scholarly journals Comparison of Polyvinyl Acetate Sponge and Medicated Ribbon Gauge Nasal Pack following Nasal Surgery

2019 ◽  
Vol 21 (1) ◽  
pp. 31-34
Author(s):  
Shova Maharjan ◽  
AK Jha ◽  
RR Joshi ◽  
AS Rijal ◽  
KK Shrestha ◽  
...  
Keyword(s):  
Pain Score ◽  
Polyvinyl Acetate ◽  
Tertiary Hospital ◽  
Acetate Group ◽  
Nasal Surgery ◽  
Nasal Pack ◽  
Prospective Comparative Study ◽  
Open Mesh ◽  
Made In

 Nasal occlusive dressings are routine after nasal surgeries to arrest hemorrhage, to prevent septal hematoma, and to prevent postoperative adhesions. However, patients describe nasal packing and its removal as their worst experience. Various types of nasal packs are available. Medicated ribbon gauge is the traditional form of nasal pack which consists of an open-mesh cotton as a carrier whereas “Polyvinyl Acetate’ sponge is a compressed dehydrated material, an improvised one which increases in size and compresses blood vessels when rehydrated with normal saline. As Polyvinyl acetate sponge is smooth and spongy, it causes less pain and abrasion while in-situ and removal. This was a prospective comparative study done in tertiary hospital of Nepal. Patients were subjected to either polyvinyl acetate sponge or ribbon gauge nasal pack following nasal surgery. Comparisons were made in terms of pain score, maintenance of hemostasis and wound healing. There were 154 patients in the study with 104 males and 50 females. The pain score when nasal pack was in-situ was similar in both groups whereas it was lesser in the polyvinyl acetate group on its removal. However, bleeding and adhesion were found to be similar. Crust formation was less in polyvinyl acetate group. Six synaechia were noted in ribbon gauge group only. Pain was significantly less during removal of polyvinyl acetate pack.

scholarly journals An evaluation of merocel and neosporin impregnated ribbon gauze packs in patients following nasal surgery: a prospective randomised trial

1970 ◽  
Vol 10 (1) ◽  
pp. 30-34 ◽  
Author(s):  
RR Joshi ◽  
A Nepal ◽  
S Thapa Chhetri ◽  
S Bhandary ◽  
TB Panta ◽  
...  
Keyword(s):  
Pain Score ◽  
Polyvinyl Acetate ◽  
Randomised Trial ◽  
Visual Analog Score ◽  
Patient Comfort ◽  
Nasal Surgery ◽  
Prospective Randomised Trial ◽  
Post Operative Pain ◽  
The Mean

Background: Packs are placed following nasal surgeries to arrest haemorrhage, to prevent septal haematoma and synechie formation. Despite Merocel, a tampon constructed from a foam polymer of hydroxylated polyvinyl acetate, which is less abrasive and hence associated with the less pain, we still use Neosporine Impregnated Ribbon Gauze (NIRG). Objective: To compare Merocel and the Neosporine Impregnated Ribbon gauze (NIRG) packs in regards to the post-operative pain levels caused by them and their ability to prevent haemorrhage, crusting and synechie. Methods: The nose was packed after surgery either with the Merocel pack or Neosporin Impregnated Ribbon Gauze (NIRG) according to the randomisation. The pain score was noted on the Visual analog score while packs were in situ and again immediately after the pack removal. The haemorrhage, crusting and synechie were noted if present. Results: Among 106 patients, 61 were male and 45 were female. In Merocel group there were 51 patients and in NIRG group 55. The mean pain score for merocel was 4.15 while in situ and 3.66 immediately after removal where as mean pain score for NIRG was 6 while in situ and 3.78 immediately after removals. Post-operative crusting and synechie were seen relatively more in NIRG pack group. Conclusion: Merocel is superior in terms of both patient comfort and pain. DOI: http://dx.doi.org/10.3126/hren.v10i1.6004 HREN 2012; 10(1): 30-34

Engaging with the science and politics of biodiversity futures: a literature review

2021 ◽  
pp. 1-8
Author(s):  
Carina Wyborn ◽  
Elena Louder ◽  
Mike Harfoot ◽  
Samantha Hill
Keyword(s):  
Human Life ◽  
Global Environmental Change ◽  
Life Forms ◽  
Trade Offs ◽  
Global Environmental ◽  
Science And Politics ◽  
Science Community ◽  
Impact On Biodiversity ◽  
Made In

