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%.

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 ...

Surfactant-induced flow compromises determination of air-water interfacial areas by surfactant miscible-displacement.

PubMed

Costanza-Robinson, Molly S; Henry, Eric J

2017-03-01

Surfactant miscible-displacement (SMD) column experiments are used to measure air-water interfacial area (A I ) in unsaturated porous media, a property that influences solute transport and phase-partitioning. The conventional SMD experiment results in surface tension gradients that can cause water redistribution and/or net drainage of water from the system ("surfactant-induced flow"), violating theoretical foundations of the method. Nevertheless, the SMD technique is still used, and some suggest that experimental observations of surfactant-induced flow represent an artifact of improper control of boundary conditions. In this work, we used numerical modeling, for which boundary conditions can be perfectly controlled, to evaluate this suggestion. We also examined the magnitude of surfactant-induced flow and its impact on A I measurement during multiple SMD flow scenarios. Simulations of the conventional SMD experiment showed substantial surfactant-induced flow and consequent drainage of water from the column (e.g., from 75% to 55% S W ) and increases in actual A I of up to 43%. Neither horizontal column orientation nor alternative boundary conditions resolved surfactant-induced flow issues. Even for simulated flow scenarios that avoided surfactant-induced drainage of the column, substantial surfactant-induced internal water redistribution occurred and was sufficient to alter surfactant transport, resulting in up to 23% overestimation of A I . Depending on the specific simulated flow scenario and data analysis assumptions used, estimated A I varied by nearly 40% and deviated up to 36% from the system's initial A I . We recommend methods for A I determination that avoid generation of surface-tension gradients and urge caution when relying on absolute A I values measured via SMD. Copyright © 2016 Elsevier Ltd. All rights reserved.

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

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

AMELIORATION OF ACID MINE DRAINAGE USING REACTIVE MIXTURES IN PERMEABLE REACTIVE BARRIERS

EPA Science Inventory

The generation and release of acidic drainage from mine wastes is an environmental problem of international scale. The use of zero-valent iron and/or iron mixtures in subsurface Permeable Reactive Barriers (PRB) presents a possible passive alternative for remediating acidic grou...

Flood Impact Assessment in the Surrounding Area of Suvarnabhumi Airport, Thailand

NASA Astrophysics Data System (ADS)

Tingsanchali, Tawatchai; Eng, D.

2009-03-01

The existence of the Second Bangkok International Airport (SBIA) or the Suvarnabhumi International Airport induces more adverse effect to the flooding situation in its surrounding area. Due to limited drainage capacity, during a heavy storm, flooding in the surrounding area occurs over the area. The objective of the study is to find the most suitable flood control and drainage system that can drain floodwater from the surrounding area of 624 sq. km with minimum flood damages and impact to social and living conditions of the people in the study area. This study involves the application of MIKE FLOOD hydrodynamic model for determining the relative effects of flood control and drainage system in the surrounding area of the airport. The results of the study show that flood damages mostly occur in the central and downstream parts of the study area where drainage is insufficient. Flood depth and duration are main parameters used for the estimation of flood losses. Flood mitigation and management in the surrounding area of SBIA is planned by pumping water of 100 m3/s from Klong Samrong canal inside the study area through the proposed drainage channel to the Gulf of Thailand. The existing dikes along boundaries of the study area can protect water from the outer area to enter into the surrounding area of the airport. Flood simulation shows that a canal with capacity of 100 m3/s and a pumping station at the downstream end of the canal are required to cope with the drainage capacity for the flood of 100 years return period. A flood drainage channel of capacity of 100 m3/s is designed and will be constructed to drain flood from Klong Samrong to the sea. On the other hand, the embankment along the proposed drainage canal project improves traffic flow in the vicinity of the airport. On economic benefit, the project investment cost is Baht 8,410 million. The project benefit cost ratio is 2.12 with the economic internal rate of return of 15.61%. The construction period is 4 years. Environmental and social impacts are investigated and counter measures are proposed to reduce the impacts. The study considers compensating scheme for people who are directly affected by the flood drainage project and those who will lose their lands or their professions. Considerations are also extended to people who are indirectly affected by the project. Institutional framework is recommended to be established to manage flood control and drainage and water resources in the surrounding area of the airport.

What role for law in achieving transboundary drainage basin security?--the development and testing of the Legal Assessment Model (LAM) for transboundary watercourse states.

PubMed

Wouters, P K

2004-01-01

The beneficial use of the world's transboundary waters raises difficult issues for drainage basin security on most parts of the globe. International law provides that each transboundary watercourse State is entitled to, and obliged to ensure, an "equitable and reasonable use" of these shared waters. The IWLRI developed and tested a Legal Assessment Model (LAM) through the work of interdisciplinary teams working in three different transboundary situations--China (upstream), Mozambique (downstream) and Palestine (shared groundwater). The LAM provides a tool for transboundary watercourse States to use in the preparation of their national water strategy for use at the national and international levels. The model should now be tested at the basin level, with a view to assisting to accomplish the peaceful and rational use of transboundary waters in line with the governing rule of international law and thereby to facilitate the overall policy objective of drainage basin security.

Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial.

PubMed

Nicol, Andrew J; Navsaria, Pradeep H; Hommes, Martijn; Ball, Chad G; Edu, Sorin; Kahn, Delawir

2014-03-01

To determine if stable patients with a hemopericardium detected after penetrating chest trauma can be safely managed with pericardial drainage alone. The current international practice is to perform a sternotomy and cardiac repair if a hemopericardium is detected after penetrating chest trauma. The experience in Cape Town, South Africa, on performing a mandatory sternotomy in hemodynamically stable patients was that a sternotomy was unnecessary and the cardiac injury, if present, had sealed. A single-center parallel-group randomized controlled study was completed. All hemodynamically stable patients with a hemopericardium confirmed at subxiphoid pericardial window (SPW), and no active bleeding, were randomized. The primary outcome measure was survival to discharge from hospital. Secondary outcomes were complications and postoperative hospital stay. Fifty-five patients were randomized to sternotomy and 56 to pericardial drainage and wash-out only. Fifty-one of the 55 patients (93%) randomized to sternotomy had either no cardiac injury or a tangential injury. There were only 4 patients with penetrating wounds to the endocardium and all had sealed. There was 1 death postoperatively among the 111 patients (0.9%) and this was in the sternotomy group. The mean intensive care unit (ICU) stay for a sternotomy was 2.04 days (range, 0-25 days) compared with 0.25 days (range, 0-2) for the drainage (P < 0.001). The estimated mean difference highlighted a stay of 1.8 days shorter in the ICU for the drainage group (95% CI: 0.8-2.7). Total hospital stay was significantly shorter in the SPW group (P < 0.001; 95% CI: 1.4-3.3). SPW and drainage is effective and safe in the stable patient with a hemopericardium after penetrating chest trauma, with no increase in mortality and a shorter ICU and hospital stay. (ClinicalTrials.gov Identifier: NCT00823160).

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.

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…

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

Liquid redistribution behind a drainage front in porous media imaged by neutron radiography

NASA Astrophysics Data System (ADS)

Hoogland, Frouke; Lehmann, Peter; Moebius, Franziska; Vontobel, Peter; Or, Dani

2013-04-01

Drainage from porous media is a highly dynamic process involving the motion of a displacement front with rapid pore scale interfacial jumps and phase entrapment, but also a more gradual host of liquid redistribution processes in the unsaturated region behind the front. Depending on the velocity of the drainage process, liquid properties and the permeability of the porous medium, redistribution lingers long after the main drainage process is stopped, until gravity and capillary forces regain equilibrium. The rapid and often highly inertial Haines jumps at the drainage front challenge the validity of Buckingham-Darcy law and thus representation of the process based on the foundation of Richards equation. To quantify front displacement and liquid reconfiguration and to test validity of Richards equation with respect to fast drainage dynamics, we carried out drainage experiments by withdrawing water from the bottom of initially saturated sand-filled Hele-Shaw cells at constant water flux (2.6 or 13.1 mm/minute). Water content distribution and evolution of drainage front were measured with neutron radiography at spatial and temporal resolutions of 0.1 mm and 3 seconds, respectively. Water pressure was measured above and below the front using pressure transducers and a tensiometer. After the pump was stopped (at a front depth around 100 mm), capillary pressure values in the unsaturated region (above the front) gradually converged to a new equilibrium. The pressure signal in the saturated region below the front reflected viscous losses during flow that were relaxed when the pump stopped. During pressure relaxation water was redistributed primarily downward in the unsaturated region. Pressure signals and dynamics of water content profiles for fast process (13.6 mm/minute) could not be reproduced with Richards equation based on hydraulic functions determined in preceding laboratory experiments. To explore if the deviations stem from inappropriate hydraulic functions we redefined them based on fitting the slow experiment (2.6 mm/min) and apply the optimized functions for the fast experiment. Finally we will discuss application of alternative formulation based on foam drainage equation to represent liquid redistribution dynamics behind the front.

Glacier generated floods

USGS Publications Warehouse

Walder, J.S.; Fountain, A.G.; ,

1997-01-01

Destructive floods result from drainage of glacier-dammed lakes and sudden release of water stored within glaciers. There is a good basis - both empirical and theoretical - for predicting the magnitude of floods from ice-dammed lakes, although some aspects of flood initiation need to be better understood. In contrast, an understanding of floods resulting from release of internally stored water remains elusive, owing to lack of knowledge of how and where water is stored and to inadequate understanding of the complex physics of the temporally and spatially variable subglacial drainage system.Destructive floods result from drainage of glacier-dammed lakes and sudden release of water stored within glaciers. There is a good basis - both empirical and theoretical - for predicting the magnitude of floods from ice-dammed lakes, although some aspects of flood initiation need to be better understood. In contrast, an understanding of floods resulting from release of internally stored water remains elusive, owing to lack of knowledge of how and where water is stored and to inadequate understanding of the complex physics of the temporally and spatially variable subglacial drainage system.

[Peculiarities of upper urinary tract drainage during surgical treatment of staghorn and multiple nephrolithiasis].

PubMed

Imamverdiev, S B; Talybov, T A; Mamedov, R N

2014-01-01

This work was designed to evaluate methods of kidney drainage used in the surgical treatment of 250 patients with staghorn and multiple nephrolithiasis (SMN). All of them underwent open surgery that was followed by drainage of the upper urinary tract in 192 patients. Internal stenting was used in 111 cases, pyelostomy in 28, nephrostomy in 47, and internal stenting with nephrostoma in 6 cases. 91 and 20 patients had a stent inserted into the upper urinary tract in a retrograde and antegrade manner respectively. Retrograde stenting was bilateral in 14 and unilateral in 66 cases. 85% of the cases with ureter stents were followed up as outpatients for 4-5 weeks and only 10% for 6-7 weeks. Forty and ten patients with stents presented with marked dysuria and hematuria respectively. On the whole, combined antibacterial treatment with drainage of the upper urinary tract significantly improved long-term results of SMN treatment. It is concluded that nephrostomy and pyelostomy should be performed on days 14-18 and 10-12 respectively whereas the stent needs to be removed between weeks 2 and 8 after surgery.

Urban hydrology

NASA Astrophysics Data System (ADS)

The Third International Conference on Urban Storm Drainage will be held in Goteborg, Sweden, June 4-8, 1984. Contact A. Sjoborg, Chalmers Univ. of Technology, Goteborg, Sweden, for more information. The Fourth Conference will be in late August 1987 in Lausanne, Switzerland, and the Fifth Conference is planned for Tokyo in 1990. The proceedings of the First International Conference, held in Southampton, England, in April 1978, are available from Wiley-Interscience under the title “Urban Storm Drainage.”The proceedings of the Second International Conference, held in Urbana, Illinois, in June 1981, are available from Water Resources Publications, Littleton, Colo., under the title, “Urban Stormwater Hydraulics and Hydrology” and “Urban Stormwater Quality, Management, and Planning.”

Scrotal antegradesclerotherapy demonstrates anatomical variations on venous drainage in paediatric, adolescent and young adult varicoceles.

PubMed

Wong, Y S; Chung, K L Y; Lo, K W Y; Liu, C S W; Fan, T W; Tse, S K S; Tang, P M Y; Chao, N S Y; Liu, K K W; Leung, M W Y

2014-01-01

Anatomical variations on venous drainage in varicoceles are under-reported. We report our experience in scrotal antegrade sclerotherapy (SAS) for adolescent varicoceles. Since 2011, 15 consecutive boys with left varicoceles were recruited. Under general anaesthesia, a 5-mm transverse incision was made at scrotal neck, testicular vein was cannulated at pampiniform plexus with venogram performed. Foam sclerosant by mixing sodium tetradecyl sulphate (STS), Lipiodol(®) and air was slowly injected under fluoroscopy. Postoperatively the patients were followed-up for varicocele grading, testicular size, and complications. Median age at operation was 14 (10-19) years. 80 % had grade three varicoceles, 33.3 % had smaller left testis before operation. Intra-operative venogram showed three different anatomical variations. Group I: eleven patients (73.3 %) had single distinct internal spermatic vein; Group II: two patients demonstrated duplication of internal spermatic vein draining into left renal vein; Group III: two patients had pampiniform plexus draining to iliac and/or paraspinal veins. SAS was performed in Group I and II patients. Sclerosant volume injected ranged from 1.5 to 4.5 ml. In Group III patients, surgical ligation of testicular veins was performed rather than SAS to avoid uncontrolled systemic sclerosant spillage. Mean length of stay was 1.13 day. One patient with scrotal haematoma and one other with minor wound dehiscence were managed conservatively. Mean follow-up period was 10.9 (1-22) months. Thirteen patients (86.7 %) achieved varicocele grading ≤ 1. There was no postoperative testicular atrophy, hydrocele and epididymo-orchitis. Scrotal antegrade sclerotherapy using STS foam is a safe and effective treatment for adolescent varicoceles. Anatomical variations on venous drainage in varicoceles are common.

After urgent drainage of an obstructed kidney by internal ureteric stenting; is ureteroscopic stone extraction always needed?

PubMed Central

Taha, Diaa-Eldin; Elshal, Ahmed M.; Zahran, Mohamed H.; Harraz, Ahmed M.; El-Nahas, Ahmed R.; Shokeir, Ahmed A.

2015-01-01

Objectives To assess the probability of spontaneous stone passage and its predictors after drainage of obstructed kidney by JJ stent, as insertion of an internal ureteric stent is often used for renal drainage in cases of calcular ureteric obstruction. Patients and methods Between January 2011 and June 2013, patients for whom emergent drainage by ureteric stents were identified. The patients’ demographics, presentation, and stone characteristics were reviewed. The primary endpoint for this study was stone-free status at the time of stent removal, where all patients underwent non-contrast spiral computed tomography (NCCT) before stent removal. Ureteroscopic stone extraction was performed for CT detectable ureteric stones at the time of stent removal. Potential factors affecting the need for ureteroscopic stone extraction at the time of stent removal were assessed using univariate and multivariate statistical analyses. Results Emergent ureteric stents were undertaken in 196 patients (112 males, 84 females) with a mean (SD) age of 53.7 (16.2) years, for renal obstruction drainage. At the time of stent removal, 83 patients (42.3%) were stone free; with the remaining 113 patients (57.7%) undergoing ureteroscopic stone extraction. On multivariate analysis, stone width [odds ratio (OR) 15.849, 95% confidence interval (CI) 2.83; P = 0.002) and radio-opaque stones (OR 12.035, 95% CI 4.65; P < 0.001) were independent predictors of the need for ureteroscopic stone extraction at the time of stent removal. Conclusion Spontaneous ureteric stone passage is possible after emergent drainage of an obstructed kidney by ureteric stenting. Stone opacity, larger stone width, and positive preoperative urine culture are associated with a greater probability of requiring ureteroscopic stone extraction after emergent drainage by ureteric stenting. PMID:26609444

Improved vacuum sealing drainage for treatment of surgical site infection following posterior spinal internal fixation

PubMed Central

Zhang, Hengyan; Li, Qiyi

2018-01-01

Abstract Rationale: Surgical site infection (SSI) following spine surgeries involving internal fixation often require removing the instrument; however, this can cause spinal instability. Previous reports have demonstrated the usefulness of vacuum sealing drainage (VSD) therapy, but the cases require wound opening, aseptic condition to replace the VSD device, and a secondary operation to close the wound. Thus, to improve the VSD treatment and develop a maneuverable procedure, make sense in spine surgery. Patients concerns: A 59-year-old male patient with a T12 vertebral fracture was affected by SSIs after spinal osteotomy with internal fixation. Diagnoses: The patient complained of wound exudation and had a fever 3 weeks after posterior spinal surgery. Initial serum investigations showed elevated white blood cell count and bacterial cultures of wound exudate were positive for Enterococcus faecalis. Therefore, SSI is confirmed. Interventions: The infection was not controlled after 2 debridements, so the patient was treated with VSD treatment. The VSD foam dressings containing a drainage tube were placed into the wound from the exudation site of the wound until they contacted the internal fixation devices. After covering external fixation devices, continuous drainage was performed for 24 h. The VSD device was replaced every 4 to 5 days until the wound effusion stopped. All of the operations were performed at the bedside without complex manipulation or secondary closure under harsh aseptic condition. Outcomes: Wound exudation decreased remarkably and the infection was controlled 2 weeks after the application of VSD treatment. After 5 weeks, inflammatory indicators all decreased to normal levels and the exudate of the wound had stopped. The VSD treatment was then terminated and the drainage site of the wound was sutured. After 7 weeks, complete wound healing was achieved and no infection recurred during the 6-month follow-up. Lessons: VSD could be a reliable treatment for SSIs that require preservation of internal fixation. Complete opening of the wound during the VSD treatment and secondary wound closure surgery were avoided. PMID:29443786

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.

Physical modeling of transverse drainage mechanisms

NASA Astrophysics Data System (ADS)

Douglass, J. C.; Schmeeckle, M. W.

2005-12-01

Streams that incise across bedrock highlands such as anticlines, upwarps, cuestas, or horsts are termed transverse drainages. Their relevance today involves such diverse matters as highway and dam construction decisions, location of wildlife corridors, better-informed sediment budgets, and detailed studies into developmental histories of late Cenozoic landscapes. The transient conditions responsible for transverse drainage incision have been extensively studied on a case-by-case basis, and the dominate mechanisms proposed include: antecedence, superimposition, overflow, and piracy. Modeling efforts have been limited to antecedence, and such the specific erosional conditions required for transverse drainage incision, with respect to the individual mechanisms, remains poorly understood. In this study, fifteen experiments attempted to simulate the four mechanisms and constructed on a 9.15 m long, 2.1 m wide, and 0.45 m deep stream table. Experiments lasted between 50 and 220 minutes. The stream table was filled with seven tons of sediment consisting of a silt and clay (30%) and a fine to coarse sand (70%) mixture. The physical models highlighted the importance of downstream aggradation with regard to antecedent incision versus possible defeat and diversion. The overflow experiments indicate that retreating knickpoints across a basin outlet produce a high probability of downstream flooding when associated with a deep lake. Misters used in a couple of experiments illustrate a potential complication with regard to headward erosion driven piracy. Relatively level asymmetrically sloped ridges allow for the drainage divide across the ridge to retreat from headward erosion, but hindered when the ridge's apex undulates or when symmetrically sloped. Although these physical models cannot strictly simulate natural transverse drainages, the observed processes, their development over time, and resultant landforms roughly emulate their natural counterparts. Proposed originally from an extensive literature search, most of the criteria that indicate the expected evidence associated with each mechanism following transverse drainage incision were replicated for antecedence, overflow, and piracy. Two superimposition experiments failed to replicate the mechanism and test the associated criteria. Following experimentation, the criteria were applied in a cursory fashion to twenty randomly selected sites in the southwestern USA. Development of first order hypotheses were ranked on a confidence scale tied to individual criterion noted in the field, literature, and DEMs for each site. The results indicate a possible link between the dominant tectonic regime and the proposed mechanisms; and highlight the importance of short-lived fluvial instabilities in relation to understanding long-term drainage development.

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...

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.

Experimental Investigation of Hysteretic Dynamic Capillarity Effect in Unsaturated Flow

PubMed Central

Zhuang, Luwen; Qin, Chao‐Zhong; de Waal, Arjen

2017-01-01

Abstract The difference between average pressures of two immiscible fluids is commonly assumed to be the same as macroscopic capillary pressure, which is considered to be a function of saturation only. However, under transient conditions, a dependence of this pressure difference on the time rate of saturation change has been observed by many researchers. This is commonly referred to as dynamic capillarity effect. As a first‐order approximation, the dynamic term is assumed to be linearly dependent on the time rate of change of saturation, through a material coefficient denoted by τ. In this study, a series of laboratory experiments were carried out to quantify the dynamic capillarity effect in an unsaturated sandy soil. Primary, main, and scanning drainage experiments, under both static and dynamic conditions, were performed on a sandy soil in a small cell. The value of the dynamic capillarity coefficient τ was calculated from the air‐water pressure differences and average saturation values during static and dynamic drainage experiments. We found a dependence of τ on saturation, which showed a similar trend for all drainage conditions. However, at any given saturation, the value of τ for primary drainage was larger than the value for main drainage and that was in turn larger than the value for scanning drainage. Each data set was fit a simple log‐linear equation, with different values of fitting parameters. This nonuniqueness of the relationship between τ and saturation and possible causes is discussed. PMID:29398729

Experimental Investigation of Hysteretic Dynamic Capillarity Effect in Unsaturated Flow

NASA Astrophysics Data System (ADS)

Zhuang, Luwen; Hassanizadeh, S. Majid; Qin, Chao-Zhong; de Waal, Arjen

2017-11-01

The difference between average pressures of two immiscible fluids is commonly assumed to be the same as macroscopic capillary pressure, which is considered to be a function of saturation only. However, under transient conditions, a dependence of this pressure difference on the time rate of saturation change has been observed by many researchers. This is commonly referred to as dynamic capillarity effect. As a first-order approximation, the dynamic term is assumed to be linearly dependent on the time rate of change of saturation, through a material coefficient denoted by τ. In this study, a series of laboratory experiments were carried out to quantify the dynamic capillarity effect in an unsaturated sandy soil. Primary, main, and scanning drainage experiments, under both static and dynamic conditions, were performed on a sandy soil in a small cell. The value of the dynamic capillarity coefficient τ was calculated from the air-water pressure differences and average saturation values during static and dynamic drainage experiments. We found a dependence of τ on saturation, which showed a similar trend for all drainage conditions. However, at any given saturation, the value of τ for primary drainage was larger than the value for main drainage and that was in turn larger than the value for scanning drainage. Each data set was fit a simple log-linear equation, with different values of fitting parameters. This nonuniqueness of the relationship between τ and saturation and possible causes is discussed.

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.

Contrast radiographic study of venous drainage of the corpus cavernosum and the corpus spongiosum of the cat penis.

PubMed

Amiri, Ali Akbar; Gilanpour, Hassan; Veshkini, Abbas

2014-01-01

The aim of this study was to determine the drainage routes of the corpus cvernosum penis and the corpus spongiosum penis in the cat using contrast cavernosography. Five male cats, 1.5-2.5 years old, weighing between 4.5 and 5.5 kg were investigated. The cats were anesthetized and the root and the proximal part of the penis were exposed by an incision on the perineum reaching the scrotum. Each cat was radiographed in lateral and dorsal recumbency before and during injection of contrast medium into the erectile bodies. The corpus spongiosum penis was injected at the bulb of the penis and the corpus cavernosum penis at the root. Injection of contrast media into the cavernous bodies showed that both the external and internal iliac veins drain the erectile bodies into the caudal vena cava. Drainage from the corpus spongiosum penis was from the bulb for the proximal part and from the glans for the distal part. The corpus cavernosum penis was drained only proximally, from the crura. There was a network of veins above the pelvic symphysis and the drainage of erectile bodies where through various routes into the internal and external iliac veins.

Soil internal drainage: temporal stability and spatial variability in succession bean-black oat

NASA Astrophysics Data System (ADS)

Salvador, M. M. S.; Libardi, P. L.; Moreira, N. B.; Sousa, H. H. F.; Neiverth, C. A.

2012-04-01

There are a variety of studies considering the soil water content, but those who consider the flow of water, which are translated by deep drainage and capillary rise are scarce, especially those who assess their spatio-temporal variability, due to its laborious obtaining. Large areas have been considered homogeneous, but show considerable spatial variability inherent in the soil, causing the appearance of zones of distinct physical properties. In deep, sandy soils where the groundwater level is far below the root zone of interference, internal drainage is one of the factors limiting the supply of water to the soil surface, and possibly one of the biggest factors that determines what kinds satisfactory development of plants present in a given landscape. The forms of relief may also be indicators of changes in soil properties, because this variability is caused by small changes that affect the slope of the pedogenetic processes and the transport and storage of water in the soil profile, i.e., the different trajectories of water flow in different forms of the landscape, is the cause of variability. The objectives of this research were: i) evaluate the spatial and temporal stability of internal soil water drainage in a place near and another distant from the root system in a bean-black-oat succession and ii) verify their spatial variability in relation to relief. With the hydraulic conductivity obtained by the instantaneous profile method and the total potential gradient obtained from the difference in readings of tensiometers installed at depths of 0.35 and 0.45 and 0.75 and 0.85 m in 60 sampling points totaling 1680 and 1200 observations during the cultivation of beans and oats, respectively, was obtained so the internal drainage / capillary rise through the Darcy-Buckingham equation. To evaluate the temporal stability the method used was the relative difference and Spearman correlation test and the spatial variability was analyzed as geostatistical methodology. During the period when the water flow in soil is higher, there is strong temporal stability in the depth of 0.40 m, which is the opposite for the periods of drying. The lowest relative difference and standard deviation for the internal drainage obtained during the cultivation of beans and depth of 0.40 m confirm the hypothesis that the research carried out during periods of soil water recharge have less variability than those in the drying period. Temporal stability was due to the topographic position of selected points, since the points chosen for the depth of 0.40 m in both growing seasons, are located on the lower portion of the relief, and the nominees for the depth of 0,80 m, the highest portion. There were differences in the spatial pattern of water flow in the soil along the crop succession, i.e. the seasonal demand for water by plants and evaporation from the soil at the time of drying, changed their distribution model with internal drainage phases and stages capillary rise.

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.

Comparative water fluxes through leaf litter of tropical plantation trees and the invasive grass Saccharum spontaneum in the Republic of Panama

NASA Astrophysics Data System (ADS)

Park, Andrew; Friesen, Patrick; Serrud, Aneth Aracelly Sarmiento

2010-03-01

SummaryThe hydrological properties of leaf litter layers remain relatively unexplored, especially in tropical vegetation communities. In this paper we explore the hydrological dynamics of litter samples from reforestation plots of tropical hardwoods and the invasive sugar cane Saccharum spontaneum, which these trees were planted to replace. Water holding capacity (WHC) and drying rates were compared under controlled conditions, and throughfall interception, drainage and calculated evaporation were measured in two field experiments (A and B) conducted with different sets of samples. The WHC of samples varied from 3.4 to 6.5 mm in experiment A, and from 1.6 to 7.1 mm in experiment B. Drainage through the litter samples averaged 78.3 ± 34.4% and 61.2 ± 34.70% TF in experiments A and B, respectively. Daily water storage was 70.8 ± 14.25% of total WHC in experiment A and 78.6 ± 25.35% of total WHC in experiment B. Estimated evaporation averaged 34.8 ± 12.52% of WHC in experiment A and 34.3 ± 14.91% of WHC in experiment B. Although significant interspecific differences in WHC, interception of TF and evaporation were recorded, species rankings tended to be different in experiments A and B. The exception was litter from the leguminous tree Gliricidia sepium, which maintained the lowest WHC and water storage in the field in both experiments, but which evaporated water more rapidly than other species. The depth of throughfall draining through litter samples in the field was similar among all species in both experiments. Comparisons of regression slopes also showed that drainage depth increased with increasing throughfall at similar rates among species. On the other hand, both slopes and slope elevations differed among species when drainage was expressed in l kg -1. Patterns of water storage and drainage in our samples were in broad agreement with those of other studies, although WHC and litter necromass in our young tree plantations fell into the lower end of the range reported for mature Amazonian forest.

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.

The use of multi-channel ground penetrating radar and stream monitoring to investigate the seasonal evolution of englacial and subglacial drainage systems at the terminus of Exit Glacier, Alaska

NASA Astrophysics Data System (ADS)

Kilgore, Susan Marlena

Concerns regarding the issue of climate change and, in particular, the rapid retreat of glaciers around the world, have placed great importance on glacial monitoring. Some of the methods most commonly used to observe glacial change---direct mass balance measurements and remote sensing---provide valuable information about glacier change. However, these methods do not address the englacial and subglacial environments. Surface meltwater that enters englacial and subglacial hydrological networks can contribute to acceleration of ice flow, increased calving on marine-terminating glaciers, surges or outburst floods, and greater overall ablation rates. Because subsurface drainage systems often freeze during the winter and re-form each summer, examining the seasonal evolution of these networks is crucial for assessing the impact that internal drainage may have on the behavior of a glacier each year. The goal of this study is to determine the role englacial and subglacial drainage system evolution plays in influencing summer ablation and discharge at the terminus of Exit Glacier, a small valley glacier located in South-central Alaska. During the summers of 2010 and 2011, we used ground-penetrating radar (GPR) to locate internal drainage features on the lower 100 meters of the glacier. GPR surveys were conducted in June and August of each year in an effort to observe the evolution of the drainage systems over the course of an ablation season. Three antenna frequencies---250, 500, and 800 MHz---were used on a dual frequency GPR so that various resolutions and depths in the ice could be viewed simultaneously. Stream monitoring was conducted to document discharge in the proglacial stream throughout the 2011 season. These data were compared with weather records to differentiate noticeable meltwater releases from precipitation events. Additionally, morphological changes in the glacier were observed through photographic documentation. Throughout the observation period, significant subglacial tunnels appeared, followed by the collapse of terminal ice above the tunnels. This phenomenon was most noticeable in 2011. These observations indicate that the internal drainage systems near the terminus of Exit Glacier became very well-developed each summer, and contributed approximately 75 meters of ice loss between June, 2010 and August, 2011.

Novel Split Chest Tube Improves Post-Surgical Thoracic Drainage

PubMed Central

Olivencia-Yurvati, Albert H; Cherry, Brandon H; Gurji, Hunaid A; White, Daniel W; Newton, J Tyler; Scott, Gary F; Hoxha, Besim; Gourlay, Terence; Mallet, Robert T

2014-01-01

Objective Conventional, separate mediastinal and pleural tubes are often inefficient at draining thoracic effusions. Description We developed a Y-shaped chest tube with split ends that divide within the thoracic cavity, permitting separate intrathoracic placement and requiring a single exit port. In this study, thoracic drainage by the split drain vs. that of separate drains was tested. Methods After sternotomy, pericardiotomy, and left pleurotomy, pigs were fitted with separate chest drains (n=10) or a split tube prototype (n=9) with internal openings positioned in the mediastinum and in the costo-diaphragmatic recess. Separate series of experiments were conducted to test drainage of D5W or 0.58 M sucrose, an aqueous solution with viscosity approximating that of plasma. One litre of fluid was infused into the thorax, and suction was applied at −20 cm H2O for 30 min. Results When D5W was infused, the split drain left a residual volume of 53 ± 99 ml (mean value ± SD) vs. 148 ± 120 for the separate drain (P=0.007), representing a drainage efficiency (i.e. drained vol/[drained + residual vol]) of 95 ± 10% vs. 86 ± 12% for the separate drains (P = 0.011). In the second series, the split drain evacuated more 0.58 M sucrose in the first minute (967 ± 129 ml) than the separate drains (680 ± 192 ml, P<0.001). By 30 min, the split drain evacuated a similar volume of sucrose vs. the conventional drain (1089 ± 72 vs. 1056 ± 78 ml; P = 0.5). Residual volume tended to be lower (25 ± 10 vs. 62 ± 72 ml; P = 0.128) and drainage efficiency tended to be higher (98 ± 1 vs. 95 ± 6%; P = 0.111) with the split drain vs. conventional separate drains. Conclusion The split chest tube drained the thoracic cavity at least as effectively as conventional separate tubes. This new device could potentially alleviate postoperative complications. PMID:25478289

Novel Split Chest Tube Improves Post-Surgical Thoracic Drainage.

PubMed

Olivencia-Yurvati, Albert H; Cherry, Brandon H; Gurji, Hunaid A; White, Daniel W; Newton, J Tyler; Scott, Gary F; Hoxha, Besim; Gourlay, Terence; Mallet, Robert T

2014-01-01

Conventional, separate mediastinal and pleural tubes are often inefficient at draining thoracic effusions. We developed a Y-shaped chest tube with split ends that divide within the thoracic cavity, permitting separate intrathoracic placement and requiring a single exit port. In this study, thoracic drainage by the split drain vs. that of separate drains was tested. After sternotomy, pericardiotomy, and left pleurotomy, pigs were fitted with separate chest drains (n=10) or a split tube prototype (n=9) with internal openings positioned in the mediastinum and in the costo-diaphragmatic recess. Separate series of experiments were conducted to test drainage of D5W or 0.58 M sucrose, an aqueous solution with viscosity approximating that of plasma. One litre of fluid was infused into the thorax, and suction was applied at -20 cm H2O for 30 min. When D5W was infused, the split drain left a residual volume of 53 ± 99 ml (mean value ± SD) vs. 148 ± 120 for the separate drain (P=0.007), representing a drainage efficiency (i.e. drained vol/[drained + residual vol]) of 95 ± 10% vs. 86 ± 12% for the separate drains (P = 0.011). In the second series, the split drain evacuated more 0.58 M sucrose in the first minute (967 ± 129 ml) than the separate drains (680 ± 192 ml, P<0.001). By 30 min, the split drain evacuated a similar volume of sucrose vs. the conventional drain (1089 ± 72 vs. 1056 ± 78 ml; P = 0.5). Residual volume tended to be lower (25 ± 10 vs. 62 ± 72 ml; P = 0.128) and drainage efficiency tended to be higher (98 ± 1 vs. 95 ± 6%; P = 0.111) with the split drain vs. conventional separate drains. The split chest tube drained the thoracic cavity at least as effectively as conventional separate tubes. This new device could potentially alleviate postoperative complications.

Data harmonization and model performance

NASA Astrophysics Data System (ADS)

The Joint Committee on Urban Storm Drainage of the International Association for Hydraulic Research (IAHR) and International Association on Water Pollution Research and Control (IAWPRC) was formed in 1982. The current committee members are (no more than two from a country): B. C. Yen, Chairman (USA); P. Harremoes, Vice Chairman (Denmark); R. K. Price, Secretary (UK); P. J. Colyer (UK), M. Desbordes (France), W. C. Huber (USA), K. Krauth (FRG), A. Sjoberg (Sweden), and T. Sueishi (Japan).The IAHR/IAWPRC Joint Committee is forming a Task Group on Data Harmonization and Model Performance. One objective is to promote international urban drainage data harmonization for easy data and information exchange. Another objective is to publicize available models and data internationally. Comments and suggestions concerning the formation and charge of the Task Group are welcome and should be sent to: B. C. Yen, Dept. of Civil Engineering, Univ. of Illinois, 208 N. Romine St., Urbana, IL 61801.

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 %.

Easy clip to treat anal fistula tracts: a word of caution.

PubMed

Gautier, M; Godeberge, P; Ganansia, R; Bozio, G; Godart, B; Bigard, M A; Barthet, M; Siproudhis, L

2015-05-01

Closing the internal opening by a clip ovesco has been recently proposed for healing the fistula tract, but, to date, data on benefit are poorly analyzed. The aim was to report a preliminary multicenter experience. Retrospective study was undertaken in six different French centers: surgical procedure, immediate complications, and follow-up have been collected. Nineteen clips were inserted in 17 patients (M/F, 4/13; median age, 42 years [29-54]) who had an anal fistula: 12 (71%) high fistulas (including 4 rectovaginal fistulas), 5 (29%) lower fistulas (with 3 rectovaginal fistulas), and 6 (35%) Crohn's fistulas. Out of 17 patients, 15 had a seton drainage beforehand. The procedure was easy in 8 (47%) patients and the median operative time was 27.5 min (20-36.5). Postoperative period was painful for 11 (65%) patients. A clip migration was noted in 11 patients (65%) after a median follow-up of 10 days (5.5-49.8). Eleven patients (65%) who failed had reoperation including 10 new drainages within the first month (0.5-5). After a mean follow-up of 4 months (2-7),, closing the tract was observed in 2 patients (12%) following the first insertion of the clip and in another one after a second insertion. Treatment of anal fistula by placing a clip on the internal opening is disappointing and deleterious for some patients. A better assessment before dissemination is recommended.

Determining the soil hydraulic conductivity by means of a field scale internal drainage

NASA Astrophysics Data System (ADS)

Severino, Gerardo; Santini, Alessandro; Sommella, Angelo

2003-03-01

Spatial variations of water content in large extents soils (vadose zone) are highly affected by the natural heterogeneity of the porous medium. This implies that the magnitude of the hydraulic properties, especially the conductivity, varies in an irregular manner with scale. Determining mean values of hydraulic properties will not suffice to accurately quantify water flow in the vadose zone. At field scale proper field measurements have to be carried out, similar to standard laboratory methods that also characterize the spatial variability of the hydraulic properties. Toward this aim an internal drainage test has been conducted at Ponticelli site near Naples (Italy) where water content and pressure head were monitored at 50 locations of a 2×50 m 2 plot. The present paper illustrates a method to quantify the mean value and the spatial variability of the hydraulic parameters needed to calibrate the soil conductivity curve at field scale (hereafter defined as field scale hydraulic conductivity). A stochastic model that regards the hydraulic parameters as random space functions (RSFs) is derived by adopting the stream tube approach of Dagan and Bresler (1979). Owing to the randomness of the hydraulic parameters, even the water content θ will be a RSF whose mean value (hereafter termed field scale water content) is obtained as an ensemble average over all the realizations of a local analytical solution of Richards' equation. It is shown that the most frequent data collection should be carried out in the initial stage of the internal drainage experiment, when the most significant changes in water content occur. The model parameters are obtained by a standard least square optimization procedure using water content data at a certain depth (z=30 cm) for several times ( t=5, 24, 48, 96, 144, 216, 312, 408, 576, 744, 912 h). The reliability of the proposed method is then evaluated by comparing the predicted water content with observations at different depths ( z=45, 60, 75, and 90 cm). The calibration procedure is further verified by comparing the cumulative distribution of measured water content at different times with corresponding distribution obtained from the calibrated model.

Nitrate removal from agricultural drainage ditch sediments with amendments of organic carbon: Potential for an innovative best management practice

USGS Publications Warehouse

Faust, Derek R.; Kröger, Robert; Miranda, Leandro E.; Rush, Scott A.

2016-01-01

Agricultural fertilizer applications have resulted in loading of nutrients to agricultural drainage ditches in the Lower Mississippi Alluvial Valley. The purpose of this study was to determine effects of dissolved organic carbon (DOC) and particulate organic carbon (POC) amendments on nitrate-nitrogen (NO3−-N) removal from overlying water, pore water, and sediment of an agricultural drainage ditch. Two experiments were conducted. In experiment 1, control (i.e., no amendment), DOC, and POC treatments were applied in laboratory microcosms for time intervals of 3, 7, 14, and 28 days. In experiment 2, control, DOC, and POC treatments were applied in microcosms at C/N ratios of 5:1, 10:1, 15:1, and 20:1. There were statistically significant effects of organic carbon amendments in experiment 1 (F2,71 = 27.1, P < 0.001) and experiment 2 (F2,53 = 39.1, P < 0.001), time (F1,71 = 14.5, P < 0.001) in experiment 1, and C/N ratio (F1,53 = 36.5, P < 0.001) in experiment 2. NO3−-N removal varied from 60 to 100 % in overlying water among all treatments. The lowest NO3−-N removals in experiment 1 were observed in the control at 14 and 28 days, which were significantly less than in DOC and POC 14- and 28-day treatments. In experiment 2, significantly less NO3−-N was removed in overlying water of the control compared to DOC and POC treatments at all C/N ratios. Amendments of DOC and POC made to drainage ditch sediment: (1) increased NO3−-N removal, especially over longer time intervals (14 to 28 days); (2) increased NO3−-N removal, regardless of C/N ratio; and (3) NO3−-N removal was best at a 5:1 C/N ratio. This study provides support for continued investigation on the use of organic carbon amendments as a best management practice for NO3−-N removal in agricultural drainage ditches.

Emergency percutaneous treatment in surgical bile duct injury.

PubMed

Carrafiello, Gianpaolo; Laganà, Domenico; Dizonno, Massimiliano; Ianniello, Andrea; Cotta, Elisa; Dionigi, Gianlorenzo; Dionigi, Renzo; Fugazzola, Carlo

2008-09-01

The aim of this study is to evaluate the efficacy of emergency percutaneous treatment in patients with surgical bile duct injury (SBDI). From May 2004 to May 2007, 11 patients (five men, six women; age range 26-80 years; mean age 58 years) with a critical clinical picture (severe jaundice, bile peritonitis, septic state) due to SBDI secondary to surgical or laparoscopic procedures were treated by percutaneous procedures. We performed four ultrasound-guided percutaneous drainages, four external-internal biliary drainages, one bilioplasty, and two plastic biliary stenting after 2 weeks of external-internal biliary drainage placement. All procedures had 100% technical success with no complications. The clinical emergencies resolved in 3-4 days in 100% of cases. All patients had a benign clinical course, and reoperation was avoided in 100% of cases. Interventional radiological procedures are effective in the emergency management of SBDI since they are minimally invasive and have a high success rate and a low incidence of complications compared to the more complex and dangerous surgical or laparoscopic options.

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.

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.

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

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.

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.

Modeling Antarctic Subglacial Lake Filling and Drainage Cycles

NASA Technical Reports Server (NTRS)

Dow, Christine F.; Werder, Mauro A.; Nowicki, Sophie; Walker, Ryan T.

2016-01-01

The growth and drainage of active subglacial lakes in Antarctica has previously been inferred from analysis of ice surface altimetry data. We use a subglacial hydrology model applied to a synthetic Antarctic ice stream to examine internal controls on the filling and drainage of subglacial lakes. Our model outputs suggest that the highly constricted subglacial environment of our idealized ice stream, combined with relatively high rates of water flow funneled from a large catchment, can combine to create a system exhibiting slow-moving pressure waves. Over a period of years, the accumulation of water in the ice stream onset region results in a buildup of pressure creating temporary channels, which then evacuate the excess water. This increased flux of water beneath the ice stream drives lake growth. As the water body builds up, it steepens the hydraulic gradient out of the overdeepened lake basin and allows greater flux. Eventually this flux is large enough to melt channels that cause the lake to drain. Lake drainage also depends on the internal hydrological development in the wider system and therefore does not directly correspond to a particular water volume or depth. This creates a highly temporally and spatially variable system, which is of interest for assessing the importance of subglacial lakes in ice stream hydrology and dynamics.

The Optimal Surgical Approach for Treatment of Chronic Subdural Hematoma: Questionnaire Assessment of Practice in Iran and Review of Literature.

PubMed

Javadi, Seyed Amir Hossein; Naderi, Fereshteh; Javadi, Amir Mohammad

2015-10-01

Chronic subdural hematoma (CSDH) is a curable entity frequently encountered by neurosurgeons. The present study was conducted to explore expert opinion and common practice in Iran. Besides, a Review of randomized clinical trials in literature was performed. A questionnaire including six questions discussing major aspects of practice on CSDH, with multiple choices was designed. A pilot study was performed for reliability analysis of the questionnaire. A total of 100 neurosurgeons were selected randomly from the members of Iranian Association of Neurological Surgeons. Frequency of answers to each item, differences in response rates and correlation of various categories were analyzed using Chi-square statistics. The mean duration of experience was 15.4 ± 5 years, with a range of 10 to 37 years. The most common initial procedure of choice was burr-hole drainage (64%). At recurrent cases, surgical approach was changed to craniotomy at one-third of those treated initially with burr-hole drainage. The participants believed that surgical technique was predictive of outcome and recurrence. Burr-hole without drainage was used by less expert neurosurgeons (mean 12.5 ± 6), however, burr-hole drainage was the dominant technique at more than 15 years of experience and craniectomy was used only by participants with more than 30 years of experience (10%). Irrigation was used by most of the neurosurgeons (87.5%) in combination with drainage and burr-hole. The majority of participants used flat position at the postoperative period. At the current study, the pattern of management for CSDH was similar to other reports at literature suggesting the burr-hole drainage and irrigation as optimal treatment. Individualized decision-making could be made at challenging cases.

Climate and Tectonics Need Not Apply: Transient Erosion Driven by Drainage Integration, Aravaipa Creek, AZ

NASA Astrophysics Data System (ADS)

Jungers, M.; Heimsath, A. M.

2013-12-01

Periods of transient erosion during landscape evolution are most commonly attributed to fluvial systems' responses to changes in tectonic or climatic forcing. Dramatic changes in base level and sudden increases in drainage area associated with drainage reorganization can, however, drive punctuated events of incision and erosion equal in magnitude to those driven by tectonics or climate. In southeastern Arizona's Basin and Range, a mature portion of the North American physiographic province, the modern Gila River system integrates a network of previously internally drained structural basins. One basin in particular, Aravaipa Creek, is the most recent to join the broader Gila River fluvial network. Following drainage integration, Aravaipa Creek rapidly incised to equilibrate with its new, much lower, base level. In doing so, it carved Aravaipa Canyon, excavated a large volume of sedimentary basin fill, and captured drainage area from the still internally drained Sulphur Springs basin. Importantly, this dramatic episode of transient incision and erosion was the result of drainage integration alone. We hypothesize that the adjustment time for Aravaipa Creek was shorter than the timescale of any climate forcing, and regional extensional tectonics were quiescent at the time of integration. We can, therefore, explicitly quantify the magnitude of transient incision and erosion driven by drainage reorganization. We use remnants of the paleo-basin surface and modern landscape elevations to reconstruct the pre-drainage integration topography of Aravaipa Creek basin. Doing so enables us to quantify the magnitude of incision driven by drainage reorganization as well as the volume of material eroded from the basin subsequent to integration. Key control points for our landscape reconstruction are: (1) the inferred elevation of the spillover point between Aravaipa Creek and the San Pedro River; (2) Quaternary pediment-capping gravels above Aravaipa Canyon (3) perched remnants of late stage sedimentary basin fill that preserve the slope of the pre-incision piedmonts of the Galiuro Mountains and Santa Teresa Mountains; and (4) the paleo-drainage divide between Aravaipa Creek and Sulphur Springs Valley, approximately 6 km northwest of the modern divide. The pre-incision basin surface sloped from the Sulphur Springs divide (1370 m) to its intersection with the point of integration (1100 m) between Aravaipa Creek and the San Pedro River, 50 km to the northwest. Maximum incision of 450 m occurred in the vicinity of Aravaipa Canyon, and more than 50 cubic kilometers of material have been eroded from Aravaipa Creek basin. Finally, cosmogenic nuclide burial dates for latest stage sedimentary basin fill enable us to constrain the timing of drainage integration and place first-order constraints on paleo-erosion rates.

Planning Assistance for the Town of Hamburg, County of Erie, New York, Hoover Beach.

DTIC Science & Technology

1979-12-01

area, creating swale areas which restrict overland flow into the storm drainage system . This low-lying area of the Mid Shore section also experiences...attack. The flood problems in the Mid Shore area are primarily caused by an inade- quate storm drainage system and ill-advised filling of low-lying arehs...by residents. These problems can be significantly reduced and possibly elimi- nated by improvements to the storm drainage system . Providing adequate

Effects of open drainage ditch design on bacterial and fungal communities of cold waterlogged paddy soils

PubMed Central

Qiu, Shanlian; Wang, MK; Wang, Fei; Chen, Jichen; Li, Xiaoyan; Li, Qinghua; Lin, Cheng; Lin, Xinjian

2013-01-01

A field experiment established in 1980 was conducted to evaluate the effects of open drainage ditch applied for water removal on bacterial and fungal communities of cold waterlogged paddy soils in 2011. In this experiment, traditional plate counting and temperature gradient gel electrophoresis were employed to characterize the abundance and diversity of soil bacterial and fungal communities. Four different distances from the open drainage ditch, 5, 15, 25 and 75 m with different degrees of drainage were designed for this study. Maximum populations of culturable aerobic bacteria and fungi were at 15-m distance while minimum populations were at 75-m distance. Significant differences (p < 0.05) in fungal populations were observed at all distances from open drainage ditch. The highest diversity of the bacterial community was found at a distance of 25 m, while that of the fungal community was observed at a distance of 5 m. Sequencing of excised TGGE bands indicated that the dominant bacteria at 75-m distance belonged to anaerobic or microaerobic bacteria. Relationships between microbial characteristics and soil physicochemical properties indicated that soil pH and available nitrogen contents were key factors controlling the abundance of culturable aerobic bacteria and fungi, while soil water capacity also affected the diversity of fungal community. These findings can provide the references for better design and advanced management of the drainage ditches in cold waterlogged paddy soils. PMID:24516468

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.

Chest tube drainage of pleural effusions--an audit of current practice and complications at Hutt Hospital.

PubMed

Epstein, Erica; Jayathissa, Sisira; Dee, Stephen

2012-05-11

The aims of the study were to review small-bore chest tube insertion practices for drainage of pleural fluid at Hutt Valley District Health Board (HVDHB), to assess complications, and compare the findings with international data. Retrospective analysis of clinical records was completed on all chest tube insertions for drainage of pleural fluid at HVDHB from December 2008 to November 2009. Descriptive statistics were used to present demographics and tube-associated complications. Comparison was made to available similar international data. Small-bore tubes comprised 59/65 (91%) chest tube insertions and 23/25 (92%) complications. Available comparative data was limited. Ultrasound was used in 36% of insertions. Nearly half of chest drains placed for empyema required subsequent cardiothoracic surgical intervention. Chest drain complication rates at HVDHB were comparable to those seen internationally. Referral rates to cardiothoracic surgery for empyema were within described ranges. The importance of procedural training for junior medical staff, optimising safety of drain insertions with ultrasound guidance, and clear clinical governance for chest tube insertions are important in minimising harm from this procedure. Specialist societies need to take a leadership in providing guidance on chest drain insertions to secondary and tertiary hospitals in Australia and New Zealand.

A case of transgastric gallbladder puncture as a complication during endoscopic ultrasound-guided drainage of a pancreatic pseudocyst.

PubMed

Hikichi, Takuto; Irisawa, Atsushi; Takagi, Tadayuki; Shibukawa, Goro; Wakatsuki, Takeru; Imamura, Hidemichi; Takahashi, Yuta; Sato, Ai; Sato, Masaki; Oyama, Hitoshi; Sato, Naoto; Yamamoto, Go; Mokonuma, Tatsuyuki; Obara, Katsutoshi; Ohira, Hiromasa

2007-06-01

A 43-year-old man, a regular drinker, developed a pseudocyst in the pancreatic tail as a result of acutely worsening chronic pancreatitis. Because the pseudocyst, 10 cm in diameter, did not disappear despite conservative treatment, an internal drainage stent was placed transgastrically under endoscopic ultrasound (EUS) guidance. However, cyst infection occurred, and EUS-guided drainage was performed, when the gallbladder was punctured inadvertently. Immediately a nasocystic drain was placed in the gallbladder. Owing to this timely measure, only mild and localized peritonitis developed. Conservative treatment with fasting and an antibiotic was administered, and peritonitis subsided quickly. On the same day, another nasocystic drain was placed for the pancreatic pseudocyst, and it disappeared. As far as we know, this is the first case in which gallbladder puncture was inadvertently performed during EUS-guided drainage of a pancreatic pseudocyst.

Greenhouse gas emissions from integrated urban drainage systems: Where do we stand?

NASA Astrophysics Data System (ADS)

Mannina, Giorgio; Butler, David; Benedetti, Lorenzo; Deletic, Ana; Fowdar, Harsha; Fu, Guangtao; Kleidorfer, Manfred; McCarthy, David; Steen Mikkelsen, Peter; Rauch, Wolfgang; Sweetapple, Chris; Vezzaro, Luca; Yuan, Zhiguo; Willems, Patrick

2018-04-01

As sources of greenhouse gas (GHG) emissions, integrated urban drainage systems (IUDSs) (i.e., sewer systems, wastewater treatment plants and receiving water bodies) contribute to climate change. This paper, produced by the International Working Group on Data and Models, which works under the IWA/IAHR Joint Committee on Urban Drainage, reviews the state-of-the-art and modelling tools developed recently to understand and manage GHG emissions from IUDS. Further, open problems and research gaps are discussed and a framework for handling GHG emissions from IUDSs is presented. The literature review reveals that there is a need to strengthen already available mathematical models for IUDS to take GHG into account.

NASA diagonal-braked test vehicle evaluation of traction characteristics of grooved and ungrooved runway surfaces at Miami International Airport, Miami, Florida, 8-9 May 1973

NASA Technical Reports Server (NTRS)

Horne, W. B.

1977-01-01

Two runways were evaluated under artificially wetted conditions with the NASA diagonal-braked vehicle (DBV). Results of the evaluation which included a pavement drainage analysis, a pavement skid resistance analysis, and a DBV wet/dry stopping distance ratio analysis indicated that the ungrooved runway surfaces had poor water drainage characteristics and poor skid resistance under wet conditions at high speeds especially in rubbercoated areas of the runways. Grooving runways to a transverse 1-1/4 x 1/4 x 1/4 inch pattern greatly improved both the water drainage and pavement skid resistance capability of these asphaltic concrete surfaces.

[Management experience of acute renal failure induced by unilateral ureteral calculi obstruction].

PubMed

Tan, Fu-qing; Shen, Bo-hua; Xie, Li-ping; Meng, Hong-zhou; Fang, Dan-bo; Wang, Chao-jun

2013-05-28

To explore the causes and treatment options of acute renal failure induced by unilateral ureteral calculi obstruction. The clinical data of 12 cases of acute renal failure induced by unilateral ureteral calculi obstruction between August 2008 and July 2012 were reviewed retrospectively. There were 5 males and 7 females with an average age of 65.7 years. Their clinical data and treatment options were retrospectively analyzed and summarized. Seven cases showed right side ureteral calculus with hydronephrosis while another 5 presented left side ureteral calculus with hydronephrosis. Serum creatinine was higher than 310 µmol/L in 12 cases. Anuria appeared in 4 cases for 1-7 days while oliguria in 8 cases for 2-10 days. High fever was present in 11 cases, the highest of whom was 40 °C. White blood cell count increased in 10 cases (>10×10(9)/L) and decreased in 2 cases (<4 × 10(9)/L). The therapeutic options included insertion of double J stent for internal drainage (n = 1), percutaneous nephrostomy for external drainage (n = 10) and open operation (n = 1). Traditional treatments were performed to manage ureteral calculus in the above 11 cases with drainage. All cases had improved renal function after comprehensive treatment of anti-infection, antishock, rinsing stones and relieving obstruction. All 12 cases were treated successfully. Unilateral ureteral calculus may impair contralateral renal function and cause acute renal failure due to the absorption of toxin at obstructive side. The keys of management are eliminating toxin and relieving obstruction.

Correlations between anomalies of jugular veins and areas of vascular drainage of head and neck.

PubMed

Vaida, Monica-Adriana; Niculescu, V; Motoc, A; Bolintineanu, S; Sargan, Izabella; Niculescu, M C

2006-01-01

The study conducted on 60 human cadavers preserved in formalin, in the Anatomy Laboratory of the "Victor Babes" University of Medicine and Pharmacy Timisoara, during 2000-2006, observed the internal and external jugular veins from the point of view of their origin, course and affluents. The morphological variability of the jugular veins (external jugular that receives as affluents the facial and lingual veins and drains into the internal jugular, draining the latter's territory--3.33%; internal jugular that receives the lingual, upper thyroid and facial veins, independent--13.33%, via the linguofacial trunk--50%, and via thyrolinguofacial trunk--33.33%) made possible the correlation of these anomalies with disorders in the ontogenetic development of the veins of the neck. Knowing the variants of origin, course and drainage area of jugular veins is important not only for the anatomist but also for the surgeon operating at this level.

The operating surgeon is an independent predictor of chest tube drainage following cardiac surgery.

PubMed

Dixon, Barry; Reid, David; Collins, Marnie; Newcomb, Andrew E; Rosalion, Alexander; Yap, Cheng-Hon; Santamaria, John D; Campbell, Duncan J

2014-04-01

Bleeding into the chest is a major cause of blood transfusion and adverse outcomes following cardiac surgery. The authors investigated predictors of bleeding following cardiac surgery to identify potentially correctable factors. Data were retrieved from the medical records of patients undergoing cardiac surgery over the period of 2002 to 2008. Multivariate analysis was used to identify the independent predictors of chest tube drainage. Tertiary hospital. Two thousand five hundred seventy-five patients. Cardiac surgery. The individual operating surgeon was independently associated with the extent of chest tube drainage. Other independent factors included internal mammary artery grafting, cardiopulmonary bypass time, urgency of surgery, tricuspid valve surgery, redo surgery, left ventricular impairment, male gender, lower body mass index and higher preoperative hemoglobin levels. Both a history of diabetes and administration of aprotinin were associated with reduced levels of chest tube drainage. The individual operating surgeon was an independent predictor of the extent of chest tube drainage. Attention to surgeon-specific factors offers the possibility of reduced bleeding, fewer transfusions, and improved patient outcomes. © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

Storm water runoff measurements of copper from a naturally patinated roof and from a parking space. Aspects on environmental fate and chemical speciation.

PubMed

Odnevall Wallinder, I; Hedberg, Y; Dromberg, P

2009-12-01

Release of copper from a naturally aged copper roof on a shopping centre building in a suburban site of Stockholm has been measured during different rain events after its interaction with the internal drainage system and storm drains made of cast iron and concrete. Concentrations of copper removed by means of urban storm water from a nearby parking space have been determined for comparison. Predictions and measurements of the chemical speciation of released copper are discussed compared to the total concentration, and to threshold values for freshwater and drinking water. The results clearly illustrate that the major part of the released copper from the roof is readily retained already during transport through the internal drainage system of the building, a pathway that also changes the chemical speciation of released copper and its bioavailable fraction. Most copper, not retained by cast iron and concrete surfaces, was strongly complexed to organic matter. The median concentration of free cupric ions and weak copper complexes was less than, or within the range of reported no effect concentrations, NOECs, of copper in surface waters. The parking space contributed with significantly higher and time-dependent concentrations of total copper compared to measured concentrations of copper from the roof after the interaction with the drainage system. Most copper in the surface runoff water was strongly complexed with organic matter, hence reducing the bioavailable fraction significantly to concentrations within the NOEC range. Dilution with other sources of urban storm water will reduce the released concentration of copper even further. The results illustrate that already the internal drainage system and the storm drains made of cast iron and concrete act as efficient sinks for released copper which means that any installation of additional infiltration devices is redundant.

Proximal lava drainage controls on basaltic fissure eruption dynamics

NASA Astrophysics Data System (ADS)

Jones, T. J.; Llewellin, E. W.; Houghton, B. F.; Brown, R. J.; Vye-Brown, C.

2017-11-01

Hawaiian basaltic eruptions commonly initiate as a fissure, producing fountains, spattering, and clastogenic lava flows. Most fissures rapidly localize to form a small number of eruptive vents, the location of which may influence the subsequent distribution of lava flows and associated hazards. We present results from a detailed field investigation of the proximal deposits of episode 1 of the 1969 fissure eruption of Mauna Ulu, Kīlauea, Hawai`i. Exceptional preservation of the deposits allows us to reconstruct vent-proximal lava drainage patterns and to assess the role that drainage played in constraining vent localization. Through detailed field mapping, including measurements of the height and internal depth of lava tree moulds, we reconstruct high-resolution topographic maps of the pre-eruption ground surface, the lava high-stand surface and the post-eruption ground surface. We calculate the difference in elevation between pairs of maps to estimate the lava inundation depth and lava drainage depth over the field area and along different segments of fissure. Aerial photographs collected during episode 1 of the eruption allow us to locate those parts of the fissure that are no longer exposed at the surface. By comparing with the inundation and drainage maps, we find that fissure segments that were inundated with lava to greater depths (typically 1-6 m) during the eruption later became foci of lava drainage back into the fissure (internal drain-back). We infer that, in these areas, lava ponding over the fissure suppressed discharge of magma, thereby favouring drain-back and stagnation. By contrast, segments with relatively shallow inundation (typically less than 1 m), such as where the fissure intersects pre-eruptive topographic highs, or where flow away from the vent (outflow) was efficient, are often associated with sub-circular vent geometries in the post-eruption ground surface. We infer that these parts of the fissure became localization points for ongoing magma ascent and discharge. We conclude that lava inundation and drainage processes in basaltic fissure eruptions can play an important role in controlling their localization and longevity.

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.

Understanding Lymphatic Drainage Pathways of the Ovaries to Predict Sites for Sentinel Nodes in Ovarian Cancer

PubMed Central

Kleppe, Marjolein; Kraima, Anne C.; Kruitwagen, Roy F.P.M.; Van Gorp, Toon; Smit, Noeska N.; van Munsteren, Jacoba C.; DeRuiter, Marco C.

2015-01-01

Objective In ovarian cancer, detection of sentinel nodes is an upcoming procedure. Perioperative determination of the patient’s sentinel node(s) might prevent a radical lymphadenectomy and associated morbidity. It is essential to understand the lymphatic drainage pathways of the ovaries, which are surprisingly up till now poorly investigated, to predict the anatomical regions where sentinel nodes can be found. We aimed to describe the lymphatic drainage pathways of the human ovaries including their compartmental fascia borders. Methods A series of 3 human female fetuses and tissues samples from 1 human cadaveric specimen were studied. Immunohistochemical analysis was performed on paraffin-embedded transverse sections (8 or 10 μm) using antibodies against Lyve-1, S100, and α-smooth muscle actin to identify the lymphatic endothelium, Schwann, and smooth muscle cells, respectively. Three-dimensional reconstructions were created. Results Two major and 1 minor lymphatic drainage pathways from the ovaries were detected. One pathway drained via the proper ligament of the ovaries (ovarian ligament) toward the lymph nodes in the obturator fossa and the internal iliac artery. Another pathway drained the ovaries via the suspensory ligament (infundibulopelvic ligament) toward the para-aortic and paracaval lymph nodes. A third minor pathway drained the ovaries via the round ligament to the inguinal lymph nodes. Lymph vessels draining the fallopian tube all followed the lymphatic drainage pathways of the ovaries. Conclusions The lymphatic drainage pathways of the ovaries invariably run via the suspensory ligament (infundibulopelvic ligament) and the proper ligament of the ovaries (ovarian ligament), as well as through the round ligament of the uterus. Because ovarian cancer might spread lymphogenously via these routes, the sentinel node can be detected in the para-aortic and paracaval regions, obturator fossa and surrounding internal iliac arteries, and inguinal regions. These findings support the strategy of injecting tracers in both ovarian ligaments to identify sentinel nodes. PMID:26397066

Pore formation during dehydration of polycrystalline gypsum observed and quantified in a time-series synchrotron radiation based X-ray micro-tomography experiment

NASA Astrophysics Data System (ADS)

Fusseis, F.; Schrank, C.; Liu, J.; Karrech, A.; Llana-Fúnez, S.; Xiao, X.; Regenauer-Lieb, K.

2011-10-01

We conducted an in-situ X-ray micro-computed tomography heating experiment at the Advanced Photon Source (USA) to dehydrate an unconfined 2.3 mm diameter cylinder of Volterra Gypsum. We used a purpose-built X-ray transparent furnace to heat the sample to 388 K for a total of 310 min to acquire a three-dimensional time-series tomography dataset comprising nine time steps. The voxel size of 2.2 μm3 proved sufficient to pinpoint reaction initiation and the organization of drainage architecture in space and time. We observed that dehydration commences across a narrow front, which propagates from the margins to the centre of the sample in more than four hours. The advance of this front can be fitted with a square-root function, implying that the initiation of the reaction in the sample can be described as a diffusion process. Novel parallelized computer codes allow quantifying the geometry of the porosity and the drainage architecture from the very large tomographic datasets (6.4 × 109 voxel each) in unprecedented detail. We determined position, volume, shape and orientation of each resolvable pore and tracked these properties over the duration of the experiment. We found that the pore-size distribution follows a power law. Pores tend to be anisotropic but rarely crack-shaped and have a preferred orientation, likely controlled by a pre-existing fabric in the sample. With on-going dehydration, pores coalesce into a single interconnected pore cluster that is connected to the surface of the sample cylinder and provides an effective drainage pathway. Our observations can be summarized in a model in which gypsum is stabilized by thermal expansion stresses and locally increased pore fluid pressures until the dehydration front approaches to within about 100 μm. Then, the internal stresses are released and dehydration happens efficiently, resulting in new pore space. Pressure release, the production of pores and the advance of the front are coupled in a feedback loop. We discuss our findings in the context of previous studies.

Pore formation during dehydration of a polycrystalline gypsum sample observed and quantified in a time-series synchrotron X-ray micro-tomography experiment

NASA Astrophysics Data System (ADS)

Fusseis, F.; Schrank, C.; Liu, J.; Karrech, A.; Llana-Fúnez, S.; Xiao, X.; Regenauer-Lieb, K.

2012-03-01

We conducted an in-situ X-ray micro-computed tomography heating experiment at the Advanced Photon Source (USA) to dehydrate an unconfined 2.3 mm diameter cylinder of Volterra Gypsum. We used a purpose-built X-ray transparent furnace to heat the sample to 388 K for a total of 310 min to acquire a three-dimensional time-series tomography dataset comprising nine time steps. The voxel size of 2.2 μm3 proved sufficient to pinpoint reaction initiation and the organization of drainage architecture in space and time. We observed that dehydration commences across a narrow front, which propagates from the margins to the centre of the sample in more than four hours. The advance of this front can be fitted with a square-root function, implying that the initiation of the reaction in the sample can be described as a diffusion process. Novel parallelized computer codes allow quantifying the geometry of the porosity and the drainage architecture from the very large tomographic datasets (20483 voxels) in unprecedented detail. We determined position, volume, shape and orientation of each resolvable pore and tracked these properties over the duration of the experiment. We found that the pore-size distribution follows a power law. Pores tend to be anisotropic but rarely crack-shaped and have a preferred orientation, likely controlled by a pre-existing fabric in the sample. With on-going dehydration, pores coalesce into a single interconnected pore cluster that is connected to the surface of the sample cylinder and provides an effective drainage pathway. Our observations can be summarized in a model in which gypsum is stabilized by thermal expansion stresses and locally increased pore fluid pressures until the dehydration front approaches to within about 100 μm. Then, the internal stresses are released and dehydration happens efficiently, resulting in new pore space. Pressure release, the production of pores and the advance of the front are coupled in a feedback loop.

ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT: STORMWATER SOURCE AREA TREATMENT DEVICE: HYDRO INTERNATIONAL DOWNSTREAM DEFENDER®

EPA Science Inventory

Verification testing of the Hydro International Downstream Defender® was conducted at the Madison Water Utility in Madison, Wisconsin. The system was designed for a drainage basin estimated at 1.9 acres in size, but during intense storm events, the system received water from an a...

