Sample records for angiographically occult vascular

  1. [The usefulness of angiographic studies in the vascular complications of liver transplantation. The authors' own experience]. (United States)

    Rossi, C; Teodorani, A; Galaverni, M C; Isceri, S; Stefanini, G F; Mazziotti, A; Jovine, E


    The authors report their experience with angiographic techniques in the diagnosis of vascular complications after liver transplantation. From 1986 to 1990, 78 patients were transplanted in our Hospital; of them, 8 underwent angiographic investigations for vascular complications. Angiography is very important when vascular complications are suspected, in the patients with a rise in cytolytic enzymes and in bilirubine levels, with hyperpyrexia, and with bioptic confirmation of no rejection. Duplex US is useful in the evaluation of portal canalization; if there are any doubts, angiography is performed also in the preoperative phase.

  2. Endoscopic ultrasound guided thrombin injection of angiographically occult pancreatitis associated visceral artery pseudoaneurysms:Case series

    Institute of Scientific and Technical Information of China (English)

    Shivanand; Gamanagatti; Usha; Thingujam; Pramod; Garg; Surajkumar; Nongthombam; Nihar; Ranjan; Dash


    Pseudoaneurysm is a known complication of pancreatitis associated with significant mortality and morbidity. Imaging plays an important role in the diagnosis and management. Computed tomography(CT) helps localize the lesion and the severity of the background pancreatitis but digital subtraction angiography with coil embolization is recommended to avoid bleeding and inadvertent surgery. However, in cases where angiographic coil embolization is not feasible due to technical reasons, thrombin injection via CT or ultrasound guidance remains a viable option and often described in literature. In this series, effort has been made to highlight the role of endoscopic ultrasound guided thrombin instillation especially in patients with poorly visualized pseudoaneurysm on ultrasound thereby avoiding surgery and the associated mortality and morbidity.

  3. Influence of the gender on cerebral vascular diameters observed during the magnetic resonance angiographic examination of willis circle

    Directory of Open Access Journals (Sweden)

    Marco Antonio Stefani


    Full Text Available The present study evaluated the calibers and anatomic configurations based on the Magnetic Resonance analysis (MRA, assaying the cerebral vascular territories and sex-linked variations. A randomized sample of 30 angiographic examinations in adult patients of both sexes was obtained and components of the circle of Willis were identified. Branch diameters were measured on a transversal cut 5mm from the vessel origin in a typical angiographic frontal incidence. For the comparative statistical analysis, tests were divided in the groups considering the patients' sex and age. The classical Circle of Willis configuration was oberved in only 15 samples (50%. Greater calibers were observed in the arteries of the posterior circulation and multiple linear regression analysis established that the caliber of the posterior circulation was influenced by an independent variable related to the gender. Additional variations included unilateral and bilateral fetal and hypoplasic Posterior communicating arteries. In the anterior cerebral artery (ACA, the presence of an accessory developed ACA, an ACA giving branches to the distal portion of the two hemispheres and a third median ACA the variants were observed. Gender influenced the variations on internal diameters of posterior circulation vessels, with larger measurements in men.

  4. Intragraft vascular occlusive sickle crisis with early renal allograft loss in occult sickle cell trait. (United States)

    Kim, Lisa; Garfinkel, Marc R; Chang, Anthony; Kadambi, Pradeep V; Meehan, Shane M


    Early renal allograft failure due to sickle cell trait is rare. We present clinical and pathologic findings in 2 cases of early renal allograft failure associated with renal vein thrombosis and extensive erythrocyte sickling. Hemoglobin AS was identified in retrospect. In case 1, a 41-year-old female recipient of a deceased donor renal transplant developed abdominal pain and acute allograft failure on day 16, necessitating immediate nephrectomy. In case 2, the transplanted kidney in a 58-year-old female recipient was noted to be mottled blue within minutes of reperfusion. At 24 hours, the patient was oliguric; and the graft was removed. Transplant nephrectomies had diffuse enlargement with diffuse, nonhemorrhagic, cortical, and medullary necrosis. Extensive sickle vascular occlusion was evident in renal vein branches; interlobar, interlobular, and arcuate veins; vasa recta; and peritubular capillaries. The renal arteries had sickle vascular occlusion in case 1. Glomeruli had only focal sickle vascular occlusion. The erythrocytes in sickle vascular occlusion had abundant cytoplasmic filaments by electron microscopy. Acute rejection was not identified in either case. Protein C and S levels, factor V Leiden, and lupus anticoagulant assays were within normal limits. Hemoglobin analysis revealed hemoglobin S of 21.8% and 25.6%, respectively. Renal allograft necrosis with intragraft sickle crisis, characterized by extensive vascular occlusive erythrocyte sickling and prominent renal vein thrombosis, was observed in 2 patients with sickle cell trait. Occult sickle cell trait may be a risk factor for early renal allograft loss.

  5. Vascular and avascular retinae in mammals. A funduscopic and fluorescein angiographic study. (United States)

    Buttery, R G; Haight, J R; Bell, K


    Intraretinal blood vessels are present in some and absent in other vertebrate species, including the mammals. Among the marsupials, both vascular and avascular retinae are seen. We determined the funduscopic appearance of the eye, investigated the functional aspects of ocular blood flow in both types of retina in marsupials and compared our results with known patterns in placental mammals. The Australian polyprotodont marsupials, the Tasmanian devil, Sarcophilus harrisii, and the quoll, Dasyurus viverrinus, together with an American polyprotodont, the Virginia opossum, Didelphis virginiana, demonstrate variable degrees of tapetal differentiation, pigmentation and a very close parallel course of their intraretinal arteries and veins over considerable distances. Using the technique of fluorescein angiography, we found that retinal blood flow in the 3 vascular Australian species commenced with arterial filling. Early venous was seen next, followed by the capillary blush. This unusual sequence of vascular flow differs from that of the arterial-capillary-venous filling seen in placental mammals. This difference is most likely a consequence of the known looped, end artery organisation found within marsupial nervous systems, of which the retinae are a part. The 2 diprotodont marsupials examined, the brushtail possum, Trichosurus vulpecula, and the sugar glider, Petaurus breviceps, possess avascular retinae. Only a small residual tuft of fluorescein-impermeable vessels projects from the optic disc into the vitreous. Interestingly, the structural complexity of the central visual system in diprotodonts all of whom possess avascular retinae) is commonly accepted as being greater than that of the stem polyprotodont line (which possess vascular retinae). If retinal function matches this internal complexity, then retinal avascularity may, as in birds, be associated with superior vision. However, as the retinae of these mammals clearly lack any nutritive mechanisms directly

  6. Magnetic resonance angiographic assessment of upper extremity vessels prior to vascular access surgery: feasibility and accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Planken, Nils R. [Maastricht University Hospital, Department of Vascular Surgery, Maastricht (Netherlands); Maastricht University Hospital, Department of Radiology, Maastricht (Netherlands); Maastricht University Medical School, Cardiovascular Research Institute Maastricht, Maastricht (Netherlands); Tordoir, Jan H. [Maastricht University Hospital, Department of Vascular Surgery, Maastricht (Netherlands); Maastricht University Medical School, Cardiovascular Research Institute Maastricht, Maastricht (Netherlands); Duijm, Lucien E.; Bosch, Harrie C. van den [Catharina Hospital, Department of Radiology, Eindhoven (Netherlands); Sande, Frank M. van der; Kooman, Jeroen P. [Maastricht University Hospital, Department of Nephrology, Maastricht (Netherlands); Maastricht University Medical School, Cardiovascular Research Institute Maastricht, Maastricht (Netherlands); Haan, Michiel W. de; Leiner, Tim [Maastricht University Hospital, Department of Radiology, Maastricht (Netherlands); Maastricht University Medical School, Cardiovascular Research Institute Maastricht, Maastricht (Netherlands)


    A contrast-enhanced magnetic resonance angiography (CE-MRA) protocol for selective imaging of the entire upper extremity arterial and venous tree in a single exam has been developed. Twenty-five end-stage renal disease (ESRD) patients underwent CE-MRA and duplex ultrasonography (DUS) of the upper extremity prior to hemodialysis vascular access creation. Accuracy of CE-MRA arterial and venous diameter measurements were compared with DUS and intraoperative (IO) diameter measurements, the standard of reference. Upper extremity vasculature depiction was feasible with CE-MRA. CE-MRA forearm and upper arm arterial diameters were 2.94 {+-} 0.67 mm and 4.05 {+-} 0.84 mm, respectively. DUS arterial diameters were 2.80 {+-} 0.48 mm and 4.38 {+-} 1.24 mm; IO diameters were 3.00 {+-} 0.35 mm and 3.55 {+-} 0.51 mm. Forearm arterial diameters were accurately determined with both techniques. Both techniques overestimated upper arm arterial diameters significantly. Venous diameters were accurately determined with CE-MRA but not with DUS (forearm: CE-MRA: 2.64 {+-} 0.61 mm; DUS: 2.50 {+-} 0.44 mm, and IO: 3.40 {+-} 0.22 mm; upper arm: CE-MRA: 4.09 {+-} 0.71 mm; DUS: 3.02 {+-} 1.65 mm, and IO: 4.30 {+-} 0.78 mm). CE-MRA enables selective imaging of upper extremity vasculature in patients requiring hemodialysis access. Forearm arterial diameters can be assessed accurately by CE-MRA. Both CE-MRA and DUS slightly overestimate upper arm arterial diameters. In comparison to DUS, CE-MRA enables a more accurate determination of upper extremity venous diameters. (orig.)

  7. Investigation of metrics to assess vascular flow modifications for diverter device designs using hydrodynamics and angiographic studies (United States)

    Ionita, Ciprian N.; Bednarek, Daniel R.; Rudin, Stephen


    Intracranial aneurysm treatment with flow diverters (FD) is a new minimally invasive approach, recently approved for use in human patients. Attempts to correlate the flow reduction observed in angiograms with a parameter related to the FD structure have not been totally successful. To find the proper parameter, we investigated four porous-media flow models. The models describing the relation between the pressure drop and flow velocity that are investigated include the capillary theory linear model (CTLM), the drag force linear model (DFLM), the simple quadratic model (SQM) and the modified quadratic model (MQM). Proportionality parameters are referred to as permeability for the linear models and resistance for the quadratic ones. A two stage experiment was performed. First, we verified flow model validity by placing six different stainless-steel meshes, resembling FD structures, in known flow conditions. The best flow model was used for the second stage, where six different FD's were inserted in aneurysm phantoms and flow modification was estimated using angiographically derived time density curves (TDC). Finally, TDC peak variation was compared with the FD parameter. Model validity experiments indicated errors of: 70% for the linear models, 26% for the SQM and 7% for the MQM. The resistance calculated according to the MQM model correlated well with the contrast flow reduction. Results indicate that resistance calculated according to MQM is appropriate to characterize the FD and could explain the flow modification observed in angiograms.

  8. Diagnosis and treatment of angiographically occult cerebrovascular malformation (report of 15 cases)%隐匿性脑血管畸形的诊断与治疗(附15例报告)

    Institute of Scientific and Technical Information of China (English)

    王健; 刘荣耀; 许友松; 李涛; 位振清; 董滨; 朱廷准


    Objective To discuss the clinical features, diagnosis and treatment of angiographically occult cerebrovascular malformation (AOCVM).Methods The clinical data of 15 patients with AOCVM who underwent microsurgery were analyzed retrospectively.The literature related to AOCVM were reviewed.Results There were no distinctive clinical manifestations in the patients with AOCVM, in whom there were clinical manifestations induced by the cerebral hemorrahage and epilepsy when they come down with AOCVM.The preoperative CT showed an irregular mass of mixed intensity, or circular and stripe-like contrast enhancement around the hematomas.DSA showed no obvious cerebrovascalar malformation.The postoperative CT showed that the foci disappeared in all the patients.The following up from 3 months to 5 years showed that 10 were cured and 5 had mild hemiplegia.Conclusions The definite diagnosis of AOCVM is dependent on microsurgery and pathological examination.The curatie effect of microsurgery on AOCVM is good in the majority of the patients.%目的 探讨隐匿性脑血管畸形(AOCVM)的临床表现、诊断及治疗.方法 回顾性分析15例AOCVM的临床及影像学资料,12例予以骨瓣复位,3例行去骨瓣.结果 AOCVM患者无特异性临床表现,本组病人均以脑出血或癫痫发作发病,表现为相应的症状和体征.CT显示为不规则混杂密度影,或在血肿周围出现环状、点状增强影.DSA检查没有发现明显的血管畸形征象或者为无血管区占位,类似脑出血.随访3个月~5年,痊愈10例,轻度偏瘫5例,所有患者均无癫痫发作和再出血.结论 临床及影像学表现具有上述特点者,应考虑AOCVM,病理检查和显微外科手术是最佳确诊与治疗方法.

  9. Occult CSF flow disturbance of patients with Alzheimer type dementia and vascular dementia; Results from Iotrolan CT-cisternography

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    Kono, Kazuhiko; Sugita, Yasuko; Funaki, Chiaki (Nagoya Univ. (Japan). Faculty of Medicine) (and others)


    We report results of Iotrolan CT-cisternography on 41 demented patients (13 males and 28 females) to find 'occult normal pressure hydrocephalus'. These patients were suspected to have CSF flow disturbance from clinical symptoms and simple brain CT scan findings. Their average age, duration of dementia, and score of Hasegawa's dementia scale (HDS) were 76.2 years, 5.9 years, 9.5/32.5,respectively. Before performing CT-cisternography, clinical diagnosis for their dementia were vascular dementia in 18 patients. Alzheimer type dementia in 12, suspect of NPH in 5, and other diagnoses in 6. From the results of cisternography, we found 13 patients with CSF flow disturbance (contrast material remained in the ventricle more than 48 hours after injection), and 17 patients with normal CSF flow. The former showed lower scores of HDS, higher urinary incontinence scores and smaller areas of the interhemispheric fissure on CT scan than the latter. But the former showed no significant difference from the latter in the average age, duration of dementia and width of the ventricles. (author).

  10. Angiographic features of rapidly involuting congenital hemangioma (RICH)

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    Konez, Orhan; Burrows, Patricia E. [Department of Radiology, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Mulliken, John B. [Division of Plastic Surgery, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Fishman, Steven J. [Department of Pediatric Surgery, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States); Kozakewich, Harry P.W. [Department of Pathology, Children' s Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115 (United States)


    Rapidly involuting congenital hemangioma (RICH) is a recently recognized entity in which the vascular tumor is fully developed at birth and undergoes rapid involution. Angiographic findings in two infants with congenital hemangioma are reported and compared with a more common postnatal infantile hemangioma and a congenital infantile fibrosarcoma. Congenital hemangiomas differed from infantile hemangiomas angiographically by inhomogeneous parenchymal staining, large and irregular feeding arteries in disorganized patterns, arterial aneurysms, direct arteriovenous shunts, and intravascular thrombi. Both infants had clinical evidence of a high-output cardiac failure and intralesional bleeding. This congenital high-flow vascular tumor is difficult to distinguish angiographically from arteriovenous malformation and congenital infantile fibrosarcoma. (orig.)

  11. Retrospective angiographic study to determine the effect of atherosclerotic stenoses of upstream arteries on the degree of atherosclerosis in distal vascular territories (United States)

    Rehwald, Rafael; Petersen, Johannes; Gratl, Alexandra; Zoller, Heinz; Mader, Andreas; Loizides, Alexander; Grams, Astrid E; Klocker, Josef; Glodny, Bernhard


    Objective Experimental coarctation of the aorta prevents the development of downstream atherosclerosis. The aim of this study was to find out whether or not atherosclerotic stenoses protect distal vascular territories from developing atherosclerosis in humans. Design and setting A total of 2125 vascular segments from angiographies of 101 patients were evaluated by calculating the maximum degree of stenosis (NASCET criteria), the degree of calcification, the degree of collaterals and the Friesinger score. Results Stenosis ≥30–49% was found in 685 vascular segments (32.2%), ≥50–69% in 490 (23.1%), ≥70–89% in 373 (17.6%) and ≥90% in 265 (12.5%). If a stenosis of at least ≥70–89% was present in the common iliac, the external iliac or the common femoral artery, the degrees of stenosis distal to it were lower than those on the contralateral side (19.8±22.3% (CI 11.7 to 28.0) vs 25.2±20.7% (CI 21.2 to 29.1); Friesinger scores 1.1±1.2 (CI 0.6 to 1.5) vs 1.4±1.1 (CI 1.2 to 1.6); degrees of calcification 0.8±1.0 (CI 0.4 to 1.1) vs 1.2±1.1 (CI 1.2 to 1.6); p<0.05 each). This effect depended on the degree of proximal stenosis, but not on collaterals, and was most pronounced distal to stenoses of the common iliac, the superficial femoral and the popliteal artery. In regression models, stenoses of the pelvic arteries were shown to be an independent protective factor for the distal vascular territories. Conclusions Atherosclerotic stenoses seem to protect distal vascular territories from developing atherosclerosis. The underlying pathophysiological mechanism of this phenomenon remains to be determined. It could be based on pulse pressure reduction. PMID:27256089

  12. Accessory left gastric artery: angiographic anatomy

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    Lee, Kang Soo; Lim, Hyung Guhn; Kim, Hong Soo; Jeon, Doo Sung [Presbyterian Medical Center, Chunju (Korea, Republic of); Chung, Jin Wook; Park, Jae Hyung [College of Medicine and the Institute of Radiation Medicine, Seoul National University, Seoul (Korea, Republic of); Song, Soon Young [Myongji Hospital, College of Medicine, Kwandong University, Seoul (Korea, Republic of)


    To evaluate the angiographic anatomy of the accessory left gastric artery (accLGA). We evaluated the angiographic findings of the accLGA in 50 patients (Angiostar; Siemens, Erlangen, Germany). Performing celiac and selective angiography in 50 and 34 patients, respectively. By means of celiac angiography, (1) site of origin, (2) anatomical course, (3) diameter, (4) degree of tortuosity, and (5) distal tapering were evaluated, while selective angiography was used to determine (1) arterial branching, (2) area of blood supply, and (3) patterns of gastric wall stain. Celiac angiography showed that the accLGA arose from the left hepatic artery (LHA) in 45 cases (90%) and from the proper hepatic artery in five (10%). If the accLGA arose from the LHA, its origin entirely depended on the branching pattern of the latter. It always arose from the lateral branch of the LHA furthest to the left and uppermost, and proximal to its umbilical point. The most common anatomical course of the accLGA, seen in 27 cases (54%), was between the S2 and S3 segmental branch. The diameter and degree of tortuosity of the accLGA were similar to those of adjacent intrahepatic branches in 21 (42%) and 33 cases (66%), respectively. The degree of tapering was less than that of adjacent intrahepatic vessel in 28 (56%). Selective angiography demonstrated esophageal branching of the acc LGA in 27 cases (79%), inferior phrenic arterial branching in three (9%), a mediastinal branch in one (3%), and hypervascularity of the lung in one (3%). In 15 cases (44%), bifurcation of the accLGA was recognized. The vascular territory of the accLGA was the gastric fundus together with the distal esophagus in 21 cases (62%), mainly the gastric fundus in six (18%), and mainly the distal esophagus in four (12%). The pattern of gastric mucosal stain was curvilinear wall in 31 cases (91%) and nodular in three (9%). A knowledge of the angiographic anatomy of the accLGA facilitates accurate recognition of this artery on

  13. Angiographic studies of atrioventricular discordance. (United States)

    Attie, F; Soni, J; Ovseyevitz, J; Muñoz-Castellanos, L; Testelli, M R; Buendia, A


    The results and value of conventional and axial angiocardiography were studied in 26 cases of atrioventricular discordance (AVD). The angiographic anatomy of this malformation was analyzed to determine the precise characteristics of atrioventricular and ventriculoarterial connections. The left and right ventricles in atrial situs solitus and levocardia show angiographic features that differ from those seen in atrial situs solitus and dextrocardia. The same differences are found in atrial situs inversus. Regardless of the type of ventriculoarterial connections, the ventricles maintain the same angiographic characteristics. The ventricular septum in AVD in situs solitus and levocardia and situs inversus and dextrocardia has a peculiar orientation. The use of axial angiocardiography facilitates detection and localization of the ventricular septal defect. In cases of malposition of the heart, the conventional frontal view allows visualization of the ventricular septum in all of its length. The axial projection is useful in diagnosing left ventricular outflow tract obstruction.

  14. Angiographic findings in 2 children with cerebral paragonimiasis with hemorrhage. (United States)

    Chen, Zhi; Chen, Jingyu; Miao, Hongpin; Li, Fei; Feng, Hua; Zhu, Gang


    Hemorrhagic events associated with cerebral paragonimiasis are not rare, especially in children and adolescents; however, angiographic evidence of cerebrovascular involvement has not been reported. The authors describe angiographic abnormalities of the cerebral arteries seen in 2 children in whom cerebral paragonimiasis was associated with hemorrhagic stroke. The patients presented with acute intracerebral and subarachnoid hemorrhage. Angiography revealed a beaded appearance and long segmental narrowing of arteries, consistent with arteritis. In both patients, involved vessels were seen in the area of the hemorrhage. The vascular changes and the hemorrhage, together with new lesions that developed close to the hemorrhage and improved after praziquantel treatment, were attributed to paragonimiasis. Further study of the frequency and mechanism of hemorrhagic cerebrovascular complications associated with cerebral paragonimiasis is needed.

  15. Angiographic leakage of polypoidal choroidal vasculopathy on indocyanine angiography

    Institute of Scientific and Technical Information of China (English)

    ZUO Cheng-guo; WEN Feng; HUANG Shi-zhou; LUO Guang-wei; YAN Hong; WU Wei-ju; WU De-zheng


    Background There is no detailed report about the angiographic leakage of polypoidal choroidal vasculopathy (PCV)lesions on indocyanine green (ICG) angiography. This study aimed to investigate the angiographic leakage of polypoidal lesions in PCV on ICG angiography.Methods One hundred and forty-four eyes of 137 patients diagnosed as PCV were prospectively observed. Fundus examination, fluorescein angiography, and ICG angiography were performed. Leakage of polypoidal lesions and clinical features were recorded according to the angiograms.Results In all 144 eyes, 110 eyes showed angiographic leakage (leakage group) on ICG angiography and three subtypes of leakage group were noted, which were polypoidal dilations leakage (47 eyes, 42.7%), branching vascular networks leakage (14 eyes, 12.7%) and leakage of both (49 eyes, 44.5%). The other 34 eyes showed regression of polypoidal lesions (regression group). In leakage group, the rates of pigment epithelial detachment (PED), best corrected visual acuity (BCVA) <0.1 and old subretinal hemorrhages were 56.4% (62 eyes), 19.1% (21 eyes), and 4.6% (5 eyes)respectively, compared with 8.8% (3 eyes), 50% (17 eyes) and 38.2% (13 eyes) of regression group (P <0.001). The history of regression group was significantly longer (P <0.001).Conclusions Angiographic leakage and regression can be observed in PCV lesions. Leakage of both polypoidal dilations and branching vascular networks is the most common subtype in leakage group. PCV in leakage group is more likely to be related to PED, better BCVA and shorter history, while PCV regression group tends to relevant to old subretinal hemorrhage, worse BCVA and longer history. This may reflect that the former is active or in the early course while the later is resting or in the late phase of PCV.

  16. Development of MH-300 angiographic C-arm system

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    Inoue, Hiroshi; Nakayama, Tetsu; Nakata, Isao; Magari, Yoshihide; Umeda, Mitsuru; Akutsu, Koji; Miyamoto, Wataru [Shimadzu Cop., Medical Systems Division, Kyoto (Japan)


    The technique of interventional radiology (IVR) has been established as a reliable method for various clinical applications, such as the diagnosis and cure of vascular and circulating systems. It has come to have a wider field of applications and is now being improved to provide performances of an even higher level. To meet the requirements of this particular fields, we have developed the MH-300 angiographic C-arm system. Designed as a multipurpose angiographic C-arm system of a floor stand type, the MH-300 is especially effective for the diagnosis and cure of whole body, and has the following noteworthy features: (1) Triple pivot construction, which enables traveling movement of the C-arm to permit highly reliable whole body angiography. (2) Higher speed rotation of the C-arm, which ensures minimized X-ray doses to the patients, and reduced quantity of contrast media, as well as higher speed of operation. (3) New F-50 collimator incorporating the MBH (multiple beam hardening) filter. (author)

  17. Comparison of Conventional Angiographic Findings between Trauma Patients with or without Runoff

    Directory of Open Access Journals (Sweden)

    Hassan Ravari


    Full Text Available Objective: To compare the conventional angiographic findings in extremity trauma patients with or without runoff. Methods: This was cross-sectional study including all the patients with extremity trauma who underwent conventional angiography during the 2 year period from 2011 to 2013 in Angiography departments of Mashhad University of Medical Sciences. Mechanism of trauma, type of injury and angiographic findings were recorded in a questionnaire for each patient. After completion of treatment and discharge, the treatment type was added. The characteristics as well as clinical findings were compared between those who were diagnosed to have arterial runoff ad those who did not. Results: One hundred and forty eight traumatic patients including 15 female with age range of 11-82 years and 133 men ranging from 25 to 40 years were enrolled. Abnormal angiographic findings were provided in 99 (66.9% patients including cutoff with distal runoff (n=60, 60.6% of abnormalities, cut off without distal runoff (n=21, 21.2% and spasm (n=14, 14.1% and other findings (n=4, 4%. Fifty one cases were treated under open surgery and amputation of traumatic limb was done for 13 patients. Amputation rate was higher in patients with cutoff and without runoff than those with cutoff and runoff (33.3% vs. 6.78%; p=0.002. Conclusion: Causes and types of traumatic arterial injury in our study were different with other reports. It was shown that angiographic findings were less important in prognosis and management of patients. Patients with spasm in angiographic findings had a better prognosis than other patients and mostly did not need any vascular surgery. The presence or absence of a distal run off in primary angiographic findings can have a predictive value in the final amputation rate.

