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Sample records for absent radius syndrome

  1. Thrombocytopenia-absent radius syndrome: a clinical genetic study.

    NARCIS (Netherlands)

    Greenhalgh, K.L.; Howell, R.; Bottani, A.; Ancliff, P.J.; Brunner, H.G.; Verschuuren-Bemelmans, C.C.; Vernon, E.; Brown, K.W.; Newbury-Ecob, R.

    2002-01-01

    The thrombocytopenia-absent radius (TAR) syndrome is a congenital malformation syndrome characterised by bilateral absence of the radii and a thrombocytopenia. The lower limbs, gastrointestinal, cardiovascular, and other systems may also be involved. Shaw and Oliver in 1959 were the first to

  2. Thrombocytopenia-absent radius syndrome : a clinical genetic study

    NARCIS (Netherlands)

    Greenhalgh, KL; Howell, RT; Bottani, A; Ancliff, PJ; Brunner, HG; Verschuuren-Bemelmans, CC; Vernon, E; Brown, KW; Newbury-Ecob, RA

    2002-01-01

    The thrombocytopenia-absent radius (TAR) syndrome is a congenital malformation syndrome characterised by bilateral absence of the radii and a thrombocytopenia. The lower limbs, gastrointestinal, cardiovascular, and other systems may also be involved. Shaw and Oliver in 1959 were the first to

  3. Importance of absent ductus arteriosus in tetralogy of Fallot with absent pulmonary valve syndrome.

    Science.gov (United States)

    Qureshi, Muhammad Yasir; Burkhart, Harold M; Julsrud, Paul; Cetta, Frank

    2014-12-01

    Tetralogy of Fallot without pulmonary valve syndrome is almost always associated with an absent ductus arteriosus. Patients with right aortic arch and retroesophageal left subclavian artery have a vascular ring if the left ductus arteriosus or its remnant and the Kommerell diverticulum are present. We report the cases of 2 infants in whom the role of an absent ductus arteriosus or its remnant is noteworthy. Both patients had a combination of tetralogy of Fallot with absent pulmonary valve syndrome and right aortic arch with retroesophageal left subclavian artery without a vascular ring. The absence of the ductus arteriosus has a role in the pathogenesis of tetralogy of Fallot with absent pulmonary valve syndrome. The absence of a ductus arteriosus in the right aortic arch with retroesophageal left subclavian artery precludes a vascular ring.

  4. PHACE syndrome and congenitally absent thyroid gland at MR imaging.

    Science.gov (United States)

    Mamlouk, Mark D; Yu, John-Paul J; Asch, Sarah; Mathes, Erin F

    2016-01-01

    PHACE syndrome is a rare neurocutaneous disorder characterized by posterior fossa malformations, hemangiomas, arterial anomalies, cardiac defects, and abnormalities of the eye. Thyroid disorders associated with PHACE syndrome have been described, although there are limited reports of this rare occurrence. We report a case of PHACE syndrome with congenital hypothyroidism in an infant, for which absent thyroid gland was diagnosed at magnetic resonance imaging. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Familial Peters Plus syndrome with absent anal canal, sacral ...

    African Journals Online (AJOL)

    Here we report an 8 month old boy with typical features of Peters Plus syndrome including eye anomalies, dysmorphic features, global developmental delay, growth retardation, bilateral talipes equinovarus, complex renal anomalies, absent anal canal, sacral agenesis and sensorineural hearing loss. To our knowledge, the ...

  6. Cervical Fusion for Absent Pedicle Syndrome Manifesting with Myelopathy.

    Science.gov (United States)

    Goodwin, C Rory; Desai, Atman; Khattab, Mohamed H; Elder, Benjamin D; Bydon, Ali; Wolinsky, Jean-Paul

    2016-02-01

    Absent congenital pedicle syndrome is a posterior arch defect characterized by numerous congenital and mechanical abnormalities that result from disconnection of the anterior and posterior columns of the spinal canal. Absent congenital pedicle syndrome is a rare anomaly that is most commonly diagnosed incidentally, after evaluation of minor trauma, or after complaints of chronic neck pain. We report a case of absent congenital pedicle syndrome in a patient who presented with myelopathy and lower extremity weakness and review the literature on the surgical management of this entity. A 32-year-old woman with a history of systemic lupus erythematosus presented to the Neurosurgery Service with progressive weakness in her upper and lower extremities, clonus, and hyperreflexia. Magnetic resonance imaging revealed congenital absence of the pedicles of C2, C3, C4, C5, and C6 with a congenitally narrow canal at C4-5. The patient underwent a staged anterior and posterior cervical decompression and fusion. She was placed in a halo after surgery; at the 1-year follow-up, she was ambulatory with demonstrated improvement in weakness and fusion of her cervical spine. Absent congenital pedicle syndrome is rare, and most reported cases were treated conservatively. Surgical management is reserved for patients with myelopathy or instability. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Prune belly syndrome with pouch colon and absent dermatome.

    Science.gov (United States)

    Baba, Aejaz A; Hussain, Syed A; Shera, Altaf H; Patnaik, Rekha

    2010-01-01

    Prune belly syndrome (PBS) is a rare congenital constellation of defects in pediatric surgical practice. Although anorectal anomalies have been reported in association with PBS, only few case of pouch colon with PBS has been reported. [1] In addition, our patient had deficient abdominal wall with absent dermatome in left upper quadrant, which has never been reported in the English literature. This association with abdominal wall deficiency and absent dermatome not only strengthens the theory of mesodermal arrest in the etiology of PBS but also points towards a defect in the ectodermal development.

  8. Prune belly syndrome with pouch colon and absent dermatome

    Directory of Open Access Journals (Sweden)

    Baba Aejaz

    2010-01-01

    Full Text Available Prune belly syndrome (PBS is a rare congenital constellation of defects in pediatric surgical practice. Although anorectal anomalies have been reported in association with PBS, only few case of pouch colon with PBS has been reported. [1] In addition, our patient had deficient abdominal wall with absent dermatome in left upper quadrant, which has never been reported in the English literature. This association with abdominal wall deficiency and absent dermatome not only strengthens the theory of mesodermal arrest in the etiology of PBS but also points towards a defect in the ectodermal development.

  9. Kaufman oculo-cerebro-facial syndrome in a child with small and absent terminal phalanges and absent nails.

    Science.gov (United States)

    Kariminejad, Ariana; Ajeawung, Norbert Fonya; Bozorgmehr, Bita; Dionne-Laporte, Alexandre; Molidperee, Sirinart; Najafi, Kimia; Gibbs, Richard A; Lee, Brendan H; Hennekam, Raoul C; Campeau, Philippe M

    2017-04-01

    Kaufman oculo-cerebro-facial syndrome (KOS) is caused by recessive UBE3B mutations and presents with microcephaly, ocular abnormalities, distinctive facial morphology, low cholesterol levels and intellectual disability. We describe a child with microcephaly, brachycephaly, hearing loss, ptosis, blepharophimosis, hypertelorism, cleft palate, multiple renal cysts, absent nails, small or absent terminal phalanges, absent speech and intellectual disability. Syndromes that were initially considered include DOORS syndrome, Coffin-Siris syndrome and Dubowitz syndrome. Clinical investigations coupled with karyotype analysis, array-comparative genomic hybridization, exome and Sanger sequencing were performed to characterize the condition in this child. Sanger sequencing was negative for the DOORS syndrome gene TBC1D24 but exome sequencing identified a homozygous deletion in UBE3B (NM_183415:c.3139_3141del, p.1047_1047del) located within the terminal portion of the HECT domain. This finding coupled with the presence of characteristic features such as brachycephaly, ptosis, blepharophimosis, hypertelorism, short palpebral fissures, cleft palate and developmental delay allowed us to make a diagnosis of KOS. In conclusion, our findings highlight the importance of considering KOS as a differential diagnosis for patients under evaluation for DOORS syndrome and expand the phenotype of KOS to include small or absent terminal phalanges, nails, and the presence of hallux varus and multicystic dysplastic kidneys.

  10. MRI assessment of bronchial compression in absent pulmonary valve syndrome and review of the syndrome

    International Nuclear Information System (INIS)

    Taragin, Benjamin H.; Berdon, Walter E.; Prinz, B.

    2006-01-01

    Absent pulmonary valve syndrome (APVS) is a rare cardiac malformation with massive pulmonary insufficiency that presents with short-term and long-term respiratory problems secondary to severe bronchial compression from enlarged central and hilar pulmonary arteries. Association with chromosome 22.Q11 deletions and DiGeorge syndrome is common. This historical review illustrates the airway disease with emphasis on assessment of the bronchial compression in patients with persistent respiratory difficulties post-valvular repair. Cases that had MRI for cardiac assessment are used to illustrate the pattern of airway disease. (orig.)

  11. Familial Peters Plus syndrome with absent anal canal, sacral ...

    African Journals Online (AJOL)

    Rabah M. Shawky

    2013-07-23

    Jul 23, 2013 ... Hydrocephalus, agenesis of the corpus callosum, · and cleft lip/palate represent frequent associations in fetuses with · Peters' plus syndrome and B3GALTL mutations. Fetal PPS · phenotypes, expanded by Dandy Walker cyst and encephalocele. Prenat Diagn 2013;33:75–80. 428. R.M. Shawky et al.

  12. Christ-Siemens-Touraine syndrome with cleft palate, absent nipples ...

    African Journals Online (AJOL)

    We report a 6 year old child, second in order of birth of non consanguineous Egyptian parents with typical characteristics of Christ-Siemens-Touraine syndrome. The patient had sparse light hair over the scalp, scanty eyebrows and eyelashes, a high arched cleft palate, decayed oligodontic teeth, hyperpigmentation all over ...

  13. Surgical treatment of tetralogy of Fallot with absent pulmonary valve syndrome.

    Science.gov (United States)

    Tanaka, Yuki; Miyamoto, Takashi; Naito, Yuji; Yoshitake, Shuichi

    2016-06-01

    The patient was a 3-month-old girl weighting 3.6 kg, diagnosed with tetralogy of Fallot and absent pulmonary valve syndrome. We surgically repaired the tetralogy of Fallot by patch closure of the ventricular septal defect, right ventricular outflow tract reconstruction using an expanded polytetrafluoroethylene monocusp patch with a bulging sinus, and removal of the bronchial obstruction by anterior translocation of the pulmonary artery using the Lecompte maneuver. © The Author(s) 2015.

  14. Significance of lung anomalies in fetuses affected by tetralogy of Fallot with absent pulmonary valve syndrome.

    Science.gov (United States)

    Tenisch, Estelle; Raboisson, Marie-Josée; Rypens, Françoise; Déry, Julie; Grignon, Andrée; Lapierre, Chantale

    2017-11-01

    Tetralogy of Fallot with absent pulmonary valve syndrome is a rare form of tetralogy of Fallot with dilatation of large pulmonary arteries. Prognosis is related to the severity of the cardiac malformation and to bronchial tree compression by dilated pulmonary arteries. This study analyses the prenatal echographic lung appearance in fetuses with tetralogy of Fallot with absent pulmonary valve and discusses its significance. We carried out a retrospective review of fetal and postnatal files of nine fetuses diagnosed with tetralogy of Fallot with absent pulmonary valve syndrome in our institution. Correlations of prenatal ultrasound and cardiac imaging findings were obtained with outcome. Abnormal heterogeneous fetal lung echogenicity was detected in eight cases out of nine, always associated with significant lobar arterial dilatation. This aspect was well correlated with postnatal imaging and outcome in the four neonatal cases. The only fetus with normal lung echogenicity also had lower degree of pulmonary artery dilatation in the series. This study demonstrates that a heterogeneous ultrasound appearance of the fetal lungs can be detected in utero in the most severe cases. This aspect suggests an already significant compression of the fetal bronchial tree by the dilated arteries that may have prognostic implications.

  15. Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report

    Directory of Open Access Journals (Sweden)

    Susana Gordon Chaves

    2014-02-01

    Full Text Available A 41-year-old man was admitted to an intensive care unit following respiratory arrest. One day prior to admission, he had complaints of nausea and pain involving lower limbs. On the night of admission he developed diplopia, dysphagia, and rapidly progressive quadriparesis. He developed respiratory failure requiring mechanical lung ventilation 24 hours later. On the fifth day of hospital stay the patient became comatose with absent brainstem reflexes and appeared to be brain dead. The cerebrospinal fluid showed albuminocytological dissociation. The electroencephalogram revealed an alpha rhythmical activity. The electrophysiological evaluation revealed an inexcitability of all nerves. Guillain-Barré syndrome was suspected. With supportive treatment the patient had a remarkable recovery and now is able to independently conduct his daily activities.

  16. Hypoplastic right heart syndrome, absent pulmonary valve, and non-compacted left ventricle in an adult

    Directory of Open Access Journals (Sweden)

    Jagdish C. Mohan

    2016-09-01

    Full Text Available Hypoplastic right heart syndrome is a rare cyanotic congenital heart disease with under-development of the right ventricle, tricuspid, and pulmonary valves leading to right-to-left shunting of the blood through inter-atrial septal defect. Perinatal mortality is high with very few patients surviving to adulthood without corrective surgery. This report describes a 26-year-old young woman, who had recurrent abortions and stillbirths and detected to have marked cyanosis with hypoplastic right heart, sub-arterial ventricular septal defect, absent pulmonary valve, non-compaction of the left ventricle, and bicuspid aortic valve with aortic regurgitation. The patient died owing to progressive heart failure 4 years after the diagnosis was made.

  17. Prenatal ultrasonic diagnosis of absent pulmonary valve syndrome: A case report.

    Science.gov (United States)

    Zhang, Wen-Jun; Zhang, Zhong-Lei; Chang, Jun-Jie; Song, Xiao-Yu

    2017-09-01

    Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease that is often associated with tetralogy of Fallot (TOF). Here, we report 2 cases of APVS associated with TOF diagnosed via fetal echocardiography and discuss their specific ultrasonographic characteristics. Two pregnant women with suspicion of fetal heart anomaly were referred from their local hospitals to our hospital for fetal malformation screening and detailed fetal echocardiography. Color and spectral Doppler flow imaging were utilized to evaluate the axis, size, situs, cardiac chambers, and both inflow and outflow tracts of the heart as well as the great arteries. Both cases had a severe dilatation of the pulmonary trunk and its branches and an absence or dysplasia of the pulmonary valve, which was associated with subaortic ventricular septal defect (VSD) with an overriding aorta. In addition, the fetus in case 1 showed a patent ductus arteriosus, and the fetus in case 2 showed arterial duct agenesis. Furthermore, color Doppler flow imaging showed a bi-directional multicolored flow signal in the pulmonary valve ring. Both fetuses were diagnosed with APVS associated with TOF. No therapeutic intervention was performed. On the request of the pregnant women and their families, both fetuses were aborted. Although APVS is a rare congenital heart disease and often associated with TOF, it has an overall poor prognosis. Nowadays, it can be easily diagnosed via ultrasonography because of its typical ultrasonographic features, such as aneurysmal dilatation of pulmonary artery, massive regurgitation of the pulmonary valve, VSD, and an overriding aorta. Therefore, early fetal echocardiography screening should be performed for every fetus.

  18. Prune belly syndrome with overlapping presentation of partial urorectal septum malformation sequence in a female newborn with absent perineal openings.

    Science.gov (United States)

    Farooqui, Azhar; AlAqeel, Alaa; Habib, Zakaria

    2014-01-01

    Prune belly syndrome (PBS) is a rare congenital anomaly characterized in males by a triad of anomalous genitourinary tract, deficient development of abdominal wall muscles, and bilateral cryptorchidism. Although similar anomalies have been reported in females, by definition they do not full fill the classical triad. Urorectal septum malformation sequence (URSM) is a lethal condition characterized by presence of ambiguous genitalia, absent perineal openings (urogenital and anal), and lumbosacral abnormalities. In this original case report, the authors discuss the presentation and management of what would be analogous to a Woodhouse category 1 PBS in a female newborn associated with an overlapping presentation of URSM.

  19. Prune Belly Syndrome with Overlapping Presentation of Partial Urorectal Septum Malformation Sequence in a Female Newborn with Absent Perineal Openings

    Directory of Open Access Journals (Sweden)

    Azhar Farooqui

    2014-01-01

    Full Text Available Prune belly syndrome (PBS is a rare congenital anomaly characterized in males by a triad of anomalous genitourinary tract, deficient development of abdominal wall muscles, and bilateral cryptorchidism. Although similar anomalies have been reported in females, by definition they do not full fill the classical triad. Urorectal septum malformation sequence (URSM is a lethal condition characterized by presence of ambiguous genitalia, absent perineal openings (urogenital and anal, and lumbosacral abnormalities. In this original case report, the authors discuss the presentation and management of what would be analogous to a Woodhouse category 1 PBS in a female newborn associated with an overlapping presentation of URSM.

  20. Can widespread hypersensitivity in carpal tunnel syndrome be substantiated if neck and arm pain are absent?

    Science.gov (United States)

    Schmid, A B; Soon, B T C; Wasner, G; Coppieters, M W

    2012-02-01

    Recent studies demonstrated that patients with carpal tunnel syndrome (CTS) have signs of thermal and mechanical hyperalgesia in extra-median territories suggesting an involvement of central pain mechanisms. As previous studies included patients with shoulder/arm symptoms or neck pain, a potential influence of these coexisting disorders cannot be excluded. This study therefore evaluated whether widespread sensory changes (hypoesthesia or hyperalgesia) are present in patients with unilateral CTS in the absence of coexisting disorders. Twenty-six patients with unilateral CTS with symptoms localised to their hand and 26 healthy controls participated in the study. A comprehensive quantitative sensory testing (QST) protocol including thermal and mechanical detection and pain thresholds was performed over the hands (median, ulnar and radial innervation area), lateral elbows, neck and tibialis anterior muscle. Patients with CTS demonstrated thermal and mechanical hypoesthesia in the hand but not at distant sites. Thermal or mechanical hyperalgesia was not identified at any location with traditional QST threshold testing. However, patients with CTS rated the pain during thermal pain testing significantly higher than healthy participants. This was especially apparent for heat pain ratings which were elevated not only in the affected hand but also in the neck and tibialis anterior muscle. In conclusion, CTS alone in the absence of coexisting neck and arm pain does not account for sensory changes outside the affected hand as determined by traditional QST threshold testing. Elevated pain ratings may however be an early indication of central pain mechanisms. © 2011 European Federation of International Association for the Study of Pain Chapters.

  1. Dupuytren’s disease digital radius IV right hand and carpal tunnel syndrome on ipsilateral hand

    Directory of Open Access Journals (Sweden)

    Teona Sebe Ioana

    2015-11-01

    Full Text Available Dupuytren’s contracture is a fibroproliferative disease whose etiology and pathophysiology are unclear and controversial. It is a connective tissue disorder, which takes part in the palmar’s fibromatosis category and has common characteristics with the healing process. Dupuytren’s disease is characterized by the flexion contracture of the hand due to palmar and digital aponevrosis. It generally affects the 4th digital radius, followed by the 5th one. Without surgery, it leads to functional impotence of those digital rays and/or hand. It is associated with other diseases and situational conditions like Peyronie’s disease, the Lederhose disease (plantar fibromatosis, Garrod’s digital knuckle-pads, diabetes, epilepsy, alcoholism, micro traumatisms, stenosing tenosynovitis and not the least with carpal tunnel syndrome. The carpal tunnel syndrome is a peripheral neuropathy with the incarceration of the median nerve at the ARC level, expressed clinically by sensory and motor disturbances in the distribution territory of the median nerve, which cause functional limitations of daily activities of the patient. After the failure of the nonsurgical treatment or the appearance of the motor deficit, is established the open or endoscopic surgical treatment with the release of the median nerve. Postoperative recovery in both diseases is crucial to the functionality of the affected upper limb and to the quality of the patient’s life. The patient, a 61 years old man, admitted to the clinic for the functional impotence of the right hand, for the permanent flexion contracture of the metacarpophalangeal joint (MCP and proximal interphalangeal joint (PIP of the 4th finger with extension deficit, for the damage of the thumb pulp clamp of the 4th finger, for nocturnal paresthesia of fingers I-III and pain that radiates into the fingertips. After clinical, paraclinical, imagistic and electrical investigations, surgery is practiced partial aponevrectomy

  2. Prenatal diagnosis of a 22q11 deletion in a second-trimester fetus with conotruncal anomaly, absent thymus and meningomyelocele: Kousseff syndrome.

    Science.gov (United States)

    Canda, Mehmet Tunc; Demir, Namik; Bal, Filiz Uyar; Doganay, Latife; Sezer, Orcun

    2012-04-01

    A 30-year-old nulliparous woman was seen for a detailed ultrasound scan at 20 weeks of gestation. The scan revealed a male fetus with truncus arteriosus, membranous ventricular septal defect, absent thymus and sacral meningomyelocele. A 46,XY karyotype with a 22q11 deletion was detected. The parents chose to terminate the pregnancy. The pathological autopsy showed normal facial structures, minimal ventricular dilatation in the brain and a sacral meningomyelocele. Overlapping toes and a left claw-hand were also noted. An aplastic thymus with absent parathyroid glands was detected. The cardiac examination was consistent with the ultrasound diagnosis. The parental karyotypes were both normal. Kousseff syndrome is caused by a chromosome 22q11 deletion. It includes sacral meningomyelocele and conotruncal heart defects, unlike DiGeorge syndrome. Obstetricians should consider this a not so rare entity when they detect conotruncal abnormalities and a meningomyelocele as part of a 22q11.2 deletion syndrome. © 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.

  3. [Absent or hypoplastic thymus: A marker for 22q11.2 microdeletion syndrome in case of polyhydramnios].

    Science.gov (United States)

    Lamouroux, A; Mousty, E; Prodhomme, O; Bigi, N; Le Gac, M-P; Letouzey, V; De Tayrac, R; Mares, P

    2016-04-01

    In prenatal diagnosis of 22q11.2 microdeletion syndrome, without cardiac malformation or multiple associated congenital anomalies, we study the presence of polyhydramnios and its association with thymic dysgenesis. This was a multicenter retrospective observational study. It was performed in two multidisciplinary centers for prenatal diagnosis in the south of France between January 1, 2010 and June 30, 2013. Inclusion criteria were prenatal diagnosis of 22q11.2 deletion syndrome. We excluded from the study any fetus with cardiac malformation or multiple associated congenital anomalies. During the inclusion period, eleven antenatal diagnoses of 22q11.2 microdeletion syndrome have been made. Six cases were excluded: 5 fetuses with cardiac malformation and one with multiple associated congenital anomalies. Therefore, five cases of isolated polyhydramnios were included. All 5 fetuses had a thymic dysgenesis: 3 had a thymic agenesis and 1 thymic hypoplasia diagnosed by sonography and 1 had a thymic agenesis diagnosed by retrospective reading of fetal MRI. When faced with a polyhydramnios, the presence of a thymic dysgenesis should be search for by ultrasound screening and would alert to the possibility of a 22q11.2 microdeletion syndrome. The confirmation of this is diagnosis by amniocentesis would enable improved antenatal support for parents and would enable early implementation of the multidisciplinary neonatal care that is required to avoid serious complications of this syndrome. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  4. Absent menstrual periods - secondary

    Science.gov (United States)

    Amenorrhea - secondary; No periods - secondary; Absent periods - secondary; Absent menses - secondary; Absence of periods - secondary ... Secondary amenorrhea can occur due to natural changes in the body. For example, the most common cause of secondary ...

  5. Testing the validity of preventing chronic regional pain syndrome with vitamin C after distal radius fracture. [Corrected].

    Science.gov (United States)

    Malay, Sunitha; Chung, Kevin C

    2014-11-01

    The American Academy of Orthopaedic Surgeons recommends the use of vitamin C to prevent complex regional pain syndrome (CRPS) for patients with distal radius fractures (DRFs). We hypothesized that the evidence for supporting this recommendation is weak, based on epidemiological principles of association and causality. The specific aim of this project was to test the validity of this recommendation. We conducted a literature review to retrieve articles reporting on the use of vitamin C to prevent CRPS. Data collected included sample size, study design type, dose of vitamin C used, and outcome measures of association expressed as relative risk (RR) and odds ratio. We then applied Hill criteria to evaluate the relationship between vitamin C and CRPS. We obtained 225 articles from the database search. After the exclusion of duplicates, unrelated articles, editorial letters, and commentaries, we found 4 articles and 1 systematic review relevant to our topic. Six of the 9 Hill criteria were met, and an earlier meta-analysis showed a quantified reduction in CRPS risk. However, criteria like biological plausibility, specificity, and coherence were not met. The number of causal/association criteria met was adequate to support the scientific premise of the effect of vitamin C in preventing CRPS after DRF. Furthermore, vitamin C administration is of relatively low cost and has few complications unless administered in large doses. Owing to sufficient epidemiological evidence availability, the American Academy of Orthopaedic Surgeons recommendation of vitamin C to prevent CRPS has practical merit. Therapeutic II. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  6. Cortical and trabecular bone at the radius and tibia in male and female adolescents with Down syndrome: a peripheral quantitative computed tomography (pQCT) study.

    Science.gov (United States)

    González-Agüero, A; Vicente-Rodríguez, G; Gómez-Cabello, A; Casajús, J A

    2013-03-01

    We aimed to describe the structure and strength of the tibia and radius of adolescents with Down syndrome. We observed that despite higher levels of volumetric bone mineral density in determined skeletal sites, they are at higher risk of developing osteoporotic fractures in the future due to their lower bone strength indexes. The aims of the study were to describe the cortical and trabecular volumetric bone mineral density (vBMD), bone mineral content (BMC), area, and bone strength in adolescents with Down syndrome (DS) and to compare them with adolescents without disabilities. Thirty adolescents (11 girls) with DS and 28 without disabilities (10 girls) participated in the study. Peripheral quantitative computed tomography measurements were taken at proximal and distal sites of the tibia and radius. Values of total, trabecular, and cortical BMC; vBMD; and area were obtained of each scan. Cortical thickness and endosteal and periosteal circumferences were also measured, and different bone strength indexes were calculated. Student's t tests were applied between groups. The DS group showed greater vBMD at distal radius, BMC at proximal radius, and total and cortical vBMD at proximal tibia. The non-DS group showed higher total and trabecular area at the distal radius and total, cortical, and trabecular BMC and area at distal tibia. Higher values of periosteal and endosteal circumference and bone strength were also found in non-DS group. From these results, it can be believed that even with higher vBMD in determined skeletal sites, adolescents with DS are at higher risk of suffering bone fractures due to an increased fragility by lower resistance to load bending or torsion.

  7. Posterior Interosseous Nerve Syndrome Resulting from Parosteal Lipoma of the Proximal Radius: An Elusive Diagnosis Yet Excellent Outcome.

    Science.gov (United States)

    Saaiq, Muhammad; Siddiui, Saad

    2017-01-01

    A 53-year old man presented with seven months history of progressive weakness of extension of the digits and the thumb of the left hand. The wrist extension was normal and sensations were also intact. The patient had also been noticing a progressively enlarging lump on the lower anterolateral aspect of the left antecubital fossa for the last three months. Physical examination andelectro diagnostic studies revealed motor deficit along the posterior interosseous nerve (PIN) distribution with preservation of sensations. Also a soft tissue solitary lump (measuring 6×5 cm in its greatest dimensions) was palpable in the left antecubital fossa. The magnetic resonance imaging (MRI) of the forearm revealed a well-defined, non-enhancing, homogenous, fat intensity lesion in the left antecubital fossa, attached to the proximal radius. The patient underwent surgical excision of the lump with decompression of the PIN in the radial tunnel. Histopathology confirmed the diagnosis of parosteal lipoma. Although the diagnosis was elusive at the very outset, yet prudent clinical judgment, appropriate ancillary investigations and timely surgical intervention resulted in optimal functional recovery of the hand drop. There was complete motor recovery at 4-months follow up with no recurrence of the lipomaafter one year.

  8. Absent abdominal muscles, nephro-urologic abnormalities, and ...

    African Journals Online (AJOL)

    Absent abdominal muscles, cryptorchidism, and hydroureteronephrosis are known to occur in the prune belly syndrome (PBS). We present a male with absent abdominal muscles, severe neurologic damage, with global developmental delay, hydroureteronephrosis, and cryptorchidism. The patient also had arthrogryposis ...

  9. Absent abdominal muscles, nephro-urologic abnormalities, and ...

    African Journals Online (AJOL)

    Kamal F. Akl

    2014-12-23

    Dec 23, 2014 ... Abstract Absent abdominal muscles, cryptorchidism, and hydroureteronephrosis are known to occur in the prune belly syndrome (PBS). We present a male with absent abdominal muscles, severe neurologic damage, with global devel- opmental ... hands with bilateral simian creases, contractures at elbows.

  10. The Proton Radius Puzzle

    Directory of Open Access Journals (Sweden)

    Downie E. J.

    2016-01-01

    Full Text Available The proton radius puzzle is the difference between the proton radius as measured with electron scattering and in the excitation spectrum of atomic hydrogen, and that measured with muonic hydrogen spectroscopy. Since the inception of the proton radius puzzle in 2010 by the measurement of Pohl et al.[1], many possible resolutions to the puzzle have been postulated, but, to date, none has been generally accepted. New data are therefore necessary to resolve the issue. We briefly review the puzzle, the proposed solutions, and the new electron scattering and spectroscopy experiments planned and underway. We then introduce the MUSE experiment, which seeks to resolve the puzzle by simultaneously measuring elastic electron and muon scattering on the proton, in both charge states, thereby providing new information to the puzzle. MUSE addresses issues of two-photon effects, lepton universality and, possibly, new physics, while providing simultaneous form factor, and therefore radius, measurements with both muons and electrons.

  11. Spectral radius of graphs

    CERN Document Server

    Stevanovic, Dragan

    2015-01-01

    Spectral Radius of Graphs provides a thorough overview of important results on the spectral radius of adjacency matrix of graphs that have appeared in the literature in the preceding ten years, most of them with proofs, and including some previously unpublished results of the author. The primer begins with a brief classical review, in order to provide the reader with a foundation for the subsequent chapters. Topics covered include spectral decomposition, the Perron-Frobenius theorem, the Rayleigh quotient, the Weyl inequalities, and the Interlacing theorem. From this introduction, the

  12. Critical radius for nucleation

    Energy Technology Data Exchange (ETDEWEB)

    Alexiades, V.; Solomon, A.D.

    1986-04-01

    The free energy of formation and the critical radius for homogeneous nucleation of a spherical nucleus in supercooled liquid, at given temperature and ambient pressure, are determined, taking fully into account surface area, curvature, and pressure effects. The specific heats and densities of the two phases are allowed to be different and all thermophysical properties are temperature dependent. In the simple case in which classical nucleation theory is valid, the results predict a critical radius of about 40% larger than the classical value, and an activation energy barrier of almost three times larger than the classical value. 8 refs.

  13. The proton radius puzzle

    Science.gov (United States)

    Bonesini, Maurizio

    2017-12-01

    The FAMU (Fisica degli Atomi Muonici) experiment has the goal to measure precisely the proton Zemach radius, thus contributing to the solution of the so-called proton radius "puzzle". To this aim, it makes use of a high-intensity pulsed muon beam at RIKEN-RAL impinging on a cryogenic hydrogen target with an high-Z gas admixture and a tunable mid-IR high power laser, to measure the hyperfine (HFS) splitting of the 1S state of the muonic hydrogen. From the value of the exciting laser frequency, the energy of the HFS transition may be derived with high precision ( 10-5) and thus, via QED calculations, the Zemach radius of the proton. The experimental apparatus includes a precise fiber-SiPMT beam hodoscope and a crown of eight LaBr3 crystals and a few HPGe detectors for detection of the emitted characteristic X-rays. Preliminary runs to optimize the gas target filling and its operating conditions have been taken in 2014 and 2015-2016. The final run, with the pump laser to drive the HFS transition, is expected in 2018.

  14. Distal Radius Hemiarthroplasty.

    Science.gov (United States)

    Adams, Brian D; Lawler, Ericka A; Kuhl, Taften L

    2016-08-01

    Due to a higher risk for implant loosening, particularly of the distal component, patients with physically demanding lifestyles are infrequently considered for total wrist arthroplasty (TWA). A distal radius hemiarthroplasty may obviate the need for the strict restrictions recommended for patients treated by TWA, thus providing another surgical option for active patients with severe wrist arthritis, especially those with articular degeneration of the lunate facet of the radius, capitate head, or combination of both, who are not typically candidates for traditional motion-preserving procedures. Eight fresh-frozen cadaver limbs (age range, 43-82 years) with no history of rheumatoid arthritis or upper extremity trauma were used. Radiodense markers were inserted in the radius and hand. Posteroanterior (PA) fluoroscopic images with the wrist in neutral, radial deviation, and ulnar deviation, and lateral images with the wrist in neutral, flexion, and extension were obtained for each specimen before implantation, after distal radius hemiarthroplasty, and after combined hemiarthroplasty and PRC. On the PA images, the capitate remained within 1.42 and 2.21 mm of its native radial-ulnar position following hemiarthroplasty and hemiarthroplasty with PRC, respectively. Lateral images showed the capitate remained within 1.06 mm of its native dorsal-volar position following hemiarthroplasty and within 4.69 mm following hemiarthroplasty with PRC. Following hemiarthroplasty, capitate alignment changed 2.33 and 2.59 mm compared with its native longitudinal alignment on PA and lateral films, respectively. These changes did not reach statistical significance. As expected, significant shortening in longitudinal alignment was seen on both PA and lateral films for hemiarthroplasty with PRC. A distal radius implant hemiarthroplasty with or without a PRC provides good static alignment of the wrist in a cadaver model and thus supports the concept as potential treatment alternatives

  15. Antiproton charge radius

    Science.gov (United States)

    Crivelli, P.; Cooke, D.; Heiss, M. W.

    2016-09-01

    The upcoming operation of the extra low energy antiprotons ring at CERN, the upgrade of the antiproton decelerator (AD), and the installation in the AD hall of an intense slow positron beam with an expected flux of 1 08 e+ /s will open the possibility for new experiments with antihydrogen (H ¯). Here we propose a scheme to measure the Lamb shift of H ¯. For four months of data taking, we anticipate an uncertainty of 100 ppm. This will provide a test of C P T and the first determination of the antiproton charge radius at the level of 10%.

  16. The proton radius puzzle

    International Nuclear Information System (INIS)

    Antognini, A; Haensch, T W; Amaro, F D; Cardoso, J M R; Fernandes, L M P; Lopes, J A M; Biraben, F; Indelicato, P; Julien, L; Le Bigot, E-O; Covita, D S; Dax, A; Dhawan, S; Graf, T; Giesen, A; Kao, C-Y; Liu, Y-W; Knowles, P; Ludhova, L; Kottmann, F

    2011-01-01

    By means of pulsed laser spectroscopy applied to muonic hydrogen (μ - p) we have measured the 2S F= 1 1/2 - 2P F= 2 3/2 transition frequency to be 49881.88(76) GHz. By comparing this measurement with its theoretical prediction based on bound-state QED we have determined a proton radius value of r p = 0.84184(67) fm. This new value differs by 5.0 standard deviations from the COD ATA value of 0.8768(69) fm, and 3 standard deviation from the e-p scattering results of 0.897(18) fm. The observed discrepancy may arise from a computational mistake of the energy levels in μp or H, or a fundamental problem in bound-state QED, an unknown effect related to the proton or the muon, or an experimental error.

  17. The proton radius puzzle

    Science.gov (United States)

    Antognini, A.; Amaro, F. D.; Biraben, F.; Cardoso, J. M. R.; Covita, D. S.; Dax, A.; Dhawan, S.; Fernandes, L. M. P.; Giesen, A.; Graf, T.; Hänsch, T. W.; Indelicato, P.; Julien, L.; Kao, C.-Y.; Knowles, P.; Kottmann, F.; Le Bigot, E.-O.; Liu, Y.-W.; Lopes, J. A. M.; Ludhova, L.; Monteiro, C. M. B.; Mulhauser, F.; Nebel, T.; Nez, F.; Rabinowitz, P.; dos Santos, J. M. F.; Schaller, L. A.; Schuhmann, K.; Schwob, C.; Taqqu, D.; Veloso, J. F. C. A.; Pohl, R.

    2011-09-01

    By means of pulsed laser spectroscopy applied to muonic hydrogen (μ- p) we have measured the 2SF = 11/2 - 2PF = 23/2 transition frequency to be 49881.88(76) GHz [1]. By comparing this measurement with its theoretical prediction [2, 3, 4, 5, 6, 7] based on bound-state QED we have determined a proton radius value of rp = 0.84184(67) fm. This new value differs by 5.0 standard deviations from the COD ATA value of 0.8768(69) fm [8], and 3 standard deviation from the e-p scattering results of 0.897(18) fm [9]. The observed discrepancy may arise from a computational mistake of the energy levels in μp or H, or a fundamental problem in bound-state QED, an unknown effect related to the proton or the muon, or an experimental error.

  18. Christ-Siemens-Touraine syndrome with cleft palate, absent nipples ...

    African Journals Online (AJOL)

    Rabah M. Shawky

    2015-06-27

    Jun 27, 2015 ... depressed nasal bridge, saddle nose, dry lips, angular stomati- tis, high arched palate ... normal. Figure 1. Sparse, thin dry hair over the scalp, scanty eyebrows and eyelashes, frontal bossing, prominent supraorbital ridges, depressed ..... [2] Weech AA. Hereditary ectodermal dysplasia (congenital ectoder-.

  19. Genetic influences are virtually absent for trust.

    Directory of Open Access Journals (Sweden)

    Paul A M Van Lange

    Full Text Available Over the past decades, numerous twin studies have revealed moderate to high heritability estimates for individual differences in a wide range of human traits, including cognitive ability, psychiatric disorders, and personality traits. Even factors that are generally believed to be environmental in nature have been shown to be under genetic control, albeit modest. Is such heritability also present in social traits that are conceptualized as causes and consequences of social interactions or in other ways strongly shaped by behavior of other people? Here we examine a population-based sample of 1,012 twins and relatives. We show that the genetic influence on generalized trust in other people (trust-in-others: h2 = 5%, ns, and beliefs regarding other people's trust in the self (trust-in-self: h2 = 13%, ns, is virtually absent. As test-retest reliability for both scales were found to be moderate or high (r = .76 and r = .53, respectively in an independent sample, we conclude that all variance in trust is likely to be accounted for by non-shared environmental influences. We show that, relative to cognitive abilities, psychiatric disorders, and classic personality variables, genetic influences are smaller for trust, and propose that experiences with or observations of the behavior of other people shape trust more strongly than other traits.

  20. Finite-Larmor-radius effects on z-pinch stability

    Science.gov (United States)

    Scheffel, Jan; Faghihi, Mostafa

    1989-06-01

    The effect of finite Larmor radius (FLR) on the stability of m = 1 small-axial-wavelength kinks in a z-pinch with purely poloidal magnetic field is investigated. We use the incompressible FLR MHD model; a collisionless fluid model that consistently includes the relevant FLR terms due to ion gyroviscosity, Hall effect and electron diamagnetism. With FLR terms absent, the Kadomtsev criterion of ideal MHD, 2r dp/dr + m2B2/μ0 ≥ 0 predicts instability for internal modes unless the current density is singular at the centre of the pinch. The same result is obtained in the present model, with FLR terms absent. When the FLR terms are included, a normal-mode analysis of the linearized equations yields the following results. Marginally unstable (ideal) modes are stabilized by gyroviscosity. The Hall term has a damping (but not absolutely stabilizing) effect - in agreement with earlier work. On specifying a constant current and particle density equilibrium, the effect of electron diamagnetism vanishes. For a z-pinch with parameters relevant to the EXTRAP experiment, the m = 1 modes are then fully stabilized over the crosssection for wavelengths λ/a ≤ 1, where a denotes the pinch radius. As a general z-pinch result a critical line-density limit Nmax = 5 × 1018 m-1 is found, above which gyroviscous stabilization near the plasma boundary becomes insufficient. This limit corresponds to about five Larmor radii along the pinch radius. The result holds for wavelengths close to, or smaller than, the pinch radius and for realistic equilibrium profiles. This limit is far below the required limit for a reactor with contained alpha particles, which is in excess of 1020 m-1.

  1. On joint numerical radius II

    Czech Academy of Sciences Publication Activity Database

    Drnovšek, R.; Müller, Vladimír

    2014-01-01

    Roč. 62, č. 9 (2014), s. 1197-1204 ISSN 0308-1087 R&D Projects: GA ČR GA201/09/0473; GA AV ČR IAA100190903 Institutional support: RVO:67985840 Keywords : joint numerical range * numerical radius Subject RIV: BA - General Mathematics Impact factor: 0.738, year: 2014 http://www.tandfonline.com/doi/abs/10.1080/03081087.2013.816303

  2. The radius of RX Eridani

    International Nuclear Information System (INIS)

    Woolley, R.; Dean, J.

    1976-01-01

    Photoelectric observations of the light curves of RX Eri obtained in B, V and I, and radial velocity determinations, are combined to determine the radius by a method originally proposed by van Hoof which avoids matching colours in the rising and falling branches of the light curve and concentrates on the falling branch. The results agree well with those from other stars determined by the normal Baade-Wesselink method, but the method is easier to apply if the colour curve is flat in the falling branch. The parameters found for the star are r 0 = 5.5 Sun, mass = 0.45 Sun, and Msub(v) = + 0sup(m).54. (author)

  3. Eukaryotic checkpoints are absent in the cell division cycle of ...

    Indian Academy of Sciences (India)

    Unknown

    checkpoints' which are known to regulate the eukaryotic cell cycle may be absent or altered in. E. histolytica. [Banerjee S, Das S and Lohia A 2002 Eukaryotic checkpoints are absent in the cell division cycle of Entamoeba histolytica; J. Biosci. (Suppl.

  4. Own-Race-Absent Racism | Martin | South African Journal of ...

    African Journals Online (AJOL)

    racepresent racism, the race of the racist figures as a term in her racist thinking; in own-race-absent racism it does not. While own-race-present racism might conform readily to commonsense understandings of racism, own-race-absent racism less clearly ...

  5. Absent right superior caval vein in situs solitus

    DEFF Research Database (Denmark)

    Lytzen, Rebekka; Sundberg, Karin; Vejlstrup, Niels

    2015-01-01

    Introduction In up to 0.07% of the general population, the right anterior cardinal vein obliterates and the left remains open, creating an absent right superior caval vein and a persistent left superior caval vein. Absent right superior caval vein is associated with additional congenital heart...... disease in about half the patients. We wished to study the consequences of absent right superior caval vein as an incidental finding on prenatal ultrasonic malformation screening. Material and methods This is a retrospective case series study of all foetuses diagnosed with absent right superior caval vein...... at the national referral hospital, Rigshospitalet, Denmark, from 2009 to 2012. RESULTS: In total, five cases of absent right superior caval vein were reviewed. No significant associated cardiac, extra-cardiac, or genetic anomalies were found. Postnatal echocardiographies confirmed the diagnosis and there were...

  6. 4H Syndrome

    Science.gov (United States)

    ... syndrome? 4H syndrome is short for hypomyelination, hypogonadotropic hypogonadism and hypodontia. Hypomyelination means that there is lack ... myelin in the central nervous system. In hypogonadotropic hypogonadism, normal puberty development is absent because the central ...

  7. Puzzling out the proton radius puzzle

    Science.gov (United States)

    Mihovilovič, M.; Merkel, H.; Weber, A.

    2016-01-01

    The discrepancy between the proton charge radius extracted from the muonic hydrogen Lamb shift measurement and the best present value obtained from the elastic scattering experiments, remains unexplained and represents a burning problem of today's nuclear physics: after more than 50 years of research the radius of a basic constituent of matter is still not understood. This paper presents a summary of the best existing proton radius measurements, followed by an overview of the possible explanations for the observed inconsistency between the hydrogen and the muonic-hydrogen data. In the last part the upcoming experiments, dedicated to remeasuring the proton radius, are described.

  8. Puzzling out the proton radius puzzle

    Directory of Open Access Journals (Sweden)

    Mihovilovič Miha

    2014-01-01

    Full Text Available The discrepancy between the proton charge radius extracted from the muonic hydrogen Lamb shift measurement and the best present value obtained from the elastic scattering experiments, remains unexplained and represents a burning problem of today’s nuclear physics: after more than 50 years of research the radius of a basic constituent of matter is still not understood. This paper presents a summary of the best existing proton radius measurements, followed by an overview of the possible explanations for the observed inconsistency between the hydrogen and the muonic-hydrogen data. In the last part the upcoming experiments, dedicated to remeasuring the proton radius, are described.

  9. RESULT OF PRE-CONTOURED DISTAL RADIUS INDIAN LOCKING PLATES IN DISTAL RADIUS FRACTURE

    OpenAIRE

    Shaleen; Baljit; Aditya; Parminder; Simarpreet S

    2014-01-01

    BACKGROUND: Fractures of the distal radius are common, open reduction and internal fixation using an interlocking plate system has gained popularity for the treatment of dorsally displaced distal radius fractures. The aim of the study was to assess how adequately distal radial fracture reduction was reproduced and maintained with the pre-contoured distal radius Indian locking plates and to evaluate the functional and radiological results of treating unstable distal radius ...

  10. Mechanical valve at pulmonary site in adult TOF & absent pulmonary valve

    Directory of Open Access Journals (Sweden)

    Aayush Goyal

    2017-09-01

    Full Text Available Absent pulmonary valve syndrome (APVS is a rare congenital heart disease. Tetralogy of Fallot (TOF with APVS is a rare variation of TOF. These patients are commonly cyanotic at birth. Respiratory complaints predominate due to airway compression by dilated pulmonary arteries. Commonest age of presentation is infancy with anecdotal adult case-reports. Surgical treatment requires establishing unobstructed competent right ventricular outflow tract (RVOT often with monocusp or conduits. We present a novel technique of rendering RVOT competent by implanting a tilting disc mechanical prosthesis in a rare adult TOF with APVS.

  11. emMAW: computing minimal absent words in external memory.

    Science.gov (United States)

    Héliou, Alice; Pissis, Solon P; Puglisi, Simon J

    2017-09-01

    The biological significance of minimal absent words has been investigated in genomes of organisms from all domains of life. For instance, three minimal absent words of the human genome were found in Ebola virus genomes. There exists an O(n) -time and O(n) -space algorithm for computing all minimal absent words of a sequence of length n on a fixed-sized alphabet based on suffix arrays. A standard implementation of this algorithm, when applied to a large sequence of length n , requires more than 20 n  bytes of RAM. Such memory requirements are a significant hurdle to the computation of minimal absent words in large datasets. We present emMAW, the first external-memory algorithm for computing minimal absent words. A free open-source implementation of our algorithm is made available. This allows for computation of minimal absent words on far bigger data sets than was previously possible. Our implementation requires less than 3 h on a standard workstation to process the full human genome when as little as 1 GB of RAM is made available. We stress that our implementation, despite making use of external memory, is fast; indeed, even on relatively smaller datasets when enough RAM is available to hold all necessary data structures, it is less than two times slower than state-of-the-art internal-memory implementations. https://github.com/solonas13/maw (free software under the terms of the GNU GPL). alice.heliou@lix.polytechnique.fr or solon.pissis@kcl.ac.uk. Supplementary data are available at Bioinformatics online. © The Author (2017). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  12. Chondromyxoid Fibroma of Radius: A Case Report

    OpenAIRE

    Bagewadi, Rajakumar M.; Nerune, Savitri Mallikarjun; Hippargi, Surekha B.

    2016-01-01

    Chondromyxoid fibroma (CMF) is a rare benign cartilaginous tumour accounting to less than 1% of bone tumours. It is most commonly seen in lower extremity involving tibia. CMF of radius is rare. We report a rare case of CMF of proximal radius in a 37-year-old female who presented with swelling and pain over right elbow. Wide local excision of proximal radius along with radial head was done and above elbow POP slab was applied for one month. Elbow range of movement exercises started after one m...

  13. Cardiac-locked bursts of muscle sympathetic nerve activity are absent in familial dysautonomia

    Science.gov (United States)

    Macefield, Vaughan G; Norcliffe-Kaufmann, Lucy; Axelrod, Felicia B; Kaufmann, Horacio

    2013-01-01

    Familial dysautonomia (Riley–Day syndrome) is an hereditary sensory and autonomic neuropathy (HSAN type III), expressed at birth, that is associated with reduced pain and temperature sensibilities and absent baroreflexes, causing orthostatic hypotension as well as labile blood pressure that increases markedly during emotional excitement. Given the apparent absence of functional baroreceptor afferents, we tested the hypothesis that the normal cardiac-locked bursts of muscle sympathetic nerve activity (MSNA) are absent in patients with familial dysautonomia. Tungsten microelectrodes were inserted percutaneously into muscle or cutaneous fascicles of the common peroneal nerve in 12 patients with familial dysautonomia. Spontaneous bursts of MSNA were absent in all patients, but in five patients we found evidence of tonically firing sympathetic neurones, with no cardiac rhythmicity, that increased their spontaneous discharge during emotional arousal but not during a manoeuvre that unloads the baroreceptors. Conversely, skin sympathetic nerve activity (SSNA), recorded in four patients, appeared normal. We conclude that the loss of phasic bursts of MSNA and the loss of baroreflex modulation of muscle vasoconstrictor drive contributes to the poor control of blood pressure in familial dysautonomia, and that the increase in tonic firing of muscle vasoconstrictor neurones contributes to the increase in blood pressure during emotional excitement. PMID:23165765

  14. Track Reconstruction and the Proton Radius Puzzle

    Science.gov (United States)

    Clark, Steven; Cline, Ethan; Gilman, Ron; MUSE Collaboration

    2017-09-01

    In 2010, Pohl et al. measured the proton charge radius to be 0.84184(67) fm using muonic hydrogen spectroscopy. This value differs about 5 σ from the CODATA proton radius from measurements with electrons. Other experiments with muons and electrons have confirmed the difference and the discrepancy has been termed the `Proton Radius Puzzle.' Currently there are no explanations for the puzzle. The MUon proton Scattering Experiment (MUSE) will make a significant measurement of the proton radius with muon scattering for the first time. The experiment tracks elastic scattering of electrons and muons off of liquid hydrogen. Particle tracks are reconstructed with track fitting software GenFit. Using a simulation of MUSE, GenFit has been determined to be proficient at track reconstruction. This project has been supported by funding from National Science Foundation Grant PHY-1560077.

  15. Pisiform malalignment associated with distal radius fractures.

    Science.gov (United States)

    Tajima, Takafumi; Zenke, Yukichi; Yamanaka, Yoshiaki; Menuki, Kunitaka; Sakai, Akinori

    2018-03-01

    The association of scaphoid or other carpal bone fractures with distal radius fractures is frequently reported, whereas few studies have described pisiform malalignment associated with distal radius fractures. The purpose of this study was to investigate the frequency and characteristics of pisiform malalignment associated with distal radius fractures. We performed a retrospective study by reviewing the data of 152 consecutive patients with a mean age of 63 years who were treated surgically for distal radius fractures during a five-year period. We evaluated the pisotriquetral joint via preoperative sagittal computed tomography (CT) and assessed pisiform malalignment. Pisiform malalignment was defined as follows: (1) wide type, joint space ≥4.0 mm; (2) non-parallel type, loss of parallelism of the joint surface of ≥20°; or (3) overriding type, proximal or distal overriding of the pisotriquetral joint ≥2.0 mm. We investigated the relationship between pisiform malalignment and the patterns of distal radius fractures. Pisiform malalignment was assessed using postoperative CT to determine whether it had been reduced. Pisiform malalignment was observed in 48 cases involving 44 patients with a mean age of 58 (17-81) years. The patients included 16, 17, and 15 cases of the wide type, non-parallel type, and overriding type, respectively. Distal radius fractures with dorsal displacement exhibited pisiform malalignment significantly more frequently than those with volar displacement. No significant difference was noted between intra- and extra-articular fractures or between patients with and without distal ulnar fractures. Among the 22 pisiform malalignment cases assessed via postoperative CT, 15 cases were reduced, and 7 cases remained malaligned. The non-parallel type exhibited the lowest reduction rate among the 3 types. Among distal radius fractures, 29% were complicated by pisiform malalignment. Distal radius fractures with dorsal displacement exhibited a

  16. Vampire Selfie: A Curious Case of an Absent Reflection

    Science.gov (United States)

    Grossman, Joshua M.

    2014-01-01

    This article presents a puzzle for the optics section of an introductory course on reflections. A teacher could ask students to explain the phenomenon of the "vampire selfie" or the absent reflection. How could that be? What physics caused this curious phenomenon? The article explains light refraction and its effect on what we see and…

  17. Quantum entanglement, indistinguishability, and the absent-minded driver's problem

    International Nuclear Information System (INIS)

    Cabello, Adan; Calsamiglia, John

    2005-01-01

    The absent-minded driver's problem illustrates that probabilistic strategies can give higher pay-offs than deterministic ones. We show that there are strategies using quantum entangled states that give even higher pay-offs, both for the original problem and for the generalized version with an arbitrary number of intersections and any possible set of pay-offs

  18. Absent and Accounted For: Absenteeism and Cooperative Learning

    Science.gov (United States)

    Koppenhaver, G. D.

    2006-01-01

    In a small section collaborative learning environment where student work teams promote mutual learning about investments, students limit the opportunity to learn from other students if they are absent from class. Absenteeism not only denies the student the opportunity to learn from others but also denies other members of the student's work team…

  19. Absent testis: does it exist in 46,XY males?

    African Journals Online (AJOL)

    Annals of Pediatric Surgery 2013, 9:79–80. Keywords: absent testis, undescended testis, vanishing testis. Al Noor Hospital, Abu Dhabi, UAE. Correspondence to Mohamed Amin ElGohary, FRCS, Al Noor Hospital,. PO Box 48481, Abu Dhabi, UAE. Tel: + 971 506 225 532; fax: + 971 249 44470; e-mail: amingoh@gmail.com.

  20. Radius crossover sign: an indication of malreduced radius shaft greenstick fractures.

    Science.gov (United States)

    Wright, Patrick B; Crepeau, Allison E; Herrera-Soto, José A; Price, Charles T

    2012-06-01

    Radius shaft greenstick fractures in children can be a challenging injury to treat because angulation and rotational alignment are difficult to assess. In this report, we describe a simple method for analyzing the deformity and identifying rotational and angular malalignment. This technique involves analyzing the forearm radiographs as 2 segments, proximal and distal, and assuring that the rotational position of each matches the other. We present 3 cases of proximal radius greenstick fractures in malalignment to demonstrate the radius crossover sign. Identifying the radius crossover sign, and proceeding with further closed reduction may prevent deformity that could otherwise result in a significant loss of forearm motion. Level V.

  1. Research synthesis when some within-study uncertainties are absent

    Science.gov (United States)

    Rukhin, Andrew L.

    2017-12-01

    This work is motivated by examples of collaborative studies where some within-study uncertainty estimates are missing, and promotes Bayes estimators of the common mean of heterogeneous normal observations with possibly absent variance estimates. The Bayesian procedures against a non-informative reference prior and their empirical versions are obtained under several scenarios for the available variance estimates. Their long run performance in terms of the mean squared error, the coverage probability and the width of the corresponding intervals is discussed.

  2. A Maximum Radius for Habitable Planets.

    Science.gov (United States)

    Alibert, Yann

    2015-09-01

    We compute the maximum radius a planet can have in order to fulfill two constraints that are likely necessary conditions for habitability: 1- surface temperature and pressure compatible with the existence of liquid water, and 2- no ice layer at the bottom of a putative global ocean, that would prevent the operation of the geologic carbon cycle to operate. We demonstrate that, above a given radius, these two constraints cannot be met: in the Super-Earth mass range (1-12 Mearth), the overall maximum that a planet can have varies between 1.8 and 2.3 Rearth. This radius is reduced when considering planets with higher Fe/Si ratios, and taking into account irradiation effects on the structure of the gas envelope.

  3. Management of Malunions of the Distal Radius

    OpenAIRE

    Yaniel Truffin Rodriguez; Osmany Pérez Martínez; Rafael Esmandy Gómez Arregoitía; Indira L. Gómez Gil

    2015-01-01

    Fractures of the distal radius often present with a group of major complications. Of these, malunion is one of the most disabling. Its management through salvage procedures is essential for its correction. The case of a 60-year-old healthy woman of urban origin treated at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos because of a malunion of the distal end of the left radius as a result of a previous Colles' fracture is presented. The patient complained of severe p...

  4. Spectral Radius and Hamiltonicity of Graphs

    Czech Academy of Sciences Publication Activity Database

    Fiedler, Miroslav; Nikiforov, V.

    2010-01-01

    Roč. 432, č. 9 (2010), s. 2170-2173 ISSN 0024-3795 Institutional research plan: CEZ:AV0Z10300504 Keywords : Hamiltonian cycle * Hamiltonian path * spectral radius Subject RIV: BA - General Mathematics Impact factor: 1.005, year: 2010

  5. Proton radius from electron scattering data

    Energy Technology Data Exchange (ETDEWEB)

    Higinbotham, Douglas W. [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Kabir, Al Amin [Kent State Univ., Kent, OH (United States). Dept. of Physics; Lin, Vincent [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Western Branch High School, Chesapeake, VA (United States); Meekins, David [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States); Norum, Blaine [Univ. of Virginia, Charlottesville, VA (United States). Dept. of Physics; Sawatzky, Brad [Thomas Jefferson National Accelerator Facility (TJNAF), Newport News, VA (United States)

    2016-05-31

    Background: The proton charge radius extracted from recent muonic hydrogen Lamb shift measurements is significantly smaller than that extracted from atomic hydrogen and electron scattering measurements. The discrepancy has become known as the proton radius puzzle. Purpose: In an attempt to understand the discrepancy, we review high-precision electron scattering results from Mainz, Jefferson Lab, Saskatoon and Stanford. Methods: We make use of stepwise regression techniques using the F-test as well as the Akaike information criterion to systematically determine the predictive variables to use for a given set and range of electron scattering data as well as to provide multivariate error estimates. Results: Starting with the precision, low four-momentum transfer (Q2) data from Mainz (1980) and Saskatoon (1974), we find that a stepwise regression of the Maclaurin series using the F-test as well as the Akaike information criterion justify using a linear extrapolation which yields a value for the proton radius that is consistent with the result obtained from muonic hydrogen measurements. Applying the same Maclaurin series and statistical criteria to the 2014 Rosenbluth results on GE from Mainz, we again find that the stepwise regression tends to favor a radius consistent with the muonic hydrogen radius but produces results that are extremely sensitive to the range of data included in the fit. Making use of the high-Q2 data on GE to select functions which extrapolate to high Q2, we find that a Pad´e (N = M = 1) statistical model works remarkably well, as does a dipole function with a 0.84 fm radius, GE(Q2) = (1 + Q2/0.66 GeV2)-2. Conclusions: Rigorous applications of stepwise regression techniques and multivariate error estimates result in the extraction of a proton charge radius that is consistent with the muonic hydrogen result of 0.84 fm; either from linear extrapolation

  6. Absent bow-tie sign in knee MRI

    International Nuclear Information System (INIS)

    Lee, Young Uk; Park, Jun Yong; Chung, Eun Chul; Youn, Eun Kyung; Lee, Chang Seok; Ji, Jun Ha; Lee, Kwang Chul

    2000-01-01

    'Absent bow-tie sign' is interpreted as positive when a bow-tie-shaped body segment is seen on only one or no slice of 4- or 5-mm thick sagittal images, and is a well known as a useful sign in diagnosing bucket-handle meniscal tears. In practice, however, we have found that this sign was also positive in certain cases other than bucket-handle tears. We have assumed that if the normal range of meniscal body width, as determined among westerners, is transferred to the Korean population without verification and modification this might lead to misdiagnosis. The purpose of this study, therefore, is to examination the reliability of the 'absent bow-tie sign'. Among 454 cases in which knee MRI had been performed, we retrospectively evaluated 862 menisci, the total remaining after cases of discoid meniscus or those involving previous meniscectomy had been excluded. Among the 862 menisci, 614 were normal, 97 showed degeneration, 43 showed bucket-handle tearing, and 108 showed tears other than bucket-handle tear. In all cases, proton-density and T2-weighted images were obtained in both sagittal and coronal planes, with 3mm section thickness and 1mm gap. We recorded the number of sagittal images in which the body segment of each meniscus had a bow-tie appearance, and measured the width of each meniscal body, as seen on midcoronal images. In all cases but one of bucket-handle tears (97.7%), the bow-tie sign was absent, as it was in 73.2% of non-bucket-handle tears, 35.0% of degenerated menisci and 27.5% of normal menisci. Among the non-tear group, 56.4% of menisci in the female group and 27.1% in the male group had bodies less than 9mm wide. In the diagnosis of bucket-handle tears, the 'absent bow-tie sign' is a very sensitive indicator. It is nonspecific, however, and merely suggests some significant deficiency in the meniscus body or small menisci, so can be positive in other cases. Thus the interpreter should be aware of the characteristics of this sign especially when used

  7. Absent bow-tie sign in knee MRI

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Uk; Park, Jun Yong; Chung, Eun Chul; Youn, Eun Kyung; Lee, Chang Seok; Ji, Jun Ha; Lee, Kwang Chul [School of Medicine, Sunkyunkwan University, Seoul (Korea, Republic of)

    2000-01-01

    'Absent bow-tie sign' is interpreted as positive when a bow-tie-shaped body segment is seen on only one or no slice of 4- or 5-mm thick sagittal images, and is a well known as a useful sign in diagnosing bucket-handle meniscal tears. In practice, however, we have found that this sign was also positive in certain cases other than bucket-handle tears. We have assumed that if the normal range of meniscal body width, as determined among westerners, is transferred to the Korean population without verification and modification this might lead to misdiagnosis. The purpose of this study, therefore, is to examination the reliability of the 'absent bow-tie sign'. Among 454 cases in which knee MRI had been performed, we retrospectively evaluated 862 menisci, the total remaining after cases of discoid meniscus or those involving previous meniscectomy had been excluded. Among the 862 menisci, 614 were normal, 97 showed degeneration, 43 showed bucket-handle tearing, and 108 showed tears other than bucket-handle tear. In all cases, proton-density and T2-weighted images were obtained in both sagittal and coronal planes, with 3mm section thickness and 1mm gap. We recorded the number of sagittal images in which the body segment of each meniscus had a bow-tie appearance, and measured the width of each meniscal body, as seen on midcoronal images. In all cases but one of bucket-handle tears (97.7%), the bow-tie sign was absent, as it was in 73.2% of non-bucket-handle tears, 35.0% of degenerated menisci and 27.5% of normal menisci. Among the non-tear group, 56.4% of menisci in the female group and 27.1% in the male group had bodies less than 9mm wide. In the diagnosis of bucket-handle tears, the 'absent bow-tie sign' is a very sensitive indicator. It is nonspecific, however, and merely suggests some significant deficiency in the meniscus body or small menisci, so can be positive in other cases. Thus the interpreter should be aware of the characteristics of

  8. Absent pulmonary valve, tricuspid atresia, and congenital heart block.

    Science.gov (United States)

    Juaneda, Ignacio; Rychik, Jack; Fuller, Stephanie; Weinberg, Paul M; Rome, Jonathan J; Mahle, William T; Gaynor, J William

    2015-01-01

    We describe management of a patient with a prenatal diagnosis of absent pulmonary valve, tricuspid atresia, ventricular septal defect, and congenital heart block. Initial treatment consisted of temporary pacemaker implantation, and subsequent palliation included a central shunt during the neonatal period and placement of a permanent pacemaker. At seven months of age, a bidirectional Glenn anastomosis was performed. Cardiac catheterization revealed high cavopulmonary pressures and ventricular dysfunction precluding Fontan completion. Heart transplantation was performed at 3.75 years of age. The patient is alive and well 26 months posttransplantation. © The Author(s) 2014.

