The association of intra-abdominal infection and abdominal wound dehiscence

Concurrent infection is a risk factor for abdominal wound dehiscence. We reviewed our experience with fascial dehiscence to determine the incidence and to identify prognostic factors for associated intra-abdominal infection. Over a 7-year period, 107 patients with abdominal wound dehiscence were identified. Seventeen were managed nonoperatively, and 90 underwent exploratory laparotomy, 43 of whom had no intra-abdominal pathology and 47 of whom had intra-abdominal infections. Demographic factors, comorbid diseases, and potential indicators of systemic infection did not distinguish patients with intra-abdominal infection from those without. Patients with an intra-abdominal infection were more likely to have undergone an emergency operation (74% vs 48%; P < 0.02), an operation on the colon (55% vs 25%; P < 0.005), or an operation with a higher wound classification (P < 0.02). Mortality was higher in patients with intra-abdominal infection than in those without (44% vs 20%; P < 0.02). Wound dehiscence after emergent operations, and operations with a higher wound classification, especially those involving the colon, should raise concern for intra-abdominal infection. Thorough abdominal exploration should be performed at the time of dehiscence repair. Before nonoperative management is chosen, intra-abdominal infection should be excluded.     

Evaluation of Surface Residual Stresses in Friction Stir Welds Due to Laser and Shot Peening

The effects of laser, and shot peening on the residual stresses in friction stir welds (FSW) has been investigated. The surface residual stresses were measured at five different locations across the weld in order to produce an adequate residual stress profile. The residual stresses before and after sectioning the coupon from the welded plate were also measured, and the effect of coupon size on the residual stress relaxation was determined and characterized. Measurements indicate that residual stresses were not uniform along the welded plate, and large variation in stress magnitude could be exhibited at various locations along the FSW plate. Sectioning resulted in significant residual stress relaxation in the longitudinal direction attributed to the large change in dimensions in this direction. Overall, laser and shot peening resulted in a significant reduction in tensile residual stresses at the surface of the specimens.     

Electrically conductive adhesives: Effect of particle composition and size distribution

The effects of particle composition and size distribution on the electrical properties of conductive adhesives were studied. Silver-plated glass and silver-plated nickel particles with both narrow (37-44 μm) and broad (< 44 μm) size distributions were dispersed in an epoxy matrix. In all cases, formulations incorporating narrow particle size distributions required greater concentrations of particles to exceed the percolation threshold for electrical conduction than when broad particle distributions were used. Differences between glass and nickel particles were observed and attributed to the higher density of nickel particles, as well as subtle variations in particle size distributions.     

Diamorphine-bupivacaine mixture compared with plain bupivacaine for analgesia

We have studied the efficacy of two extradural infusions (10 ml h-1) in 50 patients in active labour. Patients in the diamorphine group (n = 25) received 0.0625% plain bupivacaine 6.25 mg h-1 mixed with 0.005% diamorphine 0.5 mg h-1 and those in the control group (n = 25) received 0.125% plain bupivacaine 12.5 mg h-1. Both groups received intermittent "top-ups" of 0.25% bupivacaine 10 ml when indicated. Although median pain scores during the infusion were similar in both groups, patients in the diamorphine group indicated greater satisfaction with the infusion (88% very satisfied, compared with 52% in the control group (P < 0.02)). There were no differences in the incidence of hypotension, instrumental vaginal delivery, number of "top-ups", duration of the second stage or extent of motor block. However, patients in the diamorphine group had a high incidence of pruritus (44%, compared with 0% in the control group (P < 0.01)).     

Measured limits to contamination of optical surfaces by elastomers in vacuum

We have monitored the reflectivity of mirrors that were exposed to a fluoroelastomer (3M-Fluorel 2176) and a room-temperature vulcanizing silicone rubber (RTV-615) in vacuum. The 95% confidence limit on the decrease of mirror reflectivities was less than 0.35 ppm/week for Fluorel and <0.29 ppm/week for RTV-615.     

