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1

Urinary Outflow Obstruction Increases Apoptosis and Deregulates Bcl-2 and Bax Expression in the Fetal Ovine Bladder  

UK PubMed Central (United Kingdom)

During organogenesis, net growth of tissues is determined by a balance between proliferation, hypertrophy, and apoptotic death. Human fetal bladder outflow obstruction is a major cause of end-stage...Full Text Available

2003-04-01

2

Micturition in conscious rats with and without bladder outlet obstruction: role of spinal alpha 1-adrenoceptors.  

UK PubMed Central (United Kingdom)

1. In normal rats and rats with bladder hypertrophy secondary to outflow obstruction, undergoing continuous cytometry, we examined the responses to the selective alpha 1-adrenoceptor antagonist doxazosin...Full Text Available

1996-03-01

3

Infective arthritis secondary to bladder outflow obstruction.  

UK PubMed Central (United Kingdom)

We describe two cases of septic arthritis occurring in association with lower urinary tract infection in elderly men. In both cases the organism isolated from both the joint and the urine was Staphylococcus...Full Text Available

1990-12-01

4

Lacrimal gland masses on CT and MRI: a report of four cases  

International Nuclear Information System (INIS)

In an extended case report, we discuss four cases with masses in the lacrimal fossa representing the most important entities in this region (lymphoma, pleomorphadenoma, inflammatory pseudotumor, and malignant epithelial tumor). The different indications for CT and MRI are explained. For the differential diagnosis of lacrimal gland lesions, the following imaging parameters are important: The shape of the lacrimal gland, the inner structure, the degree of contrast enhancement, and the surrounding bony structures. In the evaluation of the expansion of lacrimal gland lesions, CT in thin slices with multiplanar reconstructions is equal to MRI. However, the contrast-enhancement of lacrimal glands is better evaluated with MRI than with CT. The bony structures are better visualized on CT than on MRI. (orig.).

5

Role of Surgery After Chemotherapy in B-Cell Lymphoma of Thymus Causing Airway Compression and Right Ventricle Outflow Tract Obstruction  

British Library Electronic Table of Contents (United Kingdom)

Primary B-cell lymphoma of thymus is uncommon. We describe the case of a 23-year-old woman with a history of shortness of breath and distended neck veins of 1-month duration. A chest roentgenogram and computed tomographic chest scan of the showed a large anterior mediastinal mass. Tru-cut biopsy revealed primary B-cell lymphoma of thymus. She underwent chemotherapy with no symptomatic improvement. Post-chemotherapy computed tomographic scan of the chest showed no appreciable reduction in tumor size. Surgical excision was carried out with excellent results.

2011-01-01

6

Lacrimal gland masses on CT and MRI: a report of four cases; Raumforderungen der Traenendruese in CT und MRT am Beispiel von vier Faellen  

Energy Technology Data Exchange (ETDEWEB)

In an extended case report, we discuss four cases with masses in the lacrimal fossa representing the most important entities in this region (lymphoma, pleomorphadenoma, inflammatory pseudotumor, and malignant epithelial tumor). The different indications for CT and MRI are explained. For the differential diagnosis of lacrimal gland lesions, the following imaging parameters are important: The shape of the lacrimal gland, the inner structure, the degree of contrast enhancement, and the surrounding bony structures. In the evaluation of the expansion of lacrimal gland lesions, CT in thin slices with multiplanar reconstructions is equal to MRI. However, the contrast-enhancement of lacrimal glands is better evaluated with MRI than with CT. The bony structures are better visualized on CT than on MRI. (orig.) [Deutsch] In einem erweiterten Fallbericht wird ueber die vier grossen Entitaeten ...

1995-11-01

8

Diagnosis and therapy of Budd-Chiari syndrome; Diagnostik und Therapie des Budd-Chiari-Syndroms  

Energy Technology Data Exchange (ETDEWEB)

Purpose: Budd-Chiari syndrome is a fairly uncommon disease in Europe. This often leads to its late diagnosis. The syndrome is characterised by portal hypertension and splanchnic congestion due to obstruction of hepatic venous outflow. This paper describes the treatment of three patients with Budd-Chiari syndrome by interventional therapeutic techniques and discusses alternative treatment modalities. Patients and Methods: The first patient presented with veno-occlusive disease and was treated by the placement of a transjugular intrahepatic portosystemic stentshunt. The second patient showed an occlusion of the major hepatic veins. After percutaneous recanalisation, a stent was placed in the right hepatic vein which remained patent. The third patient had a membranous obstruction of the right hepatic vein which was treated by percutaneous balloon dilatation. Results: In all patients the clinical symptoms resolved completely ...

1998-09-01

9

Heterogeneous mechanism of nucleation in a superheated cryogenic fluid flow  

Energy Technology Data Exchange (ETDEWEB)

A model of heterogeneous mechanism of nucleation on impurity particles in a fluid volume is proposed. The particle spectrum is reproduced by solving the ''inverse'' problems on stationary outflow of a boiling parahydrogen with the use of experimental data of authors. A relation for a closure of the equation system describing a non-equilibrium outflow is obtained. It is shown that within the investigated parameter range one manages to calculate the characteristics of a stationary outflow with a satisfactory accuracy.

1984-03-01

10

Obstructive Jaundice after Bilioenteric Anastomosis: Transhepatic and Direct Percutaneous Enteral Stent Insertion for Afferent Loop Occlusion  

UK PubMed Central (United Kingdom)

Recurrent tumour after radical pancreaticoduodenectomy may cause obstruction of the small bowel loop draining the liver. Roux-loop obstruction presents a particular therapeutic challenge, since the...Full Text Available

2010-09-01

11

Pattern of Acute Intestinal Obstruction: Is There a Change in the Underlying Etiology?  

UK PubMed Central (United Kingdom)

Background/Aim:To study the changing pattern of acute intestinal obstruction at a teaching institute.Patients and Methods:It is...Full Text Available

2010-10-01

12

Bladder outlet obstruction in male cystinuria mice  

UK PubMed Central (United Kingdom)

BackgroundCystinuria is the most common inherited cause of urinary tract stones in children. It can lead to obstructive uropathy, which is a major cause of renal...Full Text Available

2010-03-01

13

Anesthetic considerations of central airway obstruction  

UK PubMed Central (United Kingdom)

Central airway obstruction (CAO) is a serious presentation of lung cancer and associated chest diseases. It presents a real challenge to the anesthesiologist because usually the patient admitted to...Full Text Available

2011-07-01

14

Non-standard natural circulation in primary circuit of VVR-440, behavior of horizontal steam generator in this regime  

Energy Technology Data Exchange (ETDEWEB)

Analyzing various SBLOCA with high pressure safety injection (HPSI) at VVER-440/213, we met a surprising phenomenon - a 'natural' circulation post SG heat transfer reversal. This is not usual, because normal natural circulation (NC) in primary circuit is connected with positive heat transfer at SG. If there is reverse heat transfer at SG (as soon as the break enthalpy outflow is sufficient for removal of reactor decay heat), it should obstruct any natural circulation. The question was, what is the driving force of this 'non-standard natural circulation'. After all we revealed that force - it is the density difference between the colder water in reactor downcomer (cold water from HPSI) and warmer water in inner reactor (lower plenum, core, upper plenum). This phenomenon could be confusing for operating personal, because there would be an opposite temperature difference at the loop than by normal natural ...

2001-07-01

15

Non-standard natural circulation in primary circuit of VVR-440, behavior of horizontal steam generator in this regime  

International Nuclear Information System (INIS)

Analyzing various SBLOCA with high pressure safety injection (HPSI) at VVER-440/213, we met a surprising phenomenon - a 'natural' circulation post SG heat transfer reversal. This is not usual, because normal natural circulation (NC) in primary circuit is connected with positive heat transfer at SG. If there is reverse heat transfer at SG (as soon as the break enthalpy outflow is sufficient for removal of reactor decay heat), it should obstruct any natural circulation. The question was, what is the driving force of this 'non-standard natural circulation'. After all we revealed that force - it is the density difference between the colder water in reactor downcomer (cold water from HPSI) and warmer water in inner reactor (lower plenum, core, upper plenum). This phenomenon could be confusing for operating personal, because there would be an opposite temperature difference at the loop than by normal natural circulation (under non-standard NC ...

2001-03-20

18

Method for limiting scram discharge water  

International Nuclear Information System (INIS)

Object: To limit the discharge amount of reactor water in a primary system at the time of scram to prevent excessive outflow of reactor water outside the system. Structure: A signal from an upper limit position indicator detects the fact that control rods are completely inserted when the reactor is urgently stopped and the detection signal causes a valve in an outflow line of the discharge water from a control rod driving mechanism to be closed to limit the amount of discharge flown into the scram discharge vessel, thus preventing outflow of reactor water in the primary system after the scram has been initiated. (Kamimura, M.).

19

Nutcracker Phenomenon and Nutcracker Syndrome  

UK PubMed Central (United Kingdom)

Nutcracker phenomenon refers to compression of the left renal vein, most commonly between the aorta and the superior mesenteric artery, with impaired blood outflow often accompanied by distention...Full Text Available

2010-06-01

20

NASA Research Announcement: GALEX GI Program Cycle 2 - GALEX - NASA  

Science.gov (United States)

These include, but are not limited to: stellar winds and outflows, post-main- sequence stellar evolution, binary/multiple star evolution, globular cluster ...

 
 
 
 
21

NASA Research Announcement: GALEX GI Program Cycle 1 - GALEX - NASA  

Science.gov (United States)

These include, but are not limited to: stellar winds and outflows, post-main- sequence star evolution, binary star evolution, globular cluster structure and ...

22

GALAXY EVOLUTION EXPLORER (GALEX) - HEASARC - NASA  

Science.gov (United States)

These include, but are not limited to: stellar winds and outflows, post-main- sequence stellar evolution, binary/multiple star evolution, globular cluster structure ...

23

GALAXY EVOLUTION EXPLORER (GALEX) - GALEX - NASA  

Science.gov (United States)

These include, but are not limited to: stellar winds and outflows, post-main- sequence stellar evolution, binary/multiple star evolution, globular cluster structure ...

24

Photoexcitation and optical pumping in a barium atomic beam  

International Nuclear Information System (INIS)

An apparatus allowing the photoexcitation of barium atomic beam over its whole surface is described. This photoexcitation is achieved by another barium spectrum emitted up steam of the beam by a cathodic out-flow produced at the exit oven. The fluorescence spectrum is studied in detail as well as the influence of different parameters, such as oven temperature, current intensity of the outflow, and excitation depth. A calculation shows how to determine Einstein coefficient, oscillator strengths and atomic lifetimes from our experimental measurements.

25

Establishing a Connection Between Active Region Outflows and the Solar Wind: Abundance Measurements with EIS/Hinode  

CERN Document Server

One of the most interesting discoveries of the X-ray Telescope and EUV Imaging Spectrometer (EIS) on board the Hinode solar observatory is the presence of persistent high temperature high speed outflows from the edges of active regions. Measurements by EIS indicate that the outflows reach velocities of 50 km/s with spectral line asymmetries approaching 200 km/s. It has been suggested that these outflows may lie on open field lines that connect to the heliosphere, and that they could potentially be a significant source of the slow speed solar wind. A direct link has been difficult to establish, however. In this letter, we use EIS measurements of spectral line intensities that are sensitive to changes in the relative abundance of Si and S as a result of the first ionization potential (FIP) effect, to measure the chemical composition in the outflow regions of AR 10978 over a period of 5 days in December ...

2010-01-01

26

AGN Feedback: Does it work?  

CERN Document Server

While feedback is important in theoretical models, we do not really know if it works in reality. Feedback from jets appears to be sufficient to keep the cooling flows in clusters from cooling too much and it may be sufficient to regulate black hole growth in dominant cluster galaxies. Only about 10% of all quasars, however, have powerful radio jets, so jet-related feedback cannot be generic. The outflows could potentially be a more common form of AGN feedback, but measuring mass and energy outflow rates is a challenging task, the main unknown being the location and geometry of the absorbing medium. Using a novel technique, we made first such measurement in NGC 4051 using XMM data and found the mass and energy outflow rates to be 4 to 5 orders of magnitude below those required for efficient feedback. To test whether the outflow velocity in NGC 4051 is unusually low, we compared the ratio of ...

2009-01-01

27

The costs of hospitalization in patients with acute exacerbation of chronic obstructive pulmonary disease  

UK PubMed Central (United Kingdom)

Introduction:Chronic obstructive pulmonary disease (COPD) is a major public health problem. It imparts a substantial economic burden on individuals and society. Acute exacerbations...Full Text Available

28

Smooth Muscle Hypertrophy Following Partial Bladder Outlet Obstruction Is Associated with Overexpression of Non-Muscle Caldesmon  

UK PubMed Central (United Kingdom)

Partial bladder outlet obstruction (PBOO) induces remodeling of urinary bladder smooth muscle (detrusor). We demonstrate an increase in bladder wall mass, muscle bundle size, and a threefold increase...Full Text Available

2004-02-01

29

Pulmonary Function and the Risk of Functional Limitation in Chronic Obstructive Pulmonary Disease  

UK PubMed Central (United Kingdom)

The authors’ objective was to analyze the impact of respiratory impairment on the risk of physical functional limitations among adults with chronic obstructive pulmonary disease (COPD)....Full Text Available

2008-05-01

30

Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review  

UK PubMed Central (United Kingdom)

The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper...Full Text Available

2011-01-01

31

Palliation of malignant esophageal obstruction and fistulas with self expandable metallic stents  

UK PubMed Central (United Kingdom)

AIM: To evaluate the efficacy of self expandable metallic stents (SEMS) in patients with malignant esophageal obstruction and fistulas.METHODS: SEMS were implanted in the presence of fluoroscopic...Full Text Available

2010-12-07

32

Mid-trimester diagnosis of bladder neck obstruction by ultrasound and paracentesis.  