  9. Normal tendon reflexes despite absent sensory nerve action potentials in CANVAS: a neurophysiological study.

    Science.gov (United States)

    Burke, David; Michael Halmagyi, G

    2018-04-15

    CANVAS is a recently defined progressive ataxic syndrome with impairment of vestibular, somatosensory and cerebellar function due to atrophic degeneration of dorsal root ganglia and dorsal columns, of cranial nerve somatosensory ganglia, of vestibular ganglia and vestibular nerves and of cerebellar Purkinje cells. While all patients eventually develop sensory impairment in a non-length dependent pattern and lose sensory nerve action potentials, some retain their tendon reflexes. Here we study 5 CANVAS patients with absent sensory nerve action potentials but intact, even brisk Achilles tendon reflexes and, in 4, preserved H reflexes in the upper and lower limbs. These findings imply that dorsal root ganglion neurons subserving cutaneous afferents more vulnerable than those subserving muscle afferents. Our findings have a clinical message: preservation of the Achilles tendon jerk does not exclude a large fibre peripheral neuronopathy. Copyright © 2018 Elsevier B.V. All rights reserved.

  10. The Absent Interpreter in Administrative Detention Center Medical Units.

    Science.gov (United States)

    Rondeau-Lutz, Murielle; Weber, Jean-Christophe

    2017-03-01

    The particular situation of the French administrative detention center (ADC) medical units appears to be an exemplary case to study the difficulties facing medical practice. Indeed, the starting point of our inquiry was an amazing observation that needed to be addressed and understood: why are professional interpreters so seldom requested in ADC medical units, where one would expect that they would be "naturally" present? Aiming to fully explore the meanings of the "absent interpreter", this article takes into account the possible meanings of this situation: the recourse to professional interpreters in France is far from expected given cumulative evidence of its benefits; perceptions of illegal immigrants and medical habitus itself may both hamper the use of a third party; the ADCs are a very stressful place for healthcare professionals, with conflicting missions, political issues enmeshed with medical goals, and heavy affective burden that may lead to self-protection. Silencing voices of suffering others might be seen as the hidden indecent truth of the "absent interpreter". These reflections open a window to a larger issue with regard to the full range of medicine: what are the place, the role and the function of patient's words and narratives in contemporary medicine? The highly invested somatic perspective and its political corollary giving primacy to bare life harbor potential risks of obscuring speeches and undervaluing narratives.

  11. Cost Effective RADIUS Authentication for Wireless Clients

    Directory of Open Access Journals (Sweden)

    Alexandru ENACEANU

    2010-12-01

    Full Text Available Network administrators need to keep administrative user information for each network device, but network devices usually support only limited functions for user management. WLAN security is a modern problem that needs to be solved and it requires a lot of overhead especially when applied to corporate wireless networks. Administrators can set up a RADIUS server that uses an external database server to handle authentication, authorization, and accounting for network security issues.

  12. Ulnar shortening osteotomy for distal radius malunion.

    Science.gov (United States)

    Kamal, Robin N; Leversedge, Fraser J

    2014-08-01

    Background Malunion is a common complication of distal radius fractures. Ulnar shortening osteotomy (USO) may be an effective treatment for distal radius malunion when appropriate indications are observed. Methods The use of USO for treatment of distal radius fracture malunion is described for older patients (typically patients >50 years) with dorsal or volar tilt less than 20 degrees and no carpal malalignment or intercarpal or distal radioulnar joint (DRUJ) arthritis. Description of Technique Preoperative radiographs are examined to ensure there are no contraindications to ulnar shortening osteotomy. The neutral posteroanterior (PA) radiograph is used to measure ulnar variance and to estimate the amount of ulnar shortening required. An ulnar, mid-sagittal incision is used and the dorsal sensory branch of the ulnar nerve is preserved. An USO-specific plating system with cutting jig is used to create parallel oblique osteotomies to facilitate shortening. Intraoperative fluoroscopy and clinical range of motion are checked to ensure adequate shortening and congruous reduction of the ulnar head within the sigmoid notch. Results Previous outcomes evaluation of USO has demonstrated improvement in functional activities, including average flexion-extension and pronosupination motions, and patient reported outcomes. Conclusion The concept and technique of USO are reviewed for the treatment of distal radius malunion when specific indications are observed. Careful attention to detail related to surgical indications and to surgical technique typically will improve range of motion, pain scores, and patient-reported outcomes and will reduce the inherent risks of the procedure, such as ulnar nonunion or the symptoms related to unrecognized joint arthritis.  Level IV.

  13. Upper pinch radius limit in EXTRAP

    International Nuclear Information System (INIS)

    Lehnert, B.

    1989-12-01

    A simple static equilibrium model of the Z-pinch is considered where a hot plasma core is surrounded by a cold-mantle (gas blanket). The pinch radius, defined as the radial extension of the fully ionized plasma core, is uniquely determined by the plasma particle. momentum and heat balance equations. In Extrap configurations an octupole field is introduced which imposes a magnetic separatrix on Z-pinch geometry. This makes the conditions for Extrap equilibrium 'overdetermined' when the characteristic pinch radium given by the plasma parameters tends to exceed the characteristic radius of the magnetic separatrix. In this case no conventional pinch equilibrium can exist, and part of the current which is forced into the plasma discharge by external sources must be channelled outside of the separatrix, i.e. into the surrounding support structure of the Extrap conductors and the vessel walls. A possibly existing bootstrap current in the plasma boundary layer is further expected to be 'scraped off' in this case. The present paper gives some illustrations of the marginal case of this upper pinch radius limit, in a state where the pinch current is antiparallel to the external rod currents which generate the octupole field. (authors)

  14. Twenty Years of Anesthetic and Perioperative Management of Patients With Tetralogy of Fallot With Absent Pulmonary Valve.

    Science.gov (United States)

    Jochman, John D; Atkinson, Douglas B; Quinonez, Luis G; Brown, Morgan L

    2017-06-01

    Review the authors' institutional experience of the induction and perioperative airway management of children with tetralogy of Fallot with an absent pulmonary valve. Retrospective chart review. Large academic children's hospital. Patients with the diagnosis of tetralogy of Fallot with absent pulmonary valve undergoing primary cardiac repair over a 20-year period. None. Forty-four patients were identified with tetralogy of Fallot with an absent pulmonary valve from January 1995 through August 2014. Forty-two patients (95%) required surgery in their first year of life. Sixteen patients (36%) required mechanical ventilation preoperatively, including 11 neonates. Of the 28 patients not intubated preoperatively, only 1 (3.8%) exhibited minor airway obstruction following induction that was managed uneventfully. All intubations in the operating room were performed in the supine position. Five patients who were mechanically ventilated preoperatively in a lateral or prone position were supinated in the operating room without significant cardiopulmonary compromise. There were no patients who suffered cardiopulmonary arrest or required mechanical circulatory support. The median time to extubation was 2 days (range 1-13 days) in those patients who were not mechanically ventilated prior to their surgery. Ultimately, 5 patients required tracheostomy and 1 patient underwent lobectomy. Although, there was no mortality at 30 days, 4 children died within 1 year of their surgery. All the children who died had a genetic syndrome and required mechanical ventilation preoperatively. While there are theoretical concerns specific to the induction and airway management of tetralogy of Fallot with an absent pulmonary valve, there were no episodes of cardiorespiratory arrest or extracorporeal membrane oxygenation in the authors' series. Neonatal age at the time of surgery, preoperative need for mechanical ventilation, and concomitant genetic syndromes are risk factors for respiratory

  15. Linear intra-bone geometry dependencies of the radius: Radius length determination by maximum distal width

    International Nuclear Information System (INIS)

    Baumbach, S.F.; Krusche-Mandl, I.; Huf, W.; Mall, G.; Fialka, C.

    2012-01-01

    Purpose: The aim of the study was to investigate possible linear intra-bone geometry dependencies by determining the relation between the maximum radius length and maximum distal width in two independent populations and test for possible gender or age effects. A strong correlation can help develop more representative fracture models and osteosynthetic devices as well as aid gender and height estimation in anthropologic/forensic cases. Methods: First, maximum radius length and distal width of 100 consecutive patients, aged 20–70 years, were digitally measured on standard lower arm radiographs by two independent investigators. Second, the same measurements were performed ex vivo on a second cohort, 135 isolated, formalin fixed radii. Standard descriptive statistics as well as correlations were calculated and possible gender age influences tested for both populations separately. Results: The radiographic dataset resulted in a correlation of radius length and width of r = 0.753 (adj. R 2 = 0.563, p 2 = 0.592) and side no influence on the correlation. Radius length–width correlation for the isolated radii was r = 0.621 (adj. R 2 = 0.381, p 2 = 0.598). Conclusion: A relatively strong radius length–distal width correlation was found in two different populations, indicating that linear body proportions might not only apply to body height and axial length measurements of long bones but also to proportional dependency of bone shapes in general.

  16. Radius morphology and its effects on rotation with contoured and noncontoured plating of the proximal radius.

    Science.gov (United States)

    Rupasinghe, Shavantha L; Poon, Peter C

    2012-05-01

    The radius has a sagittal bow and a coronal bow. Fractures are often treated with volar anterior plating. However, the sagittal bow is often overlooked when plating. This study looks at radial morphology and the effect of plating the proximal radius with straight plates and then contoured plates bowed in the sagittal plane. We report our findings and their effect on forearm rotation. Morphology was investigated in 14 radii. Attention was paid to the proximal shaft of the radius and its sagittal bow; from this, 6-, 7-, and 8-hole plates were contoured to fit this bow. A simple transverse fracture was then made at the apex of this bow in 23 cadaver arms. Supination and pronation were compared when plating with a straight plate and a contoured plate. Ten cadavers underwent ulna plating at the same level. The effect on rotation of fractures plated in the distal-third shaft was also measured. A significant reduction in rotation was found when a proximal radius fracture was plated with a straight plate compared with a contoured plate: 10.8°, 12.8°, and 21.7° for 6-, 7-, and 8-hole plates, respectively (P proximal shaft of the radius. Plating this with contoured plates in the sagittal plane improves rotation when compared with straight plates. Additional ulna plating is not a source of reduced forearm rotation. Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

  17. Topographic matching of distal radius and proximal fibula articular surface for distal radius osteoarticular reconstruction.

    Science.gov (United States)

    Zhang, H; Chen, S; Wang, Z; Guo, Y; Liu, B; Tong, D

    2016-07-01

    During osteoarticular reconstruction of the distal radius with the proximal fibula, congruity between the two articular surfaces is an important factor in determining the quality of the outcome. In this study, a three-dimensional model and a coordinate transformation algorithm were developed on computed tomography scanning. Articular surface matching was performed and parameters for the optimal position were determined quantitatively. The mean radii of best-fit spheres of the articular surfaces of the distal radius and proximal fibula were compared quantitatively. The radial inclination and volar tilt following reconstruction by an ipsilateral fibula graft, rather than the contralateral, best resembles the values of the native distal radius. Additionally, the ipsilateral fibula graft reconstructed a larger proportion of the distal radius articular surface than did the contralateral. The ipsilateral proximal fibula graft provides a better match for the reconstruction of the distal radius articular surface than the contralateral, and the optimal position for graft placement is quantitatively determined. © The Author(s) 2015.

  18. A measurement of the pion charge radius

    International Nuclear Information System (INIS)

    Amendolia, S.R.; Badelek, B.; Batignani, G.; Bedeschi, F.; Bertolucci, E.; Bettoni, D.; Bosisio, L.; Bradaschia, C.; Dell'Orso, M.; Fidecaro, F.; Foa, L.; Focardi, E.; Giazotto, A.; Giorgi, M.A.; Marrocchesi, P.S.; Menzione, A.; Ristori, L.; Scribano, A.; Tonelli, G.; Codino, A.; Fabbri, F.L.; Laurelli, P.; Satta, L.; Spillantini, P.; Zallo, A.; Counihan, M.J.; Frank, S.G.F.; Harvey, J.; Storey, D.; Menasce, D.; Meroni, E.; Moroni, L.

    1984-01-01

    We report a measurement of the negative pion electromagnetic form factor in the range of space-like four-momentum transfer 0.014 2 2 . The measurement was made by the NA7 collaboration at the CERN SPS, by observing the interaction of 300 GeV pions with the electrons of a liquid hydrogen target. The form factor is fitted by a pole form with a pion radius of (rho 2 )sup(1/2) = 0.657 +- 0.012 fm. (orig.)

  19. A measurement of the kaon charge radius

    International Nuclear Information System (INIS)

    Amendolia, S.R.; Batignani, G.; Bertolucci, E.; Bosisio, L.; Bradaschia, C.; Dell'Orso, M.; Fidecaro, F.; Foa, L.; Focardi, E.; Gianetti, P.; Giazzotto, A.; Giorgi, M.A.; Marrocchesi, P.S.; Menzione, A.; Ristori, L.; Scribano, A.; Tonelli, G.; Triggiani, G.; Beck, G.A.; Bologna, G.; D'Ettorre Piazzoli, B.; Mannocchi, G.; Picchi, P.; Budinich, M.; Liello, F.; Ragusa, F.; Rolandi, L.; Stefanini, A.; Fabbri, F.L.; Laurelli, P.; Zallo, A.; Gren, M.G.; Landon, M.P.J.; March, P.V.; Strong, J.A.; Tenchini, R.; Meroni, E.

    1986-01-01

    The negative kaon electromagnetic form factor has been measured in the space-like q 2 range 0.015-0.10 (GeV/c) 2 by the direct scattering of 250 GeV kaons from electrons at the CERN SPS. It is found that the kaon mean square charge radius K 2 >=0.34±0.05 fm 2 . From data collected simultaneously for πe scattering, the difference between the charged pion and kaon mean square radii (which is less sensitive to systematic errors) is found to be π 2 >- K 2 >=0.10±0.045 fm 2 . (orig.)

  20. Small-radius jets to all orders

    CERN Document Server

    Cacciari, Matteo; Soyez, Gregory; Salam, Gavin; Dasgupta, Mrinal

    2015-01-01

    With hadron colliders continuing to push the boundaries of precision, it is becoming increas­ ingly important to have a detailed understanding of the subtleties appearing at smaller values of the jet radius R. We present a method to resum all leading logarithmic terms, a'.; Inn R, using a generating functional approach, as was recently discussed in Ref. 1. We study a variety of observables, such as the inclusive jet spectrum and jet vetoes for Higgs physics, and show that small-R effects can be sizeable. Finally, we compare our calculations to existing ALICE data, and show good agreement.

  1. Giant cell tumour of the proximal radius.

    Science.gov (United States)

    Singh, A P; Mahajan, S; Singh, A P

    2009-11-01

    A 52-year-old Indian woman presented with a progressively increasing swelling and pain in the right elbow for the past eight months, which was not associated with trauma or constitutional symptoms. The patient was diagnosed to have Campanacci grade III giant cell tumour of the proximal radius, and was treated with above elbow amputation. The patient has not shown any recurrence after five years of follow-up. The case was reported because of its rarity and the unusual site of occurrence of the tumour.

  2. Distal radius fracture after proximal row carpectomy

    OpenAIRE

    Igeta, Yuka; Naito, Kiyohito; Sugiyama, Yoichi; Obata, Hiroyuki; Aritomi, Kentaro; Kaneko, Kazuo; Obayashi, Osamu

    2015-01-01

    Introduction: We encountered a patient with distal radius fracture (DRF) after proximal row carpectomy (PRC). The mechanism of the DRF after PRC is discussed in this report. Presentation of case: The patient was a 73-year-old female who had undergone PRC due to Kienböck disease before. The wrist range of motion was: 45° on dorsiflexion and 20° on flexion. DRF has occurred at 3 years after PRC. The fracture type was extra-articular fracture. Osteosynthesis was performed using a volar lockin...

  3. Distinct Biochemical Activities of Eyes absent During Drosophila Eye Development

    Science.gov (United States)

    Jin, Meng; Mardon, Graeme

    2016-01-01

    Eyes absent (Eya) is a highly conserved transcriptional coactivator and protein phosphatase that plays vital roles in multiple developmental processes from Drosophila to humans. Eya proteins contain a PST (Proline-Serine-Threonine)-rich transactivation domain, a threonine phosphatase motif (TPM), and a tyrosine protein phosphatase domain. Using a genomic rescue system, we find that the PST domain is essential for Eya activity and Dac expression, and the TPM is required for full Eya function. We also find that the threonine phosphatase activity plays only a minor role during Drosophila eye development and the primary function of the PST and TPM domains is transactivation that can be largely substituted by the heterologous activation domain VP16. Along with our previous results that the tyrosine phosphatase activity of Eya is dispensable for normal Eya function in eye formation, we demonstrate that a primary function of Eya during Drosophila eye development is as a transcriptional coactivator. Moreover, the PST/TPM and the threonine phosphatase activity are not required for in vitro interaction between retinal determination factors. Finally, this work is the first report of an Eya-Ey physical interaction. These findings are particularly important because they highlight the need for an in vivo approach that accurately dissects protein function. PMID:26980695

  4. QED confronts the radius of the proton

    CERN Document Server

    De Rujula, A

    2011-01-01

    Recent results on muonic hydrogen [1] and the ones compiled by CODATA on ordinary hydrogen and $ep$-scattering [2] are $5\\sigma$ away from each other. Two reasons justify a further look at this subject: 1) One of the approximations used in [1] is not valid for muonic hydrogen. This amounts to a shift of the proton's radius by $\\sim 3$ of the standard deviations of [1], in the "right" direction of data-reconciliation. In field-theory terms, the error is a mismatch of renormalization scales. Once corrected, the proton radius "runs", much as the QCD coupling "constant" does. 2) The result of [1] requires a choice of the "third Zemach moment". Its published independent determination is based on an analysis with a $p$-value --the probability of obtaining data with equal or lesser agreement with the adopted (fit form-factor) hypothesis-- of $3.92\\times 10^{-12}$. In this sense, this quantity is not empirically known. Its value would regulate the level of "tension" between muonic- and ordinary-hydrogen results, curr...

  5. Distal radius fracture after proximal row carpectomy.

    Science.gov (United States)

    Igeta, Yuka; Naito, Kiyohito; Sugiyama, Yoichi; Obata, Hiroyuki; Aritomi, Kentaro; Kaneko, Kazuo; Obayashi, Osamu

    2015-01-01

    We encountered a patient with distal radius fracture (DRF) after proximal row carpectomy (PRC). The mechanism of the DRF after PRC is discussed in this report. The patient was a 73-year-old female who had undergone PRC due to Kienböck disease before. The wrist range of motion was: 45° on dorsiflexion and 20° on flexion. DRF has occurred at 3 years after PRC. The fracture type was extra-articular fracture. Osteosynthesis was performed using a volar locking plate. No postoperative complication developed, the Mayo score was excellent at 6 months after surgery, and the daily living activity level recovered to that before injury. Since the wrist range of motion decreased and the lunate fitted into the joint surface after PRC, making the forearm join with the hand like a single structure, pressure may have been loaded on the weak distal end of the radius from the dorsal side, causing volar displacement and fracture. The pressure distribution and range of motion of the radiocarpal joint after PRC are different from those of a normal joint, and the mechanism of fracture also changes due to PRC. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Are classifications of proximal radius fractures reproducible?

    Directory of Open Access Journals (Sweden)

    dos Santos João BG

    2009-10-01

    Full Text Available Abstract Background Fractures of the proximal radius need to be classified in an appropriate and reproducible manner. The aim of this study was to assess the reliability of the three most widely used classification systems. Methods Elbow radiographs images of patients with proximal radius fractures were classified according to Mason, Morrey, and Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF classifications by four observers with different experience with this subject to assess their intra- and inter-observer agreement. Each observer analyzed the images on three different occasions on a computer with numerical sequence randomly altered. Results We found that intra-observer agreement of Mason and Morrey classifications were satisfactory (κ = 0.582 and 0.554, respectively, while the AO/ASIF classification had poor intra-observer agreement (κ = 0.483. Inter-observer agreement was higher in the Mason (κ = 0.429-0.560 and Morrey (κ = 0.319-0.487 classifications than in the AO/ASIF classification (κ = 0.250-0.478, which showed poor reliability. Conclusion Inter- and intra-observer agreement of the Mason and Morey classifications showed overall satisfactory reliability when compared to the AO/ASIF system. The Mason classification is the most reliable system.

  7. [Carpal malalignment following distal radius fracture].

    Science.gov (United States)

    Coulet, B; Gauci, M-O; Lazerges, C; Chammas, M

    2016-12-01

    Adaptive carpal malalignment is the consequence of malunion of the distal radius. Since the radial metaphysis and capitate have to be aligned, any disorientation of the radial epiphysis will force the proximal carpal row to adapt, as it is the only mobile element. There are two types of adaptation depending where the compensative occurs: (1) midcarpal - leading to flexion between the lunate and capitate, with the lunate maintaining a normal relationship with the radial epiphysis axis; (2) radiocarpal - combining flexion and dorsal displacement of the lunate relative to the axis of the radial epiphysis, with the midcarpal joint remaining aligned. Clinically, adaptive carpal malalignment is not the first reason for consultation in cases of distal radius malunion. It occurs in cases of moderate deformity with preserved pronation-supination in a young patient who has good mobility. It generates dorsal pain that may be associated with a snapping sensation. The diagnosis requires strict lateral X-ray views. Over time, the wrist becomes stiff but analgesic and is often well tolerated functionally. This type of deformity has not been shown to lead to osteoarthritis. Osteotomy to correct the malunion is the only way to treat adaptive carpal malalignment in active young patients who have a mobile but painful wrist. Copyright © 2016 SFCM. Published by Elsevier Masson SAS. All rights reserved.

  8. Nuclear charge radius of 11Li

    International Nuclear Information System (INIS)

    Sanchez, Rodolfo; Noertershaeuser, Wilfried; Dax, Andreas; Ewald, Guido; Goette, Stefan; Kirchner, Reinhard; Kluge, H.-Juergen; Kuehl, Thomas; Wojtaszek, Agnieszka; Bushaw, Bruce A.; Drake, Gordon W. F.; Yan Zongchao; Zimmermann, Claus; Albers, Daniel; Behr, John; Bricault, Pierre; Dilling, Jens; Dombsky, Marik; Lassen, Jens; Phil Levy, C. D.

    2006-01-01

    We have determined the nuclear charge radius of 11 Li by high-precision laser spectroscopy. The experiment was performed at the TRIUMF-ISAC facility where the 7 Li- 11 Li isotope shift (IS) was measured in the 2s → 3s electronic transition using Doppler-free two-photon spectroscopy with a relative accuracy better than 10 -5 . The accuracy for the IS of the other lithium isotopes was also improved. IS's are mainly caused by differences in nuclear mass, but changes in proton distribution also give small contributions. Comparing experimentally measured IS with advanced atomic calculation of purely mass-based shifts, including QED and relativistic effects, allows derivation of the nuclear charge radii. The radii are found to decrease monotonically from 6 Li to 9 Li, and then increase with 11 Li about 11% larger than 9 Li. These results are a benchmark for the open question as to whether nuclear core excitation by halo neutrons is necessary to explain the large nuclear matter radius of 11 Li; thus, the results are compared with a number of nuclear structure models.

  9. Heteroglossia and Fragmentariness in the Absent Therapist by Will Eaves

    Directory of Open Access Journals (Sweden)

    Drąg Wojciech

    2016-12-01

    Full Text Available In “Discourse in the Novel” Mikhail Bakhtin argues that heteroglossia - a diversity of voices or languages - is one of the essential properties of the novel. The distinct languages spoken by individual characters (referred to as “character speech”, he maintains, inevitably affect “authorial speech”. In experimental fiction, where “authorial speech” is often eliminated altogether, one can speak of the most radical instance of novelistic polyphony. Whereas in The Sound and the Fury, The Waves and B.S. Johnson’s House Mother Normal in place of the narrator the reader is presented with several parallel voices which offer an alternative version of some of the same incidents, Will Eaves’s The Absent Therapist (2014 comprises 150 one- or two-page monologues, each of which is delivered by a different nameless speaker. The book, described by reviewers as an “experimental novella”, a “miniature novel”, and an “anti-novel”, is devoid of any frame that would account for the coexistence of so many stories. The only interpretive clues are provided in the paratext: the title and the dedication from 1 Corinthians (“There are, it may be, so many kinds of voices in the world, and none of them is without signification”. They appear to invite the reading of the entire text as an amalgam of disparate (but also, in large part, desperate voices united by their addressee - the figure of the therapist who is not there. The aim of the article is to examine Eaves’s assemblage of voices and outline the tenuous relationship between the sections. The analysis of common themes and motifs that provide a degree of qualified unity to the book’s multiple monologues is situated in the context of fragmentary writing (as practised, among others, by Burroughs and Barthes and its postmodernist aesthetics of the collage.

  10. Mobious syndrome: MR findings

    Directory of Open Access Journals (Sweden)

    Maskal Revanna Srinivas

    2016-01-01

    Full Text Available Möbius syndrome is an extremely rare congenital disorder. We report a case of Möbius syndrome in a 2-year-old girl with bilateral convergent squint and left-sided facial weakness. The characteristic magnetic resonance imaging (MRI findings of Möbius syndrome, which include absent bilateral abducens nerves and absent left facial nerve, were noted. In addition, there was absence of left anterior inferior cerebellar artery (AICA and absence of bilateral facial colliculi. Clinical features, etiology, and imaging findings are discussed.

  11. Muonic hydrogen spectroscopy: the proton radius puzzle

    Science.gov (United States)

    Antognini, Aldo; Nez, François; Amaro, Fernando D.; Biraben, François; Cardoso, João M. R.; Covita, Daniel S.; Dax, Andreas; Dhawan, Satish; Fernandes, Luis M. P.; Giesen, Adolf; Graf, Thomas; Hänsch, Theodor W.; Indelicato, Paul; Julien, Lucile; Kao, Cheng-Yang; Knowles, Paul; Kottmann, Franz; Le Bigot, Eric-Olivier; Liu, Yi-Wei; Lopes, José A. M.; Ludhova, Livia; Monteiro, Cristina M. B.; Mulhauser, Françoise; Nebel, Tobias; Rabinowitz, Paul; Dos Santos, Joaquim M. F.; Schaller, Lukas A.; Schuhmann, Karsten; Schwob, Catherine; Taqqu, David; Veloso, João F. C. A.; Pohl, Randolf

    2010-09-01

    By means of pulsed laser spectroscopy applied to muonic hydrogen (μ¯p) we havemeasured the 2S (F=1)/(1/2) - 2P(F=2)/(3/2) transition frequency to be 49881.88(76)GHz.1 By comparing this measurement with its theoretical prediction 2-7 based on bound-state QED we have determined a proton radius value of rP =0.84184(67) fm. This new value differs by 5.0 standard deviations from the CODATA value of 0.8768(69) fm,8 and 3 standard deviation from the e-p scattering results of 0.897(18) fm.9 The observed discrepancy may arise from a computational mistake of the energy levels in μp or H, or a fundamental problem in bound-state QED, an unknown effect related to the proton or the muon, or an experimental error.

  12. Early Complications Associated with the Thompson Approach to the Proximal Radius.

    Science.gov (United States)

    Perretta, Donato J; Brock, Kenneth M; Tejwani, Nirmal C

    2016-11-01

    The purpose of this study was to investigate the early complications associated with the dorsal approach to the proximal radius. This approach, also called the Thompson approach, is used relatively infrequently for the treatment of forearm fractures. It is primarily reserved for proximal one-third radius fractures where a volar plate may not be placed sufficiently proximal for adequate fixation. A retrospective chart review was performed on forearm fractures performed at our institution. Over a period from January 2008 to May 2014 a total of 120 patients underwent fixation for radius shaft fractures either isolated or associated with ulna fractures; of these 120 patients, 11 were found to have utilized the Thompson approach to the proximal radius. Demographic data was collected, along with fracture pattern, and associated complications in the first 2 weeks after surgery. The average age of the patients was 31 years (range: 20 to 46 years). Ten patients were male and one was female. The mean follow-up time was 15 weeks (range: 1 to 52 weeks). The stated indication for the dorsal approach was a proximal location of the radius fracture in 10 cases and presence of dorsal open wounds in one patient. In all cases, the posterior interosseous nerve was identified and protected. The average distance from the fracture to the radial head articular surface was 72 mm (range: 34 mm to 132 mm). Four fractures were open, and seven were closed injuries. There were two postoperative posterior interosseous nerve palsies, along with one compartment syndrome requiring fasciotomy. There were no wound complications. There was an overall complication rate of 27%. Postoperative posterior interosseous nerve palsy was the most common complication in this series, occurring in 18% of the patients in spite of identification and protection of the nerve throughout the procedure. High vigilance for compartment syndrome must also be maintained after fixation of any forearm fracture, as it occurred

  13. Turbulent Sediment Suspension and Induced Ripple Dynamics Absent Mean Shear

    Science.gov (United States)

    Johnson, B. A.; Cowen, E.

    2014-12-01

    The uprush and backwash phases in the swash zone, the region of the beach that is alternately covered and uncovered by wave run-up, are fundamentally different events. Backwash is dominated by a growing boundary layer where the turbulence is set by the bed shear stress. In this phase traditional boundary layer turbulence models and Shields-type critical stress pickup functions work well. However, the uprush phase, while often viewed in the context of traditional boundary layer turbulence models, has little in common with the backwash phase. During uprush, the entire water column is turbulent, as it rapidly advects well-stirred highly turbulent flow generated offshore from breaking waves or collapsing bores. Turbulence levels in the uprush are several times higher than turbulent boundary layer theory would predict and hence the use of a boundary layer model to predict turbulence levels during uprush grossly under predicts the turbulence and subsequent sediment suspension in the swash zone. To study the importance of this advected turbulence to sediment suspension we conduct experiments in a water tank designed to generate horizontally homogeneous isotropic turbulence absent mean shear using randomly actuated synthetic jet arrays suspended above both a solid glass plate and a narrowly graded sediment bed. Using jet arrays with different jet spacings allows the generation of high Reynolds number turbulence with variable integral length scales, which we hypothesize control the characteristic length scales in the induced ripple field. Particle image velocimetry and acoustic Doppler velocimetry measurements are used to characterize the near-bed flow and this unique turbulent boundary layer. Metrics include the mean flow and turbulence intensities and stresses, temporal and spatial spectra, dissipation of turbulent kinetic energy, and integral length scales of the turbulence. We leverage our unique dataset to compare the flows over impermeable fixed and permeable mobile

  14. Supernumerary and absent limbs and digits of the lower limb: a review of the literature.

    Science.gov (United States)

    Klaassen, Zachary; Shoja, Mohammadali M; Tubbs, R Shane; Loukas, Marios

    2011-07-01

    Anatomical history over centuries includes description of a wide variety of malformations involving the lower limbs. This article offers an organized review of these diverse abnormalities, including new understanding of mechanisms through recent discoveries in genetics and molecular biology. In 19th century Europe, a number of unique anomalies were reported, as well as evidence of foot amputations occurring in ancient Peruvian culture. Embryologically, the limbs develop early, with the lower limb being recognizable for the first time at stage 13 of development. By stage 23, the toes are clearly defined and by birth, although the legs appear bowed, the tibia and fibula are straight. Removal of the apical ectodermal ridge results in cessation of limb development, conversely, a second apical ectodermal ridge results in duplication of distal structures. Supernumerary limbs have been documented to occur as part of a teratoma with unique morphology and accompanying blood supply. Additionally, many examples of polydactyly occur in the foot postulating that deletion of chromosome 22q11 is involved in postaxial polydactyly. Such deletions occur near the middle of the chromosome at a location designated q11.2 (i.e., on the long arm of one of the pair of chromosomes 22) and this syndrome is also referred to as DiGeorge syndrome, which has a prevalence estimated at 1:4,000. Absence of the lower limbs has also been noted, with hypoplasia of the fibula being the most common manifestation of congenital bone absences in the lower limb. In addition to fibular aplasia, cases of tibial aplasia have been reported. This article is important for surgeons attempting correctional repair of lower limb anomalies, as well as providing analysis of the historical, anatomical and clinical aspects of supernumerary and absent limbs and digits for the lower limb. Copyright © 2011 Wiley-Liss, Inc.

  15. Pulmonary function testing in infants with tetralogy of Fallot and absent pulmonary valve syndrome

    Directory of Open Access Journals (Sweden)

    Adler M Salazar

    2015-01-01

    Conclusion: For our patients with TOF-APVS, airway resistance was elevated. Flow limitation was seen in the medium to small airways with a mild reduction of FVC. PFTs may help guide management of mechanical ventilation for TOF-APVS patients.

  16. Cardiovascular magnetic resonance in a pregnant patient with absent pulmonary valve syndrome

    NARCIS (Netherlands)

    Oosterhof, Thomas; Vriend, Joris W. J.; Spijkerboer, Anje M.; Mulder, Barbara J. M.

    2007-01-01

    We present a 22 year old Moroccan woman with chronic severe pulmonary regurgitation, who becomes symptomatic in her fourth month of pregnancy. Cardiovascular magnetic resonance, during pregnancy, revealed a large pulmonary aneurysm and turbulent blood flow in the pulmonary trunk with severe

  17. On Galaxy Mass-Radius Relationship

    Science.gov (United States)

    Bindoni, D.; Secco, L.; Contini, E.; Caimmi, R.

    In the Clausius' virial maximum theory (TCV) [Secco and Bindoni, NewA 14, 567 (2009)] to explain the galaxy Fundamental Plane (FP) a natural explanation follows about the observed relationship between stellar mass and effective radius, M ∗ - r e , for early type galaxies (ETGs). The key of this correlation lies in the deep link which has to exist between cosmology and the existence of the FP. The general strategy consists in using the two-component tensor virial theorem to describe the virial configuration of the baryonic component of mass M B ≃ M ∗ embedded in a dark matter (DM) halo of mass M D at the end of relaxation phase. In a ΛCDM flat cosmology, starting from variance at equivalence epoch, we derive some preliminary theoretical relationships, M ∗ - r e , which are functions of mass ratio m = M D / M B . They appear to be in agreement with the trends extracted from the data of galaxy sample used by [Tortora et al., MNRAS 396, 1132 (2009)].

  18. Experimental study of finite Larmor radius effects

    International Nuclear Information System (INIS)

    Struve, K.W.

    1980-08-01

    Linear Z-pinches in Ar, Kr, Xe, N 2 , and He are experimentally studied in regimes where strong finite Larmor radius effects could provide a significant stabilizing effect. Scaling arguments show that for deuterium such a pinch has an electron line density of order 2 x 10 15 /cm. For higher Z plasmas a higher line density is allowed, the exact value of which depends on the average ion charge. The pinch is formed by puffing gas axially through the cathode towards the anode of an evacuated pinch chamber. When the gas reaches the anode, the pinch bank is fired. The pinch current rises in 2 to 3 μsec to a maximum of 100 to 200 kA. The pinch bank capacitance is 900 μF, and the external inductance is 100 nH. Additionally, the bank is fused to increase dI/dt. The primary diagnostics are a framing camera, a spatially resolved Mach-Zehnder interferometer, and X-ray absorption

  19. Finite-Larmor-radius stability theory of EBT plasmas

    International Nuclear Information System (INIS)

    Berk, H.L.; Cheng, C.Z.; Rosenbluth, M.N.; Van Dam, J.W.

    1982-11-01

    An eikonal ballooning-mode formalism is developed to describe curvature-driven modes of hot electron plasmas in bumpy tori. The formalism treats frequencies comparable to the ion-cyclotron frequency, as well as arbitrary finite Larmor radius and field polarization, although the detailed analysis is restricted to E/sub parallel/ = 0. Moderate hot-electron finite-Larmor-radius effects are found to lower the background beta core limit, whereas strong finite-Lamor-radius effects produce stabilization

  20. Extensile surgical exposures of the radius: a comparative anatomic study.

    Science.gov (United States)

    Jockel, Christopher R; Zlotolow, Dan A; Butler, R Bryan; Becker, Edward H

    2013-04-01

    To evaluate and compare exposures of the radius using 3 surgical approaches. Our hypotheses were that the anterior flexor carpi radialis approach allows greater exposure of the distal radius than does the volar-ulnar approach, and the extensile flexor carpi radialis approach allows comparable proximal and midshaft exposure of the radius compared with the dorsal Thompson approach. We performed anterior and dorsal exposures of the radius on 10 matched pairs of cadavers (20 forearms) randomly assigned to 1 anterior and 1 dorsal approach. We measured and compared the anatomic features and limits of the anterior flexor carpi radialis approach, volar-ulnar approach to the distal radius, and the dorsal Thompson approach. The anterior flexor carpi radialis approach exposed 3.3 cm of distal radius width, was convertible to an extensile approach proximally, required sacrifice of 3 arterial branches, and was limited by the junction of the radial and ulnar arteries. This approach provided 79% of radius exposure and ended 4.7 cm distal to the radiocapitellar joint. The volar-ulnar approach to the distal radius exposed 3.1 cm of distal radius width. The dorsal Thompson approach sacrificed no arterial branches, provided 69% of radius exposure, was limited by the first compartment distally and the posterior interosseous nerve proximally, and ended within 2.6 cm of the radiocapitellar joint. The posterior interosseous nerve coursed 19, 14, and 6 mm dorsolateral to the distal, middle, and proximal margins, respectively, of the supinator insertion on the radius. The volar-ulnar approach provided less access to the radial styloid and was not as extensile as the flexor carpi radialis approach. The Thompson approach provided more proximal exposure than the flexor carpi radialis approach. Improved knowledge of the anatomy, limits of exposure, and comparison of features between approaches to the radius may facilitate surgical planning and exposure. Copyright © 2013 American Society for

  1. Autentikointi RADIUS-palvelinta käyttäen

    OpenAIRE

    Huhtamäki, Samuli

    2007-01-01

    Tässä opinnäytetyössä otettiin käyttöön RADIUS-palvelin Satakunnan ammattikorkeakoulun GPRS-verkossa. Työssä esiteltiin RADIUKSEEN liittyvä teoria, ja sovellettiin sitä älyverkkolaboratorion verkkoympäristössä. Tavoitteena oli asentaa RADIUS-ohjelmisto laboratorion serverille, ja sitä käytettiin GPRS-verkon palvelujen yhteydessä (GGSN tukee RADIUSTA). Radius-palvelimen avulla autentikoidaan verkon palvelujen käyttäjät. RADIUS server was taken into service in the GPRS Network of Satakunta U...

  2. Precise measurement of scleral radius using anterior eye profilometry.

    Science.gov (United States)

    Jesus, Danilo A; Kedzia, Renata; Iskander, D Robert

    2017-02-01

    To develop a new and precise methodology to measure the scleral radius based on anterior eye surface. Eye Surface Profiler (ESP, Eaglet-Eye, Netherlands) was used to acquire the anterior eye surface of 23 emmetropic subjects aged 28.1±6.6years (mean±standard deviation) ranging from 20 to 45. Scleral radius was obtained based on the approximation of the topographical scleral data to a sphere using least squares fitting and considering the axial length as a reference point. To better understand the role of scleral radius in ocular biometry, measurements of corneal radius, central corneal thickness, anterior chamber depth and white-to-white corneal diameter were acquired with IOLMaster 700 (Carl Zeiss Meditec AG, Jena, Germany). The estimated scleral radius (11.2±0.3mm) was shown to be highly precise with a coefficient of variation of 0.4%. A statistically significant correlation between axial length and scleral radius (R 2 =0.957, pscleral radius. Lastly, no correlation was observed comparing scleral radius to the central corneal thickness (R 2 =0.047, p=0.161). Three-dimensional topography of anterior eye acquired with Eye Surface Profiler together with a given estimate of the axial length, can be used to calculate the scleral radius with high precision. Copyright © 2016 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

  3. Outcome in corrective osteotomy for malunited distal radius fractures.

    Science.gov (United States)

    Samson, Lucjan; Treder, Mariusz; Kolarz, Krzysztof; Lorczyński, Adam

    2007-01-01

    This article reports outcome in osteotomy for malunion of distal radius fractures. We evaluated 12 patients with distal radius malunion (mean age 54), who were treated with corrective osteotomy. Wrist motion and grip strength were evaluated, along with examination of pre and post osteotomy radiographs. The indications for corrections were degree of deformity, limitation of function, pain, and the appearance of the wrist. The radiographic evaluation proved that the restoration of the normal anatomic relationship between the distal radius and ulna leads to significant improvement of the function of the hand, as measured by range of motion and grip strength. Osteotomy of the distal radius in cases of malunion gives favorable outcomes.

  4. A clinical study evaluating bone mineral mass in the radius during skeletal growth

    International Nuclear Information System (INIS)

    Hagino, Hiroshi

    1989-01-01

    Using 125-I single photon absorptiometry, bone mineral measurements were performed on 206 healthy Japanese children (2 to 19 years of age). Bone mineral content (BMC), bone width (BW) and BMC/BW values were determined for the radius at distal 1/6 site (metaphysis) and distal 1/3 site (diaphysis). BMC/BW values at both sites correlated well with body height and weight. Bone mass in the diaphysis (distal 1/3 site) increased linearly during the 2-19 years of skeletal growth, but bone mass in the metaphysis (1/6 site) increased steeply during the pubertal period. In children receiving glucocorticoid therapy, bone mass was reduced in proportion to the duration of drug administration. In children under anticonvulsant therapy, the yearly increse in bone mass was significantly low especially in those patients with poor physical activity levels. Bone mineral decrease in the radius occurred in the children with hypopituitalism, hypothyroidism (cretinism), hyperthyroidism and Turner's syndrome. (author)

  5. The Nager acrofacial dysostosis syndrome with the tetralogy of Fallot.

    Science.gov (United States)

    Thompson, E; Cadbury, R; Baraitser, M

    1985-10-01

    A male infant is described with mandibulofacial dysostosis and absent thumbs, consistent with the Nager acrofacial dysostosis syndrome. In addition, the tetralogy of Fallot was present. Major congenital heart malformations occur rarely in this syndrome.

  6. Distal radius fractures: what determines the outcome after surgery?

    NARCIS (Netherlands)

    Teunis, T.

    2016-01-01

    This thesis addresses current issues in the outcome of operatively treated distal radius fractures. The general aim was to determine factors associated with adverse events, loss of motion, functional limitations, and opioid use after surgery. Injury In 3D complete articular distal radius fracture

  7. The minimal spectral radius of graphs with a given diameter

    NARCIS (Netherlands)

    Dam, E.R. van; Kooij, R.E.

    2007-01-01

    The spectral radius of a graph (i.e., the largest eigenvalue of its corresponding adjacency matrix) plays an important role in modeling virus propagation in networks. In fact, the smaller the spectral radius, the larger the robustness of a network against the spread of viruses. Among all connected

  8. New formulas for the spectral radius via Aluthge transform

    OpenAIRE

    Chabbabi, Fadil; Mbekhta, Mostafa

    2016-01-01

    In this paper we give several expressions of spectral radius of a bounded operator on a Hilbert space, in terms of iterates of Aluthge transformation, numerical radius and the asymptotic behavior of the powers of this operator. Also we obtain several characterizations of normaloid operators.

  9. Determination of Radius of Curvature for Teeth With Cycloid Profile

    OpenAIRE

    Shatalov, E. V.; Efremenkov (Ephremenkov), Egor Alekseevich; Shibinskiy, Konstantin Grigorievich

    2016-01-01

    In the article the geometric determination of curvature radius is considered for teeth with cycloid profile. The equations are obtained for the determination of a radius of curvature with point coordinates of a cycloid profile. The conditions of convexo-concavity of a teeth profile are defined for transmission with intermediate rollers.

  10. Determination of Radius of Curvature for Teeth With Cycloid Profile

    Science.gov (United States)

    Shatalov, E. V.; Efremenkov, E. A.; Shibinskiy, K. G.

    2016-04-01

    In the article the geometric determination of curvature radius is considered for teeth with cycloid profile. The equations are obtained for the determination of a radius of curvature with point coordinates of a cycloid profile. The conditions of convexo-concavity of a teeth profile are defined for transmission with intermediate rollers.

  11. Outcome of management of distal radius fractures in ...

    African Journals Online (AJOL)

    We tried to highlight that postmenopausal distal radius fractures attributed to osteoporosis, are not given much of consideration when lot of funds and researches are being diverted to osteoporosis and related diseases. Methods: 60 elderly female patients with distal radius fracture were studied for outcome. The primary ...

  12. Disneyland Dads, Disneyland Moms? How Nonresident Parents Spend Time with Absent Children.

    Science.gov (United States)

    Stewart, Susan D.

    1999-01-01

    Examines gender differences in how nonresident parents spend time with their absent children. Results suggest that nonresident mothers and fathers exhibit a similar pattern of participation in activities with their absent children. Most nonresident parents either engage in only leisure activities with their children or have no contact. (Author/MKA)

  13. 42 CFR 410.175 - Alien absent from the United States.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Alien absent from the United States. 410.175... Alien absent from the United States. (a) Medicare does not pay Part B benefits for services furnished to... during the first full calendar month the alien is back in the United States. ...

  14. Absent testis: does it exist in 46,XY males? | El Gohary | Annals of ...

    African Journals Online (AJOL)

    Conclusion Based on embryological process of testicular development and testicular descent, agentic absent testis cannot exist. Therefore we strongly recommend to re-scope all patients who were initially diagnosed as absent testis to look for a hidden testis at the initial site of development and along the line of descent.

  15. Kidney transplantation in a patient with absent right common iliac artery and congenital renal abnormalities.

    Science.gov (United States)

    Tay, Clifton Ming; Siew, Edwin Poh Yiew; Ng, Tze-Kiat; Vathsala, Anantharanam; Tiong, Ho Yee

    2015-01-01

    Congenital atresia of the common and external iliac arteries is a rare vascular anomaly that may be associated with congenital renal or genitourinary malformations. In ESRD patients, its presence may pose potential problems during renal transplantation. We report a rare case of kidney transplantation in a patient with VACTERL syndrome who was found to have absent right common and external iliac arteries during pre-operative imaging. Vascular supply to the right lower limb is derived from an anomalous branch from the left internal iliac artery which takes on a convoluted course across the pelvis. Kidney transplantation was performed successfully with implantation performed on the left side. Isolated cases of congenital iliac artery atresia have been described in association with urological abnormalities but no clear association has yet been established. However, we feel that it may be useful to perform routine angiographic evaluation for ESRD patients with congenital genitourinary abnormalities being planned for kidney transplantation. While most cases of congenital iliac artery anomalies are symptomatic with claudication, some remain asymptomatic with normal physical examination findings. There is some evidence in literature suggesting the usefulness of routine pre-operative CT in a selective group of patients. Kidney transplantation in such cases is safe and we recommend routine pre-operative imaging of patients known to have congenital genitourniary abnormalities. The kidney should be implanted heterotopically to the contralateral side of the vascular anomaly and care must be taken to preserve vascular supply to the lower limbs. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. Effects of inlet radius and bell mouth radius on flow rate and sound quality of centrifugal blower

    International Nuclear Information System (INIS)

    Son, Pham Ngoc; Kim, Jae Won; Byun, S. M.; Ahn, E. Y.

    2012-01-01

    The effect of inlet radius and bell mouth radius on flow rate of centrifugal blower were numerically simulated using a commercial CFD program, FLUENT. In this research, a total of eight numerical models were prepared by combining different values of bell mouth radii and inlet radii (the cross section of bell mouth was chosen as a circular arc in this research). The frozen rotor method combined with a realizable k-epsilon turbulence model and non-equilibrium wall function was used to simulate the three-dimensional flow inside the centrifugal blowers. The inlet radius was then revealed to have significant impact on flow rate with the maximum difference between analyzed models was about 4.5% while the bell mouth radius had about 3% impact on flow rate. Parallel experiments were carried out to confirm the results of CFD analysis. The CFD results were thereafter validated owning to the good agreement between CFD results and the parallel experiment results. In addition to performance analysis, noise experiments were carried out to analyze the dependence of sound quality on inlet radius and bell mouth radius with different flow rate. The noise experiment results showed that the loudness and sharpness value of different models were quite similar, which mean the inlet radius and the bell mouth radius didn't have a clear impact on sound quality of centrifugal blower

  17. Mosaic 22q11.2 deletion and tetralogy of Fallot with absent pulmonary valve: an unreported association.

    Science.gov (United States)

    Prabhu, Sudesh; Jenny, Bryan; James, Harraway; Provenzano, Sylvio

    2015-04-01

    Chromosome 22q11.2 microdeletion is the most common microdeletion syndrome. Mosaic 22q11.2 deletions are very rare and only a few have been reported. We describe a case of a neonate with tetralogy of Fallot with absent pulmonary valve with mosaic 22q11.2 deletion. Fluorescent in situ hybridization analysis of lymphocytes showed a hemizygous 22q11.2 microdeletion in 66% of interphase nuclei. Microarray testing confirmed a 1.66 Mb deletion at 22q11.2. The child did not have any clinical manifestations of 22q11.2 deletion other than the cardiac malformation. © The Author(s) 2014.

  18. Prenatal Diagnosis of WAGR Syndrome

    Directory of Open Access Journals (Sweden)

    Berrin Tezcan

    2015-01-01

    Full Text Available Wilm’s tumour, aniridia, genitourinary abnormalities, and mental retardation (WAGR syndrome is a rare genetic disorder with an estimated prevalence of 1 in 500,000 to 1 million. It is a contiguous gene syndrome due to deletion at chromosome 11p13 in a region containing WT1 and PAX6 genes. Children with WAGR syndrome mostly present in the newborn/infancy period with sporadic aniridia. The genotypic defects in WAGR syndrome have been well established. However, antenatal ultrasonographic presentation of this syndrome has never been reported. Prenatal diagnosis of this condition is possible in some cases with careful ultrasound examination of classical and nonclassical manifestations of this syndrome. The key point for this rare diagnosis was the decision to perform chromosomal microarray analysis after antenatal diagnosis of absent corpus callosum and absent cavum septum pellucidum, as this finding mandates search for potentially associated genetic disorders. We report a case of WAGR syndrome diagnosed prenatally at 29-week gestation. The diagnosis of the anomaly was based on two- and three-dimensional ultrasound as well as fetal MRI scan and microarray analysis. The ultrasonographic findings included borderline ventriculomegaly, absent corpus callosum, and absent cavum septum pellucidum. Cytogenetic results from the amniotic fluid confirmed WAGR syndrome. Parental karyotype was normal, with no evidence of copy number change, deletion, or rearrangement of this region of chromosome 11.

  19. Radius ratio effects on natural heat transfer in concentric annulus

    DEFF Research Database (Denmark)

    Alipour, M.; Hosseini, R.; Kolaei, Alireza Rezania

    2013-01-01

    This paper studies natural convection heat transfer in vertical and electrically heated annulus. The metallic cylinders mounted concentrically in a parallel tube. Measurements are carried out for four input electric powers and three radius ratios with an apparatus immersed in stagnant air....... This experimental work develops correlations of the average Nusselt number dependency on the Rayleigh number in the annulus, where this dependency promotes as the radius ratio increases from 0.1 to 0.2. Moreover, a correlation is proposed to determine the average Nusselt number based on the variation of the radius...

  20. MUSE: Measuring the proton radius with muon-proton scattering

    Energy Technology Data Exchange (ETDEWEB)

    Bernauer, Jan Christopher [Massachusetts Institute of Technology, Cambridge (United States)

    2014-07-01

    The proton radius has been measured so far using electron-proton scattering, electronic Hydrogen spectroscopy and muonic Hydrogen spectroscopy, the latter producing a much more accurate, but seven sigma different, result, leading to the now famous proton radius puzzle. The MUSE collaboration aims to complete the set of measurements by using muon scattering to determine the proton radius and to shed light on possible explanations of the discrepancy. The talk gives an overview of the experiment motivation and design and a status report on the progress.

  1. Sonographic appearance of asplenia syndrome

    International Nuclear Information System (INIS)

    Hausdorf, G.

    1983-01-01

    The findings of upper abdominal sonography in three patients with asplenia syndrome are reported. Beside the juxtaposition of the abdominal aorta and inferior vena cava, two additional signs of the asplenia syndrome are discussed: absent splenic vein in pancreatic sonography and midline portal vein. While upper abdominal sonography is not diagnostic in determining the absence or presence of splenic tissue, it seems to be helpful in the identification of upper abdominal vascular anatomy. By demonstrating juxtaposition of the abdominal aorta and inferior vena cava, absent splenic vein, and midline portal vein, upper abdominal sonography can play a significant part in the diagnosis of asplenia syndrome. Alternative diagnostic approaches are discussed. (orig.) [de

  2. Human Fertility Increases with the Marital-radius

    DEFF Research Database (Denmark)

    Labouriau, Rodrigo; Amorim, António

    2008-01-01

    We report a positive association between marital radius (distance between mates' birthplaces) and fertility detected in a large population. Spurious association due to socioeconomic factors is discarded by a conditional analysis involving income, education, and urbanicity. Strong evidence...

  3. Spectroscopy of muonic atoms and the proton radius puzzle

    Science.gov (United States)

    Antognini, Aldo

    2017-09-01

    We have measured several 2 S -2 P transitions in muonic hydrogen (μp), muonic deuterium (μd) and muonic helium ions (μ3He, μ4He). From muonic hydrogen we extracted a proton charge radius 20 times more precise than obtained from electron-proton scattering and hydrogen high-precision laser spectroscopy but at a variance of 7 σ from these values. This discrepancy is nowadays referred to as the proton radius puzzle. New insight has been recently provided by the first determination of the deuteron charge radius from laser spectroscopy of μd. The status of the proton charge radius puzzle including the new insights obtained by μd spectroscopy will be discussed. Work supported by the Swiss National Science Foundation SNF-200021-165854 and the ERC CoG. #725039.

  4. Nuclear radius deduced from proton diffraction by a black nucleus

    Science.gov (United States)

    Kohama, Akihisa; Iida, Kei; Oyamatsu, Kazuhiro

    2004-06-01

    We find a new method to deduce nuclear radii from proton-nucleus elastic scattering data. In this method, a nucleus is viewed as a “black” sphere. A diffraction pattern of protons by this sphere is equivalent to that of the Fraunhofer diffraction by a circular hole of the same radius embedded in a screen. We determine the black sphere radius in such a way as to reproduce the empirical value of the angle of the observed first diffraction peak. It is useful to identify this radius multiplied by √(3/5 ) with the root-mean-square matter radius of the target nucleus. For most stable isotopes of masses heavier than 50, it agrees, within the error bars, with the values that were deduced in previous elaborate analyses from the data obtained at proton incident energies higher than ˜800 MeV .

  5. Generalized spectral radius and its max algebra version

    Czech Academy of Sciences Publication Activity Database

    Müller, Vladimír; Peperko, A.

    2013-01-01

    Roč. 439, č. 4 (2013), s. 1006-1016 ISSN 0024-3795 R&D Projects: GA ČR GA201/09/0473; GA AV ČR IAA100190903 Institutional support: RVO:67985840 Keywords : generalized spectral radius * joint spectral radius * Berger-Wang formula Subject RIV: BA - General Mathematics Impact factor: 0.983, year: 2013 http://www.sciencedirect.com/science/article/pii/S0024379512007380

  6. On the radius of neighborhood graphs | Mukwembi | Quaestiones ...

    African Journals Online (AJOL)

    The k-step graph G′k of a graph G has the same vertex set as G and two vertices are adjacent in G ′ k if and only if there exists a path of length k connecting them in G. The graph G ′ 2 is called the neighborhood graph of G. We present results on the connectivity and the radius of k-step graphs, especially on the radius of ...

  7. Ipsilateral olecranon and distal radius fracture: A case report.

    Science.gov (United States)

    Cengiz, Ömer; Polat, Gökhan; Karademir, Gökhan; Kara, Deniz; Erdil, Mehmet

    2015-01-01

    Concomitant ipsilateral olecranon and distal radius fracture are rare injuries. Their clinical presentation is unusual and investigation and management is poorly described. We present a 55-year-old woman patient who fell off sustaining a concomitant distal radius and olecranon fracture in the same extremity. On examination, there was gross swelling of the proximal and distal forearm and no neurovascular deficit. Radiographs confirmed distal radius and olecranon fracture. Patient was treated with open reduction and anatomic locking plate for olecranon and a closed reduction percuteneous K wire fixation with penning fixator for distal radius fracture. After physical therapy program, functional results were good and DASH score was 60. Several different combinations of fracture with dislocation have been described, but, to our knowledge, concurrent ipsilateral olecranon and distal radius fracture has not been reported before. In the literature review there are two similar cases in the English literature. Ipsilateral olecranon and distal radius fracture is a very rare injury due to different trauma mechanisms. However we should keep in mind that there may be adjacent joints and structures for concomitant injuries. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  8. Geometric studies on variable radius spiral cone-beam scanning

    International Nuclear Information System (INIS)

    Ye Yangbo; Zhu Jiehua; Wang Ge

    2004-01-01

    The goal is to perform geometric studies on cone-beam CT scanning along a three-dimensional (3D) spiral of variable radius. First, the background for variable radius spiral cone-beam scanning is given in the context of electron-beam CT/micro-CT. Then, necessary and sufficient conditions are proved for existence and uniqueness of PI lines inside the variable radius 3D spiral. These results are necessary steps toward exact cone-beam reconstruction from a 3D spiral scan of variable radius, adapting Katsevich's formula for the standard helical cone-beam scanning. It is shown in the paper that when the longitudinally projected planar spiral is not always convex toward the origin, the PI line may not be unique in the envelope defined by the tangents of the spiral. This situation can be avoided by using planar spirals whose curvatures are always positive. Using such a spiral, a longitudinally homogeneous region inside the corresponding 3D spiral is constructed in which any point is passed by one and only one PI line, provided the angle ω between planar spiral's tangent and radius is bounded by vertical bar ω-90 deg. vertical bar ≤ε for some positive ε≤32.48 deg. If the radius varies monotonically, this region is larger and one may allow ε≤51.85 deg. Examples for 3D spirals based on logarithmic and Archimedean spirals are given. The corresponding generalized Tam-Danielsson detection windows are also formulated

  9. Women's Health Implications of Polycystic Ovary Syndrome

    NARCIS (Netherlands)

    Veltman-Verhulst, S.M.

    2012-01-01

    Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder of unknown etiology which affects approximately 12% of women. Principal features of PCOS are anovulation resulting in irregular or absent menstruation, excessive androgens (male sex hormones) and ovaries with multiple follicles

  10. Neuroacanthocytosis Syndromes

    Directory of Open Access Journals (Sweden)

    Walker Ruth H

    2011-10-01

    Full Text Available Abstract Neuroacanthocytosis (NA syndromes are a group of genetically defined diseases characterized by the association of red blood cell acanthocytosis and progressive degeneration of the basal ganglia. NA syndromes are exceptionally rare with an estimated prevalence of less than 1 to 5 per 1'000'000 inhabitants for each disorder. The core NA syndromes include autosomal recessive chorea-acanthocytosis and X-linked McLeod syndrome which have a Huntington´s disease-like phenotype consisting of a choreatic movement disorder, psychiatric manifestations and cognitive decline, and additional multi-system features including myopathy and axonal neuropathy. In addition, cardiomyopathy may occur in McLeod syndrome. Acanthocytes are also found in a proportion of patients with autosomal dominant Huntington's disease-like 2, autosomal recessive pantothenate kinase-associated neurodegeneration and several inherited disorders of lipoprotein metabolism, namely abetalipoproteinemia (Bassen-Kornzweig syndrome and hypobetalipoproteinemia leading to vitamin E malabsorption. The latter disorders are characterized by a peripheral neuropathy and sensory ataxia due to dorsal column degeneration, but movement disorders and cognitive impairment are not present. NA syndromes are caused by disease-specific genetic mutations. The mechanism by which these mutations cause neurodegeneration is not known. The association of the acanthocytic membrane abnormality with selective degeneration of the basal ganglia, however, suggests a common pathogenetic pathway. Laboratory tests include blood smears to detect acanthocytosis and determination of serum creatine kinase. Cerebral magnetic resonance imaging may demonstrate striatal atrophy. Kell and Kx blood group antigens are reduced or absent in McLeod syndrome. Western blot for chorein demonstrates absence of this protein in red blood cells of chorea-acanthocytosis patients. Specific genetic testing is possible in all NA syndromes

  11. Diagnostic accuracy and clinical outcomes associated with prenatal diagnosis of fetal absent cavum septi pellucidi.

    Science.gov (United States)

    Pilliod, Rachel A; Pettersson, David R; Gibson, Thomas; Gievers, Ladawna; Kim, Amanda; Sohaey, Roya; Oh, Karen Y; Shaffer, Brian L

    2018-03-13

    Absence of the CSP on prenatal imaging is historically associated with additional anomalies, however recently cases of isolated, absent CSP have also been identified. This study seeks to assess the accuracy of prenatal imaging in evaluating isolated, absent CSP and to describe the spectrum of clinical outcomes. This is a retrospective observational study of all prenatally diagnosed absent CSP cases between 2011 and 2016 at our institution. Cases with additional structural parenchymal abnormalities were excluded. Clinical outcomes were abstracted from available records. We identified 15 cases of prenatally diagnosed isolated absent CSP. All patients were initially diagnosed on ultrasound and 11/15 patients had fetal MRI confirming the diagnosis. Prenatal US and MRI were concordant in all cases. Of the continuing pregnancies, two neonatal deaths occurred related to extreme prematurity. Two cases of SOD were identified in our cohort. In this study, fetal MRI and US had a high degree of accuracy with concordant postnatal imaging. Our study is similar to other case series suggesting that a range of clinical outcomes is possible with isolated absent CSP, but long term patient follow up is necessary. This article is protected by copyright. All rights reserved.

