Geothermal energy is an energy source with potential to supply mankind with both heat and electricity in nearly unlimited amounts. Despite this potential geothermal energy is not often considered in the general energy debate, often due to the perception that it is a margin energy source bound to a few locations with favorable geological conditions. Today, new technology and system concepts are under development with the potential to extract geothermal energy almost anywhere at commercial rates. The goal of these new technologies is the same, to harness the heat stored in the crystalline bedrock available all over the world at sufficient depth. To achieve this goal two major problems need to be solved: (1) access to the depths where the heat resource is located and (2) creation of heat transferring surfaces and fluid circulation paths for energy extraction. In this thesis a novel concept and method for both access and extraction of geothermal energy is investigated. The concept investigated is based on the earlier suggested idea of using a main access shaft instead of conventional surface drilling to access the geothermal resource, and the idea of using mechanically constructed 'artificial fractures' instead of the commonly used hydraulic fracturing process for creation of heat extraction systems. In this thesis a specific method for construction of such suggested mechanically constructed heat transfer surfaces is investigated. The method investigated is the use of diamond wire cutting technology, commonly used in stone quarries. To examine the concept two heat transfer models were created to represent the energy extraction system: an analytical model based on previous research and a numerical model developed in a finite element analysis software. The models were used to assess the energy production potential of the extraction system. To assess the construction cost two cost models were developed to represent the mechanical construction method. By comparison of the energy production potential results from the heat transfer models with the cost results from the construction models a basic assessment of the heat extraction system was made. The calculations presented in this thesis indicate that basic conditions for economic feasibility could exist for the investigated heat extraction system.

Many patient-level barriers to more effective post-fracture osteoporosis (OP) management are associated with patients’ perceptions of their bone health and the link between their fracture and OP. These barriers could be addressed by interventions which account for the role of patients’ perceptions, such as those based on theories of behaviour change. This thesis had two objectives: to review the literature and determine whether these theories have been integrated in post-fracture OP management and to examine patients’ awareness of the OP-fracture link. The results showed that theories of behaviour change have not been integrated into post-fracture interventions, that most patients do not perceive the OP-fracture link even after a baseline intervention and that two baseline factors predict who is less likely to make the OP-fracture link at follow up. Based on these findings, modifications to current OP interventions were proposed and guidance that could help create new, patient-centered interventions was provided.

Many patient-level barriers to more effective post-fracture osteoporosis (OP) management are associated with patients’ perceptions of their bone health and the link between their fracture and OP. These barriers could be addressed by interventions which account for the role of patients’ perceptions, such as those based on theories of behaviour change. This thesis had two objectives: to review the literature and determine whether these theories have been integrated in post-fracture OP management and to examine patients’ awareness of the OP-fracture link. The results showed that theories of behaviour change have not been integrated into post-fracture interventions, that most patients do not perceive the OP-fracture link even after a baseline intervention and that two baseline factors predict who is less likely to make the OP-fracture link at follow up. Based on these findings, modifications to current OP interventions were proposed and guidance that could help create new, patient-centered interventions was provided.