UK PubMed Central (United Kingdom)

A bladder neck obstruction was suspected after ultrasound investigation at 16 weeks' gestation. Evaluation of protein content in the amniotic fluid, fetal ascites, and fluid from the overdistended bladder...Full Text Available

1983-06-01

33

Memory Before and After Sleep in Patients with Moderate Obstructive Sleep Apnea  

UK PubMed Central (United Kingdom)

Objective:The aim of this study was to investigate the effects of obstructive sleep apnea (OSA) on procedural and declarative memory encoding in the evening prior to sleep, on memory...Full Text Available

2009-12-15

34

Lower Urinary Obstruction in Infancy  

UK PubMed Central (United Kingdom)

This paper reviews 165 cases of lower urinary obstruction in infancy. The commonest lesions were posterior urethral valves (91) and ectopic ureterocele (34), stenosis or atresia of the urethra (8),...Full Text Available

1972-04-01

35

Living and dying with severe chronic obstructive pulmonary disease: multi-perspective longitudinal qualitative study  

UK PubMed Central (United Kingdom)

Objectives To understand the perspectives of people with severe chronic obstructive pulmonary disease (COPD) as their illness progresses, and of their informal and professional carers,...Full Text Available

2011-01-01

36

Investigation of Early Protein Changes in the Urinary Bladder Following Partial Bladder Outlet Obstruction by Proteomic Approach  

UK PubMed Central (United Kingdom)

We investigated the pathophysiological mechanism by proteomic approach as a possible tool to detect the marker proteins to develop lower urinary tract symptoms following bladder outlet obstruction (BOO)....Full Text Available

2005-12-01

37

Giant vesical diverticulum: A rare cause of defecation disturbance  

UK PubMed Central (United Kingdom)

Vesical diverticula frequently result from bladder outlet obstructions. However, giant vesical diverticula which cause acute abdomen or intestinal obstruction are very rare. Our review of the English...Full Text Available

2009-08-21

38

Gastrointestinal obstruction due to plaster ingestion: a case-report  

UK PubMed Central (United Kingdom)

BackgroundPlaster ingestion forming gastric bezoar is a strange way to attempt suicide and this method has not yet been reported. It may lead to a mechanical obstruction of the gut,...Full Text Available

39

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction  

UK PubMed Central (United Kingdom)

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

40

Clinical perspective on aztreonam lysine for inhalation in patients with cystic fibrosis  

UK PubMed Central (United Kingdom)

Progressive obstructive lung disease is a characteristic component of cystic fibrosis (CF). It is the pulmonary manifestations, including obstruction and endobronchial infection, which directly contribute...Full Text Available

 
 
 
 
41

ALTERATION OF THE PKC-MEDIATED SIGNALING PATHWAY FOR SMOOTH MUSCLE CONTRACTION IN OBSTRUCTION-INDUCED HYPERTROPHY OF THE URINARY BLADDER  

UK PubMed Central (United Kingdom)

Normal urinary bladder function requires contraction and relaxation of the detrusor smooth muscle (DSM). The DSM undergoes compensatory hypertrophy in response to partial bladder outlet obstruction...Full Text Available

2009-07-01

42

A possible role of decreased relaxation mediated by beta-adrenoceptors in bladder outlet obstruction by benign prostatic hyperplasia.  

UK PubMed Central (United Kingdom)

1. To explore mechanisms of urinary obstruction in benign prostatic hyperplasia (BPH), the features of contraction and relaxation in human hyperplastic and non-hyperplastic (control) prostatic tissues...Full Text Available

1992-11-01

43

A newly designed big cup nitinol stent for gastric outlet obstruction  

UK PubMed Central (United Kingdom)

AIM: To find out whether a newly designed big cup nitinol stent is suitable for treatment of patients with gastric outlet obstruction resulting from gastric cancer.METHODS: The new stent is composed...Full Text Available

2010-09-07

44

Prostatectomy  

UK PubMed Central (United Kingdom)

This paper deals with the indications for prostatectomy; the differential diagnosis of the symptomatology of bladder neck obstruction; and the factors influencing the choice of operation....Full Text Available

1973-05-01

45

Evidence-Based Drainage of Infected Hydronephrosis Secondary to Ureteric Calculi  

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction: The obstructed, infected kidney is a urological emergency. It has been accepted that the management of infected hydronephrosis secondary to ureteric stones is through prompt decompression of the collecting system. However, the optimal method of decompression has yet to be established. Materials and Methods: A PubMed and Medline search was performed of all English-language articles from 1960 using key words ?sepsis,?? ?urosepsis,?? ?obstruction,?? ?obstructive pyelonephritis,?? ?pyonephrosis,?? ?infection and hydronephrosis?? ?decompression,?? ?stent,?? ?nephrostomy,?? and ?management.?? The Cochrane database and National Institute for Clinical Effectiveness guidelines were searched using the terms ?sepsis,?? ?urosepsis,?? ?stent,?? ?nephrostomy,?? or ?obstruction.?? ...

2010-01-01

46

 

Medline Plus

... Obstructive Pulmonary Disease) Crohn's Disease Cystic Fibrosis Depression Diabetes - Eye Complications Diabetes - Foot Care Diabetes - Introduction Diabetes - ...

47

The Nuclear Outflow in NGC 2110  

CERN Document Server

We present a HST/STIS spectroscopic and optical/radio imaging study of the Seyfert NGC 2110 aiming to measure the dynamics and understand the nature of the nuclear outflow in the galaxy. Previous HST studies have revealed the presence of a linear structure in the Narrow-Line Region (NLR) aligned with the radio jet. We show that this structure is strongly accelerated, probably by the jet, but is unlikely to be entrained in the jet flow. The ionisation properties of this structure are consistent with photoionisation of dusty, dense gas by the active nucleus. We present a plausible geometrical model for the NLR, bringing together various components of the nuclear environment of the galaxy. We highlight the importance of the circum-nuclear disc in determining the appearance of the emission line gas and the morphology of the jet. From the dynamics of the emission line gas, we place constraints on the accelerating mechanism of the outflow and discuss ...

2010-01-01

48

Malignant duodenal obstructions: palliative treatment with covered expandable nitinol stent  

Energy Technology Data Exchange (ETDEWEB)

To evaluate the feasibility and clinical effectiveness of using a polyurethane-covered expandable nitinol stent in the palliative treatment of malignant duodenal obstruction. Under fluoroscopic guidance, a polyurethane-covered expandable nitinol stent was placed in 12 consecutive patients with malignant duodenal obstructions. All presented with severe nausea and recurrent vomiting. The underlying causes of obstruction were duodenal carcinoma (n=4), pancreatic carcinoma (n=4), gall bladder carcinoma (n=2), distal CBD carcinoma (n=1), and uterine cervical carcinoma (n=1). The sites of obstruction were part I (n=1), part II (n=8), and III (n=3). Due to pre-existing jaundice, eight patients with part II obstructions underwent biliary decompression prior to stent placement. An introducer sheath with a 6-mm outer diameter and stents 16 mm in diameter were employed, and to place the stent, ...

2002-04-01

49

Closed loop obstructions of the small bowel: role of Computed Tomography  

International Nuclear Information System (INIS)

Small bowel obstructions can be distinguished into more simple and closed loop obstructions. The latter is a more severe condition which is often complicated by strangulation with vascular impairment, edema and intramural and mesenteric hemorrhage. Consequent arterial insufficiency rapidly leads to ischemia, infarction and necrosis. The radiologist plays a role in the early recognition of the closed loop obstruction and of any sign of strangulation. The role of CT in the diagnosis and workup of patients with suspected intestinal occlusion has been analyzed in the literature with reported 63% sensitivity, 78% specificity and 66% accuracy. CT is also capable of revealing the causes of occlusion in 73-95% of cases. The above CT signs allow to identify closed loop obstruction and also small bowel strangulation, thus supplying a valuable contribution to diagnosis and accurate preoperative evaluation. The ...

1999-01-01

50

High Velocity Molecular Outflows In Massive Cluster Forming Region G10.6-0.4  

CERN Document Server

We report the arcsecond resolution SMA observations of the $^{12}$CO (2-1) transition in the massive cluster forming region G10.6-0.4. In these observations, the high velocity $^{12}$CO emission is resolved into individual outflow systems, which have a typical size scale of a few arcseconds. These molecular outflows are energetic, and are interacting with the ambient molecular gas. By inspecting the shock signatures traced by CH$_{3}$OH, SiO, and HCN emissions, we suggest that abundant star formation activities are distributed over the entire 0.5 pc scale dense molecular envelope. The star formation efficiency over one global free-fall timescale (of the 0.5 pc molecular envelope, $\\sim$10$^{5}$ years) is about a few percent. The total energy feedback of these high velocity outflows is higher than 10$^{47}$ erg, which is comparable to the total kinetic energy in the rotational motion of the dense molecular envelope. From ...

2010-01-01

51

Principe local-global pour les z\\'ero-cycles sur certaines fibrations au-dessus d'une courbe: II  

CERN Document Server

We consider an admissible fibration $\\pi:X\\to\\mathbb{P}^1$ over a curve over a number field, of which the generic fiber $X_\\eta$ is geometrically rationally connected. We suppose that there exists a generalized Hilbertian subset $\\textsf{Hil}$ of $\\mathbb{P}^1$, such that the Brauer-Manin obstruction is the only obstruction to the Hasse principle (resp. to the weak approximation) for $X_\\theta(\\theta\\in \\textsf{Hil}).$ We prove that the Brauer-Manin obstruction is the only obstruction to the Hasse principle (resp. to the strong approximation) for zero-cycles of degree 1 on $X$ in the following cases: $(B_1)$ the index of the generic fibre $X_\\eta$ is equal to 1; $(B_2)$ all fibers are geometrically integral. Then, we obtain some similar results for certain fibrations over $\\mathbb{P}^n$. As a consequence, we obtain the following result: let $X$ be a smooth projective geometrically rationally ...

2010-01-01

52

Vascular injuries in intestinal obstruction. The role of computed tomography; Complicazioni vascolari nelle occlusioni intestinali: ruolo della tomografia computerizzata  

Energy Technology Data Exchange (ETDEWEB)

The paper investigates computerized tomography capabilities in showing vascular complications secondary to intestinal obstruction and for assessing the site and cause of obstruction. [Italian] Scopo del lavoro e' lo studio dell'uso della tomografia computerizzata nel riconoscimento di complicanze vascolari secondarie ad occlusione intestinale e della presenza, della natura e della sede dell'ostacolo alla canalizzazione intestinale.

1999-09-01

53

Twisted cscK metrics and K\\"ahler slope stability  

CERN Document Server

We introduce a cohomological obstruction to solving the constant scalar curvature K\\"ahler (cscK) equation twisted by a semipositive form, appearing in works of Fine and Song-Tian. Geometrically this gives an obstruction for a manifold to be the base of a holomorphic submersion carrying a cscK metric in certain ``adiabatic'' classes. In turn this produces many new examples of general type threefolds with classes which do not admit a cscK representative. When the twist vanishes our obstruction extends the slope stability of Ross-Thomas to effective divisors on a K\\"ahler manifold. Thus we find examples of non-projective slope unstable manifolds.

2008-01-01

54

The interventional treatment for biliary recurrent obstruction after palliative T tube drainage in patients with obstruction due to cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To explore the interventional method to treat biliary recurrent jaundice after T tube drainage in patients with malignant obstructive jaundice due to cholangiocarcinoma. Methods: 7 biliary metallic stents were placed in 7 patients with recurrent jaundice after T-tube drainage in cholangiocarcinoma cases. Results: Stent placement was once successful in all 7 cases with successful rate of 100%. For all cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that of preoperation together with subsidence of jaundice satisfactorily for 100% after the treatment. Conclusions: Percutaneous placement of biliary metallic stents was effective economic, minimal invasive and safe for palliation of biliary recurrent jaundice after T tube drainage in cholangiocarcinoma-induced obstructive jaundice

2002-10-01

55

Strain-dependent variation in collateral circulatory function in mouse hindlimb  

UK PubMed Central (United Kingdom)

The extent (density and diameter) of the native (preexisting) collateral circulation in healthy tissues and the capacity of collaterals to enlarge/remodel in obstructive arterial disease are important...Full Text Available

2010-08-01

56

Is sirolimus a therapeutic option for patients with progressive pulmonary lymphangioleiomyomatosis?  

UK PubMed Central (United Kingdom)

BackgroundLymphangioleiomyomatosis (LAM) is a rare lung disease characterised by progressive airflow obstruction. No effective medical treatment is available but therapy with sirolimus...Full Text Available

2011-01-01

57

Intravesical Prostatic Protrusion in Men in Olmsted County, Minnesota  

UK PubMed Central (United Kingdom)

PurposeUltrasonically measured intravesical prostatic protrusion may be a promising noninvasive method of assessing bladder outlet obstruction. Previous investigations...Full Text Available

2009-12-01

58

Duodenal ileus caused by a calf feeding nipple in a cow  

UK PubMed Central (United Kingdom)

BackgroundThe aim of this report was to describe duodenal obstruction caused by a rubber foreign body in a cow.Case PresentationThe clinical, biochemical...Full Text Available

59

Cowper's syringocele: an analysis of 15 consecutive cases.  

UK PubMed Central (United Kingdom)

Cystic dilatation of Cowper's gland ducts (Cowper's syringocele) is uncommon in children and is frequently asymptomatic, but it may cause urinary infection, haematuria, dysuria, and obstructive voiding...Full Text Available

1996-07-01

60

Clinical outcomes and risk factors for technical and clinical failures of self-expandable metal stent insertion for malignant colorectal obstruction  

British Library Electronic Table of Contents (United Kingdom)

BackgroundAlthough self-expandable metal stent (SEMS) insertion is widely used for relief of malignant colorectal obstructions, the immediate technical and clinical failure rates of SEMSs and the associated risk factors remain largely unknown. ObjectiveTo identify rates and factors predictive of technical and clinical failure of SEMSs when their use is attempted for the decompression of malignant colorectal obstruction. DesignRetrospective chart review. SettingA tertiary-care academic medical center in South Korea. PatientsThis study involved a total of 412 patients with malignant colorectal obstruction in whom SEMS insertion was attempted. InterventionPlacement of colonic SEMSs. Main Outcome MeasurementsTechnical success and immediate and long-term clinical success rates. ResultsTechnical...

2011-01-01

 
 
 
 
61

A case of vesical leiomyoma and acute urinary obstruction.  

UK PubMed Central (United Kingdom)

A case of acute urinary retention due to a vesical leiomyoma is described. This is an unusual presentation and the treatment is discussed.ImagesFull Text Available

1983-06-01

62

Treatment of malignant gastroduodenal obstruction with using a newly designed complex expandable nitinol stent: initial experiences  

Energy Technology Data Exchange (ETDEWEB)

We wanted to evaluate the usefulness of a new type of a complex expandable nitinol stent that was designed to reduce the stent's propensity to migration during the treatment of malignant gastroduodenal obstructions. Two types of expandable nitinol stent were constructed by weaving a single thread of 0.2mm nitinol wire in a tubular configuration: an uncovered stent 18mm in diameter and a covered stent 16mm in diameter. Both ends of the covered stent were fabricated by coaxially inserting the covered stent into the tubular uncovered stent and then attaching the two stents together with using nylon monofilament. Under fluoroscopic guidance, the stent was placed in 29 consecutive patients (20 men and 9 women, mean age: 65 years) who were suffering with malignant gastric outlet obstruction (n=20), duodenal obstruction (n=6) or combined obstruction (n=3). Clinical improvement was assessed by ...

