Sample records for abdominal clutter reduction

  1. Mine detection using SF-GPR: A signal processing approach for resolution enhancement and clutter reduction

    Karlsen, Brian; Jakobsen, Kaj Bjarne; Larsen, Jan;


    Proper clutter reduction is essential for Ground Penetrating Radar data since low signal-to-clutter ratio prevent correct detection of mine objects. A signal processing approach for resolution enhancement and clutter reduction used on Stepped-Frequency Ground Penetrating Radar (SF-GPR) data is pr...

  2. Artificial Neural Network-Based Clutter Reduction Systems for Ship Size Estimation in Maritime Radars

    Vicen-Bueno R


    Full Text Available The existence of clutter in maritime radars deteriorates the estimation of some physical parameters of the objects detected over the sea surface. For that reason, maritime radars should incorporate efficient clutter reduction techniques. Due to the intrinsic nonlinear dynamic of sea clutter, nonlinear signal processing is needed, what can be achieved by artificial neural networks (ANNs. In this paper, an estimation of the ship size using an ANN-based clutter reduction system followed by a fixed threshold is proposed. High clutter reduction rates are achieved using 1-dimensional (horizontal or vertical integration modes, although inaccurate ship width estimations are achieved. These estimations are improved using a 2-dimensional (rhombus integration mode. The proposed system is compared with a CA-CFAR system, denoting a great performance improvement and a great robustness against changes in sea clutter conditions and ship parameters, independently of the direction of movement of the ocean waves and ships.

  3. New adaptive clutter rejection based on spectral analysis for ultrasound color Doppler imaging: phantom and in vivo abdominal study.

    Geunyong Park; Sunmi Yeo; Jae Jin Lee; Changhan Yoon; Hyun-Woo Koh; Hyungjoon Lim; Youngtae Kim; Hwan Shim; Yangmo Yoo


    Effective rejection of time-varying clutter originating from slowly moving vessels and surrounding tissues is important for depicting hemodynamics in ultrasound color Doppler imaging (CDI). In this paper, a new adaptive clutter rejection method based on spectral analysis (ACR-SA) is presented for suppressing nonstationary clutter. In ACR-SA, tissue and flow characteristics are analyzed by singular value decomposition and tissue acceleration of backscattered Doppler signals to determine an appropriate clutter filter from a set of clutter filters. To evaluate the ACR-SA method, 20 frames of complex baseband data were acquired by a commercial ultrasound system equipped with a research package (Accuvix V10, Samsung Medison, Seoul, Korea) using a 3.5-MHz convex array probe by introducing tissue movements to the flow phantom (Gammex 1425 A LE, Gammex, Middleton, WI, USA). In addition, 20 frames of in vivo abdominal data from five volunteers were captured. From the phantom experiment, the ACR-SA method provided 2.43 dB (p SCR) compared to static (STA) and down-mixing (ACR-DM) methods. Similarly, it showed smaller values in fractional residual clutter area (FRCA) compared to the STA and ACR-DM methods (i.e., 2.3% versus 5.4% and 3.7%, respectively, ). The consistent improvements in SCR from the proposed ACR-SA method were obtained with the in vivo abdominal data (i.e., 4.97 dB and 3.39 dB over STA and ACR-DM, respectively). The ACR-SA method showed less than 1% FRCA values for all in vivo abdominal data. These results indicate that the proposed ACR-SA method can improve image quality in CDI by providing enhanced rejection of nonstationary clutter.

  4. A bat inspired technique for clutter reduction in radar sounder systems

    Carrer, L.; Bruzzone, L.


    Radar Sounders are valuable instruments for subsurface investigation. They are widely employed for the study of planetary bodies around the solar system. Due to their wide antenna beam pattern, off-nadir surface reflections (i.e. clutter) of the transmitted signal can compete with echoes coming from the subsurface thus masking them. Different strategies have been adopted for clutter mitigation. However, none of them proved to be the final solution for this specific problem. Bats are very well known for their ability in discriminating between a prey and unwanted clutter (e.g. foliage) by effectively employing their sonar. According to recent studies, big brown bats can discriminate clutter by transmitting two different carrier frequencies. Most interestingly, there are many striking analogies between the characteristics of the bat sonar and the one of a radar sounder. Among the most important ones, they share the same nadir acquisition geometry and transmitted signal type (i.e. linear frequency modulation). In this paper, we explore the feasibility of exploiting frequency diversity for the purpose of clutter discrimination in radar sounding by mimicking unique bats signal processing strategies. Accordingly, we propose a frequency diversity clutter reduction method based on specific mathematical conditions that, if verified, allow the disambiguation between the clutter and the subsurface signal to be performed. These analytic conditions depend on factors such as difference in central carrier frequencies, surface roughness and subsurface material properties. The method performance has been evaluated by different simulations of meaningful acquisition scenarios which confirm its clutter reduction effectiveness.

  5. A model and regularization scheme for ultrasonic beamforming clutter reduction.

    Byram, Brett; Dei, Kazuyuki; Tierney, Jaime; Dumont, Douglas


    Acoustic clutter produced by off-axis and multipath scattering is known to cause image degradation, and in some cases these sources may be the prime determinants of in vivo image quality. We have previously shown some success addressing these sources of image degradation by modeling the aperture domain signal from different sources of clutter, and then decomposing aperture domain data using the modeled sources. Our previous model had some shortcomings including model mismatch and failure to recover B-Mode speckle statistics. These shortcomings are addressed here by developing a better model and by using a general regularization approach appropriate for the model and data. We present results with L1 (lasso), L2 (ridge), and L1/L2 combined (elastic-net) regularization methods. We call our new method aperture domain model image reconstruction (ADMIRE). Our results demonstrate that ADMIRE with L1 regularization, or weighted toward L1 in the case of elastic-net regularization, have improved image quality. L1 by itself works well, but additional improvements are seen with elastic-net regularization over the pure L1 constraint. On in vivo example cases, L1 regularization showed mean contrast improvements of 4.6 and 6.8 dB on fundamental and harmonic images, respectively. Elastic net regularization (α = 0.9) showed mean contrast improvements of 17.8 dB on fundamental images and 11.8 dB on harmonic images. We also demonstrate that in uncluttered Field II simulations the decluttering algorithm produces the same contrast, contrast-tonoise ratio, and speckle SNR as normal B-mode imaging, demonstrating that ADMIRE preserves typical image features.

  6. Ground Clutter Reduction from GPR Data for Identification of Shallowly Buried Landmines

    Nishimoto, Masahiko; Jandieri, Vakhtang

    A method for reducing ground clutter contribution from ground penetrating radar (GPR) data is proposed for discrimination of landmines located in shallow depth. The algorithm of this method is based on the Matching Pursuit (MP) that is a technique for non-orthogonal signal decomposition using dictionary of functions. As the dictionary of function, a wave-based dictionary constructed by taking account of scattering mechanisms of electromagnetic (EM) wave by rough surfaces is employed. Through numerical simulations, performance of ground clutter reduction is evaluated. The results show that the proposed method has good performance and is effective for GPR data preprocessing for discrimination of shallowly buried landmines.

  7. Algorithm for image registration and clutter and jitter noise reduction

    Brower, K.L.


    This paper presents an analytical, computational method whereby two-dimensional images of an optical source represented in terms of a set of detector array signals can be registered with respect to a reference set of detector array signals. The detector image is recovered from the detector array signals and represented over a local region by a fourth order, two-dimensional taylor series. This local detector image can then be registered by a general linear transformation with respect to a reference detector image. The detector signal in the reference frame is reconstructed by integrating this detector image over the respective reference pixel. For cases in which the general linear transformation is uncertain by up to plus-or-minus two pixels, the general linear transformation can be determined by least squares fitting the detector image to the reference detector image. This registration process reduces clutter and jitter noise to a level comparable to the electronic noise level of the detector system. Test results with and without electronic noise using an analytical test function are presented.

  8. Comparison of PCA and ICA based clutter reduction in GPR systems for anti-personal landmine detection

    Karlsen, Brian; Larsen, Jan; Sørensen, Helge Bjarup Dissing;


    This paper presents statistical signal processing approaches for clutter reduction in stepped-frequency ground penetrating radar (SF-GPR) data. In particular, we suggest clutter/signal separation techniques based on principal and independent component analysis (PCA/ICA). The approaches are succes...

  9. Reduction of Surface Clutter by a Polarimetric FM-CW Radar in Underground Target Detection

    Moriyama, Toshifumi; Yamaguchi, Yoshio; Sengoku, Masakazu; Yamada, Hiroyoshi


    This paper presents an experimental result of polarimetric detection of objects buried in a sandy ground by a synthetic aperture FM-CW radar. Emphasis is placed on the reduction of surface clutter by the polarimetric radar, which takes account of full polarimetric scattering characteristics. First, the principle of full polarimetric imaging methodology is out-lined based on the characteristic polarization states for a specific target together with a polarimetric enhancement factor which discr...

  10. Comparison of PCA and ICA based clutter reduction in GPR systems for anti-personal landmine detection

    Karlsen, Brian; Larsen, Jan; Sørensen, Helge Bjarup Dissing; Jakobsen, Kaj Bjarne


    This paper presents statistical signal processing approaches for clutter reduction in stepped-frequency ground penetrating radar (SF-GPR) data. In particular, we suggest clutter/signal separation techniques based on principal and independent component analysis (PCA/ICA). The approaches are successfully evaluated and compared on a real SF-GPR time-series. Field-test data are acquired using a monostatic S-band rectangular waveguide antenna.

  11. Photoacoustic clutter reduction by inversion of a linear scatter model using plane wave ultrasound measurements.

    Schwab, Hans-Martin; Beckmann, Martin F; Schmitz, Georg


    Photoacoustic imaging aims to visualize light absorption properties of biological tissue by receiving a sound wave that is generated inside the observed object as a result of the photoacoustic effect. In clinical applications, the strong light absorption in human skin is a major problem. When high amplitude photoacoustic waves that originate from skin absorption propagate into the tissue, they are reflected back by acoustical scatterers and the reflections contribute to the received signal. The artifacts associated with these reflected waves are referred to as clutter or skin echo and limit the applicability of photoacoustic imaging for medical applications severely. This study seeks to exploit the acoustic tissue information gained by plane wave ultrasound measurements with a linear array in order to correct for reflections in the photoacoustic image. By deriving a theory for clutter waves in k-space and a matching inversion approach, photoacoustic measurements compensated for clutter are shown to be recovered.

  12. Negative pressure device for intra-abdominal pressure reduction

    David, M; Geido, D; Pracca, F; Sanchez, G; Simini, F; Zoppolo, C [Nucleo de Ingenierfa Biomedica, Universidad de la Republica O. del Uruguay, Hospital de ClInicas, Av. Italia S/N, 11600, Montevideo (Uruguay)


    A device that generates negative extra-abdominal pressure (ABDOPRE) for treatment of patients with high intra-abdominal pressure was developed. It includes pressure sensors for transducing intra-abdominal pressure through an intra-vesical catheter and negative pressure in the vacuum bell which is placed over the abdomen. By means of a control system, a pattern for reducing IAP is set, according to a clinical protocol. The external negative pressure is generated using a vacuum pump connected to the bell. The system registers the values of interest for the medical history. The system is being tested over ICU patients, registering a satisfactory IAP reduction.

  13. Robust frequency diversity based algorithm for clutter noise reduction of ultrasonic signals using multiple sub-spectrum phase coherence

    Gongzhang, R.; Xiao, B.; Lardner, T.; Gachagan, A. [Centre for Ultrasonic Engineering, University of Strathclyde, Glasgow, G1 1XW (United Kingdom); Li, M. [School of Engineering, University of Glasgow, Glasgow, G12 8QQ (United Kingdom)


    This paper presents a robust frequency diversity based algorithm for clutter reduction in ultrasonic A-scan waveforms. The performance of conventional spectral-temporal techniques like Split Spectrum Processing (SSP) is highly dependent on the parameter selection, especially when the signal to noise ratio (SNR) is low. Although spatial beamforming offers noise reduction with less sensitivity to parameter variation, phased array techniques are not always available. The proposed algorithm first selects an ascending series of frequency bands. A signal is reconstructed for each selected band in which a defect is present when all frequency components are in uniform sign. Combining all reconstructed signals through averaging gives a probability profile of potential defect position. To facilitate data collection and validate the proposed algorithm, Full Matrix Capture is applied on the austenitic steel and high nickel alloy (HNA) samples with 5MHz transducer arrays. When processing A-scan signals with unrefined parameters, the proposed algorithm enhances SNR by 20dB for both samples and consequently, defects are more visible in B-scan images created from the large amount of A-scan traces. Importantly, the proposed algorithm is considered robust, while SSP is shown to fail on the austenitic steel data and achieves less SNR enhancement on the HNA data.

  14. Clutter noise reduction for phased array imaging using frequency-spatial polarity coherence

    Gongzhang, Rui; Gachagan, Anthony; Xiao, Bo


    A number of materials used in industry exhibit highly-scattering properties which can reduce the performance of conventional ultrasonic NDE approaches. Moving Bandwidth Polarity Thresholding (MBPT) is a robust frequency diversity based algorithm for scatter noise reduction in single A-scan waveforms, using sign coherence across a range of frequency bands to reduce grain noise and improve Signal to Noise Ratio. Importantly, for this approach to be extended to array applications, spatial variation of noise characteristics must also be considered. This paper presents a new spatial-frequency diversity based algorithm for array imaging, extended from MBPT. Each A-scan in the full matrix capture array dataset is partitioned into a serial of overlapped frequency bands and then undergoes polarity thresholding to generate sign-only coefficients indicating possible flaw locations within each selected band. These coefficients are synthesized to form a coefficient matrix using a delay and sum approach in each frequency band. Matrices produced across the frequency bands are then summed to generate a weighting matrix, which can be applied on any conventional image. A 5MHz linear array has been used to acquire data from both austenitic steel and high nickel alloy (HNA) samples to validate the proposed algorithm. Background noise is significantly suppressed for both samples after applying this approach. Importantly, three side drilled holes and the back wall of the HNA sample are clearly enhanced in the processed image, with a mean 133% Contrast to Noise Ratio improvement when compared to a conventional TFM image.

  15. The reverse abdominal reduction and the 'waistcoating' procedure for the correction of the fixated Pfannenstiel incision.

    Harrison, Douglas H


    The principles of a standard abdominal reduction are well understood; this technique has been used for many years. However, a reverse abdominal reduction may be considered in some cases, for example, continued weight loss, and thus skin redundancy on the upper abdomen in patients who have already undergone abdominal reduction and upper abdomen improvement in patients requiring a mastopexy or breast reduction simultaneously. Reverse abdominal reduction is rarely mentioned in the medical literature, but it can prove successful; although the scar across the lower sternum has often been considered to be unsatisfactory, often it does not prove to be so. Thus, this procedure can be proven to be successful in suitable cases. Secondly, the Pfannenstiel incision, if not satisfactorily repaired in the first instance, can become fixated to the abdominal wall; this fixation along with the inevitable migration of skin and fat at its cephalic edge causes a rather displeasing contour defect when wearing tight-fitting swimwear. The principle of the waistcoating procedure is essentially to chamfer the fat cephalically; this procedure is employed for removing the Pfannenstiel scar from the abdominal wall. The principle is simple and effective and can be applied in cases with fixated scars. These two aforementioned principles are not commonly used, but they can prove particularly effective in suitable cases. We illustrate the principles.

  16. Doppler characteristics of sea clutter.

    Raynal, Ann Marie; Doerry, Armin Walter


    Doppler radars can distinguish targets from clutter if the target's velocity along the radar line of sight is beyond that of the clutter. Some targets of interest may have a Doppler shift similar to that of clutter. The nature of sea clutter is different in the clutter and exo-clutter regions. This behavior requires special consideration regarding where a radar can expect to find sea-clutter returns in Doppler space and what detection algorithms are most appropriate to help mitigate false alarms and increase probability of detection of a target. This paper studies the existing state-of-the-art in the understanding of Doppler characteristics of sea clutter and scattering from the ocean to better understand the design and performance choices of a radar in differentiating targets from clutter under prevailing sea conditions.

  17. Abdominal Respiration Induces Hemodilution and Related Reduction in ADH Concentration of Blood.

    Kawai, Yoshiko; Ajima, Kumiko; Nagai, Takashi; Yokoyama, Yumiko; Kaidoh, Maki; Seto, Emi; Honda, Takayuki; Ohhashi, Toshio


    To establish effective lymph drainage methods and develop concise and accurate clinical techniques for evaluating lymph drainage in healthy individuals and patients with cancer treatment-related lymph edema, we investigated the numbers of red (RBC) and white (WBC) blood cells, and platelets (PLT) in blood, hematocrit (Ht), and the blood concentrations of total protein (TP), albumin (Alb), and anti-diuretic hormone (ADH) before and after 5 min manual lymph drainage, followed by 30 min rest with or without abdominal respiration in the supine or sitting position in 48 healthy volunteers. The 5 min facial, upper and lower extremities lymph drainage, followed by 30 min rest in the supine position induced significant reductions of the TP and Alb in all subjects, and their RBC and Ht levels in some subjects. The 30 min rest only in the supine position without lymph drainage produced also significant reductions of blood TP and Alb. In addition, abdominal respiration in the supine position without manual lymph drainage caused more significant hemodilution, being significant reductions of TP, Alb, RBC, Ht, and ADH in all volunteers. These findings may be related to effective lymph drainage from the chylocyst. Furthermore, it also resulted in a significantly increased micturition desire. In conclusion, abdominal respiration during 30 min rest in the supine position is effective at inducing lymph drainage, and the associated induction of hemodilution and lowering of the blood ADH concentration (and increased micturition desire in some cases) can be used to accurately assess the extent of lymph drainage.

  18. Dose reduction in pediatric abdominal CT: use of iterative reconstruction techniques across different CT platforms

    Khawaja, Ranish Deedar Ali; Singh, Sarabjeet; Otrakji, Alexi; Padole, Atul; Lim, Ruth; Nimkin, Katherine; Westra, Sjirk; Kalra, Mannudeep K.; Gee, Michael S. [MGH Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA (United States)


    Dose reduction in children undergoing CT scanning is an important priority for the radiology community and public at large. Drawbacks of radiation reduction are increased image noise and artifacts, which can affect image interpretation. Iterative reconstruction techniques have been developed to reduce noise and artifacts from reduced-dose CT examinations, although reconstruction algorithm, magnitude of dose reduction and effects on image quality vary. We review the reconstruction principles, radiation dose potential and effects on image quality of several iterative reconstruction techniques commonly used in clinical settings, including 3-D adaptive iterative dose reduction (AIDR-3D), adaptive statistical iterative reconstruction (ASIR), iDose, sinogram-affirmed iterative reconstruction (SAFIRE) and model-based iterative reconstruction (MBIR). We also discuss clinical applications of iterative reconstruction techniques in pediatric abdominal CT. (orig.)

  19. Radar clutter classification

    Stehwien, Wolfgang


    The problem of classifying radar clutter as found on air traffic control radar systems is studied. An algorithm based on Bayes decision theory and the parametric maximum a posteriori probability classifier is developed to perform this classification automatically. This classifier employs a quadratic discriminant function and is optimum for feature vectors that are distributed according to the multivariate normal density. Separable clutter classes are most likely to arise from the analysis of the Doppler spectrum. Specifically, a feature set based on the complex reflection coefficients of the lattice prediction error filter is proposed. The classifier is tested using data recorded from L-band air traffic control radars. The Doppler spectra of these data are examined; the properties of the feature set computed using these data are studied in terms of both the marginal and multivariate statistics. Several strategies involving different numbers of features, class assignments, and data set pretesting according to Doppler frequency and signal to noise ratio were evaluated before settling on a workable algorithm. Final results are presented in terms of experimental misclassification rates and simulated and classified plane position indicator displays.

  20. Effects of a multidisciplinary body weight reduction program on static and dynamic thoraco-abdominal volumes in obese adolescents.

    LoMauro, Antonella; Cesareo, Ambra; Agosti, Fiorenza; Tringali, Gabriella; Salvadego, Desy; Grassi, Bruno; Sartorio, Alessandro; Aliverti, Andrea


    The objective of this study was to characterize static and dynamic thoraco-abdominal volumes in obese adolescents and to test the effects of a 3-week multidisciplinary body weight reduction program (MBWRP), entailing an energy-restricted diet, psychological and nutritional counseling, aerobic physical activity, and respiratory muscle endurance training (RMET), on these parameters. Total chest wall (VCW), pulmonary rib cage (VRC,p), abdominal rib cage (VRC,a), and abdominal (VAB) volumes were measured on 11 male adolescents (Tanner stage: 3-5; BMI standard deviation score: >2; age: 15.9 ± 1.3 years; percent body fat: 38.4%) during rest, inspiratory capacity (IC) maneuver, and incremental exercise on a cycle ergometer at baseline and after 3 weeks of MBWRP. At baseline, the progressive increase in tidal volume was achieved by an increase in end-inspiratory VCW (p obese adolescents adopt a thoraco-abdominal operational pattern characterized by abdominal rib cage hyperinflation as a form of lung recruitment during incremental cycle exercise. Additionally, a short period of MBWRP including RMET is associated with improved exercise performance, lung and chest wall volume recruitment, unloading of respiratory muscles, and reduced dyspnea.

  1. Detection of Weather Radar Clutter

    Bøvith, Thomas


    Weather radars provide valuable information on precipitation in the atmosphere but due to the way radars work, not only precipitation is observed by the weather radar. Weather radar clutter, echoes from non-precipitating targets, occur frequently in the data, resulting in lowered data quality....... Especially in the application of weather radar data in quantitative precipitation estimation and forecasting a high data quality is important. Clutter detection is one of the key components in achieving this goal. This thesis presents three methods for detection of clutter. The methods use supervised...... and precipitating and non-precipitating clouds. Another method uses the difference in the motion field of clutter and precipitation measured between two radar images. Furthermore, the direction of the wind field extracted from a weather model is used. The third method uses information about the refractive index...

  2. Effects of adaptive statistical iterative reconstruction on radiation dose reduction and diagnostic accuracy of pediatric abdominal CT

    Bae, Sohi; Kim, Myung-Joon; Lee, Mi-Jung [Yonsei University College of Medicine, Department of Radiology and Research Institute of Radiological Science, Severance Children' s Hospital, Seoul (Korea, Republic of); Yoon, Choon-Sik [Yonsei University College of Medicine, Department of Radiology, Gangnam Severance Hospital, Seoul (Korea, Republic of); Kim, Dong Wook; Hong, Jung Hwa [Yonsei University College of Medicine, Biostatistics Collaboration Unit, Seoul (Korea, Republic of)


    Since children are more radio-sensitive than adults, there is a need to minimize radiation exposure during CT exams. To evaluate the effects of adaptive statistical iterative reconstruction (ASIR) on radiation dose reduction, image quality and diagnostic accuracy in pediatric abdominal CT. We retrospectively reviewed the abdominal CT examinations of 41 children (24 boys and 17 girls; mean age: 10 years) with a low-dose radiation protocol and reconstructed with ASIR (the ASIR group). We also reviewed routine-dose abdominal CT examinations of 41 age- and sex-matched controls reconstructed with filtered-back projection (control group). Image quality was assessed objectively as noise measured in the liver, spleen and aorta, as well as subjectively by three pediatric radiologists for diagnostic acceptability using a four-point scale. Radiation dose and objective image qualities of each group were compared with the paired t-test. Diagnostic accuracy was evaluated by reviewing follow-up imaging studies and medical records in 2012 and 2013. There was 46.3% dose reduction of size-specific dose estimates in ASIR group (from 13.4 to 7.2 mGy) compared with the control group. Objective noise was higher in the liver, spleen and aorta of the ASIR group (P < 0.001). However, the subjective image quality was average or superior in 84-100% of studies. Only one image was subjectively rated as unacceptable by one reviewer. There was only one case with interpretational error in the control group and none in the ASIR group. Use of the ASIR technique resulted in greater than a 45% reduction in radiation dose without impairing subjective image quality or diagnostic accuracy in pediatric abdominal CT, despite increased objective image noise. (orig.)

  3. Respiratory motion reduction in PET/CT using abdominal compression for lung cancer patients.

    Tzung-Chi Huang

    Full Text Available PURPOSE: Respiratory motion causes substantial artifacts in reconstructed PET images when using helical CT as the attenuation map in PET/CT imaging. In this study, we aimed to reduce the respiratory artifacts in PET/CT images of patients with lung tumors using an abdominal compression device. METHODS: Twelve patients with lung cancer located in the middle or lower lobe of the lung were recruited. The patients were injected with 370 MBq of 18F-FDG. During PET, the patients assumed two bed positions for 1.5 min/bed. After conducting free-breathing imaging, we obtained images of the patients with abdominal compression by applying the same setup used in the free-breathing scan. The differences in the standardized uptake value (SUVmax, SUVmean, tumor volume, and the centroid of the tumors between PET and various CT schemes were measured. RESULTS: The SUVmax and SUVmean derived from PET/CT imaging using an abdominal compression device increased for all the lesions, compared with those obtained using the conventional approach. The percentage increases were 18.1% ±14% and 17% ±16.8% for SUVmax and SUVmean, respectively. PET/CT imaging combined with abdominal compression generally reduced the tumor mismatch between CT and the corresponding attenuation corrected PET images, with an average decrease of 1.9±1.7 mm over all the cases. CONCLUSIONS: PET/CT imaging combined with abdominal compression reduces respiratory artifacts and PET/CT misregistration, and enhances quantitative SUV in tumor. Abdominal compression is easy to set up and is an effective method used in PET/CT imaging for clinical oncology, especially in the thoracic region.

  4. Clutter Moves in Old Age Homecare

    Lutz, Peter


    This chapter introduces the notion of clutter moves as an experimental heuristic for tracing how movement threads together a range of cluttered entities in old age homecare ecologies. In particular it is concerned with older people and their cluttered technologies. It is based on empirical data...... cites general household clutter as a hazard in the domestic environment. In such reports moving around with cluttered things tends to threaten a dangerous outcome for older people. But what other feasible vistas emerge when the analytical attention is focused explicitly on relational movements between...

  5. New adaptive clutter rejection for ultrasound color Doppler imaging: in vivo study.

    Yoo, Yang Mo; Kim, Yongmin


    Clutter rejection is essential for accurate flow estimation in ultrasound color Doppler imaging. In this article, we present a new adaptive clutter rejection (ACR) technique where an optimum filter is dynamically selected depending upon the underlying clutter characteristics (e.g., tissue acceleration and power). We compared the performance of the ACR method with other adaptive methods, i.e., down-mixing (DM) and adaptive clutter filtering (ACF), using in vivo data acquired from the kidney, liver and common carotid artery. With the kidney data, the ACR method provided an average improvement of 3.05 dB and 1.7 dB in flow signal-to-clutter ratio (SCR) compared with DM and ACF, respectively. With the liver data, SCR was improved by 2.75 dB and 1.8 dB over DM and ACF while no significant improvement with ACR was found in the common carotid artery data. Thus, the proposed adaptive method could provide more accurate flow estimation by improving clutter rejection in abdominal ultrasound color Doppler imaging pending validation.

  6. Reduction of chronic abdominal pain in patients with inflammatory bowel disease through transcranial direct current stimulation: a randomized controlled trial.

    Volz, Magdalena S; Farmer, Annabelle; Siegmund, Britta


    Inflammatory bowel disease (IBD) is frequently associated with chronic abdominal pain (CAP). Transcranial direct current stimulation (tDCS) has been proven to reduce chronic pain. This study aimed to investigate the effects of tDCS in patients with CAP due to IBD. This randomized, sham-controlled, double blind, parallel-designed study included 20 patients with either Crohn disease or ulcerative colitis with CAP (≥3/10 on the visual analog scale (VAS) in 3/6 months). Anodal or sham tDCS was applied over the primary motor cortex for 5 consecutive days (2 mA, 20 minutes). Assessments included VAS, pressure pain threshold, inflammatory markers, and questionnaires on quality of life, functional and disease specific symptoms (Irritable Bowel Syndrome-Severity Scoring System [IBS-SSS]), disease activity, and pain catastrophizing. Follow-up data were collected 1 week after the end of the stimulation. Statistical analyses were performed using analysis of variance and t tests. There was a significant reduction of abdominal pain in the anodal tDCS group compared with sham tDCS. This effect was evident in changes in VAS and pressure pain threshold on the left and right sides of the abdomen. In addition, 1 week after stimulation, pain reduction remained significantly decreased in the right side of the abdomen. There was also a significant reduction in scores on pain catastrophizing and on IBS-SSS when comparing both groups. Inflammatory markers and disease activity did not differ significantly between groups throughout the experiment. Transcranial direct current stimulation proved to be an effective and clinically relevant therapeutic strategy for CAP in IBD. The analgesic effects observed are unrelated to inflammation and disease activity, which emphasizes central pain mechanisms in CAP.

  7. Magnetic Clutter Reduction Efficiency in Humanitarian Demining


    opened, bottom casing exterior. Figure B.1 1.4 Type72b top casing with safety pin pulled. TNO report TNO-DV 2008 A064 Appendix B 1 3/10 Figure B. 11.5...Circuitry schematics for Type7lB anti personnel mine. From start-up, evoked by the removal of the safety pin , the mine gets into a (relatively) stable...possible that the mine can go off before that in the phase between 2 and 4 minutes after removing the safety pin . " ’+:3433 So V m.0+1mnn.m oT rOleob

  8. An Ionospheric Es Layer Clutter Model and Suppression in HF Surfacewave Radar

    Yajun Li


    Full Text Available This paper based on a fast implemented multiphase screen method using DFT puts forward an ionospheric Es layer clutter model and uses the newly developed dimensionality reduction space-time adaptive processing- (STAP- JDL algorithm to suppress Es layer clutter, which proves the validity of the proposed model. Firstly, the multiphase screen method was analyzed, and a fast algorithm using DFT was proposed. Then, based on the multiphase screen method and thorough simulation, we reached a conclusion of the high-frequency radio wave propagation’s fluctuation characteristics in the ionosphere. According to the results of the analysis, a new Es layer ionospheric clutter model was established and was compared with the measured data and verification was made. Finally, based on the built clutter model, JDL algorithm was applied to the high-frequency surface wave radar ionospheric clutter suppression, using the measured data to verify the validity of the model and algorithm. The simulation results showed that the built model can show the characteristics of the ionospheric Es layer clutter and that the JDL algorithm can suppress ionospheric Es layer clutter quite effectively.

  9. Comparing Image-Based Methods for Assessing Visual Clutter in Generalized Maps

    Touya, G.; Decherf, B.; Lalanne, M.; Dumont, M.


    Map generalization abstracts and simplifies geographic information to derive maps at smaller scales. The automation of map generalization requires techniques to evaluate the global quality of a generalized map. The quality and legibility of a generalized map is related to the complexity of the map, or the amount of clutter in the map, i.e. the excessive amount of information and its disorganization. Computer vision research is highly interested in measuring clutter in images, and this paper proposes to compare some of the existing techniques from computer vision, applied to generalized maps evaluation. Four techniques from the literature are described and tested on a large set of maps, generalized at different scales: edge density, subband entropy, quad tree complexity, and segmentation clutter. The results are analyzed against several criteria related to generalized maps, the identification of cluttered areas, the preservation of the global amount of information, the handling of occlusions and overlaps, foreground vs background, and blank space reduction.


    G. Touya


    Full Text Available Map generalization abstracts and simplifies geographic information to derive maps at smaller scales. The automation of map generalization requires techniques to evaluate the global quality of a generalized map. The quality and legibility of a generalized map is related to the complexity of the map, or the amount of clutter in the map, i.e. the excessive amount of information and its disorganization. Computer vision research is highly interested in measuring clutter in images, and this paper proposes to compare some of the existing techniques from computer vision, applied to generalized maps evaluation. Four techniques from the literature are described and tested on a large set of maps, generalized at different scales: edge density, subband entropy, quad tree complexity, and segmentation clutter. The results are analyzed against several criteria related to generalized maps, the identification of cluttered areas, the preservation of the global amount of information, the handling of occlusions and overlaps, foreground vs background, and blank space reduction.

  11. Dynamic Singularity Spectrum Distribution of Sea Clutter

    Xiong, Gang; Yu, Wenxian; Zhang, Shuning


    The fractal and multifractal theory have provided new approaches for radar signal processing and target-detecting under the background of ocean. However, the related research mainly focuses on fractal dimension or multifractal spectrum (MFS) of sea clutter. In this paper, a new dynamic singularity analysis method of sea clutter using MFS distribution is developed, based on moving detrending analysis (DMA-MFSD). Theoretically, we introduce the time information by using cyclic auto-correlation of sea clutter. For transient correlation series, the instantaneous singularity spectrum based on multifractal detrending moving analysis (MF-DMA) algorithm is calculated, and the dynamic singularity spectrum distribution of sea clutter is acquired. In addition, we analyze the time-varying singularity exponent ranges and maximum position function in DMA-MFSD of sea clutter. For the real sea clutter data, we analyze the dynamic singularity spectrum distribution of real sea clutter in level III sea state, and conclude that the radar sea clutter has the non-stationary and time-varying scale characteristic and represents the time-varying singularity spectrum distribution based on the proposed DMA-MFSD method. The DMA-MFSD will also provide reference for nonlinear dynamics and multifractal signal processing.

  12. Efficacy of two different materials used in auricular acupressure on weight reduction and abdominal obesity.

    Hsieh, Ching Hsiu; Su, Tsann-Juu; Fang, Yu-Wen; Chou, Pei-Hsuan


    The current study was designed to test the efficacy of different materials used in an auricular acupressure program on weight reduction, changes to waist circumference and waist-to-hip ratio. This study used a randomized design with two groups who were treated with auricular acupressure using Semen Vaccariae or the Japanese Magnetic Pearl. Both groups consisted of Asian young adults with a waist circumference ≥ 80 cm in the females and ≥ 90 cm in the males. At completion of the eight-week treatment period, the total sample size was 56 young adults who ranged in age from 18 to 20 years old. Each participant was met with weekly for ten-minute sessions during which ear acupressure treatment was performed. Sessions continued for eight weeks wherein both groups received acupressure with the Japanese Magnetic Pearl or Semen Vaccariae on the ear acupoints. While both groups showed significant reductions (p ≤ 0.05) to body weight and waist circumference after eight weeks of treatments, the group treated with Semen Vaccariae group showed a more effective weight loss over the short term. Given that auricular acupressure is a safe and cost-effective treatment for weight loss, our results suggest that auricular acupressure is a reasonable option for the treatment of overweight and obesity in young adults.

  13. Subaperture clutter filter with CFAR signal detection

    Ormesher, Richard C.; Naething, Richard M.


    The various technologies presented herein relate to the determination of whether a received signal comprising radar clutter further comprises a communication signal. The communication signal can comprise of a preamble, a data symbol, communication data, etc. A first portion of the radar clutter is analyzed to determine a radar signature of the first portion of the radar clutter. A second portion of the radar clutter can be extracted based on the radar signature of the first portion. Following extraction, any residual signal can be analyzed to retrieve preamble data, etc. The received signal can be based upon a linear frequency modulation (e.g., a chirp modulation) whereby the chirp frequency can be determined and the frequency of transmission of the communication signal can be based accordingly thereon. The duration and/or bandwidth of the communication signal can be a portion of the duration and/or the bandwidth of the radar clutter.

  14. Cluttering

    ... on December 4, 1955, in Levack, Ontario. Kenyon Martin Kenyon Martin, the basketball sensation who was named to the ... This Virginian congressman has served in the U.S. House of Representatives since 1981. The longtime supporter of ...

  15. Radiation dose reduction sinogram affirmed iterative reconstruction and automatic tube voltage modulation(CARE kV) in abdominal CT

    Shin, Hyun Joo; Chung, Yong Eun; Lee, Young Han; Choi, Jin Young; Park, Mi Suk; Kim, Myeong Jin; Kim, Ki Whang [Dept. of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)


    To evaluate the feasibility of sinogram-affirmed iterative reconstruction (SAFIRE) and automated kV modulation (CARE kV) in reducing radiation dose without increasing image noise for abdominal CT examination. This retrospective study included 77 patients who received CT imaging with an application of CARE kV with or without SAFIRE and who had comparable previous CT images obtained without CARE kV or SAFIRE, using the standard dose (i.e., reference mAs of 240) on an identical CT scanner and reconstructed with filtered back projection (FBP) within 1 year. Patients were divided into two groups: group A (33 patients, CT scanned with CARE kV); and group B (44 patients, scanned after reducing the reference mAs from 240 to 170 and applying both CARE kV and SAFIRE). CT number, image noise for four organs and radiation dose were compared among the two groups. Image noise increased after CARE kV application (p < 0.001) and significantly decreased as SAFIRE strength increased (p < 0.001). Image noise with reduced-mAs scan (170 mAs) in group B became similar to that of standard-dose FBP images after applying CARE kV and SAFIRE strengths of 3 or 4 when measured in the aorta, liver or muscle (p ≥ 0.108). Effective doses decreased by 19.4% and 41.3% for groups A and B, respectively (all, p < 0.001) after application of CARE kV with or without SAFIRE. Combining CARE kV, reduction of mAs from 240 to 170 mAs and noise reduction by applying SAFIRE strength 3 or 4 reduced the radiation dose by 41.3% without increasing image noise compared with the standard-dose FBP images.

  16. Sensitivity study for clutter from reticle seekers

    Conant, John A.


    The occurrence of background clutter is an on-going issue in the development of electro- optical sensors and seekers. Clutter varies with many parameters, which makes it costly to utilize measured data. Modeled backgrounds must be tested, however, to determine if the clutter they generate is realistic. The study reported here was performed with several goals: (1) to develop a methodology for studying clutter; (2) to compare the clutter levels from different scene elements; (3) study variations in spectral bandpass and in atmospheric visibility; and, (4) to study the effect of varying model sophistication on clutter. The last goal is one which has not previously been studied, to our knowledge. These results give model developers guidance on what model elements deserve the most resources. The present study focused on a generic reticle seeker, such as would be used in a tactical missile. The backgrounds studied were of tree-lines horizons, sun-heated rocks, and broken clouds, in four spectral bands within the 1 to 12 micron infrared region. Atmospheric haze levels were varied from 1 km to 23 km visibility. For these computations, the order of importance to clutter levels was, (1) scene type, (2) model sophistication level, and (3) haze. Strong variations with spectral band were also noted, although bands could not be compared fairly.

  17. Computational models for synthetic marine infrared clutter

    Constantikes, Kim T.; Zysnarski, Adam H.


    The next generation of ship defense missiles will need to engage stealthy, passive, sea-skimming missiles. Detection and guidance will occur against a background of sea surface and horizon which can present significant clutter problems for infrared seekers, particularly when targets are comparatively dim. We need a variety of sea clutter models: statistical image models for signal processing algorithm design, clutter occurrence models for systems effectiveness assessment, and constructive image models for synthesizing very large field-of-view (FOV) images with high spatial and temporal resolution. We have implemented and tested such a constructive model. First principle models of water waves and light transport provide a computationally intensive clutter model implemented as a raytracer. Our models include sea, sky, and solar radiance; reflectance; attenuating atmospheres; constructive solid geometry targets; target and water wave dynamics; and simple sensor image formation.

  18. Comparable Effects of High-Intensity Interval Training and Prolonged Continuous Exercise Training on Abdominal Visceral Fat Reduction in Obese Young Women

    Haifeng Zhang


    Full Text Available This study compared the effect of prolonged moderate-intensity continuous training (MICT on reducing abdominal visceral fat in obese young women with that of work-equivalent (300 kJ/training session high-intensity interval training (HIIT. Forty-three participants received either HIIT (n=15, MICT (n=15, or no training (CON, n=13 for 12 weeks. The abdominal visceral fat area (AVFA and abdominal subcutaneous fat area (ASFA of the participants were measured through computed tomography scans preintervention and postintervention. Total fat mass and the fat mass of the android, gynoid, and trunk regions were assessed through dual-energy X-ray absorptiometry. Following HIIT and MICT, comparable reductions in AVFA (−9.1, −9.2 cm2, ASFA (−35, −28.3 cm2, and combined AVFA and ASFA (−44.7, −37.5 cm2, p>0.05 were observed. Similarly, reductions in fat percentage (−2.5%, −2.4%, total fat mass (−2.8, −2.8 kg, and fat mass of the android (−0.3, −0.3 kg, gynoid (−0.5, −0.7 kg, and trunk (−1.6, −1.2 kg, p>0.05 regions did not differ between HIIT and MICT. No variable changed in CON. In conclusion, MICT consisting of prolonged sessions has no quantitative advantage, compared with that resulting from HIIT, in abdominal visceral fat reduction. HIIT appears to be the predominant strategy for controlling obesity because of its time efficiency.

  19. Comparable Effects of High-Intensity Interval Training and Prolonged Continuous Exercise Training on Abdominal Visceral Fat Reduction in Obese Young Women

    Zhang, Haifeng; Tong, Tom K.; Qiu, Weifeng; Zhang, Xu; Zhou, Shi


    This study compared the effect of prolonged moderate-intensity continuous training (MICT) on reducing abdominal visceral fat in obese young women with that of work-equivalent (300 kJ/training session) high-intensity interval training (HIIT). Forty-three participants received either HIIT (n = 15), MICT (n = 15), or no training (CON, n = 13) for 12 weeks. The abdominal visceral fat area (AVFA) and abdominal subcutaneous fat area (ASFA) of the participants were measured through computed tomography scans preintervention and postintervention. Total fat mass and the fat mass of the android, gynoid, and trunk regions were assessed through dual-energy X-ray absorptiometry. Following HIIT and MICT, comparable reductions in AVFA (−9.1, −9.2 cm2), ASFA (−35, −28.3 cm2), and combined AVFA and ASFA (−44.7, −37.5 cm2, p > 0.05) were observed. Similarly, reductions in fat percentage (−2.5%, −2.4%), total fat mass (−2.8, −2.8 kg), and fat mass of the android (−0.3, −0.3 kg), gynoid (−0.5, −0.7 kg), and trunk (−1.6, −1.2 kg, p > 0.05) regions did not differ between HIIT and MICT. No variable changed in CON. In conclusion, MICT consisting of prolonged sessions has no quantitative advantage, compared with that resulting from HIIT, in abdominal visceral fat reduction. HIIT appears to be the predominant strategy for controlling obesity because of its time efficiency. PMID:28116314

  20. Sea clutter scattering, the K distribution and radar performance

    Ward, Keith; Watts, Simon


    Sea Clutter: Scattering, the K Distribution and Radar Performance, 2nd Edition gives an authoritative account of our current understanding of radar sea clutter. Topics covered include the characteristics of radar sea clutter, modelling radar scattering by the ocean surface, statistical models of sea clutter, the simulation of clutter and other random processes, detection of small targets in sea clutter, imaging ocean surface features, radar detection performance calculations, CFAR detection, and the specification and measurement of radar performance. The calculation of the performance of pract

  1. Bumblebee flight performance in cluttered environments: effects of obstacle orientation, body size and acceleration.

    Crall, James D; Ravi, Sridhar; Mountcastle, Andrew M; Combes, Stacey A


    Locomotion through structurally complex environments is fundamental to the life history of most flying animals, and the costs associated with movement through clutter have important consequences for the ecology and evolution of volant taxa. However, few studies have directly investigated how flying animals navigate through cluttered environments, or examined which aspects of flight performance are most critical for this challenging task. Here, we examined how body size, acceleration and obstacle orientation affect the flight of bumblebees in an artificial, cluttered environment. Non-steady flight performance is often predicted to decrease with body size, as a result of a presumed reduction in acceleration capacity, but few empirical tests of this hypothesis have been performed in flying animals. We found that increased body size is associated with impaired flight performance (specifically transit time) in cluttered environments, but not with decreased peak accelerations. In addition, previous studies have shown that flying insects can produce higher accelerations along the lateral body axis, suggesting that if maneuvering is constrained by acceleration capacity, insects should perform better when maneuvering around objects laterally rather than vertically. Our data show that bumblebees do generate higher accelerations in the lateral direction, but we found no difference in their ability to pass through obstacle courses requiring lateral versus vertical maneuvering. In sum, our results suggest that acceleration capacity is not a primary determinant of flight performance in clutter, as is often assumed. Rather than being driven by the scaling of acceleration, we show that the reduced flight performance of larger bees in cluttered environments is driven by the allometry of both path sinuosity and mean flight speed. Specifically, differences in collision-avoidance behavior underlie much of the variation in flight performance across body size, with larger bees

  2. Patterns of Brain Activation and Meal Reduction Induced by Abdominal Surgery in Mice and Modulation by Rikkunshito.

    Lixin Wang

    Full Text Available Abdominal surgery inhibits food intake and induces c-Fos expression in the hypothalamic and medullary nuclei in rats. Rikkunshito (RKT, a Kampo medicine improves anorexia. We assessed the alterations in meal microstructure and c-Fos expression in brain nuclei induced by abdominal surgery and the modulation by RKT in mice. RKT or vehicle was gavaged daily for 1 week. On day 8 mice had no access to food for 6-7 h and were treated twice with RKT or vehicle. Abdominal surgery (laparotomy-cecum palpation was performed 1-2 h before the dark phase. The food intake and meal structures were monitored using an automated monitoring system for mice. Brain sections were processed for c-Fos immunoreactivity (ir 2-h after abdominal surgery. Abdominal surgery significantly reduced bouts, meal frequency, size and duration, and time spent on meals, and increased inter-meal interval and satiety ratio resulting in 92-86% suppression of food intake at 2-24 h post-surgery compared with control group (no surgery. RKT significantly increased bouts, meal duration and the cumulative 12-h food intake by 11%. Abdominal surgery increased c-Fos in the prelimbic, cingulate and insular cortexes, and autonomic nuclei, such as the bed nucleus of the stria terminalis, central amygdala, hypothalamic supraoptic (SON, paraventricular and arcuate nuclei, Edinger-Westphal nucleus (E-W, lateral periaqueduct gray (PAG, lateral parabrachial nucleus, locus coeruleus, ventrolateral medulla and nucleus tractus solitarius (NTS. RKT induced a small increase in c-Fos-ir neurons in the SON and E-W of control mice, and in mice with surgery there was an increase in the lateral PAG and a decrease in the NTS. These findings indicate that abdominal surgery inhibits food intake by increasing both satiation (meal duration and satiety (meal interval and activates brain circuits involved in pain, feeding behavior and stress that may underlie the alterations of meal pattern and food intake inhibition

  3. Comparison of diagnostic performance between single- and multiphasic contrast-enhanced abdominopelvic computed tomography in patients admitted to the emergency department with abdominal pain: potential radiation dose reduction

    Hwang, Shin Hye; You, Je Sung; Choi, Jin-Young; Kim, Myeong-Jin; Chung, Yong Eun [Yonsei University College of Medicine, Department of Radiology, Research Institute of Radiological Science, Seodaemun-gu, Seoul (Korea, Republic of); Song, Mi Kyong [Yonsei University, Biostatistics Collaboration Unit, College of Medicine, Seoul (Korea, Republic of)


    To evaluate feasibility of radiation dose reduction by optimal phase selection of computed tomography (CT) in patients who visited the emergency department (ED) for abdominal pain. We included 253 patients who visited the ED for abdominal pain. They underwent multiphasic CT including precontrast, late arterial phase (LAP), and hepatic venous phase (HVP). Three image sets (HVP, precontrast + HVP, and precontrast + LAP + HVP) were reviewed. Two reviewers determined the most appropriate diagnosis with five-point confidence scale. Diagnostic performances were compared among image sets by weighted-least-squares method or DeLong's method. Linear mixed model was used to assess changes of diagnostic confidence and radiation dose. There was no difference in diagnostic performance among three image sets, although diagnostic confidence level was significantly improved after review of triphasic images compared with both HVP images only or HVP with precontrast images (confidence scale, 4.64 ± 0.05, 4.66 ± 0.05, and 4.76 ± 0.04 in the order of the sets; overall P = 0.0008). Similar trends were observed in the subgroup analysis for diagnosis of pelvic inflammatory disease and cholecystitis. There is no difference between HVP-CT alone and multiphasic CT for the diagnosis of causes of abdominal pain in patients admitted to the ED without prior chronic disease or neoplasia. (orig.)

  4. Analysis of Sea Spikes in Radar Sea Clutter Data

    Melief, H.W.; Greidanus, H.; Genderen, P. van; Hoogeboom, P.


    Abstract—In this paper three sets of high-resolution, coherent, and polarimetric radar sea clutter data are analyzed and compared with radar sea clutter models. The nature of the data allows a thorough analysis of the power, polarization and velocity of the sea clutter. It is shown that these quanti

  5. Infrared clutter measurements of marine backgrounds

    Schwering, Piet B.


    Observations in the infrared wavelength band between 8 and 12 μm of sea backgrounds have been recorded with a CCIR compatible imager for a large number of sea states (0 - 6). Recordings took place in coastal areas as well as on open seas. The behavior of clutter in the infrared data was analyzed in

  6. Reduction of contrast medium volume in abdominal aorta CTA: Multiphasic injection technique versus a test bolus volume

    Nijhof, Wouter H., E-mail: [University of Twente, MIRA-Institute for Biomedical Technology and Technical Medicine, P.O. Box 21, 7500 AE Enschede (Netherlands); Vos, Charlotte S. van der, E-mail: [University of Twente, MIRA-Institute for Biomedical Technology and Technical Medicine, P.O. Box 21, 7500 AE Enschede (Netherlands); Anninga, Bauke, E-mail: [University of Twente, MIRA-Institute for Biomedical Technology and Technical Medicine, P.O. Box 21, 7500 AE Enschede (Netherlands); Jager, Gerrit J., E-mail: [Department of Radiology, Jeroen Bosch Hospital, Henri Dunantstraat 1, 5223 GZ ’s-Hertogenbosch (Netherlands); Rutten, Matthieu J.C.M., E-mail: [Department of Radiology, Jeroen Bosch Hospital, Henri Dunantstraat 1, 5223 GZ ’s-Hertogenbosch (Netherlands)


    Objective: The purpose of this study is to reduce the administered contrast medium volume in abdominal CTA by using a test bolus injection, with the preservation of adequate quantitative and qualitative vessel enhancement. Study design: For this technical efficacy study 30 patients, who were referred for a CTA examination of the abdominal aorta, were included. Randomly 15 patients were assigned to undergo a multiphasic injection protocol and received 89 mL of contrast medium (Optiray 350) (protocol I). Fifteen patients were assigned to the test bolus injection protocol (protocol II), which implies injection of a 10 mL test bolus of Optiray 350 prior to performing CTA with a 40 mL of contrast medium. Quantitative assessment of vascular enhancement was performed by measuring the amount of Hounsfield Units in the aorta at 30 positions from the celiac trunk to the iliac arteries in both groups. Qualitative assessment was performed by three radiologists who scored the images at a 5-point scale. Results: Quantitative assessment showed that there was no significant difference in vascular enhancement for patients between the two protocols, with mean attenuation values of 280.9 ± 50.84 HU and 258.60 ± 39.28 HU, respectively. The image quality of protocol I was rated 4.31 (range: 3.67/5.00) and of protocol II 4.11 (range: 2.67/5.00). These differences were not statistically significant. Conclusion: This study showed that by using a test bolus injection and the administration of 50 mL of contrast medium overall, CTA of the abdominal aorta can reliably be performed, with regard to quantitative and qualitative adequate vessel enhancement.

  7. Suppression of Clutter Near Port by S-Band Radar

    Ishii, Seishiro; Sayama, Syuji

    It was reported that various radar clutters obey a Weibull distribution under certain conditions. To suppress such Weibull-distributed clutter, a new adaptive method was proposed by the present authors. In this method, the parameters of the Weibull distribution and the threshold level for an adaptive Constant False Alarm Rate (CFAR) detector are determined by calculating the variance after it passed through a logarithmic amplifier. To apply this new method to practical problems observed by an S-band radar, computer simulation were made for a finite number of samples in order to obtain the CFAR maintenance in Weibull radar clutter which was including sea clutter and ground clutter from a variety of terrain near the port. Finally an improvement value of target-to-clutter ratio 49.5dB was obtained for the detection of ships embedded in sea clutter near the port.

  8. Overview and Prospects of Research on Sea Clutter Property Cognition

    Ding Hao


    Full Text Available Sea clutter is one of the main limiting factors influencing the target detection performance of nautical radars. The physical mechanism of sea clutter is complex with an abundance of influencing factors, and the non-Gaussian as well as non-stationarity behavior is significant. Thus, research into sea clutter property cognition is complicated and has to be systematic. Based on research that concentrates on experimental data, this paper reviews and summarizes the research developments in sea clutter property cognition. It concentrates on the properties that are of most interest for target detection algorithms: amplitude distribution, spectra, correlation, and non-stationarity and nonlinearity. The main research results are also concluded. Based on this, four aspects of problems that need further exploration are highlighted and include the following: further analysis of sea clutter influencing factors; the game problem between sea clutter precision modeling and the requirements of detection algorithms; and the property cognition between radar target and sea clutter.

  9. Clutter discrimination algorithm simulation in pulse laser radar imaging

    Zhang, Yan-mei; Li, Huan; Guo, Hai-chao; Su, Xuan; Zhu, Fule


    Pulse laser radar imaging performance is greatly influenced by different kinds of clutter. Various algorithms are developed to mitigate clutter. However, estimating performance of a new algorithm is difficult. Here, a simulation model for estimating clutter discrimination algorithms is presented. This model consists of laser pulse emission, clutter jamming, laser pulse reception and target image producing. Additionally, a hardware platform is set up gathering clutter data reflected by ground and trees. The data logging is as clutter jamming input in the simulation model. The hardware platform includes a laser diode, a laser detector and a high sample rate data logging circuit. The laser diode transmits short laser pulses (40ns FWHM) at 12.5 kilohertz pulse rate and at 905nm wavelength. An analog-to-digital converter chip integrated in the sample circuit works at 250 mega samples per second. The simulation model and the hardware platform contribute to a clutter discrimination algorithm simulation system. Using this system, after analyzing clutter data logging, a new compound pulse detection algorithm is developed. This new algorithm combines matched filter algorithm and constant fraction discrimination (CFD) algorithm. Firstly, laser echo pulse signal is processed by matched filter algorithm. After the first step, CFD algorithm comes next. Finally, clutter jamming from ground and trees is discriminated and target image is produced. Laser radar images are simulated using CFD algorithm, matched filter algorithm and the new algorithm respectively. Simulation result demonstrates that the new algorithm achieves the best target imaging effect of mitigating clutter reflected by ground and trees.

  10. Adaptive clutter rejection for ultrasound color Doppler imaging

    Yoo, Yang Mo; Managuli, Ravi; Kim, Yongmin


    We have developed a new adaptive clutter rejection technique where an optimum clutter filter is dynamically selected according to the varying clutter characteristics in ultrasound color Doppler imaging. The selection criteria have been established based on the underlying clutter characteristics (i.e., the maximum instantaneous clutter velocity and the clutter power) and the properties of various candidate clutter filters (e.g., projection-initialized infinite impulse response and polynomial regression). We obtained an average improvement of 3.97 dB and 3.27 dB in flow signal-to-clutter-ratio (SCR) compared to the conventional and down-mixing methods, respectively. These preliminary results indicate that the proposed adaptive clutter rejection method could improve the sensitivity and accuracy in flow velocity estimation for ultrasound color Doppler imaging. For a 192 x 256 color Doppler image with an ensemble size of 10, the proposed method takes only 57.2 ms, which is less than the acquisition time. Thus, the proposed method could be implemented in modern ultrasound systems, while providing improved clutter rejection and more accurate velocity estimation in real time.

  11. Unified sensor management in unknown dynamic clutter

    Mahler, Ronald; El-Fallah, Adel


    In recent years the first author has developed a unified, computationally tractable approach to multisensor-multitarget sensor management. This approach consists of closed-loop recursion of a PHD or CPHD filter with maximization of a "natural" sensor management objective function called PENT (posterior expected number of targets). In this paper we extend this approach so that it can be used in unknown, dynamic clutter backgrounds.

  12. Application of phase coherent transform to cloud clutter suppression

    Ng, L.C. [Lawrence Livermore National Lab., CA (United States)


    This paper describes a tracking algorithm using frame-to-frame correlation with frequency domain clutter suppression. Clutter suppression was mechanized via a `Phase Coherent Transform` (PCT) approach. This approach was applied to explore the feasibility of tracking a post-boost rocket from a low earth orbit satellite with real cloud background data. Simulation results show that the PCT/correlation tracking algorithm can perform satisfactorily at signal-to-clutter ratio (SCR) as low as 5 or 7 dB.

  13. Performance Analysis of Two CFAR Detectors in Clutter Edge Situation


    This paper studies the performance of the GOSGO and GOSSO CFAR detectors [1] in clutter edge situation. The authors derive the analytic expressions of the false alarm probabilities in that situation, analyze their performances against clutter edge, and compare them with the OS, CA, GO and SO detectors. The results show that GOSGO possesses better performance than GO for countering clutter, but the performance of GOSSO is very unideal.

  14. Accelerated Singular Value-Based Ultrasound Blood Flow Clutter Filtering with Randomized Singular Value Decomposition (rSVD) and Randomized Spatial Downsampling.

    Song, Pengfei; Trzasko, Joshua; Manduca, Armando; Qiang, Bo; Kadirvel, Ramanathan; Kallmes, David; Chen, Shigao


    Singular value decomposition (SVD)-based ultrasound blood flow clutter filters have recently demonstrated substantial improvement in clutter rejection for ultrafast plane wave microvessel imaging, and have become the commonly used clutter filtering method for many novel ultrafast imaging applications such as functional ultrasound and super-resolution imaging. At present, however, the computational burden of SVD remains as a major hurdle for practical implementation and clinical translation of this method. To address this challenge, in the study we present two blood flow clutter filtering methods based on randomized singular value decomposition (rSVD) and randomized spatial downsampling to accelerate SVD clutter filtering with minimal compromise to the clutter filter performance. rSVD accelerates SVD computation by approximating the k largest singular values, while random downsampling accelerates both full SVD and rSVD by decomposing the original large data matrix into small matrices that can be processed in parallel. An in vitro blood flow phantom study with the presence of heavy tissue clutter showed significantly improved computational performance using the proposed methods with minimal deterioration to the clutter filter performance (less than 3 dB reduction in blood to clutter ratio, less than 0.2 cm2/s2 increase in flow mean squared error, less than 0.1 cm/s increase in the standard deviation of the vessel blood flow signal, and less than 0.3 cm/s increase in tissue clutter velocity for both full SVD and rSVD when the downsampling factor was less than 20x). The maximum acceleration was about 3-fold from randomized spatial downsampling, and approximately another 3-fold from rSVD. An in vivo rabbit kidney perfusion study showed that rSVD provided comparable performance to full SVD in clutter rejection in vivo (maximum difference of blood to clutter ratio was less than 0.6 dB), and random downsampling provided artifact-free perfusion imaging results when combined

  15. Effects of Video Exposure to Cluttering on Undergraduate Students' Perceptions of a Person Who Clutters

    Farrell, Lindsey M.; Blanchet, Paul G.; Tillery, Kim L.