  12. On tidal radius determination for a globular cluster

    International Nuclear Information System (INIS)

    Ninkovic, S.

    1985-01-01

    A tidal radius determination for a globular cluster based on its density minimum, which is caused by the galactic tidal forces and derivable from a model of the Galaxy, is proposed. Results obtained on the basis of the Schmidt model for two clusters are in a satisfactory agreement with those obtained earlier by means of other methods. A mass determination for the clusters through the tidal radius, when the latter one is identified with the cluster perigalactic distance, yields unusually large mass values. Probably, the tidal radius should be identified with the instantaneous galactocentric distance. Use of models more recent than the Schmidt one indicates that a globular cluster may contain a significant portion of an invisible interstellar matter. (author)

  13. Rational functions with maximal radius of absolute monotonicity

    KAUST Repository

    Loczi, Lajos

    2014-05-19

    We study the radius of absolute monotonicity R of rational functions with numerator and denominator of degree s that approximate the exponential function to order p. Such functions arise in the application of implicit s-stage, order p Runge-Kutta methods for initial value problems and the radius of absolute monotonicity governs the numerical preservation of properties like positivity and maximum-norm contractivity. We construct a function with p=2 and R>2s, disproving a conjecture of van de Griend and Kraaijevanger. We determine the maximum attainable radius for functions in several one-parameter families of rational functions. Moreover, we prove earlier conjectured optimal radii in some families with 2 or 3 parameters via uniqueness arguments for systems of polynomial inequalities. Our results also prove the optimality of some strong stability preserving implicit and singly diagonally implicit Runge-Kutta methods. Whereas previous results in this area were primarily numerical, we give all constants as exact algebraic numbers.

  14. Proton Charge Radius (PRad) Experiment at Jefferson Lab

    Science.gov (United States)

    Peng, C.; Gao, H.

    2016-03-01

    The puzzle of proton charge radius was recently raised by the measurement of muonic hydrogen Lamb shift at Paul Scherrer Institute (PSI), whose results were seven standard deviations smaller than the CODATA recommended value. To investigate this discrepancy, the PRad experiment was proposed and approved at Thomas Jefferson National Accelerator Facility (JLab). The experiment will extract the proton charge radius with a sub-percent accuracy by measuring the cross-sections of unpolarized electronproton elastic scattering in an unprecedented low Q2 region (2×10-4 GeV2/c2).

  15. Proton Charge Radius (PRad Experiment at Jefferson Lab

    Directory of Open Access Journals (Sweden)

    Peng C.

    2016-01-01

    Full Text Available The puzzle of proton charge radius was recently raised by the measurement of muonic hydrogen Lamb shift at Paul Scherrer Institute (PSI, whose results were seven standard deviations smaller than the CODATA recommended value. To investigate this discrepancy, the PRad experiment was proposed and approved at Thomas Jefferson National Accelerator Facility (JLab. The experiment will extract the proton charge radius with a sub-percent accuracy by measuring the cross-sections of unpolarized electronproton elastic scattering in an unprecedented low Q2 region (2×10−4 GeV2/c2.

  16. Underground nuclear explosions. Study of the cavity radius

    International Nuclear Information System (INIS)

    Michaud, L.

    1968-11-01

    An underground nuclear explosion creates a cavity due to the expansion of the surrounding medium vaporized by the shot. The cavity radius is related to the energy of explosion and to the overburden pressure of the medium. The introduction of new elements such as the environment of the device (in a deep hole or in a tunnel) and the cohesion of the medium leads to a relationship which determines this radius. The known French and American underground explosions performed in various media, energy and overburden conditions, satisfy this relationship with a good precision. (author) [fr

  17. External Fixation of Unstable Distal Radius Fracture. A Case Report

    OpenAIRE

    Yaniel Truffin Rodríguez; Rafael Esmandy Gámez Arregoitía; Indira L. Gómez Gil; José Julio Requeiro Morejón

    2014-01-01

    Unstable fracture of the distal radius is a common injury. If not properly treated, it can cause major disturbance in the radiocarpal joint and impaired hand function. A case of a 42-year-old patient of rural origin without a history of previous conditions treated at the Gustavo Aldereguía Lima Hospital in Cienfuegos is presented. He suffered a fall on the outstretched hand, which led to an unstable fracture of the left distal radius. Emergency surgery consisting of manual fracture reduction ...

  18. The PRad experiment and the proton radius puzzle

    Directory of Open Access Journals (Sweden)

    Gasparian Ashot

    2014-06-01

    Full Text Available New results from the recent muonic hydrogen experiments seriously questioned our knowledge of the proton charge radius, rp. The new value, with its unprecedented less than sub-percent precision, is currently up to eight standard deviation smaller than the average value from all previous experiments, triggering the well-known “proton charge radius puzzle” in nuclear and atomic physics. The PRad collaboration is currently preparing a novel, magnetic-spectrometer-free ep scattering experiment in Hall B at JLab for a new independent rp measurement to address this growing “puzzle” in physics.

  19. Thoughts on the so-called radius-capitellum axis

    Energy Technology Data Exchange (ETDEWEB)

    Schild, H.; Mueller, H.A.; Wagner, H.; Baetz, W.

    1982-02-01

    We have studied 438 patients radiologically in order to observe the so-called 'radius-capitellum axis'. In about a quarter of people with normal elbows the axis passes lateral to the middle portion of the capitellum, so that even when there is marked deviation, there is no certainty that the humero-radial joint is abnormal. Deviation of the axis can be caused by changes in the shape of the capitellum or of the radius, or by distension of the capsule of the elbow joint, or by various changes in muscular pull.

  20. Isotopic effects on non-linearity, molecular radius and intermolecular ...

    Indian Academy of Sciences (India)

    study the isotopic effects on the non-linearity parameter and the physicochemical proper- ties of the liquids, which in turn has been used to study their effect on the intermolecular interactions produced thereof. Keywords. Non-linearity parameter; molecular radius; free length; intermolecular inter- actions. PACS Nos 43.25.

  1. PROXIMAL RADIUS RECONSTRUCTION BY METATARSAL OSTEOCHONDRAL AUTO GRAFT

    Directory of Open Access Journals (Sweden)

    Kammar

    2015-04-01

    Full Text Available 17 Year Old student, Pavan presents with swelling since 8 months. Swelling was diffuse over forearm. Tenderness was present. No local rise of temperature. Range of m ovement at elbow was restricted and painful terminally. No distal neurovascular deficits. X - ray reveale d it to be an a neurysmal bone cyst of proximal right radius. FNAC showed Aneurysmal bone cyst for which curettage and bone grafting was done. Post 6 months tumour recurred with a swelling around upper third of right fo rearm. FNAC and J - needle biopsy showed it to be a neurysmal bone cyst. MRI showed ABC of proximal radius without soft tissue involvement. Excision of proximal third of radius with reconstruction by 3 rd metatarsal and augmented with fib ular graft and stabili zed with dynamic c ompression plate and screws . Tumour specimen was sent for h istopathology a t 2 weeks p ost operatively patient had good range of movements. At present patient has full range of flexion , extension , supination & pronation . He is able to carry out his ADL. In the literature proximal radius reconstruction has been tried in traumatic communited radial head fractures. Here it done for r ecurrent benign tumour like aneurysmal bone cyst, as the base of 3rd metatarsal anatomically coincides with radial head and hence a better radio - capital articulation

  2. Axial Length/Corneal Radius of Curvature Ratio and Refractive ...

    African Journals Online (AJOL)

    2017-12-05

    Dec 5, 2017 ... variously described as determined by the ocular biometric variables. There have been many studies on the relationship between refractive error and ocular axial length (AL), anterior chamber depth, corneal radius of curvature (CR), keratometric readings as well as other ocular biometric variables such as ...

  3. Effect of Hall Current and Finite Larmor Radius Corrections on ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Astrophysics and Astronomy; Volume 37; Issue 3. Effect of Hall Current and Finite Larmor Radius Corrections on Thermal Instability of Radiative Plasma for Star Formation in Interstellar Medium (ISM). Sachin Kaothekar. Research Article Volume 37 Issue 3 September 2016 Article ID 23 ...

  4. Computational Analysis of Dual Radius Circulation Control Airfoils

    Science.gov (United States)

    Lee-Rausch, E. M.; Vatsa, V. N.; Rumsey, C. L.

    2006-01-01

    The goal of the work is to use multiple codes and multiple configurations to provide an assessment of the capability of RANS solvers to predict circulation control dual radius airfoil performance and also to identify key issues associated with the computational predictions of these configurations that can result in discrepancies in the predicted solutions. Solutions were obtained for the Georgia Tech Research Institute (GTRI) dual radius circulation control airfoil and the General Aviation Circulation Control (GACC) dual radius airfoil. For the GTRI-DR airfoil, two-dimensional structured and unstructured grid computations predicted the experimental trend in sectional lift variation with blowing coefficient very well. Good code to code comparisons between the chordwise surface pressure coefficients and the solution streamtraces also indicated that the detailed flow characteristics were matched between the computations. For the GACC-DR airfoil, two-dimensional structured and unstructured grid computations predicted the sectional lift and chordwise pressure distributions accurately at the no blowing condition. However at a moderate blowing coefficient, although the code to code variation was small, the differences between the computations and experiment were significant. Computations were made to investigate the sensitivity of the sectional lift and pressure distributions to some of the experimental and computational parameters, but none of these could entirely account for the differences in the experimental and computational results. Thus, CFD may indeed be adequate as a prediction tool for dual radius CC flows, but limited and difficult to obtain two-dimensional experimental data prevents a confident assessment at this time.

  5. Individualist-Collectivist Culture and Trust Radius : A Multilevel Approach

    NARCIS (Netherlands)

    van Hoorn, André

    We apply a multilevel approach to examine empirically the nexus between individualist and collectivist culture on the one hand and people’s radius of trust on the other. People’s trust level (i.e., the intensity with which people trust other people) has been extensively studied. Increasingly,

  6. Ultrasonic pattern recognition study of feedwater nozzle inner radius indication

    International Nuclear Information System (INIS)

    Yoneyama, H.; Takama, S.; Kishigami, M.; Sasahara, T.; Ando, H.

    1983-01-01

    A study was made to distinguish defects on feed-water nozzle inner radius from noise echo caused by stainless steel cladding by using ultrasonic pattern recognition method with frequency analysis technique. Experiment has been successfully performed on flat clad plates and nozzle mock-up containing fatigue cracks and the following results which shows the high capability of frequency analysis technique are obtained

  7. Finite Larmor radius flute mode theory with end loss

    Energy Technology Data Exchange (ETDEWEB)

    Kotelnikov, I.A. [AN SSSR, Novosibirsk (Russian Federation). Inst. Yadernoj Fiziki; Berk, H.L. [Texas Univ., Austin, TX (United States). Inst. for Fusion Studies

    1993-08-01

    The theory of flute mode stability is developed for a two-energy- component plasma partially terminated by a conducting limiter. The formalism is developed as a preliminary study of the effect of end-loss in open-ended mirror machines where large Larmor radius effects are important.

  8. Frictional coefficient depending on active friction radius with BPV ...

    African Journals Online (AJOL)

    The comparison of estimated frictional coefficient from numerical output is in agreement with vis-à-vis corresponding similar computed from the virtual braking system model in the Simulink. The results indicated that highest frictional coefficient of 0.7 was obtained on the piston side of the rotor disc and active friction radius is ...

  9. Axial Length/Corneal Radius of Curvature Ratio and Refractive ...

    African Journals Online (AJOL)

    2018-02-07

    Feb 7, 2018 ... Aim/Background: Associations between axial length (AL) to corneal radius of curvature (CR) ratio and refractive status in a healthy Nigerian adult population were studied. Materials and Methods: Healthy students and members of staff of Obafemi Awolowo Teaching Hospitals Complex, Ile-Ife, South West ...

  10. Larmor radius expansion for the inhomogeneous plasma dielectric tensor

    International Nuclear Information System (INIS)

    Ottaviani, M.

    1984-01-01

    A larmour radius expansion for the dielectric tensor of an inhomogeneous plasma with perpendicular gradients is derived directly from the relativistic Vlasov equation. Various wave equations are derived from relevant radio frequency heating problems together with a generalized Poynting theorem. The validity of Kadomtev's assumption is discussed

  11. Artificial gravity: head movements during short-radius centrifugation

    NARCIS (Netherlands)

    Young, L. R.; Hecht, H.; Lyne, L. E.; Sienko, K. H.; Cheung, C. C.; Kavelaars, J.

    2001-01-01

    Short-radius centrifugation is a potential countermeasure to long-term weightlessness. Unfortunately, head movements in a rotating environment induce serious discomfort, non-compensatory vestibulo-ocular reflexes, and subjective illusions of body tilt. In two experiments we investigated the effects

  12. Axial Length/Corneal Radius of Curvature Ratio and Refractive ...

    African Journals Online (AJOL)

    Aim/Background: Associations between axial length (AL) to corneal radius of curvature (CR) ratio and refractive status in a healthy Nigerian adult population were studied. Materials and Methods: Healthy students and members of staff of Obafemi Awolowo Teaching Hospitals Complex, Ile‑Ife, South West Nigeria, free of ...

  13. Effect of Hall Current and Finite Larmor Radius Corrections on ...

    Indian Academy of Sciences (India)

    Abstract. The effects of finite ion Larmor radius (FLR) corrections,. Hall current and radiative heat-loss function on the thermal instability of an infinite homogeneous, viscous plasma incorporating the effects of finite electrical resistivity, thermal conductivity and permeability for star formation in interstellar medium have been ...

  14. Recognizing chaotic states in stadium billiard by calculating gyration radius

    Directory of Open Access Journals (Sweden)

    M. Barezi

    2006-12-01

    Full Text Available   Nowadays study of chaotic quantum billiards because of their relation to Nano technology. In this paper distribution of zeros of wave function on the boundary of two circular and stadium billiards are investigated. By calculating gyration radius for these points chaotic and non-chaotic states are distinguished.

  15. Nonlinear buckling analyses of a small-radius carbon nanotube

    Science.gov (United States)

    Liu, Ning; Wang, Yong-Gang; Li, Min; Jia, Jiao

    2014-04-01

    Carbon nanotube (CNT) was first discovered by Sumio Iijima. It has aroused extensive attentions of scholars from all over the world. Over the past two decades, we have acquired a lot of methods to synthesize carbon nanotubes and learn their many incredible mechanical properties such as experimental methods, theoretical analyses, and computer simulations. However, the studies of experiments need lots of financial, material, and labor resources. The calculations will become difficult and time-consuming, and the calculations may be even beyond the realm of possibility when the scale of simulations is large, as for computer simulations. Therefore, it is necessary for us to explore a reasonable continuum model, which can be applied into nano-scale. This paper attempts to develop a mathematical model of a small-radius carbon nanotube based on continuum theory. An Isotropic circular cross-section, Timoshenko beam model is used as a simplified mechanical model for the small-radius carbon nanotube. Theoretical part is mainly based on modified couple stress theory to obtain the numerical solutions of buckling deformation. Meanwhile, the buckling behavior of the small radius carbon nanotube is simulated by Molecular Dynamics method. By comparing with the numerical results based on modified couple stress theory, the dependence of the small-radius carbon nanotube mechanical behaviors on its elasticity constants, small-size effect, geometric nonlinearity, and shear effect is further studied, and an estimation of the small-scale parameter of a CNT (5, 5) is obtained.

  16. Marital Conflicts in the Home When Children Are Present versus Absent.

    Science.gov (United States)

    Papp, Lauren M.; Cummings, E. Mark; Goeke-Morey, Marcie C.

    2002-01-01

    Drew from 47 parents' reports over a 15-day period to compare characteristics of marital conflict when children (8-16 years) were present versus absent. Found that mothers described 669 incidents of conflict and fathers described 551 incidents. About two-thirds of marital conflicts occurred in children's absence. Child-present conflicts were more…

  17. Variable radius cartography - History and perspectives of a new discipline

    Science.gov (United States)

    Scalera, Giancarlo

    2014-05-01

    The map that Toscanelli sent to Columbus was an unconscious application of cartography at a smaller radius than the real. The first really conscious attempts to represent the geography of Earth on globes of radius less than the current one occurred after the formulation of the concept of expanding Earth through geological time. The American chemist and geologist Richard Owen (1810-1890) in his book Key to the geology of the globe (1857) described the principles of what he himself called Anatomical Geology, with the Earth growing as a biological organism. The book contained a global paleogeographic map of the Earth that would have had a radius of about 4000 kilometers. In 1928 J.A.H. Kerkhoff (under the pseudonym Aero-dilettant) published a series of paleogeographic globes on which the modern oceans disappeared. With the same artisan methods of transfer continental outlines from a sphere to a smaller one, in 1933 O.C. Hilgenberg represented three different geological epochs, and, later, for the first time mapped paleopoles with their site-pole segments of meridian. Even today the traditional method of Hilgenberg is followed by senior researchers (Klaus Vogel, 2003) and younger geologists (James Maxlow). In England Hugh Owen applied the methods of traditional cartography to the variable radius one. His Atlas of Continental Displacement was in the 70s and 80s, for this discipline, a real milestone. While in the field of constant radius paleogeography the adherents to plate tectonics created many computer codes of automatic mapping (Bullard et al., 1965; Smith & Hallam, 1970; Scotese et al., 1979; and many others), in the variable radius field few tried to reach the same task. In 1972 in United States a first very simple attempt (but was not further developed) came from a private, R.B. Perry, followed by the still not-computerized Atlas of Owen, and both them constituted inspiration for the construction of a FORTRAN variable radius mapping code at INGV, with which it

  18. VOLAR LOCKING PLATE OSTEOSYNTHESIS IN DISTAL END RADIUS FRACTURES

    Directory of Open Access Journals (Sweden)

    Gyan Ranjan

    2017-07-01

    Full Text Available BACKGROUND Distal end Radius fractures account for about 20% of all the fracture treated in emergency department of Kosi & Seemanhcal area in Bihar. The majority of osteoporotic fractures occur as a result of fall from standing height on outstretched hand while in young patients, distal end radius fractures are seen secondary to RTA & sports activities. We conducted a study of a small group to evaluate the functional outcome of ORIF & volar locking plate fixation done for distal end radius fractures after one year. MATERIALS AND METHODS Records of 19 men and 41 women aged 17 to 78 years who underwent volar locking plate fixation for distal radial fractures were reviewed. According to AO-Classification of Distal End Radius fractures. 2 Patients had A2 Type of fracture, 3 had A3 Type, both B2 & B3 had 4 cases each, 15 of C1 Type, 21 of C2 type and 11 0f C3 Type. Functional outcome was assessed by using “Demerit point rating system” of Gartland & Werley. In all the patients at their final follow-up visit at 12 months. RESULTS Out of all these 60 patients, 9 cases had 10 complications, 2 cases developed Grade (I Arthritis, 2 cases developed Grade (II arthritis, 1 case developed superficial skin infection with medium nerve compression symptoms, 2 cases developed superficial skin infection which was resolved by continuous dressing on alternate days & 5 cases developed median nerve compression symptoms in which for 2 cases symptoms resolved with time, in rest 3 cases carpal Tunnel Decompression was done. Overall 63.3% result were excellent, 23.3% were good & 13.3% fair outcomes. The residual deformity was 0.70 the subjective score was 1.47 the objective score was 1.70, the total demerit score was as per modification Garland & Werley scoring groups (Mean values was 3.67. In all the cases, stainless steel plate was used. CONCLUSION In distal end radius fractures open reduction and internal fixation with volar locking compression plate followed by

  19. Prenatal diagnosis of a case with anencephaly-omphalocele-unilateral absent radial ray.

    Science.gov (United States)

    Ceylaner, S; Ceylaner, G; Altun, M; Coşkun, A; Danisman, N

    2009-01-01

    We report here a female fetus with anencephaly, omphalocele and unilateral radial aplasia. The combination of two of these three malformations were reported in a number of patients diagnosed as Gershoni-Barush syndrome, ORR phenotype, VATER association, Schisis association, OEIS complex, Schinzel phocomelia syndrome and Acalvaria but they have not been reported all together in the same patient up to date. We hypothesize that, some or all these syndromes given above may be related etiologically.

  20. A generalized spectral radius formula and Olsen's question

    DEFF Research Database (Denmark)

    Loring, Terry; Shulman, Tatiana

    2012-01-01

    Let A be a C⁎C⁎-algebra and I be a closed ideal in A. For x∈Ax∈A, its image in A/IA/I is denoted by x˙, and its spectral radius is denoted by r(x)r(x). We prove that max{r(x),‖x˙‖}=inf‖(1+i)−1x(1+i)‖ (where the infimum is taken over all i∈Ii∈I such that 1+i1+i is invertible), which generalizes...... the spectral radius formula of Murphy and West. Moreover if r(x)C⁎C⁎-algebra. Using this we give a partial answer to an open question of C. Olsen: if p is a polynomial then for “almost every” operator T...

  1. On correspondence between atomic volume and atomic radius in metals

    International Nuclear Information System (INIS)

    Malyuchkov, O.T.

    1980-01-01

    Atomic radii for 68 metals and their allotropic modifications are calculated according to proposed carlier technique for recalculation of real structure to structures with coordination number 12. The comparison of obtained values with published data confirms the supposition on proportionality of the dependence between atomic volume and atomic radius. Atomic number is more sensitive to structural transformations than atomic radius and it can better characterize a tendency in electronic structure modification of a substance during phase transistions. Taking into considerations that in different structure modifications both the value of atomic volume and the correlation between the volume of ''rigid ball'' and peripherical part of atomic volume change, these changes can be used for qualitative assesment of a number of parameters of electronic structure of metals, alloys and compounds [ru

  2. Predicting jet radius in electrospinning by superpositioning exponential functions

    International Nuclear Information System (INIS)

    Widartiningsih, P M; Viridi, S; Iskandar, F; Munir, M M

    2016-01-01

    This paper presents an analytical study of the correlation between viscosity and fiber diameter in electrospinning. Control over fiber diameter in electrospinning process was important since it will determine the performance of resulting nanofiber. Theoretically, fiber diameter was determined by surface tension, solution concentration, flow rate, and electric current. But experimentally it had been proven that significantly viscosity had an influence to fiber diameter. Jet radius equation in electrospinning process was divided into three areas: near the nozzle, far from the nozzle, and at jet terminal. There was no correlation between these equations. Superposition of exponential series model provides the equations combined into one, thus the entire of working parameters on electrospinning take a contribution to fiber diameter. This method yields the value of solution viscosity has a linear relation to jet radius. However, this method works only for low viscosity. (paper)

  3. Local Convergence and Radius of Convergence for Modified Newton Method

    Directory of Open Access Journals (Sweden)

    Măruşter Ştefan

    2017-12-01

    Full Text Available We investigate the local convergence of modified Newton method, i.e., the classical Newton method in which the derivative is periodically re-evaluated. Based on the convergence properties of Picard iteration for demicontractive mappings, we give an algorithm to estimate the local radius of convergence for considered method. Numerical experiments show that the proposed algorithm gives estimated radii which are very close to or even equal with the best ones.

  4. THE SIZE-VIRIAL RADIUS RELATION OF GALAXIES

    International Nuclear Information System (INIS)

    Kravtsov, Andrey V.

    2013-01-01

    I use the abundance matching ansatz, which has proven to be successful in reproducing galaxy clustering and other statistics, to derive estimates of the virial radius, R 200 , for galaxies of different morphological types and a wide range of stellar masses. I show that over eight orders of magnitude in stellar mass galaxies of all morphological types follow an approximately linear relation between half-mass radius of their stellar distribution, r 1/2 , and virial radius, r 1/2 ≈ 0.015 R 200 , with scatter of ≈0.2 dex. Such scaling is in remarkable agreement with the expectation of models that assume that galaxy sizes are controlled by halo angular momentum, r 1/2 ∝λR 200 , where λ is the spin of galaxy parent halo. The scatter about the relation is comparable with the scatter expected from the distribution of λ. Moreover, I show that when the stellar and gas surface density profiles of galaxies of different morphological types are rescaled by the radius r n = 0.015 R 200 , the rescaled profiles follow approximately universal exponential (for late types) and de Vaucouleurs (for early types) form with scatter of only ≈30%-50% at R ≈ 1-3r n . Remarkably, both late- and early-type galaxies have similar mean stellar surface density profiles at R ∼> 1r n . The main difference between their stellar distributions is thus at R n . The results of this study imply that galaxy sizes and radial distribution of baryons are shaped primarily by properties of their parent halos and that the sizes of both late-type disks and early-type spheroids are controlled by halo angular momentum.

  5. Fractures of the shafts of the radius and ulna

    International Nuclear Information System (INIS)

    Bender, C.E.; Campbell, D.C.

    1985-01-01

    Although the clinical presentation of fracture of the forearm bones is usually quite obvious, thorough radiologic examination of the radius and ulna and adjacent wrist and elbow joints is mandatory. Standard views of the forearm of the patient include the AP and lateral projections. The degree of shortening, angulation, rotation, and comminution should be noted. The selected films must be long enough to include the adjacent elbow and wrist joints

  6. A note on norm estimates of the numerical radius

    OpenAIRE

    Sano, Takashi

    2008-01-01

    For a bounded linear operator $A$ on a Hilbert space $\\mathcal{H}$, let $\\| A \\|$ denote the operator norm and $w(A)$ the numerical radius. It is well-known that \\begin{equation*} \\frac{1}{2} \\| A \\| ≤q w(A) ≤q \\| A \\|. \\end{equation*} For equalities, we consider linear operators $A$ with $A^{2} = 0$ and normaloid matrices.

  7. Localized electronic states: the small radius potential approximation

    International Nuclear Information System (INIS)

    Steslicka, M.; Jurczyszyn, L.

    1984-09-01

    Using a quasi three-dimensional crystal model we investigate the localized electronic states, generated by the crystal surface covered by foreign atoms. Two such states are found in the first forbidden energy gap and, because of their localization properties, called the Tamm-like and adsorption-like states. Using the small radius potential approximation, the properties of both types of states were discussed in detail. (author)

  8. PROXIMAL RADIUS RECONSTRUCTION BY METATARSAL OSTEOCHONDRAL AUTO GRAFT

    OpenAIRE

    Kammar; Prashanth Kumar; Gururaj; Viresh; Akash; Ajay

    2015-01-01

    17 Year Old student, Pavan presents with swelling since 8 months. Swelling was diffuse over forearm. Tenderness was present. No local rise of temperature. Range of m ovement at elbow was restricted and painful terminally. No distal neurovascular deficits. X - ray reveale d it to be an a neurysmal bone cyst of proximal right radius. FNAC showed Aneurysmal bone cyst for which curettage and bone grafting was done. Post 6 months tumour ...

  9. Fractures of the distal radius in children: A retrospective evaluation

    Directory of Open Access Journals (Sweden)

    Selma Yazıcı

    2012-06-01

    Full Text Available Objectives: This study designed to evaluate the resultsof treatment, closed reduction and percutaneous wires, ofthe distal radius fractures in children.Materials and methods: A retrospective analysis wascarried out in children aged between 5-15 years who presentedwith a displaced fracture of the distal radius to ourhospital. They were initially treated with closed reductionand cast immobilization. If the fractures redisplaced treatedby percutaneous Kirschner (K- wire with scope undera general anaesthesia.Results: Totally 104 patients, who have distal radius fractureswere treated by closed reduction and immobilizationin a plaster cast. 13 patient who have distal radiusfractures were treated by closed reduction under generalanaesthesia and fixed by percutaneous Kirschner (K-wire. Patients with impaired the alignment of the fracturein late period were usually completely displaced fractures.(n=5, 4,3%, in early period, completely displaced fractures(n=5, 4,3% are superior to partial displaced fractures(n=2, 1,7%.Conclusion: In our study, when children with distal radiusfracture first come, they were treated by closed reductionand immobilization in a plaster cast. We thought that inredisplaced fractures patients were suitable for the closedreduction with percutaneous wire treatment.

  10. Characterizing SL2S galaxy groups using the Einstein radius

    DEFF Research Database (Denmark)

    Verdugo, T.; Motta, V.; Foex, G.

    2014-01-01

    Aims. We aim to study the reliability of RA (the distance from the arcs to the center of the lens) as a measure of the Einstein radius in galaxy groups. In addition, we want to analyze the possibility of using RA as a proxy to characterize some properties of galaxy groups, such as luminosity (L......) and richness (N). Methods. We analyzed the Einstein radius, θE, in our sample of Strong Lensing Legacy Survey (SL2S) galaxy groups, and compared it with RA, using three different approaches: 1) the velocity dispersion obtained from weak lensing assuming a singular isothermal sphere profile (θE,I); 2) a strong.......7 ± 0.2)RA, θE,II = (0.4 ± 1.5) + (1.1 ± 0.4)RA, and θE,III = (0.4 ± 1.5) + (0.9 ± 0.3)RA for each method respectively. We found weak evidence of anti-correlation between RA and z, with Log RA = (0.58 ± 0.06) − (0.04 ± 0.1)z, suggesting a possible evolution of the Einstein radius with z, as reported...

  11. Forearm reconstruction after loss of radius: Case report

    Directory of Open Access Journals (Sweden)

    Manojlović Radovan

    2013-01-01

    Full Text Available Introduction. Osteomyelitis of the radius resulting in the radial clubhand is a very rare condition and few studies have been published about its prognosis and treatment. Case Outline. This is a case report of hematogenous osteomyelitis of the radius with a complete loss of the radius leaving only the distal radial metaphysis to carry the carpus. In order to achieve best functional results, four-step operative protocol was performed for reconstruction; lengthening of the forearm by external fixator, radioulnar transposition to create a one-bone forearm, plate removal and transposition of brachioradialis to the extensor pollicis longus as well as proximal row carpectomy. After nine years of the last operation, the function of the elbow and hands is good with acceptable cosmetic result. The forearm is 5 cm shorter and there has been a persistent mild limitation of palmar flexion. Conclusion. Creation of the one-bone forearm normalizes the elbow and wrist function, corrects forearm malalignment, and improves forearm growth potential.

  12. Comparison of dorsal and volar approaches to the proximal radius.

    Science.gov (United States)

    Cross, Jessica D; White, Jeffery A; Johnson, Anthony E; Blair, James A; Hsu, Joseph R

    2011-01-01

    Proximal radius exposure may be acquired by either the dorsal or volar approach depending on surgical requirements. The dorsal approach is traditionally recommended for fracture fixation of the proximal radius because of theoretically improved exposure and because the dorsal aspect of the bone is the tensile surface. The posterior interosseous nerve can be visualized and protected using this approach. The volar approach is preferred for biceps repair and boasts a distal extensile approach with adequate soft tissue coverage. Impingement on the bicipital tuberosity and biceps tendon, in addition to positioning on the compression side of the bone, makes the anterior or anterolateral position for plate placement less desirable. The goal of this study was to quantify and compare in a cadaver model the area of bone exposed using both approaches. We hypothesized that equivalent exposures can be obtained and the posterior interosseous nerve can be identified with either the Thompson or Henry approach. Standard dorsal and volar approaches were performed on 10 fresh-frozen adult cadaveric upper-limb specimens. Cross-sectional area of exposure was quantified from digital photographs using software. The 2 approaches did not result in a significant difference in area exposed. Depending on case requirements, either the dorsal or volar approach will provide adequate exposure to the proximal radius. Copyright 2011, SLACK Incorporated.

  13. Is the proton radius puzzle evidence of extra dimensions?

    Energy Technology Data Exchange (ETDEWEB)

    Dahia, F.; Lemos, A.S. [Universidade Federal da Paraiba, Department of Physics, Joao Pessoa, PB (Brazil)

    2016-08-15

    The proton charge radius inferred from muonic hydrogen spectroscopy is not compatible with the previous value given by CODATA-2010, which, on its turn, essentially relies on measurements of the electron-proton interaction. The proton's new size was extracted from the 2S-2P Lamb shift in the muonic hydrogen, which showed an energy excess of 0.3 meV in comparison to the theoretical prediction, evaluated with the CODATA radius. Higher-dimensional gravity is a candidate to explain this discrepancy, since the muon-proton gravitational interaction is stronger than the electron-proton interaction and, in the context of braneworld models, the gravitational potential can be hugely amplified in short distances when compared to the Newtonian potential. Motivated by these ideas, we study a muonic hydrogen confined in a thick brane. We show that the muon-proton gravitational interaction modified by extra dimensions can provide the additional separation of 0.3 meV between the 2S and 2P states. In this scenario, the gravitational energy depends on the higher-dimensional Planck mass and indirectly on the brane thickness. Studying the behavior of the gravitational energy with respect to the brane thickness in a realistic range, we find constraints for the fundamental Planck mass that solve the proton radius puzzle and are consistent with previous experimental bounds. (orig.)

  14. Absent upper blind Pouch in a case of tracheo-esophageal fistula

    Directory of Open Access Journals (Sweden)

    Man Mohan Harjai

    2015-01-01

    Full Text Available A common upper airway and digestive tract is a rare congenital anomaly that is usually fatal and its exact incidence is not known. It is a diagnostic challenge as it requires high index of suspicion. It should be considered in a neonate with respiratory distress in a non-vigorous baby requiring endotracheal intubation, which is difficult even in expert hand. We present a newborn with suspected tracheo-esophageal fistula that was diagnosed intraoperatively to have absent upper blind pouch of the esophagus and on autopsy found to have laryngeal atresia with absent vocal cords and a common aerodigestive tract continuing distally with trachea. The neonate was ventilated with endotracheal tube (ETT placement which in retrospect we came to know that it was in the esophagus. The neonate also had associated multiple congenital anomalies of VACTERL association. The importance of teamwork between neonatologist, pediatric surgeon, anesthesiologist, and radiologist is highlighted for diagnosis and management of such rare cases.

  15. Behavior of Hymenaea courbaril When Its Predispersal Seed Predator Is Absent.

    Science.gov (United States)

    Janzen, D H

    1975-07-11

    Members of lowland Costa Rican forest populations of Hymenaea courbaril (Leguminosae) have longer intervals between seed crops, a later age at first reproduction, larger seed crops, and more resin in the pod walls than do the H. courbaril native to Puerto Rico. The primary predispersal seed predators of H. courbaril in Costa Rica, Rhinochenus spp., are absent from Puerto Rico, and it is postulated that this is a major cause of the interpopulation differences.

  16. The Earth is flat when personally significant experiences with the sphericity of the Earth are absent.

    Science.gov (United States)

    Carbon, Claus-Christian

    2010-07-01

    Participants with personal and without personal experiences with the Earth as a sphere estimated large-scale distances between six cities located on different continents. Cognitive distances were submitted to a specific multidimensional scaling algorithm in the 3D Euclidean space with the constraint that all cities had to lie on the same sphere. A simulation was run that calculated respective 3D configurations of the city positions for a wide range of radii of the proposed sphere. People who had personally experienced the Earth as a sphere, at least once in their lifetime, showed a clear optimal solution of the multidimensional scaling (MDS) routine with a mean radius deviating only 8% from the actual radius of the Earth. In contrast, the calculated configurations for people without any personal experience with the Earth as a sphere were compatible with a cognitive concept of a flat Earth. 2010 Elsevier B.V. All rights reserved.

  17. Gender-based violence and absent fathers: a scoping review protocol.

    Science.gov (United States)

    Sikweyiya, Yandisa; Nduna, Mzikazi; Khuzwayo, Nelisiwe; Mthombeni, Andile; Mashamba-Thompson, Tivani Phosa

    2016-06-13

    Gender-based violence (GBV) and absent fathers are two epidemics that affect women and children in sub-Saharan Africa. However, the understanding of the complex links between GBV and absent fathers is currently inadequate. The aim of the study is to provide an overview of documented evidence that links GBV and absent fathers as well as identifies areas that require systematic review and where more primary research is needed. The search strategy for this scoping review study will involve electronic databases including: Academic Search Premier, Ingenta, Kluwer Online, PsycARTICLES (EBSCO), PsycINFO (EBSCO), Social Work Abstracts and Sociological Collection. The studies will be mapped in 2 stages: stage 1 will map studies descriptively by focus and method; stage 2 will involve additional inclusion criteria, quality assessment and data extraction undertaken by two reviewers in parallel. A thematic analysis of the studies will be carried out to extract relevant outcomes using NVIVO. We anticipate finding a large number of studies on GBV diagnostic interventions in sub-Saharan Africa which, once summarised, will be useful to guide future research. The protocol for the scoping review has been registered in PROSPERO. The study will be disseminated electronically and in print. It will also be presented to conferences related to GBV, Father Connections and Children's Health. CRD42015022094. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  18. A stationary long-pulse ELM-absent H-mode regime in EAST

    Science.gov (United States)

    Ye, Y.; Xu, G. S.; Wan, B. N.; Chen, R.; Yan, N.; Guo, H. Y.; Shao, L. M.; Yang, Q. Q.; Wang, H. Q.; Zhang, W.; Xia, T. Y.; Zhang, T.; Li, Y. Y.; Wang, T. F.; Zang, Q.; Hu, Y. J.; Wu, G. J.; Zhang, L.; Hao, B. L.; Wang, L.; Li, Y. L.; Wu, X. Q.; Chen, L.; Lan, H.; Wang, Y. F.; Xu, J. C.; Hu, G. H.; Ding, S. Y.; Zhang, H.; Zhao, N.; Li, J.; The EAST Team

    2017-08-01

    A stationary edge-localized mode (ELM)-absent H-mode regime, with an electrostatic edge coherent mode (ECM) which resides in the pedestal region, has been achieved in the EAST tokamak recently. This regime allows the operation of a nearly fully noninductive long pulse (>15 s), exhibiting a relatively high pedestal and good global energy confinement with {{H}98,y2} near 1.2, and excellent impurity control. Furthermore, this regime is mostly obtained with a 4.6 GHz lower hybrid current drive (LHCD) or counter-current neutral beam injection (NBI), plus electron cyclotron resonance heating, and an extensive lithium wall coating. This stationary ELM-absent H-mode regime transits to a stationary small ELM H-mode regime, and upon additional heating power from the 2.45 GHz LHCD, an ion cyclotron resonant frequency or co-current NBI is applied (under 4.6 GHz LHCD heating background). A slight change of the plasma configuration also makes the small ELMs reappear. The experimental observations suggest that a long-pulse ELM-absent regime can be induced by the ECM, which exhibits strong electrostatic fluctuations and may provide a channel for continuous particle (especially impurities) and heat exhaust across the pedestal. The ECM exists in the collisionality of ν e*   =  2.5-4 and the pressure gradient |\

  19. Isolated Unilateral Absent Branch Pulmonary Artery with Peripheral Pulmonary Stenosis and Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Sunil Abhishek B

    2017-09-01

    Full Text Available Isolated Unilateral Absent Pulmonary Artery (UAPA is a rare congenital anomaly. It is usually associated with congenital heart defects. A 45 year old male patient presented with complaints of fever with cough and expectoration for 15 days and retrosternal chest discomfort for the previous 2 days. ECG showed diffuse ST segment depression with T wave inversion in the inferior and lateral leads. Coronary Angiogram done through the right femoral approach revealed diffusely diseased Left Anterior Descending (LAD artery that was totally cut off at the mid segment. The Left Circumflex (LCx artery was providing blood supply to the right middle and lower lung areas. There was another collateral arising from the Left Subclavian Artery supplying the right middle and lower lung areas. The left pulmonary artery was normal, but branches supplying the middle and lower lobes of the right lung were absent and the upper lobe branch had pulmonary stenosis. UAPA is a rare clinical entity; collaterals from coronaries are extremely rare in this condition and till now there has not been any case report of unilateral absent branch pulmonary artery with peripheral stenosis of other branches, on the affected side and associated coronary artery disease.

  20. The bulk and the tail of minimal absent words in genome sequences

    Science.gov (United States)

    Aurell, Erik; Innocenti, Nicolas; Zhou, Hai-Jun

    2016-04-01

    Minimal absent words (MAW) of a genomic sequence are subsequences that are absent themselves but the subwords of which are all present in the sequence. The characteristic distribution of genomic MAWs as a function of their length has been observed to be qualitatively similar for all living organisms, the bulk being rather short, and only relatively few being long. It has been an open issue whether the reason behind this phenomenon is statistical or reflects a biological mechanism, and what biological information is contained in absent words. In this work we demonstrate that the bulk can be described by a probabilistic model of sampling words from random sequences, while the tail of long MAWs is of biological origin. We introduce the concept of a core of a MAW, which are sequences present in the genome and closest to a given MAW. We show that in E. faecalis, E. coli and yeast the cores of the longest MAWs, which exist in two or more copies, are located in highly conserved regions the most prominent example being ribosomal RNAs. We also show that while the distribution of the cores of long MAWs is roughly uniform over these genomes on a coarse-grained level, on a more detailed level it is strongly enhanced in 3’ untranslated regions (UTRs) and, to a lesser extent, also in 5’ UTRs. This indicates that MAWs and associated MAW cores correspond to fine-tuned evolutionary relationships, and suggest that they can be more widely used as markers for genomic complexity.

  1. Gender-based violence and absent fathers: a scoping review protocol

    Science.gov (United States)

    Sikweyiya, Yandisa; Nduna, Mzikazi; Khuzwayo, Nelisiwe; Mthombeni, Andile; Mashamba-Thompson, Tivani Phosa

    2016-01-01

    Introduction Gender-based violence (GBV) and absent fathers are two epidemics that affect women and children in sub-Saharan Africa. However, the understanding of the complex links between GBV and absent fathers is currently inadequate. The aim of the study is to provide an overview of documented evidence that links GBV and absent fathers as well as identifies areas that require systematic review and where more primary research is needed. Methods and analysis The search strategy for this scoping review study will involve electronic databases including: Academic Search Premier, Ingenta, Kluwer Online, PsycARTICLES (EBSCO), PsycINFO (EBSCO), Social Work Abstracts and Sociological Collection. The studies will be mapped in 2 stages: stage 1 will map studies descriptively by focus and method; stage 2 will involve additional inclusion criteria, quality assessment and data extraction undertaken by two reviewers in parallel. A thematic analysis of the studies will be carried out to extract relevant outcomes using NVIVO. Discussion We anticipate finding a large number of studies on GBV diagnostic interventions in sub-Saharan Africa which, once summarised, will be useful to guide future research. The protocol for the scoping review has been registered in PROSPERO. Dissemination The study will be disseminated electronically and in print. It will also be presented to conferences related to GBV, Father Connections and Children's Health. PROSPERO registration number CRD42015022094. PMID:27297007

  2. NEUTRON STAR MASS–RADIUS CONSTRAINTS USING EVOLUTIONARY OPTIMIZATION

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, A. L.; Morsink, S. M. [Department of Physics, University of Alberta, 4-183 CCIS, Edmonton, AB, T6G 2E1 (Canada); Fiege, J. D. [Department of Physics and Astronomy, University of Manitoba, Winnipeg, MB, R3T 2N2 (Canada); Leahy, D. A. [Department of Physics, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4 (Canada)

    2016-12-20

    The equation of state of cold supra-nuclear-density matter, such as in neutron stars, is an open question in astrophysics. A promising method for constraining the neutron star equation of state is modeling pulse profiles of thermonuclear X-ray burst oscillations from hot spots on accreting neutron stars. The pulse profiles, constructed using spherical and oblate neutron star models, are comparable to what would be observed by a next-generation X-ray timing instrument like ASTROSAT , NICER , or a mission similar to LOFT . In this paper, we showcase the use of an evolutionary optimization algorithm to fit pulse profiles to determine the best-fit masses and radii. By fitting synthetic data, we assess how well the optimization algorithm can recover the input parameters. Multiple Poisson realizations of the synthetic pulse profiles, constructed with 1.6 million counts and no background, were fitted with the Ferret algorithm to analyze both statistical and degeneracy-related uncertainty and to explore how the goodness of fit depends on the input parameters. For the regions of parameter space sampled by our tests, the best-determined parameter is the projected velocity of the spot along the observer’s line of sight, with an accuracy of ≤3% compared to the true value and with ≤5% statistical uncertainty. The next best determined are the mass and radius; for a neutron star with a spin frequency of 600 Hz, the best-fit mass and radius are accurate to ≤5%, with respective uncertainties of ≤7% and ≤10%. The accuracy and precision depend on the observer inclination and spot colatitude, with values of ∼1% achievable in mass and radius if both the inclination and colatitude are ≳60°.

  3. Fractal analysis of bone architecture at distal radius

    International Nuclear Information System (INIS)

    Tomomitsu, Tatsushi; Mimura, Hiroaki; Murase, Kenya; Sone, Teruki; Fukunaga, Masao

    2005-01-01

    Bone strength depends on bone quality (architecture, turnover, damage accumulation, and mineralization) as well as bone mass. In this study, human bone architecture was analyzed using fractal image analysis, and the clinical relevance of this method was evaluated. The subjects were 12 healthy female controls and 16 female patients suspected of having osteoporosis (age range, 22-70 years; mean age, 49.1 years). High-resolution CT images of the distal radius were acquired and analyzed using a peripheral quantitative computed tomography (pQCT) system. On the same day, bone mineral densities of the lumbar spine (L-BMD), proximal femur (F-BMD), and distal radius (R-BMD) were measured by dual-energy X-ray absorptiometry (DXA). We examined the correlation between the fractal dimension and six bone mass indices. Subjects diagnosed with osteopenia or osteoporosis were divided into two groups (with and without vertebral fracture), and we compared measured values between these two groups. The fractal dimension correlated most closely with L-BMD (r=0.744). The coefficient of correlation between the fractal dimension and L-BMD was very similar to the coefficient of correlation between L-BMD and F-BMD (r=0.783) and the coefficient of correlation between L-BMD and R-BMD (r=0.742). The fractal dimension was the only measured value that differed significantly between both the osteopenic and the osteoporotic subjects with and without vertebral fracture. The present results suggest that the fractal dimension of the distal radius can be reliably used as a bone strength index that reflects bone architecture as well as bone mass. (author)

  4. HABITABILITY OF EXOMOONS AT THE HILL OR TIDAL LOCKING RADIUS

    Energy Technology Data Exchange (ETDEWEB)

    Hinkel, Natalie R.; Kane, Stephen R., E-mail: natalie.hinkel@gmail.com [NASA Exoplanet Science Institute, Caltech, MS 100-22, 770 South Wilson Avenue, Pasadena, CA 91125 (United States)

    2013-09-01

    Moons orbiting extrasolar planets are the next class of object to be observed and characterized for possible habitability. Like the host-planets to their host-star, exomoons have a limiting radius at which they may be gravitationally bound, or the Hill radius. In addition, they also have a distance at which they will become tidally locked and therefore in synchronous rotation with the planet. We have examined the flux phase profile of a simulated, hypothetical moon orbiting at a distant radius around the confirmed exoplanets {mu} Ara b, HD 28185 b, BD +14 4559 b, and HD 73534 b. The irradiated flux on a moon at its furthest, stable distance from the planet achieves its largest flux gradient, which places a limit on the flux ranges expected for subsequent (observed) moons closer in orbit to the planet. We have also analyzed the effect of planetary eccentricity on the flux on the moon, examining planets that traverse the habitable zone either fully or partially during their orbit. Looking solely at the stellar contributions, we find that moons around planets that are totally within the habitable zone experience thermal equilibrium temperatures above the runaway greenhouse limit, requiring a small heat redistribution efficiency. In contrast, exomoons orbiting planets that only spend a fraction of their time within the habitable zone require a heat redistribution efficiency near 100% in order to achieve temperatures suitable for habitability. This means that a planet does not need to spend its entire orbit within the habitable zone in order for the exomoon to be habitable. Because the applied systems comprise giant planets around bright stars, we believe that the transit detection method is most likely to yield an exomoon discovery.

  5. Post-traumatic cystic lesion following fracture of the radius

    International Nuclear Information System (INIS)

    Papadimitriou, Nikolaos G.; Christophorides, John; Beslikas, Theodoros A.; Papadimitriou, Ageliki G.; Doulianaki, Eleni G.

    2005-01-01

    Post-traumatic cystic lesions are an uncommon complication of fractures in children. They are benign, asymptomatic, non-expansive and tend to resolve spontaneously. Their cause seems to be the invasion of bone-marrow fat by subperiosteal hematoma, which may be visible on radiographs during fracture consolidation of the newly formed subperiosteal bone. The case we present is of cyst formation following a fracture of the distal radius and we evaluate the role of yellow bone marrow in the pathogenesis of the cyst. Its typical features clear differentiation from other lesions, preventing unnecessary and, possibly, invasive examinations. (orig.)

  6. Management of fractures of the distal radius: surgeon's perspective.

    Science.gov (United States)

    Raskin, K B

    1999-01-01

    The new millennium represents a time for expanding our present knowledge of the treatment of distal radius fractures, based on the foundation of information that has been gathered over the past century. Treatment-oriented classifications have replaced the prior generalization applied to all "Colles fractures" and have directed preoperative planning. Newer external fixation frames, improved surgical technique, and superior instrumentation allow for safer reproducible ligamentotaxis. These current concepts of treatment along with a comprehensive therapy plan have provided the basis for enhanced recovery from these challenging injuries.

  7. Defuzzification Method for Ranking Fuzzy Numbers Through Radius of Gyration

    Directory of Open Access Journals (Sweden)

    Rahim Saneifard

    2016-04-01

    Full Text Available The present paper aimed at designing a new method to rank fuzzy numbers by distance method. The purpose of the present study was to introduce a new method in order to value various fuzzy numbers effectively and at the same time to overcome the shortcomings of the previous studies. To fulfill the purpose of the study the proposed method was based on the radius of gyration point of ROG points and used the semi variance value of fuzzy numbers as benchmark. Finally, the findings are discussed as far as comparative examples are concerned to be useful to illustrate the advantage of the proposed method.

  8. Charge Radius Measurement of the Halo Nucleus $^{11}$Li

    CERN Multimedia

    Kluge, H-J; Kuehl, T; Simon, H; Wang, Haiming; Zimmermann, C; Onishi, T; Tanihata, I; Wakasugi, M

    2002-01-01

    %IS385 %title\\\\ \\\\The root-mean-square charge radius of $^{11}$Li will be determined by measuring the isotope shift of a suitable atomic transition in a laser spectroscopic experiment. Comparing the charge radii of the lithium isotopes obtained by this nuclear-model-independent method with the relevant mass radii obtained before will help to answer the question whether the proton distribution in halo nuclei at the neutron drip-line is decoupled to the first order from their neutron distribution. The necessary experimental sensitivity requires the maximum possible rate of $^{11}$Li nuclei in a beam of low emittance which can only be provided by ISOLDE.

  9. Modelling Acoustic Wave Propagation in Axisymmetric Varying-Radius Waveguides

    DEFF Research Database (Denmark)

    Bæk, David; Willatzen, Morten

    2008-01-01

    A computationally fast and accurate model (a set of coupled ordinary differential equations) for fluid sound-wave propagation in infinite axisymmetric waveguides of varying radius is proposed. The model accounts for fluid heat conduction and fluid irrotational viscosity. The model problem is solved...... by expanding solutions in terms of cross-sectional eigenfunctions following Stevenson’s method. A transfer matrix can be easily constructed from simple model responses of a given waveguide and later used in computing the response to any complex wave input. Energy losses due to heat conduction and viscous...

  10. Trajectory Calculator for Finite-Radius Cutter on a Lathe

    Science.gov (United States)

    Savchenkov, Anatoliy; Strekalov, Dmitry; Yu, Nan

    2009-01-01

    A computer program calculates the two-dimensional trajectory (radial vs. axial position) of a finite-radius-of-curvature cutting tool on a lathe so as to cut a workpiece to a piecewise-continuous, analytically defined surface of revolution. (In the original intended application, the tool is a diamond cutter, and the workpiece is made of a crystalline material and is to be formed into an optical resonator disk.) The program also calculates an optimum cutting speed as F/L, where F is a material-dependent empirical factor and L is the effective instantaneous length of the cutting edge.

  11. Absent Sternum as the First Manifestation of Bone Metastasis on Bone Scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Myung Hee; Lim, Seok Tae; Jeong, Young Jin; Kim, Dong Wook; Jeong, Hwan Jeong; Yim, Chang Yeol [Chonbuk National University Medical School and Hospital, Jeonju (Korea, Republic of)

    2010-04-15

    The sternum is known as a relatively common site for bone metastases by a variety of malignant neoplasms. The usual finding is increased radiotracer uptake on bone scintigraphy, and cold metastasis is distinctly unusual. In addition, total non visualization of the sternum presenting as bone metastasis is extremely rare. We describe two cases with similar findings (absent sternum showing no activity of the sternal segments on bone scintigraphy), which corresponded to metastatic involvement. These findings were shown to be the first manifestation of hepatocellular carcinoma in one patient and bone metastasis in another patient with ovarian cancer.

  12. Absent endometrium due to balanced translocation [t(4;20] presenting as primary amenorrhea

    Directory of Open Access Journals (Sweden)

    Aruna Nigam

    2014-01-01

    Full Text Available Primary amenorrhea is defined as the absence of menarche by 16-18 years of age in the presence of well-developed secondary sexual characters. An incidence of 1-3% has been reported in women of reproductive age group. The etiology varies with anatomical, genetic and hormonal factors implicated in the causation of primary amenorrhea. We present a case of absent endometrium due to balanced reciprocal translocation (RCPTR, 46 XX t (4;20(q12;q13.1 as primary amenorrhea.

  13. Does routine carpal tunnel release during fixation of distal radius fractures improve outcomes?

    Science.gov (United States)

    Medici, Antonio; Meccariello, Luigi; Rollo, Giuseppe; De Nigris, Giancarlo; Mccabe, Steven James; Grubor, Pedrag; Falzarano, Gabriele

    2017-10-01

    This case-control study was designed to test the hypothesis whether carpal tunnel release (CTR) during fixation of distal radius 23-C2 AO fractures improves outcomes. Thirty-five consecutive patients who sustained distal radius fractures of the dominant hand participated in this study. Patients were allocated into two groups: (a) The ORIF + CTR (16 patients (11 males and 5 females)); (b) the ORIF and NOT CTR 19 patients (12 males and 7 females). Patient assessment included visual analogic scale of pain (VAS), the subjective Mayo Wrist Score (MWS), electromyograms (EMG) at 3 month and 6 months from the day of injury and complications. All patients had the same physiotherapy treatment algorithm following surgery. Patient follow up took place at 1 month, 3, 6, and 12 months. A the T12 month follow up point the VAS average was 0.8 (range 0-3) in ORIF + CTR group compared to 1.2 (range 0-3) in the ORIF and NOT CTR. The MWS average was 98.7 (range 95-100) in ORIF + CTR group versus 97.6 (range 95-100) in ORIF no CTR group. There was no statistical significance (p > 0.5) between the two groups during the follow up period. Patients in the sixth month of ORIF + CTR had no suffering of the median nerve, while 31.58% of patients in ORIF and no CTR found to have carpal tunnel syndrome. Routine release of the transverse carpal ligament at the time of fracture fixation may reduce the incidence of postoperative median nerve dysfunction. © 2017 Elsevier Ltd. All rights reserved.

  14. Delayed Fracture Healing in Diabetics with Distal Radius Fractures.

    Science.gov (United States)

    Pscherer, S; Sandmann, G H; Ehnert, S; Nussler, A K; Stöckle, U; Freude, T

    2017-01-01

    PURPOSE OF THE STUDY Diabetics may have an increased fracture risk, depending on disease duration, quality of metabolic adjustment and extent of comorbidities, and on an increased tendency to fall. The aim of this retrospective one-centre study consisted in detecting differences in fracture healing between patients with and without diabetes mellitus. Data of patients with the most common fracture among older patients were analyzed. MATERIAL AND METHODS Classification of distal radius fractures was established according to the AO classification. Inital assessment and followup were made by conventional x-rays with radiological default settings. To evaluate fracture healing, formation of callus and sclerotic border, assessment of the fracture gap, and evidence of consolidation signs were used. RESULTS The authors demonstrated that fracture morphology does not influence fracture healing regarding time span, neither concerning consolidation signs nor in fracture gap behavior. However, tendency for bone remodeling is around 70% lower in investigated diabetics than in non-diabetics, while probability for a successful fracture consolidation is 60% lower. CONCLUSIONS To corroborate the authors hypothesis of delayed fracture healing in patients with diabetes mellitus, prospective studies incorporating influencing factors like duration of metabolic disease, quality of diabetes control, medical diabetes treatment, comorbidities and secondary diseaseas, like chronic nephropathy and osteoporosis, have to be carried out. Key words: diabetes, delayed fracture healing, distal radius fractures, callus formation, blood glucose level, osteoblasts.

  15. The Proton Radius Experiment at Jefferson Lab (PRad)

    Science.gov (United States)

    Gasparian, Ashot

    2017-09-01

    The proton charge radius (Rp) is one of the most fundamental quantities in physics. Precision knowledge of its value is critically important for both nuclear and atomic physics - especially for the spectroscopy of atomic hydrogen. Recent high precision measurements of Rp using the muonic hydrogen atom demonstrated up to eight standard deviation smaller value than the accepted average from all previous experiments performed with different methods. This fact triggered the well known ``Proton Charge Radius Puzzle'' in hadronic physics. The PRad collaboration at Jefferson Lab for the last five years developed a novel magnetic-spectrometer-free e-p scattering experiment to address this puzzle. The experiment was successfully performed in May and June of 2016 with taking high statistics and rich experimental data. The specifics of the experiment together with the preliminary physics results from the data analysis process will be presented and discussed in this talk. PRad is supported in part by NSF MRI Award PHY-1229153, as well as, DOE awards for GEM.

  16. Mapping the Pressure-radius Relationship of Exoplanets

    Science.gov (United States)

    Cubillos, Patricio; Fossati, Luca; Kubyshkina, Darya

    2017-10-01

    The radius of a planet is one of the most physically meaningful and readily accessible parameters of extra-solar planets. This parameter is extensively used in the literature to compare planets or study trends in the know population of exoplanets. However, in an atmosphere, the concept of a planet radius is inherently fuzzy. The atmospheric pressures probed by trasmission (transit) or emission (eclipse) spectra are not directly constrained by the observations, they vary as a function of the atmospheric properties and observing wavelengths, and further correlate with the atmospheric properties producing degenerate solutions.Here, we characterize the properties of exoplanet radii using a radiative-transfer model to compute clear- atmosphere transmission and emission spectra of gas-dominated planets. We explore a wide range of planetary temperatures, masses, and radii, sampling from 300 to 3000 K and Jupiter- to Earth-like values. We will discuss how transit and photospheric radii vary over the parameter space, and map the global trends in the atmospheric pressures associated with these radii. We will also highlight the biases introduced by the choice of an observing band, or the assumption of a clear/cloudy atmosphere, and the relevance that these biases take as better instrumentation improves the precision of photometric observations.

  17. Stellar Initial Mass Function: Trends With Galaxy Mass And Radius

    Science.gov (United States)

    Parikh, Taniya

    2017-06-01

    There is currently no consensus about the exact shape and, in particular, the universality of the stellar initial mass function (IMF). For massive galaxies, it has been found that near-infrared (NIR) absorption features, which are sensitive to the ratio of dwarf to giant stars, deviate from a Milky Way-like IMF; their modelling seems to require a larger fraction of low mass stars. There are now increasing results looking at whether the IMF varies not only with galaxy mass, but also radially within galaxies. The SDSS-IV/MaNGA integral-field survey will provide spatially resolved spectroscopy for 10,000 galaxies at R 2000 from 360-1000nm. Spectra of early-type galaxies were stacked to achieve high S/N which is particularly important for features in the NIR. Trends with galaxy radius and mass were compared to stellar population models for a range of absorption features in order to separate degeneracies due to changes in stellar population parameters, such as age, metallicity and element abundances, with potential changes in the IMF. Results for 611 galaxies show that we do not require an IMF steeper than Kroupa as a function of galaxy mass or radius based on the NaI index. The Wing-Ford band hints towards a steeper IMF at large radii however we do not have reliable measurements for the most massive galaxies.

  18. Artificial gravity: head movements during short-radius centrifugation

    Science.gov (United States)

    Young, L. R.; Hecht, H.; Lyne, L. E.; Sienko, K. H.; Cheung, C. C.; Kavelaars, J.

    2001-01-01

    Short-radius centrifugation is a potential countermeasure to long-term weightlessness. Unfortunately, head movements in a rotating environment induce serious discomfort, non-compensatory vestibulo-ocular reflexes, and subjective illusions of body tilt. In two experiments we investigated the effects of pitch and yaw head movements in participants placed supine on a rotating bed with their head at the center of rotation, feet at the rim. The vast majority of participants experienced motion sickness, inappropriate vertical nystagmus and illusory tilt and roll as predicted by a semicircular canal model. However, a small but significant number of the 28 participants experienced tilt in the predicted plane but in the opposite direction. Heart rate was elevated following one-second duration head turns. Significant adaptation occurred following a series of head turns in the light. Vertical nystagmus, motion sickness and illusory tilt all decreased with adaptation. Consequences for artificial gravity produced by short-radius centrifuges as a countermeasure are discussed. Grant numbers: NCC 9-58. c 2001. Elsevier Science Ltd. All rights reserved.

  19. Mourning the dead, mourning the disappeared: the enigma of the absent-presence.

    Science.gov (United States)

    Taiana, Cecilia

    2014-12-01

    Freud's interest in the impact of death on the living goes back further than Mourning and Melancholia (1917e, [1915]). In Totem and Taboo (1912-13) Freud noted the ambivalence of the emotions we experience in relation to the dead. In this paper, I focus on Mourning and Melancholia as a landmark in the understanding of both the normal and psychopathological aspects of mourning and depressive processes in human beings. Mourning and Melancholia bridges Freud's first and second topographic theories of the psychic apparatus and constitutes for many authors the foundation of his theory of internal object relations. With this psychoanalytic understanding of mourning as a framework, I discuss 'special mourning processes,' such as the those confronted by psychoanalysts in Argentina when treating the relatives of thousands of people who were 'disappeared' by the military dictatorship in the 1970s; they are 'special' in the sense that the external reality [which] constitutes the starting point of the psychic mourning process, as described by Freud, is absent. I argue that the 'absent-presence' of the body as an enigmatic message initiates a special mourning process that bears certain characteristics of, and is isomorphic to, Laplanche's seduction theory. Copyright © 2014 Institute of Psychoanalysis.

  20. Distractor Dwelling, Skipping, and Revisiting Determine Target Absent Performance in Difficult Visual Search

    Science.gov (United States)

    Horstmann, Gernot; Herwig, Arvid; Becker, Stefanie I.