Summary Future global environmental change will have a significant impact on biodiversity through the intersecting forces of climate change, urbanization, human population growth, overexploitation, and pollution. This presents a fundamental challenge to conservation approaches, which seek to conserve past or current assemblages of species or ecosystems in situ. This review canvases diverse approaches to biodiversity futures, including social science scholarship on the Anthropocene and futures thinking alongside models and scenarios from the biophysical science community. It argues that charting biodiversity futures requires processes that must include broad sections of academia and the conservation community to ask what desirable futures look like, and for whom. These efforts confront political and philosophical questions about levels of acceptable loss, and how trade-offs can be made in ways that address the injustices in the distribution of costs and benefits across and within human and non-human life forms. As such, this review proposes that charting biodiversity futures is inherently normative and political. Drawing on diverse scholarship united under a banner of ‘futures thinking’ this review presents an array of methods, approaches and concepts that provide a foundation from which to consider research and decision-making that enables action in the context of contested and uncertain biodiversity futures.

scholarly journals Implantable Thin Film Devices as Brain-Computer Interfaces: Recent Advances in Design and Fabrication Approaches

Coatings ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 204
Author(s):  
Yuhao Zhou ◽  
Bowen Ji ◽  
Minghao Wang ◽  
Kai Zhang ◽  
Shuaiqi Huangfu ◽  
...  
Keyword(s):  
Thin Film ◽  
High Resolution ◽  
Future Research ◽  
Nano Fabrication ◽  
Computer Interfaces ◽  
Continuous Progress ◽  
Open Mesh ◽  
Remarkable Progress ◽  
Thin Film Devices ◽  
Made In

Remarkable progress has been made in the high resolution, biocompatibility, durability and stretchability for the implantable brain-computer interface (BCI) in the last decades. Due to the inevitable damage of brain tissue caused by traditional rigid devices, the thin film devices are developing rapidly and attracting considerable attention, with continuous progress in flexible materials and non-silicon micro/nano fabrication methods. Therefore, it is necessary to systematically summarize the recent development of implantable thin film devices for acquiring brain information. This brief review subdivides the flexible thin film devices into the following four categories: planar, open-mesh, probe, and micro-wire layouts. In addition, an overview of the fabrication approaches is also presented. Traditional lithography and state-of-the-art processing methods are discussed for the key issue of high-resolution. Special substrates and interconnects are also highlighted with varied materials and fabrication routines. In conclusion, a discussion of the remaining obstacles and directions for future research is provided.

scholarly journals Effect of 2% Lignocaine Solution in Pain During Removal of Nasal Pack

2019 ◽  
Vol 15 (2) ◽  
pp. 80-83
Author(s):  
Ashish Dhakal ◽  
Bikash Lal Shrestha ◽  
Monika Pokharel
Keyword(s):  
Normal Saline ◽  
Saline Group ◽  
Nasal Packing ◽  
Distilled Water ◽  
Left Nostril ◽  
Normal Saline Group ◽  
Nasal Pack ◽  
Control Side ◽  
Group 5

Background: Nasal packing is commonly done after septal surgeries. Nonabsorbable nasal pack is used to minimize bleeding from surgery site, support the mucoperichondrial flaps, and minimize the risk of formation of septal hematomas and adhesions. However, these materials cause pain and discomfort in-situ as well as during removal. This study was done to evaluate the effect of 2% lignocaine rehydration of nasal pack on pain during pack removal. Methods: This prospective study was conducted on 60 patients who had undergone septoplasty. The patients were divided into 2 groups: Lignocaine and Normal saline group, with 30 patients each. In the Lignocaine group, 2.5 ml of 2% of lignocaine was diluted with 2.5 ml of distilled water and was injected into the nasal pack; and in Normal saline group, 5 ml of normal saline was injected into the nasal pack. Nothing was injected to the left nostril, which acted as a control, in both groups. All patients were asked severity of pain during removal of nasal packing by VAS. Results: In lignocaine group, mean pain score was 3.73 ± 1.63 on lignocaine side and 6.23 ± 1.69 on control side (U=109.5, p<0.001). In Normal saline group, it was 6.5 ± 1.7 on normal saline side and 6.23 ± 1.96 on control side (U=425.5, p=0.711). On comparing VAS between lignocaine and normal saline group, pain was significantly lower in the lignocaine group (U=112.5, p<0.001) Conclusion: Rehydrating nasal pack with 2% topical lignocaine is a useful method to reduce pain during nasal pack removal.

