abdominal pain rupture: Topics by WorldWideScience.org

Measuring IBS patient reported outcomes with an abdominal pain numeric rating scale: results from the proof cohort

Full Text Available

2008-09-01

3

Rome II Versus Rome III Classification of Functional Gastrointestinal Disorders in Pediatric Chronic Abdominal Pain

BackgroundControversy exists about how to effectively measure patient reported outcomes in IBS clinical trials. Pain numeric rating scales (NRS) are widely used in...Full Text Available

2009-12-01

4

Lack of impact of intravenous lidocaine on analgesia, functional recovery, and nociceptive pain threshold after total hip arthroplasty

ObjectivesThe updated Rome III criteria for pediatric functional gastrointestinal disorders (FGIDs) include new FGID categories and changes to the Rome II criteria...Full Text Available

2008-09-01

5

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

BackgroundThe analgesic effect of perioperative low doses intravenous lidocaine has been demonstrated after abdominal surgery. This study aimed to evaluate whether...Full Text Available

2008-07-01

6

Successful coil embolization of an unusual aorto-superior mesenteric vein fistula.

Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze...Full Text Available

2011-06-01

7

Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov cyst: Case report

The aortovenous fistulas are rare, most of them are aortocaval fistula. The non-caval communication of the fistula is sparse. Herein we report a 47-year-old female diagnosed as traumatic aorto-superior mesenteric vein (Ao-SMV) fistula. The abdominal pain, fullness, and frank bruit on abdominal auscultation suggested the diagnosis of an intra-abdominal arteriovenous fistula. The diagnosis of Ao-SMV was further confirmed by the computed tomography (CT) and aortography. The fistula was successfully treated with transcatheter coil embolization. This is the first case of Ao-SMV fistula. It provides an alternative option of treatment other than conventional surgery. PMID:19327940

2009-03-26

8

Anatomic and radiologic correlations in spontaneous hematomas of the rectus abdomninis muscles; Correlazioni anatomo-radiologiche negli ematomi spontanei dei muscoli retti dell'addome

BackgroundAcute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology.Case...Full Text Available

9

Laparoscopic approach of a nonparasitic splenic cyst; Abordagem videolaparoscopica de cisto esplenico nao parasitario

Rectus sheath hematomas are a frequent but sometimes misdiagnosed disease in patients under anticoagulative drugs, hemodialysis, or simply in the elderly. The most frequent localization is in the lower part of the abdomen: the explanation lies in the anatomy of the abdominal wall, especially in the arcuate line of the rectus sheath. Aim of this work is to explain the reason of the almost constant location correlating the anatomy with the CT features. The rectus abdominis muscle lies between the aponeuroses of the transverse and oblique muscles which form the so called rectus sheath. This arrangement is found from the costal arch to a level approximately between the umbilicus and the pubic symphisis, where the rear layer of the rectus sheath ends with a curved edge, called the arcuate or semicircular line of Douglas. Beneath this line the aponeuroses of the three muscles pass in front of the rectus which is separated from the peritoneum only by the fascia ...

2000-06-01

10

Role of B2 Adrenergic Receptors in Labor Pain

A rare case of primary splenic cyst is shown in a young woman who had a left subcostal abdominal pain. Abdominal echography and CT scan revealed a cyst of the anterior aspect of the spleen. A sorologic test for hidatic disease was negative. On the basis of a presumed diagnostic of nonparasitic cyst, the patient was referred to a laparoscopic decapsulation with excision of the cysts wall not covered by splenic tissue. The patient was discharged 24 hours later. Histological report revealed epidermoid cyst. The laparoscopic approach has being recently considered an effective and less invasive alternative in the treatment of splenic diseases. We demonstrated that it should be considered for the treatment of splenic cysts present in a superficial location, with the advantage of organ preservation. (author)

2000-10-01

11

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation

Pain; Pain Threshold; Labour Pain

2010-10-01

12

British Library Electronic Table of Contents (United Kingdom)

Objectives Vietnamese patients? views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients? impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patient-centered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24?h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting ...

2010-01-01

13

Laparoscopic Transduodenal Ampullectomy for Benign Ampullary Tumors

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction: Transduodenal ampullectomy (TDA) can be performed for benign and premalignant tumors of the ampulla of Vater (AOV) as an alternative to pancreaticoduodenectomy. However, the laparoscopic approach has rarely been attempted. In this report 2 cases of benign ampullary tumor that were treated by totally laparoscopic TDA. Patients and Methods: Case 1 was of a 75-year-old female who was admitted with left knee pain and underwent arthroscopic debridement. On postoperative day 6, she showed elevated levels of alkaline phosphatase, aspirate aminotransferase, alanine transaminase, and gamma-glutamyl transpeptidase, without any other laboratory test abnormality. She had no complaint of abdominal pain, and physical examinations were unremarkable. Computed tomography (CT), magnet...

2010-01-01

14

Abces du muscle iliopsoas : complication rare de la sacro-iliite a pyogene chez lenfant

British Library Electronic Table of Contents (United Kingdom)

Pyogenic sacroiliitis is a rare entity in children. Diagnosis is often delayed because of its variable clinical presentation, low suspicion by the examining physician, and rare findings on radiographs. Delayed diagnosis, however, results in complications such as iliopsoas abscess. We report the case of a 12-year-old girl hospitalized with a 21-day history of fever, pain in the left iliac fossa, and flexion contracture of the hip. On examination, she had fever (38.9 ^oC), psoitis, localized tenderness at the left sacroiliac joint, and pain elicited by lateral compression of the pelvis. The abdominal examination was normal. The erythrocyte sedimentation rate was 130mm in the first hour, C-reactive protein was 186mg/l, and the white blood cell count was 18,400/mm^3, with 79% neutrophils. Urin...

2010-01-01

15

Percutaneous drainage of abdominal abcess

Computed Tomography of the complications of prosthetic surgery of the abdominal aorta

The mortality in undrained abdominal abscesses is high with a mortality rate ranging between 45 and 100%. The outcome in abdominal abscesses, however, has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, like pancreatic pseudocele or lymphocele. The single liver abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters. The pancreatic abscesses are generally drained routinely and urgently. Non-infected pancreatic pseudocysts may be simply observed unless they are symptomatic or cause problems such as pain or obstruction of the biliary or the ...

2002-09-01

16

Computerized tomography-guided neurolytic splanchnic nerve block

Computerized Tomography has gained an important role in the diagnosis of the complications of prosthetic surgery of the abdominal aorta: the importance of such complications come from their frequency, which is proportional to the increasing number of interventions, and their severity. The authors investigated the CT patterns of the most frequent complications. 24 patients referred for strongly suspected postoperative complications were examined in 2 years: fever and leukocytosis (20 cases) and progressive anemia (4 cases) were the most frequent findings. The operation had been performed 7#+-# 12 weeks before (2 patients were excluded because surgery dated less than 3 weeks. 14 patients had infective complications: thickening (57%) and inhomogeneity (43%) of the periprosthetic wrap and ectopic gas bubble (78%) were the most frequent Computerized Tomography findings. The authors also observed 2 periprosthetic hematomas, 1 aneurysm relapse and 1 prosthetic graft ...

1997-01-01

17

Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride

Computerized tomography-guided neurolytic splanchnic nerve block is a technique for relieving abdominal cancer pain; the goal is the alcoholic neurolytic interruption of the sensitive structures in retroperitoneal space. Computerized tomography yields accurate anatomical detailing and the course for needle placement and alcohol spread. January, 1993, to July, 1996, twenty-one bilateral splanchnic nerve blocks were performed through the posterior access. Forty-eight hours after alcoholism. 14 patients (66%) had complete pain regression; 52% of the patients needed no analgesics for 6 to 54 days and only 9 patients (42%) needed another low opioid therapy. Complications included hypotension and diarrhea in all cases. One had a cardiac arrest and diet 8 days after the procedure. There were no other complications. The whole procedure usually lasted 60 min (range: 45 to 90 min). Splanchnic nerve neurolysis is a useful treatment in ...

1997-01-01

18

Bariatric surgery complications. Internal hernia: A potentially fatal condition. A case report and literature review

The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children. (orig.)

2009-10-15

19

Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after the introduction of laparoscopic cholecystectomy.

In recent years, Obesity (defined as Body Mass Index > 30 kg/m2) has increased its prevalence reaching epidemic levels in countries such as The United States where it has became a national health issue. In Colombia the Obesity prevalence is figured around 14%. Treatment options for Obesity include life style modifications, pharmacologist management and surgical approach (Bariatric Surgery). This article describes a patient with previous bariatric surgery, who presents abdominal pain and melena owed to isquemic process of the alimentary limb caused by an internal hernia which is a potentially lethal condition if it is not highly suspected allowing its early diagnosis and treatment

20

Magnetic Resonance Imaging in Abdominal Disease

Asymptomatic cholelithiasis is increasingly diagnosed today, mainly as a result of the widespread use of abdominal ultrasonography for the evaluation of patients for unrelated or vague abdominal complaints. About 10-20% of people in most western countries have gallstones, and among them 50-70% are asymptomatic at the time of diagnosis. Asymptomatic gallstone disease has a benign natural course; the progression of asymptomatic to symptomatic disease is relatively low, ranging from 10-25%. The majority of patients rarely develop gallstone-related complications without first having at least one episode of biliary pain ("colic"). In the prelaparoscopy era, (open) cholecystectomy was generally performed for symptomatic disease. The minimally invasive laparoscopic cholecystectomy refueled the discussion about the optimal management of asymptomatic cholelithiasis. Despite some controversy, most authors agree that the vast majority ...

2007-03-28

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[Opioids and chronic benign pain].

Full Text Available

1986-06-01

22

[Chronic benign pain in children].

PMID:8094542

1993-02-01

23

Computed tomography (CT) in renal trauma

PMID:2255360

1990-11-24

24

Pain measurement: the affective dimensional measure of the McGill pain questionnaire with a cancer pain population.

CT scans were performed on 25 patients suspected of sustaining ranal trauma. The utility of CT in both detecting renal damage and appraising the gravity of injuries was assessed. Nowadays, in fact, nephrectomy or reserved for lesions devastanting the kidney parenchyma or rupturing the renal pedicle; so it is very important to identyfy both the purposes of a better planned therapeutic approach. CT does both, being more accurate than urography in the detection of renal fractures, intra or extraparenchymal hematomas and contrast media extravasation. Urography very often shows aspecific lesion patterns and sometimes it is also falsely negative. In the present series CT was more reliable than angiography itself, particulary in the diagnosis of extra-renal hematic collections, contrast media extravasation and injuries to the other abdominal organs. Although CT may arouse the suspicion of and sometimes correctly diagnose vascular lesions, such as ...

1987-01-01

25

[Natural course of asymptomatic gallstone disease].

Two experiments used the McGill Pain Questionnaire (MPQ) to examine the affective dimension of pain in patients whose pain was secondary to malignancy. In experiment I, segregating groups of cancer patients on the basis of extreme scores (high versus low) on the MPQ failed to produce segregation on independent measures of affect and infirmity. This outcome contrasts with earlier work with chronic benign pain patients. Experiment II compared cancer pain patients matched with benign pain patients on intensity of pain report on the affective dimension of the MPQ. Cancer pain patients reported a reliably higher affective loading to their pain. These data suggest that cancer pain patients employ different criteria than benign pain patients in selecting affective ...

1982-02-01

26

Solid-pseudopapillary tumor of the pancreas in a 13-year-old girl - case report

Of 1850 patients with cholelithiasis diagnosed in the past 17 years, 1116 female and 734 male, 598 patients (32.3%) presented with one or more of three major symptoms, i.e., abdominal pain, fever and jaundice, whereas the remainder (67.7%) had none of these symptoms. The proportion of the asymptomatic patients was similar in all age groups, being around 70%. Only 20 per cent of 680 asymptomatic patients, followed for 10 to 17 years (median 13.3 years), developed biliary symptoms. Older patients over 70 years of age had a higher rate of change to the symptomatic group, as compared with younger patients under 70, 29.5% vs. 19.3%, respectively. During this period, carcinoma of the gallbladder developed in one of the asymptomatic patients (0.1%). Oral dissolution therapy was successful in only 4.2 per cent of attempted cases and associated with a recurrence rate of as high as 20%. We conclude that asymptomatic gallstone patients should only be ...

1993-07-01

27

Perceived Entitlement to Pain-Related Support and Pain Catastrophizing: Associations with Perceived and Observed Support

The solid-pseudopapillary tumor (SPT) of the pancreas is a rare type of exocrine pancreatic neoplasm. SPT predominantly affects young women and female children, and is usually discovered incidentally. This tumor is generally benign with a low incidence of malignancy. A 13-year-old girl was admitted to the hospital with a few weeks' history of mild abdominal pain and jaundice. On physical examination, there was no palpable mass. The laboratory tests showed increased SR, CRP, high bilirubin, amylase and lipase serum levels. Ultrasound imaging revealed a solid lesion in the region of the pancreatic head. On MRI, precise tumor localization in the head of the pancreas with pancreatic duct dilatation and compression of the common bile duct were visualized. Pancreaticoduodenectomy and cholecystectomy was performed with good clinical outcome. Microscopic and immunohistochemical studies indicated that tumor cells were typical of SPT without any signs of ...

28

Diaphragm Rupture Effects on an Expanding Flow in a Tube.

Studies on the determinants of pain-related support are needed to enhance couples-based treatments for pain. The purpose of this study was to determine the extent to which pain catastrophizing...Full Text Available

2009-12-15

29

Preamputation Pain and Acute Pain Predict Chronic Pain After Lower Extremity Amputation

... The fundamental problem of diaphragm rupture was studied experimentally to determine the effects on an expanding flow in an evacuated tube. ...

1972-08-01

30

British Library Electronic Table of Contents (United Kingdom)

Although previous research suggests that preamputation pain is a risk factor for pain after amputation, little is known about the association between acute postsurgical pain and chronic amputation-related pain. The current prospective study examined the associations of preamputation pain and acute postamputation pain with chronic amputation-related pain. The sample consisted of patients with lower limb amputation (N = 57) who provided both preamputation and postamputation data during a 2-year study period. Preamputation pain intensity and duration were assessed before amputation; acute phantom limb pain (PLP) and residual limb pain (RLP) intensity were assessed on postsurgical days 4 and 5. Acute PLP intensity was the only significant independent predictor of chronic PLP ...

2007-01-01

31

Subtle Radiological Features of Splenic Avulsion following Abdominal Trauma

Management of Concomitant Cancer and Abdominal Aortic Aneurysm

Splenic trauma in children following blunt abdominal injury is usually treated by nonoperative management (NOM). Splenectomy following abdominal trauma is rare in children. NOM is successful as in the...Full Text Available

2010-01-01

32

Background. The coexistence of neoplasm and abdominal aortic aneurysm (AAA) presents a real management challenge. This paper reviews the literature on the prevalence, diagnosis,...Full Text Available

33

Shoulder pain

Pain catastrophizing scale for francophone adolescents: A preliminary validation

IntroductionShoulder pain covers a wide range of problems and affects up to 20% of the population. It is not a specific diagnosis. Shoulder pain can be caused by problems with the...Full Text Available

34

Pain and self-reported health in Canadian children

BACKGROUND:In adults, it is well known that high levels of pain catastrophizing are related to increased pain and disability as well as to heightened anxiety and depression. However,...Full Text Available

2008-01-01

35

Managing Pain Caused By Neurological Disease

BACKGROUND:Despite increasing attention to the epidemiology of pain, relatively little is known about the association between pain and health in children. In particular, no studies...Full Text Available

2008-09-01

36

Stabbing paroxysmal pain due to neurological disease can often be controlled by anticonvulsants, whereas steady burning pain is often responsive to tricyclic antidepressants, and to neuroleptics. Overuse...Full Text Available

1985-08-01

37

Managing Cancer Pain

A Novel Tool for the Assessment of Pain: Validation in Low Back Pain

Despite the existence of effective analgesic drugs, many cancer patients live and die with ineffective pain control. The control of cancer pain is largely achievable with the appropriate use of available...Full Text Available

1984-02-01

38

Analysis of postulated FFTF pipe ruptures

BackgroundAdequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently...Full Text Available

2009-04-01

39

Sociodemographic factors in a pediatric chronic pain clinic: The roles of age, sex and minority status in pain and health characteristics

A detailed assessment of the FFTF Primary Heat Transport System (PHTS) piping has led to the conclusion that the integrity of the piping is assured such that there is no realistic potential for a rupture. Nevertheless, consistent with the practice of showing design margins even for hypothetical events, a spectrum of postulated PHTS ruptures has been analyzed. The analyses showed that upstream of the reactor vessel inlet downcomer, rupture areas of any size including a double-ended rupture could be tolerated with no core coolant boiling. At the most limiting location, the reactor inlet nozzle, rupture areas of 75 in."2 and 55 in."2 could be tolerated for three-loop and two-loop operation, respectively. This paper will present the following: (1) the criterion with which consequences of postulated pipe ruptures are compared; (2) the general transient response of ...

40

Pain and pain-related interference in adults with lower-limb amputation: Comparison of knee-disarticulation, transtibial, and transfemoral surgical sites

Little is known about how sociodemographic factors relate to children’s chronic pain. This paper describes the pain, health, and sociodemographic characteristics of a cohort of children...Full Text Available

2010-07-01

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Opioids and the Treatment of Chronic Pain: Controversies, Current Status, and Future Directions

Pain and pain-related interference with physical function have not been thoroughly studied in individuals who have undergone knee-disarticulation amputations. The principal aim of this study...Full Text Available

2009-01-01

42

Effects of Preemptive Gabapentin on Postoperative Pain after Mastectomy

Opioids have been regarded for millennia as among the most effective drugs for the treatment of pain. Their use in the management of acute severe pain and chronic pain related to advanced medical...Full Text Available

2008-10-01

43

Comparison between children and adolescents with and without chronic benign pain: consultation rate and pain characteristics.

Full Text Available

2004-10-01

44

Clinical effectiveness of antidepressants and antipsychotics in chronic benign pain.

The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample...Full Text Available

2002-03-01

45

Single setting bilateral laparoscopic orchiopexy for bilateral intra-abdominal testicles.

PMID:1354044

1992-01-01

46

Complex Abdominal Wall Repair

PMID:18721983

2008-08-21

47

Medline Plus

... presentation will be archived on the OR-Live website. 00:46:02 ANNOUNCER: This has been a ...

48

Contemporary Diagnosis and Management of Preterm Premature Rupture of Membranes

Safety design guide for pipe rupture protection for CANDU 9

Spontaneous rupture of membranes (ROM) is a normal component of labor and delivery. Premature ROM (PROM) refers to rupture of the fetal membranes prior to the onset of labor irrespective of gestational...Full Text Available

2008-01-01

49

Clinical use of lipiodol in hepatic arteriography

This safety design guide for pipe rupture protection identifies high-energy systems in which pipe ruptures must be postulated to occur, as well as systems that must be protected from the dynamic effects of such ruptures. Dynamic effects considered in this SDG consist of pipe whip (including missiles generated by pipe ruptures, if any) and jet impingement, Requirements for protection against the dynamic effects of a postulated pipe rupture and method of protection of essential structures, systems and components are specified for these effects. The change status for the regulatory requirements, code and standards should be traced and this safety design guide shall be updated accordingly. 2 tabs., 5 refs. (Author) .new.

1996-03-01

50

Rupture of anomalous composite particles prepared by seeded emulsion polymerization in aging period

Lipiodol, lipid soluble contrast media, was applied to 59 patients, who was clinically suspected to have hepatic tumor, in the Department of Diagnostic Radiology, Seoul National University Hospital. The results of the clinical use of Lipiodol were as follows: 1. The clinical diagnosis was hepatocellular carcinoma (HCC) in 50 cases, cavernous hemangioma in 4 cases, metastasis in one case and others in 4 cases. 2. After hepatic arteriography, Lipiodol only was injected in 28 cases, mixture of Lipiodol and Mitomycin was injected in 22 cases and transcatheter arterial embolization was performed additionally after injection of Lipiodol and Mitomycin in 9 cases. 3. Among the 50 cases of HCC, Lipiodol was accumulated in the lesion in 49 cases. However, similar accumulation of Lipiodol occured in a metastatic cancer and cavernous hemangiomas. 4. Plain radiographic patterns of Lipiodol accumulation could be divided into fine granular type, nodular type and linear or branching type. The linear ...

1986-08-15

51

Microstructural characteristics and creep rupture behavior of electron beam and laser welded AISI 316L stainless steel

Not Available

1980-07-01

52

Results of a multicenter trial comparing imipenem/cilastatin to tobramycin/clindamycin for intra-abdominal infections.

Not Available

1995-12-01

53

Radiographic monitoring of incidental abdominal aortic aneurysms: a retrospective population-based cohort study

We designed a multicenter study to compare tobramycin/clindamycin to imipenem/cilastatin for intra-abdominal infections. We included the Acute Physiology and Chronic Health Evaluation (APACHE II) index...Full Text Available

1990-11-01

54

Progress in Treatment of Thoracoabdominal and Abdominal Aortic Aneurysms Involving Celiac, Superior Mesenteric, and Renal Arteries

BackgroundAn abdominal aortic aneurysm (AAA) that is identified when the abdomen is imaged for some other reason is known as an incidental AAA. No population-based studies have...Full Text Available

55

Mesh repair of a coccygeal hernia via an abdominal approach.

This is a report of surgical treatment of thoracoabdominal aortic aneurysms and aneurysms of the abdominal aorta from which the visceral vessels arise during the 18 year period from April 5, 1960,...Full Text Available

1978-09-01

56

Management and outcome of abdominal shotgun wounds. Trauma score and the role of exploratory laparotomy.

We report on the presentation and management of a patient with herniation of the rectum following a coccygectomy. We used an abdominal approach and careful pelvic dissection to define the defect in...Full Text Available

2000-03-01

57

CT evaulation of thoracic and abdominal fatty masses

OBJECTIVE: The management and outcome of 138 abdominal shotgun wounds were examined over a 5-year period. SUMMARY BACKGROUND DATA: It has been proposed that exploratory laparotomy may be unnecessary...Full Text Available

1995-03-01

58

Involvement of the chest and abdominal wall as a rare manifestation in Hodgkin's disease

The diagnostic accuracy of computed tomography (CT) in several patterns of thoracic and abdominal fatty masses, has been examined. In selected cases our findings overlap the features of the recent literature. The possibility of surgical therapy in peculiar cases of adipose deposits, commonly esteemed benign, is considered.

1986-01-01

59

Healthy Nutrition: Breastfeeding

Radiological findings of chest and abdominal wall involvement in Hodgkin's disease are reported. This manifestation was diagnosed in one patient in the primary staging and in two patients during the course of the disease. Typical radiological findings are soft tissue masses in the chest and abdominal wall, in two cases with continous tumor growth of enlarged mediastinal lymphnodes into the anterior chest wall. The axial computed tomography is the best method to evaluate the extent of chest and abdominal wall involvement in Hodgkin's disease.

1983-03-01

60

Medline Plus

... Dynamics Media Work & Play Health Issues Conditions Abdominal ADHD Allergies & Asthma Chest & Lungs Chronic Conditions Developmental Disabilities ...

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Abdominal Hysterectomy with Coagulating Shears

Medline Plus

... energy. It consists of a stack of piezoelectric ceramics sandwiched under high pressure between two metal cylinders. ...

62

The treatment of chronic pain by epidural spinal cord stimulation--a 15 year follow up; present status.

The University of North Carolina Pain Center-I. Organization and Function

Pain is necessary for survival but chronic pain is disabling and causes significant health and economic problems. This study provides an understanding of the future for spinal cord stimulation. Stimulation by means of chronically implanted electrodes, was carried out in 200 patients with pain of varied benign organic etiology. In 177 of them, pain was confined to the failed back syndrome. Most patients were referred by a Pain Management Service. 226 epidural implants were used: 80 unipolar, 59 Resume, 12 bipolar, and 75 quadripolar. Patients were followed for periods of 6 months to 12 years, with a mean follow-up of 44 months. 84 patients (42%) were able to control their pain by stimulation alone, 22 patients (11%) needed occasional analgesic supplements along with their stimulation program. Pain secondary to failed back syndrome, multiple ...

1997-06-01

63

Substance Misuse Treatment for High Risk Chronic Pain Patients on Opioid Therapy: A Randomized Trial

The University of North Carolina Comprehensive Pain Center, which has been in existence since 1972, is a pain evaluation, treatment and research program based upon individual diagnosis, comprehensive...Full Text Available

1982-03-01

64

Spouse Beliefs about Partner Chronic Pain

Chronic pain patients who show aberrant drug-related behavior often are discontinued from treatment when they are noncompliant with their use of opioids for pain. The purpose of this study was...Full Text Available

2010-09-01

65

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis

While research has shown that patients’ beliefs about their pain are related to pain adjustment and treatment outcomes, little is known about the beliefs of their significant others....Full Text Available

2009-05-01

66

Sex Differences in Pain and Psychological Functioning in Persons with Limb Loss

Pain caused by chronic pancreatitis is medically intractable and resistant to conventional interventional or surgical treatment. We report a case of spinal cord stimulation (SCS) for intractable pain...Full Text Available

2009-08-01

67

Selective Inflammatory Pain Insensitivity in the African Naked Mole-Rat (Heterocephalus glaber)

Sex differences in pain are frequently reported in the literature. However, less is known about possible sex differences in the experience of pain secondary to a disability. The current study...Full Text Available

2010-01-01

68

Prevalence and determinants of pain and pain-related disability in urban and rural settings in southeastern Ontario

In all mammals, tissue inflammation leads to pain and behavioral sensitization to thermal and mechanical stimuli called hyperalgesia. We studied pain mechanisms in the African naked mole-rat, an unusual...Full Text Available

2008-01-01

69

Preemptive analgesia: the prevention of neurogenous orofacial pain.

BACKGROUND:Canadian chronic pain prevalence estimates range from 11% to 66%, are affected by sampling and measurement bias, and largely represent urban settings.OBJECTIVES:To...Full Text Available

2006-01-01

70

Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic

Chronic neurogenous pain is often an extremely difficult condition to manage. In the orofacial region, trauma from injury or dental procedures may lead to the development of severe neuralgic pains and...Full Text Available

1995-01-01

71

Original Research Article: Longitudinal Relationships of Depressive Symptoms to Pain Intensity and Functional Disability Among Children with Disease-Related Pain

BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons.OBJECTIVE:To study...Full Text Available

2008-09-01

72

Modern Techniques of Pain Management

ObjectiveTo examine the longitudinal relationship between depressive symptoms at study entry (T1) on pain intensity (PI) and functional disability over a 1-year period...Full Text Available

2006-01-01

73

Image-guided lumbar facet joint infiltration in nonradicular low back pain

Even clinicians who keep up with the research literature on pain mechanisms may find themselves uncertain when trying to bring these new theories down to practical application for a patient with pain....Full Text Available

1988-01-01

74

Disability and Psychologic Distress in Patients with Nonspecific and Specific Arm Pain

Objective:To assess the efficacy of facet joint infiltrations for pain relief in 44 selected patients with chronic nonradicular low back pain (LBP).Materials...Full Text Available

2009-02-01

75

Correlation of Pain Scores, Analgesic Use, and Beck Anxiety Inventory Scores During Hospitalization in Lower Extremity Amputees

Psychological illness influences the experience and expression of pain and disability. We tested three null hypotheses: (1) patients with nonspecific pain (medically unexplained and idiopathic) and...Full Text Available

2008-11-01

76

Analysis of Failed Spinal Cord Stimulation Trials in the Treatment of Intractable Chronic Pain

Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this...Full Text Available

77

A System for Evaluating and Treating Chronic Back Disability

ObjectiveThe purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal...Full Text Available

2008-02-01

78

Complete Dissection of a Hepatic Segment after Blunt Abdominal Injury Successfully Treated by Anatomical Hepatic Lobectomy: Report of a Case

Five methods of personality assessment are evaluated to provide guidance for the psychological treatment of patients with chronic back pain. Patient pain drawings, pentothal pain studies, stress score...Full Text Available

1976-05-01

79

CT-guided percutaneous aspiration and drainage of postoperative abdominal fluid collections

A 21-year-old male patient was transferred to the emergency room of our hospital after suffering seat belt abdominal injury in a traffic accident. Abdominal computed tomography revealed a massive hematoma...Full Text Available

80

The management of pain following laminectomy for lumbar disc lesions.

The authors report the personal techniques and the results of CT-guided percutaneous drainage of postoperative abdominal fluid collections. CT-guided percutaneous drainage offers many advantages over surgery: it is less invasive, can be repeated and requires no anesthesia, there are not surgery-related risks and lower morbidity and mortality rates. Moreover, subsequent hospitalization is shorter and costs are consequently reduced. The authors conclude that CT-guided percutaneous drainage is the method of choice in the treatment of postoperative abdominal fluid collections.

1999-03-01

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81

The Prevalence of low back pain in Africa: a systematic review

Assessment of the results of laminectomy for lumbar disc lesions is unsatisfactory, but it seems that some degree of recurrent pain is virtually inevitable. The clinical features and incidence of the...Full Text Available

1981-07-01

82

Role of spinal cyclooxygenase in human postoperative and chronic pain

BackgroundLow back pain (LBP) is the most prevalent musculoskeletal condition and one the most common causes of disability in the developed nations. Anecdotally, there is a general...Full Text Available

83

Physical therapy for chronic pain conditions—A novel approach using mind–body connection

BackgroundNonsteroidal anti-inflammatory drugs are commonly used to treat postoperative and chronic pain. Animal studies suggest these drugs act in part by blocking...Full Text Available

2010-05-01

84

British Library Electronic Table of Contents (United Kingdom)

The treatment of chronic pain conditions continue to present a challenge to the medical field. Physical therapy treatment needs to approach the management of chronic pain differently than the approach used to resolve acute pain. Patients with chronic pain often have many factors that have perpetuated the pain condition. These factors, as well as pain itself, influence their ability to reactivate and perform functional daily activities. Physical therapists can begin to address some of the factors, including fear and deconditioning, by building confidence and body awareness in a self-care model including a slow graduated reactivation program. There is evidence that patients with chronic pain conditions have altered motor control that may be influencing reoccurrences and possible flares of pa...

2011-01-01

85

Pharmacological treatment of neuropathic pain in older persons

Morphine versus Mexiletine for Treatment of Postamputation Pain

Interest and research into the mechanisms and treatment of neuropathic pain have increased during recent years, but current treatment is still far from satisfactory (Dworkin...Full Text Available

2008-03-01

86

BackgroundStump and phantom pains are debilitating sequelae of amputations that are often resistant to treatment. The efficacy of pharmacologic therapies, including...Full Text Available

2008-08-01

87

Gynecologic Pelvic Pain

Cryoanalgesia for intractable perineal pain.

The family physician dealing with gynecologic pelvic pain (acute or chronic) enters at the beginning of the problem as diagnostician, refers the patient to a specialist in the interim, and resumes...Full Text Available

1989-06-01

88

Chronic Pain Associated with Upper-Limb Loss

Cryoanalgesia, the local application of extreme cold to nerves to produce analgesia, has been used to treat patients with intractable perineal pain. The cryoprobe was inserted percutaneously through...Full Text Available

1981-11-01

89

Single Setting Bilateral Laparoscopic Orchiopexy for Bilateral Intra-Abdominal Testicles

ObjectiveTo describe the prevalence, intensity, and functional impact of the following types of pain associated with upper-limb loss: phantom limb, residual limb,...Full Text Available

2009-09-01

90

British Library Electronic Table of Contents (United Kingdom)

Purpose The laparoscopic surgical approach to unilateral intra-abdominal testis has replaced the open approach at several large centers. There is considerable literature on experience with unilateral intra-abdominal testes but little on the management of bilateral intra-abdominal testes. We assessed the feasibility and safety of performing single setting bilateral laparoscopic orchiopexy in boys with bilateral intra-abdominal testes. Materials and Methods A single surgeon experience was reviewed. The surgical technique was similar in all cases and on each side, including infra-umbilical access, diagnostic evaluation, peritoneal mobilization lateral to the spermatic vessels and inferior to the vas deferens, gubernacular transection, and a decision for or against a Fowler-Stephens procedure ...

2008-01-01

91

Comparison between children and adolescents with and without chronic benign pain: consultation rate and pain characteristics.

Computed tomography whole body imaging in multi-trauma: 7 years experience

The aim of the study was to determine whether children with chronic benign pain are in contact with their general practitioner (GP) more frequently than those without chronic benign pain. A random sample of children and adolescents aged between 0 and 18 years of age was drawn from the records of ten general practices. According to their responses to a pain questionnaire, subjects were assigned to the chronic benign pain group (n = 95) if they had pain of more than three months' duration, or to the control group (n = 105) if they had pain of less than three months' duration or no pain at all. All the subjects had an average GP consultation rate of 2.6 contacts per year. No significant age and sex differences were found. Chronic benign pain in childhood and adolescence is not related to increased use of healthcare ...

2002-03-01

92

[Our experiences in chronic benign pain by injecting local anaesthetic into scars].

AIM: To assess the impact of the introduction of a computed tomography (CT) imaging protocol for multi-trauma patients on the workload, overall diagnostic yield, and effect on detection of cervical spine injury and pneumothorax. METHOD: Between February 1997 and April 2004, all patients presenting acutely to the Emergency Department (ED) with haemodynamically stable trauma (Abbreviated Injury Scale 3 or more) involving more than two body systems were imaged with a comprehensive pre-set helical CT protocol (including non-contrast head, cervical spine: cranio-cervical and cervico-thoracic junctions; and oral and intravenous contrast-enhanced thoracic, abdomen and pelvis) after initial triage and a standard trauma series of radiographs (chest, lateral C-spine and pelvis). Diagnosis of cervical spine fracture and pneumothorax was noted before and after the CT protocol was carried out and findings from all studies were recorded prospectively. RESULTS: Over the 7-year period 296 multi-trauma ...

2006-04-01

93

[Is prescribing of opioid analgetics such as morphine to patients with chronic benign pain (un)ethical?].

PMID:20198285

2009-01-01

94

The Effect of Additional Mobilization with Conservative Physical Therapy in Patients with Frozen Shoulder on ROM and Subjective Pain Scale

PMID:1461290

1992-11-14

95

Intrathecal Catheter and Subcutaneous Access Port Implantation in Pain Management for Terminal Cancer Patient - A case report -

Full Text Available

2009-11-01

96

Comparison of Premixed NaHCO3 and Lidocaine on Rocuronium Injection Pain

Full Text Available

2007-12-01

97

Affect School for chronic benign pain patients showed improved alexithymia assessments with TAS-20.

Full Text Available

2005-05-01

98

A feasibility study of percutaneous radiofrequency ablation followed by radiotherapy in the management of painful osteolytic bone metastases.

PMID:20525319

2010-06-04

99

A Survey on Pain and Self-Care Behavior of Patients with Chronic Arthritis

PMID:21533865

2011-05-01

100

Sex Differences in Pain and Psychological Functioning in Persons With Limb Loss

Full Text Available

2003-08-01

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101

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Sex differences in pain are frequently reported in the literature. However, less is known about possible sex differences in the experience of pain secondary to a disability. The current study explored these issues in persons with limb loss (n = 335, 72% men) who were recruited as part of a postal survey. Participants provided ratings of phantom limb pain (PLP), residual limb pain (RLP), and general pain intensity. Participants also completed measures of pain-related interference, catastrophizing, coping, and beliefs. Results indicated that a greater proportion of males than females (86% vs 77%, respectively) reported the presence of PLP; however, this difference was no longer prominent when cause of limb loss was controlled. No sex differences were found in the presence of RLP, or in avera...

2010-01-01

102

Traumatic bronchial rupture: an unusual cause of tension pneumothorax

Progressive Management of Open Surgical Repair of Achilles Tendon Rupture

Bronchial rupture is a rare and serious complication of blunt chest trauma, which can be easily overlooked on initial evaluation in the emergency room (ER) as the focus of the attending physician is...Full Text Available

103

Latent Tricuspid Valve Rupture after Motor Vehicle Accident and Routine Echocardiography in All Chest-Wall Traumas

A 33-year-old man sustained an acute Achilles tendon rupture which was surgically repaired. Early nonweight-bearing range of motion and strengthening of the ankle and the repaired muscle unit was allowed...Full Text Available

1994-12-01

104

Iatrogenic post-intubation tracheal rupture treated conservatively without intubation: a case report

Blunt chest-wall trauma is common; however, resultant tricuspid valve rupture is rare and can be subtle in its presentation. Transthoracic echocardiography plays a key role in diagnosis.Herein,...Full Text Available

2009-01-01

105

Exact moment of tendon of pectoralis major muscle rupture captured on video

BackgroundTracheal rupture is a rare but life-threatening complication that most commonly occurrs after blunt trauma to the chest, but which may also complicate tracheal intubation....Full Text Available

106

A non-invasive technique for standing surgical repair of urinary bladder rupture in a post-partum mare: a case report

A powerlifting athlete ruptured his left tendon of the pectoralis major muscle while attempting to lift 160 kg in a Brazilian bench press championship. The injury seemed to occur in the concentric...Full Text Available

2007-09-01

107

Aortic non communicating dissections. A study with helical CT

An 11-year-old mare presented 36 hours after foaling with a ruptured bladder. Uroperitoneum was diagnosed on ultrasound and from the creatinine concentration of the peritoneal fluid. Bladder endoscopy...Full Text Available

108

Potential gas entry into FFTF after a postulated pipe rupture

The evaluate the signs of aortic intramural hematoma with helical CT and the diagnostic role of this technique in patients with this condition. It was reviewed the CT findings of 396 patients submitted to emergency examinations for suspected aortic dissection from 1995 to 1999. Only 18 patients (6 women and 12 men) had CT signs of aortic intramural hematoma. Helical CT studies were carried out with the following parameters: slice thickness 10 mm, reconstruction index 10, feed 1.5 mm, conventional algorithm with minimum values of 130 kV and 125mA. All patients were examined with dynamic contrast-enhanced CT, before and after a power injection of 130 mL ionic contrast material. It was studied: hematoma localization and longitudinal extension; thickness and density of aortic wall; presence and location of intimal calcifications; integrity of intimal wall; hemo mediastinum and/or hemo thorax. Aortic wall thickening appeared as a high density crescent-shaped area at baseline CT and had low ...