  18. Five-year clinical and functional multislice computed tomography angiographic results after coronary implantation of the fully resorbable polymeric everolimus-eluting scaffold in patients with de novo coronary artery disease

    DEFF Research Database (Denmark)

    Onuma, Yoshinobu; Dudek, Dariusz; Thuesen, Leif


    This study sought to demonstrate the 5-year clinical and functional multislice computed tomography angiographic results after implantation of the fully resorbable everolimus-eluting scaffold (Absorb BVS, Abbott Vascular, Santa Clara, California).......This study sought to demonstrate the 5-year clinical and functional multislice computed tomography angiographic results after implantation of the fully resorbable everolimus-eluting scaffold (Absorb BVS, Abbott Vascular, Santa Clara, California)....

  19. Occult intrasacral meningoceles

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    Vogelsang, H.


    The author reports on 8 patients with cystic enlargements of the canalis sacralis (occult intrasacral maningocele). The clinical pattern of signs, x-ray findings (plain radiography, myelography, computed tomography) and possible treatment are discussed in comparison with the cases published to date.

  20. Insertion of central venous catheters for hemodialysis using angiographic techniques in patients with previous multiple catheterizations

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    Kotsikoris, Ioannis, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece); Zygomalas, Apollon, E-mail: [Department of General Surgery, University Hospital of Patras (Greece); Papas, Theofanis, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece); Maras, Dimitris, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece); Pavlidis, Polyvios, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece); Andrikopoulou, Maria, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece); Tsanis, Antonis, E-mail: [Department of Interventional Radiology, “Erythros Stauros” General Hospital (Greece); Alivizatos, Vasileios, E-mail: [Department of General Surgery and Artificial Nutrition Unit, “Agios Andreas” General Hospital of Patras (Greece); Bessias, Nikolaos, E-mail: [Department of Vascular Surgery, “Erythros Stauros” General Hospital (Greece)


    Introduction: Central venous catheter placement is an effective alternative vascular access for dialysis in patients with chronic renal failure. The purpose of this study was to evaluate the insertion of central venous catheters for hemodialysis using angiographic techniques in patients with previous multiple catheterizations in terms of efficacy of the procedure and early complications. Materials and methods: Between 2008 and 2010, the vascular access team of our hospital placed 409 central venous catheters in patients with chronic renal failure. The procedure was performed using the Seldinger blind technique. In 18 (4.4%) cases it was impossible to advance the guidewire, and so the patients were transported to the angiography suite. Results: Using the angiographic technique, the guidewire was advanced in order to position the central venous catheter. The latter was inserted into the subclavian vein in 12 (66.6%) cases, into the internal jugular vein in 4 (22.2%) and into the femoral vein in 2 (11.1%) cases. There was only one complicated case with severe arrhythmia in 1 (5.5%) patient. Conclusion: Our results suggest that insertion of central venous catheters using angiographic techniques in hemodialysis patients with previous multiple catheterizations is a safe and effective procedure with few complications and high success rates.

  1. Development of Digitex premier digital angiographic systems

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    Miura, Yoshiaki; Miura, Yusuke; Goto, Keiichi; Imanishi, Tetsuo; Miyamoto, Wataru [Shimadzu Corp., Medical Systems Division, Kyoto (Japan)


    The technique of interventional radiology has come to be widely utilized in the field of angiography. This has brought forth a strong demand that digital angiographic systems provide high efficiency in patient examinations and high level of interventional support. This report refers to our newly developed Digitex Premier Series digital angiographic systems, designed to meet the above demands. The new systems utilize a high-speed, wide-range C-arm system, a high-resolution image intensifier, a fluid-lubricant X-ray tube, and a digital image processing system, in order to ensure high patient examination efficiency. Their IVR (interventional radiology)-Master bed-side image controller further enhances the efficiency of patient examinations, and also, their CAT (comfortable angio terminal) and FMC (file management console) improve the patient examination throughput and diagnostic workflow of the systems. (author)

  2. Angiographic diagnosis and treatment of gastrointestinal bleeding

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    Park, Jae Hyung; Sung, Kyu Bo; Koo, Kyung Hoi; Bae, Tae Young; Chung, Eun Chul; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Diagnostic angiographic evaluations were done in 33 patients with gastrointestinal bleeding for recent 5 years at Department of Radiology, Seoul National University Hospital. On 11 patients of them, therapeutic interventional procedures were made and the results were analysed. 1. In a total of 33 cases, there were 18 cases of upper GI bleeding and 15 cases of lower GI bleeding. The most frequent causes were peptic ulcer in the former and intestinal typhoid fever in the latter. 2. Bleeding sites were localized angiographically in 28 cases, so the detection rate was 85%. Four of the five angiographically negative cases were lower GI bleeding cases. 3. The most frequent bleeding site was left gastric artery (7/33). The next was ileocecal branch of superior mesenteric artery (6/33). 4. Among the 11 interventional procedures, Gelfoam embolization was done in 7 cases and Vasopressin infusion was tried in 4 cases. They were successful in 4 and 3 cases, suggesting 57% and 47% success rates respectively.

  3. Angiographic analysis of congenital mitral stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kyung Soo; Yeon, Kyung Mo; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)


    Congenital mitral stenosis may be defined as a development abnormality of the mitral valve leaflets, commissures, interchordal spaces, papillary muscles, annulus or immediate supravalvular area producing obstruction to left ventricular filling. Authors had experience of nine case of congenital mitral stenosis confirmed by two dimensional echocardiography, angiocardiography and surgery in recent 5 years since 1979, and analyzed them with emphasis on the angiographic findings. The results are as follows: 1. Among 9 cases, 6 patients were male and 3 were female. Age distribution was from 4 month to 11 years. 2. The types of congenital mitral stenosis were 1 typical congenital mitral stenosis, 5 cases of parachute mitral valve and 3 cases of supramitral ring. 3. Angiographically typical congenital mitral stenosis showed narrowing of mitral valvular opening, parachute mitral valve displayed single large papillary muscle with narrowing valvular opening and supramitral ring disclosed semilunar shaped filling defect between left atrium and ventricle. 4. Associated cardiac and extracardiac anomalies of congenital mitral stenosis, as frequency wise, were ventricular septal defect, patent ductus arteriosus, coarctation of aorta, supra and subvalvular aortic stenosis, mitral regurgitation and double outlet right ventricle. 5. Cardiac angiography is essential to diagnose congenital mitral stenosis, but the need of two dimensional echocardiography cannot be ignored.

  4. Angiographic findings of ischemic stroke in children. (United States)

    Shirane, R; Sato, S; Yoshimoto, T


    A cooperative study was undertaken in the Tohoku district of Japan to investigate the relatively rare phenomenon of cerebral infarction in children. The purpose of the present paper is to describe the cerebral angiographic findings in 48 children whose ischemic lesions were confirmed by CT scan. The majority of lesions were considered to be idiopathic. The areas of cerebral infarction appearing in the CT scans were located in the territory of the middle cerebral artery including the basal ganglia. Angiographical abnormalities were observed in 40 patients (83%). The majority occurred in the supraclinoid portion of the internal carotid artery and in the cisternal portion of the middle and anterior cerebral arteries. Multiple lesions, such as in the C1, A1, and M1 or the C1, M1, and M2 segments were observed in 22 cases. These lesions generally appeared in continuation; no bilateral intracranial lesions were observed. Repeated angiography was performed in 22 cases, and in 55% of these some recovery of the lesions was seen.

  5. The occult urothelial cancer. (United States)

    Ragonese, Mauro; Racioppi, Marco; D'Agostino, Daniele; Di Gianfrancesco, Luca; Lenci, Niccolò; Bientinesi, Riccardo; Palermo, Giuseppe; Sacco, Emilio; Pinto, Francesco; Bassi, Pier Francesco


    Transitional cell carcinoma (TCC) is the tumor that most frequently affects the urinary tract. The most common location is in the bladder; the diagnosis, as the follow-up, is based on urine cytology, endoscopic, and radiological examinations. Urinary cytology is an important non invasive tool used in the diagnosis and follow-up of patients with TCC. A positive urine cytology result is highly predictive of the presence of TCC, even in the presence of normal cystoscopy, because malignant cells may appear in the urine long time before any cystoscopically visible lesion becomes apparent. The presence of a positive urinary cytology, in the absence of clinical or endoscopic evidence of a TCC, can identify an occult urothelial cancer, located in any site of the urinary tract (upper urinary tract, bladder, prostatic urethra). Most of the urothelial tumors of the renal pelvis and ureters are diagnosed by radiological examinations, but we can observe a high rate of false negatives. In order to improve the diagnostic role of urinary cytology and other conventional examinations, numerous molecular markers have been identified; however, the real clinical application remains unclear. Photodynamic diagnosis and narrow band imaging (NBI) cystoscopy increase the diagnostic accuracy of endoscopic examinations in the presence of lesions not easily detectable. The aim of this review is to analyze the current diagnostic standards in the presence of occult urothelial cancer.

  6. The Halogen Occultation Experiment (United States)

    Russell, James M., III; Gordley, Larry L.; Park, Jae H.; Drayson, S. R.; Hesketh, W. D.; Cicerone, Ralph J.; Tuck, Adrian F.; Frederick, John E.; Harries, John E.; Crutzen, Paul J.


    The Halogen Occultation Experiment (HALOE) uses solar occultation to measure vertical profiles of O3, HCl, HF, CH4, H2O, NO, NO2, aerosol extinction, and temperature versus pressure with an instantaneous vertical field of view of 1.6 km at the earth limb. Latitudinal coverage is from 80 deg S to 80 deg N over the course of 1 year and includes extensive observations of the Antarctic region during spring. The altitude range of the measurements extends from about 15 km to about 60-130 km, depending on channel. Experiment operations have been essentially flawless, and all performance criteria either meet or exceed specifications. Internal data consistency checks, comparisons with correlative measurements, and qualitative comparisons with 1985 atmospheric trace molecule spectroscopy (ATMOS) results are in good agreement. Examples of pressure versus latitude cross sections and a global orthographic projection for the September 21 to October 15, 1992, period show the utility of CH4, HF, and H2O as tracers, the occurrence of dehydration in the Antarctic lower stratosphere, the presence of the water vapor hygropause in the tropics, evidence of Antarctic air in the tropics, the influence of Hadley tropical upwelling, and the first global distribution of HCl, HF, and NO throughout the stratosphere. Nitric oxide measurements extend through the lower thermosphere.

  7. Kuiper Belt Occultation Predictions

    CERN Document Server

    Fraser, Wesley C; Trujillo, Chad; Stephens, Andrew W; Kavelaars, JJ; Brown, Michael E; Bianco, Federica B; Boyle, Richard P; Brucker, Melissa J; Hetherington, Nathan; Joner, Michael; Keel, William C; Langill, Phil P; Lister, Tim; McMillan, Russet J; Young, Leslie


    Here we present observations of 7 large Kuiper Belt Objects. From these observations, we extract a point source catalog with $\\sim0.01"$ precision, and astrometry of our target Kuiper Belt Objects with $0.04-0.08"$ precision within that catalog. We have developed a new technique to predict the future occurrence of stellar occultations by Kuiper Belt Objects. The technique makes use of a maximum likelihood approach which determines the best-fit adjustment to cataloged orbital elements of an object. Using simulations of a theoretical object, we discuss the merits and weaknesses of this technique compared to the commonly adopted ephemeris offset approach. We demonstrate that both methods suffer from separate weaknesses, and thus, together provide a fair assessment of the true uncertainty in a particular prediction. We present occultation predictions made by both methods for the 7 tracked objects, with dates as late as 2015. Finally, we discuss observations of three separate close passages of Quaoar to field star...

  8. Occult pneumothorax, revisited

    Directory of Open Access Journals (Sweden)

    Mangar Devanand


    Full Text Available Abstract Pneumothorax is a recognized cause of preventable death following chest wall trauma where a simple intervention can be life saving. In cases of trauma patients where cervical spine immobilization is mandatory, supine AP chest radiograph is the most practical initial study. It is however not as sensitive as CT chest for early detection of a pneumothorax. "Occult" pneumothorax is an accepted definition of an existing but usually a clinically and radiologically silent disturbance that in most patients can be tolerated while other more urgent trauma needs are attended to. However, in certain patients, especially those on mechanical ventilation (with subsequent increase of intrapleural air with positive pressure ventilation, missing the diagnosis of pneumothorax can be deleterious with fatal consequences. This review will discuss the occult pneumothorax in the context of 3 radiological examples, which will further emphasize the entity. Because a negative AP chest radiograph can dangerously delay its recognition, we recommend that any trauma victim presenting to the emergency department with symptoms of respiratory distress should be screened with either thoracic ultrasonography or chest CT scan to avoid missing a pneumothorax.

  9. [Occult hepatitis C virus infection]. (United States)

    Carreño García, Vicente; Nebreda, Javier Bartolomé; Aguilar, Inmaculada Castillo; Quiroga Estévez, Juan Antonio


    Occult hepatitis C virus (HCV) infection is characterized by the detection of HCV-RNA in liver in the absence of anti-HCV and serum HCV-RNA determined by conventional techniques. The development of a new enzyme immunoassay for the detection of antibodies against a conserved epitope in the HCV core protein, together with the detection of HCV-RNA in peripheral blood mononuclear cells and in serum after concentrating the viral particles by ultracentrifugation, allow diagnosis of more than 90% of patients with occult HCV without the need to perform a liver biopsy. Histological damage in occult HCV infection ranges from minimal changes to liver cirrhosis and hepatocellular carcinoma, although in general this disease is less severe than classical chronic hepatitis C. A significant prevalence of occult HCV infection has been identified in risk groups such as hemodialysis patients and the family members of patients with occult hepatitis C. This occult HCV infection can also be found in subjects without clinical or biochemical evidence of liver disease.

  10. Angiographic Features in Acute Pancreatitis: The Severity of Abdominal Vessel Ischemic Change Reflects the Severity of Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Inoue K


    Full Text Available CONTEXT: Assessment of tissue microcirculation is one of the important aspects of pathological evaluation in acute pancreatitis. Severe ischemic change sometimes leads to the development of organ dysfunction and/or infectious complications. OBJECTIVE: To evaluate the angiographic features of acute pancreatitis and correlate them with the severity of the disease. DESIGN: Retrospective study. PATIENTS: Twenty-seven consecutive patients with acute pancreatitis who had undergone angiography were retrospectively investigated. MAIN OUTCOME MEASURES: Vascular findings and Ranson score. RESULTS: Ischemic changes were found in 18 patients (66.7%; 11 (40.7% were severe changes. Pseudoaneurysm, bleeding, and staining were seen in 4 (14.8%, 2 (7.4% and 5 (18.5% patients, respectively. The rate of severe ischemic changes was significantly correlated with the Ranson score (P=0.012. Conclusions Angiographic findings are useful for the evaluation of severe acute pancreatitis.

  11. Clinical manifestations and cerebral angiographic findings of moyamoya disease

    Institute of Scientific and Technical Information of China (English)


    Objective To study the clinical features and angiographic findings of moyamoya disease (MMD) as well as their relationship. Methods A total of 22 MMD patients received routine digital substraction angiography (DSA). The clinical manifestations and angiographic findings were analyzed. Results Clinical manifestations varied and each patient often had multiple symptoms,including cerebral infarction in 9 patients with an average age of 23.6 (13-39 years) and cerebral hemorrhage in 7 patients with an average age...

  12. Region-of-interest micro-angiographic fluoroscope detector used in aneurysm and artery stenosis diagnoses and treatment (United States)

    Wang, Weiyuan; Ionita, Ciprian; Huang, Ying; Qu, Bin; Panse, Ashish; Jain, Amit; Bednarek, Daniel R.; Rudin, Stephen


    Due to the need for high-resolution angiographic and interventional vascular imaging, a Micro-Angiographic Fluoroscope (MAF) detector with a Control, Acquisition, Processing, and Image Display System (CAPIDS) was installed on a detector changer, which was attached to the C-arm of a clinical angiographic unit at a local hospital. The MAF detector provides high-resolution, high-sensitivity, and real-time imaging capabilities and consists of a 300 μm thick CsI phosphor, a dual stage micro-channel plate light image intensifier (LII) coupled to a fiber optic taper (FOT), and a scientific grade frame-transfer CCD camera, providing an image matrix of 1024×1024 35 μm effective square pixels with 12 bit depth. The changer allows the MAF region-of-interest (ROI) detector to be inserted in front of the Image Intensifier (II) when higher resolution is needed during angiographic or interventional vascular imaging procedures, e.g. endovascular stent deployment. The CAPIDS was developed and implemented using Laboratory Virtual Instrumentation Engineering Workbench (LabVIEW) software and provides a user-friendly interface that enables control of several clinical radiographic imaging modes of the MAF including: fluoroscopy, roadmapping, radiography, and digital-subtraction-angiography (DSA). The total system has been used for image guidance during endovascular image-guided interventions (EIGI) for diagnosing and treating artery stenoses and aneurysms using self-expanding endovascular stents and coils in fifteen patient cases, which have demonstrated benefits of using the ROI detector. The visualization of the fine detail of the endovascular devices and the vessels generally gave the clinicians confidence on performing neurovascular interventions and in some instances contributed to improved interventions.

  13. Plasma treatment effect on angiogenesis in wound healing process evaluated in vivo using angiographic optical coherence tomography (United States)

    Kim, D. W.; Park, T. J.; Jang, S. J.; You, S. J.; Oh, W. Y.


    Non-thermal atmospheric pressure plasma holds promise for promoting wound healing. However, plasma-induced angiogenesis, which is important to better understand the underlying physics of plasma treatment effect on wound healing, remains largely unknown. We therefore evaluated the effect of non-thermal plasma on angiogenesis during wound healing through longitudinal monitoring over 30 days using non-invasive angiographic optical coherence tomography imaging in vivo. We demonstrate that the plasma-treated vascular wound area of mouse ear was noticeably decreased as compared to that of control during the early days in the wound healing process. We also observed that the vascular area density was increased in the plasma affected region near the wound as compared to the plasma unaffected region. The difference in the vascular wound area and the vascular area density peaked around day 3. This indicates that the plasma treatment induced additional angiogenic effects in the wound healing process especially during the early days. This non-invasive optical angiographic approach for in vivo time-lapse imaging provides further insights into elucidating plasma-induced angiogenesis in the wound healing process and its application in the biomedical plasma evaluation.

  14. Fluorescein angiographic findings and clinical features in Fuchs' uveitis. (United States)

    Bouchenaki, Nadia; Herbort, Carl P


    Fuchs' uveitis is very often diagnosed with substantial delay, which is at the origin of deleterious effects such as unnecessary treatment and its consequences. The aim of this study was to analyse the type and frequency of posterior inflammatory and fluorescein angiographic signs in Fuchs' uveitis in conjunction with other clinical signs. Patients seen at the Centre for Ophthalmic Specialised Care (COS) in Lausanne and the Memorial A. de Rothschild, Clinique Générale-Beaulieu in Geneva between 1995 and 2008 with the diagnosis of Fuchs' uveitis and who had undergone a fundus fluorescein angiography (FFA) were analysed. In addition to FFA signs, the data collected included age, gender, initial and final visual acuities, clinical findings at presentation, mean diagnostic delay and ocular complications. Between 1995 and 2008, 105 patients seen in our centres in Lausanne and Geneva were diagnosed with Fuchs' uveitis. Forty of them (38.1%) had undergone at least one FFA. One patient was excluded because of a concomittant diagnosis of multiple sclerosis. In 28 of 39 patients (71.2%) diagnosis was not reached at presentation with a mean diagnosis delay of 3.67 ± 4.86 years (range: 1 month-24 years). The original erroneous diagnosis was intermediate uveitis in 16 patients (57.1%), posterior uveitis in two patients (7.1%), panuveitis in four patients (14.3%) and anterior granulomatous uveitis in six patients (21.4%). Fluorescein angiography demonstrated the presence of disc hyperfluorescence in 43/44 eyes (97.7%), sectorial peripheral retinal vascular leaking in 6/44 eyes (13.6%) and cystoid macular oedema in 4/44 eyes (9.1%), all of which were seen in eyes having undergone cataract surgery. Fuchs' uveitis was bilateral in 5/39 patients (12.8%). The most frequent clinical signs were vitritis in 42/44 eyes (95.5%), stellate keratic precipitates in 41 eyes (93.2%), posterior subcapsular opacities or cataract in 19 eyes (43.2%), and heterochromia in 19 eyes (43.2%). Fuchs

  15. Wavelet-based calculation of cerebral angiographic data from time-resolved CT perfusion acquisitions

    Energy Technology Data Exchange (ETDEWEB)

    Havla, Lukas; Dietrich, Olaf [Ludwig-Maximilians-University Hospital Munich, Josef-Lissner-Laboratory for Biomedical Imaging, Institute for Clinical Radiology, Munich (Germany); Thierfelder, Kolja M.; Beyer, Sebastian E.; Sommer, Wieland H. [Ludwig-Maximilians-University Hospital Munich, Institute for Clinical Radiology, Munich (Germany)


    To evaluate a new approach for reconstructing angiographic images by application of wavelet transforms on CT perfusion data. Fifteen consecutive patients with suspected stroke were examined with a multi-detector CT acquiring 32 dynamic phases (∇t = 1.5s) of 99 slices (total slab thickness 99mm) at 80kV/200mAs. Thirty-five mL of iomeprol-350 was injected (flow rate = 4.5mL/s). Angiographic datasets were calculated after initial rigid-body motion correction using (a) temporally filtered maximum intensity projections (tMIP) and (b) the wavelet transform (Paul wavelet, order 1) of each voxel time course. The maximum of the wavelet-power-spectrum was defined as the angiographic signal intensity. The contrast-to-noise ratio (CNR) of 18 different vessel segments was quantified and two blinded readers rated the images qualitatively using 5pt Likert scales. The CNR for the wavelet angiography (501.8 ± 433.0) was significantly higher than for the tMIP approach (55.7 ± 29.7, Wilcoxon test p < 0.00001). Image quality was rated to be significantly higher (p < 0.001) for the wavelet angiography with median scores of 4/4 (reader 1/reader 2) than the tMIP (scores of 3/3). The proposed calculation approach for angiography data using temporal wavelet transforms of intracranial CT perfusion datasets provides higher vascular contrast and intrinsic removal of non-enhancing structures such as bone. (orig.)

  16. Testing for Occult Heartworm Infection (United States)

    Stogdale, L.


    Heartworm infection in dogs is endemic in southern Ontario but occurs only sporadically throughout the remainder of Canada. The disease may either be associated with microfilariae in the patient's blood, a patent infection, or it may be occult. This paper describes a case of occult dirofilariasis in a dog, with emphasis on the diagnosis. A patent infection could be missed if the clinician tests an insufficient amount of blood. He should perform multiple concentration tests using either the modified Knott's technique or a filtration method. Occult infections occur in prepatent or unisexual infections, when the worms become sterile following therapy, or when the host produces antibodies that result in the destruction of the microfilariae. The recent release of a kit which detects the presence of antibodies to the adult heartworms now enables veterinarians to make an accurate diagnosis in the vast majority of dogs. PMID:17422386

  17. Angiographic and scintigraphic findings in fibrosing mediastinitis

    Energy Technology Data Exchange (ETDEWEB)

    Moreno, A.J.; Weismann, I.; Billingsley, J.L.; Lundy, M.N.; Brown, J.M.; Graham, G.D.; Brown, T.J.


    The clinical and morphologic findings in the case of a 47-year-old man with fibrosing mediastinitis, most probably due to histoplasmosis, are described. Radionuclide angiography demonstrated obstruction of the superior vena cava with collateral vascularization. Computed tomography demonstrated a large calcific mass interposed between the pulmonary artery and superior vena cava suggesting potential pulmonary vasculature involvement. For this reason, pulmonary scintigraphy was performed which showed right lung perfusion and ventilation defects. Radionuclide angiography and pulmonary scintigraphy complement each other in determining the extent of vascular involvement with fibrosing mediastinitis. However, contrast venography is necessary to correctly delineate the anatomy of the obstructed superior vena cava and its collaterals.