Este trabajo se ubica en una perspectiva marcada por dos fuentes de inspiración y exigencia, que se complementan mutuamente: La primera está relacionada con el campo tecnológico y la segunda viene del ambiente científico. Por un lado, es sabido que los productos plásticos y compuestos de matriz polimérica se usan cada vez más en ingeniería y, como la mayoría de los materiales utilizados en este ámbito, muchos están sometidos a cargas dinámicas; de tal manera que en este momento resulte tan necesario el estudio de sus propiedades como el desarrollo de métodos de ensayo fiables para poder caracterizarlos bajo diferentes condiciones de aplicación de carga, siendo de especial interés conocer la respuesta de los mismos a altas velocidades de solicitación. Por otro lado, desde la óptica de la ciencia de los materiales, la relación entre la estructura y el comportamiento de fractura de los polímeros es una de sus más importantes ramas, en la que los ensayos de impacto juegan un rol principal. Cada vez más un conocimiento cuantitativo del comportamiento a impacto, en términos de la ciencia de los materiales, requiere de un conjunto de técnicas adicionales para suplir -teórica y experimentalmente- los métodos de ensayo de impacto básicos especificados por las entidades de normalización. En este sentido, el objetivo central de la presente Tesis es el diseño y puesta a punto de técnicas de ensayo para el estudio de la fractura de los materiales poliméricos, a altas velocidades de solicitación y en el dominio de baja energía.Como resultado y según la orientación del objetivo de la Tesis, se proponen dos metodologías de ensayo de impacto de baja energía: flexión por impacto de baja energía e indentación por impacto. Asimismo, cada metodología incluye el diseño de un "modelo" que permite una aproximación al fenómeno de impacto de baja energía en las geometrías de flexión e indentación respectivamente.Se ha verificado la validez de los mencionados modelos en el estudio del comportamiento mecánico del polimetilmetacrilato, poliestireno y compuestos de poliestireno y microesferas de vidrio. Las técnicas de impacto de baja energía aplicadas según las metodologías de ensayo propuestas fueron apropiadas y permitieron evaluar la respuesta de estos materiales en el campo elástico, determinar sus características elásticas a elevadas velocidades, así como estimar el inicio del daño en los mismos. Los resultados de estos ensayos, tanto el módulo elástico como las tensiones a las cuales comienzan los fenómenos de emblanquecimiento, crazing y rotura, fueron interpretados según los modelos propuestos. Finalmente, por extensión, las metodologías y modelos propuestos son válidos y apropiados para el estudio de los plásticos, cuando menos similares a los estudiados.Este trabajo se ha estructurado en concordancia con la metodología utilizada en la investigación correspondiente. Así, en el primer capítulo se ha hecho una revisión sobre los temas afines a la tesis, desde sus aspectos conceptuales hasta los más avanzados; para examinar la evolución y el estado actual del tema en cuestión y precisar los conocimientos que sirvan de base a esta investigación. En el segundo capítulo se describen las características generales y particulares de los materiales sometidos a estudio experimental. En el tercer capítulo se exponen los métodos de ensayo utilizados y las herramientas experimentales necesarias para su realización. Finalmente, antes de exponer las conclusiones, fue de rigor abordar un cuarto capítulo referido a la flexión por impacto de baja energía y otro quinto capítulo similar que versa sobre la indentación por impacto, para la presentación, interpretación y análisis de resultados, así como la correspondiente discusión. / This work is situated in a perspective highlighted by two inputs of inspiration and exigency, that complement each other: the first input is related with the technology field, and the second comes from a scientific field. On one hand, it is known that plastic products and composites of polymeric matrix are used increasingly in the engineering industry, and as many of the materials used in this field, they are usually exposed to dynamic charges. Therefore, it is necessary the study of their properties like the development of methods and tests to be able to characterize them under different conditions of charge applications, being of special interest to know the results at high speeds. On the other hand, from the material science point of view, the relation between the structure and the behavior of fracture of the polymers is one of the most important subjects, in which the impact tests play a fundamental role. The knowledge of fracture behavior, in terms of science of the materials, requires a group of additional techniques in order to supply (theoretically and experimentally) the basic impact test methods specified by the normalization entities. In this sense, the principal objective of this thesis is the design and development of test techniques for the study of the fracture of polymers at high speeds of solicitation and in the domain of low energy.As a result and based in the objective of this thesis, it is proposed two methods of test for impact of low energy: flexion by impact of low energy and indentation by impact. In the same way, every methodology includes the design of a "model" that allows an approximation for the phenomenon of impact of low energy in the geometric of flexion and indentation, respectively. The validity of the models mentioned above in the study of the mechanic behavior of the polymethylmetacrilate, polystyrene and polystyrene filled with different percentages of glass beads has been verified. The techniques for impact of low energy applied according to the methodology of proposed test were appropriate and allowed to evaluate the response of these materials in the elastic field, to determine its elastic characteristics at high speeds, and to estimate the initial damage of components. The results of these tests, likewise the elastic module and the tensions at which begin the whitening phenomena, crazing and rupture, where interpreted according to the proposed models. Finally, per extension, the methodology and proposed methods are valid and appropriate for the study of plastics, at least similar to the ones studied. This work has been structured in accordance with the methodology utilized in the correspondent investigation. Thus, in the first chapter, a revision of the subjects corresponding to the thesis were made, from its conceptual aspects to the more advanced, in order to examine the evolution and estate of the actual subject in question and precise the knowledge that can be use as a base for this investigation. In the second chapter, the general and particular characteristics of the materials submitted to the experimental studies are described. In the third chapter the methods of test utilized and the necessary experimental tools for its realization are exposed. Finally, before the conclusions are presented, it was consistent to add a fourth chapter that refers to the flexion by impact, and another fifth chapter similar that contains the indentation by impact for the presentation, interpretation and analysis of results, and the related discussion.

