Sample records for abnormal doppler enteral

  1. ADEPT - Abnormal Doppler Enteral Prescription Trial

    Directory of Open Access Journals (Sweden)

    McCormick Kenny


    Full Text Available Abstract Background Pregnancies complicated by abnormal umbilical artery Doppler blood flow patterns often result in the baby being born both preterm and growth-restricted. These babies are at high risk of milk intolerance and necrotising enterocolitis, as well as post-natal growth failure, and there is no clinical consensus about how best to feed them. Policies of both early milk feeding and late milk feeding are widely used. This randomised controlled trial aims to determine whether a policy of early initiation of milk feeds is beneficial compared with late initiation. Optimising neonatal feeding for this group of babies may have long-term health implications and if either of these policies is shown to be beneficial it can be immediately adopted into clinical practice. Methods and Design Babies with gestational age below 35 weeks, and with birth weight below 10th centile for gestational age, will be randomly allocated to an "early" or "late" enteral feeding regimen, commencing milk feeds on day 2 and day 6 after birth, respectively. Feeds will be gradually increased over 9-13 days (depending on gestational age using a schedule derived from those used in hospitals in the Eastern and South Western Regions of England, based on surveys of feeding practice. Primary outcome measures are time to establish full enteral feeding and necrotising enterocolitis; secondary outcomes include sepsis and growth. The target sample size is 400 babies. This sample size is large enough to detect a clinically meaningful difference of 3 days in time to establish full enteral feeds between the two feeding policies, with 90% power and a 5% 2-sided significance level. Initial recruitment period was 24 months, subsequently extended to 38 months. Discussion There is limited evidence from randomised controlled trials on which to base decisions regarding feeding policy in high risk preterm infants. This multicentre trial will help to guide clinical practice and may also

  2. Early versus Late Enteral Feeding in Preterm Intrauterine Growth Restricted Neonates with Antenatal Doppler Abnormalities: An Open-Label Randomized Trial. (United States)

    Tewari, Vishal Vishnu; Dubey, Sachin Kumar; Kumar, Reema; Vardhan, Shakti; Sreedhar, C M; Gupta, Girish


    Enteral feeding in preterm neonates with intrauterine growth restriction (IUGR) and absent or reversed end diastolic flow (AREDF) on umbilical artery (UA) Doppler is delayed owing to an increased risk of necrotizing enterocolitis (NEC). Delaying enteral feeding with longer duration of parenteral nutrition (PN) carries an increased risk of sepsis. To study early versus late feeding in preterm IUGR neonates for time required to attain sufficient feed volume to discontinue PN and increased risk of NEC or feed intolerance (FI). Open-label randomized controlled trial. Tertiary care neonatal unit and fetal-maternal medicine unit in India. Preterm intrauterine growth restricted neonates' ≤32 weeks with AREDF on UA Doppler enrolled from 1 January 2014 to 31 July 2015. Randomized to receive early or late feeding using mothers own or donor breast milk as per a feed initiation and advancement protocol. Time in days required to attain sufficient feed volume allowing discontinuation of PN and incidence of NEC in neonates fed early versus late. There were 77 eligible neonates. Sixty-two neonates were included and stratified as extreme preterm (27-29 weeks) ( n  = 20) and very preterm (30-32 weeks) ( n  = 42). Ten extreme preterm and 21 very preterm neonates were randomized to each early feeding and late feeding arm. There was a significantly faster attainment of sufficient feeds in the early feeding arm of both the stratified groups [extreme preterm: median 14 days (Interquartile range IQR: 12-15) compared with 18 days (IQR: 18-20), hazard ratio (HR): 1.59, 95% CI: 0.626-4.078; very preterm: 12 days (IQR: 10-14) as compared with 16 days (IQR 15-17), HR: 1.89, 95% CI: 1.011-3.555]. There was no difference in the incidence of NEC, FI and combined outcome of NEC and FI. Early feeding in preterm IUGR neonates with AREDF on antenatal UA Doppler allowed earlier discontinuation of PN, allowing birth weight to be regained earlier and did not increase the incidence of NEC and

  3. Longitudinal study of aortic isthmus Doppler in appropriately grown and small-for-gestational-age fetuses with normal and abnormal umbilical artery Doppler.

    LENUS (Irish Health Repository)

    Kennelly, M M


    To establish reference ranges using longitudinal data for aortic isthmus (AoI) Doppler indices in appropriate-for-gestational-age (AGA) fetuses and to document the longitudinal trends in a cohort of small-for-gestational-age (SGA) fetuses with normal umbilical artery Doppler and in fetuses with intrauterine growth restriction (IUGR) and abnormal umbilical artery Doppler.

  4. Magnetic resonance imaging of the placenta identifies placental vascular abnormalities independently of Doppler ultrasound. (United States)

    Messerschmidt, A; Baschat, A; Linduska, N; Kasprian, G; Brugger, P C; Bauer, A; Weber, M; Prayer, D


    To evaluate the relationship between placental vascular pathology detected by prenatal magnetic resonance imaging (MRI) and perinatal outcome. This was a retrospective, hospital-based, cross-sectional study in which all fetal MRI examinations of singleton pregnancies with vascular placental pathology (i.e. infarction with/without hemorrhage, subchorionic thrombi/hemorrhages, intervillous thrombi/hemorrhages, or retroplacental hematoma) in the period 2002-2007 were included. The extent of the pathology was expressed as a percentage of the total placental volume. Abnormalities of umbilical artery Doppler ultrasound examinations within 7 days between MRI and ultrasound examination were noted. Death in utero or postnatally was the primary outcome. Gestational age at MRI and at birth and the occurrence of intrauterine growth restriction (IUGR) were noted. Logistic regression analysis was performed to assess the impact of gestational age at MRI, extent of the vascular lesion and presence of pathological Doppler ultrasound measurements on the prediction of mortality. Fifty-nine structurally normal singleton pregnancies with placental vascular abnormalities were included in the analysis. Mortality rate was 36%; among the survivors, 87% were born before 37 + 0 gestational weeks and 50% suffered from IUGR. In 55% of the pregnancies pathological umbilical artery Doppler findings were identified, of which 27% were non-survivors. Mortality was predicted by earlier gestational age at fetal MRI for placental pathology (P < 0.05) and increasing extent of the vascular lesion (P < 0.05), but not by the presence of pathological Doppler ultrasound data. Accuracy of the prediction was 82%, sensitivity was 67% and specificity 89%. MRI-detected vascular placental pathologies may help to identify pregnancies at risk for adverse outcome and fetal death independently of umbilical artery Doppler status. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.

  5. Abnormal Doppler flow velocimetry in the growth restricted foetus as a predictor for necrotising enterocolitis.

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    Bhatt A


    Full Text Available BACKGROUND: Obstetric decision- making for the growth restricted foetus has to take into consideration the benefits and risks of waiting for pulmonary maturity and continued exposure to hostile intra-uterine environment. Necrotising Enterocolitis (NEC results from continued exposure to hostile environment and is an important cause of poor neonatal outcome. AIMS: To evaluate the predictive value of abnormal Doppler flow velocimetry of the foetal umbilical artery for NEC and neonatal mortality. SETTINGS AND DESIGN: A retrospective study carried out at a tertiary care centre for obstetric and neonatal care. MATERIALS AND METHOD: Seventy-seven neonates with birth weight less than 2000 gm, born over a period of 18 months were studied. These pregnancies were identified as having growth abnormalities of the foetus. Besides other tests of foetal well-being, they were also subjected to Doppler flow velocimetry of the foeto-placental vasculature. Obstetric outcome was evaluated with reference to period of gestation and route of delivery. The neonatal outcome was reviewed with reference to birth weight, Apgar scores and evidence of NEC. STATISTICAL ANALYSIS USED: Chi square test. RESULTS: In the group of patients with Absent or Reverse End Diastolic Frequencies (A/R EDF in the umbilical arteries, positive predictive value for NEC was 52.6%, (RR 30.2; OR 264. The mortality from NEC was 50%. When umbilical artery velocimetry did not show A/REDF, there were no cases of NEC or mortality. Abnormal umbilical or uterine artery flow increased the rate of caesarean section to 62.5% as compared to 17.6% in cases where umbilical artery flow was normal. CONCLUSION: In antenatally identified pregnancies at risk for foetal growth restriction, abnormal Doppler velocimetry in the form of A/REDF in the umbilical arteries is a useful guide to predict NEC and mortality in the early neonatal period.

  6. Enteritis (United States)

    ... this page: // Enteritis To use the sharing features on this page, please enable JavaScript. Enteritis is inflammation of the small intestine. Causes Enteritis ...

  7. Association between maternal vascular murmur and the small-for-gestational-age fetus with abnormal umbilical artery Doppler flow

    DEFF Research Database (Denmark)

    Riknagel, Diana; Farlie, Richard; Hedegaard, Morten


    OBJECTIVE: To investigate the association between maternal vascular murmurs (MVMs) and fetal growth restriction (defined as small-for-gestational-age [SGA] fetus) and abnormal Doppler pulsatility index (PI) of the uterine and/or umbilical arteries. METHODS: A cross-sectional study of women aged 18...

  8. Placental disease and abnormal umbilical artery Doppler waveforms in trisomy 21 pregnancy: A case-control study. (United States)

    Corry, Edward; Mone, Fionnuala; Segurado, Ricardo; Downey, Paul; McParland, Peter; McAuliffe, Fionnuala M; Mooney, Eoghan E


    The objectives of this study were firstly to determine the proportion of placental pathology in fetuses affected by trisomy 21 (T21) using current pathological descriptive terminology and secondly to examine if a correlation existed between the finding of an abnormal umbilical artery Doppler (UAD) waveform, the presence of T21 and defined placental pathological categories. This case-control study assessed singleton fetuses with karyotypically confirmed trisomy 21 where placental histopathology had been conducted from 2003 to 2015 inclusive, within a university tertiary obstetric centre. This was compared with unselected normal singleton control pregnancies matched within a week of gestation at delivery. Data included birthweight centiles and placental histopathology. Comparisons of Doppler findings across placental pathological categories were performed using statistical analysis. 104 cases were analysed; 52 cases of trisomy 21 and 52 controls. Fetal vascular malperfusion (48.1% vs. 5.8%, p = 0.001) and maturation defects (39.2% vs. 15.7%, p = 0.023) were more common in trisomy 21 placentas. Compared with controls, trisomy 21 fetuses were more likely to have shorter umbilical cords (p = 0.001) and had more UAD abnormalities. Amongst T21 pregnancies, umbilical artery Doppler abnormalities are associated with the presence of maternal vascular malperfusion. Fetal vascular malperfusion and maturation defects are more common in trisomy 21 placentas. Abnormal umbilical artery Doppler waveforms are more common in T21 and are associated with maternal vascular malperfusion. Placental disease may explain the increased rate of intrauterine death in T21. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Enteric glial cells and their role in gastrointestinal motor abnormalities: Introducing the neuro-gliopathies

    Institute of Scientific and Technical Information of China (English)

    Gabrio Bassotti; Vincenzo Villanacci; Simona Fisogni; Elisa Rossi; Paola Baronio; Carlo Clerici; Christoph A Maurer; Gieri Cathomas; Elisabetta Antonelli


    The role of enteric glial cells has somewhat changed from that of mere mechanical support elements, gluing together the various components of the enteric nervous system, to that of active participants in the complex interrelationships of the gut motor and inflammatory events. Due to their multiple functions, spanning from supporting elements in the myenteric plexuses to neurotransmitters, to neuronal homeostasis, to antigen presenting cells, this cell population has probably more intriguing abilities than previously thought. Recently,some evidence has been accumulating that shows how these cells may be involved in the pathophysiological aspects of some diseases. This review will deal with the properties of the enteric glial cells more strictly related to gastrointestinal motor function and the human pathological conditions in which these cells may play a role, suggesting the possibility of enteric neurogliopathies.

  10. Associations between abnormal ultrasound color Doppler measures and tendon pain symptoms in badminton players during a season

    DEFF Research Database (Denmark)

    Boesen, Anders Ploug; Boesen, Morten Ilum; Torp-Pedersen, Soren


    Color Doppler ultrasound is widely used to examine intratendinous flow in individuals with overuse tendon problems, but the association between color Doppler and pain is still unclear.......Color Doppler ultrasound is widely used to examine intratendinous flow in individuals with overuse tendon problems, but the association between color Doppler and pain is still unclear....

  11. Optical, spectroscopic, and Doppler evaluation of "normal" and "abnormal" reflexology areas in lumbar vertebral pathology: a case study. (United States)

    Dalal, Krishna; Elanchezhiyan, D; Maran, V B; Das, Raunak Kumar; Kumar, Piyush; Singh, S P; Murali Krishna, C; Chatterjee, Jyotirmoy


    Scientific validation of reflexology requires an in-depth and noninvasive evaluation of "reflexology/reflex areas" in health and disease. The present paper reports the differential properties of "normal" and "abnormal" reflexology areas related to the lumbar vertebrae in a subject suffering from low back pain. The pathology is supported by radiological evidence. The reflexology target regions were clinically assessed with respect to colour and tenderness in response to finger pressure. Grey scale luminosity and pain intensity, as assessed by visual analogue scale scores, differentiated "normal" from "abnormal" skin. Skin swept source-optical coherence tomography recorded their structural differences. Infrared thermography revealed temperature variations. A laser Doppler study using a combined microcirculation and transcutaneous oxygen monitoring system indicated alterations in blood flow and oxygen perfusion. Raman spectroscopy showed differences in chemical signatures between these areas. The present findings may indicate a potential correlation between the reflexology areas and subsurface pathological changes, showing an association with the healthy or unhealthy status of the lumbar vertebrae.

  12. Association of maternal and umbilical cord blood leptin concentrations and abnormal color Doppler indices of umbilical artery with fetal growth restriction

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    Elahe Zareaan


    Full Text Available Background: Fetal growth restriction (FGR is a condition with heterogeneous pathophysiology which characterized by fetal weight less than the tenth percentile for gestational age. Several factors have impact on maternal, placental and fetal due to growth restriction. Objective: The aim of this study was to investigate the relationship between levels of leptin in the cord, and serum leptin of mothers also abnormal color Doppler indices of umbilical artery with fetal growth restriction. Materials and Methods: This is a cross sectional study conducted in Isfahan, Iran, 2015-2016. We recruited 40 women with singleton pregnancies complicated by fetal growth restriction (Group I and 40 pregnant women with normal fetal growth (Group II with matched age. Maternal serum and umbilical artery leptin levels were determined with Enzyme-Linked immunosorben method. Also, color Doppler ultrasound of umbilical artery was performed. Results: Mean maternal and fetal leptin levels were lower in the FGR group compared to the normal group (36.58±(20.99 and 7.42 ±(4.08vs. 47.32±(22.50 and 30.49±(14.50 respectively. Also, mean fetal leptin level was lower in the group with abnormal color Doppler sonographic indices compared to the normal group (7. 40 ±(4.10vs 27.06±(15.80, respectively. Conclusion: This study indicated that maternal and fetal leptin levels are correlated with FGR originating from damaged placental function; also fetal leptin level can indicate changes in color Doppler sonographic indices.

  13. The other side of abnormal: a case series of low transcranial Doppler velocities associated with stroke in children with sickle cell disease. (United States)

    Buchanan, Iris D; James-Herry, Anne; Osunkwo, Ifeyinwa


    The prevalence of cerebrovascular events in sickle cell disease (SCD) can be as low as 10% by the age of 18 for overt cerebral infarction or strokes, up to 35% for silent cerebral infarction, and as high as 43/100 patient years for acute silent cerebral ischemic events. These events typically occur during childhood with a peak incidence between the age of 4 and 7 years. The cumulative risk of central nervous system events in SCD increases with age. Transcranial Doppler (TCD) ultrasonography is an established screening tool for detecting children with SCD at highest risk for stroke by measuring the flow velocity in the large intracranial vessels. Velocities are considered abnormal with readings >200 cm/s and chronic red cell transfusions are recommended to reduce further risk or progression. Red cell transfusions have reduced the rate of cerebrovascular accidents by 90%. We describe the case of 5 children with sickle cell anemia, whose antecedent screening TCD velocities were measured to be ≤70 cm/s in the study. All patients developed some form of cerebral insults, an overt cerebral infarctions, silent stroke or transient ischemic attack, and are now receiving chronic transfusion to prevent further progression. On the basis of these cases, low TCD velocities may identify another group of children at risk for cerebrovascular disease. We suggest TCD velocities <70 cm/s in major vessels (MCA, ACA, and ICA) be considered another type of "abnormal," prompting more sensitive evaluations (such as a brain MRI and MRA) for the presence of central nervous system disease, and, if negative, decrease intervals between subsequent TCD assessments.

  14. Clinical study in diagnosis placental implantation abnormality with Transvaginal Doppler ul-trasound%经腹彩超诊断胎盘植入的临床研究

    Institute of Scientific and Technical Information of China (English)

    卜凡文; 沈树娜


    Objective To evaluate the ultra sonographic charateristics and the diagnostic value in placental implanta-tion abnormality ( PIA) with transvaginal Doppler ultrasound, improve the rate of diagnosis accuracy in the prenatal and postnatal of PIA with transvaginal Doppler ultrasound, for early diagnosis and treatment,to avoid hysterectomy beacuse of fatally and heavy bleeding. Method There were 61 cases complicated with PIA by operation and patho-logically confirmed in our hospital. 33 cases were Prenatal PIA, 28 cases were postnatal PIA. To discuss sonograph-ic charateristics, and analysis the Sensitivity and missed diagnosis of transvaginal Doppler ultrasound contrasted with surgery pathology. Result Muscular layer of the placenta has abundant signals of blood flow, this was major sono-graphic performance in prenatal PIA, incidence rate was 85. 7%, followed by whirlpool in placenta and plancental invasion;placental remnants was major sonographic performance in postpartum PIA, incidence rate was 100%, fol-lowed by abundant signals of blood flow in muscular layer of the placenta and boundary was disappear between mus-cular layer and placenta. There were 14 cases by transvaginal Doppler ultrasound diagnosed prenatal PIA accurate-ly, sensitivity was 42. 4%, false negative rate was 57. 6%. There were 21 cases by transvaginal Doppler ultrasound diagnosed postnatal PIA accurately, sensitivity was 75. 0%, false negative rate was 25. 0%. Conclusion Specificity is low in Prenatal PIA by transvaginal Doppler ultrasound, false negative rate is higher. if necessary,to improve the diagnostic accuracy combination with MRI. Specificity is higher in postnatal PIA, false negative rate is low. The Ul-trasonography of PIA has certain characteristics, strengthen the consciousness of the diagnosis in PIA, especially in the prenatal, To do a good job of auxiliary diagnosis in PIA.%目的:探讨经腹彩超诊断胎盘植入的声像图特点和诊断价值,提高经腹彩超在产前

  15. Assessment of the ability of myocardial contrast echocardiography with harmonic power Doppler imaging to identify perfusion abnormalities in patients with Kawasaki disease at rest and during dipyridamole stress. (United States)

    Ishii, M; Himeno, W; Sawa, M; Iemura, M; Furui, J; Muta, H; Sugahara, Y; Egami, K; Akagi, T; Ishibashi, M; Kato, H


    The aim of our study was to assess the ability of myocardial contrast echocardiography (MCE) with harmonic power Doppler imaging (HPDI) to identify perfusion abnormalities in patients with Kawasaki disease at rest and during pharmacological stress imaging with dipyridamole. Results were compared with those of 99mTc-tetrofosmin single-photon emission computed tomography (SPECT) imaging as the clinical reference standard. MCE with HPDI was performed on 20 patients with a history of Kawasaki disease. Images were obtained at baseline and during dipyridamole infusion (0.56 mg x kg(-1)) in the apical two- and four-chamber views. Myocardial opacification suitable for the analysis was obtained in all patients. Nine patients with stenotic lesions had a reversible defect after dipyridamole infusion detected by both MCE with HPDI and SPECT, and 3 patients with a history of myocardial infarction had a partially or completely irreversible defect detected by both methods. Three patients with coronary aneurysm without stenotic lesion, 4 patients with regressed coronary aneurysm, and 2 patients with normal coronary artery in acute phase also had normal perfusion at rest and after pharmacological stress by both methods. A 96% concordance (kappa = 0.87) was obtained when comparing the respective segmental perfusion scores using the two methods at baseline, and an 86% concordance (kappa = 0.81) was obtained at postdipyridamole infusion. After combining baseline and postdipyridamole images, each segment was labeled as having normal perfusion, irreversible defects, or reversible defects. Using these classifications, concordance for the two methods was 92% (kappa = 0.87). MCE with HPDI is a safe and feasible method by which to detect asymptomatic ischemia due to severe stenotic lesion, and it may be an important addition to the modalities used to identify patients at risk for myocardial infarction as a complication of Kawasaki disease.

  16. Doppler spectral characteristics of infrainguinal vein bypasses

    DEFF Research Database (Denmark)

    Nielsen, Tina G; von Jessen, F; Sillesen, H


    With the aim of assessing the velocity profile of femoropopliteal and femorocrural vein bypasses, 128 patients undergoing infrainguinal vein bypass surgery entered a postoperative Duplex surveillance protocol, which included clinical assessment and Duplex scanning, using Doppler spectral analysis...... of arteriovenous fistulas the initially antegrade diastolic velocity was replaced by a retrograde flow within 3 months, whereas a forward flow in diastole was sustained in grafts with patent fistulas. Abnormal Duplex findings in 31 patients led to angiography and revision in 13 cases. Four revised grafts failed......, while nine remained patent at follow-up 1-12 months later. Ten (56%) of 18 non-revised bypasses with abnormal Duplex findings failed within 9 months compared to 1 (1%) of 76 bypasses with a normal velocity profile (p analysis provides...

  17. Cryptosporidium enteritis (United States)

    ... page: // Cryptosporidium enteritis To use the sharing features on this page, please enable JavaScript. Cryptosporidium enteritis is an infection of the small intestine that ...

  18. Doppler Tomography

    CERN Document Server

    Marsh, T R


    I review the method of Doppler tomography which translates binary-star line profiles taken at a series of orbital phases into a distribution of emission over the binary. I begin with a discussion of the basic principles behind Doppler tomography, including a comparison of the relative merits of maximum entropy regularisation versus filtered back-projection for implementing the inversion. Following this I discuss the issue of noise in Doppler images and possible methods for coping with it. Then I move on to look at the results of Doppler Tomography applied to cataclysmic variable stars. Outstanding successes to date are the discovery of two-arm spiral shocks in cataclysmic variable accretion discs and the probing of the stream/magnetospheric interaction in magnetic cataclysmic variable stars. Doppler tomography has also told us much about the stream/disc interaction in non-magnetic systems and the irradiation of the secondary star in all systems. The latter indirectly reveals such effects as shadowing by the a...

  19. Doppler imaging

    Energy Technology Data Exchange (ETDEWEB)

    Piskunov, N [Department of Physics and Astronomy, Uppsala University, Box 515, S-75120 Uppsala (Sweden)], E-mail:


    In this paper, I present a short review of the history and modern status of Doppler imaging techniques, highlighting their dependence on the knowledge of the fundamental stellar parameters, the quality of stellar atmospheric models and the accuracy of spectral synthesis.

  20. Eosinofil enteritis

    DEFF Research Database (Denmark)

    Gjersøe, P; Rasmussen, S N; Hansen, B F


    We present a case of eosinophilic enteritis in a 45 year-old male with clinical and radiological signs of stenotic inflammatory ileal disease. A diagnosis of Crohn's disease was considered. He developed small bowel obstruction and sixty cm of obstructed ileum was resected. Histopathological...... examination revealed the diagnosis of eosinophilic enteritis primarily localized to the tunica muscularis. One year postoperatively he relapsed and small bowel X-ray demonstrated 1 m narrow and irregular ileum. He was treated with mesalamine, azathioprine, and cromoglicate, went into remission and fares well...

  1. Enteric viruses (United States)

    Characteristic clinical signs associated with viral enteritis in young poultry include diarrhea, anorexia, litter eating, ruffled feathers, and poor growth. Intestines may have lesions; intestines are typically dilated and are filled with fluid and gaseous contents. The sequela to clinical disease...

  2. The doppler ultrasound. La ecografia Doppler

    Energy Technology Data Exchange (ETDEWEB)

    Contreras Cecilia, E.; Lozano Setien, E.; Hernandez Montero, J.; Ganado Diaz, T.; Jorquera Moya, M.; Blasco Pascual, E. (Hospital Universitario San Carlos. Madrid (Spain))


    The discovery and development of Doppler ultrasound has had a great influence on Medical practice since it allows the noninvasive study of vascular pathology, both arterial and venous, as well as the flow patterns of the different parenchyma. This article deals with the principles, limitations and interpretation of the Doppler signal, as well as the different Doppler ultrasound systems routinely employed in Medicine.

  3. Normalisation of a severely abnormal ductus venosus Doppler flow velocity waveform in a growth-retarded fetus with absent end-diastolic flow in the umbilical artery and congenital anomalies. (United States)

    Müller, T; Rehn, M; Girschick, G; Kristen, P; Dietl, J


    Doppler recordings of fetal venous blood flow seem to be superior to arterial velocimetry and CTG concerning the prediction of fetal outcome and optimal time of delivery in pregnancies with fetal growth retardation and AREDV. An improvement of arterial Doppler flow velocities has been described. We report the reappearance of a normal end-diastolic flow velocity in a ductus venosus temporarily showing reversed end-diastolic flow in a growth-retarded fetus with congenital anomalies. This normalization was accompanied by an improvement of the CTG, a loss of umbilical vein pulsations, a reappearance of umbilical diastolic flow and a progressive return of cerebral and venous blood flow into the 'normal' range. Improvement of fetal condition may be the explanation for our observation.

  4. 子宫动脉血流异常频谱与晚发型子痫前期患者围产期结局的相关性研究%Relationship Between Abnormal Doppler Frequency of Uterine Artery Flow and Peripartum Outcome of Late-onset Preeclampsia Patients

    Institute of Scientific and Technical Information of China (English)

    张锐; 王丰; 陈刚; 张雪珍; 肖芳


    [Objective] To explore the effect of abnormal Doppler frequency of uterine artery flow on the peripartum outcome of late-onset preeclampsia patients. [Methods] The Doppler frequency of uterine artery flow of 136 patients with late-onset preeclampsia were observed. According to the uterine artery flow resist ance index(RI) and early diastolic notch, all patients were grouped. The incidence of peripartum poor outcome was compared among groups. [Rcsults]All patients were divided into normal Doppler flow group(n =52, RI <0.61, without early diastolic notch), abnormal Doppler flow group Ⅰ (n=49, RI≥O. 61, without early diastolic notch) and abnormal Doppler flow group Ⅱ (n=35, RI≥O. 61 or with early diastolic notch). Uterine artery flow RI≥O. 61 or early diastolic notch was the risk factors of peripartum poor outcomes such as premature, fetal dcath, low birth weight of newborn, small-for-date infant, 5min Apgar score<7 and hypoxic-ischemic encephalopathy, etc. [Conclusion]The Doppler imaging of uterine artery flow is helpful for predicting peripartum outcome of patients with late-onset preeclampsia.%[目的]探讨晚发型子痫前期患者子宫动脉血流异常频谱对围产期结局的影响.[方法]观察136例晚发型子痫前期患者子宫动脉血流彩色多普勒频谱,根据子宫动脉阻力指数(RI)和是否存在舒张早期切迹进行分组,对比各组之间围产期不良结局发生率.[结果]频谱正常组52例(RI<0.61,无舒张早期切迹)、异常频谱1组49例(RI≥0.61,无舒张早期切迹)和异常频谱2组35例(RI≥0.61,或存在舒张早期切迹).子宫动脉RI≥0.61或存在舒张早期切迹是早产、死胎、新生儿低出生体重和小于胎龄儿、出生5 min时Apgar评分小于7分和缺血缺氧性脑病等围产期不良结局的危险因数.[结论]对晚发型子痫前期患者常规进行子宫动脉血流频谱测定有助于预测围产期不良结局.

  5. Doppler micro sense and avoid radar (United States)

    Gorwara, Ashok; Molchanov, Pavlo; Asmolova, Olga


    There is a need for small Sense and Avoid (SAA) systems for small and micro Unmanned Aerial Systems (UAS) to avoid collisions with obstacles and other aircraft. The proposed SAA systems will give drones the ability to "see" close up and give them the agility to maneuver through tight areas. Doppler radar is proposed for use in this sense and avoid system because in contrast to optical or infrared (IR) systems Doppler can work in more harsh conditions such as at dusk, and in rain and snow. And in contrast to ultrasound based systems, Doppler can better sense small sized obstacles such as wires and it can provide a sensing range from a few inches to several miles. An SAA systems comprised of Doppler radar modules and an array of directional antennas that are distributed around the perimeter of the drone can cover the entire sky. These modules are designed so that they can provide the direction to the obstacle and simultaneously generate an alarm signal if the obstacle enters within the SAA system's adjustable "Protection Border". The alarm signal alerts the drone's autopilot to automatically initiate an avoidance maneuver. A series of Doppler radar modules with different ranges, angles of view and transmitting power have been designed for drones of different sizes and applications. The proposed Doppler radar micro SAA system has simple circuitry, works from a 5 volt source and has low power consumption. It is light weight, inexpensive and it can be used for a variety of small unmanned aircraft.

  6. Suspected Fetal Growth Restriction at 37 Weeks: A Comparison of Doppler and Placental Pathology. (United States)

    Curtin, William M; Millington, Karmaine A; Ibekwe, Tochi O; Ural, Serdar H


    Objective. Our objective was determining if abnormal Doppler evaluation had a higher prevalence of placental pathology compared to normal Doppler in suspected fetal growth restriction (FGR) of cases delivered at 37 weeks. Study Design. This retrospective cohort study of suspected FGR singletons with antenatal Doppler evaluation delivered at 37 weeks had a primary outcome of the prevalence of placental pathology related to FGR. Significance was defined as p ≤ 0.05. Results. Of 100 pregnancies 46 and 54 were in the abnormal and normal Doppler cohorts, respectively. Placental pathology was more prevalent with any abnormal Doppler, 84.8% versus 55.6%, odds ratio (OR) 4.46, 95% confidence interval (CI): 1.55, 13.22, and p = 0.002. Abnormal middle cerebral artery (MCA) Doppler had a higher prevalence: 96.2% versus 54.8%, OR 20.7, 95% CI: 2.54, 447.1, and p < 0.001. Conclusion. Abnormal Doppler was associated with more placental pathology in comparison to normal Doppler in fetuses with suspected FGR. Abnormal MCA Doppler had the strongest association.

  7. Suspected Fetal Growth Restriction at 37 Weeks: A Comparison of Doppler and Placental Pathology

    Directory of Open Access Journals (Sweden)

    William M. Curtin


    Full Text Available Objective. Our objective was determining if abnormal Doppler evaluation had a higher prevalence of placental pathology compared to normal Doppler in suspected fetal growth restriction (FGR of cases delivered at 37 weeks. Study Design. This retrospective cohort study of suspected FGR singletons with antenatal Doppler evaluation delivered at 37 weeks had a primary outcome of the prevalence of placental pathology related to FGR. Significance was defined as p≤0.05. Results. Of 100 pregnancies 46 and 54 were in the abnormal and normal Doppler cohorts, respectively. Placental pathology was more prevalent with any abnormal Doppler, 84.8% versus 55.6%, odds ratio (OR 4.46, 95% confidence interval (CI: 1.55, 13.22, and p=0.002. Abnormal middle cerebral artery (MCA Doppler had a higher prevalence: 96.2% versus 54.8%, OR 20.7, 95% CI: 2.54, 447.1, and p<0.001. Conclusion. Abnormal Doppler was associated with more placental pathology in comparison to normal Doppler in fetuses with suspected FGR. Abnormal MCA Doppler had the strongest association.

  8. Syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis (HaNDL) in a patient with confusional symptoms, diffuse EEG abnormalities, and bilateral vasospasm in transcranial Doppler ultrasound: A case report and literature review. (United States)

    Hidalgo de la Cruz, M; Domínguez Rubio, R; Luque Buzo, E; Díaz Otero, F; Vázquez Alén, P; Orcajo Rincón, J; Prieto Montalvo, J; Contreras Chicote, A; Grandas Pérez, F


    HaNDL syndrome (transient headache and neurological deficits with cerebrospinal fluid lymphocytosis) is characterised by one or more episodes of headache and transient neurological deficits associated with cerebrospinal fluid lymphocytosis. To date, few cases of HaNDL manifesting with confusional symptoms have been described. Likewise, very few patients with HaNDL and confusional symptoms have been evaluated with transcranial Doppler ultrasound (TCD). TCD data from patients with focal involvement reveal changes consistent with vasomotor alterations. We present the case of a 42-year-old man who experienced headache and confusional symptoms and displayed pleocytosis, diffuse slow activity on EEG, increased blood flow velocity in both middle cerebral arteries on TCD, and single-photon emission computed tomography (SPECT) findings suggestive of diffuse involvement, especially in the left hemisphere. To our knowledge, this is the first description of a patient with HaNDL, confusional symptoms, diffuse slow activity on EEG, and increased blood flow velocity in TCD. Our findings suggest a relationship between cerebral vasomotor changes and the pathophysiology of HaNDL. TCD may be a useful tool for early diagnosis of HaNDL. Copyright © 2017 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Differential doppler heterodyning technique

    DEFF Research Database (Denmark)

    Lading, Lars


    Measuring velocity without disturbing the moving object is possible by use of the laser doppler heterodyning technique. Theoretical considerations on the doppler shift show that the antenna property of the photodetector can solve an apparent conflict between two different ways of calculating...... the detected doppler frequency. It is found that the doppler frequency for this particular setup is independent of the direction of detection. Investigations of the signal-to-noise ratio (SNR) show that the maximum SNR-considering the optical setup-is obtained by measuring the frequency difference between two...

  10. Meiotic abnormalities

    Energy Technology Data Exchange (ETDEWEB)



    Chapter 19, describes meiotic abnormalities. These include nondisjunction of autosomes and sex chromosomes, genetic and environmental causes of nondisjunction, misdivision of the centromere, chromosomally abnormal human sperm, male infertility, parental age, and origin of diploid gametes. 57 refs., 2 figs., 1 tab.

  11. Tendinopathy and Doppler activity

    DEFF Research Database (Denmark)

    Boesen, M I; Koenig, M J; Torp-Pedersen, S


    Intratendinous Doppler activity has been interpreted as an equivalent of neovessels in the Achilles tendon and as a sign of tendinosis (AT).......Intratendinous Doppler activity has been interpreted as an equivalent of neovessels in the Achilles tendon and as a sign of tendinosis (AT)....

  12. Ultrasonic colour Doppler imaging

    DEFF Research Database (Denmark)

    Evans, David H.; Jensen, Jørgen Arendt; Nielsen, Michael Bachmann


    Ultrasonic colour Doppler is an imaging technique that combines anatomical information derived using ultrasonic pulse-echo techniques with velocity information derived using ultrasonic Doppler techniques to generate colour-coded maps of tissue velocity superimposed on grey-scale images of tissue ...

  13. Ultrasonic colour Doppler imaging

    DEFF Research Database (Denmark)

    Evans, David H; Jensen, Jørgen Arendt; Nielsen, Michael Bachmann


    anatomy. The most common use of the technique is to image the movement of blood through the heart, arteries and veins, but it may also be used to image the motion of solid tissues such as the heart walls. Colour Doppler imaging is now provided on almost all commercial ultrasound machines, and has been......Ultrasonic colour Doppler is an imaging technique that combines anatomical information derived using ultrasonic pulse-echo techniques with velocity information derived using ultrasonic Doppler techniques to generate colour-coded maps of tissue velocity superimposed on grey-scale images of tissue...... vectors. This review briefly introduces the principles behind colour Doppler imaging and describes some clinical applications. It then describes the basic components of conventional colour Doppler systems and the methods used to derive velocity information from the ultrasound signal. Next, a number of new...

  14. Automatic extraction of disease-specific features from Doppler images (United States)

    Negahdar, Mohammadreza; Moradi, Mehdi; Parajuli, Nripesh; Syeda-Mahmood, Tanveer


    Flow Doppler imaging is widely used by clinicians to detect diseases of the valves. In particular, continuous wave (CW) Doppler mode scan is routinely done during echocardiography and shows Doppler signal traces over multiple heart cycles. Traditionally, echocardiographers have manually traced such velocity envelopes to extract measurements such as decay time and pressure gradient which are then matched to normal and abnormal values based on clinical guidelines. In this paper, we present a fully automatic approach to deriving these measurements for aortic stenosis retrospectively from echocardiography videos. Comparison of our method with measurements made by echocardiographers shows large agreement as well as identification of new cases missed by echocardiographers.


    Directory of Open Access Journals (Sweden)



    Full Text Available AIMS AND OBJECTIVES: to evaluate Doppler abnormalities in low risk and high risk pregnancies and to determine their relation to the outcome of pregnancy . METHODS: A total of 60 no. of pregnant women without any known risk factors are included in the low risk group and 60 no. of pregnant women with pre - eclampsia or gestational hypertension or intra uterine growth restriction, are included in the high risk group. Doppler evaluation done at term and the outcome is noted in terms of mode of delivery and perinatal complications in both the groups. RESULTS: Forty percent of high risk pregnant women and 1.6 percent of low risk pregnant women are found to be associated with abnormal Doppler results. Abnormal UA - PI , in association with high risk pregnancy is significantly associated wit h abnormal mode of delivery (P - 0.0005 and perinatal complications (P - 0.0009. Abnormal MCA - PI and abnormal MCA - PI/UA - PI ratio of <1.1 are associated with perinatal complications with highest significance (P - <0.0001. High risk pregnancy with normal Doppl er results, also had perinatal complications with slightly lower significance (0.0011. CONCLUSION: There is definite association of Doppler abnormalities with high risk pregnancy. Low risk pregnancy is almost never associated with Doppler abnormalities an d it is not necessary to perform Doppler to all women. Of all the Doppler indices, the ratio of MCA - PI/ UA - PI appears to be the best predictor of poor outcome. Normal Doppler results in association with high risk pregnancy cannot ensure uncomplicated outco me.

  16. E. coli enteritis (United States)

    ... E. coli enteritis To use the sharing features on this page, please enable JavaScript. E. coli enteritis is swelling (inflammation) of the small intestine from ...

  17. Pulse subtraction Doppler (United States)

    Mahue, Veronique; Mari, Jean Martial; Eckersley, Robert J.; Caro, Colin G.; Tang, Meng-Xing


    Recent advances have demonstrated the feasibility of molecular imaging using targeted microbubbles and ultrasound. One technical challenge is to selectively detect attached bubbles from those freely flowing bubbles and surrounding tissue. Pulse Inversion Doppler is an imaging technique enabling the selective detection of both static and moving ultrasound contrast agents: linear scatterers generate a single band Doppler spectrum, while non-linear scatterers generate a double band spectrum, one being uniquely correlated with the presence of contrast agents and non-linear tissue signals. We demonstrate that similar spectrums, and thus the same discrimination, can be obtained through a Doppler implementation of Pulse Subtraction. This is achieved by reconstructing a virtual echo using the echo generated from a short pulse transmission. Moreover by subtracting from this virtual echo the one generated from a longer pulse transmission, it is possible to fully suppress the echo from linear scatterers, while for non-linear scatterers, a signal will remain, allowing classical agent detection. Simulations of a single moving microbubble and a moving linear scatterer subject to these pulses show that when the virtual echo and the long pulse echo are used to perform pulsed Doppler, the power Doppler spectrum allows separation of linear and non-linear moving scattering. Similar results are obtained on experimental data acquired on a flow containing either microbubble contrast agents or linear blood mimicking fluid. This new Doppler method constitutes an alternative to Pulse Inversion Doppler and preliminary results suggest that similar dual band spectrums could be obtained by the combination of any non-linear detection technique with Doppler demodulation.

  18. Microscopic enteritis: Bucharest consensus. (United States)

    Rostami, Kamran; Aldulaimi, David; Holmes, Geoffrey; Johnson, Matt W; Robert, Marie; Srivastava, Amitabh; Fléjou, Jean-François; Sanders, David S; Volta, Umberto; Derakhshan, Mohammad H; Going, James J; Becheanu, Gabriel; Catassi, Carlo; Danciu, Mihai; Materacki, Luke; Ghafarzadegan, Kamran; Ishaq, Sauid; Rostami-Nejad, Mohammad; Peña, A Salvador; Bassotti, Gabrio; Marsh, Michael N; Villanacci, Vincenzo


    Microscopic enteritis (ME) is an inflammatory condition of the small bowel that leads to gastrointestinal symptoms, nutrient and micronutrient deficiency. It is characterised by microscopic or sub-microscopic abnormalities such as microvillus changes and enterocytic alterations in the absence of definite macroscopic changes using standard modern endoscopy. This work recognises a need to characterize disorders with microscopic and submicroscopic features, currently regarded as functional or non-specific entities, to obtain further understanding of their clinical relevance. The consensus working party reviewed statements about the aetiology, diagnosis and symptoms associated with ME and proposes an algorithm for its investigation and treatment. Following the 5(th) International Course in Digestive Pathology in Bucharest in November 2012, an international group of 21 interested pathologists and gastroenterologists formed a working party with a view to formulating a consensus statement on ME. A five-step agreement scale (from strong agreement to strong disagreement) was used to score 21 statements, independently. There was strong agreement on all statements about ME histology (95%-100%). Statements concerning diagnosis achieved 85% to 100% agreement. A statement on the management of ME elicited agreement from the lowest rate (60%) up to 100%. The remaining two categories showed general agreement between experts on clinical presentation (75%-95%) and pathogenesis (80%-90%) of ME. There was strong agreement on the histological definition of ME. Weaker agreement on management indicates a need for further investigations, better definitions and clinical trials to produce quality guidelines for management. This ME consensus is a step toward greater recognition of a significant entity affecting symptomatic patients previously labelled as non-specific or functional enteropathy.

  19. Leukocyte abnormalities. (United States)

    Gabig, T G


    Certain qualitative abnormalities in neutrophils and blood monocytes are associated with frequent, severe, and recurrent bacterial infections leading to fatal sepsis, while other qualitative defects demonstrated in vitro may have few or no clinical sequelae. These qualitative defects are discussed in terms of the specific functions of locomotion, phagocytosis, degranulation, and bacterial killing.

  20. Environmental enteric dysfunction is associated with altered bile acid metabolism (United States)

    Environmental enteric dysfunction (EED), a clinically asymptomatic condition characterized by inflammation of the small bowel mucosa, villous atrophy, and increased gut permeability, is common among children in developing countries. Because of abnormal gut mucosa and altered gut microbiome, EED coul...

  1. Role of Doppler Velocimetry in growth restricted fetuses

    Directory of Open Access Journals (Sweden)

    Dr. Khushali Gandhi


    Full Text Available Background Intra Uterine Growth Restriction (IUGR is an important and particularly challenging problem for obstetricians and pediatricians. IUGR is a leading contributor in perinatal morbidity and mortality affecting 23.8% newborns around the world and 75% are born in Asia alone. In India the incidence of low birth weight varies from 15 to 25% and more than 50% of them are IUGR. Methods The present article consists of a study of 100 cases of intrauterine growth restriction with periodic color Doppler during the period of 1st July 2011 to 30 th August, 2013 in Obstetrics and Gynecology Department of a tertiary care center. Detail history taken. General and obstetrical examination was done along with routine hematological and urine investigations. Ultrasound examination was done for growth, liquor and placental localization. Fetal well- being was assessed with Doppler studies and daily fetal movement count. Results In present study moderate to severe pregnancy induced hypertension (53.9% and lack of proper weight gain (23% are found to be the commonest causes of IUGR. Out of 69 IUGR cases having abnormal Doppler, about 63.8% had abnormality in uterine artery flow, 85.5% had abnormality in umbilical artery flow, 88.4% had abnormality in middle cerebral artery flow, 55% had abnormality in uterine and umbilical artery and 75.4% had abnormality in umbilical artery and MCA. Incidence of fetal demise (13% was higher in patients with abnormal Doppler flow compared to normal flow (3.2%. Surgical intervention in form of caesarean was required in 69.6% of patients with abnormal Doppler flow. Cerebro-placental ratio (CPR 1 where fetal demise is 2.6%. Incidence of AEDF/REDF ( Absent End Diastolic flow/Reversed End diastolic flow in IUGR was 8% that resulted in 50% loss of fetus. Conclusions Color Doppler is a useful mode to predict fetal outcome in IUGR. Color Doppler allows better understandings of hemodynamic changes in feto- placental and utero

  2. Steerable Doppler transducer probes

    Energy Technology Data Exchange (ETDEWEB)

    Fidel, H.F.; Greenwood, D.L.


    An ultrasonic diagnostic probe is described which is capable of performing ultrasonic imaging and Doppler measurement consisting of: a hollow case having an acoustic window which passes ultrasonic energy and including chamber means for containing fluid located within the hollow case and adjacent to a portion of the acoustic window; imaging transducer means, located in the hollow case and outside the fluid chamber means, and oriented to direct ultrasonic energy through the acoustic window toward an area which is to be imaged; Doppler transducer means, located in the hollow case within the fluid chamber means, and movably oriented to direct Doppler signals through the acoustic window toward the imaged area; means located within the fluid chamber means and externally controlled for controllably moving the Doppler transducer means to select one of a plurality of axes in the imaged area along which the Doppler signals are to be directed; and means, located external to the fluid chamber means and responsive to the means for moving, for providing an indication signal for identifying the selected axis.

  3. Doppler cooling a microsphere

    CERN Document Server

    Barker, P F


    Doppler cooling the center-of-mass motion of an optically levitated microsphere via the velocity dependent scattering force from narrow whispering gallery mode (WGM) resonances is described. Light that is red detuned from the WGM resonance can be used to damp the center-of-mass motion in a process analogous to the Doppler cooling of atoms. Leakage of photons out of the microsphere when the incident field is near resonant with the narrow WGM resonance acts to damp the motion of the sphere. The scattering force is not limited by saturation, but can be controlled by the incident power. Cooling times on the order of seconds are calculated for a 20 micron diameter silica microsphere trapped within optical tweezers, with a Doppler temperature limit in the microKelvin regime.

  4. Venstre ventrikels diastoliske funktion vurderet med transtorakal Doppler-ekkokardiografi

    DEFF Research Database (Denmark)

    Poulsen, S H; Jensen, S E; Gøtzsche, O;


    Left ventricular diastolic dysfunction is currently recognized in patients with different heart diseases. Three abnormal filling patterns of the left ventricle detected by pulsed-Doppler echocardiography are observed in patients with heart disease. Each filling pattern is characterised by differe...

  5. Pediatric enteral nutrition. (United States)

    Axelrod, David; Kazmerski, Kimberly; Iyer, Kishore


    Common to all pediatric patients receiving enteral nutrition is the inability to consume calories orally. This is often secondary to issues of inadequate weight gain, inadequate growth, prolonged feeding times, weight loss, a decrease in weight/age or weight/height ratios, or a persistent triceps skinfold thickness <5% for age. Enteral nutrition requires enteral access. In the neonatal period the nasoenteric route is usually used. In pediatric patients requiring long-term enteral access, surgically, endoscopically, or radiologically placed percutaneous feeding tubes are common. Jejunal feeding tubes are used in pediatric patients with gastric feeding intolerance or persistent gastroesophageal reflux. Low-profile enteral access devices are preferred by most pediatric patients because of their cosmetic appearance. For most children, a standard pediatric polypeptide enteral formula is well tolerated. There are specialized pediatric enteral formulas available for patients with decreased intestinal length, altered intestinal absorptive capacity, or altered pancreatic function. Weaning patients from tube feeding to oral nutrition is the ultimate nutrition goal. A multidisciplinary approach to patients with short bowel syndrome will maximize the use of enteral nutrition while preserving parenteral nutrition for patients with true enteral nutrition therapy failure.

  6. Pulse Doppler radar

    CERN Document Server

    Alabaster, Clive


    This book is a practitioner's guide to all aspects of pulse Doppler radar. It concentrates on airborne military radar systems since they are the most used, most complex, and most interesting of the pulse Doppler radars; however, ground-based and non-military systems are also included. It covers the fundamental science, signal processing, hardware issues, systems design and case studies of typical systems. It will be a useful resource for engineers of all types (hardware, software and systems), academics, post-graduate students, scientists in radar and radar electronic warfare sectors and milit

  7. Doppler radar physiological sensing

    CERN Document Server

    Lubecke, Victor M; Droitcour, Amy D; Park, Byung-Kwon; Singh, Aditya


    Presents a comprehensive description of the theory and practical implementation of Doppler radar-based physiological monitoring. This book includes an overview of current physiological monitoring techniques and explains the fundamental technology used in remote non-contact monitoring methods. Basic radio wave propagation and radar principles are introduced along with the fundamentals of physiological motion and measurement. Specific design and implementation considerations for physiological monitoring radar systems are then discussed in detail. The authors address current research and commercial development of Doppler radar based physiological monitoring for healthcare and other applications.

  8. Scanning laser Doppler vibrometry

    DEFF Research Database (Denmark)

    Brøns, Marie; Thomsen, Jon Juel

    With a Scanning Laser Doppler Vibrometer (SLDV) a vibrating surface is automatically scanned over predefined grid points, and data processed for displaying vibration properties like mode shapes, natural frequencies, damping ratios, and operational deflection shapes. Our SLDV – a PSV-500H from...

  9. The Doppler Pendulum Experiment (United States)

    Lee, C. K.; Wong, H. K.


    An experiment to verify the Doppler effect of sound waves is described. An ultrasonic source is mounted at the end of a simple pendulum. As the pendulum swings, the rapid change of frequency can be recorded by a stationary receiver using a simple frequency-to-voltage converter. The experimental results are in close agreement with the Doppler…

  10. The enteric nervous system

    National Research Council Canada - National Science Library

    Sasselli, Valentina; Pachnis, Vassilis; Burns, Alan J


    The enteric nervous system (ENS), the intrinsic innervation of the gastrointestinal tract, consists of numerous types of neurons, and glial cells, that are distributed in two intramuscular plexuses that extend along the entire...

  11. Laser Doppler flowmetry imaging (United States)

    Nilsson, Gert E.; Wardell, Karin


    A laser Doppler perfusion imager has been developed that makes possible mapping of tissue blood flow over surfaces with extensions up to about 12 cm X 12 cm. The He-Ne laser beam scans the tissue under study throughout 4096 measurement sites. A fraction of the backscattered and Doppler broadened light is detected by a photo diode positioned about 20 cm above the tissue surface. After processing, a signal that scales linearly with perfusion is stored in a computer and a color coded image of the spatial tissue perfusion is shown on a monitor. A full format scan is completed in about 4.5 minutes. Algorithms for calculating perfusion profiles and averages as well as substraction of one image from another, form an integral part of the system data analysis software. The perfusion images can also be exported to other software packages for further processing and analysis.

  12. Scanning laser Doppler vibrometry



    With a Scanning Laser Doppler Vibrometer (SLDV) a vibrating surface is automatically scanned over predefined grid points, and data processed for displaying vibration properties like mode shapes, natural frequencies, damping ratios, and operational deflection shapes. Our SLDV – a PSV-500H from Polytec Inc. – was acquired and put to operation in October 2014, paid by a sub-donation of DKK 1,5 mill. of the total VILLUM CASMaT grant. Opening possibilities of measuring complicated vibration shapes...

  13. Holographic laser Doppler ophthalmoscopy

    CERN Document Server

    Simonutti, Manuel; Sahel, J A; Gross, Michel; Samson, Benjamin; Magnain, Caroline; Atlan, Michael; 10.1364/OL.35.001941


    We report laser Doppler ophthalmoscopic fundus imaging in the rat eye with near-IR heterodyne holography. Sequential sampling of the beat of the reflected radiation against a frequency-shifted optical local oscillator is made onto an array detector. Wide-field maps of fluctuation spectra in the 10 Hz to 25 kHz band exhibit angiographic contrasts in the retinal vascular tree without requirement of an exogenous marker.

  14. Laser double Doppler flowmeter (United States)

    Poffo, L.; Goujon, J.-M.; Le Page, R.; Lemaitre, J.; Guendouz, M.; Lorrain, N.; Bosc, D.


    The Laser Doppler flowmetry (LDF) is a non-invasive method for estimating the tissular blood flow and speed at a microscopic scale (microcirculation). It is used for medical research as well as for the diagnosis of diseases related to circulatory system tissues and organs including the issues of microvascular flow (perfusion). It is based on the Doppler effect, created by the interaction between the laser light and tissues. LDF measures the mean blood flow in a volume formed by the single laser beam, that penetrate into the skin. The size of this measurement volume is crucial and depends on skin absorption, and is not directly reachable. Therefore, current developments of the LDF are focused on the use of always more complex and sophisticated signal processing methods. On the other hand, laser Double Doppler Flowmeter (FL2D) proposes to use two laser beams to generate the measurement volume. This volume would be perfectly stable and localized at the intersection of the two laser beams. With FL2D we will be able to determine the absolute blood flow of a specific artery. One aimed application would be to help clinical physicians in health care units.

  15. Color Doppler US of superficial adenopathies; Il color Doppler nelle adenopatie superficiali

    Energy Technology Data Exchange (ETDEWEB)

    Giovagnorio, F. [Rome Univ. (Italy). 1. Cattedra di Radiologia


    Superficial lymph node are frequently involved in different diseases. Their location makes them suitable for effective assessment with high-resolution US and color Doppler has been recently suggested as a tool for increasing sensitivity in lymph node studies. Thus the author investigated the main vascular patterns detectable in abnormal superficial lymph nodes. [Italian] Numerosa malattie con natura differente coinvolgono i linfonodi superficiali: la localizzazione ne consente l'esplorazione con ecografia con alta risoluzione e lo studio mediante eco color Doppler e' stato proposto negli ultimi anni incontrando notevole sviluppo in tempi recenti. Scopo del lavoro e' illustrare il contributo personale nella definizione dei principali quadri riscontrabili nelle diverse adenopatie superficiali.

  16. Monitoring and Analysis of Respiratory Patterns Using Microwave Doppler Radar (United States)

    Pathirana, Pubudu N.; Steinfort, Christopher Louis; Caelli, Terry


    Noncontact detection characteristic of Doppler radar provides an unobtrusive means of respiration detection and monitoring. This avoids additional preparations, such as physical sensor attachment or special clothing, which can be useful for certain healthcare applications. Furthermore, robustness of Doppler radar against environmental factors, such as light, ambient temperature, interference from other signals occupying the same bandwidth, fading effects, reduce environmental constraints and strengthens the possibility of employing Doppler radar in long-term respiration detection, and monitoring applications such as sleep studies. This paper presents an evaluation in the of use of microwave Doppler radar for capturing different dynamics of breathing patterns in addition to the respiration rate. Although finding the respiration rate is essential, identifying abnormal breathing patterns in real-time could be used to gain further insights into respiratory disorders and refine diagnostic procedures. Several known breathing disorders were professionally role played and captured in a real-time laboratory environment using a noncontact Doppler radar to evaluate the feasibility of this noncontact form of measurement in capturing breathing patterns under different conditions associated with certain breathing disorders. In addition to that, inhalation and exhalation flow patterns under different breathing scenarios were investigated to further support the feasibility of Doppler radar to accurately estimate the tidal volume. The results obtained for both experiments were compared with the gold standard measurement schemes, such as respiration belt and spirometry readings, yielding significant correlations with the Doppler radar-based information. In summary, Doppler radar is highlighted as an alternative approach not only for determining respiration rates, but also for identifying breathing patterns and tidal volumes as a preferred nonwearable alternative to the conventional

  17. 长春西汀联合益气聪明汤治疗TCD异常突发性聋的疗效观察%Analysis on the effectiveness of vinpocetine combined with Qi-Replenishing Sharp and Bright Decoction in treating sudden deafness with abnormal transcranial Doppler (TCD)

    Institute of Scientific and Technical Information of China (English)

    陈玉卿; 孙宣东; 邹嘉平


    Objective To evaluate the efficacy of vinpocetine combined with Qi-Replenishing Sharp and Bright Decoction in treating sudden deafness with abnormal transcranial Doppler(TCD).Methods 100 cases of sudden deafness were randomly selected and divided into two groups.Both groups were given the treatment of adenosin e disodiun,hormones,hyperbaric oxygen,B group vitamins and other treatment.One group received intravenous drop of vinpocetine (control group) and the other received vinpocetine combined with Qi-Replenishing Sharp and Bright Decoction (observation group).The therapeutic efficacies of the two groups were evaluated by the changes of frequency of hearing threshold and TCD.Results The total effective rate of hearing improvement in sudden deafness was higher (88%) in observation group compared with control group (72%)(P<0.05).The change of average flow velocity of vertebral basilar artery in TCD proved that observation group had better effects than control group,which had statistical difference.Conclusion The study reveals a good effectiveness of vinpocetine combined with QiReplenishing Sharp and Bright Decoction in treating sudden deafness with abnormal TCD,its wide use should be clinically recommended.%目的 探讨长春西汀联合益气聪明汤治疗对经颅多普勒(TCD)检测异常的突发性聋的疗效.方法 将100例TCD异常的突发性聋患者随机分成联合治疗组和长春西汀组,两组均常规行能量合剂、激素、高压氧、R族维生素等治疗,联合冶疗组给予长春西汀静脉滴注以及益气聪明汤口服,长春西汀组给予长春西汀静脉滴注,观察对耳聋的疗效及TCD用药前后变化情况,评价长春西汀联合益气聪明汤治疗TCD异常突发性聋的疗效.结果 电测听结果显示,治疗后联合治疗组有效率88%,长春西汀组有效率72%,两组疗效比较,差异有统计学意义(P<0.05).TCD结果显示联合治疗组在治疗后椎-基底动脉平均血流流速较

  18. 组织多普勒成像在急性心肌缺血心功能异常中的实验研究%Experimental study of Doppler tissue imaging on functional abnormality of the acute myocardial ischemia in pigs

    Institute of Scientific and Technical Information of China (English)

    田瑞霞; 左鲁生; 南苏红; 李熹; 朱先存; 张爱玲; 赵宝珍


    目的运用组织多普勒成像 (TDI)技术对急性心肌缺血区域和二尖瓣环侧壁处的运动速度、移动振幅进行检测,探讨TDI技术在急性心肌缺血、心肌梗死中的应用价值。方法 10只开胸猪结扎左冠状动脉前降支(LAD),通过TDI技术速度模式检测缺血区域和心尖四腔观二尖瓣环侧壁处的色泽变化及收缩、舒张期运动速度(VS,VE,VA)、移动振幅(MD,MDe,MDa)、等容收缩期时间,并与基础状态对照分析。结果 LAD结扎后,缺血区域和二尖瓣环处色泽暗淡,局部心肌色彩缺失。结扎15 s时收缩期、舒张早期运动速度、移动振幅显著降低,等容收缩期时间延长。结论 TDI技术能准确反映缺血梗死区域运动异常,精确测定局部收缩、舒张期运动速度、移动振幅,尤其二尖瓣环处的运动能反映整体心肌的运动,为临床早期评价局部心肌缺血及心功能异常提供了一种无创性的检查手段。%Objective To determine the motion velocity and mobile amplitude of acute myocardial ischemia(AMI), myocardial infarcted region and lateral wall of mitral annular using tissue Doppler imaging (TDI) and to study the available value of TDI on AMI and myocardial infarction.Methods Ligated descending anterior branch of left coronary artery(LAD) of 10 open-chest pigs, determined the color changes of ischemia region and view mitral annular apital four-chamber lateral wall and measwred the systotic and diastotic motion velocities (VS, VE, VA), displacement (MD, MDe, MDa) and isometric contraction time interval, and compared them with that of basal states.Results The colors of ischemia region and mitral annular were faint, local myocardial color lost after ligatured LAD. After having ligated for 15 s, the systolic and diastolic early motion velocities and mobile amplitude were decreased, time of isometric contraction was prolonged.Conclusions TDI can accurately reflect ischemia, infarcted

  19. ENFit Enteral Nutrition Connectors. (United States)

    Guenter, Peggi; Lyman, Beth


    New enteral connectors are now available based on the development of standards using the International Organization of Standardization process to prevent misconnections between systems that should not connect. Enteral devices with the new patient access connectors, called ENFit, are being now introduced for the purpose of improving patient safety. Transitioning to these new connectors poses benefits and challenges for facilities or agencies implementing these new devices. Information from appropriate resources should be sought by clinicians who need to partner with their suppliers and clinical organizations to see how best to meet these challenges.

