-03-01

Characteristics of physical condition of Cilacap City is relatively flat and low to sea level (approximately 6 m above sea level). In the event of a relatively heavy rainfall resulting in inundation at several locations. The problem of inundation is a serious problem if there is in a dense residential area or occurs in publicly-used infrastructure, such as roads and settlements. These problems require improved management of which include how to plan a sustainable urban drainage system and environmentally friendly. The development of Cilacap City is increasing rapidly, this causes drainage system based on the Drainage Masterplan Cilacap made in 2006 has not been able to accommodate rain water, so, it is necessary to evaluate the drainage masterplan for subsequent rehabilitation. Priority scale rehabilitation of the drainage sections as a guideline is an urgent need of rehabilitation in the next time period.

A comparative study of treatments for chronic subdural hematoma: burr hole drainage versus burr hole drainage with irrigation.

PubMed

Ishibashi, Akira; Yokokura, Yoshitake; Adachi, Hisashi

2011-01-01

Although chronic subdural hematoma (CSDH) is one of the most common entities encountered in neurosurgical practice, optimal surgical treatment for CSDH remains controversial. This study retrospectively compared results for CSDH between burr hole drainage alone and burr hole drainage with irrigation. Ninety-two patients with CSDH underwent surgery at our institution from January 1998 through December 2009. Fifty-eight patients received burr hole drainage alone (Group A), while 34 patients were treated using burr hole drainage with irrigation (Group B). Outcomes, recurrence rates, and death rates for the two groups were analyzed. Age, sex ratio, consciousness level on admission, radiodensity of hematoma on computed tomography before surgery, and duration of hospitalization were nearly the same in both groups. No significant differences were seen in good outcomes or death rates between groups, but poor outcomes were significantly more frequent in Group A (p=0.009). The recurrence rate was higher in Group A compared to Group B (10.3% vs. 2.9%). The authors used logistic regression analysis to identify factors associated with the outcome of CSDH, and found that duration of hospital stay, anti-coagulant therapy, presence of dementia and burr hole drainage alone were significantly associated with poor outcome of CSDH. These results indicate that burr hole drainage with irrigation has a significantly stronger association with good outcomes compared to drainage alone, and could be a reliable and effective operative method for the treatment of CSDH with a lower recurrence rate.

Anatomical variations in lymphatic drainage of the right lung: applications in lung cancer surgery.

PubMed

Ndiaye, Assane; Di-Marino, V; Ba, P S; Ndiaye, Aï; Gaye, M; Nazarian, S

2016-12-01

To specify the topography and variations in lymphatic drainage of the right lung to the mediastinum and their therapeutic implications in non-small cell lung cancers (NSCLC). We injected a dye into the subpleural lymphatic vessels in 65 right lung segments, followed by dissection in 22 subjects. At the upper lobe, we had injected 32 segments. We noted extrasegmental overflow in one case; extrasegmental and extralobar drainage in two cases; drainage to the lymph nodes of another lobe in one case. Fifty-six percent of the segments drained directly (skipping intrapulmonary and hilar lymph nodes) into the right paratracheal lymph nodes, and one dorsal segment drained into the thoracic duct. A ventral segment drained into the inferior tracheobronchial lymph nodes. A contralateral drainage to the recurrent chain was observed in two cases. Sixteen segments of the middle lobe were injected and mainly drained into the inferior tracheobronchial lymph nodes with six direct paths; one medial segment drained into the right anterior mediastinal chain. We noted three contralateral drainages and eight downward abdominal drainages. Out of the 17 segments of the lower lobe injected, 6 segments drained into the lymph nodes of another lobe, 5 segments showed a direct route to the lower quadrant chains. We noted one time a drainage into the paraesophageal lymph nodes. The variations in lymphatic drainage of the right lung require to carry out systematically a radical mediastinal lymphadenectomy during the removal of non-small cell lung cancers and to associate an adjuvant treatment.

Drainage of the maxillary sinus: a comparative anatomy study in humans and goats.

PubMed

Ford, Rebecca L; Barsam, Alon; Velusami, Prabhu; Ellis, Harold

2011-02-01

The maxillary sinuses are the most frequently infected paranasal sinuses in humans. It has been suggested that infection occurs relatively commonly in the maxillary sinuses owing to the position of their ostia high on their superomedial walls, which may be suboptimal for natural drainage. This may represent evolutionary lag, whereby the ostia remained in a quadrupedal position as bipedal humans evolved from their primate ancestors. This study examined the hypothesis that drainage of the maxillary sinus is optimal in the quadrupedal position. The drainage of the human maxillary sinus and an analogous quadruped, the goat, was examined and compared in the upright, quadrupedal, and intermediate positions. Department of Anatomy, King's College London. Cadaveric human and goat maxillary sinuses were filled with saline in each position and the volume at which saline overflowed through the ostia was noted. Volume at which spontaneous drainage occurred through ostia. The volume of saline instilled before drainage was maximal in the upright position and reduced with each increase in anterior tilt, with drainage occurring most easily at 90° for both human and goat sinuses. Drainage was significantly better in the quadrupedal head position than upright in both species (p < .01). This study demonstrated that human maxillary sinuses exhibit better passive drainage through their ostia when tilted anteriorly to mimic a quadrupedal head position. This may be an example of an evolutionary lag phenomenon and could be one etiologic factor in the prevalence of maxillary sinusitis in humans.

Influence of drainage and nutrient-solution nitrogen and potassium concentrations on the agronomic behavior of bell-pepper plants cultivated in a substrate

PubMed Central

2017-01-01

The interactive effects of N (6, 9, 12 and 15 mmol L-1) and K (3, 5, 7, and 9 mmol L-1) concentrations in nutrient solutions were evaluated on bell pepper grown in a coconut-coir substrate and fertilized without drainage. An additional treatment with drainage was evaluated using N and K concentrations of 12 and 7 mmol L-1, respectively. The hybrid Eppo cultivar of yellow bell pepper was cultivated for 252 days beginning 9 November 2012. Electrical conductivity (EC), the N and K concentrations in the substrate solution, marketable fruit yield, total dry weight and macronutrient concentrations in shoots were periodically evaluated. Fruit production was lower in the system without drainage, regardless of the N and K concentrations, compared to the recommended 10–20% drainage of the volume of nutrient solution applied. Higher K concentrations in the nutrient solution did not affect plant production in the system without drainage for the substrate with an initial K concentration of 331.3 mg L-1. Fruit yield was higher without drainage at a nutrient-solution N concentration of 10.7 mmol L-1. The upper EC limit of the substrate solution in the system without drainage was exceeded 181 days after planting. Either lower nutrient concentrations in the nutrient solution or a drainage system could thus control the EC in the substrate solution. PMID:28678884

The unpredictability of lymphatic drainage from the ear in melanoma patients, and its implications for management.

PubMed

Peach, Howard S; van der Ploeg, Augustinus P T; Haydu, Lauren E; Stretch, Jonathan R; Shannon, Kerwin F; Uren, Roger F; Thompson, John F

2013-05-01

The ear is known to have variable lymphatic drainage. The purpose of this study was to define better the lymphatic drainage patterns of the ear by correlating the location of primary tumors, classified according to the embryologically derived anatomical subunits of the ear, with their mapped sentinel nodes (SNs) identified by lymphoscintigraphy (LS). Lymphatic drainage data for patients with a primary melanoma of the ear were reviewed and correlated with the precise primary melanoma site. Between 1993 and 2010, LS was performed in 111 patients with a primary melanoma on the ear, identifying 281 SNs in 195 lymph node (LN) fields. The mean numbers of SNs and LN fields identified by LS per patient were 2.65 and 1.76. SN biopsy was performed in 71 patients (64 %). The mean number of SNs removed was 2.36. The 111 ear melanomas were mostly located on the helical rim (55 %), followed by the lobule (24.3 %). The five different primary ear sites drained mainly to SNs in level CII, level CV and the preauricular region. Drainage was most often to level CII (36.4 %). Drainage to the contralateral neck was not observed. Lymphatic drainage of the ear has no predictable pattern and can be to SNs anywhere in the ipsilateral neck. Most commonly drainage is to cervical level II and the preauricular and postauricular LN fields. LS defines the lymphatic drainage pattern in individual melanoma patients and is essential for accurate SN identification and reliable SN biopsy.

Comparison of Small Bore Catheter Aspiration and Chest Tube Drainage in the Management of Spontaneous Pneumothorax.

PubMed

Korczyński, P; Górska, K; Nasiłowski, J; Chazan, R; Krenke, R

2015-01-01

Beside standard chest tube drainage other less invasive techniques have been used in the management of patients with an acute episode of spontaneous pneumothorax. The aim of the study was to evaluate the short term effect of spontaneous pneumothorax treatment with small-bore pleural catheter and manual aspiration as compared to large-bore chest tube drainage. Patients with an episode of pneumothorax who required pleural intervention were enrolled in the study and randomly assigned to one of the treatment arms: (1) small-bore pleural catheter (8 Fr) with manual aspiration; (2) standard chest tube drainage (20-24 Fr). Success rate of the first line treatment, duration of catheter or chest tube drainage, and the need for surgical intervention were the outcome measures. The study group included 49 patients (mean age 46.9±21.3 years); with 22 and 27 allocated to small bore manual aspiration and chest tube drainage groups, respectively. There were no significant differences in the baseline characteristics of patients in both therapeutic arms. First line treatment success rates were 64% and 82% in the manual aspiration and chest tube drainage groups, respectively; the difference was insignificant. Median time of treatment with small bore catheter was significantly shorter than conventional chest tube drainage (2.0 vs. 6.0 days; p<0.05). Our results show that treatment of spontaneous pneumothorax with small-bore pleural catheter and manual aspiration might be similarly effective as is chest tube drainage in terms of immediate lung re-expansion.

The study of the stress - strain state of the tank with bottom water drainage during operation

NASA Astrophysics Data System (ADS)

Shchipkova, Yu V.; Tokarev, V. V.

2018-04-01

Bottom drainage from tank is a current problem in modern tank usage. This article proposes the use of the bottom drainage system from the tank with the shape of the sloped cone to the centre of it. Changing the bottom design alters the stress - strain state to be analyzed in the Ansys. The analysis concluded that the proposed drainage system should be applied.

Effects of long-term drainage on microbial community composition vary between peatland types

NASA Astrophysics Data System (ADS)

Urbanová, Zuzana; Barta, Jiri

2016-04-01

Peatlands represent an important reservoir of carbon, but their functioning can be threatened by water level drawdown caused by climate or land use change. Knowledge of how microbial communities respond to long-term drainage in different peatland types could help improve predictions of the effect of climate change on these ecosystems. We investigated the effect of long-term drainage on microbial community composition in bog, fen and spruce swamp forests (SSF) in the Sumava Mountains (Czech Republic), using high-throughput barcoded sequencing, in relation to peat biochemical properties. Longterm drainage had substantial effects, which depended strongly on peatland type, on peat biochemical properties and microbial community composition. The effect of drainage was most apparent on fen, followed by SSF, and lowest on bog. Long-term drainage led to lower pH, reduced peat decomposability and increased bulk density, which was reflected by reduced microbial activity. Bacterial diversity decreased and Acidobacteria became the dominant phylum on drained sites, reflecting a convergence in bacterial community composition across peatlands after long-term drainage. The archaeal communities changed very strongly and became similar across drained peatlands. Overall, the characteristic differences between distinct peatland types under natural conditions were diminished by long-term drainage. Bog represented a relatively resilient system while fen seemed to be very sensitive to environmental changes.

Drainage alone or combined with anti-tumor therapy for treatment of obstructive jaundice caused by recurrence and metastasis after primary tumor resection.

PubMed

Xu, Chuan; Huang, Xin-En; Wang, Shu-Xiang; Lv, Peng-Hua; Sun, Ling; Wang, Fu-An; Wang, Li-Fu

2014-01-01

To compare drainage alone or combined with anti-tumor therapy for treatment of obstructive jaundice caused by recurrence and metastasis after primary tumor resection. We collect 42 patients with obstructive jaundice caused by recurrence and metastasis after tumor resection from January 2008 - August 2012, for which percutaneous transhepatic catheter drainage (pTCD)/ percutaneous transhepatic biliary stenting (pTBS) were performed. In 25 patients drainage was combined with anti-tumor treatment, antineoplastic therapy including intra/postprodure local treatment and postoperative systemic chemotherapy, the other 17 undergoing drainage only. We assessed the two kinds of treatment with regard to patient prognosis. Both treatments demonstrated good effects in reducing bilirubin levels in the short term and promoting liver function. The time to reobstruction was 125 days in the combined group and 89 days in the drainage only group; the mean survival times were 185 and 128 days, the differences being significant. Interventional drainage in the treatment of the obstructive jaundice caused by recurrence and metastasis after tumor resection can decrease bilirubin level quickly in a short term and promote the liver function recovery. Combined treatment prolongs the survival time and period before reobstruction as compared to drainage only.

Opportunities for Reducing Nitrate Export from Drainage Systems through In-field Nitrogen Management, Cropping Practices, and Drainage Design and Management

NASA Astrophysics Data System (ADS)

Helmers, M.; Zhou, X.; Qi, Z.; Christianson, R.; Pederson, C.

2011-12-01

Subsurface drainage systems are widely used throughout the upper Midwest corn-belt. While the use of these drainage systems has greatly increased crop production, they have also increased nitrate-nitrogen export to downstream waterbodies. As a result, there is a need to evaluate and implement management practices that have potential to reduce nitrate-nitrogen loss. A twenty year study in Iowa has shown that major factors in nitrate-nitrogen loss are land use and hydrology. Studies from north-central Iowa have also indicated that nitrogen application rate and to a lesser degree timing of nitrogen application important factors for nitrate-nitrogen loss. A four-year (2007-2010) drainage management study in southeast Iowa indicates that shallow and controlled drainage systems have potential to decrease subsurface drainage and thereby reduce nitrate-N loss from drain water but the level of implementation of controlled drainage may be limited by topography. Cropping practices through cover crops or perennial biomass crops have also been documented to have potential to reduce downstream nitrate-nitrogen export but the level of implementation may be limited by management and economic considerations. To achieve reduction goals for protection of local and regional water quality will require a combination of these practices at the landscape scale.

Glacial lake drainage in Patagonia (13-8 kyr) and response of the adjacent Pacific Ocean

PubMed Central

Glasser, Neil F.; Jansson, Krister N.; Duller, Geoffrey A. T.; Singarayer, Joy; Holloway, Max; Harrison, Stephan

2016-01-01

Large freshwater lakes formed in North America and Europe during deglaciation following the Last Glacial Maximum. Rapid drainage of these lakes into the Oceans resulted in abrupt perturbations in climate, including the Younger Dryas and 8.2 kyr cooling events. In the mid-latitudes of the Southern Hemisphere major glacial lakes also formed and drained during deglaciation but little is known about the magnitude, organization and timing of these drainage events and their effect on regional climate. We use 16 new single-grain optically stimulated luminescence (OSL) dates to define three stages of rapid glacial lake drainage in the Lago General Carrera/Lago Buenos Aires and Lago Cohrane/Pueyrredón basins of Patagonia and provide the first assessment of the effects of lake drainage on the Pacific Ocean. Lake drainage occurred between 13 and 8 kyr ago and was initially gradual eastward into the Atlantic, then subsequently reorganized westward into the Pacific as new drainage routes opened up during Patagonian Ice Sheet deglaciation. Coupled ocean-atmosphere model experiments using HadCM3 with an imposed freshwater surface “hosing” to simulate glacial lake drainage suggest that a negative salinity anomaly was advected south around Cape Horn, resulting in brief but significant impacts on coastal ocean vertical mixing and regional climate. PMID:26869235

Burr-hole Irrigation with Closed-system Drainage for the Treatment of Chronic Subdural Hematoma: A Meta-analysis

PubMed Central

XU, Chen; CHEN, Shiwen; YUAN, Lutao; JING, Yao

2016-01-01

There is controversy among neurosurgeons regarding whether irrigation or drainage is necessary for achieving a lower revision rate for the treatment of chronic subdural hematoma (CSDH) using burr-hole craniostomy (BHC). Therefore, we performed a meta-analysis of all available published reports. Multiple electronic health databases were searched to identify all studies published between 1989 and June 2012 that compared irrigation and drainage. Data were processed by using Review Manager 5.1.6. Effect sizes are expressed as pooled odds ratio (OR) estimates. Due to heterogeneity between studies, we used the random effect of the inverse variance weighted method to perform the meta-analysis. Thirteen published reports were selected for this meta-analysis. The comprehensive results indicated that there were no statistically significant differences in mortality or complication rates between drainage and no drainage (P > 0.05). Additionally, there were no differences in recurrence between irrigation and no irrigation (P > 0.05). However, the difference between drainage and no drainage in recurrence rate reached statistical significance (P < 0.01). The results from this meta-analysis suggest that burr-hole surgery with closed-system drainage can reduce the recurrence of CSDH; however, irrigation is not necessary for every patient. PMID:26377830

Remote sensing revealed drainage anomalies and related tectonics of South India

NASA Astrophysics Data System (ADS)

Ramasamy, SM.; Kumanan, C. J.; Selvakumar, R.; Saravanavel, J.

2011-03-01

Drainages have characteristic pattern and life histories with youthful stage in hilly areas, mature stage in plains and old stage in the coastal zones. The deviations from their normal life histories, especially aberrations in their flow pattern in the form of various drainage anomalies have been inferred to be the indications of dominantly the Eustatic and Isostatic changes. This, especially after the advent of Earth Observing Satellites, has attracted the geoscientists from all over the world, for studying such drainage anomalies. In this connection, a study has been undertaken in parts of South India falling south of 14° south latitude to comprehensively map some drainage anomalies like deflected drainages, eyed drainages and compressed meanders and to evolve the tectonic scenario therefrom. The mapping of such mega drainage anomalies and the related lineaments/faults from the satellite digital data and the integration of such lineaments/faults with the overall lineament map of South India showed that the study area is marked by active N-S block faults and NE-SW sinistral and NW-SE dextral strike slip faults. Such an architecture of active tectonic grains indicates that the northerly directed compressive force which has originally drifted the Indian plate towards northerly is still active and deforming the Indian plate.

Biogeography and divergent patterns of body size disparification in North American minnows.

PubMed

Martin, Samuel D; Bonett, Ronald M

2015-12-01

Body size is one of the most important traits influencing an organism's ecology and a major axis of evolutionary change. We examined body size disparification in the highly speciose North American minnows (Cyprinidae), which exhibit diverse body sizes and ecologies, including the giant piscivorous pikeminnows. We estimated a novel phylogeny for 285 species based on a supermatrix alignment of seven mitochondrial and ten nuclear genes, and used this to reconstruct ancestral body sizes (log-total length) and ancestral area. Additionally, given that fishes inhabiting Pacific drainages have historically been subjected to frequent local extinctions due to periodic flooding, droughts, and low drainage connectivity, we also compared body size disparification between the highly speciose Atlantic drainages and comparatively depauperate Pacific drainages. We found that dispersal between Atlantic and Pacific drainages has been infrequent and generally occurred in minnows with southerly distributions, where drainage systems are younger and less stable. The long isolation between Atlantic and Pacific drainages has allowed for divergent patterns of morphological disparification; we found higher rates of body size disparification in minnows from the environmentally harsher Pacific drainages. We propose several possible explanations for the observed patterns of size disparification in the context of habitat stability, niche space, and species diversification. Copyright © 2015 Elsevier Inc. All rights reserved.

Extraction of Martian valley networks from digital topography

NASA Technical Reports Server (NTRS)

Stepinski, T. F.; Collier, M. L.

2004-01-01

We have developed a novel method for delineating valley networks on Mars. The valleys are inferred from digital topography by an autonomous computer algorithm as drainage networks, instead of being manually mapped from images. Individual drainage basins are precisely defined and reconstructed to restore flow continuity disrupted by craters. Drainage networks are extracted from their underlying basins using the contributing area threshold method. We demonstrate that such drainage networks coincide with mapped valley networks verifying that valley networks are indeed drainage systems. Our procedure is capable of delineating and analyzing valley networks with unparalleled speed and consistency. We have applied this method to 28 Noachian locations on Mars exhibiting prominent valley networks. All extracted networks have a planar morphology similar to that of terrestrial river networks. They are characterized by a drainage density of approx.0.1/km, low in comparison to the drainage density of terrestrial river networks. Slopes of "streams" in Martian valley networks decrease downstream at a slower rate than slopes of streams in terrestrial river networks. This analysis, based on a sizable data set of valley networks, reveals that although valley networks have some features pointing to their origin by precipitation-fed runoff erosion, their quantitative characteristics suggest that precipitation intensity and/or longevity of past pluvial climate were inadequate to develop mature drainage basins on Mars.

Outcomes of Heimlich valve drainage in dogs.

PubMed

Salci, H; Bayram, A S; Gorgul, O S

2009-04-01

Retrospective study of the outcomes of Heimlich valve drainage in dogs. Medical records of the past 3 years were retrospectively reviewed. Heimlich valve drainage was used in 34 dogs (median body weight 30 +/- 5 kg): lobectomy (n = 15), pneumonectomy (n = 9), intrathoracic oesophageal surgery (n = 2), diaphragmatic hernia repair (n = 1), traumatic open pneumothorax (n = 2), bilobectomy (n = 2), ligation of the thoracic duct (n = 1), and chylothorax and pneumothorax (n = 1 each). Evacuation of air and/or fluid from the pleural cavity was performed with the Heimlich valve following thoracostomy tube insertion. During drainage, the dogs were closely monitored for possible respiratory failure. Termination of Heimlich valve drainage was controlled with underwater seal drainage and assessed with thoracic radiography. Negative intrathoracic pressure was provided in 29 dogs without any complications. Post pneumonectomy respiratory syncope and post lobectomy massive hemothorax, which did not originate from the Heimlich valve, were the only postoperative complications. Dysfunction of the valve diaphragm, open pneumothorax and intrathoracic localisation of an acute gastric dilatation-volvulus syndrome caused by a left-sided diaphragmatic hernia following pneumonectomy were the Heimlich valve drainage complications. The Heimlich valve can be used as a continuous drainage device in dogs, but the complications reported here should be considered by veterinary practitioners.

Comparison of Medpor Coated Tear Drainage Tube versus Silicon Tear Drainage Tube in Conjunctivodacryocystorhinostomy: Problems and Solutions

PubMed Central

Sendul, Selam Yekta; Cagatay, Halil Huseyin; Dirim, Burcu; Demir, Mehmet; Yıldız, Ali Atakhan; Acar, Zeynep; Cinar, Sonmez; Guven, Dilek

2014-01-01

Purpose. This study aims at comparing two different types of drainage tubes in conjunctivodacryocystorhinostomy, which are used for upper lacrimal system obstruction or damage, with respect to their respective postoperative problems and solutions. Methods. Nineteen eyes of 17 patients who underwent conjunctivodacryocystorhinostomy (CDCR) or conjunctivorhinostomy (CR) surgery with a Medpor coated tear drainage tube or silicon tube placement between October, 2010, and February, 2014, were included in this retrospective comparative study. Results. In the initial surgery, Medpor coated tear drainage tubes were used in 11 eyes by CDCR, whereas silicon tear drainage tubes were implanted into 2 eyes by CR and 6 eyes by CDCR. In group 1, proximal and distal obstructions developed postoperatively in 4 eyes, while 1 eye showed tube malposition and 3 eyes developed luminal obstruction by debris 3 times. In group 2, tube extrusion developed in 4 eyes, whereas tube malposition developed in 6 eyes and luminal obstruction by debris developed in 6 eyes at different times, for a total of 20 times. Conclusions. In our study, the most significant complication we observed in the use of silicon tear drainage tubes was tube extrusion,whereas the leading complication related to the use of Medpor coated tear drainage tubes was tube obstruction. PMID:25379518

Comparison of Medpor coated tear drainage tube versus silicon tear drainage tube in conjunctivodacryocystorhinostomy: problems and solutions.

PubMed

Sendul, Selam Yekta; Cagatay, Halil Huseyin; Dirim, Burcu; Demir, Mehmet; Yıldız, Ali Atakhan; Acar, Zeynep; Cinar, Sonmez; Guven, Dilek

2014-01-01

This study aims at comparing two different types of drainage tubes in conjunctivodacryocystorhinostomy, which are used for upper lacrimal system obstruction or damage, with respect to their respective postoperative problems and solutions. Nineteen eyes of 17 patients who underwent conjunctivodacryocystorhinostomy (CDCR) or conjunctivorhinostomy (CR) surgery with a Medpor coated tear drainage tube or silicon tube placement between October, 2010, and February, 2014, were included in this retrospective comparative study. In the initial surgery, Medpor coated tear drainage tubes were used in 11 eyes by CDCR, whereas silicon tear drainage tubes were implanted into 2 eyes by CR and 6 eyes by CDCR. In group 1, proximal and distal obstructions developed postoperatively in 4 eyes, while 1 eye showed tube malposition and 3 eyes developed luminal obstruction by debris 3 times. In group 2, tube extrusion developed in 4 eyes, whereas tube malposition developed in 6 eyes and luminal obstruction by debris developed in 6 eyes at different times, for a total of 20 times. In our study, the most significant complication we observed in the use of silicon tear drainage tubes was tube extrusion,whereas the leading complication related to the use of Medpor coated tear drainage tubes was tube obstruction.

External Versus Internal Pancreatic Duct Drainage for the Early Efficacy After Pancreaticoduodenectomy: A Retrospectively Comparative Study.

PubMed

Wang, Gang; Li, Le; Ma, Yuan; Qu, Feng-Zhi; Zhu, Hong; Lv, Jia-Chen; Jia, Yue-Hui; Wu, Lin-Feng; Sun, Bei

2016-08-01

To compare the early efficacy of external versus internal pancreatic duct drainage after pancreaticoduodenectomy (PD), providing clinical evidence for selecting the optimal approach to pancreatic duct drainage. The clinical data of 395 consecutive patients undergoing PD from 2006 to 2013 were analyzed retrospectively. All the patients were divided into external and internal drainage group. Intraoperative blood loss, surgery duration, postoperative hospitalization duration, mortality rate, PF, and other complications were compared between the two groups. The perioperative relative risk factors that might induce PF were analyzed. External drainage significantly reduced the incidences of post-PD PF, delayed gastric emptying, abdominal infection, bowel obstruction, overall complications, and shortened the healing time of PF (p < .05). The univariate analysis showed that the pancreatic duct drainage method, body mass index (BMI), preoperative serum bilirubin level, perioperative blood transfusion, pancreaticojejunostomy approach, pancreatic texture, pancreatic duct diameter, and primary disease differed markedly between the two groups (p < .05). A multivariate analysis revealed that BMI ≥ 25 kg/m(2), internal pancreatic duct drainage, pancreatic duct diameter <3 mm, soft pancreatic texture, and ampullary disease were independent risk factors for PF. External pancreatic duct drainage can effectively reduce the morbidity of PF and overall complications after PD.

Pesticide leaching by agricultural drainage in sloping, mid-textured soil conditions - the role of runoff components.

PubMed

Zajíček, Antonín; Fučík, Petr; Kaplická, Markéta; Liška, Marek; Maxová, Jana; Dobiáš, Jakub

2018-04-01

Dynamics of pesticides and their metabolites in drainage waters during baseflow periods and rainfall-runoff events (RREs) were studied from 2014 to 2016 at three small, tile-drained agricultural catchments in Bohemian-Moravian Highlands, Czech Republic. Drainage systems in this region are typically built in slopes with considerable proportion of drainage runoff originating outside the drained area itself. Continuous monitoring was performed by automated samplers, and the event hydrograph was separated using 18 O and 2 H isotopes and drainage water temperature. Results showed that drainage systems represent a significant source for pesticides leaching from agricultural land. Leaching of pesticide metabolites was mainly associated with baseflow and shallow interflow. Water from causal precipitation diluted their concentrations. The prerequisites for the leaching of parental compounds were a rainfall-runoff event occurring shortly after spraying, and the presence of event water in the runoff. When such situations happened consequently, pesticides concentrations in drainage water were high and the pesticide load reached several grams in a few hours. Presented results introduce new insights into the processes of pesticides movement in small, tile-drained catchments and emphasizes the need to incorporate drainage hydrology and flow-triggered sampling into monitoring programmes in larger catchments as well as in environment-conservation policy.

A single-centre experience of Roux-en-Y enteric drainage for pancreas transplantation.

PubMed

Amin, Irum; Butler, Andrew J; Defries, Gail; Russell, Neil K; Harper, Simon J F; Jah, Asif; Saeb-Parsy, Kourosh; Pettigrew, Gavin J; Watson, Christopher J E

2017-04-01

Exocrine drainage following pancreas transplantation can be achieved by drainage into the bladder or bowel, the latter typically by direct duodeno-jejunostomy; the use of Roux-en-Y enteric drainage is uncommon. We report a retrospective analysis of a single-centre experience of Roux-en-Y enteric drainage following pancreas transplantation. Over a 14-year period (2001-2015), 204 consecutive adult pancreas transplants were performed (96.6% simultaneous pancreas and kidney transplants), of which 26.0% were from donors after circulatory death (DCD). During a median follow-up of 67 months (range 13-183 months), 14 (6.9%) recipients experienced complications related to their enteric drainage. Complications during follow-up included early enteric anastomotic haemorrhage (five patients), non-anastomotic enteric bleeding (one patient), small bowel obstruction (four patients) and graft duodenal perforation (two within 6 weeks, five beyond 12 months). No recipient lost their graft as a direct result of complications related to enteric drainage. Patient and pancreas graft survival at 1 year was 99.0% and 94.0% and at 5 years 91.3% and 84.9%, respectively. We conclude that Roux-en-Y enteric drainage following pancreas transplantation is a safe and effective procedure and facilitates graft salvage in the event of graft duodenal perforation. © 2017 Steunstichting ESOT.

Analysis of the stormwater drainage of the historic walls of Cartagena de Indias between the bastions of San Lucas, Santa Catalina and Santa Clara

NASA Astrophysics Data System (ADS)

Utria, A.; Saba, M.; Quiñones-Bolaños, E.

2017-12-01

The city walls of Cartagena between the Baluarte of San Lucas and Santa Clara reflects the consequences of poor stormwater drainage. In the present investigation the current drainage state of this area have been evaluated, assessing its sizing and conditions to be then modelled through SWMM 5 software for return periods of 5, 10, 15 and 20 years respectively. Finally, it has been determined that the physical deterioration of the drainage elements justifies the malfunction of the whole system, therefore cleaning and periodic maintenance of the drainage elements is strongly suggested.

Characterization of asphalt drainage course layers.

DOT National Transportation Integrated Search

2010-08-01

Asphalt Drainage Courses (ADCs) have generally been required under all four-lane flexible : pavements in Mississippi. Asphalt drainage courses are designed in Mississippi using No. 57 limestone, : sandstone or granite combined with 2.5 percent asphal...

9 CFR 354.223 - Drainage and plumbing.

Code of Federal Regulations, 2010 CFR

2010-01-01

... approved traps and vents. The drainage and plumbing system must permit the quick runoff of all water from... covers. (3) Toilet soil lines shall be separate from house drainage lines to a point outside the...

Prospective, randomised, controlled trial comparing suture needle drainage and argon laser drainage of subretinal fluid.

PubMed Central

Aylward, G W; Orr, G; Schwartz, S D; Leaver, P K

1995-01-01

AIMS--This study was designed to compare suture needle drainage (SND) with argon laser drainage (ALD) of subretinal fluid. METHODS--A prospective, randomised, controlled, clinical trial was carried out on 93 patients undergoing external drainage of subretinal fluid during scleral buckling surgery for rhegmatogenous retinal detachment. The incidence of successful drainage, incidence of subretinal haemorrhage, incidence of retinal incarceration, and incidence of retinal perforation were determined. RESULTS--The success rate was 97.9% in the ALD group and 84.8% in the SND group (difference-13.1%, 95% CI-26.4% to 2.0%). The incidence of clinically significant subretinal haemorrhage was 4.3% in the ALD group compared with 28.3% in the SND group (difference 24.0%, 95% CI 7.6% to 40.4%). The incidence of incarceration was comparable in each group. There were no cases of retinal perforation. CONCLUSIONS--The use of ALD was associated with a higher rate of successful SRF drainage, and a lower incidence of clinically significant subretinal haemorrhage than SND. ALD is preferred when an endolaser is available. PMID:7547781

Endoscopic management of pancreatic fluid collections-revisited

PubMed Central

Nabi, Zaheer; Basha, Jahangeer; Reddy, D Nageshwar

2017-01-01

The development of pancreatic fluid collections (PFC) is one of the most common complications of acute severe pancreatitis. Most of the acute pancreatic fluid collections resolve and do not require endoscopic drainage. However, a substantial proportion of acute necrotic collections get walled off and may require drainage. Endoscopic drainage of PFC is now the preferred mode of drainage due to reduced morbidity and mortality as compared to surgical or percutaneous drainage. With the introduction of new metal stents, the efficiency of endoscopic drainage has improved and the task of direct endoscopic necrosectomy has become easier. The requirement of re-intervention is less with new metal stents as compared to plastic stents. However, endoscopic drainage is not free of adverse events. Severe complications including bleeding, perforation, sepsis and embolism have been described with endoscopic approach to PFC. Therefore, the endoscopic management of PFC is a multidisciplinary affair and involves interventional radiologists as well as GI surgeons to deal with unplanned adverse events and failures. In this review we discuss the recent advances and controversies in the endoscopic management of PFC. PMID:28487603

New drainage tunnel of the tunnel Višňové - design and excavation

NASA Astrophysics Data System (ADS)

Jurík, Igor; Grega, Ladislav; Valko, Jozef; Janega, Peter

2017-09-01

The actual pilot tunnel dated to the period of geological and hydrogeological survey, is designed as a part of the tunnel Višňové, which is located at the section of the D1 motorway Lietavská Lúčka - Višňové - Dubná Skala in Slovakia. Drainage tunnel will be used for the drainage of the main tunnel tubes, where the maximum inflow from the eastern portal is greater than 250 l.s-1. Overlapping of the initial pilot tunnel with the profile of the southern tunnel tube led to the demolition of the portal sections of the pilot tunnel during the excavation of main tunnel tubes. These sections were replaced by new drainage tunnels, with the lengths of 288.0 meters from west portal and 538.0 meters from eastern portal, to ensure access from both portals. The new drainage tunnel is excavated under the level of the two main tunnel tubes. Drainage pipes with a diameter of 250 mm will be installed from cleaning niches in the main tunnel tubes to the new drainage tunnel.

Urban drainage system planning and design--challenges with climate change and urbanization: a review.

PubMed

Yazdanfar, Zeinab; Sharma, Ashok

2015-01-01

Urban drainage systems are in general failing in their functions mainly due to non-stationary climate and rapid urbanization. As these systems are becoming less efficient, issues such as sewer overflows and increase in urban flooding leading to surge in pollutant loads to receiving water bodies are becoming pervasive rapidly. A comprehensive investigation is required to understand these factors impacting the functioning of urban drainage, which vary spatially and temporally and are more complex when weaving together. It is necessary to establish a cost-effective, integrated planning and design framework for every local area by incorporating fit for purpose alternatives. Carefully selected adaptive measures are required for the provision of sustainable drainage systems to meet combined challenges of climate change and urbanization. This paper reviews challenges associated with urban drainage systems and explores limitations and potentials of different adaptation alternatives. It is hoped that the paper would provide drainage engineers, water planners, and decision makers with the state of the art information and technologies regarding adaptation options to increase drainage systems efficiency under changing climate and urbanization.

An investigation of the effects of an arterial drainage scheme on the rainfall-runoff transformation behaviour of the Brosna catchment in Ireland

NASA Astrophysics Data System (ADS)

Bhattarai, K. P.; O'Connor, K. M.

2003-04-01

Inefficient natural land drainage and the consequent frequent flooding of rivers are a problem of particular significance to the Irish economy. Such problems can be attributed less to the amount of annual rainfall, than to the topological configuration of Ireland. Its high maritime rim and relatively flat interior results in poor river gradients, intercepted by many lakes. As a remedial measure to tackle these problems, Arterial Drainage Schemes (ADSs) were started in Ireland from as early as the beginning of the nineteenth century. The major activities carried out under ADSs have been the deepening and widening of channels to increase their discharge-carrying capacity, which naturally affected the hydrological behaviour of the catchments involved. Earlier studies carried out in order to assess the effects of such ADSs on the hydrological behaviour of Irish catchments were concentrated mainly on comparisons of unit hydrographs and relationship between flood peaks of pre- and post-drainage periods. The present study, carried out on the River Brosna catchment in Ireland, concentrates on assessing the changes in the rainfall runoff transformation process, by using the conceptual Soil Moisture Accounting and Routing Model (SMAR), one of the constituent models of the "Galway River Flow Modelling and Forecasting System (GFMFS)" software package. Hydro-meteorological data of the pre-drainage (1942--1947) and post-drainage (1954--2000) periods have been used in this study. The results of the present study show that, for similar patterns of rainfall, the catchment produces higher annual maximum daily flows, and lower annual minimum daily flows in the post-drainage period than in the pre-drainage period. Moreover, the post-drainage unit hydrographs are more "peaky" and have quicker recessions than the pre-drainage counterparts, thus confirming the findings of the earlier studies. It is also observed that, apart from the expected pre-to-post-drainage change, the nature of the catchment response throughout the post-drainage period has not remained the same as it reverted to pre-drainage-like behaviour after the first one-and-a-half decades (around 1969), indicating that the effects of the ADS had died out over that time. This behaviour was also confirmed by comparing the evolving nature of the unit hydrograph produced for a five-year moving calibration window period from 1959 to 1974. It is unclear at this point whether this change was due to the observed reduction in rainfall in the mid-seventies, inefficient maintenance of the channels, land subsidence following drainage, changes in land use, urbanization, climate change, or some other factors or combinations. The results of the present study further show that, during the nineties, the response pattern changed back again to something akin to early post-drainage-like behaviour, the reason for which is even less clear but obviously can not be attributed to the ADS. Further investigations are currently underway to try to explain such changes in the catchment response to rainfall and also to establish if similar changes occurred on other Irish catchments which also underwent arterial drainage schemes.

40 CFR 440.144 - New source performance standards (NSPS).

Code of Federal Regulations, 2014 CFR

2014-07-01

... discharged from an open-cut mine plant site shall not exceed the volume of infiltration, drainage and mine... not exceed the volume of infiltration, drainage and mine drainage waters which is in excess of the...

40 CFR 440.144 - New source performance standards (NSPS).

Code of Federal Regulations, 2012 CFR

2012-07-01

... discharged from an open-cut mine plant site shall not exceed the volume of infiltration, drainage and mine... not exceed the volume of infiltration, drainage and mine drainage waters which is in excess of the...

40 CFR 440.144 - New source performance standards (NSPS).

Code of Federal Regulations, 2013 CFR

2013-07-01

... discharged from an open-cut mine plant site shall not exceed the volume of infiltration, drainage and mine... not exceed the volume of infiltration, drainage and mine drainage waters which is in excess of the...

46 CFR 116.1110 - Drainage of flush deck vessels.

Code of Federal Regulations, 2013 CFR

2013-10-01

... ARRANGEMENT Drainage and Watertight Integrity of Weather Decks § 116.1110 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must be...

46 CFR 178.430 - Drainage of well deck vessels.

Code of Federal Regulations, 2012 CFR

2012-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.430 Drainage of well deck vessels. (a) The weather deck on a well deck vessel must be watertight. (b) The area required on a well...

46 CFR 116.1110 - Drainage of flush deck vessels.

Code of Federal Regulations, 2012 CFR

2012-10-01

... ARRANGEMENT Drainage and Watertight Integrity of Weather Decks § 116.1110 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must be...

46 CFR 178.430 - Drainage of well deck vessels.

Code of Federal Regulations, 2014 CFR

2014-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.430 Drainage of well deck vessels. (a) The weather deck on a well deck vessel must be watertight. (b) The area required on a well...

46 CFR 178.410 - Drainage of flush deck vessels.

Code of Federal Regulations, 2011 CFR

2011-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.410 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel...

46 CFR 178.430 - Drainage of well deck vessels.

Code of Federal Regulations, 2013 CFR

2013-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.430 Drainage of well deck vessels. (a) The weather deck on a well deck vessel must be watertight. (b) The area required on a well...

46 CFR 178.430 - Drainage of well deck vessels.

Code of Federal Regulations, 2010 CFR

2010-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.430 Drainage of well deck vessels. (a) The weather deck on a well deck vessel must be watertight. (b) The area required on a well...

46 CFR 178.410 - Drainage of flush deck vessels.

Code of Federal Regulations, 2012 CFR

2012-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.410 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel...

46 CFR 116.1110 - Drainage of flush deck vessels.

Code of Federal Regulations, 2014 CFR

2014-10-01

... ARRANGEMENT Drainage and Watertight Integrity of Weather Decks § 116.1110 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must be...

46 CFR 178.410 - Drainage of flush deck vessels.

Code of Federal Regulations, 2013 CFR

2013-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.410 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel...

46 CFR 178.410 - Drainage of flush deck vessels.

Code of Federal Regulations, 2014 CFR

2014-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.410 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel...

46 CFR 116.1110 - Drainage of flush deck vessels.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ARRANGEMENT Drainage and Watertight Integrity of Weather Decks § 116.1110 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must be...

46 CFR 178.430 - Drainage of well deck vessels.

Code of Federal Regulations, 2011 CFR

2011-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.430 Drainage of well deck vessels. (a) The weather deck on a well deck vessel must be watertight. (b) The area required on a well...

