Consecutive Ruptures Research Articles

Involvement of Bacteria in the Pathological Changes Before Achilles Tendon Rupture: A Case Series Investigating 16S rDNA in 20 Consecutive Ruptures.

Background:The source of the pathological changes that occur before an acute Achilles tendon rupture (ATR) is not fully understood. Bacterial DNA has previously been detected in samples from ruptured Achilles tendons, suggesting a pathogenic role of bacteria in ATR.Purpose/Hypothesis:The purpose of this study was to investigate if DNA from bacteria was present in acutely ruptured Achilles tendons. We hypothesized that 20% to 30% of the samples from the rupture site and no samples from healthy tissue would be positive for bacterial DNA.Study Design:Case series; Level of evidence, 4.Methods:This study included 20 consecutive patients scheduled for surgical repair of an acute ATR. Tendon biopsy specimens were taken from the rupture site and from the healthy tendon tissue proximal to the rupture to act as a control. Samples were blinded to the technician and analyzed using polymerase chain reaction targeted to the bacterial 16S rDNA gene and Sanger sequencing to identify the bacterial species present. McNemar test for paired proportions was performed to test for statistically significant differences in the number of samples positive for bacterial DNA between the ruptured and control regions of the Achilles tendon.Results:Of the 20 patients, 1 (5%) had a positive sample with bacterial DNA from the ruptured part of the Achilles tendon. The same patient also had a positive control sample, although with different bacterial DNA. An additional patient had a positive control sample. There was no statistically significant difference in the number of bacterial DNA–positive samples between the ruptured and control regions of the Achilles tendon. The bacteria found (Staphylococcus sp, Micrococcus sp, and Staphylococcus epidermidis) were normal commensal organisms on the human skin.Conclusion:Bacterial DNA was infrequent in tissue from ruptured Achilles tendons and, if identified, likely was a result of contamination. This suggests that bacteria are not involved in the pathological changes occurring before rupture of the Achilles tendon.

Pull-down test and numerical validation of multi-story steel moment frame using pulley-based loading system

Regarding the structural robustness against progressive collapse, recent studies have revealed that the catenary effect is the critical resisting mechanism for the frame structures under large vertical displacement. The previous studies of the single floor beam-column subassemblies suggest that the catenary effect is greatly affected by the connection performance as well as the horizontal restraint. However, the conventional push-down testing might not appropriately represent the horizontal constraint from the surrounding bays and the vertical loading condition under the uniformly distributed gravity loads. Therefore, the static pull-down test is performed on the multi-story steel moment frame equipped with straight-reduced-section splice plates (SRSP). It is used for high deformability of beam-to-column connection. In addition, a vertical loading system using the fixed pulleys for load transferring is newly proposed for a feasible and safe loading procedure. The experimental results show that the growth of vertical resistance can be mainly attributed to the plastic hardening and the consecutive catenary effect. The maximum resistance is governed by the first rupture of SRSP at the overall chord rotation of 0.178 rad, indicating high deformability of bolted connection with SRSP. Based on the failure sequence of connections and the internal force as well as deformation response, the floor dependency of catenary effect can be significantly observed. It is characterized by the earliest failure emerging at the 1st floor, followed by the consecutive ruptures observed at the upper floors. In terms of the internal force, the vertical contribution derived from the tensile force will be gradually rising for the connection at the 1st floor, in contrast to the negligible catenary effect at the 2nd and 3rd floors. Eventually, the numerical simulation is performed based on the previously proposed material model. The simulated full-range force-displacement curve with the low percentage error of 0.8% for the first rupture displacement demonstrates the validity of the numerical model in terms of the full-range behaviors of multi-story frame structure.

