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Jezdik R, Sebik M, Kubovy P, Marsik F, Lopot F, Hajkova B, Hylmarova D, Havlicek M, Stocek O, Doubek M, Tikkanen T, Svoboda M, Jelen K. Pedestrian Safety in Frontal Tram Collision, Part 2: Laminated Glass as a Crucial Part of the Absorption and Deformation Zone-Its Impact Test and Analysis. Sensors (Basel) 2023; 23:8974. [PMID: 37960673 PMCID: PMC10650637 DOI: 10.3390/s23218974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 08/27/2023] [Accepted: 10/18/2023] [Indexed: 11/15/2023]
Abstract
As was shown in the previous part of the study, windshields are an important part of the passive safety means of modern low-floor trams with an extraordinary effect on pedestrian safety in a pedestrian-tram collisions. Therefore, maximum attention must be paid to the definition of tram windshield characteristics. This article describes a windshield crash test, from which data are obtained to verify the feasibility of the applied computational approaches. A developed analytical model is utilised for a simple description of the energy balance during collision with an illustrative definition of the important parameters of laminated glass as well as their clear physical interpretations. The finite element analysis (FEA) performed in Ansys software using two versions of material definition, namely a simpler (*MAT_ELASTIC with nonlocal failure criterion) and a more complex (*MAT_GLASS with brittle stress-state-dependent failure) material model, which are presented as suitable for obtaining a detailed description of the shattering process of laminated glass, which can also be used effectively in windshield engineering.
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Affiliation(s)
| | - Marek Sebik
- SVS FEM s.r.o., 628 00 Brno, Czech Republic;
| | - Petr Kubovy
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
| | - Frantisek Marsik
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
- Institute of Thermomechanics, Czech Academy of Sciences (CAS), 182 00 Prague, Czech Republic
| | - Frantisek Lopot
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
- Department of Designing and Machine Elements, Czech Technical University, 160 00 Prague, Czech Republic; (M.H.)
| | - Barbora Hajkova
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
| | - Dita Hylmarova
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
| | - Martin Havlicek
- Department of Designing and Machine Elements, Czech Technical University, 160 00 Prague, Czech Republic; (M.H.)
| | - Ondrej Stocek
- Department of Designing and Machine Elements, Czech Technical University, 160 00 Prague, Czech Republic; (M.H.)
| | - Martin Doubek
- Dopravní Podnik Hlavního Města Prahy, 190 22 Prague, Czech Republic;
| | | | - Martin Svoboda
- Faculty of Mechanical Engineering, Jan Evangelista Purkyne University, 400 96 Usti nad Labem, Czech Republic;
| | - Karel Jelen
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic
- Department of Pathophysiology, Second Faculty of Medicine (2. LF UK), Charles University, 150 06 Prague, Czech Republic
- Police Academy of the Czech Republic in Prague, 143 00 Prague, Czech Republic
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Lopot F, Tomsovsky L, Marsik F, Masek J, Kubovy P, Jezdik R, Sorfova M, Hajkova B, Hylmarova D, Havlicek M, Stocek O, Doubek M, Tikkanen T, Svoboda M, Jelen K. Pedestrian Safety in Frontal Tram Collision, Part 1: Historical Overview and Experimental-Data-Based Biomechanical Study of Head Clashing in Frontal and Side Impacts. Sensors (Basel) 2023; 23:8819. [PMID: 37960520 PMCID: PMC10648294 DOI: 10.3390/s23218819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 10/02/2023] [Accepted: 10/18/2023] [Indexed: 11/15/2023]
Abstract
This article represents the first paper in a two-part series dealing with safety during tram-pedestrian collisions. This research is dedicated to the safety of trams for pedestrians during collisions and is motivated by the increased number of lethal cases. The first part of this paper includes an overview of tram face development from the earliest designs to the current ones in use and, at the same time, provides a synopsis and explanation of the technical context, including a link to current and forthcoming legislation. The historical design development can be characterised by three steps, from an almost vertical front face, to leaned and pointed shapes, to the current inclined low-edged windshield without a protruding coupler. However, since most major manufacturers now export their products worldwide and customisation is only of a technically insignificant nature, our conclusions are generalisable (supported by the example of Berlin). The most advantageous shape of the tram's front, minimising the effects on pedestrians in all collision phases, has evolved rather spontaneously and was unprompted, and it is now being built into the European Commission regulations. The goal of the second part of this paper is to conduct a series of tram-pedestrian collisions with a focus on the frontal and side impacts using a crash test dummy (anthropomorphic test device-ATD). Four tram types approaching the collision at four different impact speeds (5 km/h, 10 km/h, 15 km/h, and 20 km/h) were used. The primary outcome variable was the resultant head acceleration. The risk and severity of possible head injuries were assessed using the head injury criterion (HIC15) and its linkage to the injury level on the Abbreviated Injury Scale (AIS). The results showed increasing head impacts with an increasing speed for all tram types and collision scenarios. Higher values of head acceleration were reached during the frontal impact (17-124 g) compared to the side one (2-84 g). The HIC15 values did not exceed the value of 300 for any experimental setting, and the probability of AIS4+ injuries did not exceed 10%. The outcomes of tram-pedestrian collisions can be influenced by the ATD's position and orientation, the impact speed and front-end design of trams, and the site of initial contact.
