Search

Abstract Objective The management of tibia fractures complicated by compartment syndrome affects the treatment and functional outcome of patients due to the complications associated with fasciotomy. The purpose of the present study is to differentiate impending/incomplete compartment syndrome (ICS) fromestablished acute compartment syndrome (ACS) in tibial fractures, and to assess the outcome of the fixation of the Ilizarov apparatus in patients with these fractures presenting with ICS, who were not submitted to fasciotomy. Methods After the establishment of the inclusion and exclusion criteria, 19 patients were included in the study from January 2007 to December 2017. All patients weremale, with an average age of 42.3±11.38 years. All of these patients were managed with Ilizarov ring fixation as per the medical and surgical protocol established in the present study. Reuslts The average follow-up obtained for our 18 patients was of 47±41.5 months, with one patient being lost to follow-up. The average time for ring application was of 3.7±1.7 days. In total, 3 (16.7%) of these patients had nonunion. There were no softtissue or neurovascular complications in the immediate postoperative period. All of the patients eventually united and were independently mobile without any sequelae of compartment syndrome.

Introduction: Morgagni hernia is a relatively uncommon anterior diaphragmatic defect, particularly in adults. We describe the case of a patient who presented with an incarcerated Morgagni hernia and was repaired by an Acute Care Surgery service. Description: The patient is a 29 year old male who presented with a picture of bowel obstruction. CT scan revealed a Morgagni hernia with incarcerated stomach and colon. He was taken to the operating room for robotic repair. The hernia was reduced. The defect measured 10 x 7cm, a composite mesh was interposed, and sutured in place. The patient was discharged on postoperative day 5 and has done well at 1 year follow up. Conclusion: Robotic surgery offer the chance to apply minimally invasive techniques for urgent surgical care. This is the first reported case of an incarcerated Morgagni hernia repaired urgently using robotic techniques, and performed by acute care surgeons.

Abstract This work aims in developing carboxyl functionalised graphene based PP nanocomposites by using melt mixing method to enhance the mechanical and thermal properties. Maleic anhydride grafted polypropylene was used as a compatibilizer to achieve better compatibility between the non-polar polymer and polar nanofiller. FTIR study confirms the presence of functional groups at corresponding absorption levels. TEM and SEM image shows the uniform distribution of COOH-Gr onto the PP matrix with the addition of MA-g-PP onto it. The tensile strength and young’s modulus of PMG5 depicts better improvement of 62% and 20% compared to neat sample. The increase in storage modulus of 19.02% was obtained for PG and 43.48% for PMG samples. The reduction in tan δ peak confirms the minimum heat buildup and as a result, leads to better damping characteristics of the nanofiller incorporated PP matrix.

In the Internet age, most of information is available on the Internet in the different formats which known as “Internet resources” and people use Internet information for their different purposes but it is very essential for every Internet user to evaluate the retrieved Internet resources before making their uses to accomplish the tasks. This paper presents a review of selected literature found on evaluation of Internet resources available in different format in LIS domain with the following objectivities (i) To know the literature available on the need of evaluation of Internet resources; (ii) To identify the availability of literature on evaluating Internet resources; (iii) To examine the various criteria suggested for evaluating different types Internet resources by authors. This study will assist to users in framing the evaluation criteria for resources exist in various formats on the Internet.