2000-09-01

109

The language of pain: affective descriptors of pain are a better predictor of psychological disturbance than pattern of sensory and affective descriptors.

... failures fftf reactor heat transfer hydraulics loss of coolant pipes primary coolant

110

The behavioral management of pain: a criticism of a response.

The language used by chronic benign pain patients to characterize their pain complaint was analyzed to determine the best predictor of psychiatric disturbance. Using the 78 adjectives provided by the McGill Pain Questionnaire, the number of affective descriptors used was the best predictor of psychiatric disturbance. Addition of sensory descriptors either to augment the total number of descriptors used (magnitude) or as a pattern of sensory greater than affective or sensory less than affective failed to increase predictive strength. PMID:6877847

1983-06-01

111

Patient isolation in chronic benign pain.

In response to an earlier published paper by Fordyce, some assumptions underlying the behavior management paradigm of chronic pain are critically discussed. While operant treatment has proved successful, the conclusion that operant factors play an important role in the development and maintenance of chronic benign pain is debated. Some empirical studies, regularly used to demonstrate this role, are re-evaluated. An alternative theory is proposed for chronic pain behavior, in which the role of a lower tolerance to proprioceptive stimuli, which may include more than just pain stimuli, is emphasized. PMID:3313200

1987-09-01

112

Cooling device for impurity removal device in thermonuclear devices

Over the years, nurses, doctors and scientists have sought ways of assessing the impact of pain on patients. While many of the instruments devised have been extremely useful in identifying the nature and intensity of pain, defining the effect it has on people's lives and perceptions has proved much more problematic. Based on the work she carried out with patients suffering from chronic benign pain, Karen Rose explores one aspect of these effects--the feeling of isolation. By using a four-step anthropological approach to identify the impact of pain, she argues, nurses can arrive at a realistic and accurate assessment of how patients are coping. PMID:7947167

113

Long-term nutrition with an elemental diet following intensive abdominal irradiation: report of a case

Purpose: To prevent structure material meltdown upon rupture of cooling pipeways in a impurity remover by preventing the coolants from flowing into the vacuum vessel while continuing the supply of coolants to other portions to be cooled. Constitution: Dual cooling pipeway systems are disposed to the neutralizing plates of the impurity remover. A rupture detector (pressure gage) is mounted to each of the cooling pipeways and flow rate control valves to be opened and closed by the signal from the detector are disposed to the upstream and downstream of the cooling pipeway. In this constitution if the cooling pipes should be ruptured, the coolant supply is stopped to the ruptured system in which the flow rate valve is closed by the signal from the rupture detector. However, since the coolant is kept to be supplied to the other system of the cooling pipeways, meltdown of the neutralizing ...

1983-08-26

114

Effect of ginger on gastric motility and symptoms of functional dyspepsia

(1974). United States Haddad, H. Bounous, G. Tahan, WT Devroede, G.

115

Effect of an Active Abdominal Pulse Generator on Defibrillation Thresholds with a Dual-Coil, Transvenous ICD Lead System

AIM: To evaluate the effects of ginger on gastric motility and emptying, abdominal symptoms, and hormones that influence motility in dyspepsia.METHODS: Eleven patients with functional dyspepsia...Full Text Available

2011-01-07

116

British Library Electronic Table of Contents (United Kingdom)

Effect of Abdominal Active Can on DFTs. Introduction: Many patients with implantable cardioverter defibrillators (ICDs) have older lead systems, which are usually not replaced at the time of pulse generator replacement unless a malfunction is noted. Therefore, optimization of defibrillation with these lead systems is clinically important. The objective of this prospective study was to determine if an active abdominal pulse generator (Can) affects chronic defibrillation thresholds (DFTs) with a dual-coil, transvenous ICD lead system. Methods and Results: The study population consisted of 39 patients who presented for routine abdominal pulse generator replacement. Each patient underwent two assessments of DFT using a step-down protocol, with the order of testing randomized. The distal right ...

2006-01-01

117

[Efficacy of epidural neurolysis].

Extracorporeal Shock Wave Therapy in Pillar Pain After Carpal Tunnel Release: A Preliminary Study

Forty-one patients were treated with epidural neurolysis using 50 % ethyl alcohol 2 ml. Thirty eight patients were suffering from cancer pain and three patients were complaining of chronic benign pain. Alcohol block was repeated 2.3 times (mean) in the same patient. Thirty patients were followed after the treatment. Forty-seven percent of the patients reported 70 % or greater pain relief and 20 % of the patients reported about 50 % pain relief. Duration of pain relief was from 9 days to 203 days with a mean duration of 54 days. Adverse effects were reported 43 % of the patients. There is no miserable adverse effect. Adverse effect reported most was pain with epidural injection of drugs after the alcohol block had been performed. PMID:8544293

1995-11-01

118

British Library Electronic Table of Contents (United Kingdom)

"Pillar pain" is a relatively frequent complication after surgical release of the median nerve at the wrist. Its etiology still remains unknown although several studies highlight a neurogenic inflammation as a possible cause. Pillar pain treatment usually includes rest, bracing and physiotherapy, although a significant number of patients still complain of painful symptoms two or even three years after surgery. The aim of this study was to investigate the efficacy of low-energy, flux density-focused extracorporeal shock wave therapy (ESWT) in the treatment of pillar pain. We treated 40 consecutive patients with ESWT who had pillar pain for at least six months after carpal tunnel release surgery, and to our knowledge, this is the first study that describes the use of ESWT for treating this c...

2011-01-01

119

A multifactorial strategy of pain management is associated with less pain in scheduled vaccination of children. A study realized by family practitioners in 239 children aged 4-12 years old

British Library Electronic Table of Contents (United Kingdom)

Background and aims. The multiplicity of vaccine injections during childhood leads to iterative painful and stressful experiences which may lead in turn to anticipated pain and then possibly to a true needle phobia. We aimed at evaluating a multifactorial strategy of pain management combining pharmacological and non-pharmacological approaches during vaccination, as compared to usual care, in 4- to 12-year-old children. Methods. In all, 239 children were enroled by 25 family practitioners in an open-label study. After a pseudo-randomization, usual pain management (n = 132) was compared to a multifactorial strategy (n = 107) associating preliminary application of an anesthesic patch, preferential use of specified vaccines, child education by the parents and the doctor, parental accompaniment...

2008-01-01

120

Undiagnosed osteoid osteoma of the spine presenting as painful scoliosis from adolescence to adulthood: a case report

Trends in use of opioids for chronic non-cancer pain among individuals with mental health and substance use disorders: the TROUP study

Presented here is a case of a young woman, with an undiagnosed osteoid osteoma of the spine, which presented with painful scoliosis in adolescence and was treated by bracing until her accession to adulthood....Full Text Available

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121

The relative timing of VMO and VL in the aetiology of anterior knee pain: a systematic review and meta-analysis

ObjectivesUse of prescription opioids for chronic pain is increasing, as is abuse of these medications, though the nature of the link between these trends is unclear....Full Text Available

2010-01-01

122

The development and validation of the daily electronic Endometriosis Pain and Bleeding Diary

BackgroundAnterior knee pain (AKP) is a common musculoskeletal complaint. It has been suggested that one factor that may contribute to the presence of AKP is a delay in the recruitment...Full Text Available

123

The Immediate Effects of Thoracic Spine and Rib Manipulation on Subjects with Primary Complaints of Shoulder Pain

BackgroundThe objective of this study was to develop and validate a daily electronic Endometriosis Pain and Bleeding Diary (EPBD) for assessing treatment-related changes in endometriosis...Full Text Available

124

Tendo Achillis pain: steroids and outcome.

Shoulder pain is a common orthopedic condition seen by physical therapists, with many potential contributing factors and proposed treatments. Although manual physical therapy interventions for the cervicothoracic...Full Text Available

2009-01-01

125

Tendency to adhere to provider-recommended treatments and subsequent pain severity among individuals with cancer

A retrospective study is presented of 83 athletes with tendo Achillis pain (TAP) treated conservatively over a 12-year period from 1976 to 1988. Local steroid injections did not contribute to an earlier...Full Text Available

1992-03-01

126

Social Work Role in Pain Management with Hospice Caregivers: A National Survey

BackgroundPatients’ general tendency to adhere to health care provider-recommended treatments is associated with a number of health outcomes, but whether it influences pain...Full Text Available

127

Sex, Gender, and Pain: A Review of Recent Clinical and Experimental Findings

This article reports on an exploratory study of hospice social workers’ assessment and collaborative practices related to pain management; especially caregiver concerns about patient...Full Text Available

2009-01-01

128

Sex and Hormonal Variations in the Development of At-level Allodynia In a Rat Chronic Spinal Cord Injury Model

Sex-related influences on pain and analgesia have become a topic of tremendous scientific and clinical interest, especially in the last 10 to 15 years. Members of our research group published...Full Text Available

2009-05-01

129

Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire

The development of central neuropathic pain varies among patients with spinal cord injury (SCI). The factors contributing to the development and perpetuation of segmental pain (at-level allodynia)...Full Text Available

2010-06-25

130

Potassium channels as a potential therapeutic target for trigeminal neuropathic and inflammatory pain

BackgroundSeverely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs,...Full Text Available

131

Patient-reported-outcomes in subjects with painful lumbar or cervical radiculopathy treated with pregabalin: evidence from medical practice in primary care settings

Previous studies in several different trigeminal nerve injury/inflammation models indicated that the hyperexcitability of primary afferent neurons contributes to the pain pathway underlying mechanical...Full Text Available

132

Pain in Aging Community-Dwelling Adults in the United States: Non-Hispanic Whites, Non-Hispanic Blacks, and Hispanics

The objective of this study was to evaluate the effect of pregabalin in painful cervical or lumbosacral radiculopathy treated in Primary Care settings under routine clinical practice. An observational,...Full Text Available

2010-06-01

133

Racial and ethnic disparities in healthcare persist in the U.S. Although pain is one of the most prevalent and disabling symptoms of disease, only a few studies have assessed disparities in...Full Text Available

2007-01-01

134

Frozen shoulder.

Foraminal stenosis complicating retained broken epidural needle tip -A case report-

The frozen shoulder is a common cause of shoulder pain and disability. Most patients slowly improve over 12 to 24 months. Some have prolonged loss of movement, pain, and associated disability. Treatments...Full Text Available

1993-08-01

135

Feasibility of Using Cranial Electrotherapy Stimulation for Pain in Persons with Parkinson's Disease

Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given...Full Text Available

2010-12-01

136

Evaluating Patients with Chronic Pain and their Families

Objectives. To assess the feasibility of treating musculoskeletal pain in the lower back and/or lower extremities in persons with Parkinson's disease (PD) with cranial electrotherapy...Full Text Available

137

Effects of removal of dietary polyunsaturated fatty acids on plasma extravasation and mechanical allodynia in a trigeminal neuropathic pain model

Inclusion of family members in the assessment of patients with chronic pain can improve outcomes. Family functioning can be assessed in four basic areas: boundaries, power, communication, and intimacy....Full Text Available

1991-02-01

138

Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis

BackgroundNeuropathic pain (NP) is partially mediated by neuroinflammatory mechanisms, and also modulates local neurogenic inflammation. Dietary lipids, in particular the total amount...Full Text Available

139

Coping with Test Pain, Discomfort, and Anxiety

Patients with adhesive capsulitis were clinically evaluated to establish whether pain elicited by pressure on the coracoid area may be considered a pathognomonic sign of this condition. The study group...Full Text Available

2010-03-01

140

Clinical value of SPECT/CT for evaluation of patients with painful knees after total knee arthroplasty- a new dimension of diagnostics?

... Search Help? Coping with Test Pain, Discomfort, and Anxiety Introduction | Be Prepared | Know Your Tests | Relax | Conclusion ... though they may feel some embarrassment, discomfort, or anxiety at the outset. If undergoing medical tests makes ...

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141

Chronic pain in primary care. German figures from 1991 and 2006

BackgroundThe purpose of our study was to evaluate the clinical value of hybrid SPECT/CT for the assessment of patients with painful total knee arthroplasty (TKA).MethodsTwenty-three...Full Text Available

142

Chronic or Recurrent Pain in the Emergency Department: National Telephone Survey of Patient Experience

BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primary care. The aim of this investigation was to study the health care utilisation...Full Text Available

143

Chest pain and angiographically normal coronary arteries. Implications for treatment.

ObjectivePersons with chronic or recurrent pain frequently visit the emergency department (ED), yet little research examines this experience. We conducted this national survey to...Full Text Available

2010-12-01

144

Characteristics of chronic non-specific musculoskeletal pain in children and adolescents attending a rheumatology outpatients clinic: a cross-sectional study

Approximately 20% to 30% of patients who undergo coronary arteriography for the evaluation of chest pain are found to have normal coronary arteries. These patients have a survival rate comparable to...Full Text Available

1993-01-01

145

Challenges of functional imaging research of pain in children

BackgroundChronic non-specific musculoskeletal pain (CNSMSP) may develop in childhood and adolescence, leading to disability and reduced quality of life that continues into adulthood....Full Text Available

146

Behavioural assessment of pediatric pain

Functional imaging has revolutionized the neurosciences. In the pain field it has dramatically altered our understanding of how the brain undergoes significant functional, anatomical and chemical changes...Full Text Available

147

Astroglia in Medullary Dorsal Horn (Trigeminal Spinal Subnucleus Caudalis) Are Involved in Trigeminal Neuropathic Pain Mechanisms

Behavioural assessment methods have been used to signal the need for intervention and to evaluate treatment effectiveness. Direct observation and rating scales have been used to assess pain and distress...Full Text Available

2009-01-01

148

An Analysis of Heavy Utilizers of Opioids for Chronic Non-Cancer Pain in the TROUP Study

The aim of this study was to investigate whether astroglia in the medullary dorsal horn (trigeminal spinal subnucleus caudalis; Vc) may be involved in orofacial neuropathic pain following trigeminal...Full Text Available

2009-09-09

149

Importance of computer tomography in paediatric diagnostics of abdominal and pelvic tumours

ContextWhile opioids are increasingly used for chronic non-cancer pain (CNCP), we know little about opioid dosing patterns among individuals with CNCP in usual care...Full Text Available

2010-08-01

150

Abdominal masses in the pediatric age. Characterization by CT guided fine needle aspiration biopsy

In a joint study conducted by the University Clinic of Radiology, Graz, and the Medical University Clinic, Innsbruck, the results of computer tomography examinations of the abdomen and pelvis in 23 cases of tumours in children are discussed. In children computer tomography resents special difficulties on account of the very poorly developed fatty layers between the organs and the increased incidence of movement artifacts. The importance of computer tomography for the diagnosis of abdominal and pelvic tumours is discussed.

1980-03-01

151

Spinal cord stimulation in treatment of chronic benign pain: challenges in treatment planning and present status, a 22-year experience.

CT-guided fine needle aspiration biopsy (FNAB) is known to improve diagnosis of expansive abdominal lesions, especially relative to more invasive procedure like explorative laparotomy. FNAB in not commonly use in pediatric patients because of their poor collaboration and of associated risks. The authors investigated the feasibility of FNAB in the pediatric age.

1999-04-01

152

Sacroiliac joint dysfunction: From a simple pain in the butt to integrated care for complex low back pain

PMID:16528188

2006-03-01

153

British Library Electronic Table of Contents (United Kingdom)

In the last 40 years, significant advances have been made in the understanding of the neurophysiologic processes involved in the experience of trauma and pain. This knowledge, together with the rapid growth and understanding in the behavioral health sciences, has expanded to include a much better appreciation of how these fields are converging and contribute to a process called neuroplasticity. These basic mechanisms common to all patients have important implications for clinical outcome and for improving clinical practice. This article is written for clinicians who manage patients with sacroiliac joint dysfunction, a specific type of nonspecific low back pain.

2011-01-01

154

A Double-blinded, Randomized, Placebo Controlled Study of the Effect a Small Dose of Ketamine has on Postoperative Pain of Sevoflurane-remifentanil Anesthesia

Ultrasonography and Computerized Tomography in the diagnosis of complex abdominal lesions

Full Text Available

2008-02-01

155

Experience with abdominal gamma imaging in patients with bleeding of the lower digestive tube

Complex abdominal lesions include a variety of pathologies, such as septated, infected, and hemorrhagic cysts, abscesses, tumors, and fluid collections of different ethiology. These lesions present diagnostic difficulties with both Ultrasonography (US) and Computed Tomography (CT), since findings may not be present or, when present, are not specific. Keeping these limitations in mind, we evaluated 105 patients (111 abdominal lesions) with both US and CT in order to compare their adequacy in predicting the nature of the lesion. On the basis of US and CT results, complex abdominal lesions were divided in four classes: class I includes 43 cases in which both examinations gave the same contribution to the definition of the nature of the lesion, class II (14 lesions, mainly sperimentated cysts), in which US was superior to CT, class III includes 45 cases of hemorrhagic cysts, abscesses, fluid collections and, less frequently, ...

1988-01-01

156

Quick Discrimination of A_delta and C Fiber Mediated Pain Based on Three Verbal Descriptors

This study concerns our experiences with abdominal gamma imaging using Tc-99m colloid and with abdominal angiography using Tc-99m-pyrophosphate labelled erythrocytes ''in vivo'' based on the modified technique described by Callahan. The dynamic or perfusion phase was first performed, then the static phase during which for the first two hours scans were taken every 15 minutes and thereafter every 4-6 hours. The routine image corresponds to the first, although it was necessary at times to take oblique projections. The study was felt to be accomplished after 48 hours upon observing no extravasation of radioactive material in the abdominal region, or upon detecting a bleeding site. The investigation was performed on 11 patients, 8 having positive scans of abdominal extravasation, later confirmed in 6 by endoscopy and by surgery. In 2, the presence of salmonelosis was shown by laboratory analysis. Endoscopy ...

1985-04-25

157

Insights in the use of health care services in chronic benign pain in childhood and adolescence.

BackgroundA_δ and C fibers are the major pain-conducting nerve fibers, activate only partly the same brain areas, and are differently involved in pain syndromes....Full Text Available

158

Piping response testing associated with pipe rupture

The utilization of health care services in children and adolescents with chronic benign pain was studied in a Dutch population sample of 254 chronic pain sufferers aged 0-18 years. Children and adolescents who had reported chronic pain (continuous or recurrent pain >3 months) in our previous prevalence study were asked to keep a 3-week diary on their pain and to fill out questionnaires on background factors, health care use and the impact of pain. Parent ratings were used for children aged 0-11 years, self-report was used in adolescents (12-18 years). In a 3-month period, in 53.4% of the cases medication was used for pain, and general practitioners and specialists were consulted for pain in 31.1% and 13.9% of subjects, respectively. Physiotherapists, psychologists and alternative health providers were visited by 11.5, ...

2001-11-01

159

Emergency core cooling device

EPRI has sponsored an experimental program in the pipe whip impact and pipe rupture and depressurization areas. Sixteen pipe whip tests were performed with 3 in Schedule 80 (or 10) carbon steel pipes impacting on rigid target or concrete slab. The major testing parameters include distance, impact location, pipe rupture location, and concrete slab thickness and strength. The piping crushing at impact correlates with impact force and target response behavior. Conservatism was established by comparing measured and calculated impact forces. The pipe rupture and depressurization tests were carried out using 6 in stainless steel and carbon steel pipes under either PWR or BWR fluid conditions. These tests are of axial crack with initial machined-in surface flaw. It was found that pipe rupture would occur only if a long unstable through-wall crack was embedded in a sufficiently long unstable part-through crack ...

1985-11-01

160

Structural integrity evaluation of fuel test loop submerged in water subjected to postulated pipe rupture

In an existent emergency reactor core cooling device, if a ruptures should occure in a pipeline of a gravitational dropping type reactor core cooling system pool (GDCS) due to some or other causes, a portion of GDCS pool water was flown out of the ruptured port and could not be used for reactor core cooling. Then, a difference pressure detector is disposed to a GDCS pipeline at the inlet of a reactor pressure vessel. When it is judged by the detector, that coolants flow to the outside of the injection pipeline, an injection value disposed to the GDCS pipeline is closed by the difference pressure signal. Even if a rupture should occur on the side of the pressure vessel at downstream to the check value of the GDCS pipeline, since backflow is caused at the pressure container inlet of the GDCS pipeline with the rupture port, the rupture is detected by the difference pressure detector to ...

1990-10-29

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161

Procedure for determining the criteria for rupture capacity in exposed sedimentary rocks in coal sections

The structural integrity of the Fuel Test Loop(FTL) in a Korean experimental reactor is evaluated when the FTL, submerged in a water environment, is subjected to a postulated pipe rupture. The analyses are performed under static and dynamic conditions, imposing the thrust force history at each postulated pipe rupture section. Through analysis the following results are found: 1) A double ended guillotine can not be expected based on the toughness of the material, 2) the structural integrity of the chimney surrounding the FTL would not impede the structural integrity by the pipe whip. All analyses are performed by finite element methods.

2000-02-01

162

Failure analysis on a ruptured petrochemical pipe

The control of piece size in ruptured rocks in coal sections is important as part of the general problem of increasing efficiency in the technology of open-pit mining operations. An attempt is made in this paper to estimate the rupture capacity of exposed rocks in coal sections based on a set of physicomechanical property indicators, using the methods of multidimensional statistical analysis. It was established that all the parameters for the physiocomechanical properties of the exposed rocks are highly correlated. The method proposed for determining criteria for explosive capacity is of interest in developing criteria for the destruction capacity (drillability, excavation capacity, etc.) in the exposed rocks of coal sections which are characterized by high variation in physical and mechanical properties.

1988-03-01

163

N88-21509 - NASA Technical Report Server (NTRS)

The failure took place on a welded elbow pipe which exhibited a catastrophic transverse rupture. The failure was located on the welding HAZ region, parallel to the welding path. Branching cracks were detected at the edge of the rupture area. Deposits of corrosion products were also spotted. The optical microscope analysis showed the presence of transgranular failures which were related to the stress corrosion cracking (SCC) and were predominantly caused by the welding residual stress. The significant difference in hardness between the welded area and the pipe confirmed the findings. Moreover, the failure was also caused by the low Mo content in the stainless steel pipe which was detected by means of spark emission spectrometer. (orig.)

2010-08-15

164

Microstructural characteristics and creep rupture behavior of electron beam and laser welded AISI 316L stainless steel

problem similar to the Stefan problem in heat conduction [19]. ..... as the Stefan problem. Although the Stefan problem and the creep rupture ...

165

Microstructural characteristics and creep rupture behavior of electron beam and laser welded AISI 316L stainless steel

AISI 316L stainless steel was welded by the electron beam (EB) and laser techniques. Microstructural characteristics, hardness profile, creep rupture properties and creep damage of the welds were investigated. Fully austenitic microstructure was obtained in the two welds. The solidification structure of the welds consisted of the cellular and equiaxed dendrites. The creep rupture lives of the two welds were almost the same, and they were reduced by a factor of about two compared to the base metal. Moreover, the rupture elongation of the welds was lower than that of the base metal. Creep damage was observed in the ``parting`` region of the welds and in the heat-affected zone (HAZ), respectively. Final creep fracture occurred in the ``parting`` region of the welds. (orig.).

1995-12-01

166

The Burden and Determinants of Neck Pain in the General Population

AISI 316L stainless steel was welded by the electron beam (EB) and laser techniques. Microstructural characteristics, hardness profile, creep rupture properties and creep damage of the welds were investigated. Fully austenitic microstructure was obtained in the two welds. The solidification structure of the welds consisted of the cellular and equiaxed dendrites. The creep rupture lives of the two welds were almost the same, and they were reduced by a factor of about two compared to the base metal. Moreover, the rupture elongation of the welds was lower than that of the base metal. Creep damage was observed in the ''parting'' region of the welds and in the heat-affected zone (HAZ), respectively. Final creep fracture occurred in the ''parting'' region of the welds. (orig.).

167

British Library Electronic Table of Contents (United Kingdom)

Study Design Best evidence synthesis. Objective To undertake a best evidence synthesis of the published evidence on the burden and determinants of neck pain and its associated disorders in the general population. Summary of Background Data The evidence on burden and determinants of neck has not previously been summarized. Methods The Bone and Joint Decade 2000?2010 Task Force on Neck Pain and Its Associated Disorders performed a systematic search and critical review of literature published between 1980 and 2006 to assemble the best evidence on neck pain. Studies meeting criteria for scientific validity were included in a best evidence synthesis. Results We identified 469 studies on burden and determinants of neck pain, and judged 249 to be scientifically admissible; 101 articles related to...

2008-01-01

168

Affective Distress and Amputation-Related Pain Among Older Men with Long-Term, Traumatic Limb Amputations

British Library Electronic Table of Contents (United Kingdom)

Psychological distress and postamputation pain were investigated in a sample of 582 males with long-term limb amputations (mean time since amputation 639.3 months, standard deviation 166.1; range 240-784 months). Prevalence of significant depressive symptoms (Hospital Anxiety and Depression Scale [HADS]-D score?8) was 32.0%, and 34.0% of respondents met the screening criterion for clinical anxiety (HADS-A score?8). Nearly one quarter (24.6%) of respondents reported significant post-traumatic psychological stress symptoms (Impact of Event Scale scores?35). In total, 87.8% experienced either phantom or residual limb pain. Affective distress scores differed according to the respondents' type of pain experience. Respondents who experienced residual limb pain reported significantly hig...

2006-01-01

169

Brain mechanisms supporting the modulation of pain by mindfulness meditation.

Pericardio-diaphragmatic avulsion and concomitant rupture of the central tendon of the diaphragm.

The subjective experience of one's environment is constructed by interactions among sensory, cognitive, and affective processes. For centuries, meditation has been thought to influence such processes by enabling a nonevaluative representation of sensory events. To better understand how meditation influences the sensory experience, we used arterial spin labeling functional magnetic resonance imaging to assess the neural mechanisms by which mindfulness meditation influences pain in healthy human participants. After 4 d of mindfulness meditation training, meditating in the presence of noxious stimulation significantly reduced pain unpleasantness by 57% and pain intensity ratings by 40% when compared to rest. A two-factor repeated-measures ANOVA was used to identify interactions between meditation and pain-related brain activation. Meditation reduced pain-related activation of the ...

2011-04-01

170

Design basis for protection of light water nuclear power plants against effects of postulated pipe rupture

Two patients, treated for blunt thoracoabdominal trauma with ruptured diaphragm and concomitant avulsion of the pericardial sac in its entirety from the central tendon of the diaphragm, are presented. We do not think this entity has been reported before. We explain this type of lesion on the basis of embryological development of the pericardium at the level of the central tendon of the diaphragm. PMID:15302069

2004-09-01

171

American National Standard: design basis for protection of light water nuclear power plants against effects of postulated pipe rupture

This standard addresses the design bases for light water reactor, nuclear power plant structures and components essential for the protection of public health and safety from the potential adverse effects of pipe whip, jet impingement, pressurization of compartments outside containment, environmental conditions and flooding associated with a postulated pipe rupture. The design bases for missile protection and the design bases for containment pressurization are not within this standard.

1981-01-01

172

A pain management program for chronic cancer-treatment-related pain: a preliminary study.

This standard addresses the design bases for light water reactor, nuclear power plant structures and components essential for the protection of public health and safety from the potential adverse effects of pipe whip, jet impingement, pressurization of compartments outside containment, environmental conditions and flooding associated with a postulated pipe rupture. The design bases for missile protection and the design bases for containment pressurization are not within this standard.

1980-12-31

173

Alloy 800: New stress rupture and creep data for pressurized components in high temperature reactors

A large proportion of patients may develop chronic pain following cancer treatments such as surgery, radiotherapy, or chemotherapy. These patients can experience significant levels of physical and psychological morbidity. Our aim was to investigate a cognitive-behavioral pain management program (PMP) for cancer patients with chronic treatment-related pain. Thirteen patients (1 man, 12 women; mean age 52 yrs) completed the study, 9 of whom had a history of breast cancer and had received extensive medical treatment, including surgery. A combination of physical and psychological techniques were adapted from previous work in chronic benign pain and implemented by two therapists. Interventions included education, relaxation, exercise training, and goal setting. A variety of outcomes were examined to assess general fitness, psychological distress, coping success, activities of daily living, and ...

2006-02-01

174

Alloy 800: New stress rupture and creep data for pressurized components in high temperature reactors

In an HTR plant high temperature components of Alloy 800 materials are subjected to temperatures from about 550 to 850degC in the long term; higher temperatures may occur in the short term. Thus the creep and stress-rupture parameters govern the design of these components. Since in recent years the scope of experimental data available for Alloy 800 materials has considerably increased, a new evaluation of the creep and creep-rupture properties was performed using a data bank computer. The relationships between the characteristics of the creep and creep-rupture behaviour and the metallurgical parameters were investigated by multilinear regression analyses. On the basis of the results of these analyses and after discussion in material expert committees new material specifications were determined for different types of Alloy 800. They were included into the draft standards DIN 17459 and DIN 17460 under the material standard ...

1990-05-01

175

Use of Cefoxitin, New Cephalosporin-Like Antibiotic, in the Treatment of Aerobic and Anaerobic Infections

In an HTR plant high temperature components of Alloy 800 materials are subjected to temperatures from about 550 to 850degC in the long term; higher temperatures may occur in the short term. Thus the creep and stress-rupture parameters govern the design of these components. Since in recent years the scope of experimental data available for Alloy 800 materials has considerably increased, a new evaluation of the creep and creep-rupture properties was performed using a data bank computer. The relationships between the characteristics of the creep and creep-rupture behaviour and the metallurgical parameters were investigated by multilinear regression analyses. On the basis of the results of these analyses and after discussion in material expert committees new material specifications were determined for different types of Alloy 800. They were included into the draft standards DIN 17459 and DIN 17460 under the material standard ...

176

Properties of rare-gas solids. [Diffusion rate of xenon through epithelial tissue

Forty-two patients were treated with intravenous cefoxitin, a new cephamycin antibiotic. These patients had postoperative abdominal sepsis (26), intrathoracic infections (6), urinary tract infections...Full Text Available

1978-12-01

177

Predictors of healthcare professionals' intention and behaviour to encourage physical activity in patients with cardiovascular risk factors

Results are reported from studies of the diffusion rate of xenon through frog abdominal skin and toad urinary bladders, typical epithelial membranes. It was concluded that intracellular water serves as the principal barrier for xenon passage through epithelial tissue.

1977-01-01

178

Development and Validation of the Convalescence And Recovery Evaluation (CARE) for Measuring Quality of Life after Surgery

BackgroundHealthcare professionals can play a crucial role in optimizing the health status of patients with cardiovascular risk factors (abdominal obesity, high blood pressure, low...Full Text Available

179

Cystic neoplasms of the pancreas: A diagnostic challenge

PurposeTo develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.Full Text Available

2008-08-01

180

A late presenting congenital diaphragmatic hernia misdiagnosed as spontaneous pneumothorax

Cystic neoplasms of the pancreas are increasingly recognized due to the expanding use and improved sensitivity of cross-sectional abdominal imaging. Major advances in the last decade have led to an...Full Text Available

2009-01-07

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181

Spectrum of abdominal pathologies detected with CT in long term dialysis patients

Congenital diaphragmatic hernia (CDH) is described as (1) failure of diaphragmatic closure at development, (2) presence of herniated abdominal contents into chest and (3) pulmonary hypoplasia. Usually,...Full Text Available

2010-09-01

182

The Contribution of Sympathetic Mechanisms to Postamputation Phantom and Residual Limb Pain: A Pilot Study

As a consequence of the expanded use of long term hemodialysis and continuous ambulatory peritoneal dialysis (CAPD) treatments and extended life spans, complications of end-stage renal disease and dialysis treatments are being encountered with increasing frequency in these patients. Computed tomography can accurately depict many of the potential complications of end-stage renal disease on dialysis. This article presents the abdominal CT findings of 429 end-stage renal disease patients who are on either hemodialysis or continuous ambulatory peritoneal dialysis treatment.

2009-11-15

183

British Library Electronic Table of Contents (United Kingdom)

Postamputation pain (PAP) affects over 60% of major limb amputees. One of the main challenges in treating PAP is the difficulty involved in identifying pain mechanism(s), which pertains to both residual limb pain (RLP) and phantom limb pain (PLP). In this study, sympathetic blocks were performed on 17 major limb amputees refractory to treatment, including 2 placebo-controlled blocks done for bilateral amputations. One hour postinjection, mean RLP scores at rest declined from 5.2 (SD 2.8) to 2.8 (SD 2.6) (P = .0002), and PLP decreased from 5.3 (SD 3.1) to 2.3 (SD 2.1) (P = .0009). By 1 week, mean pain scores for RLP and PLP were 4.3 (SD 2.9) and 4.2 (SD 3.0), respectively. Overall, 8 of 16 (50%) patients experienced ?50% reduction in RLP 1-hour postinjection, with the beneficial effects ...

2011-01-01

184

Comparative adequacy of conventional radiography, ultrasonography and Computed Tomography in twenty-six consecutive patients with acute superior mesenteric ischemia

Role of nuclear medicine bone scans in evaluating pain in athletic injuries

Ischemic bowel disease is a rare disorder whose incidence is increasing as the mean age of the population increases. Diagnosis by clinical, laboratory and radiologic means is often difficult, and delay in definitive therapy results in substantial morbidity and mortality. A series of 26 consecutive patients, with proved acute superior mesenteric ischemia, was retrospectively reviewed: the authors reports the diagnostic methods performed preoperatively, the site and the cause of infarction and the time passed between the first radiograph and surgery. Plain abdominal radiographs were performed in 25 of 26 patients, screening abdominal US in 23 cases and CT in 19 cases. All radiological examinations were retrospectively reviewed by the three authors, independently, to recognize the different signs of infarction. On plain abdominal films, the findings warranting a presumptive diagnosis of bowel infarction were air-fluid levels ...

1997-01-01

185

Methodological Quality of Studies on the Measurement Properties of Neck Pain and Disability Questionnaires: A Systematic Review

The utilization of nuclear medicine bone scanning examinations early in the diagnostic process allows physicians to render prompt and correct treatment in urgent or difficult athletic cases. Bone scanning should be performed for athletic injuries whenever (1) x-rays are normal but bone or joint pain persists; (2) x-rays are positive but it cannot be determined if the findings are acute or chronic; (3) soft-tissue injuries present and x-rays are not useful; and (4) bone pain or joint impairment present without a history of trauma.89 references.

1987-10-01

186

British Library Electronic Table of Contents (United Kingdom)

Objective: The aim of this study was to obtain an overview of the methodological quality of studies on the measurement properties of neck pain and disability questionnaires and to describe how well various aspects of the design and statistical analyses of studies on measurement properties are performed. Methods: A systematic review was performed of published studies on the measurement properties of neck pain and disability questionnaires. Two reviewers independently rated the quality of the studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. This checklist was developed in an international Delphi consensus study. Results: A total of 47 articles were included on the measurement properties of 8 different questionnaires. The meth...

2011-01-01

187

Depression and chronic fatigue in the patient with chronic pain.

Back pain in the osteoporotic individual: A physiatric approach

Chronic benign pain is commonly associated with chronic fatigue and depression. Depression and chronic fatigue syndrome are also associated with each other and often include pain. Psychologic factors are prominent in these conditions, and they may share neurobiologic factors as well. Management requires separately addressing each component of patients' distress and usually includes physical rehabilitation, education, administration of nonhabituating medications and often counseling. Depression may be a favorable prognostic sign, as it suggests a treatable condition and provides incentive for recovery. PMID:1876618

1991-06-01

188

British Library Electronic Table of Contents (United Kingdom)

Back pain from osteoporosis is commonly related to compression fractures. The patient with vertebral compression fractures additionally suffers from an ongoing risk of recurrent fractures and postural abnormalities that can result in impaired respiratory function, leading to increased risk of morbidity. Weakened back muscles, especially the back extensor group, are felt to contribute significantly to this risk. The combination of pharmacologic and nonpharmacologic interventions, through physical activity, exercise, and modalities, are potential interventions that could be used to help reduce the pain of osteoporotic compression fractures as well as potentially reducing recurrent fracture rates.

2011-01-01

189

[Transdermal opioid administration: the pain plaster].