Temporal and spatial patterns of internal phosphorus recycling in a South Florida (USA) stormwater treatment area

EPA Science Inventory

Large constructed wetlands, known as stormwater treatment areas (STAs), have been deployed to remove phosphorus (P) in drainage waters before discharge into the Everglades in South Florida, USA. Their P removal performance depends on internal P cycling under typically hydrated, b...

Fe and Mn removal from mining drainage using goaf filling materials obtained from coal mining process.

PubMed

Zhang, Liping; Chen, Aolei; Qu, Hongbin; Xu, Shouqiang; Zhang, Xue; He, Xuwen

2015-01-01

Coal gangue, sandy soil and clay (mass ratio 45:4:1) as goaf filling materials acquired from coal mining processes were applied to remove Fe and Mn effectively from mining drainage. The results of an adsorption kinetic study showed that the Fe adsorption equation was y=21.454y+8.4712, R2=0.9924 and the Mn adsorption equation was y=7.5409x+0.905, R2=0.9957. Meanwhile, the goaf filling materials had low desorption capacity (Fe 6.765 μg/g, Mn 1.52 μg/g) and desorption ratio (Fe 8.98%, Mn 11.04%). Experiments demonstrated that Fe and Mn from mining drainage could be removed stably at a flow rate of 1.2 L/min, Fe inlet concentration of less than 40 mg/L, Mn inlet concentration of less than 2 mg/L and neutral or alkaline conditions. During a procedure of continuous experiments, the effluent quality could meet the requirement of the 'Code for Engineering Design of Sewage Regeneration-GB503352-2002'. A real-application project using goaf filling materials to treat mining drainage in Shendong coal mine showed that the average cost per ton of mining drainage was about 0.55 RMB, which could bring about considerable economic benefit for coal mining enterprises.

Development of Urban Inundation Warning Model at Cyclic Artificial Water Way in Song-do International City, Republic of Korea

NASA Astrophysics Data System (ADS)

Lee, T.; Lee, C.; Kim, H.

2016-12-01

Abstract Song-do international city was constructed by reclaiming land from the coastal waters of Yeonsu-gu, Incheon Metropolitan City, Republic of Korea. The □-shaped cyclic artificial water way has been considered for improving water quality, waterfront and internal drainage in Song-do international city. By improving water quality, various marine facilities, such as marina, artificial beach, marine terminal, and so on, will be set up around the artificial water way for the waterfront. Since the water stage of the artificial water way changes depending on water gates operations, it is necessary to develop an urban inundation warning model to evaluate safeties of the waterfront facilities and its passengers. By considering characteristics of urban watershed, we calculate discharge flowing into the water way using XP-SWMM model. As a result of estimating 100-year flood frequency, although there are slight differences in drainage sections, the maximum flood discharge occurs in 90-min rainfall duration. In order to consider impacts of tide and hydraulic structure, we establish Inland drainage plans through the analysis of unsteady flow using HEC-RAS. The urban inundation warning model is configured to issue a warning when the water plain elevation exceeds EL. 1.5m which is usually managed at EL. 1.0m. In this study, the design flood stage of artificial water way and urban inundation warning model are developed for Song-do international city, and therefore it is expected that a reliability of management and operation of the waterfront facilities is improved. Keywords : Artificial Water Way; Waterfront; Urban Inundation Warning Model. Acknowlegement This research was supported by a grant [MPSS-NH-2015-79] through the Disaster and Safety Management Institute funded by Ministry of Public Safety and Security of Korean government.

Drainage fracture networks in elastic solids with internal fluid generation

NASA Astrophysics Data System (ADS)

Kobchenko, Maya; Hafver, Andreas; Jettestuen, Espen; Galland, Olivier; Renard, François; Meakin, Paul; Jamtveit, Bjørn; Dysthe, Dag K.

2013-06-01

Experiments in which CO2 gas was generated by the yeast fermentation of sugar in an elastic layer of gelatine gel confined between two glass plates are described and analyzed theoretically. The CO2 gas pressure causes the gel layer to fracture. The gas produced is drained on short length scales by diffusion and on long length scales by flow in a fracture network, which has topological properties that are intermediate between river networks and hierarchical-fracture networks. A simple model for the experimental system with two parameters that characterize the disorder and the intermediate (river-fracture) topology of the network was developed and the results of the model were compared with the experimental results.

Nanofluidics in cellular tubes under oscillatory extension

NASA Astrophysics Data System (ADS)

Nassoy, P.; Cuvelier, D.; Bruinsma, R.; Brochard-Wyart, F.

2008-10-01

Membrane nanotubes or tethers extruded from cells exhibit dynamic features that are believed to exhibit viscoelastic rheological properties. We have performed typical microrheology experiments on tethers pulled from red blood cells by measuring the force response to small oscillatory extensions or compressions. Our data, supported by a simple theoretical model, show that the force response does not reflect any intrinsic viscoelastic properties of the tethers themselves, but instead is dominated by the drainage of the internal cellular fluid into and out of the oscillating nanoconduit over a frequency-dependent penetration depth. The simplicity of tether rheology suggests its usage as a probe for measuring the local viscosity of the cytosol near the plasma membrane.

Effects of ferric iron reduction and regeneration on nitrous oxide and methane emissions in a rice soil.

PubMed

Huang, Bin; Yu, Kewei; Gambrell, Robert P

2009-01-01

A laboratory soil slurry experiment and an outdoor pot experiment were conducted to study effects of ferric iron (Fe(III)) reduction and regeneration on nitrous oxide (N(2)O) and methane (CH(4)) emissions in a rice (Oryza sativa L.) soil. The anoxic slurry experiment showed that enhancing microbial Fe(III) reduction by ferrihydrite amendment (40 mol Fe g(-1)) transitionally stimulated N(2)O production and lowered CH(4) production by 16% during an initial 33-day incubation. Increased regeneration of Fe(III) through a 4-day aeration period in the Fe-amended slurry compared to the control slurry reduced CH(4) emission by 30% in the subsequent 15-day anaerobic incubation. The pot experiment showed that ferrihydrite amendment (63 micromol Fe g(-1)) stimulated N(2)O fluxes in the days following flooding. The Fe amendment suppression on CH(4) emission was obscured in the early season but became significant upon reflooding in the mid- and late-seasons. As a result, seasonal CH(4) emission in Fe-amended pots was 26% lower than the control with a single 2-day drainage and 69% lower with a double 2-day drainage. The reduction in CH(4) emission upon reflooding from the Fe-amended pots was mainly attributed to the increased Fe(III) regeneration during drainage showing a mechanism of Fe(III) regeneration in mitigating CH(4) emission by short-term drainage in flooded soils.

Descriptive Summary of Patients Seen at the Surgical Companies During Operation Iraqi Freedom-1

DTIC Science & Technology

2004-12-07

4 4 Tissue resection 2 1 3 Vascular shunt 2 2 Chest tube placement 1 1 Cholecystectomy 1 1 Cystostomy 1 1 Decompression craniotomy 1...debridement of his wounds and an open reduction internal fixation of his fracture. On 16 April, the patient developed purulent drainage of his wound and...went back to the operating room for another irrigation and debridement and placement of antibiotic beads. On 22 April, he had further drainage of his

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

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.

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)

Do Italian surgeons use antibiotic prophylaxis in thyroid surgery? Results from a national study (UEC--Italian Endocrine Surgery Units Association).

PubMed

Gentile, Ivan; Rosato, Lodovico; Avenia, Nicola; Testini, Mario; D'Ajello, Michele; Antonino, Antonio; De Palma, Maurizio

2014-01-01

Thyroid surgery is a clean procedure and therefore antibiotic prophylaxis is not routinely recommended by most international guidelines. However, antibiotics are often used in clinical practice. We enrolled 2926 patients who performed a thyroid surgical operation between the years 2009 and 2011 in the 38 centers of endocrine surgery that joined the UEC--Italian Endocrine Surgery Units Association. Antibiotic prophylaxis was used in 1132 interventions (38.7%). In case of antibiotic prophylaxis, cephalosporins or aminopenicillins ± beta lactamase inhibitors were employed. At logistic regression analysis the use of drainage or device and the presence of malignancy were independent predictors of antibiotic prophylaxis employment. In conclusion our study shows that antibiotic prophylaxis was not rarely used in clinical practice in the setting of thyroid surgery. Drainage apposition, use of device, and malignant disease were independent predictors for antibiotic prophylaxis employment. More data on everyday practice and infection rate in well-designed studies are warranted to provide definitive recommendations on the utility of antibiotic prophylaxis in this setting. According to our experience, we don't consider to be strictly necessary the antibiotic prophylaxis employment in order to reduce infection rate in thyroid surgery.

Impact capacity reduction in railway prestressed concrete sleepers with vertical holes

NASA Astrophysics Data System (ADS)

Ngamkhanong, Chayut; Li, Dan; Kaewunruen, Sakdirat

2017-09-01

Railway prestressed concrete sleepers (or railroad ties) are principally designed in order to carry wheel loads from the rails to the ground as well as to secure rail gauge for dynamic safe movements of trains. In spite of the most common use of the prestressed concrete sleepers in railway tracks, the concrete sleepers are often modified on construction sites to fit in other systems such as cables, signalling gears, drainage pipes, etc. This is because those signalling, fibre optic, equipment cables are often damaged either by ballast corners or by tamping machine. It is thus necessary to modify concrete sleepers to cater cables internally so that the cables or drainage pipes would not experience detrimental or harsh environments. Accordingly, this study will extend from the previous study into the design criteria of holes and web openings. This paper will highlight structural capacity of concrete sleepers under dynamic transient loading. The modified compression field theory for ultimate strength design of concrete sleepers will be highlighted in this study. The outcome of this study will improve the understanding into dynamic behavior of prestressed concrete sleepers with vertical holes. The insight will enable predictive track maintenance regime in railway industry.

An Approach to Assessing Flood Risk in Low-lying Paddy Areas of Japan considering Economic Damage on Rice

NASA Astrophysics Data System (ADS)

Minakawa, H.; Masumoto, T.

2013-12-01

Hiroki Minakawa, Takao Masumoto National Institute for Rural Engineering (NIRE), NARO, Japan Flooding is one type of nature disaster, and is caused by heavy rainfall events. In the future, the risk of flooding is predicted to increase due to global climate change. Immediate measures such as strengthening drainage capacity are needed to minimize the damage caused by more frequent flooding, so a quantitative evaluation method of flood risks is needed to discuss countermeasure against these problems. At the same time, rice is an important crop for food production in Japan. However, paddy fields are often damaged by flooding because they are principally spread in lower part of the basin. Therefore, it is also important to assess the damages to paddy fields. This study discusses a method for evaluating a relationship between the risk of flood damage and the scale of heavy rainfall. We also developed a method of estimating the economic effect of a reduction in rice yield by flooding. First, we developed a drainage analysis model that incorporates kinematic and diffusive runoff models for calculating water level in channels and paddies. Next, heavy rainfall data for drainage analyses were generated by using a diurnal rainfall pattern generator. The generator can create hourly data of heavy rainfall, and internal pattern of them is different each. These data were input to the drainage model to estimate flood risk. Simultaneously, we tried to clarify economic losses of a rice yields caused by flooding. Here, the reduction scale in rice yield which shows relations between flooding situation (e.g. water level, duration of submersion etc.) and damage of rice is available to calculate reduction of rice yield. In this study, we created new reduction scales through a pseudo-flooding experiment under real inundation conditions. The methodology of the experiment was as follow: We chose the popular Japanese rice cultivar Koshihikari for this experiment. An experimental arena was constructed in a rice paddy plot, which consisted of two zones, one in which the rice was cultivated as usual with normal water levels, and a flood zone, which was used for submerging rice plants. The flood zone, which was designed to reproduce actual flood disaster conditions in paddy fields, can be filled with water to a depth of 0.3, 0.6 or 0.9 m above ground level, and is divided into two plots, a clean water part and a turbid water part. Thus, the experimental conditions can vary according to 1) the development stage of rice, 2) complete or incomplete submersion, 3) clean or turbid water, and 4) duration of submergence. Finally, the reduction scales were formulated by using the resultant data and it was found that rice is most sensitive to damage during the development stage. Flood risk was evaluated by using calculated water level on each paddy. Here, the averaged duration of inundation to a depth of more than 0.3 m was used as the criteria for flood occurrence. The results indicated that the duration increased with larger heavy rainfall amounts. Furthermore, the damage to rice was predicted to increase especially in low-lying paddy fields. Mitigation measures, such as revising drainage planning and/or changing design standards for the capacity of drainage pumps may be necessary in the future.

Effects of Different Palliative Jaundice Reducing Methods on Immunologic Functions in Patients with Advanced Malignant Obstructive Jaundice.

PubMed

Tang, Kun; Sui, Lu-Lu; Xu, Gang; Zhang, Tong; Liu, Qiang; Liu, Xiao-Fang

2017-08-01

This study aimed to investigate the effects of three treatment methods on the immunological function of patients with advanced malignant obstructive jaundice (MOJ). Patients with advanced MOJ were randomly divided into three groups according to biliary drainage methods. Detection of levels of multi-indices were investigated in different time periods. After drainage, the levels of complement 3 (C3) and complement 4 (C4) were increased. Forteen days post-operation, the levels of immunoglobulin G (IgG), immunoglobulin A (IgA) and immunoglobulin M (IgM) in the group undergoing palliative surgery decreased significantly compared to those in both percutaneous transhepatic cholangio drainage (PTCD) and endoscopic retrograde biliary drainage (ERBD) groups. The level of serum endotoxin in the group undergoing palliative surgery decreased gradually. Palliative surgery for reducing jaundice is superior to PTCD and ERBD in improving immune function of patients with MOJ. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Traumatic pancreatic pseudocysts.

PubMed

Popoola, D; Lou, M A; Sims, E H

1983-05-01

At the Martin Luther King, Jr, General Hospital in Los Angeles, during the period from June 1972 to April 1981, seven patients underwent surgery for traumatic pancreatic pseudocysts. The overall average age was 28 and the average hospital stay was 31 days. Ultrasound was the most useful test for diagnosis and follow-up. Preoperatively, serum amylases were not consistently elevated. Overall recurrences and complications totaled 57 percent. There were no deaths. The authors consider a large cystogastrostomy the treatment of choice for mature cysts that are satisfactorily adherent to the stomach. The second preference is a Roux-en-Y cystojejunostomy. External drainage was employed for acute cysts that required drainage. A distal pancreatectomy was performed for patients with small pancreatic tail pseudocysts. Patients who underwent acute drainage were usually drained externally and had a poorer outcome than patients who were operated on later with internal drainage. When compared with another group of 15 alcoholic patients who were operated on for pancreatic pseudocysts, patients with traumatic pseudocysts had a poorer outcome.

Time scales of relaxation dynamics during transient conditions in two-phase flow: RELAXATION DYNAMICS

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

Schlüter, Steffen; Berg, Steffen; Li, Tianyi

2017-06-01

The relaxation dynamics toward a hydrostatic equilibrium after a change in phase saturation in porous media is governed by fluid reconfiguration at the pore scale. Little is known whether a hydrostatic equilibrium in which all interfaces come to rest is ever reached and which microscopic processes govern the time scales of relaxation. Here we apply fast synchrotron-based X-ray tomography (X-ray CT) to measure the slow relaxation dynamics of fluid interfaces in a glass bead pack after fast drainage of the sample. The relaxation of interfaces triggers internal redistribution of fluids, reduces the surface energy stored in the fluid interfaces, andmore » relaxes the contact angle toward the equilibrium value while the fluid topology remains unchanged. The equilibration of capillary pressures occurs in two stages: (i) a quick relaxation within seconds in which most of the pressure drop that built up during drainage is dissipated, a process that is to fast to be captured with fast X-ray CT, and (ii) a slow relaxation with characteristic time scales of 1–4 h which manifests itself as a spontaneous imbibition process that is well described by the Washburn equation for capillary rise in porous media. The slow relaxation implies that a hydrostatic equilibrium is hardly ever attained in practice when conducting two-phase experiments in which a flux boundary condition is changed from flow to no-flow. Implications for experiments with pressure boundary conditions are discussed.« less

BALTEX—an interdisciplinary research network for the Baltic Sea region

NASA Astrophysics Data System (ADS)

Reckermann, Marcus; Langner, Joakim; Omstedt, Anders; von Storch, Hans; Keevallik, Sirje; Schneider, Bernd; Arheimer, Berit; Markus Meier, H. E.; Hünicke, Birgit

2011-10-01

BALTEX is an environmental research network dealing with the Earth system of the entire Baltic Sea drainage basin. Important elements include the water and energy cycle, climate variability and change, water management and extreme events, and related impacts on biogeochemical cycles. BALTEX was founded in 1993 as a GEWEX continental-scale experiment and is currently in its second 10 yr phase. Phase I (1993-2002) was primarily dedicated to hydrological, meteorological and oceanographic processes in the Baltic Sea drainage basin, hence mostly dealt with the physical aspects of the system. Scientific focus was on the hydrological cycle and the exchange of energy between the atmosphere, the Baltic Sea and the surface of its catchment. The BALTEX study area was hydrologically defined as the Baltic Sea drainage basin. The second 10 yr phase of BALTEX (Phase II: 2003-12) has strengthened regional climate research, water management issues, biogeochemical cycles and overarching efforts to reach out to stakeholders and decision makers, as well as to foster communication and education. Achievements of BALTEX Phase II have been the establishment of an assessment report of regional climate change and its impacts on the Baltic Sea basin (from hydrological to biological and socio-economic), the further development of regional physical climate models and the integration of biogeochemical and ecosystem models. BALTEX features a strong infrastructure, with an international secretariat and a publication series, and organizes various workshops and conferences. This article gives an overview of the BALTEX programme, with an emphasis on Phase II, with some examples from BALTEX-related research.

From conventional drainage to sustainable stormwater management: Beyond the technical challenges.

PubMed

Goulden, Shula; Portman, Michelle E; Carmon, Naomi; Alon-Mozes, Tal

2018-08-01

Countries and cities are increasingly recognizing the value of adopting Sustainable Stormwater Management (SSWM) goals and measures. SSWM serves multiple hydrological, ecological, social and economic goals and can replace substantial parts of conventional drainage infrastructure. Following international experience in the socio-technical nature of transitions in stormwater management, this research investigates how socio-institutional factors enable the transition from conventional to sustainable stormwater management over time. The research is based on analysing available relevant documents, semi-structured interviews and focus groups, all in a single country case study (Israel). We found significant changes in professional awareness and discourse, some advances in professional standards of work and changes to the regulative system, supporting infiltration practices in particular. We concluded that the three-pillared socio-institutional framework, composed of cultural-cognitive, normative and regulative changes, was insightful for mapping factors supporting transition from conventional drainage to SSWM. Elements within the three pillars can work simultaneously and synergistically to achieve widespread change. At the same time, while SSWM always strives to achieve multiple goals, the order of priority of the various goals may differ from place to place and may change over time. Thus the transition process across the socio-institutional pillars should be renewed if and when the priority of goals changes. The urban and regional planning system can play a crucial role in enhancing the transition process from conventional to sustainable stormwater management. These conclusions may be relevant to other localities and countries that are struggling with such transitions to sustainability. Copyright © 2018 Elsevier Ltd. All rights reserved.

ACE Design Study and Experiments

DTIC Science & Technology

1976-06-01

orthophoto on off-line printer o Automatically compute contours on UNIVAC 1108 and plot on CALCOMP o Manually trace planimetry and drainage from... orthophoto * o Manually edit and trace plotted contours to obtain completed contour manuscript* - Edit errors - Add missing contour detail - Combine...stereomodels - Contours adjusted to drainage chart and spot elevations - Referring to orthophoto , rectified photos, original photos o Normal

Projected climate change effects on subsurface drainage and the performance of controlled drainage in the Western Lake Erie Basin

USDA-ARS?s Scientific Manuscript database

The US Midwest is expected to experience higher intensity rainfall events along with an increased chance of drought during the mid- and late-21st century under climate change. Development of strategies to mitigate the impact of these projected changes on agricultural production may be critical for e...

Comparison of effectiveness and safety of operations on the pericardium

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

Palatianos, G.M.; Thurer, R.J.; Kaiser, G.A.

1985-07-01

A ten-year experience with operations on the pericardium in 71 consecutive patients was reviewed. The patients ranged in age from nine months to 75 years old. Fifty-three patients were operated upon for pericardial effusion and 14 for pericardial constriction. Sixty-seven patients had pericarditis: 21 of them underwent subxiphoid tube drainage; ten, limited pericardiectomy; and the remaining 36, extensive pericardiectomy. There were two trauma victims who underwent diagnostic pericardiotomy. Two patients underwent excision of pericardial cysts. There was one operative death during extensive pericardiectomy for constrictive tuberculous pericarditis. Thirty-day mortality was three of 21 patients after subxiphoid tube drainage, three ofmore » ten after limited pericardiectomy and five of 36 after extensive pericardiectomy. Postoperative complications consisted of pulmonary problems in four patients (two after pericardiectomy and two after extensive pericardiectomy), cardiac arrhythmia in one patient after tube drainage and postpericardiotomy syndrome in one patient after extensive pericardiectomy. Mean follow-up was 3.2 years. Recurrent pericardial effusion occurred in two patients; one had limited pericardiectomy but did not require reoperation and one had diagnostic pericardiotomy without drainage. Six patients with persistent postirradiation pericardial effusion were treated effectively with extensive pericardiotomy. Experience indicates that subxiphoid tube drainage is effective for the treatment of pericardial effusion and safer than limited pericardiectomy, while extensive pericardiectomy is the operation of choice for pericardial constriction and radiation-related pericardial effusion.« less

Evolution of a fracture network in an elastic medium with internal fluid generation and expulsion

NASA Astrophysics Data System (ADS)

Kobchenko, Maya; Hafver, Andreas; Jettestuen, Espen; Renard, François; Galland, Olivier; Jamtveit, Bjørn; Meakin, Paul; Dysthe, Dag Kristian

2014-11-01

A simple and reproducible analog experiment was used to simulate fracture formation in a low-permeability elastic solid during internal fluid/gas production, with the objective of developing a better understanding of the mechanisms that control the dynamics of fracturing, fracture opening and closing, and fluid transport. In the experiment, nucleation, propagation, and coalescence of fractures within an elastic gelatin matrix, confined in a Hele-Shaw cell, occurred due to CO2 production via fermentation of sugar, and it was monitored by optical means. We first quantified how a fracture network develops, and then how intermittent fluid transport is controlled by the dynamics of opening and closing of fractures. The gas escape dynamics exhibited three characteristic behaviors: (1) Quasiperiodic release of gas with a characteristic frequency that depends on the gas production rate but not on the system size. (2) A 1 /f power spectrum for the fluctuations in the total open fracture area over an intermediate range of frequencies (f ), which we attribute to collective effects caused by interaction between fractures in the drainage network. (3) A 1 /f2 power spectrum was observed at high frequencies, which can be explained by the characteristic behavior of single fractures.

Modeling of wind gap formation and development of sedimentary basins during fold growth: application to the Zagros Fold Belt, Iran.

NASA Astrophysics Data System (ADS)

Collignon, Marine; Yamato, Philippe; Castelltort, Sébastien; Kaus, Boris

2016-04-01

Mountain building and landscape evolution are controlled by the interactions between river dynamics and tectonic forces. Such interactions have been largely studied but a quantitative evaluation of tectonic/geomorphic feedbacks remains required for understanding sediments routing within orogens and fold-and-thrust belts. Here, we employ numerical simulations to assess the conditions of uplift and river incision necessary to deflect an antecedent drainage network during the growth of one or several folds. We propose that a partitioning of the river network into internal (endorheic) and longitudinal drainage arises as a result of lithological differences within the deforming crustal sedimentary cover. We show with examples from the Zagros Fold Belt (ZFB) that drainage patterns can be linked to the incision ratio R between successive lithological layers, corresponding to the ratio between their relative erodibilities or incision coefficients. Transverse drainage networks develop for uplift rates smaller than 0.8 mm.yr-1 and -10 < R < 10. Intermediate drainage network are obtained for uplift rates up to 2 mm.yr-1 and incision ratios of 20. Parallel drainage networks and formation of sedimentary basins occur for large values of incision ratio (R >20) and uplift rates between 1 and 2 mm.yr-1. These results have implications for predicting the distribution of sediment depocenters in fold-and-thrust belts, which can be of direct economic interest for hydrocarbon exploration.

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.

Percutaneous drainage of Morel-Lavallée lesions when the diagnosis is delayed.

PubMed

Zhong, Biao; Zhang, Chi; Luo, Cong-feng

2014-10-01

Morel-Lavallée lesions are a closed internal degloving, and open débridement can damage the only remaining blood supply to the skin. We performed percutaneous draining and débridement to treat 8 patients in whom the diagnosis of Morel-Lavallée lesions was delayed more than 1 week. Here we discuss our treatment procedures and the outcomes in these 8 patients. We consider percutaneous drainage to be an effective treatment for patients with delayed diagnosis of Morel-Lavallée lesions.

Assessment of Characteristics and Remedial Alternatives for Abandoned Mine Drainage: Case Study at Staple Bend Tunnel Unit of Allegheny Portage Railroad National Historic Site, Cambria County, Pennsylvania, 2004

DTIC Science & Technology

2005-01-01

water quality-Northern Appalachian Basin, In Brady, K. B. C., Smith, M. W., and Schueck, J. H., (eds.), Coal Mine Drainage Prediction and Pollution ...United States: Water , Air, and Soil Pollution , v. 50, p. 91-107. Hyman, D. M., and Watzlaf, G. R., 1997, Metals and other components of coal mine...Advances in the hydrochemistry and microbiology of acid mine waters : International Geology Review, v. 42, p. 499-515. Nordstrom, D. K., and Alpers, C

Portal-endocrine and gastric-exocrine drainage technique of pancreas transplantation provides an easy access for evaluation of pancreatic allograft dysfunction: six-year experience at a single center.

PubMed

Zibari, Gazi B; Fallahzadeh, Mohammad Kazem; Hamidian Jahromi, Alireza; Zakhary, Joseph; Dies, David; Wellman, Greg; Singh, Neeraj; Shokouh-Amiri, Hosein

2014-01-01

The aim of this study is to report our six-year experience with portal-endocrine and gastric-exocrine drainage technique of pancreatic transplantation, which was first developed and implemented at our center in 2007. In this study, the outcomes of all patients at our center who had pancreas transplantation with portal-endocrine and gastric-exocrine drainage technique were evaluated. From October 2007 to November 2013, 38 patients had pancreas transplantation with this technique - 31 simultaneous kidney pancreas and seven pancreas alone. Median duration of follow-up was 3.8 years. One-, three-, and five-year patient and graft survival rates were 94%, 87%, 70% and 83%, 65%, 49%, respectively. For pancreas allograft dysfunction evaluation, 51 upper endoscopies were performed in 14 patients; donor duodenal biopsies were successfully obtained in 45 (88%). We detected nine episodes of acute rejection (eight patients) and seven episodes of cytomegalovirus (CMV) duodenitis (six patients). No patient developed any complication due to upper endoscopy. Portal-endocrine and gastric-exocrine drainage technique of pancreas transplantation provides lifelong easy access to the transplanted duodenum for evaluation of pancreatic allograft dysfunction.

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.

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.

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

Influence of Controlled Drainage and Liquid Dairy Manure Application on Phosphorus Leaching from Intact Soil Cores.

PubMed

Young, Eric O; Geibel, Justin R; Ross, Donald S

2017-01-01

Controlled drainage can reduce nitrate export from tile drainage flow, but its impact on phosphorus (P) loss is largely unknown. We compared P leaching from soil cores treated as free drainage (FD) or controlled drainage (CD) before and after manure application. In August 2012, 16 intact cores (45 cm long, 15 cm diameter) were collected from a grass forage field () located in Chazy, NY, and modified for drainage control and sampling. In Experiment 1 (no manure), initial leachate was defined as FD, and leachate collected 21 d later (valves closed) was considered CD. In Experiment 2, seven cores were randomly assigned to CD or FD. Liquid dairy manure was applied at 1.2 × 10 L ha, followed by simulated rainfall 2 h later. Leachate was sampled on Day 7, 14, and 21. Deionized water was applied at 3.4 cm h over 1 h to mimic a 10-yr rainfall event. Total P (TP), soluble reactive P (SRP), dissolved oxygen, iron (Fe), and pH were measured. Results showed that TP ( = 0.03) and SRP ( = 0.35) were lower for CD prior to manure application. Manure application caused 36- and 42-fold increases in TP and SRP; however, TP was lower for CD at 7 ( = 0.06), 14 ( = 0.003), and 21 d ( = 0.002) of water retention. Mean SRP for CD was nearly 40-fold lower than FD by Day 7 ( = 0.02) and remained low, suggesting CD in the field may reduce P export risk to tile drain flow after manure applications. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

An experimental study of relative permeability hysteresis, capillary trapping characteristics, and capillary pressure of CO2/brine systems at reservoir conditions

NASA Astrophysics Data System (ADS)

Akbarabadi, Morteza

We present the results of an extensive experimental study on the effects of hysteresis on permanent capillary trapping and relative permeability of CO2/brine and supercritical (sc)CO2+SO2/brine systems. We performed numerous unsteady- and steady-state drainage and imbibition full-recirculation flow experiments in three different sandstone rock samples, i.e., low and high-permeability Berea, Nugget sandstones, and Madison limestone carbonate rock sample. A state-of-the-art reservoir conditions core-flooding system was used to perform the tests. The core-flooding apparatus included a medical CT scanner to measure in-situ saturations. The scanner was rotated to the horizontal orientation allowing flow tests through vertically-placed core samples with about 3.8 cm diameter and 15 cm length. Both scCO2 /brine and gaseous CO2 (gCO2)/brine fluid systems were studied. The gaseous and supercritical CO2/brine experiments were carried out at 3.46 and 11 MPa back pressures and 20 and 55°C temperatures, respectively. Under the above-mentioned conditions, the gCO2 and scCO2 have 0.081 and 0.393 gr/cm3 densities, respectively. During unsteady-state tests, the samples were first saturated with brine and then flooded with CO2 (drainage) at different maximum flow rates. The drainage process was then followed by a low flow rate (0.375 cm 3/min) imbibition until residual CO2 saturation was achieved. Wide flow rate ranges of 0.25 to 20 cm3/min for scCO2 and 0.125 to 120 cm3min for gCO2 were used to investigate the variation of initial brine saturation (Swi) with maximum CO2 flow rate and variation of trapped CO2 saturation (SCO2r) with Swi. For a given Swi, the trapped scCO2 saturation was less than that of gCO2 in the same sample. This was attributed to brine being less wetting in the presence of scCO2 than in the presence of gCO 2. During the steady-state experiments, after providing of fully-brine saturated core, scCO2 was injected along with brine to find the drainage curve and as a consequence the Swi, then it was followed by the imbibition process to measure SCO2r. We performed different cycles of relative permeability experiments to investigate the effect of hysteresis. The Swi and SCO2r varied from 0.525 to 0.90 and 0.34 to 0.081, respectively. Maximum CO2 and brine relative permeabilities at the end of drainage and imbibition and also variation of brine relative permeability due to post-imbibition CO2 dissolution during unsteady-state experiment were also studied. We co-injected SO2 with CO2 and brine into the Madison limestone core sample. The sample was acquired from the Rock Springs Uplift in southwest Wyoming. The temperature and pressure of the experiments were 60°C and 19.16 MPa, respectively. Each drainage-imbibition cycle was followed by a dissolution process to establish Sw=1. The results showed that about 76% of the initial CO2 was trapped by capillary trapping mechanism at the end of imbibition test. We also investigated the scCO2+SO2/brine capillary pressure versus saturation relationship through performing primary drainage, imbibition, and secondary drainage experiments. The results indicated that the wettability of the core sample might have been altered owing to being in contact with the scCO 2+SO2/brine system. During primary drainage CO2 displaced 52.5% of brine, i.e., Swi = 0.475. The subsequent imbibition led to 0.329 CO2 saturation. For all series of experiments, the ratio of SCO2r to initial CO2 saturation (1- S wi) was found to be much higher for low initial CO2 saturations. This means that greater fractions of injected CO2 can be permanently trapped at higher initial brine saturations. The results illustrated that very promising fractions (about 49 to 83 %) of the initial CO2 saturation can be trapped permanently. (Abstract shortened by UMI.).

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.

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.

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.

Deciphering Fluvial-Capture-Induced Erosional Patterns at the Continental Scale on the Iberian Peninsula

NASA Astrophysics Data System (ADS)

Anton, L.; Munoz Martin, A.; De Vicente, G.; Finnegan, N. J.

2017-12-01

The process of river incision into bedrock dictates the landscape response to changes in climate and bedrock uplift in most unglaciated settings. Hence, understanding processes of river incision into bedrock and their topographic signatures are a basic goal of geomorphology. Formerly closed drainage basins provide an exceptional setting for the quantification of long term fluvial dissection and landscape change, making them valuable natural laboratories. Internally drained basins are peculiar because they trap all the sediment eroded within the watershed; as closed systems they do not respond to the base level of the global ocean and deposition is the dominant process. In that context, the opening of an outward drainage involves a sudden lowering of the base level, which is transmitted upstream along fluvial channels in the form of erosional waves, leading to high incision and denudation rates within the intrabasinal areas. Through digital topographic analysis and paleolandscape reconstruction based on relict deposits and landscapes on the Iberian Peninsula, we quantify the volume of sediments eroded from formerly internally drained basins since capture. Mapping of fluvial dissection patterns reveals how, and how far, regional waves of incision have propagated upstream. In our analysis, erosional patterns are consistent with the progressive establishment of an outward drainage system, providing a relative capture chronology for the different studied basins. Divide migration inferred from chi maps supports the interpretations based on fluvial dissection patterns and volumes, providing clues on how landscaped changed and how drainage integration occurred within the studied watersheds. [Funded by S2013/MAE-2739 and CGL2014-59516].

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.

An experience with video-assisted anal fistula treatment (VAAFT) with new insights into the treatment of anal fistulae.

PubMed

Seow-En, I; Seow-Choen, F; Koh, P K

2016-06-01

The aim of this retrospective study was to assess our experience of 41 patients with anal fistulae treated with video-assisted anal fistula treatment (VAAFT). Forty-one consecutive patients with cryptoglandular anal fistulae were included. Patients with low intersphincteric anal fistulae or those with gross perineal abscess were excluded. Eleven (27 %) patients had undergone prior fistula surgery with 5 (12 %) having had three or more previous operations. All patients underwent the diagnostic phase as well as diathermy and curettage of the fistula tracts during VAAFT. Primary healing rate was 70.7 % at a median follow-up of 34 months. Twelve patients recurred or did not heal and underwent a repeat VAAFT procedure utilising various methods of dealing with the internal opening. There was a secondary healing rate of 83 % with two recurrences. Overall, stapling of the internal opening had a 22 % recurrence rate, while anorectal advancement flap had a 75 % failure rate. There was no recurrence seen in six cases after using the over-the-scope-clip (OTSC(®)) system to secure the internal opening. VAAFT is useful in the identification of fistula tracts and enables closure of the internal opening. Adequate closure is essential with the method used to close large or fibrotic internal openings being the determining factor for success or failure. The OTSC system delivered the most consistent result without leaving a substantial perianal wound. Ensuring thorough curettage and drainage of the tract during VAAFT is also important to facilitate healing. We believe that this understanding will bring about a decrease in the high recurrence rates currently seen in many series of anal fistulae.

Modeling variability in porescale multiphase flow experiments

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

Ling, Bowen; Bao, Jie; Oostrom, Mart

Microfluidic devices and porescale numerical models are commonly used to study multiphase flow in biological, geological, and engineered porous materials. In this work, we perform a set of drainage and imbibition experiments in six identical microfluidic cells to study the reproducibility of multiphase flow experiments. We observe significant variations in the experimental results, which are smaller during the drainage stage and larger during the imbibition stage. We demonstrate that these variations are due to sub-porescale geometry differences in microcells (because of manufacturing defects) and variations in the boundary condition (i.e.,fluctuations in the injection rate inherent to syringe pumps). Computational simulationsmore » are conducted using commercial software STAR-CCM+, both with constant and randomly varying injection rate. Stochastic simulations are able to capture variability in the experiments associated with the varying pump injection rate.« less

Multicenter study of endoscopic preoperative biliary drainage for malignant distal biliary obstruction

PubMed Central

Sasahira, Naoki; Hamada, Tsuyoshi; Togawa, Osamu; Yamamoto, Ryuichi; Iwai, Tomohisa; Tamada, Kiichi; Kawaguchi, Yoshiaki; Shimura, Kenji; Koike, Takero; Yoshida, Yu; Sugimori, Kazuya; Ryozawa, Shomei; Kakimoto, Toshiharu; Nishikawa, Ko; Kitamura, Katsuya; Imamura, Tsunao; Mizuide, Masafumi; Toda, Nobuo; Maetani, Iruru; Sakai, Yuji; Itoi, Takao; Nagahama, Masatsugu; Nakai, Yousuke; Isayama, Hiroyuki

2016-01-01

AIM: To determine the optimal method of endoscopic preoperative biliary drainage for malignant distal biliary obstruction. METHODS: Multicenter retrospective study was conducted in patients who underwent plastic stent (PS) or nasobiliary catheter (NBC) placement for resectable malignant distal biliary obstruction followed by surgery between January 2010 and March 2012. Procedure-related adverse events, stent/catheter dysfunction (occlusion or migration of PS/NBC, development of cholangitis, or other conditions that required repeat endoscopic biliary intervention), and jaundice resolution (bilirubin level < 3.0 mg/dL) were evaluated. Cumulative incidence of jaundice resolution and dysfunction of PS/NBC were estimated using competing risk analysis. Patient characteristics and preoperative biliary drainage were also evaluated for association with the time to jaundice resolution and PS/NBC dysfunction using competing risk regression analysis. RESULTS: In total, 419 patients were included in the study (PS, 253 and NBC, 166). Primary cancers included pancreatic cancer in 194 patients (46%), bile duct cancer in 172 (41%), gallbladder cancer in three (1%), and ampullary cancer in 50 (12%). The median serum total bilirubin was 7.8 mg/dL and 324 patients (77%) had ≥ 3.0 mg/dL. During the median time to surgery of 29 d [interquartile range (IQR), 30-39 d]. PS/NBC dysfunction rate was 35% for PS and 18% for NBC [Subdistribution hazard ratio (SHR) = 4.76; 95%CI: 2.44-10.0, P < 0.001]; the pig-tailed tip was a risk factor for PS dysfunction. Jaundice resolution was achieved in 85% of patients and did not depend on the drainage method (PS or NBC). CONCLUSION: PS has insufficient patency for preoperative biliary drainage. Given the drawbacks of external drainage via NBC, an alternative method of internal drainage should be explored. PMID:27076764

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.

Characterize the hydraulic behaviour of grate inlet in urban drainage to prevent the urban's flooding

NASA Astrophysics Data System (ADS)

Tellez Alvarez, Jackson David; Gomez, Manuel; Russo, Beniamino; Redondo, Jose M.

2016-04-01

One of the most important problems that have some cities is the urban floods because of poor drainage design. Therefore the systems the drainage do not have the capacity of capture the flow of discharge generated in a rain event and insert it into the drainage network. Even though the two problems that have caught the main attention are the evaluation of the volumes falling in the river basin because extreme rainfall events often lead to urban pluvial flooding being a hydrologic problem and the hydraulic design of the sewer network being a hydraulic problem to limiting capacity of the drainage system, there is an intermediate step between these two processes that is necessary to solve that is the hydraulic behavior of the grate inlet. We need to collect the runoff produced on the city surface and to introduce it in the sewer network. Normally foundry companies provide complete information about drainage grate structural capacity but provide nothing about their hydraulic capacity. This fact can be seen because at the moment does not exist any official regulation at national or international level in this field. It's obvious that, nowadays, there is a great gap in this field at the legislative level owing to the complexity of this field and the modernity of the urban hydrology as science [1]. In essence, we shows the relevance to know the inlet hydraulic interception capacity because surface drainage requires a satisfactory knowledge on storm frequency, gutter flow and above all inlet capacity. In addition, we development an important achievement is the invention and development of techniques for measurement of field velocities in hydraulics engineering applications. Hence knowledge the technological advances in digital cameras with high resolution and high speed found in the environmental, and the advances in image processing techniques, therefore now is a tremendous potential to obtain of behavior of the water surface flow [2]. A novel technique using particle image velocimetry to measure surface flow velocities has been developed and validated with the experiments assays with the grate inlets [3 - 4]. Indeed, the Methodology carried out can become a useful tools to understand the hydraulics behavior of the flow approaching the inlet where the traditional measuring equipment have serious problems and limitations [5 - 6]. References [1] Gómez, M., Macchione, F. and Russo, B. (2006). Inlet systems and risk criteria associated to street runoff application to urban drainage catchments. 27 Corso di aggiornamiento in techniche per la difesa dall'inquinamento. [2] Russo, B., Gómez, M., & Tellez, J. (2013). Methodology to Estimate the Hydraulic Efficiency of Nontested Continuous Transverse Grates. Journal of Irrigation and Drainage Engineering, 139(10), 864-871. doi:10.1061/(ASCE)IR.1943-4774.0000625 [3] DigiFlow. User Guide. (2012), (June). [4] Vila, T., Tellez, J., Sanchez, J.M., Sotillos, L., Diez, M., and Redondo, J.M. (2014). Diffusion in fractal wakes and convective thermoelectric flows. Geophysical Research Abstracts - EGU General Assembly 2014. [5] Tellez, J., Gómez, M., Russo, B. and Redondo, J.M. (2014). A simple technique to measuring surface flow velocity to analyze the behavior of fields velocities in hydraulics engineer applications. Geophysical Research Abstracts - EGU General Assembly 2015. [6] Tellez, J., Gómez, M. and Russo, B. (2015). Técnica para la obtención del campo de velocidad del flujo superficial en proximidad de rejas de alcantarillado. IV Jornadas de Ingeniería del Agua. La precipitación y los procesos erosivos.

Moderate drop in water table increases peatland vulnerability to post-fire regime shift

PubMed Central

Kettridge, N.; Turetsky, M. R.; Sherwood, J. H.; Thompson, D. K.; Miller, C. A.; Benscoter, B. W.; Flannigan, M. D.; Wotton, B. M.; Waddington, J. M.

2015-01-01

Northern and tropical peatlands represent a globally significant carbon reserve accumulated over thousands of years of waterlogged conditions. It is unclear whether moderate drying predicted for northern peatlands will stimulate burning and carbon losses as has occurred in their smaller tropical counterparts where the carbon legacy has been destabilized due to severe drainage and deep peat fires. Capitalizing on a unique long-term experiment, we quantify the post-wildfire recovery of a northern peatland subjected to decadal drainage. We show that the moderate drop in water table position predicted for most northern regions triggers a shift in vegetation composition previously observed within only severely disturbed tropical peatlands. The combined impact of moderate drainage followed by wildfire converted the low productivity, moss-dominated peatland to a non-carbon accumulating shrub-grass ecosystem. This new ecosystem is likely to experience a low intensity, high frequency wildfire regime, which will further deplete the legacy of stored peat carbon. PMID:25623290

Moderate drop in water table increases peatland vulnerability to post-fire regime shift.

PubMed

Kettridge, N; Turetsky, M R; Sherwood, J H; Thompson, D K; Miller, C A; Benscoter, B W; Flannigan, M D; Wotton, B M; Waddington, J M

2015-01-27

Northern and tropical peatlands represent a globally significant carbon reserve accumulated over thousands of years of waterlogged conditions. It is unclear whether moderate drying predicted for northern peatlands will stimulate burning and carbon losses as has occurred in their smaller tropical counterparts where the carbon legacy has been destabilized due to severe drainage and deep peat fires. Capitalizing on a unique long-term experiment, we quantify the post-wildfire recovery of a northern peatland subjected to decadal drainage. We show that the moderate drop in water table position predicted for most northern regions triggers a shift in vegetation composition previously observed within only severely disturbed tropical peatlands. The combined impact of moderate drainage followed by wildfire converted the low productivity, moss-dominated peatland to a non-carbon accumulating shrub-grass ecosystem. This new ecosystem is likely to experience a low intensity, high frequency wildfire regime, which will further deplete the legacy of stored peat carbon.

Widespread Moulin Formation During Supraglacial Lake Drainages in Greenland

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

Hoffman, Matthew J.; Perego, Mauro; Andrews, Lauren C.

Moulins permit access of surface meltwater to the glacier bed, causing basal lubrication and ice speedup in the ablation zone of western Greenland during summer. In spite of the substantial impact of moulins on ice dynamics, the conditions under which they form are poorly understood. We assimilate a time series of ice surface velocity from a network of eleven Global Positioning System receivers into an ice sheet model to estimate ice sheet stresses during winter, spring, and summer in a ~30 × 10 km region. Surface-parallel von Mises stress increases slightly during spring speedup and early summer, sufficient to allowmore » formation of 16% of moulins mapped in the study area. Conversely, 63% of moulins experience stresses over the tensile strength of ice during a short (hours) supraglacial lake drainage event. Lake drainages appear to control moulin density, which is itself a control on subglacial drainage efficiency and summer ice velocities.« less

Measure Guideline: Guidance on Taped Insulating Sheathing Drainage Planes

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

Grin, A.; Lstiburek, J.

The goal of this research is to provide durable and long-term water management solutions using exterior insulating sheathing as part of the water management system. It is possible to tape or seal the joints in insulating sheathing to create a drainage plane and even an air control layer. There exists the material durability component of the tape as well as the system durability component being the taped insulating sheathing as the drainage plane. This measure guideline provides best practice and product recommendations from the interviewed contractors and homebuilders who collectively have a vast amount of experience. Three significant issues weremore » discussed with the group, which are required to make taped insulating sheathing a simple, long-term, and durable drainage plane: horizontal joints should be limited or eliminated wherever possible; where a horizontal joint exists use superior materials; and frequent installation inspection and regular trade training are required to maintain proper installation.« less

Control of acid drainage from fresh coal refuse: food preservatives as economical alternatives to detergents

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

Onysko, S.J.; Erickson, P.M.; Kleinmann, R.L.P.

Water soluble detergents such as sodium lauryl sulfate (SLS), which can sorb to pyritic materials, have been successfully used by the mining industry for acid drainage prevention in coal refuse. Detergent control of acid drainage from refuse may be uneconomical, however, at sites where extensive rainfall or groundwater movement results in rapid SLS washout. In this study, the performance of two alternative acid control chemicals, sodium benzoate and potassium sorbate, was compared with the performance of SLS in pilot-scale experiments with extensively leached, fresh coal refuse. Chemical cost information is presented that indicates low benzoate and sorbate doses were moremore » economical than comparable SLS doses under the experimental conditions of the study. The unique environmental compatibility of benzoate and sorbate, which are used in food and beverages in concentrations greater than those reported in this study for acid drainage suppression, is also discussed.« less

Widespread Moulin Formation During Supraglacial Lake Drainages in Greenland

DOE PAGES

Hoffman, Matthew J.; Perego, Mauro; Andrews, Lauren C.; ...

2018-01-17

Moulins permit access of surface meltwater to the glacier bed, causing basal lubrication and ice speedup in the ablation zone of western Greenland during summer. In spite of the substantial impact of moulins on ice dynamics, the conditions under which they form are poorly understood. We assimilate a time series of ice surface velocity from a network of eleven Global Positioning System receivers into an ice sheet model to estimate ice sheet stresses during winter, spring, and summer in a ~30 × 10 km region. Surface-parallel von Mises stress increases slightly during spring speedup and early summer, sufficient to allowmore » formation of 16% of moulins mapped in the study area. Conversely, 63% of moulins experience stresses over the tensile strength of ice during a short (hours) supraglacial lake drainage event. Lake drainages appear to control moulin density, which is itself a control on subglacial drainage efficiency and summer ice velocities.« less

Widespread Moulin Formation During Supraglacial Lake Drainages in Greenland

NASA Astrophysics Data System (ADS)

Hoffman, Matthew J.; Perego, Mauro; Andrews, Lauren C.; Price, Stephen F.; Neumann, Thomas A.; Johnson, Jesse V.; Catania, Ginny; Lüthi, Martin P.

2018-01-01

Moulins permit access of surface meltwater to the glacier bed, causing basal lubrication and ice speedup in the ablation zone of western Greenland during summer. Despite the substantial impact of moulins on ice dynamics, the conditions under which they form are poorly understood. We assimilate a time series of ice surface velocity from a network of eleven Global Positioning System receivers into an ice sheet model to estimate ice sheet stresses during winter, spring, and summer in a ˜30 × 10 km region. Surface-parallel von Mises stress increases slightly during spring speedup and early summer, sufficient to allow formation of 16% of moulins mapped in the study area. In contrast, 63% of moulins experience stresses over the tensile strength of ice during a short (hours) supraglacial lake drainage event. Lake drainages appear to control moulin density, which is itself a control on subglacial drainage efficiency and summer ice velocities.

Removal of selenium from contaminated agricultural drainage water by nanofiltration membranes

USGS Publications Warehouse

Kharaka, Y.K.; Ambats, G.; Presser, T.S.; Davis, R.A.

1996-01-01

Seleniferous agricultural drainage wastewater has become a new major source of pollution in the world. In the USA, large areas of farmland in 17 western states, generate contaminated salinized drainage with Se concentrations much higher than 5 ??g/l, the US Environmental Protection Agency water-quality criterion for the protection of aquatic life; Se values locally reach 4200 ??g/l in western San Joaquin Valley, California. Wetland habitats receiving this drainage have generally shown Se toxicosis in aquatic birds causing high rates of embryonic deformity and mortality, or have indicated potential ecological damage. Results of our laboratory flow experiments indicate that nanofiltration, the latest membrane separation technology, can selectively remove > 95% of Se and other multivalent anions from > 90% of highly contaminated water from the San Joaquin Valley, California. Such membranes yield greater water output and require lower pressures and less pretreatment, and therefore, are more cost effective than traditional reverse osmosis membranes. Nanofiltration membranes offer a potential breakthrough for the management of Se contaminated wastes not only from agricultural drainage, but from other sources also.

Pore Size Distributions Inferred from Modified Inversion Percolation Modeling of Drainage Curves

NASA Astrophysics Data System (ADS)

Dralus, D. E.; Wang, H. F.; Strand, T. E.; Glass, R. J.; Detwiler, R. L.

2005-12-01

Experiments have been conducted of drainage in sand packs. At equilibrium, the interface between the fluids forms a saturation transition fringe where the saturation decreases monotonically with height. This behavior was observed in a 1-inch thick pack of 20-30 sand contained front and back within two thin, 12-inch-by-24-inch glass plates. The translucent chamber was illuminated from behind by a bank of fluorescent bulbs. Acquired data were in the form of images captured by a CCD camera with resolution on the grain scale. The measured intensity of the transmitted light was used to calculate the average saturation at each point in the chamber. This study used a modified invasion percolation (MIP) model to simulate the drainage experiments to evaluate the relationship between the saturation-versus-height curve at equilibrium and the pore size distribution associated with the granular medium. The simplest interpretation of a drainage curve is in terms of a distribution of capillary tubes whose radii reproduce the the observed distribution of rise heights. However, this apparent radius distribution obtained from direct inversion of the saturation profile did not yield the assumed radius distribution. Further investigation demonstrated that the equilibrium height distribution is controlled primarily by the Bond number (ratio of gravity to capillary forces) with some influence from the width of the pore radius distribution. The width of the equilibrium fringe is quantified in terms of the ratio of Bond number to the standard deviation of the pore throat distribution. The normalized saturation-vs-height curves exhibit a power-law scaling behavior consistent with both Brooks-Corey and Van Genuchten type curves. Fundamental tenets of percolation theory were used to quantify the relationship between the apparent and actual radius distributions as a function of the mean coordination number and of the ratio of Bond number to standard deviation, which was supported by both MIP simulations and corresponding drainage experiments.

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.

Vitreoretinal surgery without schisis cavity excision for the management of juvenile X linked retinoschisis.

PubMed

García-Arumí, J; Corcóstegui, I A; Navarro, R; Zapata, M A; Berrocal, M H

2008-11-01

Juvenile X linked retinoschisis (XLRS) is a congenital X linked recessive retinal disorder characterised by cystic maculopathy and peripheral schisis. This study presents the case of an 8-month-old boy with a documented positive family history of XLRS, with a large retinoschisis cavity affecting the macula, first in the left eye and 1 year later in the right eye. The patient underwent pars plana vitrectomy in both eyes using 23-G instruments, posterior hyaloid dissection, a small retinotomy, fluid drainage with a 42-G cannula, infrared diode laser and silicone oil as internal tamponade. The anatomical and functional outcomes at 3 years following the first surgery are described. To the authors' knowledge, there is no previously reported experience with this technique in patients with XLRS.

Pancreatic mediastinal pseudocyst: report of two cases simulating intrathoracic disease.

PubMed

Ahmad, N; Auld, C D; Lawrence, J R; Watson, G D

1991-10-01

Mediastinal pseudocysts of the pancreas are extremely rare. Intra-thoracic symptoms such as dysphagia or dyspnoea due to compression or associated pleural effusions are common and urgent decompression by percutaneous or internal drainage is often necessary.

Retroperitoneal laparoscopic dismembered pyeloplasty with a novel technique of JJ stenting in children.

PubMed

Yu, Jianhua; Wu, Zhonghua; Xu, Youming; Li, Zhuo; Wang, Jiansong; Qi, Fan; Chen, Xiang

2011-09-01

• To report our experience with retroperitoneal laparoscopic dismembered pyeloplasty for pelvi-ureteric junction (PUJ) obstruction in children. • Between March 2007 and December 2009, 38 children with PUJ obstruction (mean age 8.3 years, range 3-14) underwent retroperitoneal laparoscopic dismembered pyeloplasty. • A ureteric catheter was inserted into the mid-ureter cystoscopically. During pyeloplasty, the proximal end of the ureteric catheter was extracorporeally sutured to the distal end of the JJ stent with silk. • The ureteric catheter was then pulled down and the stent was pulled antegrade into the ureter and bladder. • The approach was retroperitoneal in all patients except one who required open conversion. The overall mean operative time was 162 min (range 145-210 min) and this appeared to decrease with experience. Mean hospital stay was 4 days (range 3-7 days). • Mean follow-up was 20.2 months (range 6-32 months). Satisfactory drainage with decreased hydronephrosis was documented in all patients on ultrasonography and intravenous urography. • Our study shows that retroperitoneal laparoscopic dismembered pyeloplasty is a feasible and effective alternative to open pyeloplasty with a relatively minimal complication rate in children 3 years of age and older, but it should be undertaken by experienced laparoscopic surgeons. © 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

The role of CT-guided percutaneous drainage of loculated air collections: an institutional experience.

PubMed

Patel, Bhavik N; Morgan, Madeline; Tyler, Douglas; Paulson, Erik; Jaffe, Tracy A

2015-10-01

The purpose of this study is to describe our experience with the role of CT-guided percutaneous drainage of loculated intra-abdominal collections consisting entirely of gas. An IRB-approved retrospective study analyzing patients with air-only intra-abdominal collections over an 8-year period was undertaken. Seven patients referred for percutaneous drainage were included. Size of collections, subsequent development of fluid, and microbiological yield were determined. Clinical outcome was also analyzed. Out of 2835 patients referred for percutaneous drainage between 2004 and 2012, seven patients (5M, 2F; average age 63, range 54-85) met criteria for inclusion with CT showing air-only collections. Percutaneous drain placement (five 8 Fr, one 10 Fr, and one 12 Fr) using Seldinger technique was performed. Four patients (57%) had recently undergone surgery (2 Whipple, 1 colectomy, 1 hepatic resection) while two (29%) had a remote surgery (1 abdominoperineal resection, 1 sigmoidectomy). Despite the lack of detectable fluid on the original CT, 6 patients (86%) had air and fluid aspirated at drainage, 5 (83%) of the aspirates developed positive microbacterial cultures. Four patients (57%) presented with fever at the time of the initial scan, all of whom had positive cultures from aspirated fluid. Four patients (57%) had leukocytosis, all of whom had positive cultures from aspirated fluid. Although relatively rare in occurrence, patients with air-only intra-abdominal collections with signs of infection should be considered for percutaneous management similar to that of conventional infected fluid collections. Although fluid is not visible on CT, these collections can produce fluid that contains organisms.

Past, present, and future design of urban drainage systems with focus on Danish experiences.

PubMed

Arnbjerg-Nielsen, K

2011-01-01

Climate change will influence the water cycle substantially, and extreme precipitation will become more frequent in many regions in the years to come. How should this fact be incorporated into design of urban drainage systems, if at all? And how important is climate change compared to other changes over time? Based on an analysis of the underlying key drivers of changes that are expected to affect urban drainage systems the current problems and their predicted development over time are presented. One key issue is management of risk and uncertainties and therefore a framework for design and analysis of urban structures in light of present and future uncertainties is presented.

Update on the Caspar Creek watershed study

Treesearch

Peter Cafferata

1987-01-01

Readers of this Newsletter are aware that CDF and the USFS, through its Pacific Southwest Forest and Range Experiment Stationa at Arcata (PSW), are carrying out a long term cooperative watershed experiment in JDSF's Caspar Creek drainage.

[Endoscopic realignment with drainage via a peel-away sheath for the treatment of urethral rupture: A report of 21 cases].

PubMed

Han, Cong-Xiang; Xu, Wei-Jie; Li, Wei; Yu, Zhong-Ying; Li, Jin-Yu; Lin, Xia-Cong; Zhao, Li

2016-07-01

To study the clinical effect endoscopic realignment with drainage via a peel-away sheath in the treatment of urethral rupture. We treated 21 urethral rupture patients by endoscopic realignment with drainage via a peel-away sheath using normal saline for irrigation under the normal nephroscope or Li Xun nephroscope, followed by analysis of the clinical results. The operation was successfully accomplished in 20 cases but failed in 1 and none experienced urinary extravasation. In the 14 cases of bulbar urethral rupture, the mean operation time was (5.1±1.6) min and the mean Foley catheter indwelling time was (26.0±5.1) d. Urethral stricture developed in 57.1% (8/14) of the cases after catheter removal, of which 1 was cured by internal urethrotomy and the other 7 by urethral sound dilation, with an average maximum urinary flow rate of (18.8±1.8) ml/s at 12 months after operation. In the 6 cases of posterior urethral rupture, the mean operation time was (15.8±7.5) min and the mean Foley catheter indwelling time was 8 weeks. Urethral stricture developed in all the 6 cases after catheter removal, of which 3 cases were cured by urethral dilation, 1 by internal urethrotomy, and 2 by open urethroplasty. The average maxium urinary flow rate of the 4 cases exempt from open surgery was (17.9±1.9) ml/s at 12 months after operation. Endoscopic realignment with drainage via a peel-away sheath can keep the operative field clear, avoid intraoperative rinse extravasation, shorten the operation time, improve the operation success rate, and achieve satisfactory early clinical outcomes in the treatment of either bulbar or posterior urethral rupture.

Synthesis of natural flows at selected sites in and near the Milk River basin, Montana, 1928-89

USGS Publications Warehouse

Cary, L.E.; Parrett, Charles

1995-01-01

Natural monthly streamflows were synthesized for the years 1928-89 at 2 sites in the St. Mary River Basin and 11 sites in the Milk River Basin in north- central Montana. The sites are represented as nodes in a streamflow accounting model being developed by the Bureau of Reclamation for the Milk River Basin. Recorded flows at most sites have been affected by human activities, including reservoir storage and irrigation diversions. The flows at the model nodes were corrected for the effects of these activities to obtain synthesized flows. The synthesized flows at nodes with seasonal and short-term records were extended using a statistical technique. The methods of synthesis varied, depending on upstream activities and information available. Flows at sites in the St. Mary River Basin and at the Milk River at Eastern Crossing of International Boundary pre- viously had been synthesized. The flows at mainstem sites downstream from the Milk River at Eastern Crossing were synthesized by adding synthesized natural runoff from intervening drainage areas to natural flows for Milk River at Eastern Crossing. Natural runoff from intervening drainage areas was estimated by multiplying recorded flows at selected index gaging stations on tributary streams by the ratio of the intervening drainage area to the combined drainage area of the index stations. The recorded flows for Milk River at Western Crossing of International Boundary and for Peoples Creek near Dodson, Montana, were assumed to be natural flows. The synthesized annual flows at the mouth of the Milk River compared favorably with the recorded flows near the mouth when the effects of upstream irrigation were considered.

Percutaneous Transhepatic Biliary Drainage in the Management of Postsurgical Biliary Leaks in Patients with Nondilated Intrahepatic Bile Ducts

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

Cozzi, Guido, E-mail: guido.cozzi@istitutotumori.mi.it; Severini, Aldo; Civelli, Enrico

2006-06-15

Purpose. To assess the feasibility of percutaneous transhepatic biliary drainage (PTBD) for the treatment of postsurgical biliary leaks in patients with nondilated intrahepatic bile ducts, its efficacy in restoring the integrity of bile ducts, and technical procedures to reduce morbidity. Methods. Seventeen patients out of 936 undergoing PTBD over a 20-year period had a noncholestatic liver and were retrospectively reviewed. All patients underwent surgery for cancer and suffered a postsurgical biliary leak of 345 ml/day on average; 71% were in poor condition and required permanent nutritional support. An endoscopic approach failed or was excluded due to inaccessibility of the bilemore » ducts. Results. Established biliary leaks and site of origin were diagnosed an average of 21 days (range 1-90 days) after surgery. In all cases percutaneous access to the biliary tree was achieved. An external (preleakage) drain was applied in 7 cases, 9 patients had an external-internal fistula bridging catheter, and 1 patient had a percutaneous hepatogastrostomy. Fistulas healed in an average of 31 days (range 3-118 days ) in 15 of 17 patients (88%) following PTBD. No major complications occurred after drainage. Post-PTBD cholangitis was observed in 6 of 17 patients (35%) and was related to biliary sludge formation occurring mostly when drainage lasted >30 days and was of the external-internal type. Median patient survival was 17.7 months and in all cases the repaired biliary leaks remained healed. Conclusions. PTBD is a feasible, effective, and safe procedure for the treatment of postsurgical biliary leaks. It is therefore a reliable alternative to surgical repair, which entails longer hospitalization and higher costs.« less

Endoscopic ultrasound-guided transluminal drainage for peripancreatic fluid collections: where are we now?

PubMed

Kawakami, Hiroshi; Itoi, Takao; Sakamoto, Naoya

2014-07-01

Endoscopic drainage for pancreatic and peripancreatic fluid collections (PFCs) has been increasingly used as a minimally invasive alternative to surgical or percutaneous drainage. Recently, endoscopic ultrasound-guided transluminal drainage (EUS-TD) has become the standard of care and a safe procedure for nonsurgical PFC treatment. EUS-TD ensures a safe puncture, avoiding intervening blood vessels. Single or multiple plastic stents (combined with a nasocystic catheter) were used for the treatment of PFCs for EUS-TD. More recently, the use of covered self-expandable metallic stents (CSEMSs) has provided a safer and more efficient approach route for internal drainage. We focused our review on the best approach and stent to use in endoscopic drainage for PFCs. We reviewed studies of EUS-TD for PFCs based on the original Atlanta Classification, including case reports, case series, and previous review articles. Data on clinical outcomes and adverse events were collected retrospectively. A total of 93 patients underwent EUS-TD of pancreatic pseudocysts using CSEMSs. The treatment success and adverse event rates were 94.6% and 21.1%, respectively. The majority of complications were of mild severity and resolved with conservative therapy. A total of 56 patients underwent EUS-TD using CSEMSs for pancreatic abscesses or infected walled-off necroses. The treatment success and adverse event rates were 87.8% and 9.5%, respectively. EUS-TD can be performed safely and efficiently for PFC treatment. Larger diameter CSEMSs without additional fistula tract dilation for the passage of a standard scope are needed to access and drain for PFCs with solid debris.

Rapidly changing subglacial hydrological pathways at a tidewater glacier revealed through simultaneous observations of water pressure, supraglacial lakes, meltwater plumes and surface velocities

NASA Astrophysics Data System (ADS)

How, Penelope; Benn, Douglas I.; Hulton, Nicholas R. J.; Hubbard, Bryn; Luckman, Adrian; Sevestre, Heïdi; van Pelt, Ward J. J.; Lindbäck, Katrin; Kohler, Jack; Boot, Wim

2017-11-01

Subglacial hydrological processes at tidewater glaciers remain poorly understood due to the difficulty in obtaining direct measurements and lack of empirical verification for modelling approaches. Here, we investigate the subglacial hydrology of Kronebreen, a fast-flowing tidewater glacier in Svalbard during the 2014 melt season. We combine observations of borehole water pressure, supraglacial lake drainage, surface velocities and plume activity with modelled run-off and water routing to develop a conceptual model that thoroughly encapsulates subglacial drainage at a tidewater glacier. Simultaneous measurements suggest that an early-season episode of subglacial flushing took place during our observation period, and a stable efficient drainage system effectively transported subglacial water through the northern region of the glacier tongue. Drainage pathways through the central and southern regions of the glacier tongue were disrupted throughout the following melt season. Periodic plume activity at the terminus appears to be a signal for modulated subglacial pulsing, i.e. an internally driven storage and release of subglacial meltwater that operates independently of marine influences. This storage is a key control on ice flow in the 2014 melt season. Evidence from this work and previous studies strongly suggests that long-term changes in ice flow at Kronebreen are controlled by the location of efficient/inefficient drainage and the position of regions where water is stored and released.

Validation of model predictions of pore-scale fluid distributions during two-phase flow

NASA Astrophysics Data System (ADS)

Bultreys, Tom; Lin, Qingyang; Gao, Ying; Raeini, Ali Q.; AlRatrout, Ahmed; Bijeljic, Branko; Blunt, Martin J.

2018-05-01

Pore-scale two-phase flow modeling is an important technology to study a rock's relative permeability behavior. To investigate if these models are predictive, the calculated pore-scale fluid distributions which determine the relative permeability need to be validated. In this work, we introduce a methodology to quantitatively compare models to experimental fluid distributions in flow experiments visualized with microcomputed tomography. First, we analyzed five repeated drainage-imbibition experiments on a single sample. In these experiments, the exact fluid distributions were not fully repeatable on a pore-by-pore basis, while the global properties of the fluid distribution were. Then two fractional flow experiments were used to validate a quasistatic pore network model. The model correctly predicted the fluid present in more than 75% of pores and throats in drainage and imbibition. To quantify what this means for the relevant global properties of the fluid distribution, we compare the main flow paths and the connectivity across the different pore sizes in the modeled and experimental fluid distributions. These essential topology characteristics matched well for drainage simulations, but not for imbibition. This suggests that the pore-filling rules in the network model we used need to be improved to make reliable predictions of imbibition. The presented analysis illustrates the potential of our methodology to systematically and robustly test two-phase flow models to aid in model development and calibration.