Consecutive ruptures on a complex conjugate fault system during the 2018 Gulf of Alaska earthquake

We developed a flexible finite-fault inversion method for teleseismic P waveforms to obtain a detailed rupture process of a complex multiple-fault earthquake. We estimate the distribution of potency-rate density tensors on an assumed model plane to clarify rupture evolution processes, including variations of fault geometry. We applied our method to the 23 January 2018 Gulf of Alaska earthquake by representing slip on a projected horizontal model plane at a depth of 33.6 km to fit the distribution of aftershocks occurring within one week of the mainshock. The obtained source model, which successfully explained the complex teleseismic P waveforms, shows that the 2018 earthquake ruptured a conjugate system of N-S and E-W faults. The spatiotemporal rupture evolution indicates irregular rupture behavior involving a multiple-shock sequence, which is likely associated with discontinuities in the fault geometry that originated from E-W sea-floor fracture zones and N-S plate-bending faults.

Flexor tendon repair after rupture caused by volar plate fixation of the distal radius

Volar plate fixation of unstable fractures of the distal radius is preferred by a majority of surgeons today. One known complication is the rupture of flexor tendons. The aim of this paper is to present flexor tendon ruptures after volar plate fixation analysing the clinical outcome after tendon surgery, aetiology, and methods of prevention. Seventeen consecutive ruptures in 14 patients were included. The incidence was 1.4%. Three patients declined tendon surgery. Eleven patients were treated with a free tendon graft. Only two patients showed excellent results regarding mobility in the thumb and/or fingers. Analysis of radiographs demonstrated sub-optimal placement of plate or screws in all cases. Rupture of a flexor tendon is a serious complication where the functional outcome after surgical reconstruction is uncertain. Early removal of the plate when the placement is sub-optimal or when local volar tenderness appears would probably prevent many ruptures.

Crawling of a driven adherent membrane

We discuss motions of an elastic N × M membrane model whose constituents can bind reversibly with strength ε to adhesive sites of a flat substrate. One of the edges of the membrane ("front") is driven in one direction at rate constant p by N stochastically treadmilling short parallel lines ("cortex"). The main conclusions derived from Monte Carlo studies of this model are the following: (a) Since the polymerizing cortex pushes only the leading edge of the membrane, the major part of the membranes is dragged behind. Therefore, the locomotion of the membrane can be described by frictional sliding processes which are asymmetrically distributed between front and rear of the membrane. A signature of this asymmetry is the difference between the life times of adhesion bonds at front and rear, τ(1) and τ(M), respectively, where τ(1) ≫ τ(M). (b) There are four characteristic times for the membrane motion: The first time, T(0) ~ τ(M) ~ e(aε), is the resting time where the displacement of the membrane is practically zero. The second time, T(p) ~ τ(1) ~ M, is the friction time which characterizes the time between two consecutive ruptures of adhesion bonds at the front, and which signalizes the onset of drift ("protrusion") at the leading edge. The third time, T(r) ~ M(γ(ε)) (γ > 1), characterizes the "retraction" of the trailing edge, which is the retarded response to the pulling leading edge. The fourth time, T(L) ~ M(2), is the growth time for fluctuation of the end-to-end distance. (c) The separation of time scales, T(r)/T(p) ~ M(γ(ε) - 1), leads to stretched fluctuations of the end-to-end distance, which are considered as stochastic cycles of protrusion and retraction on the time scale of T(L). (d) The drift velocity v obeys anomalous scaling, v/p~f(p(1/γ(ε))M), where f(z) ~ const. for small drag pM ≪ 1, and f(z) ~ z(-γ(ε)) for pM ≫ 1, which implies v~M(-γ(ε)). These results may also turn out to be useful for the (more difficult) problem of understanding the protrusion-retraction cycle of crawling biological cells. We compare our model and our results to previous two-particle theories for membrane protrusion and to known stochastic friction models.

Three Consecutive Uterine Ruptures in the Same Woman, Each with Fetal Survival

Three Consecutive Uterine Ruptures in the Same Woman, Each with Fetal Survival

Three consecutive uterine ruptures in the same woman, each with fetal survival

Three consecutive uterine ruptures in the same woman, each with fetal survival

Two consecutive ruptures of the upper cuff of disposable laryngeal tubes during anaesthesia of a single patient

Two consecutive ruptures of the upper cuff of disposable laryngeal tubes during anaesthesia of a single patient

Direct observation of the anchoring process during the adsorption of fibrinogen on a solid surface by force-spectroscopy mode atomic force microscopy.