A new method of administration of an opioid was recently registered: fentanyl transdermal (brand name: Durogesic), intended particularly for the indication range 'pain in cancer'. Fentanyl is lipid-soluble so that deposition in the skin takes place and the biological half-life is approximately 20 hours after removal of the plaster. It is safe to start on a basis of an equianalgesic conversion of 100:1 in relation to oral morphine, although this may entail some risk of fentanyl under dosage. The dose adjustment time is 12-24 hours before a constant fentanyl level is reached; therefore, after attaching the first sticking plaster, the original morphine dose should be continued for another 12 hours. In addition, the patient may, if necessary, be given supplementary morphine preferably as a short-acting drug. There seems to be no clear indication for transdermal fentanyl either in neuropathic pain or in chronic benign pain. ...

1997-04-26

190

The dengue viruses.

Pulsed Radiofrequency Ablation for Residual and Phantom Limb Pain: A Case Series

Dengue, a major public health problem throughout subtropical and tropical regions, is an acute infectious disease characterized by biphasic fever, headache, pain in various parts of the body, prostration,...Full Text Available

1990-10-01

191

British Library Electronic Table of Contents (United Kingdom)

Abstract Residual limb pain (RLP) and phantom limb pain (PLP) can be debilitating and can prevent functional gains following amputation. High correlations have been reported between RLP and the stump neuromas following amputation. Many treatment methods including physical therapy, medications, and interventions, have been used with limited success. Pulsed radiofrequency ablation (PRFA) has shown promise in treating neuropathic pain because of the inhibition of evoked synaptic activity. We present 4 amputees who were treated with PRFA after failing conservative management for their RLP and PLP. All 4 patients underwent PRFA and demonstrated at least 80% relief of RLP for over 6 months. One patient reported a complete resolution of phantom sensation while another patient had significantly de...

2010-01-01

192

Neuroradiologic and Neurophysiologic Findings of Neuralgic Amyotrophy

Medical problems affecting musicians.

ObjectiveNeuralgic amyotrophy (NA) is a distinct clinical syndrome that is characterized by the acute onset of shoulder and arm pain, weakness, and sensory loss. The purpose of this...Full Text Available

2010-11-01

193

Cutaneous Scarring: A Clinical Review

The physical demands of performing on musical instruments can cause pain, sensory loss, and lack of coordination. Five cases illustrate common problems. Knowledge of the interaction between the technique...Full Text Available

1995-12-01

194

Cutaneous scarring can cause patients symptoms ranging from the psychological to physical pain. Although the process of normal scarring is well described the ultimate cause of pathological scarring...Full Text Available

2009-01-01

195

Critical Limb Ischemia

Antinociceptive actions of honokiol and magnolol on glutamatergic and inflammatory pain

Opinion statementCritical limb ischemia (CLI), defined as chronic ischemic rest pain, ulcers, or gangrene attributable to objectively proven arterial occlusive disease, is the most advanced...Full Text Available

2010-06-01

196

CFD simulation of steam generator tube rupture thermal-hydraulics

The antinociceptive effects of honokiol and magnolol, two major bioactive constituents of the bark of Magnolia officinalis, were investigated on animal paw licking responses and thermal...Full Text Available

197

WC-TiC-Ni cemented carbide with enhanced properties

Several steam generator tube rupture accidents have occurred at plants in the past. In this paper the Computational Multi-Fluid Dynamics (CMFD) investigation of the horizontal steam generator thermal-hydraulics during the tube rupture accident is performed. A guillotine of a steam generator U-tube is assumed with choked flow from the primary to the secondary side of the steam generator. We have computed water and steam velocity fields, steam volume fraction distribution on the steam generator secondary (shell) side, as well as the swell level increase. The simulation results are a support to the safety analyses of the steam generator tube rupture accident. Numerical simulation is performed with the multidimensional multi-fluid modelling approach. The two-phase flow around steam generator tubes in the bundle is modelled by the porous media approach. Interfacial mass, momentum and energy transfer are modelled with the closure ...

2004-07-01

198

British Library Electronic Table of Contents (United Kingdom)

In the paper, the effect of Ni content, WC grain size and Mo2C addition on WC-6.25wt%TiC-9.3wt%Ni cemented carbide were investigated to improve the properties of Ni-bonded cemented carbides. The results show that the decrease of Ni content will result in the decrease of transverse rupture strength and increase of hardness; with the decrease of WC particle size, hardness increases due to the refinement of WC grains, however, the transverse rupture strength decrease due to the decrease of Ni binder thickness; Mo2C proves to be an effective grain growth inhibitor. With the increase of Mo2C content, the WC grains are refined and the hardness and transverse rupture strength are improved. Generally, when the Ni content is decreased to 8.4wt%, 13.45mm WC is used and 1.2wt% Mo2C is added, a higher...

2008-01-01

199

Blowdown thrust force under pipe rupture accident. Pt. 1. Experimental evaluations of blowdown thrust force and decompression characteristics

Functional impairment related to painful physical symptoms in patients with generalized anxiety disorder with or without comorbid major depressive disorder: post hoc analysis of a cross-sectional study

Blowdown thrust forces and decompression characteristics were evaluated concerning the jet discharge or pipe whip tests with a 4-inch or 6-inch diameter pipe under PWR LOCA or BWR LOCA conditions related to pipe rupture accidents in nuclear power plants. This paper presents experimental evaluations of time-dependent and maximum blowdown thrust forces, and evaluations of decompression characteristics under instantaneous pipe rupture conditions. The following items are discussed: the peak value of the blowdown thrust force, the jet thrust coefficient for the maximum blowdown thrust force, the pressure recovery after break, and the relationship between the pressure undershoot of the sudden decompression and the decompression rate.

1984-06-01

200

Effects of graded oral doses of a new 5-hydroxytryptamine/noradrenaline uptake inhibitor (Ro 15-8081) in comparison with 60 mg codeine and placebo on experimentally induced pain and side effect profile in healthy men.

BackgroundGeneralized anxiety disorder (GAD) is the most frequent anxiety disorder in primary care patients. It is known that painful physical symptoms (PPS) are associated with...Full Text Available

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201

Category III Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Insights from The National Institutes of Health Chronic Prostatitis Collaborative Research Network Studies

1. Ro 15-8081 (Hoffmann-La Roche, Basle, Switzerland) is a novel mixed 5-HT/noradrenaline uptake inhibitor producing potent antinociceptive effects in animal pain models. 2. In healthy man, two models...Full Text Available

1987-11-01

202

Usefulness of thromboaspiration with Desilets-Hoffman sheath in thrombosed hemodialysis access graft

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) remains an enigmatic medical condition. Creation of the (NIH) Chronic Prostatitis Collaborative Research Network (CPCRN) funded by...Full Text Available

2008-07-01

203

The crescent and the periluminal halo: Two Computed Tomography signs of aortic aneurysm impending rupture?

The purpose of this study was to evaluate the feasibility, efficacy and safety of percutaneous thromboaspiration with a Desilets-Hoffman Sheath compared with the previously established percutaneous mechanical thrombectomy technique in cases of occluded dialysis graft. One hundred and sixty eight patients (103 women, 65 men; mean age, 54.7 years; mean graft age, 20.9 months) with 225 episodes of dialysis graft thrombosis underwent percutaneous thromboaspiration with a 7F Desilets-Hoffman sheath using the crossing catheter or single puncture technique. The technical success rate, procedure time, and complication and patency rates were analyzed. Technical success was achieved in 200 of the 225 procedures (88.9%). The average duration of the intervention was 74.3 {+-} 35 minutes. The primary patency rate was 63.1% at 3 months, 44.2% at 6 months and 26.3% at 1 year. Major complications occurred in 4% of the cases (4 venous ruptures; 4 arterial embolisms; 1 arterial ...

2004-07-01

204

Emergency reactor core cooling device

Purpose: To assess the prevalence, significance and practical value of two recently described CT signs of instable aneurysm: the crescent sign and the periluminal halo (a low-attenuating internal layer of the thrombus around the patent lumen). Material and methods: Among the CT examination performed in the last 5 years, they retrospectively selected the nonruptured aneurysms with a diameter exceeding 4 cm (no. = 93 average diameter 5.1 cm, unenhanced images in 28 cases and enhanced in 84) and the ruptured aneurysms (no. = 16, average diameter 6.7 cm, unenhanced images in 9 cases and enhanced in 9). They studied the prevalence of the crescent and halo sing, their relationship with the aneurysm diameter, and the effect of contrast enhancement. Results: The crescent sign was identified with a statistically significant prevalence in ruptured ( 37.5 % or cases) over asymptomatic aneurysms (5.5 %); the halo had the same frequency in the 2 groups ...

1997-01-01

205

Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: Case report

The device of the present invention improves reactor safety by suppressing lowering of water level in a shroud which surrounds a reactor core, even upon occurrence of rupture of pipelines in an emergency reactor core cooling system in a recycling pump-incorporated type reactor. Namely, an opening of each of cooling systems which forms the emergency reactor core cooling device in a reactor pressure vessel is disposed above the upper end of the reactor core. Further, it also comprises an independent high pressure water injection system, gravitational dropping type water injection system and an automatic depressurization system. With such a constitution, even if rupture of pipelines in the system should be assumed, coolants never flow directly from the shroud which surrounds the reactor core. In addition, there are no pipelines to be ruptured below the upper end of the reactor core with respect to the structure. Accordingly, a ...

1993-03-16

206

Use of morphine sulfate (MS Contin) in patients with burns: a pilot study.

BackgroundVisceral artery aneurysms (VAA), although uncommon, are increasingly being detected. We describe a case of spontaneous retroperitoneal hemorrhage from a ruptured IMA aneurysm...Full Text Available

207

Injection-associated pain in femoral arteriography: A European multicenter study comparing safety, tolerability, and efficacy of iodixanol and iopromide

Morphine sulfate (MS Contin), a proven analgesic in the treatment of cancer pain and chronic benign pain, seems to be a good analgesic for the treatment of burn pain. MS Contin is morphine sulfate incorporated in a wax cellulose matrix delivery system. This wax cellulose delivery system gives MS Contin its duration of action. Ten patients were enrolled in an open-labeled, nonrandomized study. The study was designed to examine the analgesic efficacy of MS Contin in the burn population. Each patient remained in the study for 6 days. The efficacy of the analgesic regimen was subjectively measured by the visual pain scale. The MS Contin group was retrospectively compared with a group of patients who were given continuous intravenous infusions of morphine. The two groups were matched according to age, burn size, surgical procedures, and hospital stay. The analgesic qualities of MS Contin were comparable to ...

208

A critical review of behavioural treatments for chronic benign pain other than headache.

Purpose. To evaluate injection-associated pain, safety, and efficacy with the isotonic contrast medium iodixanol (Visipaque 270 mg I/ml) compared with iopromide (Ultravist 300 mg I/ml) in femoral arteriography. Methods. A multicenter, double-blind, randomized, parallel-group clinical investigation was carried out in 54 hospitals in Europe. Of the patients evaluated, 1225 received iodixanol and 1227 iopromide in conventional and/or digital subtraction angiography. Results. The iodixanol group reported statistically significantly less injection-associated pain (0.9%) than the iopromide group (9.5%) (p<0.001). Further, 4.1% in the iodixanol group experienced pain and/or severe heat sensation vs 19.8% in the iopromide group (p<0.001). In the iodixanol group, 1.8% of the patients experienced contrast-related adverse events vs 2.4% in the iopromide group (p=NS). Overall diagnostic information was optimal for 94.1% in the ...

1997-07-01

209

Escape behaviour in the stomatopod crustacean Squilla mantis, and the evolution of the caridoid escape reaction.

Studies of the effectiveness of operant, relaxation, cognitive, and multimodal behavioural approaches to the treatment of chronic benign pain other than headache were evaluated. In general, the quality of the studies was poor, and most investigations lacked appropriate and adequate control conditions, outcome measures, and/or follow-ups. While outcome reports for all four behavioural treatments have been mainly positive, few data were found which conclusively demonstrate that any of the approaches are effective or that they are the treatment of choice. The data do, however, imply that behavioural approaches may help patients lead more normal and productive lives. Specifically, the literature suggests that: (1) the operant method leads to increased activity levels and decreased pain and drug intake, (2) the relaxation approach results in decreased EMG levels and some pain reductions, (3) the cognitive techniques are ...

1982-11-01

210

Which differential circuit breaker in tomorrows accommodation?; Quel disjoncteur differentiel dans l'habitat de demain?

The mantis shrimp Squilla mantis shows a graded series of avoidance/escape responses to visual and mechanical (vibration and touch) rostral stimuli. A low-threshold response is mediated by the simultaneous protraction of the thoracic walking legs and abdominal swimmerets and telson, producing a backwards 'lurch' or jump that can displace the animal by up to one-third of its body length, but leaves it facing in the same direction. A stronger response starts with similar limb protraction, but is followed by partial abdominal flexion. The maximal response also consists of limb protraction followed by abdominal flexion, but in this case the abdominal flexion is sufficiently vigorous to pull the animal into a tight vertical loop, which leaves it inverted and facing away from the stimulus. The animal then swims forward (away from the stimulus) and rights itself by executing a half-roll. A bilaterally paired, ...

2000-01-01

211

Treatment of multi-ruptured complex pseudoaneurysm with injection of fibrin sealant into lumens: report of one case with literature review

Since several years, several manufacturers of circuit breakers from various countries (South Africa, UK, The Netherlands, USA..) try to impose in accommodations a highly sensitive electronic-type of differential circuit-breaker initially devoted to industrial installations where qualified and experienced professionals are present. This technical paper presents first the principles of the classical electromechanical circuit breakers and of the electronic circuit breaker, and then compares their relative efficiency and level of safety in residential use conditions (grounding schemes, voltage drops, rupture of the neutral conductor, rupture of the phase conductor, overvoltages). (J.S.)

2000-04-01

212

Neutron irradiation effects in austenitic alloys

This paper is to report a case of multi-ruptured complex pseudoaneurysm confirmed by three-dimensional DSA. Under three-dimensional DSA guidance, the thrombin was injected into lumens in the attempt to cure the pseudoaneurysm. As the result was unsatisfactory, fibrin sealant was used to inject into the lumens again, and good curative effect was obtained. In clinical interventional practice, the incidence of pseudoaneurysm has been steadily increasing and the lesions have become more and more complex. In this paper the authors have discussed the diagnostic and therapeutic methods of complex pseudoaneurysm in order to provide clinical physicians with useful information. (authors)

2009-03-01

213

Fatigue and creep cracking of nickel alloys for 700 C steam turbines

The post (neutron) -irradiation high-temperature tensile and creep-rupture properties, deformation and fracture characteristics of austenitic alloys, particularly solution annealed Type 316 steel, are surveyed and correlated with the damage structures developed as a function of irradiation temperature (and dose). The mechanisms proposed to explain the irradiation-induced changes in properties and behaviour are summarised. The factors responsible for the observed differences in the post-irradiation and 'in-reactor' creep-rupture properties and behaviour of an austenitic steel are discussed in terms of the helium gas and stress driven growth of small intergranular bubbles and the atom plating associated with their growth and coalescence. (author).

1980-03-01

214

Ultra-high temperature strength properties on Mod.9Cr-1Mo steel

Four materials of the types Inconel 706 (two heat treatment states), Inconel 617, and Waspaloy were tested as shaft materials for 700 to 720 C steam turbines. At an extrapolation time ratio of 10, Waspaloy was expected to have the highest creep strength (about 270 MPa at 700 C), with values of about 140 MPa at 700 C for Inconel 617. A preliminary evaluation of the 700 C creep rupture tests showed the highest creep rupture resistance for Inconel 617, followed by Waspaloy and Inconel 706.

2000-12-01

215

Somatic and genetic radiation exposure of the patient in digital subtraction angiography (DSA)

A sodium-water reaction drove from the single tube break in steam generator of FBR might overheat labor tubes rapidly under internal pressure loadings. If the temperature of tube wall becomes too high, it has to be evaluated that the stress of tube does not exceed the material strength limit to prevent the propagation of tube rupture. This study clarified the tensile and creep properties of Mod.9Cr-1Mo steel at ultra-high temperature which will be used in evaluation of the tube burst by sodium-water reaction. The strain rates for tensile test are from 10%/min to 10%/sec, and creep-rupture time is maximum 277sec. The range of test temperature is 700degC to 1300degC. The main results obtained were as follows; (1) The evaluation data on the relationship between tensile strength and strain rate and creep-rupture strength in shorter time on Mod.9Cr-1Mo steel were acquired. (2) Short-term mechanical properties of Mod.9Cr-1Mo ...

2000-03-01

216

Laparoscopic Orchiectomy and Subsequent Internal Ring Closure for Extra-abdominal Testicular Nubbin in Children

The somatic and genetic radiation exposure of patients undergoing Digital Subtraction Angiography (DSA) and traditional Film Arteriography (FA) of cranial, cervical, thoracic and abdominal vascular territories are compared. The radiation doses absorbed within the critical organs - red bone marrow, lung, thyroid gland and female breast - and in the gonads were measured using an anthropomorphic Alderson phantom. A Somatic Dose Index was calculated in order to estimate the somatic radiation risk. The somatic radiation exposure depends upon the location of the critical organs with respect to the entrance site of the x-ray beam, and can be reduced by an appropriate choice of the angiographic projection. Under this condition, the radiation exposure of the patient during DSA can be lower than during FA. For renal DSA an a.p. projection, the use of an abdominal compression device and careful caudal shielding of the field are advocated. (orig.).

1986-01-01

217

British Library Electronic Table of Contents (United Kingdom)

Objectives To present our preliminary experience with laparoscopic groin exploration and subsequent laparoscopic orchiectomy and internal ring closure for testicular nubbin in children and discuss the usefulness of our new treatment strategy. The advantages of laparoscopic orchiopexy for intra-abdominal testis are the ability to start treatment as soon as a diagnosis has been made and to permit minimally invasive surgery. These advantages can apply to laparoscopic orchiectomy for a testicular nubbin. Methods A total of 6 boys with a testicular nubbin (age range 14-76 months, mean age 27.3 months) underwent laparoscopic orchiectomy at our institution from June 2007 to June 2008. We opened the posterior parietal peritoneum by incising the peritoneum lateral to the spermatic vessel, distal to...

2009-01-01

218

Green tea consumption, abdominal obesity as related factors of lacunar infarction in Korean women

British Library Electronic Table of Contents (United Kingdom)

Objectives Our purpose was to evaluate interaction of green tea consumption and abdominal obesity as related factors for lacunar infarction in Korean women. Designs A hospital-based, incident case-control study. Settings The Prevention and Managements of Stroke in Women study. Participants Cases (n=233) of first incident lacunar infarction were enrolled and matched by age to stroke-free hospital controls (n=204). Measurements The data were collected through face-to-face interviews by well trained research assistants to assess demographic, medical, lifestyle, marital status, religions status, green tea consumptions, family history of stroke, smoking status, alcohol consumption, meat and vegetable intake frequency, and past history of hypertension. Biochemical analysis, fasting blood specime...

2011-01-01

219

Evaluation of pressor and visceromotor reflex responses to bladder distension in urethane anesthetized rats

British Library Electronic Table of Contents (United Kingdom)

Aims We tested cardiovascular and visceromotor reflex (VMR) responses to urinary bladder distension (UBD) in urethane anesthetized rats to see if it can replicate the response pattern and the inhibition of bladder nociceptive transmission by analgesics seen in isoflurane anesthetized animals. Methods Female Sprague-Dawley rats under 3% isoflurane anesthesia were acutely instrumented with jugular venous, carotid arterial, and bladder cannulas for drug administration, blood pressure (BP) measurement, and bladder distension, respectively. Needle electrodes were placed directly into the abdominal musculature to measure myoelectrical activity subsequent to phasic UBD (30 sec in 3 min intervals). A cardiovascular response (pressor) and a VMR response (a contraction of abdominal and hind limb mus...

2009-01-01

220

Clinical evaluations of intra-arterial subtraction angiography using Fuji computed radiography

Oral intake of purple passion fruit peel extract reduces pain and stiffness and improves physical function in adult patients with knee osteoarthritis

Intra-arterial subtraction angiography(IADSA) using Fuji computed radiography(FCR) was performed on 130 patients with cervical, pelvic, peripheral and abdominal diseases. It was compared with conventional angiography(radiographs produced by combining photographic film with an intensifying screen) performed on same patients. Radiographs produced by FCR were better than conventional radiographs in cervical, pelvic and peripheral angiography. In the abdominal angiography using FCR, there was misregistration artifact in some cases, but in hepatic angiography, the new radiographs under the injection of small amount of contrast medium(about 10ml) and the short exposure duration(about 10 seconds) were excellent. It was as valuable as conventional angiography (infusion hepatic angiography) for diagnosing hepatic neoplasms. (author).

1985-01-01

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221

British Library Electronic Table of Contents (United Kingdom)

Knee osteoarthritis (OA) is a common degenerative joint disorder and a major cause of pain and disability. The hypothesis tested in this study was that the passion fruit peel extract (PFP), a flavonoid-rich dietary supplement, would reduce symptoms due to knee OA. Thirty-three OA patients were enrolled in a randomized, double-blind, placebo-controlled trial with parallel-group design. Patients received either placebo or PFP pills (150 mg, daily) in a double-blinded fashion for 2 months. The OA clinical symptoms were evaluated monthly with Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. In the PFP group, there was a significant improvement in total WOMAC score and WOMAC subscale score of physical function after 30 days and pain after 60 days. At 60 days, reductions o...

2010-01-01

222

Inflammatory spine disease as a cause of back pain

Manufacture and properties of molybdenum-rhenium alloys

The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-#alpha# antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-#alpha# antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI ...

2006-06-01

223

Vertebroplasty and Kyphoplasty Can Restore Normal Spine Mechanics following Osteoporotic Vertebral Fracture

It is necessary to measure strength and creep behavior to guarantee the safe and reliable usage of refractory alloys at extremely high temperatures. In the literature there is very little information available about the properties of Mo-Re alloys at temperatures higher than 1000 C. A special test facility has been designed and built for stress-rupture testing at very high temperatures (up to 3000 C) of refractory metals and alloys in inert atmospheres. - The stress-rupture strength as well as the creep behavior of molybdenum-rhenium alloys with rhenium contents between 41 and 51 wt.% have been determined at temperatures ranging from 1200 to 2000 C, and rupture times of up to 10 hours using this facility. Previous measurements of stress-rupture strength and creep behavior of pure rhenium have been compared with the measurement results of Mo-Re alloys. - The discussion of the values measured is based on ...

2001-07-01

224

Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures

Osteoporotic vertebral fractures often lead to pain and disability. They can be successfully treated, and possibly prevented, by injecting cement into the vertebral body, a procedure known as vertebroplasty....Full Text Available

225

Treatment of Frozen Shoulder Using Distension Arthrography (Hydrodilatation)

Femur fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular...Full Text Available

2010-09-01

226

Therapeutic potential of RNA interference in pain medicine

Frozen shoulder (adhesive capsulitis) is a common, painful and disabling condition which is typically slow to resolve. Patients with this condition will be seen in every musculoskeletal practitioner’s...Full Text Available

2004-07-01

227

The use of etoricoxib to treat an idiopathic stabbing headache: a case report

In recent years RNA interference (RNAi) has rapidly become the most widely used tool for gene knockdown due to its high specificity and potency. RNAi is an evolutionarily conserved mechanism...Full Text Available

2009-01-01

228

The role of cryoanalgesia for chronic thoracic pain: results of a long-term follow up.

According to the International Headache Society, idiopathic stabbing headache (ISH), an indomethacin-responsive headache syndrome, is a paroxysmal disorder of short duration manifested as head pain...Full Text Available

229

Tarlov cyst: Case report and review of literature

Cryoanalgesia (the use of cold to provide anesthesia or analgesia) is the oldest anesthetic and analgesic still in current clinical use. Its intraoperative use in providing postoperative analgesia for...Full Text Available

2002-08-01

230

THE ROLE OF SALIVA IN TICK FEEDING

We describe a case of sacral perineural cyst presenting with complaints of low back pain with neurological claudication. The patient was treated by laminectomy and excision of the cyst. Tarlov cysts...Full Text Available

2007-10-01

231

Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections

When attempting to feed on their hosts, ticks face the problem of host hemostasis (the vertebrate mechanisms that prevent blood loss), inflammation (that can produce itching or pain and thus...Full Text Available

232

Safety and efficacy of botox injection in alleviating post-operative pain and improving quality of life in lower extremity limb lengthening and deformity correction

BackgroundAdhesive capsulitis is a common, painful, and disabling condition that has been managed with corticosteroid injections for over 50 years. There is debate over the use of...Full Text Available

2007-08-01

233

Radionuclide imaging of the acutely painful scrotum

BackgroundDistraction osteogenesis is the standard treatment for the management of lower limb length discrepancy of more than 3 cm and bone loss secondary to congenital anomalies,...Full Text Available

234

This paper discusses the clinical application and main objective of testicular imaging. The authors present cases that represent a spectrum of the abnormalities which might be detected by testicular imaging, with special attention given to testicular torsion and the acute diseases which may mimic it clinically. Accuracy of the test is noted.

235

Prostheses

Preparation and In Vivo Evaluation of Indomethacin Loaded True Nanoemulsions

... Previous Topic Pain Next Topic Scars and wounds Prostheses Prostheses (pross-THEE-sees) are man-made substitutes ... covered by medical insurance (this includes wigs). Breast prostheses: Contact your local chapter of the American Cancer ...

236

Osteoid osteoma near the intervertebral foramen may induce radiculopathy through tumorous inflammation

Indomethacin, a potent nonsteroidal anti-inflammatory drug, has been used in the treatment of various kinds of pains, inflammation and arthritis. However, oral administration of indomethacin produces...Full Text Available

2010-03-30

237

Novel Analogs and Stereoisomers of the Marine Toxin Neodysiherbaine with Specificity for Kainate Receptors

Osteoid osteoma of the spine is a relatively rare bone-forming tumor. Pain that is worse at night and relieved by aspirin and muscle contracture are the most characteristic symptoms of spinal osteoid...Full Text Available

238

Nonsteroidal Anti-Inflammatory Drugs for Wounds: Pain Relief or Excessive Scar Formation?

Antagonists for kainate receptors (KARs), a family of glutamate-gated ion channels, are efficacious in a number of animal models of neuropathologies, including epilepsy, migraine pain, and anxiety....Full Text Available

2008-02-01

239

Nonbacterial thrombotic endocarditis associated with cancer of unknown origin complicated with thrombus in the left auricular appendage: case report

The inflammatory process has direct effects on normal and abnormal wound healing. Hypertrophic scar formation is an aberrant form of wound healing and is an indication of an exaggerated function of...Full Text Available

2010-01-01

240

MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement

A 63-year-old man was admitted to our hospital with a complaint of right lateroabdominal pain. He was diagnosed with metastatic colon cancer, and then developed multiple brain embolic infarctions 7...Full Text Available

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241

MRI Findings of Pericardial Fat Necrosis: Case Report

Posterior spinal ligament pathology is becoming increasingly recognized as a significant cause of low back pain. Despite the growing clinical importance of interspinous ligament degeneration in low...Full Text Available

2010-10-01

242

Labeled lines meet and talk: population coding of somatic sensations

Pericardial fat necrosis is an infrequent cause of acute chest pain and this can mimic acute myocardial infarction and acute pericarditis. We describe here a patient with the magnetic resonance imaging...Full Text Available

2011-05-01

243

Intravenous immunoglobulin in the treatment of primary trigeminal neuralgia refractory to carbamazepine: a study protocol[ISRCTN33042138

The somatic sensory system responds to stimuli of distinct modalities, including touch, pain, itch, and temperature sensitivity. In the past century, great progress has been made in understanding the...Full Text Available

2010-11-01

244

Initial Development and Characterization of PLGA Nanospheres Containing Ropivacaine

BackgroundWe have recently reported successful treatment of patients with chronic pain syndromes using human pooled intravenous immunoglobulin (IVIG) in a prospective, open-label...Full Text Available

245

Indications, technique and results of caudal epidural injection for lumbar disc retropulsion.

Local anesthetics are able to induce pain relief by binding to the sodium channels of excitable membranes, blocking the influx of sodium ions and the propagation of the nervous impulse. Ropivacaine...Full Text Available

2007-12-01

246

Imported sparganosis in Canada

The indications, contra-indications and technique of caudal epidural injections in the treatment of low back pain and sciatica are described. Of 201 patients treated by epidural injection, about 56%...Full Text Available

1977-01-01

247

Gender differences in the incidence and prevalence of patellofemoral pain syndrome.

The first case of human sparganosis in Canada is reported in a 23-year-old woman who emigrated from Greece in 1969. Examination of a ribbon-like worm removed from a painful swelling in the neighbourhood...Full Text Available

1973-03-03

248

Fluorescence amplified fragment length polymorphism for subtyping of genotypes of Acanthamoeba isolated from patients with keratitis

The purpose of this investigation was to determine the association between gender and the prevalence and incidence of patellofemoral pain syndrome (PFPS). One thousand five hundred and twenty-five participants from the United States Naval Academy (USNA) were followed for up to 2.5 years for the development of PFPS. Physicians and certified athletic trainers documented the cases of PFPS. PFPS was defined as retropatellar pain during at least two of the following activities: ascending/descending stairs, hopping/jogging, prolonged sitting, kneeling, and squatting, negative findings on examination of knee ligament, menisci, bursa, and synovial plica, and pain on palpation of either the patellar facets or femoral condyles. Poisson and logistic regressions were performed to determine the association between gender and the incidence and prevalence of PFPS, respectively. The incidence rate for PFPS was 22/1000 person-years. Females ...

2010-10-01

249

Expression of leukotriene receptors in the rat dorsal root ganglion and the effects on pain behaviors

Background & objectives:Acanthamoeba keratitis (AK) is a painful and vision-threatening ocular infection. The differentiation of Acanthamoeba...Full Text Available

2011-01-01

250

Ewing's sarcoma presenting as a solitary cyst

BackgroundLeukotrienes (LTs) belong to the large family of lipid mediators implicated in various inflammatory conditions such as asthma and rheumatoid arthritis. Four distinct types...Full Text Available

251

Evaluation of the Hip: History and Physical Examination

This case describes a 10-year-old girl who developed a Ewing's sarcoma in her proximal fibula. The radiologic features mimicked those of a unicameral bone cyst. The presence of pain and the atypical location led to a prompt biopsy and the correct diagnosis. The mechanism of this unusual radiographic presentation is discussed. (orig.)

2006-07-01

252

Endoscopic Discectomy for the Cauda Equina Syndrome During Third Trimester of Pregnancy

Examination of a painful hip is fairly concise and reliable at detecting the presence of a hip joint problem. Hip joint disorders often go undetected, leading to the development of secondary disorders....Full Text Available

2007-11-01

253

Efficacy and cost-effectiveness of a physiotherapy program for chronic rotator cuff pathology: A protocol for a randomised, double-blind, placebo-controlled trial

Low back pain is common during pregnancy. However, the prevalence of symtomatic lumbar disc herniation is rare, and cauda equina syndrome due to disc herniation during pregnancy is even rarer. We report...Full Text Available

2007-11-01

254

Effectiveness of Manual Physical Therapy for Painful Shoulder Conditions: A Systematic Review

BackgroundChronic rotator cuff pathology (CRCP) is a common shoulder condition causing pain and disability. Physiotherapy is often the first line of management for CRCP yet there...Full Text Available

255

Dobutamine stress test and beta-agonist - a potential concern for nuclear cardiology testing: a case report

Multiple disease-specific systematic reviews on the effectiveness of physical therapy intervention for shoulder dysfunction have been inconclusive. To date, there have been two systematic reviews that...Full Text Available

2009-01-01

256

Cytological diagnosis of a rare case of solid pseudopapillary neoplasm of the pancreas

IntroductionChest pain with ST-segment elevation is a rare clinical problem during dobutamine stress testing. Although beta-agonists treatment prior to dobutamine stress testing...Full Text Available

257

Convective burn from use of hairdryer for heel warming prior to the heel prick test - a case report

A 23-year-old woman presented to our hospital with nonspecific pain in the abdomen. She underwent radiological investigations, which revealed a solid and cystic mass in the tail end of the pancreas....Full Text Available

2010-01-01

258

Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.

BackgroundBlood sampling through heel lancing is the most common invasive painful procedure performed on newborn infants.Case PresentationWe report...Full Text Available

259

Cognitive Expertise, Emotional Development and Reflective Capacity: Clinical Skills for Improved Pain Care

Seventy seven patients with soft tissue shoulder lesions including adhesive capsulitis and disorders of the rotator cuff and acromioclavicular joint were admitted to a trial comparing two different...Full Text Available

1983-11-05

260

Isolated dextrogastria: report of two cases

The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available

2008-11-01

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261

Infrarenal abdominal aortic aneurysm. Endovascular repair with stent grafts; Infrarenales Bauchaortenaneurysma. Endovaskulaere Stent-Graft-Therapie

Isolated situs inversus of the stomach with otherwise normal position of the thoracic and abdominal viscera is an extremely rare anomaly occurring in two distinct forms. Because of its close relationship to the liver, the right-sided stomach may produce interesting and confusing changes in the liver scan. Two cases illustrate the radiologic features of the two principal types of isolated congenital dextrogastria and the effect of one type on the liver scan.

262

Diagnostic imaging of the acutely injured patient

As an alternative to surgery, endovascular therapy with stent grafts has become the second main treatment option for infrarenal abdominal aortic aneurysms. Unlike surgery, endovascular treatment with stent grafts is also applicable in patients unfit for open repair. Despite current improvements in endovascular repair devices, significant anatomic barriers still exclude this technique for a large number of patients. Computed tomography, magnetic resonance imaging, and ultrasound are essential for diagnostics, preintervention planning, and postintervention follow-up of abdominal aneurysms treated with stent grafts. This review covers etiology, pathology, and diagnostic aspects. Materials and methods for endovascular treatment of abdominal aortic aneurysms are presented in detail, and clinical results and complications are discussed. (orig.) [German] Die endovaskulaere Therapie des infrarenalen Bauchaortenaneurysmas hat sich ...

2008-09-15

263

CT manifestations of ileal dysgenesis

This book provides an analysis of pathophysiologic concepts of trauma and reviews the effectiveness of the available imaging modalities in acute trauma of various organ system. Topics covered are chest injuries; abdominal trauma; fractures of long bones; the foot and ankle; the knee; hand and wrist; the elbow; the shoulder; the pelvis hips; the spine; the skull and facial trauma and the clinical assessment of multiple injuries patients. Comparative evaluation of diagnostic techniques of radiography is discussed. Normal anatomy and bone fractures along with soft-tissue injuries are described.

1985-01-01

264

The value of computed tomography in the diagnosis of grating scapula

Ileal dysgenesis is an uncommon condition of unknown etiology occurring in the distal ileum in the region of the vitelline duct. The CT appearance of this lesion, although not previously described to our knowledge, is characteristic. We report a patient with ileal dysgenesis who had an abdominal CT scan to evaluate chronic iron deficiency anemia and protein-losing enteropathy. Recognition of this lesion by pediatric radiologists is important; so that surgical treatment, which is simple and effective, can be initiated quickly. (orig.)

2007-02-15

265

Foraminal stenosis complicating retained broken epidural needle tip -A case report-.

Snapping or grating scapula is a condition of the shoulder girdle in which the patient complains of pain and an audible snapping sound which may be associated with pain. We evaluated the diagnostic value of the computed tomography (CT) scans using the clinical diagnosis of a grating scapula as the gold standard. This retrospective study reports the sensitivity, specificity, likelihood ratio and receiver operator characteristic curve for the CT scans and the k value as a measure of the interobserver agreement. None of the parameters validated the examination. We therefore concluded that CT scans are inappropriate for differentiation between a grating scapula and a normally functioning shoulder except in cases where bony abnormalities are present. (orig.)

1994-07-01

266

Weldability of high strength Ni-based alloy USC141 as boiler tube for 700 C USC plant

Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given the increased number of epidural nerve blocks being performed, some have reported unexplained complications of a transient or permanent nature and with varying degrees of severity. However, no case has been reported of a broken epidural needle tip retained in the lumbar facet joint area. This represents the first reported case presentation of foraminal stenosis developing in a patient after a retained epidural needle tip. PMID:21286465

2010-12-31

267

Study on potential threats against the leak tightness of the reactor containments due to pipe whips from hypothetical pipe ruptures in the steam- and feedwater systems; Utredning angaaende potentiella hot mot inneslutningars taethet paa grund av roerslag fraan taenkta roerbrott i aang- och matarvattenledningar

Recently the increase of steam temperature and pressure of power plant is required to enhance the thermal efficiency and reduce the CO{sub 2} emission. For the application to advanced USC (Ultra Super Critical) boiler with steam temperature around 700 C, the application of Ni-based alloy such as Alloy617 will be necessary. A new Ni-based alloy USC141 (20Cr-10Mo-2Ti-Al-bal.Ni) with excellent creep rupture strength and low thermal expansion has been developed by Hitachi Ltd. and Hitachi Metals Ltd. as the candidate material for 700 C USC turbine components. In present work, to investigate the possibility for boiler tube application of USC141, its weldability and high temperature strength properties were experimentally examined. The tested material as solution-treated condition shows higher creep rupture strength than that of Alloy617. GTAW (Gas Tungsten Arc Welding) trials of tubular specimen using NIMONIC263 filler wire were conducted ...

