Introduction: Chest trauma has a high incidence and pneumothorax is the most frequent finding. The literature is scarce on what to do with asymptomatic patients with pneumothorax due to penetrating chest trauma. The aim of this study was to evaluate what are the findings of the control radiography of patients with penetrating chest trauma who are not initially taken to surgery, and their usefulness in determining the need for further treatment. Methods: A retrospective cohort study was performed, including patients older than 15 years who were admitted for penetrating chest trauma between January 2015 and December 2017 and who did not require initial surgical management. We analyzed the results of chest radiography, the time of its acquisition, and the behavior decided according to the findings in patients initially left under observation. Results: A total of 1,554 patients were included, whose average age was 30 years, 92.5% were male and 97% had a sharp weapon wound. Of these, 186 (51.5%) had no alterations in their initial X-ray, 142 had pneumothorax less than 30% and 33 had pneumothorax greater than 30 %, hemopneumothorax or hemothorax. Closed thoracostomy was required as the final procedure in 78 cases, sternotomy or thoracotomy in 2 cases and discharged in 281. Conclusion: In asymptomatic patients with small or moderate pneumothorax and no other significant lesions, longer observation times, radiographs and closed thoracostomy may be unnecessary.
In Costa Rica, there is no explicit recommendation from the competent authorities for the use of a specific phantom, so experts must explore what suppliers offer, among which the Normi Mam Digital phantom from PTW stands out. This article presents the results of the dosimetry and image quality control applied to the Normi Mam Digital phantom to validate it as equipment that complies with the recommendations of the Human Health Series No. 17. The results obtained were satisfactory, proving that the equipment complies with the tolerances recommended by international health bodies.
The human brain has been described as a complex system. Its study by means of neurophysiological signals has revealed the presence of linear and nonlinear interactions. In this context, entropy metrics have been used to uncover brain behavior in the presence and absence of neurological disturbances. Entropy mapping is of great interest for the study of progressive neurodegenerative diseases such as Alzheimer’s disease. The aim of this study was to characterize the dynamics of brain oscillations in such disease by means of entropy and amplitude of low frequency oscillations from Bold signals of the default network and the executive control network in Alzheimer’s patients and healthy individuals, using a database extracted from the Open Access Imaging Studies series. The results revealed higher discriminative power of entropy by permutations compared to low-frequency fluctuation amplitude and fractional amplitude of low-frequency fluctuations. Increased entropy by permutations was obtained in regions of the default network and the executive control network in patients. The posterior cingulate cortex and the precuneus showed differential characteristics when assessing entropy by permutations in both groups. There were no findings when correlating metrics with clinical scales. The results demonstrated that entropy by permutations allows characterizing brain function in Alzheimer’s patients, and also reveals information about nonlinear interactions complementary to the characteristics obtained by calculating the amplitude of low frequency oscillations.
Nowadays, our life needs more and more electricity, and our lives cannot be without electricity, which requires our power to develop more quickly. Power plants are undoubtedly the place where electricity is produced. And now most of the power plant or chemical energy can be converted into heat, and then through the heat to do power production. The boiler is the main part of the power plant. Boiler unit consists of boiler body equipment and auxiliary equipment. The main body of the boiler consists of 'pot' (soft drinks system) and 'furnace' (combustion system). Baotou thermal power plant is mainly burning gas. The gas and air are at a certain rate into the furnace burning. This can greatly reduce the pollution of the environment, but also the full use of fuel. The soda system is mainly carried out in the drum. The heat generated by the combustion system heats the water in the drum, producing steam and then pushing the steam turbine into mechanical energy and finally into electrical energy. This has a high demand for water level, water composition, and the temperature of the steam produced in the drum. The water level should have upper and lower bounds, keeping it within a certain range. Water level is too high, will affect the steam drum soda separation effect, so that the steam drum exports of saturated steam with water increased, causing damage to the turbine, will cause serious explosion. And the water level is too low, it will affect the natural circulation of the normal, serious will make the individual water pipe to form a free water, resulting in flow stagnation, resulting in local metal wall overheating and burst pipe. Water in the heating at the same time will form a lot of scale, if not the chemical treatment of water will be in the formation of scale in the drum, cleaning more difficult, so the damage to the drum. The pressure of the drum is also an important control variable, and pressure control is highly correlated with liquid level control. It is necessary to ensure the integrity of the equipment, but also to ensure safety, followed by ensuring that the process of normal operation of the drum water. This time, the design is mainly for the unit steam temperature control system design. Steam temperature is one of the important indicators of boiler operation quality. It is too high and too low will significantly affect the power plant safety and economy. If the temperature of the steam is low, it will cause the power plant to increase the heat consumption and increase the axial thrust of the turbine to cause the thrust bearing to overload, but also cause the steam turbine to increase the final steam humidity, thus reducing the efficiency of the turbine, aggravating the erosion of the blade. On the contrary, the steam temperature is too high will make the super-heater wall metal strength decreased, and even burn the high temperature of the super-heater, the steam pipe and steam turbine high-pressure part will be damaged, seriously affecting safety. The boiler temperature control system mainly includes the adjustment of the superheated steam and the reheat steam temperature. The superheated steam temperature is the highest temperature in the boiler soda system. The stability of the steam temperature is very important for the safe and economical operation of the unit. Therefore, in the boiler operation, must ensure that the steam temperature in the vicinity of the specified value, and the temperature of the super-heater tube wall does not exceed the allowable working temperature.
Coal is important basic energy and important raw materials, the development of coal industry to support the rapid development of the national economy. In the 1950s and 1960s, the proportion of coal in China's primary energy production and consumption structure accounted for 90% and 80% respectively, and the proportion of coal in 2004 was 75.6% and 67.7% respectively. In recent years, with the rapid development of fully mechanized mining equipment manufacturing technology, fully mechanized mining equipment to heavy, strong and automated, so that the reliability of the equipment is guaranteed, a strong impetus to the development of large mining technology, new round of coal mining technology revolution, the current in the East, Jincheng and other mining areas have been the first in the thick coal seam f = 1.5-5 use of large mining height fully mechanized mining equipment, to achieve the highest efficiency, the lowest cost of tons of coal. The main points of this paper are: in the production of coal enterprises to improve the competitiveness of the coal market. Conditions and conditions of coal storage conditions should be allowed to give priority to the use of large mining and mining methods.
Dushan county, Guizhou province, is located in the southernmost tip of Guizhou province. It belongs to the temperate climate of the subtropical region and is one of the centers of the karst east Asia area. The total area of the county is 242220 hectares, of which 169142 hectares are rocky desertifi cation or endangered desertification state. At present, the problem of rocky desertification has seriously affected the ecological environment of the county, which is one of the important factors that restrict the local social living standard and economic development. Therefore, it is of great significance to promote the social and economic development of the county by investigating and analyzing the spatial differentiation rules, present situation and harm of rocky desertification in Dushan county.
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