    2016-01-01

    Some targets in visual search are more difficult to find than others. In particular, a target that is similar to the distractors is more difficult to find than a target that is dissimilar to the distractors. Efficiency differences between easy and difficult searches are manifest not only in target-present trials but also in target-absent trials. In fact, even physically identical displays are searched through with different efficiency depending on the searched-for target. Here, we monitored eye movements in search for a target similar to the distractors (difficult search) versus a target dissimilar to the distractors (easy search). We aimed to examine three hypotheses concerning the causes of differential search efficiencies in target-absent trials: (a) distractor dwelling (b) distractor skipping, and (c) distractor revisiting. Reaction times increased with target similarity which is consistent with existing theories and replicates earlier results. Eye movement data indicated guidance in target trials, even though search was very slow. Dwelling, skipping, and revisiting contributed to low search efficiency in difficult search, with dwelling being the strongest factor. It is argued that differences in dwell time account for a large amount of total search time differences. PMID:27574510

  1. Fracture lines and comminution zones in OTA/AO type 23C3 distal radius fractures: The distal radius map.

    Science.gov (United States)

    Misir, Abdulhamit; Ozturk, Kahraman; Kizkapan, Turan Bilge; Yildiz, Kadir Ilker; Gur, Volkan; Sevencan, Ahmet

    2018-01-01

    This study was designed to define fracture lines and comminution zones in OTA/AO 23C3 distal radius fractures from axial computed tomography (CT) images that would influence surgical planning, development of new classifications, and possible implant designs. Thirty-four consecutive OTA/AO 23C3 fractures treated by a single surgeon between January 2014 and December 2014 were analyzed. For each fracture, maps of the fracture lines and zones of comminution were drawn. Each map was digitized and graphically superimposed to create a compilation of fracture lines and zones of comminution. Based on this compilation, major and minor fracture lines were identified and fracture patterns were defined. All major fracture lines were distributed in the central region of the radius distal articular surface. There is a recurrent fracture pattern with a comminution zone including the scaphoid and lunate fossa; Lister's tubercle; and ulnar, volar, and radial zones. It is important for the practicing surgeon to understand these four main fragments. Knowledge of this constant pattern should influence the development of new classifications and possible implant designs.

  2. CT of the ear in Pendred syndrome.

    Science.gov (United States)

    Goldfeld, Moshe; Glaser, Benjamin; Nassir, Elias; Gomori, John Moshe; Hazani, Elitsur; Bishara, Nassir

    2005-05-01

    To prospectively determine the structural anomalies of the inner ear by using thin-section computed tomography (CT) in an extended family with Pendred syndrome. Ethics committee approved the study, and informed consent was obtained from every patient or from parents of patients under legal age. Twelve patients (three females and nine males aged 7-47 years) with Pendred syndrome (all from the same ethnic isolate and with the same mutation in the PDS gene) were evaluated for inner-ear malformation at thin-section CT. Both ears were evaluated. Presence or absence of interscalar septum between upper and middle turns of the cochlea was evaluated, and vestibule and vestibular aqueduct were examined for enlargement. Modiolus was determined to be present or absent (modiolar deficiency). CT scans were evaluated in consensus by two radiologists (M.G., J.M.G.). All patients had inner ear malformation on both sides. Modiolus was absent and vestibule was enlarged on both sides in all 12 patients. Interscalar septum was absent in 18 (75%) of 24 ears. In eight patients, interscalar septum was absent in both ears, whereas in two patients, it was absent on only one side. Aqueduct was enlarged in 20 (80%) of 24 ears. In nine patients, both ears had enlarged aqueducts, while in two patients, only one side was abnormal. Inner ear malformation is an invariable finding in Pendred syndrome. Modiolus deficiency and vestibular enlargement were the most consistent anomalies in this population with Pendred syndrome. (c) RSNA, 2005.

  3. Equation of state, mass and radius for neutron stars

    International Nuclear Information System (INIS)

    Bao, G.; Oestgaard, E.; Dybvik, B.

    1993-02-01

    We have calculated total masses and radii of neutron stars from the Tolman-Oppenheimer Volkoff (TOV) equations (form matter in equilibrium in gravitational fields) and different equations of state for neutron-star matter. The calculations are done for different input central densities. We have also obtained pressure and density as a function of distance from the center of the star, the moment of inertia and the surface gravitational redshift as a function of the total mass of the star. The maximum mass M max is for all equations of state in our calculations given by 1.65M sun max sun (where M sun is the solar mass), which agrees very well with ''experimental'' results. Corresponding radii R are given by 8.8km < R < 12.7km, and a smaller central density will, in general, give a smaller mass and a larger radius. (author). 11 refs, 19 figs, 8 tabs

  4. Inclusive jet spectrum for small-radius jets

    CERN Document Server

    Dasgupta, Mrinal; Salam, Gavin P.; Soyez, Gregory

    2016-01-01

    Following on our earlier work on leading-logarithmic (LLR) resummations for the properties of jets with a small radius, R, we here examine the phenomenological considerations for the inclusive jet spectrum. We discuss how to match the NLO predictions with small-R resummation. As part of the study we propose a new, physically-inspired prescription for fixed-order predictions and their uncertainties. We investigate the R-dependent part of the next-to-next-to-leading order (NNLO) corrections, which is found to be substantial, and comment on the implications for scale choices in inclusive jet calculations. We also examine hadronisation corrections, identifying potential limitations of earlier analytical work with regards to their $p_t$-dependence. Finally we assemble these different elements in order to compare matched (N)NLO+LLR predictions to data from ALICE and ATLAS, finding improved consistency for the R-dependence of the results relative to NLO predictions.

  5. Extraction of the Proton Radius from Electron Scattering Data

    Science.gov (United States)

    Higinbotham, Douglas

    2017-09-01

    The proton radius is commonly extracted from elastic electron scattering data from fits that attempt to determine the slope of the cross section via extrapolations to zero momentum transfer. From the collection of published fits, it is clear that it is possible for different radii to be extracted from exactly the same data depending on how exactly the extraction is done. To understand the source of these differences, we review older fitting techniques and apply them to the modern data. This allows us to effectively make use of the idea of training data and then validation data. We also make use of statistical techniques such as cross validation and statistical bootstrapping to try to understand if certain data points in the world data are the source of these seemingly discrepant results. We will also discuss the interplay between bias and variance.

  6. Nuclear charge radius measurements of radioactive beryllium isotopes

    CERN Multimedia

    2002-01-01

    We propose to measure the nuclear charge radii of the beryllium isotopes $^{7,9,10}$Be and the one-neutron halo isotope $^{11}$Be using laser spectroscopy of trapped ions. Ions produced at ISOLDE and ionized with the laser ion source will be cooled and bunched in the radio-frequency buncher of the ISOLTRAP experiment and then transferred into a specially designed Paul trap. Here, they will be cooled to temperatures in the mK range employing sympathetic and direct laser cooling. Precision laser spectroscopy of the isotope shift on the cooled ensemble in combination with accurate atomic structure calculations will provide nuclear charge radii with a precision of better than 3%. This will be the first model-independent determination of a one-neutron halo nuclear charge radius.

  7. Inductive voltage adder (IVA) for submillimeter radius electron beam

    Energy Technology Data Exchange (ETDEWEB)

    Mazarakis, M.G.; Poukey, J.W.; Maenchen, J.E. [and others

    1996-12-31

    The authors have already demonstrated the utility of inductive voltage adder accelerators for production of small-size electron beams. In this approach, the inductive voltage adder drives a magnetically immersed foilless diode to produce high-energy (10--20 MeV), high-brightness pencil electron beams. This concept was first demonstrated with the successful experiments which converted the linear induction accelerator RADLAC II into an IVA fitted with a small 1-cm radius cathode magnetically immersed foilless diode (RADLAC II/SMILE). They present here first validations of extending this idea to mm-scale electron beams using the SABRE and HERMES-III inductive voltage adders as test beds. The SABRE experiments are already completed and have produced 30-kA, 9-MeV electron beams with envelope diameter of 1.5-mm FWHM. The HERMES-III experiments are currently underway.

  8. Relation between radius and expansion velocity in planetary nebulae

    International Nuclear Information System (INIS)

    Chu, Y.H.; Kwitter, K.B.; Kaler, J.B.

    1984-01-01

    The expansion velocity-radius (R-V) relation for planetary nebulae is examined using the existing measurements of expansion velocities and recent calculations of radii. It is found that some of the previously alleged R-V relations for PN are not convincingly established. The scatter in the R-V plots may be due largely to stratification of ions in individual nebulae and to heterogeneity in the planetary nebula population. In addition, from new echelle/CCD observations of planetary nebulae, it is found that spatial information is essential in deriving the internal kinematic properties. Future investigations of R-V relations should be pursued separately for groups of planetaries with similar physical properties, and they should employ observations of appropriate low excitation lines in order to measure the expansion velocity at the surface of the nebula. 26 references

  9. Mass-radius relation for magnetized strange quark stars

    CERN Document Server

    Martinez, A Perez; Paret, D Manreza

    2010-01-01

    We review the stability of magnetized strange quark matter (MSQM) within the phenomenological MIT bag model, taking into account the variation of the relevant input parameters, namely, the strange quark mass, baryon density, magnetic field and bag parameter. A comparison with magnetized asymmetric quark matter in $\\beta$-equilibrium as well as with strange quark matter (SQM) is presented. We obtain that the energy per baryon for MSQM decreases as the magnetic field increases, and its minimum value at vanishing pressure is lower than the value found for SQM, which implies that MSQM is more stable than non-magnetized SQM. The mass-radius relation for magnetized strange quark stars is also obtained in this framework.

  10. Distal Radius Quantitative Ultrasound Measurements and Related Factors

    Directory of Open Access Journals (Sweden)

    Özden Özyemiflçi Taflk›ran

    2011-04-01

    Full Text Available Aim: To investigate the quantitative ultrasound measurements and determine the related demographic, clinical and life style parameters. Material and Methods: A questionnaire including demographic features, systemic diseases, physical activity levels and other risk factors for osteoporosis was completed. Measurements of quantitative ultrasound (QUS were performed. Speed of sound (SOS (m/sec measurements were taken at the distal 1/3 radius of the nondominant extremity. Results: Among 2347 persons whom QUS measurements and questionnaires were completed, those aged 35 years and older and that were not taking antiosteoporotic treatment (N= 1867; 1654 women, 213 men were included for the analysis. Mean age of the participants were 52.1±10.7 years and mean SOS scores were 4142.8±185.8 m/sec. The variables that were statistically significant in either independent samples t test or analysis of variance were put in the linear regression analysis. In women, age, years since menopause and duration of lactation were independent predictors for SOS scores (constant= 4367.9 m/sec, age B: -3.8, ß: -0.197, p: 0.01; years since menopause: B: -3.9, ß: -0.211, p: 0.006; duration of lactation B: -0.4, ß: -0.086, p: 0.037. In men, age and level of education affected SOS scores independently (constant= 4271.3 m/sec, age B: -3.8, ß: -0.277, p: 0.001; level of education: B: 18.8, ß: 0.144, p: 0.036. Conclusion: Increasing age is associated with decrements in speed of sound measured by quantitative ultrasound at distal radius. It is important to give education about preventive measures on bone metabolism, especially during the lactation period. (Turkish Journal of Osteoporosis 2011;17:1-5

  11. Fractures of the distal radius. Current concepts for treatment.

    Science.gov (United States)

    Broos, P L; Fourneau, I A; Stoffelen, D V

    2001-06-01

    The authors review the treatment of fractures of the distal radius, based on their experience and from data in the literature. The choice of a treatment for any given fracture must take into account first of all the stability of the fracture. The best results are achieved in stable fractures. Only minimally displaced distal radius fractures can be treated functionally. However, a plaster cast for one week is indicated for the comfort of the patient. In displaced but stable fractures both closed reduction and percutaneous fixation are indicated. In case of closed reduction, the plaster cast should be applied for 5 to 6 weeks with an above-elbow cast for 3 weeks. Percutaneous fixation gives the best results in extraarticular fractures in younger patients. Because of its simplicity however, it should not be ignored in the elderly osteoporotic patients. In the authors' experience, both techniques were only used for extraarticular fractures. Good and excellent results were found in the closed reduction and plaster cast group in 74% of the patients; the Kapandji technique gave 75% good and excellent results. These results are in line with other findings which show that, for simple fracture types, the Kapandji technique and closed reduction seem to give similar results. External fixation is widely used for intra-articular comminuted fractures. Dynamic external fixation does not show any advantage over static devices. Additional K-wires or bone grafting may be necessary. External fixation gives superior results to plate and screw fixation. Internal fixation should be reserved for fractures with ventral comminution or severe displacement with unacceptable reduction by closed or minimally invasive techniques.

  12. Distal radius hemiarthroplasty combined with proximal row carpectomy: case report.

    Science.gov (United States)

    Boyer, Jeffrey S; Adams, Brian

    2010-01-01

    Severe wrist arthritis is most commonly treated by complete wrist arthrodesis, which provides predictable pain relief but the loss of motion may reduce ease of function. In selected patients, motion preserving surgical options, including limited intercarpal fusion, proximal row carpectomy (PRC), and total wrist arthroplasty (TWA) are considered. However, limited fusion and PRC are typically possible only in less severe cases in which there are some articular surfaces showing minimal degeneration that can be retained. TWA is an option for patients who have lower activity demands and specific needs or desires to maintain some wrist motion. Recent utility and decision analysis studies demonstrate that arthroplasty is associated with higher qualify adjusted life year (QALY) than arthrodesis in patients with rheumatoid arthritis. Despite these positive aspects of TWA, the procedure is not as widely accepted as hip, knee, or shoulder arthroplasty. Early implants had problems related to both materials and design, with breakage, loosening and joint imbalance being common complications. Newer generation implants are improved with more predictable early function, less joint imbalance, and rare breakage, but distal component loosening remains a substantial problem. Thus, patients with poor bone stock and those with high activity demands are typically not candidates for TWA, and all patients are advised to restrict activities to reduce the risk of implant loosening. A new motion preserving procedure has recently been used at our institution in selected patients with severe arthritis who do not qualify for TWA but request an alternative to complete wrist fusion. In this procedure, a distal radius implant arthroplasty is combined with a PRC. The distal radius component of a Universal 2 (UNI 2) total wrist arthroplasty system (Integra life Sciences, Plainsboro, NJ) is used. To our knowledge, there have been no previous publications on this technique. We report our first two cases

  13. Unrepaired Tetralogy of Fallot with Absent Pulmonary Valve in a Mildly Symptomatic 16-Year-Old Boy.

    Science.gov (United States)

    Drogalis-Kim, Diana E; Reemtsen, Brian L; Reardon, Leigh Christopher

    2016-12-01

    Absent pulmonary valve is a rare and severe variant seen in only 3% to 6% of patients with tetralogy of Fallot. Fetuses with this combined condition who survive through birth typically need intervention in infancy or early childhood because of respiratory distress, heart failure, or failure to thrive. We describe the unusual case of a mildly symptomatic 16-year-old boy with these conditions who underwent successful primary repair. Our search of the medical literature yielded fewer than 5 cases of tetralogy of Fallot with absent pulmonary valve (or variants with an absent left pulmonary artery) and survival without repair into later adolescence or adulthood.

  14. Serotonin syndrome

    Science.gov (United States)

    Hyperserotonemia; Serotonergic syndrome; Serotonin toxicity; SSRI - serotonin syndrome; MAO - serotonin syndrome ... brain area. For example, you can develop this syndrome if you take migraine medicines called triptans together ...

  15. Absent Audiovisual Integration Elicited by Peripheral Stimuli in Parkinson’s Disease

    Directory of Open Access Journals (Sweden)

    Yanna Ren

    2018-01-01

    Full Text Available The basal ganglia, which have been shown to be a significant multisensory hub, are disordered in Parkinson’s disease (PD. This study was to investigate the audiovisual integration of peripheral stimuli in PD patients with/without sleep disturbances. Thirty-six age-matched normal controls (NC and 30 PD patients were recruited for an auditory/visual discrimination experiment. The mean response times for each participant were analyzed using repeated measures ANOVA and race model. The results showed that the response to all stimuli was significantly delayed for PD compared to NC (all p0.05. The current results showed that audiovisual multisensory integration for peripheral stimuli is absent in PD regardless of sleep disturbances and further suggested the abnormal audiovisual integration might be a potential early manifestation of PD.

  16. Computerized axial tomography of the chest for visualization of ''absent'' pulmonary arteries

    International Nuclear Information System (INIS)

    Sondheimer, H.M.; Oliphant, M.; Schneider, B.; Kavey, R.E.W.; Blackman, M.S.; Parker, F.B. Jr.

    1982-01-01

    To expand the search for central pulmonary arteries in six patients with absence of cardiac-pulmonary continuity, computerized axial tomography (CAT) of the chest was performed. The CAT scans were compared with previous arteriograms and pulmonary vein wedge angiograms. Three patients with type IV truncus arteriosus were studied, and none had a central, right or left pulmonary artery on CAT scan. However, two patients with tetralogy of Fallot with pulmonary atresia and a patent ductus arteriosus to the right lung demonstrated the presence of a left pulmonary artery. In addition, one child with truncus arteriosus with ''absent'' left pulmonary artery demonstrated a left pulmonary artery on the CAT scan. The CAT scan may therefore enhance our ability to search for disconnected pulmonary arteries in children with complex cyanotic congenital heart disease

  17. Three-dimensional analysis of deformities of the radius and ulna in congenital proximal radioulnar synostosis.

    Science.gov (United States)

    Nakasone, Motoko; Nakasone, Satoshi; Kinjo, Masaki; Murase, Tsuyoshi; Kanaya, Fuminori

    2018-01-01

    We reconstructed three-dimensional images of radius and ulna in 38 forearms of 25 patients with congenital proximal radioulnar synostosis from their computed tomographic studies. We also analysed correlations between the deformities of radius and ulna and degrees of fixed pronation of these forearms. The average ulnar deviation, flexion and internal rotation deformities of the radius were 6°, 3° and 18°, respectively. The average radial deviation, extension and internal rotation deformities of the ulna were 3°, 4° and 30°, respectively. The flexion deformity of the radius and the internal rotation deformity of the radius and ulna were correlated significantly with degree of fixed pronation. We conclude that the patients with congenital proximal radioulnar synostosis have remarkable flexion deformity of the radius and internal rotation deformity of the radius and ulna, which might impede forearm rotation after corrective surgery in the proximal part of the forearm.

  18. Failure of dual radius hydroxyapatite-coated acetabular cups

    Directory of Open Access Journals (Sweden)

    Zatti Giovanni

    2008-08-01

    Full Text Available Abstract Introduction Many kind of hydroxyapatite-coated cups were used, with favorable results in short term studies; it was supposed that its use could improve osteointegration of the cup, enhancing thus stability and survivorship. The purpose of this study is to analyze the long term behavior of the hemispheric HA coated, Dual Radius Osteonics cup and to discuss the way of failure through the exam of the revised components and of both periacetabular and osteolysis tissue. Materials and Methods Between 1994 and 1997, at the Department of Orthopedic Sciences of the Insubria University, using the posterolateral approach, were implanted 276 Dual Radius Osteonics® in 256 patients, with mean age of 63 years. Results At a mean follow-up of 10 years (range 8–12 years, 183 cups in 165 patients, were available for clinical and radiographical evaluation. 22 Cups among the 183 were revised (11%. The cause of revision was aseptic loosening in 17 cases, septic loosening in one case, periprosthetic fracture in another case, osteolysis and polyethylene wear in two cases and, finally, recurrent dislocations in the last one. In the remaining patients, mean HHS increased from a preoperative value of 50,15 to a postoperative value of 92,69. The mean polyethylene wear was 1,25 mm (min. 0,08, max. 3,9 mm, with a mean annual wear of 0,17 mm. The mean acetabular migration on the two axis was 1,6 mm and 1,8 mm. Peri-acetabular osteolysis were recorded in 89% of the implants (163 cases. The cumulative survivorship (revision as endpoint at the time was 88,9%. Conclusion Our study confirms the bad behavior of this type of cup probably related to the design, to the method of HA fixation. The observations carried out on the revised cup confirm these hypotheses but did not clarify if the third body wear could be a further problem. Another interesting aspect is the high incidence of osteolysis, which are often asymptomatic becoming a problem for the surgeon as the

  19. Volar morphology of the distal radius in axial planes: a quantitative analysis.

    Science.gov (United States)

    Oura, Keiichiro; Oka, Kunihiro; Kawanishi, Yohei; Sugamoto, Kazuomi; Yoshikawa, Hideki; Murase, Tsuyoshi

    2015-04-01

    To investigate the cause of rupture of the flexor pollicis longus (FPL) after volar plate fixation of distal radius fractures, previous studies have examined the shape of the distal radius in the sagittal plane or in the lateral view. However, there are no reports on the anatomical shape of the volar surface concavity of the distal radius in the axial plane. We hypothesized that this concavity might contribute to the mismatch between the plate and the surface of the radius. To test this hypothesis, we constructed three-dimensional models of the radius and FPL based on computed tomography scans of 70 normal forearms. We analyzed axial cross-sectional views with 2 mm intervals. In all cases, the volar surface of the distal radius was concave in the axial plane. The concavity depth was maximum at 6 mm proximal to the palmar edge of the lunate fossa and progressively decreased toward the proximal radius. FPL was closest to the radius at 2 mm proximal to the palmar edge of the lunate fossa. The volar surface of the distal radius was externally rotated from proximal to distal. These results may help to develop new implants which fit better to the radius and decrease tendon irritation. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

  20. MASS-RADIUS RELATIONSHIPS FOR VERY LOW MASS GASEOUS PLANETS

    International Nuclear Information System (INIS)

    Batygin, Konstantin; Stevenson, David J.

    2013-01-01

    Recently, the Kepler spacecraft has detected a sizable aggregate of objects, characterized by giant-planet-like radii and modest levels of stellar irradiation. With the exception of a handful of objects, the physical nature, and specifically the average densities, of these bodies remain unknown. Here, we propose that the detected giant planet radii may partially belong to planets somewhat less massive than Uranus and Neptune. Accordingly, in this work, we seek to identify a physically sound upper limit to planetary radii at low masses and moderate equilibrium temperatures. As a guiding example, we analyze the interior structure of the Neptune-mass planet Kepler-30d and show that it is acutely deficient in heavy elements, especially compared with its solar system counterparts. Subsequently, we perform numerical simulations of planetary thermal evolution and in agreement with previous studies, show that generally, 10-20 M ⊕ , multi-billion year old planets, composed of high density cores and extended H/He envelopes can have radii that firmly reside in the giant planet range. We subject our results to stability criteria based on extreme ultraviolet radiation, as well as Roche-lobe overflow driven mass-loss and construct mass-radius relationships for the considered objects. We conclude by discussing observational avenues that may be used to confirm or repudiate the existence of putative low mass, gas-dominated planets.

  1. Massive radius-dependent flow slippage in carbon nanotubes.

    Science.gov (United States)

    Secchi, Eleonora; Marbach, Sophie; Niguès, Antoine; Stein, Derek; Siria, Alessandro; Bocquet, Lydéric

    2016-09-08

    Measurements and simulations have found that water moves through carbon nanotubes at exceptionally high rates owing to nearly frictionless interfaces. These observations have stimulated interest in nanotube-based membranes for applications including desalination, nano-filtration and energy harvesting, yet the exact mechanisms of water transport inside the nanotubes and at the water-carbon interface continue to be debated because existing theories do not provide a satisfactory explanation for the limited number of experimental results available so far. This lack of experimental results arises because, even though controlled and systematic studies have explored transport through individual nanotubes, none has met the considerable technical challenge of unambiguously measuring the permeability of a single nanotube. Here we show that the pressure-driven flow rate through individual nanotubes can be determined with unprecedented sensitivity and without dyes from the hydrodynamics of water jets as they emerge from single nanotubes into a surrounding fluid. Our measurements reveal unexpectedly large and radius-dependent surface slippage in carbon nanotubes, and no slippage in boron nitride nanotubes that are crystallographically similar to carbon nanotubes, but electronically different. This pronounced contrast between the two systems must originate from subtle differences in the atomic-scale details of their solid-liquid interfaces, illustrating that nanofluidics is the frontier at which the continuum picture of fluid mechanics meets the atomic nature of matter.

  2. AO Distal Radius Fracture Classification: Global Perspective on Observer Agreement.

    Science.gov (United States)

    Jayakumar, Prakash; Teunis, Teun; Giménez, Beatriz Bravo; Verstreken, Frederik; Di Mascio, Livio; Jupiter, Jesse B

    2017-02-01

    Background  The primary objective of this study was to test interobserver reliability when classifying fractures by consensus by AO types and groups among a large international group of surgeons. Secondarily, we assessed the difference in inter- and intraobserver agreement of the AO classification in relation to geographical location, level of training, and subspecialty. Methods  A randomized set of radiographic and computed tomographic images from a consecutive series of 96 distal radius fractures (DRFs), treated between October 2010 and April 2013, was classified using an electronic web-based portal by an invited group of participants on two occasions. Results  Interobserver reliability was substantial when classifying AO type A fractures but fair and moderate for type B and C fractures, respectively. No difference was observed by location, except for an apparent difference between participants from India and Australia classifying type B fractures. No statistically significant associations were observed comparing interobserver agreement by level of training and no differences were shown comparing subspecialties. Intra-rater reproducibility was "substantial" for fracture types and "fair" for fracture groups with no difference accounting for location, training level, or specialty. Conclusion  Improved definition of reliability and reproducibility of this classification may be achieved using large international groups of raters, empowering decision making on which system to utilize. Level of Evidence  Level III.

  3. Repetitive Behavior in Rubinstein-Taybi Syndrome: Parallels with Autism Spectrum Phenomenology

    Science.gov (United States)

    Waite, Jane; Moss, Joanna; Beck, Sarah R.; Richards, Caroline; Nelson, Lisa; Arron, Kate; Burbidge, Cheryl; Berg, Katy; Oliver, Chris

    2015-01-01

    Syndrome specific repetitive behavior profiles have been described previously. A detailed profile is absent for Rubinstein-Taybi syndrome (RTS). The Repetitive Behaviour Questionnaire and Social Communication Questionnaire were completed for children and adults with RTS (N = 87), Fragile-X (N = 196) and Down (N = 132) syndromes, and individuals…

  4. [A genetic childhood disease with consequences in adult life: the Denys-Drash syndrome

    NARCIS (Netherlands)

    Lowik, M.; Berk-Mortel, F. van den; Noordam, C.; Hamersvelt, H.W. van; Heuvel, L.P.W.J. van den; Levtchenko, E.N.

    2005-01-01

    In a 17-year-old woman with absent sexual development and a congenital nephrotic syndrome leading to renal failure, the Denys-Drash syndrome was diagnosed after development of an ovarian dysgerminoma. The Denys-Drash syndrome is characterised by the triad: progressive nephropathy due to diffuse

  5. Beals Syndrome

    Science.gov (United States)

    ... the syndrome. How does Beals syndrome compare with Marfan syndrome? People with Beals syndrome have many of the ... bone) and aortic enlargement problems as people with Marfan syndrome, and treatments for these problems are the same. ...

  6. Contact Radius and the Insulator-Metal Transition in Films Comprised of Touching Semiconductor Nanocrystals.

    Science.gov (United States)

    Lanigan, Deanna; Thimsen, Elijah

    2016-07-26

    Nanocrystal assemblies are being explored for a number of optoelectronic applications such as transparent conductors, photovoltaic solar cells, and electrochromic windows. Majority carrier transport is important for these applications, yet it remains relatively poorly understood in films comprised of touching nanocrystals. Specifically, the underlying structural parameters expected to determine the transport mechanism have not been fully elucidated. In this report, we demonstrate experimentally that the contact radius, between touching heavily doped ZnO nanocrystals, controls the electron transport mechanism. Spherical nanocrystals are considered, which are connected by a circular area. The radius of this circular area is the contact radius. For nanocrystals that have local majority carrier concentration above the Mott transition, there is a critical contact radius. If the contact radius between nanocrystals is less than the critical value, then the transport mechanism is variable range hopping. If the contact radius is greater than the critical value, the films display behavior consistent with metallic electron transport.

  7. Hypoxia induces an immunodominant target of tuberculosis specific T cells absent from common BCG vaccines.

    Directory of Open Access Journals (Sweden)

    Hannah Priyadarshini Gideon

    2010-12-01

    Full Text Available M. tuberculosis (MTB species-specific antigenic determinants of the human T cell response are important for immunodiagnosis and vaccination. As hypoxia is a stimulus in chronic tuberculosis infection, we analyzed transcriptional profiles of MTB subject to 168 hours of hypoxia to test the hypothesis that upregulation by hypoxia might result in gene products being recognized as antigens. We identified upregulation of two region of difference (RD 11 (Rv2658C and Rv2659c, and one RD2 (Rv1986 absent from commonly used BCG strains. In MTB infected persons, the IL-2 ELISpot response to Rv1986 peptides was several times greater than the corresponding IFN-γ response to the reference immunodominant ESAT-6 or CFP-10 antigens. The IL-2 response was confined to two epitopic regions containing residues 61-80 and 161-180. The biggest population of IL-2 secreting T cells was single cytokine positive central memory T cells. The IL-2 response to live MTB bacilli lacking Rv1986 was significantly lower than the response to wild type or mutant complemented with Rv1986. In addition, the IL-2 response to Rv1986 was significantly lower in HIV-TB co-infected persons than in HIV uninfected persons, and significantly increased during antiretroviral therapy. These findings demonstrate that Rv1986 is an immunodominant target of memory T cells and is therefore of relevance when considering the partial efficacy of currently used BCG vaccines and provide evidence for a clinical trial comparing BCG strains.

  8. Persistent left superior vena cava with absent right superior vena cava: image findings

    International Nuclear Information System (INIS)

    Araujo Junior, Cyrillo Rodrigues de; Carvalho, Tarcisio Nunes; Fraguas Filho, Sergio Roberto; Costa, Marlos Augusto Bitencourt; Jacob, Beatriz Mahmud; Machado, Marcio Martins; Teixeira, Kim-Ir-Sen Santos; Ximenes, Carlos Alberto

    2003-01-01

    Persistent left superior vena cava absent right superior vena cava is a rare anomaly, with less than 150 cases reported in the literature. Congenitally persistent left superior vena cava is the most common variant of systemic venous return to the heart, resulting embryologically from failure of the left anterior cardinal vein to become obliterated. Its incidence varies from 0.3% in patients with otherwise normal heart to 4.3% in patients with congenital heart disease. In the majority of the patients, a right superior vena cava is present as well, but rarely the right anterior cardinal vein degenerates resulting in the absence of the normal right superior vena cava. The blood from the right side is carried by the persistent left superior vena cava to the right atrium through the coronary sinus. We report the case of a patient with a persistent left superior vena cava and absence of right superior vena cava identified by chance during a chest radiograph and computed tomography examination for investigation of chronic pulmonary obstructive disease. The patient had no congenital heart disease and the blood from the right side was drained by the persistent left superior vena cava into the right atrium through the coronary sinus. (author)

  9. [Study on Tracheal Intubation's Circular Arc Radius Measuring Method Based on Machine Vision].

    Science.gov (United States)

    Yu, Dong; Li, Genchi; Feng, Yunhao; Yang, Yonghuan; Hao, Xiali

    2015-03-01

    It is difficult to measure the circular arc radius for central angle less than 30 degrees. The existing measuring methods are of low efficiency and big error. Through designing the machine vision system and studying the image detecting method for measurement, It is obtained good results by using the new measurement for tracheal intubation's circular arc radius, Realized a rapid and accurate measurement of the circular arc radius, and expanded the application in the field of machine vision.

  10. On the determination of the proton RMS-radius from electron scattering data

    International Nuclear Information System (INIS)

    Borkowski, F.; Simon, G.G.; Walther, V.H.; Wendling, R.D.

    1975-01-01

    It is shown that the proton rms radius should be determined from fiting a polynomial of second order to the low-q 2 form factors. The commonly used polynomial of first yields radius values which are too small. The proton rms radius has been redetermined from an analysis of the electron scattering data measured at three laboratories. The best fit value is [r 2 sub(E)]sup(1/2) = 0.87 +- 0.02 fm. (orig.) [de

  11. Positive Family History, Infection, Low Absolute Lymphocyte Count (ALC), and Absent Thymic Shadow: Diagnostic Clues for All Molecular Forms of Severe Combined Immunodeficiency (SCID).

    Science.gov (United States)

    McWilliams, Laurie M; Dell Railey, Mary; Buckley, Rebecca H

    2015-01-01

    Severe combined immunodeficiency (SCID) is a syndrome uniformly fatal during infancy unless recognized and treated successfully by bone marrow transplantation or gene therapy. Because infants with SCID have no abnormal physical appearance, diagnosis is usually delayed unless newborn screening is performed. In this study, we sought to evaluate the presenting features of all 172 patients with SCID transplanted at this institution over the past 31 years. We reviewed original charts from 172 consecutive patients with classic SCID who received either T-cell-depleted HLA-haploidentical (N = 154) or HLA-identical (N = 18) nonablative related marrow transplants at Duke University Medical Center from 1982 to 2013. The mean age at presentation was 4.87 months. When there was a family history of early infant death or known SCID (37%), the mean presentation age was much earlier, 2.0 months compared with 6.6 months. Failure to thrive was common, with 84 patients (50%) having a weight less than the 5th percentile. The leading infections included oral moniliasis (43%), viral infections (35.5%), and Pneumocystis jiroveci (26%) pneumonia. The group mean absolute lymphocyte count (ALC) was 1454/cmm; 88% of the infants had an ALC less than 3000/cmm. An absent thymic shadow was seen in 92% of infants with electronic radiographic data available. An absence of T-cell function was found in all patients. Infants with SCID appear normal at birth but later present with failure to thrive and/or recurrent fungal, viral, and bacterial infections. Low ALCs and an absent thymic shadow on chest x-ray are key diagnostic clues. The absence of T-cell function confirms the diagnosis. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  12. A Large Radius Human Centrifuge: The Human Hypergravity Havitat

    Science.gov (United States)

    van Loon, J. J. W. A.

    2008-06-01

    Life on Earth has developed at unit gravity, 9.81 m/s2, but how would plants and animals have evolved on a larger planet, i.e. larger than Earth? We are able to address this question simply by studies using centrifuges. In the past decades numerous experiments have been performed on cells, plants and animals grown for longer durations, even multi generations, under hypergravity conditions. Based on these studies we have gained interesting insights in the physiological process of these systems when exposed to artificial gravity. Animals and plants adapt themselves to this new high-g environment. Information of adaptation to hyper-g in mammals is interesting, or maybe even proof vital, for future human space flight programs especially in light of long duration missions to Moon and Mars. We know from long duration animal studies that numerous physiological processes and structures like muscles, bones, neuro-vestibular, or the cardiovascular system are affected. However, humans have never been exposed to a hyper-g environment for long durations. Human studies are mostly in the order of hours at most. Current work on human centrifuges is all focused on short arm systems to apply artificial gravity in long duration space missions. In this paper we want to address the possible usefulness of a large radius human centrifuge on Earth, or even on Moon or Mars, for both basic research and possible applications. In such a centrifuge a group of humans may be exposed to hypergravity for, in principle, an unlimited period of time.

  13. Rights and wrongs of the temporal solar radius variability

    Science.gov (United States)

    Rozelot, J. P.; Damiani, C.

    2012-10-01

    From time immemorial men have strived to measure the size of celestial bodies. Among them, the diameter of the Sun was a source of curiosity and study. Tackled by Greek astronomers from a geometric point of view, an estimate, although incorrect, has been first determined, not truly called into question for several centuries. One must wait up to the XVIIth century to get the first precise determinations made by the French school of astronomy. Gradually, as the techniques were more and more sophisticated, many other solar diameter measurements were carried out, notably in England, Germany, Italy and US. However, even with instruments at the cutting edge of progress, no absolute value of the solar diameter has been provided yet, even if the community has adopted a canonical radius of 959''&dotbelow;63, given in all ephemeris since the end of the XIXth century. One of the major difficulties is to define a correct solar diameter. Another issue is the possible temporal variability of the size of the Sun, as first advocated at the end of the XIXth century by the Italian school. Today, this question is just on the way to being solved in spite of considerable efforts developed on ground-based facilities or on board space experiments. We will here give a review of some of the most remarkable techniques used in the past, emphasising how incorrect measurements have driven new ideas, leading to develop new statements for the underlying physics. On such new grounds, it can be speculated that the roundness of the Sun is not perfect, but developing a thin "cantaloupe skin" in periods of higher activity, with departures from sphericity being inevitably bounded by a few kilometers (around 80 km or 10 to 15 mas).

  14. Minimally invasive plate osteosynthesis for distal radius fractures

    Directory of Open Access Journals (Sweden)

    Xu-ming Wei

    2014-01-01

    Full Text Available Background: Fractures of distal radius are common injury in all age groups. Cast treatment with or without close reduction is a viable option. However, the results are often unsatisfactory with restricted function. The open reduction and internal fixation often results in extensive soft tissue dissection and associated high rates of infection and delayed/nonunion. The distractor/external fixator have reported good functional and anatomical results but the incidence of pin traction infection nerve injury and cosmedic deformity are high. We introduced a modified operative technique for minimally invasive plate osteosynthesis (MIPO for distal radial fracture and evaluated the functional outcomes and complications. Materials and Methods: 22 distal radial fractures (10 left, 12 right were treated using the MIPO technique and two small incisions with a palmar locking plate from August 2009 to August 2010. The wrist function was assessed according to Dienst wrist rating system, and postoperative complications were recorded. Results: According to Dienst wrist rating system, 13 patients showed excellent results, 6 cases showed good results and 3 patients had moderate results. No patient had poor results. Thus, the excellent and good rate was 86.4%. One patient had anesthesia in the thenar eminence and this symptom disappeared after 3 months. One patient had delayed healing in the proximal wrist crease. Two patients had mild pain on the ulnar side of the wrist and two patients had limited wrist joint function. Conclusion: The MIPO technique by using two small palmar incisions is safe and effective for treatment of distal radial fractures.

  15. Radial shortening following a fracture of the proximal radius.

    Science.gov (United States)

    Duckworth, Andrew D; Watson, Bruce S; Will, Elizabeth M; Petrisor, Brad A; Walmsley, Phillip J; Court-Brown, Charles M; McQueen, Margaret M

    2011-06-01

    The Essex-Lopresti lesion is thought to be rare, with a varying degree of disruption to forearm stability probable. We describe the range of radial shortening that occurs following a fracture of the proximal radius, as well as the short-term outcome in these patients. Over an 18-month period, we prospectively assessed all patients with a radiographically confirmed proximal radial fracture. Patients noted to have ipsilateral wrist pain at initial presentation underwent bilateral radiography to determine whether there was disruption of the distal radio-ulnar joint suggestive of an Essex-Lopresti lesion. Outcome was assessed after a mean of 6 (1.5-12) months using clinical and radiographic results, including the Mayo elbow score (MES) and the short musculoskeletal function assessment (SMFA) questionnaire. One patient with a Mason type-I fracture was lost to follow-up after initial presentation. 60 patients had ipsilateral wrist pain at the initial assessment of 237 proximal radial fractures. Radial shortening of ≥ 2mm (range: 2-4mm) was seen in 22 patients (mean age 48 (19-79) years, 16 females). The most frequent mechanism of injury was a fall from standing height (10/22). 21 fractures were classified as being Mason type-I or type-II, all of which were managed nonoperatively. One Mason type-III fracture underwent acute radial head replacement. Functional outcome was assessed in 21 patients. We found an excellent or good MES in 18 of the 20 patients with a Mason type-I or type-II injury. The incidence of the Essex-Lopresti lesion type is possibly under-reported as there is a spectrum of injuries, and subtle disruptions often go unidentified. A full assessment of all patients with a proximal radial fracture is required in order to identify these injuries, and the index of suspicion is raised as the complexity of the fracture increases.

  16. Effect of isospin dependence of radius on transverse flow and fragmentation in isobaric pairs

    Science.gov (United States)

    Gautam, Sakshi

    2013-11-01

    We study the role of nuclear structure effects through radius in reaction dynamics via transverse flow and multifragmentation of isobaric colliding pairs. Our study reveals that isospin-dependent radius [proposed by Royer and Rousseau [Eur. Phys. J. A10.1140/epja/i2008-10745-8 42, 541 (2009)] has significant effect towards isospin effects. The collective flow behavior and fragmentation pattern of neutron-rich system with respect to neutron-deficient system is found to get reversed with isospin-dependent radius compared to that with liquid drop radius.

  17. The separatrix radius measurement of field-reversed configuration plasma in FRX-L

    International Nuclear Information System (INIS)

    Zhang, Shouyin; Tejero, Erik M.; Taccetti, Jose Martin; Wurden, Glen A.; Intrator, Thomas; Waganaar, William J.

    2004-01-01

    Magnetic pick-up coils and single turn flux loops are installed on the FRX-L device. The combination of the two measurements provides the excluded flux radius that approximates the separatrix radius of the field-reversed configuration plasma. Arrays of similar probes are used to map out local magnetic field dynamics beyond both ends of the theta-coil confinement region to help understand the effects of cusp locations on flux trapping during the FRC formation process. Details on the probe design and system calibrations are presented. The overall system calibration of excluded flux radius measurement is examined by replacing FRC plasma with a known radius aluminum conductor cylinder.

  18. Fractures of the bilateral distal radius and scaphoid: a case report

    Directory of Open Access Journals (Sweden)

    Ozkan Korhan

    2008-03-01

    Full Text Available Abstract Introduction Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Case presentation A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating. Conclusion Rigid internal fixation of distal radius and scaphoid fractures is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with a plaster or external skeletal fixation.

  19. The outcome of conservative treatment of adult distal radius fractures compared with the other wrist: radiological and functional evaluation

    Directory of Open Access Journals (Sweden)

    Mustafa Uslu

    2014-09-01

    Full Text Available Objective: This study was designed to evaluate anatomical and functional results of closed reduction-long arm cast treatment for distal radius fractures and compared other healthy wrist in the adults. Methods: 77 patients with distal radius fracture were treated conservatively between January 2010 and December 2010. The fractures were classified according to AO and Frykman classification system and investigated prospectively. The radiological and anatomical results were assessed by the Stewart score criteria. The functional results were assessed by Quick-Disability of Arm, Shoulder and Hand questionnaire (Q-DASH and the Stewart II score criteria. The mean follow-up of patients was 12 months. Results: The forty patients had right wrist fractured, 37 patients had left wrist fractured. According to Frykman classification 46 patients were type I-II fractured, according to AO classification 59 patients were type 23,A2,1 and 23,A2,2 fractured. According to Stewart the radiological and anatomical, the result were excellent in 57, good in 17, fair in 3. According to Stewart II functional criteria, the results were assessed excellent in 57, good in 8, fair in 12 The mean Q-DASH score was 6,37. The overall complication rate was 12.98%. Mild Carpal tunnel syndrome was observed in the two patients, ulna styloid nonunion in the four patients, pain of distal radioulnar joint in the one patient, mild carpal tunnel syndrome and tenderness of distal radioulnar joint in the three patients. Conclusion: Closed reduction and cast immobilization is still an effective and inexpensive treatment method in distal radial fractures. J Clin Exp Invest 2014; 5 (3: 403-409

  20. Computer-assisted planning and navigation for corrective distal radius osteotomy, based on pre- and intraoperative imaging

    NARCIS (Netherlands)

    Dobbe, J. G. G.; Strackee, S. D.; Schreurs, A. W.; Jonges, R.; Carelsen, B.; Vroemen, J. C.; Grimbergen, C. A.; Streekstra, G. J.

    2011-01-01

    Malunion after a distal radius fracture is very common and if symptomatic, is treated with a so-called corrective osteotomy. In a traditional distal radius osteotomy, the radius is cut at the fracture site and a wedge is inserted in the osteotomy gap to correct the distal radius pose. The standard

  1. Postprandial prolactin suppression appears absent in antipsychotic-treated male patients.

    Science.gov (United States)

    Coello, Klara; Broberg, Brian V; Bak, Nikolaj; Madsen, Anna; Mortensen, Henrik B; Søgaard, Birgitte; Szecsi, Pal B; Knop, Filip K; Lublin, Henrik; Ebdrup, Bjørn H

    2015-10-01

    Hyperprolactinemia is a common side-effect of antipsychotic treatment. Antipsychotics and hyperprolactinemia are both considered risk factors of metabolic disturbances and diabetes. Investigations on prolactin response to meal ingestion in antipsychotic-treated patients are missing. In a case-control design, 49 antipsychotic-treated, clinically stable, non-diabetic, schizophrenia spectrum male patients were compared with 93 healthy male controls by age (33.1, SD 7.4 vs. 32.9, SD 6.6 years), body mass index (26.2, SD 4.6 vs. 26.1, SD 3.9 kg/m(2)) and waist circumference (96.4, SD 13.0 vs. 96.7, SD 11.9 cm). Serum-prolactin was measured in the morning and 90 min after ingestion of a standardized liquid meal (2268 kJ). Fasting prolactin levels varied considerably, and mean fasting prolactin levels did not significantly differ between patients and controls (12.33, SD 11.58 vs. 10.06, SD 8.67 ng/ml, p = 0.623). In the controls, postprandial serum prolactin was significantly reduced (Δ -2.53, SD 9.75 ng/ml, p = 0.016). In antipsychotic-treated patients postprandial serum prolactin tended to increase (Δ 2.62, SD 10.96 ng/ml, p = 0.081). Analyses of subgroups based on the prolactinogenic liability of their antipsychotic treatment indicated 22 to 65% higher postprandial prolactin levels with high and intermediate prolactinogenic antipsychotics. A physiological postprandial suppression of serum prolactin appears absent in antipsychotic-treated males. Marked variability in fasting prolactin levels may reflect individual variations in the diurnal cycle. Uniform acquisition procedures accounting for diurnal variation and food intake may enhance reliability of prolactin levels in antipsychotic-treated male patients. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  2. 1H-NMR metabolomic biomarkers of poor outcome after hemorrhagic shock are absent in hibernators.

    Directory of Open Access Journals (Sweden)

    Lori K Bogren

    Full Text Available Hemorrhagic shock (HS following trauma is a leading cause of death among persons under the age of 40. During HS the body undergoes systemic warm ischemia followed by reperfusion during medical intervention. Ischemia/reperfusion (I/R results in a disruption of cellular metabolic processes that ultimately lead to tissue and organ dysfunction or failure. Resistance to I/R injury is a characteristic of hibernating mammals. The present study sought to identify circulating metabolites in the rat as biomarkers for metabolic alterations associated with poor outcome after HS. Arctic ground squirrels (AGS, a hibernating species that resists I/R injury independent of decreased body temperature (warm I/R, was used as a negative control.Male Sprague-Dawley rats and AGS were subject to HS by withdrawing blood to a mean arterial pressure (MAP of 35 mmHg and maintaining the low MAP for 20 min before reperfusing with Ringers. The animals' temperature was maintained at 37 ± 0.5 °C for the duration of the experiment. Plasma samples were taken immediately before hemorrhage and three hours after reperfusion. Hydrophilic and lipid metabolites from plasma were then analyzed via 1H-NMR from unprocessed plasma and lipid extracts, respectively. Rats, susceptible to I/R injury, had a qualitative shift in their hydrophilic metabolic fingerprint including differential activation of glucose and anaerobic metabolism and had alterations in several metabolites during I/R indicative of metabolic adjustments and organ damage. In contrast, I/R injury resistant AGS, regardless of season or body temperature, maintained a stable metabolic homeostasis revealed by a qualitative 1H-NMR metabolic profile with few changes in quantified metabolites during HS-induced global I/R.An increase in circulating metabolites indicative of anaerobic metabolism and activation of glycolytic pathways is associated with poor prognosis after HS in rats. These same biomarkers are absent in AGS after HS

  3. Absent in melanoma 2 (AIM2) in rat dental pulp mediates the inflammatory response during pulpitis.

    Science.gov (United States)

    Wang, Yafei; Zhai, Shafei; Wang, Haijing; Jia, Qian; Jiang, Wenkai; Zhang, Xiao; Zhang, Ansheng; Liu, Jun; Ni, Longxing

    2013-11-01

    In recent years, the inflammasome has been determined to play an important role in inflammatory diseases. However, the role of the inflammasome in pulpitis remains unclear. Absent in melanoma 2 (AIM2) is a type of inflammasome that recognizes cytosolic double stranded DNA and forms a caspase-1-activating inflammasome with apoptosis-associated speck-like protein containing a caspase activating recruiting domain. In this study, we determined whether AIM2 was expressed in pulp cells and defined the role of AIM2 in the initiation of inflammation within the dental pulp. In the in vivo study, the right maxillary molars from male adult Sprague-Dawley rats (250-350 g) were exposed to the pulp. In the in vitro study, the pulp cells isolated from the mandibular incisors of the Sprague-Dawley rats (2 weeks) were conventionally cultured. Immunofluorescence staining was used to determine the expression and distribution of AIM2 in the rat dental pulp tissues and cells in the presence or absence of inflammatory stimulation. Western blotting and real-time polymerase chain reaction were performed to determine whether there was a correlation between AIM2 expression levels and inflammation both in vivo and in vitro. In healthy dental pulp tissues and cells, AIM2 was only detected in the odontoblast layer. Stimulation significantly increased AIM2 expression in both the dental pulp tissues and cultured cells. The mRNA and protein levels of AIM2 were significantly up-regulated in response to inflammatory stimulation in a dose-dependent manner. Moreover, we also found that AIM2 expression correlated with interleukin-1 levels. These results reveal a direct relationship between the AIM2 inflammasome and pulpitis. Our study demonstrates that AIM2 is expressed in dental pulp tissues and mediates the inflammatory response during pulpitis. Therapeutic interventions aimed at reducing AIM2 expression may be beneficial in the treatment of pulpitis. Copyright © 2013 American Association of

  4. Angelman syndrome in an inbred family

    NARCIS (Netherlands)

    Beuten, J.; Hennekam, R. C.; van Roy, B.; Mangelschots, K.; Sutcliffe, J. S.; Halley, D. J.; Hennekam, F. A.; Beaudet, A. L.; Willems, P. J.

    1996-01-01

    Angelman syndrome (AS) is characterized by severe mental retardation, absent speech, puppet-like movements, inappropriate laughter, epilepsy, and abnormal electroencephalogram. The majority of AS patients (approximately 65%) have a maternal deficiency within chromosomal region 15q11-q13, caused by

  5. Cytokines in Sjogren's syndrome: potential therapeutic targets

    NARCIS (Netherlands)

    Roescher, N.; Tak, P.P.; Illei, G.G.

    2010-01-01

    The dysregulated cytokine network in Sjogren's Syndrome (SS) is reflected by local and systemic overexpression of pro-inflammatory cytokines and absent or low levels of anti-inflammatory cytokines. To date, the use of cytokine based therapies in SS has been disappointing. Oral administration of low

  6. Evaluation of sarcopenia in patients with distal radius fractures.

    Science.gov (United States)

    Roh, Young Hak; Koh, Young Do; Noh, Jung Ho; Gong, Hyun Sik; Baek, Goo Hyun

    2017-12-01

    Sarcopenia is more prevalent in patients with distal radius fracture (DRF) than in age- and sex-matched controls. Lower appendicular mass index in men and weaker grip strength in both men and women increase the likelihood of DRF. Sarcopenia is a core component of physical frailty that predisposes older people to falls and negatively impacts the activities of daily living. The objectives of this study were to compare the prevalence of sarcopenia in patients with DRF with that in age- and sex-matched controls without DRF; and evaluate the association between sarcopenia and the occurrence of DRF. We prospectively recruited 132 patients over 50 years of age who sustained DRF due to fall and 132 age- and sex-matched controls without DRF. A definition of sarcopenia was based on the consensus of the Asian Working Group for Sarcopenia. Sarcopenic components including appendicular lean body mass, grip strength, and gait speed were compared between the two groups. Other factors assessed for the occurrence of DRF were age, gender, body mass index (BMI), lumbar, and hip bone mineral density (BMD) values. A conditional logistic regression analysis was conducted to evaluate the associations between sarcopenia and the occurrence of DRF. A total of 39 (30%) of 132 DRF patients were sarcopenic, whereas 23 (17%) of the 132 controls were within the sarcopenic criteria (p = 0.048). The patient group had significantly lower lean body mass and weaker grip strength than those of the control group. However, there was no significant difference in gait speed between the two groups. According to regression analysis, lower appendicular mass index in men was associated with an increased incidence of DRF (odds ratio [OR] = 0.84, 95% confidence interval [CI] = 0.72, 0.95) while weaker grip strength and lower total hip BMD values were associated with the occurrence of DRF in both men (OR = 0.77, 95% CI = 0.63, 0.92; and OR = 0.79, 95% CI = 0.64, 0.94, respectively) and women (OR

  7. Scaphoid nonunion treated with vascularised bone graft from dorsal radius.

    Science.gov (United States)

    Özalp, Taçkın; Öz, Çağlar; Kale, Gürler; Erkan, Serkan

    2015-07-01

    The main aim of this retrospective study was to present our experience on scaphoid nonunion treated with vascularised bone graft. Between 2006 and 2012, 58 patients presenting with symptomatic scaphoid nonunion were eligible to participate in this study. Topography of the nonunion included 29 proximal, 25 waist and 4 distal scaphoid nonunions. Vascularised bone graft from distal dorsal radius was used in all cases which were stabilised with the headless cannulated compression screws. Scapholunate angles, Natrass carpal height ratio were evaluated pre and postoperatively. Range of motion of the affected side was compared to that of the contralateral side after the surgery. Radiographic union was achieved in 50, out of 58 cases with an average time of 9.9 weeks (range, 6-18 weeks). Out of all the non-united cases, four of them were in proximal, three in the waist and one was in distal scaphoid. In nine proximal nonunions treated by 4+5 ECA graft all but one were united. The mean follow up was 21.7 months (12-62 months). The flexion was 91.6%, the extension was 91.5%, the radial deviation was 81.2%, and the ulnar deviation was 89.5% compared to the other side. The grip strength was 93%. Preoperative DASH score was 61.5 diminishing to 28.7 postoperatively. There was no significant change in Natrass carpal height ratio but a slight improvement occurred in scapholunate angles both pre and postoperatively. Vascularised bone graft is a good solution for scaphoid nonunion to enhance the healing rate especially in the presence of avascular necrosis. Proximal pole nonunions, humpback deformity and smoking are important negative factors for scaphoid nonunion despite the use of a vascularised bone graft. A trapezoidal wedge graft is necessary for the volar type nonunions with humpback deformity. 1,2 ICSRA offer an advantage with its proximity to scaphoid in all nonunion locations. Nonetheless, 4+5 ECA graft is also a good solution for proximal nonunions. Copyright © 2015

  8. Distal radius reconstruction with vascularized proximal fibular autograft after en-bloc resection of recurrent giant cell tumor

    OpenAIRE

    Yang, Yun-fa; Wang, Jian-wei; Huang, Pin; Xu, Zhong-he

    2016-01-01

    Background Giant cell tumors (GCTs) located in the distal radius are likely to recur, and the treatment of such recurrent tumors is very difficult. Here, we report our clinical experience in distal radius reconstruction with vascularized proximal fibular autografts after en-bloc excision of the entire distal radius in 17 patients with recurrent GCT (RGCT) of the distal radius. Methods All 17 patients with RGCT in distal radius underwent plain radiography and/or magnetic resonance imaging (MRI...

  9. Radiographic diagnosis of scapholunate dissociation among intra-articular fractures of the distal radius: interobserver reliability

    NARCIS (Netherlands)

    Gradl, Gertraud; Neuhaus, Valentin; Fuchsberger, Thomas; Guitton, Thierry G.; Prommersberger, Karl-Josef; Ring, David; Wahegaonkar, Abhijeet L.; Shafritz, Adam B.; Garcia, Aida E.; Caputo, Andrew E.; Terrono, Andrew L.; Spoor, Andy B.; Eschler, Anica; Vochteloo, Anne J. H.; Beumer, Annechien; Barquet, Antonio; Kristan, Anze; van der Zwan, Arnard L.; Berner, Arne; Ilyas, Asif; Jubel, Axel; Sutker, Ben; Nolan, Betsy M.; Petrisor, Brad; Cross, Brian J.; Wills, Brian P. D.; Barreto, Camilo J. R.; Fernandes, Carlos H.; Swigart, Carrie; Zalavras, Charalampos; Goldfarb, Charles A.; Cassidy, Charles; Eaton, Charles; Wilson, Chris; Cheng, Christine J.; Wall, Christopher J.; Walsh, Christopher J.; Jones, Christopher M.; Garnavos, Christos; Klostermann, Cyrus; Kirkpatrick, D. Kay; Osei, Daniel A.; Rikli, Daniel A.; Wascher, Daniel C.; Polatsch, Daniel; Silva, Dario Mejia; Nelson, David L.; Kalainov, David M.; Ruchelsman, David; Hoffmann, David Victoria; Weiss, David; Eygendaal, Denise; van Deurzen, Derek F. P.; McKee, Desirae M.; Verbeek, Diederik O. F.; Hanel, Doug; Hutchinson, Douglas T.; Brilej, Drago; Harvey, Edward; Stojkovska Pemovska, Emilija; Calvo, Emilio; Hammerberg, Eric Mark; Hofmeister, Eric P.; Kaplan, F. Thomas D.; Suarez, Fabio; Beeres, Frank J. P.; Walter, Frank L.; Frykman, Gary K.; Pess, Gary M.; Kuzma, Gary R.; Dyer, George S. M.; Thomas, George; Kohut, Georges; Kraan, Gerald A.; DeSilva, Gregory; Della Rocca, Gregory J.; Lob, Guenter; Gadbled, Guillaume; Bamberger, H. Brent; Mc Cutchan, Hal; Goost, Hans; Kreder, Hans J.; Grünwald, Heinz; Broekhuyse, Henry; Kimball, Hervey L.; Durchholz, Holger; van der Heide, Huub; McGraw, Iain; Choueka, Jack; Forigua, Jaime E.; Nappi, James F.; Reid, James G.; Kellam, James; Boler, James M.; Biert, Jan; Fanuele, Jason C.; Tavakolian, Jason D.; Jones, Jedediah; Johnson, Jeff W.; Wolf, Jennifer Moriatis; Murachovsky, Joel; Scheer, Johan H.; Rueger, Johannes M.; Erickson, John M.; McAuliffe, John; Boretto, Jorge G.; Rubio, Jorge; Ortiz, Jose A.; Ribeiro Filho, Jose Eduardo Grandi; Di Giovanni, José Fernando; Izzi, Joseph A.; Conflitti, Joseph M.; Abzug, Joshua M.; Cagnone, Juan Carlos; Adams, Julie; Chivers, Karel; Lee, Kendrick; Eng, Kevin; Malone, Kevin J.; Erol, Konul; Ponsen, Kornelis J.; Kabir, Koroush; Jeray, Kyle; Mica, Ladislav; Brunton, Lance M.; Adolfsson, Lars E.; Weiss, Lawrence; Katolik, Leonid; Paz, Lior; Poelhekke, Lodewijk M. S. J.; Escobar, Luis Felipe Naquira; Campinhos, Luiz Augusto B.; Abdel-Ghany, Mahmoud I.; Richard, Marc J. Richard; Swiontkowski, Marc; Rizzo, Marco; Pirpiris, Marinis; Boyer, Martin; Richardson, Martin; Kastelec, Matej; Turina, Matthias; Soong, Maximillian; Wood, Megan M.; Baskies, Michael; Behrman, Michael; Nancollas, Michael; Prayson, Michael; Quell, Michael; Verhofstad, Michael; Grafe, Michael W.; Kessler, Michael W.; van den Bekerom, Michel P. J.; van de Sande, Michiel A. J.; Mckee, Mike; Patel, Milan M.; Merchant, Milind; Tyllianakis, Minos; Wiegand, Mischa Ralph; Waseem, Mohammad; Parnes, Nata; Wilson, Neil; Elias, Nelson; Shortt, Nicholas L.; Schep, Niels; Semenkin, Oleg M.; Henry, Patrick D. G.; Martineau, Paul A.; Jebson, Peter; Kloen, Peter; Brink, Peter R. G.; Schandelmaier, Peter; Blazar, Philip; Streubel, Philipp N.; Vial, Philippe; Choudhari, Pradeep; Inna, Prashanth; Costanzo, Ralph M.; de Bedout, Ramon; Hauck, Randy; Smith, Raymond Malcolm; Fricker, Renato M.; Omid, Reza; Buckley, Richard; Jenkinson, Richard; Hutchison, Richard L.; GIlbert, Richard S.; Page, Richard S.; Nelissen, Rob; Haverlag, Robert; Wagenmakers, Robert; Pesantez, Rodrigo; Klinefelter, Ryan; Calfee, Ryan P.; Moghtaderi, Sam; Spruijt, Sander; Kakar, Sanjeev; Kaplan, Saul; Duncan, Scott F.; Mitchell, Scott; Rowinski, Sergio; Dodds, Seth; Kennedy, Stephen A.; Westly, Stephen K.; Kronlage, Steve; Beldner, Steven; McCabe, Steven J.; Rhemrev, Steven J.; Gosens, Taco; Baxamusa, Taizoon; Apard, Thomas; Dienstknecht, Thomas; Varecka, Thomas F.; Hughes, Thomas; Mittlmeier, Thomas; Pillukat, Thomas; Wright, Thomas; Havenhill, Timothy G.; Omara, Timothy; Siff, Todd; Giordano, Vincenzo; Hammert, Warren C.; Satora, Wojciech

    2013-01-01

    To evaluate the reliability and accuracy of diagnosis of scapholunate dissociation (SLD) among AO type C (compression articular) fractures of the distal radius. A total of 217 surgeons evaluated 21 sets of radiographs with type C fractures of the distal radius for which the status of the

  10. Non union of the neck of radius: a case report and review of the ...

    African Journals Online (AJOL)

    Fractures of the neck of radius are frequent in trauma. They happen without being noticed at the moment of injury of the elbow or in the context of polytrauma. A case of non union of the radius neck occurring in a young person due to ignorance, during first consultation has been reported by the authors. They insist on the ...