    Background: Previous research suggests a negative stereotype toward people with fluency disorders (i.e. stuttering and/or cluttering), although recent findings suggest that exposure to an actual person who stutters (e.g. a live or video presentation) leads to more positive perceptions of some personality traits. However, there is a paucity of…

  16. Contrast agent and radiation dose reduction in abdominal CT by a combination of low tube voltage and advanced image reconstruction algorithms

    Buls, Nico; Gompel, Gert van; Nieboer, Koenraad; Willekens, Inneke; Mey, Johan de [Universitair Ziekenhuis Brussel (UZ Brussel), Department of Radiology, Brussels (Belgium); Vrije Universiteit Brussel (VUB), Research group LABO, Brussel (Belgium); Cauteren, Toon van [Vrije Universiteit Brussel (VUB), Research group LABO, Brussel (Belgium); Verfaillie, Guy [Universitair Ziekenhuis Brussel (UZ Brussel), Department of Radiology, Brussels (Belgium); Evans, Paul; Macholl, Sven; Newton, Ben [GE Healthcare, Department of Medical Diagnostics, Amersham, Buckinghamshire (United Kingdom)


    To assess image quality in abdominal CT at low tube voltage combined with two types of iterative reconstruction (IR) at four reduced contrast agent dose levels. Minipigs were scanned with standard 320 mg I/mL contrast concentration at 120 kVp, and with reduced formulations of 120, 170, 220 and 270 mg I/mL at 80 kVp with IR. Image quality was assessed by CT value, dose normalized contrast and signal to noise ratio (CNRD and SNRD) in the arterial and venous phases. Qualitative analysis was included by expert reading. Protocols with 170 mg I/mL or higher showed equal or superior CT values: aorta (278-468 HU versus 314 HU); portal vein (205-273 HU versus 208 HU); liver parenchyma (122-146 HU versus 115 HU). In the aorta, all 170 mg I/mL protocols or higher yielded equal or superior CNRD (15.0-28.0 versus 13.7). In liver parenchyma, all study protocols resulted in higher SNRDs. Radiation dose could be reduced from standard CTDI{sub vol} = 7.8 mGy (6.2 mSv) to 7.6 mGy (5.2 mSv) with 170 mg I/mL. Combining 80 kVp with IR allows at least a 47 % contrast agent dose reduction and 16 % radiation dose reduction for images of comparable quality. (orig.)

  17. Comparison of intragastric balloon therapy and intensive lifestyle modification therapy with respect to weight reduction and abdominal fat distribution in super-obese Japanese patients.

    Takihata, Masahiro; Nakamura, Akinobu; Aoki, Kazutaka; Kimura, Mari; Sekino, Yusuke; Inamori, Masahiko; Maeda, Shin; Gotoh, Eiji; Nakajima, Atsushi; Terauchi, Yasuo


    This study compared the impacts of intragastric balloon (IGB) therapy and intensive lifestyle modification therapy on abdominal fat distribution. Sixteen extremely obese Japanese patients were assigned to an intensive lifestyle modification therapy group with educational hospitalisation (8 patients) or an IGB therapy group (8 patients) and were followed up for 6 months. The main outcome measures were the differences at 6 months, relative to the baseline values, in the visceral fat area (VFA), subcutaneous fat area (SFA), and liver volume as measured using computed tomography. At 0 month, the body weights (BWs) were 121.3±19.0 kg and 127.1±24.4 kg and the VFAs were 299±55 cm2 and 257±56 cm2 in the intensive lifestyle modification therapy group and the IGB therapy group, respectively. No statistically significant differences in the baseline characteristics were observed between these two groups. At 6 months, no difference in the changes in BW from the baseline value (-11.5 [-16.4, -6.6] kg vs. -11.2 [-18.9, -3.4] kg) was seen between the two groups. However, a statistically significant difference in the change in the VFA (-66 [-87, -44] cm2 vs. -22 [-70, 26]cm(2) [P=0.027]) was observed; no significant changes in the SFA or liver volume were seen. In conclusion, IGB therapy was as effective as intensive lifestyle modification therapy for weight reduction but was less effective with respect to the improvement in abdominal visceral fat accumulation and liver steatosis in super-obese Japanese patients.

  18. Polarimetric clutter modeling: Theory and application

    Kong, J. A.; Lin, F. C.; Borgeaud, M.; Yueh, H. A.; Swartz, A. A.; Lim, H. H.; Shim, R. T.; Novak, L. M.


    The two-layer anisotropic random medium model is used to investigate fully polarimetric scattering properties of earth terrain media. The polarization covariance matrices for the untilted and tilted uniaxial random medium are evaluated using the strong fluctuation theory and distorted Born approximation. In order to account for the azimuthal randomness in the growth direction of leaves in tree and grass fields, an averaging scheme over the azimuthal direction is also applied. It is found that characteristics of terrain clutter can be identified through the analysis of each element of the covariance matrix. Theoretical results are illustrated by the comparison with experimental data provided by MIT Lincoln Laboratory for tree and grass fields.

  19. Distributed Fuzzy CFAR Detection for Weibull Clutter

    Zaimbashi, Amir; Taban, Mohammad Reza; Nayebi, Mohammad Mehdi

    In Distributed detection systems, restricting the output of the local decision to one bit certainly implies a substantial information loss. In this paper, we consider the fuzzy detection, which uses a function called membership function for mapping the observation space of each local detector to a value between 0 and 1, indicating the degree of assurance about presence or absence of a signal. In this case, we examine the problem of distributed Maximum Likelihood (ML) and Order Statistic (OS) constant false alarm rate (CFAR) detections using fuzzy fusion rules such as “Algebraic Product” (AP), “Algebraic Sum” (AS), “Union” (Un) and “Intersection” (IS) in the fusion centre. For the Weibull clutter, the expression of the membership function based on the ML or OS CFAR processors in the local detectors is also obtained. For comparison, we consider a binary distributed detector, which uses the Maximum Likelihood and Algebraic Product (MLAP) or Order Statistic and Algebraic Product (OSAP) CFAR processors as the local detectors. In homogenous and non homogenous situations, multiple targets or clutter edge, the performances of the fuzzy and binary distributed detectors are analyzed and compared. The simulation results indicate the superior and robust performance of the distributed systems using fuzzy detection in the homogenous and non homogenous situations.

  20. Dose reduction to the pediatric and adult as a result of spectral optimization for high-contrast abdominal CT: A phantom study

    Jeon, Pih Hyun; Lee, Chang Lae; Kim, Dae Hong; Kim, Hee Joung [Dept. of Radiological Science and Research Institute of Health Science, Yonsei University (Korea, Republic of)


    Improvement in multi-detector row CT (MDCT) technology now allows numerous acquisitions to be easily and rapidly performed, leading to a possibly marked increase of the dose to patients. Managing patient dose is therefore a major concern in pediatric MDCT. Dose optimization consists of obtaining the lowest acceptable image quality compatible with diagnostic purposes. It is still the radiologist's responsibility to set the appropriate CT parameters (i.e., tube potential, beam collimation, tube current-time product or AEC-quality indices) to keep the dose 'as low as reasonably achievable' for diagnostic purposes. However, while radiation dose may be precisely defined by dedicated quantities such as the CT dose index (CTDI), image quality is still difficult to objectively assess. Up until now, the 'appropriate' quality ratio was mostly defined on the basis of empirical methods. The purpose of the present study was to assess and compare various physically measurable image quality indices obtained with dedicated pediatric phantoms and CT protocols in order to more clearly understand which index should preferably be used in children to manage the dose for routine abdominal MDCT protocols, and to provide guidance on dose reduction on the basis of patient dimensions.

  1. Abdominal pain

    Stomach pain; Pain - abdomen; Belly ache; Abdominal cramps; Bellyache; Stomachache ... Almost everyone has pain in the abdomen at some point. Most of the time, it is not serious. How bad your pain is does not always reflect the seriousness ...

  2. Abdominal actinomycosis.

    Wagenlehner, F M E; Mohren, B; Naber, K G; Männl, H F K


    Intra-abdominal and extraperitoneal actinomycosis are rare infections, caused by different Actinomyces species. However, they have been diagnosed more frequently in the last ten years. We report three cases of abdominal actinomycosis and a literature review of the last eight years. All three patients were diagnosed by means of histopathologic examination only. In one case, an intrauterine device (IUD) was associated with the infection. Therapy consisted of surgical resection of the inflammatory, infected tissue, and long-term antibiotic therapy. All patients are free of recurrence. Abdominal actinomycosis should be included in the differential diagnosis of an abdominal pathology of insidious onset, especially when an IUD is in place. Even when infection had spread extensively, combined operative and antibiotic therapy cured most of the cases.

  3. Classification of radar clutter using neural networks.

    Haykin, S; Deng, C


    A classifier that incorporates both preprocessing and postprocessing procedures as well as a multilayer feedforward network (based on the back-propagation algorithm) in its design to distinguish between several major classes of radar returns including weather, birds, and aircraft is described. The classifier achieves an average classification accuracy of 89% on generalization for data collected during a single scan of the radar antenna. The procedures of feature selection for neural network training, the classifier design considerations, the learning algorithm development, the implementation, and the experimental results of the neural clutter classifier, which is simulated on a Warp systolic computer, are discussed. A comparative evaluation of the multilayer neural network with a traditional Bayes classifier is presented.

  4. Clutter in the GMTI range-velocity map.

    Doerry, Armin Walter


    Ground Moving Target Indicator (GMTI) radar maps echo data to range and range-rate, which is a function of a moving target's velocity and its position within the antenna beam footprint. Even stationary clutter will exhibit an apparent motion spectrum and can interfere with moving vehicle detections. Consequently it is very important for a radar to understand how stationary clutter maps into radar measurements of range and velocity. This mapping depends on a wide variety of factors, including details of the radar motion, orientation, and the 3-D topography of the clutter.

  5. Maximum Likelihood Joint Tracking and Association in Strong Clutter

    Leonid I. Perlovsky


    Full Text Available We have developed a maximum likelihood formulation for a joint detection, tracking and association problem. An efficient non‐combinatorial algorithm for this problem is developed in case of strong clutter for radar data. By using an iterative procedure of the dynamic logic process “from vague‐to‐crisp” explained in the paper, the new tracker overcomes the combinatorial complexity of tracking in highly‐cluttered scenarios and results in an orders‐of‐magnitude improvement in signal‐ to‐clutter ratio.

  6. Gaussian Mixture Reduction for Bayesian Target Tracking in Clutter


    IEEE Transactions on Automatic Control, AC-17(4):439–448, August 1972. 3. Arfken , George B. and Hans J. Weber. Mathematical Methods for Physicists...developed this method in a more formal mathematical manner. As their work popu- larized the method of maximum likelihood, it became commonly known as...Brooks/Cole Publish- ing Company, Belmont, CA, 1990. 10. Cramér, Harald. Mathematical Methods of Statistics. Princeton University Press, Princeton

  7. Abdominal Sepsis.

    De Waele, Jan J


    Abdominal infections are an important challenge for the intensive care physician. In an era of increasing antimicrobial resistance, selecting the appropriate regimen is important and, with new drugs coming to the market, correct use is important more than ever before and abdominal infections are an excellent target for antimicrobial stewardship programs. Biomarkers may be helpful, but their exact role in managing abdominal infections remains incompletely understood. Source control also remains an ongoing conundrum, and evidence is increasing that its importance supersedes the impact of antibiotic therapy. New strategies such as open abdomen management may offer added benefit in severely ill patients, but more data are needed to identify its exact role. The role of fungi and the need for antifungal coverage, on the other hand, have been investigated extensively in recent years, but at this point, it remains unclear who requires empirical as well as directed therapy.

  8. Desk Congest Desktop Congesting Software for Desktop Clutter Congestion

    Solomon A. Adepoju


    Full Text Available Abstract The computer desktop environment is a working environment which can be likened unto a users desk in homes and offices. Often times the computer desktop get cluttered with files either as shortcuts used for quick links files stored temporarily to be accessed later or just being dumped there for no vivid reasons. However previous researches have shown that cluttered desktop affects users productivity and getting these files organized is a laborious task for most users. To be able to conveniently alleviate the effect clutters have on users performances and productivity there is need for third party software that will help get the desktop environment organized in a logical and efficient manner. It is to this end that desktop decongesting software is being designed and implemented to help curb clutter problems which existing tools have only partially addressed. The system is designed using Visual Basic .Net and it proves to be effective in tackling desktop congestion problem.

  9. Limits to Clutter Cancellation in Multi-Aperture GMTI Data

    Doerry, Armin W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Bickel, Douglas L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    Multi-aperture or multi-subaperture antennas are fundamental to Ground Moving Target Indicator (GMTI) radar systems in order to detect slow-moving targets with Doppler characteristics similar to clutter. Herein we examine the performance of several subaperture architectures for their clutter cancelling performance. Significantly, more antenna phase centers isn’t always better, and in fact is sometimes worse, for detecting targets.

  10. Polarization-Based Radar Detection in Sea Clutter


    Report 3. DATES COVERED (From - To) 01-04-2012 to 28-02-2015 4. TITLE AND SUBTITLE Polarization -Based Radar Detection in Sea Clutter 5a...14. ABSTRACT The goal of the proposed research is to characterize and model polarization -related behaviors of sea clutter and to use these models...that is to be exploited in this new form of detection is termed polarization mode dispersion (PMD), which is characterized by a spread in the received

  11. Space-time clutter model for airborne bistatic radar with non-Gaussian statistics

    Duan Rui; Wang Xuegang; Yiang Chaoshu; Chen Zhuming


    To validate the potential space-time adaptive processing (STAP) algorithms for airborne bistatic radar clutter suppression under nonstationary and non-Gaussian clutter environments, a statistically non-Gaussian, space-time clutter model in varying bistatic geometrical scenarios is presented. The inclusive effects of the model contain the range dependency of bistatic clutter spectrum and clutter power variation in range-angle cells. To capture them, a new approach to coordinate system conversion is initiated into formulating bistatic geometrical model, and the bistatic non-Gaussian amplitude clutter representation method based on a compound model is introduced. The veracity of the geometrical model is validated by using the bistatie configuration parameters of multi-channel airborne radar measurement (MCARM) experiment. And simulation results manifest that the proposed model can accurately shape the space-time clutter spectrum tied up with specific airborne bistatic radar scenario and can characterize the heterogeneity of clutter amplitude distribution in practical clutter environments.

  12. Study on Clutter Model and Characteristics of Airborne Radar with Parabolic Conformal Phased Array

    Hao Jiang; Nini Rao; Xingbo Chen; Jiabin Zhou; Chaoyang Qiu; Wen Zhai; Zhimei Hao


    The studies on clutter modeling and suppression of airborne radar with a parabolic conformal array are uncommon due to the complexity of this type of antenna array configuration. The correct understanding of clutter characteristics for airborne radar with a parabolic conformal antenna array is the prerequisite and foundation of optimal suppression of this type of clutter. This paper establishes the model of clutter echo of airborne parabolic conformal phased array radar and analyzes the structure characteristics and the distribution features of this type of clutter. The simulation results show that this type of clutter has the following characteristics: 1) The main lobe on the azimuth is seriously broadened, 2) the power spectrum presents strong heterogeneity, and 3) the freedom degrees are high. Based on the existing related clutter suppression methods, we verified the correctness of the constructed clutter model. This work has an important guidance to further study on clutter suppression methods in airborne parabolic conformal array radar.


    李青; 郑南宁; 程洪


    Objective To determine the positions of marking in the presence of distracting shadows, highlight, pavement cracks, etc. Methods RGB color space is transformed into I1I2I3 color space and I2 component was used to form a new image with less effect of the clutter. Using an improved edge detection operator, an edge strength map was produced, and binarilized by adaptive thresholds. The binary image was labeled and circularity of all connected components is calculated. The Self-Organizing Mapping is adopted to extract regions which imply potential marking. Finally the position of marking was obtained by curve fitting. Results Color information was utilized fully, all thresholds were set adaptively and lane marking could be detected in challenging images with shadows, highlight or other cars. Conclusion The method based on circularity of connected components shows its outstanding robustness to lane marking detection and has a wide variety of applications in the areas of vehicle autonomous navigation and driver assistance system.

  14. Abdominal Aortic Aneurysm (AAA)

    ... News Physician Resources Professions Site Index A-Z Abdominal Aortic Aneurysm (AAA) Abdominal aortic aneurysm (AAA) occurs when atherosclerosis ... an abdominal aortic aneurysm treated? What is an abdominal aortic aneurysm? The aorta, the largest artery in the body, ...

  15. Reduction of abdominal fat accumulation in rats by 8-week ingestion of a newly developed sweetener made from high fructose corn syrup.

    Iida, Tetsuo; Yamada, Takako; Hayashi, Noriko; Okuma, Kazuhiro; Izumori, Ken; Ishii, Reika; Matsuo, Tatsuhiro


    Many studies have shown that ingestion of high-fructose corn syrup (HFCS) may cause an increase in body weight and abdominal fat. We recently developed a new sweetener containing rare sugars (rare sugar syrup; RSS) by slight isomerization of HFCS. Here, the functional effects of RSS on body weight and abdominal fat, and biochemical parameters in Wistar rats were examined. Rats (n=30) were randomly divided into three groups and maintained for 8-weeks on starch, starch+HFCS (50:50), and starch+RSS (50:50) diets. Rats in the Starch and HFCS groups gained significantly more body weight and abdominal fat than the RSS group. Fasting serum insulin in the RSS group was significantly lower than in the Starch and HFCS groups, although serum glucose in the HFCS and RSS groups was significantly lower than that in the Starch group. Thus, the substitution of HFCS with RSS prevents obesity induced by the consumption of HFCS.

  16. Waveform design for cognitive radar: target detection in heavy clutter

    Kirk, Benjamin H.; Narayanan, Ram M.; Martone, Anthony F.; Sherbondy, Kelly D.


    In many applications of radar systems, detection of targets in environments with heavy clutter and interference can be difficult. It is desired that a radar system should detect targets at a further range as well as be able to detect these targets with very few false positive or negative readings. In a cognitive radar system, there are ways that these negative effects can be mitigated and target detection can be significantly improved. An important metric to focus on for increasing target detectability is the signal-to-clutter ratio (SCR). Cognitive radar offers solutions to issues such as this with the use of a priori knowledge of targets and environments as well as real time adaptations. A feature of cognitive radar that is of interest is the ability to adapt and optimize transmitted waveforms to a given situation. A database is used to hold a priori and dynamic knowledge of the operational environment and targets to be detected, such as clutter characteristics and target radar cross-section (RCS) estimations. Assuming this knowledge is available or can be estimated in real-time, the transmitted waveform can be tailored using methods such as transmission of a spectrum corresponding to the target-to-clutter ratio (TCR). These methods provide significant improvement in distinguishing targets from clutter or interference.

  17. Ultrawideband radar clutter measurements of forested terrain, 1991--1992

    Sheen, D.M.; Severtsen, R.H.; Prince, J.M.; Davis, K.C.; Collins, H.D.


    The ultrawideband (UWB) radar clutter measurements project was conducted to provide radar clutter data for new ultrawideband radar systems which are currently under development. A particular goal of this project is to determine if conventional narrow band clutter data may be extrapolated to the UWB case. This report documents measurements conducted in 1991 and additional measurements conducted in 1992. The original project consisted of clutter measurements of forested terrain in the Olympic National Forest near Sequim, WA. The impulse radar system used a 30 kW peak impulse source with a 2 Gigasample/second digitizer to form a UHF (300--1000 MHz) ultrawideband impulse radar system. Additional measurements were conducted in parallel using a Systems Planning Corporation (SPC) step-chirp radar system. This system utilized pulse widths of 1330 nanoseconds over a bandwidth of 300--1000 MHz to obtain similar resolution to the impulse system. Due to the slow digitizer data throughput in the impulse radar system, data collection rates were significantly higher using the step-chirp system. Additional forest clutter measurements were undertaken in 1992 to increase the amount of data available, and especially to increase the amount of data from the impulse radar system.

  18. Global Infrasound Association Based on Probabilistic Clutter Categorization

    Arora, Nimar; Mialle, Pierrick


    The IDC advances its methods and continuously improves its automatic system for the infrasound technology. The IDC focuses on enhancing the automatic system for the identification of valid signals and the optimization of the network detection threshold by identifying ways to refine signal characterization methodology and association criteria. An objective of this study is to reduce the number of associated infrasound arrivals that are rejected from the automatic bulletins when generating the reviewed event bulletins. Indeed, a considerable number of signal detections are due to local clutter sources such as microbaroms, waterfalls, dams, gas flares, surf (ocean breaking waves) etc. These sources are either too diffuse or too local to form events. Worse still, the repetitive nature of this clutter leads to a large number of false event hypotheses due to the random matching of clutter at multiple stations. Previous studies, for example [1], have worked on categorization of clutter using long term trends on detection azimuth, frequency, and amplitude at each station. In this work we continue the same line of reasoning to build a probabilistic model of clutter that is used as part of NETVISA [2], a Bayesian approach to network processing. The resulting model is a fusion of seismic, hydroacoustic and infrasound processing built on a unified probabilistic framework. References: [1] Infrasound categorization Towards a statistics based approach. J. Vergoz, P. Gaillard, A. Le Pichon, N. Brachet, and L. Ceranna. ITW 2011 [2] NETVISA: Network Processing Vertically Integrated Seismic Analysis. N. S. Arora, S. Russell, and E. Sudderth. BSSA 2013

  19. Reflectivity Model of Low Grazing Angle Radar Sea Clutter

    FENG Sheng; CHEN Jie; CAI Tao; TU Xu-yan


    The commonly used reflectivity models of radar sea clutter are summarized. Among these models, the adjusted Barton model and the adjusted Morchin model are compared. From the analysis result, the γ-p reflectivity model is presented for low grazing angle radar sea clutter by the adjustment of the original Barton reflectivity model. The model takes into account radar frequency, grazing angle, sea condition, and polarization property. The influences of these factors on the proposed model are analyzed. The model absorbs the merits from commonly used reflectivity models for sea clutter. It introduces several researchers' opinions, and extends them. And it accounts for the reflectivity at arbitrary radar frequency from VHF to X-band, arbitrary low grazing angle, arbitrary sea condition and different polarization property. One of the main results is the proposed γ-p reflectivity model can reflect the influence of polarization on sea clutter reflectivity to some extent. The proposed γ-p reflectivity model of low-angle radar-sea clutter is validated by comparing the simulated and statistically experimental data.

  20. Identification of cluttering and stuttering by the public in four countries.

    St Louis, Kenneth O; Filatova, Yulia; Coşkun, Mehmet; Topbaş, Seyhun; Ozdemır, Sertan; Georgieva, Dobrinka; McCaffrey, Elise; George, Reshella D


    The investigators sought to explore and compare the identification of cluttering vs stuttering in four different country samples. After reading lay definitions of the two fluency disorders in their own language, convenience samples of 60-90 adult respondents from Turkey, Bulgaria, Russia, and the US identified 51-119 children or adults who either cluttered, stuttered, or both. They also indicated whether or not they, themselves, cluttered or stuttered. The majority of respondents in all four samples identified at least one person who cluttered, stuttered, or cluttered and stuttered. The average respondent identified one person with a fluency disorder, most likely a stutterer, less likely a clutterer, and least likely a clutterer-stutterer. Both similarities and differences characterized those identified in the three groups, e.g., the sex ratios were not the same. As with stuttering, the public apparently is aware of cluttering individuals and can identify such persons.


    Li Ming; Liao Guisheng; Zhang Liang


    When the Airborne Early Warning (AEW) radar transmits medial or high Pulse Repetitive Frequency (PRF) signal,the range ambiguity occurs.The clutter of short-range clutter has serious range dependence problem for non-Side Looking Airborne Radar (non-SLAR).As a result,the clutter plus noise covariance matrix can not be estimated correctly,and the performance of clutter suppression obtained by Space-Time Adaptive Processing (STAP) degrades greatly.The uniform linear array has not elevation degrees; therefore,the short-range clutter can not be suppressed directly.A short-range clutter suppression method is proposed.The method first estimate the elevation angles of the ambiguous short-range gate,then eliminates short-range clutter by space time interpolation and adds moving target protection in the procedure.This method can suppress the short-range clutter well.Simulation results show the validity of the method.

  2. Knowledge-based adaptive polarimetric detection in heterogeneous clutter

    Yinan Zhao,Fengcong Li,; Xiaolin Qiao


    The detection performance and the constant false alarm rate behavior of the conventional adaptive detectors are severely degraded in heterogeneous clutter. This paper designs and analy-ses a knowledge-based (KB) adaptive polarimetric detector in het-erogeneous clutter. The proposed detection scheme is composed of a data selector using polarization knowledge and an adaptive polarization detector using training data. A polarization data se-lector based on the maximum likelihood estimation is proposed to remove outliers from the heterogeneous training data. This selector can remove outliers effectively, thus the training data is purified for estimating the clutter covariance matrix. Consequently, the performance of the adaptive detector is improved. We assess the performance of the KB adaptive polarimetric detector and the adaptive polarimetric detector without a data selector using sim-ulated data and IPIX radar data. The results show that the KB adaptive polarization detector outperforms its non-KB counter-parts.

  3. Seascape: ray tracing synthetic marine clutter in the midwave infrared

    Constantikes, Kim T.; Osmanagich, Srcan


    Seascape is a distributed application that renders synthetic images using raytracing paradigm. It incorporates a computational model of infrared marine clutter. First principle models of water waves and light transport provide a computationally intensive clutter model implemented as a raytracer. Seascape models include sea, sky, and solar radiance, reflectance, attenuating atmospheres, constructive solid geometry targets, sensor, target, and water wave dynamics, and simple sensor image formation. Our focus is on the 3 - 5 micrometers waveband but Seascape can easily be configured for operation in the visible and longwave infrared. We have implemented an efficient parallel computation of this model on a heterogeneous array of UNIX workstations.

  4. Inference-Based Surface Reconstruction of Cluttered Environments

    Biggers, K.


    We present an inference-based surface reconstruction algorithm that is capable of identifying objects of interest among a cluttered scene, and reconstructing solid model representations even in the presence of occluded surfaces. Our proposed approach incorporates a predictive modeling framework that uses a set of user-provided models for prior knowledge, and applies this knowledge to the iterative identification and construction process. Our approach uses a local to global construction process guided by rules for fitting high-quality surface patches obtained from these prior models. We demonstrate the application of this algorithm on several example data sets containing heavy clutter and occlusion. © 2012 IEEE.

  5. Abdominal Compartment Syndrome due to OHSS

    Firoozeh Veisi


    Full Text Available Abdominal compartment syndrome is a dangerous clinical situation, usually following abdominal injuries&operations. It is seldom observed in patients with gynecologic and obstetric problems. Abdominalcompartment syndrome may be consequence ovarian hyperstimulation syndrome. A 28-year-old womanpresented as a sever ovarian hyperstimulation.The increased IAP indicated that OHSS may beconsidered a compartment syndrome. Abdominal compartment syndrome needs laparotomy orparacentesis for reduction of pressure.

  6. ABDOPRE: dispositivo de aplicação externa para redução da pressão intra-abdominal: Experiencia clínica preliminar ABDOPRE: dispositivo de aplicación externa para reducción de presión intraabdominal: Preliminary clinical experience ABDOPRE: an external device for the reduction of intra-abdominal pressure

    Francisco Pracca


    Full Text Available São descritos os objetivos de redução da pressão intra-abdominal e o projeto de um dispositivo que os atenda. O ABDO-PRE compreende, pela primeira vez, um mecanismo de servo-controle de aplicação externa que mede a pressão intravesical como variável de controle. São apresentados os resultados da aplicação em 4 pacientes com hipertensão intra-abdominal, produzindo uma redução de 16% a 35% em três casos e um aumento paradoxal da pressão em um dos casos, devido a um desajuste entre a geometria da câmara de vácuo e a alteração anatômica acarretada pela obesidade da paciente. Estes resultados são promissores em relação ao possível uso do ABDOPRE na prática clínica para redução da hipertensão intra-abdominal.Se describen los objetivos de reducción de la presión intraabdominal y el proyecto de un dispositivo que los cumpla. ABDOPRE comprende por primera vez un mecanismo servcocontrolado de aplicación externa que toma la presión intravesical como variable de control. Se presenta el resultado de la aplicación en 4 pacientes afectados por hipertensión intraabdominal, con el resultado de una reducción de entre 16% y 35% en tres casos y de un aumento paradojal de presión en un caso debido a desajuste de la geometría de la campana de vacío a la anatomía obesa del paciente. Estos resultados prometen el posible uso de ABDOPRE para la reducción de la hipertensión intraabdominal en la práctica clínica.This article describes a device for the reduction of intra-abdominal pressure. The device (ABDOPRE includes a unique external servo-control mechanism, based on urinary bladder pressure measurement. The results of ABDOPRE use in the first four intra-abdominal hypertension patients are reported; the device resulted in a reduction of intra-abdominal pressure between 16% and 35% in 3 cases and in a paradoxical increase of the intra-abdominal pressure in an obese woman, likely due to inappropriate chamber size for the patient

  7. Clutter filter design for ultrasound color flow imaging.

    Bjaerum, Steinar; Torp, Hans; Kristoffersen, Kjell


    For ultrasound color flow images with high quality, it is important to suppress the clutter signals originating from stationary and slowly moving tissue sufficiently. Without sufficient clutter rejection, low velocity blood flow cannot be measured, and estimates of higher velocities will have a large bias. The small number of samples available (8 to 16) makes clutter filtering in color flow imaging a challenging problem. In this paper, we review and analyze three classes of filters: finite impulse response (FIR), infinite impulse response (IIR), and regression filters. The quality of the filters was assessed based on the frequency response, as well as on the bias and variance of a mean blood velocity estimator using an autocorrelation technique. For FIR filters, the frequency response was improved by allowing a non-linear phase response. By estimating the mean blood flow velocity from two vectors filtered in the forward and backward direction, respectively, the standard deviation was significantly lower with a minimum phase filter than with a linear phase filter. For IIR filters applied to short signals, the transient part of the output signal is important. We analyzed zero, step, and projection initialization, and found that projection initialization gave the best filters. For regression filters, polynomial basis functions provide effective clutter suppression. The best filters from each of the three classes gave comparable bias and variance of the mean blood velocity estimates. However, polynomial regression filters and projection-initialized IIR filters had a slightly better frequency response than could be obtained with FIR filters.

  8. Statistical Analysis of SAR Sea Clutter for Classification Purposes

    Jaime Martín-de-Nicolás


    Full Text Available Statistical analysis of radar clutter has always been one of the topics, where more effort has been put in the last few decades. These studies were usually focused on finding the statistical models that better fitted the clutter distribution; however, the goal of this work is not the modeling of the clutter, but the study of the suitability of the statistical parameters to carry out a sea state classification. In order to achieve this objective and provide some relevance to this study, an important set of maritime and coastal Synthetic Aperture Radar data is considered. Due to the nature of the acquisition of data by SAR sensors, speckle noise is inherent to these data, and a specific study of how this noise affects the clutter distribution is also performed in this work. In pursuit of a sense of wholeness, a thorough study of the most suitable statistical parameters, as well as the most adequate classifier is carried out, achieving excellent results in terms of classification success rates. These concluding results confirm that a sea state classification is not only viable, but also successful using statistical parameters different from those of the best modeling distribution and applying a speckle filter, which allows a better characterization of the parameters used to distinguish between different sea states.

  9. Space-polarization Collaborative Suppression Method for Ionospheric Clutter in HFSWR

    Yang Yunlong


    Full Text Available High Frequency Surface Wave Radar (HFSWR is able to receive surface target and low-flying aircraft echoes at a long-distance, but it suffers severely from ionospheric clutter. In this paper, a spacepolarization collaborative-based filter is introduced to mitigate ionospheric clutter. For parameter estimation on ionospheric clutter used for filters, a spatial parameter estimation algorithm based on compressive sensing is introduced to the DOA estimation of ionospheric clutter. In addition, a polarized parameter estimation algorithm based on statistical characteristics is proposed for ionospheric clutter in the range-Doppler spectrum. Higher estimation accuracy is achieved as a result of the range-Doppler spectrum; therefore, these two estimation algorithms enhance the performance of the space-polarization collaborative suppression method for ionospheric clutter. Experimental results of practical dual-polarized HFSWR data show the effectiveness of the two algorithms and the above mentioned filter for ionospheric clutter suppression.

  10. Ultra-low dose abdominal MDCT: Using a knowledge-based Iterative Model Reconstruction technique for substantial dose reduction in a prospective clinical study

    Khawaja, Ranish Deedar Ali, E-mail: [MGH Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Singh, Sarabjeet; Blake, Michael; Harisinghani, Mukesh; Choy, Gary; Karosmangulu, Ali; Padole, Atul; Do, Synho [MGH Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States); Brown, Kevin; Thompson, Richard; Morton, Thomas; Raihani, Nilgoun [CT Research and Advanced Development, Philips Healthcare, Cleveland, OH (United States); Koehler, Thomas [Philips Technologie GmbH, Innovative Technologies, Hamburg (Germany); Kalra, Mannudeep K. [MGH Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA (United States)


    Highlights: • Limited abdominal CT indications can be performed at a size specific dose estimate of (SSDE) 1.5 mGy (∼0.9 mSv) in smaller patients (BMI less than or equal to 25 kg/m{sup 2}) using a knowledge based Iterative Model Reconstruction (IMR) technique. • Evaluation of liver tumors and pathologies is unacceptable at this reduced dose with IMR technique especially in patients with a BMI greater than 25 kg/m{sup 2}. • IMR body soft tissue and routine settings perform substantially better than IMR sharp plus setting in reduced dose CT images. • At SSDE of 1.5 mGy, objective image noise in reduced dose IMR images is 8–56% less than compared to standard dose FBP images, with lowest image noise in IMR body-soft tissue images. - Abstract: Purpose: To assess lesion detection and image quality parameters of a knowledge-based Iterative Model Reconstruction (IMR) in reduced dose (RD) abdominal CT examinations. Materials and methods: This IRB-approved prospective study included 82 abdominal CT examinations performed for 41 consecutive patients (mean age, 62 ± 12 years; F:M 28:13) who underwent a RD CT (SSDE, 1.5 mGy ± 0.4 [∼0.9 mSv] at 120 kV with 17–20 mAs/slice) immediately after their standard dose (SD) CT exam (10 mGy ± 3 [∼6 mSv] at 120 kV with automatic exposure control) on 256 MDCT (iCT, Philips Healthcare). SD data were reconstructed using filtered back projection (FBP). RD data were reconstructed with FBP and IMR. Four radiologists used a five-point scale (1 = image quality better than SD CT to 5 = image quality unacceptable) to assess both subjective image quality and artifacts. Lesions were first detected on RD FBP images. RD IMR and RD FBP images were then compared side-by-side to SD-FBP images in an independent, randomized and blinded fashion. Friedman's test and intraclass correlation coefficient were used for data analysis. Objective measurements included image noise and attenuation as well as noise spectral density (NSD) curves

  11. Bistatic MIMO Radar Clutter Suppression by Exploiting the Transmit Angle

    Li Jun


    Full Text Available The transmit angle of bistatic radars can be obtained by introducing Multiple-Input Multiple-Output (MIMO radar techniques. The Three-Dimensional (3D clutter spectra, that is, the transmit angle, receive angle, and Doppler frequency, are introduced using the additional angle information to Space-Time Adaptive Processing (STAP. This study reviews the researches on bistatic MIMO-STAP. 3D space-time adaptive processing methods for airborne bistatic side-looking MIMO radars, such as 3D-LCMV, 3D-ACR, 3D-JDL, and 3D projection-based reduced dimensional STAP methods, are discussed. Simulation results show that the proposed methods can improve the small-sample support performance of range-dependent clutter suppression in bistatic side-looking MIMO radar. Finally, the results are summarized and the prospects of bistatic MIMO-STAP are discussed.

  12. Detecting weather radar clutter using satellite-based nowcasting products

    Jensen, Thomas B.S.; Gill, Rashpal S.; Overgaard, Søren


    This contribution presents the initial results from experiments with detection of weather radar clutter by information fusion with satellite based nowcasting products. Previous studies using information fusion of weather radar data and first generation Meteosat imagery have shown promising results...... for the detecting and removal of clutter. Naturally, the improved spatio-temporal resolution of the Meteosat Second Generation sensors, coupled with its increased number of spectral bands, is expected to yield even better detection accuracies. Weather radar data from three C-band Doppler weather radars...... for three rain intensity classes (heavy precipitation, light to moderate precipitation, and no precipitation) to every pixel in the Meteosat-8 images. Image fusion of the satellite image product and the radar composite images was done by resampling to a common grid of a spatial resolution dictated...

  13. Report on Scattering Physics of Multistatic Radar Sea Clutter


    clutter & targets, and assessing detection schemes using the observations and the results of data analysis. The panel recognises the potential value ...similar (as they should be, since they are based on some of the same data), whilst the GIT model has much smaller values of reflectivity at low sea...When the power is summed over range, averaged over many surface realisations and recalculated at various grazing angles and rms sea surface wave

  14. A Framework for Symmetric Part Detection in Cluttered Scenes

    Tom Lee


    Full Text Available The role of symmetry in computer vision has waxed and waned in importance during the evolution of the field from its earliest days. At first figuring prominently in support of bottom-up indexing, it fell out of favour as shape gave way to appearance and recognition gave way to detection. With a strong prior in the form of a target object, the role of the weaker priors offered by perceptual grouping was greatly diminished. However, as the field returns to the problem of recognition from a large database, the bottom-up recovery of the parts that make up the objects in a cluttered scene is critical for their recognition. The medial axis community has long exploited the ubiquitous regularity of symmetry as a basis for the decomposition of a closed contour into medial parts. However, today’s recognition systems are faced with cluttered scenes and the assumption that a closed contour exists, i.e., that figure-ground segmentation has been solved, rendering much of the medial axis community’s work inapplicable. In this article, we review a computational framework, previously reported in [1–3], that bridges the representation power of the medial axis and the need to recover and group an object’s parts in a cluttered scene. Our framework is rooted in the idea that a maximally-inscribed disc, the building block of a medial axis, can be modelled as a compact superpixel in the image. We evaluate the method on images of cluttered scenes.

  15. Adaptive Robust Waveform Selection for Unknown Target Detection in Clutter

    Lu-Lu Wang; Hong-Qiang Wang; Yu-Liang Qin; Yong-Qiang Cheng


    @@@A basic assumption of most recently proposed waveform design algorithms is that the target impulse response is a known deterministic function or a stochastic process with a known power spectral density (PSD). However, it is well-known that a target impulse response is neither easily nor accurately obtained; besides it changes sharply with attitude angles. Both of the aforementioned cases complicate the waveform design process. In this paper, an adaptive robust waveform selection method for unknown target detection in clutter is proposed. The target impulse response is considered to be unknown but belongs to a known uncertainty set. An adaptive waveform library is devised by using a signal-to-clutter-plus-noise ratio (SCNR)- based optimal waveform design method. By applying the minimax robust waveform selection method, the optimal robust waveform is selected to ensure the lowest performance bound of the unknown target detection in clutter. Results show that the adaptive waveform library outperforms the predefined linear frequency modulation (LFM) waveform library on the SCNR bound.

  16. An adaptive clutter and interference suppression with a minimum residue noise power

    Kwag, Young Kil

    The author presents an adaptive technique for the suppression of clutter and interference in environments where no a priori knowledge about the target or the clutter and interference statistics is available. The adaptive processor generates the average weight vector, in the sense of minimum-residue-noise power, on the basis of the injected noise-level vector in the weight control algorithm. The set of weight vectors generated in a particular range-azimuth space can be stored and switched to the same sector for the unwanted-noise rejection. The adaptation rate is significantly increased when the residue noise is removed from the combiner output. The system improvement factor in suppressing the clutter and interference is not sensitive to the strength of the input CSR (clutter suppression rate) and is largely dependent on the residue clutter and interference. Simulation results show the effectiveness of the proposed method in improving the clutter and interference rejection capability.

  17. Removing interfering clutter associated with radar pulses that an airborne radar receives from a radar transponder

    Ormesher, Richard C.; Axline, Robert M.


    Interfering clutter in radar pulses received by an airborne radar system from a radar transponder can be suppressed by developing a representation of the incoming echo-voltage time-series that permits the clutter associated with predetermined parts of the time-series to be estimated. These estimates can be used to estimate and suppress the clutter associated with other parts of the time-series.

  18. An Airborne Radar Clutter Tracking Algorithm Based on Multifractal and Fuzzy C-Mean Cluster

    Wei Zhang; Sheng-Lin Yu; Gong Zhang


    For an airborne lookdown radar, clutter power often changes dynamically about 80 dB with wide distributions as the platform moves. Therefore, clutter tracking techniques are required to guide the selection of const false alarm rate (CFAR) schemes. In this work, clutter tracking is done in image domain and an algorithm combining multifractal and fuzzy C-mean (FCM) cluster is proposed. The clutter with large dynamic distributions in power density is converted to steady distributions of multifractal exponents by the multifractal transformation with the optimum moment. Then, later, the main lobe and side lobe are tracked from the multifractal exponents by FCM clustering method.

  19. Abdominal binders may reduce pain and improve physical function after major abdominal surgery - a systematic review

    Rothman, Josephine Philip; Gunnarsson, Ulf; Bisgaard, Thue


    INTRODUCTION: Evidence for the effect of post-operative abdominal binders on post-operative pain, seroma formation, physical function, pulmonary function and increased intra-abdominal pressure among patients after surgery remains largely un-investigated. METHODS: A systematic review was conducted....... The PubMed, EMBASE and Cochrane databases were searched for studies on the use of abdominal binders after abdominal surgery or abdominoplasty. All types of clinical studies were included. Two independent assessors evaluated the scientific quality of the studies. The primary outcomes were pain, seroma...... to reduce seroma formation after laparoscopic ventral herniotomy and a non-significant reduction in pain. Physical function was improved, whereas evidence supports a beneficial effect on psychological distress after open abdominal surgery. Evidence also supports that intra-abdominal pressure increases...

  20. Abdominal radiation - discharge

    Radiation - abdomen - discharge; Cancer - abdominal radiation; Lymphoma - abdominal radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after radiation treatment starts, you might notice changes ...

  1. Abdominal aortic aneurysm

    ... this page: // Abdominal aortic aneurysm To use the sharing features on this page, ... blood to the abdomen, pelvis, and legs. An abdominal aortic aneurysm occurs when an area of the aorta becomes ...

  2. Abdominal and Pelvic CT

    Full Text Available ... accurate. In emergency cases, it can reveal internal injuries and bleeding quickly enough to help save lives. ... kidney and bladder stones. abdominal aortic aneurysms (AAA), injuries to abdominal organs such as the spleen, liver, ...

  3. Effect of the dose and route of administration of butylscopolamine on the reduction of the artifacts associated with intestinal peristalsis in abdominal magnetic resonance; Efecto de la dosis y la via de administracion de butilescopolamina en la disminucion de los artefactors asociados al peristaltismo intestinal en la RM abdominal

    Dosda, R.; Marti-Bonmati, L. [Hospital Universitario Dr Peset. Valencia. Clinica Quiron. Valencia (Spain); Ronchera-Oms, C. [Hospital San Pablo-CEU. Moncada Valencia (Spain)


    To compare the effect of the route of administration (intravenous and oral) and the dose (40 mg and 80 mg) of butylscopolamine, determining its efficacy in reducing the noise associated with gastrointestinal movement in magnetic resonance (MR) images and the incidence and severity of associated adverse reactions. The present prospective, controlled, double-blind study included 80 patients who underwent abdominal MR. All the patients were given oral, high-density barium sulfate and were divided randomly into 4 groups of 20 patients each: a control group and 3 groups treated with 40 mg or 80 mg of oral butylscopolamine or 40 mg of intravenous butylscopolamine. Both the barium and the oral solutions were administered 25 to 30 minutes before the examination. the MR images were obtained with a STIR sequence (1487/100/44), and qualitative analysis of the noise was carried out using regions of interest situated in the background. The gastrointestinal noise was defined both by the mean and the standard deviation of the signal intensity of the air front of an behind the patient. The standard deviation of the air beside the patient was determined to confirm the absence of variations in noise inherent to MR. The adverse reactions to MR after 2 hours (immediate) and one day (late) were recorded. There were no significant differences among the groups with respect to sex, age or time interval between administration of the oral solution and the start of the sequence. The noise inherent to MR was not significantly different from one group to another (Student-Newman-Keuls test, p=0.71). Both the mean and the standard deviation of the intensity of the air situated in anteroposterior phase-encoding direction were significantly lower in the butylscopolamine groups than in the control group (Student-Newman-Keuls test, p=0.008). The most marked reduction was observed after the oral dose of 80 mg, followed by intravenous injection of 40 mg and the oral dose of 40 mg. Adverse reaction

  4. Post trauma abdominal cocoon.

    Kaur, Supreet; Doley, Rudra Prasad; Chabbhra, Mohinish; Kapoor, Rajeev; Wig, Jaidev


    Abdominal cocoon or sclerosing peritonitis refers to a rare cause of intestinal obstruction due to formation of a membrane encasing the bowel. We report a case of abdominal cocoon post blunt trauma abdomen. The patient presented with a history of subacute intestinal obstruction and a mobile abdomen lump. Abdominal cocoon was diagnosed on computed tomography. He underwent adhesiolysis with excision of membrane.

  5. Study on Dim Target Detection and Discrimination from Sea Clutter

    WANG Wen-guang; SUN Zuo-wei; LI Chen-ming; WANG Jun


    Dim target detection from sea clutter is one of the difficult topics in ocean remote sensing application.By aiming at the shortcoming of false alarms when using track before detect (TBD) based on dynamic programming,a new discrimination method called statistics of direction histogram (SDH) is proposed,which is based on different features of trajectories between the true target and false one.Moreover,a new series of discrimination schemes of SDH and Local Extreme Value method (LEV) are studied and applied to simulate the actually measured radar data.The results show that the given discrimination is effective to reduce false alarms during dim targets detection.

  6. Improved Multistage Wiener Filters in Nonhomogeneous Clutter Environments

    Bin Tang; Xue-Gang Wang; Ke-Song Chen


    A new method combining space-time preprocessing with multistage Wiener filters (STPMWF) is proposed to improve the performance of space-time adaptive processing (STAP) in nonhomogeneous clutter scenario. The new scheme only requires the data from the primary range bin, thus it can suppress discrete interferers efficiently, without calculating the inverse of covariance matrix. Comparing to the original MWF approach, the proposed scheme can be regarded as practical solutions for robust and effective STAP of nonhomogeneous radar data. The theoretical analysis shows that our STPMWF is simple in implementation and fast in convergence. The numeric results by using simulated data exhibit a good agreement with the proposed theory.

  7. Research on Gaussian distribution preprocess method of infrared multispectral image background clutter

    张伟; 武春风; 邓盼; 范宁


    This paper introduces a sliding-window mean removal high pass filter by which background clutter of infrared multispectral image is obtained. The method of selecting the optimum size of the sliding-window is based on the skewness-kurtosis test. In the end, a multivariate Gaussian distribution mathematical expression of background clutter image is given.

  8. Coherent Surface Clutter Suppression Techniques with Topography Estimation for Multi-Phase-Center Radar Ice Sounding

    Nielsen, Ulrik; Dall, Jørgen; Kristensen, Steen Savstrup;


    Radar ice sounding enables measurement of the thickness and internal structures of the large ice sheets on Earth. Surface clutter masking the signal of interest is a major obstacle in ice sounding. Algorithms for surface clutter suppression based on multi-phase-center radars are presented...

  9. Optimal waveform-based clutter suppression algorithm for recursive synthetic aperture radar imaging systems

    Zhu, Binqi; Gao, Yesheng; Wang, Kaizhi; Liu, Xingzhao


    A computational method for suppressing clutter and generating clear microwave images of targets is proposed in this paper, which combines synthetic aperture radar (SAR) principles with recursive method and waveform design theory, and it is suitable for SAR for special applications. The nonlinear recursive model is introduced into the SAR operation principle, and the cubature Kalman filter algorithm is used to estimate target and clutter responses in each azimuth position based on their previous states, which are both assumed to be Gaussian distributions. NP criteria-based optimal waveforms are designed repeatedly as the sensor flies along its azimuth path and are used as the transmitting signals. A clutter suppression filter is then designed and added to suppress the clutter response while maintaining most of the target response. Thus, with fewer disturbances from the clutter response, we can generate the SAR image with traditional azimuth matched filters. Our simulations show that the clutter suppression filter significantly reduces the clutter response, and our algorithm greatly improves the SINR of the SAR image based on different clutter suppression filter parameters. As such, this algorithm may be preferable for special target imaging when prior information on the target is available.

  10. Object Recognition in Clutter: Cortical Responses Depend on the Type of Learning

    Jay eHegdé


    Full Text Available Theoretical studies suggest that the visual system uses prior knowledge of visual objects to recognize them in visual clutter, and posit that the strategies for recognizing objects in clutter may differ depending on whether or not the object was learned in clutter to begin with. We tested this hypothesis using functional magnetic resonance imaging (fMRI of human subjects. We trained subjects to recognize naturalistic, yet novel objects in strong or weak clutter. We then tested subjects’ recognition performance for both sets of objects in strong clutter. We found many brain regions that were differentially responsive to objects during object recognition depending on whether they were learned in strong or weak clutter. In particular, the responses of the left fusiform gyrus reliably reflected, on a trial-to-trial basis, subjects’ object recognition performance for objects learned in the presence of strong clutter. These results indicate that the visual system does not use a single, general-purpose mechanism to cope with clutter. Instead, there are two distinct spatial patterns of activation whose responses are attributable not to the visual context in which the objects were seen, but to the context in which the objects were learned.

  11. Methods of small slow moving targets detection in heavy sea clutter

    O. D. Mrachkovsky


    Full Text Available The search for methods of small targets detection by marine radars is carried out in this paper. As a result of the sources analysis three promising group of methods are selected – adaptive methods based on the clutter amplitude spherically invariant random process representation, methods based on non stohastic clutter representation and methods based on orthogonal transformations. Separately, neural networks and clutter polarization properties are noticed. Most of researches consider compound Gaussian distribution for high resolution sea clutter data modeling. Adaptive CFAR algoritm developed by Kelly for Gaussian clutter was extended for spherical invariant random process. This algorithm can detect target in compound Gaussian clutter and ensure CFAR detection if covariance matrix is precisely known. Many researches proposed different methods of covariance matrix estimating using information from cells adjacent with cell under test. Progress in this field is moving to finding less computation cost but more precise methods of covariance matrix estimation. Further progress for small slow moving targets in heavy sea clutter detection can develop in 3 ways – improving covariance matrix estimation, exploiting not stochastic methods and finding best orthogonal transform for sea clutter Doppler spectrum describing.

  12. Hérnia traumática da parede abdominal Traumatic abdominal hernia

    Alexandre Cruz Henriques


    Full Text Available A rare case of blunt traumatic abdominal hernia is presented in which jejunal loops herniated through the abdominal wall. The patient had a serious motor vehicle accident seven years ago, while wearing the seat belt. He developed a traumatic hernia in the anterior lateral abdominal wall, which was operated, and relapsed after some months. The patient was reoperated and we observed the unattachment of the anterior lateral abdominal musculature from the ilium crest. After the hernial sac treatment, the defect was solved with the use of a polypropylene mesh. The postoperative evolution was good and four months later there were no signs of recurrence. Traumatic abdominal hernia remains a rare clinical entity, despite the increase in blunt abdominal trauma. Traumatic abdominal wall hernia falls into two general categories: small lower quadrant abdominal defects, typically the result of blunt trauma with bicycle handlebars, and larger abdominal wall defects related to motor vehicle accidents. The diagnosis may be often established by the physical examination alone. Conventional radiology and computerized tomography usefulness have been proved. In the vast majority of cases, early repair is recommended. The appropriate treatment is the reduction of the herniated bowel into the abdomen, the debridment of nonviable tissues, and a primary tension free closure of the detect.


    Jiang Dongchu; He Fei


    The clutter direction-Doppler curves are not aligned on the near range bins for forward looking airborne radar. As a result,the performance of clutter suppression by Space-Time Adaptive Processing (STAP) degrades greatly because of the clutter range dependence. To deal with this problem,a new compensated method is proposed in this paper. The method rebuilds the clutter covariance matrix based on spatial high resolution Minimum Variance Distortionless Response (MVDR) spectrum,and then finds a matrix to transform the covariance matrix of short-range gate to the referred far-range gate. The method can compensate the clutter range dependence well. The simulation results show validity of the method.

  14. Looking for shapes in two-dimensional cluttered point clouds.

    Srivastava, Anuj; Jermyn, Ian H


    We study the problem of identifying shape classes in point clouds. These clouds contain sampled points along contours and are corrupted by clutter and observation noise. Taking an analysis-by-synthesis approach, we simulate high-probability configurations of sampled contours using models learned from training data to evaluate the given test data. To facilitate simulations, we develop statistical models for sources of (nuisance) variability: 1) shape variations within classes, 2) variability in sampling continuous curves, 3) pose and scale variability, 4) observation noise, and 5) points introduced by clutter. The variability in sampling closed curves into finite points is represented by positive diffeomorphisms of a unit circle. We derive probability models on these functions using their square-root forms and the Fisher-Rao metric. Using a Monte Carlo approach, we simulate configurations from a joint prior on the shape-sample space and compare them to the data using a likelihood function. Average likelihoods of simulated configurations lead to estimates of posterior probabilities of different classes and, hence, Bayesian classification.

  15. Wind turbine clutter mitigation in coastal UHF radar.

    Yang, Jing; Pan, Chao; Wang, Caijun; Jiang, Dapeng; Wen, Biyang


    Coastal UHF radar provides a unique capability to measure the sea surface dynamic parameters and detect small moving targets, by exploiting the low energy loss of electromagnetic waves propagating along the salty and good conducting ocean surface. It could compensate the blind zone of HF surface wave radar at close range and reach further distance than microwave radars. However, its performance is susceptible to wind turbines which are usually installed on the shore. The size of a wind turbine is much larger than the wavelength of radio waves at UHF band, which results in large radar cross section. Furthermore, the rotation of blades adds time-varying Doppler frequency to the clutter and makes the suppression difficult. This paper proposes a mitigation method which is based on the specific periodicity of wind turbine clutter and performed mainly in the time-frequency domain. Field experimental data of a newly developed UHF radar are used to verify this method, and the results prove its effectiveness.

  16. Inversion for atmosphere duct parameters using real radar sea clutter

    Sheng, Zheng; Fang, Han-Xian


    This paper addresses the problem of estimating the lower atmospheric refractivity (M profile) under nonstandard propagation conditions frequently encountered in low altitude maritime radar applications. The vertical structure of the refractive environment is modeled using five parameters and the horizontal structure is modeled using five parameters. The refractivity model is implemented with and without a priori constraint on the duct strength as might be derived from soundings or numerical weather-prediction models. An electromagnetic propagation model maps the refractivity structure into a replica field. Replica fields are compared with the observed clutter using a squared-error objective function. A global search for the 10 environmental parameters is performed using genetic algorithms. The inversion algorithm is implemented on the basis of S-band radar sea-clutter data from Wallops Island, Virginia (SPANDAR). Reference data are from range-dependent refractivity profiles obtained with a helicopter. The inversion is assessed (i) by comparing the propagation predicted from the radar-inferred refractivity profiles with that from the helicopter profiles, (ii) by comparing the refractivity parameters from the helicopter soundings with those estimated. This technique could provide near-real-time estimation of ducting effects.

  17. Inversion for atmosphere duct parameters using real radar sea clutter

    Sheng Zheng; Fang Han-Xian


    This paper addresses the problem of estimating the lower atmospheric refractivity (M profile) under nonstandard propagation conditions frequently encountered in low altitude maritime radar applications.The vertical structure of the refractive environment is modeled using five parameters and the horizontal structure is modeled using five parameters.The refractivity model is implemented with and without a priori constraint on the duct strength as might be derived from soundings or numerical weather-prediction models.An electromagnetic propagation model maps the refractivity structure into a replica field.Replica fields are compared with the observed clutter using a squared-error objective function.A global search for the 10 environmental parameters is performed using genetic algorithms.The inversion algorithm is implemented on the basis of S-band radar sea-clutter data from Wallops Island,Virginia (SPANDAR).Reference data are from range-dependent refractivity profiles obtained with a helicopter. The inversion is assessed (i) by comparing the propagation predicted from the radar-inferred refractivity profiles with that from the helicopter profiles,(ii) by comparing the refractivity parameters from the helicopter soundings with those estimated.This technique could provide near-real-time estimation of ducting effects.

  18. Adaptive clutter rejection for 3D color Doppler imaging: preliminary clinical study.

    Yoo, Yang Mo; Sikdar, Siddhartha; Karadayi, Kerem; Kolokythas, Orpheus; Kim, Yongmin


    In three-dimensional (3D) ultrasound color Doppler imaging (CDI), effective rejection of flash artifacts caused by tissue motion (clutter) is important for improving sensitivity in visualizing blood flow in vessels. Since clutter characteristics can vary significantly during volume acquisition, a clutter rejection technique that can adapt to the underlying clutter conditions is desirable for 3D CDI. We have previously developed an adaptive clutter rejection (ACR) method, in which an optimum filter is dynamically selected from a set of predesigned clutter filters based on the measured clutter characteristics. In this article, we evaluated the ACR method with 3D in vivo data acquired from 37 kidney transplant patients clinically indicated for a duplex ultrasound examination. We compared ACR against a conventional clutter rejection method, down-mixing (DM), using a commonly-used flow signal-to-clutter ratio (SCR) and a new metric called fractional residual clutter area (FRCA). The ACR method was more effective in removing the flash artifacts while providing higher sensitivity in detecting blood flow in the arcuate arteries and veins in the parenchyma of transplanted kidneys. ACR provided 3.4 dB improvement in SCR over the DM method (11.4 +/- 1.6 dB versus 8.0 +/- 2.0 dB, p < 0.001) and had lower average FRCA values compared with the DM method (0.006 +/- 0.003 versus 0.036 +/- 0.022, p < 0.001) for all study subjects. These results indicate that the new ACR method is useful for removing nonstationary tissue motion while improving the image quality for visualizing 3D vascular structure in 3D CDI.