  18. Analysis of angiographic trial data in women. (United States)

    Havel, R J


    There are few angiographic trials of cholesterol lowering in women. Two trials have included a sufficient number of women for meaningful assessment of lesion change, as determined by quantitative coronary angiography. In the University of California, San Francisco Specialized Center of Research in Arteriosclerosis (UCSF SCOR) trial, 72 patients (57% women) with familial hypercholesterolaemia (90% of whom had no overt coronary heart disease) were randomised to receive either diet and intensive drug therapy (combinations of colestipol, nicotinic acid and lovastatin) or diet and modest doses of colestipol, according to baseline low density lipoprotein cholesterol level. Coronary angiograms were obtained at 2-year intervals. Change in percentage area of stenosis (the primary end-point) in women receiving intensive drug treatment was -2.06% compared with +1.07% for the controls (p = 0.05). For the intensively treated men, corresponding values were -0.88% compared with +0.41% for the controls (difference not significant). In a recently completed trial in Canada, 269 men and 62 women with established coronary heart disease were randomised to receive either diet alone, or diet and lovastatin (up to 80 mg daily). In men, the increase in percentage diameter of stenosis was reduced by 43% (p = 0.05), and in women by 40% (not significant). By contrast, new lesions appeared in 4% of women assigned to intensive drug treatment, compared with 45% of those randomised to diet (p < 0.001). In men, new lesions appeared in 18% and 29% of patients, respectively (p = 0.047). These data suggest that coronary artery lesions in women respond at least as well as those in men to cholesterol lowering.

  19. The mechanism of disc pallor in experimental optic atrophy. A fluorescein angiographic study. (United States)

    Radius, R L; Anderson, D R


    Ascending optic atrophy was produced in 13 eyes of owl monkeys (Aotestrivirgatus) by retinal photocoagulation. Color fundus photography and fluorescein angiography were used to study and document the evolution of nerve head abnormalities. The optic nerve heads were also studied histopathologically. Except in certain instances of early transient (relative) filling defects, normal disc fluorescent patterns were preserved, despite clinically apparent optic nerve head pallor. Sectorial defects did not persist into the later phases of the angiogram. These findings may suggest a reduced blood flow, but neither angiographic nor histopathologic studies detected a reduced vascularity in the atrophic optic nerve. Pallor of the optic nerve head seems to result from alterations in the tissue reflectance and translucency following axonal loss and glial reorganization rather than from a decreased microvascular bed.

  20. Relative risk analysis of angiographic predictors of restenosis within the coronary Wallstent

    NARCIS (Netherlands)

    B.H. Strauss (Bradley); P.W.J.C. Serruys (Patrick); I.K. de Scheerder (Ivan); J.G.P. Tijssen (Jan); M.E. Bertrand (Michel); J. Puel (Jacques); B. Meier (Bernard); U. Kaufmann; J.C. Stauffer; A.F. Rickards (Anthony); U. Sigwart (Ulrich)


    textabstractBACKGROUND. Late angiographic narrowing has been observed following coronary implantation of the Wallstent. To identify the angiographic variables that predict restenosis within the stented segment, a retrospective study of data from the European Wallstent core laboratory was performed.

  1. Clinical and Angiographic Factors Associated With Asymptomatic Restenosis After Percutaneous Coronary Intervention

    NARCIS (Netherlands)

    P.N. Ruygrok (Peter); M.W.I. Webster (Mark); V. de Valk (Vincent); G.A. van Es (Gerrit Anne); J.A. Ormiston (John); M-A.M. Morel (Marie-Angèle); P.W.J.C. Serruys (Patrick)


    textabstractBACKGROUND: Angiographic restenosis after percutaneous coronary interventional procedures is more common than recurrent angina. Clinical and angiographic factors associated with asymptomatic versus symptomatic restenosis after percutaneous coronary intervention were compared. METHODS AND

  2. Pelvic Arterial Anatomy Relevant to Prostatic Artery Embolisation and Proposal for Angiographic Classification

    Energy Technology Data Exchange (ETDEWEB)

    Assis, André Moreira de, E-mail:; Moreira, Airton Mota, E-mail:; Paula Rodrigues, Vanessa Cristina de, E-mail: [University of Sao Paulo Medical School, Interventional Radiology and Endovascular Surgery Department, Radiology Institute (Brazil); Harward, Sardis Honoria, E-mail: [The Dartmouth Center for Health Care Delivery Science (United States); Antunes, Alberto Azoubel, E-mail:; Srougi, Miguel, E-mail: [University of Sao Paulo Medical School, Urology Department (Brazil); Carnevale, Francisco Cesar, E-mail: [University of Sao Paulo Medical School, Interventional Radiology and Endovascular Surgery Department, Radiology Institute (Brazil)


    PurposeTo describe and categorize the angiographic findings regarding prostatic vascularization, propose an anatomic classification, and discuss its implications for the PAE procedure.MethodsAngiographic findings from 143 PAE procedures were reviewed retrospectively, and the origin of the inferior vesical artery (IVA) was classified into five subtypes as follows: type I: IVA originating from the anterior division of the internal iliac artery (IIA), from a common trunk with the superior vesical artery (SVA); type II: IVA originating from the anterior division of the IIA, inferior to the SVA origin; type III: IVA originating from the obturator artery; type IV: IVA originating from the internal pudendal artery; and type V: less common origins of the IVA. Incidences were calculated by percentage.ResultsTwo hundred eighty-six pelvic sides (n = 286) were analyzed, and 267 (93.3 %) were classified into I–IV types. Among them, the most common origin was type IV (n = 89, 31.1 %), followed by type I (n = 82, 28.7 %), type III (n = 54, 18.9 %), and type II (n = 42, 14.7 %). Type V anatomy was seen in 16 cases (5.6 %). Double vascularization, defined as two independent prostatic branches in one pelvic side, was seen in 23 cases (8.0 %).ConclusionsDespite the large number of possible anatomical variations of male pelvis, four main patterns corresponded to almost 95 % of the cases. Evaluation of anatomy in a systematic fashion, following a standard classification, will make PAE a faster, safer, and more effective procedure.

  3. 21 CFR 864.6550 - Occult blood test. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Occult blood test. 864.6550 Section 864.6550 Food... DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Manual Hematology Devices § 864.6550 Occult blood test. (a) Identification. An occult blood test is a device used to detect occult blood in urine or feces. (Occult blood...

  4. Angiographic findings and therapeutic embolization of late hemarthrosis after total joint arthroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Dhondt, E.; Defreyne, L. [Ghent University Hospital, Department of Vascular and Interventional Radiology, Ghent (Belgium); Vanhoenacker, F.M.; Snoeckx, A. [General Hospital St-Maarten, Department of Radiology, Duffel-Mechelen (Belgium); University Hospital Antwerp, Department of Radiology, Antwerp (Belgium); Archambeau, O. d' [University Hospital Antwerp, Department of Radiology, Antwerp (Belgium)


    The objective of this study was to describe the angiographic findings of late spontaneous hemarthrosis after total joint arthroplasty and to illustrate the therapeutic role of angiography. A retrospective multicenter study was performed looking for patients who underwent an angiography for spontaneous hemarthrosis occurring at least 1 month after total joint arthroplasty. Eight patients were included, all suffering from spontaneous hemarthrosis. One patient had an additional large extra-articular hematoma. Angiography in eight cases revealed hypertrophic vascular synovium in seven patients with an additional false aneurysm in one patient. Hypervascularization with pooling of contrast spots was seen in one patient. Five patients underwent selective arterial particulate embolization. Three patients were successfully embolized after one session, one was successful after two sessions, and one patient needed surgery after two embolization sessions. Angiography for late spontaneous hemarthrosis is very effective to exclude or establish vascular malformations and to establish the diagnosis of hypertrophic vascular synovium. Selective arterial embolization seems to be a good therapeutic option as alternative to open or arthroscopic synovectomy. (orig.)

  5. Clinical and Angiographic Factors Associated With Asymptomatic Restenosis After Percutaneous Coronary Intervention


    Ruygrok, Peter; Webster, Mark; de Valk, Vincent; Es, Gerrit Anne; Ormiston, John; Morel, Marie-Angèle; Serruys, Patrick


    textabstractBACKGROUND: Angiographic restenosis after percutaneous coronary interventional procedures is more common than recurrent angina. Clinical and angiographic factors associated with asymptomatic versus symptomatic restenosis after percutaneous coronary intervention were compared. METHODS AND RESULTS: All patients with angiographic restenosis from the BENESTENT I, BENESTENT II pilot, BENESTENT II, MUSIC, WEST 1, DUET, FINESS 2, FLARE, SOPHOS, and ROSE studies were analyzed. Multivariat...

  6. Economic evaluation of angiographic interventions including a whole-radiology in- and outpatient care; Wirtschaftliche Evaluation angiographischer Interventionen einschliesslich einer radiologischen stationaeren und ambulanten Patientenbetreuung

    Energy Technology Data Exchange (ETDEWEB)

    Nolte-Ernsting, C.; Abel, K.; Krupski, G.; Lorenzen, J.; Adam, G. [Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie, Universitaetsklinikum Hamburg-Eppendorf (Germany)


    Purpose: To determine the economic efficiency of a whole-radiology in- and outpatient treatment with angiographic interventions performed as the main or sole therapy. Materials and Methods: The calculations represent the data of a university radiology department, including the following angiographic interventions (neuroradiology not considered): Vascular intervention (PTA, stent implantation) of kidneys and extremities, recanalization of hemodialysis access, chemoembolization, diagnostic arterioportal liver CT, port implantation, varicocele embolization, PTCD, percutaneous implantation of biliary stent. First, the different angiographic interventions are categorized with reference to the German DRG system 2005. Considering the example of a university hospital, the individual cost of each intervention is calculated and correlated with reimbursements by G-DRG2005 and so-called ''ambulant operation'' (EBM200plus). With these data, profits and losses are calculated for both in- and outpatient care. Results: Radiologic interventions of inpatients yield a profit in the majority of cases. With a base rate of 2900 Euro, the profits in our university hospital range between -872 Euro and +3411 Euro (mean: +1348 Euro). On the other hand, those angiographic interventions suitable for ''ambulant operation'' generate average profits of +372 Euro, if only direct costs are considered. The data of outpatient radiological interventions average between 381 Euro up to 1612 Euro lower than compared with profits obtained from in patient care. (orig.)

  7. Vascular malformations of the mandible (intraosseous haemangiomas)

    Energy Technology Data Exchange (ETDEWEB)

    Guibert-Tranier, F.; Piton, J.; Caille, J.M.; Riche, M.C.; Merland, J.J.


    Haemangiomas of the mandible are relatively rare arteriovenous malformations: 85 cases have been described since 1849. The severe risk of bleeding during tooth extraction or biopsy led us to describe the radiological and angiographic features of this condition. The afferent vessles are the inferior dental, the lingual and the facial arteries. Preoperative embolization reduces the risk of bleeding at operation. Surgical treatment must assure the complete removal of the lesion. Radiotherapy and vascular ligatures are useless and dangerous.

  8. Occult HBV infection and HCC

    Directory of Open Access Journals (Sweden)

    Isabelle Chemin


    Full Text Available

    A number of risk factors appear to play a role in Hepatocellularcinoma (HCC, HBV infection being one of the most important. Chronic inflammation and cytokines are key determinants in the development of fibrosis and liver cell proliferation. HBV DNA integration into host cellular DNA, has been extensively studied and may disrupt or promote expression of cellular genes that are important in cell growth and differentiation. Moreover, expression of HBV proteins may have a direct effect on cellular functions, and some of these gene products may lead to malignant transformation. Several HBV genes have been frequently found in infected tissues including truncated pre-S2/S, hepatitis B X gene, and a novel spliced transcript of HBV (hepatitis B spliced protein. The proteins expressed from these integrated genes have been shown to have intracellular activities, including effects on cellular growth and apoptosis. Occult hepatitis B virus (HBV infection is characterized by persistence of HBV DNA into the tissue of hep atitis B surface antigen-negative individuals. The clinical relevance of this peculiar infection, in particular, the impact of occult HBV infection in cases of HCC has been a matter of debate. Prevalence and molecular status of occult HBV in patients with HCC has been investigated in several studies. HCC patients from Italy, France, Japan, Morocco, the United States, Canada etc…..who had no detectable HBsAg in their serum have been studied. In these HBsAg-negative HCC patients, HBV DNA was detected in tumorous and/or in adjacent non tumorous liver tissue using polymerase chain reaction (PCR in almost half of the patients, being anti-HCV positive or not. Some of the patients are positive for anti-HBc antibodies as the only marker of HBV infection, but not all. Covalently closed circular HBV DNA may be detected indicating that at least some of these patients

  9. IUVS/MAVEN Stellar Occultations (United States)

    Gröller, Hannes; Yelle, Roger; Montmessin, Franck; Lacombe, Gaetan; Schneider, Nicholas M.; Deighan, Justin; Jain, Sonal; Nakagawa, Hiromu; Jakosky, Bruce


    We present the latest results from stellar occultations observed with the Imaging Ultraviolet Spectrograph (IUVS) instrument on board of Mars Atmosphere and Volatile EvolutioN (MAVEN) mission. So far 9 campaigns have been executed on average every two months since MAVEN began orbiting Mars. Approximately 50 occultations are recorded in each campaign. The IUVS instrument observes in two spectral regions, the far- and mid-UV. The FUV channel covers wavelengths from 110 to 190 nm and the MUV channel from 170 to 350 nm. By combining those two channels we cover the whole altitude range starting from around 30 km to 150 km. We present the geometric dependent CO2, O2, and O3 number densities from these occultations. The derived O2 mixing ratio varies between 1.5 × 10-3 and 5 × 10-3. In some of the MUV occultations we also can see aerosol extinction. In addition we present temperatures derived from the CO2 densities assuming hydrostatic equilibrium. We retrieved mean temperatures of around 180 K at lower altitudes, which decreasing with altitudes down to a mean of around 130 K at higher altitudes. We see a constantly cold layer with temperatures of 105 – 120 K at a pressure level at roughly 7 × 10-6 Pa, equivalent to an altitude of around 140 km. We also discuss possible wave structures with amplitudes between 5 and 15 K and wavelengths between 10 and 15 km in the obtained temperature profiles. The temperature profiles, retrieved with the IUVS instrument, are mostly in agreement with predicted values from the Mars Climate Database model, except where we see the cold layer around 140 km.

  10. Occult Communications: On Instrumentation, Esotericism, and Epistemology

    Directory of Open Access Journals (Sweden)

    Bernard Dionysius Geoghegan


    Full Text Available Viewed from the perspective of the occult, formerly straight and narrow conduits of reason may even begin to resemble irregular relays composed of irregular twists and turns. This essay offers a brief overview of key literature on spiritualism and the occult, some larger reflections on the place of the occult within studies of science and communications, and brief summaries of the essays contained in this volume.

  11. Scaling Relation for Occulter Manufacturing Errors (United States)

    Sirbu, Dan; Shaklan, Stuart B.; Kasdin, N. Jeremy; Vanderbei, Robert J.


    An external occulter is a spacecraft own along the line-of-sight of a space telescope to suppress starlight and enable high-contrast direct imaging of exoplanets. The shape of an external occulter must be specially designed to optimally suppress starlight and deviations from the ideal shape due to manufacturing errors can result loss of suppression in the shadow. Due to the long separation distances and large dimensions involved for a space occulter, laboratory testing is conducted with scaled versions of occulters etched on silicon wafers. Using numerical simulations for a flight Fresnel occulter design, we show how the suppression performance of an occulter mask scales with the available propagation distance for expected random manufacturing defects along the edge of the occulter petal. We derive an analytical model for predicting performance due to such manufacturing defects across the petal edges of an occulter mask and compare this with the numerical simulations. We discuss the scaling of an extended occulter test-bed.

  12. Vascular Cures (United States)

    ... Contact Us Vascular Disease What is Vascular Disease? Education and Awareness Vascular Diseases Abdominal Aortic Aneurysm Aortic Dissection Arteriovenous Malformation Atherosclerosis Buerger's Disease Carotid Artery Disease ...

  13. Ultrasound -- Vascular (United States)

    ... News Physician Resources Professions Site Index A-Z Ultrasound - Vascular Vascular ultrasound uses sound waves to evaluate ... the limitations of Vascular Ultrasound? What is Vascular Ultrasound? Ultrasound is safe and painless, and produces pictures ...

  14. Imaging evidence of diabetic choroidopathy in vivo: angiographic pathoanatomy and choroidal-enhanced depth imaging.

    Directory of Open Access Journals (Sweden)

    Rui Hua

    Full Text Available PURPOSE: To describe the pathoanatomy of diabetic choroidopathy (DC in pre-diagnosed diabetic retinopathy (DR cases and to provide angiographic and optical evidence for DC using indocyanine green angiography (ICGA and enhanced depth imaging spectral-domain optical coherence tomography (EDI SD-OCT. METHODS: A retrospective analysis of 80 eyes from 40 DR patients was conducted. In Group One, choroidal vascular abnormalities were evaluated by comparing angiographic findings from simultaneous ICGA with those from fundus fluorescein angiography (FFA. In Group Two, EDI SD-OCT was used to evaluate the subfoveal choroidal thickness (SFCT and define the choroid boundary in order to acquire the bilateral and symmetric choroidal area (CA. Data were then analyzed by Image Pro Plus 6.0. RESULTS: In Group One, choroidal abnormalities that were evident using ICGA but not FFA included early hypofluorescent spots in 47 eyes (75.81%, late hyperfluorescent spots in 37 eyes (59.68%, and late choroidal non-perfusion regions in 32 eyes (51.61%. In particular, a significant difference between proliferative DR (PDR in 17 of 23 eyes (73.91% and non-PDR in 16 of 39 eyes (41.03% was observed in late choroidal non-perfusion regions. Eighteen of 31 eyes (58.06% also exhibited "inverted inflow phenomena." In Group Two, both the SFCT and CA of eyes with diabetic macular edema and serous macular detachment were significantly greater than those in the other eyes. The CA in panretinal photocoagulation (PRP treated cases was also greater than that in non-PRP treated cases. CONCLUSIONS: Early hypofluorescent spots, late choroidal non-perfusion regions, inverted inflow phenomena, higher SFCT, and larger CA are qualitative and quantitative indexes for DC. Moreover, the late choroidal non-perfusion region is a risk factor for DC with DR. Our study suggests that the supplemental use of ICGA and EDI SD-OCT with FFA is a better choice for DR patients.

  15. Angiographic aspect of the distal forelimb in donkeys (Equus asinus used for animal traction

    Directory of Open Access Journals (Sweden)

    Maria Angélica Miglino


    Full Text Available The asinine species was originated thousands of years ago from the same branch of domestic equine. Asinines have been undergoing a great adaptation resulting in different characteristics observed in their populations around the world. In the northeastern region of Brazil, they play an essential role in the economy of local families. Due to a large number of locomotor disorders and a lack of professional care for these animals, a radiographic study of the distal forelimb region of the asinine was carried out in order to gather information for the improvement of clinical and surgical practices in this species, and to explain their low susceptibility to locomotor disorders compared to that of the domestic equine. The angiographic examination revealed the main arterial vessels committed to the blood supply of the forelimbs in these animals, providing evidence of the vascular pattern of the median and palmar common digital arteries, which originated a great number of collateral branches, mainly to the distal phalanx. The distal forelimbs in donkeys have shown great vascular anastomosis, promoting additional blood supply to the deep endosteum and periosteum regions, probably as a response to the physical activity developed by these animals.

  16. Occult hemorrhage in children with severe ITP. (United States)

    Flores, Adolfo; Buchanan, George R


    Little is known about the frequency and significance of clinically unapparent or occult hemorrhage in ITP. Therefore, we prospectively explored the sites and frequency of occult bleeding in children with severe ITP at diagnosis or upon symptomatic relapse in a prospective, single-institution cohort study of patients ≤ 18 years of age and a platelet count ≤ 10,000/mm(3) . Data collected included bleeding severity assessment, urinalysis, fecal occult blood testing, and non-contrast brain MRI. Stool and urine samples were tested within 7 days of diagnosis or symptomatic relapse. Three months after diagnosis or relapse a noncontrast brain MRI evaluated hemosiderin deposits resulting from prior localized hemorrhage. Fifty-two ITP patients were enrolled with a mean platelet count of 4,000/mm(3) . A significant occurrence of occult hemorrhage was identified in the urine (27%) compared with clinically overt hematuria (0.91%, P occult bleeding in the urinary tract. There was no relationship between occult hemorrhage and bleeding manifestations on physical examination. Occult hemorrhage was not a harbinger of subsequent bleeding. Our findings suggest that occult hemorrhage occurs with greater frequency than overt bleeding in children with severe ITP. CNS microbleeding is a potential risk in this patient population. Assessment of brain microbleeds and microscopic hematuria in this patient population require additional study.

  17. Angiographic warning of hemorrhagic transformation after stent retriever thrombectomy procedure. (United States)

    Vollman, Andrew T; Bruno, Charles A; Dumeer, Shifali; Malone, Hani; Meyers, Philip M


    This study reports cerebral angiographic findings observed after stent retriever thrombectomy that is suggestive of a higher risk of hemorrhagic transformation (HT). A woman aged 65-75 presented with a right middle cerebral artery syndrome confirmed by non-contrast CT brain scan. Endovascular revascularization using the Solitaire device was placed across the thromboembolic occlusion and thromboembolectomy was performed. Angiography showed complete recanalization of the left internal carotid artery, anterior and middle cerebral artery branches. Twelve hours following the procedure the patient had a hemorrhagic conversion of the ischemic infarct with significant mass effect causing herniation. Despite surgical intervention (hemicraniectomy) the patient died. The angiographic features following revascularization of the vessels distal to the occlusion showed subtle dilations which were visualized at the branch points of the vessels. This may be a warning sign of increased risk of HT.

  18. Occultations for probing atmosphere and climate

    CERN Document Server

    Foelsche, Ulrich; Steiner, Andrea


    Use of occultation methodology for observing the Earth's atmosphere and climate has become so broad as to comprise solar, lunar, stellar, navigation and satellite­ crosslink occultation methods. The atmospheric parameters obtained extend from the fundamental variables temperature, density, pressure, water vapor, and ozone via a multitude of trace gas species to particulate species such as aerosols and cloud liquid water. Ionospheric electron density is sensed as well. The methods all share the key properties of self-calibration, high accuracy and vertical resolution, global coverage, and (if using radio signals) all-weather capability. Occultation data are thus of high value in a wide range of fields including climate monitoring and research, atmospheric physics and chemistry, operational meteorology, and other fields such as space weather and planetary science. This wide area of variants and uses of the occultation method has led to a diversi­ fication of the occultation-related scientific community into a...

  19. Angiographic warning of hemorrhagic transformation after stent retriever thrombectomy procedure


    Vollman, Andrew T; Bruno, Charles A; Dumeer, Shifali; Malone, Hani; Meyers, Philip M


    This study reports cerebral angiographic findings observed after stent retriever thrombectomy that is suggestive of a higher risk of hemorrhagic transformation (HT). A woman aged 65–75 presented with a right middle cerebral artery syndrome confirmed by non-contrast CT brain scan. Endovascular revascularization using the Solitaire device was placed across the thromboembolic occlusion and thromboembolectomy was performed. Angiography showed complete recanalization of the left internal carotid a...

  20. Recurrent pyogenic cholangitis : angiographic findings and its significance

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Chan; Kim, Eui Jong; Oh, Joo Hyung; Yoon, Yup; Lim, Joo Won; Kim, Ihn Sub [Kyunghee Univ. Hospital, Seoul (Korea, Republic of)


    To analyse the angiographic findings of recurrent pyogenic cholangitis Hepatic arteriography and portography were performed preoperatively in 34 patients with intrahepatic stones and recurrent cholangitis. Twenty five of these underwent partial resection of the liver and in nine, the biliary tract was drained. Hepatic arteriogram and portogram findings correlated with liver atrophy and were analysed retrospectively by two radiologists;angiographic and pathologic findings also correlated. In the arterial phase, abnormal stained areas, were seen in 17 of 34 cases, periarterial staining in 14, mass-like staining in two and a mixed pattern in one. The hepatic artery showed spastic change in 11 of 34 cases and tortuous change in 17. Arteriovenous shunting was not seen. In the portal phase, abnormal findings of the portal veins were noted in 16 cases; decreased size and nonvisualization were seen in eleven patients, and decreased size only, in five. Fifteen cases showed liver atrophy;in 13 of these, portal vein abnormalities were also present. In recurrent pyogenic cholangitis, angiographic findings may be normal or findings of abnormal periarterial staining, mass-like staining, spastic and tortuous change of the hepatic artery, and abnormal portal vein can be present. The differential diagnosis of hepatitis, hepatic mass and cirrhosis should be considered.