2005-12-15

63

Effects of bladder outlet obstruction on properties of Ca2+-activated K+ channels in rat bladder  

UK PubMed Central (United Kingdom)

In this study, we investigated the effects of bladder outlet obstruction (BOO) on the expression and function of large conductance (BK) and small conductance (SK) Ca2+-activated K+...Full Text Available

2010-05-01

64

Different Evolutionary Stages in the Massive Star Forming Region S255 Complex  

CERN Document Server

To understand evolutionary and environmental effects during the formation of high-mass stars, we observed three regions of massive star formation at different evolutionary stages that reside in the same natal molecular cloud. Methods. The three regions S255IR, S255N and S255S were observed at 1.3 mm with the Submillimeter Array (SMA) and followup short spacing information was obtained with the IRAM 30m telescope. Near infrared (NIR) H + K-band spectra and continuum observations were taken for S255IR with VLT-SINFONI to study the different stellar populations in this region. The combination of millimeter (mm) and near infrared data allow us to characterize different stellar populations within the young forming cluster in detail. While we find multiple mm continuum sources toward all regions, their outflow, disk and chemical properties vary considerably. The most evolved source S255IR exhibits a collimated bipolar outflow visible in CO and H2 ...

2010-01-01

65

Radiation from Relativistic Strongly Magnetized Outflows  

CERN Document Server

Relativistic strongly magnetized winds outflowing from fast-rotating compact objects like millisecond pulsars with surface magnetic fields of $\\sim 10^{15}-10^{16}$ G are plausible sources of cosmological $\\gamma$-ray bursts. In such winds, there are at least three regions where extremely powerful X-ray and $\\gamma$-ray emission may be generated. The first radiating region is the wind photosphere that is at a distance of $\\sim 10^9$ cm from the compact object. The second radiating region is at a distance of $\\sim 10^{13}-10^{14}$ cm. In this region, the striped component of the wind field is transformed into large-amplitude electromagnetic waves. The third radiating region is at a distance of $\\sim 10^{16}-10^{17}$ cm, where deceleration of the wind due to its interaction with an ambient medium becomes important. Radiation from all these regions is considered.

1999-01-01

66

Endovascular treatment of intrahepatic inferior vena cava obstruction from malignant hepatocellular tumor thrombus utilizing Luminexx self-expanding nitinol stents  

Energy Technology Data Exchange (ETDEWEB)

Inferior vena cava (IVC) obstruction is a well-described clinical entity. Most IVC obstructions from malignant neoplasms are a direct result of tumor compression [Oviedo J, Cerda S. Vascular invasion by hepatocellular carcinoma. Arch Pathol Lab Med 2001;125: 454-5; Furui S, Sawada S, et al. Gianturco stent placement in malignant caval obstruction: analysis of factors for predicting the outcome. Radiology 1995;195:147-52; Fletcher WS, Lakin PC, et al. Results of treatment of inferior vena cava syndrome with expandable metallic stents. Arch Surg 1998;133:935-8]. The symptoms of IVC obstruction include progressive ascites, scrotal edema and lower body edema. These constellations of symptoms are described as IVC syndrome and are devastating to a patient with end-stage cancer. We describe a palliative therapy utilizing Luminexx nitinol self-expanding stents to treat intracaval hepatoma thrombus ...

2008-05-15

67

Anatomic variations on PNS CT  

Energy Technology Data Exchange (ETDEWEB)

To illustrate frequently encountered anatomic variations on PNS computed tomography(CT) and to assess their clinical significance. CT findings of 1523 patients, who underwent PNS CT with no history of sinus surgery, were reviewed, and prevalence of each anatomic variation and its relationship with mucociliary clearance pathway was evaluated. Two categories of anatomic variations were encountered. The first group included variations of the turbinates, such as concha bullosa(28.6%), paradoxical middle turbinate(31.5%), of the uncinate process, such as medially bent or folded(36.3%), laterally bent(3.7%) or uncinate bulla(0.5%), of the ethmoidal sinus, such as Haller's cell(28.2%), large agger nasi cell(9.6%) or large ethmoidal bulla(23.5%) and nasal septal deviation(24.1%), which might cause obstruction of mucociliary clearance pathway and thus give rise to secondary obstructive sinusitis. The second group included Onodi cell(1.4%) and ...

1994-09-15

68

Anatomic variations on PNS CT  

International Nuclear Information System (INIS)

To illustrate frequently encountered anatomic variations on PNS computed tomography(CT) and to assess their clinical significance. CT findings of 1523 patients, who underwent PNS CT with no history of sinus surgery, were reviewed, and prevalence of each anatomic variation and its relationship with mucociliary clearance pathway was evaluated. Two categories of anatomic variations were encountered. The first group included variations of the turbinates, such as concha bullosa(28.6%), paradoxical middle turbinate(31.5%), of the uncinate process, such as medially bent or folded(36.3%), laterally bent(3.7%) or uncinate bulla(0.5%), of the ethmoidal sinus, such as Haller's cell(28.2%), large agger nasi cell(9.6%) or large ethmoidal bulla(23.5%) and nasal septal deviation(24.1%), which might cause obstruction of mucociliary clearance pathway and thus give rise to secondary obstructive sinusitis. The second group included Onodi cell(1.4%) and medial ...

1994-09-01

69

An idealized numerical simulation of mammatus-like clouds  

British Library Electronic Table of Contents (United Kingdom)

A three-dimensional numerical simulation of mammatus-like clouds is presented. A portion of a cirrus outflow anvil cloud is simulated including cloud ice and snow microphysical representations. The simulated mammatus clouds appear in a cellular pattern and are compared with the few available previously published physical observations of mammatus. Copyright Copyright 2006 Royal Meteorological Society

2006-01-01

70

The use of SMARTeR stents in patients with biliary obstruction  

Energy Technology Data Exchange (ETDEWEB)

AIM: The purpose of the study was to evaluate the percutaneous use of the new nitinol SMARTeR stents in patients with biliary obstruction. MATERIALS AND METHODS: Four stents were placed in three patients percutaneously under ultrasound and fluoroscopic guidance. RESULTS: The deployment of the stents was successful in all three patients. All stents maintained their patency and position after short-term follow-up. CONCLUSION: The nitinol SMARTeR stent is useful in the management of patients with biliary obstruction although accurate placement across the ampulla was found to be technically more difficult than with the Wallstent. Larger, long-term follow-up studies are required to evaluate the long-term patency of these new devices.

2004-03-01

71

Value of procalcitonin, C-reactive protein, and neopterin in exacerbations of chronic obstructive pulmonary disease  

UK PubMed Central (United Kingdom)

Objective:The identification of biological markers in order to assess different aspects of COPD is an area of growing interest. The objective of this study was to investigate whether...Full Text Available

2011-01-01

72

Underground cable: Best for cogeneration links  

Energy Technology Data Exchange (ETDEWEB)

This article addresses the connection of cogeneration plants to the utility system. The article provides examples for use in illustrating the problems that must be overcome and the solution chosen. These illustrations include high voltage utility connection, multiple connections to the utility at one location, and dealing with losses and obstructions.

1989-05-01

73

Tumor necrosis factor-? serum levels in healthy smokers and nonsmokers  

UK PubMed Central (United Kingdom)

Background:Tobacco smoking is the most important risk factor for chronic obstructive pulmonary disease (COPD) development. Inhaled cigarette smoke can induce tumor necrosis factor-α...Full Text Available

2010-01-01

74

Snoring as a Risk Factor for Sexual Dysfunction in Community Men  

UK PubMed Central (United Kingdom)

IntroductionSevere obstructive sleep apnea has been associated with sexual dysfunction; however, it is unclear whether milder forms of sleep disturbances might also...Full Text Available

2008-04-01

75

Predictive Value of Kushida Index and Acoustic Pharyngometry for the Evaluation of Upper Airway in Subjects With or Without Obstructive Sleep Apnea  

UK PubMed Central (United Kingdom)

Acoustic pharyngometry is a relatively new noninvasive method that quantifies geometrically complexed pharyngeal dimensions. Our study aimed to investigate the predictability and usefulness of acoustic...Full Text Available

2004-10-01

76

Polyp in concha bullosa: a case report and review of the literature  

UK PubMed Central (United Kingdom)

Polyp originating within a concha bullosa is uncommon; we report only the third such case in the English literature. A 45-year-old man presented with nasal obstruction and headache. Examination of the...Full Text Available

77

Phenotypic Transition of the Collecting Duct Epithelium in Congenital Urinary Tract Obstruction  

UK PubMed Central (United Kingdom)

Epithelial-mesenchymal transition (EMT) has emerged in recent years as an important process in the development of organ fibrosis in many human diseases. Our previous experience in a nonhuman primate...Full Text Available

2010-01-01

78

Non-invasive Parameters Predicting Bladder Outlet Obstruction in Korean Men with Lower Urinary Tract Symptoms  

UK PubMed Central (United Kingdom)

The goal of this study was to evaluate the clinical and urodynamic features in Korean men with lower urinary tract symptoms (LUTS) and to determine non-invasive parameters for predicting bladder outlet...Full Text Available

2010-02-01

79

Multicomponent Breath Analysis With Infrared Absorption Using Room-Temperature Quantum Cascade Lasers  

UK PubMed Central (United Kingdom)

Breath analysis is a powerful noninvasive technique for the diagnosis and monitoring of respiratory diseases, including asthma and chronic obstructive pulmonary disease (COPD). Nitric oxide...Full Text Available

2009-12-11

80

Mouth Opening During Sleep may be a Critical Predictor of Surgical Outcome after Uvulopalatopharyngoplasty for Obstructive Sleep Apnea  

UK PubMed Central (United Kingdom)

Study Objectives:To evaluate the value of mouth opening during sleep for predicting surgical outcomes after uvulopalatopharyngoplasty (UPPP).Methods:Retrospectively,...Full Text Available

2010-04-15

 
 
 
 
81

Mesencephalic and third ventricle cysts: diagnosis and management in four cases.  

UK PubMed Central (United Kingdom)

Four infants with obstructive hydrocephalus caused by space occupying third ventricle and mesencephalic cysts are reported. Despite immediate shunt insertion in all patients, there was either lack of...Full Text Available

1994-10-01

82

Massive Concha Bullosa with Secondary Maxillary Sinusitis  

UK PubMed Central (United Kingdom)

Concha bullosa is a common anatomic variation of the middle turbinate; however, sinusitis secondary to the concha bullosa is rare. A 52-yr-old woman presented with nasal obstruction and posterior nasal...Full Text Available

2008-12-01

83

Intrauterine tracheal obstruction, a new treatment for congenital diaphragmatic hernia, decreases amniotic fluid sodium and chloride concentrations in the fetal lamb.  

UK PubMed Central (United Kingdom)

OBJECTIVE: To evaluate the effect of fetal tracheal occlusion on sodium and chloride concentrations in amniotic and tracheal fluid. SUMMARY BACKGROUND DATA: Intrauterine tracheal occlusion has been...Full Text Available

1997-12-01

84

Intraprostatic injection of botulinum toxin type- A relieves bladder outlet obstruction in human and induces prostate apoptosis in dogs  

UK PubMed Central (United Kingdom)

BackgroundWith the increasing interest with botulinum toxin – A (BTX-A) application in the lower urinary tract, we investigated the BTX-A effects on the canine prostate and...Full Text Available

85

Infravesical obstruction due to benign intraurethral prostatic cyst.  

UK PubMed Central (United Kingdom)

We report a case of symptomatic intraurethral prostatic cyst in a 42-yr-old man without clinical evidence of benign prostatic hyperplasia. The intraurethral cyst makes it unique from the all previously...Full Text Available

2003-02-01

86

Functional MRI of the pharynx in obstructive sleep apnea (OSA) with rapid 2-D flash sequences  

International Nuclear Information System (INIS)

Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager ('Vision', Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of ...

87

Epignathus with Fetiform Features  

UK PubMed Central (United Kingdom)

Epignathus is an extremely rare oropharyngeal teratoma that commonly arises from the palate, leading to a high mortality (80–100%) due to airway obstruction in the neonatal period. We present...Full Text Available

2011-01-01

88

EFFECT OF AGE ON THE ROLE OF RHO-KINASE IN SHORT TERM PARTIAL BLADDER OUTLET OBSTRUCTION  

UK PubMed Central (United Kingdom)

ObjectivesWe examined the expression of Rho Kinase (ROK) isoforms in young and old rabbit’s detrusor smooth muscles (SM) during the progression of short term...Full Text Available

2008-03-01

89

Bladder outlet obstruction in a 6-month-old alpaca secondary to pelvic displacement of the urinary bladder  

UK PubMed Central (United Kingdom)

AbstractA 6-month-old female alpaca was presented for stranguria. Based on the history, physical examination findings, and radiographic studies, the alpaca was diagnosed with bladder...Full Text Available

2005-03-01

90

Bladder instability in patients with prostatic hypertrophy  

UK PubMed Central (United Kingdom)

In 29 patients with urinary obstruction due to prostatic enlargement, medium-fill water cystometry was performed before prostatectomy and again 3 months after. A high incidence of detrusor hyperreflexia...Full Text Available

1981-10-01

91

Application of 18F-fluorodeoxyglucose positron emission tomography to detection of proximal lesions of obstructive colorectal cancer  

International Nuclear Information System (INIS)

In cases of obstructive colorectal cancer (CRC), preoperative diagnosis of the proximal lesion is often difficult when the primary lesion impedes the passage of the endoscope. The aim of this study was to evaluate the usefulness of fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) in such cases. A total of 52 obstructive CRC patients who underwent preoperative FDG-PET and subsequent surgical resection were retrospectively reviewed. The correlation between characteristics of the proximal lesion and FDG-PET findings was analyzed statistically. There was a significant correlation between the proximal lesion size and the maximum standardized uptake value (P=0.00016). Abnormal FDG accumulation in the proximal colon indicated the existence of proximal cancer or adenoma with a sensitivity of 50% and a specificity of 100%. There was a significant difference in the distribution of tumor size between the cases with proximal abnormal ...

2010-10-01

92

Using fiber optic sensors to protect intake, outflow, and other environmentally exposed openings  

Energy Technology Data Exchange (ETDEWEB)

This paper reports on the protection of opening that are exposed to the environment in nuclear facilities which presents an almost overwhelming engineering challenge. Intakes and outflows must permit the passage of large volumes of air or water without impeding their flow, and they are often exposed to corrosive salt and chemicals. An intrusion detection sensor that is intended to protect these openings must be capable of operating reliably under environmentally harsh conditions, and at the same time either provide a physical delay barrier or attach to an existing barrier. A new fiber optic sensor technology has now been developed specifically for protecting environmentally exposed openings. This sensor uses a fiber optic cable embedded in a neoprene rubber frame which is reinforced with Kevlar threads or braided steel cable. The sensor is configured in a mesh pattern with openings sufficiently large to permit air or water to flow unimpeded, but small enough to ...

1991-01-01

93

BIMA Array Observations of the Highly Unusual SiO Maser Source with a Bipolar Nebulosity, IRAS 19312+1950  

CERN Document Server

We report the results of mapping observations of the bipolar nebula with SiO maser emission, IRAS 19312+1950, in the CO (J=1-0 and J=2-1), 13CO (J=1-0 and J=2-1), C18O (J=1-0), CS (J=2-1), SO (J_K=3_2-2_1) and HCO+ (J=3-2) lines with the Berkeley-Illinois-Maryland Association array. Evolutional status of this source has been evoking a controversy since its discovery, though SiO maser sources are usually identified as late-type stars with active mass loss. In line profiles, two kinematical components are found as reported in previous single-dish observations: a broad pedestal component and a narrow component. Spatio-kinetic properties of a broad component region traced by 12CO lines are roughly explained by a simple spherical outflow model with a typical expanding velocity of an AGB star, though some properties of the broad component region still conflict with properties of a typical AGB spherical outflow. A narrow component region apparently ...

