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https://www.readbyqxmd.com/read/28820681/efficacy-safety-and-cost-effectiveness-of-thermotherapy-in-the-treatment-of-leishmania-donovani-induced-cutaneous-leishmaniasis-a-randomized-controlled-clinical-trial
#1
Wardha F Refai, Nayani P Madarasingha, Buthsiri Sumanasena, Sudath Weerasingha, Amala De Silva, Rohini Fernandopulle, Abhay R Satoskar, Nadira D Karunaweera
Leishmania donovani causes cutaneous leishmaniasis (CL) in Sri Lanka. Standard treatment is multiple, painful doses of intralesional sodium stibogluconate (IL-SSG). Treatment failures are increasingly reported, hence the need to investigate alternatives. Efficacy, safety, and cost-effectiveness of thermotherapy were assessed for the first time for L. donovani CL. A single blinded noninferiority randomized controlled trial was conducted on new laboratory-confirmed CL patients with single lesions (N = 213). Selected patients were randomly assigned to 1) test group (N = 98; single session of radiofrequency-induced heat therapy (RFHT) given at 50°C for 30 seconds) and 2) control group (N = 115; 1-3 mL IL-SSG given weekly, until cure/10 doses)...
August 14, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28810996/rhabdomyolysis-after-crawling-military-training
#2
Danit Atias-Varon, Haggai Sherman, Ran Yanovich, Yuval Heled
INTRODUCTION: Rhabdomyolysis is a syndrome characterized by muscle necrosis followed by release of intracellular muscle contents into the circulation. Exertional rhabdomyolysis (ER) occurs in response to nonfamiliar and/or excessive, prolonged, or repetitive exercises, with eccentric characteristics. In military populations, due to the type of intense, all out physical loads, ER is a significant threat, particularly when training under heat stress. However, many other etiologies exist, and clinical presentations vary greatly...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28810980/risk-factors-for-rhabdomyolysis-in-the-u-s-army
#3
Owen T Hill, Dennis E Scofield, Jenna Usedom, Lakmini Bulathsinhala, Craig McKinnon, Paul Kwon, Timothy Haley, Robert Carter
The standardized mortality rate of rhabdomyolysis (RM) in Active Duty U.S. Army Soldiers is considerably higher than in the civilian population. RM occurs when large amounts of intracellular contents from damaged skeletal muscle escape into circulation, leading to serious sequelae (e.g., acute renal failure, hyperkalemia, compartment syndrome). Extended physical exertion, especially in hot environments, and trauma can precipitate RM. The aim of this study was to identify RM risk factors among U.S. Active Duty Army (ADA) Soldiers...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28797479/paralysis-and-heart-failure-precede-ion-balance-disruption-in-heat-stressed-european-green-crabs
#4
Lisa B Jørgensen, Johannes Overgaard, Heath A MacMillan
Acute exposure of ectotherms to critically high temperatures causes injury and death, and this mortality has been associated with a number of physiological perturbations including impaired oxygen transport, loss of ion and water homeostasis, and neuronal failure. It is difficult to discern which of these factors, if any, is the proximate cause of heat injury because, for example, loss of ion homeostasis can impair neuromuscular function (including cardiac function), and conversely impaired oxygen transport reduces ATP supply and can thus reduce ion transport capacity...
August 2017: Journal of Thermal Biology
https://www.readbyqxmd.com/read/28797478/heat-stress-is-associated-with-disruption-of-ion-balance-in-the-migratory-locust-locusta-migratoria
#5
James D B O'Sullivan, Heath A MacMillan, Johannes Overgaard
Thermal tolerance is important in determining the spatial and temporal distributions of insects but the mechanisms which determine upper thermal limits remain poorly understood. In terrestrial insects heat tolerance is unlikely to be limited by oxygen supply but in some arthropods, heat stress has been shown to cause haemolymph hyperkalaemia which is known to have detrimental effects on neuromuscular excitability. It is however unresolved if heat-induced hyperkalemia is the cause or the result of cellular heat injury...