  20. Comparisons between PW Doppler system and enhanced FM Doppler system

    DEFF Research Database (Denmark)

    Wilhjelm, Jens E.; Pedersen, P. C.


    This paper presents a new implementation of an echo-ranging FM Doppler system with improved performance, relative to the FM Doppler system reported previously. The use of long sweeps provides a significant reduction in peak to average power ratio compared to pulsed wave (PW) emission. A PW Doppler...... system exploits the direct relationship between arrival time of the received signal and range from the transducer. In the FM Doppler systems, a similar relationship exists in the spectral domain of the demodulated received signals, so that range is represented by frequency. Thus, a shift in location...... of moving scatterers between consecutive emissions corresponds to a frequency shift in the spectral signature. The improvement relative to the earlier version of the FM Doppler system is attained by utilizing cross-correlation of real spectra rather than of magnitude spectra for assessing flow velocity...

  1. ANL Doppler flowmeter (United States)

    Karplus, H. B.; Raptis, A. C.; Lee, S.; Simpson, T.


    A flowmeter has been developed for measuring flow velocity in hot slurries. The flowmeter works on an ultrasonic Doppler principle in which ultrasound is injected into the flowing fluid through the solid pipe wall. Isolating waveguides separate the hot pipe from conventional ultrasonic transducers. Special clamp-on high-temperature transducers also can be adapted to work well in this application. Typical flows in pilot plants were found to be laminar, giving rise to broad-band Doppler spectra. A special circuit based on a servomechanism sensor was devised to determine the frequency average of such a broad spectrum. The device was tested at different pilot plants. Slurries with particulates greater than 70 microns (0.003 in.) yielded good signals, but slurries with extremely fine particulates were unpredictable. Small bubbles can replace the coarse particles to provide a good signal if there are not too many. Successful operation with very fine particulate slurries may have been enhanced by the presence of microbubbles.

  2. Laser Doppler Imaging of Microflow

    CERN Document Server

    Gross, Michel; Leng, Jacques


    We report a pilot study with a wide-field laser Doppler detection scheme used to perform laser Doppler anemometry and imaging of particle seeded microflow. The optical field carrying the local scatterers (particles) dynamic state, as a consequence of momentum transfer at each scattering event, is analyzed in the temporal frequencies domain. The setup is based on heterodyne digital holography, which is used to map the scattered field in the object plane at a tunable frequency with a multipixel detector. We show that wide-field heterodyne laser Doppler imaging can be used for quantitative microflow diagnosis; in the presented study, maps of the first-order moment of the Doppler frequency shift are used as a quantitative and directional estimator of the Doppler signature of particles velocity.

  3. Abnormal Uterine Bleeding FAQ (United States)

    ... FREQUENTLY ASKED QUESTIONS FAQ095 GYNECOLOGIC PROBLEMS Abnormal Uterine Bleeding • What is a normal menstrual cycle? • When is bleeding abnormal? • At what ages is abnormal bleeding more ...

  4. Migratory pathways of GABAergic interneurons when they enter the neocortex. (United States)

    Tanaka, Daisuke H; Nakajima, Kazunori


    Inhibitory gamma-aminobutyric-acid-containing interneurons play important roles in the functions of the neocortex. During rodent development, most neocortical interneurons are generated in the subpallium and migrate tangentially toward the neocortex. They migrate through multiple pathways to enter the neocortex. Failure of interneuron migration through these pathways during development leads to an abnormal distribution and abnormal functions of interneurons in the postnatal brain. Because of recent discoveries regarding the novel origins and migratory pathways of neocortical interneurons, in this article we review the literature on the migratory pathways of interneurons when they enter the neocortex.

  5. Hepatic vein Doppler waveform in patients with diffuse fatty infiltration of the liver

    Energy Technology Data Exchange (ETDEWEB)

    Oguzkurt, Levent [Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana 01250 (Turkey)]. E-mail:; Yildirim, Tulin [Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana 01250 (Turkey); Torun, Dilek [Department of Nephrology, Adana Teaching and Medical Research Center, Baskent University, Adana (Turkey); Tercan, Fahri [Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana 01250 (Turkey); Kizilkilic, Osman [Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana 01250 (Turkey); Niron, E. Alp [Department of Radiology, Baskent University, Ankara (Turkey)


    Objective: To determine the incidence of abnormal hepatic vein Doppler waveform in patients with diffuse fatty infiltration of the liver (FIL). Materials and methods: In this prospective study, 40 patients with diffuse FIL and 50 normal healthy adults who served as control group underwent hepatic vein (HV) Doppler ultrasonography. The patients with the diagnosis of FIL were 23 men (57.5%) and 17 women aged 30-62 years (mean age {+-} S.D., 42 {+-} 12 years). Subjects in the control group were 27 men (54%) and 23 women aged 34-65 years (mean age {+-} S.D., 45 {+-} 14 years). The diagnosis of FIL was confirmed with computed tomography density measurements. The waveforms of HV were classified into three groups: regular triphasic waveform, biphasic waveform without a reverse flow, and monophasic or flat waveform. Etiological factors for FIL were diabetes mellitus (DM), hyperlipidemia and obesity (body mass index > 25). Serum lipid profile was obtained from all the patients with FIL. Results: Seventeen of the 40 patients (43%) with FIL had an abnormal HV Doppler waveform, whereas only one of the 50 (2%) healthy subjects had an abnormal waveform. The difference in the distribution of normal Doppler waveform pattern between the patients and the control group was significant (P < 0.001). No differences were found in the behaviour of the hepatic vein Doppler waveform in relation to the different etiologic factors for FIL (P > 0.05). There was not any correlation between the degree of fat infiltration and the hepatic vein waveform pattern (P = 0.60). Conclusion: Patients with fatty liver has a high rate of an abnormal hepatic vein Doppler waveform pattern which can be biphasic or monophasic. We could not find a relation between the etiological factors for FIL and the occurrence of an abnormal HV Doppler waveform.

  6. Application of DSA and ultrasonic blood rheography (Doppler) to benign paroxysmal positional vertigo

    Energy Technology Data Exchange (ETDEWEB)

    Fujita, Nobuya; Wada, Yoshiro; Suzumura, Shigeo; Matsunaga, Takashi (Nara Medical Univ., Kashihara (Japan))


    Fourteen cases of benign paroxysmal positional vertigo (BPPV) were studied with cervical circulation using DSA and Doppler. DSA study showed 7 abnormal cases out of 10 cases of BPPV. The abnormal findings included 5 cases of stenosis and 5 cases of coiling and kinking in cervical vertebral arteries. Doppler study showed that vertebral a. and also carotid a. had low volume and high laterality of cervical blood circulation in parameter of flow and velocity. These findings suggest the cervical circulation disorder was one of background factors in pathogenesis of BPPV. (author).

  7. Enhanced optical precursors by Doppler effect via active Raman gain process. (United States)

    Peng, Yandong; Niu, Yueping; Zhang, Lida; Yang, Aihong; Jiang, Lin; Gong, Shangqing


    A scheme for enhancing precursor pulse by Doppler effect is proposed in a room-temperature active-Raman-gain medium. Due to abnormal dispersion between two gain peaks, main fields are advanced and constructively interfere with optical precursors, which leads to enhancement of the transient pulse at the rise edge of the input. Moreover, after Doppler averaging, the abnormal dispersion intensifies and the constructive interference between precursors and main fields is much strengthened, which boosts the transient spike. Simulation results demonstrate that the peak intensity of precursors could be enhanced nearly 20 times larger than that of the input.

  8. Enteral nutrition - child - managing problems (United States)

    ... page: // Enteral nutrition - child - managing problems To use the sharing features ... trouble breathing, call 911. References Mcclave SA. Enteral nutrition. In: Goldman L, Schafer AI, eds. Goldman-Cecil ...

  9. Doppler characteristics of sea clutter.

    Energy Technology Data Exchange (ETDEWEB)

    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.

  10. Dual-Doppler Feasibility Study (United States)

    Huddleston, Lisa L.


    When two or more Doppler weather radar systems are monitoring the same region, the Doppler velocities can be combined to form a three-dimensional (3-D) wind vector field thus providing for a more intuitive analysis of the wind field. A real-time display of the 3-D winds can assist forecasters in predicting the onset of convection and severe weather. The data can also be used to initialize local numerical weather prediction models. Two operational Doppler Radar systems are in the vicinity of Kennedy Space Center (KSC) and Cape Canaveral Air Force Station (CCAFS); these systems are operated by the 45th Space Wing (45 SW) and the National Weather Service Melbourne, Fla. (NWS MLB). Dual-Doppler applications were considered by the 45 SW in choosing the site for the new radar. Accordingly, the 45th Weather Squadron (45 WS), NWS MLB and the National Aeronautics and Space Administration tasked the Applied Meteorology Unit (AMU) to investigate the feasibility of establishing dual-Doppler capability using the two existing systems. This study investigated technical, hardware, and software requirements necessary to enable the establishment of a dual-Doppler capability. Review of the available literature pertaining to the dual-Doppler technique and consultation with experts revealed that the physical locations and resulting beam crossing angles of the 45 SW and NWS MLB radars make them ideally suited for a dual-Doppler capability. The dual-Doppler equations were derived to facilitate complete understanding of dual-Doppler synthesis; to determine the technical information requirements; and to determine the components of wind velocity from the equation of continuity and radial velocity data collected by the two Doppler radars. Analysis confirmed the suitability of the existing systems to provide the desired capability. In addition, it is possible that both 45 SW radar data and Terminal Doppler Weather Radar data from Orlando International Airport could be used to alleviate any

  11. Novel instantaneous laser Doppler velocimeter. (United States)

    Avidor, J M


    A laser Doppler velocimeter capable of directly measuring instantaneous velocities is described. The new LDV uses a novel detection technique based on the utilization of a static slightly defocused spherical Fabry-Perot interferometer used in conjunction with a special mask for the detection of instantaneous Doppler frequency shifts. The essential characteristics of this LDV are discussed, and such a system recently developed is described. Results of turbulent flow measurements show good agreement with data obtained using hot wire anemometry.

  12. [Fiber and enteral nutrition]. (United States)

    Gómez Candela, C; de Cos Blanco, A I; Iglesias Rosado, C


    Dietary fibre is a mixture of various substances and is essential for maintaining appropriate intestinal functionality and it is currently considered to be a necessary part of a healthy diet. Current recommendations for fibre consumption by adults range from 20 to 35 g/day. Enteral nutrition is an emerging therapeutic variation in both hospital and domestic settings. To a great extent, this development has been made possible thanks to the design of new formulas that adapt better and better to the clinicla conditions or our patients. The type of fibre used in these preparations varies greatly. Some have only one source of fibre while others use differnet combinations. There are currently 32 formulas available on the Spanish market, without counting the modules or specific preparations of individual types of fibre. Despite the enormous advances in the knowledge of the beneficial effects of fibre, the fact of the matter is that enteral nutrition that we routinely prescribe in normal clinical practice does not contain fibre. The are several explanations for this, perhaps the most plausible is that these formulas may lead to problems in their administration and tolerance. It is necessary to choose the correct calibre of catheter and define the best infusion method and timing. Another difficulty may be the gastrointestinal tolerance of the formulas containing fibre. No large-scale problems of intolerance have however been described in healthy volunteers nor in patients with acute or chronic pathologies, although it is of fundamental importance to monitor the rhythm of depositions in all patients with enteral nutrition (EN) and ensure proper intake of liquids, which would also be useful to prevent occlusion of the catheter. The theoretical benefits of EN with fibre with a view to maintaining or improving normal intestinal structure and function are very varied. Nonetheless, it has noit yet been possible to prove many of these effects in controlled clinical trials. At the

  13. Entering the Anthropocene (United States)

    Vince, Gaia


    There is growing evidence that we are now entering a new geological age defined by human influence on the planet, the Anthropocene. Millions of years from now, a stripe in the accumulated layers of rock on Earth's surface will reveal our human fingerprint just as we can see evidence of dinosaurs in rocks of the Jurassic, or the explosion of life that marks the Cambrian. There is now no part of the planet untouched by human influence. The realisation that we wield such planetary power requires a quite extraordinary shift in perception, fundamentally toppling the scientific, cultural and religious philosophies that define our place in the world. This session explores these issues and examines our new relationship with nature now that we so strongly influence the biosphere. And this session will look at what the impacts of our planetary changes mean for us, and how we might deal with the consequences of the Anthropocene we have created.

  14. Color Doppler in the Assessment of Uteroplacental Circulation Insufficiency

    Directory of Open Access Journals (Sweden)

    Ahmad Soltani Shirazi


    Full Text Available Usage of color Doppler ultrasound in the diagnosis of uteroplacental or fetal-placental vascular insufficiency is based on the theory that many of these insufficiencies are due to small vessel disease in the uteroplacental or fetal-placental vasculature which ultimately results in fetal intrauterine growth retardation, increase in prenatal mortality and morbidity and fetal neurological development. "nIn a prospective study on patients who were sus-pected for developing uteroplacental insufficiency, color Doppler ultrasound was done and the results were compared with neonatal weight (one of the most important criteria for IUGR determination which was measured just after delivery."nDirect significant relation was showed to be present between prepartum vascular changes detected in Doppler ultrasound and prognosis of IUGR. "nThree vessel types were assessed in this study:"n1. Umbilical-middle cerebral arteries"n2. Uterine arteries"n3.Venous system (umbilical, ductus venosus, IVC, which is used to assess the compensation process in fetal circulation."nThree Doppler indices of vascular resistance were studied and their abnormalities according to the age of pregnancy were assessed.

  15. Laser Doppler velocimetry using a modified computer mouse (United States)

    Zaron, Edward D.


    A computer mouse has been modified for use as a low-cost laser Doppler interferometer and used to measure the two-component fluid velocity of a flowing soap film. The mouse sensor contains two vertical cavity surface emitting lasers, photodiodes, and signal processing hardware integrated into a single package, approximately 1 cm2 in size, and interfaces to a host computer via a standard USB port. Using the principle of self-mixing interferometry, whereby laser light re-enters the laser cavity after being scattered from a moving target, the Doppler shift and velocity of scatterers dispersed in the flow are measured. Observations of the boundary layer in a turbulent soap film channel flow demonstrate the capabilities of the sensor.

  16. Doppler echocardiographic evaluation of HIV-positive patients in different stages of the disease

    Directory of Open Access Journals (Sweden)

    Werneck Guilherme Lobosco


    Full Text Available OBJETIVE: To evaluate by Doppler echocardiography (DE early abnormalities of ventricular function in HIV-positive patients, as well as other cardiac abnormalities that can be detected by this method, with special emphasis on mitral valve flow. METHODS: 84 HIV- positive patients, 59 with CD4 cell count >500/mm³ (Group A and 25 with CD4 cell count 500/mm³ had no abnormalities by DE. Patients with a more advanced infection (those with a CD4 cell count <500/mm³, had a significantly abnormal LV systolic function and a higher incidence of pericardial effusion and mitral regurgitation. Mitral valve inflow by Doppler did not indicate diastolic dysfunction.

  17. Echocardiographic evaluation of external iliac artery Doppler waveform in patients with coronary artery disease. (United States)

    Styczynski, Grzegorz; Szmigielski, Cezary; Kaczynska, Anna; Kuch-Wocial, Agnieszka


    Visual interpretation of the Doppler waveform in the common femoral or distal external iliac artery (EIA) was reported to be useful in screening for proximal peripheral artery occlusive disease (PAOD) in patients with lower limb ischemia. Commonly patients with coronary artery disease (CAD) referred for echocardiography have coexistent arterial pathology. Therefore, we decided to study whether echocardiographic evaluation of the distal EIA flow can be useful for detection of PAOD in patients with CAD. We studied 150 consecutive patients (pts) with CAD referred for echocardiography. At the end of an echocardiographic examination, evaluation of the flow in the distal EIA with an echocardiographic probe was performed. The Doppler waveform was classified as normal-with early diastolic flow reversal or abnormal-without early diastolic flow reversal. Echocardiographic findings were compared in a blinded fashion with the results of the ankle brachial index measurements (ABI). Based on the ABI ≤ 0.9, peripheral artery disease was diagnosed in 54 pts (36%) and abnormal external iliac Doppler waveform was found in 27 pts (18%). Sensitivity of abnormal external iliac Doppler waveform in predicting PAOD was 48%, specificity 99%, positive predictive value (PPV) 96%, and negative predictive value 77%. Peripheral arterial occlusive disease is common in patients with CAD referred for echocardiographic study. Echocardiographic assessment of distal EIA Doppler waveform has low sensitivity, but high specificity and high PPV in the diagnosis of peripheral arterial occlusive disease.

  18. Abnormal Uterine Bleeding (United States)

    ... first few months of a normal pregnancy. Some birth control pills or the intrauterine device (IUD) can also cause ... this type can significantly reduce abnormal bleeding. Like birth control pills, sometimes IUDs can actually cause abnormal bleeding. Tell ...

  19. Urine - abnormal color (United States)

    ... Urine - abnormal color To use the sharing features on this page, please enable JavaScript. The usual color of urine is straw-yellow. Abnormally colored urine ...

  20. Correlation of doppler studies at 34 weeks of gestation with perinatal outcome in high risk pregnancies

    Directory of Open Access Journals (Sweden)

    Apoorva Reddy


    Results: Uterine artery S/D abnormality was seen in 32.5% of high risk cases were as abnormal umbilical artery S/D was seen in 25% and abnormal Pulsatility Index (PI in 15% cases. Middle cerebral artery flow was abnormal in only 17.5% cases. Abnormality in the uterine artery flow correlated well with the incidence of preterm delivery (69.2%, need for cesarean section (53.8% and length of Neonatal intensive care unit(NICU stay >48 hours (69.23%. Abnormal umbilical artery flow was associated with a significant increase in the incidence of preterm delivery(75%, small for gestational age babies(93.75% and length of NICU stay >48 hours (93.75%. There was no significant correlation seen with isolated abnormal middle cerebral artery flow. Conclusions: Both uterine and umbilical artery Doppler velocities correlate well with the perinatal outcome but abnormal uterine artery Doppler predicts adverse neonatal outcome better than the fetal vessels as it discriminates fetuses at risk because of abnormal placental vascularisation from those who are at risk due to other causes. [Int J Reprod Contracept Obstet Gynecol 2015; 4(6.000: 1894-1899

  1. [Modular enteral nutrition in pediatrics]. (United States)

    Murillo Sanchís, S; Prenafeta Ferré, M T; Sempere Luque, M D


    Modular Enteral Nutrition may be a substitute for Parenteral Nutrition in children with different pathologies. Study of 4 children with different pathologies selected from a group of 40 admitted to the Maternal-Childrens Hospital "Valle de Hebrón" in Barcelona, who received modular enteral nutrition. They were monitored on a daily basis by the Dietician Service. Modular enteral nutrition consists of modules of proteins, peptides, lipids, glucids and mineral salts-vitamins. 1.--Craneo-encephalic traumatisms with loss of consciousness, Feeding with a combination of parenteral nutrition and modular enteral nutrition for 7 days. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended and modular enteral nutrition alone used up to a total of 43 days. 2.--55% burns with 36 days of hyperproteic modular enteral nutrition together with normal feeding. A more rapid recovery was achieved with an increase in total proteins and albumin. 3.--Persistent diarrhoea with 31 days of modular enteral nutrition, 5 days on parenteral nutrition alone and 8 days on combined parenteral nutrition and modular enteral nutrition. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended. 4.--Mucoviscidosis with a total of 19 days on modular enteral nutrition, 12 of which were exclusively on modular enteral nutrition and 7 as a night supplement to normal feeding. We administered proteic intakes of up to 20% of the total calorific intake and in concentrations of up to 1.2 calories/ml of the final preparation, always with a good tolerance. Modular enteral nutrition can and should be used as a substitute for parenteral nutrition in children with different pathologies, thus preventing the complications inherent in parenteral nutrition.

  2. Planetary Doppler Imaging (United States)

    Murphy, N.; Jefferies, S.; Hart, M.; Hubbard, W. B.; Showman, A. P.; Hernandez, G.; Rudd, L.


    Determining the internal structure of the solar system's gas and ice giant planets is key to understanding their formation and evolution (Hubbard et al., 1999, 2002, Guillot 2005), and in turn the formation and evolution of the solar system. While internal structure can be constrained theoretically, measurements of internal density distributions are needed to uncover the details of the deep interior where significant ambiguities exist. To date the interiors of giant planets have been probed by measuring gravitational moments using spacecraft passing close to, or in orbit around the planet. Gravity measurements are effective in determining structure in the outer envelope of a planet, and also probing dynamics (e.g. the Cassini and Juno missions), but are less effective in probing deep structure or the presence of discrete boundaries. A promising technique for overcoming this limitation is planetary seismology (analogous to helioseismology in the solar case), postulated by Vorontsov, 1976. Using trapped pressure waves to probe giant planet interiors allows insight into the density and temperature distribution (via the sound speed) down to the planetary core, and is also sensitive to sharp boundaries, for example at the molecular to metallic hydrogen transition or at the core-envelope interface. Detecting such boundaries is not only important in understanding the overall structure of the planet, but also has implications for our understanding of the basic properties of matter at extreme pressures. Recent Doppler measurements of Jupiter by Gaulme et al (2011) claimed a promising detection of trapped oscillations, while Hedman and Nicholson (2013) have shown that trapped waves in Saturn cause detectable perturbations in Saturn's C ring. Both these papers have fueled interest in using seismology as a tool for studying the solar system's giant planets. To fully exploit planetary seismology as a tool for understanding giant planet structure, measurements need to be made

  3. General principles of carotid Doppler ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Whal [Dept. of Radiology, Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Carotid Doppler ultrasonography is a popular tool for evaluating atherosclerosis of the carotid artery. Its two-dimensional gray scale can be used for measuring the intima-media thickness, which is very good biomarker for atherosclerosis and can aid in plaque characterization. The plaque morphology is related to the risk of stroke. The ulceration of plaque is also known as one of the strong predictors of future embolic event risk. Color Doppler ultrasonography and pulse Doppler ultrasonography have been used for detecting carotid artery stenosis. Doppler ultrasonography has unique physical properties. The operator should be familiar with the physics and other parameters of Doppler ultrasonography to perform optimal Doppler ultrasonography studies.

  4. Doppler colour flow mapping of fetal intracerebral arteries in the presence of central nervous system anomalies

    NARCIS (Netherlands)

    J.W. Wladimiroff (Juriy); R. Heydanus (Rogier); P.A. Stewart (Patricia)


    textabstractThe adjunctive role of Doppler colour flow mapping in the evaluation of intracerebral morphology and arterial blood flow in the presence of normal and abnormal central nervous system morphology was determined. A total of 59 fetuses with suspected central nervous system pathology between

  5. Doppler peaks from active perturbations

    CERN Document Server

    Magueijo, J; Coulson, D; Ferreira, P; Magueijo, Joao; Albrecht, Andreas; Coulson, David; Ferreira, Pedro


    We examine how the qualitative structure of the Doppler peaks in the angular power spectrum of the cosmic microwave anisotropy depends on the fundamental nature of the perturbations which produced them. The formalism of Hu and Sugiyama is extended to treat models with cosmic defects. We discuss how perturbations can be ``active'' or ``passive'' and ``incoherent'' or ``coherent'', and show how causality and scale invariance play rather different roles in these various cases. We find that the existence of secondary Doppler peaks and the rough placing of the primary peak unambiguously reflect these basic properties.

  6. Inverse Doppler Effects in Flute

    CERN Document Server

    Zhao, Xiao P; Liu, Song; Shen, Fang L; Li, Lin L; Luo, Chun R


    Here we report the observation of the inverse Doppler effects in a flute. It is experimentally verified that, when there is a relative movement between the source and the observer, the inverse Doppler effect could be detected for all seven pitches of a musical scale produced by a flute. Higher tone is associated with a greater shift in frequency. The effect of the inverse frequency shift may provide new insights into why the flute, with its euphonious tone, has been popular for thousands of years in Asia and Europe.

  7. Doppler tomography in fusion plasmas and astrophysics

    CERN Document Server

    Salewski, Mirko; Heidbrink, Bill; Jacobsen, Asger Schou; Korsholm, Soren Bang; Leipold, Frank; Madsen, Jens; Moseev, Dmitry; Nielsen, Stefan Kragh; Rasmussen, Jesper; Stagner, Luke; Steeghs, Danny; Stejner, Morten; Tardini, Giovani; Weiland, Markus


    Doppler tomography is a well-known method in astrophysics to image the accretion flow, often in the shape of thin discs, in compact binary stars. As accretion discs rotate, all emitted line radiation is Doppler-shifted. In fast-ion D-alpha (FIDA) spectroscopy measurements in magnetically confined plasma, the D-alpha-photons are likewise Doppler-shifted ultimately due to gyration of the fast ions. In either case, spectra of Doppler-shifted line emission are sensitive to the velocity distribution of the emitters. Astrophysical Doppler tomography has lead to images of accretion discs of binaries revealing bright spots, spiral structures, and flow patterns. Fusion plasma Doppler tomography has lead to an image of the fast-ion velocity distribution function in the tokamak ASDEX Upgrade. This image matched numerical simulations very well. Here we discuss achievements of the Doppler tomography approach, its promise and limits, analogies and differences in astrophysical and fusion plasma Doppler tomography, and what ...

  8. Doppler Ultrasound: What Is It Used for? (United States)

    ... in your neck (carotid artery stenosis) A Doppler ultrasound can estimate how fast blood flows by measuring the rate of change in its pitch (frequency). During a Doppler ultrasound, a technician trained in ultrasound imaging (sonographer) presses ...

  9. Gastro-enteritis in huisartsenpeilstations.

    NARCIS (Netherlands)

    Wit, M.A.S. de; Koopmans, M.P.G.; Kortbeek, L.M.; Leeuwen, W.J. van; Vinje, J.; Bartelds, A.I.M.; Duijnhoven, Y.T.P.H. van


    De incidentie van huisartsconsulten voor gastro-enteritis van 77 per 10.000 persoonjaren lijkt een lichte daling te vertonen t.o.v. de incidentie van 90 per 10.000 persoonjaren in een vergelijkbaar onderzoek in 1992-1993. De belangrijkste verwekkers van gastro-enteritis waarvoor de huisarts wordt ge

  10. Gastro-enteritis in huisartsenpeilstations.

    NARCIS (Netherlands)

    Wit, M.A.S. de; Koopmans, M.P.G.; Kortbeek, L.M.; Leeuwen, W.J. van; Vinje, J.; Bartelds, A.I.M.; Duijnhoven, Y.T.P.H. van


    De incidentie van huisartsconsulten voor gastro-enteritis van 77 per 10.000 persoonjaren lijkt een lichte daling te vertonen t.o.v. de incidentie van 90 per 10.000 persoonjaren in een vergelijkbaar onderzoek in 1992-1993. De belangrijkste verwekkers van gastro-enteritis waarvoor de huisarts wordt

  11. Velocity-aligned Doppler spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Z.; Koplitz, B.; Wittig, C.


    The technique of velocity-aligned Doppler spectrosocopy (VADS) is presented and discussed. For photolysis/probe experiments with pulsed initiation, VADS can yield Doppler profiles for nascent photofragments that allow detailed center-of-mass (c.m.) kinetic energy distributions to be extracted. When compared with traditional forms of Doppler spectroscopy, the improvement in kinetic energy resolution is dramatic. Changes in the measured profiles are a consequence of spatial discrimination (i.e., focused and overlapping photolysis and probe beams) and delayed observation. These factors result in the selective detection of species whose velocities are aligned with the wave vector of the probe radiation k/sub pr/, thus revealing the speed distribution along k/sub pr/ rather than the distribution of nascent velocity components projected upon this direction. Mathematical details of the procedure used to model VADS are given, and experimental illustrations for HI, H/sub 2/S, and NH/sub 3/ photodissociation are presented. In these examples, pulsed photodissociation produces H atoms that are detected by sequential two-photon, two-frequency ionization via Lyman-..cap alpha.. with a pulsed laser (121.6+364.7 nm), and measuring the Lyman-..cap alpha.. Doppler profile as a function of probe delay reveals both internal and c.m. kinetic energy distributions for the photofragments. Strengths and weaknesses of VADS as a tool for investigating photofragmentation phenomena are also discussed.

  12. Speckles in laser doppler perfusion imaging

    NARCIS (Netherlands)

    Rajan, Vinayakrishnan


    Laser Doppler Flowmetry (LDF) is a noninvasive diagnostic method to measure blood flow in tissue [1]. The technique is based on measuring the Doppler shift induced by moving red blood cells to the illuminating coherent light. A laser Doppler instrument often gives output signals related to the flux,

  13. Micro-Doppler Analysis of Small UAVs

    NARCIS (Netherlands)

    Wit, J.J.M. de; Harmanny, R.I.A.; Prémel Cabic, G.


    Coherent radar measures micro-Doppler properties of moving objects. The micro-Doppler signature depends on parts of an object moving and rotating in addition to the main body motion (e.g. rotor blades) and is therefore characteristic for the type of object. In this study, the micro-Doppler signature

  14. Micro-Doppler Analysis of Small UAVs

    NARCIS (Netherlands)

    Wit, J.J.M. de; Harmanny, R.I.A.; Prémel Cabic, G.


    Coherent radar measures micro-Doppler properties of moving objects. The micro-Doppler signature depends on parts of an object moving and rotating in addition to the main body motion (e.g. rotor blades) and is therefore characteristic for the type of object. In this study, the micro-Doppler signature

  15. The Doppler Effect--A New Approach (United States)

    Allen, J.


    Discusses the Doppler effect as it applies to different situations, such as a stationary source of sound with the observer moving, a stationary observer, and the sound source and observer both moving. Police radar, satellite surveillance radar, radar astronomy, and the Doppler navigator, are discussed as applications of Doppler shift. (JR)

  16. The Role of Colour Doppler And Spectral Flow Analysis In Pregnancy Induced Hypertension: A Case Control Study

    Directory of Open Access Journals (Sweden)

    Hinal Bhagat


    Full Text Available Background: The use of Doppler ultrasound to study blood flow in Obstetrics is of major importance because fetal inaccessibility precludes many other methods of study of fetal circulation. This study was undertaken to assess the role of Doppler in management of Pregnancy induced Hypertension. Methodology: The present case-control study was conducted in the department of Radiology, Govt. Medical College and New Civil Hospital, Surat. Details of obstetric history, age, last menstrual date and underlying risk factor, Doppler study of umbilical artery, fetal middle cerebral artery, both maternal uterine arteries and Ductus venosus was done. Parameters in form of Resistive index (RI, Pulsatility index (PI and systolic/diastolic ratio (S/D of all four arteries were taken. Results: It was observed that 55% cases with pregnancy induced hypertension developed IUGR fetuses while 2% of the IUGR fetus was present in control group. There were 41 (54% cases with IUGR fetuses. Out of which 28 (68% cases with IUGR had fetoplacental Doppler abnormality. 13 cases had abnormally low PI of MCA with normal umbilical arterial Doppler indices, out of which 12 patients had abnormal fetal outcome. Conclusion: By examining the maternal vessels using Doppler ultrasound it is possible to determine, the risk of complication developing in the course of pregnancy long before clinical signs of preeclampsia appear so that therapeutic measures may be undertaken early. [Natl J Med Res 2015; 5(1.000: 57-60

  17. Doppler indicates of uterine artery Doppler velocimetry by placental location

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    Han, Sung Shik; Park, Yong Won; Cho, Jae Sung; Kwon, Hye Kyeung; Kim, Jae Wook [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    Our purpose was to investigate the relation between the vascular resistance of uterine artery and placental location and to establish the reference value of Doppler index in uterine artery by placental location. Placental location and flow velocity waveforms of both uterine arteries in 7,016 pregnant women after 18 weeks gestation were examined using color Doppler ultrasonography. Placental location was classified as central and lateral placental and the uterine artery with lateral placental were divided into ipsilateral uterine artery (same side of the placental) and contralateral uterine artery (opposite side of the placenta). The uterine artery with central placental was classified as the central uterine artery. Systolic-Diastolic ratio (S/D ratio) of uterine arteries by gestational weeks were calculated and compared with the placental location and perinatal outcomes. In the lateral placental group, the S/D ratio of the contralateral uterine artery was higher than the ipsilateral one (mean=2.08+0.34 vs 1.89+0.34, p=0.0001). S/D ratio of the uterine artery decreased during second trimester and the ratio after 27 weeks was a tendency to have a constant values(ipsilateral: 1.85+ 0.34, central : 1.96+ 0.40, contralateral: 2.01+0.54). S/D ratio of the uterine artery was affected by placental location. So when we evaluate Doppler spectrum of uterine artery, placental location should be considered and we established the reference value of Doppler index of uterine artery by placental location.

  18. Azimuthal Doppler Effect in Optical Vortex Spectroscopy (United States)

    Aramaki, Mitsutoshi; Yoshimura, Shinji; Toda, Yasunori; Morisaki, Tomohiro; Terasaka, Kenichiro; Tanaka, Masayoshi


    Optical vortices (OV) are a set of solutions of the paraxial Helmholtz equation in the cylindrical coordinates, and its wave front has a spiral shape. Since the Doppler shift is caused by the phase change by the movement in a wave field, the observer in the OV, which has the three-dimensional structured wave front, feels a three-dimensional Doppler effect. Since the multi-dimensional Doppler components are mixed into a single Doppler spectrum, development of a decomposition method is required. We performed a modified saturated absorption spectroscopy to separate the components. The OV and plane wave are used as a probe beam and pump beam, respectively. Although the plane-wave pump laser cancels the z-direction Doppler shift, the azimuthal Doppler shift remains in the saturated dip. The spatial variation of the dip width gives the information of the azimuthal Doppler shift. The some results of optical vortex spectroscopy will be presented.


    Directory of Open Access Journals (Sweden)

    Mateja Smogavec


    Conclusions Chromosomal analysis is an important method in diagnostic procedures of infertility, because chromosomal abnormalities could play the important role in etiology of infertility and are more frequently detected in this group of patients compared to general population. In the infertile couples balanced chromosomal abnormalities are the main cause of spontaneous abortions. Sex chromosome aneuploidies are highly correlated to infertility of females and males.

  20. Hereditary urea cycle abnormality (United States)

    ... vitro so the specific genetic cause is known. Teamwork between parents, the affected child, and doctors can help prevent severe illness. Alternative Names Abnormality of the urea cycle - hereditary; Urea cycle - hereditary abnormality Images Male urinary system Urea cycle References Lichter-Konecki ...

  1. Enteral feeding without pancreatic stimulation

    DEFF Research Database (Denmark)

    Kaushik, Neeraj; Pietraszewski, Marie; Holst, Jens Juul


    OBJECTIVE: All forms of commonly practiced enteral feeding techniques stimulate pancreatic secretion, and only intravenous feeding avoids it. In this study, we explored the possibility of more distal enteral infusions of tube feeds to see whether activation of the ileal brake mechanism can result...... in enteral feeding without pancreatic stimulation, with particular reference to trypsin, because the avoidance of trypsin stimulation may optimize enteral feeding in acute pancreatitis. METHODS: The pancreatic secretory responses to feeding were studied in 36 healthy volunteers by standard double......-lumen duodenal perfusion/aspiration techniques over 6 hours. Subjects were assigned to no feeding (n = 7), duodenal feeding with a polymeric diet (n = 7) or low-fat elemental diet (n = 6), mid-distal jejunal feeding (n = 11), or intravenous feeding (n = 5). All diets provided 40 kcal/kg ideal body weight/d and 1...

  2. Pediatric Enteral Access Device Management. (United States)

    Abdelhadi, Ruba A; Rahe, Katina; Lyman, Beth


    Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues. © 2016 American Society for Parenteral and Enteral Nutrition.

  3. Velocity-aligned Doppler spectroscopy (United States)

    Xu, Z.; Koplitz, B.; Wittig, C.


    The use of velocity-aligned Doppler spectroscopy (VADS) to measure center-of-mass kinetic-energy distributions of nascent photofragments produced in pulsed-initiation photolysis/probe experiments is described and demonstrated. In VADS, pulsed photolysis and probe laser beams counterpropagate through the ionization region of a time-of-flight mass spectrometer. The theoretical principles of VADS and the mathematical interpretation of VADS data are explained and illustrated with diagrams; the experimental setup is described; and results for the photodissociation of HI, H2S, and NH3 are presented in graphs and characterized in detail. VADS is shown to give much higher kinetic-energy resolution than conventional Doppler spectroscopy.

  4. Technical aspects of enteral nutrition.


    Keymling, M


    Advances in technical aspects of enteral feeding such as the manufacture of tubes from polyurethane or silicone have helped promote the science of enteral nutrition. Nasoenteral tubes have few complications, apart from a high unwanted extubation rate and some reluctance from patients because of cosmetic unacceptability. Needle jejunostomy has low morbidity but can only be placed at laparotomy. Percutaneous gastrotomy (in all its different guises) has been established as a low risk procedure a...


    Directory of Open Access Journals (Sweden)

    Alli Muthiah


    Full Text Available BACKGROUND Nutrients form the fuel for the body, which comes in the form of carbohydrates, proteins and lipids. The body is intended to burn fuels in order to perform work. Starvation with malnutrition affects the postoperative patients and patients with acute pancreatitis. There is an increased risk of nosocomial infections and a delay in the wound healing may be noted. They are more prone for respiratory tract infections. Enteral Nutrition (EN delivers nutrition to the body through gastrointestinal tract. This also includes the oral feeding. This study will review the administration, rationale and assess the pros and cons associated with the early initiation of enteral feeding. The aim of this study is to evaluate if early commencement of enteral nutrition compared to traditional management (delayed enteral feeding is associated with fewer complications and improved outcome-  In patients undergoing elective/emergency gastrointestinal surgery.  In patients with acute pancreatitis. It is also used to determine whether a period of starvation (nil by mouth after gastrointestinal surgery or in the early days of acute pancreatitis is beneficial in terms of specific outcomes. MATERIALS AND METHODS A prospective cohort interventional study was conducted using 100 patients from July 2012 to November 2012. Patients satisfying the inclusion and exclusion criteria were included in the study. Patients admitted in my unit for GIT surgeries or acute pancreatitis constituted the test group, while patients admitted in other units for similar disease processes constituted the control group. RESULTS Our study concluded that early enteral feeding resulted in reduced incidence of surgical site infections. When the decreased length of stay, shorter convalescent period and the lesser post-interventional fatigue were taken into account, early enteral feeding has a definite cost benefit.CONCLUSION Early enteral feeding was beneficial associated with fewer

  6. Enteric Ganglionitis in Rhesus Macaques Infected with Simian Immunodeficiency Virus▿



    Gastrointestinal (GI) disease is a debilitating feature of human immunodeficiency virus (HIV) infection that can occur in the absence of histopathological abnormalities or identifiable enteropathogens. However, the mechanisms of GI dysfunction are poorly understood. The present study was undertaken to characterize changes in resident and inflammatory cells in the enteric nervous system (ENS) of macaques during the acute stage of simian immunodeficiency virus (SIV) infection to gain insight in...

  7. Systemic lupus erythematosus presenting with eosinophilic enteritis: a case report

    Directory of Open Access Journals (Sweden)

    Kalany Mohammad


    Full Text Available Abstract Introduction Systemic lupus erythematosus (SLE is a multisystem disorder that may present with various symptoms. It may involve the gastrointestinal tract in a variety of ways; some of the most well-known ones are transaminitis, lupus mesenteric vasculitis, lupus enteritis and mesenteric vascular leakage. We describe a case of a patient with SLE who presented with a five-month history of diarrhea caused by eosinophilic enteritis. To the best of our knowledge, there are few cases reported in the literature of patients with SLE who initially present with chronic diarrhea due to eosinophilic enteritis. Case presentation A 38-year-old Persian Iranian woman was admitted with a five-month history of diarrhea and abdominal pain. A physical examination showed nothing abnormal. Initially, she had only lymphopenia and mild eosinophilia. No autoimmune or infectious etiology was detected to justify these abnormalities. A thorough evaluation was not helpful in finding the etiology, until she developed a scalp lesion similar to discoid lupus erythematosus. Computed tomography showed small bowel wall thickening. Briefly, she manifested full-blown SLE, and it was revealed that the diarrhea was caused by eosinophilic enteritis. Conclusion Considering SLE in a patient who presents with chronic diarrhea and lymphopenia may be helpful in earlier diagnosis and therapy. This is an original case report of interest to physicians who practice internal medicine, family medicine and gastroenterology.

  8. MRI of fetal GI tract abnormalities. (United States)

    Veyrac, C; Couture, A; Saguintaah, M; Baud, C


    We describe the magnetic resonance (MR) patterns of a variety of fetal gastrointestinal (GI) abnormalities. Thirty-two fetuses between 23 and 38 weeks' gestation with abnormal appearance of the GI tract by ultrasound underwent MR imaging with T1- and T2-weighted sequences. The MR aspect of intestinal atresia (duodenal atresia, one case; small bowel atresia, nine cases) included dilatation of the bowel loops, accurate assessment of the normal bowel distal to the atresia (except in the patient with multiple atresia and apple-peel syndrome), and micro-rectum with decreased T1 signal (except in the patient with duodenal atresia). Megacystis-microcolon-intestinal hypoperistalsis syndrome (one case) was indicated by an abnormal signal of the entire bowel and an abnormal pattern for the urinary tract. Meconium pseudocysts (two cases) were easily differentiated from enteric cysts (two cases). High anorectal malformations with (two cases) or without (one case) urinary fistula and cloacal malformation (one case) are described and MR findings are discussed. The capability of MR imaging to demonstrate the normal bowel with intraperitoneal anomalies (e.g., congenital diaphragmatic hernia, and sacrococcygeal teratoma) is emphasized. MR imaging is informative in the diagnosis of GI tract abnormalities, especially the severe malformations, with much more accuracy than sonography.

  9. Low-frequency high-definition power Doppler in visualizing and defining fetal pulmonary venous connections. (United States)

    Liu, Lin; He, Yihua; Li, Zhian; Gu, Xiaoyan; Zhang, Ye; Zhang, Lianzhong


    The use of low-frequency high-definition power Doppler in assessing and defining pulmonary venous connections was investigated. Study A included 260 fetuses at gestational ages ranging from 18 to 36 weeks. Pulmonary veins were assessed by performing two-dimensional B-mode imaging, color Doppler flow imaging (CDFI), and low-frequency high-definition power Doppler. A score of 1 was assigned if one pulmonary vein was visualized, 2 if two pulmonary veins were visualized, 3 if three pulmonary veins were visualized, and 4 if four pulmonary veins were visualized. The detection rate between Exam-1 and Exam-2 (intra-observer variability) and between Exam-1 and Exam-3 (inter-observer variability) was compared. In study B, five cases with abnormal pulmonary venous connection were diagnosed and compared to their anatomical examination. In study A, there was a significant difference between CDFI and low-frequency high-definition power Doppler for the four pulmonary veins observed (P frequency high-definition power Doppler was higher than that when employing two-dimensional B-mode imaging or CDFI. There was no significant difference between the intra- and inter-observer variabilities using low-frequency high-definition power Doppler display of pulmonary veins (P > 0.05). The coefficient correlation between Exam-1 and Exam-2 was 0.844, and the coefficient correlation between Exam-1 and Exam-3 was 0.821. In study B, one case of total anomalous pulmonary venous return and four cases of partial anomalous pulmonary venous return were diagnosed by low-frequency high-definition power Doppler and confirmed by autopsy. The assessment of pulmonary venous connections by low-frequency high-definition power Doppler is advantageous. Pulmonary venous anatomy can and should be monitored during fetal heart examination.

  10. Meat-based enteral nutrition (United States)

    Derevitskay, O. K.; Dydykin, A. S.


    Enteral nutrition is widely used in hospitals as a means of nutritional support and therapy for different diseases. Enteral nutrition must fulfil the energy needs of the body, be balanced by the nutrient composition and meet patient’s nutritional needs. Meat is a source of full-value animal protein, vitamins and minerals. On the basis of this research, recipes and technology for a meat-based enteral nutrition product were developed. The product is a ready-to-eat sterilised mixture in the form of a liquid homogeneous mass, which is of full value in terms of composition and enriched with vitamins and minerals, consists of particles with a size of not more than 0.3 mm and has the modified fat composition and rheological characteristics that are necessary for passage through enteral feeding tubes. The study presents experimental data on the content of the main macro- and micro-nutrients in the developed product. The new product is characterised by a balanced fatty acid composition, which plays an important role in correction of lipid metabolism disorders and protein-energy deficiency, and it is capable of satisfying patients’ daily requirements for vitamins and the main macro- and microelements when consuming 1500-2000 ml. Meat-based enteral nutrition can be used in diets as a standard mixture for effective correction of the energy and anabolic requirements of the body and support of the nutritional status of patients, including those with operated stomach syndrome.

  11. Abnormal menstrual periods (image) (United States)

    ... may have a variety of causes, such as endometrial hyperplasia, endometrial polyps, uterine fibroids, and abnormal thyroid or ... the endometrium becomes unusually thick it is called endometrial ... Hyperplasia may cause profuse or extended menstrual bleeding.

  12. "Jeopardy" in Abnormal Psychology. (United States)

    Keutzer, Carolin S.


    Describes the use of the board game, Jeopardy, in a college level abnormal psychology course. Finds increased student interaction and improved application of information. Reports generally favorable student evaluation of the technique. (CFR)

  13. Chromosomal Abnormalities in ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap


    Full Text Available The prevalence of fragile X syndrome, velocardiofacial syndrome (VCFS, and other cytogenetic abnormalities among 100 children (64 boys with combined type ADHD and normal intelligence was assessed at the NIMH and Georgetown University Medical Center.

  14. Chromosomal abnormalities and autism

    Directory of Open Access Journals (Sweden)

    Farida El-Baz


    Conclusion: Chromosomal abnormalities were not detected in the studied autistic children, and so the relation between the genetics and autism still needs further work up with different study methods and techniques.

  15. Abnormal protein aggregationand neurodegenerativediseases

    Institute of Scientific and Technical Information of China (English)


    Abnormal protein aggregation or amyloid is the major cause ofmany neurodegenerative disorders. The present review focuses on the correlation between sequence and structure features of proteins related to the diseases and abnormal protein aggregation. Recent progress has improved our knowledge on understand-ing the mechanism of amyloid formation. We suggest a nucleation model for ordered protein aggregation, which can also explain pathogenesis mechanisms of these neurodegenerative diseases in vivo.


    Directory of Open Access Journals (Sweden)



    Full Text Available A study of 50 cases was conducted to evaluate the role of Colour Doppler imaging in pregnancy induced hypertension with women over 28 weeks of gestation, the initial scan was performed immediately after the diagnosis of PIH to avoid any influence of treatment on Doppler evaluation. This study was aimed to analyze the blood flow in umbilical artery, maternal uterine artery & fetal middle cerebral artery using Doppler ultrasound.

  17. Size distribution of air bubbles entering the brain during cardiac surgery.

    Directory of Open Access Journals (Sweden)

    Emma M L Chung

    Full Text Available Thousands of air bubbles enter the cerebral circulation during cardiac surgery, but whether high numbers of bubbles explain post-operative cognitive decline is currently controversial. This study estimates the size distribution of air bubbles and volume of air entering the cerebral arteries intra-operatively based on analysis of transcranial Doppler ultrasound data.Transcranial Doppler ultrasound recordings from ten patients undergoing heart surgery were analysed for the presence of embolic signals. The backscattered intensity of each embolic signal was modelled based on ultrasound scattering theory to provide an estimate of bubble diameter. The impact of showers of bubbles on cerebral blood-flow was then investigated using patient-specific Monte-Carlo simulations to model the accumulation and clearance of bubbles within a model vasculature.Analysis of Doppler ultrasound recordings revealed a minimum of 371 and maximum of 6476 bubbles entering the middle cerebral artery territories during surgery. This was estimated to correspond to a total volume of air ranging between 0.003 and 0.12 mL. Based on analysis of a total of 18667 embolic signals, the median diameter of bubbles entering the cerebral arteries was 33 μm (IQR: 18 to 69 μm. Although bubble diameters ranged from ~5 μm to 3.5 mm, the majority (85% were less than 100 μm. Numerous small bubbles detected during cardiopulmonary bypass were estimated by Monte-Carlo simulation to be benign. However, during weaning from bypass, showers containing large macro-bubbles were observed, which were estimated to transiently affect up to 2.2% of arterioles.Detailed analysis of Doppler ultrasound data can be used to provide an estimate of bubble diameter, total volume of air, and the likely impact of embolic showers on cerebral blood flow. Although bubbles are alarmingly numerous during surgery, our simulations suggest that the majority of bubbles are too small to be harmful.

  18. Biomarkers in canine parvovirus enteritis. (United States)

    Schoeman, J P; Goddard, A; Leisewitz, A L


    Canine parvovirus (CPV) enteritis has, since its emergence in 1978, remained a common and important cause of morbidity and mortality in young dogs. The continued incidence of parvoviral enteritis is partly due to the virus' capability to evolve into more virulent and resistant variants with significant local gastrointestinal and systemic inflammatory sequelae. This paper reviews current knowledge on historical-, signalment-, and clinical factors as well as several haematological-, biochemical- and endocrine parameters that can be used as diagnostic and prognostic biomarkers in CPV enteritis. These factors include season of presentation, purebred nature, bodyweight, vomiting, leukopaenia, lymphopaenia, thrombocytopaenia, hypercoagulability, hypercortisolaemia, hypothyroxinaemia, hypoalbuminaemia, elevated C-reactive protein and tumour necrosis factor, hypocholesterolaemia and hypocitrullinaemia. Factors contributing to the manifestations of CPV infection are multiple with elements of host, pathogen, secondary infections, underlying stressors and environment affecting severity and outcome. The availability of several prognosticators has made identification of patients at high risk of death and their subsequent targeted management more rewarding.

  19. Emboli detection using the Doppler ultrasound technique

    Institute of Scientific and Technical Information of China (English)

    WANG Yuanyuan; CHEN Xi; ZHANG Yu; WANG Weiqi


    Embolic detection is very important to the early diagnosis of vessel disease. The Doppler ultrasound technique is one of the common methods to detect the emboli non-invasively. When the emboli pass through the sample volume of the Doppler ultrasound instrument, there exist high intensity transient Doppler signals. Thus the emboli can be detected directly from the variation of Doppler signal amplitude. Since there may be some disturbance in the system, this general detection method has great limitation. To improve the accuracy of emboli auto-detection, several novel methods are studied to obtain the sensitive characteristic of the emboli signals using the new signal processing theories.

  20. The Effect of Doppler Phenomenon on the Speed of Blood Flow

    Directory of Open Access Journals (Sweden)

    Ghaidaa Abdulrahman Khalid


    Full Text Available This research studying the phenomenon of Doppler (frequency Doppler as a method through which the direction and speed of the blood cells flows in blood vessels wear measured. This Doppler frequency is relied upon in medicine for measuring the speed of blood flow, because the blood flow is an important concept from the concepts of medicine. It represents the function and efficient of the heart and blood vessels in the body so any defect in this function will appear as a change in the speed of blood flow from the normal value assumed. As this speed changes alot in cases of disease and morbidity of the heart, so in order to identify the effect of changing the Doppler frequency on the speed of blood flow and the relationship of this frequency with the angles of transitions and receptions and the effect of changing the ultrasound transmitted frequencies on the measured velocities .The Doppler ultrasound system has been used which is more efficient and easier to be widely used as a practical application in Al Yarmouk Teaching Hospital on two subjects. The normal had a natural medical history in the blood vessels, and abnormal had carotid artery stenosis. This device will give the flow velocity of blood in the blood vessels which is useful to the examiner, the equation of Doppler as a mathematical model in the research is adopted the measured speed to clarify the amount of change in the frequency (shift in frequency. This speed was measured in five different blood vessels, large arteries (abdominal aorta and carotid artery in the neck and large veins (the inferior vena cava across the abdomen and the external Jugular vein in the neck and capillaries in the hand and fingers. Then using the measured velocities in these vessels the Doppler frequency was calculated from this mathematical model using MATLAB program, was found that as velocity of the blood increases, so does the Doppler frequency and vice versa. The greater the value of the Doppler angle

  1. Indiscretion enteritis. A Rabelaisian syndrome. (United States)

    Robin, E D; Collins, J; Burke, C


    A 76-year-old man had small bowel obstruction and organic small bowel disease following a series of bizarre massive gustatory insults that involved food, medications, and mega-mineral-vitamin supplements. Intestinal obstruction required partial small bowel resection. The dietary indiscretions resulted in severe enteritis (indiscretion enteritis). The sequence has been termed a Rabelaisian syndrome after the great French writer and physician, Francois Rabelais, who vividly described bizarre gustatory habits. Gut injury may result from unwise oral intake of various foods and mineral supplements.

  2. Prevalence and Specificity of the Abnormal Niacin Response: A Potential Endophenotype Marker in Schizophrenia


    Yao, Jeffrey K.; Dougherty, George G.; Gautier, Clara H.; Haas, Gretchen L.; Condray, Ruth; Kasckow, John W.; Kisslinger, Benjamin L.; Gurklis, John A.; Messamore, Erik


    The skin flush response to niacin is abnormally blunted among a subset of patients with schizophrenia (SZ), preferentially associates with SZ compared to other mental illnesses, occurs frequently in nonpsychotic members of SZ-affected families, appears heritable, and shows evidence of genetic association. The niacin response abnormality (NRA) may prove to be a useful SZ endophenotype. Using a laser Doppler flowmeter, we undertook this study to estimate the prevalence of NRA in SZ (n = 70), bi...

  3. Colleges Enter the Information Society. (United States)

    Current Issues in Higher Education, 1983


    The implications for higher education of the U.S. transformation from an industrial to an information society are discussed in six papers. Russell Edgerton provides an overview in "Entering the Information Society: An Introduction." In "The Computer: An Enabling Instrument," Louis Robinson considers the current era of the personalization of the…

  4. Enteral Tube Feeding and Pneumonia (United States)

    Gray, David Sheridan; Kimmel, David


    To determine the effects of enteral tube feeding on the incidence of pneumonia, we performed a retrospective review of all clients at our institution who had gastrostomy or jejunostomy tubes placed over a 10-year period. Ninety-three subjects had a history of pneumonia before feeding tube insertion. Eighty had gastrostomy and 13, jejunostomy…

  5. Yi Can Enter 2007 NBA

    Institute of Scientific and Technical Information of China (English)



    China’s top young basketball player Yi Jianlian has been given the green light to enter the NBA,after his club finally agreed to let him join the NBA draft."This is a great chance and also a test for me,"said the 2.12-metre forward.

  6. Intrathoracic enteric foregut duplication cyst.

    Directory of Open Access Journals (Sweden)

    Birmole B


    Full Text Available A one month old male child presented with respiratory distress since day 10 of life. There was intercostal retraction and decreased air entry on the right side. Investigations revealed a well defined cystic mass in the posterior mediastinum with vertebral anomalies, the cyst was excised by posterolateral thoracotomy. Histopathology revealed it to be an enteric foregut duplication cyst.

  7. Nutrición enteral


    Barrachina Bellés, Lidón; García Hernández, Misericordia; Oto Cavero, Isabel


    Este trabajo nos introduce en la administración de la nutrición enteral, haciendo una revisión de los aspectos a tener en cuenta tanto en sus indicaciones, vias, tipos, métodos, cuidados y complicaciones más importantes.

  8. [Enteral nutrition in burn patients]. (United States)

    Pereira, J L; Garrido, M; Gómez-Cía, T; Serrera, J L; Franco, A; Pumar, A; Relimpio, F; Astorga, R; García-Luna, P P


    Nutritional support plays an important role in the treatment of patients with burns. Due to the severe hypercatabolism that develops in these patients, oral support is insufficient in most cases, and this makes it essential to initiate artificial nutritional support (either enteral or parenteral). Enteral nutrition is more physiological than parenteral, and data exist which show that in patients with burns, enteral nutrition exercises a protective effect on the intestine and may even reduce the hypermetabolic response in these patients. The purpose of the study was to evaluate the effectiveness and tolerance of enteral nutritional support with a hypercaloric, hyperproteic diet with a high content of branched amino acids in the nutritional support of patients suffering from burns. The study included 12 patients (8 males and 4 females), admitted to the Burns Unit. Average age was 35 +/- 17 years (range: 21-85 years). The percentage of body surface affected by the burns was 10% in two cases, between 10-30% in three cases, between 30-50% in five cases and over 50% in two cases. Initiation of the enteral nutrition was between twenty-four hours and seven days after the burn. The patients were kept in the unit until they were discharged, and the average time spent in the unit was 31.5 days (range: 17-63 days). Total energetic requirements were calculated based on Harris-Benedict, with a variable aggression factor depending on the body surface burned, which varied from 2,000 and 4,000 cal day. Nitrogenous balance was determined on a daily basis, and plasmatic levels of total proteins, albumin and prealbumin on a weekly basis. There was a significant difference between the prealbumin values at the initiation and finalization of the enteral nutrition (9.6 +/- 2.24 mg/dl compared with 19.75 +/- 5.48 mg/dl; p diet was very good, and only mild complications such as diarrhoea developed in two patients. Enteral nutrition is a suitable nutritional support method for patients with

  9. Duplex-Doppler spectral analysis in the physiopathology of the temporomandibular joint. (United States)

    Marini, M; Odoardi, G L; Bolle, G; Tartaglia, P


    We introduce a new method of analysis of the normal and abnormal behavior of the TMJ, using a duplex-doppler spectral analysis. The method consists in monitoring the joint movement by means of a study of the Fourier transformed signals, which give information on the velocity distribution of the condylo-meniscal complex during the opening and closing phases of the jaw. Using repeated sampling over short time intervals we get a detailed description of the motion which allows to discriminate the normal and abnormal action of the condylomeniscal complex. We are able to identify various physiopathological conditions, among which opening and/or closing clicks, complex locking conditions and anomalies related to an asymmetrical behavior during the operation cycle. Duplex-doppler spectral analysis is correlated to a clinical examination in order to define various classes of anomalies.