2007-07-01

268

Results of reliability test program on light water reactor piping

Possible threats against the leak tightness of the reactor containments, due to pipe whips from hypothetical pipe ruptures in the steam- and feedwater systems, have been investigated for Forsmark 3/Oskarshamn 3, Ringhals 1, Oskarshamn 1 and Barsebaeck 2/Oskarshamn 2. Based on available drawings, such as installation drawings and isometric views of pipes, the pipe systems have been put together in new drawings with their bracing supports and containment walls. This inventory shows that pipe whips can occur on a number of places on the containments walls after hypothetical pipe ruptures in the steam- and main feedwater systems. In order to find out whether these pipe whips are real threats against the leak tightness, further analysis needs to be made but are out of the scope of this investigation.

2001-03-01

269

Parametric study of pipe whip analysis

The Japan Atomic Energy Research Institute has conducted a piping reliability test program to demonstrate the safety and reliability of light water reactor primary piping. In this program, pipe fatigue test, leak-before-break (LBB) verification test and pipe rupture test were carried out to examine the integrity of piping, to verify the LBB and to demonstrate the effectiveness of protective measures against jet impingement and pipe whip loads under a pipe rupture event.In the pipe fatigue test, a procedure to predict the fatigue crack growth was developed, and the integrity of piping during the plant service life was evaluated. In the LBB verification test, the pipe fracture test and the leak rate test were performed to verify the LBB in the primary piping.In the pipe rupture test, the influence of jet impingement on the target disk and the deformation behavior of whipping pipe and restraint were investigated. Using the ...

1994-12-01

270

Overview of reliability test program on primary coolant piping of light water reactors

In the Energy Balance Analysis Model (Standard Review Plan (USNRC, 1981), Section 3.6.2, ''Determination of Rupture Locations and Dynamic Effects Associated with the Postulated Rupture of Piping''), time dependence is not considered, and a constant blowdown thrust force is assumed. This force includes an amplification factor of 1.1 to account for potential effects of rebound. Many of the assumptions used in establishing the acceptance criteria, as stated in the Standard Review Plan, were based on engineering judgment and logic intended to assure upper bound design rather than on a mechanistic assessment of actual pipe rupture phenomena and their effects. As a result of the current practice an exceedingly conservative design may be introduced. This report represents a parametric study of the amplification factor to account for rebound effects in the Energy Balance Method. Of the 71 ...

1987-10-01

271

High-temperature strength property evaluation of heat affected zone in boiler weldment parts of 2.25Cr-1Mo steel; 2.25Cr-1Mo ko boiler yosetsu netsu eikyobu no koon kyodo tokusei hyoka

Upon request by the Science and Technology Agency of Japanese Government, the Japan Atomic Energy Research Institute has conducted Piping Reliability Test Program to demonstrate the safety and reliability of light water reactor primary pipings. In this report, the results of the program are summarized. In the test program, pipe fatigue tests, Leak-Before-Break (LBB) verification tests and pipe rupture tests were carried out to examine the integrity of pipings, to verify the LBB concept and to demonstrate the effectiveness of the protective measures against jet impingement and pipe whip under pipe rupture event, respectively. In the pipe fatigue tests, a procedure to predict the fatigue crack growth was developed and the integrity of piping during plant service life was demonstrated. In the LBB verification tests, pipe fracture tests and leak rate tests were performed using cracked pipes. Based on the test results, LBB in the primary pipings was ...

1993-10-01

272

Evaluation on materials performance of Hastelloy Alloy XR for the High Temperature Engineering Test reactor components. Weldability and high temperature strength properties

In view of the situation that aging of boiler components proceeds and some `Type IV` cracking incidents are reported recently, the development of an accurate remaining life evaluation method for boiler weldment parts is an important subject for the utilities. In this study, simulated materials with coarse and fine grain microstructures in a weldment heat affected zone were produced, and their high temperature strength properties were evaluated. The strength property of the weld joint was also discussed based on the experimental and analytical results. It was found that the creep rupture strength of the fine grain material was as low as 1/2 of the base metal and as 1/5 of the coarse grain material, and the weld joint ruptured at the fine grain region in a shorter period than the base metal as the applied stress level decreased. Many grainboundary creep cavities were also observed in the fine grain region. A creep deformation analysis by FEM ...

1998-03-15

273

Assessment of value-impact associated with the elimination of postulated pipe ruptures from the design basis for nuclear power plants

Weldability and high temperature strength properties of Hastelloy Alloy XR were investigated in order to evaluate the materials performance of base metal and filler metal for the High Temperature Engineering Test Reactor (HTTR) uses. The weldability was examined by means of the chemical analysis in the deposited metals, optical microscopy, FISCO test, hardness measurements and bend test. The high temperature strength properties were investigated through tensile tests at R.T., 800, 900 and 950degC in air, and creep and creep rupture tests at 900 and 950degC in air. The results obtained by each test showed favorable performance. In particular, the bend test which is considered to be critical pass demonstrated low susceptibility to weld cracking through the optimization of B and C contents in the filler metal and by narrowing the groove. Creep rupture strength was nearly equal or higher than those of Hastelloy Alloy XR master curve and was much ...

1996-07-01

274

Study on probability of failure for RPV nozzle region under severe accident conditions

The US Nuclear Regulatory Commission is proposing to amend the regulations that currently require that the design basis for nuclear power plants include the postulation of dynamic effects from loss of coolant accidents up to and including the double-ended rupture of the largest pipe in the reactor coolant system. Proposed modifications would allow analyses to serve as a sufficient basis for excluding dynamic effects, including but not necessarily limited to pipe whip and jet impingement, associated with specific pipe ruptures. Only dynamic effects would be impacted; current design requirements for containment sizing and discharge capacity of emergency core cooling systems would remain unchanged. This report presents a detailed analysis of value-impact associated with the proposed amendment for PWR reactor coolant loop piping and for BWR recirculation loop piping. The effect of extending application of the proposed rule change to other piping ...

1985-03-29

275

Experimental and analytical studies of pipe whip tests under PWR LOCA conditions

Most of previous study for creep rupture of RPV lower head under severe accident condition, have been focused on global failure of RPV lower head. In contract, the local failure of the RPV nozzle region has not been studied in detail. The existence and features of nozzle failure in LAVA-ICI specimen of KAERI and LHF-4 specimen of Sandia National Lab., are observed. It is confirmed that the nozzle failure of LHF-4 specimen is due to the hoop stress in the RPV. The tensile tests in various temperatures and the creep rupture tests in various temperatures and stresses, are accomplished. The finite element analysis for LAVA-ICI experiment was confirmed, and the stress and deformation analysis results are used in LAVA-ICI experiment. 17 refs., 34 figs., 3 tabs. (Author)

2001-04-01

276

Analysis of installation damage tests for LRFD calibration of reinforced soil structures

A series of pipe rupture tests has been performed at JAERI to demonstrate the safety of primary coolant circuits in the event of pipe rupture in nuclear power plants. Pipe whip tests and jet discharge tests have been conducted under BWR and PWR loss-of-coolant accident (LOCA) conditions. The present paper describes the experimental and analytical results of the pipe whip tests performed under PWR LOCA conditions using 4, 6 and 8-inch test pipes. The tests were carried out at an initial pressure and temperature of 15.7 MPa and 325/sup 0/C, respectively. Moreover, a dynamic analysis of pipe whip tests was carried out using the general purpose finite element programm ADINA.

1987-09-01

277

British Library Electronic Table of Contents (United Kingdom)

North American design codes are now committed to the development of load and resistance factor design (LRFD) for reinforced soil structures including internal stability limit states. Reliability-based analysis is required to carry out these calibrations. A framework for LRFD calibration has been proposed by the writers that requires bias statistics for load and resistance terms for each limit state function. In this paper the formulation of the limit state for reinforcement tensile rupture is developed and the component strength-reduction bias statistics identified. The paper describes how to compute bias statistics from project-specific installation damage trials for use in reliability-based design for the reinforcement rupture limit state or using data from multiple sources for LRFD cali...

2011-01-01

278

Use of endobronchial one-way valves reveals questions on etiology of spontaneous pneumothorax: report of three cases

The crescent and the periluminal halo: Two Computed Tomography signs of aortic aneurysm impending rupture?; La semiluna e l`alone periluminale: Due segni con Tomografia Computerizzata di aneurisma aortico a rischio di rottura?

Spontaneous pneumothoraces are believed to arise when air from the supplying airway exit via a ruptured visceral pleural bleb into the pleural cavity. Endobronchial one-way valves (EBVs) allow air exit...Full Text Available

279

Structural material irradiations in FFTF

Purpose: To assess the prevalence, significance and practical value of two recently described CT signs of instable aneurysm: the crescent sign and the periluminal halo (a low-attenuating internal layer of the thrombus around the patent lumen). Material and methods: Among the CT examination performed in the last 5 years, they retrospectively selected the nonruptured aneurysms with a diameter exceeding 4 cm (no. = 93 average diameter 5.1 cm, unenhanced images in 28 cases and enhanced in 84) and the ruptured aneurysms (no. = 16, average diameter 6.7 cm, unenhanced images in 9 cases and enhanced in 9). They studied the prevalence of the crescent and halo sing, their relationship with the aneurysm diameter, and the effect of contrast enhancement. Results: The crescent sign was identified with a statistically significant prevalence in ruptured ( 37.5 % or cases) over asymptomatic aneurysms (5.5 %); the halo had the same frequency in the 2 groups ...

1997-04-01

280

Structural integrity evaluation of FTL in-pool piping

Information is presented concerning the Materials Open Test Assembly (MOTA); instrumentation and control system; MOTA neutronic data; pressurized tube specimens; stress-rupture measurements for reactor materials; miniature specimen design; the Interim Examination and Maintenance (IEM) cell at the FFTF; support services; and general information concerning the FFTF.

1985-01-01

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281

Roentgenologic appearance of a thorotrast-induced small cholangiocarcinoma in a case of thorotrastosis

HANARO fuel test loop will be equipped in HANARO to obtain the development betterment of advanced fuel and materials through the irradiation test. The object of this study is to evaluate the structural integrity of FTL in-pool piping by investigating a dynamic analysis of the loop containing a postulated rupture section. The method to perform the dynamic analysis and structural integrity evaluation caused by the pipe whip in water environment can be a reference for a similar structural integrity evaluation. (author). 7 refs., 39 tabs., 34 figs.

1998-05-01

282

Quaternary faults near the proposed Eagle Flat low-level radioactive waste repository, Trans-Pecos Texas

A small cholangiocarcinoma was detected at autopsy in a patient with thorotrastosis who died from the rupture of esophageal varices at the esophagogastric junction. Prior to the advent of recent diagnostic imaging technique, a correct antemortem diagnosis could only be obtained from tumor markers. However, the tendency for the opacity of the liver to decrease slowly with time and develop uneven trabeculation suggests that small tumors may be difficult to detect against such a non-homogeneous background. (author).

283

Pressure surge analyses for conventional and nuclear power plants. Druckstossanalysen fuer konventionelle und nukleare Kraftwerke

The Eagle Flat basin, an intermontane basin in Trans-Pecos Texas, is being considered as a possible site for the Texas repository of low-level radioactive wastes. Intermontane basins and associated normal faults formed in response to Basin and Range tectonism that began about 24 Ma ago. The most active late Tertiary and Quaternary faults occur within the Hueco Bolson (HB) and the Salt Basin/Salt Flat/Lobo Valley, west and east, respectively, of the proposed repository. Several faults of the southeast HB which are within 50 km of the site, displace middle Pleistocene deposits 10 to 24 m. The most recent surface rupture in the southeast HB probably occurred on the Amargosa fault during the Holocene. Upper Pleistocene deposits are offset 2.5 to 4.5 m, and middle Pleistocene deposits are displaced 24 m. Fault scarps within 50 km east of the proposed repository are associated with faults bounding the Salt Basin/Salt Flat/Lobo Valley. In the southern Salt Basin and ...

1992-01-01

284

Nonformity of the electron density in amorphous silicon films

There is need of pressure surge analyses when valves or pumps are activated or piping systems fail (pipe rupture). Based on actual problems the influences of boundary conditions upon fluid simulation results are discussed. Hints concerning realistic dynamic analyses of piping systems are presented. Some of the simulations results are compared with measurements. (orig.)

1993-09-01

285

Microfluidic systems and methods for transport and lysis of cells and analysis of cell lysate

The authors study the nonuniformity of a-Si:H films obtained by the method of vacuum condensation, with the help of x-ray small-angle scattering (SLS) and transmission electron microscopy. Films of hydrogenated amorphous silicon are greatest interest, because the electronic properties of this material can be controlled by doping. As a result of the compensation of the ruptured bonds, and possibly, effects of melting, the properties of such films are analogous to those of singlecrystalline silicon. XLS enables a quantitative determination of the prameters of the regions of low electron density (RLD) in such objects.

1985-12-01

286

Investigation into superplasticity of Be alloys

Microfluidic systems and methods are disclosed which are adapted to transport and lyse cellular components of a test sample for analysis. The disclosed microfluidic systems and methods, which employ an electric field to rupture the cell membrane, cause unusually rapid lysis, thereby minimizing continued cellular activity and resulting in greater accuracy of analysis of cell processes.

2008-09-02

287

Experiments in High-Frequency Imaging of the 2004 M6.0 Parkfield Earthquake

Investigated are the characteristics of high-temperature plastic deformation the velocity sensitivity of flow stresses, deformation curves, flow stresses, deformation before rupture - as well as the structure of beryllium alloys containing nickel (0.5-4 %), yttrium (0.5-2 %) and aluminium (38 %). The alloys containing nickel (2%) and yttrium (0.5 %) are superplastic, however, deformation before fracture of the alloys is lower than that of the unalloyed beryllium. The singularities of high-temperature plastic flow of the alloys and the causes of deterioration of their plasticity are determined.

288

Angiography in the diagnosis and treatment of trauma

We attempt to image the rupture propagation of the 2004 M6.0 Parkfield earthquake by analyzing records from the USGS Parkfield seismic array (UPSAR) and other strong-motion stations. The UPSAR array consists of 12 stations distributed over about one square kilometer at a distance of 10~km from the San Andreas fault near Parkfield, California. We employ a method that uses reverse time migration to stack the seismograms at back-projected locations along the fault. We use waveform cross-correlation to align the initial P-wave arrivals and correct for small static time shifts in the records. This forces a coherent image at the hypocenter at the quake origin time. Initial results at later time steps show some evidence of the expected rupture propagation to the north. However, the resolution of the back-projection is limited by the small aperture of the UPSAR array. Records from other strong-motion stations can improve the theoretical resolution ...

2006-12-01

289

A study on the regulatory approach of KNGR multiple failure events

Angiography plays a vital role in the investigation of the patient suffering from multiple trauma. The commonest injuries have been rupture of the thoracic aorta, renal lacerations, arterial bleeding associated with fractures and soft-tissue injuries to the pelvis, and occlusions of the arteries supplying the limbs. Transcatheter arterial embolization may be the definitive therapeutic procedure in pelvic bleeding.

1983-09-01

290

A High-Frequency Secondary Event During the 2004 M6.0 Parkfield Earthquake

This project is to provide the regulatory direction of containment bypass during multiple steam generator tube failure issue for the Korean Next Generation Reactors, which is a part of major technical issues resulted from the safety regulation R and D on the KNGR. The outstanding results are as follows : the Multiple Steam Generator Tube Repture(MSGTR) event has never been occurred in the history of commercial nuclear reactor operation but single Steam Generator Tube Rupture(SGTR) event is reported to occur every two years. A probabilistic safety analysis study on MSGTR event, however, show its probability of occurrence is to be the same order as the design basis accidents such as LACA. In this regard, the ability of NPPs to cope with MSGTR event is required. Some requirements on initial and boundary conditions are suggested to be used in the analyses of NPPs during MSGTR events. The items that should be considered in establishing regulatory requirements are ...

2001-01-15

291

Detection of high-frequency radiation sources during the 2004 Parkfield earthquake by a matched filter analysis

We present an image of the rupture propagation of the 2004 M6.0 Parkfield earthquake using records from a dense network of local strong motion stations. We back-propagate high-frequency waveforms in 3D with a method, similar to reverse time migration, to obtain an estimate of the distribution of radiated high-frequency seismic energy in space and time. The image is forced to be coherent at the known hypocenter location and the quake origin time by applying small static time shifts obtained using waveform cross-correlation. We observe that the Parkfield earthquake radiated a distinct secondary high-frequency phase, which is located about 12.5~km northwest of the hypocenter with an onset of seismic radiation about 5~s after the rupture initiation. The time history of the back-projection suggests a rupture velocity of 2.5~km/s between hypocenter and subevent. The back-projection result is confirmed by inversion of picked ...

2007-12-01

292

Combined peritoneography and computerized tomography for evaluating abdominal complications in patients undergoing continuous peritoneal dialysis

Introduction Uchide and Ide [SSA Spring Meeting, 2009] proposed a new framework for studying the scaling and overall nature of earthquake rupture growth in terms of cumulative moment functions. For better understanding of rupture growth processes, spatiotemporally local processes are also important. The nature of high-frequency (HF) radiation has been investigated for some time, but its role in the earthquake rupture process is still unclear. A wavelet analysis reveals that the HF radiation (e.g., 4 - 32 Hz) of the 2004 Parkfield earthquake is peaky, which implies that the sources of the HF radiation are isolated in space and time. We experiment with applying a matched filter analysis using small template events occurring near the target event rupture area to test whether it can reveal the HF radiation sources for a regular large earthquake. Method We design a matched filter for multiple components and ...

2009-12-01

293

Abdominal masses in the pediatric age. Characterization by CT guided fine needle aspiration biopsy; Masse addominali nell'eta' pediatrica. Caratterizzazione mediante biopsia computerizzata con ago sottile guidata con Tomografia Computerizzata

Continuous ambulatory peritoneal dialysis (CAPD) is a generally well-tolerated treatment. However, some patients exhibit such complications as to prevent the continuation of treatment. Peritonitis is the major problem, but the continuation of treatment may also be undermined by different complications, such as peritoneal leakage, hernia, catheter malfunctioning, and scrotal-penile edema; a careful investigation of the patient is always needed in such cases. From November 1985 to February 1990, we examined 20 patients, who had presented with different types of complications in the course of dialysis. Peritoneography demonstrated 3 cases of abdominal hernias, 2 cases of patency of the peritoneal-vaginal duct, and 2 cases of catheter obstruction. Peritoneal CT allowed the identification of leakage in 3 patients, while the combined use of the two techniques showed adhesions or pathologic peritoneal recesses in 7 cases. In 3 patients normal patterns were observed. ...

1985-11-01

294

A computer-assisted method for 3D subtraction angiography based on spiral CT

CT-guided fine needle aspiration biopsy (FNAB) is known to improve diagnosis of expansive abdominal lesions, especially relative to more invasive procedure like explorative laparotomy. FNAB in not commonly use in pediatric patients because of their poor collaboration and of associated risks. The authors investigated the feasibility of FNAB in the pediatric age. [Italian] Sono noti i vantaggi che la biopsia percutanea con ago sottile guidato con TC puo' apportare per la diagnosi delle lesioni espansive addominali, soprattutto se confrontata con procedure piu' invasive come la laparatomia esplorativa. Questo tipo di metodica e' attalmente poco utilizzato nel caso di pazienti pediatrici a causa della scarsa collaborazione e dei rischi associati. Gli autori valutano l'applicabilita' di tale procedura nell'eta' pediatrica alla luce delle propria esperienza.

1999-04-01

295

Value of computed Tomography in re-staging patients undergoing second-look laparotomy for ovarian cancer

The objective of this study was to develop a method for 3D subtraction CT angiography and to optimize the visualization after semiautomatic segmentation. Ten patients with aneurysms of the abdominal aorta were examined using spiral CT. To reconstruct the vessels, as well as adjacent organs such as the liver and kidneys, one image data volume was acquired before and after injection of the contrast agent. The CT scans were obtained with a Siemens Somatom Plus 4. To improve the results of automatic segmentation, as well as visualization by maximum intensity projection (i.e. removal of bony structures), subtraction of both image volumes is necessary. However, small translation shifts disturb the subtraction process and produce artificial contours. To calculate the disparities along the three coordinate axes of two corresponding image volumes, a cepstrum filter is applied to a pair of image volumes. After detection of the disparities, which manifest as bright spots, the ...

296

Management of obesity in menopause: Diet, exercise, pharmacotherapy and bariatric surgery

Twenty-five patients with ovarian carcinoma who had been operated and treated with chemotherapy underwent clinical examination and CT before reintervention (second-look laparotomy) to detect the presence of eventual recurrences. The prediction of recurrence based on CT and clinical findings was compared with the surgical findings at reintervention. CT proved to be more accurate than clinical examination in detecting recurrences; this was especially true for masses in the abdominal cavity, with the exception of small peritoneal nodules. The authors suggest the use of CT for staging the patients candidate to reintervention. This might help to avoid reintervantion in patients with persistent disease and to plan treatment.

1991-01-01

297

British Library Electronic Table of Contents (United Kingdom)

Menopause is characterized by the progressive reduction of estrogens resulting to cessation of menses. It is associated with an increase of cardiovascular risk factors such as hyperglycemia, hypertension, dyslipidemia and of abdominal and/or selective visceral fat mass deposition. Obesity, a modern day epidemic, is promoted by an obesogenic environment that interacts with the genetic background. The result is a positive energy balance materialized by the accumulation of the adipose tissue. This process is marked by great individual variation. Obesity is also associated with the presence of cardiovascular risk factors. In this review, the main pathophysiologic processes for the increase of obesity in menopause and the possible effects of pre-menopausal obesity regarding the cessation of ova...

2010-01-01

298

Imaging findings of abdominal peripheral primitive neuroectodermal tumor: report of four cases with pathological correlation

British Library Electronic Table of Contents (United Kingdom)

Peripheral primitive neuroectodermal tumors (peripheral PNETs) are rare in the abdomen. We report the imaging findings of four peripheral PNETs arising in the abdomen. Three were ill-demarcated tumors and one was a well-demarcated tumor, with extensive local invasion and lymph node metastasis in two cases, respectively. The tumors are of inhomogeneous attenuation and heterogeneous enhancement after intravenous administration of contrast materials. Although their imaging manifestations cannot distinguish them from other sarcomas, recognition of these imaging features may be helpful in suggesting the possibility of peripheral PNETs in some cases.

2009-01-01

299

Gunshot wounds of abdomen detected at CT. Personal experience in 30 patients; Ferite da arma da fuoco dell'addome studiate con tomografia computerizzata: esperienza personale in 30 casi

Computed tomography in the evaluation of 41 cases of Ewing's sarcoma

The paper investigates the yield and the role of the computerized tomography in diagnosing abdominal gunshot wounds, with their rich and varied radiological signs and associated injuries, and subsequently used in the diagnosis. [Italian] Scopo del lavoro e' riportare l'esperienza personale nell'uso della tomografia computerizzata per riconoscere le lesioni da arma da fuoco dell'addome e nelle fasi successive dell'approfondimento diagnostico.

1999-09-01

300

Clinically silent heterotaxy with polysplenia syndrome and IVC azygous continuation draining to SVC: CT findings. Case report

Computed tomography (CT) has already proved extremely effective both in cerebral and abdominal pathology. Several recent publications describing first heterogeneous series [1, 2, 7, 11-17], then studies of a single type of lesion [3-6, 8] have illustrated its usefulness in the study of bone lesions. This report deals with 41 cases of Ewing's sarcoma studied by CT at the Institut Gustave Roussy from October 1977 to July 1981, and tries to show both the limitations and indications of this technique for the diagnosis, treatment, and follow-up of Ewing's sarcoma as well as in the diagnosis of any eventual recurrence. (orig.).

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301

Anesthesia Technique and Outcomes of Endovascular Aneurysm Repair

Patients with heterotaxy syndrome often have complex cardiac and extracardiac anomalies requiring further detailed diagnostic evaluation. They often present severe cardiac failure early in life. Newer radiological modalities in the form of spiral computed tomography (CT) and three-dimensional reconstruction of spiral CT allow clear definition of the anatomy of these anomalies. A 59-year-old woman was diagnosed with polysplenia and multiple anomalies in an abdominal ultrasonography (US) during a control medical examination due to a trivial dietary mistake. She was then referred to our institution for further examination of these anomalies and an additional thoraco-abdominal computed tomography (CT) examination. The patient was totally asymptomatic at the time of admission. There was no significant past history and no abnormal laboratory data. We performed abdominal, pelvic and thoracic CT examinations using Somatom Siemens ...

2007-01-01

302

British Library Electronic Table of Contents (United Kingdom)

Anesthetic techniques vary widely in the endovascular repair of abdominal aortic aneurysms (EVAR). Previous studies have demonstrated the feasibility of using local anesthesia. However, the ideal anesthetic technique has not been determined. This study examines whether anesthesic technique influences the outcomes of EVAR. Data regarding demographics, risk factors, procedural characteristics, recovery characteristics, treatment complications, acute ( 0.05, ANOVA). From these results we concluded that EVAR with local anesthesia is a safe and efficacious method that may reduce recovery times and postoperative medical morbidity compared to use of genera1 or spinal/epidural anesthesia.

2005-01-01

303

A delayed case of renal artery pseudoaneurysm presented with gross hematuria and azotemia in solitary kidney following percutaneous nephrostomy: treated by transcatheter coil embolization.

Metastatic tumor of thoracic and lumbar spine: prospective study comparing the surgery and radiotherapy vs external immobilization with radiotherapy; Metastases do segmento toracico e lombar da coluna vertebral: estudo prospectivo comparativo entre o tratamento cirurgico e radioterapico com a imobilizacao externa e radioterapia

Renal arteriovenous fistula or pseudoaneurysms developing after invasive procedures are either asymptomatic or show only transient symptoms. We describe here a case of symptomatic renal artery pseudoaneurysm that presented with gross hematuria and azotemia. The pseudoaneurysm of renal artery was diagnosed by ultrasonography and abdominal magnetic resonance imaging (MRI), and it was successfully treated by percutaneous transcatheter coil embolization. A high index of suspicion is essential for the early diagnosis and treatment of delayed gross hematuria in patients with history of percutaneous nephrostomy. PMID:17180737

2006-12-19

304

10% low density corn-oil emulsion oral contrast agent for abdominal computed tomography

Bone metastases at the thoracic and lumbar segment of the spine are usually presented with painful sensation and medullar compression. The treatment is based on the clinical and neurological conditions of the patient and the degree of tumor invasion. In the present study, 32 patients with spinal metastasis of thoracic and lumbar segment were prospectively analyzed. These patients were treated by decompression and internal stabilization followed by radiotherapy or irradiation with external immobilization. The election of the groups was in accordance with the tumor radiotherapy sensitivity, clinical conditions, spinal stability, medullar or nerve compression and patient's decision. The Frankel scale and pain visual test were applied at the moment of diagnosis and after 1 and 6 months. The surgical group had better results with preserving the ambulation longer and significant reduction of pain.(author)

2007-09-15

305

10% low density corn-oil emulsion oral contrast agent for abdominal computed tomography

CT of the gastrointestinal tract is commonly performed after administration of a high-density diluted iodinated oral contrast material. However, because if inadequate mixing of the contrast material with the gastrointestinal contents, pseudotumor and poor mucosal visualization are frequently shown on abdominal CT. To overcome these problem, 10% corn oil emulsion (COE) is tested as an alternative oral contrast agent in 40 patients. We analyse patients tolerance, gastric mucosal visualization and discrimination of pancreas from the duodenal C-loop to 10% COE in 40 patients compared with those obtained from 35 patients, who was received high-density diluted iodinated oral contrast agent (gastrografin). The results are as follows : 1. Patients' tolerance to 10% COE is similar to that to conventional oral contrast agent. 2. Image of the gastric mucosa from patients receiving 10% COE is superior to that receiving oral contrast agent. 3. The discrimination ...

1990-10-15

306

The effect of lidocaine, bupivacaine and ropivacaine in nasal packs on pain and hemorrhage after septoplasty

CT of the gastrointestinal tract is commonly performed after administration of a high-density diluted iodinated oral contrast material. However, because if inadequate mixing of the contrast material with the gastrointestinal contents, pseudotumor and poor mucosal visualization are frequently shown on abdominal CT. To overcome these problem, 10% corn oil emulsion (COE) is tested as an alternative oral contrast agent in 40 patients. We analyse patients tolerance, gastric mucosal visualization and discrimination of pancreas from the duodenal C-loop to 10% COE in 40 patients compared with those obtained from 35 patients, who was received high-density diluted iodinated oral contrast agent (gastrografin). The results are as follows : 1. Patients' tolerance to 10% COE is similar to that to conventional oral contrast agent. 2. Image of the gastric mucosa from patients receiving 10% COE is superior to that receiving oral contrast agent. 3. The discrimination between ...

1990-10-01

307

British Library Electronic Table of Contents (United Kingdom)

We aimed to investigate the effects of local anesthetics soaked in Merocel nasal packs on hemorrhage and pain after septoplasty. The methodology includes a prospective double-blind study that was conducted in patients undergoing septoplasty because of nasal septal deviation. The study included 143 patients. The patients were divided into four groups. Each group received 1% lidocaine?+?0.000625% adrenalin, 0.375% ropivacaine, 0.25% bupivacaine as study groups or 0.9% sodium chloride as a control group in their Merocel packs postoperatively. The local anesthetics or sodium chloride were reapplied at the eighth postoperative hour. Each patient was given a questionnaire where verbal analog score and amount of postoperative hemorrhage was noted. The statistical analysis was performed using two ...

2011-01-01

308

Post-operative hilotherapy in SMAS-based facelift surgery: A prospective, randomised, controlled trial

British Library Electronic Table of Contents (United Kingdom)

Background: Ecchymosis, oedema, haematoma and pain after SMAS-based facelift surgery are all the direct result of the physical trauma of surgery and subsequent inflammatory response. Hilotherapy is a novel form of cryotherapy that purports to minimise these events through single-use face masks circulating cooled, sterile water. This study was performed to assess the validity of Hilotherapy in this population of patients. Methods: Over 14 weeks fifty consecutive patients were randomised to post-operative facial cooling with Hilotherapy or management with standard dressings alone, while fifteen subsequent, consecutive patients were randomised to cooling of one side of the face but not the other. Assessment of ecchymosis, oedema, haematoma and pain was performed independently by clinical staf...

2011-01-01

309

Effects of prophylactic misoprostol administration prior to intrauterine device insertion in nulliparous women

British Library Electronic Table of Contents (United Kingdom)

Background: This study was conducted to examine the effects of prophylactic misoprostol prior to intrauterine device (IUD) placement in nulliparous women. Study Design: Nulliparous, reproductive-aged women desiring an IUD for contraception were randomized to receive 400 mcg of buccal misoprostol or placebo 90 min prior to IUD insertion. Subjects completed a series of 100-mm visual analogue scales (VAS, anchors: 0=none, 100 mm=worst imaginable) to measure their perceived pain at several times points (anticipated pain, leg positioning, speculum placement, tenaculum placement, IUD insertion, equipment removal and 5 min postinsertion). Secondary outcomes included provider ''ease of placement'' (100-mm VAS, anchors: 0=easy, 100 mm=extremely difficult), side effects and retention of the IUD afte...

2011-01-01

310

Clinical trials validate the severity of persistent Lyme disease symptoms

British Library Electronic Table of Contents (United Kingdom)

SummaryBackground Persistent Lyme Disease Symptoms (PLDS) have included fatigue, headaches, poor concentration and memory, lightheadedness, joint pain, and mood disturbances. Evidence-based guidelines committees disagree over the severity of PLDS. The 2004 International Lyme and Associated Diseases Society (ILADS) concluded that PLDS are severe. The 2006 Infectious Disease Society of America (IDSA) guidelines committee concluded that PLDS are nothing more than the "aches and pains of daily living" and an ad hoc International Lyme group concluded that PLDS are "symptoms common in persons who have never had Lyme disease." Hypothesis Clinical trials validate the severity of persistent Lyme disease symptoms. Evaluation of the Hypothesis There are 22 standardized instruments used to measure the...

2009-01-01

311

Ambulatory open Bankart repair under a single general anesthesia: A prospective study of the immediate outcome

British Library Electronic Table of Contents (United Kingdom)

The interscalenic block technique is widely used for ambulatory shoulder surgery despite a substantial number of failures and adverse effects. We prospectively evaluated satisfaction in 40 consecutive patients who underwent open Bankart repair under a single general anesthesic performed in an ambulatory care unit. The mean age of the patients was 23 years. There were 29 men and 11 women. Patients were evaluated postoperatively with a visual analog scale of pain (in the recovery room, at the time of discharge, and the day after and 1 week after surgery) via a home assessment questionnaire that included the following: effectiveness of oral pain medication, ability to perform activities of daily life, and overall satisfaction. One patient failed to be discharged because of a feeling of faintn...

2006-01-01

312

[sup 99m]Tc albumin nanocolloid scintigraphy as a method off differential diagnosis of ''painful hip'' after total hip replacement. Scyntygrafia z uzyciem nanokoloidu albuminowego znakowanego [sup 99m]Tc jako metoda diagnostyki roznicowej ''biodra bolowego'' po calkowitej endoprotezoplastyce

The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian Rules footballers: a randomized controlled trial

Short communication.

1992-01-01

313

Segmental Neuropathic Pain Does Not Develop in Male Rats with Complete Spinal Transections

BackgroundHamstring injuries are the most common injury in Australian Rules football. It was the aims to investigate whether a sports chiropractic manual therapy intervention protocol...Full Text Available

314

Radiological diagnosis of lesions of intervertebral discs

AbstractIn a previous study using male rats, a correlation was found between the development of “at-level” allodynia in T6-7 dermatomes following severe T8 spinal contusion...Full Text Available

2008-10-01

315

RMIT - Improving health and lifestyle

During their life, intervertebral discs undergo degenerative changes which need not necessarily become lesions. Conventional X-rays do not provide information on the condition of the intervertebral discs, so MRT or CT are recommended as primary techniques as they are non-invasive. Invasive methods like myelography and especially discography should not be used unless a case is highly problematic. In infants with pains in the back, MRT should be carried out as early as possible as there is nearly always an organic cause. (orig.)

2003-03-01

316

Wastenet

... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

317

Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma

Effect of duration of postherpetic neuralgia on efficacy analyses in a multicenter, randomized, controlled study of NGX-4010, an 8% capsaicin patch evaluated for the treatment of postherpetic neuralgia

An 8-year-old child presented with severe chest pain and respiratory distress after he accidentally bit an automobile tyre tube which burst into his mouth. The chest radiograph revealed left-sided pneumothorax....Full Text Available

2010-01-01

318

CT imaging of a primary malignant mixed mullerian tumor arising from the peritoneum

BackgroundPostherpetic neuralgia (PHN) is a painful and difficult to treat complication of acute herpes zoster. Current treatment options provide only partial relief and are often...Full Text Available

319

British Library Electronic Table of Contents (United Kingdom)

Primary peritoneal malignant mixed mullerian tumors are very rare. We report the case of a patient presenting with pain in the right upper quadrant of the abdomen and in whom the physical examination demonstrated a peritoneal mass. Computed tomography (CT) confirmed the presence of a mass, with invasion of adjacent organs.

2008-01-01

320

Tribo-characteristics of self-lubricating ball bearings for the LE-7 liquid hydrogen rocket-turbopump

Intergranular attack or corrosion in a once-through model steam generator: Final report

The tribo characteristics of self-lubricating 40-mm-bore ball bearings with a retainer of glass cloth-polytetrafluoroethylene (PTFE) laminate, which has elliptical pockets with a large pocket clearance, were tested under thrust loads at speeds up to 50,000 rpm, 2 million DN, in liquid hydrogen (LH2) and in liquid nitrogen (LN2). During testing, the bearing torque, outer-race temperature, and electric resistance between the inner and outer races were monitored to verify the formation and rupture of a PTFE transfer film. Testing showed that the bearings having the elliptical retainer pockets were superior to the conventional bearings with circular pockets. It was determined that, at the maximum inner race spinning velocity of about 5 m/s, a PTFE transfer film could sustain the maximum Hertz stress, up to about 2000 N/sq mm, in LH2, without severe film rupture resulting in bearing seizure. In LN2, the critical load capacity of PTFE transfer film ...

1993-07-01

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321

Initial stage of localized corrosion in artificial pits formed with photon rupture on Zn-5 mass% Al alloy-coated steel

Faulting the feedwater for a 19-tube, model steam generator with 10 ppM of caustic once a week produced widespread shallow 25 to 75 micrometers (1 to 3 mils) intergranular attack (IGA) on alloy 600 tubes and an axial tube rupture at the steam-water interface after 4.8 years. An extensive investigation of the IGA damage found little correlation with major test variables beyond the indication that mill-annealed tubing was more susceptible to attack than stress-relieved tubing. The most likely cause of the tube rupture was caustic that concentrated to high levels in a porous scale on the tube at the liquid-vapor interface where there was a high available superheat. Nondestructive examination (NDE) eddy current probes underestimated the depth of IGA and were not sensitive to circumferential cracks less than 152 micrometers (6 mils) deep that were above and below the roll transition zones of tubes in the tubesheet.