46 CFR 178.410 - Drainage of flush deck vessels.

Code of Federal Regulations, 2010 CFR

2010-10-01

... TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178.410 Drainage of flush deck vessels. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel...

[Circular transhepatic drainage as a palliative surgical measure in central bile duct obstruction].

PubMed

Neugebauer, W; Durst, J; Koslowski, L

1979-10-01

A transhepatic drainage tube was used in 27 patients suffering from echinococcus alveolaris of the liver of malignant process of the portal fissure from 1967 to 1978. If an hepatocholangioenterostomy is not possible, another surgical palliative procedure is necessary for drainage of the bile. The transhepatic drainage tube is a simple palliative method. The technique of this procedure, the indications, the possible complications, and the advantages are reported.

Efficacy of ultrasound-guided thoracentesis catheter drainage for pleural effusion

PubMed Central

Cao, Weitian; Wang, Yi; Zhou, Ningming; Xu, Bing

2016-01-01

The factors influencing the efficacy of ultrasound-guided thoracentesis catheter drainage were investigated in the present study. A retrospective analysis of clinical data from 435 patients who presented with a pleural effusion was performed. Patients were divided into a control group and an intervention group. Thirty-seven patients in the control group were given standard care using pleural puncture to draw the excess fluid. The 398 patients in the intervention group were treated using ultrasound-guided thoracentesis catheter drainage. The rate of successful drainage of a pleural effusion was significantly higher (P<0.05), while the rate of complication was lower, in the ultrasound-guided thoracentesis cases compared to standard care treatment. In conclusion, ultrasound-guided thoracentesis catheter drainage is an efficient, safe and minimally invasive procedure to alleviate pleural effusion. The efficacy of the procedure is related to the separation of pleural effusion, drainage tube type and tube diameter. PMID:28105155

Digital database architecture and delineation methodology for deriving drainage basins, and a comparison of digitally and non-digitally derived numeric drainage areas

USGS Publications Warehouse

Dupree, Jean A.; Crowfoot, Richard M.

2012-01-01

The drainage basin is a fundamental hydrologic entity used for studies of surface-water resources and during planning of water-related projects. Numeric drainage areas published by the U.S. Geological Survey water science centers in Annual Water Data Reports and on the National Water Information Systems (NWIS) Web site are still primarily derived from hard-copy sources and by manual delineation of polygonal basin areas on paper topographic map sheets. To expedite numeric drainage area determinations, the Colorado Water Science Center developed a digital database structure and a delineation methodology based on the hydrologic unit boundaries in the National Watershed Boundary Dataset. This report describes the digital database architecture and delineation methodology and also presents the results of a comparison of the numeric drainage areas derived using this digital methodology with those derived using traditional, non-digital methods. (Please see report for full Abstract)

Description and spatial inference of soil drainage using matrix soil colours in the Lower Hunter Valley, New South Wales, Australia

PubMed Central

McBratney, Alex B.; Minasny, Budiman

2018-01-01

Soil colour is often used as a general purpose indicator of internal soil drainage. In this study we developed a necessarily simple model of soil drainage which combines the tacit knowledge of the soil surveyor with observed matrix soil colour descriptions. From built up knowledge of the soils in our Lower Hunter Valley, New South Wales study area, the sequence of well-draining → imperfectly draining → poorly draining soils generally follows the colour sequence of red → brown → yellow → grey → black soil matrix colours. For each soil profile, soil drainage is estimated somewhere on a continuous index of between 5 (very well drained) and 1 (very poorly drained) based on the proximity or similarity to reference soil colours of the soil drainage colour sequence. The estimation of drainage index at each profile incorporates the whole-profile descriptions of soil colour where necessary, and is weighted such that observation of soil colour at depth and/or dominantly observed horizons are given more preference than observations near the soil surface. The soil drainage index, by definition disregards surficial soil horizons and consolidated and semi-consolidated parent materials. With the view to understanding the spatial distribution of soil drainage we digitally mapped the index across our study area. Spatial inference of the drainage index was made using Cubist regression tree model combined with residual kriging. Environmental covariates for deterministic inference were principally terrain variables derived from a digital elevation model. Pearson’s correlation coefficients indicated the variables most strongly correlated with soil drainage were topographic wetness index (−0.34), mid-slope position (−0.29), multi-resolution valley bottom flatness index (−0.29) and vertical distance to channel network (VDCN) (0.26). From the regression tree modelling, two linear models of soil drainage were derived. The partitioning of models was based upon threshold criteria of VDCN. Validation of the regression kriging model using a withheld dataset resulted in a root mean square error of 0.90 soil drainage index units. Concordance between observations and predictions was 0.49. Given the scale of mapping, and inherent subjectivity of soil colour description, these results are acceptable. Furthermore, the spatial distribution of soil drainage predicted in our study area is attuned with our mental model developed over successive field surveys. Our approach, while exclusively calibrated for the conditions observed in our study area, can be generalised once the unique soil colour and soil drainage relationship is expertly defined for an area or region in question. With such rules established, the quantitative components of the method would remain unchanged. PMID:29682425

Description and spatial inference of soil drainage using matrix soil colours in the Lower Hunter Valley, New South Wales, Australia.

PubMed

Malone, Brendan P; McBratney, Alex B; Minasny, Budiman

2018-01-01

Soil colour is often used as a general purpose indicator of internal soil drainage. In this study we developed a necessarily simple model of soil drainage which combines the tacit knowledge of the soil surveyor with observed matrix soil colour descriptions. From built up knowledge of the soils in our Lower Hunter Valley, New South Wales study area, the sequence of well-draining → imperfectly draining → poorly draining soils generally follows the colour sequence of red → brown → yellow → grey → black soil matrix colours. For each soil profile, soil drainage is estimated somewhere on a continuous index of between 5 (very well drained) and 1 (very poorly drained) based on the proximity or similarity to reference soil colours of the soil drainage colour sequence. The estimation of drainage index at each profile incorporates the whole-profile descriptions of soil colour where necessary, and is weighted such that observation of soil colour at depth and/or dominantly observed horizons are given more preference than observations near the soil surface. The soil drainage index, by definition disregards surficial soil horizons and consolidated and semi-consolidated parent materials. With the view to understanding the spatial distribution of soil drainage we digitally mapped the index across our study area. Spatial inference of the drainage index was made using Cubist regression tree model combined with residual kriging. Environmental covariates for deterministic inference were principally terrain variables derived from a digital elevation model. Pearson's correlation coefficients indicated the variables most strongly correlated with soil drainage were topographic wetness index (-0.34), mid-slope position (-0.29), multi-resolution valley bottom flatness index (-0.29) and vertical distance to channel network (VDCN) (0.26). From the regression tree modelling, two linear models of soil drainage were derived. The partitioning of models was based upon threshold criteria of VDCN. Validation of the regression kriging model using a withheld dataset resulted in a root mean square error of 0.90 soil drainage index units. Concordance between observations and predictions was 0.49. Given the scale of mapping, and inherent subjectivity of soil colour description, these results are acceptable. Furthermore, the spatial distribution of soil drainage predicted in our study area is attuned with our mental model developed over successive field surveys. Our approach, while exclusively calibrated for the conditions observed in our study area, can be generalised once the unique soil colour and soil drainage relationship is expertly defined for an area or region in question. With such rules established, the quantitative components of the method would remain unchanged.

Evaluating influence of active tectonics on spatial distribution pattern of floods along eastern Tamil Nadu, India

NASA Astrophysics Data System (ADS)

Selvakumar, R.; Ramasamy, SM.

2014-12-01

Flooding is a naturally recurrent phenomenon that causes severe damage to lives and property. Predictions on flood-prone zones are made based on intensity-duration of rainfall, carrying capacity of drainage, and natural or man-made obstructions. Particularly, the lower part of the drainage system and its adjacent geomorphic landforms like floodplains and deltaic plains are considered for analysis, but stagnation in parts of basins that are far away from major riverine systems is less unveiled. Similarly, uncharacteristic flooding in the upper and middle parts of drainage, especially in zones of an anomalous drainage pattern, is also least understood. Even though topographic differences are attributed for such anomalous spatial occurrence of floods, its genetic cause has to be identified for effective management practice. Added to structural and lithological variations, tectonic movements too impart micro-scale terrain undulations. Because active tectonic movements are slow-occurring, long-term geological processes, its resultant topographical variations and drainage anomalies are least correlated with floods. The recent floods of Tamil Nadu also exhibit a unique distribution pattern emphasizing the role of tectonics over it. Hence a detailed geoinformatics-based analysis was carried out to envisage the relationship between spatial distribution of flood and active tectonic elements such as regional arches and deeps, block faults, and graben and drainage anomalies such as deflected drainage, compressed meander, and eyed drainages. The analysis reveals that micro-scale topographic highs and lows imparted by active tectonic movements and its further induced drainage anomalies have substantially controlled the distribution pattern of flood.

Superoxide and nitric oxide production by Kupffer cells in rats with obstructive jaundice: effect of internal and external drainage.

PubMed

Li, Wen; Chan, Angus C W; Lau, James Y W; Lee, Danny W H; Ng, Enders K W; Sung, Joseph J Y; Chung, S C Sydney

2004-02-01

The role of Kupffer cells in obstructive jaundice (OJ) has not been fully understood. The aims of the present study were to measure superoxide and nitric oxide (NO) production by Kupffer cells in experimental OJ in rats and to investigate the response to internal and external biliary drainage. Eighty male Sprague-Dawley rats were assigned to four groups: sham operation, OJ, and internal and external biliary drainage. Kupffer cells were isolated on day 7 in the sham operation and OJ group, and on day 7 after drainage procedures. Cells were cultured with or without lipopolysaccharide (LPS). Superoxide production was quantified in cultured Kupffer cells at 2 h and 48 h, respectively, after cell isolation using the superoxide dismutase inhibitable ferricytochrome c reduction method. Nitrite production in cell culture supernatants was measured 48 h later using Greiss reagents. Without LPS stimulation, Kupffer cells produced comparable superoxide and nitrite in each group (P > 0.05). With LPS stimulation, Kupffer cells in the OJ group produced significantly higher superoxide anions than the other groups (P = 0.006). Nitrite production was significantly increased in the OJ group and external biliary drainage group compared to rats in the sham operation and internal drainage groups (P < 0.01). Kupffer cells from rats with OJ produce great amounts of endotoxin-mediated oxidants. Both internal and external biliary drainage can decrease the elevated superoxide production. Internal drainage is superior to external drainage for reversing the distortional capacity of NO production by Kupffer cells.

The effect of drainage tube on bleeding and prognosis after total knee arthroplasty: a prospective cohort study.

PubMed

Liu, Xiao-Han; Fu, Pei-Liang; Wang, Shi-Ying; Yang, Ya-Juan; Lu, Gen-Di

2014-04-23

To evaluate the effect of drainage tube on prognosis after total knee arthroplasty (TKA) and explore an effective treatment with favorable prognosis. In a prospective study, 18 patients with TKA for the first time were included and randomly divided into three groups, group A (no placement of drainage tube), group B (negative pressure drainage), and group C (4 h clamping drainage). Intraoperative and postoperative blood loss, operation time, and the drainage volume were recorded and analyzed. Arthrocele, ecchymosis, and range of motion (ROM) were examined postoperatively. The degree of pain was scored by Visual Analog Scale (VAS) after 6, 12, and 24 h of operation. The complications were examined and HSS (hospital for special surgery) knee score was taken during the follow-up period. There was no significant difference in operation time, total blood loss, intraoperative blood loss, and VAS score among three groups. Meanwhile, the hidden blood loss in group B was significantly decreased compared with group A (P = 0.0015). The postoperative drainage volume of group B was significantly increased compared with group C (P = 0.0002). No drainage increased the rate of arthrocele and ecchymosis. Compared with group A, ROM after 3 days of operation in groups B and C was significantly increased (P = 0.0357, P = 0.0372, respectively). During follow-up study, no deep infection or deep venous thrombosis was found. After TKA, early clamping of the drainage tube reduced the bleeding loss without adverse effect on prognosis, which might be useful for clinical application in future.

An analytical solution for predicting the transient seepage from a subsurface drainage system

NASA Astrophysics Data System (ADS)

Xin, Pei; Dan, Han-Cheng; Zhou, Tingzhang; Lu, Chunhui; Kong, Jun; Li, Ling

2016-05-01

Subsurface drainage systems have been widely used to deal with soil salinization and waterlogging problems around the world. In this paper, a mathematical model was introduced to quantify the transient behavior of the groundwater table and the seepage from a subsurface drainage system. Based on the assumption of a hydrostatic pressure distribution, the model considered the pore-water flow in both the phreatic and vadose soil zones. An approximate analytical solution for the model was derived to quantify the drainage of soils which were initially water-saturated. The analytical solution was validated against laboratory experiments and a 2-D Richards equation-based model, and found to predict well the transient water seepage from the subsurface drainage system. A saturated flow-based model was also tested and found to over-predict the time required for drainage and the total water seepage by nearly one order of magnitude, in comparison with the experimental results and the present analytical solution. During drainage, a vadose zone with a significant water storage capacity developed above the phreatic surface. A considerable amount of water still remained in the vadose zone at the steady state with the water table situated at the drain bottom. Sensitivity analyses demonstrated that effects of the vadose zone were intensified with an increased thickness of capillary fringe, capillary rise and/or burying depth of drains, in terms of the required drainage time and total water seepage. The analytical solution provides guidance for assessing the capillary effects on the effectiveness and efficiency of subsurface drainage systems for combating soil salinization and waterlogging problems.

Design and construction of a new asphalt drainage layer.

DOT National Transportation Integrated Search

2004-01-01

Because of the importance of having a good drainage mechanism built into a pavement structure to prevent premature failure, the Virginia Department of Transportation (VDOT) has used drainage layers under both portland cement concrete and asphalt conc...

Exploring Agricultural Drainage's Influence on Wetland and Watershed Connectivity

EPA Science Inventory

Artificial agricultural drainage (i.e. surface ditches or subsurface tile) is an important agricultural management tool. Artificial drainage allows for timely fieldwork and adequate root aeration, resulting in greater crop yields for farmers. This practice is widespread throughou...

46 CFR 171.140 - Drainage of a flush deck vessel.

Code of Federal Regulations, 2014 CFR

2014-10-01

... PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.140 Drainage of a flush deck vessel. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must...

46 CFR 171.140 - Drainage of a flush deck vessel.

Code of Federal Regulations, 2010 CFR

2010-10-01

... PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.140 Drainage of a flush deck vessel. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must...

46 CFR 171.140 - Drainage of a flush deck vessel.

Code of Federal Regulations, 2013 CFR

2013-10-01

... PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.140 Drainage of a flush deck vessel. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must...

46 CFR 171.140 - Drainage of a flush deck vessel.

Code of Federal Regulations, 2012 CFR

2012-10-01

... PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.140 Drainage of a flush deck vessel. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must...

46 CFR 171.140 - Drainage of a flush deck vessel.

Code of Federal Regulations, 2011 CFR

2011-10-01

... PERTAINING TO VESSELS CARRYING PASSENGERS Drainage of Weather Decks § 171.140 Drainage of a flush deck vessel. (a) Except as provided in paragraph (b) of this section, the weather deck on a flush deck vessel must...

Evaluating roadway subsurface drainage practices - phase II : [tech transfer summary].

DOT National Transportation Integrated Search

2015-04-01

The presence of subsurface drainage systems (e.g., granular bases or : outlets) is generally believed to be beneficial to the performance of : various pavement types. Well-performing subsurface drainage systems : form an important aspect of pavement ...

Unilobar Versus Bilobar Biliary Drainage: Effect on Quality of Life and Bilirubin Level Reduction

PubMed Central

Gamanagatti, Shivanand; Singh, Tejbir; Sharma, Raju; Srivastava, Deep N; Dash, Nihar Ranjan; Garg, Pramod Kumar

2016-01-01

Background: Percutaneous biliary drainage is an accepted palliative treatment for malignant biliary obstruction. Purpose: To assess the effect on quality of life (QOL) and bilirubin level reduction in patients with inoperable malignant biliary obstruction treated by unilobar or bilobar percutaneous transhepatic biliary drainage (PTBD). Materials and Methods: Over a period of 2 years, 49 patients (age range, 22–75 years) of inoperable malignant biliary obstruction were treated by PTBD. Technical and clinical success rates, QOL, patency rates, survival rates, and complications were recorded. Clinical success rates, QOL, and bilirubin reduction were compared in patients treated with complete (n = 21) versus partial (n = 28) liver parenchyma drainage. QOL before and 1 month after biliary drainage were analyzed retrospectively between these two groups. Results: Biliary drainage was successful in all 49 patients, with an overall significant reduction of the postintervention bilirubin levels (P < 0.001) resulting in overall clinical success rate of 89.97%. Clinical success rates were similar in patients treated with whole-liver drainage versus partial-liver drainage. Mean serum bilirubin level before PTBD was 19.85 mg/dl and after the procedure at 1 month was 6.02 mg/dl. The mean baseline functional score was 39.35, symptom scale score was 59.55, and global health score was 27.45. At 1 month, mean functional score was 61.25, symptom scale score was 36.0 4, and global health score was 56.33, with overall significant improvement in QOL (<0.001). There was a statistically significant difference in the improvement of the QOL scores (P = 0.002), among patients who achieved clinical success, compared with those patients who did not achieve clinical success at 1 month. We did not find any significant difference in the QOL scores in patients according to the amount of liver drained (unilateral or bilateral drainage), the type of internalization used (ring biliary or stent). Overall, minor and major complications rates were 14.3% and 8.1%, respectively. Conclusion: Percutaneous biliary drainage provides good palliation of malignant obstructive jaundice. Partial-liver drainage achieved results as good as those after complete liver drainage with significant improvements in QOL and reduction of the bilirubin level. PMID:26962281

Image-Guided Transvesicular Drainage of Pelvic Fluid Collections: A Safe and Effective Alternative Approach.

PubMed

Ayyagari, Raj R; Yeh, Cliff; Arici, Melih; Mojibian, Hamid; Reiner, Eric; Pollak, Jeffrey S

2016-05-01

To evaluate the safety and efficacy of percutaneous transvesicular drainage of pathologic pelvic fluid collections, a series of 15 patients who underwent 16 transvesicular drainage catheter placements was retrospectively reviewed. All patients had collections suspicious for infection that were posterior to the bladder or superior to the bladder behind loops of bowel, and were otherwise inaccessible. All 15 collections were percutaneously accessed via the bladder with standard drainage catheters. All collections resolved completely with no complications. Percutaneous transvesicular drainage was a safe and effective technique in this series, and can be considered when no direct percutaneous access routes are available. Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.

Drainage divides, Massachusetts; Blackstone and Thames River basins

USGS Publications Warehouse

Krejmas, Bruce E.; Wandle, S. William

1982-01-01

Drainage boundaries for selected subbasins of the Blackstone and Thames River basins in eastern Hampden, eastern Hampshire, western Norfolk, southern Middlesex, and southern Worcester Counties, Massachusetts, are delineated on 12 topographic quadrangle maps at a scale of 1:24,000. Drainage basins are shown for all U.S. Geological Survey data-collection sites and for mouths of major rivers. Drainage basins are shown for the outlets of lakes or ponds and for streams where the drainage area is greater than 3 square miles. Successive sites along watercourses are indicated where the intervening area is at least 6 miles on tributary streams or 15 square miles along the Blackstone River, French River, or Quinebaug River. (USGS)

Estimating design-flood discharges for streams in Iowa using drainage-basin and channel-geometry characteristics

USGS Publications Warehouse

Eash, D.A.

1993-01-01

Procedures provided for applying the drainage-basin and channel-geometry regression equations depend on whether the design-flood discharge estimate is for a site on an ungaged stream, an ungaged site on a gaged stream, or a gaged site. When both a drainage-basin and a channel-geometry regression-equation estimate are available for a stream site, a procedure is presented for determining a weighted average of the two flood estimates. The drainage-basin regression equations are applicable to unregulated rural drainage areas less than 1,060 square miles, and the channel-geometry regression equations are applicable to unregulated rural streams in Iowa with stabilized channels.

[Nonsurgical therapy of abdominal and retroperitoneal abscesses].

PubMed

Reuss, J A; Seitz, K

1987-06-01

From 1976 to March 1987 intraabdominal or retroperitoneal abscesses were confirmed by ultrasound in 40 patients. 13 patients had surgical drainage with zero-mortality. 3 of 27 patients were treated with antibiotics (only systemically). 24 patients were treated by percutaneous catheter drainage or needle aspiration. Elective cholecystectomy was performed later in 3 patients. Nonsurgical treatment was successful in 22/27 cases. 3 patients died despite percutaneous drainage. Failure of percutaneous drainage required surgical intervention in 3 patients. The considerably poorer primary condition of the patients receiving nonsurgical treatment allows no comparison with the surgical group. Advantages of percutaneous drainage and needle aspiration are a high success rate and low mortality. These techniques can be used even in critically ill persons.

75 FR 72952 - Safety Zone; 1000-yard radius from position 29°48.77′ N 091°33.02′ W, Charenton Drainage and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-29

...-AA00 Safety Zone; 1000-yard radius from position 29[deg]48.77' N 091[deg]33.02' W, Charenton Drainage... position 29[deg]48.77' N 091[deg]33.02' W, Charenton Drainage and Navigation Canal, St. Mary Parish, LA... associated hazards in position 29[deg]48.77' N 091[deg]33.02' W, in the Charenton Drainage and Navigation...

The Soil Foam Drainage Equation - an alternative model for unsaturated flow in porous media

NASA Astrophysics Data System (ADS)

Assouline, Shmuel; Lehmann, Peter; Hoogland, Frouke; Or, Dani

2017-04-01

The analogy between the geometry and dynamics of wet foam drainage and gravity drainage of unsaturated porous media expands modeling capabilities for capillary flows and supplements the standard Richards equation representation. The governing equation for draining foam (or a soil variant termed the soil foam drainage equation - SFDE) obviates the need for macroscopic unsaturated hydraulic conductivity function by an explicit account of diminishing flow pathway sizes as the medium gradually drains. Potential advantages of the proposed drainage foam formalism include direct description of transient flow without requiring constitutive functions; evolution of capillary cross sections that provides consistent description of self-regulating internal fluxes (e.g., towards field capacity); and a more intuitive geometrical picture of capillary flow across textural boundaries. We will present new and simple analytical expressions for drainage rates and volumes from unsaturated porous media subjected to different boundary conditions that are in good agreement with the numerical solution of the SFDE and experimental results. The foam drainage methodology expands the range of tools available for describing and quantifying unsaturated flows and provides geometrically tractable links between evolution of liquid configuration and flow dynamics in unsaturated porous media. The resulting geometrical representation of capillary drainage could improve understanding of colloid and pathogen transport. The explicit geometrical interpretation of flow pathways underlying the hydraulic functions used by the Richards equation offers new insights that benefit both approaches.

Risk factors for infection after endoscopic ultrasonography-guided drainage of specific types of pancreatic and peripancreatic fluid collections (with video).

PubMed

Guo, Jintao; Feng, Linlin; Sun, Siyu; Ge, Nan; Liu, Xiang; Wang, Sheng; Wang, Guoxin; Sun, Beibei

2016-07-01

Endoscopic ultrasonography (EUS)-guided drainage is widely used for the treatment of specific types of peripancreatic fluid collections (PFCs). Infectious complications have been reported. It is recommended that the infection rate should be assessed by measuring risk factors. The objectives of this study were to measure whether the risk of infection after EUS-guided drainage was associated with patient- and procedure-related factors. Eighty-three patients were eligible for inclusion from September 2008 to November 2012. EUS-guided drainage was performed in all patients. Infectious complications were observed, and data on patient- and procedure-related factors were collected. Patient-related factors mainly included age, sex, etiology of PFC, and cyst location and diameter. Procedure-related factors mainly included approach of EUS-guided drainage and stent diameter. Separate multivariate logistic regression models for all EUS-guided drainage were carried out. Complete EUS-guided drainage was achieved in all patients. A definitive diagnosis of infection after EUS-guided drainage was made in seven patients. All seven patients had a history of acute pancreatitis, and the cyst diameters were all >15 cm. Three patients had diabetes mellitus. The cyst diameter was an independent risk factor for infection. Larger cysts with a diameter >15 cm should perhaps be drained initially with multiple pigtail or a larger diameter self-expandable metal stents to try to avoid infection.

Treatment of posthemorrhagic hydrocephalus in premature infants with subcutaneous reservoir drainage.

PubMed

Yu, Bo; Li, Shasha; Lin, Zhenlang; Zhang, Nu

2009-01-01

To investigate the effectiveness of subcutaneous reservoir drainage as a treatment for the different types of posthemorrhagic hydrocephalus in premature infants. 11 premature infants with posthemorrhagic hydrocephalus underwent subcutaneous reservoir embedment surgery, and cerebrospinal fluid (CSF) was drained via the reservoir intermittently for 8 weeks. During the period of drainage, ultrasound and computerized tomography were used to measure ventricle size. CSF examinations were performed routinely to assess the presence of intraventricular hemorrhage (IVH) and/or infection. (1) Five infants were diagnosed as having obstructive hydrocephalus; 2 had nearly normal ventricle sizes with treatment and drainage was stopped after 8 weeks, 2 had nearly normal ventricle sizes after 4 more weeks of drainage, and 1 underwent ventriculoperitoneal shunt (V-P shunt) surgery due to failure of ventricle size reduction. (2) Six infants were diagnosed as having communicating hydrocephalus; 4 had further enlarged ventricle size after 8 weeks and underwent V-P shunt surgery, 1 had treatment aborted at week 8 of drainage, and only 1 had moderate reduction of ventricle size after 8 weeks. (3) None of the 11 infants had progressive IVH and/or intracranial infection during drainage. Subcutaneous reservoir drainage is a suitable and safe treatment for posthemorrhagic hydrocephalus in premature infants. It is more effective for obstructive hydrocephalus than for communicating hydrocephalus. Copyright (c) 2009 S. Karger AG, Basel.

Comparison of burbot populations across adjacent native and introduced ranges

USGS Publications Warehouse

Walters, Annika W.; Mandeville, Elizabeth G.; Saunders, W. Carl; Gerrity, Paul C.; Skorupski, Joseph A.; Underwood, Zachary E.; Gardunio, Eric I.

2017-01-01

Introduced species are a threat to biodiversity. Burbot, Lota lota, a fish native to the Wind River Drainage, Wyoming and a species of conservation concern, have been introduced into the nearby Green River Drainage, Wyoming, where they are having negative effects on native fish species. We compared these native and introduced burbot populations to evaluate potential mechanisms that could be leading to introduction success. We examined genetic ancestry, physical habitat characteristics, community composition, and burbot abundance, relative weight, and size structure between the native and introduced range to elucidate potential differences. The origin of introduced burbot in Flaming Gorge Reservoir is most likely Boysen Reservoir and several nearby river populations in the native Wind River Drainage. Burbot populations did not show consistent differences in abundance, size structure, and relative weight between drainages, though Fontenelle Reservoir, in the introduced drainage, had the largest burbot. There were also limited environmental and community composition differences, though reservoirs in the introduced drainage had lower species richness and a higher percentage of non-native fish species than the reservoir in the native drainage. Burbot introduction in the Green River Drainage is likely an example of reservoir construction creating habitat with suitable environmental conditions to allow a southwards range expansion of this cold-water species. An understanding of the factors driving introduction success can allow better management of species, both in their introduced and native range.

Influence of topical anesthesia on tear dynamics and ocular drug bioavailability in albino rabbits.

PubMed

Patton, T F; Robinson, J R

1975-02-01

The bioavailability of topically applied ocular drugs is very poor, due largely to drug loss through drainage and tear turnover. The use of high viscosity solutions or solid matrixes to delay or eliminate drainage is the usual approach for decreasing drug loss but the alternative approach of chemically reducing tear turnover and/or solution drainage has not been investigated. By means of a simple isotopic dilution technique, using radioactive technetium sulfur colloid, the quantitative influence of topical anesthetics on tear production and instilled solution drainage was determined. The reduction in the rate of tear turnover and solution drainage varies for different anesthetics and is dose dependent. The implication of these results for some long accepted clinical procedures is discussed, and questions are raised regarding the present understanding of the mechanisms of tear production. Quantitation of precorneal drug loss through instilled solution drainage and tear turnover permits the establishment of a baseline for ocular drug bioavailability. Aqueous humor drug concentration versus time profiles of radioactive pilocarpine nitrate were obtained, both in the presence and absence of topical anesthesia. The results verify the importance of tear turnover and instilled solution drainage as a major route of drug loss in the eye. Moreover, the success of the present study in improving ocular drug bioavailability by the chemical approach of repressing solution drainage and tear turnover suggests that this approach is viable for improving drug bioavailability.

Transport pathways of nitrogen and phosphorus in tile-drained cranberry farms

NASA Astrophysics Data System (ADS)

Kennedy, C. D.; Alversion, N.; Jeranyama, P.; DeMoranville, C.; Sandler, H.; Caruso, F.

2013-12-01

Rapid, controlled drainage of cranberry farms is critical to optimizing production in Massachusetts, where approximately 1/3 of the industry's crop is produced. Relatively new to cranberry farming, tile drainage has been billed as a low-cost drainage management option for reducing crop disease and weed infestations. Despite its well documented agronomic benefits, tile drainage may exacerbate nutrient loss and promote eutrophication in nearby ponds receiving cranberry drainage waters. In this study, a monitoring program was established on a Massachusetts cranberry bed to quantify (1) mass loss of nitrogen and phosphorous via tile drainage to a perimeter ditch surrounding the cranberry bed, (2) the attenuation of N and P in the ditch prior to discharge from the cranberry bed, and (3) and the component contributions of preferential vs. matrix transport of N and P in tile drainage. A combination of compound weirs, acoustic-velocity meters, propeller-driven flow meters, and rain gauges were installed to quantify drainage management characteristics of the cranberry bed. Automatic samplers were also installed to collect water samples at each monitoring site (i.e., four tile drains, an irrigation pond, and a flume used to control ditch height) for analysis of N and P concentrations and hydrogen and oxygen stable isotope ratios to estimate nutrient loss and transport pathways. These data will be used to develop a mechanistic synthesis of nutrient cycling in tile-drained cranberry beds.

External biliary drainage following major liver resection for perihilar cholangiocarcinoma: impact on development of liver failure and biliary leakage

PubMed Central

Olthof, Pim B.; Coelen, Robert J.S.; Wiggers, Jimme K.; Besselink, Marc G.H.; Busch, Olivier R.C.; van Gulik, Thomas M.

2016-01-01

Background Preoperative biliary drainage is considered essential in perihilar cholangiocarcinoma (PHC) requiring major hepatectomy with biliary-enteric reconstruction. However, evidence for postoperative biliary drainage as to protect the anastomosis is currently lacking. This study investigated the impact of postoperative external biliary drainage on the development of post-hepatectomy biliary leakage and liver failure (PHLF). Methods All patients who underwent major liver resection for suspected PHC between 2000 and 2015 were retrospectively analyzed. Biliary leakage and PHLF was defined as grade B or higher according to the International Study Group of Liver Surgery (ISGLS) criteria. Results Eighty-nine out of 125 (71%) patients had postoperative external biliary drainage. PHLF was more prevalent in the drain group (29% versus 6%; P = 0.004). There was no difference in the incidence of biliary leakage (32% versus 36%). On multivariable analysis, postoperative external biliary drainage was identified as an independent risk factor for PHLF (Odds-ratio 10.3, 95% confidence interval 2.1–50.4; P = 0.004). Conclusions External biliary drainage following major hepatectomy for PHC was associated with an increased incidence of PHLF. It is therefore not recommended to routinely use postoperative external biliary drainage, especially as there is no evidence that this decreases the risk of biliary anastomotic leakage. PMID:27037204

Extension of local front reconstruction method with controlled coalescence model

NASA Astrophysics Data System (ADS)

Rajkotwala, A. H.; Mirsandi, H.; Peters, E. A. J. F.; Baltussen, M. W.; van der Geld, C. W. M.; Kuerten, J. G. M.; Kuipers, J. A. M.

2018-02-01

The physics of droplet collisions involves a wide range of length scales. This poses a challenge to accurately simulate such flows with standard fixed grid methods due to their inability to resolve all relevant scales with an affordable number of computational grid cells. A solution is to couple a fixed grid method with subgrid models that account for microscale effects. In this paper, we improved and extended the Local Front Reconstruction Method (LFRM) with a film drainage model of Zang and Law [Phys. Fluids 23, 042102 (2011)]. The new framework is first validated by (near) head-on collision of two equal tetradecane droplets using experimental film drainage times. When the experimental film drainage times are used, the LFRM method is better in predicting the droplet collisions, especially at high velocity in comparison with other fixed grid methods (i.e., the front tracking method and the coupled level set and volume of fluid method). When the film drainage model is invoked, the method shows a good qualitative match with experiments, but a quantitative correspondence of the predicted film drainage time with the experimental drainage time is not obtained indicating that further development of film drainage model is required. However, it can be safely concluded that the LFRM coupled with film drainage models is much better in predicting the collision dynamics than the traditional methods.

Delineation of a Re-establishing Drainage Network Using SPOT and Landsat Images

NASA Astrophysics Data System (ADS)

Bailey, J. E.; Self, S.; Mouginis-Mark, P. J.

2008-12-01

The 1991 eruption of Mt. Pinatubo, The Philippines, provided a unique opportunity to study the effects on the landscape of a large eruption in part because it took place after the advent of regular satellite-based observations. The eruption formed one large (>100km2) ignimbrite sheet, with over 70% of the total deposit deposited in three primary drainage basins to the west of the volcano. High-resolution (20 m/pixel) satellite images, showing the western drainage basins and surrounding region both before and after the eruption were used to observe the re-establishment and evolution of drainage networks on the newly emplaced ignimbrite sheet. Changes in the drainage networks were delineated from a time series of SPOT (Satellite Pour l'Observation de la Terre) and Landsat multi-spectral satellite images. The analysis of which was supplemented by ground- based observations. The satellite images showed that the blue prints for the new drainage systems were established early (within days of the eruption) and at a large-scale followed the pre-eruption pattern. However, the images also illustrated the ephemeral nature of many channels due to the influence of secondary pyroclastic flows, lahar- dammed lake breakouts, stream piracy and shifts due to erosion. Characteristics of the defined drainage networks were used to infer the relative influence on the lahar hazard within each drainage basin.

Triangular-shaped landforms reveal subglacial drainage routes in SW Finland

NASA Astrophysics Data System (ADS)

Mäkinen, J.; Kajuutti, K.; Palmu, J.-P.; Ojala, A.; Ahokangas, E.

2017-05-01

The aim of this study is to present the first evidence of triangular-shaped till landforms and related erosional features indicative of subglacial drainage within the ice stream bed of the Scandinavian ice sheet in Finland. Previously unidentified grouped patterns of Quaternary deposits with triangular landforms can be recognized from LiDAR-based DEMs. The triangular landforms occur as segments within geomorphologically distinguishable routes that are associated with eskers. The morphological and sedimentological characteristics as well as the distribution of the triangular landforms are interpreted to involve the creep of saturated deforming till, flow and pressure fluctuations of subglacial meltwater associated with meltwater erosion. There are no existing models for the formation of this kind of large-scale drainage systems, but we claim that they represent an efficient drainage system for subglacial meltwater transfer under high pressure conditions. Our hypothesis is that the routed, large-scale subglacial drainage systems described herein form a continuum between channelized (eskers) and more widely spread small-scale distributed subglacial drainage. Moreover, the transition from the conduit dominated drainage to triangular-shaped subglacial landforms takes place about 50-60 km from the ice margin. We provide an important contribution towards a more realistic representation of ice sheet hydrological drainage systems that could be used to improve paleoglaciological models and to simulate likely responses of ice sheets to increased meltwater production.

Constraining Greenland basal water extent and drainage morphology from radar reflectivity and specularity analysis

NASA Astrophysics Data System (ADS)

Chu, W.; Schroeder, D. M.; Seroussi, H. L.; Creyts, T. T.; Bell, R. E.; Paden, J. D.

2017-12-01

Subglacial water has been observed and theorized to cause changes in basal sliding. Across Greenland, water drainage can produce massive speed-ups, or conversely, very little responses from the ice sheet. While distinct modes of subglacial drainage have been proposed to cause these different responses, the absence of Greenland-wide hydrological observations makes it difficult to examine where shifts in drainage occur and what controls them. By using routing models and the reflectivity and specularity of radar bed echoes from NASA IceBridge, we provide insight into the character of the subglacial water systems and their variability across Greenland. Specifically, we examine Russell Glacier as a southern Greenland example and Petermann Glacier as a northern example. In the south at Russell Glacier, the distribution of subglacial water varies seasonally depending on the surface melt supply. In winter, water is stored on bedrock ridges but is absent in the sediment-filled troughs. In the summer, water drains to the troughs that focus this water, flooding the bed to intensify sliding locally. The topography and material properties of the bed strongly determine the degree to which subglacial drainage focuses at Russell. Conversely, the drainage systems in northern Greenland are vastly different. In Petermann, radar reflectivity indicates a persistent water distribution beneath the fast moving ice trunk. We observe a widespread water distribution with only a weak drainage focusing along the shear margin. Contrasted to Russell, topography and bed materials exert minor roles in determining Petermann's drainage behavior. Instead, local heat production and heat transfer with the neighboring glaciers strongly determine the water distribution in Petermann. We also interpret the radar reflectivity and routing model results in the context of basal roughness and drainage morphology, which we estimate from a more detailed analysis of the specularity of the bed echoes. Together, our results provide insights into the interaction between subglacial drainage, melt supply, and basal roughness over a wide range of environment. Local conditions often determine how drainage focuses at the bed and thereby play a significant role in controlling individual catchment responses to meltwater supply.

Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial).

PubMed

van der Gaag, Niels A; de Castro, Steve M M; Rauws, Erik A J; Bruno, Marco J; van Eijck, Casper H J; Kuipers, Ernst J; Gerritsen, Josephus J G M; Rutten, Jan-Paul; Greve, Jan Willem; Hesselink, Erik J; Klinkenbijl, Jean H G; Rinkes, Inne H M Borel; Boerma, Djamila; Bonsing, Bert A; van Laarhoven, Cees J; Kubben, Frank J G M; van der Harst, Erwin; Sosef, Meindert N; Bosscha, Koop; de Hingh, Ignace H J T; Th de Wit, Laurens; van Delden, Otto M; Busch, Olivier R C; van Gulik, Thomas M; Bossuyt, Patrick M M; Gouma, Dirk J

2007-03-12

Surgery in patients with obstructive jaundice caused by a periampullary (pancreas, papilla, distal bile duct) tumor is associated with a higher risk of postoperative complications than in non-jaundiced patients. Preoperative biliary drainage was introduced in an attempt to improve the general condition and thus reduce postoperative morbidity and mortality. Early studies showed a reduction in morbidity. However, more recently the focus has shifted towards the negative effects of drainage, such as an increase of infectious complications. Whether biliary drainage should always be performed in jaundiced patients remains controversial. The randomized controlled multicenter DROP-trial (DRainage vs. Operation) was conceived to compare the outcome of a 'preoperative biliary drainage strategy' (standard strategy) with that of an 'early-surgery' strategy, with respect to the incidence of severe complications (primary-outcome measure), hospital stay, number of invasive diagnostic tests, costs, and quality of life. Patients with obstructive jaundice due to a periampullary tumor, eligible for exploration after staging with CT scan, and scheduled to undergo a "curative" resection, will be randomized to either "early surgical treatment" (within one week) or "preoperative biliary drainage" (for 4 weeks) and subsequent surgical treatment (standard treatment). Primary outcome measure is the percentage of severe complications up to 90 days after surgery. The sample size calculation is based on the equivalence design for the primary outcome measure. If equivalence is found, the comparison of the secondary outcomes will be essential in selecting the preferred strategy. Based on a 40% complication rate for early surgical treatment and 48% for preoperative drainage, equivalence is taken to be demonstrated if the percentage of severe complications with early surgical treatment is not more than 10% higher compared to standard treatment: preoperative biliary drainage. Accounting for a 10% dropout, 105 patients are needed in each arm resulting in a study population of 210 (alpha = 0.95, beta = 0.8). The DROP-trial is a randomized controlled multicenter trial that will provide evidence whether or not preoperative biliary drainage is to be performed in patients with obstructive jaundice due to a periampullary tumor.

Challenges in Understanding and Predicting Greenland Lake Drainage Events

NASA Astrophysics Data System (ADS)

Poinar, K.; Andrews, L. C.; Moon, T. A.; Nowicki, S.