2005-01-01

94

[Soil functioning in foci of Siberian moth population outbreaks in the southern taiga subzone of Central Siberia].  

Science.gov (United States)

The results of experimental studies on the contribution of zoogenic debris to transformation of soil properties in the southern taiga subzone of Central Siberia are analyzed. They show that water-soluble carbon outflow from the forest litter increases by 21-26% upon a Siberian moth invasion, with this value decreasing to 14% one year later. The burning of forest in an area completely defoliated by the pest leads to changes in the stock, fractional composition, actual acidity, and ash element contents of the litter. The litter-dwelling invertebrate assemblage is almost completely destroyed by fire and begins to recover only after two years. PMID:18491565

95

Back-up for high voltage cable pressurizing system  

Energy Technology Data Exchange (ETDEWEB)

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

96

Stent insertion in patients with malignant biliary obstruction: problems of the Hanaro stent  

Energy Technology Data Exchange (ETDEWEB)

To investigate the problems of the Hanaro stent (Solco Intermed, Seoul, Korea) when used in the palliative treatment of patients with inoperable malignant biliary obstruction. Between January 2000 and May 2001, the treatment of 46 patients with malignant biliary obstruction involved percutaneous placement of the Hanaro stent. Five patients encountered problems during removal of the stent's introduction system. The causes of obstruction were pancreatic carcinoma (n=2), cholangiocarcinoma (n=2), and gastric carcinoma with biliary invasion (n=1). In one patient, percutaneous transhepatic cholangiography and stent insertion were performed as a one-step procedure, while the others underwent conventional percutaneous transhepatic biliary drainage for at least two days prior to stent insertion. A self-expandable Hanaro stent, 8-10 mm in deameter and 50-100 mm in lengh, and made from a strand of nitinol wire, was used in ...

2002-07-01

97

Self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent for the palliative treatment of malignant biliary obstruction  

Energy Technology Data Exchange (ETDEWEB)

We wanted to determine the technical and clinical efficacy of placing a self-expandable PTFE-covered nitinol stent for the management of inoperable malignant biliary obstruction. Thirty six patients with inoperable malignant biliary obstructions were treated by placement of self-expandable PTFE-covered nitinol stents (S and G Biotech Corporation, Seongnam, Korea). Clinical evaluation was done with assessment of the serum bilirubin and alkaline phosphatase levels, which were measured before and after stent placement within 1 week, at 1 month and at 3 months. The patient survival rate and stent patency rate were calculated with performing Kaplan-Meier survival analysis. Successful stent placement was achieved in all the patients without procedure-related complication. Pancreatitis as an early complication occurred in two cases. The serum bilirubin and alkaline phosphatase levels were significantly decreased after the procedure. During the ...

2008-06-15

98

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

Energy Technology Data Exchange (ETDEWEB)

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 ...

2007-07-15

99

Two stents insertion via single tract for treatment of hepatic hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To evaluate the feasibility and clinical application of two stents insertion via single tract for treatment of hepatic hilar cholangiocarcinoma. Methods: Eighteen patients with hepatic hilar cholangiocarcinoma who had left and right bile duct obstruction were treated with stents insertion via right bile duct puncturing routeway. These two stents were implanted between right and left bile duct, and between right bile duct and common bile duct. Results: Eighteen patients obtained successful two stents placement by right bile duct puncturing tract and succeeded with internal drainage for all biliary tree jaundice subsided distinctly. Conclusions: The technique of two stents insertion via single tract could predigest interventional drainage procedure of high bile duct obstruction, reduce operation trauma, shorten handling time and possess promising application value

2003-12-01

100

Physical findings in the upper airways related to obstructive sleep apnea in men and women  

British Library Electronic Table of Contents (United Kingdom)

Conclusions. There are gender differences when it comes to the risk factors for sleep apnea. Large tonsils, a high tongue and a wide uvula are risk factors for sleep apnea in men, while large tonsils and a retrognathic mandible are risk factors in women. Upper airway abnormalities including mandibular retrognathia are, however, unable to predict sleep apnea among snorers being investigated for suspected sleep apnea. Objectives. To identify gender-specific risk factors for obstructive sleep apnea and the diagnostic performance from physical upper airway examinations among snoring men and women investigated because of suspected sleep apnea. Patients and methods. The dimensions of the uvula, tonsils, velopharynx and tongue, and nasal septal deviation, mandibular position, neck circumference, ...

2007-01-01

 
 
 
 
101

Outcomes and Cost Analysis of Pyeloplasty for Antenatally Diagnosed Ureteropelvic Junction Obstruction Using Markov Models  

British Library Electronic Table of Contents (United Kingdom)

Objectives The optimal timing of pyeloplasty for children diagnosed with ureteropelvic junction obstruction (UPJO) after workup for antenatal hydronephrosis is disputed. We sought to examine the potential costs and clinical outcomes of treatment protocols featuring different indications for pediatric pyeloplasty using Markov models. Methods Cost and outcomes analysis using Markov modeling was performed for three treatment algorithms: medical management, immediate pyeloplasty (during the first year of life), and pyeloplasty after no improvement on imaging. The costs were determined from the perspective of the medical institution. The variables tracked during Markov model simulation included age at resolution of UPJO, the proportion of patients with worsened hydronephrosis, the number of pye...

2008-01-01

102

Role of intrathecal tachykinins for micturition in unanaesthetized rats with and without bladder outlet obstruction.  

UK PubMed Central (United Kingdom)

1. The effects on micturition of RP 67,580, a selective NK1 receptor antagonist, and SR 48,968, a highly, potent antagonist at NK2 receptor sites, given intrathecally (i.t.) or intra-arterially (i.a.)...Full Text Available

1994-09-01

103

Hepatic abscess versus peripheral cholangiocarcinoma: Sonographic differentiation  

International Nuclear Information System (INIS)

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 ...

2000-12-01

104

Extensive peritoneal calcifications associated with continuous ambulatory peritoneal dialysis  

Energy Technology Data Exchange (ETDEWEB)

Peritoneal calcification, which can lead to intestinal obstruction and potentially lethal hemoperitoneum, is a rare complication of continuous ambulatory peritoneal dialysis. We describe a case in which extensive peritoneal calcification had arisen for this reason. Although the patient was asymptomatic, extensive calcification was present on the parietal and visceral peritoneum, including the hepatic and splenic surface. (author)

2000-07-01

105

Evaluation of biliary disease by scintigraphy  

Energy Technology Data Exchange (ETDEWEB)

The value of biliary scintigraphy was studied in 180 patients with suspected biliary tract disease. Most of the patients were investigated additionally by conventional techniques such as cholecystography, cholangiography and ultrasonography. It is concluded that biliary scintigraphy is a simple and safe technique for visualization of the biliary tract. It is particularly useful in the evaluation of acute cholecystitis, in patients with iodine sensitivity obstructive from nonobstructive jaundice.

1981-01-01

106

Contribution of pulmonary emphysema to functional impairment in patients with severe chronic obstructive pulmonary disease. A high-resolution CT study  

International Nuclear Information System (INIS)

The purpose of the paper is to investigate whether high-resolution CT (HRCT) can detect the subjects with massive emphysematous destruction in a group of patients with severe chronic obstructive pulmonary disease (COPD) and therefor be of help in selecting the candidates to surgical lung volume reduction. Have been examined 40 former smokers with severe COPD (FEV_1#<=#40% of the predicted value, with no major improvement after inhalation of bronchodilators). The emphysema extent score was significantly correlated with the hematocrit value and Tiffeneau index (p<2) in all the 40 patients. The severity of bronchial obstruction was the same in bronchitis and dyspnoeic patients. The subject with chronic bronchitis had milder emphysema (mean extent 35% versus 47% in the dyspnoeic subjects) and a higher frequency of bronchial involvement. A decrease in FEV_1 was significantly correlated with emphysema extent (p<1) in dyspnoeic, but not in ...

1999-01-01

107

Understanding consumption-related sucralose emissions - A conceptual approach combining substance-flow analysis with sampling analysis  

British Library Electronic Table of Contents (United Kingdom)

This paper explores the potential of combining substance-flow modelling with water and wastewater sampling to trace consumption-related substances emitted through the urban wastewater. The method is exemplified on sucralose. Sucralose is a chemical sweetener that is 600 times sweeter than sucrose and has been on the European market since 2004. As a food additive, sucralose has recently increased in usage in a number of foods, such as soft drinks, dairy products, candy and several dietary products. In a field campaign, sucralose concentrations were measured in the inflow and outflow of the local wastewater treatment plant in Linkoping, Sweden, as well as upstream and downstream of the receiving stream and in Lake Roxen. This allows the loads emitted from the city to be estimated. A method c...

2010-01-01

108

The Dynamical Interaction of AGN with their Galaxian Environments  

CERN Document Server

Jet-driven shocks are responsible for an important fraction of the emission of the narrow-line regions (NLRs) in many classes of AGN. However, this cannot explain all observations. It is clear that the remaining sources are photoionised by the active nucleus. The 2-d hydrodynamic models from the RSAA group support an evolutionary scenario whereby the shock-excited NLRs are initially jet-driven but later, ionizing photons from the central engine replace shocks as the main excitation mechanism and shock induced star formation may also become important. In their photoionized phase, dusty and radiation-pressure dominated evolution produces a self-regulated NLR spectrum. This model aso explains the coronal emission lines and fast (3000 km s$^{-1}$) outflows seen in some Seyferts.

2003-01-01

109

Possible preparation of wood-plastic composites based on unsaturated polyester resins and styrene by radiation and chemical methods in combination  

Energy Technology Data Exchange (ETDEWEB)

Using the radiation chemical method it is possible to prepare wood-plastic composites using doses of 1 to 2.5 kGy. The impregnation mixture in the wood gelatinates and subsequent curing using chemical initiators takes place without outflow of the mixture from the wood and without formation of incrustations. The basic components of the impregnation mixtures used were unsaturated polyester resins; styrene or methyl methacrylate was used as the thinner. The proven initiator of polymerization was 2,2'-azobisisobutyronitrile. The technology is described of wood impregnation and radiation or chemical curing. The effects were monitored of viscosity, temperature, radiation dose and the concentrations of the individual components of the impregnation mixtures and initiators of polymerization on the process of the preparation of wood-plastic composites.

1983-06-01

110

Gamma-Ray Burst jet dynamics and their interaction with the progenitor star  

CERN Document Server

The association of at least some long gamma-ray bursts with type Ic supernova explosions has been established beyond reasonable doubt. Theoretically, the challenge is to explain the presence of a light hyper-relativistic flow propagating through a massive stellar core without losing those properties. We discuss the role of the jet-star interaction in shaping the properties of the outflow emerging on the surface of the star. We show that the nature of the inner engine is hidden from the observer for most of the evolution, well beyond the time of the jet breakout on the stellar surface. The discussion is based on analytical considerations as well as high resolution numerical simulations. Finally, the observational consequences of the scenario are addressed in light of the present capabilities.

2006-01-01

111

Flow mapping for assessment of native and repaired valves  

International Nuclear Information System (INIS)

Color Doppler flow mapping (CDFM) was performed in 47 normal women ages 18-41 mean (m) 28 to determine the normal flow phenomena across each of the 4 heart valves. The group included: 15 elite marathon runners average run (ave.) 70 miles/week, heart rate (HR) 35-54 (m 45); 14 joggers ave. 40 mi/wkm HR 40-69 (m 53); and 17 controls 0 mi/wk, HR 49-93 (m 77). 2-D echo and CDFM defined the motion of each valve, including the presence of mitral valve prolapse (MVP), the ventricular inflow and outflow patterns and the presence of regurgitation.

112

Control device in a reactor  

International Nuclear Information System (INIS)

Purpose: To flatten temperature distribution of coolant within a core. Constitution: The control device of the present invention is to vary reactivity of a fast breeder to control a reactor power. In general, the control device of this kind comprises a guide pipe arranged within the core and a control rod movable up and down within the guide pipe, and a coolant flows from bottom toward top within the guide pipe. Since a cooling flow rate has a margin, temperature of coolant outlet is extremely low as compared to a fuel assembly, and therefore temperature gradient in the vicinity of the top of the control rod becomes sharp to possibly impart thermal shock to the structural material. In the present invention, the flow passage of coolant is varied to thereby avoid outflow thereof into the core, thus flattening the temperature distribution of the coolant within the core. (Kamimura, M.).

113

Collective oscillations and r-process nucleosynthesis  

British Library Electronic Table of Contents (United Kingdom)

Neutrinos have recently been shown to have collective phenomenon which causes them to flavor transform near the center of the supernova. These flavor transformations can potentially impact supernova nucleosynthesis, particularly for processes that occur near the core, such as the r-process. In this paper we explore the effects of collective oscillations on a supernova r-process. We find that magnitude of the effect depends senstivitely on the astrophysical conditions?in particular on the interplay between the time when nuclei begin to exist in significant numbers and the time when the collective oscillation begins. Because of this delicate balance, a more definitive understanding of the astrophysical conditions is necesssary. Here, we explore scenarios based on outflow models currently in ...

2011-01-01

114

Basic characteristics of centrifuges, (2)  

International Nuclear Information System (INIS)

The presence of an extraneous light gas must be taken into account in consideration of centrifugal separation of uranium isotopes, when there is inevitable leakage of such a gas through the gas sealant and/or leaking in from the atmosphere. Consideration is first given to the influence of the presence of the light gas on the maximum separative power. Then the basic equation for isotope separation containing a light gas is derived from Hirschfelder's diffusion equations. This equation is solved and the separative performance is expressed in terms of the shape factor and reflux parameter. The formulas for expressing the flow configurations of the gases are obtained for a simple model in which inflow and outflow prevail throughout the centrifuge. The corresponding equation for a model in which the gases flow in two concentric thin streams is also derived. It is concluded that the influence provided by the presence of a light gas is quite significant if the gas ...

115

EXTREMELY LARGE AND HOT MULTILAYER KEPLERIAN DISK AROUND THE O-TYPE PROTOSTAR W51N: THE PRECURSORS OF THE HCH II REGIONS?  

International Nuclear Information System (INIS)

We present sensitive high angular resolution (0.''57-0.''78) SO, SO_2, CO, C_2H_5OH, HC_3N, and HCOCH_2OH line observations at millimeter and submillimeter wavelengths of the young O-type protostar W51 North made with the Submillimeter Array. We report the presence of a large (about 8000 AU) and hot molecular circumstellar disk around this object, which connects the inner dusty disk with the molecular ring or toroid reported recently and confirms the existence of a single bipolar outflow emanating from this object. The molecular emission from the large disk is observed in layers with the transitions characterized by high excitation temperatures in their lower energy states (up to 1512 K) being concentrated closer to the central massive protostar. The molecular emission from those transitions with low or moderate excitation temperatures is found in the outermost parts of the disk and exhibits an inner cavity with an angular size of around 0.''7. We modeled all lines ...