  11. CT virtual reality in the preoperative workup of malunited distal radius fractures: preliminary results

    International Nuclear Information System (INIS)

    Rieger, Michael; Gruber, Hannes; Jaschke, Werner R.; Gabl, Markus; Mallouhi, Ammar

    2005-01-01

    Our objective was to evaluate the usefulness of CT virtual preoperative planning in the surgical repositioning of malunited distal radius fracture. Eleven patients with malunited distal radius fracture underwent multislice CT of both wrists. A preoperative workup was performed in a virtual reality environment created from the CT data sets. Virtual planning comprised three main procedures, carrying out the virtual osteotomy of the radius, prediction of the final position of the distal radius after osteotomy and computer-assisted manufacturing of a repositioning device, which was later placed at the surgical osteotomy site to reposition objectively the distal radius fragment before fixation with the osteosynthesis. All patients tolerated the surgical procedure well. During surgery, the orthopedic surgeons were not required in any of the cases to alter the position of the distal radius that was determined by the repositioning device. At postoperative follow-up, the anatomic relationship of the distal radius was restored (radial inclination, 21.4 ; volar tilt, 10.3 ; ulnar variance, 0.5 mm). Clinically, a significant improvement of pronation (P=0.012), supination (P=0.01), flexion (P=0.001) and extension (P=0.006) was achieved. Pain decreased from 54 to 7 points. CT virtual reality is a valuable adjunct for the preoperative workup and surgical reposition of malunited distal radius fractures. (orig.)

  12. Classification and treatment of distal radius fractures: a survey among orthopaedic trauma surgeons and residents

    NARCIS (Netherlands)

    M.A.M. Mulders (Marjolein A. M.); D. Rikli; J.C. Goslings (Carel); N.W.L. Schep (Niels)

    2017-01-01

    textabstractPurpose: Classification, the definition of an acceptable reduction and indications for surgery in distal radius fracturemanagement are still subject of debate. The purpose of this study was to characterise current distal radius fracture management in Europe. Methods: During the European

  13. Finite Larmor radius effect on thermal instability of a compressible plasma

    International Nuclear Information System (INIS)

    Sharma, R.C.; Sharma, K.C.

    1978-01-01

    The thermal instability of a compressible plasma in the presence of a uniform vertical magnetic field is studied to include the effects of finiteness of the ion Larmor radius. When the instability sets in as stationary convection, both the compressibility and the finite Larmor radius are found to have stabilizing effect. The sufficient conditions for the nonexistence of overstability are investigated. (author)

  14. Effects of Leading-Edge Radius on Aerodynamic Characteristics of 50º Delta Wings

    NARCIS (Netherlands)

    Verhaagen, N.G.

    2010-01-01

    The study focuses on the effects of the leading-edge radius on the flow over 50º swept delta wing models. Three models were tested, one model having a sharp leading edge and the other two having a semi-circular leading edge of different radius. The vortical flow on and off the surface of the models

  15. A new technique in the treatment of distal radius fractures: the Micronail(R)

    NARCIS (Netherlands)

    Geerts, R.W.; Toonen, H.G.; Unen, J.M. van; Vugt, R. van; Werre, A.J.

    2011-01-01

    OBJECTIVES: In 2006, an intramedullar titanium osteosynthesis for the stabilization of distal radius fractures was introduced in The Netherlands: the Micronail(R). The Micronail(R) can be used in approximately 30% of distal radius fracture treatments. This article presents the introduction of this

  16. [Association between eye absent homolog 4 gene polymorphisms and occupational noise-induced hearing loss].

    Science.gov (United States)

    Yang, Q Y; Xu, X R; Jiao, J; Zheng, Y X; He, L H; Yu, S F; Gu, G Z; Chen, G S; Zhou, W H; Wu, H; Li, Y H; Zhang, H L; Zhang, Z R

    2017-01-06

    Objective: To identify the association between genetic polymorphisms in the eye absent homolog 4 (EYA4) gene and noise-induced hearing loss (NIHL). Method: A nested case control study was conducted based on a cohort of noise-exposed subjects. In total, 292 cases were selected from a steel factory from 6 297 subjects during Jan 1, 2006 to Dec 12, 2015,who had an average hearing threshold of more than 40 dB(A); 584 matched control subjects for each case were designated on the basis of matched criteria including same gender, age (±5 years) and duration of exposure to noise (±2 years). What's more, the control group had an average hearing threshold of less than 35 dB(A) in high frequency and less than 25 dB(A) in speech frequency. Four single nucleotide polymorphisms (SNPs) of the EYA4 gene were genotyped using a SNPscan TM multiplex SNP genotyping kit. Hardy-Weinberg equilibrium tests were performed using a χ 2 test for goodness-of-fit for each SNP among the control group, and the effects of genotypes of the EYA4 gene on NIHL were analyzed by logistic regression. The haplotypes were established and their frequencies in the two groups were assessed using Haploview 4.2 and Phase 2.1 software, and interactive effects between haplotypes and cumulative noise exposure were analyzed. Results: The average age of the subjects was (40.1±8.4) years and the average number of noise-exposed working years was 20.3 (8.4, 27.3) years. The range of noise exposure levels and the cumulative noise exposure were 80.2- 98.8 dB (A) and 86.6- 111.2 dB(A) · year, respectively. After adjustment for covariates including height, blood pressure, drinking status and smoking status, in the noise intensity>85 dB (A) group, subjects carrying the rs3813346 TT genotype had a higher NIHL risk than those carrying the GG genotype, and the adjusted OR (95% CI ) value was 2.12 (1.21- 3.69). In the cumulative noise exposure>98 dB (A) · year group, compared with haplotype TGC, haplotype CGT showed a

  17. Assessment of ipsilateral versus contralateral proximal fibula for use in distal radius osteoarticular reconstruction.

    Science.gov (United States)

    Akinbo, Oluwaseun; Shamash, Steven; Strauch, Robert J

    2011-12-01

    Which fibula to harvest for distal radius reconstruction, ipsilateral or contralateral, is subject to debate. In this study, we investigated which proximal fibula is better suited for distal radius osteoarticular reconstruction based on radiographic parameters. Twenty-one proximal fibulas were harvested from adult cadavers. Radiographic fibular inclination angle (coronal plane) and radiographic fibular articular tilt (sagittal plane) were measured, and these parameters were compared with corresponding radius parameters. Mean radiographic fibular inclination angles were 25° (right) and 26° (left), and mean radiographic fibular articular tilts were 13° (right) and 13° (left). The native volar tilt of the radius is re-created when the ipsilateral proximal fibula (with proper styloid placement) is transferred to the ipsilateral wrist; conversely, a dorsal tilt is created when the contralateral proximal fibula is transferred. The ipsilateral proximal fibula is therefore a better radiographic match for distal radius osteoarticular reconstruction in the group we studied.

  18. Iconographical identification of the time for complete fusion of radius and fusion trace

    International Nuclear Information System (INIS)

    Qian Li; Wang Guohong; Zang Da; Li Fuxing; Xia Zhantong; Zhu Dixin; Xu Jianmin; Wu Yongchao

    2008-01-01

    Objective: To investigate the method for iconographical identification of complete fusion of radius and fusion trace. Methods: 31 cases under age 18 were photographed in the left wrists twice at anteroposterior position and the 30 degree and 45 degree vertical position by X ray in the same day, with 124 pictures exposed totally. For each case of the control group over 18, an anteroposterior picture was obtained and pictures at an angle with 6 cases, totally 17 pictures exposed. All the pictures were 141 exposed totally from 42 cases. A comparison then was made as for the morpha of the far-end of radius, the relationship with radius, the presence of low-density epiphyseal line and the fusion status of ulna between two groups. Results: Subject Group: the gap was extended into the frame of the radius and low density-epiphyseal line and gap existed in the base of proeessus styloldeus for patients with incomplete fusion. 8 cases of low-epiphyseal lines were found from multi-angle and multi-location. In the contrast group, the far-end gap was outside of the frame of radius and didn't extend into the frame of radius and the internal edge of the gap was normally closed by the bone cortex. Dense fusion line of the radius was not found in 7 cases (64%) and the ulna was completely fused. Conclusion: Different from that of fusion trace, low-density epiphyseal line of the radius was not found from multi-angle and multi-location. It was identified that the gap was within the flame of radius and the base of the ulna proeessus styloldeus was not completely fused. Non-thoroughly fusion in radius could be confirmed. (authors)

  19. Supervisory behaviour as a predictor of return to work in employees absent from work due to mental health problems

    NARCIS (Netherlands)

    Nieuwenhuijsen, K.; Verbeek, J.H.A.M.; Boer, A.G.E.M. de; Blonk, R.W.B.; Dijk, F.J.H. van

    2004-01-01

    Aims: To study supervisory behaviour as a predictive factor for return to work of employees absent due to mental health problems; and to explore the association between conditional factors and supervisory behaviour. Methods: Eighty five supervisors of employees were interviewed by telephone.

  20. The nocturnal thyroid-stimulating hormone surge is absent in overt, present in mild primary and equivocal in central hypothyroidism

    NARCIS (Netherlands)

    Adriaanse, R.; Romijn, J. A.; Endert, E.; Wiersinga, W. M.

    1992-01-01

    The nocturnal TSH surge was studied in controls, in 34 patients with hypothalamic/pituitary disease and in 21 patients with primary hypothyroidism. It was absent in 5/12 hypothyroid patients and in 5/22 euthyroid patients with hypothalamic/pituitary disease (42% vs 23%, NS). Central hypothyroidism

  1. The Concept of the Absent Curriculum: The Case of the Muslim Contribution and the English National Curriculum for History

    Science.gov (United States)

    Wilkinson, Matthew L. N.

    2014-01-01

    This paper introduces the concept of the "absent curriculum" on the premise that the study of curriculum has been prone to privileging curricular presence to the exclusion of curricular absence. In order to address this imbalance and to articulate a theory of absence in the curriculum, the paper applies ideas derived from the philosophy…

  2. Vertical profiles of droplet effective radius in shallow convective clouds

    Directory of Open Access Journals (Sweden)

    S. Zhang

    2011-05-01

    Full Text Available Conventional satellite retrievals can only provide information on cloud-top droplet effective radius (re. Given the fact that cloud ensembles in a satellite snapshot have different cloud-top heights, Rosenfeld and Lensky (1998 used the cloud-top height and the corresponding cloud-top re from the cloud ensembles in the snapshot to construct a profile of re representative of that in the individual clouds. This study investigates the robustness of this approach in shallow convective clouds based on results from large-eddy simulations (LES for clean (aerosol mixing ratio Na = 25 mg−1, intermediate (Na = 100 mg−1, and polluted (Na = 2000 mg−1 conditions. The cloud-top height and the cloud-top re from the modeled cloud ensembles are used to form a constructed re profile, which is then compared to the in-cloud re profiles. For the polluted and intermediate cases where precipitation is negligible, the constructed re profiles represent the in-cloud re profiles fairly well with a low bias (about 10 %. The method used in Rosenfeld and Lensky (1998 is therefore validated for nonprecipitating shallow cumulus clouds. For the clean, drizzling case, the in-cloud re can be very large and highly variable, and quantitative profiling based on cloud-top re is less useful. The differences in re profiles between clean and polluted conditions derived in this manner are however, distinct. This study also investigates the subadiabatic characteristics of the simulated cumulus clouds to reveal the effect of mixing on re and its evolution. Results indicate that as polluted and moderately polluted clouds develop into their decaying stage, the subadiabatic fraction

  3. Fanconi syndrome

    Science.gov (United States)

    De Toni-Fanconi syndrome ... Fanconi syndrome can be caused by faulty genes, or it may result later in life due to kidney damage. Sometimes the cause of Fanconi syndrome is unknown. Common causes of Fanconi syndrome in ...

  4. Duane Syndrome

    Science.gov (United States)

    ... Frequently Asked Questions Español Condiciones Chinese Conditions Duane Syndrome En Español Read in Chinese What is Duane Syndrome? Duane syndrome, also called Duane retraction syndrome (DRS), ...

  5. Hunter Syndrome

    Science.gov (United States)

    ... in girls. There's no cure for Hunter syndrome. Treatment of Hunter syndrome involves management of symptoms and complications. Symptoms Hunter syndrome is one type of a group of inherited metabolic disorders called mucopolysaccharidoses (MPSs), and Hunter syndrome is ...

  6. Barth syndrome

    Directory of Open Access Journals (Sweden)

    Clarke Sarah LN

    2013-02-01

    Full Text Available Abstract First described in 1983, Barth syndrome (BTHS is widely regarded as a rare X-linked genetic disease characterised by cardiomyopathy (CM, skeletal myopathy, growth delay, neutropenia and increased urinary excretion of 3-methylglutaconic acid (3-MGCA. Fewer than 200 living males are known worldwide, but evidence is accumulating that the disorder is substantially under-diagnosed. Clinical features include variable combinations of the following wide spectrum: dilated cardiomyopathy (DCM, hypertrophic cardiomyopathy (HCM, endocardial fibroelastosis (EFE, left ventricular non-compaction (LVNC, ventricular arrhythmia, sudden cardiac death, prolonged QTc interval, delayed motor milestones, proximal myopathy, lethargy and fatigue, neutropenia (absent to severe; persistent, intermittent or perfectly cyclical, compensatory monocytosis, recurrent bacterial infection, hypoglycaemia, lactic acidosis, growth and pubertal delay, feeding problems, failure to thrive, episodic diarrhoea, characteristic facies, and X-linked family history. Historically regarded as a cardiac disease, BTHS is now considered a multi-system disorder which may be first seen by many different specialists or generalists. Phenotypic breadth and variability present a major challenge to the diagnostician: some children with BTHS have never been neutropenic, whereas others lack increased 3-MGCA and a minority has occult or absent CM. Furthermore, BTHS was first described in 2010 as an unrecognised cause of fetal death. Disabling mutations or deletions of the tafazzin (TAZ gene, located at Xq28, cause the disorder by reducing remodeling of cardiolipin, a principal phospholipid of the inner mitochondrial membrane. A definitive biochemical test, based on detecting abnormal ratios of different cardiolipin species, was first described in 2008. Key areas of differential diagnosis include metabolic and viral cardiomyopathies, mitochondrial diseases, and many causes of neutropenia and

  7. Absent SEP during therapeutic hypothermia did not reappear after re-warming in comatose patients following cardiac arrest.

    Science.gov (United States)

    Grippo, A; Carrai, R; Fossi, S; Cossu, C; Mazzeschi, E; Peris, A; Bonizzoli, M; Ciapetti, M; Gensini, G F; Pinto, F; Amantini, A

    2013-04-01

    Early prediction of neurological outcome for patients resuscitated from cardiac arrest (CA) is a challenging task. Therapeutic hypothermia (TH) has been shown to improve neurological outcome after CA. Two recent studies indicated that somatosensory evoked potentials (SEP) recorded during TH retains high prediction value for poor neurological outcome. It remains unclear whether TH can influence the recovery of bilaterally absent (BA) N20 after re-warming. The primary endpoint of the present study was to evaluate if patients with BA SEPs during TH can recover cortical responses after re-warming. The secondary endpoint was to evaluate whether BA SEPs recorded during TH retains its prediction value for poor neurological outcome as in normothermic patients. A single centre prospective cohort study including comatose adults resuscitated from in/out-of-hospital CA treated with TH. SEPs were recorded during TH (6-24 hours after CA) and after re-warming in those patients who remained comatose. Neurological outcome was assessed 6 months after CA using the Glasgow Outcome Scale. Sixty patients were included. In patients with preserved SEP, no significant differences were found between N20 mean amplitude during TH and after re-warming. During TH, 24 patients showed bilaterally absent N20 but none of these recovered cortical responses after re-warming. All patients with absent SEPs during TH did not recover consciousness. In a single centre cohort of comatose CA patients, our results showed that all patients with absent SEPs during early recording (6-24 hours) during TH showed bilaterally absent SEPs after re-warming. As a secondary result we confirmed previous data that BA SEPs during TH retains its prognostic value for poor neurological outcome, as in normothermic patients.

  8. [Diagnostic value of CT scan for AO B3 fracture of distal radius].

    Science.gov (United States)

    Li, S L; Wang, M Y; Lu, Y

    2017-08-18

    To determine whether 3-dimentional CT scans is able to effectively improve the detection rate of AO B3 distal radius fractures in clinics. From Jan 2013 to Jan 2014, 30 patients with distal radius fractures were retrospectively enrolled in this study, all the patients directly visited the skeletal trauma emergency department in Beijing Jishuitan Hospital post injury and all of them accepted open reduction and internal fixation of distal radius fractures at last. All the radiographic data including X ray films and 3-dimentional CT scans of these patients were collected. Two independent observers were required to make primary AO classifications for each fracture by X rays at first, then to make final AO classifications by 3-dimentional CT scans. Finally, the detection rates of CT scans and plain films for AO B3 distal radius fractures and B3.3 distal radius fractures were compared, the agreements of the two methods for diagnosing AO B3 and B3.3 fractures were calculated by Cohen's Kappa calculations. All the 30 fractures were confirmed to be AO B3 distal radius fractures intraoperatively, and 10 of them were B3.3 fractures. The results were completely consistent with the results of 3-dimensional CT scans. However, only 80%(24/30) AO B3 distal radius fractures and 60%(6/10) B3.3 distal radius fractures could be diagnosed only by X rays. The detection rate of CT scans was proved to be significantly higher than X rays for diagnosing B3 distal radius fractures(100% vs. 80%,PAO B3 distal radius fracture and B3.3 distal radius fracture (kappa=0). Most importantly, in the study process, two special kinds of B3 distal radius fracture were initially found and described by us. One was named as radial B3 fracture, and the other was named as ulna B3 fracture. 3-dimentional CT scans can effectively improve the detection rate of B3 and B 3.3 distal radius fractures, and also help find two special kinds of B3 fractures.

  9. [Obesity-hypoventilation syndrome].

    Science.gov (United States)

    Weitzenblum, E; Kessler, R; Canuet, M; Chaouat, A

    2008-04-01

    The obesity-hypoventilation syndrome (OHS), or alveolar hypoventilation in the obese, has been described initially as the "Pickwickian syndrome". It is defined as chronic alveolar hypoventilation (PaO2 or =45 mmHg) in obese patients (body mass index>30 kg/m2) who have no other respiratory disease explaining the hypoxemia-hypercapnia. The large majority of obese subjects are not hypercapnic, even in case of severe obesity (>40 kg/m2). There are three principal causes, which can be associated, explaining alveolar hypoventilation in obese subjects: high cost of respiration and weakness of the respiratory muscles (probably the major cause), dysfunction of the respiratory centers with diminished chemosensitivity, long-term effects of the repeated episodes of obstructive sleep apneas observed in some patients. The role of leptin (hormone produced by adipocytes) in the pathogenesis of this syndrome, has been recently advocated. OHS is generally observed in subjects over 50 years. Its prevalence has markedly increased in recent years, probably due to the present "epidemic" of obesity. The diagnosis is often made after an episode of severe respiratory failure. Comorbidities, favored by obesity, are very frequent: systemic hypertension, left heart diseases, diabetes. OHS must be distinguished from obstructive sleep apnea syndrome (OSAS) even if the two conditions are often associated. OSAS may be absent in certain patients with OHS (20% of the patients in our experience). On the other hand obesity may be absent in certain patients with OSAS. Losing weight is the "ideal" treatment of OHS but in fact it cannot be obtained in most patients. Nocturnal ventilation (continuous positive airway pressure and mainly bilevel non invasive ventilation) is presently the best treatment of OHS and excellent short and long-term results on symptoms and arterial blood gases have been recently reported.

  10. Bilateral caroticoclinoid and absent mental foramen: rare variations of cranial base and lower jaw.

    Science.gov (United States)

    Hasan, Tabinda

    2013-01-01

    The human skull is a complex structure, which at birth is made up of 44 separate bony elements. Gross skull morphology and variations occurring in its important foramina (anomalous presence, absence, agenesis or multiplication) represent an interesting field of research, in order to achieve better comprehension of the embryological development of cranio-facial skeleton and the fate of its neuro-vascular content. Such anomalies may be asymptomatic in some cases while in others, they may carry important medical implications such as occurrence of atypical motor syndromes and influence the outcomes of modern neurosurgery. This case reports of an adult Asian female's dry skull that presented with two extremely rare foramen variations; the 'presence of bilateral caroticoclinoid foramen' and the 'bilateral absence of mental foramen'. To the best of author's knowledge, no similar case with co-existence of both variants in the same skull has been cited before in medical literature. This merits it's reporting as ostial variations of the cranial base and lower jaw hold diagnostic, surgical and developmental relevance for practicing clinicians, biological anthropologists and embryologists.

  11. Localization of Usher 1 proteins to the photoreceptor calyceal processes, which are absent from mice

    Science.gov (United States)

    Sahly, Iman; Dufour, Eric; Schietroma, Cataldo; Michel, Vincent; Bahloul, Amel; Perfettini, Isabelle; Pepermans, Elise; Estivalet, Amrit; Carette, Diane; Aghaie, Asadollah; Ebermann, Inga; Lelli, Andrea; Iribarne, Maria; Hardelin, Jean-Pierre; Weil, Dominique; Sahel, José-Alain

    2012-01-01

    The mechanisms underlying retinal dystrophy in Usher syndrome type I (USH1) remain unknown because mutant mice lacking any of the USH1 proteins—myosin VIIa, harmonin, cadherin-23, protocadherin-15, sans—do not display retinal degeneration. We found here that, in macaque photoreceptor cells, all USH1 proteins colocalized at membrane interfaces (i) between the inner and outer segments in rods and (ii) between the microvillus-like calyceal processes and the outer segment basolateral region in rods and cones. This pattern, conserved in humans and frogs, was mediated by the formation of an USH1 protein network, which was associated with the calyceal processes from the early embryonic stages of outer segment growth onwards. By contrast, mouse photoreceptors lacked calyceal processes and had no USH1 proteins at the inner–outer segment interface. We suggest that USH1 proteins form an adhesion belt around the basolateral region of the photoreceptor outer segment in humans, and that defects in this structure cause the retinal degeneration in USH1 patients. PMID:23045546

  12. The Coffin-Siris syndrome: report of a family and further delineation.

    Science.gov (United States)

    Haspeslagh, M; Fryns, J P; van den Berghe, H

    1984-10-01

    The familial occurrence of the Coffin-Siris syndrome, combining a typical facial appearance with hypoplastic or absent fifth finger- or toenails, is reported. The full expression of the syndrome was present in two sisters, and partial clinical manifestations were present in their mentally borderline father. The relevant literature is reviewed, and the relation and confusion with other mental retardation syndromes, mainly the Coffin-Lowry syndrome, is discussed.

  13. Experimental and numerical investigation of laser forming of cylindrical surfaces with arbitrary radius of curvature

    Directory of Open Access Journals (Sweden)

    Mehdi Safari

    2016-09-01

    Full Text Available In this work, laser forming of cylindrical surfaces with arbitrary radius of curvature is investigated experimentally and numerically. For laser forming of cylindrical surfaces with arbitrary radius of curvature, a new and comprehensive method is proposed in this paper. This method contains simple linear irradiating lines and using an analytical method, required process parameters for laser forming of a cylindrical surface with a specific radius of curvature is proposed. In this method, laser output power, laser scanning speed and laser beam diameter are selected based on laser machine and process limitations. As in the laser forming of a cylindrical surface, parallel irradiating lines are needed; therefore key parameter for production of a cylindrical surface with a specific radius of curvature is the number of irradiating lines. Hence, in the proposed analytical method, the required number of irradiating lines for production of a cylindrical surface with a specific radius of curvature is suggested. Performance of the proposed method for production of cylindrical surface with a specific radius of curvature is verified with experimental tests. The results show that using proposed analytical method, cylindrical surfaces with any radius of curvature can be produced successfully.

  14. The radius of the quiescent neutron star in the globular cluster M13

    Science.gov (United States)

    Shaw, A. W.; Heinke, C. O.; Steiner, A. W.; Campana, S.; Cohn, H. N.; Ho, W. C. G.; Lugger, P. M.; Servillat, M.

    2018-03-01

    X-ray spectra of quiescent low-mass X-ray binaries containing neutron stars can be fit with atmosphere models to constrain the mass and the radius. Mass-radius constraints can be used to place limits on the equation of state of dense matter. We perform fits to the X-ray spectrum of a quiescent neutron star in the globular cluster M13, utilizing data from ROSAT, Chandra and XMM-Newton, and constrain the mass-radius relation. Assuming an atmosphere composed of hydrogen and a 1.4M⊙ neutron star, we find the radius to be R_NS=12.2^{+1.5}_{-1.1} km, a significant improvement in precision over previous measurements. Incorporating an uncertainty on the distance to M13 relaxes the radius constraints slightly and we find R_NS=12.3^{+1.9}_{-1.7} km (for a 1.4M⊙ neutron star with a hydrogen atmosphere), which is still an improvement in precision over previous measurements, some of which do not consider distance uncertainty. We also discuss how the composition of the atmosphere affects the derived radius, finding that a helium atmosphere implies a significantly larger radius.

  15. Anatomical variations of the proximal radius and their effects on osteosynthesis.

    Science.gov (United States)

    Giannicola, Giuseppe; Manauzzi, Erica; Sacchetti, Federico M; Greco, Alessandro; Bullitta, Gianluca; Vestri, Annarita; Cinotti, Gianluca

    2012-05-01

    In fractures of the radial head and neck requiring open reduction and internal fixation, osteosynthesis may be safely applied in a limited zone. We conducted a morphometric study of the proximal radius at the level of the safe zone to identify different morphologic types of this anatomical region. We analyzed 44 dried cadaveric radii. We measured the whole length of the radius, the length of the neck and head, and the minimum and maximum diameter of the radial head. The morphologic aspect of the neck-head curvature of the safe zone was evaluated qualitatively and quantitatively. The proximal radius at the level of the safe zone exhibited different radii of bending. In particular, we identified a morphologic type A, which showed a flat profile (25% of cases), morphologic types B and C, which showed a low concave curvature (64%), and a marked concave curvature (11%), respectively, of the safe zone. The profile of the proximal radius in the safe zone shows substantial morphologic variations that should be taken into account when operating on fractures of the proximal radius, to avoid malunions, pain, and stiffness of the elbow joint. A preoperative radiograph of the contralateral uninjured radius may be helpful in selecting the most appropriate internal fixation device to reconstruct the proximal radius after comminuted fractures. Knowledge of the proper bending radius of the safe zone allows the surgeon to select the most appropriate plate, and to achieve good fracture reduction and anatomical restoration of the proximal radius. Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  16. Hamartomatous polyposis syndromes

    DEFF Research Database (Denmark)

    Jelsig, Anne Marie; Qvist, Niels; Brusgaard, Klaus

    2014-01-01

    Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes such as ......Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes...

  17. Initialization effects via the nuclear radius on transverse in-plane flow and its disappearance

    Directory of Open Access Journals (Sweden)

    Bansal Rajni

    2014-04-01

    Full Text Available We study the dependence of collective transverse flow and its disappearance on initialization effects via the nuclear radius within the framework of the Isospin-dependent Quantum Molecular Dynamics (IQMD model. We calculate the balance energy using different parametrizations of the radius available in the literature for the reaction of 12C+12C to explain its measured balance energy. A mass-dependent analysis of the balance energy through out the periodic table is also carried out by changing the default liquid drop IQMD radius.

  18. Synchronous Multicentric Giant Cell Tumour of Distal Radius and Sacrum with Pulmonary Metastases

    Directory of Open Access Journals (Sweden)

    Varun Sharma Tandra

    2015-01-01

    Full Text Available Giant cell tumour (GCT is an uncommon primary bone tumour, and its multicentric presentation is exceedingly rare. We report a case of a 45-year-old female who presented to us with GCT of left distal radius. On the skeletal survey, osteolytic lesion was noted in her right sacral ala. Biopsy confirmed both lesions as GCT. Pulmonary metastasis was also present. Resection-reconstruction arthroplasty for distal radius and thorough curettage and bone grafting of the sacral lesion were done. Multicentric GCT involving distal radius and sacrum with primary sacral involvement is not reported so far to our knowledge.

  19. Simultaneous ipsilateral fractures of distal and proximal ends of the radius

    OpenAIRE

    El Kadi, Khalid Ibn; Benabid, Mounir; Saliou, Sarr; El Assil, Oussama; Marzouki, Amine; Lahrach, Kamal; Boutayeb, Fawzi

    2017-01-01

    We treated a patient with a rare combination of ipsilateral fractures of the distal and proximal ends of the radius. A man aged 42 years had simultaneous fractures of the distal and proximal ends of the radius (radial neck) following a roadside accident. The distal end fracture of the radius was treated with surgical reduction and T-plate volar fixation, and the undisplaced radial neck fracture was treated by an above elbow splintage for 2 weeks. The elbow mobilization was started at 2 weeks....

  20. Fetal MRI correlates with postnatal CT angiogram assessment of pulmonary anatomy in tetralogy of Fallot with absent pulmonary valve.

    Science.gov (United States)

    Sun, Heather Y; Boe, Justin; Rubesova, Erika; Barth, Richard A; Tacy, Theresa A

    2014-01-01

    In tetralogy of Fallot with absent pulmonary valve, pulmonary stenosis and regurgitation results in significant pulmonary artery dilatation. Branch pulmonary artery dilatation often compresses the tracheobronchial tree, causing fluid trapping in fetal life and air trapping and/or atelectasis after birth. Prenatal diagnosis predicts poor prognosis, which depends on the degree of respiratory insufficiency from airway compromise and lung parenchymal disease after birth. Fetal magnetic resonance imaging (MRI) has been useful in evaluating the effects of congenital lung lesions on lung development and indicating severity of pulmonary hypoplasia. This report is the first demonstrating the utility of fetal MRI in tetralogy of Fallot/absent pulmonary valve patients, which predicted postnatal pulmonary artery size and visualized airway compression and lung parenchymal lesions. The distribution of lobar fluid trapping on fetal MRI correlated with air trapping on postnatal computed tomography angiogram. © 2013 Wiley Periodicals, Inc.

  1. The plight of absent fathers caused by migrant work: Its traumatic impact on adolescent male children in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Ananias K. Nyanjaya

    2012-04-01

    Full Text Available This article revealed the degree of trauma experienced by male adolescents when their fathers are absent. The cost of this absence could not be balanced with the material benefits the children have enjoyed, for the benefits have been outweighed by the trauma that children experience in the absence of their fathers. The emotions and tears expressed during the research journey have revealed that material support cannot compensate for the love and presence children expect from their fathers. The deep hurt instilled in their hearts by the periods of absence angered them and led to traumatic experiences. The protracted period of living with only one primary caregiver has imprisoned them into the feminised environment, thereby robbing them of a male identity. Therefore, this article was devoted to creating a shepherding model of caring for boys whose fathers are absent.

  2. Absent or Ambivalent Mothers and Avoidant Children – An Evolutionary Reading of Zhang Kangkang’s Motherhood Stories

    Directory of Open Access Journals (Sweden)

    Qingbo Xu

    2014-03-01

    Zhang’s texts also describe insecurely attached infants and children who sink into a nonchalant and avoidant state after experiencing distress, terror, or resentment due to insensitive and unpredictable mothering. Absent and ambivalent mothers are generally harassed by the feeling of guilt, resulting from conditional maternal commitment, mother-child conflicts, and the high expectations of the motherhood myth. Children’s counterstrategies also regulate and enhance maternal or alloparental care.

  3. Design of roundness measurement model with multi-systematic error for cylindrical components with large radius.

    Science.gov (United States)

    Sun, Chuanzhi; Wang, Lei; Tan, Jiubin; Zhao, Bo; Tang, Yangchao

    2016-02-01

    The paper designs a roundness measurement model with multi-systematic error, which takes eccentricity, probe offset, radius of tip head of probe, and tilt error into account for roundness measurement of cylindrical components. The effects of the systematic errors and radius of components are analysed in the roundness measurement. The proposed method is built on the instrument with a high precision rotating spindle. The effectiveness of the proposed method is verified by experiment with the standard cylindrical component, which is measured on a roundness measuring machine. Compared to the traditional limacon measurement model, the accuracy of roundness measurement can be increased by about 2.2 μm using the proposed roundness measurement model for the object with a large radius of around 37 mm. The proposed method can improve the accuracy of roundness measurement and can be used for error separation, calibration, and comparison, especially for cylindrical components with a large radius.

  4. Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator.

    Science.gov (United States)

    Naroura, Ismaël; Hidalgo Diaz, Juan José; Xavier, Fred; Baldairon, Florent; Favreau, Henri; Clavert, Philippe; Liverneaux, Philippe

    2018-01-01

    In order to facilitate the learning of distal radius shortening osteotomy by junior surgeons, the main assumption was that using a three-dimensional procedural simulator was better than a bone procedural simulator. After viewing a video, ten junior surgeons performed a distal radius shortening osteotomy: five with a bone procedural simulator (Group 1) and five with a three-dimensional procedural simulator (Group 2). All subsequently performed the same surgery on fresh cadaveric bones. The duration of the procedure, shortening of the radius, and the level of osteotomy were significantly better in Group 2. The three-dimensional procedural simulator seems to teach distal radius osteotomy better than a bone model and could be useful in teaching and learning bone surgery of the wrist.

  5. Tilt mode stability scaling in field-reversed configurations with finite Larmor radius effect

    International Nuclear Information System (INIS)

    Iwasawa, Naotaka; Ishida, Akio; Steinhauer, Loren C.

    2000-01-01

    The marginal stability of a static plasma with finite-Larmor-radius (FLR) effects depends on a combination of the FLR effect and the ideal magnetohydrodynamic (MHD) potential energy. For the tilt mode in a field-reversed configuration (FRC) previous computations of these two factors led to a prediction of stability for S * ≤(3-5)E where S * is the macroscale parameter (separatrix radius/ion skin depth) and E is the elongation (separatrix half length/separatrix radius). This prediction explained the observed stability of most experiments. However, recent computations of actual MHD eigenfunctions indicate that the MHD growth rate has a much weaker scaling with elongation than previously believed. As a consequence, most of the long-lived, stable FRC experiments lie in the region predicted to be unstable. It appears then that the stability of FRC experiments is not explained by FLR effects in a static equilibrium. (c) 2000 American Institute of Physics

  6. Modification of ELESTRES code with new database of flux depression across the pellet radius

    International Nuclear Information System (INIS)

    Sim, Ki Sub; Park, Kwang Suk; Byun, Taek Sang; Suk, Ho Chun

    1995-01-01

    Modification of ELESTRES CANDU fuel performance code with new database of flux depression across the pellet radius is described, and application results of the improved ELESTRES to the fuel performance data are described. (Author) 4 refs., 4 figs

  7. Effect of the Finite Ion Larmor Radius on the Kelvin‐Helmholtz Instability

    DEFF Research Database (Denmark)

    Melchior, Henning; Popovich, M.

    1968-01-01

    The Kelvin‐Helmholtz instability is described with the effects of the finite ion Larmor radius included. The growth rate is computed for several values of the velocity shear and different density profiles. © 1968 American Institute of Physics......The Kelvin‐Helmholtz instability is described with the effects of the finite ion Larmor radius included. The growth rate is computed for several values of the velocity shear and different density profiles. © 1968 American Institute of Physics...

  8. Study on Oneself Developed to Apparatus Position of Measurement of BMD in the Distal Radius

    International Nuclear Information System (INIS)

    Han, Man Seok; Song, Jae Yong; Lee, Hyun Kuk; Yu, Se Jong; Kim, Yong Kyun

    2009-01-01

    The aim of this study was to evaluate the difference of bone mineral density according to distal radius rotation and to develop the supporting tool to measure rotation angles. CT scanning and the measurement of BMD by DXA of the appropriate position of the forearm were performed on 20 males. Twenty healthy volunteers without any history of operations, anomalies, or trauma were enrolled. The CT scan was used to evaluate the cross sectional structure and the rotation angle on the horizontal plane of the distal radius. The rotational angle was measured by the m-view program on the PACS monitor. The DXA was used in 20 dried radii of cadaveric specimens in pronation and supination with five and ten degrees, respectively, including a neutral position (zero degrees) to evaluate the changes of BMD according to the rotation. The mean rotation angle of the distal radius on CT was 7.4 degrees of supination in 16 cases (80%), 3.3 degrees of pronation in three cases (15%), and zero degree of neutral in one case (9%), respectively. The total average rotation angle in 20 people was 5.4 degrees of supination. In the cadaveric study, the BMD of the distal radius was different according to the rotational angles. The lowest BMD was obtained at 3.3 degrees of supination. In the case of the measurement of BMD in the distal radius with a neutral position, the rotational angle of the distal radius is close to supination. Pronation is needed for the constant measurement of BMD in the distal radius with the rotation angle measuring at the lowest BMD and about five degrees of pronation of the distal radius is recommended.

  9. Mass-Radius Relations of Z and Higgs-Like Bosons

    Directory of Open Access Journals (Sweden)

    Lehnert B.

    2014-01-01

    Full Text Available Relations between the rest mass and the effective radius are deduced for the Z boson and the experimentally discovered Higgs-like boson, in terms of a revised quantum electrodynamic (RQED theory. The latter forms an alternative to the Standard Model of elementary particles. This results in an effective radius of the order of 10 E-18 m for a rest mass of 125 GeV.

  10. "Osteoporosis and orthopods" incidences of osteoporosis in distal radius fracture from low energy trauma.

    LENUS (Irish Health Repository)

    Bahari, Syah

    2007-07-01

    Fracture of the distal radius from low energy trauma is a common presentation to orthopaedic trauma services. This fragility type fracture is associated with underlying osteoporosis. Osteoporosis is a \\'silent disease\\' where fragility fracture is a common presentation. Orthopaedic surgeons may be the only physician that these patients encounter. We found a high percentage of female patients who sustained a fragility fracture of the distal radius have an underlying osteoporosis. Further management of osteoporosis is important to prevent future fragility fractures.

  11. Exact solution of gyration radius of individual's trajectory for a simplified human mobility model

    OpenAIRE

    Yan, Xiao-Yong; Han, Xiao-Pu; Zhou, Tao; Wang, Bing-Hong

    2010-01-01

    Gyration radius of individual's trajectory plays a key role in quantifying human mobility patterns. Of particular interests, empirical analyses suggest that the growth of gyration radius is slow versus time except the very early stage and may eventually arrive to a steady value. However, up to now, the underlying mechanism leading to such a possibly steady value has not been well understood. In this Letter, we propose a simplified human mobility model to simulate individual's daily travel wit...

  12. The lower limit of the flowing pore throat radius in the extra-low permeability reservoir

    Science.gov (United States)

    Xiang, Junhui; Yin, Daiyin

    2018-02-01

    In this paper, a method for determining the lower limit of flowing pore throat radius of the extra low permeability reservoir in the periphery of Changyuan Oil Fields is given. The capillary pressure curve is divided into linear type and concave type. The nuclear magnetic resonance (NMR) T2 spectrum is divided into 3 types: the left peak is greater than the right peak, the left peak is equal to the right one, and the left peak is smaller than the right one. The method for determining the lower limit of flowing pore throat radius is, first, converting the nuclear magnetic resonance T2 spectrum to the capillary pressure curve calculated, then fitting the capillary pressure curves measured by the constant speed mercury injection experiment and the capillary pressure curve calculated. After finding the relevant parameters, converting the horizontal axis of the NMR T2 spectra from relaxation time to pore throat radius, and the pore throat radius corresponding to the T2 cutoff value is the lower limit of the flowing pore throat radius. The lower limit of the flowing pore throat radius of the extra low permeability Fuyang Oil Reservoir in the periphery of Changyuan Oil Fields is about 0.68μm

  13. Comparison of Bone Density of Distal Radius With Hip and Spine Using DXA

    Directory of Open Access Journals (Sweden)

    Leila Amiri

    2017-02-01

    Full Text Available Osteoporosis diagnosis is usually based on examination of the hip bone and vertebrae density; however, the radius bone has gained attention recently in terms of feasibility and accessibility as it is done by portable devices with proper precision. This study aims to compare hip and spine density with radius, knowing whether radius may be an appropriate alternative for osteoporosis diagnosis. 120 females who were referred to one Densitometry Center checked their skeletal status using a hologic unit for densitometry of spine, femoral neck, and one-third radius. The patients were divided into three groups of healthy, osteopenic and osteoporotic based on WHO’s protocol. Concordance analysis was done to investigate the degree of similarity of diagnosis. In the study, there were 40, 41, and 39 individuals with normal, osteopenic, and osteoporotic bone densities, respectively which obtained from hip bone or vertebrae using the T-score criterion T-score of radius bone density has a direct linear relationship with these result. Osteoporosis diagnosis can be made based on radius densitometry.

  14. [Growth behaviour after fractures of the proximal radius: differences to the rest of the skeleton].

    Science.gov (United States)

    Hell, A K; von Laer, L

    2014-12-01

    Fractures of the proximal end of the radius in the growth phase have three characteristics: the head of the radius articulates with two joint partners and is therefore indispensable for an undisturbed function of the elbow. The blood supply of the proximal end of the radius is via periosteal vessels in the sense of a terminal circulation which makes it extremely vulnerable. Severe trauma caused either by accidents or treatment, can result in partial or complete necrosis with deformity of the head and neck region of the radius. Radioulnar synostosis and chronic epiphysiolysis are irreversible complications which can occur after excessive physiotherapy. Despite a low potency growth plate, in young patients the proximal end of the radius shows an enormous spontaneous correction of dislocations. Side to side shifts, however, will not be remodeled. Therapy should be as atraumatic as possible. Due to the blood supply situation, with the appropriate indications the spontaneous correction and a brief period of immobilization without physiotherapy should be integrated into the therapy concept. If an operation is necessary, repeated traumatic repositioning maneuvers should be avoided and in case of doubt closed or careful open repositioning can be achieved with intramedullary nailing. In order to take the special characteristics of the proximal radius into consideration, the vulnerability and correction potential must be weighed up against each other. Therapy must be as atraumatic as possible. The spontaneous correction potential should be integrated into the primary therapy without overestimating this potential with respect to the extent and age of the patient.

  15. Bone Structure and Geometric Properties at the Radius and Tibia in Adolescent Endurance-Trained Cyclists.

    Science.gov (United States)

    González-Agüero, Alex; Olmedillas, Hugo; Gómez-Cabello, Alba; Casajús, José A; Vicente-Rodríguez, Germán

    2017-01-01

    To describe cortical and trabecular volumetric bone mineral density (vBMD), bone mineral content (BMC), cross-sectional area (CSA), and bone strength indexes (BSIs) in adolescent endurance-trained cyclists (CYC) and compare them with controls (CON). Descriptive cohort study. Twenty-five male adolescent CYC and 17 CON. Peripheral quantitative computed tomography was used to evaluate proximal and distal sites of the radius and tibia. Total, trabecular, and cortical BMC, vBMD, and CSA were measured. Also, cortical thickness, endosteal and periosteal circumferences, and different BSIs were calculated. Unadjusted analysis of variance and body weight-adjusted analysis of covariance tests were applied between cyclist and control groups. Cyclists were almost 12% lighter than CON (P proximal cortical BMC and vBMD in cyclists compared with CON at the radius (P proximal total and cortical BMC and vBMD, and cortical bone area at the tibia (P radius and total and trabecular BMC and vBMD at the tibia, diaphyseal radius cortical vBMD and tibia total vBMD, cortical BMC and area, and also for tibia cortical thickness and BSI. The rest of differences were no longer detectable and bone area at the distal radius become significantly higher in cyclist compared with CON (P radius and tibia than CON, some of these differences were explained in part by their lower body weight. However, even further adjustment, some differences remained, which indicates that further longitudinal studies are needed to better understand if cycling influences these differences.

  16. A New Injectable Brushite Cement: First Results in Distal Radius and Proximal Tibia Fractures.

    Science.gov (United States)

    Ryf, Christian; Goldhahn, Sabine; Radziejowski, Marek; Blauth, Michael; Hanson, Beate

    2009-08-01

    The restoration of metaphyseal defects remains a challenge for the treating surgeon. Although injectable brushite cements may help to refill bone defects stabilized with internal fixation, human data remains unavailable. The main goal of this prospective multicenter study was to observe the performance of this material in a clinical setting. The study conducted in seven trauma units included closed metaphyseal distal radius and proximal tibia fractures with bone defects, stabilized with internal fixation and subsequent filling with brushite cement. At 6- and 12-month follow-ups, patient satisfaction (visual analog scale [VAS]) was recorded, as well as complications. Thirty-eight proximal tibia fractures and 37 patients with distal radius fractures were included. Overall patient satisfaction with the treatment was high (mean VAS = 92 and 91 for proximal tibia and distal radius, respectively), despite the loss of reduction being described in 11% of proximal tibia and 24% of distal radius fractures; the majority of them included severe fracture types. Radiological evaluation showed postoperative cement leakage in 20 cases, where the majority occurred at the distal radius (n = 15). In 13 distal radius fractures, the leakage was resorbed by the final examination. The tested material showed good outcome in the majority of patients and adequate resorption characteristics, even in the case of extravasation. Stable internal fixation, sufficient bone quality, and no contact between the cement and joint are essential requirements for chronOS Inject, which can be considered as an alternative to existing augmentation materials.

  17. Asymptomatic Flexor Tendon Damages after Volar Locking Plate Fixation of Distal Radius Fractures.

    Science.gov (United States)

    Tokunaga, Susumu; Abe, Yoshihiro

    2017-03-01

    To investigate asymptomatic flexor tendon damages after volar locking plate fixation of distal radius fractures in 32 wrists of 32 patients with distal radius fractures fixed using two plate types. Sixteen patients received the Acu-Loc volar distal radius plate, and the remaining 16 patients received the Aptus distal radius correction plate. The flexor pollicis longus (FPL) tendon and flexor digitorum profundus were evaluated according to intraoperative findings at plate removal. Ultrasonography was used to measure the distance between the FPL tendon and distal edge of the plates (FPL plate distance) before plate removal, the distance between the FPL tendon and distal edge of the radius (FPL radius distance) after plate removal, in the contralateral wrist, and the angle between an extension line of a volar surface line on the proximal FPL tendon and a second volar surface line on the distal FPL tendon (FPL angles). Erosion of the FPL tendon was identified in four wrists, and erosion of the flexor digitorum profundus of the index finger was identified in one wrist. All five cases of wrists with flexor tendon damage had Acu-Loc plates installed. The average FPL angle before plate removal was 15.4° in the wrists with tendon damage, which was statistically significantly larger than the average FPL angle in the wrists without erosion. The type of plate and larger FPL angle on ultrasonography may be the risk factors for flexor tendon damage.

  18. Outcome Analysis of Fernandez Osteotomy in Malunited Extra-Articular Fractures of Distal Radius.

    Science.gov (United States)

    Bhattacharyya, A; Kumar, S

    2016-07-01

    Deformity of wrist is very common after mal union of extra articular fractures over distal end of Radius. It causes limitation of movements too in different directions with or without pain. Deformity may be treated by different types of corrective osteotomy. We treated cases of this type of malunion with Fernandez osteotomy. This study is to observe the amount of correction and recovery of functional status in patients with malunited distal radius fractures treated with Fernandez osteotomy. This is a prospective study. We treated 10 cases of malunited radius with Fernandez osteotomy from February 2013 to October 2014 in the Departments of Orthopaedics, Medical College and Hospital, Kolkata, India. There were six males and four females with mean age of thirty years (with range from twenty to forty years. Indications for surgical intervention include pain and functional deficit severe enough to interfere significantly with daily activities. Radius is exposed through distal dorsal radial incision and radial osteotomy done two and half centimetre proximal to the wrist joint and after achieving correction; gap is filled with iliac bone graft and fixed with contoured distal radius T-plate. Follow up was for an average one year and three months. Results were excellent in one, satisfactory in four cases, good in four cases and bad in one case. Fernandez osteotomy is valuable option for correction of malunited distal radius fracture especially in young demanding patients.

  19. Synthetical optimization of hydraulic radius and acoustic field for thermoacoustic cooler

    International Nuclear Information System (INIS)

    Kang Huifang; Li Qing; Zhou Gang

    2009-01-01

    It is well known that the acoustic field and the hydraulic radius of the regenerator play key roles in thermoacoustic processes. The optimization of hydraulic radius strongly depends on the acoustic field in the regenerator. This paper investigates the synthetical optimization of hydraulic radius and acoustic field which is characterized by the ratio of the traveling wave component to the standing wave component. In this paper, we discussed the heat flux, cooling power, temperature gradient and coefficient of performance of thermoacoustic cooler with different combinations of hydraulic radiuses and acoustic fields. The calculation results show that, in the cooler's regenerator, due to the acoustic wave, the heat is transferred towards the pressure antinodes in the pure standing wave, while the heat is transferred in the opposite direction of the wave propagation in the pure traveling wave. The better working condition for the regenerator appears in the traveling wave phase region of the like-standing wave, where the directions of the heat transfer by traveling wave component and standing wave component are the same. Otherwise, the small hydraulic radius is not a good choice for acoustic field with excessively high ratio of traveling wave, and the small hydraulic radius is only needed by the traveling wave phase region of like-standing wave.

  20. Limb anomalies in DiGeorge and CHARGE syndromes

    Energy Technology Data Exchange (ETDEWEB)

    Prasad, C.; Quackenbush, E.J.; Whiteman, D.; Korf, B. [Harvard Medical School, Boston, MA (United States)

    1997-01-20

    Limb anomalies are not common in the DiGeorge or CHARGE syndromes. We describe limb anomalies in two children, one with DiGeorge and the other with CHARGE syndrome. Our first patient had a bifid left thumb, Tetralogy of Fallot, absent thymus, right facial palsy, and a reduced number of T-cells. A deletion of 22q11 was detected by fluorescence in situ hybridization (FISH). The second patient, with CHARGE syndrome, had asymmetric findings that included right fifth finger clinodactyly, camptodactyly, tibial hemimelia and dimpling, and severe club-foot. The expanded spectrum of the DiGeorge and CHARGE syndromes includes limb anomalies. 14 refs., 4 figs.

  1. Behavioral Profiles in Phelan-McDermid Syndrome: Focus on Mental Health

    Science.gov (United States)

    Shaw, Steven R.; Rahman, Amira; Sharma, Akanksha

    2011-01-01

    Phelan-McDermid syndrome (PMS) is a multiple congenital anomalies and intellectual disabilities syndrome associated with a deletion of chromosome 22 terminal band 13.3. The deletion is associated with severe intellectual disabilities, absent or delayed speech, behavior problems, and autism. The objective of this study was to provide a detailed…

  2. The dorsal horizon view: detecting screw protrusion at the distal radius.

    Science.gov (United States)

    Joseph, Samuel James; Harvey, Jason N

    2011-10-01

    Extensor tendon injury after osteosynthesis of distal radius fractures is a well-documented complication. It has been shown to be associated with screw protrusion through the dorsal cortex, or plunging of the drill bit into the overlying tendon. It is difficult to determine screw length and protrusion using the standard anteroposterior and lateral intraoperative fluoroscopic images because of the triangular configuration of the distal radius and Lister tubercle. In fractures with a coronal split, it may be necessary to lag the dorsal fragment, necessitating longer screws and risking screw protrusion beyond the dorsal cortex. For these fractures, we use a radiographic view aimed along the long axis of the radius to detect screw protrusion. This was a retrospective case series involving 15 distal radius fractures. To obtain the dorsal horizon view, the wrist is hyperflexed and the beam of the image intensifier is aimed along the long axis of the radius. We evaluated 15 distal radius fractures with a coronal split component, where the dorsal horizon view was used to detect dorsal cortex screw protrusion. This view was used intraoperatively following the use of the standard views. We evaluated records and imaging to ascertain whether the use of this radiograph led to a change in intraoperative screw selection. Of the 15 cases, we changed screw selection as a result of the additional view in 4 patients. In 3 of these cases, the screw length was long, which was not apparent on standard intraoperative fluoroscopic views. The use of the dorsal horizon view is a useful adjunct to prevent screw protrusion beyond the dorsal cortex when performing osteosynthesis of the distal radius. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  3. Three-dimensional analysis of osteophyte formation on distal radius following scaphoid nonunion.

    Science.gov (United States)

    Oura, Keiichiro; Moritomo, Hisao; Kataoka, Toshiyuki; Oka, Kunihiro; Murase, Tsuyoshi; Sugamoto, Kazuomi; Yoshikawa, Hideki

    2017-01-01

    The purposes of this study were to quantitatively analyze osteophyte formation of the distal radius following scaphoid nonunion and to investigate how fracture locations relate to osteophyte formation patterns. Three-dimensional surface models of the scaphoid and distal radius were constructed from computed tomographic images of both the wrists of 17 patients' with scaphoid nonunion. The scaphoid nonunions were classified into 3 types according to the location of the fracture line: distal extra-articular (n = 6); distal intra-articular (n = 5); and proximal (n = 6). The osteophyte models of the radius were created by subtracting the mirror image of the contralateral radius model from the affected radius model using a Boolean operation. The osteophyte locations on the radius were divided into 5 areas: styloid process, dorsal scaphoid fossa, volar scaphoid fossa, dorsal lunate fossa, and volar lunate fossa. Osteophyte volumes were compared among the areas and types of nonunion. The presence or absence of dorsal intercalated segment instability (DISI) deformity was also determined. The distal intra-articular type exhibited significantly larger osteophytes in the styloid process than the distal extra-articular type. Furthermore, the proximal type exhibited significantly larger osteophytes in the dorsal scaphoid fossa than the distal extra-articular type. Finally, the distal intra- and extra-articular types were more associated with DISI deformity and tended to have larger osteophytes in the lunate fossa than the proximal type. The pattern of osteophyte formation in the distal radius determined using three-dimensional computed tomography imaging varied among the different types of scaphoid nonunion (distal extra-articular, distal intra-articular, and proximal). The results of this study are clinically useful in determining whether additional resection of osteophytes or radial styloid is necessary or not during the treatment of the scaphoid nonunion. Copyright

  4. Outcome following distally locked volar plating for distal radius fractures with metadiaphyseal involvement.

    Science.gov (United States)

    Matullo, Kristofer S; Dennison, David G

    2015-06-01

    The surgical treatment of metadiaphyseal distal radius fractures may be difficult due to the associated articular or periarticular extension that limits standard fixation techniques. Longer distal radius volar locking plates allow stable fixation of the distal fragments while providing standard plate fixation in the proximal radius. We hypothesize that this plating technique allows adequate fixation to both the distal radius and metadiaphyseal fragments. The purpose of the study is to describe the outcomes, radiographic parameters, secondary surgeries, and complication rate with this device. A retrospective chart review was conducted on adult patients with a distal radius fracture and metadiaphyseal involvement treated with a volar, distally locked plate. All patients were followed up for radiographic union, with a mean time of 219 days (range 38-575). Fracture patterns, outcomes of range of motion, grip strength, and complications, as well as injury, post open reduction and internal fixation (ORIF), and finally, healed radiographic parameters were recorded. Twenty patients with 21 fractures were included. At union, mean radiographic parameters were the following: volar tilt of 8°, radial inclination of 27°, radial height of 14 mm, and ulnar variance of -1 mm. The mean final range of motion was 52° flexion, 50° extension, 68° pronation, and 66° supination. Complications included one infection and one plate removal. Four patients developed a nonunion requiring secondary procedures. There were no incidents of hardware failure or adhesions requiring tenolysis. Distally locked long volar plating for metadiaphyseal distal radius fractures is a safe and effective treatment option for these complex fracture patterns allowing anatomic restoration of the radial shaft and distal radius.

  5. Tolerance on sphere radius for the calibration of the transfer function of coherence scanning interferometry

    Science.gov (United States)

    Su, Rong; Coupland, Jeremy M.; Wang, Yuhang; Leach, Richard K.

    2017-06-01

    Although coherence scanning interferometry (CSI) commonly achieves a sub-nanometre noise level in surface topography measurement, the absolute accuracy is difficult to determine when measuring a surface that contains varying local slope angles and curvatures. Recent research has shown that it is possible to use a single sphere with a radius much greater than the source wavelength to calibrate the three-dimensional transfer function of a CSI system. A major requirement is the accurate knowledge of the sphere radius, but the three-dimensional measurement of a sphere with nanometre level uncertainty is a highly challenging metrology problem, and is not currently feasible. Perfect spheres do not exist and every measurement has uncertainty. Without having a quantitative understanding of the tolerance of the sphere radius, the calibration method cannot be used confidently for calibration of the transfer function of a CSI system that may be used in research laboratories or industry. In this paper, the effects of the tolerance of the radius of the calibration sphere on surface topography measurements are quantitatively analysed through a computational approach. CSI measurements of spherical, sinusoidal and rough surfaces are investigated in the presence of various degrees of radius error. A lookup table that relates the surface height error as a function of the radius error and surface slope angle is provided. The users may estimate the required tolerances of the sphere radius for their specific surface measurements if this calibration approach is used. The output of this paper provides a feasibility analysis for this calibration method for further development and applications.

  6. Marfan Syndrome

    Science.gov (United States)

    Marfan syndrome is a disorder that affects connective tissue. Connective tissues are proteins that support skin, bones, blood ... fibrillin. A problem with the fibrillin gene causes Marfan syndrome. Marfan syndrome can be mild to severe, and ...

  7. WIEDEMANN SYNDROME

    African Journals Online (AJOL)

    hi-tech

    BILATERAL BENIGN HAEMORRHAGIC ADRENAL CYSTS IN BECKWITH - WIEDEMANN. SYNDROME: CASE REPORT. P. ANOOP and M. A. ANJAY. SUMMARY. Beckwith-Wiedemann syndrome is the most common overgrowth malformation syndrome. The classical features include macrosomia, macroglossia, ...

  8. Tourette syndrome

    Science.gov (United States)

    Gilles de la Tourette syndrome; Tic disorders - Tourette syndrome ... Tourette syndrome is named for Georges Gilles de la Tourette, who first described this disorder in 1885. The disorder is likely passed down through families. ...

  9. Williams syndrome

    Science.gov (United States)

    Williams-Beuren syndrome ... Williams syndrome is caused by not having a copy of several genes. It may be passed down in families. ... history of the condition. However, people with Williams syndrome have a 50% chance of passing the disorder ...

  10. Piriformis Syndrome

    Science.gov (United States)

    ... the National Library of Medicine’s MedlinePlus Piriformis Syndrome Metabolic Syndrome Show More Show Less Search Disorders SEARCH SEARCH Definition Treatment Prognosis Clinical Trials Organizations Publications Definition Piriformis syndrome ...

  11. Coronary artery anomalies in Turner Syndrome.

    Science.gov (United States)

    Viuff, Mette H; Trolle, Christian; Wen, Jan; Jensen, Jesper M; Nørgaard, Bjarne L; Gutmark, Ephraim J; Gutmark-Little, Iris; Mortensen, Kristian H; Gravholt, Claus Højbjerg; Andersen, Niels H

    Congenital heart disease, primarily involving the left-sided structures, is often seen in patients with Turner Syndrome. Moreover, a few case reports have indicated that coronary anomalies may be more prevalent in Turner Syndrome than in the normal population. We therefore set out to systematically investigate coronary arterial anatomy by computed tomographic coronary angiography (coronary CTA) in Turner Syndrome patients. Fifty consecutive women with Turner Syndrome (mean age 47 years [17-71]) underwent coronary CTA. Patients were compared with 25 gender-matched controls. Coronary anomaly was more frequent in patients with Turner Syndrome than in healthy controls [20% vs. 4% (p = 0.043)]. Nine out of ten abnormal cases had an anomalous left coronary artery anatomy (absent left main trunk, n = 7; circumflex artery originating from the right aortic sinus, n = 2). One case had a tubular origin of the right coronary artery above the aortic sinus. There was no correlation between the presence of coronary arterial anomalies and karyotype, bicuspid aortic valve, or other congenital heart defects. Coronary anomalies are highly prevalent in Turner Syndrome. The left coronary artery is predominantly affected, with an absent left main coronary artery being the most common anomaly. No hemodynamically relevant coronary anomalies were found. Copyright © 2016 Society of Cardiovascular Computed Tomography. All rights reserved.

  12. Absenteísmo-doença segundo autorrelato de servidores públicos municipais em Belo Horizonte

    Directory of Open Access Journals (Sweden)

    Celeste de Souza Rodrigues

    2013-01-01

    Full Text Available O objetivo do estudo é analisar o perfil de um conjunto de servidores públicos municipais que relataram, por ocasião de um inquérito, absenteísmo-doença nos últimos 12 meses. Em 2009 obteve-se uma amostra de 5.646 (14% do universo de 38.304 servidores municipais de Belo Horizonte. Um questionário foi disponibilizado em sítio da Internet, cuja entrada dependia do consentimento do respondente. Regressão de Poisson foi utilizada para determinar os fatores associados. A prevalência do absenteísmo-doença foi maior entre os servidores do sexo feminino (RP 1,12 e diminuiu com o aumento das faixas etárias: 30-39 anos (RP 0,79; 40-49 anos (RP 0,72; e 50 anos ou mais (RP 0,68. Absenteísmo-doença mostrou-se associado às atividades ligadas aos grupos de fiscalização e vigilância (RP 1,46, serviços gerais (RP 1,22, informação, educação e cultura (RP 1,50 e saúde (RP 1,50. As comorbidades mais presentes foram LER/Dort (RP 1,19, lombalgia (RP 1,16, depressão/ ansiedade (RP 1,20 e percepção de cansaço mental (RP 1,12. O relato de uso de medicação para depressão/ansiedade se mostrou fator protetor (RP 0,82. Maior probabilidade de transtorno mental (RP 1,23 segundo o SRQ20, insatisfação com a capacidade de trabalho (RP 1,08, condições razoáveis (RP 1,21 e condições precárias de trabalho (RP 1,19 foram associadas ao desfecho. Programas de promoção da saúde no trabalho visando a prevenção de comorbidades musculoesqueléticas e queixas psicossociais atenuariam as situações que provavelmente estão na origem do absenteísmo-doença.

  13. O absenteísmo - doença da equipe de enfermagem de um hospital universitário

    OpenAIRE

    Marques, Divina de Oliveira; Pereira, Milca Severino; Souza, Adenícia Custódia Silva e; Vila, Vanessa da Silva Carvalho; Almeida, Carlos Cristiano Oliveira de Faria; Oliveira, Enio Chaves de

    2015-01-01

    RESUMOObjetivo:analisar o absenteísmo-doença da equipe de enfermagem.Método:estudo retrospectivo, com abordagem quantitativa, realizado em um hospital universitário, localizado no município de Goiânia, Goiás, Brasil. Os dados foram coletados nos dossiês funcionais dos trabalhadores referentes ao período de 2008 a 2012.Resultados:dos 602 trabalhadores, 435 apresentaram 1574 atestados médicos. As doenças do sistema osteomuscular e do tecido conjuntivo, seguidas dos transtornos mentais e comport...