  19. Abdominal epilepsy in chronic recurrent abdominal pain

    V Y Kshirsagar


    Full Text Available Background: Abdominal epilepsy (AE is an uncommon cause for chronic recurrent abdominal pain in children and adults. It is characterized by paroxysmal episode of abdominal pain, diverse abdominal complaints, definite electroencephalogram (EEG abnormalities and favorable response to the introduction of anti-epileptic drugs (AED. We studied 150 children with chronic recurrent abdominal pain and after exclusion of more common etiologies for the presenting complaints; workup proceeded with an EEG. We found 111 (74% children with an abnormal EEG and 39 (26% children with normal EEG. All children were subjected to AED (Oxcarbazepine and 139 (92% children responded to AED out of which 111 (74% children had an abnormal EEG and 27 (18% had a normal EEG. On further follow-up the patients were symptom free, which helped us to confirm the clinical diagnosis. Context: Recurrent chronic abdominal pain is a common problem encountered by pediatricians. Variety of investigations are done to come to a diagnosis but a cause is rarely found. In such children diagnosis of AE should be considered and an EEG will confirm the diagnosis and treated with AED. Aims: To find the incidence of AE in children presenting with chronic recurrent abdominal pain and to correlate EEG findings and their clinical response to empirical AEDs in both cases and control. Settings and Design: Krishna Institute of Medical Sciences University, Karad, Maharashtra, India. Prospective analytical study. Materials and Methods: A total of 150 children with chronic recurrent abdominal pain were studied by investigations to rule out common causes of abdominal pain and an EEG. All children were then started with AED oxycarbamezepine and their response to the treatment was noted. Results: 111 (74% of the total 150 children showed a positive EEG change suggestive of epileptogenic activity and of which 75 (67.56% were females and 36 (32.43% were male, majority of children were in the age of group of 9

  20. Abdominal Decompression in Children

    J. Chiaka Ejike


    Full Text Available Abdominal compartment syndrome (ACS increases the risk for mortality in critically ill children. It occurs in association with a wide variety of medical and surgical diagnoses. Management of ACS involves recognizing the development of intra-abdominal hypertension (IAH by intra-abdominal pressure (IAP monitoring, treating the underlying cause, and preventing progression to ACS by lowering IAP. When ACS is already present, supporting dysfunctional organs and decreasing IAP to prevent new organ involvement become an additional focus of therapy. Medical management strategies to achieve these goals should be employed but when medical management fails, timely abdominal decompression is essential to reduce the risk of mortality. A literature review was performed to understand the role and outcomes of abdominal decompression among children with ACS. Abdominal decompression appears to have a positive effect on patient survival. However, prospective randomized studies are needed to fully understand the indications and impact of these therapies on survival in children.

  1. Abdominal Compartment Syndrome

    Ovchinnikov V.А.; Sokolov V.А.


    We considered one of the most complicated problems of surgery and intensive care — abdominal compartment syndrome. It is a severe, and in some cases lethal complication developing in major injuries and pathology of abdominal cavity and retroperitoneal space, as well as in extra-abdominal pathology. In addition, compartment syndrome can be the complication of a number of surgical procedures accompanied primarily by laparotomy wound closure with tissue tension. We demonstrated the classificatio...

  2. Abdominal Compartment Syndrome

    Pınar Zeyneloğlu


    Full Text Available Intraabdominal hypertension and Abdominal compartment syndrome are causes of morbidity and mortality in critical care patients. Timely diagnosis and treatment may improve organ functions. Intra-abdominal pressure monitoring is vital during evaluation of the patients and in the management algorithms. The incidence, definition and risk factors, clinical presentation, diagnosis and management of intraabdominal hypertension and Abdominal compartment syndrome were reviewed here.

  3. Post trauma abdominal cocoon

    Supreet Kaur


    Full Text Available Abdominal cocoon or sclerosing peritonitis refers to a rare cause of intestinal obstruction due to formation of a membrane encasing the bowel. We report a case of abdominal cocoon post blunt trauma abdomen. The patient presented with a history of subacute intestinal obstruction and a mobile abdomen lump. Abdominal cocoon was diagnosed on computed tomography. He underwent adhesiolysis with excision of membrane.

  4. Bayesian Contrast Measures and Clutter Distribution Determinants of Human Target Detection.

    Novak, Ana; Armstrong, Nicholas; Caelli, Terry; Blair, Iain


    Human target detection is known to be dependent on a number of components: one, basic electro-optics including image contrast, the target size, pixel resolution, and contrast sensitivity; two, target shape, image type and features, types of clutter; and three, context and task requirements. Here, we consider a Bayesian approach to investigating how these components contribute to target detection. To this end, we develop and compare three different formulations for contrast: mean contrast, perceptual contrast, and a Bayesian-based histogram contrast statistic. Results on past detection data show how the latter contrast measure correlates well with human performance factoring out all other dimensions. As for clutter, our findings show that with large targets, there are effectively no clutter effects. Furthermore, clutter does not have a major effect on detection when it is not contiguous with the target even when it is smaller. However, except for large targets, when the target is contiguous with the clutter, detection clearly decreases as a function of the similarity of target and clutter features-creating type of "clutter camouflage". This Bayesian formulation uses priors based on the contrast histogram statistics derived from all the images, the image context, and implies that human observers have adapted their criteria to fit with the image set, context, and task.

  5. Ground-Vegetation Clutter Affects Phyllostomid Bat Assemblage Structure in Lowland Amazonian Forest.

    Marciente, Rodrigo; Bobrowiec, Paulo Estefano D; Magnusson, William E


    Vegetation clutter is a limiting factor for bats that forage near ground level, and may determine the distribution of species and guilds. However, many studies that evaluated the effects of vegetation clutter on bats have used qualitative descriptions rather than direct measurements of vegetation density. Moreover, few studies have evaluated the effect of vegetation clutter on a regional scale. Here, we evaluate the influence of the physical obstruction of vegetation on phyllostomid-bat assemblages along a 520 km transect in continuous Amazonian forest. We sampled bats using mist nets in eight localities during 80 nights (3840 net-hours) and estimated the ground-vegetation density with digital photographs. The total number of species, number of animalivorous species, total number of frugivorous species, number of understory frugivorous species, and abundance of canopy frugivorous bats were negatively associated with vegetation clutter. The bat assemblages showed a nested structure in relation to degree of clutter, with animalivorous and understory frugivorous bats distributed throughout the vegetation-clutter gradient, while canopy frugivores were restricted to sites with more open vegetation. The species distribution along the gradient of vegetation clutter was not closely associated with wing morphology, but aspect ratio and wing load differed between frugivores and animalivores. Vegetation structure plays an important role in structuring assemblages of the bats at the regional scale by increasing beta diversity between sites. Differences in foraging strategy and diet of the guilds seem to have contributed more to the spatial distribution of bats than the wing characteristics of the species alone.

  6. Weak Target Detection within the Nonhomogeneous Ionospheric Clutter Background of HFSWR Based on STAP

    Xin Zhang


    Full Text Available High Frequency Surface Wave Radar (HFSWR can perform the functions of ocean environment monitoring, target detection, and target tracking over the horizon. However, its system's performance is always limited by the severe ionospheric clutter environment, especially by the nonhomogeneous component. The nonhomogeneous ionospheric clutter generally can cover a few Doppler shift units and a few angle units. Consequently, weak targets masked by the nonhomogeneous ionospheric clutter are difficult to be detected. In this paper, a novel algorithm based on angle-Doppler joint eigenvector which considers the angle-Doppler map of radar echoes is adopted to analyze the characteristics of the nonhomogeneous ionospheric clutter. Given the measured data set, we first investigate the correlation between the signal of interest (SOI and the nonhomogeneous ionospheric clutter and then the correlation between the nonhomogeneous ionospheric clutters in different two ranges. Finally, a new strategy of training data selection is proposed to improve the joint domain localised (JDL algorithm. Simulation results show that the improved-JDL algorithm is effective and the performance of weak target detection within nonhomogeneous ionospheric clutter is improved.

  7. Ground clutter cancellation in incoherent radars: solutions for EISCAT Svalbard radar

    T. Turunen

    Full Text Available Incoherent scatter radars measure ionosphere parameters using modified Thomson scatter from free electrons in the target (see e.g. Hagfors, 1997. The integrated cross section of the ionospheric scatterers is extremely small and the measurements can easily be disturbed by signals returned by unwanted targets. Ground clutter signals, entering via the antenna side lobes, can render measurements at the nearest target ranges totally impossible. The EISCAT Svalbard Radar (ESR, which started measurements in 1996, suffers from severe ground clutter and the ionosphere cannot be measured in any simple manner at ranges less than about 120–150 km, depending on the modulation employed. If the target and clutter signals have different, and clearly identifiable, properties then, in principle, there are always ways to eliminate the clutter. In incoherent scatter measurements, differences in the coherence times of the wanted and unwanted signals can be used for clutter cancellation. The clutter cancellation must be applied to all modulations, usually alternating codes in modern experiments, used for shorter ranges. Excellent results have been obtained at the ESR using a simple pulse-to-pulse clutter subtraction method, but there are also other possibilities.

    Key words: Radio science (ionospheric physics; signal processing; instruments and techniques

  8. Ground clutter cancellation in incoherent radars: solutions for EISCAT Svalbard radar

    Turunen, T.; Markkanen, J.; van Eyken, A. P.


    Incoherent scatter radars measure ionosphere parameters using modified Thomson scatter from free electrons in the target (see e.g. Hagfors, 1997). The integrated cross section of the ionospheric scatterers is extremely small and the measurements can easily be disturbed by signals returned by unwanted targets. Ground clutter signals, entering via the antenna side lobes, can render measurements at the nearest target ranges totally impossible. The EISCAT Svalbard Radar (ESR), which started measurements in 1996, suffers from severe ground clutter and the ionosphere cannot be measured in any simple manner at ranges less than about 120-150 km, depending on the modulation employed. If the target and clutter signals have different, and clearly identifiable, properties then, in principle, there are always ways to eliminate the clutter. In incoherent scatter measurements, differences in the coherence times of the wanted and unwanted signals can be used for clutter cancellation. The clutter cancellation must be applied to all modulations, usually alternating codes in modern experiments, used for shorter ranges. Excellent results have been obtained at the ESR using a simple pulse-to-pulse clutter subtraction method, but there are also other possibilities.

  9. Study of clutter origin in in-vivo epi-optoacoustic imaging of human forearms

    Preisser, Stefan; Held, Gerrit; Akarçay, Hidayet G.; Jaeger, Michael; Frenz, Martin


    Epi-optoacoustic (OA) imaging offers flexible clinical diagnostics of the human body when the irradiation optic is attached to or directly integrated into the acoustic probe. Epi-OA images, however, encounter clutter that deteriorates contrast and significantly limits imaging depth. This study elaborates clutter origin in clinical epi-optoacoustic imaging using a linear array probe for scanning the human forearm. We demonstrate that the clutter strength strongly varies with the imaging location but stays stable over time, indicating that clutter is caused by anatomical structures. OA transients which are generated by strong optical absorbers located at the irradiation spot were identified to be the main source of clutter. These transients obscure deep in-plane OA signals when detected by the transducer either directly or after being acoustically scattered in the imaging plane. In addition, OA transients generated in the skin below the probe result in acoustic reverberations, which cause problems in image interpretation and limit imaging depth. Understanding clutter origin allows a better interpretation of clinical OA imaging, helps to design clutter compensation techniques and raises the prospect of contrast optimization via the design of the irradiation geometry.

  10. Modern Approaches to the Computation of the Probability of Target Detection in Cluttered Environments

    Meitzler, Thomas J.

    The field of computer vision interacts with fields such as psychology, vision research, machine vision, psychophysics, mathematics, physics, and computer science. The focus of this thesis is new algorithms and methods for the computation of the probability of detection (Pd) of a target in a cluttered scene. The scene can be either a natural visual scene such as one sees with the naked eye (visual), or, a scene displayed on a monitor with the help of infrared sensors. The relative clutter and the temperature difference between the target and background (DeltaT) are defined and then used to calculate a relative signal -to-clutter ratio (SCR) from which the Pd is calculated for a target in a cluttered scene. It is shown how this definition can include many previous definitions of clutter and (DeltaT). Next, fuzzy and neural -fuzzy techniques are used to calculate the Pd and it is shown how these methods can give results that have a good correlation with experiment. The experimental design for actually measuring the Pd of a target by observers is described. Finally, wavelets are applied to the calculation of clutter and it is shown how this new definition of clutter based on wavelets can be used to compute the Pd of a target.

  11. Recurrent Abdominal Pain

    Banez, Gerard A.; Gallagher, Heather M.


    The purpose of this article is to provide an empirically informed but clinically oriented overview of behavioral treatment of recurrent abdominal pain. The epidemiology and scope of recurrent abdominal pain are presented. Referral process and procedures are discussed, and standardized approaches to assessment are summarized. Treatment protocols…

  12. [Abdominal pregnancy, institutional experience].

    Bonfante Ramírez, E; Bolaños Ancona, R; Simón Pereyra, L; Juárez García, L; García-Benitez, C Q


    Abdominal pregnancy is a rare entity, which has been classified as primary or secondary by Studiford criteria. A retrospective study, between January 1989 and December 1994, realized at Instituto Nacional de Perinatología, found 35,080 pregnancies, from which 149 happened to be ectopic, and 6 of them were abdominal. All patients belonged to a low income society class, age between 24 and 35 years, and average of gestations in 2.6. Gestational age varied from 15 weeks to 32.2 weeks having only one delivery at term with satisfactory postnatal evolution. One patient had a recurrent abdominal pregnancy, with genital Tb as a conditional factor. Time of hospitalization varied from 4 to 5 days, and no further patient complications were reported. Fetal loss was estimated in 83.4%. Abdominal pregnancy is often the sequence of a tubarian ectopic pregnancy an when present, it has a very high maternal mortality reported in world literature, not found in this study. The stated frequency of abdominal pregnancy is from 1 of each 3372, up to 1 in every 10,200 deliveries, reporting in the study 1 abdominal pregnancy in 5846 deliveries. The study had two characteristic entities one, the recurrence and two, the delivery at term of one newborn. Abdominal pregnancy accounts for 4% of all ectopic pregnancies. Clinical findings in abdominal pregnancies are pain, transvaginal bleeding and amenorrea, being the cardinal signs of ectopic pregnancy.

  13. Gastrointestinal causes of abdominal pain.

    Marsicano, Elizabeth; Vuong, Giao Michael; Prather, Charlene M


    Gastrointestinal causes of abdominal pain are numerous. These causes are reviewed in brief here, divided into 2 categories: acute abdominal pain and chronic abdominal pain. They are further subcategorized by location of pain as it pertains to the abdomen.

  14. Functional Abdominal Pain in Children

    ... functional abdominal pain. Functional abdominal pain can be intermittent (recurrent abdominal pain or RAP) or continuous. Although ... tests are needed or whether a trial of diet changes, stress management or medication may be started. ...

  15. Clutter attenuation using the Doppler effect in standoff electromagnetic quantum sensing

    Lanzagorta, Marco; Jitrik, Oliverio; Uhlmann, Jeffrey; Venegas, Salvador


    In the context of traditional radar systems, the Doppler effect is crucial to detect and track moving targets in the presence of clutter. In the quantum radar context, however, most theoretical performance analyses to date have assumed static targets. In this paper we consider the Doppler effect at the single photon level. In particular, we describe how the Doppler effect produced by clutter and moving targets modifies the quantum distinguishability and the quantum radar error detection probability equations. Furthermore, we show that Doppler-based delayline cancelers can reduce the effects of clutter in the context of quantum radar, but only in the low-brightness regime. Thus, quantum radar may prove to be an important technology if the electronic battlefield requires stealthy tracking and detection of moving targets in the presence of clutter.

  16. Intermittent Clutter Removal Approac for wind Profiler Data Based on Fractional Fourier Transform

    YUAN Lei; AN Jian-ping; BU Xiang-yuan


    Through the analysis of the target characteristics and according to the intermittent clutter bursting and short duration characteristics, a new method for the clutter recognition based on the fractional Fourier transform (FRFT) is proposed. This method is predicated on the fact that the FRFT perfectly localizes a chirp signal as an impulse when the angle parameter of the transform matches the chirp rate of the chirp signal. The method involves detecting the presence of the intermittent clutter and correctly estimating its orientation in the time-frequency plane, removing the intermittent clutter in the fractional domain, and completing wind estimation by the power spectrum. By testing the artificial WPR-like signal and data measured from the field, we verify that the FRFT-based method is very effective.

  17. Pulmonary complications of upper abdominal surgery.

    Deodhar S


    Full Text Available Pulmonary complications encountered in 67 patients undergoing upper abdominal surgery in our unit in one year period are analysed. Pulmonary function tests and their post-operative reduction, as also the risk factors are discussed. Pathophysiology responsible for pulmonary complications is outlined.

  18. [Inflammatory abdominal aortic aneurysm].

    Ziaja, K; Sedlak, L; Urbanek, T; Kostyra, J; Ludyga, T


    The reported incidence of inflammatory abdominal aortic aneurysm (IAAA) is from 2% to 14% of patients with abdominal aortic aneurysm and the etiology of this disease is still discussed--according to the literature several pathogenic theories have been proposed. From 1992 to 1997 32 patients with IAAA were operated on. The patients were mostly symptomatic--abdominal pain was present in 68.75% cases, back pain in 31.25%, fever in 12.5% and weight loss in 6.25% of the operated patients. In all the patients ultrasound examination was performed, in 4 patients CT and in 3 cases urography. All the patients were operated on and characteristic signs of inflammatory abdominal aortic aneurysm like: thickened aortic wall, perianeurysmal infiltration or retroperitoneal fibrosis with involvement of retroperitoneal structures were found. In all cases surgery was performed using transperitoneal approach; in three cases intraoperatively contiguous abdominal organs were injured, which was connected with their involvement into periaortic inflammation. In 4 cases clamping of the aorta was done at the level of the diaphragmatic hiatus. 3 patients (9.37%) died (one patient with ruptured abdominal aortic aneurysm). Authors present diagnostic procedures and the differences in the surgical tactic, emphasizing the necessity of the surgical therapy in patients with inflammatory abdominal aortic aneurysm.

  19. Analysis and Modeling of Multistatic Clutter and Reverberation and Support for the FORA


    ABSTRACT Same as Report ( SAR ) 18. NUMBER OF PAGES 8 19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS...effort, the PI completed work to statistically characterize the bistatic bottom clutter and shipwreck echoes seen in the Clutter07 data sets using...Reverberation Modeling Workshop proceedings, Apr. 2007. [14] Dale D. Ellis, John R. Preston, Paul C. Hines, and Victor W. Young, Bistatic signal excess

  20. Advanced methods and means to improve atmospheric lidar stability against sky background clutter

    Agishev, Ravil R.


    An impact of intensive background clutter on lidar photodetectors leads to changes of their sensitivity and can even overload them. As a result, information on atmospheric optical parameters is distorted and sometimes can be completely lost. Since a problem of lidar system structure and parameters adaptation to background radiation remains actual one, some advanced methods and means to improve atmospheric lidar stability against sky background clutter are discussed.

  1. Abdominal wall endometriosis.

    Upadhyaya, P; Karak, A K; Sinha, A K; Kumar, B; Karki, S; Agarwal, C S


    Endometriosis of abdominal wall scar following operation on uterus and tubes is extremely rare. The late onset of symptoms after surgery is the usual cause of misdiagnosis. Scar endometriosis is a rare disease which is difficult to diagnose and should always be considered as a differential diagnosis of painful abdominal masses in women. The diagnosis is made only after excision and histopathology of the lesion. Preoperative differentials include hernia, lipoma, suture granuloma or abscess. Hence an awareness of the entity avoids delay in diagnosis, helps clinicians to a more tailored treatment and also avoids unnecessary referrals. We report a case of abdominal endometriosis. The definitive diagnosis of which was established by histopathological studies.

  2. Congenital Abdominal Wall Defects

    Risby, Kirsten; Jakobsen, Marianne Skytte; Qvist, Niels


    complications were seen in five (15%) children: four had detachment of the mesh and one patient developed abdominal compartment syndrome. Mesh related clinical infection was observed in five children. In hospital mortality occurred in four cases (2 gastroschisis and 2 omphalocele) and was not procedure......OBJECTIVE: To evaluate the clinical utility of GORE® DUALMESH (GDM) in the staged closure of large congenital abdominal wall defects. MATERIALS AND METHODS: Data of patients with congenital abdominal wall defects managed with GDM was analyzed for outcome regarding complete fascial closure; mesh...

  3. Language planning disturbances in children who clutter or have learning disabilities.

    van Zaalen-Op't Hof, Yvonne; Wijnen, Frank; Dejonckere, Philip


    The primary objective of this paper is to determine to what extent disturbances in the fluency of language production of children who clutter might be related to, or differ from difficulties in the same underlying processes of language formulation seen in children with learning disabilities. It is hypothesized that an increase in normal dysfluencies and sentence revisions in children who clutter reflect different neurolinguistic process to those of children with learning disabilities. To test this idea, 150 Dutch speaking children, aged 10;6 to 12;11 years, were divided in three groups (cluttering, learning difficulties and controls), and a range of speech and language variables were analysed. Results indicate differences in the underlying processes of language disturbances between children with cluttered speech and those with learning disabilities. Specifically, language production of children with learning disabilities was disturbed by problems at the conceptualizator and formulator stages of Levelt's language processing model, whilst language planning disturbances in children who clutter were considered to arise due to insufficient time to complete the editing phase of sentence structuring. These findings indicate that children who clutter can be differentiated from children with learning disabilities by both the number of main and secondary story plot elements and by the percentage of correct sentence structures.

  4. Abdominal tuberculosis: Imaging features

    Pereira, Jose M. [Department of Radiology, Hospital de S. Joao, Porto (Portugal)]. E-mail:; Madureira, Antonio J. [Department of Radiology, Hospital de S. Joao, Porto (Portugal); Vieira, Alberto [Department of Radiology, Hospital de S. Joao, Porto (Portugal); Ramos, Isabel [Department of Radiology, Hospital de S. Joao, Porto (Portugal)


    Radiological findings of abdominal tuberculosis can mimic those of many different diseases. A high level of suspicion is required, especially in high-risk population. In this article, we will describe barium studies, ultrasound (US) and computed tomography (CT) findings of abdominal tuberculosis (TB), with emphasis in the latest. We will illustrate CT findings that can help in the diagnosis of abdominal tuberculosis and describe imaging features that differentiate it from other inflammatory and neoplastic diseases, particularly lymphoma and Crohn's disease. As tuberculosis can affect any organ in the abdomen, emphasis is placed to ileocecal involvement, lymphadenopathy, peritonitis and solid organ disease (liver, spleen and pancreas). A positive culture or hystologic analysis of biopsy is still required in many patients for definitive diagnosis. Learning objectives:1.To review the relevant pathophysiology of abdominal tuberculosis. 2.Illustrate CT findings that can help in the diagnosis.

  5. Abdominal and Pelvic CT

    Full Text Available ... is done because a potential abnormality needs further evaluation with additional views or a special imaging technique. ... GI) contrast exams and ultrasound are preferred for evaluation of acute abdominal conditions in babies, such as ...

  6. [The abdominal catastrophe].

    Seiler, Christian A


    Patients with an abdominal catastrophe are in urgent need of early, interdisciplinary medical help. The treatment plan should be based on medical priorities and clear leadership. First priority should be given to achieve optimal oxygenation of blood and stabilization of circulation during all treatment-phases. The sicker the patient, the less invasive the (surgical) treatment should to be, which means "damage control only". This short article describes 7 important, pragmatic rules that will help to increase the survival of a patient with an abdominal catastrophe. Preexisting morbidity and risk factors must be included in the overall risk-evaluation for every therapeutic intervention. The challenge in patients with an abdominal catastrophe is to carefully balance the therapeutic stress and the existing resistance of the individual patient. The best way to avoid abdominal disaster, however, is its prevention.

  7. Abdominal ultrasound (image)

    Abdominal ultrasound is a scanning technique used to image the interior of the abdomen. Like the X-ray, MRI, ... it has its place as a diagnostic tool. Ultrasound scans use high frequency sound waves to produce ...

  8. Abdominal x-ray

    ... are, or may be, pregnant. Alternative Names Abdominal film; X-ray - abdomen; Flat plate; KUB x-ray ... Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also ...

  9. Linear abdominal trauma.

    Danto, L A; Wolfman, E F


    Three cases of blunt abdominal trauma are presented to exemplify the mechanism of trauma and the problems of diagnosis associated with any linear blow to the abdomen. The mechanisms of visceral injury are reviewed, and special attention is directed to the abdominal wall injury that can be present in these patients. This injury has special implications in directing the operative approach and repair. An unusual aortic occlusion is described which is peculiar to this type of injury.

  10. Ground-Vegetation Clutter Affects Phyllostomid Bat Assemblage Structure in Lowland Amazonian Forest.

    Rodrigo Marciente

    Full Text Available Vegetation clutter is a limiting factor for bats that forage near ground level, and may determine the distribution of species and guilds. However, many studies that evaluated the effects of vegetation clutter on bats have used qualitative descriptions rather than direct measurements of vegetation density. Moreover, few studies have evaluated the effect of vegetation clutter on a regional scale. Here, we evaluate the influence of the physical obstruction of vegetation on phyllostomid-bat assemblages along a 520 km transect in continuous Amazonian forest. We sampled bats using mist nets in eight localities during 80 nights (3840 net-hours and estimated the ground-vegetation density with digital photographs. The total number of species, number of animalivorous species, total number of frugivorous species, number of understory frugivorous species, and abundance of canopy frugivorous bats were negatively associated with vegetation clutter. The bat assemblages showed a nested structure in relation to degree of clutter, with animalivorous and understory frugivorous bats distributed throughout the vegetation-clutter gradient, while canopy frugivores were restricted to sites with more open vegetation. The species distribution along the gradient of vegetation clutter was not closely associated with wing morphology, but aspect ratio and wing load differed between frugivores and animalivores. Vegetation structure plays an important role in structuring assemblages of the bats at the regional scale by increasing beta diversity between sites. Differences in foraging strategy and diet of the guilds seem to have contributed more to the spatial distribution of bats than the wing characteristics of the species alone.

  11. Abdominal emergencies in pediatrics.

    Coca Robinot, D; Liébana de Rojas, C; Aguirre Pascual, E


    Abdominal symptoms are among the most common reasons for pediatric emergency department visits, and abdominal pain is the most frequently reported symptom. Thorough history taking and physical examination can often reach the correct diagnosis. Knowing the abdominal conditions that are most common in each age group can help radiologists narrow the differential diagnosis. When imaging tests are indicated, ultrasonography is usually the first-line technique, enabling the diagnosis or adding relevant information with the well-known advantages of this technique. Nowadays, plain-film X-ray studies are reserved for cases in which perforation, bowel obstruction, or foreign body ingestion is suspected. It is also important to remember that abdominal pain can also occur secondary to basal pneumonia. CT is reserved for specific indications and in individual cases, for example, in patients with high clinical suspicion of abdominal disease and inconclusive findings at ultrasonography. We review some of the most common conditions in pediatric emergencies, the different imaging tests indicated in each case, and the imaging signs in each condition.

  12. Non-local and nonlinear background suppression method controlled by multi-scale clutter metric

    Gong, Jinnan; Hou, Qingyu; Zhang, Wei; Zhi, Xiyang


    To improve the detection performance for non-morphological multi-scale target in IR image containing complex cloud clutter, on basis of cloud scenario self-similarity feature, a non-local and nonlinear background suppression algorithm controlled by multi-scale clutter metric is presented. According to the classical achievements on cloud structure, self-similarity and relativity of cloud clutter on image for target detection is deeply analyzed by classical indicators firstly. Then we establish multi-scale clutter metric method based on LoG operator to describe scenes feature for controlled suppression method. After that, non-local means based on optimal strength similarity metric as non-local processing, and multi-scale median filter and on minimum gradient direction as local processing are set up. Finally linear fusing principle adopting clutter metric for local and non-local processing is put forward. Experimental results by two kinds of infrared imageries show that compared with classical and similar methods, the proposed method solves the existing problems of targets energy attenuation and suppression degradation in strongly evolving regions in previous methods. By evaluating indicators, the proposed method has a superior background suppression performance by increasing the BSF and ISCR 2 times at least.

  13. Parametric Coding of the Size and Clutter of Natural Scenes in the Human Brain.

    Park, Soojin; Konkle, Talia; Oliva, Aude


    Estimating the size of a space and its degree of clutter are effortless and ubiquitous tasks of moving agents in a natural environment. Here, we examine how regions along the occipital-temporal lobe respond to pictures of indoor real-world scenes that parametrically vary in their physical "size" (the spatial extent of a space bounded by walls) and functional "clutter" (the organization and quantity of objects that fill up the space). Using a linear regression model on multivoxel pattern activity across regions of interest, we find evidence that both properties of size and clutter are represented in the patterns of parahippocampal cortex, while the retrosplenial cortex activity patterns are predominantly sensitive to the size of a space, rather than the degree of clutter. Parametric whole-brain analyses confirmed these results. Importantly, this size and clutter information was represented in a way that generalized across different semantic categories. These data provide support for a property-based representation of spaces, distributed across multiple scene-selective regions of the cerebral cortex.

  14. Main sea clutter characteristics impacting small slow moving targets detection by marine radars

    O. D. Mrachkovskiy


    Full Text Available Searching of the sea clutter mathematical model is carried out in this paper. It is suitable to create based on it algorithm for small slow moving targets detection by marine radars. The compound Gaussian model for modeling sea clutter amplitude stochastic distribution is selected as a result of the sources analysis, because it was confirmed by most of researches. The discussed in the literature model based on chaos theory is choosen as perspective alternative for stochastic model; its advantage of using it for such problems solution must be definitively proved or denied. It was proposed many different distributions for high resolution sea clutter amplitude data modeling. The most frequently reported in the literature are K, Log-Normal and Weibull distributions. K distribution belonging to a compound-Gaussian model has the most significant theoretical and experimental background. This distribution choice is physically explained basing on the processes taking place when electromagnetic waves scattered from capillarity and gravity sea waves create a composed echo. Signal representing this echo is the product of two random components, called texture and speckle. Texture is the result of scattering from gravity waves, has a Gamma pdf (in case of K distribution and corresponds to slow-varying large-scale structure. Speckle is the result of scattering from isolated scatterers (capillarity waves, has a Rayleigh pdf and corresponds to rapid varying small-scale structure. So, K distribution envelope is a compound distribution consisting of a locally Rayleigh distribution speckle whose mean is modulated by a gamma distribution texture. All researches consider Rayleigh pdf for speckle. The lognormal, generalized Gaussian, inverse gamma and some other distributions were proposed for the texture. Due to literature analyses it is seen that texture distribution depends on radar range resolution, but strong dependence is not proved. Some scientists modified K

  15. Radar cross sections of ground clutter at 95 GHz for summer and fall conditions

    Wellman, R. J.; Hutchins, D. R.; Silvious, J. L.; Dropkin, H.; Goldman, G.; Nemarich, J.; Wikner, D. A.; Dahlstrom, R. K.


    Radar cross section (RCS) measurements were made on an extensively instrumented ground-clutter patch over a period of one month from late summer to early fall. The instrumentation allowed collection of a full set of data on meteorological conditions, solar flux, and soil moisture content. The RCS measurements were made using a 95-GHz, polarimetric, monopulse instrumentation radar. The radar is all solid-state, coherent, frequency steppable over a 640-MHz bandwidth, and completely polarimetric for linearly or circularly polarized radiation. The clutter area measured was located in Grayling, Michigan, and consisted of a rectangular patch of ground, 50 by 100 m in area, at a range of about 100 to 250 m from the radar. The clutter patch included areas of bare sandy ground, short grass, low shrubs, evergreen trees, and deciduous trees and was similar to a NATO European environment. A wide range of atmospheric conditions were observed over the measurement period, including a few days of measurable snowfall. The paper describes analysis of the effects of different clutter types and different atmospheric conditions on the measured RCS of the clutter patch.

  16. Childhood abdominal cystic lymphangioma

    Konen, Osnat; Rathaus, Valeria; Shapiro, Myra [Department of Diagnostic Imaging, Meir General Hospital, Sapir Medical Centre, Kfar Saba (Israel); Dlugy, Elena [Department of Paediatric Surgery, Schneider Medical Centre, Sackler School of Medicine, Tel-Aviv University (Israel); Freud, Enrique [Department of Paediatric Surgery, Sapir Medical Centre, Sackler School of Medicine, Tel-Aviv University (Israel); Kessler, Ada [Department of Diagnostic Imaging, Sourasky Medical Centre, Tel-Aviv (Israel); Horev, Gadi [Department of Diagnostic Imaging, Schneider Medical Centre, Tel-Aviv (Israel)


    Background: Abdominal lymphangioma is a rare benign congenital malformation of the mesenteric and/or retroperitoneal lymphatics. Clinical presentation is variable and may be misleading; therefore, complex imaging studies are necessary in the evaluation of this condition. US and CT have a major role in the correct preoperative diagnosis and provide important information regarding location, size, adjacent organ involvement, and expected complications. Objective: To evaluate the clinical and imaging findings of seven children with proven abdominal cystic lymphangioma. Materials and methods: Clinical and imaging files of seven children with pathologically proven abdominal lymphangioma, from three university hospitals, were retrospectively evaluated. Patient's ages ranged from 1 day to 6 years (mean, 2.2 years). Symptoms and signs included evidence of inflammation, abnormal prenatal US findings, chronic abdominal pain, haemorrhage following trauma, clinical signs of intestinal obstruction, and abdominal distension with lower extremities lymphoedema. Plain films of five patients, US of six patients and CT of five patients were reviewed. Sequential imaging examinations were available in two cases. Results: Abdominal plain films showed displacement of bowel loops by a soft tissue mass in five of six patients, two of them with dilatation of small bowel loops. US revealed an abdominal multiloculated septated cystic mass in five of six cases and a single pelvic cyst in one which changed in appearance over 2 months. Ascites was present in three cases. CT demonstrated a septated cystic mass of variable sizes in all available five cases. Sequential US and CT examinations in two patients showed progressive enlargement of the masses, increase of fluid echogenicity, and thickening of walls or septa in both cases, with multiplication of septa in one case. At surgery, mesenteric lymphangioma was found in five patients and retroperitoneal lymphangioma in the other two

  17. Abdominal paracentesis and thoracocentesis.

    Lee, Ser Yee; Pormento, James G; Koong, Heng Nung


    Abdominal paracentesis and thoracocentesis are common bedside procedures with diagnostic, therapeutic and palliative roles. We describe a useful and familiar a useful and familiar technique with the use of a multiple lumen catheter commonly used for central venous line insertion for drainage of ascites or moderate to large pleural effusions. The use of a multiple lumen catheter allows easier and more rapid aspiration of fluid with a smaller probability of the side holes being blocked as compared to the standard needle or single catheter methods. This is particularly useful in situations where the dedicated commercial kits for thoracocentesis and abdominal paracentesis are not readily available.

  18. [Abdominal actinomycosis with IUD].

    Kamprath, S; Merker, A; Kühne-Heid, R; Schneider, A


    We report a case of abdominal actinomycosis in a 54 year old woman using an intrauterine device for a period of 8 years. The most important finding was a tuboovarialabscess at the left pelvic side with involvement of the serosa of the jejunum, ileum, sigma, and omentum majus. Intraoperative exploration showed a solid retroperitoneal infiltration between the pelvic side wall and sigma. Another infiltration was found on the left side of the abdominal wall. The diagnosis was confirmed by histopathological examination and the patient was treated by a combination of Aminopenicillin and Metronidazol. After a period of three months we observed a complete regression of the clinical and the MRI findings.

  19. Statistical-physical model for foliage clutter in ultra-wideband synthetic aperture radar images.

    Banerjee, Amit; Chellappa, Rama


    Analyzing foliage-penetrating (FOPEN) ultra-wideband synthetic aperture radar (SAR) images is a challenging problem owing to the noisy and impulsive nature of foliage clutter. Indeed, many target-detection algorithms for FOPEN SAR data are characterized by high false-alarm rates. In this work, a statistical-physical model for foliage clutter is proposed that explains the presence of outliers in the data and suggests the use of symmetric alpha-stable (SalphaS) distributions for accurate clutter modeling. Furthermore, with the use of general assumptions of the noise sources and propagation conditions, the proposed model relates the parameters of the SalphaS model to physical parameters such as the attenuation coefficient and foliage density.

  20. Impact of atmospheric clutter on Doppler-limited gas sensors in the submillimeter/terahertz.

    Medvedev, Ivan R; Neese, Christopher F; Plummer, Grant M; De Lucia, Frank C


    It is well known that clutter (spectral interference) from atmospheric constituents can be a severe limit for spectroscopic point sensors, especially where high sensitivity and specificity are required. In this paper, we will show for submillimeter/terahertz (SMM/THz) sensors that use cw electronic techniques the clutter limit for the detection of common target gases with absolute specificity (probability of false alarm ≪ 10⁻¹⁰) is in the ppt (1 part in 10¹²) range or lower. This is because the most abundant atmospheric gases are either transparent to SMM/THz radiation (e.g., CO₂) or have spectra that are very sparse relative to the 10⁵ Doppler-limited resolution elements available (e.g., H₂O). Moreover, the low clutter limit demonstrated for cw electronic systems in the SMM/THz is independent of system size and complexity.

  1. Comparative analysis of clutter suppression techniques for landmine detection using ground-penetrating radar

    Yoldemir, Ahmet Burak; Gürcan, Rıdvan; Kaplan, Gülay Büyükaksoy; Sezgin, Mehmet


    In this study, we provide an extensive comparison of different clutter suppression techniques that are proposed to enhance ground penetrating radar (GPR) data. Unlike previous studies, we directly measure and present the effect of these preprocessing algorithms on the detection performance. Basic linear prediction algorithm is selected as the detection scheme and it is applied to real GPR data after applying each of the available clutter suppression techniques. All methods are tested on an extensive data set of different surrogate mines and other objects that are commonly encountered under the ground. Among several algorithms, singular value decomposition based clutter suppression stands out with its superior performance and low computational cost, which makes it practical to use in real-time applications.

  2. Using particle filter to track horizontal variations of atmospheric duct structure from radar sea clutter

    X. F. Zhao


    Full Text Available This paper addresses the problem of estimating range-varying parameters of the height-dependent refractivity over the sea surface from radar sea clutter. In the forward simulation, the split-step Fourier parabolic equation (PE is used to compute the radar clutter power in the complex refractive environments. Making use of the inherent Markovian structure of the split-step Fourier PE solution, the refractivity from clutter (RFC problem is formulated within a nonlinear recursive Bayesian state estimation framework. Particle filter (PF that is a technique for implementing a recursive Bayesian filter by Monte Carlo simulations is used to track range-varying characteristics of the refractivity profiles. Basic ideas of employing PF to solve RFC problem are introduced. Both simulation and real data results are presented to check up the feasibility of PF-RFC performances.

  3. Adult abdominal hernias.

    Murphy, Kevin P


    Educational Objectives and Key Points. 1. Given that abdominal hernias are a frequent imaging finding, radiologists not only are required to interpret the appearances of abdominal hernias but also should be comfortable with identifying associated complications and postrepair findings. 2. CT is the imaging modality of choice for the assessment of a known adult abdominal hernia in both elective and acute circumstances because of rapid acquisition, capability of multiplanar reconstruction, good spatial resolution, and anatomic depiction with excellent sensitivity for most complications. 3. Ultrasound is useful for adult groin assessment and is the imaging modality of choice for pediatric abdominal wall hernia assessment, whereas MRI is beneficial when there is reasonable concern that a patient\\'s symptoms could be attributable to a hernia or a musculoskeletal source. 4. Fluoroscopic herniography is a sensitive radiologic investigation for patients with groin pain in whom a hernia is suspected but in whom a hernia cannot be identified at physical examination. 5. The diagnosis of an internal hernia not only is a challenging clinical diagnosis but also can be difficult to diagnose with imaging: Closed-loop small-bowel obstruction and abnormally located bowel loops relative to normally located small bowel or colon should prompt assessment for an internal hernia.

  4. Screening for Abdominal Aortic Aneurysm

    Understanding Task Force Recommendations Screening for Abdominal Aortic Aneurysm The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening for Abdominal Aortic Aneurysm. This final ...

  5. Abdominal aortic aneurysm repair - open

    ... this page: // Abdominal aortic aneurysm repair - open To use the sharing features on this page, please enable JavaScript. Open abdominal aortic aneurysm repair is surgery to fix a widened part ...

  6. Visual Multi-Object Tracking in the Presence of Cluttered Scenes

    Xu-Sheng Gan


    Full Text Available The aim of this study was to investigate the visual multi-object tracking in the presence of cluttered scenes. A improved algorithm of fusing multi-source information including location and color evidences were introduced based on Dezert-Smarandache Theory (DSmT and Particle Filters (PF. Results showed that the conflict strategy and DSmT combination model were available and the proposed approach exhibited a significantly better performance for dealing with high conflict between evidences than a conventional PF. The suggested approach can easily be generalized to deal with larger number of visual multi-object and additional cues in the presence of cluttered scenes.

  7. Simulation and Prediction of Weather Radar Clutter Using a Wave Propagator on High Resolution NWP Data

    Benzon, Hans-Henrik; Bovith, Thomas


    Weather radars are essential sensors for observation of precipitation in the troposphere and play a major part in weather forecasting and hydrological modelling. Clutter caused by non-standard wave propagation is a common problem in weather radar applications, and in this paper a method...... a high-resolution Numerical Weather Prediction (NWP) model. The wave propagator is based on the parabolic equation approximation to the electromagnetic wave equation. The parabolic equation is solved using the well-known Fourier split-step method. Finally, the radar clutter prediction technique is used...

  8. Direction-of-Arrival Estimation for Radar Ice Sounding Surface Clutter Suppression

    Nielsen, Ulrik; Dall, Jørgen


    Ice sounding radars are able to measure ice sheets by profiling their glaciological features from the surface to the bedrock. The current airborne and, in particular, future space-based systems are suffering from off-nadir surface clutter, which can mask the depth signal of interest. The most...... estimation for surface clutter signals, which includes a formulation of the mathematical foundation of spatial aliasing. DOA estimation is applied to data acquired with the P-band POLarimetric Airborne Radar Ice Sounder at the Jutulstraumen Glacier, Antarctica. The effects of spatial aliasing related...

  9. Numerical simulation of radar surveillance for the ship target in oceanic clutters


    A fast iterative approach of generalized forward-backward method with the spectrum acceleration algorithm (GFBM/SAA) is developed for solving electromagnetic field integral equation and is applied to numerical simulation of radar surveillance of the ship target in oceanic clutters. Randomly rough surface is realized by the Monte Carlo method using the Pierson-Moskowitz spectrum. Numerical results of bistatic and back-scattering from the ship target and oceanic clutters demonstrate the functional dependencies upon the situation of radar surveillance such as the incidence and observation angles, radar altitude, ship RCS and other oceanic conditions.

  10. Analysis of Geosynchronous Satellite-air Bistatic SAR Clutter Characteristics from the Point of View of Ground Moving Target Indication

    Zhang Dan-dan


    Full Text Available Under the geometry of geosynchronous satellite-air bistatic SAR where the geosynchronous satellite is the transmitter and aerostat is the receiver, in order to suppress clutter and detect slowly moving target using Space Time Adaptive Processing (STAP, it is necessary to analyze the clutter characteristics. From the point of view of ground moving target indication, the theory model of the clutter characteristics under the geometry of geosynchronous satellite-space bistatic SAR is analyzed and established in this paper; especially, the range-dependence characteristics of the angle-Doppler curve of the clutter is analyzed. Finally, the simulation verifies correctness of the analysis. The theory model and the conclusion in this paper indicates the clutter characteristics of the new geosynchronous satellite-air bistatic SAR mode, and provide theory basis for the selection and research of ground moving target indication method under this mode.

  11. Wall Clutter Mitigation in Through-the-Wall Imaging Radar with Sparse Array Antenna Based on Independent Component Analysis

    Zhang Chi


    Full Text Available For Through-the-Wall Imaging Radar (TWIR, wall clutter is critical for detecting target signals behind a wall. For a system with a sparse antenna array, the lack of observation channels makes it more difficult to separate the target signals and wall clutter. On the basis of fluctuation of the range profile in real transmit/receive channels, this paper proposes to use Independent Component Analysis (ICA on multiple down-range observations of each transmit/receive channel to remove the wall clutter. The simulation and experimental results show that the proposed method effectively separate target and clutter components, even though the signal-to-clutter ratio is only -30 dB.

  12. Detection of Aircraft Embedded in Ground Clutter by Means of Non-Doppler X-band Radar

    Hwang, Seongin; Ishii, Seishiro; Sayama, Shuji; Sekine, Matsuo

    It is reported that various radar clutter obey a Weibull distribution under certain conditions. To suppress such Weibull-distributed clutter, a new adaptive method was proposed by the present author. In this method, the parameters of the Weibull distribution and the threshold level for an adaptive Constant False Alarm Rate (CFAR) detector are determined by calculating the variance before it passes through a logarithmic amplifier. To apply this new method to practical problems observed by an X-band radar, a computer simulation are made for a finite number of samples in order to obtain the CFAR maintenance in Weibull radar clutter. Finally an improvement value of target-to-clutter ratio 30.07 dB was obtained for the detection of an aircraft embedded in ground clutter.

  13. Physicians' Abdominal Auscultation

    John, Gade; Peter, Kruse; Andersen, Ole Trier


    Background: Abdominal auscultation has an important position in the physical examination of the abdomen. Little is known about rater agreement. The aim of this study was to describe rater agreement and thus, indirectly, the value of the examination. Methods: In a semi-virtual setup 12 recordings...... of the intestinal sounds from 8 patients with acute abdominal pain and 4 healthy volunteers were presented to 100 physicians. The physicians were asked to characterize the intestinal sounds as normal or pathologic. Fisher's exact test was used for comparison between groups of physicians. Results: Overall, 72......% of the answers with regard to healthy volunteers concluded that the sounds were normal (equalling agreement), whereas 64% of answers with regard to intestinal obstruction concluded that the sounds were pathologic (but agreement was higher due to agreement on wrong diagnosis in one case). Bowel sounds from...

  14. Ruptured abdominal aortic aneurysm.

    Sachs, T; Schermerhorn, M


    Ruptured abdominal aortic aneurysm (AAA) continues to be one of the most lethal vascular pathologies we encounter. Its management demands prompt and efficient evaluation and repair. Open repair has traditionally been the mainstay of treatment. However, the introduction of endovascular techniques has altered the treatment algorithm for ruptured AAA in most major medical centers. We present recent literature and techniques for ruptured AAA and its surgical management.

  15. Abdominal aspergillosis: CT findings

    Yeom, Suk Keu, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Kim, Hye Jin, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Byun, Jae Ho, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Kim, Ah Young, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Lee, Moon-Gyu, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of); Ha, Hyun Kwon, E-mail: [Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap2-dong, Songpa-gu, Seoul, 138-736 (Korea, Republic of)


    Objective: In order to retrospectively evaluate the CT findings of abdominal aspergillosis in immunocompromised patients. Materials and methods: CT scans were reviewed with regard to the sites, number, morphologic appearance, attenuation, and the contrast enhancement patterns of the lesions in six patients (5 women, 1 man; mean age, 43.4 years; range, 23-59 years) with pathologically proved abdominal aspergillosis by two gastrointestinal radiologists in consensus. Medical records were also reviewed to determine each patient's clinical status and outcome. Results: All patients were immunocompromised state: 4 patients received immunosuppressive therapy for solid organ transplantation and 2 patients received chemotherapy for acute myeloid leukemia. Aspergillosis involved blood vessels (n = 3), liver (n = 2), spleen (n = 2), gastrointestinal tract (n = 2), native kidney (n = 1), transplanted kidney (n = 1), peritoneum (n = 1), and retroperitoneum (n = 1). CT demonstrated solid organ or bowel infarction or perforation secondary to vascular thrombosis or pseudoaneurysm, multiple low-attenuating lesions of solid organs presenting as abscesses, concentric bowel wall thickening mimicking typhlitis, or diffuse or nodular infiltration of the peritoneum and retroperitoneum. Conclusion: Familiarity with findings commonly presenting as angioinvasive features or abscesses on CT, may facilitate the diagnosis of rare and fatal abdominal aspergillosis.

  16. Surface return direction-of-arrival analysis for radar ice sounding surface clutter suppression

    Nielsen, Ulrik; Dall, Jørgen


    with coherent signal processing techniques can improve the suppression, in particular if the direction of arrival (DOA) of the clutter signal is estimated accurately. This paper deals with data-driven DOA estimation. By using P-band data from the ice shelf in Antarctica it is demonstrated that a varying...... penetration depth influences the DOA....

  17. Detection of dim point targets in cluttered maritime backgrounds through multisensor image fusion

    Toet, A.


    Multispectral IR imaging techniques are frequently deployed in maritime operations, for instance to detect floating mines or to find small dinghies and swimmers during search and rescue operations. However, maritime backgrounds usually contain a large amount of clutter that severely hampers the dete

  18. Exponential Decay in Windblown Radar Ground Clutter Doppler Spectra: Multifrequency Measurements and Model.


    Reese Straw, William Dustin, Carol Bernhard, Joanne Bradley and Bob Graham-Munn. The manuscript was skillfully prepared by Pat DeCuir and kindly and...spreading of Ot° rees in Doppler, i.e., j^Krees’ Pto^dv = °trees- so Krees’ Ptot^ represents the normalized density of windblown tree clutter power

  19. Moment-Based Physical Models of Broadband Clutter due to Aggregations of Fish


    their false alarm rate and latency. Accordingly, a quantitative assesment has begun of the temporal persistence of the observed fish-clutter echoes...Assessment of the Pacific Sardine Resource in 2012 for U.S. Management in 2013,” Pacific Fishery Management Council November 2012 Briefing Book

  20. Breaking through the Advertising Clutter: A Qualitative Analysis of Broken Stereotypes in Print and Television Advertisements.

    Larson, Charles U.

    As a result of the overwhelming amount of print and electronic advertisements which compete for consumer attention, advertisers must find effective methods to get through the ad clutter and capture their audience's interest. Several tactics can accomplish this strategy, including the tactic of breaking or reversing audience expectations or…

  1. Breaking through the clutter : Benefits of advertisement originality and familiarity for brand attention and memory

    Pieters, R; Warlop, L; Wedel, M


    Rising levels of advertising competition have made it increasingly difficult to attract and hold consumers' attention and to establish strong memory traces for the advertised brand. A common communication strategy to break through this competitive clutter is to increase ad originality However, ad or

  2. EMI obscuration of buried UXO by geophysical magnetic permeability, anthropogenic clutter, and by magnitude disparities

    O'Neill, K.; Shubitidze, F.; Sun, K.; Shamatava, I.; Paulsen, K.


    For UWB (30 Hz - 100 kHz) electromagnetic induction (EMI) sensor discrimination of unexploded ordnance (UXO), we evaluate first the effects of significant magnetic permeability in the surrounding soil. Measured data and theoretical arguments suggest that ground effects can often be accounted for by using a simple halfspace analytical solution. Thus, when target responses are strong enough, free-space target signature shapes can still be used for discrimination if properly compensated. At the same time, even in artificially well-mixed, physically smoothed settings, local variations in soil permeability can be a significant source of signal clutter. Cases with multiple UXO"s beneath dispersed small metallic clutter are also considered as instances in which clutter may dominate. In simulations of two comparably sized UXO"s at comparable depths with a signal to clutter ratio (SCR) of ~ 20, UWB data distinguishes the two objects reliably over a ground surface measurement grid. For similar cases but with the objects at significantly different depths relative to one another, one cannot distinguish the deeper target, even with the same noise level and with UWB data. Measurements illustrate the level of EMI SCR to be expected from dispersed small metallic items collected from a firing range. For cases with a single piece of clutter and a much more massive UXO immediately below, simulations show almost complete obscuration of the UXO, in both frequency and time domains. This is not caused by signal blockage but results from different degrees of proximity to the sensor, i.e. from the consequent signal magnitude disparity.

  3. [Differential diagnosis of abdominal pain].

    Frei, Pascal


    Despite the frequency of functional abdominal pain, potentially dangerous causes of abdominal pain need to be excluded. Medical history and clinical examination must focus on red flags and signs for imflammatory or malignant diseases. See the patient twice in the case of severe and acute abdominal pain if lab parameters or radiological examinations are normal. Avoid repeated and useless X-ray exposure whenever possible. In the case of subacute or chronic abdominal pain, lab tests such as fecal calprotectin, helicobacter stool antigen and serological tests for celiac disease are very useful. Elderly patients may show atypical or missing clinical signs. Take care of red herrings and be skeptical whether your initial diagnosis is really correct. Abdominal pain can frequently be an abdominal wall pain.

  4. Abdominal aortic aneurysm surgery

    Gefke, K; Schroeder, T V; Thisted, B


    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  5. Lower Abdominal Pain.

    Carlberg, David J; Lee, Stephen D; Dubin, Jeffrey S


    Although most frequently presenting with lower abdominal pain, appendicitis, colitis, and diverticulitis can cause pain throughout the abdomen and can cause peritoneal and retroperitoneal symptoms. Evaluation and management of lower intestinal disease requires a nuanced approach by the emergency physician, sometimes requiring computed tomography, ultrasonography, MRI, layered imaging, shared decision making, serial examination, and/or close follow-up. Once a presumed or confirmed diagnosis is made, appropriate treatment is initiated, and may include surgery, antibiotics, and/or steroids. Appendicitis patients should be admitted. Diverticulitis and inflammatory bowel disease can frequently be managed on an outpatient basis, but may require admission and surgical consultation.

  6. Dolor abdominal recurrente .

    Rodrigo De Vivero


    Full Text Available El dolor abdominal recurrente (DAR es un problema frecuente en la consulta médica y en la subespecialidad médica y quirúrgica. El DAR es frecuentemente funcional, es decir, sin una causa orgánica aparente. El diagnóstico diferencial debe incluir pérdida de peso, sangrado gastrointestinal, fiebre persistente, diarrea crónica y vómito importante. En este artículo se revisa el diagnóstico y tratamiento, pruebas diagnósticas y manejo farmacológico y ambiental.

  7. Abdominal perfusion computed tomography.

    Ogul, Hayri; Bayraktutan, Ummugulsum; Kizrak, Yesim; Pirimoglu, Berhan; Yuceler, Zeynep; Sagsoz, M Erdem; Yilmaz, Omer; Aydinli, Bulent; Ozturk, Gurkan; Kantarci, Mecit


    The purpose of this article is to provide an up to date review on the spectrum of applications of perfusion computed tomography (CT) in the abdomen. New imaging techniques have been developed with the objective of obtaining a structural and functional analysis of different organs. Recently, perfusion CT has aroused the interest of many researchers who are studying the applicability of imaging modalities in the evaluation of abdominal organs and diseases. Per-fusion CT enables fast, non-invasive imaging of the tumor vascular physiology. Moreover, it can act as an in vivo biomarker of tumor-related angiogenesis.

  8. Abdominal pregnancy- a case report.

    Okafor, Ii; Ude, Ac; Aderibigbe, Aso; Amu, Oc; Udeh, Pe; Obianyo, Nen; Ani, Coc


    A case of abdominal pregnancy in a 39 year old female gravida 4, para 0(+3) is presented. Ultrasonography revealed a viable abdominal pregnancy at 15 weeks gestational age. She was initially managed conservatively. Surgical intervention became necessary at 20 weeks gestational age following Ultrasound detection of foetal demise. The maternal outcome was favourable. This case is presented to highlight the dilemma associated with diagnosis and management of abdominal pregnancy with a review of literature.

  9. Nontraumatic abdominal emergencies: acute abdominal pain: diagnostic strategies

    Marincek, B. [Institute of Diagnostic Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich (Switzerland)


    Common causes of acute abdominal pain include appendicitis, cholecystitis, bowel obstruction, urinary colic, perforated peptic ulcer, pancreatitis, diverticulitis, and nonspecific, nonsurgical abdominal pain. The topographic classification of acute abdominal pain (pain in one of the four abdominal quadrants, diffuse abdominal pain, flank or epigastric pain) facilitates the choice of the imaging technique. The initial radiological evaluation often consists of plain abdominal radiography, despite significant diagnostic limitations. The traditional indications for plain films - bowel obstruction, pneumoperitoneum, and the search of ureteral calculi - are questioned by helical computed tomography (CT). Although ultrasonography (US) is in many centers the modality of choice for imaging the gallbladder and the pelvis in children and women of reproductive age, CT is considered to be one of the most valued tools for triaging patients with acute abdominal pain. CT is particularly beneficial in patients with marked obesity, unclear US findings, bowel obstruction, and multiple lesions. The introduction of multidetector row CT (MDCT) has further enhanced the utility of CT in imaging patients with acute abdominal pain. (orig.)

  10. Heritability and Genetic Relationship of Adult Self-Reported Stuttering, Cluttering and Childhood Speech-Language Disorders

    Fagnani, Corrado; Fibiger, Steen; Skytthe, Axel;


    Genetic influence and mutual genetic relationship for adult self-reported childhood speech-language disorders, stuttering, and cluttering were studied. Using nationwide questionnaire answers from 34,944 adult Danish twins, a multivariate biometric analysis based on the liability-threshold model......, 0.78/0.80 for stuttering, and 0.53/0.65 for cluttering. For each trait, the same genes were suggested to affect liability in males and females. Furthermore, high genetic correlations between the traits were obtained; the estimates for childhood speech-language disorders and stuttering were 0.......71/0.79 for males/females, for childhood speech-language disorders and cluttering 0.73/0.56, and for stuttering and cluttering 0.53/0.57. Substantial unique environmental correlations between the traits were also found in both genders. Conclusion: With the limitations related to self-reporting from adult age...

  11. Detection of Ground Clutter from Weather Radar Using a Dual-Polarization and Dual-Scan Method

    Mohammad-Hossein Golbon-Haghighi


    Full Text Available A novel dual-polarization and dual-scan (DPDS classification algorithm is developed for clutter detection in weather radar observations. Two consecutive scans of dual-polarization radar echoes are jointly processed to estimate auto- and cross-correlation functions. Discriminants are then defined and estimated in order to separate clutter from weather based on their physical and statistical properties. An optimal Bayesian classifier is used to make a decision on clutter presence from the estimated discriminant functions. The DPDS algorithm is applied to the data collected with the KOUN polarimetric radar and compared with the existing detection methods. It is shown that the DPDS algorithm yields a higher probability of detection and lower false alarm rate in clutter detection.