  1. Clinical and angiographic outcomes after intracoronary bare-metal stenting.

    Directory of Open Access Journals (Sweden)

    I-Chang Hsieh

    Full Text Available BACKGROUND: Data from a large patient population regarding very long-term outcomes after BMS implantation are inadequate. This study aimed to evaluate the very long-term (8-17 years clinical and long-term (3-5 years angiographic outcomes after intracoronary bare-metal stenting (BMS. METHODS AND RESULTS: From the Cardiovascular Atherosclerosis and Percutaneous TrAnsluminal INterventions (CAPTAIN registry, a total of 2391 patients with 2966 lesions treated with 3190 BMSs between November 1995 and May 2004 were evaluated. In total, 1898 patients with 2364 lesions, and 699 patients with 861 lesions underwent 6-month and 3- to 5- year angiographic follow-up, respectively. During a mean follow-up period of 149 ± 51 months, 18.6% of the patients died (including 10.8% due to cardiac death, 6.1% developed reinfarction, 16.2% had target lesion revascularization (including 81% of the patients within the first year, 14.5% underwent new lesion stenting (including 72% of the patients after 3 years, 2.4% underwent coronary bypass surgery, and 1.6% had definite stent thrombosis. The overall cardiovascular event-free survival rate was 58.5%. The 6-month angiographic study indicated a 20% restenosis rate. The minimal luminal diameter increased from 0.65 ± 0.44 mm to 3.02 ± 0.46 mm immediately after stenting, decreased to 2.06 ± 0.77 mm at the 6-month follow-up, and increased to 2.27 ± 0.68 mm at the 3- to 5-year follow-up. CONCLUSIONS: This study provides clinical and angiographic results from a large population of patients who underwent BMS implantations after a long-term follow-up period (149 ± 51 months. The progression of coronary atherosclerosis developed over time, and presented with new lesion required stent implantation. The follow-up angiographic findings reconfirmed the late and sustained improvement in luminal diameter between 6 months and 3-5 years.

  2. Angiographic adverse events during percutaneous coronary intervention fail to predict creatine kinase-MB elevation. (United States)

    Blankenship, James C; Islam, M Ashequl; Wood, G Craig; Iliadis, Elias A


    We attempted to determine if aggressive detection of angiographic adverse events during coronary intervention could predict subsequent creatine kinase (CK)-MB elevations. During coronary intervention, both fluoroscopy and cine angiography were used to detect angiographic adverse events. At least one angiographic adverse event occurred in 133/251 (53%) of procedures. CK-MB elevation occurred in 24% of procedures. Slow flow during the procedure (P=0.002) and chest discomfort at the end of the procedure (P=0.007) were the strongest predictors of CK-MB elevation. Among procedures with no angiographic adverse events, CK-MB elevation occurred in 15/121 (12%), accounting for 25% of CK-MB elevations. We conclude that CK-MB elevation occurs after angiographically uncomplicated coronary interventions even when angiographic adverse events are aggressively detected. Routine monitoring of cardiac enzymes is necessary to detect all patients who will experience myocardial injury after coronary intervention.

  3. Sociology of religion and the occult revival

    Directory of Open Access Journals (Sweden)

    Lennart Ejerfeldt


    Full Text Available The "new" that makes the cults of the occult revival to "new religions" of the Western world, is their recently increased social significance. Historically most of modern occultism is anything but new. From the research and theorizing about the occult revival we have picked up some main themes. The first is the social diffusion of the new occultism. In this field, we find some studies of superstition, especially astrology. These illuminate the differences in social connotation between the consumers of superstition and the followers of institutional religion. Secondly the study of the occult revival has made valuable contributions to the conceptualizing of "cult" and the cultic phenomenon. Thirdly, we will look upon the connection between the occult revival and the counter-culture. The problem of the rise of cults as a symptom of socio-cultural change will be briefly discussed with reference to Bell's thesis of "the disjuntion of culture and social structure". Lastly, we proffer some reflections on the occult revival and the new spiritual trends in the churches, which so sharply contrast with the theology and churchmanship of the sixties.

  4. The Lunar Occultation Observer (LOCO) mission concept (United States)

    Miller, Richard S.


    The hard X-ray sky has tremendous potential for future discoveries and is one of the last electromagnetic regimes without a sensitive all-sky survey. A new approach to such a survey is to utilize the Moon as an occulting disk. The Lunar Occultation Observer (LOCO) mission concept, based on this Lunar Occultation Technique (LOT) and incorporating advanced inorganic scintillators as a detection medium, represents a sensitive and cost effective option for NASA's Beyond Einstein Black Hole Finder Probe or a future Explorer-class mission. We present the motivating factors for the LOT, outline developmental details and simulation results, as well as give preliminary estimates for source detection sensitivity.

  5. The Approach to Occult Gastrointestinal Bleed. (United States)

    Naut, Edgar R


    Occult gastrointestinal bleeding is not visible and may present with a positive fecal occult blood test or iron deficiency anemia. Obscure bleeding can be overt or occult, with no source identified despite an appropriate diagnostic workup. A stepwise approach to this evaluation after negative upper and lower endoscopy has been shown to be cost effective. This includes repeat endoscopies if warranted, followed by video capsule endoscopy (VCE) if no obstruction is present. If the VCE is positive then specific endoscopic intervention may be possible. If negative, patients may undergo either repeat testing or watchful waiting with iron supplements.

  6. The occultation of Arcturus in the Vatican

    CERN Document Server

    Sigismondi, Costantino


    The dome of Saint Peter's Basilica plays the role of the Moon during a stellar occultation and Arcturus is the target star. This occultation-like phenomenon is useful for introducing to occultation astronomy a class of student up to university level. It can be organized very easily at the convenience of the audience. Techical and didactical aspects are discussed; the video is available at and has been realized with an ordinary camcorder.

  7. Future Nanosatellite Constellation for Radio Occultation Measurements (United States)

    Fallet, C.; Mahfouf, J. F.; Hauchechrne, A.; Mathieu, R.; Martin, T.; Capet, N.; Mandea, M.


    The future nanosatellite constellation for radio occultation measurements aims to provide 10000 occultations per day (horizon 2020). The radio occultation technique based on the refraction of an electromagnetic signal between a GNSS satellite (Global Navigation Satellite System) and a receiver satellite located o a low orbit provides a way to observe the Earth's atmosphere, especially its temperature, pressure and water vapor, but also the ionosphere. This technique is now considered a mature concept, the benefits clearly recognized by the communities of weather prediction, climatology and space weather. Activities are underway at CNES to define a low cost system and instrumental concept to satisfy the specifications of the different communities.

  8. Phase-Occultation Nulling Coronagraphy

    CERN Document Server

    Lyon, Richard G; Clampin, Mark; Petrone, Peter


    The search for life via characterization of earth-like planets in the habitable zone is one of the key scientific objectives in Astronomy. We describe a new phase-occulting (PO) interferometric nulling coronagraphy (NC) approach. The PO-NC approach employs beamwalk and freeform optical surfaces internal to the interferometer cavity to introduce a radially dependent plate scale difference between each interferometer arm (optical path) that nulls the central star at high contrast while transmitting the off-axis field. The design is readily implemented on segmented-mirror telescope architectures, utilizing a single nulling interferometer to achieve high throughput, a small inner working angle (IWA), sixth-order or higher starlight suppression, and full off-axis discovery space, a combination of features that other coronagraph designs generally must trade. Unlike previous NC approaches, the PO-NC approach does not require pupil shearing; this increases throughput and renders it less sensitive to on-axis common-mo...

  9. McDonald's and the Occult. (United States)

    Singer, Barry


    Discusses "occult" and "paranormal" literature which is often mistaken for nonfiction. Suggests that most publishers are unwilling to publish scientific perspectives on the paranormal because such writings would be unmarketable. Journal availability: see SO 507 190. (KC)

  10. [Clinical presentation and coronary angiographic results in unstable angina pectoris]. (United States)

    Weber, T; Kirchgatterer, A; Auer, J; Wimmer, L; Lang, G; Mayr, H; Maurer, E; Punzengruber, C; Eber, B


    The syndrome "unstable angina" (UA) covers a broad spectrum of patients. In this study we tried to determine the relationship between the severity of UA and angiographic findings. We evaluated 1000 consecutive patients undergoing coronary angiography. Those with the clinical diagnosis "UA" were included in the study. In a retrospective analysis of their records we categorized them, using the Braunwald-classification for determination of the severity of the disease. 352 patients were include, 209 men and 143 women, the mean age was 65 years. 47% met Braunwald-Class I, 26% Class II and 27% Class III. Coronary single-vessel disease was present in 29%, two-vessel disease in 20%, three-vessel disease in 25%, normal coronaries in 13% and coronary atherosclerosis without critical narrowing in 13%. Left ventricular function was preserved in 72%, mild systolic dysfunction was found in 10%, moderate in 13% and severe in 5%. There was no overall correlation between clinical presentation (Braunwald-Classes) and angiographic findings. Women showed a similar distribution of Braunwald-Classes, but significantly more coronary arteries without critical obstruction. In patients with reduced systolic function the percentage of multi-vessel disease was significantly higher, the percentage without relevant coronary artery narrowing was significantly lower. 1) The lack of overall correlation between clinical presentation and angiographic findings supports the importance of coronary angiography in the evaluation of patients with UA. 2) The assessment of women with chest pain is more difficult than of men with regard to coronary heart disease. 3) UA in patients with impaired left ventricular function is a predictor of severe coronary artery disease.

  11. 'Crescendo' transient ischemic attacks: clinical and angiographic correlations. (United States)

    Rothrock, J F; Lyden, P D; Yee, J; Wiederholt, W C


    Forty-seven consecutive patients presenting acutely with repetitive symptoms indicative of anterior circulation ischemia ("crescendo" transient ischemic attacks) were evaluated to identify clinical features that might reliably predict the presence of significant stenosis, ulceration, or both in the presumably symptomatic internal carotid artery. Angiographic or intraoperative correlation was obtained in all patients, and 26 (55%) were found to have anatomically significant disease. Of 20 patients with signs or symptoms suggestive of cortical ischemia, amaurosis fugax, or both, 17 (85%) had "positive" angiograms; of 18 with numbness/weakness only, 9 (50%) had positive angiograms; of 9 whose symptoms suggested lacunar ischemia, none had positive angiograms.

  12. Angiographic and Interventional Management for a Esophagopericardial Fistula

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Keng, E-mail:; You, Qiong, E-mail:; He, Song-Jian; Mo, Hai-Liang [Affiliated hospital of Guangdong Medical College, Department of Cardiology (China)


    We reported a case of a 78-year-old patient with esophagopericardial fistula who was referred for angiographic and interventional management. Emergent implantation of the esophageal stent could not lengthen or even save the patient’s life. One week later, the patient died of multiple organ failure, which was probably from formation of granulation tissue and stent migration. Therefore, if the inflammatory to the esophagopericardial fistula had been better controlled initially, and the implantation of the esophageal stent delayed, our patient would have survived.

  13. Radio occultation measurements of the lunar ionosphere. (United States)

    Pluchino, S.; Schillirò, F.; Salerno, E.; Pupillo, G.; Maccaferri, G.; Cassaro, P.

    Radio occultation measurements by using interplanetary probes is a well known technique to obtain information on planetary atmospheres. To further understand the morphology of the lunar ionosphere we performed radio occultation experiments by using the radio sounding technique. This method mainly consists in the analisys of the effects produced on the radio wave transmitted from the spacecraft to the Earth when it crosses the atmosphere. The wave amplitude and phase undergo modifications that are correlated to the physical parameters - i.e. electron density - of the crossed medium. The first data set was obtained during the lunar occultations of the European probe SMART-1 shortly before impacting the lunar soil on September 3rd, 2006. During this experiment several radio occultation measurements of the signal transmitted by the spacecraft were performed in S and X band by using the 32 meters radiotelescopes (at Medicina and Noto) of the Istituto di Radioastronomia - Istituto Nazionale di Astrofisica. Further experiments were performed during lunar occultations of Saturn and Venus. On May 22nd and June 18th 2007 the Cassini spacecraft, orbiting Saturn, and the Venus Express spacecraft, orbiting Venus, respectively were occulted by the Moon. The variation of the Total Electron Content (TEC) measured by our instruments (˜ 1013 el/m2) on this occasion is in agreement with values of the electron number density acquired by in situ measuments of the US Apollo missions and the USSR Luna 19 and 22 probes.

  14. Method of Modeling and Simulation of Shaped External Occulters (United States)

    Lyon, Richard G. (Inventor); Clampin, Mark (Inventor); Petrone, Peter, III (Inventor)


    The present invention relates to modeling an external occulter including: providing at least one processor executing program code to implement a simulation system, the program code including: providing an external occulter having a plurality of petals, the occulter being coupled to a telescope; and propagating light from the occulter to a telescope aperture of the telescope by scalar Fresnel propagation, by: obtaining an incident field strength at a predetermined wavelength at an occulter surface; obtaining a field propagation from the occulter to the telescope aperture using a Fresnel integral; modeling a celestial object at differing field angles by shifting a location of a shadow cast by the occulter on the telescope aperture; calculating an intensity of the occulter shadow on the telescope aperture; and applying a telescope aperture mask to a field of the occulter shadow, and propagating the light to a focal plane of the telescope via FFT techniques.

  15. Angiographic and volumetric effects of mammalian target of rapamycin inhibitors on angiomyolipomas in tuberous sclerosis

    Institute of Scientific and Technical Information of China (English)

    Rahul A Sheth; Adam S Feldman; Elahna Paul; Elizabeth A Thiele; T Gregory Walker


    AIM: To investigate the angiographic and volumetric effects of mammalian target of rapamycin(m TOR) inhibitors on angiomyolipomas(AMLs) in a case series of patients with tuberous sclerosis complex.METHODS: All patients who underwent catheter angiography prior to and following m TOR inhibitor therapy(n = 3) were evaluated. All cross-sectional imaging studies were analyzed with three-dimensional volumetrics, and tumor volume curves for all three tissue compartments(soft tissue, vascular, and fat) were generated. Segmentation analysis tools were used to automatically create a region of interest(ROI) circumscribing the AML. On magnetic resonance images, the "fat only" map calculated from the in- and opposed-phase gradient recalled echo sequences was used to quantify fat volume within tumors. Tumor vascularity was measured by applying a thresholding toolwithin the ROI on post-contrast subtraction images. On computed tomography images, volume histogram analysis of Hounsfield unit was performed to quantify tumor tissue composition. The angiography procedures were also reviewed, and tumor vascularity based on pre-embolization angiography was characterized in a semi-quantitative manner. RESULTS: Patient 1 presented at the age of 15 with a 6.8 cm right lower pole AML and a 4.0 cm right upper pole AML. Embolization was performed of both tumors, and after a few years of size control, the tumors began to grow, and the patient was initiated on m TOR inhibitor therapy. There was an immediate reduction in the size of both lesions. The patient then underwent repeat embolization and discontinuation of m TOR inhibition, after which point there was a substantial regrowth in both tumors across all tissue compartments. Patient 2 presented at the age of 18 with a right renal AML. Following a brief period of tumor reduction after embolization, she was initiated on m TOR inhibitor therapy, with successful reduction in tumor size across all tissue compartments. As with patient 1, however

  16. Relationship between dyslipidemia and vascular endothelial function in patients with coronary artery spasm

    Institute of Scientific and Technical Information of China (English)



    Objectives To investigate the effects of dyslipidemia on vascular endothelial function in patients with coronary artery spasm. Methods Sixty-four patients with chest pain but without significant angiographic stenosis were divided into coronary spasm group (n=46 with coronary spasm) and control group (n=18 without coronary spasm) according to acetylcholine provoking test. Endothelin-1 (ET-1), nitric oxide (NO) and lipids were

  17. Calcification of the intracranial carotid artery and its relation to the clinical and angiographic picture: an angiographic classification of asteriosclerosis cerebri

    Directory of Open Access Journals (Sweden)

    Valter Seixas


    Full Text Available Fifty six patients with arteriosclerosis cerebri confirmed by X-rays examinations were clinically and angiographically studied. Calcifications of the carotid artery were found predominantly in human beings between the ages of 55 and 65 and more often among men than among women, the proportion being 2.5 to 1. Nearly all arteriosclerotic patients with calcium deposits in the carotid artery showed several neurological and mental deficits, the most frequent initial symptoms being motor disturbances. Angiographic anormalities found in these patients can be classed into 3 groups: (a grade I— wavy course of the cerebral vessels, small number of peripheral brain vessels, formation of small knots, prolonged circulation time, arteria cerebri anterior with angular form, straight course and broad caliber; (b grade II— partial block, irregularities of wall and caliber, aneurysmal formations; (c grade III— total block of some vessels of the carotid system preventing a generalized or localized cerebral blood supply. Grades II and III angiographic abnormalities were most often seen at the syphon and at the carotid bifurcation in the neck (site of predilection. Most patients with a progressive clinical course belonged to the I group. The course of the disease did not differ in patients with grades II and III angiographic changes since usually the illness had an apoplectiform onset. Arteriosclerotic degenerative irregularities within the layers of the arteries (up to atheromatous patches may occur without reducing the arterial lumen. In such cases the patients may remain asymptomatic until there is a decompensation in the brain circulation due to many causes.Foram estudados, clínica e angiogràficamente, 56 pacientes com arte-riosclerose cerebral comprovada mediante visibilização radiológica de calcificações localizadas na porção intracraniana da artéria carótida interna. Calcificações da artéria carótida interna ocorrem com mais freq

  18. The Big Occulting Steerable Satellite (BOSS)

    CERN Document Server

    Copi, C J; Copi, Craig J.; Starkman, Glenn D.


    Natural (such as lunar) occultations have long been used to study sources on small angular scales, while coronographs have been used to study high contrast sources. We propose launching the Big Occulting Steerable Satellite (BOSS), a large steerable occulting satellite to combine both of these techniques. BOSS will have several advantages over standard occulting bodies. BOSS would block all but about 4e-5 of the light at 1 micron in the region of interest around the star for planet detections. Because the occultation occurs outside the telescope, scattering inside the telescope does not degrade this performance. BOSS could be combined with a space telescope at the Earth-Sun L2 point to yield very long integration times, in excess of 3000 seconds. If placed in Earth orbit, integration times of 160--1600 seconds can be achieved from most major telescope sites for objects in over 90% of the sky. Applications for BOSS include direct imaging of planets around nearby stars. Planets separated by as little as 0.1--0....

  19. Predictive factors of occult neck metastasis in patients with oral squamous cell carcinoma

    Directory of Open Access Journals (Sweden)

    Renato Fortes Bittar

    Full Text Available ABSTRACT INTRODUCTION: It is well established that cervical lymph node metastasis is the most important prognostic factor in patients with oral squamous cell carcinoma of the upper aerodigestive tract. The definition of parameters and classifications that could separate patients in groups of low, intermediate and high-risk is being attempted for several years. OBJECTIVE: The objective of this study was to determine possible predictive factors related to the occurrence of occult cervical lymph node metastasis through the analysis of histopathological reports of surgical specimens obtained after oral squamous cell carcinoma resection and selective neck dissections of patients initially classified as N0. METHODS: This was a primary, retrospective, observational, case-control study. Histopathological reports were reviewed to determine if some findings were related to the occurrence of occult lymph node metastasis. The events analyzed were oral cavity subsites, pT-stage, muscular infiltration, desmoplasia, vascular emboli, perineural infiltration, tumor thickness and compromised margins. RESULTS: Occult cervical metastasis accounted for 19.10 percent of the cases. Desmoplasia, perineural infiltration, tumor thickness and pT4a stage are predictive factors of occult neck metastasis (p-value = 0.0488, 0.0326, 0.0395, 0.0488, respectively. CONCLUSION: The accurate definition of predictive factors of occult cervical metastasis may guide the selection of patients that should be referred to radiotherapy, avoiding the unnecessary exposure of low-risk patients to radiation and allowing a better regional control of the disease in those of moderate or high risk.

  20. Features in Angiographic Evaluation of the Diabetic Patient

    Directory of Open Access Journals (Sweden)

    Taisia Tiron Andreea


    Full Text Available Currently it is estimated that there are over 382 million patients with diabetes worldwide and their number is increasing, which makes this metabolic disorder the most common non-contagious disease, particularly related to obesity and physical inactivity. There is a close relationship between diabetes and cardiovascular disease, statistics showing that over 50% of deaths in patients with diabetes are produced by cardiovascular complications. This requires a close collaboration between diabetologists and cardiologists. The mortality caused by atherosclerotic complications is 65-80% for diabetic patients compared to 33% in non-diabetic patients. Moreover, 20% of the patients requiring coronary revascularization procedures are diabetics and over 30% of patients with angiographic exploration have diabetes. Among the patients with diabetes the coronary lesions are present in 50% of cases and the peripheral arteries lesions in 30% of cases.

  1. The Radio Occultation Processing Package ROPP

    Directory of Open Access Journals (Sweden)

    I. D. Culverwell


    Full Text Available This paper describes the Radio Occultation Processing Package, ROPP, a product of the EUMETSAT Radio Occultation Meteorology Satellite Application Facility (ROM SAF developed by a large number of scientists over many years. A brief review of the concepts, functionality and structure of ROPP is followed by more detailed descriptions of its key capabilities. Example results from a full chain of processing using some of the ROPP tools are presented. Some current and prospective uses of ROPP are given. Instructions on how to access the code and its supporting documentation are provided.

  2. Statistical Methods for Detecting Stellar Occultations by Kuiper Belt Objects the Taiwanese-American Occultation Survey

    CERN Document Server

    Liang, C L; De Pater, I; Alcock, C B; Axelrod, T; Wang, A; Liang, Chyng-Lan; Rice, John A.; Pater, Imke de; Alcock, Charles; Axelrod, Tim; Wang, Andrew


    The Taiwanese-American Occultation Survey (TAOS) will detect objects in the Kuiper Belt, by measuring the rate of occultations of stars by these objects, using an array of three to four 50cm wide-field robotic telescopes. Thousands of stars will be monitored, resulting in hundreds of millions of photometric measurements per night. To optimize the success of TAOS, we have investigated various methods of gathering and processing the data and developed statistical methods for detecting occultations. In this paper we discuss these methods. The resulting estimated detection efficiencies will be used to guide the choice of various operational parameters determining the mode of actual observation when the telescopes come on line and begin routine observations. In particular we show how real-time detection algorithms may be constructed, taking advantage of having multiple telescopes. We also discuss a retrospective method for estimating the rate at which occultations occur.

  3. Controversies about occult hepatitis B virus infection

    Institute of Scientific and Technical Information of China (English)

    Ersan Ozaslan; Tugrul Purnak


    We read with great interest the paper written by Shi et al, reviewing the molecular characteristics and stages of chronic hepatitis B virus (HBV) infection. We think that some points in the definition of occult HBV infection (OBI) and their conclusion about the management of OBI may need further considerations.

  4. Occult spondyloarthritis in inflammatory bowel disease. (United States)

    Bandinelli, Francesca; Manetti, Mirko; Ibba-Manneschi, Lidia


    Spondyloarthritis (SpA) is a frequent extra-intestinal manifestation in patients with inflammatory bowel disease (IBD), although its real diffusion is commonly considered underestimated. Abnormalities in the microbioma and genetic predisposition have been implicated in the link between bowel and joint inflammation. Otherwise, up to date, pathogenetic mechanisms are still largely unknown and the exact influence of the bowel activity on rheumatic manifestations is not clearly explained. Due to evidence-based results of clinical studies, the interest on clinically asymptomatic SpA in IBD patients increased in the last few years. Actually, occult enthesitis and sacroiliitis are discovered in high percentages of IBD patients by different imaging techniques, mainly enthesis ultrasound (US) and sacroiliac joint X-ray examinations. Several diagnostic approaches and biomarkers have been proposed in an attempt to correctly classify and diagnose clinically occult joint manifestations and to define clusters of risk for patient screening, although definitive results are still lacking. The correct recognition of occult SpA in IBD requires an integrated multidisciplinary approach in order to identify common diagnostic and therapeutic strategies. The use of inexpensive and rapid imaging techniques, such as US and X-ray, should be routinely included in daily clinical practice and trials to correctly evaluate occult SpA, thus preventing future disability and worsening of quality of life in IBD patients.