2010-12-10

116

APERTURE SYNTHESIS IMAGING OF V892 Tau AND PV Cep: DISK EVOLUTION  

International Nuclear Information System (INIS)

I present a study of two Herbig Ae stars that are in completely different evolutionary stages: V892 Tau and PV Cep. Using sub-arcsecond interferometric observations obtained with the Combined Array for Research in Millimeter-wave Astronomy at #lambda# = 1.3 and 2.7 mm, I have for the first time resolved their disks. I deduce that the 5 Myr old V892 Tau has a low dust opacity index #beta# = 1.1 and a disk mass of #approx#0.03 M_s_u_n. These values correspond to the growth of its dust into large, up to centimeters size, structures. In contrast, the very young (a few x10"5 yr) PV Cep has a quite high opacity index #beta# = 1.75 and a more massive disk 0.8 M_s_u_n. PV Cep has the youngest resolved disk around any Herbig Ae star. Unlike the youngest T Tauri and Class 0 stars, which contain large and processed grains, the young Herbig Ae star, PV Cep, disk contains interstellar-medium-like unprocessed dust. This suggests that PV Cep's dust evolution is slower than T Tauri stars'. I also ...

2010-10-10

117

Evaluation of Dynamic Passing Sight Distance Problem Using a Finite Element Model  

Energy Technology Data Exchange (ETDEWEB)

Sufficient passing sight distance is an important control for two-lane rural highway design to minimize the possibility of a head-on collision between passing and opposing vehicles. Traditionally, passing zones are marked by checking passing sight distance that is potentially restricted by static sight obstructions. Such obstructions include crest curves, overpasses, and lateral objects along highways. This paper proposes a new concept of dynamic sight-distance assessment, which involves restricted passing sight distances due to the impeding vehicles that are traveling in the same direction. Using a finite-element model, the dynamic passing sight-distance problem was evaluated, and the writers analyzed the relationships between the available passing sight distance and other factors such as the horizontal curve radius, impeding vehicle dimensions, and a driver s following distance. It was found that the impeding vehicles may cause substantially ...

2008-06-01

118

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

Science.gov (United States)

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 ...

2002-02-01

119

The efficacy of metallic stent placement in the treatment of colorectal obstruction  

Energy Technology Data Exchange (ETDEWEB)

To evaluate the efficacy of newly designed covered and non-covered coated colorectal stents for colonic decompression. Twenty-six patients, (15 palliative cases and 11 preoperative) underwent treatment for the relief of colorectal obstruction using metallic stents positioned under fluoroscopic guidance. In 24 of the 26, primary colorectal carcinoma was diagnosed, and in the remaining two, recurrent colorectal carcinoma. Twenty-one patients were randomly selected to receive either a type A or type B stent; for the remaining five, type C was used. Type A, an uncovered nitinol wire stent, was lightly coated to ensure structural integrity. Type B (flare type) and C (shoulder type) stents were polyurethane covered and their diameter was 24 and 26mm, respectively. The rates of technical success, clinical success, and complications were analyzed using the chi-square test, and to analyse the mean period of patency, the Kaplan-Meier method was used. Thirty of 31 attempted ...

2002-06-01

120

Shredders and riparian vegetation  

Energy Technology Data Exchange (ETDEWEB)

Stream invertebrates that feed on leaf litter are intimately tied to the nature and timing of the litter input. These invertebrates are called shredders; they consume streamside, riparian litter that has become trapped in the stream channel. This plant litter accumulates at the leading edge of obstructions in the current and settles out in pools, alcoves, and other depositional zones. Given the extensive literature that has accumulated over the last 20 years, researchers can now develop a general, testable model that relates riparian plant communities to the stream shredders, which depend upon litter derived from those communities.

1989-01-01

 
 
 
 
121

Recent advances in pharmacotherapy for dyspnea in COPD  

British Library Electronic Table of Contents (United Kingdom)

Dyspnea is the most distressing symptom experienced by those suffering from advanced stages of chronic obstructive pulmonary disease (COPD). Activity-related dyspnea in COPD is multifactorial but is associated with increased central neural drive, impaired dynamic respiratory mechanics and abnormal respiratory muscle function. Each of these components can potentially be targeted for pharmacotherapy. Recent advances in the pharmacotherapy of COPD include the development of new long-acting bronchodilators which, when combined, provide sustained improvements in dyspnea. Additionally, novel applications of older therapies such as opiates, furosemide, helium-oxygen, and statins show early promise as dyspnea-relieving interventions in COPD. Effective pharmacological manipulation of the affective ...

2011-01-01

122

Percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To evaluate the effect of PTBD in treating malignant biliary obstruction caused by hilar cholangiocarcinoma. Methods: We retrospectively analyzed the data of 103 patients(M:62,F:41)with malignant obstructive jaundice caused by hilar cholangiocarcinoma. After taking percutaneous transhepatic cholangiography, metallic stent or plastic external catheter or external-internal catheter for drainage was deployed and then followed up was undertaken with clinical and radiographic evaluation and laboratory. examination. Results: All patients went though PTBD successfully (100%). According to Bismuth classification, all 103 cases consisted of I type(N=30), II type (N=30), III type (N=26) and IV type (N=17). Thirty-nine cases were placed with 47 stents and 64 eases with drainage tubes. 4 cases installed two stems for bilateral drainage, 2 cases installed two stents because of long segmental strictures with stent in stent, 1 case was placed with ...

2007-10-01

123

Diurnal variation of phytoplankton community in a high frequency area of HABs: Daya Bay, China  

British Library Electronic Table of Contents (United Kingdom)

Phytoplankton community was investigated in the cage culture area of Daya Bay during a diurnal cycle. Two rainfalls occurred during the course of the experiment and decreased the surface seawater salinity in the aquaculture area. A total of 38 species were identified, of which the dominant species included Pseudo-nitzschia spp. and Skeletonema costatum. Water stratification obstructed the vertical migration of dinoflagellates. Statistical analysis indicated that Synechococcus showed negative relationship with silicate and ammonia, which indicated that Synechococcus adapted to grow at oligotrophic environment. Phytoplankton community structure implied the risk of Pseudo-nitzschia spp. blooms in the aquaculture area of Daya Bay.

2011-01-01

124

Coke fouling process on the oil refining; Processo de incrustacao por coque no refino do petroleo  

Energy Technology Data Exchange (ETDEWEB)

The heavy crude fraction processing is performed under very high vacuum to minimize thermal cracking which cause coke deposition and damage the equipment. The current tendency is to process heavier oil leading to higher process temperatures and consequently to greater fouling. This situation demands better knowledge fouling process by carbonization. This problem is pronounced in the residual gasoil region of a vacuum distillation unit because it obstructs the recirculation circuits and the spray system with serious environmental and economics implications. This paper review the main correlated published work related to coke generation and fouling and presents a discussion about the works. (author)

2004-07-01

125

Health-hazard evaluation report HETA 88-108-2146, Asarco New Market/Young Mines, Mascot, Tennessee  

Energy Technology Data Exchange (ETDEWEB)

In response to a request from the International Chemical Workers Union, Akron, Ohio, an investigation was made into possible hazardous working conditions at two American Smelting and Refining Company (SIC-1031) zinc mines (New Market and Young) in Mascot, Tennessee. Specifically, exposures to asbestos (1332214), silica (14808607), and diesel emissions were determined. At both mines overexposures were found to nitrogen-dioxide (10102440) (NO2) and coal-tar pitch volatiles. Twenty-four percent of the NO2 measurements taken were above the NIOSH recommended ceiling of 1 part per million (ppm), but none exceeded the Mine Safety and Health Administration's (MSHA) ceiling of 5ppm. Exposure to diesel particulates ranged from 0.24 to 1.06mg/cu m. None of the 52 respirable dust samples collected exceeded the calculated MSHA limits for free silica exposure. A medical evaluation was offered and 83 of the 400 current employees and one retired employee participated. Seven underground ...

1991-10-01

126

CT characterization of bile duct dilatation: Differential diagnosis of obstructive jaundice  

Energy Technology Data Exchange (ETDEWEB)

Each disease affecting the bile ducts tends to produce characteristic pattern of biliary dilatation: recurrent pyogenic cholangitis causes dilatation and straightening of the larger (central) intrahepatic ducts: clonorchiasis causes dilatation of the smaller (peripheral) intrahepatic ducts; and carcinoma along the extrahepatic ducts causes (proportional) dilatation and tortuosity of both larger and smaller intrahepatic ducts. To evaluate the specificity of the pattern and morphology of the dilated biliary tree on CT scans (CT characterization) three independent radiologists who were unifamiliar with the cases were asked to classify 62 CT scans in patients with obstructive jaundice. The case population consisted of 14 cases with recurrent pyogenic cholangitis, 18 cases with clonorchiasis and 30 cases with carcinoma along the extrahepatic ducts, which were intermixed randomly. Classification was made only on the basis of CT characterization: those scans showing ...

1992-07-15

127

CT characterization of bile duct dilatation: Differential diagnosis of obstructive jaundice  

International Nuclear Information System (INIS)

Each disease affecting the bile ducts tends to produce characteristic pattern of biliary dilatation: recurrent pyogenic cholangitis causes dilatation and straightening of the larger (central) intrahepatic ducts: clonorchiasis causes dilatation of the smaller (peripheral) intrahepatic ducts; and carcinoma along the extrahepatic ducts causes (proportional) dilatation and tortuosity of both larger and smaller intrahepatic ducts. To evaluate the specificity of the pattern and morphology of the dilated biliary tree on CT scans (CT characterization) three independent radiologists who were unifamiliar with the cases were asked to classify 62 CT scans in patients with obstructive jaundice. The case population consisted of 14 cases with recurrent pyogenic cholangitis, 18 cases with clonorchiasis and 30 cases with carcinoma along the extrahepatic ducts, which were intermixed randomly. Classification was made only on the basis of CT characterization: those scans showing ...

1992-07-01

128

The impact of accretion disk winds on the X-ray spectrum of AGN: Part 1 - XSCORT  

CERN Document Server

(abridged) The accretion disk in AGN is expected to produce strong outflows, in particular a UV-line driven wind. Despite providing a good fit to the data, current spectral models of the X-ray spectrum of AGN observed through an accretion disk wind are ad-hoc in their treatment of the properties of the wind material. In order to address these limitations we adopt a numerical computation method that links a series of radiative transfer calculations, incorporating the effect of a global velocity field in a self-consistent manner (XSCORT). We present a series of example spectra from the XSCORT code that allow us to examine the shape of AGN X-ray spectra seen through a wind, for a range of velocity and density distributions, total column densities and initial ionization parameters. These detailed spectral models clearly show considerable complexity and structure that is strongly affected by all these factors. The presence of sharp features in the XSCORT spectra ...

2007-01-01

129

The Local Environment of the FUor-like Objects AR 6A and 6B  

CERN Document Server

We present new 12CO J=3-2 and HCN J=3-2 molecular line maps of the region surrounding the young star AR 6 using the 15 metre James Clerk Maxwell Telescope. AR 6 was previously found to be a double source with both components exhibiting several characteristics of FU Orionis (FUor) eruptive variable stars. Our data indicates that AR 6, like FU Orionis itself, does not possess a CO outflow and likewise, does not show evidence for large amounts of molecular g as in its circumstellar environment. We conclude that from the near-IR to the sub-mm, AR 6 is similar to FU Orionis in several respects. We interpret the lack of significant dust and molecular gas in the circumstellar environment of AR 6, together with the large near-IR thermal excess, as evidence that the sources have exhausted their natal envelopes, that they have at least small hot circumstellar disks, and that they are more evolved than Class I protostars. This, in itself, suggests that, since FUor eruptions ...

2008-01-01

130

Remnant of a "Wet" Merger: NGC 34 and Its Young Massive Clusters, Young Stellar Disk, and Strong Gaseous Outflow  

CERN Document Server

This paper presents new images and spectroscopy of NGC 34 (Mrk 938) obtained with the du Pont 2.5-m and Baade 6.5-m telescopes at Las Campanas, plus photometry of an HST archival V image. This Mv = -21.6 galaxy has often been classified as a Seyfert 2, yet recently published infrared spectra suggest a dominant central starburst. We find that the galaxy features a single nucleus, a main spheroid containing a blue central disk, and tidal tails indicative of two former disk galaxies. These galaxies appear to have completed merging. The remnant shows three clear optical signs that the merger was gas-rich ("wet") and accompanied by a starburst: (1) It sports a rich system of young star clusters, of which 87 have absolute magnitudes -10.0 > Mv > -15.4. Five clusters with available spectra have ages in the range 0.1-1.0 Gyr, photometric masses between 2x10^6 and 2x10^7 Msun, and are gravitationally bound young globulars. (2) The blue central disk appears to be young. It is exponential, ...

2007-01-01

131

RESOLVING DOPPLER-FACTOR CRISIS IN ACTIVE GALACTIC NUCLEI: NON-STEADY MAGNETIZED OUTFLOWS  

International Nuclear Information System (INIS)

Magnetically driven non-stationary acceleration of jets in active galactic nuclei results in the leading parts of the flow being accelerated to much higher Lorentz factors than in the case of steady-state acceleration with the same parameters. The higher Doppler-boosted parts of the flow may dominate the high-energy emission of blazar jets. We suggest that highly variable GeV and TeV emission in blazars is produced by the faster moving leading edges of highly magnetized non-stationary ejection blobs, while the radio data trace the slower-moving bulk flow. Thus, the radio and gamma-ray emission regions have different, but correlated, Doppler factors. High-energy emission is generated, typically within the optically thick core, in the outer parts of the broad-line emission region, avoiding the radiative drag on the faster parts of the flow. The radio emission should correlate with the gamma-ray emission, delayed with frequency-dependent time lag of the order of weeks to months. Model ...

2010-10-10

132

AGN Outflows in Emission and Absorption: The SDSS Perspective  

CERN Document Server

A variety of investigations have demonstrated commonalities between the Baldwin (1977) Effect, the blueshifting of CIV emission lines (e.g., Gaskell 1982; Richards et al. 2002), and the L_UV-L_X relationship (e.g., Avni & Tananbaum 1982; Strateva et al. 2005; Steffen et al. 2006); indeed all three of these observational effects may be manifestations of the same underlying (but still uncertain) physics. This commonality is of interest to investigations of accretion disk winds (e.g., Murray et al. 1995; Proga et al. 2000) from active galactic nuclei (AGN) as there is evidence that broad absorption line quasars (BALQSOs) are drawn from a parent sample of quasars that exhibit larger than average CIV blueshifts, weaker than average CIV emission line strengths, and bluer than average (intrinsic) colors. The properties of the absorption troughs appear to be dependent upon these parameters. Thus, it is suggested that not all quasars will host bona-fide BAL troughs, but that all (broad ...