  12. Modeling and Analysis of Target Echo and Clutter in Range-Dependent Bistatic Environments: FY14 Annual Report for ONR


    Clutter Model: Range-dependent predictions compared with towed array reverberation and clutter data from the Malta Plateau. In Papadakis and Bjørnø...dependent shallow water area. In John S. Papadakis and Leif Bjørnø, editors, 1st Underwater Acoustic Conference and Exhibition: Proceedings, pages 465–472... Papadakis and Leif Bjørnø, editors, 2nd Underwater Acoustic Conference and Exhibition: Proceedings, pages 715–722, 2014. Conference held at Island of

  13. Modeling and Analysis of Target Echo and Clutter in Range-Dependent Bistatic Environments: FY13 Annual Report for ONR


    to reverberation ratio for isovelocity waveguides related to Weston Memorial Workshop Scenarios A2.I and A2.IV. In John S. Papadakis and Leif...Ell11] Dale D. Ellis. Solutions to range-dependent reverberation and sonar workshop problems using an adiabatic normal mode model. In Papadakis and...DRDC Clutter Model: Range-dependent predictions compared with towed array reverberation and clutter data from the Malta Plateau. In Papadakis and

  14. An Improved Sequential Initiation Method for Multitarget Track in Clutter with Large Noise Measurement

    Daxiong Ji


    Full Text Available This paper proposes an improved sequential method for underwater multiple objects tracks initiation in clutter, estimating the initial position for the trajectory. The underwater environment is complex and changeable, and the sonar data are not very ideal. When the detection distance is far, the error of measured data is also great. Besides that, the clutter has a grave effect on the tracks initiation. So it is hard to initialize a track and estimate the initial position. The new tracks initiation is that when at least six of ten points meet the requirements, then we determine that there is a new track and the initial states of the parameters are estimated by the linear least square method. Compared to the conventional tracks initiation methods, our method not only considers the kinematics information of targets, but also regards the error of the sonar sensors as an important element. Computer simulations confirm that the performance of our method is very nice.

  15. Clutter and rainfall discrimination by means of doppler-polarimetric measurements and vertical reflectivity profile analysis

    F. Silvestro


    Full Text Available The estimation of rainfall rate and other parameters from radar scattering volume is heavily affected by the presence of intense sea and ground clutter and echoes which appears in anomalous propagation condition. To deal with these non meteorological echoes we present a new clutter removal algorithm which combines the results of previous works. The algorithm fully exploits both the Doppler and polarimetric capabilities of the radar used and the analysis of vertical reflectivity profile in order to achieve the better identification of the meteorological and non-meteorological targets. The algorithm has been applied to the C-band radar of Monte Settepani (Savona, Italy, which runs in a high-topography environment. Preliminary results are presented.

  16. Subtotal versus total abdominal hysterectomy

    Andersen, Lea Laird; Ottesen, Bent; Alling Møller, Lars Mikael


    a multiple imputation analysis, this difference disappeared (relative risk, 1.36; 95% confidence interval, 0.86-2.13; P = .19). No differences were seen in any of the secondary outcomes. CONCLUSION: Subtotal abdominal hysterectomy was not superior to total abdominal hysterectomy on any outcomes. More women...

  17. Abdominal Complications after Severe Burns


    abdominal compartment syndrome, schemic bowel, biliary disease , peptic ulcer disease and astritis requiring laparotomy, small bowel obstruction, rimary fungal...complications in- luded trauma exploratory laparotomy, abdominal com- artment syndrome, ischemic bowel, biliary disease , peptic lcer disease and gastritis, large...because it was almost uniformly ssociated with serious lethal burns. This was in the period efore effective gastric acid control, explaining the high

  18. Abdominal aortic aneurysms

    Lindholt, Jes Sanddal


    Although the number of elective operations for abdominal aortic aneurysms (AAA) is increasing, the sex- and age-standardised mortality rate of AAAs continues to rise, especially among men aged 65 years or more. The lethality of ruptured AAA continues to be 80-95%, compared with 5-7% by elective....... The acceptance rate was 77%, and 95% accept control scans. Furthermore, persons at the highest risk of having an AAA attend screening more frequently. We found that 97% of the interval cases developed from aortas that initially measured 2.5-2.9 cm - i.e. approx. only 5% attenders need re-screening at 5-year...... methods for measuring the degree of wall calcification must be developed and validated....

  19. Calculation of Radar Probability of Detection in K-Distributed Sea Clutter and Noise


    Expanded Swerling Target Models, IEEE Trans. AES 39 (2003) 1059-1069. 18. G. Arfken , Mathematical Methods for Physicists, Second Edition, Academic...form solution for the probability of detection in K-distributed clutter, so numerical methods are required. The K distribution is a compound model...the integration, with the nodes and weights calculated using matrix methods , so that a general purpose numerical integration routine is not required

  20. Measurements and Analysis of Reverberation, Target Echo, and Clutter: FY10 Annual Report for ONR


    NATO Undersea Research Centre ( NURC ). The primary effort is analysis and interpretation of data, together with development and validation of improved...Research Projects (JRPs) between NURC , Canada, and several US research laboratories (ARL in particular). The present JRP “Characterizing and Reducing...Canada/ NURC Joint Research Project “Characterizing and Reducing Clutter in Broadband Active Sonar” which received substantial funding from ONR. A

  1. Quasi-Analytic Model of OTHR Clutter from Equatorial Bubbles in the Ionosphere


    raytrace code developed to study OTH radar clutter is based on the theory provided by Hazelgrove [1954], Yeh and Liu [1972], Jones and Stephenson [1975... radar (OTHR) sky wave becomes Doppler shifted because the ionosphere through which the radio rays are propagating changes. One source of these changes...trace computations to yield predictions for Doppler shifts in the unstable ionosphere. 15. SUBJECT TERMS Over-the-horizon radar Computer model of the

  2. The Application of JDL to Suppress Sea Clutter for Shipborne HFSWR

    Zhenyuan Ji


    Full Text Available This paper deals with the problem of sea clutter suppression for shipborne high frequency surface wave radar (HFSWR based on the joint domain localized (JDL adaptive processing algorithm. The performance of the novel method is compared with 2D FFT plus digital beamforming (FFT-DBF and orthogonal weight in different azimuths. The results based on simulated and real data show that the novel method provides higher detection performance than others.

  3. The Application of JDL to Suppress Sea Clutter for Shipborne HFSWR


    This paper deals with the problem of sea clutter suppression for shipborne high frequency surface wave radar (HFSWR) based on the joint domain localized (JDL) adaptive processing algorithm. The performance of the novel method is compared with 2D FFT plus digital beamforming (FFT-DBF) and orthogonal weight in different azimuths. The results based on simulated and real data show that the novel method provides higher detection performance than others.

  4. Haemodynamic and respiratory effects of an abdominal compression binder

    Toft, M.H.; Bulow, J.; Simonsen, L.


    In order to elucidate the circulatory and respiratory effects of a newly developed abdominal compression binder 25 healthy, normal weight subjects were studied. In supine position the central haemodynamics were measured and estimated with a Finapress device. Lower extremity venous haemodynamics...... with or without the abdominal compression binder. The results show that the compression binder significantly increases the venous volume in the lower extremities as showed by a reduction in the venous capacitance in the lower extremities and a reduction in the stroke volume and cardiac output, while it does...... not influence the pulmonary volumes. It is concluded that the applied abdominal binder significantly affects peripheral and central haemodynamics. It should therefore be used with caution when in the supine position for longer periods, as the pooling of blood it induces in the lower extremities may have...

  5. Age differences in search of web pages: the effects of link size, link number, and clutter.

    Grahame, Michael; Laberge, Jason; Scialfa, Charles T


    Reaction time, eye movements, and errors were measured during visual search of Web pages to determine age-related differences in performance as a function of link size, link number, link location, and clutter. Participants (15 young adults, M = 23 years; 14 older adults, M = 57 years) searched Web pages for target links that varied from trial to trial. During one half of the trials, links were enlarged from 10-point to 12-point font. Target location was distributed among the left, center, and bottom portions of the screen. Clutter was manipulated according to the percentage of used space, including graphics and text, and the number of potentially distracting nontarget links was varied. Increased link size improved performance, whereas increased clutter and links hampered search, especially for older adults. Results also showed that links located in the left region of the page were found most easily. Actual or potential applications of this research include Web site design to increase usability, particularly for older adults.

  6. Improved Shape Parameter Estimation in K Clutter with Neural Networks and Deep Learning

    José Raúl Fernández Machado


    Full Text Available The discrimination of the clutter interfering signal is a current problem in modern radars’ design, especially in coastal or offshore environments where the histogram of the background signal often displays heavy tails. The statistical characterization of this signal is very important for the cancellation of sea clutter, whose behavior obeys a K distribution according to the commonly accepted criterion. By using neural networks, the authors propose a new method for estimating the K shape parameter, demonstrating its superiority over the classic alternative based on the Method of Moments. Whereas both solutions have a similar performance when the entire range of possible values of the shape parameter is evaluated, the neuronal alternative achieves a much more accurate estimation for the lower Fig.s of the parameter. This is exactly the desired behavior because the best estimate occurs for the most aggressive states of sea clutter. The final design, reached by processing three different sets of computer generated K samples, used a total of nine neural networks whose contribution is synthesized in the final estimate, thus the solution can be interpreted as a deep learning approximation. The results are to be applied in the improvement of radar detectors, particularly for maintaining the operational false alarm probability close to the one conceived in the design.

  7. Duct heights inferred from radar sea clutter using proper orthogonal bases

    Fountoulakis, Vasileios; Earls, Christopher


    Maritime electromagnetic (EM)-based communication and detection systems are strongly influenced by meteorological conditions, as they can cause anomalous electromagnetic propagation within the surface layer. To predict the performance of such systems, detailed knowledge of the refractivity profile is required. In recent years, refractivity from clutter (RFC) methods has been developed to estimate this refractivity profile by measuring radar clutter return from the rough ocean surface. The current work proposes an RFC framework that utilizes a novel surrogate model for EM propagation. The surrogate model is based on an offline created library of sparsely sampled field data of clutter returns, compressed into proper orthogonal bases, and indexed on specific surface layer refractive parameters. By exploiting the Riemannian manifold structure of the space that proper orthogonal bases occur in, we are able to interpolate among them. This, then, enables us to use the surrogate model in an inverse problem setting, whose goal is to uncover in situ maritime EM propagation conditions efficiently. We demonstrate the feasibility of our proposed surrogate model-based RFC approach for evaporation duct by testing it with field data obtained from an experimental campaign.

  8. Abdominal migraine in the differential diagnosis of acute abdominal pain.

    Cervellin, Gianfranco; Lippi, Giuseppe


    Although traditionally regarded as a specific pediatric disease, abdominal migraine may also be observed in adults. Unfortunately, however, this condition is frequently overlooked in the differential diagnosis of abdominal pain in the emergency department (ED). A 30-year-old woman presented to our ED complaining of abdominal pain and vomiting, lasting for 12 hours. The pain was periumbilical, continuous, and not associated with fever or diarrhea. The physical examination and the results of conventional blood tests were normal. The patient was treated with intravenous ketoprofen, metoclopramide, and ranitidine, obtaining a prompt relief of symptoms. She had a history of similar episodes in the last 15 years, with several ED visits, blood test examinations, ultrasonography of the abdomen, and upper gastrointestinal endoscopies. Celiac disease, porphyry, sickle cell disease, and inflammatory bowel disease were all excluded. In July 2012, she became pregnant, and she delivered a healthy baby on April 2013. Until November 2014, she has remained asymptomatic. Based on the clinical characteristics of the abdominal pain episodes, the exclusion of any alternative diagnosis, and the relief of symptoms during and after pregnancy, a final diagnosis of abdominal migraine could be established. A skilled emergency physician should always consider abdominal migraine in the differential diagnosis of patients admitted to the ED with abdominal pain, especially when the attacks are recurrent and no alternative diagnosis can be clearly established.


    Nevein Mohammed Mohammed Gharib


    Full Text Available Background: Obesity is a medical condition that may adversely affect wellbeing and leading to increased incidence of many health problems. Abdominal obesity tends to be associated with weight gain and obesity and it is significantly connected with different disorders like coronary heart disease and type II diabetes mellitus.This study was conducted to investigate the efficacy of vacuum therapy as compared to abdominal exercises on abdominal obesity in overweight and obese women. Methods: Thirtyoverweight and obese women participated in this study with body mass index > 25 kg/m2andwaist circumference ≥ 85 cm. Their ages ranged from 28 - 40 years old.The subjects were excluded if they have diabetes, abdominal infection diseases or any physical limitation restricting exercise ability. They were randomly allocated into two equal groups; group I and group II. Group I received vacuum therapy sessions (by the use of LPG device in addition to aerobic exercise training. Group II received abdominal exercises in addition to the same aerobic exercisesgiven to group I. This study was extended for successive 8 weeks (3 sessions/ week. All subjects were assessed for thickness ofnthe abdominal skin fold, waist circumference and body mass index. Results: The results of this study showeda significant difference between group I and group II post-interventionas regarding to the mean values of waist circumference and abdominal skin fold thickness (p<0.05. Conclusion: It can be concluded that aerobic exercises combined with vacuum therapy (for three sessions/week for successive 8 weeks have a positive effect on women with abdominal obesity in terms of reducing waist circumference and abdominal skin fold thickness.

  10. Economics of abdominal wall reconstruction.

    Bower, Curtis; Roth, J Scott


    The economic aspects of abdominal wall reconstruction are frequently overlooked, although understandings of the financial implications are essential in providing cost-efficient health care. Ventral hernia repairs are frequently performed surgical procedures with significant economic ramifications for employers, insurers, providers, and patients because of the volume of procedures, complication rates, the significant rate of recurrence, and escalating costs. Because biological mesh materials add significant expense to the costs of treating complex abdominal wall hernias, the role of such costly materials needs to be better defined to ensure the most cost-efficient and effective treatments for ventral abdominal wall hernias.

  11. Micromanaging Abdominal Aortic Aneurysms

    Lars Maegdefessel


    Full Text Available The contribution of abdominal aortic aneurysm (AAA disease to human morbidity and mortality has increased in the aging, industrialized world. In response, extraordinary efforts have been launched to determine the molecular and pathophysiological characteristics of the diseased aorta. This work aims to develop novel diagnostic and therapeutic strategies to limit AAA expansion and, ultimately, rupture. Contributions from multiple research groups have uncovered a complex transcriptional and post-transcriptional regulatory milieu, which is believed to be essential for maintaining aortic vascular homeostasis. Recently, novel small noncoding RNAs, called microRNAs, have been identified as important transcriptional and post-transcriptional inhibitors of gene expression. MicroRNAs are thought to “fine tune” the translational output of their target messenger RNAs (mRNAs by promoting mRNA degradation or inhibiting translation. With the discovery that microRNAs act as powerful regulators in the context of a wide variety of diseases, it is only logical that microRNAs be thoroughly explored as potential therapeutic entities. This current review summarizes interesting findings regarding the intriguing roles and benefits of microRNA expression modulation during AAA initiation and propagation. These studies utilize disease-relevant murine models, as well as human tissue from patients undergoing surgical aortic aneurysm repair. Furthermore, we critically examine future therapeutic strategies with regard to their clinical and translational feasibility.

  12. Abdominal aortic feminism.

    Mortimer, Alice Emily


    A 79-year-old woman presented to a private medical practice 2 years previously for an elective ultrasound screening scan. This imaging provided the evidence for a diagnosis of an abdominal aortic aneurysm (AAA) to be made. Despite having a number of recognised risk factors for an AAA, her general practitioner at the time did not follow the guidance set out by the private medical professional, that is, to refer the patient to a vascular specialist to be entered into a surveillance programme and surgically evaluated. The patient became symptomatic with her AAA, was admitted to hospital and found to have a tender, symptomatic, 6 cm leaking AAA. She consented for an emergency open AAA repair within a few hours of being admitted to hospital, despite the 50% perioperative mortality risk. The patient spent 4 days in intensive care where she recovered well. She was discharged after a 12 day hospital stay but unfortunately passed away shortly after her discharge from a previously undiagnosed gastric cancer.


    van Goor, Harry; de Graaf, JS; Sluiter, WJ; van der Meer, J; Bom, VJJ; Bleichrodt, RP


    Generalized peritonitis causes a reduction in abdominal fibrinolytic activity, resulting in persistence of intraabdominal fibrin with subsequent adhesion and abscess formation. The activities of tissue plasminogen activator (tPA) and plasminogen activator inhibitor (PAI) were measured in the periton

  14. Intra-abdominal tuberculous peritonitis

    Schneider, G.; Ahlhelm, F.; Altmeyer, K.; Kramann, B. [Dept. of Diagnostic Radiology, University Hospital, Homburg (Germany); Hennes, P. [Dept. of Pediatrics, University Hospital, Homburg (Germany); Pueschel, W. [Dept. of Pathology, University Hospital, Homburg (Germany); Karadiakos, N. [Dept. of Pediatric Surgery, University Hospital, Homburg (Germany)


    We report the case of a 15-year-old boy suffering from progressive dyspnea on exertion and painful abdominal protrusion. Final diagnosis of intra-abdominal tuberculosis (TB), including lymphadenopathy and abdominal abscess formation, was made following elective laparotomy. This type of disease is a rare manifestation of extrapulmonary tuberculosis. The imaging findings in unenhanced and contrast-enhanced MRI and laparoscopic images are presented. Differential diagnosis of abdominal abscess formation and other fungal or bacteriological infections, as well as the imaging findings of this type of lesion, are discussed. This case demonstrates that atypical manifestation of TB may remain unrecognized; thus, awareness of this kind of manifestation of tuberculosis may prevent patients from being subjected to inappropriate therapies. (orig.)

  15. Children's (Pediatric) Abdominal Ultrasound Imaging

    Full Text Available ... valuable for evaluating abdominal, pelvic or scrotal pain in children. Preparation will depend on the type of ... examinations do not use ionizing radiation (as used in x-rays ), thus there is no radiation exposure ...

  16. Children's (Pediatric) Abdominal Ultrasound Imaging

    Full Text Available ... children. Except for traumatic injury, appendicitis is the most common reason for emergency abdominal surgery. Ultrasound imaging ... of page How is the procedure performed? For most ultrasound exams, you will be positioned lying face- ...

  17. Children's (Pediatric) Abdominal Ultrasound Imaging

    Full Text Available ... of page What are some common uses of the procedure? Abdominal ultrasound imaging is performed to evaluate ... for ultrasound examinations. top of page What does the equipment look like? Ultrasound scanners consist of a ...

  18. Updates on abdominal desmoid tumors


    Desmoid tumor is a monoclonal, fibroblastic proliferation arising in musculoaponeurotic structures. This connective tissue hyperplasia infiltrates locally, recurs frequentiy after resection but does not metastasize. Abdominal desmoid occurs sporadically, in association with some familial syndromes and often represents a clinical dilemma for surgeons. The enigmatic biology and anatomical location of abdominal desmoids make treatment recommendations difficult. This distinct pathological entity is reviewed with a specific focus on aetiology and management.

  19. Common abdominal emergencies in children.

    D'Agostino, James


    Because young children often present to EDs with abdominal complaints, emergency physicians must have a high index of suspicion for the common abdominal emergencies that have serious sequelae. At the same time, they must realize that less serious causes of abdominal symptoms (e.g., constipation or gastroenteritis) are also seen. A gentle yet thorough and complete history and physical examination are the most important diagnostic tools for the emergency physician. Repeated examinations and observation are useful tools. Physicians should listen carefully to parents and their children, respect their concerns, and honor their complaints. Ancillary tests are inconsistent in their value in assessing these complaints. Abdominal radiographs can be normal in children with intussusception and even malrotation and early volvulus. Unlike the classic symptoms seen in adults, young children can display only lethargy or poor feeding in cases of appendicitis or can appear happy and playful between paroxysmal bouts of intussusception. The emergency physician therefore, must maintain a high index of suspicion for serious pathology in pediatric patients with abdominal complaints. Eventually, all significant abdominal emergencies reveal their true nature, and if one can be patient with the child and repeat the examinations when the child is quiet, one will be rewarded with the correct diagnosis.

  20. Logarithmic r-θ mapping for hybrid optical neural network filter for multiple objects recognition within cluttered scenes

    Kypraios, Ioannis; Young, Rupert C. D.; Chatwin, Chris R.; Birch, Phil M.


    θThe window unit in the design of the complex logarithmic r-θ mapping for hybrid optical neural network filter can allow multiple objects of the same class to be detected within the input image. Additionally, the architecture of the neural network unit of the complex logarithmic r-θ mapping for hybrid optical neural network filter becomes attractive for accommodating the recognition of multiple objects of different classes within the input image by modifying the output layer of the unit. We test the overall filter for multiple objects of the same and of different classes' recognition within cluttered input images and video sequences of cluttered scenes. Logarithmic r-θ mapping for hybrid optical neural network filter is shown to exhibit with a single pass over the input data simultaneously in-plane rotation, out-of-plane rotation, scale, log r-θ map translation and shift invariance, and good clutter tolerance by recognizing correctly the different objects within the cluttered scenes. We record in our results additional extracted information from the cluttered scenes about the objects' relative position, scale and in-plane rotation.

  1. Joint statistical correction of clutters, spokes and beam height for a radar climatology in Southern Germany

    A. Wagner


    Full Text Available Extensive corrections of radar data are a crucial prerequisite for radar derived climatology. This kind of climatology demands a high level of data quality. Little deviations or minor systematic underestimations or overestimations in single radar images become a major cause of error in statistical analysis. First results of radar derived climatology have emerged over the last years, as data sets of appropriate extent are becoming available. Usually, these statistics are based on time series lasting up to ten years as storage of radar data was not achieved before.

    We present a new statistical post-correction scheme, which is based on seven years of radar data of the Munich weather radar (2000–2006 that is operated by DWD (German Weather Service. The typical correction algorithms for single radar images, such as clutter corrections, are used. Then an additional statistical post-correction based on the results of a climatological analysis from radar images follows. The aim of this statistical correction is to correct systematic errors caused by clutter effects or measuring effects but to conserve small-scale natural variations in space.

    The statistical correction is based on a thorough analysis of the different causes of possible errors for the Munich weather radar. This robust analysis revealed the following basic effects: the decrease of rain rate in relation to height and distance from the radar, clutter effects such as remaining clutter, eliminated clutter or shading effects from obstacles near the radar, visible as spokes, as well as the influence of the Bright Band. The correction algorithm is correspondingly based on these results. It consists of three modules. The first one is an altitude correction, which minimizes measuring effects. The second module corrects clutter effects and the third one realizes a mean adjustment to selected rain gauges. Two different radar products are used. The statistical analysis as well as

  2. Simplified formulae for the estimation of offshore wind turbines clutter on marine radars.

    Grande, Olatz; Cañizo, Josune; Angulo, Itziar; Jenn, David; Danoon, Laith R; Guerra, David; de la Vega, David


    The potential impact that offshore wind farms may cause on nearby marine radars should be considered before the wind farm is installed. Strong radar echoes from the turbines may degrade radars' detection capability in the area around the wind farm. Although conventional computational methods provide accurate results of scattering by wind turbines, they are not directly implementable in software tools that can be used to conduct the impact studies. This paper proposes a simple model to assess the clutter that wind turbines may generate on marine radars. This method can be easily implemented in the system modeling software tools for the impact analysis of a wind farm in a real scenario.

  3. Measurements and Analysis of Reverberation, Target Echo, and Clutter: FY11 Annual Report for ONR


    and sonar workshop problems using an adiabatic normal mode model. In Papadakis and Bjørnø [PB11], pages 485–490. Contributed paper in Structured...and clutter data from the Malta Plateau. In Papadakis and Bjørnø [PB11], pages 657–664. Invited paper in Structured Session “Temporal and Spatial...Marigola, Lerici, Italy, 9–12 September 2008. [PB11] John S. Papadakis and Leif Bjørnø, editors. 4th International Conference on Underwater

  4. Detecting Weather Radar Clutter by Information Fusion With Satellite Images and Numerical Weather Prediction Model Output

    Bøvith, Thomas; Nielsen, Allan Aasbjerg; Hansen, Lars Kai;


    A method for detecting clutter in weather radar images by information fusion is presented. Radar data, satellite images, and output from a numerical weather prediction model are combined and the radar echoes are classified using supervised classification. The presented method uses indirect...... information on precipitation in the atmosphere from Meteosat-8 multispectral images and near-surface temperature estimates from the DMI-HIRLAM-S05 numerical weather prediction model. Alternatively, an operational nowcasting product called 'Precipitating Clouds' based on Meteosat-8 input is used. A scale...

  5. Abdominal neurenteric cyst

    Radoje (C)olovi(c); MarJan Micev; Miodrag Jovanovi(c); Slavko Mati(c); Nikica Grubor; Henry Dushan E Atkinson


    immunoexpression, and the respiratory epithelium revealed a CK8 and CK18 immunoprofile without CK 10/13 positive elements, though neither CEA or AFP positive cells were found. To our knowledge, this is the first reported case of an abdominally located neurenteric cyst with no associated spinal anomalies.

  6. Measurement of nadir and near-nadir 94-GHz brightness temperatures of several tactical-scene clutter types

    Wikner, David A.; Pizzillo, Thomas J.


    The authors present 94-GHz radiometric brightness temperatures of various clutter materials at nadir. The clutter materials measured include field vegetation, asphalt pavement, and an asphalt shingle roof and data is presented for each clutter type. We also report measurements that quantify the effect of water on the brightness temperature of metal. These measurements were made by adding calibrated quantities of water to a metal plate while recording the plate's millimeter-wave brightness temperature. Off-nadir data out to 45 deg is also presented for the field vegetation and asphalt pavement. Using a simple rough scattering model for the materials, we made estimates of the emissivity of the field vegetation and asphalt. The emissivity of the roof was determined by measuring its brightness temperature as it was heated.

  7. A clinical dilemma: abdominal tuberculosis

    Oya Uygur-Bayramicli; G(u)l Dabak; Resat Dabak


    AIM: To evaluate the clinical, radiological and microbiological properties of abdominal tuberculosis (TB) and to discuss methods needed to get the diagnosis.METHODS: Thirty-one patients diagnosed as abdominal TB between March 1998 and December 2001 at the Gastroenterology Department of Kartal State Hospital,Istanbul, Turkey were evaluated prospectively. Complete physical examination, medical and family history, blood count erythrocyte sedimentation rate, routine biochemical tests,Mantoux skin test, chest X-ray and abdominal ultrasonography (USG) were performed in all cases, whereas microbiological examination of ascites, upper gastrointestinal endoscopy, colonoscopy or barium enema, abdominal tomography, mediastinoscopy, laparoscopy or laparotomy were done when needed.RESULTS: The median age of patients (14 females, 17males) was 34.2 years (range 15-65 years). The most frequent symptoms were abdominal pain and weight loss.Eleven patients had active pulmonary TB. The most common abdominal USG findings were ascites and hepatomegaly. Ascitic fluid analysis performed in 13 patients was found to be exudative and acid resistant bacilli were present in smear and cultured only in one patient with BacTec (3.2 %). Upper gastrointestinal endoscopy yielded nonspecific findings in 16 patients. Colonoscopy performed in 20 patients showed ulcers in 9 (45 %), nodules in 2 (10 %)and, stricture, polypoid lesions, granulomatous findings in terminal ileum and rectal fistula each in one patient (5 %).Laparoscopy on 4 patients showed dilated bowel loops,thickening in the mesentery, multiple ulcers and tubercles on the peritoneum. Patients with abdominal TB were divided into three groups according to the type of involvement.Fifteen patients (48 %) had intestinal TB, L1 patients (35.2 %) had tuberculous peritonitis and 5 (16.8 %)tuberculous lymphadenitis. The diagnosis of abdominal TB was confirmed microbiologically in 5 (16 %) and histopathologically in 19 patients (60.8 %). The

  8. [Abdominal pregnancy care. Case report].

    Morales Hernández, Sara; Díaz Velázquez, Mary Flor; Puello Tamara, Edgardo; Morales Hernández, Jorge; Basavilvazo Rodríguez, Maria Antonia; Cruz Cruz, Polita del Rocío; Hernández Valencia, Marcelino


    Abdominal pregnancies are the implantation of gestation in some of the abdominal structures. This kind of pregnancies represents sevenfold maternal death risk than tubarian ectopic pregnancies, and 90-fold death risk than normal ones. Previous cases have erroneously reported as abscess in Douglas punch, and frequently result in obitus or postnatal deaths. We report a case of a patient with 27 years old, and diagnosis of 25.2 weeks of pregnancy, prior placenta and anhidramnios, referred due to difficult in uterine contour delimitation, easy palpation of fetal parts, cephalic pole in left hypochondrious and presence of mass in hypogastria, no delimitations, pain with mobilization, no transvaginal bleed and fetal movements. Interruption of pregnancy is decided by virtue of severe oligohidramnios, retardation in fetal intrabdominal growth, and recurrent maternal abdominal pain. Surgical intervention was carried out for resolution of the obstetrical event, in which was found ectopic abdominal pregnancy with bed placental in right uterine horn that corresponded to a pregnancy of 30 weeks of gestation. Abdominal pregnancy is still a challenge for obstetrics due to its diagnosis and treatment. Early diagnosis is oriented to prevent an intrabdominal hemorrhage that is the main maternal cause of mortality.

  9. Modeling and Analysis of Target Echo and Clutter in Range-Dependent Bistatic Environments: FY12 Annual Report for ONR


    and sonar workshop problems using an adiabatic normal mode model. In Papadakis and Bjørnø [PB11], pages 485–490. Contributed paper in Structured...Clutter Model: Range-dependent predictions compared with towed array reverberation and clutter data from the Malta Plateau. In Papadakis and Bjørnø...35(3):502–515, 2010. 10 [PB11] John S. Papadakis and Leif Bjørnø, editors. 4th International Conference on Underwater Acoustic Measurements

  10. Abdominal wall hernia and pregnancy

    Jensen, K K; Henriksen, N A; Jorgensen, L N


    PURPOSE: There is no consensus as to the treatment strategy for abdominal wall hernias in fertile women. This study was undertaken to review the current literature on treatment of abdominal wall hernias in fertile women before or during pregnancy. METHODS: A literature search was undertaken in Pub......Med and Embase in combination with a cross-reference search of eligible papers. RESULTS: We included 31 papers of which 23 were case reports. In fertile women undergoing sutured or mesh repair, pain was described in a few patients during the last trimester of a subsequent pregnancy. Emergency surgery...... of incarcerated hernias in pregnant women, as well as combined hernia repair and cesarean section appears as safe procedures. No major complications were reported following hernia repair before or during pregnancy. The combined procedure of elective cesarean section and abdominal wall hernia repair was reported...

  11. Abdominal actinomycosis mimicking acute appendicitis.

    Conrad, Robert Joseph; Riela, Steven; Patel, Ravi; Misra, Subhasis


    A 52-year-old Hispanic woman presented to the emergency department, reporting worsening sharp lower right quadrant abdominal pain for 3 days. CT of the abdomen and pelvis showed evidence of inflammation in the peritoneal soft tissues adjacent to an enlarged and thick-walled appendix, an appendicolith, no abscess formation and a slightly thickened caecum consistent with acute appendicitis. During laparoscopic appendectomy, the caecum was noted to be firm, raising suspicion of malignancy. Surgical oncology team was consulted and open laparotomy with right hemicolectomy was performed. Pathology reported that the ileocaecal mass was not a malignancy but was, rather, actinomycosis. The patient was discharged after 10 days of intravenous antibiotics in the hospital, with the diagnosis of abdominal actinomycosis. Although the original clinical and radiological findings in this case were highly suggestive of acute appendicitis, abdominal actinomycosis should be in the differential for right lower quadrant pain as it may be treated non-operatively.

  12. Robot navigation in cluttered 3-D environments using preference-based fuzzy behaviors.

    Shi, Dongqing; Collins, Emmanuel G; Dunlap, Damion


    Autonomous navigation systems for mobile robots have been successfully deployed for a wide range of planar ground-based tasks. However, very few counterparts of previous planar navigation systems were developed for 3-D motion, which is needed for both unmanned aerial and underwater vehicles. A novel fuzzy behavioral scheme for navigating an unmanned helicopter in cluttered 3-D spaces is developed. The 3-D navigation problem is decomposed into several identical 2-D navigation subproblems, each of which is solved by using preference-based fuzzy behaviors. Due to the shortcomings of vector summation during the fusion of the 2-D subproblems, instead of directly outputting steering subdirections by their own defuzzification processes, the intermediate preferences of the subproblems are fused to create a 3-D solution region, representing degrees of preference for the robot movement. A new defuzzification algorithm that steers the robot by finding the centroid of a 3-D convex region of maximum volume in the 3-D solution region is developed. A fuzzy speed-control system is also developed to ensure efficient and safe navigation. Substantial simulations have been carried out to demonstrate that the proposed algorithm can smoothly and effectively guide an unmanned helicopter through unknown and cluttered urban and forest environments.

  13. Tracking a maneuvering target in clutter with out-of-sequence measurements for airborne radar

    Weihua Wu; Jing Jiang; Yang Wan


    There are many proposed optimal or suboptimal al-gorithms to update out-of-sequence measurement(s) (OoSM(s)) for linear-Gaussian systems, but few algorithms are dedicated to track a maneuvering target in clutter by using OoSMs. In order to address the nonlinear OoSMs obtained by the airborne radar located on a moving platform from a maneuvering target in clut-ter, an interacting multiple model probabilistic data association (IMMPDA) algorithm with the OoSM is developed. To be practical, the algorithm is based on the Earth-centered Earth-fixed (ECEF) coordinate system where it considers the effect of the platform’s attitude and the curvature of the Earth. The proposed method is validated through the Monte Carlo test compared with the perfor-mance of the standard IMMPDA algorithm ignoring the OoSM, and the conclusions show that using the OoSM can improve the track-ing performance, and the shorter the lag step is, the greater degree the performance is improved, but when the lag step is large, the performance is not improved any more by using the OoSM, which can provide some references for engineering application.

  14. 3-D Laser-Based Multiclass and Multiview Object Detection in Cluttered Indoor Scenes.

    Zhang, Xuesong; Zhuang, Yan; Hu, Huosheng; Wang, Wei


    This paper investigates the problem of multiclass and multiview 3-D object detection for service robots operating in a cluttered indoor environment. A novel 3-D object detection system using laser point clouds is proposed to deal with cluttered indoor scenes with a fewer and imbalanced training data. Raw 3-D point clouds are first transformed to 2-D bearing angle images to reduce the computational cost, and then jointly trained multiple object detectors are deployed to perform the multiclass and multiview 3-D object detection. The reclassification technique is utilized on each detected low confidence bounding box in the system to reduce false alarms in the detection. The RUS-SMOTEboost algorithm is used to train a group of independent binary classifiers with imbalanced training data. Dense histograms of oriented gradients and local binary pattern features are combined as a feature set for the reclassification task. Based on the dalian university of technology (DUT)-3-D data set taken from various office and household environments, experimental results show the validity and good performance of the proposed method.

  15. Phase-modulated waveform design for extended target detection in the presence of clutter.

    Gong, Xuhua; Meng, Huadong; Wei, Yimin; Wang, Xiqin


    The problem to be addressed in this paper is a phase-modulated waveform design for the detection of extended targets contaminated by signal-dependent noise (clutter) and additive noise in practical radar systems. An optimal waveform design method that leads to the energy spectral density (ESD) of signal under the maximum signal-to-clutter-and-noise ratio (SCNR) criterion is introduced first. In order to make full use of the transmission power, a novel phase-iterative algorithm is then proposed for designing the phase-modulated waveform with a constant envelope, whose ESD matches the optimal one. This method is proven to be able to achieve a small SCNR loss by minimizing the mean-square spectral distance between the optimal waveform and the designed waveform. The results of extensive simulations demonstrate that our approach provides less than 1 dB SCNR loss when the signal duration is greater than 1 μs, and outperforms the stationary phase method and other phase-modulated waveform design methods.

  16. The estimation of lower refractivity uncertainty from radar sea clutter using the Bayesian-MCMC method

    Sheng Zheng


    The estimation of lower atmospheric refractivity from radar sea clutter (RFC) is a complicated nonlinear optimization problem.This paper deals with the RFC problem in a Bayesian framework.It uses the unbiased Markov Chain Monte Carlo (MCMC) sampling technique,which can provide accurate posterior probability distributions of the estimated refractivity parameters by using an electromagnetic split-step fast Fourier transform terrain parabolic equation propagation model within a Bayesian inversion framework.In contrast to the global optimization algorithm,the Bayesian-MCMC can obtain not only the approximate solutions,but also the probability distributions of the solutions,that is,uncertainty analyses of solutions.The Bayesian-MCMC algorithm is implemented on the simulation radar sea-clutter data and the real radar seaclutter data.Reference data are assumed to be simulation data and refractivity profiles are obtained using a helicopter.The inversion algorithm is assessed (i) by comparing the estimated refractivity profiles from the assumed simulation and the helicopter sounding data; (ii) the one-dimensional (1D) and two-dimensional (2D) posterior probability distribution of solutions.

  17. Big brown bats (Eptesicus fuscus) reveal diverse strategies for sonar target tracking in clutter.

    Mao, Beatrice; Aytekin, Murat; Wilkinson, Gerald S; Moss, Cynthia F


    Bats actively adjust the acoustic features of their sonar calls to control echo information specific to a given task and environment. A previous study investigated how bats adapted their echolocation behavior when tracking a moving target in the presence of a stationary distracter at different distances and angular offsets. The use of only one distracter, however, left open the possibility that a bat could reduce the interference of the distracter by turning its head. Here, bats tracked a moving target in the presence of one or two symmetrically placed distracters to investigate adaptive echolocation behavior in a situation where vocalizing off-axis would result in increased interference from distracter echoes. Both bats reduced bandwidth and duration but increased sweep rate in more challenging distracter conditions, and surprisingly, made more head turns in the two-distracter condition compared to one, but only when distracters were placed at large angular offsets. However, for most variables examined, subjects showed distinct strategies to reduce clutter interference, either by (1) changing spectral or temporal features of their calls, or (2) producing large numbers of sonar sound groups and consistent head-turning behavior. The results suggest that individual bats can use different strategies for target tracking in cluttered environments.

  18. Spatial memory and stereotypy of flight paths by big brown bats in cluttered surroundings.

    Barchi, Jonathan R; Knowles, Jeffrey M; Simmons, James A


    The big brown bat, Eptesicus fuscus, uses echolocation for foraging and orientation. The limited operating range of biosonar implies that bats must rely upon spatial memory in familiar spaces with dimensions larger than a few meters. Prior experiments with bats flying in obstacle arrays have revealed differences in flight and acoustic emission patterns depending on the density and spatial extent of the obstacles. Using the same method, combined with acoustic microphone array tracking, we flew big brown bats in an obstacle array that varied in density and distribution in different locations in the flight room. In the initial experiment, six bats learned individually stereotyped flight patterns as they became familiar with the space. After the first day, the repetition rate of sonar broadcasts dropped to a stable level, consistent with low-density clutter. In a second experiment, after acquiring their stable paths, each bat was released from each of two unfamiliar locations in the room. Each bat still followed the same flight path it learned originally. In a third experiment, performed 1 month after the first two experiments, three of the bats were re-flown in the same configuration of obstacles; these three resumed flying in their accustomed path. The other three bats were flown in a mirror-image reconfiguration of the obstacles; these bats quickly found stable flight paths that differed from their originally learned paths. Overall, the flight patterns indicate that the bats perceive the cluttered space as a single scene through which they develop globally organized flight paths.

  19. Phase-Modulated Waveform Design for Extended Target Detection in the Presence of Clutter

    Xiqin Wang


    Full Text Available The problem to be addressed in this paper is a phase-modulated waveform design for the detection of extended targets contaminated by signal-dependent noise (clutter and additive noise in practical radar systems. An optimal waveform design method that leads to the energy spectral density (ESD of signal under the maximum signal-to-clutter-and-noise ratio (SCNR criterion is introduced first. In order to make full use of the transmission power, a novel phase-iterative algorithm is then proposed for designing the phase-modulated waveform with a constant envelope, whose ESD matches the optimal one. This method is proven to be able to achieve a small SCNR loss by minimizing the mean-square spectral distance between the optimal waveform and the designed waveform. The results of extensive simulations demonstrate that our approach provides less than 1 dB SCNR loss when the signal duration is greater than 1 μs, and outperforms the stationary phase method and other phase-modulated waveform design methods.

  20. Radar signatures of indoor clutter for through-the-wall radar applications

    Bufler, Travis D.; Narayanan, Ram M.; Dogaru, Traian


    In through-the-wall radar (TTWR) applications, scattering by indoor clutter elements can greatly confound the detection of humans. This paper analyzes the spectral and azimuthal scattering characteristics of various types of individual furniture targets and compares these to humans. Radar cross section (RCS) values of furniture and humans are obtained using the finite difference time domain (FDTD) technique over the 1-5 GHz frequency range and the 0-360 azimuth angle range for both co- and cross-polarized scattering. In the case of furniture, RCS responses show to the highest returns when viewing the planar surfaces of the clutter objects. Objects consisting primarily of smaller planar surfaces with more complex geometrical features showed a more uniform response with no preferred orientation showing a larger response. Human RCS produced from the biological models showed a more constant RCS when viewing the co-polarized response, where the back produced the highest response due to the more planar surface. The cross-polarized response was more varied providing for a wider range of RCS values.

  1. Abdominal obesity, cardiometabolic risk and endocannabinoid system

    G. Bittolo Bon


    Full Text Available Abdominal obesity is the most prevalent manifestation of metabolic syndrome and is of central importance in the definition of global cardiometabolic risk. Visceral adipose tissue releases a large number of bioactive mediators, which influence body weight homeostasis, insulin resistance, alterations in lipids, blood pressure, coagulation, fibrinolysis and inflammation, leading to increased risk of cardiovascular events and of type 2 diabetes. Lifestyle modification is the first-line approach to the management of abdominal obesity and metabolic syndrome. However for patients at higher risk, who cannot achieve an appreciable reduction in weight and in global cardiometabolic risk with lifestyle modification alone, an adjunctive long term pharmacotherapy should be considered. The endocannabinoid system activity regulates food intake and metabolic factors through cannabinoid-1 (CB1 receptor located in multiple sites, including hypothalamus and limbic forebrain, adipose tissue, skeletal muscle, liver and the gastrointestinal tract. Evidence suggests that CB1 receptor blockade offers a novel therapeutic strategy. Data from four phase III trials suggest that rimonabant, the first cannabinoid receptor inhibitor, modulates cardiometabolic risk factors, both through its impact on body weight and metabolic parameters such as HDL-cholesterol, tryglicerides, Hb1Ac, through direct pathways that are not related to weight loss.

  2. Blunt abdominal trauma in sports.

    Rifat, Sami F; Gilvydis, Rimas P


    Abdominal injuries are rare in sports, but when they do occur it is important that the physician recognize the warning signs of potentially life-threatening injury to the liver, spleen, or hollow abdominal viscera. Though the sports medicine physician may not always provide definitive treatment of many of these conditions, he or she should be familiar with the preferred diagnostic modalities and latest treatment options. This information is not only essential to appropriately participate in treatment decisions, but is also important in order to make return-to-play determinations.

  3. [Gallstone ileus. Abdominal CT usefulness].

    Sukkarieh, F; Brasseur, P; Bissen, L


    The authors report the case of a 93-year old woman referred to the emergency department and presenting with an intestinal obstruction. Abdominal CT reveals a biliary ileus caused by the migration and the impaction of a 3 cm gallstone in the small bowel. Surgical treatment by enterolithotomy was successful. In over 90% of cases, gallstone ileus is a complication of cholelithiasis and accounts for 25% of intestinal obstruction in patients over 65 years. To reduce morbidity and mortality, early diagnosis and prompt treatment are essential. Abdominal CT-scan is the gold standard technique.

  4. CT appearances of abdominal tuberculosis

    Lee, W.-K., E-mail: [Department of Medical Imaging, St Vincent' s Hospital, University of Melbourne, Fitzroy, Victoria (Australia); Van Tonder, F.; Tartaglia, C.J.; Dagia, C. [Department of Medical Imaging, St Vincent' s Hospital, University of Melbourne, Fitzroy, Victoria (Australia); Cazzato, R.L. [Department of Radiology, Universita Campus Bio-Medico di Roma, Rome (Italy); Duddalwar, V.A. [Department of Radiology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California (United States); Chang, S.D. [Department of Medical Imaging, Vancouver General Hospital, University of British Columbia, British Columbia (Canada)


    The purpose of this article is to review and illustrate the spectrum of computed tomography (CT) appearances of abdominal tuberculosis. Tuberculosis can affect any organ or tissue in the abdomen, and can be mistaken for other inflammatory or neoplastic conditions. The most common sites of tuberculosis in the abdomen include lymph nodes, genitourinary tract, peritoneal cavity and gastrointestinal tract. The liver, spleen, biliary tract, pancreas and adrenals are rarely affected, but are more likely in HIV-seropositive patients and in miliary tuberculosis. This article should alert the radiologist to consider abdominal tuberculosis in the correct clinical setting to ensure timely diagnosis and enable appropriate treatment.

  5. Diagnosis in acute abdominal pain and ongoing abdominal sepsis

    Kiewiet, J.J.S.


    Acute abdominal pain is a common reason for presentation at the emergency department. To establish a timely and adequate diagnosis, doctors use the pattern of complaints and physical examination as the basis for the evaluation of a patient. In this thesis we conducted a study that showed that surgeo

  6. Significance of bacterial flora in abdominal irradiation-induced inhibition of lung metastases

    Matsumoto, T.; Ando, K.; Koike, S.


    We have previously reported that abdominal irradiation prior to i.v. injection of syngeneic tumor cells reduced metastases in lung. Our report described an investigation of the significance of intestinal organisms in the radiation effect. We found that eliminating intestinal organisms with antibiotics totally abolished the radiation effect. Monoassociation of germ-free mice revealed that the radiation effect was observable only for Enterobacter cloacae, never for Streptococcus faecium, Bifidobacterium adlesentis, or Escherichia coli. After abdominal irradiation of regular mice, E. cloacae multiplied in cecal contents, adhered to mucous membranes, invaded the cecal wall, and translocated to mesenteric lymph nodes. Intravenous administration of E. cloacae in place of abdominal irradiation inhibited metastases. E. cloacae-monoassociated mice developed fewer metastases than germ-free mice, and the reduction was further enhanced by abdominal irradiation. We concluded that abdominal irradiation caused the invasion of E. cloacae from the mucous membrane of the intestine and inhibited formation of lung metastases.

  7. Clinical management of abdominal trauma

    FANG Guo-en; LUO Tian-hang; DU Cheng-hui; BI Jian-wei; XUE Xu-chao; WEI Guo; WENG Zhao-zhang; MA Li-ye; HUA Ji-de


    Objective: To improve the prognosis of patients with abdominal trauma. Methods: Between January 1993 and December 2005, 415 patients were enrolled in this research. The patients consisted of 347 males and 68 females with mean age of 36 years ranging from 3-82 years. All abdominal traumas consisted of closed traumas 360 cases, 86.7% and open traumas 55 cases, 13.3%. Results: Atotal of 407 cases 98.1% were fully recovered from trauma and the other 8 cases 1.9% died of multiple injuries. The mean injury severity score ISS of all patients was 22 while the mean ISS of the patients who died in hospital was 42. Postoperative complications were seen in 9 patients such as infection of incisional wounds 6 cases, pancreatic fistula 2 cases and intestinal fistula 1 case. All these postoperative complications were cured by the conservative treatment. Conclusion: Careful case history inquisition and physical examination are the basic methods to diagnose abdomi- nal trauma. Focused abdominal ultrasonography is always the initial imaging examination because it is non-invasive and can be performed repeatedly with high accuracy. The doctors should consider the severity of local injuries and the general status of patients during the assessment of abdominal trauma. The principle of treatment is to save lives at first, then to cure the injuries. Unnecessary laparotomy should be avoided to reduce additional surgical trauma.

  8. Chronic Abdominal Pain in Children

    C.F.M. Gijsbers (Carolien)


    textabstractRecurrent abdominal pain (RAP) was first defined in 1958 by Apley as “at least 3 bouts of pain, severe enough to affect activities, over a period of at least 3 months” (1). This was a landmark publication with great impact, showing, that emotional disturbances played a role in many patie

  9. Economic costs of abdominal obesity

    Højgaard, Betina; Olsen, Kim Rose; Søgaard, Jes


    BACKGROUND: To examine the relationship between waist circumference and future health care costs across a broad range of waist circumference values based on individual level data. METHOD: A prospective cohort of 31,840 subjects aged 50-64 years at baseline had health status, lifestyle and socio-e...... be a potential for significant resource savings through prevention of abdominal obesity....

  10. Abdominal aortic aneurysm repair - open - discharge

    ... this page: // Abdominal aortic aneurysm repair - open - discharge To use the sharing features ... References Orandi BJ, Black JH. Open repair of abdominal aortic aneurysms. In: Cameron JL, Cameron AM, eds. Current Surgical ...

  11. Preoperative steroid in abdominal wall reconstruction

    Jensen, Kristian Kiim; Brøndum, Tina Lee; Belhage, Bo;


    INTRODUCTION: Preoperative administration of high-dose glucocorticoid leads to improved recovery and decreased length of stay after abdominal surgery. Even so, studies on administration of glucocorticoids for patients undergoing abdominal wall reconstruction (AWR) for giant ventral hernia repair ...

  12. A single-ensemble clutter rejection method based on the analytic geometry for ultrasound color flow imaging.

    You, Wei; Wang, Yuanyuan


    In ultrasound color flow imaging (CFI), the single-ensemble eigen-based filters can reject clutter components using each slow-time ensemble individually. They have shown excellent spatial adaptability. This article proposes a novel clutter rejection method called the single-ensemble geometry filter (SGF), which is derived from an analytic geometry perspective. If the transmitted pulse number M equals two, the clutter component distribution on a two-dimensional (2-D) plane will be similar to a tilted ellipse. Therefore, the direction of the major axis of the ellipse can be used as the first principal component of the autocorrelation matrix estimated from multiple ensembles. Then the algorithm is generalized from 2-D to a higher dimensional space by using linear algebra representations of the ellipse. Comparisons have been made with the high-pass filter (HPF), the Hankel-singular value decomposition (SVD) filter and the recursive eigen-decomposition (RED) method using both simulated and human carotid data. Results show that compared with HPF and Hankel-SVD, the proposed filter causes less bias on the velocity estimation when the clutter velocity is close to that of the blood flow. On the other hand, the proposed filter does not need to update the autocorrelation matrix and can achieve better spatial adaptability than the RED.


    José Raúl Machado Fernández


    Full Text Available La presencia de la señal interferente de clutter marino establece limitaciones en la calidad de la detección de radar en ambientes costeros y de alta mar. El procesador CA-CFAR es la solución clásica para detectar blancos de radar. Usualmente mantiene su factor de ajuste constante todo el período de operación. Como consecuencia, el esquema no toma en consideración las variaciones estadísticas de la señal de fondo cuando realiza la discriminación del clutter . Para resolver este problema, los autores realizaron un procesamiento intensivo de 40 millones de muestras de clutter de intensidad, generadas en computadora a través de MATLAB. Como resultado, encontraron los valores óptimos del factor de ajuste a ser aplicados para 40 posibles estados estadísticos del clutter , sugiriendo el uso de la arquitectura CA-CFAR con un factor de ajuste variable. Adicionalmente, fue llevado a cabo un ajuste de curvas, obteniéndose expresiones matemáticas que generalizan los resultados en todo el intervalo de considerado de estados estadísticos del clutter . Los experimentos se ejecutaron con un CA-CFAR de 64 celdas y apuntaron a encontrar los valores del factor de ajuste para tres probabilidades de falsa alarma comunes. La distribución K fue elegida como el modelo usado para el clutter , gracias a su amplia popularidad. Este artículo facilita el manejo de la distribución K de intensidad, evitando el uso de funciones Gamma y Bessel, comúnmente encontradas en desarrollos relacionados con el modelo K. Además, fueron cumplidos los requerimientos necesarios para construir un detector adaptativo en clutter de potencia K con conocimiento previo del parámetro de forma. Al mismo tiempo, fueron dadas varias recomendaciones para continuar el desarrollo de una solución más general que también incluirá la estimación del parámetro de forma.

  14. Abdominal Compartment Syndrome: pathophysiology and definitions

    Cheatham Michael L


    Abstract "Intra-abdominal hypertension", the presence of elevated intra-abdominal pressure, and "abdominal compartment syndrome", the development of pressure-induced organ-dysfunction and failure, have been increasingly recognized over the past decade as causes of significant morbidity and mortality among critically ill surgical and medical patients. Elevated intra-abdominal pressure can cause significant impairment of cardiac, pulmonary, renal, gastrointestinal, hepatic, and central nervous ...

  15. Superman play and pediatric blunt abdominal trauma.

    Machi, J M; Gyuro, J; Losek, J D


    Two pediatric patients with life-threatening intra-abdominal injuries associated with Superman play are presented. The cases illustrate the importance of knowing the mechanism of injury in the assessment of children with blunt abdominal trauma. The diagnostic value of liver enzymes and the controversies surrounding the radiographic assessment of pediatric blunt abdominal trauma are presented.

  16. Resolved target detection in clutter using correlated, dual-band imagery

    Stotts, Larry B.


    This paper develops a log-likelihood ratio test statistic for resolved target detection in dual-band imagery because the previous work indicates that most of the processing gains come from processing just two bands. Simple, closed-form equations for the closed-form probabilities of false alarm and detection are given. A computer simulation validates the theory. A constant false alarm rate version of the theory is applied to real available multiband data with quasi-resolved target sets and fixed clutter noise. The results show very reasonable performance in target detectability using three sets of correlated dual-band images. Finally, this paper shows that the resolved target detection problem depends on the weighted difference between the dual-band target contrasts. The theoretical development reaffirms that the signal-to-noise ratio or contrast-to-noise ratio is approximately the weighted difference squared, divided by the normalized total image noise variance.

  17. Radar Constant-Modulus Waveform Design with Prior Information of the Extended Target and Clutter.

    Yue, Wenzhen; Zhang, Yan; Liu, Yimin; Xie, Jingwen


    Radar waveform design is of great importance for radar system performances and has drawn considerable attention recently. Constant modulus is an important waveform design consideration, both from the point of view of hardware realization and to allow for full utilization of the transmitter's power. In this paper, we consider the problem of constant-modulus waveform design for extended target detection with prior information about the extended target and clutter. At first, we propose an arbitrary-phase unimodular waveform design method via joint transmitter-receiver optimization. We exploit a semi-definite relaxation technique to transform an intractable non-convex problem into a convex problem, which can then be efficiently solved. Furthermore, quadrature phase shift keying waveform is designed, which is easier to implement than arbitrary-phase waveforms. Numerical results demonstrate the effectiveness of the proposed methods.

  18. Towards automatic indoor reconstruction of cluttered building rooms from point clouds

    Previtali, M.; Barazzetti, L.; Brumana, R.; Scaioni, M.


    Terrestrial laser scanning is increasingly used in architecture and building engineering for as-built modelling of large and medium size civil structures. However, raw point clouds derived from laser scanning survey are generally not directly ready for generation of such models. A manual modelling phase has to be undertaken to edit and complete 3D models, which may cover indoor or outdoor environments. This paper presents an automated procedure to turn raw point clouds into semantically-enriched models of building interiors. The developed method mainly copes with a geometric complexity typical of indoor scenes with prevalence of planar surfaces, such as walls, floors and ceilings. A characteristic aspect of indoor modelling is the large amount of clutter and occlusion that may characterize any point clouds. For this reason the developed reconstruction pipeline was designed to recover and complete missing parts in a plausible way. The accuracy of the presented method was evaluated against traditional manual modelling and showed comparable results.

  19. Intra-Abdominal Actinomycosis Mimicking Malignant Abdominal Disease

    Ali Ridha


    Full Text Available Abdominal actinomycosis is a rare infectious disease, caused by gram positive anaerobic bacteria, that may appear as an abdominal mass and/or abscess (Wagenlehner et al. 2003. This paper presents an unusual case of a hemodynamically stable 80-year-old man who presented to the emergency department with 4 weeks of worsening abdominal pain and swelling. He also complains of a 20-bound weight loss in 2 months. A large tender palpable mass in the right upper quadrant was noted on physical exam. Laboratory studies showed a normal white blood cell count, slightly decreased hemoglobin and hematocrit, and mildly elevated total bilirubin and alkaline phosphatase. A CT with contrast was done and showed a liver mass. Radiology and general surgery suspected malignancy and recommended CT guided biopsy. The sample revealed abundant neutrophils and gram positive rods. Cytology was negative for malignancy and cultures eventually grew actinomyces. High dose IV penicillin therapy was given for 4 weeks and with appropriate response transitioned to oral antibiotic for 9 months with complete resolution of symptoms.

  20. Intra-Abdominal Actinomycosis Mimicking Malignant Abdominal Disease

    Oguejiofor, Njideka; Al-Abayechi, Sarah; Njoku, Emmanuel


    Abdominal actinomycosis is a rare infectious disease, caused by gram positive anaerobic bacteria, that may appear as an abdominal mass and/or abscess (Wagenlehner et al. 2003). This paper presents an unusual case of a hemodynamically stable 80-year-old man who presented to the emergency department with 4 weeks of worsening abdominal pain and swelling. He also complains of a 20-bound weight loss in 2 months. A large tender palpable mass in the right upper quadrant was noted on physical exam. Laboratory studies showed a normal white blood cell count, slightly decreased hemoglobin and hematocrit, and mildly elevated total bilirubin and alkaline phosphatase. A CT with contrast was done and showed a liver mass. Radiology and general surgery suspected malignancy and recommended CT guided biopsy. The sample revealed abundant neutrophils and gram positive rods. Cytology was negative for malignancy and cultures eventually grew actinomyces. High dose IV penicillin therapy was given for 4 weeks and with appropriate response transitioned to oral antibiotic for 9 months with complete resolution of symptoms. PMID:28299215

  1. The Complexity of Background Clutter Affects Nectar Bat Use of Flower Odor and Shape Cues.

    Nathan Muchhala

    Full Text Available Given their small size and high metabolism, nectar bats need to be able to quickly locate flowers during foraging bouts. Chiropterophilous plants depend on these bats for their reproduction, thus they also benefit if their flowers can be easily located, and we would expect that floral traits such as odor and shape have evolved to maximize detection by bats. However, relatively little is known about the importance of different floral cues during foraging bouts. In the present study, we undertook a set of flight cage experiments with two species of nectar bats (Anoura caudifer and A. geoffroyi and artificial flowers to compare the importance of shape and scent cues in locating flowers. In a training phase, a bat was presented an artificial flower with a given shape and scent, whose position was constantly shifted to prevent reliance on spatial memory. In the experimental phase, two flowers were presented, one with the training-flower scent and one with the training-flower shape. For each experimental repetition, we recorded which flower was located first, and then shifted flower positions. Additionally, experiments were repeated in a simple environment, without background clutter, or a complex environment, with a background of leaves and branches. Results demonstrate that bats visit either flower indiscriminately with simple backgrounds, with no significant difference in terms of whether they visit the training-flower odor or training-flower shape first. However, in a complex background olfaction was the most important cue; scented flowers were consistently located first. This suggests that for well-exposed flowers, without obstruction from clutter, vision and/or echolocation are sufficient in locating them. In more complex backgrounds, nectar bats depend more heavily on olfaction during foraging bouts.