2017-12-01

To accurately predict ice flow, an ice-sheet model must resolve the complex spatio-temporal variability of the ice-sheet hydrologic system. For Greenland, this requires understanding rapid lake drainage events, by which moulins deliver water from supraglacial lakes to the ice-sheet base. Critical metrics include the drainage event location and its timing during the melt season. Here, we use multiple remote sensing datasets to investigate whether local principal strain rates control the dates of rapid supraglacial lake drainage events. We identify 359 rapid lake drainage events through a semi-automated analysis of MODIS and Landsat imagery, which we apply to Pâkitsoq, western Greenland, over nine summers (2006-2010 and 2013-2016). We compare these drainage dates to principal strain rates derived from InSAR (MEaSUREs and other products) and Landsat (GoLIVE and other products) satellite data over the same years. The InSAR-derived strain rates have lower uncertainties ( 0.01 yr-1) but capture only a wintertime average; the Landsat-derived strain rates have larger uncertainties ( 0.1 yr-1) but feature higher temporal resolution (≥16 days) and span the entire year, including the melt season. We find that locations with more-tensile wintertime strain rates are associated with earlier draining of supraglacial lakes in the subsequent summer. This is consistent with observations of lake drainage "clusters" or "cascades", where the perturbation from an initial lake drainage event is thought to trigger other lake drainages in the area. Our relation is not statistically significant, however, and any causality is complicated by a stronger correlation with more traditional metrics such as surface elevation and cumulative melt days. We also find that the Landsat-derived summertime strain rates, despite their higher temporal resolution, do not resolve the transient extensional strain rates known from GPS observations to accompany and/or incite rapid lake drainages. Our results highlight the current challenges in observing, at the regional scale, the causes of rapid lake drainage events, which must be better understood in order to parameterize surface-to-bed hydrological connections in ice-sheet models.

Sensitivity of drainage efficiency of cranberry fields to edaphic conditions

NASA Astrophysics Data System (ADS)

Periard, Yann; José Gumiere, Silvio; Rousseau, Alain N.; Caron, Jean; Hallema, Dennis W.

2014-05-01

Water management on a cranberry farm requires intelligent irrigation and drainage strategies to sustain strong productivity and minimize environmental impact. For example, to avoid propagation of disease and meet evapotranspiration demand, it is imperative to maintain optimal moisture conditions in the root zone, which depends on an efficient drainage system. However, several drainage problems have been identified in cranberry fields. Most of these drainage problems are due to the presence of a restrictive layer in the soil profile (Gumiere et al., 2014). The objective of this work is to evaluate the effects of a restrictive layer on the drainage efficiency by the bias of a multi-local sensitivity analysis. We have tested the sensitivity of the drainage efficiency to different input parameters set of soil hydraulic properties, geometrical parameters and climatic conditions. Soil water flux dynamic for every input parameters set was simulated with finite element model Hydrus 1D (Simanek et al., 2008). Multi-local sensitivity was calculated with the Gâteaux directional derivatives with the procedure described by Cheviron et al. (2010). Results indicate that drainage efficiency is more sensitive to soil hydraulic properties than geometrical parameters and climatic conditions. Then, the geometrical parameters of the depth are more sensitive than the thickness. The drainage efficiency was very insensitive to the climatic conditions. Understanding the sensitivity of drainage efficiency according to soil hydraulic properties, geometrical and climatic conditions are essential for diagnosis drainage problems. However, it becomes important to identify the mechanisms involved in the genesis of anthropogenic soils cranberry to identify conditions that may lead to the formation of a restrictive layer. References: Cheviron, B., S.J. Gumiere, Y. Le Bissonnais, R. Moussa and D. Raclot. 2010. Sensitivity analysis of distributed erosion models: Framework. Water Resources Research 46: W08508. doi:10.1029/2009WR007950. Gumiere, S.J., J. Lafond, D. W. Hallema, Y. Périard, J. Caron et J. Gallichand. 2014. Mapping soil hydraulic conductivity and matric potential for water management of cranberry: Characterization and spatial interpolation methods. Biosystems Engineering.

Modulation of gut barrier function in patients with obstructive jaundice using probiotic LP299v.

PubMed

Jones, Claire; Badger, Stephen A; Regan, Mark; Clements, Barry W; Diamond, Tom; Parks, Rowan W; Taylor, Mark A

2013-12-01

This study aimed to determine the effect of LP229v on intestinal permeability and tumour necrosis factor (TNF) p55 receptor concentrations in patients with obstructive jaundice undergoing biliary drainage. Patients undergoing biliary drainage were recruited and randomized into three groups to receive Lactobacillus plantarum 299v (LP299v), inactivated LP299v (placebo) or water. These were administered daily at noon until 7 days after biliary drainage. Intestinal permeability was measured using the lactulose/mannitol (L/M) dual sugar absorption test on admission, the day before biliary drainage and on days 1 and 7 after biliary drainage. Blood and urine were collected to determine the L/M ratio and the TNF p55 receptor levels at each time point. A total of 25 patients were recruited; 12 had choledocholithiasis and nine had a periampullary tumour. Open surgical biliary drainage was performed in nine patients, endoscopic retrograde cholangiopancreatography in 12 and percutaneous transhepatic cholangiography in two. Five patients received LP299v, five received placebo and seven, water. The median L/M ratio was 0.035 (0.018-0.065) at baseline. No difference existed between the groups on admission, before drainage and on day 7 after drainage (P=0.59, 0.175 and 0.61, respectively). The L/M ratio was lower in the LP299v group on day 1 after drainage [0.01 (0.01) vs. 0.18 (0.03-0.3) and 0.11 (0.07-0.14); P=0.37]. Although the TNF p55 receptor levels were lower on day 1 after drainage in the LP299v group (15.3 vs. 30.9 vs. 82.7 ng/ml; P=0.43), the concentration at the four time points was similar (P=0.24, 0.96, 0.43 and 0.68). Pretreatment with probiotic LP299v improves intestinal permeability after biliary drainage and attenuates the inflammatory response. However, a larger multicentre trial is required to determine the effect on clinical outcome.

Protocol of the PLeural Effusion And Symptom Evaluation (PLEASE) study on the pathophysiology of breathlessness in patients with symptomatic pleural effusions.

PubMed

Thomas, Rajesh; Azzopardi, Maree; Muruganandan, Sanjeevan; Read, Catherine; Murray, Kevin; Eastwood, Peter; Jenkins, Sue; Singh, Bhajan; Lee, Y C Gary

2016-08-03

Pleural effusion is a common clinical problem that can complicate many medical conditions. Breathlessness is the most common symptom of pleural effusion of any cause and the most common reason for pleural drainage. However, improvement in breathlessness following drainage of an effusion is variable; some patients experience either no benefit or a worsening of their breathlessness. The physiological mechanisms underlying breathlessness in patients with a pleural effusion are unclear and likely to be multifactorial with patient-related and effusion-related factors contributing. A comprehensive study of the physiological and symptom responses to drainage of pleural effusions may provide a clearer understanding of these mechanisms, and may identify predictors of benefit from drainage. The ability to identify those patients whose breathlessness will (or will not) improve after pleural fluid drainage can help avoid unnecessary pleural drainage procedures, their associated morbidities and costs. The PLeural Effusion And Symptom Evaluation (PLEASE) study is a prospective study to comprehensively evaluate factors contributing to pleural effusion-related breathlessness. The PLEASE study is a single-centre prospective study of 150 patients with symptomatic pleural effusions that require therapeutic drainage. The study aims to identify key factors that underlie breathlessness in patients with pleural effusions and develop predictors of improvement in breathlessness following effusion drainage. Participants will undergo evaluation pre-effusion and post-effusion drainage to assess their level of breathlessness at rest and during exercise, respiratory and other physiological responses as well as respiratory muscle mechanics. Pre-drainage and post-drainage parameters will be collected and compared to identify the key factors and mechanisms that correlate with improvement in breathlessness. Approved by the Sir Charles Gairdner Group Human Research Ethics Committee (HREC number 2014-079). Registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000820404). Results will be published in peer-reviewed journals and presented at scientific meetings. ACTRN12616000820404; Pre-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Phosphate removal from agricultural drainage water using an iron oxyhydroxide filter material

USDA-ARS?s Scientific Manuscript database

Phosphate discharged with agricultural drainage causes water quality degradation on local, regional, and national scales. Iron oxyhydroxide filter materials can potentially remove the soluble phosphate present in drainage waters. Laboratory saturated column experiments and preliminary small-scale ...

Agricultural Drainage Management Systems Task Force (ADMSTF)

USDA-ARS?s Scientific Manuscript database

The Agricultural Drainage Management Systems (ADMS) Task Force was initiated during a Charter meeting in the fall of 2002 by dedicated professional employees of Federal, State, and Local Government Agencies and Universities. The Agricultural Drainage Management (ADM) Coalition was established in 200...

Guidelines for the design of subsurface drainage systems for highway structural sections

DOT National Transportation Integrated Search

1972-06-01

Design criteria and a design method for pavement subsurface drainage systems include inflow-outflow method of analysis, open graded drainage layers, collector drains, pipe outlets and markers. Design examples are given for embankment sections, cut se...

Presence and distribution of chlorinated organic compounds in streambed sediments, new jersey

USGS Publications Warehouse

Stackelberg, P.E.

1997-01-01

Concentrations of 18 hydrophobic chlorinated organic compounds in streambed sediments from 100 sites throughout New Jersey were examined to determine (1) which compounds were detected most frequently, (2) whether detection frequencies differed among selected drainage basins, and (3) whether concentrations differed significantly among selected drainage basins. Twelve drainage basins across New Jersey that contain a range of land-use patterns and population densities were selected to represent various types and degrees of development. To ensure an adequate number of samples for statistical comparison among drainage basins, the 12 selected basins were consolidated into seven drainage areas on the basis of similarities in land- use patterns and population densities. Additionally, data for three classes of chlorinated organic compounds in streambed sediments from 255 sites throughout New Jersey were examined to determine whether the presence of these compounds in streambed sediments is related to the type and degree of development within the drainage area of each sampling site. Chlorinated organic compounds detected most frequently within the seven representative drainage areas were DDT, DDE, DDD, chlordane, dieldrin, and PCBs. DDT, DDE, and DDD, which were the most widely distributed organic compounds, were detected in about 60 to 100 percent of the samples from all drainage areas hut one (where the detection rate for these compounds was about 20 to 40 percent). Chlordane and dieldrin were detected in about 80 to 100 percent of samples from highly urbanized and populated drainage areas; detection frequencies for these compounds tended to be smaller in less developed and populated areas. PCBs were detected in about 40 to 85 percent of samples from all drainage areas; detection frequencies were highest in the most heavily developed and populated areas. Analysis of variance on rank-transformed organic compound concentrations normalized to sediment organic carbon content was used to evaluate differences in concentrations among the seven representative drainage areas. Chlordane and PCBs were the chlorinated organic compounds with the most highly elevated concentrations in streambed sediments across the State. Median normalized COncentrations of all six of the most frequently detected chlorinated organic compounds were highest in the most heavily urbanized and populated drainage area and lowest in the less populated, predominantly agricultural or forested areas. Concentrations of DDT and DDE, however, did not differ significantly among most of the drainage areas. Concentrations of DDD, chlordane, dieldrin, and PCBs differed significantly among drainage areas. The highest median normalized concentrations were found in samples from the most heavily urbanized and populated areas, and the lowest were in samples from the least developed, most heavily forested area. Logistic regression was used to examine relations between the presence of hydrophobic chlorinated organic compounds in streambed sediments at specified concentrations and variables that characterize the type and degree of development within the drainage areas of 255 sites across New Jersey. The explanatory variables found most useful for predicting the presence of chlorinated organic compounds in streambed sediments include total population and amounts (in square kilometers) of various land-use categories. Logistic regression equations were developed to identify significant relations between population and amounts of specific land-use categories within drainage areas and the probability of detecting chlorinated organic contaminants in streambed sediments. These relations can be used to assist in the identification of geographic regions of primary concern for contamination of bed sediments by chlorinated organic compounds across the State.

Clinical study on minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage.

PubMed

Liang, Ke-Shan; Ding, Jian; Yin, Cheng-Bin; Peng, Li-Jing; Liu, Zhen-Chuan; Guo, Xiao; Liang, Shu-Yu; Zhang, Yong; Zhou, Sheng-Nian

2017-12-04

This study aims to compare the curative effect of different treatment methods of hypertensive putamen hemorrhage, in order to determine an ideal method of treatment; and to explore the curative effect of the application of soft channel technology-minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage. Patients with hypertensive cerebral hemorrhage, who were treated in our hospital from January 2015 to January 2016, were included into this study. Patients were divided into three groups: minimally invasive drainage group, internal medical treatment group and craniotomy group. In the minimally invasive drainage group, puncture aspiration and drainage were performed according to different hematoma conditions detected in brain CT, the frontal approach was selected for putamen and intracerebral hemorrhage, and drainage was reserved until the hematoma disappeared in CT detection. Drug therapy was dominated in the internal medical treatment group, while surgery under general anesthesia was performed to remove the hematoma in the craniotomy group. Post-treatment neurological function defect scores in minimally invasive drainage group and internal medical group were 16.14 ± 11.27 and 31.43 ± 10.42, respectively; and the difference was remarkably significant (P< 0.01). Post-treatment neurological function defect scores in the minimally invasive drainage group and craniotomy group were 16.14 ± 11.27 and 24.20 ± 12.23, respectively; and the difference was statistically significant (P< 0.05). There was a remarkable significant difference in ADL1-2 level during followed-up in survival patients between the minimally invasive drainage group and internal medical treatment group (P< 0.01), and there was a significant difference in followed-up mortality between these two groups (P< 0.01). Clinical observation and following-up results revealed that minimally invasive drainage treatment was superior to internal medical treatment and craniotomy.

Cranial dural arteriovenous shunts. Part 4. Clinical presentation of the shunts with leptomeningeal venous drainage.

PubMed

Baltsavias, Gerasimos; Spiessberger, Alex; Hothorn, Torsten; Valavanis, Anton

2015-04-01

Cranial dural arteriovenous fistulae have been classified into high- and low-risk lesions mainly based on the pattern of venous drainage. Those with leptomeningeal venous drainage carry a higher risk of an aggressive clinical presentation. Recently, it has been proposed that the clinical presentation should be considered as an additional independent factor determining the clinical course of these lesions. However, dural shunts with leptomeningeal venous drainage include a very wide spectrum of inhomogeneous lesions. In the current study, we correlated the clinical presentation of 107 consecutive patients harboring cranial dural arteriovenous shunts with leptomeningeal venous drainage, with their distinct anatomic and angiographic features categorized into eight groups based on the "DES" (Directness and Exclusivity of leptomeningeal venous drainage and features of venous Strain) concept. We found that among these groups, there are significant angioarchitectural differences, which are reflected by considerable differences in clinical presentation. Leptomeningeal venous drainage of dural sinus shunts that is neither direct nor exclusive and without venous strain manifested only benign symptoms (aggressive presentation 0%). On the other end of the spectrum, the bridging vein shunts with direct and exclusive leptomeningeal venous drainage and venous strain are expected to present aggressive symptoms almost always and most likely with bleeding (aggressive presentation 91.5%). Important aspects of the above correlations are discussed. Therefore, the consideration of leptomeningeal venous drainage alone, for prediction of the clinical presentation of these shunts appears insufficient. Angiographic analysis based on the above concept, offers the possibility to distinguish the higher- from the lower-risk types of leptomeningeal venous drainage. In this context, consideration of the clinical presentation as an additional independent factor for the prediction of their clinical course seems superfluous and possibly misleading. Topography is connected to the clinical presentation of the dural shunts inasmuch as the former determines the venous anatomy and the angioarchitectural features of the lesions.

Fluvial drainage networks: the fractal approach as an improvement of quantitative geomorphic analyses

NASA Astrophysics Data System (ADS)

Melelli, Laura; Liucci, Luisa; Vergari, Francesca; Ciccacci, Sirio; Del Monte, Maurizio

2014-05-01

Drainage basins are primary landscape units for geomorphological investigations. Both hillslopes and river drainage system are fundamental components in drainage basins analysis. As other geomorphological systems, also the drainage basins aim to an equilibrium condition where the sequence of erosion, transport and sedimentation approach to a condition of minimum energy effort. This state is revealed by a typical geometry of landforms and of drainage net. Several morphometric indexes can measure how much a drainage basin is far from the theoretical equilibrium configuration, revealing possible external disarray. In active tectonic areas, the drainage basins have a primary importance in order to highlight style, amount and rate of tectonic impulses, and morphometric indexes allow to estimate the tectonic activity classes of different sectors in a study area. Moreover, drainage rivers are characterized by a self-similarity structure; this promotes the use of fractals theory to investigate the system. In this study, fractals techniques are employed together with quantitative geomorphological analysis to study the Upper Tiber Valley (UTV), a tectonic intermontane basin located in northern Apennines (Umbria, central Italy). The area is the result of different tectonic phases. From Late Pliocene until present time the UTV is strongly controlled by a regional uplift and by an extensional phase with different sets of normal faults playing a fundamental role in basin morphology. Thirty-four basins are taken into account for the quantitative analysis, twenty on the left side of the basin, the others on the right side. Using fractals dimension of drainage networks, Horton's laws results, concavity and steepness indexes, and hypsometric curves, this study aims to obtain an evolutionary model of the UTV, where the uplift is compared to local subsidence induced by normal fault activity. The results highlight a well defined difference between western and eastern tributary basins, suggesting a greater disequilibrium in the last ones. The quantitative analysis points out the segments of the basin boundaries where the fault activity is more efficient and the resulting geomorphological implications.

Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma.

PubMed

Kim, Chang Hyeun; Song, Geun Sung; Kim, Young Ha; Kim, Young Soo; Sung, Soon Ki; Son, Dong Wuk; Lee, Sang Weon

2017-10-01

Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because of a low recurrence rate and low morbidity compared with craniotomy with membranectomy, and twist-drill craniotomy. Many reports suggest that placing a catheter in the subdural space for drainage can further reduce the rate of recurrence; however, complications associated with this type of drainage include acute subdural hematoma, cortical injury, and infection. Remote hemorrhage due to overdrainage of cerebrospinal fluid (CSF) is another possible complication of burr hole trephination with catheter drainage that has rarely been reported. Here, we present 2 cases of remote hemorrhages following burr hole trephination with catheter drainage for the treatment of CSDH and symptomatic subdural hygroma. One patient developed intracerebral hemorrhage and subarachnoid hemorrhage in the contralateral hemisphere, while another patient developed remote hemorrhage 3 days after the procedure due to the sudden drainage of a large amount of subdural fluid over a 24-hour period. These findings suggest that catheter drainage should be carefully monitored to avoid overdrainage of CSF after burr hole trephination.

Delayed intracranial subdural empyema following burr hole drainage: Case series and literature review.

PubMed

Kim, You-Sub; Joo, Sung-Pil; Song, Dong-Jun; Kim, Sung-Hyun; Kim, Tae-Sun

2018-05-01

A subdural empyema (SDE) following burr hole drainage of a chronic subdural hematoma (CSDH) can be difficult to distinguish from a recurrence of the CSDH, especially when imaging data is limited to a computed tomography (CT) scan. All patients underwent burr hole drainage of the CSDH at first, and the appearance of the SDE occurred within one month. A contrast-enhanced magnetic resonance imaging (MRI) scan, with diffusion-weighted imaging (DWI), revealed both the SDE and diffuse meningitis in all patients. In Case 1, because the patient was very young, burr hole drainage of the SDE, rather than craniotomy, was performed. However, subsequent craniotomy was required due to recurrence of the SDE. In Cases 2 and 3, an initial craniotomy was performed without burr hole drainage. Symptoms improved for all patients, and each was discharged without any neurologic deficits or subsequent recurrence. Neurosurgeons should consider the possibility of infection if recurrence of CSDH occurs within 1 month following drainage of a subdural hematoma. A contrast-enhanced MRI with DWI should be performed to differentiate SDE from CSDH. In addition, surgical evacuation of the empyema via wide craniotomy is preferred to burr hole drainage.

Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma

PubMed Central

Kim, Chang Hyeun; Kim, Young Ha; Kim, Young Soo; Sung, Soon Ki; Son, Dong Wuk; Lee, Sang Weon

2017-01-01

Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because of a low recurrence rate and low morbidity compared with craniotomy with membranectomy, and twist-drill craniotomy. Many reports suggest that placing a catheter in the subdural space for drainage can further reduce the rate of recurrence; however, complications associated with this type of drainage include acute subdural hematoma, cortical injury, and infection. Remote hemorrhage due to overdrainage of cerebrospinal fluid (CSF) is another possible complication of burr hole trephination with catheter drainage that has rarely been reported. Here, we present 2 cases of remote hemorrhages following burr hole trephination with catheter drainage for the treatment of CSDH and symptomatic subdural hygroma. One patient developed intracerebral hemorrhage and subarachnoid hemorrhage in the contralateral hemisphere, while another patient developed remote hemorrhage 3 days after the procedure due to the sudden drainage of a large amount of subdural fluid over a 24-hour period. These findings suggest that catheter drainage should be carefully monitored to avoid overdrainage of CSF after burr hole trephination. PMID:29201850

Kootenai River Fisheries Investigations : Rainbow Trout Recruitment : Period Covered: 1997.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Downs, Chris

1999-02-02

The objective of this study was to determine if juvenile production is limiting the population of rainbow trout Oncorbynchus mykiss in the Idaho reach of the Kootenai River. We used snorkeling and electrofishing techniques to estimate juvenile rainbow trout abundance in, and outmigration from, the Deep, Boulder, and Myrtle creek drainages in Idaho. The total population estimates for the three drainages estimated in 1997 were 30,023; 763; and 235; respectively. A rotary-screw trap was utilized to capture juvenile outmigrants for quantification of age at outmigration and total outmigration from the Deep Creek drainage to the Kootenai River. The total outmigrantmore » estimate for 1997 from the Deep Creek drainage was 38,206 juvenile rainbow trout. Age determination based largely on scales suggests that most juvenile rainbow trout outmigration from the Deep Creek drainage occurs at age-l, during the spring runoff period. Forty-three adult rainbow trout captured in the Deep Creek drainage were tagged with $10.00 reward T-bar anchor tags in 1997. A total of three of these fish were harvested, all in Kootenay Lake, British Columbia. This suggests the possibility of an adfluvial component in the spawning population of the Deep Creek drainage.« less

Progress in the application of landform analysis in studies of semiarid erosion

USGS Publications Warehouse

Schumm, Stanley Alfred; Hadley, R.F.

1961-01-01

The analysis of topographic and hydrologic data gathered during studies of erosion in semiarid areas of Western United States show the following relation: (a) Mean annual sediment yield from small drainage basins is related to a ratio of basin relief to length; (b) mean annual runoff from small drainage basins is related to drainage density; (c) mean annual sediment yield per unit area decreases with increase in drainage area; (d) the form of some convex hill slopes is related to surficial creep; (e) asymmetry of drainage basins, including differences in hill-slope erosion and drainage density, is related to microclimatic variations on slopes of diverse exposure; .(f) the cutting of discontinuous gullies is closely related to steepening by deposition of the semiarid valley floor; (g) aggradation in ephemeral streams seems to be most prevalent in reaches where the ratio of contributing drainage area to channel length is relatively small; and (h) streamchannel shape, expressed as a width-depth ratio, is related to the percentage of silt-clay in bed and bank alluvium. The above relations cannot be detected without measurement of terrain characteristics. They further indicate the importance of quantitative terrain analysis in studies of erosion.

Hybridization of two megacephalic map turtles (testudines: emydidae: Graptemys) in the Choctawhatchee River drainage of Alabama and Florida

USGS Publications Warehouse

Godwin, James; Lovich, Jeffrey E.; Ennen, Joshua R.; Kreiser, Brian R.; Folt, Brian; Lechowicz, Chris

2014-01-01

Map turtles of the genus Graptemys are highly aquatic and rarely undergo terrestrial movements, and limited dispersal among drainages has been hypothesized to drive drainage-specific endemism and high species richness of this group in the southeastern United States. Until recently, two members of the megacephalic “pulchra clade,” Graptemys barbouri andGraptemys ernsti, were presumed to be allopatric with a gap in both species' ranges in the Choctawhatchee River drainage. In this paper, we analyzed variation in morphology (head and shell patterns) and genetics (mitochondrial DNA and microsatellite loci) from G. barbouri, G. ernsti, and Graptemys sp. collected from the Choctawhatchee River drainage, and we document the syntopic occurrence of those species and back-crossed individuals of mixed ancestry in the Choctawhatchee River drainage. Our results provide a first counter-example to the pattern of drainage-specific endemism in megacephalic Graptemys. Geologic events associated with Pliocene and Pleistocene sea level fluctuations and the existence of paleo-river systems appear to have allowed the invasion of the Choctawhatchee system by these species, and the subsequent introgression likely predates any potential human-mediated introduction.

Drainage water management

USDA-ARS?s Scientific Manuscript database

This article introduces a series of papers that report results of field studies to determine the effectiveness of drainage water management (DWM) on conserving drainage water and reducing losses of nitrogen (N) to surface waters. The series is focused on the performance of the DWM (also called contr...

INVESTIGATION OF DRY-WEATHER POLLUTANT ENTRIES INTO STORM-DRAINAGE SYSTEMS

EPA Science Inventory

This article describes the results of a series of research tasks to develop a procedure to investigate non-stormwater (dry-weather) entries into storm drainage systems. Dry-weather flows discharging from storm drainage systems can contribute significant pollutant loadings to rece...

Double layer drainage performance of porous asphalt pavement

NASA Astrophysics Data System (ADS)

Ji, Yangyang; Xie, Jianguang; Liu, Mingxi

2018-06-01

In order to improve the design reliability of the double layer porous asphalt pavement, the 3D seepage finite element method was used to study the drainage capacity of double layer PAC pavements with different geometric parameters. It revealed that the effect of pavement drainage length, slope, permeability coefficient and structure design on the drainage capacity. The research of this paper can provide reference for the design of double layer porous asphalt pavement in different rainfall intensity areas, and provide guides for the related engineering design.

Drain Failure in Intra-Abdominal Abscesses Associated with Appendicitis.

PubMed

Horn, Christopher B; Coleoglou Centeno, Adrian A; Guerra, Jarot J; Mazuski, John E; Bochicchio, Grant V; Turnbull, Isaiah R

2018-04-01

Previous studies have suggested that percutaneous drainage and interval appendectomy is an effective treatment for appendicitis with associated abscess. Few studies to date have analyzed risk factors for failed drain management. We hypothesized that older patients with more co-morbidities would be at higher risk for failing conservative treatment. The 2010-2014 editions of the National Inpatient Sample (NIS) were queried for patients with diagnoses of peri-appendiceal abscesses. Minors and elective admissions were excluded. We identified patients who underwent percutaneous drainage and defined drain failure as undergoing a surgical operation after drainage but during the same inpatient visit to assess for factors associated with failure of drainage alone as a treatment. After univariable analysis, binomial logistic regression was used to assess for independent risk factors. Frequencies were analyzed by χ 2 and continuous variables by Student's t-test. A total of 2,209 patients with appendiceal abscesses received drains; 561 patients (25.4%) failed conservative management and underwent operative intervention. On univariable analysis, patients who failed conservative management were younger, more likely to be Hispanic, have more inpatient diagnoses, and to have undergone drainage earlier in the hospital course. Multivariable regression demonstrated that the number of diagnoses, female sex, and Hispanic race were predictive of failure of drainage alone. Older age, West and Midwest census regions, and later drain placement were predictive of successful treatment with drainage alone. Failure was associated with more charges and longer hospital stay but not with a higher mortality rate. Approximately a quarter of patients will fail management of appendiceal abscess with percutaneous drain placement alone. Risk factors for failure are patient complexity, female sex, earlier drainage, and Hispanic race. Failure of drainage is associated with higher total charges and longer hospital stay; however, no change in the mortality rate was noted.

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique.

PubMed

Dave, Bharat R; Kurupati, Ranganatha Babu; Shah, Dipak; Degulamadi, Devanand; Borgohain, Nitu; Krishnan, Ajay

2014-01-01

Percutaneous aspiration of abscesses under ultrasonography (USG) and computer tomography (CT) scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutaneous continuous drainage (PCD) has reduced the recurrence rate. The disadvantage of PCD under CT is radiation hazard and problems of asepsis. Hence a technique of clinically guided percutaneous continuous drainage of the psoas abscess without real-time imaging overcomes these problems. We describe clinically guided PCD of psoas abscess and its outcome. Twenty-nine patients with dorsolumbar spondylodiscitis without gross neural deficit with psoas abscess of size >5 cm were selected for PCD. It was done as a day care procedure under local anesthesia. Sequentially, aspiration followed by guide pin-guided trocar and catheter insertion was done without image guidance. Culture sensitivity was done and chemotherapy initiated and catheter kept till the drainage was <10 ml for 48 hours. Outcome assessment was done with relief of pain, successful abscess drainage and ODI (Oswestry Disability Index) score at 2 years. PCD was successful in all cases. Back and radicular pain improved in all cases. Average procedure time was 24.30 minutes, drain output was 234.40 ml, and the drainage duration was 7.90 days. One patient required surgical stabilisation due to progression of the spondylodiscitis resulting in instability inspite of successful drainage of abscess. Problems with the procedure were noticed in six patients. Multiple attempts (n = 2), persistent discharge (n = 1) for 2 weeks, blocked catheter (n = 2) and catheter pull out (n = 1) occurred with no effect on the outcome. The average ODI score improved from 62.47 to 5.51 at 2 years. Clinically guided PCD is an efficient, safe and easy procedure in drainage of psoas abscess.

The usefulness of adding p53 immunocytochemistry to bile drainage cytology for the diagnosis of malignant biliary strictures.

PubMed

Yeo, Min-Kyung; Kim, Kyung-Hee; Lee, Yong-Moon; Lee, Byung Seok; Choi, Song-Yi

2017-07-01

Obstructive jaundice is frequently caused by bile duct strictures. Determination of malignant strictures is crucial for the initiation of appropriate treatment. Cytologic examination of bile drainage fluid is an easy and reproducible method of detecting malignant cells. This method, however, frequently yields indeterminate results, such as atypia or suspicious of malignancy, due to difficulties in differentiating malignancy from benign atypia. Immunocytochemical assessment of p53 expression by cells in bile drainage fluid may enhance the ability to detect malignancy. A total of 139 samples of bile drainage fluid were obtained from 80 patients. Following cytologic examination, the samples were incubated with antibody to p53. The performance of cytology with and without p53 immunocytochemistry was evaluated, with reference to surgical or clinical findings of benign and malignant biliary strictures. Bile drainage cytology alone had a sensitivity of 31.6% and a specificity of 98.4% in the identification of malignant strictures, whereas the combination of p53 immunocytochemistry and bile drainage cytology had a sensitivity of 80.3% and a specificity of 92.1%. P53 immunocytochemistry alone had a sensitivity of 64.5% and a specificity of 92.7% for the identification of malignant strictures in bile drainage samples with atypical cytology, and a sensitivity of 85.0% and a specificity of 100.0% in samples with suspicious of malignancy. The addition of p53 immunocytochemistry to bile drainage cytology can be useful in identifying malignant strictures in samples showing indeterminate results on bile drainage cytology. Diagn. Cytopathol. 2017;45:592-597. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Spatial structures of stream and hillslope drainage networks following gully erosion after wildfire

USGS Publications Warehouse

Moody, J.A.; Kinner, D.A.

2006-01-01

The drainage networks of catchment areas burned by wildfire were analysed at several scales. The smallest scale (1-1000 m2) representative of hillslopes, and the small scale (1000 m2 to 1 km2), representative of small catchments, were characterized by the analysis of field measurements. The large scale (1-1000 km2), representative of perennial stream networks, was derived from a 30-m digital elevation model and analysed by computer analysis. Scaling laws used to describe large-scale drainage networks could be extrapolated to the small scale but could not describe the smallest scale of drainage structures observed in the hillslope region. The hillslope drainage network appears to have a second-order effect that reduces the number of order 1 and order 2 streams predicted by the large-scale channel structure. This network comprises two spatial patterns of rills with width-to-depth ratios typically less than 10. One pattern is parallel rills draining nearly planar hillslope surfaces, and the other pattern is three to six converging rills draining the critical source area uphill from an order 1 channel head. The magnitude of this critical area depends on infiltration, hillslope roughness and critical shear stress for erosion of sediment, all of which can be substantially altered by wildfire. Order 1 and 2 streams were found to constitute the interface region, which is altered by a disturbance, like wildfire, from subtle unchannelized drainages in unburned catchments to incised drainages. These drainages are characterized by gullies also with width-to-depth ratios typically less than 10 in burned catchments. The regions (hillslope, interface and chanel) had different drainage network structures to collect and transfer water and sediment. Copyright ?? 2005 John Wiley & Sons, Ltd.

Comparison of endoscopic and percutaneous drainage of symptomatic necrotic collections in acute necrotizing pancreatitis.

PubMed

Woo, Shanan; Walklin, Ryan; Ackermann, Travis; Lo, Sheng Wei; Shilton, Hamish; Pilgrim, Charles; Evans, Peter; Burnes, James; Croagh, Daniel

2018-05-10

Primary endoscopic and percutaneous drainage for pancreatic necrotic collections is increasingly used. We aim to compare the relative effectiveness of both modalities in reducing the duration and severity of illness by measuring their effects on systemic inflammatory response syndrome (SIRS). We retrospectively reviewed all cases of endoscopic and percutaneous drainage for pancreatic necrotic collections performed in 2011-2016 at two hospitals. We assessed the post-procedure length of hospital stay, reduction in C-reactive protein levels, resolution of SIRS, the complication rates, and the number of procedures required for resolution. Thirty-two patients were identified and 57 cases (36 endoscopic, 21 percutaneous) were included. There was no significant difference in C-reactive protein reduction between endoscopic and percutaneous drainage (69.5% vs 68.8%, P = 0.224). Resolution of SIRS was defined as the post-procedure normalization of white cell count (endoscopic vs percutaneous: 70.4% vs 64.3%, P = 0.477), temperature (endoscopic vs percutaneous: 93.3% vs 60.0%, P = 0.064), heart rate (endoscopic vs percutaneous: 56.0% vs 11.1%, P = 0.0234), and respiratory rate (endoscopic vs percutaneous: 83.3% vs 0.0%, P = 0.00339). Post-procedure length of hospital stay was 27 days with endoscopic drainage and 46 days with percutaneous drainage (P = 0.0183). Endoscopic drainage was associated with a shorter post-procedure length of hospital stay and a greater rate of normalization of SIRS parameters than percutaneous drainage, although only the effects on heart rate and respiratory rate reached statistical significance. Further studies are needed to establish which primary drainage modality is superior for pancreatic necrotic collections. © 2018 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

The effect of drainage tube on bleeding and prognosis after total knee arthroplasty: a prospective cohort study

PubMed Central

2014-01-01

Background To evaluate the effect of drainage tube on prognosis after total knee arthroplasty (TKA) and explore an effective treatment with favorable prognosis. Methods In a prospective study, 18 patients with TKA for the first time were included and randomly divided into three groups, group A (no placement of drainage tube), group B (negative pressure drainage), and group C (4 h clamping drainage). Intraoperative and postoperative blood loss, operation time, and the drainage volume were recorded and analyzed. Arthrocele, ecchymosis, and range of motion (ROM) were examined postoperatively. The degree of pain was scored by Visual Analog Scale (VAS) after 6, 12, and 24 h of operation. The complications were examined and HSS (hospital for special surgery) knee score was taken during the follow-up period. Results There was no significant difference in operation time, total blood loss, intraoperative blood loss, and VAS score among three groups. Meanwhile, the hidden blood loss in group B was significantly decreased compared with group A (P = 0.0015). The postoperative drainage volume of group B was significantly increased compared with group C (P = 0.0002). No drainage increased the rate of arthrocele and ecchymosis. Compared with group A, ROM after 3 days of operation in groups B and C was significantly increased (P = 0.0357, P = 0.0372, respectively). During follow-up study, no deep infection or deep venous thrombosis was found. Conclusion After TKA, early clamping of the drainage tube reduced the bleeding loss without adverse effect on prognosis, which might be useful for clinical application in future. PMID:24755244

Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry.

PubMed

Vazquez-Sequeiros, Enrique; Baron, Todd H; Pérez-Miranda, Manuel; Sánchez-Yagüe, Andres; Gornals, Joan; Gonzalez-Huix, Ferran; de la Serna, Carlos; Gonzalez Martin, Juan Angel; Gimeno-Garcia, Antonio Z; Marra-Lopez, Carlos; Castellot, Ana; Alberca, Fernando; Fernandez-Urien, Ignacio; Aparicio, Jose Ramon; Legaz, Maria Luisa; Sendino, Oriol; Loras, Carmen; Subtil, Jose Carlos; Nerin, Juan; Perez-Carreras, Mercedes; Diaz-Tasende, Jose; Perez, Gustavo; Repiso, Alejandro; Vilella, Angels; Dolz, Carlos; Alvarez, Alberto; Rodriguez, Santiago; Esteban, Jose Miguel; Juzgado, Diego; Albillos, Agustin

2016-09-01

Initial reports suggest that fully covered self-expandable metal stents (FCSEMSs) may be better suited for drainage of dense pancreatic fluid collections (PFCs), such as walled-off pancreatic necrosis. The primary aim was to analyze the effectiveness and safety of FCSEMSs for drainage of different types of PFCs in a large cohort. The secondary aim was to investigate which type of FCSEMS is superior. This was a retrospective, noncomparative review of a nationwide database involving all hospitals in Spain performing EUS-guided PFC drainage. From April 2008 to August 2013, all patients undergoing PFC drainage with an FCSEMS were included in a database. The main outcome measurements were technical success, short-term (2 weeks) and long-term (6 months) effectiveness, adverse events, and need for surgery. The study included 211 patients (pseudocyst/walled-off pancreatic necrosis, 53%/47%). The FCSEMSs used were straight biliary (66%) or lumen-apposing (34%). Technical success was achieved in 97% of patients (95% confidence interval [CI], 93%-99%). Short-term- and long-term clinical success was obtained in 94% (95% CI, 89%-97%) and 85% (95% CI, 79%-89%) of patients, respectively. Adverse events occurred in 21% of patients (95% CI, 16%-27%): infection (11%), bleeding (7%), and stent migration and/or perforation (3%). By multivariate analysis, patient age (>58 years) and previous failed drainage were the most important factors associated with negative outcome. An FCSEMS is effective and safe for PFC drainage. Older patients with a history of unsuccessful drainage are more likely to fail EUS-guided drainage. The type of FCSEMS does not seem to influence patient outcome. Copyright © 2016 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

In-office drainage of sinus Mucoceles: An alternative to operating-room drainage.

PubMed

Barrow, Emily M; DelGaudio, John M

2015-05-01

Endoscopic drainage has become the standard of care for the treatment of mucoceles. In many patients this can be performed in the office. This study reviews our experience with in-office endoscopic mucocele drainage. Retrospective chart review. A retrospective review of one surgeon's experience with in-office endoscopic drainage of sinus mucoceles between 2006 and 2014 was performed. Charts were reviewed for patient demographics, previous surgery, mucocele location, bone erosion, and outcomes. Thirty-two patients underwent 36 in-office drainage procedures. All procedures were performed under topical/local anesthesia. The mean age was 55 years (range, 17-92 years). The mean follow-up time was 444 days. Fifty-five percent had previous sinus surgery. The primary sinus involved was the frontal (12), anterior (11), posterior ethmoid (six), maxillary (four), and sphenoid (two). Bone erosion was noted to be present on computed tomography in 18 mucoceles (51%) (16 orbital, seven skull-base). All mucoceles were successfully accessed in the office with the exception of one, which was aborted due to neo-osteogenesis. Five patients (14% of mucoceles) required additional surgery, two for mucocele recurrence and three for septated mucoceles not completely drained in the office. No treatment complications occurred. All but one patient preferred in-office to operating-room drainage. In-office drainage of sinus mucoceles is well tolerated by patients, with high success and low complication rates, even in large mucoceles with bone erosion. The presence of septations and neo-osteogenesis reduce the likelihood of complete drainage and are relative contraindications. Orbital and skull base erosion are not contraindications. 4. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Population structure of sea-type and lake-type sockeye salmon and kokanee in the Fraser River and Columbia River drainages

PubMed Central

Withler, Ruth E.

2017-01-01

Population structure of three ecotypes of Oncorhynchus nerka (sea-type Sockeye Salmon, lake-type Sockeye Salmon, and Kokanee) in the Fraser River and Columbia River drainages was examined with microsatellite variation, with the main focus as to whether Kokanee population structure within the Fraser River drainage suggested either a monophyletic or polyphyletic origin of the ecotype within the drainage. Variation at 14 microsatellite loci was surveyed for sea-type and lake-type Sockeye Salmon and Kokanee sampled from 121 populations in the two river drainages. An index of genetic differentiation, FST, over all populations and loci was 0.087, with individual locus values ranging from 0.031 to 0.172. Standardized to an ecotype sample size of 275 individuals, the least genetically diverse ecotype was sea-type Sockeye Salmon with 203 alleles, whereas Kokanee displayed the greatest number of alleles (260 alleles), with lake-type Sockeye Salmon intermediate (241 alleles). Kokanee populations from the Columbia River drainage (Okanagan Lake, Kootenay Lake), the South Thompson River (a major Fraser River tributary) drainage populations, and the mid-Fraser River populations all clustered together in a neighbor-joining analysis, indicative of a monophyletic origin of the Kokanee ecotype in these regions, likely reflecting the origin of salmon radiating from a refuge after the last glaciation period. However, upstream of the mid-Fraser River populations, there were closer relationships between the lake-type Sockeye Salmon ecotype and the Kokanee ecotype, indicative of the Kokanee ecotype evolving independently from the lake-type Sockeye Salmon ecotype in parallel radiation. Kokanee population structure within the entire Fraser River drainage suggested a polyphyletic origin of the ecotype within the drainage. Studies employing geographically restricted population sampling may not outline accurately the phylogenetic history of salmonid ecotypes. PMID:28886033

Impacts of soil conditioners and water table management on phosphorus loss in tile drainage from a clay loam soil.