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Affiliation(s)
- Frantisek Lopot
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
- Department of Designing and Machine Elements, Czech Technical University, 166 29 Prague, Czech Republic
| | - Lubos Tomsovsky
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
| | - Frantisek Marsik
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
- Institute of Thermomechanics, CAS, 182 00 Prague, Czech Republic
| | - Jan Masek
- VUKV a.s., 158 00 Prague, Czech Republic; (J.M.)
| | - Petr Kubovy
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
| | - Roman Jezdik
- VUKV a.s., 158 00 Prague, Czech Republic; (J.M.)
| | - Monika Sorfova
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
| | - Barbora Hajkova
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
| | - Dita Hylmarova
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
| | - Martin Havlicek
- Department of Designing and Machine Elements, Czech Technical University, 166 29 Prague, Czech Republic
| | - Ondrej Stocek
- Department of Designing and Machine Elements, Czech Technical University, 166 29 Prague, Czech Republic
| | - Martin Doubek
- Dopravní Podnik Hlavního Města Prahy, 190 22 Prague, Czech Republic;
| | | | - Martin Svoboda
- Faculty of Mechanical Engineering, Jan Evangelista Purkyne University, Pasteurova 3544/1, 400 96 Usti nad Labem, Czech Republic;
| | - Karel Jelen
- Department of Anatomy and Biomechanics, Charles University, 162 52 Prague, Czech Republic (F.M.)
- Second Faculty of Medicine (2. LF UK), Charles University, 150 06 Prague, Czech Republic
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Panska S, Piglova T, Zeman J, Marsik F, Lopot F, Jelen K. Evaluation of rheological parameters of the axial system using the Transfer Vibration through Spine (TVS) method. Neuro Endocrinol Lett 2016; 37:301-307. [PMID: 27857047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Accepted: 08/28/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVE The human motion system reacts to both hypo and hyperactivity loads by changes to the rheological properties of tissues. This study deals with changes to the axial system (AS) compartment. Using the appropriate methodologies and mathematical-physical methods, these changes can be identified and quantified. METHODS This study describes the noninvasive TVS (Transfer Vibration through Spine) method, which was applied to assess the AS selected mechanical properties in various modes. A pilot study was conducted on a top-level twelve-year-old girl-gymnast. The data detection was carried out in three cycles, before and after a peak 3.5 hour training session and the next day, after resting, just before the next training. RESULTS Specifically, the values of selected rheological parameters, the AS damping coefficient b and viscosity μ, were obtained. The dynamics of their changes, in the stated load cycles, has also been shown. The damping coefficient b fell from the value of 0.626 to 0.324 before training and increased to 0.394 after resting. The viscosity coefficient μ showed a similar trend, namely falling from the value of 9.85 [Pa.s] to 2.15 [Pa.s] and then increasing to 3.8 [Pa.s] . CONCLUSIONS With its computational solution, the TVS method,is a diagnostic apparatus making it possible to classify AS properties, both quantitatively and qualitatively, or its chosen segments and their changes, respectively. It can be used in classifying, preventing and treating the consequences of extreme motion and relaxing modes. The TVS application also makes it possible to control AS states over therapeutic, recovery, ergonomic and other loading modes of the human locomotion system.
