Alcoholism at the time of injury among trauma center patients: Vehicular crash victims compared with other patients

A structured in-depth interview employing standardized criteria was used to determine the prevalence of lifetime and current alcohol dependence (alcoholism) in unselected consecutive patients admitted to a regional Level I trauma center. Of 629 patients, 157 (25.0%) were current alcoholics at the time of injury. An additional 87 (13.8%) were diagnosed as lifetime non-current alcoholics. There was no significant difference in the rates of current alcohol dependence among patients injured in vehicular crashes (23.5%), other unintentional trauma victims (29.3%), and those injured as a result of violence (24.6%). Of BAC + (blood alcohol concentration positive) patients, 54.5% were current alcoholics. However, 14.4% of alcohol-negative patients were also diagnosed as alcohol dependent.     

Mathematical modelling of a reverse flow reactor with catalytic surface dynamics

This paper studies a system of partial differential equations modelling the behaviour of a reverse flow reactor. For the parameters appropriate for the oxidation of ammonia on a Pt/Al₂O₃ catalyst in a typical laboratory set-up, the reactor may be split into regions where approximate formulas that determine its behaviour are deduced. Numerical calculations are presented and can be used to compare with the analytical formulas. The physical insight gained from the asymptotic analysis suggests a new switching strategy which is the subject of numerical experiments. The switching strategy is found to be efficient at minimising the ammonia exiting the reactor after reversal.     

Anthropomorphic cardiac ultrasound phantom

A new phantom is described which simulates the human cardiac anatomy for applications in ultrasound imaging, ultrasound Doppler, and color-flow Doppler imaging. The phantom consists of a polymer left ventricle which includes a prosthetic mitral and aortic valve and is connected to a mock circulatory loop. Aerated tap water serves as a blood simulating fluid and ultrasound contrast medium within the circulatory loop. The left ventricle is housed in a Lexan ultrasound visualization chamber which includes ultrasound viewing ports and acoustic absorbers. A piston pump connected to the visualization chamber by a single port pumps degassed water within the chamber which in turn pumps the left ventricle. Real-time ultrasound images and Doppler studies measure flow patterns through the valves and within the left ventricle.     

The elastically equivalent softening zone size for an elastic-softening material: II. A simple piece-wise softening law

The paper determines the elastically equivalent softening zone size R_E for an elastic-softening material when there is a semi-infinite crack in a remotely loaded infinite solid; the parameter R_E plays a central role in size effect expressions that are used to correlate the maximum loads that can be sustained by solids having different dimensions. The stress (p) versus displacement (v) softening law considered is that for which P = p_c for oc and P = ; qp_c = p_* for λδ_c< v <δ_c. Particular attention is focussed on the case where the parameters λ and q are both small. Such a softening law simulates the softening behaviour of plain concrete, where there is an initially rapid softening to a low stress value at a small displacement, followed by a long tail that is associated with a low stress. The paper shows that the behaviour of a material with such a softening law can be conveniently analysed by assuming that there is a non-zero stress intensity (K_IC) at the crack tip followed by a constant stress p_* within the softening zone; , where E_o is the reduced modulus and G_{I = λpcδc} is the contribution to the specific fracture energy arising from the initially rapid softening region. Analysis of a specific model demonstrates the viability of this approach by showing that there is consistency with the proposed size effect expressions based on R_E.     

Quality of life following percutaneous transluminal angioplasty for claudication

Basal cell carcinoma (BCC) is the most common type of skin cancer and the incidence of BCC is expected to rise, with increased demand on dermatology resources. Little is known of the effect on people's lives of having skin cancer. The aim of this study was to quantify the handicap caused gy basal cell carcinomas before and after therapy. Forty-four patients (22 males, mean age = 65 yrs, range = 35-81 yrs) with 48 BCCs were recruited and 37 patients completed the study. Each patient completed the UK Sickness Impact Profile (UKSIP) and the Dermatology Life Quality Index (DLQI) at the initial visit to the dermatology clinic, 1 week after treatment and 3 months after treatment. Lesions had been present for a mean of 25 months (range = 1-240 months), their mean diameter was 9.6mm (range = 3-35mm) and the sites were head and neck (79%), trunk (17%) and limbs (4%). There was no relationship between the quality of life score and size of lesion. Overall the scores at presentation were very low, rising 1 week after treatment and falling to below the initial scores at 3 months (mean UKSIP 0.4%, 0.7%, 0.13%; mean DLQI 5.3% 8.7%, 1.2%). BCCs cause little handicap. This may explain the delay in seeking medical attention and should be considered in planning public health education about BCCs.