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/

How large is the Upper Indus Basin? The pitfalls of auto-delineation using DEMs

NASA Astrophysics Data System (ADS)

Khan, Asif; Richards, Keith S.; Parker, Geoffrey T.; McRobie, Allan; Mukhopadhyay, Biswajit

2014-02-01

Extraction of watershed areas from Digital Elevation Models (DEMs) is increasingly required in a variety of environmental analyses. It is facilitated by the availability of DEMs based on remotely sensed data, and by Geographical Information System (GIS) software. However, accurate delineation depends on the quality of the DEM and the methodology adopted. This paper considers automated and supervised delineation in a case study of the Upper Indus Basin (UIB), Pakistan, for which published estimates of the basin area show significant disagreement, ranging from 166,000 to 266,000 km2. Automated delineation used ArcGIS Archydro and hydrology tools applied to three good quality DEMs (two from SRTM data with 90m resolution, and one from 30m resolution ASTER data). Automatic delineation defined a basin area of c.440,000 km2 for the UIB, but included a large area of internal drainage in the western Tibetan Plateau. It is shown that discrepancies between different estimates reflect differences in the initial extent of the DEM used for watershed delineation, and the unchecked effect of iterative pit-filling of the DEM (going beyond the filling of erroneous pixels to filling entire closed basins). For the UIB we have identified critical points where spurious addition of catchment area has arisen, and use Google Earth to examine the geomorphology adjacent to these points, and also examine the basin boundary data provided by the HydroSHEDS database. We show that the Pangong Tso watershed and some other areas in the western Tibetan plateau are not part of the UIB, but are areas of internal drainage. Our best estimate of the area of the Upper Indus Basin (at Besham Qila) is 164,867 km2 based on the SRTM DEM, and 164,853 km2 using the ASTER DEM). This matches the catchment area measured by WAPDA SWHP. An important lesson from this investigation is that one should not rely on automated delineation, as iterative pit-filling can produce spurious drainage networks and basins, when there are areas of internal drainage nearby.

Sentinel lymph node mapping in breast cancer: a critical reappraisal of the internal mammary chain issue.

PubMed

Manca, G; Volterrani, D; Mazzarri, S; Duce, V; Svirydenka, A; Giuliano, A; Mariani, G

2014-06-01

Although, like the axilla, the internal mammary nodes (IMNs) are a first-echelon nodal drainage site in breast cancer, the importance of their treatment has long been debated. Seminal randomized trials have failed to demonstrate a survival benefit from surgical IMN dissection, and several retrospective studies have shown that IMNs are rarely the first site of recurrence. However, the recent widespread adoption of sentinel lymph node (SLN) biopsy has stimulated a critical reappraisal of such early results. Furthermore, the higher proportion of screening-detected cancers, improved imaging and techniques (i.e., lymphoscintigraphy for radioguided SLN biopsy) make it possible to visualize lymphatic drainage to the IMNs. The virtually systematic application of adjuvant systemic and/or loco-regional radiotherapy encourages re-examination of the significance of IMN metastases. Moreover, randomized trials testing the value of postmastectomy irradiation and a meta-analysis of 78 randomized trials have provided high levels of evidence that local-regional tumor control is associated with long-term survival improvements. This benefit was limited to trials that used systemic chemotherapy, which was not routinely administered in the earlier studies. However, the contribution from IMN treatment is unclear. Lymphoscintigraphic studies have shown that a significant proportion of breast cancers have primary drainage to the IMNs, including approximately 30% of medial tumors and 15% of lateral tumors. In the few studies where IMN biopsy was performed, 20% of sentinel IMNs were metastatic. The risk of IMN involvement is higher in patients with medial tumors and positive axillary nodes. IMN metastasis has prognostic significance, as recognized by its inclusion in the American Joint Committee on Cancer staging criteria, and seems to have similar prognostic importance as axillary nodal involvement. Although routine IMN evaluation might be indicated, it has not been routinely performed, perhaps because IMN drainage with lymphoscintigraphy is more difficult to demonstrate than axillary drainage. This difference is due to technical reasons and not the absence of lymphatics to the IMN. Recent anatomical studies have confirmed a model of breast lymphatic drainage that comprises superficial, deep and perforating systems. The superficial system drains to the axilla, usually to a lymph node posterior to the pectoralis minor muscle. The deep system drains to the axilla and also anastomoses with the perforating system which drains to the IMNs. The perforating system does not connect with the superficial system. The prevalence of IMN drainage tends to reflect the method of lymphoscintigraphy, where peritumoral (deep lymphatic system) injections have a much higher likelihood of IMN drainage than subareolar or subdermal (superficial lymphatic system) injections. The fused SPECT/CT images represent a further technical solution to increase the identification of IMNs and consequently can significantly reduce the false negative rate of sentinel lymph node biopsy. Before mature results from current and future randomized trials assessing the benefit of IMN irradiation become available, lymphoscintigraphy and IMNs biopsy may be used to guide decisions regarding systemic and local-regional treatment. However, even in patients with visualized primary IMN drainage, the potential benefit of treatment should be balanced against the risk of added morbidity.

The application of remote sensing technology to the solution of problems in the management of resources in Indiana

NASA Technical Reports Server (NTRS)

Weismiller, R. A.; Mroczynski, R. P. (Principal Investigator)

1978-01-01

The author has identified the following significant results. Of the sampling techniques considered, a combination soil mapping and area sampling offered the most practical method for gathering soils data. Using the dot grid count, a relative percentage composition of soils can be calculated for each spectral class. From these percentages, a legend describing the dominant soils and inclusions can be developed. Interval drainage class seemed to be correlated with magnitude. For every parent material area, the more poorly drained soils had a lower magnitude of reflectance. Soil spectral classes seemed to be predominantly one internal drainage class.

Micro-scale elemental partition in tissues of the aquatic plant Lemna minor L. exposed to highway drainage water

NASA Astrophysics Data System (ADS)

Mendes Godinho, R.; Raimundo, J.; Vale, C.; Anes, B.; Brito, P.; Alves, L. C.; Pinheiro, T.

2013-07-01

In the scope of a monitoring program to assess the environmental impact of automobile traffic over one main bridge in Lisbon, both water and duckweed (Lemna minor L.) were sampled from the road drainage tanks and analyzed for chemical elements. Plants uptake Cr, Mn, Cu, and Zn metals from rain water draining the bridge road. Nuclear microprobe elemental maps of cryosections of L. minor tissues showed that incorporated elements were internalized in fronds of the plant. This approach at micrometer level allows a better knowledge of the elemental tissue partitioning in this biomonitor organism.

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.

Experimental research of gas shale electrical properties by NMR and the combination of imbibition and drainage

NASA Astrophysics Data System (ADS)

Dong, Xu; Sun, Jianmeng; Li, Jun; Gao, Hui; Liu, Xuefeng; Wang, Jinjie

2015-08-01

Gas shale has shown considerable force in gas production worldwide, but little attention has been paid to its electrical properties, which are essential for reservoir evaluation and differentiating absorbed gas and free gas. In this study, experiments are designed to research water saturation establishment methods and electrical properties of gas shale. Nuclear magnetic resonance (NMR) with short echo space (TE) is used to identify water saturation and distribution of saturated pores which contribute to the conductivity. The experimental results indicate that NMR with shorter TE can estimate porosity and fluid distribution better than NMR with longer TE. A full range of water saturation is established by the combination of new-type spontaneous imbibition and semi-permeable plate drainage techniques. Spontaneous imbibition gains water saturation from 0% to near irreducible water saturation, and, semi-permeable plate drainage desaturates from 100% to irreducible water saturation. The RI-Sw curve shows a nonlinear relationship, and can be divided into three parts with different behaviors. The comparative analysis of transverse relaxation time (T2) distribution and RI-Sw curves, indicates that free water, and water trapped by capillarity in the non-clay matrix, differ in terms of electrical conductivity from water absorbed in clay. The new experiments prove the applicability of imbibition, drainage and NMR in investigating electrical properties of gas shale and differentiating fluid distribution which makes contribution to conductivity.

Long Duration Exposure Facility (LDEF) preliminary findings: LEO space effects on the space plasma-voltage drainage experiment

NASA Technical Reports Server (NTRS)

Blakkolb, Brian K.; Yaung, James Y.; Henderson, Kelly A.; Taylor, William W.; Ryan, Lorraine E.

1992-01-01

The Space Plasma-High Voltage Drainage Experiment (SP-HVDE) provided a unique opportunity to study long term space environmental effects on materials because it was comprised of two identical experimental trays; one tray located on the ram facing side (D-10), and the other on the wake facing side (B-4) of the LDEF. This configuration allows for the comparison of identical materials exposed to two distinctly different environments. The purpose of this work is to document an assessment of the effects of five and three quarters years of low Earth orbital space exposure on materials comprising the SP-HVDE (experiment no. A0054). The findings of the materials investigation reported focus on atomic oxygen effects, micrometeor and debris impact site documentation, thermal property measurements, and environmentally induced contamination.

Digital and smart chest drainage systems to monitor air leaks: the birth of a new era?

PubMed

Cerfolio, Robert J; Varela, Gonzalo; Brunelli, Alessandro

2010-08-01

Recently, several companies have manufactured and commercialized new pleural drainage units that incorporate electronic components for the digital quantification of air through chest tubes and, in some instances, pleural pressure assessment. The goal of these systems is to objectify this previously subjective bedside clinical parameter and allow for more objective, consistent measurement of air leaks. The belief is this will lead to quicker and more accurate chest tube management. In addition, some systems feature portable suction devices. These may afford earlier mobilization of patients because the pleural drainage chamber is attached to a battery-powered smart suction device. In this article we review the clinical experiences using these new devices. Copyright 2010 Elsevier Inc. All rights reserved.

The application of Mike Urban model in drainage and waterlogging in Lincheng county, China

NASA Astrophysics Data System (ADS)

Luan, Qinghua; Zhang, Kun; Liu, Jiahong; Wang, Dong; Ma, Jun

2018-06-01

Recently, the water disaster in cities especially in Chinese mountainous cities is more serious, due to the coupling influences of waterlogging and regional floods. It is necessary to study the surface runoff process of mountainous cities and examine the regional drainage pipeline network. In this study, the runoff processes of Lincheng county (located in Hebei province, China) in different scenarios were simulated through Mike Urban model. The results show that all of the runoff process of the old town and the new residential area with larger slope, is significant and full flow of these above zones exists in the part of the drainage pipeline network; and the overflow exists in part of the drainage pipeline network when the return period is ten years or twenty years, which illuminates that the waterlogging risk in this zone of Lincheng is higher. Therefore, remodeling drainage pipeline network in the old town of Lincheng and adding water storage ponds in the new residential areas were suggested. This research provides both technical support and decision-making reference to local storm flood management, also give the experiences for the study on the runoff process of similar cities.

Modeling the effects of tile drain placement on the hydrologic function of farmed prairie wetlands

USGS Publications Warehouse

Werner, Brett; Tracy, John; Johnson, W. Carter; Voldseth, Richard A.; Guntenspergen, Glenn R.; Millett, Bruce

2016-01-01

The early 2000s saw large increases in agricultural tile drainage in the eastern Dakotas of North America. Agricultural practices that drain wetlands directly are sometimes limited by wetland protection programs. Little is known about the impacts of tile drainage beyond the delineated boundaries of wetlands in upland catchments that may be in agricultural production. A series of experiments were conducted using the well-published model WETLANDSCAPE that revealed the potential for wetlands to have significantly shortened surface water inundation periods and lower mean depths when tile is placed in certain locations beyond the wetland boundary. Under the soil conditions found in agricultural areas of South Dakota in North America, wetland hydroperiod was found to be more sensitive to the depth that drain tile is installed relative to the bottom of the wetland basin than to distance-based setbacks. Because tile drainage can change the hydrologic conditions of wetlands, even when deployed in upland catchments, tile drainage plans should be evaluated more closely for the potential impacts they might have on the ecological services that these wetlands currently provide. Future research should investigate further how drainage impacts are affected by climate variability and change.

Altered peat hydrophysical properties following drainage and wildfire increases peatland vulnerability to ecosystem regime shift

NASA Astrophysics Data System (ADS)

Waddington, James; Kettridge, Nick; Sherwood, James; Granath, Gustaf

2015-04-01

Northern peatlands represent a globally significant carbon reservoir, composed largely of legacy carbon which is no longer part of the active carbon cycle. However, it is unclear whether this legacy carbon is vulnerable as a result of enhanced peat smouldering and combustion under the moderate drying conditions predicted for northern peatlands as a result of climate change and/or disturbance from forestry, mining, and associated transport development. A significant loss in legacy carbon as a result of wildfire has already been observed in smaller tropical peatlands where deep peat soils have been destabilized due to severe drainage and a shift in vegetation. Capitalizing on a unique long-term experiment, we quantify the post-wildfire recovery of a northern peatland several decades post drainage. We show that the moderate drop in water table position predicted for most northern regions triggers a shift in vegetation composition, previously observed within only severely disturbed tropical peatlands, when accompanied by wildfire. The combined impact of moderate drainage followed by wildfire resulted in a shift of the peat surface down the peat profile, exposing denser peat at the surface. In undisturbed northern peatlands where depth of burn is typically low, low-density near-surface peats help regulate water-table position and near-surface moisture availability post-fire, both of which are favourable to Sphagnum recolonization. As a result of drainage and fire at the study site, the self-regulating properties of the low-density Sphagnum surface were lost. We demonstrate that changes in peat hydrophysical properties increased hydrological limitations to Sphagnum recovery leading to the conversion to a non-carbon accumulating shrub-grass ecosystem. This new ecosystem is likely to experience a low intensity, high frequency wildfire regime, which will further deplete the legacy carbon stored in the peat.

Asymmetric bursting of Taylor bubble in inclined tubes

NASA Astrophysics Data System (ADS)

Rana, Basanta Kumar; Das, Arup Kumar; Das, Prasanta Kumar

2016-08-01

In the present study, experiments have been reported to explain the phenomenon of approach and collapse of an asymmetric Taylor bubble at free surface inside an inclined tube. Four different tube inclinations with horizontal (30°, 45°, 60° and 75°) and two different fluids (water and silicon oil) are considered for the experiment. Using high speed imaging, we have investigated the approach, puncture, and subsequent liquid drainage for re-establishment of the free surface. The present study covers all the aspects in the collapse of an asymmetric Taylor bubble through the generation of two films, i.e., a cap film which lies on top of the bubble and an asymmetric annular film along the tube wall. Retraction of the cap film is studied in detail and its velocity has been predicted successfully for different inclinations and fluids. Film drainage formulation considering azimuthal variation is proposed which also describes the experimental observations well. In addition, extrapolation of drainage velocity pattern beyond the experimental observation limit provides insight into the total collapse time of bubbles at different inclinations and fluids.

[Diagnostic and therapeutic approach to pancreatic trauma].

PubMed

Vidali, Maria; Doulgerakis, George; Condilis, Nicolas; Karmiri, Eleni; Poygouras, Ihon; Papaioannoy, George; Ioannoy, Christos; Pierrakakis, Stefanos; Setakis, Nicolas

2005-01-01

The pancreatic trauma is rare, compared with the injuries of the other abdominal organs and occurs in 0.2-6 per cent of the cases of abdominal trauma. The aim of this essay is to demonstrate the Authors' experience in the treatment of five cases of pancreatic injury during the last five years, as well as to retrospect the contemporary bibliography, connected with the diagnostic and curative approach of the pancreatic trauma. The diagnosis of the pancreatic trauma is difficult and many times, late. In their experience of pancreatic trauma, the Authors ascertained the pancreatic injury during the laparotomy which was made in order to treat other abdominal injuries. The surgical techniques were chosen taking into account the extent of the injury, the detection and the existence of accompanying. Marginal resection of pancreas, splenectomy and drainage were applied to three patients, suture of the pancreas and drainage to one patient, drainage alone and treatment of synchronous rupture of the duodenum to one patient. The mortality was 0%. Came whereas the morbidity came basically on the seriousness of the accompanying injuries.

Effect of Woody Vegetation on Hydraulic Conductivity at Various Levee Systems Using Numerical Models

DTIC Science & Technology

2012-06-01

XIX International Conference on Water Resources CMWR 2012 University of Illinois at Urbana -Champaign June 17-22, 2012 1 EFFECT OF WOODY...distribution unlimited 13. SUPPLEMENTARY NOTES Presented at the XIX International Conference on Water Resources CMWR 2012, Urbana -Champaign, IL, June...the Pocket and Burlington levees, the lower toe for the Portland levee, and the bottom of the dewatered drainage ditch for the Albuquerque levee

The role of contact angle on unstable flow formation during infiltration and drainage in wettable porous media

NASA Astrophysics Data System (ADS)

Wallach, Rony; Margolis, Michal; Graber, Ellen R.

2013-10-01

The impact of contact angle on 2-D spatial and temporal water-content distribution during infiltration and drainage was experimentally studied. The 0.3-0.5 mm fraction of a quartz dune sand was treated and turned subcritically repellent (contact angle of 33°, 48°, 56°, and 75° for S33, S48, S56, and S75, respectively). The media were packed uniformly in transparent flow chambers and water was supplied to the surface as a point source at different rates (1-20 ml/min). A sequence of gray-value images was taken by CCD camera during infiltration and subsequent drainage; gray values were converted to volumetric water content by water volume balance. Narrow and long plumes with water accumulation behind the downward moving wetting front (tip) and negative water gradient above it (tail) developed in the S56 and S75 media during infiltration at lower water application rates. The plumes became bulbous with spatially uniform water-content distribution as water application rates increased. All plumes in these media propagated downward at a constant rate during infiltration and did not change their shape during drainage. In contrast, regular plume shapes were observed in the S33 and S48 media at all flow rates, and drainage profiles were nonmonotonic with a transition plane at the depth that water reached during infiltration. Given that the studied media have similar pore-size distributions, the conclusion is that imbibition hindered by the nonzero contact angle induced pressure buildup at the wetting front (dynamic water-entry value) that controlled the plume shape and internal water-content distribution during infiltration and drainage.

EARLYDRAIN- outcome after early lumbar CSF-drainage in aneurysmal subarachnoid hemorrhage: study protocol for a randomized controlled trial.

PubMed

Bardutzky, Jürgen; Witsch, Jens; Jüttler, Eric; Schwab, Stefan; Vajkoczy, Peter; Wolf, Stefan

2011-09-14

Aneurysmal subarachnoid hemorrhage (SAH) may be complicated by delayed cerebral ischemia, which is a major cause of unfavorable clinical outcome and death in SAH-patients. Delayed cerebral ischemia is presumably related to the development of vasospasm triggered by the presence of blood in the basal cisterns. To date, oral application of the calcium antagonist nimodipine is the only prophylactic treatment for vasospasm recognized under international guidelines.In retrospective trials lumbar drainage of cerebrospinal fluid has been shown to be a safe and feasible measure to remove the blood from the basal cisterns and decrease the incidence of delayed cerebral ischemia and vasospasm in the respective study populations. However, the efficacy of lumbar drainage has not been evaluated prospectively in a randomized controlled trial yet. This is a protocol for a 2-arm randomized controlled trial to compare an intervention group receiving early continuous lumbar CSF-drainage and standard neurointensive care to a control group receiving standard neurointensive care only. Adults suffering from a first aneurysmal subarachnoid hemorrhage whose aneurysm has been secured by means of coiling or clipping are eligible for trial participation. The effect of early CSF drainage (starting < 72 h after securing the aneurysm) will be measured in the following ways: the primary endpoint will be disability after 6 months, assessed by a blinded investigator during a personal visit or standardized telephone interview using the modified Rankin Scale. Secondary endpoints include mortality after 6 months, angiographic vasospasm, transcranial Doppler sonography (TCD) mean flow velocity in both middle cerebral arteries and rate of shunt insertion at 6 months after hospital discharge. Here, we present the study design of a multicenter prospective randomized controlled trial to investigate whether early application of a lumbar drainage improves clinical outcome after aneurysmal subarachnoid hemorrhage.

Spontaneous pneumothorax; a multicentre retrospective analysis of emergency treatment, complications and outcomes.

PubMed

Brown, S G A; Ball, E L; Macdonald, S P J; Wright, C; McD Taylor, D

2014-05-01

Spontaneous pneumothorax can be managed initially by observation, aspiration or chest drain insertion. To determine the clinical features of spontaneous pneumothorax in patients presenting to the emergency department (ED), interventions, outcomes and potential risk factors for poor outcomes after treatment. Retrospective chart review from ED of three major referral and two general hospitals in Australia of presentations with primary spontaneous pneumothorax (PSP) or secondary spontaneous pneumothorax (SSP). Main outcomes were prolonged air leak (>5 days) and pneumothorax recurrence within 1 year. We identified 225 people with PSP and 98 with SSP. There were no clinical tension pneumothoraces with hypotension. Hypoxaemia (haemoglobin oxygen saturation measured by pulse oximetry ≤92%) occurred only in SSP and in older patients (age >50 years) with PSP. Drainage was performed in 150 (67%) PSP and 82 (84%) SSP. Prolonged air leak occurred in 16% (95% confidence interval 10-23%) of PSP and 31% (21-42%) of SSP. Independent risk factors for prolonged drainage were non-asthma SSP and pneumothorax size >50%. Complications were recorded in 11% (7.5-16%) of those having drains inserted. Recurrences occurred in 5/91 (5%, 1.8-12%) of those treated without drainage versus 40/232 (17%, 13-23%) of those treated by drainage, of which half occurred in the first month after drainage. Pneumothorax drainage is associated with substantial morbidity including prolonged air leak. As PSP appears to be well tolerated in younger people even with large pneumothoraces, conservative treatment in this subgroup may be a viable option to improve patient outcomes, but this needs to be confirmed in a clinical trial. © 2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.

Performance of advanced trauma life support procedures in microgravity

NASA Technical Reports Server (NTRS)

Campbell, Mark R.; Billica, Roger D.; Johnston, Smith L 3rd; Muller, Matthew S.

2002-01-01

BACKGROUND: Medical operations on the International Space Station will emphasize the stabilization and transport of critically injured personnel and so will need to be capable of advanced trauma life support (ATLS). METHODS: We evaluated the ATLS invasive procedures in the microgravity environment of parabolic flight using a porcine animal model. Included in the procedures evaluated were artificial ventilation, intravenous infusion, laceration closure, tracheostomy, Foley catheter drainage, chest tube insertion, peritoneal lavage, and the use of telemedicine methods for procedural direction. RESULTS: Artificial ventilation was performed and appeared to be unaltered from the 1-G environment. Intravenous infusion, laceration closure, percutaneous dilational tracheostomy, and Foley catheter drainage were achieved without difficulty. Chest tube insertion and drainage were performed with no more difficulty than in the 1-G environment due to the ability to restrain patient, operator and supplies. A Heimlich valve and Sorenson drainage system were both used to provide for chest tube drainage collection with minimal equipment, without the risk of atmospheric contamination, and with the capability to auto-transfuse blood drained from a hemothorax. The use of telemedicine in chest tube insertion was demonstrated to be useful and feasible. Peritoneal lavage using a percutaneous technique, although requiring less training to perform, was found to be dangerous in weightlessness due to the additional pressure of the bowel on the anterior abdominal wall creating a high risk of bowel perforation. CONCLUSIONS: The performance of ATLS procedures in microgravity appears to be feasible with the exception of diagnostic peritoneal lavage. Minor modifications to equipment and techniques are required in microgravity to effect surgical drainage in the presence of altered fluid dynamics, to prevent atmospheric contamination, and to provide for the restraint requirements. A parabolic simulation system was developed for equipment and procedure verification, physiological research, and possible crew medical officer training in the future.

Ballistics and the management of ureteral injuries from high velocity missiles.

PubMed

Stutzman, R E

1977-12-01

The management of 21 patients with 22 ureteral injuries from high velocity missiles is described and 6 cases are reported in detail. Ballistics should be considered in all wounds of violence. Débridement, internal stents, proximal diversion and thorough drainage are advocated.

Continuous Passive Sampling of Solutes from Agricultural Subsurface Drainage Tubes

NASA Astrophysics Data System (ADS)

Lindblad Vendelboe, Anders; de Jonge, Hubert; Rozemeijer, Joachim; Wollesen de Jonge, Lis

2015-04-01

Agricultural subsurface tube drain systems play an important role in water and solute transport. One study, focusing on lowland agricultural catchments, showed that subsurface tube drainage contributed up to 80% of the annual discharge and 90% of the annual NO3 load from agricultural fields to the receiving water bodies. Knowledge of e.g. nutrient loads and drainage volumes, based on measurements and modelling, are important for adequate water quality management. Despite the importance of tube drain transport of solutes, monitoring data are scarce. This scarcity is a result of the existing monitoring techniques for flow and contaminant load from tube drains being expensive and labor-extensive. The study presented here aimed at developing a cheap, simple, and robust method to monitor solute loads from tube drains. The method is based on the newly developed Flowcap, which can be attached to existing tube drain outlets and can measure total flow, contaminant load and flow-averaged concentrations of solutes in the drainage. The Flowcap builds on the existing Sorbicell principle, a passive sampling system that measures average concentrations over longer periods of time (days to months) for various compounds. The Sorbicell consists of two compartments permeable to water. One compartment contains an adsorbent and one contains a tracer. When water passes through the Sorbicell the compound of interest is absorbed while a tracer is released. Using the tracer loss to calculate the volume of water that has passed the Sorbicell it is possible to calculate the average concentration of the compound. When mounting Sorbicells in the Flowcap, a flow-proportional part of the drainage is sampled from the main stream. To accommodate the wide range of drainage flow rates two Flowcaps with different capacities were tested in the laboratory: one with a capacity of 25 L min-1 (Q25) and one with a capacity of 256 L min-1 (Q256). In addition, Sorbicells with two different hydraulic resistances were tested, again to accommodate a large range of potential drainage flows rates. The experiment was continued until the Sorbicell's capacity was exhausted, which gave experimentation times from 6 to 34 days, while continuously changing the drainage flow rate to simulate field drainage conditions, and to test the range of the Flowcap. The laboratory testing yielded a very good linear correlation between drainage flow rates and Sorbicell sampling rates, giving r = 0.99 for both the Q25 and the Q256 Flowcap. The Sorbicells in this experiment were designed to measure NO3, but the Flowcap can be used with any Sorbicell and thus be used to measure any compound of interest. The Flowcap does not need housing, electricity, or maintenance and continuously register drainage volumes and contaminant loads for periods up to one month. This, in addition to the low cost of the monitoring system, enables large-scale monitoring of contaminant loads via tube drains, giving valuable data for the improvement of contaminant transport models. Further, these data will help select and evaluate the different mitigation option to improve water quality.

Free drainage of aqueous foams: Container shape effects on capillarity and vertical gradients

NASA Astrophysics Data System (ADS)

Saint-Jalmes, A.; Vera, M. U.; Durian, D. J.

2000-06-01

The standard drainage equation applies only to foam columns of constant cross-sectional area. Here, we generalize to include the effects of arbitrary container shape and develop an exact solution for an exponential, "Eiffel Tower", sample. This geometry largely eliminates vertical wetness gradients, and hence capillary effects, and should permit a clean test of dissipation mechanisms. Agreement with experiment is not achieved at late times, however, highlighting the importance of both boundary conditions and coarsening.

Drainage and impregnation capillary pressure curves calculated by the X-ray CT model of Berea sandstone using Lattice Boltzmann's method

NASA Astrophysics Data System (ADS)

Zakirov, T.; Galeev, A.; Khramchenkov, M.

2018-05-01

The study deals with the features of the technique for simulating the capillary pressure curves of porous media on their X-ray microtomographic images. The results of a computational experiment on the immiscible displacement of an incompressible fluid by another in the pore space represented by a digital image of the Berea sandstone are presented. For the mathematical description of two-phase fluid flow we use Lattice Boltzmann Equation (LBM), and phenomena at the fluids interface are described by the color-gradient model. Compared with laboratory studies, the evaluation of capillary pressure based on the results of a computational filtration experiment is a non-destructive method and has a number of advantages: the absence of labor for preparation of fluids and core; the possibility of modeling on the scale of very small core fragments (several mm), which is difficult to realize under experimental conditions; three-dimensional visualization of the dynamics of filling the pore space with a displacing fluid during drainage and impregnation; the possibility of carrying out multivariate calculations for specified parameters of multiphase flow (density and viscosity of fluids, surface tension, wetting contact angle). A satisfactory agreement of the capillary pressure curves during drainage with experimental results was obtained. It is revealed that with the increase in the volume of the digital image, the relative deviation of the calculated and laboratory data decreases and for cubic digital cores larger than 1 mm it does not exceed 5%. The behavior of the non-wetting fluid flow during drainage is illustrated. It is shown that flow regimes under which computational and laboratory experiments are performed the distribution of the injected phase in directions different from the gradient of the hydrodynamic drop, including the opposite ones, is characteristic. Experimentally confirmed regularities are obtained when carrying out calculations for drainage and imbibition at different values of interfacial tension. There is a close coincidence in the average diameters of permeable channels, estimated by capillary curves for different interfacial tension and pore network model. The differences do not exceed 15%.

Inferring tectonic activity using drainage network and RT model: an example from the western Himalayas, India

NASA Astrophysics Data System (ADS)

Sahoo, Ramendra; Jain, Vikrant

2017-04-01

Morphology of the landscape and derived features are regarded to be an important tool for inferring about tectonic activity in an area, since surface exposures of these subsurface processes may not be available or may get eroded away over time. This has led to an extensive research in application of the non-planar morphological attributes like river long profile and hypsometry for tectonic studies, whereas drainage network as a proxy for tectonic activity has not been explored greatly. Though, significant work has been done on drainage network pattern which started in a qualitative manner and over the years, has evolved to incorporate more quantitative aspects, like studying the evolution of a network under the influence of external and internal controls. Random Topology (RT) model is one of these concepts, which elucidates the connection between evolution of a drainage network pattern and the entropy of the drainage system and it states that in absence of any geological controls, a natural population of channel networks will be topologically random. We have used the entropy maximization principle to provide a theoretical structure for the RT model. Furthermore, analysis was carried out on the drainage network structures around Jwalamukhi thrust in the Kangra reentrant in western Himalayas, India, to investigate the tectonic activity in the region. Around one thousand networks were extracted from the foot-wall (fw) and hanging-wall (hw) region of the thrust sheet and later categorized based on their magnitudes. We have adopted the goodness of fit test for comparing the network patterns in fw and hw drainage with those derived using the RT model. The null hypothesis for the test was, the drainage networks in the fw are statistically more similar than those on the hw, to the network patterns derived using the RT model for any given magnitude. The test results are favorable to our null hypothesis for networks with smaller magnitudes (< 9), whereas for larger magnitudes, both hw and fw networks were found to be statistically not similar to the model network patterns. Calculation of pattern frequency for each magnitude and subsequent hypothesis testing were carried out using Matlab (v R2015a). Our results will help to define drainage network pattern as one of the geomorphic proxy to identify tectonically active area. This study also serve as a supplementary proof of the neo-tectonic control on the morphology of landscape and its derivatives around the Jwalamukhi thrust. Additionally, it will help to verify the theory of probabilistic evolution of drainage networks.

Black Walnut Growth Better on Deep, Well-Drained BottomLand Soils

Treesearch

Craig K. Losche

1973-01-01

Site requirements of 25-year-old plantation-grown black walnut on floodplains in southern Illinois were studied. Depth to a gravel layer was the only soil factor that significantly influenced height growth. There was a relationship between internal soil drainage and height growth.

Treatment Approach for Infection of Healed Fractures After Internal Fixation.

PubMed

Lawrenz, Joshua M; Frangiamore, Salvatore J; Rane, Ajinkya A; Cantrell, William Alex; Vallier, Heather A

2017-11-01

To review the efficacy of a treatment approach for patients with infection and colonized implants after open reduction and internal fixation of fractures. Retrospective case series. Level one trauma center. Twenty patients were treated for wound infection with colonized implants after open reduction and internal fixation. Surgical debridement, removal of implants, and a short postoperative oral antibiotic course. The course of patients after surgical debridement and removal of implants, including culture results, antibiotic administration, and presence of recurrent clinical infection and radiographic union. Twenty patients had clinical presentations, including skin breakdown, serous drainage, purulent drainage and/or exposed implants, most commonly of the tibia (15 of 20). Mean time from index procedure to debridement with implant removal was 19.7 months. At the time of debridement and implant removal, 18 of 20 (90%) patients had a positive intraoperative culture (16 routine cultures and 2 broth cultures). The most common bacteria were Enterobacter cloacae (5/17) and methicillin-sensitive Staphylococcus aureus (4/17). All patients had soft tissue healing without signs of recurrent infection after mean follow up of 40 months after implant removal. Surgical debridement with implant removal plus a short oral antibiotic course is effective to resolve wound infection with a colonized implant in the setting of healed fracture after internal fixation. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cost utility analysis of endoscopic biliary stent in unresectable hilar cholangiocarcinoma: decision analytic modeling approach.

PubMed

Sangchan, Apichat; Chaiyakunapruk, Nathorn; Supakankunti, Siripen; Pugkhem, Ake; Mairiang, Pisaln

2014-01-01

Endoscopic biliary drainage using metal and plastic stent in unresectable hilar cholangiocarcinoma (HCA) is widely used but little is known about their cost-effectiveness. This study evaluated the cost-utility of endoscopic metal and plastic stent drainage in unresectable complex, Bismuth type II-IV, HCA patients. Decision analytic model, Markov model, was used to evaluate cost and quality-adjusted life year (QALY) of endoscopic biliary drainage in unresectable HCA. Costs of treatment and utilities of each Markov state were retrieved from hospital charges and unresectable HCA patients from tertiary care hospital in Thailand, respectively. Transition probabilities were derived from international literature. Base case analyses and sensitivity analyses were performed. Under the base-case analysis, metal stent is more effective but more expensive than plastic stent. An incremental cost per additional QALY gained is 192,650 baht (US$ 6,318). From probabilistic sensitivity analysis, at the willingness to pay threshold of one and three times GDP per capita or 158,000 baht (US$ 5,182) and 474,000 baht (US$ 15,546), the probability of metal stent being cost-effective is 26.4% and 99.8%, respectively. Based on the WHO recommendation regarding the cost-effectiveness threshold criteria, endoscopic metal stent drainage is cost-effective compared to plastic stent in unresectable complex HCA.

Topic III - Infiltration and Drainage: A section in Joint US Geological Survey, US Nuclear Regulatory Commission workshop on research related to low-level radioactive waste disposal, May 4-6, 1993, National Center, Reston, Virginia; Proceedings (WRI 95-4015)

USGS Publications Warehouse

Prudic, David E.; Gee, Glendon; Stevens, Peter R.; Nicholson, Thomas J.

1996-01-01

Infiltration into and drainage from facilities for the disposal of low-level radioactive wastes is considered the major process by which non-volatile contaminants are transported away from the facilities. The session included 10 papers related to the processes of infiltration and drainage, and to the simulation of flow and transport through the unsaturated zone. The first paper, presented by David Stonestrom, was an overview regarding the application of unsaturated flow theory to infiltration and drainage. Stonestrom posed three basic questions, which are:How well do we know the relevant processes affecting flow and transport?How well can we measure the parametric functions used to quantify flow and transport?How do we treat complexities inherent in field settings?The other nine papers presented during the session gave some insight to these questions. Topics included: laboratory measurement of unsaturated hydraulic conductivities at low water contents, by John Nimmo; use of environmental tracers to identify preferential flow through fractured media and to quantify drainage, by Edmund Prych and Edwin Weeks; field experiments to evaluate relevant processes affecting infiltration and drainage, by Brian Andraski, Glendon Gee, and Peter Wierenga; and the use of determinist'c and stochastic models for simulating flow and transport through heterogeneous sediments, by Richard Hills, Lynn Gelhar, and Shlomo Neuman.

Hydrologic behavior of two engineered barriers following extreme wetting.

PubMed

Porro, I

2001-01-01

Many engineered barriers are expected to function for hundreds of years or longer. Over the course of time, it is likely that some barriers will experience infiltration to the point of breakthrough. This study compares the recovery from breakthrough of two storage-evapotranspiration type engineered barriers. Replicates of test plots comprising thick soil and capillary-biobarrier covers were wetted to breakthrough in 1997. Test plots were kept cleared of vegetation to maximize hydrologic stress during recovery. Following cessation of drainage resulting from the wetting irrigations, water storage levels in all plots were at elevated levels compared with pre-irrigation levels. As a result, infiltration of melting snow during the subsequent spring overloaded the storage capacity and produced drainage in all plots. Relatively rapid melting of accumulated snowfall produced the most significant infiltration events each year during the study. Capillary barriers yielded less total drainage than thick soil barriers. By limiting drainage, capillary barriers increased water storage in the upper portions of the test plots, which led to increased evaporation from the capillary barrier plots compared with thick soil plots. Increased evaporation in the capillary barrier plots allowed more water to infiltrate in the second season following the wetting tests without triggering drainage. All thick soil plots again yielded drainage in the second season. Within two years of intentionally induced breakthrough, evaporation alone (without transpiration) restored the capability of the capillary barrier covers to function as intended, although water storage in these covers remained at elevated levels.

Controlled laboratory experiments and modeling of vegetative filter strips with shallow water tables

NASA Astrophysics Data System (ADS)

Fox, Garey A.; Muñoz-Carpena, Rafael; Purvis, Rebecca A.

2018-01-01

Natural or planted vegetation at the edge of fields or adjacent to streams, also known as vegetative filter strips (VFS), are commonly used as an environmental mitigation practice for runoff pollution and agrochemical spray drift. The VFS position in lowlands near water bodies often implies the presence of a seasonal shallow water table (WT). In spite of its potential importance, there is limited experimental work that systematically studies the effect of shallow WTs on VFS efficacy. Previous research recently coupled a new physically based algorithm describing infiltration into soils bounded by a water table into the VFS numerical overland flow and transport model, VFSMOD, to simulate VFS dynamics under shallow WT conditions. In this study, we tested the performance of the model against laboratory mesoscale data under controlled conditions. A laboratory soil box (1.0 m wide, 2.0 m long, and 0.7 m deep) was used to simulate a VFS and quantify the influence of shallow WTs on runoff. Experiments included planted Bermuda grass on repacked silt loam and sandy loam soils. A series of experiments were performed including a free drainage case (no WT) and a static shallow water table (0.3-0.4 m below ground surface). For each soil type, this research first calibrated VFSMOD to the observed outflow hydrograph for the free drainage experiments to parameterize the soil hydraulic and vegetation parameters, and then evaluated the model based on outflow hydrographs for the shallow WT experiments. This research used several statistical metrics and a new approach based on hypothesis testing of the Nash-Sutcliffe model efficiency coefficient (NSE) to evaluate model performance. The new VFSMOD routines successfully simulated the outflow hydrographs under both free drainage and shallow WT conditions. Statistical metrics considered the model performance valid with greater than 99.5% probability across all scenarios. This research also simulated the shallow water table experiments with both free drainage and various water table depths to quantify the effect of assuming the former boundary condition. For these two soil types, shallow WTs within 1.0-1.2 m below the soil surface influenced infiltration. Existing models will suggest a more protective vegetative filter strip than what actually exists if shallow water table conditions are not considered.

77 FR 29369 - Notice of Entering Into a Compact With the Republic of Zambia

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-17

... separate comprehensive urban development plan funded by Japanese International Cooperation Agency. All... conduct better maintenance and environmental management for the city's drainage network. Further, support..., representing less than four percent of the country's population. The city of Lusaka currently has a population...

Model development for nutrient loading estimates from paddy rice fields in Korea.

PubMed

Jeon, Ji-Hong; Yoon, Chun G; Ham, Jong-Hwa; Jung, Kwang-Wook

2004-01-01

A field experiment was performed to evaluate water and nutrient balances in paddy rice culture operations during 2001-2002. The water balance analysis indicated that about half (50-60%) of the total outflow was lost by surface drainage, with the remainder occurring by evapotranspiration (490-530 mm). The surface drainage from paddy fields was mainly caused by rainfall and forced-drainage, and in particular, the runoff during early rice culture periods depends more on the forced-drainage due to fertilization practices. Most of the total phosphorus (T-P) inflow was supplied by fertilization at transplanting, while the total nitrogen (T-N) inflow was supplied by the three fertilizations, precipitation. and from the upper paddy field, which comprised 13-33% of the total inflow. Although most of the nutrient outflow was attributed to plant uptake. nutrient loss by surface drainage was substantial, comprising 20% for T-N and 10% for T-P. Water and nutrient balances indicate that reduction of surface drainage from paddy rice fields is imperative for nonpoint source pollution control. The simplified computer model, PADDIMOD, was developed to simulate water and nutrient (T-N and T-P) behavior in the paddy rice field. The model predicts daily ponded water depth, surface drainage, and nutrient concentrations. It was formulated with a few equations and simplified assumptions, but its application and a model fitness test indicated that the simulation results reasonably matched the observed data. It is a simple and convenient planning model that could be used to evaluate BMPs of paddy rice fields alone or in combination with other complex watershed models. Application of the PADDIMOD to other paddy rice fields with different agricultural environments might require further calibration and validation.

Lymphoscintigraphy Can Select Breast Cancer Patients for Internal Mammary Chain Radiotherapy

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

Hindie, Elif, E-mail: elif.hindie@sls.aphp.fr; Department of Nuclear Medicine, CHU de Bordeaux, University of Bordeaux-Segalen, Bordeaux; Groheux, David

2012-07-15

Purpose: Given the risk of undesired toxicity, prophylactic internal mammary (IM) chain irradiation should be offered only to patients at high risk of occult involvement. Lymphoscintigraphy for axillary sentinel node biopsy might help in selecting these patients. Methods and Materials: We reviewed published studies with the following selection criteria: {>=}300 breast cancer patients referred for axilla sentinel node biopsy; scintigraphy performed after peritumoral or intratumoral tracer injection; IM biopsy in the case of IM drainage; and axilla staged routinely independent of IM status. Results: Six prospective studies, for a total of 3,876 patients, fulfilled the inclusion criteria. Parasternal drainage wasmore » present in 792 patients (20.4%). IM biopsy was performed in 644 patients and was positive in 111 (17.2%). Of the positive IM biopsies, 40% were associated with tumors in the lateral breast quadrants. A major difference in the IM positivity rate was found according to the axilla sentinel node status. In patients with negative axilla, the IM biopsy was positive in 7.8% of cases. In patients with positive axilla, however, the IM biopsy was positive in 41% (p < .00001). Because biopsy of multiple IM hot nodes is difficult, the true risk could be even greater, probably close to 50%. Conclusions: Patients with IM drainage on lymphoscintigraphy and a positive axilla sentinel node have a high risk of occult IM involvement. These women should be considered for IM radiotherapy.« less

Impediments to the adoption of alternative sewerage in South African urban informal settlements.

PubMed

Ashipala, N; Armitage, N P

2011-01-01

In recent decades South Africa has witnessed a substantial growth in its urban population. This growth has been accompanied by the mushrooming of informal settlements (shantytowns) flanking more formal development. The lack of adequate urban drainage in many of these informal settlements has resulted in extremely polluted environments which add to the disease burden of the poor people who live there. In many instances, informal settlements in South Africa are established on marginal land that is inherently difficult to service using conventional gravity sewerage. International experience has shown that various alternative wastewater collection systems may present more appropriate ways of providing water-borne sewerage in areas that are difficult to service by conventional means. Alternative sewerage schemes have however had a poor record of success in South African informal settlements - primarily stemming from the implementing agencies' failure to adequately address various social and institutional factors. In this paper, a review of South African experiences with simplified sewerage, settled sewerage and vacuum sewerage in urban informal settlements is used to highlight the key constraints that currently impede the application of these technologies.

A review on use of botulinum toxin for intractable lacrimal drainage disorders.

PubMed

Singh, Swati; Ali, Mohammad Javed; Paulsen, Friedrich

2017-08-01

To review the published literature on botulinum toxin (BTX) for epiphora secondary to refractory lacrimal drainage disorders. The authors performed a Pub Med search of all articles published in English on BTX injection into lacrimal gland for epiphora secondary to lacrimal drainage disorders. Relevant cross-references were obtained from the resultant studies. Data reviewed included demographics, indications, dose of BTX, number of injections, transconjunctival or transcutaneous route, outcomes and complications. Animal experiments of BTX into lacrimal gland were included and analyzed separately. Botulinum toxin injection into lacrimal gland, in animal studies, has shown to reduce the tear volume significantly lasting for approximately a month without any histological changes. The major indications have been refractory canalicular obstructions and functional epiphora. The commonly used dose was 2.5 U. Outcomes in the few studies published are encouraging with transient ptosis being the most common complication. Botulinum toxin into the lacrimal gland is a minimally invasive alternative in cases of refractory epiphora secondary to lacrimal drainage disorders. In these subsets of patients, the reported concentrations, dosage and outcome measures are variable and need larger studies for standardization.

Initial experience with the world's first digital drainage system. The benefits of recording air leaks with graphic representation.

PubMed

Dernevik, Leif; Belboul, Ali; Rådberg, Göran

2007-02-01

To evaluate the clinical efficacy of a new digital drainage system, the DigiVent Chest Drainage System that gives accurate measurements of air leakage and pleural pressures and can display those measurements over time. The DigiVent Chest Drainage System was tested in three steps: Step 1; first clinical use in five patients, Step 2; management and acceptance in further 15 patients and Step 3; reliability in routine use in 50 patients. The results from Steps 1 and 2 showed that the system was good enough for extended use. The results from Step 3 showed excellent clinical performance, however, we experienced device malfunctions in four cases without any consequences for the patients. The cause of the malfunctions was identified and steps taken to prevent their further occurrence. The ability of the DigiVent to measure airflow and present mean values for 1, 3 and 6h proved to be very practical. The ability to save data and present curves for the entire course of treatment will be an advantage for research in the field of lung surgery.

Influence of Syringe Volume on Foam Stability in Sclerotherapy for Varicose Vein Treatment.

PubMed

Bai, Taoping; Jiang, Wentao; Fan, Yubo

2018-05-01

Despite the popularity of sclerotherapy for treating varicose veins, it still exhibits various problems, such as pulmonary embolism, deep-vein thrombosis, phlebitis, and visual disorders. To investigate syringe volume influence on foam stability, obtain the foam decay rule, and provide a reference for clinics. Five types of syringes are used to prepare foam at room temperature with various liquid-gas ratios. Foam decay process experiments were performed 5 times and recorded by video. The stability indices used include drainage time, half-life, bubble diameter, bubble surface density, and drainage rate. The 30 and 2-mL syringes, respectively, recorded the highest and lowest drainage speeds. Foam drainage time and half-life, differences varied between 15 and 70 seconds, and 20 and 100 seconds, respectively. Foam bubble diameters were distributed over 0.1 to 2.0 mm with roughly 200 to 700 bubbles per square centimeter. Increased syringe volume causes the bubble diameter to increase. Thus, foam dispersion increases and foam half-life decreases; hence, foam becomes unstable. It is, thus, better to use a small syringe several times to prepare foam in clinics using segmented injections.

[Preliminary experience on endoscopic endonasal management of petrous apex cholesterol granuloma].

PubMed

Wang, Jin; Chen, Lei; Yang, Jing

2015-05-01

To explore the feasibility and related aspects on endoscopic endonasal management of petrous apex cholesterol granuloma. Retrospective data analysis was performed on 3 cases in which the endoscopic endonasal approach was used to manage this lesion between 2011 and 2014. Case information including radiological data, surgical technique, symptoms, and complications was reviewed. The main clinical manifestations in these 3 patients were tinnitus, hearing loss at the hearing threshold of 40-50 dBHL. After operation, all 3 patients showed disappearance of their tinnitus and improvement of the hearing threshold of 10-30 dBHL (follow-up 6-45 months). Permanent drainage route was performed in 1 case which communicated with sphenoid sinus. While the other 2 cases which drained to pharyngeal recess resulted in drainage route blocking within the 3-6 months after surgery, but without obvious symptoms. This procedure for the drainage of petrous apex cholesterol granuloma showed to be effective, safe and minimally invasive. Although there is no recurrence in short-term, however, long-term surveillance and large case series are necessary, especially to the maitainence of permanent drainage.

[Recurrent ulcers following selective proximal vagotomy (10 years' results)].

PubMed

Saenko, V F; Dikusarov, A V; Polinkevich, B S; Vashchenko, A E; Pustovit, A A

1989-01-01

The results of selective proximal vagotomy (SPV) in 1266 patients were studied. In 778 (61.5%) SPV alone was performed, in 488 (38.5%)--SPV with drainage operation: Finney pyloroplasty--in 249 (51%), Heineke-Mikulicz pyloroplasty--in 77 (15.8%), Jaboulay gastroduodenostomy--in 75 (15.4%), anterior hemipylorectomy--in 49 (10%), other drainage operations--in 38 (7.8%). After isolated SPV, excellent and good results were noted in 81.5% of the patients, satisfactory--in 11.1%, unsatisfactory--in 7.4%; after SPV with drainage operation--in 87.7%, 9.6% and 2.7%, respectively. An ulcer recurrence after SPV was revealed in 58 (7.4%), after SPV with drainage operation--in 13 (2.7%) of the patients examined. In 90% of cases, an ulcer recurrence developed at the pyloroduodenal zone, in 10%--in the stomach. The incidence of ulcer recurrence was 8.7% after operations performed by surgeons, who had not enough experience with the SPV performance, and 4.4%--by experienced surgeons. In 46.5% of cases, in recurrent ulcer, the conservative treatment was performed, and the remaining patients underwent surgery (antrumectomy, revagotomy etc.).

Experience of two trauma-centers with pancreatic injuries requiring immediate surgery.

PubMed

Ouaïssi, Mehdi; Sielezneff, Igor; Chaix, Jean Baptiste; Mardion, Remi Bon; Pirrò, Nicolas; Berdah, Stéphane; Emungania, Olivier; Consentino, Bernard; Cresti, Silvia; Dahan, Laetitia; Orsoni, Pierre; Moutardier, Vincent; Brunet, C; Sastre, Bernard

2008-01-01

Pancreatic injury from blunt trauma is infrequent. The aim of the present study was to evaluate a simplified approach of management of pancreatic trauma injuries requiring immediate surgery consisting of either drainage in complex situation or pancreatectomy in the other cases. From January 1986 to December 2006, 40 pancreatic traumas requiring immediate surgery were performed. Mechanism of trauma, clinical and laboratories findings were noted upon admission, classification of pancreatic injury according to Lucas' classification were considered. Fifteen (100%) drainages were performed for stage I (n=15), 60% splenopancreatectomies and 40% drainage was achieved for stage II (n=18), 3 Pancreaticoduonectomies and 2 exclusion of duodenum with drainage and 2 packing were performed for stage IV (n=7). There were 30 men and 10 women with mean age of 29+/-13 years (15-65). Thirty-eight patients had multiple trauma. Overall, mortality and global morbidity rate were 17% and 65% respectively, and the rates increased with Lucas' pancreatic trauma stage. Distal pancreatectomy is indicated for distal injuries with duct involvement, and complex procedures such as pancreaticoduodenectomy should be performed in hemodynamically stable patients.

Inhibition of bacterial activity in acid mine drainage

NASA Astrophysics Data System (ADS)

Singh, Gurdeep; Bhatnagar, Miss Mridula

1988-12-01

Acid mine drainage water give rise to rapid growth and activity of an iron- and sulphur- oxidizing bacterium Thiobacillus ferrooxidians which greatly accelerate acid producing reactions by oxidation of pyrite material associated with coal and adjoining strata. The role of this bacterium in production of acid mine drainage is described. This study presents the data which demonstrate the inhibitory effect of certain organic acids, sodium benzoate, sodium lauryl sulphate, quarternary ammonium compounds on the growth of the acidophilic aerobic autotroph Thiobacillus ferrooxidians. In each experiment, 10 milli-litres of laboratory developed culture of Thiobacillus ferrooxidians was added to 250 milli-litres Erlenmeyer flask containing 90 milli-litres of 9-k media supplemented with FeSO4 7H2O and organic compounds at various concentrations. Control experiments were also carried out. The treated and untreated (control) samples analysed at various time intervals for Ferrous Iron and pH levels. Results from this investigation showed that some organic acids, sodium benzoate, sodium lauryl sulphate and quarternary ammonium compounds at low concentration (10-2 M, 10-50 ppm concentration levels) are effective bactericides and able to inhibit and reduce the Ferrous Iron oxidation and acidity formation by inhibiting the growth of Thiobacillus ferrooxidians is also discussed and presented

A novel transanal tube designed to prevent anastomotic leakage after rectal cancer surgery: the WING DRAIN.

PubMed

Nishigori, Hideaki; Ito, Masaaki; Nishizawa, Yuji

2017-04-01

We introduce a novel transanal tube (TAT), named the "WING DRAIN", designed to prevent anastomotic leakage after rectal cancer surgery, and report the fundamental experiments that led to its development. We performed the basic experiments to evaluate the effect of TATs on intestinal decompression, the changes they make in patterns of watery fluid drainage, the changes in their decompression effect when the extension tube connecting the TAT to the collection bag fills with watery drainage fluid, and the variations in intestinal contact and crushing pressure made by some types of TAT. Any type of TAT contributed to decompression in the intestinal tract. Watery drainage commenced from when the water level first rose to the hole in the tip of drain. The intestinal pressure increased with the length of the vertical twist in an extension tube. The crushing pressures of most types of TAT were high enough to cause injury to the intestine. We resolved the problems using an existing TAT for the purpose of intestinal decompression and by creating the first specialized TAT designed to prevent anastomotic leakage after rectal cancer surgery in Japan.

Clinical application of three-dimensional printing to the management of complex univentricular hearts with abnormal systemic or pulmonary venous drainage.

PubMed

McGovern, Eimear; Kelleher, Eoin; Snow, Aisling; Walsh, Kevin; Gadallah, Bassem; Kutty, Shelby; Redmond, John M; McMahon, Colin J

2017-09-01

In recent years, three-dimensional printing has demonstrated reliable reproducibility of several organs including hearts with complex congenital cardiac anomalies. This represents the next step in advanced image processing and can be used to plan surgical repair. In this study, we describe three children with complex univentricular hearts and abnormal systemic or pulmonary venous drainage, in whom three-dimensional printed models based on CT data assisted with preoperative planning. For two children, after group discussion and examination of the models, a decision was made not to proceed with surgery. We extend the current clinical experience with three-dimensional printed modelling and discuss the benefits of such models in the setting of managing complex surgical problems in children with univentricular circulation and abnormal systemic or pulmonary venous drainage.

The effect of satellite-derived surface soil moisture and leaf area index land data assimilation on streamflow simulations over France

NASA Astrophysics Data System (ADS)

Fairbairn, David; Lavinia Barbu, Alina; Napoly, Adrien; Albergel, Clément; Mahfouf, Jean-François; Calvet, Jean-Christophe

2017-04-01

This study evaluates the impact of assimilating surface soil moisture (SSM) and leaf area index (LAI) observations into a land surface model using the SAFRAN-ISBA-MODCOU (SIM) hydrological suite. SIM consists of three stages: (1) an atmospheric reanalysis (SAFRAN) over France, which forces (2) the three-layer ISBA land surface model, which then provides drainage and runoff inputs to (3) the MODCOU hydro-geological model. The drainage and runoff outputs from ISBA are validated by comparing the simulated river discharge from MODCOU with over 500 river-gauge observations over France and with a subset of stations with low-anthropogenic influence, over several years. This study makes use of the A-gs version of ISBA that allows for physiological processes. The atmospheric forcing for the ISBA-A-gs model underestimates direct shortwave and long-wave radiation by approximately 5 % averaged over France. The ISBA-A-gs model also substantially underestimates the grassland LAI compared with satellite retrievals during winter dormancy. These differences result in an underestimation (overestimation) of evapotranspiration (drainage and runoff). The excess runoff flowing into the rivers and aquifers contributes to an overestimation of the SIM river discharge. Two experiments attempted to resolve these problems: (i) a correction of the minimum LAI model parameter for grasslands and (ii) a bias-correction of the model radiative forcing. Two data assimilation experiments were also performed, which are designed to correct random errors in the initial conditions: (iii) the assimilation of LAI observations and (iv) the assimilation of SSM and LAI observations. The data assimilation for (iii) and (iv) was done with a simplified extended Kalman filter (SEKF), which uses finite differences in the observation operator Jacobians to relate the observations to the model variables. Experiments (i) and (ii) improved the median SIM Nash scores by about 9 % and 18 % respectively. Experiment (iii) reduced the LAI phase errors in ISBA-A-gs but had little impact on the discharge Nash efficiency of SIM. In contrast, experiment (iv) resulted in spurious increases in drainage and runoff, which degraded the median discharge Nash efficiency by about 7 %. The poor performance of the SEKF originates from the observation operator Jacobians. These Jacobians are dampened when the soil is saturated and when the vegetation is dormant, which leads to positive biases in drainage and/or runoff and to insufficient corrections during winter, respectively. Possible ways to improve the model are discussed, including a new multi-layer diffusion model and a more realistic response of photosynthesis to temperature in mountainous regions. The data assimilation should be advanced by accounting for model and forcing uncertainties.

Analysis of Ancient Fluvial Patterns on the Surface of Mars

NASA Technical Reports Server (NTRS)

Jethani, Henna; Williams, M. E.

2010-01-01

This project involves the study of ancient fluvial patterns on the surface of Mars, including raised curvilinear features (RCFs) and negative relief channels. It requires the use of geological images provided by the Mars Reconnaissance Orbiter to determine how water shaped the surface of Mars in the form of rivers, lakes and/or oceans approximately 3.5 billion years ago, during the Noachian period. The role of the intern is to examine the images and record the corresponding measurements of ancient river systems in an Excel spreadsheet to assist in determining the Noachian water cycle on Mars. Resources used to make these measurements include the Arena software, hand-drawn sketch maps, Microsoft Word, Microsoft Excel and the images provided by the Mars Reconnaissance Orbiter. The Context Imager (CTX) returns black and white images at a resolution of six meters per pixel. The camera can take images with a width of 30 km and a length of 160 km. Seventeen images were observed in total. Images are analyzed and notes are taken concerning their terminal deposits, stream ordering and drainage pattern. The Arena software is utilized to make the images more visible by allowing control of contrast and magnification. Once the image is adjusted, measurements: length, average width, drainage basin area, sinuous ridge area are recorded, at a magnification of one, through using the line segment and polygon tools. After an image has been analyzed and measured, a sketch map is drawn in order to clearly identify the various segments, basins and terminal deposits the intern observed. Observations are used to further classify the fluvial patterns; their drainage pattern is defined as dendritic, parallel, trellis, rectangular, radial, centripetal, deranged or discordant. Once observational notes are completed, mathematical relations are used to determine drainage density, stream frequency, theoretic basin area and sinuosity index. These data will be added to a larger data set that will yield a comprehensive view of early Mars drainage systems. The data obtained from the work conducted will be used to characterize the nature and behavior of water on the surface of Mars. Thorough understanding of the Martian water cycle will serve as biologically significant information. Through working on this project, I acquired insight into the study of planet Mars, and skills in the Arena software as well as the organization of a vast amount of data.

Phase II modification of the Water Availability Tool for Environmental Resources (WATER) for Kentucky: The sinkhole-drainage process, point-and-click basin delineation, and results of karst test-basin simulations

USGS Publications Warehouse

Taylor, Charles J.; Williamson, Tanja N.; Newson, Jeremy K.; Ulery, Randy L.; Nelson, Hugh L.; Cinotto, Peter J.

2012-01-01

This report describes Phase II modifications made to the Water Availability Tool for Environmental Resources (WATER), which applies the process-based TOPMODEL approach to simulate or predict stream discharge in surface basins in the Commonwealth of Kentucky. The previous (Phase I) version of WATER did not provide a means of identifying sinkhole catchments or accounting for the effects of karst (internal) drainage in a TOPMODEL-simulated basin. In the Phase II version of WATER, sinkhole catchments are automatically identified and delineated as internally drained subbasins, and a modified TOPMODEL approach (called the sinkhole drainage process, or SDP-TOPMODEL) is applied that calculates mean daily discharges for the basin based on summed area-weighted contributions from sinkhole drain-age (SD) areas and non-karstic topographically drained (TD) areas. Results obtained using the SDP-TOPMODEL approach were evaluated for 12 karst test basins located in each of the major karst terrains in Kentucky. Visual comparison of simulated hydrographs and flow-duration curves, along with statistical measures applied to the simulated discharge data (bias, correlation, root mean square error, and Nash-Sutcliffe efficiency coefficients), indicate that the SDPOPMODEL approach provides acceptably accurate estimates of discharge for most flow conditions and typically provides more accurate simulation of stream discharge in karstic basins compared to the standard TOPMODEL approach. Additional programming modifications made to the Phase II version of WATER included implementation of a point-and-click graphical user interface (GUI), which fully automates the delineation of simulation-basin boundaries and improves the speed of input-data processing. The Phase II version of WATER enables the user to select a pour point anywhere on a stream reach of interest, and the program will automatically delineate all upstream areas that contribute drainage to that point. This capability enables automatic delineation of a simulation basin of any size (area) and having any level of stream-network complexity. WATER then automatically identifies the presence of sinkholes catchments within the simulation basin boundaries; extracts and compiles the necessary climatic, topographic, and basin characteristics datasets; and runs the SDP-TOPMODEL approach to estimate daily mean discharges (streamflow).

[Choledochotomy and the methods for its performance].

PubMed

Guliaev, A V; Dumpe, E P; Krylov, L B; Kriger, A G

1980-10-01

The authors have made 390 operations on ductus choledochus. Indications for choledochotomy were choledocholithiasis, jaundice, cholangitis and others. The ideal choledochotomy was fulfilled in 7,1% of cases as a completion of diagnostic manipulations on the duct. The external drainage of ductus choledochus was performed in peritonitis, severe cholangitis and inflammatory alterations of the hepatoduodenal ligament and in weak senile patients (mortality--11,7%). Multiple stones and great dilatation of the duct (mortality--4,5%) were considered to serve indications for supraduodenal choledochoduodenostomy (38,7%). Papillotomy was made in fixed ampula stones, stenosis of Vater's papilla (18,2%). Lethality in such cases was twice as high as after choledochoduodenostomy (8,5%). The authors believe peritonitis and duodenostasis to be contraindications against the internal drainage of biliary ducts.

Physiochemical, site, and bidirectional reflectance factor characteristics of uniformly moist soils. [Brazil, Spain and the United States of America

NASA Technical Reports Server (NTRS)

Stoner, E. R.; Baumgardner, M. F. (Principal Investigator)

1980-01-01

The author has identified the following significant results. The bidirectional reflectance factor (0.5 micron to 2.3 micron wavelength interval) and physiochemical properties of over 500 soils from 39 states, Brazil and Spain were measured. Site characteristics of soil temperature regime and moisture zone were used as selection criteria. Parent material and internal drainage were noted for each soil. At least five general types of soil reflectance curves were identified based primarily on the presence or absence of ferric iron absorption bands, organic matter content, and soil drainage characteristics. Reflectance in 10 bands across the spectrum was found to be negatively correlated with the natural log of organic matter content.

An improved analysis of gravity drainage experiments for estimating the unsaturated soil hydraulic functions

NASA Astrophysics Data System (ADS)

Sisson, James B.; van Genuchten, Martinus Th.

1991-04-01

The unsaturated hydraulic properties are important parameters in any quantitative description of water and solute transport in partially saturated soils. Currently, most in situ methods for estimating the unsaturated hydraulic conductivity (K) are based on analyses that require estimates of the soil water flux and the pressure head gradient. These analyses typically involve differencing of field-measured pressure head (h) and volumetric water content (θ) data, a process that can significantly amplify instrumental and measurement errors. More reliable methods result when differencing of field data can be avoided. One such method is based on estimates of the gravity drainage curve K'(θ) = dK/dθ which may be computed from observations of θ and/or h during the drainage phase of infiltration drainage experiments assuming unit gradient hydraulic conditions. The purpose of this study was to compare estimates of the unsaturated soil hydraulic functions on the basis of different combinations of field data θ, h, K, and K'. Five different data sets were used for the analysis: (1) θ-h, (2) K-θ, (3) K'-θ (4) K-θ-h, and (5) K'-θ-h. The analysis was applied to previously published data for the Norfolk, Troup, and Bethany soils. The K-θ-h and K'-θ-h data sets consistently produced nearly identical estimates of the hydraulic functions. The K-θ and K'-θ data also resulted in similar curves, although results in this case were less consistent than those produced by the K-θ-h and K'-θ-h data sets. We conclude from this study that differencing of field data can be avoided and hence that there is no need to calculate soil water fluxes and pressure head gradients from inherently noisy field-measured θ and h data. The gravity drainage analysis also provides results over a much broader range of hydraulic conductivity values than is possible with the more standard instantaneous profile analysis, especially when augmented with independently measured soil water retention data.

Aggradation and Degradation of the Palisades Gully Network, 1996 to 2005, with Emphasis on the November 2004 High-Flow Experiment, Grand Canyon National Park, Arizona

USGS Publications Warehouse

Hazel, Joseph E.; Kaplinski, Matt; Parnell, Roderic A.; Fairley, Helen C.

2008-01-01

This study examines a large drainage network incised into alluvial terraces located along the Colorado River downstream of Palisades Creek in Grand Canyon National Park, Ariz. Gully erosion in the drainage affects archaeological sites found on the wide, relatively flat alluvial terraces. In 1996, 7-d release of 1,274 cubic meters per second of water from Glen Canyon Dam, known as a controlled flood, deposited fine-grained sediment - sand, silt, and clay - in the mouth of the network's largest gully, informally known as south gully. The deposit persisted for several years, but the drainage network steepened in the downstream reaches between 1999 and 2004. A high-flow experiment similar to the 1996 controlled flood was conducted in November 2004. The 2004 experiment was of a lower magnitude and shorter duration compared to the 1996 controlled flood. Topographic surveys were made in the field before, immediately after, and 6 months following the November 2004 experiment, and these measurements were compared to those made in 1996 and in other years. Similar to the response in 1996, fine-grained sediment was deposited in the mouth of the south gully and this mass was largely retained during the 6 months following the 2004 event. The magnitude of deposition in 2004 was nearly two times greater than that resulting from the 1996 controlled flood. We attribute this marked difference to increased accommodation space for deposition in the gully mouth, which was more deeply eroded in 2004 than it was in 1996. The second of the two primary gullies found within the Palisades gully network, the north gully, was largely unaffected by either high flow. Between 1996 and 2005, erosion was primarily confined to the lower reach of the south gully, while the upper reach remained relatively stable. The available data suggest that local base-level changes in the south gully mouth were not linked to the stability of the upstream gully reach. It could not be determined whether temporary base-level increases or maintenance of erosion-control structures were causal factors in limiting erosion in the upstream reaches of the drainage network.

The Use of TissuGlu® Surgical Adhesive for Mastectomy With or Without Lymphonodectomy.