1987-07-01

322

Development of a filler metal for Hastelloy alloy XR weldment

The photon rupture method, by which oxide film and metal are removed by focused pulsed Nd-YAG laser beam irradiation, was applied to form artificial micro-pits in Zn-5 mass% Al alloy-coated steel. The zinc alloy-coated layer was removed by pulsed laser irradiation treatment for about one second in a neutral buffer solution with NaCl. The rest potential transient with the laser treatment was measured. In the early stage of the laser treatment the rest potential of zinc alloy-coated steel changed to the negative direction immediately after every irradiation of a laser pulse and then returned to the previous value. However, after the steel substrate was exposed to the solution, the rest potential moved to the positive direction immediately after every irradiation of a laser pulse and then returned to the previous value. The amplitude and duration of the potential change after the laser irradiation increased with repetition of laser irradiation, related to the pit ...

2007-05-01

323

Development of a filler metal for Hastelloy alloy XR weldment

The weldability and high temperature strength properties of tungsten-inert-gas (TIG) weldments of Hastelloy alloy XR were investigated by using two different heats of filler metals; the first (HXRF1) was designed on the basis of multiple regression analysis; the second (HXRF2) was the reference material. Bend tests, the FISCO cracking test and optical metallography were used to evaluate weldability. Tensile and creep tests were performed at 900deg C to evaluate high temperature strength properties. The results of weldability tests for both alloys showed good performance. The tensile properties of the weldments were remarkably improved in particular with respect to high temperature ductility. The creep rupture strength in the weldments made with alloy-designed HXRF1 was much higher than those of the Hastelloy alloy XR-II base metal with a higher B content. Furthermore, the creep properties were stable with respect to variations in welding conditions. Since the ...

1991-11-01

324

Creep-rupture, creep strength and tensile data on Alloy 800 between 500-800"0C

The weldability and high temperature strength properties of tungsten-inert-gas (TIG) weldments of Hastelloy alloy XR were investigated by using two different heats of filler metals; the first (HXRF1) was designed on the basis of multiple regression analysis; the second (HXRF2) was the reference material. Bend tests, the FISCO cracking test and optical metallography were used to evaluate weldability. Tensile and creep tests were performed at 900deg C to evaluate high temperature strength properties. The results of weldability tests for both alloys showed good performance. The tensile properties of the weldments were remarkably improved in particular with respect to high temperature ductility. The creep rupture strength in the weldments made with alloy-designed HXRF1 was much higher than those of the Hastelloy alloy XR-II base metal with a higher B content. Furthermore, the creep properties were stable with respect to variations in welding conditions. Since the ...

325

Analysis of in-pile heat transfer tests: Final report

The authors present tensile data and creep-rupture data out to approximately 40,000 h duration on low-carbon Alloy 800. Each of the four casts was heat treated to three conditions in tube form. When the test programme was originally conceived, the prime object was to obtain 100,000 hour design data; the programme was designed prior to some of the more recently discovered effects such as that of #gamma#' on ductility. Therefore no specific attempt was made to control to a low level, the Al and Ti contents of the casts. A subsequent programme was embarked upon in 1976 where these factors were taken into account. The bulk data obtained show many characteristics which are probably typical of the low-carbon variant of this material and both the quantity and duration of the data are a contribution to the knowledge of the long-term behaviour of this class of alloy, whose future use lies, inter alia, in nuclear applications over the temperature range for which ERA data ...

326

Titanate nanotubes as superior adsorbents for removal of lead(II) ions from water

This report presents the results of analysis of selected data from the NRU test series dealing with heatup and reflood heat transfer during postulated PWR LOCA conditions. These tests used nuclear fuel rods and some considered clad ballooning and rupture. Also included was an electrically-heated rod ballooning test, REBEKA-6. The COBRA-TF computer program, renamed PYTHONS, was modified and used for the analytical tool. Modifications included provisions for fuel rod gas flow and pressure, creep deformation and rupture, channel blockage, and blockage heat transfer. Calculated clad temperatures for NRU unpressurized rods show quite good agreement with experimental data. The calculated amount and axial extent of clad ballooning for pressurized rods agrees reasonably well with post-test examinations of the NRU bundles. Time to failure was underpredicted in the MT-3 test as a result of the high strength of NRU clad material which was not represented ...

1986-11-01

327

British Library Electronic Table of Contents (United Kingdom)

Titanate nanotubes were hydrothermally synthesized and their adsorption performances for lead(II) ion removal were studied. The results showed that titanate nanotubes ruptured in the adsorption process resulting in two distinct adsorption stages, thus achieving a maximum adsorption capacity of 3.752mmolg^-^1 of lead(II). Furthermore, it was found that the regeneration of titanate nanotubes loaded with the lead(II) ions can be readily achieved using the saturated EDTA disodium salt aqueous solution, thereby avoiding the trouble of disposal of adsorbent. The adsorption mechanism was also discussed in detail.

2010-01-01

328

Study of the state of design for pipe whip. Final report. [PWR; BWR

Photochemical generation of E' centre from Si-H in amorphous SiO2 under pulsed ultraviolet laser radiation

Design methods and parameters are described which are addressed when considering consequences of a postulated pipe rupture event in a nuclear plant design. Parameters discussed are break opening time and size, resultant blowdown characteristics of the effluent from the broken pipe, jet reaction and impingement loading, pipe motion, and pipe impact loading on steel and concrete structures. The impact the various parameters have on overall plant designs and conservatisms inherent in each consideration are evaluated in a qualitative nature. Finally, recommendations are provided for each parameter discussed for further evaluation and study.

1980-01-01

329

CERN Document Server

In situ optical absorption spectroscopy was used to study the generation of E' centres in amorphous SiO_2 occurring by photo-induced breaking of Si-H groups under 4.7eV pulsed laser radiation. The dependence from laser intensity of the defect generation rate is consistent with a two-photon mechanism for Si-H rupture, while the growth and the saturation of the defects are conditioned by their concurrent annealing due to reaction with mobile hydrogen arising from the same precursor. A rate equation is proposed to model the kinetics of the defects and tested on experimental data.

2006-01-01

330

Modelling of Aquitaine II pipe whipping test with the EUROPLEXUS fast dynamics code

Leak detection on petroleum pipelines

This paper presents a numerical simulation with the EUROPLEXUS fast dynamics software of a pipe whipping phenomenon occurring in the thermal hydraulic conditions of a loss of coolant accident in a PWR primary circuit. Different physical phenomena take place simultaneously during the rupture and the whipping of the pipe such as plasticity, contact, large displacements, two-phase flow regime and fluid structure interaction. Two kinds of numerical models - a simplified pipeline model and a mixed 1D/3D model - are considered and compared throughout modelling and computation. Numerical results are compared with experimental data belonging to the Aquitaine II test campaign.

2005-08-01

331

ESR spectra of radicals of gamma-irradiated wood and cellulose

This paper presents a unique method, currently under evaluation, that can continuously track pipeline operation providing essentially instantaneous responses to leaks or ruptures without causing a pressure drop or energy loss. Using the highly linear characteristics of a very accurate and repeatable meter and then correlating it to a second identical unit, a dynamic leak detection system is planned that can be retrofitted on existing pipelines without a major construction effort nor destroying the integrity of the existing transmission line. Initial tests performed on a crude oil transmission line verified the equipment's performance and established that the repeatability limits are sufficient to continue development of the concept.

1984-04-01

332

Change in high-temperature strength properties of 12Kh1MF steel in long-term loading under creep conditions

Spectra of e.p.r. radicals in cellulose and timber gamma-irradiated at 77 and 300 K have been measured. Radiation yields and the kinetics of radicals accumulation have been studied. The effect of ionizing radiation on cellulose is the appearance of radicals resulting from rupture of C-H bonds in positions 1 and 4. Timber, additionally, forms ''lignin'' radicals. A mechanism of cellulose and timber radiolysis is suggested. ''Lignin''-type compounds present in timber protect polysaccharides from radiation-induced destruction.

333

Back-up for high voltage cable pressurizing system

Stress-rupture strength tests were made of metal steam pipe (12Kh1MF steel) in various conditions, the original, after aging under laboratory conditions (580{degrees}C, 10,000 h), and after long service. It was shown that the more the steel is hardened by heat treatment or cold plastic working in the original condition, the less it hardens in creep. It was established that softening in creep of steel with a moderate yield strength is caused primarily by aging and with a high yield strength by pore formation.

1995-01-01

334

Liver trauma from penetrating injuries. Miscellanea, personal series, clinical and CT findings

A back-up system is provided for a pumping plant or a pressure reservoir system used to maintain insulating oil under pressure in high voltage submarine power cables which includes a gas driven membrane pump to insure a small outflow of oil at a rupture point in the power cable to prevent water from penetrating the cable. The proper operation of the membrane pump is insured by introducing degasified oil at the drive side of the pump during the stand-by and test modes of operation of the back-up system. 11 drawings.

1982-07-19

335

The relationship between periodontitis and metabolic syndrome among a Korean nationally representative sample of adults

Penetrating liver wounds are related to many causes and rank second after blunt abdominal and liver trauma. In this report are examined the clinical and radiological findings of personal series of patients with penetrating trauma, especially by firearms and stab and cut wounds. It will also tried to define the diagnostic workup of these traumas, which is especially based on CT signs of liver damage and associated changes and which is of basic importance for following treatment, both surgical or conservative. In the last seven years it was retrospectively reviewed 31 cases of penetrating liver trauma. The patients were 19 men and 12 women, ranging in age 18 to 73 (mean 42), with penetrating liver injuries from firearms (16 patients) and stab (9 cases) wounds; 6 patients had injuries from different cases. Abdominal CT was carried out in emergency with the CT Angiography (CTA) technique in all patients. In the patients with suspected chest and ...

2000-12-01

336

British Library Electronic Table of Contents (United Kingdom)

Abstract Aims: The aim of this study was to examine whether metabolic syndrome (MS) is associated with periodontitis in a representative sample of Korean adults, who were involved in the Fourth Korea National Health and Nutrition Examination Survey (KNHANES). Materials and Methods: A total of 7178 subjects over the age of 19 years who participated in KNHANES were examined. MS was defined as the definition proposed by the National Cholesterol Education Program Adult Treatment Panel III and the abdominal obesity cut-off line based on Korean Society for the Study of Obesity. The periodontal status was assessed by the Community Periodontal Index. Multivariate logistic regression analysis was carried out adjusting for the sociodemographics, oral health behaviours and status, and health behaviou...

2011-01-01

337

The central analgesia induced by antimigraine drugs is independent from Gi proteins: superiority of a fixed combination of indomethacin, prochlorperazine and caffeine, compared to sumatriptan, in an in vivo model

British Library Electronic Table of Contents (United Kingdom)

A hypofunctionality of Gi proteins has been found in migraine patients. The fixed combination of indomethacin, prochlorperazine and caffeine (Indoprocaf) is a drug of well-established use in the acute treatment of migraine and tension-type headache. The aim of this study was to investigate if Indoprocaf was able to exert its central antinociceptive action when Gi proteins activity is abolished by pertussis toxin (PTX), compared to its single active ingredients and to sumatriptan. The mice model of abdominal constriction test induced by an i.p. injection of a 0.6% solution of acetic acid was used. The study showed that Indoprocaf (a fixed combination of indomethacin 1?mg/kg, prochlorperazine 1?mg/kg and caffeine 3?mg/kg, s.c.) and sumatriptan (20?mg/kg, s.c.) exert their central antinocicep...

2009-01-01

338

Serotonin Inhibits Protein Feeding in the Blow Fly, Phormia regina (Meigen)

British Library Electronic Table of Contents (United Kingdom)

Serotonin is an important signaling molecule involved in the control of feeding in flies and other animals. In this study, a potential neurohemal release site for serotonin and the effects of exogenous serotonin on protein feeding were examined in the black blow fly, Phormia regina. A dense network of varicose neural processes exhibiting serotonin-like immunoreactivity was identified on the dorsal region of the thoracico-abdominal ganglion in P. regina. This dorsal region of the central nervous system is a likely site for the release of serotonin into the hemolymph. Circulating serotonin may have multiple systemic effects on fly physiology, including modulating or regulating feeding related processes and diuresis. Injections of exogenous serotonin reduced protein meal size in female flies ...

2009-01-01

339

Omental pedicle flap used to treat a bronchopleural fistula after diaphragma--pericardio-pleuropneumonectomy.

Morphology of the first instar of Calliphora vicina, Phormia regina and Lucilia illustris (Diptera, Calliphoridae)

In a 47-year-old male patient a bronchopleural fistula was apparent 22 days after extended right-sided diaphragma-pericardio-pleuro-pneumonectomy for pleuramesothelioma. The thoracic cavity was infected. Rethoracotomy was performed and the fistula was closed using an omental pedicle flap. The bronchial stump became tight and the cavity fluid became sterile. No abdominal complications were seen. The patient died 8 months later from malignant pericardial infiltration. The ability of greater omentum to revascularize ischemic tissue, to absorb fluid and to resist local infection is proved and used in several subspecialities of surgery. Nevertheless the use of the greater omentum in the management of bronchopleural fistula has been rarely published. The reported case shows that the closure of a large bronchopleural fistula is possible by using the attributes of the omental tissue. PMID:2264043

1990-10-01

340

British Library Electronic Table of Contents (United Kingdom)

Abstract. Scanning electron microscopy documentation of first instar Calliphora vicina Robineau-Desvoidy, Phormia regina (Meigen) and Lucilia illustris (Meigen) (Diptera: Calliphoridae) is presented for the first time, and the following morphological structures are documented: pseudocephalon; antenna; maxillary palpus; facial mask; labial lobe; thoracic and abdominal spinulation; spiracular field; posterior spiracles, and anal pad. Light microscopy documentation and illustrations are provided for the cephaloskeleton in lateral and ventral views. New diagnostic features are revealed in the configuration of the facial mask, cephaloskeleton and posterior spiracles. The first instar morphology of C. vicina, Ph. regina and L. illustris is discussed in the light of existing knowledge about early...

2008-01-01

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341

Laparoscopic single stage and staged orchiopexy.

Dissection of the thoracic aorta - role of CT and MRT following aortic replacement

The initial series of laparoscopic single stage orchiopexy for the abdominal or emergent impalpable undescended testis is reported. The first laparoscopic orchiopexy was performed at our institution in October 1991. Between October 1991 and January 1993, 14 patients (16 testes) underwent minimally invasive surgery with 6 months of followup in all cases. No evidence of testicular loss or acute atrophy has occurred, with the entire procedure being accomplished by laparo-endoscopic techniques in all cases. Treatment of 3 of the 16 testicles consisted of stage 2 of staged orchiopexy, and to our knowledge these cases represent the first stage 2 orchiopexy completed by laparoscopic techniques. In those cases stage 1 was performed by laparoscopic clipping of the vessels. The details of the procedure as we now perform it are described. PMID:7915336

1994-10-01

342

Diesel exhaust inhalation induces heat shock protein 70 expression in vivo

Dynamic CT and MRT were performed in 21 patients who had undergone prosthetic replacement of the aorta because of dissection of the thoracic aorta. There is no difference between MRI and dynamic CT in the demonstration of a persistent intimal flap, the formation of a thrombus and the assessment of the aortic diameter in patients who underwent surgery for thoraco-abdominal aortic dissection. MRI, however, is superior in the identification of the true and false lumen and the demonstration of the distal anastomotic site. The major advantages of MRI are that there is no need for intravenous contrast agents, that it is high sensitive to flow phenomena, and that it can demonstrate the aortic arch and the ascending aorta on sagittal oblique sections. The major disadvantages of MRI are the limited access to the patient during the procedure, and the inability to examine patients fitted with pacemakers or who are on assisted ventilation. Today, MRI is considered the method ...

343

British Library Electronic Table of Contents (United Kingdom)

Exposure to urban air pollution is an independent risk factor for increased cardiovascular diseases. Heat shock protein 70 (HSP70) has been implicated in the pathogenesis of vascular dysfunction and cardiovascular diseases. This study has been designed to determine whether inhalation of urban air induces HSP70 expression in the lung and blood as well as the association of HSP70 and air pollution-induced vascular dysfunction. Apolipoprotein E (Apo-E) deficient mice were exposed to diesel exhaust (DE) either acutely (3 days, 200 or 400 g/m3 for 6 h/day) or chronically (7 weeks, 200 or 400 g/m3 for 6 h/day). HSP70 was measured in the lung using immunohistochemistry, and in the plasma by ELISA. Abdominal aorta rings were used to determine vascular functional responses. Chronic DE-exposure incr...

2011-01-01

344

Contrast material extravasation following upper abdominal trauma. Detection with helical Computerized Tomography

Comparison of laparoscopic transabdominal lateral versus posterior retroperitoneal adrenalectomy

Active contrast material extravasation can be recognized with conventional CT scanners, though it has been considered a rare finding. Helical CT seems to increase the detection rate and especially to boost the radiologist's confidence in this diagnosis. Though active bleeding is defined in severely-injured subjects requiring urgent intervention and may be associated with findings of hypovolaemic shock, it should not be considered itself as a negative prognostic factor. Contrast extravasation is due to ongoing hemorrhage and its detection is critical for urged treatment. Accurate anatomical location permits to choose surgical management or transcatheter embolization and thus decreases time consumption for precis e bleeding site identification.

1999-03-01

345

British Library Electronic Table of Contents (United Kingdom)

Background For the past 14 years, we have been performing laparoscopic adrenalectomy via the lateral transabdominal as well as the posterior retroperitoneal approach. The aim of this study is to describe patient selection criteria for each approach with comparison of perioperative outcomes. Methods In patients with smaller tumors, low body mass index (BMI), history of previous abdominal operations, appropriate body habitus, and bilateral pathology, we have performed preferentially the posterior approach. Data regarding clinical pathology, tumor size, BMI, estimated blood loss (EBL), operating time (OT), morbidity, mortality, and duration of stay were analyzed retrospectively. Data are expressed as mean +- standard error of the mean (SEM). Results One hundred seventy-two laparoscopic adrena...

2009-01-01

346

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist

Clinical evaluation of Fuji computed radiography (FCR) by physicians including non-radiologist

In Niigata University Hospital, most of conventional radiography were changed to Fuji computed Radiography (FCR) from July 1988. To evaluate its clinical utility, questionnaires relating to FCR image were distributed to all physicians including non-radiologists in the hospital after three months. The ratio of the physicians evaluated FCR image to be better than conventional image was 75% in chest radiography, 64% in abdominal radiography. FCR tomography of bone, joint, cranium and chest was also evaluated to be better than conventional by most of the physicians. Reduced size of the film and difficulty in detecting interstitial shadows of the lung were mentioned to be the fault of FCR. (author).

1990-04-01

347

Cardiac Pacing: Memories of a Bygone Era

In Niigata University Hospital, most of conventional radiography were changed to Fuji computed Radiography (FCR) from July 1988. To evaluate its clinical utility, questionnaires relating to FCR image were distributed to all physicians including non-radiologists in the hospital after three months. The ratio of the physicians evaluated FCR image to be better than conventional image was 75% in chest radiography, 64% in abdominal radiography. FCR tomography of bone, joint, cranium and chest was also evaluated to be better than conventional by most of the physicians. Reduced size of the film and difficulty in detecting interstitial shadows of the lung were mentioned to be the fault of FCR. (author).

1988-07-01

348

British Library Electronic Table of Contents (United Kingdom)

The first cardiac pacemaker implants occurred in the late 1950s and involved insertion of epicardial or epimyocardial leads and abdominal pulse generators. By the mid 1960s, cardiologists were making attempts to insert transvenous leads into the right ventricle. These early unipolar leads had large, polished, high polarization electrodes, no fixation device, and no lumen in which to place a stylet for lead positioning. The lead implantation procedures were usually long and the irradiation to both patient and operator excessive. Pulse generators were powered by zinc-mercury cells, which were large, unreliable, and prone to sudden output failure. Postoperative complications such as lead dislodgement, exit block, and premature power source failure were very common with most patients requiring...

2008-01-01

349

Calcified metastases of the kidney. Etiology, pathogenesis, CT findings and diagnostic problems; Metastasi renali calcificate: eziologia, patogenesi, aspetti con tomografia computerizzata e diagnostica differenziale

Transforming growth factor-b induces nerve growth factor expression in pancreatic stellate cells by activation of the ALK-5 pathway

Aim of the work was to describe computerised tomography (CT) findings of calcified renal metastases focusing on differential diagnosis problems. Abdominal CT scans of 8000 patients with tumor, performed from 1984 to 1998, have been retrospectively reviewed. [Italian] Scopo del lavoro e' quello di descrivere gli aspetti con tomografia computerizzata delle metastasi renali calcificate enfatizzando le problematiche diagnostico differenziali. Sono state valutate retrospettivamente le indagini TC addominali di 8000 pazienti affetti da tumore nel periodo 1984-1998, analizzando le lesioni calcificate riscontrate.

2000-03-01

350

British Library Electronic Table of Contents (United Kingdom)

Nerve growth factor (NGF), a survival factor for neurons enforces pain by sensitizing nociceptors. Also in the pancreas, NGF was associated with pain and it can stimulate the proliferation of pancreatic cancer cells. Hepatic stellate cells (HSC) respond to NGF with apoptosis. Transforming growth factor (TGF)-b, one of the strongest pro-fibrogenic activators of pancreatic stellate cells (PSC) induced NGF and its two receptors in an immortalized human cell line (ihPSC) and primary rat PSC (prPSC) as determined by RT-PCR, western blot, and immunofluorescence. In contrast to HSC, PSC expressed both NGF receptors, although p75NTR expression was weak in prPSC. In contrast to ihPSC TGF-b activated both Smad signaling cascades in prPSC. NGF secretion was diminished by the activin-like kinase (ALK)...

2009-01-01

351

New technologies for reservoir management

Herlyn-Werner-Wunderlich syndrome: uterus didelphys, blind hemivagina and ipsilateral renal agenesis. Sonographic and MR findings in 11 cases

The E and P industry has high levels of uncertainty and risk, which oil companies attempt to quantify before embarking on each individual E and P project. However, the actual return on investment often falls well short of the hurdle rate. This discrepancy has been attributed to systemic limitations in decision analysis processes and workflow, which result in repeated underestimation of risk and overestimation of the predicted production of the project. Well designed decision analysis processes in association with clearly defined, multi-scenario analyses of significant technical uncertainties are required. However, simulation of these uncertainties is not realistic given the performance and infrastructure limitations of conventional technology (Begg et al., 2001; Floris and Peersmann, 2000). During the past five years, more than 20 companies have attempted to map the requirements of new technology that is needed to improve uncertainty assessment and decision analysis. ...

2004-07-01

352

Bilateral femoral neck fractures following pelvic irradiation

Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is a rare entity, sometimes referred to as Herlyn-Werner-Wunderlich syndrome (HWW). It usually presents after menarche with progressive pelvic pain, sometimes with regular menses, and a palpable mass due to hemihaematocolpos. The diagnosis is generally made only if the suspicion of this genitourinary syndrome is raised. To highlight the imaging diagnostic clues in this rare condition. We report on 11 adolescents with this condition. Sonography mostly allowed the correct diagnosis by showing uterovaginal duplication, haematocolpos or haematometrocolpos, and the absence of the ipsilateral kidney. MRI provided more detailed information regarding uterine morphology, the continuity with each vaginal channel (obstructed and nonobstructed), and the bloody nature of the contents. Early and accurate diagnosis of this syndrome is important so that adequate and prompt surgical therapy (excision of the ...

2007-07-15

353

The influence of stent design on neointimal hyperplasia of an aortic stent covering the visceral arterial ostia: an experimental study in dogs using a self-expandable nitinol stent

Over 300 cases of femoral neck fractures following radiotherapy for intrapelvic malignant tumor have been reported in various countries since Baensch reported this disease in 1927. In Japan, 40 cases or so have been reported, and cases of bilateral femoral neck fractures have not reached to ten cases. The authors experienced a case of 75 year-old female who received radiotherapy for cancer of the uterus, and suffered from right femoral neck fracture 3 months after and left femoral neck fracture one year and half after. As clinical symptoms, she had not previous history of trauma in bilateral femurs, but she complained of a pain in a hip joint and of gait disturbance. The pain in left femoral neck continued for about one month before fracture was recognized with roentgenogram. As histopathological findings, increase of fat marrow, decrease of bone trabeculae, and its marked degeneration were recognized. Proliferation of some blood vessels was ...

354

The effects of one- and two-stage orchiopexy on postoperative serum testosterone levels and testicular volume in adult patients with bilateral nonpalpable testes.

To assess the influence of stent design [interlacing (type A) vs. crossing method (type B)] on neointimal hyperplasia using a self-expandable nitinol stent, which crosses the side branches of the abdominal aorta. In seven mongrel dogs, nitinol stents with type A and B intersections were placed in the abdominal aorta across the main branches: 4 Niti-Ms and 3 Niti-Ds. Two months after the stent placement, a DSA was performed for a stent patency evaluation, followed by the extraction of the aortas. The degree of neointimal formation along the wire was evaluated by calculating the area ratio of intimal hyperplasia (type A vs. B). A Student's t-test was employed to investigate the differences in the neointimal hyperplasia between blood types A and B. The total number of wire intersections overlain at the ostia branch ostia was 23 for type A and 36 for type B. The area ratio of the neointimal hyperplasia, for a given area, was 29.09 {+-} ...

2008-05-15

355

Multislice spiral CT (MSCT) in pediatric radiology: dose reduction for chest and abdomen examinations

In this study, we investigated the effects of one- and two-staged orchiopexy on testicular volume and serum testosterone levels in cases with high, abdominally localized, bilateral nonpalpable testes. Between March 1996 and April 2001, orchiopexy was performed on 46 testes in 23 patients with bilateral nonpalpable testes. In 15 of the 23 patients, a two-stage Fowler-Stephens orchiopexy was performed, and in 8 of the 23 patients, a one-stage laparoscopic orchiopexy was performed. For one patient who lacked both testes, bilateral prosthetic testes were inserted. The patients' ages were between 20 and 23 years (average, 21 years). In the first stage of the two-stage orchiopexy, the spermatic artery was ligated laparoscopically. Six months later, open surgery orchiopexy was performed. Patients were followed for 2 to 16 months (average, 10 months) and were evaluated for testicular atrophy, serum testosterone levels, and complications. In all the patients, the ...

2002-10-01

356

Study to assess the subjective experience, including pain, of broiler chickens with different gait scores

The advent of multislice spiral CT (MSCT) technique has led to new aspects of dose reduction, especially for the dedicated use of MSCT in children. Optimizing pediatric MSCT protocols according to the clinical problem allows reduction of radiation exposure to a minimum without loss of diagnostic quality. The different parameters that influence the degree of dose reduction, like tube current-time product (mAs), tube voltage (kV), collimation and pitch, are discussed in context with previously published data and our own experience in nearly 200 pediatric CT examinations. In our department, the effective mAs is calculated for a pediatric chest MSCT by multiplication of the body weight in kilogram with a factor of 1 to 1.5 and for a pediatric abdominal MSCT by multiplication with a factor of 2 to 2.5. To calculate the equivalent effective dose for a contrast media-enhanced 80 kV protocol, the effective mAs of the 120 kV protocol can be multiplied by 2.7. A factor less ...

2004-07-01

357

Environmental Research Database

DescriptionLameness, commonly referred to as the leg health, in the modern broiler chicken is an emotive issue and the debate surrounding this subject is not helped by the lack of agreement as to how leg health should be assessed. A commonly used tool for scoring leg health is the Bristol Gait Score, a technique used in the recently reported Defra project AW0230 (`Leg Health and Welfare in Commercial Broiler Production`). The authors of the final report for AW0230 noted that for the chickens gait scored [continued...

2011-01-31

358

Prospective, observational study of the depth of anesthesia during oocyte retrieval using a total intravenous anesthetic technique and the Bispectral index monitor

British Library Electronic Table of Contents (United Kingdom)

Fifty patients scheduled to undergo IVF received a standard anesthetic of fentanyl and propofol for induction, followed by propofol infusion, with Bispectral index values and modified Ramsey sedation scores recorded at 5-minute intervals for the duration of anesthesia care. Moderate sedation was found only transiently during the first 5-10 minutes of the oocyte retrieval, but thereafter the level of sedation increased, with deep sedation and general anesthesia measured in all patients as determined by both the Bispectral index scores and lack of response to painful stimulation.

2011-01-01

359

Mechanisms Underlying Visceral Hypersensitivity in Irritable Bowel Syndrome

British Library Electronic Table of Contents (United Kingdom)

Visceral hypersensitivity is currently considered a key pathophysiological mechanism involved in pain perception in large subgroups of patients with functional gastrointestinal disorders, including irritable bowel syndrome (IBS). In IBS, visceral hypersensitivity has been described in 20%?90% of patients. The contribution of the central nervous system and psychological factors to visceral hypersensitivity in patients with IBS may be significant, although still debated. Peripheral factors have gained increasing attention following the recognition that infectious enteritis may trigger the development of persistent IBS symptoms, and the identification of mucosal immune, neural, endocrine, microbiological, and intestinal permeability abnormalities. Growing evidence suggests that these factors ...

2011-01-01

360

Improvement of muscle strenght independently of analgesic effect following spinal cord stimulation. A case report.

Hypersersensitivity and Kounis syndrome due to a viper bite

Spinal cord stimulation (SCS) is frequently used for relief of chronic benign pain resistant to conservative therapies. Clinical practice suggests, at least in patients with failed back surgery syndrome (FBSS), the possibility that SCS significantly improves motor performances. We present here the case of a 41-years-old female patient with FBSS, who showed a clear improvement in muscle strength after SCS, persisting at 6-months follow-up. We speculate that the electrical stimulation of posterior columns could potentiate the caudal, segmental spinal reflexes resulting in a facilitation of motoneurons activation. PMID:16175150

2004-12-01

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361

British Library Electronic Table of Contents (United Kingdom)

A 60-year-old male was bitten by a venomous snake (Vipera ammodytes) and gradually developed signs of an allergic reaction including generalized itching, generalized rash, and chest discomfort. This was followed by severe retrosternal pain with electrocardiographic evidence of an inferior myocardial ischemia progressing to acute myocardial infarction. Cardiac enzymes and troponin, serum tryptase, and histamine were elevated. Coronary arteriography showed normal coronary arteries. This is a characteristic type I variant of Kounis syndrome, which is the concurrence of acute coronary syndromes with conditions associated with mast cell activation including allergic or hypersensitivity reactions as well as anaphylactic or anaphylactoid reactions. This is the first report to show that viper bite...

2006-01-01

362

Dextranomer/hyaluronic acid copolymer (Deflux) implants mimicking distal ureteral calculi on CT

CT-guided injection for ganglion impar blockade: a radiological approach to the management of coccydynia

Periureteral or subtrigonal injection of dextranomer/hyaluronic acid (Dx/HA) copolymer (Deflux, Q-Med, Uppsala, Sweden) is an increasingly common endoscopic treatment for vesicoureteral reflux. We report a confusing radiographic finding of bilateral calcified Dx/HA injections initially thought to represent bilateral distal ureteral stones in a boy who presented with intermittent periumbilical pain. Urologists, radiologists, and emergency room physicians should be aware of the potential for calcification of ureteral implants of Dx/HA, and of the potentially confusing radiographic images that may result. (orig.)

2008-01-15

363

Botulinum toxin—Beyond wrinkles

Aim: To evaluate the role of computed tomography (CT) in needle placement for ganglion impar blocks, and to determine the efficacy of CT-guided ganglion impar blocks in the management of coccydynia. Materials and methods: The results of ganglion impar blockade in eight patients with coccydynia secondary to trauma or unknown cause were reviewed. The diagnosis of coccydynia was based on clinical history, location of pain, and response to previous diagnostic and therapeutic procedures. The eight patients were treated with CT-guided ganglion impar blocks to manage their coccyx pain after conservative procedures, including oral medication and cushions, failed to provide relief. All patients were subjected to ganglion impar blocks under a thin-section CT-guided technique for needle placement, using a mixture of bupivacaine and triamcinolone. The patients were followed-up for a period of 6-months. Results: Eight patients were treated in this study ...

2010-01-01

364

British Library Electronic Table of Contents (United Kingdom)

Botulinum neurotoxin is produced by the bacterium, Clostridium botulinum. The neurotoxin inhibits acetylcholine at the neuromuscular junction, thus interfering with overall muscular contraction. Botulinum neurotoxin is commonly used for the following medical conditions: cervical dystonia, upper limb spasticity, blepharospasm, strabismus, and hyperhydrosis. However, the use of botulinum neurotoxin was recently approved for the prophylaxis of headaches in adults with chronic migraines. The proposed mechanism of botulinum neurotoxin is no longer solely limited to the inhibition of acetylcholine. There are new mechanisms emerging that involve inhibition of proinflammatory agents and neuropeptides involved in chronic pain. Consequently, there is a disruption of the overall sensory feedback loop...

2011-01-01

365

A case of Ewing's sarcoma treated successfully with chemotherapy and radiotherapy

WIPS: computer code for whip and impact analysis of piping systems. Summary report

We encountered a case of Ewing's sarcoma. The patient was a 19 year-old girl, who visited a local physician because of pain in the left scapular region, and was referred to us. Roentgenograms of her left scapula revealed an irregular moth-eaten shadow which was suspected to be a malignant bone tumor. The histological diagnosis of Ewing's sarcoma was comfirmed by needle biopsy. The initial stage of treatment consisted of radiation therapy (6000 rads) and chemotherapy (VAC and ADR). At the end of the initial stage, the symptoms were improved, the size of the local lesion was reduced on the roentgenogram and there was no evidence of distant metastases. (author).

366

The effect of V and W addition on the high temperature strength properties of 12%Cr-15%Mn austenitic steels

WIPS (Whip and Impact of Piping Systems) is a special purpose computer code for the structural analysis of pipe whip dynamic effects following a postulated pipe rupture. WIPS has been developed primarily to provide support for the pipe whip analysis procedures described in Section 3.6.2 of the US Nuclear Regulatory Commission Standard Review Plan. This report summarizes the purpose and scope of the WIPS development effort, identifying those clauses in the Standard Review Plan which refer to pipe whip analysis, and indicating how the WIPS code can be used to provide supporting data. Detailed information on use of the code is contained in accompanying reports which cover: (1) user instructions; (2) theory; (3) programming procedures; and (4) verification examples.

1984-06-01

367

The chance finding of an aneurysm of the right sinus of Valsalva in an 11-year-old child with a ventricular septal defect and a pericardial effusion

The effect of W and V on the high temperature strength properties of 12%Cr-15%Mn austenitic steels was studied from the view point of precipitation hardening and internal stress. The contribution of W addition to the tensile and creep-rupture strength was not so large. By contrast the combined addition of W and V increased the strength considerably. These are resulted from the precipitation of fine vanadium nitride (VN) within grains and the enhancement of M_2_3C_6 type carbide precipitation at grain boundaries. The V added material had large internal stress value which is considered to be due to dislocation movement disturbed by fine vanadium nitrides. (author).

368

British Library Electronic Table of Contents (United Kingdom)

Ventricular septal defects can occur as part of other congenital cardiac malformations or as an isolated finding. Aneurysms of the sinus of Valsalva are rare, most commonly involving the right or noncoronary sinuses. They can be congenital or acquired through infection, trauma, or degenerative diseases. They frequently co-exist with ventricular septal defects, aortic valve dysfunction, or other cardiac abnormalities. More commonly, sinus of Valsalva aneurysms are diagnosed after the clinical sequelae of rupture. Several etiologic factors may lead to the development of pathologic pericardial effusion and the detection of pericardial effusion was one of the first applications of echocardiography to gain widespread acceptance. We present a case of a chance finding of an aneurysm of the right ...

2011-01-01

369

Structural integrity of whipping pipes following postulated rupture - a contribution to strain levels acceptable under faulted conditions. Integritaetsverhalten von Rohrleitungen nach unterstelltem Rundabriss - ein Beitrag zur Dehnungsabsicherung bei Schadensfaellen

Statoil's Material Expectations for Pipelines

By tests about pipe failure under extreme bending, moment at cross sections affected by circumferential cracks, admissible strains for securing the integrity in the area of a flow link are indicated. These are 7% for austenic and ferritic materials in the undisturbed cross section. From d/t-ratios of 20 onwards the strains are limited by pipe bulging on the pressure-load side. In this connection, circumferential flaws do not have any influence on the behaviour on the strained side, when their expansion does not exceed the investigated limitis of <60 circumferential expansion and crack depth of 0,3 t. (orig.)

1991-01-01

370

Soluble starch?based biodegradable and microporous microspheres as potential adsorbent for stabilization and controlled release of coix seed oil

Pipelines are normally made in low-alloyed steels and the design is based on technical and economical criteria. For the transportation of corrosive fluids, a corrosion evaluation will determine what materials can be used. In the event that stainless steel must be used, investment costs will increase significantly. Use of life cycle cost evaluation may also apply, but we may question how often that is used properly. One must, furthermore, differ between onshore and offshore pipelines, because of differences in pipe laying conditions and in maintenance and repair costs. The consequences of a rupture may differ dramatically between onshore pipelines, too, i.e. a large gas pipeline in a populated area and a small oil pipeline in a nonpopulated area. (author)

2003-07-01

371

British Library Electronic Table of Contents (United Kingdom)

Soluble starch?based biodegradable and microporous microspheres (SDM-Ms) were prepared by emulsion chemical cross-linking technique using trisodium trimetaphosphate (TSTP) as the cross-linker. The resultant amorphous SDM-Ms were excellently identified by scanning electron microscopy (SEM), X-ray diffraction (XRD), and Fourier transform infrared spectroscopy (FT-IR). The internal rupture and surface-controlled erosion were the predominant degradation mechanisms for SDM-Ms. The obtained SDM-Ms were applied to adsorb coix seed oil (CSO) by immersing method. The adsorption capacity of CSO within SDM-Ms was determined, namely 0.5238?g/g, and the thermal stability was shown higher than that of the free CSO. A burst release appeared in the second hour, followed by controlled release. Diffusion, d...