  2. The Diagnostic Value of Intra-abdominal Pressure in Patients with Blunt Acute Abdominal Trauma

    Huseyin Narci


    Full Text Available Purpose:The objective of this study was to determine the diagnostic value of intra-abdominal pressure measurement in blunt abdominal trauma patients. Method: A prospective study was performed in 49 patients with blunt trauma in our university hospital for 1 years. Patients were randomly into two groups as intra-abdominal trauma (n=28 and extraabdominal trauma (n=21 groups. Intra-abdominal pressures was measured an classified as normal (10 cm H2O or less, elevated (more than 10 cm H2O determined indirectly. Results: No significant differences were found between abdominal trauma and extra-abdominal trauma groups from the point of intra-abdominal pressure (IAP. One the other hand, in abdominal trauma group; significant differences were observed between operated patients. Intra-abdominal bleeding was found in 10 patients and all of them elevated IAP values (exceeding 16 cm H2O. For determining the intra-abdominal injury, IAP had a sensitivity of 93%, specificity 38% in patients. Conclusion: IAP exceeding 16 cm H2O with blunt abdominal trauma patients abdominal trauma can be detected. It is thought that IAP, indirect monitoring of abdominal trauma patients is a reproducible, scientific guide and simple method.To determine the efficacy of the measurement of intra-abdominal pressure in blunt abdominal trauma patients, further studies should be done. [Cukurova Med J 2012; 37(3.000: 157-161

  3. Acupuncture Treatment of Abdominal Pain



    @@ Case History Mr. Li, a university student aged 23 years, paid his first visit on July 16, 2001, with the chief complaint of abdominal pain for one day. The patient stated that one day before when it happened to be the weekend, he got abdominal pain after supper, which went worse gradually and caused him to roll all over in bed. The pain was slightly alleviated half an hour later after he had taken some pain killers. Upon inquiry, the patient said that because of their newly graduation from the university, he and his classmates were so excited that they went to have a sumptuous lunch with alcoholic drinks. And in the evening he ate again a delicious supper cooked for him by his mother, after which he continued to have some fruit and dessert.

  4. Abdominal wound closure: current perspectives

    Williams ZF


    Full Text Available Zachary F Williams, William W Hope Department of Surgery, South East Area Health Education Center, New Hanover Regional Medical Center, Wilmington, NC, USA Abstract: This review examines both early and late wound complications following laparotomy closure, with particular emphasis on technical aspects that reduce hernia formation. Abdominal fascial closure is an area of considerable variation within the field of general surgery. The formation of hernias following abdominal wall incisions continues to be a challenging problem. Ventral hernia repairs are among the most common surgeries performed by general surgeons, and despite many technical advances in the field, incisional hernia rates remain high. Much attention and research has been directed to the surgical management of hernias. Less focus has been placed on prevention of hernia formation despite its obvious importance. This review examines the effects of factors such as the type of incision, suture type and size, closure method, patient risk factors, and the use of prophylactic mesh. Keywords: incisional, abdominal, hernia, prevention, wound closure techniques 

  5. The Effect of Abdominal Support on Functional Outcomes in Patients Following Major Abdominal Surgery: A Randomized Controlled Trial

    Cheifetz, Oren; Overend, Tom J.; Crowe, Jean


    ABSTRACT Purpose: Immobility and pain are modifiable risk factors for development of venous thromboembolism and pulmonary morbidity after major abdominal surgery (MAS). The purpose of this study was to investigate the effect of abdominal incision support with an elasticized abdominal binder on postoperative walk performance (mobility), perceived distress, pain, and pulmonary function in patients following MAS. Methods: Seventy-five patients scheduled to undergo MAS via laparotomy were randomized to experimental (binder) or control (no binder) groups. Sixty (33 male, 27 female; mean age 58±14.9 years) completed the study. Preoperative measurements of 6-minute walk test (6MWT) distance, perceived distress, pain, and pulmonary function were repeated 1, 3, and 5 days after surgery. Results: Surgery was associated with marked postoperative reductions (p<0.001) in walk distance (∼75–78%, day 3) and forced vital capacity (35%, all days) for both groups. Improved 6MWT distance by day 5 was greater (p<0.05) for patients wearing a binder (80%) than for the control group (48%). Pain and symptom-associated distress remained unchanged following surgery with binder usage, increasing significantly (p<0.05) only in the no binder group. Conclusion: Elasticized abdominal binders provide a non-invasive intervention for enhancing recovery of walk performance, controlling pain and distress, and improving patients' experience following MAS. PMID:21629603

  6. Urgent Abdominal Re-Explorations

    Peskersoy Mustafa


    Full Text Available Abstract Background Treatment of a number of complications that occur after abdominal surgeries may require that Urgent Abdominal Re-explorations (UARs, the life-saving and obligatory operations, are performed. The objectives of this study were to evaluate the reasons for performing UARs, outcomes of relaparotomies (RLs and factors that affect mortality. Methods Demographic characteristics; initial diagnoses; information from and complications of the first surgery received; durations and outcomes of UAR(s performed in patients who received early RLs because of complicated abdominal surgeries in our clinic between 01.01.2000 and 31.12.2004 were investigated retrospectively. Statistical analyses were done using the chi-square and Fisher exact tests. Results Early UAR was performed in 81 out of 4410 cases (1.8%. Average patient age was 50.46 (13–81 years with a male-to-female ratio of 60/21. Fifty one (62.96% patients had infection, 41 (50.61% of them had an accompanying serious disease, 24 (29.62% of them had various tumors and 57 (70.37% patients were operated under emergency conditions during first operation. Causes of urgent abdominal re-explorations were as follows: leakage from intestinal repair site or from anostomosis (n:34; 41.97%; hemorrhage (n:15; 18.51%; intestinal perforation (n:8; 9.87%; intraabdominal infection or abscess (n:8; 9.87%; progressive intestinal necrosis (n:7; 8.64%; stomal complications (n:5; 6.17%; and postoperative ileus (n:4; 4.93%. Two or more UARs were performed in 18 (22.22% cases, and overall mortality was 34.97% (n:30. Interval between the first laparotomy and UAR averaged as 6.95 (1–20 days, and average hospitalization period was 27.1 (3–78 days. Mortality rate was found to be higher among the patients who received multiple UARs. The most common (55.5% cause of mortality was sepsis/multiple organ failure (MOF. The rates for common mortality and sepsis/MOF-dependent mortality that occured following UAR were

  7. Non-traumatic abdominal emergencies: imaging and intervention in sepsis

    Lee, M.J. [Department of Radiology, Beaumont Hospital and the Royal College of Surgeons Medical, Beaumont Road, Dublin 9 (Ireland)


    Cross-sectional imaging, in particular CT, has become the main method of detecting abdominal collections. Indium-labelled white-cell scintigraphy and gallium scintigraphy are reserved for patients in whom there is a high clinical suspicion of abdominal sepsis but CT has not revealed a source of sepsis. Scintigraphy is also used in patients with suspected vascular graft infections or suspected infected hip prostheses. Percutaneous abscess drainage (PAD) has revolutionised the treatment of abdominal abscesses over the past 20 years, with repeat laparotomy for postoperative abscesses becoming a rare event. Ultrasound or CT can be used to guide PAD. Choosing an access route that does not cross intervening organs is of crucial importance to the safe performance of PAD. The Trocar or Seldinger techniques can be used with equal success. The cavity should be aspirated until dry and irrigated with saline. Repeat imaging after drainage is helpful to detect any undrained locules. PAD endpoints include patient defervescence, reduction in white blood cell count and catheter drainage of less than 10 ml per day. Details regarding PAD in specific abdominal regions are discussed. Success rates for PAD are high (close to 90%) in most abdominal organs. Slightly lower success rates are seen with PAD of pancreatic abscesses and abscesses associated with fistulas (60-85% success rates). Complication rates lie between 0% and 10%. Complications can be minimised by ensuring that the patient has broad spectrum antibiotic coverage before drainage, by carefully planning the access route and by ensuring diligent post-procedure care by radiology staff. (orig.)

  8. Postoperative intussusception in pediatric abdominal malignancies: early diagnosis and management

    Maged M. Elshafiey; Gehad T. Meselhy; Amal Refaat; Alaa A. Younes


    Objective: The aim of this study was to review the incidence of postoperative intussusception (POI) in our patients with pediatric abdominal malignancies and the end result of management of these cases. Methods: From November2007 till the end of December 2011, a total of 538 patients with different abdominal malignancies were operated upon by laparotomies in our hospital. Reoperations were required in 12 patients for post operative intestinal obstruction developed in the 1st postoperative month. Review of the identified cases focused on patient's characteristics, the primary tumor type, the primary surgical procedure, clinical and imaging features of the intussusceptions, timing and findings at the 2nd laparotomy and the end result of subsequent interventions. Results: Early post operative intestinal obstruction (within 1 month) developed in 12 patients of whom 8 patients had POI. Five patients had adhesive intestinal obstruction (one patient developed POI then adhesive obstruction). The median duration between the primary surgery and the onset of intestinal obstruction symptoms was 5 days (range 4-12 days) in the POI group and 24 days (range 10-30 days) in the adhesion group. Abdominal CT was done in all cases and it could properly diagnose POI and detect its site in the POI group while in the adhesion group it showed evidence of complete obstruction. Plain radiograph failed to detect signs of intestinal obstruction in 3 cases (two in the POI group and one in the adhesion group). In POI group simple reduction was done in 7 cases while resection anastmosis was done in 1 case due to gangrene of the ileocecal region. Adhesiolysis was done in the 5 cases of intestinal adhesion group.Conclusion: Early POI in pediatric abdominal cancer is a rare complication; however it should be kept in mind with high index of suspicion. Early diagnosis and intervention is essential for successful management. Abdominal CT is very helpful as it can detect the level and possible cause of

  9. Design of a Demonstrator of an Adaptive steerable Antenna system for removal of Interference, clutter, Jammer based on AWG &VSA

    M Chakraborty


    Full Text Available Interfering, clutter and jamming systems are becoming an increasing concern to the military and security industries worldwide. To overcome these problems phase array antennas and adaptive beam forming systems offers a potential solution. STAP is an application of optimum and adaptive array processing algorithms to the radar problem of target detection in ground clutter and interference with pulse-Doppler waveforms.In this paper we have presented our work of designing a MVDR beam former receiver using AWG and VSA. The minimumvariance distortion less response (MVDR approach is very popular technic in array processing that generates some mean square error or values. When these values fed to the phase array antenna system results in electronic steering of antenna beam according to the weight vector generated.

  10. Abdominal acupuncture reduces laser-evoked potentials in healthy subjects

    Pazzaglia, C.; Liguori, S.; Minciotti, I.


    Objective: Acupuncture is known to reduce clinical pain, although the exact mechanism is unknown. The aim of the current study was to investigate the effect of acupuncture on laser-evoked potential amplitudes and laser pain perception. Methods: In order to evaluate whether abdominal acupuncture...... is able to modify pain perception, 10 healthy subjects underwent a protocol in which laser-evoked potentials (LEPs) and laser pain perception were collected before the test (baseline), during abdominal acupuncture, and 15. min after needle removal. The same subjects also underwent a similar protocol...... in which, however, sham acupuncture without any needle penetration was used. Results: During real acupuncture, both N1 and N2/P2 amplitudes were reduced, as compared to baseline (p . < 0.01). The reduction lasted up to 15. min after needle removal. Furthermore, laser pain perception was reduced during...

  11. Pathogenesis of Intra-abdominal and pelvic adhesion development.

    Imudia, Anthony N; Kumar, Sanjeev; Saed, Ghassan M; Diamond, Michael P


    Abdominal and pelvic adhesions are a frequent occurrence and are responsible for significant morbidity resulting in abdominal and pelvic pain, infertility, and small bowel obstruction. The process of adhesion development begins when damage to peritoneal surfaces from any source (operative trauma, infection, foreign bodies, desiccation, irradiation, allergic reaction, or chemical injury) induces a series of biochemical/molecular biologic cascades involving different elements. These elements include peritoneal fluid, neutrophils, leukocytes, macrophages, cytokines, mesothelial cells, and tissue and coagulation factors, which teleologically have the intention of peritoneal repair; however, these processes also result in adhesion development. Major pathways that play significant roles in the healing process of peritoneal damage leading to adhesion development are the fibrinolytic system, extracellular matrix deposition, growth factor and cytokines, cell adhesion molecules, angiogenesis, apoptosis and proliferation, and remesothelialization. Greater understanding of the regulation and interaction of these processes provides the potential for reduction of postoperative adhesion development.

  12. Peritoneoscopy of the liver after abdominal surgery.



    Full Text Available The incidence of intraperitoneal adhesion after abdominal surgery was studied. Peritoneoscopy was performed in 933 patients with liver diseases over the 6 year 5 month period from March 1974 to July 1980. Of the patients, 352 (37.7% had undergone an abdominal operation, and intraperitoneal adhesion was detected in 205 (58.2% of these patients. The liver was not observable in 5 out of 61 patients with adhesions after upper abdominal operations. Whereas, the liver was clearly observable in patients with lower abdominal operations in spite of adhesions. Out of the 581 patients without any abdominal operations, 30 patients (5.2% had adhesions in the abdominal cavity, and 6 of them had extensive adhesions that partially obscured the observation of liver surface. In all patients, peritoneoscopy was performed without complications by avoiding the surgical scar for puncture sites and ensuring a free air lumen before trocar puncture.

  13. Abdominal compartment syndrome. Interesting aspects.

    Nicolás Rubio Silveira


    Full Text Available The management of the abdominal compartiment syndrome is still a controversial point nowadays. Its early diagnosis and treatment constitute a challenge for surgeons and physicians at the intensive care unit who have to face these cases . The physiopathologic changes that can occur can lead to the patients death, constituting pulmonary thromboembolism and multiorgan failure the principal causes of death. This paper presents the principal clinical parameters and technical procedures for its diagnosis and treatment with the aim of diminishing its morbi-mortality raits in our hospitals

  14. [Internationalization and innovation of abdominal acupuncture].

    Wang, Yong-Zhou


    Characteristics of abdominal acupuncture are analyzed through three aspects of inheriting and innovation, collaborated research as well as international visual field. It is pointed that abdominal acupuncture is based on clinical practice, focuses on enhancing the therapeutic effect and expending the clinical application. It also promots the thinking on how to recall the tradition and how to inherit tradition availably. The modern medical problems should be studied and innovation resolutions should be searched, which can help the internationalization and modernization of abdominal acupuncture.

  15. Clinical profile of abdominal tuberculosis in children

    Ira Shah; Ramya Uppuluri


    Aim: A retrospective study was conducted in children, suffering from abdominal TB, attending Pediatric TB clinic from 2007 to 2009. Materials And Methods: Age-wise distribution and type of abdominal TB were analyzed with clinical features. Results : Out of 285 children with TB, 32 (11.2%) had abdominal tuberculosis. Male: Female ratio was 2.1:1. 7 (21.9%) children were 10 years of age. The most comm...

  16. Dynamic EMI sensor platform for digital geophysical mapping and automated clutter rejection for CONUS and OCONUS applications

    Laudato, Stephen J.; Schultz, Gregory; Keranen, Joe; Miller, Jonathan S.


    The implementation of new advanced electromagnetic induction (EMI) sensor surveys at sites containing unexploded ordnance (UXO) and explosive remnants of war (ERW) is an effective method for accurate mapping and for discriminating clutter from targets of interest. We present development and integration of a next generation advanced EMI sensor onto a cart-based sensing platform to combine the mapping capability of previous digital geophysical survey instruments with the high-resolution discrimination capability of advanced characterization arrays. The EMI sensor employs a multi-axis receiver configuration to produce data sufficient for anomaly discrimination. We discuss platform design and development, data acquisition and post-processing software development, and results from field tests demonstrating the detection and discrimination capability of the cart-based system. Platform development and design focused on navigation and EMI sensor integration onto a custom, low-noise, metal-free platform. Data acquisition is via an Android application with emphasis on ease-of-use and real-time quality control (QC) of collected data. Post-processing methods emphasize QC, inversion-based anomaly location estimation, and automated or supervised polarizability-based discrimination methods to produce a prioritized dig list. Integration of the detection, clutter rejection and QC methods into the post-processing software module reduces the time required between sensor data collection and generation of a prioritized dig list. System concept of operations (CONOPs), data collection, QC, data processing procedures, and performance against various clutter objects and targets of interest will also be discussed.

  17. The application of the multifractal cross-correlation analysis methods in radar target detection within sea clutter

    Xi, Caiping; Zhang, Shuning; Xiong, Gang; Zhao, Huichang; Yang, Yonghong


    Many complex systems generate multifractal time series which are long-range cross-correlated. This paper introduces three multifractal cross-correlation analysis methods, such as multifractal cross-correlation analysis based on the partition function approach (MFXPF), multifractal detrended cross-correlation analysis (MFDCCA) methods based on detrended fluctuation analysis (MFXDFA) and detrended moving average analysis (MFXDMA), which only consider one moment order. We do comparative analysis of the artificial time series (binomial multiplicative cascades and Cantor sets with different probabilities) by these methods. Then we do a feasibility test of the fixed threshold target detection within sea clutter by applying the multifractal cross-correlation analysis methods to the IPIX radar sea clutter data. The results show that it is feasible to use the method of the fixed threshold based on the multifractal feature parameter Δf(α) by the MFXPF and MFXDFA-1 methods. At last, we give the main conclusions and provide a valuable reference on how to choose the multifractal algorithms, the detection parameters and the target detection methods within sea clutter in practice.

  18. Expertise Effects in Face-Selective Areas are Robust to Clutter and Diverted Attention, but not to Competition.

    McGugin, Rankin Williams; Van Gulick, Ana E; Tamber-Rosenau, Benjamin J; Ross, David A; Gauthier, Isabel


    Expertise effects for nonface objects in face-selective brain areas may reflect stable aspects of neuronal selectivity that determine how observers perceive objects. However, bottom-up (e.g., clutter from irrelevant objects) and top-down manipulations (e.g., attentional selection) can influence activity, affecting the link between category selectivity and individual performance. We test the prediction that individual differences expressed as neural expertise effects for cars in face-selective areas are sufficiently stable to survive clutter and manipulations of attention. Additionally, behavioral work and work using event related potentials suggest that expertise effects may not survive competition; we investigate this using functional magnetic resonance imaging. Subjects varying in expertise with cars made 1-back decisions about cars, faces, and objects in displays containing one or 2 objects, with only one category attended. Univariate analyses suggest car expertise effects are robust to clutter, dampened by reducing attention to cars, but nonetheless more robust to manipulations of attention than competition. While univariate expertise effects are severely abolished by competition between cars and faces, multivariate analyses reveal new information related to car expertise. These results demonstrate that signals in face-selective areas predict expertise effects for nonface objects in a variety of conditions, although individual differences may be expressed in different dependent measures depending on task and instructions.

  19. Techniques for Clutter Suppression in the Presence of Body Movements during the Detection of Respiratory Activity through UWB Radars

    Antonio Lazaro


    Full Text Available This paper focuses on the feasibility of tracking the chest wall movement of a human subject during respiration from the waveforms recorded using an impulse-radio (IR ultra-wideband radar. The paper describes the signal processing to estimate sleep apnea detection and breathing rate. Some techniques to solve several problems in these types of measurements, such as the clutter suppression, body movement and body orientation detection are described. Clutter suppression is achieved using a moving averaging filter to dynamically estimate it. The artifacts caused by body movements are removed using a threshold method before analyzing the breathing signal. The motion is detected using the time delay that maximizes the received signal after a clutter removing algorithm is applied. The periods in which the standard deviations of the time delay exceed a threshold are considered macro-movements and they are neglected. The sleep apnea intervals are detected when the breathing signal is below a threshold. The breathing rate is determined from the robust spectrum estimation based on Lomb periodogram algorithm. On the other hand the breathing signal amplitude depends on the body orientation respect to the antennas, and this could be a problem. In this case, in order to maximize the signal-to-noise ratio, multiple sensors are proposed to ensure that the backscattered signal can be detected by at least one sensor, regardless of the direction the human subject is facing. The feasibility of the system is compared with signals recorded by a microphone.

  20. Different Anti-Contractile Function and Nitric Oxide Production of Thoracic and Abdominal Perivascular Adipose Tissues.

    Victorio, Jamaira A; Fontes, Milene T; Rossoni, Luciana V; Davel, Ana P


    Divergent phenotypes between the perivascular adipose tissue (PVAT) surrounding the abdominal and the thoracic aorta might be implicated in regional aortic differences, such as susceptibility to atherosclerosis. Although PVAT of the thoracic aorta exhibits anti-contractile function, the role of PVAT in the regulation of the vascular tone of the abdominal aorta is not well defined. In the present study, we compared the anti-contractile function, nitric oxide (NO) availability, and reactive oxygen species (ROS) formation in PVAT and vessel walls of abdominal and thoracic aorta. Abdominal and thoracic aortic tissue from male Wistar rats were used to perform functional and molecular experiments. PVAT reduced the contraction evoked by phenylephrine in the absence and presence of endothelium in the thoracic aorta, whereas this anti-contractile effect was not observed in the abdominal aorta. Abdominal PVAT exhibited a reduction in endothelial NO synthase (eNOS) expression compared with thoracic PVAT, without differences in eNOS expression in the vessel walls. In agreement with this result, NO production evaluated in situ using 4,5-diaminofluorescein was less pronounced in abdominal compared with thoracic aortic PVAT, whereas no significant difference was observed for endothelial NO production. Moreover, NOS inhibition with L-NAME enhanced the phenylephrine-induced contraction in endothelial-denuded rings with PVAT from thoracic but not abdominal aorta. ROS formation and lipid peroxidation products evaluated through the quantification of hydroethidine fluorescence and 4-hydroxynonenal adducts, respectively, were similar between PVAT and vessel walls from the abdominal and thoracic aorta. Extracellular superoxide dismutase (SOD) expression was similar between the vessel walls and PVAT of the abdominal and thoracic aorta. However, Mn-SOD levels were reduced, while CuZn-SOD levels were increased in abdominal PVAT compared with thoracic aortic PVAT. In conclusion, our results

  1. Abdominal Pain in the Geriatric Patient.

    Magidson, Phillip D; Martinez, Joseph P


    With an aging population, emergency department clinicians can expect an increase in geriatric patients presenting with abdominal pain. Compared with younger patients, this patient population is less likely to present with classic symptoms, physical examination findings, and laboratory values of abdominal disease. However, the morbidity and mortality associated with elderly patients presenting with abdominal pathologic conditions are significant. For this reason, the clinician must be familiar with some subtle and not so subtle differences when caring for the geriatric patient with abdominal pain to ensure timely diagnosis and appropriate treatment.

  2. Abdominal migraine in childhood: a review

    Scicchitano B


    Full Text Available Beatrice Scicchitano,1 Gareth Humphreys,1 Sally G Mitton,2 Thiagarajan Jaiganesh1 1Children's Emergency Department, 2Department of Paediatric Gastroenterology, St Georges Hospital, St Georges Healthcare NHS Trust, Tooting, London, United Kingdom Abstract: The childhood condition of abdominal migraine has been described under many different synonyms, including "abdominal epilepsy", "recurrent abdominal pain", "cyclical vomiting syndrome", and "functional gastrointestinal disorder". In the early literature, abdominal migraine is included in the "childhood periodic syndrome", first described by Wyllie and Schlesinger in 1933. Abdominal migraine has emerged over the last century as a diagnostic entity in its own right thanks to the development of well defined diagnostic criteria and its recent inclusion in the International Headache Society's Classification of Headache disorders. Despite this progress, little is known about the pathophysiology of the condition, and the treatment options are poorly defined. Here we summarize the recent literature, with particular focus on establishing the diagnosis of abdominal migraine and its pathophysiology, and suggest an approach to management. Keywords: abdominal migraine, recurrent abdominal pain, abdominal epilepsy, cyclical vomiting

  3. Percutaneous drainage of abdominal abcess

    Men, Sueleyman E-mail:; Akhan, Okan; Koeroglu, Mert


    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 have been described to drain pelvic abscesses include transrectal or transvaginal approach with sonographic guidance, a transgluteal, paracoccygeal-infragluteal, or perineal approach through the greater sciatic foramen with CT guidance. Both the renal and the perirenal abscesses are amenable to percutaneous drainage. Percutaneous drainage provides an effective and safe alternative to more invasive surgical drainage in most patients with psoas abscesses as well.

  4. MR angiography in abdominal neoplasms

    Squillaci, E. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Crecco, M. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Grandinetti, M.L. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Maspes, F. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Lo Presti, G. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy); Squillaci, S. [Dept. of Radiology, Cancer Research Inst. (Regina Elena), Rome (Italy); Simonetti, G. [Dept. of Radiology, Rome-2 Univ., Hospital S. Eugenio, Rome (Italy)


    The role of magnetic resonance angiography (MRA) in the evaluation of vascular involvement was studied in 55 patients with abdominal neoplasms. A 2-D time-of-flight (TOF) technique was used in all patients. All patients underwent CT and MR examinations before MRA. Also, MR angiograms were compared with digital subtraction angiography in 22 cases, with Doppler US in 13 cases, and with surgical findings in 20 cases. In all patients with liver neoplasms (n=29) MRA demonstrated the absence of flow in the infiltrated segments. Pericapsular neovascularization was observed in 12 patients. Portal vein involvement was correctly detected in 27 patients. In all cases MRA demonstrated in relationship between the tumor and venous structures. Portosystemic shunts were visualized in 20 of 21 patients with portal hypertension. Vena cava thrombosis (3 cases), compression (5 cases), and displacement (2 cases) were correctly demonstrated. In renal (n=6) and adrenal gland (n=3) tumors renal vein compression was correctly detected in 2 cases, displacement in 1 case, and thrombosis in 3 cases, with only 1 false-positive finding. In 7 patients with pancreatic tumors MRA demonstrated splenic vein thrombosis in 2 cases and compression in 2 cases, with one false-positive finding. Our results indicate that MRA provides precise information regarding venous vascular involvement in abdominal neoplasms, but preoperative arterial mapping is still problematic. (orig.)

  5. Bistatic, above-critical angle scattering measurements of fully buried unexploded ordnance (UXO) and clutter.

    Waters, Z J; Simpson, H J; Sarkissian, A; Dey, S; Houston, B H; Bucaro, J A; Yoder, T J


    Laboratory grade bistatic scattering measurements are conducted in order to examine the acoustic response of realistic fully buried unexploded ordnance (UXO) from above-critical angle insonification, between 2 and 40 kHz. A 127 mm diameter rocket UXO, a 155 mm diameter artillery shell, a natural rock of approximately the same size, and a cinder block are fully buried in water-saturated medium grained sand (mean grain diameter, 240 μm) at depths of 10 cm below the water-sediment interface. A two-dimensional array of bistatic scattering measurements is generated synthetically by scanning a single hydrophone in steps of 3 cm over a 1 m × 1 m patch directly above the targets at a height of 20 cm above the water-sediment interface. Three-dimensional volumetric acoustic images generated from the return waveforms reveal scattering components attributed to geometric and elastic scattering, as well as multiple-scattering interactions of returns between the sediment-water interface and the buried objects. The far-field target strength of the objects is estimated through extrapolation of the angular spectrum. Agreement is found between experimental data and simulated data generated from a finite-element-based, three-dimensional time-harmonic model (2-25 kHz). Separation of the measured UXO from the clutter objects is demonstrated through exploitation of structural-acoustics-based features.

  6. Audio-visual speech timing sensitivity is enhanced in cluttered conditions.

    Warrick Roseboom

    Full Text Available Events encoded in separate sensory modalities, such as audition and vision, can seem to be synchronous across a relatively broad range of physical timing differences. This may suggest that the precision of audio-visual timing judgments is inherently poor. Here we show that this is not necessarily true. We contrast timing sensitivity for isolated streams of audio and visual speech, and for streams of audio and visual speech accompanied by additional, temporally offset, visual speech streams. We find that the precision with which synchronous streams of audio and visual speech are identified is enhanced by the presence of additional streams of asynchronous visual speech. Our data suggest that timing perception is shaped by selective grouping processes, which can result in enhanced precision in temporally cluttered environments. The imprecision suggested by previous studies might therefore be a consequence of examining isolated pairs of audio and visual events. We argue that when an isolated pair of cross-modal events is presented, they tend to group perceptually and to seem synchronous as a consequence. We have revealed greater precision by providing multiple visual signals, possibly allowing a single auditory speech stream to group selectively with the most synchronous visual candidate. The grouping processes we have identified might be important in daily life, such as when we attempt to follow a conversation in a crowded room.

  7. Reinforcement Learning with Autonomous Small Unmanned Aerial Vehicles in Cluttered Environments

    Tran, Loc; Cross, Charles; Montague, Gilbert; Motter, Mark; Neilan, James; Qualls, Garry; Rothhaar, Paul; Trujillo, Anna; Allen, B. Danette


    We present ongoing work in the Autonomy Incubator at NASA Langley Research Center (LaRC) exploring the efficacy of a data set aggregation approach to reinforcement learning for small unmanned aerial vehicle (sUAV) flight in dense and cluttered environments with reactive obstacle avoidance. The goal is to learn an autonomous flight model using training experiences from a human piloting a sUAV around static obstacles. The training approach uses video data from a forward-facing camera that records the human pilot's flight. Various computer vision based features are extracted from the video relating to edge and gradient information. The recorded human-controlled inputs are used to train an autonomous control model that correlates the extracted feature vector to a yaw command. As part of the reinforcement learning approach, the autonomous control model is iteratively updated with feedback from a human agent who corrects undesired model output. This data driven approach to autonomous obstacle avoidance is explored for simulated forest environments furthering autonomous flight under the tree canopy research. This enables flight in previously inaccessible environments which are of interest to NASA researchers in Earth and Atmospheric sciences.

  8. A patterned and un-patterned minefield detection in cluttered environments using Markov marked point process

    Trang, Anh; Agarwal, Sanjeev; Regalia, Phillip; Broach, Thomas; Smith, Thomas


    A typical minefield detection approach is based on a sequential processing employing mine detection and false alarm rejection followed by minefield detection. The current approach does not work robustly under different backgrounds and environment conditions because target signature changes with time and its performance degrades in the presence of high density of false alarms. The aim of this research will be to advance the state of the art in detection of both patterned and unpatterned minefield in high clutter environments. The proposed method seeks to combine false alarm rejection module and the minefield detection module of the current architecture by spatial-spectral clustering and inference module using a Markov Marked Point Process formulation. The approach simultaneously exploits the feature characteristics of the target signature and spatial distribution of the targets in the interrogation region. The method is based on the premise that most minefields can be characterized by some type of distinctive spatial distribution of "similar" looking mine targets. The minefield detection problem is formulated as a Markov Marked Point Process (MMPP) where the set of possible mine targets is divided into a possibly overlapping mixture of targets. The likelihood of the minefield depends simultaneously on feature characteristics of the target and their spatial distribution. A framework using "Belief Propagation" is developed to solve the minefield inference problem based on MMPP. Preliminary investigation using simulated data shows the efficacy of the approach.

  9. Great expectations: top-down attention modulates the costs of clutter and eccentricity.

    Steelman, Kelly S; McCarley, Jason S; Wickens, Christopher D


    An experiment and modeling effort examined interactions between bottom-up and top-down attentional control in visual alert detection. Participants performed a manual tracking task while monitoring peripheral display channels for alerts of varying salience, eccentricity, and spatial expectancy. Spatial expectancy modulated the influence of salience and eccentricity; alerts in low-probability locations engendered higher miss rates, longer detection times, and larger costs of visual clutter and eccentricity, indicating that top-down attentional control offset the costs of poor bottom-up stimulus quality. Data were compared to the predictions of a computational model of scanning and noticing that incorporates bottom-up and top-down sources of attentional control. The model accounted well for the overall pattern of miss rates and response times, predicting each of the observed main effects and interactions. Empirical results suggest that designers should expect the costs of poor bottom-up visibility to be greater for low expectancy signals, and that the placement of alerts within a display should be determined based on the combination of alert expectancy and response priority. Model fits suggest that the current model can serve as a useful tool for exploring a design space as a precursor to empirical data collection and for generating hypotheses for future experiments.

  10. Rule-Driven Object Tracking in Clutter and Partial Occlusion with Model-Based Snakes

    Rapantzikos Konstantinos


    Full Text Available In the last few years it has been made clear to the research community that further improvements in classic approaches for solving low-level computer vision and image/video understanding tasks are difficult to obtain. New approaches started evolving, employing knowledge-based processing, though transforming a priori knowledge to low-level models and rules are far from being straightforward. In this paper, we examine one of the most popular active contour models, snakes, and propose a snake model, modifying terms and introducing a model-based one that eliminates basic problems through the usage of prior shape knowledge in the model. A probabilistic rule-driven utilization of the proposed model follows, being able to handle (or cope with objects of different shapes, contour complexities and motions; different environments, indoor and outdoor; cluttered sequences; and cases where background is complex (not smooth and when moving objects get partially occluded. The proposed method has been tested in a variety of sequences and the experimental results verify its efficiency.

  11. Validating determinants for an alternate foot placement selection algorithm during human locomotion in cluttered terrain.

    Moraes, Renato; Allard, Fran; Patla, Aftab E


    The goal of this study was to validate dynamic stability and forward progression determinants for the alternate foot placement selection algorithm. Participants were asked to walk on level ground and avoid stepping, when present, on a virtual white planar obstacle. They had a one-step duration to select an alternate foot placement, with the task performed under two conditions: free (participants chose the alternate foot placement that was appropriate) and forced (a green arrow projected over the white planar obstacle cued the alternate foot placement). To validate the dynamic stability determinant, the distance between the extrapolated center of mass (COM) position, which incorporates the dynamics of the body, and the limits of the base of support was calculated in both anteroposterior (AP) and mediolateral (ML) directions in the double support phase. To address the second determinant, COM deviation from straight ahead was measured between adaptive and subsequent steps. The results of this study showed that long and lateral choices were dominant in the free condition, and these adjustments did not compromise stability in both adaptive and subsequent steps compared with the short and medial adjustments, which were infrequent and adversely affected stability. Therefore stability is critical when selecting an alternate foot placement in a cluttered terrain. In addition, changes in the plane of progression resulted in small deviations of COM from the endpoint goal. Forward progression of COM was maintained even for foot placement changes in the frontal plane, validating this determinant as part of the selection algorithm.

  12. A Low-Complexity Algorithm for Static Background Estimation from Cluttered Image Sequences in Surveillance Contexts

    Reddy Vikas


    Full Text Available Abstract For the purposes of foreground estimation, the true background model is unavailable in many practical circumstances and needs to be estimated from cluttered image sequences. We propose a sequential technique for static background estimation in such conditions, with low computational and memory requirements. Image sequences are analysed on a block-by-block basis. For each block location a representative set is maintained which contains distinct blocks obtained along its temporal line. The background estimation is carried out in a Markov Random Field framework, where the optimal labelling solution is computed using iterated conditional modes. The clique potentials are computed based on the combined frequency response of the candidate block and its neighbourhood. It is assumed that the most appropriate block results in the smoothest response, indirectly enforcing the spatial continuity of structures within a scene. Experiments on real-life surveillance videos demonstrate that the proposed method obtains considerably better background estimates (both qualitatively and quantitatively than median filtering and the recently proposed "intervals of stable intensity" method. Further experiments on the Wallflower dataset suggest that the combination of the proposed method with a foreground segmentation algorithm results in improved foreground segmentation.

  13. Uso da peritoneostomia na sepse abdominal Laparostomy in abdominal sepsis

    Juvenal da Rocha Torres Neto


    Full Text Available Dentre as modalidades terapêuticas da sepse abdominal, a peritoneostomia tem papel decisivo permitindo explorações e lavagens da cavidade de forma facilitada. Observamos pacientes com diagnóstico clínico de sepse abdominal internados no Serviço de Coloproctologia do Hospital Universitário da Universidade Federal de Sergipe, e que foram submetidos a peritoneostomia de janeiro de 2004 a janeiro de 2006. Foram avaliados quanto ao diagnóstico primário e secundário, tipo de peritonite secundária, antibioticoterapia, esquema de lavagens, tempo de peritoneostomia, complicações e desfecho. Estudamos 12 pacientes, com idade de 15 a 57, média de 39,3 anos. Diagnóstico primário: abdome agudo inflamatório em 6(50%, abdome agudo obstrutivo em 2(16,7%, abdome agudo perfurativo em 2(16,7%, fístula enterocutânea em 1(8,3% e abscesso intra-cavitário em 1(8,3%. Diagnóstico secundário: perfuração de cólon em 4(33,3%, abscessos intra-cavitários em 3(25%, deiscências de anastomoses em 3(25%, 1(8,3% com tumor perfurado de sigmóide e 1(8,3% com necrose de cólon abaixado. Peritonite fecal em 10(83,3% e purulenta em 2(16,7%. A antibioticoterapia teve duração média de 19 dias. Lavagens de demanda em 6(50%, programadas em 4(33,3% e regime misto em 2(16,7%. O tempo médio de peritoneostomia foi de 10,9 dias (1-36. Como complicações: evisceração em 2(16,7% e fistulização em 1(8,3%. Quatro pacientes evoluíram com óbito.Among the therapeutics approach form of abdominal sepsis, the laparostomy has a decisive role allowing cavity explorations and lavages in an easier way. We study patients with abdominal sepsis diagnoses admitted to our surgical service of Coloproctology form Sergipe´s Federal University Hospital who underwent a Bogotá Bag laparostomy associated or not with polypropylene mesh from January 2004 to January 2006. These patients were assessed as: first and second diagnosis; secondary peritonitis type; antibiotic

  14. Mesh repair of hernias of the abdominal wall

    W.W. Vrijland (Wietske)


    textabstractA hernia of the abdominal wall is a permanent or intermittent protrusion of abdominal contents outside the abdominal cavity through a defect in the abdominal wall. Approximately 75% of all hernias occur in the inguinal region. Other types of hernias of the ventral abdominal wall are inci

  15. Effect of abdominal irradiation on growth in boys treated for a Wilms' tumor

    Wallace, W.H.; Shalet, S.M.; Morris-Jones, P.H.; Swindell, R.; Gattamaneni, H.R. (Christie Hospital, Manchester (England))


    To study the effect of abdominal irradiation on spinal growth in childhood we have measured final height, sitting height, and leg length in 30 male survivors of a Wilms' tumor. Twenty-one patients received whole abdominal irradiation by either megavoltage therapy (MV: n = 11) or orthovoltage therapy (OV: n = 10); the remainder received flank irradiation. To examine the effect of the adolescent growth spurt on the irradiated spine we have followed prospectively seven patients who received whole abdominal irradiation and nine patients who received flank irradiation through puberty. Compared to a normal population there is a modest reduction in median final standing height SDS (H.SDS: -1.15) accompanied by a marked reduction in median final sitting height SDS (S.HT SDS: -2.41) with no apparent effect on median subischial leg length SDS (SILL.SDS: 0.04). This reduction in spinal growth is reflected by a strongly positive disproportion score (DPS; (SILL SDS-S.HT SDS) + 2.81). The incidence of scoliosis after abdominal irradiation has been low (10%). During puberty there is a significant fall in median sitting height SDS after both whole abdominal (median fall: -0.9, P = 0.02) and flank irradiation (median fall: -1.85, P = 0.01), and this is reflected in a significant increase in disproportion (DPS: whole abdominal; median rise +1.4, P = 0.02: flank, median rise +1.34, P = 0.01). After MV irradiation there is a significant correlation between the degree of disproportion and the age at treatment (P less than 0.0005). The younger the patient is at treatment the more severe is the restriction on spinal growth and the shorter and more disproportionate they become as an adult. The estimated eventual loss in potential height from abdominal irradiation at the age of one is 10 cm and at five years is 7 cm.

  16. Well Leg Compartment Syndrome After Abdominal Surgery

    Christoffersen, Jens Krogh; Hove, Lars Dahlgaard; Mikkelsen, Kim Lyngby;


    BACKGROUND: Well leg compartment syndrome (WLCS) is a complication to abdominal surgery. We aimed to identify risk factors for and outcome of WLCS in Denmark and literature. METHODS: Prospectively collected claims to the Danish Patient Compensation Association (DPCA) concerning WLCS after abdominal...

  17. Actinomycosis mimicking abdominal neoplasm. Case report

    Waaddegaard, P; Dziegiel, Morten Hanefeld


    In a patient with a 6-month history of nonspecific abdominal complaints, preoperative examination indicated malignant disease involving the right ovary, rectum and sigmoid, but laparotomy revealed abdominal actinomycosis. Removal of the ovary and low anterior colonic resection followed by penicil...

  18. Thoraco-abdominal aortic aneurysm branched repair

    Verhoeven, E. L. G.; Tielliu, I. F. J.; Ferreira, M.; Zipfel, B.; Adam, D. J.


    Open thoraco-abdominal aortic aneurysm repair is a demanding procedure with high impact on the patient and the operating team. Results from expert centres show mortality rates between 3-21%, with extensive morbidity including renal failure and paraplegia. Endovascular repair of abdominal aortic aneu


    Vijaya; Sarbeshwar; Gogoi


    BACKGROUND: Desmoid tumors are slow growing deep fibromatoses with aggressive infiltration of adjacent tissue but without any metastatic potential . (1,2,3) CASE PRESENTATION: We report a female patient with desmoid tumor of the abdominal wall over appendicectomy scar w ho underwent primary resection. Preoperative evaluation incl uded abdominal ultrasound, and computed tomography. The histology of this cases revealed a desmoid tumor. CONCLUSION: ...

  20. Acute spontaneous isolated dissection of abdominal aorta

    Ali Akbar beigi


    Full Text Available

    • Aortic dissection occurs when the layers of the aorta separate as a result of extra luminal cavity of blood through an intimal tear. Dissection limited to the abdominal aorta is rare. Unfortunately, the appropriate management of dissecting aneurysm of abdominal aorta is not documented yet. A 43 years old man was admitted to Al-zahra hospital in Isfahan with sudden onset of periumbilical abdominal pain. CT scan confirmed infrarenal dissection of abdominal aorta. Performing laparotomy, aorta was repaired using bifurcate collagen-coated Dacron graft. Surgical intervention with synthetic graft is recommended in patients with dissecting aortic aneurysm of infrarenal segments where the extent of dissection is limited and accessible.
    • Keywords: Aneurysm, Aortic dissection, Aortic aneurysm abdominal surgery.

  1. Pulmonary complications of abdominal wall defects.

    Panitch, Howard B


    The abdominal wall is an integral component of the chest wall. Defects in the ventral abdominal wall alter respiratory mechanics and can impair diaphragm function. Congenital abdominal wall defects also are associated with abnormalities in lung growth and development that lead to pulmonary hypoplasia, pulmonary hypertension, and alterations in thoracic cage formation. Although infants with ventral abdominal wall defects can experience life-threatening pulmonary complications, older children typically experience a more benign respiratory course. Studies of lung and chest wall function in older children and adolescents with congenital abdominal wall defects are few; such investigations could provide strategies for improved respiratory performance, avoidance of respiratory morbidity, and enhanced exercise ability for these children.

  2. Abdominal ultrasonography in the diagnostic work-up in children with recurrent abdominal pain

    Wewer, Anne Vibeke; Strandberg, C; Pærregaard, Anders;


    We report on our experience with routine abdominal ultrasonography in 120 children (aged 3-15 years) with recurrent abdominal pain, in order to determine the diagnostic value of this investigation. Eight children (7%) revealed sonographic abnormalities: gallbladder stone (n = 2), splenomegaly (n...... = 1) and urogenital abnormalities (n = 5). The recurrent abdominal pain could be explained by these findings in only two (may be three) cases. CONCLUSION: The diagnostic value of abdominal ultrasonography in unselected children with recurrent abdominal pain is low. However, the direct visualization...... of the abdominal structures as being normal may be helpful to the parents and the child in their understanding and acceptance of the benign nature of recurrent abdominal pain....

  3. Effects of aerobic versus resistance exercise without caloric restriction on abdominal fat, intrahepatic lipid, and insulin sensitivity in obese adolescent boys: a randomized, controlled trial

    The optimal exercise modality for reductions of abdominal obesity and risk factors for type 2 diabetes in youth is unknown. We examined the effects of aerobic exercise (AE) versus resistance exercise (RE) without caloric restriction on abdominal adiposity, ectopic fat, and insulin sensitivity and se...

  4. Mesh repair of hernias of the abdominal wall


    textabstractA hernia of the abdominal wall is a permanent or intermittent protrusion of abdominal contents outside the abdominal cavity through a defect in the abdominal wall. Approximately 75% of all hernias occur in the inguinal region. Other types of hernias of the ventral abdominal wall are incisional, umbilical, epigastric and Spigelian hernia. In chapter 1 an overview of hernias of the abdominal wall is described. The incidence, clinical implications and treatment options and their comp...

  5. Dynamic changes in thrombin generation in abdominal sepsis in mice.

    Wang, Yongzhi; Braun, Oscar O; Zhang, Su; Luo, Lingtao; Norström, Eva; Thorlacius, Henrik


    Systemic inflammatory response syndrome and severe infections are associated with major derangements in the coagulation system. The purpose of this study was to examine the dynamic alterations in thrombin generation in abdominal sepsis. Abdominal sepsis was induced by cecal ligation and puncture (CLP) in C57/Bl6 mice. Cecal ligation and puncture caused a systemic inflammatory response, with neutrophil recruitment and tissue damage in the lung as well as thrombocytopenia and leukocytopenia. Thrombin generation, coagulation factors, lung histology, and myeloperoxidase activity was determined 1, 3, 6, and 24 h after induction of CLP. It was found that thrombin generation was increased 1 h after CLP and that thrombin generation started to decrease at 3 h and was markedly reduced 6 and 24 h after CLP induction. Platelet-poor plasma from healthy mice could completely reverse the inhibitory effect of CLP on thrombin generation, suggesting that sepsis caused a decrease in the levels of plasma factors regulating thrombin generation in septic animals. Indeed, it was found that CLP markedly decreased plasma levels of prothrombin, factor V, and factor X at 6 and 24 h. Moreover, we observed that CLP increased plasma levels of activated protein C at 6 h, which returned to baseline levels 24 h after CLP induction. Finally, pretreatment with imipenem/cilastatin attenuated the CLP-evoked decrease in thrombin generation and consumption of prothrombin 24 h after CLP induction. Our novel findings suggest that thrombin generation is initially increased and later decreased in abdominal sepsis. Sepsis-induced reduction in thrombin generation is correlated to changes in the plasma levels of coagulation factors and activated protein C. These findings help explain the dynamic changes in global hemostasis in abdominal sepsis.

  6. [The influence of modern plasma substitutes on the course of abdominal compartment syndrome in patients with abdominal sepsis].

    Kursov, S V


    The changes of intra-abdominal pressure (IAP) were followed up in 244 patients with abdominal sepsis after operation. The influence of liquid "resuscitation" with different types of plasma substitutes on the rates of IAP was studied and the dependence of changes IAP from filling of vascular bed was investigated. The impedance technique was used to determine the circulating blood volume and its percentage from proper index was estimated according to the sex, age and constitution. The percentage of interstitial liquid in organism was calculated by analogy. The severity of manifestations of abdominal compartment syndrome (ACS) increases with the assessment of severity of the general condition to APACHE-II scale. The most severe ACS course was while using the crystalloid solutions in the complex of infusion therapy. The inclusion of colloids in the infusion therapy facilitated more full volume filling of vascular bed with the liquid, reduced the capillary leakage, accelerated the process of reduction of ACS. The advantage was shown by using the derivatives of hydroxyethylstarch, which promoted the elimination of deficiency of intravascular liquid in the best way.

  7. Core muscle size assessed by perioperative abdominal CT scan is related to mortality, postoperative complications, and hospitalization after major abdominal surgery

    Hasselager, Rune; Gögenur, Ismail


    to systematically review the literature where core muscle size measurements have been used for risk assessment of patients undergoing major abdominal surgery. METHODS: PubMed and EMBASE databases were searched for studies that investigated core muscle size measured with abdominal CT scans and outcomes after major...... abdominal surgery. RESULTS: Eight studies were found. Four studies investigated postoperative complications related to core muscle area. Three of these studies found significantly increased risk of complications related to low core muscle area. Three studies investigated length of hospitalization, and two......PURPOSE: Risk stratification of patients prior to surgery is important for reduction of postoperative morbidity and mortality. The frailty concept has been put forward as a good predictor of surgical outcomes. Sarcopenia (depletion of muscle mass) can be used to measure frailty. We aimed...

  8. Channel probe measurements for the American sector clutter experiment, January, 1994

    Fitzgerald, T.J.


    The ionospheric phenomenon called Equatorial Spread F encompasses a variety of effects associated with plasma irregularities occurring in the post-sunset and nighttime ionosphere near the magnetic equator. These irregularities can seriously degrade the performance of systems which involve either of necessity or inadvertently radio propagation through the equatorial ionosphere. One such system is Over-the-Horizon (OTH) radars which operate in the high-frequency (hf) band and use ionospheric reflection for forward and backscatter propagation to ranges of thousands of kilometers. When such radars are directed towards the equator, Spread F irregularities can cause scintillation effects which may be aliased into the ranges of interest and have the effect of causing, excess clutter in which targets may be hidden. In January, 1994 Los Alamos participated in a campaign to measure Spread F effects on OTH propagation from the United States looking towards South America in conjunction with local diagnostics in Peru. During the campaign Los Alamos fielded a 1600 km bistatic path between Piura, Peru, and Arequipa, Peru-, the one-hop reflection region for this path was near the magnetic equator, We obtained four types of measurements: an oblique ionogram between Piura and Arequipa every three minutes; Doppler spread and spatial correlation for a single frequency cw path between Piura and Arequipa; Doppler spread, time-delay spread, and spatial coherence for a 10 kHz bandwidth path between Piura and Arequipa-, and Doppler spread and time-delay spread for the one-way path between the AVA radar in New York and Arequipa, Peru. This report describes the diagnostic experiments that we carried out and gives a brief description of some of the data we obtained.

  9. Enabling UAV Navigation with Sensor and Environmental Uncertainty in Cluttered and GPS-Denied Environments

    Fernando Vanegas


    Full Text Available Unmanned Aerial Vehicles (UAV can navigate with low risk in obstacle-free environments using ground control stations that plan a series of GPS waypoints as a path to follow. This GPS waypoint navigation does however become dangerous in environments where the GPS signal is faulty or is only present in some places and when the airspace is filled with obstacles. UAV navigation then becomes challenging because the UAV uses other sensors, which in turn generate uncertainty about its localisation and motion systems, especially if the UAV is a low cost platform. Additional uncertainty affects the mission when the UAV goal location is only partially known and can only be discovered by exploring and detecting a target. This navigation problem is established in this research as a Partially-Observable Markov Decision Process (POMDP, so as to produce a policy that maps a set of motion commands to belief states and observations. The policy is calculated and updated on-line while flying with a newly-developed system for UAV Uncertainty-Based Navigation (UBNAV, to navigate in cluttered and GPS-denied environments using observations and executing motion commands instead of waypoints. Experimental results in both simulation and real flight tests show that the UAV finds a path on-line to a region where it can explore and detect a target without colliding with obstacles. UBNAV provides a new method and an enabling technology for scientists to implement and test UAV navigation missions with uncertainty where targets must be detected using on-line POMDP in real flight scenarios.

  10. Enabling UAV Navigation with Sensor and Environmental Uncertainty in Cluttered and GPS-Denied Environments.

    Vanegas, Fernando; Gonzalez, Felipe


    Unmanned Aerial Vehicles (UAV) can navigate with low risk in obstacle-free environments using ground control stations that plan a series of GPS waypoints as a path to follow. This GPS waypoint navigation does however become dangerous in environments where the GPS signal is faulty or is only present in some places and when the airspace is filled with obstacles. UAV navigation then becomes challenging because the UAV uses other sensors, which in turn generate uncertainty about its localisation and motion systems, especially if the UAV is a low cost platform. Additional uncertainty affects the mission when the UAV goal location is only partially known and can only be discovered by exploring and detecting a target. This navigation problem is established in this research as a Partially-Observable Markov Decision Process (POMDP), so as to produce a policy that maps a set of motion commands to belief states and observations. The policy is calculated and updated on-line while flying with a newly-developed system for UAV Uncertainty-Based Navigation (UBNAV), to navigate in cluttered and GPS-denied environments using observations and executing motion commands instead of waypoints. Experimental results in both simulation and real flight tests show that the UAV finds a path on-line to a region where it can explore and detect a target without colliding with obstacles. UBNAV provides a new method and an enabling technology for scientists to implement and test UAV navigation missions with uncertainty where targets must be detected using on-line POMDP in real flight scenarios.

  11. Effect of hemodialysis on intra-abdominal pressure Efeito da hemodiálise sobre a pressão intra-abdominal

    Roberta Fernandes Bonfim


    Full Text Available OBJECTIVE: To study the effect of hemodialysis on intra-abdominal pressure. METHODS: Five patients admitted between July and November of 2003 were evaluated in the intensive care unit. Intra-abdominal pressure was measured before and after hemodialysis, maintaining the ventilatory parameters except for PEEP (positive-end expiratory pressure. RESULTS: Intra-abdominal pressure was significantly reduced by hemodialysis in all the 5 patients. CONCLUSION: Hemodialysis significantly reduced intra-abdominal pressure in the 5 patients, an effect which could have influence over other organic systems. This reduction is related to the weight variation before and after hemodialysis, as well as to the loss of volume caused by this procedure.OBJETIVO: Pesquisar o efeito da hemodiálise sobre a pressão intra-abdominal. MÉTODOS: Foram avaliados cinco pacientes internados entre julho e novembro de 2003, na Unidade de Terapia Intensiva do Serviço de Nefrologia do Hospital das Clínicas de São Paulo. Mensurou-se a pressão intra-abdominal antes e após a hemodiálise, mantendo os parâmetros ventilatórios exceto a PEEP (positive end expiratory pressure. RESULTADOS: Constatou-se que a hemodiálise foi capaz de reduzir significativamente a PIA em cinco pacientes na Unidade de Terapia Intensiva CONCLUSÃO: A hemodiálise reduziu a pressão intra-abdominal numa amostra de cinco pacientes, de maneira significativa, o que poderia influenciar os demais sistemas orgânicos. Essa redução está relacionada com a variação de peso pré e pós-hemodiálise, e com a perda de volume promovida pelo procedimento.

  12. Radiologic findings of abdominal wall endometriosis

    Seo, Jung Wook [Inje Univ. Ilsan Paik Hospital, Goyang (Korea, Republic of)


    To evaluate the imaging findings of abdominal wall endometriosis. In seven of 17 patients with surgically proven endometriosis of the abdominal wall, we retrospectively reviewed the findings of radiologic studies such as abdominal US (n=3), CT (n=4), and MRI (n=1). One patient under went more than one type of imaging, apparently. The surgical history of the seven, and their symptoms and preoperative diagnosis were reviewed, and the size, location, margin and nature of the mass, and the contrast enhancement patterns observed at radiologic studies, were assessed. The chief symptoms were palpable abdominal wall mass (n=5) and lower abdominal pain (n=2) around a surgical scar. Previous surgery included cesarean section (n=5), cesarean section with oophorectomy (n=1) and appendectomy (n=1). Masses were located in the subcutaneous fat layer (n=5) or rectus abdominis muscle (n=2), and their maximum diameter was 2.6 cm. Imaging findings, which correlated closely with the pathologic findings, included a well (n=5) or poorly marginated (n=2) solid mass, with a focal cystic area apparent in two cases. Although imaging findings of abdominal wall endometriosis may not be specific for diagnosis, the presence of a solid abdominal mass in female patients of reproductive age with a history of surgery is a diagnostic pointer.

  13. Traumatic abdominal hernia complicated by necrotizing fasciitis.

    Martínez-Pérez, Aleix; Garrigós-Ortega, Gonzalo; Gómez-Abril, Segundo Ángel; Martí-Martínez, Eva; Torres-Sánchez, Teresa


    Necrotizing fasciitis is a critical illness involving skin and soft tissues, which may develop after blunt abdominal trauma causing abdominal wall hernia and representing a great challenge for physicians. A 52-year-old man was brought to the emergency department after a road accident, presenting blunt abdominal trauma with a large non-reducible mass in the lower-right abdomen. A first, CT showed abdominal hernia without signs of complication. Three hours after ICU admission, he developed hemodynamic instability. Therefore, a new CT scan was requested, showing signs of hernia complication. He was moved to the operating room where a complete transversal section of an ileal loop was identified. Five hours after surgery, he presented a new episode of hemodynamic instability with signs of skin and soft tissue infection. Due to the high clinical suspicion of necrotizing fasciitis development, wide debridement was performed. Following traumatic abdominal wall hernia (TAWH), patients can present unsuspected injuries in abdominal organs. Helical CT can be falsely negative in the early moments, leading to misdiagnosis. Necrotizing fasciitis is a potentially fatal infection and, consequently, resuscitation measures, wide-spectrum antibiotics, and early surgical debridement are required. This type of fasciitis can develop after blunt abdominal trauma following wall hernia without skin disruption.

  14. [Abdominal tuberculosis in childhood: the clinical manifestations].

    Rivera Medina, J; Almendras, M; Devoto, G; Martinez, E; Gonzales, J; Alarcón, P; Muñoz, S


    The authors reviewed the histories of 133 patients with abdominal tuberculosis in Instituto Nacional de Salud del Niño (Children's Hospital), Lima, Perú, between 1989 and 1991. We found morbidity higher in scholars (67.4%). Weight lost were present in all cases and malaise in 95.3%, abdominal distension in 83.72% and abdominal pain in 79.06%. Anaemia in 76.06%, ratio albumin/globulin were altered in 74.41% leukocytosis in 67.44%. Evidence of tuberculosis on chest X-ray were detected only in 62.5%.

  15. [Churg-Strauss abdominal manifestation].