  5. Clues to occult cancer in patients with ischemic stroke.

    Directory of Open Access Journals (Sweden)

    Suk Jae Kim

    Full Text Available BACKGROUND: We hypothesized that hidden malignancy could be detected in patients with cryptogenic stroke without active cancer when they showed the distinctive characteristics of cancer-related stroke. METHODS AND FINDINGS: Among 2,562 consecutive patients with acute ischemic stroke, patients with cryptogenic stroke were analyzed and categorized into two groups according to the presence of active cancer: cryptogenic stroke with active cancer (cancer-related stroke, CA-stroke group and without active cancer (CR-stroke group. Patients with active lung cancer without stroke were also recruited for comparison purposes (CA-control. Clinical factors, lesion patterns on diffusion-weighted MRI (DWI, and laboratory findings were analyzed among groups. A total of 348 patients with cryptogenic stroke were enrolled in this study. Among them, 71 (20.4% patients had active cancer at the time of stroke. The D-dimer levels were significantly higher in patients with CA-stroke than those with CR-stroke or CA-control (both p<0.001. Regarding lesion patterns, patients with CA-stroke mostly had multiple lesions in multiple vascular territories, while more than 80% of patients with CR-stroke had single/multiple lesions in a single vascular territory (P<0.001. D-dimer levels (OR 1.11 per 1 µg/mL increase; 95% CI 1.06-1.15; P<0.001 and DWI lesion patterns (OR 7.13; 95% CI 3.42-14.87; P<0.001 were independently associated with CA-stroke. Workup for hidden malignancy was performed during hospitalization in 10 patients who showed elevated D-dimer levels and multiple infarcts involving multiple vascular territories but had no known cancer, and it revealed hidden malignancies in all the patients. CONCLUSION: Patients with CA-stroke have distinctive D-dimer levels and lesion patterns. These characteristics can serve as clues to occult cancer in patients with cryptogenic stroke.

  6. Interventional spinal procedures guided and controlled by a 3D rotational angiographic unit

    Energy Technology Data Exchange (ETDEWEB)

    Pedicelli, Alessandro; Verdolotti, Tommaso; Desiderio, Flora; D' Argento, Francesco; Colosimo, Cesare; Bonomo, Lorenzo [Catholic University of Rome, A. Gemelli Hospital, Department of Bioimaging and Radiological Sciences, Rome (Italy); Pompucci, Angelo [Catholic University of Rome, A. Gemelli Hospital, Department of Neurotraumatology, Rome (Italy)


    The aim of this paper is to demonstrate the usefulness of 2D multiplanar reformatting images (MPR) obtained from rotational acquisitions with cone-beam computed tomography technology during percutaneous extra-vascular spinal procedures performed in the angiography suite. We used a 3D rotational angiographic unit with a flat panel detector. MPR images were obtained from a rotational acquisition of 8 s (240 images at 30 fps), tube rotation of 180 and after post-processing of 5 s by a local work-station. Multislice CT (MSCT) is the best guidance system for spinal approaches permitting direct tomographic visualization of each spinal structure. Many operators, however, are trained with fluoroscopy, it is less expensive, allows real-time guidance, and in many centers the angiography suite is more frequently available for percutaneous procedures. We present our 6-year experience in fluoroscopy-guided spinal procedures, which were performed under different conditions using MPR images. We illustrate cases of vertebroplasty, epidural injections, selective foraminal nerve root block, facet block, percutaneous treatment of disc herniation and spine biopsy, all performed with the help of MPR images for guidance and control in the event of difficult or anatomically complex access. The integrated use of ''CT-like'' MPR images allows the execution of spinal procedures under fluoroscopy guidance alone in all cases of dorso-lumbar access, with evident limitation of risks and complications, and without need for recourse to MSCT guidance, thus eliminating CT-room time (often bearing high diagnostic charges), and avoiding organizational problems for procedures that need, for example, combined use of a C-arm in the CT room. (orig.)

  7. Occult hepatitis B infection: an evolutionary scenario

    Directory of Open Access Journals (Sweden)

    Lukashov Vladimir V


    Full Text Available Abstract Background Occult or latent hepatitis B virus (HBV infection is defined as infection with detectable HBV DNA and undetectable surface antigen (HBsAg in patients' blood. The cause of an overt HBV infection becoming an occult one is unknown. To gain insight into the mechanism of the development of occult infection, we compared the full-length HBV genome from a blood donor carrying an occult infection (d4 with global genotype D genomes. Results The phylogenetic analysis of polymerase, core and X protein sequences did not distinguish d4 from other genotype D strains. Yet, d4 surface protein formed the evolutionary outgroup relative to all other genotype D strains. Its evolutionary branch was the only one where accumulation of substitutions suggests positive selection (dN/dS = 1.3787. Many of these substitutiions accumulated specifically in regions encoding the core/surface protein interface, as revealed in a 3D-modeled protein complex. We identified a novel RNA splicing event (deleting nucleotides 2986-202 that abolishes surface protein gene expression without affecting polymerase, core and X-protein related functions. Genotype D strains differ in their ability to perform this 2986-202 splicing. Strains prone to 2986-202 splicing constitute a separate clade in a phylogenetic tree of genotype D HBVs. A single substitution (G173T that is associated with clade membership alters the local RNA secondary structure and is proposed to affect splicing efficiency at the 202 acceptor site. Conclusion We propose an evolutionary scenario for occult HBV infection, in which 2986-202 splicing generates intracellular virus particles devoid of surface protein, which subsequently accumulates mutations due to relaxation of coding constraints. Such viruses are deficient of autonomous propagation and cannot leave the host cell until it is lysed.

  8. The Big Occulting Steerable Satellite (BOSS)

    Energy Technology Data Exchange (ETDEWEB)

    Copi, Craig J.; Starkman, Glenn D.


    Natural (such as lunar) occultations have long been used to study sources on small angular scales, while coronographs have been used to study high-contrast sources. We describe here the properties of the Big Occulting Steerable Satellite (BOSS), a large steerable occulting satellite to combine both of these techniques. BOSS will have several advantages over standard occulting bodies. BOSS would block all but about 4x10{sup -5} of the light at 1 {mu}m in the region of interest around the star for planet detections (with even better blocking possible using new film surface etching techniques). Because the occultation occurs outside the telescope, scattering inside the telescope does not degrade this performance. BOSS could be combined with a space telescope at the Earth-Sun L2 point to yield very long integration times, in excess of 3000 s. If placed in Earth orbit, integration times of 160-1600 s can be achieved from most major telescope sites for objects in over 90% of the sky. Applications for BOSS include direct imaging of planets around nearby stars. Planets separated by as little as 0.1''-0.25'' from the star they orbit could be seen down to a relative intensity as little as 1x10{sup -9} around a magnitude 8 (or brighter) star. Other applications include ultra-high-resolution imaging of compound sources, such as microlensed stars and quasars, down to a resolution as little as 0.1 mas. (c) 2000 The American Astronomical Society.

  9. Cassini Radio Occultation by Enceladus Plume (United States)

    Kliore, A.; Armstrong, J.; Flasar, F.; French, R.; Marouf, E.; Nagy, A.; Rappaport, N.; McGhee, C.; Schinder, P.; Anabtawi, A.; Asmar, S.; Barbinis, E.; Fleischman, D.; Goltz, G.; Aguilar, R.; Rochblatt, D.


    A fortuitous Cassini radio occultation by Enceladus plume occurs on September 15, 2006. The occultation track (the spacecraft trajectory in the plane of the sky as viewed from the Earth) has been designed to pass behind the plume (to pass above the south polar region of Enceladus) in a roughly symmetrical geometry centered on a minimum altitude above the surface of about 20 km. The minimum altitude was selected primarily to ensure probing much of the plume with good confidence given the uncertainty in the spacecraft trajectory. Three nearly-pure sinusoidal signals of 0.94, 3.6, and 13 cm-wavelength (Ka-, X-, and S-band, respectively) are simultaneously transmitted from Cassini and are monitored at two 34-m Earth receiving stations of the Deep Space Network (DSN) in Madrid, Spain (DSS-55 and DSS-65). The occultation of the visible plume is extremely fast, lasting less than about two minutes. The actual observation time extends over a much longer time interval, however, to provide a good reference baseline for potential detection of signal perturbations introduced by the tenuous neutral and ionized plume environment. Given the likely very small fraction of optical depth due to neutral particles of sizes larger than about 1 mm, detectable changes in signal intensity is perhaps unlikely. Detection of plume plasma along the radio path as perturbations in the signals frequency/phase is more likely and the magnitude will depend on the electron columnar density probed. The occultation time occurs not far from solar conjunction time (Sun-Earth-probe angle of about 33 degrees), causing phase scintillations due to the solar wind to be the primary limiting noise source. We estimate a delectability limit of about 1 to 3E16 electrons per square meter columnar density assuming about 100 seconds integration time. Potential measurement of the profile of electron columnar density along the occultation track is an exciting prospect at this time.

  10. Ileal angiodysplasia causing chronic, occult gastrointestinal bleeding in a 14-year-old boy

    Directory of Open Access Journals (Sweden)

    Andrew Jackson Murphy


    Diagnostic laparoscopy revealed intra-abdominal adhesions and no clear vascular malformation. Initial careful visual and manual examination of the bowel after conversion to laparotomy failed to identify the lesion. On-table retrograde enteroscopy demonstrated a small, pulsatile lesion without ulceration or adherent clot in the mucosa of the proximal ileum. With endoscopic transillumination, a cluster of serpiginous vessels could be seen within the wall of the small bowel. The lesion was resected and pathology was consistent with angiodysplasia. Angiodysplasia is a rare cause of occult, chronic gastrointestinal bleeding in children. A multidisciplinary approach optimizes the likelihood of therapeutic success.

  11. Angiographic evaluation and management of acute gastrointestinal hemorrhage

    Institute of Scientific and Technical Information of China (English)

    T Gregory Walker; Gloria M Salazar; Arthur C Waltman


    Although most cases of acute nonvariceal gastrointestinal hemorrhage either spontaneously resolve or respond to medical management or endoscopic treatment,there are still a significant number of patients who require emergency angiography and transcatheter treatment.Evaluation with noninvasive imaging such as nuclear scintigraphy or computed tomography may localize the bleeding source and/or confirm active hemorrhage prior to angiography.Any angiographic evaluation should begin with selective catheterization of the artery supplying the most likely site of bleeding,as determined by the available clinical,endoscopic and imaging data.If a hemorrhage source is identified,superselective catheterization followed by transcatheter microcoil embolization is usually the most effective means of successfully controlling hemorrhage while minimizing potential complications.This is now wellrecognized as a viable and safe alternative to emergency surgery.In selected situations transcatheter intra-arterial infusion of vasopressin may also be useful in controlling acute gastrointestinal bleeding.One must be aware of the various side effects and potential complications associated with this treatment,however,and recognize the high re-bleeding rate.In this article we review the current role of angiography,transcatheter arterial embolization and infusion therapy in the evaluation and management of nonvariceal gastrointestinal hemorrhage.

  12. Percutaneous vertebroplasty with a high-quality rotational angiographic unit

    Energy Technology Data Exchange (ETDEWEB)

    Pedicelli, Alessandro [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Rollo, Massimo [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Piano, Mariangela [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Re, Thomas J. [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Cipriani, Maria C. [Department of Gerontology, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Colosimo, Cesare [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:; Bonomo, Lorenzo [Department of Bioimaging and Radiological Sciences, Catholic University of Sacred Heart, Policl. A.Gemelli, l.go Gemelli 1, 00168 Rome (Italy)], E-mail:


    We evaluated the reliability of a rotational angiographic unit (RA) with flat-panel detector as a single technique to guide percutaneous vertebroplasty (PVP) and for post-procedure assessment by 2D and 3D reformatted images. Fifty-five consecutive patients (104 vertebral bodies) were treated under RA fluoroscopy. Rotational acquisitions with 2D and 3D reconstruction were obtained in all patients for immediate post-procedure assessment. In complex cases, this technique was also used to evaluate the needle position during the procedure. All patients underwent CT scan after the procedure. RA and CT findings were compared. In all cases, a safe trans-pedicular access and an accurate control of the bone-cement injection were successfully performed with high-quality fluoroscopy, even at the thoracic levels and in case of vertebra plana. 2D and 3D rotational reconstructions permitted CT-like images that clearly showed needle position and were similar to CT findings in depicting intrasomatic implant-distribution. RA detected 40 cement leakages compared to 42 demonstrated by CT and showed overall 95% sensitivity and 100% specificity compared to CT for final post-procedure assessment. Our preliminary results suggest that high-quality RA is reliable and safe as a single technique for PVP guidance, control and post-procedure assessment. It permits fast and cost-effective procedures avoiding multi-modality imaging.

  13. Pediatric renovascular hypertension in Thailand: CT angiographic findings

    Energy Technology Data Exchange (ETDEWEB)

    Visrutaratna, Pannee; Srisuwan, Tanop; Sirivanichai, Chusak [Chiang Mai University, Department of Radiology, Faculty of Medicine, Chiang Mai (Thailand)


    Renovascular disease is an uncommon but important cause of hypertension in children. When unrecognized and untreated, renovascular hypertension in children can have serious complications. To review the causes of renovascular hypertension and computed tomography angiographic (CTA) findings in children and adolescents. Twenty-eight CTAs from January 2004 to March 2008 of 23 children and adolescents with hypertension were reviewed for the causes and CTA findings. Nine of the 23 children (39%) had abnormal renal arteries with or without abnormal abdominal aortas. Four of these children had Takayasu arteritis, one had moyamoya disease, and one had median arcuate ligament syndrome. One with chronic pyelonephritis had severe stenosis of the proximal right renal artery. The other two children had renal artery stenosis with a nonspecific cause. One child with a normal abdominal aorta and renal arteries had a right suprarenal mass. On pathological examination a ganglioneuroma was found. CTA can help in diagnosis of renovascular hypertension in children and adolescents. Although CTA is not a screening modality, it is appropriate in some situations. (orig.)

  14. [Chronic hepatitis and occult HCV infection]. (United States)

    Kowala-Piaskowska, Arleta; Mozer-Lisewska, Iwona; Pham, Tram N Q; Michalak, Tomasz I


    Hepatitis C virus (HCV) was discovered in 1989. HCV is a positive single-strand RNA. We all have thought, that HCV can replicate only in liver tissue, but now we know, that HCV can replicate in extrahepatic tissue as well. In about 48-86% of HCV infected patients, chronic hepatitis C (CHC) has been noticed and eventually, after tens of years, liver insufficiency, cirrhosis or hepatocellular carcinoma. The current recommended treatment for CHC is a combination of pegylated-interferon alpha and Ribavirin. Presently it is known, that HCV infection can persist as an occult infection. RNA HCV can be detected in patients after successful treatment for CHC or spontaneous elimination. Persistent HCV replication in hepatocytes or lymphoid cells would likely lead to continuous antigenic stimulation of the immune system. This prolonged replication may contribute to the immune tolerance of HCV, impairment of immune response and even further virus persistence. This occult infection grows more important in transplantation.

  15. [Vascular dementia

    NARCIS (Netherlands)

    Leeuw, H.F. de; Gijn, J. van


    Vascular dementia is one of the most frequently occurring dementia syndromes. Its prevalence is about 5% among subjects above 85 years of age. Elevated blood pressure and atherosclerosis are the most important risk factors. According to international criteria, vascular dementia usually occurs within

  16. Ionospheric Signatures in Radio Occultation Data (United States)

    Mannucci, Anthony J.; Ao, Chi; Iijima, Byron A.; Kursinkski, E. Robert


    We can extend robustly the radio occultation data record by 6 years (+60%) by developing a singlefrequency processing method for GPS/MET data. We will produce a calibrated data set with profile-byprofile data characterization to determine robust upper bounds on ionospheric bias. Part of an effort to produce a calibrated RO data set addressing other key error sources such as upper boundary initialization. Planned: AIRS-GPS water vapor cross validation (water vapor climatology and trends).


    Directory of Open Access Journals (Sweden)

    Alisson Diêgo Dias de Medeiros


    Full Text Available This work is the result of a research on the influence that the occultism had on the work of the Portuguese poet Fernando Pessoa. To delimitate the study, we selected papers of Fernando Pessoa, which  suggested that the poet considered himself medium, and hence influenced his work, building his depersonalization. This work presents, thus, as main objectiveto analyze personal papers of Fernando Pessoa, whose outstanding characteristic is the presence of occultism and the supposed mediumship defended by him in response to non-literary and heteronymic manifestations. To this end, I focused on specific objectives, which are: a to study the speech of Fernando Pessoa on his supposed mediumship / occultism b to analyze specific texts that are, for the poet, mediumistic manifestations c to study excerpts from a set of personal letters in which Fernando Pessoa suggested being a medium. It is true that this dissertation will address many discussions already made by scholars and specialists in Fernando Pessoa, but we consider the possibility to deepen issues and contribute to the critical fortune of the poet.

  18. OCCULT-ORSER complete conversational user-language translator (United States)

    Ramapriyan, H. K.; Young, K.


    Translator program (OCCULT) assists non-computer-oriented users in setting up and submitting jobs for complex ORSER system. ORSER is collection of image processing programs for analyzing remotely sensed data. OCCULT is designed for those who would like to use ORSER but cannot justify acquiring and maintaining necessary proficiency in Remote Job Entry Language, Job Control Language, and control-card formats. OCCULT is written in FORTRAN IV and OS Assembler for interactive execution.

  19. [Occult hepatitis B virus infection in chronic hepatitis C]. (United States)

    Jang, Jae Young; Park, Eui Ju


    Occult HBV infection is defined as the presence of HBV DNA in the liver (with or without detectable or undetectable HBV DNA in the serum) of individuals testing negative for HBsAg. Studies on occult HBV infection in hepatitis C patients have reported highly variable prevalence, because the prevalence of occult HBV infection varies depending on the hepatitis B risk factors and methodological approaches. The most reliable diagnostic approach for detecting occult HBV detection is through examination of liver DNA extracts. HCV has been suspected to strongly suppress HBV replication up to the point where it may be directly responsible for occult HBV infection development. However, more data are needed to arrive at a definitive conclusion regarding the role of HCV in inducing occult HBV infection. Occult HBV infection in chronic hepatitis C patients is a complex biological entity with possible relevant clinical implications. Influence of occult HBV infection on the clinical outcomes of chronic hepatitis C may be considered negative. However, recent studies have shown that occult HBV infection could be associated with the development of hepatocellular carcinoma and contribute to the worsening of the course of chronic liver disease over time in chronic hepatitis C patients. Nevertheless, the possible role of occult HBV infection in chronic hepatitis C is still unresolved and no firm conclusion has been made up until now. It still remains unclear how occult HBV infection affects the treatment of chronic hepatitis C. Therefore, in order to resolve current controversies and understand the pathogenic role and clinical impacts of occult HBV infection in chronic hepatitis C patients, well-designed clinical studies are needed.

  20. The normal internal carotid artery: a computed tomography angiographic study

    Energy Technology Data Exchange (ETDEWEB)

    Koskinen, Suvi Maaria; Valanne, Leena; Silvennoinen, Heli [Helsinki University Central Hospital and University of Helsinki, Department of Radiology, HUS Medical Imaging Center, Helsinki (Finland); Soinne, Lauri [Helsinki University Central Hospital, Department of Neurology, Helsinki (Finland)


    Systematic computed tomography angiographic (CTA) studies investigating variation in internal carotid artery (ICA) luminal diameters (LDs) are scarce. Knowledge of the normal intra-individual LD variability would provide a cut-off value for detection of more subtle collapses. In addition, low intra-individual variability would allow using contralateral LD as a reference for estimation of stenosis degree in cases where ipsilateral measurement is hampered. Therefore, our aim was to investigate intra-individual LD variation of normal ICA. We retrospectively collected multidetector high-speed CTAs of 104 patients younger than 40 years who were considered not to have carotid pathology. We carried out independent measurements of the common carotid artery (CCA) and ICA LDs bilaterally from axial source images by two observers, analysing side-to-side LD differences from averaged double measurements with a paired t test. We discovered no significant side-to-side LD differences. In the female group, the mean differences (mm) with 95 % confidence intervals were 0.08 (0.00, 0.17) for CCA and 0.03 (-0.04, 0.11) for ICA, with ICA LD standard deviation of 0.4 mm. In the male group, these were: 0.06 (-0.04, 0.17), 0.02 (-0.07, 0.11) and 0.4 mm, respectively. We detected no ICA agenesis. The intrinsic intra-individual variation of the LD of normal ICA is minimal. This uniformity may serve as the basis for detection of subtle grades of side-to-side variation caused by pathology. (orig.)

  1. Relationship between leukocyte count and angiographical characteristics of coronary atherosclerosis

    Institute of Scientific and Technical Information of China (English)

    En-zhi JIA; Zhi-jian YANG; Biao YUAN; Xiao-ling ZANG; Rong-hu WANG; Tie-bing ZHU; Lian-sheng WANG; Bo CHEN; Wen-zhu MA


    Aim: To explore the relationship between differential leucocyte count and coronary atherosclerosis. Methods: The study population consisted of 507 consecutive patients (376 male and 131 female) who underwent coronary angiography for suspected or known coronary atherosclerosis. The patients' smoking and drinking habits were investigated, and anthropometric measurements, serum measurements, and hematological measurements were conducted for every patient.The severity of coronary atherosclerosis was defined by using Gensini' s score system. One-way ANOVA, Spearman's correlation analysis, and multivariate stepwise linear regression analysis were employed to explore the relationship between differential leucocyte count and coronary atherosclerosis. Results: Oneway ANOVA indicated that the diastolic blood pressure, glucose, urea, creatinine,leukocyte count, neutrophil count, monocyte count, hemoglobin, and platelet count differed among the groups according to Gensini's score, the tertile values of which were used as cutoff points. Spearman's correlation analysis suggested that Gensini's score was significantly correlated with age, diastolic blood pressure,glucose, urea, creatinine, leukocyte count, neutrophil count, monocyte count,hemoglobin, and erythrocyte count, respectively. Multivariate stepwise linear regression analysis show that neutrophil count (β=0.247, P=0.000), age (β=0.141,P=0.001), glucose (β=0.173, P=0.000), creatinine (β=0.088, P=0.063), hemoglobin (β=-0.168, P=0.013) and sex (men were coded as 1 and women were coded as 2;β=-0.121, P=0.012) were significantly independently associated with the Gensini's score. Conclusion: The independent association of neutrophil count with the angiographical characteristics of coronary atherosclerosis, as estimated by Gensini's score, strongly suggests that granulocytosis may play a role in the development of coronary atherosclerosis.

  2. What can the Occult do for you? STarlight Attenuation & Reddening Survey of Multiple Occulting Galaxies (STARSMOG)

    CERN Document Server

    Holwerda, B W


    Interstellar dust is still the dominant uncertainty in Astronomy, limiting precision in e.g., cosmological distance estimates and models of how light is re-processed within a galaxy. When a foreground galaxy serendipitously overlaps a more distant one, the latter backlights the dusty structures in the nearer foreground galaxy. Such an overlapping or occulting galaxy pair can be used to measure the distribution of dust in the closest galaxy with great accuracy. The STARSMOG program uses HST observation of occulting galaxy pairs to accurately map the distribution of dust in foreground galaxies in fine ($<$100 pc) detail. Furthermore, Integral Field Unit observations of such pairs will map the effective extinction curve in these occulting galaxies, disentangling the role of fine-scale geometry and grain composition on the path of light through a galaxy. The overlapping galaxy technique promises to deliver a clear understanding of the dust in galaxies: the dust geometry, a probability function of the amount of...

  3. Large vascular malformation in a child presenting with vascular steal phenomenon managed with pial synangiosis. (United States)

    Ellis, Michael J; Armstrong, Derek; Dirks, Peter B


    The management of large and giant arteriovenous malformations (AVMs) in patients presenting with nonhemorrhagic neurological deficits secondary to vascular steal phenomenon is challenging and controversial. In many cases, large AVMs cannot be completely excised or cured, leaving patients with residual or partially treated AVMs, the natural history of which is unknown. Additionally, large, diffuse vascular malformations with multiple, small feeders, slow flow, or so-called cerebral proliferative angiopathy represent a related but distinct clinical and angiographic entity that may require a different therapeutic approach than traditional brain AVMs. The current management of children with other conditions of chronic cerebral hypoperfusion, such as moyamoya disease, involves consideration of surgical revascularization to enhance blood flow to the compromised hemisphere. Here, the authors present the case of a young child with a large thalamic vascular malformation who presented with clinical and radiological features of vascular steal and ischemia. In an effort to augment flow to the hypoperfused brain and protect against future ischemia, the authors treated the child with unilateral pial synangiosis. At 12 months, postoperative angiography demonstrated robust neovascularization, and the child has not sustained any further ischemic events. The authors discuss concept of vascular malformation-related hypoperfusion and the utility of indirect revascularization for inoperable vascular malformations presenting with ischemic symptoms.