scholarly journals Sources and sinks of acetone, methanol, and acetaldehyde in North Atlantic marine air

2005 ◽  
Vol 5 (7) ◽  
pp. 1963-1974 ◽  
Author(s):  
A. C. Lewis ◽  
J. R. Hopkins ◽  
L. J. Carpenter ◽  
J. Stanton ◽  
K. A. Read ◽  
...  
Keyword(s):  
North Atlantic ◽  
Degradation Mechanism ◽  
Chemical Degradation ◽  
Oh Radical ◽  
Detailed Model ◽  
Atmospheric Lifetime ◽  
Sources And Sinks ◽  
Marine Air ◽  
Made In

Abstract. Measurements of acetone, methanol, acetaldehyde and a range of non-methane hydrocarbons have been made in North Atlantic marine air at the Mace Head observatory. Under maritime conditions the combination of OVOCs (acetone, methanol and acetaldehyde) contributed up to 85% of the total mass of measured non methane organics in air and up to 80% of the OH radical organic sink, when compared with the sum of all other organic compounds including non-methane hydrocarbons, DMS and OH-reactive halocarbons (trichloromethane and tetrachloroethylene). The observations showed anomalies in the variance and abundance of acetaldehyde and acetone over that expected for species with a remote terrestrial emission source and OH controlled chemical lifetime. A detailed model incorporating an explicit chemical degradation mechanism indicated in situ formation during air mass transport was on timescales longer than the atmospheric lifetime of precursor hydrocarbons or primary emission. The period over which this process was significant was similar to that of airmass motion on intercontinental scales, and formation via this route may reproduce that of a widespread diffuse source. The model indicates that continued short chain OVOC formation occurs many days from the point of emission, via longer lived intermediates of oxidation such as organic peroxides and long chain alcohols.

scholarly journals Progress on Coronal, Interplanetary, Foreshock, and Outer Heliospheric Radio Emissions

2000 ◽  
Vol 17 (1) ◽  
pp. 22-34 ◽  
Author(s):  
Iver H. Cairns ◽  
P. A. Robinson ◽  
G. P. Zank
Keyword(s):  
Solar Wind ◽  
Plasma Waves ◽  
Recent Theory ◽  
Type Ii ◽  
Solar Radio Bursts ◽  
Radio Emissions ◽  
Source Regions ◽  
Earth’S Bow Shock ◽  
Made In

AbstractType II and III solar radio bursts are associated with shock waves and streams of energetic electrons, respectively, which drive plasma waves and radio emission at multiples of the electron plasma frequency as they move out from the corona into the interplanetary medium. Analogous plasma waves and radiation are observed from the foreshock region upstream of Earth's bow shock. In situ spacecraft observations in the solar wind have enabled major progress to be made in developing quantitative theories for these phenomena that are consistent with available data. Similar processes are believed responsible for radio emissions at 2–3 kHz that originate in the distant heliosphere, from where the solar wind interacts with the local interstellar medium. The primary goal of this paper is to review the observations and theories for these four classes of emissions, focusing on recent progress in developing detailed theories for the plasma waves and radiation in the source regions. The secondary goal is to introduce and review stochastic growth theory, a recent theory which appears quantitatively able to explain the wave observations in type III bursts and Earth's foreshock and is a natural theory to apply to type II bursts, the outer heliospheric emissions, and perhaps astrophysicalemissions.

scholarly journals The Rise of the OM-LoC: Opto-Microfluidic Enabled Lab-on-Chip

Micromachines ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1467
Author(s):  
Harry Dawson ◽  
Jinane Elias ◽  
Pascal Etienne ◽  
Sylvie Calas-Etienne
Keyword(s):  
Low Cost ◽  
Optical Components ◽  
New Era ◽  
Lab On Chip ◽  
Highly Sensitive ◽  
Multiple Challenges ◽  
On Chip ◽  
Optical Circuits ◽  
Made In

The integration of optical circuits with microfluidic lab-on-chip (LoC) devices has resulted in a new era of potential in terms of both sample manipulation and detection at the micro-scale. On-chip optical components increase both control and analytical capabilities while reducing reliance on expensive laboratory photonic equipment that has limited microfluidic development. Notably, in-situ LoC devices for bio-chemical applications such as diagnostics and environmental monitoring could provide great value as low-cost, portable and highly sensitive systems. Multiple challenges remain however due to the complexity involved with combining photonics with micro-fabricated systems. Here, we aim to highlight the progress that optical on-chip systems have made in recent years regarding the main LoC applications: (1) sample manipulation and (2) detection. At the same time, we aim to address the constraints that limit industrial scaling of this technology. Through evaluating various fabrication methods, material choices and novel approaches of optic and fluidic integration, we aim to illustrate how optic-enabled LoC approaches are providing new possibilities for both sample analysis and manipulation.

