Posterior instrumentation is a common fixation method used to treat thoracolumbar burst fractures. However, the role of different cross-link configurations in improving fixation stability in these fractures has not been established. A 3D finite element model of T11-L3 was used to investigate the biomechanical behavior of short (2 level) and long (4 level) segmental spine pedicle screw fixation with various cross-links to treat a hypothetical L1 vertebra burst fracture. Three types of cross-link configurations with an applied moment of 7.5 Nm and 200 N axial force were evaluated. The long construct was stiffer than the short construct irrespective of whether the cross-links were used (p < 0.05). The short constructs showed no significant differences between the cross-link configurations. The XL cross-link provided the highest stiffness and was 14.9% stiffer than the one without a cross-link. The long construct resulted in reduced stress to the adjacent vertebral bodies and screw necks, with 66.7% reduction in bending stress on L2 when the XL cross-link was used. Thus, the stability for L1 burst fracture fixation was best achieved by using long segmental posterior instrumentation constructs and an XL cross-link configuration. Cross-links did not improved stability when a short structure was used.
We have examined the star formation history (SFH) of Andromeda VII (And VII), the brightest and most massive dwarf spheroidal (dSph) satellite of the Andromeda galaxy (M31). Although M31 is surrounded by several dSph companions with old stellar populations and low metallicity, it has a metal-rich stellar halo with an age of 6-8 Gyr. This indicates that any evolutionary association between the stellar halo of M31 and its dSph system is frail. Therefore, the question is whether And VII (a high-metallicity dSph located ∼220 kpc from M31) can be associated with M31ʼs young, metal-rich halo. Here we perform the first reconstruction of the SFH of And VII employing long-period variable (LPV) stars. As the most evolved asymptotic giant branch and red supergiant stars, the birth mass of LPVs can be determined by connecting their near-infrared photometry to theoretical evolutionary tracks. We found 55 LPV candidates within two half-light radii, using multiepoch imaging with the Isaac Newton Telescope in the i and V bands. Based on their birth mass function, the star formation rate (SFR) of And VII was obtained as a function of cosmic time. The main epoch of star formation occurred ; 6.2 Gyr ago with an SFR of 0.006 ± 0.002 M e yr −1 . Over the past 6 Gyr, we find slow star formation, which continued until 500 Myr ago with an SFR ∼ 0.0005 ± 0.0002 M e yr −1 . We determined And VII's stellar mass M = (13.3 ± 5.3) × 10 6 M e within a half-light radius = ¢ ¢ r 3.8 0.3 1 2 and metallicity Z = 0.0007, and we also derived its distance modulus of μ = 24.38 mag.
Background: The number of studies available on the performance of on-site medical waste treatment facilities is rare, to date. The aim of this study was to evaluate the performance of onsite medical waste treatment equipment in hospitals of Tabriz, Iran.
Methods: A various range of the on-site medical waste disinfection equipment (autoclave, chemical disinfection, hydroclave, and dry thermal treatment) was considered to select 10 out of 22 hospitals in Tabriz to be included in the survey. The apparatus were monitored mechanically, chemically, and biologically for a six months period in all of the selected hospitals.
Results: The results of the chemical monitoring (Bowie-Dick tests) indicated that 38.9% of the inspected autoclaves had operational problems in pre-vacuum, air leaks, inadequate steam penetration into the waste, and/or vacuum pump. The biological indicators revealed that about 55.55% of the samples were positive. The most of applied devices were not suitable for treating anatomical, pharmaceutical, cytotoxic, and chemical waste.
Conclusion: Although on-site medical waste treating facilities have been installed in all the hospitals, the most of infectious-hazardous medical waste generated in the hospitals were deposited into a municipal solid waste landfill, without enough disinfection. The responsible authorities should stringently inspect and evaluate the operation of on-site medical waste treating equipment. An advanced off-site central facility with multi-treatment and disinfection equipment and enough capacity is recommended as an alternative.
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