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The purpose of my study is to create a compact, portable nail gun. The nail gun is to be used in tight spaces where hammers, pneumatic nail guns, and portable nail guns will not fit. The intended market is for homeowners renovating their houses. The short length and lightweight, compact frame make the CNG7 ideal for this market. The CNG7 is designed with minimum material waste and fewer parts than other nail guns. / Master of Architecture

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Background: A number of treatment options are available for diaphyseal non-unions of the tibia, including intramedullary (IM) nailing. An infrapatellar entry point with the knee in deep flexion can make this procedure challenging, especially with associated deformity or an obliterated canal. The suprapatellar approach allows nail insertion with the knee extended, which facilitates correction of malalignment in the sagittal and coronal planes. The aim of our study was to review the outcome of diaphyseal tibia non-unions, treated with an intramedullary nail, using the suprapatellar approach. Method: We retrospectively reviewed consecutive cases with non-union of the tibial shaft, treated with a suprapatellar entry nail between May 2016 and January 2018. Patients who were previously managed with a nail or who had active sepsis were excluded. The rate and time to union, as well as complications were assessed. Results: Thirteen cases were included and followed up until union at a mean of 5.8 months. All were performed percutaneously, without opening of the non-union site. Two patients developed complications, although bony union was still achieved. Conclusion: A suprapatellar entry tibial nail is an acceptable treatment option for tibial non-unions not previously treated with a nail.

Acral Lentiginous Melanoma (ALM) is a rare diagnosis that typically appears in places people do not normally check, in the nail beds and on the palms and soles of the hands and feet. This subtype of melanoma is unique in that, unlike most melanomas, it does not arise from sun exposure and it mainly affects the black population. Most diagnoses of ALM are made in late stages, leading to a higher mortality. As evident from community-based surveys, there is a lack of awareness in the black population about melanoma and sun risks and most black individuals do not regularly visit a dermatologist. Thus, there is a need for a community intervention to raise awareness to this problem and to detect these cancers before they reach the late stages of disease progression. In the past, community interventions in the black community have focused on prostate cancer, hypertension, and breast health with good success using the barber shop model. In this study, we utilize the salon model to implement a melanoma training course that educate nail technicians to recognize signs of ALM and detect this cancer on their clients’ nails and soles. We also complement this training with a tele-dermatology service so that customers can get timely follow-up from a medical provider. By using a community intervention, we can tackle multiple problems simultaneously; detection of early signs of ALM and improving dermatology access to patients on Medicaid.

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Aims and objectives: The general aim of this study was to determine the personal respiratory exposure and biological monitoring of manganese (Mn) present in welding fumes as well as its neurological influence on welders. The objectives of this study were: (i) to assess the respiratory exposure of welders to Mn present in welding fumes; (ii) to assess the biological Mn load of welders via the use of nail clippings; (iii) to establish possible correlations between respiratory exposure to Mn and its presence in nail clippings, and (iv) to determine the possible difference in finger dexterity and coordination between Mn exposed welders and a control group. Methods: A gravimetrical method was used to determine the respiratory exposure of welders. A cassette containing a 0.8-μm, cellulose ester membrane filter, attached to the side of a welding helmet provided, was connected via a stainless steel fitting to the inside (respiratory zone) of the helmet. Chemical analysis (metal content) of the welding fumes was done according to the NIOSH 7300 method, using Inductively Coupled Argon Plasma, Atomic Emission Spectroscopy (ICP-AES). Nail clippings were collected at the beginning and end of the study to determine the Mn level in the nails in both welders as well as paired controls. The nails were deposited into small, plastic vials and also analysed according to the NIOSH 7300 method. A Perdue pegboard and mirror drawing test was also conducted to determine the influence of Mn exposure on finger dexterity and hand-eye coordination of welders. Results: Mn exposure in the welding fumes did not exceed the occupational exposure limit – recommended limit (OEL-RL) (1 mg/m3) of the Regulations for Hazardous Chemical Substances (RHCS), although two of these exposures exceeded the action level (0.5 mg/m3). No statistical significant correlations were found between the Mn respiratory exposure and the Mn found in the nails of the welders. Mn in the nails of exposed welders was statistical significantly higher (p = 0.003) than that of controls. The only statistical significant differences found in the motor function tests between the controls and welders were the test which was done by using their non-dominant hand in the beginning of the study (p = 0.016) and when the non-dominant hand values were pooled (p = 0.012). The usage of both hands simultaneously showed results that leaned toward statistical significant decrease of the welders compared to the control subjects (p = 0.090). In all these cases the controls inserted more pins than the welders. Only one moderately positive correlation (r = 0.612; p = 0.02) was found between Mn in the welding fumes and the number of errors made in the mirror drawing coordination test done by the welders. Discussion and Conclusions: The Mn in the nails of the control group was significantly lower than the Mn in the nails of the welders. This indicates that Mn respiratory exposure may influence Mn body burden although no correlation between Mn in welding fumes and Mn in nails were found. Nail Mn may serve as a biomarker to determine Mn body burden. Only the use of the non-dominant hand of the control subjects compared to the welders showed a significant decrease in finger dexterity of the welders. The moderately positive association between the Mn in the welding fumes and the number of errors made in the mirror drawing coordination test done by the welders indicates that with an increase in Mn in welding fumes, a decrease in hand-eye coordination will occur. It can be concluded that welders’ finger dexterity and hand-eye coordination may be influenced by the exposure to Mn in the welding fumes. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013