Biomaterials used for stabilization of compressed vertebraes due to osteoporosis, have mainly been based on resin materials, like PMMA (polymethyl methacrylate), but have recently expanded to consist of injectable ceramics, such as calcium-aluminate. In this in vitro study human osteoblast-like cells, MG-63, were cultured on three different injectable biomaterials based on: Ca-aluminate, Bis-GMA (bisphenol A-glycidylmethacrylate) and PMMA, to investigate the cellular response elicited by these materials. Cell proliferation was measured by the NucleoCounter® system, cell viability was investigated by LDH (lactate dehydrogenase) analysis, cell differentiation and mineralization was evaluated by mRNA gene expression of the osteoblastic markers: ALP (alkaline phosphatase), OC (osteocalcin) and COLL-I (collagen type I) by qPCR (quantitative polymerase chain reaction) analysis. Two control materials were used: TCP (tissue culture polystyrene, negative control) and PVC (polyvinyl chloride, positive control). The results showed that all the bone cement materials were non-toxic and biocompatible, i.e. they provided good cell viability and proliferation of the MG-63 cells. They are specific for bone cells, since they expressed high values of the osteoblast-specific differentiation markers, and are thus promising as injectable bone cement materials. Among the bone cements, Xeraspine appears to be the most biocompatible material for bone cells. It is followed by Cortoss and then Vertebroplastic.

Bakgrund:De flesta patienter drabbas av akut smärta vid en höftfraktur. Långvarig smärta upplevs av många patienter med coxartros innan elektiv höftplastik. Upplevelsen av smärta hos dessa patienter är både sjukdoms- och vårdlidande. Författarna av denna systematiska litteraturstudie vill beskriva och förtydliga patienternas upplevelse av smärta och smärtlindring vid höftfraktur och höftplastik. Syfte: Att beskriva patienters upplevesle av smärta och smärtlindring vid höftfraktur eller höftplastik. Metod: Systematisk litteraturstudie. Under datainsamlingen framkom sammanlagt 12 vetenskapliga artiklar som ingick i litteraturstudien. Sökningarna gjordes i databaserna CINAHL och PubMed. Artiklarna kvalitetsgranskades och analyserades. Tre teman framkom: Smärtupplevelsen, mobilisering och kommunikation. Resultat: Smärtan hos patienterna som opererats för höftfraktur/höftplastik är fortfarande en smärtsam upplevelse. Smärtlindringen upplevs av många patienter inte vara tillräcklig. Många avstår smärtlindring av rädsla för biverkningar som kan orsaka konfusion och illamående. Om patienterna inte blir smärtlindrande ordentligt uteblir maximal mobilisering. Slutsats: Att kunna se patientens smärta och att ge en adekvat smärtlindring både för fysisk och psykisk smärta är av stor vikt för att kunna lindra denna. Ny kunskap behövs vad gäller smärtlindring/läkemedels verkan samt ökad kunskap kring bemötande av äldre.

