Publications by authors named "Geel P"

Evaluating model parameters through laboratory experiments presents challenges due to waste heterogeneity and scale effects. This study investigates the settlement response of selected models using field-scale data collected from the filling and post-closure phases of the Ste. Sophie landfill in Canada.

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Article Synopsis
  • A 12-year study at the Ste. Sophie landfill in Québec analyzed how municipal solid waste (MSW) stabilizes in cold climates, focusing on temperature changes and waste settlement over time.
  • The study found that there is a 12-18 month delay in temperature rise during the filling phase due to the freezing conditions affecting the waste.
  • A thermal-mechanical-biological (TMB) model was created to simulate the stabilization process, allowing for better prediction of MSW behavior and optimizing landfill operations by ensuring waste is stabilized before applying a final cover.*
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  • Prosthetic valve endocarditis (PVE) is a serious complication with a yearly incidence of 0.4-1.0%, and existing diagnostic criteria, particularly the modified Duke/ESC 2015 (MDE2015), have limitations in sensitivity and specificity for PVE cases, even with new imaging techniques added.
  • A study was conducted using data from 160 patients to compare four machine learning algorithms against the MDE2015 criteria in diagnosing PVE, utilizing a comprehensive approach that included clinical information and surgical findings as the gold standard.
  • Results showed varying diagnostic performance for MDE2015 based on handling 'possible' PVE cases, with high sensitivity (0.96) but low specificity (0.
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Background: In patients with symptomatic trapeziometacarpal (TMC) joint arthritis resistant to conservative treatment, surgical treatment can be advised. One of the many surgical treatment options is TMC arthroplasty. The Arpe prosthesis is one example of these TMC arthroplasties.

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In Northern climates, waste placed curbside the evening before waste collection can lead to partially frozen waste at placement, which delays biodegradation and biodegradation-induced settlement. A 12-year settlement dataset collected during the filling and post-closure phases at a landfill in Québec, Canada was analyzed. The dataset showed a delay in biodegradation-induced settlement due to the first three waste lifts being placed in the winter months and exhibited an increase in the settlement rate at later times when the waste temperatures increased to values that support biodegradation.

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Methane (CH) emissions from landfills are a major contributor to global greenhouse gas emissions. Compost-based biocovers offer a viable approach to reduce CH emissions from landfills; however, the effectiveness in climates with varying temperatures is not well understood. The methane removal performances of two compost-based biocover materials (food and yard waste compost) were examined under different temperature conditions using laboratory column experiments.

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The emergence of a droplet from a capillary tube opening into a reservoir is an important phenomenon in several applications. In this work, we are particularly interested in this phenomenon in an attempt to highlight the physics behind droplet appearance. The emergence of a droplet from a tube opening into a reservoir under quasi-static conditions passes through three stages.

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The current retrospective study investigates the natural evolution of head-shaft angle (HSA) and neck-shaft angle (NSA) in childhood. It is not known if a high HSA in early childhood leads to a high HSA in adulthood. This study aims to characterize the evolution of HSA and compares it with the more commonly known NSA in healthy children.

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Background: Left ventricular assist devices (LVADs) are increasingly used for the treatment of advanced heart failure. LVADs improve quality of life and decrease mortality, but the driveline carries substantial risk for major infections. These device-related LVAD and driveline infections are difficult to diagnose with conventional imaging.

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Instrument bundles placed within the Ste. Sophie landfill (Quebec, Canada) have been collecting temperature and settlement data since January 2010. Previous modelling efforts simulated settlement based on a three-component model to account for primary or instantaneous compression, secondary compression or mechanical creep and time-dependent biodegradation-induced settlement.

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A 1year and 10 months old girl was referred by the general practitioner because of abnormal position of both big toes. Her mother had the same complaint, but only on the left foot. Clinical examination of the girl showed bilateral absence of the extensor hallucis longus tendons, while in the mother, the same anomaly was found only on the left side.

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Background: Multimodality imaging is recommended to diagnose infective endocarditis. Value of additional imaging to echocardiography in patients selected by a previously proposed flowchart has not been evaluated.

Methods: An observational single-center study was performed.