2006-01-01

133

Further evidence for particle nucleation in clear air adjacent to marine cumulus clouds  

Science.gov (United States)

Observational evidence is presented for the nucleation of condensation nuclei (CN) in the clear air adjacent to an isolated, marine, cumulus cloud. Two separate regions of particle nucleation are identified: one located above the cloud top, and the second located downwind of the cloud near the level of the anvil outflow. The regions of high CN concentrations were located in extremely clean marine air, with unactivated aerosol surface area (excluding the nucleation mode) less than 2 sq micrometers/cu cm, air temperature -31 C, and higher relative humidities than the undisturbed environment. Vertical profile measurements downwind of the cloud showed that CN concentrations at the level of the anvil outflow (4.9 km) were 8 times greater than at any other level between the surface and 5.3 km. A conceptual model is formulated in which aerosol particles, sulfur dioxide (SO2), sulfuric acid vapor (H2SO4), dimethyl sulfide (DMS), and ozone (O3) from the ...

1994-11-01

134

Treatment of hilar cholangiocarcinoma with inserting biliary double stents  

International Nuclear Information System (INIS)

Objective: To investigate the inserting technique of biliary double stents in treating hilar cholangiocarcinoma. Methods: 6 patients with hilar cholangiocarcinoma (Bismuth IV) were treated by percutaneous transhepatic insertion of biliary stents. Double stents were inserted in each patient. Different inserting methods were adopted according to the branch angles formed by left and right hepatic ducts. Results: The jaundice of all patients alleviated or disappeared obviously after stent implantation. The average difference between post-and pre-operation in the serum total bilirubin level was (104 #+-# 29) #mu#mol/L (P<0.01). Stent obstruction was found in 2 cases after 4 and 6 months respectively. Conclusion: Double stents implantation is effective for the treatment of hilar cholangiocarcinoma. Beware of the angulation between main hepatic duct and adopting different inserting methods. (authors)

2004-10-01

135

The Impact of Proactive Chronic Care Management on Hospital Admissions in a German Senior Population  

British Library Electronic Table of Contents (United Kingdom)

Abstract An increase in chronic disease prevalence is contributing to health care cost growth and decreased quality of life in industrialized nations worldwide. Inadequate management of chronic diseases is a leading cause of hospitalizations and, thus, avoidable expenditures. In this study, we evaluated the impact of nurse-delivered care calls, the primary intervention of a proactive chronic care management (CCM) program, in a population aged 65 and older in Germany. In this analysis, hospital admission rates were evaluated among program enrollees who were diagnosed with diabetes, heart failure, coronary heart disease, or chronic obstructive pulmonary disease. The Intervention group comprised those members who participated in care calls (n?=?13,486), whereas the Comparison group included e...

2011-01-01

136

Skincare instruction for remission period of acne and utility of proactive management for skincare  

British Library Electronic Table of Contents (United Kingdom)

In recent years, slightly acid formulas for cosmetics which remove follicular infundibulum obstruction of the hair follicle, have been devised. Therefore, few acne patients experience a problem with cosmetics use. On the other hand, cosmetics use differs from person to person. Thus, an investigation of actual conditions of cosmetics use was done among acne patients. Compared with healthy people, acne patients used more facial wash products more. It has been understood that treatment and skincare instruction are important for the improvement and prevention of acne. We examined skin physiology function and patient's QOL by using a skin care product for women for two months with skincare instruction from a dermatologist for 31 female patients this time. As a result, it was able to be confirme...

2010-01-01

137

Radiation therapy in the treatment of hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

The incidence of hilar cholangiocarcinoma is very rare worldwide. Radical resection is the only prognostic factor for long survival in patients with hilar cholangiocarcinoma. Postoperative radiation therapy can improve local control and survival rates for patients with palliative resection, but it remains controversial in patients with radical resection. Biliary drainage can effectively release bile duct obstruction for the majority of patients with locally advanced disease, and may even prolong survival when combined with radiation therapy. Radiation therapy includes extrernal beam therapy alone, external beam therapy with intraluminal brachytheapy and new radiation technique, such as three dimentional conformal therapy and intensity modulated radiation therapy. The propective randomized clinical study is needed for further investigation in the role of combined modality therapy especially for hilar cholangiocarcinoma. (authors)

2007-10-01

138

Functional MRI of the pharynx in obstructive sleep apnea (OSA) with rapid 2-D flash sequences; Funktionelle MRT des Pharynx bei obstruktiver Schlafapnoe (OSA) mit schnellen 2D-FLASH-Sequenzen  

Energy Technology Data Exchange (ETDEWEB)

Functional imaging of the pharynx used to be the domain of cineradiography, CT and ultrafast CT. The development of modern MRI techniques led to new access to functional disorders of the pharynx. The aim of this study was to implement a new MRI technique to examine oropharyngeal obstructive mechanisms in patients with obstructive sleep apnea (OSA). Sixteen patients suffering from OSA and 6 healthy volunteers were examined on a 1.5 T whole-body imager (`Vision`, Siemens, Erlangen Medical Engineering, Germany) using a circular polarized head coil. Imaging was performed with 2D flash sequences in midsagittal and axial planes. Patients and volunteers were asked to breathe normally through the nose and to simulate snoring and the Mueller maneuver during magnetic resonance imaging (MRI). Prior to MRI, all patients underwent an ear, nose and throat (ENT) examination, functional fiberoptic nasopharyngoscopy and polysomnography. A temporal resolution of ...

1996-03-01

139

Effects of Sleep Apnea Severity on Glycemic Control in Patients with Type 2 Diabetes Prior to Continuous Positive Airway Presssure Treatment  

British Library Electronic Table of Contents (United Kingdom)

Abstract Background: Obstructive sleep apnea (OSA), a highly prevalent condition, is independently associated with increased risks of developing type 2 diabetes mellitus (T2D) and metabolic syndrome. It is unclear, however, if the severity of OSA has any impact on glycemic control among patients with T2D. We therefore aimed to determine the independent association between OSA severity and glycosylated hemoglobin (HbA1c) in patients with T2D. Methods: This was an observational cross-sectional study of 52 consecutive patients attending the diabetes obesity clinic between January 2008 to February 2010 with risk factors for sleep apnea and who underwent polysomnography study. Clinical, demographic, and lifestyle data were recorded using a questionnaire. Results: Prevalence of OSA in this clini...

2011-01-01

140

Cost-effectiveness of educational outreach to primary care nurses to increase tuberculosis case detection and improve respiratory care: economic evaluation alongside a randomised trial  

British Library Electronic Table of Contents (United Kingdom)

Summary Objective To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses. Methods Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases. The study included 1999 patients aged 15 or over with cough or difficult breathing, attending 40 primary care clinics staffed by nurses in the Free State province. They were interviewed at first presentation, and 1856 (93%) were interviewed 3 months late...

2010-01-01

 
 
 
 
141

Chronic and non-communicable diseases: a critical challenge for nurses globally  

British Library Electronic Table of Contents (United Kingdom)

ALLEYNE G., HANCOCK C. & HUGHES P. (2011) Chronic and non-communicable diseases: a critical challenge for nurses globally. International Nursing Review58, 328-331 Background:- Chronic and non-communicable diseases (NCDs) are a growing and enormous challenge that faces countries across the world. Low- and middle-income countries are disproportionately affected. Contributory factors:- Three risk factors - tobacco use, poor diet (including excessive alcohol intake) and lack of physical activity - contribute to four major chronic diseases - cardiovascular, chronic obstructive pulmonary disease, diabetes and some cancers, which are responsible for over 50% of deaths worldwide. Potential solutions:- International governmental and non-governmental agencies are becoming increasingly concerned and ...

2011-01-01

142

Treatment of Malignant Biliary Obstruction with a PTFE-Covered Self-Expandable Nitinol Stent  

Energy Technology Data Exchange (ETDEWEB)

We wanted to determine the technical and clinical efficacy of using a PTFE-covered self-expandable nitinol stent for the palliative treatment of malignant biliary obstruction. Thirty-seven patients with common bile duct strictures caused by malignant disease were treated by placing a total of 37 nitinol PTFE stents. These stents were covered with PTFE with the exception of the last 5 mm at each end; the stent had an unconstrained diameter of 10 mm and a total length of 50 80 mm. The patient survival rate and stent patency rate were calculated by performing Kaplan-Meier survival analysis. The bilirubin, serum amylase and lipase levels before and after stent placement were measured and then compared using a Wilcoxon signed-rank test. The average follow-up duration was 27.9 weeks (range: 2 81 weeks). Placement was successful in all cases. Seventy-six percent of the patients (28/37) experienced adequate palliative drainage for the remainder of their lives. There were ...

2007-10-15

143

cap alpha. -2 adrenergic receptor: a radiohistochemical study  

Energy Technology Data Exchange (ETDEWEB)

..cap alpha..-2 adrenergic agents have been shown to influence blood pressure, heart rate and other physiological and behavioral functions through interactions with adrenergic pathways within the central nervous system. Pharmacologically relevant ..cap alpha..-1 adrenergic receptors were biochemically characterized and radiohistochemically analyzed in intact tissue sections of the rat and human central nervous system. The anatomical distribution of the ..cap alpha..-2 receptors, labeled with the agonist (/sup 3/H)para-aminoclonidine, verified the concept that ..cap alpha..-2 receptors are closely associated with adrenergic nerve terminals and that ..cap alpha..-2 agents can influence autonomic and endocrine function through an action in the central nervous system. Since ..cap alpha..-2 agonists can influence sympathetic outflow, ..cap alpha..-2 binding sites were closely analyzed in the intermediolateral cell column of the thoracic spinal cord. The transport of ...

1984-01-01

144

Nucleosynthesis in the Hot Convective Bubble in Core-Collapse Supernovae  

Energy Technology Data Exchange (ETDEWEB)

As an explosion develops in the collapsed core of a massive star, neutrino emission drives convection in a hot bubble of radiation, nucleons, and pairs just outside a proto-neutron star. Shortly thereafter, neutrinos drive a wind-like outflow from the neutron star. In both the convective bubble and the early wind, weak interactions temporarily cause a proton excess (Y{sub e} {approx}> 0.50) to develop in the ejected matter. This situation lasts for at least the first second, and the approximately 0.05-0.1 M{sub {circle_dot}} that is ejected has an unusual composition that may be important for nucleosynthesis. Using tracer particles to follow the conditions in a two-dimensional model of a successful supernova explosion calculated by Janka, Buras, and Rampp (2003), they determine the composition of this material. most of it is helium and {sup 56}Ni. The rest is relatively rare species produced by the decay of proton-rich isotopes unstable to positron emission. ...

2004-09-02

145

Biodegradation of dispersants used in the treatment of oil spills. Biodegradacion de dispersantes utilizados en el tratamineto de derrames de hidrocarburos  

Energy Technology Data Exchange (ETDEWEB)

The biodegradation of one of the most commonly used commercially available dispersants in the treatment of hydrocarbon out-flow was studied. The culture mediums employed were sea water, sterile sea water, and medium M19 (Merck). The latter two were inoculated with two kinds of microorganisms of the Pseudomona genus isolated from sludge from a waste treatment plant. The dispersants used is a commercial product made of anionic sulphated dispersants (1.710% by weight); anionic sulphonated dispersants (0.144%) and non-ionic dispersants (8.146%), both accompained by hidrocarbonated solvent (90%). The degradation processes occurred at differents temperatures (20, 30 and 37). The greatest degradation was obtained at 30 degree centigree. The degradation percentages obtained with the miscroorganisms were 40% of the anionic total and 70% of the non-ionic total after 56 hours for the 5:2 strain and 40% of the anionic total and 9.3% of the non-ionic total after 186 hours for ...

1993-07-01

146

Airborne lidar experiments at the Savannah River Plant, June 1985  

Energy Technology Data Exchange (ETDEWEB)

Results are presented from a series of studies conducted at the Department of Energy (DOE) Savannah River Plant (SRP) with the NASA Airborne Oceanographic Lidar (AOL). These studies included a topographic survey of a {approximately}1000 acre lake basin (presently designated L Lake) which had been excavated for use as a cooling pond for L Reactor; a study of the movement of discharged cooling water in Pond C and the warm arm of Par Pond using Rhodamine WT dye as a tag; initial baseline studies of the vegetation cover of the Steel Creek corridor (through which the outflow of L Lake is carried to the Savannah River); and a demonstration of potential forestry applications of the AOL. These investigations were conducted over a 3-day period in June 1985. The AOL is an advanced airborne laser system capable of making temporal or time history measurements of laser backscatter (bathymetry mode) or spectral measurements of laser induced fluorescence from waterborne ...

1987-09-01

147

A SURVEY OF MOLECULAR LINES TOWARD MASSIVE CLUMPS IN EARLY EVOLUTIONARY STAGES OF HIGH-MASS STAR FORMATION  

International Nuclear Information System (INIS)

We have observed the CH_3OH J = 2-1, SiO J = 2-1, C"3"4S J = 2-1, H"1"3CO"+ J = 1-0, HN"1"3C J = 1-0, CCH N = 1-0, OCS J = 8-7, and SO J_N = 2_2-1_1 lines toward 20 massive clumps, including Midcourse Space Experiment (MSX) 8 #mu#m dark sources (infrared dark clouds) and MSX 8 #mu#m sources, by using the Nobeyama Radio Observatory 45 m telescope. We have found that the velocity widths of the CH_3OH and C"3"4S lines are broader than those of the H"1"3CO"+ line in the MSX dark sources. On the other hand, they are comparable to the velocity width of the H"1"3CO"+ line in the MSX sources. In addition, the [SiO]/[H"1"3CO"+] abundance ratio is found to be enhanced in the MSX dark sources in comparison with the MSX sources. These results suggest that shocks caused by interaction between an outflow and an ambient dense gas would have substantial impact on the chemical composition of the MSX dark sources. The velocity widths of the CH_3OH and C"3"4S lines relative to that ...

2010-05-10

148

Usefulness of multifunctional gastrointestinal coil catheter for colorectal stent placement  

Energy Technology Data Exchange (ETDEWEB)

The purpose of this study was to evaluate the usefulness of a multifunctional gastrointestinal coil catheter for stent placement in 98 patients with colorectal strictures. The catheter was used in 98 consecutive patients for stent placement in the rectum (n = 24), recto-sigmoid (n = 13), sigmoid (n = 38), descending (n = 6), transverse (n = 11), splenic flexure (n = 3), hepatic flexure (n = 2), and ascending (n = 1) colon. The catheter was made of a stainless steel coil (1.3 mm in inner diameter), a 0.4-mm nitinol wire, a polyolefin tube, and a hemostasis valve. Usefulness of the catheter was evaluated depending on whether the catheter could pass a stricture over a guide wire and whether measurement of the stricture length was possible. The passage of the catheter over a guide wire beyond the stricture was technically successful and well tolerated in 93 (94.9%) of 98 patients. In the failed five patients, it was not possible to negotiate the guide wire due to presence of nearly ...