PubMed

Ohlinger, Ralf; Gieron, Leonie; Rutkowski, Rico; Kohlmann, Thomas; Zygmunt, Marek; Unger, Julia

2018-01-01

Using drains after breast surgery is a preventive, but invasive measure to reduce seroma formation. A polyurethane-based tissue adhesive (TissuGlu®) might facilitate drainage-free wound healing after mastectomy in a non-invasive manner. Retrospectively, data from 84 patients (42 receiving TissuGlu®, 42 receiving a drainage) who underwent mastectomy, were collected (90 days postoperative follow-up). Study endpoints were defined as the number of fluid-related postoperative clinical interventions, cumulative volume of postoperative wound fluid, duration of hospitalization and postoperative complications. In the entirety of postoperative interventions, no significant difference could be demonstrated (p=0.298). The drainage arm showed significantly less seroma aspirations (p=0.024) and complications (p=0.012). A significantly reduced length of hospitalization (p<0.001) and less cumulative wound secretion volume (p<0.001) appeared in the TissuGlu® group. The polyurethane-based tissue adhesive is a less invasive alternative to drain use in mastectomy. Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

EARLYDRAIN- outcome after early lumbar CSF-drainage in aneurysmal subarachnoid hemorrhage: study protocol for a randomized controlled trial

PubMed Central

2011-01-01

Background Aneurysmal subarachnoid hemorrhage (SAH) may be complicated by delayed cerebral ischemia, which is a major cause of unfavorable clinical outcome and death in SAH-patients. Delayed cerebral ischemia is presumably related to the development of vasospasm triggered by the presence of blood in the basal cisterns. To date, oral application of the calcium antagonist nimodipine is the only prophylactic treatment for vasospasm recognized under international guidelines. In retrospective trials lumbar drainage of cerebrospinal fluid has been shown to be a safe and feasible measure to remove the blood from the basal cisterns and decrease the incidence of delayed cerebral ischemia and vasospasm in the respective study populations. However, the efficacy of lumbar drainage has not been evaluated prospectively in a randomized controlled trial yet. Methods/Design This is a protocol for a 2-arm randomized controlled trial to compare an intervention group receiving early continuous lumbar CSF-drainage and standard neurointensive care to a control group receiving standard neurointensive care only. Adults suffering from a first aneurysmal subarachnoid hemorrhage whose aneurysm has been secured by means of coiling or clipping are eligible for trial participation. The effect of early CSF drainage (starting < 72 h after securing the aneurysm) will be measured in the following ways: the primary endpoint will be disability after 6 months, assessed by a blinded investigator during a personal visit or standardized telephone interview using the modified Rankin Scale. Secondary endpoints include mortality after 6 months, angiographic vasospasm, transcranial Doppler sonography (TCD) mean flow velocity in both middle cerebral arteries and rate of shunt insertion at 6 months after hospital discharge. Discussion Here, we present the study design of a multicenter prospective randomized controlled trial to investigate whether early application of a lumbar drainage improves clinical outcome after aneurysmal subarachnoid hemorrhage. Trial registration www.clinicaltrials.gov Identifier: NCT01258257 PMID:21917146

Automated intracranial pressure-controlled cerebrospinal fluid external drainage with LiquoGuard.

PubMed

Linsler, Stefan; Schmidtke, Mareike; Steudel, Wolf Ingo; Kiefer, Michael; Oertel, Joachim

2013-08-01

LiquoGuard is a new device for intracranial pressure (ICP)-controlled drainage of cerebrospinal fluid (CSF). This present study evaluates the accuracy of ICP measurement via the LiquoGuard device in comparison with Spiegelberg. Thus, we compared data ascertained from simultaneous measurement of ICP using tip-transducer and tip-sensor devices. A total of 1,764 monitoring hours in 15 patients (range, 52-219 h) were analysed. All patients received an intraventricular Spiegelberg III probe with the drainage catheter connected to the LiquoGuard system. ICP reading of both devices was performed on an hourly basis. Statistical analysis was done by applying Pearson correlation and Wilcoxon-matched pair test (p < 0.05). Mean ICP values were 11 ± 5 mmHg (Spiegelberg) and 10 ± 7 mmHg (LiquoGuard); the values measured with both devices correlated well (p = 0.001; Pearson correlation =0.349; n = 1,764). In two of the 15 patients with slit ventricles, episodes of significant differences in measured values could be observed. Both patients suffering from slit ventricles failed to produce reliable measurement with the external transducer of the LiquoGuard. LiquoGuard is a valuable new device for ICP-controlled CSF drainage. However, LiquoGuard tends to provide misleading results in slit ventricles. Thus, before these drawbacks are further analysed, the authors recommend additional ICP measurement with internal tip-sensor devices to avoid dangerous erroneous interpretation of ICP data.

Characterization of the hydraulic performance of a gully under drainage conditions.

PubMed

Martins, Ricardo; Leandro, Jorge; de Carvalho, Rita Fernandes

2014-01-01

During rainfall events with low return periods (1-20 years) the drainage system can provide some degree of protection to urban areas. The system design is based not only on good hydraulic performance of the surface and the sewer network but also on their linking elements. Although the linking elements are of utmost importance as they allow the exchange of flow between the surface and the sewer network, there is a lack of studies that thoroughly characterize them. One crucial structural part of those elements is the gully. State-of-the-art dual-drainage models often use simplified formulae to replicate the gully hydraulic behaviour that lacks proper validation. This work focuses on simulating, both numerically and experimentally, the hydraulic performance of a 0.6 × 0.3 × 0.3 [m] (L × W × D) gully located inside an 8 × 0.5 × 0.5 [m] rectangular channel. The numerical simulations are conducted with the OpenFOAM toolbox and validated with water level measurements in the Multiple-Linking-Element experimental installation located at the Laboratory of Hydraulics of the University of Coimbra. The results provide a complete three-dimensional insight of the hydraulic behaviour of the flow inside the gully, and discharge coefficient formulae are disclosed that can be directly applied in dual-drainage models as internal boundary conditions.

Experimental study on soluble chemical transfer to surface runoff from soil.

PubMed

Tong, Juxiu; Yang, Jinzhong; Hu, Bill X; Sun, Huaiwei

2016-10-01

Prevention of chemical transfer from soil to surface runoff, under condition of irrigation and subsurface drainage, would improve surface water quality. In this paper, a series of laboratory experiments were conducted to assess the effects of various soil and hydraulic factors on chemical transfer from soil to surface runoff. The factors include maximum depth of ponding water on soil surface, initial volumetric water content of soil, depth of soil with low porosity, type or texture of soil and condition of drainage. In the experiments, two soils, sand and loam, mixed with different quantities of soluble KCl were filled in the sandboxes and prepared under different initial saturated conditions. Simulated rainfall induced surface runoff are operated in the soils, and various ponding water depths on soil surface are simulated. Flow rates and KCl concentration of surface runoff are measured during the experiments. The following conclusions are made from the study results: (1) KCl concentration in surface runoff water would decrease with the increase of the maximum depth of ponding water on soil surface; (2) KCl concentration in surface runoff water would increase with the increase of initial volumetric water content in the soil; (3) smaller depth of soil with less porosity or deeper depth of soil with larger porosity leads to less KCl transfer to surface runoff; (4) the soil with finer texture, such as loam, could keep more fertilizer in soil, which will result in more KCl concentration in surface runoff; and (5) good subsurface drainage condition will increase the infiltration and drainage rates during rainfall event and will decrease KCl concentration in surface runoff. Therefore, it is necessary to reuse drained fertile water effectively during rainfall, without polluting groundwater. These study results should be considered in agriculture management to reduce soluble chemical transfer from soil to surface runoff for reducing non-point sources pollution.

A paddy eco-ditch and wetland system to reduce non-point source pollution from rice-based production system while maintaining water use efficiency.

PubMed

Xiong, Yujiang; Peng, Shizhang; Luo, Yufeng; Xu, Junzeng; Yang, Shihong

2015-03-01

Non-point source (NPS) pollution from agricultural drainage has aroused widespread concerns throughout the world due to its contribution to eutrophication of water bodies. To remove nitrogen (N) and phosphorus (P) from agricultural drainage in situ, a Paddy Eco-ditch and Wetland System (PEDWS) was designed and built based on the characteristics of the irrigated rice district. A 2-year (2012-2013) field experiment was conducted to evaluate the performance of this system in Gaoyou Irrigation District in Eastern China. The results showed that the reduction in water input in paddy field of the PEDWS enabled the maintenance of high rice yield; it significantly increased irrigation water productivity (WPI), gross water productivity (WPG), and evapotranspiration water productivity (WPET) by 109.2, 67.1, and 17.6%, respectively. The PEDWS dramatically decreased N and P losses from paddy field. Compared with conventional irrigation and drainage system (CIDS), the amount of drainage water from PEDWS was significantly reduced by 56.2%, the total nitrogen (TN) concentration in drainage was reduced by 42.6%, and thus the TN and total phosphorus (TP) losses were reduced by 87.8 and 70.4%. PEDWS is technologically feasible and applicable to treat nutrient losses from paddy fields in situ and can be used in similar areas.

CT-Guided Percutaneous Drainage of Infected Collections Due to Gastric Leak After Sleeve Gastrectomy for Morbid Obesity: Initial Experience

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

Kelogrigoris, M., E-mail: kelogre.mic@hotmail.com; Sotiropoulou, E.; Stathopoulos, K.

This study was designed to evaluate the efficacy and safety of computed tomography (CT)-guided drainage in treating infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity. From January 2007 to June 2009, 21 patients (9 men and 12 women; mean age, 39.2 (range, 26-52) years) with infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity underwent image-guided percutaneous drainage. All procedures were performed using CT guidance and 8- to 12-Fr pigtail drainage catheters. Immediate technical success was achieved in all 21 infected collections. In 18 of 21 collections, we obtained progressive shrinkagemore » of the collection with consequent clinical success (success rate 86%). In three cases, the abdominal fluid collection was not resolved, and the patients were reoperated. Among the 18 patients who avoided surgery, 2 needed replacement of the catheter due to obstruction. No major complications occurred during the procedure. The results of our study support that CT-guided percutaneous drainage is an effective and safe method to treat infected abdominal fluid collections due to gastric leak in patients who had previously underwent laparoscopic sleeve gastrectomy for morbid obesity. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.« less

A Constructed Wetland: From Monitoring To Action.

ERIC Educational Resources Information Center

Kowal, Dan

1998-01-01

Presents a water-quality monitoring project in a Denver school that has evolved into an experiment using a constructed wetland system to treat the acid-mine drainage from an abandoned gold mine. (PVD)

Drain Insertion in Chronic Subdural Hematoma: An International Survey of Practice.

PubMed

Soleman, Jehuda; Kamenova, Maria; Lutz, Katharina; Guzman, Raphael; Fandino, Javier; Mariani, Luigi

2017-08-01

To investigate whether, after the publication of grade I evidence that it reduces recurrence rates, the practice of drain insertion after burr-hole drainage of chronic subdural hematoma has changed. Further, we aimed to document various practice modalities concerning the insertion of a drain adopted by neurosurgeons internationally. We administered a survey to neurosurgeons worldwide with questions relating to the surgical treatment of chronic subdural hematoma, with an emphasis on their practices concerning the use of a drain. The preferred surgical technique was burr-hole drainage (89%). Most surgeons prefer to place a drain (80%), whereas in 56% of the cases the reason for not placing a drain was brain expansion after evacuation. Subdural drains are placed by 50% and subperiosteal drains by 27% of the responders, whereas 23% place primarily a subdural drain if possible and otherwise a subperiosteal drain. Three quarters of the responders leave the drain for 48 hours and give prophylactic antibiotic treatment, mostly a single-shot dose intraoperatively (70%). Routine postoperative computed tomography is done by 59% mostly within 24-48 hours after surgery (94%). Adjunct treatment to surgery rarely is used (4%). The publication of grade I evidence in favor of drain use influenced positively this practice worldwide. Some surgeons are still reluctant to insert a drain, especially when the subdural space is narrow after drainage of the hematoma. The insertion of a subperiosteal drain could be a good alternative solution. However, its outcome and efficacy must be evaluated in larger studies. Copyright © 2017 Elsevier Inc. All rights reserved.

Soil magnetic susceptibility: A quantitative proxy of soil drainage for use in ecological restoration

USGS Publications Warehouse

Grimley, D.A.; Wang, J.-S.; Liebert, D.A.; Dawson, J.O.

2008-01-01

Flooded, saturated, or poorly drained soils are commonly anaerobic, leading to microbially induced magnetite/maghemite dissolution and decreased soil magnetic susceptibility (MS). Thus, MS is considerably higher in well-drained soils (MS typically 40-80 ?? 10-5 standard international [SI]) compared to poorly drained soils (MS typically 10-25 ?? 10-5 SI) in Illinois, other soil-forming factors being equal. Following calibration to standard soil probings, MS values can be used to rapidly and precisely delineate hydric from nonhydric soils in areas with relatively uniform parent material. Furthermore, soil MS has a moderate to strong association with individual tree species' distribution across soil moisture regimes, correlating inversely with independently reported rankings of a tree species' flood tolerance. Soil MS mapping can thus provide a simple, rapid, and quantitative means for precisely guiding reforestation with respect to plant species' adaptations to soil drainage classes. For instance, in native woodlands of east-central Illinois, Quercus alba , Prunus serotina, and Liriodendron tulipifera predominantly occur in moderately well-drained soils (MS 40-60 ?? 10-5 SI), whereas Acer saccharinum, Carya laciniosa, and Fraxinus pennsylvanica predominantly occur in poorly drained soils (MS <20 ?? 10-5 SI). Using a similar method, an MS contour map was used to guide restoration of mesic, wet mesic, and wet prairie species to pre-settlement distributions at Meadowbrook Park (Urbana, IL, U.S.A.). Through use of soil MS maps calibrated to soil drainage class and native vegetation occurrence, restoration efforts can be conducted more successfully and species distributions more accurately reconstructed at the microecosystem level. ?? 2008 Society for Ecological Restoration International.

Tisseel does not reduce postoperative drainage, length of stay, and transfusion requirements for lumbar laminectomy with noninstrumented fusion versus laminectomy alone.

PubMed

Epstein, Nancy E

2015-01-01

Typically, fibrin sealants (FSs) and fibrin glues (FGs) are used to strengthen dural repairs during spinal surgery. In 2014, Epstein demonstrated that one FS/FG, Tisseel (Baxter International Inc., Westlake Village, CA, USA) equalized the average times to drain removal and length of stay (LOS) for patients with versus without excess bleeding (e.g. who did not receive Tisseel) undergoing multilevel laminectomies with 1-2 level noninstrumented fusions (LamF).[6]. Here Tisseel was utilized to promote hemostasis for two populations; 39 patients undergoing average 4.4 level lumbar laminectomies with average 1.3 level noninstrumented fusions (LamF), and 48 patients undergoing average 4.0 level laminectomies alone (Lam). We compared the average operative time, estimated blood loss (EBL), postoperative drainage, LOS, and transfusion requirements for the LamF versus Lam groups. The average operative times, EBL, postoperative drainage, LOS, and transfusion requirements were all greater for LamF versus Lam patients; operative times (4.1 vs. 3.0 h), average EBL (192.3 vs. 147.9 cc), drainage (e.g. day 1; 199.6 vs. 167.4 cc; day 2; 172.9 vs. 63.9 cc), average LOS (4.6 vs. 2.5 days), and transfusion requirements (11 LamF patients; 18 Units [U] RBC versus 2 Lam patients; 3 U RBC). Utilizing Tisseel to facilitate hemostasis in LamF versus Lam still resulted in greater operative times, EBL, postoperative average drainage, LOS, and transfusion requirements for patients undergoing the noninstrumented fusions. Although Tisseel decreases back bleeding within the spinal canal, it does not reduce blood loss from LamF decorticated transverse processes.

Time-integrated Monitoring of Polychlorinated Dibenzo-p-dioxins and Polychlorinated Dibenzofurans (PCDD/Fs) in Urban and Industrial Wastewaters Using a Ceramic Toximeter and the CALUX Bioassay

PubMed Central

Addeck, Amr; Croes, Kim; Van Langenhove, Kersten; Denison, Michael S.; Elhamalawy, Ahmed; Elskens, Marc; Baeyens, Willy

2015-01-01

The ceramic toximeter as a passive sampler in combination with the CALUX bioassay was utilized as a time-integrated pollution-assessment technique for dioxin-like PCDD/Fs in wastewaters. Toximeters filled with XCARB and enclosed in stainless steel cages were submerged in wastewater of Belbeis drainage-canal and EMAK paper-mill, located in Egypt, for 28 days. Two samplers were removed every week from each site. Extracts from toximeters, from bottom-sediments, and from paper-mill sludge were analyzed by the CALUX. Results showed a regular increase in the amounts of PCDD/Fs trapped by the toximeters as sampling time increased. Time-weighted average concentrations (TWA) of PCDD/Fs in the wastewaters of the drainage-canal and paper-mill were 231 (214-281) and 26 (24.1-32.6) pg-BEQ L-1, respectively. Compared to literature data, this means a high pollution level for the drainage-canal water, while the pollution level in the paper-mill wastewater is similar to that reported for other paper mills. The PCDD/Fs levels in the drainage-canal bottom-sediments and in the paper-mill sludge were 8.3 and 14.6 pg-BEQ g-1 dry-weight, at the lower end of internationally reported values in similar compartments. The sampling rate of the tested toximeters for dissolved PCDD/Fs was about 3.6 mL d-1. Sediment/water partitioning coefficient log Kd of PCDD/Fs in the drainage-canal and the paper-mill was 1.42 and 2.70 respectively. The organic-carbon normalized partition coefficient log Koc was 4.17 and 3.19 respectively, and is lower than the reported values for other sites. PMID:24075528

Time-integrated monitoring of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) in urban and industrial wastewaters using a ceramic toximeter and the CALUX bioassay.

PubMed

Addeck, Amr; Croes, Kim; Van Langenhove, Kersten; Denison, Michael S; Elhamalawy, Ahmed; Elskens, Marc; Baeyens, Willy

2014-01-01

The ceramic toximeter as a passive sampler in combination with the CALUX bioassay was utilized as a time-integrated pollution-assessment technique for dioxin-like PCDD/Fs in wastewaters. Toximeters filled with XCARB and enclosed in stainless steel cages were submerged in wastewater of Belbeis drainage-canal and EMAK paper-mill, located in Egypt, for 28 days. Two samplers were removed every week from each site. Extracts from toximeters, from bottom-sediments, and from paper-mill sludge were analyzed by the CALUX. Results showed a regular increase in the amounts of PCDD/Fs trapped by the toximeters as sampling time increased. Time-weighted average concentrations (TWA) of PCDD/Fs in the wastewaters of the drainage-canal and paper-mill were 231 (214-281) and 26 (24.1-32.6) pg-BEQL(-1), respectively. Compared to literature data, this means a high pollution level for the drainage-canal water, while the pollution level in the paper-mill wastewater is similar to that reported for other paper mills. The PCDD/Fs levels in the drainage-canal bottom-sediments and in the paper-mill sludge were 8.3 and 14.6 pg-BEQg(-1) dry-weight, at the lower end of internationally reported values in similar compartments. The sampling rate of the tested toximeters for dissolved PCDD/Fs was about 3.6 mL d(-1). Sediment/water partitioning coefficient logKd of PCDD/Fs in the drainage-canal and the paper-mill was 1.42 and 2.70 respectively. The organic-carbon normalized partition coefficient logKoc was 4.17 and 3.19 respectively, and is lower than the reported values for other sites. Copyright © 2013 Elsevier Ltd. All rights reserved.

Advances in chest drain management in thoracic disease

PubMed Central

George, Robert S.

2016-01-01

An adequate chest drainage system aims to drain fluid and air and restore the negative pleural pressure facilitating lung expansion. In thoracic surgery the post-operative use of the conventional underwater seal chest drainage system fulfills these requirements, however they allow great variability amongst practices. In addition they do not offer accurate data and they are often inconvenient to both patients and hospital staff. This article aims to simplify the myths surrounding the management of chest drains following chest surgery, review current experience and explore the advantages of modern digital chest drain systems and address their disease-specific use. PMID:26941971

Approaching a flat boundary with a block copolymer coated emulsion drop: late stage drainage dynamics

NASA Astrophysics Data System (ADS)

Rozairo, Damith; Croll, Andrew

Understanding the dynamics of the formation and drainage of the thin fluid film that becomes trapped by a deformable droplet as it approaches another object is crucial to the advancement of many industrial and biomedical applications. Adding amphiphilic diblock copolymers, which are becoming more commonly used in drug delivery and oil recovery, only add to the complexity. Despite their increased use, little is known about how long polymer chains fill an emulsion drop's interface or how the molecules influence hydrodynamic processes. We study the drainage dynamics of a thin water film trapped between mica and a diblock copolymer saturated oil droplet. Specifically, we examine several different polystyrene-b-poly(ethylene oxide) (PS-PEO) molecules self-assembled at a toluene-water interface using laser scanning confocal microscopy. Our experiments reveal that the molecular details of the polymer chains deeply influence the drainage times, indicating that they are not acting as a 'simple' surfactant. The presence of the chains creates a much slower dynamic as fluid is forced to drain through an effective polymer brush, the brush itself determined by chain packing at the interface. We present a simple model which accounts for the basic physics of the interface.

Analytical Deriving of the Field Capacity through Soil Bundle Model

NASA Astrophysics Data System (ADS)

Arnone, E.; Viola, F.; Antinoro, C.; Noto, L. V.

2015-12-01

The concept of field capacity as soil hydraulic parameter is widely used in many hydrological applications. Althought its recurring usage, its definition is not univocal. Traditionally, field capacity has been related to the amount of water that remains in the soil after the excess water has drained away and the water downward movement experiences a significant decresase. Quantifying the drainage of excess of water may be vague and several definitions, often subjective, have been proposed. These definitions are based on fixed thresholds either of time, pressure, or flux to which the field capacity condition is associated. The flux-based definition identifies the field capacity as the soil moisture value corresponding to an arbitrary fixed threshold of free drainage flux. Recently, many works have investigated the flux-based definition by varying either the drainage threshold, the geometry setting and mainly the description of the drainage flux. Most of these methods are based on the simulation of the flux through a porous medium by using the Darcy's law or Richard's equation. Using the above-mentioned flux-based definition, in this work we propose an alternative analytical approach for deriving the field capacity based on a bundle-of-tubes model. The pore space of a porous medium is conceptualized as a bundle of capillary tubes of given length of different radii, derived from a known distribution. The drainage from a single capillary tube is given by the analytical solution of the differential equation describing the water height evolution within the capillary tube. This equation is based on the Poiseuille's law and describes the drainage flux with time as a function of tube radius. The drainage process is then integrated for any portion of soil taking into account the tube radius distribution which in turns depends on the soil type. This methodology allows to analytically derive the dynamics of drainage water flux for any soil type and consequently to define the soil field capacity as the latter reachs a given threshold value. The theoretical model also accounts for the tortuosity which characterizes the water pathways in real soils, but neglects the voids mutual interconnections.

National Dam Safety Program. West Millpond Dam (NY 01060), Mohawk River Basin, City of Gloversville, Fulton County, New York. Phase I Inspection Report,

DTIC Science & Technology

1981-09-02

numerous and constantly changing internal and external con- ditions, and is evolutionary in nature. It would be incorrect to assume that the present...to seepage and piping ( internal erosion) problems if a tree blows over and pulls out its roots or if a tree dies and its roots rot. The roots of...for the actual size of the drainage area (same for 10 square miles or less) were inputted to the program as percentages of the index PKF in

77 FR 2974 - Longview Energy Exchange, LLC; Notice of Preliminary Permit Application Accepted for Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-20

... system; (2) a single lower reservoir dam constructed of earth fill materials with an internal dam drainage system; (3) concrete inlet-outlet structures at both upper reservoirs equipped with trash racks..., using the eComment system at http://www.ferc.gov/docs-filing/ecomment.asp . You must include your name...

High-frequency monitoring of water fluxes and nutrient loads to assess the effects of controlled drainage on water storage and nutrient transport

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

Rozemeijer, J. C.; Visser, A.; Borren, W.

High nitrogen (N) and phosphorus (P) fluxes from upstream agriculture threaten aquatic ecosystems in surface waters and estuaries, especially in areas characterized by high agricultural N and P inputs and densely drained catchments like the Netherlands. Controlled drainage has been recognized as an effective option to optimize soil moisture conditions for agriculture and to reduce unnecessary losses of fresh water and nutrients. This is achieved by introducing control structures with adjustable overflow levels into subsurface tube drain systems. A small-scale (1 ha) field experiment was designed to investigate the hydrological and chemical changes after introducing controlled drainage. Precipitation rates andmore » the response of water tables and drain fluxes were measured in the periods before the introduction of controlled drainage (2007–2008) and after (2009–2011). For the N and P concentration measurements, auto-analyzers for continuous records were combined with passive samplers for time-averaged concentrations at individual drain outlets. The experimental setup enabled the quantification of changes in the water and solute balance after introducing controlled drainage. The results showed that introducing controlled drainage reduced the drain discharge and increased the groundwater storage in the field. To achieve this, the overflow levels have to be elevated in early spring, before the drain discharge stops due to dryer conditions and falling groundwater levels. The groundwater storage in the field would have been larger if the water levels in the adjacent ditch were controlled as well by an adjustable weir. The N concentrations and loads increased, which was largely related to elevated concentrations in one of the three monitored tube drains. The P loads via the tube drains reduced due to the reduction in discharge after introducing controlled drainage. Furthermore, this may be counteracted by the higher groundwater levels and the larger contribution of N- and P-rich shallow groundwater and overland flow to the surface water.« less

High-frequency monitoring of water fluxes and nutrient loads to assess the effects of controlled drainage on water storage and nutrient transport

DOE PAGES

Rozemeijer, J. C.; Visser, A.; Borren, W.; ...

2016-01-19

High nitrogen (N) and phosphorus (P) fluxes from upstream agriculture threaten aquatic ecosystems in surface waters and estuaries, especially in areas characterized by high agricultural N and P inputs and densely drained catchments like the Netherlands. Controlled drainage has been recognized as an effective option to optimize soil moisture conditions for agriculture and to reduce unnecessary losses of fresh water and nutrients. This is achieved by introducing control structures with adjustable overflow levels into subsurface tube drain systems. A small-scale (1 ha) field experiment was designed to investigate the hydrological and chemical changes after introducing controlled drainage. Precipitation rates andmore » the response of water tables and drain fluxes were measured in the periods before the introduction of controlled drainage (2007–2008) and after (2009–2011). For the N and P concentration measurements, auto-analyzers for continuous records were combined with passive samplers for time-averaged concentrations at individual drain outlets. The experimental setup enabled the quantification of changes in the water and solute balance after introducing controlled drainage. The results showed that introducing controlled drainage reduced the drain discharge and increased the groundwater storage in the field. To achieve this, the overflow levels have to be elevated in early spring, before the drain discharge stops due to dryer conditions and falling groundwater levels. The groundwater storage in the field would have been larger if the water levels in the adjacent ditch were controlled as well by an adjustable weir. The N concentrations and loads increased, which was largely related to elevated concentrations in one of the three monitored tube drains. The P loads via the tube drains reduced due to the reduction in discharge after introducing controlled drainage. Furthermore, this may be counteracted by the higher groundwater levels and the larger contribution of N- and P-rich shallow groundwater and overland flow to the surface water.« less

Endoscopic treatment of large pancreatic fluid collections (PFC) using self-expanding metallic stents (SEMS) - a two-center experience.

PubMed

Chaves, Dalton Marques; Mönkemüller, Klaus; Carneiro, Fred; Medrado, Bruno; Dos Santos, Marcos; Wodak, Stephanie; Reimão, Sílvia; Sakai, Paulo; de Moura, Eduardo

2014-12-01

Background/study aim: During the last several years, endoscopic ultrasound (EUS)-guided pancreatic fluid collections' (PFC) drainage has evolved into the preferred drainage technique. Recently, self-expanding metallic stents (SEMS) have been used as an alternative to double pigtail stents, with the advantage of providing a larger diameter fistula, thereby decreasing the risk of early obstruction and also allowing for direct endoscopic exploration of the cavity. The aim of this study was to evaluate the technical and clinical success, safety, and outcome of patients undergoing EUS-guided drainage of complex PFC using SEMS. The study was conducted at two tertiary hospitals from January 2010 to January 2013. All patients with PFC referred for endoscopic drainage were enrolled in a prospective database. The inclusion criteria were: (1) patients with pseudocysts or walled-off necrosis based on the revised Atlanta classification; (2) symptomatic patients with thick PFC; (3) PFC that persisted more than 6 weeks; and (4) large PFC diameter (≥ 9 cm). The exclusion criteria consisted of coagulation disorders, PFC bleeding or infection, and failure-to-inform written consent. A total of 16 patients (9 females, 7 males; mean age 52.6, range 20 - 82) underwent EUS drainage with SEMS. There were 14 cases of pseudocysts and 2 cases of walled-off necrosis. The etiologies of the PFC were mainly gallstones (8 of 16 patients, 50 %) and alcohol (5 of 16 patients, 31 %). Technical success was achieved in 100 % of the cases. All patients had a complete resolution of the PFC. Transmural EUS-guided drainage of complex PFC using SEMS is feasible, appears safe, and is efficacious. However, the exchange of the UC (uncovered)-SEMS for plastic stents is mandatory within 1 week. Future prospective studies, preferably multicenter studies, comparing SEMS versus traditional plastic stents for the drainage of PFC are warranted.

Comparison of anti-siphon devices-how do they affect CSF dynamics in supine and upright posture?

PubMed

Gehlen, Manuel; Eklund, Anders; Kurtcuoglu, Vartan; Malm, Jan; Schmid Daners, Marianne

2017-08-01

Three different types of anti-siphon devices (ASDs) have been developed to counteract siphoning-induced overdrainage in upright posture. However, it is not known how the different ASDs affect CSF dynamics under the complex pressure environment seen in clinic due to postural changes. We investigated which ASDs can avoid overdrainage in upright posture best without leading to CSF accumulation. Three shunts each of the types Codman Hakim with SiphonGuard (flow-regulated), Miethke miniNAV with proSA (gravitational), and Medtronic Delta (membrane controlled) were tested. The shunts were compared on a novel in vitro setup that actively emulates the physiology of a shunted patient. This testing method allows determining the CSF drainage rates, resulting CSF volume, and intracranial pressure in the supine, sitting, and standing posture. The flow-regulated ASDs avoided increased drainage by closing their primary flow path when drainage exceeded 1.39 ± 0.42 mL/min. However, with intraperitoneal pressure increased in standing posture, we observed reopening of the ASD in 3 out of 18 experiment repetitions. The adjustable gravitational ASDs allow independent opening pressures in horizontal and vertical orientation, but they did not provide constant drainage in upright posture (0.37 ± 0.03 mL/min and 0.26 ± 0.03 mL/min in sitting and standing posture, respectively). Consequently, adaptation to the individual patient is critical. The membrane-controlled ASDs stopped drainage in upright posture. This eliminates the risk of overdrainage, but leads to CSF accumulation up to the volume observed without shunting when the patient is upright. While all tested ASDs reduced overdrainage, their actual performance will depend on a patient's specific needs because of the large variation in the way the ASDs influence CSF dynamics: while the flow-regulated shunts provide continuous drainage in upright posture, the gravitational ASDs allow and require additional adaptation, and the membrane-controlled ASDs show robust siphon prevention by a total stop of drainage.

High-frequency monitoring of water fluxes and nutrient loads to assess the effects of controlled drainage on water storage and nutrient transport

NASA Astrophysics Data System (ADS)

Rozemeijer, J. C.; Visser, A.; Borren, W.; Winegram, M.; van der Velde, Y.; Klein, J.; Broers, H. P.

2016-01-01

High nitrogen (N) and phosphorus (P) fluxes from upstream agriculture threaten aquatic ecosystems in surface waters and estuaries, especially in areas characterized by high agricultural N and P inputs and densely drained catchments like the Netherlands. Controlled drainage has been recognized as an effective option to optimize soil moisture conditions for agriculture and to reduce unnecessary losses of fresh water and nutrients. This is achieved by introducing control structures with adjustable overflow levels into subsurface tube drain systems. A small-scale (1 ha) field experiment was designed to investigate the hydrological and chemical changes after introducing controlled drainage. Precipitation rates and the response of water tables and drain fluxes were measured in the periods before the introduction of controlled drainage (2007-2008) and after (2009-2011). For the N and P concentration measurements, auto-analyzers for continuous records were combined with passive samplers for time-averaged concentrations at individual drain outlets. The experimental setup enabled the quantification of changes in the water and solute balance after introducing controlled drainage. The results showed that introducing controlled drainage reduced the drain discharge and increased the groundwater storage in the field. To achieve this, the overflow levels have to be elevated in early spring, before the drain discharge stops due to dryer conditions and falling groundwater levels. The groundwater storage in the field would have been larger if the water levels in the adjacent ditch were controlled as well by an adjustable weir. The N concentrations and loads increased, which was largely related to elevated concentrations in one of the three monitored tube drains. The P loads via the tube drains reduced due to the reduction in discharge after introducing controlled drainage. However, this may be counteracted by the higher groundwater levels and the larger contribution of N- and P-rich shallow groundwater and overland flow to the surface water.

[Runoff Pollution Experiments of Paddy Fields Under Different Irrigation Patterns].

PubMed

Zhou, Jing-wen; Su, Bao-lin; Huang, Ning-bo; Guan, Yu-tang; Zhao, Kun

2016-03-15

To study runoff and non-point source pollution of paddy fields and to provide a scientific basis for agricultural water management of paddy fields, paddy plots in the Jintan City and the Liyang City were chosen for experiments on non-point source pollution, and flood irrigation and intermittent irrigation patterns were adopted in this research. The surface water level and rainfall were observed during the growing season of paddies, and the runoff amount from paddy plots and loads of total nitrogen (TN) and total phosphorus (TP) were calculated by different methods. The results showed that only five rain events of totally 27 rainfalls and one artificially drainage formed non-point source pollution from flood irrigated paddy plot, which resulted in a TN export coefficient of 49.4 kg · hm⁻² and a TP export coefficient of 1.0 kg · hm⁻². No any runoff event occurred from the paddy plot with intermittent irrigation even in the case of maximum rainfall of 95.1 mm. Runoff from paddy fields was affected by water demands of paddies and irrigation or drainage management, which was directly correlated to surface water level, rainfall amount and the lowest ridge height of outlets. Compared with the flood irrigation, intermittent irrigation could significantly reduce non-point source pollution caused by rainfall or artificial drainage.

The Causes and Prevention Measures of Stuck Pump Phenomenon of Rod-pumped Well in CBM Field

NASA Astrophysics Data System (ADS)

Yonggui, Mei

2018-02-01

In the process of CBM field exploitation, in order to realize the drainage equipment to work continuous stably, the article pays attention to study and solve the stuck pump problem, and aim of reducing reservoir damage and lowing production costs. Through coal particles stuck pump experiment and sediment composition analysis, we find out five primary cause of stuck pump phenomenon: sand from coal seam, sediment from ground, iron corrosion, iron scrap caused by eccentric wear, coal cake. According to stuck pump mechanism, the article puts forward 8 measures to prevent stuck pump phenomenon, and the measures are focused on technology optimization, operation management and drainage process control. After 7 years production practice, the yearly stuck pump rate has dropped from 8.9% to 1.2%, and the pump inspection period has prolonged 2 times. The experiment result shows that pure coal particles cannot cause stuck pump, but sand, scrap iron, and iron corrosion are the primary cause of stuck pump. The article study and design the new pipe string structure that the bottom of the pipe string is open. This kind of pipe string applied the sedimentation terminal velocity theory to solve the stuck pump phenomenon, and it can be widely used in CBM drainage development.

Genetic differentiation and selection against migrants in evolutionarily replicated extreme environments.

PubMed

Plath, Martin; Pfenninger, Markus; Lerp, Hannes; Riesch, Rüdiger; Eschenbrenner, Christoph; Slattery, Patrick A; Bierbach, David; Herrmann, Nina; Schulte, Matthias; Arias-Rodriguez, Lenin; Rimber Indy, Jeane; Passow, Courtney; Tobler, Michael

2013-09-01

We investigated mechanisms of reproductive isolation in livebearing fishes (genus Poecilia) inhabiting sulfidic and nonsulfidic habitats in three replicate river drainages. Although sulfide spring fish convergently evolved divergent phenotypes, it was unclear if mechanisms of reproductive isolation also evolved convergently. Using microsatellites, we found strongly reduced gene flow between adjacent populations from different habitat types, suggesting that local adaptation to sulfidic habitats repeatedly caused the emergence of reproductive isolation. Reciprocal translocation experiments indicate strong selection against immigrants into sulfidic waters, but also variation among drainages in the strength of selection against immigrants into nonsulfidic waters. Mate choice experiments revealed the evolution of assortative mating preferences in females from nonsulfidic but not from sulfidic habitats. The inferred strength of sexual selection against immigrants (RI(s)) was negatively correlated with the strength of natural selection (RI(m)), a pattern that could be attributed to reinforcement, whereby natural selection strengthens behavioral isolation due to reduced hybrid fitness. Overall, reproductive isolation and genetic differentiation appear to be replicated and direct consequences of local adaptation to sulfide spring environments, but the relative contributions of different mechanisms of reproductive isolation vary across these evolutionarily independent replicates, highlighting both convergent and nonconvergent evolutionary trajectories of populations in each drainage. © 2013 The Author(s). Evolution © 2013 The Society for the Study of Evolution.

Response in the trophic state of stratified lakes to changes in hydrology and water level: potential effects of climate change

USGS Publications Warehouse

Robertson, Dale M.; Rose, William J.

2011-01-01

To determine how climate-induced changes in hydrology and water level may affect the trophic state (productivity) of stratified lakes, two relatively pristine dimictic temperate lakes in Wisconsin, USA, were examined. Both are closed-basin lakes that experience changes in water level and degradation in water quality during periods of high water. One, a seepage lake with no inlets or outlets, has a small drainage basin and hydrology dominated by precipitation and groundwater exchange causing small changes in water and phosphorus (P) loading, which resulted in small changes in water level, P concentrations, and productivity. The other, a terminal lake with inlets but no outlets, has a large drainage basin and hydrology dominated by runoff causing large changes in water and P loading, which resulted in large changes in water level, P concentrations, and productivity. Eutrophication models accurately predicted the effects of changes in hydrology, P loading, and water level on their trophic state. If climate changes, larger changes in hydrology and water levels than previously observed could occur. If this causes increased water and P loading, stratified (dimictic and monomictic) lakes are expected to experience higher water levels and become more eutrophic, especially those with large developed drainage basins.

Cerebrospinal fluid drainage for syringomyelia.

PubMed

Williams, B; Sgouros, S; Nenji, E

1995-12-01

Twenty-eight years of experience with syringomyelia of various causes in the syringomyelia clinic at the Midland Centre for Neurosurgery and Neurology has provided a database of 723 patients, mostly adults, with either hindbrain herniation, syringomyelia or both. Treatment of syringomyelia by drainage has never been the optimum primary treatment on the basis that the cavity is usually secondary to some other disturbance of the cerebrospinal fluid pathways. Over this period 73 patients had either syrinx drainage (56 syringopleural, 14 syringo-subarachnoid shunts) or other procedure such as myelotomy and cord transection. Ten years after operation only 53.5% and 50% of these two groups respectively continued to remain clinically stable. A complication rate of 15.7% included fatal haemorrhage, infection and displacement of drains. At second operation or necropsy at least 5% of shunts were found to be blocked. All the shunts were inserted without a valve and the lowering of the intrasyrinx pressure has therefore been energetic when the lower end of the drainage tube has been taken to the pleural or peritoneal cavities. This produced collapse of the cord cavities around the tip of the drainage tube and increased the likelihood of blockage. If the mechanisms which were responsible for the syringomyelia were still operative then recurrence was likely to occur alongside the drainage tube leaving the tube immured in the wall of the syrinx cavity. When hydrocephalus was present, in addition treatment of the hydrocephalus by a valved shunt to the peritoneum or to the right atrium was often effective in improving the syringomyelia. This treatment has also been used in patients without hydrocephalus. The mechanisms of improvement were unclear but this treatment stratagem has nevertheless been employed in 45 cases. In 30 out of these 45 cases the drainage of cerebrospinal fluid from outside the syrinx cavities seemed to be worthwhile; 10 patients suffered some form of complication, most of which were reversible; 8 patients were worse following surgery. It is concluded that both drainage of the syringomyelia cavity and also extra-syrinx drainage may have a place in the management of difficult syringomyelia problems although the primary treatment should be to establish the patency of CSF pathways in both hindbrain-related and non-hindbrain-related cases.

Specific yield - laboratory experiments showing the effect of time on column drainage

USGS Publications Warehouse

Prill, Robert C.; Johnson, A.I.; Morris, Donald Arthur

1965-01-01

The increasing use of ground water from many major aquifers in the United States has required a more thorough understanding of gravity drainage, or specific yield. This report describes one phase of specific yield research by the U.S. Geological Survey's Hydrologic Laboratory in cooperation with the California Department of Water Resources. An earlier phase of the research concentrated on the final distribution of moisture retained after drainage of saturated columns of porous media. This report presents the phase that concentrated on the distribution of moisture retained in similar columns after drainage for various periods of time. Five columns, about 4 cm in diameter by 170 cm long, were packed with homogenous sand of very fine, medium, and coarse sizes, and one column was packed with alternating layers of coarse and medium sand. The very fine materials were more uniform in size range than were the medium materials. As the saturated columns drained, tensiometers installed throughout the length recorded changes in moisture tension. The relation of tension to moisture content, determined for each of the materials, was then used to convert the tension readings to moisture content. Data were then available on the distribution of retained moisture for different periods of drainage from 1 to 148 hours. Data also are presented on the final distribution of moisture content by weight and volume and on the degree of saturation. The final zone of capillary saturation was approximately 12 cm for coarse sand, 13 cm for medium sand, and 52 cm for very fine sand. The data showed these zones were 92 to 100 percent saturated. Most of the outflow from the columns occurred in the earlier hours of drainage--90 percent in 1 hour for the coarse materials, 50 percent for the medium, and 60 percent for the very fine. Although the largest percentage of the specific yield was reached during the early hours of .drainage, this study amply demonstrates that a very long time would be required to reach drainage equilibrium. In the layered columns the middle (medium sand) layer functioned as a hanging water column accelerating the drainage of the overlying coarse-sand layer. After the middle layer started to drain, the moisture distribution as retained in all three layers showed trends similar to that obtained when the same materials were tested in homogenous columns.

Determination of the Thermal Properties of Sands as Affected by Water Content, Drainage/Wetting, and Porosity Conditions for Sands With Different Grain Sizes

NASA Astrophysics Data System (ADS)

Smits, K. M.; Sakaki, T.; Limsuwat, A.; Illangasekare, T. H.

2009-05-01

It is widely recognized that liquid water, water vapor and temperature movement in the subsurface near the land/atmosphere interface are strongly coupled, influencing many agricultural, biological and engineering applications such as irrigation practices, the assessment of contaminant transport and the detection of buried landmines. In these systems, a clear understanding of how variations in water content, soil drainage/wetting history, porosity conditions and grain size affect the soil's thermal behavior is needed, however, the consideration of all factors is rare as very few experimental data showing the effects of these variations are available. In this study, the effect of soil moisture, drainage/wetting history, and porosity on the thermal conductivity of sandy soils with different grain sizes was investigated. For this experimental investigation, several recent sensor based technologies were compiled into a Tempe cell modified to have a network of sampling ports, continuously monitoring water saturation, capillary pressure, temperature, and soil thermal properties. The water table was established at mid elevation of the cell and then lowered slowly. The initially saturated soil sample was subjected to slow drainage, wetting, and secondary drainage cycles. After liquid water drainage ceased, evaporation was induced at the surface to remove soil moisture from the sample to obtain thermal conductivity data below the residual saturation. For the test soils studied, thermal conductivity increased with increasing moisture content, soil density and grain size while thermal conductivity values were similar for soil drying/wetting behavior. Thermal properties measured in this study were then compared with independent estimates made using empirical models from literature. These soils will be used in a proposed set of experiments in intermediate scale test tanks to obtain data to validate methods and modeling tools used for landmine detection.

N2 and CO2 capillary breakthrough experiments on Opalinus Clay

NASA Astrophysics Data System (ADS)

Amann, Alexandra; Busch, Andreas; Krooss, Bernhard M.

2013-04-01

The aim of this project was to identify the critical capillary pressures on the drainage and the imbibition path for clay-rich rocks, at a burial depth of 1500 m (30 MPa confining pressure, 45°C). The experiments were performed on fully water-saturated sample plugs of 38 mm diameter and 5 to 20 mm length. The capillary breakthrough pressure was determined by step-wise increase of the differential pressure (drainage), the capillary snap-off pressure was determined from the final pressure difference at the end of a spontaneous imbibition phase. The confining pressure was kept constant throughout the experiment, which resulted in a continuous change of effective stress. The measurements were performed in a closed system and the pressure response was interpreted in terms of different flow mechanisms (diffusion-controlled vs. viscous flow). In total, four breakthrough experiments with N2 and five experiments with CO2 were conducted. Because of very low flow rates and high critical capillary pressures the experiments took rather long. In some cases the experiments were allowed to run for half a year (drainage experiments). Substantial differences were observed between gas breakthrough (drainage) and snap-off (imbibition) pressures. As expected, breakthrough pressures were always higher than the snap-off pressures. For three samples a pbreakthrough/psnap-off ratio of 1.6 to 1.9 was observed, for one sample a ratio of 4. A clear permeability-capillary pressure relationship could not be identified. Based on (omnidirectional) Hg-injection porosimetry results, and assuming perfectly water wet mineral surfaces, gas breakthrough pressures were predicted to occur at approximately 16 MPa for N2 and 5.7 MPa for CO2. The gas breakthrough experiments, however, produced different results. Even though a relatively homogeneous sample set was chosen, with permeability coefficients ranging between 1E-21 and 6E-21 m², the critical capillary breakthrough pressures for nitrogen ranged between 3.4 and 12.3 MPa and snap-off pressures from 0.5 to 6.4 MPa. The CO2 experiments yielded breakthrough pressures of 14.0 to 17.5 MPa and snap-off pressures of 3.5 to 10 MPa. No significant changes in single-phase water permeability coefficients before and after the gas breakthrough experiments were observed. In our contribution we will discuss the following points: 1. Gas fluxes occurring during gas breakthrough experiments may be extremely low. Therefore an unambigous identification of gas breakthrough is not always possible. Besides viscous or diffusive transport, dissolution of CO2 in the pore water may affect the observed pressure changes in the upstream and downstream compartments. All of these processes occur simultaneously and can only be partly discriminated. Gas fluxes detected during the diffusion-controlled flow regimes result in nominal effective gas permeability coefficients as low as 6E-25 m² to 7E-24m². 2. The application of purely capillary-controlled flow models may not be justified. o Gas breakthrough is controlled by effective stress, i.e. the opening of pores or small fissures. o Assumptions about wettability (completely water-wet mineral surfaces) may be incorrect.

An Automated, Gravity-driven CSF Drainage System Decreases Complications and Lowers Costs

PubMed Central

Lieberson, Robert E; Meyer, William; Trang, Tung

2017-01-01

Background: FlowSafeTM (BeckerSmith Medical, Irvine, CA, USA) is a novel, robotic, external lumbar drainage (ELD) system, which was designed to control cerebrospinal fluid (CSF) drainage, reduce complications, and decrease treatment costs. Methods: Forty-seven consecutive neurosurgical patients requiring ELD were treated using the FlowSafe system. Results: In 39 of 40 patients with traumatic and surgical dural openings, potential CSF leaks were avoided. In seven patients with suspected normal pressure hydrocephalus, post-infectious ventriculomegaly, or pseudotumor cerebrum, we were able to assess the likelihood of improvement with shunting. The system, therefore, produced what we considered to be the “desired result” in 46 of 47 patients (98%). Our one treatment failure (2%) involved a patient with unrecognized hydrocephalus who, following a Chiari repair with a dural patch graft, was drained for six days. A persistent CSF leak eventually required a reoperation. Two patients (4%) described low-pressure headaches during treatment. Both responded to temporarily suspending or reducing the drainage rate. We saw no complications. Required nursing interventions were minimal.  Conclusions: The FlowSafe system was safe and effective. In our experience, there were fewer complications compared to currently available ELD systems. The FlowSafe was well tolerated by our patients. The near elimination of nursing interventions should allow lumbar drainage to be delivered in less costly, non-intensive care unit settings. Larger trials will be needed. PMID:28331772

Surgical Treatment for Chronic Pancreatitis: Past, Present, and Future

PubMed Central

Welte, Maria; Izbicki, Jakob R.; Bachmann, Kai

2017-01-01

The pancreas was one of the last explored organs in the human body. The first surgical experiences were made before fully understanding the function of the gland. Surgical procedures remained less successful until the discovery of insulin, blood groups, and finally the possibility of blood donation. Throughout the centuries, the surgical approach went from radical resections to minimal resections or only drainage of the gland in comparison to an adequate resection combined with drainage procedures. Today, the well-known and standardized procedures are considered as safe due to the high experience of operating surgeons, the centering of pancreatic surgery in specialized centers, and optimized perioperative treatment. Although surgical procedures have become safer and more efficient than ever, the overall perioperative morbidity after pancreatic surgery remains high and management of postoperative complications stagnates. Current research focuses on the prevention of complications, optimizing the patient's general condition preoperatively and finding the appropriate timing for surgical treatment. PMID:28819358

The full metallic double-pigtail ureteral stent: Review of the clinical outcome and current status

PubMed Central

Kallidonis, Panagiotis S.; Georgiopoulos, Ioannis S.; Kyriazis, Iason D.; Kontogiannis, Stavros; Al-Aown, Abdulrahman M.; Liatsikos, Evangelos N.

2015-01-01

The full metallic double-J ureteral stent (MS) was introduced as a method for providing long-term drainage in malignant ureteral obstruction. Experimental evaluation of the MS revealed that its mechanical features allow efficient drainage in difficult cases, which could not be managed by the insertion of a standard polymeric double-J stent. Clinical experience with the MS showed controversial results. Careful patient selection results in efficient long-term management of malignant ureteral obstruction. The use of the MS should also be considered in selected benign cases. Major complications are uncommon and the minor complications should not hinder its use. Experience in pediatric patients is limited and warrants additional study. The cost-effectiveness of the MS seems to be appropriate for long-term treatment. Further investigation with comparative clinical trials would document the outcome more extensively and establish the indications as well as the selection criteria for the MS. PMID:25624569

MR Elastography Can Be Used to Measure Brain Stiffness Changes as a Result of Altered Cranial Venous Drainage During Jugular Compression.

PubMed

Hatt, A; Cheng, S; Tan, K; Sinkus, R; Bilston, L E

2015-10-01

Compressing the internal jugular veins can reverse ventriculomegaly in the syndrome of inappropriately low pressure acute hydrocephalus, and it has been suggested that this works by "stiffening" the brain tissue. Jugular compression may also alter blood and CSF flow in other conditions. We aimed to understand the effect of jugular compression on brain tissue stiffness and CSF flow. The head and neck of 9 healthy volunteers were studied with and without jugular compression. Brain stiffness (shear modulus) was measured by using MR elastography. Phase-contrast MR imaging was used to measure CSF flow in the cerebral aqueduct and blood flow in the neck. The shear moduli of the brain tissue increased with the percentage of blood draining through the internal jugular veins during venous compression. Peak velocity of caudally directed CSF in the aqueduct increased significantly with jugular compression (P < .001). The mean jugular venous flow rate, amplitude, and vessel area were significantly reduced with jugular compression, while cranial arterial flow parameters were unaffected. Jugular compression influences cerebral CSF hydrodynamics in healthy subjects and can increase brain tissue stiffness, but the magnitude of the stiffening depends on the percentage of cranial blood draining through the internal jugular veins during compression—that is, subjects who maintain venous drainage through the internal jugular veins during jugular compression have stiffer brains than those who divert venous blood through alternative pathways. These methods may be useful for studying this phenomenon in patients with the syndrome of inappropriately low-pressure acute hydrocephalus and other conditions. © 2015 by American Journal of Neuroradiology.

Geomorphic and Fish Genetics Constraints on Late Cenozoic Long Wavelength Topographic Evolution of the Hangay Mountains, Central Mongolia

NASA Astrophysics Data System (ADS)

Wegmann, K. W.; Tamra, M.; Sabaj Pérez, M.; Lopresti, M.; Cole, M. B.; Gosse, J. C.; Smith, S. G.; Bayasgalan, G.; Ancuta, L. D.; McDannell, K. T.; Gallen, S. F.

2014-12-01

The Hangay Mountains stand 1.5 - 2 km above adjacent lowlands and the timing and cause of their high elevation is debated. As part of a broad collaborative project, we synthesize several data sets that collectively suggest the Hangay increased in elevation during the mid-to-late Miocene, while topographic relief, one metric commonly associated with active mountain ranges, remained largely unchanged. The topographic crest of the Hangay forms the drainage divide between the Selenga River and internal drainage of the Mongolian Depression of Lakes (MDL) and northern Gobi. Synthetic drainage divides for the Hangay were created by filtering digital topography in the spectral domain (50 - 200 km wavelengths) using a 2D-FFT function. The co-location of the synthetic and modern divides suggests that the Hangay divide is in a stable, equilibrium configuration. This assumption is corroborated by chi-maps of steady-state river channel elevations that exhibit nearly equal values across water divides. An exception to both of these metrics occurs in the northwest Hangay where the Bulnay fault crosses a low divide between the western Selenga basin and the MDL. Recent basalt vesicle paleoaltimetry results allow for ~1 km of surface uplift of the central Hangay in the past ~ 10 Ma. These same basalt flows in-filled late Miocene valleys cut into basement with a minimum of 800 m of local relief; similar to the amount of modern, post-glacial relief along the drainage divide. mtDNA analyses from > 250 combined Stone Loaches (Barbatula), Grayling (Thymallus), and Eurasian Dace (Leuciscus) samples from both sides of the continental drainage divide are supportive of Miocene surface uplift. Molecular genetic differences between the loach populations across the divide suggest that they separated from a common ancestor between 20 and 11 Ma. This date is consistent with the timing of surface uplift and valley incision preserved in the Miocene basalt flows. The dace and grayling populations on either side of the divide separated more recently, at ~ 2 Ma and < 1 Ma, respectively. We speculate that either (1) Quaternary climate change via glacial drainage reorganization or (2) drainage capture in response to slip along the Bulnay fault forced these more recent separations. These topo-genetic constrains are needed inputs for regional geodynamic models.

Climate change impacts on rainfall extremes and urban drainage: state-of-the-art review

NASA Astrophysics Data System (ADS)

Willems, Patrick; Olsson, Jonas; Arnbjerg-Nielsen, Karsten; Beecham, Simon; Pathirana, Assela; Bülow Gregersen, Ida; Madsen, Henrik; Nguyen, Van-Thanh-Van

2013-04-01

Under the umbrella of the IWA/IAHR Joint Committee on Urban Drainage, the International Working Group on Urban Rainfall (IGUR) has reviewed existing methodologies for the analysis of long-term historical and future trends in urban rainfall extremes and their effects on urban drainage systems, due to anthropogenic climate change. Current practises have several limitations and pitfalls, which are important to be considered by trend or climate change impact modellers and users of trend/impact results. The review considers the following aspects: Analysis of long-term historical trends due to anthropogenic climate change: influence of data limitation, instrumental or environmental changes, interannual variations and longer term climate oscillations on trend testing results. Analysis of long-term future trends due to anthropogenic climate change: by complementing empirical historical data with the results from physically-based climate models, dynamic downscaling to the urban scale by means of Limited Area Models (LAMs) including explicitly small-scale cloud processes; validation of RCM/GCM results for local conditions accounting for natural variability, limited length of the available time series, difference in spatial scales, and influence of climate oscillations; statistical downscaling methods combined with bias correction; uncertainties associated with the climate forcing scenarios, the climate models, the initial states and the statistical downscaling step; uncertainties in the impact models (e.g. runoff peak flows, flood or surcharge frequencies, and CSO frequencies and volumes), including the impacts of more extreme conditions than considered during impact model calibration and validation. Implications for urban drainage infrastructure design and management: upgrading of the urban drainage system as part of a program of routine and scheduled replacement and renewal of aging infrastructure; how to account for the uncertainties; flexible and sustainable solutions; adaptive approach that provides inherent flexibility and reversibility and avoids closing off options; importance of active learning. References: Willems, P., Olsson, J., Arnbjerg-Nielsen, K., Beecham, S., Pathirana, A., Bülow Gregersen, I., Madsen, H., Nguyen, V-T-V. (2012). Impacts of climate change on rainfall extremes and urban drainage. IWA Publishing, 252 p., Paperback Print ISBN 9781780401256; Ebook ISBN 9781780401263 Willems, P., Arnbjerg-Nielsen, K., Olsson, J., Nguyen, V.T.V. (2012), 'Climate change impact assessment on urban rainfall extremes and urban drainage: methods and shortcomings', Atmospheric Research, 103, 106-118

Comparing morphologies of drainage basins on Mars and Earth using integral-geometry and neural maps

NASA Technical Reports Server (NTRS)

Stepinski, T. F.; Coradetti, S.

2004-01-01

We compare morphologies of drainage basins on Mars and Earth in order to confine the formation process of Martian valley networks. Basins on both planets are computationally extracted from digital topography. Integral-geometry methods are used to represent each basin by a circularity function that encapsulates its internal structure. The shape of such a function is an indicator of the style of fluvial erosion. We use the self-organizing map technique to construct a similarity graph for all basins. The graph reveals systematic differences between morphologies of basins on the two planets. This dichotomy indicates that terrestrial and Martian surfaces were eroded differently. We argue that morphologies of Martian basins are incompatible with runoff from sustained, homogeneous rainfall. Fluvial environments compatible with observed morphologies are discussed. We also construct a similarity graph based on the comparison of basins hypsometric curves to demonstrate that hypsometry is incapable of discriminating between terrestrial and Martian basins. INDEX TERMS: 1824 Hydrology: Geomorphology (1625); 1886 Hydrology: Weathering (1625); 5415 Planetology: Solid Surface Planets: Erosion and weathering; 6225 Planetology: Solar System Objects Mars. Citation: Stepinski, T. F., and S. Coradetti (2004), Comparing morphologies of drainage basins on Mars and Earth using integral-ge

A multicomponent coupled model of glacier hydrology 1. Theory and synthetic examples

NASA Astrophysics Data System (ADS)

Flowers, Gwenn E.; Clarke, Garry K. C.

2002-11-01

Basal hydrology is acknowledged as a fundamental control on glacier dynamics, especially in cases where surface meltwater reaches the bed. For many glaciers at midlatitudes, basal drainage is influenced by subaerial, englacial, and subsurface water flow. One of the major shortcomings of existing basal hydrology models is the treatment of the glacier bed as an isolated system. We present theoretical and computational models that couple glacier surface runoff, englacial water storage and transport, subglacial drainage, and subsurface groundwater flow. Each of the four model components is represented as a two-dimensional, vertically integrated layer that communicates with its neighbors through water exchange. Governing equations are derived from the law of mass conservation and are expressed as a balance between the internal distribution of water and external sources. The numerical exposition of this theory is a time-dependent finite difference model that can be used to simulate glacier drainage. In this paper we outline the theory and conduct simple tests using an idealized glacier geometry. In the companion paper, the model is tailored to Trapridge Glacier, Yukon Territory, Canada, where results are compared with measurements of subglacial water pressure.

Great Basin cold desert shrublands and the Desert Experimental Range

Treesearch

Stanley G. Kitchen; Stephanie L. Carlson

2008-01-01

The Great Basin is a vast, internally drained region of the Western United States, bounded by the Sierra Nevada and southern Cascade Mountain ranges to the west and the Wasatch Mountains and western rim of the Colorado Plateau to the east. Although less discrete, northern and southern boundaries are generally defined by the drainages of the Columbia and Colorado Rivers...

An analytical study on groundwater flow in drainage basins with horizontal wells

NASA Astrophysics Data System (ADS)

Wang, Jun-Zhi; Jiang, Xiao-Wei; Wan, Li; Wang, Xu-Sheng; Li, Hailong

2014-06-01

Analytical studies on release/capture zones are often limited to a uniform background groundwater flow. In fact, for basin-scale problems, the undulating water table would lead to the development of hierarchically nested flow systems, which are more complex than a uniform flow. Under the premise that the water table is a replica of undulating topography and hardly influenced by wells, an analytical solution of hydraulic head is derived for a two-dimensional cross section of a drainage basin with horizontal injection/pumping wells. Based on the analytical solution, distributions of hydraulic head, stagnation points and flow systems (including release/capture zones) are explored. The superposition of injection/pumping wells onto the background flow field leads to the development of new internal stagnation points and new flow systems (including release/capture zones). Generally speaking, the existence of n injection/pumping wells would result in up to n new internal stagnation points and up to 2n new flow systems (including release/capture zones). The analytical study presented, which integrates traditional well hydraulics with the theory of regional groundwater flow, is useful in understanding basin-scale groundwater flow influenced by human activities.

pH, dissolved oxygen, and adsorption effects on metal removal in anaerobic bioreactors.

PubMed

Willow, Mark A; Cohen, Ronald R H

2003-01-01

Anaerobic bioreactors were used to test the effect of the pH of influent on the removal efficiency of heavy metals from acid-rock drainage. Two studies used a near-neutral-pH, metal-laden influent to examine the heavy metal removal efficiency and hydraulic residence time requirements of the reactors. Another study used the more typical low-pH mine drainage influent. Experiments also were done to (i) test the effects of oxygen content of feed water on metal removal and (ii) the adsorptive capacity of the reactor organic substrate. Analysis of the results indicates that bacterial sulfate reduction may be a zero-order kinetic reaction relative to sulfate concentrations used in the experiments, and may be the factor that controls the metal mass removal efficiency in the anaerobic treatment systems. The sorptive capacities of the organic substrate used in the experiments had not been exhausted during the experiments as indicated by the loading rates of removal of metals exceeding the mass production rates of sulfide. Microbial sulfate reduction was less in the reactors receiving low-pH influent during experiments with short residence times. Sulfate-reducing bacteria may have been inhibited by high flows of low-pH water. Dissolved oxygen content of the feed waters had little effect on sulfate reduction and metal removal capacity.

Distributed and localized horizontal tectonic deformation as inferred from drainage network geometry and topology: A case study from Lebanon

NASA Astrophysics Data System (ADS)

Goren, Liran; Castelltort, Sébastien; Klinger, Yann

2016-04-01

Partitioning of horizontal deformation between localized and distributed modes in regions of oblique tectonic convergence is, in many cases, hard to quantify. As a case study, we consider the Dead Sea Fault System that changes its orientation across Lebanon and forms a restraining bend. The oblique deformation along the Lebanese restraining bend is characterized by a complex suite of tectonic structures, among which, the Yammouneh fault, is believed to be the main strand that relays deformation from the southern section to the northern section of the Dead Sea Fault System. However, uncertainties regarding slip rates along the Yammouneh fault and strain partitioning in Lebanon still prevail. In the current work we use the geometry and topology of river basins together with numerical modeling to evaluate modes and rates of the horizontal deformation in Mount Lebanon that is associated with the Arabia-Sinai relative plate motion. We focus on river basins that drain Mount Lebanon to the Mediterranean and originate close to the Yammouneh fault. We quantify a systematic counterclockwise rotation of these basins and evaluate drainage area disequilibrium using an application of the χ mapping technique, which aims at estimating the degree of geometrical and topological disequilibrium in river networks. The analysis indicates a systematic spatial pattern whereby tributaries of the rotated basins appear to experience drainage area loss or gain with respect to channel length. A kinematic model that is informed by river basin geometry reveals that since the late Miocene, about a quarter of the relative plate motion parallel to the plate boundary has been distributed along a wide band of deformation to the west of the Yammouneh fault. Taken together with previous, shorter-term estimates, the model indicates little variation of slip rate along the Yammouneh fault since the late Miocene. Kinematic model results are compatible with late Miocene paleomagnetic rotations in western Mount Lebanon. A numerical landscape evolution experiment demonstrates the emergence of a similar χ pattern of drainage area disequilibrium in response to progressive distributed shear deformation of river basins with relatively minor drainage network reorganization.

Assessing the net impact of long-term drainage disturbance on a permafrost ecosystem through multi-disciplinary observations

NASA Astrophysics Data System (ADS)

Goeckede, Mathias; Kwon, Min Jung; Kittler, Fanny; Burjack, Ina; Heimann, Martin; Zimov, Nikita; Zimov, Sergey

2016-04-01

This study presents findings from a multi-disciplinary disturbance experiment established on the floodplain of the Kolyma River near Chersky, Northeast Siberia. Parts of our site have been artificially drained by ditches since 2004 to study shifts in biogeochemical and biogeophysical ecosystem properties following a sustained lowering of the water table. In particular, we are interested in changes in carbon and energy flux patterns, and resulting effects on the sustainability of the permafrost carbon pool. We conduct a paired experiment with two uniformly instrumented sites representing drained and reference tundra, respectively. Year-round fluxes of carbon (CO2 and CH4) and energy are available from two eddy-covariance towers, supplemented by a comprehensive monitoring of surface layer meteorology. These tower datasets are supplemented by observations targeting microsite flux rates with flux chamber transects, microbial and vegetation community structures, radiocarbon signals, nutrient availability and seasonal dynamics in phenology. Through our multi-disciplinary observations we can document that the drainage triggered a suite of secondary changes in ecosystem properties, including e.g. vegetation structure (more tussocks and shrubs), snow cover regime (earlier buildup, earlier snow melt), soil temperature (warmer soils throughout the year) and thaw depth (reduced). Concerning the energy budget, this results in an intensification of energy transfer to the lower atmosphere, particularly in form of sensible heat. The CO2 exchange between ecosystem and atmosphere is intensified as well, with drainage leading to both higher assimilation (taller vegetation) and respiration (warmer topsoils) rates. Increases in respiration dominate here, thus the net sink strength of the ecosystem for CO2 is reduced as a consequence of lowering the water table. CH4 emissions are reduced by more then 50% following the drainage, since in the disturbed area conditions for both production (dryer soils) and transport (less plant-mediated transport due to shifts in vegetation) have negative impacts on flux rates. Summarizing, drainage results in complex effects with both positive and negative contributions to the net global warming potential of this ecosystem, with the long-term effect most likely leading to a positive feedback with global warming.

Time to Redefine the Intramammary Lymph Node as a Separate Entity?

PubMed

Green, M; Tafazal, H; Swati, B; Vidya, R

2018-04-17

The lymphatic drainage for the majority of primary breast tumours is to the axillary lymph nodes (ALNs). Some, however drain to the so-called extra-axillary basins, namely the internal mammary, supra- and infraclavicular regions. Another potential drainage route includes the intramammary lymph nodes (IMLNs). Current guidance suggests IMLNs should be considered as part of the axillary group, potentially affecting axillary management. However, due to evolution in imaging and advancement in technology, IMLNs may now be distinguished more accurately pre-operatively. There are currently no published guidelines for the management of IMLNs in the United Kingdom. The authors suggest that it is time to reclassify IMLNs as a separate focus of cancer and treat it as a separate entity. This article is protected by copyright. All rights reserved. © 2018 Wiley Periodicals, Inc.