PubMed

Zhang, T Q; Tan, C S; Zheng, Z M; Welacky, T W; Reynolds, W D

2015-03-01

Adoption of waste-derived soil conditioners and refined water management can improve soil physical quality and crop productivity of fine-textured soils. However, the impacts of these practices on water quality must be assessed to ensure environmental sustainability. We conducted a study to determine phosphorus (P) loss in tile drainage as affected by two types of soil conditioners (yard waste compost and swine manure compost) and water table management (free drainage and controlled drainage with subirrigation) in a clay loam soil under corn-soybean rotation in a 4-yr period from 1999 to 2003. Tile drainage flows were monitored and sampled on a year-round continuous basis using on-site auto-sampling systems. Water samples were analyzed for dissolved reactive P (DRP), particulate P (PP), and total P (TP). Substantially greater concentrations and losses of DRP, PP, and TP occurred with swine manure compost than with control and yard waste compost regardless of water table management. Compared with free drainage, controlled drainage with subirrigation was an effective way to reduce annual and cumulative losses of DRP, PP, and TP in tile drainage through reductions in flow volume and P concentration with control and yard waste compost but not with swine manure compost. Both DRP and TP concentrations in tile drainage were well above the water quality guideline for P, affirming that subsurface loss of P from fine-textured soils can be one critical source for freshwater eutrophication. Swine manure compost applied as a soil conditioner must be optimized by taking water quality impacts into consideration. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Tile drainage phosphorus loss with long-term consistent cropping systems and fertilization.

PubMed

Zhang, T Q; Tan, C S; Zheng, Z M; Drury, C F

2015-03-01

Phosphorus (P) loss in tile drainage water may vary with agricultural practices, and the impacts are often hard to detect with short-term studies. We evaluated the effects of long-term (≥43 yr) cropping systems (continuous corn [CC], corn-oats-alfalfa-alfalfa rotation [CR], and continuous grass [CS]) and fertilization (fertilization [F] vs. no-fertilization [NF]) on P loss in tile drainage water from a clay loam soil over a 4-yr period. Compared with NF, long-term fertilization increased concentrations and losses of dissolved reactive P (DRP), dissolved unreactive P (DURP), and total P (TP) in tile drainage water, with the increments following the order: CS > CR > CC. Dissolved P (dissolved reactive P [DRP] and dissolved unreactive P [DURP]) was the dominant P form in drainage outflow, accounting for 72% of TP loss under F-CS, whereas particulate P (PP) was the major form of TP loss under F-CC (72%), F-CR (62%), NF-CS (66%), NF-CC (74%), and NF-CR (72%). Dissolved unreactive P played nearly equal roles as DRP in P losses in tile drainage water. Stepwise regression analysis showed that the concentration of P (DRP, DURP, and PP) in tile drainage flow, rather than event flow volume, was the most important factor contributing to P loss in tile drainage water, although event flow volume was more important in PP loss than in dissolved P loss. Continuous grass significantly increased P loss by increasing P concentration and flow volume of tile drainage water, especially under the fertilization treatment. Long-term grasslands may become a significant P source in tile-drained systems when they receive regular P addition. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Outcome of transarterial treatment of dural arteriovenous fistulas with direct or indirect cortical venous drainage.

PubMed

Mantilla, Daniel; Le Corre, Marine; Cagnazzo, Federico; Gascou, Gregory; Eker, Omer; Machi, Paolo; Riquelme, Carlos; Dargazanli, Cyril; Costalat, Vincent; Bonafe, Alain; Lefevre, Pierre-Henri

2018-01-30

Transarterial Onyx embolization is an effective treatment for patients with intracranial dural arteriovenous fistula (DAVF). A study was performed to determine whether the clinical and radiological outcomes after transarterial Onyx treatment were affected by the type of cortical venous drainage (direct vs indirect) of high-grade DAVF. Between May 2006 and December 2014, demographic data, clinical presentation, angiographic characteristics, and treatment-related outcomes were collected for 54 patients divided into two groups (intracranial DAVF with direct and indirect cortical venous drainage). Continuous variables were compared with the two-tailed t test and categorical variables with the χ 2 test. Statistical significance was set at P<0.05. Fifty-two patients (71% with direct and 29% with indirect cortical venous drainage) underwent Onyx embolization. Immediate complete occlusion after treatment was observed in about 55% of patients without between-group difference. During the long-term follow-up, complete angiographic occlusion was achieved in 83% of patients. Specifically, 15 additional patients (40%) in the direct cortical venous drainage group progressed to complete occlusion, but only one (6%) in the indirect cortical venous drainage group. Overall, the rate of complete occlusion was higher in patients with DAVF with direct cortical venous drainage (92%) than in those with DAVF with indirect cortical venous drainage (62.5%) (P=0.01). The rate of permanent treatment-related complications was 4%, mostly related to ischemic events. Overall, 80.5% of patients had a good neurological outcome (modified Rankin Scale score 0-2). Transarterial Onyx embolization of intracranial high-grade DAVF is safe and effective, particularly for lesions with direct cortical venous drainage. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Pesticide leaching via subsurface drains in different hydrologic situations

NASA Astrophysics Data System (ADS)

Zajíček, Antonín; Fučík, Petr; Liška, Marek; Dobiáš, Jakub

2017-04-01

esticides and their degradates in tile drainage waters were studied in two small, predominantly agricultural, tile-drained subcatchments in the Bohemian-Moravian Highlands, Czech Republic. The goal was to evaluate their occurence and the dymamics of their concentrations in drainage waters in different hydrologic situations using discharge and concentration monitoring together with 18O and 2H isotope analysis for Mean Residence Time (MRT) estimation and hydrograph separations during rainfall - runoff (R-R) events. The drainage and stream discharges were measured continuously at the closing outlets of three drainage groups and one small stream. During periods of prevailing base and interflow, samples were collected manually in two-week intervals for isotope analysis and during the spraying period (March to October) also for pesticide analysis. During R-R events, samples were taken by automatic samplers in intervals varying from 20 min (summer) to 1 hour (winter). To enable isotopic analysis, precipitation was sampled both manually at two-week intervals and also using an automatic rainfall sampler which collected samples of precipitation during the R-R events at 20-min. intervals. The isotopic analysis showed, that MRT of drainage base flow and interflow varies from 2,2 to 3,3 years, while MRT of base flow and interflow in surface stream is several months. During R-R events, the proportion of event water varied from 0 to 60 % in both drainage and surface runoff. The occurrence of pesticides and their degradates in drainage waters is strongly dependent on the hydrologic situation. While degradates were permanently present in drainage waters in high but varying concentrations according to instantaneous runoff composition, parent matters were detected almost exclusively during R-R events. In periods with prevailing base flow and interflow (grab samples), especially ESA forms of chloracetanilide degradates occured in high concentrations in all samples. Average sum of degradates varried between 1 730 - 5 760 ng/l. During R-R events, pesticide concentration varried according to runoff composition and time between sprayng and event. Event with no protortiom of event water in drainage runoff were typical by incereas in degradates concentrations (up to 20 000ng/l) and none or low occurence of parent matters. Events with significant event water proportion in drainage runoff were characterised by decrease in degradates concentrations and (when event happened soon affter spraying) by presence of paternal pesticides in drinage runoff. Instanteous concentrations of paren matters can be extremely high in that causes, up to 23 000 ng/l in drainage waters and up to 40 000 ng/l in small stream. Above results suggest that drainage systems could act as significant source of pesticide leaching. When parent compounds leaches via tile drainage systems, there are some border conditions that must exist together such as the occurence of R-R event soon after the pests application and the presence of event water (or water with short residence time in the catchment) in the drainage runoff.

Abdominal drainage following cholecystectomy: high, low, or no suction?

PubMed Central

McCormack, T. T.; Abel, P. D.; Collins, C. D.

1983-01-01

A prospective trial to assess the effect of suction in an abdominal drain following cholecystectomy was carried out. Three types of closed drainage system were compared: a simple tube drain, a low negative pressure drain, and a high negative pressure drain: 120 consecutive patients undergoing cholecystectomy were randomly allocated to one of the three drainage groups. There was no significant difference in postoperative pyrexia, wound infection, chest infection, or hospital stay. This study failed to demonstrate any clinically useful difference between high negative pressure, low negative pressure, and static drainage system were compared: a simple tube drain, a low negative used, suction is not necessary and a simple tube drain (greater than 6 mm internal diameter) is the most effective form of drainage. PMID:6614773

MDCT Venography Evaluation of a Rare Collateral Vein Draining from the Left Subclavian Vein to the Great Cardiac Vein

PubMed Central

Abchee, Antoine; Saade, Charbel; Al-Mohiy, Hussain; El-Merhi, Fadi

2014-01-01

Congenital vascular anomalies of the venous drainage in the chest affect both cardiac and non-cardiac structures. Collateral venous drainage from the left subclavian vein to the great cardiac vein is a rare venous drainage pattern. These anomalies present a diagnostic challenge. Multi-detector computed tomography (MDCT) is useful in the diagnosis and treatment planning of these clinically complex disorders. We present a case report of an 18-year-old Caucasian male who came to our institute for evaluation of venous drainage patterns to the heart. We describe the contrast technique of bilateral dual injection MDCT venography and the imaging features of the venous drainage patterns to the heart. PMID:25379351

MDCT Venography Evaluation of a Rare Collateral Vein Draining from the Left Subclavian Vein to the Great Cardiac Vein.

PubMed

Abchee, Antoine; Saade, Charbel; Al-Mohiy, Hussain; El-Merhi, Fadi

2014-01-01

Congenital vascular anomalies of the venous drainage in the chest affect both cardiac and non-cardiac structures. Collateral venous drainage from the left subclavian vein to the great cardiac vein is a rare venous drainage pattern. These anomalies present a diagnostic challenge. Multi-detector computed tomography (MDCT) is useful in the diagnosis and treatment planning of these clinically complex disorders. We present a case report of an 18-year-old Caucasian male who came to our institute for evaluation of venous drainage patterns to the heart. We describe the contrast technique of bilateral dual injection MDCT venography and the imaging features of the venous drainage patterns to the heart.

Ultrasound guided transrectal catheter drainage of pelvic collections.

PubMed

Thakral, Anuj; Sundareyan, Ramaniwas; Kumar, Sheo; Arora, Divya

2015-01-01

The transrectal approach to draining deep-seated pelvic collections may be used to drain The transrectal approach to draining deep-seated pelvic collections may be used to drain intra-abdominal collections not reached by the transabdominal approach. We discuss 6 patients with such pelvic collections treated with transrectal drainage using catheter placement via Seldinger technique. Transrectal drainage helped achieve clinical and radiological resolution of pelvic collections in 6 and 5 of 6 cases, respectively. It simultaneously helped avoid injury to intervening bowel loops and neurovascular structures using real-time visualization of armamentarium used for drainage. Radiation exposure from fluoroscopic/CT guidance was avoided. Morbidity and costs incurred in surgical exploration were reduced using this much less invasive ultrasound guided transrectal catheter drainage of deep-seated pelvic collections.

Drainage areas of the Guyandotte River basin, West Virginia

USGS Publications Warehouse

Mathes, M.V.

1977-01-01

This report, prepared in cooperation with the West Virginia Office of Federal-State Relations (now the Office of Economic and Community Development), lists in tabular form 435 drainage areas for basins within the Guyandotte River basin of West Virginia. Drainage areas are compiled for sites at the mouths of all streams having drainage areas of approximately five square miles or greater, for sites at U.S. Geological Survey gaging stations (past and present), and for other miscellaneous sites. Drainage areas are summed in a downstream direction to provide areas for main channel sites. The site or reference point of each basin can be located by stream miles measured upstream from the mouth of each stream, by county, by quadrangle, and by latitude and longitude.

Impacts of climate change on rainfall extremes and urban drainage systems: a review.

PubMed

Arnbjerg-Nielsen, K; Willems, P; Olsson, J; Beecham, S; Pathirana, A; Bülow Gregersen, I; Madsen, H; Nguyen, V-T-V

2013-01-01

A review is made of current methods for assessing future changes in urban rainfall extremes and their effects on urban drainage systems, due to anthropogenic-induced climate change. The review concludes that in spite of significant advances there are still many limitations in our understanding of how to describe precipitation patterns in a changing climate in order to design and operate urban drainage infrastructure. Climate change may well be the driver that ensures that changes in urban drainage paradigms are identified and suitable solutions implemented. Design and optimization of urban drainage infrastructure considering climate change impacts and co-optimizing these with other objectives will become ever more important to keep our cities habitable into the future.

NPDES Permit for Leadville Mine Drainage Tunnel Treatment Plant in Colorado

EPA Pesticide Factsheets

Under NPDES permit CO-0021717, the U.S. Bureau of Reclamation is authorized to discharge from the Leadville Mine Drainage Tunnel Treatment Plant in Lake County, Colorado to an unnamed drainage way tributary to the East Fork of the Arkansas River.

A synthesis and comparative evaluation of drainage water management

USDA-ARS?s Scientific Manuscript database

Viable large-scale crop production in the United States requires artificial drainage in humid and poorly drained agricultural regions. Excess water removal is generally achieved by installing tile drains that export water to open ditches that eventually flow into streams. Drainage water management...

Effects of recharge from drainage wells on quality of water in the Floridan Aquifer in the Orlando area, central Florida

USGS Publications Warehouse

Schiner, G.R.; German, E.R.

1983-01-01

Approximately 400 drainage wells in the Orlando area inject, by gravity, large quantities of stormwater runoff that may or may not be suitable for most purposes without treatment into the same freshwater zones of the Floridan aquifer tapped for public supply. The wells are used mostly to control lake levels and dispose of urban storm runoff. Recharge from drainage wells compensates for heavy withdrawals from the Floridan aquifer and helps maintain aquifer pressures that retard upward saltwater encroachment. Sixty-five supply wells and 21 drainage wells within a 16-mile radius of Orlando were sampled from September 1977 to June 1979. Most constituent concentrations were slightly higher in water from drainage wells than in water from supply wells. The most notable differences were in bacteria colony count and total nitrogen concentrations. With the exception of bacteria, water from drainage wells would generally meet the maximum contaminant levels established by the National Interim Primary and Proposed Secondary Drinking Water Regulations. (USGS)

Surficial deposits in the Bear Lake Basin

USGS Publications Warehouse

Reheis, Marith C.; Laabs, Benjamin J.C.; Forester, Richard M.; McGeehin, John P.; Kaufman, Darrell S.; Bright, Jordon

2005-01-01

Mapping and dating of surficial deposits in the Bear Lake drainage basin were undertaken to provide a geologic context for interpretation of cores taken from deposits beneath Bear Lake, which sometimes receives water and sediment from the glaciated Bear River and sometimes only from the small drainage basin of Bear Lake itself. Analyses of core sediments by others are directed at (1) constructing a high-resolution climate record for the Bear Lake area during the late Pleistocene and Holocene, and (2) investigating the sources and weathering history of sediments in the drainage basin. Surficial deposits in the upper Bear River and Bear Lake drainage basins are different in their overall compositions, although they do overlap. In the upper Bear River drainage, Quaternary deposits derived from glaciation of the Uinta Range contain abundant detritus weathered from Precambrian quartzite, whereas unglaciated tributaries downstream mainly contribute finer sediment weathered from much younger, more friable sedimentary rocks. In contrast, carbonate rocks capped by a carapace of Tertiary sediments dominate the Bear Lake drainage basin.

Vaccum drainage system application in the management of operation-related non-regional epidural hematoma

PubMed Central

2013-01-01

Background Epidural intracranial hematoma is one of the most common complications of surgeries for intracranial tumors. The non-regional epidural hematoma is related to severe fluctuation of the intracranial pressure during the operation. The traditional management of hematoma evacuation through craniotomy is time-consuming and may aggravate intracranial pressure imbalance, which causes further complications. We designed a method using vaccum epidural drainage system, and tried to evaluate advantage and the disadvantage of this new technique. Methods Seven patients of intracranial tumors were selected. All of the patients received tumor resection and intra-operative non-regional epidural hematoma was confirmed through intra-operative ultrasound or CT scan. The vaccum drainage system was applied. Another ten patients who received craniotomy for intra-operative non-regional epidural hematoma evacuation were selected as comparison. Regular tests, like serial CT scan, were performed afterward to evaluate the effectiveness and to help deciding when to remove the drainage system. Results The vaccum drainage method was effective in epidual hemotoma clearance and prevented recurrent epidural hemorrhage. The drainage systems were removed within 4 days. All of the patients recovered well. No complications related to the drainage system were observed. Conclusions Compared to the traditional craniotomy, the new method of epidural hemoatoma management using vaccum epidural drainage system proved to be as effective in hematoma clearance, and was less-invasive and easier to perform, with less complication, shorter hospitalization, less economic burden, and better prognosis. PMID:23842198

Tunnel Face Stability and the Effectiveness of Advance Drainage Measures in Water-Bearing Ground of Non-uniform Permeability

NASA Astrophysics Data System (ADS)

Zingg, Sara; Anagnostou, Georg

2018-01-01

Non-uniform permeability may result in complex hydraulic head fields with potentially very high hydraulic gradients close to the tunnel face, which may be adverse for stability depending on the ground strength. Pore pressure relief by drainage measures in advance of the tunnel excavation improves stability, but the effectiveness of drainage boreholes may be low in the case of alternating aquifers and aquitards. This paper analyses the effects of hydraulic heterogeneity and advance drainage quantitatively by means of limit equilibrium computations that take account of the seepage forces acting upon the ground in the vicinity the tunnel face. The piezometric field is determined numerically by means of steady-state, three-dimensional seepage flow analyses considering the heterogeneous structure of the ground and a typical advance drainage scheme consisting of six axial boreholes drilled from the tunnel face. A suite of stability analyses was carried out covering a wide range of heterogeneity scales. The computational results show the effect of the orientation, thickness, location, number and permeability ratio of aquifers and aquitards and provide valuable indications about potentially critical situations, the effectiveness of advance drainage and the adequate arrangement of drainage boreholes. The paper shows that hydraulic heterogeneity results in highly variable face behaviour, even if the shear strength of the ground is constant along the alignment, but ground behaviour is considerably less variable in the presence of advance drainage measures.

Simulation of the erosion and drainage development of Loess surface based on GIS

NASA Astrophysics Data System (ADS)

Wang, Chun; Tang, Guoan; Ge, Shanshan; Li, Zhanbin; Zhou, Jieyu

2006-10-01

The research probes into the temporal-spatial process of drainage development of Loess Plateau on the basis of a carefully designed experiment. In the experiment, the development of a simulated loess watershed is tested under the condition of lab-simulated rainfall. A close-range photogrammetry survey is employed to establish a series of high precision and resolution DEM (Digit Elevation Model) of the simulated loess surface. Based on the established DEM, the erosion loss, the slope distribution, the topographic index , the gully-brink, and the drainage networks are all derived and discussed through comparison analysis and experimental validation. All the efforts aim at revealing the process and mechanism of erosion and drainage development of loess surface .This study demonstrates: 1) the stimulation result can effectively reflect the truth if those experimental conditions, i.e. loess soil structure, simulated rainfall, are adjusted in accord with true situation; 2) the remarkable character of the erosion and drainage up-growth of loess surface include the drainage traced to the source, the increased of the drainage's density, the enlarged of gully, the durative variety of multiple terrain factor's mean value and its distribution, such as slope and topographic index; 3) The slope spectrum is the more felicitous terrain factor for depicting the erosion and drainage development of loess surface, including the rule of erosion and evolution process. It is the new way and mean for studying the loess physiognomy.

The usefulness of Wi-Fi based digital chest drainage system in the post-operative care of pneumothorax.

PubMed

Cho, Hyun Min; Hong, Yoon Joo; Byun, Chun Sung; Hwang, Jung Joo

2016-03-01

Chest drainage systems are usually composed of chest tube and underwater-seal bottle. But this conventional system may restrict patients doing exercise and give clinicians obscure data about when to remove tubes because there is no objective indicator. Recently developed digital chest drainage systems may facilitate interpretation of the grade of air leak and make it easy for clinicians to decide when to remove chest tubes. In addition, with combination of wireless internet devices, monitoring and managing of drainage system distant from the patient is possible. Sixty patients of primary pneumothorax were included in a prospective randomized study and divided into two groups. Group I (study) consisted of digital chest drainage system while in group II (control), conventional underwater-seal chest bottle system was used. Data was collected from January, 2012 to September, 2013 in Eulji University Hospital, Daejeon, Korea. There was no difference in age, sex, smoking history and postoperative pain between two groups. But the average length of drainage was 2.2 days in group I and 3.1 days in group II (P<0.006). And more, about 90% of the patients in group I was satisfied with using new device for convenience. Digital system was beneficial on reducing the length of tube drainage by real time monitoring. It also had advantage in portability, loudness and gave more satisfaction than conventional system. Moreover, internet based digital drainage system will be a good method in thoracic telemedicine area in the near future.

Modeling coastal plain drainage ditches with SWAT

USDA-ARS?s Scientific Manuscript database

In the low-relief Eastern Shore region of Maryland, extensive land areas used for crop production require drainage systems either as tile drains or open ditches. The prevalence of drainage ditches in the region is being linked to increased nutrient loading of the Chesapeake Bay. Process-based water ...

24 CFR 3285.604 - Drainage system.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Drainage system. 3285.604 Section... DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Ductwork and Plumbing and Fuel Supply Systems § 3285.604 Drainage system. (a) Crossovers. Multi-section homes with plumbing in more than one section...

24 CFR 3285.604 - Drainage system.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Drainage system. 3285.604 Section... DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Ductwork and Plumbing and Fuel Supply Systems § 3285.604 Drainage system. (a) Crossovers. Multi-section homes with plumbing in more than one section...

40 CFR 440.141 - Specialized definitions and provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... shaking tables. (7) “Infiltration water” means that water which permeates through the earth into the plant... drainage, and infiltration and drainage waters which commingle with mine drainage or waters resulting from... increase in volume from precipitation or infiltration, plus the maximum volume of water runoff resulting...

40 CFR 440.141 - Specialized definitions and provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., hydrocyclones, or shaking tables. (7) “Infiltration water” means that water which permeates through the earth... drainage, and infiltration and drainage waters which commingle with mine drainage or waters resulting from... increase in volume from precipitation or infiltration, plus the maximum volume of water runoff resulting...

40 CFR 440.141 - Specialized definitions and provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., hydrocyclones, or shaking tables. (7) “Infiltration water” means that water which permeates through the earth... drainage, and infiltration and drainage waters which commingle with mine drainage or waters resulting from... increase in volume from precipitation or infiltration, plus the maximum volume of water runoff resulting...

40 CFR 440.141 - Specialized definitions and provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., hydrocyclones, or shaking tables. (7) “Infiltration water” means that water which permeates through the earth... drainage, and infiltration and drainage waters which commingle with mine drainage or waters resulting from... increase in volume from precipitation or infiltration, plus the maximum volume of water runoff resulting...

40 CFR 440.141 - Specialized definitions and provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... shaking tables. (7) “Infiltration water” means that water which permeates through the earth into the plant... drainage, and infiltration and drainage waters which commingle with mine drainage or waters resulting from... increase in volume from precipitation or infiltration, plus the maximum volume of water runoff resulting...

43 CFR 3162.2 - Drilling, producing, and drainage obligations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Drilling, producing, and drainage obligations. 3162.2 Section 3162.2 Public Lands: Interior Regulations Relating to Public Lands (Continued... OPERATIONS Requirements for Operating Rights Owners and Operators § 3162.2 Drilling, producing, and drainage...

43 CFR 3162.2 - Drilling, producing, and drainage obligations.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Drilling, producing, and drainage...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) ONSHORE OIL AND GAS OPERATIONS Requirements for Operating Rights Owners and Operators § 3162.2 Drilling, producing, and drainage...

43 CFR 3162.2 - Drilling, producing, and drainage obligations.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Drilling, producing, and drainage...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) ONSHORE OIL AND GAS OPERATIONS Requirements for Operating Rights Owners and Operators § 3162.2 Drilling, producing, and drainage...

43 CFR 3162.2 - Drilling, producing, and drainage obligations.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Drilling, producing, and drainage...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) ONSHORE OIL AND GAS OPERATIONS Requirements for Operating Rights Owners and Operators § 3162.2 Drilling, producing, and drainage...

30 CFR 876.12 - Eligibility.

Code of Federal Regulations, 2012 CFR

2012-07-01

... LAND RECLAMATION ACID MINE DRAINAGE TREATMENT AND ABATEMENT PROGRAM § 876.12 Eligibility. (a) Beginning... distributed to it for an acid mine drainage fund. All amounts set aside under this section must be deposited into an acid mine drainage abatement and treatment fund established under State or Indian tribal law...

30 CFR 876.12 - Eligibility.

Code of Federal Regulations, 2013 CFR

2013-07-01

... LAND RECLAMATION ACID MINE DRAINAGE TREATMENT AND ABATEMENT PROGRAM § 876.12 Eligibility. (a) Beginning... distributed to it for an acid mine drainage fund. All amounts set aside under this section must be deposited into an acid mine drainage abatement and treatment fund established under State or Indian tribal law...

30 CFR 876.12 - Eligibility.

Code of Federal Regulations, 2011 CFR

2011-07-01

... LAND RECLAMATION ACID MINE DRAINAGE TREATMENT AND ABATEMENT PROGRAM § 876.12 Eligibility. (a) Beginning... distributed to it for an acid mine drainage fund. All amounts set aside under this section must be deposited into an acid mine drainage abatement and treatment fund established under State or Indian tribal law...

30 CFR 876.12 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-07-01

... LAND RECLAMATION ACID MINE DRAINAGE TREATMENT AND ABATEMENT PROGRAM § 876.12 Eligibility. (a) Beginning... distributed to it for an acid mine drainage fund. All amounts set aside under this section must be deposited into an acid mine drainage abatement and treatment fund established under State or Indian tribal law...

30 CFR 876.12 - Eligibility.

Code of Federal Regulations, 2014 CFR

2014-07-01

... LAND RECLAMATION ACID MINE DRAINAGE TREATMENT AND ABATEMENT PROGRAM § 876.12 Eligibility. (a) Beginning... distributed to it for an acid mine drainage fund. All amounts set aside under this section must be deposited into an acid mine drainage abatement and treatment fund established under State or Indian tribal law...

Dredging effects on selected nutrient concentrations and ecoenzymatic activity in two drainage ditch sediments in the lower Mississippi River Valley

USDA-ARS?s Scientific Manuscript database

Agricultural drainage ditches are conduits between production acreage and receiving aquatic systems. Often overlooked for their mitigation capabilities, agricultural drainage ditches provide an important role for nutrient transformation via microbial metabolism. Variations in ecoenzyme activities ...

Protocol of a prospective cohort study of the effect of different methods of drainage of neuropathic bladder on occurrence of symptomatic urinary infection, and adverse events related to the urinary drainage system in spinal cord injury patients

PubMed Central

Vaidyanathan, Subramanian; Soni, Bhakul M; Gurpreet, Singh; Mansour, Paul; Hughes, Peter L; Oo, Tun; Sett, Pradipkumar; Parsons, Keith F; Davies, John C

2001-01-01

Background To present a protocol of a prospective, cohort study in which four groups of spinal cord injury (SCI) patients will participate. (Patients with indwelling urethral catheter; patients who perform intermittent catheterisation without wearing a penile sheath; patients who perform intermittent catheterisation and wear penile sheath as well; and patients with penile sheath drainage). Objectives (1) What is the incidence of symptomatic urinary infection in men with spinal cord injury who use different types of bladder drainage? (2) Which are predisposing factors for the occurrence of symptomatic urinary infection in men with spinal cord injury who practise different methods of bladder drainage? (3) What is the incidence of catheter and urinary drainage system-related adverse events in the four groups of SCI patients? Patients The criteria for inclusion are as follow: (1) Male patients with neuropathic bladder due to spinal cord injury, who are registered with the Regional Spinal Injuries Centre, Southport, England. (2) Age: 18 years or above. (3) Patients who are willing to give informed consent for participation in the study. (4) Patients willing to be contacted every two weeks by a staff of the spinal unit for 36 months. (5) Patients who are willing to maintain an accurate record of adverse events related to urinary catheter and urinary drainage system and predisposing factors for the occurrence of symptomatic urinary infection. (6) Patients, who are stabilised in a particular method of bladder drainage, and therefore, unlikely to make a permanent change in the method of bladder drainage (e.g. from penile sheath drainage to the use of long-term indwelling catheter) during a foreseeable future. Methods The participants will be observed for a period of 36 months. A staff of the spinal injuries unit will contact the participants by telephone every two weeks on a mutually agreed day and time. The information obtained during this standardised telephonic interview conducted once in two weeks will be entered in a database. When a participant develops symptom(s) suggestive of urinary infection, he will undergo urine and blood tests, and imaging studies of the urinary tract. Conclusion This study will provide information regarding the occurrence of symptomatic urinary infection, predisposing factors for development of urinary infection, and adverse events related to urinary catheter and urinary drainage system in SCI patients using different methods of bladder drainage. PMID:11734072

Mercury mine drainage and processes that control its environmental impact

USGS Publications Warehouse

Rytuba, J.J.

2000-01-01

Mine drainage from mercury mines in the California Coast Range mercury mineral belt is an environmental concern because of its acidity and high sulfate, mercury, and methylmercury concentrations. Two types of mercury deposits are present in the mineral belt, silica-carbonate and hot-spring type. Mine drainage is associated with both deposit types but more commonly with the silica-carbonate type because of the extensive underground workings present at these mines. Mercury ores consisting primarily of cinnabar were processed in rotary furnaces and retorts and elemental mercury recovered from condensing systems. During the roasting process mercury phases more soluble than cinnabar are formed and concentrated in the mine tailings, commonly termed calcines. Differences in mineralogy and trace metal geochemistry between the two deposit types are reflected in mine drainage composition. Silica-carbonate type deposits have higher iron sulfide content than hot- spring type deposits and mine drainage from these deposits may have extreme acidity and very high concentrations of iron and sulfate. Mercury and methylmercury concentrations in mine drainage are relatively low at the point of discharge from mine workings. The concentration of both mercury species increases significantly in mine drainage that flows through and reacts with calcines. The soluble mercury phases in the calcines are dissolved and sulfate is added such that methylation of mercury by sulfate reducing bacteria is enhanced in calcines that are saturated with mine drainage. Where mercury mine drainage enters and first mixes with stream water, the addition of high concentrations of mercury and sulfate generates a favorable environment for methylation of mercury. Mixing of oxygenated stream water with mine drainage causes oxidation of dissolved iron(II) and precipitation of iron oxyhydroxide that accumulates in the streambed. Both mercury and methylmercury are strongly adsorbed onto iron oxyhydroxide over the pH range of 3.2-7.1 in streams impacted by mine drainage. The dissolved fraction of both mercury species is depleted and concentrated in iron oxyhydroxide such that the amount of iron oxyhydroxide in the water column reflects the concentration of mercury species. In streams impacted by mine drainage, mercury and methylmercury are transported and adsorbed onto particulate phases. During periods of low stream flow, fine-grained iron hydroxide sediment accumulates in the bed load of the stream and adsorbs mercury and methylmercury such that both forms of mercury become highly enriched in the iron oxyhydroxide sediment. During high-flow events, mercury- and methylmercury-enriched iron hydroxide sediment is transported into larger aquatic systems producing a high flux of bioavailable mercury. (C) 2000 Elsevier Science B.V.

Remediation of Acid Mine Drainage with Sulfate Reducing Bacteria

ERIC Educational Resources Information Center

Hauri, James F.; Schaider, Laurel A.

2009-01-01

Sulfate reducing bacteria have been shown to be effective at treating acid mine drainage through sulfide production and subsequent precipitation of metal sulfides. In this laboratory experiment for undergraduate environmental chemistry courses, students design and implement a set of bioreactors to remediate acid mine drainage and explain observed…

Performance Evaluation of Automated Passive Capillary Sampler for Estimating Water Drainage in the Vadose Zone

USDA-ARS?s Scientific Manuscript database

Passive capillary samplers (PCAPs) are widely used to monitor, measure and sample drainage water under saturated and unsaturated soil conditions in the vadose zone. The objective of this study was to evaluate the performance and accuracy of automated passive capillary sampler for estimating drainage...

INVESTIGATION OF INAPPROPRIATE POLLUTANTS ENTRIES INTO STORM DRAINAGE SYSTEMS: A USER'S GUIDE

EPA Science Inventory

This User's Guide is the result of a series of EPA sponsored research tasks to develop a procedure to investigate non-stormwater entries into storm drainage systems. A number of past projects have found that dry-weather flows discharging from storm drainage systems can contribu...

Effective and efficient agricultural drainage pipe mapping with UAS thermal infrared imagery: a case study

USDA-ARS?s Scientific Manuscript database

Effective and efficient methods are needed to map agricultural subsurface drainage systems. Visible (VIS), near infrared (NIR), and/or thermal infrared (TIR) imagery obtained by unmanned aircraft systems (UAS) may provide a means for determining drainage pipe locations. Preliminary UAS surveys wit...

Batch test screening of industrial product/byproduct filter materials for agricultural drainage water treatment

USDA-ARS?s Scientific Manuscript database

Filter treatment may be a viable means for removing the nitrate, phosphate, and pesticides discharged with agricultural drainage waters that cause adverse environmental impacts within the U.S. on local, regional, and national scales. Laboratory batch test screening for agricultural drainage water ...

Understanding nitrogen and organic carbon contents of agricultural drainage ditches of the Lower Mississippi Alluvial Valley

USDA-ARS?s Scientific Manuscript database

Application of agricultural fertilizers as a means of increasing production have resulted in excessive nutrient loading to agricultural drainage ditches, contributing to the Gulf of Mexico hypoxic zone. Drainage ditches can have wetland characteristics and functionality, including the capacity to re...

Effect of tile effluent on nutrient concentration and retention efficiency in agricultural drainage ditches

USDA-ARS?s Scientific Manuscript database

Tile drainage is a common water management practice in many agricultural landscapes in the Midwestern United States. Drainage ditches regularly receive water from agricultural fields through these tile drains. This field-scale study was conducted to determine the impact of tile discharge on ambient ...

LIME TREATMENT LAGOONS TECHNOLOGY FOR TREATING ACID MINE DRAINAGE FROM TWO MINING SITES

EPA Science Inventory

Runoff and drainage from active and inactive mines are someof the most environmentally damaging land uses i the US. Acid Mine drainage (AMD) from mining sites across the country requires treatment because of high metal concentrations that exceed regulatory standards for safe disc...

Quantifying subsurface hydrology effects on chemical transport in drainage ditches using a 20-meter flume

USDA-ARS?s Scientific Manuscript database

Agriculture drainage ditches serve as the veins of the Midwestern agricultural landscapes. The transport of chemical fertilizers and pesticides in these ditches affect the local and downstream ecosystems. Although much research has already been conducted on chemical transport in streams and drainage...

46 CFR 173.062 - Drainage of weather deck.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

46 CFR 173.062 - Drainage of weather deck.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

46 CFR 173.062 - Drainage of weather deck.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

46 CFR 173.062 - Drainage of weather deck.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

46 CFR 173.062 - Drainage of weather deck.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

7 CFR 12.33 - Use of wetland and converted wetland.

Code of Federal Regulations, 2011 CFR

2011-01-01

... adjust the existing drainage system to accommodate the increased water regime on the condition that the... water regime, the causes thereof, and the planned changes in the existing drainage system. In order to... drainage systems. (b) Unless otherwise provided in this part, the production of an agricultural commodity...

Have Metals Lost Their Luster? Environmental Effects Of MIning And Remedial Options

EPA Science Inventory

Many miles of streams in the U.S. (and worldwide) are contaminated by mine-drainage originating from both active and abandoned mining sites [coal and metal mining]. Depending on the host-rock, the drainage might or might not be acidic. Once the drainage mixes with oxygenated st...

Assessment of Commercially Marketed Filter Materials for Tile Drainage Outlets on Golf Courses

USDA-ARS?s Scientific Manuscript database

Subsurface tile drainage is essential in the construction and functionality of golf course greens. However, due to turf management, the waters conveyed by the drainage network contain potentially high levels of nutrients and pesticides. The objective of this research is to assess the subsurface hydr...

Evidence for the use of low-grade weirs in drainage ditches to improve nutrient reductions from agriculture

USDA-ARS?s Scientific Manuscript database

The essential function of drainage ditches is to remove water from the agricultural landscape to avoid crop senescence through flooding and soil saturation. Commonly used slotted board risers provide drainage management strategies over the dormant season; however, by introducing innovative, low-gra...

Subdural Instillation of a Thrombolytic Agent for Treatment of Recurrent Subdural Hematoma.

PubMed

Frenkel, Mark B; Sarwal, Aarti; Wren, Mary Petrulis; Newey, Christopher R; Couture, Daniel E

This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence. An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control. Treatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up.

The relationship between perimesencephalic subarachnoid hemorrhage and deep venous system drainage pattern and calibrations.

PubMed

Buyukkaya, Ramazan; Yıldırım, Nalan; Cebeci, Hakan; Kocaeli, Hasan; Dusak, Abdürrahim; Ocakoğlu, Gökhan; Erdoğan, Cüneyt; Hakyemez, Bahattin

2014-01-01

The purpose of this study is to investigate the relationship between Rosenthal basal vein (BVR) type and diameter and perimesencephalic nonaneurysmal subarachnoid hemorrhage (P-SAH). Aneurysmal subarachnoid hemorrhage (A-SAH), P-SAH, and control groups were evaluated, and BVRs were classified by type. BVR diameters in patients were measured. There was a statistically significant difference of BVR drainage types between groups (P=.002). BVR diameters of patients with normal drainage pattern in P-SAH group were significantly smaller than those in both other groups (P<.001). There is a relationship between P-SAH and BVR primitive drainage type. P-SAH risk increases in parallel with decreasing caliber of BVR in patients with normal drainage pattern. Copyright © 2014 Elsevier Inc. All rights reserved.

Endoscopic ultrasound-guided biliary drainage

PubMed Central

Chavalitdhamrong, Disaya; Draganov, Peter V

2012-01-01

Endoscopic ultrasound (EUS)-guided biliary drainage has emerged as a minimally invasive alternative to percutaneous and surgical interventions for patients with biliary obstruction who had failed endoscopic retrograde cholangiopancreatography (ERCP). EUS-guided biliary drainage has become feasible due to the development of large channel curvilinear therapeutic echo-endoscopes and the use of real-time ultrasound and fluoroscopy imaging in addition to standard ERCP devices and techniques. EUS-guided biliary drainage is an attractive option because of its minimally invasive, single step procedure which provides internal biliary decompression. Multiple investigators have reported high success and low complication rates. Unfortunately, high quality prospective data are still lacking. We provide detailed review of the use of EUS for biliary drainage from the perspective of practicing endoscopists with specific focus on the technical aspects of the procedure. PMID:22363114

Drainage areas of the Potomac River basin, West Virginia

USGS Publications Warehouse

Wiley, Jeffrey B.; Hunt, Michelle L.; Stewart, Donald K.

1996-01-01

This report contains data for 776 drainage-area divisions of the Potomac River Basin, from the headwaters to the confluence of the Potomac River and the Shenandoah River. Data, compiled in downstream order, are listed for streams with a drainage area of approximately 2 square miles or larger within West Virginia and for U.S. Geological Survey streamflow-gaging stations. The data presented are the stream name, the geographical limits in river miles, the latitude and longitude of the point, the name of the county, and the 7 1/2-minute quadrangle in which the point lies, and the drainage area of that site. The total drainage area of the Potomac River Basin downstream of the confluence of the Shenandoah River at the State boundary is 9,367.29 square miles.

Agricultural drainage and wetland management in Ontario.

PubMed

Walters, Dan; Shrubsole, Dan

2003-12-01

Land drainage is recognized as an integral part of agricultural activity throughout the world. However, the increase in agricultural production has resulted in the loss of wetland functions and values. Therefore, wetland management and agricultural drainage illustrate the conflict between economic development and natural values. This research assesses the approval process for agricultural land drainage in Ontario, Canada, to determine how the benefits of increased agricultural production are balanced against the loss of wetland values. A permit review of drainage applications was conducted from 1978 to 1997 in Zorra Township, Ontario, Canada. Data collection also included the document reviews, interviews with government agencies and wetland evaluation files. The selected criteria include efficiency, equity, consistency and adequacy. The results indicate that while the process is efficient, fundamental problems remain with the bargaining process.

Digital air leak monitoring after lobectomy for primary lung cancer in patients with moderate COPD: can a fast-tracking algorithm reduce postoperative costs and complications?

PubMed

Filosso, P L; Ruffini, E; Solidoro, P; Molinatti, M; Bruna, M C; Oliaro, A

2010-06-01

Prolonged air leaks remain one of the most important complication after pulmonary resection. The aim of this study was to test a new fast-track chest tube removal protocol using a new drainage system, which digitally records postoperative air leaks, compared to the traditional one, with subjective visual air leak assessment. Patients with moderate COPD undergoing lobectomy for primary lung cancer at the Department of Thoracic Surgery of the University of Torino were randomised in two groups with different chest drainage systems and different removal protocols: in Group A the drainage was removed after digitally recordered measurement of air leaks; in Group B the tube was removed according to the air leaks visualization by bubbling in the water column. The following variables were evaluated: first and second drainage removal day; overall hospital length of stay; overall hospitalization costs. First and second drainages were removed sooner in those patients with the digital drainage system. An earlier drainage removal is associated with significative reduction in hospital length of stay and overall hospitalization costs. The digital and continuous air leak measurement reduces the hospital length of stay by a more accurate and reproductive air leaks measurement. Further studies are mandatory to corroborate our preliminary results.