August 2017: Journal of Thermal Biology
https://www.readbyqxmd.com/read/28796250/p53-mediated-mir-18-repression-activates-hsf2-for-igf-iir-dependent-myocyte-hypertrophy-in-hypertension-induced-heart-failure
#6
Chih-Yang Huang, Pei-Ying Pai, Chia-Hua Kuo, Tsung-Jung Ho, Jing-Ying Lin, Ding-Yu Lin, Fu-Jen Tsai, V Vijaya Padma, Wei-Wen Kuo, Chih-Yang Huang
Hypertension-induced cardiac hypertrophy and attenuated cardiac function are the major characteristics of early stage heart failure. Cardiomyocyte death in pathological cardiac conditions is the primary cause of heart failure and mortality. Our previous studies found that heat shock factor 1 (HSF1) protected cardiomyocytes from death by suppressing the IGF-IIR signaling pathway, which is critical for hypertensive angiotensin II-induced cardiomyocyte apoptosis. However, the role of heat shock factor 2 (HSF2) in hypertension-induced cardiac hypertrophy is unknown...
August 10, 2017: Cell Death & Disease
https://www.readbyqxmd.com/read/28794144/nasal-high-flow-therapy-a-novel-treatment-rather-than-a-more-expensive-oxygen-device
#7
REVIEW
Eleni Ischaki, Ioannis Pantazopoulos, Spyros Zakynthinos
Nasal high flow is a promising novel oxygen delivery device, whose mechanisms of action offer some beneficial effects over conventional oxygen systems. The administration of a high flow of heated and humidified gas mixture promotes higher and more stable inspiratory oxygen fraction values, decreases anatomical dead space and generates a positive airway pressure that can reduce the work of breathing and enhance patient comfort and tolerance. Nasal high flow has been used as a prophylactic tool or as a treatment device mostly in patients with acute hypoxaemic respiratory failure, with the majority of studies showing positive results...
September 30, 2017: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/28774659/significance-of-a-soft-coagulation-system-with-monopolar-electrode-for-hepatectomy-a-retrospective-two-institution-study-by-propensity-analysis
#8
Takeomi Hamada, Atsushi Nanashima, Koichi Yano, Yorihisa Sumida, Masahide Hiyoshi, Naoya Imamura, Shuichi Tobinaga, Yuki Tsuchimochi, Shinsuke Takeno, Yoshiro Fujii, Takeshi Nagayasu
BACKGROUND: The VIO soft-coagulation system (VIO) with a monopolar electrode is a novel hemostatic device that provides hemostasis by superficial contact at the bleeding site without carbonization. Because heat injury remains a concern, surgical records and postoperative liver dysfunction were retrospectively evaluated in a cohort study. METHODS: Between September 2010 and March 2016, 322 patients underwent hepatectomy in which hemostatic devices were used at two institutions...
July 31, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28774014/design-of-boiler-welding-for-improvement-of-lifetime-and-cost-control
#9
Atcharawadi Thong-On, Chatdanai Boonruang
Fe-2.25Cr-1Mo a widely used material for headers and steam tubes of boilers. Welding of steam tube to header is required for production of boiler. Heat affected zone of the weld can have poor mechanical properties and poor corrosion behavior leading to weld failure. The cost of material used for steam tube and header of boiler should be controlled. This study propose a new materials design for boiler welding to improve the lifetime and cost control, using tungsten inert gas (TIG) welding of Fe-2.25Cr-1Mo tube to carbon steel pipe with chromium-containing filler...
November 3, 2016: Materials
https://www.readbyqxmd.com/read/28774001/a-coupled-thermal-hydrological-mechanical-damage-model-and-its-numerical-simulations-of-damage-evolution-in-apse
#10
Chenhui Wei, Wancheng Zhu, Shikuo Chen, Pathegama Gamage Ranjith
This paper proposes a coupled thermal-hydrological-mechanical damage (THMD) model for the failure process of rock, in which coupling effects such as thermally induced rock deformation, water flow-induced thermal convection, and rock deformation-induced water flow are considered. The damage is considered to be the key factor that controls the THM coupling process and the heterogeneity of rock is characterized by the Weibull distribution. Next, numerical simulations on excavation-induced damage zones in Äspö pillar stability experiments (APSE) are carried out and the impact of in situ stress conditions on damage zone distribution is analysed...