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Background: F-Fluorodeoxyglucose (FDG) positron-emission tomography/computed tomography (PET/CT) was recently introduced as a new tool for the diagnosis of prosthetic heart valve endocarditis (PVE). Previous studies reporting a modest diagnostic accuracy may have been hampered by unstandardized image acquisition and assessment, and several confounders, as well. The aim of this study was to improve the diagnostic performance of FDG PET/CT in patients in whom PVE was suspected by identifying and excluding possible confounders, using both visual and standardized quantitative assessments.

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Background: Surgical treatment of complicated aortic valve endocarditis often is challenging, even for experienced surgeons. We aim at demonstrating a standardized surgical approach by stentless bioprostheses for the treatment of aortic valve endocarditis complicated by paravalvular abscess formation.

Methods: Sixteen patients presenting with aortic valve endocarditis (4 native and 12 prosthetic valves) and paravalvular abscess formation at various localizations and to different extents were treated by a standardized approach using stentless bioprostheses.

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Preanalytical hemolysis of blood samples is a common problem in medical practice, especially in emergency departments. Several potential influences on sample hemolysis have been investigated, including sampling techniques, centrifugation and sample transport. In particular, the use of intravenous catheters and the vacuum sampling technique have often been demonstrated to provoke hemolysis.

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Several diagnostic imaging methodologies are available for the clinical evaluation of sarcoidosis, but all have their limitations. FDG PET/CT is frequently used, but this technique does not provide optimal results in all cases. Novel radiopharmaceuticals aimed at other disease targets may be helpful, particularly in cardiac sarcoidosis when FDG PET/CT has a low diagnostic accuracy, due to difficulties in preparing the patients who should use a specific diet combined with prolonged fasting.

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Sensitivity and specificity of the modified Duke criteria for native valve endocarditis are both suboptimal, at approximately 80%. Diagnostic accuracy for intracardiac prosthetic material-related infection is even lower. Non-invasive imaging modalities could potentially improve diagnosis of infective endocarditis; however, their diagnostic value is unclear.

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A landfill gas to energy (LFGTE) facility in Ste. Sophie, Quebec was instrumented with sensors which measure temperature, oxygen, moisture content, settlement, total earth pressure, electrical conductivity and mounding of leachate. These parameters were monitored during the operating phase of the landfill in order to better understand the biodegradation and waste stabilization processes occurring within a LFGTE facility.

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Twelve instrument bundles were placed within two waste profiles as waste was placed in an operating landfill in Ste. Sophie, Quebec, Canada. The settlement data were simulated using a three-component model to account for primary or instantaneous compression, secondary compression or mechanical creep and biodegradation induced settlement.

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Aims: It has been suggested that home-based heart failure (HF) management in primary care may be an alternative to clinic-based management in HF patients. However, little is known about adherence to HF guidelines and adherence to the medication regimen in these home-based programmes. The aim of the current study was to determine whether long-term follow-up and treatment in primary care is equally effective as follow-up at a specialized HF clinic in terms of guideline adherence and patient adherence, in HF patients initially managed and up-titrated to optimal treatment at a specialized HF clinic.

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A bioreactor landfill operated in Sainte-Sophie, Québec, Canada was instrumented to better understand the waste stabilization process in northern climates. Instrument bundles were placed within the waste to monitor temperature, oxygen, moisture content, settlement, total load, mounding of leachate and electrical conductivity. A finite element model was developed to simulate the heat fluxes to and from the waste, as well as heat generation within the waste from both anaerobic and aerobic processes.

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A landfill operated in Ste. Sophie, Québec, Canada was instrumented to better understand the waste stabilization process in northern climates. Instrument bundles were placed within the waste to monitor temperature, settlement, oxygen, moisture content, total load, mounding of leachate and electrical conductivity.

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Aims: Atrial fibrillation (AF) and heart failure often co-exist. It is unknown whether the sequence in which AF and heart failure develop is of significance regarding prognosis. We assessed the prognosis of AF patients hospitalized for heart failure based on the timing of AF and heart failure development.

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An 82-year-old woman presented with dyspnoea and palpitations. The patient was admitted to the cardiology ward on suspicion of atrial fibrillation and reduced cardiac output. Examination revealed position-dependent deoxygenation.

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