    Suarez-Moreno, Roberto; Ponce-Pérez, Luis Virgilio; Margain-Paredes, Miguel Angel; Garza-de la Llave, Heriberto; Madrazo-Navarro, Mario; Espinosa-Álvarez, Arturo


    Antecedentes: la enfermedad de Churg-Strauss es poco común, idiopática, caracterizada por hipereosinofilia en sangre y tejidos, aunada a vasculitis sistémica en pacientes con antecedentes de asma o rinitis alérgica. Las manifestaciones gastrointestinales del síndrome de Churg Strauss se caracterizan por dolor abdominal, seguido de diarrea y hemorragia en 31-45% de los casos. Caso clínico: paciente masculino con antecedente de asma que acudió a consulta por abdomen agudo con probable apendicitis aguda; durante el protocolo de estudio se diagnosticó síndrome de Churg Strauss, con manifestaciones intestinales. Conclusión: el síndrome de Churg Strauss es una vasculitis poco frecuente que puede manifestarse con síntomas intestinales, como en este caso; es importante tenerlo en mente a la hora de los diagnósticos diferenciales. Existen pocos reportes con este síndrome asociado con abdomen agudo, todos ellos con mal pronóstico.

  16. SU-E-J-190: Development of Abdominal Compression & Respiratory Guiding System Using Gas Pressure Sensor

    Kim, T; Kim, D; Kang, S; Cho, M; Kim, K; Shin, D; Suh, T [The Catholic University of Korea College of Medicine, Seoul (Korea, Republic of); Kim, S [Virginia Commonwealth University, Richmond, VA (United States)


    Purpose: Abdominal compression is known to be effective but, often makes external-marker-based monitoring of breathing motion not feasible. In this study, we developed and evaluated a system that enables both abdominal compression and monitoring of residual abdominal motion simultaneously. The system can also provide visual-biofeedback capability. Methods: The system developed consists of a compression belt, an abdominal motion monitoring sensor (gas pressure sensor) and a visual biofeedback device. The compression belt was designed to be able to compress the frontal side of the abdomen. The pressure level of the belt is controlled by air volume and monitored in real time using the gas pressure sensor. The system displays not only the real-time monitoring curve but also a guiding respiration model (e.g., a breath hold or shallow breathing curve) simultaneously on the head mounted display to help patients keep their breathing pattern as consistent as possible. Three healthy volunteers were enrolled in this pilot study and respiratory signals (pressure variations) were obtained both with and without effective abdominal compression to investigate the feasibility of the developed system. Two guidance patterns, breath hold and shallow breathing, were tested. Results: All volunteers showed smaller abdominal motion with compression (about 40% amplitude reduction compared to without compression). However, the system was able to monitor residual abdominal motion for all volunteers. Even under abdominal compression, in addition, it was possible to make the subjects successfully follow the guide patterns using the visual biofeedback system. Conclusion: The developed abdominal compression & respiratory guiding system was feasible for residual abdominal motion management. It is considered that the system can be used for a respiratory motion involved radiation therapy while maintaining the merit of abdominal compression. This work was supported by the Radiation Technology R

  17. [Inflammatory aneurysms of the abdominal aorta].

    Tovar Martín, E; Acea Nebril, B


    Approximately 10 per cent of abdominal aneurysms have an excessively thick wall that sometimes involve duodenum, cava or colon by an inflammatory process. Between February 1986 and December 1992, 147 patients with abdominal aortic aneurysm (AAA) were treated surgically and in 13 (8.8%) the aneurysms were found to be inflammatory. Their mean age was 67.3 years (70.1 years in non inflammatory group) and all were symptomatics initially (abdominal pain in 53%, rupture in 23%, mass in 15%). The operative mortality for elective resection was 37% in patients with inflammatory abdominal aortic aneurysms (IAAA) decreasing to 9% in the AAA group without inflammatory involvement. We conclude that surgery is indicated in these patients to prevent rupture and to hasten the subsidense of inflammatory process ever with postoperative morbi-mortality increased.

  18. Abdominal pain - children under age 12

    Stomach pain in children; Pain - abdomen - children; Abdominal cramps in children; Belly ache in children ... belly Has had a recent injury to the abdomen Is having trouble breathing Call your provider if ...

  19. Abdominal separation in an adult male patient with acute abdominal pain


    We report a male patient with prolonged post-prandial abdominal distension and a sudden onset of epigastric pain initially diagnosed as acute abdomen. The patient had no history of surgery. Physical examination revealed peritonitis and abdominal computed tomography scan showed upper abdominal mesentery intorsion. The patient then underwent surgical intervention. It was found that the descending mesocolon dorsal root was connected to the ascending colon and formed a membrane encapsulating the small intestine...

  20. Abdominal Wall Hernias: Various Imaging Features Correlated with the Anatomy of Abdominal Wall at MDCT

    Kim, Shin Young; Shin, Hyeong Cheol; Kim, Sang Won; Kim, Il Young; Kim, Young Tong [Soonchunhyang University Cheonan Hospital, Cheonan (Korea, Republic of)


    Abdominal wall hernias are a common condition. However, they may develop acute complications and require surgical correction in most cases. Hence, the correct radiological examination is requisite for an accurate diagnosis. A multi-detector row CT (MDCT) provides an accurate identification of the anatomy of the abdominal wall, precise hernia type, and helps in the detection of early signs of complication. We report various imaging features of abdominal wall hernias via a MDCT.

  1. [Intestinal occlusion and abdominal compartment syndrome (ACS)].

    Stagnitti, Franco


    Intestinal occlusion is defined as an independent predictive factor of intra-abdominal hypertension (IAH) which represents an independent predictor of mortality. Baggot in 1951 classified patients operated with intestinal occlusion as being at risk for IAH ("abdominal blow-out"), recommending them for open abdomen surgery proposed by Ogilvie. Abdominal surgery provokes IAH in 44.7% of cases with mortality which, in emergency, triples with respect to elective surgery (21.9% vs 6.8%). In particular, IAH is present in 61.2% of ileus and bowel distension and is responsible for 52% of mortality (54.8% in cases with intra-abdominal infection). These patients present with an increasing intra-abdominal pressure (IAP) which, over 20-25 mmHg, triggers an Abdominal Compartment Syndrome (ACS) with altered functions in some organs arriving at Multiple Organ Dysfunction Syndrome (MODS). The intestine normally covers 58% of abdominal volume but when there is ileus distension, intestinal pneumatosis develops (third space) which can occupy up to 90% of the entire cavity. At this moment, Gastro Intestinal Failure (GIF) can appear, which is a specific independent risk factor of mortality, motor of "Organ Failure". The pathophysiological evolution has many factors in 45% of cases: intestinal pneumatosis is associated with mucosal and serous edema, capillary leakage with an increase in extra-cellular volume and peritoneal fluid collections (fourth space). The successive loss of the mucous barrier permits a bacterial translocation which includes bacteria, toxins, pro-inflammatory factors and oxygen free radicals facilitating the passage from an intra-abdominal to inter-systemic vicious cyrcle. IAH provokes the raising of the diaphragm, and vascular and visceral compressions which induce hypertension in the various spaces with compartmental characteristics. These trigger hypertension in the renal, hepatic, pelvic, thoracic, cardiac, intracranial, orbital and lower extremity areas, giving

  2. A focus on intra-abdominal infections

    Sartelli Massimo


    Full Text Available Abstract Complicated intra-abdominal infections are an important cause of morbidity and are frequently associated with poor prognosis, particularly in higher risk patients. Well defined evidence-based recommendations for intra-abdominal infections treatment are partially lacking because of the limited number of randomized-controlled trials. Factors consistently associated with poor outcomes in patients with intra-abdominal infections include increased illness severity, failed source control, inadequate empiric antimicrobial therapy and healthcare-acquired infection. Early prognostic evaluation of complicated intra-abdominal infections is important to select high-risk patients for more aggressive therapeutic procedures. The cornerstones in the management of complicated intra-abdominal infections are both source control and antibiotic therapy. The timing and the adequacy of source control are the most important issues in the management of intra-abdominal infections, because inadequate and late control of septic source may have a negative effect on the outcomes. Recent advances in interventional and more aggressive techniques could significantly decrease the morbidity and mortality of physiologically severe complicated intra-abdominal infections, even if these are still being debated and are yet not validated by limited prospective trials. Empiric antimicrobial therapy is nevertheless important in the overall management of intra-abdominal infections. Inappropriate antibiotic therapy may result in poor patient outcomes and in the appearance of bacterial resistance. Antimicrobial management is generally standardised and many regimens, either with monotherapy or combination therapy, have proven their efficacy. Routine coverage especially against Enterococci and candida spp is not always recommended, but can be useful in particular clinical conditions. A de escalation approach may be recommended in patients with specific risk factors for multidrug

  3. [Late primary abdominal pregnancy. Case report].

    Farías, Emigdio Torres; Gómez, Luis Guillermo Torres; Allegre, René Márquez; Higareda, Salvador Hernández


    Abdominal advanced pregnancy is an obstetric complication that put at risk maternal and fetal life. We report a case of advanced abdominal pregnancy with intact ovaries and fallopian tubes, without ureteroperitoneal fistulae and, late prenatal diagnosis, in a multiparous patient without risk factors, with alive newborn, and whose pregnancy was attended at Unidad Medica de Alta Especialidad, Hospital de Gineco-Obstetricia, Centro Medico Nacional de Occidente del IMSS, Guadalajara, Jalisco, México.

  4. Surveillance intervals for small abdominal aortic aneurysms

    Bown, Matthew J; Sweeting, Michael J; Brown, Louise C


    Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture.......Small abdominal aortic aneurysms (AAAs [3.0 cm-5.4 cm in diameter]) are monitored by ultrasound surveillance. The intervals between surveillance scans should be chosen to detect an expanding aneurysm prior to rupture....

  5. Abdominal epilepsy and foreign body in the abdomen--dilemma in diagnosis of abdominal pain.

    Topno, Noor; Gopasetty, Mahesh S; Kudva, Annappa; B, Lokesh


    There are many medical causes of abdominal pain; abdominal epilepsy is one of the rarer causes. It is a form of temporal lobe epilepsy presenting with abdominal aura. Temporal lobe epilepsy is often idiopathic, however it may be associated with mesial temporal lobe sclerosis, dysembryoplastic neuroepithelial tumors and other benign tumors, arterio-venous malformations, gliomas, neuronal migration defects or gliotic damage as a result of encephalitis. When associated with anatomical abnormality, abdominal epilepsy is difficult to control with medication alone. In such cases, appropriate neurosurgery can provide a cure or, at least, make this condition easier to treat with medication. Once all known intra-abdominal causes have been ruled out, many cases of abdominal pain are dubbed as functional. If clinicians are not aware of abdominal epilepsy, this diagnosis is easily missed, resulting in inappropriate treatment. We present a case report of a middle aged woman presenting with abdominal pain and episodes of unconsciousness. On evaluation she was found to have an intra-abdominal foreign body (needle). Nevertheless, the presence of this entity was insufficient to explain her episodes of unconsciousness. On detailed analysis of her medical history and after appropriate investigations, she was diagnosed with temporal lobe epilepsy which was treated with appropriate medications, and which resulted in her pain being relieved.

  6. Analisa Penggunaan Sinyal Radar Bentuk Pulsa dan Gelombang Kontinyu untuk Target Bergerak dengan Model Clutter Terdistribusi Rayleigh

    Fery Gustomo


    Full Text Available Radar (Radio, Detection, and Ranging mampu mendeteksi target untuk mendapatkan informasi berupa jarak, azimuth, dan kecepatan. Sinyal Radar ada dua jenis, yaitu pulsa (Pulsed Radar dan gelombang kontinyu (Continuous Wave Radar. Pulsed Radar mempunyai prinsip kerja memancarkan sinyal pulsa dengan PRI (Pulse Repetition Interval dan PRF (Pulse Repetition Frequency tertentu dipancarkan dengan modulasi ke dalam sinyal sinusoidal dengan frekuensi yang lebih tinggi serta memanfaatkan delay dari setiap pulsanya untuk mendapatkan informasi dari target. Sedangkan Continuous Wave Radar mempunyai prinsip kerja memancarkan sinyal sinusoidal secara terus menerus dan memanfaatkan sinyal echo yang terdiri dari beberapa variasi frekuensi akibat adanya efek Doppler untuk mendeteksi target. Terdapat pengaruh jenis gelombang sinyal radar terhadap kemampuan deteksi radar. Model distribusi Rayleigh dipilih untuk dapat mewakili suatu kondisi lingkungan (clutter yang bergerak dan mempunyai parameter kecepatan angin. Hasil simulasi dari kedua jenis sinyal menunjukkan bahwa pada model clutter terdistribusi Rayleigh, radar CW mempunyai kemampuan deteksi yang lebih baik pada kecepatan target yang lebih tinggi, karena mampu mendeteksi target dengan kecepatan 20-60 knots. Sedangkan radar pulsa mempunyai kemampuan deteksi yang lebih baik pada kecepatan target rendah yaitu pada kecepatan 15-55 knots. Untuk Probabilitas deteksi minimum 90%, Radar CW mempunyai ketahanan yang lebih baik terhadap noise daripada radar pulsa karena kemampuan radar pulsa terbatas pada nilai SNR 20 dB. Sedangkan radar CW mampu mendeteksi target dengan baik sampai SNR bernilai 15 dB. Sedangkan untuk deteksi terhadap kecepatan target, radar CW mempunyai hasil yang lebih akurat daripada radar pulsa.

  7. Using an improved SIFT algorithm and fuzzy closed-loop control strategy for object recognition in cluttered scenes.

    Nie, Haitao; Long, Kehui; Ma, Jun; Yue, Dan; Liu, Jinguo


    Partial occlusions, large pose variations, and extreme ambient illumination conditions generally cause the performance degradation of object recognition systems. Therefore, this paper presents a novel approach for fast and robust object recognition in cluttered scenes based on an improved scale invariant feature transform (SIFT) algorithm and a fuzzy closed-loop control method. First, a fast SIFT algorithm is proposed by classifying SIFT features into several clusters based on several attributes computed from the sub-orientation histogram (SOH), in the feature matching phase only features that share nearly the same corresponding attributes are compared. Second, a feature matching step is performed following a prioritized order based on the scale factor, which is calculated between the object image and the target object image, guaranteeing robust feature matching. Finally, a fuzzy closed-loop control strategy is applied to increase the accuracy of the object recognition and is essential for autonomous object manipulation process. Compared to the original SIFT algorithm for object recognition, the result of the proposed method shows that the number of SIFT features extracted from an object has a significant increase, and the computing speed of the object recognition processes increases by more than 40%. The experimental results confirmed that the proposed method performs effectively and accurately in cluttered scenes.

  8. Readjustment of abdominal computed tomography protocols in a university hospital: impact on radiation dose

    Romano, Ricardo Francisco Tavares; Salvadori, Priscila Silveira; Torres, Lucas Rios; Bretas, Elisa Almeida Sathler; Bekhor, Daniel; Medeiros, Regina Bitelli; D' Ippolito, Giuseppe, E-mail: [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina; Caldana, Rogerio Pedreschi [Fleury Medicina e Saude, Sao Paulo, SP (Brazil)


    Objective: To assess the reduction of estimated radiation dose in abdominal computed tomography following the implementation of new scan protocols on the basis of clinical suspicion and of adjusted images acquisition parameters. Materials and Methods: Retrospective and prospective review of reports on radiation dose from abdominal CT scans performed three months before (group A - 551 studies) and three months after (group B - 788 studies) implementation of new scan protocols proposed as a function of clinical indications. Also, the images acquisition parameters were adjusted to reduce the radiation dose at each scan phase. The groups were compared for mean number of acquisition phases, mean CTDI{sub vol} per phase, mean DLP per phase, and mean DLP per scan. Results: A significant reduction was observed for group B as regards all the analyzed aspects, as follows: 33.9%, 25.0%, 27.0% and 52.5%, respectively for number of acquisition phases, CTDI{sub vol} per phase, DLP per phase and DLP per scan (p < 0.001). Conclusion: The rational use of abdominal computed tomography scan phases based on the clinical suspicion in conjunction with the adjusted images acquisition parameters allows for a 50% reduction in the radiation dose from abdominal computed tomography scans. (author)

  9. Joint statistical correction of clutters, spokes and beam height for a radar derived precipitation climatology in southern Germany

    A. Wagner


    Full Text Available First results of radar derived climatology have emerged over the last years, as datasets of appropriate extent are becoming available. Usually, these statistics are based on time series lasting up to ten years as continuous storage of radar data was often not achieved before. This kind of climatology demands a high level of data quality. Small deviations or minor systematic under- or overestimations in single radar images become a major cause of error in statistical analysis. Extensive corrections of radar data are a crucial prerequisite for radar derived climatology. We present a new statistical post-correction scheme based on a climatological analysis of seven years of radar data of the Munich weather radar (2000–2006 operated by DWD (German Weather Service. Original radar products are used subject only to corrections within the signal processor without any further corrections on single radar images. The aim of this statistical correction is to make up for the average systematic errors caused by clutter, propagation, or measuring effects but to conserve small-scale natural variations in space.

    The statistical correction is based on a thorough analysis of the different causes of possible errors for the Munich weather radar. This analysis revealed the following basic effects: the decrease of rain amount as a function of height and distance from the radar, clutter effects such as clutter remnants after filtering, holes by eliminated clutter or shading effects from obstacles near the radar, visible as spokes, as well as the influence of the bright band. The correction algorithm is correspondingly based on these results. It consists of three modules. The first one is an altitude correction which minimises measuring effects. The second module corrects clutter effects and disturbances and the third one realises a mean adjustment to selected rain gauges. Two different sets of radar products are used. The statistical analysis as well as

  10. Abdominal binders may reduce pain and improve physical function after major abdominal surgery - a systematic review

    Rothman, Josephine Philip; Gunnarsson, Ulf; Bisgaard, Thue


    INTRODUCTION: Evidence for the effect of post-operative abdominal binders on post-operative pain, seroma formation, physical function, pulmonary function and increased intra-abdominal pressure among patients after surgery remains largely un-investigated. METHODS: A systematic review was conducted...

  11. Childhood abdominal pain in primary care : design and patient selection of the HONEUR abdominal pain cohort

    Spee, Leo A A; van den Hurk, Arjan P J M; van Leeuwen, Yvonne; Benninga, Marc A; Bierma-Zeinstra, Sita M A; Passchier, Jan; Berger, Marjolein Y


    BACKGROUND: Abdominal pain in children is a common complaint presented to the GP. However, the prognosis and prognostic factors of childhood abdominal pain are almost exclusively studied in referred children. This cohort study aims at describing prognosis and prognostic factors of childhood abdomina

  12. General Considerations of Ruptured Abdominal Aortic Aneurysm: Ruptured Abdominal Aortic Aneurysm

    Lee, Chung Won; Bae, Miju; Chung, Sung Woon


    Although development of surgical technique and critical care, ruptured abdominal aortic aneurysm still carries a high mortality. In order to obtain good results, various efforts have been attempted. This paper reviews initial management of ruptured abdominal aortic aneurysm and discuss the key point open surgical repair and endovascular aneurysm repair.

  13. Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis

    Smit, M.; Buddingh, K. T.; Bosma, B; Nieuwenhuijs, V B; Hofker, H.S.; Zijlstra, J.G.


    INTRODUCTION: Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS

  14. Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis

    Smit, M.; Buddingh, K. T.; Bosma, B.; Nieuwenhuijs, V. B.; Hofker, H. S.; Zijlstra, J. G.


    Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particula

  15. Focused Assessment with Sonography in Trauma and Abdominal Computed Tomography Utilization in Adult Trauma Patients: Trends over the Last Decade

    Alexander Y. Sheng


    Full Text Available Objective. We sought to describe the trend in abdominal CT use in adult trauma patients after a point-of-care emergency ultrasound program was introduced. We hypothesized that abdominal CT use would decrease as FAST use increased. Methods. We performed a retrospective study of 19940 consecutive trauma patients over the age of 18 admitted to our level one trauma center from 2002 through 2011. Data was collected retrospectively and recorded in a trauma registry. We plotted the rate of FAST and abdominal CT utilization over time. Head CT was used as a surrogate for overall CT utilization rates during the study period. Results. Use of FAST increased by an average of 2.3% (95% CI 2.1 to 2.5, P<0.01 while abdominal CT use decreased by the same rate annually. The percentage of patients who received FAST as the sole imaging modality for the abdomen rose from 2.0% to 21.9% while those who only received an abdominal CT dropped from 21.7% to 2.3%. Conclusions. Abdominal CT use in our cohort declined while FAST utilization grew in the last decade. The rising use of FAST may have played a role in the reduction of abdominal CT performed as decline in CT utilization appears contrary to overall trends.

  16. Effects of ovariohysterectomy on intra-abdominal pressure and abdominal perfusion pressure in cats.

    Bosch, L; Rivera del Álamo, M M; Andaluz, A; Monreal, L; Torrente, C; García-Arnas, F; Fresno, L


    Intra-abdominal pressure (IAP) and abdominal perfusion pressure (APP) have shown clinical relevance in monitoring critically ill human beings submitted to abdominal surgery. Only a few studies have been performed in veterinary medicine. The aim of this study was to assess how pregnancy and abdominal surgery may affect IAP and APP in healthy cats. For this purpose, pregnant (n=10) and non-pregnant (n=11) queens undergoing elective spaying, and tomcats (n=20, used as controls) presented for neutering by scrotal orchidectomy were included in the study. IAP, mean arterial blood pressure (MAP), APP, heart rate and rectal temperature (RT) were determined before, immediately after, and four hours after surgery. IAP increased significantly immediately after abdominal surgery in both female groups when compared with baseline (PPregnancy did not seem to affect IAP in this population of cats, possibly due to subjects being in early stages of pregnancy.

  17. Intra-abdominal pressure: an integrative review.

    Milanesi, Rafaela; Caregnato, Rita Catalina Aquino


    There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed. RESUMO Em pacientes críticos com quadros abdominais agudos a esclarecer é crescente a solicitação da aferição da pressão intra-abdominal. Sintetizar resultados de pesquisas sobre a mensuração da pressão intra-abdominal pela via vesical e analisar o nível de evidência foram os objetivos desta revisão integrativa da literatura, realizada nas bases LILACS, MEDLINE e PubMed, no período de 2005 a julho de 2012. Identificaram-se 20 artigos, sendo 12 revisões de literatura, 4 estudos exploratório-descritivos, 2 opiniões de especialistas, 1 estudo de coorte prospectivo e 1 relato de experiência. O método vesical para mensuração da pressão intra-abdominal foi considerado padrão-ouro. Existem variações na técnica, entretanto pontos em comum foram identificados: posição supina completa, na ausência de contratura abdominal, ao final da expiração e expressa em mmHg. A maioria indica posicionar o ponto zero do

  18. Methods of patient warming during abdominal surgery.

    Li Shao

    Full Text Available BACKGROUND: Keeping abdominal surgery patients warm is common and warming methods are needed in power outages during natural disasters. We aimed to evaluate the efficacy of low-cost, low-power warming methods for maintaining normothermia in abdominal surgery patients. METHODS: Patients (n = 160 scheduled for elective abdominal surgery were included in this prospective clinical study. Five warming methods were applied: heated blood transfusion/fluid infusion vs. unheated; wrapping patients vs. not wrapping; applying moist dressings, heated or not; surgical field rinse heated or not; and applying heating blankets or not. Patients' nasopharyngeal and rectal temperatures were recorded to evaluate warming efficacy. Significant differences were found in mean temperatures of warmed patients compared to those not warmed. RESULTS: When we compared temperatures of abdominal surgery patient groups receiving three specific warming methods with temperatures of control groups not receiving these methods, significant differences were revealed in temperatures maintained during the surgeries between the warmed groups and controls. DISCUSSION: The value of maintaining normothermia in patients undergoing abdominal surgery under general anesthesia is accepted. Three effective economical and practically applicable warming methods are combined body wrapping and heating blanket; combined body wrapping, heated moist dressings, and heating blanket; combined body wrapping, heated moist dressings, and warmed surgical rinse fluid, with or without heating blanket. These methods are practically applicable when low-cost method is indeed needed.

  19. Imaging the Abdominal Manifestations of Cystic Fibrosis

    C. D. Gillespie


    Full Text Available Cystic fibrosis (CF is a multisystem disease with a range of abdominal manifestations including those involving the liver, pancreas, and kidneys. Recent advances in management of the respiratory complications of the disease has led to a greater life expectancy in patients with CF. Subsequently, there is increasing focus on the impact of abdominal disease on quality of life and survival. Liver cirrhosis is the most important extrapulmonary cause of death in CF, yet significant challenges remain in the diagnosis of CF related liver disease. The capacity to predict those patients at risk of developing cirrhosis remains a significant challenge. We review representative abdominal imaging findings in patients with CF selected from the records of two academic health centres, with a view to increasing familiarity with the abdominal manifestations of the disease. We review their presentation and expected imaging findings, with a focus on the challenges facing diagnosis of the hepatic manifestations of the disease. An increased familiarity with these abdominal manifestations will facilitate timely diagnosis and management, which is paramount to further improving outcomes for patients with cystic fibrosis.

  20. Abdominal aorta transplantation after programmed cryopreservation

    Song Gu; Chang-Jian Liu; Tong Qiao; Xue-Mei Sun; Jun-Hao Chen


    AIM: To study the morphologic and cellular immunologic changes after homologous transplantation of the abdominal aorta in rats after programmed cryopreservation (-196°C).METHODS: Abdominal aorta was harvested from anesthetized Spraque Dawley (SD) rats for cryopreservation (group B) or immediate implantation (group A). The survival rates and apoptotic rates of aortic endothelial cells (ECs)were examined. The patency rates, histology and cellular immunologic changes of the abdominal aorta were examined on days 1, 3, 7, 14, 30, 60 after transplantation respectively.RESULTS: The survival rate of ECs after programmed cryopreservation was 90.1±1.79%, about 3.4% lower than that of uncryopreservation (93.5±1.96%). The apoptotic rates of ECs was increased after cryopreservation (7.15%vs 4.86%, P<0.05). The patency rate of group B was significantly higher than that of group A (91.6±12.9% vs 62.5±26.2%, P<0.01). CD4/CD8 ratio, TCR αβ and CD11b/CD18 ratio of group B were significantly lower than those of group A (P<0.05). Revivification of the cryopreserved abdominal aorta showed normal adventitia and intact smooth muscle cells.CONCLUSION: Cryopreservation can reduce homologous abdominal aortic antigenecity. Even if without administration of immunosuppressive agents, it is still feasible to implement homologous artery grafting in rats.

  1. Postoperative abdominal complications after cardiopulmonary bypass

    Dong Guohua


    Full Text Available Abstract Background To summarize the diagnostic and therapeutic experiences on the patients who suffered abdominal complications after cardiovascular surgery with cardiopulmonary bypass(CPB. Methods A total of 2349 consecutive patients submitted to cardiovascular surgery with CPB in our hospital from Jan 2004 to Dec 2010 were involved. The clinical data of any abdominal complication, including its incidence, characters, relative risks, diagnostic measures, medical or surgical management and mortality, was retrospectively analyzed. Results Of all the patients, 33(1.4% developed abdominal complications postoperatively, including 11(33.3% cases of paralytic ileus, 9(27.3% of gastrointestinal haemorrhage, 2(6.1% of gastroduodenal ulcer perforation, 2(6.1% of acute calculus cholecystitis, 3(9.1% of acute acalculus cholecystitis, 4(12.1% of hepatic dysfunction and 2(6.1% of ischemia bowel diseases. Of the 33 patients, 26 (78.8% accepted medical treatment and 7 (21.2% underwent subsequent surgical intervention. There were 5(15.2% deaths in this series, which was significantly higher than the overall mortality (2.7%. Positive history of peptic ulcer, advanced ages, bad heart function, preoperative IABP support, prolonged CPB time, low cardiac output and prolonged mechanical ventilation are the risk factors of abdominal complications. Conclusions Abdominal complications after cardiovascular surgery with CPB have a low incidence but a higher mortality. Early detection and prompt appropriate intervention are essential for the outcome of the patients.

  2. The effect of food consumption on the thickness of abdominal muscles, employing ultrasound measurements.

    Kordi, Ramin; Rostami, Mohsen; Noormohammadpour, Pardis; Mansournia, Mohammad Ali


    Recently, the roles of transabdominal muscles particularly TrA (transverse abdominis) muscle in spinal stability leading to treatment of low back pain have been suggested. Both in clinical setting and follow up studies, abdominal muscle thickness measurements need to be repeated at a later point in time to demonstrate efficacy of a therapeutic intervention. Different issues have been suggested as source of error in the repeated measurements of abdominal muscle thickness in different days such as patient position and stability of probe location. The level of stomach fullness has not been investigated as a source of error in ultrasonic measurements of transabdominal muscles thickness. This study was performed to evaluate the effect of food consumption on thickness of lateral abdominal muscles. Lateral abdominal muscles thicknesses of 63 healthy volunteer men were measured before and after food consumption. All the measurements were performed in two transducer positions and both sides. Waist circumference and body weight of participants were also measured before and post-food consumption. The thickness measures of all three muscles layers of lateral abdominal muscles (external oblique, internal oblique and transversus abdominis) in both sides and measured positions were significantly reduced after food consumption. We found no correlation between the increase of waist circumference and reduction of muscle layer thicknesses after food consumption. In case of comparison between the values of transabdominal muscle thicknesses over the time, the effect of food consumption on muscle thickness might be assumed as a potential source of error.

  3. Exogenous pulmonary surfactant prevents the development of intra-abdominal adhesions in rats.

    Schanaider, Alberto; Cotta-Pereira, Ricardo; Silva, Paulo C; Macedo-Ramos, Hugo; Silva, Johnatas D; Teixeira, Pedro A C; Pannain, Vera L N; Rocco, Patricia R M; Baetas-da-Cruz, Wagner


    Intra-abdominal adhesions are major post-operative complications for which no effective means of prevention is available. We aimed to evaluate the efficacy of exogenous pulmonary surfactant administration in the prevention of post-operative abdominal adhesions. Rats were randomly assigned to undergo laparotomy (L) or gastroenterostomy (GE) and then treated with surfactant (groups L-S and GE-S, respectively). Intra-abdominal adhesions, collagen fibre content, metalloproteinase (MMP)-9, expression of growth factors (TGF-β, KGF and VEGF), type III procollagen (PCIII) and pro-caspase 3, as well as isolectin B4 and ED1-positive cells expressing MMP-9, were evaluated. Groups treated with surfactant (GE-S and L-S) exhibited fewer adhesions. A significant reduction in collagen fibre content was observed in GE-S compared to GE animals (P abdominal adhesions triggered by laparotomy and gastrointestinal anastomosis, thus preventing fibrosis formation at the peritoneal surfaces. This preclinical study suggests an innovative treatment strategy for intra-abdominal adhesions with surfactant and to endorse its putative mechanism of action.

  4. Transverse abdominal plane neurostimulation for chronic abdominal pain: a novel technique.

    Gupta, Mayank; Goodson, Robert


    Management of chronic abdominal pain can be challenging. Sometimes patients fail to get adequate response from multiple medications and nerve blocks. We present a patient case report of chronic abdominal pain with a history of multiple surgeries managed successfully by neuromodulation of the transverse abdominis plane (TAP). The TAP block is a procedure in which local anesthetic is injected into the abdominal fascial plane that carries sensory nerves to the abdominal wall in order to block pain sensation. It has been shown to reduce postoperative pain and analgesic dependence after abdominal and gynecological surgeries. A 60-year-old woman presented to us for chronic abdominal pain for which medications provided little relief. She had an extensive history of abdominal surgeries and was also treated for lower back pain with surgery and less invasive procedures in the past. Under our care, she underwent 2 TAP blocks with almost complete resolution of her abdominal pain. Her pain, however, came back within a few of weeks of the procedures. Since our patient found pain relief from the TAP blocks, we proceeded with neurostimulation of the TAP for long-term pain relief. We placed a dorsal column stimulator 16 contact lead for lower back and leg pain and 8 contact leads placed in the TAP under ultrasound guidance. She has had multiple follow-ups since her TAP lead placement procedure with continued and near complete resolution of her abdominal pain. The TAP lead stimulation was helping her abdominal pain and the dorsal column lead stimulation was helping her back and leg pain.

  5. Modeling and Simulation of High Resolution Radar Clutter on SIRV%基于SIRV高分辨率雷达杂波建模与仿真

    谢洪森; 周鹏; 栾宝宽; 邹鲲


    Modeling and simulation of the high resolution radar clutter is the most important method to evaluate the radar performance. The generalized compound (GO probability density function(PDF) is used to describe the high resolution radar clutter statistics. The GC PDF is formed using the generalized gamma PDF to describe the speckle and modulation components of the radar clutter. The advantageous of radar clutter modeling by use of spherically invariant random vector (SIRV) is that the correlation matrix and marginal PDF of random vectors can be control respectively and independently. In this paper, the GC PDF radar clutter and SIRV modeling methods are discussed, and the SIRV model of the GC PDF radar clutter is proposed. The computer simulation is used to validate the model, and the statistics of the simulated GC-PDF clutter is compared with the theoretical results. The simulation results are identical with the theoretical results, which proves that the SIRV model is of availability and universality.%高分辨率雷达杂波建模与仿真是评估雷达性能的重要手段.广义复合概率密度通常用来描述高分辨率雷达杂波.在广义复合分布中,将散斑分量和调制分量均采用广义伽马(GΓ)分布来表示.采用球不变随机矢量(SIRV)进行杂波建模的优点在于能够独立控制其相关性和一维边缘概率密度.对广义复合分布和SIRV建模方法进行了讨论,在此基础上,给出了相干相关的广义复合分布的SIRV模型,利用计算机进行了广义复合分布的杂波仿真,并对杂波仿真的统计特性与理论值进行了比较.仿真结果与理论分析相吻合,说明了该模型的有效性和普适性.

  6. Abdominal Wall Endometrioma. Report of Two Cases

    Tahiluma Santana Pedraza


    Full Text Available Abdominal wall endometrioma is a condition rarely seen by surgeons. It represents a diagnostic challenge due to its similarity with other tumors. This entity occurs in fertile women and often appears two to five years after gynecological and obstetric surgical procedures. It must be considered when dealing with a cyclically painful nodule located in a laparotomy scar. The diagnosis is established by histological examination; most imaging tests determine the characteristics of the lesion, concomitant lesions and the intra-abdominal origin or location in the abdominal wall. The cases of two patients treated at the General Surgery Department of the María Eugenia González Comprehensive Diagnostic Center in the Capital District, Venezuela, are presented. Wide excision of the tissue and histological examination were performed, confirming the diagnosis. The postoperative course was uneventful. This case is presented given the rarity of this condition.

  7. Electromyographic analysis of four popular abdominal exercises.

    Piering, A W; Janowski, A P; Wehrenberg, W B; Moore, M T; Snyder, A C


    This study was designed to evaluate the effects of four specific sit-up exercises on muscular activity of the rectus abdominis. Pairs of surface electrodes were placed unilaterally on four quadrants of the rectus abdominis, delimited by tendinous inscriptions, in four male subjects. Electromyographic (EMG) recordings were taken while the subjects performed four different abdominal exercises. Each abdominal exercise was hypothesized to have a specific effect on one of the four quadrants of the rectus abdominis. The four exercises analyzed were: 1) long lying crunch, 2) bent knee crunch, 3) leg raise, and 4) vertical leg crunch. Analysis of the standardized EMG recordings demonstrated no significant differences in the mean muscle activity between the four different quadrants, in the mean muscle activity between the four different exercises, and in interactions between the exercises and the quadrants of the rectus abdominis. We conclude that none of the four abdominal exercises studied are specific for strengthening individual muscle quadrants of the rectus abdominis.

  8. Abdominal Wall Desmoid during Pregnancy: Diagnostic Challenges

    Johnny Awwad


    Full Text Available Background. Desmoids are benign tumors, with local invasive features and no metastatic potential, which have rarely been described to be pregnancy associated. Case. We described the rapid growth of an anterior abdominal wall mass in a 40-year-old pregnant woman. Due to its close proximity to the enlarged uterus, it was misdiagnosed to be a uterine leiomyoma by ultrasound examination. Final tissue diagnosis and radical resection were done at the time of abdominal delivery. Conclusion. Due to the diagnostic limitations of imaging techniques, desmoids should always be considered when the following manifestations are observed in combination: progressive growth of a solitary abdominal wall mass during pregnancy and well-delineated smooth tumor margins demonstrated by imaging techniques. This case emphasizes the importance of entertaining uncommon medical conditions in the differential diagnosis of seemingly common clinical manifestations.

  9. Decompressive laparotomy for abdominal compartment syndrome

    Kimball, E.; Malbrain, M.; Nesbitt, I.; Cohen, J.; Kaloiani, V.; Ivatury, R.; Mone, M.; Debergh, D.; Björck, M.


    Background The effect of decompressive laparotomy on outcomes in patients with abdominal compartment syndrome has been poorly investigated. The aim of this prospective cohort study was to describe the effect of decompressive laparotomy for abdominal compartment syndrome on organ function and outcomes. Methods This was a prospective cohort study in adult patients who underwent decompressive laparotomy for abdominal compartment syndrome. The primary endpoints were 28‐day and 1‐year all‐cause mortality. Changes in intra‐abdominal pressure (IAP) and organ function, and laparotomy‐related morbidity were secondary endpoints. Results Thirty‐three patients were included in the study (20 men). Twenty‐seven patients were surgical admissions treated for abdominal conditions. The median (i.q.r.) Acute Physiology And Chronic Health Evaluation (APACHE) II score was 26 (20–32). Median IAP was 23 (21–27) mmHg before decompressive laparotomy, decreasing to 12 (9–15), 13 (8–17), 12 (9–15) and 12 (9–14) mmHg after 2, 6, 24 and 72 h. Decompressive laparotomy significantly improved oxygenation and urinary output. Survivors showed improvement in organ function scores, but non‐survivors did not. Fourteen complications related to the procedure developed in eight of the 33 patients. The abdomen could be closed primarily in 18 patients. The overall 28‐day mortality rate was 36 per cent (12 of 33), which increased to 55 per cent (18 patients) at 1 year. Non‐survivors were no different from survivors, except that they tended to be older and on mechanical ventilation. Conclusion Decompressive laparotomy reduced IAP and had an immediate effect on organ function. It should be considered in patients with abdominal compartment syndrome. PMID:26891380

  10. Thoraco-abdominal coordination and performance during uphill running at altitude

    Bernardi, Eva; Pratali, Lorenza; Mandolesi, Gaia; Spiridonova, Maria; Roi, Giulio Sergio; Cogo, Annalisa


    Introduction Running races on mountain trails at moderate-high altitude with large elevation changes throughout has become increasingly popular. During exercise at altitude, ventilatory demands increase due to the combined effects of exercise and hypoxia. Aim To investigate the relationships between thoraco-abdominal coordination, ventilatory pattern, oxygen saturation (SpO2), and endurance performance in runners during high-intensity uphill exercise. Methods Fifteen participants (13 males, mean age 42±9 yrs) ran a “Vertical Kilometer,” i.e., an uphill run involving a climb of approximately 1000 m with a slope greater than 30%. The athletes were equipped with a portable respiratory inductive plethysmography system, a finger pulse oximeter and a global positioning unit (GPS). The ventilatory pattern (ventilation (VE), tidal volume (VT), respiratory rate (RR), and VE/VT ratio), thoraco-abdominal coordination, which is represented by the phase angle (PhA), and SpO2 were evaluated at rest and during the run. Before and after the run, we assessed respiratory function, respiratory muscle strength and the occurrence of interstitial pulmonary edema by thoracic ultrasound. Results Two subjects were excluded from the respiratory inductive plethysmography analysis due to motion artifacts. A quadratic relationship between the slope and the PhA was observed (r = 0.995, p = 0.036). When the slope increased above 30%, the PhA increased, indicating a reduction in thoraco-abdominal coordination. The reduced thoraco-abdominal coordination was significantly related to reduced breathing efficiency (i.e., an increased VE/VT ratio; r = 0.961, p = 0.038) and SpO2 (r = -0.697, pabdominal coordination and consequent reduction in SpO2 were associated with interstitial pulmonary edema. Conclusion Reductions in thoraco-abdominal coordination are associated with a less efficient ventilatory pattern and lower SpO2 during uphill running. This fact could have a negative effect on performance

  11. Abdominal fat reducing outcome of exercise training: fat burning or hydrocarbon source redistribution?

    Kuo, Chia-Hua; Harris, M Brennan


    Fat burning, defined by fatty acid oxidation into carbon dioxide, is the most described hypothesis to explain the actual abdominal fat reducing outcome of exercise training. This hypothesis is strengthened by evidence of increased whole-body lipolysis during exercise. As a result, aerobic training is widely recommended for obesity management. This intuition raises several paradoxes: first, both aerobic and resistance exercise training do not actually elevate 24 h fat oxidation, according to data from chamber-based indirect calorimetry. Second, anaerobic high-intensity intermittent training produces greater abdominal fat reduction than continuous aerobic training at similar amounts of energy expenditure. Third, significant body fat reduction in athletes occurs when oxygen supply decreases to inhibit fat burning during altitude-induced hypoxia exposure at the same training volume. Lack of oxygen increases post-meal blood distribution to human skeletal muscle, suggesting that shifting the postprandial hydrocarbons towards skeletal muscle away from adipose tissue might be more important than fat burning in decreasing abdominal fat. Creating a negative energy balance in fat cells due to competition of skeletal muscle for circulating hydrocarbon sources may be a better model to explain the abdominal fat reducing outcome of exercise than the fat-burning model.

  12. Penetrating abdominal injuries in children in Nigeria.

    Ameh, E A; Nmadu, P T


    This is a report of a retrospective study of 24 children managed for penetrating abdominal injury over 10 years, and it represents 34% of all abdominal injuries in children in that period. Falls onto sharp objects within and around the home were responsible for ten of the injuries, seven were injured by animal horns and four were sporting injuries. Violence and road traffic accidents were uncommon. Most patients (67%) had evisceration of omentum or intestine, and one of these was found at laparotomy to have a jejuno-jejunal intussusception. Seven children had injury to hollow viscera. There were three deaths, one each from overwhelming sepsis, tetanus and haemorrhage.

  13. Systemic lupus erythematosus : abdominal radiologic findings

    Oh, Jae Cheon; Cho, On Koo; Lee, Yong Joo; Bae, Jae Ik; Kim, Yong Soo; Rhim, Hyun Chul; Ko, Byung Hee [Hanyang Univ. College of Medicine, Seoul (Korea, Republic of)


    Systemic lupus erythematosus(SLE) is a systemic disease of unknown etiology. Its main pathology is vasculitis and serositis, due to deposition of the immune complex or antibodies. Most findings are nonspecific ; abdominal manifestations include enteritis, hepatomegaly, pancreatic enlargement, serositis, lymphadenopathy, splenomegaly, nephritis, interstitial cystitis, and thrombophlebitis. We described radiologic findings of various organ involvement of SLE; digestive system, serosa, reticuloendothelial system, urinary system, and venous system. Diagnosis of SLE was done according to the criteria of American Rheumatism Association. Understanding of the variable imaging findings in SLE may be helpful for the early detection of abdominal involvement and complications.


    向阳; 郎景和; 王友芳; 黄荣丽; 连丽娟


    Twenty-eight cases of abdominal scar endometriosis from Janurary,1989 to December,1993 are reported.Of these patients,twenty-four underwent term cesarean section,and four underwent a midtrimester abortion by abdominal hysterotomy.The majority of patients manifested symptoms 1 year after the operation.The most common was a painful mass of scar tissue that became swollen and tender during menstruation.The pathogenesis,diagnosis and treatment are discussed.In correlation with the pathological findings,the effects of drug therapy are evaluated.It was found that surgical excision is the best method of treatment.


    A. Yaghoobi Notash


    Full Text Available Since CO2 pneumoperitoneum is the dominant method of laparoscopic exposure due to facility and good view, its physiologic effects are most relevant to the surgeons. CO2 pneumoperitoneum may affects hemodynamics by increased intra-abdominal pressure (IAP and the physiologic effects of absorbed CO2. The adverse effects of both mechanisms relate directly to the duration of the pneumoperitoneum and the elevation of IAP. Gasless laparoscopy involves obtaining exposure for laparoscopy by placing an internal retracting device through a small incision and lifting the anterior abdominal wall. We designed and made a mechanical wall elevator and used it in 24 patients, compared with a control group (52 cases using a conventional laparoscopic cholecystectomy. A prospective trial was undertaken in Sina Hospital, Tehran University of Medical Sciences from 1998 to 2000. The patients were assigned randomly to two groups. There was a significant decrease in IAP and CO2 consumption in the group using mechanical wall elevator as compared to conventional laparoscopic cholecystectomy, (mean IAP of 3.5 mmHg compared to 11.4 mmHg in the control group, mean CO2 volume 17 liters compared to 73 liters in the control group. We recommend this semigasless method in laparoscopy due to safety in performance and significant reduction in IAP through the surgery. This method provides a satisfactory view and easy performance without any increase in time or complications. The hospital stay and costs did not increase.

  16. [Pathogenetic aspects of intra-abdominal hypertension in patients with abdominal sepsis].

    Veliev, N A; Gasanova, D N


    The authors had offered the original estimated system with the points calculation, basing on analysis of the examination and treatment results in 150 patients, suffering abdominal sepsis. The system, alike others, includes not only determination of the inflammation factors and indices of endotoxicosis, but as well as those, concerning intraabdominal pressure, the anterior abdominal wall rigidity and the tissues elasticity. Among the important indices, needed to determine, were considered those, which categorize the syndrome of intraabdominal, intrathoracic and microregional hypertension as well as the mechanisms of endotoxicosis pathogenesis. The authors recommend to use the indices of pathological consequences of this two factors while doing assessment of the abdominal sepsis severity.

  17. Fever and abdominal tumoral masses

    Augustin C. Dima


    Full Text Available 49 year-old man presented to our clinic for pain in the right hypochondrium, diarrhea, and fever. The clinical examination highlights a tumoral formation in the right side of the abdomen, with firm consistency, poorly defined margins, and present mobility in the deep structures. On biological exams, leukocytosis with neutrophilia, inflammatory syndrome, and hypoalbuminaemia were identified. The first computed tomography exam described parietal thickening of the ascending colon, with infiltrative aspect, and multiple local adenopathies, lomboaortic and interaortocave. Moreover, four nodular liver tumors, with hypodense image in native examination, were identified. The lab tests for infectious diseases were all inconclusives: three hemocultures, three stool samples, and three coproparasitological exams were all negatives. Interdisciplinary examinations, internal medicine and infectious diseases, sustained the diagnosis of colonic neoplasm with peritumoral abscess and liver pseudo-tumoral masses. The colonoscopy did not revealed any bowel lesions relevant for neoplasia. This result as well as the bio-clinical context imposed abstention from surgical intervention. Wide spectrum antibiotics and symptomatic treatment were initiated. But, ten days after hospitalization, the second computed tomography exam showed reduction of the ascending colon wall thickness associated with significant increases of the liver tumors is so revealed. The investigations for other possible etiologies were so continued.

  18. A diagnostic approach to abdominal tuberculosis

    Eser Vardareli; Baybora Kircali


    @@ TO THE EDITOR We read with interest the article by Uzunkoy et al[1]. about diagnosis of abdominal tuberculosis. In this article authors concluded that PCR for mycobacterium tuberculosis complex is a noninvasive method which can provide the diagnosis in most cases. If this tests negative or not feasible, laparotomy should be performed.

  19. Connective tissue alteration in abdominal wall hernia

    Henriksen, N A; Yadete, D H; Sørensen, Lars Tue


    The aetiology and pathogenesis of abdominal wall hernia formation is complex. Optimal treatment of hernias depends on a full understanding of the pathophysiological mechanisms involved in their formation. The aim of this study was to review the literature on specific collagen alterations in abdom...

  20. [A young woman with acute abdominal pain

    Mooij, R.; Dillen, J. van


    A 17-year-old woman was operated in a Tanzanian hospital because of a suspected ruptured ectopic pregnancy. During laparatomy an interstitial ectopic pregnancy with an intact gestational sac was found. The ectopic pregnancy had ruptured into the abdominal cavity.

  1. Postoperative pleural effusion following upper abdominal surgery

    Nielsen, P H; Jepsen, S B; Olsen, A D


    Of 128 patients who underwent upper abdominal surgery, examined by standard preoperative and postoperative chest roentgenograms for the formation of postoperative pleural effusions, 89 had postoperative pleural effusions. Their presence was not related to the type of operation, infection, serum a...

  2. Abdominal sacral colpopexy for massive genital prolapse.

    Powell; Joseph


    Objective: A retrospective study to determine the success and complications of abdominal sacral colpopexy in correcting massive genital prolapse over an 8-year period between September 1989 and January 1997.Methods: The charts were reviewed for 3 patients with massive procidentia and 15 patients with symptomatic posthysterectomy vaginal vault prolapse, who desired preservation of sexual function and underwent abdominal sacral colpopexy with Marlex mesh at two community teaching hospitals.Results: In 16 of the 18 patients, one or more concurrent procedures were performed at the same time, including three Burch colpocystourethropexies and one Raz bladder neck suspension, which successfully controlled urinary stress incontinence. In three cases, staging procedures were done for ovarian neoplasia. There were no intraoperative complications. One patient developed a superficial abdominal wound infection, one patient had a deep venous thrombosis in her left leg 7 days postoperatively, and one patient experienced a 1 cm area of graft erosion 10 months postoperative requiring partial resection. Duration of follow-up has varied from 8 months to 5 years. One patient died 43 months after surgery of unrelated causes. No patients developed recurrent prolapse.Conclusions: Abdominal sacral colpopexy is a successful operation for the correction of prolapse. Serious complications are infrequent. Photographs of the technique and a review of the literature are presented.

  3. [Albert Einstein and his abdominal aortic aneurysm].

    Cervantes Castro, Jorge


    The interesting case of Albert Einstein's abdominal aortic aneurysm is presented. He was operated on at age 69 and, finding that the large aneurysm could not be removed, the surgeon elected to wrap it with cellophane to prevent its growth. However, seven years later the aneurysm ruptured and caused the death of the famous scientist.

  4. Abdominal muscle function and incisional hernia

    Jensen, K K; Kjaer, M; Jorgensen, L N


    of life depends largely on abdominal muscle function (AMF), and the present review thus evaluates to what extent AMF is influenced by VIH and surgical repair. METHODS: The PubMed and EMBASE databases were searched for articles following a systematic strategy for inclusion. RESULTS: A total of seven...

  5. Reconstruction of complex abdominal wall defects

    Slater, N.J.


    Incisional hernia is by far the most common complication after laparotomies, occurring in 10 – 20%. Its occurrence is secondary to insufficient healing of the postoperative scar, resulting in wound dehiscence and protrusion of abdominal contents through an opening in the musculo-fascial layer of the

  6. Genetics Home Reference: abdominal wall defect

    ... Aug;6(4):232-6. Citation on PubMed Islam S. Clinical care outcomes in abdominal wall defects. Curr ... Site Map Customer Support Selection Criteria for Links Copyright Privacy Accessibility FOIA Viewers & Players U.S. ...

  7. Unusual Differential Diagnosis of Upper Abdominal Pain

    Lanthaler Monika


    The peculiarity of this case is the rarity of toothpick ingestion and gastric perforation in a young and healthy white Caucasian followed by development of a liver abscess after primary uneventful endoscopic removal. In light of this case, gastric perforation due to ingested foreign bodies such as toothpicks can be considered a rare cause of upper abdominal pain.

  8. [Intraabdominal hypertension and abdominal compartment syndrome

    Sonne, M.; Hilligsø, Jens Georg


    Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare conditions with high mortality. IAH is an intraabdominal pressure (IAP) above 12 mmHg and ACS an IAP above 20 mmHg with evidence of organ dysfunction. IAP is measured indirectly via the bladder or stomach. Various...

  9. Abdominal manifestations of actinomycosis in IUD users.

    Asuncion, C M; Cinti, D C; Hawkins, H B


    The use of an intrauterine device (IUD) is associated with the presence of actinomyces in the female genital tract. Since IUD use is currently so prevalent, IUD-related pelvic inflammatory disease occasionally spreads to the rest of the abdomen. Two patients with abdominal actinomycosis in association with an IUD illustrate the problem; we review the general problem.

  10. The Principles of Abdominal Wound Closure

    Meijer, E. -T.; Timmermans, L.; Jeekel, J.; Lange, J. F.; Muysoms, F. E.


    Background : Incisional hernia (IH) is a common complication of abdominal surgery. Its incidence has been reported as high as 39.9%. Many factors influence IH rates. Of these, surgical technique is the only factor directly controlled by the surgeon. There is much evidence in the literature on the op

  11. Poverty Reduction

    Ortiz, Isabel


    The paper reviews poverty trends and measurements, poverty reduction in historical perspective, the poverty-inequality-growth debate, national poverty reduction strategies, criticisms of the agenda and the need for redistribution, international policies for poverty reduction, and ultimately understanding poverty at a global scale. It belongs to a series of backgrounders developed at Joseph Stiglitz's Initiative for Policy Dialogue.

  12. Previous Multiple Abdominal Surgeries: A Valid Contraindication to Abdominal Free Flap Breast Reconstruction?

    Di Candia, Michele; Asfoor, Ahmed Al; Jessop, Zita M.; Kumiponjera, Devor; Hsieh, Frank; Malata, Charles M.


    Presented in part at the following Academic Meetings: 57th Meeting of the Italian Society of Plastic, Reconstructive and Aesthetic Surgery, September 24-27, 2008, Naples, Italy.45th Congress of the European Society for Surgical Research (ESSR), June 9-12, 2010, Geneva, Switzerland.British Association of Plastic Reconstructive and Aesthetic Surgeons Summer Scientific Meeting, June 30-July 2, 2010, Sheffield Hallam University, Sheffield, UK. Background: Patients with previous multiple abdominal surgeries are often denied abdominal free flap breast reconstruction because of concerns about flap viability and abdominal wall integrity. We therefore studied their flap and donor site outcomes and compared them to patients with no previous abdominal surgery to find out whether this is a valid contraindication to the use of abdominal tissue. Patients and Methods: Twenty patients with multiple previous abdominal operations who underwent abdominal free flap breast reconstruction by a single surgeon (C.M.M., 2000-2009) were identified and retrospectively compared with a cohort of similar patients without previous abdominal surgery (sequential allocation control group, n = 20). Results: The index and control groups were comparable in age, body mass index, comorbidities, previous chemotherapy, and RT exposure. The index patients had a mean age of 54 years (r, 42-63) and an average body mass index of 27.5 kg/m2 (r, 22-38). The main previous surgeries were Caesarean sections (19), hysterectomies (8), and cholecystectomies (6). They underwent immediate (n = 9) or delayed (n = 11) reconstructions either unilaterally (n = 18) or bilaterally (n = 2) and comprising 9 muscle-sparing free transverse rectus abdominis muscle and 13 deep inferior epigastric perforator flaps. All flaps were successful, and there were no significant differences in flap and donor site outcomes between the 2 groups after an average follow up of 26 months (r, 10-36). Conclusion: Multiple previous abdominal

  13. Diagnostic Accuracy of Secondary Ultrasound Exam in Blunt Abdominal Trauma

    Rajabzadeh Kanafi, Alireza; Giti, Masoumeh; Gharavi, Mohammad Hossein; Alizadeh, Ahmad; Pourghorban, Ramin; Shekarchi, Babak


    Background: In stable patients with blunt abdominal trauma, accurate diagnosis of visceral injuries is crucial. Objectives: To determine whether repeating ultrasound exam will increase the sensitivity of focused abdominal sonography for trauma (FAST) through revealing additional free intraperitoneal fluid in patients with blunt abdominal trauma. Patients and Methods: We performed a prospective observational study by performing primary and secondary ultrasound exams in blunt abdominal trauma p...

  14. Isolated duodenal rupture due to blunt abdominal trauma

    Celik Atilla


    Full Text Available Duodenal rupture following blunt abdominal trauma is rare and it usually seen with other abdominal organ injuries. It represents approximately 2% to 20% of patients with blunt abdominal injury and often occurs after blows to the upper abdomen, or abdominal compression from high-riding seat belts. Two cases of blunt duodenal rupture successfully treated surgically, are presented with their preoperative diagnosis and final out comes.

  15. Abdominal fedme og fedmerelaterede sygdomme hos patienter i almen praksis

    Haugan, Ketil; Rost, Dan; Knudsen, Nils;


    Abdominal obesity is associated with type 2 diabetes, cardiovascular disease, dyslipidemia and hypertension. The prevalence of abdominal obesity and its relationship with these comorbidities have not previously been examined in Danish primary care patients.......Abdominal obesity is associated with type 2 diabetes, cardiovascular disease, dyslipidemia and hypertension. The prevalence of abdominal obesity and its relationship with these comorbidities have not previously been examined in Danish primary care patients....

  16. Abdominal closed trauma in children. Trauma abdominal cerrado en el niño.

    Rogelio Rodríguez Castillo

    Full Text Available Blunt abdominal trauma constitutes 90% approximately of the abdominal injuries in children. Due to the augmented size of the child trunk in relation to their extremities, the abdominal lesions are extremely frequents. The abdominal trauma is present in 20-30% of the patients with serious trauma. It's the second cause of death for accidents after the cranial traumatism in the pediatric patient. We presented the Good Clinical Practices Guideline for Blunt Abdominal Trauma, approved by consensus in the 2nd National Good Clinical Practices Workshop in Pediatric Surgery (Manzanillo, Cuba, September 31 - October 3, 2002.

    El trauma abdominal cerrado constituye aproximadamente el 90 % de los traumatismos abdominales en niños. Debido al tamaño aumentado del tronco del niño en relación con sus extremidades las lesiones abdominales son extremadamente frecuentes. El trauma abdominal está presente en el 20-30 % de los pacientes con trauma grave. Es la segunda causa de muerte por accidentes, después del traumatismo craneal, en el paciente pediátrico. Se presenta la Guía de Buenas Prácticas Clínicas para trauma abdominal cerrado, aprobada por consenso en el 2º Taller Nacional de Buenas Prácticas Clínicas en Cirugía Pediátrica (Manzanillo, 31 de septiembre al 3 de octubre del 2002.

  17. Lateral abdominal muscle size at rest and during abdominal drawing-in manoeuvre in healthy adolescents.

    Linek, Pawel; Saulicz, Edward; Wolny, Tomasz; Myśliwiec, Andrzej; Kokosz, Mirosław


    Lateral abdominal wall muscles in children and adolescents have not been characterised to date. In the present report, we examined the reliability of the ultrasound measurement and thickness of the oblique external muscle (OE), oblique internal muscle (OI) and transverse abdominal muscle (TrA) at rest and during abdominal drawing-in manoeuvre (ADIM) on both sides of the body in healthy adolescents. We also determined possible differences between boys and girls and defined any factors-such as body mass, height and BMI-that may affect the thickness of the abdominal muscles. B-mode ultrasound was used to assess OE, OI and TrA on both sides of the body in the supine position. Ultrasound measurements at rest and during ADIM were reliable in this age group (ICC3,3 > 0.92). OI was always the thickest and TrA the thinnest muscle on both sides of the body. In this group, an identical pattern of the contribution of the individual muscles to the structure of the lateral abdominal wall (OI > OE > TrA) was observed. At rest and during ADIM, no statistically significant side-to-side differences were demonstrated in either gender. The body mass constitutes between 30% and muscles under examination at rest and during ADIM. The structure of lateral abdominal wall in adolescents is similar to that of adults. During ADIM, the abdominal muscles in adolescents react similarly to those in adults. This study provided extensive information regarding the structure of the lateral abdominal wall in healthy adolescents.