  4. Angiographer's exposure to radiation under different fluoroscopic imaging conditions

    Energy Technology Data Exchange (ETDEWEB)

    Iida, Hiroji; Ueda, Shinichi; Shimizu, Mitsuru; Tamura, Sakio [Kanazawa Univ. (Japan). Hospital; Koshida, Kichiro


    Scattered radiation levels near an imaging system commonly used in angiography were measured with a 200 mm thick water phantom. The scattered radiation exposure rate was measured in lines parallel in space to the central ray of the x-ray beam, at lateral distances of 30-100 cm. The effects of an x-ray beam limiting device, geometric and electric magnification, and rotation angle of the C-arm were also determined. The results indicated that the highest scattered radiation levels occurred near the surface of the phantom where the x-ray beam enters. In P-A geometry, the highest radiation levels occurred below the angiographer's waist. These areas of the body corresponded to the gonads of the angiographer. It has been suggested that angiographers' exposure rates are higher near the gonads than near the chest. However, lead aprons efficiently protect these areas. When smaller field sizes were limited by a variable x-ray beam limiting device, the volume of irradiated tissue was reduced, and the scattered radiation exposure rate was decreased. Further, when larger magnification factors were chosen for the analogue magnification method, the volume of irradiated tissue was reduced by the automatic x-ray beam limiting device, and the scattered radiation exposure rate was decreased. However, smaller field sizes markedly increased patient exposure by auto brightness control. To mitigate the angiographer's exposure, smaller field sizes with x-ray limiting devices are required. However, a larger field size should be used whenever possible to minimize patient exposure. The angiographer's exposure rate was influenced by the incidence direction of the x-ray beam when the C-arm had been rotated around the phantom. Consequently, the angiographer's exposure rate was maximum when the x-ray tube most closely approached the angiographer and was minimum when the image intensifier most closely approached the angiographer. Therefore, to mitigate the angiographer

  5. Multislice computed tomography: angiographic emulation versus standard assessment for detection of coronary stenoses

    Energy Technology Data Exchange (ETDEWEB)

    Schnapauff, Dirk; Hamm, Bernd; Dewey, Marc [Humboldt-Universitaet zu Berlin, Department of Radiology, Charite - Universitaetsmedizin Berlin, Chariteplatz 1, P.O. Box 10098, Berlin (Germany); Duebel, Hans-Peter; Baumann, Gert [Charite - Universitaetsmedizin Berlin, Department of Cardiology, Berlin (Germany); Scholze, Juergen [Charite - Universitaetsmedizin Berlin, Charite Outpatient Centre, Berlin (Germany)


    The present study investigated angiographic emulation of multislice computed tomography (MSCT) (catheter-like visualization) as an alternative approach of analyzing and visualizing findings in comparison with standard assessment. Thirty patients (120 coronary arteries) were randomly selected from 90 prospectively investigated patients with suspected coronary artery disease who underwent MSCT (16-slice scanner, 0.5 mm collimation, 400 ms rotation time) prior to conventional coronary angiography for comparison of both approaches. Sensitivity and specificity of angiographic emulation [81% (26/32) and 93% (82/88)] were not significantly different from those of standard assessment [88% (28/32) and 99% (87/88)], while the per-case analysis time was significantly shorter for angiographic emulation than for standard assessment (3.4 {+-} 1.5 vs 7.0 {+-} 2.5 min, P < 0.001). Both interventional and referring cardiologists preferred angiographic emulation over standard curved multiplanar reformations of MSCT coronary angiography for illustration, mainly because of improved overall lucidity and depiction of sidebranches (P < 0.001). In conclusion, angiographic emulation of MSCT reduces analysis time, yields a diagnostic accuracy comparable to that of standard assessment, and is preferred by cardiologists for visualization of results. (orig.)

  6. New perspectives in occult hepatitis C virus infection. (United States)

    Carreño, Vicente; Bartolomé, Javier; Castillo, Inmaculada; Quiroga, Juan Antonio


    Occult hepatitis C virus (HCV) infection, defined as the presence of HCV RNA in liver and in peripheral blood mononuclear cells (PBMCs) in the absence of detectable viral RNA in serum by standard assays, can be found in anti-HCV positive patients with normal serum levels of liver enzymes and in anti-HCV negative patients with persistently elevated liver enzymes of unknown etiology. Occult HCV infection is distributed worldwide and all HCV genotypes seem to be involved in this infection. Occult hepatitis C has been found not only in anti-HCV positive subjects with normal values of liver enzymes or in chronic hepatitis of unknown origin but also in several groups at risk for HCV infection such as hemodialysis patients or family members of patients with occult HCV. This occult infection has been reported also in healthy populations without evidence of liver disease. Occult HCV infection seems to be less aggressive than chronic hepatitis C although patients affected by occult HCV may develop liver cirrhosis and even hepatocellular carcinoma. Thus, anti-HCV negative patients with occult HCV may benefit from antiviral therapy with pegylated-interferon plus ribavirin. The persistence of very low levels of HCV RNA in serum and in PBMCs, along with the maintenance of specific T-cell responses against HCV-antigens observed during a long-term follow-up of patients with occult hepatitis C, indicate that occult HCV is a persistent infection that is not spontaneously eradicated. This is an updated report on diagnosis, epidemiology and clinical implications of occult HCV with special emphasis on anti-HCV negative cases.

  7. New perspectives in occult hepatitis C virus infection

    Institute of Scientific and Technical Information of China (English)

    Vicente Carre(n)o; Javier Bartolomé; Inmaculada Castillo; Juan Antonio Quiroga


    Occult hepatitis C virus (HCV) infection,defined as the presence of HCV RNA in liver and in peripheral blood mononuclear cells (PBMCs) in the absence of detectable viral RNA in serum by standard assays,can be found in anti-HCV positive patients with normal serum levels of liver enzymes and in anti-HCV negative patients with persistently elevated liver enzymes of unknown etiology.Occult HCV infection is distributed worldwide and all HCV genotypes seem to be involved in this infection.Occult hepatitis C has been found not only in anti-HCV positive subjects with normal values of liver enzymes or in chronic hepatitis of unknown origin but also in several groups at risk for HCV infection such as hemodialysis patients or family members of patients with occult HCV.This occult infection has been reported also in healthy populations without evidence of liver disease.Occult HCV infection seems to be less aggressive than chronic hepatitis C although patients affected by occult HCV may develop liver cirrhosis and even hepatocellular carcinoma.Thus,anti-HCV negative patients with occult HCV may benefit from antiviral therapy with pegylatedinterferon plus ribavirin.The persistence of very low levels of HCV RNA in serum and in PBMCs,along with the maintenance of specific T-cell responses against HCV-antigens observed during a long-term follow-up of patients with occult hepatitis C,indicate that occult HCV is a persistent infection that is not spontaneously eradicated.This is an updated report on diagnosis,epidemiology and clinical implications of occult HCV with special emphasis on anti-HCV negative cases.

  8. vascular hemiplegia


    Voto Bernales, Jorge; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú


    The vascular hemiplegia is the functional disorder of a lateral half of the body produced by alterations of cerebral vessels. Should review the concepts of this common condition, with the dual aim of expanding its nosographic value and considering the hemiplegic patient as worthy of the highest professional care La hemiplejia vascular, es el trastorno funcional de una mitad lateral del cuerpo producido por alteraciones de los vasos cerebrales. Conviene revisar los conceptos sobre esta frec...

  9. Data analysis of 2005 Regulus occultation and simulation of the 2014 occultation

    CERN Document Server

    Sigismondi, Costantino; Flatrès, Thomas


    On March 20, 2014 at 6:06 UT (2:06 New York time) Regulus, the 1.3 magnitude brighter star of Leo constellation, is going to be occulted by the asteroid 163 Erigone. The unusual event, visible to the naked eye over NYC, can allow to measure the shape of the asteroid, with reaching a space resolution below the diffraction limit of the eye, and of all instruments not based on interferometry. Ultimately the aperture of the instrument is related to the amount of scintillation affecting the light curve of the occultation, limitating the accuracy of video recorded data. The asteroid profile scans the surface of the star at a velocity of 6 mas/s; the diameter of the star is about 1.3 mas and the detection of the stellar limb darkening signature is discussed, taking into consideration also the Fresnel fringes. New data reduction with R-OTE software of the 2005 Regulus occultation and simulations of the 2014 occultation with Fren_difl software are presented.

  10. Angiographic risk factors of luminal narrowing after coronary balloon angioplasty using balloon measurements to reflect stretch and elastic recoil at the dilation site. The CARPORT Study Group

    NARCIS (Netherlands)

    B.J.W.M. Rensing (Benno); W.R.M. Hermans (Walter); J. Vos (Jeroen); K.J. Beatt (Kevin); P.M.M. Bossuyt (Patrick); W.R. Rutsch (Wolfgang); P.W.J.C. Serruys (Patrick)


    textabstractBecause many ongoing clinical restenosis prevention trials are using quantitative angiography to assess whether a drug is capable of reducing the amount of intimal hyperplasia, quantitative angiographic risk factors for angiographic luminal narrowing after balloon angioplasty were determ

  11. Angiographic risk factors of luminal narrowing after coronary balloon angioplasty using balloon measurements to reflect stretch and elastic recoil at the dilatation site

    NARCIS (Netherlands)

    B.J.W.M. Rensing (Benno); W.R.M. Hermans (Walter); J. Vos (Jeroen); K.J. Beatt (Kevin); P.M.M. Bossuyt (Patrick); W.R. Rutsch (Wolfgang); P.W.J.C. Serruys (Patrick)


    textabstractAbstract Because many ongoing clinical restenosis prevention trials are using quantitative angiography to assess whether a drug is capable of reducing the amount of intimal hyperplasia, quantitative angiographic risk factors for angiographic luminal narrowing after balloon angioplasty

  12. Which angiographic variable best describes functional status 6 months after successful single-vessel coronary balloon angiopasty?

    NARCIS (Netherlands)

    B.J.W.M. Rensing (Benno); W.R.M. Hermans (Walter); P.J. de Feyter (Pim); P.W.J.C. Serruys (Patrick); J.W. Deckers (Jaap)


    textabstractOBJECTIVES. The aim of this study was to determine which quantitative angiographic variable best describes functional status 6 months after coronary balloon angioplasty. BACKGROUND. Several angiographic restenosis criteria have been developed. These can be divided into those that describ

  13. Cerebral angiographic changes on serial examination of a patient with migraine

    Energy Technology Data Exchange (ETDEWEB)

    Masuzawa, T.; Shinoda, S.; Nakahara, N.; Abe, F.; Sato, F.; Furuse, M.


    Curious cerebral angiographic changes are described in a 27-year-old female migraine patient. During the period of observation of this patient, both the intracranial carotid artery and the vertebrobasilar artery systems presented unusual and fascinating cerebral arteriographic pictures. In an attack of migraine, angiography showed that all the intracranial secondary and tertiary branches of the carotid arterial system were dilated without showing any changes in the extracranial arteries and when the migraine attack had subsided, all branches of the carotid arteries as well as the vertebrobasilar arteries demonstreated abnormal segmental narrowings or vasospasm. These sequential angiographic changes have not been hitherto reported in migraine.

  14. Radio Occultation Bending Angle Anomalies During Tropical Cyclones

    DEFF Research Database (Denmark)

    Biondi, Riccardo; Neubert, Torsten; Syndergaard, Stig;

    signature in radio occultation profiles in the tropical tropopause layer. Using tropical cyclone best track database and data from the Constellation Observing System for Meteorology, Ionosphere and Climate (COSMIC), we show that the bending angle anomaly of a GPS radio occultation signal is typically larger...

  15. Prevalence of occult hepatitis B virus infection

    Institute of Scientific and Technical Information of China (English)

    Maria Luisa Gutiérrez-García; Conrado M Fernandez-Rodriguez; Jose Luis Lledo-Navarro; Ingrid Buhigas-Garcia


    Occult hepatitis B virus (HBV) infection (OBI) is characterized by the persistence of HBV DNA in the liver tissue in individuals negative for the HBV surface antigen. The prevalence of OBI is quite variable depending on the level of endemic disease in different parts of the world,the different assays utilized in the studies, and the different populations studied. Many studies have been carried out on OBI prevalence in different areas of the world and categories of individuals. The studies show that OBI prevalence seems to be higher among subjects at high risk for HBV infection and with liver disease than among individuals at low risk of infection and without liver disease.

  16. A digital video system for observing and recording occultations

    CERN Document Server

    Barry, M A; Pavlov, Hristo; Hanna, William; McEwan, Alistair; Filipovic, Miroslav


    Stellar occultations by asteroids and outer solar system bodies can offer ground based observers with modest telescopes and camera equipment the opportunity to probe the shape, size, atmosphere and attendant moons or rings of these distant objects. The essential requirements of the camera and recording equipment are: good quantum efficiency and low noise, minimal dead time between images, good horological faithfulness of the image time stamps, robustness of the recording to unexpected failure, and low cost. We describe the Astronomical Digital Video occultation observing and recording System (ADVS) which attempts to fulfil these requirements and compare the system with other reported camera and recorder systems. Five systems have been built, deployed and tested over the past three years, and we report on three representative occultation observations: one being a 9 +/-1.5 second occultation of the trans-Neptunian object 28978 Ixion (mv=15.2) at 3 seconds per frame, one being a 1.51 +/-0.017 second occultation ...

  17. Radio occultation experiments with INAF-IRA radiotelescopes. (United States)

    Pluchino, S.; Schillirò, F.; Salerno, E.; Pupillo, G.

    The Radio Occultation research program performed at the Medicina and Noto Radioastronomical Stations of the Istituto Nazionale di Astrofisica (INAF) - Istituto di Radioastronomia (IRA) includes observations of spacecraft by satellite and satellite by satellite events. The Lunar Radio Occultation (LRO) part of the program consists in collecting data of the lunar Total Electron Content (TEC), at different limb longitudes and at different time, in order to study long term variation of the Moon's ionosphere. The LRO program started at Medicina in September 2006 with the observation of the European probe SMART-1 during its impact on the lunar soil. It proceeded in 2007 with the observation of the lunar occultations of Saturn and Venus, and with the observation of Mars in 2008. On this occasion the probes Cassini, Venus Express, Mars Express, Mars Reconaissance Orbiter and Mars Odissey were respectively occulted by the moon. On Dec 1st 2008 a Venus lunar occultation occurred. On that occasion we performed the first Italian-VLBI (I-VLBI) tracking experiment by detecting the carrier signals coming from the Venus Express (VEX) spacecraft with both the IRA radiotelescopes together with the Matera antenna of the Italian Space Agency. The second part of the radio occultation program includes the observation of satellite by satellite occultation events, as well as mutual occultations of Jupiter satellites. These events are referred to as mutual phenomena (PHEMU). These observations are aimed to measure the radio flux variation during the occultation and to derive surface spatial characteristics such as Io's hot spots. In this work preliminary results of the Radio Occultation program will be presented.

  18. Ultrasonographic features of vascular closure devices: initial and 6-month follow-up results


    Hye Jung Choo; Hae Woong Jeong; Jin Young Park; Sung-Chul Jin; Sung Tae Kim; Jung Hwa Seo; Sun Joo Lee; Young Mi Park



    This study aimed to evaluate the ultrasonographic findings for various types of vascular closure devices (VCDs) immediately after the angiographic procedure and at 6-month follow-up.


    We included 18 VCDs including Angio-Seal (n=4), FemoSeal (n=8), ExoSeal (n=3), Perclose (n=...

  19. Should incidental asymptomatic angiographic stenoses and occlusions be treated in patients with peripheral arterial disease?

    LENUS (Irish Health Repository)

    Keeling, Aoife N


    The clinical importance of angiographically detected asymptomatic lower-limb stenoses and occlusions is unknown. This study aims to (i) assess the clinical outcome of asymptomatic lesions in the lower limb, (ii) identify predictors of clinical deterioration, and (iii) determine which asymptomatic lower-limb lesions should be treated at presentation.

  20. Comparative quantitative angiographic analysis of directional coronary atherectomy and balloon coronary angioplasty

    NARCIS (Netherlands)

    A.W.M. Umans (A. W M); K.J. Beatt (Kevin); B.J.W.M. Rensing (Benno); W.R.M. Hermans (Walter); P.J. de Feyter (Pim); P.W.J.C. Serruys (Patrick)


    markdownabstract__Abstract__ An attempt to assess the “utility” of directional atherectomy was made using a new quantitative angiographic index. This index can be subdivided into an initial gain component and a restenosis component. The initial gain index is the ratio between the gain in diameter d

  1. Coronary angiographic findings in patients with glucometabolic abnormality and coronary heart disease

    Institute of Scientific and Technical Information of China (English)



    Objective To analyze the characteristics of coronary angiographic(CAG) findings in patients with glucometabolic abnormality and coronary heart disease (CAD).Methods A total of 130 patients with CAD confirmed by CAG were included in this study. The blood pressure, blood glucose

  2. Progress in the development of a new angiography suite including the high resolution micro-angiographic fluoroscope (MAF): a control, acquisition, processing, and image display system (CAPIDS), and a new detector changer integrated into a commercial C-arm angiography unit to enable clinical use (United States)

    Wang, Weiyuan; Ionita, Ciprian N.; Keleshis, Christos; Kuhls-Gilcrist, Andrew; Jain, Amit; Bednarek, Daniel; Rudin, Stephen


    Due to the high-resolution needs of angiographic and interventional vascular imaging, a Micro-Angiographic Fluoroscope (MAF) detector with a Control, Acquisition, Processing, and Image Display System (CAPIDS) was installed on a detector changer which was attached to the C-arm of a clinical angiographic unit. The MAF detector provides high-resolution, high-sensitivity, and real-time imaging capabilities and consists of a 300 μm-thick CsI phosphor, a dual stage micro-channel plate light image intensifier (LII) coupled to a fiber optic taper (FOT), and a scientific grade frame-transfer CCD camera, providing an image matrix of 1024×1024 35 μm square pixels with 12 bit depth. The Solid-State X-Ray Image Intensifier (SSXII) is an EMCCD (Electron Multiplying charge-coupled device) based detector which provides an image matrix of 1k×1k 32 μm square pixels with 12 bit depth. The changer allows the MAF or a SSXII region-of-interest (ROI) detector to be inserted in front of the standard flat-panel detector (FPD) when higher resolution is needed during angiographic or interventional vascular imaging procedures. The CAPIDS was developed and implemented using LabVIEW software and provides a user-friendly interface that enables control of several clinical radiographic imaging modes of the MAF or SSXII including: fluoroscopy, roadmapping, radiography, and digital-subtraction-angiography (DSA). The total system has been used for image guidance during endovascular image-guided interventions (EIGI) using prototype self-expanding asymmetric vascular stents (SAVS) in over 10 rabbit aneurysm creation and treatment experiments which have demonstrated the system's potential benefits for future clinical use.

  3. Vascular Disease Foundation (United States)

    ... Contact Us Vascular Disease What is Vascular Disease? Education and Awareness Vascular Diseases Abdominal Aortic Aneurysm Aortic Dissection Arteriovenous Malformation Atherosclerosis Buerger's Disease Carotid Artery Disease ...

  4. What Is Vascular Disease? (United States)

    ... Contact Us Vascular Disease What is Vascular Disease? Education and Awareness Vascular Diseases Abdominal Aortic Aneurysm Aortic Dissection Arteriovenous Malformation Atherosclerosis Buerger's Disease Carotid Artery Disease ...

  5. Occult hepatitis B virus and hepatitis C virus infections. (United States)

    Carreño, Vicente; Bartolomé, Javier; Castillo, Inmaculada; Quiroga, Juan Antonio


    Occult HBV infection is a well-recognised clinical entity characterised by the detection of HBV-DNA in serum and/or in liver in the absence of detectable hepatitis B surface antigen (HBsAg). Occult HBV infection has been described not only in patients who have resolved an acute or chronic HBV infection but also in patients without any serological markers of a past HBV infection. Occult HBV infection in patients with chronic HCV infection may induce more severe liver disease and lower response rate to interferon treatment. The existence of occult HCV infections has been also reported more recently. Occult HCV infection is characterised by the presence of HCV-RNA in liver and peripheral blood mononuclear cells in the absence of detectable serum HCV-RNA. Occult HCV infection may occur under two different clinical situations: in hepatitis C antibody-(anti-HCV) negative and serum HCV-RNA-negative patients with abnormal liver function tests and in anti-HCV-positive patients who have no detectable serum HCV-RNA and who have normal liver enzymes. The clinical relevance of occult HCV infections is still under investigation.

  6. Review: Occult hepatitis C virus infection: still remains a controversy. (United States)

    Vidimliski, Pavlina Dzekova; Nikolov, Igor; Geshkovska, Nadica Matevska; Dimovski, Aleksandar; Rostaing, Lionel; Sikole, Aleksandar


    Occult hepatitis C virus (HCV) infection is characterized by the presence of HCV RNA in the liver cells or peripheral blood mononuclear cells of the patients whose serum samples test negative for HCV RNA, with or without presence of HCV antibodies. The present study reviews the existing literature on the persistence of occult hepatitis C virus infection, with description of the clinical characteristics and methods for identification of occult hepatitis C. Occult hepatitis C virus infection was detected in patients with abnormal results of liver function tests of unknown origin, with HCV antibodies and HCV RNA negativity in serum, and also in patients with spontaneous or treatment-induced recovery from hepatitis C. The viral replication in the liver cells and/or peripheral blood mononuclear cells was present in all clinical presentations of occult hepatitis C. The peripheral blood mononuclear cells represent an extra-hepatic site of HCV replication. The reason why HCV RNA was not detectable in the serum of patients with occult hepatitis C, could be the low number of circulating viral particles not detectable by the diagnostic tests with low sensitivity. It is uncertain whether occult hepatitis C is a different clinical entity or just a form of chronic hepatitis C virus infection. Data accumulated over the last decade demonstrated that an effective approach to the diagnosis of HCV infection would be the implementation of more sensitive HCV RNA diagnostic assays, and also, examination of the presence of viral particles in the cells of the immune system.

  7. Vascular emergencies. (United States)

    Semashko, D C


    This article reviews the initial assessment and emergent management of several common as well as uncommon vascular emergencies. Aortic dissection, aneurysms, and arterial occlusive disease are familiar but challenging clinical entities. Less frequently encountered conditions are also discussed including an aortic enteric fistula, mesenteric venous thrombosis, phlegmasia alba dolens, and subclavian vein thrombosis.

  8. Association Between the Chromosome 9p21 Locus and Angiographic Coronary Artery Disease Burden (United States)

    Chan, Kenneth; MPharm; Patel, Riyaz S.; Newcombe, Paul; Nelson, Christopher P.; Qasim, Atif; Epstein, Stephen E.; Burnett, Susan; Vaccarino, Viola L.; Zafari, A. Maziar; Shah, Svati H.; Anderson, Jeffrey L.; Carlquist, John F.; Hartiala, Jaana; Allayee, Hooman; Hinohara, Kunihiko; Lee, Bok-Soo; Erl, Anna; Ellis, Katrina L.; Goel, Anuj; Schaefer, Arne S.; El Mokhtari, Nour Eddine; Goldstein, Benjamin A.; Hlatky, Mark A.; Go, Alan S.; Shen, Gong-Qing; Gong, Yan; Pepine, Carl; Laxton, Ross C.; Whittaker, John C.; Tang, W.H. Wilson; Johnson, Julie A.; Wang, Qing K.; Assimes, Themistocles L.; Nöthlings, Ute; Farrall, Martin; Watkins, Hugh; Richards, A. Mark; Cameron, Vicky A.; Muendlein, Axel; Drexel, Heinz; Koch, Werner; Park, Jeong Euy; Kimura, Akinori; Shen, Wei-feng; Simpson, Iain A.; Hazen, Stanley L.; Horne, Benjamin D.; Hauser, Elizabeth R.; Quyyumi, Arshed A.; Reilly, Muredach P.; Samani, Nilesh J.; Ye, Shu


    Objectives This study sought to ascertain the relationship of 9p21 locus with: 1) angiographic coronary artery disease (CAD) burden; and 2) myocardial infarction (MI) in individuals with underlying CAD. Background Chromosome 9p21 variants have been robustly associated with coronary heart disease, but questions remain on the mechanism of risk, specifically whether the locus contributes to coronary atheroma burden or plaque instability. Methods We established a collaboration of 21 studies consisting of 33,673 subjects with information on both CAD (clinical or angiographic) and MI status along with 9p21 genotype. Tabular data are provided for each cohort on the presence and burden of angiographic CAD, MI cases with underlying CAD, and the diabetic status of all subjects. Results We first confirmed an association between 9p21 and CAD with angiographically defined cases and control subjects (pooled odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.20 to 1.43). Among subjects with angiographic CAD (n = 20,987), random-effects model identified an association with multivessel CAD, compared with those with single-vessel disease (OR: 1.10, 95% CI: 1.04 to 1.17)/copy of risk allele). Genotypic models showed an OR of 1.15, 95% CI: 1.04 to 1.26 for heterozygous carrier and OR: 1.23, 95% CI: 1.08 to 1.39 for homozygous carrier. Finally, there was no significant association between 9p21 and prevalent MI when both cases (n = 17,791) and control subjects (n = 15,882) had underlying CAD (OR: 0.99, 95% CI: 0.95 to 1.03)/risk allele. Conclusions The 9p21 locus shows convincing association with greater burden of CAD but not with MI in the presence of underlying CAD. This adds further weight to the hypothesis that 9p21 locus primarily mediates an atherosclerotic phenotype. PMID:23352782

  9. The Research and Education Collaborative Occultation Network: A System for Coordinated TNO Occultation Observations (United States)

    Buie, Marc W.; Keller, John M.