  10. 99m-Tc DMSA scintigraphy and color/power doppler sonography for children pyelonephritis diagnosis and follow-up; Scintigraphie au 99m-Tc DMSA et echo-doppler couleur/energie dans le diagnostic et le suivi des pyelonephrites de l'enfant

    Energy Technology Data Exchange (ETDEWEB)

    Hitzel, A.; Manrique, A.; Gardin, I.; Vera, P. [Centre de Lutte Contre le Cancer Henri-Becquerel, Dept. de Medecine Nucleaire, 76 - Rouen (France); Centre Hospitalier Universitaire Charles Nicolle, 76 - Rouen (France); Dacher, J.N.; Menard, J.F.; Vera, P. [Laboratoire Universitaire Quant.I.F., Faculte de Medecine de Rouen, 76 (France); Dacher, J.N. [Centre Hospitalier Universitaire Charles Nicolle, Dept. de Radiologie, 76 - Rouen (France); Liard, A. [Centre Hospitalier Universitaire Charles Nicolle, Dept. de Chirurgie Pediatrique, 76 - Rouen (France); Menard, J.F. [Centre Hospitalier Universitaire Charles Nicolle, Dept. de BioStatistiques, 76 - Rouen (France)


    Early diagnosis of acute pyelonephritis is essential to avoid scarring development. This study was performed to evaluate capabilities of color/doppler sonography to detect pyelonephritis and to predict scarring when compared with {sup 99m}Tc-DMSA scintigraphy. Fifty-seven children were evaluated during pyelonephritis: biology (CRP, creatinine, blood formula), color/power doppler sonography and {sup 99m}Tc-DMSA scintigraphy (DMSA1). 7 {+-} 2 months later, follow-up consisted in biological tests and a {sup 99m}'Tc-DMSA scintigraphy (DMSA2). During pyelonephritis, body temperature, CRP value and neutrophil counts were significantly higher in patients with an abnormal DMSA1 but not in patients with abnormal doppler sonography. When compared with DMSA1, doppler sonography sensitivity and specificity were 80% and 81% respectively. DMSA1 and doppler sonography were concordant in 86% of children with a pyelonephritis. At follow-up, all clinical et biological parameters were normalized. DMSA2 was abnormal in 51% of children. When compared with DMSA2, positive and negative predictive values for scarring of doppler sonography were 57% and 75% respectively. DMSA 1, positive and negative predictive values for scarring were 62% and 100%. In conclusion, color/power doppler sonography is a reliable tool for pyelonephritis diagnosis, but its predictive value for scarring is poor. Negative predictive value of DMSA scintigraphy is excellent. (author)

  11. Esophageal motility abnormalities in gastroesophageal reflux disease

    Institute of Scientific and Technical Information of China (English)

    Irene; Martinucci; Nicola; de; Bortoli; Maria; Giacchino; Giorgia; Bodini; Elisa; Marabotto; Santino; Marchi; Vincenzo; Savarino; Edoardo; Savarino


    Esophageal motility abnormalities are among the main factors implicated in the pathogenesis of gastroesophageal reflux disease. The recent introduction in clinical and research practice of novel esophageal testing has markedly improved our understanding of the mechanisms contributing to the development of gastroesophageal reflux disease, allowing a better management of patients with this disorder. In this context, the present article intends to provide an overview of the current literature about esophageal motility dysfunctions in patients with gastroesophageal reflux disease. Esophageal manometry, by recording intraluminal pressure, represents the gold standard to diagnose esophagealmotility abnormalities. In particular, using novel techniques, such as high resolution manometry with or without concurrent intraluminal impedance monitoring, transient lower esophageal sphincter (LES) relaxations, hypotensive LES, ineffective esophageal peristalsis and bolus transit abnormalities have been better defined and strongly implicated in gastroesophageal reflux disease development. Overall, recent findings suggest that esophageal motility abnormalities are increasingly prevalent with increasing severity of reflux disease, from nonerosive reflux disease to erosive reflux disease and Barrett’s esophagus. Characterizing esophageal dysmotility among different subgroups of patients with reflux disease may represent a fundamental approach to properly diagnose these patients and, thus, to set up the best therapeutic management. Currently, surgery represents the only reliable way to restore the esophagogastric junction integrity and to reduce transient LES relaxations that are considered to be the predominant mechanism by which gastric contents can enter the esophagus. On that ground, more in depth future studies assessing the pathogenetic role of dysmotility in patients with reflux disease are warranted.

  12. Esophageal motility abnormalities in gastroesophageal reflux disease. (United States)

    Martinucci, Irene; de Bortoli, Nicola; Giacchino, Maria; Bodini, Giorgia; Marabotto, Elisa; Marchi, Santino; Savarino, Vincenzo; Savarino, Edoardo


    Esophageal motility abnormalities are among the main factors implicated in the pathogenesis of gastroesophageal reflux disease. The recent introduction in clinical and research practice of novel esophageal testing has markedly improved our understanding of the mechanisms contributing to the development of gastroesophageal reflux disease, allowing a better management of patients with this disorder. In this context, the present article intends to provide an overview of the current literature about esophageal motility dysfunctions in patients with gastroesophageal reflux disease. Esophageal manometry, by recording intraluminal pressure, represents the gold standard to diagnose esophageal motility abnormalities. In particular, using novel techniques, such as high resolution manometry with or without concurrent intraluminal impedance monitoring, transient lower esophageal sphincter (LES) relaxations, hypotensive LES, ineffective esophageal peristalsis and bolus transit abnormalities have been better defined and strongly implicated in gastroesophageal reflux disease development. Overall, recent findings suggest that esophageal motility abnormalities are increasingly prevalent with increasing severity of reflux disease, from non-erosive reflux disease to erosive reflux disease and Barrett's esophagus. Characterizing esophageal dysmotility among different subgroups of patients with reflux disease may represent a fundamental approach to properly diagnose these patients and, thus, to set up the best therapeutic management. Currently, surgery represents the only reliable way to restore the esophagogastric junction integrity and to reduce transient LES relaxations that are considered to be the predominant mechanism by which gastric contents can enter the esophagus. On that ground, more in depth future studies assessing the pathogenetic role of dysmotility in patients with reflux disease are warranted.

  13. Doppler tomography in fusion plasmas and astrophysics

    DEFF Research Database (Denmark)

    Salewski, Mirko; Geiger, B.; Heidbrink, W. W.


    Doppler tomography is a well-known method in astrophysics to image the accretion flow, often in the shape of thin discs, in compact binary stars. As accretion discs rotate, all emitted line radiation is Doppler-shifted. In fast-ion Dα (FIDA) spectroscopy measurements in magnetically confined plas...

  14. Radar Doppler Processing with Nonuniform Sampling.

    Energy Technology Data Exchange (ETDEWEB)

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


    Conventional signal processing to estimate radar Doppler frequency often assumes uniform pulse/sample spacing. This is for the convenience of t he processing. More recent performance enhancements in processor capability allow optimally processing nonuniform pulse/sample spacing, thereby overcoming some of the baggage that attends uniform sampling, such as Doppler ambiguity and SNR losses due to sidelobe control measures.

  15. Doppler tomography in fusion plasmas and astrophysics

    NARCIS (Netherlands)

    Salewski, M.; Geiger, B.; Heidbrink, W. W.; Jacobsen, A. S.; Korsholm, S. B.; Leipold, F.; Madsen, J.; Moseev, D.; Nielsen, S.K.; Rasmussen, J.; Stagner, L.; Steeghs, D.; Stejner, M.; Tardini, G.; Weiland, M.; ASDEX Upgrade team,


    Doppler tomography is a well-known method in astrophysics to image the accretion flow, often in the shape of thin discs, in compact binary stars. As accretion discs rotate, all emitted line radiation is Doppler-shifted. In fast-ion D-alpha (FIDA) spectroscopy measurements in magnetically confined pl

  16. [Hair shaft abnormalities]. (United States)

    Itin, P H; Düggelin, M


    Hair shaft disorders may lead to brittleness and uncombable hair. In general the hair feels dry and lusterless. Hair shaft abnormalities may occur as localized or generalized disorders. Genetic predisposition or exogenous factors are able to produce and maintain hair shaft abnormalities. In addition to an extensive history and physical examination the most important diagnostic examination to analyze a hair shaft problem is light microscopy. Therapy of hair shaft disorders should focus to the cause. In addition, minimizing traumatic influences to hair shafts, such as dry hair with an electric dryer, permanent waves and dyes is important. A short hair style is more suitable for such patients with hair shaft disorders.

  17. Doppler waveforms of the hepatic veins in children with diffuse fatty infiltration of the liver

    Energy Technology Data Exchange (ETDEWEB)

    Uzun, Hakan [Duzce University School of Medicine, Department of Pediatrics, Konuralp, Duzce 81620 (Turkey); Yazici, Burhan [Duzce University School of Medicine, Department of Radiology, Konuralp, Duzce 81620 (Turkey)], E-mail:; Erdogmus, Besir [Duzce University School of Medicine, Department of Radiology, Konuralp, Duzce 81620 (Turkey); Kocabay, Kenan [Duzce University School of Medicine, Department of Pediatrics, Konuralp, Duzce 81620 (Turkey); Buyukkaya, Ramazan; Buyukkaya, Ayla; Yazgan, Omer [Duzce University School of Medicine, Department of Radiology, Konuralp, Duzce 81620 (Turkey)


    Objective: The aim of this study was to investigate the effect of fatty infiltration of the liver (FIL) on the Doppler waveform pattern in the hepatic veins of obese children. Methods: In this prospective study, 59 patients with diffuse FIL and 45 normal healthy children who served as control group underwent hepatic vein B-mod and duplex Doppler sonography. The Doppler sonography spectrum of the right hepatic vein was classified into three groups: triphasic waveform, biphasic waveform, and monophasic or flat waveform. Results: There was a statistically significant difference in the phasicity of hepatic venous flow between patients and control subjects (p < 0.001). The Doppler flow pattern in the right hepatic vein was triphasic in 28 (47.5%), biphasic in 28 (47.5%), and monophasic in 3 (5%) children with fatty liver, while it was triphasic in 43 (95.6%) and biphasic in 2 (4.4%) control subjects. There was an inverse correlation between the sonographic grade of fatty infiltration of the liver and the phasicity of hepatic venous flow (r = -0.479, p < 0.001). Conclusions: Abnormal right hepatic vein Doppler waveform, biphasic as well as monophasic, can be seen in healthy obese children with diffuse FIL.

  18. Aortic isthmus Doppler velocimetry: role in assessment of preterm fetal growth restriction.

    LENUS (Irish Health Repository)

    Kennelly, M M


    Intrauterine fetal growth restriction (IUGR) is an important pregnancy complication associated with significant adverse clinical outcome, stillbirth, perinatal morbidity and cerebral palsy. To date, no uniformly accepted management protocol of Doppler surveillance that reduces mortality and cognitive morbidity has emerged. Aortic isthmus (AoI) evaluation has been proposed as a potential monitoring tool for IUGR fetuses. In this review, the current knowledge of the relationship between AoI Doppler velocimetry and preterm fetal growth restriction is reviewed. Relevant technical aspects and reproducibility data are reviewed as we discuss AoI Doppler and its place within the existing repertoire of Doppler assessments in placental insufficiency. The AoI is a link between the right and left ventricles which perfuse the lower and upper body, respectively. The clinical use of AoI waveforms for monitoring fetal deterioration in IUGR has been limited, but preliminary work suggests that abnormal AoI impedance indices are an intermediate step between placental insufficiency-hypoxemia and cardiac decompensation. Further prospective studies correlating AoI indices with arterial and venous Doppler indices and perinatal outcome are required before encorporating this index into clinical practice.

  19. Inverse Doppler Effects in Broadband Acoustic Metamaterials. (United States)

    Zhai, S L; Zhao, X P; Liu, S; Shen, F L; Li, L L; Luo, C R


    The Doppler effect refers to the change in frequency of a wave source as a consequence of the relative motion between the source and an observer. Veselago theoretically predicted that materials with negative refractions can induce inverse Doppler effects. With the development of metamaterials, inverse Doppler effects have been extensively investigated. However, the ideal material parameters prescribed by these metamaterial design approaches are complex and also challenging to obtain experimentally. Here, we demonstrated a method of designing and experimentally characterising arbitrary broadband acoustic metamaterials. These omni-directional, double-negative, acoustic metamaterials are constructed with 'flute-like' acoustic meta-cluster sets with seven double meta-molecules; these metamaterials also overcome the limitations of broadband negative bulk modulus and mass density to provide a region of negative refraction and inverse Doppler effects. It was also shown that inverse Doppler effects can be detected in a flute, which has been popular for thousands of years in Asia and Europe.

  20. Inverse Doppler Effects in Broadband Acoustic Metamaterials (United States)

    Zhai, S. L.; Zhao, X. P.; Liu, S.; Shen, F. L.; Li, L. L.; Luo, C. R.


    The Doppler effect refers to the change in frequency of a wave source as a consequence of the relative motion between the source and an observer. Veselago theoretically predicted that materials with negative refractions can induce inverse Doppler effects. With the development of metamaterials, inverse Doppler effects have been extensively investigated. However, the ideal material parameters prescribed by these metamaterial design approaches are complex and also challenging to obtain experimentally. Here, we demonstrated a method of designing and experimentally characterising arbitrary broadband acoustic metamaterials. These omni-directional, double-negative, acoustic metamaterials are constructed with ‘flute-like’ acoustic meta-cluster sets with seven double meta-molecules; these metamaterials also overcome the limitations of broadband negative bulk modulus and mass density to provide a region of negative refraction and inverse Doppler effects. It was also shown that inverse Doppler effects can be detected in a flute, which has been popular for thousands of years in Asia and Europe.

  1. Observation of the Zero Doppler Effect (United States)

    Ran, Jia; Zhang, Yewen; Chen, Xiaodong; Fang, Kai; Zhao, Junfei; Chen, Hong


    The normal Doppler effect has well-established applications in many areas of science and technology. Recently, a few experimental demonstrations of the inverse Doppler effect have begun to appear in negative-index metamaterials. Here we report an experimental observation of the zero Doppler effect, that is, no frequency shift irrespective of the relative motion between the wave signal source and the detector in a zero-index metamaterial. This unique phenomenon, accompanied by the normal and inverse Doppler effects, is generated by reflecting a wave from a moving discontinuity in a composite right/left-handed transmission line loaded with varactors when operating in the near zero-index passband, or the right/left-handed passband. This work has revealed a complete picture of the Doppler effect in metamaterials and may lead to potential applications in electromagnetic wave related metrology.

  2. Estimating the Doppler centroid of SAR data

    DEFF Research Database (Denmark)

    Madsen, Søren Nørvang


    After reviewing frequency-domain techniques for estimating the Doppler centroid of synthetic-aperture radar (SAR) data, the author describes a time-domain method and highlights its advantages. In particular, a nonlinear time-domain algorithm called the sign-Doppler estimator (SDE) is shown to have...... attractive properties. An evaluation based on an existing SEASAT processor is reported. The time-domain algorithms are shown to be extremely efficient with respect to requirements on calculations and memory, and hence they are well suited to real-time systems where the Doppler estimation is based on raw SAR...... data. For offline processors where the Doppler estimation is performed on processed data, which removes the problem of partial coverage of bright targets, the ΔE estimator and the CDE (correlation Doppler estimator) algorithm give similar performance. However, for nonhomogeneous scenes it is found...

  3. Color doppler sonography in thickened gallbladder wall

    Energy Technology Data Exchange (ETDEWEB)

    Han, Sang Suk; Choi, Seok Jin; Seo, Chang Hae; Eun, Choong Ki [Inje Univ. College of Medicine, Kimhae (Korea, Republic of)


    The thickening of the gallbladder wall is a valuable finding for the diagnosis of cholecystitis, but may be seen in non-cholecystic disease as well as in acute or chronic cholecystitis. The purpose of this study is to determine the value of color Doppler sonography in differentiating the causes of thickened gallbladder wall. Ninety eight patients with thickened gallbladder wall(more than 3mm) which was not due to gallbladder cancer were prospectively evaluated with color Doppler sonography. Sixty-six cases, confirmed by pathologic reports and clinical records, were analyzed for correlation between thickened gallbladder wall and color flow signal according to the underlying causes. Of the 66 patients, 28 cases were cholecystitis and 38 cases had non-cholecystic causes such as liver cirrhosis, ascites, hepatitis, pancreatitis, renal failure, and hypoalbuminemia. Of the 28 patients with cholecystitis(12 acute, 16 chronic), 23(82%) had color Doppler flow signals in the thickened gallbladder wall. Of the 38 patients with non-cholecystic causes, eight(21%) had color Doppler flow signals. There was a statistically significant difference of color Doppler flow signals between the cholecystitis and non-cholecystic groups(p=0.0001). No significant difference of color Doppler flow signals was found between cases of acute and chronic cholecystitis. Of the 23 patients with color Doppler flow signals in 28 cases of cholecystitis, 18(78.3%) showed a linear pattern and five(21.7%) showed a spotty pattern. Of the eight patients with color Doppler flow signals in the 38 non-cholecystic cases, four(50%) showed a linear pattern and four(50%) showed a spotty pattern. In cholecystitis, a linear color Doppler flow signal pattern is a much more frequent finding than a spotty pattern. Color Doppler sonography is a useful and adequate method for determining whether a thickened gallbladder wall is the result of cholecystitis or has non-cholecystic causes.

  4. WAMDII: The Wide Angle Michelson Doppler Imaging Interferometer (United States)


    As part of an effort to learn more about the upper atmosphere and how it is linked to the weather experienced each day, NASA and NRCC are jointly sponsoring the Wide Angle Michelson Doppler Imaging Interferometer (WAMDII) Mission. WAMDII will measure atmospheric temperature and wind speed in the upper atmosphere. In addition to providing data on the upper atmosphere, the wind speed and temperature readings WAMDII takes will also be highly useful in developing and updating computer simulated models of the upper atmosphere. These models are used in the design and testing of equipment and software for Shuttles, satellites, and reentry vehicles. In making its wind speed and temperature measurements, WAMDII examines the Earth's airglow, a faint photochemical luminescence caused by the influx of solar ultraviolet energy into the upper atmosphere. During periods of high solar flare activity, the amount of this UV energy entering the upper atmosphere increases, and this increase may effect airglow emissions.

  5. The Huygens Doppler Wind Experiment: Results from Titan (United States)

    Folkner, W. M.; Bird, M. K.; Dutta-Roy, R.; Allison, M.; Asmar, S. W.; Atkinson, D. H.; Edenhofer, P.; Plettemeier, D.; Tyler, L. H.; Preston, R. A.; Gurvits, L.


    The ESA Huygens Probe entered and descended for nearly 2.5 hours through the atmosphere of Titan on 14 January 2005. Huygens survived impact on the surface and continued its telemetry broadcast to the NASA Cassini spacecraft on two separate radio links, denoted Channels A and B, respectively, for an additional 1.2 hours. The instrumentation for the Huygens Doppler Wind Experiment (DWE) consisting of two Ultra-Stable Oscillators in the transmitter (TUSO) and receiver (RUSO), were implemented only in Channel A. Whereas Channel B functioned flawlessly during the entire mission, the receiver for Channel A was never able to lock onto the Huygens signal because the DWE-RUSO had not been properly programmed into the critical probe radio relay sequence. All data on Channel A, including the DWE measurements and probe telemetry, were thus lost. In spite of this setback, the Channel A signal was successfully received at many radio telescopes on Earth. The precision of these Doppler measurements, considered as an aggregate, is roughly equivalent to that which had been foreseen from the measurements on board Cassini. We present an overview of the DWE ground-based observations and the Titan wind profile derived from them.

  6. Enteric viruses in molluscan shellfish. (United States)

    Gabrieli, Rosanna; Macaluso, Alessia; Lanni, Luigi; Saccares, Stefano; Di Giamberardino, Fabiola; Cencioni, Barbara; Petrinca, Anna Rita; Divizia, Maurizio


    One hundred and thirty-seven bivalves were collected for environmental monitoring and the market; all the samples were analysed by RT-PCR test. Bacteriological counts meeting the European Union shellfish criteria were reached by 69.5% of all the samples, whereas the overall positive values for enteric virus presence were: 25.5%, 18.2%, 8.0% and 2.1% for Rotavirus, Astrovirus, Enteroviruses, Norovirus, respectively. Mussels appear to be the most contaminated bivalves, with 64.8% of positive samples, 55.7% and 22.7% respectively for clams and oysters, whereas in the bivalves collected for human consumption 50.7% were enteric virus positive, as compared to 56.4% of the samples collected for growing-area classification. The overall positive sample was 54.0%.

  7. CERN openlab enters fifth phase

    CERN Multimedia

    Andrew Purcell


    CERN openlab is a unique public-private partnership between CERN and leading ICT companies. At the start of this year, openlab officially entered its fifth phase, which will run until the end of 2017. For the first time in its history, it has extended beyond the CERN community to include other major European and international research laboratories.   Founded in 2001 to develop the innovative ICT systems needed to cope with the unprecedented computing challenges of the LHC, CERN openlab unites science and industry at the cutting edge of research and innovation. In a white paper published last year, CERN openlab set out the main ICT challenges it will tackle during its fifth phase, namely data acquisition, computing platforms, data storage architectures, computer management and provisioning, networks and connectivity, and data analytics. As it enters its fifth phase, CERN openlab is expanding to include other research laboratories. "Today, research centres in other disciplines are also st...

  8. Chronic radiation enteritis and malnutrition. (United States)

    Webb, Gwilym James; Brooke, Rachael; De Silva, Aminda Niroshan


    Radiation enteritis is defined as the loss of absorptive capacity of the intestine following irradiation, which is most commonly seen after radiotherapy for pelvic and abdominal malignancies. It is divided into acute and chronic forms and usually presents with diarrhea and malabsorption. Malnutrition is a common complication of chronic radiation enteritis (CRE). We reviewed the etiology, prevalence, symptoms, diagnosis and management of CRE and CRE with malnutrition in this article. Functional short bowel syndrome as a cause of malnutrition in CRE is also considered. The diagnostic work-up includes serum markers, endoscopy, cross-sectional imaging and the exclusion of alternative diagnoses such as recurrent malignancy. Management options of CRE include dietary manipulation, anti-motility agents, electrolyte correction, probiotics, parenteral nutrition, surgical resection and small bowel transplantation. Treatment may also be required for coexisting conditions including vitamin B12 deficiency, bile acid malabsorption and depression.

  9. Mucin dynamics and enteric pathogens. (United States)

    McGuckin, Michael A; Lindén, Sara K; Sutton, Philip; Florin, Timothy H


    The extracellular secreted mucus and the cell surface glycocalyx prevent infection by the vast numbers of microorganisms that live in the healthy gut. Mucin glycoproteins are the major component of these barriers. In this Review, we describe the components of the secreted and cell surface mucosal barriers and the evidence that they form an effective barricade against potential pathogens. However, successful enteric pathogens have evolved strategies to circumvent these barriers. We discuss the interactions between enteric pathogens and mucins, and the mechanisms that these pathogens use to disrupt and avoid mucosal barriers. In addition, we describe dynamic alterations in the mucin barrier that are driven by host innate and adaptive immune responses to infection.

  10. Chromosomal abnormalities and autism

    African Journals Online (AJOL)

    Farida El-Baz


    Jun 19, 2015 ... Received 19 April 2015; accepted 11 May 2015 ... Methods: This cross sectional study was conducted at the Child Psychiatry Clinic, ... Males are affected more than females, only one case had ... communication, repetitive behavior, abnormal movement ... course, age, sex and consanguinity of the patients.

  11. Cortical Abnormalities in ADHD

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap


    Full Text Available Grey-matter abnormalities at the cortical surface and regional brain size were mapped by high-resolution MRI and surface-based, computational image analytical techniques in a group of 27 children and adolescents with attention deficit hyperactivity disorder (ADHD and 46 controls, matched by age and sex, at the University of California at Los Angeles.

  12. Neurological abnormalities predict disability

    DEFF Research Database (Denmark)

    Poggesi, Anna; Gouw, Alida; van der Flier, Wiesje


    To investigate the role of neurological abnormalities and magnetic resonance imaging (MRI) lesions in predicting global functional decline in a cohort of initially independent-living elderly subjects. The Leukoaraiosis And DISability (LADIS) Study, involving 11 European centres, was primarily aimed...

  13. Lacrimal system abnormalities. (United States)

    Moore, B D


    This report outlines several of the more important abnormalities of the lacrimal system in infants and young children. Although rare, alacrima can be a very difficult clinical problem to treat. The most common cause of alacrima is the Riley-Day syndrome. Nasolacrimal duct obstruction is a very common anomaly in children. The clinical appearance and treatment of this disorder are discussed.

  14. Abnormalities of gonadal differentiation. (United States)

    Berkovitz, G D; Seeherunvong, T


    Gonadal differentiation involves a complex interplay of developmental pathways. The sex determining region Y (SRY) gene plays a key role in testis determination, but its interaction with other genes is less well understood. Abnormalities of gonadal differentiation result in a range of clinical problems. 46,XY complete gonadal dysgenesis is defined by an absence of testis determination. Subjects have female external genitalia and come to clinical attention because of delayed puberty. Individuals with 46,XY partial gonadal dysgenesis usually present in the newborn period for the valuation of ambiguous genitalia. Gonadal histology always shows an abnormality of seminiferous tubule formation. A diagnosis of 46,XY true hermaphroditism is made if the gonads contain well-formed testicular and ovarian elements. Despite the pivotal role of the SRY gene in testis development, mutations of SRY are unusual in subjects with a 46,XY karyotype and abnormal gonadal development. 46,XX maleness is defined by testis determination in an individual with a 46,XX karyotype. Most affected individuals have a phenotype similar to that of Klinefelter syndrome. In contrast, subjects with 46,XX true hermaphroditism usually present with ambiguous genitalia. The majority of subjects with 46,XX maleness have Y sequences including SRY in genomic DNA. However, only rare subjects with 46,XX true hermaphroditism have translocated sequences encoding SRY. Mosaicism and chimaerism involving the Y chromosome can also be associated with abnormal gonadal development. However, the vast majority of subjects with 45,X/46,XY mosaicism have normal testes and normal male external genitalia.

  15. Enteral nutrition in critical patients


    Botello Jaimes, Jhon Jairo; Medico Cuidado Intensivo Clínica San Marcel / Jefe de Urgencias y Unidad de Cuidado Especial Clínica San Marcel / Docente Medicina Interna y Cuidado Intensivo Universidad de Manizales / Docente Internado de Urgencias y de PROFUNDIZACION Urgencias, Cuidado Intermedio e Intensivo Universidad de Caldas / Docente del programa de enfermería Universidad Católica de Manizales / Instructor Internacional / Director Fundación Versalles / Candidato a Magíster en Educación Docencia. Envío co rrespondencia:. Avenida Alberto Mendoza No 93-25 - Clínica San Marcel.; González Rincón, Alejandra; Enfermería Universidad Católica de Manizales. Miembro directivo Fundación Versalles. Miembro Correspondiente Asociación Colombiana de Trauma y Miembro Activo de la Sociedad Panamericana de Trauma. Envío correspondencia: alejita_gonzalez12@ . Calle 50 No 24-14 – Fundación Versalles.


    Nutritional support in critically ill patients is of vital importance for its impact on morbidity, hospital stay and preservation of tissue mass among others. It must ensure nutritional support to all critically ill patients enterally ideally by reduced bacterial translocationand stimulation of the function of the intestinal villi. In recent years we have studied immunonutrients as glutamine, arginine, fatty acids and nucleotides with promising effects (Immune response, Intestinal barrier or ...

  16. A Map Enters the Conversation

    DEFF Research Database (Denmark)

    Munk, Anders Kristian

    'modes of mattering'. In this paper I explore what difference digital cartography can make to STS practice. I draw on three examples from my own work where digitally mediated maps have entered the conversation and made critical, often surprising, differences to the research process. In my first example...... it was trying to chart. I use these examples to discuss the potential modes of mattering afforded by digital cartography in STS....

  17. Comparison of foetomaternal circulation in normal pregnancies and pregnancy induced hypertension using color Doppler studies. (United States)

    Gupta, Shikha; Misra, R; Ghosh, U K; Gupta, V; Srivastava, D


    The aim of present study was to assess fetomaternal blood flows in normal and abnormal pregnancies using color Doppler indices. Subjects were divided into two groups as: Group A of 25 subjects of normal pregnancy as controls and group B of 25 subjects of pregnancy induced hypertension. All the subjects were lying in the age-group of 25-35 years and having 28 to 34 weeks of gestation; the patients were evaluated by detailed history and were subjected to complete general examination. Blood pressure was taken on two occasions at least 6 hours apart. Systemic examination and obstetrical examination was done in all subjects. All cases were subjected to pathological tests- Haemogram, Test for proteins in urine. Ultrasound assessment of fetal growth was done by measuring BPD (Biparietal diameter), HC (Head circumference), FL (Femur length) and AC (Abdominal circumference): Average gestational age and effective fetal weight was then calculated by ultrasound machine. Color Doppler was used to assess the various Doppler indices indices: Pulsatility index (PI), Resistive index (RI) and Systolic diastolic ratio (S/D ratio) in bilateral uterine, umbilical and middle cerebral arteries and compared to the standard normograms. Percentage of subjects having abnormal Doppler indices were calculated. Assessment of percentage of SGA (small for gestational age) fetuses was done in all the three groups. Decline in mean values of all Doppler indices was found with advancing gestational age in normal pregnancy suggesting decreased vascular resistance and increased blood flow in fetomaternal circulation. In pregnancy induced hypertensives, the mean values of Doppler indices showed a decline as in normal pregnancy but showed an increase (more than 2 S.D. of the mean) for that gestational age in comparison to the control group suggesting increased impedance to blood flow in uteroplacental and fetomaternal circulation. Umbilical artery Doppler indices were found to be the most sensitive

  18. Optical Doppler tomography and spectral Doppler imaging of localized ischemic stroke in a mouse model (United States)

    Yu, Lingfeng; Nguyen, Elaine; Liu, Gangjun; Rao, Bin; Choi, Bernard; Chen, Zhongping


    We present a combined optical Doppler tomography/spectral Doppler imaging modality to quantitatively evaluate the dynamic blood circulation and the artery blockage before and after a localized ischemic stroke in a mouse model. Optical Doppler Tomography (ODT) combines the Doppler principle with optical coherence tomography for noninvasive localization and measurement of particle flow velocity in highly scattering media with micrometer scale spatial resolution. Spectral Doppler imaging (SDI) provides complementary temporal flow information to the spatially distributed flow information of Doppler imaging. Fast, repeated, ODT scans across an entire vessel were performed to record flow dynamic information with high temporal resolution of cardiac cycles. Spectral Doppler analysis of continuous Doppler images demonstrates how the velocity components and longitudinally projected flow-volume-rate change over time for scatters within the imaging volume using spectral Doppler waveforms. Furthermore, vascular conditions can be quantified with various Doppler-angle-independent flow indices. Non-invasive in-vivo mice experiments were performed to evaluate microvascular blood circulation of a localized ischemic stroke mouse model.

  19. Wideband radar micro-doppler applications (United States)

    Tahmoush, Dave


    Wideband radar provides a significant improvement over traditional narrowband radars for micro-Doppler analysis because the high bandwidth can be used to separate many of the signals in range, allowing a simpler decomposition of the micro-Doppler signals. Recent wideband radar work has focused on micro-Doppler, but there is a point where the narrowband approach used to analyze the micro-Doppler signals breaks down. The effect is shown to be independent of frequency, but the error relative to the bandwidth is shown to be inversely proportional to the frequency and proportional to the velocity of the subject. This error can create a smearing effect in the observed Doppler if it is not corrected, leading to reduced signal-to-noise and the appearance of more diffuse targets in Doppler space. In range-space, wideband data can also break the subject into several range bins, affecting the observed signal to noise ratio. The possible applications of wideband micro-Doppler radar are also shown, including the separation of arm movement from human motion which implies that the arms are not encumbered.

  20. Rotational Doppler effect in nonlinear optics (United States)

    Li, Guixin; Zentgraf, Thomas; Zhang, Shuang


    The translational Doppler effect of electromagnetic and sound waves has been successfully applied in measurements of the speed and direction of vehicles, astronomical objects and blood flow in human bodies, and for the Global Positioning System. The Doppler effect plays a key role for some important quantum phenomena such as the broadened emission spectra of atoms and has benefited cooling and trapping of atoms with laser light. Despite numerous successful applications of the translational Doppler effect, it fails to measure the rotation frequency of a spinning object when the probing wave propagates along its rotation axis. This constraint was circumvented by deploying the angular momentum of electromagnetic waves--the so-called rotational Doppler effect. Here, we report on the demonstration of rotational Doppler shift in nonlinear optics. The Doppler frequency shift is determined for the second harmonic generation of a circularly polarized beam passing through a spinning nonlinear optical crystal with three-fold rotational symmetry. We find that the second harmonic generation signal with circular polarization opposite to that of the fundamental beam experiences a Doppler shift of three times the rotation frequency of the optical crystal. This demonstration is of fundamental significance in nonlinear optics, as it provides us with insight into the interaction of light with moving media in the nonlinear optical regime.

  1. Staggered Multiple-PRF Ultrafast Color Doppler. (United States)

    Posada, Daniel; Poree, Jonathan; Pellissier, Arnaud; Chayer, Boris; Tournoux, Francois; Cloutier, Guy; Garcia, Damien


    Color Doppler imaging is an established pulsed ultrasound technique to visualize blood flow non-invasively. High-frame-rate (ultrafast) color Doppler, by emissions of plane or circular wavefronts, allows severalfold increase in frame rates. Conventional and ultrafast color Doppler are both limited by the range-velocity dilemma, which may result in velocity folding (aliasing) for large depths and/or large velocities. We investigated multiple pulse-repetition-frequency (PRF) emissions arranged in a series of staggered intervals to remove aliasing in ultrafast color Doppler. Staggered PRF is an emission process where time delays between successive pulse transmissions change in an alternating way. We tested staggered dual- and triple-PRF ultrafast color Doppler, 1) in vitro in a spinning disc and a free jet flow, and 2) in vivo in a human left ventricle. The in vitro results showed that the Nyquist velocity could be extended to up to 6 times the conventional limit. We found coefficients of determination r(2) ≥ 0.98 between the de-aliased and ground-truth velocities. Consistent de-aliased Doppler images were also obtained in the human left heart. Our results demonstrate that staggered multiple-PRF ultrafast color Doppler is efficient for high-velocity high-frame-rate blood flow imaging. This is particularly relevant for new developments in ultrasound imaging relying on accurate velocity measurements.

  2. Color-flow Doppler sonography in Graves disease: "thyroid inferno". (United States)

    Ralls, P W; Mayekawa, D S; Lee, K P; Colletti, P M; Radin, D R; Boswell, W D; Halls, J M


    Graves disease is a common diffuse abnormality of the thyroid gland usually characterized by thyrotoxicosis. We performed color-flow Doppler sonography in 16 patients with Graves disease and compared the results with those in 15 normal volunteers and 14 patients with other thyroid diseases (eight with multinodular goiter, four with focal masses, and two with papillary thyroid carcinoma). All 16 Graves disease patients exhibited a pulsatile pattern we call "thyroid inferno." This pattern consists of multiple small areas of intrathyroidal flow seen diffusely throughout the gland in both systole and diastole. In systole, both high-velocity flow (color coded white) and lower velocity flow (color coded red and blue) were noted. In diastole, fewer areas of flow and lower velocity flow were noted. Patients with Graves disease also exhibited color flow around the periphery of the gland. The inferno pattern did not occur in normal subjects or in patients with other thyroid diseases. On occasion, focal areas of intrathyroidal flow were detected in patients with multinodular goiter and focal thyroid masses. High-resolution gray-scale images did not show the small vascular channels from which the flow signal originated. Color-flow Doppler sonography shows promise as a cost-effective, noninvasive technique for diagnosing Graves disease.

  3. Liver abnormalities in pregnancy. (United States)

    Than, Nwe Ni; Neuberger, James


    Abnormalities of liver function (notably rise in alkaline phosphatase and fall in serum albumin) are common in normal pregnancy, whereas rise in serum bilirubin and aminotransferase suggest either exacerbation of underlying pre-existing liver disease, liver disease related to pregnancy or liver disease unrelated to pregnancy. Pregnant women appear to have a worse outcome when infected with Hepatitis E virus. Liver diseases associated with pregnancy include abnormalities associated hyperemesis gravidarum, acute fatty liver disease, pre-eclampsia, cholestasis of pregnancy and HELLP syndrome. Prompt investigation and diagnosis is important in ensuring a successful maternal and foetal outcome. In general, prompt delivery is the treatment of choice for acute fatty liver, pre-eclampsia and HELLP syndrome and ursodeoxycholic acid is used for cholestasis of pregnancy although it is not licenced for this indication. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Nitrofurantoin and congenital abnormalities

    DEFF Research Database (Denmark)

    Czeizel, A.E.; Rockenbauer, M.; Sørensen, Henrik Toft;


    Objective: To study human teratogenic potential of oral nitrofurantoin treatment during pregnancy. Materials and Methods: Pair analysis of cases with congenital abnormalities and matched population controls in the population-based dataset of the Hungarian Case-Control Surveillance of Congenital...... or fetuses with Down’s syndrome (patient controls), 23 (2.8%) pregnant women were treated with nitrofurantoin. The above differences between population controls and cases may be connected with recall bias, because the case-control pair analysis did not indicate a teratogenic potential of nitrofurantoin use...... during the second and the third months of gestation, i.e. in the critical period for major congenital abnormalities. Conclusion: Treatment with nitrofurantoin during pregnancy does not present detectable teratogenic risk to the fetus....

  5. Doppler backscatter properties of a blood-mimicking fluid for Doppler performance assessment. (United States)

    Ramnarine, K V; Hoskins, P R; Routh, H F; Davidson, F


    The Doppler backscatter properties of a blood-mimickig fluid (BMF) were studied to evaluate its suitability for use in a Doppler flow test object. Measurements were performed using a flow rig with C-flex tubing and BMF flow produced by a roller pump or a gear pump. A SciMed Doppler system was used to measure the backscattered Doppler power with a root-mean-square power meter connected to the audio output. Studies investigated the dependence of the backscattered Doppler power of the BMF with: circulation time; batch and operator preparations; storage; sieve size; flow speed; and pump type. A comparison was made with human red blood cells resuspended in saline. The backscatter properties are stable and within International Electrotechnical Commission requirements. The BMF is suitable for use in a test object for Doppler performance assessment.

  6. Slow transit constipation: A functional disorder becomes an enteric neuropathy

    Institute of Scientific and Technical Information of China (English)

    Gabrio Bassotti; Vincenzo Villanacci


    Slow transit constipation has been traditionally considered and classified as a functional disorder.However, clinical and manometric evidence has been accumulating that suggests how most of the motility alterations in STC might be considered of neuropathic type. In addition, further investigations showed that subtle alterations of the enteric nervous system, not evident to conventional histological examination, may be present in these patients. In the present article we will discuss these evidences, and will try to put them in relation with the abnormal motor function of the large bowel documented in this pathological condition.

  7. Combination of serum angiopoietin-2 and uterine artery Doppler for prediction of preeclampsia. (United States)

    Puttapitakpong, Ploynin; Phupong, Vorapong


    The aim of this study was to determine the predictive value of the combination of serum angiopoietin-2 (Ang-2) levels and uterine artery Doppler for the detection of preeclampsia in women at 16-18 weeks of gestation and to identify other pregnancy complications that could be predicted with these combined tests. Maternal serum Ang-2 levels were measured, and uterine artery Doppler was performed in 400 pregnant women. The main outcome was preeclampsia. The predictive values of this combination were calculated. Twenty-five women (6.3%) developed preeclampsia. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of uterine artery Doppler combined with serum Ang-2 levels for the prediction of preeclampsia were 24.0%, 94.4%, 22.2% and 94.9%, respectively. For the prediction of early-onset preeclampsia, the sensitivity, specificity, PPV and NPV were 57.1%, 94.1%, 14.8% and 99.2%, respectively. Patients with abnormal uterine artery Doppler and abnormal serum Ang-2 levels (above 19.5 ng ml(-1)) were at higher risk for preterm delivery (relative risk=2.7, 95% confidence interval 1.2-5.8). Our findings revealed that the combination of uterine artery Doppler and serum Ang-2 levels at 16-18 weeks of gestation can be used to predict early-onset preeclampsia but not overall preeclampsia. Thus, this combination may be a useful early second trimester screening test for the prediction of early-onset preeclampsia.

  8. The role of transvaginal power Doppler ultrasound in the differential diagnosis of benign intrauterine focal lesions. (United States)

    Cogendez, Ebru; Eken, Meryem Kurek; Bakal, Nuray; Gun, Ismet; Kaygusuz, Ecmel Isik; Karateke, Ates


    The purpose of this prospective study was to assess the role of power Doppler imaging in the differential diagnosis of benign intrauterine focal lesions such as endometrial polyps and submucous myomas using the characteristics of power Doppler flow mapping. A total of 480 premenopausal patients with abnormal uterine bleeding were evaluated by transvaginal ultrasonography (TVS) searching for intrauterine pathology. Sixty-four patients with a suspicious focal endometrial lesion received saline infusion sonography (SIS) after TVS. Fifty-eight patients with focal endometrial lesions underwent power Doppler ultrasound (PDUS). Three different vascular flow patterns were defined: Single vessel pattern, multiple vessel pattern, and circular flow pattern. Finally, hysteroscopic resection was performed in all cases, and Doppler flow characteristics were then compared with the final histopathological findings. Histopathological results were as follows: endometrial polyp: 40 (69 %), submucous myoma: 18 (31 %). Of the cases with endometrial polyps, 80 % demonstrated a single vessel pattern, 7.5 % a multiple vessel pattern, and 0 % a circular pattern. Vascularization was not observed in 12.5 % of patients with polyps. Of the cases with submucousal myomas, 72.2 % demonstrated a circular flow pattern, 27.8 % a multiple vessel pattern, and none of them showed a single vessel pattern. The sensitivity, specificity, and positive and negative predictive values of the single vessel pattern in diagnosing endometrial polyps were 80, 100, 100, and 69.2 %, respectively; and for the circular pattern in diagnosing submucous myoma, these were 72.2, 100, 100, and 88.9 %, respectively. Power Doppler blood flow mapping is a useful, practical, and noninvasive diagnostic method for the differential diagnosis of benign intrauterine focal lesions. Especially in cases of recurrent abnormal uterine bleeding, recurrent abortion, and infertility, PDUS can be preferred as a first-line diagnostic method.

  9. Declining total leucoyte count, an indication of transient abnormal myelopoisis

    Directory of Open Access Journals (Sweden)

    Yogesh K Yadav


    Full Text Available Neonates with Down syndrome have an increased predisposition to transient abnormal myelopoisis, a haematological abnormality which is characterized by uncontrolled proliferation of myeloblasts. The unique ability of this disorder to spontaneously enter in to a state of remission led to the creation of a new class in 2008 World Health Organization (W.H.O. classification of haemopoitic and lymphoid tumours. It has now been classified as transient abnormal myelopoisis (TAM. The cause of remission is still not clear although it is possibly linked to the abnormal expression of GATA-1 transcription factor and to a switch from hepatic haematopoesis to medullary haematopoesis. Simple laboratory monitoring by serial complete blood count and peripheral smear can give indication of this rare disorder. As very few cases of this disorder exist we share our experience and report a case of transient myeloproliferative disorder in a male newborn having Down syndrome.

  10. Diagnosis of umbilical cord entanglement in a monochorionic diamniotic twin pregnancy with spontaneous septostomy of the dividing membranes using dual-gate Doppler imaging. (United States)

    Ito, Ayumu; Nakata, Masahiko; Oji, Ayako; Takano, Mayumi; Umemura, Nahomi; Nagasaki, Sumito; Maemura, Toshimitsu; Morita, Mineto


    Umbilical cord entanglement is the leading cause of fetal mortality in monoamniotic twin pregnancies and a pseudo monoamniotic environment. Published methods for detecting this complication include color Doppler and pulsed Doppler sonography; however, no method provides an absolute diagnosis. In this case, we report the diagnosis of umbilical cord entanglement using dual-gate Doppler imaging. A 35-year-old woman was referred to our hospital at 28 weeks of gestation for prenatal management because of diagnosis of a monochorionic diamniotic twin pregnancy with spontaneous septostomy of the dividing membranes. Each fetus displayed normal fetal growth without obvious discordance and anatomical abnormalities. However, the dividing membrane was not detected, and an entangled cord was suspected. Dual-gate Doppler examination was carried out. Two regions of interest were considered at different areas of the umbilical arteries, and when each Doppler image showed two different heart rates at the same time, we considered this to be evidence of umbilical cord entanglement. Cesarean section was performed at 32 weeks of gestation and twins were delivered. The delivered umbilical cords had sixfold entanglement. In this case, dual-gate Doppler seems to have been more accurate than conventional single-gate Doppler for the diagnosis of cord entanglement because we confirmed two different heart rates at the same time with dual-gate Doppler.

  11. Abnormal pressures as hydrodynamic phenomena (United States)

    Neuzil, C.E.


    So-called abnormal pressures, subsurface fluid pressures significantly higher or lower than hydrostatic, have excited speculation about their origin since subsurface exploration first encountered them. Two distinct conceptual models for abnormal pressures have gained currency among earth scientists. The static model sees abnormal pressures generally as relict features preserved by a virtual absence of fluid flow over geologic time. The hydrodynamic model instead envisions abnormal pressures as phenomena in which flow usually plays an important role. This paper develops the theoretical framework for abnormal pressures as hydrodynamic phenomena, shows that it explains the manifold occurrences of abnormal pressures, and examines the implications of this approach. -from Author

  12. [Molecular abnormalities in lymphomas]. (United States)

    Delsol, G


    Numerous molecular abnormalities have been described in lymphomas. They are of diagnostic and prognostic value and are taken into account for the WHO classification of these tumors. They also shed some light on the underlying molecular mechanisms involved in lymphomas. Overall, four types of molecular abnormalities are involved: mutations, translocations, amplifications and deletions of tumor suppressor genes. Several techniques are available to detect these molecular anomalies: conventional cytogenetic analysis, multicolor FISH, CGH array or gene expression profiling using DNA microarrays. In some lymphomas, genetic abnormalities are responsible for the expression of an abnormal protein (e.g. tyrosine-kinase, transcription factor) detectable by immunohistochemistry. In the present review, molecular abnormalities observed in the most frequent B, T or NK cell lymphomas are discussed. In the broad spectrum of diffuse large B-cell lymphomas microarray analysis shows mostly two subgroups of tumors, one with gene expression signature corresponding to germinal center B-cell-like (GCB: CD10+, BCL6 [B-Cell Lymphoma 6]+, centerine+, MUM1-) and a subgroup expressing an activated B-cell-like signature (ABC: CD10-, BCL6-, centerine-, MUM1+). Among other B-cell lymphomas with well characterized molecular abnormalies are follicular lymphoma (BCL2 deregulation), MALT lymphoma (Mucosa Associated Lymphoid Tissue) [API2-MALT1 (mucosa-associated-lymphoid-tissue-lymphoma-translocation-gene1) fusion protein or deregulation BCL10, MALT1, FOXP1. MALT1 transcription factors], mantle cell lymphoma (cycline D1 [CCND1] overexpression) and Burkitt lymphoma (c-Myc expression). Except for ALK (anaplastic lymphoma kinase)-positive anaplastic large cell lymphoma, well characterized molecular anomalies are rare in lymphomas developed from T or NK cells. Peripheral T cell lymphomas not otherwise specified are a heterogeneous group of tumors with frequent but not recurrent molecular abnormalities

  13. Doppler echocardiography in normal functioning valve prostheses. (United States)

    Cha, R; Yang, S S; Salvucci, T; DiBlasi, S


    Even though there has been some criticism regarding the Doppler evaluation in prosthetic valves because of inter-observer and intra-observer variability, among other factors, and Doppler study has a tendency to have falsely high gradients compared to invasive studies, especially mechanical aortic prostheses, Doppler evaluation can provide reliable hemodynamic information about valve function. This test may be particularly useful if used serially, when baseline values are known. Doppler measurement of gradient and valve area has an expected normal range that is specific for the prosthetic type, size, anatomical position, and chronological age. Clearly, a database involving these aspects is needed to provide a more accurate normal range. This study is intended to provide guidance for echocardiographers.

  14. Teaching the Doppler effect in astrophysics (United States)

    Hughes, Stephen W.; Cowley, Michael


    The Doppler effect is a shift in the frequency of waves emitted from an object moving relative to the observer. By observing and analysing the Doppler shift in electromagnetic waves from astronomical objects, astronomers gain greater insight into the structure and operation of our Universe. In this paper, a simple technique is described for teaching the basics of the Doppler effect to undergraduate astrophysics students using acoustic waves. An advantage of the technique is that it produces a visual representation of the acoustic Doppler shift. The equipment comprises a 40 kHz acoustic transmitter and a microphone. The sound is bounced off a computer fan and the signal collected by a DrDAQ ADC and processed by a spectrum analyser. Widening of the spectrum is observed as the fan power supply potential is increased from 4 to 12 V.

  15. High range resolution micro-Doppler analysis (United States)

    Cammenga, Zachary A.; Smith, Graeme E.; Baker, Christopher J.


    This paper addresses use of the micro-Doppler effect and the use of high range-resolution profiles to observe complex targets in complex target scenes. The combination of micro-Doppler and high range-resolution provides the ability to separate the motion of complex targets from one another. This ability leads to the differentiation of targets based on their micro-Doppler signatures. Without the high-range resolution, this would not be possible because the individual signatures would not be separable. This paper also addresses the use of the micro-Doppler information and high range-resolution profiles to generate an approximation of the scattering properties of a complex target. This approximation gives insight into the structure of the complex target and, critically, is created without using a pre-determined target model.

  16. High Throughput Direct Detection Doppler Lidar Project (United States)

    National Aeronautics and Space Administration — Lite Cycles, Inc. (LCI) proposes to develop a direct-detection Doppler lidar (D3L) technology called ELITE that improves the system optical throughput by more than...

  17. Student Microwave Experiments Involving the Doppler Effect. (United States)

    Weber, F. Neff; And Others


    Described is the use of the Doppler Effect with microwaves in the measurement of the acceleration due to gravity of falling objects. The experiments described add to the repertoire of quantitative student microwave experiments. (Author/DS)

  18. Inverse Doppler Effects in Broadband Acoustic Metamaterials

    National Research Council Canada - National Science Library

    Zhai, S L; Zhao, X P; Liu, S; Shen, F L; Li, L L; Luo, C R


    .... With the development of metamaterials, inverse Doppler effects have been extensively investigated. However, the ideal material parameters prescribed by these metamaterial design approaches are complex and also challenging to obtain experimentally...

  19. [New nutrients in enteral nutrition]. (United States)

    Vázquez Martínez, C


    1. Medical and surgical stress (major surgery, sepsis, injuries,...) increases requirements of certain essential nutrients and others considered non-essential or semi-essential. 2. Some nutrients such as glutamine, arginine, omega 3 fatty acids nucleotides, ... have a considerable influence on the immune function (delayed hypersensitivity, lymphocyte sub-population counts, immunological tests,..) and improve certain metabolic and nutritional indices (nitrogen balance, medium and short life proteins,...). For this reason, they are called "immunonutrients" or "immunity regulators". 3. The supply of special enteral formulas for situations of immunological compromise, with the addition of one or more of the nutrients considered today as "immunity regulators" has increased since 1988 in both absolute and percentage terms. 4. These nutrient-enriched enteral formulas improve the rate of infections, reduce the number of days on ventilator equipment, the length of hospital stays for critical patients, with a more marked effect on surgical patients. 5. The evidence seems today to support the use of enriched formulas with critical patients. Nonetheless, some caution must be maintained as it has not been possible to show any reduction in the mortality of the cases studied nor, in short, in the prognosis of patients affected by situations of hypercatabolism and reduced immunity. 6. We feel that their use should, therefore, be carried out in accordance with the protocols and in patients expected to survive, where the evolution reveals severe catabolism unhindered by conventional therapy.


    Directory of Open Access Journals (Sweden)

    Punya Pratap Singh


    Full Text Available BACKGROUND Until the mid 1970’s, scrotal examination was limited to palpation and transillumination. Miskin and Bain (1974 first reported the use of Ultrasonography to examine testes and scrotum. With advancement like colour Doppler, ability to assess testicular vascularity increased. Although other radiological investigations have roles in specific situations, present study was undertaken to evaluate the usefulness and accuracy of sonography and colour Doppler in scrotal abnormalities. METHODS The study was conducted in the Department of Radiodiagnosis, Max Super Speciality Hospital, Saket, New Delhi, between May 2012 and May 2013. Prospective study carried out in 100 patients after proper informed and written consent with inclusion criteria of ‘All age patients with clinical suspicion of scrotal pathology’ and exclusion criteria of ‘History of operative or therapeutic procedures on the scrotum with exception of vasectomy.’ These patients’ scrotums were scanned in various plan on “Voluson 730 PRO” (GE Healthcare system and LOGIC E-9 (GE Healthcare using linear probe (As applicable with comparison from asymptomatic side. Relevant other radiological and pathological investigations were done wherever indicated. RESULTS Majority of patients were between 21-40 years of age (62% with commonest presenting complaint was scrotal swelling in 73%. Fluid collections were the commonest abnormality detected on sonography. Hydrocele was the most frequent fluid collection seen in 38 cases (26.3%. In acute inflammation, hypoechogenicity of the testes was most common sonographic feature. In our study, ultrasound showed 99% accuracy to distinguish between Intratesticular and Extratesticular pathology. CONCLUSIONS High-resolution USG with colour Doppler can reliably define the morphological features and vascularity of scrotal lesions. USG is highly accurate in evaluating the consistency of scrotal mass and in localizing scrotal abnormality

  1. Acute Fetal Anemia Diagnosed by Middle Cerebral Artery Doppler Velocimetry in Stage V Twin–Twin Transfusion Syndrome

    Directory of Open Access Journals (Sweden)

    Jennifer Salcedo


    Full Text Available In stage V twin–twin transfusion syndrome (TTTS, up to 50% of surviving twins die or experience permanent disabilities, likely due to acute intertwin hemorrhage resulting in sudden severe anemia of the survivor. Although fetal middle cerebral artery (MCA Doppler studies demonstrate strong correlation with fetal hemoglobin values, acute hemorrhagic events are more difficult to diagnose, and optimal timing of delivery of the survivor poses an obstetric dilemma. We report a case of newly diagnosed stage V TTTS at 28 weeks gestation, complicated by acute severe anemia diagnosed by significantly abnormal fetal MCA Doppler studies. The anemic twin was urgently delivered and is doing well without significant sequelae.

  2. Feeling Abnormal: Simulation of Deviancy in Abnormal and Exceptionality Courses. (United States)

    Fernald, Charles D.


    Describes activity in which student in abnormal psychology and psychology of exceptional children classes personally experience being judged abnormal. The experience allows the students to remember relevant research, become sensitized to the feelings of individuals classified as deviant, and use caution in classifying individuals as abnormal.…

  3. Optical Doppler shift with structured light



    When a light beam with a transverse spatially varying phase is considered for optical remote sensing, in addition to the usual longitudinal Doppler frequency shift of the returned signal induced by the motion of the scatter along the beam axis, a new transversal Doppler shift appears associated to the motion of the scatterer in the plane perpendicular to the beam axis. We discuss here how this new effect can be used to enhance the current capabilities of optical measurement system...

  4. Ventricular structure and function in children with sickle cell disease using conventional and tissue Doppler echocardiography. (United States)

    Eddine, Ahmad Charaf; Alvarez, Ofelia; Lipshultz, Steven E; Kardon, Richard; Arheart, Kristopher; Swaminathan, Sethuraman


    Conventional 2-dimensional, M-mode, and spectral Doppler echocardiographic techniques have documented abnormal ventricular function in adults with sickle cell disease (SCD), but assessments in children are conflicting. Tissue Doppler echocardiography (TDE) provides additional information about myocardial function. Two-dimensional, M-mode, tricuspid regurgitation jet velocity (TRJV) data, and tissue Doppler echocardiographically derived myocardial velocity measurements of left ventricular (LV) and right ventricular function were taken from children with SCD compared to those of similar healthy historical controls and correlated with clinical characteristics and hemoglobin levels. Compared to 55 controls, 54 children with SCD (mean age 14.2 years, range 6 to 21) had a larger left ventricle, greater LV mass, and higher LV fractional shortening; 30% had increased pulmonary artery pressure (TRJV ≥2.5 m/s). Conventional echocardiographic measurements of LV systolic function and spectral Doppler measurements of LV and right ventricular diastolic function were essentially normal, but TDE indicated that 31% of SCD children had evidence of LV diastolic dysfunction (peak early diastolic velocity of LV inflow Doppler/peak early diastolic velocity at lateral mitral valve annulus >8), a finding that correlated with lower hemoglobin levels. Although decreasing hemoglobin levels in children with SCD correlated with LV hypertrophy, LV dilation, and LV diastolic dysfunction, long-term transfusion or hydroxyurea therapy did not affect these measurements. In conclusion, 1/3 of children with SCD had tissue Doppler echocardiographic evidence of LV diastolic dysfunction, which was correlated with hemoglobin levels. Adding serial assessments of ventricular function with TDE to conventional echocardiography may detect early cardiac changes, especially in children with severe anemia.

  5. with Ultrasound Color Doppler Imaging

    Directory of Open Access Journals (Sweden)

    Shin Takayama


    Full Text Available Color Doppler imaging (CDI can be used to noninvasively create images of human blood vessels and quantitatively evaluate blood flow in real-time. The purpose of this study was to assess the effects of acupuncture on the blood flow of the peripheral, mesenteric, and retrobulbar arteries by CDI. Statistical significance was defined as P values less than 0.05. Blood flow in the radial and brachial arteries was significantly lower during needle stimulation on LR3 than before in healthy volunteers, but was significantly higher after needle stimulation than before. LR3 stimulation also resulted in a significant decrease in the vascular resistance of the short posterior ciliary artery and no significant change of blood flow through the superior mesenteric artery (SMA during acupuncture. In contrast, ST36 stimulation resulted in a significant increase in blood flow through the SMA and no significant change in the vascular resistance of the retrobulbar arteries. Additionally, acupuncture at previously determined acupoints in patients with open-angle glaucoma led to a significant reduction in the vascular resistance of the central retinal artery and short posterior ciliary artery. Our results suggest that acupuncture can affect blood flow of the peripheral, mesenteric, and retrobulbar arteries, and CDI can be useful to evaluate hemodynamic changes by acupuncture.

  6. Radiation pressure on a submerged absorptive partial reflector deduced from the Doppler shift

    CERN Document Server

    Mansuripur, Masud


    When a light pulse is reflected from a mirror, energy and momentum are exchanged between the electromagnetic field and the material medium. The resulting change in the energy of the reflected photons is directly related to their Doppler shift arising from the change in the state of motion of the mirror. Similarly, the Doppler shift of photons that enter an absorber is intimately tied to the kinetic energy and momentum acquired by the absorber in its interaction with the incident light. The argument from the Doppler shift yields expressions for the exchanged energy and momentum that are identical with those obtained from Maxwell's equations and the Lorentz law of force, despite the fact that the physical bases of the two methods are fundamentally different. Here we apply the Doppler shift argument to a submerged partial reflector (one that absorbs a fraction of the incident light), deducing in the process the magnitude of the photon momentum within the submerging medium. We also discuss the case of the submerg...

  7. The Doppler effect in NMR spectroscopy. (United States)

    Guéron, Maurice


    An NMR sample may be subject to motions, such as those due to sample spinning or to liquid flow. Is the spectrum of such a sample affected by the Doppler effect? The question arises because, instrumental dimensions being much shorter than the wavelength, it is the near-field of the precessing magnetic moment which couples to the receiver coil, rather than the radiated far-field. We expand the near-field into plane propagating waves. For each such wave there is another one with the same amplitude, propagating in the opposite direction. The Doppler shifts are therefore equal and opposite. In the model case of a small fluid sample moving with constant velocity, this leads to a distribution of Doppler shifts which is symmetrical with respect to the unshifted frequency: there is no net spectral shift. We examine the possibility of observing the Doppler distribution in this case. We also consider the case of thermal motion of a gas. We draw attention to the resolved Doppler splitting of molecular rotational transitions in a supersonic burst as observed in a microwave resonator. We also mention briefly the Doppler effect in molecular beam spectroscopy.

  8. Advantages of enteral nutrition over parenteral nutrition


    Seres, David S.; Valcarcel, Monika; Guillaume, Alexandra


    It is a strong and commonly held belief among nutrition clinicians that enteral nutrition is preferable to parenteral nutrition. We provide a narrative review of more recent studies and technical reviews comparing enteral nutrition with parenteral nutrition. Despite significant weaknesses in the existing data, current literature continues to support the use of enteral nutrition in patients requiring nutrition support, over parenteral nutrition.

  9. Russia: An Abnormal Country

    Directory of Open Access Journals (Sweden)

    Steven Rosefielde


    Full Text Available Andrei Shleifer and Daniel Treisman recently rendered a summary verdict on the post Soviet Russian transition experience finding that the Federation had become a normal country with the west's assistance, and predicting that it would liberalize and develop further like other successful nations of its type. This essay demonstrates that they are mistaken on the first count, and are likely to be wrong on the second too. It shows factually, and on the norms elaborated by Pareto, Arrow and Bergson that Russia is an abnormal political economy unlikely to democratize, westernize or embrace free enterprise any time soon

  10. Abnormal ionization in sonoluminescence (United States)

    Zhang, Wen-Juan; An, Yu


    Sonoluminescence is a complex phenomenon, the mechanism of which remains unclear. The present study reveals that an abnormal ionization process is likely to be present in the sonoluminescing bubble. To fit the experimental data of previous studies, we assume that the ionization energies of the molecules and atoms in the bubble decrease as the gas density increases and that the decrease of the ionization energy reaches about 60%-70% as the bubble flashes, which is difficult to explain by using previous models. Project supported by the Research Fund for the Doctoral Program of Higher Education of China (Grant No. 20120002110031) and the National Natural Science Foundation of China (Grant No. 11334005).