Atomic force microscopy in a force-spectroscopy mode has been used to investigate the kinetics of the adsorption process of fibrinogen molecules on a silica surface. An original "approach/retraction" cycle of the tip/surface was used for this purpose. Fibrinogen molecules were adsorbed on the atomic force microscopy tip and were brought into contact with the silica surface for different interaction times varying from 5 to 2,000 ms. Multiple consecutive ruptures were observed. The mean number of ruptures nr per cycle increases steadily with the interaction time as well as the mean strength fr which varies from 300 pN for 5 ms to 1,400 pN for 2,000 ms. The minimal interaction time for a fibrinogen molecule to bind strongly to a silica surface during an adsorption process appears to lie between 50 and 200 ms. The histograms of the distances between two consecutive ruptures in one cycle exhibit maxima around 20-25 nm. This length is comparable to the characteristic distance between D and E globules of one fibrinogen molecule and suggests that fibrinogen molecules mainly adsorb through their D and E globules.

The repetition of large-earthquake ruptures.

This survey of well-documented repeated fault rupture confirms that some faults have exhibited a "characteristic" behavior during repeated large earthquakes--that is, the magnitude, distribution, and style of slip on the fault has repeated during two or more consecutive events. In two cases faults exhibit slip functions that vary little from earthquake to earthquake. In one other well-documented case, however, fault lengths contrast markedly for two consecutive ruptures, but the amount of offset at individual sites was similar. Adjacent individual patches, 10 km or more in length, failed singly during one event and in tandem during the other. More complex cases of repetition may also represent the failure of several distinct patches. The faults of the 1992 Landers earthquake provide an instructive example of such complexity. Together, these examples suggest that large earthquakes commonly result from the failure of one or more patches, each characterized by a slip function that is roughly invariant through consecutive earthquake cycles. The persistence of these slip-patches through two or more large earthquakes indicates that some quasi-invariant physical property controls the pattern and magnitude of slip. These data seem incompatible with theoretical models that produce slip distributions that are highly variable in consecutive large events.

Ruptures and traumas in central European consciousness: Czech history as a test case

Although the criteria of continuity OT discontinuity in history may not be precise, it is nevertheless possible, and not necessarily with hindsight, to qualify certain events as Nptures in what otherwise could be considered a continuous trend of development, Foreign conquest, revolution or far-reaching reform are recognised as the most obvious causes of such a change. A violent change is bound to produce schisms, contrasting views and evaluations which may be passed from generation to generation. Furthermore, on the one hand a sense of protracted injustice and on the other hand a sense of guilt, coupled with a bitterly divided assessment of major events in the past, may coalesce into a traumatic state of mind in the body social. In the Czech cultural history we may identify three such ruptures with traumatic effects for posterity. Each of these ruptures reflected a particular spirit of the time, a particular issue which was at the forefront of the respective phase of European civilisation. The first was under the aegis of religion, whether Catholic or reformed; the second was under that of nationality, whether sovereign or under tutelage, whether unified or federated; the third which is still with us, concerns the totality of culture, whether liberal and pluralistic on the one hand, or regimental and uniform on the other. In all these instances the process started with an upward swing which resulted in an attempt to build up Czech or Czechoslovak polity and society in the imageof Czechs’ own understanding of the values of the time, an image which always implied a certain kind of pluralism. Yet the surrounding world was not so tolerant as to let a pluralistic society flourish in its midst. The element of distinctness within the realms which lived according to the principle cuius regio eius re&gio had to he eliminated. As this happened by conquest folkwed by imposition of an alien rule and alien social ethos, a gaping rupture occurred in the historical continuity of the nation. Several consecutive ruptures were bound to produce cumulative effects, often with traumatic consequences.

Over De Invloed Van Enkele Fysico-Chemische Faktoren Op De Faunistische Rijkdom Van De Noordoost-Vlaamse Kreken

In the north of the province of East-Flanders, extending from some 30 km north-west of Ghent to north-west of Antwerp, and also along the river Scheldt, there are a lot of inland waters called "kreken" (creeks). They are the remains of consecutive dike ruptures, some of which go back to medieval times.