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Affiliation(s)
- Sarka Panska
- Department of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Laboratory of Biomechanics of Extreme Loading, Charles University, Czech Republic
| | - Tereza Piglova
- Department of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Laboratory of Biomechanics of Extreme Loading, Charles University, Czech Republic
| | - Josef Zeman
- Faculty of Engineering, Czech University of Life Sciences, Czech Republic
| | - Frantisek Marsik
- Institute of Thermomechanics of Academy of Sciences, Czech Republic
| | - Frantisek Lopot
- Department of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Laboratory of Biomechanics of Extreme Loading, Charles University, Czech Republic
| | - Karel Jelen
- Department of Anatomy and Biomechanics, Faculty of Physical Education and Sport, Laboratory of Biomechanics of Extreme Loading, Charles University, Czech Republic
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Zhang L, Blanchard P, Johnson D, Dastoor A, Ryzhkov A, Lin CJ, Vijayaraghavan K, Gay D, Holsen TM, Huang J, Graydon JA, St Louis VL, Castro MS, Miller EK, Marsik F, Lu J, Poissant L, Pilote M, Zhang KM. Assessment of modeled mercury dry deposition over the Great Lakes region. Environ Pollut 2012; 161:272-283. [PMID: 21705119 DOI: 10.1016/j.envpol.2011.06.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2011] [Accepted: 06/03/2011] [Indexed: 05/31/2023]
Abstract
Three sets of model predicted values for speciated mercury concentrations and dry deposition fluxes over the Great Lakes region were assessed using field measurements and model intercomparisons. The model predicted values were produced by the Community Multiscale Air Quality Modeling System for the year 2002 (CMAQ2002) and for the year 2005 (CMAQ2005) and by the Global/Regional Atmospheric Heavy Metals Model for the year 2005 (GRAHM2005). Median values of the surface layer ambient concentration of gaseous elemental mercury (GEM) from all three models were generally within 30% of measurements. However, all three models overpredicted surface-layer concentrations of gaseous oxidized mercury (GOM) and particulate bound mercury (PBM) by a factor of 2-10 at the majority of the 15 monitoring locations. For dry deposition of GOM plus PBM, CMAQ2005 showed a clear gradient with the highest deposition in Pennsylvania and its surrounding areas while GRAHM2005 showed no such gradient in this region; however, GRAHM2005 had more hot spots than those of CMAQ2005. Predicted dry deposition of GOM plus PBM from these models should be treated as upper-end estimates over some land surfaces in this region based on the tendencies of all the models to overpredict GOM and PBM concentrations when compared to field measurements. Model predicted GEM dry deposition was found to be as important as GOM plus PBM dry deposition as a contributor to total dry deposition. Predicted total annual mercury dry deposition were mostly lower than 5 μg m(-2) to the surface of the Great lakes, between 5 and 15 μg m(-2) to the land surface north of the US/Canada border, and between 5 and 40 μg m(-2) to the land surface south of the US/Canada border. Predicted dry deposition from different models differed from each other by as much as a factor of 2 at regional scales and by a greater extent at local scales.
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Affiliation(s)
- L Zhang
- Science and Technology Branch, Environment Canada, Canada.
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Bougherara H, Nazgooei S, Sayyidmousavi A, Marsik F, Marík IA. Computation of bone remodelling after Duracon knee arthroplasty using a thermodynamic-based model. Proc Inst Mech Eng H 2011; 225:669-79. [PMID: 21870374 DOI: 10.1177/0954411911401487] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The present study utilizes a recently developed literature model for the bone remodelling process to predict the evolution of bone density following Duracon total knee arthroplasty (TKA). In this model, which is based on chemical kinetics and irreversible thermodynamics, bone is treated as a self-organizing system capable of exchanging matter, energy, and entropy with its surroundings. Unlike previous models in which mechanical loading is regarded as the only stimulus for bone remodelling, the present model establishes a unique coupling between mechanical loading and the chemical reactions involved in the process of bone remodelling. This model was incorporated into the finite element software ANSYS by means of a macro to compute density distribution in distal femoral bone both before and after TKA. Consistent with dual-energy X-ray absorptiometry (DEXA) scans reported in the literature, the results showed that the most severe bone loss occurs in the anterior region of the distal femur and that there is more bone resorption in the lateral than the medial condyle following TKA. Furthermore, the bone density distribution predicted using the present model showed a gradual and uniform pattern and thus a more realistic bone evolution contrary to the strain energy density model, where there is no gradual bone density evolution.
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Affiliation(s)
- H Bougherara
- Department of Mechanical and Industrial Engineering, Ryerson University, Toronto, Ontario, Canada.