October 31, 2016: Materials
https://www.readbyqxmd.com/read/28773901/monitoring-poisson-s-ratio-degradation-of-frp-composites-under-fatigue-loading-using-biaxially-embedded-fbg-sensors
#11
Erdem Akay, Cagatay Yilmaz, Esat S Kocaman, Halit S Turkmen, Mehmet Yildiz
The significance of strain measurement is obvious for the analysis of Fiber-Reinforced Polymer (FRP) composites. Conventional strain measurement methods are sufficient for static testing in general. Nevertheless, if the requirements exceed the capabilities of these conventional methods, more sophisticated techniques are necessary to obtain strain data. Fiber Bragg Grating (FBG) sensors have many advantages for strain measurement over conventional ones. Thus, the present paper suggests a novel method for biaxial strain measurement using embedded FBG sensors during the fatigue testing of FRP composites...
September 19, 2016: Materials
https://www.readbyqxmd.com/read/28773800/design-of-friction-stir-spot-welding-tools-by-using-a-novel-thermal-mechanical-approach
#12
Zheng-Ming Su, Qi-Hong Qiu, Pai-Chen Lin
A simple thermal-mechanical model for friction stir spot welding (FSSW) was developed to obtain similar weld performance for different weld tools. Use of the thermal-mechanical model and a combined approach enabled the design of weld tools for various sizes but similar qualities. Three weld tools for weld radii of 4, 5, and 6 mm were made to join 6061-T6 aluminum sheets. Performance evaluations of the three weld tools compared fracture behavior, microstructure, micro-hardness distribution, and welding temperature of welds in lap-shear specimens...
August 9, 2016: Materials
https://www.readbyqxmd.com/read/28773144/creep-behavior-of-high-strength-concrete-subjected-to-elevated-temperatures
#13
Minho Yoon, Gyuyong Kim, Youngsun Kim, Taegyu Lee, Gyeongcheol Choe, Euichul Hwang, Jeongsoo Nam
Strain is generated in concrete subjected to elevated temperatures owing to the influence of factors such as thermal expansion and design load. Such strains resulting from elevated temperatures and load can significantly influence the stability of a structure during and after a fire. In addition, the lower the water-to-binder (W-B) ratio and the smaller the quantity of aggregates in high-strength concrete, the more likely it is for unstable strain to occur. Hence, in this study, the compressive strength, elastic modulus, and creep behavior were evaluated at target temperatures of 100, 200, 300, 500, and 800 °C for high-strength concretes with W-B ratios of 30%, 26%, and 23%...
July 11, 2017: Materials
https://www.readbyqxmd.com/read/28772978/thermal-stability-of-p-type-bisbte-alloys-prepared-by-melt-spinning-and-rapid-sintering
#14
Yun Zheng, Gangjian Tan, Yubo Luo, Xianli Su, Yonggao Yan, Xinfeng Tang
P-type BiSbTe alloys have been widely implemented in waste heat recovery from low-grade heat sources below 600 K, which may involve assorted environments and conditions, such as long-term service, high-temperature exposure (generally 473-573 K) and mechanical forces. It is important to evaluate the service performance of these materials in order to prevent possible failures in advance and extend the life cycle. In this study, p-type Bi0.5Sb1.5Te₃ commercial zone-melting (ZM) ingots were processed by melt spinning and subsequent plasma-activated sintering (MS-PAS), and were then subjected to vacuum-annealing at 473 and 573 K, respectively, for one week...
June 6, 2017: Materials
https://www.readbyqxmd.com/read/28772853/the-mechanical-behavior-of-havar-foils-using-the-small-punch-technique
#15
Shlomo Haroush, Daniel Moreno, Ido Silverman, Asher Turgeman, Roni Shneck, Yaniv Gelbstein
Prediction of the mechanical behavior of thin foils (~25 µm) requires special characterization techniques. The current work is focused on the mechanical and microstructural characterization of 25 µm HAVAR alloy foils following annealing, cold rolling, and subsequent heat treatments, using small punch testing (SPT), X-ray diffraction (XRD), and transmission-scanning electron microscopy (TEM). The SPT technique revealed that the annealed specimens exhibited the largest maximal load to failure and deformation (more than two-fold), compared to the cold rolled and heat treated conditions...