2011-01-01

372

Shipping container response to three severe railway accident scenarios

Percutaneous mechanical declotting of thrombosed dialysis graft

The probability of damage and the potential resulting hazards are analyzed for a representative rail shipping container for three severe rail accident scenarios. The scenarios are: (1) the rupture of closure bolts and resulting opening of closure lid due to a severe impact, (2) the puncture of container by an impacting rail-car coupler, and (3) the yielding of container due to side impact on a rigid uneven surface. The analysis results indicate that scenario 2 is a physically unreasonable event while the probabilities of a significant loss of containment in scenarios 1 and 3 are extremely small. Before assessing the potential risk for the last two scenarios, the uncertainties in predicting complex phenomena for rare, high- consequence hazards needs to be addressed using a rigorous methodology.

1998-04-01

373

Parametric study of pipe whip behavior

To evaluate the effectiveness of percutaneous mechanical declotting. Using a 7-F Desilets-Hoffman sheath and the crossed-catheter technique, we aspirated the intragraft clot and pushed the residual clot into the central circulation with balloon catheters. The success rate, procedure time, complications and patency rates were evaluated. Technical success was achieved in 24 of 32 cases, with a procedure time of 30-240 (average, 111) minutes. In five of eight cases in which technical failure occurred, the guide wire failed to reach the stenotic site and in the other three, there was insufficient luminal dilatation. Complications included vein ruptures (n=2), arterial emboli (n=1) and arterial dissection (1), but there was no evidence of clinical symptoms of pulmonary embolism. The six-month patency rate was 67.8%. Mechanical declotting of thrombosed dialysis graft using a balloon catheter is relatively inexpensive, safe and fast, and is well tolerated. (author)

2000-10-01

374

Microstructure and properties of ultrafine WC-10Co composites with chemically doped VC

A pipe whip test is one of the main subjects of the pipe rupture tests performed in Japan Atomic Energy Research Institute. In 1979, the pipe whip test of 4B, sch-80 pipe will be done under the BWR condition. As the preliminary analysis of this test, the pipe whip analysis of 4B, sch-80 pipe was implemented in order to make clear of the influences of the physical parameters on the pipe whip behavior. The pipe whip analysis was treated as nonlinear dynamic analysis of pipe-restraint system by using the general purpose finite element program ADINA. Overhang length, clearance between pipe and restraint, restraint length and cross section area of restraint were taken as physical parameters. It was clarified through this analysis how restraint displacement, restraint strain and distribution of energy between pipe and restraint were influenced by these parameters. (author).

375

British Library Electronic Table of Contents (United Kingdom)

Vanadium carbide is the most effective grain growth inhibitor for ultrafine WC-Co composites due to its high solubility and mobility in the cobalt phase at relatively low temperatures; however, there are still some debates over the best way to introduce it into the WC-Co formulation. In this paper, the differences between admixed and chemically doped grain growth inhibitors on the microstructural development and properties of an ultrafine WC-10Co composite are discussed. The densification rate of chemically doped samples is slower in the early stage of sintering and the WC grain sizes of the sintered alloys are finer than those of admixed samples, leading to the increase of hardness and transverse rupture strength of the sintered alloys. The effectiveness of the chemically doped inhibitor ...

2011-01-01

376

High-temperature property data: Ferrous alloys

Effects of boron addition on weldability and high temperature strength properties of Hastelloy alloy XR

In this book over 250 alloys are organized by AISI number into 10 major sections: Irons, Carbon Steels, Alloy Steels, Low Alloy Constructional Steels, Ultra High Strength Steels, Tool Steels, Maraging Steels, Wrought Stainless Steels, Heat Resistnat Casting Alloys, and Iron Based Rought Superalloys. Each alloy record lists the designation, specifications, UNS number, composition, product forms and a comment on the high-temperature properties and applications. Referenced data is then given for physical properties such as density, specific heat, thermal conductivity, thermal expansion, electrical conductivity, Poisson's ratio, moduli of elasticity and rigidity, etc. Mechanical properties follow, and include tensile properties, shearing and bearing properties, impact properties, creep, stress rupture and stress relaxation and fatigue properties. The last part of the alloy record gives other effects of temperature, such as hot hardness, corrosion, and growth.

1987-01-01

377

Effects of boron addition on weldability and high temperature strength properties of Hastelloy alloy XR

The effects of boron addition on weldability and high temperature strength properties were investigated for Hastelloy alloy XR used TIG welding process with the filler metals. Four versions of filler metals with different boron contents were used. The results obtained may be summarized as follows: (1) The influence of boron addition on weldability was not observed within the range of the present experiment. (2) The result of chemical analysis for deposited metals showed that boron desorption did not occur during welding. (3) The tensile properties of weldments, particularly in high temperature ductility were raised with increasing boron content. (4) In the creep properties of weldments, creep rupture life increased with increasing boron content under the given stress conditions. (author).

1990-11-01

378

Effect of matrix strength on pullout behavior of steel fiber reinforced very-high strength concrete composites

The effects of boron addition on weldability and high temperature strength properties were investigated for Hastelloy alloy XR used TIG welding process with the filler metals. Four versions of filler metals with different boron contents were used. The results obtained may be summarized as follows: 1) The influence of boron addition on weldability was not observed within the range of the present experiment. 2) The result of chemical analysis for deposited metals showed that boron desorption did not occur during welding. 3) The tensile properties of weldments, particularly in high temperature ductility were raised with increasing boron content. 4) In the creep properties of weldments, creep rupture life increased with increasing boron content under the given stress conditions. (author).

379

British Library Electronic Table of Contents (United Kingdom)

This paper presents the results of single-fiber pullout tests for deformed and smooth steel fibers embedded in the newly developed very-high strength concrete (VHSC) matrixes. The pullout test program involved four types of steel fibers, eight compressive strengths of VHSC matrixes, and two normal concrete strengths. Test results have shown that pullout behavior of different steel fiber reinforced VHSC composites is influenced by the matrix strength and fiber end condition (smooth, flat end, or hooked). Results reveal that both maximum pull-out load and total pullout energy increases as matrix strength increases for all deformed fibers that did not rupture. The test results also indicated that the increase in total pullout energy is more significant than that in peak load.

2011-01-01

380

Calculation model testing for the case of rcs hot collector rupture inside the horizontal steam generator of VVER-440 NPP

Calculation model testing for the case of rcs hot collector rupture inside the horizontal steam generator of VVER-440 NPP

The calculations presented are based on RELAP5/MOD2-3 input for VVER 440/213 Bohunice NPP, developed within the framework of IAEA TC Project by an international team of specialists from CSFR, Hungary, Bulgaria and Poland. Project activities were condentrated on input data refinement and testing. Several cases were calculated using the latest version of RELAP5/MOD2 provided by RMA, Albuquerque to investigate some modelling assumptions, such as break location, geometrical representation of secondary circuit piping as well as the effect of deactivation of the signal controlling the SG isolation valves. (2 refs., 21 figs., 2 tabs.).

1993-12-31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

381

Application of a New Approach for Estimating LOCA and SGTR Frequencies

The calculations presented are based on RELAP5/MOD2-3 input for VVER 440/213 Bohunice NPP, developed within the framework of IAEA TC Project by an international team of specialists from CSFR, Hungary, Bulgaria and Poland. Project activities were condentrated on input data refinement and testing. Several cases were calculated using the latest version of RELAP5/MOD2 provided by RMA, Albuquerque to investigate some modelling assumptions, such as break location, geometrical representation of secondary circuit piping as well as the effect of deactivation of the signal controlling the SG isolation valves. (2 refs., 21 figs., 2 tabs.).

1992-09-29

382

Analytical studies of four-inch pipe whip tests under BWR LOCA conditions

The needs for more reasonable estimations for rare and extremely rare initiating events (IEs) have been reported in US peer review results. The American Society of Mechanical Engineers (ASME) PRA standard also proposes guidelines and requirements about the issues. Recently, US NRC addressed problems and the conservative assumptions on loss-of-coolant accident (LOCA) analysis and attempted to establish more rigorous methodology for estimating the frequencies depending on break size. The results of peer reviews for KHNP reference plants also represented that the data used in estimating IEs were outdated and the methodology also needed to be improved. In this paper, for more appropriate estimation of rare and extremely rare initiating events (IEs), e.g., LOCAs and steam generator tube ruptures (SGTRs), a new approach considering expert elicitation process is presented and corresponding core damage frequency (CDF) is calculated

2010-05-15

383

Analysis of the fatigue strength of welded joints produced by different techniques in materials of the type 'alloy 800'

The purpose of pipe rupture studies in JAERI is to perform model tests on pipe whip, restraint behavior, jet impingement and jet thrust force, and to establish a computational method for analyzing these phenomena. This report presents the analytical results of 4-inch pipe whip tests under BWR LOCA conditions. Dynamic response analyses were performed using the general-purpose finite element program ADINA. The test pipe was modelled by straight beam elements and the four restraints were modelled by a single truss element. The analytical results were compared with the experimental results. Impact time and maximum total restraint force showed good agreement with experimental results. On the other hand, pipe strain and pipe deflection could not be predicted so well. The reason for this is that the sliding of the restraint during the pipe whip movement cannot be considered in the analyses.

1985-01-01

384

Analysis of the creep strain-time behavior of alloy 800

The alloy type 'alloy 800' with its different variants is used for numerous components in high-temperature reactor (HTR) plants, e.g. for hot-gas conductors, the high-pressure part of steam generators, superheaters, steam collecting vessels and live steam conductors. This study deals with the evaluation of creep rupture tests on 28 welded joints of alloy 800 with an accumulated test duration of 410 years, with the objective to obtain quantitative information on a possible loss of strength in comparison with the unwelded material. The longest test period of an individual test amounted to 98,000 h and the analyzed test temperature range lay between 550"0 and 1000"0C. (orig./MM).

1988-11-25

385

Alloy 800: New stress rupture and creep data for pressurised components in high-temperature reactors

The high-nickel austenitic alloy 800 (in both the mill-annealed and the solution-treated grades) has several attractive properties that make it a good candidate for service attractive properties that make it a good candidate for service at elevated temperatures in corrosive environments. One such property is creep resistance. This report analyzes the elevated-temperature creep behavior of the mill-annealed grade, generally referred to simply as alloy 800. (The solution-treated grade is known as alloy 800H). Available data over the temperature range from 538 to 760/sup 0/C were collected and evaluated to yield mathematically approximations for creep-rupture and strain-time behavior for use in design calculations. However, the creep behavior of this material is extremely complex, and the analysis presented here contains substantial uncertainties. All results in this report should be considered preliminary because of limited data currently available. 20 figures.

1983-05-01

386

The possibility for formation of macro-cell corrosion in a liquid with low electrical conductivity

A new evaluation of the 1% time strain limit for creep strength and the isochronous stress/strain relationship was to be undertaken for the type 800 alloy, based on up to date experimental data. After the evaluation of the 1% time strain limit curves and time fracture curves of individual melts, multilinear regression analyses were made to clear up the relationship between parameters of the creep behaviour such as creep strength, 1% time strain limit and time fracture strain on the one hand and metallurgical parameters such as C, Ti, Al, Ni, Cr contents or grain size and type of manufacture, on the other hand. Based on the knowledge gained from these calculations, new limits were determined for HTR material specifications for variants of the 800 alloy of the Rk, NT, DE, and HT type. (orig./DG).

1988-10-06

387

Safety of pipe whip restraints

The possibility of electrochemical corrosion of carbon steel at the rate of 3.25 x 10"-"5 A/cm"2 in water was examined under the conditions present during an accidental pipe rupture at the Mihama nuclear power plant: liquid conductivity, 7.5 #mu#S/cm; dissolved oxygen concentration, 5 ppb or less; pH 8.6#propor to#9.3; ferrous ion concentration, 20 ppb or less; temperature, 142 C. The corrosion rate of iron in a micro-cell with a dissolved oxygen reduction cathode was estimated to be only 1/400 of the preceding rate. On the other hand, that in a micro-cell with a hydrogen ion reduction cathode was estimated to be as high as 1/10 of the preceding rate, that is, 3.25 x 10"-"6 A/cm"2. Two important factors may have influenced the corrosion rate: the remarkable wall thinning, which must have been the direct cause of the rupture of the pipe, was located close to, and downstream from, an orifice; and, the water temperature was in the range at which ...

2011-05-01

388

Risk assessment of severe accident-induced steam generator tube rupture

Pipe whip restraints are used in nuclear power plants in order to limit the consequences of ruptured pipe whip effects and are thus an important part of the plant safety concept. The design of these devices is based on the choice of adequate construction and computational analysis supported by experimental investigation. Pipe whip restraints should, by means of deforming components, be able to absorb the energy of a ruptured pipe accelerated by the fluid reaction force. Since the elastic deformation of the restraint material is not sufficient for this purpose, or would result in excessive anchor loads, pipe whip restraints must generally be designed to work in the plastic range. Two types of restraints are presented in this paper, including the description of their mode of operation, design and computation. A comparison and critical evaluation of the calculation methods presently available are also given. The range of methods covers those ...

389

Pipe whip experiments involving impacts between pipes

This report describes the basis, results, and related risk implications of an analysis performed by an ad hoc working group of the U.S. Nuclear Regulatory Commission (NRC) to assess the containment bypass potential attributable to steam generator tube rupture (SGTR) induced by severe accident conditions. The SGTR Severe Accident Working Group, comprised of staff members from the NRC`s Offices of Nuclear Reactor Regulation (NRR) and Nuclear Regulatory Research (RES), undertook the analysis beginning in December 1995 to support a proposed steam generator integrity rule. The work drew upon previous risk and thermal-hydraulic analyses of core damage sequences, with a focus on the Surry plant as a representative example. This analysis yielded new results, however, derived by predicting thermal-hydraulic conditions of selected severe accident scenarios using the SCDAP/RELAP5 computer code, flawed tube failure modeling, and tube failure probability estimates. These ...

1998-03-01

390

Natural resource injury assessment of a crude oil spill

Dynamic pipe impact tests were performed in order to determine the impact conditions for which a 2 inch Schedule 80 carbon steel target pipe would not be broken if it were impacted during a pipe whip event created by a postulated break of an adjacent larger parallel pipe. Such pipe/pipe impact scenarios are of special interest for the feeder pipes of a CANDU reactor because the large number of closely spaced parallel feeder pipes that carry coolant between large primary system pipes and individual fuel channels in the reactor core makes it impractical to consider providing feeder pipe whip restraints. The testing which was performed involved simulating the behaviour of 3 inch and larger whipping pipes in order to study their impact with 2 inch target pipes pressurized at about 9 MPa with water at a temperature of about 290"0C. In a conservative simulation of the worst pipe/pipe impact event which it has been predicted could occur for adjacent parallel feeder pipes (when a whipping pipe ...

391

Injuries of the tibio-talar joint and preoperative planning. Verletzungen des oberen Sprunggelenks aus unfallchirurgischer Sicht

In January 1994, a 6.7 magnitude earthquake in southern California ruptured a pipeline releasing approximately 4,200 barrels of blended San Joaquin Valley crude oil. A smaller volume entered the Santa Clara River and flowed 25 km downstream to an emergency containment dam. Ruptured water mains and chlorinated discharges from a damaged sewage treatment plant also affected water quality in the river. Quantitative injury assessment studies were initiated within days of the spill and included water/sediment chemistry, benthic macroinvertebrate community analyses and aquatic toxicity tests. Water quality values for TPH, BTEX, and chlorine ranged from nondetectable to 78 mg/l (TPH), nondetectable to 5.4 microg/l (total BTEX constituents) and nondetectable to 600 microg/l (residual chlorine) within 72 hours of the spill. Ammonia concentrations ranged from nondetectable to 12.1 mg/l within 10 days of the spill. Hydrocarbon concentrations in sediments ...

1996-11-17

392

Experimental studies of 6-inch pipe whip tests under BWR LOCA conditions

The treatment of bony, osteochondral, and ligamentous injuries of the tibio-talar requires precise preoperative planning by radiological investigation. This is essential to a correct understanding of the underlying pathology and will allow a proper classification of the injury, which is the basis of treatment. Conventional radiography using anteroposterior and lateral X-rays with comparative views of the noninjured side and, if necessary, rotated spot views and tomography are of high value especially in osteochondral fractures of the talus. Intraoperative control images in both planes after osteosynthesis are mandatory. For evaluation of the postoperative course and severity of arthrosis formation, the classification system of Bargon has proved its worth. In addition, tomography of the tibio-talar joint in two planes is useful especially in tibial pilon fractures, some malleolar fractures, and peripheral talar fractures. In talar fracture dislocations with concomitant compartment ...

1991-12-01

393

Aerosol deposition in horizontal steam generator tubes in severe accident conditions

Series of pipe rupture tests have been performed at the Japan Atomic Energy Research Institute to demonstrate the safety of the primary coolant circuits in the event of pipe rupture in nuclear power plants. The pipe whip tests have been conducted to study the dynamic response of the pipe and restraints. The results of the pipe whip tests using test pipes of 4-inch in diameter under the BWR LOCA conditions (285"0C, 6.8 MPa) were reported in the previous paper F8/5 of the 6th SMiRT. The present paper describes the results of the pipe whip tests using test pipes of 6-inch in diameter. The test pipe was made of Type 304 stainless steel and was 165.2 mm in outer diameter and 11.0 mm in thickness, and was fixed at the pipe support so that the length of the test section was 3000 mm. The restraints were made of Type 304 stainless steel and were 16.0 mm in diameter, and were set on the restraint support with the clearance of 100 mm. The overhang length ...

394

Aerosol deposition in horizontal steam generator tubes in severe accident conditions

The understanding of fission product deposition in realistic steam generator conditions is needed for release estimates in PSA studies, and for the design of efficient accident management procedures. This is considered very important because primary-to-secondary leakages risk dominant sequences in many plants. Furthermore, the decay heat of the fission product deposits adds to the thermal load to the steam generator tubes also in other sequences, especially in case of cold leg leakages. This brings out the concern of induced steam generator tube ruptures in cases, where the steam generators are initially intact. The experimental data showed that the highest deposited fraction within the tubes were found in cases with lowest flow velocities. The minimum value of the deposited fraction was observed at intermediate flow velocities. With these relatively low Reynolds numbers, the results calculated with deposition models agree well with the experiments. At high ...

2003-07-01

395

Severe rectal injury following radiation for prostatic cancer

The understanding of fission product deposition in realistic steam generator conditions is needed for release estimates in PSA studies, and for the design of efficient accident management procedures. This is considered very important because primary-to-secondary leakages risk dominant sequences in many plants. Furthermore, the decay heat of the fission product deposits adds to the thermal load to the steam generator tubes also in other sequences, especially in case of cold leg leakages. This brings out the concern of induced steam generator tube ruptures in cases, where the steam generators are initially intact. The experimental data showed that the highest deposited fraction within the tubes were found in cases with lowest flow velocities. The minimum value of the deposited fraction was observed at intermediate flow velocities. With these relatively low Reynolds numbers, the results calculated with deposition models agree well with the experiments. At high ...

2003-10-05

396

Radiation exposure of children in pediatric radiology. Pt. 6. Conversion factors for reconstruction of organ dose in abdominal radiography; Zur Strahlenexposition von Kindern in der paediatrischen Radiologie. T. 6. Konversionsfaktoren zur Rekonstruktion von Organdosen bei Abdomenaufnahmen

Between 1970 and 1981, 348 patients underwent definitive irradiation. Of these patients 6 (1.7 per cent) sustained severe rectal injury as manifest by major rectal bleeding, rectal stricture, rectal mucosal slough and rectal ulceration. Severe rectal injury was observed in 0 of 13 patients (0 per cent) treated with 125iodine, 3 of 329 (1 per cent) treated with 6,400 to 6,800 rad external irradiation, 2 of 39 (5 per cent) treated with 7,000 to 7,300 rad external irradiation, and 1 of 7 (14 per cent) treated with 198gold and external irradiation. The impact of radiation dose, radiation therapy technique and surgical trauma was assessed. Rectal injury was managed by supportive measures in 2 patients and by diverting colostomy in 3 with benefit. One patient underwent abdominoperineal resection. A small bowel fistula and an intra-abdominal abscess developed, and the patient died.

1984-04-01

397

Maintenance and regulation of extracellular volume and the ion environment in Drosophila larval nerves.

Purpose: calculation of conversion coefficients for the reconstruction of organ doses from entrance doses for abdomen radiographs of 0, 1, 5, 10, 15, and 30-year-old patients in conventional pediatric radiology for the radiographic settings recommended by the German and European guidelines for quality management in diagnostic radiology. Materials und method: using the commercially available personal computer program PCXMC developed by the Finnish Center for Radiation and Nuclear Safety (Saeteilyturvakeskus STUK), conversion coefficients for conventional abdomen radiographs were calculated performing Monte Carlo simulations in mathematical hermaphrodite phantom models describing patients of different ages. The possible clinical variation of beam collimation was taken into consideration by defining optimal and suboptimal radiation fields on the phantoms' surfaces. Results: conversion coefficients for the reconstruction of organ does in about 40 organs and tissues of the human ...

2009-10-15

398

Macromodular splenic tuberculosis in a medically-treated AIDS patient: diagnosis and management by CT

In mammals and insects, paracellular blood barriers isolate the nervous system from the rest of the animal. Glia and accessory cells of the nervous system use pumps, channels, cotransporters, and exchangers collectively to maintain the extracellular ion environment and osmotic balance in the nervous system. At present, the molecular mechanisms that regulate this process remain unclear. In humans, loss of extracellular ion and volume regulation in the nervous system poses serious health threats. Drosophila is a model genetic organism with a proven track record for uncovering molecular mechanisms relevant to human health and disease. Here, we review what is known about extracellular ion and volume regulation in larval abdominal nerves, present some new data about the impact of neural activity on the extracellular environment, and relate the findings to mammalian systems. Homologies have been found at the level of morphology, physiology, molecular mechanisms, and ...

2011-02-08

399

Laparoscopic diagnosis and treatment of nonpalpable testis

We used computerized tomography (CT) in the study of eight patients with macronodular splenic tuberculosis prior to the microbiological diagnosis. These patients underwent additional CT controls during and after tuberculostatic therapy. All the patients studed presented the acquired immunodeficiency syndrome (AIDS). Splenomegaly and numerosous round, hypodense lesions that showed no contrast uptake were found in all the subjects. Only three patients presented evidence of tuberculosis in plain radiography and/or chest X-ray. Two patients presented abdominal lymph nodes. None of them showed evidence of hepatic lesions or ascites. follow-up CT scans revealed a progressive reduction of the lesions, which eventually disappeared completely, and splenomegaly was considerably reduced. Anthough it is uncommon, we should suspect splenic involvement in tuberculosis if the clinical and radiological contexts are appropriate. CT provides excellent monitoring of the efficacy of ...

400

Scientific Electronic Library Online (English)

Abstract in english INTRODUCTION: Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. In these cases, the videolaparoscopic technique is a useful alternative method for diagnosis and treatment. MATERIALS AND METHODS: We present data concerning 90 patients submitted to diagnostic lapa (more) roscopy for impalpable testicles. Forty-six patients (51.1%) had intra-abdominal gonads. In 25 testicles of 19 patients, we performed a two stage laparoscopic Fowler-Stephens orchiopexy. The other 27 patients underwent primary laparoscopic orchiopexy, in a total of 29 testicles. RESULTS: We obtained an overall 88% success rate with the 2 stage Fowler-Stephens approach and only 33% rate success using one stage Fowler-Stephens surgery with primary vascular ligature. There ...

2008-06-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

401

Incidence of low bioavailability of leuprolide acetate after percutaneous administration to rats by dissolving microneedles

British Library Electronic Table of Contents (United Kingdom)

Two-layered dissolving microneedles of which acral portion contained leuprolide acetate (LA) as solid dispersion were prepared with sodium chondroitin sulfate as the base and the systemic absorption efficiency of LA was studied in rats after administration to their abdominal skin. A patch contained 100 dissolving microneedles of which length and basement diameter were 469.8+/-4.7mm and 284.5+/-9.8mm, where LA content was 14.3+/-1.6mg. In vitro dissolution experiment showed that LA was released from dissolving microneedle patch within 3min. LA was stable in the patch, % recoveries for 3 months were 102.2+/-1.9-95.3+/-1.9%. One and half-patch of LA dissolving microneedles were administered to the rat skin and plasma LA concentrations were measured by LC-MS/MS. Plasma LA concentrations increa...

2011-01-01

402

Hepatobiliary scintigraphy in current pediatric practice

CT diagnosis of intrahepatic cholangiocarcinoma

Hepatobiliary scintigraphy is the only non-invasive technique providing real-time assessment of hepatocytes function and bile progression from the liver to the intestine; for this reason it is of great importance in the study of jaundice and many other disorders of the liver and the biliary tract in children. Ultrasonography is the initial method of evaluating the intra- and extrahepatic bile ducts dilatation: the differential diagnosis between biliary atresia and neonatal hepatitis cannot however be done without hepatobiliary scintigraphy. Cystic fibrosis patients also require hepatobiliary scintigraphy; liver and biliary tract disease can really occur independently of the underlying disease severity and the presence of steatorrhoea. Hepatobiliary imaging in children who have undergone liver transplantation is of major importance; it can assess vascularity, parenchymal function biliary drainage, possible presence of a bile leak and obstruction; it has very good sensitivity and ...

1998-06-01

403

CR portal imaging; A linac graphy using storage phosphor imaging systems

Purpose: To evaluate contrast-enhanced CT scan in the diagnosis of intrahepatic cholangiocarcinoma by correlating the CT appearance with pathologic specimens. Materials and methods: Twenty-eight patients with pathologically proven intrahepatic cholangiocarcinoma were examined. Unenhanced abdominal CT study were performed in 28 patients; conventional contrast-enhanced CT in 27 patients. Enhanced CT scan including fast injection, fast scan and delayed scan at the largest section of the lesion was done in 7 patients. Contiguous 10 mm CT scans of the surgical specimens were also obtained in 8 patients. The preoperative and specimen CT scans in these 8 patients were compared with the corresponding pathological sections. A total of 103 areas of the pathological sections was compared with the CT appearances. Results: All lesions contained areas of delayed contrast enhancement and/or no enhancement on CT examinations. The areas of delayed contrast enhancement corresponded ...

404

In portal images with high energy X-ray (10 MV), it is sometimes difficult to verify the irradiation field because of the low contrast. Especially, in the abdominal and pelvic region, the deterioration of portal image quality is remarkable. To solve this problem, we took portal images using computed radiography (FCR). Also, we develop a technique in which a copper plate (3 mm) and lead foil (0.3 mm) are closely set in the front and rear of the photostimulable phosphor plate (imaging plate), for increased energy absorption. As a result, image quality was very high and we confirmed image improvement using observer performance experiments. We made a special cassette which can closely set metallic plates to imaging plate and load FCR-7000 directly. Therefore, image process becomes simple, and suitable for routine work. In computed radiography, image processing (tone scale modification and edge enhancement) is possible, and is advantageous portal imaging. When PACS is ...

1992-07-01

405

CR portal imaging

Body dose conversion factors for computerized tomography

In portal images with high energy X-ray (10 MV), it is sometimes difficult to verify the irradiation field because of the low contrast. Especially, in the abdominal and pelvic region, the deterioration of portal image quality is remarkable. To solve this problem, we took portal images using computed radiography (FCR). Also, we develop a technique in which a copper plate (3 mm) and lead foil (0.3 mm) are closely set in the front and rear of the photostimulable phosphor plate (imaging plate), for increased energy absorption. As a result, image quality was very high and we confirmed image improvement using observer performance experiments. We made a special cassette which can closely set metallic plates to imaging plate and load FCR-7000 directly. Therefore, image process becomes simple, and suitable for routine work. In computed radiography, image processing (tone scale modification and edge enhancement) is possible, and is advantageous portal imaging. When PACS is ...

1992-01-01

406

Inflammatory spine disease as a cause of back pain; Entzuendliche Wirbelsaeulenerkrankungen als Ursache fuer Rueckenschmerzen

While there have been many experimental and calculational investigations on absorbed dose distribution in the patient resulting from conventional X-ray procedures, such data for computerized tomography (CT) are still sparse. As this diagnostic procedure has shown a rapid increase in application during recent years, we have determined absorbed dose to body organs in a human phantom resulting from CT examinations. The exposure model consists of the heterogeneous MIRD-5 phantom and a suitable Monte-Carlo method to calculate absorbed dose to organs of interest. The exposure conditions are specified according to the exposure specifications of a CT-scanner currently in use. The calculations cover the range of body tissues of interest in terms of organ absorbed doses as well as a risk weighted absorbed dose. A detailed example showing the calculation of red bone marrow dose is given and a somatic effective dose equivalent Hsub(ES) is calculated for different conventional and CT-scanning ...

1980-10-31

407

Wear particles, periprosthetic osteolysis and the immune system

The aim of this review is to evaluate the role of inflammatory spine disease in patients with chronic back pain. The contribution of imaging modalities for the diagnostic evaluation of back pain is discussed. A systematic literature search based on the classification of seronegative spondyloarthropathies and rheumatoid arthritis was performed. The results of this search and the experiences in a large collective of rheumatological patients are analyzed. The prevalence of rheumatoid arthritis (1-2%) is comparable to that of spondyloarthropathies (1.9%). The etiology of these entities is not fully elucidated. Magnetic resonance imaging is increasingly used for early detection and surveillance of therapy with TNF-{alpha} antagonists. Bone marrow edema, which is only detectable with MRI, represents an early sign of inflammation. Therapy with TNF-{alpha} antagonists is based on clinical and laboratory criteria, and signs of inflammation in MRI. MRI ...

2006-06-15

408

British Library Electronic Table of Contents (United Kingdom)

The immune system modulates many key biological processes in humans. However, the exact role of the immune system in particle-associated periprosthetic osteolysis is controversial. Human tissue retrieval studies, in vivo and in vitro experiments suggest that the immune response to polymer particles is non-specific and macrophage-mediated. Lymphocytes may modulate this response. However direct lymphocyte activation by polymer particle-protein complexes seems unlikely. However, metallic byproducts may complex with serum proteins and lead to a Type IV, lymphocyte-mediated immune reaction. In predisposed individuals, this reaction may rarely lead to persistent painful joint effusions, necessitating debridement and excision of the bearing surfaces of the prosthesis. In these patients, retrieved...

2007-01-01

409

Traumatic and Non-traumatic Fibromyalgia Syndrome: Impact Assessment on the Life Quality of Women

British Library Electronic Table of Contents (United Kingdom)

Objective To investigate the impact on life quality of women with traumatic and non-traumatic origin fibromyalgia syndrome [FMS]. Method Women affected with FMS were selected and divided into two groups: those with traumatic origin FMS [Group 1] and those with non-traumatic origin FMS [Group 2]. A standard question form was used for the research, as well as the fibromyalgia impact questionnaire [FIQ] for evaluation of life quality. Results Seventy-two patients, 34 for Group 1 and 38 for Group 2 were analyzed. The main triggering symptoms were divorce [23.5 percent of cases] and death in the family [23.5 percent of cases]. In addition to diffuse pain, the main symptoms presented were poor sleep quality, weariness, and paresthesia, with no difference between the groups; migraine had a greate...

2011-01-01

410

The health impact of pemphigus vulgaris and pemphigus foliaceus assessed using the Medical Outcomes Study 36-item short form health survey questionnaire

British Library Electronic Table of Contents (United Kingdom)

Summary Background Pemphigus vulgaris and pemphigus foliaceus are rare, potentially life-threatening, autoimmune disorders characterized by antibodies to epidermal adhesion molecules. Clinical characteristics are painful chronic erosions of mucous membranes and of the skin. There are only few published studies on the impact of the disease on the health status (HS) of patients with these conditions. Objectives To assess the impact of disease on the HS of patients with pemphigus. Methods Fifty-eight patients enrolled at the Bullous Skin Diseases Unit of IDI-IRCCS in the period January-June 2006 were assessed for their HS using the Medical Outcomes Study 36-item short form health survey (SF-36) questionnaire and for anxiety and depression using the Institute for Personality and Ability Testin...

2008-01-01

411

Tetracycline ulcers of the oesophagus

Severe paraquat poisoning: clinical and radiological findings in a survivor

Two cases of tetracycline ulcers of the oesophagus are reported and compared with thirteen other cases from the literature. In most cases, the patients had taken their capsules with little or no fluid just before going to bed. Some hours later they developed retrosternal pain that was intensified by swallowing. Endoscopy showed sharply demarcated greyish-white areas of mucosal damage which represented layers of stratified squamous cells, separated by oedema, and a dense neutrophilic infiltration of the lamina propria and the muscularis mucosa. Roentgenology was unsuitable to detect the lesions. They healed without complications within one to six weeks. Prolonged retention of the capsules in the oesophagus is thought to cause the mucosal damage. Patients on oral tetracycline or doxycycline treatment should therefore be instructed to take their capsules with a meal or with copious water and not just before going to bed.

1981-11-01

412

Severe paraquat poisoning: clinical and radiological findings in a survivor

Paraquat is a nonselective contact herbicide of great toxicological importance, being associated with high mortality rates, mainly due to respiratory failure. We report the case of a 22-year-old male admitted to the emergency room with a sore throat, dysphagia, hemoptysis, and retrosternal pain after the ingestion of 50 mL of a paraquat solution, four days prior to admission. Chest CT scans revealed pulmonary opacities, pneumomediastinum, pneumothorax, and subcutaneous emphysema. The patient was submitted to two cycles of immunosuppressive therapy with cyclophosphamide, methylprednisolone, and dexamethasone. The pulmonary gas exchange parameters gradually improved, and the patient was discharged four weeks later. The clinical and tomographic follow-up evaluations performed at four months after discharge showed that there had been further clinical improvement. We also present a brief review of the literature, as well as a discussion of the therapeutic algorithm for ...

413

Septal stimulation inhibits spinal cord dorsal horn neuronal activity

Paraquat is a nonselective contact herbicide of great toxicological importance, being associated with high mortality rates, mainly due to respiratory failure. We report the case of a 22-year-old male admitted to the emergency room with a sore throat, dysphagia, hemoptysis, and retrosternal pain after the ingestion of 50 mL of a paraquat solution, four days prior to admission. Chest CT scans revealed pulmonary opacities, pneumomediastinum, pneumothorax, and subcutaneous emphysema. The patient was submitted to two cycles of immunosuppressive therapy with cyclophosphamide, methylprednisolone, and dexamethasone. The pulmonary gas exchange parameters gradually improved, and the patient was discharged four weeks later. The clinical and tomographic follow-up evaluations performed at four months after discharge showed that there had been further clinical improvement. We also present a brief review of the literature, as well as a discussion of the therapeutic algorithm for ...

2010-07-01

414

British Library Electronic Table of Contents (United Kingdom)

Deep brain stimulation (DBS) has been used for relieving chronic pain in patients that have been through other existing options. The septum has been one of the targets for such treatment. The purpose of this study was to determine the inhibitory effect of electrical stimulation in the medial septum diagonal band of broca (MSDB) on neuronal activity in the spinal cord of rats anesthetized with sodium pentobarbital. While unilaterally stimulating the MSDB, wide dynamic range neurons in the lumbar region of the spinal cord were recorded in response to graded mechanical stimulation of the hind paws (brush, pressure, and pinch). Stimulation was at 1, 5, 10, and 20V, at 100Hz, and 0.1ms duration. Significant bilateral reduction was observed in response to pressure (ipsilaterally: 0.90+/-0.05, 0....

2011-01-01

415

Residual limb osteomyelitis: A case series from a national prosthetic centre

British Library Electronic Table of Contents (United Kingdom)

Purpose. To examine the impact of residual limb osteomyelitis (RLO) on the rehabilitation of lower limb amputees. Method. Retrospective review of the casenotes of patients with RLO. Information sought included details of amputation, clinical features of investigations for and management of RLO and its effect on rehabilitation. Results. There were seven transfemoral and three transtibial amputees. Indications for amputation were vascular disease in nine cases, trauma in one. In each case, delayed wound healing or residual limb pain prompted radiological, hematological and microbiological investigations. Average time between amputation and diagnosis was 187 days. One patient died before treatment commenced. Two transtibial amputees were treated with intravenous antibiotics while rehabilitati...

2009-01-01

416

Prevention of Mechanical Failures in Implanted Spinal Cord Stimulation Systems

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction. Spinal cord stimulation (SCS) is an effective procedure for the treatment of neuropathic extremity pain, with success rates approaching 70%. However, mechanical failures, including breakage and migration, can significantly limit the long-term effectiveness of SCS. A systematic analysis of surgical techniques was undertaken by a consensus group, coupled with extensive in vivo and in vitro biomechanical testing of system components. Methods. A computer model based on morphometric data was used to predict movement in a standard SCS system between an anchored lead and pulse generator placed in various locations. These displacements were then used to determine a realistic range of forces exerted on components of the SCS system. Laboratory fixtures were constructed to subj...

