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.
Carbon-based hollow structured nanomaterials have become one of the hot areas for research and development of hollow structured nanomaterials due to their unique structure, excellent physicochemical properties and promising applications. The design and synthesis of novel carbon-based hollow structured nanomaterials are of great scientific significance and wide application value. The recent research on the synthesis, structure and functionalization of carbon-based hollow structured nanomaterials and their related applications are reviewed. The basic synthetic strategies of carbon-based hollow structure nanomaterials are briefly introduced, and the structural design, material functionalization and main applications of carbon-based hollow structure nanomaterials are described in detail. Finally, the current challenges and opportunities in the synthesis and application of carbon-based hollow structured nanomaterials are discussed.
The paper lays out basic design options for infrastructure policy. It first sketches mechanisms to assess demand. Then it sets out a hierarchy of issues starting with choice of market structure followed by conduct regulation. Ownership options are largely a function of market structure choices. The implications for finance—the topic of much day-to-day discussion in infrastructure policy-making—follow from these various prior choices. The discussion naturally circumscribes the role for the so-called public-private partnerships, their uses and pitfalls.
In the last few decades, nano-electronic devices have been manufactured using VLSI technology. Over the past four decades, IC technology has been growing by using CMOS technology successfully, but this CMOS technology has a scaling limitation. To overcome this scaling limitation, QCA (quantum dot cellular automata) emerges as an alternative. This work is the implementation of the design of a polar encoder using QCA technology. This design is a single-layered and even bottom-up approach technique. The Polar code is more efficient and has less energy dissipation compared to the turbo code and conventional codes (CC). This design explores (8:4). A Polar encoder is designed to have fewer cells and area compared to the turbo encoder and conventional encoder. The proposed design is implemented using the QCA designer tool.
Chinese municipalities have developed a large stock of capital assets during a period of rapid growth and urbanization, but have yet to modernize asset management practices. Cities face challenges such as premature decline of fixed assets and spiking liabilities related to operating and maintaining assets. This paper evaluates the asset management practices in three selected small cities and towns in China, using a benchmarking assessment tool followed by an in-depth field assessment. The paper finds that overall performance is below half the international benchmark for good practice in all three cities. Management practices are considerably more advanced for land than for buildings and infrastructure. Key deficiencies in data availability and reporting, governance, capacity, and financial management indicate increased risks for local government finance and the delivery of public services. For small cities and towns where public revenues are often uncertain and limited, urban public services will be at risk of deterioration unless good asset management practices are put in place. The paper recommends strategic actions for upper and lower levels of government, to advance local asset management practices and facilitate the reform agenda.
The detection of urban expansion through digital processing of satellite images provides valuable information for understanding the dynamics of land use change and its spatial relationship with environmental factors. In order to apply or generate effective land-use planning policies, it is essential to have a historical record of the regional distribution of human settlements, an element that is practically non-existent in our country. For this reason, this text aims to determine the urban growth rate during the period 2000–2014 in the state of Hidalgo, Mexico, and to identify potential expansion zones from Landsat images. Six Landsat scenes were used for the spatial analysis of the state urban coverage and their relationship with the road influence area was evaluated. Two maps were obtained as cartographic products: one of urban coverage distribution and another of the municipalities with the greatest expansion, whose areas are located in the Valle del Mezquital region. However, Mineral de la Reforma, Tetepango, Tizayuca and Pachuca de Soto stand out for their growth rates during the study period: 183.44%, 102%, 94% and 68.5%, respectively. In total, the state urban area in-creased 72.3 km2 from 2000 to 2014 with an average growth rate of 1.8% per year. Such growth was associated with the areas of influence of important road infrastructure, such as the Libramiento Arco Norte in Hidalgo. Therefore, the Mezquital Valley and the Mexico Basin are considered as potential regions for urban expansion in the state.
Copyright © by EnPress Publisher. All rights reserved.