  18. Increased long-term mortality after a high perioperative inspiratory oxygen fraction during abdominal surgery

    Meyhoff, Christian Sylvest; Jorgensen, Lars N; Wetterslev, Jørn;


    A high perioperative inspiratory oxygen fraction (80%) has been recommended to prevent postoperative wound infections. However, the most recent and one of the largest trials, the PROXI trial, found no reduction in surgical site infection, and 30-day mortality was higher in patients given 80% oxygen....... In this follow-up study of the PROXI trial we assessed the association between long-term mortality and perioperative oxygen fraction in patients undergoing abdominal surgery....

  19. 机载MIMO 雷达3-CAP杂波抑制方法%3-CAP Clutter Suppression Method Research for Airborne Radar

    郝琳; 张永顺; 李哲


    To solve the problem of clutter suppression faced by airborned MIMO radar,after considering the element error,channel uncertainty as well as clutter fluctuation,,the clutter model for airborne MIMO ra-dar under different error conditions is established,a new space-time adaptive processing method based on MIMO systems---M3-CAP method is proposed.Firstly,temporal filtering is performed on the space-time received data,and then the output data of three Doppler channels which are the detected Doppler channel and two of its adj acent channels,is adaptively filtered .By combining MIMO systems and 3-CAP method ef-fectively,the advantage of waveform diversity is extended into 3-CAP method,this new method improves the degree of freedom and clutter estimation accuracy.By analyzing and comparing the clutter suppression performance under different radar systems and different error conditions,the result turns out:the clutter suppression performance of M3-CAP method is superior to JDL-GMB、Modified JDL、3-CAP methods.%针对机载雷达面临的杂波抑制问题,在考虑阵元误差、通道误差和杂波起伏等误差因素对杂波特性影响的基础上,建立了机载 MIMO 雷达杂波数学模型,提出了一种基于 MIMO 雷达体制下的空时自适应新方法---M3-CAP方法。对接收信号进行时域滤波,选取被检测通道与其2个相邻通道为一组,进行自适应处理。该方法通过MIMO 技术与3-CAP 方法的有效结合,将波形分集的优势扩展到3-CAP方法中,显著提高了雷达系统自由度和杂波协方差矩阵估计精度。通过对不同雷达体制以及不同误差条件下杂波抑制性能的分析比较,结果表明:提出的M3-CAP方法的杂波抑制性能明显优于JDL-GMB、改进的JDL、3-CAP等方法。

  20. The efficacy of adhesiolysis on chronic abdominal pain

    Gerner-Rasmussen, Jonas; Burcharth, Jakob; Gögenur, Ismail


    INTRODUCTION: Abdominal adhesions are a frequent reason for chronic abdominal pain. The purpose of this systematic review was to investigate the evidence of performing laparoscopic adhesiolysis as a treatment for patients with chronic abdominal pain. METHODS: Medline, Embase, and The Cochrane Cen...

  1. Interventional management of abdominal sepsis : when and how

    van Goor, H


    Background: To decide "how and when to treat intra-abdominal infection" is one of the most important challenges for surgeons interested in abdominal sepsis. The minimally invasive approach to intra-abdominal infection, both diagnostic and therapeutic, has gained great popularity in recent years: the

  2. Lateral abdominal wall hernia following blunt trauma - a rare case

    Michael Walsh; Antony Pittathankal; Nnamdi Nwaejike


    The presence of superficial bruising, no abnormal signs on abdominal examination and a negative FAST scan of the abdomen may not be enough to rule out intra-abdominal pathology. We report on the usefulness of CT in diagnosing a post-traumatic abdominal wall hernia.

  3. Diagnostic yield of oesophagogastroduodenoscopy in children with abdominal pain

    Abdominal pain is the most common indication for OGD in children. However, existing studies examining the diagnostic outcomes of OGD in children with abdominal pain are limited. We conducted the current study to examine the diagnostic yield of OGD with biopsy in the evaluation of abdominal pain and ...

  4. Relative Activity of Abdominal Muscles during Commonly Prescribed Strengthening Exercises.

    Willett, Gilbert M.; Hyde, Jennifer E.; Uhrlaub, Michael B.; Wendel, Cara L.; Karst, Gregory M.


    Examined the relative electromyographic (EMG) activity of upper and lower rectus abdominis (LRA) and external oblique (EOA) muscles during five abdominal strengthening exercises. Isometric and dynamic EMG data indicated that abdominal strengthening exercises activated various abdominal muscle groups. For the LRA and EOA muscle groups, there were…

  5. Abdominal wall paresis as a complication of laparoscopic surgery

    G.H. van Ramshorst (Gabrielle); G.J. Kleinrensink (Gert Jan); J.J. Hermans (John); T. Terkivatan (Türkan); J.F. Lange (Johan)


    textabstractPurpose: Abdominal wall nerve injury as a result of trocar placement for laparoscopic surgery is rare. We intend to discuss causes of abdominal wall paresis as well as relevant anatomy. Methods: A review of the nerve supply of the abdominal wall is illustrated with a rare case of a patie

  6. Can release of urinary retention trigger abdominal aortic aneurysm rupture?

    Luhmann, Andreas; Powell-Bowns, Matilda; Elseedawy, Emad


    Only 50% of abdominal aortic aneurysms present with the classic triad of hypotension, back pain and a pulsatile abdominal mass. This variability in symptoms can delay diagnosis and treatment. We present the case of a patient presenting with a unique combination of symptoms suggesting that decompression of urinary retention can lead to abdominal aortic aneurysm rupture.

  7. The Epidemiology of Intra-Abdominal Flora in Critically III Patients with Secondary and Tertiary Abdominal Sepsis

    de Ruiter, J.; Weel, J.; Manusama, E.; Kingma, W. P.; van der Voort, P. H. J.


    Background: Different micro-organisms can be cultured from abdominal fluid obtained from patients with intra-abdominal infection resulting from a perforated digestive tract. We evaluated a cohort of patients with abdominal sepsis admitted to the intensive care with the aim of obtaining more insight

  8. An abdominal aortic calcification as a RISK FACTOR FOR cardio -cerebral events in patients with peripheral arterial

    V. A. Zelinskiy


    Full Text Available Background. The patients with abdominal aortic calcification have a high risk of cardiocerebral events, but the pathways of them have not been reported so far. The goal of our study was to assess the structure and function of myocardium and to determine the morphological features of carotid artery atherosclerosis in patients with abdominal aortic calcification.Materials and methods. A total of 167 executive patients with peripheral arterial disease were enrolled in study. The study group included 85 patients with abdominal aortic calcification (men – 95.3 %; age median was – 66.6 ± 12. Control group included 82 patients without objective signs of abdominal aortic calcification. Abdominal aortic calcification was detected by CT imaging. All patients have undergone echocardiography and duplex scanning of carotid arteries.Results. Prevalence and severity of ischemic heart disease and cerebrovascular disease were statistically significant higher in patients with abdominal aortic calcification (91.7, 65.8 % vs. 67, 37.3 % (р < 0.01. We have found statistically significant differences between groupsin heart structure and function. A high left ventricular wall thickness (р < 0.01, left atrium dilation (р < 0.01 and enhanced of left ventricular mass (р < 0.05, ejection fraction reduction (р < 0.05 and more common diastolic dysfunction (р < 0.05 were determined inpatients with abdominal aortic calcification. An intima-media thickness of the common carotid artery was significantly higher in study group patients (1.38 ± 0.07 mm vs. 1.14 ± 0.06 mm (р < 0.001.Conclusion. Our findings suggested that abdominal aortic calcification is main reason of hypertrophy and dilation in the left heart due to enhanced peripheral resistance. Hypertrophy and dilation in the left heart is provided a high risk of cardiovascular events in patients withabdominal aortic calcification.

  9. Ejaculate parameters in patients with abdominal obesity

    E. A. Epanchintseva


    compared with the third group, moreover the indicated decline was more pronounced in men of the 1st group. The content of SHBG in serum was also significantly lower in the 1st and 2nd groups in relation to the 3rd group. Comparison of ejaculate indicators revealed significant differences in the 1st and 2nd groups of men, differing in the type of fat distribution, in terms of volume of ejaculate, share of progressively motile sperm and DNA fragmentation level. Differences are identified for some indicators of ejaculate between the 1st and 3rd groups, but the differences between the 2nd and 3rd groups on any indicator are not detected. Conclusion. The revealed differences indicate a negative effect on the ejaculate indicators, particularly of upper type of fat distribution, peculiar to the men of the 1st group. The obtained results justify the assumption that abdominal obesity with upper type fat distribution is an independent risk factor of male fertility reduction

  10. Ejaculate parameters in patients with abdominal obesity

    E. A. Epanchintseva


    compared with the third group, moreover the indicated decline was more pronounced in men of the 1st group. The content of SHBG in serum was also significantly lower in the 1st and 2nd groups in relation to the 3rd group. Comparison of ejaculate indicators revealed significant differences in the 1st and 2nd groups of men, differing in the type of fat distribution, in terms of volume of ejaculate, share of progressively motile sperm and DNA fragmentation level. Differences are identified for some indicators of ejaculate between the 1st and 3rd groups, but the differences between the 2nd and 3rd groups on any indicator are not detected. Conclusion. The revealed differences indicate a negative effect on the ejaculate indicators, particularly of upper type of fat distribution, peculiar to the men of the 1st group. The obtained results justify the assumption that abdominal obesity with upper type fat distribution is an independent risk factor of male fertility reduction

  11. A case report of abdominal distention caused by herpes zoster

    Su-Rong Zhou; Chuan-Yu Liu


    Gastrointestinal complications caused by herpes zoster are extremely rare.Here,we described a case of abdominal distention caused by herpes zoster.The patient was a 59-year-old female who suffered from unexplained paroxysmal and a burning pain on the right part of her waist and abdomen,accompanied by abdominal distention.Intestinal pseudo-obstruction was diagnosed by abdominal radiography.Distention of the right abdominal wall was still apparent after one month.In this report,we found that recovery from abdominal distention caused by herpes zoster is difficult and may require surgical intervention.

  12. [Pain originating from the abdominal wall: a forgotten diagnostic option].

    Rivero Fernández, Miguel; Moreira Vicente, Víctor; Riesco López, José María; Rodríguez Gandía, Miguel Angel; Garrido Gómez, Elena; Milicua Salamero, José María


    Chronic abdominal pain is a common clinical problem in primary care, and is usually referred to gastroenterologists or general surgeons. Although up to 20% of cases of idiopathic abdominal pain arise in structures of the abdominal wall, this is frequently overlooked as a possible cause. It includes pain arising from structures of the abdominal wall including skin, parietal peritoneum, cellular subcutaneous tissue, aponeuroses, abdominal muscles and somatosensorial innervation from lower dorsal roots. The diagnosis is based on anamnesis and physical examination. Carnett's sign is a simple maneuver that discriminates between parietal and visceral pain. Management with topical anesthesia is effective in a majority of patients and can help to confirm the diagnosis.

  13. MCMC Particle Filter Using New Data Association Technique with Viterbi Filtered Gate Method for Multi-Target Tracking in Heavy Clutter

    E. M.Saad


    Full Text Available Improving data association technique in dense clutter environment for multi-target tracking used in Markov chain Monte Carlo based particle filter (MCMC-PF are discussed in this paper. A new method named Viterbi filtered gate Markov chain Monte Carlo VFG-MCMC is introduced to avoid track swap and to overcome the issue of loosing track to highly maneuvering targets in the presence of more background clutter and false signals. An adaptive search based on Viterbi algorithm is then used to detect the valid filtered data point in each target gate. The detected valid point for each target is applied to the estimation algorithm of MCMC-PF during calculating the sampling weights. This proposed method makes the MCMC interacts only with the valid target that is candidate from the filtered gate and no more calculations are considered for invalid targets. Simulation results demonstrate the effectiveness and better performance when compared to conventional algorithm MCMC-PF.

  14. Role of plasma ammonia level in detecting intra-abdominal hemorrhage following blunt abdominal trauma

    Davood Farsi


    Full Text Available Background: Blunt abdominal injury is a leading cause of death in trauma patients. A reliable test predicting intra-abdominal hemorrhage would be a novel method. The study objective was to assess the diagnostic accuracy of plasma ammonia in detection of intra-abdominal bleeding in patients with blunt abdominal trauma (BAT. Materials and Methods: In this observational study, all patients suffering from BAT, referred to our university teaching hospital included. The levels of ammonia were measured at the time of emergency department admission and 1 h after initial treatment. Demographic data, vital signs, and venous blood gas reports were recorded. Findings of contrast-enhanced abdominopelvic computed tomography scan and laparotomy were assumed as a gold standard for abdominal injuries. Results: A total of 104 patients was enrolled in the study. 15 patients (14.4% had intra-abdominal hemorrhage and the mean plasma ammonia level in this group was significantly higher than the other patients on admission time (101.73 ± 5.41 μg/dL vs. 47.36 ± 26.31 μg/dL, P < 0.001. On receiver-operator characteristic curve analysis, in cutoff point of 89 μg/dL, the sensitivity, specificity, positive and negative likelihood ratios were 100% (95% confidence interval [CI], 79.6-100, 93.26% (95% CI, 86-96.8, 14.83 (95% CI, 6.84-32.12, and 0, respectively. Conclusion: The study findings suggest the measurement of ammonia level at the time of admission in the patients with BAT would be a useful test predicting intra-abdominal hemorrhage. Furthermore, decrease in the ammonia level could be a useful marker for monitoring response to treatment in these patients.

  15. Abdominal leiomyosarcomas: radiologic appearances at various locations

    Kurugoglu, Sebuh; Ogut, Gunduz; Mihmanli, Ismail; Korman, Ugur [Department of Radiology, Istanbul University, Cerrahpasa Medical Faculty, 34300 Istanbul (Turkey); Durak, Haydar [Department of Pathology, Istanbul University, Cerrahpasa Medical Faculty, 34300 Istanbul (Turkey)


    Leiomyosarcomas are soft tissue tumors that account for approximately 15% of all soft tissue sarcomas. Leiomyosarcomas may be located at almost any part of the abdomen but especially are more common in the retroperitoneum, followed by gastrointestinal tract and genital system. They develop mainly in adult life and are very rare in children. In this article, imaging findings of leiomyosarcomas in various abdominal locations are presented. Radiologic studies are capable of providing useful information on the localization, size, changes in the internal structure of the tumor, its extension and invasion. Leiomyosarcoma should be considered in the differential diagnosis in case of detection of a large, circumscribed, and heterogenous abdominal mass. Histopathologically, diagnosis of malignancy depends particularly on mitotic counts, size, rate of necrosis, and infiltrating margins. (orig.)

  16. Computed Tomography (CT) Perfusion in Abdominal Cancer

    Hansen, Martin Lundsgaard; Norling, Rikke; Lauridsen, Carsten;


    on the market today based on different perfusion algorithms. However, there is no consensus on which protocol and algorithm to use for specific organs. In this article, the authors give an introduction to CT perfusion in abdominal imaging introducing technical aspects for calculation of perfusion parameters......Computed Tomography (CT) Perfusion is an evolving method to visualize perfusion in organs and tissue. With the introduction of multidetector CT scanners, it is now possible to cover up to 16 cm in one rotation, and thereby making it possible to scan entire organs such as the liver with a fixed...... table position. Advances in reconstruction algorithms make it possible to reduce the radiation dose for each examination to acceptable levels. Regarding abdominal imaging, CT perfusion is still considered a research tool, but several studies have proven it as a reliable non-invasive technique...

  17. [Adrenal injury in blunt abdominal trauma].

    Abakumov, M M; Smoliar, A N; Barmina, T G; Boĭko, A V; Shalimova, I G


    10 patients with adrenal damage were observed during 2.5 years. It amounted 0.93% of all patients with closed abdominal injuries. The right adrenal gland was traumatized in all cases evidently due to it's compression between right lobe of liver and vertebral column. Adrenal damage is observed quite often in combination with injuries of right liver lobe, right kidney and retroperitoneal hematoma formation. 5 patients underwent laparotomy on account of intra-abdominal bleeding, but adrenal damage was never revealed. Ultrasound and tomographic semiotics of adrenal damage was worked out, which allowed ascertaining diagnosis in 80% on application of ultrasound study and in 100% at computer tomography. Injury of one adrenal gland was not accompanied by adrenal failure and did not require hormonal replacement therapy.

  18. Abdominal pregnancy as a cause of hemoperitoneum

    Shafi Sheikh


    Full Text Available The coexistence of intrauterine and extrauterine pregnancy, the heterotopic pregnancy, is a rare obstetric phenomenon. The preoperative diagnosis of this condition is very difficult; leading to a higher maternal morbidity and fetal loss. We experienced a case of intrauterine pregnancy and ruptured abdominal pregnancy implanted on the illeocaecal region in a 26-year-old primiparous woman. She was clinically misdiagnosed as a case of ruptured ectopic pregnancy, but ultrasonography showed it to be a case of heterotopic pregnancy. Subsequently, the patient was subjected to laparotomy and the ruptured abdominal pregnancy was evacuated. She continued with the intrauterine pregnancy till term and delivered a healthy female baby. Although this condition is unusual, any general surgeon in the emergency department must be aware of this complication and its management, which is often initially misdiagnosed.

  19. Atrophic coarctation of the abdominal aorta.

    Wiest, J W; Traverso, L W; Dainko, E A; Barker, W F


    Two cases illustrate the clinical manifestations and angiographic findings associated with segmental stenosis of the abdominal aorta. Such lesions represent the chronic occlusive stage of Takayasu's disease, a nonspecific inflammatory arteritis of uncertain etiology. While the disease is considered autoimmune, an infectious process may be involved. Complications typically associated with stenotic lesions of the abdominal aorta are secondary renal hypertension and ischemic symptoms secondary to vascular insufficiency. Surgical correction, the treatment of choice, has achieved excellent results for these well-localized lesions. Secondary renal hypertension was relieved by a spenorenal shunt and the disease has since been controlled with conservative management in the first patient. An aortofemoral bypass graft successfully alleviated the vascular insufficiency in the second patient, although the patient unfortunately expired from a refractory postoperative cardiac complication. Images Fig. 1. Fig. 2. Fig. 3. Fig. 4. PMID:6102453

  20. [Traumatic and iatrogenic lesions of abdominal vessels].

    Farah, I; Tarabula, P; Voirin, L; Magne, J L; Delannoy, P; Gattaz, F; Guidicelli, H


    Gravity of abdominal vessels traumatisms is secondary to multiple factors. It depends on the type of injured vessels, aetiology and associated lesions. Between September 1984 and March 1995, 22 abdominal vessel traumatisms in 16 patients (mean age: 39 years) were treated. At surgical exploration, 4 aortic and 2 renal vein lesions, 7 iliac artery and 3 renal artery contusions, 2 superior mesenteric artery dissections; 3 infra-renal vena cava ruptures and 1 superior mesenteric vein dilaceration were found. All lesions were caused by penetrant wounds secondary to firearm or blade injury or secondary to injuries due to ski or traffic accidents. In 5 cases, lesions were iatrogenic. There was no mortality in the post-operative period, 14 patients out of the 16 patients operated on have been followed during a period from 1 to 120 months.

  1. Idiopathic sclerosing encapsulating peritonitis: Abdominal cocoon

    Jenny N Tannoury; Bassam N Abboud


    Abdominal cocoon,the idiopathic form of sclerosing encapsulating peritonitis,is a rare condition of unknown etiology that results in an intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane.Preoperative diagnosis re quires a high index of clinical suspicion.The early clinical features are nonspecific,are often not recognized and it is difficult to make a definite pre-operative diagnosis.Clinical suspicion may be generated by the recurrent episodes of small intestinal obstruction combined with relevant imaging findings and lack of other plausible etiologies.The radiological diagnosis of abdominal cocoon may now be confidently made on computed tomography scan.Surgery is important in the management of this disease.Careful dissection and excision of the thick sac with the release of the small intestine leads to complete recovery in the vast majority of cases.

  2. Trends in Obesity and Abdominal Obesity in the Older Adult Population of Spain (2000-2010

    Juan Luis Gutiérrez-Fisac


    Full Text Available Objective: This work examines the trend in obesity and abdominal obesity in the Spanish population aged 60 years and over during the first decade of the 21st century. Methods: We analyze data from a representative study of the Spanish population aged 60 years and older conducted in 2000-2001 and from the Study on Nutrition and Cardiovascular Risk in Spain (ENRICA conducted in 2008-2010. Results: In men, the distribution of BMI did not vary in the period 2000-2010. In contrast, in women there was a reduction in both mean BMI - from 29.3 to 28.8 kg/m2 - and the prevalence of obesity - from 40.8 to 36.3%. This decline was greatest in women aged 60-69 years. In men, no significant changes were observed in mean waist circumference (WC or in the prevalence of abdominal obesity. In contrast, WC decreased by 3.6 cm and abdominal obesity prevalence by 12.7% in women. The decline was greatest in women aged 60-69 years, in whom mean WC decreased by 5.1 cm and abdominal obesity prevalence by 18.6%. Conclusion: These findings show that the frequency of obesity has begun to decline in Spanish women aged 60 and over. The causes of this decline are unclear.

  3. A Ground Clutter Cancellation Algorithm for Noise Radar%一种噪声雷达地杂波消除算法

    靳晓艳; 李伟


    Due to its excellent anti⁃interference performance and low intercept rate,noise radar has great apply potential in both military and civilian fields.In solve the problem of ground clutter wave cancellation in noise radar,an algorithm based on clutter base orthogonalization is proposed.In this algorithm,receive signal is put into a lattice filter,in order to fit the unknown or time⁃varying statis⁃tics characteristic of the ground clutter.And the parameters of filter are adjusted adaptively.Simulation results indicate that the proposed algorithm not only provides good cancellation effect to the ground clutter,but also can effectively suppress the direct signal.%噪声雷达因其优异的抗干扰性能和低截获概率,在军事和民用领域均具有着巨大的应用潜力。针对噪声雷达地杂波消除困难的问题,提出了一种基于杂波基向量正交化的算法,该算法通过将接收信号输入格形滤波器,并自适应地调整滤波器的参数,以适应地面杂波未知的或随时间变换的统计特性,从而实现最优滤波。仿真结果表明,所提算法不仅对地杂波具有很好的消除效果,与此同时也能够有效抑制直达波。

  4. Intra-abdominal gout mimicking pelvic abscess

    Chen, Chia-Hui; Chen, Clement Kuen-Huang [Kaohsiung Veterans General Hospital, Department of Radiology, Kaohsiung (Taiwan); National Yang-Ming University, School of Medicine, Taipei (Taiwan); Yeh, Lee-Ren; Pan, Huay-Ban; Yang, Chien-Fang [Kaohsiung Veterans General Hospital, Department of Radiology, Kaohsiung (Taiwan)


    Gout is the most common crystal-induced arthritis. Gouty tophi typically deposit in the extremities, especially toes and fingers. We present an unusual case of intrapelvic tophaceous gout in a patient suffering from chronic gouty arthritis. CT and MRI of the abdomen and pelvic cavity disclosed calcified gouty tophi around both hips, and a cystic lesion with peripheral enhancement in the pelvic cavity along the course of the iliopsoas muscle. The intra-abdominal tophus mimicked pelvic abscess. (orig.)

  5. Abdominal compartment syndrome from bleeding duodenal diverticulum

    Vakhtang Tchantchaleishvili


    Full Text Available Duodenal diverticuli are acquired false diverticuli of unknown etiology. Although mostly asymptomatic, they can occasionally cause upper gastrointestinal hemorrhage, rarely with massive bleeding. In this report, we present (to the best of our knowledge the first reported case of duodenal diverticular bleeding, causing abdominal compartment syndrome. Albeit a rare event, duodenal diverticular bleeding should be included in the differential diagnosis of upper gastrointestinal bleeding. As with our case, a multidisciplinary approach to managing such patients is crucial.

  6. Abdominal manifestations of extranodal lymphoma: pictorial essay*

    Fajardo, Laís; Ramin, Guilherme de Araujo; Penachim, Thiago José; Martins, Daniel Lahan; Cardia, Patrícia Prando; Prando, Adilson


    In the appropriate clinical setting, certain aspects of extranodal abdominal lymphoma, as revealed by current cross-sectional imaging techniques, should be considered potentially diagnostic and can hasten the diagnosis. In addition, diagnostic imaging in the context of biopsy-proven lymphoma can accurately stage the disease for its appropriate treatment. The purpose of this article was to illustrate the various imaging aspects of extranodal lymphoma in the abdomen. PMID:28057966

  7. Mast Cells in Abdominal Aortic Aneurysms

    Shi, Guo-Ping; Lindholt, Jes Sanddal


    Mast cells (MCs) are proinflammatory cells that play important roles in allergic responses, tumor growth, obesity, diabetes, atherosclerosis, and abdominal aortic aneurysm (AAA). Although the presence and function of MCs in atherosclerotic lesions have been thoroughly studied in human specimens...... neighboring cells, degrade extracellular matrix proteins, process latent bioactive molecules, promote angiogenesis, recruit additional inflammatory cells, and stimulate vascular cell apoptosis. These activities associate closely with medial elastica breakdown, medial smooth-muscle cell loss and thinning...

  8. Child abdominal tumour in tropical context: Think about schistosomiasis!

    A. M. Napon


    Full Text Available Schistosomiasis presenting as an abdominal mass with chronic pain in a child is not common. This report presents case of child presenting with schistosomiasis presenting as an abdominal mass with chronic pain. Abdominal ultrasonography did not particularly contribute to definitive pre-operative diagnosis. However, pathological examination of surgical specimen confirmed Schistosoma mansoni eggs in the biospy. A decrease in the mass volume was noticed under medical treatment (Biltricide. The aim of this report was to intimate clinicians on possible abdominal schistosomiasis as differential diagnosis of childhood abdominal mass. This is a clarion call for a high index of suspicion of childhood abdominal schistosomiasis in children presenting with abdominal mass in a tropical setting.

  9. Abdominal tuberculosis in Ahmadi, Kuwait: a clinico-pathological review.

    Abdul-Ghaffar, N U; Ramadan, T T; Marafie, A A


    For studying abdominal tuberculosis (TB) in Ahmadi, files off all patients admitted to our hospital with abdominal TB over 15 years (1981-1996) were reviewed. Nineteen patients are reported here. Young adults were predominant in our study. The non-Arab Asians were the most frequently affected group in relation to their population in Ahmadi, and Kuwaitis were the least frequently affected group. Abdominal pain, sweating, anorexia and fever were the most frequent presenting symptoms. Ascites and intestinal obstruction were the most frequent clinical presentations. Two patients presented with acute appendicitis and one patient had tuberculous pancreatitis. Abdominal lymph nodes, peritoneum, ileum and and caecum were the most frequently affected abdominal structures. We found laparoscopy very helpful in diagnosis of abdominal TB and we recommend it as the diagnostic method of choice. All our patients responded well to antituberculous chemotherapy. It should be kept in mind that abdominal TB still affects the indigenous and expatriate population of Kuwait.

  10. Focal epilepsy with ictal abdominal pain: a case report.

    Cerminara, Caterina; El Malhany, Nadia; Roberto, Denis; Curatolo, Paolo


    Focal epilepsy with ictal abdominal pain is an unusual partial epilepsy characterized by paroxysmal episodes of abdominal or visceral pain, disturbance of awareness and electroencephalographic abnormalities. We describe a new case of ictal abdominal pain in which gastrointestinal complaints were the only manifestation of seizures and review the previously described pediatric patients. In our patient clinical findings, ictal EEG abnormalities, and a good response to antiepileptic drugs allowed us to make a diagnosis of focal epilepsy with ictal abdominal pain. This is a rare epileptic phenomenon that should be suspected in patients with unexplained paroxysmal abdominal pain and migraine-like symptoms. We suggest that, after the exclusion of more common etiologies, focal epilepsy with ictal abdominal pain should be considered in patients with paroxysmal abdominal pain and ictal EEG abnormalities.

  11. Risk factors of thrombosis in abdominal veins

    Amit Kumar Durra; Ashok Chacko; Biju George; Joseph Anjilivelil Joseph; Sukesh Chandran Nair; Vikram Mathews


    AIM: To estimate the prevalence of inherited and acquired thrombophilic risk factors in patients with abdominal venous thrombosis and to compare the risk factor profiles between Budd-Chiari syndromes (BCS) and splanchnic vein thrombosis (SVT).METHODS: In this retrospective study, 36 patients with abdominal venous thrombosis were studied.The patients were divided into Budd-Chiari group (hepatic vein, IVC thrombosis) and splanchnic venous thrombosis group (portal, splenic, superior mesenteric veins) based on the veins involved. Hereditary and acquired thrombophilic risk factors were evaluated in all patients.RESULTS: Twenty patients had SVT, 14 had BCS,and 2 had mixed venous thrombosis. Ten patients (28%) had hereditary and 10 patients (28%) acquired thrombophilic risk factors. The acquired risk factors were significantly more common in the SVT group (SVT vs BCS:45% vs 7%,x2=5.7,P=0.02) while hereditary risk factors did not show significant differences between the two groups (SVT vs BCS: 25%vs 36%, x2=0.46,P=0.7). Multiple risk factors were present in one (7%) patient with BCS and in 3 patients (15%) with SVT. No risk factors were identified in 57% of patients with BCS and in 45% of patients with SVT.CONCLUSION: Hereditary and acquired risk factors play an important role in the etiopathogenesis of abdominal venous thrombosis. Acquired risk factors are significantly more common in SVT patients while hereditary factors are similar in both groups.

  12. Embarazo ectópico abdominal

    Karen Luz Torres Rojas


    Full Text Available La incidencia de embarazo ectópico ha aumentado en los últimos años hasta 1:43 recién nacidos. La variedad abdominal es una de las menos frecuentes, su incidencia es de 1:10mil  nacidos vivos. El 1% de los embarazos ectópicos son abdominales y la implantación en el epiplón es una rara entidad. Pueden clasificarse como primarios o secundarios en función de que se originen o no en la cavidad peritoneal. Se presenta un caso de embarazo abdominal primario, localizado en cara posterior del útero y recto, con edad gestacional 16 semanas y feto muerto, en una paciente de 25 años, atendida en el Hospital General “Dr. Ernesto Guevara de la Serna”, con antecedentes de salud, G0 P0 A0, con método anticonceptivo DIU retirado seis meses antes. Se trata de un embarazo abdominal primario, puesto que la anatomía patológica informó ausencia de invasión trofloblástica en la trompa izquierda. El manejo placentario en este caso no permitió realizar la remoción completa de la misma. El seguimiento ecográfico y  control de gonadotropinas evidenció una evolución favorable de la paciente, sin requerir manejo de metotrexate.

  13. [Hereditary angioedema: strange cause of abdominal pain].

    Salas-Lozano, Nereo Guillermo; Meza-Cardona, Javier; González-Fernández, Coty; Pineda-Figueroa, Laura; de Ariño-Suárez, Mauricio


    Antecedentes: el angioedema hereditario es un trastorno inflamatorio episódico, que se hereda de manera autosómica dominante y se caracteriza por episodios de edema periférico. Los pacientes pueden tener edema de la pared de cualquier víscera hueca, incluido el intestino. Caso clínico: se comunica el caso de un paciente masculino de 33 años de edad, sin antecedentes de importancia, con dolor abdominal, localizado en el epigastrio, irradiado al cuadrante inferior derecho, acompañado de 5 vómitos. La tomografía abdominal mostró engrosamiento de la pared de la segunda y tercera porción del duodeno, con infiltración de grasa y líquido libre. Los exámenes de laboratorio mostraron: concentraciones bajas del complemento C4 (5.5 mg/dL) y actividad del inhibidor de C1 del complemento de 30%. Conclusiones: el angioedema hereditario es consecuencia de la deficiencia (tipo I) o disfunción (tipo II) del inhibidor C1 del complemento. El dolor abdominal asociado con angioedema es de inicio súbito, como dolor cólico, recurrente y de intensidad moderada. En la actualidad existen dos medicamentos aprobados por la Food and Drug Administration para el tratamiento de pacientes con esta afección.

  14. Endovascular repair of ruptured abdominal aortic aneurysm

    Šarac Momir


    Full Text Available Introduction. Rupture of an abdominal aortic aneurysm (AAA is a potentially lethal state. Only half of patients with ruptured AAA reach the hospital alive. The alternative for open reconstruction of this condition is endovascular repair (EVAR. We presented a successful endovascular reapir of ruptured AAA in a patient with a number of comorbidities. Case report. A 60-year-old man was admitted to our institution due to diffuse abdominal pain with flatulence and belching. Initial abdominal ultrasonography showed an AAA that was confirmed on multislice computed tomography scan angiography which revealed a large retroperitoneal haematoma. Because of patient’s comorbidites (previous surgery of laryngeal carcinoma and one-third laryngeal stenosis, arterial hypertension and cardiomyopathy with left ventricle ejection fraction of 30%, stenosis of the right internal carotid artery of 80% it was decided that endovascular repair of ruptured AAA in local anaesthesia and analgosedation would be treatment of choice. Endovascular grafting was achieved with aorto-bi-iliac bifurcated excluder endoprosthesis with complete exclusion of the aneurysmal sac, without further enlargment of haemathoma and no contrast leakage. The postoperative course of the patient was eventless, without complications. On recall examination 3 months after, the state of the patient was well. Conclusion. The alternative for open reconstruction of ruptured AAA in haemodynamically stable patients with suitable anatomy and comorbidities could be emergency EVAR in local anesthesia. This technique could provide greater chances for survival with lower intraoperative and postoperative morbidity and mortality, as shown in the presented patient.

  15. Midgut malrotation with chronic abdominal pain

    Anil K Wanjari


    Full Text Available Abnormalities in midgut rotation occur during the physiological herniation of midgut between the 5 th and 10 th week of gestation. The most significant abnormality is narrow small bowel mesentery which is prone to volvulus. This occurs most frequently in the neonatal period, less commonly midgut malrotation presents in adulthood with either acute volvulus or chronic abdominal symptoms. It is the latter group that represents a diagnostic challenge. We report a case of a 17-year-old male patient who presented with 10-year history of nonspecific gastro-intestinal symptoms. After extensive investigation the patient was diagnosed with midgut malrotation following computed tomography of abdomen. The patient was treated with a laparoscopic Ladd′s procedure and at 3 months he was gaining weight and had stopped vomiting. A laparoscopic Ladd′s procedure is an acceptable alternative to the open technique in treating symptomatic malrotation in adults. Midgut malrotation is a rare congenital anomaly which may present as chronic abdominal pain. Abdominal CT is helpful for diagnosis.

  16. [Abdominal multi-organ transplantation in dogs].

    Kumagae, T


    Abdominal multi-organ transplantation including the liver, gallbladder, spleen, pancreas, kidneys, adrenal glands and gastrointestinal tract was attempted in 8 dogs. Each experiment was discontinued when the recipient deteriorated. Immersion hypothermia was introduced in both the donor and recipient until the esophageal temperature reached 27-30 degrees C. Whole abdominal organs of the donor were removed in an en-bloc fashion at 20 degrees C of the graft temperature after additional cooling by ice slush scattering into the abdominal cavity. Transplantation was carried out orthotopically in the following sequence: (1) the proximal aorta, (2) suprahepatic vena cava, (3) distal aorta, (4) infrahepatic vena cava. The alimentary tract was reconstructed by gastro-gastrostomy and colo-colostomy. The ureters were implanted in the bladder. Cold ischemic time of the graft was about 40 minutes. Heparin was not used throughout the procedure. Five out of eight dogs were alive for more than 24 hours and two of them survived for 60 hours with good recovery. No immunosuppressant was given. Though the result in the present study was far from satisfaction, the experiment may provide a possibility of a new experimental model for transplantation, especially regarding pathophysiology and interrelationship of the transplanted complex organs.

  17. Sagittal Abdominal Diameter: Application in Clinical Practice

    Thaís Da Silva-Ferreira


    Full Text Available Excess visceral fat is associated with cardiovascular risk factors. Sagittal abdominal diameter (SAD has recently been highlighted as an indicator of abdominal obesity, and also may be useful in predicting cardiovascular risk. The purpose of the present study was to review the scientific literature on the use of SAD in adult nutritional assessment. A search was conducted for scientific articles in the following electronic databases: SciELO , MEDLINE (PubMed and Virtual Health Library. SAD is more associated with abdominal fat (especially visceral, and with different cardiovascular risk factors, such as, insulin resistance, blood pressure, and serum lipoproteins than the traditional methods of estimating adiposity, such as body mass index and waist-to-hip ratio. SAD can also be used in association with other anthropometric measures. There are still no cut-off limits established to classify SAD as yet. SAD can be an alternative measure to estimate visceral adiposity. However, the few studies on this diameter, and the lack of consensus on the anatomical site to measure SAD, are obstacles to establish cut-off limits to classify it.

  18. Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain

    Randen, Adrienne van [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Academic Medical Center, Amsterdam (Netherlands); Lameris, Wytze [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Nio, C.Y.; Spijkerboer, Anje M.; Meier, Mark A.; Tutein Nolthenius, Charlotte; Smithuis, Frank; Stoker, Jaap [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Bossuyt, Patrick M. [University of Amsterdam, Department of Clinical Epidemiology, Biostatistics, and Bioinformatics, Academic Medical Center, Amsterdam (Netherlands); Boermeester, Marja A. [University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands)


    The level of inter-observer agreement of abdominal computed tomography (CT) in unselected patients presenting with acute abdominal pain at the Emergency Department (ED) was evaluated. Two hundred consecutive patients with acute abdominal pain were prospectively included. Multi-slice CT was performed in all patients with intravenous contrast medium only. Three radiologists independently read all CT examinations. They recorded specific radiological features and a final diagnosis on a case record form. We calculated the proportion of agreement and kappa values, for overall, urgent and frequently occurring diagnoses. The mean age of the evaluated patients was 46 years (range 19-94), of which 54% were women. Overall agreement on diagnoses was good, with a median kappa of 0.66. Kappa values for specific urgent diagnoses were excellent, with median kappa values of 0.84, 0.90 and 0.81, for appendicitis, diverticulitis and bowel obstruction, respectively. Abdominal CT has good inter-observer agreement in unselected patients with acute abdominal pain at the ED, with excellent agreement for specific urgent diagnoses as diverticulitis and appendicitis. (orig.)

  19. Intra-abdominal pressure and abdominal compartment syndrome in acute general surgery.

    Sugrue, Michael


    BACKGROUND: Intra-abdominal pressure (IAP) is a harbinger of intra-abdominal mischief, and its measurement is cheap, simple to perform, and reproducible. Intra-abdominal hypertension (IAH), especially grades 3 and 4 (IAP > 18 mmHg), occurs in over a third of patients and is associated with an increase in intra-abdominal sepsis, bleeding, renal failure, and death. PATIENTS AND METHODS: Increased IAP reading may provide an objective bedside stimulus for surgeons to expedite diagnostic and therapeutic work-up of critically ill patients. One of the greatest challenges surgeons and intensivists face worldwide is lack of recognition of the known association between IAH, ACS, and intra-abdominal sepsis. This lack of awareness of IAH and its progression to ACS may delay timely intervention and contribute to excessive patient resuscitation. CONCLUSIONS: All patients entering the intensive care unit (ICU) after emergency general surgery or massive fluid resuscitation should have an IAP measurement performed every 6 h. Each ICU should have guidelines relating to techniques of IAP measurement and an algorithm for management of IAH.

  20. Acute abdominal pain in children: usefulness of three-view abdominal radiographs in the emergency department.

    He, Lulu; Park, Ellen; Vachhani, Neil; Vogelius, Esben; Thupili, Chakradhar; Udayasankar, Unni


    Diagnostic imaging is often an integral component in the workup of a pediatric patient with acute abdominal pain. The purpose of this study was to compare the diagnostic value of a three-view acute abdominal series (AAS) with that of a single supine view (SSV) in children with acute abdominal pain. All subjects aged ≤18 years that underwent an emergency three-view AAS examination for acute abdominal pain at a single urban hospital system were included. Retrospective evaluation of radiological diagnosis, number of radiological images, further imaging, management, and clinical outcomes was performed. "Positive" AAS studies were compared with corresponding SSV images for direct comparison of diagnostic value. Standard nonparametric statistical evaluation was performed. Five hundred forty-one AAS studies were included in the study. Greater than three radiographs were acquired in 29 % (153/541) of the subjects. Two hundred ninety-nine out of 541 AAS studies included a technically adequate SSV of the abdomen and pelvis. Most AAS examinations were categorized as negative (n = 485; 90 %). Of the 56 examinations initially classified as positive, there was no significant statistical difference between diagnostic accuracy between the AAS and SSV on retrospective evaluation. For pediatric subjects with nontraumatic acute abdominal pain, the yield of conventional radiographic study is exceedingly low. If required, a technically adequate single supine anteroposterior (AP) view of the abdomen and pelvis is sufficient for initial radiographic evaluation while reducing unnecessary radiation exposure to the patient.

  1. Significance of residual abdominal masses in children with abdominal Burkitt's lymphoma

    Karmazyn, B.; Horev, G.; Kornreich, L. [Dept. of Diagnostic Radiology, Schneider Children' s Medical Center of Israel, Petah-Tikva (Israel); Ash, S.; Goshen, Y.; Yaniv, I. [Dept. of Hematology and Oncology, Schneider Children' s Medical Center of Israel, Petah-Tikva (Israel)


    Purpose: To evaluate the natural history of children with abdominal Burkitt's lymphoma who had complete clinical remission and residual abdominal mass after treatment. Material and methods: The charts and imaging findings of all children with abdominal Burkitt's lymphoma treated and followed at our medical center between 1988 and 1999 were reviewed for the presence, management, clinical course, and prognosis of residual mass. Results: Only children who achieved complete clinical remission were included. The study group consisted of 33 children (20 boys and 13 girls) aged 2.6-17.6 years (mean 7.2 years). Of these, seven (20.6 %) were found to have a residual abdominal mass. Two underwent second-look operation with no evidence of viable tumor on histology. The remaining five were followed by imaging studies for 2.2-9.1 years (mean 6.1 years); none relapsed. Conclusion: Residual mass is not uncommon in children with abdominal Burkitt's lymphoma. The presence of residual mass in a child with complete clinical remission does not alter the long-term prognosis. Therefore, in children with Burkitt's lymphoma and residual mass with no other signs of disease activity, expectant watching may be appropriate. (orig.)

  2. Robust design of multiple-input multiple-output radar waveform covariance matrix in the presence of clutter

    Guo, Rongyan; Wang, Hongyan


    In this work, the issue of robust waveform optimization is addressed in the presence of clutter to improve the worst-case estimation accuracy for collocated multiple-input multiple-output (MIMO) radar. Robust design is necessary due to the fact that waveform design may be sensitive to uncertainties in the initial parameter estimates. Following the min-max approach, the robust waveform covariance matrix design is formulated here on the basis of Cramér-Rao Bound to ease this sensitivity systematically for improving the worst-case accuracy. To tackle the resultant complicated and nonlinear problem, a new diagonal loading (DL)-based iterative approach is developed, in which the inner optimization problem can first be decomposed to some independent subproblems by using the Hadamard's inequality, and then these subproblems can be reformulated into convex issues by using DL method, as well as the outer optimization problem can also be relaxed to a convex issue by translating the nonlinear function into a linear one, and, hence, both of them can be solved very effectively. An optimal solution to the original problem can be obtained via the least-squares fitting of the solution acquired by the iterative approach. Numerical simulations show the efficiency of the proposed method.

  3. [Intra-abdominal pressure as a surgery predictor in patients with acute abdominal pain].

    Campos-Muñoz, Manuel Alejandro; Villarreal-Ríos, Enrique; Chimal-Torres, Mariano; Pozas-Medina, Josué Atila


    Introducción: la presión intraabdominal es el estado de equilibrio de la presión de la cavidad abdominal en reposo y puede presentar cambios durante la ventilación mecánica o espontánea. El objetivo fue determinar la presión intraabdominal como predictor de cirugía en el paciente con dolor abdominal agudo. Métodos: se llevó a cabo un estudio de casos y controles anidado en una cohorte de pacientes con dolor abdominal agudo en el servicio de urgencias de un hospital de segundo nivel, en el periodo comprendido entre abril y diciembre de 2013. Se incluyeron 37 pacientes, todos fueron intervenidos quirúrgicamente con previa toma de la presión intraabdominal. Se formaron los grupos con el resultado del estudio anatomopatológico: con evidencia de proceso inflamatorio abdominal agudo (n = 28) y sin evidencia de proceso inflamatorio abdominal agudo (n = 9). Resultados: en los casos el 100 % presentó presión intraabdominal alta con una p = 0.01, RM: 5 (IC 95 %: 2.578-9.699). En los casos la media de la presión intraabdominal fue de 11.46 y en los controles de 9.2 (p = 0.183). Conclusiones: el dolor abdominal que requiere cirugía para su resolución tiene relación directa con una presión intraabdominal > 5 mmHg.

  4. Bats coordinate sonar and flight behavior as they forage in open and cluttered environments

    Falk, Benjamin; Jakobsen, Lasse; Surlykke, Annemarie;


    . In this study, we examined the relationship between active sonar sampling and flight motor output as bats changed environments from open space to an artificial forest in a laboratory flight room. Using high-speed video and audio recordings, we reconstructed and analyzed 3D flight trajectories, sonar beam aim...... and acoustic sonar emission patterns as the bats captured prey. We found that big brown bats adjusted their sonar call structure, temporal patterning and flight speed in response to environmental change. The sonar beam aim of the bats predicted the flight turn rate in both the open room and the forest. However......, the relationship between sonar beam aim and turn rate changed in the forest during the final stage of prey pursuit, during which the bat made shallower turns. We found flight stereotypy developed over multiple days in the forest, but did not find evidence for a reduction in active sonar sampling with experience...

  5. Quadratus lumborum block in chronic pain after abdominal hernia repair: case report

    Rita Carvalho

    Full Text Available Abstract Background and objectives: The quadratus lumborum blockade was described by R. Blanco in its two approaches (I and II. The local anesthetic deposition in this location can provide blockade to T6-L1 dermatomes. We performed this fascia blockade guided by ultrasound for treating a chronic neuropathic pain in the abdominal wall. Case report: Male patient, 61 years old, 83 kg, with a history of thrombocytopenia due to alcoholic cirrhosis, among others; had chronic pain in the abdominal wall after multiple abdominal hernia repairs in the last year and a half, with poor response to treatment with neuromodulators and opioids. On clinical examination, he revealed a neuropathic pain, with prevalence of allodynia to touch, covering the entire anterior abdominal wall, from T7 to T12 dermatomes. We opted for a quadratus lumborum block type II, guided by ultrasound, with administration of 0.2% ropivacaine (25 mL and depot (vial methylprednisolone (20 mg on each side. The procedure gave immediate relief of symptoms and, after six months, the patient still had a significant reduction in allodynia without compromising the quality of life. Conclusions: We consider that performing the quadratus lumborum block type II was an important analgesic option in the treatment of a patient with chronic pain after abdominal hernia repair, emphasizing the effects of local anesthetic spread to the thoracic paravertebral space. The technique has proven to be safe and well tolerated. The publication of more clinical cases reporting the effectiveness of this blockade for chronic pain is desirable.

  6. Melatonin reduces cardiac morbidity and markers of myocardial ischemia after elective abdominal aortic aneurism repair

    Gögenür, Ismail; Kücükakin, Bülent; Panduro Jensen, Leif


    The aim was to examine the effect of perioperative melatonin treatment on clinical cardiac morbidity and markers of myocardial ischemia in patients undergoing elective surgery for abdominal aortic aneurism. Reperfusion injury results in increased cardiac morbidity in patients undergoing surgery...... for abdominal aortic aneurisms (AAA). A randomized, placebo-controlled, clinical trial including patients undergoing surgery for AAA was performed. The patients received by infusion over a 2-hr period either, 50 mg melatonin or placebo intra-operatively, and 10 mg melatonin or placebo orally, the first three...... by Holter monitoring. A total of 26 patients received melatonin, while 24 received placebo. A significant reduction in cardiac morbidity was seen in the melatonin-treated patients compared with those given placebo [4% versus 29% (P = 0.02)]. Five patients (19%) who received melatonin had increased Tp...

  7. Diagnostic accuracy of Focused Abdominal Sonography

    Cheung Kent Shek


    Full Text Available 【Abstract】Objective: Focused Abdominal Sono-graphy for Trauma (FAST is widely used for the detection of intraperitoneal free fluids in patients suffering from blunt abdominal trauma (BAT. This study aimed at assessing the diagnostic accuracy of this investigation in a designated trauma centre. Methods: This was a retrospective study of BAT pa-tients over a 6 year period seen in a trauma centre in Hong Kong. FAST findings were compared with laparotomy, ab-dominal computed tomography or autopsy findings, which served as the gold standard for presence of intraperi-toneal free fluids. The patients who did not have FAST or gold standard confirmatory test performed, had preexisting peritoneal fluid, died at resuscitation or had imcomplete docu-mentation of FAST findings were excluded. The performance of FAST was expressed as sensitivity, specificity, predic-tive values (PV, likelihood ratios (LR and accuracy. Results: FAST was performed in 302 patients and 153 of them were included in this analysis. The sensitivity, specificity, positive PV, negative PV, positive LR, negative LR and accuracy for FAST were respectively 50.0%, 97.3%, 87.0%, 84.6%, 18.8, 0.5 and 85.0%. FAST was found to be more sensitive in less severely injured patients and more specific in more severely injured patients. Conclusion: FAST is a reliable investigation in the initial assessment of BAT patients. The diagnostic values of FAST could be affected by the severity of injury and staff training is needed to further enhance its effective use. Key words: Laparotomy; Autopsy; Tomography, X-ray computed; Tomography, spiral computed; Ultra-sonography

  8. Diagnostic value of ultrasound in children with recurrent abdominal pain.

    van der Meer, S B; Forget, P P; Arends, J W; Kuijten, R H; van Engelshoven, J M


    In order to investigate the diagnostic value of ultrasound in children with recurrent abdominal pain and to estimate the clinical relevance of rare organic causes of abdominal pain in these patients, we prospectively examined 93 children aged between 5.5 and 12 years by means of abdominal ultrasound. In 3 patients (3.2%) an anatomic abnormality was detected, which could not account for the abdominal pain. We conclude that many organic abnormalities, that could be diagnosed by ultrasound, are clinically irrelevant as a cause of recurrent abdominal pain in children and therefore ultrasound does not significantly contribute to the diagnosis. However, ultrasound can still play a role in the work-up of children with recurrent abdominal pain in avoiding unnecessary radiologic X-ray procedures.

  9. Recurrent abdominal pain: when an epileptic seizure should be suspected?

    Franzon Renata C.


    Full Text Available Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE. AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since the age of 4. The pain was followed by cry, fear and occasionally secondary generalization. MRI showed tumor in the left temporal region. As a differential diagnosis, we report a 10 year-old boy who had long episodes of abdominal pain accompanied by blurring of vision, vertigo, gait ataxia, dysarthria, acroparesthesias and vomiting. He received the diagnosis of basilar migraine. In our opinion, AE is part of a large group (partial epilepsies and does not require a special classification. Pediatric neurologists must be aware of these two entities that may cause abdominal pain.

  10. Duodenal perforation as result of blunt abdominal trauma in childhood.

    Hartholt, Klaas Albert; Dekker, Jan Willem T


    Blunt abdominal trauma may cause severe intra-abdominal injuries, while clinical findings could be mild or absent directly after the trauma. The absence of clinical findings could mislead physicians into underestimating the severity of the injury at the primary survey, and inevitably leads to a delay in the diagnosis. The Blunt Abdominal Trauma in Children (BATiC) score may help to identify children who are at a high risk for intra-abdominal injuries in an early stage and requires additional tests directly. A case of a 10-year-old girl with a duodenal perforation after a blunt abdominal trauma is presented. A delay in diagnosis may lead to an increased morbidity and mortality rate. A low admission threshold for children with abdominal pain after a blunt trauma is recommended.

  11. A Rare Cause of Abdominal Pain; Celiac Truncus Aneurysm

    Zulfu Birkan


    In this case we presented a patient who were admitted to surgery department with complaints of abdominal pain and nausea. There were no pathological findings on physical examination, direct abdominal x-ray, chest radiograph and biochemical parameters. At proximal of the celiac trunk, it was shown approximately 3x2 cm in size fusiform aneurysmal dilatation on the patient%u2019s abdominal ultrasonography and turbulence, arterial flow on the patient%u2019s abdominal doppler ultrasonography subsequently. In abdominal computed tomography we detected dense calcifications, dilatation and hypodensities that may belong to a thrombus in the lumen superior mesenteric vein (SMV. At the same time, approximately 3.5 cm segment of trunk celiak we observed aneurysm dilatation which reaching 2 cm at the widest point. Celiac trunk aneurysm is a rare cause of abdominal pain and often noticed after the complicated, thus it must always be kept in mind in the differential diagnosis.

  12. Abdominal vascular syndromes: characteristic imaging findings

    Cardarelli-Leite, Leandro; Velloni, Fernanda Garozzo; Salvadori, Priscila Silveira; Lemos, Marcelo Delboni; D' Ippolito, Giuseppe, E-mail: [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Mediciana. Departmento de Diagnostico por Imagem


    Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital - including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome) - compressive - including 'nutcracker' syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome. In this article, we aimed to illustrate imaging findings that are characteristic of these syndromes, through studies conducted at our institution, as well as to perform a brief review of the literature on this topic. (author)

  13. Retroperitoneal abscess: an extra-abdominal manifestation

    Mallia, Alvin James; Ashwood, Neil; Arealis, George; Galanopoulos, Ilias


    Retroperitoneal abscesses are unusual occurrences with occult and insidious presentations. There is often a lack of abdominal signs, leading to delays in drainage and high mortality rates. We report a case of thigh emphysema in an 88-year-old patient with diabetes. Prior to admission the patient reported a vague 4-week history of left thigh pain and an inability to fully weight bear. She presented to our emergency department with sepsis and acute kidney impairment. An X-ray of her left femur ...

  14. Mycobacterium fortuitum abdominal wall abscesses following liposuction

    Al Soub Hussam


    Full Text Available We describe here a case of abdominal abscesses due to Mycobacterium fortuitum following liposuction. The abscesses developed three months after the procedure and diagnosis was delayed for five months. The clues for diagnosis were persistent pus discharge in spite of broad spectrum antibiotics and failure to grow any organisms on routine culture. This condition has been rarely reported; however, the increasing number of liposuction procedures done and awareness among physicians will probably result in the identification of more cases. Combination antibiotic therapy with surgical drainage in more extensive diseases is essential for cure.

  15. Should intensivist do routine abdominal ultrasound?

    Sukhen Samanta


    Full Text Available Roundworm infestation is common in tropical climate population with a low socioeconomic status. We describe a case of a young male with polytrauma accident who presented with small bowel dysfunction with a high gastric residual volume during enteral feeding. While searching the etiology, the intensivist performed bedside abdominal ultrasound (USG as a part of whole body USG screening along with clinical examination using different frequency probes to examine bowel movement and ultimately found ascariasis to be the cause. This case report will boost up the wide use of bedside USG by critical care physicians in their patient workup.

  16. Exercise-related transient abdominal pain (ETAP).

    Morton, Darren; Callister, Robin


    Exercise-related transient abdominal pain (ETAP), commonly referred to as 'stitch', is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70% of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a localized pain that is most common in the lateral aspects of the mid abdomen along the costal border, although it may occur in any region of the abdomen. It may also be related to shoulder tip pain, which is the referred site from tissue innervated by the phrenic nerve. ETAP tends to be sharp or stabbing when severe, and cramping, aching, or pulling when less intense. The condition is exacerbated by the postprandial state, with hypertonic beverages being particularly provocative. ETAP is most common in the young but is unrelated to sex or body type. Well trained athletes are not immune from the condition, although they may experience it less frequently. Several theories have been presented to explain the mechanism responsible for the pain, including ischemia of the diaphragm; stress on the supportive visceral ligaments that attach the abdominal organs to the diaphragm; gastrointestinal ischemia or distension; cramping of the abdominal musculature; ischemic pain resulting from compression of the celiac artery by the median arcuate ligament; aggravation of the spinal nerves; and irritation of the parietal peritoneum. Of these theories, irritation of the parietal peritoneum best explains the features of ETAP; however, further investigations are required. Strategies for managing the pain are largely anecdotal, especially given that its etiology remains to be fully elucidated. Commonly purported prevention strategies include avoiding large volumes of food and beverages for at least 2 hours

  17. Surrogate Markers of Abdominal Aortic Aneurysm Progression.

    Wanhainen, Anders; Mani, Kevin; Golledge, Jonathan


    The natural course of many abdominal aortic aneurysms (AAA) is to gradually expand and eventually rupture and monitoring the disease progression is essential to their management. In this publication, we review surrogate markers of AAA progression. AAA diameter remains the most widely used and important marker of AAA growth. Standardized reporting of reproducible methods of measuring AAA diameter is essential. Newer imaging assessments, such as volume measurements, biomechanical analyses, and functional and molecular imaging, as well as circulating biomarkers, have potential to add important information about AAA progression. Currently, however, there is insufficient evidence to recommend their routine use in clinical practice.

  18. Simulation-Based Abdominal Ultrasound Training

    Østergaard, Mikkel; Ewertsen, C; Konge, L;


    PURPOSE: The aim is to provide a complete overview of the different simulation-based training options for abdominal ultrasound and to explore the evidence of their effect. MATERIALS AND METHODS: This systematic review was performed according to the PRISMA guidelines and Medline, Embase, Web...... of Science, and the Cochrane Library was searched. Articles were divided into three categories based on study design (randomized controlled trials, before-and-after studies and descriptive studies) and assessed for level of evidence using the Oxford Centre for Evidence Based Medicine (OCEBM) system...