2006-01-01

417

Possible association of lower rate of postherpetic neuralgia in patients on anti-tumor necrosis factor-

British Library Electronic Table of Contents (United Kingdom)

Abstract Recently, a study of patients with rheumatoid arthritis who developed herpes zoster while taking a tumor necrosis factor (TNF)- inhibitor reported a decreased incidence of postherpetic neuralgia. The objective of this study was to investigate whether patients on TNF- inhibitors who developed herpes zoster have a lower incidence of subsequent development of postherpetic neuralgia. A retrospective review of herpes zoster patients on TNF- inhibitors (infliximab, etanercept, or adalimumab) was conducted in 12 dermatology clinics. Medical records of such patients were reviewed thoroughly to confirm herpes zoster and TNF- inhibitors and any subsequent development of postherpetic neuralgia (pain score -3 out of 10 after 90 days of shingles onset) was noted. A total of 206 cases were revi...

2011-01-01

418

Paralysis due to a glomangioma in a Macaca mulatta. Final report

Painful Love--Hispareunia- after Sling Erosion of the Female Partner

Glomangioma have many synonyms including: glomus tumors, tumors of neuromyoarterial glomi, angioneuromas, angioneuromyomas, neuromyoarterial glomi, painful subcutaneous tubercles, Popoff tumors or subcotaneous glomal tumors. They are common in humans, rare in nonhuman primates and to the best of our knowledge, have only been reported in irradiated rhesus. The neoplasms originate in arterial-venous shunts known as neuromyoarterial glomi which are commonly found beneath fingernails and fingertips, but have been reported in many locations both superficial and deep. The neoplasm can be confused with hemangiopericytomas, hemangiomas, paragangliomas, and leiomyomas, and must be definitely diagnosed ultrastructurally. A glomangioma at the 6-7 thoracic intervertebral space caused compression of the spinal cord with posterior paralysis in an irradiated 20-year-old female rhesus monkey (Macaca mulatta).

1984-01-01

419

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction.- Sling erosion/extrusion is a complication after suburethral sling insertion for female stress urinary incontinence that occurs in approximately 6% of patients. Symptoms may include vaginal discharge, infections, postcoital bleeding, and alterations of the sexual function. Little is known about the effect of sling erosion on the sexual function of the male partner. Aim.- The aim of this study was to determine male sexual function in partners of women who had undergone sling insertion for stress urinary incontinence and who developed sling erosion postoperatively. Main Outcome Measures.- Main outcome measures were the Brief Male Sexual Function Inventory (BMSFI) and visual analog scale (VAS) scores. Methods.- Male partners of patients who presented with sling erosion ...

2011-01-01

420

Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity: a systematic review

British Library Electronic Table of Contents (United Kingdom)

Background: Measurements from pressure biofeedback units (PBUs) can be used to evaluate the activity of the transversus abdominis (TrA) muscle indirectly. These measurements can classify patients or monitor the progress of treatment programmes for people with low back pain. Objective: To systematically review studies on the measurement properties of PBUs for the assessment of TrA activity. Data sources: Eligible studies were identified through searches of PUBMED, CINAHL and BIREME (1990 to 2009). In addition, hand searches of journals and citation tracking were performed. Study selection: Full-text studies involving any type of clinimetric tests of PBU measurement for the assessment of TrA activity were selected. Data extraction: Two independent reviewers selected the studies, extracted th...

2011-01-01

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421

Intestinal Ischemia for estenosis of the superior mesenteric artery, Treatment with angioplastia and stent implant

Influence of attention focus on neural activity in the human spinal cord during thermal sensory stimulation

Chronic mesenteric arterial ischemia is an uncommon condition associated a high morbidity and mortality. It is most Commonly caused by atherosclerotic occlusive disease. Patients may suffer epigastric or periumbilical postprandial pain ten to thirty minutes after eating. A case of chronic mesenteric artery stenosis, the diagnosis was performance with colonoscopy and biopsy. We present a case report of a patient with chronic mesenteric ischemia. Mesenteric arteriography was performed and documented estenosis of the mesenteric superior artery. Then percutaneous arteriography with angioplasty and implant of stent was performed. The patients became completely asymptomatic and normal colon mucous is observed in control colonoscopy. The purpose of this report is to present the case endoscopy, clinic and radiological features and to describe the percutaneous angioplasty and implant of stent. We believe that angioplasty treatment offers and improvement in this pathology ...

422

British Library Electronic Table of Contents (United Kingdom)

Perceptions of sensation and pain in healthy people are believed to be the net result of sensory input and descending modulation from brainstem and cortical regions depending on emotional and cognitive factors. Here, the influence of attention on neural activity in the spinal cord during thermal sensory stimulation of the hand was investigated with functional magnetic resonance imaging by systematically varying the participants' attention focus across and within repeated studies. Attention states included (1) attention to the stimulus by rating the sensation and (2) attention away from the stimulus by performing various mental tasks of watching a movie and identifying characters, detecting the direction of coherently moving dots within a randomly moving visual field and answering mentally-...

2011-01-01

423

Efficacy, tolerability, and safety of risedronate in Japanese patients with Paget?s disease of bone

British Library Electronic Table of Contents (United Kingdom)

This study evaluated the clinical efficacy of treatment with oral risedronate (17.5?mg once daily) for 8?weeks in 11 Japanese patients with Paget?s disease of bone (PDB). Risedronate suppressed the excessive bone turnover associated with PDB and improved several biochemical markers, including serum alkaline phosphatase (ALP), serum bone-specific ALP (BALP), urinary deoxypyridinoline (DPD), and urinary cross-linked N-telopeptide of type 1 collagen (NTX). These markers began to decrease within about 2?weeks after the initiation of treatment in most patients, and the response persisted for up to 40?weeks after the cessation of treatment. Risedronate reduced pain by week 24 in most patients. According to quantitative bone scintigraphy, the lesion with the highest radioisotope (RI) uptake showe...

2010-01-01

424

Effect of nonsteroidal anti-inflammatory drug plasters for knee osteoarthritis in Japanese: a randomized controlled trial

British Library Electronic Table of Contents (United Kingdom)

The objective of this study was to examine the effect of a nonsteroidal anti-inflammatory drug (NSAID) plaster for knee osteoarthritis among Japanese patients. An open-labeled, randomized, controlled, multiclinic trial was performed involving outpatient clinic groups. Two comparative groups?plaster NSAIDs and oral NSAIDs?were randomly allocated. The drugs used were limited to the current top three in both groups in Japan. Treatments were assessed after four?weeks and compared with the baseline scores. Outcomes were evaluated by two psychometric measures: Japanese knee osteoarthritis measure, and pain with the visual analogue scale. The total number of patients included in the final evaluation was 165 (87 for the plaster group and 78 for the oral group). Between these two groups there were ...

2010-01-01

425

Effect of knee joint cooling on the electromyographic activity of lower extremity muscles during a plyometric exercise

British Library Electronic Table of Contents (United Kingdom)

During sporting events, injured athletes often return to competition after icing because of the reduction in pain. Although some controversy exists, several studies suggest that cryotherapy causes a decrease in muscle activity, which may lead to a higher risk of injury upon return to play. The purpose of this study was to investigate the effect of a 20-min knee joint cryotherapy application on the electromyographic activity of leg muscles during a single-leg drop jump in twenty healthy subjects, randomly assigned to an experimental and a control group. After the pre-tests, a crushed-ice bag was applied to the knee joint of the experimental group subjects for 20min, while the control group subjects rested for 20min. All subjects were retested immediately after this period and retested again...

2010-01-01

426

Early spondyloarthropathy: scintigraphic, biological, and clinical findings in MRI-positive patients

British Library Electronic Table of Contents (United Kingdom)

There are no specific diagnostic tests or a gold standard method for measuring disease activity and outcome in spondyloarthropathies (SpA). Many different methods have been developed to assess the signs and symptoms in SpA. The aim of this study was to evaluate the value of scintigraphy, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and Bath Ankilosing Spondylitis Disease Activity Index (BASDAI) in the evaluation of disease activity in early axial SpA diagnosed with magnetic resonance imaging (MRI). Thirty early MRI-positive axial SpA patients (23 males, 7 females) with a median age of 35 (18?55) years and a median duration of inflammatory low back pain of 24 (8?60) months were included in the study. In the patients with sacroiliitis, the sensitivity, specificity, and pos...

2008-01-01

427

Correlation of MRI and histomorphological findings in bone marrow oedema syndrome of the hip

Computed Tomography of the spine in multiple myeloma

In 15 patients (16 hip joints) we found the clinical and radiological signs of BMOS. On T1-weighted MRI images areas of low signal intensity could be observed in the head, neck and the intertrochanteric region of the femur in various extensions. These areas showed a significant increase in signal intensity on the T2-weighted images. Because pain was resistant to conservative therapy all these patients were treated by core decompression of the femoral head in a prospective study. Bone cores were evaluated histologically using undecalcified sections and quantitative microradiography. The existence of intramedullary oedema in exactly the regions exhibiting the MRI pattern of bone marrow oedema was verified histologically; however, bone and marrow changes similar to those of early avascular necrosis (AVN) were also visible. (orig.)

1993-10-01

428

Aspirin Use Is Associated With an Improved Long-Term Survival in an Unselected Population Presenting With Unstable Angina

Computed Tomography (CT) of the spine was performed on 17 patients with myeloma in order to assess the role of the technique in recognizing and evaluating the extent of the lesions. Myelomatous lesions followed two patterns at CT: first of all, multiple focal lesions, whose density is either solid, liquid, or fatty; second, an extensive pattern involving the spongiosa of the vertebra, including the posterior arch. CT detected more lesions than conventional radiology; furthermore, the extent of the lesions was much better demonstrated by CT. CT should thus be performed: a) in case of pain and/or neurological findings in negative radiological examinations; b) to evaluate the extent of myelomatous lesions (mainly in the spine); c) in solitary myeloma CT may be performed on different bone segments with clinical symptomatology but normal X-ray findings.

1988-01-01

429

British Library Electronic Table of Contents (United Kingdom)

AbstractBackground Few published data are available on the benefits of aspirin use in patients with unstable angina (UA). Hypothesis Aspirin use carries a mortality benefit in a population-based cohort of patients presenting with UA. Methods All residents of Olmsted County, Minnesota presenting to local emergency departments with acute chest pain from January 1985 through December 1992 having symptoms consistent with UA were identified through medical records. A total of 1628 patients were identified with UA and were stratified by aspirin use in-hospital and at discharge. Cardiovascular mortality and nonfatal myocardial infarction and stroke were assessed over a median of 7.5 years follow-up and all-cause mortality data over a median of 16.7 years. The mean age of patients with UA was 65 y...

2010-01-01

430

Amphiphysin (Amph) maps to the proximal region of mouse chromosome 13

A novel BMT technique for treatment of various currently intractable diseases

Amphiphysin is a protein concentrated in neuronal synapses and peripherally associated with neurotransmitter vesicles. It is expressed in many neurons of the central and peripheral nervous systems, in the adrenal medulla, in the anterior and posterior pituitary, in cell lines of the endocrine pancreas, and in spermatocytes. Its subcellular localization and tissue distribution indicate a potential involvement in mechanisms of regulated exocytosis. A role in the dynamic organization of the membrane-associated cytoskeleton is suggested by structural homology to the products of two yeast genes, RVS161 and RVS167, whose mutation results in an abnormal actin distribution, disturbs budding morphology, and impairs cell entry into stationary phase. Limited stretches of sequence similarity, including an SH3 domain, are also shared with other actin-binding proteins. Amphiphysin is the dominant autoantigen in paraneoplastic Stiff-Man syndrome, a neurological autoimmune disorder characterized by ...

1995-07-20

431

British Library Electronic Table of Contents (United Kingdom)

A recently-developed BMT method combines a ''Perfusion Method'' (PM) for collecting bone marrow cells (BMCs) with the Intra-Bone Marrow (IBM) injection of BMCs (IBM-BMT). As distinct from the conventional aspiration method (AM), the PM allows rapid (within 1 h) collection of BMCs without T cell contamination (T cells < 10%). Therefore, no GvHD occurs. Moreover, the burden on donors, such as back pain, bleeding and infection, can be reduced. Full chimerism can be achieved even with only mild conditioning regimens if IBM-BMT is carried out, since IBM-BMT replaces not only the recipient's hemopoietic stem cells (HSCs) but also mesenchymal stem cells (MSCs) with donor-derived HSCs and MSCs. Using this method, we show that most currently intractable diseases are HSC or MSC disorders, and that t...

2011-01-01

432

Tetracycline hydrochloride sclerotherapy; renal, hepatic, ovarian, and perivesical cysts

Primary spinal epidural extraosseous Ewing's sarcoma: Report of five cases and literature review

To assess the efficacy and resulting complications of tetracycline sclerotherapy in renal, hepatic, ovarian, and perivesical cysts. We retrospectively reviewed 23 cases of benign cysts (16 renal, 4 hepatic, 2 ovarian, and 1 perivesical) in 22 patients in whom the condition was diagnosed or confirmed by either ultrasound, CT, or cytology, and who underwent percutaneous tetracycline sclerotherapy. Using a 21-gauge Chiba needle, the target cyst was punctured under ultrasound guidance. Prior to the injection of 1500 mg of tetracycline diluted in 5 ml of normal saline, almost all the cystic content was aspirated, and at the end of the procedure the tetracycline was left in the cyst. During a period of between 3 and 22 months, 18 of the 23 cases were followed up. In six of the 18 cases followed up, the cysts either decreased in size by 10%, or collapsed completely. In seven cases a collapse of over 50% was noted, and in the remaining five the cyst recurred. In one of these, complete collapse ...

2000-11-01

433

Computed Tomography diagnosis of skeletal involvement in multiple myeloma

Ewing's sarcoma is the most common malignant bone tumour occurring in children and adolescents and exists in two different clinico pathological entities: osseous Ewing's sarcoma (OES) and extraosseous Ewing's sarcoma (EES). Five cases of primary epidural EES are described, which presented with non-specific symptoms leading to a long diagnostic delay. The median age at diagnosis was 22 years (range 13-36 years). The median diagnostic delay was 3 months. All patients had one or more neurological deficits. All underwent surgical exploration with a laminectomy and partial resection followed by adjuvant radiotherapy to a dose of 46-50 Gy and chemotherapy with VAC (vincristine, adriamycin and cyclophosphamide) alternating with ICE (ifosphamide, cisplatin and etoposide) for at least six cycles. The mean follow-up period is 21.2 months (range 11-32 months). Four of the five patients achieved a complete remission and are disease free at the time of writing this report. Two patients have a ...

2001-08-01

434

Wall thinning trend analyses for secondary side piping of Korean NPPs

The authors assess the role of Computed Topography in the diagnosis and management of multiple myeloma (MM) and investigate if Computed Tomography findings can influence the clinical approach, prognosis and treatment. 273 multiple myeloma patients submitted to Computed Tomography June 1994, to December, 1996. The patients were 143 men and 130 women (mean age: 65 years): 143 were stage I, 38 stage II and 92 stage III according to Durie and Salomon's clinical classification. All patients were submitted to blood tests, spinal radiography and Computed Tomography, the latter with serial 5-mm scans on several vertebral bodies. Computed Tomography despicted vertebral arch and process involvement in 3 cases with the vertebral pedicle sign. Moreover, Computed Tomography proved superior to radiography in showing the spread of myelomatous masses into the soft tissues in a case with solitary permeative lesion in the left public bone, which facilitated subsequent biopsy. As for extraosseous ...

1994-06-01

435

The role of computed tomography in complex facial trauma

Since the mid-1990s, nuclear power plants in Korea have experienced wall thinning, leaks, and ruptures of secondary side piping caused by flow-accelerated corrosion (FAC). The pipe failures have increased as operating time progresses. In order to prevent the FAC-induced pipe failures and to develop an effective FAC management strategy, KEPRI and KOPEC have conducted a study for developing systematic FAC management technology for secondary side piping of all Korean nuclear power plants. As a part of the study, FAC analyses were performed using the CHECWORKS code. The analysis results were used to select components for inspection and to determine inspection intervals on each nuclear power plant. This paper describes the introduction of the FAC analysis method and the wall thinning trend analysis results by reactor type, system, and water treatment amine. This paper also represents the site application feasibility for secondary side piping management. The site ...

2003-08-17

436

The morphological modification of electrolytic silver during the OCM reaction and it`s effect on catalysis

Tridimensional localization of bone and soft tissue injuries in complex facial trauma is fundamental for treatment. The face can be conceptualized as 3 groups of interconnected osseous struts that are oriented in the horizontal, sagittal and coronal planes. Each group of struts is closely related to specific soft tissue structures that are susceptible to injury. Any single CT section in the coronal plane or in the axial plane contains parts of one or more these struts. Facial CT in biplane were performed in 32 patients of facial trauma. The most common site of facial fractures is found in middle part of horizontal struts, geometrically in anteromedial portion of the inferior orbital fissure of the face. The most common soft tissue injury combined with facial fracture is hematoma and/or herniated orbital contents into the maxillary sinus. The serious combined soft tissue injuries were ocular rupture, retroorbital hematoma and optic nerve injury resulting blindness. ...

1988-02-15

437

The French design code: RCC-M status and on-going developments

Strong support for the existence of catalytically-active, sub-surface oxygen is proposed. The existence of two types of sub-surface oxygen was determined by thermal-desorption spectroscopy (TDS). The first is termed O{sub {beta}} and is characterized by a board thermal-desorption peak centered at approximately 773 K. The second is referred to as O{sub {gamma}} and is characterized by an unsaturated thermal desorption signal beginning at approximately 873 K. O{sub {gamma}} is assigned to oxygen which is incorporated in the uppermost layers of low-indexed terminating crystal structures such as (111) formed as a result of thermal reordering. O{sub {beta}} diffusion occurs most likely via interstitial jumping and O{sub {gamma}} via interstitialcy diffusion. Both CH{sub 4} conversion and C{sub 2} selectivity improve with time on stream. This improvement in catalytic performance correlates well with surface facetting and particle rupture, which occurs as a result of ...

1998-12-31

438

Supporting Thermal Hydraulic Calculations for the SGTR Event Tree of SMART Level 1 PSA

Since 1978, an important effort has been on-going between Framatome and Electricite de France (EDF) to develop and update technical rules for the design and construction of nuclear power plants. Two design codes are developed, one for PWRs: RCC-M and one for FBRs: RCC-MR. After some comments on the organization of RCCM Commission, the paper presents: (1) the major differences with the ASME Section III Code for fatigue, plastic shakedown and rupture analysis; (2) the review of some important facts in terms of availability or maintenance costs (in-service inspection, replacements, repairs, etc.) of operating plants like underclad cracking, stratification, CRDM nozzles, cast elbows, steam generator tubes, etc.; (3) how can one take into consideration this operating feedback in RCC-M Code; and (4) few examples of major on-going developments for fracture analysis on different components and fatigue analysis of valves. In conclusion, the standardization of the plants is ...

1996-07-21

439

Studies on thermal degradation and termite resistant properties of chemically modified wood

SMART (System integrated Modular Advanced ReacTor) , is under development at the Korea Atomic Energy Research Institute (KAERI). SMART is an integral type pressurized water reactor which contains a pressurizer, 4 reactor coolant pumps (RCPs), and 8 steam generator cassettes(S/Gs) in a single reactor vessel. This reactor has substantially enhanced its safety with an integral layout of its major components, 4 trains of safety injection system (SIS), and an adoption of 4 trains of passive residual heat removal system (PRHRS) instead of an active auxiliary feedwater system . The thermal power is 330 MWth. During the conceptual design stage, a preliminary PSA was performed. PSA results identified that a steam generator tube rupture (SGTR) is one of the most important initiating events which results in a high core damage frequency. Clear understanding of accident progression with various combinations of the safety systems helps to develop an event tree of SGTR accident ...

2010-10-01

440

Report of the US Nuclear Regulatory Commission Piping Review Committee. Volume 3. Evaluation of potential for pipe breaks

A series of experiments were carried out to examine the resistant capacity of a chemically treated hard wood, Anthocephalus cadamba (Roxb) Miq. to thermal and termite degradation. The treatment with thermosetting resins viz. urea formaldehyde (UF), melamine formaldehyde (MF) and phenol formaldehyde (PF) at 31-33 levels of weight percent gain (WPG) increased the strength property i.e. modulus of rupture (MOR) by 7.50-21.02% and stiffness i.e. modulus of elasticity (MOE) by 9.50-12.18% over the untreated one with no remarkable effect on specific gravity. The treated samples were found resistant to termite attack, while the untreated one was badly damaged by termites on 12 months' exposure to a termite colony. The thermal degradations of untreated and treated wood samples were studied using thermogravimetric (TGA) and differential thermogravimetric (DTG) techniques at heating rates 20 and 30 {sup o}Cmin{sup -1} in temperature range 30-650{sup o}C. The treated ...

2002-09-01

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441

Refinement and evaluation of crack-opening-area analyses for circumferential through-wall cracks in pipes

The Executive Director for Operations (EDO) in establishing the Piping Review Committee concurred in its overall scope that included an evaluation of the potential for pipe breaks. The Pipe Break Task Group has responded to this directive. This report summarizes a review of regulatory documents and contains the Task Group's recommendations for application of the leak-before-break (LBB) approach to the NRC licensing process. The LBB approach means the application of fracture mechanics technology to demonstrate that high energy fluid piping is very unlikely to experience double-ended ruptures or their equivalent as longitudinal or diagonal splits. The Task Group's reommendations and discussion are founded on current and ongoing NRC staff actions as presented in Section 3.0 of this report. Additional more detailed comments and discussion are presented in Section 5.0 and in Appendices A and B. The obvious issues are the reexamination of the large pipe ...

1984-11-01

442

Progress on fatigue characterization of ITER primary first wall mock-ups

Leak-before-break (LBB) analyses for circumferentially cracked pipes are currently being conducted in the nuclear industry to justify elimination of pipe whip restraints and jet impingement shields which are present because of the expected dynamic effects from pipe rupture. The application of the LBB methodology frequently requires calculation of leak rates. These leak rates depend on the crack-opening area of a through-wall crack in the pipe. In addition to LBB analyses, which assume a hypothetical flaw size, there is also interest in the integrity of actual leaking cracks corresponding to current leakage detection requirements in NRC Regulatory Guide 1.45, or for assessing temporary repair of Class 2 and 3 pipes that have leaks as are being evaluated in ASME Section 11. This study was requested by the NRC to review, evaluate, and refine current analytical models for crack-opening-area analyses of pipes with circumferential through-wall cracks. Twenty-five pipe ...

1995-04-01

443

Probabilistic fracture assessment of TAPP 3-4 PHT piping

In 2001, EFDA has assigned to ENEA a contract for the thermomechanical testing of six mock-ups of the ITER primary wall module. These small scale mock-ups, reproducing representative portions of the reference ITER primary wall panels, were fabricated during ITER EDA phase by solid hot isostatic pressing (HIPping) of an AISI 316L stainless steel back structure to a alumina dispersion strengthened (DS)-Cu alloy heat sink armored with beryllium tiles. The experimental program, carried-out at ENEA Brasimone CEF 1-2 thermal hydraulic facility, was focused on the thermal mechanical testing of these mock-ups aiming at verifying which tile geometry and manufacturing procedure assures the required reliability of the beryllium/DS-Cu alloy/SS joints at high incident heat flux (>0.8 MW/m"2) both at steady state and under thermal fatigue tests. The paper presents the progress in the experimental activity of the first test campaign and the main thermomechanical FEM analyses after the detachment ...

2003-09-01

444

Primary coolant depressurization facility

Methodology based on probabilistic fracture mechanics (PFM) is finding increasing acceptability in demonstrating safety of Nuclear Power Plant (NPP) piping. In PFM, the methods of fracture mechanics and reliability theory are combined for assessing the reliability of components, which contain cracks. In this work, reliability assessment of Tarapur Atomic Power Plant (TAPP) 3-4 Primary Heat Transport (PHT) piping is done using PFM. Monte Carlo simulation with stratified sampling is used as a variance reduction technique. PFM model assumes a pre-existing circumferential surface crack before the start of plant operation. The crack grows in size during the lifetime of the plant due to the fatigue loading. This part-through wall crack having escaped hydro-test and pre-service inspection, may result in either a through wall flaw (leak) or may lead to the rupture of the piping. R6 method is used as failure criteria. Steam generator inlet (SGI), steam generator outlet ...

2005-12-01

445

Pipe-to-pipe impact program

In a PWR type reactor, a primary coolant circuit system using a steam generator is adopted in order to accelerate depressurization of a primary coolant circuit upon small rupture LOCA in which the pressure of the primary coolant circuit is moderately depressurized. A secondary coolant circuit depressurization valve is disposed to a main steam pipeline. The valve has a performance of automatically opening to remove heat by evaporation of water stored in SG for a short period of time when the pressure in the primary circuit is decreased to about 50kg/cm[sup 2] upon occurrence of LOCA or the like. Then, the secondary side of the SG is depressurized to about atmospheric pressure and gravitational water injection from a condensate tank is started. Further, a gas vent valve is disposed to a water chamber of the steam generator. The valve has a performance of automatically opening to discharge incondensible gas mixed to the primary coolant circuit to the outside of the ...

1992-10-14

446

Oil-filled, multi-core cable with at least one conductor differing from others

The objective of this research was to determine the extent of damage that occurs when two pipes experience an impact event due to one whipping against the other. The research was conducted through experimental and analytical approaches. The former required the development of a specialized impact machine that could accelerate a whipping pipe with sufficient energy to cause failure of a target pipe that was heated and pressurized to Pressurized Water Reactor (PWR) conditions. Damage was measured in terms of crushing, bending, and failure. The results of the tests permitted the correlation between pipes of a certain size and the damage they could cause when impacting with a certain amount of known energy. These results were used to evaluate the pipe whip criteria in the Standard Review Plan 3.6.2-4. It was established that the criteria conditions did not fully represent the results obtained experimentally. An analysis procedure to model the pipe whip event was developed and used to ...

1987-05-01

447

Oil pipeline valve automation for spill reduction

This patent discloses an oil-filled, multi-core, electric cable having three cores within a metal sheath suitable for underwater applications. Each core has a conductor surrounded by insulation and has substantially the same outer dimensions as the other cores. One conductor is made of copper and has a central oil duct. The other conductors are made of stranded aluminum wires in side-by-side and contacting relation and the ratio of the cross-sectional area of the metal of the copper conductor to the cross-sectional area of the metal of each aluminum conductor is the reciprocal of the ratio of the electrical conductivities thereof. One object of this invention is that of overcoming the drawbacks existing in the known oil-filled, multi-core cables, i.e. to provide cable which, in case of a rupture of the cable sheath, has fairly small leakages of insulating, fluid oil from the cable and at the same time permits a reduction in the weight of the cable for equal power ...

1987-02-03

448

Nanomechanical properties of vimentin intermediate filament dimers

Liquid pipeline codes generally stipulate placement of block valves along liquid transmission pipelines such as on each side of major river crossings where environmental hazards could cause or are foreseen to potentially cause serious consequences. Codes, however, do not stipulate any requirement for block valve spacing for low vapour pressure petroleum transportation, nor for remote pipeline valve operations to reduce spills. A review of pipeline codes for valve requirement and spill limitation in high consequence areas is thus presented along with a criteria for an acceptable spill volume that could be caused by pipeline leak/full rupture. A technique for deciding economically and technically effective pipeline block valve automation for remote operation to reduce oil spilled and control of hazards is also provided. In this review, industry practice is highlighted and application of the criteria for maximum permissible oil spill and the technique for deciding ...

2003-07-01

449

Modelling the effects of a radiation induced polymer impregnation on the moisture of wood-polymer composites

The cell's cytoskeleton, providing the cell with structure and shape, consists of a complex array of structural proteins, including microtubules, microfilaments and intermediate filaments. Intermediate filaments play a crucial role in mechanotransduction and in providing mechanical stability to cells, in particular under large deformation. By utilizing molecular simulation, here we report a nanomechanical analysis of vimentin intermediate filament dimers, the basic building blocks of intermediate filaments. We describe a detailed analysis of the mechanical properties and associated deformation mechanisms, and find that mechanical stretch induces a transition from alpha-helices to beta-sheets, a phenomenon known as alpha-beta transition. A comparison of the Young's modulus predicted from simulation with experimental measurements is provided, and good agreement is found. We present an analysis of structural changes during deformation, domain unfolding patterns, rate dependence of the ...

2009-10-21

450

Modelling the effects of a radiation induced polymer impregnation on the moisture of wood-polymer composites

The adverse effect of moisture diffusion on the properties of wood has been one of the main weaknesses of wood. Using a gamma irradiation method, wood-polymer composites have been produced which exhibit significant improvement in mechanical properties like compression, creep deformation and creep rupture particularly at high humidity. It has been thought that the impregnation of polymer into the wood has affected the moisture diffusion in the wood, so that its adverse effects on the mechanical properties has been reduced. In this report the apparent diffusion coefficients of a Ramin wood impregnated with varying amounts of polymethyl methacrylate (PMMA) were determined using a Fick's law approach. An initial linear relationship was found for impregnation of up to 70% PMMA, after which the diffusion coefficient levels off to a maximum value, for the three environmental relative humidity levels of 40, 60 and 90({plus minus}5)%. The phenomenon could be ...

1989-01-01

451

MRI in definition of bleeding source, lesion pattern and therapy in haemarthros of the knee

The adverse effect of moisture diffusion on the properties of wood has been one of the main weaknesses of wood. Using a gamma irradiation method, wood-polymer composites have been produced which exhibit significant improvement in mechanical properties like compression, creep deformation and creep rupture particularly at high humidity. It has been thought that the impregnation of polymer into the wood has affected the moisture diffusion in the wood, so that its adverse effects on the mechanical properties has been reduced. In this report the apparent diffusion coefficients of a Ramin wood impregnated with varying amounts of polymethyl methacrylate (PMMA) were determined using a Fick's law approach. An initial linear relationship was found for impregnation of up to 70% PMMA, after which the diffusion coefficient levels off to a maximum value, for the three environmental relative humidity levels of 40, 60 and 90(#+-#5)%. The phenomenon could be explained by means of a ...

1989-01-01

452

Ionic conductivity enhancement for lithium solid electrolyte; Lithium ion dodensei kotai denkaishitsu no dodensei kojo kiko no kaimei

Patients with haemarthros of the knee were examined by MRI and arthroscopy to identify the bleeding source and to determine surgical or conservative therapy. A prospective study was performed on 120 patients who underwent MRI and arthroscopy, point lesions and bleeding sources were documented separately on a standardised form. Arthroscopy demonstrated a ruptured anterior cruciate ligament in 86%, meniscal tears in 55%, disruption of collateral ligaments in 17%, osteochondral lesions in 5% and tears of capsule or plicae in 13%. Disruption of cruciate ligaments caused haemorrhage in all but three cases. In contrast, only meniscal tears located very adjacent to the meniscal basement had bled. Those types of osteochondral lesions caused haemorrhage characterised on MRI by destruction of the subchondral plate and overlying cartilage. Severe lesions of the knee were diagnosed by MRI in 71% to 100%, slight lesions in 13% to 40% of the cases. Single, combined and bland ...

453

Interaction of energetic beams with metals and semiconductors - a computational approach

For the development of high ionic conductive solid electrolyte, LiTi2(PO4)3 (LTP), one of the promising inorganic solid electrolyte, was synthesized to investigate an effect of additional lithium salt on the ion conductivity. Lithium salt added LTP composite electrolyte sintered at 900{degree}C exhibited highest conductivity, which was two order magnitude higher than pure LTP. Effects of lithium salt addition are as follows. Conductivity of the composite electrolyte provided larger sintering temperature dependence than the pure LTP. From X-ray diffraction analysis, structures and compositions were resemble between two composite electrolytes. Byproducts except LTP provided rather low conductivity. It was suggested that melted constitution in the composite can affect the sintering improvement by the additional lithium salt at temperatures over 800 {degree}C. From the observation of ruptured surface of sintered specimens, grain growth was found only for the composite ...

1996-08-01

454

Imaging techniques for the injured ankle joint and tarsal bones

In a vacuum insulator, the narrow electron beam emitted from the cathode impinges on the anode and raises its temperature and also may produce high thermal stress. This high thermal stress, in conjuction with the surface electrostatic pressure may rupture the surface and detach particles from it. In this thesis, the interaction of high energy electron and laser beams with metals and semiconductors is investigated. The differential equations governing the physical processes involved in the interaction are solved by the finite element method. Effects of beam penetration into the material, variable beam reflectance at the surface, finite beam size and dependence of material properties on temperature are accounted for. The two-phase moving boundary problem, also known as the Stefan problem, is solved by an enthalpy formulation of the heat equation. Material deformation by thermal stresses caused by high temperature gradients and electrostatic forces induced by space ...

1984-01-01

455

Fatigue crack growth in steam turbine rotor steels in near realistic media

In the case of injuries of the ankle joint, an imaging technique is expected to reveal the state of the bones, ligaments, and articular cartilage. Irrespective of novel imaging techniques, a plain radiography will be made in order to obtain a first picture of the injury. Examples are given, showing that further orientation along the Lauge-Hansen classification scheme of this type of injury helps to completely ascertain the damage to the Articulatio talocruralis. Further examinations applying specific methods such as arthrography will detect possible, isolated syndesmosis ruptures; lesions of the ligaments can also be directly detected by CT or MRT. The articular cartilage and its lesions can be visualized by a combination of CT and arthrography, but are better shown by the completely non-invasive MRT. This latter method also gives insight into pathological processes with the bone. It allows to detect necrotic bone regions and their re-vitalisation in patients with ...

456

Experimental studies of pipe whip and impact: Final report

In this study, growth measurements of fatigue cracks in air and various simulated media for steam turbines were made by means of rupture-mechanical methods. In this connection, it was detected that even pure water leads to a clear increase in the fatigue crack rates of low-pressure rotor steels. In this connection, it was striking to observe that the crack propagation velocities at 100"0C were higher than at 160"0C. It is probable that the kinetics of the film formation at the crack tip was of importance. The inhibiting effect of the alkaline solutions is explained by the increasing stability of a film of Fe(OH)_2 at an increased pH value. Neither the frequency response nor the fractographic result indicate an influence of the stress crack corrosion. This can be explained by the fact that the incubation period (= the period to initiate an intercrystalline crack caused by stress crack corrosion at a transcrystalline fatigue crack tip) in the fatigue test cannot be ...

1988-03-17

457

Experimental and analytical studies of 4-inch pipe whip tests under PWR LOCA conditions

An experimental and computational study was undertaken to estimate the effects of pipe rupture and induced pipe whip impact on surround structures considered either as rigid or deformative such as concrete slabs. This program included sixteen tests using 3 inch schedule 80 (or 10) pipes made of carbon steel similar to A106 grade B. The study consisted of tests on rigid target and on concrete slab. The investigation of whip phase and impact phase was done separately for each test. For pipe impact on rigid targets, the impact forces are found to be directly related to the crush strength of the pipe and the general pipe deformation following the impact. For pipe impact on concrete slabs, the response of the target to the pipe impact needs to take into account the local effect such as penetration and localized damage on the slab. The test matrix covered a broad range of geometric parameters. It provides a significant data base for studying pipe whip and impact ...

1987-02-01

458

Effects of moisture content on bending properties and creep behavior of phenolic-resin-treated particleboards; Fenoru jushi ganshin shori particleboard no seiteki mage oyobi mage creep seino ni oyobosu gansuiritsu no eikyo

The purposes of the pipe rupture studies at the Japan Atomic Energy Research Institute are to perform the model tests on the pipe whip of a pipe-restraints system, to get jet impingement force and blowdown thrust force, and to establish the computational method for the analysis of these phenomena. This paper presents the experimental and analytical results of the pipe whip tests carried out under the PWR LOCA conditions using the test pipe of 4-inch diameter and the U-shaped restraints. In the tests, the gap between the test pipe and the restraints was set nearly constant and the overhang length was 250 mm, 400 mm or 650 mm. The dynamic strains and residual deformations of the test pipe and restraints, and the restraint force were measured to clarify the effects of the overhang length on the pipe whip behaviors of the pipe-restraints system. It was confirmed from the pressure data that the present pipe whip tests were performed under the PWR LOCA conditions. ...

459

Effect of the molybdenum content and of further factors on the creep strength of high-temperature, CrMoV alloy tube steels. [chemical composition of the steels 0,4-1,2% Cr, 0,2-1% Mo, 0,15-0,3% V

The effects of the rate of resin addition and moisture content (MC) on the static bending properties and creep behavior of phenol-resin-treated particleboards are investigated. The modulus of rupture (MOR) of phenol-resin-treated boards shows the maximum value at 7 to 9 percent MC and large decreases at 19 to 28 percent MC, retaining values about 30 to 40 percent lower than those in the oven dry condition. The bending property is improved with the increase of low molecular weight resin content, and the tendency is obvious when MC is high. Creep compliance tends to increase with the increase of MC, and the rate of increase is larger with smaller resin content. The value of creep compliance after 48 hours under load becomes about 1.8 times the value in the dry condition at 7 to 9 percent MC, and about 2 times the value when MC increases to 19 to 27 percent from 7 to 9 percent. In addition, the orientation of particleboard has the most effective effect on the ...