    We describe a new system and method for collecting coordinated occultation observations of trans-Neptunian objects (TNOs). Occultations by objects in the outer solar system are more difficult to predict due to their large distance and limited span of the astrometric data used to determine their orbits and positions. This project brings together the research and educational community into a unique citizen-science partnership to overcome the difficulties of observing these distant objects. The goal of the project is to get sizes and shapes for TNOs with diameters larger than 100 km. As a result of the system design it will also serve as a probe for binary systems with spatial separations as small as contact systems. Traditional occultation efforts strive to get a prediction sufficiently good to place mobile ground stations in the shadow track. Our system takes a new approach of setting up a large number of fixed observing stations and letting the shadows come to the network. The nominal spacing of the stations is 50 km so that we ensure two chords at our limiting size. The spread of the network is roughly 2000 km along a roughly north-south line in the western United States. The network contains 56 stations that are committed to the project and we get additional ad hoc support from International Occultation Timing Association members. At our minimum size, two stations will record an event while the other stations will be probing the inner regions for secondary events. Larger objects will get more chords and will allow determination of shape profiles. The stations are almost exclusively sited and associated with schools, usually at the 9-12 grade level. We present a full description of the system we have developed for the continued exploration of the Kuiper Belt.

  10. Scattering and extinction: interpreting hazes in stellar occultation data (United States)

    Bosh, Amanda S.; Levine, Stephen; Sickafoose, Amanda A.; Person, Michael J.


    There has been debate concerning interpretation of stellar occultation data and whether those data contain evidence for hazes within Pluto's atmosphere. Multiple layers of haze have been imaged in at Pluto with the New Horizons spacecraft; color-dependent differences in minimum flux from stellar occultations also suggests haze. We look at a purely geometric approach, to evaluate whether it is valid to sidestep details of atmospheric temperature structure and, in an approximate manner, conduct an analysis of the 2015 stellar occultation data that is consistent with the New Horizons imaging results. Support for this work was provided by NASA SSO grant NNX15AJ82G to Lowell Observatory.

  11. Whole-body (99m)Tc-octreotide scintigraphy with SPECT/CT to detect occult tumor inducing paraneoplastic osteomalacia. (United States)

    Rodrigues, Napoleão Ramalho; Calich, Ana Luisa; Etchebehere, Mauricio; Ichiki, Wilson Andre; Pereira, Fabio Payao; Amstalden, Elaine Maria Ingrid; de Sa Etchebehere, Elba Cristina


    A 32-year-old woman presented with progressive myalgia, bone pain, fatigue, insufficiency hip fractures, high urine phosphate, and low serum phosphate and vitamin D levels. These findings were suggestive of oncogenic osteomalacia. A whole-body Tc-octreotide scintigraphy with SPECT/CT showed uptake on a sclerotic intramedullary lesion in the left medial tibia plateau. MRI depicted a solid lesion. The lesion was surgically removed; the patient became asymptomatic, and follow-up laboratory results normalized. Histopathologic examination revealed a vascular hemangiopericytoma-like tumor, positive for somatostatin receptor (SSR-2). Whole-body Tc-octreotide scintigraphy with SPECT/CT may detect occult oncogenic osteomalacia tumors.

  12. Occult internal iliac arterial injury identified during open reduction internal fixation of an acetabular fracture: a report of two cases. (United States)

    Chaus, George W; Heng, Marilyn; Smith, Raymond M


    We present two cases of occult internal iliac arterial injury identified during operative reduction of a widely displaced posterior column posterior wall acetabular fracture. This complication was not recognised until reduction of the column fracture. There were no preoperative signs or symptoms indicative of a vascular injury. These cases emphasise the heightened awareness one must have when treating widely displaced posterior column fractures of the acetabulum, especially those fractures with extension into the greater sciatic notch, as previously formed clot can become dislodged and hemostasis lost. We also present management options when this complication occurs. We believe any surgeon treating acetabular fractures should be aware of this serious and potentially fatal complication.

  13. What can the occult do for you?

    CERN Document Server

    Holwerda, B W


    Interstellar dust is still a dominant uncertainty in Astronomy, limiting precision in e.g., cosmological distance estimates and models of how light is re-processed within a galaxy. When a foreground galaxy serendipitously overlaps a more distant one, the latter backlights the dusty structures in the nearer foreground galaxy. Such an overlapping or occulting galaxy pair can be used to measure the distribution of dust in the closest galaxy with great accuracy. The STARSMOG program uses Hubble to map the distribution of dust in foreground galaxies in fine (<100 pc) detail. Integral Field Unit (IFU) observations will map the effective extinction curve, disentangling the role of fine-scale geometry and grain composition on the path of light through a galaxy. The overlapping galaxy technique promises to deliver a clear understanding of the dust in galaxies: geometry, a probability function of dimming as a function of galaxy mass and radius, and its dependence on wavelength.

  14. Verifying timestamps of occultation observation systems

    CERN Document Server

    A., M; Gault, Dave; Bolt, Greg; McEwan, Alistair; Filipovic, Miroslav D; White, Graeme L


    We describe an image timestamp verification system to determine the exposure timing characteristics and continuity of images made by an imaging camera and recorder, with reference to Coordinated Universal Time (UTC). The original use was to verify the timestamps of stellar occultation recording systems, but the system is applicable to lunar flashes, planetary transits, sprite recording, or any area where reliable timestamps are required. The system offers good temporal resolution (down to 2 msec, referred to UTC) and provides exposure duration and interframe dead time information. The system uses inexpensive, off-the- shelf components, requires minimal assembly and requires no high-voltage components or connections. We also describe an application to load FITS (and other format) image files, which can decode the verification image timestamp. Source code, wiring diagrams and built applications are provided to aid the construction and use of the device.

  15. Occult hepatitis B virus infection in Egypt

    Institute of Scientific and Technical Information of China (English)


    The emerging evidence of the potentially clinicalimportance of occult hepatitis B virus (HBV) infection(OBI) increases the interest in this topic. OBI mayimpact in several clinical contexts, which include thepossible transmission of the infection, the contributionto liver disease progression, the development ofhepatocellular carcinoma, and the risk of reactivation.There are several articles that have published on OBI inEgyptian populations. A review of MEDLINE databasewas undertaken for relevant articles to clarify theepidemiology of OBI in Egypt. HBV genotype D is theonly detectable genotype among Egyptian OBI patients.Higher rates of OBI reported among Egyptian chronicHCV, hemodialysis, children with malignant disorders, andcryptogenic liver disease patients. There is an evidenceof OBI reactivation after treatment with chemotherapy.The available data suggested that screening for OBI mustbe a routine practice in these groups of patients. Furtherstudies needed for better understand of the epidemiologyof OBI among Egyptian young generations after the eraof hepatitis B vaccination.

  16. Theory of radio occultation by Saturn's rings (United States)

    Marouf, E. A.; Tyler, G. L.; Eshleman, V. R.


    The radio occultation technique, as applied to Saturn's rings, is developed as a new method for the study of the physical properties of planetary ring systems. The rings are treated as a Doppler-spread radar target composed of an ensemble of discrete scatterers. The mathematical formulation of the received signal as a random-phasor-sum process is carried out following a conventional radar theory approach, providing a convenient starting point for deriving coherent signal parameters. A classical result is rederived for the equivalent refractive index of the medium. The analysis is generalized to include ringlets of arbitrary width and it is shown that when the width is such that two adjacent rays are differentially perturbed in phase, ray bending that causes focusing of the coherent signal may result. The diffuse component is also treated in detail.

  17. Comparative study on the clinical and virological characteristics among patients with single occult hepatitis B virus (HBV), single occult hepatitis C virus (HCV) and occult HBV and HCV dual infection. (United States)

    Castillo, Inmaculada; Rodríguez-Iñigo, Elena; López-Alcorocho, Juan Manuel; Bartolomé, Javier; Pardo, Margarita; Carreño, Vicente


    Occult hepatitis B virus (HBV) and occult hepatitis C virus (HCV) infection are two recently described different forms of HBV and HCV infections. This work compares the clinical, virologic, and histologic characteristics of patients with occult dual infection to those of patients with single occult HBV or HCV infection. Seventy-six patients with abnormal liver function tests of unknown etiology (serum HBsAg, anti-HCV, HBV-DNA, and HCV-RNA negative) were included in the study. Viral genomes were tested in liver by real-time PCR and confirmed by in situ hybridization. Of the 76 patients, 17 had occult HBV infection (intrahepatic HBV-DNA positive, HCV-RNA negative), 35 had occult HCV infection (intrahepatic HCV-RNA positive, HBV-DNA negative) and 24 occult dual infection (intrahepatic HCV-RNA and HBV-DNA). No differences among the three groups were found regarding clinical and epidemiologic data. The median load of intrahepatic genomic and antigenomic HCV-RNA strands was similar between single occult HCV infection and occult HBV and HCV dual infection. The percentage of HCV-infected hepatocytes did not differ between these groups. In occult single HBV infection, intrahepatic levels of HBV-DNA and percentage of HBV-infected hepatocytes were similar to the group of patients with occult dual infection. Finally, no differences were found in histological liver damage among the three groups. In conclusion, liver disease in patients with occult dual infection was not more severe than in patients with single occult HBV or occult HCV infection. Moreover, in occult dual infection there is no a reciprocal inhibition of the viral genomes.

  18. UARS Halogen Occultation Experiment (HALOE) Level 2 V001 (United States)

    National Aeronautics and Space Administration — The HALOE home page on the WWW is The Halogen Occultation Experiment (HALOE) on NASA's Upper Atmosphere Research Satellite...

  19. An Outrigger Component for a Deployable Occulter System Project (United States)

    National Aeronautics and Space Administration — In Phase II, Roccor proposes to build upon the results of Phase I to increase the technology readiness level (TRL) of the NASA JPL deployable external occulter. An...

  20. Fecal Occult Blood Test and Fecal Immunochemical Test (United States)

    ... Visit Global Sites Search Help? Fecal Occult Blood Test and Fecal Immunochemical Test Share this page: Was this page helpful? Also ... Test Common Questions Ask Us Related Pages The Test How is it used? When is it ordered? ...

  1. Treatment Options for Metastatic Squamous Neck Cancer with Occult Primary (United States)

    ... Research Metastatic Squamous Neck Cancer with Occult Primary Treatment (PDQ®)–Patient Version General Information About Metastatic Squamous ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  2. Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence

    Directory of Open Access Journals (Sweden)

    Bilal Chughtai


    Conclusion. An ambulatory pessary trial is an effective, easy, and inexpensive method to approximate anatomic results achieved by surgery under real-life conditions. In our series, 20% of patients with occult SUI were identified by pessary trial alone.

  3. Solar occultation with SCIAMACHY: algorithm description and first validation

    Directory of Open Access Journals (Sweden)

    J. Meyer


    Full Text Available This presentation concentrates on solar occultation measurements with the spaceborne spectrometer SCIAMACHY in the UV-Vis wavelength range. Solar occultation measurements provide unique information about the vertical distribution of atmospheric constituents. For retrieval of vertical trace gas concentration profiles, an algorithm has been developed based on the optimal estimation method. The forward model is capable of simulating the extinction signals of different species as they occur in atmospheric transmission spectra obtained from occultation measurements. Furthermore, correction algorithms have been implemented to address shortcomings of the tangent height pre-processing and inhomogeneities of measured solar spectra. First results of O3 and NO2 vertical profile retrievals have been validated with data from ozone sondes and satellite based occultation instruments. The validation shows very promising results for SCIAMACHY O3 and NO2 values between 15 to 35km with errors of the order of 10% and 15%, respectively.

  4. Photoreceptor atrophy in acute zonal occult outer retinopathy

    DEFF Research Database (Denmark)

    Zibrandtsen, N.; Munch, I.C.; Klemp, K.;


    Purpose: To assess retinal morphology in acute zonal occult outer retinopathy (AZOOR). Methods: Three patients with a normal ophthalmoscopic fundus appearance, a history of photopsia, and visual field loss compatible with AZOOR were examined using optical coherence tomography, automated perimetry...

  5. Radio occultation based on BeiDou satellite navigation (United States)

    Jiang, Hu; Hu, Haiying; Shen, Xue-min; Gong, Wenbin; Zhang, Yonghe


    With the development of GNSS systems, it has become a tendency that radio occultation is used to sense the Earth's atmosphere. By this means, the moisture, temperature, pressure, and total electron content can be derived. Based on the sensing results, more complicated models for atmosphere might come into being. Meteorology well benefits from this technology. As scheduled, the BD satellite navigation system will have a worldwide coverage by the end of 2020. Radio occultation studies in China have been highlighted in the recent decade. More and more feasibilities reports have been published in either domestic or international journals. Herein, some scenarios are proposed to assess the coverage of radio occultation based on two different phases of BD satellite navigation system. Phase one for BD is composed of GEO,IGSO and several MEO satellites. Phase two for BD consists mostly of 24 MEO satellites, some GEO and IGSO satellites. The characteristics of radio occultation based on these two phases are presented respectively.

  6. Sensitivity of GPS occultation to the stratopause height

    DEFF Research Database (Denmark)

    Schrøder, Thomas Morville; Ao, Chi; de la Torre Juárez, Manuel


    We scrutinize temperature profiles collected with radio occultation measurement for an imprint of the stratopause. In the retrieval step that integrates bending angle data to atmospheric refractivity, the falloff toward infinite altitude is constrained in a boundary condition with statistical opt...... rate, not isothermal conditions. Keeping the model seed for temperature conversion to subsequent retrieval steps eliminates external information from the deconvolved refractivity. It will help argue for radio occultation as independent vehicle for climate monitoring....

  7. Status of the Transneptunian Automated Occultation Survey (TAOS II) (United States)

    Lehner, Matthew; Wang, Shiang-Yu; Alcock, Charles; Reyes-Ruiz, Mauricio; Castro, Joel; Chen, Wen Ping; Chu, You-Hua; Cook, Kem H.; Geary, John C.; Huang, Chung-Kai; Kim, Dae-Won; Norton, Timothy; Szentgyorgyi, Andrew; Yen, WeiLing; Zhang, Zhi-Wei; Figueroa, Liliana


    The Transneptunian Automated Occultation Survey (TAOS II) will aim to detect occultations of stars by small (~1 km diameter) objects in the Kuiper Belt and beyond. Such events are very rare ($Construction of the site began in the fall of 2013, and the survey will begin in the summer of 2017. This poster will provide an update on the status of the survey development and the schedule leading to the beginning of survey operations.

  8. New perspectives in occult hepatitis C virus infection


    CARREÑO, VICENTE; Bartolomé, Javier; Castillo, Inmaculada; Quiroga, Juan Antonio


    Occult hepatitis C virus (HCV) infection, defined as the presence of HCV RNA in liver and in peripheral blood mononuclear cells (PBMCs) in the absence of detectable viral RNA in serum by standard assays, can be found in anti-HCV positive patients with normal serum levels of liver enzymes and in anti-HCV negative patients with persistently elevated liver enzymes of unknown etiology. Occult HCV infection is distributed worldwide and all HCV genotypes seem to be involved in this infection. Occul...

  9. Occult hepatitis B among Iranian hepatitis C patients


    Ahmad shavakhi; Babak Norinaier; Fatomeh Esteghamat; Mohamad Seghatoleslami; Mahsa Khodadustan; Mohamad hossein Somi; Mohsen Masoodi; Mohamad reza Zali


    • BACKGROUND: Occult hepatitis B is defined as presence of HBV DNA in tissue or serum without hepatitis B surface antigen. The aim of this study is to determine frequency of occult hepatitis B among hepatitis C patients in Tehran and compare the route of transmission and liver enzymes between positive and negative HBV DNA patients.
    • METHODS: In a cross sectional study, serum of 103 hepatitis C cas...

    • Venous thromboembolism and occult cancer: impact on clinical practice. (United States)

      Gheshmy, Afshan; Carrier, Marc


      Unprovoked venous thromboembolism (VTE) can be the first manifestation of cancer. Given this relationship between unprovoked VTE and cancer, it is appealing for clinicians to screen their patients with a first episode of acute unprovoked VTE for a potential occult malignancy. Five different studies have compared a limited (thorough history and physical exam, basic bloodwork) to a more extensive occult cancer screening strategy (e.g. computed tomography, fludeoxyglucose positron emission tomography, etc.). Most of these studies have failed to show that an extensive occult cancer screening strategy diagnoses more occult cancer (including early cancers), misses fewer cancers during follow-up or improves overall and/or cancer-related mortality suggesting that extensive occult cancer screening should not be performed routinely. Therefore, patients with a first unprovoked VTE should undergo a limited cancer screening only and clinicians should ensure that their patients are up to date regarding age- and gender- specific cancer screening (colon, breast, cervix and prostate) as per their national recommendations. Current evidence does not support a net clinical benefit to perform an extensive occult cancer screening on all patients, and a decision to do additional testing should be made on a case by case basis.

    • Occult hepatitis C virus infection among hemodialysis patients. (United States)

      Barril, Guillermina; Castillo, Inmaculada; Arenas, María Dolores; Espinosa, Mario; Garcia-Valdecasas, Juan; Garcia-Fernández, Nuria; González-Parra, Emilio; Alcazar, José María; Sánchez, Carmen; Diez-Baylón, José Carlos; Martinez, Pilar; Bartolomé, Javier; Carreño, Vicente


      Occult hepatitis C virus (HCV) infection (i.e., detectable HCV-RNA in the liver or peripheral blood mononuclear cells) in the absence of both serum HCV-RNA and anti-HCV antibodies has not been investigated in hemodialysis patients. In this study, real-time PCR and in situ hybridization was used to test for the presence of genomic and antigenomic HCV-RNA in peripheral blood mononuclear cells of 109 hemodialysis patients with abnormal levels of liver enzymes. Occult HCV infection, determined by the presence of genomic HCV-RNA, was found in 45% of the patients; 53% of these patients had ongoing HCV replication, indicated by the presence of antigenomic HCV-RNA. Patients with occult HCV infection had spent a significantly longer time on hemodialysis and had significantly higher mean alanine aminotransferase levels during the 6 mo before study entry. Logistic regression analysis revealed that mortality was associated with age >60 yr (odds ratio 3.30; 95% confidence interval 1.05 to 10.33) and the presence of occult HCV infection (odds ratio 3.84; 95% confidence interval 1.29 to 11.43). In conclusion, the prevalence of occult HCV infection is high among hemodialysis patients with persistently abnormal values of liver enzymes of unknown cause. The clinical significance of occult HCV infection in these patients requires further study.

    • Occult HBV infection among Egyptian hepatocellular carcinoma patients

      Directory of Open Access Journals (Sweden)

      Mansor Tarek M


      Full Text Available Abstract Background Occult HBV infection accelerates the progression of liver fibrosis, cirrhosis, and finally leading to hepatocellular carcinoma (HCC. This study analyzed the occult HBV-genotypes in HCC patients. Methods To achieve our objective, matched serum and tissue samples were collected from 40 HCC patients. Three sets of primers were used for the HBV-DNA detection by nested-PCR, which cover the HBV-genome; Core, Surface and X genes. Genotyping system based on PCR using type-specific primers was applied on HBV-DNA positive samples. Results Intrahepatic occult HBV-DNA was detected in 62.5%, whereas; Serum occult HBV-DNA were detected in only 22.5% of HCC patients. In patients' positive for both anti-HBs and anti-HBc, 10% had occult HBV in serum. In serologically negative HCV patients, 63% had intrahepatic HBV-DNA, and 21% had HBV-DNA in serum samples. HBV-genotype D (32% and B (24% attributed predominantly to intrahepatic HBV infections in HCC patients, whereas HBV-genotype A (4% and C (8% infections were the least observed. Conclusion This is the first study to show the genotypes of occult HBV infection in HCC Patients. We suggest that B or D may influence the outcome of HBV infection which may lead to the development of HCC.

    • Diagnostic strategy for occult hepatitis B virus infection

      Institute of Scientific and Technical Information of China (English)

      Sara Ocana; Maria Luisa Casas; Ingrid Buhigas; Jose Luis Lledo


      In 2008, the European Association for the study of the liver (EASL) defined occult hepatitis B virus infection (OBI) as the "presence of hepatitis B virus (HBV) DNA in the liver (with detectable or undetectable HBV DNA in the serum) of individuals testing hepatitis B surface antigen (HBsAg) negative by currently available assays". Several aspects of occult HBV infection are still poorly understood, including the definition itself and a standardized approach for laboratory-based detection, which is the purpose of this review. The clinical significance of OBI has not yet been established; however, in terms of public health, the clinical importance arises from the risk of HBV transmission. Consequently, it is important to detect high-risk groups for occult HBV infection to prevent transmission. The main issue is, perhaps, to identify the target population for screening OBI. Viremia is very low or undetectable in occult HBV infection, even when the most sensitive methods are used, and the detection of the viral DNA reservoir in hepatocytes would provide the best evaluation of occult HBV prevalence in a defined set of patients. However, this diagnostic approach is obviously unsuitable: blood detection of occult hepatitis B requires assays of the highest sensitivity and specificity with a lower limit of detection < 10 IU/mL for HBV DNA and < 0.1 ng/mL for HBsAg.

    • Earth Occultation Monitoring with the Fermi Gamma Ray Burst Monitor (United States)

      Wilson-Hodge, Colleen A.


      Using the Gamma Ray Burst Monitor (GBM) on-board Fermi, we are monitoring the hard X-ray/soft gamma ray sky using the Earth occultation technique (EOT). Each time a source in our catalog is occulted by (or exits occultation by) the Earth, we measure its flux using the change in count rates due to the occultation. Currently we are using CTIME data with 8 energy channels spanning 8 keV to 1 MeV for the GBM NaI detectors for daily monitoring. Light curves, updated daily, are available on our website Our software is also capable of performing the Earth occultation monitoring using up to 128 energy bands, or any combination of those bands, using our 128-channel, 4-s CSPEC data. The GBM BGO detectors, sensitive from about 200 keV to 40 keV, can also be used with this technique. In our standard application of the EOT, we use a catalog of sources to drive the measurements. To ensure that our catalog is complete, our team has developed an Earth occultation imaging method. In this talk, I will describe both techniques and the current data products available. I will highlight recent and important results from the GBM EOT, including the current status of our observations of hard X-ray variations in the Crab Nebula.

    • Popliteal artery branching patterns-an angiographic study

      Energy Technology Data Exchange (ETDEWEB)

      Day, C.P. [Department of Radiology, Royal Shrewsbury Hospital, Shrewsbury (United Kingdom)]. E-mail:; Orme, R. [Department of Radiology, Royal Shrewsbury Hospital, Shrewsbury (United Kingdom)


      AIM: To analyse the variations in branching patterns of the popliteal artery and infrapopliteal vessels using angiography. MATERIALS And METHODS: Femoral angiograms of 1037 lower limbs in 568 patients were examined to assess the popliteal artery branching pattern. Variations of the infrapopliteal vessels supplying the foot were assessed in 662 limbs from the same cohort of patients. RESULTS: Nine hundred and forty-one (90.7%) limbs had the usual branching pattern with anterior tibial artery (AT) arising first followed by the tibial-peroneal trunk (TPT), which then gives rise to the posterior tibial (PT) and peroneal (PR) arteries. Variations in popliteal branching pattern were seen in 96 (9.3%) limbs. The commonest variation is high origin of the AT in 47 (4.5%) limbs or trifurcation of the popliteal artery in 33 (3.2%) limbs with AT, PT and PR arising together with no true TPT. The course of AT with high origin either anterior or posterior to popliteus was almost equal [25 (2.4%) or 22 (2.1%) limbs, respectively]. Eleven limbs (1.1%) had high origin of PT and two (0.2%) had a high origin of the PR. Six hundred and fifty-five (99%) limbs had normal infrapopliteal vessels. Seven (1%) had hypoplasia-aplasia of the infrapopliteal vessels. Five (0.8%) limbs had a hypoplastic PT with the remaining 2 (0.2%) having either a hypoplastic-aplastic AT or hypoplasia-aplasia of both AT and PT. CONCLUSION: Variations in the branching of the popliteal artery occur in about 10% of patients. Knowledge of these variations is important because of the potential consequences for the management of peripheral vascular disease.

    • The pretzel sign: angiographic pattern of tortuous intra-aneurysmal blood flow in a giant serpentine aneurysm.

      LENUS (Irish Health Repository)

      Fanning, N F


      Giant serpentine aneurysms (GSAs) form a specific subgroup of giant cerebral aneurysms that have pathognomonic angiographic features. We report the angiographic findings of a GSA demonstrating a striking convoluted dynamic flow pattern, which we have called the \\'pretzel sign\\'. The aneurysm was successfully treated by permanent occlusion of the parent vessel using a detachable balloon. GSAs should be identified prior to treatment in view of their particular management requirements.