  19. Bats coordinate sonar and flight behavior as they forage in open and cluttered environments.

    Falk, Benjamin; Jakobsen, Lasse; Surlykke, Annemarie; Moss, Cynthia F


    Echolocating bats use active sensing as they emit sounds and listen to the returning echoes to probe their environment for navigation, obstacle avoidance and pursuit of prey. The sensing behavior of bats includes the planning of 3D spatial trajectory paths, which are guided by echo information. In this study, we examined the relationship between active sonar sampling and flight motor output as bats changed environments from open space to an artificial forest in a laboratory flight room. Using high-speed video and audio recordings, we reconstructed and analyzed 3D flight trajectories, sonar beam aim and acoustic sonar emission patterns as the bats captured prey. We found that big brown bats adjusted their sonar call structure, temporal patterning and flight speed in response to environmental change. The sonar beam aim of the bats predicted the flight turn rate in both the open room and the forest. However, the relationship between sonar beam aim and turn rate changed in the forest during the final stage of prey pursuit, during which the bat made shallower turns. We found flight stereotypy developed over multiple days in the forest, but did not find evidence for a reduction in active sonar sampling with experience. The temporal patterning of sonar sound groups was related to path planning around obstacles in the forest. Together, these results contribute to our understanding of how bats coordinate echolocation and flight behavior to represent and navigate their environment.

  20. Primary abdominal pregnancy following intra-uterine insemination

    Sujata Kar


    Full Text Available Primary abdominal pregnancy is an extremely rare type of extrauterine pregnancy. It has been reported from many unusual intra-abdominal sites. We report a case of primary abdominal pregnancy following intra-uterine insemination (not reported earlier to our knowledge. Implanted on the anterior surface of the uterus possibly related to an endometriotic foci. Early diagnosis enabled laparoscopic management of this case.

  1. Is fasting a necessary preparation for abdominal ultrasound?

    Leven Hans; Sinan Tariq; Sheikh Mehraj


    Abstract Objective To study the effect of fasting on the technical success of abdominal ultrasound examination. Methods In a randomized, prospective study, 150 patients for abdominal ultrasound were divided into two groups of 75 patients each with instructions to fast for six hours or have normal breakfast respectively. Result The technical success of the abdominal ultrasound performed by radiologists blinded to the instruction did not differ significantly between the groups. Conclusion It ap...

  2. Endovascular Exclusion of an Abdominal Aortic Aneurysm in Patients with Concomitant Abdominal Malignancy: Early Experience

    Choi, You Ri; Chang, Nam Kyu [Chonnam National University Hwasun Hospital, Hwasun (Korea, Republic of); Shin, Hyo Hyun; Oh, Hyun Jun; Kim, Jae Kyu; Choi, Soo Jin Na; Chung, Sang Young [Chonnam National University Hospital, Gwangju (Korea, Republic of); Yim, Nam Yeol [Armed Forces Yangju Hospital, Yangju (Korea, Republic of)


    To assess the outcomes of endovascular aortic aneurysm repair (EVAR) for the treatment of an abdominal aortic aneurysm in patients undergoing curative surgical treatment for concomitant abdominal malignancy. The study included 12 patients with abdominal neoplasia and an abdominal aortic aneurysm (AAA), which was treated by surgery and stent EVAR. The neoplasm consisted of the gastric, colorectal, pancreas, prostate, and gall bladder. The follow up period was 3-21 months (mean 11.8 months). All medical records and imaging analyses were reviewed by CTA and/or color Doppler US, retrospectively. Successful endoluminal repair was accomplished in all twelve patients. The mean interval time between EVAR and surgery was 58.6 days. Small amounts of type 2 endoleaks were detected in two patients (17%). One patient developed adult respiratory distress syndrome after Whipple's operation 20 days after surgery, which led to hopeless discharge. No procedure-related mortality, morbidity, or graft-related infection was noted. Exclusion of AAA in patients with accompanying malignancy show with a relatively low procedure morbidity and mortality. Hence, endoluminal AAA repair in patients with synchronous neoplasia may allow greater flexibility in the management of an offending malignancy

  3. Wireless system for monitoring Intra-abdominal pressure in patient with severe abdominal pathology

    Sokolovskiy, S. S.; Shtotskiy, Y. V.; Leljanov, A. D.


    The paper discusses an experimental design of the wireless system for monitoring intra-abdominal pressure (IAP) using Bluetooth Low Energy technology. The possibility of measuring IAP via the bladder using a wireless pressure sensor with a hydrophobic bacteria filter between the liquid transmitting medium and the sensor element is grounded.

  4. [Abdominal artery aneurysm and associated surgical abdominal diseases: towards optimal timing].

    Stilo, Francesco; Mirenda, Francesco; Mandolfino, Tommaso; La Spada, Michele; D'Alfonso, Mario; Carmignani, Amedeo; De Caridi, Giovanni; Benedetto, Filippo; Spinelli, Francesco


    The purpose of this study was to assess which modalities offered the best timing in the treatment of abdominal aortic aneurysms associated with other abdominal surgical diseases. From January 1984 to December 2002, 372 patients underwent surgery for abdominal aortic aneurysms, 350 men (94%) and 22 women (6%), mean age 72 years. Of these 10% were operated on urgently. The traditional open technique was used in 307 patients, and the endovascular method in the remaining 65 cases. In 40 patients (11%) we observed other associated abdominal diseases which were treated during the same operation in 34 cases (85%). We had three deaths in the 34 cases treated in the same operation (9%). In the remaining cases no perioperative mortality was registered. There were no cases of prosthesis infection. The mean hospital stay was 9 days. Simultaneous treatment appears, on the one hand, to carry an increased operative risk and increased mortality and, on the other, to present the advantage of having to perform only one surgical procedure. The advent of the endovascular method allows us to postpone the treatment of the associated disease without increasing the technical difficulty of the second operation.

  5. Unsaturated Oral Fat Load Test Improves Glycemia, Insulinemia and Oxidative Stress Status in Nondiabetic Subjects with Abdominal Obesity

    Martinez-Hervas, Sergio; Navarro, Inmaculada; Real, Jose T.; Artero, Ana; Peiro, Marta; Gonzalez-Navarro, Herminia; Carmena, Rafael; Ascaso, Juan F.


    Aims To evaluate the changes in glycemia, insulinemia, and oxidative stress markers during an oral fat load test in nondiabetic subjects with abdominal obesity and to analyze the association between postprandial oxidative stress markers and postprandial glucose and insulin responses. Methods We included 20 subjects with abdominal obesity (waist circumference > 102 cm for men and > 88 cm for women) and 20 healthy lean controls (waist circumference < 102 cm for men and < 88 cm for women). After 12 hours of fasting we performed a standardized fat load test (0–8 hours) with supracal® (50 g/m2). We determined metabolic parameters, oxidized and reduced glutathione, and malondialdehyde. Results In both groups, insulin, HOMA, oxidized/reduced glutathione ratio, and malondialdehyde significantly decreased in the postprandial state after the OFLT. All these parameters were significantly higher in the abdominal obesity group at baseline and during all the postprandial points, but the reduction from the baseline levels was significantly higher in the abdominal obesity group. Conclusion Unsaturated fat improves insulin resistance and oxidative stress status. It is possible that a consumption of unsaturated fat could be beneficial even in subjects with abdominal obesity in postprandial state. PMID:27537847

  6. Is fasting a necessary preparation for abdominal ultrasound?

    Leven Hans


    Full Text Available Abstract Objective To study the effect of fasting on the technical success of abdominal ultrasound examination. Methods In a randomized, prospective study, 150 patients for abdominal ultrasound were divided into two groups of 75 patients each with instructions to fast for six hours or have normal breakfast respectively. Result The technical success of the abdominal ultrasound performed by radiologists blinded to the instruction did not differ significantly between the groups. Conclusion It appears that routine fasting before abdominal ultrasound is not necessary.

  7. Why Do Abdominal Muscles Sometimes Separate during Pregnancy?

    ... birth weight Have repeated pregnancies During pregnancy, aggressive abdominal exercises after the first trimester also might contribute to the development of diastasis recti. If you think you have ...

  8. Treatment of infrarenal abdominal aortic dissection concomitant with an aneurysm

    WANG Li-xin; ZHU Ting; FU Wei-guo; WANG Yu-qi; XI Xun; GUO Da-qiao; CHEN Bin; JIANG Jun-hao; YANG Ju; SHI Zhen-yu


    @@ Aortic dissection occurs when layers of the aortic walls are separated by the blood flow through an intimal tear. Dissection of the aorta most frequently originates in the ascending aorta (70%), followed by the descending aorta (22%), the aortic arch (7%) and the abdominal aorta (1/%).1 The dissection limited to the abdominal aorta is rare.2 An isolated abdominal aortic dissection (IAAD) concomitant with an abdominal aortic aneurysm (AAA) is uncommon. We present here one patient with IAAD and AAA treated by endovascular therapy.

  9. Abdominal alterations in disseminated paracoccidioidomycosis: computed tomography findings

    Vermelho, Marli Batista Fernandes; Correia, Ademir Silva; Michailowsky, Tania Cibele de Almeida; Suzart, Elizete Kazumi Kuniyoshi; Ibanes, Aline Santos; Almeida, Lanamar Aparecida; Khoury, Zarifa; Barba, Mario Flores, E-mail: [Instituto de Infectologia Emilio Ribas (IIER), Sao Paulo, SP (Brazil)


    Objective: to evaluate the incidence and spectrum of abdominal computed tomography imaging findings in patients with paracoccidioidomycosis. Materials and methods: retrospective analysis of abdominal computed tomography images of 26 patients with disseminated paracoccidioidomycosis. Results: abnormal abdominal tomographic findings were observed in 18 patients (69.2%), while no significant finding was observed in the other 8 (30.8%) patients. Conclusion: computed tomography has demonstrated to play a relevant role in the screening and detection of abdominal abnormalities in patients with disseminated paracoccidioidomycosis. (author)

  10. Value of abdominal CT in the emergency department for patients with abdominal pain

    Rosen, Max P.; Siewert, Bettina; Bromberg, Rebecca; Raptopoulos, Vassilios [Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 (United States); Sands, Daniel Z. [Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 (United States); Edlow, Jonathan [Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 (United States)


    The purpose of our study is to demonstrate the value of CT in the emergency department (ED) for patients with non-traumatic abdominal pain. Between August 1998 and April 1999, 536 consecutive patients with non-traumatic abdominal pain were entered into our study. Using a computer order entry system, physicians were asked to identify: (a) their most likely diagnosis; (b) their level of certainty in their diagnosis; (c) if they thought CT would be normal or abnormal; (d) their treatment plan (prior to knowledge of the CT results); and (e) their role in deciding to order CT. This information was correlated with each patient's post-CT diagnosis and subsequent management. Pre- and post-CT diagnoses were concordant in 200 of 536 (37%) patients. The physicians' certainty in the accuracy of their pre-CT diagnosis was less than high in 88% of patients. Prior to CT, the management plan included hospital admission for 402 patients. Following CT, only 312 patients were actually admitted; thus, the net impact of performing CT was to obviate the need for hospital admission in 90 of 536 (17%) of patients with abdominal pain. Prior to CT, 67 of 536 (13%) of all patients would have undergone immediate surgery; however, following CT only 25 (5%) actually required immediate surgery. Among patients with the four most common pre-CT diagnoses (appendicitis, abscess, diverticulitis, and urinary tract stones) CT had the greatest impact on hospital admission and surgical management for patients with suspected appendicitis. For patients with suspected appendicitis, CT reduced the hospital admission rate in 28% (26 of 91) of patients and changed the surgical management in 40% (39 of 91) of patients. Our study demonstrates the advantage of performing abdominal CT in the ED for patients with non-traumatic abdominal pain. (orig.)

  11. Evaluating clinical abdominal scoring system in predicting the necessity of laparotomy in blunt abdominal trauma

    Peyman Erfantalab-Avini; Nima Hafezi-Nejad; Mojtaba Chardoli; Vafa Rahimi-Movaghar


    Objectives: Trauma is among the leading causes of death. Medical management of blunt abdominal trauma (BAT) relies on judging patients for whom laparotomy is mandatory. This study aimed to determine BAT patients' signs, as well as paraclinical data, and to clarify the accuracy, sensitivity, specificity, positive and negative predictive value of clinical abdominal scoring system (CASS), a new scoring system based on clinical signs, in predicting whether a BAT patient needs laparotomy or not.Methods: Totally 400 patients suspected of BAT that arrived at the emergency department of two university hospitals in Tehran from March 20, 2007 to March 19, 2009 were included in this study. They were evaluated for age, sex,type of trauma, systolic blood pressure, Glasgow coma scale (GCS), pulse rate, time of presentation after trauma, abdominal clinical findings, respiratory rate, temperature, hemoglobin (Hb) concentration, focused abdominal sonography in trauma (FAST) and CASS.Results: Our measurements showed that CASS had an accuracy of 94%, sensitivity of 100%, specificity of 88%,positive predictive value of 90% and negative predictive value of 100% in determining the necessity of laparotomy in BAT patients. Moreover, in our analysis, systolic blood pressure, GCS, pulse rate, Hb concentration, time of presentation after trauma, abdominal clinical findings and FAST were also shown to be helpful in confirming the need for laparotomy (P<0.05).Conclusion: CASS is a promising scoring system in rapid detection of the need for laparotomy as well as in minimizing auxiliary expense for further evaluation in BAT patients, thus to promote the cost-benefit ratio and accuracy of diagnosis.

  12. Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon

    Legakis Nikolaos


    Full Text Available Abstract Background Idiopathic sclerosing encapsulating peritonitis (or abdominal cocoon is a rare cause of small bowel obstruction, especially in adult population. Diagnosis is usually incidental at laparotomy. We discuss one such rare case, outlining the fact that an intra-operative surprise diagnosis could have been facilitated by previous investigations. Case presentation A 56 year-old man presented in A&E department with small bowel ileus. He had a history of 6 similar episodes of small bowel obstruction in the past 4 years, which resolved with conservative treatment. Pre-operative work-up did not reveal any specific etiology. At laparotomy, a fibrous capsule was revealed, in which small bowel loops were encased, with the presence of interloop adhesions. A diagnosis of abdominal cocoon was established and extensive adhesiolysis was performed. The patient had an uneventful recovery and follow-up. Conclusion Idiopathic sclerosing encapsulating peritonitis, although rare, may be the cause of a common surgical emergency such as small bowel ileus, especially in cases with attacks of non-strangulating obstruction in the same individual. A high index of clinical suspicion may be generated by the recurrent character of small bowel ileus combined with relevant imaging findings and lack of other plausible etiologies. Clinicians must rigorously pursue a preoperative diagnosis, as it may prevent a "surprise" upon laparotomy and result in proper management.

  13. Methods for abdominal respiratory motion tracking.

    Spinczyk, Dominik; Karwan, Adam; Copik, Marcin


    Non-invasive surface registration methods have been developed to register and track breathing motions in a patient's abdomen and thorax. We evaluated several different registration methods, including marker tracking using a stereo camera, chessboard image projection, and abdominal point clouds. Our point cloud approach was based on a time-of-flight (ToF) sensor that tracked the abdominal surface. We tested different respiratory phases using additional markers as landmarks for the extension of the non-rigid Iterative Closest Point (ICP) algorithm to improve the matching of irregular meshes. Four variants for retrieving the correspondence data were implemented and compared. Our evaluation involved 9 healthy individuals (3 females and 6 males) with point clouds captured in opposite breathing phases (i.e., inhalation and exhalation). We measured three factors: surface distance, correspondence distance, and marker error. To evaluate different methods for computing the correspondence measurements, we defined the number of correspondences for every target point and the average correspondence assignment error of the points nearest the markers.

  14. Abdominal manifestations of cystic fibrosis in children

    Chaudry, Gulraiz; Navarro, Oscar M.; Levine, Daniel S.; Oudjhane, Kamaldine [University of Toronto, Department of Diagnostic Imaging, Hospital for Sick Children, Toronto, ON (Canada)


    Pulmonary complications remain the main cause of mortality in cystic fibrosis, but the presenting symptoms in children are often related to gastrointestinal or pancreaticobiliary disease. Furthermore, abdominal manifestations are now seen throughout childhood, from infancy to adolescence. The child might present in the neonatal period with meconium ileus or its attendant complications. The older child might present with distal intestinal obstruction syndrome or colonic stricture secondary to high doses of pancreatic enzyme replacement. Less-common gastrointestinal manifestations include intussusception, duodenitis and fecal impaction of the appendix. Most children also show evidence of exocrine pancreatic deficiency. Radiologically, the combination of fat deposition and pancreatic fibrosis leads to varying CT and MR appearances. A higher than normal incidence of pancreatic cysts and calcification is also seen. Decreased transport of water and chloride also increases the viscosity of bile, with subsequent obstruction of the biliary ductules. If extensive, this can progress to obstructive cirrhosis, portal hypertension and esophageal varices. Diffuse fatty infiltration, hypersplenism and gallstones are also commonly seen in these patients. We present a pictorial review of the radiological appearance of these abdominal manifestations. The conditions are dealt with individually, together with typical appearances in various imaging modalities. (orig.)


    Zahir Hussain


    Full Text Available BACKGROUND Abdominal wound dehiscence is a preventable complication, but is still seen. When present, it poses problem in the management of the case, increases the morbidity and mortality of the patient. The present study is a prospective study done from January 2010-May 2016 with an objective to find out the incidence of wound dehiscence, the most common pathologies associated with dehiscence and to find out the statistical significance of the difference risk factors causing wound dehiscence and to evaluate the role of tension sutures in prevention of wound dehiscence. MATERIALS AND METHODS 291 major laparotomies were followed from January 2010-September 2016. There were 21 cases of dehiscence and from the remaining 270 cases, 58 patients were chosen as controls who underwent the same procedure, but without dehiscence. 15 factors were analysed and compared between the dehiscence and control groups. RESULTS The incidence was found to be 7.2%. Peritonitis was the most common pathology. The significant factors were age more than 50, wound infection. Tension suture application has shown to reduce the incidence of wound dehiscence. CONCLUSIONS  Intra-abdominal sepsis (peritonitis increases the incidence of wound dehiscence.  Age >50, Uraemic, Jaundiced, Obesity, Malnutrition increases the incidence of wound dehiscence.  Wound infection was a highly significant factor having 8 times more risk of dehiscence.

  16. Spontaneous abdominal wall endometriosis: a case report.

    Papavramidis, Th S; Sapalidis, K; Michalopoulos, N; Karayanopoulou, G; Raptou, G; Tzioufa, V; Kesisoglou, I; Papavramidis, S T


    Endometriosis is the presence of endometrial glands and stroma outside the uterus. Spontaneous abdominal wall endometriosis (AWE) is any ectopic endometrium found superficial to the peritoneum without the presence of any previous scar. Rarely, endometriosis represents a disease of specific interest to the general surgeon, on account of its extrapelvic localisations. We describe a case with spontaneous AWE presenting as a painful mass with cyclic symptoms. A 28-year-old woman presented to the day-surgery division of our department, suffering from a painful mass in the left lower abdominal quadrant. A mobile mass of 5 x 4 cm was identified. The initial diagnosis was lipoma and excision was planned. During the operation two masses were spotted, very close to one another, and were excised within healthy limits. Pathology revealed endometrial glands surrounded by a disintegrating mantle of endometrial stroma and fibrous scar tissue in which there was a scattering of leucocytes. The woman had no scars. She was discharged from hospital after 2 hours. Two years after the excision she is free of disease and no recurrence has been observed. Spontaneous AWE is rare, accounting for 20% of all AWEs. The triad ; mass, pain and cyclic symptomatology helps in the diagnosis, but unfortunately it is not present in all cases. Spontaneous endometriomas are usually diagnosed by pathology and the treatment of choice is surgical excision.

  17. [Surgical treatment of patients for abdominal sepsis].

    Kryvoruchko, I A; Usenko, O Iu; Andreieshchev, S A


    Results of surgical treatment of 201 patients, suffering abdominal sepsis (AS), which have occurred after operations on abdominal organs, were analyzed. Expediency of application of modern scales for the patients state severity estimation, prognostic sign-posts and dynamic of the pathological process course in every patient was substantiated. Existing systems of prognostication (APACHE II, SOFA, MODS) are applied restrictedly for diagnosis of infection in patients, what demands relaparotomy performance in presence of clinical signs of intraabdominal infection, which persists. For prognostication of the treatment result and determination of indications for relaparotomy conduction in patients, suffering severe AS and infectious-toxic shock (ITSH), the most informative is application of the Manheim's index of peritonitis together with analysis of clinico-laboratory indices for formation of groups of patients in risk, to whom reoperation is indicated. Advantages of relaparotomy "on demand" conduction were proved in comparison with "programmed" relaparotomy during the staged surgical treatment of patients, suffering severe AS and ITSH. Complex surgical treatment with substantiation of indications and choice of adequate method of intervention secures improvement of the treatment results in these severely ill patients.

  18. Hepatic infarction following abdominal interventional procedures.

    Fujiwara H


    Full Text Available To clarify the incidence, background, and progress of hepatic infarction following interventional procedures, cases of hepatic infarction following interventional procedures at our department during the last decade were identified by reviewing the clinical records of 1982 abdominal angiography and interventional procedures and records of abdominal CT. Nine episodes (0.5% in 8 patients were identified as hepatic infarction following an interventional procedure. Five episodes were preceded by embolization of the hepatic or celiac artery at emergency angiography for postoperative bleeding with hemorrhagic shock. Three episodes followed the elected interventional procedure for hepatocellular carcinoma, and the remaining episode occurred after 12 months of chemoinfusion through an indwelling catheter in the hepatic artery and portal vein. Hepatic arterial occlusion in all episodes and portal venous flow abnormality in 5 episodes were observed on angiography. Four patients whose liver function was initially impaired died of hepatic infarction, although the extent of the disease on CT did not appear to be related to the mortality. Multiple risk factors, including arterial insufficiency, were observed in each patient. The incidence of hepatic infarction following interventional procedures in this series was low but sometimes fatal, and occurred most frequently in emergency embolization in hemorrhagic shock.

  19. Abdominal-Pelvic Actinomycosis Mimicking Malignant Neoplasm

    Teresa Pusiol


    Full Text Available Abdominal-pelvic actinomycosis is often mistaken for other conditions, presenting a preoperative diagnostic challenge. In a 46-year-old female, computed tomography showed an abdominal-pelvic retroperitoneal mass extending from the lower pole of the right kidney to the lower pelvis. The patient had a 3-year history of intrauterine device. The mass appeared to involve the ascending colon, cecum, distal ileum, right Fallopian tube and ovary, and ureter anteriorly and the psoas muscle posteriorly. The resection of retroperitoneal mass, distal ileum appendicectomy, right hemicolectomy, and right salpingo-oophorectomy was performed. The postoperative period was uneventful. Penicillin therapy was given for six months without any complication. The retroperitoneal mass measured 4.5 × 3.5 × 3 cm, surrounded adjacent organs and histologically showed inflammatory granulomatous tissue, agglomeration of filaments, and sulfur granules of Actinomyces, with positive reaction with periodic acid Schiff. Right tubo-ovarian abscess was present. Abdominalpelvic actinomycosis should always be considered in patients with a pelvic mass especially in ones using intrauterine device.

  20. Fatigue and cardiorespiratory function following abdominal surgery.

    Christensen, T; Bendix, T; Kehlet, H


    Subjective feelings of fatigue were assessed before operation and 10, 20 and 30 days after uncomplicated elective abdominal surgery in 16 otherwise healthy patients, using a constructed fatigue scale model. In addition, all patients had an orthostatic stress test performed at the same times. Six of the patients also underwent a bicycle ergometer test measuring heart rate and oxygen consumption. Subjective feelings of fatigue were increased (P less than 0.01) at all three postoperative observations, and only 5 of 16 patients returned to their preoperative level. The increased subjective feeling of fatigue correlated positively (RS = 0.53, P less than 0.001) with the increased pulse rate seen during orthostatic stress after operation. Heart rate was about 5 per cent higher (n.s.) after operation when bicycling at the same work loads, while oxygen consumption decreased by about 2 per cent (P less than 0.01) at all three postoperative bicycle tests. It is concluded that even electric uncomplicated abdominal surgery is followed by a pronounced feeling of fatigue, which may persist 1 month after surgery in about one-third of patients. The fatigue scale model seems applicable for future studies on the pathogenesis and treatment of the postoperative fatigue syndrome.

  1. Laparoscopy and Intra-Abdominal Sepsis



    Full Text Available Context Intra-abdominal sepsis has significant morbidity and mortality. In the developed world, there are many common causes originating from the lower gastrointestinal tract including diverticular disease, appendicitis, perforated cancers, and inflammatory bowel disease. It has a high cost and is associated with high levels of significant morbidity and mortality. Management options include radiologic drainage and surgical options include resection for more widespread sepsis. Laparoscopic surgery has increased and has been useful in elective setting. Its use in the emergency setting is less evaluated. Evidence Acquisition Evidence was acquired by searching online medical databases including Pubmed, Medline and Embase. Results Laparoscopic surgery has been shown to have a role in the acute setting. Studies show it has become the gold standard in the appendicitis. High quality Randomized controlled trials are in short supply but observational and cohort studies have shown equivalence and with increasing experience complication rates are reduced. Evidence is also increasing in the management of diverticular disease, crohn’s and ulcerative colitis as well as post-operative complication management and acute presentations of colorectal cancer. Conclusions Laparoscopic surgery is feasible in the management of intra-abdominal sepsis. It has become the new accepted standard in the management of appendicitis, and is safe, feasible and increasing in the management of complex diverticular disease, acute IBD and colorectal cancer in the emergency and post-operative setting.

  2. Denoising and Back Ground Clutter of Video Sequence using Adaptive Gaussian Mixture Model Based Segmentation for Human Action Recognition

    Shanmugapriya. K


    Full Text Available The human action recognition system first gathers images by simply querying the name of the action on a web image search engine like Google or Yahoo. Based on the assumption that the set of retrieved images contains relevant images of the queried action, we construct a dataset of action images in an incremental manner. This yields a large image set, which includes images of actions taken from multiple viewpoints in a range of environments, performed by people who have varying body proportions and different clothing. The images mostly present the “key poses” since these images try to convey the action with a single pose. In existing system to support this they first used an incremental image retrieval procedure to collect and clean up the necessary training set for building the human pose classifiers. There are challenges that come at the expense of this broad and representative data. First, the retrieved images are very noisy, since the Web is very diverse. Second, detecting and estimating the pose of humans in still images is more difficult than in videos, partly due to the background clutter and the lack of a foreground mask. In videos, foreground segmentation can exploit motion cues to great benefit. In still images, the only cue at hand is the appearance information and therefore, our model must address various challenges associated with different forms of appearance. Therefore for robust separation, in proposed work a segmentation algorithm based on Gaussian Mixture Models is proposed which is adaptive to light illuminations, shadow and white balance is proposed here. This segmentation algorithm processes the video with or without noise and sets up adaptive background models based on the characteristics also this method is a very effective technique for background modeling which classifies the pixels of a video frame either background or foreground based on probability distribution.

  3. Screening for abdominal aortic aneurysms Rastreamento de aneurismas da aorta abdominal

    Telmo Pedro Bonamigo


    Full Text Available OBJECTIVE AND METHODS: Screening for abdominal aortic aneurysms may be useful to decrease mortality related to rupture. We conducted a study to assess the prevalence of abdominal aortic aneurysms in southern Brazil and to define risk factors associated with high prevalence of this disorder. The screening was conducted using abdominal ultrasound. Three groups were studied: Group 1 - cardiology clinic patients; Group 2 - individuals with severe ischemic disease and previous coronary surgery, or important lesions on cardiac catheterism; Group 3 - individuals without cardiac disease selected from the general population. All individuals were male and older than 54 years of age. The ultrasonographic diagnosis of aneurysm was based on an anteroposterior abdominal aorta diameter of 3 cm, or on an abdominal aorta diameter 0.5 cm greater than that of the supra-renal aorta. RESULTS: A total of 2.281 people were screened for abdominal aortic aneurysms in all groups: Group 1 - 768 individuals, Group 2 - 501 individuals, and Group 3 - 1012 individuals. The prevalence of aneurysms was 4.3%, 6.8% and 1.7%, respectively. Age and cigarette smoking were significantly associated with increased prevalence of aneurysms, as was the diagnosis of peripheral artery disease. DISCUSSION: We concluded that screening may be an important tool to prevent the mortality associated with abdominal aortic aneurysms surgery. Additionally, the cost of screening can be decreased if only individuals presenting significant risk factors, such as coronary and peripheral artery disease, smokers and relatives of aneurysm patients, are examined.OBJETIVO E MÉTODOS: O rastreamento de aneurisma da aorta abdominal infra-renal é importante pois pode diminuir a mortalidade relacionada à ruptura. Realizamos um estudo para definir a prevalência desses aneurismas em diversos segmentos da população em nossa região do Brasil. O rastreamento foi realizado utilizando-se a ecografia de abdômen. Tr

  4. Fiber architecture of canine abdominal muscles.

    Boriek, Aladin M; Ortize, Jaime; Zhu, Deshen


    During respiration, abdominal muscles experience loads, not only in the muscle-fiber direction but also transverse to the fibers. We wondered whether the abdominal muscles exhibit a fiber architecture that is similar to the diaphragm muscle, and, therefore, we chose two adjacent muscles: the internal oblique (IO), with about the same muscle length as the diaphragm, and the transverse abdominis (TA), which is twice as long as the diaphragm. First, we used acetylcholinesterase staining to examine the distribution of neuromuscular junctions on both surfaces of the TA and IO muscles in six dogs. A maximum of four irregular bands of neuromuscular junctions crossed the IO, and as many as six bands crossed the TA, which is consistent with a discontinuous fiber architecture. In six additional dogs, we examined fiber architecture of these muscles by microdissecting 103 fascicles from the IO and 139 from the TA. Each fascicle contained between 20 and 30 muscle fibers. The mean length of nonspanning fibers (NSF) ranged from 2.8 +/- 0.3 cm in the IO to 4.3 +/- 0.5 cm in the TA, and the mean length of spanning fibers ranged from 4.3 +/- 0.5 cm in the IO to 7.6 +/- 1.4 cm in the TA. NSF accounted for 89.6 +/- 1.5% of all fibers dissected from the IO and 99.1 +/- 0.2% of all fibers dissected from the TA. The percentage of NSF with both ends tapered was 6.2 +/- 1.0 and 41.0 +/- 2.3% for IO and TA, respectively. These data show that fiber architecture in either IO or TA is discontinuous, with much more short-tapered fibers in the TA than in the IO. When abdominal muscles are submaximally activated, as during both normal expiration and maximal expiratory efforts, muscle force could be transmitted to the cell membrane and to the extracellular intramuscular connective tissue by shear linkage, presumably via structural transmembrane proteins.

  5. Recent advances in equine abdominal surgery.

    Smith, C L; Dowling, B A; Dart, A J


    Laparoscopy is a minimally invasive procedure that has applications as a diagnostic, therapeutic and prognostic technique. Specialized equipment is necessary to perform equine laparoscopy, and there is a large range of instruments, both disposable and non-disposable available. Laparoscopic procedures described include ovariectomy, cryptorchidectomy, adhesiolysis and herniorrhaphy. Laparoscopy can be performed in a standing or dorsally recumbent position, depending on surgeon preference, patient status and the procedure to be performed. Stapling equipment is frequently used in gastrointestinal surgery in horses. Advantages include decreased surgical time and a decrease in the risk of contamination. Stapling equipment is often used in creating anastomoses, both in the large and small intestines, as well as in vessel ligation. New surgical techniques intended to decrease adhesion formation include the use of carboxymethylcellulose and bioresorbable patches. Indwelling abdominal drains can be used for peritoneal lavage following surgery and also appear to decrease the risk of adhesion formation. Improvements in post-operative care, including the treatment of post-operative ileus and endotoxaemia can significantly improve the outcome of horses that have undergone surgery for abdominal disorders. Recommendations for the use of prokinetic agents in horses with ileus vary widely. Prokinetic agents include local anaesthetics, macrolide antimicrobials, cholinergic agonists and dopamine antagonists. Endotoxaemia is common in horses following surgery for gastrointestinal disorders. The antibiotic polymyxin B binds to the circulating endotoxin molecule, decreasing its half-life in the intra-vascular space and reducing associated inflammation. This drug appears to be an effective and affordable treatment option for horses with endotoxaemia. The use of specific cyclooxygenase inhibitors in veterinary medicine have been studied recently. Selective cyclooxygenase-2 inhibitors may

  6. Sistema de equações para simulação do crescimento e da produção em povoamentos de Eucalyptus grandis Hill ex Maiden. sem desbaste baseado no modelo de clutter / An equation system to simulate the growth and the yield in stands of unthinned Euclyptus grandis Hill Ex Maiden based on the clutter model

    César Santana


    Full Text Available O objetivo principal deste estudo foi desenvolver um sistema de equações baseado no modelo compatível de crescimento e produção de Clutter para projeção do volume futuro em povoamentos de Eucalyptus grandis Hill ex Maiden. conduzidos sob regime ‘pulpwood’. Para tal fim foram utilizados dados provenientes de cento e quarenta e quatro parcelas permanentes do inventário florestal contínuo da empresa, considerando os anos de 1996 a 2002. As parcelas foram locadas em povoamentos de Eucalyptus grandis Hill ex Maiden. plantados entre 1991 e 1994, com espaçamento inicial de 3 x 2 m, localizados na região conhecida como “norte-pioneiro” do estado do Paraná. O modelo de Clutter foi utilizado para simular o crescimento e a produção prognosticando o volume total e o volume comercial. Como resultado, foi construída uma tabela de produção de área basal, volume total e volume comercial, ao longo dos anos para as diferentes classes de sítio. Pelas análises realizadas pode-se concluir que o sistema baseado no modelo de Clutter foi eficiente para estimar a produção futura de povoamentos não desbastados de Eucalyptus grandis Hill ex Maiden. na região nordeste do Paraná.

  7. An exceptional cause of left lower quadrant abdominal pain

    Bassam Abboud; Ronald Daher


    Acute appendicitis is an exceptional cause of left lower quadrant abdominal pain. Computed tomography scan is the key to its diagnosis and helps to establish its early treatment. We present a case of a 35-year-old male patient who presented acute appendicitis with redundant and loosely attached cecum which was diagnosed based on his left lower quadrant abdominal pain.

  8. Increased Auditory Startle Reflex in Children with Functional Abdominal Pain

    Bakker, Mirte J.; Boer, Frits; Benninga, Marc A.; Koelman, Johannes H. T. M.; Tijssen, Marina A. J.


    Objective To test the hypothesis that children with abdominal pain-related functional gastrointestinal disorders have a general hypersensitivity for sensory stimuli. Study design Auditory startle reflexes were assessed in 20 children classified according to Rome III classifications of abdominal pain

  9. Management of Abdominal Wounds in Thermally Injured Patients


    Acute inflammatory disease 5 Superior mesenteric artery syndrome 4 Biliary tract disease 4 surface in the patients with abdominal burns, and only...ity of these critically ill patients were equally affected by polypropylene was used for fascial closure, the wound ileus , sepsis, abdominal distention

  10. Inferior venacaval compression due to excessive abdominal packing

    M.C.B. Santhosh


    Full Text Available Inferior venacaval compression is a common problem in late pregnancy. It can also occur due to compression of inferior venacava by abdominal or pelvic tumors. We report a case of acute iatrogenic inferior venacaval compression due to excessive abdominal packing during an intraabdominal surgery.

  11. Enterotomy risk in abdominal wall repair: a prospective study.

    Broek, R.P. Ten; Schreinemacher, M.H.; Jilesen, A.P.; Bouvy, N.; Bleichrodt, R.P.; Goor, H. van


    OBJECTIVES: To establish the incidence and predictive factors of enterotomy made during adhesiolysis in abdominal wall repair and to assess the impact of enterotomies and long-lasting adhesiolysis on postoperative morbidity such as sepsis, wound infection, abdominal complications and pneumonia, and

  12. Abdominal aortic aneurysms : clinical insights and outcome after endovascular repair

    Zandvoort, H.J.A.


    Abdominal aortic aneurysm (AAA) is a focal dilatation of the abdominal aorta. The pathophysiology of AAA is a complex multifactorial process and much is still unknown. Histologic and biochemical analysis of AAA wall characteristics can contribute to a better insight in AAA pathophysiology. To make t

  13. Acute abdominal aortic thrombosis following the Heimlich maneuver.

    Ayerdi, Juan; Gupta, Sushil K; Sampson, Lawrence N; Deshmukh, Narayan


    Complications from the Heimlich maneuver are relatively infrequent. Two fatal cases of abdominal aortic thrombosis have been reported following this technique. We report on the first patient that suffered an acute thrombosis of the abdominal aorta and survived. Prompt recognition of this complication provides the only hope of survival from this rare and catastrophic complication.

  14. Acute abdominal pain : considerations on diagnosis and management

    Toorenvliet, Boudewijn Ronald


    In this thesis several aspects on the diagnosing and management of patients with acute abdominal pain are investigated. 1; The efficacy and safety of standard outpatient re-evaluation for patients not admitted to the hospital after emergency department evaluation for acute abdominal pain. 2; The use

  15. Evidence-Based Medicine Approach to Abdominal Pain.

    Natesan, Sreeja; Lee, Jerry; Volkamer, Heather; Thoureen, Traci


    The chief complaint of abdominal pain accounts for 5% to 10% of all presentations in the emergency department. With such broad differential and diagnostic modalities available, this article focuses on a systematic approach to evaluating abdominal pain, essential to providing patients with efficient and accurate care.

  16. Prognosis of chronic or recurrent abdominal pain in children

    Gieteling, Marieke J.; Bierma-Zeinstra, Sita M. A.; Passchier, Ban; Berger, Marjolein Y.


    Background: Chronic abdominal pain (CAP) or recurrent abdominal pain is common in childhood and is rarely associated with organic disease. With modern diagnostic technology, new organic abnormalities are found in children with CAP. Thus far a causal relation between these abnormalities and CAP has n

  17. Acute acalculous cholecystitis after abdominal wall repair (Rives-Stoppa)

    Reurings, Jurrian C; Diaz, Ruben P D; Penninga, Luit


    -old man who developed AAC after abdominal wall repair with mesh (Rives-Stoppa procedure) 1 day after discharge from the hospital. To the best of our knowledge, this is the first paper to report AAC after abdominal incisional hernia repair. Although it is known to be more common in critically ill patients...

  18. Hemoperitoneum in cirrhotic patients without abdominal trauma or tumor

    Yuan-Ji Ma; En-Qiang Chen; Jia-Jie Lu; Ming-Zhen Tan; Hong Tang


    BACKGROUND: Hemoperitoneum is associated with several emergency conditions and is especially evident when it occurs in patients with liver cirrhosis. This study aimed to assess the clinical characteristics of cirrhotic patients who did not have abdominal trauma or tumor but who developed hemoperitoneum. METHODS: Wereviewedtheclinicalrecordsof1276consecutive cirrhotic patients with hemoperitoneum at our center between January 2007 and December 2009. Hemoperitoneum was confirmed by abdominal paracentesis. RESULTS: Of the 1276 cirrhotic patients, 19 were found to have hemoperitoneum, but only 6 did not have abdominal trauma or tumor. The occurrence of spontaneous hemoperitoneum in the cirrhotic patients was therefore 0.5%. Hemoperitoneum can occur spontaneously in severely decompensated cirrhotic patients with intra-abdominal collateral vessels and high scores on the model for end-stage liver disease and Child-Pugh-Turcotte test. Most patients presented with abdominal distension, abdominal pain, increased abdominal girth and hemodynamic instability with a significant drop in the hemoglobin level. Three patients died of hemorrhagic shock within 24 hours, and the other 3 died of hepatic encephalopathy or spontaneous bacterial peritonitis after 5 to 10 days because of further decompensation of the liver. CONCLUSIONS: Hemoperitoneum can occur in cirrhotic patients who do not have abdominal trauma or tumor. It mainly occurs in severely decompensated end-stage cirrhotic patients. Cirrhotic patients with hemoperitoneum have a poor prognosis.

  19. Surgery of gigantic infrarenal aneurysm of abdominal aorta

    N. Rustempašić


    Full Text Available The case shows gigantic aneurysm of abdominal aorta, localized infrarenally, as well as aneurysms of bilateral iliac arteries, which were solved successfully by resection of aneurism of abdominal aorta, closure of iliac arteries near aortic bifurcation, and interposition of aorta-bifemural vascular graft. There were no postoperative complications,and final outcome was fully satisfactory.

  20. Statin use and rupture of abdominal aortic aneurysm

    Wemmelund, H; Høgh, A; Hundborg, H H


    BACKGROUND: Ruptured abdominal aortic aneurysm (rAAA) is associated with high mortality. Research suggests that statins may reduce abdominal aortic aneurysm (AAA) growth and improve rAAA outcomes. However, the clinical impact of statins remains uncertain in relation to both the risk and prognosis...

  1. Mesenteric ischemia after abdominal aortic aneurysm repair : a systemic review

    Bruggink, J. L. M.; Tielliu, I. F. J.; Zeebregts, C. J.; Pol, R. A.


    Mesenteric ischemia after abdominal aneurysm repair is a devastating complication with mortality rates up to 70%. Incidence however is relatively low. The aim of this review was to provide an overview on current insights, diagnostic modalities and on mesenteric ischemia after abdominal aortic aneury

  2. Talk to Your Doctor about Abdominal Aortic Aneurysm

    ... Topic En español Talk to Your Doctor about Abdominal Aortic Aneurysm Browse Sections The Basics Overview What is AAA? ... ask your doctor about getting screened (tested) for abdominal aortic aneurysm (AAA). If AAA isn't found and treated ...

  3. Decreased mortality of abdominal aortic aneurysms in a peripheral county

    Lindholt, Jes Sanddal; Henneberg, E W; Fasting, H


    To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg.......To analyse the effect on the mortality associated with abdominal aortic aneurysms, due to the establishment of a decentralised vascular surgical unit in the county of Viborg....

  4. A comparative study of iliac and abdominal aortic aneurysms

    Vammen, Sten; Lindholt, Jes Sanddal; Henneberg, E W


    The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms.......The aim of the paper is to compare the epidemiology, risk factors and manifestations of iliac and abdominal aortic aneurysms....

  5. Tratamento cirúrgico das distrofias da parede abdominal no adulto Dystrophies of the abdominal wall in adults

    Fortunato Jayme Athias


    operações sem dermolipectomia (2,5%; uma necrose de linha média+embolia pulmonar (1,26%; e um óbito por embolia pulmonar (1,26%.The authors present a retrospective study of 79 patients with abdominal dystrophies, both with and without hernias, operated on from June 1st, 1994 to December,31,1996. Their average age was 47 years. The incisional hernia it self and the dystrophic abdomen were principal objects of the study. The authors show the importance of abdominal dermolipectomy for the complete recovery of the patient as well as demonstrate how it facilitates the technical manipulation of hernias. The technique of bilateral, longitudinal peritonio-aponeurotic transposition (the technique of Alcino Lázaro da Silva was used for large incisional hernias. This technique has been approved by its good results (5% of relapses in five years of follow up according the author. In this technique we use three levels of suture without superposing each other. The great advantage of the technique is that we use the herniary sac itself to close the ring and to strengthen. It avoids the use of meshes and the its complications (rejections, fistulas, etc.. A variation of this technique, for hernias with a hernial ring up to 10cm, is proposed by the authors, which consists in the closure of the ring and the reinforcement of the suture with the hernial sac overlapping its edge. The advantage is the facility of performing, reductions in the operative time and to avoid large dissections of the aponeurotic layer. When the herniary ring is 10cm or bigger it is possible to slack the tension by making a relaxing incision over on the anterior rectum abdominal aponeurosis and covering the wide area with the hernial sac. A review is made of the results of these procedures done associated with abdominal dermolipectomy isolated. The results are: 63 patients recovered without complications (81.66%, three relapsed (3.8%, one of extensive hematoma (1.26%, one necrosis of the midline with respiratory

  6. An unusual cause of abdominal pain.

    Mc Cabe, Aileen


    A 26-year-old man presented to the Emergency Department with abdominal pain, diarrhoea, anorexia and haematemesis. The patient was previously diagnosed with latent tuberculosis (TB). On examination, his abdomen was diffusely tender, with localised guarding in the right iliac fossa. CT imaging of his abdomen and pelvis demonstrated a low volume of ascites, diffuse studding of the peritoneum, omental caking and several bulky low-density lymph nodes in the retroperitoneum. A laparoscopy was performed to obtain a peritoneal biopsy. Histology demonstrated fragments of peritoneum with necrotising granulomatous inflammatory infiltrate in keeping with an infectious process, favouring TB. He was commenced on rifampicin, isoniazid, pyrazinamide, ethambutol and pyridoxine under the direct observed therapy by the infectious diseases team. In view of his extensive peritoneal involvement, he was empirically started on high-dose prednisolone for symptomatic control and to reduce complications related to peritoneal adhesions.

  7. Retroperitoneal abscess: an extra-abdominal manifestation.

    Mallia, Alvin James; Ashwood, Neil; Arealis, George; Galanopoulos, Ilias


    Retroperitoneal abscesses are unusual occurrences with occult and insidious presentations. There is often a lack of abdominal signs, leading to delays in drainage and high mortality rates. We report a case of thigh emphysema in an 88-year-old patient with diabetes. Prior to admission the patient reported a vague 4-week history of left thigh pain and an inability to fully weight bear. She presented to our emergency department with sepsis and acute kidney impairment. An X-ray of her left femur revealed widespread gas between muscular planes. A retroperitoneal abscess involving the left renal fossa, psoas, iliacus and upper thigh muscles was revealed on an urgent CT scan. The patient was transferred to intensive care unit (ICU) and underwent an emergency drainage. Despite ICU the patient died 2 days after admission.

  8. [Abdominal ischemia and lesions of the pancreas].

    Myshanych, T V; Moskal', O M; Arkhiĭ, E Ĭ; Sozoniuk, O V


    The analysis of the results of 50 patients with diseases of coronary heart disease (25 pers.) And chronic pancreatitis (25 people) are submitted. Along with the standard test from these patients underwent Doppler-ultrasonography of abdominal aorta and its visceral branches. Conclusions: A characteristic feature of Doppler indices in AIC is to reduce Vps and Ved, and PI BbA, increase Vps, Ved, IR and PI after exercise in chBA, chC and BbA. At patients with CP with IHD feature is the increase in Ved and IR in the chC, and Ved and PI in BbA under act of loading Bleed a feature at CP with IHD must be taken into account for optimization of treatment of IHD at CP.

  9. Abdominal CT findings of delayed postoperative complications

    Zissin, R.; Osadchy, A. [Sapir Medical Center, Dept. of Diagnostic Imaging, Kfar Saba (Israel)]. E-mail:; Gayer, G. [Assaf Harofe Medical Center, Dept. of Diagnostic Imaging, Zrifin (Israel)


    Despite progress in surgical techniques and modern medical treatment, postoperative complications occur not infrequently and vary according to type of surgery, clinical setting, and time elapsed since surgery. In general, they can be divided into early and delayed complications. Delayed postoperative complications can be classified as specific and nonspecific. The common nonspecific delayed complications are incisional hernia and postoperative bowel obstruction. Bowel obstruction can be further categorized as obstruction related to benign or neoplastic etiology, the latter occurring in oncology patients in whom the primary surgery was related to an underlying abdominal neoplasm. Gossypiboma is another, fortunately rare, postoperative complication. Specific complications appear after specific operations and include the following: Splenosis - following splenectomy. Retained gallstones and spilled gallstones - following cholecystectomy, mainly laparoscopic. Dropped appendicolith and stump appendicitis - following appendectomy, mainly laparoscopic. Obturation obstruction by a bezoar - following gastric surgery. Afferent loop syndrome (ALS) - following Bilroth II gastrectomy. (author)

  10. Natural history of abdominal aortic aneurysm

    Perko, M J; Schroeder, T V; Olsen, P S


    During a 10-year period in which 735 patients presented with abdominal aortic aneurysms to our clinic, 63 were not offered operative treatment. The primary reason for choosing conservative treatment was concomitant diseases that increased the risk of operation. After 2 years of followup, half...... of the patients died, and the cumulative 5-year survival rate was 15%. Aneurysm rupture was the primary cause of death. The cumulative 5-year mortality hazard rate from rupture was 0.36, corresponding to an annual risk of rupture of 7%. The cumulative 5-year hazard rate of death from all other causes was 1.......53, corresponding to an annual risk of 30%. Diameter of the aneurysm was found to be the only factor with a significant impact on the rate of rupture. The cumulative 5-year hazard rate of rupture among patients with aneurysms or = 6 cm was 0.2 and 0.6, respectively, corresponding to an annual risk...

  11. Abdominal vascular syndromes: characteristic imaging findings*

    Cardarelli-Leite, Leandro; Velloni, Fernanda Garozzo; Salvadori, Priscila Silveira; Lemos, Marcelo Delboni; D'Ippolito, Giuseppe


    Abdominal vascular syndromes are rare diseases. Although such syndromes vary widely in terms of symptoms and etiologies, certain imaging findings are characteristic. Depending on their etiology, they can be categorized as congenital-including blue rubber bleb nevus syndrome, Klippel-Trenaunay syndrome, and hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome)-or compressive-including "nutcracker" syndrome, median arcuate ligament syndrome, Cockett syndrome (also known as May-Thurner syndrome), and superior mesenteric artery syndrome. In this article, we aimed to illustrate imaging findings that are characteristic of these syndromes, through studies conducted at our institution, as well as to perform a brief review of the literature on this topic. PMID:27777480

  12. Standardized anatomic space for abdominal fat quantification

    Tong, Yubing; Udupa, Jayaram K.; Torigian, Drew A.


    The ability to accurately measure subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) from images is important for improved assessment and management of patients with various conditions such as obesity, diabetes mellitus, obstructive sleep apnea, cardiovascular disease, kidney disease, and degenerative disease. Although imaging and analysis methods to measure the volume of these tissue components have been developed [1, 2], in clinical practice, an estimate of the amount of fat is obtained from just one transverse abdominal CT slice typically acquired at the level of the L4-L5 vertebrae for various reasons including decreased radiation exposure and cost [3-5]. It is generally assumed that such an estimate reliably depicts the burden of fat in the body. This paper sets out to answer two questions related to this issue which have not been addressed in the literature. How does one ensure that the slices used for correlation calculation from different subjects are at the same anatomic location? At what anatomic location do the volumes of SAT and VAT correlate maximally with the corresponding single-slice area measures? To answer these questions, we propose two approaches for slice localization: linear mapping and non-linear mapping which is a novel learning based strategy for mapping slice locations to a standardized anatomic space so that same anatomic slice locations are identified in different subjects. We then study the volume-to-area correlations and determine where they become maximal. We demonstrate on 50 abdominal CT data sets that this mapping achieves significantly improved consistency of anatomic localization compared to current practice. Our results also indicate that maximum correlations are achieved at different anatomic locations for SAT and VAT which are both different from the L4-L5 junction commonly utilized.

  13. Gastroesophageal reflux in children with recurrent abdominal pain.

    van der Meer, S B; Forget, P P; Kuijten, R H; Arends, J W


    In this study we investigated the presence of gastroesophageal reflux in children with recurrent abdominal pain and its possible relationship to food intolerance-associated duodenal inflammation. Twenty-four-hour intra-esophageal pH monitoring, an endoscopic duodenal biopsy and a small bowel 51Cr-EDTA permeability test were performed in 25 children with recurrent abdominal pain. In 14 cases (56%) the pH monitoring was abnormal, pointing to the presence of pathological gastroesophageal reflux. Treatment of gastroesophageal reflux in the latter patients resulted in resolution or improvement of abdominal pain in 10 cases (71%). Gastroesophageal reflux did not appear to be associated with either intestinal permeability to 51Cr-EDTA or duodenal biopsy findings. We conclude that pathological gastroesophageal reflex is a frequent finding in children with recurrent abdominal pain, that it is unrelated to duodenal inflammation and that there might be a causal relationship between pathological gastroesophageal reflux and recurrent abdominal pain in children.

  14. [Abdominal ectopic pregnancy. A case report and literature review].

    Puch-Ceballos, Eduardo Erik; Vázquez-Castro, Rosbel; Osorio-Pérez, Ana Isabel; Ramos-Ayala, Montserrat; Villarreal-Sosa, Conrado Otoniel; Ruvalcaba-Rivera, Everardo


    Abdominal ectopic pregnancy is an extremely rare entity, which represents 1% of all ectopic pregnancies and is associated with high maternal and fetal morbidity and mortality. The maternal mortality risk of an abdominal ectopic pregnancy is seven to eight times greater than the risk of a tubal ectopic pregnancy and is 90 times greater than the risk of intrauterine pregnancy. This is a disease of difficult diagnosis that often takes place late. We report the case of a patient with an abdominal ectopic pregnancy, which was diagnosed by abdominal ultrasound in the second trimester; the patient was suc- cessfully treated with exploratory laparotomy with complete removal of the fetus and placenta. We provide a review of the literature on the risk factors for abdominal ectopic pregnancy, diagnostic tests and therapeutic options.

  15. Z-plasty for uterus-to-abdominal-wall fistula

    Lou Xiaoli; Zhang Mingli; Cui Ying; Song Jianxing


    Objective: Uterus-to-abdominal-wall fistula is a very rare complication after uterine-incision delivery over the last decades. It can even lead to death. Mainly, the fistula occurs when big tension and critical infection exist within the incision of uterus and abdominal wall. Methods: The authors described the clinical presentation, pathology of uterus-to-abdominal-wall fistula, and reported their experience in 6 cases who underwent Z-plasty operation for this rare complication from January 1998 to January 2008. Results: All flaps survived completely and all the wounds in abdominal walls healed very well. The six cases were followed up for 1 to 5 years, and no fistula recurrence occurred. Conclusion: Z-plasty technique is a very simple and efficient approach to repair uterus to abdominal fistula after uterine-incision delivery.

  16. A New Etiology for the Abdominal Compartment Syndrome: Pseudomyxoma Peritonei

    Charles Sabbagh


    Full Text Available Pseudomyxoma peritonei (PMP is a rare diagnosis with an incidence of 1-2 per million. Most cases originate from an appendix which ruptures and releases mucin into the peritoneal cavity. The progression of the disease results in obstruction and cutaneous leak. Abdominal compartment syndrome is an uncommon complication of peritoneal pseudomyxoma. In the present article, we report the case of a patient with PMP and abdominal compartment syndrome. A laparotomy to decrease the abdominal pressure was performed. Three months later, a peritonectomy with hyperthermic intraperitoneal chemotherapy was performed. The patient was still alive 1 year after the procedure without any recurrence. In conclusion, acute abdominal pain and respiratory failure in patients with peritoneal PMP should lead to the measurement of the abdominal pressure but are not a contra indication for curative treatment of PMP.

  17. Abdominal compartment syndrome successfully treated with neuromuscular blockade

    Kris T Chiles


    Full Text Available A 48 year old male admitted to the intensive care unit after a cardiac arrest complicated by a stroke intra-operatively during automatic implantable cardioverter defibrillator placement. He post-operatively developed a rigid abdomen, elevated peak and plateau pressures, hypoxia and renal insufficiency. He was diagnosed with abdominal compartment syndrome with an intra-abdominal compartment pressure of 40mmHg. The patient was administered 10 mg of intravenous cisatracuriumbesylate in preparation for bedside surgical abdominal decompression. Cisatracurium eliminated the patients need for surgical intervention by reducing his abdominal compartment pressures to normal and improving his hypoxia and renal function. This case illustrates that neuromuscular blockade should be attempted in patients with abdominal compartment syndrome prior to surgical intervention.

  18. Routine abdominal X-rays in the emergency department: a thing of the past?

    Artigas Martín, J M; Martí de Gracia, M; Rodríguez Torres, C; Marquina Martínez, D; Parrilla Herranz, P


    The large number of abdominal X-ray examinations done in the emergency department is striking considering the scant diagnostic yield of this imaging test in urgent disease. Most of these examinations have normal or nonspecific findings, bringing into question the appropriateness of these examinations. Abdominal X-ray examinations are usually considered a routine procedure or even a "defensive" screening tool, whose real usefulness is unknown. For more than 30 years, the scientific literature has been recommending a reduction in both the number of examinations and the number of projections obtained in each examination to reduce the dose of radiation, unnecessary inconvenience for patients, and costs. Radiologists and clinicians need to know the important limitations of abdominal X-rays in the diagnostic management of acute abdomen and restrict the use of this technique accordingly. This requires the correct clinical selection of patients that can benefit from this examination, which would allow better use of alternative techniques with better diagnostic yield, such as ultrasonography or computed tomography.

  19. The curious case of a cardiac tamponade in the hypertensive patient presenting as abdominal fullness.

    Li, William; Subedi, Rogin; Madhira, Bhaskara


    Cardiac tamponade is a medical emergency consisting of an accumulation of fluid in the pericardial space which is rapidly progressing and fatal. Because cardiac tamponade is ultimately a clinical diagnosis, mindful consideration for atypical presentations is essential for the reduction of mortality in the acute setting. Our patient was a 77year-old female admitted after presenting with general malaise, weakness, somnolence, altered mental status and urinary incontinence found to have CML (chronic myeloid leukemia) on confirmatory bone marrow biopsy after suspicions arose from a leukocytosis of 34,000 cells per mcL with 85% neutrophils and elevated blasts (8%). Initial vital signs revealed mild tachycardia, mild tachypnea and blood pressure elevated to 162/84mm Hg along with a temperature of 38.7°C and oxygen saturation of 96% on 2l by nasal cannula. She received the standard of care for a community acquired pneumonia and was started on treatment with decitabine as further work-up was unremarkable. An abdominal CT performed for abdominal fullness later displayed a large pericardial effusion. Repeat echocardiography exhibited right atrial diastolic collapse, inferior vena cava dilatation (IVC) without inspiratory collapse >50% and the large pericardial effusion consistent with tamponade. The blood pressure remained hypertensive until she suddenly went into cardiac arrest after being intubated for a pericardial window and expired. Our case highlights the need to keep cardiac tamponade as a differential in the hypertensive individual with abdominal complaints as atypical presentations can obscure diagnosis, delay treatment and increase mortality.

  20. Low-dose multiphase abdominal CT reconstruction with phase-induced swap prior

    Selim, Mona; Rashed, Essam A.; Kudo, Hiroyuki


    Multiphase abdominal CT is an imaging protocol in which the patient is scanned at different phases before and after the injection of a contrast agent. Reconstructed images with different concentrations of contrast material provide useful information for effective detection of abnormalities. However, several scanning during a short period of time eventually increase the patient radiation dose to a remarkable value up to a risky level. Reducing the patient dose by modulating the x-ray tube current or acquiring the projection data through a small number of views are known to degrade the image quality and reduce the possibility to be useful for diagnosis purpose. In this work, we propose a novel multiphase abdominal CT imaging protocol with patient dose reduction and high image quality. The image reconstruction cost function consists of two terms, namely the data fidelity term and penalty term to enforce the anatomical similarity in successive contrast phase reconstruction. The prior information, named phase-induced swap prior (PISP) is computed using total variation minimization of image acquired from different contrast phases. The new method is evaluated through a simulation study using digital abdominal phantom and real data and results are promising.