Alkaline hydrothermal conversion of fly ash filtrates into zeolites 2: utilization in wastewater treatment.

PubMed

Somerset, Vernon; Petrik, Leslie; Iwuoha, Emmanuel

2005-01-01

Filtrates were collected using a codisposal reaction wherein fly ash was reacted with acid mine drainage. These codisposal filtrates were then analyzed by X-ray Fluorescence spectrometry for quantitative determination of the SiO2 and Al2O3 content. Alkaline hydrothermal zeolite synthesis was then applied to the filtrates to convert the fly ash material into zeolites. The zeolites formed under the experimental conditions were faujasite, sodalite, and zeolite A. The use of the fly ash-derived zeolites and a commercial zeolite was explored in wastewater decontamination experiments as it was applied to acid mine drainage in different dosages. The concentrations of Ni, Zn, Cd, As, and Pb metal ions in the treated wastewater were investigated. The results of the treatment of the acid mine drainage with the prepared fly ash zeolites showed that the concentrations of Ni, Zn, Cd, and Hg were decreased as the zeolite dosages of the fly ash zeolite (FAZ1) increased.

Pressure-controlled drainage of cerebrospinal fluid: clinical experience with a new type of ventricular catheter (Ventcontrol MTC)and an integrated Piezo-resistive sensor at its tip: technical note.

PubMed

Piek, J; Raes, P

1996-01-01

We described a new ventricular catheter that is the combination of a "classic" ventricular catheter with a piezo-resistive transducer at its tip. The device allows parallel recordings of intraventricular fluid pressure via a chip and a fluid-filled external transducer, drainage of cerebrospinal fluid from the ventricle or injection of fluid into the ventricle with simultaneous monitoring of intracranial pressure, and recording of brain tissue pressure in cases of misplacement or dislocation of the ventricular catheter or in cases of progressively narrowing ventricles caused by brain edema. Clinical tests in various situations at different pressure ranges (total recording time, 1356 h in 13 patients) gave excellent correlations of both pressures. Application of the device is especially indicated in clinical situations in which pressure-controlled drainage is desirable, occlusion of ventricular bolts is likely, or pressure-volume tests are needed.

Assessing cellulolysis in passive treatment systems for mine drainage: a modified enzyme assay.

PubMed

McDonald, Corina M; Gould, W Douglas; Lindsay, Matthew B J; Blowes, David W; Ptacek, Carol J; Condon, Peter D

2013-01-01

A modified cellulase enzyme assay was developed to monitor organic matter degradation in passive treatment systems for mine drainage. This fluorogenic substrate method facilitates assessment of exo-(1,4)-β-D-glucanase, endo-(1,4)-β-D-glucanase, and β-glucosidase, which compose an important cellulase enzyme system. The modified method was developed and refined using samples of organic carbon-amended mine tailings from field experiments where sulfate reduction was induced as a strategy for managing water quality. Sample masses (3 g) and the number of replicates ( ≥ 3) were optimized. Matrix interferences within these metal-rich samples were found to be insignificant. Application of this modified cellulase assay method provided insight into the availability and degradation of organic carbon within the amended tailings. Results of this study indicate that cellulase enzyme assays can be applied to passive treatment systems for mine drainage, which commonly contain elevated concentrations of metals. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Growth and Comprehensive Quality Index of Tomato under Rain Shelters in Response to Different Irrigation and Drainage Treatments

PubMed Central

Shao, Guang-cheng; Wang, Ming-hui; Liu, Na; Yuan, Min; Kumar, Prem; She, Dong-Li

2014-01-01

The effects of two levels of irrigation water (100%, 60%) and buried underground pipe depths (0.8 m, 0.6 m) under rain shelters' conditions on yield and some quality parameters of tomato were investigated. A fully randomized factorial experiment was conducted between April and August in 2011 and 2012 at Hohai University. It was found that drainage treatments enhanced biomass production, whereas soil desiccation led to biomass reduction. At 60 cm buried underground pipe depths, the drought treatments increased the mean root weight and root-shoot ratio by 14% and 39%, respectively. The main effects of drainage treatments on the fruit quality were increases in total soluble solids (TSS), soluble sugar (SS), and vitamin C (VC) compared to the control. In addition, drainage treatments increased the average yield by 13% and 9%, respectively, in both years. The drought treatments did not significantly alter fruit yield, although mean single fruit weight was slightly reduced. Instead, these treatments tend to have great potential to improve fruit quality (TSS, SS, and VC) to variable extents. In both years, the drought treatment at 60 cm buried underground pipe depths proved to possess the highest comprehensive quality index based on Principal Component Analysis. PMID:25054180

Emergent spectral properties of river network topology: an optimal channel network approach.

PubMed

Abed-Elmdoust, Armaghan; Singh, Arvind; Yang, Zong-Liang

2017-09-13

Characterization of river drainage networks has been a subject of research for many years. However, most previous studies have been limited to quantities which are loosely connected to the topological properties of these networks. In this work, through a graph-theoretic formulation of drainage river networks, we investigate the eigenvalue spectra of their adjacency matrix. First, we introduce a graph theory model for river networks and explore the properties of the network through its adjacency matrix. Next, we show that the eigenvalue spectra of such complex networks follow distinct patterns and exhibit striking features including a spectral gap in which no eigenvalue exists as well as a finite number of zero eigenvalues. We show that such spectral features are closely related to the branching topology of the associated river networks. In this regard, we find an empirical relation for the spectral gap and nullity in terms of the energy dissipation exponent of the drainage networks. In addition, the eigenvalue distribution is found to follow a finite-width probability density function with certain skewness which is related to the drainage pattern. Our results are based on optimal channel network simulations and validated through examples obtained from physical experiments on landscape evolution. These results suggest the potential of the spectral graph techniques in characterizing and modeling river networks.

Management of pediatric postoperative chylothorax.

PubMed

Bond, S J; Guzzetta, P C; Snyder, M L; Randolph, J G

1993-09-01

Questions persist about the management of postoperative chylothorax in infants and children. Our experience with postoperative chylothorax over the most recent decade (1980 to 1990) has been reviewed. The type and amount of drainage, data from cardiac catheterization and echocardiography, operative decisions and details, and eventual outcomes have been cataloged. All patients were initially treated with total gut rest, with operation reserved for unabated drainage. Chylothorax developed postoperatively in 15 infants and 11 children (18 with a cardiac procedure and 8 with a noncardiac procedure). The average age was 3.1 years. Spontaneous cessation and cure occurred in 19 (73.1%) of these 26 patients, with an average drainage duration of 11.9 days (range, 4 to 30 days). Those for whom operation was chosen drained preoperatively for an average of 29.2 days (range, 25 to 40 days). There were no deaths in either group. Complications were lymphopenia (2 patients) and fungal sepsis (1 patient). The amount of drainage per day was not significantly different between patients treated operatively and those treated nonoperatively. Failure of nonoperative management was associated with venous hypertension from increased right-sided cardiac pressures or central venous thrombosis (p < 0.05, Fisher's exact test). Presumably this increased pressure is transmitted to the lymphatic system. These patients should be identified early and considered for thoracic duct suture or pleuroperitoneal shunting.

Growth and comprehensive quality index of tomato under rain shelters in response to different irrigation and drainage treatments.

PubMed

Shao, Guang-cheng; Wang, Ming-hui; Liu, Na; Yuan, Min; Kumar, Prem; She, Dong-Li

2014-01-01

The effects of two levels of irrigation water (100%, 60%) and buried underground pipe depths (0.8 m, 0.6 m) under rain shelters' conditions on yield and some quality parameters of tomato were investigated. A fully randomized factorial experiment was conducted between April and August in 2011 and 2012 at Hohai University. It was found that drainage treatments enhanced biomass production, whereas soil desiccation led to biomass reduction. At 60 cm buried underground pipe depths, the drought treatments increased the mean root weight and root-shoot ratio by 14% and 39%, respectively. The main effects of drainage treatments on the fruit quality were increases in total soluble solids (TSS), soluble sugar (SS), and vitamin C (VC) compared to the control. In addition, drainage treatments increased the average yield by 13% and 9%, respectively, in both years. The drought treatments did not significantly alter fruit yield, although mean single fruit weight was slightly reduced. Instead, these treatments tend to have great potential to improve fruit quality (TSS, SS, and VC) to variable extents. In both years, the drought treatment at 60 cm buried underground pipe depths proved to possess the highest comprehensive quality index based on Principal Component Analysis.

STABILITY OF AQUEOUS FILMS BETWEEN BUBBLES

PubMed Central

Ohnishi, Satomi; Vogler, Erwin A.; Horn, Roger G.

2010-01-01

Film thinning experiments have been conducted with aqueous films between two air phases in a thin film pressure balance. The films are free of added surfactant but simple NaCl electrolyte is added in some experiments. Initially the experiments begin with a comparatively large volume of water in a cylindrical capillary tube a few mm in diameter, and by withdrawing water from the center of the tube the two bounding menisci are drawn together at a prescribed rate. This models two air bubbles approaching at a controlled speed. In pure water the results show three regimes of behavior depending on the approach speed: at slow speed (<1 µm/s) it is possible to form a flat film of pure water, ~100 nm thick, that is stabilised indefinitely by disjoining pressure due to repulsive double-layer interactions between naturally-charged air/water interfaces. The data are consistent with a surface potential of −57 mV on the bubble surfaces. At intermediate approach speed (~1 – 150 µm/s) the films are transiently stable due to hydrodynamic drainage effects, and bubble coalescence is delayed by ~10 – 100 s. At approach speeds greater than ~150 µm/s the hydrodynamic resistance appears to become negligible, and the bubbles coalesce without any measurable delay. Explanations for these observations are presented that take into account DLVO and Marangoni effects entering through disjoining pressure, surface mobility and hydrodynamic flow regimes in thin film drainage. In particular, it is argued that the dramatic reduction in hydrodynamic resistance is a transition from viscosity-controlled drainage to inertia-controlled drainage associated with a change from immobile to mobile air/water interfaces on increasing the speed of approach of two bubbles. A simple model is developed that accounts for the boundaries between different film stability or coalescence regimes. Predictions of the model are consistent with the data, and the effects of adding electrolyte can be explained. In particular, addition of electrolyte at high concentration inhibits the near-instantaneous coalescence phenomenon, thereby contributing to increased foam film stability at high approach speeds, as reported in previous literature. This work highlights the significance of bubble approach speed as well as electrolyte concentration in affecting bubble coalescence. PMID:20146434

A simple method to treat post-kydney transplantation lymphocele.

PubMed

Damiano, G; Lombardo, C; Palumbo, V D; Buffa, D; Maione, C; Gioviale, M C; Cacciabaudo, F; Spinelli, G; Calvagna, C; Lo Monte, A I

2011-01-01

To describe our experience with ultrasonic-guided instillation of povidone-iodine to treat post-kidney transplantation lymphocele. Patients and methods. We studied the safety and efficacy of this procedure for treatment of lymphocele in 6 male kidney transplanted recipients in which we assisted a progressive increase of creatinine and urinary proteins levels and color-Doppler ultrasonography demonstrated an increase (25,4%) of index of resistence (IR) Using eco-colorDoppler, the related-graft lymphocele location and the distance to the anterior abdominal wall were determined; then, a radiopaque double-lumen catheter was used to instillate 5% povidone-iodine 10 ml. Results. Percutaneous drainage achieved a resolution rate of 100%. Studying the rate of peripheral and internal vascularization of the kidney before and after treatment, eco-colorDoppler showed a significant decrease of the IR (24,6%). Conclusions. The US-guided povidone-iodine instillation for treatment of lymphocele following renal transplantation may be considered as first choice therapy in such disease.

Useful technique for long-term urinary drainage by inlying ureteral stent. Six-year experience.

PubMed

Kearney, G P; Mahoney, E M; Brown, H P

1979-08-01

Endoscopically placed inlying ureteral stents have proved useful in the conservative management of patients with ureteral obstruction, urinary fistula, and malignancy and have obviated the need for operative intervention. In high-risk symptomatic patients with widespread malignancy, internal urinary diversion offers the opportunity for an improved quality of life without the surgical risk or potential morbidity of supravesical diversion. Potential candidates for this simple, safe, and effective technique include: those with postsurgical obstruction and/or fistula, retroperitoneal fibrosis, metastatic carcinoma, congenital ureteropelvic junction obstruction, as well as those with reversible obstruction from lymphoma and carcinoma of the prostate who are undergoing radiotherapy and/or chemotherapy. The focus of this report is on the technique we have found successful in providing us with stents that fit our individual patients. Readily available fabricated graduated ureteral catheter can be cut and shaped to particular measurements unlike prefabricated catheters. Minimal preparation time is demanded, and there is no need for extensive stocking of various catheter sizes.

Experimental basin studies—an international and historical perspective of forest impacts

NASA Astrophysics Data System (ADS)

Whitehead, P. G.; Robinson, M.

1993-05-01

The long tradition of catchment studies in hydrology results from the need to understand the water balance operating in basins, the processes controlling water movements and the impacts of land-use change on water quantity and quality. The interactions between physical, chemical and biological behaviour have become an increasingly dominant theme in recent years, and this has been boosted by global environmental problems such as acid rain and climatic change. After a historical summary of catchment studies, a brief review is given of some of the most influential experiments and their underlying objectives and results, concentrating on those concerned with one land-use change in particular — to/from forestry. In interpreting the effects of a change in forest cover, it is necessary also to consider impacts of the associated site disturbance, including possible soil compaction and road construction as a result of logging and any artificial drainage before tree planting. The recent tendency to link basin studies into networks is discussed, with examples of currently active networks.

Molybdenum and zinc stable isotope variation in mining waste rock drainage and waste rock at the Antamina mine, Peru.

PubMed

Skierszkan, E K; Mayer, K U; Weis, D; Beckie, R D

2016-04-15

The stable isotope composition of molybdenum (Mo) and zinc (Zn) in mine wastes at the Antamina Copper-Zn-Mo mine, Peru, was characterized to investigate whether isotopic variation of these elements indicated metal attenuation processes in mine drainage. Waste rock and ore minerals were analyzed to identify the isotopic composition of Mo and Zn sources, namely molybdenites (MoS2) and sphalerites (ZnS). Molybdenum and Zn stable isotope ratios are reported relative to the NIST-SRM-3134 and PCIGR-1 Zn standards, respectively. δ(98)Mo among molybdenites ranged from -0.6 to +0.6‰ (n=9) while sphalerites showed no δ(66)Zn variations (0.11±0.01‰, 2 SD, n=5). Mine drainage samples from field waste rock weathering experiments were also analyzed to examine the extent of isotopic variability in the dissolved phase. Variations spanned 2.2‰ in δ(98)Mo (-0.1 to +2.1‰) and 0.7‰ in δ(66)Zn (-0.4 to +0.3‰) in mine drainage over a wide pH range (pH2.2-8.6). Lighter δ(66)Zn signatures were observed in alkaline pH conditions, which was consistent with Zn adsorption and/or hydrozincite (Zn5(OH)6(CO3)2) formation. However, in acidic mine drainage Zn isotopic compositions reflected the value of sphalerites. In addition, molybdenum isotope compositions in mine drainage were shifted towards heavier values (0.89±1.25‰, 2 SD, n=16), with some overlap, in comparison to molybdenites and waste rock (0.13±0.82‰, 2 SD, n=9). The cause of heavy Mo isotopic signatures in mine drainage was more difficult to resolve due to isotopic heterogeneity among ore minerals and a variety of possible overlapping processes including dissolution, adsorption and secondary mineral precipitation. This study shows that variation in metal isotope ratios are promising indicators of metal attenuation. Future characterization of isotopic fractionation associated to key environmental reactions will improve the power of Mo and Zn isotope ratios to track the fate of these elements in mine drainage. Copyright © 2015 Elsevier B.V. All rights reserved.

Toward more accurate basal boundary conditions: a new 2-D model of distributed and channelised subglacial drainage

NASA Astrophysics Data System (ADS)

Werder, M. A.; Hewitt, I. J.; Schoof, C.; Flowers, G. E.

2012-04-01

Basal boundary conditions are one of the least constrained components of today's ice sheet models. To get at these one needs to know the distributed basal water pressure. We present a new glacier drainage system model to contribute to this missing piece of the puzzle. This two dimensional mathematical/numerical model combines distributed and channelised drainage at the ice-bed interface coupled to a water storage component. Notably the model determines the location of the channels as part of the solution. This is achieved by allowing channels (modelled as R-channels) to form on any of the edges of the unstructured triangular grid used to discretise the model. The distributed system is represented by a water sheet which is a continuum description of a linked-cavity system and exchanges water with the channels along their length. Water storage is parameterised as a function of the subglacial water pressure, which can be interpreted as storage in an englacial aquifer or due to elastic processes. The parabolic equation that determines the water pressure is solved using finite elements, the time evolution of the water sheet thickness and channel diameter are governed by local differential equations that are integrated using explicit methods. To explore the model's properties, we apply it to synthetic ice sheet catchments with areas up to 3000km2. We present steady state drainage system configurations and evaluate their channel-network properties (fractal dimensions, channel spacing). We find that an arborescent channel network forms whose density depends on the water sheet conductivity relative to water input. As a further experiment, we force the model with a seasonally and diurnally varying melt water input to investigate how the modelled drainage system evolves on these time scales: a channelised system grows up glacier as meltwater is delivered to the bed in spring and collapses in autumn. Water pressure is highest just before the formation of channels and then drops. Conversely, the diurnal variations in discharge affect the drainage system morphology only slightly. Instead they lead to large water pressure variations which lag meltwater input and coincide with changes in the volume of stored water. By incorporating an evolving R-channel network within a continuum model of distributed water drainage and storage, this 2-D model succeeds in qualitatively reproducing many of the observed and postulated features of the glacier drainage system.

Fluorescence-enhanced robotic radical cystectomy using unconjugated indocyanine green for pelvic lymphangiography, tumor marking, and mesenteric angiography: the initial clinical experience.

PubMed

Manny, Ted B; Hemal, Ashok K

2014-04-01

To describe the initial feasibility of fluorescence-enhanced robotic radical cystectomy (FERRC) using real-time cystoscopic injection of unconjugated indocyanine green (ICG) for tumor marking and identification of sentinel lymphatic drainage with additional intravenous injection for mesenteric angiography. Ten patients with clinically localized high-grade bladder cancer underwent FERRC. Before robot docking, rigid cystoscopy was performed, during which a 2.5-mg/mL ICG solution was injected in the bladder submucosa and detrusor circumferentially around the tumor. After robot docking, parameters describing the time course of tissue fluorescence and pelvic lymphangiography were systematically recorded. Lymphatic packets containing fluorescent lymph nodes were considered the sentinel drainage. Eight patients underwent intracorporeal ileal conduit urinary diversion, during which an additional 2-mL ICG solution was given intravenously for mesenteric angiography, allowing maximal preservation of bowel vascularity to the conduit and remaining bowel segments. Bladder tumor marking and identification of sentinel drainage were achieved in 9 of 10 (90%) patients. The area of bladder tumor was identified at a median of 15 minutes after injection, whereas sentinel drainage was visualized at a median of 30 minutes. Mesenteric angiography was successful in 8 of 8 (100%) patients at a median time of <1 minutes after intravenous injection and enabled identification of bowel arcades before intracorporeal bowel stapling. FERRC using combined cystoscopic and intravenous injection of ICG is safe and feasible. FERRC allows for reliable bladder tumor marking, identification of sentinel lymphatic drainage, and identification of mesenteric vasculature in most patients. Copyright © 2014 Elsevier Inc. All rights reserved.

Simplified continuous simulation model for investigating effects of controlled drainage on long-term soil moisture dynamics with a shallow groundwater table.

PubMed

Sun, Huaiwei; Tong, Juxiu; Luo, Wenbing; Wang, Xiugui; Yang, Jinzhong

2016-08-01

Accurate modeling of soil water content is required for a reasonable prediction of crop yield and of agrochemical leaching in the field. However, complex mathematical models faced the difficult-to-calibrate parameters and the distinct knowledge between the developers and users. In this study, a deterministic model is presented and is used to investigate the effects of controlled drainage on soil moisture dynamics in a shallow groundwater area. This simplified one-dimensional model is formulated to simulate soil moisture in the field on a daily basis and takes into account only the vertical hydrological processes. A linear assumption is proposed and is used to calculate the capillary rise from the groundwater. The pipe drainage volume is calculated by using a steady-state approximation method and the leakage rate is calculated as a function of soil moisture. The model is successfully calibrated by using field experiment data from four different pipe drainage treatments with several field observations. The model was validated by comparing the simulations with observed soil water content during the experimental seasons. The comparison results demonstrated the robustness and effectiveness of the model in the prediction of average soil moisture values. The input data required to run the model are widely available and can be measured easily in the field. It is observed that controlled drainage results in lower groundwater contribution to the root zone and lower depth of percolation to the groundwater, thus helping in the maintenance of a low level of soil salinity in the root zone.

Incorporating soil variability in continental soil water modelling: a trade-off between data availability and model complexity

NASA Astrophysics Data System (ADS)

Peeters, L.; Crosbie, R. S.; Doble, R.; van Dijk, A. I. J. M.

2012-04-01

Developing a continental land surface model implies finding a balance between the complexity in representing the system processes and the availability of reliable data to drive, parameterise and calibrate the model. While a high level of process understanding at plot or catchment scales may warrant a complex model, such data is not available at the continental scale. This data sparsity is especially an issue for the Australian Water Resources Assessment system, AWRA-L, a land-surface model designed to estimate the components of the water balance for the Australian continent. This study focuses on the conceptualization and parametrization of the soil drainage process in AWRA-L. Traditionally soil drainage is simulated with Richards' equation, which is highly non-linear. As general analytic solutions are not available, this equation is usually solved numerically. In AWRA-L however, we introduce a simpler function based on simulation experiments that solve Richards' equation. In the simplified function soil drainage rate, the ratio of drainage (D) over storage (S), decreases exponentially with relative water content. This function is controlled by three parameters, the soil water storage at field capacity (SFC), the drainage fraction at field capacity (KFC) and a drainage function exponent (β). [ ] D- -S- S = KF C exp - β (1 - SFC ) To obtain spatially variable estimates of these three parameters, the Atlas of Australian Soils is used, which lists soil hydraulic properties for each soil profile type. For each soil profile type in the Atlas, 10 days of draining an initially fully saturated, freely draining soil is simulated using HYDRUS-1D. With field capacity defined as the volume of water in the soil after 1 day, the remaining parameters can be obtained by fitting the AWRA-L soil drainage function to the HYDRUS-1D results. This model conceptualisation fully exploits the data available in the Atlas of Australian Soils, without the need to solve the non-linear Richards' equation for each time-step. The spatial distribution of long term recharge and baseflow obtained with a 30 year simulation of historic data using this parameterisation, corresponds well with the spatial patterns of groundwater recharge inferred from field measurements.

Ureteric stents vs percutaneous nephrostomy for initial urinary drainage in children with obstructive anuria and acute renal failure due to ureteric calculi: a prospective, randomised study.

PubMed

ElSheemy, Mohammed S; Shouman, Ahmed M; Shoukry, Ahmed I; ElShenoufy, Ahmed; Aboulela, Waseem; Daw, Kareem; Hussein, Ahmed A; Morsi, Hany A; Badawy, Hesham

2015-03-01

To compare percutaneous nephrostomy (PCN) tube vs JJ ureteric stenting as the initial urinary drainage method in children with obstructive calcular anuria (OCA) and post-renal acute renal failure (ARF) due to bilateral ureteric calculi, to identify the selection criteria for the initial urinary drainage method that will improve urinary drainage, decrease complications and facilitate the subsequent definitive clearance of stones, as this comparison is lacking in the literature. A series of 90 children aged ≤12 years presenting with OCA and ARF due to bilateral ureteric calculi were included from March 2011 to September 2013 at Cairo University Pediatric Hospital in this randomised comparative study. Patients with grade 0-1 hydronephrosis, fever or pyonephrosis were excluded. No patient had any contraindication for either method of drainage. Stable patients (or patients stabilised by dialysis) were randomised (non-blinded, block randomisation, sealed envelope method) into PCN-tube or bilateral JJ-stent groups (45 patients for each group). Initial urinary drainage was performed under general anaesthesia and fluoroscopic guidance. We used 4.8-6 F JJ stents or 6-8 F PCN tubes. The primary outcomes were the safety and efficacy of both groups for the recovery of renal functions. Both groups were compared for operative and imaging times, complications, and the period required for a return to normal serum creatinine levels. The secondary outcomes included the number of subsequent interventions needed for clearance of stones. Additional analysis was done for factors affecting outcome within each group. All presented patients completed the study with intention-to-treat analysis. There was no significant difference between the PCN-tube and JJ-stent groups for the operative and imaging times, period for return to a normal creatinine level and failure of insertion. There were significantly more complications in the PCN-tube group. The stone size (>2 cm) was the only factor affecting the rates of mucosal complications, operative time and failure of insertion in the JJ-stent group. The degree of hydronephrosis significantly affected the operative time for PCN-tube insertion. Grade 2 hydronephrosis was associated with all cases of insertion failure in the PCN-tube group. The total number of subsequent interventions needed to clear stones was significantly higher in the PCN-tube group, especially in patients with bilateral stones destined for chemolytic dissolution (alkalinisation) or extracorporeal shockwave lithotripsy (ESWL). We recommend the use of JJ stents for initial urinary drainage for stones that will be subsequently treated with chemolytic dissolution or ESWL, as this will lower the total number of subsequent interventions needed to clear the stones. This is also true for stones destined for ureteroscopy (URS), as JJ-stent insertion will facilitate subsequent URS due to previous ureteric stenting. Mild hydronephrosis will prolong the operative time for PCN-tube insertion and may increase the incidence of insertion failure. We recommend the use of PCN tube if the stone size is >2 cm, as there was a greater risk of possible iatrogenic ureteric injury during stenting with these larger ureteric stones in addition to prolongation of operative time with an increased incidence of failure. © 2014 The Authors. BJU International © 2014 BJU International.

Frequency of an accessory popliteal efferent lymphatic pathway in dogs.

PubMed

Mayer, Monique N; Sweet, Katherine A; Patsikas, Michael N; Sukut, Sally L; Waldner, Cheryl L

2018-05-01

Staging and therapeutic planning for dogs with malignant disease in the popliteal lymph node are based on the expected patterns of lymphatic drainage from the lymph node. The medial iliac lymph nodes are known to receive efferent lymph from the popliteal lymph node; however, an accessory popliteal efferent pathway with direct connection to the sacral lymph nodes has also been less frequently reported. The primary objective of this prospective, anatomic study was to describe the frequency of various patterns of lymphatic drainage of the popliteal lymph node. With informed client consent, 50 adult dogs with no known disease of the lymphatic system underwent computed tomographic lymphography after ultrasound-guided, percutaneous injection of 350 mg/ml iohexol into a popliteal lymph node. In all 50 dogs, the popliteal lymph node drained directly to the ipsilateral medial iliac lymph node through multiple lymphatic vessels that coursed along the medial thigh. In 26% (13/50) of dogs, efferent vessels also drained from the popliteal lymph node directly to the internal iliac and/or sacral lymph nodes, coursing laterally through the gluteal region and passing over the dorsal aspect of the pelvis. Lymphatic connections between the right and left medial iliac and right and left internal iliac lymph nodes were found. Based on our findings, the internal iliac and sacral lymph nodes should be considered when staging or planning therapy for dogs with malignant disease in the popliteal lymph node. © 2018 American College of Veterinary Radiology.

MRI Evidence for Altered Venous Drainage and Intracranial Compliance in Mild Traumatic Brain Injury

PubMed Central

Pomschar, Andreas; Koerte, Inga; Lee, Sang; Laubender, Ruediger P.; Straube, Andreas; Heinen, Florian; Ertl-Wagner, Birgit; Alperin, Noam

2013-01-01

Purpose To compare venous drainage patterns and associated intracranial hydrodynamics between subjects who experienced mild traumatic brain injury (mTBI) and age- and gender-matched controls. Methods Thirty adult subjects (15 with mTBI and 15 age- and gender-matched controls) were investigated using a 3T MR scanner. Time since trauma was 0.5 to 29 years (mean 11.4 years). A 2D-time-of-flight MR-venography of the upper neck was performed to visualize the cervical venous vasculature. Cerebral venous drainage through primary and secondary channels, and intracranial compliance index and pressure were derived using cine-phase contrast imaging of the cerebral arterial inflow, venous outflow, and the craniospinal CSF flow. The intracranial compliance index is the defined as the ratio of maximal intracranial volume and pressure changes during the cardiac cycle. MR estimated ICP was then obtained through the inverse relationship between compliance and ICP. Results Compared to the controls, subjects with mTBI demonstrated a significantly smaller percentage of venous outflow through internal jugular veins (60.9±21% vs. controls: 76.8±10%; p = 0.01) compensated by an increased drainage through secondary veins (12.3±10.9% vs. 5.5±3.3%; p<0.03). Mean intracranial compliance index was significantly lower in the mTBI cohort (5.8±1.4 vs. controls 8.4±1.9; p<0.0007). Consequently, MR estimate of intracranial pressure was significantly higher in the mTBI cohort (12.5±2.9 mmHg vs. 8.8±2.0 mmHg; p<0.0007). Conclusions mTBI is associated with increased venous drainage through secondary pathways. This reflects higher outflow impedance, which may explain the finding of reduced intracranial compliance. These results suggest that hemodynamic and hydrodynamic changes following mTBI persist even in the absence of clinical symptoms and abnormal findings in conventional MR imaging. PMID:23405151

Sedimentary response to orogenic exhumation in the northern rocky mountain basin and range province, flint creek basin, west-central Montana

USGS Publications Warehouse

Portner, R.A.; Hendrix, M.S.; Stalker, J.C.; Miggins, D.P.; Sheriff, S.D.

2011-01-01

Middle Eocene through Upper Miocene sedimentary and volcanic rocks of the Flint Creek basin in western Montana accumulated during a period of significant paleoclimatic change and extension across the northern Rocky Mountain Basin and Range province. Gravity modelling, borehole data, and geologic mapping from the Flint Creek basin indicate that subsidence was focused along an extensionally reactivated Sevier thrust fault, which accommodated up to 800 m of basin fill while relaying stress between the dextral transtensional Lewis and Clark lineament to the north and the Anaconda core complex to the south. Northwesterly paleocurrent indicators, foliated metamorphic lithics, 64 Ma (40Ar/39Ar) muscovite grains, and 76 Ma (U-Pb) zircons in a ca. 27 Ma arkosic sandstone are consistent with Oligocene exhumation and erosion of the Anaconda core complex. The core complex and volcanic and magmatic rocks in its hangingwall created an important drainage divide during the Paleogene shedding detritus to the NNW and ESE. Following a major period of Early Miocene tectonism and erosion, regional drainage networks were reorganized such that paleoflow in the Flint Creek basin flowed east into an internally drained saline lake system. Renewed tectonism during Middle to Late Miocene time reestablished a west-directed drainage that is recorded by fluvial strata within a Late Miocene paleovalley. These tectonic reorganizations and associated drainage divide explain observed discrepancies in provenance studies across the province. Regional correlation of unconformities and lithofacies mapping in the Flint Creek basin suggest that localized tectonism and relative base level fluctuations controlled lithostratigraphic architecture.

Negative pressure irrigation and endoscopic necrosectomy through man-made sinus tract in infected necrotizing pancreatitis: a technical report.

PubMed

Tong, Zhihui; Ke, Lu; Li, Baiqiang; Li, Gang; Zhou, Jing; Shen, Xiao; Li, Weiqin; Li, Ning; Li, Jieshou

2016-11-10

In recent years, a step-up approach based on minimally invasive techniques was recommended by latest guidelines as initial invasive treatment for infected pancreatic necrosis (IPN). In this study, we aimed to describe a novel step-up approach for treating IPN consisting of four steps including negative pressure irrigation (NPI) and endoscopic necrosectomy (ED) as a bridge between percutaneous catheter drainage (PCD) and open necrosectomy METHODS: A retrospective review of a prospectively collected internal database of patients with a diagnosis of IPN between Jan, 2012 to Dec, 2012 at a single institution was performed. All patients underwent the same drainage strategy including four steps: PCD, NPI, ED and open necrosectomy. The demographic characteristics and clinical outcomes of study patients were analyzed. A total of 71 consecutive patients (48 males and 23 females) were included in the analysis. No significant procedure-related complication was observed and the overall mortality was +21.1 % (15 of 71 patients). Seven different strategies like PCD+ NPI, PCD+NPI+ED, PCD+open necrosectomy, etcetera, were applied in study patients and a half of them received PCD alone. In general, each patient underwent a median of 2 drainage procedures and the median total drainage duration was 11 days (interquartile range, 6-21days). This four-step approach is effective in treating IPN and adds no extra risk to patients when compared with other latest step-up strategies. The two novel techniques (NPI and ED) could offer distinct clinical benefits without posing unanticipated risks inherent to the procedures.

A new Subcutaneously Anchored Device for Securing External Cerebrospinal Fluid Catheters: our Preliminary Experience.

PubMed

Frassanito, Paolo; Massimi, Luca; Tamburrini, Gianpiero; Pittiruti, Mauro; Doglietto, Francesco; Nucci, Carlotta Ginevra; Caldarelli, Massimo

2016-09-01

Accidental dislocation or removal is a well-known complication of external cerebrospinal fluid (CSF) drainage in daily clinical practice. At present, no data about the incidence of such complications are available in the scientific literature. SecurAcath (Interrad Medical, Plymouth, Minnesota, USA) is a subcutaneously anchored device recently adopted for securement of central venous catheters, known to be highly effective (and cost-effective) in reducing the risk of catheter dislodgement and/or accidental removal. We report our preliminary experience with the use of SecurAcath to secure CSF drainage, either ventricular or spinal, to the skin. SecurAcath was used in 29 consecutive patients (age range: 3 weeks-16 years, median age 6.3 years). In particular, the device was used for 25 ventricular catheters (a patient received 2 catheters in the same procedure for bilateral brain abscess) and 5 spinal drainages. Period in place ranged from 1-4 weeks (median 22 days). No complication related to the use of the device was observed, in particular there was no case of dislocation or accidental removal of the catheter. The removal procedure was extremely easy. The device has proven its utility also in 3 cases requiring an adjustment of the length of the catheter. In our experience, SecurAcath is a safe and effective device to secure CSF external catheters to the skin, with several relevant advantages: its placement and maintenance are easy; it may stay in place for the entire duration of the catheter; it allows a more complete antisepsis of the exit site, thus reducing local skin complications; it eliminates the risk of suture-related needlestick injuries. Copyright © 2016 Elsevier Inc. All rights reserved.

Reduced pleural drainage, length of stay, and readmissions using a modified Fontan management protocol.

PubMed

Pike, Nancy A; Okuhara, Carol A; Toyama, Joy; Gross, Barbara P; Wells, Winfield J; Starnes, Vaughn A

2015-09-01

Persistent pleural effusions after the Fontan procedure contribute to prolonged hospitalization and increased costs. We report our experience using a modified Wisconsin Fontan protocol to reduce chest tube drainage and hospital length of stay (LOS). Single institutional retrospective chart review of 120 consecutive patients (60 before and 60 after initiation of our protocol) undergoing an extracardiac Fontan procedure from January 2004 to February 2007. Protocol influence was assessed by comparing group differences on duration of pleural drainage, requirement for nothing by mouth/total parenteral nutrition, hospital LOS, readmission for pleural effusion, and total hospital costs. Groups were similar in demographic characteristics, single ventricle morphology, preoperative hemodynamic parameters, and operative and immediate postoperative management. Median duration of pleural drainage and hospital LOS was reduced in the post- versus preprotocol groups: 4 days (interquartile range [IQR], 4-5 days) pre versus 6 days (IQR, 5-10 days) (P < .0001) and 6 days (IQR, 5-9 days) versus 8 days (IQR, 6-13 days) (P = .005), respectively. Pleural drainage lasting >1 week was also less common postprotocol: 23 (38%) before versus 7 (12%) after (P = .001). Fewer postprotocol patients required nothing by mouth/total parenteral nutrition to control effusions: 5 pre versus 0 post (P = .06), and fewer readmissions for effusions (14 before vs 7 after [P = .1]). An average total cost savings of 22% and readmissions savings of 29% resulted in nearly $500,000 in institutional savings over the study period. A modified Fontan protocol resulted in reduced time to chest tube removal, hospital LOS, and chest tube drainage lasting >1 week. There was a strong trend toward avoiding nothing by mouth/total parenteral nutrition to control pleural effusion and lower hospital costs. Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

A critical appraisal of drainage in syringomyelia.

PubMed

Sgouros, S; Williams, B

1995-01-01

The use of drains in the treatment of syringomyelia has a simple and immediate appeal and has been practiced widely since the report of Abbe and Coley over 100 years ago. Good short-term results have been claimed in the past, but long-term outcome is largely unknown. An experience in Birmingham, England is reviewed in which 73 patients who had had some form of syrinx drainage procedure performed were subsequently followed up. In these cases, a total of 56 syringopleural and 14 syringosubarachnoid shunts had been inserted. Ten years after the operations, only 53.5% and 50% of the patients, respectively, continued to remain clinically stable. A 15.7% complication rate was recorded, including fatal hemorrhage, infection, and displacement of the drain from the pleural and syrinx cavities. At second operation or necropsy, at least 5% of shunts were discovered to be blocked. The effect of other drainage procedures that do not use artificial tubing, such as syringotomy and terminal ventriculostomy, was analyzed but found not to offer any substantial benefit. These results indicate that drainage procedures are not an effective solution to remedying the progressive, destructive nature of syringomyelia. It is suggested that, rather than attempting to drain the syrinx cavity, disabling the filling mechanism of the syrinx is more appropriate. Most forms of syringomyelia have a blockage at the level of the foramen magnum or in the subarachnoid space of the spine. Surgical measures that aim to reconstruct the continuity of the subarachnoid space at the site of the block are strongly recommended. Lowering the overall pressure of the cerebrospinal fluid is advocated when reestablishment of the pathways proves impossible. Syrinx drainage as an adjuvant to more physiological surgery may have a place in the treatment of syringomyelia. If two procedures are done at the same time, however, it is difficult to ascribe with certainty a success or failure, and it is suggested that the drainage procedure be reserved for a later attempt if the elective first operation fails.

Multiphase flow predictions from carbonate pore space images using extracted network models

NASA Astrophysics Data System (ADS)

Al-Kharusi, Anwar S.; Blunt, Martin J.

2008-06-01

A methodology to extract networks from pore space images is used to make predictions of multiphase transport properties for subsurface carbonate samples. The extraction of the network model is based on the computation of the location and sizes of pores and throats to create a topological representation of the void space of three-dimensional (3-D) rock images, using the concept of maximal balls. In this work, we follow a multistaged workflow. We start with a 2-D thin-section image; convert it statistically into a 3-D representation of the pore space; extract a network model from this image; and finally, simulate primary drainage, waterflooding, and secondary drainage flow processes using a pore-scale simulator. We test this workflow for a reservoir carbonate rock. The network-predicted absolute permeability is similar to the core plug measured value and the value computed on the 3-D void space image using the lattice Boltzmann method. The predicted capillary pressure during primary drainage agrees well with a mercury-air experiment on a core sample, indicating that we have an adequate representation of the rock's pore structure. We adjust the contact angles in the network to match the measured waterflood and secondary drainage capillary pressures. We infer a significant degree of contact angle hysteresis. We then predict relative permeabilities for primary drainage, waterflooding, and secondary drainage that agree well with laboratory measured values. This approach can be used to predict multiphase transport properties when wettability and pore structure vary in a reservoir, where experimental data is scant or missing. There are shortfalls to this approach, however. We compare results from three networks, one of which was derived from a section of the rock containing vugs. Our method fails to predict properties reliably when an unrepresentative image is processed to construct the 3-D network model. This occurs when the image volume is not sufficient to represent the geological variations observed in a core plug sample.

Middlemore Hospital experience with tubo-ovarian abscesses: an observational retrospective study

PubMed Central

Habboub, Antoine Youssef

2016-01-01

Aim The aim of this paper was to study the characteristics of patients presenting to Middlemore Hospital with tubo-ovarian abscess (TOA) and to compare the outcomes of conservative medical management versus medical management with surgical drainage and medical management with radiological drainage. Methods All patients admitted with a radiologically or surgically proven TOA between January 01, 2008 and December 31, 2010, were included and followed up until June 30, 2011. The total number of patient/index admission was 174. Results The mean age of patients was 37.8 years. One hundred thirty patients had medical treatment only with hospitalization and antibiotics, and 44 patients were managed with antibiotics and surgical drainage. Complete resolution of TOA was 77.3% (99/128) for patients managed medically and 93.2% (41/44) for patients managed surgically. When the two groups were compared, patients who were managed surgically were more likely to have complete resolution of TOA within 6 months of index admission with an odds ratio (OR) of 4 and a P-value of 0.029. There was no statistically significant difference in the secondary outcomes namely of readmission with TOA (OR: 0.47) and the need for repeat surgical or radiological drainage (OR: 1.48). Nonetheless, the relative duration of hospitalization was longer for the surgical group with a P-value of <0.0001. The C-reactive protein and the size of TOA were the significant factors involved in the resolution of TOA. Conclusion The results of this study confirmed our initial hypothesis that we should consider surgical drainage more often, probably earlier, especially for the younger patients still desiring fertility preservation and for larger abscesses. Laparoscopic surgical drainage is safe and could be used as the procedure of choice. Conservative medical management is still acceptable with good cure rates of 77%. C-reactive protein and the size of the abscess were the important factors to consider when managing patients with TOA. PMID:27524920

Implications of surfactant-induced flow for miscible-displacement estimation of air-water interfacial areas in unsaturated porous media.

PubMed

Costanza-Robinson, Molly S; Zheng, Zheng; Henry, Eric J; Estabrook, Benjamin D; Littlefield, Malcolm H

2012-10-16

Surfactant miscible-displacement experiments represent a conventional means of estimating air-water interfacial area (A(I)) in unsaturated porous media. However, changes in surface tension during the experiment can potentially induce unsaturated flow, thereby altering interfacial areas and violating several fundamental method assumptions, including that of steady-state flow. In this work, the magnitude of surfactant-induced flow was quantified by monitoring moisture content and perturbations to effluent flow rate during miscible-displacement experiments conducted using a range of surfactant concentrations. For systems initially at 83% moisture saturation (S(W)), decreases of 18-43% S(W) occurred following surfactant introduction, with the magnitude and rate of drainage inversely related to the surface tension of the surfactant solution. Drainage induced by 0.1 mM sodium dodecyl benzene sulfonate, commonly used for A(I) estimation, resulted in effluent flow rate increases of up to 27% above steady-state conditions and is estimated to more than double the interfacial area over the course of the experiment. Depending on the surfactant concentration and the moisture content used to describe the system, A(I) estimates varied more than 3-fold. The magnitude of surfactant-induced flow is considerably larger than previously recognized and casts doubt on the reliability of A(I) estimation by surfactant miscible-displacement.

The Shepherd Creek experience and some lessons learned

EPA Science Inventory

A decentralized, retrofit approach to storm water management was implemented in a small suburban drainage on the basis of a voluntary reverse auction. This campaign led to the installation of 83 rain gardens and 176 rain barrels on approximately 20 percent of 350 residential prop...

Organic substrates as electron donors in permeable reactive barriers for removal of heavy metals from acid mine drainage.

PubMed

Kijjanapanich, P; Pakdeerattanamint, K; Lens, P N L; Annachhatre, A P

2012-12-01

This research was conducted to select suitable natural organic substrates as potential carbon sources for use as electron donors for biological sulphate reduction in a permeable reactive barrier (PRB). A number of organic substrates were assessed through batch and continuous column experiments under anaerobic conditions with acid mine drainage (AMD) obtained from an abandoned lignite coal mine. To keep the heavy metal concentration at a constant level, the AMD was supplemented with heavy metals whenever necessary. Under anaerobic conditions, sulphate-reducing bacteria (SRB) converted sulphate into sulphide using the organic substrates as electron donors. The sulphide that was generated precipitated heavy metals as metal sulphides. Organic substrates, which yielded the highest sulphate reduction in batch tests, were selected for continuous column experiments which lasted over 200 days. A mixture of pig-farm wastewater treatment sludge, rice husk and coconut husk chips yielded the best heavy metal (Fe, Cu, Zn and Mn) removal efficiencies of over 90%.

Advances in endoscopic retrograde cholangiopancreatography for the treatment of cholangiocarcinoma

PubMed Central

Uppal, Dushant S; Wang, Andrew Y

2015-01-01

Cholangiocarcinoma (CCA) is a malignancy of the bile ducts that carries high morbidity and mortality. Patients with CCA typically present with obstructive jaundice, and associated complications of CCA include cholangitis and biliary sepsis. Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable treatment modality for patients with CCA, as it enables internal drainage of blocked bile ducts and hepatic segments by using plastic or metal stents. While there remains debate as to if bilateral (or multi-segmental) hepatic drainage is required and/or superior to unilateral drainage, the underlying tenant of draining any persistently opacified bile ducts is paramount to good ERCP practice and good clinical outcomes. Endoscopic therapy for malignant biliary strictures from CCA has advanced to include ablative therapies via ERCP-directed photodynamic therapy (PDT) or radiofrequency ablation (RFA). While ERCP techniques cannot cure CCA, advancements in the field of ERCP have enabled us to improve upon the quality of life of patients with inoperable and incurable disease. ERCP-directed PDT has been used in lieu of brachytherapy to provide neoadjuvant local tumor control in patients with CCA who are awaiting liver transplantation. Lastly, mounting evidence suggests that palliative ERCP-directed PDT, and probably ERCP-directed RFA as well, offer a survival advantage to patients with this difficult-to-treat malignancy. PMID:26140095

Advances in endoscopic retrograde cholangiopancreatography for the treatment of cholangiocarcinoma.

PubMed

Uppal, Dushant S; Wang, Andrew Y

2015-06-25

Cholangiocarcinoma (CCA) is a malignancy of the bile ducts that carries high morbidity and mortality. Patients with CCA typically present with obstructive jaundice, and associated complications of CCA include cholangitis and biliary sepsis. Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable treatment modality for patients with CCA, as it enables internal drainage of blocked bile ducts and hepatic segments by using plastic or metal stents. While there remains debate as to if bilateral (or multi-segmental) hepatic drainage is required and/or superior to unilateral drainage, the underlying tenant of draining any persistently opacified bile ducts is paramount to good ERCP practice and good clinical outcomes. Endoscopic therapy for malignant biliary strictures from CCA has advanced to include ablative therapies via ERCP-directed photodynamic therapy (PDT) or radiofrequency ablation (RFA). While ERCP techniques cannot cure CCA, advancements in the field of ERCP have enabled us to improve upon the quality of life of patients with inoperable and incurable disease. ERCP-directed PDT has been used in lieu of brachytherapy to provide neoadjuvant local tumor control in patients with CCA who are awaiting liver transplantation. Lastly, mounting evidence suggests that palliative ERCP-directed PDT, and probably ERCP-directed RFA as well, offer a survival advantage to patients with this difficult-to-treat malignancy.

CSF Lumbar Drainage: A Safe Surgical Option in Refractory Intracranial Hypertension Associated with Acute Posttraumatic External Hydrocephalus.

PubMed

Manet, R; Schmidt, E A; Vassal, F; Charier, D; Gergelé, L

2016-01-01

External lumbar drainage (ELD) of cerebrospinal fluid (CSF) in posttraumatic refractory intracranial hypertension (ICHT) is controversial. We report our experience of ELD in ICHT associated with acute disturbance of CSF flow within subarachnoid spaces (SASs). Four adult patients admitted to the neurointensive care unit for severe TBI who presented with secondary ICHT are retrospectively reported. When refractory to second-tier therapy, if external ventricular drainage were not possible or failed, and in the absence of an indication for craniotomy to treat a mass lesion or decompressive craniectomy, we assessed the evolution of CSF volume within cranial SAS and checked the presence of basal cisterns and the absence of tonsillar herniation to evaluate interest in and the safety of ELD. As second-tier therapy failed to lower intracranial pressure (ICP; mean ICP 37 ± 5 mmHg), and computed tomography (CT) showed abnormally enlarged cranial SAS following traumatic subarachnoid hemorrhage, patients received ELD. ICP decreased, with immediate and long-term effect (mean ICP 5 mmHg ± 2 mmHg). There were no complications to report. Acute traumatic external hydrocephalus may explain some of the specific situations of secondary increased ICP, with a "normal" CT scan, that is refractory to medical treatment. In these situations, lumbar drainage should be considered to be a safe, minimally invasive, and effective surgical option.

Reduce chest pain using modified silicone fluted drain tube for chest drainage after video-assisted thoracic surgery (VATS) lung resection.

PubMed

Li, Xin; Hu, Bin; Miao, Jinbai; Li, Hui

2016-02-01

The aim of this study was to assess the feasibility, efficacy and safety of a modified silicone fluted drain tube after video-assisted thoracic surgery (VATS) lung resection. The prospective randomized study included 50 patients who underwent VATS lung resection between March 2015 and June 2015. Eligible patients were randomized into two groups: experimental group (using the silicone fluted drain tubes for chest drainage) and control group (using standard drain tubes for chest drainage). The volume and characteristics of drainage, postoperative (PO) pain scores and hospital stay were recorded. All patients received standard care during hospital admission. In accordance with the exit criteria, three patients were excluded from study. The remaining 47 patients included in the final analysis were divided into two groups: experiment group (N=24) and control group (N=23). There was no significant difference between the two groups in terms of age, sex, height, weight, clinical diagnosis and type of surgical procedure. There was a trend toward less PO pain in experimental group on postoperative day (POD) 1, with a statistically significant difference. Patients in experimental group had a reduced occurrence of fever [temperature (T) >37.4 °C] compared to the control group. The silicone fluted drain tube is feasible and safe and may relieve patient PO pain and reduce occurrence of fever without the added risk of PO complications.

Utility of pleural fluid analysis in predicting tube thoracostomy/decortication in parapneumonic effusions.

PubMed

Poe, R H; Marin, M G; Israel, R H; Kallay, M C

1991-10-01

Recommended criteria for surgical drainage of parapneumonic effusions include evidence of frank purulence, a glucose level less than 40 mg/dl, a pH of less than 7.00, or an LDH greater than 1,000 IU/L. To test the utility of these criteria, we reviewed the three-year experience of three Rochester, NY, hospitals. We identified 133 patients undergoing thoracentesis for putative parapneumonic effusions. Of 91 patients with neutrophilic exudates, 43 met one or more criteria for tube thoracostomy: 48 did not. Twenty-one of the 43, including 9 with frank empyema, underwent immediate drainage. Of the 22 who did not, 11 eventually required tube thoracostomy and/or decortication. Of the 48 not meeting any of the criteria, 7 also came to surgery. Using whether the patients eventually underwent surgery as a measure of outcome, we calculated for those patients not undergoing immediate drainage the sensitivity, specificity, positive predictive values, and negative predictive values for each of the criteria. The four criteria have relatively high specificity ranging from 82 to 96 percent, but have low sensitivity varying from only 18 percent for a positive Gram stain to 53 percent for a fluid LDH greater than 1,000 IU/L. We conclude that these criteria have limited usefulness in predicting the need for eventual chest tube drainage/decortication. Patients not meeting the criteria require close follow-up as well.

The feasibility of applying immature yard-waste compost to remove nitrate from agricultural drainage effluents: A preliminary assessment

USGS Publications Warehouse

Tsui, L.; Krapac, I.G.; Roy, W.R.

2007-01-01

Nitrate is a major agricultural pollutant found in drainage waters. Immature yard-waste compost was selected as a filter media to study its feasibility for removing nitrate from drainage water. Different operation parameters were tested to examine the denitrification efficiency, including the amounts of compost packed in columns, the flow rate, and the compost storage periods. The experimental results suggested that hydraulic retention time was the major factor to determine the extent of nitrate removal, although the amount of compost packed could also contribute to the nitrate removal efficiency. The effluent nitrate concentration increased as the flow rate decreased, and the compost column reduced nitrate concentrations from 20 mg/L to less than 5 mg/L within 1.5 h. The solution pH increased at the onset of experiment because of denitrification, but stabilized at a pH of about 7.8, suggesting that the compost had a buffering capacity to maintain a suitable pH for denitrification. Storing compost under air-dried conditions may diminish the extent nitrate removed initially, but the effects were not apparent after longer applications. It appeared that immature yard-waste compost may be a suitable material to remove nitrate from tile drainage water because of its relatively large organic carbon content, high microbial activity, and buffering capacity. ?? 2006 Elsevier B.V. All rights reserved.

Bacterial contamination of tile drainage water and shallow groundwater under different application methods of liquid swine manure.

PubMed

Samarajeewa, A D; Glasauer, S M; Lauzon, J D; O'Halloran, I P; Parkin, Gary W; Dunfield, K E

2012-05-01

A 2 year field experiment evaluated liquid manure application methods on the movement of manure-borne pathogens (Salmonella sp.) and indicator bacteria (Escherichia coli and Clostridium perfringens) to subsurface water. A combination of application methods including surface application, pre-application tillage, and post-application incorporation were applied in a randomized complete block design on an instrumented field site in spring 2007 and 2008. Tile and shallow groundwater were sampled immediately after manure application and after rainfall events. Bacterial enumeration from water samples showed that the surface-applied manure resulted in the highest concentration of E. coli in tile drainage water. Pre-tillage significantly (p < 0.05) reduced the movement of manure-based E. coli and C. perfringens to tile water and to shallow groundwater within 3 days after manure application (DAM) in 2008 and within 10 DAM in 2007. Pre-tillage also decreased the occurrence of Salmonella sp. in tile water samples. Indicator bacteria and pathogens reached nondetectable levels within 50 DAM. The results suggest that tillage before application of liquid swine manure can minimize the movement of bacteria to tile and groundwater, but is effective only for the drainage events immediately after manure application or initial rainfall-associated drainage flows. Furthermore, the study highlights the strong association between bacterial concentrations in subsurface waters and rainfall timing and volume after manure application.

Regional differences in the morphological and functional effects of aging on cerebral basement membranes and perivascular drainage of amyloid-β from the mouse brain.

PubMed

Hawkes, Cheryl A; Gatherer, Maureen; Sharp, Matthew M; Dorr, Adrienne; Yuen, Ho Ming; Kalaria, Rajesh; Weller, Roy O; Carare, Roxana O

2013-04-01

Development of cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD) is associated with failure of elimination of amyloid-β (Aβ) from the brain along perivascular basement membranes that form the pathways for drainage of interstitial fluid and solutes from the brain. In transgenic APP mouse models of AD, the severity of cerebral amyloid angiopathy is greater in the cerebral cortex and hippocampus, intermediate in the thalamus, and least in the striatum. In this study we test the hypothesis that age-related regional variation in (1) vascular basement membranes and (2) perivascular drainage of Aβ contribute to the different regional patterns of CAA in the mouse brain. Quantitative electron microscopy of the brains of 2-, 7-, and 23-month-old mice revealed significant age-related thickening of capillary basement membranes in cerebral cortex, hippocampus, and thalamus, but not in the striatum. Results from Western blotting and immunocytochemistry experiments showed a significant reduction in collagen IV in the cortex and hippocampus with age and a reduction in laminin and nidogen 2 in the cortex and striatum. Injection of soluble Aβ into the hippocampus or thalamus showed an age-related reduction in perivascular drainage from the hippocampus but not from the thalamus. The results of the study suggest that changes in vascular basement membranes and perivascular drainage with age differ between brain regions, in the mouse, in a manner that may help to explain the differential deposition of Aβ in the brain in AD and may facilitate development of improved therapeutic strategies to remove Aβ from the brain in AD. © 2013 The Authors Aging Cell © 2013 Blackwell Publishing Ltd/Anatomical Society of Great Britain and Ireland.

A laboratory study of colloid and solute transport in surface runoff on saturated soil

NASA Astrophysics Data System (ADS)

Yu, Congrong; Gao, Bin; Muñoz-Carpena, Rafael; Tian, Yuan; Wu, Lei; Perez-Ovilla, Oscar

2011-05-01

SummaryColloids in surface runoff may pose risks to the ecosystems not only because some of them (e.g., pathogens) are toxic, but also because they may facilitate the transport of other contaminants. Although many studies have been conducted to explore colloid fate and transport in the environment, current understanding of colloids in surface runoff is still limited. In this study, we conducted a range of laboratory experiments to examine the transport behavior of colloids in a surface runoff system, made of a soil box packed with quartz sand with four soil drainage outlets and one surface flow outlet. A natural clay colloid (kaolinite) and a conservative chemical tracer (bromide) were applied to the system under a simulated rainfall event (64 mm/h). Effluent soil drainage and surface flow samples were collected to determine the breakthrough concentrations of bromide and kaolinite. Under the experimental conditions tested, our results showed that surface runoff dominated the transport processes. As a result, kaolinite and bromide were found more in surface flow than in soil drainage. Comparisons between the breakthrough concentrations of bromide and kaolinite showed that kaolinite had lower mobility than bromide in the subsurface flow (i.e., soil drainage), but behaved almost identical to bromide in the surface runoff. Student's t-test confirmed the difference between kaolinite and bromide in subsurface flow ( p = 0.02). Spearman's test and linear regression analysis, however, showed a strong 1:1 correlation between kaolinite and bromide in surface runoff ( p < 0.0001). Our result indicate that colloids and chemical solutes may behave similarly in overland flow on bare soils with limited drainage when surface runoff dominates the transport processes.

Evaluation of an Infiltration Model with Microchannels

NASA Astrophysics Data System (ADS)

Garcia-Serrana, M.; Gulliver, J. S.; Nieber, J. L.

2015-12-01

This research goal is to develop and demonstrate the means by which roadside drainage ditches and filter strips can be assigned the appropriate volume reduction credits by infiltration. These vegetated surfaces convey stormwater, infiltrate runoff, and filter and/or settle solids, and are often placed along roads and other impermeable surfaces. Infiltration rates are typically calculated by assuming that water flows as sheet flow over the slope. However, for most intensities water flow occurs in narrow and shallow micro-channels and concentrates in depressions. This channelization reduces the fraction of the soil surface covered with the water coming from the road. The non-uniform distribution of water along a hillslope directly affects infiltration. First, laboratory and field experiments have been conducted to characterize the spatial pattern of flow for stormwater runoff entering onto the surface of a sloped surface in a drainage ditch. In the laboratory experiments different micro-topographies were tested over bare sandy loam soil: a smooth surface, and three and five parallel rills. All the surfaces experienced erosion; the initially smooth surface developed a system of channels over time that increased runoff generation. On average, the initially smooth surfaces infiltrated 10% more volume than the initially rilled surfaces. The field experiments were performed in the side slope of established roadside drainage ditches. Three rates of runoff from a road surface into the swale slope were tested, representing runoff from 1, 2, and 10-year storm events. The average percentage of input runoff water infiltrated in the 32 experiments was 67%, with a 21% standard deviation. Multiple measurements of saturated hydraulic conductivity were conducted to account for its spatial variability. Second, a rate-based coupled infiltration and overland model has been designed that calculates stormwater infiltration efficiency of swales. The Green-Ampt-Mein-Larson assumptions were implemented to calculate infiltration along with a kinematic wave model for overland flow that accounts for short-circuiting of flow. Additionally, a sensitivity analysis on the parameters implemented in the model has been performed. Finally, the field experiments results have been used to quantify the validity of the coupled model.

Spatiotemporal Variability of Great Lakes Basin Snow Cover Ablation Events

NASA Astrophysics Data System (ADS)

Suriano, Z. J.; Leathers, D. J.

2017-12-01

In the Great Lakes basin of North America, annual runoff is dominated by snowmelt. This snowmelt-induced runoff plays an important role within the hydrologic cycle of the basin, influencing soil moisture availability and driving the seasonal cycle of spring and summer Lake levels. Despite this, relatively little is understood about the patterns and trends of snow ablation event frequency and magnitude within the Great Lakes basin. This study uses a gridded dataset of Canadian and United States surface snow depth observations to develop a regional climatology of snow ablation events from 1960-2009. An ablation event is defined as an inter-diurnal snow depth decrease within an individual grid cell. A clear seasonal cycle in ablation event frequency exists within the basin and peak ablation event frequency is latitudinally dependent. Most of the basin experiences peak ablation frequency in March, while the northern and southern regions of the basin experience respective peaks in April and February. An investigation into the inter-annual frequency of ablation events reveals ablation events significantly decrease within the northeastern and northwestern Lake Superior drainage basins and significantly increase within the eastern Lake Huron and Georgian Bay drainage basins. In the eastern Lake Huron and Georgian Bay drainage basins, larger ablation events are occurring more frequently, and a larger impact to the hydrology can be expected. Trends in ablation events are attributed primarily to changes in snowfall and snow depth across the region.

SCADA OPERATOR TRAINING TOOL APPLIED TO THE CENTRAL ARIZONA IRRIGATION AND DRAINAGE DISTRICT

USDA-ARS?s Scientific Manuscript database

Many irrigation districts use Supervisory Control and Data Acquisition (SCADA) software to manage their canal systems. Whether homegrown or commercial, these programs require a significant amount of training for new operators. While some SCADA operators are hired with extensive field experience, o...

Impaired humoral immunity and tolerance in K14-VEGFR-3-Ig mice that lack dermal lymphatic drainage

PubMed Central

Thomas, Susan N.; Rutkowski, Joseph M.; Pasquier, Miriella; Kuan, Emma L.; Alitalo, Kari; Randolph, Gwendalyn J.; Swartz, Melody A.

2012-01-01

Lymphatic vessels transport interstitial fluid, soluble antigen, and immune cells from peripheral tissues to lymph nodes (LNs), yet the contribution of peripheral lymphatic drainage to adaptive immunity remains poorly understood. We examined immune responses to dermal vaccination and contact hypersensitivity (CHS) challenge in K14-VEGFR-3-Ig mice, which lack dermal lymphatic capillaries and experience markedly depressed transport of solutes and dendritic cells from the skin to draining LNs. In response to dermal immunization, K14-VEGFR-3-Ig mice produced lower antibody titers. In contrast, although delayed, T cell responses were robust after 21 days, including high levels of antigen-specific CD8+ T cells and production of IFN-γ, IL-4 and IL-10 upon restimulation. T cell-mediated CHS responses were strong in K14-VEGFR-3-Ig mice, but importantly, their ability to induce CHS tolerance in the skin was impaired. Additionally, one-year-old mice displayed multiple signs of autoimmunity. These data suggest that lymphatic drainage plays more important roles in regulating humoral immunity and peripheral tolerance than in effector T cell immunity. PMID:22844119

The Drainage of Thin, Vertical, Model Polyurethane Liquid Films

NASA Astrophysics Data System (ADS)

Snow, Steven; Pernisz, Udo; Braun, Richard; Naire, Shailesh

1999-11-01

We have successfully measured the drainage rate of thin, vertically-aligned, liquid films prepared from model polyurethane foam formulations. The pattern of interference fringes in these films was consistent with a wedge-shaped film profile. The time evolution of this wedge shape (the ``collapsing wedge") obeyed a power law relationship between fringe density s and time t of s = k t^m. Experimentally, m ranged from -0.47 to -0.92. The lower bound for m represented a case where the surface viscosity of the film was very high (a ``rigid" surface). Theoretical modeling of this case yielded m = -0.5, in excellent agreement with experiment. Instantaneous film drainage rate (dV/dt) could be extracted from the ``Collapsing Wedge" model. As expected, dV/dt scaled inversely with bulk viscosity. As surfactant concentration was varied at constant bulk viscosity, dV/dt passed through a maximum value, consistent with a model where the rigidity of the surface was a function of both the intensity of surface tension gradients and the surface viscosity of the film. The influence of surface viscosity on dV/dt was also modeled theoretically.

Robot-assisted lobectomy for non-small cell lung cancer in china: initial experience and techniques.

PubMed

Zhao, Xiaojing; Qian, Liqiang; Lin, Hao; Tan, Qiang; Luo, Qingquan

2010-03-01

To summarize our initial experience in robot-assisted thoracoscopic lobectomy. Methods Five patients underwent lobectomy using da Vinci S HD Surgical System (Intuitive Surgical, Sunnyvale, California). During the operation, we respectively made four ports over chest wall for positioning robotic endoscope, left and right robotic arms and auxiliary instruments without retracting ribs. The procedure followed sequential anatomy as complete video-assisted thoracoscopic surgery lobectomy did, and lymph node dissection followed international standard. All patients successfully underwent complete robot-assisted thoracoscopic lobectomy. Neither additional incisions nor emergent conversion to a thoracotomy happened. Frozen dissection during lobectomy showed non-small-cell lung cancer in four patients, who afterwards underwent systemic lymph node dissection, while the case left was with tuberculoma and didn't undergo lymph node dissection. Recurrent air leak occurred in one case, so chest tube was kept for drainage, and one week later, the patient was extubated due to improvement. All other patients recovered well postoperatively without obvious postoperative complications. Robot-assisted thoracoscopic surgery is feasible with good operability, clear visual field, reliable action and its supriority of trouble free; exquisite operative skills are required to ensure a stable and safe operation; robot-assisted surgery is efficiency and patients recover well postoperatively.

Investigation of cerebral venous outflow in microgravity.

PubMed

Taibi, A; Gadda, G; Gambaccini, M; Menegatti, E; Sisini, F; Zamboni, P

2017-10-31

The gravitational gradient is the major component to face when considering the physiology of venous return, and there is a growing interest in understanding the mechanisms ensuring the heart filling, in the absence of gravity, for astronauts who perform long-term space missions. The purpose of the Drain Brain project was to monitor the cerebral venous outflow of a crew member during an experiment on the International Space Station (ISS), so as to study the compensatory mechanisms that facilitate this essential physiological action in subjects living in a microgravity environment. Such venous function has been characterized by means of a novel application of strain-gauge plethysmography which uses a capacitive sensor. In this contribution, preliminary results of our investigation have been presented. In particular, comparison of plethysmography data confirmed that long duration spaceflights lead to a redistribution of venous blood volume, and showed interesting differences in the amplitude of cardiac oscillations measured at the level of the neck veins. The success of the experiment has also demonstrated that thanks to its easy portability, non-invasiveness, and non-operator dependence, the proposed device can be considered as a novel tool for use aboard the ISS. Further trials are now under way to complete the investigation on the drainage function of the neck veins in microgravity.

A Specific Mapping Study Using Fluorescence Sentinel Lymph Node Detection in Patients with Intermediate- and High-risk Prostate Cancer Undergoing Extended Pelvic Lymph Node Dissection.