<p>The focus of this work is to use geologic and geophysical methods to better understand the faults and fracture systems at Puna, in southeastern Hawaii, and southern Montserrat, in the Lesser Antilles. The particular interest is understanding and locating the deep fracture networks that are necessary for fluid circulation in hydrothermal systems. The dissertation first presents a study in which identification of large scale faulting places Montserrat into a tectonic context. Then follow studies of Puna and Montserrat that focus on faults and fractures of the deep hydrothermal systems.</p><p>The first chapter consists of the results of the SEA-CALIPSO experiment seismic reflection data, recorded on a 48 channel streamer with the active source as a 2600 in3 airgun. This chapter discusses volcaniclastic debris fans off the east coast of Montserrat and faults off the west coast. The work places Montserrat in a transtensional environment (influenced by oblique subduction) as well as in a complex local stress regime. One conclusion is that the stress regime is inconsistent with the larger arc due to the influence of local magmatism and stress.</p><p>The second chapter is a seismic study of the Puna hydrothermal system (PHS) along the Kilauea Lower East Rift Zone. The PHS occurs at a left step in the rift, where a fracture network has been formed between fault segments. It is a productive geothermal field, extracting steam and reinjecting cooled, condensed fluids. A network of eight borehole seismometers recorded >6000 earthquakes. Most of the earthquakes are very small (< M.2), and shallow (1-3 km depth), likely the result of hydrothermal fluid reinjection. Deeper earthquakes occur along the rift as well as along the south-dipping fault plane that originates from the rift zone.</p><p>Seismic methods applied to the PHS data set, after the initial recording, picking, and locating earthquakes, include a tomographic inversion of the P-wave first arrival data. This model indicates a high seismic velocity under the field that is thought to be an intrusion and the heat source of the hydrothermal system. A shear wave splitting study suggested the PHS fracture system is largely oriented rift-parallel with some orthogonal fractures. Shear wave splitting data also were used in a tomographic inversion for fracture density. The fracture density is high in the PHS, which indicates high permeability and potential for extensive fluid circulation. This has been confirmed by high fluid flow and energy generation. The high fracture density is consistent with the interpretation of a transfer zone between the rift segments where a fracture mesh would be expected. In Puna the transfer zone is a relay ramp.</p><p>The results from the PHS are used as an example to examine the proposed hydrothermal system at St. George's Hill, Montserrat. In southern Montserrat, hot springs and fumaroles suggest a deep hydrothermal system heated by local magmatism. A magnetotelluric study obtained resistivity data that suggest focused alteration under southeastern Montserrat that is likely to be along fault segments. Several faults intersect under SGH, making it the probable center of the hydrothermal system. At Puna, and also Krafla, Iceland, where faults interact is an area of increased permeability, acting as a model to be applied to southern Montserrat. The conclusion is that in both Puna and Montserrat large faults interact to produce local areas of stress transfer that lead to fracturing and permeable networks; these networks allow for high-temperature hydrothermal circulation.</p> / Dissertation

Hydraulic fracturing is an important and abundant process in both industrial applications and natural environments. The current work is the first systematic quantitative study of the effect of interaction in and between complex hydraulic fractures at different spatial scales. A mathematical model, based on the boundary collocation method, has been developed. The model has been employed for a typical field case, a highly segmented vein. This vein is well-mapped, and therefore, represents a well constrained example. The computed apertures are compared to the measured apertures. By using the simplest constitutive model, based on an ideal elastic material, and including the effect of interaction between the segments, it was possible to obtain an excellent match at all considered scales. It was also shown that the concept of effective fracture, as currently accepted in the literature, is not always applicable and may lead to unbounded inaccuracy. Unfortunately, in most cases, very little (if any) directly measured data on fracture and material properties is available. An important example of such a weakly constrained case, involving hydraulic fracturing, is diking beneath the seafloor at mid-oceanic ridges. In this study, it is shown that the commonly accepted scenario of a dike propagating from the center of the pressurized magma chamber to the ocean floor is not consistent with conventional fracture mechanics due to the fact that the chamber has the shape of a thin lens. Even at such a large scale (i.e., a kilometer or more), the mechanical principles of elastic interaction appear to be applicable. Since diking is likely to generate a region of high permeability near its margin, in addition to heat, the ongoing hydrothermal activity becomes localized. Our modeling suggests the probable positions of the propagating dikes. Consequently, comparing the observed locations of hydrothermal sites with respect to that of the magma chamber could be useful for constraining the mechanisms of magma lens evolution.