1998-04-15

460

Effect of percutaneous transluminal angioplasty in insufficiency of arteriovenous fistula for hemodialysis

With regard to long-term high-temperature strength, molybdenum is an effective alloying element but rather expensive as well. The author describes its influence on high-temperature strength properties of CrMoV alloyed steel. Besides molybdenum, also vanadium and carbon have an increasing effect on limiting rupture stress which furthermore may be effected by heat treatment, the cooling rate being a dominating factor in this process. To guarantee optimum long-term high-temperature strength properties, a minimum of a least 0.5% Mo and 0.35% V is required. The cooling rate after austentizing must be high enough to enable transformation in the bainitic structure to take place. A two-to-three-hour tempering treatment at about 720/sup 0/C is regarded as an optimum.

1988-07-01

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461

Effect of antioxidants on aging of nuclear plant cable insulation

To evaluate the effectiveness of percutaneous transluminal angioplasty(PTA) and to determine the factors affecting the long-term patency rate in the management of insufficient hemodialytic arteriovenous fistula(AVF). Forty-nine cases of insufficient hemodialytic AVF were treated in 44 patients(native AVF:20, graft AVF:29, M:17, F:27, Age:22-70 years). In 28 thrombus patients, thrombolysis was performed with urokinase, and was followed by PTA. The initial success rate and complications of PTA were evaluated. According to the site and length of the stenosis, type and age of the AVF, the presence or abscence of thrombus, a history of diabetic mellitus, the patient's age, and the duration of renal failure, patency rates were compared within each subgroup using the Kaplan-Meier logrank test. The initial success rate of PTA for insufficient hemodialytic AVF was 88%(43/49), the patency rate of PTA was 67% at 6 months, and 50% at 12 months. The initial success rate of thrombolysis was ...

1999-06-01

462

Development of modified 9 Cr-1 Mo steel for elevated-temperature service

The effects of various antioxidants and antioxidant concentrations on the radiation and thermal stability of EPDM and XLPE polymers used for insulation of electric cable in nuclear power plants were measured. The objective was to determine if particular antioxidants could be identified as being especially effective for stabilization against radiation aging and combined thermal and radiation aging. Elongation to rupture was used as the measure of stability. Materials were irradiated to doses up to 2 MGy (200 Mrad) at a dose rate of 200 to 300 Gy/h in the Cobalt-60 Gamma Irradiation Facility at the University of Virginia. All of the antioxidants tested, which were known to provide excellent thermal stability, also provided good stability for radiation aging and combined thermal/radiation aging, although small differences between antioxidants were noted. No antioxidant or antioxidant combination was identified as being especially outstanding. Stabilization against ...

463

Determination of parameters of the environment for equipment qualification at the Dukovany NPP. Post-accident parameters on the +14.7 m floor. Operating parameters on the +14.7 m floor and in the hermetic zone. Rev. 4

The status of development and commercialization of a modified 9 Cr-1 Mo alloy is presented. The alloy is modified by the addition of 0.06 to 0.10% Nb and 0.18 to 0.25% V. The alloy is recommended for use in the normalized and tempered condition (1040"0C for 1 h, air cooled to room temperature; 760"0C for 1 h, air cooled to room temperature). Heat treatment, Charpy impact, tensile, and creep properties of the alloy are described in detail along with a brief description of other properties. The modified alloy has creep strength that exceeds that of standard 9 Cr-1 Mo and 2 1/4 Cr-1 Mo steels for the temperature range from 427 to 704"0C. The total-elongation and reduction-of-area values for all test temperatures and rupture times up to 22,500 h exceed 15 and 70%, respectively. The estimated design allowable stresses for this alloy are higher than those for standard 9 Cr-1 Mo and 2 1/4 Cr-1 Mo steel. At 550"0C and above, these values are twice those of the other ...

1983-06-19

464

Core and containment safety analyses for the reduction of boron concentration in the boron injection tank of Daya Bay Nuclear Power Station

A detailed outline of the application of the MELCOR and RELAP5/MOD3.1 codes to the analysis of the thermohydraulic response and determination of other parameters of the medium on the floor is given for several classes of secondary coolant circuit accidents along with the description of the related facilities. An overview is presented of the maximum values and time behavior of the thermohydraulic parameters, pressure, temperature, relative humidity, and water level on the floor. Transverse rupture of the steam generator, main steam header, or main feedwater header piping during normal operation is considered as the initiating event. Pressure is only 10% higher than the atmospheric pressure. Air temperature attains a value as high as 100 degC. Relative humidity is 100%, persisting as long as the steam source is available. The water level is typically about 8 cm and never exceeds 15 cm. (M.D.). 16 tabs., 37 figs., 32 refs.

465

CT diagnosis of subphrenic abscess after splenectomy for trauma; Ruolo della tomografia computerizzata nella valutazione degli ascessi subfrenici dopo splenectomia post-traumatica

The design boron concentration of the Boron Injection Tank (BIT) in Daya Bay Nuclear Power Station is 21000 #mu#g/g. The BIT should operate under high temperature to avoid boron crystallization, causing higher evaporation, frequent water makeup, higher deposition and pipe blockage to decrease the operability of the safety injection system. The author proposes to decrease the boron concentration in BIT from 21000 #mu#g/g to 7000 #mu#g/g to solve the existing problem. The safety analyses (core DNBR and containment response) are conducted and other impacts are evaluated for the BIT reduction. The analysis results show that the core DNBR meets the safety criterion and the containment pressure is within the design value for the steam line rupture accident after the BIT reduction. The feasibility study report of Daya bay BIT reduction has been approved by NNSA. The site implementation of BIT reduction has been finished successfully

1999-12-01

466

Black tide from the Bay of Campeche. [June 3, 1976 blowout

The paper studies subphrenic inflammatory abscesses and splenic fluid collections after splenectomy for trauma. These complications may appear early or late postoperatively; they are easily demonstrated with computerized tomography, which permits accurate spatial assessment of the lesions and appropriate treatment with percutaneous drainage. It has been also investigates the diagnostic accuracy of the CT in subphrenic inflammatory conditions after emergency splenectomy for traumatic spleen rupture and found that CT is a precious tool for rapid and easy diagnosis and follow-up of subphrenic abscesses treated with percutaneous drainage. [Italian] Scopo del lavoro e' di valutare il ruolo della tomografia computerizzata nelle flogrosi subfreniche secondarie a splenectomia d'urgenza per rottura traumatica della milza, documentando come tale metodica risulti accurata nel diagnosticare e monitorare in modo semplice e rapido l'evoluzione e il ...

1999-09-01

467

Advanced concept on high temperature strength based on NRIM creep data sheet; Kinzaigiken kuripu deta shito kara umareta koon kyodo no atarashii toraekat

The ruptured offshore oil well 80 miles from Mexican town of Ciudad del Carmen, which poured 8000 barrels of light oil a day into the Gulf of Mexico, provided marine scientists with the opportunity to monitor the spill and see what happens to petroleum hydrocarbons in sea water. Scientists followed changes in viscosity, surface tension, and buoyancy of individual oil globs as they moved through the water and interacted with the surface slick. Using gas chromatography and mass spectroscopy, chemists are gaining an understanding of the unique characteristics of the oil. Computer-generated models projected the slick's movement in the Gulf in response to wind and wave pressures, but the sophisticated system did not give an accurate daily prediction. Immediate damage to fish, turtles, and sea birds was documented by tagging. Long-term effects will take longer to ascertain since 25 years is generally required to flush oil out of sediments. Fishermen do not agree ...

1980-01-24

468

AFM and STM studies of passive films formed on stainless steels. Applications to stress corrosion cracking; Etudes par microscopie a champ proche des films passifs formes sur les aciers inoxydables. Applications a la corrosion sous contrainte

National Research Institute for Materials started in FY1966 a creep data sheet project aiming at obtaining the creep test data until 360Ms (about 11 years and half) in maximum, and has continuously been conducting the above on more than 40 kinds of heat resistant metallic materials for practical use for 30 years already as of January, 1996. The 360Ms creep rupture strength which has been aimed at by this project is the basic important strength property referred to at the time of determining design allowable stress of high temperature structural members. The Institute has published the accumulation of the test data of long range creeps lasting beyond 360Ms of the Institute as a creep data sheet, and in this article, the tremendous volume of this long range creep test data is analyzed and studied systematically, the new knowledge concerning the high temperature strength properties thereby obtained is named the base creep strength concept and explained roughly. The ...

1996-05-20

469

AFM and STM studies of passive films formed on stainless steels. Applications to stress corrosion cracking

Modelization of crack propagation and theoretical prediction of rupture are the two main objectives of researchers in stress corrosion cracking. Nevertheless, to reach this aim, the behavior of the passive film which appears spontaneously on the substrate in contact with an environment has to be known. This structural and mechanical characterization is all the more difficult because the number of parameters is important: crystallinity rate, defects concentration, thickness (about a few nanometers), electric field, chemical composition (a lot of oxides are present), peeling layers (atomic structure for example) and some hypothesis can be made about their multi-layer structure, their chemical composition or their epitaxial character... Passive films formed on 316L or 304L stainless steels in different aqueous solutions (in ambient air, in MgCl{sub 2} at 117 deg. C...) have been studied and some important remarks about their mechanical properties are made (brittle ...

1995-12-01

470

Helical CT of traumatic injuries of the thoracic aorta; Applicazioni della Tomografia Computerizzata spirale nello studio delle lesioni traumatiche dell'aorta toracica

Modelization of crack propagation and theoretical prediction of rupture are the two main objectives of researchers in stress corrosion cracking. Nevertheless, to reach this aim, the behavior of the passive film which appears spontaneously on the substrate in contact with an environment has to be known. This structural and mechanical characterization is all the more difficult because the number of parameters is important: crystallinity rate, defects concentration, thickness (about a few nanometers), electric field, chemical composition (a lot of oxides are present), peeling layers (atomic structure for example) and some hypothesis can be made about their multi-layer structure, their chemical composition or their epitaxial character... Passive films formed on 316L or 304L stainless steels in different aqueous solutions (in ambient air, in MgCl_2 at 117 deg. C...) have been studied and some important remarks about their mechanical properties are made (brittle ...

1995-06-01

471

The response of sup 99 Tc sup m -methylene diphosphonate and sup 99 Tc sup m -hexametazime-labelled neutrophils to intra-articular steroid injection in rheumatoid arthritis

Acute thoracic aortic injuries account for up to 10-20% of fatalities in high-speed deceleration road accidents and have an estimated immediate fatality rate of 80-90%. Untreated survivors to acute trauma (10-20%) have a dismal prognosis: 30% of them die within 6 hours, 40-50% die within 24 hours, and 90% within 4 months. It was investigated the diagnostic accuracy of Helical Computed Tomography (Helical CT) in acute traumatic injuries of the thoracic aorta, and the role of this technique in the diagnostic management of trauma patients with a strong suspicion of aortic rupture. It was compared retrospectively the chest Helical CT findings of 256 trauma patients examined June 1995 through August 1999. Chest Helical CT examinations were performed according to trauma score, to associated traumatic lesions and to plain chest radiographic findings. All the examinations were performed with no intravenous contrast agent administration and the pitch 2 technique. After a ...

2000-09-01

472

The response of "9"9Tc"m-methylene diphosphonate and "9"9Tc"m-hexametazime-labelled neutrophils to intra-articular steroid injection in rheumatoid arthritis

The synovial and bone uptake of tracer in the knees of patients with rheumatoid arthritis (RA) was quantified using {sup 99}Tc{sup m}-hexamethyl propylene amine oxime-labelled leucocytes and {sup 99}Tc{sup m}-methylene diphosphonate (MDP), respectively. Significant neutrophil migration and MDP uptake occurred in the knees of patients with RA irrespective of the disease duration. In all but one patient neutrophil migration was reduced after intra-articular steroid injection. The change in MDP uptake after steroid injection was variable. There was a significant correlation between the percentage reduction in neutrophil migration and pain score, while the latter correlated poorly with the change in MDP uptake. The quantification of the neutrophil component of the inflammatory process is a sensitive index for monitoring RA activity and response to pharmacological interventions, while quantitative bone scintigraphy should not be employed to monitor changes in joint ...

1992-07-01

473

The epidemiology of gallstone disease in Rome, Italy. Part I. Prevalence data in men. The Rome Group for Epidemiology and Prevention of Cholelithiasis (GREPCO).

The synovial and bone uptake of tracer in the knees of patients with rheumatoid arthritis (RA) was quantified using "9"9Tc"m-hexamethyl propylene amine oxime-labelled leucocytes and "9"9Tc"m-methylene diphosphonate (MDP), respectively. Significant neutrophil migration and MDP uptake occurred in the knees of patients with RA irrespective of the disease duration. In all but one patient neutrophil migration was reduced after intra-articular steroid injection. The change in MDP uptake after steroid injection was variable. There was a significant correlation between the percentage reduction in neutrophil migration and pain score, while the latter correlated poorly with the change in MDP uptake. The quantification of the neutrophil component of the inflammatory process is a sensitive index for monitoring RA activity and response to pharmacological interventions, while quantitative bone scintigraphy should not be employed to monitor changes in joint inflammation in ...

474

Radial keratoneuritis as a presenting sign in acanthamoeba keratitis.

A population of male civil servants in Rome, Italy, was investigated to determine the prevalence of symptomatic and asymptomatic gallstone disease. Field activities started in December, 1982 and were concluded in July, 1984. Diagnosis was made using real-time ultrasonography. Participation in the study was 71.5%. Prevalence of gallstone disease was 8.2% and increased with age from 2.3% in the 20- to 25-year-old age group to 14.4% in the 60- to 69-year-old age group, based on both presence of gallstones and history of cholecystectomy. About one-third of the subjects with gallstone disease had previously been submitted to cholecystectomy. Only 7.7% of the subjects with presence of gallstones complained of at least one episode of biliary pain in the preceding 5 years. Frequency of "minor" dyspeptic symptoms was not different between men with and those without gallstones. PMID:3391519

475

Quantitative evaluation of bile diversion surgery utilizing /sup 99m/Tc HIDA scintigraphy

The visual outcomes of Acanthamoeba keratitis, a rare cause of corneal infection, can be devastating. This paper reports two contact lens wearers with severe pain and photophobia who presented to the emergency room. Biomicroscopy revealed radial keratoneuritis in both individuals. Tissue culture on a nonnutrient agar plate with Escherichia coli overlay resulted in a heavy growth of Acanthamoeba. The inpatient treatment included 0.02% polyhexamethylene biguanide, chlorhexidine, neomycin/polymyxin B/bacitracin (Neosporin), and oral fluconazole, which successfully controlled the corneal infection and improvement in the best corrected visual acuity in both patients. Infection did not recur during the 12-month follow-up period. Acanthamoeba keratitis can present as radial keratoneuritis, mimicking other common corneal infections resulting in diagnostic and treatment delays. Early diagnosis and prudent treatment of Acanthamoeba keratitis are the keys to restoring vision ...

2011-07-01

476

Prevalence of gallstone disease in an Italian adult female population. Rome Group for the Epidemiology and Prevention of Cholelithiasis (GREPCO).

This is a report of 21 patients presenting with epigastric pain, bilious vomiting, upper gastrointestinal bleeding, iron-deficiency anemia, and weight loss, who had undergone Billroth II gastrectomy from 3 to 35 yr earlier. Eighteen of 21 patients were found to have significant enterogastric reflux indices varying from 60% to 95% demonstrated by /sup 99m/Tc HIDA scintigraphy. Thirteen patients had diversion antireflux surgery in the form of a Roux-en-Y procedure, and 1 patient had a Henley loop jejunal interposition. Postoperative /sup 99m/Tc HIDA scintigraphic studies showed the enterogastric reflux indices to have decreased significantly to a range of 2%-26% (p less than 0.00001). There was marked improvement of symptoms, including correction of anemia and weight gain in those patients who had been anemic or who had sustained earlier weight loss. The enterogastric reflux indices of 10 asymptomatic control patients after Billroth II gastrectomy ranged from 4% to ...

1983-02-01

477

Position of nuclear-medical techniques for evaluation of loosened total hip endroprostheses

A population of female civil servants in Rome, Italy, was investigated to determine the prevalence of symptomatic and asymptomatic gallstone disease and to define the associated factors. Field activities started in February 1981 and concluded in April 1982. Diagnosis was assessed by real time ultrasonography. Prevalence of gallstone disease increased with age from 2.5% in the 20- to 29-year-old age group to 25.0% in the 60- to 64-year-old age group, based on both presence of gallstones and history of cholecystectomy. Only one third of the women with gallstones had complained of at least one episode of biliary pain in the last five years. Frequency of "minor" dyspeptic symptoms was not different between women with and those without gallstones. In a multiple logistic function analysis, a positive association was found between age, body mass index, parity, and prevalence of gallstone disease. No association was demonstrated between the presence of gallstones or ...

1984-05-01

478

Modified camouflage therapy in an adult class I patient with TMJ complaints. A case report.

For diagnosis of loosening or infection after implantation of a single-side or double-side total hip endoprosthesis 59 patients being in pain were investigated by a combination of bone scan (Technetium-99m DPD) and leucocyte scan (Indium-111 labelled leucocytes). The correlation between clinical results and scintigraphic findings revealed: bone scintigraphy detects loosening of prostheses with 95% sensitivity (45/47); bone scintigraphy excludes an instable prosthesis with 89% specificity (3/27). 45% of the loosened prostheses revealed an infection (21/47): leucocyte scintigraphy could detect 17 correct positive. Three leucocyte scans of 53 prostheses without clinical signs of infection were false positive. Therefore, leucocyte scintigraphy had a sensitivity of 91% and a specificity of 94% for detecting infection. Bone scintigraphy can detect loosening of prostheses with 93% accuracy, Indium-111 labelled leucocyte scintigraphy can detect infection of the prosthesis ...

1985-10-01

479

Management of Ewing's sarcoma

The present case report documents the hitherto unusual application of camouflage orthodontics in one of our patients. Our female patient had previously been treated orthodontically alio loco and had also undergone bimaxillary orthognathic surgery. She presented with TMJ complaints, with associated pains. Despite a dental Class I and centrally seated condyles, her discs had prolapsed anteriorly without reduction and she had developed a massive degenerative-inflammatory TMJ disease. Skeletally, she was a Class II case despite previous orthognathic surgery. In addition, there was also an initial suspicion of rheumatic involvement that could not be confirmed. We distalized the entire lower dental arch without bicuspid extraction. Then we advanced the mandible with the Mandibular Anterior Repositioning Appliance (MARA).We discuss exactly how the modified camouflage therapy was structured and how the individual treatment steps took place. PMID:20354841

2010-04-01

480

British Library Electronic Table of Contents (United Kingdom)

Forty cases of Ewing's sarcoma of various sites had attended the Department of Radiotherapy at the Wanless Hospital and the Miraj Medical Centre, attached to the Government Medical College, Miraj, Maharashtra, from January, 1970 through December, 1979. There were 28 male patients and 12 female patients in the series with a male to female ratio of 2.3:1. The youngest patient in the series was a female of 6 years of age with the tumour in the scapula and the oldest patient was a 32-year-old male with a lesion in the metacarpal bone. Sixty per cent of the cases were seen in the second decade. The average age of the patients was 13.5 years. The bones of the lower extremities were most commonly involved with the highest number (35 per cent) of the cases occurring in the femur. Involvement of the bones of the right side of the body was almost equal to that of the left side. Swelling over the site of the lesion and pain over the swelling were the most common complaints ...

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481

Percutaneous coronary revascularisation [PCR] improves angina and health related quality of life [HRQOL] compared to standard medical therapy. It is unknown whether PCR has the same benefits for patients with a history of CABG. Over a period of 5?years, we assessed HRQOL of patients undergoing PCR using Part 1 of the Nottingham Health Profile [NHP] at baseline 3, 12 and 24?months. We compared HRQOL after PCR in 255 patients with CABG to 2680 without. There were more males [81.1% v 69.6% p?=?0.002] and older patients [mean age 60.1?years v. 58.0 p?=?0.03] in CABG group. Perceived HRQOL improved at 24?months for pain, energy and emotional reaction but the improvement was less in the CABG group. However, mean NHP scores at 24?months for those with CABG had returned to baseline levels for slee...

2011-01-01

482

Diagnostic possibilities following implantation of carbon-fibre-reinforced plastic (CFRP) total hip arthroplasty

Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.

Introduction: There are many problems in the radiological diagnosis of aseptic loosening in total hip arthroplasty. Computed tomography (CT) and magnetic resonance tomography (MRT) are not usable for metallic implants (stainless steel, cobalt alloy, titanium alloy). Material and Methods: From April 1993 to December 1993 15 CFRP non-cemented hip prostheses have been implanted. In a prospective clinical study plane radiographs, CT and MRT have been analysed. Results: Three stems were revised (1 femoral fracture, 1 severe thigh pain, 1 aseptic loosening). CFRP are not visible in plane radiographs. There was a complete (two-third of the cases) or nearly complete (one-third of the cases) small sclerotic interface between the prosthesis and the bone, these were apparent in CT and MRT in stable implant cases and did not have any clinical correlations. Discussion: The small sclerotic interface is quite different in comparison to so called 'Reactive lines'. In one case of ...

483

Aggressive Ewing's sarcoma appearing as a cold lesion on bone scan

Gallstone is a common disease with a 10% prevalence in the United States and Western Europe. However, it is only symptomatic in 20-30% of patients, with biliary pain "colic" being the most common symptom. Complications of asymptomatic gallstone disease are generally rare, with an incidence of <1 %/yr. The most common complications of gallstone disease are acute cholecystitis, acute pancreatitis, ascending cholangitis, and gangrenous gallbladder. Less frequent complications include Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Mirizzi syndrome and cholecystocholedochal fistula are two manifestations of the same process that starts with impaction of a gallstone in the gallbladder neck that results in obstruction of the bile duct, causing jaundice. The gallstone may erode into the bile duct, causing cholecystocholedochal fistula. Gallstone ileus refers to small bowel obstruction resulting from the impaction of one or more gallstones after ...

2002-02-01

484

Adenosine triphosphate loading thallium-201 myocardial scintigraphy. Optimal dose and diagnostic accuracy

Ewing's sarcoma classically presents as a hot spot on bone scan as a result of increased vascularity of the tumor and new bone formation. Purpose We report and analyze an uncommon pattern of a 'cold' lesion in Ewing's sarcoma on bone scan and its pathophysiologic significance. Case report A 15-year-old boy complaining of thigh pain. CT scan evoked Ewing's sarcoma or osteitis. MRI evoked chronic osteitis. Scintigraphy showed a fairly intense and heterogeneous uptake on the femoral lesion and no abnormal uptake elsewhere. Biopsy showed none pathologic pattern. Three months later, a second biopsy concluded to Ewing's sarcoma. Bone scan showed a larger lesion with peripheral intense uptake centered by enlarged 'cold' area in the left femoral diaphysis and no evident bone metastasis. The patient underwent chemotherapy and surgery. Three months later, bone scan showed extensive skeletal metastasis. Conclusion Ewing's sarcoma appears usually as an intense lesion on bone ...

2009-10-01

485

A clinical perspective on common forms of acquired heterotopic ossification

Adenosine triphosphate (ATP) is an alternative to dipyridamole or adenosine in thallium-201 myocardial scintigraphy. However, the optimal dose of ATP has not been determined. A Doppler guide wire study showed the coronary flow velocity at a dose of 0.15 mg/kg of ATP was equal or higher than that at 0.14 mg/kg of adenosine or 0.56 mg/kg of dipyridamole. ATP was given intravenously to 67 patients with coronary artery disease at 0.15 mg/kg/min for 6 min. Thallium-201 was injected at 3 min, followed by immediate and delayed (3 hrs) tomographic imaging. There was no serious side effect during examination, although chest pain (26%), dyspnea (17%), and flushing (33%) were common. The sensitivity and specificity to detect coronary artery disease were 98 and 100%, respectively. The sensitivity to detect left anterior descending artery, left circumflex artery, and right coronary artery lesions was 94, 59 and 77%, respectively. ATP loading thallium-201 scintigraphy provides ...

1995-01-01

486

A clinical perspective on common forms of acquired heterotopic ossification

The clinical courses of heterotopic ossification (HO) as a consequence of trauma and central nervous system insults have many similarities as well as dissimilarities. Detection is commonly noted at two months. The incidence of clinically significant HO is 10%-20%. Approximately 10% of the HO is massive and causes severe restriction in joint motion or ankylosis. The most common sign and symptom are decreased range of motion and pain. The locations are the proximal limbs and joints. Sites of HO about a joint may vary according to the etiology of the HO. Roentgenographic evolution of HO occurs during a six-month period in the majority of patients. Treatment modalities include diphosphonates, indomethacin, radiation, range of motion exercises, and surgical excision. Surgical timing differs according to etiology: traumatic HO may be resected at six months; spinal cord injury HO is excised at one year; and traumatic brain injury HO is removed at 1.5 years. A small number ...

1991-02-01

487

Usefulness of "1"8F-FDG PET in intrahepatic cholangiocarcinoma

The clinical courses of heterotopic ossification (HO) as a consequence of trauma and central nervous system insults have many similarities as well as dissimilarities. Detection is commonly noted at two months. The incidence of clinically significant HO is 10%-20%. Approximately 10% of the HO is massive and causes severe restriction in joint motion or ankylosis. The most common sign and symptom are decreased range of motion and pain. The locations are the proximal limbs and joints. Sites of HO about a joint may vary according to the etiology of the HO. Roentgenographic evolution of HO occurs during a six-month period in the majority of patients. Treatment modalities include diphosphonates, indomethacin, radiation, range of motion exercises, and surgical excision. Surgical timing differs according to etiology: traumatic HO may be resected at six months; spinal cord injury HO is excised at one year; and traumatic brain injury HO is removed at 1.5 years. A small number ...

488

The association of asymptomatic bacterial vaginosis with upper genital tract infection.

Surgical resection is the only curative treatment strategy for intrahepatic cholangiocarcinoma (CC). Therefore, accurate staging is essential for appropriate management of patients with CC. We assessed the usefulness of 2-["1"8F]fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET) in the staging of CC. We undertook a retrospective review of FDG PET images in 21 patients (10 female, 11 male; mean age 57 years) diagnosed with CC. Ten patients had hilar CC and 11, peripheral CC. Patients underwent abdominal magnetic resonance imaging (MRI) (n=20) and computed tomography (CT) (n=12) for the evaluation of primary tumours, and chest radiography and whole-body bone scintigraphy for work-up of distant metastases. For semi-quantitative analysis, the maximum voxel standardised uptake value (SUV_m_a_x) was obtained from the primary tumour. All peripheral CCs showed intensely increased FDG uptake, and some demonstrated ring-shaped uptake corresponding to ...

2003-11-01

489

Study on Control of Brain Temperature for Brain Hypothermia Treatment

Objective: To determine whether asymptomatic bacterial vaginosis (BV) is associated with upper genital tract inflammation or bacterial colonization.Methods: Fifty nonpregnant women with intact uteri who planned to undergo gynecologic surgery and had no recent symptoms of vaginal infection were enrolled. We obtained a vaginal swab for Gram stain, endocervical swab for chlamydia and gonorrhea DNA probe testing, and Pipelle endometrial biopsy for aerobic and anaerobic cultures and histology. We correlated surgical findings and histology of available surgical specimens with the microbiologic results. The diagnosis of BV was made according to Speigel's criteria. Bacteria isolated from the uterus were classified as high virulence versus low virulence. Contingency tables were analyzed using the chi-square or Fisher Exact tests.Results: Twenty-one of 50 patients had BV on Gram stain, 3 had intermediate BV, and 3 had unreadable slides. Eleven patients had histologic endometritis, including 7 of ...

1998-07-01

490

Renal artery stenosis after radiotherapy for Ewing's sarcoma

The brain hypothermia treatment is an attractive therapy for the neurologist because of its neuroprotection in hypoxic-ischemic encephalopathy patients. The present paper deals with the possibility of controlling the brain and other viscera in different temperatures from the viewpoint of system control. It is theoretically attempted to realize the special brain hypothermia treatment to cool only the head but to warm the body by using the simple apparatus such as the cooling cap, muffler and warming blanket. For this purpose, a biothermal system concerning the temperature difference between the brain and the other thoracico-abdominal viscus is synthesized from the biothermal model of hypothermic patient. The output controllability and the asymptotic stability of the system are examined on the basis of its structure. Then, the maximum temperature difference to be realized is shown dependent on the temperature range of the apparatus and also on the maximum gain ...

2003-01-01

491

Radiation therapy for Kasabach-Merritt syndrome. Analysis of unfavorable factors in 5 children

Background: the fact that therapeutic irradiation can induce significant stenosis in the arteries of the head, neck, and chest, as welt as in the aorta and the iliac arteries, is familiar in daily practice and well documented in the literature. By contrast, radiation-induced renal artery stenosis seems to be a less widely known complication. Patients and methods: the sudden onset of medically refractory arterial hypertension and coma in a 27-year-old man is reported, who had been treated at age 20 with chemotherapy and radiotherapy for Ewing's sarcoma in the lumbar region. This treatment had been performed at the hospital of Sion, Switzerland in 2001. Also, the relevant literature from 1965 to 2007 is reviewed to underscore various aspects of this problem and to demonstrate the clinical relevance of renal artery stenosis as a potential long-term sequela of radiotherapy. Conclusion: radiation-induced renal artery stenosis has only rarely been described in the literature, but arterial ...

2008-09-01

492

Polyp measurement based on CT colonography and colonoscopy: variability and systematic differences

During the past 10 years, five infants with Kasabach-Merritt syndrome (K-M) receiving radiation therapy were reported. We investigated whether radiation therapy for K-M was useful and what the unfavorable factors of K-M were. During the past 10 years, we have treated five infants with K-M. The syndrome occurred at ages ranging from birth to 4 months. The incidence of female to male ratio was 3:2. Among 5 cases, the site of hemangioma was as follows; shoulder, anterior chest wall, lower abdominal wall, face and neck and inguinal site. All 5 cases received medication to control the coagulopathy including prednisone and blood transfusion at first. Because the platelet count and the bleeding tendency did not improve in any case, these cases received radiation therapy. Total dose ranged from 5 to 10 Gy and fraction-size ranged from 0.5 to 1.75 Gy. Irradiation session was 2 or 3 times per week. In 5 cases, 4 cases showed cure of bleeding tendency and disappearance of ...

1996-03-01

493

Laparoscopic classification and treatment of the impalpable testis.

To assess the variability and systematic differences in polyp measurements on optical colonoscopy and CT colonography. Gastroenterologists measured 51 polyps by visual estimation, forceps comparison and linear probe. CT colonography observers randomly assessed polyp size two-dimensionally (abdominal and intermediate window) and three-dimensionally (manually and semi-automatically). Linear mixed models were used to assess the variability and systematic differences between CT colonography and optical colonoscopy techniques. The variability of forceps and linear probe measurements was comparable and both showed less variability than measurement by visual assessment. Measurements by linear probe were 0.7 mm smaller than measurements by visual assessment or by forceps. The variability of all CT colonography techniques was lower than for measurements by forceps or visual assessment and sometimes lower (only 2D intermediate window and manual 3D) compared with measurements ...

2010-06-15

494

Hepatic abscess versus peripheral cholangiocarcinoma: Sonographic differentiation

Laparoscopic orchiopexy has gained popularity in recent years. However, the decision when to perform one-stage laparoscopic orchiopexy without division of the spermatic vessels versus initial ligation of the spermatic vessels followed later by orchiopexy is not clear. A new laparoscopic classification to facilitate decision-making during laparoscopy, according to the position of the impalpable testis and the relation of the spermatic vessels and vas deferens to the internal ring, with a management protocol based on this classification is presented. Over a 2-year period, a total of 37 boys with 52 impalpable gonads underwent a laparoscopic procedure. Four laparoscopic types of testis were noted: type I: no testis visualized; type II: a testis seen at the internal ring with the vas and vessels looping to the internal ring; type III: testis at the internal ring, with vas and vessels going to the testis directly; and type IV: intra-abdominal testis not related to the ...

1999-01-01

495

Early and Late Bowel Complication Following Irradiation of Cancer of the Uterine Cervix-Whole Pelvis External Irradiation end High-Dose-Rate Interactively Irradiation

To find out the sonographic findings that are useful to differentiate hepatic abscess from peripheral cholangiocarcinoma. Twenty-two hepatic abscesses and 22 peripheral cholangiocarcinomas which had been confirmed histologically were included in this study. Objective points were echo characteristics of the lesion, internal septation, presence of peripheral low echoic rim, demarcation from normal liver(well or poorly defined), posterior enhancement, multiplicity, dilatation of bile duct(obstructive or non-obstructive), intrahepatic duct stone, pleural effusion, and intra-abdominal fluid collection. Echo characteristics of the lesion were classified in-to four types. Type I; Predominantly echogenic with hypoechoic portion, type II; Echogenic without hypoechoic portion, type III; Predominantly hypoechoic with echogenic portion, type IV; Hypoechoic without echogenic portion. 1)Nine abscesses and 2 peripheral cholangiocarcinomas were type I(p=0.037), 2)One abscess and ...

2000-12-01

496

Dose and temporary characteristics of the changes in the amount of nucleic acids in leucocytes of irradiated rats

Cervix cancer is the most common female cancer in Korea. In spite of their relatively local invasive tendency, still 44% of patient will develop recurrent cancer This result suggests that more aggressive local treatment may increase the cure rate but increased complication risk also cannot be avoidable. Various institutions proposed different treatment regimen, but recommended dose were about 4500 cGy for whole pelvis and 8000 cGy at point A, even though they agreed that those doses may not be satisfactory for control of bulky disease. 96 cases of invasive cervical cancer, treated with postoperative or primary radiation therapy were analyzed to determine the complication rate and prognostic factor in our treatment regimen which is 500-1000 cGy higher than other institution. Mean follow up duration was 21 months. Symptomatic patients including mild but persistent abdominal discomfort was 46%, but only 1 patient (1%) had operative treatment because of incomplete ...

1989-06-01

497

Diagnostic imaging of Thorotrast associated cholangiocarcinoma and mixed hepatocellular and cholangiocellular carcinoma

An attempt was made for early quantitative assessment of the severety of an injury, using the nuclear acids (NA) content as a biochemical indicator. Sexually mature male rats with body mass 160-180 g were irradiated with doses 0.5, 1, 2, 4 and 8 Gy of "1"3"7Cs source. Uneven irradiation was achieved by shielding the abdominal-lumbar area with lead rings, measuring 2,5/50 mm. A 28-30% fall of the dose beneath the shielded zone was thus provided. Dose-dependent quantitative changes in Na content were determined on hours 24 and 72 within the range from 0.5 to 8 Gy and followed up until day 30 after irradiation with nonlethal (2 Gy) and lethal (8 Gy) doses. The total NA content in the leucocytes was determined by the method of Kritski and Aleksandrov. The uneven irradiation of rats within the 0,5-8 Gy range induced early dose-dependent changes in NA content. The nature of their post-irradiation dynamics also depended on the radiation dose and adequately reflected the ...

498

Data of spleen-scintiscanning after splenectomy

Computed tomography would be a better method to detect and characterize a Thorotrast-induced liver tumour. The selective opacification of the RES by Thorotrast creates an intrinsic opacification of the liver similar in effect to contrast agents being evaluated for liver CT, such as ethoioidized oil emulsion. The computed tomographic appearance of Thorotrast-associated cholangiocarcinoma is usually a large, inhomogenous mass composed of disordered area of tissue of high density due to Thorotrast deposits, and of very low density. Thorotrast-induced cholangiocarcinoma originates in the peripheral biliary tree suprounding the highest mean concentration of Thorotrast deposition, so that visible soft tissue masses in the higher density spots in the liver are not produced in the early stage. The tendency for the opacity of the liver to decrease slowly with time and result in an uneven trabeculation and high density spots suggests that small tumors may be difficult to detect againist such an ...

499

Contrast material extravasation following upper abdominal trauma. Detection with helical Computerized Tomography; Stravaso del mezzo di contrasto nei traumi dell'addome superiore. Riconoscimento con Tomografia Computerizzata spirale

In 65 adult rabbits of both sexes (2.5 to 6 kg) the following salvaging procedures were performed after simulated trauma: (1) Continuous suture line; (2) closure with fibrin sealant after temporary clamping; (3) hemisplenectomy with omental wrap; (4) suture fixation of fragments and slices of spleen tissue to the peritoneum; (5) suture fixation of spleen fragments to the omentum; (6) extraperitoneal subcutaneous transposition of spleen cubes. In addition, the likelihood of spontaneous splenosis was examined in a preliminary study involving 5 animals by introducing unattached spleen meal and fragments. Scanning was repeated 4 to 12 weeks postoperatively. The functional competence of minor parenchymal islands was also investigated with well counter measurements of organ and muscle tissue homogenates. Spontaneous splenosis after abdominal injuries was not found to be the rule. Salvaging procedures at the natural vascular hilus by sutures, fibrin sealant and ...

500