2008-11-15

149

The use of noninvasive mechanical ventilation in COPD with severe hypercapnic acidosis  

British Library Electronic Table of Contents (United Kingdom)

SummaryStudy Objectives: To compare the effect of noninvasive mechanical ventilation (NIV) in severely acidotic with mildly acidotic patients with acute hypercapnic chronic obstructive lung disease (COPD).Design: Comparison of NIV in consecutively enrolled patients with acute hypercapnic COPD with mild (pH 7.25-7.35) or severe (pHPaCO2, duration of NIV treatment, length of stay in hospital and survival.Results (meadian (IQR)): Twenty-nine patients had 36 episodes of acute hypercapnic respiratory failure: Seventeen with pHPaCO2 improve (12 (6-34) vs 12 (4-28)h, respectively, Formula Not Shown ), with similar duration of NIV treatment (60 (35-96) vs 68 (36-48)h, respectively, Formula Not Shown ) and hospital length of stay (8 (7-18) vs 9 (5-17) days, respectively, Formula Not Shown ). Overal...

2007-01-01

150

The interventional treatment for biliary re-stenosis after metallic stents placement in patients with malignant obstruction due to cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To explore the interventional treatment for biliary re-stenosis after metallic stents placement in patients due to cholangiocarcinoma and evaluate its therapeutic effect. Methods: Percutaneous metallic stents placement or combined with continuously infusion arterial chemotherapeutic and chemotherapeutic embolization were performed in 12 patients with biliary re-stenosis using 12 metallic stents. Results: Once stent placement was 100% successful in all 12 cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that in preoperation. Jaundice was reduced satisfactorily in 12 patients. 3 patients were undergone continuously arterial chemotherapeutics infusion and chemotherapeutic embolization 4 weeks after stents placement. Conclusions: Percutaneous replacement of biliary metallic stents was effective and safe for palliation of malignant biliary re-stenosis and would be much better when combined with continuously arterial chemotherapeutics ...

2002-10-01

151

Powdering characteristics of thin film evaporator, 1. Drying and powdering of solution  

Energy Technology Data Exchange (ETDEWEB)

Vertical thin film evaporators have been used to concentrate and dry solutions because their rotating swing blades prevent scale from being deposited on the heated surfaces. Powdering capacity of the vertical thin film evaporator was examined experimentally for drying applications of radioactive liquid waste generated from nuclear power plants. As a result, it was found that the powdering capacity increased with the blade rotation, changing significantly in the low ratational region and scarcely in the high rotational region. The powdering capacity in the high rotational region was restricted by the lack of heat flux which was theoretically evaluated for the concentrating process. As the critical factor in the low rotational region was not clear, a visual test apparatus was made to observe flow patterns in the evaporator, and a powdering model was obtained. This model showed that powdering process was obstructed when the liquid film lost its fluidity at high ...

1983-01-01

152

Powdering characteristics of thin film evaporator, 1  

International Nuclear Information System (INIS)

Vertical thin film evaporators have been used to concentrate and dry solutions because their rotating swing blades prevent scale from being deposited on the heated surfaces. Powdering capacity of the vertical thin film evaporator was examined experimentally for drying applications of radioactive liquid waste generated from nuclear power plants. As a result, it was found that the powdering capacity increased with the blade rotation, changing significantly in the low ratational region and scarcely in the high rotational region. The powdering capacity in the high rotational region was restricted by the lack of heat flux which was theoretically evaluated for the concentrating process. As the critical factor in the low rotational region was not clear, a visual test apparatus was made to observe flow patterns in the evaporator, and a powdering model was obtained. This model showed that powdering process was obstructed when the liquid film lost its fluidity at high ...

1983-01-01

153

Percutaneous drainage of abdominal abcess  

Energy Technology Data Exchange (ETDEWEB)

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 gastrointestinal tract. Percutaneous routes that ...

2002-09-01

154

Modified nasolacrimal duct stenting  

International Nuclear Information System (INIS)

Objective: Traditional nasolacrimal duct stenting possesses some shortcoming including difficulty of pulling ball head guide wire from the nasal cavity with turbinate hypertrophy and nasal septal deviation. The new method of nose-oral tube track establishment can overcome the forementioned and increase the successful rate. Methods: 5 F catheter and arterial sheath were modified to be nasolacrimal duct stent delivery device respectively. Antegrade dacryocystography was taken firstly to display the obstructed site and followed by the modified protocol of inserting the guide wire through nasolacrimal duct and nasal cavity, and establishing the stent delivery track for retrograde stent placement. Results: 5 epiphora patients with failure implantation by traditional method were all succeeded through the modified stenting (100%). During 6-mouth follow-up, no serious complications and reocclusion occurred. Conclusion: The establishment of eye-nose-mouth-nose of external ...

2008-06-01

155

Hepatobiliary scintigraphy in current pediatric practice  

Energy Technology Data Exchange (ETDEWEB)

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 ...

1998-06-01

156

Development, dimensions, reliability and validity of the novel Manchester COPD fatigue scale  

DEFF Research Database (Denmark)

INTRODUCTION: Fatigue is a prominent symptom in chronic obstructive pulmonary disease (COPD) and it has distinctive features; however, there is a need for a robust scale to measure fatigue in COPD. METHODS: At baseline, 122 patients with COPD (forced expiratory volume in 1 s (FEV(1)) 52%, women 38%, mean age 66 years) completed a pilot fatigue scale covering a pool of 57 items and underwent a range of tests, including indicators of mood and a short general fatigue questionnaire. All patients responded to the 57-item scale and it was readministered to a subset of 30 patients. The pilot scale was first subjected to constructive validated shortening steps and then to a principal components analysis. RESULTS: The Manchester COPD fatigue scale (MCFS) consists of 27 items, loading into three dimensions: physical, cognitive and psychosocial fatigue. Internal consistency (Cronbach's alpha = 0.97) and test-retest repeatability (r = 0.97, por=16 scores in the Center for ...

2009-01-01

157

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

International Nuclear Information System (INIS)

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

158

Character-theoretic Techniques for Near-central Enumerative Problems  

CERN Document Server

The centre of the symmetric group algebra $\\mathbb{C}[\\mathfrak{S}_n]$ has been used successfully for studying important problems in enumerative combinatorics. These include maps in orientable surfaces and ramified covers of the sphere by curves of genus $g$, for example. However, the combinatorics of some equally important $\\mathfrak{S}_n$-factorization problems forces $k$ elements in $\\{1,...,n\\}$ to be distinguished. Examples of such problems include the star factorization problem, for which $k=1,$ and the enumeration of 2-cell embeddings of dipoles with two distinguished edges \\cite{VisentinWieler:2007} associated with Berenstein-Maldacena-Nastase operators in Yang-Mills theory \\cite{ConstableFreedmanHeadrick:2002}, for which $k=2.$ Although distinguishing these elements obstructs the use of central methods, these problems may be encoded algebraically in the centralizer of $\\mathbb{C}[\\mathfrak{S}_n]$ with respect to the subgroup $\\mathfrak{S}_{n-k}.$ ...

2011-01-01

159

CT findings after normal and unsuccessful functional endoscopic sinus surgery; Ruolod della tomografia computerizzata dopo chirurgia funzionale dei seni paranasali: rilievi normali e valutazioni degli insuccessi chirurgici  

Energy Technology Data Exchange (ETDEWEB)

The paper investigates the functional endoscopic sinus surgery with the Messer-linger's technique which treats benign or inflammatory diseases of paranasal sinuses resistant to medical therapy. The goal of this type of surgery is to open the obstructed sinus ostia and restore normal aeration and mucociliary clearance. The computerized tomography permits an accurate assessment of extension and results of functional endoscopic sinus surgery. [Italian] L'articolo discute l'uso della tecnica di Messerklinger nella chirurgia funzionale endoscopica dei seni paranasali per il trattamento delle malattie benigne e delle infiammazioni croniche. Essa disostruisce gli osti sinusali ripristinando la normale areazione e la pulizia mucociliare. La tomografia computerizzata consente di valutare l'estensione e i risultati del trattamento chirurgico funzionale, soprattutto nel caso di insuccesso terapeutico, rilevando malattia nasosinusale ...

1999-09-01

160

Analysis of the placement of multiple metallic stents in the treatment of hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To evaluate the clinical efficacy of multiple stents placement in the management of hilar cholangiocarcinoma, especially in the complex cases of which the hepatic ducts are invaded. Methods: Forty-five consecutive patients with hilar cholangiocarcinoma were treated with percutaneous transhepatic placement of two or three self-expandable metallic endoprostheses. The cause of hilar obstructions in these patients were all cholangiocarcinoma, including Bismuth classification type II (n 12), IIIa (n 17), IIIb (n 10), and IV (n 6). Two or 3 stents were placed in the configuration of T, Y or X over the strictures. Results: Stent placement with 2 or 3 endoprostheses was successful in all patients. All patients showed significant decrease in serum bilirubin level. The mortality rate within 30 days of stent placement was 2.2% (1/45). The mean survival and stent patency times were 215.3 d (26- 516 d) and 181.5 d (26-473 d), respectively. Conclusion: Deploying of ...

2007-11-01

 
 
 
 
161

Pulmonary emphysema quantitation with Computed Tomography. Comparison between the visual score with high resolution CT, expiratory density mask with spiral CT and lung function studies; Valutazione quantitativa dell`enfisema polmonare mediante Tomografia Computerizzata. Confronto tra il punteggio visivo con alta risoluzione nell`inspirazione, maschera della densita` automatica con Tomografia Computerizzata spirale nell`espirazione ed esami funzionali respiratori  

Energy Technology Data Exchange (ETDEWEB)

CT is the most accurate method to detect pulmonary emphysema in vivo. They compared prospectively two different methods for emphysema quantitation in 5 normal volunteers and 20 consecutive patients with chronic obstructive pulmonary disease (COPD). All subjects were submitted to function tests and HRCT; three scans were acquired at preselected levels during inspiration. The type and extent of pulmonary emphysema were defined by two independent observers under blind conditions. Disagreements were subsequently settled by consent. All subjects were also examined with expiratory spiral CT using a density mask program, at two different cut-off levels (-850,-900 HU). Visual score and expiratory spiral density mask values (-850 HU) were significantly correlated (r = 0.86), but the visual extent of emphysema was always higher than shown by expiratory spiral CT. The emphysema extent assessed with both CT methods correlated with the function result of expiratory airflow ...

1997-04-01

162

Pulmonary emphysema quantitation with Computed Tomography. Comparison between the visual score with high resolution CT, expiratory density mask with spiral CT and lung function studies  

International Nuclear Information System (INIS)

CT is the most accurate method to detect pulmonary emphysema in vivo. They compared prospectively two different methods for emphysema quantitation in 5 normal volunteers and 20 consecutive patients with chronic obstructive pulmonary disease (COPD). All subjects were submitted to function tests and HRCT; three scans were acquired at preselected levels during inspiration. The type and extent of pulmonary emphysema were defined by two independent observers under blind conditions. Disagreements were subsequently settled by consent. All subjects were also examined with expiratory spiral CT using a density mask program, at two different cut-off levels (-850,-900 HU). Visual score and expiratory spiral density mask values (-850 HU) were significantly correlated (r = 0.86), but the visual extent of emphysema was always higher than shown by expiratory spiral CT. The emphysema extent assessed with both CT methods correlated with the function result of expiratory airflow ...

1997-01-01

163

Luminescence of Strontianite (SrCO{sub 3}) from Strontian (Scotland, UK)  

Energy Technology Data Exchange (ETDEWEB)

An historic Strontianite-type specimen from Strontian, Scotland, UK, was characterized to broaden our knowledge on luminescence properties of common carbonates. These fibrous aggregates are Strontianite (Sr{sub x}Ca{sub 1-x}CO{sub 3}) with circa 6% of CaO, interfacial water, hydrosilicate anions and substitutional divalent cations, e.g., Ca{sup 2+}, Mn{sup 2+}, Fe{sup 2+} in structural Sr{sup 2+} positions. The specimen was analyzed by X-ray Fluorescence Spectrometry (XRF), Environmental Scanning Electron Microscopy coupled with an Energy Dispersive X-ray Spectroscopy (ESEM-EDS) probe, Spatially-resolved Cathodoluminescence under the Scanning Electron Microscope (SEM-CL), Differential-Thermal Analyses (DTA), Thermogravimetry (TG), Thermoluminescence (TL), Radioluminescence (RL) and High Resolution Spectra Thermoluminescence (3DTL), to gain an overview of the spectral emissions, the defect linkages were modified by heating from room temperature (RT) up to 500 deg. C. Substitutional ...

2009-04-15

164

Launching proton-dominated jets from accreting Kerr black holes: the case of M87  

Science.gov (United States)

A general relativistic model for the formation and acceleration of lowmass-loaded jets from systems containing accreting black holes is presented. The model is based on previous numerical results and theoretical studies in the Newtonian regime, but modified to include the effects of space-time curvature in the vicinity of the event horizon of a spinning black hole. It is argued that the boundary layer between the Keplerian accretion disk and the event horizon is best suited for the formation and acceleration of the accretion-powered jets in active galactic nuclei and micro-quasars. The model presented here is based on matching the solutions of three different regions: i- a weakly magnetized Keplerian accretion disk in the outer part, where the transport of angular momentum is mediated through the magentorotational instability, ii- a strongly magnetized, advection-dominated and turbulent-free boundary layer (BL) between the outer cold accretion disk and the event horizon and where the ...

2011-07-01

165

Fundamentals of Reservoir Surface Energy as Related to Surface Properties, Wettability, Capillary Action and Oil Recovery from Fractured Reservoirs by Spontaneous Imbibition  

Energy Technology Data Exchange (ETDEWEB)

The objective of this project is to increase oil recovery from fractured reservoirs through improved fundamental understanding of the process of spontaneous imbibition by which oil is displaced from the rock matrix into the fractures. Spontaneous imbibition is fundamentally dependent on the reservoir surface free energy but this has never been investigated for rocks. In this project, the surface free energy of rocks will be determined by using liquids that can be solidified within the rock pore space at selected saturations. Thin sections of the rock then provide a two-dimensional view of the rock minerals and the occupant phases. Saturations and oil/rock, water/rock, and oil/water surface areas will be determined by advanced petrographic analysis and the surface free energy which drives spontaneous imbibition will be determined as a function of increase in wetting phase saturation. The inherent loss in surface free energy resulting from capillary instabilities at the microscopic (pore ...