Research Objectives: Osteoporosis has become a significant public health problem in recent years, especially with the growth of the elderly population. Osteoporotic fractures exact a terrible toll on the population with respect to morbidity, cost, and to a lesser extent mortality. These effects can lead to psychological problems, social consequences, functional limitations, and poor quality of life. Thus, knowledge regarding osteoporotic fractures is needed to evaluate the impact of osteoporotic fractures on society, to identify high-risk populations, and to help policymakers to allocate resources accordingly. This study aims to investigate the influence factors of hospital readmissions among osteoporotic fractures patients in Taiwan, and the study results are expected to increase our understanding of the magnitude of the elderly population suffering from osteoporotic fractures and to urge policymakers to develop effective national prevention strategies. Study Design: Using Taiwan¡¦s National Health Insurance database, we identified elderly patients with a hospitalization for osteoporotic fractures between 2001 and 2007. We divided readmissions into different groups (14-day, 30-day, 180-day and over 180-day) and evaluated each group¡¦s demographic, hospital characteristics, and Charlson Comorbidity Index. The claims data are also used to calculate the health services utilization of osteoporotic fractures among those elderly patients with or without readmission of osteoporotic fractures. The data analyses were carried out by Chi-square test, t test, multiple linear regression and multivariate logistic regression. Population Studied: Patients aged 50 or older with osteoporotic fractures were identified based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Principle Findings: Among 5483 osteoporotic fractures patients, 6.9% of them were readmitted within 14 days, 34.7% were readmitted within 30 days and 13.9% were readmitted within 180 days. The medical resource utilizations were significantly higher in patients with readmissions than those without readmission. Age and Charlson Comorbidity Index were significantly affected the probabilities of readmissions. Conclusion: From the perspective of health policy, the issue of osteoporotic fractures will become increasingly important in the future. This national study will help raise awareness of osteoporotic fractures and hopefully motivate public health policy makers to develop effective national prevention strategies against osteoporosis to prevent osteoporotic fractures.

Horizontal wells have been used to increase reservoir recovery, especially in unconventional reservoirs, and hydraulic fracturing has been applied to further extend the contact with the reservoir to increase the efficiency of development. In the past, many models, analytical or numerical, were developed to describe the flow behavior in horizontal wells with fractures. Source solution is one of the analytical/semi-analytical approaches. To solve fractured well problems, source methods were advanced from point sources to volumetric source, and pressure change inside fractures was considered in the volumetric source method. This study aims at developing a method that can predict horizontal well performance and the model can also be applied to horizontal wells with multiple fractures in complex natural fracture networks. The method solves the problem by superposing a series of slab sources under transient or pseudosteady-state flow conditions. The principle of the method comprises the calculation of semi-analytical response of a rectilinear reservoir with closed outer boundaries. A statistically assigned fracture network is used in the study to represent natural fractures based on the spacing between fractures and fracture geometry. The multiple dominating hydraulic fractures are then added to the natural fracture system to build the physical model of the problem. Each of the hydraulic fractures is connected to the horizontal wellbore, and the natural fractures are connected to the hydraulic fractures through the network description. Each fracture, natural or hydraulically induced, is treated as a series of slab sources. The analytical solution of superposed slab sources provides the base of the approach, and the overall flow from each fracture and the effect between the fractures are modeled by applying superposition principle to all of the fractures. It is assumed that hydraulic fractures are the main fractures that connect with the wellbore and the natural fractures are branching fractures which only connect with the main fractures. The fluid inside of the branch fractures flows into the main fractures, and the fluid of the main fracture from both the reservoir and the branch fractures flows to the wellbore. Predicting well performance in a complex fracture network system is extremely challenged. The statistical nature of natural fracture networks changes the flow characteristic from that of a single linear fracture. Simply using the single fracture model for individual fracture, and then adding the flow from each fracture for the network could introduce significant error. This study provides a semi-analytical approach to estimate well performance in a complex fracture network system.