PubMed

Nguyen, Daniel P; Huber, Philipp M; Metzger, Tobias A; Genitsch, Vera; Schudel, Hans H; Thalmann, George N

2016-11-01

Sentinel lymph node (SLN) detection techniques have the potential to change the standard of surgical care for patients with prostate cancer. We performed a lymphatic mapping study and determined the value of fluorescence SLN detection with indocyanine green (ICG) for the detection of lymph node metastases in intermediate- and high-risk patients undergoing radical prostatectomy and extended pelvic lymph node dissection. A total of 42 patients received systematic or specific ICG injections into the prostate base, the midportion, the apex, the left lobe, or the right lobe. We found (1) that external and internal iliac regions encompass the majority of SLNs, (2) that common iliac regions contain up to 22% of all SLNs, (3) that a prostatic lobe can drain into the contralateral group of pelvic lymph nodes, and (4) that the fossa of Marcille also receives significant drainage. Among the 12 patients who received systematic ICG injections, 5 (42%) had a total of 29 lymph node metastases. Of these, 16 nodes were ICG positive, yielding 55% sensitivity. The complex drainage pattern of the prostate and the low sensitivity of ICG for the detection of lymph node metastases reported in our study highlight the difficulties related to the implementation of SNL techniques in prostate cancer. There is controversy about how extensive lymph node dissection (LND) should be during prostatectomy. We investigated the lymphatic drainage of the prostate and whether sentinel node fluorescence techniques would be useful to detect node metastases. We found that the drainage pattern is complex and that the sentinel node technique is not able to replace extended pelvic LND. Copyright © 2016. Published by Elsevier B.V.

Peritoneal drainage or laparotomy for neonatal bowel perforation? A randomized controlled trial.

PubMed

Rees, Clare M; Eaton, Simon; Kiely, Edward M; Wade, Angie M; McHugh, Kieran; Pierro, Agostino

2008-07-01

To determine whether primary peritoneal drainage improves survival and outcome of extremely low birth weight (ELBW) infants with intestinal perforation. Optimal surgical management of ELBW infants with intestinal perforation is unknown. An international multicenter randomized controlled trial was performed between 2002 and 2006. Inclusion criteria were birthweight >or=1000 g and pneumoperitoneum on x-ray (necrotizing enterocolitis or isolated perforation). Patients were randomized to peritoneal drain or laparotomy, minimizing differences in weight, gestation, ventilation, inotropes, platelets, country, and on-site surgical facilities. Patients randomized to drain were allowed to have a delayed laparotomy after at least 12 hours of no clinical improvement. Sixty-nine patients were randomized (35 drain, 34 laparotomy); 1 subsequently withdrew consent. Six-month survival was 18/35 (51.4%) with a drain and 21/33 (63.6%) with laparotomy (P = 0.3; difference 12% 95% CI, -11, 34%). Cox regression analysis showed no significant difference between groups (hazard ratio for primary drain 1.6; P = 0.3; 95% CI, 0.7-3.4). Delayed laparotomy was performed in 26/35 (74%) patients after a median of 2.5 days (range, 0.4-21) and did not improve 6-month survival compared with primary laparotomy (relative risk of mortality 1.4; P = 0.4; 95% CI, 0.6-3.4). Drain was effective as a definitive treatment in only 4/35 (11%) surviving neonates, the rest either had a delayed laparotomy or died. Seventy-four percent of neonates treated with primary peritoneal drainage required delayed laparotomy. There were no significant differences in outcomes between the 2 randomization groups. Primary peritoneal drainage is ineffective as either a temporising measure or definitive treatment. If a drain is inserted, a timely "rescue" laparotomy should be considered. Trial registration number ISRCTN18282954; http://isrctn.org/

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): design and rationale of a randomized controlled trial.

PubMed

Wiggers, Jimme K; Coelen, Robert J S; Rauws, Erik A J; van Delden, Otto M; van Eijck, Casper H J; de Jonge, Jeroen; Porte, Robert J; Buis, Carlijn I; Dejong, Cornelis H C; Molenaar, I Quintus; Besselink, Marc G H; Busch, Olivier R C; Dijkgraaf, Marcel G W; van Gulik, Thomas M

2015-02-14

Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when severe drainage-related complications deteriorate the patients' condition or increase the risk of postoperative morbidity. Biliary drainage can cause cholangitis/cholecystitis, pancreatitis, hemorrhage, portal vein thrombosis, bowel wall perforation, or dehydration. Two methods of preoperative biliary drainage are mostly applied: endoscopic biliary drainage, which is currently used in most regional centers before referring patients for surgical treatment, and percutaneous transhepatic biliary drainage. Both methods are associated with severe drainage-related complications, but two small retrospective series found a lower incidence in the number of preoperative complications after percutaneous drainage compared to endoscopic drainage (18-25% versus 38-60%, respectively). The present study randomizes patients with potentially resectable PHC and biliary obstruction between preoperative endoscopic or percutaneous transhepatic biliary drainage. The study is a multi-center trial with an "all-comers" design, randomizing patients between endoscopic or percutaneous transhepatic biliary drainage. All patients selected to potentially undergo a major liver resection for presumed PHC are eligible for inclusion in the study provided that the biliary system in the future liver remnant is obstructed (even if they underwent previous inadequate endoscopic drainage). Primary outcome measure is the total number of severe preoperative complications between randomization and exploratory laparotomy. The study is designed to detect superiority of percutaneous drainage: a provisional sample size of 106 patients is required to detect a relative decrease of 50% in the number of severe preoperative complications (alpha = 0.95; beta = 0.8). Interim analysis after inclusion of 53 patients (50%) will provide the definitive sample size. Secondary outcome measures encompass the success of biliary drainage, quality of life, and postoperative morbidity and mortality. The DRAINAGE trial is designed to identify a difference in the number of severe drainage-related complications after endoscopic and percutaneous transhepatic biliary drainage in patients selected to undergo a major liver resection for perihilar cholangiocarcinoma. Netherlands Trial Register [ NTR4243 , 11 October 2013].

Prairie Pothole Region wetlands and subsurface drainage systems: Key factors for determining drainage setback distances

USGS Publications Warehouse

Tangen, Brian; Wiltermuth, Mark T.

2018-01-01

Use of agricultural subsurface drainage systems in the Prairie Pothole Region of North America continues to increase, prompting concerns over potential negative effects to the Region's vital wetlands. The U.S. Fish and Wildlife Service protects a large number of wetlands through conservation easements that often utilize standard lateral setback distances to provide buffers between wetlands and drainage systems. Because of a lack of information pertaining to the efficacy of these setback distances for protecting wetlands, information is required to support the decision making for placement of subsurface drainage systems adjacent to wetlands. We used qualitative graphical analyses and data comparisons to identify characteristics of subsurface drainage systems and wetland catchments that could be considered when assessing setback distances. We also compared setback distances with catchment slope lengths to determine if they typically exclude drainage systems from the catchment. We demonstrated that depth of a subsurface drainage system is a key factor for determining drainage setback distances. Drainage systems located closer to the surface (shallow) typically could be associated with shorter lateral setback distances compared with deeper systems. Subsurface drainage systems would be allowed within a wetland's catchment for 44–59% of catchments associated with wetland conservation easements in North Dakota. More specifically, results suggest that drainage setback distances generally would exclude drainage systems from catchments of the smaller wetlands that typically have shorter slopes in the adjacent upland contributing area. For larger wetlands, however, considerable areas of the catchment would be vulnerable to drainage that may affect wetland hydrology. U.S. Fish and Wildlife Service easements are associated with > 2,000 km2 of wetlands in North Dakota, demonstrating great potential to protect these systems from drainage depending on policies for installing subsurface drainage systems on these lands. The length of slope of individual catchments and depth of subsurface drainage systems could be considered when prescribing drainage setback distances and assessing potential effects to wetland hydrology. Moreover, because of uncertainties associated with the efficacy of standard drainage setback distances, exclusion of subsurface drainage systems from wetland catchments would be ideal when the goal is to protect wetlands.

Growing Spartina pectinata in previously farmed prairie wetlands for economic and ecological benefits

USDA-ARS?s Scientific Manuscript database

Wetlands in the Prairie Pothole Region of the U.S. are threatened by continued drainage and conversion to cropland. Commercial incentives may increase wetland restoration in lieu of easements. Therefore, we designed an experiment to compare two populations of Spartina pectinata, compare two planti...

Forests or floods?

Treesearch

Tim Burt; Wayne Swank

2002-01-01

This article shows how experiments at the Coweeta Hydorlogic Laboratory is North Carolina have deepened our understanding at the ways in which forested catchments respond to land use change. Drainage-basin hydrology is a popular topic, often at AS. Human impact on stream discharge as a result of changes in vegetation cover is an important theme.

Viscosity and stability of ultra-high internal phase CO2-in-water foams stabilized with surfactants and nanoparticles with or without polyelectrolytes.

PubMed

Xue, Zheng; Worthen, Andrew; Qajar, Ali; Robert, Isaiah; Bryant, Steven L; Huh, Chun; Prodanović, Maša; Johnston, Keith P

2016-01-01

To date, relatively few examples of ultra-high internal phase supercritical CO2-in-water foams (also referred to as macroemulsions) have been observed, despite interest in applications including "waterless" hydraulic fracturing in energy production. The viscosities and stabilities of foams up to 0.98 CO2 volume fraction were investigated in terms of foam bubble size, interfacial tension, and bulk and surface viscosity. The foams were stabilized with laurylamidopropyl betaine (LAPB) surfactant and silica nanoparticles (NPs), with and without partially hydrolyzed polyacrylamide (HPAM). For foams stabilized with mixture of LAPB and NPs, fine ∼70 μm bubbles and high viscosities on the order of 100 cP at>0.90 internal phase fraction were stabilized for hours to days. The surfactant reduces interfacial tension, and thus facilitates bubble generation and decreases the capillary pressure to reduce the drainage rate of the lamella. The LAPB, which is in the cationic protonated form, also attracts anionic NPs (and anionic HPAM in systems containing polymer) to the interface. The adsorbed NPs at the interface are shown to slow down Ostwald ripening (with or without polymer added) and increase foam stability. In systems with added HPAM, the increase in the bulk and surface viscosity of the aqueous phase further decreases the lamella drainage rate and inhibits coalescence of foams. Thus, the added polymer increases the foam viscosity by threefold. Scaling law analysis shows the viscosity of 0.90 volume fraction foams is inversely proportional to the bubble size. Copyright © 2015 Elsevier Inc. All rights reserved.

Lumbar Cerebrospinal Fluid Drainage in Endovascular Aortic Repair - Reference Centre Experience.

PubMed

Martins, Ana Margarida; Silva, Marisa; Castro, Maria de Lurdes; Ferro, Ana

2017-01-01

Spinal cord ischemia (SCI) and the resulting paraplegia are one of the most feared postoperative complications after thoraco-abdominal aortic surgery, with an incidence 4,3-8,0% after thoracic endovascular aortic repair (TEVAR), increasing patients morbi-mortality. Lumbar cerebrospinal fluid (CSF) drainage catheter is recommended as preventive measure in high risk patients. To evaluate the efficiency and safety of CSF drainage catheter as preventive or therapeutic measure in endovascular aortic repair (EAR). Retrospective study in 19 patients submitted to TEVAR or fEVAR (fenestrated endovascular aneurism repair), in whom CSF drainage catheter was used, between January 2010 and March 2017. Collected data regarding demographic, perioperative patients characteristics, neurologic symptoms (NS) and other complications. All patients were submitted to general anesthesia (GA) as result of complexity and length of surgery. Known risk factors (RF) for SCI were taken into account. 19 patients, 89,5% (n=17) male, mean age of 66±9 years. 63,2% were classified as ASA III and 36,8% as ASA IV. 9 patients submitted to TEVAR (47,4%); the remaining were submitted to fEVAR. 73,7 % were programed procedures. There were intraoperative complications in 3 patients: iliac artery (IA) rupture in 2 patients, laceration of the axillary artery in 1 patient, all required surgical repair. All catheters were placed in awake patients, before GA induction, and were left in place 2,5 days. 7 patients needed drainage because of CSF pressure>10mmHg intra- or postoperatively. 3 patients developed early symptoms of SCI (decreased mobility and strength of legs). Complete recovery occurred in all patients, except one who recovered just partially. 1 patient developed late NS: paraparesia on 40th postoperative day (POD) as result of spinal stroke. 30 days mortality was 10,5% (n=2), due to cardiorespiratory arrest- 1 by hypovolemic shock (on 3rd POD), 1 by unknown cause (14th POD). This study was limited by the small sample size. CSF drainage catheter was an efficient measure in prevention and treatment of SCI in this sample, since there was no case of complications due to SCI. CSF drainage seems to be an effective technique in preventing SCI. Further studies are required to determine the effectiveness and compare the different methods available for the prevention of SCI complications.

The Rare Perennial Balduina atropurpurea (Asteraceae) at Fort Stewart, Georgia

DTIC Science & Technology

1998-06-01

savannas; moist, sandy, peaty clearings among slash ( Pinus elliottii) and longleaf (P. palustris) pines; and sandhill seeps with seasonal standing...with relatively shallow roots; however, near the end of the autumn drought these soils are still wet. It is believed that the soils remain wet from...internal drainage through the upland soils above the impervious clay layer into the topographically lower bog habitats over the 6 to 8 week drought

Pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra-abdominal complications in refractory peritoneal dialysis-related peritonitis.

PubMed

Hsu, Chih-Yang; Huang, Wei-Chieh; Huang, Chun-Kai; Huang, Chien-Wei; Chou, Nan-Hua; Lee, Po-Tsang; Fang, Hua-Chang; Chou, Kang-Ju; Chen, Chien-Liang

2015-11-01

Some patients with refractory peritoneal dialysis-related peritonitis continue to develop intra-abdominal complications despite removal of the peritoneal catheter. Repeated percutaneous drainage or open laparotomy is often required, and mortality is not uncommon. The benefits of pelvic drainage placement during catheter removal in decreasing these complications and interventions remain unproven. Forty-six patients with refractory peritonitis who underwent removal of a Tenckhoff catheter between 1991 and 2013 were reviewed retrospectively. Twelve patients had pelvic drainage using closed active suction devices during catheter removal (drainage group). The remaining 34 patients underwent catheter removal without drainage (non-drainage group). The outcomes measured were the development of intra-abdominal complications and the requirement for repeated percutaneous drainage or open laparotomy within 90 days after the catheter removal. Baseline characteristics were similar with the exception of a higher median number of previous peritonitis episodes in the drainage group compared with the non-drainage group (2 vs 0, P = 0.02). During the follow-up period, intra-abdominal complications occurred in 15 (44%) of 34 patients in the non-drainage group, compared with one (8%) of 12 patients in the drainage group (P = 0.03). Twelve (35%) patients in the non-drainage group required repeated percutaneous drainage or open laparotomy for management, compared with zero (0%) patients in the drainage group (P = 0.02). Drain tubes were removed at a median of 6 days (inter-quartile range: 5-10) without complications. In the management of refractory peritonitis, pelvic drainage during removal of dialysis catheter decreases the risk of subsequent intra-abdominal complications and invasive interventions. © 2015 Asian Pacific Society of Nephrology.

Malignant Ureteral Obstruction: Functional Duration of Metallic versus Polymeric Ureteral Stents

PubMed Central

Chow, Po-Ming; Chiang, I-Ni; Chen, Chia-Yen; Huang, Kuo-How; Hsu, Jui-Shan; Wang, Shuo-Meng; Lee, Yuan-Ju; Yu, Hong-Jeng; Pu, Yeong-Shiau; Huang, Chao-Yuan

2015-01-01

Background Ureteral obstruction caused by extrinsic compression is often associated with intra-abdominal cancers. Internal drainage with ureteral stents is typically the first-line therapy to relieve such obstructions. Novel designs of ureteral stents made of different materials have been invented to achieve better drainage. In this study, we described the functional outcomes of a Resonance metallic ureteral stent (Cook Medical, Bloomington, Indiana, USA) in patients with malignant ureteral obstruction and compare the functional duration of Resonance stents with regular polymeric stents in the same cohort. Methods Cancer patients who received polymeric stents and subsequent Resonance stents for ureteral obstruction between July 2009 and November 2012 were included in a chart review. Stent failure was detected by clinical symptoms, imaging studies, and renal function tests. The functional durations of each stent were calculated, and possible factors affecting stent patency were investigated. Results A total of 50 stents were successfully inserted into 50 ureteral units in 42 patients with malignant ureteral obstruction. There were 7 antegrade stents and 43 retrograde stents. There were no major complications. Stent-related symptoms were similar in both kinds of stents. After polymeric stents were replaced with Resonance metallic stents, hydronephrosis subsided or remained stable in 90% (45/50) of the ureteral units. Serum creatinine decreased or remained stable in 90% (38/42) of these patients. The Resonance stent exhibited a mean increase in functional duration of 4 months compared with the polymeric stents (p<0.0001), and 50% (25/50) of the Resonance stents exhibited a significant increase in functional duration (more than 3 months). Pre-operative serum creatinine < 2 was associated with a substantial increase in stent duration. Conclusions Resonance stents are effective and safe in relieving malignant ureteral obstructions after polymeric stents failure. Resonance stents can provide a longer functional duration than polymeric stents and should be offered as an option for internal drainage. PMID:26267140

A prospective, multicenter study of a double stent system for palliative treatment of malignant extrahepatic biliary obstructions.

PubMed

Kim, Jong Woo; Gwon, Dong Il; Han, Young-Min; Won, Je Hwan; Hong, Hyun Pyo; Ko, Gi-Young; Yoon, Hyun-Ki; Sung, Kyu-Bo

2015-10-01

A double stent system (covered stent in uncovered stent) was designed to provide long-term patency without tumor ingrowth or stent-related complications, such as stent migration, cholecystitis, or pancreatitis. To investigate the safety and efficacy of double stents in patients with malignant extrahepatic biliary obstructions. This prospective, nonrandomized, multicenter study enrolled 160 consecutive patients (102 men; mean age, 64 years; range, 33-91 years) with malignant extrahepatic biliary obstructions treated with a double stent system from January 2010 to March 2012. The technical success rate of the double stent placement was 100%. No stent migration was observed. Procedure-related minor (self-limiting hemobilia [n = 6] and cholangitis [n = 2]) and major (pancreatitis [n = 16], cholecystitis [n = 3], and hepatic abscess [n = 2]) complications occurred in a total of 29 patients. The mean serum bilirubin level, which was 8.9 ± 5.6 mg/dL before drainage, decreased to 2.2 ± 4.6 mg/dL 1 month after stent placement (P < 0.001). Successful internal drainage was achieved in 148 patients (92.5%). During the mean follow-up period of 205 days, acute cholecystitis (n = 3) and hepatic abscess (n = 2) occurred in five patients. The median patient survival and stent patency time were 135 days (95% confidence interval [CI], 96-160 days) and 114 days (95% CI, 83-131 days), respectively. Of 153 patients, 22 (14.4%) presented with stent dysfunction due to sludge incrustation (n = 17), tumor overgrowth (n = 4), or blood clot (n = 1), and required repeat intervention. Tumor ingrowth was not observed in any of these patients. Percutaneous treatment of malignant extrahepatic biliary obstruction using a double stent safely and effectively achieves internal biliary drainage. © The Foundation Acta Radiologica 2014.

Evaluation of urban drainage network based geographycal information system (GIS) in Sumenep City

NASA Astrophysics Data System (ADS)

Agrianto, F.; Hadiani, R.; Purwana, Y. M.

2017-02-01

Sumenep City frequently hit by floods. Drainage network conditions greatly affect the performance of her maid, especially those aspects that affect the capacity of the drainage channel. Aspects that affect the capacity of the drainage channel in the form of sedimentation rate and complementary buildings on drainage channels, for example, the presence of street inlet and trash rack. The method used is a drainage channel capacity level approach that level assessment of each segment drainage network conditions by calculating the ratio of the channel cross-sectional area that is filled with sediment to the total cross-sectional area wet and the existence of complementary buildings. Having obtained the condition index value of each segment, the subsequent analysis is spatial analysis using ArcGIS applications to obtain a map of the drainage network information. The analysis showed that the level condition of drainage network in the city of Sumenep in 2016 that of the total 428 drainage network there are 43 sections belonging to the state level “Good”, 198 drainage network belong to the state level “Enough”, 115 drainage network belong to the state “Mild Damaged”, 50 sections belonging to the state “Heavy Damage” and 22 drainage network belong to the state of “Dysfunction”.

An Optimal Balance between Efficiency and Safety of Urban Drainage Networks

NASA Astrophysics Data System (ADS)

Seo, Y.

2014-12-01

Urban drainage networks have been developed to promote the efficiency of a system in terms of drainage time so far. Typically, a drainage system is designed to drain water from developed areas promptly as much as possible during floods. In this regard, an artificial drainage system have been considered to be more efficient compared to river networks in nature. This study examined artificial drainage networks and the results indicate they can be less efficient in terms of network configuration compared with river networks, which is counter-intuitive. The case study of 20 catchments in Seoul, South Korea shows that they have wide range of efficiency in terms of network configuration and consequently, drainage time. This study also demonstrates that efficient drainage networks are more sensitive to spatial and temporal rainfall variation such as rainstorm movement. Peak flows increase more than two times greater in effective drainage networks compared with inefficient and highly sinuous drainage networks. Combining these results, this study implies that the layout of a drainage network is an important factor in terms of efficient drainage and also safety in urban catchments. Design of an optimal layout of the drainage network can be an alternative non-structural measures that mitigate potential risks and it is crucial for the sustainability of urban environments.

Large-scale geomorphology: Classical concepts reconciled and integrated with contemporary ideas via a surface processes model

NASA Astrophysics Data System (ADS)

Kooi, Henk; Beaumont, Christopher

1996-02-01

Linear systems analysis is used to investigate the response of a surface processes model (SPM) to tectonic forcing. The SPM calculates subcontinental scale denudational landscape evolution on geological timescales (1 to hundreds of million years) as the result of simultaneous hillslope transport, modeled by diffusion, and fluvial transport, modeled by advection and reaction. The tectonically forced SPM accommodates the large-scale behavior envisaged in classical and contemporary conceptual geomorphic models and provides a framework for their integration and unification. The following three model scales are considered: micro-, meso-, and macroscale. The concepts of dynamic equilibrium and grade are quantified at the microscale for segments of uniform gradient subject to tectonic uplift. At the larger meso- and macroscales (which represent individual interfluves and landscapes including a number of drainage basins, respectively) the system response to tectonic forcing is linear for uplift geometries that are symmetric with respect to baselevel and which impose a fully integrated drainage to baselevel. For these linear models the response time and the transfer function as a function of scale characterize the model behavior. Numerical experiments show that the styles of landscape evolution depend critically on the timescales of the tectonic processes in relation to the response time of the landscape. When tectonic timescales are much longer than the landscape response time, the resulting dynamic equilibrium landscapes correspond to those envisaged by Hack (1960). When tectonic timescales are of the same order as the landscape response time and when tectonic variations take the form of pulses (much shorter than the response time), evolving landscapes conform to the Penck type (1972) and to the Davis (1889, 1899) and King (1953, 1962) type frameworks, respectively. The behavior of the SPM highlights the importance of phase shifts or delays of the landform response and sediment yield in relation to the tectonic forcing. Finally, nonlinear behavior resulting from more general uplift geometries is discussed. A number of model experiments illustrate the importance of "fundamental form," which is an expression of the conformity of antecedent topography with the current tectonic regime. Lack of conformity leads to models that exhibit internal thresholds and a complex response.

Representing natural and manmade drainage systems in an earth system modeling framework

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

Li, Hongyi; Wu, Huan; Huang, Maoyi

Drainage systems can be categorized into natural or geomorphological drainage systems, agricultural drainage systems and urban drainage systems. They interact closely among themselves and with climate and human society, particularly under extreme climate and hydrological events such as floods. This editorial articulates the need to holistically understand and model drainage systems in the context of climate change and human influence, and discusses the requirements and examples of feasible approaches to representing natural and manmade drainage systems in an earth system modeling framework.

Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis.

PubMed

Freitas, Diana A; Chaves, Gabriela Ss; Santino, Thayla A; Ribeiro, Cibele Td; Dias, Fernando Al; Guerra, Ricardo O; Mendonça, Karla Mpp

2018-03-09

Postural drainage is used primarily in infants with cystic fibrosis from diagnosis up to the moment when they are mature enough to actively participate in self-administered treatments. However, there is a risk of gastroesophageal reflux associated with this technique.This is an update of a review published in 2015. To compare the effects of standard postural drainage (15º to 45º head-down tilt) with modified postural drainage (15º to 30º head-up tilt) with regard to gastroesophageal reflux in infants and young children up to six years old with cystic fibrosis in terms of safety and efficacy. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group's Cystic Fibrosis Trials Register. We also searched the reference lists of relevant articles and reviews. Additional searches were conducted on ClinicalTrials.gov and on the WHO International Clinical Trials Registry Platform for any planned, ongoing and unpublished studies.The date of the most recent literature searches: 19 June 2017. We included randomised controlled studies that compared two postural drainage regimens (standard and modified postural drainage) with regard to gastroesophageal reflux in infants and young children (up to and including six years old) with cystic fibrosis. We used standard methodological procedures expected by Cochrane. Two review authors independently identified studies for inclusion, extracted outcome data and assessed risk of bias. We resolved disagreements by consensus or by involving a third review author. We contacted study authors to obtain missing or additional information. The quality of the evidence was assessed using GRADE. Two studies, involving a total of 40 participants, were eligible for inclusion in the review. We included no new studies in the 2018 update. The included studies were different in terms of the age of participants, the angle of tilt, the reported outcomes, the number of sessions and the study duration. The following outcomes were measured: appearance or exacerbation of gastroesophageal reflux episodes; percentage of peripheral oxygen saturation; number of exacerbations of upper respiratory tract symptoms; number of days on antibiotics for acute exacerbations; chest X-ray scores; and pulmonary function tests. One study reported that postural drainage with a 20° head-down position did not appear to exacerbate gastroesophageal reflux. However, the majority of the reflux episodes in this study reached the upper oesophagus (moderate-quality evidence). The second included study reported that modified postural drainage (30° head-up tilt) was associated with fewer number of gastroesophageal reflux episodes and fewer respiratory complications than standard postural drainage (30° head-down tilt) (moderate-quality evidence). The included studies had an overall low risk of bias. One included study was funded by the Sydney Children's Hospital Foundation and the other by the Royal Children's Hospital Research Foundation and Physiotherapy Research Foundation of Australia. Data were not able to be pooled by meta-analysis due to differences in the statistical presentation of the data. The limited evidence regarding the comparison between the two regimens of postural drainage is still weak due to the small number of included studies, the small number of participants assessed, the inability to perform any meta-analyses and some methodological issues with the studies. However, it may be inferred that the use of a postural regimen with a 30° head-up tilt is associated with a lower number of gastroesophageal reflux episodes and fewer respiratory complications in the long term. The 20° head-down postural drainage position was not found to be significantly different from the 20° head-up tilt modified position. Nevertheless, the fact that the majority of reflux episodes reached the upper oesophagus should make physiotherapists carefully consider their treatment strategy. We do not envisage that there will be any new trials undertaken that will affect the conclusions of this review; therefore, we do not plan to update this review.

Wettability effect on capillary trapping of supercritical CO2 at pore-scale: micromodel experiment and numerical modeling

NASA Astrophysics Data System (ADS)

Hu, R.; Wan, J.

2015-12-01

Wettability of reservoir minerals along pore surfaces plays a controlling role in capillary trapping of supercritical (sc) CO2 in geologic carbon sequestration. The mechanisms controlling scCO2 residual trapping are still not fully understood. We studied the effect of pore surface wettability on CO2 residual saturation at the pore-scale using engineered high pressure and high temperature micromodel (transparent pore networks) experiments and numerical modeling. Through chemical treatment of the micromodel pore surfaces, water-wet, intermediate-wet, and CO2-wet micromodels can be obtained. Both drainage and imbibition experiments were conducted at 8.5 MPa and 45 °C with controlled flow rate. Dynamic images of fluid-fluid displacement processes were recorded using a microscope with a CCD camera. Residual saturations were determined by analysis of late stage imbibition images of flow path structures. We performed direct numerical simulations of the full Navier-Stokes equations using a volume-of-fluid based finite-volume framework for the primary drainage and the followed imbibition for the micromodel experiments with different contact angles. The numerical simulations agreed well with our experimental observations. We found that more scCO2 can be trapped within the CO2-wet micromodel whereas lower residual scCO2 saturation occurred within the water-wet micromodels in both our experiments and the numerical simulations. These results provide direct and consistent evidence of the effect of wettability, and have important implications for scCO2 trapping in geologic carbon sequestration.

Functional discrepancy between two liver lobes after hemilobe biliary drainage in patients with jaundice and bile duct cancer: an appraisal using (99m)Tc-GSA SPECT/CT fusion imaging.

PubMed

Sumiyoshi, Tatsuaki; Shima, Yasuo; Okabayashi, Takehiro; Noda, Yoshihiro; Hata, Yasuhiro; Murata, Yoriko; Kozuki, Akihito; Tokumaru, Teppei; Nakamura, Toshio; Uka, Kiminori

2014-11-01

To determine the functional discrepancy between the two liver lobes using technetium 99m ((99m)Tc) diethylenetriamine-pentaacetic acid-galactosyl human serum albumin ( GSA diethylenetriamine-pentaacetic acid-galactosyl human serum albumin ) single photon emission computed tomography (SPECT)/computed tomography (CT) fusion imaging following preoperative biliary drainage and portal vein embolization ( PVE portal vein embolization ) in patients with jaundice who have bile duct cancer ( BDC bile duct cancer ). This retrospective study was approved by the institutional review board, with waiver of informed consent. Preoperative (99m)Tc- GSA diethylenetriamine-pentaacetic acid-galactosyl human serum albumin SPECT/CT fusion images from 32 patients with extrahepatic BDC bile duct cancer were retrospectively reviewed. Patients were classified into four groups according to the extent of biliary drainage and presence of a preoperative right PVE portal vein embolization : right lobe drainage group (right drainage), bilateral lobe drainage group (bilateral drainage), left lobe drainage group (left drainage), and left lobe drainage with right PVE portal vein embolization group (left drainage with right PVE portal vein embolization ). Percentage volume and percentage function were measured in each lobe using fusion imaging. The ratio between percentage function and percentage volume (the function-to-volume ratio) was calculated for each lobe, and the results were compared among the four groups. Statistical analysis was performed with Wilcoxon signed-rank tests and Mann-Whitney U tests. The median values for the function-to-volume ratio in the right drainage, bilateral drainage, left drainage, and left drainage with right PVE portal vein embolization group were 1.12, 1.05, 1.02, and 0.81 in the right lobe; and 0.51, 0.88, 0.96, and 1.17 in the left lobe. Significant differences in the function-to-volume ratio were observed among the four groups (right drainage vs bilateral drainage vs left drainage vs left drainage with right PVE portal vein embolization ; with P < .002, P = .023, and P < .002 for the right lobe and P < .001, P = .023, and P < .002 for the left lobe). Hepatic lobar function significantly differs between the two lobes, depending on the extent of biliary drainage and the presence of portal vein embolization.

Modes of supraglacial lake drainage and dynamic ice sheet response

NASA Astrophysics Data System (ADS)

Das, S. B.; Behn, M. D.; Joughin, I. R.

2011-12-01

We investigate modes of supraglacial lake drainage using geophysical, ground, and remote sensing observations over the western margin of the Greenland ice sheet. Lakes exhibit a characteristic life cycle defined by a pre-drainage, drainage, and post-drainage phase. In the pre-drainage phase winter snow fills pre-existing cracks and stream channels, efficiently blocking past drainage conduits. As temperatures increase in the spring, surface melting commences, initially saturating the snow pack and subsequently forming a surface network of streams that fills the lake basins. Basins continue to fill until lake drainage commences, which for individual lakes occurs at different times depending on the previous winter snow accumulation and summer temperatures. Three styles of drainage behavior have been observed: (1) no drainage, (2) slow drainage over the side into an adjacent pre-existing crack, and (3) rapid drainage through a new crack formed beneath the lake basin. Moreover, from year-to-year individual lakes exhibit different drainage behaviors. Lakes that drain slowly often utilize the same outflow channel for multiple years, creating dramatic canyons in the ice. Ultimately, these surface channels are advected out of the lake basin and a new channel forms. In the post-drainage phase, melt water continues to access the bed typically through a small conduit (e.g. moulin) formed near a local topographic minimum along the main drainage crack, draining the lake catchment throughout the remainder of the melt season. This melt water input to the bed leads to continued basal lubrication and enhanced ice flow compared to background velocities. Lakes that do not completely drain freeze over to form a surface ice layer that persists into the following year. Our results show that supraglacial lakes show a spectrum of drainage behaviors and that these styles of drainage lead to varying rates and timing of surface meltwater delivery to the bed resulting in different dynamic ice responses.

Comparison between autologous blood transfusion drainage and closed-suction drainage/no drainage in total knee arthroplasty: a meta-analysis.

PubMed

Hong, Kun-Hao; Pan, Jian-Ke; Yang, Wei-Yi; Luo, Ming-Hui; Xu, Shu-Chai; Liu, Jun

2016-08-01

Autologous blood transfusion (ABT) drainage system is a new unwashed salvaged blood retransfusion system for total knee replacement (TKA). However, whether to use ABT drainage, closed-suction (CS) drainage or no drainage in TKA surgery remains controversial. This is the first meta-analysis to assess the clinical efficiency, safety and potential advantages regarding the use of ABT drains compared with closed-suction/no drainage. PubMed, Embase, and the Cochrane Library were comprehensively searched in March 2015. Fifteen randomized controlled trials (RCTs) were identified and pooled for statistical analysis. The primary outcome evaluated was homologous blood transfusion rate. The secondary outcomes were post-operative haemoglobin on days 3-5, length of hospital stay and wound infections after TKA surgery. The pooled data included 1,721 patients and showed that patients in the ABT drainage group might benefit from lower blood transfusion rates (16.59 % and 37.47 %, OR: 0.28 [0.14, 0.55]; 13.05 % and 16.91 %, OR: 0.73 [0.47,1.13], respectively). Autologous blood transfusion drainage and closed-suction drainage/no drainage have similar clinical efficacy and safety with regard to post-operative haemoglobin on days 3-5, length of hospital stay and wound infections. Autologous blood transfusion drainage offers a safe and efficient alternative to CS/no drainage with a lower blood transfusion rate. Future large-volume high-quality RCTs with extensive follow-up will affirm and update this system review.

Conservative management of empyema-complicated post-lobectomy bronchopleural fistulas: experience of consecutive 13 cases in 9 years

PubMed Central

Mao, Rui; Ying, Peng-Qing; Xie, Dong; Dai, Chen-Yang; Zha, Jun-Yan; Chen, Tao; Jiang, Ge-Ning; Fei, Ke

2016-01-01

Background Bronchopleural fistula (BPF) is an infrequent but life-threatening complication after lung surgery. Tentative closure of the fistula and irrigation have been the conventional treatments, but are also surgically challenging and associated with a considerable failure rate. This study reports on a conservative practice of this difficult issue, in aim to examine its outcomes. Method All enrolled cases were handled consecutively from September 2006 to June 2015. The empyema was first properly drained till disseminated pneumonia controlled. After conducting lavage, tube drainage was gradually transited to postural drainage. During the follow-up, information on tube removal, fistula healing, and survival were recorded. Results Thirteen cases were enrolled, including 9 rights and 4 lefts. The primary diseases were lung cancer [10], lung abscess [1], organizing pneumonia [1], and aspergillosis [1]. Early fistula (≤30 days postoperatively) occurred in 8 cases and late fistula (>30 days postoperatively) in 5 cases. Two patients underwent debridement to ascertain complete drainage. Chest tubes retained from 7 to 114 days (mean 40.54±30.49 days) before removal. At follow-up, we observed gradually narrowing-down of all residual cavities, and symptoms of fistula and empyema eventually disappeared in all patients. No complication or death occurred during the follow-up. Conclusions Conservative management by a combination of tube and postural drainage provides an effective and safe treatment for empyema-complicated post-lobectomy BPFs. PMID:27499946

Presacral abscess as a rare complication of sacral nerve stimulator implantation.

PubMed

Gumber, A; Ayyar, S; Varia, H; Pettit, S

2017-03-01

A 50-year-old man with intractable anal pain attributed to proctalgia fugax underwent insertion of a sacral nerve stimulator via the right S3 vertebral foramen for pain control with good symptomatic relief. Thirteen months later, he presented with signs of sepsis. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a large presacral abscess. MRI demonstrated increased enhancement along the pathway of the stimulator electrode, indicating that the abscess was caused by infection introduced at the time of sacral nerve stimulator placement. The patient was treated with broad spectrum antibiotics, and the sacral nerve stimulator and electrode were removed. Attempts were made to drain the abscess transrectally using minimally invasive techniques but these were unsuccessful and CT guided transperineal drainage was then performed. Despite this, the presacral abscess progressed, developing enlarging gas locules and extending to the pelvic brim to involve the aortic bifurcation, causing hydronephrosis and radiological signs of impending sacral osteomyelitis. MRI showed communication between the rectum and abscess resulting from transrectal drainage. In view of the progressive presacral sepsis, a laparotomy was performed with drainage of the abscess, closure of the upper rectum and formation of a defunctioning end sigmoid colostomy. Following this, the presacral infection resolved. Presacral abscess formation secondary to an infected sacral nerve stimulator electrode has not been reported previously. Our experience suggests that in a similar situation, the optimal management is to perform laparotomy with drainage of the presacral abscess together with simultaneous removal of the sacral nerve stimulator and electrode.

Presacral abscess as a rare complication of sacral nerve stimulator implantation

PubMed Central

Gumber, A; Ayyar, S; Varia, H

2017-01-01

A 50-year-old man with intractable anal pain attributed to proctalgia fugax underwent insertion of a sacral nerve stimulator via the right S3 vertebral foramen for pain control with good symptomatic relief. Thirteen months later, he presented with signs of sepsis. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a large presacral abscess. MRI demonstrated increased enhancement along the pathway of the stimulator electrode, indicating that the abscess was caused by infection introduced at the time of sacral nerve stimulator placement. The patient was treated with broad spectrum antibiotics, and the sacral nerve stimulator and electrode were removed. Attempts were made to drain the abscess transrectally using minimally invasive techniques but these were unsuccessful and CT guided transperineal drainage was then performed. Despite this, the presacral abscess progressed, developing enlarging gas locules and extending to the pelvic brim to involve the aortic bifurcation, causing hydronephrosis and radiological signs of impending sacral osteomyelitis. MRI showed communication between the rectum and abscess resulting from transrectal drainage. In view of the progressive presacral sepsis, a laparotomy was performed with drainage of the abscess, closure of the upper rectum and formation of a defunctioning end sigmoid colostomy. Following this, the presacral infection resolved. Presacral abscess formation secondary to an infected sacral nerve stimulator electrode has not been reported previously. Our experience suggests that in a similar situation, the optimal management is to perform laparotomy with drainage of the presacral abscess together with simultaneous removal of the sacral nerve stimulator and electrode. PMID:28071947

Reduce chest pain using modified silicone fluted drain tube for chest drainage after video-assisted thoracic surgery (VATS) lung resection

PubMed Central

Li, Xin; Hu, Bin; Miao, Jinbai

2016-01-01

Background The aim of this study was to assess the feasibility, efficacy and safety of a modified silicone fluted drain tube after video-assisted thoracic surgery (VATS) lung resection. Methods The prospective randomized study included 50 patients who underwent VATS lung resection between March 2015 and June 2015. Eligible patients were randomized into two groups: experimental group (using the silicone fluted drain tubes for chest drainage) and control group (using standard drain tubes for chest drainage). The volume and characteristics of drainage, postoperative (PO) pain scores and hospital stay were recorded. All patients received standard care during hospital admission. Results In accordance with the exit criteria, three patients were excluded from study. The remaining 47 patients included in the final analysis were divided into two groups: experiment group (N=24) and control group (N=23). There was no significant difference between the two groups in terms of age, sex, height, weight, clinical diagnosis and type of surgical procedure. There was a trend toward less PO pain in experimental group on postoperative day (POD) 1, with a statistically significant difference. Patients in experimental group had a reduced occurrence of fever [temperature (T) >37.4 °C] compared to the control group. Conclusions The silicone fluted drain tube is feasible and safe and may relieve patient PO pain and reduce occurrence of fever without the added risk of PO complications. PMID:26941976

Saltmarsh pool and tidal creek morphodynamics: Dynamic equilibrium of northern latitude saltmarshes?

NASA Astrophysics Data System (ADS)

Wilson, Carol A.; Hughes, Zoe J.; FitzGerald, Duncan M.; Hopkinson, Charles S.; Valentine, Vinton; Kolker, Alexander S.

2014-05-01

Many saltmarsh platforms in New England and other northern climates (e.g. Canada, northern Europe) exhibit poor drainage, creating waterlogged regions where short-form Spartina alterniflora dominates and stagnant pools that experience tidal exchange only during spring tides and storm-induced flooding events. The processes related to pool formation and tidal creek incision (via headward erosion) that may eventually drain these features are poorly understood, however it has been suggested that an increase in pool occurrence in recent decades is due to waterlogging stress from sea-level rise. We present evidence here that saltmarshes in Plum Island Estuary of Massachusetts are keeping pace with sea-level rise, and that the recent increase in saltmarsh pool area coincides with changes in drainage density from a legacy of anthropogenic ditching (reversion to natural drainage conditions). Gradients, in addition to elevation and hydroperiod, are critical for saltmarsh pool formation. Additionally, elevation and vegetative changes associated with pool formation, creek incision, subsequent drainage of pools, and recolonization by S. alterniflora are quantified. Pool and creek dynamics were found to be cyclic in nature, and represent platform elevation in dynamic equilibrium with sea level whereby saltmarsh elevation may be lowered (due to degradation of organic matter and formation of a pool), however may be regained on short timescales (101-2 yr) with creek incision into pools and restoration of tidal exchange. Rapid vertical accretion is associated with sedimentation and S. alterniflora plant recolonization.

The Effect of Firn-Aquifer Drainage on the Greenland Subglacial System or Subglacial Efficiency and Storage Modified by the Temporal Pattern of High-Elevation Meltwater Input

NASA Technical Reports Server (NTRS)

Andrews, Lauren C.; Poinar, Kristin; Dow, Christine F.; Nowicki, Sophie M.

2017-01-01

Ice flow in marginal region of the Greenland Ice Sheet dynamically responds to summer melting as surface meltwater is routed through the supraglacial hydrologic system to the bed of the ice sheet via crevasses and moulins. Given the expected increases in surface melt production and extent, and the potential for high elevation surface-to-bed connections, it is imperative to understand how meltwater delivered to the bed from different high-elevation supraglacial storage features affects the evolution of the subglacial hydrologic system and associated ice dynamics. Here, we use the two-dimensional subglacial hydrologic model, GLaDS, which includes distributed and channelized water flow, to test how the subglacial system of an idealized outlet glacier responds to cases of high-elevation firn-aquifer-type and supraglacial-lake-type englacial drainage over the course of 5 years. Model outputs driven by these high elevation drainage types are compared to steady-state model results, where the subglacial system only receives the 1980- 2016 mean MERRA-2 runoff via low-elevation moulins. Across all experiments, the subglacial hydrologic system displays inter-annual memory, resulting in multiyear declines in subglacial pressure during the onset of seasonal melting and growth of subglacial channels. The gradual addition of water in firn-aquifer-type drainage scenarios resulted in small increases in subglacial water storage but limited changes in subglacial efficiency and channelization. Rapid, supraglacial- lake-type drainage resulted in short-term local increases in subglacial water pressure and storage, which gave way to spatially extensive decreases in subglacial pressure and downstream channelization. These preliminary results suggest that the character of high-elevation englacial drainage can have a strong, and possibly outsized, control on subglacial efficiency throughout the ablation zone. Therefore, understanding both how high elevation meltwater is stored supraglacially and the probability of crevassing at high elevations will play an important role in how the subglacial system, proglacial discharge and ice motion will respond to future increases in surface melt production and runoff.

Mechanisms of surface runoff genesis on a subsurface drained soil affected by surface crusting: A field investigation

NASA Astrophysics Data System (ADS)

Augeard, Bénédicte; Kao, Cyril; Chaumont, Cédric; Vauclin, Michel

Artificial drainage has been subject to widespread criticism because of its impact on water quality and because there is suspicion that it may have detrimental effects on flood genesis. The present work aims at a better understanding of the mechanisms controlling infiltration and surface runoff genesis, particularly in soils with artificial drainage and affected by surface crusting. A field experiment was conducted during one drainage season (November 2003-March 2004) in the Brie region (80 km east of Paris, France) on a subsurface drained silty soil. Water table elevation and surface runoff were monitored above the drain and at midpoint between drains. Soil water pressure head was measured at various depths and locations between the midpoint and the drain. Soil surface characteristics (microtopography and degree of structural and sedimentary crust development) were recorded regularly on the experimental site and on other plots of various drainage intensities. The results show that the first surface runoff events were induced by high water table. However, runoff was higher at midpoint between the drains because water table reached the soil surface at that point, thus considerably reducing infiltration capacity compared to that above the drain. Comparing different plots, the area with older drainage installation (1948) yielded the most surface runoff. Wider drain spacing, smaller drain depth and possible plugging may have led to a greater area of saturated soil between drains. During the winter period, the impact of raindrops induced the formation of a structural crust on the soil surface. Furthermore, the development of the sedimentary crust, which was favored by water actually flowing on the soil surface during the high water table periods could be correlated with surface runoff volume. The formation of this crust had a significant impact on runoff occurrence at the end of the winter. Therefore, poorly drained fields presented more favorable conditions for both Horton type runoff and saturation excess runoff. Drainage effectively reduces surface runoff occurrences not only by lowering the water table in winter but also by limiting soil surface sealing.

Variability of Short-term Precipitation and Runoff in Small Czech Drainage Basins

NASA Astrophysics Data System (ADS)

Kavka, Petr; Strouhal, Luděk; Landa, Martin; Neuman, Martin; Kožant, Petr; Muller, Miloslav

2016-04-01

The aim of this contribution is to introduce the recently started three year's project named "Variability of Short-term Precipitation and Runoff in Small Czech Drainage Basins and its Influence on Water Resources Management". Its main goal is to elaborate a methodology and online utility for deriving short-term design precipitation series, which could be utilized by a broad community of scientists, state administration as well as design planners. The outcomes of the project will especially be helpful in modelling hydrological or soil erosion problems when designing common measures for promoting water retention or landscape drainage systems in or out of the scope of Landscape consolidation projects. The precipitation scenarios will be derived from 10 years of observed data from point gauging stations and radar data. The analysis is focused on events' return period, rainfall total amount, internal intensity distribution and spatial distribution over the area of Czech Republic. The methodology will account for the choice of the simulation model. Several representatives of practically oriented models will be tested for the output sensitivity to selected precipitation scenario comparing to variability connected with other inputs uncertainty. The variability of the outputs will also be assessed in the context of economic impacts in design of landscape water structures or mitigation measures. The research was supported by the grant QJ1520265 of the Czech Ministry of Agriculture, using data provided by the Czech Hydrometeorological Institute.

[Observation of the use of percutaneous tracheostomy tube for closed drainage of pneumothorax in intensive care unit].

PubMed

Kang, Hongshan; Bai, Yan; Ma, Hongfang; Du, Zhiyong; Ma, Zhen; Wang, Huiqing; Liu, Yajing; Liu, Shuhong; Cui, Zhaobo

2014-12-01

To explore the effect of the transcutaneous tracheostomy tube in patients with pneumothorax and its clinical value. A prospective randomized controlled trial was conducted. Thirty-two patients with pneumothorax admitted to Department of Critical Care Medicine of Harrison International Peace Hospital of Hebei Medical University from June 2010 to June 2014 were enrolled. The patients were divided into control group and observation group, with 16 cases in each group. Beside the treatment for primary disease, the patients in control group received thoracic close drainage with traditional silica gel tube as performed by thoracic surgeons, and those in observation group received thoracic close drainage with transcutaneous tracheostomy tube by intensive care doctors. The curative effect and complications of the two groups were observed. Compared with control group, the time from diagnosis to operation (minutes:8.00 ± 1.36 vs. 23.06 ± 3.83, t=14.790, P=0.000) and the operation time were significantly shortened (days:5.37 ± 1.02 vs. 7.31 ± 1.70, t=7.286, P=0.000), the frequency of drainage tube replacement (times: 0.18 ± 0.40 vs. 3.87 ± 1.14, t=12.128, P=0.000) and the times of repeated chest radiography (times:1.12 ± 0.34 vs. 2.93 ± 0.77, t=8.589, P=0.000) in observation group were significantly reduced, the length of hospital day was significantly shortened (days:8.30 ± 1.37 vs. 24.56 ± 5.62, t=17.289, P=0.000), the rates of dislocation of drainage tube (0 vs. 3 cases), obstruction of the tube (0 vs. 5 cases), and subcutaneous emphysema (3 vs. 16 cases) were reduced obviously, but there was no difference in incidence of incision infection (1 vs. 3 cases) and infection of thoracic cavity (0 vs. 2 cases). The usage of transcutaneous tracheostomy tube in patients with pneumothorax is safe and simple. Doctors in ICU can independently do this procedure, and its effect is positive.

CUA Annual Meeting Abstracts addition.

PubMed

2012-08-01

: Foley catheters are assumed to drain the bladder to completion. We have previously shown that dependent loops along the drainage tubing create air-locks, which obstruct antegrade urine flow and result in un-drained residual bladder urine. We hypothesized that drainage characteristics of Foley catheters remain poorly understood by urologists and general surgeons. We conducted a nationwide survey of general surgery and urology training program faculty and residents, to assess perceptions of Foley catheter drainage. We designed a novel catheter drainage tube/bag that eliminates air-locks. : An anonymous illustrated questionnaire assessing Foley catheter use patterns and perception was sent to general surgery and urology residency programs (N=108) nationwide. A modified catheter drainage tube/bag unit was designed and tested. An ex vivo catheterized bladder model was designed to measure and compare urine drainage rates with the standard drainage system, versus with our novel design. : A total of 307 responses were collected from residents (55%) and faculty (45%); responses were similar among both groups (p<0.05). The majority reported that at their centers Foley catheter drainage tubes are generally positioned with a dependent loop (94.1%), and, that positioning with a dependent loop, versus without (78.1%) promoted optimal drainage. Antegrade drainage does not occur with a traditional drainage system when a >5.5 inch dependent loop in place. With our proposed design, which eliminates dependent loops, the bladder model emptied to completion consistently. : Traditional Foley catheter drainage systems, as commonly used, evacuate the bladder sub- optimally. More reliable and complete bladder drainage may decrease the incidence of catheter related UTI. The novel modified Foley catheter drainage tube/bag design presented here eliminates dependent loops, to optimize antegrade drainage.

Application of BIM Technology in Building Water Supply and Drainage Design

NASA Astrophysics Data System (ADS)

Wei, Tianyun; Chen, Guiqing; Wang, Junde

2017-12-01

Through the application of BIM technology, the idea of building water supply and drainage designers can be related to the model, the various influencing factors to affect water supply and drainage design can be considered more comprehensively. BIM(Building information model) technology assist in improving the design process of building water supply and drainage, promoting the building water supply and drainage planning, enriching the building water supply and drainage design method, improving the water supply and drainage system design level and building quality. Combined with fuzzy comprehensive evaluation method to analyze the advantages of BIM technology in building water supply and drainage design. Therefore, application prospects of BIM technology are very worthy of promotion.

Lemierre's syndrome (necrobacillosis)

PubMed Central

Golpe, R.; Marin, B.; Alonso, M.

1999-01-01

Lemierre's syndrome or postanginal septicaemia (necrobacillosis) is caused by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections. Fusobacterium necrophorum is the most common pathogen isolated from the patients. The interval between the oropharyngeal infection and the onset of the septicaemia is usually short. The most common sites of septic embolisms are the lungs and joints, and other locations can be affected. A high degree of clinical suspicion is needed to diagnose the syndrome. Computed tomography of the neck with contrast is the most useful study to detect internal jugular vein thrombosis. Treatment includes intravenous antibiotic therapy and drainage of septic foci. The role of anticoagulation is controversial. Ligation or excision of the internal jugular vein may be needed in some cases.


Keywords: Lemierre's syndrome; Fusobacterium necrophorum; necrobacillosis; septicaemia; oropharynx PMID:10448489

The results of the electrochemical clearning of drainage waters

NASA Astrophysics Data System (ADS)

Kabannik, Vasilina; Saeva, Olga

2010-05-01

There is a problem of industrial drains clearing in various branches, but especially sharply in a metal manufacture that is caused by great volumes of the wastewater containing high residual concentration of heavy metals. It is necessary to pay attention to solids in wastes. In a long-term interaction with oxygen of air and natural deposits the acid drainage is often formed and takes out a number of elements with different classes of toxicity to superficial and underground waters. Therefore search of an extraction possibilities for toxic components for a eliminate of their further migration is the big deal. Belov Zink Plant located in the Kemerovo region. During sixty years the factory stably made up to 10 000 tons of zinc annually and in passing up to 30 000 tons H2SO4 processing a blende concentrate. Now the factory has stopped the activity, however, in territory have remained uncontrolledly stored about one million tons of the wastes, presented by slags and ashes. Visually clinker represent coarse-grained sands of the typical slag containing 0.7-15% Zn, 0.3-8.5% Cu, 0.03-0.7% Pb and 2-400 g/t Cd. Besides in tailings the sub-standard sulfuric acid [Bortnikova, etc., 2006] are merged. Acid (рН=3.5) and highsaline waters of a drainage stream with significant concentration sulfate-ion (up to 20 g/l), copper (up to 6 g/l) and zinc (up to 4 g/l), that allows to consider as macrocomponents. A wide number of microcells in drains exceeds maximum concentration limit (MPC) of chemical substances in objects of drinking and community use. The basic chemical forms of present metals (Al, Mn, Zn, Fe, Co, Ni, Pb, Cu) are aquo-ions and sulphatic complexes. Earlier in our laboratory searching of a way of a toxic components concentration downturn in drains of Belov plant - sorptive clearing by natural clays [Gaskova, Kabannik, 2009] and sedimentation of toxic elements on carbonate barrier [Yurkevich, etc., 2008] were done, however the desirable result by virtue of that this object represents very difficult chemical system not received. In this work the experimental researches on clearing acid drainage waters of the Belov Zink Plant from a lot of toxic elements during electrochemical with the active Al anode are resulted. For achievement of an object in view following experiment has been conducted. To a drainage solution in volume of 100 ml have added an aluminium foil (0,3 g weight). In an electrochemical line of activity Al stands more to the left of considered metals: K, Ca, Na, Mg, Al, Mn, Zn, Fe, Co, Ni, Pb, H, Cu, Ag, Pt, Au, i.e. possesses more negative potential. At interaction of metal aluminium with a solution, containing salt metals with less negative potential than aluminium, there will be a transition electones from aluminium to Ме +. Thus, there will be restoration Ме + and oxidation of aluminium: Меn+ + n ē → Me0, Al0 - 3ē→ Al3+. In seven day of experiment it is revealed, that the is bright-blue drainage solution has become colourless (рН=3.9), the plate was dissolved approximately half, at the bottom of a glass powder copper (0.5 g) has dropped out in a deposit. Owing to that Al-hydroxide start to drop out at рН a solution> 4, we could separate free filtering powder copper from a solution. At a following stage of experiment have besieged Al-hydroxide by means of neutralization of a solution by ammonia up to рН 7.5. Dropped out white flakes have separated from a solution by filtering. By results of experiment (a method of analysis ISP-IES), that after interaction with an aluminium foil in a solution there were 10 mg/l Cu and Pb <0.05 mg/l, concentration of other metals have remained at the same level. It is possible to explain it to that copper and lead possess the greatest difference of potentials with aluminium. After neutralization at the second stage of experiment concentration of Al became at level MPC. Owing to co-precipitation on Al-hydroxide the amount of toxic elements Be, Se became comparable with MPC; for Fe, Cu - it is less MPC. In a solution there were 6% Zn, Сo - 20%, Ni - 60%, Mn - 77%, from initial concentration. Besides on we receive powder copper and Al-hydroxide which are used for manufacture coagulants and fire-retardants in the industry. The received results allow to speak that the offered way of clearing of a drainage solution with the addition of metal aluminium with the further neutralization enables substantially to lower acid drainage and flow of some toxic elements of different classes of danger and to leveling рН up to natural.

Exploring Agricultural Drainage's Influence on Wetland and ...

EPA Pesticide Factsheets

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 throughout many regions of the United States and the network of artificial drainage is especially extensive in flat, poorly-drained regions like the glaciated Midwest. While beneficial for crop yields, agricultural drains often empty into streams within the natural drainage system. The increased network connectivity may lead to greater contributing area for watersheds, altered hydrology and increased conveyance of pollutants into natural water bodies. While studies and models at broader scales have implicated artificial drainage as an important driver of hydrological shifts and eutrophication, the actual spatial extent of artificial drainage is poorly known. Consequently, metrics of wetland and watershed connectivity within agricultural regions often fail to explicitly include artificial drainage. We use recent agricultural census data, soil drainage data, and land cover data to create estimates of potential agricultural drainage across the United States. We estimate that agricultural drainage in the US is greater than 31 million hectares and is concentrated in the upper Midwest Corn Belt, covering greater than 50% of available land for 114 counties. Estimated drainage values for numerous countie

[Clinical application of self-made drainage tube with balloon for iatrogenic colonic perforation].

PubMed

Liu, Bing-rong; Li, Hui; Zhao, Li-xia; Song, Ji-tao; Wang, Yan-jun; Chen, Jing; Liu, Wei

2012-07-01

To investigate the clinical efficacy of colonic bypass drainage by self-made drainage tube with balloon for iatrogenic colonic perforation. A retrospective analysis of 8 patients with iatrogenic colonic perforations from January 2009 to March 2011 was performed. Self-made drainage tubes with balloon were placed in the bowel lumen endoscopically after perforations were closed with endoclips or endoloops under endoscope. The inflatable balloon at the front-end of the tube was fixed at the mouth side of colonic perforation to achieve continuous drainage of stool and intestinal juice. Endoscopic bypass continuous drainage by using self-made drainage tube with balloon was successfully carried out in all the 8 patients. All the perforations healed and no surgical intervention required. Bypass drainage continued for 3-10 days(mean 7.6 days). One patient received colonoscopy 3 days after the procedure, and displacement of the drainage tube was noticed requiring endoscopic adjustment. All the drainage tubes were removed uneventfully, and no ulceration or perforation occurred at balloon fixed site after removal. After follow up ranging from 12 to 36 months, no chronic fistula, adhesive obstruction, or abdominal infection occurred. Colonic bypass drainage by self-made drainage tube with balloon for iatrogenic colonic perforation is simple, feasible, safe and reliable.

Laparoscopic lateral pancreaticojejunostomy and laparoscopic Berne modification of Beger procedure for the treatment of chronic pancreatitis: the first UK experience.

PubMed

Khaled, Yazan S; Ammori, Basil J

2014-10-01

Pancreatic resection and/or ductal drainage are common surgical options in the management of unremitting abdominal pain of chronic pancreatitis (CP). We describe the results of the largest UK series of laparoscopic approach to pancreatic duct drainage and head resection for CP. Patients with CP and intractable abdominal pain requiring duodenum-preserving pancreatic head resection (Berne modification of Beger procedure) or Puestow procedure were offered laparoscopic surgery by a single surgeon. The results shown represent median (range). Six patients (3 males) with CP (alcohol induced, n=4; idiopathic, n=2) underwent surgery between 2009 and 2012. The pancreatic duct diameter was 8.75 (6 to 11) mm. Five patients have had lateral pancreaticojejunostomy and 1 patient underwent Berne modification of Beger procedure, all of which were completed laparoscopically. The operating time was 277.5 (250 to 360) minutes. There were no deaths and 1 patient was readmitted 10 days postoperatively and had laparotomy for pancreatic bleeding after pancreaticojejunostomy (morbidity, 17%). The hospital stay was 5 (5 to 8) days. At a follow-up of 14.2 (10 to 35) months, 4 of the patients were pain free, whereas 2 patients required one third and half of the preoperative oral opioid dose for pain control. The laparoscopic approach to pancreatic duct drainage and duodenum-preserving head resection in carefully selected patients and in experienced hands is feasible and safe with good short-term results and potential advantages. Further expansion of experience and longer follow-up is required.

Clinical Investigation of Refractory Chronic Subdural Hematoma: A Comparison of Clinical Factors Between Single and Repeated Recurrences.

PubMed

Matsumoto, Hiroaki; Hanayama, Hiroaki; Okada, Takashi; Sakurai, Yasuo; Minami, Hiroaki; Masuda, Atsushi; Tominaga, Shogo; Miyaji, Katsuya; Yamaura, Ikuya; Yoshida, Yasuhisa; Yoshida, Kozo

2017-11-01

Chronic subdural hematoma (CSDH) is sometimes refractory, and this is troublesome for neurosurgeons. Although many studies have reported risk factors or treatments in efforts to prevent recurrence, those have focused on single recurrence, and few cumulative data are available to analyze refractory CSDH. We defined refractory CSDH as ≥2 recurrences, then analyzed and compared clinical factors between patients with single recurrence and those with refractory CSDH in a cohort study, to clarify whether patients with refractory CSDH experience different or more risk factors than patients with single recurrence, and whether burr-hole irrigation with closed-system drainage reduces refractory CSDH. Seventy-five patients had at least 1 recurrence, with single recurrence in 62 patients and ≥2 recurrences in 13 patients. In comparing clinical characteristics, patients with refractory CSDH were significantly younger (P = 0.04) and showed shorter interval to first recurrence (P < 0.001). Organized CSDH was also significantly associated with refractory CSDH (P = 0.02). Multivariate logistic regression analysis identified first recurrence interval <1 month (odds ratio, 6.66, P < 0.001) and age <71 years (odds ratio, 4.16, P < 0.001) as independent risk factors for refractory CSDH. On the other hand, burr-hole irrigation with closed-system drainage did not reduce refractory CSDH. When patients with risk factors for refractory CSDH experience recurrence, alternative surgical procedures may be considered as the second surgery, because burr-hole irrigation with closed-system drainage did not reduce refractory CSDH in our study. Copyright © 2017 Elsevier Inc. All rights reserved.

Using fluidized bed and flume experiments to quantify cohesion development from aging and drainage

USDA-ARS?s Scientific Manuscript database

Temporal variations in soil erosion resistance are often the result of a decrease in soil cohesion due to physical disruption followed by a regain of soil cohesion through a process analogous to a thixotropic sol-gel reaction also called aging, stabilization or consolidation. The goal of this study ...

Experience of treatment of patients with granulomatous lobular mastitis.

PubMed

Hur, Sung Mo; Cho, Dong Hui; Lee, Se Kyung; Choi, Min-Young; Bae, Soo Youn; Koo, Min Young; Kim, Sangmin; Choe, Jun-Ho; Kim, Jung-Han; Kim, Jee Soo; Nam, Seok-Jin; Yang, Jung-Hyun; Lee, Jeong Eon

2013-07-01

To present the author's experience with various treatment methods of granulomatous lobular mastitis (GLM) and to determine effective treatment methods of GLM. Fifty patients who were diagnosed with GLM were classified into five groups based on the initial treatment methods they underwent, which included observation (n = 8), antibiotics (n = 3), steroid (n = 13), drainage (n = 14), and surgical excision (n = 12). The treatment processes in each group were examined and their clinical characteristics, treatment processes, and results were analyzed respectively. Success rates with each initial treatment were observation, 87.5%; antibiotics, 33.3%; steroids, 30.8%; drainage, 28.6%; and surgical excision, 91.7%. In most cases of observation, the lesions were small and the symptoms were mild. A total of 23 patients underwent surgical excision during treatment. Surgical excision showed particularly fast recovery, high success rate (90.3%) and low recurrence rate (8.7%). The clinical course of GLM is complex and the outcome of each treatment type are variable. Surgery may play an important role when a lesion is determined to be mass-forming or appears localized as an abscess pocket during breast examination or imaging study.

Traditional Foley drainage systems--do they drain the bladder?

PubMed

Garcia, Maurice M; Gulati, Shelly; Liepmann, Dorian; Stackhouse, G Bennett; Greene, Kirsten; Stoller, Marshall L

2007-01-01

Foley catheters are assumed to drain the bladder to completion. Drainage characteristics of Foley catheter systems are poorly understood. To investigate unrecognized retained urine with Foley catheter drainage systems, bladder volumes of hospitalized patients were measured with bladder scan ultrasound volumetrics. Additionally, an in vitro bench top mock bladder and urinary catheter system was developed to understand the etiology of such residual volumes. A novel drainage tube design that optimizes indwelling catheter drainage was also designed. Bedside bladder ultrasound volumetric studies were performed on patients hospitalized in ward and intensive care unit. If residual urine was identified the drainage tubing was manipulated to facilitate drainage. An ex vivo bladder-urinary catheter model was designed to measure flow rates and pressures within the drainage tubing of a traditional and a novel drainage tube system. A total of 75 patients in the intensive care unit underwent bladder ultrasound volumetrics. Mean residual volume was 96 ml (range 4 to 290). In 75 patients on the hospital ward mean residual volume was 136 ml (range 22 to 647). In the experimental model we found that for every 1 cm in curl height, obstruction pressure increased by 1 cm H2O within the artificial bladder. In contrast, the novel spiral-shaped drainage tube demonstrated rapid (0.5 cc per second), continuous and complete (100%) reservoir drainage in all trials. Traditional Foley catheter drainage systems evacuate the bladder suboptimally. Outflow obstruction is caused by air-locks that develop within curled redundant drainage tubing segments. The novel drainage tubing design eliminates gravity dependent curls and associated air-locks, optimizes flow, and minimizes residual bladder urine.

Bundle of measures for external cerebral ventricular drainage-associated ventriculitis.

PubMed

Chatzi, Maria; Karvouniaris, Marios; Makris, Demosthenes; Tsimitrea, Eleni; Gatos, Charalampos; Tasiou, Anastasia; Mantzarlis, Kostas; Fountas, Kostas N; Zakynthinos, Epaminondas

2014-01-01

To assess the prevalence and outcome of external cerebral ventricular drainage-associated ventriculitis in neurocritical patients before and after the implementation of a bundle of external cerebral ventricular drainage-associated ventriculitis control measures. Clinical prospective case series. University Hospital of Larissa, Greece. Consecutive patients were recruited from the ICU of the hospital. Patient inclusion criteria included presence of external ventricular drainage and ICU stay more than 48 hours. The bundle of external cerebral ventricular drainage-associated ventriculitis control measures included 1) reeducation of ICU personnel on issues of infection control related to external cerebral ventricular drainage, 2) meticulous intraventricular catheter handling, 3) cerebrospinal fluid sampling only when clinically necessary, and 4) routine replacement of the drainage catheter on the seventh drainage day if the catheter was still necessary. The bundle was applied after an initial period (preintervention) where standard policy for external cerebral ventricular drainage-associated ventriculitis was established. External cerebral ventricular drainage-associated ventriculitis prevalence, external cerebral ventricular drainage-associated ventriculitis events per 1,000 drainage days (drain-associated infection rate), length of ICU stay, Glasgow Outcome Scale at 6 months, and risk factors for external cerebral ventricular drainage-associated ventriculitis. Eighty-two patients entered the study in the preintervention period and 57 patients during the intervention period. During the preintervention and intervention period, external cerebral ventricular drainage-associated ventriculitis prevalence was 28% and 10.5% (p = 0.02) and drain-associated infection rate was 18 and 7.1, respectively (p = 0.0001); mean (95% CI) length of ICU stay in patients who presented external cerebral ventricular drainage-associated ventriculitis was 44.4 days (36.4-52.4 d), whereas mean (95% CI) length of ICU stay in patients who did not was 20 days (16.9-23.2 d) (p < 0.001). Furthermore, the length of ICU stay was associated with length of drainage (p = 0.0001). Therefore, the presence of external cerebral ventricular drainage-associated ventriculitis and the length of drainage were the only variables associated with a prolonged ICU stay. Unfavorable outcome in Glasgow Outcome Scale at 6 months was not associated with the presence of external cerebral ventricular drainage-associated ventriculitis (p = 0.5). No significant differences were found when Glasgow Outcome Scale was analyzed according to the two study periods. The implementation of a bundle of measures for external cerebral ventricular drainage-associated ventriculitis control was associated with significantly decreased postintervention prevalence of the infection.