2006-12-08

166

The angiogram sign in pulmonary atelectasis studied with helical Computed Tomography. Incidence and value; Il segno dell'angiogramma nelle atelettasie polmonari studiate con Tomografia Computerizzata spirale. Incidenza e validita' semeiologica  

Energy Technology Data Exchange (ETDEWEB)

In this issue it has been investigated the yield of Helical CT in the study of lung vessels, the incidence of the angiogram sign and its actual value. July 1997 to December 1998, were studied 30 cases of pulmonary collapse of different origin. It was found 15 cases of passive collapse (10 from pleural effusion, 2 from diaphragmatic compression, 2 from traumatic pneumothorax, and 1 from isthmic aortic aneurysm), 12 cases of obstructive collapse (9 from bronchogenic carcinoma, 1 from mucoid obstruction, 1 from ilar lymphadenopathy, and 1 from mediastinal cancer), 2 cases of adhesive collapse and 1 case of round atelectasis. All the examinations were performed with the Helical technique during nonionic iodinated contrast agent injection (bolus, 300-350 mg/mL); it was used an automatic injector set at 2-3 mL/s. It was studied the images for the angiogram sign, that is hyperdense bands, usually longer than 2 cm, through the collapsed lung, which ...

1999-12-01

167

Thermal performance of automotive aluminium plate radiator  

Energy Technology Data Exchange (ETDEWEB)

The thermal performance of an automotive radiator plays an important role in the performance of an automobile's cooling system and all other associated systems. For a number of years, this component has been given little attention with very little changing in its manufacturing cost, operation and geometry. As opposed to the old tubular heat exchanger configurations used in automotive radiators, plate heat exchangers currently form the backbone of today's process industry with their advanced performance reaching levels the designers of tubular heat exchangers can only dream of. The aluminium roll-bonding technique widely used in manufacturing the cooling compartments for domestic refrigeration units is one of the cheapest methods for heat exchanger manufacturing. Using this technique, it is possible to manufacture a wide range of heat exchanger configurations that can help augment heat transfer whilst reducing pressure drops. CFD results obtained for a patterned plate ...

2005-06-01

168

Studies on current distribution in electrochemical cells  

Energy Technology Data Exchange (ETDEWEB)

Three studies of electrochemical current distribution have been performed using potential-theory models and the boundary-element method (BEM). (1) The steady-state behavior of cells with nonuniform current density over a passivating anode is investigated. Current distributions calculated for a test cell, using the measured kinetic behavior of nickel in acid-nickel-sulfate solution, are compared to estimates from earlier models. Although current-density profiles determined by weight loss on a segmented rotating cylinder agreed satisfactorily with model calculations, the measured length of the passive zone exceeds the theoretical value. The model's applicability to anodic protection is demonstrated for a stainless-steel sulfuric-acid holding tank. (2) A model is established to describe the effects of attached bubbles on the potential drop at gas-evolving electrodes including: (1) ohmic obstruction within the electrolyte; (2) area masking on the electrode ...

1986-08-01

169

Self-expanding nitinol stents for treatment of infragenicular arteries following unsuccessful balloon angioplasty  

Energy Technology Data Exchange (ETDEWEB)

The feasibility of self-expanding nitinol stents for treatment of infragenicular arteries following unsuccessful balloon angioplasty was assessed. Options for lower limb percutaneous revascularization are limited, especially for complex vessel obstruction. Depending on the lesion and the experience of the interventionalist, the failure rate of balloon angioplasty (PTA) ranges between 10 and 40%. Until recently, no self-expanding stent for the use in the infragenicular arteries was available. This is the first report of the results for 18 consecutive patients who received 4F sheath compatible self-expanding nitinol stents following unsuccessful PTA or early restenosis. Twenty-four stents were implanted in 21 lesions for various indications residual stenosis >50% due to heavy calcification, flow-limiting dissection, occluding thrombus resistant to thrombolyis, thrombaspiration, and PTA, and early restenosis after previous PTA. Stent implantation was feasible ...

2007-08-15

170

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

Energy Technology Data Exchange (ETDEWEB)

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 tumor, and survived. In ...

1996-03-01

171

Prevention of panic attacks and panic disorder in COPD.  

Science.gov (United States)

This study examined whether cognitive behavioural therapy (CBT) could prevent the development or worsening of panic-spectrum psychopathology and anxiety symptoms in chronic obstructive pulmonary disease (COPD). 41 patients with COPD, who had undergone pulmonary rehabilitation, were randomised to either a four-session CBT intervention condition (n = 21) or a routine care condition (n = 20). Assessments were at baseline, post-intervention, and at 6-, 12- and 18-month follow-ups. Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates. There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic attack in the previous 6 months, with two ...

2009-09-09

172

Laparoskopisk kolecystektomi  

DEFF Research Database (Denmark)

Forty-one patients with uncomplicated gall stone disease were laparoscopied with the object of cholecystectomy. The procedure was accomplished in 36 patients, but the operation had to be transformed to a conventional open operation in five: Fibrosis made dissection of the gall bladder hazardous in four and bleeding during the procedure made immediate laparotomy necessary in one patient, whose postoperative course was uneventful. The median operating time was 100 minutes, range was 60-250 minutes. The only operative complication was bleeding from a trocar puncture hole on the first postoperative day which stopped spontaneously in one patient. Eighteen were sent home on the first postoperative day and 12 patients on the second day. Peroperative cholangiography was performed employing the Olsen-Reddick cholangiography forceps. We have designed a special catheter, which greatly facilitates the procedure. The procedure was accomplished in 27 of 32 planned cases. Two patients had common bile ...

1993-01-01

173

Experimental studies on interactions between a freely propagating flame and single obstacles in a rectangular confinement  

Energy Technology Data Exchange (ETDEWEB)

Experimental investigations were performed to assess the effects of different shaped obstructions on flame propagation in a rectangular confinement, 235 mm in height, with a 1000 x 950mm cross section and a large top-venting area of 1000 x 320mm. Four different single obstacles were used: rectangular, cylindrical, triangular, and square cross-sections with blockage ratios of 5 and 10%. Temporally resolved flame front images were recorded by a high-speed video camera to investigate the interaction between a propagating flame and the obstacle. The local flame displacement speeds and their probability density functions (pdfs) were obtained for the different obstacles. Before the freely propagating flame impinges on the obstacle, the flame propagation speed remains close to the laminar burning velocity, regardless of the obstacles used. As the propagating flame impinges on the obstacle, the local propagation speed increases due to the expansion of the burnt gas and the ...

2007-07-15

174

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

International Nuclear Information System (INIS)

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

175

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

International Nuclear Information System (INIS)

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 (84% of cases), dilated bowel loops (48%), thickened and ...

1997-01-01

176

Airway problems in children--can the orthodontist help?  

Science.gov (United States)

The adequacy of the nasopharyngeal airway has been found to be related to craniofacial development. Obstruction of the airway by adenoid tissue, nasal septal deviation or abnormal morphology of the area is associated with characteristic changes in craniofacial morphology such as long anterior face height, facial retrognathism, and a steep inclination of mandibular plane often with a high vaulted palate and crossbite. Some studies have shown the changes to be reversible after adenoidectomy which improves nasal airway patency and a control mechanism for facial growth has been proposed to account for the relationships between airway adequacy, craniofacial morphology and craniocervical postural relationships. It is therefore important to be able to measure nasal respiratory resistance so that the effect of operative procedures in the area such as rapid maxillary expansion (RME) can be determined. Nasal respiratory resistance (NRR) is a measure of airway adequacy. It ...

1995-01-01

177

A radiologic analysis and comparative evaluation of hysterosalpingographic and laparoscopic findings in infertile patients  

Energy Technology Data Exchange (ETDEWEB)

Hystreosalpingogram of 375 patients with infertility were reviewed with reference to radiological feature of each pathology and a comparative study of hysterosalpingography and laparoscopy in 36 patients was presented. This results were as follows;1. In 375 cases of infertility, 191 cases (50.9%) were primary infertility and 181 cases (49.1%) were secondary infertility. 2. The peak age distribution was 26 to 30 year old group in 211 cases (56.3%), and the peak duration of infertility was less than 3 years in 256 cases (68.3%). 3. Abnormal uterine findings were 115 cases (30.7%) and there were 73 cases of filling defects, 13 cases of irregularity, 12 cases of uterine flexion, 11 cases of congenital anomaly, and 9 cases of hypoplasia among them. 4. Abnormal tubal findings were 196 cases (52.3%) and there were 103 cases of simple obstruction, 69 cases of hydrosalpinx, and 50 cases of peritubal adhesion among them. 5. Intravasation of contrast media was noted in 42 ...

1984-09-15

178

Busted Butte : final report on laboratory radionuclide migration experiments in non-welded tuff under unsaturated and saturated conditions  

International Nuclear Information System (INIS)

Three blocks of non-welded tuff, one nominally one cubic foot (trial block) in volume and the other two, nominally one cubic meter (1 m3) in volume, were excavated from the Busted Butte Test Facility on the Nevada Test Site in 1999 and transported to the Atomic Energy of Canada Limited Whiteshell Laboratories in Pinawa, Manitoba. The trial block and one of the 1-m3 blocks were used for radionuclide migration experiments under unsaturated conditions; the remaining 1-m3 block was used for similar migration experiments under saturated conditions. After a vertical flow of synthetic transport solution was set up under unsaturated conditions, a suite of conservative and chemically reactive radionuclide tracers was injected at volumetric flow rates of 20 mL/hr in the trial block, and 10 mL/hr in two locations on the upper surface of the 1-m3 block. These flow rates correspond to infiltration rates of about 120 cm/year and about 17 cm/year, respectively. The duration of the migration ...

2005-09-13

179

The role of interventional radiology in management of patients with end-stage renal disease  

Energy Technology Data Exchange (ETDEWEB)

The aim of the paper is to review the role of interventional radiology in the management of hemodialysis vascular access and complications in renal transplantation. The evaluation of patients with hemodialysis vascular access is complex. It includes the radiology/ultrasound (US) evaluation of the peripheral veins of the upper extremities with venous mapping and the evaluation of the central vein prior to the access placement and radiological detection and treatment of the stenosis and thrombosis in misfunctional dialysis fistulas. Preoperative screening enables the identification of a suitable vessel to create a hemodynamically-sound dialysis fistula. Clinical and radiological detection of the hemodynamically significant stenosis or occlusion demands fistulography and endovascular treatment. Endovascular prophylactic dilatation of stenosis greater than 50% with associated clinical abnormalities such as flow-rate reduction is warranted to prolong access patency. The technical success ...

2003-05-01

180

Scour protection for wind turbine foundations on highly erodible sea bottom  

Energy Technology Data Exchange (ETDEWEB)

Scour around offshore structures is well known. It is caused by the strong eddy formation at the base of the structures protruding from the sea bottom. The strong vortices result in an amplified effective shear stress working on the sea bottom surface adjacent to the structure. When the surrounding sea bottom is lowered the scour protection will end up being a cap on a small hill and when the slopes are getting too steep the scour protection will roll or slide down the sides. It will loose its cohesion and therefore its integrity. This will take place irrespective of the type of scour protection material and the type of scour protection. This report describes scour protections, which can deal with this particular problem. Such a scour protection must be able to sustain the following loads: Be able to follow the lowering of the seabed on its way down; Be resistant to edge scour (scour around the perimeter of the scour protection). The installation of scour protection is not ...

2002-12-01

 
 
 
 
181

Data Center Energy Benchmarking: Part 3 - Case Study on an ITEquipment-testing Center (No. 20)  

Energy Technology Data Exchange (ETDEWEB)

The data center in this study had a total floor area of 3,024 square feet (ft{sup 2}) with one-foot raised-floors. It was a rack lab with 147 racks, and was located in a 96,000 ft{sup 2} multi-story office building in San Jose, California. Since the data center was used only for testing equipment, it was not configured as a critical facility in terms of electrical and cooling supply. It did not have a dedicated chiller system but was served by the main building chiller plant and make-up air system. Additionally it was served by only a single electrical supply with no provision for backup power in the event of a power outage. The Data Center operated on a 24 hour per day, year-round cycle, and users had full-hour access to the data center facility. The study found that data center computer load accounted for 15% of the overall building electrical load, while the total power consumption attributable to the data center including allocated cooling load and lighting was 22% of the total ...

2007-07-01

182

Analytical study on integrity of BWR reactor internal structures against water hammer under RIA conditions  

Energy Technology Data Exchange (ETDEWEB)

The integrity of the RPV head and reactor internals was assessed by means of fluid-structural analyses using a coupled method to evaluate the water hammer phenomenon arising from high burnup fuel failure under RIA conditions. The fluid viscosity effect on the water column burst as well as the complex three-dimensional flow paths caused by a core shroud and standpipes were considered in this study. The three analysis scenarios were designed to investigate the above mentioned influential factors separately. In the first scenario, a two-dimensional axisymmetric reactor vessel model without any reactor internals was modeled to assess the influence of the fluid dynamics in the NSC RIA regulatory evaluation. This model has an actual RPV geometry and can be simply separated from other influential factors in order to concentrate only on investigation of the fluid viscosity effect. In the second scenario, a two-dimensional axisymmetric reactor vessel model with major reactor internals, such as ...

2003-07-01

183

Percutaneous therapy of inoperable biliary stenoses and occlusions with a new self-expanding nitinol stent (SMART); Perkutane Therapie inoperabler maligner Stenosen und Verschluesse der Gallenwege mit einem neu entwickelten selbstexpandierbaren Nitinolstent (SMART)  

Energy Technology Data Exchange (ETDEWEB)

Objective: To evaluate the treatment of malignant biliary stenoses and occlusions using a new stent. Methods: In a prospective study, 25 patients with malignant obstructive jaundice were treated with SMART stents. The handling and the quality of stent expansion were documented. Stent function was assessed 2-4 days after intervention by cholangiography and laboratory tests. A follow-up was performed three months, after stent placement. Results: All lesions were treated successfully, with a total of 35 stents implanted. In 14 patients a further balloon dilatation was performed after stent placement (8-10 mm diameter/40-80 mm length). The mean serum bilirubin level decreased significantly from 11.6 mg/dl to 4.6 mg/dl after intervention (p<0.05). The follow-up showed a mean serum bilirubin level at 4.0 mg/dl. In 4 cases (16%) a further intervention (PTCD or stent) was performed. Six patients died due to tumor progression. The stents proved to be patent in 79% ...

2002-10-01

184

The law aspects of biotechnology patenting. The living source between discovery and invention; Aspetti giuridici del brevetto biotecnologico. La materia vivente tra scoperta e invenzione  

Energy Technology Data Exchange (ETDEWEB)

The aim of this work is to provide a comprehensive and consistent description of the complexity of laws regulating the field of biotechnology, mainly focusing on the definition of items to be patented, which is one of the most important and also controversial issues within the new 98/44/EC set of rules. As biotechnology is a specialist and multidisciplinary field, it has begun by giving a general description of the field, outlining the grounds for the new rules, and then thoroughly examined and evaluated previous national and international laws especially with regard to patenting. This was followed by an evaluation of what can be patented according to the new instructions by systematically assessing the section defining items to be patented in the field of biotechnology. It is used to be a matter of opinion whether biotechnological material was to be considered a discovery or an invention, the former being impatentable according to patenting laws. The new law pays particular attention ...

2001-07-01

185

Final Scientific EFNUDAT Workshop  

ScienceCinema

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