  11. Environmental Enteric Dysfunction in Children. (United States)

    Syed, Sana; Ali, Asad; Duggan, Christopher


    Diarrheal diseases are a major cause of childhood death in resource-poor countries, killing approximately 760,000 children younger than 5 years each year. Although deaths due to diarrhea have declined dramatically, high rates of stunting and malnutrition have persisted. Environmental enteric dysfunction (EED) is a subclinical condition caused by constant fecal-oral contamination with resultant intestinal inflammation and villous blunting. These histological changes were first described in the 1960s, but the clinical effect of EED is only just being recognized in the context of failure of nutritional interventions and oral vaccines in resource-poor countries. We review the existing literature regarding the underlying causes of and potential interventions for EED in children, highlighting the epidemiology, clinical and histologic classification of the entity, and discussing novel biomarkers and possible therapies. Future research priorities are also discussed.

  12. [Updating enteral feeding by catheter]. (United States)

    Rodríguez, T; Planas, M


    Intestinal nutrition can be administered orally or by means of a catheter; the latter method is the focus of this article. The authors' objective is to provide up-to-date information in a succinct manner about the enteral feeding technique. The authors hope health professionals know the advantages as well as the inconveniences of the latest intestinal nutrition advances regarding access ways and the means to administer these. Intestinal nutrition formulas will not be dealt with in this article. However, a health professional should know that there is a wide variety of diets available depending on the complexity of macronutrients included in a diet, the quantity of proteins in a mixture, and that these are designed, in addition to feeding, to treat the specific pathological process a patient suffers from, such as diabetes of cancer.

  13. A Map Enters the Conversation

    DEFF Research Database (Denmark)

    Munk, Anders Kristian

    Over the past decade STS scholars have been engaged in a continuous dialogue about the performativity of their methods and the interventions of their research practices. A frequently posed question is how STS can make a difference to its fields of study, what John Law has called its different...... 'modes of mattering'. In this paper I explore what difference digital cartography can make to STS practice. I draw on three examples from my own work where digitally mediated maps have entered the conversation and made critical, often surprising, differences to the research process. In my first example...... the map is brought along as an ethnographic device on a piece of fieldwork, in my second example it serves as the central collaborative object in a participatory design project, and in my third example the map becomes the object of contestation as it finds itself centre stage in the controversy...

  14. Enteral Feeding Set Handling Techniques. (United States)

    Lyman, Beth; Williams, Maria; Sollazzo, Janet; Hayden, Ashley; Hensley, Pam; Dai, Hongying; Roberts, Cristine


    Enteral nutrition therapy is common practice in pediatric clinical settings. Often patients will receive a pump-assisted bolus feeding over 30 minutes several times per day using the same enteral feeding set (EFS). This study aims to determine the safest and most efficacious way to handle the EFS between feedings. Three EFS handling techniques were compared through simulation for bacterial growth, nursing time, and supply costs: (1) rinsing the EFS with sterile water after each feeding, (2) refrigerating the EFS between feedings, and (3) using a ready-to-hang (RTH) product maintained at room temperature. Cultures were obtained at baseline, hour 12, and hour 21 of the 24-hour cycle. A time-in-motion analysis was conducted and reported in average number of seconds to complete each procedure. Supply costs were inventoried for 1 month comparing the actual usage to our estimated usage. Of 1080 cultures obtained, the overall bacterial growth rate was 8.7%. The rinse and refrigeration techniques displayed similar bacterial growth (11.4% vs 10.3%, P = .63). The RTH technique displayed the least bacterial growth of any method (4.4%, P = .002). The time analysis in minutes showed the rinse method was the most time-consuming (44.8 ± 2.7) vs refrigeration (35.8 ± 2.6) and RTH (31.08 ± 0.6) ( P < .0001). All 3 EFS handling techniques displayed low bacterial growth. RTH was superior in bacterial growth, nursing time, and supply costs. Since not all pediatric formulas are available in RTH, we conclude that refrigerating the EFS between uses is the next most efficacious method for handling the EFS between bolus feeds.

  15. Syndromic diarrhea/Tricho-hepato-enteric syndrome. (United States)

    Fabre, Alexandre; Martinez-Vinson, Christine; Goulet, Olivier; Badens, Catherine


    Syndromic diarrhea/Tricho-hepato-enteric syndrome (SD/THE) is a rare and severe bowel disorder caused by mutation in SKIV2L or in TTC37, 2 genes encoding subunits of the putative human SKI complex. The estimated prevalence is 1/1,000,000 births and the transmission is autosomal recessive. The classical form is characterized by 5 clinical signs: intractable diarrhea of infancy beginning in the first month of life, usually leading to failure to thrive and requiring parenteral nutrition; facial dysmorphism characterised by prominent forehead and cheeks, broad nasal root and hypertelorism; hair abnormalities described as woolly and easily removable; immune disorders resulting from defective antibody production; intrauterine growth restriction. The aetiology is a defect in TTC37, a TPR containing protein, or in the RNA helicase SKIV2L, both constituting the putative human ski complex. The ski complex is a heterotetrameric cofactor of the cytoplasmic RNA exosome which ensures aberrants mRNAs decay. The diagnosis SD/THE is initially based on clinical findings and confirmed by direct sequencing of TTC37 and SKIV2L. Differential diagnosis with the other causes of intractable diarrhea is easily performed by pathologic investigations. During their clinical course, most of the children require parenteral nutrition and often immunoglobulin supplementation. With time, some of them can be weaned off parenteral nutrition and immunoglobulin supplementation. The prognosis depends on the management and is largely related to the occurrence of parenteral nutrition complications or infections. Even with optimal management, most of the children seem to experience failure to thrive and final short stature. Mild mental retardation is observed in half of the cases.

  16. Enteral Nutrition and Care of Risky Newborns

    Directory of Open Access Journals (Sweden)

    Ebru Kilicarslan Toruner


    Full Text Available Making appropriate and effective enteral feeding is decreasing the morbidity and mortality rates of risky newborns. Most important problems during enteral feeding in risky newborns are realizing the enteral feeding needs late, not following enteral feeding protocols and errors in medical practices (misconnections etc.. The aim of this review article is to describe the gastrointestinal development, nutrition requirements, enteral nutrition, feeding intolerance and care of risky newborns. Increasing the awareness of health care professionals about this topic is promoted the quality of care in risky newborns. [J Contemp Med 2013; 3(3.000: 227-233


    Directory of Open Access Journals (Sweden)



    Full Text Available AIM : To detect abnormal waveforms in uterine artery in pregnancies at risk between 20 to 24 weeks of gestation and to measure Resistance index (RI and systolic/diastolic ratio(S/D of these waveforms in study population and to study correlation of Doppler dat a with adverse pregnancy outcome. METHODS : This is a prospective study included Doppler analysis of uterine artery waveforms in 107 normotensive women with singleton pregnancy between 20 to24 weeks of period of gestation who were considered to be at increa sed risk of developing pregnancy complications. Women with Multiple gestation, with congenital anomaly of fetus, chronic hypertension, renal disease, cardiac disease, Diabetes Mellitus were excluded from the study. Bilateral uterine artery Doppler was done and Parameters studied were S/D ratio and RI in uterine artery. Early diastolic notch in uterine artery was watched for. The flow velocity waveforms considered abnormal if there was an early diastolic notch in uterine artery in either right or left uterin e artery was watched for abnormal pregnancy outcomes considered are Gestational hypertension, Pre - eclampsia IUGR, Abruptio placentae, IUD and preterm deliveries. RESULTS : minimum women were aged 21 – 25 year with minimum of 18 years and maximum of 36 years, 28% were primigravidae while 72% were multigravidae mean gestational age of which scan was done was 22 wks 1 day (20 - 24 minimum gestational age at time of delivery was 28 wks of gestation 70% women were delivered vaginally and 30% LSCS. 7% women developed Gestational Hypertension, 5% developed Preeclampsia, 8% neonates with IUGR, 3% developed Placental Abruption while 4% had IUD and 8% had Preterm deliveries. CONCLUSION : Abnormal uterine artery Doppler studies in second trimester have been associated with subsequent adverse pregnancy out comes including Preeclampsia IUGR and perinatal mortality. Doppler velocimetry is a primary tool for fetomaternal surveillance in high

  18. Ultrasonography with color Doppler and power Doppler in the diagnosis of periapical lesions

    Directory of Open Access Journals (Sweden)

    Sumit Goel


    Full Text Available Aim: To evaluate the efficacy of ultrasonography (USG with color Doppler and power Doppler applications over conventional radiography in the diagnosis of periapical lesions. Materials and Methods: Thirty patients having inflammatory periapical lesions of the maxillary or mandibular anterior teeth and requiring endodontic surgery were selected for inclusion in this study. All patients consented to participate in the study. We used conventional periapical radiographs as well as USG with color Doppler and power Doppler for the diagnosis of these lesions. Their diagnostic performances were compared against histopathologic examination. All data were compared and statistically analyzed. Results: USG examination with color Doppler and power Doppler identified 29 (19 cysts and 10 granulomas of 30 periapical lesions accurately, with a sensitivity of 100% for cysts and 90.91% for granulomas and a specificity of 90.91% for cysts and 100% for granulomas. In comparison, conventional intraoral radiography identified only 21 lesions (sensitivity of 78.9% for cysts and 45.4% for granulomas and specificity of 45.4% for cysts and 78.9% for granulomas. There was definite correlation between the echotexture of the lesions and the histopathological features except in one case. Conclusions: USG imaging with color Doppler and power Doppler is superior to conventional intraoral radiographic methods for diagnosing the nature of periapical lesions in the anterior jaws. This study reveals the potential of USG examination in the study of other jaw lesions.

  19. A Rare Stapes Abnormality

    Directory of Open Access Journals (Sweden)

    Hala Kanona


    Full Text Available The aim of this study is to increase awareness of rare presentations, diagnostic difficulties alongside management of conductive hearing loss and ossicular abnormalities. We report the case of a 13-year-old female reporting progressive left-sided hearing loss and high resolution computed tomography was initially reported as normal. Exploratory tympanotomy revealed an absent stapedius tendon and lack of connection between the stapes superstructure and footplate. The footplate was fixed. Stapedotomy and stapes prosthesis insertion resulted in closure of the air-bone gap by 50 dB. A review of world literature was performed using MedLine. Middle ear ossicular discontinuity can result in significant conductive hearing loss. This can be managed effectively with surgery to help restore hearing. However, some patients may not be suitable or decline surgical intervention and can be managed safely conservatively.

  20. Enteric neuropathology of congenital intestinal obstruction: A case report

    Institute of Scientific and Technical Information of China (English)

    Giovanni Di Nardo; Rosanna Cogliandro; Cesare Cremon; Alessandra Gori; Roberto Corinaldesi; Kenton M Sanders; Roberto De Giorgio; Vincenzo Stanghellini; Salvatore Cucchiara; Giovanni Barbara; Gianandrea Pasquinelli; Donatella Santini; Cristina Felicani; Gianluca Grazi; Antonio D Pinna


    Experimental evidence indicates that chronic mechanical sub-occlusion of the intestine may damage the enteric nervous system (ENS), although data in humans are lacking. We here describe the first case of enteric degenerative neuropathy related to a congenital obstruction of the gut. A 3-year and 9-mo old girl began to complain of vomiting, abdominal distension, constipation with air-fluid levels at plane abdominal radiology.Her subsequent medical history was characterized by 3 operations: the first showed dilated duodeno-jejunal loops in the absence of occlusive lesions; the second (2 years later) was performed to obtain full-thickness biopsies of the dilated intestinal loops and revealed hyperganglionosis at histopathology; the third (9 years after the hyperganglionosis was identified) disclosed a Ladd's band which was removed and the associated gut malrotation was corrected. Repeated intraoperative full-thickness biopsies showed enteric degenerative neuropathy along with reduced interstitial cells of Cajal network in dilated loops above the obstruction and a normal neuromuscular layer below the Ladd's band. One year after the latest surgery the patient tolerated oral feeding and did well, suggesting that congenital (partial) mechanical obstruction of the small bowel in humans can evoke progressive adaptive changes of the ENS which are similar to those found in animal models of intestinal mechanical occlusion. Such ENS changes mimic neuronal abnormalities observed in intestinal pseudoobstruction.

  1. Development of the doppler electron velocimeter: theory.

    Energy Technology Data Exchange (ETDEWEB)

    Reu, Phillip L.


    Measurement of dynamic events at the nano-scale is currently impossible. This paper presents the theoretical underpinnings of a method for making these measurements using electron microscopes. Building on the work of Moellenstedt and Lichte who demonstrated Doppler shifting of an electron beam with a moving electron mirror, further work is proposed to perfect and utilize this concept in dynamic measurements. Specifically, using the concept of ''fringe-counting'' with the current principles of transmission electron holography, an extension of these methods to dynamic measurements is proposed. A presentation of the theory of Doppler electron wave shifting is given, starting from the development of the de Broglie wave, up through the equations describing interference effects and Doppler shifting in electron waves. A mathematical demonstration that Doppler shifting is identical to the conceptually easier to understand idea of counting moving fringes is given by analogy to optical interferometry. Finally, potential developmental experiments and uses of a Doppler electron microscope are discussed.

  2. CERN openlab enters new phase

    CERN Multimedia

    Katarina Anthony


    The newest phase of CERN’s openlab framework was inaugurated this week during a meeting of the openlab partners. This phase will last three years and will bring together existing openlab partners and a new contributor: Huawei.   Group picture taken at the first CERN openlab IV annual Board of Sponsors meeting, in the presence of the CERN Director-General, the partners and the openlab team members. © Fons Rademakers (CERN Photo Club). Eleven years ago, the creation of the CERN openlab created a long-term link between industrial partners and the Organization. Its framework has allowed industry to carry out large-scale IT research and development in an open atmosphere – an “Open Lab”, if you will. For CERN, openlab has contributed to giving the computing centre and, more broadly, the LHC community, the opportunity to ensure that the next generation of services and products is suitable to their needs. Now entering its fourth phase, openlab will ...

  3. [Secondary aorto-enteric fistula]. (United States)

    Giordanengo, F; Boneschi, M; Miani, S; Erba, M; Beretta, L


    Aortic graft fistula is a rare and life-threatening complication after aortic reconstruction. The incidence ranges from 0.5 to 4%, and even if the diagnosis and treatment is appropriate, the results of surgery are poor: mortality rate ranges from 14 to 70%. The optimal method of treatment is still controversial; prosthetic removal and extra-anatomic bypass has been advocated as the standard method, but more recently, because the high mortality rate associated with this procedure, some have prompted to recommend in situ aortic graft replacement as a more successful treatment. Personal experience with incidence (0.7%) outcome and mortality (57%) in 7 patients treated over a period of 6 years (1990-1996) is reported. Results from this group are compared with another group (6 patients) previously treated (1975-1982) for the same pathology. Our results after 10 years, show the same incidence (0.7 vs 0.6%) and an elevated and unchanged mortality (57 vs 66%). Better results in the management of aorto-enteric fistulas could be achieved with the removal of infected infrarenal aortic prosthetic grafts and in situ homografts replacement.

  4. The ARMA model's pole characteristics of Doppler signals from the carotid artery and their classification application

    Institute of Scientific and Technical Information of China (English)

    CHEN Xi; WANG Yuanyuan; ZHANG Yu; WANG Weiqi


    In order to diagnose the cerebral infarction, a classification system based onthe ARMA model and BP (Back-Propagation) neural network is presented to analyzeblood flow Doppler signals from the carotid artery. In this system, an ARMA modelis first used to analyze the audio Doppler blood flow signals from the carotid artery.Then several characteristic parameters of the pole's distribution are estimated. Afterstudies of these characteristic parameters' sensitivity to the textcolor cerebral infarctiondiagnosis, a BP neural network using sensitive parameters is established to classify thenormal or abnormal state of the cerebral vessel. With 474 cases used to establish theappropriate neural network, and 52 cases used to test the network, the results showthat the correct classification rate of both training and testing are over 94%. Thus thissystem is useful to diagnose the cerebral infarction.

  5. Diabetic Nephropathy : Evaluation with Doppler Ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Sim, Jung Suk; Kim, Seung Hyup; Kang, Heung Sik; Park, Jae Hyung; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    To compare Doppler ultrasonography with laboratory tests in evaluation of diabetic nephropathy. Fifty-five patients (mean age = 60, M : F = 26 : 29) with diabetes mellitus underwent renal Doppler ultrasonography. Resistive indices were compared with degree of proteinuria, serum creatinine level, and creatinine clearance rate. Eighteen patients who showed no proteinuria or microscopic proteinuria had a mean resistive index (RI) of 0.72 (SD, 0.05), 16 patients with macroscopic proteinuria without nephrotic syndrome had a mean RI of 0.82 (SD, 0.13), and 21 patients with nephrotic syndrome had a mean RI of 0.90 (SD, 0.12). Renal RI correlated highly with serum creatinine level (r = 0.62) and creatinine clearance rate (r = -0.43). Renal Doppler ultrasonography provides a useful indication of renal function in diabetic nephropathy but cannot offer an advantage over conventional laboratory test

  6. Wide Angle Michelson Doppler Imaging Interferometer (WAMDII) (United States)

    Roberts, B.


    The wide angle Michelson Doppler imaging interferometer (WAMDII) is a specialized type of optical Michelson interferometer working at sufficiently long path difference to measure Doppler shifts and to infer Doppler line widths of naturally occurring upper atmospheric Gaussian line emissions. The instrument is intended to measure vertical profiles of atmospheric winds and temperatures within the altitude range of 85 km to 300 km. The WAMDII consists of a Michelson interferometer followed by a camera lens and an 85 x 106 charge coupled device photodiode array. Narrow band filters in a filter wheel are used to isolate individual line emissions and the lens forms an image of the emitting region on the charge coupled device array.

  7. Color Doppler ultrasonography evaluation of amblyopia

    Directory of Open Access Journals (Sweden)

    Ece Turan-Vural


    Full Text Available AIM: To assess the hemodynamic changes in the extraocular orbital vessels of amblyopic patients in comparison with non-amblyopic fellow eyes, using color Doppler ultrasonography(CDU. METHODS: Thirty-six eyes of 18 pediatric patients were included in the study(20 amblyopic, 16 normal. All eyes underwent color Doppler ultrasonography examination of ophthalmic artery, central retinal artery, and posterior ciliary artery. RESULTS: The only differences between the two groups with regard to color Doppler ultrasonography parameters was the significantly lower peak systolic velocity(32.70±11.60 vs 55.01±11.68, P=0.001and end-diastolic velocity(6.83±1.91 vs 13.99±4.15, P=0.001for ophthalmic artery in amblyopic eyes.CONCLUSION: Our study showed amblyopic eyes may present a decrease in retrobulbar blood flow velocity.

  8. Conservative management of placenta previa complicated by abnormal placentation. (United States)

    Bręborowicz, Grzegorz H; Markwitz, Wiesław; Gaca, Michał; Koziołek, Agnieszka; Ropacka-Lesiak, Mariola; Dera, Anna; Brych, Mariusz; Szymankiewicz-Bręborowicz, Marta; Kruszyński, Grzegorz; Gruca-Stryjak, Karolina; Madejczyk, Mateusz; Szpera-Goździewicz, Agata; Krzyścin, Mariola


    Abnormal implantation of placenta previa is life-threatening condition. The purpose of this study was to evaluate the impact of the conservative management of pregnancies with such complication on maternal morbidity rate and the chance for uterine preservation (fertility). Eleven patients with abnormal implantation of placenta previa were analyzed prospectively. This complication was diagnosed antenatally by two-dimensional ultrasound and color flow Doppler. The following outcomes were analyzed: need for blood transfusion, admission and duration of stay in intensive care unit, infections, coagulopathies, time between cesarean section and delivery of placenta, hysterectomy and preservation of uterus. Among the 20 085 women who had a singleton gestation, 11 (0.054%) were identified with placenta previa with abnormal placentation. In five patients (group A), hysterectomy was performed because of hemorrhage or placenta ablation. In six patients (group B), conservative management succeeded and placenta were preserved. In group A, placenta were delivered earlier (2 d-8 weeks) in comparison with group B (6-15 weeks). Estimated blood loss during the delayed delivery of placenta was higher in the group with hysterectomy (respectively, 450-1600 and 300-500 ml). Conservative management of placenta previa with abnormal implantation decreases the risk of severe hemorrhage at the time of delivery and can preserve fertility.

  9. Disease-specific alterations in the enteric virome in inflammatory bowel disease. (United States)

    Norman, Jason M; Handley, Scott A; Baldridge, Megan T; Droit, Lindsay; Liu, Catherine Y; Keller, Brian C; Kambal, Amal; Monaco, Cynthia L; Zhao, Guoyan; Fleshner, Phillip; Stappenbeck, Thaddeus S; McGovern, Dermot P B; Keshavarzian, Ali; Mutlu, Ece A; Sauk, Jenny; Gevers, Dirk; Xavier, Ramnik J; Wang, David; Parkes, Miles; Virgin, Herbert W


    Decreases in the diversity of enteric bacterial populations are observed in patients with Crohn's disease (CD) and ulcerative colitis (UC). Less is known about the virome in these diseases. We show that the enteric virome is abnormal in CD and UC patients. In-depth analysis of preparations enriched for free virions in the intestine revealed that CD and UC were associated with a significant expansion of Caudovirales bacteriophages. The viromes of CD and UC patients were disease and cohort specific. Importantly, it did not appear that expansion and diversification of the enteric virome was secondary to changes in bacterial populations. These data support a model in which changes in the virome may contribute to intestinal inflammation and bacterial dysbiosis. We conclude that the virome is a candidate for contributing to, or being a biomarker for, human inflammatory bowel disease and speculate that the enteric virome may play a role in other diseases.

  10. Utility of doppler derived middle cerebral artery: peak systolic velocity and pulsatility index in prediction of perinatal outcomes of IUGR pregnancies

    Directory of Open Access Journals (Sweden)

    Surbhi Gupta


    Conclusions: Fetal MCA-PSV appears to be a reliable indicator of adverse perinatal outcome in growth restricted fetuses thus implying that abnormality in MCA-PSV warrants stringent monitoring. Serial Doppler examinations of fetal MCA-PSV provide better information than does a single measurement. [Int J Reprod Contracept Obstet Gynecol 2016; 5(9.000: 3017-3021

  11. Syndromic diarrhea/Tricho-hepato-enteric syndrome

    Directory of Open Access Journals (Sweden)

    Fabre Alexandre


    Full Text Available Abstract Syndromic diarrhea/Tricho-hepato-enteric syndrome (SD/THE is a rare and severe bowel disorder caused by mutation in SKIV2L or in TTC37, 2 genes encoding subunits of the putative human SKI complex. The estimated prevalence is 1/1,000,000 births and the transmission is autosomal recessive. The classical form is characterized by 5 clinical signs: intractable diarrhea of infancy beginning in the first month of life, usually leading to failure to thrive and requiring parenteral nutrition; facial dysmorphism characterised by prominent forehead and cheeks, broad nasal root and hypertelorism; hair abnormalities described as woolly and easily removable; immune disorders resulting from defective antibody production; intrauterine growth restriction. The aetiology is a defect in TTC37, a TPR containing protein, or in the RNA helicase SKIV2L, both constituting the putative human ski complex. The ski complex is a heterotetrameric cofactor of the cytoplasmic RNA exosome which ensures aberrants mRNAs decay. The diagnosis SD/THE is initially based on clinical findings and confirmed by direct sequencing of TTC37 and SKIV2L. Differential diagnosis with the other causes of intractable diarrhea is easily performed by pathologic investigations. During their clinical course, most of the children require parenteral nutrition and often immunoglobulin supplementation. With time, some of them can be weaned off parenteral nutrition and immunoglobulin supplementation. The prognosis depends on the management and is largely related to the occurrence of parenteral nutrition complications or infections. Even with optimal management, most of the children seem to experience failure to thrive and final short stature. Mild mental retardation is observed in half of the cases. Abstract in French Les diarrhées syndromiques ou syndrome tricho-hepato-enterique (SD/THE sont un syndrome rare et sévère dont l’incidence est estimée à 1 cas pour 1 million de naissances et la

  12. Syndromic diarrhea/Tricho-hepato-enteric syndrome (United States)


    Abstract Syndromic diarrhea/Tricho-hepato-enteric syndrome (SD/THE) is a rare and severe bowel disorder caused by mutation in SKIV2L or in TTC37, 2 genes encoding subunits of the putative human SKI complex. The estimated prevalence is 1/1,000,000 births and the transmission is autosomal recessive. The classical form is characterized by 5 clinical signs: intractable diarrhea of infancy beginning in the first month of life, usually leading to failure to thrive and requiring parenteral nutrition; facial dysmorphism characterised by prominent forehead and cheeks, broad nasal root and hypertelorism; hair abnormalities described as woolly and easily removable; immune disorders resulting from defective antibody production; intrauterine growth restriction. The aetiology is a defect in TTC37, a TPR containing protein, or in the RNA helicase SKIV2L, both constituting the putative human ski complex. The ski complex is a heterotetrameric cofactor of the cytoplasmic RNA exosome which ensures aberrants mRNAs decay. The diagnosis SD/THE is initially based on clinical findings and confirmed by direct sequencing of TTC37 and SKIV2L. Differential diagnosis with the other causes of intractable diarrhea is easily performed by pathologic investigations. During their clinical course, most of the children require parenteral nutrition and often immunoglobulin supplementation. With time, some of them can be weaned off parenteral nutrition and immunoglobulin supplementation. The prognosis depends on the management and is largely related to the occurrence of parenteral nutrition complications or infections. Even with optimal management, most of the children seem to experience failure to thrive and final short stature. Mild mental retardation is observed in half of the cases. Abstract in French Les diarrhées syndromiques ou syndrome tricho-hepato-enterique (SD/THE) sont un syndrome rare et sévère dont l’incidence est estimée à 1 cas pour 1 million de naissances et la transmission

  13. Enteric pathogens and soil: a short review. (United States)

    Santamaría, Johanna; Toranzos, Gary A


    It is known that soil is a recipient of solid wastes able to contain enteric pathogens in high concentrations. Although the role of soil as a reservoir of certain bacterial pathogens is not in question, recent findings show that soil may have a larger role in the transmission of enteric diseases than previously thought. Many of the diseases caused by agents from soil have been well characterized, although enteric diseases and their link to soil have not been so well studied. Gastrointestinal infections are the most common diseases caused by enteric bacteria. Some examples are salmonellosis ( Salmonella sp.), cholera ( Vibrio cholerae), dysentery ( Shigella sp.) and other infections caused by Campylobacter jejuni, Yersinia sp. and Escherichia coli O157:H7 and many other strains. Viruses are the most hazardous and have some of the lowest infectious doses of any of the enteric pathogens. Hepatitis A, hepatitis E, enteric adenoviruses, poliovirus types 1 and 2, multiple strains of echoviruses and coxsackievirus are enteric viruses associated with human wastewater. Among the most commonly detected protozoa in sewage are Entamoeba histolytica, Giardia intestinalis and Cryptosporidium parvum. This article reviews the existing literature of more than two decades on waste disposal practices that favor the entry of enteric pathogens to soil and the possible consequent role of the soil as a vector and reservoir of enteric pathogens.

  14. Pulsed photoacoustic Doppler flow measurements in blood-mimicking phantoms (United States)

    Brunker, J.; Beard, P.


    The feasibility of making spatially resolved measurements of blood flow using pulsed photoacoustic Doppler techniques has been explored. Doppler time shifts were quantified via cross-correlation of pairs of photoacoustic waveforms generated within a blood-simulating phantom using pairs of laser light pulses. The photoacoustic waves were detected using a focussed or planar PZT ultrasound transducer. For each flow measurement, a series of 100 waveform pairs was collected. Previous data processing methods involved rejection of poorly correlated waveform pairs; the modal velocity value and standard deviation were then extracted from the selected distribution of velocity measurements. However, the data selection criteria used in this approach is to some extent arbitrary. A new data analysis protocol, which involves averaging the 100 cross-correlation functions and thus uses all of the measured data, has been designed in order to prevent exclusion of outliers. This more rigorous approach has proved effective for quantifying the linear motion of micron-scale absorbers imprinted on an acetate sheet moving with velocities in the range 0.14 to 1.25 ms-1. Experimental parameters, such as the time separation between the laser pulses and the transducer frequency response, were evaluated in terms of their effect on the accuracy, resolution and range of measurable velocities. The technique was subsequently applied to fluid phantoms flowing at rates less than 5 mms-1 along an optically transparent tube. Preliminary results are described for three different suspensions of phenolic resin microspheres, and also for whole blood. Velocity information was obtained even under non-optimal conditions using a low frequency transducer and a low pulse repetition frequency. The distinguishing advantage of pulsed rather than continuous-wave excitation is that spatially resolved velocity measurements can be made. This offers the prospect of mapping flow within the microcirculation and thus

  15. Observation of the inverse Doppler effect. (United States)

    Seddon, N; Bearpark, T


    We report experimental observation of an inverse Doppler shift, in which the frequency of a wave is increased on reflection from a receding boundary. This counterintuitive effect has been produced by reflecting a wave from a moving discontinuity in an electrical transmission line. Doppler shifts produced by this system can be varied in a reproducible manner by electronic control of the transmission line and are typically five orders of magnitude greater than those produced by solid objects with kinematic velocities. Potential applications include the development of tunable and multifrequency radiation sources.

  16. Reversed Doppler effect in photonic crystals. (United States)

    Reed, Evan J; Soljacić, Marin; Joannopoulos, John D


    Nonrelativistic reversed Doppler shifts have never been observed in nature and have only been speculated to occur in pathological systems with simultaneously negative effective permittivity and permeability. This Letter presents a different, new physical phenomenon that leads to a nonrelativistic reversed Doppler shift in light. It arises when light is reflected from a moving shock wave propagating through a photonic crystal. In addition to reflection of a single frequency, multiple discrete reflected frequencies or a 10 GHz periodic modulation can also be observed when a single carrier frequency of wavelength 1 microm is incident.

  17. Preprocessing of ionospheric echo Doppler spectra

    Institute of Scientific and Technical Information of China (English)

    FANG Liang; ZHAO Zhengyu; WANG Feng; SU Fanfan


    The real-time information of the distant ionosphere can be acquired by using the Wuhan ionospheric oblique backscattering sounding system(WIOBSS),which adopts a discontinuous wave mechanism.After the characteristics of the ionospheric echo Doppler spectra were analyzed,the signal preprocessing was developed in this paper,which aimed at improving the Doppler spectra.The results indicate that the preprocessing not only makes the system acquire a higher ability of target detection but also suppresses the radio frequency interference by 6-7 dB.

  18. Optical Doppler shift with structured light. (United States)

    Belmonte, Aniceto; Torres, Juan P


    When a light beam with a transverse spatially varying phase is considered for optical remote sensing, in addition to the usual longitudinal Doppler frequency shift of the returned signal induced by the motion of the scatter along the beam axis, a new transversal Doppler shift appears associated to the motion of the scatterer in the plane perpendicular to the beam axis. We discuss here how this new effect can be used to enhance the current capabilities of optical measurement systems, adding the capacity to detect more complex movements of scatters.

  19. Magnetic Doppler Imaging of Active Stars

    CERN Document Server

    Kochukhov, O


    We present a new implementation of the magnetic Doppler imaging technique, which aims at self-consistent temperature and magnetic mapping of the surface structures in cool active stars. Our magnetic imaging procedure is unique in its capability to model individual spectral features in all four Stokes parameters. We discuss performance and intrinsic limitations of the new magnetic Doppler imaging method. A special emphasis is given to the simultaneous modelling of the magnetically sensitive lines in the optical and infrared regions and to combining information from both atomic and molecular spectral features. These two techniques may, for the first time, give us a tool to study magnetic fields in the starspot interiors.

  20. Autoshaping of abnormal children. (United States)

    Deckner, C W; Wilcox, L M; Maisto, S A; Blanton, R L


    Three experimentally naive abnormal children were exposed to a terminal operant contingency, i.e., reinforcement was delivered only if the children pressed a panel during intervals when it was lighted. Despite the absence of both successive approximation and manual shaping, it was found that each child began to respond discriminatively within a small number of trials. These data replicated previous animal studies concerned with the phenomena of autoshaping and signal-controlled responding. It was also found, however, that one type of autoshaping, the classical conditioning procedure, had a powerful suppressive effect on the discriminative responding. An experimental analysis that consisted procedure, had a powerful suppressive effect on discriminative responding. An experimental analysis that consisted of intrasubject reversal an multiple baseline designs established the internal validity of the findings. The finding of rapid acquisition of signal-controlled responding obtained with the initial procedure is suggessted to have practical significance. The disruptive effects of the classical form of autoshaping are discussed in terms of negative behavioral contrast.

  1. Communication and abnormal behaviour. (United States)

    Crown, S


    In this paper the similarities between normal and abnormal behaviour are emphasized and selected aspects of communication, normal and aberrant, between persons are explored. Communication in a social system may be verbal or non-verbal: one person's actions cause a response in another person. This response may be cognitive, behavioural or physiological. Communication may be approached through the individual, the social situation or social interaction. Psychoanalysis approaches the individual in terms of the coded communications of psychoneurotic symptoms or psychotic behaviour; the humanist-existential approach is concerned more with emotional expression. Both approaches emphasize the development of individual identity. The interaction between persons and their social background is stressed. Relevant are sociological concepts such as illness behaviour, stigma, labelling, institutionalization and compliance. Two approaches to social interactions are considered: the gamesplaying metaphor, e.g. back pain as a psychosocial manipulation--the 'pain game'; and the 'spiral of reciprocal perspectives' which emphasizes the interactional complexities of social perceptions. Communicatory aspects of psychological treatments are noted: learning a particular metaphor such as 'resolution' of the problem (psychotherapy), learning more 'rewarding' behaviour (learning theory) or learning authenticity or self-actualization (humanist-existential).

  2. Transcranial Doppler screening in sickle cell disease: The implications of using peak systolic criteria

    Institute of Scientific and Technical Information of China (English)

    Lena; N; Naffaa; Yasmeen; K; Tandon; Neville; Irani


    AIM: To compare time average maximum mean velocity(TAMV) and peak systolic velocity(PSV) criteria of Trans Cranial Doppler(TCD) in their ability to predict abnormalities on magnetic resonance imaging(MRI)/magnetic resonance angiogram(MRA) in patients with sickle cell disease. METHODS: A retrospective evaluation was performed of the outcomes in all patients with a Transcranial Doppler examination at our institution since the implementation of the hospital picture archiving and communication system(PACS) system in January 2003 through December 2012. All ultrasound imaging exams were performed by the same technologist with a 3 MHz transducer. Inclusion criteria was based upon the Transcranial Doppler procedure code in our PACS which had an indication of sickle cell disease in the history. The patient’s age and gender along with the vessel with the highest time averaged mean velocity as well as the highest peak systolic velocity was recorded for analysis. A subset of the study cohort also had subsequent MR imaging and Angiograms performed within 6 mo of the TCD examination. MRI results were categorized as having a disease related abnormality(vessel narrowing, collateral formation/moya-moya, or abnormal fluid attenuation inversion recovery signal in parenchyma indicative of prior stroke) or normal. The MRI results formed the comparison standards for TCD exams in evaluating intracranial injury. Sensitivity and specificity for the two TCD criteria(TAMV and PSV) were calculated to determine which could be a better predictor for intracranial vasculopathy /clinically occult strokes.RESULTS: The study cohort for our institution was 110patients with a total of 291 TCD examinations. These patients had a mean age of 7.6 years with a range from 2-18 years of age. Sixty-two of the 110 patients(56%) had two or more TCD exams. Thirty-seven patients(34%) had at least one MRI following a TCD examination. Of the 291 TCD examinations, 46(16%) were conditional or abnormal by TAMV

  3. Abnormally dark or light skin (United States)

    Hyperpigmentation; Hypopigmentation; Skin - abnormally light or dark ... Normal skin contains cells called melanocytes. These cells produce melanin , the substance that gives skin its color. Skin with ...

  4. Operational Bright-Band Snow Level Detection Using Doppler Radar (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A method to detect the bright-band snow level from radar reflectivity and Doppler vertical velocity data collection with an atmospheric profiling Doppler radar. The...

  5. ISAR imaging using the instantaneous range instantaneous Doppler method

    CSIR Research Space (South Africa)

    Wazna, TM


    Full Text Available In Inverse Synthetic Aperture Radar (ISAR) imaging, the Range Instantaneous Doppler (RID) method is used to compensate for the nonuniform rotational motion of the target that degrades the Doppler resolution of the ISAR image. The Instantaneous Range...

  6. Fish embryo multimodal imaging by laser Doppler digital holography

    CERN Document Server

    Verrier, Nicolas; Picart, Pascal; Gross, Michel


    A laser Doppler imaging scheme combined to an upright microscope is proposed. Quantitative Doppler imaging in both velocity norm and direction, as well as amplitude contrast of either zebrafish flesh or vasculature is demonstrated.

  7. Postural Abnormality as a Risk Marker for Leg Deep Venous Thrombosis in Parkinson’s Disease


    Kazushi Yamane; Fumiharu Kimura; Kiichi Unoda; Takafumi Hosokawa; Takahiko Hirose; Hiroki Tani; Yoshimitsu Doi; Simon Ishida; Hideto Nakajima; Toshiaki Hanafusa


    BACKGROUND: Pulmonary thromboembolism is a common cause of death in patients with autopsy-confirmed Parkinsonism. This study investigated the incidence of leg deep vein thrombosis in Parkinson's disease and relationships between deep vein thrombosis and clinical/laboratory findings, including postural abnormalities as assessed by photographic measurements. METHODS: This cross-sectional study assessed the presence of deep vein thrombosis using bilateral leg Doppler ultrasonography in 114 asymp...

  8. Abnormal placentation: evidence-based diagnosis and management of placenta previa, placenta accreta, and vasa previa. (United States)

    Rao, Kiran Prabhaker; Belogolovkin, Victoria; Yankowitz, Jerome; Spinnato, Joseph A


    Placenta previa, placenta accreta, and vasa previa cause significant maternal and perinatal morbidity and mortality. With the increasing incidence of both cesarean delivery and pregnancies using assisted reproductive technology, these 3 conditions are becoming more common. Advances in grayscale and Doppler ultrasound have facilitated prenatal diagnosis of abnormal placentation to allow the development of multidisciplinary management plans to achieve the best outcomes for mother and baby. We present a comprehensive review of the literature on abnormal placentation including an evidence-based approach to diagnosis and management.

  9. Cardiac abnormalities assessed by non-invasive techniques in patients with newly diagnosed idiopathic inflammatory myopathies

    DEFF Research Database (Denmark)

    Diederichsen, Louise Pyndt; Simonsen, Jane Angel; Diederichsen, Axel Cosmus Pyndt;


    , cardiac troponin-I (TnI), electrocardiogram (standard 12-lead and 48-h Holter monitoring), echocardiography with tissue Doppler measures, cardiac magnetic resonance (CMR) imaging with T2 mapping and semi-quantitative (99m)technetium pyrophosphate ((99m)Tc-PYP) scintigraphy. RESULTS: Dyspnoea was present....... The myocardial (99m)Tc-PYP uptake and CMR results differed between patients and controls, albeit not with statistical significance. Overall, cardiac abnormalities were demonstrated in 9 (64%) of the patients versus 2 (14%) of the controls (p=0.02). CONCLUSIONS: Cardiac abnormalities assessed by TnI, ECG...

  10. Photoacoustic Doppler flow measurement in optically scattering media (United States)

    Fang, Hui; Maslov, Konstantin; Wang, Lihong V.


    We recently observed the photoacoustic Doppler effect from flowing small light-absorbing particles. Here, we apply the effect to measure blood-mimicking fluid flow in an optically scattering medium. The light scattering in the medium decreases the amplitude of the photoacoustic Doppler signal but does not affect either the magnitude or the directional discrimination of the photoacoustic Doppler shift. This technology may hold promise for a new Doppler method for measuring blood flow in microcirculation with high sensitivity.

  11. Acoustic micro-Doppler radar for human gait imaging. (United States)

    Zhang, Zhaonian; Pouliquen, Philippe O; Waxman, Allen; Andreou, Andreas G


    A portable acoustic micro-Doppler radar system for the acquisition of human gait signatures in indoor and outdoor environments is reported. Signals from an accelerometer attached to the leg support the identification of the components in the measured micro-Doppler signature. The acoustic micro-Doppler system described in this paper is simpler and offers advantages over the widely used electromagnetic wave micro-Doppler radars.

  12. Photoacoustic Doppler effect from flowing small light-absorbing particles. (United States)

    Fang, Hui; Maslov, Konstantin; Wang, Lihong V


    From the flow of a suspension of micrometer-scale carbon particles, the photoacoustic Doppler shift is observed. As predicted theoretically, the observed Doppler shift equals half of that in Doppler ultrasound and does not depend on the direction of laser illumination. This new physical phenomenon provides a basis for developing photoacoustic Doppler flowmetry, which can potentially be used for detecting fluid flow in optically scattering media and especially low-speed blood flow of relatively deep microcirculation in biological tissue.


    Directory of Open Access Journals (Sweden)

    Shivanand S


    Full Text Available BACKGROUND AND OBJECTIVES The necessity for scrotal ultrasound scanning is when clinical examination does not identify any significant abnormality. For patients presenting with a scrotal mass, it is critical to determine whether the mass is intra- or extra-testicular. High Resolution Ultrasonography (HRUS combined with Colour Doppler Ultrasonography (CDUS has become the imaging modality of choice for evaluating scrotal diseases. US is helpful in differentiating extra- from intratesticular lesions. US provides excellent anatomic detail; when colour Doppler and power Doppler imaging are added testicular perfusion can be assessed. MATERIALS AND METHODS Data for study was collected from 50 patients attending/referred to Basaveshwara Teaching and General Hospital (BTGH, Gulbarga. The gray scale and colour Doppler sonography routinely performed in all these patients. Subsequently, these cases were followed up and correlated with either surgical findings, response to treatment or follow-up scans wherever applicable. RESULTS Commonest clinical presentation was scrotal swelling with/or without pain. Majority number of patients with scrotal pathologies presented in this study belongs to the age group of 20 to 50, which constitute 50% of all pathologies. Most of the diagnosis were epididymitis or epididymo-orchitis, hydrocele, varicocele, orchitis, testicular torsion, hematocele, pyocele, Fournier’s gangrene. Colour Doppler ultrasonography accurately diagnosed all cases of epididymitis or epididymo-orchitis, testicular torsion, varicocele and hydrocele. Overall, sensitivity of high frequency ultrasonography with colour Doppler in diagnosing scrotal diseases was 95%, while specificity was 66%. High frequency grey scale US with Colour Doppler sonography accurately differentiates between testicular ischemia/torsion from acute inflammatory diseases in acute painful scrotal conditions. CONCLUSION High frequency ultrasonography when supplemented with colour

  14. Complications in pediatric enteral and vascular access. (United States)

    Farrelly, James S; Stitelman, David H


    Obtaining reliable enteral and vascular access constitutes a significant fraction of a pediatric surgeon׳s job. Multiple approaches are available. Given the complicated nature of this patient population multiple complications can also occur. This article discusses the various techniques and potential complications associated with short- and long-term enteral and vascular access. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Enteral Nutrition and Acute Pancreatitis: A Review

    NARCIS (Netherlands)

    Spanier, B.W.M.; Bruno, M.J.; Mathus-Vliegen, E.M.H.


    Introduction. In patients with acute pancreatitis (AP), nutritional support is required if normal food cannot be tolerated within several days. Enteral nutrition is preferred over parenteral nutrition. We reviewed the literature about enteral nutrition in AP. Methods. A MEDLINE search of the English

  16. Enteral nutrition and acute pancreatitis: A review

    NARCIS (Netherlands)

    B.W.M. Spanier (Marcel); M.J. Bruno (Marco); E.M.H. Mathus-Vliegen (Elisabeth)


    textabstractIntroduction. In patients with acute pancreatitis (AP), nutritional support is required if normal food cannot be tolerated within several days. Enteral nutrition is preferred over parenteral nutrition. We reviewed the literature about enteral nutrition in AP. Methods. A MEDLINE search of

  17. Enteral Nutrition and Acute Pancreatitis: A Review

    NARCIS (Netherlands)

    B.W.M. Spanier; M.J. Bruno; E.M.H. Mathus-Vliegen


    Introduction. In patients with acute pancreatitis (AP), nutritional support is required if normal food cannot be tolerated within several days. Enteral nutrition is preferred over parenteral nutrition. We reviewed the literature about enteral nutrition in AP. Methods. A MEDLINE search of the English

  18. Tissue Doppler imaging reproducibility during exercise. (United States)

    Bougault, V; Nottin, S; Noltin, S; Doucende, G; Obert, P


    Tissue Doppler imaging (TDI) is an echocardiographic technique used during exercising to improve the accuracy of a cardiovascular diagnostic. The validity of TDI requires its reproducibility, which has never been challenged during moderate to maximal intensity exercising. The present study was specifically designed to assess the transmitral Doppler and pulsed TDI reproducibility in 19 healthy men, who had undergone two identical semi-supine maximal exercise tests on a cycle ergometer. Systolic (S') and diastolic (E') tissue velocities at the septal and lateral walls as well as early transmitral velocities (E) were assessed during exercise up to maximal effort. The data were compared between the two tests at 40 %, 60 %, 80 % and 100 % of maximal aerobic power. Despite upper body movements and hyperventilation, good quality echocardiographic images were obtained in each case. Regardless of exercise intensity, no differences were noticed between the two tests for all measurements. The variation coefficients for Doppler variables ranged from 3 % to 9 % over the transition from rest to maximal exercise. The random measurement error was, on average, 5.8 cm/s for E' and 4.4 cm/s for S'. Overall, the reproducibility of TDI was acceptable. Tissue Doppler imaging can be used to accurately evaluate LV diastolic and/or systolic function for this range of exercise intensity.

  19. Doppler-ultralydundersøgelse af underekstremitetsarteriosklerose

    DEFF Research Database (Denmark)

    Rørdam, P; von Jessen, F; Sillesen, H H;


    Arteriography, which requires resources and is not entirely without risk, has hitherto been a prerequisite for reconstructive surgery in cases of symptom-producing arteriosclerosis in the lower limbs. As an alternative, indirect Doppler ultrasonic examination has been employed but does not appear...

  20. Power Doppler sonography of cervical lymphadenopathy

    Energy Technology Data Exchange (ETDEWEB)

    Ahuja, Anil; Ying, Michael; Yuen, Yuen Hok; Metreweli, Constantine


    AIMS: The supraclavicular region is a common site for tuberculous and metastatic nodes from infraclavicular carcinomas. Grey scale sonographic features differentiating the two have been previously described. However, as power Doppler sonography is now frequently used in the assessment of neck nodes, power Doppler features that may help to differentiate the two are discussed. MATERIALS AND METHODS: In 78 patients, power Doppler sonograms of nodes involved by metastases from infraclavicular carcinomas (n = 24) and tuberculosis (n = 54) were evaluated. The intranodal distribution of vessels and the intranodal vascular resistance of vessels was assessed and compared. In addition, the power Doppler features of metastatic nodes from infraclavicular carcinomas were compared with metastatic nodes from a head and neck primary (n = 38) such as nasopharyngeal carcinoma (NPC). RESULTS: Tuberculous nodes frequently demonstrated displaced hilar vascularity or avascularity and the intranodal vascular resistance was low. Metastatic nodes from infraclavicular primaries demonstrated capsular or mixed vascularity and their intranodal resistance was significantly (P < 0.05) higher. In general, metastatic nodes from infraclavicular primaries had a higher intranodal vascular resistance compared to metastatic nodes from NPC, but this was not statistically significant. CONCLUSION: In the supraclavicular region, the presence of displaced low resistance hilar vascularity or avascularity in nodes is suggestive of tuberculous nodes. Metastatic nodes from infraclavicular primaries have a capsular or mixed vascularity with high resistance. Ahuja, A. et al. (2001)

  1. Transcranial Doppler velocimetry in aneurysmal subarachnoid haemorrhage

    DEFF Research Database (Denmark)

    Staalsø, J M; Edsen, T; Romner, B


    -coded transcranial Doppler (TCCD), with the secondary aim of describing prediction of angiographic vasospasm and mortality. METHODS: /st>Sixty patients and 70 healthy controls were each examined in duplicate by alternating operators. A total of 939 measurements divided on 201 examination sets were conducted by four...

  2. Investigations of Near-Zone Doppler Effects. (United States)

    Prouty, Dale Austen

    Far away from an electromagnetic source the normal Doppler shifts in frequency occur--a red shift for receding and a blue shift for approaching. As indicated by previous work with an infinitesimal dipole, different frequency shifts occur when the source and observer move closer together, into the near-zone. These "near-zone Doppler effects" are investigated for general sources and subsequently two specific examples are presented. The general results show that near-zone shifts are similar to far-zone shifts, but the local phase velocity must be used, i.e. (DIAGRAM, TABLE OR GRAPHIC OMITTED...PLEASE SEE DAI). In the far zone the phase velocity is the speed of light; in the near zone it differs. Fundamentally, the distance between surfaces of constant phase in the near zone is changed. The surfaces of constant phase for the waves are no longer spherical, but more ellipsoidal or spheroidal, so that a moving observer sees a different frequency shift. Two specific examples are presented to indicate the actual magnitude of near-zone effects. The examples include a prolate spheroidal antenna and a circular aperture. Once the magnitude of the effects is determined, the measurability of near-zone Doppler effects is discussed. The investigation concentrates on Fresnel zone effects due to the measurement problem. Finally, it is shown that for an electrically large wire antenna (the spheroidal example) near-zone Doppler effects are measurable.

  3. Spectroscopic observation of the rotational Doppler effect. (United States)

    Barreiro, S; Tabosa, J W R; Failache, H; Lezama, A


    We report on the first spectroscopic observation of the rotational Doppler shift associated with light beams carrying orbital angular momentum. The effect is evidenced as the broadening of a Hanle electromagnetically induced transparency coherence resonance on Rb vapor when the two incident Laguerre-Gaussian laser beams have opposite topological charges. The observations closely agree with theoretical predictions.

  4. Method for Canceling Ionospheric Doppler Effect (United States)

    Vessot, R. F. C.


    Unified transponder system with hydrogen-maser oscillators at both stations can compensate for both motional and ionospheric components of Doppler shift. Appropriate choices of frequency shift in output of mixer m3. System exploits proportionality between dispersive component of frequency shift and reciprocal of frequency to achieve cancellation of dispersive component at output.

  5. Calculating "g" from Acoustic Doppler Data (United States)

    Torres, Sebastian; Gonzalez-Espada, Wilson J.


    Traditionally, the Doppler effect for sound is introduced in high school and college physics courses. Students calculate the perceived frequency for several scenarios relating a stationary or moving observer and a stationary or moving sound source. These calculations assume a constant velocity of the observer and/or source. Although seldom…

  6. [Phlegmasia alba dolens diagnosed with Doppler ultrasonography]. (United States)

    Wulff, C; Lorentzen, T; Christensen, E; Pedersen, E B


    Differential diagnostic problems may occur in a patient with a cold, pale and swollen leg. Especially when the peripheral blood pressure is reduced, it is particularly difficult to distinguish cases caused by venous thrombosis from those caused by arterial embolism. Colour-Doppler ultra-sonography might be helpful for establishing the correct diagnosis. A case history is presented.

  7. Doppler Shift Compensation Schemes in VANETs

    Directory of Open Access Journals (Sweden)

    F. Nyongesa


    Full Text Available Over the last decade vehicle-to-vehicle (V2V communication has received a lot of attention as it is a crucial issue in intravehicle communication as well as in Intelligent Transportation System (ITS. In ITS the focus is placed on integration of communication between mobile and fixed infrastructure to execute road safety as well as nonsafety information dissemination. The safety application such as emergence alerts lays emphasis on low-latency packet delivery rate (PDR, whereas multimedia and infotainment call for high data rates at low bit error rate (BER. The nonsafety information includes multimedia streaming for traffic information and infotainment applications such as playing audio content, utilizing navigation for driving, and accessing Internet. A lot of vehicular ad hoc network (VANET research has focused on specific areas including channel multiplexing, antenna diversity, and Doppler shift compensation schemes in an attempt to optimize BER performance. Despite this effort few surveys have been conducted to highlight the state-of-the-art collection on Doppler shift compensation schemes. Driven by this cause we survey some of the recent research activities in Doppler shift compensation schemes and highlight challenges and solutions as a stock-taking exercise. Moreover, we present open issues to be further investigated in order to address the challenges of Doppler shift in VANETs.

  8. On acceleration dependence of Doppler effect in light

    Indian Academy of Sciences (India)

    Sanjay M Wagh


    Using only the geometric relationships of suitable locations, we analyse Doppler effect in light to show how the acceleration of the source also contributes to the Doppler shift. We further propose that an experiment be performed using cyclotron-type devices to determine the acceleration dependence of the Doppler shift.

  9. Radar micro-doppler signatures processing and applications

    CERN Document Server

    Chen, Victor C; Miceli, William J


    Radar Micro-Doppler Signatures: Processing and applications concentrates on the processing and application of radar micro-Doppler signatures in real world situations, providing readers with a good working knowledge on a variety of applications of radar micro-Doppler signatures.

  10. Musculoskeletal colour/power Doppler in sports medicine

    DEFF Research Database (Denmark)

    Boesen, M I; Boesen, M; Langberg, Henning


    guidelines and recommendations are based on personal experience since no evidence in literature exists. The basic technical background of Doppler ultrasound and typical artefacts will be discussed, in order to understand and interpret the Doppler result. Recommendations for the Doppler settings are given...

  11. 21 CFR 892.1550 - Ultrasonic pulsed doppler imaging system. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Ultrasonic pulsed doppler imaging system. 892.1550... system. (a) Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended...

  12. Solid breast neoplasms: Differential diagnosis with pulsed Doppler ultrasound

    NARCIS (Netherlands)

    T.J.A. Kuijpers (T. J A); A.I.M. Obdeijn (Inge-Marie); Ph.M. Kruyt (Philip); M. Oudkerk (Matthijs)


    textabstractIn this prospective study, duplex Doppler ultrasound was used in 95 consecutive patients with solid breast masses to evaluate the presence of neovascular flow. A positive Doppler signal, i.e., a Doppler shift frequency of more than 1 kHz using a 5 MHz insonating frequency, was found in 3

  13. Determination of Doppler Middle Cerebral Artery Waveform Indices in Normal 20 – 40 Weeks Pregnancies

    Directory of Open Access Journals (Sweden)

    S. Vahdinia


    Full Text Available Background/Objective: The aim of prenatal evaluation is to prevent fetal death. One of the main methods of evaluation of fetus health before delivery is Doppler flow velocity waveform analysis of fetus vessels. Increasing of resistance in fetal circulatory system causes the preferential shunt of blood flow from non-critical organs toward critical organs such as brain. The increase in brain blood flow leads to reduction of brain vessels resistance and results in changes of fetal cerebral arteries Doppler flow velocity indices. Evaluation of Doppler wave of middle cerebral artery can predict most of the at risk fetuses in high-risk pregnancies."nIn this study we tried to obtain normal value (and their changes across the progress of pregnancy of Doppler flow velocity indices (PI, RI, S/D ratio and PSV of middle cerebral artery in 20 - 40 weeks normal pregnancies in an Iranian population and evaluate the effect of fetus heart rate according to the above mentioned indices."nPatients and Methods: In this cross section study, 400 pregnant women with normal pregnancies and gestational age between 20 to 40 weeks were studied about middle cerebral artery Doppler examination. Mothers with preeclampsia, diabetes mellitus, hypertension, abnormal uterine bleeding, induction ovulation, multifetal pregnancy, major fetal anomalies, history of LD or any other OCP usage and intra uterine growth retardation were excluded from the study. All cases were evaluated by gray scale ultrasonography initially and then a Doppler study of middle cerebral artery was done."nResults: According to the results of this study, with progression of pregnancy PI, RI, S/D ratio values decrease and PSV value increases in middle cerebral artery. These changes were statistically significant and were more characteristic during late weeks of pregnancy. In addition, mean fetal heart rate had been significantly reduced with pregnancy progression."nConclusion: Values of RI, PI, S/D ratio and

  14. Abnormal pressure in hydrocarbon environments (United States)

    Law, B.E.; Spencer, C.W.


    Abnormal pressures, pressures above or below hydrostatic pressures, occur on all continents in a wide range of geological conditions. According to a survey of published literature on abnormal pressures, compaction disequilibrium and hydrocarbon generation are the two most commonly cited causes of abnormally high pressure in petroleum provinces. In young (Tertiary) deltaic sequences, compaction disequilibrium is the dominant cause of abnormal pressure. In older (pre-Tertiary) lithified rocks, hydrocarbon generation, aquathermal expansion, and tectonics are most often cited as the causes of abnormal pressure. The association of abnormal pressures with hydrocarbon accumulations is statistically significant. Within abnormally pressured reservoirs, empirical evidence indicates that the bulk of economically recoverable oil and gas occurs in reservoirs with pressure gradients less than 0.75 psi/ft (17.4 kPa/m) and there is very little production potential from reservoirs that exceed 0.85 psi/ft (19.6 kPa/m). Abnormally pressured rocks are also commonly associated with unconventional gas accumulations where the pressuring phase is gas of either a thermal or microbial origin. In underpressured, thermally mature rocks, the affected reservoirs have most often experienced a significant cooling history and probably evolved from an originally overpressured system.

  15. Systemic abnormalities in liver disease

    Institute of Scientific and Technical Information of China (English)

    Masami Minemura; Kazuto Tajiri; Yukihiro Shimizu


    Systemic abnormalities often occur in patients with liver disease. In particular, cardiopulmonary or renal diseases accompanied by advanced liver disease can be serious and may determine the quality of life and prognosis of patients. Therefore, both hepatologists and non-hepatologists should pay attention to such abnormalities in the management of patients with liver diseases.

  16. Water quality indicators: bacteria, coliphages, enteric viruses. (United States)

    Lin, Johnson; Ganesh, Atheesha


    Water quality through the presence of pathogenic enteric microorganisms may affect human health. Coliform bacteria, Escherichia coli and coliphages are normally used as indicators of water quality. However, the presence of above-mentioned indicators do not always suggest the presence of human enteric viruses. It is important to study human enteric viruses in water. Human enteric viruses can tolerate fluctuating environmental conditions and survive in the environment for long periods of time becoming causal agents of diarrhoeal diseases. Therefore, the potential of human pathogenic viruses as significant indicators of water quality is emerging. Human Adenoviruses and other viruses have been proposed as suitable indices for the effective identification of such organisms of human origin contaminating water systems. This article reports on the recent developments in the management of water quality specifically focusing on human enteric viruses as indicators.

  17. Diagnosis of neonatal hemochromatosis with MR imaging and duplex Doppler sonography

    Energy Technology Data Exchange (ETDEWEB)

    Oddone, M.; Toma, P. [Dept. of Radiology, G. Gaslini Children' s Research Hospital, Genoa (Italy); Bellini, C.; Bonacci, W.; Bartocci, M.; Serra, G. [Department of Pediatrics, Neonatal Intensive Care Unit, University of Genoa, G. Gaslini Children' s Research Hospital, Largo G. Gaslini, 5, I-16147 Genoa (Italy)


    Neonatal hemochromatosis is a rare congenital disorder which affects both fetuses and newborns. It is characterized by hepatocellular failure, often appearing on the first day of life in the form of coagulopathy, hypoalbuminemia, hypoglycemia, and jaundice. Most of the affected infants die early in life, and definitive diagnosis has often been made only by post-mortem evaluation. With the help of MRI, plus increasing awareness of the disorder, diagnosis is now often made early, even in utero. Duplex Doppler sonography does not provide information on siderosis but shows abnormalities in the liver or blood-flow patterns associated with liver disease. (orig.)