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Eckley CS, Gustin M, Miller MB, Marsik F. Scaling non-point-source mercury emissions from two active industrial gold mines: influential variables and annual emission estimates. Environ Sci Technol 2011; 45:392-399. [PMID: 21142061 DOI: 10.1021/es101820q] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Open-pit gold mines encompass thousands of hectares of disturbed materials that are often naturally enriched in mercury (Hg). The objective of this study was to estimate annual non-point-source Hg emissions from two active gold mines in Nevada. This was achieved by measuring diel and seasonally representative Hg fluxes from mesocosms of materials collected from each mine. These measurements provided a framework for scaling emissions over space and time at each mine by identifying the important variables correlated with Hg flux. The validity of these correlations was tested by comparisons with measurements conducted in situ at the mines. Of the average diel fluxes obtained in situ (92 daily flux measurements), 81% were within the 95% prediction limits of the regressions developed from the laboratory-derived data. Some surfaces at the mines could not be simulated in the laboratory setting (e.g., material actively leached by cyanide solution and tailings saturated with cyanide solution), and as such in situ data were applied for scaling. Based on the surface areas of the materials and environmental conditions at the mines during the year of study, non-point-source Hg releases were estimated to be 19 and 109 kg·year(-1). These account for 56% and 14%, respectively, of the overall emissions from each mine (point + nonpoint sources). Material being heap-leached and active tailings impoundments were the major contributors to the releases (>60% combined) suggesting that as mining operations cease, releases will decline.
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Affiliation(s)
- C S Eckley
- Department of Natural Resources & Environmental Science, University of Nevada, Reno, Nevada 89557, USA
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Eckley CS, Gustin M, Marsik F, Miller MB. Measurement of surface mercury fluxes at active industrial gold mines in Nevada (USA). Sci Total Environ 2011; 409:514-522. [PMID: 21078520 DOI: 10.1016/j.scitotenv.2010.10.024] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2010] [Revised: 10/12/2010] [Accepted: 10/13/2010] [Indexed: 05/30/2023]
Abstract
Mercury (Hg) may be naturally associated with the rock units hosting precious and base metal deposits. Active gold mines are known to have point source releases of Hg associated with ore processing facilities. The nonpoint source release of Hg to the air from the large area (hundreds to thousands of hectares) of disturbed and processed material at industrial open pit gold mines has not been quantified. This paper describes the field data collected as part of a project focused on estimating nonpoint source emissions of Hg from two active mines in Nevada, USA. In situ Hg flux data were collected on diel and seasonal time steps using a dynamic flux chamber from representative mine surfaces. Hg fluxes ranged from <1500 ng m(-2) day(-1) for waste rock piles (0.6-3.5 μg g(-1)) to 684,000 ng m(-2) day(-1) for tailings (2.8-58 μg g(-1)). Releases were positively correlated with material Hg concentrations, surface grain size, and moisture content. Highest Hg releases occurred from materials under active cyanide leaching and from tailings impoundments containing processed high-grade ore. Data collected indicate that as mine sites are reclaimed and material disturbance ceases, emissions will decline. Additionally local cycling of atmospheric Hg (deposition and re-emission) was found to occur.
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Affiliation(s)
- C S Eckley
- Department of Natural Resources & Environmental Science, University of Nevada, Reno, NV 89557, USA
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Klika V, Marsik F. A thermodynamic model of bone remodelling: the influence of dynamic loading together with biochemical control. J Musculoskelet Neuronal Interact 2010; 10:220-230. [PMID: 20811146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Understanding of the bone remodelling process has considerably increased during the last 20 years. Since the ability to simulate (and predict) the effects of bone remodelling offers substantial insights, several models have been proposed to describe this phenomenon. The strength of the presented model is that it includes biochemical control factors (e.g., the necessity of cell-to-cell contact, which is mediated by the RANKL-RANK-OPG chain during osteoclastogenesis) and mechanical stimulation, the governing equations are derived from interaction kinetics (e.g., mass is preserved in running reactions), and the parameters are measurable. Behaviour of the model is in accordance with experimental and clinical observations, such as the role of dynamic loading, the inhibitory effect of dynamic loading on osteoclastogenesis, the observation that polykaryon osteoclasts are activated and formed by a direct cell-to-cell contact, and the correct concentrations of osteoblasts, osteoclasts, and osteocytes. The model does not yet describe the bone remodelling process in complete detail, but the implemented simplifications describe the key features and further details of control mechanisms may be added.
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Affiliation(s)
- V Klika
- Institute of Thermomechanics, v.v.i., Academy of Sciences of Czech Republic, 182 00 Prague, Czech Republic.
