Non-vascularized Fibular Autograft and Locking Plate: A Solution to the Resistant Nonunion of a Tibial Metaphyseal Fracture.

The union of tibial fractures often raises concerns. In one such case, a 62-year-old female patient presented in our Emergency Room (ER) with a comminuted tibial metaphyseal fracture resulting from a traffic accident. The patient underwent three surgical procedures in the following two years.

Open Reduction and Internal Fixation With Proximal Humerus Locking Plate, Screws, and Fibular Strut Graft: An Alternative to Shoulder Arthroplasty and Solution to Medial Instability and Varus Collapse in Comminuted Proximal Humerus Fractures.

Fractures of the proximal humerus are a frequent ailment in the senior population. One concern with such a case that presented in our emergency room was the risk of varus collapse following open reduction and internal fixation (ORIF) in a patient with marked calcar comminution. The surgical method used in this case of a NEER four-part fracture with medial column instability proved effective in terms of good surgery outcome, patient satisfaction, good range of motion, and low or no pain at post-surgical follow-ups.

Exergoeconomic Analysis of a Mechanical Compression Refrigeration Unit Run by an ORC.

To improve the efficiency of a diesel internal combustion engine (ICE), the waste heat carried out by the combustion gases can be recovered with an organic Rankine cycle (ORC) that further drives a vapor compression refrigeration cycle (VCRC). This work offers an exergoeconomic optimization methodology of the VCRC-ORC group. The exergetic analysis highlights the changes that can be made to the system structure to reduce the exergy destruction associated with internal irreversibilities.

Tailoring a Comprehensive Bundled Intervention for ED Fall Prevention.

Introduction: Falls in the emergency department pose an important challenge for patient safety. Multifactorial fall prevention bundles have been associated with a reduction in patient falls in the inpatient setting. The purpose of this project was to tailor and implement a comprehensive fall prevention bundle in our emergency department.

Experimental Investigation of Thermal and Pressure Performance in Computer Cooling Systems Using Different Types of Nanofluids.

A modern computer generates a great amount of heat while working. In order to secure appropriate working conditions by extracting the heat, a specific mechanism should be used. This research paper presents the effect of nanofluids on the microchannel heat sink performance of computer cooling systems experimentally.