Effects of coal mine drainage on the water quality of small receiving streams in Washington, 1975-77

USGS Publications Warehouse

Packard, F.A.; Skinner, E.L.; Fuste, L.A.

1988-01-01

Drainage from abandoned coal mines in western and central Washington has minimal environmental impact. Water quality characteristics that have the most significant environmental impact are suspended sediment and turbidity. Water quality data from 51 abandoned coal mines representing 11 major coal bearing areas indicate that less than 1% of the mine drainage has a pH of 4.5 or less. Fifty percent of the drainage is alkaline and has pH 7.0 and greater, and about 95% of the drainage has pH 6.0 and greater. Less than 2% is acidified to a pH of 5.6, a point where water and free (atmospheric) carbon dioxide are in equilibrium. The area where pH 5.6 or less is most likely to occur is in the Centralia/Chehalis mine district. No significant difference in diversity of benthic organisms was found between stations above and below the mine drainage. However, within the 50-ft downstream reach ostracods were more abundant than above the mine drainage and mayflies, stoneflies, and caddisflies were less abundant than at the control site. Correlations to water quality measurements show that these faunal changes are closely associated with iron and sulfate concentrations. (USGS)

Gastric fistula secondary to drainage tube penetration: A report of a rare case.

PubMed

Shao, Hui-Jiang; Lu, Bao-Chun; Xu, Huan-Jian; Ruan, Xin-Xian; Yin, Jing-Song; Shen, Zhi-Hong

2016-03-01

Cases of gastric fistula secondary to drainage tube penetration have rarely been reported. The current study presents a case of gastric penetration caused by misplacement of a drainage tube after a splenectomy. The patient was admitted to the Department of Hepatobiliary Surgery, (Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing, Zhejiang, China) for blunt abdominal trauma due to injuries sustained in an automobile accident. A ruptured spleen was found and successfully removed surgically. On post-operative day 7, the patient complained of slight discomfort and tenderness in the left upper quadrant of the abdomen. In addition, 500 ml of bile-colored fluid with small food particles was noted in the drainage tube. Barium X-ray revealed a gastric fistula in the upper gastrointestinal tract. Gastroscopy indicated infiltration of the drainage tube into the gastric cavity. No significant peritoneal effusion was observed, as revealed by abdominal ultrasound examination. These results confirmed the diagnosis of a gastric fistula secondary to perforation by the drainage tube. Following conservative treatment with antibiotics and total parenteral nutrition, the general condition of the patient improved significantly. The drainage tube was withdrawn progressively, as the amount of fluid being discharged was decreasing. Gastroenterography confirmed perforation closure and the tube was finally removed on post-operative day 44.

A cost comparison of traditional drainage and SUDS in Scotland.

PubMed

Duffy, A; Jefferies, C; Waddell, G; Shanks, G; Blackwood, D; Watkins, A

2008-01-01

The Dunfermline Eastern Expansion (DEX) is a 350 ha mixed development which commenced in 1996. Downstream water quality and flooding issues necessitated a holistic approach to drainage planning and the site has become a European showcase for the application of Sustainable Urban Drainage Systems (SUDS). However, there is minimal data available regarding the real costs of operating and maintaining SUDS to ensure they continue to perform as per their design function. This remains one of the primary barriers to the uptake and adoption of SUDS. This paper reports on what is understood to be the only study in the UK where actual costs of constructing and maintaining SUDS have been compared to an equivalent traditional drainage solution. To compare SUDS costs with traditional drainage, capital and maintenance costs of underground storage chambers of analogous storage volumes were estimated. A whole life costing methodology was then applied to data gathered. The main objective was to produce a reliable and robust cost comparison between SUDS and traditional drainage. The cost analysis is supportive of SUDS and indicates that well designed and maintained SUDS are more cost effective to construct, and cost less to maintain than traditional drainage solutions which are unable to meet the environmental requirements of current legislation. (c) IWA Publishing 2008.

Controls on drainage divide migration in the northern Sierras Pampeanas assessed through morphometric indicators

NASA Astrophysics Data System (ADS)

Seagren, E. G.; Schoenbohm, L. M.

2017-12-01

Drainage reorganization, primarily through progressive divide migration leading to discrete stream captures, is increasingly recognized as a common phenomenon during mountain-building events. This drainage rearrangement reflects complex interactions between tectonics, climate, and lithology, and can fundamentally change erosion and sedimentation patterns; therefore, determining the spatial extent and potential controls of divide migration is vital to understanding the topographic evolution of orogenic landscapes. Both geomorphic and morphometric evidence can be used to identify such drainage reorganization. The northern Sierras Pampeanas is an ideal location in which to study divide migration as limited glaciation and low out-of-channel erosion rates preserve evidence of reorganization. Additionally, several ranges in the region, such as Sierra de las Planchadas, exhibit geomorphic evidence of drainage rearrangement, including wind gaps and hairpin turns. Using ArcGIS, LSDTopoTools, and TopoToolbox, we conducted a systematic analysis of the spatial distribution of three morphometric indicators of divide migration: χ, Mx, and local headwater relief. Local `hotspots' undergoing drainage divide migration were identified using spatial autocorrelation and clustering methods - Gi* and Moran's I. Using spatial regression analysis, we assessed the potential controls of lithology, modern TRMM precipitation rates, and tectonics over divide migration. Preliminary results suggest broad westward migration of main drainage divides, following both the orographic precipitation gradient and regional slope.

A model to measure lymphatic drainage from the eye.

PubMed

Kim, Minhui; Johnston, Miles G; Gupta, Neeru; Moore, Sara; Yücel, Yeni H

2011-11-01

Intraocular pressure (IOP) is the most important risk factor for glaucoma development and progression. Most anti-glaucoma treatments aim to lower IOP by enhancing aqueous humor drainage from the eye. Aqueous humor drainage occurs via well-characterized trabecular meshwork (TM) and uveoscleral (UVS) pathways, and recently described ciliary body lymphatics. The relative contribution of the lymphatic pathway to aqueous drainage is not known. We developed a sheep model to quantitatively assess lymphatic drainage along with TM and UVS outflows. This study describes that model and presents our initial findings. Following intracameral injection of (125)I-bovine serum albumin (BSA), lymph was continuously collected via cannulated cervical lymphatic vessels and the thoracic lymphatic duct over either a 3-h or 5-h time period. In the same animals, blood samples were collected from the right jugular vein every 15 min. Lymphatic and TM drainage were quantitatively assessed by measuring (125)I-BSA in lymph and plasma, respectively. Radioactive tracer levels were also measured in UVS and "other" ocular tissue, as well as periocular tissue harvested 3 and 5 h post-injection. Tracer recovered from UVS tissue was used to estimate UVS drainage. The amount of (125)I-BSA recovered from different fluid and tissue compartments was expressed as a percentage of total recovered tracer. Three hours after tracer injection, percentage of tracer recovered in lymph and plasma was 1.64% ± 0.89% and 68.86% ± 9.27%, respectively (n = 8). The percentage of tracer in UVS, other ocular and periocular tissues was 19.87% ± 5.59%, 4.30% ± 3.31% and 5.32% ± 2.46%, respectively. At 5 h (n = 2), lymphatic drainage was increased (6.40% and 4.96% vs. 1.64%). On the other hand, the percentage of tracer recovered from UVS and other ocular tissue had decreased, and the percentage from periocular tissue showed no change. Lymphatic drainage increased steadily over the 3 h post-injection period, while TM drainage increased rapidly - reaching a plateau at 30 min. This quantitative sheep model enables assessment of relative contributions of lymphatic drainage, TM and UVS outflows, and may help to better understand the effects of glaucoma agents on outflow pathways. Copyright © 2011 Elsevier Ltd. All rights reserved.

Reduced survival in patients with early-stage non-small-cell lung cancer is associated with high pleural endothelial progenitor cell levels.

PubMed

Pirro, Matteo; Cagini, Lucio; Mannarino, Massimo R; Andolfi, Marco; Potenza, Rossella; Paciullo, Francesco; Bianconi, Vanessa; Frangione, Maria Rosaria; Bagaglia, Francesco; Puma, Francesco; Mannarino, Elmo

2016-12-01

Endothelial progenitor cells are capable of contributing to neovascularization in tumours. In patients with either malignant or transudative pleural effusion, we tested the presence of pleural endothelial progenitor cells. We also measured the number of endothelial progenitor cells in post-surgery pleural drainage of either patients with early non-small-cell lung cancer or control patients with benign lung disease undergoing pulmonary resection. The prospective influence of post-surgery pleural-drainage endothelial progenitor cells on cancer recurrence/survival was investigated. Pleural endothelial progenitor cell levels were quantified by fluorescence-activated cell sorting analysis in pleural effusion of 15 patients with late-stage non-small-cell lung cancer with pleural involvement and in 15 control patients with congestive heart failure. Also, pleural-drainage endothelial progenitor cells were measured in pleural-drainage fluid 48 h after surgery in 64 patients with early-stage non-small-cell lung cancer and 20 benign lung disease patients undergoing pulmonary resection. Cancer recurrence and survival was evaluated in patients with high pleural-drainage endothelial progenitor cell levels. The number of pleural endothelial progenitor cells was higher in non-small-cell lung cancer pleural effusion than in transudative pleural effusion. Also, pleural-drainage endothelial progenitor cell levels were higher in patients with non-small-cell lung cancer than in patients with benign lung disease undergoing pulmonary resection (P < 0.05). Non-small-cell lung cancer patients with high pleural-drainage endothelial progenitor cell levels had a significantly 4.9 higher rate of cancer recurrence/death than patients with lower pleural-drainage endothelial progenitor cell levels, irrespective of confounders. Endothelial progenitor cells are present in the pleural effusion and are higher in patients with late-stage non-small-cell lung cancer with pleural involvement than in congestive heart failure patients. Endothelial progenitor cell levels are higher in the post-surgery pleural drainage of patients with non-small-cell lung cancer than in non-neoplastic pleural-drainage fluid. High pleural-drainage endothelial progenitor cell levels in patients undergoing pulmonary resection for early non-small-cell lung cancer predict an increased risk of cancer recurrence and death. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Water quality in irrigation and drainage networks of Thessaloniki plain in Greece related to land use, water management, and agroecosystem protection.

PubMed

Litskas, Vassilis D; Aschonitis, Vassilis G; Antonopoulos, Vassilis Z

2010-04-01

A representative agricultural area of 150 ha located in a protected ecosystem (Axios River Delta, Thermaikos Gulf-N. Aegean, Greece) was selected in order to investigate water quality parameters [pH, electrical conductivity (EC(w)), NO(3)-N, NH(4)-N, total phosphorus (TP)] in irrigation and drainage water. In the study area, the cultivated crops are mainly rice, maize, cotton, and fodder. Surface irrigation methods are applied using open channels network, and irrigation water is supplied by Axios River, which is facing pollution problems. The return flow from surface runoff and the surplus of irrigation water are collected to drainage network and disposed to Thermaikos Gulf. A 2-year study (2006-2007) was conducted in order to evaluate the effects of land use and irrigation water management on the drainage water quality. The average pH and NO(3)-N concentration was higher in the irrigation water (8.0 and 1.3 mg/L, respectively) than that in the drainage water (7.6 and 1.0 mg/L, respectively). The average EC(W), NH(4)-N, and TP concentration was higher in the drainage water (1,754 muS/cm, 90.3 microg/L, and 0.2 mg/L, respectively) than that in the irrigation water (477.1 muS/cm, 46.7 microg/L, and 0.1 mg/L, respectively). Average irrigation efficiency was estimated at 47% and 51% in 2006 and 2007 growing seasons (April-October), respectively. The loads of NO(3)-N in both seasons were higher in the irrigation water (35.1 kg/ha in 2006 and 24.9 kg/ha in 2007) than those in the drainage water (8.1 kg/ha in 2006 and 7.6 kg/ha in 2007). The load of TP was higher in the irrigation water in season 2006 (2.8 kg/ha) than that in the drainage water (1.1 kg/ha). Total phosphorus load in 2007 was equal in irrigation and drainage water (1.2 kg/ha). Wetland conditions, due to rice irrigation regime, drainage network characteristics, and the crop distribution in the study area, affect the drainage water ending in the protected ecosystem of Thermaikos Gulf.

Co-development of climate smart flooded rice farming systems

NASA Astrophysics Data System (ADS)

de Neergaard, Andreas; Stoumann Jensen, Lars; Ly, Proyuth; Pandey, Arjun; Duong Vu, Quynh; Tariq, Azeem; Islam, Syed; van Groenigen, Jan Willem; Sander, Bjoern Ole; de Tourdonnet, Stephane; Van Mai, Trinh; Wassmann, Reiner

2017-04-01

Mid-season drainage in flooded rice is known to reduce CH4 emission, while effects on N2O emission are more variable. Banning of crop-residue burning, and growing markets for organically fertilized rice, are resulting in systems with larger reactive C input, and potentially larger methane emissions. Tight farming systems with 2 or 3 annual crops are effective in mitigating emissions, in that the land sparing value is high, but put serious constraints on mitigation options under increased C input scenarios. In a series of field (Cambodia, Philippines and Vietnam) and greenhouse experiments, we investigated the effect of a variety of organic amendments and wetting and drying cycles on yield and GHG emissions. Specifically we have tested the effect of inserting very early, or even-pre-planting drainage, as a means to accelerate turnover of straw or other C sources, and reduce methane emission later in the season. Overall, our results showed that drying periods had minimal impact on yields, while reducing overall GHG emission. Methane emission was strongly controlled by C availability in the substrate (on equal total C-input basis), increasing in the order: biochar-composts-animal manure-fresh material. Nitrous oxide emissions generally increased with draining cycles, but did not lead to overall increase in GHG emissions as its contribution was balanced by lowered CH4 emissions. Growth chamber experiments showed that methane emission was significantly reduced for extended periods after re-flooding, hence the idea of early drainage was developed. Meanwhile, Cambodian farmers expressed concerns over re-supply of water after drainage. In response to that, we tested if early-season drainage could replace mid-season drainage. With addition of labile carbon substrates (straw) duration of early season drainage was more important for reducing GHG emissions, than duration of mid-season drainage, and had the highest potential for total emission reduction. In a farmers-field trial in Vietnam, pre-planting and early season drainage was tested in spring and summer rice, under individual and community water management regimes, and at 2 straw application levels. Pre-season drainage was difficult for farmers to implement, due to the short duration of fallow between cropping seasons. Early season drainage was most effective in lowering methane emissions at both straw application levels. Unsurprisingly, the well-managed drainage control (community system) was significantly more effective in mitigating emissions, than the individually water management. Surveys among farming communities in Philippines, subject to agricultural campaigns on alternate-wetting-and-drying showed higher adoption among farmers who actively pumped water to their fields, compared to gravity-fed water supply, due to the direct savings experienced by farmers pumping water. Several other factors positively influenced adoption of mitigation techniques, including education level, access to extension services, wealth and farm size, and age of farmer (negatively correlated to adoption rate). In conclusion, drainage periods are even more important to mitigate emissions when including organic manures or residues in flooded rice, and early-season drainage should be further explored as a more safe and convenient option for smallholders. Participatory development of climate smart prototypes will be essential, and a model for such is presented.

T-tube drainage versus primary closure after laparoscopic common bile duct exploration.

PubMed

Gurusamy, Kurinchi Selvan; Koti, Rahul; Davidson, Brian R

2013-06-21

T-tube drainage may prevent bile leak from the biliary tract following bile duct exploration and it offers post-operative access to the bile ducts for visualisation and exploration. Use of T-tube drainage after laparoscopic common bile duct (CBD) exploration is controversial. To assess the benefits and harms of T-tube drainage versus primary closure after laparoscopic common bile duct exploration. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded until April 2013. We included all randomised clinical trials comparing T-tube drainage versus primary closure after laparoscopic common bile duct exploration. Two of four authors independently identified the studies for inclusion and extracted data. We analysed the data with both the fixed-effect and the random-effects model meta-analyses using Review Manager (RevMan) Analysis. For each outcome we calculated the risk ratio (RR), rate ratio (RaR), or mean difference (MD) with 95% confidence intervals (CI) based on intention-to-treat analysis. We included three trials randomising 295 participants: 147 to T-tube drainage versus 148 to primary closure. All trials had a high risk of bias. No one died during the follow-up period. There was no significant difference in the proportion of patients with serious morbidity (17/147 (weighted percentage 11.3%) in the T-tube drainage versus 9/148 (6.1%) in the primary closure group; RR 1.86; 95% CI 0.87 to 3.96; three trials), and no significant difference was found in the serious morbidity rates (weighted serious morbidity rate = 97 events per 1000 patients) in participants randomised to T-tube drainage versus serious morbidity rate = 61 events per 1000 patients in the primary closure group; RR 1.59; 95% CI 0.66 to 3.83; three trials). Quality of life was not reported in any of the trials. The operating time was significantly longer in the T-tube drainage group compared with the primary closure group (MD 21.22 minutes; 95% CI 12.44 minutes to 30.00 minutes; three trials). The hospital stay was significantly longer in the T-tube drainage group compared with the primary closure group (MD 3.26 days; 95% CI 2.49 days to 4.04 days; three trials). According to one trial, the participants randomised to T-tube drainage returned to work approximately eight days later than the participants randomised to the primary closure group (P < 0.005). T-tube drainage appears to result in significantly longer operating time and hospital stay as compared with primary closure without any evidence of benefit after laparoscopic common bile duct exploration. Based on currently available evidence, there is no justification for the routine use of T-tube drainage after laparoscopic common bile duct exploration in patients with common bile duct stones. More randomised trials comparing the effects of T-tube drainage versus primary closure after laparoscopic common bile duct exploration may be needed. Such trials should be conducted with low risk of bias, assessing the long-term beneficial and harmful effects including long-term complications such as bile stricture and recurrence of common bile duct stones.

Early Removal of Drainage Tube after Fast-Track Primary Total Knee Arthroplasty.

PubMed

Zhang, Shaoyun; Xu, Bin; Huang, Qiang; Yao, Huan; Xie, Jinwei; Pei, Fuxing

2017-07-01

There is no consensus as to whether drainage tube should be used and how long it should remain in use after primary total knee arthroplasty (TKA). As fast-track (FT) program has been implemented in TKA, whether drainage tube could be removed early, and the ideal timing for removal after FT primary TKA has been a new topic. The purpose of this prospective cohort study was to evaluate the safety and feasibility of early removal of drainage tube when FT program was implemented in primary TKA. A total of 101 patients undergoing FT primary TKA were prospectively allocated into three groups. Patients in group A (31 patients) indwelled wound drainage tube for 6 hours after surgery while group B (34 patients) for 12 hours and group C (36 patients) for 18 hours. The knee circumference, resting and moving visual analogue score (VAS), hemoglobin (Hb), hematocrit, white blood count (WBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), interleukin-6 (IL-6), the volume of blood loss and drainage, and postoperative length of stay (LOS) among three groups were recorded and compared. There was no statistically significant difference in the volume of total and hidden blood loss among three groups ( p  > 0.05), but as the time of drainage prolonged, total volume of drainage and dominant blood loss increased gradually ( p  < 0.01). The knee circumference, the mean of resting and moving VAS, Hb, WBC, ESR, CRP, and IL-6 of three groups were similar preoperatively and on postoperative day 1 and 3 ( p  > 0.05), the decrease of Hb in the perioperative period and postoperative LOS as well. Early removal of wound drainage tube could drain the hematocele and reduce the risk of infection, and it doesn't increase the sense of pain, inflammatory reaction, limb swelling, and total blood loss. It's safe and feasible to remove the drainage tube within 6 to 12 hours after FT primary TKA. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mortality Following Catheter Drainage Versus Thoracentesis in Cirrhotic Patients with Pleural Effusion.

PubMed

Hung, Tsung-Hsing; Tseng, Chih-Wei; Tsai, Chen-Chi; Hsieh, Yu-Hsi; Tseng, Kuo-Chih; Tsai, Chih-Chun

2017-04-01

Pleural effusion is an abnormal collection of body fluids that may cause related morbidity or mortality in cirrhotic patients. There are insufficient data to determine the optimal method of drainage, for symptomatic relief in cirrhotic patients with pleural effusion. In this study, we compare the mortality outcomes of catheter drainage versus thoracentesis in cirrhotic patients. The National Health Insurance Database, derived from the Taiwan National Health Insurance Program, was used to identify cirrhotic patients with pleural effusion requiring drainage between January 1, 2007, and December 31, 2010. In all, 2556 cirrhotic patients with pleural effusion were selected for the study and divided into the two groups (n = 1278/group) after propensity score matching. The mean age was 61.0 ± 14.3 years, and 68.9% (1761/2556) were men. The overall 30-day mortality was 21.0% (538/2556) and was higher in patients treated with catheter drainage than those treated with thoracentesis (23.5 vs. 18.6%, respectively, P < 0.001 by log-rank test). After Cox proportional hazard regression analysis adjusted by patient sex, age, and comorbid disorders, the risk of 30-day mortality was significantly higher in cirrhotic patients who accepted catheter drainage compared to thoracentesis (hazard ratio 1.30, 95% confidence interval 1.10-1.54, P = 0.003). Old age, hepatic encephalopathy, bleeding esophageal varices, hepatocellular carcinoma, ascites, and pneumonia were associated with higher risks for 30-day mortality. In cirrhotic patients with pleural effusion requiring drainage, catheter drainage is associated with higher mortality compared to thoracentesis.

Is the recurrence rate of chronic subdural hematomas dependent on the duration of drainage?

PubMed

Kale, Aydemir; Öz, İbrahim İlker; Gün, Eren Görkem; Kalaycı, Murat; Gül, Şanser

2017-05-01

Chronic subdural hematoma (CSDH) is the most frequent type of intracranial hemorrhage which especially affects the elderly. Various surgical techniques have been reported for CSDH treatment; optimal treatment methods are still controversial. In this study, the effects of long drainage durations on results and recurrences were investigated in patients on whom closed system drainage with burr hole craniotomy was applied due to CSDH. 90 patients with 105 CSDH were operated between 2008 and 2016. Patients were divided into two groups based on the duration of drainage. Group A (n = 40) was determined as 2-4 days of closed-system drainage, while Group B (n = 50) was recorded as 5-7 days of closed-system drainage. Recurrence was defined as accumulation of blood in the operation area and recurrence of symptoms within the monitoring period of six months. Recurrence was observed in 7 (15.6) of the Group A patients and 2 (3.3%) of the Group B patients. There was a statistically significant difference between groups in terms of recurrence rate (p = 0.04). Postoperative thickness of hematoma was measured in the first month follow-up computerized tomography. There was a statistically significant difference between groups in terms of postoperative thickness of residual hematoma (p = 0.05). 2-4 days of closed system drainage following burr hole craniotomy is an effective and reliable choice of treatment in CSDH. Nevertheless, increasing the duration of drainage to 5-7 days provided better results without increasing the risk of complication.

Prevalence of dependent loops in urinary drainage systems in hospitalized patients.

PubMed

Danek, Gale; Gravenstein, Nikolaus; Lizdas, David E; Lampotang, Samsun

2015-01-01

The purpose of this study was to measure the prevalence and configuration of dependent loops in urinary drainage systems in hospitalized, catheterized adults. The study sample comprised 141 patients with indwelling urinary catheters; subjects were hospitalized at an academic health center in northern Florida. We measured the prevalence of dependent loops in urine drainage systems and the incidence of urine-filled dependent loops over a 3-week period. We measured the heights of the crest (H(c)), trough (H(t)), and, when urine-filled dependent loops were present, the patient-side (H(p)) and bag-side (H(b)) menisci with a laser measurement system. All variables were measured in centimeters. The majority of observed urine drainage systems (85%) contained dependent loops in the drainage tubing and 93.8% of the dependent loops contained urine. H(c) and H(t) averaged 45.1 ± 11.1 and 27 ± 16.7 cm, respectively. Meniscus height difference (H(b) - H(p)) averaged 8.2 ± 5.8 and -12.2 ± 9.9 cm when H(p) < H(b)(65.3%) and H(p) > H(b) (32.7%), respectively. We found that dependent loops are extremely common in urinary drainage systems among hospitalized patients despite the manufacturer recommendations and nursing and hospital policies. Maintaining the urine drainage tubing free of dependent loops would require incorporation into nursing care priorities and workflow as inadvertent force on the tubing, for example, patient movement or nurse contact can change tubing configuration and allow excess drainage tubing to re-form a dependent loop.

The usefulness of Wi-Fi based digital chest drainage system in the post-operative care of pneumothorax

PubMed Central

Cho, Hyun Min; Hong, Yoon Joo; Byun, Chun Sung

2016-01-01

Background Chest drainage systems are usually composed of chest tube and underwater-seal bottle. But this conventional system may restrict patients doing exercise and give clinicians obscure data about when to remove tubes because there is no objective indicator. Recently developed digital chest drainage systems may facilitate interpretation of the grade of air leak and make it easy for clinicians to decide when to remove chest tubes. In addition, with combination of wireless internet devices, monitoring and managing of drainage system distant from the patient is possible. Methods Sixty patients of primary pneumothorax were included in a prospective randomized study and divided into two groups. Group I (study) consisted of digital chest drainage system while in group II (control), conventional underwater-seal chest bottle system was used. Data was collected from January, 2012 to September, 2013 in Eulji University Hospital, Daejeon, Korea. Results There was no difference in age, sex, smoking history and postoperative pain between two groups. But the average length of drainage was 2.2 days in group I and 3.1 days in group II (P<0.006). And more, about 90% of the patients in group I was satisfied with using new device for convenience. Conclusions Digital system was beneficial on reducing the length of tube drainage by real time monitoring. It also had advantage in portability, loudness and gave more satisfaction than conventional system. Moreover, internet based digital drainage system will be a good method in thoracic telemedicine area in the near future. PMID:27076934

Evidence-based Value of Prophylactic Drainage in Gastrointestinal Surgery

PubMed Central

Petrowsky, Henrik; Demartines, Nicolas; Rousson, Valentin; Clavien, Pierre-Alain

2004-01-01

Objective: To determine the evidence-based value of prophylactic drainage in gastrointestinal (GI) surgery. Methods: An electronic search of the Medline database from 1966 to 2004 was performed to identify articles comparing prophylactic drainage with no drainage in GI surgery. The studies were reviewed and classified according to their quality of evidence using the grading system proposed by the Oxford Centre for Evidence-based Medicine. Seventeen randomized controlled trials (RCTs) were found for hepato-pancreatico-biliary surgery, none for upper GI tract, and 13 for lower GI tract surgery. If sufficient RCTs were identified, we performed a meta-analysis to characterize the drain effect using the random-effects model. Results: There is evidence of level 1a that drains do not reduce complications after hepatic, colonic, or rectal resection with primary anastomosis and appendectomy for any stage of appendicitis. Drains were even harmful after hepatic resection in chronic liver disease and appendectomy. In the absence of RCTs, there is a consensus (evidence level 5) about the necessity of prophylactic drainage after esophageal resection and total gastrectomy due to the potential fatal outcome in case of anastomotic and gastric leakage. Conclusion: Many GI operations can be performed safely without prophylactic drainage. Drains should be omitted after hepatic, colonic, or rectal resection with primary anastomosis and appendectomy for any stage of appendicitis (recommendation grade A), whereas prophylactic drainage remains indicated after esophageal resection and total gastrectomy (recommendation grade D). For many other GI procedures, especially involving the upper GI tract, there is a further demand for well-designed RCTs to clarify the value of prophylactic drainage. PMID:15570212

Percutaneous transgluteal drainage of pelvic abscesses in interventional radiology: A safe alternative to surgery.

PubMed

Robert, B; Chivot, C; Rebibo, L; Sabbagh, C; Regimbeau, J-M; Yzet, T

2016-02-01

Interventional radiology plays an important role in the management of deep pelvic abscesses. Percutaneous drainage is currently considered as the first-line alternative to surgery. A transgluteal computed tomography (CT)-guided approach allows to access to deep infected collections avoiding many anatomical obstacles (vessels, nerves, bowel, bladder). The objective of this study was to assess the safety and efficacy of a transgluteal approach by reviewing our clinical experience. We reviewed medical records of patients having undergone percutaneous CT-guided transgluteal drainage for deep pelvic abscesses. We focused on the duration of catheter drainage, the complications related to the procedures and the rate of complete resolution. Between 2005 and 2013, 39patients (27women and 12men; mean age: 52.5) underwent transgluteal approach CT-guided percutaneous drainage of pelvis abscesses in our department. The origins of abscesses were postoperative complications in 34patients (87.2%) and infectious intra-abdominal disease in 5patients (12.8%). The mean duration of drainage was 8.3days (range: 3-33). Laboratory cultures were positive in 35patients (89.7%) and Escherichia coli was present in 71.4% of the positive samples. No major complication was observed. Drainage was successful in 38patients (97.4%). A transpiriformis approach was more significantly associated with intra-procedural pain (P=0.003). Percutaneous CT-guided drainage with a transgluteal approach is a safe, well-tolerated and effective alternative to surgery for deep pelvic abscesses. This approach should be considered as the first-line intention for the treatment of deep pelvic abscesses. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Isotopic mixing model for quantifying contributions of soil water and groundwater in subsurface ('tile') drainage

NASA Astrophysics Data System (ADS)

Kennedy, C. D.; Gall, H.; Jafvert, C. T.; Bowen, G. J.

2010-12-01

Subsurface (‘tile’) drainage, consisting of buried grids of perforated pipe, has provided a means of converting millions of acres of poorly drained soils in the Midwestern U.S. into fertile cropland. However, by altering pathways and rates of soil water and groundwater movement through agricultural lands, this practice may accelerate the loss of nitrate and other agrochemicals. To better understand the hydrological controls on nitrogen dynamics in artificially drained agricultural watersheds, a field sampling program has been established at the Animal Science Research and Education Center (ASREC) at Purdue University (West Lafayette, Indiana) to (1) measure precipitation amount, tile flow, and water-table elevation, and (2) collect water samples for analysis of nitrate, major ions, and oxygen isotope ratios in precipitation, tile drainage, shallow (1 m) and deep (3 m) groundwater, and soil water during storm events. Preliminary physical, chemical, and isotopic data collected at the ASREC show a coincident timing of peak storm ‘event water’ and peak nitrate flux in tile drainage, suggesting significant routing of infiltrating event water. In this work, we aim to refine our understanding of tile drainage at the ASREC by developing a mixing model for partitioning contributions of soil water and groundwater in tile drainage during several storm runoff events ranging in precipitation intensity and coinciding with varying antecedent soil moisture conditions. The results of our model will describe tile drainage in terms of its hydrological components, soil water and groundwater, which in turn will provide a means of incorporating the effects of tile drainage in surface/subsurface hydrological transport models.

Suction forces generated by passive bile bag drainage on a model of post-subdural hematoma evacuation.

PubMed

Tenny, Steven O; Thorell, William E

2018-05-05

Passive drainage systems are commonly used after subdural hematoma evacuation but there is a dearth of published data regarding the suction forces created. We set out to quantify the suction forces generated by a passive drainage system. We created a model of passive drainage after subdural hematoma evacuation. We measured the maximum suction force generated with a bile bag drain for both empty drain tubing and fluid-filled drain tube causing a siphoning effect. We took measurements at varying heights of the bile bag to analyze if bile bag height changed suction forces generated. An empty bile bag with no fluid in the drainage tube connected to a rigid, fluid-filled model creates minimal suction force of 0.9 mmHg (95% CI 0.64-1.16 mmHg). When fluid fills the drain tubing, a siphoning effect is created and can generate suction forces ranging from 18.7 to 30.6 mmHg depending on the relative position of the bile bag and filled amount of the bile bag. The suction forces generated are statistically different if the bile bag is 50 cm below, level with or 50 cm above the experimental model. Passive bile bag drainage does not generate significant suction on a fluid-filled rigid model if the drain tubing is empty. If fluid fills the drain tubing then siphoning occurs and can increase the suction force of a passive bile bag drainage system to levels comparable to partially filled Jackson-Pratt bulb drainage.

Hydrologic connectivity: Quantitative assessments of hydrologic-enforced drainage structures in an elevation model

USGS Publications Warehouse

Poppenga, Sandra K.; Worstell, Bruce B.

2016-01-01

Elevation data derived from light detection and ranging present challenges for hydrologic modeling as the elevation surface includes bridge decks and elevated road features overlaying culvert drainage structures. In reality, water is carried through these structures; however, in the elevation surface these features impede modeled overland surface flow. Thus, a hydrologically-enforced elevation surface is needed for hydrodynamic modeling. In the Delaware River Basin, hydrologic-enforcement techniques were used to modify elevations to simulate how constructed drainage structures allow overland surface flow. By calculating residuals between unfilled and filled elevation surfaces, artificially pooled depressions that formed upstream of constructed drainage structure features were defined, and elevation values were adjusted by generating transects at the location of the drainage structures. An assessment of each hydrologically-enforced drainage structure was conducted using field-surveyed culvert and bridge coordinates obtained from numerous public agencies, but it was discovered the disparate drainage structure datasets were not comprehensive enough to assess all remotely located depressions in need of hydrologic-enforcement. Alternatively, orthoimagery was interpreted to define drainage structures near each depression, and these locations were used as reference points for a quantitative hydrologic-enforcement assessment. The orthoimagery-interpreted reference points resulted in a larger corresponding sample size than the assessment between hydrologic-enforced transects and field-surveyed data. This assessment demonstrates the viability of rules-based hydrologic-enforcement that is needed to achieve hydrologic connectivity, which is valuable for hydrodynamic models in sensitive coastal regions. Hydrologic-enforced elevation data are also essential for merging with topographic/bathymetric elevation data that extend over vulnerable urbanized areas and dynamic coastal regions.

Primary thoracoscopic treatment of empyema in children.

PubMed

Cohen, Gordon; Hjortdal, Vibeke; Ricci, Marco; Jaffe, Adam; Wallis, Colin; Dinwiddie, Robert; Elliott, Martin J; de Leval, Marc R

2003-01-01

The optimal treatment of pediatric empyema remains controversial. The objective of this study is to compare the use of conventional management versus primary thoracoscopic drainage and decortication in children with empyema. Conventional management has consisted of chest drain insertion under general anesthesia plus intravenous antibiotics. Thoracoscopic drainage and decortication has consisted of primary thoracoscopic drainage and decortication plus antibiotics. The clinical course of 54 patients treated conventionally between 1989 and 1997 was compared with that of 21 patients treated by means of thoracoscopic drainage and decortication between September 2000 and September 2001. Results of the study demonstrated that patients in the drainage-decortication group had fewer invasive interventions per patient than those in the conventional management group (1.0 vs 1.26). Patients undergoing thoracoscopic drainage and decortication also had significantly shorter durations of intravenous antibiotic therapy (7.6 +/- 1.2 vs 18.2 +/- 7.5 days), chest tube drainage (4.0 +/- 0.5 vs 10.2 +/- 6.1 days), and hospital stays (7.4 +/- 0.8 vs 15.4 +/- 7.4). Moreover, there were no open thoracotomies and decortications in the thoracoscopic drainage and decortication group, whereas in the conventional management group 39% (21/54) of patients underwent an open procedure. Although the 2 groups were not prospectively randomized and they were treated in different time periods, the results of this study support the use of thoracoscopic surgery as the primary therapeutic modality in children presenting with pleural empyema. This strategy appears to offer significant benefits over conventional treatment in terms of duration of treatment and the need for more invasive surgery.

The Effect of a Yield Stress on the Drainage of the Thin Film Between Two Colliding Newtonian Drops

NASA Astrophysics Data System (ADS)

Goel, Sachin; Ramachandran, Arun

2016-11-01

Coalescence of drops immersed in fluids possessing a yield stress has been of interest to many industries such as the oil extraction, cosmetics and food industries. Unfortunately, a theoretical understanding of the drainage of the thin film of Bingham fluid (a model yield stress fluid) that develops between two drops undergoing a collision is still lacking, with the exception of two prior studies that make ad-hoc assumptions about the film shape. In this work, we examine this problem via a combination of scaling analysis and numerical simulations based on the lubrication analysis. There are four key features of the film drainage process of Bingham fluids. First, the introduction of a yield stress in the suspending fluid retards the drainage process relative to Newtonian fluid of the same viscosity. Second, the drainage time shows a minimum with respect to the capillary number. Third, the effect of yield stress on the drainage process becomes more pronounced at higher capillary numbers and lower Hamaker constant. Lastly, below a critical height, drainage can be arrested completely due to the yield stress. This critical height scales as τ02R3 τ02R3 γ2 γ2 , where τ0 is the yield stress, R is the drop radius and γ is the interfacial tension, and is, surprisingly, independent of the force colliding the drops. This and other distinguishing characteristics of the drainage process will be elucidated in the presentation.

Effects of anthropogenic heavy metal contamination on litter decomposition in streams - A meta-analysis.

PubMed

Ferreira, Verónica; Koricheva, Julia; Duarte, Sofia; Niyogi, Dev K; Guérold, François

2016-03-01

Many streams worldwide are affected by heavy metal contamination, mostly due to past and present mining activities. Here we present a meta-analysis of 38 studies (reporting 133 cases) published between 1978 and 2014 that reported the effects of heavy metal contamination on the decomposition of terrestrial litter in running waters. Overall, heavy metal contamination significantly inhibited litter decomposition. The effect was stronger for laboratory than for field studies, likely due to better control of confounding variables in the former, antagonistic interactions between metals and other environmental variables in the latter or differences in metal identity and concentration between studies. For laboratory studies, only copper + zinc mixtures significantly inhibited litter decomposition, while no significant effects were found for silver, aluminum, cadmium or zinc considered individually. For field studies, coal and metal mine drainage strongly inhibited litter decomposition, while drainage from motorways had no significant effects. The effect of coal mine drainage did not depend on drainage pH. Coal mine drainage negatively affected leaf litter decomposition independently of leaf litter identity; no significant effect was found for wood decomposition, but sample size was low. Considering metal mine drainage, arsenic mines had a stronger negative effect on leaf litter decomposition than gold or pyrite mines. Metal mine drainage significantly inhibited leaf litter decomposition driven by both microbes and invertebrates, independently of leaf litter identity; no significant effect was found for microbially driven decomposition, but sample size was low. Overall, mine drainage negatively affects leaf litter decomposition, likely through negative effects on invertebrates. Copyright © 2015 Elsevier Ltd. All rights reserved.

Estimation of recharge through selected drainage wells and potential effects from well closure, Orange County, Florida

USGS Publications Warehouse

Bradner, L.A.

1996-01-01

Drainage wells have been used in Orange County, Florida, and surrounding areas to alleviate flooding and to control lake levels since 1904. Over 400 drainage wells have been drilled in the county, but many are now redundant because of surface drainage systems that have been installed within the last two or three decades. Most of the drainage wells emplace water into the Upper Floridan aquifer, a zone of high transmissivity within the Floridan aquifer system. In 1992, the Orange County Stormwater Management Department identified 23 wells that were considered noncritical or redundant for current drainage control. These wells were targeted for closure to eliminate maintenance and possible contamination problems. A 3-year study (1992 through 1994) encompassed several drainage basins in the county. Inflow to 18 of the 23 drainage wells on the noncritical list and the effects of closure of these noncritical wells on the potentiometric surface of the Upper Floridan aquifer were estimated. Three sites were chosen for intensive study and were used for further extrapolation to other noncritical sites. The total average annual recharge rate through the 18 selected wells was estimated to be 9 cubic feet per second, or about 6 million gallons per day. The highest rate of long-term recharge, 4.6 cubic feet per second, was to well H-35. Several wells on the noncritical list were already plugged or had blocked intakes. Yields, or the sum of surface-water outflows and drainage-well recharge, from the drainage basins ranged from 20 to 33 inches per year. In some of the basins, all the yield from the basin was recharge through a drainage well. In other basins, most of the yield was surface outflow through canals rather than to drainage wells. The removal of the recharge from closure of the wells was simulated by superposition in a three-dimensional ground-water flow model. As a second step in the model, water was also applied to two sites in western Orange County that could receive redirected surface water. One of the sites is CONSERV II, a distribution system used to apply reclaimed water to the surficial aquifer system through rapid infiltration basins and grove irrigation. The second site, Lake Sherwood, has an extremely high downward recharge rate estimated to be at least 54 inches per year. The results from the simulations showed a decline of 1 foot or less in the potentiometric surface of the Upper Floridan aquifer with removal of the recharge and a mound of about 1 foot in the vicinity of the two sites in western Orange County. The Lake Sherwood site seems to reduce the declines caused by closure of the wells to a greater degree than the CONSERV II site, partly because the Lake Sherwood site is closer to the drainage-well basins.