Aims and objectives: The general aim of this study was to determine the personal respiratory exposure and biological monitoring of manganese (Mn) present in welding fumes as well as its neurological influence on welders. The objectives of this study were: (i) to assess the respiratory exposure of welders to Mn present in welding fumes; (ii) to assess the biological Mn load of welders via the use of nail clippings; (iii) to establish possible correlations between respiratory exposure to Mn and its presence in nail clippings, and (iv) to determine the possible difference in finger dexterity and coordination between Mn exposed welders and a control group. Methods: A gravimetrical method was used to determine the respiratory exposure of welders. A cassette containing a 0.8-μm, cellulose ester membrane filter, attached to the side of a welding helmet provided, was connected via a stainless steel fitting to the inside (respiratory zone) of the helmet. Chemical analysis (metal content) of the welding fumes was done according to the NIOSH 7300 method, using Inductively Coupled Argon Plasma, Atomic Emission Spectroscopy (ICP-AES). Nail clippings were collected at the beginning and end of the study to determine the Mn level in the nails in both welders as well as paired controls. The nails were deposited into small, plastic vials and also analysed according to the NIOSH 7300 method. A Perdue pegboard and mirror drawing test was also conducted to determine the influence of Mn exposure on finger dexterity and hand-eye coordination of welders. Results: Mn exposure in the welding fumes did not exceed the occupational exposure limit – recommended limit (OEL-RL) (1 mg/m3) of the Regulations for Hazardous Chemical Substances (RHCS), although two of these exposures exceeded the action level (0.5 mg/m3). No statistical significant correlations were found between the Mn respiratory exposure and the Mn found in the nails of the welders. Mn in the nails of exposed welders was statistical significantly higher (p = 0.003) than that of controls. The only statistical significant differences found in the motor function tests between the controls and welders were the test which was done by using their non-dominant hand in the beginning of the study (p = 0.016) and when the non-dominant hand values were pooled (p = 0.012). The usage of both hands simultaneously showed results that leaned toward statistical significant decrease of the welders compared to the control subjects (p = 0.090). In all these cases the controls inserted more pins than the welders. Only one moderately positive correlation (r = 0.612; p = 0.02) was found between Mn in the welding fumes and the number of errors made in the mirror drawing coordination test done by the welders. Discussion and Conclusions: The Mn in the nails of the control group was significantly lower than the Mn in the nails of the welders. This indicates that Mn respiratory exposure may influence Mn body burden although no correlation between Mn in welding fumes and Mn in nails were found. Nail Mn may serve as a biomarker to determine Mn body burden. Only the use of the non-dominant hand of the control subjects compared to the welders showed a significant decrease in finger dexterity of the welders. The moderately positive association between the Mn in the welding fumes and the number of errors made in the mirror drawing coordination test done by the welders indicates that with an increase in Mn in welding fumes, a decrease in hand-eye coordination will occur. It can be concluded that welders’ finger dexterity and hand-eye coordination may be influenced by the exposure to Mn in the welding fumes. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013

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