  18. Rubidium atomic line filtered (RALF) Doppler velocimetry (United States)

    Fajardo, Mario E.; Molek, Christopher D.; Vesely, Annamaria L.


    We report recent improvements to our Rubidium Atomic Line Filtered (RALF) Doppler velocimetry apparatus [M.E. Fajardo, C.D. Molek, and A.L. Vesely, J. Appl. Phys. 118, 144901 (2015)]. RALF is a high-velocity and high-acceleration adaptation of the Doppler Global Velocimetry method for measuring multi-dimensional velocity vector flow fields, which was developed in the 1990s by aerodynamics researchers [H. Komine, U.S. Patent #4,919,536]. Laser velocimetry techniques in common use within the shock physics community (e.g. VISAR, Fabry-Pérot, PDV) decode the Doppler shift of light reflected from a moving surface via interference phenomena. In contrast, RALF employs a completely different physical principle: the frequency-dependent near-resonant optical transmission of a Rb/N2 gas cell, to encode the Doppler shift of reflected λ0 ≈ 780.24 nm light directly onto the transmitted light intensity. Thus, RALF is insensitive to minor changes to the optical pathlengths and transit times of the Doppler shifted light, which promises a number of practical advantages in imaging velocimetry applications. The single-point RALF proof-of-concept apparatus described here is fiber optic based, and our most recent modifications include the incorporation of a larger bandwidth detection system, and a second 780 nm laser for simultaneous upshifted-PDV (UPDV) measurements. We report results for the laser driven launch of a 10-μm-thick aluminum flyer which show good agreement between the RALF and UPDV velocity profiles, within the limitations of the admittedly poor signal:noise ratio (SNR) RALF data.


    Energy Technology Data Exchange (ETDEWEB)

    Welsch, Brian T.; Fisher, George H. [Space Sciences Laboratory, University of California, Berkeley, CA 94720-7450 (United States); Sun, Xudong [W. W. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305 (United States)


    The zero point of measured photospheric Doppler shifts is uncertain for at least two reasons: instrumental variations (from, e.g., thermal drifts); and the convective blueshift, a known correlation between intensity and upflows. Accurate knowledge of the zero point is, however, useful for (1) improving estimates of the Poynting flux of magnetic energy across the photosphere, and (2) constraining processes underlying flux cancellation, the mutual apparent loss of magnetic flux in closely spaced, opposite-polarity magnetogram features. We present a method to absolutely calibrate line-of-sight (LOS) velocities in solar active regions (ARs) near disk center using three successive vector magnetograms and one Dopplergram coincident with the central magnetogram. It exploits the fact that Doppler shifts measured along polarity inversion lines (PILs) of the LOS magnetic field determine one component of the velocity perpendicular to the magnetic field, and optimizes consistency between changes in LOS flux near PILs and the transport of transverse magnetic flux by LOS velocities, assuming that ideal electric fields govern the magnetic evolution. Previous calibrations fitted the center-to-limb variation of Doppler velocities, but this approach cannot, by itself, account for residual convective shifts at the limb. We apply our method to vector magnetograms of AR 11158, observed by the Helioseismic and Magnetic Imager aboard the Solar Dynamics Observatory, and find clear evidence of offsets in the Doppler zero point in the range of 50-550 m s{sup -1}. In addition, we note that a simpler calibration can be determined from an LOS magnetogram and Dopplergram pair from the median Doppler velocity among all near-disk-center PIL pixels. We briefly discuss shortcomings in our initial implementation, and suggest ways to address these. In addition, as a step in our data reduction, we discuss the use of temporal continuity in the transverse magnetic field direction to correct apparently

  20. Enteric duplication cyst - report of two cases; Cisto de duplicacao enterico - apresentacao de dois casos

    Energy Technology Data Exchange (ETDEWEB)

    Rehder, Gustavo Frederico Correa; Correa, Adriana Cristina; Turtelli, Celso Montenegro; Fonseca, Cristiano Rezio; Barbosa, Luciana [Faculdade de Medicina do Triangulo Mineiro (FMTM), Uberaba, MG (Brazil)


    Enteric duplication cysts are extremely rare in adults and are believed to result from abnormal recanalization during early fetal development. These cysts are usually elongated, tubular or spherical structures occurring anywhere along the digestive tract but are more common along the mesenteric region of the terminal ileum. These cysts present as submucosal or extra luminal masses and usually do not fill with barium. Sonographic demonstration of two distinct layers on the wall of the mass, an inner echogenic layer which corresponds to the mucosa and an outer hypoechoic layer which corresponds to the muscle, isstrongly suggestive of an enteric duplication cyst. (author)

  1. Practicability of intraoperative microvascular Doppler sonography in aneurysm surgery. (United States)

    Firsching, R; Synowitz, H J; Hanebeck, J


    Inadvertent narrowing of parent or branching vessels is one major cause of unfavorable outcome from aneurysm surgery. Intraoperative micro-Doppler sonography of arterial brain vessels during surgery for cerebral aneurysms of the anterior circulation was performed in 50 patients and compared retrospectively with 50 patients, who were operated upon without micro-Doppler sonography. Intraoperative micro-Doppler sonography demonstrated the need for repositioning of the clip in 12 instances. Outcome after surgery with micro-Doppler sonography appeared slightly better than without. Micro-Doppler sonography is concluded to be a practicable adjunct to routine aneurysm surgery.

  2. Exact classical Doppler effect derived from the photon emission process

    CERN Document Server

    Lin, Chyi-Lung; Hsieh, Shang-Lin; Tsai, Chun-Ming


    The concept of photon is not necessary only applied to the relativistic Doppler theory. It may also work well for classical theory. As conservation of momentum and energy are physical laws, if applying these laws gives the exact relativistic Doppler effect, it should also give the exact classical Doppler effect. So far the classical Doppler effect is only obtained by using some approximation, as derived by Fermi in 1932. We show that the exact classical Doppler effect can be derived from the photon emission process in the exact treatment and reveal that these results are the same as those derived from the wave theory of light.


    Institute of Scientific and Technical Information of China (English)


    Doppler centroid frequency is an essential parameter in the imaging processing of the Scanning mode Synthetic Aperture Radar(ScanSAR).Inaccurate Doppler centroid frequency will result in ghost images in imaging result.In this letter,the principle and algorithms of Doppler centroid frequency estimation are introduced.Then the echo data of ScanSAR system is analyzed.Based on the algorithms of energy balancing and correlation Doppler estimator in the estimation of Doppler centroid fequency in strip mode SAR,an improved method for Doppler centroid frequency estimation in ScanSAR is proposed.The method has improved the accuracy of Doppler centroid fequency estimation in ScanSAR by zero padding between burst data.Finally,the proposed method is validated with the processing of ENVironment SATellite Advanced Synthetic Aperture Radar(ENVISAT ASAR)wide swath raw data.

  4. Power and color Doppler ultrasound settings for inflammatory flow

    DEFF Research Database (Denmark)

    Torp-Pedersen, Søren; Christensen, Robin; Szkudlarek, Marcin


    OBJECTIVE: To determine how settings for power and color Doppler ultrasound sensitivity vary on different high- and intermediate-range ultrasound machines and to evaluate the impact of these changes on Doppler scoring of inflamed joints. METHODS: Six different types of ultrasound machines were used....... On each machine, the factory setting for superficial musculoskeletal scanning was used unchanged for both color and power Doppler modalities. The settings were then adjusted for increased Doppler sensitivity, and these settings were designated study settings. Eleven patients with rheumatoid arthritis (RA......) with wrist involvement were scanned on the 6 machines, each with 4 settings, generating 264 Doppler images for scoring and color quantification. Doppler sensitivity was measured with a quantitative assessment of Doppler activity: color fraction. Higher color fraction indicated higher sensitivity. RESULTS...

  5. Imaging findings of sternal abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Franquet, T. [Dept. of Radiology, Hospital de Sant Pau, Universidad Autonoma de Barcelona (Spain); Gimenez, A. [Dept. of Radiology, Hospital de Sant Pau, Universidad Autonoma de Barcelona (Spain); Alegret, X. [Dept. of Radiology, Hospital de Sant Pau, Universidad Autonoma de Barcelona (Spain); Sanchis, E. [Dept. of Radiology, Hospital de Sant Pau, Universidad Autonoma de Barcelona (Spain); Rivas, A. [Dept. of Radiology, Hospital Vall d`Hebron, Universidad Autonoma de Barcelona (Spain)


    Radiographic findings in the sternal abnormalities are often nonspecific, showing appearances from a localized benign lesion to an aggressive lesion as seen with infections and malignant neoplasms. A specific diagnosis of sternal abnormalities can be suggested on the basis of CT and MR characteristics. Familiarity with the presentation and variable appearance of sternal abnormalities may aid the radiologist is suggesting a specific diagnosis. We present among others characteristic radiographic findings of hemangioma, chondrosarcoma, hydatid disease, and SAPHO syndrome. In those cases in which findings are not specific, cross-sectional imaging modalities may help the clinician in their management. (orig.)

  6. Superharmonic microbubble Doppler effect in ultrasound therapy (United States)

    Pouliopoulos, Antonios N.; Choi, James J.


    The introduction of microbubbles in focused ultrasound therapies has enabled a diverse range of non-invasive technologies: sonoporation to deliver drugs into cells, sonothrombolysis to dissolve blood clots, and blood-brain barrier opening to deliver drugs into the brain. Current methods for passively monitoring the microbubble dynamics responsible for these therapeutic effects can identify the cavitation position by passive acoustic mapping and cavitation mode by spectral analysis. Here, we introduce a new feature that can be monitored: microbubble effective velocity. Previous studies have shown that echoes from short imaging pulses had a Doppler shift that was produced by the movement of microbubbles. Therapeutic pulses are longer (>1 000 cycles) and thus produce a larger alteration of microbubble distribution due to primary and secondary acoustic radiation force effects which cannot be monitored using pulse-echo techniques. In our experiments, we captured and analyzed the Doppler shift during long therapeutic pulses using a passive cavitation detector. A population of microbubbles (5  ×  104-5  ×  107 microbubbles ml-1) was embedded in a vessel (inner diameter: 4 mm) and sonicated using a 0.5 MHz focused ultrasound transducer (peak-rarefactional pressure: 75-366 kPa, pulse length: 50 000 cycles or 100 ms) within a water tank. Microbubble acoustic emissions were captured with a coaxially aligned 7.5 MHz passive cavitation detector and spectrally analyzed to measure the Doppler shift for multiple harmonics above the 10th harmonic (i.e. superharmonics). A Doppler shift was observed on the order of tens of kHz with respect to the primary superharmonic peak and is due to the axial movement of the microbubbles. The position, amplitude and width of the Doppler peaks depended on the acoustic pressure and the microbubble concentration. Higher pressures increased the effective velocity of the microbubbles up to 3 m s-1, prior to the onset of

  7. Acoustic resolution photoacoustic Doppler velocimetry in blood-mimicking fluids (United States)

    Brunker, Joanna; Beard, Paul


    Photoacoustic Doppler velocimetry provides a major opportunity to overcome limitations of existing blood flow measuring methods. By enabling measurements with high spatial resolution several millimetres deep in tissue, it could probe microvascular blood flow abnormalities characteristic of many different diseases. Although previous work has demonstrated feasibility in solid phantoms, measurements in blood have proved significantly more challenging. This difficulty is commonly attributed to the requirement that the absorber spatial distribution is heterogeneous relative to the minimum detectable acoustic wavelength. By undertaking a rigorous study using blood-mimicking fluid suspensions of 3 μm absorbing microspheres, it was discovered that the perceived heterogeneity is not only limited by the intrinsic detector bandwidth; in addition, bandlimiting due to spatial averaging within the detector field-of-view also reduces perceived heterogeneity and compromises velocity measurement accuracy. These detrimental effects were found to be mitigated by high-pass filtering to select photoacoustic signal components associated with high heterogeneity. Measurement under-reading due to limited light penetration into the flow vessel was also observed. Accurate average velocity measurements were recovered using “range-gating”, which furthermore maps the cross-sectional velocity profile. These insights may help pave the way to deep-tissue non-invasive mapping of microvascular blood flow using photoacoustic methods.

  8. Clinical application of transcranial Doppler ultrasonography in premature, very-low-birth-weight neonates

    Energy Technology Data Exchange (ETDEWEB)

    Gabriel, Marta Lucia [Fundacao Faculdade Regional de Medicina (FUNFARME), Sao Jose do Rio Preto, SP (Brazil). Hospital de Base; Piatto, Vania Belintani [Faculdade de Medicina de Sao Jose do Rio Preto (FAMERP), SP (Brazil); Souza, Antonio Soares, E-mail: depimagem@famerp.b [Faculdade de Medicina de Sao Jose do Rio Preto (FAMERP), SP (Brazil). Dept. de Diagnostico por Imagem


    Objective: the present study was aimed at analyzing the value of the early diagnosis of hemodynamic changes in hemorrhages and hypoxic-ischemic events in premature, very-low-birth-weight neonates through the evaluation of images and resistance index measurement by means of transcranial Doppler ultrasonography. Materials and methods: fifty premature, very-low-birth-weight neonates were submitted to transcranial Doppler ultrasonography with sequential transfontanellar and transtemporal techniques. Results: cerebral abnormalities were detected in 32% of the neonates (22% with intracranial hemorrhage, 8% with periventricular leukomalacia, and 2% with toxoplasmosis). Among the 34 cases (68%) of neonates in whom no brain lesion was detected at transcranial Doppler ultrasonography, 18 (53%) presented changes in the resistance index. Such resistance index varied according to the time of the examination. Conclusion: there is a correlation between the presence of cerebral hemodynamic changes demonstrated by resistance index measurements and the subsequent development of hemorrhages and hypoxic-ischemic lesions. Although not being a death predictor, changes in the resistance index are associated with the severity of the clinical conditions in preterm, very-low-birth-weight neonates. (author)

  9. Innovative Parenteral and Enteral Nutrition Therapy for Intestinal Failure (United States)

    Le, Hau D.; Fallon, Erica M.; de Meijer, Vincent E.; Malkan, Alpin D.; Puder, Mark; Gura, Kathleen M.


    Children with intestinal failure suffer from insufficient intestinal length or function, making them dependent on parenteral nutrition (PN) for growth and survival. PN and its components are associated with many complications ranging from simple electrolyte abnormalities to life-threatening PN-associated liver disease, which is also called intestinal failure-associated liver disease (ILALD). From a nutrition perspective, the ultimate goal is to provide adequate caloric requirements and make the transition from PN to full enteral Nutrition (EN) successful. Upon review of the literature, we have summarized the most effective and innovative PN and EN therapies for this patient population. Antibiotic-coated catheters and antibiotic or ethanol locks can be implemented, as they appear effective in reducing catheter-related infection and thus further reduce the risk of IFALD. Lipid emulsions should be given judiciously. The use of an omega-3 fatty acid-based formulation should be considered in patients who develop IFALD. Trophic feeding is important for intestinal adaptation, and EN should be initiated early to help wean patients from PN. Long term management of children with IF continues to be an emerging field. We have entered uncharted territory as more children survive complications of IF, including IFALD. Careful monitoring and individualized management to ensure maintenance of growth with avoidance of complications are the keys to successful patient outcomes. PMID:20123271

  10. Lupus enteritis: from clinical findings to therapeutic management. (United States)

    Janssens, Peter; Arnaud, Laurent; Galicier, Lionel; Mathian, Alexis; Hie, Miguel; Sene, Damien; Haroche, Julien; Veyssier-Belot, Catherine; Huynh-Charlier, Isabelle; Grenier, Philippe A; Piette, Jean-Charles; Amoura, Zahir


    Lupus enteritis is a rare and poorly understood cause of abdominal pain in patients with systemic lupus erythematosus (SLE). In this study, we report a series of 7 new patients with this rare condition who were referred to French tertiary care centers and perform a systematic literature review of SLE cases fulfilling the revised ACR criteria, with evidence for small bowel involvement, excluding those with infectious enteritis. We describe the characteristics of 143 previously published and 7 new cases. Clinical symptoms mostly included abdominal pain (97%), vomiting (42%), diarrhea (32%) and fever (20%). Laboratory features mostly reflected lupus activity: low complement levels (88%), anemia (52%), leukocytopenia or lymphocytopenia (40%) and thrombocytopenia (21%). Median CRP level was 2.0 mg/dL (range 0-8.2 mg/dL). Proteinuria was present in 47% of cases. Imaging studies revealed bowel wall edema (95%), ascites (78%), the characteristic target sign (71%), mesenteric abnormalities (71%) and bowel dilatation (24%). Only 9 patients (6%) had histologically confirmed vasculitis. All patients received corticosteroids as a first-line therapy, with additional immunosuppressants administered either from the initial episode or only in case of relapse (recurrence rate: 25%). Seven percent developed intestinal necrosis or perforation, yielding a mortality rate of 2.7%. Altogether, lupus enteritis is a poorly known cause of abdominal pain in SLE patients, with distinct clinical and therapeutic features. The disease may evolve to intestinal necrosis and perforation if untreated. Adding with this an excellent steroid responsiveness, timely diagnosis becomes primordial for the adequate management of this rare entity.


    Human enteric viruses cause a number of diseases when individuals are exposed to contaminated drinking & recreational waters. Vaccination against poliovirus has virtually eliminated poliomyelitis from the planet. Other members of enterovirus group cause numerous diseases. Hepatit...


    A number of different types of human enteric viruses cause waterborne outbreaks when individuals are exposed to contaminated drinking and recreational waters. Vaccination against poliovirus has virtually eliminated poliomyelitis from the planet, but other members of the enterovi...

  13. Enteric neuropathies: Yesterday, Today and Tomorrow. (United States)

    De Giorgio, Roberto; Bianco, Francesca; Latorre, Rocco; Caio, Giacomo; Clavenzani, Paolo; Bonora, Elena


    Enteric neuropathy is a term indicating an impairment of the innervation supplying the gastrointestinal tract. The clinical phenotypes of the enteric neuropathies are the 'tip of the iceberg' of severe functional digestive diseases, such as intestinal pseudo-obstruction syndromes (e.g., chronic intestinal pseudo-obstruction). Despite progress acquired over the years, the pathogenetic mechanisms leading to enteric neuropathies are still far from being elucidated and the therapeutic approaches to these patients are mainly supportive, rather than curative.The purpose of this chapter is to review the advancements that have been done in the knowledge of enteric neuropathies identified in adult patients ('tomorrow'), going through where we currently are ('today') following a brief history of the major milestones on the pioneering discoveries in the field ('yesterday').

  14. Experimental Yersinia pseudotuberculosis enteritis in laboratory ...

    African Journals Online (AJOL)



    Oct 18, 2007 ... Visceral organs of infected rabbits showed enteritis with necrotic lesions but no pathological changes were .... effects of the host's immune system and thus survive and .... The estimation of bacterial power of the blood J. Hyg.

  15. Nutricion enteral en el paciente critico

    National Research Council Canada - National Science Library

    Jairo Botello Jaimes, Jhon; Gonzalez Rincon, Alejandra


    ... entre otros. Se debe garantizar un soporte nutricional a todos los pacientes criticos idealmente por via enteral por ia disminucion de la traslocacion bacteriana y la estimulacion de la funcion de las vellosidades intestinales...

  16. Duck Virus Enteritis - A Contingency Plan (United States)

    US Fish and Wildlife Service, Department of the Interior — Duck plague, also known as duck virus enteritis (DVE) is a highly contagious, extremely deadly epizootic virus with a potential for devastating continental waterfowl...

  17. Pregnancy Complications: Umbilical Cord Abnormalities (United States)

    ... defects. These tests may include a detailed ultrasound, amniocentesis (to check for chromosomal abnormalities) and in some ... the provider may recommend additional tests, such as amniocentesis and a detailed ultrasound, to diagnose or rule ...

  18. Diagnostic evaluation of uterine artery Doppler sonography for the prediction of adverse pregnancy outcomes

    Directory of Open Access Journals (Sweden)

    Mojgan Barati


    Full Text Available Background : Increased impedance to flow in the uterine arteries assessed by value of the Doppler is associated with adverse pregnancy outcomes, especially pre-eclampsia. We investigated the predictive value of a uterine artery Doppler in the identification of adverse pregnancy outcomes such as ′pre-eclampsia′ and ′small fetus for gestational age′ (SGA. Materials and Methods: Three hundred and seventy-nine women, with singleton pregnancy, between 18 and 40 years of age, without risk factors, randomly underwent Doppler interrogation of the uterine arteries, between 16-22 weeks of gestation. Those who had a mean pulsatility index (PI of >1.45 were considered to have an abnormal result, and were evaluated and compared with those who had normal results for adverse pregnancy outcomes, including pre-eclampsia and small for gestational age. The relationship between the variables was assessed with the use of the chi-square test. Results : There were 17 cases (4.5% of abnormal uterine artery Doppler results and 15 of them (88.2% developed pre-eclampsia and four cases (23.5% had neonates small for gestational age. For predicting pre-eclampsia, the mean uterine artery PI had to be >1.45, had to have a specificity of 95.5% (95% CI, 70-92%, a sensitivity of 79% (95% CI, 43-82%, a negative predictive value (NPV of 98.9% (95% CI, 72-96%, and a positive predictive value (PPV of 88.2% (95% CI, 68-98%. In the case of ′small for gestational age′ it had to have a specificity of 96.5% (95% CI, 42-68%, a sensitivity of 57% (95% CI, 53-76%, an NPV of 99.2% (95% CI, 70-92%, and a PPV of 23.5% (95% CI, 30-72%. Conclusion : Uterine artery Doppler evaluation at 16-22 weeks of gestation might be an appropriate tool for identifying pregnancies that may be at an increased risk for development of pre-eclampsia and small fetus for gestational age.

  19. Color Doppler US of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Bertolotto, Michele (ed.) [Trieste Univ. Ospedale di Cattinara (Italy). Dept. Radiology


    This book provides a comprehensive reference and practical guide on the application of US to penile diseases and conditions. After introductory chapters on technical requirements and penile anatomy, subsequent chapters offer a systematic overview of the diverse applications of color Doppler US. The topics covered include erectile dysfunction, Peyronie's disease, priapism, trauma, tumors, the postoperative penis, inflammation, and fibrosis. Each topic is introduced by a clinical overview with the purpose of clarifying the problems and elucidating what the urologist may expect from color Doppler US. Thereafter, performance of the US study is explained and the pathological anatomy reviewed. High-quality images obtained with high-end US equipment are included. Each chapter also contains a section on the diagnostic information provided by other imaging modalities, and in particular MRI. (orig.)

  20. Renal duplex Doppler ultrasound findings in diabetics

    Energy Technology Data Exchange (ETDEWEB)

    Shim, Hyang Yee; Kim, Young Geun; Kook, Cheol Keu; Yoon, Chong Hyun; Lee, Shin Hyung; Lee, Chang Joon [National Medical Center, Seoul (Korea, Republic of)


    The correlation between clinical-laboratory findings and renal duplex Doppler ultrasound findings was studied in 45 patients with diabetes mellitus to see the role of duplex Doppler ultrasound in the detection of diabetic nephropathy. The resistive indices in patients with elevated serum creatinine, BUN, proteinuria, and systolic blood pressure levels were statistically significantly higher than those in patients with normal levels (p<0.05). Also resistive indics in patients with retinopathy were higher than that in patients without retinopathy (p<0.05). But the ultrasound morphologic changes of kidney such as renal length, cortical eye-catching, and corticomedullarycontrast were not well correlated with clinical-laboratory data and resistive index. The resistive index of the kidney in conjunction with clinical-laboratory data in diabetics may be helpful in the evaluation of diabetic nephropathy

  1. [Color-Doppler semiology in transplanted kidney]. (United States)

    Rivolta, R; Castagnone, D; Burdick, L; Mandelli, C; Mangiarotti, R


    Color-encoded duplex ultrasonography (CEDU) makes a more accurate technique in kidney graft monitoring by combining real-time US with pulsed Doppler studies of renal vasculature. It is a non-invasive and easy technique. Suitable to study the whole renal artery and vein, CEDU also allows the qualitative and quantitative assessment of the intrarenal vasculature and therefore the easy diagnosis of such vessel dysfunctions as arteriovenous fistulas following biopsy. Moreover, Doppler spectral analysis can be used to distinguish among different causes of renal allograft dysfunction--i.e. rejection, cyclosporine nephrotoxicity or acute tubular necrosis. The value of the resistive index for the differential diagnosis is discussed. CEDU allows a more reliable measurement of renal blood flow thanks to the more precise evaluation of renal artery diameter and mean flow velocity.

  2. Transcranial Doppler sonography in familial hemiplegic migraine

    Energy Technology Data Exchange (ETDEWEB)

    Pierelli, F.; Pauri, F.; Cupini, L.M.; Fiermonte, G.; Rizzo, P.A. (Universita la Sapienza, Roma (Italy))


    A patient affected by familial hemiplegic migraine underwent transcranial Doppler sonography twice: the first during a spontaneous attack with right hemiparesis and aphasia, the second during a headachefree period. During the attack the following haemodynamic changes were seen: (a) bilateral increase in the middle cerebral artery and anterior cerebral artery blood flow velocities (this increase was more pronounced on the left side), (b) decreased systo-diastolic ratio and pulsatility index on the right side, (c) increased systo-diastolic ratio and pulsatility index on the left side. The results indicate that during the attack in this familial hemiplegic migraine patient, a diffuse vasoconstriction of the basal cerebral arteries developed. Moreover, transcranial Doppler sonography data suggest that a prolonged vasoconstriction of the peripheral arterioles could play a role in determining the neurological symptoms in this syndrome. 13 refs., 1 figs., 1 tab.

  3. [Indications and practice of enteral nutrition]. (United States)

    Hallay, Judit; Nagy, Dániel; Fülesdi, Béla


    Malnutrition in hospitalised patients has a significant and disadvantageous impact on treatment outcome. If possible, enteral nutrition with an energy/protein-balanced nutrient should be preferred depending on the patient's condition, type of illness and risk factors. The aim of the nutrition therapy is to increase the efficacy of treatment and shorten the length of hospital stay in order to ensure rapid rehabilitation. In the present review the authors summarize the most important clinical and practical aspects of enteral nutrition therapy.

  4. Doppler Lidar Wind Value-Added Product

    Energy Technology Data Exchange (ETDEWEB)

    Newsom, R. K. [DOE ARM Climate Research Facility, Washington, DC (United States); Sivaraman, C. [DOE ARM Climate Research Facility, Washington, DC (United States); Shippert, T. R. [DOE ARM Climate Research Facility, Washington, DC (United States); Riihimaki, L. D. [DOE ARM Climate Research Facility, Washington, DC (United States)


    Wind speed and direction, together with pressure, temperature, and relative humidity, are the most fundamental atmospheric state parameters. Accurate measurement of these parameters is crucial for numerical weather prediction. Vertically resolved wind measurements in the atmospheric boundary layer are particularly important for modeling pollutant and aerosol transport. Raw data from a scanning coherent Doppler lidar system can be processed to generate accurate height-resolved measurements of wind speed and direction in the atmospheric boundary layer.

  5. Colour Doppler ultrasound of the penis

    Energy Technology Data Exchange (ETDEWEB)

    Wilkins, C.J.; Sriprasad, S.; Sidhu, P.S. E-mail:


    Because it is a superficial structure, the penis is ideally suited to ultrasound imaging. A number of disease processes, including Peyronie's disease, penile fractures and penile tumours, are clearly visualized with ultrasound. An assessment of priapism can also be made using spectral Doppler waveform technology. Furthermore, dynamic assessment of cavernosal arterial changes after pharmaco-stimulation allows diagnosis of arterial and venogenic causes for impotence. This pictorial review illustrates the range of diseases encountered with ultrasound of the penis.

  6. Idiopathic obstructive eosinophilic enteritis with raised IgE: response to oral disodium cromoglycate (United States)

    Gilinsky, N. H.; Kottler, R. E.


    A 65-year-old man with a 20-year history of recurrent abdominal pain and vomiting was found to have eosinophilic enteritis affecting the muscularis layer of the distal ileum. Tests for malabsorption were negative. The IgE was raised but there was no evidence of an allergic predisposition. The symptoms, eosinophilia, and radiological abnormality responded to oral disodium cromoglycate. ImagesFig. 1Fig. 2Fig. 3 PMID:6810329

  7. Precise Doppler Monitoring of Barnard's Star

    CERN Document Server

    Choi, Jieun; Marcy, Geoffrey W; Howard, Andrew W; Fischer, Debra A; Johnson, John A; Isaacson, Howard; Wright, Jason T


    We present 248 precise Doppler measurements of Barnard's Star (Gl 699), the second nearest star system to Earth, obtained from Lick and Keck Observatories during 25 years between 1987 and 2012. The early precision was 20 \\ms{} but was 2 \\ms{} during the last 8 years, constituting the most extensive and sensitive search for Doppler signatures of planets around this stellar neighbor. We carefully analyze the 136 Keck radial velocities spanning 8 years by first applying a periodogram analysis to search for nearly circular orbits. We find no significant periodic Doppler signals with amplitudes above $\\sim$2 \\ms{}, setting firm upper limits on the minimum mass (\\msini) of any planets with orbital periods from 0.1 to 1000 days. Using a Monte Carlo analysis for circular orbits, we determine that planetary companions to Barnard's Star with masses above 2 \\mearth{} and periods below 10 days would have been detected. Planets with periods up to 2 years and masses above 10 \\mearth{} (0.03 \\mjup) are also ruled out. A sim...

  8. Doppler Lidar for Wind Measurements on Venus (United States)

    Singh, Upendra N.; Emmitt, George D.; Yu, Jirong; Kavaya, Michael J.


    NASA Langley Research Center has a long history of developing 2-micron laser transmitter for wind sensing. With support from NASA Laser Risk Reduction Program (LRRP) and Instrument Incubator Program (IIP), NASA Langley Research Center has developed a state-of-the-art compact lidar transceiver for a pulsed coherent Doppler lidar system for wind measurement. The transmitter portion of the transceiver employs the high-pulse-energy, Ho:Tm:LuLiF, partially conductively cooled laser technology developed at NASA Langley. The transceiver is capable of 250 mJ pulses at 10 Hz. It is very similar to the technology envisioned for coherent Doppler lidar wind measurements from Earth and Mars orbit. The transceiver is coupled to the large optics and data acquisition system in the NASA Langley VALIDAR mobile trailer. The large optics consists of a 15-cm off-axis beam expanding telescope, and a full-hemispheric scanner. Vertical and horizontal vector winds are measured, as well as relative backscatter. The data acquisition system employs frequency domain velocity estimation and pulse accumulation. It permits real-time display of the processed winds and archival of all data. This lidar system was recently deployed at Howard University facility in Beltsville, Mary-land, along with other wind lidar systems. Coherent Doppler wind lidar ground-based wind measurements and comparisons with other sensors will be presented. A simulation and data product for wind measurement at Venus will be presented.

  9. Abnormal Liver Function Tests in an Anorexia Nervosa Patient and an Atypical Manifestation of Refeeding Syndrome. (United States)

    Vootla, Vamshidhar R; Daniel, Myrta


    Refeeding syndrome is defined as electrolyte and fluid abnormalities that occur in significantly malnourished patients when they are refed orally, enterally, or parenterally. The principal manifestations include hypophosphatemia, hypokalemia, vitamin deficiencies, volume overload and edema. This can affect multiple organ systems, such as the cardiovascular, pulmonary, or neurological systems, secondary to the above-mentioned abnormalities. Rarely, patients may develop gastrointestinal symptoms and show abnormal liver function test results. We report the case of a 52-year-old woman with anorexia nervosa who developed refeeding syndrome and simultaneous elevations of liver function test results, which normalized upon the resolution of the refeeding syndrome.

  10. Abnormal Liver Function Tests in an Anorexia Nervosa Patient and an Atypical Manifestation of Refeeding Syndrome

    Directory of Open Access Journals (Sweden)

    Vamshidhar R. Vootla


    Full Text Available Refeeding syndrome is defined as electrolyte and fluid abnormalities that occur in significantly malnourished patients when they are refed orally, enterally, or parenterally. The principal manifestations include hypophosphatemia, hypokalemia, vitamin deficiencies, volume overload and edema. This can affect multiple organ systems, such as the cardiovascular, pulmonary, or neurological systems, secondary to the above-mentioned abnormalities. Rarely, patients may develop gastrointestinal symptoms and show abnormal liver function test results. We report the case of a 52-year-old woman with anorexia nervosa who developed refeeding syndrome and simultaneous elevations of liver function test results, which normalized upon the resolution of the refeeding syndrome.

  11. Biventricular diastolic function assessed by Doppler echocardiogram in children vertically infected with human immunodeficiency virus

    Directory of Open Access Journals (Sweden)

    Mauricio L. Silva


    Full Text Available OBJECTIVE: to determine, by Doppler-echocardiography, the frequency of cardiac diastolic dysfunction in asymptomatic and clinically stable pediatric patients with vertical infection by the human immunodeficiency virus (HIV, from the cardiovascular viewpoint. METHODS: this was an observational, prospective, and cross-sectional study, performed at a regional referral clinic for patients with HIV, in a convenience sample of 94 individuals, assessing biventricular diastolic function by Doppler-echocardiography, and weight, blood hemoglobin, and percentage of lymphocytes T-CD4+. RESULTS: fifty patients had diastolic dysfunction. Left ventricular dysfunction occurred in 38.7%, and the predominant type of dysfunction was decreased myocardial compliance. Right ventricular dysfunction was observed in 29.4% of the sample, and abnormal relaxation was the most prevalent type. Simultaneous biventricular dysfunction occurred in 14.1% of the individuals. There was no association between dysfunction and the immune status. CONCLUSIONS: diastolic dysfunction occurred, individually or simultaneously, with no association with immune status; decreased myocardial compliance was predominant in the left ventricle, and abnormal relaxation in the right ventricle.

  12. Right Ventricular Doppler Echocardiographic Study of Indeterminate Form of Chagas Disease

    Directory of Open Access Journals (Sweden)

    Rogério Gomes Furtado


    Full Text Available Background: Patients with indeterminate form of Chagas disease/cardiac normality (ICD/CN exhibited normal electrocardiograms and chest X-rays; however, more sophisticated tests detected some degree of morphological and functional changes in the heart. Objective: To assess the prevalence of systolic and diastolic dysfunction of the right ventricle (RV in patients with ICD/CN. Methods: This was a case–control and prevalence study. Using Doppler two-dimensional echocardiography (2D, 92 patients were assessed and divided into two groups: group I (normal, n = 31 and group II (ICD/CN, n = 61. Results: The prevalence of RV systolic dysfunction in patients in groups I and II was as follows: fractional area change (0.0% versus 0.6%, mobility of the tricuspid annulus (0.0% versus 0.0%, and S-wave tissue Doppler (6.4% versus 26.0%, p = 0.016. The prevalence of global disorders such as the right myocardial performance index using tissue Doppler (16.1% versus 27.8%, p = 0.099 and pulsed Doppler (61.3% versus 68%, p = 0.141 and diastolic disorders such as abnormal relaxation (0.0% versus 6.0%, pseudonormal pattern (0.0% versus 0.0%, and restrictive pattern (0.0% versus 0.0% was not statistically different between groups. Conclusion: The prevalence of RV systolic dysfunction was estimated to be 26% (S wave velocity compared with other variables, suggesting incipient changes in RV systolic function in the ICD/CN group.


    Directory of Open Access Journals (Sweden)



    Full Text Available Color Doppler sonography is an important noninvasive procedure for detecting abnormalities in hepatic vasculature in various liver diseases. Ultrasound findings associated with portal hypertension include enlarged diameter of the portal vein, lack of respiratory variation in the portal vein or its tributaries, hepatofungal portal flow direction, decreased portal velocity or volume, and the presence of collaterals or varices. Not only portal hypertension but various other liver diseases are associated with abnormalities noted in hepatic vasculature. An abnormal liver texture and ascites are also commonly seen and are usually related to accompanying cirrhosis. PORTAL VEIN : The portal vein is seen in about 97% of normal patients; failure to visualize it can suggest the presence of pathology, such as thrombosis. No intraluminal echoes with frequent echogenic border. HEPATIC ARTERY: Proximal hepatic artery is best seen at celiac trunk while distal hepatic artery is seen at the level of main portal vein. On Doppler assessment low resistant waveform pattern is seen with systolic and diastolic component. IVC ( INFERIOR VENA CAVA : Normal IVC has Low level intra luminal echoes within the lumen and changes occur during respiration. On Doppler assessment continuous triphasic waveform with respiratory variation. HEPATIC VEIN: Color Doppler is a key tool, since the hepatic veins may be difficu lt to visualize with B - mode imaging alone when the liver is enlarged or cirrhotic . AIM : To evaluate the abnormalities of hepatic vessels and portal vein in various liver diseases and role of colour Doppler in portal and hepatic vessels various liver diseas e with histopathological correlation. MATERIAL AND METHOD : A prospective study and is conducted in Department of Radiodiagnosis, N.S.C.B. Medical College, Jabalpur M.P., over a period of one year ( 2011 - 2012. To evaluate the colour Doppler of hepatic vess els and portal venous system in liver disease with

  14. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus. (United States)


    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... have developed mink enteritis following inoculation with virulent mink enteritis virus. Each...

  15. Doppler ultrasound and magnetic resonance for evaluation of patients treated surgically for aortic coarctation. Ecografia Doppler y resonancia magnetica en la evaluacion de pacientes con coartacion de aorta operada

    Energy Technology Data Exchange (ETDEWEB)

    Canteli, B.; Saez, F.; Garcia, F.; Cabrera, A.; Galdeano, J.M.; Rodriguez, O. (Hospital de Cruzes, Vizcaya (Spain))


    Doppler ultrasound and magnetic resonance were performed in a series of 39 patients who had been treated surgically for aortic coarctation. The purpose was to assess the different Doppler gradients, comparing the findings with morphological data disclosed by magnetic resonance. The aortic caliber in the operative field was pathological in 7 patients (ratio between the caliber at the level of the lesion and that of descending aorta of less than 0.7). When the patients were considered as a group. Doppler ultrasound did not show satisfactory sensitivity (29%-43%), specificity (74%) or positive predictive value (17%-23%). Only the negative predictive value (85%-88%) presented more favorable results. When the Subgroup of patients without associated cardiac abnormalities or collateral circulation was studied alone, the following results were found: sensitivity, 100%; specificity, 81%-90%, positive predictive value, 33%-50%, negative predictive value, 100%, similar to those reported in the literature. Thus, we consider that Doppler ultrasound is a harmless and low cost diagnostic method that is highly suitable for follow-up of these patients, within certain limits. Magnetic resonance is the method of choice for the noninvasive assessment of aortic morphology. (Author)

  16. Memetics clarification of abnormal behavior

    Institute of Scientific and Technical Information of China (English)


    AIM: Biological medicine is hard to fully and scientifically explain the etiological factor and pathogenesis of abnormal behaviors; while, researches on philosophy and psychology (including memetics) are beneficial to better understand and explain etiological factor and pathogenesis of abnormal behaviors. At present, the theory of philosophy and psychology is to investigate the entity of abnormal behavior based on the views of memetics.METHODS: Abnormal behavior was researched in this study based on three aspects, including instinctive behavior disorder, poorly social-adapted behavior disorder and mental or body disease associated behavior disorder. Most main viewpoints of memetics were derived from "The Meme Machine", which was written by Susan Blackmore. When questions about abnormal behaviors induced by mental and psychological diseases and conduct disorder of teenagers were discussed, some researching achievements which were summarized by authors previously were added in this study, such as aggressive behaviors, pathologically aggressive behaviors, etc.RESULTS: The abnormal behaviors mainly referred to a part of people's substandard behaviors which were not according with the realistic social environment, culture background and the pathologic behaviors resulted from people's various psychological diseases. According to the theory of "meme", it demonstrated that the relevant behavioral obstacles of various psychological diseases, for example, the unusual behavior of schizophrenia, were caused, because the old meme was destroyed thoroughly but the new meme was unable to establish; psychoneurosis and personality disorder were resulted in hard establishment of meme; the behavioral obstacles which were ill-adapted to society, for example, various additional and homosexual behaviors, were because of the selfish replications and imitations of "additional meme" and "homosexual meme"; various instinct behavioral and congenital intelligent obstacles were not significance

  17. [Diagnosticum of abnormalities of plant meiotic division]. (United States)

    Shamina, N V


    Abnormalities of plant meiotic division leading to abnormal meiotic products are summarized schematically in the paper. Causes of formation of monads, abnormal diads, triads, pentads, polyads, etc. have been observed in meiosis with both successive and simultaneous cytokinesis.

  18. Thyroid abnormality in perimenopausal women with abnormal uterine bleeding

    Directory of Open Access Journals (Sweden)

    Prasanna Byna


    Full Text Available Background: AUB is a common but complicated clinical presentation and occurs in 15-20% of women between menarche to menopause and significantly affects the women's health. Women with thyroid dysfunction often have menstrual irregularities, infertility and increased morbidity during pregnancy. The objective of present study is to find the correlation between thyroid disorders and AUB in perimenopausal women attending gynecology OPD. Methods: In the present study, fifty five patients with AUB were included and were evaluated for the cause including thyroid abnormality. Thyroid function tests were done in all patients. Results: Among 55 patients, 12 patients were diagnosed as hypothyroidism and 7 as hyperthyroidism, women with AUB 36 (65.4% were euthyroid. Among 19 women with thyroid abnormality, heavy menstrual bleeding was seen in 8 (42% women, 6 (31.57% had polymenorrhagia, 5 (26.31% had oligomenorrhoea. The frequent menstrual abnormality in women with hypothyroidism (12 women was heavy menstrual bleeding in 5 (41.6% women, 3 (25% had oligomennorhoea, 4 (33.3% had polymenorrhagia. Out of 7 women with hyperthyroidism, 2 (28.57% had oligomenorrhoea, 3 (42.8% had heavy menstrual bleeding, 2 (28.57% had polymenorrhagia. In a total of 55 patients with AUB, 11 (20% had structural abnormalities in uterus and ovaries. 5 (9% had adenomyosis, 3 (5.4% had ovarian cysts, 3 (5.4% had fibroids. Conclusions: It is important to screen all women for thyroid abnormality who are presenting with AUB especially with non-structural causes of AUB. Correction of thyroid abnormalities also relieves AUB. This will avoid unnecessary hormonal treatment and surgery. [Int J Res Med Sci 2015; 3(11.000: 3250-3253

  19. Doppler effect in resonant photoemission from SF6: correlation between Doppler profile and Auger emission anisotropy. (United States)

    Kitajima, M; Ueda, K; De Fanis, A; Furuta, T; Shindo, H; Tanaka, H; Okada, K; Feifel, R; Sorensen, S L; Gel'mukhanov, F; Baev, A; Agren, H


    Fragmentation of the SF6 molecule upon F 1s excitation has been studied by resonant photoemission. The F atomiclike Auger line exhibits the characteristic Doppler profile that depends on the direction of the photoelectron momentum relative to the polarization vector of the radiation as well as on the photon energy. The measured Doppler profiles are analyzed by the model simulation that takes account of the anisotropy of the Auger emission in the molecular frame. The Auger anisotropy extracted from the data decreases with an increase in the F-SF5 internuclear distance.

  20. [Perioperative evaluation of cerebral hemodynamics by transcranial Doppler ultrasonography in patient with hemolytic uremic syndrome]. (United States)

    Nishikawa, M; Hayashi, T; Yoshitomi, T; Inoue, T; Ichiyama, T; Furukawa, S


    Major central nervous system (CNS) complications such as seizures and coma, occur in about 30% of children with hemolytic uremic syndrome (HUS). Serious CNS involvement is associated with an increased mortality. The purpose of this study was to evaluate intracranial hemodynamics in HUS encephalopathy. We measured mean blood flow velocity and pulsatility index (PI) of the middle cerebral artery (MCA) with transcranial Doppler (TCD) in a two year-old girl with acute encephalopathy, and compared them to those in a one year-old girl with febrile convulsion incidentally complicating HUS (a disease control). In the patient with HUS encephalopathy TCD demonstrated abnormally low PI of 0.58, while the magnetic resonance imaging (MRI) and single-photon emission-computed tomography (SPECT) reveal no abnormal findings in the acute stage. The abnormal TCD findings disappeared with her recovery. In the HUS patient with febrile convulsion alone, TCD demonstrated normal maximal flow velocity and PI. Thus TCD may be useful in evaluating intracranial hemodynamics in HUS encephalopathy in the absence of MRI and SPECT abnormalities at the early stage of illness.

  1. Experimental Study of Assessment on Ventricular Activation Origin and Contraction Sequence by Doppler Tissue Imaging

    Institute of Scientific and Technical Information of China (English)

    冀瑞平; 王新房; 郑宗锷; 刘望彭; 李治安; 刘俐


    To evaluate the possibility and accuracy of Doppler tissue image (DTI) on assessment of normal and abnormal ventricular activation and contraction sequence, 9 open chest canine hearts were analyzed by acceleration mode, M-mode, and spectrum mode DTI. Our results showed that: (1) Acceleration mode DTI could show the origin of activation and conduction sequence on line; (2) Mmode DTI revealed that the activation in mid-interventricular septum was earlier than that in mid-left ventricular posterior wall at sinus activation; (3) Spectrum DTI showed the ventricular endocardium was activated earlier than the ventricular epicardium in all segments at sinus rhythm. The earliest site of activation of the normal ventricular wall was at middle interventricular septum; the latest site was at basal-posterior wall; the contraction sequence was different at the different walls; (4) During abnormal ventricular activation, mid-left ventricular posterior wall was activated earliest in accordance with the pacing sites. Abnormal ventricular activation was slower than sinus activation, and the contraction sequence varied at different sites of ventricular wall. It is concluded that DTI can be used to localize the origin of normal or abnormal myocardial activation and to assess the contraction sequence conveniently, accurately and non-invasively.

  2. Kidney transplantation in abnormal bladder

    Directory of Open Access Journals (Sweden)

    Shashi K Mishra


    Full Text Available Structural urologic abnormalities resulting in dysfunctional lower urinary tract leading to end stage renal disease may constitute 15% patients in the adult population and up to 20-30% in the pediatric population. A patient with an abnormal bladder, who is approaching end stage renal disease, needs careful evaluation of the lower urinary tract to plan the most satisfactory technical approach to the transplant procedure. Past experience of different authors can give an insight into the management and outcome of these patients. This review revisits the current literature available on transplantation in abnormal bladder and summarizes the clinical approach towards handling this group of difficult transplant patients. We add on our experience as we discuss the various issues. The outcome of renal transplant in abnormal bladder is not adversely affected when done in a reconstructed bladder. Correct preoperative evaluation, certain technical modification during transplant and postoperative care is mandatory to avoid complications. Knowledge of the abnormal bladder should allow successful transplantation with good outcome.

  3. Doppler changes as the earliest parameter in fetal surveillance to detect fetal compromise in intrauterine growth-restricted fetuses

    Directory of Open Access Journals (Sweden)

    Bansal Saloni


    Full Text Available Introduction. It is estimated that 3-10% of infants are growth restricted. Growth disturbances may have long-term issues. Doppler allows insight into the fetal response to intrauterine stress. Objective. The aim of this study was to detect fetal compromise in intrauterine growth-restricted (IUGR fetuses by means of biophysical profile (BPP vis-а-vis Doppler velocimetry studies of the fetal umbilical artery, and to find out which of the two is a better and earlier predictor of fetal compromise. Methods. A prospective study was conducted on a total of 50 singleton pregnancies with IUGR between 28 and 42 weeks of gestation. Study patients were managed expectantly with nonstress testing and amniotic fluid assessment, BPP and Doppler velocimetry studies of the fetal umbilical artery. Results. Fetal outcome was poor in 5/50 (10% of the fetuses, defined as presence of all of the following: poor Apgar test score, neonatal intensive care unit stay, necrotizing enterocolitis, and low birth weight. Of the four with abnormal BPP, 50% had poor fetal outcomes. Out of 46 with normal BPP, 6.5% had poor fetal outcomes. Conclusion. Inference drawn from the study is that the Doppler technology provides us the opportunity for repetitive noninvasive hemodynamic monitoring in IUGR pregnancies.

  4. Experimentally induced acute uric acid nephropathy in rabbits: Findings of high resolution gray scale and doppler ultrasonographies

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Ik; Chung, Soo Young; Lee, Kyung Won; Kim, Hong Dae; Ko, Eun Young; Won, Mi Sook; Noh, Jung Woo [Hallym University College of Medicine, Seoul (Korea, Republic of); Park, Moon Hyang [Hanyang University College of Medicine, Seoul (Korea, Republic of)


    To evaluate changes of the high-resolution (HR) gray scale and doppler ultrasonographic (US) characteristics of experimentally induced acute uric acid (UA) nephropathy in rabbits. Acute UA nephropathy was induced in ten rabbits using supersaturated lithium carbonate solution. The rabbits were divided in two groups. Group I consisted of five rabbits, and they were injected with a single dose of 150 ml of saturated UA over one hour. During tis period, serial US studies of the kidneys of these rabbits were performed every ten minutes. Group II consisted of the remaining five rabbits, and three injections of 50 ml of saturated UA solution were given on the first, fifth and eight day and follow-up was done upto twenty fifth day. Sequential HR and Doppler US, renal biopsy and blood sampling were performed on day 1, 5, 8, 21, and 25 in the group II rabbits. In group I, HR and Doppler US examination revealed the normal resistive index without significant abnormality. On the other hand, US studies of group II showed poor renal corticomedullary differentiation, decreased renal blood flow and elevated resistive index. There was statistically significant correlation among US findings, histologic characteristics and chemical index (BUN, creatinine) of renal function. In addition, sequentially increased size and volume of the kidney were noted in both groups. HR gray scale and doppler US characteristics of experimentally induced acute UA nephropathy in rabbits were similar to those of acute renal failure caused by other well-known causes.

  5. [Diagnosis of placenta previa accreta by two dimensional ultrasonography and color doppler in patients with cesarean section]. (United States)

    Shi, Huafang; Pi, Pixiang; Ding, Yiling


    To determine the accuracy of two dismensional sonography and color doppler in diagnosing placenta previa accreta in patients with previous cesarean section. Forty-one patients with previous cesarean sections were confirmed to have partial or total placenta previa in the current pregnancy and were given ultrasound examinations after the 28th week of gestation. Specific ultrasound features of the placenta and its interphase with the uterus and the bladder for placenta accreta were checked by two-dimensional ultrasonography and color Doppler. All the patients were traced until delivery. The golden standard in diagnosis was the intraoperative finding and the pathologic exam. Twenty-two patients had ultrasonographic evidence of placenta previa, 20 of which were later confirmed placenta previa accreta intraoperatively. Nineteen patients had no ultrasound evidence of placenta previa, and 1 of which was later confirmed placenta previa accreta. The sensitivity and specificity of antenatal ultrasound diagnosis of placenta previa accreta were 95.24% and 94.74% respectively. The most prominent feature to suggest placenta accreta in twodismensional sonography was the presence of multiple lakes that represented dilated vessels extending from the placenta through the myometrium. The most prominent color Doppler feature was the presence of interphase hypervascularity with abnormal vessels linking the placenta to the bladder, and the rate was 95.24%. Placenta previa accreta can be diagnosed made with a thorough two dimensional ultrasonographic and color Doppler examination in patients with previous cesarean scar and placenta previa.

  6. Doppler-compensated three-photon electromagnetically induced transparency

    CERN Document Server

    Carr, Christopher; Sargsyan, Armen; Sarkisyan, David; Adams, Charles S; Weatherill, Kevin J


    We demonstrate Doppler-compensated bright and dark states in a resonant four-level atomic system. The spectral features are the result of electromagnetically induced transparency (EIT) and absorption (EIA) and are sub-Doppler due to the compensation of Doppler shifts with AC Stark shifts. We demonstrate the effect using a three-photon cascade system to Rydberg states in Cs vapor, however, the results apply to any four-level cascade or N-type system.

  7. Influence of Doppler Bin Width on GNSS Detection Probabilities

    CERN Document Server

    Geiger, Bernhard C


    The acquisition stage in GNSS receivers determines Doppler shifts and code phases of visible satellites. Acquisition is thus a search in two continuous dimensions, where the digital algorithms require a partitioning of the search space into cells. We present analytic expressions for the acquisition performance depending on the partitioning of the Doppler frequency domain. In particular, the impact of the number and width of Doppler bins is analyzed. The presented results are verified by simulations.

  8. New insights from inside-out Doppler tomography

    CERN Document Server

    Kotze, Enrico J


    We present preliminary results from our investigation into using an 'inside-out' velocity space for creating a Doppler tomogram. The aim is to transpose the inverted appearance of the Cartesian velocity space used in normal Doppler tomography. In a comparison between normal and inside-out Doppler tomograms of cataclysmic variables, we show that the inside-out velocity space has the potential to produce new insights into the accretion dynamics in these systems.

  9. Analysis on rotational Doppler Effect based on modal expansion method

    CERN Document Server

    Zhou, Hailong; Zhang, Pei; Zhang, Xinliang


    We theoretically investigate the optical rotational Doppler Effect using modal expansion method. We find that the frequency shift content is only determined by the surface of spinning object and the reduced Doppler shift is linear to the change of mode index. The theoretical model makes us better understand the physical processes of rotational Doppler Effect. It can provide theoretical guidance for many related applications, such as detection of rotating bodies, detection of OAM and frequency shift.

  10. Range-instantaneous Doppler imaging of inverse synthetic aperture sonar

    Institute of Scientific and Technical Information of China (English)

    XU Jia; JIANG Xingzhou; TANG Jingsong


    Because the existing range-Doppler algorithm in inverse synthetic aperture sonar (ISAS) is based on target model of uniform motion, it may be invalidated for maneuvering targets due to the time-varying changes of both individual scatter′s Doppler and imaging projection plane. To resolve the problem, a new range-instantaneous Doppler imaging method is proposed for imaging maneuvering targets based on time-frequency analysis. The proposed approach is verified using real underwater acoustic data.

  11. Abnormal insulin levels and vertigo. (United States)

    Proctor, C A


    Fifty patients with unexplained vertigo (36) or lightheadedness (14) are evaluated, all of whom had abnormal ENGs and normal audiograms. Five hour insulin glucose tolerance tests were performance on all patients, with insulin levels being obtained fasting and at one-half, one, two, and three hours. The results of this investigation were remarkable. Borderline or abnormal insulin levels were discovered in 82% of patients; 90% were found to have either an abnormal glucose tolerance test or at least borderline insulin levels. The response to treatment in these dizzy patients was also startling, with appropriate low carbohydrate diets improving the patient's symptoms in 90% of cases. It is, therefore, apparent that the earliest identification of carbohydrate imbalance with an insulin glucose tolerance test is extremely important in the work-up of the dizzy patients.

  12. Hydrogen peroxide enteritis: the "snow white" sign. (United States)

    Bilotta, J J; Waye, J D


    Hydrogen peroxide is a useful disinfectant that has achieved widespread utility in varied clinical settings. We report an epidemic of hydrogen peroxide enteritis that developed in seven patients in our gastrointestinal endoscopy unit during a 2-week period in early 1988. During endoscopy, using recently sterilized endoscopes that were flushed with 3% hydrogen peroxide after the glutaraldehyde cycle, instantaneous blanching (the "snow white" sign) and effervescence were noted on the mucosal surfaces when the water button was depressed. No patient subsequently suffered morbidity or mortality associated with this peroxide enteritis, and the biopsy specimens revealed nonspecific inflammation. The toxicity of hydrogen peroxide when used in enema form is reviewed, as well as the pathogenesis of peroxide enteritis.

  13. Evaluating Peripheral Vascular Injuries: Is Color Doppler Enough for Diagnosis?

    Directory of Open Access Journals (Sweden)

    Mohd Lateef Wani


    Full Text Available Background:: Vascular injury poses a serious threat to limb and life. Thus, diagnosis should be made immediately with minimally invasive methods. Doppler is a good aid in diagnosis of vascular injury. Methods:: The present prospective study was conducted on 150 patients who presented with soft signs (the signs which are suggestive but not confirmatory of vascular injury. They were subjected to color Doppler examination before exploration. The patients with the features of vascular injury on color Doppler were subjected to exploration. On the other hand, those who had normal Doppler were subjected to CT- angiography. Then, the findings of the exploration were matched with those of color Doppler. The data were analyzed using the SPSS statistical software. Results:: Out of the 150 Doppler examinations, 110 (73.33% were reported as positive, while 40 were reported as negative for vascular injury. These were subjected to CT-angiography and seven of them had the features of vascular injury on CT-angiography. All the patients with positive Doppler or CT angiography findings were subjected to exploration. Doppler had a sensitivity of 94% and specificity of 82.5% in diagnosis of vascular injury using Binary classification test. Conclusions:: Color Doppler is an easily available, reliable, and handy method of diagnosing a vascular injury. It has a very high sensitivity and specificity in diagnosis of vascular injuries.

  14. EUV Doppler Imaging for CubeSat Platforms Project (United States)

    National Aeronautics and Space Administration — Mature the design and fabricate the Flare Initiation Doppler Imager (FIDI) instrument to demonstrate low-spacecraft-resource EUV technology (most notably,...

  15. Reexamination of the Doppler effect through Maxwell's equations. (United States)

    Guo, Wei; Aktas, Yildirim


    In this work, the electric field emitted from a moving source, an electric point dipole, is analyzed for the purpose of illustrating the physics behind the Doppler effect. It is found that if the (translational) motion of the source is nonrelativistic, the Doppler effect is realized in two steps: the motion of the source first causes the dyadic Green function associated with the electric field to acquire an oscillation frequency in the far-field region of the source, and then the frequency leads to the Doppler effect. It is also demonstrated that the Doppler effect is observable only in the far-field region of the source.

  16. Burst Format Design for Optimum Joint Estimation of Doppler-Shift and Doppler-Rate in Packet Satellite Communications

    Directory of Open Access Journals (Sweden)

    Luca Giugno


    Full Text Available This paper considers the problem of optimizing the burst format of packet transmission to perform enhanced-accuracy estimation of Doppler-shift and Doppler-rate of the carrier of the received signal, due to relative motion between the transmitter and the receiver. Two novel burst formats that minimize the Doppler-shift and the Doppler-rate Cramér-Rao bounds (CRBs for the joint estimation of carrier phase/Doppler-shift and of the Doppler-rate are derived, and a data-aided (DA estimation algorithm suitable for each optimal burst format is presented. Performance of the newly derived estimators is evaluated by analysis and by simulation, showing that such algorithms attain their relevant CRBs with very low complexity, so that they can be directly embedded into new-generation digital modems for satellite communications at low SNR.

  17. Gastritis, Enteritis, and Colitis in Horses. (United States)

    Uzal, Francisco A; Diab, Santiago S


    The gastrointestinal system of horses is affected by a large variety of inflammatory infectious and noninfectious conditions. The most prevalent form of gastritis is associated with ulceration of the pars esophagea. Although the diagnostic techniques for alimentary diseases of horses have improved significantly over the past few years, difficulties still exist in establishing the causes of a significant number of enteric diseases in this species. This problem is compounded by several agents of enteric disease also being found in the intestine of clinically normal horses, which questions the validity of the mere detection of these agents in the intestine.

  18. Enteric alpha defensins in norm and pathology

    Directory of Open Access Journals (Sweden)

    Lisitsyn Nikolai A


    Full Text Available Abstract Microbes living in the mammalian gut exist in constant contact with immunity system that prevents infection and maintains homeostasis. Enteric alpha defensins play an important role in regulation of bacterial colonization of the gut, as well as in activation of pro- and anti-inflammatory responses of the adaptive immune system cells in lamina propria. This review summarizes currently available data on functions of mammalian enteric alpha defensins in the immune defense and changes in their secretion in intestinal inflammatory diseases and cancer.