Evaluation of the sustainability of road drainage systems

NASA Astrophysics Data System (ADS)

García-Diez, Iván; Palencia, Covadonga; Fernández Raga, María

2017-04-01

Water is the most erosive agent that exists on the linear structures, because they are constantly subjected to outdoor condition like irregular infiltration, frosts and different rain intensities. Another variables that highly influence in the entire lifetime of a natural drainage system are the spatial and temporal variability of the rainfall, the soil, the vegetation cover and the design. All this factors are affecting the vulnerability of the clearings and embankments, by wearing away the weakest materials which surround the roads or train rails, producing erosion and very bumpy surfaces. The result is that the original pattern, developped to disminished the lost of soil, is not properly working and it cannot eliminate water, with the consequence destruction of the linear structure after several rainfall periods, and the accumulation of material down slope. The propose of this research focuses on analysing the drainage systems used in spanish roads and railways lines. For this purpose, a revision of the literature has been done, and the main drainage solutions have been recovered, carrying out an evaluation of them from an environmental point of view. This procedure has been requested by several authors in the past (Nwa, E.U. & Twocock, J.G., 1969; Goulter, I.C., 1992), together with the need of designing a more sustainable drainage system. The final objective of this complete revision is to compare objetively the designs to valuate them in order to develop a new drainage patter which minimize the erosion, increasing the durability and effectiveness of the drainage system. For this purpose, it is neccesary to assure that all the systems will be compare under similar parameters of flow rate, vegetation, substrate, lenght, slope and total section. Only the channels pattern and water distribution will change. The analysis has been done following Liu, H. & Zhu, X.B., (2012), who pointed out that the main parameters to take into account to select a road drainage system are the hydraulic functioning, structural strength, produced erosion, service life, initial invesment and maintenance costs of different drainage systems. The followed methodology was to create a Leopold's matrix to compare among the alternatives of drainage design, asignating a puntuation from 1 to 5 to each factor that affects the functioning of the drainage. The process to decide the punctuation of every factor in each drainage design will be also explained. The alternative which obtains more puntuation represents the best available design to decrease erosion on the slopes and increase the service life. The validation of this results has been done in the field. References Goulter, I.C., 1992. Systems Analysis in Water-Distribution Network Design: From Theory to Practice, Journal of Water Resources Planning and Management. ASCE 118, No. 3 Nwa, E.U. & Twocock, J.G., 1969. Drainage design theory and practice. Journal of Hydrology 9, 259-276 Liu, H. & Zhu, X.B., 2012. Influencing Factors and Prevention Measures of Erosion Damage for Highway Slope in Loess Area. Advanced Materials Research 594, 161-166

Military Curriculum Materials for Vocational and Technical Education. Drainage, 3-5.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. National Center for Research in Vocational Education.

This individualized, self-paced course for independent study in water drainage was adapted from military curriculum materials for use in vocational education. The course provides basic information for the design of simple drainage structures for roads and airfields. Some job skills included are designing and constructing ditches and culverts;…

Design and hydrologic performance of a tile drainage treatment wetland in Minnesota, USA

USDA-ARS?s Scientific Manuscript database

Treatment wetlands are increasingly needed to remove nitrate from agricultural drainage water to protect downstream waters such as the Gulf of Mexico. A 0.10 ha wetland was designed,installed and monitored to treat subsurface drainage flow from farmland in Minnesota, USA. This project sought to deve...

Construction of sediment budgets for drainage basins

Treesearch

William E. Dietrich; Thomas Dunne; Neil F. Humphrey; Leslie M. Reid

1982-01-01

Abstract - A sediment budget for a drainage basin is a quantitative statement of the rates of production, transport, and discharge of detritus. To construct a sediment budget for a drainage basin, one must integrate the temporal and spatial variations of transport and storage processes. This requires: recognition and quantification of transport processes, recognition...

24 CFR 3285.203 - Site Drainage.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) Purpose. Drainage must be provided to direct surface water away from the home to protect against erosion... home. (c) All drainage must be diverted away from the home and must slope a minimum of one-half inch per foot away from the foundation for the first ten feet. Where property lines, walls, slopes, or...

25 CFR 211.47 - Diligence, drainage and prevention of waste.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Diligence, drainage and prevention of waste. 211.47 Section 211.47 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ENERGY AND MINERALS LEASING OF...) Protect the lease from drainage (if oil and gas or geothermal resources are being drained from the lease...

Dynamic drainage of froth with wood fibers

Treesearch

J.Y. Zhu; Freya Tan

2005-01-01

Understanding froth drainage with fibers (or simply called fiber drainage in froth) is important for improving fiber yield in the flotation deinking operation. In this study, the data of water and fiber mass in foams collected at different froth heights were used to reconstruct the time dependent and spatially resolved froth density and fiber volumetric concentration...

Hydrologic Analysis of Fort Leonard Wood, Missouri

DTIC Science & Technology

2015-08-01

of water available to FLW from the Roubidoux Creek drainage . In this case, because water is lost to the groundwater system while flowing through...taken from the Roubidoux Creek drainage . Roubidoux Creek is intermittent, and the stream loses water to the groundwater system as it flows through...13 Figure 5. FLW drainage divide

40 CFR 112.12 - Spill Prevention, Control, and Countermeasure Plan requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... drainage system or facility effluent treatment system, except where facility systems are designed to...), (iii), and (iv) of this section. (3) Design facility drainage systems from undiked areas with a... engineer facility drainage systems to prevent a discharge as described in § 112.1(b) in case there is an...

40 CFR Appendix A to Part 434 - Alternate Storm Limitations for Acid or Ferruginous Mine Drainage

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 30 2014-07-01 2014-07-01 false Alternate Storm Limitations for Acid or Ferruginous Mine Drainage A Appendix A to Part 434 Protection of Environment ENVIRONMENTAL...—Alternate Storm Limitations for Acid or Ferruginous Mine Drainage EC01MY92.113 ...

40 CFR Appendix A to Part 434 - Alternate Storm Limitations for Acid or Ferruginous Mine Drainage

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 31 2013-07-01 2013-07-01 false Alternate Storm Limitations for Acid or Ferruginous Mine Drainage A Appendix A to Part 434 Protection of Environment ENVIRONMENTAL...—Alternate Storm Limitations for Acid or Ferruginous Mine Drainage EC01MY92.113 ...

40 CFR Appendix A to Part 434 - Alternate Storm Limitations for Acid or Ferruginous Mine Drainage

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 30 2011-07-01 2011-07-01 false Alternate Storm Limitations for Acid or Ferruginous Mine Drainage A Appendix A to Part 434 Protection of Environment ENVIRONMENTAL... Storm Limitations for Acid or Ferruginous Mine Drainage EC01MY92.113 ...

40 CFR Appendix A to Part 434 - Alternate Storm Limitations for Acid or Ferruginous Mine Drainage

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 29 2010-07-01 2010-07-01 false Alternate Storm Limitations for Acid or Ferruginous Mine Drainage A Appendix A to Part 434 Protection of Environment ENVIRONMENTAL... Storm Limitations for Acid or Ferruginous Mine Drainage EC01MY92.113 ...

40 CFR Appendix A to Part 434 - Alternate Storm Limitations for Acid or Ferruginous Mine Drainage

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 31 2012-07-01 2012-07-01 false Alternate Storm Limitations for Acid or Ferruginous Mine Drainage A Appendix A to Part 434 Protection of Environment ENVIRONMENTAL...—Alternate Storm Limitations for Acid or Ferruginous Mine Drainage EC01MY92.113 ...

The application of peritoneal drainage in the surgical treatment for neonates with necrotizing enterocolitis

NASA Astrophysics Data System (ADS)

Zhao, Jixue; Fu, Xin

2017-08-01

Object To explore the feasibility and effects of peritoneal drainage in the surgical treatment for the neonates with necrotizing enterocolitis. Methods: A retrospective analysis was conduct on 32 cases of newborns with extensive and multiple intestinal necrosis found intraoperatively, all of which could not accept first-stage resected, treated by traditional operation or by peritoneal drainage between January, 2013 to January 2017. Duration of operation, amount of bleeding, and the survival rate after operation were compared between the two groups, which were divided by surgical methods. Results: No significant difference was observed in age, and gender (P>0.05) between the two groups. However, duration of operation was significantly shorter, the amount of bleeding was significantly lessen, the survival rate was significantly higher in the patients by peritoneal drainage than the patients by traditional operation (P<0.05). Conclusion: To compare traditional operation or peritoneal drainage in neonates, a retrospective analysis conducted by us showed the feasibility and effects of peritoneal drainage in neonates, and a significant advantage in duration of operation and the survival rate after operation.

[Quality of life in patients with urolithiasis depending on methods of drainage of the upper urinary tract].

PubMed

Doronchuk, D N; Trapeznikova, M F; Dutov, V V

2010-01-01

A sociological study was made of quality of life of 60 patients with nephrostomic drainage and 71 patients with an ureteral stent according to standard international questionnaires SF-36 and EORTC QLQ-C30, version 3.0. It was found that both internal and external drain significantly aggravate quality of life in the same degree. Younger patients of both groups suffered less. Quality of life was higher in both groups in drainage duration up to 1 month (p < 0.05), in 1 to 6 month draining quality of life is worse in both groups. Internal drainage is worse tolerated by males aged 25-44 years and elderly women aged 60-75 years, especially in long-term drain (over 6 months). Internal drainage is worse tolerated by elderly females (60-75 years of age) and senile women (over 75 years) in 6 month and longer drainage. The study of large number of patients revealed significant differences in quality of life in patients with nephrostomic drain and ureteral stent.

[Choice of an upper urinary tract drainage method in urolithiasis].

PubMed

Doronchuk, D N; Trapeznikova, M F; Dutov, V V

2010-01-01

We made a retrospective (290) and a prospective (131) analysis of the evidence obtained on 421 patients with nephrostomic drainage (251) and an ureteral stent (170) treated for urolithiasis in the urological department of the Moscow Regional Research Clinical Institute from 1995 to 2008. Assessment of clinical and laboratory characteristics of the patients with nephrostomic drainage and an ureteral stent allowed the following conclusions: puncture nephrostomy (p < 0.05) for upper urinary tract drainage is preferable in a solitary functioning kidney, acute obstructive pyelonephritis, anuria, hyperthermia 380 and higher, marked supravesical urodynamic disorder, renal failure, plasmic creatinine level over 200 mcmol/l, azotemia over 10 mmol/l, blood potassium over 5.0 mmol/l, uric acid over 380 mcmol/l and leukocytosis over 8.0 x 10(9)/l. In the other cases a drainage method can be chosen by a physician. Cephalosporines, aminoglycosides, fluoroquinolones and carbapenems in standard doses are recommended in active inflammation when antibioticograms are not obtained yet. Significant differences are seen in drainage with nephrostoma and ureteral stent. Recommendations on nephrostomic drain and ureteral stent installation depending on clinical and laboratory findings are presented.

Current research trend on urban sewerage system in China

NASA Astrophysics Data System (ADS)

Ning, Yun-Fang; Dong, Wen-Yi; Lin, Lu-Sheng; Zhang, Qian

2017-03-01

The research emphasis has always been on sewerage treatment technology in China, though urban drainage system has gained little attention. In the context of urban drainage system and the problem associated with rain, the focus is still mainly toward the simple “emissions”. While the relationship between conservation and utilization of rainwater resources and urban ecology are popular, the relationship between rainwater discharge and non-point source pollution are often neglected. The reasonable choice of sewerage system is dependent on the collection and discharge of urban sewerage, the applicability and economic benefits, along with the ability to meet the water quality requirements and environmental protection. This paper analyzes and summarizes the development of urban drainage system in china, and introduces different drainage forms. The choice of drainage system should be based on the overall planning of the city, environmental protection requirements, the local natural conditions and water conditions, urban sewerage and water quality, the original drainage facilities, and local climatic conditions. It must be comprehensive to meet the environmental protection requirements, through technical and economic comparison.

Drainage network optimization for inundation mitigation case study of ITS Surabaya

NASA Astrophysics Data System (ADS)

Savitri, Yang Ratri; Lasminto, Umboro

2017-06-01

Institut Teknologi Sepuluh Nopember (ITS) Surabaya is one of engineering campus in Surabaya with an area of ± 187 ha, which consists of building and campus facilities. The campus is supported by drainage system planned according to the ITS Master Plan on 2002. The drainage system is planned with numbers of retention and detention pond based on the city concept of Zero Delta Q concept. However, in the rainy season, it frequently has inundation problems in several locations. The problems could be identified from two major sources, namely the internal campus facilities and external condition connected with the city drainage system. This paper described the capabilities of drainage network optimization to mitigate local urban drainage problem. The hydrology-hydraulic investigation was done by utilizing the Storm Water Management Model (SWMM) developed by US Environmental Protection Agency (EPA). The mitigation is based on several alternative that based on the existing condition and regarding the social problem. The study results showed that the management of the flow from external source could reduce final stored volume of the campus main channel by 31.75 %.

Experimental study of the moisture distribution on the wetting front during drainage and imbibition in a 2D sand chamber

NASA Astrophysics Data System (ADS)

Wei, Yunbo; Chen, Kouping; Wu, Jichun; Zhu, Xiaobin

2018-06-01

In the present study, the moisture distribution on the wetting front during drainage and imbibition in a 2D sand chamber is studied thoroughly. Based on the high-resolution data measured by light transmission method, the moisture distribution is observed and then analyzed quantitatively. During drainage and imbibition, different moisture distributions are observed: (a) during drainage, moisture contents fluctuate in a larger range and fingers can be seen on the wetting front; (b) while during imbibition, moisture contents fluctuate in a smaller range and the wetting front is more regular. The Hurst coefficients are successful in capturing different characteristics of the moisture distribution between drainage and imbibition. During imbibition, the Hurst coefficients are around 0.2 on the wetting front; while during drainage, the Hurst coefficients are around 0.5. As the porosity changes from 0.336 to 0.383, the moisture distribution in the sand chamber does not display obvious change. While as the imbibition rate increases from 5 ml/min to 400 ml/min, the moisture distribution on the wetting front becomes more uniform.

Technical Analysis of In-Valley Drainage Management Strategies for the Western San Joaquin Valley, California

USGS Publications Warehouse

Presser, Theresa S.; Schwarzbach, Steven E.

2008-01-01

The western San Joaquin Valley is one of the most productive farming areas in the United States, but salt-buildup in soils and shallow groundwater aquifers threatens this area?s productivity. Elevated selenium concentrations in soils and groundwater complicate drainage management and salt disposal. In this document, we evaluate constraints on drainage management and implications of various approaches to management considered in: *the San Luis Drainage Feature Re-Evaluation (SLDFRE) Environmental Impact Statement (EIS) (about 5,000 pages of documentation, including supporting technical reports and appendices); *recent conceptual plans put forward by the San Luis Unit (SLU) contractors (i.e., the SLU Plans) (about 6 pages of documentation); *approaches recommended by the San Joaquin Valley Drainage Program (SJVDP) (1990a); and *other U.S. Geological Survey (USGS) models and analysis relevant to the western San Joaquin Valley. The alternatives developed in the SLDFRE EIS and other recently proposed drainage plans (refer to appendix A for details) differ from the strategies proposed by the San Joaquin Valley Drainage Program (1990a). The Bureau of Reclamation (USBR) in March 2007 signed a record of decision for an in-valley disposal option that would retire 194,000 acres of land, build 1,900 acres of evaporation ponds, and develop a treatment system to remove salt and selenium from drainwater. The recently proposed SLU Plans emphasize pumping drainage to the surface, storing approximately 33% in agricultural water re-use areas, treating selenium through biotechnology, enhancing the evaporation of water to concentrate salt, and identifying ultimate storage facilities for the remaining approximately 67% of waste selenium and salt. The treatment sequence of reuse, reverse osmosis, selenium bio-treatment, and enhanced solar evaporation is unprecedented and untested at the scale needed to meet plan requirements. All drainage management strategies that have been proposed seek to reduce the amount of drainage water produced. One approach is to reduce the amount of drainage per irrigated acre. From modeling simulations performed for the SLDFRE EIS of the Westlands Area of the SLU, theoretical minimums that can be achieved range from approximately 0.16 to 0.25 acre-feet per acre per year (AF/acre/year). Minimum production rates from the Northerly Area of the SLU are theorized as being much higher, approximately 0. 42 to 0.28 AF/acre/year. Rates shown in the SLU Plans for drained acres from the two areas combined are 0.5 AF/acre/year at the subsurface drain stage and 0.37 AF/acre/year after a series of on-farm and regional measures are instituted. Land retirement is a key strategy to reduce drainage because it can effectively reduce drainage to zero if all drainage-impaired lands are retired. Land retirement alternatives considered in the SLDFRE EIS differ for the two areas analyzed in the SLU. The Northerly Area is to retire a nominal 10,000 acres and Westlands is to retire up to 300,000 acres. The initial land retirement option recently put forth in the SLU Plans predicted drainage volume reductions that are consistent with 200,000 acres of land retirement, but only 100,000 acres of land retirement was proposed. Within the proposed area of drainage there are, for all practical purposes, unlimited reservoirs of selenium and salt stored within the aquifers and soils of the valley and upslope in the Coast Ranges. Salt imported in irrigation water is estimated to be at least 1.5 million tons per year for the Westlands and Northerly Areas (SJVDIP, 1998). Analysis of the land retirement alternatives presented in the SLDFRE EIS indicates that land retirement of a minimum of only 100,000 acres results in the annual pumping to the surface of 20,142 pounds of selenium or about a million pounds of selenium over a 50 year period. Retiring 200,000 acres results in an annual pumping of 14,750 pounds of selenium; and reti

Endoscopic ultrasound-guided choledochoduodenostomy after a failed or impossible ERCP.

PubMed

Mora Soler, Ana María; Álvarez Delgado, Alberto; Piñero Pérez, María Concepción; Velasco-Guardado, Antonio; Marcos Prieto, Héctor; Rodríguez Pérez, Antonio

2018-05-01

endoscopic ultrasound-guided biliary drainage (EUS-BD) is an alternative to percutaneous trans-hepatic biliary drainage (PTBD) in cases of failed endoscopic retrograde cholangiopancreatography (ERCP). this is a retrospective description of six cases of endoscopic ultrasound-guided biliary drainage via choledochoduodenostomy (EUCD), as well as the clinical characteristics, endoscopic procedure, complications and monitoring. all cases had malignant distal biliary obstruction. The procedure was concluded with good drainage in four out of six patients. Two late complications were recorded that were caused by stent migration and there were no deaths related with the procedure. The average monitoring period was six months. EUCD can be considered as a valid therapeutic choice in some selected cases and when performed by a team of expert endoscopists in cases of failed ERCP drainage or as an alternative to PTBD. However, the procedure has some associated complications.

Automatic Generalizability Method of Urban Drainage Pipe Network Considering Multi-Features

NASA Astrophysics Data System (ADS)

Zhu, S.; Yang, Q.; Shao, J.

2018-05-01

Urban drainage systems are indispensable dataset for storm-flooding simulation. Given data availability and current computing power, the structure and complexity of urban drainage systems require to be simplify. However, till data, the simplify procedure mainly depend on manual operation that always leads to mistakes and lower work efficiency. This work referenced the classification methodology of road system, and proposed a conception of pipeline stroke. Further, length of pipeline, angle between two pipelines, the pipeline belonged road level and diameter of pipeline were chosen as the similarity criterion to generate the pipeline stroke. Finally, designed the automatic method to generalize drainage systems with the concern of multi-features. This technique can improve the efficiency and accuracy of the generalization of drainage systems. In addition, it is beneficial to the study of urban storm-floods.

Development of ocular viscosity characterization method.

PubMed

Shu-Hao Lu; Guo-Zhen Chen; Leung, Stanley Y Y; Lam, David C C

2016-08-01

Glaucoma is the second leading cause for blindness. Irreversible and progressive optic nerve damage results when the intraocular pressure (IOP) exceeds 21 mmHg. The elevated IOP is attributed to blocked fluid drainage from the eye. Methods to measure the IOP are widely available, but methods to measure the viscous response to blocked drainage has yet been developed. An indentation method to characterize the ocular flow is developed in this study. Analysis of the load-relaxation data from indentation tests on drainage-controlled porcine eyes showed that the blocked drainage is correlated with increases in ocular viscosity. Successful correlation of the ocular viscosity with drainage suggests that ocular viscosity maybe further developed as a new diagnostic parameter for assessment of normal tension glaucoma where nerve damage occurs without noticeable IOP elevation; and as a diagnostic parameter complimentary to conventional IOP in conventional diagnosis.

Changing drainage patterns within South Cascade Glacier, Washington, USA, 1964-1992

USGS Publications Warehouse

Fountain, A.G.; Vaughn, B.H.

1995-01-01

The theoretical patterns of water drainage are presented for South Cascade Glacier for four different years between 1964 and 1992, during which the glacier was thinning and receding. The theoretical pattern compares well, in a broad sense, with the flow pattern determined from tracer injections in 1986 and 1987. Differences between the patterns may result from the routing of surface meltwater in crevasses prior to entering the body of the glacier. The changing drainage pattern was caused by glacier thinning. The migration of a drainage divide eventually rerouted most of the surface meltwater from the main stream that drained the glacier in 1987 to another, formerly smaller, stream by 1992. On the basis of projected glacier thinning between 1992 and 1999, we predict that the drainage divide will continue to migrate across the glacier.

Evaluation of pore-water samplers at a drainage ditch, Installation Restoration Site 4, Naval Air Station Corpus Christi, Corpus Christi, Texas, 2005–06

USGS Publications Warehouse

Vroblesky, Don A.; Casey, Clifton C.

2007-01-01

The U.S. Geological Survey, in cooperation with the Naval Facilities Engineering Command Southeast, used innovative sampling methods to investigate ground-water contamination by chlorobenzenes beneath a drainage ditch on the southwestern side of Installation Restoration Site 4, Naval Air Station Corpus Christi, Corpus Christi, Texas, during 2005-06. The drainage ditch, which is a potential receptor for ground-water contaminants from Installation Restoration Site 4, intermittently discharges water to Corpus Christi Bay. This report evaluates a new type of pore-water sampler developed for this investigation to examine the subsurface contamination beneath the drainage ditch. The new type of pore-water sampler appears to be an effective approach for long-term monitoring of ground water in the sand and organic-rich mud beneath the drainage ditch.

Analysis of capillary drainage from a flat solid strip

NASA Astrophysics Data System (ADS)

Ramé, Enrique; Zimmerli, Gregory A.

2014-06-01

A long and narrow solid strip coated with a thin liquid layer is used as a model of a generic fluid mass probe in a spacecraft propellant tank just after a small thruster firing. The drainage dynamics of the initial coating layer into the settled bulk fluid affects the interpretation of probe measurements as the sensors' signal depends strongly on whether a sensor is in contact with vapor or with liquid. We analyze the drainage under various conditions of zero-gravity (i.e., capillary drainage) and with gravity aligned with the strip length, corresponding to the thruster acceleration. Long-time analytical solutions are found for zero and non-zero gravity. In the case with gravity, an approximate solution is found using matched asymptotics. Estimates show that a thrust of 10-3g0 significantly reduces drainage times.

Characterizing the Frequency and Elevation of Rapid Drainage Events in West Greenland

NASA Astrophysics Data System (ADS)

Cooley, S.; Christoffersen, P.

2016-12-01

Rapid drainage of supraglacial lakes on the Greenland Ice Sheet is critical for the establishment of surface-to-bed hydrologic connections and the subsequent transfer of water from surface to bed. Yet, estimates of the number and spatial distribution of rapidly draining lakes vary widely due to limitations in the temporal frequency of image collection and obscureness by cloud. So far, no study has assessed the impact of these observation biases. In this study, we examine the frequency and elevation of rapidly draining lakes in central West Greenland, from 68°N to 72.6°N, and we make a robust statistical analysis to estimate more accurately the likelihood of lakes draining rapidly. Using MODIS imagery and a fully automated lake detection method, we map more than 500 supraglacial lakes per year over a 63000 km2 study area from 2000-2015. Through testing four different definitions of rapidly draining lakes from previously published studies, we find that the number of rapidly draining lakes varies from 3% to 38%. Logistic regression between rapid drainage events and image sampling frequency demonstrates that the number of rapid drainage events is strongly dependent on cloud-free observation percentage. We then develop three new drainage criteria and apply an observation bias correction that suggests a true rapid drainage probability between 36% and 45%, considerably higher than previous studies without bias assessment have reported. We find rapid-draining lakes are on average larger and disappear earlier than slow-draining lakes, and we also observe no elevation differences for the lakes detected as rapidly draining. We conclude a) that methodological problems in rapid drainage research caused by observation bias and varying detection methods have obscured large-scale rapid drainage characteristics and b) that the lack of evidence for an elevation limit on rapid drainage suggests surface-to-bed hydrologic connections may continue to propagate inland as climate warms.

Automated extraction of natural drainage density patterns for the conterminous United States through high performance computing

USGS Publications Warehouse

Stanislawski, Larry V.; Falgout, Jeff T.; Buttenfield, Barbara P.

2015-01-01

Hydrographic networks form an important data foundation for cartographic base mapping and for hydrologic analysis. Drainage density patterns for these networks can be derived to characterize local landscape, bedrock and climate conditions, and further inform hydrologic and geomorphological analysis by indicating areas where too few headwater channels have been extracted. But natural drainage density patterns are not consistently available in existing hydrographic data for the United States because compilation and capture criteria historically varied, along with climate, during the period of data collection over the various terrain types throughout the country. This paper demonstrates an automated workflow that is being tested in a high-performance computing environment by the U.S. Geological Survey (USGS) to map natural drainage density patterns at the 1:24,000-scale (24K) for the conterminous United States. Hydrographic network drainage patterns may be extracted from elevation data to guide corrections for existing hydrographic network data. The paper describes three stages in this workflow including data pre-processing, natural channel extraction, and generation of drainage density patterns from extracted channels. The workflow is concurrently implemented by executing procedures on multiple subbasin watersheds within the U.S. National Hydrography Dataset (NHD). Pre-processing defines parameters that are needed for the extraction process. Extraction proceeds in standard fashion: filling sinks, developing flow direction and weighted flow accumulation rasters. Drainage channels with assigned Strahler stream order are extracted within a subbasin and simplified. Drainage density patterns are then estimated with 100-meter resolution and subsequently smoothed with a low-pass filter. The extraction process is found to be of better quality in higher slope terrains. Concurrent processing through the high performance computing environment is shown to facilitate and refine the choice of drainage density extraction parameters and more readily improve extraction procedures than conventional processing.

Quantifying the Cerebral Hemodynamics of Dural Arteriovenous Fistula in Transverse Sigmoid Sinus Complicated by Sinus Stenosis: A Retrospective Cohort Study.

PubMed

Guo, W-Y; Lee, C-C J; Lin, C-J; Yang, H-C; Wu, H-M; Wu, C-C; Chung, W-Y; Liu, K-D

2017-01-01

Sinus stenosis occasionally occurs in dural arteriovenous fistulas. Sinus stenosis impedes venous outflow and aggravates intracranial hypertension by reversing cortical venous drainage. This study aimed to analyze the likelihood of sinus stenosis and its impact on cerebral hemodynamics of various types of dural arteriovenous fistulas. Forty-three cases of dural arteriovenous fistula in the transverse-sigmoid sinus were reviewed and divided into 3 groups: Cognard type I, type IIa, and types with cortical venous drainage. Sinus stenosis and the double peak sign (occurrence of 2 peaks in the time-density curve of the ipsilateral drainage of the internal jugular vein) in dural arteriovenous fistula were evaluated. "TTP" was defined as the time at which a selected angiographic point reached maximum concentration. TTP of the vein of Labbé, TTP of the ipsilateral normal transverse sinus, trans-fistula time, and trans-stenotic time were compared across the 3 groups. Thirty-six percent of type I, 100% of type IIa, and 84% of types with cortical venous drainage had sinus stenosis. All sinus stenosis cases demonstrated loss of the double peak sign that occurs in dural arteriovenous fistula. Trans-fistula time (2.09 seconds) and trans-stenotic time (0.67 seconds) in types with cortical venous drainage were the most prolonged, followed by those in type IIa and type I. TTP of the vein of Labbé was significantly shorter in types with cortical venous drainage. Six patients with types with cortical venous drainage underwent venoplasty and stent placement, and 4 were downgraded to type IIa. Sinus stenosis indicated dysfunction of venous drainage and is more often encountered in dural arteriovenous fistula with more aggressive types. Venoplasty ameliorates cortical venous drainage in dural arteriovenous fistulas and serves as a bridge treatment to stereotactic radiosurgery in most cases. © 2017 by American Journal of Neuroradiology.

Improved Intermittent-clamped Drainage in Lower Lumbar Internal Fixation: A Randomized Prospective Study

PubMed Central

Hao, Qing-Ying; Liu, Chu-Yin; Fu, Chan-Juan; Zhang, Xiao-Hua; Tan, Ming-Sheng

2016-01-01

Background: Continuous negative pressure drainage (CNPD) is widely used after lower lumbar internal fixation; however, it may cause tremendous blood loss and lead to postoperative hemorrhagic anemia. The present study explored the efficacy and safety of improved intermittent-clamped drainage (ICD) for lower lumbar internal fixation. Methods: This was a prospective study that included 156 patients with decompression of the spinal canal and internal fixation for the first time from January 2012 to December 2014. The patients were randomly divided into ICD group and CNPD group, and each group had 78 cases. A drainage tube was placed under the deep fascia in all patients within 10 min after the commencement of wound closure. The postoperative drainage amount at different time points, the hemoglobin level, and postoperative complications were recorded and compared between the two groups. Shapiro-Wilk test, independent samples t-test, and Mann-Whitney U-test were used in this study. Results: The drainage amount was significantly reduced in the ICD group, as compared with the CNPD group (Z = 10.74, P < 0.01). The mean total drainage amount (in ml) of the single-segment and two-segment procedures was significantly greater in the CNPD group than the ICD group (Z = 10.63 and 10.75, respectively; P < 0.01). For the adverse events, there was no significant difference in postoperative temperature, wound problem, and complications between the two groups. Conclusions: The present study showed a statistically significant reduction in postoperative drainage amount between ICD and CNPD groups, and ICD is an effective, convenient, and safe method for routine use in lower lumbar surgery. It is essential to focus on the effect of clamping drainage with long-segment surgical procedure and complex lumbar disease in the further investigation, as well as the effect of clamping on long-term functional outcomes. PMID:27900992

Transanal drainage tube reduces rate and severity of anastomotic leakage in patients with colorectal anastomosis: A case controlled study.

PubMed

Brandl, A; Czipin, S; Mittermair, R; Weiss, S; Pratschke, J; Kafka-Ritsch, R

2016-03-01

The aim of this study was to investigate the clinical usefulness of the placement of a transanal drainage tube to prevent anastomotic leakage in colorectal anastomoses. This single-center retrospective trial included all patients treated with surgery for benign or malign colorectal disease between January 2009 and December 2012. The transanal drainage tube was immediately placed after colorectal anastomosis until day five and was routinely used since 2010. Patients treated with a transanal drainage tube were compared with the control group. Statistical analysis was performed using Fisher's exact or Chi-square tests for group comparison and a linear regression model for multivariate analysis. This study included 242 patients (46% female; median age 63 years; range 18-93); 34% of the patients underwent a laparoscopic procedure, and 57% of the patients received a placement of a transanal drainage tube. Anastomotic leakage occurred in 19 patients (7.9%). Univariate analysis showed a higher rate of anastomotic leakage in patients with an ASA score 4 (p = 0.02) and a lower rate in patients with transanal drainage placement (3.6% vs. 13.6%; p = 0.007). The grading of the complication of anastomotic leakage was reduced with transanal drainage (e.g., Dindo ≧ 3b: 20.0% vs. 92.9%; p = 0.006), and the hospital stay was shortened (17.6 ± 12.5 vs. 22.1 ± 17.6 days; p = 0.02). Multivariate analysis revealed that transanal drainage was the only significant factor (HR = -2.90; -0.168 to -0.032; p = 0.007) affecting anastomotic leakage. Placement of a transanal drainage tube in patients with colorectal anastomoses is a safe and simple technique to perform and reduces anastomotic leakage, the severity of the complication and hospital stay.

Intermittent chest tube clamping may shorten chest tube drainage and postoperative hospital stay after lung cancer surgery: a propensity score matching analysis.

PubMed

Yan, Shi; Wang, Xing; Wang, Yaqi; Lv, Chao; Wang, Yuzhao; Wang, Jia; Yang, Yue; Wu, Nan

2017-12-01

Postoperative pleural drainage markedly influences the length of hospital stay and the financial costs of medical care. The safety of chest tube clamping before removal has been documented. This study aims to determine if intermittent chest tube clamping shortens the duration of chest tube drainage and hospital stay after lung cancer surgery. We retrospectively analyzed 285 consecutive patients with operable lung cancer treated using lobectomy and systematic mediastinal lymphadenectomy. The chest tube management protocol in our institution was changed in January 2014, and thus, 222 patients (clamping group) were managed with intermittent chest tube clamping, while 63 patients (control group) were managed with a traditional protocol. Propensity score matching at a 1:1 ratio was applied to balance variables potentially affecting the duration of chest tube drainage. Analyses were performed to compare drainage duration and postoperative hospital stay between the two groups in the matched cohort. Multivariate logistic regression analyses were performed to predict the factors associated with chest tube drainage duration. The rates of thoracocentesis after chest tube removal were similar between the clamping and control groups in the whole cohort (0.5% vs. 1.6%, P=0.386). The rates of pyrexia were also comparable in the two groups (2.3% vs. 3.2%, P=0.685). After propensity score matching, 61 cases remained in each group. Both chest tube drainage duration (3.9 vs. 4.8 days, P=0.001) and postoperative stay (5.7 vs. 6.4 days, P=0.025) were significantly shorter in the clamping group than in the control group. Factors significantly associated with shorter chest tube drainage duration were female sex, chest tube clamping, left lobectomy, and video-assisted thoracoscopic surgery (VATS) (P<0.05). Intermittent postoperative chest tube clamping may decrease the duration of chest tube drainage and postoperative hospital stay while maintaining patient safety.

Streamflow distribution maps for the Cannon River drainage basin, southeast Minnesota, and the St. Louis River drainage basin, northeast Minnesota

USGS Publications Warehouse

Smith, Erik A.; Sanocki, Chris A.; Lorenz, David L.; Jacobsen, Katrin E.

2017-12-27

Streamflow distribution maps for the Cannon River and St. Louis River drainage basins were developed by the U.S. Geological Survey, in cooperation with the Legislative-Citizen Commission on Minnesota Resources, to illustrate relative and cumulative streamflow distributions. The Cannon River was selected to provide baseline data to assess the effects of potential surficial sand mining, and the St. Louis River was selected to determine the effects of ongoing Mesabi Iron Range mining. Each drainage basin (Cannon, St. Louis) was subdivided into nested drainage basins: the Cannon River was subdivided into 152 nested drainage basins, and the St. Louis River was subdivided into 353 nested drainage basins. For each smaller drainage basin, the estimated volumes of groundwater discharge (as base flow) and surface runoff flowing into all surface-water features were displayed under the following conditions: (1) extreme low-flow conditions, comparable to an exceedance-probability quantile of 0.95; (2) low-flow conditions, comparable to an exceedance-probability quantile of 0.90; (3) a median condition, comparable to an exceedance-probability quantile of 0.50; and (4) a high-flow condition, comparable to an exceedance-probability quantile of 0.02.Streamflow distribution maps were developed using flow-duration curve exceedance-probability quantiles in conjunction with Soil-Water-Balance model outputs; both the flow-duration curve and Soil-Water-Balance models were built upon previously published U.S. Geological Survey reports. The selected streamflow distribution maps provide a proactive water management tool for State cooperators by illustrating flow rates during a range of hydraulic conditions. Furthermore, after the nested drainage basins are highlighted in terms of surface-water flows, the streamflows can be evaluated in the context of meeting specific ecological flows under different flow regimes and potentially assist with decisions regarding groundwater and surface-water appropriations. Presented streamflow distribution maps are foundational work intended to support the development of additional streamflow distribution maps that include statistical constraints on the selected flow conditions.

Use of a novel drainage flow servo-controlled CPB for mitral valve replacement in a Jehovah's Witness.

PubMed

Niimi, Yoshinari; Murata, Seiichiro; Mitou, Yumi; Ohno, Yusuke

2018-03-01

We developed a novel open cardiopulmonary bypass (CPB) system, a drainage flow servo-controlled CPB system (DS-CPB), in which rotational speed of the main roller pump is servo-controlled to generate the same amount of flow as the systemic venous drainage. It was designed to safely decrease the priming volume while maintaining a constant reservoir level, even during fluctuations of the drainage flow. We report a successful use of a novel DS-CPB system in an elderly Jehovah's Witness patient with dehydration who underwent mitral valve replacement.

[Management of septic arthritis].

PubMed

Debrach, Anne-Cécile; Lazarou, Ilias; Gabay, Cem; Uçkay, Ilker

2018-03-07

Native joint septic arthritis is a medical emergency requiring urgent joint drainage and antibiotic therapy. In the absence of an artificial joint or a foreign body, the « rheumatological approach » with repetitive arthrocentesis yields similar outcomes in the literature when compared to surgical drainage. Arthrocentesis could therefore be viewed as the preferential method of joint drainage as it is associated both with reduced morbidity for patients and decreased costs for the healthcare system. In case of failure with arthrocentesis, surgical arthroscopic drainage becomes necessary. In addition, the prescription of systemic steroids is promising but requires further studies, especially in adult patient populations.

A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy.

PubMed

Iskandar, Mazen E; Wayne, Michael G; Steele, Justin G; Cooperman, Avram M

2018-02-01

Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. Additionally, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made. Copyright © 2017 Elsevier Inc. All rights reserved.

Endoscopic Ultrasound-guided drainage of an abdominal fluid collection following Whipple’s resection

PubMed Central

Jah, Asif; Jamieson, Neville; Huguet, Emmanuel; Griffiths, William; Carroll, Nicholas; Praseedom, Raaj

2008-01-01

Percutaneous aspiration and drainage of post-operative abdominal fluid collections is a well established standard technique. However, some fluid collections are not amenable to percutaneous drainage either due to location or the presence of surrounding visceral structures. Endoscopic Ultrasound (EUS) has been widely used for the drainage of pancreatitis-related abdominal fluid collections. However, there are no reports on the use of this technique in the post-operative setting. We report a case where the EUS-guided technique was used to drain a percutaneously inaccessible post-operative collection which had developed after Whipple’s resection. PMID:19058316

Microbial and spectral reflectance techniques to distinguish neutral and acidic drainage

USGS Publications Warehouse

Robbins, Eleanora I.

1999-01-01

Acid drainage from abandoned coal mines is affecting thousands of miles of rivers in the eastern United States. U.S. Geological Survey (USGS) scientists are finding that neutral drainage is sometimes being mistaken for acidic drainage because both involve the formation of iron oxide-rich materials. USGS scientists are adapting microbial techniques to learn about the processes that form the acidic and neutral iron oxide-rich flocculates and are developing spectral reflectance techniques that differentiate between acid and neutral materials. Federal and State regulatory agencies are using these data to help make land-use decisions.

Constraints on the events surrounding the drainage of glacial Lake Ojibway based on James Bay Lowlands sedimentary sequences

NASA Astrophysics Data System (ADS)

Roy, M.; Dell'Oste, F.; Parent, M.; Veillette, J.

2009-12-01

Deglaciation of the James Bay region was closely related to the development of glacial Lake Ojibway. The northward retreat of the margin of the Laurentide sheet in this region was punctuated by at least three late-glacial (Cochrane) readvances into the Lake Ojibway basin, which occurred around late deglaciation time, shortly before the abrupt and final drainage of Lake Ojibway and concomitant incursion of the post-glacial Tyrrell Sea ~8 ka. Although paleogeographic reconstructions have traditionally portrayed the drainage of the lake occurring through the collapse of the residual ice mass, recent glaciological modeling suggests an alternative mechanism centered on subglacial flood(s). These glaciological considerations suggest that more than one drainage event may have occurred, possibly through different drainage pathways. Here we focus on the events that surround the drainage of Lake Ojibway by documenting late-glacial and Holocene stratigraphic sequences exposed along the Harricana, Nottaway, Broadback, and Rupert rivers in the James Bay lowlands, a region that lies near the final resting position of the ice margin during deglaciation. Our investigations indicate that the deglacial sequence consists of a carbonate-bearing readvance till, extensive Ojibway varves, and thick marine sediments. The contact between the glaciolacustrine and glaciomarine sediments is marked by a 50 cm-thick horizon composed of thinly laminated reddish and grey silt beds containing abundant rounded clay balls and disseminated clasts. This horizon is interpreted to reflect the abrupt drainage of Lake Ojibway. Radiocarbon dating of mollusks and foraminifers extracted from the uppermost part of the drainage horizon yielded ages of 7.64 and 8.02 14C ka BP. Micropaleontological examinations of the upper varve sequence revealed the presence of freshwater ostracods (Candona sp.), along with foraminifers. Stable isotopes (δ18O and δ13C) analyses on ostracods and foraminifers originating from the same stratigraphic position show highly contrasting values (paleoenvironmental conditions) that suggest possible subglacial exchanges between Lake Ojibway and the Tyrrell Sea waters prior to the drainage of Lake Ojibway. A complex deglaciation pattern is also indicated by the occurrence of marine shells dated at 8.01 14C ka BP in a Cochrane till exposure, which seems to support the above data, and suggests that the last ice readvance occurred almost simultaneously with the drainage of Lake Ojibway. Additional material is currently being analyzed for 14C dating and stable isotopes in order to further constrain the timing and mechanism associated with this drainage event. These preliminary results thus seem to indicate that the southern James Bay region may be considered as an important drainage pathway for Lake Ojibway waters at the end of the last deglaciation.

Using Campylobacter spp. and Escherichia coli data and Bayesian microbial risk assessment to examine public health risks in agricultural watersheds under tile drainage management.

