Distal interlocking screw placement in the femur: free-hand versus electromagnetic assisted technique (sureshot).

OBJECTIVES To compare the free-hand (FH) technique of placing interlocking screws to a commercially available electromagnetic (EM) targeting system in terms of operating time, radiation dose, and accuracy of screw placement. METHODS Between September 2011 and July 2012, we prospectively randomized 100 consecutive femur shaft fractures in 99 patients requiring intramedullary nails to either FH using fluoroscopy (n = 43) or EM targeting (n = 38; Sureshot). SETTING Single Level 1 University Hospital Trauma Center. MAIN OUTCOME MEASUREMENTS The 2 groups were assessed for distal locking with respect to time, radiation, and accuracy. RESULTS Eight-one fractures had data accurately recorded (38 EM/43 FH). The average total operative time was 50 minutes (range, 25-88 minutes; SD, 13.9 minutes) for the FH group and 57 minutes (range, 40-103 minutes; SD, 16.12 minutes) for the EM group. The average time for distal locking was 10 minutes (range, 4-16 minutes; SD, 3.56 minutes) with FH and 11 minutes (range, 6-28 minutes; SD, 10.24 minutes) with EM. Average radiation dose for distal locking was significantly less (P < 0.0001) for EM at 230.54 μGy (range, 51-660 μGy; SD, 0.17 μGy) compared with 690.27 μGy (range, 200-2310 μGy; SD, 0.52 μGy) for FH. There were 2 misplaced drill bits in FH and 3 in EM. This was not statistically significant (P = 0.888). CONCLUSIONS The electromagnetic targeting device (Sureshot) significantly reduced radiation exposure during placement of distal interlocking screws, without sacrificing operative time, and was equivalent in accuracy when compared with the FH technique. LEVEL OF EVIDENCE Therapeutic level II.

Factory management course : A series of interlocking text books written for the Industrial extension institute /

Mode of access: Internet.

Joint committee report: signaling, interlocking.

"Statement of the actions of the Signal committee of the Presidents' conference committee, and the Division of valuation of the interstate commerce commission, in respect to the organisation of the Joint committee for the consideration and determination of prices, weights, and cost of signaling and interlocking apparatus": p. i-iii., v. 1.

Factory management course and service : a series of interlocking text books written for the Industrial extension institute by factory managers and consulting engineers.

v. 1. The factory buildings / W. L. Case -- v. 8. The power plant / D. M. Myers. [c1920] -- v. 9. The mechanical equipment / J. W. Roe. [c1922]

Whiteness and news: the interlocking social construction of "realities"

This dissertation examines how mainstream U.S. journalism consistently serves white racial interests and the racial status quo, or what I call white incumbency, despite its push for diversity and its stated aims to improve coverage of nonwhite communities. It is based on an in-depth ethnographic study of two daily newspapers and extensive one-on-one interviews with 61 journalists. I found that although journalists strongly identify with the need for more diverse coverage in newspapers, they emphasize individual and personal stories that avoid recognition of historical racial power imbalances, exhibiting what Ruth Frankenberg calls power-evasive race cognizance. Journalists also demonstrate a number of often contradictory identifications and self-understandings about themselves and their work, such as commitments to diversity and not taking sides, but these conflicts are almost always resolved in favor of white incumbency. Journalistic conventions and practices, such as the watchdog function and its emphasis on public institutions, routinely produce stories that replay and reinforce racial hegemony by portraying nonwhites as problems or people seeking “special privileges.” Also, journalistic repertoires about those conventions and practices avoid interrogations of journalists’ ongoing complicity in the maintenance of white incumbency.

Solution structure of robustoxin, the lethal neurotoxin from the funnel-web spider Atrax robustus

The solution structure of robustoxin, the lethal neurotoxin from the Sydney funnel-web spider Atrax robustus, has been determined from 2D H-1 NMR data, Robustoxin is a polypeptide of 42 residues cross-linked by four disulphide bonds, the connectivities of which were determined from NMR data and trial structure calculations to be 1-15, 8-20, 14-31 and 16-42 (a 1-4/2-6/3-7/5-8 pattern), The structure consists of a small three-stranded, anti-parallel beta-sheet and a series of interlocking gamma-turns at the C-terminus. It also contains a cystine knot, thus placing it in the inhibitor cystine knot motif family of structures, which includes the omega-conotoxins and a number of plant and animal toxins and protease inhibitors. Robustoxin contains three distinct charged patches on its surface, and an extended loop that includes several aromatic and non-polar residues, Both of these structural features may play a role in its binding to the voltage-gated sodium channel. (C) 1997 Federation of European Biochemical Societies.

Insulin-like growth factor-I and transferrin mediate growth and survival of Chinese hamster ovary cells

The aim of this investigation was to elucidate the roles of insulin-like growth factor-I (IGF-I) and transferrin in the survival and proliferation of Chinese hamster ovary (CHO) cells upon withdrawal of serum. For this purpose, we employed DNA analysis and now cytometry to compare CHO cell lines expressing either IGF-I alone or IGF-I and transferrin. The ability of cells to cycle and the occurrence of apoptosis were monitored in these cells in serum-free medium. These results indicate that IGF-I alone is able to maintain the viability of CHO cells for an extended length of time in the absence of serum. Transferrin alone does not promote survival or proliferation. Only in the presence of both IGF-I and transferrin do cells survive and proliferate. Therefore, in attached CHO cultures, IGF-I alone does not stimulate cell proliferation but is a requirement for growth in serum-free medium in cooperation with transferrin. We report on the dual role of IGF-I as a survival factor in CHO cells and its interlocking role with transferrin to stimulate cell growth.