  14. Bounds of the Spectral Radius and the Nordhaus-Gaddum Type of the Graphs

    Directory of Open Access Journals (Sweden)

    Tianfei Wang

    2013-01-01

    Full Text Available The Laplacian spectra are the eigenvalues of Laplacian matrix L(G=D(G-A(G, where D(G and A(G are the diagonal matrix of vertex degrees and the adjacency matrix of a graph G, respectively, and the spectral radius of a graph G is the largest eigenvalue of A(G. The spectra of the graph and corresponding eigenvalues are closely linked to the molecular stability and related chemical properties. In quantum chemistry, spectral radius of a graph is the maximum energy level of molecules. Therefore, good upper bounds for the spectral radius are conducive to evaluate the energy of molecules. In this paper, we first give several sharp upper bounds on the adjacency spectral radius in terms of some invariants of graphs, such as the vertex degree, the average 2-degree, and the number of the triangles. Then, we give some numerical examples which indicate that the results are better than the mentioned upper bounds in some sense. Finally, an upper bound of the Nordhaus-Gaddum type is obtained for the sum of Laplacian spectral radius of a connected graph and its complement. Moreover, some examples are applied to illustrate that our result is valuable.

  15. Acute Isolated Flexor Tendon Laceration Associated With a Distal Radius Fracture.

    Science.gov (United States)

    Hill, J Ryan; Alluri, Ram K; Ghiassi, Alidad

    2017-05-01

    Subacute rupture of the flexor tendons secondary to distal radius fractures is well documented. Recently, accounts of flexor tendon rupture following open reduction internal fixation have been associated with volar plate fixation. However, discovery of an occult traumatic flexor tendon laceration during fixation of an acute distal radius fracture is not well described. This case indicates the importance of careful preoperative and intraoperative examination of the flexor tendons in the setting of comminuted distal radius fractures. A forty-seven-year-old male sustained a comminuted, dorsally displaced distal radius fracture. Initial and post-reduction examinations revealed no gross functional abnormalities. Upon operative fixation of the fracture, laceration of the flexor digitorum profundus (FDP) tendon to the index finger was incidentally noted at the level of the fracture site. Due to extensive dorsal comminution, shortening, and the presence of a lunate facet fragment, we performed volar fragment-specific and dorsal spanning bridge plate fixation. The proximal and distal ends of the FDP tendon were marked, but repair was deferred until implant removal. This allowed for proper informed consent and avoided potential compromise of the repair given the presence of a volar implant. Acute flexor tendon rupture secondary to closed distal radius fractures may go unnoticed if a high index of suspicion is not maintained. Delayed diagnosis of these ruptures convolutes the mechanism of injury and disrupts the recovery process. Hand surgeons should be vigilant in examining flexor tendon function during the preoperative evaluation, especially in the setting of acute high-energy injury.

  16. Distal Radius Allograft Reconstruction Utilizing a Step-Cut Technique After En Bloc Tumor Resection.

    Science.gov (United States)

    Luchetti, Timothy J; Wysocki, Robert W; Cohen, Mark S

    2018-01-01

    En bloc resection of the distal radius is a common treatment for advanced and recurrent giant cell tumors and less commonly for sarcoma. Various reconstructive options exist, including ulnar transposition, osteoarticular autograft and allograft, and allograft arthrodesis. We present a technique of reconstruction using a distal radius bulk allograft with a step-cut to allow for precise restoration of proper length and to promote bony union. Preoperative templating is performed with affected and contralateral radiographs to assess the size of the expected bony defect, location of the step-cut, and the optimal size of the distal radius allograft required. A standard dorsal approach to the distal radius is utilized, and the tumor is resected. A proximal row carpectomy is performed, and the plate/allograft construct is applied to the remaining host bone. Iliac crest bone graft is harvested and introduced at the graft-bone interface and radiocarpal arthrodesis sites. We have previously reported outstanding union rates with the step-cut technique compared with a standard transverse cut. The technique described provides reproducible union and stabilization of the wrist and forearm with adequate function following en bloc resection of the distal radius for tumor.

  17. Scattering properties of alumina particle clusters with different radius of monomers in aerocraft plume

    Science.gov (United States)

    Li, Jingying; Bai, Lu; Wu, Zhensen; Guo, Lixin; Gong, Yanjun

    2017-11-01

    In this paper, diffusion limited aggregation (DLA) algorithm is improved to generate the alumina particle cluster with different radius of monomers in the plume. Scattering properties of these alumina clusters are solved by the multiple sphere T matrix method (MSTM). The effect of the number and radius of monomers on the scattering properties of clusters of alumina particles is discussed. The scattering properties of two types of alumina particle clusters are compared, one has different radius of monomers that follows lognormal probability distribution, another has the same radius of monomers that equals the mean of lognormal probability distribution. The result show that the scattering phase functions and linear polarization degrees of these two types of alumina particle clusters are of great differences. For the alumina clusters with different radius of monomers, the forward scatterings are bigger and the linear polarization degree has multiple peaks. Moreover, the vary of their scattering properties do not have strong correlative with the change of number of monomers. For larger booster motors, 25-38% of the plume being condensed alumina. The alumina can scatter radiation from other sources present in the plume and effect on radiation transfer characteristics of plume. In addition, the shape, size distribution and refractive index of the particles in the plume are estimated by linear polarization degree. Therefore, accurate scattering properties calculation is very important to decrease the deviation in the related research.

  18. Cantú Syndrome Associated with Ovarian Agenesis

    OpenAIRE

    Fryssira, Helena; Psoni, Stavroula; Amenta, Styliani; Tsoutsou, Eirini; Sofocleous, Christalena; Manolakos, Emmanouil; Gavra, Maria; Lüdecke, Hermann-Joseph; Czeschik, Johanna-Christina

    2017-01-01

    Cantú syndrome is a very rare autosomal dominant disorder characterized by generalized congenital hypertrichosis, neonatal macrosomia, coarse face, cardiomegaly, and occasionally, skeletal abnormalities. The syndrome has been attributed to mutated ABCC9 or KCNJ8 genes. We present a 4-year-old girl with developmental delay, distinctive coarse facial features, and generalized hypertrichosis apparent since birth. The investigation revealed absent ovaries and a hypoplastic uterus which have not b...

  19. Lumbo-costo-vertebral syndrome with posterior spinal dysraphism.

    Science.gov (United States)

    Kumar, G Samson Sujit; Kulkarni, Vaijayantee; Haran, R P

    2005-09-01

    Lumbo-costo-vertebral syndrome, which includes abnormalities of the vertebral bodies, ribs and trunk musculature, is very rare and only few cases have been reported. We report a case of 18-month-old female child with absent ribs, hemivertebrae, superior lumbar hernia (features of lumbo-costo-vertebral syndrome) and posterior spinal dysraphism, which to our knowledge is the first case in the English literature with such a combination of defects. Embryology and management of the case is discussed.

  20. Aplikasi Pencarian Tempat Wisata Berbasiskan GPS dengan Metode Radius dan Rating

    Directory of Open Access Journals (Sweden)

    Budi Yulianto

    2015-03-01

    Full Text Available Tourist place navigation application becomes more important for travelers, especially backpackers. Previous research had produced applications which can only show the route from the position of traveler to tourist place with map shown. The goal of the research is to use the radius and rating method that is still rare in the community to navigate tourist place. Output of the research is a GPS-based application that can display the search results of tourist sites based on rating and radius method, route from the traveler to the destination place, and description of the place. Development method used waterfall that contained user requirement, analysis, design, coding and testing, implementation, and maintenance. Conclusion of the research has shown that the developed application provided convenience in searching tourist places based on radius and rating, displaying route, and description of tourist places.

  1. Sistem Autentikasi Hotspot Menggunakan LDAP dan Radius pada Jaringan Internet Wireless Prodi Teknik Sistem Komputer

    Directory of Open Access Journals (Sweden)

    Ahmad Herdinal Muttaqin

    2016-04-01

    Full Text Available Wireless network is a network utilizing radio waves that propagate openly. This network requires security to simplify the process by using user Authentication. One of technology that could be used in order to make it safer is a Lightweight Directory Access Protocol (LDAP and Remote Authentication Dila In User Service (RADIUS. Computer Systems Engineering Department is one of the study program in the Faculty of Engineering, University of Diponegoro that reserve the internet service everyday for students need. However, internet wireless network in this department is not yet safe enough,for the necessary to secure it’s need creating a security system with LDAP and RADIUS.The results of this study is a network authentication server using OpenLDAP and FreeRadius Hotspot that will be integrated with an account of Academic Information System, which is implemented on Prodi Computer Systems Engineering Department of the University of Diponegoro.

  2. The Splashback Radius of Halos from Particle Dynamics. I. The SPARTA Algorithm

    Science.gov (United States)

    Diemer, Benedikt

    2017-07-01

    Motivated by the recent proposal of the splashback radius as a physical boundary of dark-matter halos, we present a parallel computer code for Subhalo and PARticle Trajectory Analysis (SPARTA). The code analyzes the orbits of all simulation particles in all host halos, billions of orbits in the case of typical cosmological N-body simulations. Within this general framework, we develop an algorithm that accurately extracts the location of the first apocenter of particles after infall into a halo, or splashback. We define the splashback radius of a halo as the smoothed average of the apocenter radii of individual particles. This definition allows us to reliably measure the splashback radii of 95% of host halos above a resolution limit of 1000 particles. We show that, on average, the splashback radius and mass are converged to better than 5% accuracy with respect to mass resolution, snapshot spacing, and all free parameters of the method.

  3. Follow-up of breast lesions detected by MRI not biopsied due to absent enhancement of contrast medium

    Energy Technology Data Exchange (ETDEWEB)

    Hefler, L.; Koelbl, H. [Department of Obstetrics and Gynecology, Martin Luther University Halle-Wittenberg, Magdeburger Strasse 16, 06112 Halle (Germany); Casselman, J. [Department of Radiology, A.Z. St. Jan, Brugge (Belgium); Amaya, B.; Heinig, A.; Alberich, T.; Heywang-Koebrunner, S.H. [Department of Diagnostic Radiology, Martin Luther University Halle-Wittenberg, Magdeburger Strasse 16, 06112 Halle (Germany)

    2003-02-01

    Our objective was to follow-up patients in whom scheduled MR-guided vacuum biopsies for suspicious lesions were aborted due to absent enhancement of contrast medium. Thirty-seven of 291 scheduled MR-guided vacuum biopsies were aborted. Six cases were lost to follow-up. Two could be unequivocally identified and were nevertheless biopsied. In 25 of 29 patients absent enhancement was confirmed on subsequent studies without compression. Varying hormonal or inflammatory changes between initial MRI and MR-guided vacuum biopsy most probably explain the findings. Enhancement re-appeared on short-term follow-up <6 months without compression in 4 of the 29 patients. Too strong compression during MR-guided vacuum biopsy explains the absence of enhancement in these patients. Of note, on histology, three of these cases proved malignant. We conclude that short-term follow-up without compression is necessary and recommended for all lesions not visible during scheduled MR-guided vacuum biopsy. (orig.)

  4. Sleep and eyewitness memory: Fewer false identifications after sleep when the target is absent from the lineup.

    Science.gov (United States)

    Stepan, Michelle E; Dehnke, Taylor M; Fenn, Kimberly M

    2017-01-01

    Inaccurate eyewitness identifications are the leading cause of known false convictions in the United States. Moreover, improving eyewitness memory is difficult and often unsuccessful. Sleep consistently strengthens and protects memory from interference, particularly when a recall test is used. However, the effect of sleep on recognition memory is more equivocal. Eyewitness identification tests are often recognition based, thus leaving open the question of how sleep affects recognition performance in an eyewitness context. In the current study, we investigated the effect of sleep on eyewitness memory. Participants watched a video of a mock-crime and attempted to identify the perpetrator from a simultaneous lineup after a 12-hour retention interval that either spanned a waking day or night of sleep. In Experiment 1, we used a target-present lineup and, in Experiment 2, we used a target-absent lineup in order to investigate correct and false identifications, respectively. Sleep reduced false identifications in the target-absent lineup (Experiment 2) but had no effect on correct identifications in the target-present lineup (Experiment 1). These results are discussed with respect to memory strength and decision making strategies.

  5. Sleep and eyewitness memory: Fewer false identifications after sleep when the target is absent from the lineup.

    Directory of Open Access Journals (Sweden)

    Michelle E Stepan

    Full Text Available Inaccurate eyewitness identifications are the leading cause of known false convictions in the United States. Moreover, improving eyewitness memory is difficult and often unsuccessful. Sleep consistently strengthens and protects memory from interference, particularly when a recall test is used. However, the effect of sleep on recognition memory is more equivocal. Eyewitness identification tests are often recognition based, thus leaving open the question of how sleep affects recognition performance in an eyewitness context. In the current study, we investigated the effect of sleep on eyewitness memory. Participants watched a video of a mock-crime and attempted to identify the perpetrator from a simultaneous lineup after a 12-hour retention interval that either spanned a waking day or night of sleep. In Experiment 1, we used a target-present lineup and, in Experiment 2, we used a target-absent lineup in order to investigate correct and false identifications, respectively. Sleep reduced false identifications in the target-absent lineup (Experiment 2 but had no effect on correct identifications in the target-present lineup (Experiment 1. These results are discussed with respect to memory strength and decision making strategies.

  6. Absenteísmo por transtornos mentais em trabalhadores de saúde em um hospital no sul do Brasil

    Directory of Open Access Journals (Sweden)

    Leni de Lima Santana

    Full Text Available RESUMO Objetivo Descrever o perfil de adoecimento por transtornos mentais e comportamentais em trabalhadores de saúde de um hospital de ensino no sul do Brasil. Métodos pesquisa quantitativa, epidemiológica transversal retrospectiva cuja coleta de dados ocorreu por meio de documentos institucionais utilizados para alimentar o Sistema de Monitoramento da Saúde do Trabalhador de Enfermagem e envolveu todos os afastamentos ocorridos em 2011. Resultados Foram contabilizados 55 registros de afastamentos por Transtornos Mentais e Comportamentais que totalizaram 317 dias de absenteísmo. Os Técnicos de Enfermagem foram os profissionais mais afastados com o equivalente a 29,09% dos registros. As Unidades de Terapia Intensiva representaram os setores com o maior número de dias de absenteísmo, totalizando 81% e os Episódios depressivos obtiveram a frequência mais significativa, 52,72% dos transtornos mentais. Conclusão Os resultados evidenciaram que os transtornos mentais em trabalhadores de saúde constituem uma realidade preocupante que necessitam urgentemente de intervenções.

  7. Sea quarks contribution to the nucleon magnetic moment and charge radius at the physical point

    Science.gov (United States)

    Sufian, Raza Sabbir; Yang, Yi-Bo; Liang, Jian; Draper, Terrence; Liu, Keh-Fei; χ QCD Collaboration

    2017-12-01

    We report a comprehensive analysis of the light and strange disconnected-sea quarks contribution to the nucleon magnetic moment, charge radius, and the electric and magnetic form factors. The lattice QCD calculation includes ensembles across several lattice volumes and lattice spacings with one of the ensembles at the physical pion mass. We adopt a model-independent extrapolation of the nucleon magnetic moment and the charge radius. We have performed a simultaneous chiral, infinite volume, and continuum extrapolation in a global fit to calculate results in the continuum limit. We find that the combined light and strange disconnected-sea quarks contribution to the nucleon magnetic moment is μM(DI )=-0.022 (11 )(09 ) μN and to the nucleon mean square charge radius is ⟨r2⟩E(DI ) =-0.019 (05 )(05 ) fm2 which is about 1 /3 of the difference between the ⟨rp2⟩E of electron-proton scattering and that of a muonic atom and so cannot be ignored in obtaining the proton charge radius in the lattice QCD calculation. The most important outcome of this lattice QCD calculation is that while the combined light-sea and strange quarks contribution to the nucleon magnetic moment is small at about 1%, a negative 2.5(9)% contribution to the proton mean square charge radius and a relatively larger positive 16.3(6.1)% contribution to the neutron mean square charge radius come from the sea quarks in the nucleon. For the first time, by performing global fits, we also give predictions of the light and strange disconnected-sea quarks contributions to the nucleon electric and magnetic form factors at the physical point and in the continuum and infinite volume limits in the momentum transfer range of 0 ≤Q2≤0.5 GeV2 .

  8. Clinical and ultrasonographic evidence of a proximal positional fault of the radius. A case report.

    Science.gov (United States)

    Malo-Urriés, Miguel; Hidalgo-García, César; Bueno-Gracia, Elena; Estébanez-de-Miguel, Elena; Lucha-López, Orosia; Tricás-Moreno, José Miguel

    2014-06-01

    Positional faults are considered a possible underlying mechanism mimicking the symptoms of a joint sprain. Despite numerous clinical studies indicating the presence of positional faults, there is limited evidence of imaging studies confirming positional faults. This case report is a preliminary study that offers clinical and ultrasonographic evidence of a proximal positional fault of the radius, treated successfully with manual therapy techniques. Three weeks after a bike fall on the outstretched hand, the patient in this study presented with right wrist pain and a lack of progress with conventional conservative treatment (NSAIDs, rest and immobilization). Clinical findings indicating a proximal positional fault of the radius included pain during active pronation increased by associating a passive movement of the radius in a proximal direction and it was reduced by associating a passive movement of the radius in a distal direction. Ultrasonographic (US) images showed a reduction of radio-capitellar distance on the right side (11.4 mm) compared to the left side (13.3 mm). A positive response with a distal mobilization of the radius supported the proximal positional fault of the radius. After two manual therapy sessions, the patient had recovered normal asymptomatic function. The outcomes used to assess function and pain were active pronation range of motion, the Spanish version of the DASH questionnaire and a 0-10 numeric pain rating scale. Each measure was conducted prior and after each treatment session and one week post treatment. The patient was re-examined at 6 months follow-up, during which US images, demonstrated a normalization of the right radio-capitellar distance. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Load transfer at the distal ulna following simulated distal radius fracture malalignment.

    Science.gov (United States)

    Ferreira, Louis M; Greeley, Gillian S; Johnson, James A; King, Graham J W

    2015-02-01

    To measure the effects of distal radius malalignment on loading at the distal ulna. Using an adjustable mechanism to simulate angulated and translated malalignments, clinically relevant distal radius deformities were simulated in a cadaveric model. A custom-built load cell was inserted just proximal to the native ulna head to measure the resultant force and torque in the distal ulna. Loads were measured before and after transecting the triangular fibrocartilage complex (TFCC). There was an increase in distal ulna load and torque with increasing dorsal translation and angulation. Combined conditions of angulation and translation increased force and torque in the distal ulna to a greater extent than with either condition in isolation. Transecting the TFCC resulted in a reduction in distal ulna load and torque. A progressive increase in load at the distal ulna was observed with increasing severity of malalignment, which may be an important contributor to residual ulnar wrist pain and dysfunction. However, no clear-cut threshold of malalignment of a dorsally angulated and translated distal radius fracture was identified. These observations suggest that radius deformities cause articular incongruity, which increases TFCC tension and distal radioulnar joint load. Cutting of the TFCC decreased distal ulna loading, likely by releasing the articular constraining effect of the TFCC on the distal radioulnar joint, allowing the radius to rotate more freely with respect to the ulna. Anatomical reduction of a distal radius fracture minimizes the forces in the distal ulna and may reduce residual ulnar wrist pain and dysfunction. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  10. Reconstruction of lower end of radius using vascularized upper end of fibula

    Directory of Open Access Journals (Sweden)

    Koul Ashok

    2007-01-01

    Full Text Available Background: Giant cell tumor is a fairly common locally invasive tumor in young adults. The lower end of the radius is the second commonest site for this tumor. The most common treatment for this tumor is curettage with or without bone grafting but it carries a significant rate of recurrence. Excision is the treatment of choice, especially for cases in which the cortex has been breached. After excision of the distal end of the radius, different procedures have been described to reconstruct the defect of distal radius. These include partial arthrodesis and hemiarthroplasty using the upper end of the fibula. The upper end of the fibula has a morphological resemblance to the lower end of the radius and has been used to replace the latter. Traditionally it was used as a ′free′ (non-vascularized graft. More recently the upper end of the fibula has been transferred as a vascularized transfer for the same purpose. Though vascularized transfer should be expected to be more physiological, its superiority over the technically simpler non-vascularized transfer has not been conclusively proven. Materials and Methods: Two patients are presented who had giant cell tumor of distal radius. They underwent wide local excision and reconstruction with free vascularized upper end of the fibula. Result: Follow-up period was two and a half years and 12 months respectively. Both patients have returned to routine work. One patient has excellent functional result and the other has a good result. Conclusion: Vascularized upper end of fibula transfer is a reliable method of reconstruction for loss of the distal end of the radius that restores local anatomy and physiology.

  11. A Non-Interfering Beam Radius Diagnostic Suitable For Induction Linacs

    International Nuclear Information System (INIS)

    Nexsen, W E

    2005-01-01

    High current electron induction linacs operate in a parameter regime that allows the use of a diamagnetic loop (DML) to measure the beam magnetic moment. Under certain easily met conditions the beam radius can be derived from the moment measurement. The DML has the advantage over the present methods of measuring beam radius in that it is an electrical measurement with good time resolution that does not interfere with the beam transport. I describe experiments on the LLNL accelerators, ETA-II and FXR that give confidence in the use of a DML as a beam diagnostic

  12. Collision free path generation in 3D with turning and pitch radius constraints for aerial vehicles

    DEFF Research Database (Denmark)

    Schøler, F.; La Cour-Harbo, A.; Bisgaard, M.

    2009-01-01

    In this paper we consider the problem of trajectory generation in 3D for uninhabited aerial systems (UAS). The proposed algorithm for trajectory generation allows us to find a feasible collision-free 3D trajectory through a number of waypoints in an environment containing obstacles. Our approach...... assumes that most of the aircraft structural and dynamic limitations can be formulated as a turn radius constraint, and that any two consecutive waypoints have line-of-sight. The generated trajectories are collision free and also satisfy a constraint on the minimum admissible turning radius, while...

  13. Optimization of the bubble radius in a moving single bubble sonoluminescence

    Energy Technology Data Exchange (ETDEWEB)

    Mirheydari, Mona; Sadighi-Bonabi, Rasoul; Rezaee, Nastaran; Ebrahimi, Homa, E-mail: sadighi@sharif.ir [Department of Physics, Sharif University of Technology, 11365-91, Tehran (Iran, Islamic Republic of)

    2011-05-01

    A complete study of the hydrodynamic force on a moving single bubble sonoluminescence in N-methylformamide is presented in this work. All forces exerted, trajectory, interior temperature and gas pressure are discussed. The maximum values of the calculated components of the hydrodynamic force for three different radii at the same driving pressure were compared, while the optimum bubble radius was determined. The maximum value of the buoyancy force appears at the start of bubble collapse, earlier than the other forces whose maximum values appear at the moment of bubble collapse. We verified that for radii larger than the optimum radius, the temperature peak value decreases.

  14. Fuelling and self-regulation of AGN feedback at the Bondi radius of M84

    Science.gov (United States)

    Russell, Helen

    2017-09-01

    We propose a deep observation to probe the gas flow gravitationally captured by the SMBH in M84, which is one of a very limited number of objects for which Chandra can spatially resolve the Bondi radius. The hot gas properties at the SMBH's sphere of influence are key to understanding how the AGN heating rate can respond to the large scale cooling rate. We will study the interactions at the Bondi radius between recent AGN outbursts and gravitationally captured intracluster medium, which likely mediate the self-adjustment of feedback. M84 represents an important intermediate example between the dormant AGN in NGC3115 and the highly active AGN in M87.

  15. Optimization of the bubble radius in a moving single bubble sonoluminescence

    International Nuclear Information System (INIS)

    Mirheydari, Mona; Sadighi-Bonabi, Rasoul; Rezaee, Nastaran; Ebrahimi, Homa

    2011-01-01

    A complete study of the hydrodynamic force on a moving single bubble sonoluminescence in N-methylformamide is presented in this work. All forces exerted, trajectory, interior temperature and gas pressure are discussed. The maximum values of the calculated components of the hydrodynamic force for three different radii at the same driving pressure were compared, while the optimum bubble radius was determined. The maximum value of the buoyancy force appears at the start of bubble collapse, earlier than the other forces whose maximum values appear at the moment of bubble collapse. We verified that for radii larger than the optimum radius, the temperature peak value decreases.

  16. Fine-Tuning on the Effective Patch Radius Expression of the Circular Microstrip Patch Antennas

    Directory of Open Access Journals (Sweden)

    A. E. Yilmaz

    2010-09-01

    Full Text Available In this study, the effective patch radius expression for the circular microstrip antennas is improved by means of several manipulations. Departing from previously proposed equations in the literature, one of the most accurate equations is picked up, and this equation is fine-tuned by means of Particle Swarm Optimization technique. Throughout the study, impacts of other parameters (such as the definition of the fitness/objective function, the degree-of-freedom in the proposed effective patch radius expression, the number of measured resonant frequency values are observed in a controlled manner. Finally, about 3% additional improvement is achieved over a very accurate formula, which was proposed earlier.

  17. On the ππ continuum in the nucleon form factors and the proton radius puzzle

    Energy Technology Data Exchange (ETDEWEB)

    Hoferichter, M. [University of Washington, Institute for Nuclear Theory, Seattle, WA (United States); Kubis, B.; Ruiz de Elvira, J. [Universitaet Bonn, Helmholtz-Institut fuer Strahlen- und Kernphysik (Theorie) and Bethe Center for Theoretical Physics, Bonn (Germany); Hammer, H.W. [Technische Universitaet Darmstadt, Institut fuer Kernphysik, Darmstadt (Germany); GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, ExtreMe Matter Institute EMMI, Darmstadt (Germany); Meissner, U.G. [Universitaet Bonn, Helmholtz-Institut fuer Strahlen- und Kernphysik (Theorie) and Bethe Center for Theoretical Physics, Bonn (Germany); Institut fuer Kernphysik, Institute for Advanced Simulation, and Juelich Center for Hadron Physics, Forschungszentrum Juelich, Juelich (Germany)

    2016-11-15

    We present an improved determination of the ππ continuum contribution to the isovector spectral functions of the nucleon electromagnetic form factors. Our analysis includes the most up-to-date results for the ππ → anti NN partial waves extracted from Roy-Steiner equations, consistent input for the pion vector form factor, and a thorough discussion of isospin-violating effects and uncertainty estimates. As an application, we consider the ππ contribution to the isovector electric and magnetic radii by means of sum rules, which, in combination with the accurately known neutron electric radius, are found to slightly prefer a small proton charge radius. (orig.)

  18. Giant cell tumour of proximal radius in a 48 years old lady.

    Science.gov (United States)

    Khan, Kashif Mahmood; Minhas, Muhammad Saeed; Khan, Mohsin Ali; Bhatti, Anisuddin

    2014-03-01

    Giant cell tumour is a locally aggressive tumour of long-bones of epiphyseal region commonly occurring in adults aged 20-40 years. Most common location is distal femur, proximal tibia and distal radius. Different treatment options being used are curettage with bone graft or bone cement, resection with arthrodesis, reconstruction, radiation and chemotherapy. We are reporting a case of giant cell tumour of proximal radius in a 48 years old lady. It is very rare and only 4 cases have been reported in literature. It was treated by wide margin resection without reconstruction.

  19. On Possible Reduction of Equilibrium Radius of a Neutron Star Influenced by Superstrong Magnetic Field

    Directory of Open Access Journals (Sweden)

    Vladimir V. Skobelev

    2012-01-01

    -decay suppression of a neutron in degenerate magnetized electron gas is formulated. Based on this, it is shown that, in superstrong magnetic field, equilibrium radius of a neutron star is approximately several times smaller than without the field influence. Therefore, we can make a prediction that in short-period pulsars, such fields can be observed. In fact, possible existence of new class of stellar objects is noted, the objects with superstrong magnetic field and supersmall radius about 1 km which we named minimagnetars. They can be detected by gravitational red shift of their radiation.

  20. Epidemiological and clinical aspects of the Guillain-Barre Syndrome

    NARCIS (Netherlands)

    R. van Koningsveld (Rinske)

    2001-01-01

    textabstractThe Guillain-Barre syndrome (GBS) is an acute immune-mediated disorder of the peripheral nerves. The essential features are a rapidly progressive, more or less symmetrical weakness of the limbs and decreased or absent tendon reflexes. The weakness reaches its nadir (maximum severity) by

  1. Mutations in RNF216 do not cause 4H syndrome

    NARCIS (Netherlands)

    Wolf, N.I.; Bernard, G.

    2015-01-01

    We comment on the recent publication by Ganos et al. [1] classifying a patient with non-specific white matter abnormalities, cerebellar atrophy, hypogonadotropic hypogonadism and absent lower median incisors as 4H syndrome. He had mutations in RNF216. Mutations in this gene cause Gordon-Holmes

  2. Premature Ovarian Failure in French Canadian Leigh Syndrome.

    Science.gov (United States)

    Ghaddhab, Chiraz; Morin, Charles; Brunel-Guitton, Catherine; Mitchell, Grant A; Van Vliet, Guy; Huot, Céline

    2017-05-01

    In all surviving girls with Leigh syndrome, French Canadian variety, a mitochondrial disease, we detected premature ovarian failure, manifested as absent or arrested breast development, lack of menarche, high follicle-stimulating hormone, a prepubertal uterus, and small ovaries. Pubertal onset and progression should be evaluated in girls with mitochondrial diseases. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Growth hormone deficiency in a Nigerian child with Turner's syndrome

    African Journals Online (AJOL)

    IRORO YARHERE

    Growth hormone deficiency in a Nigerian child with Turner's syndrome: a case report and review of growth assessment in .... when the sex hormonal influence is absent. The good thing about our ... was due to lack of oestradiol influence in amplifying the neuroendocrine regulation of pulsatile GH release, but our patient's ...

  4. [Kleine Levin Syndrome: more than just periodic hypersomnia

    NARCIS (Netherlands)

    Pillen, S.; Vandenbussche, N.L.; Fronczek, R.; Duijn, J. van; Lammers, G.J.; Overeem, S.

    2016-01-01

    BACKGROUND: Kleine Levin Syndrome (KLS) is a rare disease with periodic hypersomnia as its main feature. Hyperphagia and hypersexuality are also described as classical symptoms, although quite recently it has become clear that the full triad is absent in the majority of patients. CASE DESCRIPTION: A

  5. Distal radius reconstruction with vascularized proximal fibular autograft after en-bloc resection of recurrent giant cell tumor.

    Science.gov (United States)

    Yang, Yun-Fa; Wang, Jian-Wei; Huang, Pin; Xu, Zhong-He

    2016-08-17

    Giant cell tumors (GCTs) located in the distal radius are likely to recur, and the treatment of such recurrent tumors is very difficult. Here, we report our clinical experience in distal radius reconstruction with vascularized proximal fibular autografts after en-bloc excision of the entire distal radius in 17 patients with recurrent GCT (RGCT) of the distal radius. All 17 patients with RGCT in distal radius underwent plain radiography and/or magnetic resonance imaging (MRI) of the distal radius as the initial evaluation after hospitalization. Then the distal radius were replaced by vascularized proximal fibular autografts after en-bloc RGCT resection. We assessed all patients by using clinical examinations, plain radiography of the wrist and chest, and Mayo wrist scores in the follow-ups. After an average follow-up of 4.3 years (range: 1.5-10.0 years), no lung metastasis or local recurrence was detected in any of the 17 patients. In total, 14 patients had excellent or good functional wrist scores, 16 were pain free or had occasional pain, and 15 patients returned to work. The mean range of motion of the wrist was 101° (flexion-extension), and the mean grip strength was 77.2 % of the contralateral normal hand. En-bloc excision of the entire distal radius and distal radius reconstruction with a vascularized proximal fibular autograft can effectively achieve local tumor control and preserve wrist function in patients with RGCT of the distal radius.

  6. O perfil dos trabalhadores, seu adoecimento e absenteísmo em um hospital público universitário

    OpenAIRE

    Geraldo Majela Garcia Primo

    2008-01-01

    Dissertação de mestrado em saúde pública área de saúde e trabalho desenvolvida no formato de artigos. O primeiro artigo intitulado: Absenteísmo no trabalho em saúde e fatores relacionados, onde se apresenta uma revisão de literatura sobre o absenteísmo por motivo de doença e fatores relacionados à sua magnitude e variabilidade, enfatizando-se os trabalhadores no setor hospitalar e da saúde. Foram apresentados os conceitos de absenteísmo e seu contraponto, o presenteísmo. Os fatores relaci...

  7. The Absent Foundation

    OpenAIRE

    Backman, Jussi

    2005-01-01

    For Heidegger, the fundamental “rationality” of Western metaphysics lies in the fact that its “leading question” concerning beings as beings constantly refers back to the question concerning the ground (arche, ratio, Grund) of beings. Whereas metaphysics has sought to ground beings in ideal beingness, Heidegger attempts to think beingness as itself based on the withdrawing “background” dimension of no-thing-ness that grounds finite presence by differing from it. In Heidegger’s earlier work, t...

  8. Addressing the missing matter problem in galaxies through a new fundamental gravitational radius

    Energy Technology Data Exchange (ETDEWEB)

    Capozziello, S. [Dipartimento di Fisica ' ' E. Pancini' ' , Università di Napoli ' ' Federico II' ' , Compl. Univ. di Monte S. Angelo, Edificio G, Via Cinthia, I-80126, Napoli (Italy); Jovanović, P. [Astronomical Observatory, Volgina 7, P.O. Box 74, 11060 Belgrade (Serbia); Jovanović, V. Borka; Borka, D., E-mail: capozziello@na.infn.it, E-mail: pjovanovic@aob.rs, E-mail: vborka@vin.bg.ac.rs, E-mail: dusborka@vin.bg.ac.rs [Atomic Physics Laboratory (040), Vinča Institute of Nuclear Sciences, University of Belgrade, P.O. Box 522, 11001 Belgrade (Serbia)

    2017-06-01

    We demonstrate that the existence of a Noether symmetry in f ( R ) theories of gravity gives rise to a further gravitational radius, besides the standard Schwarzschild one, determining the dynamics at galactic scales. By this feature, it is possible to explain the baryonic Tully-Fisher relation and the rotation curve of gas-rich galaxies without the dark matter hypothesis.

  9. Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment

    Directory of Open Access Journals (Sweden)

    Boussakri H

    2016-07-01

    Full Text Available Aseptic nonunion of the radius and ulna is a major complication of forearm fractures, accounting for 2% to 10% of all forearm fractures. The aim of our study is to evaluate the functional and radiological results of surgical treatment of diaphyseal aseptic nonunion of the radius and ulna, with autologous bone grafting, decortication and internal plate fixation. A series of 21 patients (26 nonunions was retrospectively reviewed, the average age was 35 years with a mean of 31,58 years (range 12-44 years . The fractures included isolated radius (n=6 and ulna (n=10, and both radius and ulna (n=5. The Grace and Eversmann score was used to evaluate our results. Fifteen had very good results, five good and one average. Consolidation of the two bones was attained in 6.2 months. Therefore, the functional prognosis of the upper limb imposes the need for an adequate treatment. This management strategy has enabled us to have satisfactory results. However, the best treatment of nonunion remains the preventive treatment with an optimal management and care of the forearm fractures.

  10. Axial length/corneal radius of curvature ratio and refractive status in ...

    African Journals Online (AJOL)

    Aim/Background: Associations between axial length (AL) to corneal radius of curvature (CR) ratio and refractive status in a healthy Nigerian adult population were studied. Materials and Methods: Healthy students and members of staff of Obafemi Awolowo Teaching Hospitals Complex, Ile‑Ife, South West Nigeria, free of ...

  11. Polycarbonate and co-continuous polycarbonate/ABS blends: influence of notch radius

    NARCIS (Netherlands)

    Inberg, J.P.F.; Gaymans, R.J.

    2002-01-01

    The influence of notch tip radius in the range of 1–0.002 mm was studied on polycarbonate (PC) and co-continuous PC/acrylonitrile–butadiene–styrene (ABS). Co-continuous PC/ABS blend was obtained by mixing PC and ABS containing 15% polybutadiene (PB) in a twin screw extruder. PC and PC/ABS specimens

  12. Factorization for jet radius logarithms in jet mass spectra at the LHC

    NARCIS (Netherlands)

    Kolodrubetz, D.W.; Pietrulewicz, P.; Stewart, I.W.; Tackmann, F.J.; Waalewijn, W.J.

    2016-01-01

    To predict the jet mass spectrum at a hadron collider it is crucial to account for the resummation of logarithms between the transverse momentum of the jet and its invariant mass mJ. For small jet areas there are additional large logarithms of the jet radius R, which affect the convergence of the

  13. Predictions of Crystal Structure Based on Radius Ratio: How Reliable Are They?

    Science.gov (United States)

    Nathan, Lawrence C.

    1985-01-01

    Discussion of crystalline solids in undergraduate curricula often includes the use of radius ratio rules as a method for predicting which type of crystal structure is likely to be adopted by a given ionic compound. Examines this topic, establishing more definitive guidelines for the use and reliability of the rules. (JN)

  14. A numerical study on effect of corner radius and Reynolds number ...

    Indian Academy of Sciences (India)

    Prasenjit Dey

    6.4 Skin friction coefficient with Re and r. Figure 12 shows the value of the skin friction coefficient on the cylinder surface. Skin friction coefficient (Cf) is nothing. Figure 9. Variation of (a) drag coefficient with Re, (b) pressure drag coefficient and viscous drag coefficient with Re and (c) drag coefficient with corner radius. 1162.

  15. Team physician #5. Salter-Harris type I fracture of the distal radius due to weightlifting.

    Science.gov (United States)

    Weiss, A P; Sponseller, P D

    1989-02-01

    A Salter-Harris Type I distal radius fracture was sustained by a skeletally immature adolescent while performing a supine bench press during weight training. Closed reduction was accomplished without difficulty. Fractures in adolescence due to weightlifting are rare but illustrate the need for proper instruction and supervision.

  16. Estimate for the size of the compactification radius of a one extra dimension universe

    Energy Technology Data Exchange (ETDEWEB)

    Da Rosa, Felipe S [Los Alamos National Laboratory; Pascoal, F [DEPARTAMENTO DE FISICA; Oliveira, L F [CIDADE UNIV; Farina, C [INSTITUTO DE FISICA

    2008-01-01

    In this work, we use the Casimir effect to probe the existence of one extra dimension. We begin by evaluating the Casimir pressure between two plates in a M{sup 4} x S{sup 1} manifold, and then use an appropriate statistical analysis in order to compare the theoretical expression with a recent experimental data and set bounds for the compactification radius.

  17. Geometrical adaptation in ulna and radius of cerebral palsy patients: measures and consequences

    NARCIS (Netherlands)

    de Bruin, M.; van de Giessen, M.; Vroemen, J. C.; Veeger, H. E. J.; Maas, M.; Strackee, S. D.; Kreulen, M.

    2014-01-01

    The presence of significant forearm bone torsion might affect planning and evaluating treatment regimes in cerebral palsy patients. We aimed to evaluate the influence of longstanding wrist flexion, ulnar deviation, and forearm pronation due to spasticity on the bone geometries of radius and ulna.

  18. Determination of the radius of a self-pinched beam from its energy integral

    International Nuclear Information System (INIS)

    Lee, E.P.

    1980-01-01

    The total transverse energy (kinetic plus potential) of a self-pinched beam may be used to predict the final equilibrium radius when the beam is mismatched at injection. The dependence of potential energy on the current profile shape is characterized by a dimensionless parameter C(z), variations of which are correlated with the change of emittance

  19. Segregation of Granular Particles by Mass, Radius, and Density in a Horizontal Rotating Drum

    NARCIS (Netherlands)

    Arntz, M.M.H.D.; Beeftink, H.H.; den Otter, Wouter K.; Briels, Willem J.; Boom, R.M.

    2014-01-01

    The impact of particle properties on segregation and mixing of bidisperse granular beds in a rotating horizontal drum have been studied by discrete element method (DEM) simulations. Bidispersities in radius, density, and mass have pronounced influences on the stationary mixing pattern, although they

  20. Two peg spade plate for distal radius fractures A novel technique

    Directory of Open Access Journals (Sweden)

    Sharad M Hardikar

    2015-01-01

    Conclusions: The two peg volar spade plate provides a stable subchondral support in comminuted intraarticular fractures and maintains reduction in osteoporotic fractures of the distal radius. Early mobilization with this implant helps in restoring wrist motion and to prevent development of wrist stiffness.

  1. Orientation illusions and heart-rate changes during short-radius centrifugation

    NARCIS (Netherlands)

    Hecht, H.; Kavelaars, J.; Cheung, C. C.; Young, L. R.

    2001-01-01

    Intermittent short-radius centrifugation is a promising countermeasure against the adverse effects of prolonged weightlessness. To assess the feasibility of this countermeasure, we need to understand the disturbing sensory effects that accompany some movements carried out during rotation. We tested

  2. Three-Dimensional Assessment of Bilateral Symmetry of the Radius and Ulna for Planning Corrective Surgeries

    NARCIS (Netherlands)

    Vroemen, J. C.; Dobbe, J. G. G.; Jonges, R.; Strackee, S. D.; Streekstra, G. J.

    2012-01-01

    Purpose The contralateral unaffected side is often used as a reference in planning a corrective osteotomy of a malunited distal radius. Two-dimensional radiographs have proven unreliable in assessing bilateral symmetry, so we assessed 3-dimensional configurations to assess bilateral symmetry.

  3. Bone mineral density: correlation between the lumbar spine, proximal femur and Radius in northern Thai women.

    Science.gov (United States)

    Namwongprom, Sirianong; Ekmahachai, Molrudee; Vilasdechanon, Nonglak; Klaipetch, Alisa; Wongboontan, Chanpen; Boonyaprapa, Sombut

    2011-06-01

    To determine the correlation of bone mineral density (BMD) in lumbar spine, proximal femur and 1/3 radius in northern Thai women. The data of this study was collected from the medical records and the BMD results of 885 perimenopausal and postmenopausal women who had the BMD measurement in Division of Nuclear Medicine, Department of Radiology, Faculty of Medicine, Chiang Mai University between January and December 2007. BMD was measured using dual-energy X-ray absorptiometry (Hologic, QDR-4500C). Mean age (+/- SD) was 58.7 +/- 9.9 year. The lowest T-score was found 51.6% at lumbar spine (LS), 29.2% at 1/3 radius, 13.8% at femoral neck (FN), 2.9% at total femur (TF) and 2.5% at trochanter region (TR). We found a significant correlation between age, BMI, duration of menopause, and BMD at the LS, TFE FN, TR and 1/3 radius (p radius were 0.708, 0.667, 0.721 and 0.633, respectively (p < 0 01). Women with perimenopausal status had higher height and BMD values at all five observed sites than postmenopausal women (p < 0.01). The present found a good correlation of the BMD from various skeletal sites. Interestingly, the correlation was found highest between the LS vs. TR and TF vs. TR region. Clearly, estrogen-deficient plays important role on the low BMD values in all skeletal sites.

  4. Simultaneous ipsilateral fractures of distal and proximal ends of the radius.

    Science.gov (United States)

    El Kadi, Khalid Ibn; Benabid, Mounir; Saliou, Sarr; El Assil, Oussama; Marzouki, Amine; Lahrach, Kamal; Boutayeb, Fawzi

    2017-01-01

    We treated a patient with a rare combination of ipsilateral fractures of the distal and proximal ends of the radius. A man aged 42 years had simultaneous fractures of the distal and proximal ends of the radius (radial neck) following a roadside accident. The distal end fracture of the radius was treated with surgical reduction and T-plate volar fixation, and the undisplaced radial neck fracture was treated by an above elbow splintage for 2 weeks. The elbow mobilization was started at 2 weeks. The distal radius was protected for another 4 weeks in a below elbow functional brace. Ipsilateral proximal and distal radial fracture is an uncommon injury pattern. The series illustrates a number of problems associated with this combination. Firstly, one should be aware of this rare injury pattern and there should be greater emphasis on clinical examination of elbow in cases of wrist injuries and vice versa. Once diagnosed, one faces the dilemma of appropriate management in these cases. The appropriate management will depend on the injury characteristics including the age of the patient and the fracture pattern. One should try to preserve the radial head to prevent a possible proximal radial migration especially in younger patients.

  5. Failure characteristics of the isolated distal radius in response to dynamic impact loading.

    Science.gov (United States)

    Burkhart, Timothy A; Andrews, David M; Dunning, Cynthia E

    2012-06-01

    We examined the mechanical response of the distal radius pre-fracture and at fracture under dynamic impact loads. The distal third of eight human cadaveric radii were potted and placed in a custom designed pneumatic impact system. The distal intra-articular surface of the radius rested against a model scaphoid and lunate, simulating 45° of wrist extension. The scaphoid and lunate were attached to a load cell that in turn was attached to an impact plate. Impulsive impacts were applied at increasing energy levels, in 10 J increments, until fracture occurred. Three 45° stacked strain gauge rosettes were affixed along the length of the radius quantifying the bone strains. The mean (SD) fracture energy was 45.5 (16) J. The mean (SD) resultant impact reaction force (IRFr) at failure was 2,142 (1,229) N, resulting in high compressive strains at the distal (2,718 (1,698) µε) and proximal radius (3,664 (1,890) µε). We successfully reproduced consistent fracture patterns in response to dynamic loads. The fracture energy and forces reported here are lower and the strains are higher than those previously reported and can likely be attributed to the controlled, incremental, dynamic nature of the applied loads. Copyright © 2011 Orthopaedic Research Society.

  6. Very Distal Radius Wedge Osteotomy for Kienböck's Disease: Case Series.

    Science.gov (United States)

    Okubo, Hirotaka; Futenma, Chojo; Sunagawa, Hideyuki; Kinjo, Masaki; Kanaya, Fuminori

    2017-12-01

    Radius osteotomy is one of the standard surgical procedures for the treatment of Kienböck's disease. Unfortunately, radius osteotomy can result in an incongruous distal radio-ulnar joint (DRUj) postoperatively, because the procedure is performed proximal to the DRUj. A very distal radius wedge osteotomy was performed as a 15-degree lateral closing wedge osteotomy with the apex of the wedge distal to that of conventional lateral closing wedge osteotomy; this procedure was developed to avoid postoperative incongruous DRUj. We performed this procedure on 6 patients (stage III-A: 1, stage III-B: 5) with a mean age of 49 years. Clinical and radiographic evaluations were performed at a mean follow-up of 32 months. Wrist pain disappeared in all patients. Mean grip strength improved from 35% to 87% of the contralateral side (p = 0.0255). Mean range of motion, measured as flexion-extension arc, improved from 93 to 128 degrees. Nakamura's score was good in all patient. Mean lunate covering ratio increased from 61% to 90% (p = 0.0151) and mean sigmoid notch inclination angle, a radiographic parameter of DRUj congruency, was not significantly different between pre-operative and final follow-up evaluation. No clinical or radiographic DRUj osteoarthritis findings were observed. Our procedure of very distal radius wedge osteotomy provided satisfactory clinical results without an incongruous DRUj. This technique might prevent the occurrence of postoperative DRUj osteoarthritis.

  7. Fracture of the Distal Ulna Metaphysis in the Setting of Distal Radius Fractures.

    Science.gov (United States)

    Paksima, Nader; Khurana, Sonya; Soojian, Michael; Patel, Vipul; Egol, Kenneth

    2017-04-01

    Fracture of the metaphyseal region of the distal ulna is an uncommon injury that has been reported to occur concomitantly with distal radius fracture. We aimed to report the incidence and types of distal ulnar head and neck fractures associated with distal radius fractures and compare outcomes in operatively versus non-operatively treated patients. Over a 5-year period a distal radius fracture registry was maintained at our institution. Eleven of 512 consecutive patients had metaphyseal distal ulna fractures in association with distal radius fractures and at least 1-year follow-up. Baseline radiographs and functional data were obtained, and patients were followed at 1-week, 2-week, 3-week, 6-week, 3-month, 6-month, 1-year, and 2-year intervals. Patients were split into two treatment groups: Group 1 consisted of five non-operatively treated patients, and Group 2 consisted of six operatively treated patients. Four separate fracture patterns were observed: simple transverse or oblique fracture of the ulnar neck just proximal to the ulnar head, fracture of the neck region with concomitant fracture of the tip of the ulnar styloid, simple fracture of the ulnar head, and comminuted fracture of the ulnar head. There were no statistical differences between the two groups with regard to flexion, extension, supination, pronation, and functional outcomes. Ulnar fracture patterns observed did not easily fall into previously described categories, and we have proposed a new classification system. Simple fractures of the ulnar neck or head often do not require operative fixation.

  8. A Spitzer Infrared Radius for the Transiting Extrasolar Planet HD 209458 b

    Science.gov (United States)

    Richardson, L. Jeremy; Harrington, Joseph; Seager, Sara; Deming, Drake

    2007-01-01

    We have measured the infrared transit of the extrasolar planet HD 209458 b using the Spitzer Space Telescope. We observed two primary eclipse events (one partial and one complete transit) using the 24 micrometer array of the Multiband Imaging Photometer for Spitzer (MIPS). We analyzed a total of 2392 individual images (10-second integrations) of the planetary system, recorded before, during, and after transit. We perform optimal photometry on the images and use the local zodiacal light as a short-term flux reference. At this long wavelength, the transit curve has a simple box-like shape, allowing robust solutions for the stellar and planetary radii independent of stellar limb darkening, which is negligible at 24 micrometers. We derive a stellar radius of R(sub *) = 1.06 plus or minus 0.07 solar radius, a planetary radius of R(sub p) = 1.26 plus or minus 0.08 R(sub J), and a stellar mass of 1.17 solar mass. Within the errors, our results agree with the measurements at visible wavelengths. The 24 micrometer radius of the planet therefore does not differ significantly compared to the visible result. We point out the potential for deriving extrasolar transiting planet radii to high accuracy using transit photometry at slightly shorter IR wavelengths where greater photometric precision is possible.

  9. How Many Times Does a Radius Square Fit into the Circle?

    Science.gov (United States)

    Flores, Alfinio; Regis, Troy P.

    2003-01-01

    Illustrates a way in which students can estimate the ratio of an area of a circle using the radius square. Discusses why the same value of pi appears in both the formulas for the circumference and the area of the circle. (YDS)

  10. The ephemeris and variations of the accretion disc radius in IP Pegasi

    International Nuclear Information System (INIS)

    Wood, J.H.; Robinson, E.L.

    1989-01-01

    We present timings of 37 previously unpublished eclipses of the dwarf nova IP Pegasi, obtained in 1986 through to 1988, and combine these with earlier published timings in order to update the orbital ephemeris and to examine the behaviour of the accretion disc radius through the outburst cycle. (author)

  11. Kinematics and early migration in single-radius mobile- and fixed-bearing total knee prostheses

    NARCIS (Netherlands)

    Wolterbeek, N.; Garling, E.H.; Mertens, B.J.; Nelissen, R.G.H.H.; Valstar, E.R.

    2012-01-01

    Background The mobile-bearing variant of a single-radius design is assumed to provide more freedom of motion compared to the fixed-bearing variant because the insert does not restrict the natural movements of the femoral component. This would reduce the contact stresses and wear which in turn may

  12. Measuring the Radius of the Earth from a Mountain Top Overlooking the Ocean

    Science.gov (United States)

    Gangadharan, Dhevan

    2009-01-01

    A clear view of the ocean may be used to measure the radius of the Earth. To an observer looking out at the ocean, the horizon will always form some angle [theta] with the local horizontal plane. As the observer's elevation "h" increases, so does the angle [theta]. From measurements of the elevation "h" and the angle [theta],…

  13. Absent cervical spine pedicle and associated congenital spinal abnormalities - a diagnostic trap in a setting of acute trauma: case report

    Directory of Open Access Journals (Sweden)

    Wildermuth Simon

    2010-11-01

    Full Text Available Abstract Background Congenital spinal abnormalities can easily be misdiagnosed on plain radiographs. Additional imaging is warranted in doubtful cases, especially in a setting of acute trauma. Case Presentation This patient presented at the emergency unit of our university hospital after a motor vehicle accident and was sent to our radiology department for imaging of the cervical spine. Initial clinical examination and plain radiographs of the cervical spine were performed but not conclusive. Additional CT of the neck helped establish the right diagnosis. Conclusion CT as a three-dimensional imaging modality with the possibility of multiplanar reconstructions allows for the exact diagnosis and exclusion of acute traumatic lesions of the cervical spine, especially in cases of doubtful plain radiographs and when congenital spinal abnormalities like absent cervical spine pedicle with associated spina bifida may insinuate severe trauma.

  14. Absent cervical spine pedicle and associated congenital spinal abnormalities - a diagnostic trap in a setting of acute trauma: case report.

    Science.gov (United States)

    Guggenberger, Roman; Andreisek, Gustav; Scheffel, Hans; Wildermuth, Simon; Leschka, Sebastian; Stolzmann, Paul

    2010-11-09

    Congenital spinal abnormalities can easily be misdiagnosed on plain radiographs. Additional imaging is warranted in doubtful cases, especially in a setting of acute trauma. This patient presented at the emergency unit of our university hospital after a motor vehicle accident and was sent to our radiology department for imaging of the cervical spine. Initial clinical examination and plain radiographs of the cervical spine were performed but not conclusive. Additional CT of the neck helped establish the right diagnosis. CT as a three-dimensional imaging modality with the possibility of multiplanar reconstructions allows for the exact diagnosis and exclusion of acute traumatic lesions of the cervical spine, especially in cases of doubtful plain radiographs and when congenital spinal abnormalities like absent cervical spine pedicle with associated spina bifida may insinuate severe trauma.

  15. Teaching Zen’s Ten Oxherding Pictures through Leonard Cohen’s “Ballad of the Absent Mare”

    Directory of Open Access Journals (Sweden)

    Ronald Green

    2017-04-01

    Full Text Available This paper describes how to teach Zen’s famous Ten Oxherding Pictures through Leonard Cohen’s song “Ballad of the Absent Mare.” It also explains how instructors can contextualize these pictures within the history of Buddhist visual culture and thereby frame Cohen’s adoption of them as a cowboy ballad motif. The essay begins by describing the metaphor of the ox. It then reviews three theories about the origin of the pictures, contextualizing them within the history of Buddhist visual culture. Finally, it provides a PowerPoint presentation that connects each of the Ten Oxherding Pictures to verses of Cohen’s song and offers comments for instructors’ use in class.

  16. Computerized axial tomography of the chest for visualization of ''absent'' pulmonary arteries

    Energy Technology Data Exchange (ETDEWEB)

    Sondheimer, H.M. (Upstate Medical Center, Syracuse, NY); Oliphant, M.; Schneider, B.; Kavey, R.E.W.; Blackman, M.S.; Parker, F.B. Jr.

    1982-05-01

    To expand the search for central pulmonary arteries in six patients with absence of cardiac-pulmonary continuity, computerized axial tomography (CAT) of the chest was performed. The CAT scans were compared with previous arteriograms and pulmonary vein wedge angiograms. Three patients with type IV truncus arteriosus were studied, and none had a central, right or left pulmonary artery on CAT scan. However, two patients with tetralogy of Fallot with pulmonary atresia and a patent ductus arteriosus to the right lung demonstrated the presence of a left pulmonary artery. In addition, one child with truncus arteriosus with ''absent'' left pulmonary artery demonstrated a left pulmonary artery on the CAT scan. The CAT scan may therefore enhance our ability to search for disconnected pulmonary arteries in children with complex cyanotic congenital heart disease.

  17. Meaning production about an absent image: towards Lula’s coercive conduction in the scope of Operation Lava-Jato

    Directory of Open Access Journals (Sweden)

    Janaina Cardoso Brum

    2017-11-01

    Full Text Available In March 2016, the former president Lula was conducted through a coercive way by the Federal Police in order to depose about his involvement in suspect activities related to Operation Lava Jato. The shooting or any other register of this coercive conduction have been forbidden, thus the national media began to work in the verge of this “denied image”. In this paper, we investigate the process of meaning production about this “absent image” through other images and materialities that circulate in the media discourse game regarding the destabilization/ stabilization of evidence about the March fourth current events. Therefore, the concept of lack, excess and strangeness, established by Ernst, were fundamental. We started with the hypothesis that, answering the lack of imagetic register, it was established a profusion of other imagetic, audiovisual and/or verbal discourses.

  18. The absent inferior epigastric artery: a unique anomaly and implications for deep inferior epigastric artery perforator flaps.

    Science.gov (United States)

    Rozen, Warren M; Houseman, Nicholas D; Ashton, Mark W

    2009-06-01

    The abdominal wall is particularly advantageous as a donor site due to the reliability of its vascular supply. Although the cutaneous perforators of the deep inferior epigastric artery (DIEA) and the superficial inferior epigastric artery (SIEA) may show significant individual variability, the DIEA itself has been shown to be ever-present as a vascular pedicle and to be highly dependable. The increasing use of preoperative computed tomographic angiography (CTA) has led to increasing reports of anatomic variability. With the use of preoperative CTA, we describe a unique case of a completely absent DIEA in patient who had not previously undergone any open abdominal surgery. The absence of the DIEA had led to vascular changes throughout the abdominal wall, including dilatation of both SIEAs and the ipsilateral deep superior epigastric artery. Preoperative CTA in this setting helped us identify this anomaly and aided surgical planning. The incidence of this anomaly was subsequently reviewed in 150 consecutive CTA scans performed at our institution.

  19. Eklem içi distal radius kırıklarının volar kilitli plakla tedavi sonuçları

    Directory of Open Access Journals (Sweden)

    İbrahim Azboy

    2014-06-01

    Full Text Available Objective: We aimed to evaluate the functional and radiological results of intraarticular distal radius fractures which treated with volar locking plates. Methods: Twenty-eight patient (mean age 44.6; range 19-74 with intraarticular distal radius fracture were treated with volar locking plate. Of these 18 were type B, and 10 were type C. Mean follow-up was 19 months. Patients were evaluated with MAYO score, and DASH (Disabilities of the Arm, Shoulder and Hand questionnaire. Shortening, radial inclination and palmar tilt were recorded. Uninjured wrist was used for comparison. Results: Union was achieved in all fractures. MAYO score revealed excellent results in 6 patients, good in 7 patients, satisfactory in 14 patients, and poor in 1 patients at the latest follow-up. The mean postoperative DASH score was 16.4 (range, 0-76. The mean radial inclination loss was 0.9 degrees and mean palmar tilt loss was 6.9 degrees when compared to uninjured wrist. Active flexion was 56.3°, extension was 52.5°, supination was 74.2° and pronation was 70.7°. Extensor tenosynovitis was observed in four patients, fleksor pollisis longus tenosynovitis in two, carpal tunnel syndrome in two, superficial infection in one, sudeck atrophy in one. Conclusion: Volar locking plates maintain adequate stability with satisfactory functional results in the treatment of intraarticular distal radius fractures. However, flexor and extensor tendon problems, entrapment of median nerve and reflex sympathetic dystrophy should be kept in mind which might be encountered. In case of tenosynivitis, if union had been achieved the implants should be removed without delay.

  20. Mercury's radius change estimates revisited using high incidence angle MESSENGER data

    Science.gov (United States)

    Di Achille, G.; Popa, C.; Massironi, M.; Ferrari, S.; Mazzotta Epifani, E.; Zusi, M.; Cremonese, G.; Palumbo, P.

    2012-04-01

    Estimates of Mercury's radius decrease obtained using the amount of strain recorded by tectonics on the planet range from 0.5 km to 2 km. These latter figures appear too low with respect to the radius contraction (up to 5-6 km) predicted by the most accredited studies based on thermo-mechanical evolution models. For this reason, it has been suggested that there may be hidden strain accommodated by features yet unseen on Mercury. Indeed, as it has been already cautioned by previous studies, the identification of tectonic features on Mercury might be largely biased by the lighting geometry of the used basemaps. This limitation might have affected the results of the extrapolations for estimating the radius change. In this study, we mapped tectonic features at the terminator thus using images acquired at high sun incidence angle (>50°) that represents the optimal condition for their observation. In fact, images with long shadows enhance the topography and texture of the surface and are ideal to detect tectonic structures. This favorable illumination conditions allowed us to infer reliable measurements of spatial distribution (i.e. frequency, orientation, and areal density) of tectonic features which can be used to estimate the average contractional strain and planetary radius decrease. We digitized tectonic structures within a region extending for an area of about 12 million sq. km (~16% of planet's surface). More than 1300 tectonic lineaments were identified and interpreted to be compressional features (i.e. lobate scarps, wrinkle ridges, and high relief ridges) with a total length of more than 12300 km. Assuming that the extensional strain is negligible within the area, the average contractional strain calculated for the survey area is ~0.21-0.28% (~0.24% for θ=30°). This strain, extrapolated to the entire surface, corresponds to a contraction in radius of about 2.5-3.4 km (~2.9 km for θ=30°). Interestingly, the values of contractional strain and radius decrease

  1. Resection-reconstruction arthroplasty for giant cell tumor of distal radius

    Directory of Open Access Journals (Sweden)

    Saikia Kabul

    2010-01-01

    Full Text Available Background: Giant cell tumor (GCT of the distal radius poses problems for reconstruction after resection. Several reconstructive procedures like vascularized and non-vascularized fibular graft, osteo-articular allograft, ceramic prosthesis and megaprosthesis are in use for substitution of the defect in the distal radius following resection. Most authors advocate wrist arthrodesis following resection of distal radius and non vascularized fibular graft. Here we have analyzed the results of aggressive benign GCTs of the distal radius treated by resection and reconstruction arthroplasty using autogenous non-vascularized fibular graft. Materials and Methods: Twenty-four cases of giant cell tumor of the distal radius (mean age 32 years, mean follow-up 6.6 years treated by en-bloc resection and reconstruction arthroplasty using autogenous non-vascularized ipsilateral fibular graft with a minimum followup of two years have been included in this retrospective study. Nineteen cases were of Campanacci grade III and five were of Grade II recurrence. The mean resected length of the radius was 9.5 (8-12 cm. Routine radiographs and clinical assessments regarding pain, instability, recurrence, hand grip strength and functional status were done at regular intervals and functional results were assessed using (musculoskeletal tumor society MSTS-87 scoring. Results: Early radiological union at host-graft junction was achieved at mean 12.5 weeks, (range 12-14 weeks and solid incorporation with callus formation was observed in mean 29 weeks (range 28-32 weeks in all the cases. Satisfactory range of motion (mean 63%, range 52-78% of the wrist was achieved in 18 cases. Grip strength compared to the contralateral hand was found to be 67% (range 58-74%. Functional results were excellent in six cases (25%, good in 14 cases (58.3% and four (16.7% cases had fair results. Soft tissue recurrence was seen in one patient. The most commonly encountered complication was fibulo

  2. An intra-bone axial load transducer: development and validation in an in-vitro radius model

    OpenAIRE

    Knowles, Nikolas K.; Gladwell, Michael; Ferreira, Louis M.