PubMed

Schmidt, P J; Pintar, K D M; Fazil, A M; Flemming, C A; Lanthier, M; Laprade, N; Sunohara, M D; Simhon, A; Thomas, J L; Topp, E; Wilkes, G; Lapen, D R

2013-06-15

Human campylobacteriosis is the leading bacterial gastrointestinal illness in Canada; environmental transmission has been implicated in addition to transmission via consumption of contaminated food. Information about Campylobacter spp. occurrence at the watershed scale will enhance our understanding of the associated public health risks and the efficacy of source water protection strategies. The overriding purpose of this study is to provide a quantitative framework to assess and compare the relative public health significance of watershed microbial water quality associated with agricultural BMPs. A microbial monitoring program was expanded from fecal indicator analyses and Campylobacter spp. presence/absence tests to the development of a novel, 11-tube most probable number (MPN) method that targeted Campylobacter jejuni, Campylobacter coli, and Campylobacter lari. These three types of data were used to make inferences about theoretical risks in a watershed in which controlled tile drainage is widely practiced, an adjacent watershed with conventional (uncontrolled) tile drainage, and reference sites elsewhere in the same river basin. E. coli concentrations (MPN and plate count) in the controlled tile drainage watershed were statistically higher (2008-11), relative to the uncontrolled tile drainage watershed, but yearly variation was high as well. Escherichia coli loading for years 2008-11 combined were statistically higher in the controlled watershed, relative to the uncontrolled tile drainage watershed, but Campylobacter spp. loads for 2010-11 were generally higher for the uncontrolled tile drainage watershed (but not statistically significant). Using MPN data and a Bayesian modelling approach, higher mean Campylobacter spp. concentrations were found in the controlled tile drainage watershed relative to the uncontrolled tile drainage watershed (2010, 2011). A second-order quantitative microbial risk assessment (QMRA) was used, in a relative way, to identify differences in mean Campylobacter spp. infection risks among monitoring sites for a hypothetical exposure scenario. Greater relative mean risks were obtained for sites in the controlled tile drainage watershed than in the uncontrolled tile drainage watershed in each year of monitoring with pair-wise posterior probabilities exceeding 0.699, and the lowest relative mean risks were found at a downstream drinking water intake reference site. The second-order modelling approach was used to partition sources of uncertainty, which revealed that an adequate representation of the temporal variation in Campylobacter spp. concentrations for risk assessment was achieved with as few as 10 MPN data per site. This study demonstrates for the first time how QMRA can be implemented to evaluate, in a relative sense, the public health implications of controlled tile drainage on watershed-scale water quality. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound drainage.

PubMed

Biron, Vincent L; Kurien, George; Dziegielewski, Peter; Barber, Brittany; Seikaly, Hadi

2013-02-26

Deep neck space abscesses (DNAs) are relatively common otolaryngology-head and neck surgery emergencies and can result in significant morbidity with potential mortality. Traditionally, surgical incision and drainage (I&D) with antibiotics has been the mainstay of treatment. Some reports have suggested that ultrasound-guided drainage (USD) is a less invasive and effective alternative in select cases. To compare I&D vs USD of well-defined DNAs, using a randomized controlled clinical trial design. The primary outcome measure was effectiveness (length of hospital stay (LOHS) and safety), and the secondary outcome measure was overall cost to the healthcare system. Patients presenting to the University of Alberta Emergency Department with a well-defined deep neck space abscess were recruited in the study. Patients were randomized to surgical or US-guided drainage, placed on intravenous antibiotics and admitted with airway precautions. Following drainage with either intervention, abscess collections were cultured and drains were left in place until discharge. Seventeen patients were recruited in the study. We found a significant difference in mean LOHS between patients who underwent USD (3.1 days) vs I&D (5.2 days). We identified significant cost savings associated with USD with a 41% cost reduction in comparison to I&D. USD drainage of deep neck space abscesses in a certain patient population is effective, safe, and results in a significant cost savings to the healthcare system.

Hydrological inferences through morphometric analysis of lower Kosi river basin of India for water resource management based on remote sensing data

NASA Astrophysics Data System (ADS)

Rai, Praveen Kumar; Chandel, Rajeev Singh; Mishra, Varun Narayan; Singh, Prafull

2018-03-01

Satellite based remote sensing technology has proven to be an effectual tool in analysis of drainage networks, study of surface morphological features and their correlation with groundwater management prospect at basin level. The present study highlights the effectiveness and advantage of remote sensing and GIS-based analysis for quantitative and qualitative assessment of flood plain region of lower Kosi river basin based on morphometric analysis. In this study, ASTER DEM is used to extract the vital hydrological parameters of lower Kosi river basin in ARC GIS software. Morphometric parameters, e.g., stream order, stream length, bifurcation ratio, drainage density, drainage frequency, drainage texture, form factor, circularity ratio, elongation ratio, etc., have been calculated for the Kosi basin and their hydrological inferences were discussed. Most of the morphometric parameters such as bifurcation ratio, drainage density, drainage frequency, drainage texture concluded that basin has good prospect for water management program for various purposes and also generated data base that can provide scientific information for site selection of water-harvesting structures and flood management activities in the basin. Land use land cover (LULC) of the basin were also prepared from Landsat data of 2005, 2010 and 2015 to assess the change in dynamic of the basin and these layers are very noteworthy for further watershed prioritization.

The safe volume threshold for chest drain removal following pulmonary resection.

PubMed

Yap, Kok Hooi; Soon, Jia Lin; Ong, Boon Hean; Loh, Yee Jim

2017-11-01

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'In patients undergoing pulmonary resection, is there a safe drainage volume threshold for chest drain removal?' Altogether 1054 papers were found, of which 5 papers represented the best evidence. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Chest drainage threshold, where used, ranged from 250 to 500 ml/day. Both randomized controlled trials showed no significant difference in reintervention rates with a higher chest drainage volume threshold. Four studies that performed analysis on other complications showed no statistical significant difference with a higher chest drainage volume threshold. Four studies evaluating length of hospital stay showed reduced or no difference in the length of stay with a higher chest drainage volume threshold. Two cohort studies reported the mortality rate of 0-0.01% with a higher chest drainage volume threshold. We conclude that early chest drain removal after pulmonary resection, accepting a higher chest drainage volume threshold of 250-500 ml/day is safe, and may result in shorter hospital stay without increasing reintervention, morbidity or mortality. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Location and assessment of drainage pipes beneath farm fields and golf course greens using ground penetrating radar: A research summary

USDA-ARS?s Scientific Manuscript database

Enhancing the efficiency of soil water removal, and in turn crop productivity, on farmland already containing a subsurface drainage system, typically involves installing new drain lines between the old ones. However, before this approach can be attempted, the older drainage pipes need to be located...

46 CFR 178.450 - Calculation of drainage area for cockpit and well deck vessels.

Code of Federal Regulations, 2010 CFR

2010-10-01

... PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178... × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio)]; or Basic Drainage area in inch2 = (Recess Volume × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio) Recess Volume = (BR × DR) − VR BR...

46 CFR 178.450 - Calculation of drainage area for cockpit and well deck vessels.

Code of Federal Regulations, 2014 CFR

2014-10-01

... PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178... × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio)]; or Basic Drainage area in inch2 = (Recess Volume × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio) Recess Volume = (BR × DR) − VR BR...

46 CFR 178.450 - Calculation of drainage area for cockpit and well deck vessels.

Code of Federal Regulations, 2011 CFR

2011-10-01

... PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178... × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio)]; or Basic Drainage area in inch2 = (Recess Volume × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio) Recess Volume = (BR × DR) − VR BR...

46 CFR 178.450 - Calculation of drainage area for cockpit and well deck vessels.

Code of Federal Regulations, 2012 CFR

2012-10-01

... PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178... × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio)]; or Basic Drainage area in inch2 = (Recess Volume × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio) Recess Volume = (BR × DR) − VR BR...

46 CFR 178.450 - Calculation of drainage area for cockpit and well deck vessels.

Code of Federal Regulations, 2013 CFR

2013-10-01

... PASSENGER VESSELS (UNDER 100 GROSS TONS) INTACT STABILITY AND SEAWORTHINESS Drainage of Weather Decks § 178... × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio)]; or Basic Drainage area in inch2 = (Recess Volume × Recess Ratio) + (Weather Deck Volume × Weather Deck Ratio) Recess Volume = (BR × DR) − VR BR...

Development of Thermal Bridging Factors for Use in Energy Models

DTIC Science & Technology

2015-06-20

assemblies. 5.2.2 Drainage : Drained systems Drained (Figure 5-6) and screened enclosures assume some rainwater will penetrate the outer surface...38 5.2.2 Drainage : Drained systems ...layer (e.g., drainage plane and gap or waterproofing) 2. Airflow control layer (e.g., an air barrier system ) 3. Thermal control layer (e.g., insulation

Reuse/disposal of agricultural drainage water with high levels of salinity and toxic trace elements in central California.

USDA-ARS?s Scientific Manuscript database

Agricultural drainage waters in the western San Joaquin Valley of Central California contain high levels of salts, boron (B) and selenium (Se). Discharge of the drainage water directly into the Kesterson Reservoir in 1980's was hazardous to plants and wildlife. To investigate the plausibility of usi...

Treatment and prevention systems for acid mine drainage and halogenated contaminants

DOEpatents

Jin, Song [Fort Collins, CO; Fallgren, Paul H [Laramie, WY; Morris, Jeffrey M [Laramie, WY

2012-01-31

Embodiments include treatments for acid mine drainage generation sources (10 perhaps by injection of at least one substrate (11) and biologically constructing a protective biofilm (13) on acid mine drainage generation source materials (14). Further embodiments include treatments for degradation of contaminated water environments (17) with substrates such as returned milk and the like.

46 CFR 116.1120 - Drainage of cockpit vessels, well deck vessels, and open boats.

Code of Federal Regulations, 2013 CFR

2013-10-01

... boats. 116.1120 Section 116.1120 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL... Drainage of cockpit vessels, well deck vessels, and open boats. Drainage of cockpit vessels, well deck vessels, and open boats must meet the applicable requirements of §§ 178.420, 178.430, 178.440, 178.450 in...

46 CFR 116.1120 - Drainage of cockpit vessels, well deck vessels, and open boats.

Code of Federal Regulations, 2010 CFR

2010-10-01

... boats. 116.1120 Section 116.1120 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL... Drainage of cockpit vessels, well deck vessels, and open boats. Drainage of cockpit vessels, well deck vessels, and open boats must meet the applicable requirements of §§ 178.420, 178.430, 178.440, 178.450 in...

46 CFR 116.1120 - Drainage of cockpit vessels, well deck vessels, and open boats.

Code of Federal Regulations, 2014 CFR

2014-10-01

... boats. 116.1120 Section 116.1120 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL... Drainage of cockpit vessels, well deck vessels, and open boats. Drainage of cockpit vessels, well deck vessels, and open boats must meet the applicable requirements of §§ 178.420, 178.430, 178.440, 178.450 in...

46 CFR 116.1120 - Drainage of cockpit vessels, well deck vessels, and open boats.

Code of Federal Regulations, 2012 CFR

2012-10-01

... boats. 116.1120 Section 116.1120 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL... Drainage of cockpit vessels, well deck vessels, and open boats. Drainage of cockpit vessels, well deck vessels, and open boats must meet the applicable requirements of §§ 178.420, 178.430, 178.440, 178.450 in...

46 CFR 116.1120 - Drainage of cockpit vessels, well deck vessels, and open boats.

Code of Federal Regulations, 2011 CFR

2011-10-01

... boats. 116.1120 Section 116.1120 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL... Drainage of cockpit vessels, well deck vessels, and open boats. Drainage of cockpit vessels, well deck vessels, and open boats must meet the applicable requirements of §§ 178.420, 178.430, 178.440, 178.450 in...

Water-Quality Characteristics for Sites in the Tongue, Powder, Cheyenne, and Belle Fourche River Drainage Basins, Wyoming and Montana, Water Years 2001-05, with Temporal Patterns of Selected Long-Term Water-Quality Data

USGS Publications Warehouse

Clark, Melanie L.; Mason, Jon P.

2007-01-01

Water-quality sampling was conducted regularly at stream sites within or near the Powder River structural basin in northeastern Wyoming and southeastern Montana during water years 2001-05 (October 1, 2000, to September 30, 2005) to characterize water quality in an area of coalbed natural gas development. The U.S. Geological Survey, in cooperation with the Wyoming Department of Environmental Quality, characterized the water quality at 22 sampling sites in the Tongue, Powder, Cheyenne, and Belle Fourche River drainage basins. Data for general hydrology, field measurements, major-ion chemistry, and selected trace elements were summarized, and specific conductance and sodium-adsorption ratios were evaluated for relations with streamflow and seasonal variability. Trend analysis for water years 1991-2005 was conducted for selected sites and constituents to assess change through time. Average annual runoff was highly variable among the stream sites. Generally, streams that have headwaters in the Bighorn Mountains had more runoff as a result of higher average annual precipitation than streams that have headwaters in the plains. The Powder River at Moorhead, Mont., had the largest average annual runoff (319,000 acre-feet) of all the sites; however, streams in the Tongue River drainage basin had the highest runoff per unit area of the four major drainage basins. Annual runoff in all major drainage basins was less than average during 2001-05 because of drought conditions. Consequently, water-quality samples collected during the study period may not represent long-term water-quality con-ditions for all sites. Water-quality characteristics were highly variable generally because of streamflow variability, geologic controls, and potential land-use effects. The range of median specific-conductance values among sites was smallest in the Tongue River drainage basin. Median values in that basin ranged from 643 microsiemens per centimeter at 25 degrees Celsius (?S/cm at 25?C) on the Tongue River to 1,460 ?S/cm at 25?C on Prairie Dog Creek. The Tongue River drainage basin has the largest percentage of area underlain by Mesozoic-age and older rocks and by more resistant rocks. In addition, the higher annual precipitation and a steeper gradient in this basin compared to basins in the plains produce relatively fast stream velocities, which result in a short contact time between stream waters and basin materials. The Powder River drainage basin, which has the largest drainage area and most diverse site conditions, had the largest range of median specific-conductance values among the four major drainage basins. Median values in that basin ranged from 680 ?S/cm at 25?C on Clear Creek to 5,950 ?S/cm at 25?C on Salt Creek. Median specific-conductance values among sites in the Cheyenne River drainage basin ranged from 1,850 ?S/cm at 25?C on Black Thunder Creek to 4,680 ?S/cm at 25?C on the Cheyenne River. The entire Cheyenne River drainage basin is in the plains, which have low precipitation, soluble geologic materials, and relatively low gradients that produce slow stream velocities and long contact times. Median specific-conductance values among sites in the Belle Fourche River drainage basin ranged from 1,740 ?S/cm at 25?C on Caballo Creek to 2,800 ?S/cm at 25?C on Donkey Creek. Water in the study area ranged from a magnesium-calcium-bicarbonate type for some sites in the Tongue River drainage basin to a sodium-sulfate type at many sites in the Powder, Cheyenne, and Belle Fourche River drainage basins. Little Goose Creek, Goose Creek, and the Tongue River in the Tongue River drainage basin, and Clear Creek in the Powder River drainage basin, which have headwaters in the Bighorn Mountains, consistently had the smallest median dissolved-sodium concentrations, sodium-adsorption ratios, dissolved-sulfate concentrations, and dissolved-solids concentrations. Salt Creek, Wild Horse Creek, Little Powder River, and the Cheyenne River, which have headwat

Geochemical Evolution of Groundwater in the Medicine Lodge Creek Drainage Basin with Implications for the Eastern Snake River Plain Aquifer, Eastern Idaho

NASA Astrophysics Data System (ADS)

Ginsbach, M. L.; Rattray, G. W.; McCurry, M. O.; Welhan, J. A.

2012-12-01

The eastern Snake River Plain aquifer (ESRPA) is an unconfined, continuous aquifer located in a northeast-trending structural basin filled with basaltic lava flows and sedimentary interbeds in eastern Idaho. The ESPRA is not an inert transport system, as it acts as both a sink and source for solutes found in the water. More than 90% of the water recharged naturally to the ESRPA is from the surrounding mountain drainage basins. Consequently, in order to understand the natural geochemistry of water within the ESRPA, the chemistry of the groundwater from the mountain drainage basins must be characterized and the processes that control the chemistry need to be understood. The U.S. Geological Survey, in cooperation with the U.S. Department of Energy and Idaho State University, has been studying these mountain drainage basins to help understand the movement of waste solutes in the ESRPA at the Idaho National Laboratory (INL) in eastern Idaho. This study focuses on the Medicine Lodge Creek drainage basin, which originates in the Beaverhead Mountains, extends onto the eastern Snake River Plain, and contributes recharge to the ESRPA beneath the INL as underflow along the northeastern INL boundary. Water and rock samples taken from the Medicine Lodge Creek drainage basin were analyzed to better understand water/rock interactions occurring in this system and to define the groundwater geochemistry of this drainage basin. Water samples were collected at 10 locations in the drainage basin during June 2012: 6 groundwater wells used for agricultural irrigation or domestic use and 4 springs. These water samples were analyzed for major ions, nutrients, trace metals, isotopes, and dissolved gasses. Samples of rock representative of the basalt, rhyolite, and sediments that occur within the drainage basin also were collected. These samples were analyzed using x-ray diffraction and petrographic study to determine the mineralogical constituents of the rock and the presence and composition of alteration products. The lithologic variability in this area leads to differing water-rock interactions occurring in different parts of the drainage basin. Anthropogenic influences also affect the water; at the far downgradient end of the drainage basin, increased levels of chloride and sulfate in the groundwater suggest an increased influence of irrigation recharge. Results from both water and rock analyses are combined in geochemical modeling software to determine plausible reactions that occur in groundwater collected at the sampling sites.

Role of endoscopic biliary drainage in advanced hepatocellular carcinoma with jaundice

PubMed Central

Han, Sung Yong; Heo, Jeong; Kim, Dong Uk; Baek, Dong Hoon; Yoo, So Yong; Kim, Chang Won; Kim, Suk; Song, Geun Am; Cho, Mong; Kang, Dae Hwan

2017-01-01

Background Patients with advanced hepatocellular carcinoma (HCC) with jaundice have an extremely poor prognosis. Although biliary drainage can resolve obstructive jaundice, signs of obstruction may not be evident. This study evaluated the role of endoscopic biliary drainage in patients with advanced HCC and obstructive jaundice. Methods From 2010 to 2015, 74 patients underwent endoscopic biliary drainage for obstructive jaundice due to advanced HCC. Jaundice resolution was defined as complete response and total bilirubin concentration below 3 mg/dl. Results The technical success rate in the 74 patients was 92.1% (70/76). Of the 70 patients who underwent successful biliary drainage, 48 (68.6%) and 22 (31.4%) were Child-Pugh classes B and C, respectively, and 10 (14.3%) and 60 (85.7%) were BCLC stages B and C, respectively. Intrahepatic bile duct (IHD) dilatation was observed in 35 patients (50%). After drainage, the complete response rate was 35.7% (25/70). The mean time to resolution was 17.4 ±8.5 days. However, jaundice was re-aggravated in 74.3% (15/25) after a mean 103.5 ±96.4 days. Multivariate analysis showed that the absence of ascites, presence of IHD dilatation, normal range of prothrombin time, and lower MELD score were significantly associated with complete response. The overall survival rate was 15.7% (11/70) and the median survival time is 28 days (95% confidence interval 2.6–563 days). Complete response and HCC treatment after drainage were significantly associated with survival. Conclusion Effective endoscopic biliary drainage is an important palliative treatment in patients with advanced HCC and obstructive jaundice, especially those with IHD dilatation and preserved liver function, as determined by ascites, prothrombin time, and MELD score. PMID:29095941

Role of endoscopic biliary drainage in advanced hepatocellular carcinoma with jaundice.

PubMed

Woo, Hyun Young; Han, Sung Yong; Heo, Jeong; Kim, Dong Uk; Baek, Dong Hoon; Yoo, So Yong; Kim, Chang Won; Kim, Suk; Song, Geun Am; Cho, Mong; Kang, Dae Hwan

2017-01-01

Patients with advanced hepatocellular carcinoma (HCC) with jaundice have an extremely poor prognosis. Although biliary drainage can resolve obstructive jaundice, signs of obstruction may not be evident. This study evaluated the role of endoscopic biliary drainage in patients with advanced HCC and obstructive jaundice. From 2010 to 2015, 74 patients underwent endoscopic biliary drainage for obstructive jaundice due to advanced HCC. Jaundice resolution was defined as complete response and total bilirubin concentration below 3 mg/dl. The technical success rate in the 74 patients was 92.1% (70/76). Of the 70 patients who underwent successful biliary drainage, 48 (68.6%) and 22 (31.4%) were Child-Pugh classes B and C, respectively, and 10 (14.3%) and 60 (85.7%) were BCLC stages B and C, respectively. Intrahepatic bile duct (IHD) dilatation was observed in 35 patients (50%). After drainage, the complete response rate was 35.7% (25/70). The mean time to resolution was 17.4 ±8.5 days. However, jaundice was re-aggravated in 74.3% (15/25) after a mean 103.5 ±96.4 days. Multivariate analysis showed that the absence of ascites, presence of IHD dilatation, normal range of prothrombin time, and lower MELD score were significantly associated with complete response. The overall survival rate was 15.7% (11/70) and the median survival time is 28 days (95% confidence interval 2.6-563 days). Complete response and HCC treatment after drainage were significantly associated with survival. Effective endoscopic biliary drainage is an important palliative treatment in patients with advanced HCC and obstructive jaundice, especially those with IHD dilatation and preserved liver function, as determined by ascites, prothrombin time, and MELD score.

[Stents in urology].

PubMed

Mattei, A; Danuser, H

2003-04-01

Ureteral stents are employed in the upper and urethral stents in the lower urinary tract for restitution or maintenance of urinary drainage. Placement of ureteral stents is indicated as an adjuvant measure prior to extracorporal disintegration (ESWL) of large kidney stones to insure urinary drainage and enhance expulsion of fragments and disintegrate. Also, obstruction by very small urinary tract stones that are not treatable by ESWL because they cannot be localized can be relieved by placement of a double-J-stent with immediate elimination of colic. If the cause of urinary tract obstruction is external ureteral compression (retroperitoneal mass), placement of a special tumor stent is one possibility. This, however, has the danger of becoming reobstructed with detritus and blockage of the drainage holes in the stent. In these cases the essential drainage along the stent is blocked by the mass. Therefore, a percutaneous nephrostomy providing direct drainage is easier to control and preferable. Obstructive pyelonephritis is an absolute indication for drainage of the upper urinary tract with a double-J-stent, or even better by percutaneous nephrostomy. If pyeloureteral or ureteral stenoses of the upper urinary tract are opened endoscopically, then the double-J-stent serves to maintain and insure drainage until the new lumen is reepithelialized. In patients with prostatic hyperplasia who no longer respond to medical treatment and who are not candidates for more invasive surgical treatment, a stent can be placed in the prostatic urethra under local anesthesia as a last resort. This procedure is seldom used but, in view of the satisfactory long-term results, it provides a true alternative to bladder drainage by transurethral catheter or percutaneous cystostomy. The same stents may be used in the bulbar urethra to reduce restricture rates following endoscopic treatment of strictures.

Estimating drain flow from measured water table depth in layered soils under free and controlled drainage

NASA Astrophysics Data System (ADS)

Saadat, Samaneh; Bowling, Laura; Frankenberger, Jane; Kladivko, Eileen

2018-01-01

Long records of continuous drain flow are important for quantifying annual and seasonal changes in the subsurface drainage flow from drained agricultural land. Missing data due to equipment malfunction and other challenges have limited conclusions that can be made about annual flow and thus nutrient loads from field studies, including assessments of the effect of controlled drainage. Water table depth data may be available during gaps in flow data, providing a basis for filling missing drain flow data; therefore, the overall goal of this study was to examine the potential to estimate drain flow using water table observations. The objectives were to evaluate how the shape of the relationship between drain flow and water table height above drain varies depending on the soil hydraulic conductivity profile, to quantify how well the Hooghoudt equation represented the water table-drain flow relationship in five years of measured data at the Davis Purdue Agricultural Center (DPAC), and to determine the impact of controlled drainage on drain flow using the filled dataset. The shape of the drain flow-water table height relationship was found to depend on the selected hydraulic conductivity profile. Estimated drain flow using the Hooghoudt equation with measured water table height for both free draining and controlled periods compared well to observed flow with Nash-Sutcliffe Efficiency values above 0.7 and 0.8 for calibration and validation periods, respectively. Using this method, together with linear regression for the remaining gaps, a long-term drain flow record for a controlled drainage experiment at the DPAC was used to evaluate the impacts of controlled drainage on drain flow. In the controlled drainage sites, annual flow was 14-49% lower than free drainage.

Contrasting vulnerability of drained tropical and high-latitude peatlands to fluvial loss of stored carbon

NASA Astrophysics Data System (ADS)

Evans, Chris D.; Page, Susan E.; Jones, Tim; Moore, Sam; Gauci, Vincent; Laiho, Raija; Hruška, Jakub; Allott, Tim E. H.; Billett, Michael F.; Tipping, Ed; Freeman, Chris; Garnett, Mark H.

2014-11-01

Carbon sequestration and storage in peatlands rely on consistently high water tables. Anthropogenic pressures including drainage, burning, land conversion for agriculture, timber, and biofuel production, cause loss of pressures including drainage, burning, land conversion for agriculture, timber, and biofuel production, cause loss of peat-forming vegetation and exposure of previously anaerobic peat to aerobic decomposition. This can shift peatlands from net CO2 sinks to large CO2 sources, releasing carbon held for millennia. Peatlands also export significant quantities of carbon via fluvial pathways, mainly as dissolved organic carbon (DOC). We analyzed radiocarbon (14C) levels of DOC in drainage water from multiple peatlands in Europe and Southeast Asia, to infer differences in the age of carbon lost from intact and drained systems. In most cases, drainage led to increased release of older carbon from the peat profile but with marked differences related to peat type. Very low DOC-14C levels in runoff from drained tropical peatlands indicate loss of very old (centuries to millennia) stored peat carbon. High-latitude peatlands appear more resilient to drainage; 14C measurements from UK blanket bogs suggest that exported DOC remains young (<50 years) despite drainage. Boreal and temperate fens and raised bogs in Finland and the Czech Republic showed intermediate sensitivity. We attribute observed differences to physical and climatic differences between peatlands, in particular, hydraulic conductivity and temperature, as well as the extent of disturbance associated with drainage, notably land use changes in the tropics. Data from the UK Peak District, an area where air pollution and intensive land management have triggered Sphagnum loss and peat erosion, suggest that additional anthropogenic pressures may trigger fluvial loss of much older (>500 year) carbon in high-latitude systems. Rewetting at least partially offsets drainage effects on DOC age.

Early removal of urethral catheter with suprapubic tube drainage versus urethral catheter drainage alone after robot-assisted laparoscopic radical prostatectomy.

PubMed

Prasad, Sandip M; Large, Michael C; Patel, Amit R; Famakinwa, Olufenwa; Galocy, R Matthew; Karrison, Theodore; Shalhav, Arieh L; Zagaja, Gregory P

2014-07-01

Retrospective single institution data suggest that postoperative pain after robot-assisted laparoscopic radical prostatectomy is decreased by early removal of the urethral catheter with suprapubic tube drainage. In a randomized patient population we determined whether suprapubic tube drainage with early urethral catheter removal would improve postoperative pain compared with urethral catheter drainage alone. Men with a body mass index of less than 40 kg/m(2) who had newly diagnosed prostate cancer and elected robot-assisted laparoscopic radical prostatectomy were included in analysis. Block randomization by surgeon was used and randomization assignment was done after completing the urethrovesical anastomosis. In patients assigned to suprapubic tube drainage the urethral catheter was removed on postoperative day 1 and all catheters were removed on postoperative day 7. Visual analog pain scale and satisfaction questionnaires were administered on postoperative days 0, 1 and 7. A total of 29 patients were randomized to the urethral catheter vs 29 to the suprapubic tube plus early urethral catheter removal at the time of interim futility analysis. Mean visual analog pain scale scores did not differ between the groups at any time point and a similar percent of patients cited the catheter as the greatest bother with nonsignificant differences in treatment related satisfaction. Complications during postoperative week 1 did not vary between the groups. Based on interim results the trial was terminated due to lack of effect. Patients randomized to suprapubic tube vs urethral catheter drainage for the week after prostatectomy had similar pain, catheter related bother and treatment related satisfaction in the perioperative period. We no longer routinely offer suprapubic tube drainage with early urethral catheter removal at our institution. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Effects of pleural effusion drainage on oxygenation, respiratory mechanics, and hemodynamics in mechanically ventilated patients.

PubMed

Razazi, Keyvan; Thille, Arnaud W; Carteaux, Guillaume; Beji, Olfa; Brun-Buisson, Christian; Brochard, Laurent; Mekontso Dessap, Armand

2014-09-01

In mechanically ventilated patients, the effect of draining pleural effusion on oxygenation is controversial. We investigated the effect of large pleural effusion drainage on oxygenation, respiratory function (including lung volumes), and hemodynamics in mechanically ventilated patients after ultrasound-guided drainage. Arterial blood gases, respiratory mechanics (airway, pleural and transpulmonary pressures, end-expiratory lung volume, respiratory system compliance and resistance), and hemodynamics (blood pressure, heart rate, and cardiac output) were recorded before and at 3 and 24 hours (H24) after pleural drainage. The respiratory settings were kept identical during the study period. The mean volume of effusion drained was 1,579 ± 684 ml at H24. Uncomplicated pneumothorax occurred in two patients. Respiratory mechanics significantly improved after drainage, with a decrease in plateau pressure and a large increase in end-expiratory transpulmonary pressure. Respiratory system compliance, end-expiratory lung volume, and PaO2/FiO2 ratio all improved. Hemodynamics were not influenced by drainage. Improvement in the PaO2/FiO2 ratio from baseline to H24 was positively correlated with the increase in end-expiratory lung volume during the same time frame (r = 0.52, P = 0.033), but not with drained volume. A high value of pleural pressure or a highly negative transpulmonary pressure at baseline predicted limited lung expansion following effusion drainage. A lesser improvement in oxygenation occurred in patients with ARDS. Drainage of large (≥500 ml) pleural effusion in mechanically ventilated patients improves oxygenation and end-expiratory lung volume. Oxygenation improvement correlated with an increase in lung volume and a decrease in transpulmonary pressure, but was less so in patients with ARDS.

Drainage-return, surface-water withdrawal, and land-use data for the Sacramento-San Joaquin Delta, with emphasis on Twitchell Island, California

USGS Publications Warehouse

Templin, William E.; Cherry, Daniel E.

1997-01-01

Partial data on drainage returns and surface-water withdrawals are presented for areas of the Sacramento-San Joaquin Delta, California, for March 1994 through February 1996. These areas cover most of the delta. Data are also presented for all drainage returns and some surface-water withdrawals for Twitchell Island, which is in the western part of the delta. Changes in land use between 1968 and 1991 are also presented for the delta. Measurements of monthly drainage returns and surface-water withdrawals were made using flowmeters installed in siphons and drain pipes on Twitchell Island. Estimates of monthly returns throughout the delta were made using electric power-consumption data with pump-efficiency-test data. For Twitchell Island, monthly measured drainage returns for the 1995 calendar year totaled about 11,200 acre-feet, whereas drainage returns estimated from power-consumption data totaled 5 percent less at about 10,600 acre-feet. Monthly surface-water withdrawals onto Twitchell Island through 12 of the 21 siphons totaled about 2,400 acre-feet for 1995. For most of the delta, the monthly estimated drainage returns for 1995 totaled about 430,000 acre-feet. The area consisting of Bouldin, Brannan, Staten, Tyler, and Venice Islands had the largest estimated drainage returns for calendar year 1995. Between 1968 and 1991, native vegetation in the delta decreased by 25 percent (about 40,000 acres), and grain and hay crops increased by 340 percent (about 71,000 acres). For Twitchell Island, native vegetation decreased about 77 percent (about 850 acres), while field crop acreage increased by about 44 percent (about 780 acres).

Local and synoptic controls on rapid supraglacial lake drainage in West Greenland

NASA Astrophysics Data System (ADS)

Williamson, Andrew; Banwell, Alison; Arnold, Neil; Willis, Ian

2016-04-01

Many supraglacial lakes within the ablation zone of the Greenland Ice Sheet (GrIS) are known to drain rapidly (in <1 day) in the mid- to late melt season, delivering large meltwater pulses to the subglacial drainage system, thus affecting basal water pressures and ice-sheet dynamics. Although it is now generally recognised that rapid lake drainage is caused by hydrofracture, the precise controls on hydrofracture initiation remain poorly understood: they may be linked to a local critical water-volume threshold, or they may be associated with synoptic-scale factors, such as ice thickness, driving stresses, ice velocities and strain rates. A combination of the local water-volume threshold and one or more synoptic-scale factors may explain the overall patterns of rapid lake drainage, but this requires verification using targeted field- and remotely-based studies that cover large areas of the GrIS and span long timescales. Here, we investigate a range of potential controls on rapid supraglacial lake drainage in the land-terminating Paakitsoq region of the ice sheet, northeast of Jakobshavn Isbræ, for the 2014 melt season. We have analysed daily 250-m Moderate Resolution Imaging Spectroradiometer (MODIS) imagery in order to calculate lake areas, depths and volumes, and have developed an automatic lake-tracking algorithm to determine the dates on which all rapid lake drainage events occur. For each rapidly draining lake, the water volumes immediately prior to drainage are compared with other local factors, notably lake-filling rate and ice thickness, and with a variety of synoptic-scale features, such as slope angles, driving stresses, surface velocities, surface strain rates and the incidence of nearby lake-drainage events. We present the outcomes of our statistical analysis to elicit the statistically significant controls on hydrofracture beneath supraglacial lakes.

Soil phosphorus loss in tile drainage water from long-term conventional- and non-tillage soils of Ontario with and without compost addition.

PubMed

Zhang, T Q; Tan, C S; Wang, Y T; Ma, B L; Welacky, T

2017-02-15

Recent ascertainment of tile drainage a predominant pathway of soil phosphorus (P) loss, along with the rise in concentration of soluble P in the Lake Erie, has led to a need to re-examine the impacts of agricultural practices. A three-year on-farm study was conducted to assess P loss in tile drainage water under long-term conventional- (CT) and non-tillage (NT) as influenced by yard waste leaf compost (LC) application in a Brookston clay loam soil. The effects of LC addition on soil P loss in tile drainage water varied depending on P forms and tillage systems. Under CT, dissolved reactive P (DRP) loss with LC addition over the study period was 765g P ha -1 , 2.9 times higher than CT without LC application, due to both a 50% increase in tile drainage flow volume and a 165% increase in DRP concentration. Under NT, DRP loss in tile drainage water with LC addition was 1447gPha -1 , 5.3 times greater than that for NT without LC application; this was solely caused by a 564% increase in DRP concentration. However, particulate P loads in tile drainage water with LC application remained unchanged, relative to non-LC application, regardless of tillage systems. Consequently, LC addition led to an increase in total P loads in tile drainage water by 57 and 69% under CT and NT, respectively. The results indicate that LC application may become an environmental concern due to increased DRP loss, particularly under NT. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Algin, Oktay, E-mail: droktayalgin@gmail.com; Erdogan, Cuneyt; Kilic, Nizamettin

2011-02-15

Hydrometrocolpos is an uncommon congenital disorder with cystic dilatation of the vagina and uterus that occurs as a result of accumulated secretions from the reproductive tract due to distal genital tract obstruction. Secondary infection may also occur, resulting in pyometrocolpos, a potentially lethal disease. Immediate drainage of the cystic mass in patients determined to have pyometrocolpos is required to prevent or treat uropathy and septicemia until definitive corrective surgery can be performed. We report an unusual cause of obstructive uropathy in three infants: pyometrocolpos due to lower genital tract atresia. Ultrasound-guided percutaneous drainage of the pyometrocolpos resulted in dramatically improvedmore » clinical and laboratory findings in these patients. Ultrasound-guided percutaneous drainage under local anesthesia is a simple, minimally invasive, safe, and effective procedure that facilitates later successful corrective surgery and avoids the need for more complex drainage procedures.« less

Stormwater runoff characterized by GIS determined source areas and runoff volumes.

PubMed

Liu, Yang; Soonthornnonda, Puripus; Li, Jin; Christensen, Erik R

2011-02-01

Runoff coefficients are usually considered in isolation for each drainage area with resulting large uncertainties in the areas and coefficients. Accurate areas and coefficients are obtained here by optimizing runoff coefficients for characteristic Geographic Information Systems (GIS) subareas within each drainage area so that the resulting runoff coefficients of each drainage area are consistent with those obtained from runoff and rainfall volumes. Lack of fit can indicate that the ArcGIS information is inaccurate or more likely, that the drainage area needs adjustment. Results for 18 drainage areas in Milwaukee, WI for 2000-2004 indicate runoff coefficients ranging from 0.123 for a mostly residential area to 0.679 for a freeway-related land, with a standard error of 0.047. Optimized runoff coefficients are necessary input parameters for monitoring, and for the analysis and design of in situ stormwater unit operations and processes for the control of both urban runoff quantity and quality.

The non-participation of organic sulphur in acid mine drainage generation

USGS Publications Warehouse

Casagrande, D.J.; Finkelman, R.B.; Caruccio, F.T.

1989-01-01

Acid mine drainage is commonly associated with land disturbances that encounter and expose iron sulphides to oxidising atmospheric conditions. The attendant acidic conditions solubilise a host of trace metals. Within this flow regime the potential exists to contaminate surface drinking water supplies with a variety of trace materials. Accordingly, in evaluating the applications for mines located in the headwaters of water sheds, the pre-mining prediction of the occurrence of acid mine drainage is of paramount importance. There is general agreement among investigators that coal organic sulphur is a nonparticipant in acid mine drainage generation; however, there is no scientific documentation to support this concensus. Using simulated weathering, kinetic, mass balance, petrographic analysis and a peroxide oxidation procedure, coal organic sulphur is shown to be a nonparticipant in acid mine drainage generation. Calculations for assessing the acid-generating potential of a sedimentary rock should not include organic sulphur content. ?? 1989 Sciences and Technology Letters.

Advances in drainage: Selected works from the Tenth International Drainage Symposium

USGS Publications Warehouse

Strock, Jeffrey S.; Hay, Christopher; Helmers, Matthew; Nelson, Kelly A.; Sands, Gary R.; Skaggs, R. Wayne; Douglas-Mankin, Kyle R.

2018-01-01

This article introduces a special collection of fourteen articles accepted from among the 140 technical presentations, posters, and meeting papers presented at the 10th International ASABE Drainage Symposium. The symposium continued in the tradition of previous symposia that began in 1965 as a forum for presenting and assessing the progress of drainage research and implementation throughout the world. The articles in this collection address a wide range of topics grouped into five broad categories: (1) crop response, (2) design and management, (3) hydrology and scale, (4) modeling, and (5) water quality. The collection provides valuable information for scientists, engineers, planners, and others working on crop production, water quality, and water quantity issues affected by agricultural drainage. The collection also provides perspectives on the challenges of increasing agricultural production in a changing climate, with ever-greater attention to water quality and quantity concerns that will require integrated technical, economic, and social solutions.

Fractal Analysis of Drainage Basins on Mars

NASA Technical Reports Server (NTRS)

Stepinski, T. F.; Marinova, M. M.; McGovern, P. J.; Clifford, S. M.

2002-01-01

We used statistical properties of drainage networks on Mars as a measure of martian landscape morphology and an indicator of landscape evolution processes. We utilize the Mars Orbiter Laser Altimeter (MOLA) data to construct digital elevation maps (DEMs) of several, mostly ancient, martian terrains. Drainage basins and channel networks are computationally extracted from DEMs and their structures are analyzed and compared to drainage networks extracted from terrestrial and lunar DEMs. We show that martian networks are self-affine statistical fractals with planar properties similar to terrestrial networks, but vertical properties similar to lunar networks. The uniformity of martian drainage density is between those for terrestrial and lunar landscapes. Our results are consistent with the roughening of ancient martian terrains by combination of rainfall-fed erosion and impacts, although roughening by other fluvial processes cannot be excluded. The notion of sustained rainfall in recent Mars history is inconsistent with our findings.

[A study of the value of preoperative biliary-tract drainage in the treatment of periampullary tumours: the DROP-trial].

PubMed

van der Gaag, N A; Gouma, D J

2006-03-04

Surgery in patients with obstructive jaundice caused by a periampullary (pancreas, papilla, distal bile duct) tumour is associated with a higher risk of postoperative complications than in non-jaundiced patients. Preoperative biliary drainage was introduced in an attempt to improve the general condition and thus reduce postoperative morbidity and mortality. More recently, the focus has shifted towards the negative effects of drainage, such as an increase of infectious complications. This has raised doubts as to whether biliary drainage should always be performed in these patients. The project referred to above involves a randomised multicentre trial to compare the outcome of a 'preoperative biliary-drainage strategy' (standard strategy) with that of an 'early-surgery' strategy with respect to the incidence of severe complications (primary-outcome measure), hospital stay, number of invasive diagnostic tests, costs, and quality of life.

Comparison of quality of life between two biliary drainage procedures in laparoscopic common bile duct exploration.