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Hemza J, Marsik F, Otahal S, Otahal J, Sedlacek R. Skull Base Surgery and Venous Problems. Skull Base 2009. [DOI: 10.1055/s-2009-1222400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Gustin MS, Lindberg S, Marsik F, Casimir A, Ebinghaus R, Edwards G, Hubble-Fitzgerald C, Kemp R, Kock H, Leonard T, London J, Majewski M, Montecinos C, Owens J, Pilote M, Poissant L, Rasmussen P, Schaedlich F, Schneeberger D, Schroeder W, Sommar J, Turner R, Vette A, Wallschlaeger D, Xiao Z, Zhang H. Nevada STORMS project: Measurement of mercury emissions from naturally enriched surfaces. ACTA ACUST UNITED AC 1999. [DOI: 10.1029/1999jd900351] [Citation(s) in RCA: 155] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Lindberg SE, Zhang H, Gustin M, Vette A, Marsik F, Owens J, Casimir A, Ebinghaus R, Edwards G, Fitzgerald C, Kemp J, Kock HH, London J, Majewski M, Poissant L, Pilote M, Rasmussen P, Schaedlich F, Schneeberger D, Sommar J, Turner R, Wallschläger D, Xiao Z. Increases in mercury emissions from desert soils in response to rainfall and irrigation. ACTA ACUST UNITED AC 1999. [DOI: 10.1029/1999jd900202] [Citation(s) in RCA: 103] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Marsik F, Fowler J. A comparison of two commercially irradiated Trypticase Soy Agars containing lecithin and polysorbate 80. J Parenter Sci Technol 1992; 46:130-4. [PMID: 1453282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Gamma-radiation sterilized Trypticase Soy Agar containing lecithin and polysorbate 80 (TSA++) (Becton Dickinson Microbiology Systems, Cockeysville, MD) and irradiated TSA++ (Adams Scientific, West Warwick, RI) were tested by a quantitative spread plate method. Four bacteria Bacillus subtilis ATCC 6633, Pseudomonas aeruginosa ATCC 10145, Staphylococcus aureus ATCC 25923, Streptococcus pyogenes ATCC 19615 and the yeast Candida albicans ATCC 10231 were tested in two separate experiments using different lots of media. A strain of Aspergillus niger ATCC 16404, was tested by a qualitative streak plate method. The Becton Dickinson Microbiology Systems (BDMS) irradiated TSA++ overall recovered a greater number of organisms than the Adams Scientific TSA++ in both experiments and allowed for the earlier recovery of S. pyogenes ATCC 19615. The growth of A. niger ATCC 16404, was comparable on both media. Efficacy of the media to neutralize 1, 2 and 3% phenol as well as 0.001, 0.01 and 0.1% benzalkonium chloride (BC) solutions was done by a disk diffusion method using 2 gram-positive and 4 gram-negative bacteria. Both media showed complete neutralization of the 0.001 and 0.01% BC solutions and partial neutralization of the 0.1% BC solution. The BDMS TSA++ showed better neutralization of the 2 and 3% phenol solutions than the Adams Scientific TSA++. This data indicates that not all irradiated TSA++ media perform in an equivalent manner.
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Affiliation(s)
- F Marsik
- Becton Dickinson Microbiology Systems, Cockeysville, Maryland
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Abstract
In children receiving multiple antibiotics and total parenteral nutrition (TPN), the amount of nutrition received can be less than optimal if the central venous line is used for administration of blood products, antibiotics and other medications. The purpose of this study was to evaluate the compatibility of commonly used antibiotics in our standard hyperalimentation solution to determine whether these drugs could be administered in a "piggyback" fashion with parenteral nutrition. If there were no incompatibility this could allow significantly more TPN to be delivered without need for extra fluid in patients receiving antibiotics several times daily. We found 13 antibiotics (amikacin, azlocillin, cefamandole, cephalothin, gentamicin, mezlocillin, moxalactam, nafcillin, oxacillin, penicillin, piperacillin, ticarcillin and tobramycin) to be stable for 6 hours and compatible with the TPN solution. They could be safely given in the presence of the hyperalimentation preparation (1.5% amino acid, 15% dextrose, vitamins, calcium (300 mg/liter) and standard electrolyte concentrations).
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Abstract
A 5-year-old girl presented with chronic bloody diarrhea. Evaluation including sigmoidoscopy, rectal biopsy, and barium enema was consistent with the diagnosis of ulcerative colitis. Culture of the stool grew Aeromonas hydrophila. A. hydrophila colitis may be more common than presently realized.
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