May 3, 2017: Materials
https://www.readbyqxmd.com/read/28772394/thermo-mechanical-fatigue-crack-growth-of-rr1000
#16
Christopher John Pretty, Mark Thomas Whitaker, Steve John Williams
Non-isothermal conditions during flight cycles have long led to the requirement for thermo-mechanical fatigue (TMF) evaluation of aerospace materials. However, the increased temperatures within the gas turbine engine have meant that the requirements for TMF testing now extend to disc alloys along with blade materials. As such, fatigue crack growth rates are required to be evaluated under non-isothermal conditions along with the development of a detailed understanding of related failure mechanisms. In the current work, a TMF crack growth testing method has been developed utilising induction heating and direct current potential drop techniques for polycrystalline nickel-based superalloys, such as RR1000...
January 4, 2017: Materials
https://www.readbyqxmd.com/read/28771207/hot-press-as-a-sustainable-direct-recycling-technique-of-aluminium-mechanical-properties-and-surface-integrity
#17
Nur Kamilah Yusuf, Mohd Amri Lajis, Azlan Ahmad
Meltless recycling technique has been utilized to overcome the lack of primary resources, focusing on reducing the usage of energy and materials. Hot press was proposed as a novel direct recycling technique which results in astoundingly low energy usage in contrast with conventional recycling. The aim of this study is to prove the technical feasibility of this approach by characterizing the recycled samples. For this purpose, AA6061 aluminium chips were recycled by utilizing hot press process under various operating temperature (Ts = 430, 480, and 530 °C) and holding times (ts = 60, 90, and 120 min)...
August 3, 2017: Materials
https://www.readbyqxmd.com/read/28769041/self-healing-of-damage-inside-metals-triggered-by-electropulsing-stimuli
#18
Hui Song, Zhong-Jin Wang, Xiao-Dong He, Jie Duan
The microscopic defects that distributed randomly in metals are not only hard to detect, but also may inevitably cause catastrophic failure. Thus, autonomic probing and healing for damage inside metals continue to be a challenging. Here we show a novel approach for self-healing using electropulsing as a stimulus to trigger repairing of damaged metals. This is achieved via a process that through expelling absolutely currents, the microcrack causes them to be redistributed to form a concentrated and a diluted region around it, thereby inducing an extremely high temperature gradient and a large compressive stress, which drive material flow to close microcracks...
August 2, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28751369/wearable-technology-for-compensatory-reserve-to-sense-hypovolemia
#19
Victor A Convertino, Michael N Sawka
Traditional monitoring technologies fail to provide accurate or early indications of hypovolemia-mediated extremis because physiological systems (as measured by vital signs) effectively compensate until circulatory failure occurs. Hypovolemia is the most life-threatening physiological condition associated with circulatory shock in hemorrhage or sepsis, and it impairs one's ability to sustain physical exertion during heat stress. This review focuses on the physiology underlying the development of a novel non-invasive wearable technology that allows for real-time evaluation of the cardiovascular system's ability to compensate to hypovolemia, or its compensatory reserve, which provides an individualized estimate of impending circulatory collapse...
July 27, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28750317/advantages-of-cooled-fiber-for-monitoring-laser-tissue-ablation-through-temporal-and-spectral-analysis-of-rf-ultrasound-signal-a-case-study
#20
Simona Granchi, Enrico Vannacci, Luca Breschi, Elena Biagi
The promising minimally invasive laser thermal therapy technique may be improved if thermal lesions induced into the tissue can be carefully monitored in extension and morphology during the treatment. According to results obtained in several recent experimentations, solutions that avoid tissue carbonization during the treatment have been proposed, in order to allow deeper and longer lasting light penetration in treated tissue and to reduce failures of the applicator tip and fiber optic, dangerous for patients...
July 19, 2017: Ultrasonics
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