Nanotechnology Enabled In Situ Orthopaedic Sensors for Personalized Medicine

2012 ◽  
Vol 86 ◽  
pp. 40-50
Author(s):  
Sirinrath Sirivisoot ◽  
Thomas J. Webster
Keyword(s):  
Bone Growth ◽  
Electrochemical Sensors ◽  
Electrochemical Analysis ◽  
Matrix Proteins ◽  
Implant Design ◽  
Implant Surface ◽  
Cellular Events ◽  
Bone Deposition ◽  
Made In

Although improvements have been made in implant design to increase bone formation and promote successful osseointegration using nanotechnology, the clinical diagnosis of early bone growth surrounding implants remains problematic. The development of a device allowing doctors to monitor the healing cascade and to diagnose potential infection or inflammation is necessary. Biological detection can be examined by the electrochemical analysis of electron transfer (or redox) reactions of extracellular matrix proteins involved in bone deposition and resorption. The use of nanomaterials as signal amplifiers in electrochemical sensors has greatly improved the sensitivity of detection. Nanotechnology-enabled electrochemical sensors that can be placed on the implant surface itself show promise as self-diagnosing devices in situ, possibly to detect new bone growth surrounding the implant and other cellular events to ensure implant success.

scholarly journals Hurricane Kinetic Energy Spectra from In Situ Aircraft Observations

2018 ◽  
Vol 75 (8) ◽  
pp. 2523-2532 ◽  
Author(s):  
P. Trent Vonich ◽  
Gregory J. Hakim
Keyword(s):  
Air Force ◽  
Weather Forecasting ◽  
Power Spectra ◽  
Spectral Slope ◽  
Cyclone Intensity ◽  
Storm Intensity ◽  
Air Force Reserve ◽  
Aircraft Data ◽  
Made In

Abstract Since the pioneering paper by Nastrom and Gage on aircraft-derived power spectra, significant progress has been made in understanding the wavenumber distribution of energy in Earth’s atmosphere and its implications for the intrinsic limits of weather forecasting. Improvements in tropical cyclone intensity predictions have lagged those of global weather forecasting, and limited intrinsic predictability may be partially responsible. In this study, we construct power spectra from aircraft data of over 1200 missions carried out by the National Oceanic and Atmospheric Administration (NOAA) and Air Force Reserve Command (AFRC) Hurricane Hunters. Each mission is parsed into distinct flight legs, and legs meeting a specified set of criteria are used for spectral analysis. Here, we produce power spectra composites for each category of the Saffir–Simpson scale, revealing a systematic relationship between spectral slope and storm intensity. Specifically, as storm intensity increases, we find that 1) spectral slope becomes steeper across scales from 10 to 160 km and 2) the transition zone where spectral slope begins to steepen shifts downscale.

Observations on the Performance of Vibration-Isolated Railway Track

1997 ◽  
Author(s):  
Hugh E. M. Hunt
Keyword(s):  
Travelling Waves ◽  
Surrounding Medium ◽  
Railway Track ◽  
Relative Speed ◽  
Tunnel Wall ◽  
Infinite Beam ◽  
Slab Track ◽  
Torsional Response ◽  
Made In

Abstract Vibration generated by underground railways is difficult to control because of the very limited space available in a tunnel. A popular approach is to use ‘floating slab track’ whereby the rails are fixed to a large concrete foundation separated from the tunnel wall by a resilient material. This paper investigates some of the vibration characteristics of floating slab track from measurements made in situ. These measurements are compared with the theoretical response of an infinite beam on an elastic foundation taking into account the torsional response of the beam. The transmission of vibration through the tunnel wall and into the surrounding medium is discussed with reference to the relative speed of travelling waves and the coincidence frequencies.

Sign in / Sign up

Export Citation Format

Share Document