Data from a solute transport experiment in the Leviathan Mine drainage, Alpine County, California, October 1982

USGS Publications Warehouse

Flint, M.R.; Bencala, K.E.; Zellweger, G.W.; Hammermeister, D.P.

1985-01-01

A twenty-four hour injection of chloride and sodium was made into Leviathan Creek, Alpine County, California to aid interpretation of the coupled interactions between physical transport processes and geochemical reactions. Leviathan Creek was chosen because it receives acid mine drainage from Leviathan Mine, an abandoned open-pit sulfur mine. Water samples were collected at 15 sites along a 4.39 kilometer reach and analyzed for chloride, sodium, sulfate and fluoride. Dissolved concentrations are presented in tabular format and time-series plots. Duplicate samples were analyzed by two laboratories: the Central Laboratory, Denver, Colorado and a research laboratory in Menlo Park, California. A tabular comparison of the analyses and plots of the differences between the two laboratories is presented. Hydrographs and instantaneous discharge measurements are included. (USGS)

Use of digital land-cover data from the Landsat satellite in estimating streamflow characteristics in the Cumberland Plateau of Tennessee

USGS Publications Warehouse

Hollyday, E.F.; Hansen, G.R.

1983-01-01

Streamflow may be estimated with regression equations that relate streamflow characteristics to characteristics of the drainage basin. A statistical experiment was performed to compare the accuracy of equations using basin characteristics derived from maps and climatological records (control group equations) with the accuracy of equations using basin characteristics derived from Landsat data as well as maps and climatological records (experimental group equations). Results show that when the equations in both groups are arranged into six flow categories, there is no substantial difference in accuracy between control group equations and experimental group equations for this particular site where drainage area accounts for more than 90 percent of the variance in all streamflow characteristics (except low flows and most annual peak logarithms). (USGS)

The Borderlands - A region of physical and cultural diversity: Chapter 2 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

USGS Publications Warehouse

Parcher, Jean W.; Papoulias, Diana M.; Woodward, Dennis G.; Durall, Roger A.

2013-01-01

The area surrounding the United States–Mexican border is very physically and culturally diverse and cannot be generalized by any single description. To assist in an accurate appraisal and understanding of this remarkable region, the Borderlands team has divided it into eight subareas based on the watershed subareas of the U.S. Geological Survey Border Environmental Health Initiative (http://borderhealth.cr.usgs.gov) (fig. 2–1), the boundaries of which are defined primarily by surface-water drainage basins. The drainage basins directly adjacent to or crossing the international boundary were automatically included in the defined border region, as were those basins that contain unconsolidated aquifers that extend to or cross the international boundary. Also, “protected areas” adjacent to included basins were selectively added to the defined border region. Though some geographic features are entirely within the Borderlands, many features—deserts, mountain ranges, rivers, etc.— extend beyond the region boundaries but are still influential to Borderlands environments (fig. 2–2). In some cases, the authors of the following chapters have made fine adjustments to the Borderlands boundaries, and they have described those alterations where necessary. By describing and studying these subareas individually and comparing them to one another, we can emphasize the physical and cultural diversity that makes the Borderlands such an important geographic area.

[Metastasis of Hepatocellular Carcinoma to the Membrane of Chronic Subdural Hematomas:A Case Report].

PubMed

Oshita, Jumpei; Ohba, Shinji; Itou, Yoko; Yonezawa, Koki; Hosogai, Masahiro

2017-10-01

An 81-year-old man presented with gait disturbance. Two months previously, he suffered from hepatocellular carcinoma and transarterial chemoembolization was performed. A head computed tomography(CT)scan revealed bilateral chronic subdural hematomas. The patient's gait disturbance was improved after achievement of bilateral burr hole drainage. A head CT two months after treatment revealed no recurrence of the hematomas. However, head CT images obtained four months after treatment revealed an abnormal mass in the right parietal region attached to the internal surface of the skull. The mass was located in the same region from where the chronic subdural hematomas were previously removed via burr hole drainage, and was suspected to have originated from the dura mater. We performed craniotomy and total removal of the mass. The dura mater was intact, and macroscopically, the mass originated from the organized membrane of the chronic subdural hematoma. A pathological examination revealed metastasis of hepatocellular carcinoma to the membrane of the chronic subdural hematomas. Head magnetic resonance imaging(MRI)performed 39 days after craniotomy presented a new lesion in the left parietal region attached to the internal surface of the skull. The patient subsequently died 46 days post-operation. When examining chronic subdural hematomas in cancer patients, histological examination of the dura mater, hematoma, and membrane of the hematoma are important. The possibility of metastasis to the capsule of the hematoma should be considered.

Investigating the formation of acid mine drainage of Toledo pyrite concentrate using column cells

NASA Astrophysics Data System (ADS)

Aguila, Diosa Marie

2018-01-01

Acid mine drainage (AMD) is an inevitable problem in mining and has adverse effects in water quality. Studying AMD formation will be valuable in controlling the composition of mine waters and in planning the rehabilitation method for a mine. In this research, kinetics of AMD formation of Toledo pyrite was studied using two column experiments. The mechanisms of AMD formation and the effects of various factors on pH drop were first studied. Another column test was done for validation and to study the role of Fe2+/Fe3+ ratio in the change of leachate pH. The first experiment revealed that time and particle size are the most significant factors. It was also observed that the sudden pH drop during the starting hours was due to cracks formed from beneficiation, and the formation of Fe(OH)3. The laddered behavior of pH thereafter was due to decrease in formation of Fe(OH)3, and the precipitates in pyrite surface that lowered the surface area available for pyrite oxidation. The results of the second experiment validated the laddered behavior of pH. It was also observed that particle size distribution and pyrite surface were affected by the change in pH. Fe2+/Fe3+ ratio of leachate generally decreased as pH dropped.

Comparison of Three Model Concepts for Streaming Potential in Unsaturated Porous Media

NASA Astrophysics Data System (ADS)

Huisman, J. A.; Satenahalli, P.; Zimmermann, E.; Vereecken, H.

2017-12-01

Streaming potential is the electric potential generated by fluid flow in a charged porous medium. Although streaming potential in saturated conditions is well understood, there still is considerable debate about the adequate modelling of streaming potential signals in unsaturated soil because different concepts are available to estimate the effective excess charge in unsaturated conditions. In particular, some studies have relied on the volumetric excess charge, whereas others proposed to use the flux-averaged excess charge derived from the water retention or relative permeability function. The aim of this study is to compare measured and modelled streaming potential signals for two different flow experiments with sand. The first experiment is a primary gravity drainage of a long column equipped with non-polarizing electrodes and tensiometers, as presented in several previous studies. Expected differences between the three concepts for the effective excess charge are only moderate for this set-up. The second experiment is a primary drainage of a short soil column equipped with non-polarizing electrodes and tensiometers using applied pressure, where differences between the three concepts are expected to be larger. A comparison of the experimental results with a coupled model of streaming potential for 1D flow problems will provide insights in the ability of the three model concepts for effective excess charge to describe observed streaming potentials.

Effects of the inner droplet of double emulsions on the film drainage during a head-on collision

NASA Astrophysics Data System (ADS)

Wang, Jingtao; Jing, Hefeng; Xu, Genmiao; Wang, Xiaoyong; Duan, Zhenya

2015-07-01

As a critical stage which severely affects the final coalescence of droplets, film drainage in the collision process of two simple droplets has been deeply studied for many years. However, the collision of multiple emulsions which contain other phases (like daughter droplets or particles) has never been studied although multiple emulsions are very important in emulsion industries nowadays. In this paper, the head-on collision of two core-shell double emulsions with equal sizes is investigated through a boundary integral method to disclose the effects of the inner droplet on the film drainage. When capillary number Ca is relatively high, due to the effect of the inner droplet on the inner circulation of mother droplets, the film drainage of double emulsions includes three stages: drainage, drainage halt, and second drainage, instead of two stages for that of simple droplets: drainage and drainage halt.

Are there still roles for exocrine bladder drainage and portal venous drainage for pancreatic allografts?

PubMed

Young, Carlton J

2009-02-01

Controversy remains regarding the best methodology of handling exocrine pancreatic fluid and pancreatic venous effluent. Bladder drainage has given way to enteric drainage. However, is there an instance in which bladder drainage is preferable? Also, hyperinsulinemia, as a result of systemic venous drainage (SVD), is claimed to be proatherosclerotic, whereas portal venous drainage (PVD) is more physiologic and less atherosclerotic. Bladder drainage remains a viable method of exocrine pancreas drainage, but evidence is sparse that measuring urinary amylase has a substantial benefit in the early detection of acute rejection in all types of pancreas transplants. Currently, there is no incontrovertible evidence that systemic hyperinsulinemia is proatherosclerotic, whereas recent metabolic studies on SVD and PVD showed that there was no benefit to PVD. Given the advent of newer immunosuppressive agents and overall lower acute rejection rates, the perceived benefit of bladder drainage as a means to measure urinary amylase as an early marker of rejection has not been substantiated. However, there may be a selective role for bladder drainage in 'high risk' pancreases. Also, without a clear-cut metabolic benefit to PVD over SVD, it remains the surgeon's choice as to which method to use.

[Inflammatory and infectious breast mastitis outside of pregnancy and lactation: Guidelines].

PubMed

Laas, E; Touboul, C; Kerdraon, O; Catteau-Jonard, S

2015-12-01

This work's objective was to define the various non-cancerous inflammatory and infectious mastitis, which may occur outside of pregnancy and lactation, and to identify recommendations for their care based on an exhaustive literature review. A literature review was conducted by consulting Medline, Cochrane Library, Google scholar and international recommendations in French and English until 31st August 2014. Infectious mastitis (periareolar abscess) is the most common form of non-puerperal abscesses and it is recommended that a suction/drainage needle for abscesses under 5 cm, involving antibiotic therapy (grade C). For abscesses over 5 cm, there is no evidence to recommend a first surgery or suction/drainage. Inflammatory mastitis can be primary or secondary to a systemic disease (diabetes, collagen…; LE4). In case of idiopathic granulomatous mastitis, a steroid therapy or surgery may be indicated, without one or the other of these methods can be recommended. In case of plasma cell mastitis or ductal ectasia, no treatment is recommended. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Lap-Protector and Circular Stapler Are Useful in Cystogastrostomy for Large Pancreatic Pseudocyst with Severe Infection

PubMed Central

Kadowaki, Yoshihiko; Kurokawa, Takefumi; Tamura, Ryuji; Okamoto, Takahiro; Ishido, Nobuhiro; Mori, Takashi

2010-01-01

Lap-Protector, which is an abdominal wall sealing device, is usually used for wound protection from implantation of malignant cells or pyogenic fluid. A circular stapler is a common easy-to-use device for anastomosis of the digestive tract. We report the case of an infected pancreatic pseudocyst which was treated by surgical procedure using these useful devices. A 69-year-old man was followed up in our hospital after severe acute pancreatitis. He had undergone drainage surgeries twice for intractable pancreatic abscess followed by severe acute pancreatitis. He was admitted to our hospital complaining of loss of appetite, hiccups, and high fever. Computed tomography of the abdomen revealed an infected pancreatic pseudocyst which compressed the gastric wall. Internal drainage into the stomach was performed using Lap-Protector and circular stapler. The patient recovered uneventfully. Recently many endoscopic or laparoscopic procedures in cystogastrostomy are reported; however, a conventional open surgical approach is also important. This easy method may be useful for operative cystogastrostomy. PMID:20805947

Development and Optimization of Gas-Assisted Gravity Drainage (GAGD) Process for Improved Light Oil Recovery

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

Dandina N. Rao; Subhash C. Ayirala; Madhav M. Kulkarni

This is the final report describing the evolution of the project ''Development and Optimization of Gas-Assisted Gravity Drainage (GAGD) Process for Improved Light Oil Recovery'' from its conceptual stage in 2002 to the field implementation of the developed technology in 2006. This comprehensive report includes all the experimental research, models developments, analyses of results, salient conclusions and the technology transfer efforts. As planned in the original proposal, the project has been conducted in three separate and concurrent tasks: Task 1 involved a physical model study of the new GAGD process, Task 2 was aimed at further developing the vanishing interfacialmore » tension (VIT) technique for gas-oil miscibility determination, and Task 3 was directed at determining multiphase gas-oil drainage and displacement characteristics in reservoir rocks at realistic pressures and temperatures. The project started with the task of recruiting well-qualified graduate research assistants. After collecting and reviewing the literature on different aspects of the project such gas injection EOR, gravity drainage, miscibility characterization, and gas-oil displacement characteristics in porous media, research plans were developed for the experimental work to be conducted under each of the three tasks. Based on the literature review and dimensional analysis, preliminary criteria were developed for the design of the partially-scaled physical model. Additionally, the need for a separate transparent model for visual observation and verification of the displacement and drainage behavior under gas-assisted gravity drainage was identified. Various materials and methods (ceramic porous material, Stucco, Portland cement, sintered glass beads) were attempted in order to fabricate a satisfactory visual model. In addition to proving the effectiveness of the GAGD process (through measured oil recoveries in the range of 65 to 87% IOIP), the visual models demonstrated three possible multiphase mechanisms at work, namely, Darcy-type displacement until gas breakthrough, gravity drainage after breakthrough and film-drainage in gas-invaded zones throughout the duration of the process. The partially-scaled physical model was used in a series of experiments to study the effects of wettability, gas-oil miscibility, secondary versus tertiary mode gas injection, and the presence of fractures on GAGD oil recovery. In addition to yielding recoveries of up to 80% IOIP, even in the immiscible gas injection mode, the partially-scaled physical model confirmed the positive influence of fractures and oil-wet characteristics in enhancing oil recoveries over those measured in the homogeneous (unfractured) water-wet models. An interesting observation was that a single logarithmic relationship between the oil recovery and the gravity number was obeyed by the physical model, the high-pressure corefloods and the field data.« less

Flood hazard studies in Central Texas using orbital and suborbital remote sensing machinery

NASA Technical Reports Server (NTRS)

Baker, V. R.; Holz, R. K.; Patton, P. C.

1975-01-01

Central Texas is subject to infrequent, unusually intense rainstorms which cause extremely rapid runoff from drainage basins developed on the deeply dissected limestone and marl bedrock of the Edwards Plateau. One approach to flood hazard evaluation in this area is a parametric model relating flood hydrograph characteristics to quantitative geomorphic properties of the drainage basins. The preliminary model uses multiple regression techniques to predict potential peak flood discharge from basin magnitude, drainage density, and ruggedness number. After mapping small catchment networks from remote sensing imagery, input data for the model are generated by network digitization and analysis by a computer assisted routine of watershed analysis. The study evaluated the network resolution capabilities of the following data formats: (1) large-scale (1:24,000) topographic maps, employing Strahler's "method of v's," (2) standard low altitude black and white aerial photography (1:13,000 and 1:20,000 scales), (3) NASA - generated aerial infrared photography at scales ranging from 1:48,000 to 1:123,000, and (4) Skylab Earth Resources Experiment Package S-190A and S-190B sensors (1:750,000 and 1:500,000 respectively).

Pancreatic Necrosis and Gas in the Retroperitoneum: Treatment with Antibiotics Alone.

PubMed

Rasslan, Roberto; da Costa Ferreira Novo, Fernando; Rocha, Marcelo Cristiano; Bitran, Alberto; de Souza Rocha, Manoel; de Oliveira Bernini, Celso; Rasslan, Samir; Utiyama, Edivaldo Massazo

2017-02-01

To present our experience in the management of patients with infected pancreatic necrosis without drainage. The records of patients with pancreatic necrosis admitted to our facility from 2011 to 2015 were retrospectively reviewed. We identified 61 patients with pancreatic necrosis. Six patients with pancreatic necrosis and gas in the retroperitoneum were treated exclusively with clinical support without any type of drainage. Only 2 patients had an APACHE II score >8. The first computed tomography scan revealed the presence of gas in 5 patients. The Balthazar computed tomography severity index score was >9 in 5 of the 6 patients. All patients were treated with antibiotics for at least 3 weeks. Blood cultures were positive in only 2 patients. Parenteral nutrition was not used in these patients. The length of hospital stay exceeded three weeks for 5 patients; 3 patients had to be readmitted. A cholecystectomy was performed after necrosis was completely resolved; pancreatitis recurred in 2 patients before the operation. No patients died. In selected patients, infected pancreatic necrosis (gas in the retroperitoneum) can be treated without percutaneous drainage or any additional surgical intervention. Intervention procedures should be performed for patients who exhibit clinical and laboratory deterioration.

A Model for Hydraulic Properties Based on Angular Pores with Lognormal Size Distribution

NASA Astrophysics Data System (ADS)

Durner, W.; Diamantopoulos, E.

2014-12-01

Soil water retention and unsaturated hydraulic conductivity curves are mandatory for modeling water flow in soils. It is a common approach to measure few points of the water retention curve and to calculate the hydraulic conductivity curve by assuming that the soil can be represented as a bundle of capillary tubes. Both curves are then used to predict water flow at larger spatial scales. However, the predictive power of these curves is often very limited. This can be very easily illustrated if we measure the soil hydraulic properties (SHPs) for a drainage experiment and then use these properties to predict the water flow in the case of imbibition. Further complications arise from the incomplete wetting of water at the solid matrix which results in finite values of the contact angles between the solid-water-air interfaces. To address these problems we present a physically-based model for hysteretic SHPs. This model is based on bundles of angular pores. Hysteresis for individual pores is caused by (i) different snap-off pressures during filling and emptying of single angular pores and (ii) by different advancing and receding contact angles for fluids that are not perfectly wettable. We derive a model of hydraulic conductivity as a function of contact angle by assuming flow perpendicular to pore cross sections and present closed-form expressions for both the sample scale water retention and hydraulic conductivity function by assuming a log-normal statistical distribution of pore size. We tested the new model against drainage and imbibition experiments for various sandy materials which were conducted with various liquids of differing wettability. The model described both imbibition and drainage experiments very well by assuming a unique pore size distribution of the sample and a zero contact angle for the perfectly wetting liquid. Eventually, we see the possibility to relate the particle size distribution with a model which describes the SHPs.

Subsurface drainage volume reduction with drainage water management: Case studies in Ohio, USA

USDA-ARS?s Scientific Manuscript database

One of the main contributors to poor water quality in the Mississippi River and aeral increase in the hypoxic zone in the Gulf of Mexico is intensive drainage of the cropland within the watershed. Controlled drainage has been demonstrated as an approach to curb totla drainage outflow and nutrient di...

Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature

PubMed Central

Puri, Rajesh; Thandassery, Ragesh Babu; Alfadda, Abdulrahman A; Kaabi, Saad Al

2015-01-01

Endoscopic ultrasound (EUS) guided drainage of pancreatic fluid collections (PFC) has become increasingly popular and become first line management option in many centers. Use of therapeutic echoendoscopes has greatly increased the applicability of EUS guided transmural drainage. Drainage is indicated in symptomatic PFCs, PFC related infection, bleed, luminal obstruction, fistulization and biliary obstruction. EUS guided transmural drainage of PFCs is preferred in patients with non bulging lesions, portal hypertension, bleeding tendency and in those whom conventional drainage has failed. In the present decade significant progress has been made in minimally invasive endoscopic techniques. There are newer stent designs, access devices and techniques for more efficient drainage of PFCs. In this review, we discuss the EUS guided drainage of PFCs in acute pancreatitis. PMID:25901214

[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.

Use of a flux-based field capacity criterion to identify effective hydraulic parameters of layered soil profiles subjected to synthetic drainage experiments

NASA Astrophysics Data System (ADS)

Nasta, Paolo; Romano, Nunzio

2016-01-01

This study explores the feasibility of identifying the effective soil hydraulic parameterization of a layered soil profile by using a conventional unsteady drainage experiment leading to field capacity. The flux-based field capacity criterion is attained by subjecting the soil profile to a synthetic drainage process implemented numerically in the Soil-Water-Atmosphere-Plant (SWAP) model. The effective hydraulic parameterization is associated to either aggregated or equivalent parameters, the former being determined by the geometrical scaling theory while the latter is obtained through the inverse modeling approach. Outcomes from both these methods depend on information that is sometimes difficult to retrieve at local scale and rather challenging or virtually impossible at larger scales. The only knowledge of topsoil hydraulic properties, for example, as retrieved by a near-surface field campaign or a data assimilation technique, is often exploited as a proxy to determine effective soil hydraulic parameterization at the largest spatial scales. Comparisons of the effective soil hydraulic characterization provided by these three methods are conducted by discussing the implications for their use and accounting for the trade-offs between required input information and model output reliability. To better highlight the epistemic errors associated to the different effective soil hydraulic properties and to provide some more practical guidance, the layered soil profiles are then grouped by using the FAO textural classes. For the moderately heterogeneous soil profiles available, all three approaches guarantee a general good predictability of the actual field capacity values and provide adequate identification of the effective hydraulic parameters. Conversely, worse performances are encountered for the highly variable vertical heterogeneity, especially when resorting to the "topsoil-only" information. In general, the best performances are guaranteed by the equivalent parameters, which might be considered a reference for comparisons with other techniques. As might be expected, the information content of the soil hydraulic properties pertaining only to the uppermost soil horizon is rather inefficient and also not capable to map out the hydrologic behavior of the real vertical soil heterogeneity since the drainage process is significantly affected by profile layering in almost all cases.

Comparisons of the foaming and interfacial properties of whey protein isolate and egg white proteins.

PubMed

Davis, J P; Foegeding, E A

2007-02-15

Whipped foams (10%, w/v protein, pH 7.0) were prepared from commercially available samples of whey protein isolate (WPI) and egg white protein (EWP), and subsequently compared based on yield stress (tau(0)), overrun and drainage stability. Adsorption rates and interfacial rheological measurements at a model air/water interface were quantified via pendant drop tensiometry to better understand foaming differences among the ingredients. The highest tau(0) and resistance to drainage were observed for standard EWP, followed by EWP with added 0.1% (w/w) sodium lauryl sulfate, and then WPI. Addition of 25% (w/w) sucrose increased tau(0) and drainage resistance of the EWP-based ingredients, whereas it decreased tau(0) of WPI foams and minimally affected their drainage rates. These differing sugar effects were reflected in the interfacial rheological measurements, as sucrose addition increased the dilatational elasticity for both EWP-based ingredients, while decreasing this parameter for WPI. Previously observed relationships between tau(0) and interfacial rheology did not hold across the protein types; however, these measurements did effectively differentiate foaming behaviors within EWP-based ingredients and within WPI. Interfacial data was also collected for purified beta-lactoglobulin (beta-lg) and ovalbumin, the primary proteins of WPI and EWP, respectively. The addition of 25% (w/w) sucrose increased the dilatational elasticity for adsorbed layers of beta-lg, while minimally affecting the interfacial rheology of adsorbed ovalbumin, in contrast to the response of WPI and EWP ingredients. These experiments underscore the importance of utilizing the same materials for interfacial measurements as used for foaming experiments, if one is to properly infer interfacial information/mechanisms and relate this information to bulk foaming measurements. The effects of protein concentration and measurement time on interfacial rheology were also considered as they relate to bulk foam properties. This data should be of practical assistance to those designing aerated food products, as it has not been previously reported that sucrose addition improves the foaming characteristics of EWP-based ingredients while negatively affecting the foaming behavior of WPI, as these types of protein isolates are common to the food industry.

Multistage late Cenozoic evolution of the Amargosa River drainage, southwestern Nevada and eastern California Society of America. All rights reserved

USGS Publications Warehouse

Menges, C.M.

2008-01-01

Stratigraphic and geomorphic analyses reveal that the regional drainage basin of the modern Amargosa River formed via multistage linkage of formerly isolated basins in a diachronous series of integration events between late Miocene and latest Pleistocene-Holocene time. The 275-km-long Amargosa River system drains generally southward across a large (15,540 km ²) watershed in southwestern Nevada and eastern California to its terminus in central Death Valley. This drainage basin is divided into four major subbasins along the main channel and several minor subbasins on tributaries; these subbasins contain features, including central valley lowlands surrounded by highlands that form external divides or internal paleodivides, which suggest relict individual physiographic-hydrologic basins. From north to south, the main subbasins along the main channel are: (1) an upper headwaters subbasin, which is deeply incised into mostly Tertiary sediments and volcanic rocks; (2) an unincised low-gradient section within the Amargosa Desert; (3) a mostly incised section centered on Tecopa Valley and tributary drainages; and (4) a west- to northwest-oriented mostly aggrading lower section along the axis of southern Death Valley. Adjoining subbasins are hydro-logically linked by interconnecting narrows or canyon reaches that are variably incised into formerly continuous paleodivides. The most important linkages along the main channel include: (1) the Beatty narrows, which developed across a Tertiary bedrock paleodivide between the upper and Amargosa Desert subbasins during a latest Miocene-early Pliocene to middle Pleistocene interval (ca. 4-0.5 Ma); (2) the Eagle Mountain narrows, which cut into a mostly alluvial paleodivide between the Amar-gosa Desert and Tecopa subbasins in middle to late Pleistocene (ca. 150-100 ka) time; and (3) the Amargosa Canyon, which formed in late middle Pleistocene (ca. 200140 ka) time through a breached, actively uplifting paleodivide between the Tecopa and southern Death Valley subbasins. Collectively, the interconnecting reaches represent discrete integration events that incrementally produced the modern drainage basin starting near Beatty sometime after 4 Ma and ending in the Salt Creek tributary in the latest Pleistocene to Holocene (post-30 ka). Potential mechanisms for drainage integration across paleodivides include basin overtopping from sedimentary infilling above paleodivide elevations, paleolake spillover, groundwater sapping, and (or) headward erosion of dissecting channels in lower-altitude subbasins. These processes are complexly influenced by fluvial responses to factors such as climatic change, local base-level differences across divides, and (or) tectonic activity (the latter only recognized in Amargosa Canyon). ?? 2008 The Geological Society of America.

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.

Removal of sulphates acidity and iron from acid mine drainage in a bench scale biochemical treatment system.

PubMed

Prasad, D; Henry, J G

2009-02-01

The focus of this study was to develop a simple biochemical system to treat acid mine drainage for its safe disposal. Recovery and reuse of the metals removed were not considered. A three-step process for the treatment of acid mine drainage (AMD), proposed earlier, separates sulphate reducing activity from metal precipitation units and from a pH control system. Following our earlier work on the first step (biological reactor), this paper examines the second step (i.e. chemical reactor). The objectives of this study were: (1) to determine the increase in pH and the reduction of iron in the chemical reactor for different proportions of simulated AMD, and (2) to assess the capability of the chemical reactor. A series of experiments was conducted to study the effects of addition of alkaline sulphidogenic liquor (ASL) derived from a batch sulphidogenic biological reactor (operating with activated sludge and a COD/SO4 ratio of 1.6) on the simulated AMD characteristics. At 60-minute contact time, addition of 30% ASL (pH of 7.60-7.76) to the chemical reactor with 70% AMD (pH of 1.65-2.02), increased the pH of the AMD to 6.57 and alkalinity from 0 to 485 mg l(-1) as CaCO3, respectively and precipitated about 97% of the iron present in the simulated AMD. Others have demonstrated that metals in mine drainage can be precipitated by bacterial sulphate reduction. In this study, iron, a common and major component of mine drainage was used as a surrogate for metals in general. The results indicate the feasibility of treating AMD by an engineered sulphidogenic anaerobic reactor followed by a chemical reactor and that our three-step biochemical process has important advantages over other conventional AMD treatment systems.

Subglacial efficiency and storage modified by the temporal pattern of high-elevation meltwater input

NASA Astrophysics Data System (ADS)

Andrews, L. C.; Dow, C. F.; Poinar, K.; Nowicki, S.

2017-12-01

Ice flow in marginal region of the Greenland Ice Sheet dynamically responds to summer melting as surface meltwater is routed through the supraglacial hydrologic system to the bed of the ice sheet via crevasses and moulins. Given the expected increases in surface melt production and extent, and the potential for high elevation surface-to-bed connections, it is imperative to understand how meltwater delivered to the bed from different high-elevation supraglacial storage features affects the evolution of the subglacial hydrologic system and associated ice dynamics. Here, we use the two-dimensional subglacial hydrologic model, GLaDS, which includes distributed and channelized water flow, to test how the subglacial system of an idealized outlet glacier responds to cases of high-elevation firn-aquifer-type and supraglacial-lake-type englacial drainage over the course of 5 years. Model outputs driven by these high elevation drainage types are compared to steady-state model results, where the subglacial system only receives the 1980-2016 mean MERRA-2 runoff via low-elevation moulins. Across all experiments, the subglacial hydrologic system displays inter-annual memory, resulting in multiyear declines in subglacial pressure during the onset of seasonal melting and growth of subglacial channels. The gradual addition of water in firn-aquifer-type drainage scenarios resulted in small increases in subglacial water storage but limited changes in subglacial efficiency and channelization. Rapid, supraglacial-lake-type drainage resulted in short-term local increases in subglacial water pressure and storage, which gave way to spatially extensive decreases in subglacial pressure and downstream channelization. These preliminary results suggest that the character of high-elevation englacial drainage can have a strong, and possibly outsized, control on subglacial efficiency throughout the ablation zone. Therefore, understanding both how high elevation meltwater is stored supraglacially and the probability of crevassing at high elevations will play an important role in how the subglacial system, proglacial discharge and ice motion will respond to future increases in surface melt production and runoff.

Changes in soil thermal regime lead to substantial shifts in carbon and energy fluxes in drained Arctic tundra

NASA Astrophysics Data System (ADS)

Goeckede, M.; Kwon, M. J.; Kittler, F.; Heimann, M.; Zimov, N.; Zimov, S. A.

2016-12-01

Climate change impacts in the Arctic will not only depend on future temperature trajectories in this region. In particular, potential shifts in hydrologic regimes, e.g. linked to altered precipitation patterns or changes in topography following permafrost degradation, can dramatically modify ecosystem feedbacks to warming. Here, we analyze how severe drainage affects both biogeochemical and biogeophysical processes within a formerly wet Arctic tundra, with a special focus on the interactions between hydrology and soil temperatures, and related effects on the fluxes of carbon and energy. Our findings are based on year-round observations from a decade-long drainage experiment conducted near Chersky, Northeast Siberia. Through our multi-disciplinary observations we can document that the drainage triggered a suite of secondary changes in ecosystem properties, including e.g. adaptation processes in the vegetation community structure, or shifts in snow cover regime. Most profoundly, a combination of low heat capacity and reduced heat conductivity in dry organic soils lead to warmer soil temperatures near the surface, while deeper soil layers remained colder. These changes in soil thermal regime reduced the contribution of deeper soil layers with older carbon pools to overall ecosystem respiration, as documented through radiocarbon signals. Regarding methane, the observed steeper temperature gradient along the vertical soil profile slowed down methane production in deep layers, while promoting CH4 oxidation near the surface. Taken together, both processes contributed to a reduction in CH4 emissions up to a factor of 20 following drainage. Concerning the energy budget, we observed an intensification of energy transfer to the lower atmosphere, particularly in form of sensible heat, but the reduced energy transfer into deeper soil layers also led to systematically shallower thaw depths. Summarizing, drainage may contribute to slow down decomposition of old carbon from deep soil layers, counterbalancing direct warming effects on permafrost carbon pools.

Subglacial efficiency and storage modified by the temporal pattern of high-elevation meltwater input

NASA Astrophysics Data System (ADS)

Ackley, S. F.; Maksym, T.; Stammerjohn, S. E.; Gao, Y.; Weissling, B.

2016-12-01

Ice flow in marginal region of the Greenland Ice Sheet dynamically responds to summer melting as surface meltwater is routed through the supraglacial hydrologic system to the bed of the ice sheet via crevasses and moulins. Given the expected increases in surface melt production and extent, and the potential for high elevation surface-to-bed connections, it is imperative to understand how meltwater delivered to the bed from different high-elevation supraglacial storage features affects the evolution of the subglacial hydrologic system and associated ice dynamics. Here, we use the two-dimensional subglacial hydrologic model, GLaDS, which includes distributed and channelized water flow, to test how the subglacial system of an idealized outlet glacier responds to cases of high-elevation firn-aquifer-type and supraglacial-lake-type englacial drainage over the course of 5 years. Model outputs driven by these high elevation drainage types are compared to steady-state model results, where the subglacial system only receives the 1980-2016 mean MERRA-2 runoff via low-elevation moulins. Across all experiments, the subglacial hydrologic system displays inter-annual memory, resulting in multiyear declines in subglacial pressure during the onset of seasonal melting and growth of subglacial channels. The gradual addition of water in firn-aquifer-type drainage scenarios resulted in small increases in subglacial water storage but limited changes in subglacial efficiency and channelization. Rapid, supraglacial-lake-type drainage resulted in short-term local increases in subglacial water pressure and storage, which gave way to spatially extensive decreases in subglacial pressure and downstream channelization. These preliminary results suggest that the character of high-elevation englacial drainage can have a strong, and possibly outsized, control on subglacial efficiency throughout the ablation zone. Therefore, understanding both how high elevation meltwater is stored supraglacially and the probability of crevassing at high elevations will play an important role in how the subglacial system, proglacial discharge and ice motion will respond to future increases in surface melt production and runoff.

Metal speciation and potential bioavailability changes during discharge and neutralisation of acidic drainage water.

PubMed

Simpson, Stuart L; Vardanega, Christopher R; Jarolimek, Chad; Jolley, Dianne F; Angel, Brad M; Mosley, Luke M

2014-05-01

The discharge of acid drainage from the farm irrigation areas to the Murray River in South Australia represents a potential risk to water quality. The drainage waters have low pH (2.9-5.7), high acidity (up to 1190 mg L(-1) CaCO3), high dissolved organic carbon (10-40 mg L(-1)), and high dissolved Al, Co, Ni and Zn (up to 55, 1.25, 1.30 and 1.10 mg L(-1), respectively) that represent the greatest concern relative to water quality guidelines (WQGs). To provide information on bioavailability, changes in metal speciation were assessed during mixing experiments using filtration (colloidal metals) and Chelex-lability (free metal ions and weak inorganic metal complexes) methods. Following mixing of drainage and river water, much of the dissolved aluminium and iron precipitated. The concentrations of other metals generally decreased conservatively in proportion to the dilution initially, but longer mixing periods caused increased precipitation or adsorption to particulate phases. Dissolved Co, Mn and Zn were typically 95-100% present in Chelex-labile forms, whereas 40-70% of the dissolved nickel was Chelex-labile and the remaining non-labile fraction of dissolved nickel was associated with fine colloids or complexed by organic ligands that increased with time. Despite the different kinetics of precipitation, adsorption and complexation reactions, the dissolved metal concentrations were generally highly correlated for the pooled data sets, indicating that the major factors controlling the concentrations were similar for each metal (pH, dilution, and time following mixing). For dilutions of the drainage waters of less than 1% with Murray River water, none of the metals should exceed the WQGs. However, the high concentrations of metals associated with fine precipitates within the receiving waters may represent a risk to some aquatic organisms. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

New, Virtually Wall-less Cannulas Designed for Augmented Venous Drainage in Minimally Invasive Cardiac Surgery.

PubMed

von Segesser, Ludwig Karl; Berdajs, Denis; Abdel-Sayed, Saad; Tozzi, Piergiorgio; Ferrari, Enrico; Maisano, Francesco

2016-01-01

Inadequate venous drainage during minimally invasive cardiac surgery becomes most evident when the blood trapped in the pulmonary circulation floods the surgical field. The present study was designed to assess the in vivo performance of new, thinner, virtually wall-less, venous cannulas designed for augmented venous drainage in comparison to traditional thin-wall cannulas. Remote cannulation was realized in 5 bovine experiments (74.0 ± 2.4 kg) with percutaneous venous access over the wire, serial dilation up to 18 F and insertion of either traditional 19 F thin wall, wire-wound cannulas, or through the same access channel, new, thinner, virtually wall-less, braided cannulas designed for augmented venous drainage. A standard minimal extracorporeal circuit set with a centrifugal pump and a hollow fiber membrane oxygenator, but no in-line reservoir was used. One hundred fifty pairs of pump-flow and required pump inlet pressure values were recorded with calibrated pressure transducers and a flowmeter calibrated by a volumetric tank and timer at increasing pump speed from 1500 RPM to 3500 RPM (500-RPM increments). Pump flow accounted for 1.73 ± 0.85 l/min for wall-less versus 1.17 ± 0.45 l/min for thin wall at 1500 RPM, 3.91 ± 0.86 versus 3.23 ± 0.66 at 2500 RPM, 5.82 ± 1.05 versus 4.96 ± 0.81 at 3500 RPM. Pump inlet pressure accounted for 9.6 ± 9.7 mm Hg versus 4.2 ± 18.8 mm Hg for 1500 RPM, -42.4 ± 26.7 versus -123 ± 51.1 at 2500 RPM, and -126.7 ± 55.3 versus -313 ± 116.7 for 3500 RPM. At the well-accepted pump inlet pressure of -80 mm Hg, the new, thinner, virtually wall-less, braided cannulas provide unmatched venous drainage in vivo. Early clinical analyses have confirmed these findings.

Influence of particulates on phosphorus loading exported from farm drainage during a storm event in the Everglades Agricultural Area

NASA Astrophysics Data System (ADS)

Bhadha, J. H.; Lang, T. A.; Daroub, S. H.

2015-12-01

The purpose of this study was to evaluate the influence of particulates on P loading captured during a single storm event. The Everglades Agricultural Area of Florida comprises 280,000 hectares of organic soil farmland artificially drained by ditches, canals and pumps. Phosphorus (P)-enriched suspended particulates in canals are susceptible to transport and can contribute significantly to the overall P loads in drainage water. A settling tank experiment was conducted to capture particulates during tropical storm Isaac in 2012 from three farms approximately 2.4 to 3.6 km2 in size. Farm canal discharge water was collected in a series of two 200 liter settling tanks over a seven-day drainage period, during tropical storm Isaac. Water from the settling tanks was siphoned through Imhoff settling cones, where the particulates were allowed to settle and collected for P-fractionation analyses, and compared to intact sediment cores collected from the bottom of the canals. The discharged particulates contained higher organic matter content (OM), total P, and labile P fractions compared to the canal bottom sediments. Based on the equilibrium P concentrations, surface sediments behave as a source of P to the water column. A seven-day continuous drainage event exported 4.7 to 11.1 metric tons of suspended solids per farm, corresponding to 32 to 63 kg of particulate P being lost to downstream ecosystems. Drainage associated to a single seven-day storm event exported up to 61% of the total annual farm P load. It is evident from this study that short-term, high-intensity storm events can skew annual P loads due to the export of significantly higher particulate matter from farm canals. Exported particulates rich in P can provide a supplemental source of nutrients if captured and replenished back into the farmlands, as a sustainable farming practice.

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

Combination of geochemical and hydrobiological tracers for the analysis of runoff generating processes in a lowland catchment

NASA Astrophysics Data System (ADS)

Faber, Claas; Wu, Naicheng; Ulrich, Uta; Fohrer, Nicola

2015-04-01

Since lowlands are characterised by flat topography and low hydraulic gradients, groundwater inflow has a large influence to streamflow generation in such catchments. In catchments with intense agricultural land use, artificial drainages are often another major contributor to streamflow. They shorten the soil passage and thus change the matter retention potential as well as runoff dynamics of a catchment. Contribution of surface runoff to streamflow is usually less important in volume. However, due to high concentrations of agrochemicals, surface runoff can constitute an important entry pathway into water bodies, especially if strong precipitation events coincide with fertilizer or pesticide application. The DFG funded project "Separating surface runoff from tile drainage flow in agricultural lowland catchments based on diatoms to improve modelled runoff components and phosphorous transport" investigates prevalent processes in this context in a 50 km² lowland catchment (Kielstau, Schleswig-Holstein, Germany) with the goal of improving existing models. End Member Mixing Analysis (EMMA) is used in the project to determine the relative importance of groundwater, tile drainage and surface runoff to streamflow at daily time steps. It became apparent that geochemical tracers are suitable for distinguishing surface runoff, but are weak for the separation of tile drainage and groundwater influence. We attribute this to the strong and complex interaction between soil water and shallow groundwater tables in the catchment. Recent studies (e.g. Pfister et al. 2011, Tauro et al. 2013) show the potential of diatoms as indicators for hydrological processes. Since we found diatoms to be suitable for the separation of tile drainage and stream samples (Wu et al., unpublished data) in our catchment, we are able to include diatom derived indices (e.g. density, species moisture indices, diversity indices) as traces in EMMA. Our results show that the inclusion of diatom data in the EMMA dataset improves the ability to distinguish tile drainage, groundwater and surface runoff influence to streamflow in our agriculturally dominated lowland catchment. Keywords: tile drainage, surface runoff, groundwater, hydrograph separation, EMMA, dia-toms, water quality, lowland catchments References: Pfister L, Wetzel CE, Martínez-Carreras N, Frentress J, Ector L, Hoffmann L, McDonnell JJ. 2011. Do diatoms run downhill? Using biodiversity of terrestrial and aquatic diatoms to identify hydrological connectivity between aquatic zones in Luxembourg. AGU Fall Meeting. Tauro F, Martínez-Carreras N, Wetzel CE, Hissler C, Barnich F, Frentress J, Ector L, Hoff-mann L, McDonnell JJ, Pfister L. 2013. Fluorescent diatoms as hydrological tracers: a proof of concept percolation experiment. EGU abstract, EGU2013-7687-4.

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

Preliminary recommendations for seedspotting sugar pine in southwest Oregon.

Treesearch

William I. Stein

1955-01-01

Experiments in seedspotting sugar pine have been conducted for more than 3 years in the South Umpqua drainage of southwestern Oregon. Observations from studies in progress and results of completed studies have indicated some of the necessary requirements for success. Though not complete and fully tested, this information is summarized for use in field projects. Some of...

Video-Assisted Thoracic Surgical Lobectomy for Lung Cancer: Description of a Learning Curve.

PubMed

Yao, Fei; Wang, Jian; Yao, Ju; Hang, Fangrong; Cao, Shiqi; Cao, Yongke

2017-07-01

Video-assisted thoracic surgical (VATS) lobectomy is gaining popularity in the treatment of lung cancer. The aim of this study is to investigate the learning curve of VATS lobectomy by using multidimensional methods and to compare the learning curve groups with respect to perioperative clinical outcomes. We retrospectively reviewed a prospective database to identify 67 consecutive patients who underwent VATS lobectomy for lung cancer by a single surgeon. The learning curve was analyzed by using moving average and the cumulative sum (CUSUM) method. With the moving average and CUSUM analyses for the operation time, patients were stratified into two groups, with chronological order defining early and late experiences. Perioperative clinical outcomes were compared between the two learning curve groups. According to the moving average method, the peak point for operation time occurred at the 26th case. The CUSUM method also showed the operation time peak point at the 26th case. When results were compared between early- and late-experience periods, the operation time, duration of chest drainage, and postoperative hospital stay were significantly longer in the early-experience group (cases 1 to 26). The intraoperative estimated blood loss was significantly less in the late-experience group (cases 27 to 67). CUSUM charts showed a decreasing duration of chest drainage after the 36th case and shortening postoperative hospital stay after the 37th case. Multidimensional statistical analyses suggested that the learning curve for VATS lobectomy for lung cancer required ∼26 cases. Favorable intraoperative and postoperative care parameters for VATS lobectomy were observed in the late-experience group.

Spaceborne imaging radar - Geologic and oceanographic applications

NASA Technical Reports Server (NTRS)

Elachi, C.

1980-01-01

Synoptic, large-area radar images of the earth's land and ocean surface, obtained from the Seasat orbiting spacecraft, show the potential for geologic mapping and for monitoring of ocean surface patterns. Structural and topographic features such as lineaments, anticlines, folds and domes, drainage patterns, stratification, and roughness units can be mapped. Ocean surface waves, internal waves, current boundaries, and large-scale eddies have been observed in numerous images taken by the Seasat imaging radar. This article gives an illustrated overview of these applications.

Final Environmental Assessment for Wildlife Control Actions at Williams Lake, Buckley Air Force Base, Colorado

DTIC Science & Technology

2012-06-01

Reservoir Quincy Reservoir A U R O R AD E N V E R 6th Avenue P eñ a B lv d. Denver International Airport Aurora Airport Centennial Airport N 0...of the Continental Divide. The Denver Basin is a structural depression that is 300 miles long and 200 miles wide and was formed about 67 million...hydrologic analysis: Basin contributing drainage area Width of the subwatershed Subwatershed slope Percent Imperviousness Depression storage

Installation Restoration Program. Remedial Investigation Report. Minnesota Air National Guard Base Duluth International Airport, Duluth, Minnesota. Volume 1

DTIC Science & Technology

1990-01-01

There are three above ground storage tanks for the storage of JP-4 jet fuel with ancillary piping, pumps, loading and unloading facilities, and...time daily basis. Workers are present to transfer jet fuel from delivery tncks to the storage tanks and from the storage tanks to fueling trucks...Ground-water flow and contaminant migration at Site 4, the fuel storage area, is generally toward the drainage ditch located immediately north of the

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.

Systematic review of efficacy for manual lymphatic drainage techniques in sports medicine and rehabilitation: an evidence-based practice approach.

PubMed

Vairo, Giampietro L; Miller, Sayers John; McBrier, Nicole M; Buckley, William E

2009-01-01

Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as well as to critique the evidence for efficacy of this method in sports medicine. We surveyed English-language publications from 1998 to 2008 by searching PubMed, PEDro, CINAHL, the Cochrane Library, and SPORTDiscus databases using the terms lymphatic system, lymph drainage, lymphatic therapy, manual lymph drainage, and lymphatic pump techniques. We selected articles investigating the effects of MLDTs on orthopaedic and athletic injury outcomes. Nine articles met inclusion criteria, of which 3 were randomized controlled trials (RCTs). We evaluated the 3 RCTs using a validity score (PEDro scale). Due to differences in experimental design, data could not be collapsed for meta-analysis. Animal model experiments reinforce theoretical principles for application of MLDTs. When combined with concomitant musculoskeletal therapy, pilot and case studies demonstrate MLDT effectiveness. The best evidence suggests that efficacy of MLDT in sports medicine and rehabilitation is specific to resolution of enzyme serum levels associated with acute skeletal muscle cell damage as well as reduction of edema following acute ankle joint sprain and radial wrist fracture. Currently, there is limited high-ranking evidence available. Well-designed RCTs assessing outcome variables following implementation of MLDTs in treating athletic injuries may provide conclusive evidence for establishing applicable clinical practice guidelines in sports medicine and rehabilitation.

A closed system irrigation & drainage technique for surgical evacuation of chronic subdural haematomas

PubMed Central

Kareem, Haider; Adams, Hadie

2018-01-01

Background: Chronic subdural haematoma (CSDH), is a common neurosurgical disorder that is associated with morbidity and mortality affecting the ageing population. The aim is to present the treatment experience of CSDH patients treated with a technique that combines the classical single burr-hole irrigation and the continuous closed system drainage: The closed system irrigation & drainage (CSID) technique. Methods: The cases undergoing CSDH evacuation with the CSID method were captured over a 4-year period at a tertiary neurosurgical centre. The authors describe the performance of this methods with respect to post-operative clinical and radiological features, including recurrence rates, complications, and length of stay. Results: A total of 36 cases undergoing 42 CSID procedures (30 unilateral and 6 bilateral CSDHs) were performed, in cases ranging between 55-95 years old (median age 79 years). The rate of recurrence or significant ruminant blood in the subdural space on post-operative imaging was 11% (n=4). No cases of pneumocephalus were observed in this series (n=0). The mean (SD) skin-to-skin time for this procedure was 13.4 (4.4) minutes, with a mean (SD) length of stay of 4 (1.9) days. Conclusion: We conclude that the one burr-hole closed system irrigation and drainage technique with a sub-periosteal drain seems to be a simple, effective and safe procedure for treatment of CSDH. It’s well tolerated under local anaesthesia for patients with high co-morbidities and these preliminary results indicated it may potentially be a better option for treatment of CSDH with a lower rate of post-operative complications. PMID:29904602

Treatment of spontaneous esophageal rupture with transnasal thoracic drainage and temporary esophageal stent and jejunal feeding tube placement.

PubMed

Wu, Gang; Zhao, Yan Shi; Fang, Yi; Qi, Yu; Li, Xiangnan; Jiao, Dechao; Ren, Kewei; Han, Xinwei

2017-01-01

Spontaneous rupture of the esophagus is a rare but life-threatening thoracic emergency, with high rates of clinical misdiagnosis and mortality. This article summarizes our experience in the treatment of spontaneous esophageal rupture with transnasal thoracic drainage and temporary esophageal stent and jejunal feeding tube placement. We retrospectively assessed the medical records of 19 patients with spontaneous esophageal rupture treated using our intervention protocol. Patients received local anesthesia and sedation prior to undergoing transnasal drainage catheter placement into the thoracic abscess cavity, followed by temporary esophageal stent and jejunal feeding tube placement. After the operation, abscess lavage, nutritional support, and anti-inflammatory treatment were given. The transnasal thoracic drainage catheter, esophageal stent, and feeding tube were removed after the healing of the abscess cavity. In all, 19 covered esophageal stents were placed in 19 patients with spontaneous esophageal rupture. All operations were technically successful. After an average of 84.06 days, the stents were successfully removed from 17 patients. No cases of massive hemorrhage, esophageal rupture, or other complications occurred during stent removal. An 82-year-old patient died of heart failure 2 months after the operation. One patient died of sudden massive hematemesis and hematochezia 55 days after the operation. In one patient, the esophageal injury failed to heal completely. Our treatment protocol is simple, minimally invasive, and efficacious and may be an alternative for patients who are not candidates for surgery, have a high risk of postoperative complications, or wish to undergo minimally invasive surgery. Therapeutic study, level V.

Capture and characterization of particulate phosphorus from farm drainage waters in the Everglades Agricultural Area

NASA Astrophysics Data System (ADS)

Bhadha, J. H.; Lang, T.; Daroub, S.

2012-12-01

The buildup of highly labile, organic, phosphorus (P)-enriched sediments in farms canals within the Everglades Agricultural Area (EAA) has been associated with the production of floating aquatic vegetation. During drainage events, these sediments are susceptible to transport and contribute to the overall P load. In order to evaluate the total P load exiting the farm canals, a settling tank experiment was conducted to capture the sediments during drainage events from eight farms. Drainage water was channelized through two 200L polypropylene collection tanks which allowed sediments to settle at the bottom based on its particle size. Water was carefully siphoned out of the tanks and the sediments collected for analyses. A five step P-fractionation process was used to distinguish organic (o) and inorganic (i) forms of P: KCl extractable P, NaOH extractable P, HCl extractable P, and residual P. The KCl-Pi fraction represents the labile Pi that is water soluble and exchangeable (loosely adsorbed); NaOH extractable P represents Fe- and Al- bound inorganic P (NaOH-Pi) and organic P associated with humic and fulvic acids (NaOH-Po). The HCl-Pi fraction includes Ca- and Mg- bound P, while Residue-P represents recalcitrant organic P compounds and P bound to minerals. The sediments were also used to conduct a P-flux study under both aerobic and anaerobic conditions. Our goal is to provide growers with vital information and insight into P loading that will help them in their efforts to reduce off-farm P loads in the EAA.

Predicting the compressibility behaviour of tire shred samples for landfill applications.

PubMed

Warith, M A; Rao, Sudhakar M

2006-01-01

Tire shreds have been used as an alternative to crushed stones (gravel) as drainage media in landfill leachate collection systems. The highly compressible nature of tire shreds (25-47% axial strain on vertical stress applications of 20-700 kPa) may reduce the thickness of the tire shred drainage layer to less than 300 mm (minimum design requirement) during the life of the municipal solid waste landfill. There hence exists a need to predict axial strains of tire shred samples in response to vertical stress applications so that the initial thickness of the tire shred drainage layer can be corrected for compression. The present study performs one-dimensional compressibility tests on four tire shred samples and compares the results with stress/strain curves from other studies. The stress/strain curves are developed into charts for choosing the correct initial thickness of tire shred layers that maintain the minimum thickness of 300 mm throughout the life of the landfill. The charts are developed for a range of vertical stresses based on the design height of municipal waste cell and bulk unit weight of municipal waste. Experimental results also showed that despite experiencing large axial strains, the average permeability of the tire shred sample consistently remained two to three orders of magnitude higher than the design performance criterion of 0.01cm/s for landfill drainage layers. Laboratory experiments, however, need to verify whether long-term chemical and bio-chemical reactions between landfill leachate and the tire shred layer will deteriorate their mechanical functions (hydraulic conductivity, compressibility, strength) beyond permissible limits for geotechnical applications.

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...

[One-stage operation for pelvis and acetabular fractures combined with Morel-Lavallée injury by internal fixation associated with vacuum sealing drainage].

PubMed

Wei, Dan; Wang, Yue; Yuan, Jiabin; Tang, Xiaoming; Zhang, Bin; Lu, Bing; Tan, Bo

2014-01-01

To investigate the methods and effectiveness of one-stage operation for pelvis and acetabular fractures combined with Morel-Lavallée injury by internal fixation associated with vacuum sealing drainage (VSD). Between June 2008 and October 2012, 15 cases of pelvis and acetabular fractures combined with Morel-Lavallée injury were treated. There were 5 males and 10 females, aged from 18 to 67 years (mean, 36.8 years). Fractures were caused by traffic accident in 11 cases and crashing injury of heavy object in 4 cases. The time from injury to hospitalization was 3 hours to 9 days (mean, 5.4 days). Morel-Lavallée injury located in the above posterior superior iliac spine in 4 cases, greater trochanter in 7 cases, and anterior proximal thigh in 4 cases. In 10 cases complicated by pelvic fracture, there were 1 case of anteroposterior compression type, 3 cases of lateral compression type, 5 cases of vertical shear type, and 1 case of compound injury type; in 5 cases complicated by acetabular fracture, there were 1 case of transverse fracture, 1 case of posterior wall and posterior column fracture, 1 case of transverse acetabulum plus posterior wall fracture, and 2 cases of both columns fracture. Open reduction and internal fixation were used to treat pelvic and acetabular fractures, and VSD to treat Morel-Lavallée injury. When the drainage volume was less than 20 mL/d, interrupted wound suture or free skin grafting was performed. The hospitalization time was 16-31 days (mean, 20.8 days). Thirteen cases were followed up 4-16 months (mean, 7.8 months). The healing time of Morel-Lavallée injury was 16-36 days after operation (mean, 21.3 days). All the wounds had primary healing, and no infection occurred. The X-ray films showed that all fractures healed, with a mean healing time of 13.6 weeks (range, 11-18 weeks). At 6.5 months after operation, according to Majeed function scoring system in 8 cases of pelvic fracture, the results were excellent in 5 cases, good in 2 cases, and fair in 1 case; according to Harris hip scoring in 4 cases of acetabular fracture, the results were excellent in 2 cases, good in 1 case, and fair in 1 case. To pelvis-acetabular fractures combined with Morel-Lavallée injury, internal fixation treatment for fracture and VSD for Morel-Lavallée injury not only can cure merge Morel-Lavallée injury effectively, but also can guarantee the operation timing and incision safty of the pelvis-acetabular fractures.

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

Infectious arteritis of the internal carotid artery complicating retropharyngeal abscess.

PubMed

Lisan, Q; Tran, H; Verillaud, B; Herman, P

2016-02-01

Retropharyngeal abscess is a well-known entity in children, but can also occur in adults. The two main vascular complications are vascular compression and pseudoaneurysm, while infectious arteritis of the internal carotid artery is exceptional. The authors describe a case of a retropharyngeal abscess in an adult woman complicated by infectious arteritis of the internal carotid artery. This rare complication was treated by endovascular occlusion of the internal carotid artery and incision and drainage of the abscess in combination with antibiotic and anticoagulant therapy. The patient did not present any neurological sequelae and follow-up MRI did not reveal any signs of vascular or neurological complications. This case highlights the importance of thorough examination of imaging performed in the context of deep neck space abscess to detect signs of vascular involvement. Treatment must be aggressive in view of the life-threatening risk of arterial rupture or septic embolism. This is the first reported case of infectious arteritis involving the internal carotid artery complicating retropharyngeal abscess. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

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

The coupling between hydrodynamic and purification efficiencies of ecological porous spur-dike in field drainage ditch

NASA Astrophysics Data System (ADS)

Rao, Lei; Wang, Pei-fang; Dai, Qing-song; Wang, Chao

2018-05-01

In this study, a series of ecological porous spur-dikes are arranged in an experiment channel to simulate a real field drainage ditch. The inside and outside flow fields of spur-dikes are determined by numerical simulations and experimental methods. An Ammonia-Nitrogen (NH3-N) degradation evaluation model is built to calculate the pollution removal rate by coupling with the inner flow field of the porous spur-dikes. The variations of the total pollutant removal rate in the channel are discussed in terms of different porosities and gap distances between spur-dikes and inlet flow velocities. It is indicated that a reasonable parameter matching of the porosity and the gap distance with the flow velocity of the ditch can bring about a satisfactory purification efficiency with a small delivery quantity of ecological porous materials.

The Western Pond Turtle; Habitat and History, 1993-1994 Final Report.

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

Holland, Dan C.

1994-08-01

The western pond turtle is known from many areas of Oregon. The majority of sightings and other records occur in the major drainages of the Klamath, Rogue, Umpqua, Willamette and Columbia River systems. A brief overview is presented of the evolution of the Willamette-Puget Sound hydrographic basin. A synopsis is also presented of the natural history of the western pond turtle, as well as, the status of this turtle in the Willamette drainage basin. The reproductive ecology and molecular genetics of the western pond turtle are discussed. Aquatic movements and overwintering of the western pond turtle are evaluated. The effectmore » of introduced turtle species on the status of the western pond turtle was investigated in a central California Pond. Experiments were performed to determine if this turtle could be translocated as a mitigation strategy.« less

Boundary effects on forced drainage through aqueous foam

NASA Astrophysics Data System (ADS)

Brannigan, G.; de Alcantara Bonfim, O. F.

2001-03-01

The flow of liquid through foam confined in vertical tubes was investigated by measuring the velocity vf of the liquid front forced down by gravity for various flow rates Q. The power law relating the velocity to flow rate of the incoming liquid (v_f ~ Q^α) was observed for tubes of various cross-sectional areas, A. The exponent α was found to vary linearly with the reciprocal of the area: α= 0.325 + 13.7 mm^2/A . This further supports the node-dominated foam drainage model, which predicts α= 1/3 in the limit of infinite cross-sectional area. This relation appears to be independent of bubble size, suggesting that using smaller foam bubbles may not alleviate boundary effects. The results of these experiments also partially explain the discrepancies in measurements of α reported in previous works.

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.

The HEPEX Seasonal Streamflow Forecast Intercomparison Project

NASA Astrophysics Data System (ADS)

Wood, A. W.; Schepen, A.; Bennett, J.; Mendoza, P. A.; Ramos, M. H.; Wetterhall, F.; Pechlivanidis, I.

2016-12-01

The Hydrologic Ensemble Prediction Experiment (HEPEX; www.hepex.org) has launched an international seasonal streamflow forecasting intercomparison project (SSFIP) with the goal of broadening community knowledge about the strengths and weaknesses of various operational approaches being developed around the world. While some of these approaches have existed for decades (e.g. Ensemble Streamflow Prediction - ESP - in the United States and elsewhere), recent years have seen the proliferation of new operational and experimental streamflow forecasting approaches. These have largely been developed independently in each country, thus it is difficult to assess whether the approaches employed in some centers offer more promise for development than others. This motivates us to establish a forecasting testbed to facilitate a diagnostic evaluation of a range of different streamflow forecasting approaches and their components over a common set of catchments, using a common set of validation methods. Rather than prescribing a set of scientific questions from the outset, we are letting the hindcast results and notable differences in methodologies on a watershed-specific basis motivate more targeted analyses and sub-experiments that may provide useful insights. The initial pilot of the testbed involved two approaches - CSIRO's Bayesian joint probability (BJP) and NCAR's sequential regression - for two catchments, each designated by one of the teams (the Murray River, Australia, and Hungry Horse reservoir drainage area, USA). Additional catchments/approaches are in the process of being added to the testbed. To support this CSIRO and NCAR have developed data and analysis tools, data standards and protocols to formalize the experiment. These include requirements for cross-validation, verification, reference climatologies, and common predictands. This presentation describes the SSFIP experiments, pilot basin results and scientific findings to date.

Visualization and prediction of supercritical CO 2 distribution in sandstones during drainage: An in situ synchrotron X-ray micro-computed tomography study

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

Voltolini, Marco; Kwon, Tae-Hyuk; Ajo-Franklin, Jonathan

Pore-scale distribution of supercritical CO 2 (scCO 2) exerts significant control on a variety of key hydrologic as well as geochemical processes, including residual trapping and dissolution. Despite such importance, only a small number of experiments have directly characterized the three-dimensional distribution of scCO 2 in geologic materials during the invasion (drainage) process. Here, we present a study which couples dynamic high-resolution synchrotron X-ray micro-computed tomography imaging of a scCO 2/brine system at in situ pressure/temperature conditions with quantitative pore-scale modeling to allow direct validation of a pore-scale description of scCO2 distribution. The experiment combines high-speed synchrotron radiography with tomographymore » to characterize the brine saturated sample, the scCO 2 breakthrough process, and the partially saturated state of a sandstone sample from the Domengine Formation, a regionally extensive unit within the Sacramento Basin (California, USA). The availability of a 3D dataset allowed us to examine correlations between grains and pores morphometric parameters and the actual distribution of scCO 2 in the sample, including the examination of the role of small-scale sedimentary structure on CO2 distribution. The segmented scCO 2/brine volume was also used to validate a simple computational model based on the local thickness concept, able to accurately simulate the distribution of scCO 2 after drainage. The same method was also used to simulate Hg capillary pressure curves with satisfactory results when compared to the measured ones. Finally, this predictive approach, requiring only a tomographic scan of the dry sample, proved to be an effective route for studying processes related to CO 2 invasion structure in geological samples at the pore scale.« less

Fractionation of Cu and Zn isotopes during adsorption onto amorphous Fe(III) oxyhydroxide: Experimental mixing of acid rock drainage and ambient river water

USGS Publications Warehouse

Balistrieri, L.S.; Borrok, D.M.; Wanty, R.B.; Ridley, W.I.

2008-01-01

Fractionation of Cu and Zn isotopes during adsorption onto amorphous ferric oxyhydroxide is examined in experimental mixtures of metal-rich acid rock drainage and relatively pure river water and during batch adsorption experiments using synthetic ferrihydrite. A diverse set of Cu- and Zn-bearing solutions was examined, including natural waters, complex synthetic acid rock drainage, and simple NaNO3 electrolyte. Metal adsorption data are combined with isotopic measurements of dissolved Cu (65Cu/63Cu) and Zn (66Zn/64Zn) in each of the experiments. Fractionation of Cu and Zn isotopes occurs during adsorption of the metal onto amorphous ferric oxyhydroxide. The adsorption data are modeled successfully using the diffuse double layer model in PHREEQC. The isotopic data are best described by a closed system, equilibrium exchange model. The fractionation factors (??soln-solid) are 0.99927 ?? 0.00008 for Cu and 0.99948 ?? 0.00004 for Zn or, alternately, the separation factors (??soln-solid) are -0.73 ?? 0.08??? for Cu and -0.52 ?? 0.04??? for Zn. These factors indicate that the heavier isotope preferentially adsorbs onto the oxyhydroxide surface, which is consistent with shorter metal-oxygen bonds and lower coordination number for the metal at the surface relative to the aqueous ion. Fractionation of Cu isotopes also is greater than that for Zn isotopes. Limited isotopic data for adsorption of Cu, Fe(II), and Zn onto amorphous ferric oxyhydroxide suggest that isotopic fractionation is related to the intrinsic equilibrium constants that define aqueous metal interactions with oxyhydroxide surface sites. Greater isotopic fractionation occurs with stronger metal binding by the oxyhydroxide with Cu > Zn > Fe(II).

Pyogenic liver abscess: An audit of 10 years’ experience

PubMed Central

Pang, Tony CY; Fung, Thomas; Samra, Jaswinder; Hugh, Thomas J; Smith, Ross C

2011-01-01

AIM: To describe our own experience with pyogenic liver abscesses over the past 10 years and investigate the risk factors associated with failure of initial percutaneous therapy. METHODS: A retrospective study of records of 63 PLA patients presenting between 1998 and 2008 to Australian tertiary referral centre, were reviewed. Amoebic and hydatid abscesses were excluded. Demographic, clinical, radiological, and microbiological characteristics, as well as surgical/radiological interventions, were recorded. RESULTS: Sixty-three patients (42 males, 21 females) aged 65 (± 14) years [mean ± (SD)] had prodromal symptoms for a median (interquartile range; IQR) of 7 (5-14) d. Only 59% of patients were febrile at presentation; however, the serum C-reactive protein was elevated in all 47 in whom it was measured. Liver function tests were non-specifically abnormal. 67% of patients had a solitary abscess, while 32% had > 3 abscesses with a median (IQR) diameter of 6.3 (4-9) cm. Causative organisms were: Streptococcus milleri 25%, Klebsiella pneumoniae 21%, and Escherichia coli 16%. A presumptive cryptogenic cause was most common (34%). Four patients died in this series: one from sepsis, two from advanced cancer, and one from acute myocardial infarction. The initial procedure was radiological aspiration ± drainage in 54 and surgery in two patients. 17% underwent surgical management during their hospitalization. Serum hypoalbuminaemia [mean (95% CI): 32 (29-35) g/L vs 28 (25-31) g/L, P = 0.045] on presentation was found to be the only factor related to failure of initial percutaneous therapy on univariate analysis. CONCLUSION: PLA is a diagnostic challenge, because the presentation of this condition is non-specific. Intravenous antibiotics and radiological drainage in the first instance allows resolution of most PLAs; However, a small proportion of patients still require surgical drainage. PMID:21472130

Visualization and prediction of supercritical CO 2 distribution in sandstones during drainage: An in situ synchrotron X-ray micro-computed tomography study

DOE PAGES

Voltolini, Marco; Kwon, Tae-Hyuk; Ajo-Franklin, Jonathan

2017-10-21

Pore-scale distribution of supercritical CO 2 (scCO 2) exerts significant control on a variety of key hydrologic as well as geochemical processes, including residual trapping and dissolution. Despite such importance, only a small number of experiments have directly characterized the three-dimensional distribution of scCO 2 in geologic materials during the invasion (drainage) process. Here, we present a study which couples dynamic high-resolution synchrotron X-ray micro-computed tomography imaging of a scCO 2/brine system at in situ pressure/temperature conditions with quantitative pore-scale modeling to allow direct validation of a pore-scale description of scCO2 distribution. The experiment combines high-speed synchrotron radiography with tomographymore » to characterize the brine saturated sample, the scCO 2 breakthrough process, and the partially saturated state of a sandstone sample from the Domengine Formation, a regionally extensive unit within the Sacramento Basin (California, USA). The availability of a 3D dataset allowed us to examine correlations between grains and pores morphometric parameters and the actual distribution of scCO 2 in the sample, including the examination of the role of small-scale sedimentary structure on CO2 distribution. The segmented scCO 2/brine volume was also used to validate a simple computational model based on the local thickness concept, able to accurately simulate the distribution of scCO 2 after drainage. The same method was also used to simulate Hg capillary pressure curves with satisfactory results when compared to the measured ones. Finally, this predictive approach, requiring only a tomographic scan of the dry sample, proved to be an effective route for studying processes related to CO 2 invasion structure in geological samples at the pore scale.« less

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.