  19. Applications of Doppler optical coherence tomography (United States)

    Xu, Zhiqiang

    A major development in biomedical imaging in the last decade has been optical coherence tomography (OCT). This technique enables microscale resolution, depth resolved imaging of the detailed morphology of transparent and nontransparent biological tissue in a noncontact and quasi-noninvasive way. In the first part of this dissertation, we will describe the development and the performance of our home-made OCT systems working with different wavelength regions based on free-space and optical fiber Michelson interferometers. The second part will focus on Doppler OCT (DOCT), an important extension of OCT, which enables the simultaneous evaluation of the structural information and of the fluid flow distribution at a localized position beneath the sample surface. Much effort has been spent during the past few years in our laboratory aimed at providing more accurate velocity measurements with an extended dynamic range. We also applied our technique in different research areas such as microfluidics and hemodynamics. Investigations on the optical properties of the biological tissues (such as absorption and scattering) corresponding to different center wavelengths, have been performed in our laboratory. We used a 10 femtosecond Ti:sapphire laser centered at about 810 nm associated with a free-space Michelson interferometer. The infrared sources were centered at about 1310 and 1560 nm with all-fiber interferometers. Comparative studies using three different sources for several in vitro biological tissues based on a graphical method illustrated how the optical properties affect the quality of the OCT images in terms of the penetration depth and backscattering intensity. We have shown the advantage of working with 810-nm emission wavelength for good backscattering amplitude and contrast, while sources emitting at 1570 nm give good penetration depth. The 1330-nm sources provide a good compromise between the two. Therefore, the choice of the source will ultimately determine the

  20. [Color Doppler sonography of focal abdominal lesions]. (United States)

    Licanin, Zoran; Lincender, Lidija; Djurović, V; Salihefendić, Nizama; Smajlović, Fahrudin


    Color Doppler sonography (CDS--spectral, color and power), harmonic imaging techniques (THI, PHI), possibility of 3D analysis of picture, usage of contrast agents, have raised the values of ultrasound as a diagnostic method to a very high level. THI--non-linear gray scale modality, is based on the processing of higher reflected frequencies, that has improved a picture resolution, which is presented with less artifacts and limiting effects of obesity and gases. Ultrasound contrast agents improve analysis of micro and macro circulation of the examined area, and with the assessment of velocity of supply in ROI (wash in), distribution and time of signal weakening (wash out), are significantly increasing diagnostic value of ultrasound. Besides the anatomical and topographic presentation of examined region (color, power), Color Doppler sonography gives us haemodynamic-functional information on vascularisation of that region, as well as on pathologic vascularisation if present. Avascular aspect of a focal pathologic lesion corresponds to a cyst or haematoma, while coloration and positive spectral curve discover that anechogenic lesions actually represents aneurysms, pseudoaneurysms or AVF. In local inflammatory lesion, abscess in an acute phase, CDS shows first increased, and then decreased central perfusion, while in a chronic phase, a pericapsular vascularisation is present. Contribution of CDS in differentiation of hepatic tumors (hemangioma, HCC and metastasis) is very significant. Central color dots along the peripheral blood vessels and the blush phenomenon are characteristics of capillary hemangioma, peritumoral vascular ring "basket" of HCC, and "detour" sign of metastasis. The central artery, RI from 0.45 to 0.60 and radial spreading characterize FNH. Hepatic adenoma is characterized by an intratumoral vein, and rarely by a vascular hallo. Further on, blood velocity in tumor defined by Color Doppler, distinguishes malignant from benign lesion, where 40 cm/s is a

  1. Neutral wind results from TIMED Doppler interferometer (United States)

    Killeen, T.; Gablehouse, R.; Gell, D.; Johnson, R.; Niciejewski, R.; Ortland, D.; Wu, Q.; Skinner, W.; Solomon, S.; Kafkalidis, J.


    Since the launch of the NASA Thermosphere-Ionosphere-Mesosphere Energetics and Dynamics (TIMED) satellite in December 2001, the TIMED Doppler Interferometer (TIDI) has been collecting lower thermosphere and mesospheric data for over a year. After adjustments to the spectral sampling scheme and operational mode, the instrument has been optimized. Efforts have also been made to improve the instrument performance. Preliminary neutral winds from O2 (0-0) have been analyzed. Tidal features and their seasonal variation are shown clearly in the wind data, which are quantitatively consistent with model prediction. We will report our progress on these efforts.

  2. Mobile fiber-optic laser Doppler anemometer. (United States)

    Stieglmeier, M; Tropea, C


    A laser Doppler anemometer (LDA) has been developed that combines the compactness and low power consumption of laser diodes and avalanche photodiodes with the flexibility and possibility of miniaturization by using fiber-optic probes. The system has been named DFLDA for laser diode fiber LDA and is especially suited for mobile applications, for example, in trains, airplanes, or automobiles. Optimization considerations of fiber-optic probes are put forward and several probe examples are described in detail. Measurement results from three typical applications are given to illustrate the use of the DFLDA. Finally, a number of future configurations of the DFLDA concept are discussed.

  3. Thermal inactivation of enteric viruses and bioaccumulation of enteric foodborne viruses in live oysters (Crassostrea virginica) (United States)

    Human enteric viruses are one of the main causative agents of shellfish associated outbreaks. In this study, the kinetics of viral bioaccumulation in live oysters and the heat stability of the most predominant enteric viruses were determined in both tissue culture and in oyster tissues. A human nor...

  4. Check list Doppler and duplex sonography. 4. rev. ed.; Checkliste Doppler- und Duplexsonografie

    Energy Technology Data Exchange (ETDEWEB)

    Kopp, Helmut [MED-Facharztzentrum, Mainz (Germany). Praxis fuer Gefaessmedizin; Ludwig, Malte [Benedictus Krankenhaus Tutzing (Germany). Gefaesszentrum


    Check list Doppler and duplex sonography includes 4 parts: (1) Basic information: technical fundamentals, equipment premises, hemodynamics. (2) Flow schemata and pitfalls. (3) Special vascular regions: arteries in the upper and lower extremities, veins in the upper and lower extremities, abdominal arteries, abdominal veins, ex-cranial brain sustaining arteries, intra-cranial brain sustaining arteries. (4) Attachment: diagnostic criteria and case studies.

  5. Abnormal shortened diastolic time length at increasing heart rates in patients with abnormal exercise-induced increase in pulmonary artery pressure. (United States)

    Bombardini, Tonino; Sicari, Rosa; Bianchini, Elisabetta; Picano, Eugenio


    The degree of pulmonary hypertension is not independently related to the severity of left ventricular systolic dysfunction but is frequently associated with diastolic filling abnormalities. The aim of this study was to assess diastolic times at increasing heart rates in normal and in patients with and without abnormal exercise-induced increase in pulmonary artery pressure (PASP). We enrolled 109 patients (78 males, age 62 ± 13 years) referred for exercise stress echocardiography and 16 controls. The PASP was derived from the tricuspid Doppler tracing. A cut-off value of PASP ≥ 50 mmHg at peak stress was considered as indicative of abnormal increase in PASP. Diastolic times and the diastolic/systolic time ratio were recorded by a precordial cutaneous force sensor based on a linear accelerometer. At baseline, PASP was 30 ± 5 mmHg in patients and 25 ± 4 in controls. At peak stress the PASP was normal in 95 patients (Group 1); 14 patients (Group 2) showed an abnormal increase in PASP (from 35 ± 4 to 62 ± 12 mmHg; P heart sound vibrations non-invasively monitored by a force sensor are useful for continuously assessing diastolic time during exercise. Exercise-induced abnormal PASP was associated with reduced diastolic time at heart rates beyond 100 beats per minute.

  6. Abnormal shortened diastolic time length at increasing heart rates in patients with abnormal exercise-induced increase in pulmonary artery pressure

    Directory of Open Access Journals (Sweden)

    Bombardini Tonino


    Full Text Available Abstract Background The degree of pulmonary hypertension is not independently related to the severity of left ventricular systolic dysfunction but is frequently associated with diastolic filling abnormalities. The aim of this study was to assess diastolic times at increasing heart rates in normal and in patients with and without abnormal exercise-induced increase in pulmonary artery pressure (PASP. Methods. We enrolled 109 patients (78 males, age 62 ± 13 years referred for exercise stress echocardiography and 16 controls. The PASP was derived from the tricuspid Doppler tracing. A cut-off value of PASP ≥ 50 mmHg at peak stress was considered as indicative of abnormal increase in PASP. Diastolic times and the diastolic/systolic time ratio were recorded by a precordial cutaneous force sensor based on a linear accelerometer. Results At baseline, PASP was 30 ± 5 mmHg in patients and 25 ± 4 in controls. At peak stress the PASP was normal in 95 patients (Group 1; 14 patients (Group 2 showed an abnormal increase in PASP (from 35 ± 4 to 62 ± 12 mmHg; P Conclusion The first and second heart sound vibrations non-invasively monitored by a force sensor are useful for continuously assessing diastolic time during exercise. Exercise-induced abnormal PASP was associated with reduced diastolic time at heart rates beyond 100 beats per minute.

  7. Enteral-tube-feeding diarrhoea: manipulating the colonic microbiota with probiotics and prebiotics. (United States)

    Whelan, Kevin


    Diarrhoea is a common and serious complication of enteral tube feeding. Its pathogenesis involves antibiotic prescription, enteropathogenic colonization and abnormal colonic responses, all of which involve an interaction with the colonic microbiota. Alterations in the colonic microbiota have been identified in patients receiving enteral tube feeding and these changes may be associated with the incidence of diarrhoea. Preventing negative alterations in the colonic microbiota has therefore been investigated as a method of reducing the incidence of diarrhoea. Probiotics and prebiotics may be effective because of their suppression of enteropathogenic colonization, stimulation of immune function and modulation of colonic metabolism. Randomized controlled trials of probiotics have produced contrasting results, although Saccharomyces boulardii has been shown to reduce the incidence of diarrhoea in patients in the intensive care unit receiving enteral tube feeding. Prebiotic fructo-oligosaccharides have been shown to increase the concentration of faecal bifidobacteria in healthy subjects consuming enteral formula, although this finding has not yet been confirmed in patients receiving enteral tube feeding. Furthermore, there are no clinical trials investigating the effect of a prebiotic alone on the incidence of diarrhoea. Further trials of the efficacy of probiotics and prebiotics, alone and in combination, in preventing diarrhoea in this patient group are warranted.

  8. Doppler term in the galaxy two-point correlation function: wide-angle, velocity, Doppler lensing and cosmic acceleration effects


    Raccanelli, Alvise; Bertacca, Daniele; Jeong, Donghui; Neyrinck, Mark C.; Szalay, Alexander S.


    We study the parity-odd part (that we shall call Doppler term) of the linear galaxy two-point correlation function that arises from wide-angle, velocity, Doppler lensing and cosmic acceleration effects. As it is important at low redshift and at large angular separations, the Doppler term is usually neglected in the current generation of galaxy surveys. For future wide-angle galaxy surveys such as Euclid, SPHEREx and SKA, however, we show that the Doppler term must be included. The effect of t...

  9. Cardiac abnormalities after subarachnoid hemorrhage

    NARCIS (Netherlands)

    Bilt, I.A.C. van der


    Aneurysmal subarachnoid hemorrhage(aSAH) is a devastating neurological disease. During the course of the aSAH several neurological and medical complications may occur. Cardiac abnormalities after aSAH are observed often and resemble stress cardiomyopathy or Tako-tsubo cardiomyopathy(Broken Heart Syn

  10. Congenital abnormalities in methylmercury poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Gilani, S.H.


    This study was undertaken to determine the teratogenic potential of methylmercury on chick embryogenesis. Methylmercuric chloride was dissolved in sodium bicarbonate (0.2%) and administered to the chick embryos at doses ranging from 0.0009 to 0.010 mg per egg. The injections were made at days 2 and 3 on incubation (Groups A and B). All the embryos including controls were examined on the 7th day of incubation. Methylmercury poisoning was observed to be both embryolethal and teratogenic. Within the two groups, embryolethality was higher in Group A. The following congenital abnormalities were observed: exencephaly, shortened and twisted limbs, microphthalmia, shortened and twisted neck, beak abnormalities, everted viscera, reduced body size and hemorrhage all over the body. Exencephaly and limb abnormalities were very common. No differences in the incidence and types of gross abnormalities within both the groups (A and B) were noted. The incidence of malformations among the controls was low. The results of present investigation show that methylmercury poisoning is both embryolethal and teratogenic to early chick embryogenesis. (auth)

  11. Doppler ultrasound scan during normal gestation: umbilical circulation; Ecografia Doppler en la gestacion normal: circulacion umbilical

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz, T.; Sabate, J.; Martinez-Benavides, M. M.; Sanchez-Ramos, J. [Hospital Virgen Macarena. Sevilla (Spain)


    To determine normal umbilical circulation patterns by means of Doppler ultrasound scan in a healthy gestating population without risk factors and with normal perinatal results, and to evaluate any occurring modifications relative to gestational age by obtaining records kept during pregnancy. One hundred and sixteen pregnant women carrying a single fetus have been studied. These women had no risk factors, with both clinical and analytical controls, as well as ultrasound scans, all being normal. There were performed a total of 193 Doppler ultrasound scans between weeks 15 and 41 of gestation, with blood-flow analysis in the arteries and vein of the umbilical cord. The obtained information was correlated with parameters that evaluate fetal well-being (fetal monitoring and/or oxytocin test) and perinatal result (delivery type, birth weight, Apgar score). Statistical analysis was performed with the programs SPSS 6.0.1 for Windows and EPIINFO 6.0.4. With pulsed Doppler, the umbilical artery in all cases demonstrated a biphasic morphology with systolic and diastolic components and without retrograde blood flow. As the gestation period increased, there was observed a progressive decrease in resistance along with an increase in blood-flow velocity during the diastolic phase. The Doppler ultrasound scan is a non-invasive method that permits the hemodynamic study of umbilical blood circulation. A knowledge of normal blood-flow signal morphology, as well as of the normal values for Doppler indices in relation to gestational age would permit us to utilize this method in high-risk pregnancies. (Author) 30 refs.

  12. Combination of plasma-soluble fms-like tyrosine kinase 1 and uterine artery Doppler for the prediction of preeclampsia in cases of elderly gravida. (United States)

    Kulmala, Lalita; Phupong, Vorapong


    The aim of this study was to determine the predictive value of the combination of plasma-soluble fms-like tyrosine kinase 1 (sFlt-1) and uterine artery Doppler for the detection of preeclampsia in women of advanced age at 16-18 weeks of gestation and to identify associations between other pregnancy complications and abnormalities of these combined tests. The maternal plasma sFlt-1 level was measured, and uterine artery Doppler was performed at 16-18 weeks of gestation in 314 cases of elderly gravida. The main outcome was preeclampsia. Fourteen women (4.46%) developed preeclampsia. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of uterine artery Doppler combined with plasma sFlt-1 for preeclampsia prediction were 28.6, 95.7, 23.5 and 96.6%, respectively. For the prediction of early-onset preeclampsia, the sensitivity, specificity, PPV and NPV were 80, 95.8, 23.5 and 99.7%, respectively. Patients with abnormal uterine artery Doppler findings and an abnormal plasma s Flt-1 level (greater than 1724.5 pg ml(-1)) had a higher risk of preterm delivery (relative risk (RR)=3.38, 95% confidence interval (CI) 1.47-7.59), neonatal respiratory distress syndrome (RR=52.06, 95% CI 5.71-474.45) and perinatal death (RR=17.35, 95% CI 1.13-265.64). Our findings indicate that the combination of uterine artery Doppler and sFlt-1 level at 16-18 weeks of gestation in cases of elderly gravida has a high predictive value for early-onset preeclampsia, but not for overall preeclampsia. This combination test may be a useful early second trimester screening test for the prediction of early-onset preeclampsia in cases of elderly gravida.

  13. Fetal cyst reveling retroperitoneal enteric duplication

    Directory of Open Access Journals (Sweden)

    Imene Dahmane Ayadi


    Full Text Available Retroperitoneum is a very uncommon site of enteric duplication (ED. We report a new case of retroperitoneal ED cyst suspected in utero. Prenatal ultrasound showed an abdominal cystic mass. Noncommunicating retroperitoneal ED cyst measuring 70 mm × 30 mm was resected. Histopathologic examination confirmed the diagnosis.

  14. Entering a Crack: An Encounter with Gossip (United States)

    Henderson, Linda


    In this paper, I enter a crack to think otherwise about the concept "gossip". Drawing on previous scholarship engaging with Deleuzian concepts to inform research methodologies, this paper builds on this body of work. Following Deleuze and Guattari, the paper undertakes a mapping of gossip, subsequent to an encounter with a crack.…

  15. Campylobacter jejuni enteritis and reactive arthritis


    Short, C. D.; Klouda, P T; Smith, Lorna


    A further case of reactive arthritis following Campylobacter jejuni enteritis is reported. The interim results of a small prospective study are discussed. It may be desirable to do serological studies for campylobacter infection in the investigation of mono- or polyarthritis of acute onset.

  16. Aspects of enteral nutrition in cancer chemotherapy

    NARCIS (Netherlands)

    Smit, Jitske Martha


    This thesis deals with several aspects of the influences of intensive cancer chemotherapy on the nutritional status, the metabolism, and the gastrointestinal tract of the host and describes whether these results can be influenced by enteral hyperalimentation, We studied these aspects in patients

  17. Aspects of enteral nutrition in cancer chemotherapy

    NARCIS (Netherlands)

    Smit, Jitske Martha


    This thesis deals with several aspects of the influences of intensive cancer chemotherapy on the nutritional status, the metabolism, and the gastrointestinal tract of the host and describes whether these results can be influenced by enteral hyperalimentation, We studied these aspects in patients wit

  18. Kokainudløst iskaemisk enteritis

    DEFF Research Database (Denmark)

    Hobolth, Lise; Bendtsen, Flemming


    and a pill cam capsule endoscopy were normal. In all cases the condition normalized spontaneously. A thorough interview revealed a recreational use of cocaine, and diary recordings confirmed the association between her abdominal pain and cocaine use. Ischaemic enteritis has previously been described...... in cocaine users. Udgivelsesdato: 2009-Sep...

  19. Entering a Crack: An Encounter with Gossip (United States)

    Henderson, Linda


    In this paper, I enter a crack to think otherwise about the concept "gossip". Drawing on previous scholarship engaging with Deleuzian concepts to inform research methodologies, this paper builds on this body of work. Following Deleuze and Guattari, the paper undertakes a mapping of gossip, subsequent to an encounter with a crack.…

  20. Manipulation of enteric flora in ulcerative colitis

    Institute of Scientific and Technical Information of China (English)

    Mario Guslandi


    @@ TO THE EDITOR Reviewing the available therapeutic options in the medical treatment of ulcerative colitis, Xu et al.[1], have omitted to mention an important aspect in the pharmacological management of the disease, namely the possibility to promote clinical and endoscopic improvement by manipulating the enteric flora.

  1. Enteric bacterial growth rates in river water. (United States)

    Hendricks, C W


    Enteric bacteria, including stocked strains of pathogenic species and organisms naturally present in the stream, were capable of growth in a chemostat with autoclaved river water taken 750 m below a sewage outfall. Maximal specific growth rates for all organisms occurred at 30 C, whereas culture generation times ranged between 33.3 and 116 hr. Of the six laboratory strains of enteric species used, Escherichia coli and Enterobacter aerogenes grew at generation times of 34.5 and 33.3 hr, respectively, while the remaining Proteus, Arizona, Salmonella, and Shigella spp. reproduced at a rate two to three times slower than the coliforms. Little or no growth occurred in the water at incubation temperatures of 20 and 5 C, and death was observed for Salmonella senftenberg at 20 and 5 C and for E. aerogenes and Proteus rettgeri at 5 C. When enteric bacteria naturally present in the river water were employed in similar experiments, coliform bacteria demonstrated a generation time of approximately 116 hr, whereas fecal coliforms failed to grow. Growth of the bacteria from the river demonstrated a periodicity of approximately 100 hr, which suggests that much of the growth of these organisms in the chemostat may be on the glass surfaces. This phenomenon, however, was not observed with any of the stocked enteric species. Neither the stock cultures nor the aquatic strains were capable of growth in autoclaved river water taken above the sewage outfall at the three temperatures tested.

  2. [Enteral alimentation at home: why PEG now?]. (United States)

    Suzuki, Y; Hanyu, N; Kashiwagi, H; Kubo, T; Aoki, T


    The history of percutaneous endoscopic gastrostomy (PEG) is relatively short. In 1980, a report entitled "Gastrostomy without laparotomy: A percutaneous endoscopic technique" by Ponsky and Gaudere was first published in the Journal of Pediatric Surgery. Thereafter, PEG soon saw widespread use in Western countries because of its clinical efficacy and economy. It has been performed in about 170,000 cases annually in the US. In contrast, its spread in Japan has been extremely slow: only about 10,000 cases have undergone this procedure annually, and this number accounted for less than 5% of patients receiving enteral alimentation. The reason why PEG has not spread may be the medical insurance system in Japan and the local distaste for operation scarring. However, in consideration of the unprecedented ageing of society that is surely coming in the near future, the role of PEG in Japan must be reexamined. In this report, we presented the methodology of enteral alimentation at home by means of PEG, giving special consideration to: (1) "What points are improved by using enteral alimentation at home by means of PEG in various diseases; (2) dysphagia due to cerebral angiopathy; (3) terminal cancer; (4) otolaryngological diseases; and (5) Crohn disease. We also discussed "Why PEG is important now?" in performing enteral alimentation at home.

  3. [Enteral nutrition in the multiple trauma patient]. (United States)

    Sánchez-Izquierdo Riera, J A; Montejo González, J C


    The hypermetabolism that develops in patients with severe polytraumatism has led to the need for an aggressive metabolic-nutritional support from the start. Parenteral Nutrition is the preferred technique in many instances, due to the doubts on the effectiveness of enteral nutrition in the control of the metabolic response and to problems of gastrointestinal tolerance derived from its administration. However, the role of enteral nutrition as an important factor which limits the development of bacterial translocation and the chain of events leading to multiorganic failure appears to be more and more well-established and is an important argument for justifying the early administration of enteral nutrition in these patients. In accordance with the accumulated experience of several authors over the past few years, enteral nutrition may be administered early in polytraumatized patients. This is not only accompanied by the evidence of acceptable gastrointestinal tolerance to the diet, but also by additional advantages compared to parenteral nutrition, such as the maintenance of trophism and immunocompetence of the digestive mucosa, the reduction of septic complications and also greater nutritional effectiveness which can be evaluated by the behaviour of the seric proteins used as nutritional evolution markers. The interest of the different diet formulae which exist at present, for example diets enriched with branched-chain amino acids, diets with added fibre, peptidic diets, specific pulmonary diets or "euglycaemic diets" is evaluated in this review. All these diets may mean an increase in the effectiveness and/or tolerance of enteral nutrition in polytraumatized patients, and also contribute to the handling of specific problems such as "stress" hyperglycaemia or the withdrawal of mechanical ventilation support. The use of specific nutrients for the digestive mucosa, such as glutamine or short chain fatty acids seems to be an important factor in the reduction of

  4. Initial Results from the XUV Doppler Telescope (United States)

    Kano, R.; Hara, H.; Kobayashi, K.; Kumagai, K.; Nagata, S.; Sakao, T.; Shimizu, T.; Tsuneta, S.; Yoshida, T.

    We developed a unique telescope to obtain simultaneous XUV images and the velocity maps by measuring the line-of-sight Doppler shifts of the Fe XIV 211A&ring line (T = 1.8 MK): the Solar XUV Doppler Telescope (hereafter XDT). The telescope was launched by the Institute of Space and Astronautical Science with the 22nd S520 rocket on January 31, 1998, and took 14 XUV whole sun images during 5 minutes. Simultaneous observations of XDT with Yohkoh (SXT), SOHO (EIT, CDS, LASCO and MDI) were successfully carried out. The images taken with EIT, XDT and SXT are able to cover the wide temperature ranging from 1 to 10 MK, and clearly show the multi-temperature nature of the solar corona. Indeed, we notice that both the cool (1-2 MK) loops observed with EIT and XDT, and the hot (>3 MK) loops observed with SXT exist in the same active regions but in a spatially exclusive way. The XDT red-blue ratio between longer- and shorter-wavelength bands of Fe XIV 211A&ring line indicates a possible down-flow of 1.8 MK plasma near the footpoints of multiple cool loops

  5. Functional Doppler optical coherence tomography for cortical blood flow imaging (United States)

    Yu, Lingfeng; Liu, Gangjun; Nguyen, Elaine; Choi, Bernard; Chen, Zhongping


    Optical methods have been widely used in basic neuroscience research to study the cerebral blood flow dynamics in order to overcome the low spatial resolution associated with magnetic resonance imaging and positron emission tomography. Although laser Doppler imaging and laser speckle imaging can map out en face cortical hemodynamics and columns, depth resolution is not available. Two-photon microscopy has been used for mapping cortical activity. However, flow measurement requires fluorescent dye injection, which can be problematic. The noninvasive and high resolution tomographic capabilities of optical coherence tomography make it a promising technique for mapping depth resolved cortical blood flow. Here, we present a functional Doppler optical coherence tomography (OCT) imaging modality for quantitative evaluation of cortical blood flow in a mouse model. Fast, repeated, Doppler OCT scans across a vessel of interest were performed to record flow dynamic information with a high temporal resolution of the cardiac cycles. Spectral Doppler analysis of continuous Doppler images demonstrates how the velocity components and longitudinally projected flow-volume-rate change over time, thereby providing complementary temporal flow information to the spatially distributed flow information of Doppler OCT. The proposed functional Doppler OCT imaging modality can be used to diagnose vessel stenosis/blockage or monitor blood flow changes due to pharmacological agents/neuronal activities. Non-invasive in-vivo mice experiments were performed to verify the capabilities of function Doppler OCT.

  6. Measurement of depth of burns by laser Doppler perfusion imaging

    NARCIS (Netherlands)

    Droog, E.J.; Droog, E.J.; Steenbergen, Wiendelt; Sjöberg, F.


    Laser Doppler perfusion imaging (LDPI), is a further development in laser Doppler flowmetry (LDF). Its advantage is that it enables assessment of microvascular blood flow in a predefined skin area rather than, as for LDF, in one place. In many ways this method seems to be more promising than LDF in

  7. Micro-Doppler classification of riders and riderless horses (United States)

    Tahmoush, David


    Micro-range Micro-Doppler can be used to isolate particular parts of the radar signature, and in this case we demonstrate the differences in the signature between a walking horse versus a walking horse with a rider. Using micro-range micro-Doppler, we can distinguish the radar returns from the rider as separate from the radar returns of the horse.

  8. A Rayleigh Doppler Frequency Estimator Derived from Maximum Likelihood Theory

    DEFF Research Database (Denmark)

    Hansen, Henrik; Affes, Sofiene; Mermelstein, Paul


    Reliable estimates of Rayleigh Doppler frequency are useful for the optimization of adaptive multiple access wireless receivers.The adaptation parameters of such receivers are sensitive to the amount of Doppler and automatic reconfiguration to the speed of terminalmovement can optimize cell...

  9. Measurement of depth of burns by laser Doppler perfusion imaging

    NARCIS (Netherlands)

    Droog, E.J.; Steenbergen, W.; Sjöberg, F.


    Laser Doppler perfusion imaging (LDPI), is a further development in laser Doppler flowmetry (LDF). Its advantage is that it enables assessment of microvascular blood flow in a predefined skin area rather than, as for LDF, in one place. In many ways this method seems to be more promising than LDF in

  10. Compressive sensing for high resolution profiles with enhanced Doppler performance

    NARCIS (Netherlands)

    Anitori, L.; Hoogeboom, P.; Chevalier, F. Le; Otten, M.P.G.


    In this paper we demonstrate how Compressive Sensing (CS) can be used in pulse-Doppler radars to improve the Doppler performance while preserving range resolution. We investigate here two types of stepped frequency waveforms, the coherent frequency bursts and successive frequency ramps, which can be

  11. An elementary approach to the gravitational Doppler shift (United States)

    Wörner, C. H.; Rojas, Roberto


    In college physics courses, treatment of the Doppler effect is usually done far from the first introduction to kinematics. This paper aims to apply a graphical treatment to describe the gravitational redshift, by considering the Doppler effect in two accelerated reference frames and exercising the equivalence principle. This approach seems appropriate to discuss with beginner students and could serve to enrich the didactic processes.

  12. Detection and visualization to Doppler sensitive sonar pulses

    NARCIS (Netherlands)

    Bertrand, D.B.; IJsselmuide, S.P. van; Beerens, S.P.


    In anti-submarine warfare, the use of Doppler sensitive sonar pulses is common practice. In particular, the wideband Doppler sensitive PTFM pulse (Pulse Train Frequency Modulation) is a powerful tool for detection in reverberation limited conditions. Nevertheless, this pulse is not operationally

  13. The value of Doppler ultrasound in cirrhosis and portal hypertension

    NARCIS (Netherlands)

    Kok, T; van der Jagt, EJ; Haagsma, EB; Bijleveld, CMA; Jansen, PLM; Boeve, WJ


    Background: Cirrhosis and portal hypertension affect the flow profile of the liver vasculature. In these conditions Doppler ultrasound can provide important information on the hemodynamics of the portal venous system, the hepatic artery and the hepatic veins. Methods: The value of Doppler ultrasound

  14. A Rayleigh Doppler frequency estimator derived from maximum likelihood theory

    DEFF Research Database (Denmark)

    Hansen, Henrik; Affes, Sofiéne; Mermelstein, Paul


    Reliable estimates of Rayleigh Doppler frequency are useful for the optimization of adaptive multiple access wireless receivers. The adaptation parameters of such receivers are sensitive to the amount of Doppler and automatic reconfiguration to the speed of terminal movement can optimize cell cap...

  15. Comparison of fetal middle cerebral arteries, umbilical and uterin artery color Doppler ultrasound with blood gas analysis in pregnancy complicated by IUGR. (United States)

    Fardiazar, Zahra; Atashkhouei, Simin; Yosefzad, Yousef; Goldust, Mohamad; Torab, Reza


    Fetal color Doppler is important for evaluation of hypoxia in intrauterine growth restriction (IUGR) fetus. In this study we compare fetal and maternal color Doppler with blood gas analysis to detect fetal acidosis. In this cross-sectional study we evaluated 100 hospitalized patients with IUGR for comparison of color Doppler results with arterial blood gas analysis. RESULTS of Doppler sonography of fetus middle cerebral arteries, umbilical and uterine artery and umbilical artery ABG were studied in these neonates. Mean maternal age was 28±7 years, mean gestational age was 31.79±2.59 weeks and mean growth restriction was 3±2 weeks. Resistance increasing was observed in right uterine arteries of 37 mothers. It was normal in 60 mothers. Resistance increasing was observed in left uterine arteries of 36 mothers and nuch was seen in four cases. PCO2, PO2, and pH mean were 48.41±9.50 mmHg, 26.00±12.34 mmHg, and 7.28±0.10 in the neonates respectively. In this study abnormal color Doppler in IUGR fetuses have no significant correlation with umbilical cord blood gas.

  16. The role of tissue harmonic imaging ultrasound combined with power Doppler ultrasound in the diagnosis of childhood febrile urinary tract infections. (United States)

    İlarslan, Nisa Eda Çullas; Fitöz, Ömer Suat; Öztuna, Derya Gökmen; Küçük, Nuriye Özlem; Yalçınkaya, Fatma Fatoş


    This study assessed the ability of tissue harmonic imaging ultrasound combined with power Doppler ultrasound in the detection of childhood febrile urinary tract infections in comparison with the gold standard reference method: Tc-99m dimercaptosuccinicacid renal cortical scintigraphy. This prospective study included 60 patients who were hospitalized with a first episode of febrile urinary tract infections. All children were examined with dimercaptosuccinicacid scan and tissue harmonic imaging ultrasound combined with power Doppler ultrasound within the first 3 days of admission. Signs indicative of acute infection were observed in 29 patients according to the results of tissue harmonic imaging ultrasound combined with power Doppler ultrasound while dimercaptosuccinicacid scan revealed abnormal findings in 33 patients. The sensitivity, specificity, positive predictive value and negative predictive value of tissue harmonic imaging combined with power Doppler ultrasound using dimercaptosuccinicacid scintigraphy as the reference method in patients diagnosed with first episode febrile urinary tract infections were calculated as 57.58% (95% confidence interval: 40.81%-72.76%); 62.96% (95% confidence interval: 44.23%-78.47%); 65.52% (95% confidence interval: 52.04%-77%); 54.84% (95% confidence interval: 41.54%-67.52%); respectively. Although current results exhibit inadequate success of power Doppler ultrasound, this practical and radiation-free method may soon be comprise a part of the routine ultrasonographic evaluation of febrile urinary tract infections of childhood if patients are evaluated early and under appropriate sedation.

  17. Use of GPS network data for HF Doppler measurements interpretation

    CERN Document Server

    Petrova, Inna R; Latypov, Ruslan R


    The method of measurement of Doppler frequency shift of ionospheric signal - HF Doppler technique - is one of well-known and widely used methods of ionosphere research. It allows to research various disturbances in the ionosphere. There are some sources of disturbances in the ionosphere. These are geomagnetic storms, solar flashes, metrological effects, atmospheric waves. This method allows to find out the influence of earthquakes, explosions and other processes on the ionosphere, which occur near to the Earth. HF Doppler technique has the high sensitivity to small frequency variations and the high time resolution, but interpretation of results is difficult. In this work we make an attempt to use GPS data for Doppler measurements interpretation. Modeling of Doppler frequency shift variations with use of TEC allows to separate ionosphere disturbances of medium scale.

  18. Embolic Doppler ultrasound signal detection via fractional Fourier transform. (United States)

    Gençer, Merve; Bilgin, Gökhan; Aydın, Nizamettin


    Computerized analysis of Doppler ultrasound signals can aid early detection of asymptomatic circulating emboli. For analysis, physicians use informative features extracted from Doppler ultrasound signals. Time -frequency analysis methods are useful tools to exploit the transient like signals such as Embolic signals. Detection of discriminative features would be the first step toward automated analysis of embolic Doppler ultrasound signals. The most problematic part of setting up emboli detection system is to differentiate embolic signals from confusing similar wave-like patterns such as Doppler speckle and artifacts caused by tissue movement, probe tapping, speaking etc. In this study, discrete version of fractional Fourier transform is presented as a solution in the detection of emboli in digitized Doppler ultrasound signals. An accurate set of parameters are extracted using short time Fourier transform and fractional Fourier transform and the results are compared to reveal detection quality. Experimental results prove the efficiency of fractional Fourier transform in which discriminative features becomes more evident.

  19. One way Doppler extractor. Volume 1: Vernier technique (United States)

    Blasco, R. W.; Klein, S.; Nossen, E. J.; Starner, E. R.; Yanosov, J. A.


    A feasibility analysis, trade-offs, and implementation for a One Way Doppler Extraction system are discussed. A Doppler error analysis shows that quantization error is a primary source of Doppler measurement error. Several competing extraction techniques are compared and a Vernier technique is developed which obtains high Doppler resolution with low speed logic. Parameter trade-offs and sensitivities for the Vernier technique are analyzed, leading to a hardware design configuration. A detailed design, operation, and performance evaluation of the resulting breadboard model is presented which verifies the theoretical performance predictions. Performance tests have verified that the breadboard is capable of extracting Doppler, on an S-band signal, to an accuracy of less than 0.02 Hertz for a one second averaging period. This corresponds to a range rate error of no more than 3 millimeters per second.

  20. Doppler-cancelled response to VLF gravitational waves (United States)

    Caporali, A.


    The interaction of long periodic gravitational waves with a three link microwave system known as the Doppler Cancelling System is discussed. This system, which was developed for a gravitational redshift experiment, uses one-way and two-way Doppler informatin to construct the beat signal of two reference oscillators moving with respect to each other. The geometric optics approximation is used to derive the frequency shift produced on a light signal propagating in a gravitational wave space-time. The signature left on the Doppler-cancelled beat by burst and continuous gravitational waves is analyzed. A comparison is made between the response to gravitational waves of the Doppler Cancelling System and that of a Doppler tracking system which employs two-way, round-trip radio waves. A three-fold repetition of the gravitational wave form is found to be a common feature of the response functions of both systems. These two functions otherwise exhibit interesting differences.

  1. Limits on Planetary Companions from Doppler Surveys of Nearby Stars

    CERN Document Server

    Howard, Andrew W


    Most of our knowledge of planets orbiting nearby stars comes from Doppler surveys. For spaced-based, high-contrast imaging missions, nearby stars with Doppler-discovered planets are attractive targets. The known orbits tell imaging missions where and when to observe, and the dynamically-determined masses provide important constraints for the interpretation of planetary spectra. Quantifying the set of planet masses and orbits that could have been detected will enable more efficient planet discovery and characterization. We analyzed Doppler measurements from Lick and Keck Observatories collected by the California Planet Survey. We focused on stars that are likely targets for three space-based planet imaging mission concepts studied by NASA--WFIRST-AFTA, Exo-C, and Exo-S. The Doppler targets are primarily F8 and later main sequence stars, with observations spanning 1987-2014. We identified 76 stars with Doppler measurements from the prospective mission target lists. We developed an automated planet search and a ...

  2. Doplerovi brodski navigacioni brzinomjeri / Maritime navigational Doppler logs

    Directory of Open Access Journals (Sweden)

    Milovan Unković


    Full Text Available Doplerovi navigacioni brodski brzinomjeri rade na principu Doplerovog efekta. Doplerov predajni projektor emituje snop ultrazvučnih vibracija u vodi, a drugi (ili isti projektor prima odbijeni signal od dna ili od sloja vode. U ovom radu opisana je teorija Doplerovog efekta, primjena te teorije na brodskim brzinomjerima, konstrukcija i karakteristike savremenih Doplerovih brzinomjera. / The Doppler maritime navigational logs are based on measurement of the Doppler effect. A Doppler log transmitting transducer emits beam of sound vibration in the water, and a second (or the same transducer receives the echo from the sea bed or -water layer. In this article describes theory of Doppler effect, using this theory in maritime logs, construction and performance of modern Doppler logs.

  3. Longitudinal microvascularity in achilles tendinopathy (power doppler ultrasound, magnetic resonance imaging time-intensity curves and the Victorian Institute of Sport Assessment-Achilles questionnaire): a pilot study

    Energy Technology Data Exchange (ETDEWEB)

    Richards, Paula J. [University Hospital of North Staffordshire NHS Trust (UHNS), Stoke on Trent, Staffordshire (United Kingdom); Keele University, Keele, Staffordshire (United Kingdom); North Staffs. Royal Infirmary, X-ray Department, Stoke on Trent, Staffordshire (United Kingdom); McCall, Iain W. [Keele University, Keele, Staffordshire (United Kingdom); North Staffordshire NHS Trust, Stoke on Trent, Staffordshire (United Kingdom); Day, Christopher [University Hospital of North Staffordshire NHS Trust (UHNS), Stoke on Trent, Staffordshire (United Kingdom); Belcher, John [Cardiff University, Department of Primary Care and Public Health, North Wales Clinical School, Cardiff (United Kingdom); Maffulli, Nicola [Keele University, Keele, Staffordshire (United Kingdom)


    To evaluate the imaging of the natural history of Achilles tendinopathy microvascularisation in comparison with symptoms, using a validated disease-specific questionnaire [the Victorian Institute of Sport Assessment-Achilles (VISA-A)]. A longitudinal prospective pilot study of nine patients with post-contrast magnetic resonance imaging (MRI), time-intensity curve (TIC) enhancement, ultrasound (US) and power Doppler (PD) evaluation of tendinopathy of the mid-Achilles tendon undergoing conservative management (eccentric exercise) over 1 year. There were five men and four women [mean age 47 (range 30-62) years]. Six asymptomatic tendons with normal US and MRI appearance showed less enhancement than the tibial metaphysis did and showed a flat, constant, but very low rate of enhancement in the bone and Achilles tendon (9-73 arbitrary TIC units). These normal Achilles tendons on imaging showed a constant size throughout the year (mean 4.9 mm). At baseline the TIC enhancement in those with tendinopathy ranged from 90 arbitrary units to 509 arbitrary units. Over time, 11 abnormal Achilles tendons, whose symptoms settled, were associated with a reduction in MRI enhancement mirrored by a reduction in the number of vessels on power Doppler (8.0 to 2.7), with an improvement in morphology and a reduction in tendon size (mean 15-10.6 mm). One tendon did not change its abnormal imaging features, despite improving symptoms. Two patients developed contralateral symptoms and tendinopathy, and one had more abnormal vascularity on power Doppler and higher MRI TIC peaks in the asymptomatic side. In patient with conservatively managed tendinopathy of the mid-Achilles tendon over 1 year there was a reduction of MRI enhancement and number of vessels on power Doppler, followed by morphological improvements and a reduction in size. Vessels per se related to the abnormal morphology and size of the tendon rather than symptoms. Symptoms improve before the Achilles size reduces and the

  4. Nail abnormalities in rheumatoid arthritis. (United States)

    Michel, C; Cribier, B; Sibilia, J; Kuntz, J L; Grosshans, E


    Many nail abnormalities have traditionally been described in association with rheumatoid arthritis (RA), but their specificity has never been assessed in a controlled study. Our purpose was to evaluate the frequency and the specificity of nail changes associated with RA in a case-controlled study including 50 patients suffering from RA and 50 controls. For each patient, a general skin examination was performed and the 20 nails were examined. The nail features were noted and classified. A chi 2 test or a Fisher test was used to compare the two groups. The only nail abnormalities significantly associated with RA were longitudinal ridging on nine or 10 finger nails (29 patients in the RA group vs. three in the controls, chi 2: P nail (24 patients vs. 10, chi 2: P nail changes were noticed but were not frequent enough to be significant. The presence of longitudinal ridging on the finger nails was significantly associated with RA.

  5. Neuroendocrine abnormalities in Parkinson's disease. (United States)

    De Pablo-Fernández, Eduardo; Breen, David P; Bouloux, Pierre M; Barker, Roger A; Foltynie, Thomas; Warner, Thomas T


    Neuroendocrine abnormalities are common in Parkinson's disease (PD) and include disruption of melatonin secretion, disturbances of glucose, insulin resistance and bone metabolism, and body weight changes. They have been associated with multiple non-motor symptoms in PD and have important clinical consequences, including therapeutics. Some of the underlying mechanisms have been implicated in the pathogenesis of PD and represent promising targets for the development of disease biomarkers and neuroprotective therapies. In this systems-based review, we describe clinically relevant neuroendocrine abnormalities in Parkinson's disease to highlight their role in overall phenotype. We discuss pathophysiological mechanisms, clinical implications, and pharmacological and non-pharmacological interventions based on the current evidence. We also review recent advances in the field, focusing on the potential targets for development of neuroprotective drugs in Parkinson's disease and suggest future areas for research.

  6. Mastoid abnormalities in Down syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Glass, R.B.J.; Yousefzadeh, D.K.; Roizen, N.J.


    Hearing loss and otitis media are commonly associated with Down syndrome. Hypoplasia of the mastoids is seen in many affected children and sclerosis of mastoid bones is not uncommon in Down syndrome. Awareness and early recognition of mastoid abnormality may lead to appropriate and timely therapy, thereby preserving the child's hearing or compensating for hearing loss; factors which are important for learning and maximum development.

  7. Computed tomography of thymic abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Schnyder, P.; Candardjis, G.


    Computed tomographic examinations of 38 patients with surgically and histologically proven diagnosis were reviewed. Twenty subjects (52%) had an invasive thymoma and 16% an hyperplastic thymus. Myasthenia gravis was present in 6 cases (16%) of thymic abnormalities, four (10,5%) with invasive thymoma and two (5%) with thymic hyperplasia. Graves' disease was also present in one case of thymic hyperplasia. We emphasize the contribution of CT to the diagnosis and the prognosis.

  8. TIMED Doppler Interferometer: Overview and recent results (United States)

    Killeen, T. L.; Wu, Q.; Solomon, S. C.; Ortland, D. A.; Skinner, W. R.; Niciejewski, R. J.; Gell, D. A.


    The Thermosphere-Ionosphere-Mesosphere Energetics and Dynamics (TIMED) satellite carries a limb-scanning Fabry-Perot interferometer designed to perform remote-sensing measurements of upper atmosphere winds and temperatures globally. This instrument is called the TIMED Doppler Interferometer, or TIDI. This paper provides an overview of the TIDI instrument design, on-orbit performance, operational modes, data processing and inversion procedures, and a summary of wind results to date. Daytime and nighttime neutral winds in the mesosphere and lower thermosphere/ionosphere (MLTI) are measured on TIDI using four individual scanning telescopes that collect light from various upper atmosphere airglow layers on both the cold and warm sides of the high-inclination TIMED spacecraft. The light is spectrally analyzed using an ultrastable plane etalon Fabry-Perot system with sufficient spectral resolution to determine the Doppler line characteristics of atomic and molecular emissions emanating from the MLTI. The light from all four telescopes and from an internal calibration field passes through the etalon and is combined on a single image plane detector using a Circle-to-Line Interferometer Optic (CLIO). The four geophysical fields provide orthogonal line-of-sight measurements to either side of the satellite's path and these are analyzed to produce altitude profiles of vector winds in the MLTI. The TIDI wind measurements presented here are from the molecular oxygen (0-0) band, covering the altitude region 85-105 km. The unique TIDI design allows for more extended local time coverage of wind structures than previous wind-measuring instruments from high-inclination satellites. The TIDI operational performance has been nominal except for two anomalies: (1) higher than expected background white light caused by a low-level light leak and (2) ice deposition on cold optical surfaces. Both anomalies are well understood and the instrumental modes and data analysis techniques have been

  9. Avaliação dos tumores hepáticos ao Doppler Doppler evaluation of liver tumors

    Directory of Open Access Journals (Sweden)

    Márcio Martins Machado


    Full Text Available Os avanços recentes na ultra-sonografia têm ampliado a possibilidade de detecção de tumores hepáticos. Isto tem auxiliado na perspectiva de melhora do prognóstico destes pacientes, à medida que novas técnicas terapêuticas têm surgido. Neste artigo os autores relatam achados ao Doppler que podem auxiliar na identificação e caracterização dos tumores hepáticos, avaliando dados do Doppler colorido, pulsado e do Doppler de amplitude ("power Doppler". Fazem, também, referência a novas modalidades de imagem, como o uso da harmônica.Recent advances in ultrasound have optimized the detection of liver tumors and helped to improve the prognosis of patients with this condition as newly developed and improved therapeutic modalities have been established. The authors review important Doppler findings which may help in the identification and characterization of some hepatic tumors through the evaluation of color Doppler, pulsed Doppler and power Doppler features. New imaging methods such as the use of harmonics imaging are also reviewed.

  10. Universal miniaturized signal evaluation for laser doppler anemometers; Universelle Miniatur-Signalauswertung fuer die Laser Doppler Anemometrie

    Energy Technology Data Exchange (ETDEWEB)

    Wnuck, J. von; Strunck, V.; Dopheide, D.


    A laser doppler anemometer (LDA) is a contactless optical sensor for flow rate measurement. Interference of two laser beams generates a measuring volume with interference lines in the point of intersection. A particle moving through the measuring volume with a current scatters light modulated wiith the doppler frequency, which is received by a detector. The frequency of the doppler-modulated light is proportional to the velocity of the particle. The report describes the technical details of an electronic evaluation system for laser doppler signals in the time range using programmable gate arrays by Xilinix. (orig.) [Deutsch] Ein Laser Doppler Anemometer (LDA) ist ein beruehrungsloser optischer Sensor, der Stroemungsgeschwindigkeiten misst. Die Ueberlagerung zweier Laserstrahlen erzeugt im Schnittpunkt ein Messvolumen mit Inferenzstreifen. Ein Teilchen, das sich mit einer Stroemung durch das Messvolumen bewegt, streut mit der Doppelfrequenz des Doppler moduliertes Licht, das von einem Detektor empfangen wird. Die Frequenz des Doppler-modulierten Lichts ist der Geschwindigkeit des Teilchens proportional. Hier wird die technische Realisierung einer Auswerteelektronik fuer Laser Doppler Signale im Zeitbereich mit programmierbaren Gate-Arrays von Xilinx beschrieben. (orig.)

  11. Meiotic abnormalities in infertile males. (United States)

    Egozcue, J; Sarrate, Z; Codina-Pascual, M; Egozcue, S; Oliver-Bonet, M; Blanco, J; Navarro, J; Benet, J; Vidal, F


    Meiotic anomalies, as reviewed here, are synaptic chromosome abnormalities, limited to germ cells that cannot be detected through the study of the karyotype. Although the importance of synaptic errors has been underestimated for many years, their presence is related to many cases of human male infertility. Synaptic anomalies can be studied by immunostaining of synaptonemal complexes (SCs), but in this case their frequency is probably underestimated due to the phenomenon of synaptic adjustment. They can also be studied in classic meiotic preparations, which, from a clinical point of view, is still the best approach, especially if multiplex fluorescence in situ hybridization is at hand to solve difficult cases. Sperm chromosome FISH studies also provide indirect evidence of their presence. Synaptic anomalies can affect the rate of recombination of all bivalents, produce achiasmate small univalents, partially achiasmate medium-sized or large bivalents, or affect all bivalents in the cell. The frequency is variable, interindividually and intraindividually. The baseline incidence of synaptic anomalies is 6-8%, which may be increased to 17.6% in males with a severe oligozoospermia, and to 27% in normozoospermic males with one or more previous IVF failures. The clinical consequences are the production of abnormal spermatozoa that will produce a higher number of chromosomally abnormal embryos. The indications for a meiotic study in testicular biopsy are provided.

  12. Enteric methane emissions from German pigs

    DEFF Research Database (Denmark)

    Dämmgen, Ulrich; Schulz, Joachim; Klausing, Heinrich Kleine


    Methane emissions from enteric fermentation of pigs are object of emission reporting. Hitherto they were treated as part of the energy balance of pigs, in accordance with IPCC guidance documents. They were calculated from the gross energy intake rate and a constant methane conversion ratio....... Meanwhile numerous experimental data on methane emissions from enteric fermentation is available in Germany and abroad; the results are compiled in this work. These results also allow for a description of transformation processes in the hind gut and a subsequent establishment of models that relate emissions...... to feed and performance data. The model by Kirchgeßner et al. (1995) is based on German experimental data and reflects typical national diet compositions. It is used to quantify typical emissions and methane conversion ratios. The results agree with other experimental findings at home and abroad...

  13. Enteric methane emissions from German pigs

    DEFF Research Database (Denmark)

    Dämmgen, Ulrich; Schulz, Joachim; Klausing, Heinrich Kleine


    Methane emissions from enteric fermentation of pigs are object of emission reporting. Hitherto they were treated as part of the energy balance of pigs, in accordance with IPCC guidance documents. They were calculated from the gross energy intake rate and a constant methane conversion ratio....... Meanwhile numerous experimental data on methane emissions from enteric fermentation is available in Germany and abroad; the results are compiled in this work. These results also allow for a description of transformation processes in the hind gut and a subsequent establishment of models that relate emissions...... to feed and performance data. The model by Kirchgeßner et al. (1995) is based on German experimental data and reflects typical national diet compositions. It is used to quantify typical emissions and methane conversion ratios. The results agree with other experimental findings at home and abroad...

  14. Clinical and nutritional implications of radiation enteritis

    Energy Technology Data Exchange (ETDEWEB)

    Beer, W.H.; Fan, A.; Halsted, C.H.


    The clinical and nutritional significance of radiation enteritis was assessed in eight patients with chronic diarrhea which followed curative doses of radiotherapy for pelvic malignancies. Steatorrhea, found in seven malnourished patients, was ascribed to ileal disease or previous surgery, or to bacterial contamination of the small intestine. Lactose intolerance, assessed by breath hydrogen excretion after oral lactose and by jejunal lactase levels, was found in six patients. In a subgroup of five patients, the administration of two different defined formula liquid diets by nasoduodenal infusion decreased fecal fluid and energy losses by about one-half. Compared to Vivonex-HN, the infusion of Criticare-HN was associated with greater likelihood of intestinal gas production but a three-fold greater utilization of protein. Intestinal malabsorption and malnutrition in radiation enteritis has diverse etiologies. Whereas nutritional support by liquid diet limits fecal fluid and energy losses, these diets differ significantly in clinical tolerance and biologic value.

  15. Enteral nutrition of the premature infant

    Directory of Open Access Journals (Sweden)

    Su Jin Cho


    Full Text Available Early nutritional support for preterm infants is critical because such support influences long-term outcome. Minimal enteral feeding should be initiated as soon as possible if an infant is stable and if feeding advancement is recommended as relevant to the clinical course. Maternal milk is the gold standard for enteral feeding, but fortification may be needed to achieve optimal growth in a rapidly growing premature infant. Erythromycin may aid in promoting gastrointestinal motility in cases that exhibit feeding intolerance. Selected preterm infants need vitamins, mineral supplements, and calorie enhancers to meet their nutritional needs. Despite all that is known about this topic, additional research is needed to guide postdischarge nutrition of preterm infants in order to maintain optimal growth and neurodevelopment.

  16. HIV, opiates, and enteric neuron dysfunction. (United States)

    Galligan, J J


    Human immune deficient virus (HIV) is an immunosuppressive virus that targets CD4(+) T-lymphocytes. HIV infections cause increased susceptibility to opportunistic infections and cancer. HIV infection can also alter central nervous system (CNS) function causing cognitive impairment. HIV does not infect neurons but it does infect astrocytes and microglia in the CNS. HIV can also infect enteric glia initiating an intestinal inflammatory response which causes enteric neural injury and gut dysfunction. Part of the inflammatory response is HIV induced production of proteins including, Transactivator of transcription (Tat) which contribute to neuronal injury after release from HIV infected glial cells. A risk factor for HIV infection is intravenous drug use with contaminated needles and chronic opiate use can exacerbate neural injury in the nervous system. While most research focuses on the actions of Tat and other HIV related proteins and opiates on the brain, recent data indicate that Tat can cause intestinal inflammation and disruption of enteric neuron function, including alteration of Na(+) channel activity and action potential generation. A paper published in this issue of Neurogastroenterology and Motility extends these findings by identifying an interaction between Tat and morphine on enteric neuron Na(+) channels and on intestinal motility in vivo using a Tat expressing transgenic mouse model. These new data show that Tat protein can enhance the inhibitory actions of morphine on action potential generation and propulsive motility. These findings are important to our understanding of how HIV causes diarrhea in infected patients and for the use of opioid drugs to treat HIV-induced diarrhea.

  17. Fractal fluctuations in transcranial Doppler signals (United States)

    West, B. J.; Zhang, R.; Sanders, A. W.; Miniyar, S.; Zuckerman, J. H.; Levine, B. D.


    Cerebral blood flow (CBF) velocity measured using transcranial Doppler ultrasonography (TCD) is not strictly constant, but has both a systematic and random component. This behavior may indicate that the axial blood flow in the middle cerebral artery is a chaotic process. Herein we use the relative dispersion, the ratio of the standard deviation to the mean, to show by systematically aggregating the data that the correlation in the beat-to-beat CBF time series is a modulated inverse power law. This scaling of the CBF time series indicates the existence of long-time memory in the underlying control process. We argue herein that the control system has allometric properties that enable it to maintain a relatively constant brain perfusion.

  18. Role of transcranial Doppler in cerebrovascular disease

    Directory of Open Access Journals (Sweden)

    Amit A Kulkarni


    Full Text Available Transcranial Doppler (TCD is the only noninvasive modality for the assessment of real-time cerebral blood flow. It complements various anatomic imaging modalities by providing physiological-flow related information. It is relatively cheap, easily available, and can be performed at the bedside. It has been suggested as an essential component of a comprehensive stroke centre. In addition to its importance in acute cerebrovascular ischemia, its role is expanding in the evaluation of cerebral hemodynamics in various disorders of the brain. The “established” clinical indications for the use of TCD include cerebral ischemia, sickle cell disease, detection of right-to-left shunts, subarachnoid hemorrhage, periprocedural or surgical monitoring, and brain death. We present the role of TCD in acute cerebrovascular ischemia, sonothrombolysis, and intracranial stenosis.

  19. The Doppler peaks from a generic defect

    CERN Document Server

    Magueijo, J


    We investigate which of the exotic Doppler peak features found for textures and cosmic strings are generic novelties pertaining to defects. We find that the ``out of phase'' texture signature is an accident. Generic defects, when they generate a secondary peak structure similar to inflation, apply to it an additive shift. It is not necessary for this shift to be ``out of phase''. We also show which factors are responsible for the absence of secondary oscillations found for cosmic strings. Within this general analysis we finally consider the conditions under which topological defects and inflation can be confused. It is argued that only \\Omega=1 inflation and a defect with a horizon size coherence length have a chance to be confused. Any other inflationary or defect model always differ distinctly. (To appear in the proceedings of the XXXIth Moriond meeting, ``Microwave Background Anisotropies'')

  20. Laser Doppler vibrometry: new ENT applications (United States)

    Stasche, Norbert; Baermann, M.; Kempe, C.; Hoermann, Karl; Foth, Hans-Jochen


    Common audiometry often does not really allow a reliable and objective differential diagnosis of hearing disorders such as otosclerosis, adhesive otitis, ossicular interruption or tinnitus, even though several methods might be used complementarily. In recent years, some experimental studies on middle ear mechanics established laser Doppler vibrometry (LDV) as a useful method allowing objective measurement of human tympanic membrane displacement. The present study on LDV investigated the clinical use of this new method under physiological conditions. LDV proved to be a fast, reproducible, non-invasive and very sensitive instrument to characterize ear-drum vibrations in various middle ear dysfunctions, except in tinnitus patients. For future applications, improved optical characteristics of the vibrometer might result in a better differential diagnosis of subjective and objective tinnitus, otoacoustic emissions or Morbus Meniere.

  1. Heartrate variation of umbilical artery Doppler waveforms. (United States)

    Hoskins, P R; Johnstone, F D; Chambers, S E; Haddad, N G; White, G; McDicken, W N


    Umbilical artery Doppler waveforms from 20 patients were used to investigate the dependence of resistance index and pulsatility index on beat to beat pulse length over short time periods for individual patients, and on the usefulness of a common normalisation formula. For individual patients the resistance index and pulsatility index were only partially correlated with pulse length. Changes in both indices occurred independently of pulse length. Use of a common normalisation formula resulted in no significant reduction of the coefficient of variation of the resistance index (p greater than 0.1), and a reduction in the coefficient of variation of the pulsatility index of 10% (p greater than 0.001). It is concluded that short term changes in resistance index and pulsatility index cannot be corrected by a common normalisation formula.

  2. Correlation and Sequential Filtering with Doppler Measurements

    Institute of Scientific and Technical Information of China (English)

    WANGJianguo; HEPeikun; HANYueqiu; WUSiliang


    Two sequential filters are developed for Doppler radar measurements in the presence of correlation between range and range rate measurement errors. Two ideal linear measurement equations with the pseudo measurements are constructed via block-partitioned Cholesky factorization and the practical measurement equationswith the pseudo measurements are obtained through the direction cosine estimation and error compensation. The resulting sequential filters make the position measurement be possibly processed before the pseudo measurement and hence the more accurate direction cosine estimate can be obtained from the filtered position estimate rather than the predicted state estimate. The numerical simulations with different rangerange rate correlation coefficients show thatthe proposed two sequential filters are almost equivalent in performance but both superior to the conventional extended Kalman filter for different correlation coefficients.

  3. Doppler cooling and trapping on forbidden transitions. (United States)

    Binnewies, T; Wilpers, G; Sterr, U; Riehle, F; Helmcke, J; Mehlstäubler, T E; Rasel, E M; Ertmer, W


    Ultracold atoms at temperatures close to the recoil limit have been achieved by extending Doppler cooling to forbidden transitions. A cloud of (40)Ca atoms has been cooled and trapped to a temperature as low as 6 microK by operating a magnetooptical trap on the spin-forbidden intercombination transition. Quenching the long-lived excited state with an additional laser enhanced the scattering rate by a factor of 15, while a high selectivity in velocity was preserved. With this method, more than 10% of precooled atoms from a standard magnetooptical trap have been transferred to the ultracold trap. Monte Carlo simulations of the cooling process are in good agreement with the experiments.

  4. Phase Doppler anemometry as an ejecta diagnostic (United States)

    Bell, D. J.; Chapman, D. J.


