BACKGROUND/PURPOSE The aim of this study was to develop a method of management of large omphalocele, with easily available inexpensive materials. The efficacy of using the plastic of urine collection bag and paper stapler, in creating the "silo" for the management of 3 newborns with such defects, were assessed. METHODS All operations were done within 36 hours of birth. A silo was created with...

In this paper we investigate the IT systems silo problem in e-health infrastructures. After three decades of user oriented systems development the health sector is characterized by system diversity and fragmentation. In response to this situation health authorities in the EU countries have called for a strategy of standardisation and integration; aiming to reduce complexity. It is assumed that ...

This supplement engages some of the leading health economists in Europe to analyze how the policies in their respective health-care systems to control and influence pharmaceutical spending are likely to influence the overall performance of their systems, with respect to both cost control and the production of population health. Six countries were selected to provide a representative mix of publ...

The field of infrastructure rehabilitation and development requires a better understanding of soil-structure interactions. The interaction behaviour between soil and structures has mostly been investigated through theoretical and/or numerical analysis. This paper presents a series of experiments performed on an intermediate-scale physical model made of an instrumented silo. In contrast to most ...

In this work, we present an experimental study of the jamming that stops the free flow of grains from a silo discharging by gravity. When the outlet size is not much bigger than the beads, granular material jams the outlet of the container due to the formation of an arch. Statistical data from the number of grains fallen between consecutive jams are presented. The information that they provide ...

BACKGROUND Evaluation of the sensitisation and levels of exposure to grains and its pulmonary impact ina population of Brest port silo employees. MATERIALS AND METHODS We included exposed workers. The study consisted of clinical examination witha standardised questionnaire, blood samples, prick-tests, and spirometry tests. The atmospheric concentrationof total dust in the workplace was also a...

The q model of Coppersmith et al. @Phys. Rev. E 53, 4673 ~1996!# has renewed interest in understanding the forces generated along the walls and at the bottom of a silo filled with a granular material. Fluctuations in the mean stress have been characterized for the q model, and related to experimental work on stress chains. The classical engineering approach to bin loads follows from Janssen’s a...

Effective emergency preparedness and response requires leadership that can accomplish perceptive coordination and communication amongst diverse agencies and sectors. Nevertheless, operating within their specified scope of authority, preparedness leaders in characteristic bureaucratic fashion often serve to bolster the profile and import of their own organization, thereby creating a silo effect ...

For silage production, high bulk density (BD) is critical to minimize aerobic deterioration facilitated by oxygen intrusion. To precisely assess packing quality for bunker silos, there is a desire to visualize the BD distribution within the silage. In this study, a penetrometer-based mapping system was developed. The data processing included filtering of the penetration friction component (PFC)...