Repair of three pathologic fractures in a dog with multiple myeloma

Three pathological fractures occurred secondary to osteolytic lesions of multiple myeloma. Two long bone fractures were each stabilised using interlocking nail fixation augmented with polymethyl meth acral ate bone cement. One vertebral fracture was stabilised using Steinmann pins and PMMA. Successful stabilisation, rapid return to function and improvement in quality of life occurred in all fractures. The patient survived approximately eight months on concurrent chemotherapy.

Contemporary issues in the government and administration of Latin American megacities

This paper is the first to systematically analyze and compare the structures of city governance and administration for seven major cities in Latin America, four of which are megacities (population of over 10 million), and three others are large national capitals. U.S. and U. K. models of city administration are reviewed as baseline models against which differences in Latin American may be explored. Structures of Government in Latin America show several important features and trends: 1) the lack of metropolitan (cross jurisdictional) authority; 2) the existence of strong mayors and weak councils"; 3) high levels of partisanship; 4) overlapping rather than interlocking bureaucracies; 5) pressures towards the privatization of city services, but continuing tension over the desirability of public versus private control; 6) greater fiscal responsibility and autonomy; and 7), a continuing marginalization of public participation in megacity governance.In spite of these features, many cities throughout the region (regardless of whether they are megacity size or national capitals), are actively intensifying their efforts to develop more effective, accountable and democratic governance structures.

Estudo da influência da fragmentação no custo da produção de agregados graníticos

Hoje em dia algumas das principais preocupações que se tem na exploração a céu aberto, são a diminuição de custos e a máxima rentabilidade dos equipamentos. São dois aspectos que estão interligados uma vez que a rentabilização dos equipamentos tem como resultado directo a diminuição dos custos de todas as operações inerentes à exploração a céu aberto e, consequentemente, a diminuição dos custos finais de produção. É por essa lógica de pensamento que se procurou perceber e compreender o funcionamento e a rentabilidade dos equipamentos em função dos diferentes estados de fracturação do maciço rochoso. Este estudo foi realizado numa pedreira a norte de Portugal e complementa outros estudos já realizados, com o objectivo de definir características do diagrama de fogo que assegurem a maior rentabilidade da referida exploração. O estudo baseia-se em determinar os rendimentos da pá carregadora calculando os tempos de ciclo, isto é, o tempo que a pá demorou a carregar, a movimentar e a descarregar o material desmontado dos vários rebentamentos. Calculou-se o rendimento do martelo demolidor na fragmentação de grandes blocos, que não entrariam directamente no britador primário, o qual também foi alvo de estudo, nomeadamente, no que diz respeito aos tempos de encravamento e de britagem, onde se tentou correlacionar esses tempos com os vários desmontes e estimou-se o consumo de energia do britador primário utilizando a equação de Bond. Por fim, realizou-se um estudo comparativo do consumo energético entre as várias fases da exploração a céu aberto. Foram realizados levantamentos geológico-geotécnicos de superfícies de descontinuidades recorrendo à técnica de amostragem linear nas superfícies do maciço rochoso para perceber o tipo de fragmentação e orientação do mesmo.

Société rurale, société urbaine: espaces en interaction

La sociologie et les nouveaux défis de la modernisation, Porto, pp. 315-326

Soluções construtivas de fachadas em zinco

O presente trabalho foi realizado com o intuito de dar a conhecer, de um modo mais pormenorizado, os diferentes tipos de sistemas de revestimento de fachadas em zinco. Numa primeira fase abordou-se as características do metal zinco, assim como uma breve explicação do seu processo produtivo e a sua aplicação no campo da engenharia civil. O tema da sustentabilidade é também desenvolvido no que respeita à utilização do metal zinco na construção. Posteriormente serão especificadas certas propriedades do zinco laminado. É este tipo de zinco que será aplicado na envolvente exterior de edifícios. Numa fase posterior desenvolve-se a caracterização dos diversos tipos de sistemas construtivos de fachadas, com a respetiva descrição dos sistemas. São vários os sistemas disponíveis no mercado, sendo os mais utilizados em Portugal, os sistemas de junta agrafada, sistema de encaixe e sistema Camarinha. São ainda abordados os diversos suportes deste tipo de revestimento, as patologias que podem surgir e também as vantagens e limitações do zinco como material de revestimento. Por último é apresentado o estudo de um caso concreto, baseado num projeto de um edifício de habitação multifamiliar, e serão desenvolvidos aspetos como o tipo de sistema de fachada aplicado e o seu modo de execução, para além do estudo do desempenho térmico e acústico das fachadas e o seu custo de execução.

Information & Communications Technology Strategy (PDF 567 KB)

The Strategy has two major, interlocking themes for ICT development: Electronic Care Records and Electronic Care Communications. The emphasis of the Strategy is on these themes, but the importance of ICT as a means to access other information and the need to sustain and modernise ICT in other areas is also recognised. åÊ