Flood-flow study University Branch Dry Run, Black Hawk County, Iowa

OBJECTIVEThe authors sought to determine the reliability of a radiopharmaceutical (RP) shunt flow study for the detection of a CSF-diverting shunt malfunction in the presence of stable ventricular size.METHODSAfter the authors obtained IRB approval, all CSF RP shunt flow studies done between January 1, 2014, and January 1, 2019, in pediatric patients at Children’s Hospital Los Angeles were identified. Included in the study were only those patients in whom an MRI or CT scan was done during the hospital admission for shunt malfunction and showed no increase in ventricular size compared with the most recent prior MRI or CT scan when the patient was asymptomatic. Data recorded for analysis were patient age and sex, etiology of the hydrocephalus, shunt distal site, nonprogrammable versus programmable valve, operative findings if the shunt was revised, and follow-up findings for a minimum of 90 days after admission. The RP shunt flow study consisted of tapping the reservoir and injecting technetium-99m DTPA according to a set protocol.RESULTSThe authors identified 146 RP flow studies performed in 119 patients meeting the above criteria. Four of the 146 RP studies (3%) were nondiagnostic secondary to technical failure and were excluded from statistical analysis. Of the 112 normal flow studies, operative intervention was not undertaken in 102 (91%). The 10 (9%) remaining normal studies were performed in patients who underwent operative intervention, in which 8 patients had a proximal obstruction, 1 had a distal obstruction, and 1 patient had no obstruction. Of the 30 patients with abnormal flow studies, symptoms of shunt malfunction subsided in 9 (30%) patients and these patients did not undergo operative intervention. Of the 21 (70%) operated patients, obstruction was proximal in 9 patients and distal in 5, and for 7 patients the shunt tubing was either fractured or disconnected. Regression analysis indicated a significant association between the flow study interpretation and the odds for shunt revision (OR 27, 95% CI 10–75, p < 0.0001). No other clinical variables were significant. The sensitivity of a shunt flow study alone for detection of shunt malfunction in cases with stable ventricular size was the same as a shunt flow study plus an MRI or CT (70% vs 70%), but performing a shunt flow in addition to MRI or CT did increase the specificity from 92% to 100% and the accuracy from 87% to 94%.CONCLUSIONSRP shunt flow studies were of definite value in deciding whether to operatively intervene in patients with symptoms of shunt malfunction in whom no change in ventricular size was detected on current MRI or CT scans compared to scans obtained when the patients were asymptomatic.

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Guidance on estimating peak flood flow frequency in ungauged watersheds

Proceedings of the Seventh International Conference on Mine Closure ◽

10.36487/acg_rep/1208_65_gargeya ◽

2012 ◽

Author(s):

David Cline ◽

Craig Stevens ◽

Edwin Paulson ◽

Phillip Crouse ◽

Dilip Gargeya

Keyword(s):

Flow Frequency ◽

Flood Flow ◽

Ungauged Watersheds ◽

Peak Flood

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Surface properties and structure of aspen wood.

Известия СПбЛТА ◽

10.21266/2079-4304.2016.217.182-193 ◽

2016 ◽

Author(s):

И.В. Коваленко ◽

М.А. Чубинский ◽

Д.С. Русаков ◽

Г.С. Варанкина

Keyword(s):

Surface Properties ◽

Wood Surface ◽

Fractal Theory ◽

Aspen Wood ◽

Surface Finishes ◽

Surface Irregularities ◽

Corrosion Susceptibility ◽

Adhesive Molecules ◽

First Time ◽

Flow Study

Применение древесины осины в промышленном производстве материалов и изделий ограничено из-за ее низких механических свойств, подверженности поражению коррозионно-деструктивной гнили, отсутствием должного обоснования технологии ее переработки. Невостребованная осина осложняет условия хозяйствования в лесу, ухудшает породный состав древостоев, препятствует восстановлению хвойных пород древесины. Древесина осины хуже смачивается водой по сравнению с другими породами. Изучение ее поверхностных свойств и строения на микроуровне представляет безусловный интерес для изучения взаимодействия древесины с водой, жидкими клеящими и защитно-декоративными веществами. Это сложная многопараметрическая задача, решение которой может явиться новым инструментом для обоснования наукоемких технологических процессов сушки, пропитки, склеивания и облагораживания древесины. Истинная поверхность древесины, образованная в результате обработки резанием (лущением, пилением, фрезерованием) значительно больше ее проекции на плоскости в результате разрезания микроструктурных элементов. Неровности на поверхности искажают результаты измерения поверхностных свойств, определяемых на основе угла смачивания. Учитывая то, что размеры стенок клеток меньше размеров полостей, истинная площадь поверхности древесины, в зависимости от вида разреза, может в десятки раз превышать кажущуюся. Ухудшение способности смачиваться объясняет образование на поверхности капель клея, нанесенного на шпон методом вальцевания. При горячем прессовании фанеры в первый момент времени повышается подвижность молекул клея, снижается упругость древесины, поверхность выравнивается, улучшая условия адгезионного взаимодействия связующего и древесины. Для определения истинных характеристик древесины, обоснования расхода клея, способности древесины поглощать жидкость необходимо знать размеры ее микроструктурных элементов и характер их распределения, объем поверхностных полостей. Эффективный радиус полостей древесины осины может быть описан с использованием теории фракталов. The use of aspen wood in manufacturing of materials and products is limited due to its low mechanical properties, corrosion susceptibility destructive lesion decay, its lack of proper justification processing technology. Unclaimed aspen difficult economic conditions in the forest, degrades the species composition of forest stands and prevents restoration of softwood. Wood aspen worse moistened with water compared to other breeds. The study of its structure and surface properties at the micro level is of great interest to study the interaction of wood with water, liquid adhesives and protective-decorative materials. This is the problem whose solution can be a new tool for the study of science-intensive technological processes of drying, impregnation, gluing and surface finishes. Real wood surface, formed by the machining (peeling, sawing, milling) significantly greater its projection on the plane as a result of cutting the microstructural elements. Surface irregularities distort the results of measurement of surface properties which are determined based on the contact angle. Given that the size of the cell walls is less than the size of the cavities, the true surface area of the veneer, depending on the type of incision, may be ten times the apparent. The deterioration of the ability of wetted explains the formation of droplets on the surface of adhesive deposited on the veneer by rolling. When plywood hot pressing at a first time increases mobility of adhesive molecules, decreases the modulus of elasticity of wood, surface is aligned, improving the conditions of interaction of the glue and the wood. To determine the true characteristics of the wood, glue flow study, the ability of wood to absorb liquid it is necessary to know the size of microstructural elements and their distribution, the amount of surface cavities. The effective radius of aspen wood cavities can be described using fractal theory.

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