Peritoneal drainage does not stabilize extremely low birth weight infants with perforated bowel: data from the NET Trial.

PubMed

Rees, Clare M; Eaton, Simon; Khoo, A Kate; Kiely, Edward M; Pierro, Agostino

2010-02-01

Proponents of peritoneal drainage (PD) hypothesize that it allows stabilization before laparotomy. We examined this hypothesis by comparing clinical status before and after either PD or primary laparotomy (LAP). In an ethically approved, international, prospective randomized controlled trial (2002-2006), extremely low birth weight (<1000 g) infants with pneumoperitoneum received primary PD (n = 35) or LAP (n = 34). Physiologic data were collected prospectively and organ failure scores calculated and compared between preprocedure and day 1 after procedure. Data, expressed as mean +/- SD or median (range), were analyzed using appropriate statistical tests. There was no postprocedure improvement in either PD or LAP group comparing heart rate (PD, P = 1.0; LAP, P = .6), blood pressure (PD, P = .6; LAP, P = .8), inotrope requirement (PD, P = .2; LAP, P = .3), or Arterial partial pressure of oxygen/fraction of inspired oxygen ratio (PD, P = .1; LAP, P = .5). Infants managed with PD had a worsening cardiovascular status (P = .05). There were no differences in total organ failure score in either group (PD, P = .5; LAP, P = 1). Only 4 infants survived with PD alone with no difference between preprocedure and postprocedure organ failure score (P = .4). Peritoneal drainage does not immediately improve clinical status in extremely low birth weight infants with bowel perforation. The use of PD as a stabilizing or temporizing measure is not supported by these results. Copyright 2010 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…

Does anatomy of the pubic arch interfere with the maintaining of erection?

PubMed

Paul, Jean François; Virag, Ronald

2013-03-01

There are men who suffer from unsustainable erections without any identified cause of erectile dysfunction, raising the question if anatomical alterations could be involved. Since early anatomical studies, it has been proposed that to achieve full penile rigidity, the blood must be blocked inside the penis by compression of the deep dorsal vein (DDV), the main venous collector under pubic symphysis. Using a recently developed caverno computed tomography (CT) scan technique, allowing the evaluation of the venous drainage of the corpora cavernosa (CC) during erection, we have studied some anatomical conditions of this important part of the erectile phenomenon. Puboischial rami angles were measured in axial CT images and calculated strictly on the upper insertion point of the CC, using axial submillimeter slices in 37 patients divided into 3 groups depending on the results of the caverno CT scan: (i) no leak; (ii) superficial veins leaking; and (iii) drainage through the DDV and/or preprostatic plexus. In addition same angles were measured in two randomly unselected populations of men (N = 30), and women (N = 23) who underwent pelvic CT scan for various reasons, unrelated to their sexual or genital condition. The angles made by both puboischial rami were measured in patients with and without veno-occlusive dysfunction and in unselected samples of men and women. There is a significantly wider angle made by both puboischial rami in men without complete erection and without evidence of anomalous venous drainage (group 3) (72.2° ± 4.7° standard deviation [SD]), compared with both men with normal erection (group 1) (57.5 ± 5° SD) P < 0.00001, and men with incomplete erection and evidence of anomalous drainage (group 2) (57.7 ± 6° SD) P < 0.00001. If confirmed in larger samples, these results raise new questions on the mechanism and the role of these significant anatomical variations, yet unknown, in maintaining or not full rigid erections. © 2012 International Society for Sexual Medicine.

Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis.

PubMed

Podda, Mauro; Polignano, Francesco Maria; Luhmann, Andreas; Wilson, Michael Samuel James; Kulli, Christoph; Tait, Iain Stephen

2016-03-01

With advances in laparoscopic instrumentation and acquisition of advanced laparoscopic skills, laparoscopic common bile duct exploration (LCBDE) is technically feasible and increasingly practiced by surgeons worldwide. Traditional practice of suturing the dochotomy with T-tube drainage may be associated with T-tube-related complications. Primary duct closure (PDC) without a T-tube has been proposed as an alternative to T-tube placement (TTD) after LCBDE. The aim of this meta-analysis was to evaluate the safety and effectiveness of PDC when compared to TTD after LCBDE for choledocholithiasis. A systematic literature search was performed using PubMed, EMBASE, MEDLINE, Google Scholar, and the Cochrane Central Register of Controlled Trials databases for studies comparing primary duct closure and T-tube drainage. Studies were reviewed for the primary outcome measures: overall postoperative complications, postoperative biliary-specific complications, re-interventions, and postoperative hospital stay. Secondary outcomes assessed were: operating time, median hospital expenses, and general complications. Sixteen studies comparing PDC and TTD qualified for inclusion in our meta-analysis, with a total of 1770 patients. PDC showed significantly better results when compared to TTD in terms of postoperative biliary peritonitis (OR 0.22, 95% CI 0.06-0.76, P = 0.02), operating time (WMD, -22.27, 95% CI -33.26 to -11.28, P < 0.00001), postoperative hospital stay (WMD, -3.22; 95% CI -4.52 to -1.92, P < 0.00001), and median hospital expenses (SMD, -1.37, 95% CI -1.96 to -0.77, P < 0.00001). Postoperative hospital stay was significantly decreased in the primary duct closure with internal biliary drainage (PDC + BD) group when compared to TTD group (WMD, -2.68; 95% CI -3.23 to -2.13, P < 0.00001). This comprehensive meta-analysis demonstrates that PDC after LCBDE is feasible and associated with fewer complications than TTD. Based on these results, primary duct closure may be considered as the optimal procedure for dochotomy closure after LCBDE.

Flow behaviour of supercritical CO2 and brine in Berea sandstone during drainage and imbibition revealed by medical X-ray CT images

NASA Astrophysics Data System (ADS)

Zhang, Yi; Nishizawa, Osamu; Kiyama, Tamotsu; Chiyonobu, Shun; Xue, Ziqiu

2014-06-01

We injected Berea sandstone with supercritical CO2 and imaged the results with a medical X-ray computed tomography (CT) scanner. The images were acquired by injecting CO2 into a core of brine-saturated sandstone (drainage), and additional images were acquired during reinjection of brine (imbibition) after drainage. We then analysed the temporal variations of CO2 saturation maps obtained from the CT images. The experiments were performed under a confining pressure of 12 MPa, a pore pressure of 10 MPa and a temperature of 40 °C. Porosity and CO2 saturation were calculated for each image voxel of the rock on the basis of the Hounsfield unit values (CT numbers) measured at three states of saturation: dry, full brine saturation and full CO2 saturation. The saturation maps indicated that the distributions of CO2 and brine were controlled by the sub-core-scale heterogeneities which consisted of a laminated structure (bedding) with high- and low-porosity layers. During drainage, CO2 preferentially flowed through the high-porosity layers where most of the CO2 was entrapped during low flow-rate imbibition. The entrapped CO2 was flushed out when high flow-rate imbibition commenced. Plots of the voxel's CT number against porosity revealed the relationship between fluid replacement and porosity. By reference to the CT numbers at the full brine-saturated stage, differential CT numbers were classified into three bins corresponding to voxel porosity: high, medium and low porosity. Distributions of the differential CT number for the three porosity bins were bimodal and in order with respect to the porosity bins during both drainage and imbibitions; however, the order differed between the two stages. This difference suggested that different replacement mechanisms operated for the two processes. Spatial autocorrelation of CO2 saturation maps on sections perpendicular to the flow direction revealed remarkable changes during passage of the replacement fronts during both drainage and imbibition, changes reflecting the interfingering pattern across the replacement fronts. Although the permeability differences between high- and low-porosity layers were not sufficiently large to disturb the uniform flow of brine, the CO2 concentration in the high-porosity layers may have been caused by the differences of capillary pressure between wide and narrow pore throats, perhaps enhanced by an invasion percolation mechanism in flow-path networks.

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...

The Subglacial Access and Fast Ice Research Experiment (SAFIRE): 1. Programme of investigation on Store Glacier, West Greenland

NASA Astrophysics Data System (ADS)

Christoffersen, Poul; Hubbard, Bryn; Bougamont, Marion; Doyle, Samuel; Young, Tun Jan; Hofstede, Coen; Nicholls, Keith; Todd, Joe; Box, Jason; Ryan, Johnny; Toberg, Nick; Walter, Jacob; Hubbard, Alun

2015-04-01

Marine-terminating outlet glaciers drain 90 percent of the Greenland Ice Sheet and are responsible for about half of the ice sheet's net annual mass loss, which currently raises global sea level by almost 1 mm per year. Understanding the processes that drive the fast flow of these glaciers is crucial because a growing body of evidence points to a strong, but spatially varied and often complex, response to oceanographic as well as atmospheric forcing. While the bed of glaciers elsewhere is known to strongly influence the flow of ice, no observations have ever been made at the bed of a marine-terminating glacier in Greenland. The flow of ice in numerical models of the Greenland Ice Sheet consequently rely on untested basal parameterisations, which form a likely and potentially significant source of error in the prediction of sea level rise over the coming decades and century. The Subglacial Access and Fast Ice Research Experiment (SAFIRE) is addressing this paucity of observational constraints by gaining access to the bed of Store Glacier, a marine-terminating outlet of the Greenland Ice Sheet which has a drainage basin of 35,000 square kilometres and terminates in Uummannaq Fjord. In 2014, the SAFIRE programme drilled four boreholes in a region where ice flows at a rate of 700 m per year and where a seismic survey revealed a bed consisting of soft sediment. (See joint abstract by Hofstede et al. for details.) The boreholes were 603-616 m deep and direct access to the bed was confirmed by a clear hydrological connectivity with a basal water system. (See joint abstract by Doyle et al. for details.) With sensors deployed englacially (temperature and tilt) and at the bed (water pressure, turbidity, electrical conductivity), the SAFIRE will inform the ratio of internal ice deformation and basal slip, vertical strain, ice temperature, and fluctuations in water pressure linked to supraglacial lake drainage as well as diurnal drainage into moulins. In 2015, we plan to extract core samples from the bed in order to establish the rheology of the basal sediment and use repeat inclinometry to verify basal and englacial ice deformation rates, while using an optical televiewer to identify layering and texture of ice. With the additional installation of instruments on the glacier's surface (GPS, AWS, passive seismics and radar) and forefield (time-lapse cameras and repeat UAV missions over the calving ice front), the SAFIRE project aims to resolve the basal control on ice flow as well as the dynamics associated with iceberg calving. The observational outcomes will demonstrate how the flow of a major marine terminating outlet glacier in Greenland is influenced by atmospheric and oceanic forcings, while also enabling numerical ice flow modelling to be undertaken with a much improved basal parameterisation.

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.

Surgical management of chronic pancreatitis: current utilization in the United States.

PubMed

Bliss, Lindsay A; Yang, Catherine J; Eskander, Mariam F; de Geus, Susanna W L; Callery, Mark P; Kent, Tara S; Moser, A James; Freedman, Steven D; Tseng, Jennifer F

2015-09-01

Surgical intervention is uncommon in chronic pancreatitis. Literature largely describes single institution or international experiences. This study describes US-based chronic pancreatitis surgical management. Retrospective analysis of chronic pancreatitis patients in the Healthcare Cost and Utilization Project Florida State Inpatient Database 2007-2011. Patients with malignancy or congenital abnormalities were excluded. Univariate analysis using the chi-square test. The number of readmissions, inpatient length of stay and cost using Wilcoxon's signed-rank test. Multivariate analysis of surgery by logistic regression. Twenty-one thousand four hundred and forty-five patients with chronic pancreatitis. 10.8% (2 307) underwent surgery including 1652 cholecystectomies, 564 drainage procedures and 498 pancreatectomies. Procedures decreased from 12.1% to 8.3% over time (P < 0.001), but intervention within 3 months increased (7.2% to 8.4%; P = 0.017). 15.3% (3 278) had pancreatic cysts/pseudocysts and 43.4% (9 312) had diabetes. The median numbers of admissions were 2 [interquartile range (IQR) 1,5] and 3 (IQR 2,7) among non-surgical and surgical patients, respectively (P < 0.001). Predictors of surgery were fewer co-morbidities, private insurance, and either diabetes mellitus or pancreatic cyst/pseudocyst. Chronic pancreatitis leads to numerous inpatient readmissions, but surgical intervention only occurs in a minority of cases. Complicated patients are more likely to undergo surgery. The complexities of chronic pancreatitis management warrant early multidisciplinary evaluation and ongoing consideration of surgical and non-surgical options. © 2015 International Hepato-Pancreato-Biliary Association.

Perioperative outcomes of pancreaticoduodenectomy: Nepalese experience.

PubMed

Lakhey, Paleswan Joshi; Bhandari, Ramesh Singh; Ghimire, Bikal; Khakurel, Mahesh

2010-08-01

Pancreaticodudenectomy (PD) is a high-risk, technically demanding operation associated with substantial perioperative morbidity and mortality. This review is intended to evaluate the perioperative outcomes of PD done in a single gastrointestinal surgery unit of a university teaching hospital. A retrospective review of medical records of patients who underwent PD from April 2005 through May 2009 was done. Perioperative morbidity was defined according to the standard of the International Study Group for Pancreatic Fistula (ISGPF). The patient demographics, type of surgery, and perioperative morbidity and mortality were evaluated. The factors associated with increased morbidity were analyzed. Twenty-four patients underwent PD, and there were no perioperative deaths. The overall morbidity was 58%, with a pancreatic fistula rate of 13%. None of the associated parameters, like increasing age, the presence of co-morbidity, preoperative biliary drainage, and duration of surgery, were found to increase the morbidity. These results of PD, though a small case series, are comparable to the international standard. Better outcomes can be achieved even in low- to medium-volume centers in developing countries where a dedicated team with special interest in pancreatic surgery is in place. Although there were no deaths after PD in our series, the morbidity was higher than that observed in other high-volume centers. To decrease the morbidity associated with PD, various factors must be streamlined, among them, the operative technique and the intensive perioperative management of the patient, as well as uniform definition of complications, use of a multidisciplinary approach, and identification of associated risk factors.

Transferability of a Three-Dimensional Air Quality Model between Two Different Sites in Complex Terrain.

NASA Astrophysics Data System (ADS)

Lange, Rolf

1989-07-01

The three-dimensional, diagnostic, particle-in-cell transport and diffusion model MATHEW/ADPIC is used to test its transferability from one site in complex terrain to another with different characteristics, under stable nighttime drainage flow conditions. The two sites were subject to extensive drainage flow tracer experiments under the multilaboratory Atmospheric Studies in Complex Terrain (ASCOT) program: the first being a valley in the Geysers geothermal region of northern California, and the second a canyon in western Colorado. The domain in each case is approximately 10 × 10 km. The 1980 Geysers model evaluation is only quoted. The 1984 Brush Creek model evaluation is described in detail.Results from comparing computed with measured concentrations from a variety of tracer releases indicate that 52% of the 4531 samples from five experiments in Brush Creek and 50% of the 831 samples from four experiments in the Geysers agreed within a factor of 5. When an angular 10° uncertainty, consistent with anemometer reliability limits in complex terrain, was allowed to be applied to the model results, model performance improved such that 78% of samples compared within a factor of 5 for Brush Creek and 77% for the Geysers. Looking at the range of other factors of concentration ratios, results indicate that the model is satisfactorily transferable without tuning it to a specific site.

Tracer-dilution experiments and solute-transport simulations for a mountain stream, Saint Kevin Gulch, Colorado. Water resources investigation

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

Broshears, R.E.; Bencala, K.E.; Kimball, B.A.

In 1986, the U.S. Geological Survey began an investigation to characterize within-stream hydrologic, chemical, and biological processes that influence the distribution and transport of hazardous constituents in the headwaters of the Arkansas River. The report describes the results of tracer-dilution experiments and associated solute-transport simulations for a 1804-meter stretch of Saint Kevin Gulch, a stream affected by acid mine drainage in Lake County, Colorado. The report describes transient changes in tracer (lithium chloride) concentration at six instream sites.

Visualization experiments on steam injection in Hele-Shaw cells

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

Kong, Xianli; Haghighi, M.; Yortsos, Y.C.

1992-03-01

Flow visualization experiments have been successfully employed in reservoir engineering research for many years. They involve 2-D geometries in transparent Hele-Shaw cells and glass micromodels. Although much work has been done on immiscible flows (drainage or imbibition), visualization of steamfloods, which constitute a major part of current EOR methods, has not been attempted to data. In this paper, we present experimental results on steam injection in a transparent, pyrex glass Hele-Shaw cell. Both synthetic (Dutrex 739) and natural heavy oils were used under a variety of conditions, including effects of gravity.

Report on Physics of Channelization: Theory, Experiment, and Observation

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

Kudrolli, Arshad

2014-05-19

The project involved a study of physical processes that create eroded channel and drainage networks. A particular focus was on how the shape of the channels and the network depended on the nature of the fluid flow. Our approach was to combine theoretical, experimental, and observational studies in close collaboration with Professor Daniel Rothman of the Massachusetts Institute of Technology. Laboratory -scaled experiments were developed and quantitative data on the shape of the pattern and erosion dynamics are obtained with a laser-aided topography technique and fluorescent optical imaging techniques.

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.

Soil amendments promote vegetation establishment and control acidity in coal combustion waste

Treesearch

R.M. Danker; D.C. Adriano; Bon-Jun Koo; C.D. Barton

2003-01-01

The effects of adding various soil amendments and a pyrite oxidation inhibitor to aid in the establishment of vegetation and to reduce acid drainage (AD) from coal fly ash and coal reject (FA + CR*) were assessed in an outdoor mesocosm study. Preliminary greenhouse experiments and field observations at the U.S. Department of Energy's Savannah River Site (SRS)...

Conference Support - Surgery in Extreme Environments - Center for Surgical Innovation

DTIC Science & Technology

2007-01-01

flights. During this 16-day mission in April 1998, surgical procedures, including thoracotomies, laparotomies, craniotomies , laminectomies, and...fixation, craniotomy , laminectomy, and leg dissection. These experiments also permitted the evaluation of IV insertion using the autonomic protocol and...missions will be required to address: Repair of lacerations; wound cement, layered closure Incision and drainage of abscess Needle aspiration of

Cumulative effects of logging road sediment on salmonid populations in the Clearwater River, Jefferson County, Washington

Treesearch

C. J. Cederholm; L. M. Reid; E. O. Salo

1981-01-01

Abstract - The nature of sediment production from logging roads and the effect of the resulting sediment on salmonid spawning success in the Clearwater River drainage have been studied for eight years. The study includes intensive and extensive analyses of field situations, supplemented by several controlled experiments. It was found that significant amounts (15-25...

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.

Experience of treatment of patients with granulomatous lobular mastitis

PubMed Central

Hur, Sung Mo; Cho, Dong Hui; Lee, Se Kyung; Choi, Min-Young; Bae, Soo Youn; Koo, Min Young; Kim, Sangmin; Choe, Jun-Ho; Kim, Jung-Han; Kim, Jee Soo; Nam, Seok-Jin; Yang, Jung-Hyun

2013-01-01

Purpose To present the author's experience with various treatment methods of granulomatous lobular mastitis (GLM) and to determine effective treatment methods of GLM. Methods Fifty patients who were diagnosed with GLM were classified into five groups based on the initial treatment methods they underwent, which included observation (n = 8), antibiotics (n = 3), steroid (n = 13), drainage (n = 14), and surgical excision (n = 12). The treatment processes in each group were examined and their clinical characteristics, treatment processes, and results were analyzed respectively. Results Success rates with each initial treatment were observation, 87.5%; antibiotics, 33.3%; steroids, 30.8%; drainage, 28.6%; and surgical excision, 91.7%. In most cases of observation, the lesions were small and the symptoms were mild. A total of 23 patients underwent surgical excision during treatment. Surgical excision showed particularly fast recovery, high success rate (90.3%) and low recurrence rate (8.7%). Conclusion The clinical course of GLM is complex and the outcome of each treatment type are variable. Surgery may play an important role when a lesion is determined to be mass-forming or appears localized as an abscess pocket during breast examination or imaging study. PMID:23833753

Wettability control on fluid-fluid displacements in patterned microfluidics

NASA Astrophysics Data System (ADS)

Zhao, Benzhong; MacMinn, Christopher; Juanes, Ruben

2015-11-01

Two-phase flow in porous media is important in many natural and industrial processes. While it is well known the wetting properties of porous media can vary drastically depending on the media and the pore fluids, their effect continues to challenge our microscopic and macroscopic descriptions. We conduct experiments via radial displacement of silicone oil by water in microfluidic devices patterned with vertical posts. These devices allow for flow visualization in a complex but well-defined microstructure. Additionally, the surface energy of the devices can be tuned over a wide range of contact angles. We perform injection experiments with highly unfavorable mobility contrast at rates over four orders of magnitude. We focus on three wetting conditions: drainage θ = 120°, weak imbibition θ = 60°, and strong imbibition θ = 7°. In drainage, we see a transition from viscous fingering at high capillary numbers to a morphology that differs from capillary fingering. In weak imbibition, we observe stabilization of flow due to cooperative invasion at the pore scale. In strong imbibition, we find the flow is heavily influenced by a precursor front that emanates from the main imbibition front. Our work shows the important, yet intricate, impact of wettability on immiscible flow in porous media.

A model for foam formation, stability, and breakdown in glass-melting furnaces.

PubMed

van der Schaaf, John; Beerkens, Ruud G C

2006-03-01

A dynamic model for describing the build-up and breakdown of a glass-melt foam is presented. The foam height is determined by the gas flux to the glass-melt surface and the drainage rate of the liquid lamellae between the gas bubbles. The drainage rate is determined by the average gas bubble radius and the physical properties of the glass melt: density, viscosity, surface tension, and interfacial mobility. Neither the assumption of a fully mobile nor the assumption of a fully immobile glass-melt interface describe the observed foam formation on glass melts adequately. The glass-melt interface appears partially mobile due to the presence of surface active species, e.g., sodium sulfate and silanol groups. The partial mobility can be represented by a single, glass-melt composition specific parameter psi. The value of psi can be estimated from gas bubble lifetime experiments under furnace conditions. With this parameter, laboratory experiments of foam build-up and breakdown in a glass melt are adequately described, qualitatively and quantitatively by a set of ordinary differential equations. An approximate explicit relationship for the prediction of the steady-state foam height is derived from the fundamental model.

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.

Summary of solar cell data from the Long Duration Exposure Facility (LDEF)

NASA Technical Reports Server (NTRS)

Hill, David C.; Rose, M. Frank

1994-01-01

The contractor has obtained and reviewed data relating solar cells assemblies (SCA's) flown as part of the following LDEF experiments: the Advanced Photovoltaic Experiment (S0014); the Solar Array Materials Passive LDEF Experiment (A0171); the Advanced Solar Cell and Coverglass Analysis Experiment (M0003-4); the LDEF Heat Pipe Experiment (S1001); the Evaluation of Thermal Control Coatings Y Solar Cells Experiment (S1002); and the Space Plasma-High Voltage Drainage Experiment (A0054). Where possible, electrical data have been tabulated and correlated with various environmental effects, including meteoroid and debris impacts, radiation exposure, atomic oxygen exposure, contamination, UV radiation exposure, and thermal cycling. The type, configuration, and location of all SCA's are documented here. By gathering all data and results together, a comparison of the survivability of the various types and configurations can be made.

Experience with 100 consecutive simultaneous kidney-pancreas transplants with bladder drainage.

PubMed Central

Sollinger, H W; Knechtle, S J; Reed, A; D'Alessandro, A M; Kalayoglu, M; Belzer, F O; Pirsch, J

1991-01-01

From December 1985 to December 1989, 100 consecutive simultaneous pancreas-kidney (SPK) transplants were performed at the University of Wisconsin Hospital and Clinics. Bladder drainage technique was used for all grafts. One- and three-year patient survival was 93% and 90%; kidney survival, 90% and 85%; and pancreas survival, 86% and 84%. Quadruple immunosuppressive therapy was used in all patients and consisted of either MALG or OKT3 induction, and cyclosporine, prednisone, and azathioprine maintenance therapy. OKT3 induction therapy was used in 42 patients and Minnesota antilymphocyte globule in 58 patients, with equivalent results except for more opportunistic infection with OKT3. The duodenal button technique was used in the first 17 patients with systemic anticoagulation and was associated with significantly more postoperative bleeding and infection compared with the duodenal segment technique. The most common surgical complication of the duodenal segment technique was urine leak (13%), which usually occurred from the distal duodenal segment. The most common urologic complication of bladder drainage was hematuria (13%), which was usually self-limited. Within 6 months of transplantation, 84% of patients developed urinary tract infections, and 25% of patients had opportunistic infections. The surgical techniques and immunosuppressive methods used in this series are reviewed, and strategies for preventing medical and surgical complications are outlined. PMID:1741650

Improvement effect on the depth-dose distribution by CSF drainage and air infusion of a tumour-removed cavity in boron neutron capture therapy for malignant brain tumours

NASA Astrophysics Data System (ADS)

Sakurai, Yoshinori; Ono, Koji; Miyatake, Shin-ichi; Maruhashi, Akira

2006-03-01

Boron neutron capture therapy (BNCT) without craniotomy for malignant brain tumours was started using an epi-thermal neutron beam at the Kyoto University Reactor in June 2002. We have tried some techniques to overcome the treatable-depth limit in BNCT. One of the effective techniques is void formation utilizing a tumour-removed cavity. The tumorous part is removed by craniotomy about 1 week before a BNCT treatment in our protocol. Just before the BNCT irradiation, the cerebro-spinal fluid (CSF) in the tumour-removed cavity is drained out, air is infused to the cavity and then the void is made. This void improves the neutron penetration, and the thermal neutron flux at depth increases. The phantom experiments and survey simulations modelling the CSF drainage and air infusion of the tumour-removed cavity were performed for the size and shape of the void. The advantage of the CSF drainage and air infusion is confirmed for the improvement in the depth-dose distribution. From the parametric surveys, it was confirmed that the cavity volume had good correlation with the improvement effect, and the larger effect was expected as the cavity volume was larger.

Improvement effect on the depth-dose distribution by CSF drainage and air infusion of a tumour-removed cavity in boron neutron capture therapy for malignant brain tumours.

PubMed

Sakurai, Yoshinori; Ono, Koji; Miyatake, Shin-Ichi; Maruhashi, Akira

2006-03-07

Boron neutron capture therapy (BNCT) without craniotomy for malignant brain tumours was started using an epi-thermal neutron beam at the Kyoto University Reactor in June 2002. We have tried some techniques to overcome the treatable-depth limit in BNCT. One of the effective techniques is void formation utilizing a tumour-removed cavity. The tumorous part is removed by craniotomy about 1 week before a BNCT treatment in our protocol. Just before the BNCT irradiation, the cerebro-spinal fluid (CSF) in the tumour-removed cavity is drained out, air is infused to the cavity and then the void is made. This void improves the neutron penetration, and the thermal neutron flux at depth increases. The phantom experiments and survey simulations modelling the CSF drainage and air infusion of the tumour-removed cavity were performed for the size and shape of the void. The advantage of the CSF drainage and air infusion is confirmed for the improvement in the depth-dose distribution. From the parametric surveys, it was confirmed that the cavity volume had good correlation with the improvement effect, and the larger effect was expected as the cavity volume was larger.

Measure Guideline: Guidance on Taped Insulating Sheathing Drainage Planes

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

Grin, A.; Lstiburek, J.

This guide provides information and recommendations to the following groups: insulation contractors; general contractors; builders; home remodelers; mechanical contractors; and homeowners, as a guide to the work that needs to be done. The order of work completed during home construction and retrofit improvements is important. Health and safety issues must be addressed first and are more important than durability issues. And durability issues are more important than saving energy. Not all techniques can apply to all houses. Special conditions will require special action. Some builders or homeowners will wish to do more than the important but basic retrofit strategies outlinedmore » by this guide. The following are best practice and product recommendations from the interviewed contractors and homebuilders who collectively have a vast amount of experience. Three significant items were discussed with the group which are required to make taped insulating sheathing a simple, long term, and durable drainage plane: 1. Horizontal joints should be limited or eliminated wherever possible; 2. Where a horizontal joint exists use superior materials; 3. Frequent installation inspection and regular trade training are required to maintain proper installation. Section 5 of this measure guideline contains the detailed construction procedure for the three recommended methods to effectively seal the joints in exterior insulating sheathing to create a simple, long term, and durable drainage plane.« less

Study of hydraulic properties of binary beads mixture as porous media in sustainable urban drainage system

NASA Astrophysics Data System (ADS)

Abdullah, Muhammad Faiz; Puay, How Tion; Zakaria, Nor Azazi

2017-10-01

Sustainable Urban Drainage System (SuDS) such as swales and rain gardens is showing growing popularity as a green technology for stormwater management and it can be used in all types of development to provide a natural approach to managing drainage. Soil permeability is a critical factor in selecting the right SuDS technique for a site. On this basis, we have set up a laboratory experiment to investigate the porosity and saturated hydraulic conductivity of single size and binary (two sizes) mixture using column-test as a preliminary investigation with two sets of glass beads with different sizes are used in this study. The porosity and saturated hydraulic conductivity for varies volume fraction of the course and fine glass beads were measured. It was found that the porosity of the binary mixture does not increase with the increment of the ratio of coarse to fine beads until the volume fraction of fine particles is equal to the coarse component. Saturated hydraulic conductivity result shows that the assumption of random packing was not achieved at the higher coarse ratio where most of the fine particles tend to sit at the bottom of the column forming separate layers which lower the overall hydraulic conductivity value.

Capillary pressure heterogeneity and hysteresis for the supercritical CO2/water system in a sandstone

NASA Astrophysics Data System (ADS)

Pini, Ronny; Benson, Sally M.

2017-10-01

We report results from an experimental investigation on the hysteretic behaviour of the capillary pressure curve for the supercritical CO2-water system in a Berea Sandstone core. Previous observations have highlighted the importance of subcore-scale capillary heterogeneity in developing local saturations during drainage; we show in this study that the same is true for the imbibition process. Spatially distributed drainage and imbibition scanning curves were obtained for mm-scale subsets of the rock sample non-invasively using X-ray CT imagery. Core- and subcore-scale measurements are well described using the Brooks-Corey formalism, which uses a linear trapping model to compute mobile saturations during imbibition. Capillary scaling yields two separate universal drainage and imbibition curves that are representative of the full subcore-scale data set. This enables accurate parameterisation of rock properties at the subcore-scale in terms of capillary scaling factors and permeability, which in turn serve as effective indicators of heterogeneity at the same scale even when hysteresis is a factor. As such, the proposed core-analysis workflow is quite general and provides the required information to populate numerical models that can be used to extend core-flooding experiments to conditions prevalent in the subsurface, which would be otherwise not attainable in the laboratory.

Effects of blockade of cerebral lymphatic drainage on regional cerebral blood flow and brain edema after subarachnoid hemorrhage.

PubMed

Sun, Bao-Liang; Xia, Zuo-Li; Wang, Jing-Ru; Yuan, Hui; Li, Wen-Xia; Chen, Yu-She; Yang, Ming-Feng; Zhang, Su-Ming

2006-01-01

The study was designed to observe the influence of blockade of cerebral lymphatic drainage on the regional cerebral blood flow (rCBF) and brain edema after experimental subarachnoid hemorrhage (SAH). Wistar rats were divided into non-SAH, SAH, and SAH plus cervical lymphatic blockade (SAH + CLB) groups. Autologous arterial hemolysate was injected into rat's cisterna magna to induce SAH. The rCBF was recorded continuously by a laser Doppler flowmeter. Intracranial pressure (ICP) was also monitored. After 24 hours and 72 hours of SAH, the rats were sacrificed and the brain was harvested for water content detection. It was found that there was no obvious change of rCBF and brain water content during the experiment in non-SAH group. An immediate and persistent drop in rCBF was found in SAH group. The drop in rCBF was more obvious in SAH + CLB group. CLB also worsened the SAH-induced increase in ICP. The brain water content 24 hours and 72 hours after induction of SAH in SAH group increased significantly. CLB led to a further increase of brain water content. In conclusion, blockade of cerebral lymphatic drainage pathway deteriorates the secondary cerebral ischemia and brain edema after SAH.

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.

Controls on Weathering of Pyrrhotite in a Low-Sulfide, Granitic Mine-Waste Rock in the Canadian Arctic

NASA Astrophysics Data System (ADS)

Langman, J. B.; Holland, S.; Sinclair, S.; Blowes, D.

2013-12-01

Increased environmental risk is incurred with expansion of mineral extraction in the Arctic. A greater understanding of geochemical processes associated with hard-rock mining in this cold climate is needed to evaluate and mitigate these risks. A laboratory and in-situ experiment was conducted to examine mineral weathering and the generation of acid rock drainage in a low-sulfide, run-of-mine waste rock in an Arctic climate. Rock with different concentrations of sulfides (primarily pyrrhotite [Fe7S8] containing small amounts of Co and Ni) and carbonates were weathered in the laboratory and in-situ, large-scale test piles to examine leachate composition and mineral weathering. The relatively larger sulfide-containing rock produced sufficient acid to overcome carbonate buffering and produced a declining pH environment with concomitant release of SO4, Fe, Co, and Ni. Following carbonate consumption, aluminosilicate buffering stabilized the pH above 4 until a reduction in acid generation. Results from the laboratory experiment assisted in determining that after consumption of 1.6 percent of the total sulfide, the larger sulfide-concentration test pile likely is at an internal steady-state or maximal weathering rate after seven years of precipitation input and weathering that is controlled by an annual freeze-thaw cycle. Further weathering of the test pile should be driven by external factors of temperature and precipitation in this Arctic, semi-arid region instead of internal factors of wetting and non-equilibrium buffering. It is predicted that maximal weathering will continue until at least 20 percent of the total sulfide is consumed. Using the identified evolution of sulfide consumption in this Arctic climate, a variable rate factor can now be assessed for the possible early evolution and maximal weathering of larger scale waste-rock piles and seasonal differences because of changes in the volume of a waste-rock pile undergoing active weathering due to the freeze-thaw cycle. Such rate factors are necessary to predict acid rock drainage and implement best management practices to minimize environmental impacts. To better understand the early geochemical evolution of the waste rock, sulfide minerals from different periods in the experiments were analyzed for discrete mineral characteristics indicative of a weathered state. Element transfer from the mineral to aqueous phase is transport limited because of the formation of Fe-(oxy)hydroxide weathered rims that can be an inhibitor of dissolution. Application of various x-ray spectroscopy techniques indicated that pyrrhotite transforms to marcasite [FeS2] prior to formation of Fe(II)-(oxy)hydroxides and further to Fe(III)-hydroxide/oxides. Iron appears to migrate through the weathered rims leaving the S-rich layer behind, and oxygen likely is retarded from migrating inward with formation of Fe(III) species. As these Fe-mineral transformations occur, they influence the retention of the secondary metals such as Co and Ni that preferentially remain in the +2 oxidation state and may leave the system as hydroxides, oxides, and sulfates. Understanding mineral evolution in this climate assists in adjusting appropriate rate factors for temporal changes in element release from the weathering of the pyrrhotite.

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.

Peatland Structural Controls on Spring Distribution

NASA Astrophysics Data System (ADS)

Hare, D. K.; Boutt, D. F.; Hackman, A. M.; Davenport, G.

2013-12-01

The species richness of wetland ecosystems' are sustained by the presence of discrete groundwater discharge, or springs. Springs provide thermal refugia and a source of fresh water inflow crucial for survival of many wetland species. The subsurface drivers that control the spatial distribution of surficial springs throughout peatland complexes are poorly understood due to the many challenges peatlands pose for hydrologic characterization, such as the internal heterogeneities, soft, dynamic substrate, and low gradient of peat drainage. This has previously made it difficult to collect spatial data required for restoration projects that seek to support spring obligate and thermally stressed species such as trout. Tidmarsh Farms is a 577-acre site in Southeastern Massachusetts where 100+ years of cranberry farming has significantly altered the original peatland hydrodynamics and ecology. Farming practices such as the regular application of sand, straightening of the main channel, and addition of drainage ditches has strongly degraded this peatland ecosystem. Our research has overlain non-invasive geophysical, thermal, and water isotopic data from the Tidmarsh Farms peatland to provide a detailed visualization of how subsurface peat structure and spring patterns correlate. Ground penetrating radar (GPR) has proven particularly useful in characterizing internal peat structure and the mineral soil interface beneath peatlands, we interpolate the peatland basin at a large scale (1 km2) and compare this 3-D surface to the locations of springs on the peat platform. Springs, expressed as cold anomalies in summer and warm anomalies in winter, were specifically located by combining fiber-optic and infrared thermal surveys, utilizing the numerous relic agricultural drainage ditches as a sampling advantage. Isotopic signatures of the spring locations are used to distinguish local and regional discharge, differences that can be explained in part by the peat basin structure delineated with GPR. The study expands our understanding of complex peat systems and will be used to inform wetland restoration based on hydrodynamic processes; yielding a more successful, resilient restoration and desired ecologic function. Our research demonstrates how the use of GPR in combination with thermal imagery and isotopic analysis can help characterize degraded peatlands, informing a process-based approach to ecological restoration of the site with the ability to monitor changes through time.

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

Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults.

PubMed

Carson-Chahhoud, Kristin V; Wakai, Abel; van Agteren, Joseph Em; Smith, Brian J; McCabe, Grainne; Brinn, Malcolm P; O'Sullivan, Ronan

2017-09-07

For management of pneumothorax that occurs without underlying lung disease, also referred to as primary spontaneous pneumothorax, simple aspiration is technically easier to perform than intercostal tube drainage. In this systematic review, we seek to compare the clinical efficacy and safety of simple aspiration versus intercostal tube drainage for management of primary spontaneous pneumothorax. This review was first published in 2007 and was updated in 2017. To compare the clinical efficacy and safety of simple aspiration versus intercostal tube drainage for management of primary spontaneous pneumothorax. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2017, Issue 1) in the Cochrane Library; MEDLINE (1966 to January 2017); and Embase (1980 to January 2017). We searched the World Health Organization (WHO) International Clinical Trials Registry for ongoing trials (January 2017). We checked the reference lists of included trials and contacted trial authors. We imposed no language restrictions. We included randomized controlled trials (RCTs) of adults 18 years of age and older with primary spontaneous pneumothorax that compared simple aspiration versus intercostal tube drainage. Two review authors independently selected studies for inclusion, assessed trial quality, and extracted data. We combined studies using the random-effects model. Of 2332 publications obtained through the search strategy, seven studies met the inclusion criteria; one study was ongoing and six studies of 435 participants were eligible for inclusion in the updated review. Data show a significant difference in immediate success rates of procedures favouring tube drainage over simple aspiration for management of primary spontaneous pneumothorax (risk ratio (RR) 0.78, 95% confidence interval (CI) 0.69 to 0.89; 435 participants, 6 studies; moderate-quality evidence). Duration of hospitalization however was significantly less for patients treated by simple aspiration (mean difference (MD) -1.66, 95% CI -2.28 to -1.04; 387 participants, 5 studies; moderate-quality evidence). A narrative synthesis of evidence revealed that simple aspiration led to fewer adverse events (245 participants, 3 studies; low-quality evidence), but data suggest no differences between groups in terms of one-year success rate (RR 1.07, 95% CI 0.96 to 1.18; 318 participants, 4 studies; moderate-quality evidence), hospitalization rate (RR 0.60, 95% CI 0.25 to 1.47; 245 participants, 3 studies; very low-quality evidence), and patient satisfaction (median between-group difference of 0.5 on a scale from 1 to 10; 48 participants, 1 study; low-quality evidence). No studies provided data on cost-effectiveness. Available trials showed low to moderate-quality evidence that intercostal tube drainage produced higher rates of immediate success, while simple aspiration resulted in a shorter duration of hospitalization. Although adverse events were reported more commonly for patients treated with tube drainage, the low quality of the evidence warrants caution in interpreting these findings. Similarly, although this review observed no differences between groups when early failure rate, one-year success rate, or hospital admission rate was evaluated, this too needs to be put into the perspective of the quality of evidence, specifically, for evidence of very low and low quality for hospitalization rate and patient satisfaction, respectively. Future adequately powered research is needed to strengthen the evidence presented in this review.

Variety, State and Origin of Drained Thaw Lake Basins in West-Siberian North

NASA Astrophysics Data System (ADS)

Kirpotin, S.; Polishchuk, Y.; Bryksina, N.; Sugaipova, A.; Pokrovsky, O.; Shirokova, L.; Kouraev, A.; Zakharova, E.; Kolmakova, M.; Dupre, B.

2009-04-01

Drained thaw lake basins in Western Siberia have a local name "khasyreis" [1]. Khasyreis as well as lakes, ponds and frozen mounds are invariable element of sub-arctic frozen peat bogs - palsas and tundra landscapes. In some areas of West-Siberian sub-arctic khasyreis occupy up to 40-50% of total lake area. Sometimes their concentration is so high that we call such places ‘khasyrei's fields". Khasyreis are part of the natural cycle of palsa complex development [1], but their origin is not continuous and uniform in time and, according to our opinion, there were periods of more intensive lake drainage and khasyrei development accordingly. These times were corresponding with epochs of climatic warming and today we have faced with one of them. So, last years this process was sufficiently activated in the south part of West-Siberian sub-arctic [2]. It was discovered that in the zone of continuous permafrost thermokarst lakes have expanded their areas by about 10-12%, but in the zone of discontinuous permafrost the process of their drainage prevails. These features are connected with the thickness of peat layers which gradually decreases to the North, and thus have reduced the opportunity for lake drainage in northern areas. The most typical way of khasyrei origin is their drainage to the bigger lakes which are always situated on the lower levels and works as a collecting funnels providing drainage of smaller lakes. The lower level of the big lake appeared when the lake takes a critical mass of water enough for subsidence of the lake bottom due to the melting of underlaying rocks [2]. Another one way of lake drainage is the lake intercept by any river. Lake drainage to the subsurface (underlaying rocks) as some authors think [3, 4] is not possible in Western Siberia, because the thickness of permafrost is at list 500 m here being safe confining bed. We mark out few stages of khasyrei development: freshly drained, young, mature and old. This row reflects stages of repeated permafrost heaving from small declustered frozen mounds to recovery of palsa plateaus due to growing and merging of isolated mounds. It was shown that satellite altimetry, which was applied for the first time in permafrost zone in the framework of Russian-French project CAR-WET-SIB, is a prospective method to study lakes and khasyreis state and dynamic. References [1] Kirpotin S.N., Naumov A .V., Vorobiov S.N., Mironycheva-Tokareva N.P., Kosych N.P., Lapshina E.D., Marquand J., Kulizhski S.P., Bleuten W. 2007. Western-Siberian Peatlands: Indicators of Climate Change and Their Role in Global Carbon Balance. Chapter 33 in Climate Change and Terrestrial Carbon Sequestration in Central Asia / edited by R.Lal, M.Suleimenov, B.A.Stewart, D.O.Hansen, and P.Doraiswamy, Taylor and Francis, Amsterdam, Holland, pp. 453-472. [2] Kirpotin S., Polishchuk Yu., Zakharova E., Shirokova L., Pokrovsky O., Kolmakova M., Dupre B. 2008. One of Possible Mechanisms of Thermokarst Lakes Drainage in West-Siberian North // International Journal of Environmental Studies. Vol.65, No 5, October 2008, 631-635. [3] Smith, L.C., Sheng, Y., McDonald, G.M., Hinzman, L.D. 2005. Disappearing Arctic Lakes, Science, 308, 1429 [4] Hinkel, K.M., Eisner, W.R., Bockheim, J.G., Nelson, F.E., Peterson, K.M., and Dai, X. 2003. Spatial Extent, Age, and Carbon Stoks in Drained Thaw Lake Basins on the Barrow Peninsula. Alaska. Arctic, Antarctic, and Alpine Research, 35, 3, 291-300.

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.

Deformation and evolution of an experimental drainage network subjected to oblique deformation: Insight from chi-maps

NASA Astrophysics Data System (ADS)

Guerit, Laure; Goren, Liran; Dominguez, Stéphane; Malavieille, Jacques; Castelltort, Sébastien

2017-04-01

The morphology of a fluvial landscape reflects a balance between its own dynamics and external forcings, and therefore holds the potential to reveal local or large-scale tectonic patterns. Commonly, particular focus has been cast on the longitudinal profiles of rivers as they constitute sensitive recorders of vertical movements, that can be recovered based on models of bedrock incision. However, several recent studies have suggested that maps of rescaled distance along channel called chi (χ), derived from the commonly observed power law relation between the slope and the drainage area , could reveal transient landscapes in state of reorganization of basin geometry and location of water divides. If river networks deforms in response to large amount of distributed strain, then they might be used to reconstruct the mode and rate of horizontal deformation away from major active structures through the use of the parameter χ. To explore how streams respond to tectonic horizontal deformation, we develop an experimental model for studying river pattern evolution over a doubly-vergent orogenic wedge growing in a context of oblique convergence. We use a series of sprinklers located about the experimental table to activate erosion, sediment transport and river development on the surface of the experimental wedge. At the end of the experiment, the drainage network is statistically rotated clockwise, confirming that rivers can record the distribution of motion along the wedge. However, the amount of rotation does not match with the imposed deformation, and thus we infer that stream networks are not purely passive markers. Based on the comparison between the observed evolution of the fluvial system and the predictions made from χ maps, we show that the plan-view morphology of the streams results from the competition between the imposed deformation and fluvial processes of drainage reorganization.

Features of lava lake filling and draining and their implications for eruption dynamics

USGS Publications Warehouse

Stovall, W.K.; Houghton, Bruce F.; Harris, A.J.L.; Swanson, D.A.

2009-01-01

Lava lakes experience filling, circulation, and often drainage depending upon the style of activity and location of the vent. Features formed by these processes have proved difficult to document due to dangerous conditions during the eruption, inaccessibility, and destruction of features during lake drainage. Kilauea Iki lava lake, Kilauea, Hawai'i, preserves many such features, because lava ponded in a pre-existing crater adjacent to the vent and eventually filled to the level of, and interacted with, the vent and lava fountains. During repeated episodes, a cyclic pattern of lake filling to above vent level, followed by draining back to vent level, preserved features associated with both filling and draining. Field investigations permit us to describe the characteristic features associated with lava lakes on length scales ranging from centimeters to hundreds of meters in a fashion analogous to descriptions of lava flows. Multiple vertical rinds of lava coating the lake walls formed during filling as the lake deepened and lava solidified against vertical faces. Drainage of the lake resulted in uneven formation of roughly horizontal lava shelves on the lakeward edge of the vertical rinds; the shelves correlate with stable, staggered lake stands. Shelves either formed as broken relict slabs of lake crust that solidified in contact with the wall or by accumulation, accretion, and widening at the lake surface in a dynamic lateral flow regime. Thin, upper lava shelves reflect an initially dynamic environment, in which rapid lake lowering was replaced by slower and more staggered drainage with the formation of thicker, more laterally continuous shelves. At all lava lakes experiencing stages of filling and draining these processes may occur and result in the formation of similar sets of features. ?? Springer-Verlag 2009.

Management of Postoperative Lymphoceles After Lymphadenectomy: Percutaneous Catheter Drainage With and Without Povidone-Iodine Sclerotherapy

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

Alago, William, E-mail: alagow@mskcc.org; Deodhar, Ajita; Michell, Hans

To report our single-center experience in managing symptomatic lymphoceles after lymphadenectomy for genitourinary and gynecologic malignancy and to compare clinical outcomes of percutaneous catheter drainage (PCD) alone versus PCD with transcatheter povidone-iodine sclerotherapy (TPIS). The medical records of patients who presented for percutaneous drainage of pelvic lymphoceles from February 1999 to September 2007 were retrospectively reviewed. Catheters with prolonged outputs >50 cc/day were treated with TPIS. Technical success was defined as the ability to achieve complete resolution of the lymphocele. Clinical success was defined as resolution of the patient's symptoms that prompted the intervention. Sixty-four patients with 70 pelvic lymphocelesmore » were treated. Forty-six patients (71.9 %) had PCD, and 18 patients (28.1 %) had multisession TPIS. The mean initial cavity size was 294.9 cc for those treated with TPIS and 228.2 cc for those treated with PCD alone (range 15-1,600) (p = 0.59). Mean duration of catheter drainage was 19 days (29 days with TPIS, 16 days with PCD, p = 0.001). Mean clinical follow-up was 22.6 months. Technical success was 74.3 % with PCD and 100 % with TPIS. Clinical success was 97 % with PCD and 100 % with TPIS. Postprocedural complications included pericatheter fluid leakage (n = 4), catheter dislodgement (n = 3), catheter occlusion (n = 9), and secondary infection of the collection (n = 4). PCD of symptomatic lymphoceles is an effective postoperative management technique. Initial cavity size is not an accurate predictor of the need for TPIS. When indicated, TPIS is safe and effective with catheter outputs >50 cc/day.« less

Response of maize yield, nitrate leaching, and soil nitrogen to pig slurry combined with mineral nitrogen.

PubMed

Yagüe, María R; Quílez, Dolores

2010-01-01

The application of pig (Sus scrofa) slurry (PS) is a common fertilization practice that may affect nitrate concentrations and loads in drainage and receiving water bodies. To protect water resources, many agricultural areas are being designated as vulnerable to nitrate contamination, and there is a need for scientific data aiming at reducing nitrate exports from these vulnerable zones by optimizing N fertilization strategies. The objective of this work, conducted in drainage lysimeters in a 4-yr monoculture maize (Zea mays L.) crop, is to assess the effects of four fertilization strategies combining PS (30, 60, 90, and 120 t ha(-1)) and mineral N on yield, changes in soil mineral N, and concentration and mass of nitrate in drainage waters. Grain yield was not affected by treatments in the four experimental years, nor was the soil mineral N at the end of the experiment. Effects of fertilization strategies on nitrate concentration and mass in drainage waters were detected only after 3 yr of repeated PS applications. The mass of nitrate leached over the 4 yr was positively related to the total amount of N applied, either organic or mineral. In year 2003, precipitation in spring reduced N availability for the crop in treatments with rates > or = 60 t PS ha(-1). The N-budget revealed that the transport pathways for 25% of N inputs to the system are unknown. The presowing application of pig slurry at 30 t ha(-1) complemented with mineral N at side-dressing, was the most efficient from an environmental standpoint (4-yr average of 145 kg grain yield kg(-1) N leached).

Improved isolation of cadmium from paddy soil by novel technology based on pore water drainage with graphite-contained electro-kinetic geosynthetics.

PubMed

Tang, Xianqiang; Li, Qingyun; Wang, Zhenhua; Hu, Yanping; Hu, Yuan; Scholz, Miklas

2018-03-10

Novel soil remediation equipment based on electro-kinetic geosynthetics (EKG) was developed for in situ isolation of metals from paddy soil. Two mutually independent field plot experiments A and B (with and without electric current applied) were conducted. After saturation using ferric chloride (FeCl 3 ) and calcium chloride (CaCl 2 ), soil water drainage capacity, soil cadmium (Cd) removal performance, energy consumption as well as soil residual of iron (Fe) and chloride (Cl) were assessed. Cadmium dissolved in the soil matrix and resulted in a 100% increase of diethylenetriamine-pentaacetic acid (DTPA) extracted phyto-available Cd. The total soil Cd content reductions were 15.20% and 26.58% for groups A and B, respectively, and electric field applications resulted in a 74.87% increase of soil total Cd removal. The electric energy consumption was only 2.17 kWh/m 3 for group B. Drainage by gravity contributed to > 90% of the overall soil dewatering capacity. Compared to conventional electro-kinetic technology, excellent and fast soil water drainage resulted in negligible hydrogen ion (H + ) and hydroxide ion (OH - ) accumulation at nearby electrode zones, which addressed the challenge of anode corrosion and cathode precipitation of soil metals. External addition of FeCl 3 and CaCl 2 caused soil Fe and Cl residuals and led to 4.33-7.59% and 139-172% acceptable augments in soil total Fe and Cl content, correspondingly, if compared to original untreated soils. Therefore, the novel soil remediation equipment developed based on EKG can be regarded as a promising new in situ technology for thoroughly isolating metals from large-scale paddy soil fields.

Soil Data from a Moderately Well and Somewhat Poorly Drained Fire Chronosequence near Thompson, Manitoba, Canada

USGS Publications Warehouse

Manies, K.L.; Harden, J.W.; Veldhuis, Hugo; Trumbore, Sue

2006-01-01

The U.S. Geological Survey project Fate of Carbon in Alaskan Landscapes (FOCAL) is studying the effect of fire and soil drainage on soil carbon storage in the boreal forest. As such this group was invited to be a part of a NSF-funded project (Fire, Ecosystem and Succession - Experiment Boreal or FIRES-ExB) to study the carbon balance of sites that varied in age (time since fire) and soil drainage in the Thompson, Manitoba, Canada region. This report describes the location of our FIRES-ExB sampling sites as well as the procedures used to describe, sample, and analyze the soils. This report also contains data tables with sample related information including, but not limited to, field descriptions, bulk density, particle size distribution, moisture content, carbon (C) concentration, nitrogen (N) concentration, isotopic data for C, and major, minor and trace elemental concentration.

Reactive solute transport in acidic streams

USGS Publications Warehouse

Broshears, R.E.

1996-01-01

Spatial and temporal profiles of Ph and concentrations of toxic metals in streams affected by acid mine drainage are the result of the interplay of physical and biogeochemical processes. This paper describes a reactive solute transport model that provides a physically and thermodynamically quantitative interpretation of these profiles. The model combines a transport module that includes advection-dispersion and transient storage with a geochemical speciation module based on MINTEQA2. Input to the model includes stream hydrologic properties derived from tracer-dilution experiments, headwater and lateral inflow concentrations analyzed in field samples, and a thermodynamic database. Simulations reproduced the general features of steady-state patterns of observed pH and concentrations of aluminum and sulfate in St. Kevin Gulch, an acid mine drainage stream near Leadville, Colorado. These patterns were altered temporarily by injection of sodium carbonate into the stream. A transient simulation reproduced the observed effects of the base injection.

Enlightenment from ancient Chinese urban and rural stormwater management practices.

PubMed

Wu, Che; Qiao, Mengxi; Wang, Sisi

2013-01-01

Hundreds of years ago, the ancient Chinese implemented several outstanding projects to cope with the changing climate and violent floods. Some of these projects are still in use today. These projects evolved from the experience and knowledge accumulated through the long coexistence of people with nature. The concepts behind these ancient stormwater management practices, such as low-impact development and sustainable drainage systems, are similar to the technology applied in modern stormwater management. This paper presents the cases of the Hani Terrace in Yunnan and the Fushou drainage system of Ganzhou in Jiangxi. The ancient Chinese knowledge behind these cases is seen in the design concepts and the features of these projects. These features help us to understand better their applications in the contemporary environment. In today's more complex environment, integrating traditional and advanced philosophy with modern technologies is extremely useful in building urban and rural stormwater management systems in China.

Partial anomalous pulmonary venous drainage. A novel approach to repair.

PubMed

Hanhan, U A; Moodie, D S; Gill, C C; Sterba, R; Currie, P; Stewart, R

1989-01-01

Isolated partial anomalous pulmonary venous drainage with an intact atrial septum is a rare finding. The authors describe their experience with three patients (ages 9, 37, and 54 years), with partial anomalous pulmonary venous connection to the superior vena cava, right atrium, and inferior vena cava, who underwent extracardiac conduit repair of this anomaly. In all three patients, a synthetic Gortex graft was used for reconstruction of the venous pathways to the left atrium. The follow-up period ranged from 10 to 82 months (mean, 42 months). All three patients were evaluated with intravenous digital angiography, transesophageal echocardiography, or both at 10, 33, and 82 months postoperatively. Patency of the grafts with no evidence of obstruction and excellent pulmonary venous flow was shown. This surgical technique is an excellent option for correction of this anomaly, and intravenous digital subtraction angiography is a useful diagnostic tool during the postoperative period to evaluate patency of the repair.

Surfactant effect on drop coalescence and film drainage hydrodynamics

NASA Astrophysics Data System (ADS)

Weheliye, Weheliye; Chinaud, Maxime; Voulgaropoulos, Victor; Angeli, Panagiota

2015-11-01

Coalescence of a drop on an aqueous-organic interface is studied in two test geometries A rectangular acrylic vessel and a Hele-Shaw cell (two parallel plates placed 2mm apart) are investigated for the experiments. Time resolved Particle Image Velocimetry (PIV) measurements provide information on the hydrodynamics during the bouncing stage of the droplet and on the vortices generated at the bulk fluid after the droplet has coalesced. The velocity field inside the droplet during its coalescence is presented. By localizing the rupture point of the coalescence in the quasi two dimensional cell, the film drainage dynamics are discussed by acquiring its flow velocity by PIV measurements with a straddling camera. The effect of surface tension forces in the coalescence of the droplet is investigated by introducing surface active agents at various concentrations extending on both sides of the critical micelle concentration.

Impacts on water quality and biota from natural acid rock drainage in Colorado's Lake Creek watershed

USGS Publications Warehouse

Bird, D.A.; Sares, Matthew A.; Policky, Greg A.; Schmidt, Travis S.; Church, Stan E.

2006-01-01

Colorado's Lake Creek watershed hosts natural acid rock drainage that significantly impacts surface water, streambed sediment, and aquatic life. The source of the ARD is a group of iron-rich springs that emerge from intensely hydrothermally altered, unexploited, low-grade porphyry copper mineralization in the Grizzly Peak Caldera. Source water chemistry includes pH of 2.5 and dissolved metal concentrations of up to 277 mg/L aluminum, 498 mg/L iron, and 10 mg/L copper. From the hydrothermally altered area downstream for 27 kilometers to Twin Lakes Reservoir, metal concentrations in streambed sediment are elevated and the watershed experiences locally severe adverse impacts to aquatic life due to the acidic, metal-laden water. The water and sediment quality of Twin Lakes Reservoir is sufficiently improved that the reservoir supports a trout fishery, and remnants of upstream ARD are negligible.

Flow rate impacts on capillary pressure and interface curvature of connected and disconnected fluid phases during multiphase flow in sandstone

NASA Astrophysics Data System (ADS)

Herring, Anna L.; Middleton, Jill; Walsh, Rick; Kingston, Andrew; Sheppard, Adrian

2017-09-01

We investigate capillary pressure-saturation (PC-S) relationships for drainage-imbibition experiments conducted with air (nonwetting phase) and brine (wetting phase) in Bentheimer sandstone cores. Three different flow rate conditions, ranging over three orders of magnitude, are investigated. X-ray micro-computed tomographic imaging is used to characterize the distribution and amount of fluids and their interfacial characteristics. Capillary pressure is measured via (1) bulk-phase pressure transducer measurements, and (2) image-based curvature measurements, calculated using a novel 3D curvature algorithm. We distinguish between connected (percolating) and disconnected air clusters: curvatures measured on the connected phase interfaces are used to validate the curvature algorithm and provide an indication of the equilibrium condition of the data; curvature and volume distributions of disconnected clusters provide insight to the snap-off processes occurring during drainage and imbibition under different flow rate conditions.

Abrupt drainage cycles of the Fennoscandian Ice Sheet

PubMed Central

Soulet, Guillaume; Ménot, Guillemette; Bayon, Germain; Rostek, Frauke; Ponzevera, Emmanuel; Toucanne, Samuel; Lericolais, Gilles; Bard, Edouard

2013-01-01

Continental ice sheets are a key component of the Earth’s climate system, but their internal dynamics need to be further studied. Since the last deglaciation, the northern Eurasian Fennoscandian Ice Sheet (FIS) has been connected to the Black Sea (BS) watershed, making this basin a suitable location to investigate former ice-sheet dynamics. Here, from a core retrieved in the BS, we combine the use of neodymium isotopes, high-resolution elemental analysis, and biomarkers to trace changes in sediment provenance and river runoff. We reveal cyclic releases of meltwater originating from Lake Disna, a proglacial lake linked to the FIS during Heinrich Stadial 1. Regional interactions within the climate–lake–FIS system, linked to changes in the availability of subglacial water, led to abrupt drainage cycles of the FIS into the BS watershed. This phenomenon raised the BS water level by ∼100 m until the sill of the Bosphorus Strait was reached, flooding the vast northwestern BS shelf and deeply affecting the hydrology and circulation of the BS and, probably, of the Marmara and Aegean Seas. PMID:23569264

[Splenic abscesses: From diagnosis to therapy].

PubMed

Davido, B; Dinh, A; Rouveix, E; Crenn, P; Hanslik, T; Salomon, J

2017-09-01

Splenic abscess is septic collection which occurs after haematogenous spread or local dissemination. Splenic abscess is an uncommon and rare condition, more frequently affecting male and immunocompromised patients. There are no guidelines regarding its diagnosis and management. Computed tomography (CT) scan is highly sensitive and specific (95% and 92%, respectively) in the diagnosis of splenic abscess. Diagnosis is based on blood cultures which are positive in 24 to 80% of cases. Bacterial growth culture of abscess after drainage is more efficient (50-80%) and can be performed after surgery or percutaneous drainage under imaging, including CT scan. Microorganisms involved are frequently enterobacteriaceae, gram-positive cocci and anaerobes. This particular ecology leads to an empiric broad-spectrum antibiotic therapy, with a variable duration, from 10days to more than one month. Management remains very close to the one applied in case of liver abscesses. The role of splenectomy in the prevention of recurrence remains controversial. We reviewed the literature regarding splenic abscesses, from diagnosis to therapy. Copyright © 2017 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.

Abrupt drainage cycles of the Fennoscandian Ice Sheet.

PubMed

Soulet, Guillaume; Ménot, Guillemette; Bayon, Germain; Rostek, Frauke; Ponzevera, Emmanuel; Toucanne, Samuel; Lericolais, Gilles; Bard, Edouard

2013-04-23

Continental ice sheets are a key component of the Earth's climate system, but their internal dynamics need to be further studied. Since the last deglaciation, the northern Eurasian Fennoscandian Ice Sheet (FIS) has been connected to the Black Sea (BS) watershed, making this basin a suitable location to investigate former ice-sheet dynamics. Here, from a core retrieved in the BS, we combine the use of neodymium isotopes, high-resolution elemental analysis, and biomarkers to trace changes in sediment provenance and river runoff. We reveal cyclic releases of meltwater originating from Lake Disna, a proglacial lake linked to the FIS during Heinrich Stadial 1. Regional interactions within the climate-lake-FIS system, linked to changes in the availability of subglacial water, led to abrupt drainage cycles of the FIS into the BS watershed. This phenomenon raised the BS water level by ∼100 m until the sill of the Bosphorus Strait was reached, flooding the vast northwestern BS shelf and deeply affecting the hydrology and circulation of the BS and, probably, of the Marmara and Aegean Seas.

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

Connecting Indigenous Knowledge to Thaw Lake Cycle Research on the Arctic Coastal Plain of Alaska

NASA Astrophysics Data System (ADS)

Eisner, W. R.; Cuomo, C. J.; Hinkel, K. M.; Jones, B. M.; Hurd, J.

2005-12-01

Thaw lakes cover about 20% of the Arctic Coastal Plain of Alaska. Another 26% is scarred by basins that form when lakes drain, and these drained thaw-lake basins are sites for preferential carbon accumulation as plant biomass. Recent studies in the continuous permafrost zone of Western Siberia suggest that lakes have been expanding in the past several decades in response to regional warming. Anticipated regional warming would likely mobilize sequestered soil organic carbon, resulting in the emission of CO2 and CH4. Our understanding of the processes leading to thaw lake formation, expansion, and drainage in northern Alaska has been limited because models are specific to the flat, young Outer (seaward) Coastal Plain comprising 1/3 of the region. Furthermore, spatial and temporal analysis of lake dynamics is largely restricted to the period since 1948, when aerial photographs first became available across large regions of the Coastal Plain. In order to fill these gaps, we have been interviewing Iñupiaq elders, hunters, and berry pickers from the villages of Atqasuk and Barrow. The objective of these interviews is to obtain accounts of lake formation, expansion and drainage that have occurred within living or oral memory, and extend the record back several generations. To date, we have interviewed fifteen Iñupiat; most of these are people who travel the tundra frequently and have done so for decades. They have first-hand experience of lake drainage, sea cliff and river bank erosion, permafrost degradation, and other landscape changes. Many informants expressed concern that landscape changes are occurring at an increasingly rapid rate. They have identified lakes that have drained, areas where the permafrost is thawing, and places where the sea and river coastline is eroding. We have been able to corroborate reports of lake drainage from our informants with a series of aerial photographs, satellite images, and radiocarbon dates. In many instances, the elders have pinpointed the year of drainage where we previously had only bracketed a 5-10 year period in which drainage must have occurred. Our informants were also often able to identify the cause of the drainage event, the process by which it occurred, and the aftermath of the event (i.e. overflow into other lakes, changes in stream hydrology, changes in fish species, etc.). We have also noted a difference in the reports of lake drainage and other landscape changes between the people who have more knowledge of the Inner (Atqasuk residents) and Outer (Barrow residents) Coastal Plain. Travelers of the Outer Coastal Plain have identified more lake drainage events. The people of the Inner Coastal Plain, conversely, speak of lower water levels in lakes and overall drier conditions in recent years. The quantity of information from the Barrow and Atqasuk elders and the precision of their observations is impressive. We will be analyzing, by both quantitative and qualitative methods, this information in conjunction with our ongoing studies of thaw-lake processes on the Arctic Coastal Plain. In addition to discussing specific knowledge about thaw-lake processes, we are archiving the range of knowledge and stories that elders, hunters, and other users of the tundra introduce to the interviews. We believe the traditional knowledge and ongoing observations of the Iñupiat are highly valuable to scientists and society in general, and we strongly advocate further cooperation between traditional and scientific "ways of knowing."

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...