OBJECTIVE Persistent air leakage following pulmonary resection is a major limiting factor for discharge from hospital. The aim of this study was to evaluate the sealing capacity of TachoSil for the closure of alveolar air leaks following parenchymal resections and to determine its effect on time to chest drain removal and duration of hospitalisation. METHODS A total of 173 patients undergoing...

Egypt is facing a water scarcity problem; it is a must to reuse drainage water to substitute this deficit between supply and demand. Also the drainage water is polluted and needs to be purified before reusing it. Therefore an approach is proposed herein to reuse the flow discharge of El Rahawy Drain that drains its water to Rosetta Branch (the second most polluted drain in Egypt) and convey its...

BACKGROUND There is clinical equipoise regarding post-operative management of patients with patent ductus arteriosus (PDA) without insertion of a chest drain. This study evaluated post operative outcomes of chest closure with or without a drain following Patent Ductus Arteriosus ligation among childen at Uganda Heart Instritute (UHI). METHODS This was an open label randomized controlled trial...

Some of the highest losses of nitrate to surface waters come from drained agricultural land. Given previous this article studied for Belgian farming conditions (i) the effect of subsurface drainage density on nitrate losses and (ii) the economics of nitrate emissions, using the nitrogen version of DRAINMOD (Brevé et al., 1997 a and b). DRAINMOD (Skaggs, 1997) was used to simulate the performanc...

The charge/discharge phenomenon of capacitance between terminals in a power MOSFET affects on its switching behavior of the device. The input capacitance is composed of the gate-source capacitance CGS and the gate-drain capacitance CGD, which vary with gate voltage VGS. This paper characterizes the relationship between the input capacitance of a SiC MOSFET and the gate voltage with considering ...

Despite the regulatory mandate to maintain "natural water quality", there are ≥ 271 storm drain discharges that potentially threaten the 14 designated marine water quality protected areas in Southern California called Areas of Special Biological Significance (ASBS). After sampling 35 site-events, the geomean concentrations of total suspended solids, nutrients, total and dissolved trace metals, ...

OBJECTIVE Pleurectomy+/-bullectomy by video-assisted thoracoscopic surgery (VATS) is an established surgical procedure for pneumothorax. Early ambulation and discharge should be a reasonable goal. This study explores the feasibility of day-case surgery and identifies the obstacles requiring further work to facilitate day-case pneumothorax surgery. METHODS Between June 2007 and May 2008, 16 co...

BACKGROUND Post-discharge care remains a challenge because continuity of care is often interrupted and adverse events frequently occur. Previous studies have focused on early readmission but few have investigated emergency department (ED) visit after discharge. METHODS This retrospective observational study was conducted between April 2011 and March 2012 in a referral center in Taiwan. Patien...

fibrinogen and thrombin to reduce air leak, duration of drainage and hospital stay. We welcome their conclusion on the safety and efficacy of biosynthetic sealants to minimise air leaks, a finding which contrasts the conclusions of a recent Cochrane review based on the results of trials that were selected for inclusion [2]. Unfortunately, we cannot agree with their statement that theirs was the...

new family home. He accidentally leant over the bucket and inhaled the fumes produced by the solution. Five minutes after the inhalation, he developed persistent pleuritic, right-sided chest pain and breathlessness. There was no personal or family history of pulmonary disease, and he had never smoked. Physical abnormalities were confined to the chest. He had a respiratory rate of 30 a minute an...