    When a shock wave is incident on a free surface, micron sized pieces of the material can be ejected from that surface. Phase Doppler Anemometry (PDA) is being developed to simultaneously measure the sizes and velocities of the individual shock induced ejecta particles; providing an important insight into ejecta phenomena. The results from experiments performed on the 13 mm bore light gas gun at the Institute of Shock Physics, Imperial College London are presented. Specially grooved tin targets were shocked at pressures of up to 14 GPa, below the melt on release pressure, to generate ejecta particles. These experiments are the first time that PDA has been successfully fielded on dynamic ejecta experiments. The results and current state of the art of the technique are discussed along with the future improvements required to optimise performance and increase usability.

  5. Calibration of a cw infrared Doppler lidar. (United States)

    Schwiesow, R L; Cupp, R E


    A moving scattering target used as a transfer standard allows absolute calibration of the response of a cw Doppler lidar to an atmospheric target. The lidar in this study operated at a 10.6-microm wavelength. Consideration of the distribution of radiant energy density near the focus of the lidar transceiver permits measurement of a backscatter coefficient from a distributed array of scatterers, such as atmospheric aerosols, based on the diffuse reflectance of the surface of the transfer standard. The minimum detectable signal for our system with a 5-sec averaging time corresponds to a backscatter coefficient of 2.4 x 10(-12) m (-1) sr (-1) +/- 2.5 dB, which is ~ 9 dB greater than the theoretical threshold. Calibration shows that the lidar response is 5+/-1 dB less than the ideal limit for signal powers well above the minimum detectable signal.

  6. The recondite intricacies of Zeeman Doppler mapping

    CERN Document Server

    Stift, M J; Cowley, C R


    We present a detailed analysis of the reliability of abundance and magnetic maps of Ap stars obtained by Zeeman Doppler mapping (ZDM). It is shown how they can be adversely affected by the assumption of a mean stellar atmosphere instead of appropriate "local" atmospheres corresponding to the actual abundances in a given region. The essenceof the difficulties was already shown by Chandrasekhar's picket-fence model. The results obtained with a suite of Stokes codes written in the Ada programming language and based on modern line-blanketed atmospheres are described in detail. We demonstrate that the high metallicity values claimed to have been found in chemically inhomogeneous Ap star atmospheres would lead to local temperature structures, continuum and line intensities, and line shapes that differ significantly from those predicted by a mean stellar atmosphere. Unfortunately, past applications of ZDM have consistently overlooked the intricate aspects of metallicity with their all-pervading effects. The erroneou...

  7. Position finding using simple Doppler sensors (United States)

    Schelkshorn, S.; Detlefsen, J.


    An increasing number of modern applications and services is based on the knowledge of the users actual position. Depending on the application a rough position estimate is sufficient, e. g. services in cellular networks that use the information about the users actual cell. Other applications, e. g. navigation systems use the GPS-System for accurate position finding. Beyond these outdoor applications a growing number of indoor applications requires position information. The previously mentioned methods for position finding (mobile cell, GPS) are not usable for these indoor applications. Within this paper we will present a system that relies on the simultaneous measurement of doppler signals at four different positions to obtain position and velocity of an unknown object. It is therefore suiteable for indoor usage, extendig already existing wireless infrastructure.

  8. Microscale Heat Conduction Models and Doppler Feedback

    Energy Technology Data Exchange (ETDEWEB)

    Hawari, Ayman I. [North Carolina State Univ., Raleigh, NC (United States); Ougouag, Abderrafi [Idaho National Lab. (INL), Idaho Falls, ID (United States)


    The objective of this project is to establish an approach for providing the fundamental input that is needed to estimate the magnitude and time-dependence of the Doppler feedback mechanism in Very High Temperature reactors. This mechanism is the foremost contributor to the passive safety of gas-cooled, graphite-moderated high temperature reactors that use fuel based on Tristructural-Isotropic (TRISO) coated particles. Therefore, its correct prediction is essential to the conduct of safety analyses for these reactors. Since the effect is directly dependent on the actual temperature reached by the fuel during transients, the underlying phenomena of heat deposition, heat transfer and temperature rise must be correctly predicted. To achieve the above objective, this project will explore an approach that accounts for lattice effects as well as local temperature variations and the correct definition of temperature and related local effects.

  9. Doppler time-of-flight imaging

    KAUST Repository

    Heidrich, Wolfgang


    Systems and methods for imaging object velocity are provided. In an embodiment, at least one Time-of-Flight camera is used to capture a signal representative of an object in motion over an exposure time. Illumination and modulation frequency of the captured motion are coded within the exposure time. A change of illumination frequency is mapped to measured pixel intensities of the captured motion within the exposure time, and information about a Doppler shift in the illumination frequency is extracted to obtain a measurement of instantaneous per pixel velocity of the object in motion. The radial velocity information of the object in motion can be simultaneously captured for each pixel captured within the exposure time. In one or more aspects, the illumination frequency can be coded orthogonal to the modulation frequency of the captured motion. The change of illumination frequency can correspond to radial object velocity.

  10. Analytic radar micro-Doppler signatures classification (United States)

    Oh, Beom-Seok; Gu, Zhaoning; Wang, Guan; Toh, Kar-Ann; Lin, Zhiping


    Due to its capability of capturing the kinematic properties of a target object, radar micro-Doppler signatures (m-DS) play an important role in radar target classification. This is particularly evident from the remarkable number of research papers published every year on m-DS for various applications. However, most of these works rely on the support vector machine (SVM) for target classification. It is well known that training an SVM is computationally expensive due to its nature of search to locate the supporting vectors. In this paper, the classifier learning problem is addressed by a total error rate (TER) minimization where an analytic solution is available. This largely reduces the search time in the learning phase. The analytically obtained TER solution is globally optimal with respect to the classification total error count rate. Moreover, our empirical results show that TER outperforms SVM in terms of classification accuracy and computational efficiency on a five-category radar classification problem.

  11. Widefield laser doppler velocimeter: development and theory.

    Energy Technology Data Exchange (ETDEWEB)

    Hansche, Bruce David; Reu, Phillip L.; Massad, Jordan Elias


    The widefield laser Doppler velocimeter is a new measurement technique that significantly expands the functionality of a traditional scanning system. This new technique allows full-field velocity measurements without scanning, a drawback of traditional measurement techniques. This is particularly important for tests in which the sample is destroyed or the motion of the sample is non-repetitive. The goal of creating ''velocity movies'' was accomplished during the research, and this report describes the current functionality and operation of the system. The mathematical underpinnings and system setup are thoroughly described. Two prototype experiments are then presented to show the practical use of the current system. Details of the corresponding hardware used to collect the data and the associated software to analyze the data are presented.

  12. Improving the Abnormal Label of Package%包装标签不良改善

    Institute of Scientific and Technical Information of China (English)

    胡惠明; 赵慧


    This article mainly introduce the variety of abnormal label and the main factor causing the abnormal label,by the printing label system,the label is printed by system finishing instead of hand entering,accordingly reduce the abnormal label of human error,so reduce the customer complaint and inside abnormity.%该文主要阐述了标签不良的种类及引起标签不良的主要因素,通过建立标签打印系统,用系统打印标签代替手动打印标签,从而减少因人为错误而引起标签不良的客户投诉和内部异常。

  13. Ultrasonic intrusion sensor using the Doppler effect; Choonpa Doppler hoshiki shinnyu sensor

    Energy Technology Data Exchange (ETDEWEB)

    Kani, H.; Iwasaki, N.; Goto, M. [Nippon Soken, Inc., Tokyo (Japan); Tsuzuki, T.; Nakamura, T. [Denso Corp., Aichi (Japan)


    For vehicle anti-theft alarm systems which cope with vehicle and car component theft, EU initiated vehicle security regulations from Jan 1997. Also, the insurance industry has instituted the insurance certification of vehicle anti-theft alarm systems. We have developed an ultrasonic intrusion sensor using the doppler effect for vehicle anti-theft alarm systems specifically for these EU regulations and insurance certification. 2 refs., 7 figs., 1 tab.

  14. Enteral Nutrition in Dementia: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Joanne Brooke


    Full Text Available The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life.

  15. Haematological and biochemical analysis in canine enteritis

    Directory of Open Access Journals (Sweden)

    Abid Ali Bhat

    Full Text Available Aim: The present investigation screened eighteen clinical cases of canine enteritis for haematological and biochemical analyses. Materials and Methods: Eighteen dogs suffering from enteritis were selected and detailed clinical manifestations were noted. Hematological and biochemical parameters were estimated by using various kits. Blood was also collected from twelve healthy dogs for establishing control values and data obtained were subjected to statistical analysis. Results: The affected dogs showed anorexia, diarrhoea, depression, varying degree of dehydration and tachycardia. There were significant changes in packed cell volume, neutrophils, lymphocytes and mean corpuscular haemoglobin concentration. Biochemical investigation revealed significant decrease in plasma glucose, total plasma protein, albumin and albumin:globulin ratio (A:G ratio. The level of potassium and chloride was markedly decreased. Significant increase in alanine aminotransferase (ALT and blood urea nitrogen (BUN was observed. Conclusion: Packed Cell Volume (PCV and Total Erythrocyte Count (TEC remained almost similar between healthy dogs and dogs affected with diarrhoea. Mean Total Leukocyte Count (TLC value was significantly higher as compared to the control group. Hypoglycemia, hypoproteinemia, hypokalemia, hypochloremia and increase in blood urea nitrogen was observed in dogs suffering from enteritis. [Vet World 2013; 6(7.000: 380-383

  16. Enteral nutrition in dementia: a systematic review. (United States)

    Brooke, Joanne; Ojo, Omorogieva


    The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life.

  17. Pediatric enteric neuropathies: diagnosis and current management. (United States)

    Westfal, Maggie L; Goldstein, Allan M


    Neurointestinal diseases are increasingly recognized as causes of significant gastrointestinal morbidity in children. This review highlights the most common pediatric enteric neuropathies and their diagnosis and management, emphasizing insights and discoveries from the most recent literature available. The embryologic and histopathologic causes of enteric neuropathies are varied. They range from congenital aganglionosis in Hirschsprung disease, to autoimmune-mediated loss of neuronal subtypes in esophageal achalasia and Chagas disease, to degenerative neuropathies in some cases of chronic intestinal pseudo-obstruction and gastroparesis. Increased awareness of the clinical presentation and diagnostic evaluation of these conditions is essential as it allows for earlier initiation of treatment and improved outcomes. Most current therapies, which include medical management, neurostimulation, and operative intervention, aim to minimize the symptoms caused by these conditions. The evidence base for many of these treatments in children is poor, and multiinstitutional prospective studies are needed. An innovative therapy on the horizon involves using neuronal stem cell transplantation to treat the underlying disorder by replacing the missing or damaged neurons in these diseases. Although recent advances in basic and clinical neurogastroenterology have significantly improved our awareness and understanding of enteric neuropathies, the efficacy of current treatment approaches is limited. The development of novel therapies, including pharmacologic modulators of neurointestinal function, neurostimulation to enhance gut motility, and neuronal cell-based therapies, is essential to improve the long-term outcomes in children with these disorders.

  18. Properties of enteric coated sodium valproate pellets. (United States)

    Bruce, L Diane; Petereit, Hans-Ulrich; Beckert, Thomas; McGinity, James W


    The influence of subcoat application and micro-environmental pH on the dissolution properties of enteric coated sodium valproate pellets was investigated. The pellets were prepared by solution-layering or wet-mass extrusion-spheronization methods. In order to pass the USP enteric test, the solution-layered and wet-mass extruded pellets required 35 and 25% weight gain of Eudragit L 30D-55, respectively. The application of a subcoat of either Methocel-E5 (HPMC) or Opadry AMB to the pellets resulted in a delay in sodium valproate release in 0.1N HCl. Further delay in drug release was observed when citric acid was present in a HPMC subcoat or when added to the core pellet formulation. The amount of drug released from coated pellets was a function of the level of citric acid in the pellet core or subcoat and subsequent micro-environmental pH of the pellets. Citric acid exerted a plasticizing effect on the enteric polymer film and improved film formation and polymer coalescence. When greater than 10% (w/w) citric acid was present in the pellets, a decrease in drug content was observed due to the conversion of sodium valproate to the volatile compound, valproic acid. Pellets containing less than 10% (w/w) citric acid maintained potency during processing.

  19. Laser Doppler flowmetry in endodontics: a review. (United States)

    Jafarzadeh, H


    Vascular supply is the most accurate marker of pulp vitality. Tests for assessing vascular supply that rely on the passage of light through a tooth have been considered as possible methods for detecting pulp vitality. Laser Doppler flowmetry (LDF), which is a noninvasive, objective, painless, semi-quantitative method, has been shown to be reliable for measuring pulpal blood flow. The relevant literature on LDF in the context of endodontics up to March 2008 was reviewed using PubMed and MEDLINE database searches. This search identified papers published between June 1983 and March 2008. Laser light is transmitted to the pulp by means of a fibre optic probe. Scattered light from moving red blood cells will be frequency-shifted whilst that from the static tissue remains unshifted. The reflected light, composed of Doppler-shifted and unshifted light, is returned by afferent fibres and a signal is produced. This technique has been successfully employed for estimating pulpal vitality in adults and children, differential diagnosis of apical radiolucencies (on the basis of pulp vitality), examining the reactions to pharmacological agents or electrical and thermal stimulation, and monitoring of pulpal responses to orthodontic procedures and traumatic injuries. Assessments may be highly susceptible to environmental and technique-related factors. Nonpulpal signals, principally from periodontal blood flow, may contaminate the signal. Because this test produces no noxious stimuli, apprehensive or distressed patients accept it more readily than current methods of pulp vitality assessment. A review of the literature and a discussion of the application of this system in endodontics are presented.

  20. Correlation analysis of internal jugular vein abnormalities and cerebral venous sinus thrombosis

    Institute of Scientific and Technical Information of China (English)

    JIA Ling-yun; HUA Yang; JI Xun-ming; LIU Jiang-tao


    Background Cerebral venous sinus thrombosis (CVST) is a special form of stroke with multiple causes and risk factors.However,there are still a portion of cases with unknown reasons.The aim of this study was to investigate the relationship between internal jugular vein (IJV) abnormalities and the development of CVST.Methods A total of 51 CVST patients and 30 healthy controls were enrolled.The diameter,the maximum velocity (Vmax) and the reflux time in bilateral IJVs were measured by color Doppler flow imaging (CDFI).The paired t test was used to compare the numeric values between the bilateral IJVs.The Pearson chi-square test was used to evaluate the relationship between IJV abnormality and CVST,IJV abnormality and IJV reflux,respectively.Results Among the 51 CVST patients,20 (39%) patients were with normal IJV and 31 (61%) patients were with abnormal IJV.The types of IJV abnormality included annulus stenosis 19 cases (61%),hypoplasia 9 cases (29%),thrombosis 2 cases (7%) and anomalous valve 1 case (3%).In patients with unilateral IJV abnormality,the minimum diameter of the IJV on the lesion side was significantly smaller than that of the contralateral side (P <0.0001).When compared with contralateral side,the Vmax of the lesion side with unilateral annulus stenosis was significant higher,however,it was obvious lower in patients with unilateral hypoplasia (P <0.05).Furthermore,among 27 cases with unilateral IJV abnormality,all the CVST occurred on the same side as the IJV lesions.Conclusion IJV abnormality closely correlated with the development of CVST,which is a newly identified risk factor for CVST.

  1. Enteric Ganglionitis in Rhesus Macaques Infected with Simian Immunodeficiency Virus▿ (United States)

    Orandle, Marlene S.; Veazey, Ronald S.; Lackner, Andrew A.


    Gastrointestinal (GI) disease is a debilitating feature of human immunodeficiency virus (HIV) infection that can occur in the absence of histopathological abnormalities or identifiable enteropathogens. However, the mechanisms of GI dysfunction are poorly understood. The present study was undertaken to characterize changes in resident and inflammatory cells in the enteric nervous system (ENS) of macaques during the acute stage of simian immunodeficiency virus (SIV) infection to gain insight into potential pathogenic mechanisms of GI disease. Ganglia from duodenum, ileum, and colon were examined in healthy and acutely infected macaques by using a combination of routine histology, double-label immunofluorescence and in situ hybridization. Evaluation of tissues from infected macaques showed progressive infiltration of myenteric ganglia by CD3+ T cells and IBA1+ macrophages beginning as early as 8 days postinfection. Quantitative image analysis revealed that the severity of myenteric ganglionitis increased with time after SIV infection and, in general, was more severe in ganglia from the small intestine than in ganglia from the colon. Despite an abundance of inflammatory cells in myenteric ganglia during acute infection, the ENS was not a target for virus infection. This study provides evidence that the ENS may be playing a role in the pathogenesis of GI disease and enteropathy in HIV-infected people. PMID:17392357


    Directory of Open Access Journals (Sweden)

    Zuhair Zuhair


    melekat dengan cara pasif. Kata kunci: Water ingress, reaktivitas Doppler, RGTT200K   In high temperature reactor, the negative temperature reactivity coefficient guarantees fission reaction in the core remain under the control and decay heat will not melt the fuel which cause the release of radioactive substances into the environment. But the entry of water (water ingress into the reactor core due to rupture of a steam generator tube heat exchanger, which is known as one of the design basis accidents, can introduce positive reactivity with other potential hazards such as graphite corrosion and damage of the reflector structure material. This paper will investigate the effect of water ingress accident on Doppler reactivity coefficient of RGTT200K core. The capability of the Doppler reactivity coefficient to compensate positive reactivity incurred during water ingress accident will be examined through a series of calculations with MCNPX code and ENDF/B-VII library for fuel temperature changes from 800K to 1800K. Three options of UO2, ThO2/UO2 and PuO2 fuel kernels with three lattice models of fuel pebble in the reactor core was applied for condition of water ingress with water density from 0 to 1000 kg/m3. The results of the calculations show that Doppler reactivity coefficient is negative for the entire fuel options being considered even for a large possibility of water ingress. The effects of water ingress becomes stronger in lattice model with lower packing fraction because more volume available for water entering the reactor core. The effect of water ingress is also stronger in the uranium core compared to thorium and plutonium cores as a consequence of the Doppler phenomenon where the neutron absorption in resonance region of 238U is greater than 232Th and 240Pu. It can be concluded overall that Doppler coefficient of RGTT200K core has capability to compensate the reactivity insertion introduced by water ingress accident. RGTT200K core with UO2, ThO2/UO2 and PuO2

  3. Evaluation of Hepatic Vasculature in Fatty Liver Patients with Duplex Doppler Sonography

    Directory of Open Access Journals (Sweden)

    Nahid Sedighi


    Full Text Available Background/Objective: Duplex Doppler ultrasonography (US has been newly suggested as an important diagnostic technique in the non-invasive evaluation of hepatic vasculature and some hepatic parenchymal diseases. New findings suggest that diffuse fatty infiltration of the liver can alter normal hepatic vein and artery Doppler indices. The following study has been performed to evaluate the effect of fatty infiltration on portal vein indices."nPatients and Methods: Forty-eight patients with various degrees of fatty infiltration of the liver and 48 normal subjects without any signs of hepatic fatty infiltration in ultrasonography were examined using standard color Doppler sonography. Maximum and minimum peak velocity and resistance index were compared in the two groups."nResults: The mean of maximum peak velocity in the portal vein was 25.9±9.9 and 34.3±18.3 in the case and control group, respectively (P=0.006. The mean of minimum peak velocity in the portal vein was 19.2±9.9 and 18.7±8.7 in the case and control group, respectively (P=0.795. The mean of resistance index was 0.25±0.09 and 0.41±0.15 in the case and control group, respectively (P<0.001."nConclusion: The mean of maximum peak velocity and the mean of resistance index in the portal vein was significantly lower in patients with fatty infiltration compared to those who had no abnormality in the liver ultrasonography .

  4. Diagnosis of Placenta Accreta by Uterine Artery Doppler Velocimetry in Patients With Placenta Previa. (United States)

    Cho, Hee Young; Hwang, Han Sung; Jung, Inkyung; Park, Yong Won; Kwon, Ja-Young; Kim, Young Han


    To evaluate the potential value of uterine artery Doppler velocimetry in diagnosing placenta accreta. Clinical records of all deliveries between April 1991 and March 2013 were retrospectively analyzed. Cases of intrauterine growth restriction, pregnancy-induced hypertension, multiple pregnancies, fetal anomalies, chromosomal abnormalities, and maternal medical illnesses such as cardiovascular disease, renal disease, and diabetes mellitus were excluded. A total of 11,210 cases were evaluated, including 403 cases of placenta previa without accreta (placenta previa) and 39 cases of placenta previa with accreta (placenta accreta). All patients underwent uterine artery Doppler velocimetry to measure the mean resistive index and pulsatility index (PI) in the third trimester. The analysis included participant characteristics such as age, parity, abortion history, previous cesarean delivery, gestational age at delivery, neonatal sex, and birth weight. The mean uterine artery PI was significantly lower in the placenta accreta group compared to previa alone (0.51 versus 0.57; P = .002). The odds ratios for placenta accreta were 2.4 for 2 or more previous abortions (P = .011) and 5.3 and 7.0 for 1 and 2 or more previous cesarean deliveries (P = .001 and .005). With an increase in the mean PI by 0.01, the odds ratio for placenta accreta decreased by 0.94 (P placenta accreta compared to those without accreta. The diagnostic accuracy of placenta accreta can be potentially improved if uterine artery Doppler values and the history of cesarean delivery are combined. © 2015 by the American Institute of Ultrasound in Medicine.

  5. Doppler echocardiography and myocardial dyssynchrony: a practical update of old and new ultrasound technologies

    Directory of Open Access Journals (Sweden)

    Galderisi Maurizio


    Full Text Available Abstract Morbidity and mortality rates are higher in patients with severe left ventricular (LV systolic dysfunction and ECG-derived prolonged QRS interval than in those with normal QRS duration. QRS duration is currently used on the grounds that it reflects the presence of ventricular dyssynchrony. However, 30–40% of patients selected on the basis of a prolonged QRS do not receive benefit by cardiac resynchronization therapy (CRT since they do not show any significant inverse LV remodeling and QRS duration does not accurately distinguish responders to CRT. Consequently, mechanical dyssynchrony (particularly intra-ventricular dyssynchrony seems to be much more important than electrical dyssinchrony. Pre- and post-echocardiographic assessment should require the combination of conventional and specific applications ranging from M-mode and pulsed/continuous Doppler, to pulsed Tissue Doppler, the off-line analysis of colour Tissue Velocity Imaging, Strain Rate Imaging, and real time three-dimensional reconstruction However, there is not no consensus about the best approach and the best ultrasound parameter for selecting candidates to CRT and ECG representation of abnormal cardiac conduction still remains as the main criterion in guidelines. This review is a practical update of ultrasound methods and measurements of atrio-ventricular, inter-ventricular and intra-ventricular dyssynchrony and describes experiences which used either conventional Doppler echocardiography and more advanced techniques. By these experiences, the global amount of LV dyssynchrony seems to be critical: the greater intra-ventricular dyssynchrony, the higher the possibility of significant LV inverse remodeling. After CRT, it is necessary also to evaluate the optimal atrio-ventricular delay and ventricular-ventricular delay setting that maximizes LV systolic function.

  6. Lack of beta1 integrins in enteric neural crest cells leads to a Hirschsprung-like phenotype

    DEFF Research Database (Denmark)

    Breau, Marie A; Pietri, Thomas; Eder, Olivier


    crest cells fail to colonise the gut completely, leading to an aganglionosis of the descending colon, which resembles the human Hirschsprung's disease. Moreover, beta1-null enteric neural crest cells form abnormal aggregates in the gut wall, leading to a severe alteration of the ganglia network...... organisation. Organotypic cultures of gut explants reveal that beta1-null enteric neural crest cells show impaired adhesion on extracellular matrix and enhanced intercellular adhesion properties. They display migration defects in collagen gels and gut tissue environments. We also provide evidence that beta1...

  7. Use of Doppler ultrasound for non-invasive urodynamic diagnosis

    Directory of Open Access Journals (Sweden)

    Hideo Ozawa


    Full Text Available Objectives: A totally non-invasive transperineal urodynamic technique using Doppler ultrasonography has been developed. Methods: Since normal urine does not have blood cells, urine was thought not to produce the Doppler effects. However, basic studies confirmed that the decrease of pressure at high velocity (Bernouilli effect caused dissolved gas to form microbubbles, which are detected by Doppler ultrasonography. Subjects sat and the probe was advanced via remote control to achieve gentle contact with the perineal skin. The digital uroflow data signals and the color Doppler ultrasound video images were processed on a personal computer. The flow-velocity curves from two sites; the distal prostatic urethra just above the external sphincter (V1 and the sphincteric urethra (V2 were plotted against time. The parameters of both the pressure-flow studies and the Doppler ultrasound urodynamic studies were compared in men who had various degrees of obstruction. Results: Functional cross-sectional area at prostatic urethra (A1, calculated by Q max /V1, was lower in the group of bladder outlet obstruction (BOO vs. control group. Velocity ratio (VR, which was calculated by V1/V2, was the parameter having the best correlation with BOO index, though A1 had a similar correlation. This method is viable to diagnose the degree of BOO. Conclusions: The development of non-invasive Doppler ultrasound videourodynamics (Doppler UDS will dramatically expand the information on voiding function.

  8. Doppler sensitivity and its effect on transatlantic TWSTFT links (United States)

    Zhang, Shengkang; Parker, Thomas; Zhang, Victor


    Some investigations have concluded that the diurnal pattern in the time comparison results of present two way satellite time and frequency transfer (TWSTFT) links may come mainly from Doppler dependent errors in the time of arrival (TOA) measurements made by the receivers of the TWSTFT modems. In this paper, several experiments were carried out to test if there is a Doppler dependent error in the ‘delay’ measurements of the receivers currently used. By simulating quantitative Doppler effects in the time transfer signal both on the carrier and the code, a type of Doppler sensitivity on the code was observed in the receivers, which has about  -0.49 ns offset in ‘delay’ measurement for a 1  ×  10-9 fractional Doppler shift. This sensitivity is basically the same for modems with different serial numbers from the same manufacture. We calculated this Doppler caused diurnal pattern in the time comparison results of the transatlantic TWSTFT link between NIST and PTB and found that it is very small and negligible, because the Doppler dependent error is almost identical in the NIST and PTB measurements and therefore it is nearly canceled in the TWSTFT difference. Commercial products are identified for technical completeness only, and no endorsement by NIST is implied.

  9. Ionospheric observations made by a time-interleaved Doppler ionosonde (United States)

    Lynn, Kenneth J. W.


    Mid-latitude HF observations of ionospheric Doppler velocity as a function of frequency are reported here as observed over a quiet 24-h period by a KEL IPS71 ionosonde operating at a 5-min sampling rate. The unique time-interleaving technique used in this ionosonde provided a Doppler resolution of 0.04 Hz over a Doppler range of ±2.5 Hz at each sounding frequency via FFT processing and is described here for the first time. The time-interleaving technique can be applied to other types of ionosonde as well as to other applications. The measurements described were made at a middle latitude site (Salisbury, South Australia). Doppler variations (rate-of-change of foF2 as predicted by a simple parabolic layer model. The descending cusp in short-period TIDs is shown to mark an abrupt change with increasing frequency from negative towards positive Doppler shift with the greatest change in Doppler shift being observed below the cusp. The “smilergram” is introduced as observed in both F2 and Sporadic E. The characteristic curve in Doppler versus group height at a single frequency is described and related to changes in reflection symmetry, velocity and depth of moving ionospheric inhomogeneities.


    Directory of Open Access Journals (Sweden)



    Full Text Available BACKGROUND AND OBJECTIVE : Intrauterine growth retardation (IUGR is a fetal growth disorder defined on the basis of a fetal weight below 10 th percentile for the corresponding gestational age. Our study was an effort at establishing the role of Umbilical artery (UA and Middle cere bral artery (MCA Doppler indices in predicting the adverse perinatal out come in clinically suspected IUGR pregnancies, and to determine the role of Doppler velocimetry in clinical management of such pregnancies. Elevation of the umbilical artery systolic /diastolic ratio or of the pulsatility index (PI; absent or reversed end - diastolic flow in the umbilical artery and decreased systolic/diastolic ratio or pulsatility index in the fetal internal carotid and middle cerebral arteries are the predictors of ab normal perinatal outcome. Our study was to evaluate the role of ratio of pulsatility index (PI which is called as Cerebroplacental Ratio i.e. MCAPI/UAPI Doppler ratio as the most accurate predictor of adverse perinatal outcome among women with clinical sus picion of IUGR attending our (SVRR Govt. hospital. METHODOLOGY : 50 Antenatal women attending the antenatal O.P.D who were clinically suspected as having growth retardation based on clinical history of previous child with growth retardation , signs of pallor ( anaemia and high documented Blood pressures – s/o PIH, reduced abdominal height for gestational age , were evaluated using screening ultrasound. Doppler velocity wave forms were obtained from umbilical artery and fetal middle cerebral artery fro m all the 50 cases. 16 cases were followed up with repeat Doppler. Pulsatility index ratio of middle cerebral artery and umbilical artery, also called as Cerebroplacental ratio was evaluated in each case. Abnormal ratio is defined as Cerebroplacental ratio < 1.08 was considered as a cut off value. Ratio was calculated and correlated clinically with the perinatal outcomes – in the form of IUD’s, low APGAR

  11. Doppler ultrasound in vitro modeling of turbulence in carotid vascular disease (United States)

    Thorne, Meghan L.; Poepping, Tamie L.; Rankin, Richard N.; Nikolov, Hristo N.; Holdsworth, David W.


    Turbulence is ubiquitous to many systems in nature, except the human vasculature. Development of turbulence in the human vasculature is an indication of abnormalities and disease. A severely stenosed vessel is one such example. In vitro modeling of common vascular diseases, such as a stenosis, is necessary to develop a better understanding of the fluid dynamics for a characteristic geometry. Doppler ultrasound (DUS) is the only available non-invasive technique for in vivo applications. Using Doppler velocity-derived data, turbulence intensity (TI) can be calculated. We investigate a realistic 70% stenosed bifurcation model in pulsatile flow and the performance of this model for turbulent flow. Blood-mimicking fluid (BMF) was pumped through the model using a flow simulator, which generated pulsatile flow with a mean flow rate of 6 ml/s. Twenty-five cycles of gated DUS data were acquired within regions of laminar and turbulent flow. The data was digitized at 44.1 kHz and analyzed at 79 time-points/cardiac cycle with a 1024-point FFT, producing a 1.33 cm/s velocity resolution. We found BMF to exhibit DUS characteristics similar to blood. We demonstrated the capabilities to generate velocities comparable to that found in the human carotid artery and calculated TI in the case of repetitive pulsatile flow.

  12. Myocardial tissue Doppler velocities in fetuses with hypoplastic left heart syndrome

    Directory of Open Access Journals (Sweden)

    Himesh V Vyas


    Full Text Available Background : Tissue Doppler Imaging (TDI is a sensitive index of myocardial function. Its role in the fetus has not been extensively evaluated. Objective: To compare myocardial tissue Doppler velocities in fetuses with hypoplastic left heart syndrome (HLHS to those of normal fetuses (matched for gestational age. Methods: Cross-sectional retrospective study conducted at 2 large perinatal centers (2003-2007. Fetuses with HLHS ( n = 13 were compared with normal fetuses ( n = 207 in 5 gestational age groups. TDI data included peak systolic (s′, peak early (e′, and late diastolic velocities (a′. Linear regression was used to compare TDI parameters in fetuses with HLHS to normal fetuses matched for gestational age. Results: Fetuses with HLHS had significantly reduced lateral tricuspid annular e′ as compared to normal fetuses. Both normal fetuses and those with HLHS had linear increase in TDI velocities with advancing gestational age. Conclusions: TDI velocities are abnormal in fetuses with HLHS. TDI can be useful in serial follow-up of cardiac function in fetuses with HLHS.

  13. Vascular waveform analysis of flap-feeding vessels using color Doppler ultrasonography. (United States)

    Ogino, Akihiro; Onishi, Kiyoshi


    We performed vascular waveform analysis of flap-feeding vessels using color Doppler ultrasonography and evaluated the blood flow in the flaps prior to surgery. Vascular waveform analysis was performed in 19 patients. The analyzed parameters included the vascular diameter, flow volume, flow velocity, resistance index, pulsatility index, and acceleration time. The arterial waveform was classified into 5 types based on the partially modified blood flow waveform classification reported by Hirai et al.; in particular, D-1a, D-1b, and D-2 were considered as normal waveforms. They were 4 patients which observed abnormal vascular waveform among 19 patients (D-4 : 1, D-3 : 1, and Poor detect : 2). The case which presented D-4 waveform changed the surgical procedure, and a favorable outcome was achieved. Muscle flap of the case which presented D-3 waveform was partially necrosed. The case which detected blood flow poorly was judged to be the vascular obstruction of the internal thoracic artery. In the evaluation of blood flow in flaps using color Doppler ultrasonography, determination of not only basic blood flow information, such as the vascular distribution and diameter and flow velocity, but also the flow volume, vascular resistance, and arterial waveform is essential to elucidate the hemodynamics of the flap.

  14. Doppler indices in the umbilical arteries: influence of vessel curvature induced by bladder filling. (United States)

    Balbis, Sonia; Gaglioti, Pietro; Todros, Tullia; Guiot, Caterina


    Doppler indices are widely used to assess normal versus pathologic haemodynamics. In obstetrics, the assessment of abnormal values in some critical compartments, such as the umbilical arteries (UA), may be crucial in the clinical management of growth-restricted foetuses. It was recently proposed that the UA should be sampled in their perivesical portion (PVC), i.e., where they surround the foetal urinary bladder. However, measurements at this site could be biased by the degree of curvature of the vessel due to bladder filling. We investigated this possibility in vivo and in vitro, i.e., measurements on rubber tubes at different radii of curvature R(c). There was significant dependence of the Doppler indices A/B and PI on the vessel curvature and insonation angle; in fact, we recorded errors of about 25% when R(c) was 10 times larger than the radius of the vessel and about 100% when R(c) was five times larger than the radius of the vessel. Therefore, measurements of the UA at the PVC site should only be performed when the foetal bladder is empty.

  15. Doppler ultrasound evaluation of pattern of venous incompetance and relation with skin changes in varicose vein patients

    Directory of Open Access Journals (Sweden)

    HP Pant


    Full Text Available BACKGROUND Varicosity of lower limb is a common problem in agricultural country like Nepal. Doppler ultrasound is a standard investigation modality for confirmation of diagnosis, evaluation of severity and venous mapping to plan treatment. We aim to find out the epidemiology, common pattern of incompetance, severity assessment by doppler and association of the important doppler variables with skin changes. METHODOLOGY Doppler venous study was done in 56 patients from june 2013 to july 2014. Patients with deep vein thrombosis and peripheral arterial disease were excluded. Altogether 56 patients, 96 limbs were studied. Data was entered in preformed proforma. Doppler study was conducted by senior radiologist with linear probes. Data was entered in SPSS software version 16 and statistical significance was calculated using chi square test. RESULTS Bilateral limb involvement was seen in 40 patients and unilateral in 16 patuents only. Skin related changes were seen in 58 limbs. Saphenofemoral junction incompetance was seen in 79(82.2% limbs and was most common pattern of incompetance. Overall, superficial veins were involved in 88(91.7% limbs and deep in 30(31.2% limbs. Prolonged duration of varicosity (>9 year (p=0.000, bilateral limb involvement(p=0.024, reflux in deep venous system(p=0.002, larger Greater Saphenous Vein (GSV size(p=0.003, prolonged duration of reflux(p=0.000 and perforator incompetence (p=0.002 were associated with skin changes. GSV diameter more than 7 mm was associated with reflux significantly (P=0.002. CONCLUSION Superficial vein incompetance is common pattern compared to deep venous system. Sapheno Femoral Junction (SFJ incompetance is the commonest pattern. Larger caliber of vein, prolonged duration of reflux, reflux in deep venous system and perforator insufficiency are significantly associated with skin changes.DOI: Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3

  16. Pulsed Doppler echocardiographic analysis of mitral regurgitation after myocardial infarction. (United States)

    Loperfido, F; Biasucci, L M; Pennestri, F; Laurenzi, F; Gimigliano, F; Vigna, C; Rossi, E; Favuzzi, A; Santarelli, P; Manzoli, U


    In 72 patients with previous myocardial infarction (MI), mitral regurgitation (MR) was assessed by pulsed-wave Doppler echocardiography and compared with physical and 2-dimensional echocardiographic findings. MR was found by Doppler in 29 of 42 patients (62%) with anterior MI, 11 of 30 (37%) with inferior MI (p less than 0.01) and in none of 20 normal control subjects. MR was more frequent in patients who underwent Doppler study 3 months after MI than in those who underwent Doppler at discharge (anterior MI = 83% vs 50%, p less than 0.01; inferior MI = 47% vs 27%, p = not significant). Of 15 patients who underwent Doppler studies both times, 3 (all with anterior MI) had MR only on the second study. Of the patients with Doppler MR, 12 of 27 (44%) with a left ventricular (LV) ejection fraction (EF) greater than 30% and 1 of 13 (8%) with an EF of 30% or less (p less than 0.01) had an MR systolic murmur. Mitral prolapse or eversion and papillary muscle fibrosis were infrequent in MI patients, whether or not Doppler MR was present. The degree of Doppler MR correlated with EF (r = -0.61), LV systolic volume (r = 0.47), and systolic and diastolic mitral anulus circumference (r = 0.52 and 0.51, respectively). Doppler MR was present in 24 of 28 patients (86%) with an EF of 40% or less and in 16 of 44 (36%) with EF more than 40% (p less than 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

  17. Limits on Planetary Companions from Doppler Surveys of Nearby Stars (United States)

    Howard, Andrew W.; Fulton, Benjamin J.


    Most of our knowledge of planets orbiting nearby stars comes from Doppler surveys. For spaced-based, high-contrast imaging missions, nearby stars with Doppler-discovered planets are attractive targets. The known orbits tell imaging missions where and when to observe, and the dynamically determined masses provide important constraints for the interpretation of planetary spectra. Quantifying the set of planet masses and orbits that could have been detected will enable more efficient planet discovery and characterization. We analyzed Doppler measurements from Lick and Keck Observatories by the California Planet Survey. We focused on stars that are likely targets for three space-based planet imaging mission concepts studied by NASA—WFIRST-AFTA, Exo-C, and Exo-S. The Doppler targets are primarily F8 and later main sequence stars, with observations spanning 1987-2014. We identified 76 stars with Doppler measurements from the prospective mission target lists. We developed an automated planet search and a methodology to estimate the pipeline completeness using injection and recovery tests. We applied this machinery to the Doppler data and computed planet detection limits for each star as a function of planet minimum mass and semimajor axis. For typical stars in the survey, we are sensitive to approximately Saturn-mass planets inside of 1 au, Jupiter-mass planets inside of ˜3 au, and our sensitivity declines out to ˜10 au. For the best Doppler targets, we are sensitive to Neptune-mass planets in 3 au orbits. Using an idealized model of Doppler survey completeness, we forecast the precision of future surveys of non-ideal Doppler targets that are likely targets of imaging missions. Based on observations obtained at the W. M. Keck Observatory, which is operated jointly by the University of California and the California Institute of Technology. Keck time has been granted by NASA, the University of California, and the University of Hawaii.

  18. 4D shear stress maps of the developing heart using Doppler optical coherence tomography. (United States)

    Peterson, Lindsy M; Jenkins, Michael W; Gu, Shi; Barwick, Lee; Watanabe, Michiko; Rollins, Andrew M


    Accurate imaging and measurement of hemodynamic forces is vital for investigating how physical forces acting on the embryonic heart are transduced and influence developmental pathways. Of particular importance is blood flow-induced shear stress, which influences gene expression by endothelial cells and potentially leads to congenital heart defects through abnormal heart looping, septation, and valvulogenesis. However no imaging tool has been available to measure shear stress on the endocardium volumetrically and dynamically. Using 4D structural and Doppler OCT imaging, we are able to accurately measure the blood flow in the heart tube in vivo and to map endocardial shear stress throughout the heart cycle under physiological conditions for the first time. These measurements of the shear stress patterns will enable precise titration of experimental perturbations and accurate correlation of shear with the expression of molecules critical to heart development.

  19. Low-set ears and pinna abnormalities (United States)

    Low-set ears; Microtia; "Lop" ear; Pinna abnormalities; Genetic defect-pinna; Congenital defect-pinna ... conditions: Abnormal folds or location of the pinna Low-set ears No opening to the ear canal ...

  20. Relationship among sera lipoprotein abnormalities in healthy ...

    African Journals Online (AJOL)

    Relationship among sera lipoprotein abnormalities in healthy individuals with background of diabetic sibling. ... As the prevalence of lipoprotein abnormalities in adolescents is increasing dramatically, the identification of ... Article Metrics.

  1. Abnormal Cervical Cancer Screening Test Results (United States)

    ... FREQUENTLY ASKED QUESTIONS FAQ187 GYNECOLOGIC PROBLEMS Abnormal Cervical Cancer Screening Test Results • What is cervical cancer screening? • What causes abnormal cervical cancer screening test results? • ...

  2. Carotid Doppler and transcranial Doppler in diagnosing transient ischemic attack: A healthy control

    Institute of Scientific and Technical Information of China (English)

    Huiling Chen; Jinhua Qiu; Hongying Liu


    BACKGROUND: If changes of hemodynamics in internal or external cranial artery and stenosis of atherosclerosis are found early, patients with transient ischemic attack (TIA) may be treated at an early phase so as to prevent and decrease the onset of cerebral infarction. Carotid Doppler can analyze carotid canal wall, hemodynamic properties and stenosis, and changes of plaque morphology; however, transcranial Doppler (TCD)can evaluate vascular stenosis and occlusion and judge collateral circulation in cranium through detecting velocity and direction of blood flow. Can the association of them increase the diagnostic rate of TIA?OBJECTIVE: To evaluate the effect of the association of carotid Doppler and TCD on TIA in internal carotid artery.DESIGN: Contrast observational study.SETTING: Department of Neuroelectrophysiology, Central People's Hospital of Huizhou.PARTICIPANTS: A total of 54 patients with TIA in internal carotid artery were selected from the Department of Neurology of Huizhou Central People's Hospital from May 2004 to June 2005. There were 35 males and 24 females aged 46-81 years. The clinical situation was asthenia of single limb, hemiplegia, anaesthesia of single upper or lower limb, hemianesthesia, sensory disorder and aphasia. The symptoms lasted for less than 2 hours. All cases were diagnosed with CT, and those who had pathological changes of acute cerebral infarction and history of cardiac disease were excluded. Additionally, 50 healthy subjects who were regarded as control group were selected from the Department of Neurology of Huizhou Central People's Hospital. There were 30 males and 20 females aged 45-80 years. All subjects were consent.METHODS: HD15000 color Doppler ultrasound (Philips Company, USA) and Muliti-DopX2 TCD (DWL Company, Germany) were used to detect hemodynamics, stenosis and distribution of atherosclerosis in carotid artery and internal carotid artery. Evaluation of marker: Stenosis was calculated by the ratio between the minimal

  3. Development of the enteric nervous system: bringing together cells, signals and genes. (United States)

    Burns, A J; Pachnis, V


    The enteric nervous system (ENS), the intrinsic innervation of the gastrointestinal tract that controls essential functions such as motility, secretion and blood flow, comprises a vast number of neurons and glial cells that are organized into complex networks of interconnected ganglia distributed throughout the entire length of the gut wall. Enteric neurons and glia are derived from neural crest cells that undergo extensive migration, proliferation, differentiation and survival in order to form a functional ENS. Investigations of the developmental processes that underlie ENS formation in animal models, and of the common human congenital ENS abnormality Hirschsprung's disease, have been intimately related and recently led to major advances in the field. This review touches on some of these advances and introduces two topics that are elaborated upon in this journal issue: (i) genome wide approaches for profiling gene expression in wild type and mutant ENS that have been used to identify novel molecules with important roles in enteric neurogenesis, and (ii) the use of multilineage ENS progenitors isolated from embryonic or postnatal gut as novel cell replacement therapies for Hirschsprung's disease. Such studies will not only unravel the mechanisms underlying ENS development, but will also shed light on the pathogenesis of ENS developmental disorders and help to establish novel therapeutic strategies for restoring or repairing malfunctioning enteric neural circuits prevalent in numerous gastrointestinal diseases.

  4. [Phenomenology of abnormal body perceptions]. (United States)

    Schäfer, M L


    The present paper deals with the problematic nature of the phenomenological grasping of the consciousness of the body and its pathological modifications. The reasoning is oriented by the doctrine of Husserl of the so-called sentiments as the fundamentals of the experience of the own body. This basic approach does not only seem to be basically for a psychology of the consciousness of the body, but also to give the theoretical-conceptual structure for a great number of psychopathological modifications. Subsequent to a criticism of the conventional use of the term 'hallucination of the body' we attempt to chart elements of a scheme of the abnormal consciousness of the body.

  5. Foot abnormalities of wild birds (United States)

    Herman, C.M.; Locke, L.N.; Clark, G.M.


    The various foot abnormalities that occur in birds, including pox, scaly-leg, bumble-foot, ergotism and freezing are reviewed. In addition, our findings at the Patuxent Wildlife Research Center include pox from dove, mockingbird, cowbird, grackle and several species of sparrows. Scaly-leg has been particularly prevalent on icterids. Bumble foot has been observed in a whistling swan and in a group of captive woodcock. Ergotism is reported from a series of captive Canada geese from North Dakota. Several drug treatments recommended by others are presented.

  6. Acute respiratory failure due to refeeding syndrome and hypophosphatemia induced by hypocaloric enteral nutrition. (United States)

    Patel, Utpal; Sriram, Krishnan


    We report a case of acute respiratory failure due to refeeding syndrome caused by hypocaloric enteral tube feeds. A 60-y-old obese man, with a diagnosis of esophageal carcinoma with local metastases, underwent feeding jejunostomy tube insertion. Enteral tube feeding was initiated at small volumes providing 4.4 kcal x kg(-1) x d(-1) and gradually increased over 48 h to 29 kcal x kg(-1) x d(-1) (based on adjusted body weight). The patient then developed acute respiratory distress requiring intubation and ventilatory support. Serum phosphorus (P) level was extremely low at 4 d to adequately correct the electrolyte derangements. Successful liberation from mechanical ventilation was then possible. In chronically malnourished patients undergoing nutritional support, even hypocaloric feeding should be considered a risk factor for developing refeeding syndrome leading to severe and acute electrolyte fluid-balance and metabolic abnormalities.

  7. Ultrasonic Doppler measurement of renal artery blood flow (United States)

    Freund, W. R.; Beaver, W. L.; Meindl, J. D.


    Studies were made of (1) blood flow redistribution during lower body negative pressure (LBNP), (2) the profile of blood flow across the mitral annulus of the heart (both perpendicular and parallel to the commissures), (3) testing and evaluation of a number of pulsed Doppler systems, (4) acute calibration of perivascular Doppler transducers, (5) redesign of the mitral flow transducers to improve reliability and ease of construction, and (6) a frequency offset generator designed for use in distinguishing forward and reverse components of blood flow by producing frequencies above and below the offset frequency. Finally methodology was developed and initial results were obtained from a computer analysis of time-varying Doppler spectra.

  8. Interferometric millimeter wave and THz wave doppler radar (United States)

    Liao, Shaolin; Gopalsami, Nachappa; Bakhtiari, Sasan; Raptis, Apostolos C.; Elmer, Thomas


    A mixerless high frequency interferometric Doppler radar system and methods has been invented, numerically validated and experimentally tested. A continuous wave source, phase modulator (e.g., a continuously oscillating reference mirror) and intensity detector are utilized. The intensity detector measures the intensity of the combined reflected Doppler signal and the modulated reference beam. Rigorous mathematics formulas have been developed to extract bot amplitude and phase from the measured intensity signal. Software in Matlab has been developed and used to extract such amplitude and phase information from the experimental data. Both amplitude and phase are calculated and the Doppler frequency signature of the object is determined.

  9. Processor operated correlator with applications to laser Doppler signals

    DEFF Research Database (Denmark)

    Bisgaard, C.; Johnsen, B.; Hassager, Ole


    A 64-channel correlator is designed with application to the processing of laser Doppler anemometry signals in the range 200 Hz to 250 kHz. The correlator is processor operated to enable the consecutive sampling of 448 correlation functions at a rate up to 500 Hz. Software is described to identify...... a Doppler frequency from each correlation and the system is especially designed for transient flow signals. Doppler frequencies are determined with an accuracy of about 0.1%. Review of Scientific Instruments is copyrighted by The American Institute of Physics....

  10. Mitigating Doppler shift effect in HF multitone data modem (United States)

    Sonlu, Yasar


    Digital communications over High Frequency (HF) radio channels are getting important in recent years. Current HF requirements are for data transmission at rates 2.4 kbps or more to accommodate computer data links and digital secure voice. HF modems which were produced to meet these speeds are, serial modems and parallel modems. On the other hand, the HF sky-wave communication medium, the ionosphere, has some propagation problems such as multipath and Doppler shift. The effect of Doppler shift in a parallel modem which employs Differential Quadrature Phase Shift Keying (DQPSK) modulation is considered and a correction method to mitigate the Doppler Shift effect is introduced.

  11. Computer simulation studies of pulsed Doppler signals from vortices

    Institute of Scientific and Technical Information of China (English)

    CHEN Sizhong; WANG Yuanyuan; WANG Weiqi


    A computer simulation method for pulsed Doppler signals from vortices was proposed to generate simulated vortex Doppler signals under various given circumstances. The relative waveforms, such as the maximum frequency waveform, the mean frequency waveform and the bandwidth waveform, were obtained using the short time Fourier analysis of those simulated signals. The relations were studied between several spectrum parameters obtained from these waveforms and given simulation conditions, such as the position and the size of the sample volume, the distance between two vortices, the free stream velocity and the maximum tangent velocity of the vortex. The sensitive parameters were found to detect vortices using the pulsed Doppler techniques.

  12. On Regularity of Abnormal Subriemannian Geodesics

    CERN Document Server

    Tan, Kanghai


    We prove the smoothness of abnormal minimizers of subriemannian manifolds of step 3 with a nilpotent basis. We prove that rank 2 Carnot groups of step 4 admit no strictly abnormal minimizers. For any subriemannian manifolds of step less than 7, we show all abnormal minimizers have no corner type singularities, which partly generalize the main result of Leonardi-Monti.

  13. [Safety and efficacy of enteral nutritional suspension (TPF-FOS) JEVITY in acute stroke]. (United States)

    Peng, Bin; Su, Ying-ying; Cui, Li-ying; Wang, Shao-shi; Guan, Yang-tai; Zhou, Dong; Zhao, He-qing


    To evaluate the safety and efficacy of enteral nutritional suspension (TPF-FOS) JEVITY in acute stroke patients. A multicenter, prospective, post-marketing observational study was conducted. A total of 103 acute stroke patients with dysphagia received a 10-day regimen of enteral nutritional suspension (TPF-FOS) JEVITY via nasal gastric tube feeding. The parameters of serum prealbumin, serum albumin and percentage of abnormal blood glucose were evaluated and compared. The incidence of adverse events was recorded. The data were analyzed by paired t-test. At the end of the study in comparison with the baselines, the serum prealbumin increased significantly (213 mg/L ± 56 mg/L vs 219 mg/L ± 66 mg/L) and serum albumin decreased markedly (38 g/L ± 5 g/L vs 36 g/L ± 5 g/L) but stayed stable during tube feeding. No significant changes were found in percentage of abnormal blood glucose (40.78% vs 38.76%), body mass index (23.1 kg/m(2) ± 3.0 kg/m(2) vs 22.8 kg/m(2) ± 2.9 kg/m(2)) and C-reactive protein (13 mg vs 14 mg). Only 18 adverse events were related with the study product. And most of them were gastrointestinal reactions. Enteral nutritional suspension (TPF-FOS) JEVITY may increase the level of serum prealbumin in acute stroke patients and improve the patient nutritional status. With a low incidence of adverse events, it is a preferred option for enteral nutrition formulas in stroke.

  14. Prediction of enteric methane emissions from cattle. (United States)

    Moraes, Luis E; Strathe, Anders B; Fadel, James G; Casper, David P; Kebreab, Ermias


    Agriculture has a key role in food production worldwide and it is a major component of the gross domestic product of several countries. Livestock production is essential for the generation of high quality protein foods and the delivery of foods in regions where animal products are the main food source. Environmental impacts of livestock production have been examined for decades, but recently emission of methane from enteric fermentation has been targeted as a substantial greenhouse gas source. The quantification of methane emissions from livestock on a global scale relies on prediction models because measurements require specialized equipment and may be expensive. The predictive ability of current methane emission models remains poor. Moreover, the availability of information on livestock production systems has increased substantially over the years enabling the development of more detailed methane prediction models. In this study, we have developed and evaluated prediction models based on a large database of enteric methane emissions from North American dairy and beef cattle. Most probable models of various complexity levels were identified using a Bayesian model selection procedure and were fitted under a hierarchical setting. Energy intake, dietary fiber and lipid proportions, animal body weight and milk fat proportion were identified as key explanatory variables for predicting emissions. Models here developed substantially outperformed models currently used in national greenhouse gas inventories. Additionally, estimates of repeatability of methane emissions were lower than the ones from the literature and multicollinearity diagnostics suggested that prediction models are stable. In this context, we propose various enteric methane prediction models which require different levels of information availability and can be readily implemented in national greenhouse gas inventories of different complexity levels. The utilization of such models may reduce errors

  15. Enteral nutrition. Potential complications and patient monitoring. (United States)

    Kohn, C L; Keithley, J K


    Enteral feedings are safely tolerated by most patients. When complications occur, gastrointestinal disturbances are most frequently encountered, followed by mechanical and metabolic complications. Nurses can prevent many of the problems associated with enteral feeding through careful monitoring. Based on the current literature, the authors make the following recommendations: 1. All patients receiving tube feedings should be placed on a protocol that provides guidelines for (a) confirming correct tube placement; (b) preventing/managing tube obstruction; (c) handling and selecting formulas; (d) administering formulas; and (e) monitoring patients. 2. Fine-bore tubes are easily misplaced or dislodged; ensure correct positioning both before and during feeding. Food coloring should be added to all feedings to help detect aspiration/tube displacement. 3. Multiple factors can cause diarrhea in tube-fed patients and, therefore, require periodic assessment. These factors include concomitant drug therapy; malnutrition/hypoalbuminemia; formula-related factors (for example, lactose content, osmolality); and bacterial contamination. 4. Urine sugar and acetone levels should be checked every 6 hours (until stable). Vital signs and fluid intake and output should be determined every 8 hours, and weight should be measured on a daily basis. Serum electrolytes, blood urea nitrogen, and glucose levels should be determined daily, until serum levels stabilize. Weekly measurements of trace elements should be made to ensure adequate mineral replacement. 5. Use a controller pump to administer continuous feedings at a constant rate or to administer formulas that are viscous. Flush feeding tubes with water every 4 hours during continuous feedings, after giving intermittent feedings, after giving medications, and after checking for gastric residuals. If tube obstruction occurs, attempt to irrigate the tube with either water or cola. 6. Select feedings that contain appropriate nutrient sources

  16. Abnormal visuomotor processing in schizophrenia

    Directory of Open Access Journals (Sweden)

    Siân E. Robson


    Full Text Available Subtle disturbances of visual and motor function are known features of schizophrenia and can greatly impact quality of life; however, few studies investigate these abnormalities using simple visuomotor stimuli. In healthy people, electrophysiological data show that beta band oscillations in sensorimotor cortex decrease during movement execution (event-related beta desynchronisation (ERBD, then increase above baseline for a short time after the movement (post-movement beta rebound (PMBR; whilst in visual cortex, gamma oscillations are increased throughout stimulus presentation. In this study, we used a self-paced visuomotor paradigm and magnetoencephalography (MEG to contrast these responses in patients with schizophrenia and control volunteers. We found significant reductions in the peak-to-peak change in amplitude from ERBD to PMBR in schizophrenia compared with controls. This effect was strongest in patients who made fewer movements, whereas beta was not modulated by movement in controls. There was no significant difference in the amplitude of visual gamma between patients and controls. These data demonstrate that clear abnormalities in basic sensorimotor processing in schizophrenia can be observed using a very simple MEG paradigm.

  17. Chromosomal phenotypes and submicroscopic abnormalities

    Directory of Open Access Journals (Sweden)

    Devriendt Koen


    Full Text Available Abstract The finding, during the last decade, that several common, clinically delineated syndromes are caused by submicroscopic deletions or, more rarely, by duplications, has provided a powerful tool in the annotation of the human genome. Since most microdeletion/microduplication syndromes are defined by a common deleted/duplicated region, abnormal dosage of genes located within these regions can explain the phenotypic similarities among individuals with a specific syndrome. As such, they provide a unique resource towards the genetic dissection of complex phenotypes such as congenital heart defects, mental and growth retardation and abnormal behaviour. In addition, the study of phenotypic differences in individuals with the same microdeletion syndrome may also become a treasury for the identification of modifying factors for complex phenotypes. The molecular analysis of these chromosomal anomalies has led to a growing understanding of their mechanisms of origin. Novel tools to uncover additional submicroscopic chromosomal anomalies at a higher resolution and higher speed, as well as the novel tools at hand for deciphering the modifying factors and epistatic interactors, are 'on the doorstep' and will, besides their obvious diagnostic role, play a pivotal role in the genetic dissection of complex phenotypes.

  18. [Bacteriologic and serologic diagnosis of enteral infections]. (United States)

    Ringelmann, R


    Infections of the gastrointestinal tract still are numerous, ranging on the second place after infections of the respiratory tract. Some of them show quite severe or prolonged course. In contrast to other infections, especially those of the urinary tract, laboratory diagnostic of enteritis is only scarcely ordered. During the last ten years new methods and knowledge of etiologic germs like Campylobacter, Yersinia, various types of E. coli, Clostridium difficile, Rotavirus, Adenovirus, Giardia, Blastomyces and Cryptosporidia have been accumulated. A better etiologic diagnosis of these infections should enable the clinician to start a more precise and therefore more effective therapy.

  19. The Next Generation Airborne Polarimetric Doppler Radar (United States)

    Vivekanandan, J.; Lee, Wen-Chau; Loew, Eric; Salazar, Jorge; Chandrasekar, V.