    2015-01-01

    Background Accurate measurement of forces through the proximal radius can assess the effects of some surgical procedures on radioulnar load sharing, but is difficult to achieve given the redundant loading nature of the musculoskeletal system. Previously reported devices have relied on indirect measurements that may alter articular joint location and function. An axial load transducer interposed in the diaphysis of the radius may accurately quantify unknown axial loads of the proximal radius, ...

  3. MRI of fractures of the distal radius: comparison with conventional radiographs

    International Nuclear Information System (INIS)

    Spence, L.D.; Eustace, S.

    1998-01-01

    Objective. To compare the evaluation of fractures of the distal radius with MRI and conventional radiographs. To demonstrate the ability of MRI to detect unsuspected soft tissue derangement accompanying this common injury. Design and patients. Twenty-one consecutive inpatients admitted following fracture of the distal radius underwent preoperative evaluation with both conventional radiographs and MRI. In each case, analysis was made of both the osseous and soft tissue injury. MRI findings were compared with those identified on conventional radiographs and at subsequent surgical fixation. Results. Of 21 patients with fractures of the distal radius, 20 had extension to the radiocarpal articulation, 14 had distal radio-ulnar joint extension and 5 had avulsion of the ulnar styloid.Occult carpal bone fractures accompanying fracture of the distal radius were identified in two patients: one of the capitate and the other of the second metacarpal base. Ten patients (48%) had associated soft tissue injury: six patients had scapholunate ligament rupture, two patients had disruption of the triangular fibrocartilage, one patient had extensor carpi ulnaris tenosynovitis and one patient had a tear of a dorsal radiocarpal ligament. Of five patients with ulnar styloid avulsions, none had evidence of triangular fibrocartilage tears. Conclusion. MRI affords better evaluation of osseous injury accompanying distal radial fractures than conventional radiographs. Intra-articular soft tissue injury accompanies distal radial fractures in almost 50% of cases. Scapholunate ligament disruption commonly accompanies intra-articular fracture through the lunate facet of the distal radius. Fracture of the ulnar styloid is infrequently associated with tear of the triangular fibrocartilage. (orig.)

  4. MRI of fractures of the distal radius: comparison with conventional radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Spence, L.D.; Eustace, S. [Medical Center, Boston, MA (United States). Dept. of Radiol.; Savenor, A.; Nwachuku, I.; Tilsley, J. [Department of Orthopedics, Boston Medical Center, Boston, MA 02118 (United States)

    1998-05-01

    Objective. To compare the evaluation of fractures of the distal radius with MRI and conventional radiographs. To demonstrate the ability of MRI to detect unsuspected soft tissue derangement accompanying this common injury. Design and patients. Twenty-one consecutive inpatients admitted following fracture of the distal radius underwent preoperative evaluation with both conventional radiographs and MRI. In each case, analysis was made of both the osseous and soft tissue injury. MRI findings were compared with those identified on conventional radiographs and at subsequent surgical fixation. Results. Of 21 patients with fractures of the distal radius, 20 had extension to the radiocarpal articulation, 14 had distal radio-ulnar joint extension and 5 had avulsion of the ulnar styloid.Occult carpal bone fractures accompanying fracture of the distal radius were identified in two patients: one of the capitate and the other of the second metacarpal base. Ten patients (48%) had associated soft tissue injury: six patients had scapholunate ligament rupture, two patients had disruption of the triangular fibrocartilage, one patient had extensor carpi ulnaris tenosynovitis and one patient had a tear of a dorsal radiocarpal ligament. Of five patients with ulnar styloid avulsions, none had evidence of triangular fibrocartilage tears. Conclusion. MRI affords better evaluation of osseous injury accompanying distal radial fractures than conventional radiographs. Intra-articular soft tissue injury accompanies distal radial fractures in almost 50% of cases. Scapholunate ligament disruption commonly accompanies intra-articular fracture through the lunate facet of the distal radius. Fracture of the ulnar styloid is infrequently associated with tear of the triangular fibrocartilage. (orig.) With 5 figs., 16 refs.

  5. Fracture heuristics: surgical decision for approaches to distal radius fractures. A surgeon’s perspective

    Directory of Open Access Journals (Sweden)

    Wichlas, Florian

    2017-05-01

    Full Text Available Introduction: The aim of the present study is to develop a heuristic that could replace the surgeon’s analysis for the decision on the operative approach of distal radius fractures based on simple fracture characteristics.Patients and methods: Five hundred distal radius fractures operated between 2011 and 2014 were analyzed for the surgeon’s decision on the approach used. The 500 distal radius fractures were treated with open reduction and internal fixation through palmar, dorsal, and dorsopalmar approaches with 2.4 mm locking plates or underwent percutaneous fixation. The parameters that should replace the surgeon’s analysis were the fractured palmar cortex, and the frontal and the sagittal split of the articular surface of the distal radius. Results: The palmar approach was used for 422 (84.4% fractures, the dorsal approach for 39 (7.8%, and the combined dorsopalmar approach for 30 (6.0%. Nine (1.8% fractures were treated percutaneously. The correlation between the fractured palmar cortex and the used palmar approach was moderate (r=0.464; p<0.0001. The correlation between the frontal split and the dorsal approach, including the dorsopalmar approach, was strong (r=0.715; p<0.0001. The sagittal split had only a weak correlation for the dorsal and dorsopalmar approach (r=0.300; p<0.0001. Discussion: The study shows that the surgical decision on the preferred approach is dictated through two simple factors, even in the case of complex fractures. Conclusion: When the palmar cortex is displaced in distal radius fractures, a palmar approach should be used. When there is a displaced frontal split of the articular surface, a dorsal approach should be used. When both are present, a dorsopalmar approach should be used. These two simple parameters could replace the surgeon’s analysis for the surgical approach.

  6. The biomechanical analysis of three-dimensional distal radius fracture model with different fixed splints.

    Science.gov (United States)

    Hua, Zhen; Wang, Jian-Wei; Lu, Zhen-Fei; Ma, Jian-Wei; Yin, Heng

    2018-01-30

    The distal radius fracture is one of the common clinical fractures. At present, there are no reports regarding application of the finite element method in studying the mechanism of Colles fracture and the biomechanical behavior when using splint fixation. To explore the mechanism of Colles fracture and the biomechanical behavior when using different fixed splints. Based on the CT scanning images of forearm for a young female volunteer, by using model construction technology combined with RPOE and ANSYS software, a 3-D distal radius fracture forearm finite element model with a real shape and bioactive materials is built. The material tests are performed to obtain the mechanical properties of the paper-based splint, the willow splint and the anatomical splint. The numerical results are compared with the experimental results to verify the correctness of the presented model. Based on the verified model, the stress distribution of different tissues are analyzed. Finally, the clinical tests are performed to observe and verify that the anatomical splint is the best fit for human body. Using the three kinds of splints, the transferred bone stress focus on the distal radius and ulna, which is helpful to maintain the stability of fracture. Also the stress is accumulated in the distal radius which may be attributed to flexion position. Such stress distribution may be helpful to maintain the ulnar declination. By comparing the simulation results with the experimental observations, the anatomical splint has the best fitting to the limb, which can effectively avoid the local compression. The anatomical splint is the most effective for fixing and curing the fracture. The presented model can provide theoretical basis and technical guide for further investigating mechanism of distal radius fracture and clinical application of anatomical splint.

  7. Fracture heuristics: surgical decision for approaches to distal radius fractures. A surgeon's perspective.

    Science.gov (United States)

    Wichlas, Florian; Tsitsilonis, Serafim; Kopf, Sebastian; Krapohl, Björn Dirk; Manegold, Sebastian

    2017-01-01

    Introduction: The aim of the present study is to develop a heuristic that could replace the surgeon's analysis for the decision on the operative approach of distal radius fractures based on simple fracture characteristics. Patients and methods: Five hundred distal radius fractures operated between 2011 and 2014 were analyzed for the surgeon's decision on the approach used. The 500 distal radius fractures were treated with open reduction and internal fixation through palmar, dorsal, and dorsopalmar approaches with 2.4 mm locking plates or underwent percutaneous fixation. The parameters that should replace the surgeon's analysis were the fractured palmar cortex, and the frontal and the sagittal split of the articular surface of the distal radius. Results: The palmar approach was used for 422 (84.4%) fractures, the dorsal approach for 39 (7.8%), and the combined dorsopalmar approach for 30 (6.0%). Nine (1.8%) fractures were treated percutaneously. The correlation between the fractured palmar cortex and the used palmar approach was moderate (r=0.464; p<0.0001). The correlation between the frontal split and the dorsal approach, including the dorsopalmar approach, was strong (r=0.715; p<0.0001). The sagittal split had only a weak correlation for the dorsal and dorsopalmar approach (r=0.300; p<0.0001). Discussion: The study shows that the surgical decision on the preferred approach is dictated through two simple factors, even in the case of complex fractures. Conclusion: When the palmar cortex is displaced in distal radius fractures, a palmar approach should be used. When there is a displaced frontal split of the articular surface, a dorsal approach should be used. When both are present, a dorsopalmar approach should be used. These two simple parameters could replace the surgeon's analysis for the surgical approach.

  8. A method for determining the radius of an open cluster from stellar proper motions

    Science.gov (United States)

    Sánchez, Néstor; Alfaro, Emilio J.; López-Martínez, Fátima

    2018-04-01

    We propose a method for calculating the radius of an open cluster in an objective way from an astrometric catalogue containing, at least, positions and proper motions. It uses the minimum spanning tree in the proper motion space to discriminate cluster stars from field stars and it quantifies the strength of the cluster-field separation by means of a statistical parameter defined for the first time in this paper. This is done for a range of different sampling radii from where the cluster radius is obtained as the size at which the best cluster-field separation is achieved. The novelty of this strategy is that the cluster radius is obtained independently of how its stars are spatially distributed. We test the reliability and robustness of the method with both simulated and real data from a well-studied open cluster (NGC 188), and apply it to UCAC4 data for five other open clusters with different catalogued radius values. NGC 188, NGC 1647, NGC 6603, and Ruprecht 155 yielded unambiguous radius values of 15.2 ± 1.8, 29.4 ± 3.4, 4.2 ± 1.7, and 7.0 ± 0.3 arcmin, respectively. ASCC 19 and Collinder 471 showed more than one possible solution, but it is not possible to know whether this is due to the involved uncertainties or due to the presence of complex patterns in their proper motion distributions, something that could be inherent to the physical object or due to the way in which the catalogue was sampled.

  9. Detections of Screw Penetration during Volar Plating for Distal Radius Fractures.

    Science.gov (United States)

    Cha, Soo Min; Shin, Hyun Dae

    2017-11-01

    Background  We evaluated the detection for screw penetration on the dorsal cortex of the radius in serial oblique, dorsal tangential, and radial groove radiographic views in volar plating fixation. Materials and Methods  Eight screw positions were set in each of the four cadaveric radii. Screw 1 was placed in the styloid subregion, whereas screws 2 and 3 were placed just proximal to the styloid and were defined for the radial region of the radius. Screws 4 (distal to the extensor pollicis longus [EPL] groove), 5 (the distal half of the groove), and 6 (the proximal half of the groove) were placed in the central region of the radius. Screws 7 (just medial to the groove) and 8 (sigmoid notch subregion) were positioned in the ulnar region of the radius. The screws were overlengthened by 1 and 2 mm and were evaluated in three radiographic views. Results  Penetrations in the radial region were fully visible in supinated oblique views with 1- and 2-mm overlengthened screws. The penetration of screw 4 was clearly observable over a considerable range of views. However, the 1-mm penetration of screw 5 was not detectable at any angle of projection. Detection of the ulnar region screw was the most difficult among the three regions with oblique views. In the dorsal tangential view, the 1-mm penetration of screw 4 was not observed in any of the four radii, but the penetration of screw 5 was detectable in all the radii. The screws 2, 3, 5, 7, and 8 were readily detectable. The screw 4 was barely seen in the radial groove view, while the screws 5 and 6 were readily detectable. Conclusion/Clinical Relevance  Appropriate combinations of these well-known radiological views are essential for the overall detection of penetrated screws during plating in distal radius fractures.

  10. Danger zones for flexor tendons in volar plating of distal radius fractures.

    Science.gov (United States)

    Agnew, Sonya P; Ljungquist, Karin L; Huang, Jerry I

    2015-06-01

    To define a danger zone for volar plates using magnetic resonance imaging by analyzing the position of the flexor tendons at risk around the watershed line. We analyzed 40 wrist magnetic resonance images. The location of the flexor pollicus longus (FPL) and index flexor digitorum profundus (FDPi) tendons was recorded at 3 and 6 mm proximal to the watershed line of the distal radius. We measured the distance between the volar margin of the distal radius and the FPL and FDPi tendons, and the coronal position of the tendons. At a point 3 mm proximal to the watershed line, FPL and FDPi were located on average 2.6 and 2.2 mm anterior to the volar margin of the distal radius. This distance increased to 4.7 and 5.3 mm at a point 6 mm proximal to the watershed line. The FPL and FDPi were located at 57% and 42% of the total width of the distal radius from the sigmoid notch at 3 mm from the watershed, and at 66% and 46% at 6 mm from the watershed. Surgeons should be aware of the close proximity of the flexor tendons to the volar cortex of the distal radius proximal to the watershed line and their radial to ulnar position. Three millimeters proximal to the watershed line, plate placement more than 2 mm anterior to the volar cortex or the use of plates thicker than 2 mm poses a high risk for directly contacting flexor tendons. This article may prove to be helpful in avoiding flexor tendon injury during volar plate fixation. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  11. STUDY OF REFLECTION COEFFICIENT DISTRIBUTION FOR ANTI-REFLECTION COATINGS ON SMALL-RADIUS OPTICAL PARTS

    Directory of Open Access Journals (Sweden)

    L. A. Gubanova

    2015-03-01

    Full Text Available The paper deals with findings for the energy reflection coefficient distribution of anti- reflection coating along the surface of optical elements with a very small radius (2-12 mm. The factors influencing the magnitude of the surface area of the optical element, in which the energy reflection coefficient is constant, were detected. The main principles for theoretical models that describe the spectral characteristics of the multilayer interference coatings were used to achieve these objectives. The relative size of the enlightenment area is defined as the ratio of the radius for the optical element surface, where the reflection is less than a certain value, to its radius (ρ/r. The result of research is the following: this size is constant for a different value of the curvature radius for the optical element made of the same material. Its value is determined by the refractive index of material (nm, from which the optical element was made, and the design of antireflection coatings. For single-layer coatings this value is ρ/r = 0.5 when nm = 1.51; and ρ/r = 0.73 when nm = 1.75; for two-layer coatings ρ/r = 0.35 when nm = 1.51 and ρ/r = 0.41 when nm = 1.75. It is shown that with increasing of the material refractive index for the substrate size, the area of minimum reflection coefficient is increased. The paper considers a single-layer, two-layer, three-layer and five-layer structures of antireflection coatings. The findings give the possibility to conclude that equal thickness coverings formed on the optical element surface with a small radius make no equal reflection from the entire surface, and distribution of the layer thickness needs to be looked for, providing a uniform radiation reflection at all points of the spherical surface.

  12. About angular dependence of intensity of absent-minded radiation in approach of the strong dissipation of colliding ionic-sound waves

    International Nuclear Information System (INIS)

    Solikhov, D.K.

    2015-01-01

    Present article is devoted to angular dependence of intensity of absent-minded radiation in approach of the strong dissipation of colliding ionic-sound waves. The operation angular dependence of dimensionless of intensity of absent-minded radiation in two-dimensional field of localisation of a wave of a rating in approach of the strong dissipation of passers is ionic-sound waves is viewed. (author)

  13. COMBINATION OF FIXATION TECHNIQUES IN THE MANAGEMENT OF COMPLEX DISTAL RADIUS FRACTURE- OUR EXPERIENCES

    Directory of Open Access Journals (Sweden)

    Isaac Sunder Sen

    2016-10-01

    Full Text Available BACKGROUND The aim of the study is to categorically suggest the apt method of surgical technique for a particular type of distal radius fracture (Frykman’s type III-VI. Distal radius fracture are among the most common fractures of the upper extremity inspite of increased focus on regular prevention of osteoporosis, early identification and its prompt management. Most distal radius fractures are the result of low energy mechanisms that can be successfully treated either nonoperatively or with a variety of operative techniques if indicated. Complex distal radius fractures occur most commonly in high-energy injuries with extensive comminution or bone loss and associated soft tissue or vascular injuries. These high-energy fractures can present challenges in reconstructing the distal radius. Effective restoration of the bony architecture requires a thorough knowledge of distal radius anatomy, understanding of the goals of treatment, versatility in surgical approaches and familiarity with multiple fixation options. Although, majority of the extra-articular fracture without signs of instability can be successfully managed with POP immobilisation for a period of 4-5 weeks followed by active physiotherapy, other types (Frykman’s III-VI need surgical management that too with combination of surgical techniques namely augmented spanning external fixator with supplemented K-wire fixation or external fixation followed by fragment specific volar locking compression plate osteosynthesis. MATERIALS AND METHODS I have studied 50 cases of distal radius fractures classified using Frykman’s classification using combination of techniques namely augmented spanning external fixator application with K-wire supplementation and spanning external fixator application followed by volar LCP fixation in which external fixator had been used as a reduction tool in majority of the cases and external fixator had been removed after plate osteosynthesis. In some cases retained

  14. Analysis of the radius and diameter protocols in terms of pricing telecommunication services

    Directory of Open Access Journals (Sweden)

    Vesna M. Radonjić

    2013-06-01

    Full Text Available Accounting of telecommunication services is closely related to the functions of authentication and authorization. These functions are usually considered together and implemented within the same server using a common protocol. The most renowned protocols for authentication, authorization and accounting are the RADIUS and Diameter protocols.   AAA functions and related protocols   In this chapter, the accounting management architecture developed by IETF is presented. It includes the interaction between network elements, accounting servers and billing and charging servers. Accounting data can be used for management, planning and charging users as well as other (specific purposes. Authentication is the process of confirming a user's digital identity, usually through some type of identifiers and related data. Authorization determines whether a particular entity is authorized to perform an activity.   Basic Functions of the RADIUS Protocol   The RADIUS architecture is based on a client-server model. It uses UDP on the transport layer. Transactions between the client and the server are authenticated, which is achieved by using a common secret key that is never sent through the network. Given the limited resources available to network devices, RADIUS facilitates and centralizes charging end users, provides some protection against active attacks by unauthorized users and it has great support from different network equipment vendors. Although RADIUS is a widely accepted protocol for the mechanisms of authentication, authorization and accounting, it has certain shortcomings that may be caused by the protocol itself or by its poor implementation.   Architecture and Operation of the Diameter Protocol   Diameter is a scalable protocol designed by the IETF working group in order to eliminate shortcomings and functional limitations of the RADIUS protocol and eventually to replace it in the near future. Most of the basic Diameter mechanisms and its

  15. A Comprehensive Study of Internal Distraction Plating, an Alternative Method for Distal Radius Fractures.

    Science.gov (United States)

    Jain, Mohit J; Mavani, Kinjal J

    2016-12-01

    The management of highly comminuted distal radius fractures still remains a major treatment challenge. Articular comminution and compromised bone quality are the culprits. One novel approach is the technique of Internal Distraction Plating which involves "bridging" the fracture with the use of a standard 3.5mm plate applied dorsally in distraction from the radius, proximal to the fracture, to the long finger metacarpal distally, bypassing the comminuted segment. The plate is removed once fracture union has been achieved. The present study was conducted with the aim to evaluate the role of internal dorsal distraction plating as an alternative method in the treatment of fracture distal radius in terms of special indications, technique and outcome. This study was a prospective longitudinal study on 20 patients (mean age 62 years) treated with internal distraction plating for comminuted distal radius fractures with specific indications. Regular follow-ups with standard radiographs and analysis were done upto 24 months. Functional outcome were assessed by DASH Score and the Gartland and Werley demerit score. At final follow-up, all fractures had united and X-rays showed mean palmar tilt of 7°, positive ulnar variance of 0.5mm, radial inclination of 18° and average loss of 2mm of radial height. Mean range of motion values for wrist flexion 46°, extension 50°, pronation 79° and supination 77° At final follow-up, the mean DASH score was 32. 85% patient had excellent to good result as per Gartland and Werley demerit score. This construct has yield satisfactory clinical and radiographic results with these very challenging injuries. The purpose of this study was to report the radiographic and the functional outcomes of treatment with this technique. External fixator and volar plating in communited distal end radius fractures are not always satisfactory in old age with osteoporotic bone because of complications associated with them. The current technique represents an

  16. Dorsal dimelia in patau syndrome: a case report.

    Science.gov (United States)

    Fattah, A; Pickford, M A

    2007-10-01

    We present a case of a child with Patau syndrome that exhibits features consistent with congenital palmar nail syndrome. The literature is reviewed and evidence presented to demonstrate that this is a defect in the dorso-ventral patterning of the limb and thus a form of dorsal dimelia. In order to differentiate this from other instances of ectopic nail tissue we suggest congenital palmar nail syndrome should be more specifically defined as duplicated nails, absent flexion creases, non-glabrous skin on the palmar surface, reduced movement at the interphalangeal joints and hypoplastic terminal phalanges.

  17. Myelodysplastic Syndromes

    Science.gov (United States)

    ... blood cells, and the cells have a specific mutation in their DNA. Myelodysplastic syndrome with excess blasts — ... Chemicals linked to myelodysplastic syndromes include tobacco smoke, pesticides and industrial chemicals, such as benzene. Exposure to ...

  18. Moebius Syndrome

    Science.gov (United States)

    ... and supports a broad range of research on neurogenetic disorders, including Moebius syndrome. The goals of these ... and supports a broad range of research on neurogenetic disorders, including Moebius syndrome. The goals of these ...

  19. Pendred Syndrome

    Science.gov (United States)

    ... scan) to look for two characteristics of Pendred syndrome. One characteristic might be a cochlea with too few turns. ... Inner Ear Credit: NIH Medical Arts A second characteristic of Pendred syndrome is an enlarged vestibular aqueduct (see figure). The ...

  20. Rett Syndrome

    Science.gov (United States)

    Rett syndrome is a rare genetic disease that causes developmental and nervous system problems, mostly in girls. It's related to autism spectrum disorder. Babies with Rett syndrome seem to grow and ...

  1. Ohtahara Syndrome

    Science.gov (United States)

    ... but be profoundly handicapped. As they grow, some children will progress into other epileptic disorders such as West syndrome and Lennox-Gestaut syndrome. What research is being done? The NINDS conducts and supports an extensive research program on seizures ...

  2. Gardner's syndrome

    International Nuclear Information System (INIS)

    Sobrado Junior, C.W.; Bresser, A.; Cerri, G.G.; Habr-Gama, A.; Pinotti, H.W.; Magalhaes, A.

    1988-01-01

    A case of familiar poliposis of colon related to a right mandibular osteoma is reported (this association is usually called Gardner's syndrome). Radiologic pictures ae shown and some commentaries about this syndrome concerning the treatment are made. (author) [pt

  3. Turner Syndrome

    Science.gov (United States)

    Turner syndrome is a genetic disorder that affects a girl's development. The cause is a missing or incomplete X ... work properly. Other physical features typical of Turner syndrome are Short, "webbed" neck with folds of skin ...

  4. Metabolic Syndrome

    Science.gov (United States)

    Metabolic syndrome is a group of conditions that put you at risk for heart disease and diabetes. These conditions ... agree on the definition or cause of metabolic syndrome. The cause might be insulin resistance. Insulin is ...

  5. Felty syndrome

    Science.gov (United States)

    Seropositive rheumatoid arthritis (RA); Felty's syndrome ... The cause of Felty syndrome is unknown. It is more common in people who have had rheumatoid arthritis (RA) for a long time. People with ...

  6. Cushing's Syndrome

    Science.gov (United States)

    Cushing's syndrome is a hormonal disorder. The cause is long-term exposure to too much cortisol, a hormone that ... your body to make too much cortisol. Cushing's syndrome is rare. Some symptoms are Upper body obesity ...

  7. Usher Syndrome

    Science.gov (United States)

    Usher syndrome is an inherited disease that causes serious hearing loss and retinitis pigmentosa, an eye disorder that causes ... and vision. There are three types of Usher syndrome: People with type I are deaf from birth ...

  8. Piriformis syndrome

    Science.gov (United States)

    Pseudosciatica; Wallet sciatica; Hip socket neuropathy; Pelvic outlet syndrome; Low back pain - piriformis ... Sciatica is the main symptom of piriformis syndrome. Other symptoms include: Tenderness or a dull ache in ...

  9. Dressler's Syndrome

    Science.gov (United States)

    ... syndrome Overview Dressler's syndrome is a type of pericarditis — inflammation of the sac surrounding the heart (pericardium). ... reducing its ability to pump blood efficiently. Constrictive pericarditis. Recurring or chronic inflammation can cause the pericardium ...

  10. International Rett Syndrome Foundation

    Science.gov (United States)

    ... Newsletters & Reports About Rett Syndrome What is Rett Syndrome? Rett Syndrome Diagnosis Boys with MECP2 Clinics FAQs Glossary ... Newsletters & Reports About Rett Syndrome What is Rett Syndrome? Rett Syndrome Diagnosis Boys with MECP2 Clinics FAQs Glossary ...

  11. [Capgras syndrome].

    Science.gov (United States)

    Alcoverro Fortuny, O; Sierra Acín, A C

    2001-01-01

    The authors report a case of Capgras' syndrome in a 16-years-old child, who had been hospitalized for psychotic disorder. A review of the literature is performed. Most authors state that Capgras' syndrome would represent a symptom of underlying medical o functional disorders, although the term syndrome is used. The main etiopathogenic hypothesis of this syndrome are put forward (psychodynamic, disconnection, neuropsychological and medical).

  12. Compromised trabecular microarchitecture and lower finite element estimates of radius and tibia bone strength in adults with turner syndrome

    DEFF Research Database (Denmark)

    Hansen, Stinus; Brixen, Kim; Gravholt, Claus Højbjerg

    2012-01-01

    and microarchitecture, as well as estimated bone strength by finite element analysis (FEA) to assess bone characteristics beyond bone mineral density (BMD) that possibly contribute to the increased risk of fracture. Thirty-two TS patients (median age 35, range 20-61 years) and 32 healthy control subjects (median age 36...

  13. Velocardiofacial Syndrome

    Science.gov (United States)

    Gothelf, Doron; Frisch, Amos; Michaelovsky, Elena; Weizman, Abraham; Shprintzen, Robert J.

    2009-01-01

    Velocardiofacial syndrome (VCFS), also known as DiGeorge, conotruncal anomaly face, and Cayler syndromes, is caused by a microdeletion in the long arm of Chromosome 22. We review the history of the syndrome from the first clinical reports almost half a century ago to the current intriguing molecular findings associating genes from the…

  14. Cloud Liquid Water, Mean Droplet Radius and Number Density Measurements Using a Raman Lidar

    Science.gov (United States)

    Whiteman, David N.; Melfi, S. Harvey

    1999-01-01

    A new technique for measuring cloud liquid water, mean droplet radius and droplet number density is outlined. The technique is based on simultaneously measuring Raman and Mie scattering from cloud liquid droplets using a Raman lidar. Laboratory experiments on liquid micro-spheres have shown that the intensity of Raman scattering is proportional to the amount of liquid present in the spheres. This fact is used as a constraint on calculated Mie intensity assuming a gamma function particle size distribution. The resulting retrieval technique is shown to give stable solutions with no false minima. It is tested using Raman lidar data where the liquid water signal was seen as an enhancement to the water vapor signal. The general relationship of retrieved average radius and number density is consistent with traditional cloud physics models. Sensitivity to the assumed maximum cloud liquid water amount and the water vapor mixing ratio calibration are tested. Improvements to the technique are suggested.

  15. The Lamb shift in muonic hydrogen and the proton radius from effective field theories

    Energy Technology Data Exchange (ETDEWEB)

    Peset, Clara; Pineda, Antonio [Universitat Autonoma de Barcelona, Grup de Fisica Teorica, Dept. Fisica and IFAE, Bellaterra (Barcelona) (Spain)

    2015-12-15

    We comprehensively analyse the theoretical prediction for the Lamb shift in muonic hydrogen, and the associated determination of the proton radius. We use effective field theories. This allows us to relate the proton radius with well-defined objects in quantum field theory, eliminating unnecessary model dependence. The use of effective field theories also helps us to organize the computation so that we can clearly state the parametric accuracy of the result. In this paper we review all (and check several of) the contributions to the energy shift of order α{sup 5}, as well as those that scale like α{sup 6} x logarithms in the context of non-relativistic effective field theories of QED. (orig.)

  16. Effect of perturbation of convective energy transport on the luminosity and radius of the sun

    International Nuclear Information System (INIS)

    Endal, A.S.; Twigg, L.W.

    1982-01-01

    The response of solar models to perturbations of the efficiency of convective energy transport is studied for a number of cases. Such perturbations primarily affect the shallow superadiabatic layer of the convective envelope (at depths 3 km below the photosphere). Independent of the details of the perturbation scheme, the resulting change in the solar radius (ΔR/R) is always very small compared to the change in luminosity (ΔL/L). This appears to be true for any physical mechanism of solar variability which operates in the outer layers of the convection zone. Changes of the solar radius have been inferred by Dunham et al. from historical observations of solar eclipses in 1715 and 1925. Considering the constraints on concurrent luminosity changes, this type of solar variability must be indicative of changes in the solar structure at substantial depths below the superadiabatic layer of the convective envelope

  17. Joint polarization tracking and channel equalization based on radius-directed linear Kalman filter

    Science.gov (United States)

    Zhang, Qun; Yang, Yanfu; Zhong, Kangping; Liu, Jie; Wu, Xiong; Yao, Yong

    2018-01-01

    We propose a joint polarization tracking and channel equalization scheme based on radius-directed linear Kalman filter (RD-LKF) by introducing the butterfly finite-impulse-response (FIR) filter in our previously proposed RD-LKF method. Along with the fast polarization tracking, it can also simultaneously compensate the inter-symbol interference (ISI) effects including residual chromatic dispersion and polarization mode dispersion. Compared with the conventional radius-directed equalizer (RDE) algorithm, it is demonstrated experimentally that three times faster convergence speed, one order of magnitude better tracking capability, and better BER performance is obtained in polarization division multiplexing 16 quadrature amplitude modulation system. Besides, the influences of the algorithm parameters on the convergence and the tracking performance are investigated by numerical simulation.

  18. Limits on the effective quark radius from inclusive $ep$ scattering at HERA

    CERN Document Server

    Abramowicz, H; Adamczyk, L; Adamus, M; Antonelli, S; Aushev, V; Behnke, O; Behrens, U; Bertolin, A; Bloch, I; Boos, EG; Brock, I; Brook, NH; Brugnera, R; Bruni, A; Bussey, PJ; Caldwell, A; Capua, M; Catterall, CD; Chwastowski, J; Ciborowski, J; Ciesielski, R; Cooper-Sarkar, AM; Corradi, M; Dementiev, RK; Devenish, RCE; Dusini, S; Foster, B; Gach, G; Gallo, E; Garfagnini, A; Geiser, A; Gizhko, A; Gladilin, LK; Golubkov, Yu A; Grzelak, G; Guzik, M; Hain, W; Hochman, D; Hori, R; Ibrahim, ZA; Iga, Y; Ishitsuka, M; Januschek, F; Jomhari, NZ; Kadenko, I; Kananov, S; Karshon, U; Kaur, P; Kisielewska, D; Klanner, R; Klein, U; Korzhavina, IA; Kotański, A; Kötz, U; Kovalchuk, N; Kowalski, H; Krupa, B; Kuprash, O; Kuze, M; Levchenko, BB; Levy, A; Limentani, S; Lisovyi, M; Lobodzinska, E; Löhr, B; Lohrmann, E; Longhin, A; Lontkovskyi, D; Lukina, OYu; Makarenko, I; Malka, J; Mohamad Idris, F; Mohammad Nasir, N; Myronenko, V; Nagano, K; Nobe, T; Nowak, RJ; Onishchuk, Yu; Paul, E; Perlański, W; Pokrovskiy, NS; Przybycien, M; Roloff, P; Ruspa, M; Saxon, DH; Schioppa, M; Schneekloth, U; Schörner-Sadenius, T; Shcheglova, LM; Shevchenko, R; Shkola, O; Shyrma, Yu; Singh, I; Skillicorn, IO; Słomiński, W; Solano, A; Stanco, L; Stefaniuk, N; Stern, A; Stopa, P; Sztuk-Dambietz, J; Tassi, E; Tokushuku, K; Tomaszewska, J; Tsurugai, T; Turcato, M; Turkot, O; Tymieniecka, T; Verbytskyi, A; Wan Abdullah, WAT; Wichmann, K; Wing, M; Yamada, S; Yamazaki, Y; Zakharchuk, N; Żarnecki, AF; Zawiejski, L; Zenaiev, O; Zhautykov, BO; Zotkin, DS; Bhadra, S; Gwenlan, C; Hlushchenko, O; Polini, A; Mastroberardino, A; Sukhonos, D

    2016-01-01

    The high-precision HERA data allows searches up to TeV scales for Beyond the Standard Model contributions to electron-quark scattering. Combined measurements of the inclusive deep inelastic cross sections in neutral and charged current $ep$ scattering corresponding to a luminosity of around 1 fb$^{-1}$ have been used in this analysis. A new approach to the beyond the Standard Model analysis of the inclusive $ep$ data is presented; simultaneous fits of parton distribution functions together with contributions of "new physics" processes were performed. Results are presented considering a finite radius of quarks within the quark form-factor model. The resulting 95% C.L. upper limit on the effective quark radius is $0.43\\cdot 10^{-16}$ cm.

  19. Modelling the cutting edge radius size effect for force prediction in micro milling

    DEFF Research Database (Denmark)

    Bissacco, Giuliano; Hansen, Hans Nørgaard; Jan, Slunsky

    2008-01-01

    This paper presents a theoretical model for cutting force prediction in micro milling, taking into account the cutting edge radius size effect, the tool run out and the deviation of the chip flow angle from the inclination angle. A parameterization according to the uncut chip thickness to cutting...... edge radius ratio is used for the parameters involved in the force calculation. The model was verified by means of cutting force measurements in micro milling. The results show good agreement between predicted and measured forces. It is also demonstrated that the use of the Stabler's rule...... is a reasonable approximation and that micro end mill run out is effectively compensated by the deflections induced by the cutting forces....

  20. Limits on the effective quark radius from inclusive ep scattering at HERA

    International Nuclear Information System (INIS)

    Abramowicz, H.; Abt, I.; Adamczyk, L.

    2016-04-01

    The high-precision HERA data allows searches up to TeV scales for Beyond the Standard Model contributions to electron-quark scattering. Combined measurements of the inclusive deep inelastic cross sections in neutral and charged current ep scattering corresponding to a luminosity of around 1 fb -1 have been used in this analysis. A new approach to the beyond the Standard Model analysis of the inclusive ep data is presented; simultaneous fits of parton distribution functions together with contributions of ''new physics'' processes were performed. Results are presented considering a finite radius of quarks within the quark form-factor model. The resulting 95% C.L. upper limit on the effective quark radius is 0.43.10 -16 cm.

  1. Evolution of the spherical cavity radius generated around a subsurface drip emitter

    Directory of Open Access Journals (Sweden)

    M. Gil

    2010-06-01

    Full Text Available The emitter discharge in subsurface drip irrigation can be affected by soil properties. A positive pressure develops at the emitter outlet where a spherical cavity is assumed to form. In steady-state conditions, the pressure in the soil relates to soil hydraulic properties, the emitter discharge, and the cavity radius. This pressure in the soil is very sensitive to the cavity radius. In this paper, the development of the cavity around the emitter outlet was measured for various emitter discharges in laboratory tests carried out in containers with uniform loamy soils. A trend between soil pressure and emitter discharge was established that illustrates the performance of buried emitters in the field. Its application to the prediction of water distribution in subsurface drip irrigation units and its effect on the estimation of irrigation performance are also shown.

  2. Superficial radial neuropathy and brachioradial motor nerve palsy associated with proximal radius osteochondroma.

    Science.gov (United States)

    Oz, Oğuzhan; Yücel, Mehmet; Ulaş, Umit; Eroğlu, Erdal; Odabaşi, Zeki

    2010-01-01

    The cutaneous branch of the radial nerve (superficial radial nerve, SRN) might be compressed or injured at various anatomical sites along its course in the forearm. Compression of the SRN occurring at the proximal third of the forearm is unusual. A 22-year-old man was admitted with pain and paraesthesia over the lateral aspect of his right wrist and thumb and pain at the elbow for six months. In electrodiagnostic testing, a sensory nerve action potential from the right SRN could not be recorded, while it was normal on the left. In a needle electromyography study, denervation potentials have been seen in the right brachioradial muscle and a decrease in interference pattern signals was also found. An exophytic lesion of the proximal radius was observed in radiographs. Computed tomography evaluation revealed an osteochondroma of the proximal radius. Neuropathies of the SRN and the brachioradial motor branch of the radial nerve are thought to be associated with proximal radial osteochondroma.

  3. Cytomorphological Diagnosis of Giant Cell Tumour of Distal End Radius in Elderly Patient

    Directory of Open Access Journals (Sweden)

    Priya Bagale

    2013-11-01

    Full Text Available Giant cell tumours (GCTs of bone have been described as the most challenging benign bone tumors. It is very unusual for GCT to occur in patients younger than 20 yrs or older than 55 years. GCT is seen with a slightly increased frequency in females. The typical giant cell tumor (GCT is a solitary neoplasm that occurs in the epiphysis or metaphysis of long bones. The most common sites include the distal femur, proximal tibia and distal radius. The sacrum, distal tibia, proximal humerus, proximal femur, pelvis and proximal fibula are not infrequent sites. Here we report cytologically diagnosed case of GCT distal end radius in 75 yrs male patient. We discuss its clinicopathologic features, differential diagnosis and its optimal treatment.

  4. The core mass-radius relation for giants - A new test of stellar evolution theory

    Science.gov (United States)

    Joss, P. C.; Rappaport, S.; Lewis, W.

    1987-01-01

    It is demonstrated here that the measurable properties of systems containing degenerate dwarfs can be used as a direct test of the core mass-radius relation for moderate-mass giants if the final stages of the loss of the envelope of the progenitor giant occurred via stable critical lobe overflow. This relation directly probes the internal structure of stars at a relatively advanced evolutionary state and is only modestly influenced by adjustable parameters. The measured properties of six binary systems, including such diverse systems as Sirius and Procyon and two millisecond pulsars, are utilized to derive constraints on the empirical core mass-radius relation, and the constraints are compared to the theoretical relation. The possibility that the final stages of envelope ejection of the giant progenitor of Sirius B occurred via critical lobe overflow in historical times is considered.

  5. A Revised Broad-line Region Radius and Black Hole Mass for the Narrow-line Seyfert 1 NGC 4051

    DEFF Research Database (Denmark)

    Denney, K. D.; Watson, L. C.; Peterson, B. M.

    2009-01-01

    ) radius and the optical continuum luminosity—the R BLR-L relationship. Our new measurements of the lag time between variations in the continuum and Hß emission line made from spectroscopic monitoring of NGC 4051 lead to a measured BLR radius of R BLR = 1.87+0.54 -0.50 light days and black hole mass of M...

  6. Influence of the auditory canal number of segments and radius variation on the outer ear frequency response

    CSIR Research Space (South Africa)

    Thejane, T

    2012-01-01

    Full Text Available number of segments and the radius-length mapping function were used. The use of a third order polynomial to further improve the relationship between the radius and the length of the ear canal is suggested for future research work....

  7. [Effect of age and anti-osteoporotic drugs on bone strength and structure of the distal radius].

    Science.gov (United States)

    Uchiyama, Shigeharu

    2013-07-01

    The distal radius constitutes a proximal part of the wrist joint, which bears axial load from the carpal bones. Based on the biomechanical experiments, the load transmitted from the carpal bones to the distal articular surface of the radius is greater to the lunate fossa than the scaphoid fossa. The findings are consistent with the results obtained from HR-pQCT analysis of the distal radius. As ageing, bone mineral densities of the distal radius decrease, and structures of the cortical and trabecular bones also deteriorate. Such deterioration can be prevented by osteoporotic medicines such as PTH or bisphosphonate. Denosumab has been shown to increase mechanical indices of the bone structure of the distal radius. The distal radius of the individual is fractured when the load over approximately 5 times (2.5SD) of the weight is applied. It is possible to predict load of fracture in the distal radius from the results of DXA derived BMD or HR-pQCT derived bone parameters. We should not miss the opportunity of treatment for osteoporosis when the patients with fragility distal radius fracture are seen.

  8. A Computational Tool to Interpret the Bulk Composition of Solid Exoplanets based on Mass and Radius Measurements

    OpenAIRE

    Zeng, Li; Seager, Sara

    2008-01-01

    The prospects for finding transiting exoplanets in the range of a few to 20 Earth masses is growing rapidly with both ground-based and spaced-based efforts. We describe a publicly available computer code to compute and quantify the compositional ambiguities for differentiated solid exoplanets with a measured mass and radius, including the mass and radius uncertainties.

  9. Influence of Thread Root Radius on Maximum Local Stresses at Large Diameter Bolts under Axial Loading

    Directory of Open Access Journals (Sweden)

    Cojocaru Vasile

    2014-06-01

    Full Text Available In the thread root area of the threaded bolts submitted to axial loading occur local stresses, higher that nominal stresses calculated for the bolts. These local stresses can generate failure and can reduce the fatigue life of the parts. The paper is focused on the study of the influence of the thread root radius on the maximum local stresses. A large diameter trapezoidal bolt was subjected to a static analysis (axial loading using finite element simulation.

  10. Subchondral cyst-like lesions in the distal portion of the radius of four horses

    International Nuclear Information System (INIS)

    Specht, T.E.; Nixon, A.J.; Colahan, P.T.; Moore, B.G.; Brown, M.P.

    1988-01-01

    Four horses with subchondral cyst-like lesions in the medial radial facet of the distal portion of the radius were examined. Joint effusion and signs of pain from flexion of the antebrachiocarpal joint were not observed, but lameness was observed in 3 of the 4 horses. Regional nerve blocks and intra-articular anesthesia were used to localize the lesions, and conservative treatment resulted in soundness for performance

  11. Fracture configurations of the equine radius and tibia after a simulated kick

    OpenAIRE

    Fürst, Anton; Oswald, Susanne E; Jäggin, S; Piskoty, G; Michel, S; Auer, Jörg A

    2008-01-01

    The objective of this postmortem study was to determine the fracture configurations of the equine radius and tibia after a simulated kick. Fracture configurations of 35 radii and 36 tibiae from 19 adult horses were evaluated after a simulated kick in an experimental exvivo study. The bones were dissected, the proximal and distal ends were embedded in resin, fixed horizontally and preloaded in compression, and a steel impactor, designed to simulate a shod equine hoof, was dropped from a height...

  12. The radius and mass of the close solar twin 18 Scorpii derived from asteroseismology and interferometry

    DEFF Research Database (Denmark)

    Bazot, M.; Ireland, M.J.; Huber, D.

    2011-01-01

    Sco. We observed the star during 12 nights with HARPS for seismology and used the PAVO beam-combiner at CHARA for interferometry. An average large frequency separation 134.4 ± 0.3 μHz and angular and linear radiuses of 0.6759 ± 0.0062 mas and 1.010 ± 0.009 Rsun were estimated. We used these values...

  13. Pool boiling from downward-facing curved surfaces: Effects of radius of curvature and edge angle

    International Nuclear Information System (INIS)

    El-Genk, M.S.; Gao, C.

    1996-01-01

    Transient pool boiling from downward-facing curved surfaces in water is of interest for assessing the coolability of the lower head of an advanced light water reactor (ALWR) pressure vessel following a core meltdown accident. Here, quenching experiments were performed to investigate the effects of radius of curvature and edge angle on pool boiling from downwards-facing surfaces in saturated power. The experiments employed two, 20-mm-thick copper test sections that had the same diameter (75 mm) but different surface radii (148 and 218.5 mm) and vapor release (or edge) angles (14.68 and 9.88 deg). The effect of surface area on pool boiling was determined by comparing the present results with the results for a copper section that was of the same thickness but had a surface radius of 148 mm and was less than one-half the surface area. The maximum heat flux (q MHF ) was highest at the lowermost position and decreased with increased local inclination on the surface. Both local and surface average q MHF were representative of quasi-steady-state critical heat flux. The high edge angle reduced vapor accumulation, which enhanced surface coolability and shortened its quenching time. For an edge angle of 9.88 deg, increasing the surface area (or surface radius) insignificantly affected the local q MHF near the edge of the copper section but lowered it everywhere else by ∼10%. For the same surface area, the larger edge angle (or smaller surface radius) increased q MHF by as much as 40%

  14. Distal end radius fractures: evaluation of results of various treatments and assessment of treatment choice

    Directory of Open Access Journals (Sweden)

    Vargaonkar Gauresh

    2014-07-01

    Full Text Available 【Abstract】Objective:The rapid expansion of knowledge regarding the functional anatomy of hand and wrist, increasing functional demands of senior citizens and improved methodologies of achieving and maintaining anatomic restoration of distal radius fractures has generated a renewed interest in addressing these fractures in a more precise manner. The purpose of our study was to evaluate the difference in patients function among those treated by 1 closed reduction and Plaster of Paris cast, 2 distractor application, or 3 open reduction and internal fixation with a volar plate, and to assess the treatment choice for each particular fracture type. Methods: A prospective study was carried out on 60 patients with fractures of the distal end radius. Fractures were classified according to the AO classification into type A (extra-articular, type B (partial articular and type C (complete articular. After initial evaluation patients were taken up for either conservative or operative treatment and were followed up for two years. Results: Anatomical results were evaluated according to the Sarmiento’s modification of Lindstrom Criteria, which showed that excellent results were more frequent with open reduction and internal fixation using the plating technique. Clinical and functional results were evaluated according to the demerit point system of Gartland and Werley with Sarmiento modification, which was revealed to relate with the type of treatment techniques. Conclusion: There is no customized solution for all the fractures of the distal radius. The choice of treatment should be based on the fracture type, the patient’s characteristics, the patient’s demands and the treating surgeon’s experience and preference. Key words: Distal end radius fractures; Volar plate; Radial orthofix

  15. Review of Experimental and Theoretical Status of the Proton Radius Puzzle

    Energy Technology Data Exchange (ETDEWEB)

    Hill, Richard J. [TRIUMF

    2017-01-01

    The discrepancy between the measured Lamb shift in muonic hydrogen and expectations from electron-proton scattering and regular hydrogen spectroscopy has become known as the proton radius puzzle, whose most “mundane” resolution requires a > 5σ shift in the value of the fundamental Rydberg constant. I briefly review the status of spectroscopic and scattering measurements, recent theoretical developments, and implications for fundamental physics.

  16. Understanding the proton radius puzzle: Nuclear structure effects in light muonic atoms

    Directory of Open Access Journals (Sweden)

    Ji Chen

    2016-01-01

    Full Text Available We present calculations of nuclear structure effects to the Lamb shift in light muonic atoms. We adopt a modern ab-initio approach by combining state-of-the-art nuclear potentials with the hyperspherical harmonics method. Our calculations are instrumental to the determination of nuclear charge radii in the Lamb shift measurements, which will shed light on the proton radius puzzle.

  17. On the Bonsall cone spectral radius and the approximate point spectrum

    Czech Academy of Sciences Publication Activity Database

    Müller, Vladimír; Peperko, A.

    2017-01-01

    Roč. 37, č. 10 (2017), s. 5337-5354 ISSN 1078-0947 R&D Projects: GA ČR(CZ) GA17-00941S Institutional support: RVO:67985840 Keywords : Bonsall's cone spectral radius * local spectral radii * approximate point spectrum Subject RIV: BA - General Mathematics OBOR OECD: Pure mathematics Impact factor: 1.099, year: 2016 http://aimsciences.org/ journals /displayArticlesnew.jsp?paperID=14323

  18. Treatment of subchondral lucencies in the medial proximal radius with a bone screw in 8 horses.

    Science.gov (United States)

    Roquet, Imma; Lane Easter, J; Coomer, Richard P C; Ezquerra, Luis J; Marsh, Chad A; Trostle, Steve S; Santschi, Elizabeth M

    2017-05-01

    To describe the results of screw placement through subchondral lucencies (SCL) of the proximal radius in 8 horses. Retrospective clinical study. Horses with cubital SCL causing lameness (n=8). Medical record review and clinical follow-up. Eight horses with SCL in the proximal radius causing lameness were treated with a screw placed across the lucency. The horses range in age from 1 to 20 years. In 4 of 8 horses, the lameness had been intermittently severe (apparent at the walk). Lameness was isolated to the cubital joint by intra-articular anesthesia in 5 horses and diagnosed radiographically in all 8. All horses had a 4.5 mm cortical bone screw placed from medial to lateral (6 lag, 2 neutral) across the SCL using fluoroscopic or radiographic control. Postoperative care included stall confinement with hand walking for 30-60 days, followed by an additional 30-60 days of pasture turnout. Radiographic SCL healing (reduction in SCL size) was demonstrated at 3-4 months after surgery in all horses, and 7/8 horses (87.5%) were used as intended (4 performance, 3 pasture turn-out) within 6 months. Lameness in the remaining horse improved initially (dressage) but returned. A screw placed through the SCL of the proximal-medial radius was effective in reducing or resolving lameness associated with the elbow joint in 7/8 horses (88%). Screw placement in the proximal radius should be considered for horses with lameness caused by an SCL when a quick return to exercise is desired or conservative therapy is ineffective. © 2017 The American College of Veterinary Surgeons.

  19. Obtaining Volar Tilt in Distal Radius Fixation: Use of a Screw as a Proximal Post.

    Science.gov (United States)

    Watson, B Collier; Taylor, Benjamin C; Madsen, Adam; Persinger, Freddie D; Malarkey, Andy R

    2016-01-01

    Volar plating of distal radius fractures was introduced as a means to circumvent some of the issues with dorsal-based plating but has been shown not to be a complete panacea, as other advantages and challenges have subsequently been discovered. Careful attention and proper technique must be utilized to restore and maintain volar tilt. This study reports a technique of using a locking screw as a proximal peg to reliably obtain the volar tilt in a simple fashion.

  20. Prediction of endotracheal tube size for pediatric patients from the epiphysis diameter of radius.

    Science.gov (United States)

    Kim, Hee Young; Cheon, Ji Hyun; Baek, Seung Hoon; Kim, Kyung Hoon; Kim, Tae Kyun

    2017-02-01

    Using a too big or a too small size of an endotracheal tube in pediatric patients would result in tracheal injury or insufficient ventilation. Determining the appropriate endotracheal tube size is important because using an inappropriate size can cause complications. This study was performed to predict the appropriate endotracheal tube size by measuring the transverse diameter of the epiphysis of the distal radius under the assumption that the growth rates of cartilages in the entire body are close to each other. Fifty-eight children aged 3 to 10 years who required general anesthesia were intubated with an uncuffed endotracheal tube. The tube size was considered to be appropriate when leaks occurred at inspiratory peak pressures between 10 to 25 mmHg. The transverse diameters of the epiphysis were measured with an ultra-sonogram at the distal radius and the proximal phalanx of the third finger and the fifth finger. Correlations and prediction probabilities of measurements were evaluated. The number needed to harm (NNH), which indicates the number of patients who need to be intubated for one patient who needs tube exchange, was investigated. The Spearman's correlation coefficient between the endotracheal tube size and the epiphysis of the distal radius was 0.814, which was the biggest coefficient. For epiphysis of the proximal phalanx of the third finger and the fifth finger, the correlation coefficient was 0.704 and 0.701, respectively. If the Cole's formula was applied for selection of the tube size, the NNH would be 7. The appropriate endotracheal tube size could be predicted by means of the epiphyseal transverse diameter of the distal radius rather than the circumference measurements of the phalanx.

  1. Local spectrum and local spectral radius of an operator at a fixed vector

    Czech Academy of Sciences Publication Activity Database

    Bračič, J.; Müller, Vladimír

    2009-01-01

    Roč. 194, č. 2 (2009), s. 155-162 ISSN 0039-3223 R&D Projects: GA ČR GA201/09/0473 Institutional research plan: CEZ:AV0Z10190503 Keywords : surjectivity spectrum * local spectrum * spectral radius Subject RIV: BA - General Mathematics Impact factor: 0.645, year: 2009 http://journals.impan.pl/cgi-bin/doi?sm194-2-3

  2. Inter- and intra-observer agreement of the AO classification for operatively treated distal radius fractures.

    Science.gov (United States)

    van Buijtenen, Jesse M; van Tunen, Mischa L C; Zuidema, Wietse P; Heilbron, Emile A; de Haan, Jeroen; de Vet, Henrica C W; Derksen, Robert J

    2015-11-01

    The reproducibility of the AO classification for distal radius fractures remains a topic of debate. Previous studies showed variable reproducibility results. Important treatment decisions depend on correct classification, especially in comminuted, intra-articular fractures. Therefore, reliable reproducibility results need to be undisputedly determined. Hence, the study objective was to assess inter- and intra-observer agreement of the AO classification for operatively treated distal radius fractures. A database of 54 radiographs of all AO types (A, B and C) and groups (A2-3, B1-3, and C1-3) of distal radius fractures was assessed in twofold. Likewise, a subset of 152 radiographs of solely C-type groups (C1-3) was assessed. All fractures were classified by six observers with different experience levels: three consultant trauma surgeons, one sixth-year trauma surgery resident, a consultant trauma radiologist, and an intern with limited experienced. The inter-observer agreement of both main types and groups was moderate (κ = 0.49 resp. κ = 0.48) in combination with a good intra-observer agreement (κ = 0.68 resp. κ = 0.70). The inter-observer agreement of the subset C-type fractures group was fair (κ = 0.27) with moderate intra-observer agreement (κ = 0.43). According to these results, the reproducibility of the AO classification of main types and groups of distal radius fractures based on conventional radiographs is insufficient (κ < 0.50), especially at group level of C-type fractures.

  3. Theoretical calculation of rapid x-ray transients and radius expansion

    International Nuclear Information System (INIS)

    Starrfield, S.; Sparks, W.; Truran, J.; Kenyon, S.

    1984-01-01

    We present the results of a calculation of a thermonuclear runaway on a 10 km neutron star which produced a precursor, radius expansion, and after the envelope had begun to shrink, a seconds x-ray burst about 2500 second later. Although such an event has not yet been observed, decreasing the initial envelope mass should bring the calculations into better agreement with the observations

  4. Characterization of Amylopectin irradiated by gamma rays using viscosity and radius gyration technique

    International Nuclear Information System (INIS)

    Ku Sarah Syahidah Ku Muhamad

    2012-01-01

    Food irradiation is one of the most applicable methods that have been used in food industry especially to preserve food. Besides preservation of food, irradiation can also reduce microorganism, inhibit budding and others. However, this method can be misused by some irresponsible organization or person such as irradiate the food over the dose limit value. Therefore, the detection method is important to detect any misused in irradiation method. The objective of this research is to identify any changes in the structure of amylopectin by using radius gyration technique. Besides that, the viscosity of the sample is also determined by using Rheometer. The last objective of this research is to find a relationship between radius gyration and irradiation dose can be determined. Amylopectin and cassava powder were the sample in this research. The samples were irradiated in the gamma-cell at 0.5, 1.0, 1.5, 2.0, 3.0, 4.0, 5.0, and 10.0 kGy doses. 0 kGy were the controlled sample. The sample were made into gel to analysed using Rheometer and Small Angle X-ray Scattering (SAXS). The viscosity of the sample were analysed by using Rheometer while the radius gyration of the sample were analysed by using SAXS. Hence, the result of this experiment is, the viscosity of amylopectin reduces as the doses increases. But, at 10 kGy, the viscosity of the cassava starch was increased significantly. For the SAXS analysis, it is shows that the graph for amylopectin were fluctuates. While, for cassava starch the radius gyration increases with doses. Hence, the rheometer technique is suitable to be develop as a detection method in food irradiation. Further research should be done to improve the detection technique in food irradiation. (author)

  5. Promoter Hypermethylation of the Eyes Absent 4 Gene is a Tumor-Specific Epigenetic Biomarker in Iranian Colorectal Cancer Patients

    Directory of Open Access Journals (Sweden)

    Matineh Barati Bagerabad

    2018-02-01

    Full Text Available The aim of this study was to investigate whether hypermethylation of Eyes Absent 4 (EYA4 is also implicated in Iranian Colorectal Cancer (CRC patients or not. From fresh frozen tissues, samples from 38 paired (cancer and normal CRC tissue specimens were used in this study, the DNA was isolated, sodium bisulfite treated and analyzed by methylation-specific polymerase (MSP chain reaction using primers specific for unmethylated or methylated promoter sequences of the EYA4 gene. We also analyzed EYA4 mRNA expression using real time RT-PCR. Demographic characteristics of these patients including age, sex, tumor grade, location, stage, and TNM classification were evaluated and the relationship between methylation status of the gene and clinicopathological features was analyzed. Current study indicated that EYA4 promoter hypermethylation has a sensitivity of 81.57% and specificity of 78.94%. Findings showed lower expression of EYA-4 in methylated samples in comparison with its normal adjacent tissue, although it was not significant (P>0.05. No significant associations were observed between EYA4 hypermethylation and the clinicopathological characteristics. Although the clinical patient outcome of our 38 CRC patients was not associated with EYA4 promoter hypermethylation, the high frequency of this methylation and its high sensitivity and specificity to neoplastic cells may qualify EYA4 promoter methylation as a potential candidate screening marker in Iranian population and may help to improve early detection of CRC.

  6. Wave propagation near cyclotron resonance in the presence of large Larmor radius particles

    International Nuclear Information System (INIS)

    Cairns, R.A.; Lashmore-Davies, C.N.; Holt, H.; McDonald, D.C.

    1995-02-01

    Absorption of waves propagating across an inhomogeneous magnetic field is of crucial importance for cyclotron resonance heating. When the Larmor radius of the resonant particles is small compared to the wavelength, then the propagation can be described by differential equations. These have been derived by a considerable number of authors, but a comparatively simple method of obtaining them has recently been given by Cairns et al [Phys. Fluids B3, 2953 (1991)] and, for the relativistic case which is relevant to electron cyclotron heating, by McDonald et al [Phys. Plasmas 1, 842 (1994)]. In a fusion plasma there may be a significant number of hot ions for which the Larmor radius is comparable to or larger than the perpendicular wavelength. It is important to be able to calculate the effect of these ions on ion cyclotron phenomena. In this case the system is described by integro-differential equations, the structure of which is essentially determined by the fact that the response at a given position is determined by the wave amplitude over a region whose width is of the order of a Larmor radius. The equations describing this situation have been obtained by Sauter and Vaclavik [Theory of Fusion Plasmas, Editrice Compositori, Bologna (1990) p. 403] and by Brambilla [Plasma Physics and Controlled Fusion 33, 1029 (1991)]. Here we show how the simplified method referred to above can be adapted to this case and used to find various alternative forms for the equations. (author)

  7. Nodule detection in digital chest radiography: Summary of the radius chest trial

    International Nuclear Information System (INIS)

    Haakansson, M.; Baath, M.; Boerjesson, S.; Kheddache, S.; Grahn, A.; Ruschin, M.; Tingberg, A.; Mattson, S.; Maansson, L. G.

    2005-01-01

    As a part of the Europe-wide research project 'Unification of physical and clinical requirements for medical X-ray imaging' - governed by the Radiological Imaging Unification Strategies (RADIUS) Group - a major image quality trial was conducted by members of the group. The RADIUS chest trial aimed at thoroughly examining various aspects of nodule detection in digital chest radiography, such as the effects of nodule location, system noise, anatomical noise, and anatomical background. The main findings of the RADIUS chest trial concerning the detection of a lung nodule with a size in the order of 10 mm can be summarised as: (1) the detectability of the nodule is largely dependent on its location in the chest, (2) the system noise has a minor impact on the detectability at the dose levels used today, (3) the disturbance of the anatomical noise is larger than that of the system noise but smaller than that of the anatomical background and (4) the anatomical background acts as noise to a large extent and is the major image component affecting the detectability of the nodule. (authors)

  8. Rotational Corrective Osteotomy for Malunited Distal Diaphyseal Radius Fractures in Children and Adolescents.

    Science.gov (United States)

    Kataoka, Toshiyuki; Oka, Kunihiro; Murase, Tsuyoshi

    2018-03-01

    To report our method of computer-planned rotational corrective osteotomy for malunited distal diaphyseal radius fractures in children and adolescents using a custom jig and to review the results of 4 cases. Four patients (mean age, 13 years; range, 11-16 years) underwent computer-planned rotational corrective osteotomy for malunited distal diaphyseal radius fracture using a custom jig. We retrospectively evaluated their radiographic and clinical data. In patients who had marked restriction of forearm supination before osteotomy, the mean arc of forearm supination improved from 5° before surgery to 79° after surgery. Angular deformity on x-ray, range of forearm rotation, and grip strength all improved after surgery. Mild and moderate pain reported by 1 and 2 patients, respectively, was resolved after surgery. Computer-planned rotational corrective osteotomy for malunited distal diaphyseal radius fracture in children and adolescents using a custom jig is a strategy that facilitates the surgical procedure by accurately correcting both rotational and angular deformities on 1 plane in a single procedure. Therapeutic V. Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  9. Theoretical distribution of load in the radius and ulna carpal joint.

    Science.gov (United States)

    Márquez-Florez, Kalenia; Vergara-Amador, Enrique; de Las Casas, Estevam Barbosa; Garzón-Alvarado, Diego A

    2015-05-01

    The purpose of this study is to validate a model for the analysis of the load distribution through the wrist joint, subjected to forces on the axes of the metacarpals from distal to proximal for two different mesh densities. To this end, the Rigid Body Spring Model (RBSM) method was used on a three-dimensional model of the wrist joint, simulating the conditions when making a grip handle. The cartilage and ligaments were simulated as springs acting under compression and tension, respectively, while the bones were considered as rigid bodies. At the proximal end of the ulna the movement was completely restricted, and the radius was allowed to move only in the lateral/medial direction. With these models, we found the load distributions on each carpal articular surface of radius. Additionally, the results show that the percentage of the applied load transmitted through the radius was about 86% for one mesh and 88% for the coarser one; for the ulna it was 21% for one mesh and 18% for the coarser. The obtained results are comparable with previous outcomes reported in prior studies. The latter allows concluding that, in theory, the methodology can be used to describe the changes in load distribution in the wrist. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. The effects of implant composition on extensor tenosynovitis in a canine distal radius fracture model.