Higher incidence of Gastrospirillum sp. in swine with gastric ulcer of the pars oesophagea

Gastric ulcer in swine is characterized by an area of acid-peptic digestion, occurs usually in the pars oesophagea of the stomach, and has unknown etiopathogenesis. The present work was carried out to investigate the prevalence of the newly described spiral-shaped microorganism Gastrospirillum sp. ("Gastrospirillum suis") in stomachs of abattoir pigs with and without gastric ulcer. Stomachs were removed from 32 consecutive pigs presenting apparently normal mucosa and from 32 additional consecutive pigs presenting frank, chronic gastric ulcer of the pars oesophagea. Fragments of antral, oxyntic, cardiac and pars oesophagea regions were taken from each stomach and processed for histology and for identification of Gastrospirillum sp. in tissue sections. The microorganisms were identified mainly in the mucous layer and in gastric foveolas of the antral and oxyntic mucosa. Forty pigs (62.5%) were positive for Gastrospirillum sp.; among them, 27 (67.5%) had gastric ulcer, and 13 (32.5%) had no ulcer. Twenty-four pigs (37.5%) were negative for Gastrospirillum sp.; among them, five (20.8%) presented with gastric ulcer, and 19 (79.2%) had no ulcer. There was a significant difference between pigs with and without gastric ulcer in regard to the presence of Gastrospirillum sp. (P < 0.01). The spiral-shaped microorganism Gastrospirillum sp. that inhabits the stomach of pigs should be considered a possible factor connected with the etiopathogenesis of swine gastric ulcer.     

Homophobia? No, homoprejudice

The ubiquitous expression of anti-homosexual responses and the lack of consensus regarding the characterization of such responses served as the impetus for this study. The purpose of this study was to investigate the nature of anti-homosexual responses as reported by male and female undergraduates. Participants in the study were asked to respond to both a lesbian and a gay target questionnaire. Responses were measured as either phobic or prejudicial. Findings indicated that there is little, if any, evidence to support the characterization of anti-homosexual responses as a phobia. Responses to prejudicial items suggested that anti-homosexual responses lie primarily within the realm of prejudice. Results also indicated that males were less tolerant than females of gays and lesbians and males and females respond differentially according to same-sex target. The implications of using a more accurate term such as "homoprejudice" to characterize anti-homosexual responses are discussed. Additionally, avenues for future research are addressed.     

Finite element analysis of creep fracture initiation in a model superalloy material

Detailed finite element analyses were performed for a single edge-cracked specimen geometry under both plane stress and plane strain constraint for a superalloy material that obeys a power-law creep relationship. The objectives of these analyses were to elucidate the stationary creep crack-tip fields and to provide guidance for the experimental measurement of crack-tip deformations. New results demonstrate that, for both plane stress and plane strain, the angular variations in the creep strain fields do not agree with HRR-type predictions, although the radial variations are in agreement with HRR-type creep strain field predictions in a zone very near the crack tip. Thus, the use of experimental measurement of surface displacement and/or strain data for the location of HRR-type fields may not be possible, unless modifications to the existing HRR-type theory are made. It is also noted that the size of the stress-based HRR-dominance zone is only a fraction of the creep zone size in plane stress, and is very small (especially along =0°) compared to the creep zone size in plane strain. Furthermore, the dominance of the singular strain fields are at least two orders of magnitude smaller than the corresponding stress dominance zones. As such, unless the microstructural features of the material are smaller than the dimensions of the dominance zones, the basis for using stress or strain-based fracture parameters derived from the HRR-type fields for prediction of creep fracture initiation is unclear.     

Somatic mosaicism in a patient with neurofibromatosis type 1

Using loss of heterozygosity analysis, a method designed to detect moderate to large gene deletions, we have identified a new-mutation neurofibromatosis type 1 (NF1) patient who is somatically mosaic for a large maternally derived deletion in the NF1 gene region. The deletion extends at least from exon 4 near the 5' end of the gene to intron 39 near the 3' end. The gene-coding region is, therefore, mostly or entirely deleted, encompassing a loss of > or = 100 kb. We hypothesize that the deletion occurred at a relatively early developmental timepoint, since signs of NF1 in this patient are not confined to a specific body region, as seen in "segmental" NF, and since both mesodermally and ectodermally derived cells are affected. This report provides the first molecular evidence of somatic mosaicism in NF1 and, taken together with a recent report of germ-line mosaicism in NF1, adds credence to the concept that mosaicism plays an important role in phenotypic and genetic aspects of NF1 and may even be a relatively common phenomenon.