    NCAR's Electra Doppler radar (ELDORA) with a dual-beam slotted waveguide array using dual-transmitter, dual-beam, rapid scan and step-chirped waveform significantly improved the spatial scale to 300m (Hildebrand et al. 1996). However, ELDORA X-band radar's penetration into precipitation is limited by attenuation and is not designed to collect polarimetric measurements to remotely estimate microphysics. ELDORA has been placed on dormancy because its airborne platform (P3 587) was retired in January 2013. The US research community has strongly voiced the need to continue measurement capability similar to the ELDORA. A critical weather research area is quantitative precipitation estimation/forecasting (QPE/QPF). In recent years, hurricane intensity change involving eye-eyewall interactions has drawn research attention (Montgomery et al., 2006; Bell and Montgomery, 2006). In the case of convective precipitation, two issues, namely, (1) when and where convection will be initiated, and (2) determining the organization and structure of ensuing convection, are key for QPF. Therefore collocated measurements of 3-D winds and precipitation microphysics are required for achieving significant skills in QPF and QPE. Multiple radars in dual-Doppler configuration with polarization capability estimate dynamical and microphysical characteristics of clouds and precipitation are mostly available over land. However, storms over complex terrain, the ocean and in forest regions are not observable by ground-based radars (Bluestein and Wakimoto, 2003). NCAR/EOL is investigating potential configurations for the next generation airborne radar that is capable of retrieving dynamic and microphysical characteristics of clouds and precipitation. ELDORA's slotted waveguide array radar is not compatible for dual-polarization measurements. Therefore, the new design has to address both dual-polarization capability and platform requirements to replace the ELDORA system. NCAR maintains a C-130

  20. Contribution of spiral artery blood flow changes assessed by transvaginal color Doppler sonography for predicting endometrial pathologies

    Directory of Open Access Journals (Sweden)

    Suna Kabil Kucur


    Full Text Available ive: To investigate the diagnostic value of blood flow measurements in spiral artery by transvaginal color Doppler sonography (CDS in predicting endometrial pathologies.Methods: Ninety-seven patients presenting with abnormal uterine bleeding and requiring endometrial assessment were included in this prospective observational study. Endometrial thickness, structure and echogenicity were recorded. Pulsatility index (PI and resistive index (RI of the spiral artery were measured by transvaginal CDS. Endometrial sampling was performed for all subjects. Sonographic and hystopathologic findings were compared.Results: The histopathological diagnoses were as follows; 39 cases (40.2% endometrial polyp, 9 cases (9.3% endometrial hyperplasia, 10 cases (10.3 submucous myoma, 7 cases (7.2% endometrium cancer, and 32 cases (33% nonspecific findings. The spiral artery PI in endometrium cancer group was highly significantly lower than other groups (p<0.01. The spiral artery RI was also significantly lower in the patients with malignant histology (p<0.05. Conclusion: Endometrial pathologies are associated significantly with endometrial spiral artery Doppler changes.Key words: Spiral artery, Doppler ultrasonography, endometrium

  1. Retrospective Analysis of Transcranial Doppler Patterns in Veno-Arterial Extracorporeal Membrane Oxygenation Patients: Feasibility of Cerebral Circulatory Arrest Diagnosis. (United States)

    Marinoni, Marinella; Cianchi, Giovanni; Trapani, Sara; Migliaccio, Maria L; Bonizzoli, Manuela; Gucci, Letizia; Cramaro, Antonella; Gallerini, Andrea; Picciafuochi, Fabio; Valente, Serafina; Peris, Adriano


    Transcranial Doppler (TCD) is able to detect cerebral hemodynamic changes in real-time. Impairment of cerebral blood flow during veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) treatment is referred to in the literature. Several cerebrovascular complications can affect VA ECMO patients, eventually leading to brain death (BD). Transcranial Doppler is a worldwide accepted technique for cerebral circulatory arrest (CCA) diagnosis for BD confirmation, and in Italy, it is mandatory in certain clinical conditions. Nowadays, no data have been published on the use of TCD as a confirmation test in VA ECMO patients evolved to BD. The aim of our study was to investigate the feasibility of TCD in CCA diagnosis during VA ECMO treatment. Thirty-two TCD examinations, performed in 25 patients on VA ECMO, were retrospectively analyzed, and factors that could be responsible for TCD waveforms abnormalities were reviewed. Differences in TCD patterns were detected depending on values of left ventricular ejection fraction and the absence or presence of intraaortic balloon pump (IABP). Four categories of different TCD patterns were then identified. In five BD patients, diagnostic CCA patterns in all cerebral arteries were identified by TCD. Our data suggest that cerebral hemodynamic changes due to both residual cardiac function and the effects of IABP can be detected by transcranial Doppler (TCD) in VA ECMO patients. In the case of BD, TCD seems to be a reliable instrumental test for CCA diagnosis in patients on VA ECMO when a pulsatile flow is maintained (native or IABP support).

  2. Estimation of amputation level with a laser Doppler flowmeter

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Jørgensen, J P; Vollmer-Larsen, B;


    Leg amputation levels were decided in 24 patients suffering from atherosclerosis, using the conventional techniques of segmental blood pressure and radioisotope skin clearance. The skin microcirculation was measured and recorded before operation with a laser doppler flowmeter. A high correlation ...

  3. Doppler Signatures of the Atmospheric Circulation on Hot Jupiters

    CERN Document Server

    Showman, Adam P; Lewis, Nikole K; Shabram, Megan


    The meteorology of hot Jupiters has been characterized primarily with thermal measurements, but recent observations suggest the possibility of directly detecting the winds by observing the Doppler shift of spectral lines seen during transit. Motivated by these observations, we show how Doppler measurements can place powerful constraints on the meteorology. We show that the atmospheric circulation--and Doppler signature--of hot Jupiters splits into two regimes. Under weak stellar insolation, the day-night thermal forcing generates fast zonal jet streams from the interaction of atmospheric waves with the mean flow. In this regime, air along the terminator (as seen during transit) flows toward Earth in some regions and away from Earth in others, leading to a Doppler signature exhibiting superposed blue- and redshifted components. Under intense stellar insolation, however, the strong thermal forcing damps these planetary-scale waves, inhibiting their ability to generate jets. Strong frictional drag likewise damps...

  4. Doppler bubble detection and decompression sickness: a prospective clinical trial. (United States)

    Bayne, C G; Hunt, W S; Johanson, D C; Flynn, E T; Weathersby, P K


    Decompression sickness in human beings exposed to high ambient pressure is thought to follow from gas bubble formation and growth in the body during return to low pressure. Detection of Doppler-shifted ultrasonic reflections in major blood vessels has been promoted as a noninvasive and sensitive indicator of the imminence of decompression sickness. We have conducted a double-blind, prospective clinical trial of Doppler ultrasonic bubble detection in simulated diving using 83 men, of whom 8 were stricken and treated for the clinical disease. Diagnosis based only on the Doppler signals had no correlation with clinical diagnosis. Bubble scores were only slightly higher in the stricken group. The Doppler technique does not appear to be of diagnostic value in the absence of other clinical information.

  5. Doppler electron velocimetry : notes on creating a practical tool.

    Energy Technology Data Exchange (ETDEWEB)

    Reu, Phillip L.; Milster, Tom (University of Arizona)


    The Doppler electron velocimeter (DEV) has been shown to be theoretically possible. This report attempts to answer the next logical question: Is it a practical instrument? The answer hinges upon whether enough electrons are available to create a time-varying Doppler current to be measured by a detector with enough sensitivity and bandwidth. The answer to both of these questions is a qualified yes. A target Doppler frequency of 1 MHz was set as a minimum rate of interest. At this target a theoretical beam current signal-to-noise ratio of 25-to-1 is shown for existing electron holography equipment. A detector is also demonstrated with a bandwidth of 1-MHz at a current of 10 pA. Additionally, a Linnik-type interferometer that would increase the available beam current is shown that would offer a more flexible arrangement for Doppler electron measurements over the traditional biprism.

  6. Aliasing-tolerant color Doppler quantification of regurgitant jets. (United States)

    Stewart, S F


    Conservation of momentum transfer in regurgitant cardiac jets can be used to calculate the flow rate from color Doppler velocities. In this study, turbulent jets were simulated by finite elements; pseudocolor Doppler images were interpolated from the computations, with aliasing introduced artificially. Jets were also imaged by color Doppler in an in vitro flow system. To suppress aliasing errors, jet velocities were fitted iteratively to a fluid mechanical model constrained to match the orifice velocity (measured without aliasing by continuous-wave Doppler). At each iteration, the model was used to detect aliased velocities, which were excluded during the next iteration. Iteration continued until the flow rate calculated by the model and number of calculated nonaliased pixels were unchanged. The good correlations between measured and calculated flow rates in the experimental (R2 = 0.933) and computational studies (R2 = 0.990) suggest that this may be a clinically useful approach even in aliased images. Published by Elsevier Science Inc.

  7. Micro-Doppler processing for ultra-wideband radar data (United States)

    Smith, Graeme E.; Ahmad, Fauzia; Amin, Moeness G.


    In this paper, we describe an operational pulse Doppler radar imaging system for indoor target localization and classification, and show how a target's micro-Doppler signature (μDS) can be processed when ultra-wideband (UWB) waveforms are employed. Unlike narrowband radars where time-frequency signal representations can be applied to reveal the target time-Doppler frequency signatures, the UWB system permits joint range-time-frequency representation (JRTFR). JRTFR outputs the data in a 3D domain representing range, frequency, and time, allowing both the μDS and high range resolution (HRR) signatures to be observed. We delineate the relationship between the μDS and the HRR signature, showing how they would form a complimentary joint feature for classification. We use real-data to demonstrate the effectiveness of the UWB pulse-Doppler radar, combined with nonstationary signal analyses, in gaining valuable insights into human positioning and motions.

  8. Millimeter-wave micro-Doppler measurements of small UAVs (United States)

    Rahman, Samiur; Robertson, Duncan A.


    This paper discusses the micro-Doppler signatures of small UAVs obtained from a millimeter-wave radar system. At first, simulation results are shown to demonstrate the theoretical concept. It is illustrated that whilst the propeller rotation rate of the small UAVs is quite high, millimeter-wave radar systems are capable of capturing the full micro-Doppler spread. Measurements of small UAVs have been performed with both CW and FMCW radars operating at 94 GHz. The CW radar was used for obtaining micro-Doppler signatures of individual propellers. The field test data of a flying small UAV was collected with the FMCW radar and was processed to extract micro-Doppler signatures. The high fidelity results clearly reveal features such as blade flashes and propeller rotation modulation lines which can be used to classify targets. This work confirms that millimeter-wave radar is suitable for the detection and classification of small UAVs at usefully long ranges.

  9. Extracting and analyzing micro-Doppler from ladar signatures (United States)

    Tahmoush, Dave


    Ladar and other 3D imaging modalities have the capability of creating 3D micro-Doppler to analyze the micro-motions of human subjects. An additional capability to the recognition of micro-motion is the recognition of the moving part, such as the hand or arm. Combined with measured RCS values of the body, ladar imaging can be used to ground-truth the more sensitive radar micro-Doppler measurements and associate the moving part of the subject with the measured Doppler and RCS from the radar system. The 3D ladar signatures can also be used to classify activities and actions on their own, achieving an 86% accuracy using a micro-Doppler based classification strategy.

  10. The Doppler Effect: A Consideration of Quasar Redshifts. (United States)

    Gordon, Kurtiss J.


    Provides information on the calculation of the redshift to blueshift ratio introduced by the transverse Doppler effect at relativistic speeds. Indicates that this shift should be mentioned in discussions of whether quasars are "local" rather than "cosmological" objects. (GS)

  11. Doppler Ambiguity Resolution Based on Random Sparse Probing Pulses

    Directory of Open Access Journals (Sweden)

    Yunjian Zhang


    Full Text Available A novel method for solving Doppler ambiguous problem based on compressed sensing (CS theory is proposed in this paper. A pulse train with the random and sparse transmitting time is transmitted. The received signals after matched filtering can be viewed as randomly sparse sampling from the traditional fixed-pulse repetition frequency (PRF echo signals. The whole target echo could be reconstructed via CS recovery algorithms. Through refining the sensing matrix, which is equivalent to increase the sampling frequency of target characteristic, the Doppler unambiguous range is enlarged. In particular, Complex Approximate Message Passing (CAMP algorithm is developed to estimate the unambiguity Doppler frequency. Cramer-Rao lower bound expressions are derived for the frequency. Numerical simulations validate the effectiveness of the proposed method. Finally, compared with traditional methods, the proposed method only requires transmitting a few sparse probing pulses to achieve a larger Doppler frequency unambiguous range and can also reduce the consumption of the radar time resources.

  12. [Postpartal ovarian thrombophlebitis. Value of Doppler ultrasonograph y]. (United States)

    Renaud-Giono, A; Giraud, J R; Poulain, P; Proudhon, J F; Grall, J Y; Moquet, P Y; Darnault, J P


    Thrombophlebitis of the ovarian vein is a well recognized but uncommon complication during the postpartum period. We report a small series and emphasize the contribution of color Doppler and the basic therapeutic measures.

  13. Doppler ultrasound exam of an arm or leg (United States)

    ... page: // Doppler ultrasound exam of an arm or leg To use ... this page, please enable JavaScript. This test uses ultrasound to look at the blood flow in the ...

  14. Analysis of multiple scattering effects in optical Doppler tomography

    DEFF Research Database (Denmark)

    Yura, H.T.; Thrane, L.; Andersen, Peter E.


    Optical Doppler tomography (ODT) combines Doppler velocimetry and optical coherence tomography (OCT) to obtain high-resolution cross-sectional imaging of particle flow velocity in scattering media such as the human retina and skin. Here, we present the results of a theoretical analysis of ODT where...... multiple scattering effects are included. The purpose of this analysis is to determine how multiple scattering affects the estimation of the depth-resolved localized flow velocity. Depth-resolved velocity estimates are obtained directly from the corresponding mean or standard deviation of the observed...... Doppler frequency spectrum. Thus, in the present analysis, the dependence of the mean and standard deviation of the Doppler shift on the scattering properties of the flowing medium are obtained. Taking the multiple scattering effects into account, we are able to explain previous measurements of depth...

  15. Multiplexed sub-Doppler spectroscopy with an optical frequency comb

    CERN Document Server

    Long, David A; Plusquellic, David F; Hodges, Joseph T


    An optical frequency comb generated with an electro-optic phase modulator and a chirped radiofrequency waveform is used to perform saturation and pump-probe spectroscopy on the $D_1$ and $D_2$ transitions of atomic potassium. With a comb tooth spacing of 200 kHz and an optical bandwidth of 2 GHz the hyperfine transitions can be simultaneously observed. Interferograms are recorded in as little as 5 $\\mu$s (a timescale corresponding to the inverse of the comb tooth spacing). Importantly, the sub-Doppler features can be measured as long as the laser carrier frequency lies within the Doppler profile, thus removing the need for slow scanning or a priori knowledge of the frequencies of the sub-Doppler features. Sub-Doppler optical frequency comb spectroscopy has the potential to dramatically reduce acquisition times and allow for rapid and accurate assignment of complex molecular and atomic spectra which are presently intractable.


    Directory of Open Access Journals (Sweden)

    Desai Sanjay


    Full Text Available : Color Doppler ultrasound is a non-invasive, non-ionising and rapid method for scrotal examination. The present study is carried out to evaluate clinically suspected cases of scrotal lesions, the sensitivity, specificity of color doppler. MATERIAL AND METHODS: This prospective study comprises 120 patients of different age groups with clinical suspicion of scrotal lesions. Color doppler ultrasound was done with 7.5MHz transducer. RESULTS: Of the total 120 cases, benign conditions 111 (92.5% is more common than malignant 9 (7.5%. In benign group commonest diagnoses were hydrocele, epididymo-orchitis, varicocele and epididymal cyst. In malignant group teratocarcinoma, choriocarcinoma, seminoma, lymphoma, embryonal cell carcinoma, yolk sac tumor with teratocarcinoma. The sensitivity for diagnosing extratesticular lesions was 83.14% and for testicular lesions 88.57%. CONCLUSION: Color doppler ultrasound is helpful in differentiating extratesticular and intratesticular lesions. It should be performed in all patients with suspected scrotal lesions

  17. The Doppler Effect: A Consideration of Quasar Redshifts. (United States)

    Gordon, Kurtiss J.


    Provides information on the calculation of the redshift to blueshift ratio introduced by the transverse Doppler effect at relativistic speeds. Indicates that this shift should be mentioned in discussions of whether quasars are "local" rather than "cosmological" objects. (GS)

  18. Design of new seismometer based on laser Doppler effect

    Institute of Scientific and Technical Information of China (English)

    Zhenhui Du(杜振辉); Fuxiang Huang(黄福祥); Chengzhi Jiang(蒋诚志); Zhifei Tao(陶知非); Hua Gao(高华); Lina Lü(吕丽娜)


    In order to improve the resolution of seismic acquisition, a new seismic acquisition system based on tangential laser Doppler effect with an optimized differential optical configuration is proposed. The relative movement of the inertia object and the immobile frame is measured by laser Doppler effect, which can avoid the electromagnetic and thermometric interference, and the adoption of frequency-modulated (FM)transmission can improve the ability of anti-jamming. The frequency bandwidth is properly determined by analyzing the frequency of the Doppler signal. The velocity, displacement, acceleration, and frequency to be measured can be real-time acquired by frequency/velocity (F/V) converting the FM Doppler signal.A 100-dB dynamic range and the linear frequency range of 1.0 to 1000 Hz are realized.

  19. Doppler Compensation by using of Segmented Match Filter

    Directory of Open Access Journals (Sweden)

    Nader Ghadimi


    Full Text Available Match filter is one of the important parts of radar receiver. By using of Match Filter, the signal to noise ratio can be maximized so that the probability of detection is increased. Match Filter can be used as a pulse compression filter in radar receiver. Binary phase code is one of the pulse compression methods that, the compression can be down with a Match Filter in the receiver. Doppler effect is one of the problems that degrade the performance of Match Filter. In this paper, two methods “Mixer Array” and “Segmented Match Filter” are proposed for Doppler compensation. The operation of these two methods as Doppler compensation techniques are considered theoretically. The simulation is used to demonstrate the Doppler compensation performance of new techniques compared to conventional methods.

  20. Methodology for obtaining wind gusts using Doppler lidar

    DEFF Research Database (Denmark)

    Suomi, Irene; Gryning, Sven-Erik; O'Connor, Ewan J.


    . This novel method also provides estimates for wind gusts at arbitrary gust durations, including those shorter than the temporal resolution of the Doppler lidar measurements. The input parameters for the scaling method are the measured wind-gust speed as well as the mean and standard deviation...... of the horizontal wind speed. The method was tested using WindCube V2 Doppler lidar measurements taken next to a 100 m high meteorological mast. It is shown that the method can provide realistic Doppler lidar estimates of the gust factor, i.e. the ratio of the wind-gust speed to the mean wind speed. The method...... speed. To assure the data quality in this study, we applied a filtering technique based on spike detection to remove possible outliers in the Doppler lidar data. We found that the spike detection-removal method clearly improved the wind-gust measurements, both with and without the scaling method. Spike...

  1. The Enteric Nervous System in Intestinal Inflammation

    Directory of Open Access Journals (Sweden)

    Keith A Sharkey


    Full Text Available Since about the 1950s nerves in the wall of the intestine have been postulated to play a role in the pathogenesis of inflammatory bowel disease (IBD. Human and animal studies examining the role of nerves in intestinal inflammation are the focus of this review. Consideration is given to two possible ways that nerves are involved in IBD. First, nerves may play a role in the development or maintenance of inflammation through local release of transmitters. Second, once initiated (by whatever means, the processes of inflammation may disrupt the normal pattern of innervation and the interactions of nerves and their target tissues. Many of the functional disturbances observed in IBD are likely due to an alteration in the enteric nervous system either structurally through disruptions of nerve-target relationships or by modifications of neurotransmitters or their receptors. Finally, it appears that the enteric nervous system may be a potential therapeutic target in IBD and that neuroactive drugs acting locally can represent useful agents in the management of this disease.

  2. Doppler ultrasound in obstetrics and gynecology. 2. rev. and enl. ed.

    Energy Technology Data Exchange (ETDEWEB)

    Maulik, D. [Winthrop Univ. Hospital, Mineola, NY (United States). Dept. of Obstetrics and Gynecology; Zalud, I. (eds.) [Kapiolani Medical Center for Women and Children, Honolulu, HI (United States)


    The second edition of Doppler Ultrasound in Obstetrics and Gynecology has been expanded and comprehensively updated to present the current standards of practice in Doppler ultrasound and the most recent developments in the technology. Doppler Ultrasound in Obstetrics and Gynecology encompasses the full spectrum of clinical applications of Doppler ultrasound for the practicing obstetrician-gynecologist, including the latest advances in 3D and color Doppler and the newest techniques in 4D fetal echocardiography. Written by preeminent experts in the field, the book covers the basic and physical principles of Doppler ultrasound; the use of Doppler for fetal examination, including fetal cerebral circulation; Doppler echocardiography of the fetal heart; and the use of Doppler for postdated pregnancy and in cases of multiple gestation. Chapters on the use of Doppler for gynecologic investigation include ultrasound in ectopic pregnancy, for infertility, for benign disorders and for gynecologic malignancies. (orig.)

  3. Field survey of enteric viruses in solid waste landfill leachates

    National Research Council Canada - National Science Library

    Sobsey, M D


    Because municipal solid waste may contain fecal material from a variety of sources, there is concern that the leachate discharged from some solid waste landfills may contain enteric pathogens, including enteric viruses...

  4. Quantification of cardiac blood flow by Doppler technique


    Meijboom, Erik Jan


    textabstractThe investigations described in this thesis started as part of the research program of the divisions of pediatric cardiology of the Universities of Arizona and California (San Diego). The investigations were part of an ongoing project designed by D.J. Sahn and L.M. Valdes-Cruz. This project was initiated to implement Doppler techniques in the daily practice of pediatric cardiology. New developments in medical technology made the Doppler techniques integrated into sophisticated two...

  5. Radar target recognition based on micro-Doppler effect

    Institute of Scientific and Technical Information of China (English)

    DONG Wei-guang; LI Yan-jun


    Mechanical vibration of target structures will modulate the phase function of radar backscattering, and will induce thefrequency modulation of returned signals from the target. It generates a side bands of the target body Doppler frequencyshift, which is helpful for target recognition. Based on this.a micro-Doppler atomic storehouse is built for the targetrecognition, and four kinds of common classifiers are used separately to perform the classified recognition. The simulationexperimental results show that this method has high recognition rate above 90%.

  6. Using doppler radar images to estimate aircraft navigational heading error (United States)

    Doerry, Armin W [Albuquerque, NM; Jordan, Jay D [Albuquerque, NM; Kim, Theodore J [Albuquerque, NM


    A yaw angle error of a motion measurement system carried on an aircraft for navigation is estimated from Doppler radar images captured using the aircraft. At least two radar pulses aimed at respectively different physical locations in a targeted area are transmitted from a radar antenna carried on the aircraft. At least two Doppler radar images that respectively correspond to the at least two transmitted radar pulses are produced. These images are used to produce an estimate of the yaw angle error.

  7. Doppler visibility of coherent random noise radar systems (United States)

    Li, Zhixi; Narayanan, Ram M.


    Random noise radar has recently been used in a variety of imaging and surveillance applications. These systems can be made phase coherent using the technique of heterodyne correlation. Phase coherence has been exploited to measure Doppler and thereby the velocity of moving targets. The Doppler visibility, i.e., the ability to extract Doppler information over the inherent clutter spectra, is constrained by system parameters, especially the phase noise generated by microwave components. Our paper proposes a new phase noise model for the heterodyne mixer as applicable for ultrawideband (UWB) random noise radar and for the local oscillator in the time domain. The Doppler spectra are simulated by including phase noise contamination effects and compared to our previous experimental results. A Genetic Algorithm (GA) optimization routine is applied to synthesize the effects of a variety of parameter combinations to derive a suitable empirical formula for estimating the Doppler visibility in dB. According to the phase noise analysis and the simulation results, the Doppler visibility of UWB random noise radar depends primarily on the following parameters: (a) the local oscillator (LO) drive level of the receiver heterodyne mixer; (b) the saturation current in the receiver heterodyne mixer; (c) the bandwidth of the transmit noise source, and; (d) the target velocity. Other parameters such as the carrier frequency of the receiver LO and the loaded quality factor of the LO have a small effect over the range of applicability of the model and are therefore neglected in the model formulation. The Doppler visibility curves generated from this formula match the simulation results very well over the applicable parameter range within 1 dB. Our model may therefore be used to quickly estimate the Doppler visibility of random noise radars for trade-off analysis.


    Directory of Open Access Journals (Sweden)

    Daniela Mierla


    Full Text Available Chromosomal abnormalities are involved in the etiology of recurrent spontaneous pregnancy loss and sub-fertility. The purpose of this study was to determine the frequency and contribution of chromosomal abnormalities in recurrent miscarriages. The results obtained and literature review are helpful in understanding the importance of cytogenetics analysis of female infertility. To investigate the distribution of chromosomal abnormalities in the Romanian population with recurrent miscarriage, karyotype analysis by G-banding was performed from peripheral blood in 967 women infertility. Results: Chromosomal abnormalities were found to 79 women (8,17%. The percentage of chromosomal abnormalities in the studied population correlates with the data in the literature. Chromosomal abnormalities could play the important role in etiology of infertility and are more frequently detected in this group of patients compared to general population. In the infertile couples balanced chromosomal abnormalities are the main cause of spontaneous abortions.

  9. Single mode, extreme precision Doppler spectrographs

    CERN Document Server

    Schwab, Christian; Betters, Christopher H; Bland-Hawthorn, Joss; Mahadevan, Suvrath


    The 'holy grail' of exoplanet research today is the detection of an earth-like planet: a rocky planet in the habitable zone around a main-sequence star. Extremely precise Doppler spectroscopy is an indispensable tool to find and characterize earth-like planets; however, to find these planets around solar-type stars, we need nearly one order of magnitude better radial velocity (RV) precision than the best current spectrographs provide. Recent developments in astrophotonics (Bland-Hawthorn & Horton 2006, Bland-Hawthorn et al. 2010) and adaptive optics (AO) enable single mode fiber (SMF) fed, high resolution spectrographs, which can realize the next step in precision. SMF feeds have intrinsic advantages over multimode fiber or slit coupled spectrographs: The intensity distribution at the fiber exit is extremely stable, and as a result the line spread function of a well-designed spectrograph is fully decoupled from input coupling conditions, like guiding or seeing variations (Ihle et al. 2010). Modal noise, a...

  10. Satellite Doppler Fixation and International Boundaries (United States)

    Leppard, N. A. G.


    International boundaries have seldom been completely defined in geodetic terms. The existence of natural resources, which ignore the arbitrary boundaries of man, assume considerable importance when division of those resources becomes a point of issue between potential owners. This is particularly so when the boundary is illdefined in a geodetic sense. World-wide satellite reference systems, like natural resources, also have little regard for the internally less precise national or international systems. When the one is used to define the location of the other, great care must be taken to ensure equitable division, for financial gain and loss can be considerable. The definition of position is complicated by the existence of the two ephemerides for the N.N.S.S. satellites and the number of alternative reduction procedures available. The definition of the position of the Frigg Gas Field in the North Sea is an example of how the United Kingdom and Norway resolved the geodetic problem of reconciling geodetic and Doppler data.

  11. Doppler time-of-flight imaging

    KAUST Repository

    Heide, Felix


    Over the last few years, depth cameras have become increasingly popular for a range of applications, including human-computer interaction and gaming, augmented reality, machine vision, and medical imaging. Many of the commercially-available devices use the time-of-flight principle, where active illumination is temporally coded and analyzed on the camera to estimate a per-pixel depth map of the scene. In this paper, we propose a fundamentally new imaging modality for all time-of-flight (ToF) cameras: per-pixel velocity measurement. The proposed technique exploits the Doppler effect of objects in motion, which shifts the temporal frequency of the illumination before it reaches the camera. Using carefully coded illumination and modulation frequencies of the ToF camera, object velocities directly map to measured pixel intensities. We show that a slight modification of our imaging system allows for color, depth, and velocity information to be captured simultaneously. Combining the optical flow computed on the RGB frames with the measured metric axial velocity allows us to further estimate the full 3D metric velocity field of the scene. We believe that the proposed technique has applications in many computer graphics and vision problems, for example motion tracking, segmentation, recognition, and motion deblurring.

  12. Doppler cooling of a Coulomb crystal

    CERN Document Server

    Morigi, G; Morigi, Giovanna; Eschner, Juergen


    We study theoretically Doppler laser-cooling of a cluster of 2-level atoms confined in a linear ion trap. Using several consecutive steps of averaging we derive, from the full quantum mechanical master equation, an equation for the total mechanical energy of the one dimensional crystal, defined on a coarse-grained energy scale whose grid size is smaller than the linewidth of the electronic transition. This equation describes the cooling dynamics for an arbitrary number of ions and in the quantum regime. We discuss the validity of the ergodic assumption (i.e. that the phase space distribution is only a function of energy). From our equation we derive the semiclassical limit (i.e. when the mechanical motion can be treated classically) and the Lamb-Dicke limit (i.e. when the size of the mechanical wave function is much smaller than the laser wavelength). We find a Fokker-Planck equation for the total mechanical energy of the system, whose solution is in agreement with previous analytical calculations which were ...

  13. MEMS characterization using Laser Doppler Vibrometry (United States)

    Lawrence, Eric M.; Speller, Kevin E.; Yu, Duli


    The use of Laser Doppler Vibrometry (LDV) technology has been at the forefront of Micro-Electro-Mechanical Systems (MEMS) research since the early 1990"s. By its nature as a sensitive laser optical technique, it is well suited for non-contact dynamic response measurements of microscopic structures. The art of the technology has culminated into the latest micro-scanning vibrometer for automated scan measurement and display of deflection shapes with sub-nanometer resolution. To exemplify the use of this technology, Polytec PI presents characterization measurements in collaboration with Applied MEMS on two of their devices used in commercial applications. LDV characterization measurements are used for validating the design of the Applied MEMS two-axis micro mirror. Scan measurements reveal distinct, isolated rotation modes about x- and y- axes that can be used to promote the mirror motion in either direction. Settling time performance is evaluated from impulse response and optimized using Input Shaping techniques. Scan measurements of a low-noise accelerometer device from Applied MEMS reveals spurious high frequency modes of support spring causing unwanted response effects. Further use of a new time domain animation feature shows ringing response of the accelerometer to step motions.

  14. Muscle activity characterization by laser Doppler Myography (United States)

    Scalise, Lorenzo; Casaccia, Sara; Marchionni, Paolo; Ercoli, Ilaria; Primo Tomasini, Enrico


    Electromiography (EMG) is the gold-standard technique used for the evaluation of muscle activity. This technique is used in biomechanics, sport medicine, neurology and rehabilitation therapy and it provides the electrical activity produced by skeletal muscles. Among the parameters measured with EMG, two very important quantities are: signal amplitude and duration of muscle contraction, muscle fatigue and maximum muscle power. Recently, a new measurement procedure, named Laser Doppler Myography (LDMi), for the non contact assessment of muscle activity has been proposed to measure the vibro-mechanical behaviour of the muscle. The aim of this study is to present the LDMi technique and to evaluate its capacity to measure some characteristic features proper of the muscle. In this paper LDMi is compared with standard superficial EMG (sEMG) requiring the application of sensors on the skin of each patient. sEMG and LDMi signals have been simultaneously acquired and processed to test correlations. Three parameters has been analyzed to compare these techniques: Muscle activation timing, signal amplitude and muscle fatigue. LDMi appears to be a reliable and promising measurement technique allowing the measurements without contact with the patient skin.

  15. Doppler effect induced spin relaxation boom (United States)

    Zhao, Xinyu; Huang, Peihao; Hu, Xuedong


    We study an electron spin qubit confined in a moving quantum dot (QD), with our attention on both spin relaxation, and the product of spin relaxation, the emitted phonons. We find that Doppler effect leads to several interesting phenomena. In particular, spin relaxation rate peaks when the QD motion is in the transonic regime, which we term a spin relaxation boom in analogy to the classical sonic boom. This peak indicates that a moving spin qubit may have even lower relaxation rate than a static qubit, pointing at the possibility of coherence-preserving transport for a spin qubit. We also find that the emitted phonons become strongly directional and narrow in their frequency range as the qubit reaches the supersonic regime, similar to Cherenkov radiation. In other words, fast moving excited spin qubits can act as a source of non-classical phonons. Compared to classical Cherenkov radiation, we show that quantum dot confinement produces a small but important correction on the Cherenkov angle. Taking together, these results have important implications to both spin-based quantum information processing and coherent phonon dynamics in semiconductor nanostructures.

  16. Zeeman Doppler Maps: Always Unique, Never Spurious? (United States)

    Stift, Martin J.; Leone, Francesco


    Numerical models of atomic diffusion in magnetic atmospheres of ApBp stars predict abundance structures that differ from the empirical maps derived with (Zeeman) Doppler mapping (ZDM). An in-depth analysis of this apparent disagreement investigates the detectability by means of ZDM of a variety of abundance structures, including (warped) rings predicted by theory, but also complex spot-like structures. Even when spectra of high signal-to-noise ratio are available, it can prove difficult or altogether impossible to correctly recover shapes, positions, and abundances of a mere handful of spots, notwithstanding the use of all four Stokes parameters and an exactly known field geometry; the recovery of (warped) rings can be equally challenging. Inversions of complex abundance maps that are based on just one or two spectral lines usually permit multiple solutions. It turns out that it can by no means be guaranteed that any of the regularization functions in general use for ZDM (maximum entropy or Tikhonov) will lead to a true abundance map instead of some spurious one. Attention is drawn to the need for a study that would elucidate the relation between the stratified, field-dependent abundance structures predicted by diffusion theory on the one hand, and empirical maps obtained by means of “canonical” ZDM, i.e., with mean atmospheres and unstratified abundances, on the other hand. Finally, we point out difficulties arising from the three-dimensional nature of the atomic diffusion process in magnetic ApBp star atmospheres.

  17. Intrahepatic portosystemic venous shunts: diagnosis by Doppler ultrasound; Cortocircuitos venosos portosistemicos intrahepaticos: diagnostico mediante ecografia Doppler

    Energy Technology Data Exchange (ETDEWEB)

    Garofano, M. P.; Medina, A.; Lopez, G.; Garrido, C. [Hospital Universitario Virgen de las Nieves. Granada (Spain)


    Intrahepatic portosystemic venous shunts are venous vascular lesions that allow intrahepatic portal vessels to communicate with hepatic veins. They may present in patients with portal hypertension or b discovered incidentally; it is considered that the latter may be congenital or acquired. A noninvasive methods. Doppler ultrasound aids in the diagnosis of these anomalous communications by providing images of the vessels and the direction, velocity and volume of the blood flow through the shunt. We present four cases of intrahepatic portosystemic venous shunt. (Author) 8 refs.

  18. Low-Frequency Gravitational Wave Searches Using Spacecraft Doppler Tracking

    Directory of Open Access Journals (Sweden)

    Armstrong J. W.


    Full Text Available This paper discusses spacecraft Doppler tracking, the current-generation detector technology used in the low-frequency (~millihertz gravitational wave band. In the Doppler method the earth and a distant spacecraft act as free test masses with a ground-based precision Doppler tracking system continuously monitoring the earth-spacecraft relative dimensionless velocity $2 Delta v/c = Delta u/ u_0$, where $Delta u$ is the Doppler shift and $ u_0$ is the radio link carrier frequency. A gravitational wave having strain amplitude $h$ incident on the earth-spacecraft system causes perturbations of order $h$ in the time series of $Delta u/ u_0$. Unlike other detectors, the ~1-10 AU earth-spacecraft separation makes the detector large compared with millihertz-band gravitational wavelengths, and thus times-of-flight of signals and radio waves through the apparatus are important. A burst signal, for example, is time-resolved into a characteristic signature: three discrete events in the Doppler time series. I discuss here the principles of operation of this detector (emphasizing transfer functions of gravitational wave signals and the principal noises to the Doppler time series, some data analysis techniques, experiments to date, and illustrations of sensitivity and current detector performance. I conclude with a discussion of how gravitational wave sensitivity can be improved in the low-frequency band.

  19. Doppler Monitoring of the WASP-47 Multiplanet System

    CERN Document Server

    Dai, Fei; Arriagada, Pamela; Butler, R Paul; Crane, Jeffrey D; Johnson, John Asher; Shectman, Stephen A; Teske, Johanna K; Thompson, Ian B; Vanderburg, Andrew; Wittenmyer, Robert A


    We present precise Doppler observations of WASP-47, a transiting planetary system featuring a hot Jupiter with both inner and outer planetary companions. This system has an unusual architecture and also provides a rare opportunity to measure planet masses in two different ways: the Doppler method, and the analysis of transit-timing variations (TTV). Based on the new Doppler data, obtained with the Planet Finder Spectrograph on the Magellan/Clay 6.5m telescope, the mass of the hot Jupiter is $370 \\pm 29~M_{\\oplus}$. This is consistent with the previous Doppler determination as well as the TTV determination. For the inner planet WASP-47e, the Doppler data lead to a mass of $12.2\\pm 3.7~ M_{\\oplus}$, in agreement with the TTV-based upper limit of $<$22~$M_{\\oplus}$ ($95\\%$ confidence). For the outer planet WASP-47d, the Doppler mass constraint of $10.4\\pm 8.4~M_{\\oplus}$ is consistent with the TTV-based measurement of $15.2^{+6.7}_{-7.6}~ M_{\\oplus}$.

  20. Analysis of Radar Doppler Signature from Human Data

    Directory of Open Access Journals (Sweden)



    Full Text Available This paper presents the results of time (autocorrelation and time-frequency (spectrogram analyses of radar signals returned from the moving human targets. When a radar signal falls on the human target which is moving toward or away from the radar, the signals reflected from different parts of his body produce a Doppler shift that is proportional to the velocity of those parts. Moving parts of the body causes the characteristic Doppler signature. The main contribution comes from the torso which causes the central Doppler frequency of target. The motion of arms and legs induces modulation on the returned radar signal and generates sidebands around the central Doppler frequency, referred to as micro-Doppler signatures. Through analyses on experimental data it was demonstrated that the human motion signature extraction is better using spectrogram. While the central Doppler frequency can be determined using the autocorrelation and the spectrogram, the extraction of the fundamental cadence frequency using the autocorrelation is unreliable when the target is in the clutter presence. It was shown that the fundamental cadence frequency increases with increasing dynamic movement of people and simultaneously the possibility of its extraction is proportional to the degree of synchronization movements of persons in the group.

  1. Abnormal Returns and Contrarian Strategies

    Directory of Open Access Journals (Sweden)

    Ivana Dall'Agnol


    Full Text Available We test the hypothesis that strategies which are long on portfolios of looser stocks and short on portfolios of winner stocks generate abnormal returns in Brazil. This type of evidence for the US stock market was interpreted by The Bondt and Thaler (1985 as reflecting systematic evaluation mistakes caused by investors overreaction to news related to the firm performance. We found evidence of contrarian strategies profitability for horizons from 3 months to 3 years in a sample of stock returns from BOVESPA and SOMA from 1986 to 2000. The strategies are more profitable for shorter horizons. Therefore, there was no trace of the momentum effect found by Jagadeesh and Titman (1993 for the same horizons with US data. There are remaing unexplained positive returns for contrarian strategies after accounting for risk, size, and liquidity. We also found that the strategy profitability is reduced after the Real Plan, which suggests that the Brazilian stock market became more efficient after inflation stabilization.

  2. Calculation of the Doppler broadening function using Fourier analysis;Calculo da funcao de alargamento Doppler utilizando analise de Fourier

    Energy Technology Data Exchange (ETDEWEB)

    Goncalves, Alessandro da Cruz


    An efficient and precise method for calculation of Doppler broadening function is very important to obtain average group microscopic cross sections, self shielding factors, resonance integrals and others reactor physics parameter. In this thesis two different methods for calculation of Doppler broadening function and interference term will be presented. The main method is based on a new integral form for Doppler broadening function {psi}(x,{zeta}) which gives a mathematical interpretation of the approximation proposed by Bethe and Placzek, as the convolution of the Lorentzian function with a Gaussian function. This interpretation besides leading to a new integral form for {psi}(x,{zeta}), enables to obtain a simple analytic solution for the Doppler broadening function. (author)

  3. Migraine aura lasting 1-24 h in children: a sequence of EEG slow-wave abnormalities vs. vascular events. (United States)

    Parain, D; Hitzel, A; Guegan-Massardier, E; Lebas, A; Blondeau, C; Fédina, I; Feray, D; Véra, P; Mihout, B


    The aim of this study was to describe the abnormalities associated with migraine aura lasting 1-24 h in children as shown by EEG, trancranial Doppler (TCD) and single photon emission computed tomography (SPECT). In this retrospective study, 11 patients each underwent EEG, TCD and brain SPECT on the day of admission and the day thereafter. On the day of admission, the migrainous hemisphere of all patients showed that the mean velocities were decreased in the middle cerebral artery by TCD, slow-wave abnormalities were recorded after several hours of aura by EEG and the SPECT showed hypoperfusion. On the day after, in the same hemisphere, slow waves were recorded only in the occipital area by EEG, and SPECT showed slight hyperperfusion. In these patients, there was a clear sequence of EEG, TCD and SPECT abnormalities.

  4. Disturbed development of the enteric nervous system after in utero exposure of selective serotonin re-uptake inhibitors and tricyclic antidepressants. Part 1 : Literature review

    NARCIS (Netherlands)

    Nijenhuis, C.M.; Ter Horst, P.G.; de Jong-van den Berg, L.T.; Wilffert, B.


    The increase in selective serotonin re-uptake inhibitor (SSRI) use during pregnancy, questions concerning abnormal development of the enteric nervous system (ENS), increase in laxative use in children and the association of fluoxetine with infantile hypertrophic pyloric stenosis (IHPS) gave rise to

  5. Detection of enteric pathogens in Turkey flocks affected with severe enteritis, in Brazil. (United States)

    Moura-Alvarez, Joelma; Nuñez, Luis F N; Astolfi-Ferreira, Claudete S; Knöbl, Terezinha; Chacón, Jorge L; Moreno, Andrea M; Jones, Richard C; Ferreira, Antonio J Piantino


    Twenty-two flocks of turkeys affected by enteric problems, with ages between 10 and 104 days and located in the Southern region of Brazil, were surveyed for turkey by PCR for turkey astrovirus type 2 (TAstV-2), turkey coronavirus (TCoV), hemorrhagic enteritis virus (HEV), rotavirus, reovirus, Salmonella spp., and Lawsonia intracellularis (Li) infections. Eleven profiles of pathogen combination were observed. The most frequently encountered pathogen combinations were TCoV-Li, followed by TCoV-TAstV-2-Li, TCoV-TastV-2. Only TCoV was detected as the sole pathogen in three flocks. Eight and 19 flocks of the 22 were positive for TAstV-2 and TCoV, respectively. Six were positive for Salmonella spp. and L. intracellularis was detected in 12 turkey flocks. Reovirus and HEV were not detected in this survey. These results throw new light on the multiple etiology of enteritis in turkeys. The implications of these findings and their correlation with the clinical signs are comprehensively discussed, illustrating the complexity of the enteric diseases.

  6. Jiangsu:Seven enter million club%Jiangsu: Seven enter million club

    Institute of Scientific and Technical Information of China (English)


    @@ Without doubt, Jiangsu Province was the largest shipbuilding base in China. As the capacity of China Shipping Industry broke through 1 m dwt, currently seven shipbuilders in Jiangsu has entered lm dwt club. The figure was expected to hit eight in this year, taking the first place of China.

  7. Enteric methane emissions from German dairy cows

    DEFF Research Database (Denmark)

    Dammgen, U; Rosemann, C; Haenel, H D


    Up to now, the German agricultural emission inventory used a model for the assessment of methane emissions from enteric fermentation that combined an estimate of the energy and feed requirements as a function of performance parameters and diet composition, with the constant methane conversion rate......, as stated by IPCC. A methane emission model was selected here that is based on German feed data. It was combined with the hitherto applied model describing energy requirements. The emission rates thus calculated deviate from those previously obtained. In the new model, the methane conversion rate is back......-calculated from emission rates and gross energy intake rates. For German conditions of animal performance and diet composition, the national means of methane conversion rates range between 71 kJ MJ(-1) and 61 kJ MJ(-1) for low and high performances (4700 kg animal(-1) a(-1) in 1990 to 7200 kg animal(-1) a(-1...

  8. Enteric methane emissions from German dairy cows

    DEFF Research Database (Denmark)

    Dammgen, U; Rosemann, C; Haenel, H D


    Up to now, the German agricultural emission inventory used a model for the assessment of methane emissions from enteric fermentation that combined an estimate of the energy and feed requirements as a function of performance parameters and diet composition, with the constant methane conversion rate......, as stated by IPCC. A methane emission model was selected here that is based on German feed data. It was combined with the hitherto applied model describing energy requirements. The emission rates thus calculated deviate from those previously obtained. In the new model, the methane conversion rate is back......-calculated from emission rates and gross energy intake rates. For German conditions of animal performance and diet composition, the national means of methane conversion rates range between 71 kJ MJ(-1) and 61 kJ MJ(-1) for low and high performances (4700 kg animal(-1) a(-1) in 1990 to 7200 kg animal(-1) a(-1...


    Ariadel Cobo, Diana; Pereira Cunill, José Luis; Socas Macías, María; Serrano Aguayo, Pilar; Gómez Liébana, Eulalia; Morales Conde, Salvador; García Luna, Pedro Pablo


    The particularity of this case is the nutritional management that has managed to avoid the use of prolonged parenteral nutrition and possible complications by placing jejunal tube at the distal end in patients with short bowel. It is a 34-year-old colecistectomizado complicated with postoperative peritonitis and dehiscence; two years he studied with small bowel obstruction, he was made de-volvulus and was complicated with two leak at different times after the second escape took place jejunostomy side double barreled shotgun level dehiscence, presented high debits by afferent loop of the terminal jejunostomy; during admission, polyurethane probe enteral feeding was inserted by the efferent loop jejunostomy. He received jejunal tube feeding laundry in the efferent loop terminal with decreased weight gain and subsequent reconstruction of intestinal transit debit proximal jejunostomy.

  10. Pathogenesis of Salmonella-induced enteritis

    Directory of Open Access Journals (Sweden)

    R.L. Santos


    Full Text Available Infections with Salmonella serotypes are a major cause of food-borne diseases worldwide. Animal models other than the mouse have been employed for the study of nontyphoidal Salmonella infections because the murine model is not suitable for the study of Salmonella-induced diarrhea. The microbe has developed mechanisms to exploit the host cell machinery to its own purpose. Bacterial proteins delivered directly into the host cell cytosol cause cytoskeletal changes and interfere with host cell signaling pathways, which ultimately enhance disease manifestation. Recently, marked advances have been made in our understanding of the molecular interactions between Salmonella serotypes and their hosts. Here, we discuss the molecular basis of the pathogenesis of Salmonella-induced enteritis.

  11. Enteral Feeding in Abdominal Compartment Syndrome

    Directory of Open Access Journals (Sweden)

    Ye. V Grigoryev


    Full Text Available Objective: to substantiate the choice of a gastrointestinal tract (GIT function support regimen as a mode for correction of the abdominal compartment syndrome (ACS. Subjects and methods. Forty-three patients with different causes of inadequate GIT function of various origin and ACS (disseminated peritonitis (45%, pancreatitis (24%, and severe concomitant injury (31% were examined. Group 1 (control received complete parenteral nutritional feeding (n=23; APACHE II scores, 21±4; calculated probability of fatal outcome, 33.5%. In Group II (study, complete parenteral feeding in the first 24 hours after stabilization was supplemented with GIT function support with Pepsisorb (Nutricia in doses of 500, 1000, and 1500 ml on days 1, 2, and 3, respectively (n=20; APACHE II scores, 20±6; calculated probability of fatal outcome, 37.1%. During early enteral nutritional support, the SOFA score was significantly less than that in Group 1 on days 2—3; the oxygenation index significantly increased on day 3; the value of intra-abdominal hypertension decreased to the control values. The positive effect of the GIT function support regimen on regression of the multiple organ dysfunction syndrome (MODS was confirmed by the lowered levels of biological markers (von Willebrand factor (WF and endothelin-1 as markers of endothelial damage of MODS. Correlation analysis showed a direct correlation between the markers of endothelial damage and the SOFA scores (r=0.34; p=0.05 for WF and r=0.49;p=0.03 for endothelin. Conclusion. The GIT function support regimen via early enteral alimentation with Peptisorb, which was initiated in the first 24 hours after admission, is able to level off the manifestations of the early stages of the abdominal compartment syndrome, with the acceptable values of oxygen balance and water-electrolyte and osmotic homeostasis being achieved. Key words: abdominal compartment syndrome, nutritional support, biological markers, oxygenation index

  12. Mechanosensitivity in the enteric nervous system

    Directory of Open Access Journals (Sweden)

    Gemma eMazzuoli-Weber


    Full Text Available The enteric nervous system (ENS autonomously controls gut muscle activity. Mechanosensitive enteric neurons (MEN initiate reflex activity by responding to mechanical deformation of the gastrointestinal wall. MEN throughout the gut primarily respond to compression or stretch rather than to shear force. Some MEN are multimodal as they respond to compression and stretch. Depending on the region up to 60% of the entire ENS population responds to mechanical stress. MEN fire action potentials after mechanical stimulation of processes or soma although they are more sensitive to process deformation. There are at least two populations of MEN based on their sensitivity to different modalities of mechanical stress and on their firing pattern. 1 Rapidly, slowly and ultra-slowly adapting neurons which encode compressive forces. 2 Ultra-slowly adapting stretch-sensitive neurons encoding tensile forces. Rapid adaptation of firing is typically observed after compressive force while slow adaptation or ongoing spike discharge occurs often during tensile stress (stretch. All MEN have some common properties: they receive synaptic input, are low fidelity mechanoreceptors and are multifunctional in that some serve interneuronal others even motor functions. Consequently, MEN possess processes with mechanosensitive as well as efferent functions. This raises the intriguing hypothesis that MEN sense and control muscle activity at the same time as servo-feedback loop. The mechanosensitive channel(s or receptor(s expressed by the different MEN populations are unknown. Future concepts have to incorporate compressive and tensile-sensitive MEN into neural circuits that controls muscle activity. They may interact to control various forms of a particular motor pattern or regulate different motor patterns independently from each other.

  13. [Abnormal positions of the heart. An analysis on 1039 cases]. (United States)

    Mătăsaru, Silvia; Crupa, Maria; Felea, Doina; Cosmescu, Adriana; Barbacariu, Liliana; Petroaie, Antoneta


    The aim was to study the impact of the cardiac malpositions into the group of the 1039 congenital heart diseases registered in the Pediatric Outpatient Department of "Sf. Spiridon" hospital. All patients were investigated noninvasively using clinical examination, electrocardiogram, routine Roentgenogram, two-dimensional and Doppler echocardiography, abdominal echography and, only in two cases, cardiac catheterisation. 23 (2.21%) from 1039 congenital heart diseases registered were cardiac malpositions: dextroposition--3 cases (13.04%), dextrocardia--7 cases (30.43%) and situs inversus--13 cases (56.52%). Most of the children were boys (65.21%), 70% from all cases coming from urban area. Only 3 children had structural cardiac anomalies: two cases with dextrocardia (one with atrial septal defect and one with atrioventricular canal) and one with situs inversus and tetralogy of Fallot, two of them suffering surgical correction. Psychological impact was the main problem of these children, especially during the adolescence, except the two cases with structural cardiac abnormalities who needed following and surgical treatment.

  14. Estudo da macrovasculatura por ultra-sonografia Doppler na esclerose sistêmica Study of macrovasculature by Doppler ultrasound in systemic sclerosis

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    Emmanuelle Tenório Albuquerque Madruga Godoi


    investigate the assotiation of these findings with both demographic and clinical characteristics in the patients as well as with risk factors and antecedents of atheromatous disease. METHODS: Prospective study, of the series of cases type, comprising 20 patients, 19 of whom were women with a median age of 46.30 years. Eighty-five percent were of the diffuse form. All the patients had the Raynaud's phenomenon, 55% presented alteration of digital pulps, 15% current limb ulcers and 25% phalanx resorption. There were no amputations and 70% presented from 1 to 4 risk factors for atherosclerosis. The aorta, carotids as well as upper (ULs and lower (LLs limbs arteries were evaluated by Doppler US to assess thickening of the medio-intimal complex (MIC, presence of plaques and aneurisms. In the arteries of the LLs, AAI was also undertaken. RESULTS: AAI was normal in all patients, 12 patients (60% presented macrovascular disease (MVD comprising 9 (45% of these in the aorta, 7 (35% in LLs arteries , 6 (30% in the carotids and 1 (5% in ULs arteries. MVD and alterations of digital pulps were positivily associated (p = 0.0045. CONCLUSIONS: Doppler US identified MVD in 60% of our SS patients. No patients had abnormal AAI. MDV was positivily associated with digital pulps alterations. The macrovascular alterations found are not necessarily associated with systemic sclerosis, and may be due to atherosclerosis process.

  15. Doppler ultrasound and giant cell arteritis

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    Ana Marina Suelves


    Full Text Available Ana Marina Suelves1, Enrique España-Gregori1,2, Jose Tembl3, Stephanie Rohrweck1, Jose Maria Millán4, Manuel Díaz-Llopis1,4,51Service of Ophthalmology, La Fe University Hospital, Valencia, Spain; 2Department of Optics, University of Valencia, Valencia, Spain; 3Service of Neurology, La Fe University Hospital, Valencia, Spain; 4CIBERER, Ciber de Enfermedades Raras, Valencia, Spain; 5Faculty of Medicine, University of Valencia, Valencia, SpainObjective: To evaluate the utility of ultrasound in aiding the diagnosis of giant cell arteritis (GCA, in monitoring the response to corticotherapy, and in detecting early relapses.Methods: A pilot study, prospective, included 10 patients with suspected GCA. All patients underwent ultrasound examination of both temporal arteries before temporal artery biopsy (TAB, 3 weeks after starting treatment, and 3 months after diagnosis. For this study, the histological findings alone were used to define if patients were suffering from GCA. The findings on ultrasound were compared with the results of biopsy. The best place to perform TAB was observed by ultrasound.Results: All patients with positive biopsy were detected with ultrasound. No false positives were observed on ultrasound. The results presented give a sensibility, specificity, and positive predictive value of 100% for the use of ultrasound in the diagnosis of GCA. Two relapses were detected early by ultrasound during the follow-up.Conclusions: This pilot study suggests that eco-doppler may be a useful tool in diagnosis and clinic follow-up in patients with suspected GCA.Keywords: giant cell arteritis, ultrasound, temporal artery biopsy, optic nerve

  16. Single Mode, Extreme Precision Doppler Spectrographs (United States)

    Schwab, Christian; Leon-Saval, Sergio G.; Betters, Christopher H.; Bland-Hawthorn, Joss; Mahadevan, Suvrath


    The `holy grail' of exoplanet research today is the detection of an earth-like planet: a rocky planet in the habitable zone around a main-sequence star. Extremely precise Doppler spectroscopy is an indispensable tool to find and characterize earth-like planets; however, to find these planets around solar-type stars, we need nearly one order of magnitude better radial velocity (RV) precision than the best current spectrographs provide. Recent developments in astrophotonics (Bland-Hawthorn & Horton 2006, Bland-Hawthorn et al. 2010) and adaptive optics (AO) enable single mode fiber (SMF) fed, high resolution spectrographs, which can realize the next step in precision. SMF feeds have intrinsic advantages over multimode fiber or slit coupled spectrographs: The intensity distribution at the fiber exit is extremely stable, and as a result the line spread function of a well-designed spectrograph is fully decoupled from input coupling conditions, like guiding or seeing variations (Ihle et al. 2010). Modal noise, a limiting factor in current multimode fiber fed instruments (Baudrand & Walker 2001), can be eliminated by proper design, and the diffraction limited input to the spectrograph allows for very compact instrument designs, which provide excellent optomechanical stability. A SMF is the ideal interface for new, very precise wavelength calibrators, like laser frequency combs (Steinmetz et al. 2008, Osterman et al. 2012), or SMF based Fabry-Perot Etalons (Halverson et al. 2013). At near infrared wavelengths, these technologies are ready to be implemented in on-sky instruments, or already in use. We discuss a novel concept for such a spectrograph.

  17. Interpreting laser Doppler recordings from free flaps. (United States)

    Svensson, H; Holmberg, J; Svedman, P


    Although the transfer of free flaps is nowadays accomplished with an increasing degree of safety, thrombosis of the microvascular anastomoses is still a problem. In order to avoid delay in re-operating, various methods for objective blood flow monitoring have been tried, among them Laser Doppler Flowmetry (LDF). When one reviews the literature, it is apparent that opinions differ about whether or not LDF is a reliable technique for this purpose. To focus on the need to interpret continuous recordings, this paper reports our findings in six latissimus dorsi free flaps chosen from our series of LDF monitoring procedures. One uneventful flap, no. 1, had an immediate postoperative LDF value of 4.5 perfusion units (PU). LDF values improved during the recovery period and the graphic recording showed fluctuations due to normal physiological variations of the blood flow in the flap. Another uneventful flap, no. 4, showed the same pattern, though at an appreciably lower level, 2 PU, on average. Flap no. 2 had an acceptably high value of 3.5 PU despite suffering a venous thrombosis. However, the LDF recording showed no fluctuations and the value declined gradually. Another flap, no. 3, showed fluctuations and blood flow was normal although the value decreased to 2.5 PU. In flap no. 5, any value between 2 and 3.5 PU could be obtained merely by adjusting the position of the probe in the holder. In no. 6, the LDF value suddenly dropped, accompanied by a decrease in the total amount of backscattered light, indicating venous obstruction which was confirmed at re-operation.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Maternal uterine artery Doppler in the first and second trimesters as screening method for hypertensive disorders and adverse perinatal outcomes in low-risk pregnancies (United States)

    Scandiuzzi, Rosiane Maciel; Prado, Caio Antonio de Campos; Duarte, Geraldo; Quintana, Silvana Maria; da Silva Costa, Fabrício; Tonni, Gabriele; Cavalli, Ricardo de Carvalho; Marcolin, Alessandra Cristina


    Objective To assess the maternal demographic characteristics and uterine artery (UA) Doppler parameters at first and second trimesters of pregnancy as predictors for hypertensive disorders (HDs) and adverse perinatal outcomes. Methods This prospective cohort study comprised 162 singleton low-risk women undergoing routine antenatal care. The left and right UA were assessed by color and pulsed Doppler and the mean pulsatility and resistance indices as well as the presence of a bilateral protodiastolic notch were recorded at 11 to 14 and 20 to 24 weeks' gestation. Multilevel regression analysis was used to determine the effects of maternal characteristics and abnormal UA Doppler parameters on the incidence of HD, small for gestational age newborn, cesarean section rate, Apgar score 95th percentile only at the first trimester showed an increased risk for HD (odds ratio, 23.25; 95% confidence interval, 3.47 to 155.73; P95th percentile (odds ratio, 9.84; 95% confidence interval, 1.05 to 92.10; P=0.05). The model including maternal age, maternal and paternal ethnicity, occupation, parity and UA mean RI increased the relative risk for HD (area under receiver operating characteristics, 0.81). Conclusion A first-trimester screening combining maternal characteristics and UA Doppler parameters is useful to predict HD in a low-risk population. PMID:27668197

  19. Transcranial Doppler sonography in children: Review of a seven-year experience

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    Hirsch, Wolfgang; Hiebsch, Wolfgang; Teichler, Heike; SchlUeter, Andreas


    AIM: We report the use of transcranial Doppler sonography (TCD) examinations in children (mean age 12.7 years; range 0.5-18 years) without an open fontanelle, using TCD equipment with a 2 MHz pulse wave transducer. Our results over a 7-year period are described. MATERIAL AND METHODS: A total of 858 children were referred from the paediatric outpatient department. All patients were divided into three groups according to the reason for referral. RESULTS: We found positive pathological results in the following: (1) headache and orthostatic dysregulation (0.4%, three out of 728); (2) acute neurological symptoms (5.4%, six out of 112); (3) other indications (22.2%, four out of 18). The positive predictive value of finding an abnormality was very low (0.50) . CONCLUSION: TCD examination is ineffective in children with non-specific headache or orthostatic dysregulation due to the specific limitations of this method. We found a higher percentage of abnormal results in children referred for other indications. However, since these children usually undergo MR imaging (and MR angiography, if necessary), in our opinion the TCD examination does not add any additional information. The value of TCD in children is not in the primary diagnosis of disease but in the follow up of known vascular processes (e.g. stenoses) or in chronic diseases including angiitis and sickle cell disease. Hirsch, W. et al. (2002)

  20. [Sequential enteral nutrition support for patients with severe cerebral stroke]. (United States)

    Chen, Jiefang; He, Xudong; Zhang, Lisan; Hu, Xingyue


    To evaluate the efficacy of sequential enteral nutrition support in patients with severe cerebral stroke. Forty-nine patients with severe cerebral stroke met the inclusion criteria were randomly divided into sequential enteral nutrition group (Group A, n=24) and conventional enteral nutrition group (Group B, n=25). Patients in Group A received short-peptide-based enteral nutrition support first, then gradually transferred to intact protein enteral nutrition. Meanwhile, patients in Group B constantly received intact protein enteral nutrition support. The nutritional indexes and the rate of complications were compared between two groups. The nutritional indexes were decreased in both groups within 4 weeks after admission, but the decreasing levels of hemoglobin and albumin in Group A were significantly lower than those in Group B (P0.05). Sequential enteral nutritional support can improve the nutritional status and decrease the incidence of complications in critical patients with cerebral stroke.