    Science.gov (United States)

    Sinicropi, Stefano M; Su, Brian W; Raia, Frank J; Parisien, May; Strauch, Robert J; Rosenwasser, Melvin P

    2005-03-01

    Dorsal plating of distal radius fractures with titanium plates has resulted in clinically observed tenosynovitis and tendon rupture. The goal of this study was to investigate whether titanium-based implants result in more extensor tendon inflammation than matched stainless-steel implants in a canine fracture model. An osteotomy was created in the distal radius of 18 beagles and fixed with 2.7-mm 4-hole plates composed of commercially pure titanium, titanium alloy (Ti-Al6-V4), or 316L stainless steel. Animals were killed at an average of 4 months. Tendon gliding was assessed by applying a force at the extensor musculotendinous junction and noting gliding. Histologic grading (mild, moderate, severe) was based on cellular hypertrophy, hyperplasia, and leukocytic infiltration. Tendons glided freely in 100% stainless-steel specimens, 75% of titanium alloy, and 43% of commercially pure titanium groups. A severe inflammatory reaction was identified in 60% of the titanium alloy (Ti-A16-V4) group, 57% of the pure titanium group, and 0% of the stainless-steel group. Dorsal plating of the canine radius with commercially pure titanium or titanium alloy implants produced a greater inflammatory peritendinous response than matched stainless-steel implants.

  11. Dependence of yield of nuclear track-biosensors on track radius and analyte concentration

    Science.gov (United States)

    García-Arellano, H.; Muñoz H., G.; Fink, D.; Vacik, J.; Hnatowicz, V.; Alfonta, L.; Kiv, A.

    2018-04-01

    In swift heavy ion track-based polymeric biosensor foils with incorporated enzymes one exploits the correlation between the analyte concentration and the sensor current, via the enrichment of charged enzymatic reaction products in the track's confinement. Here we study the influence of the etched track radius on the biosensor's efficiency. These sensors are analyte-specific only if both the track radii and the analyte concentration exceed certain threshold values of ∼15 nm and ∼10-6 M (for glucose sensing), respectively. Below these limits the sensor signal stems un-specifically from any charge carrier. In its proper working regime, the inner track walls are smoothly covered by enzymes and the efficiency is practically radius independent. Theory shows that the measured current should be slightly sub-proportional to the analyte concentration; the measurements roughly reconfirm this. Narrower tracks (∼5-15 nm radius) with reduced enzyme coverage lead to decreasing efficiency. Tiny signals visible when the tracks are etched to effective radii between 0 and ∼5 nm are tentatively ascribed to enzymes bonded to surface-near nano-cracks in the polymer foil, resulting from its degradation due to aging, rather than to the tracks. Precondition for this study was the accurate determination of the etched track radii, which is possible only by a nanofluidic approach. This holds to some extent even for enzyme-covered tracks, though in this case most of the wall charges are compensated by enzyme bonding.

  12. A PROSPECTIVE STUDY OF CLINICAL OUTCOME AFTER USING LIGAMENTOTAXIS IN MANAGEMENT OF DISTAL RADIUS FRACTURES

    Directory of Open Access Journals (Sweden)

    Chandrashekhar V. Mudgal

    2017-04-01

    Full Text Available BACKGROUND A study was done to evaluate the effect of the ligamentotaxis in the management of intraarticular fractures of the distal radius. MATERIALS AND METHODS 34 patients were studied prospectively between March 2014 and February 2016. All patients had intraarticular fracture of distal end of radius and all were treated with ligamentotaxis after closed reduction with fluoroscopic guidance. The follow-up period was 12 months. At the time of surgery, the mean age was 45.29 years. RESULTS In all fracture cases, the mean of fracture union was 5.8 weeks. During the final follow-up, the mean range of motion was 55.30 in flexion, 56.60 in extension, 21.0 in ulnar deviation, 9.00 in radial deviation, 70.30 in pronation and 67.10 in supination. According to the scoring system of Gartland and Werley, the clinical and functional outcomes showed that 15 patients (44.1% had excellent results, 14 (41.1% had good results, 3 (8.8% had fair results and 2 (5.8% had poor results. CONCLUSION Closed reduction under fluoroscopic image guidance and the ligamentotaxis is useful and effective in the treatment of intraarticular fractures of the distal radius.

  13. Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report

    Directory of Open Access Journals (Sweden)

    Ozer Kagan

    2010-11-01

    Full Text Available Abstract Background Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature. Case Presentation A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Radiographs taken at 10 weeks postoperatively showed failure of fixation with breakage of the four distal locking screws. A hardware removal was performed at 6 months, and the patient was then lost to follow-up. She presented again at 18 months after the first surgery, with significant pain, and radiographic signs of a radial collapse and a fracture-nonunion. A total wrist fusion was performed as the method of choice at that point in time. Conclusion Volar locked plating represents the new "gold standard" of distal radius fracture fixation. However, despite the stability provided by locking plates, hardware failure may occur and lead to a cascade of complications which will ultimately require a wrist fusion, as outlined in this case report. Additional structural support by bone grafting may be needed in selected cases of volar locked plating, particularly in patients with a high risk of developing a fracture-nonunion.

  14. Effects of circumferential rigid wrist orthoses in rehabilitation of patients with radius fracture at typical site

    Directory of Open Access Journals (Sweden)

    Đurović Aleksandar

    2005-01-01

    Full Text Available Background. The use of orthoses is a questionable rehabilitation method for patients with the distal radius fracture at typical site. The aim of this study was to compare the effects of the rehabilitation on patients with radius fracture at the typical site, who wore circumferential static wrist orthoses, with those who did not wear them. Methods. Thirty patients were divided into 3 equal groups, 2 experimental groups, and 1 control group. The patients in the experimental groups were given the rehabilitation program of wearing serially manufactured (off-the-shelf, as well as custom-fit orthoses. Those in the control group did not wear wrist orthoses. Evaluation parameters were pain, edema, the range of the wrist motion, the quality of cylindrical, spherical, and pinch-spherical grasp, the strength of pinch and hand grasp, and patient's assessment of the effects of rehabilitation. Results. No significant difference in the effects of rehabilitation on the patients in experimental groups as opposed to control group was found. Patients in the first experimental group, and in control group were more satisfied with the effects of rehabilitation, as opposed to the patients in the second experimental group (p<0,05. Conclusion. The effects of circumferential static wrist orthoses in the rehabilitation of patients with distal radius fracture at the typical site were not clinically significant. There was no significant difference between the custom and off-the-shelf orthoses.

  15. Geneva University - Measurement of the Lamb shift in muonic hydrogen: the proton radius puzzle

    CERN Multimedia

    2010-01-01

    GENEVA UNIVERSITY École de physique Département de physique nucléaire et corspusculaire 24, quai Ernest-Ansermet 1211 GENEVA 4 Tel: (022) 379 62 73 Fax: (022) 379 69 92 Wednesday 12 May 2010 PARTICLE PHYSICS SEMINAR at 17.00 hrs – Stückelberg Auditorium Measurement of the Lamb shift in muonic hydrogen: the proton radius puzzle Dr Aldo Antogninia , CREMA Collaboration, Max Planck Institute, Germany At the Paul Scherrer Institut, Switzerland, we have measured several 2S-2P transition frequencies in muonic hydrogen (µp) and deuterium (µd) by means of laser spectroscopy. This results in an order of magnitude improvement on the rms charge radius values of the proton and the deuteron. Additionally the Zemach radii and the deuteron polarizability are also inferred. The new proton radius value is deduced with a relative accuracy of 0.1% but strongly disagrees from CODATA. The origin of this discrepancy is not yet known. It may come from theo...

  16. Conventional bone plate fixation of distal radius and ulna fractures in toy breed dogs.

    Science.gov (United States)

    Ramírez, J M; Macías, C

    2016-03-01

    To describe the outcome of bone plate fixation of distal radius and ulna fractures in toy breed dogs treated with conventional bone plates. Records of 15 toy breed dogs with distal radius and ulna fractures were retrospectively reviewed for signalment, method of fixation, complications and clinical and radiographic assessments. A telephone-based owner questionnaire was conducted to determine long-term function and client satisfaction. Age ranged from 4 months to 6 years. Body weight ranged from 1 to 4 kg. Dynamic compression plates were used in 13 dogs and veterinary cuttable plates were used in 2 dogs as the means of fixation. Full radiographic and clinical follow-up data were available for 10 dogs and follow-up was performed between 6 and 8 weeks postoperatively. At that time, all fractures had healed and return to function was considered excellent in all 10 dogs. Five dogs did not return for hospital evaluation because they were judged by their owners to be free of lameness. In two cases, owners could not be contacted by telephone, but the referring veterinarians reported the dogs to be asymptomatic. No major complications occurred. Conventional bone plates are suitable choices for stabilisation of distal radius and ulna fractures in toy breed dogs and are not necessarily correlated with high rates of complication. © 2016 Australian Veterinary Association.

  17. Sensitive zone parameters and curvature radius evaluation for polymer optical fiber curvature sensors

    Science.gov (United States)

    Leal-Junior, Arnaldo G.; Frizera, Anselmo; José Pontes, Maria

    2018-03-01

    Polymer optical fibers (POFs) are suitable for applications such as curvature sensors, strain, temperature, liquid level, among others. However, for enhancing sensitivity, many polymer optical fiber curvature sensors based on intensity variation require a lateral section. Lateral section length, depth, and surface roughness have great influence on the sensor sensitivity, hysteresis, and linearity. Moreover, the sensor curvature radius increase the stress on the fiber, which leads on variation of the sensor behavior. This paper presents the analysis relating the curvature radius and lateral section length, depth and surface roughness with the sensor sensitivity, hysteresis and linearity for a POF curvature sensor. Results show a strong correlation between the decision parameters behavior and the performance for sensor applications based on intensity variation. Furthermore, there is a trade-off among the sensitive zone length, depth, surface roughness, and curvature radius with the sensor desired performance parameters, which are minimum hysteresis, maximum sensitivity, and maximum linearity. The optimization of these parameters is applied to obtain a sensor with sensitivity of 20.9 mV/°, linearity of 0.9992 and hysteresis below 1%, which represent a better performance of the sensor when compared with the sensor without the optimization.

  18. Measurements of Physical Parameters of White Dwarfs: A Test of the Mass–Radius Relation

    Energy Technology Data Exchange (ETDEWEB)

    Bédard, A.; Bergeron, P.; Fontaine, G., E-mail: bedard@astro.umontreal.ca, E-mail: bergeron@astro.umontreal.ca, E-mail: fontaine@astro.umontreal.ca [Département de Physique, Université de Montréal, C.P. 6128, Succ. Centre-Ville, Montréal, Québec H3C 3J7 (Canada)

    2017-10-10

    We present a detailed spectroscopic and photometric analysis of 219 DA and DB white dwarfs for which trigonometric parallax measurements are available. Our aim is to compare the physical parameters derived from the spectroscopic and photometric techniques, and then to test the theoretical mass–radius relation for white dwarfs using these results. The agreement between spectroscopic and photometric parameters is found to be excellent, especially for effective temperatures, showing that our model atmospheres and fitting procedures provide an accurate, internally consistent analysis. The values of surface gravity and solid angle obtained, respectively, from spectroscopy and photometry, are combined with parallax measurements in various ways to study the validity of the mass–radius relation from an empirical point of view. After a thorough examination of our results, we find that 73% and 92% of the white dwarfs are consistent within 1 σ and 2 σ confidence levels, respectively, with the predictions of the mass–radius relation, thus providing strong support to the theory of stellar degeneracy. Our analysis also allows us to identify 15 stars that are better interpreted in terms of unresolved double degenerate binaries. Atmospheric parameters for both components in these binary systems are obtained using a novel approach. We further identify a few white dwarfs that are possibly composed of an iron core rather than a carbon/oxygen core, since they are consistent with Fe-core evolutionary models.

  19. [Vitamin C and prevention of reflex sympathetic dystrophy following surgical management of distal radius fractures].

    Science.gov (United States)

    Cazeneuve, J F; Leborgne, J M; Kermad, K; Hassan, Y

    2002-12-01

    Reflex sympathetic dystrophy is a major complication following surgical treatment of fractures of the distal radius. Its pathogenesis is related to lipid peroxidation which damages vascular endothelial cells, increasing capillary permeability. Vitamin C is a natural antioxidant. The authors have made a comparative study of two groups of patients with isolated closed displaced fractures of the distal radius, which were reduced and stabilized by intrafocal pinning. Group 1 included 100 patients who were treated from 1995 until 1998 and who did not receive any vitamin C supplementation; group 2 included 95 patients who were treated from 1999 to 2002 and who received daily administration of one gram vitamin C orally during 45 days, starting on the day of fracture. The incidence of reflex sympathetic dystrophy was five time times lower in group 2 (2.1% versus 10%). This is in line with previous observations and lends credit to the value of vitamin C administration as a prophylactic measure to prevent the occurrence of reflex sympathetic dystrophy in patients who undergo surgical treatment of a displaced fracture of the distal radius.

  20. Contact Modelling of Large Radius Air Bending with Geometrically Exact Contact Algorithm

    Science.gov (United States)

    Vorkov, V.; Konyukhov, A.; Vandepitte, D.; Duflou, J. R.

    2016-08-01

    Usage of high-strength steels in conventional air bending is restricted due to limited bendability of these metals. Large-radius punches provide a typical approach for decreasing deformations during the bending process. However, as deflection progresses the loading scheme changes gradually. Therefore, modelling of the contact interaction is essential for an accurate description of the loading scheme. In the current contribution, the authors implemented a plane frictional contact element based on the penalty method. The geometrically exact contact algorithm is used for the penetration determination. The implementation is done using the OOFEM - open source finite element solver. In order to verify the simulation results, experiments have been conducted on a bending press brake for 4 mm Weldox 1300 with a punch radius of 30 mm and a die opening of 80 mm. The maximum error for the springback calculation is 0.87° for the bending angle of 144°. The contact interaction is a crucial part of large radius bending simulation and the implementation leads to a reliable solution for the springback angle.

  1. Low beta rigid mode stability criterion for an arbitrary Larmor radius plasma

    International Nuclear Information System (INIS)

    Berk, H.L.; Wong, H.V.

    1987-05-01

    The low beta flute interchange dispersion relation for rigid displacement perturbation of axisymmetric plasma equilibria with arbitrary Larmor radius particles and field line curvature, large compared to the plasma radius, is derived. The equilibrium particle orbits are characterized by two constants of motion, energy and angular momentum, and a third adiabatic invariant derived from the rapid radial motion. The Vlasov equation is integrated, assuming that the mode frequency, axial ''bounce'' frequency, and particle drift frequency are small compared to the cyclotron frequency, and it is demonstrated that the plasma response to a rigid perturbation has a universal character independent of Larmor radius. As a result the interchange instability is the same as that predicted from conventional MHD theory. However, a new prediction, more optimistic than earlier work, is found for the low density threshold of systems like Migma, which are disc-shaped, that is, the axial extent Δz is less than the radial extent r 0 . For Δz/sub r 0 / much less than 1, the stability criterion is determined by the total particle number. Whereas the older theory (Δz/sub r 0 / much greater than 1) predicted instability at about the densities achieved in actual Migma experiments, the present theory (Δz/sub r 0 / much less than 1) indicates that the experimental results were for plasmas with particle number below the interchange threshold

  2. The reliability of AO classification for distal radius fracture, using CT findings

    International Nuclear Information System (INIS)

    Nakanishi, Yasuaki; Ono, Hiroshi; Furuta, Kazuhiko; Fujitani, Ryoutarou; Ota, Hiroyoshi

    2006-01-01

    The purpose of this study was to assess the reliability of the AO (Association for the Study of Internal Fixation) classification of distal radius fracture, using plain radiographs and 2 cross-sectional computed tomographic (CT) surface images. Five observers independently classified 32 distal radius fractures into 9 groups under AO classification. We established 4 methods for observation. First, using only two-directional radiographs; second, four-directional radiographs; third, CT (axial view) with four-directional radiographs; and fourth, CT (axial and sagittal views) with four-directional radiographs. Kappa statistics were used to establish the relative level of agreement between the observers. Interobserver reliability was poor in both first and second methods in which only plain radiographs were used (κ=0.30 and 0.23, respectively). Furthermore, reliability did not increase in the third method with the addition of 1 CT surface image (κ=0.29). In the fourth method, with the addition of 2 cross-sectional CT surface images, the reliability increased to a moderate level (κ=0.44). Interobserver reliability of the AO system of the classification of distal radius fractures was observed on using 2 cross-sectional CT surface images with four-directional radiographs. (author)

  3. The importance of GR for the radius of massive white dwarfs

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Geanderson; Marinho, Rubens; Malheiro, Manuel

    2015-12-17

    In this work we investigate the structure of WD stars using the Tolman-Oppenheimer-Volkoff equations and compare with the Newtonian equations of gravitation in order to put in evidence the importance of the General Relativity in the study of these stars. Instead of using politropic equations of state we have solved the equations using the exact relativistic energy equation for the model of completely degenerate electron gas. We find a good fit of the TOV solution with the general EoS for the WD mass-radius diagram. We propose that our fit has to be used as relation between mass and radius for general relativistic WD instead of that Newtonian M ∼ 1/R{sup 3}, this fit is given by M = R/(a + bR + cR{sup 2} + dR{sup 3} + kR{sup 4}), where a, b, c and d are parameters and 1/k is the constant of the Newtonian mass-radius relation and it can be used in simulation study of binary systems that occurs accretion.

  4. Trabecular and cortical microstructure and fragility of the distal radius in women.

    Science.gov (United States)

    Bala, Yohann; Bui, Quang Minh; Wang, Xiao-Fang; Iuliano, Sandra; Wang, Qingju; Ghasem-Zadeh, Ali; Rozental, Tamara D; Bouxsein, Mary L; Zebaze, Roger M D; Seeman, Ego

    2015-04-01

    Fragility fractures commonly involve metaphyses. The distal radius is assembled with a thin cortex formed by fusion (corticalization) of trabeculae arising from the periphery of the growth plate. Centrally positioned trabeculae reinforce the thin cortex and transfer loads from the joint to the proximal thicker cortical bone. We hypothesized that growth- and age-related deficits in trabecular bone disrupt this frugally assembled microarchitecture, producing bone fragility. The microarchitecture of the distal radius was measured using high-resolution peripheral quantitative computed tomography in 135 females with distal radial fractures, including 32 girls (aged 7 to 18 years), 35 premenopausal women (aged 18 to 44 years), and 68 postmenopausal women (aged 50 to 76 years). We also studied 240 fracture-free controls of comparable age and 47 healthy fracture-free premenopausal mother-daughter pairs (aged 30 to 55 and 7 to 20 years, respectively). In fracture-free girls and pre- and postmenopausal women, fewer or thinner trabeculae were associated with a smaller and more porous cortical area (r = 0.25 to 0.71 after age, height, and weight adjustment, all p radius. © 2014 American Society for Bone and Mineral Research.

  5. Juvenile Psammomatoid Ossifying Fibroma (JPOF) of Proximal Radius: A Rare Entity.

    Science.gov (United States)

    Prabhu, Jagadish; Nagaraj, Veena; Mukhtar, Iftikhar Ahmed

    2017-01-01

    Juvenile psammomatoid ossifying fibroma (JPOF) is a rare fibro-osseous lesion that usually occurs in the facial bones. The pathognomonic histopathologic feature is the presence of spherical ossicles, which are similar to psammoma bodies. It is considered to be a unique lesion because of its reported tendency to occur in children and adolescents and its tendency for locally aggressive growth. Because this lesion is aggressive in nature with high recurrence rate, early detection and complete surgical excision are essential. Herein, we present a case of 11 year old girl, who presented to our clinic with history of gradual onset pain around right elbow associated with limitation of right forearm rotation for 3 months. After getting informed consent, we performed needle biopsy and histopathologically it was diagnosed as Psammomatoid type juvenile ossifying fibroma (JPOF) of proximal radius. We performed extensive debridement, curettage of entire cystic lesion involving the proximal radius and filled the cavity with allograft bone granules and intramedullary titanium elastic nail through fibular strut graft, bridging the cystic lesion. As far as our knowledge there is no reported case of psammomatoid type of juvenile ossifying fibroma of proximal radius. We believe that such tumors in long bones are aggressive and have tendency for recurrence. Definitive diagnosis is utmost important for proper planning, surgical excision and reconstruction of long bones and need regular follow up to look for any recurrence or malignant transformation.

  6. Reconstruct the proximal radius with iliac graft and elastic intramedullary nail fixation after tumor resection.

    Science.gov (United States)

    Zhu, Bin; Yang, Jielai; Cheng, Dongdong; Yin, Xiaofan; Yang, Qingcheng

    2016-08-08

    This study aims to introduce a novel technique in treating benign bone tumors of the proximal radius by elastic intramedullary nail fixation and iliac graft after tumor resection. In this retrospective case series, the treatment outcomes of 17 patients with benign bone tumor involving the proximal radius were reported from January 2010 to August 2014. All the patients received reconstruction surgery with iliac graft and elastic intramedullary nail fixation after tumor resection. Pain scoring was assessed using the 0 to 10 numerical rating scale. The quality of life scoring was assessed using the SF-30 scoring system. In addition, functional outcome was assessed with the Musculoskeletal Tumor Society score and the Disabilities of the Arm, Shoulder, and Hand score. The mean follow-up was 16 months (range, 10-22). The average bone consolidate time was 19.2 weeks (range, 16-24 weeks). The pre- and postoperative pain scores were 5.47 ± 1.58 and 1.18 ± 0.39, respectively. The pain symptom was significantly ameliorated after the operation (t = 13.50, p proximal radius.

  7. Partial wrist arthrodesis versus arthroplasty for distal radius giant cell tumours.

    Science.gov (United States)

    Zhu, Zhongsheng; Zhang, Chunlin; Zhao, Shichang; Dong, Yang; Zeng, Bingfang

    2013-11-01

    The purpose of this study was to evaluate the clinical efficacy of using the proximal fibular graft for partial wrist arthrodesis or arthroplasty after the resection of giant cell tumours of the distal radius. Between February 2006 and August 2010, 14 patients (seven males, seven females; average age, 35.7 years) with grade II and III giant cell tumours of the distal radius were treated by tumour resection and autologous proximal fibular grafts to reconstruct the wrist in our hospital. Seven patients each were treated by wrist arthroplasty and partial wrist arthrodesis, and were followed up for 2.2-6.8 years (average, 3.9 years). All patients achieved primary healing. No tumour recurrence was observed during follow-up in any of the patients. No statistically significant difference in forearm rotation was observed between patients undergoing the two different treatments. However, wrist flexion-extension activities were significantly better and the wrist grip strengths were significantly worse in the arthroplasty group than in the arthrodesis group. The Musculoskeletal Tumour Society score did not significantly differ between the groups. Overall, joint arthroplasty remains a favourable treatment with regard to the functional outcome for giant cell tumours of the distal radius; however, some of these patients may have a weaker grip strength. In comparison, partial wrist fusion appears to provide a durable and stable wrist with good long-term functional outcome.

  8. A capsular-based vascularized distal radius graft for proximal pole scaphoid pseudarthrosis.

    Science.gov (United States)

    Sotereanos, Dean G; Darlis, Nickolaos A; Dailiana, Zoe H; Sarris, Ioannis K; Malizos, Konstantinos N

    2006-04-01

    To evaluate the clinical results of the application of a capsular-based dorsal distal radius vascularized bone graft in scaphoid proximal pole nonunions. Thirteen patients with symptomatic nonunion at the proximal pole of the scaphoid (10 with avascular necrosis) were treated and reviewed retrospectively. The vascularized bone graft was harvested from the distal aspect of the dorsal radius and was attached to a wide distally based strip of the dorsal wrist capsule. It was inserted press-fit into a dorsal trough across the nonunion site after scaphoid fixation with a Herbert screw. After a mean follow-up period of 19 months 10 of the 13 nonunions (8 of the 10 with avascular necrosis) achieved solid bone union. No complications other than the 3 persistent nonunions occurred. Results of the use of a capsular-based vascularized bone graft from the distal radius for proximal pole scaphoid nonunions compare favorably with the results of pedicled or free vascularized grafts. It is a simple technique that eliminates the need for dissection of small-caliber pedicle or microsurgical anastomoses. No donor site morbidity was observed. Therapeutic, Level IV.

  9. The use of a single volar locking plate for AO C3-type distal radius fractures.

    Science.gov (United States)

    Earp, Brandon E; Foster, Brian; Blazar, Philip E

    2015-12-01

    A single volar locking plate (VLP) is now frequently used for open reduction and internal fixation (ORIF) of many types of distal radius fractures. Comminuted intra-articular distal radius fractures (AO C3-type) are typically the most challenging to surgically treat. No studies directly address the adequacy of a VLP alone for maintaining reduction of AO C-type fractures. We hypothesized that a single VLP provides an effective method for maintaining reduction for these fractures. We retrospectively evaluated radiographs of a series of AO C-type fractures. Seventy-seven patients with 77 AO C3-type fractures were identified from billing records and were eligible for the study. All patients were treated by fellowship-trained hand surgeons. Radiographs at the time of union were compared to those from immediately postoperatively. Sixty-nine of 77 (89.6 %) fractures treated with VLP fixation alone for AO C3-type distal radius fractures united without loss of reduction. Eight of 77 (10.4 %) patients treated with VLP for AO C3 fractures lost reduction. The most common fracture fragment to lose reduction was the lunate fossa (5 of 8); loss of reduction of the scaphoid fossa die-punch fragment (2 of 8) and the radial styloid (1 of 8) were also seen. The majority (89.6 %) of AO C3-type fractures treated with a single volar locking plate come to union without loss of reduction. Level IV.

  10. How Neutron Star Radius Measurements Can Constrain the Nuclear Equation of State

    Science.gov (United States)

    Lattimer, J. M.

    2001-12-01

    Precision measurements of neutron star structure may soon become possible from isolated neutron stars like RX J185635-3754 or from transient X-ray sources in globular clusters. Analyses of thermal emission, coupled with atmosphere models, yield estimates of the `radiation radius' R∞ , which is related to the mass M and R by R∞ =R/√ 1-2GM/Rc2. Further information, such as from redshifts or observations of binary companions, may make possible simultaneous measurements of mass and radius. It is demonstrated that knowledge of the neutron star radius to an accuracy of 1 km or better permits a useful determination of the pressure of neutron star matter in the range 1-2ns, where ns=0.16 fm-3 (2.7 1014 g cm-3) is the nuclear saturation density. This pressure primarily depends upon dSv(n)/dn, where Sv(n) is the density-dependent nuclear symmetry energy. In principle, Sv(n) can be inferred from nuclear systematics (masses, neutron skins, fission barrier heights). A new precision measurement of the neutron skin thickness of 208Pb being carried out at Jefferson Lab will significantly reduce experimental uncertainties. An interesting collaboration to fix Sv(n), developed from objects differing in size by 1020, is thus at hand. Better knowledge of Sv(n) is needed to predict properties of neutron-rich nuclei found in supernovae, r-process simulations, and neutron star crusts. It is shown that a neutron star's moment of inertia, the fraction of the moment of inertia residing in the star's crust, and the stellar binding energy are nearly universal functions of the star's mass and radius, irrespective of the underlying equation of state. These features can be understood by considering analytic solutions of Einstein's equations, due to Buchdahl and Tolman. Further constraints from neutrino observations of proto-neutron stars and from observations of pulsar glitches are thus possible. The neutron star maximum mass, however, depends upon the pressure at several times ns and

  11. HAEMATOMA BLOCK- AN EFFECTIVE ALTERNATIVE TO GENERAL ANAESTHESIA FOR REDUCTION OF DISTAL RADIUS FRACTURES

    Directory of Open Access Journals (Sweden)

    Prabhati Rani Mishra

    2016-12-01

    Full Text Available BACKGROUND Most common fracture in elderly patients is distal radius fracture. The most common method of management is closed reduction and immobilisation. The aim of the study is to compare the analgesic effects of haematoma block and general anaesthesia for closed reduction of distal fracture of radius. MATERIALS AND METHODS A prospective randomised controlled study was carried out among 100 patients of age group between 15-70 years of either sex who had fracture distal radius between 2015-2016. The patients having multiple fractures, pathological fractures or suffering from any organic diseases were excluded from the study. After taking informed written consent, the patients were randomised into two equal groups. In group A, reduction of fracture was done following administration of IV propofol and in group B after infiltration with 2% lignocaine into fracture haematoma site. Pain score was compared by VAS before, during and after manipulation in both the groups. Time taken from presentation at emergency department to reduction and discharge from hospital was also compared. Statistical analysis was done by applying SPSS software. RESULTS 100 patients of mean age 42.5 years, male: female 43:57 with fracture distal radius were studied. Mean time from admission to fracture reduction in group A was 2.64±0.93 hours and in group B 0.90±0.45 hours (P=0.0001. Discharge time from hospital after reduction of fracture in group A was 4.24±0.94 hours and in group B 0.75±0.2 hours (P=0.0001. VAS during reduction in group A was 0 and in group B 0.98±0.8 (P=0.0001. 10 minutes after reduction VAS in group A was 2.28±0.24 and group B 0.72±0.45 (P=0.0001. CONCLUSION For closed reduction of distal radius fracture, haematoma block with lignocaine is safe and effective alternative to intravenous general anaesthesia with propofol.

  12. Dark matter in elliptical galaxies - II. Estimating the mass within the virial radius

    Science.gov (United States)

    Mamon, Gary A.; Łokas, Ewa L.

    2005-11-01

    Elliptical galaxies are modelled with a four-component model: Sérsic stars, Λ-cold dark matter (ΛCDM), a β-model for the hot gas and a central black hole, with the aim of establishing how accurately can one measure the total mass within their virial radii. Dark matter (DM) is negligible in the inner regions, which are dominated by stars and the central black hole. This prevents any kinematic estimate (using a Jeans analysis) of the inner slope of the DM density profile. The gas fraction rises, but the baryon fraction decreases with radius, at least out to 10 effective radii (Re). Even with line-of-sight velocity dispersion (VD) measurements at 4 or 5Re with 20 km s-1 accuracy and perfectly known velocity anisotropy, the total mass within the virial radius (rv≡r200) is uncertain by a factor of over 3. The DM distributions found in ΛCDM simulations appear inconsistent with the low VDs measured by Romanowsky et al. of planetary nebulae between 2 and 5Re. Some of Romanowsky et al.'s orbital solutions for NGC 3379 imply a dark matter content at least as large as cosmologically predicted, and the lower M/L values of most of their solutions lead to a baryonic fraction within rv that is larger than the universal value. Replacing the Navarro-Frenk-White (NFW) DM model by the new model of Navarro et al. decreases the VD slightly at a given radius. So, given the observed VD measured at 5Re, the inferred M/L within rv is 40 per cent larger than that predicted by the NFW model. Folding in the slight (strong) radial anisotropy found in ΛCDM (merger) simulations, which is well modelled (much better than with the Osipkov-Merritt formula) with , the inferred M/L within rv is 1.6 (2.4) times higher than for the isotropic NFW model. Thus, the DM model and radial anisotropy can partly explain the low planetary nebula VDs, but not in full. The logarithmic slope of the VD at radii of 1-5Re, which is insensitive to radius, is another measure of the DM mass within the virial

  13. Absent aortic valve associated with double outlet right ventricle and aortopulmonary window: physiologic implications of a rare malformation in both the fetus and neonate.

    Science.gov (United States)

    Sabati, Arash A; Wong, Pierre C; Randolph, Linda; Pruetz, Jay D

    2014-01-01

    Absence of the aortic valve is a rare congenital heart defect that is detectable in the prenatal period. In this condition, functional aortic valve leaflets are absent; in their place are rudimentary, immobile noncoapting plate-like structures at the level of the annulus resulting in severe aortic regurgitation. We report the fetal diagnosis and subsequent postnatal course of an infant with the novel association of absent aortic valve, double outlet right ventricle, and aortopulmonary window. This unique combination of defects resulted in an unusual pattern of circular shunting that produced evidence of fetal heart failure. Shortly after birth, the abnormal physiology led to compromised systemic perfusion, intestinal perforation and subsequent rapid demise of the patient. Abrupt postnatal deterioration typifies the vast majority of the absent aortic valve cases found in the literature. Our patient is unique in that it is the first female reported with absent aortic valve and the first reported with an aortopulmonary window. This report demonstrates that absent aortic valve is a condition that can be diagnosed prenatally by fetal echocardiogram; the highly abnormal physiology places these patients at risk for fetal heart failure. Given the potential for clinical instability and rapid deterioration after birth, such patients should undergo rapid postnatal assessment and immediate surgical intervention when deemed appropriate. © 2013 Wiley Periodicals, Inc.

  14. Intralimb Coordination Patterns in Absent, Mild, and Severe Stages of Diabetic Neuropathy: Looking Beyond Kinematic Analysis of Gait Cycle.

    Directory of Open Access Journals (Sweden)

    Liu Chiao Yi

    Full Text Available Diabetes Mellitus progressively leads to impairments in stability and joint motion and might affect coordination patterns, mainly due to neuropathy. This study aims to describe changes in intralimb joint coordination in healthy individuals and patients with absent, mild and, severe stages of neuropathy.Forty-seven diabetic patients were classified into three groups of neuropathic severity by a fuzzy model: 18 without neuropathy (DIAB, 7 with mild neuropathy (MILD, and 22 with moderate to severe neuropathy (SVRE. Thirteen healthy subjects were included as controls (CTRL. Continuous relative phase (CRP was calculated at each instant of the gait cycle for each pair of lower limb joints. Analysis of Variance compared each frame of the CRP time series and its standard deviation among groups (α = 5%.For the ankle-hip CRP, the SVRE group presented increased variability at the propulsion phase and a distinct pattern at the propulsion and initial swing phases compared to the DIAB and CTRL groups. For the ankle-knee CRP, the 3 diabetic groups presented more anti-phase ratios than the CTRL group at the midstance, propulsion, and terminal swing phases, with decreased variability at the early stance phase. For the knee-hip CRP, the MILD group showed more in-phase ratio at the early stance and terminal swing phases and lower variability compared to all other groups. All diabetic groups were more in-phase at early the midstance phase (with lower variability than the control group.The low variability and coordination differences of the MILD group showed that gait coordination might be altered not only when frank evidence of neuropathy is present, but also when neuropathy is still incipient. The ankle-knee CRP at the initial swing phase showed distinct patterns for groups from all degrees of neuropathic severity and CTRLs. The ankle-hip CRP pattern distinguished the SVRE patients from other diabetic groups, particularly in the transitional phase from stance to

  15. Avaliação do absenteísmo dos profissionais de enfermagem em uma unidade de terapia intensiva neonatal

    OpenAIRE

    Oliveira, Carolina Sampaio de; Siqueira, Lya Carla Campos; Alves, Elioenai Dornelles

    2011-01-01

    O absenteísmo é um problema que para os trabalhadores de enfermagem da área hospitalar gera graves conseqüências, como a queda na qualidade da assistência prestada ao cliente e o aumento do estresse e ansiedade nos membros da equipe de trabalho. Este artigo busca identificar os fatores geradores de absenteísmo apresentados por funcionários de enfermagem alocados em uma UTIN de um hospital escola do município de Cuiabá-MT, no período de janeiro de 2009 a janeiro de 2011. Trata-se d...

  16. Salmonella osteomyelitis of the distal radius in a healthy young adult patient: report of a rare case and literature review.

    Science.gov (United States)

    Tonogai, Ichiro; Hamada, Yoshitaka; Hibino, Naohito; Sato, Ryosuke; Henmi, Tatsuhiko; Sairyo, Koichi

    2015-01-01

    Salmonella osteomyelitis of the radius in a healthy individual is very rare. We present such a case involving the distal radius of a healthy 23-year-old man without underlying disease or possible episode. He had right wrist pain for approximately 3 years, and osteolytic lesion was seen in the right distal radius. He underwent surgical treatment, and salmonella was isolated from pus in the lesion. Postoperative antibiotics successfully treated his infection. He had no sign of recurrence, but the point of entry for infection remains unknown.

  17. Dependence of rim pore radius on rim porosity and temperature behavior in the high burnup UO2 fuel

    International Nuclear Information System (INIS)

    Lee, Byung Ho; Koo, Yang Hyun; Sohn, Dong Seong

    1997-01-01

    The rim porosity at the high burnup UO 2 fuel is obtained at the various rim pore radius ranging from 0.25 to 1.0 μm. The rim pore radius of 1.0 μm gives the best estimation for the rim porosity. With increasing the rim pore radius, thermal conductivity degrades with pellet average burnup because the rim pore acts as the thermal barrier. And by using the NEA database, the culculated fuel centerline temperature considering the rim effect is compared with the experimentally measured NEA database. The calculated temperature predicts reasonably well the temperature behavior of irradiated fuel

  18. Dysgerminoma in a case of 46, XY pure gonadal dysgenesis (swyer syndrome: a case report

    Directory of Open Access Journals (Sweden)

    He Anguang

    2011-09-01

    Full Text Available Abstract Simple 46, XY gonadal dysgenesis syndrome, also called Swyer syndrome, is known as pure gonadal dysgenesis. Individuals with the syndrome are characterized by 46, XY karyotype and phenotypically female with female genital appearance, normal Müllerian structures and absent testicular tissue. The condition usually first becomes apparent in adolescence with delayed puberty and primary amenorrhea due to the gonads have no hormonal or reproductive potential. Herein, we report a case of dysgerminoma diagnosed in a dysgenetic gonad of a 21-year-old patient with Swyer syndrome.

  19. Nerve Stimulator Guided Axillary Block in Painless Reduction of Distal Radius Fractures; a Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Hossein Alimohammadi

    2013-12-01

    Full Text Available Introduction: Given the high prevalence of upper extremity fractures and increasing need to perform painless reduction in the emergency departments, the use of analgesic methods with fewer complications and more satisfaction appears to be essential. The aim of this study is comparison the nerve stimulator guided axillary block (NSAB with intravenous sedation in induction of analgesia for painless reduction of distal radius fractures. Methods: In the present randomized clinical trial, 60 patients (18-70 years of age suffered from distal radius fractures, were divided into two equal groups. One group received axillary nerve block by nerve stimulator guidance and the other procedural sedation and analgesia (PSA using midazolam/fentanyl. Onset of analgesia, duration of analgesic effect, total procedure time and pain scores were recorded using visual analogue scale (VAS and the outcomes were compared. Chi-squared and student t test were performed to evaluate differences between two groups. Results: Sixty patients were randomly divided into two groups (83.3% male. The mean age of patients was 31 ±0.7 years. While the onset of analgesia was significantly longer in the NSAB group, the mean total time of procedure was shorter than PSA (p<0.001. The NSAB group needed a shorter post-operative observation time (P<0.001. Both groups experienced equal pain relief before, during and after procedure (p>0.05. Conclusion: It seems that shorter post-operative monitoring time and consequently lesser total time of procedure, make nerve stimulator guided axillary block as an appropriate alternative for procedural sedation and analgesia in painless reduction of distal radius fractures in emergency department. 

  20. Percutaneous pinning for non-comminuted extra-articular fractures of distal radius

    Directory of Open Access Journals (Sweden)

    Abhishek K Das

    2011-01-01

    Full Text Available Background: Various treatment modalities have been described for the treatment of extra-articular distal radius fractures each with its own merits and demerits. Most of the work done with percutaneous pinning has shown a significant residual stiffness of the hand and wrist. Our technique involves percutaneous pinning of the fracture and immobilization in neutral position of the wrist for three weeks. This study′s aim was to examine the functional outcome of percutaneous K-wiring of these extra-articular distal radius fractures with immobilization in neutral position of the wrist. Materials and Methods: This is a prospective study of 32 patients aged between 18 and 70 years with extra-articular distal radius fracture. Patients were treated with closed reduction and percutaneous pinning using two or three K-wires. A below- elbow plaster of paris dorsoradial slab was applied in neutral position of the wrist for 3 weeks. At the end of 3 weeks, the slab was removed and wrist physiotherapy started. The radiographs were taken postoperatively, at 3 weeks, 6 weeks and 6 months. The functional evaluation of the patients was done at 6 months follow-up. We used Sarmiento′s modification of Lindstrom criteria and Gartland and Werley′s criteria for evaluation of results. Results: Excellent to good results were seen in 93.75% of the cases while 6.25% had fair results. The complications observed were pin loosening (n=13, pin tract infection (n=2, malunion (n=2, wrist joint stiffness (n=2, reduced grip strength (n=2 and injury to the superficial radial nerve (n=1. Conclusion: Percutaneous pinning followed by immobilization of the wrist in neutral position is a simple and effective method to maintain reduction and prevent stiffness of wrist and hand.

  1. Calcium phosphate cement augmentation after volar locking plating of distal radius fracture significantly increases stability.

    Science.gov (United States)

    Kainz, Hans; Dall'Ara, Enrico; Antoni, Anna; Redl, Heinz; Zysset, Philippe; Weninger, Patrick

    2014-08-01

    Distal radius fractures represent the most common fractures in adults. Volar locking plating to correct unstable fractures has become increasingly popular. Although reasonable primary reduction is possible in most cases, maintenance of reduction until the fracture is healed is often problematic in osteoporotic bone. To our knowledge, no biomechanical studies have compared the effect of enhancement with biomaterial on two different volar fixed-angle plates. Human fresh-frozen cadaver pairs of radii were used to simulate an AO/OTA 23-A3 fracture. In a total of four groups (n = 7 for each group), two volar fixed-angle plates (Aptus 2.5 mm locking fracture plate, Medartis, Switzerland and VA-LCP two-column distal radius plate 2.4, volar, Synthes, Switzerland) with or without an additional injection of a biomaterial (Hydroset Injectable HA Bone Substitute, Stryker, Switzerland) into the dorsal comminution zone were used to fix the distal metaphyseal fragment. Each specimen was tested load-controlled under cyclic loading with a servo-hydraulic material testing machine. Displacement, stiffness, dissipated work and failure mode were recorded. Improved mechanical properties (decreased displacement, increased stiffness, decreased dissipated work) were found in both plates if the biomaterial was additionally injected. Improvement of mechanical parameters after biomaterial injection was more evident in the Synthes plate compared to the Aptus plate. Pushing out of the screws was noticed as a failure mode only in samples lacking supplementary biomaterial. Injection of a biomaterial into the dorsal comminution zone increases stability after volar locking plating of distal radius fractures in vitro.

  2. Giant cell tumors of lower end of the radius : Problems and solutions

    Directory of Open Access Journals (Sweden)

    Dhammi I

    2005-01-01

    Full Text Available Background: Giant cell tumors of bone are aggressive, potentially malignant lesions. Juxtaarticular giant cell tumours of lower end radius are common and present a special problem of reconstruction after tumor excision. Out of the various reconstructive procedures described, use of nonvascularised fibular autograft has been widely used with satisfactory functional results. Methods: Sixteen patients with a mean age of 20.2 years, with either Campanacci grade II or III histologically proven giant cell tumours of lower end radius were treated with wide excision and reconstruction with ipsilateral nonvascularised proximal fibular autograft. Host graft junction was fixed with intramedullary nail in 12 cases and DCP in last 4 cases. Wrist ligament reconstruction and fixation of the head of fibula with carpal bones using K-wires and primary cancellous iliac crest grafting at graft host junction with DCP was done in last 2 cases. Results: The follow up ranges from 2 - 5 years (mean 3.5 years. At last follow up, the average combined range of motion was 110° with range varying from 60-125°. The average grip strength was 39% in comparison to the contralateral side (range 21-88%. The average union time was 8 months (range 4-12 months. Sound union occurred in 5 months, where DCPs were used. There were 5 nonunions, one resorption of graft, 10 wrist subluxations (2 painful, one recurrence, 3 superficial infections, one wound dehiscence and one amputation. There was no case of graft fracture, metastasis, death or significant donor site morbidity. A total of 10 secondary procedures were required. Conclusions: Enbloc resection of giant cell tumours of lower end radius is a widely accepted method. Reconstruction with nonvascularised fibular graft, internal fixation with DCP with primary corticocancellous bone grafting with transfixation of the fibular head and wrist ligament reconstruction minimizes the problem and gives satisfactory functional results.

  3. Measurement of Malrotation on Direct Radiography in Pediatric Distal Radius Fractures

    Science.gov (United States)

    Duymus, Tahir Mutlu; Mutlu, Serhat; Komur, Baran; Mutlu, Harun; Yucel, Bulent; Parmaksizoglu, Atilla Sancar

    2016-01-01

    Abstract The aim of this prospective study was to test a mathematical method of measuring the malrotation of pediatric distal radius fractures (PDRFs) from direct radiographs. A total of 70 pediatric patients who presented at the Emergency Department with a distal radius fracture were evaluated. For 38 selected patients conservative treatment for PDRF was planned. Anteroposterior and lateral radiographs were taken of all of the patients for comparison before and after reduction. Radius bone diameters were measured in the coronal and sagittal planes on the healthy and fractured sides. Using the diameter values on the healthy side and the new diameter values on the fractured side in the rotation formula, the degree of malrotation between the fracture ends was calculated. The mean follow-up period was 13.5 months. Patients’ mean age was 10.00 ± 3.19 years (range, 4–12 years). The rotation degree in the sagittal plane significantly differed between the proximal (26.52°±2.84°) and distal fracture ends (20.96°±2.73°) (P = 0.001). The rotation degree in the coronal plane significantly differed between the proximal (26.70°±2.38°) and distal fracture ends (20.26°±2.86°) (P = 0.001). The net rotation deformity of the fracture line was determined to be 5.55°± 3.54° on lateral radiographs and 5.44°± 3.35° on anteroposterior radiographs, no significant difference was observed between measurements (P >0.05). The malrotation deformity in PDRF occurs with greater rotation in the proximal fragment than in the distal fragment. The net rotation deformity created between the fracture ends can be calculated on direct radiographs. Level of Evidence: Diagnostic, Level II PMID:27149480

  4. Giant cell tumor - distal end radius: Do we know the answer?

    Directory of Open Access Journals (Sweden)

    Panchwagh Yogesh

    2007-01-01

    Full Text Available Background: The distal end of the radius is one of the common sites of involvement in giant cell tumors (GCTs with reportedly increased propensity of recurrence. The objective of the present analysis was to study the modalities of management of the different types of distal end radius GCTs so as to minimize the recurrence rates and retain adequate function. Materials and methods: Twenty-four patients of distal end radius GCTs treated between January 2000 and December 2004 were retrospectively reviewed. Nineteen cases were available for follow-up with an average follow-up of 37.5 months. There was one Campanacci Grade 1 lesion, nine Grade 2 and 14 Grade 3 lesions. Thirteen (54% of these patients were treated elsewhere earlier and presented with recurrence. The operative procedures that were performed were: curettage and cementing (five, curettage and bone grafting (seven, excision and proximal fibular arthroplasty (two, excision and wrist arthrodesis (nine and excision of soft tissue recurrence (one. Results: Functional status was evaluated using Musculo Skeletal Tumor Society scoring system which averaged 78%. The recurrence rate was 32%. Complications included local recurrence (six, nonunion at the graft bone junction (one, infection (one, deformity (two, stiffness (two, subluxation (two and bony metastasis (one. Conclusions: The majority of patients undergoing curettage were either Campanacci Grade 1 or 2. Patients undergoing curettage and reconstruction had a better functional result (82% as compared to arthrodesis or fibular arthroplasty (69%. Previous intervention did not appear to increase the recurrence rates. Even though complications occur, judicious decision-making and an appropriate treatment plan can ensure a satisfactory outcome in the majority of cases.

  5. Measurement of Malrotation on Direct Radiography in Pediatric Distal Radius Fractures: Prospective Observational Study.

    Science.gov (United States)

    Duymus, Tahir Mutlu; Mutlu, Serhat; Komur, Baran; Mutlu, Harun; Yucel, Bulent; Parmaksizoglu, Atilla Sancar

    2016-05-01

    The aim of this prospective study was to test a mathematical method of measuring the malrotation of pediatric distal radius fractures (PDRFs) from direct radiographs. A total of 70 pediatric patients who presented at the Emergency Department with a distal radius fracture were evaluated. For 38 selected patients conservative treatment for PDRF was planned. Anteroposterior and lateral radiographs were taken of all of the patients for comparison before and after reduction. Radius bone diameters were measured in the coronal and sagittal planes on the healthy and fractured sides. Using the diameter values on the healthy side and the new diameter values on the fractured side in the rotation formula, the degree of malrotation between the fracture ends was calculated. The mean follow-up period was 13.5 months. Patients' mean age was 10.00 ± 3.19 years (range, 4-12 years). The rotation degree in the sagittal plane significantly differed between the proximal (26.52°±2.84°) and distal fracture ends (20.96°±2.73°) (P = 0.001). The rotation degree in the coronal plane significantly differed between the proximal (26.70°±2.38°) and distal fracture ends (20.26°±2.86°) (P = 0.001). The net rotation deformity of the fracture line was determined to be 5.55°± 3.54° on lateral radiographs and 5.44°± 3.35° on anteroposterior radiographs, no significant difference was observed between measurements (P >0.05). The malrotation deformity in PDRF occurs with greater rotation in the proximal fragment than in the distal fragment. The net rotation deformity created between the fracture ends can be calculated on direct radiographs. Diagnostic, Level II.

  6. Treatment of avascular proximal pole scaphoid nonunions with vascularized distal radius bone grafting.

    Science.gov (United States)

    Lim, Tae Kang; Kim, Hyo Kon; Koh, Kyoung Hwan; Lee, Hyun Il; Woo, Sung Jong; Park, Min Jong

    2013-10-01

    To investigate the outcomes of vascularized distal radius pedicled bone grafting secured with K-wires for scaphoid nonunions with small avascular proximal fragments. We included patients with scaphoid nonunions and small, avascular proximal fragments that were too small for screw fixation. The mean size of the proximal pole fragments was 21% (range, 9% to 28%) of the entire scaphoid, based on quantitative radiographic measurement. All patients had distal radius bone grafting based on the 1,2-intercompartmental supraretinacular artery pedicle and fixation with K-wires. There were 21 wrists in 18 men and 2 women with the mean age of 34 years (range, 22 to 57 y). The mean duration of postoperative follow-up was 40 months (range, 12 to 103 mo). Radiographic union and clinical outcomes, including the ranges of wrist motion, grip strength, and the modified Mayo wrist score, were evaluated. Union was achieved in 18 of 21 wrists (86%) at a mean time of 14 weeks after surgery (range, 8 to 28 wk). Nonunions with proximal fragments less than 20% of the total scaphoid healed in 6 of 8 wrists. In a subset of these 8 wrists in which the proximal fragment was less than 15%, healing occurred in 2 of 4. The modified Mayo wrist score significantly improved from 46 to 78 points, and final wrist functions were rated as excellent in 5, good in 5, fair in 10, and poor in 1. Ranges of motion and grip strengths did not show significant changes after surgery. Vascularized distal radius bone grafting and K-wire fixation can heal scaphoid nonunions with small avascular proximal fragments, although motion and grip strength remain unchanged. Healing may be related to the size of the proximal pole fragment. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  7. Revesz syndrome

    Directory of Open Access Journals (Sweden)

    Dayane Cristine Issaho

    2015-04-01

    Full Text Available Revesz syndrome is a rare variant of dyskeratosis congenita and is characterized by bilateral exudative retinopathy, alterations in the anterior ocular segment, intrauterine growth retardation, fine sparse hair, reticulate skin pigmentation, bone marrow failure, cerebral calcification, cerebellar hypoplasia and psychomotor retardation. Few patients with this syndrome have been reported, and significant clinical variations exist among patients. This report describes the first Brazilian case of Revesz syndrome and its ocular and clinical features.

  8. Gorlin syndrome

    Directory of Open Access Journals (Sweden)

    Basanti Devi

    2013-01-01

    Full Text Available Gorlin Syndrome, a rare genodermatosis, otherwise known as Nevoid basal cell carcinoma syndrome (NBCCS is a multisystem disease affecting skin, nervous system, eyes, endocrine glands, and bones. It is characterized by multiple basal cell carcinomas, palmoplantar pits, jaw cysts, and bony deformities like kyphoscoliosis and frontal bossing. We would like to report a case of Gorlin syndrome with classical features, as this is a rare genodermatosis.

  9. Urofacial syndrome

    Directory of Open Access Journals (Sweden)

    Kamal F Akl

    2012-01-01

    Full Text Available The urofacial syndrome is characterized by functional obstructive uropathy asso-ciated with an inverted smile. The importance of the subject is that it sheds light, not only on the muscles of facial expression, but also on the inheritance of voiding disorders and lower urinary tract malformations. We report a 10-year-old-male patient who had the urofacial syndrome. Early diagnosis of the urofacial syndrome is important to avoid upper urinary tract damage and renal failure.

  10. [ESTABLISHMENT OF A NEW RADIUS DEFECT MODEL BASED ON ULNA ANATOMICAL MEASUREMENT IN RABBITS].

    Science.gov (United States)

    Liu, Hanjiang; Guo, Ying; Mei, Wei

    2016-02-01

    To introduce a new bone defect model based on the anatomical measurement of radius and ulna in rabbits for offering a standard model for further tissue engineering research. Fifteen healthy 4-month-old New Zealand rabbits were selected for anatomic measurement and radiological measurement of the radius and ulna. Another 30 healthy 4-month-old New Zealand rabbits were randomly divided into groups A, B, and C (n=10). The radius bone defect was created bilaterally in 3 groups. In group A, the periosteum and interosseous membranes were fully removed with jig-saw by approach between extensor carpi radialis muscle and musculus extensor digitorum. The periosteum and interosseous membranes were fully removed in group B, and only periosteum was removed in group C with electric-saw by approach between extensor carpi radialis muscle and flexor digitorum profundus based on anatomical analysis results of ulnar and radial measurement. The gross observation, X-ray, micro-CT three-dimensional reconstruction, bone mineral density (BMD), and bone mineral content (BMC) were observed and recorded at immediate and 15 weeks after operation. HE staining and Masson staining were performed to observe bone formation in the defect areas. Blood vessel injury (1 rabbit), tendon injury (2 rabbits), postoperative hematoma (1 rabbit), and infection (1 rabbit) occurred in group A, postoperative infection (1 rabbit) in group C, and no postoperative complications in group B; the complication rate of group A (50%) was significantly higher than that of groups B (0%) and C (10%) (P0.05). HE staining and Masson staining results showed bone formation in group A, with structure disturbance and sclerosis. New bone formed in groups B and C, cartilage cells were observed in the center of bone cells. The radius bone defect model established by approach between extensor carpi radialis muscle and flexor digitorum profundus is an ideal model because of better exposures, less intra-operative blood loss, less

  11. Comments on finite Larmor radius models for ion cyclotron range of frequencies heating in tokamaks

    International Nuclear Information System (INIS)

    Phillips, C.K.; Wilson, J.R.; Hosea, J.C.; Majeski, R.

    1994-06-01

    The accuracy of standard finite Larmor radius (FLR) models for wave propagation in the ion cyclotron range of frequencies (ICRF) is compared against full hot plasma models. For multiple ion species plasmas, the FLR model is shown to predict the presence of a spurious second harmonic ion-ion type resonance between the second harmonic cyclotron layers of two ion species. It is shown explicitly here that the spurious resonance is an artifact of the FLR models and that no absorption occurs in the plasma as a result of this ''resonance.''

  12. Analysis of neutron flux depression across the pellet radius in CANDU fuel elements

    International Nuclear Information System (INIS)

    Sim, K.S.; Suk, H.C.

    1998-08-01

    The TUBRNP model, originally developed to perform the analysis of the flux depression across the pellet radius in LWR fuel elements, was improved for the application to CANDU fuel elements. The improved model was verified through comparison with existing CANDU model named FLUXDEP in prediction for various fuel conditions. A sensitivity study was also performed to investigate the effects on the flux depression of fuel initial enrichment and burnup, the contents of isotopes U-234 and U-236 and pellet diameter. (author). 9 refs., 8 figs

  13. Reconstruction and Calibration of Small Radius Jets in the ATLAS Experiment for LHC Run 2

    CERN Document Server

    Loch, Peter; The ATLAS collaboration

    2017-01-01

    Small radius jets with R = 0.4 are standard tools in ATLAS for physics analysis. They are calibrated using a sequence of Monte Carlo simulation-derived calibrations and corrections followed by in-situ calibrations based on the transverse momentum balance between the probed jets and well-measured reference signals. In this talk the inputs to jet reconstruction in LHC Run 2 comprising calorimeter cell clusters, reconstructed charge particle tracks, and particle flow objects, are discussed together with the jet energy calibration scheme. Selected results from the performance of the procedure and the associated systematic uncertainties are presented.

  14. Finite Larmor radius effects on the stability properties of internal modes of a z-pinch

    International Nuclear Information System (INIS)

    Aakerstedt, H.O.

    1987-01-01

    From the Vlasov-fluid model a set of approximate stability equations describing the stability of a cylindrically symmetric z-pinch is derived. The equations are derived in the limit of small gyroradius and include first order kinetic effects such as finite ion Larmor radius effects and resonant ion effects. Neglecting the resonant ion terms, we explicitly solve this set of equations for a constant current density profile leading to a dispersion relation. FLR effects are shown for the case of m=1 internal mode to be stabilizing and for large wavenumbers k, using a trial function approach, absolute stabilization is found. (author)

  15. [Treatment type C fracture of the distal radius with locking compression plate and external fixators].

    Science.gov (United States)

    Yang, Xiang; Zhao, You-ming; Chen, Lin; Ye, Cong-cong; Guo, Wei-jun; Wang, Bo

    2013-12-01

    To compare efficacy of unilateral external fixators and locking compression plates in treating type C fractures of the distal radius. From January 2009 to June 2010, 76 patients with distal radius fracture were treated with LCP and external fixators, 54 patients were followed up. Among them, 29 cases were male and 25 cases were female with an average age of 45.31 (ranged, 24 to 68) years old. There were 29 patients in LCP group. According to AO classification, 8 cases were type C1, 7 cases were type C2 and 14 cases were type C3. There were 25 cases in external fixators group. According to AO classification, 6 cases were type C1, 8 cases were type C2 and 11 cases were type C3. Radial height, volar tilt and radial inclination were compared, advanced Gartland-Werley scoring were used to assessed wrist joint function after 6 and 12 months' following up. Two cases were suffered from nail infection in external fixators group. Fifty-four patients were followed up from 12 to 24 months with an average of 21.3 months. Radial height was (9.60 +/- 0.72) mm, volar tilt was (9.55 +/- 0.80) degrees and radial inclination was (21.40 +/- 0.78) degrees in LCP group,while those were (9.40 +/- 0.70) mm, (9.47 +/- 0.71) degrees and (21.20 +/- 0.73) degrees in external fixtors group, and with no statistical significance (P>0.05). Advanced Gartland-Werley score after 6 months' following up was 3.31 +/- 1.17 in LCP group, 5.56 +/- 1.58 in external fixtors group, and with significant difference (t=-5.99,Pmeaning (t=-1.55, P>0.05). LCP and external fixtors can receive good curative effects in treating type C distal radius fracture, and LCP can obtain obviously short-term efficacy, while there is no significant difference between two groups in long-term results. For serious distal radius comminuted fracture which unable to plate internal fixation, external fixators is a better choice.

  16. Alignment Compensation for Bending Radius in TT40 and TI 8 Transfer Line Magnets

    CERN Document Server

    Weterings, W

    2003-01-01

    The BEATCH file for the TI 8 transfer lines specifies the position of the bending magnets assuming that the beam enters and exits at the centre of the vacuum pipe. In order to distribute the deflected beam evenly inside the vacuum tube, the alignment has to be compensated by moving the magnets half of the beam deflection away from the centre of the bending radius. In this note the saggitas of the various TT40 and TI 8 magnets are calculated and the alignment displacements tabulated for future reference.

  17. Alignment Compensation for Bending Radius in TI 2 Transfer Line Magnets

    CERN Document Server

    Weterings, W

    2004-01-01

    The optics file for the TI 2 transfer lines specifies the position of the bending magnets assuming that the beam enters and exists at the centre of the vacuum pipe. In order to disbribute the deflected beam evenly inside the vacuum tube, the alignment has to be compensated by moving the magnets half of the beam deflection away from the centre of the bending radius. In this note the saggitas of the various TI 2 magnets are calculated and the alignment displacements tabulated for future reference.

  18. Jeans instability of magnetized quantum plasma: Effect of viscosity, rotation and finite Larmor radius corrections

    Energy Technology Data Exchange (ETDEWEB)

    Jain, Shweta, E-mail: jshweta09@gmail.com; Sharma, Prerana [Department of Physics, Ujjain Engineering College, Ujjain, M.P.456010 (India); Chhajlani, R. K. [School of Studies in Physics, Vikram University Ujjain, M. P. - 456010 (India)

    2015-07-31

    The Jeans instability of self-gravitating quantum plasma is examined considering the effects of viscosity, finite Larmor radius (FLR) corrections and rotation. The analysis is done by normal mode analysis theory with the help of relevant linearized perturbation equations of the problem. The general dispersion relation is obtained using the quantum magneto hydrodynamic model. The modified condition of Jeans instability is obtained and the numerical calculations have been performed to show the effects of various parameters on the growth rate of Jeans instability.

  19. Percutaneous reduction of proximal radius fracture in adults. A 12-case series.

    Science.gov (United States)

    Peyronnet, A; Marc, C; Lancigu, R; Rony, L; Cronier, P; Hubert, L

    2017-04-01

    Fractures of the head or neck of the radius account for 5% of elbow fractures in adults. Treatment varies between authors. We report a retrospective series of 12 cases of percutaneous reduction of Mason II radial head fracture, without internal fixation. All fractures consolidated, without secondary displacement. There were no postoperative complications. Mean ranges of motion were 136° flexion-extension and 175° pronation-supination. Mean QuickDASH score was 11. Results in the present series were at least comparable to those for other techniques, validating percutaneous treatment as a solution for radial head fracture. Case series. IV. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  20. Threshold and jet radius joint resummation for single-inclusive jet production

    International Nuclear Information System (INIS)

    Liu, Xiaohui; Moch, Sven-Olaf; Ringer, Felix

    2017-08-01

    We present the first threshold and jet radius jointly resummed cross section for single-inclusive hadronic jet production. We work at next-to-leading logarithmic accuracy and our framework allows for a systematic extension beyond the currently achieved precision. Longstanding numerical issues are overcome by performing the resummation directly in momentum space within Soft Collinear Effective Theory. We present the first numerical results for the LHC and observe an improved description of the available data. Our results are of immediate relevance for LHC precision phenomenology including the extraction of parton distribution functions and the QCD strong coupling constant.