PubMed

Xin, Ying; Zhu, Xin; Wei, Qi; Cai, Xiujun; Wang, Xianfa; Huang, Diyu

2007-03-01

With various kinds of minimal access surgery being introduced, quality of life must be considered as a measure of whether minimal access surgery is good or not. We evaluate the difference in quality of life using two kinds of biliary drainage procedures in laparoscopic common bile duct exploration. Forty cases of laparoscopic common bile duct exploration with cholecystectomy were studied to compare gastrointestinal quality of life index (GIQLI) preoperatively and postoperatively at two, five and sixteen weeks in two groups using different biliary drainage procedures. There was no preoperative GIQLI difference between the two groups. Cases with biliary drainage through the cystic duct achieved earlier recovery. GIQLI of all cases reached normal sixteen weeks postoperatively. Biliary drainage through the cystic duct in laparoscopic common bile duct exploration may help to improve the postoperative GIQLI in patients.

[Experimental study on erysipeloid arthritis in the rabbit after blockage of lymph drainage].

PubMed

Canders, J; Brunner, H; Walter, S; Bernhardt-Huth, D; Huth, F

1979-01-01

The lymph drainage was radically blocked in 29 rabbits. One to three days after the operation Erysipelothrix rhusiopathiae was inoculated subcutaneously into the animals. Some control animals were injected with agents of erysipelas and some only with the sterile solution without additional blockade of the lymph drainage. Light and electron microscopy as well as immuno-histological tests showed that the erysipelas arthritis developing in rabbits closely resembles human rheumatoid arthritis with exsudative-necrotising changes of the synovial membrane, proliferation of synovial cells and subsynovial, perivascular plasmacell, and lymphocyte infiltration. The changes were not intensified by the additional blockade of the lymph drainage, when comparing the side with lymph drainage blockade and the non-operated side. The results may be explained by a marked pathogenetic importance of the erysipelas infection in comparison to the relatively mild, lymphostate dependent alterations as well as by mobilisation of macrophages on the operated side.

Problems of modern urban drainage in developing countries.

PubMed

Silveira, A L L

2002-01-01

Socio-economic factors in developing countries make it more difficult to solve problems of urban drainage than in countries that are more advanced. Factors inhibiting the adoption of modern solutions include: (1) in matters of urban drainage, 19th-century sanitary philosophy still dominates; (2) both legal and clandestine land settlement limits the space that modern solutions require; (3) contamination of storm runoff by foul sewage, sediment and garbage prevents adoption of developed-country practices; (4) climatic and socio-economic factors favour the growth of epidemics where runoff is retained for flood-avoidance and to increase infiltration; (5) lack of a technological basis for adequate drainage management and design; (6) lack of the interaction between community and city administration that is needed to obtain modern solutions to urban drainage problems. Awareness of these difficulties is fundamental to the search for modern and viable solutions appropriate for developing countries.

Drainage areas in the Vermillion River basin in eastern South Dakota

USGS Publications Warehouse

Benson, Rick D.; Freese, M.D.; Amundson, Frank D.

1988-01-01

Above-normal precipitation in the northern portion of the Vermillion River basin from 1982 through 1987 caused substantial rises in lake levels in the Lake Thompson chain of lakes, resulting in discharge from Lake Thompson to the East Fork Vermillion River. Prior to 1986, the Lake Thompson chain of lakes was thought to be a noncontributing portion of the Vermillion River basin. To better understand surface drainage, the map delineates all named stream basins, and all unnamed basins larger than approximately 10 sq mi within the Vermillion River basin in South Dakota and lists by stream name the area of each basin. Stream drainage basins were delineated by visual interpretation of contour information of U.S. Geological Survey 7 1/2 minute topographic maps. Two tables list areas of drainage basins and reaches, as well as drainage areas above gaging stations. (USGS)

Capturing Flow-weighted Water and Suspended Particulates from Agricultural Canals During Drainage Events.

PubMed

Bhadha, Jehangir H; Sexton, Anne; Lang, Timothy A; Daroub, Samira H

2017-11-07

The purpose of this study is to describe the methods used to capture flow-weighted water and suspended particulates from farm canals during drainage discharge events. Farm canals can be enriched by nutrients such as phosphorus (P) that are susceptible to transport. Phosphorus in the form of suspended particulates can significantly contribute to the overall P loads in drainage water. A settling tank experiment was conducted to capture suspended particulates during discrete drainage events. Farm canal discharge water was collected in a series of two 200 L settling tanks over the entire duration of the drainage event, so as to represent a composite subsample of the water being discharged. Imhoff settling cones are ultimately used to settle out the suspended particulates. This is achieved by siphoning water from the settling tanks via the cones. The particulates are then collected for physico-chemical analyses.

Cervical spine disease may result in a negative lumbar spinal drainage trial in normal pressure hydrocephalus: case report.

PubMed

Komotar, Ricardo J; Zacharia, Brad E; Mocco, J; Kaiser, Michael G; Frucht, Stephen J; McKhann, Guy M

2008-10-01

In this case report, we present a patient with normal pressure hydrocephalus in whom a lumbar drainage trial yielded a false-negative result secondary to cervical spondylosis. An 80-year-old woman presented with classic symptoms of normal pressure hydrocephalus as well as evidence of cervical myelopathy. Magnetic resonance imaging of the brain and spine showed enlarged ventricles and single-level cervical canal narrowing. An initial lumbar drainage trial was performed, which revealed negative results. The patient then underwent cervical decompression and fusion. Despite this procedure, the patient's symptoms continued to worsen. A repeat lumbar drainage trial was performed with positive results. Subsequently, a ventriculoperitoneal shunt was placed, resulting in significant improvement of her symptoms. This case report illustrates how altered cerebrospinal fluid flow dynamics may impact the accuracy of the lumbar spinal drainage trial in patients with normal pressure hydrocephalus.

Habitat use of age 0 Alabama shad in the Pascagoula River drainage, USA

Treesearch

P. F. Mickle; J.F. Schaefer; S.B. Adams; B.R. Kreiser

2010-01-01

Alabama shad (Alosa alabamae) is an anadromous species that spawns in Gulf of Mexico drainages and is a NOAA Fisheries Species of Concern. Habitat degradation and barriers to migration are considered contributing factors to range contraction that has left just the Pascagoula River drainage population in Mississippi. We studied juvenile life history and autecology in...

Medical Services: Standards of Medical Fitness

DTIC Science & Technology

2002-03-28

Malfunction of the acoustic nerve. (Evaluate functional impairment of hearing under para 3–10.) c. Mastoiditis, chronic, with constant drainage from the...mastoid cavity, requiring frequent and prolonged medical care. d. Mastoiditis, chronic, following mastoidectomy, with constant drainage from the...d. Nephrectomy, when after treatment, there is infection or pathology in the remaining kidney. e. Nephrostomy, if drainage persists. f. Oophorectomy

Field studies of transport and dispersion of atmospheric tracers in nocturnal drainage flows

Treesearch

Paul H. Gudiksen; Gilbert J. Ferber; Malcolm M. Fowler; Wynn L. Eberhard; Michael A. Fosberg; William R. Knuth

1984-01-01

A series of tracer experiments were carried out as part of the Atmospheric Studies in Complex Terrain (ASCOT) program to evaluate pollutant transport and dispersion characteristics of nocturnal drainage flows within a valley in northern California. The results indicate that the degree of interaction of the drainage flows with the larger scale regional flows are...

Successful percutaneous transperineal drainage of a large prostatic abscess.

PubMed

Mason, Barry M; Hakimi, A Ari; Clerkin, Kevin J; Silva, Jose V

2010-12-01

We present a case of an 83-year-old man with septic shock secondary to an extremely large prostatic abscess. Antibiotics and transperineal percutaneous drainage with a suprapubic-type Malecot catheter successfully treated the abscess. Follow-up images reveal resolution of the abscess. Broad-spectrum antibiotics and drainage permitted a full recovery. Copyright © 2010 Elsevier Inc. All rights reserved.

Discussion on Construction Technology of Prestressed Reinforced Concrete Pipeline of Municipal Water Supply and Drainage

NASA Astrophysics Data System (ADS)

Li, Chunyan

2017-11-01

Prestressed reinforced concrete pipe has the advantages of good bending resistance, good anti-corrosion, anti-seepage, low price and so on. It is very common in municipal water supply and drainage engineering. This paper mainly explore the analyze the construction technology of the prestressed reinforced concrete pipe in municipal water supply and drainage engineering.

Effect of Drainage and Management Practices on Hydrology of Pine Plantation

Treesearch

R. Wayne Skaggs; Devendra M. Amatya; G. M. Chescheir; C. D. Blanton; J. W. Gilliam

2006-01-01

This paper reviews results of long-term studies, initiated in the late 1980s, to determine the hydrologic and water quality impacts of drainage and related water and forest management practices on a poorly drained site in Carteret County, North Carolina. Three watersheds, each approximately 25 ha, were instrumented to measure and record drainage rate, water table depth...

Red rubber bulb, cheap and effective vacuum drainage.

PubMed

Vatanasapt, V; Areemit, S; Jeeravipoolvarn, P; Kuyyakanond, T; Kuptarnond, C

1989-04-01

Red rubber bulbs have been used for vacuum drainage in head, neck, breast and several other operations by the authors since 1975 quite effectively without any major problems. The vacuum pressure of the red rubber bulbs was found to be higher than the expensive commercially available vacuum wound drainage device. The question of remaining old blood and infective microorganisms inside the reservoir for the reused ones were tested by the manual cleaning process and the standard sterile technique using steam under increased pressure (autoclave). The result is quite satisfactory. We encourage the use of this cheap and effective (made in Thailand) vacuum wound drainage in Thai hospitals and Thai medical schools.

Assessment and Management of Proximal and Incomplete Symptomatic Obstruction of the Lacrimal Drainage System

PubMed Central

Kashkouli, Mohsen Bahmani; Pakdel, Farzad; Kiavash, Victoria

2012-01-01

Epiphora is a common complaint of patients who present to an Ophthalmology Clinic. In many cases, epiphora is due to an obstruction in the lacrimal drainage system. However, a subgroup of symptomatic patients with epiphora has a patent lacrimal drainage system. Such cases are usually termed ‘functional obstruction’ and / or ‘stenosis of the lacrimal drainage system’. Various etiologies and diagnostic and therapeutic approaches have been described in literature, which implies the lack of a standardized approach. This article will review the evolving diagnostic and therapeutic approaches in literature, and in the end, propose a paradigm in approaching this group of patients. PMID:22346116

Physical aquatic habitat assessment data, Ozark plateaus, Missouri and Arkansas

USGS Publications Warehouse

Jacobson, Robert B.; Johnson, Harold E.; Reuter, Joanna M.; Wright, Maria Panfil

2004-01-01

This report presents data from two related studies on physical habitat in small streams in the Ozark Plateaus Physiographic Province of Missouri and Arkansas. Seventy stream reaches and their contributing drainage basins were assessed using a physical habitat protocol designed to optimize understanding of how stream reach characteristics relate to drainage-basin characteristics. Drainage-basin characteristics were evaluated using geographic information system (GIS) techniques and datasets designed to evaluate the geologic, physiographic, and land-use characteristics of encompassing drainage basins. Reach characteristics were evaluated using a field-based geomorphology and habitat protocol. The data are intended to complement ecological studies on Ozark Plateaus streams.

Vacuum-assisted drainage in cardiopulmonary bypass: advantages and disadvantages.

PubMed

Carvalho Filho, Elio Barreto de; Marson, Fernando Augusto de Lima; Costa, Loredana Nilkenes Gomes da; Antunes, Nilson

2014-01-01

Systematic review of vacuum assisted drainage in cardiopulmonary bypass, demonstrating its advantages and disadvantages, by case reports and evidence about its effects on microcirculation. We conducted a systematic search on the period 1997-2012, in the databases PubMed, Medline, Lilacs and SciELO. Of the 70 selected articles, 26 were included in the review. Although the vacuum assisted drainage has significant potential for complications and requires appropriate technology and professionalism, prevailed in literature reviewed the concept that vacuum assisted drainage contributed in reducing the rate of transfusions, hemodilutions, better operative field, no significant increase in hemolysis, reduced complications surgical, use of lower prime and of smaller diameter cannulas.

Simple model of foam drainage

NASA Astrophysics Data System (ADS)

Fortes, M. A.; Coughlan, S.

1994-10-01

A simple model of foam drainage is introduced in which the Plateau borders and quadruple junctions are identified with pools that discharge through channels to pools underneath. The flow is driven by gravity and there are friction losses in the exhausting channels. The equation of Bernoulli combined with the Hagen-Poiseuille equation is applied to describe the flow. The area of the cross section of the exhausting channels can be taken as a constant or may vary during drainage. The predictions of the model are compared with standard drainage curves and with the results of a recently reported experiment in which additional liquid is supplied at the top of the froth.

Biofuel as an Integrated Farm Drainage Management crop: A bioeconomic analysis

NASA Astrophysics Data System (ADS)

Levers, L. R.; Schwabe, K. A.

2017-04-01

Irrigated agricultural lands in arid regions often suffer from soil salinization and lack of drainage, which affect environmental quality and productivity. Integrated Farm Drainage Management (IFDM) systems, where drainage water generated from higher-valued crops grown on high quality soils are used to irrigate salt-tolerant crops grown on marginal soils, is one possible strategy for managing salinity and drainage problems. If the IFDM crop were a biofuel crop, both environmental and private benefits may be generated; however, little is known about this possibility. As such, we develop a bioeconomic programming model of irrigated agricultural production to examine the role salt-tolerant biofuel crops might play within an IFDM system. Our results, generated by optimizing profits over land, water, and crop choice decisions subject to resource constraints, suggest that based on the private profits alone, biofuel crops can be a competitive alternative to the common practices of land retirement and nonbiofuel crop production under both low to high drainage water salinity. Yet IFDM biofuel crop production generates 30-35% fewer GHG emissions than the other strategies. The private market competitiveness coupled with the public good benefits may justify policy changes encouraging the growth of IFDM biofuel crops in arid agricultural areas globally.

Drainage areas of New York streams, by river basins; a stream gazetteer; Part 1, Data compiled as of October 1980

USGS Publications Warehouse

Wagner, L.A.

1982-01-01

Hydrologic studies concerned with surface water require geographic data of several types, among which are stream length and size of drainage area from which runoff is contributed. This gazetteer presents all drainage-area data on New York streams that were available as of October 1980. The information is grouped by river basin, and each section consists of two lists. The first gives sites alphabetically by stream name and includes the body of water to which the stream is tributary, county in which the site is located, drainage area above the mouth, coordinates of the topographic quadrangle on the State index map , and the Geological Survey site number. The second list presents site information by U.S. Geological Survey site number (downstream order along the main stream) and includes drainage area, distance of measurement site above the mouth, and location by latitude and longitude. Data were compiled from published and unpublished sources, all of which are available for inspection at the U.S. Geological Survey in Albany, N.Y. Also included are updated values on several river basins that have been redelineated and whose drainage areas have been recomputed and retabulated since 1977. (USGS)

Measures for the reduction of sinter formations in tunnels

NASA Astrophysics Data System (ADS)

Harer, Gerhard

2017-09-01

A considerable part of the maintenance costs of tunnel structures is related to the inspection, maintenance and repair of the drainage system. The drainage system of tunnels is frequently clogged with Calcium precipitates. Cleaning and water conditioning are costintensive for operating companies. Apart from the direct costs associated with inspection, maintenance and repair works of the drainage system indirect costs are generated, such as by the blocking of the tunnel while inspection, maintenance or repair or by the reduction of the permitted operation speed. Sintering and clogging of the drainage systems is mainly caused by dissolution of cement minerals in concrete and mortar and/or by inadequate design and construction of the drainage system and/or grubby workmanship. With long-term studies and in-situ experiments in Austria traffic tunnels the specific input factors for sinter mechanism have been identified and appropriate counter measures could be defined. In particular modified mix designs for shotcretes and mortars have proven to bring a significant beneficial effect. By means of constructional measures and by the application of hardness stabilizers a further reduction of hard deposits inside the drainage system is achievable. The paper will deal with the specific aspects and will propose adequate counter measures.

A random spatial network model based on elementary postulates

USGS Publications Warehouse

Karlinger, Michael R.; Troutman, Brent M.

1989-01-01

A model for generating random spatial networks that is based on elementary postulates comparable to those of the random topology model is proposed. In contrast to the random topology model, this model ascribes a unique spatial specification to generated drainage networks, a distinguishing property of some network growth models. The simplicity of the postulates creates an opportunity for potential analytic investigations of the probabilistic structure of the drainage networks, while the spatial specification enables analyses of spatially dependent network properties. In the random topology model all drainage networks, conditioned on magnitude (number of first-order streams), are equally likely, whereas in this model all spanning trees of a grid, conditioned on area and drainage density, are equally likely. As a result, link lengths in the generated networks are not independent, as usually assumed in the random topology model. For a preliminary model evaluation, scale-dependent network characteristics, such as geometric diameter and link length properties, and topologic characteristics, such as bifurcation ratio, are computed for sets of drainage networks generated on square and rectangular grids. Statistics of the bifurcation and length ratios fall within the range of values reported for natural drainage networks, but geometric diameters tend to be relatively longer than those for natural networks.

The role of transpapillary drainage in management of patients with pancreatic fluid collections and pancreatic duct disruption as a consequences of severe acute pancreatitis.

PubMed

Jagielski, Mateusz; Smoczyński, Marian; Adrych, Krystian

In last thirty years we have been observing significant development of an endoscopic treatment of pancreatic fluid collections, including transmural drainage of walled-off pancreatic necrosis. Simultaneously, the use of endotherapy in treatment of main pancreatic ducts disruptions has increased. Despite many publications available in current literature, concerning the endoscopic treatment of consequences of acute necrotizing pancreatitis, the role of transpapillary drainage in management of patients with pancreatic fluid collections and pancreatic duct disruption as an after-effect of severe acute pancreatitis remains unclear and is still a current problem. This publication includes comment on the article entitled 'Early dual drainage combining transpapillary endotherapy and percutaneous catheter drainage in patients with pancreatic fistula associated with severe acute pancreatitis' published by Yokoi et al. in the July-August 2016 issue of Pancreatology together with questions to the authors. Furthermore, in the article we did pay particular attention to the role of transpapillary drainage in management of pancreatic fluid collections, especially of walled-of pancreatic necrosis. Copyright © 2016 IAP and EPC. Published by Elsevier B.V. All rights reserved.

Improved drainage with active chest tube clearance.

PubMed

Shiose, Akira; Takaseya, Tohru; Fumoto, Hideyuki; Arakawa, Yoko; Horai, Tetsuya; Boyle, Edward M; Gillinov, A Marc; Fukamachi, Kiyotaka

2010-05-01

This study was performed to evaluate the efficacy of a novel chest drainage system. This system employs guide wire-based active chest tube clearance to improve drainage and maintain patency. A 32 Fr chest tube was inserted into pleural cavities of five pigs. On the left, a tube was connected to the chest canister, and on the right, the new system was inserted between the chest tube and chest canister. Acute bleeding was mimicked by periodic infusion of blood. The amount of blood drained from each chest cavity was recorded every 15 min for 2 h. After completion of the procedure, all residual blood and clots in each chest cavity were assessed. The new system remained widely patent, and the amount of drainage achieved with this system (670+/-105 ml) was significantly (P=0.01) higher than that with the standard tube (239+/-131 ml). The amount of retained pleural blood and clots with this system (150+/-107 ml) was significantly (P=0.04) lower than that with the standard tube (571+/-248 ml). In conclusion, a novel chest drainage system with active tube clearance significantly improved drainage without tube manipulations. 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

Management of chest drainage tubes after lung surgery.

PubMed

Satoh, Yukitoshi

2016-06-01

Since chest tubes have been routinely used to drain the pleural space, particularly after lung surgery, the management of chest tubes is considered to be essential for the thoracic surgeon. The pleural drainage system requires effective drainage, suction, and water-sealing. Another key point of chest tube management is that a water seal is considered to be superior to suction for most air leaks. Nowadays, the most common pleural drainage device attached to the chest tube is the three-bottle system. An electronic chest drainage system has been developed that is effective in standardizing the postoperative management of chest tubes. More liberal use of digital drainage devices in the postoperative management of the pleural space is warranted. The removal of chest tubes is a common procedure occurring almost daily in hospitals throughout the world. Extraction of the tube is usually done at the end of full inspiration or at the end of full expiration. The tube removal technique is not as important as how it is done and the preparation for the procedure. The management of chest tubes must be based on careful observation, the patient's characteristics, and the operative procedures that had been performed.

Percutaneous drainage in conservative therapy for perforated gastroduodenal ulcers.

PubMed

Oida, Takatsugu; Kano, Hisao; Mimatsu, Kenji; Kawasaki, Atsushi; Kuboi, Youichi; Fukino, Nobutada; Kida, Kazutoshi; Amano, Sadao

2012-01-01

The management of peptic ulcers has dramatically changed and the incidence of elective surgery for gastroduodenal peptic ulcers has markedly decreased; hence, the incidence of emergency surgery for perforated peptic ulcers has slightly increased. In select cases, conservative therapy can be used as an alternative for treating perforated gastroduodenal ulcers. In this study, we evaluated the efficacy of percutaneous abdominal drainage for the conservative treatment of perforated gastroduodenal ulcers. We retrospectively studied 51 patients who had undergone conservative therapy for perforated gastroduodenal ulcers. These patients were divided into 2 groups on the basis of the initial treatment with conservative therapy with or without percutaneous drainage: group PD included patients who had undergone percutaneous drainage and group NPD, patients who had undergone non-percutaneous drainage. In the PD group, 14.3% (n=3) of the patients did not respond to conservative therapy, while this value was 43.3% (n=13) in the NPD group. The 2 groups differed significantly with respect to conversion from conservative therapy to surgery (p<0.0352). Conservative therapy for perforated gastroduodenal ulcers should be performed only in the case of patients meeting the required criteria; its combination with percutaneous intraperitoneal drainage is effective as initial conservative therapy.

Automated Passive Capillary Lysimeters for Estimating Water Drainage in the Vadose Zone

NASA Astrophysics Data System (ADS)

Jabro, J.; Evans, R.

2009-04-01

In this study, we demonstrated and evaluated the performance and accuracy of an automated PCAP lysimeters that we designed for in-situ continuous measuring and estimating of drainage water below the rootzone of a sugarbeet-potato-barley rotation under two irrigation frequencies. Twelve automated PCAPs with sampling surface dimensions of 31 cm width * 91 cm long and 87 cm in height were placed 90 cm below the soil surface in a Lihen sandy loam. Our state-of-the-art design incorporated Bluetooth wireless technology to enable an automated datalogger to transmit drainage water data simultaneously every 15 minutes to a remote host and had a greater efficiency than other types of lysimeters. It also offered a significantly larger coverage area (2700 cm2) than similarly designed vadose zone lysimeters. The cumulative manually extracted drainage water was compared with the cumulative volume of drainage water recorded by the datalogger from the tipping bucket using several statistical methods. Our results indicated that our automated PCAPs are accurate and provided convenient means for estimating water drainage in the vadose zone without the need for costly and manually time-consuming supportive systems.

Local skull trephination before transfer is associated with favorable outcomes in cerebral herniation from epidural hematoma.

PubMed

Nelson, James A

2011-01-01

The patient with epidural hematoma and cerebral herniation has a good prognosis with immediate drainage, but a poor prognosis with delay to decompression. Such patients who present to nonneurosurgical hospitals are commonly transferred without drainage to the nearest neurosurgical center. This practice has never been demonstrated to be the safest approach to treating these patients. A significant minority of emergency physicians (EPs) have advised and taught bedside burr hole drainage or skull trephination before transfer for herniating patients. The objective of this study was to assess the effect of nonneurosurgeon drainage on neurologic outcome in patients with cerebral herniation from epidural hematoma. A structured literature review was performed using EMBASE, the Cochrane Library, and the Emergency Medicine Abstracts database. No evidence meeting methodologic criteria was found describing outcomes in patients transferred without decompressive procedures. For patients receiving local drainage before transfer, 100% had favorable outcomes. Although the total number of patients is small and the population highly selected, the natural history of cerebral herniation from epidural hematoma and the best available evidence suggests that herniating patients have improved outcomes with drainage procedures before transport. © 2010 by the Society for Academic Emergency Medicine.

Estimation of Tile Drainage Contribution to Streamflow and Nutrient Export Loads

NASA Astrophysics Data System (ADS)

Schilling, K. E.; Arenas Amado, A.; Jones, C. S.; Weber, L. J.

2015-12-01

Subsurface drainage is a very common practice in the agricultural U.S. Midwest. It is typically installed in poorly drained soils in order to enhance crop yields. The presence of tile drains creates a route for agrichemicals to travel and therefore negatively impacts stream water quality. This study estimated through end-member analyses the contributions of tile drainage, groundwater, and surface runoff to streamflow at the watershed scale based on continuously monitored data. Especial attention was devoted to quantifying tile drainage impact on watershed streamflow and nutrient export loads. Data analyzed includes streamflow, rainfall, soil moisture, shallow groundwater levels, in-stream nitrate+nitrite concentrations and specific conductance. Data were collected at a HUC12 watershed located in Northeast Iowa, USA. Approximately 60% of the total watershed area is devoted to agricultural activities and forest and grassland are the other two predominant land uses. Results show that approximately 20% of total annual streamflow comes from tile drainage and during rainfall events tile drainage contribution can go up to 30%. Furthermore, for most of the analyzed rainfall events groundwater responded faster and in a more dramatic fashion than tile drainage. The State of Iowa is currently carrying out a plan to reduce nutrients in Iowa waters and the Gulf of Mexico (Iowa Nutrient Reduction Strategy). The outcome of this investigation has the potential to assist in Best Management Practice (BMP) scenario selection and therefore help the state achieve water quality goals.

Can Vacuum Assisted Venous Drainage be Achieved using a Roller Pump in an Emergency? A Pilot Study using Neonatal Circuitry

PubMed Central

Hill, S. L.; Holt, D. W.

2007-01-01

Abstract: There has been much advancement in perfusion technology over its 50 years of progression. One of these techniques is vacuum-assisted venous drainage (VAVD). Many perfusionists augment venous drainage using VAVD, typically from a wall vacuum source. This study explores alternates to providing VAVD if the wall vacuum fails. In two porcine laboratories, ∼36 in. of 3/16-in. tubing was connected to a sucker return port and placed into the roller head next to the arterial pump. The vacuum was monitored with a DLP pressure monitoring system (Medtronic). This system was connected to small-bore tubing and attached to a stopcock on top of the reservoir. The vacuum was regulated using another stopcock connected to a non-filtered luer lock port on top of the reservoir or by a segment of 3 × 0.25-in.-diameter tubing attached to the vent port with a c-clamp. Vacuum drainage was achieved, ranging from −18 mmHg to −71 mmHg by manipulating the stopcock or c-clamp. Changes in venous drainage were seen by volume fluctuations in the venous reservoir. The vacuum was adjusted to account for dramatic changes. Augmented venous drainage using a roller pump can be achieved successfully during cardiopulmonary bypass (CPB). This method of active drainage can be used in lieu of wall suction or during times of emergency if wall suction fails. PMID:18293812

A new model for simulating spring discharge recession and estimating effective porosity of karst aquifers

NASA Astrophysics Data System (ADS)

Xu, Bin; Ye, Ming; Dong, Shuning; Dai, Zhenxue; Pei, Yongzhen

2018-07-01

Quantitative analysis of recession curves of karst spring hydrographs is a vital tool for understanding karst hydrology and inferring hydraulic properties of karst aquifers. This paper presents a new model for simulating karst spring recession curves. The new model has the following characteristics: (1) the model considers two separate but hydraulically connected reservoirs: matrix reservoir and conduit reservoir; (2) the model separates karst spring hydrograph recession into three stages: conduit-drainage stage, mixed-drainage stage (with both conduit drainage and matrix drainage), and matrix-drainage stage; and (3) in the mixed-drainage stage, the model uses multiple conduit layers to present different levels of conduit development. The new model outperforms the classical Mangin model and the recently developed Fiorillo model for simulating observed discharge at the Madison Blue Spring located in northern Florida. This is attributed to the latter two characteristics of the new model. Based on the new model, a method is developed for estimating effective porosity of the matrix and conduit reservoirs for the three drainage stages. The estimated porosity values are consistent with measured matrix porosity at the study site and with estimated conduit porosity reported in literature. The new model for simulating karst spring hydrograph recession is mathematically general, and can be applied to a wide range of karst spring hydrographs to understand groundwater flow in karst aquifers. The limitations of the model are discussed at the end of this paper.

Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound drainage

PubMed Central

2013-01-01

Introduction Deep neck space abscesses (DNAs) are relatively common otolaryngology-head and neck surgery emergencies and can result in significant morbidity with potential mortality. Traditionally, surgical incision and drainage (I&D) with antibiotics has been the mainstay of treatment. Some reports have suggested that ultrasound-guided drainage (USD) is a less invasive and effective alternative in select cases. Objectives To compare I&D vs USD of well-defined DNAs, using a randomized controlled clinical trial design. The primary outcome measure was effectiveness (length of hospital stay (LOHS) and safety), and the secondary outcome measure was overall cost to the healthcare system. Methods Patients presenting to the University of Alberta Emergency Department with a well-defined deep neck space abscess were recruited in the study. Patients were randomized to surgical or US-guided drainage, placed on intravenous antibiotics and admitted with airway precautions. Following drainage with either intervention, abscess collections were cultured and drains were left in place until discharge. Results Seventeen patients were recruited in the study. We found a significant difference in mean LOHS between patients who underwent USD (3.1 days) vs I&D (5.2 days). We identified significant cost savings associated with USD with a 41% cost reduction in comparison to I&D. Conclusions USD drainage of deep neck space abscesses in a certain patient population is effective, safe, and results in a significant cost savings to the healthcare system. PMID:23672735

The comparison of manual lymph drainage and ultrasound therapy on the leg swelling caused by wearing high heels.

PubMed

Lee, Dong-Yeop; Han, Ji-Su; Jang, Eun-Ji; Seo, Dong-Kwon; Hong, Ji-Heon; Lee, Sang-Sook; Lee, Dong-Geol; Yu Lee, Jae-Ho

2014-01-01

One of the major symptoms when women are wearing high heels for a long time is leg swelling. The purpose of this study was to compare the effect of manual lymph drainage with ultrasound therapy. The forty-five healthy women of twenties were participated in this study and divided randomly into three groups; manual lymph drainage group (n=15), ultrasound therapy group (n=15) and control group (n=15). Swelling was measured before wearing the high heels (10 cm-height), after one-hour of wearing the high heels, wearing the high heels of one-hour after the intervention of 15 minutes. Also swelling was calculated by using a tape measure, volumeter and body composition analyzer. Statistical analysis of the comparison between the three groups was performed by one-way ANOVA. Also comparison to the mean value in swelling according to the time was performed by repeated measure ANOVA. As the result of this study, a significant changes have emerged within each of manual lymph drainage, ultrasound therapy and control group (p< 0.05). However, there were no significant differences between each group (p> 0.05). But the mean value of manual lymph drainage group showed the tendency of fast recovering before causing swelling. Therefore, we consider that the clinical treatment of manual lymph drainage and ongoing studies will be made since manual lymph drainage is very effective in releasing the leg swelling caused by wearing high heels and standing for a long time at work.

Drainage networks after wildfire

USGS Publications Warehouse

Kinner, D.A.; Moody, J.A.

2005-01-01

Predicting runoff and erosion from watersheds burned by wildfires requires an understanding of the three-dimensional structure of both hillslope and channel drainage networks. We investigate the small-and large-scale structures of drainage networks using field studies and computer analysis of 30-m digital elevation model. Topologic variables were derived from a composite 30-m DEM, which included 14 order 6 watersheds within the Pikes Peak batholith. Both topologic and hydraulic variables were measured in the field in two smaller burned watersheds (3.7 and 7.0 hectares) located within one of the order 6 watersheds burned by the 1996 Buffalo Creek Fire in Central Colorado. Horton ratios of topologic variables (stream number, drainage area, stream length, and stream slope) for small-scale and large-scale watersheds are shown to scale geometrically with stream order (i.e., to be scale invariant). However, the ratios derived for the large-scale drainage networks could not be used to predict the rill and gully drainage network structure. Hydraulic variables (width, depth, cross-sectional area, and bed roughness) for small-scale drainage networks were found to be scale invariant across 3 to 4 stream orders. The relation between hydraulic radius and cross-sectional area is similar for rills and gullies, suggesting that their geometry can be treated similarly in hydraulic modeling. Additionally, the rills and gullies have relatively small width-to-depth ratios, implying sidewall friction may be important to the erosion and evolutionary process relative to main stem channels.

Reconstruction of North American drainage basins and river discharge since the Last Glacial Maximum

NASA Astrophysics Data System (ADS)

Wickert, Andrew D.

2016-11-01

Over the last glacial cycle, ice sheets and the resultant glacial isostatic adjustment (GIA) rearranged river systems. As these riverine threads that tied the ice sheets to the sea were stretched, severed, and restructured, they also shrank and swelled with the pulse of meltwater inputs and time-varying drainage basin areas, and sometimes delivered enough meltwater to the oceans in the right places to influence global climate. Here I present a general method to compute past river flow paths, drainage basin geometries, and river discharges, by combining models of past ice sheets, glacial isostatic adjustment, and climate. The result is a time series of synthetic paleohydrographs and drainage basin maps from the Last Glacial Maximum to present for nine major drainage basins - the Mississippi, Rio Grande, Colorado, Columbia, Mackenzie, Hudson Bay, Saint Lawrence, Hudson, and Susquehanna/Chesapeake Bay. These are based on five published reconstructions of the North American ice sheets. I compare these maps with drainage reconstructions and discharge histories based on a review of observational evidence, including river deposits and terraces, isotopic records, mineral provenance markers, glacial moraine histories, and evidence of ice stream and tunnel valley flow directions. The sharp boundaries of the reconstructed past drainage basins complement the flexurally smoothed GIA signal that is more often used to validate ice-sheet reconstructions, and provide a complementary framework to reduce nonuniqueness in model reconstructions of the North American ice-sheet complex.

Effect of chest physiotherapy on the removal of mucus in patients with cystic fibrosis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rossman, C.M.; Waldes, R.; Sampson, D.

1982-07-01

We studied the effectiveness of some of the components of a physiotherapy regimen on the removal of mucus from the lungs of 6 subjects with cystic fibrosis. On 5 randomized study days, after inhalation of a /sup 99/mTc-human serum albumin aerosol to label primarily the large airways, the removal of lung radioactivity was measured during 40 min of (a) spontaneous cough while at rest (control), (b) postural drainage, (c) postural drainage plus mechanical percussion, (d) combined maneuvers (postural drainage, deep breathing with vibrations, and percussion) administered by a physiotherapist, (e) directed vigorous cough. Measurements continued for an additional 2 hmore » of quiet rest. Compared with the control day, all forms of intervention significantly improved the removal of mucus: cough (p less than 0.005), physiotherapy maneuvers (0.005 less than or equal to p less than 0.01), postural drainage (p less than 0.05), and postural drainage plus percussion (p less than 0.01). However, there was no significant difference between regimented cough alone and therapist-administered combined maneuvers, nor between postural drainage alone and with mechanical percussion. We conclude that in cystic fibrosis, vigorous, regimented cough sessions may be as effective as therapist-administered physiotherapy in removing pulmonary secretions. Postural drainage, although better than the control maneuver, was not as effective as cough and was not enhanced by mechanical percussion. Frequent, vigorous self-directed cough sessions are potentially as useful as more complex measures for effective bronchial toilet.« less

Comprehensive nitrogen budgets for controlled tile drainage fields in eastern ontario, Canada.

PubMed

Sunohara, M D; Craiovan, E; Topp, E; Gottschall, N; Drury, C F; Lapen, D R

2014-03-01

Excessive N loading from subsurface tile drainage has been linked to water quality degradation. Controlled tile drainage (CTD) has the potential to reduce N losses via tile drainage and boost crop yields. While CTD can reduce N loss from tile drainage, it may increase losses through other pathways. A multiple-year field-scale accounting of major N inputs and outputs during the cropping season was conducted on freely drained and controlled tile drained agricultural fields under corn ( L.)-soybean [ (L.) Merr.] production systems in eastern Ontario, Canada. Greater predicted gaseous N emissions for corn and soybean and greater observed lateral seepage N losses were observed for corn and soybean fields under CTD relative to free-draining fields. However, observed N losses from tile were significantly lower for CTD fields, in relation to freely drained fields. Changes in residual soil N were essentially equivalent between drainage treatments, while mass balance residual terms were systematically negative (slightly more so for CTD). Increases in plant N uptake associated with CTD were observed, probably resulting in higher grain yields for corn and soybean. This study illustrates the benefits of CTD in decreasing subsurface tile drainage N losses and boosting crop yields, while demonstrating the potential for CTD to increase N losses via other pathways related to gaseous emissions and groundwater seepage. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Vascular endothelial growth factor in the CSF of elderly patients with ventriculomegaly: variability, periodicity and levels in drainage responders and non-responders.

PubMed

Yang, Jun; Dombrowski, Stephen M; Krishnan, Chandra; Krajcir, Natalie; Deshpande, Abhishek; El-Khoury, Serge; Guruprakash, Deepti Kamasamudram; Luciano, Mark G

2013-09-01

The aim of this study was to examine lumbar CSF-VEGF levels from elderly patients with ventriculomegaly to evaluate the possible circadian or periodic concentration profile and relevance to the prediction of drainage response. Lumbar CSF samples were collected in 1-h interval over 35 h from 22 patients with ventriculomegaly. CSF-VEGF levels were measured to elucidate the possible circadian or periodic concentration profiles. These VEGF levels were evaluated for correlations with clinical response to CSF drainage, ventricle size and other clinical information. The 35-h CSF-VEGF levels demonstrated a periodic concentration pattern with significant episodic fluctuation with 3-5h intervals. CSF-VEGF levels in non-responder group in which patients did not show clinical improvement with CSF drainage were significantly higher than these in responder group. VEGF variation in hydrocephalus patients suggests its possible pathophysiological role in hydrocephalus. The periodic concentration pattern of CSF-VEGF must be considered when choosing the most appropriate time for sample collection or clinical manipulation. Increased VEGF level in patients who showed no improvement with CSF drainage suggests that a possible greater ischemic or vascular injury may play a role in these patients. Pending further studies, these results suggest that high VEGF levels have a potential application in predicting non-responder patients with CSF drainage and so reducing the morbidity and cost of drainage and shunting in these patients. Copyright © 2013. Published by Elsevier B.V.

Sterile Fluid Collections in Acute Pancreatitis: Catheter Drainage Versus Simple Aspiration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Walser, Eric M.; Nealon, William H.; Marroquin, Santiago

2006-02-15

Purpose. To compare the clinical outcome of needle aspiration versus percutaneous catheter drainage of sterile fluid collections in patients with acute pancreatitis. Methods. We reviewed the clinical and imaging data of patients with acute pancreatic fluid collections from 1998 to 2003. Referral for fluid sampling was based on elevated white blood cell count and fevers. Those patients with culture-negative drainages or needle aspirations were included in the study. Fifteen patients had aspiration of 10-20 ml fluid only (group A) and 22 patients had catheter placement for chronic evacuation of fluid (group C). We excluded patients with grossly purulent collections andmore » chronic pseudocysts. We also recorded the number of sinograms and catheter changes and duration of catheter drainage. The CT severity index, Ranson scores, and maximum diameter of abdominal fluid collections were calculated for all patients at presentation. The total length of hospital stay (LOS), length of hospital stay after the drainage or aspiration procedure (LOS-P), and conversions to percutaneous and/or surgical drainage were recorded as well as survival. Results. The CT severity index and acute Ransom scores were not different between the two groups (p = 0.15 and p = 0.6, respectively). When 3 crossover patients from group A to group C were accounted for, the duration of hospitalization did not differ significantly, with a mean LOS and LOS-P of 33.8 days and 27.9 days in group A and 41.5 days and 27.6 days in group C, respectively (p = 0.57 and 0.98, respectively). The 60-day mortality was 2 of 15 (13%) in group A and 2 of 22 (9.1%) in group C. Kaplan-Meier survival curves for the two groups were not significantly different (p 0.3). Surgical or percutaneous conversions occurred significantly more often in group A (7/15, 47%) than surgical conversions in group C (4/22, 18%) (p 0.03). Patients undergoing catheter drainage required an average of 2.2 sinograms/tube changes and kept catheters in for an average of 52 days. Aspirates turned culture-positive in 13 of 22 patients (59%) who had chronic catheterization. In group A, 3 of the 7 patients converted to percutaneous or surgical drainage had infected fluid at the time of conversion (total positive culture rate in group A 3/15 or 20%). Conclusions. There is no apparent clinical benefit for catheter drainage of sterile fluid collections arising in acute pancreatitis as the length of hospital stay and mortality were similar between patients undergoing aspiration versus catheter drainage. However, almost half of patients treated with simple aspiration will require surgical or percutaneous drainage at some point. Disadvantages of chronic catheter drainage include a greater than 50% rate of bacterial colonization and the need for multiple sinograms and tube changes over an average duration of about 2 months.« less

Total anomalous systemic venous drainage in left heterotaxy syndrome.

PubMed

Khandenahally, Ravindranath S; Deora, Surender; Math, Ravi S

2013-04-01

Total anomalous systemic venous drainage is an extremely rare congenital heart defect. In this study we describe an 11-year-old girl who presented with a history of fatigue and central cyanosis that she had had since early childhood with unremarkable precordial examination results. Investigations revealed left heterotaxy with all systemic venous drainage to the left-sided atrium with non-compaction of the left ventricle.