Compare the management of granular myringitis: carbon dioxide laser and caustic agent cauterization

Background and Objectives Granular myringitis is troublesome for otologist because uncertain etiology and often been overlooked due to vague clinical symptoms and signs. The ideal treatment is elusive. Our study was to investigate the clinical characteristics of granular myringitis and analyzing the effect of the two different strategies, including carbon dioxide laser (CO2 laser) and caustic agent cauterization to manage granular myringitis. Study Design: Retrospective review Subjects and Methods One hundred and thirty patients with granular myringitis receiving treatment at a single medical center from July 2009 to January 2018 were enrolled. We retrospectively reviewed the charts and surgical records. The main two different strategies to manage focal refractory granular myringitis were analyzed, including carbon dioxide laser and caustic solution. We also recorded the clinical course and determine which strategy is better. Results One hundred and thirty patients with granular myringitis were enrolled. 47/130 (36.1%) had previous otologic procedures. Frequent ototrrhea is the most common symptom (66.1%). Posterior-inferior quadrant is the most common site of involvement (58%). The successful rate of CO2 laser, caustic agent were 94.9% and 79.2%. The recurrence rate was comparable between CO2 laser and caustic agent. No major complication was found in either individual group. Conclusion: Otologic procedure may be a predisposing factor of focal chronic myringitis. Ear drops had poor efficacy compared to other treatments. It can be apply only on minor and fresh symptom cases. In this study, we suggest CO2 laser can be the first line treatment, especially for the troublesome or refractory GM cases, which had the higher successful rate and less complication comparing to caustic agent cauterization.

Corrosion Rate of Carbon Steel A106 Gr B in Amine-CO2 Contained Solutions

Carbon dioxide (CO2) is one of the corrosive element which exists in oil and gas industries. To prevent CO2 corrosion on carbon steel pipelines, amine-base solvent and caustic solutions are commonly applied. Accordingly, effectiveness of amine base solvent and caustic solutions to reduce risk of corrosion becomes key parameters in determining service lifetime of pipelines made of carbon steel. In this research, the corrosion rate of carbon steel A106 Gr B in amine solutions combined with saturated CO2 gas and caustic solution was studied. The experiments were carried out in static conditions and the Linear Polarization Resistance (LPR) technique was used to measure the corrosion rate (as per ASTM G 5-94). It was found that the corrosion rate in the amine-based solution had shown remarkable results. Somehow, the corrosion rate in an amine-based solvent containing saturated CO2 gas has increased to 200%. The temperature increment to 50°C from room temperature has also increased the corrosion rate. Meanwhile, the caustic addition in amine solution has reduced the corrosion rate of carbon steel.

Sclerotherapy

Sclerotherapy involves the injection of a caustic solution into an abnormal vein so as to cause localized destruction of the venous intima and obliteration of the vessel. Over the past 50 years, improvements in the technology have greatly enhanced the results achievable with sclerotherapy. To ensure optimal results, it is essential to have a thorough knowledge not only of the technique but also of the indications, expected outcomes, and possible complications associated with the procedure. This review covers preoperative evaluation, operative planning, technique and complications associated with sclerotherapy. Figures show a 63-year-old woman before and after two treatments with 0.2% sodium tetradecyl sulfate, a 52-year-old woman before and after two treatments with 0.5% sodium tetradecyl sulfate, a 36-year-old woman before and after four treatments with a combination of 0.5% and 0.2% sodium tetradecyl sulfate, the standard hand position for sclerotherapy, skin necrosis on the left posterior calf of a 48-year-old woman after ultrasound-guided sclerotherapy, a 56-year-old woman before treatment and with residual hyperpigmentation after treatment with 0.2% sodium tetradecyl sulfate, and telangiectatic matting in a 43-year-old woman after treatment with 0.2% sodium tetradecyl sulfate. Tables list complications of sclerotherapy, suggested polidocanol (POL) and sodium tetradecyl sulfate (STS) concentrations for liquid and foam sclerotherapy, materials needed for sclerotherapy, and absolute and relative contraindications for sclerotherapy for varicose veins. Key Words: Varicose veins, Chronic venous insuffiency, sclerotherapy, foam sclerotherapy, reticular veins, venous disorders This review contains 7 highly rendered figures, 4 tables, and 29 references.

Sclerotherapy

Sclerotherapy involves the injection of a caustic solution into an abnormal vein so as to cause localized destruction of the venous intima and obliteration of the vessel. Over the past 50 years, improvements in the technology have greatly enhanced the results achievable with sclerotherapy. To ensure optimal results, it is essential to have a thorough knowledge not only of the technique but also of the indications, expected outcomes, and possible complications associated with the procedure. This review covers preoperative evaluation, operative planning, technique and complications associated with sclerotherapy. Figures show a 63-year-old woman before and after two treatments with 0.2% sodium tetradecyl sulfate, a 52-year-old woman before and after two treatments with 0.5% sodium tetradecyl sulfate, a 36-year-old woman before and after four treatments with a combination of 0.5% and 0.2% sodium tetradecyl sulfate, the standard hand position for sclerotherapy, skin necrosis on the left posterior calf of a 48-year-old woman after ultrasound-guided sclerotherapy, a 56-year-old woman before treatment and with residual hyperpigmentation after treatment with 0.2% sodium tetradecyl sulfate, and telangiectatic matting in a 43-year-old woman after treatment with 0.2% sodium tetradecyl sulfate. Tables list complications of sclerotherapy, suggested polidocanol (POL) and sodium tetradecyl sulfate (STS) concentrations for liquid and foam sclerotherapy, materials needed for sclerotherapy, and absolute and relative contraindications for sclerotherapy for varicose veins. Key Words: Varicose veins, Chronic venous insuffiency, sclerotherapy, foam sclerotherapy, reticular veins, venous disorders This review contains 7 highly rendered figures, 4 tables, and 29 references.

The Affecting Factors of Reject Bottles in Bottle Washing Machine

Technological developments and business today are in a very fierce competition, many companies are trying to become the fronliner of the market leaders of their products, therefore many companies are trying to find innovation and diversification to be different from the others. The quality parameter is one of the most important things for the development of the company's business, without maintaining quality it is impossible for the business to develop, and to run smoothly and generate optimum profit. This study aims to determine and analyze the effect of dirty bottle conditions, caustic concentration, contact time and temperature on reject bottles in bottle washing machines in relation to increasing the efficiency and effectiveness of production machines in a beverage company. This type of research is a causal associative explanation to determine the cause and effect relationship of several parameters and this study uses the measurement from several different parameters. This study uses SPSS version 23 software application to describe, analyze correlation and multiple regression of the effect of reject bottles. Based on the research results, it was found that a significant influence between the independent variables (bottle condition, caustic concentration, contact time and temperature) had an effect on the percentage of reject bottles, but of the four parameters the most significant parameter for reject bottles was the bottle condition factor. It is necessary to sort the condition of the bottles, the caustic concentration must be maintained, the caustic solution is deposited to remove impurities so as to improve its performance, longer contact times and high temperatures can increase the cleaning process so as to reduce bottle rejects.