    • Correlative angiographic and pathologic findings in the diagnosis of ulcerated plaques in the carotid artery. (United States)

      Estol, C; Claasen, D; Hirsch, W; Wechsler, L; Moossy, J


      We determined the accuracy of angiography in the diagnosis of internal carotid ulcers by comparing the angiographic reports with the pathologic findings in 36 endarterectomy specimens. Eighteen of these specimens had microscopic ulcerations, and the observer with the highest accuracy rate read 12, of which ten were ulcerated. These results revealed a sensitivity of 56%, a specificity of 89%, and an overall accuracy of 61% for angiography. The ulcers were classified into types A, B, and C to assess the interobserver agreement rate among three readers. This resulted in a 4% interobserver agreement among a total of 75 ulcers. Because of the high interobserver disagreement and the poor correlation between angiographic and pathologic findings in the surgical specimens, we conclude that the diagnosis of carotid artery ulceration by angiography is not reliable.

    • Endovascular Management of the Arteria Profunda Femoralis: Long-Term Angiographic and Clinical Outcomes

      Energy Technology Data Exchange (ETDEWEB)

      Karnabatidis, Dimitrios, E-mail:; Spiliopoulos, Stavros; Pastromas, Georgios; Katsanos, Kostantinos; Siablis, Dimitrios [Patras University Hospital, School of Medicine, Department of Diagnostic and Interventional Radiology (Greece)


      Purpose: This study was designed to investigate the long-term angiographic and clinical outcomes of percutaneous transluminal angioplasty (PTA) of the arteria profunda femoralis (PFA), in a series of patients suffering from critical limb ischemia (CLI) or severe intermittent claudication (IC). Methods: Our department's database was searched to identify patients who underwent PTA or bail-out stenting of the PFA. Among the study's inclusion criteria were Rutherford categories 3-6 and {>=}70% stenosis of the PFA. Only de novo stenotic lesions were assessed. Primary endpoints were technical success, angiographic lesion primary patency, angiographic binary in-lesion restenosis, and target lesion recanalization (TLR) rates. Secondary endpoints included patient survival, limb salvage, and complication rates. Patient's baseline demographics, lesion, and procedural details were analyzed. Results: Between 2001 and 2011, 20 consecutive patients (17 males) with a mean age of 73 {+-} 9 (range 53-87) years underwent PTA or bail-out stenting in 23 PFA lesions. Critical limb ischemia was the indication in eight of 20 patients (40%). The mean lesion length was 31 {+-} 9.5 mm. The procedural technical success was 100% (23/23), whereas mean time angiographic and clinical follow-up was 26.8 {+-} 24.6 months. According to the Kaplan-Meier analysis, primary patency and binary restenosis rate were 95 and 86.1% respectively up to 8 years follow-up. No TLR procedures were performed. The 8-year patient survival and limb salvage rates were 87.5 and 84.7% respectively. Conclusions: PTA or stenting of focal, stenotic, PFA lesions, in patients suffering from CLI or IC, exhibit high long-term primary patency rates, as well as low binary restenosis and TLR rates. Large, multicenter studies are required to validate these results.

    • Radiological analysis of hemifacial spasm with special reference to angiographic manifestations

      Energy Technology Data Exchange (ETDEWEB)

      Carlos, R.; Hasuo, K.; Uchino, A.; Kudo, S.; Matsuura, K.; Fukui, M.; Matsushima, T.; Tamura, S.; Kitamura, K.


      Fifty-one patients with hemifacial spasm secondary to facial nerve compression by normal appearing, elongated, tortuous and/or dilated arteries, were treated by microsurgical neurovascular decompression. Post-operatively, 91% of 44 of these patients with one to six year postoperative follow-ups were satisfactory. The angiographic findings showed significant increase in the number of common trunk anomalies. Variations of the anterior and posterior inferior cerebellar and vertebral arteries are discussed in relation to nerve compression.

    • Angiographic and risk factor characteristics of subjects with early onset ischaemic heart disease.


      Nitter-Hauge, S; Erikssen, J; Thaulow, E; Vatne, K


      Sixty-six consecutive patients less than 40 years of age with angiographically documented coronary artery disease and coronary heart disease took part in a study aimed at (1) identifying the presence of factors which might explain the premature onset of ischaemic heart disease, and (2) assessing the distribution and severity of the coronary artery lesions. For comparisons we have used a study of risk factors in 1832 men defined as "normals" according to a recent comprehensive examination. The...

  1. Intractable Postpartum Bleeding: A Comparison of the Retrospective Analysis of Angiographic Findings and Transcatheter Arterial Embolization According to Delivery Pattern

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Eun Jung; Kim, Young Hwan; Kim, Si Hyung; Choi, Jin Soo; Park, Jun Cheol; Kwon, Sang Hun; Jo, Chi Heum; Cha, Soon Do [Keimyung University College of Medicine, Daegu (Korea, Republic of)


    We evaluated the technical aspect and efficacy of transcatheter arterial embolization (TAE) in cases of intractable postpartum bleeding by comparing the angiographic findings women patients according to their delivery pattern. Between July of 2003 and March of 2008, 55 female patients were enrolled in this study. Of the 55 patients, 36 underwent a vaginal delivery (group 1), whereas 19 underwent a cesarean section delivery (group 2). We retrospectively evaluated the angiographic findings and the embolization technique between groups, using a Pearson Chi-Square test. Medical records and telephone interview findings were also reviewed to evaluate the efficacy of TAE and the outcome of fertility. Significantly greater positive angiographic findings were found in group 2 (63.2%) relative to group 1 (30.6%). For positive angiographic findings, except for AVM, the embolization was performed using coil or glue with gelfoam. For the negative angiographic findings or AVM, the gelfoam was the only embolic agent used. In all patients except for one, bleeding stopped after embolization. Major complications occurred in 2 patients only, and included uterine synechia and perforation. All patients except for one recovered after menstruation. In total, four patients became pregnant and one patient delivered a healthy infant. Positive angiographic findings requiring embolization with coil or glue, as well as gelfoam, were more commonly encountered in group 2 than in group 1. Based on the outcome of the study group, TAE is a safe and effective treatment for intractable postpartum bleeding and is also useful for preserving fertility.

  2. Evolution of Coronary Flow in an Experimental Slow Flow Model in Swines: Angiographic and Pathological Insights

    Directory of Open Access Journals (Sweden)

    Yupeng Bai


    Full Text Available Objective. Pathomechanism of coronary slow flow phenomenon remains largely unclear now. Present study observed the pathological and angiographic evolution in a pig model of coronary slow flow. Methods. Coronary slow flow was induced by repeat coronary injection of small doses of 40 µm microspheres in 18 male domestic pigs and angiographic and pathological changes were determined at 3 hours, 7 days, and 28 days after microspheres injection. Results. Compared to control group treated with coronary saline injection n=6 and baseline level, coronary flow was significantly reduced at 3 hours and 7 days but completely recovered at 28 days after coronary microsphere injection in slow flow group. Despite normal coronary flow at 28 days after microsphere injection, enhanced myocardial cytokine expression, left ventricular dysfunction, adverse remodelling, and ischemia/microembolism related pathological changes still persisted or even progressed from 3 hours to 28 days after coronary microsphere injection. Conclusions. Our results show that this large animal slow flow model could partly reflect the chronic angiographic, hemodynamic, and pathological changes of coronary slow flow and could be used to test new therapy strategies against the slow flow phenomenon.

  3. Angiographically Negative Acute Arterial Upper and Lower Gastrointestinal Bleeding: Incidence, Predictive Factors, and Clinical Outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Hyoung; Shin, Ji Hoon; Yoon, Hyun Ki; Chae, Eun Young; Myung, Seung Jae; Ko, Gi Young; Gwon, Dong Il; Sung, Kyu Bo [Asan Medical Center, Seoul (Korea, Republic of)


    To evaluate the incidence, predictive factors, and clinical outcomes of angiographically negative acute arterial upper and lower gastrointestinal (GI) bleeding. From 2001 to 2008, 143 consecutive patients who underwent an angiography for acute arterial upper or lower GI bleeding were examined. The angiographies revealed a negative bleeding focus in 75 of 143 (52%) patients. The incidence of an angiographically negative outcome was significantly higher in patients with a stable hemodynamic status (p < 0.001), or in patients with lower GI bleeding (p = 0.032). A follow-up of the 75 patients (range: 0-72 months, mean: 8 {+-} 14 months) revealed that 60 of the 75 (80%) patients with a negative bleeding focus underwent conservative management only, and acute bleeding was controlled without rebleeding. Three of the 75 (4%) patients underwent exploratory surgery due to prolonged bleeding; however, no bleeding focus was detected. Rebleeding occurred in 12 of 75 (16%) patients. Of these, six patients experienced massive rebleeding and died of disseminated intravascular coagulation within four to nine hours after the rebleeding episode. Four of the 16 patients underwent a repeat angiography and the two remaining patients underwent a surgical intervention to control the bleeding. Angiographically negative results are relatively common in patients with acute GI bleeding, especially in patients with a stable hemodynamic status or lower GI bleeding. Most patients with a negative bleeding focus have experienced spontaneous resolution of their condition.

  4. The zero-wall puncture: a novel angiographic puncture technique with substantial benefits

    Energy Technology Data Exchange (ETDEWEB)

    Leswick, D.A.; Szkup, P.; Stoneham, G.W. [Univ. of Saskatchewan, Royal Univ. Hospital, Dept. of Radiology, Saskatoon, Saskatchewan (Canada)]. E-mail:


    Medical education can be busy, exhausting, and stressful, with potential adverse effects on trainees' physical and mental health. Radiology residency is no exception. In addition to increased daily workload and study requirements, Canadian radiology residents are performing a diverse and increasing number of emergent diagnostic examinations after hours. In an attempt to improve resident self-worth and efficiency during angiographic rotations, we investigated the effects of a novel angiographic puncture procedure on various resident lifestyle indexes. Standard techniques for accessing the femoral artery are either the single-wall puncture or double-wall puncture (Seldinger technique). Both of these techniques are widely known and practiced. Following procedure completion, hemostasis must be achieved at the puncture site. This has traditionally required manual compression at the puncture site, which may require 15 to 20 minutes. At our institution the standard policy is that 'whoever makes the puncture, compresses the groin,' also known as 'you broke it, you fix it'. This has prompted our industrious resident complement to develop a novel, previously undescribed, angiographic puncture technique known as the 'zero-wall puncture technique.' Preliminary unpublished results from our institution show that when residents employ the zero-wall puncture technique the attending staff radiologist subsequently both performs the puncture and compresses the groin at the end of the procedure. We investigated the effect of zero-wall puncture on various resident lifestyle indexes. (author)

  5. Starshade Design for Occulter Based Exoplanet Missions (United States)

    Thomson, Mark W.; Lisman, P. Douglas; Helms, Richard; Walkemeyer, Phil; Kissil, Andrew; Polanco, Otto; Lee, Siu-Chun


    We present a lightweight starshade design that delivers the requisite profile figure accuracy with a compact stowed volume that permits launching both the occulter system (starshade and spacecraft) and a 1 to 2m-class telescope system on a single existing launch vehicle. Optimal figure stability is achieved with a very stiff and mass-efficient deployable structure design that has a novel configuration. The reference design is matched to a 1.1m telescope and consists of a 15m diameter inner disc and 24 flower-like petals with 7.5m length. The total tip-to-tip diameter of 30m provides an inner working angle of 75 mas. The design is scalable to accommodate larger telescopes and several options have been assessed. A proof of concept petal is now in production at JPL for deployment demonstrations and as a testbed for developing additional elements of the design. Future plans include developing breadboard and prototype hardware of increasing fidelity for use in demonstrating critical performance capabilities such as deployed optical edge profile figure tolerances and stability thereof.

  6. Occult celiac disease prevents penetrance of hemochromatosis

    Institute of Scientific and Technical Information of China (English)

    Andreas Geier; Siegfried Matern; Carsten Gartung; Igor Theurl; Guenter Weiss; Frank Lammert; Christoph G. Dietrich; Ralf Weiskirchen; Heinz Zoller; Benita Hermanns


    AIM: To report a patient with C282Y homozygocity, depleted body iron and intestinal atrophy caused by celiac disease (CD) who experienced resolution of the enteropathy with subsequent normalization of iron metabolism upon glutenfree diet.METHODS: To obtain information on the tissue distribution and quantitative expression of proteins involved in duodenal iron trafficking, we determined the expression of divalent-metal transporter 1 (DMT1), ferroportin 1 (FP1) and transferrin receptor (TfR1) by means of immunohistochemistry and real-time PCR in duodenal biopsies of this patient.RESULTS: Whereas in hereditary hemochromatosis patients without CD, DMT1 expression was up-regulated leading to excessive uptake of iron, we identified a significant reduction in protein and mRNA expression of DMT1 as acompensatory mechanism in this patient with HH and CD.CONCLUSION: Occult CD may compensate tot increased DMT1 expression in a specific subset of individuals withhomozygous C282Y mutations in the hemochromatosis(HFE) gene, thus contributing to the low penetrance of HH.

  7. Celestial shadows eclipses, transits, and occultations

    CERN Document Server

    Westfall, John


    Much of what is known about the universe comes from the study of celestial shadows—eclipses, transits, and occultations.  The most dramatic are total eclipses of the Sun, which constitute one of the most dramatic and awe-inspiring events of nature.  Though once a source of consternation or dread, solar eclipses now lead thousands of amateur astronomers and eclipse-chasers to travel to remote points on the globe to savor their beauty and the adrenaline-rush of experiencing totality, and were long the only source of information about the hauntingly beautiful chromosphere and corona of the Sun.   Long before Columbus, the curved shadow of the Earth on the Moon during a lunar eclipse revealed that we inhabit a round world. The rare and wonderful transits of Venus, which occur as it passes between the Earth and the Sun, inspired eighteenth century expeditions to measure the distance from the Earth to the Sun, while the recent transits of 2004 and 2012 were the most widely observed ever--and still produced re...

  8. MRI of radiographically occult ischial apophyseal avulsions

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, Arthur B. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, MLC 5031, Cincinnati, OH (United States); Children' s Hospital of Wisconsin, Milwaukee, WI (United States); Laor, Tal; Zbojniewicz, Andrew M.; Anton, Christopher G. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, MLC 5031, Cincinnati, OH (United States)


    Acute avulsions of unossified ischial apophyses in children may go undetected on radiography. Therapy includes rest and rehabilitation; however, substantial displacement may require surgery. Our purpose is to illustrate the utility of MRI in the detection of these radiographically occult injuries in skeletally immature children. This retrospective study of more than 5 years included children with ischial avulsions who were evaluated with both radiography and MRI within 3 weeks of acute injury. Initially, radiographs were reviewed to identify those children with unossified ischial apophyses. Subsequently, their MRI examinations were assessed for physeal disruption, bone/soft tissue edema, periosteal/perichondrial elevation and disruption. Initial and follow-up radiographs (if available) were reviewed. Patient age, symptoms and offending activity were determined from clinical records. Five children met inclusion criteria. All initial radiographs were normal. MRI showed: edema (n = 5), periosteal elevation (n = 4), periosteal/perichondrial disruption (n = 4), >5.5 mm displacement (n = 0). Follow-up radiographs in two children (2 and 2.5 months from MRI) showed osseous ischial irregularity. The apophyses remained unossified. Acute unossified ischial apophyseal avulsions in children may be radiographically undetected. In the setting of correlative clinical symptoms, MRI can be used to identify these injuries and to help direct appropriate therapy. (orig.)

  9. The angiographic features of cerebral ischemia due to Takayasu arteritis%大动脉炎性脑缺血的脑血管造影特征分析

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the angiographic features of c cerebral ischemia due to Takayasu arteritis. Methods The clinical data and angiographic findings of twenty patients with Takayasu rteritis were analyzed retrospectively. Two experienced radiologists read all the angiographic images of the patients with a double-blind method, then discussed together, and finally formed an unanimous interpretation. Results According to the Lupi-Herrera classification, 17 of 20 patients were type Ⅰ and the rest 3 were type Ⅲ on angiograms. The affected arteries mainly included subclavian artery (19 patients), carotid artery (17 patients), vertebral artery (12 patients), and brachiocephalic trunk (6 patients). Conclusions Cerebral angiography can accurately and effectively assess the vascular status in patients with cerebral ischemia due to Takayasu arteritis. It is beneficial in the diagnosis of Takayasu arteritis..%目的 探讨大动脉炎性脑缺血的脑血管造影特征.方法 回顾性分析20例大动脉炎性脑缺血患者的病例资料及脑血管造影结果.脑血管造影资料由有经验的介入放射学医师按盲法对比进行分析,然后共同讨论并达成一致意见.结果 20例中,经血管造影按Lupi-Herrera 综合分型法Ⅰ型17例,Ⅲ型3例.主要受累动脉包括锁骨下动脉19例,颈动脉17例,椎动脉12例,头臂干6例.结论脑血管造影可准确、有效的评估大动脉炎性脑缺血患者的血管情况,有利于大动脉炎的诊断.

  10. [Occultism, parapsychology and the esoteric from the perspective of psychopathology]. (United States)

    Scharfetter, C


    The concepts and main themes of occultism, parapsychology and esoterics are set in comparison to religion, spirituality, mysticism. The cultural relativity of these concepts is emphasised. Occultism means dealing with phenomena, processes, and/or powers which are not accessible to "normal perception". The manipulation of such powers is effected via (white, black, grey) magic. Parapsychology, in its popular sense, deals with occult phenomena, whereas scientific parapsychology investigates them empirically. Esoterics is a complex of beliefs within a hermetic tradition about occult processes and about desting after death. Transpersonal psychology deals with these issues while calling them "spiritual". Effects of paranormal experiences and actions on the side of the actor as well as the adept are discussed: personality types, interpersonal effects, crises and psychoses (mediumistic psychoses). The concept of dissociation of subpersonalities (subselves) appears to be a viable perspective to explain these phenomena. In mediumistic psychoses, the splitting of non-ego parts of the psyche leads to a manifestation of schizophrenic symptoms. Dangers for mental health are an ego inflation by self-attribution of "superhuman" power. A personality disposition for parapsychological perception and/or action may be seen in schizotypia and similar near-psychotic "personalities up the border". Adepts of occultism may present with a "false self" in the sense of Winnicott.

  11. The Lunar Occultation Observer (LOCO) -- A Nuclear Astrophysics All-Sky Survey Mission Concept (United States)

    Miller, R. S.; Bonamente, M.; Burgess, J. M.; Jenke, P.; Lawrence, D. J.; O'Brien, S.; Orr, M. R.; Paciesas, W. S.; Young, C. A.


    The Lunar Occultation Observer (LOCO) is a new γ-ray astrophysics mission concept expected to have unprecedented sensitivity in the nuclear regime. Operating in lunar orbit, LOCO will utilize lunar occultation imaging to survey and probe the cosmos.

  12. Update on occult hepatitis B virus infection (United States)

    Makvandi, Manoochehr


    The event of mutations in the surface antigen gene of hepatitis B virus (HBV) results in undetectable hepatitis B surface antigen with positive/negative anti-hepatitis B core (anti-HBc) antibody status in serum and this phenomenon is named occult hepatitis B infection (OBI). The presence of anti-HBc antibody in serum is an important key for OBI tracking, although about 20% of OBI cases are negative for anti-HBc antibody. The diagnosis of OBI is mainly based on polymerase chain reaction (PCR) and real-time PCR assays. However, real-time PCR is a more reliable method than PCR. OBI is a great issue for the public health problem and a challenge for the clinical entity worldwide. The persistence of OBI may lead to the development of cirrhosis and hepatocellular carcinoma. With regard to OBI complications, the screening of HBV DNA by the highly sensitive molecular means should be implemented for: (1) patients with a previous history of chronic or acute HBV infection; (2) patients co-infected with hepatitis C virus/human immunodeficiency virus; (3) patients undergoing chemotherapy or anti-CD20 therapy; (4) recipients of organ transplant; (5) blood donors; (6) organ transplant donors; (7) thalassemia and hemophilia patients; (8) health care workers; (9) patients with liver related disease (cryptogenic); (10) hemodialysis patients; (11) patients undergoing lamivudine or interferon therapy; and (12) children in time of HBV vaccination especially in highly endemic areas of HBV. Active HBV vaccination should be implemented for the close relatives of patients who are negative for OBI markers. Thus, the goal of this review is to evaluate the rate of OBI with a focus on status of high risk groups in different regions of the world. PMID:27818588

  13. Occult sporadic insulinoma:Localization and surgical strategy

    Institute of Scientific and Technical Information of China (English)

    Bassam Abboud; Joe Boujaoude


    Insulinomas continue to pose a diagnostic challenge to physicians,surgeons and radiologists alike.Most are intrapancreatic,benign and solitary.Biochemical diagnosis is obtained and imaging techniques to localize lesions continue to evolve.Surgical resection is the treatment of choice.Despite all efforts,an occult insulinoma (occult insulinoma refers to a biochemically proven tumor with indeterminate anatomical site before operation) may still be encountered.New localization preoperative techniques decreases occult cases and the knowledge of the site of the mass before surgery allows to determine whether enucleation of the tumor or pancreatic resection is likely to be required and whether the tumor is amenable to removal via a laparoscopic approach.In absence of preoperative localization and intraoperative detection of an insulinoma,blind pancreatic resection is not recommended.

  14. Detection of occult metastasis in patients with breast cancer. (United States)

    Hawes, D; Neville, A M; Cote, R J


    The most important factor affecting the outcome of patients with invasive cancer is whether the tumor has spread, either regionally (to regional lymph nodes) or systemically. However, a proportion of patients with no evidence of systemic dissemination will develop recurrent disease after primary "curative" therapy. Clearly, these patients had occult systemic spread of disease that was undetectable by routinely employed methods (careful pathological, clinical, biochemical, and radiological evaluation). In addition, the success of adjuvant therapy is assumed to stem from its ability to eradicate occult metastases before they become clinically evident. Therefore, methods for the detection of occult metastases in patients with the earliest stage of cancer, i.e., prior to detection of metastases by any other clinical or pathological analysis, have received a great deal of attention.

  15. Benefits and harms of detecting clinically occult breast cancer. (United States)

    Amir, Eitan; Bedard, Philippe L; Ocaña, Alberto; Seruga, Bostjan


    Over the last few decades there has been an increase in the use of strategies to detect clinically occult breast cancer with the aim of achieving diagnosis at an earlier stage when prognosis may be improved. Such strategies include screening mammography in healthy women, diagnostic imaging and axillary staging in those diagnosed with breast cancer, and the use of follow-up imaging for the early detection of recurrent or metastatic disease. Some of these strategies are established, whereas for others there are inconsistent supportive data. Although the potential benefit of early detection of clinically occult breast cancer seems intuitive, use of such strategies can also be associated with harm. In this commentary, we provide an extended discussion on the potential benefits and harms of the routine and frequent use of screening interventions to detect clinically occult breast cancer and question whether we may be causing more harm than good.

  16. Stellar Occultations from Airborne Platforms: 1988 to 2016 (United States)

    Bosh, Amanda S.; Dunham, Edward W.; Zuluaga, Carlos; Levine, Stephen; Person, Michael J.; Van Cleve, Jeffrey E.


    Observing a stellar occultation by a solar system body with an airborne telescope requires precise positioning of the observer within the shadow cast onto the Earth. For small bodies like Pluto and Kuiper Belt objects, smaller than the Earth, the challenge is particularly intense, with the accuracy of the astrometric and flight planning determining whether the observation succeeds or fails. From our first airborne occultation by Pluto in 1988 aboard the Kuiper Airborne Observatory (KAO), to our most recent event by Pluto in 2015 aboard the Stratospheric Observatory for Infrared Astronomy (SOFIA), we have refined our astrometric and flight planning systems to the point where we can now place an airborne observer into the small central flash zone. We will discuss the history of airborne observation of occultations while detailing the improvements in the astrometric processes. Support for this work was provided by NASA SSO grant NNX15AJ82G to Lowell Observatory.

  17. The occultation of Surrealism: a study of the relationship between Bretonian Surrealism and western esotericism

    NARCIS (Netherlands)

    Bauduin, T.M.


    It has been said that Surrealism was nothing if not deeply involved with occultism and Western esotericism. Others claim that there was no such involvement or even that Surrealism was directly opposed to the occult and esoteric. ‘The occultation of Surrealism’ offers a fresh view of this complex and

  18. Constraints on Pluto's Hazes from 2-Color Occultation Lightcurves (United States)

    Hartig, Kara; Barry, T.; Carriazo, C. Y.; Cole, A.; Gault, D.; Giles, B.; Giles, D.; Hill, K. M.; Howell, R. R.; Hudson, G.; Loader, B.; Mackie, J. A.; Olkin, C. B.; Rannou, P.; Regester, J.; Resnick, A.; Rodgers, T.; Sicardy, B.; Skrutskie, M. F.; Verbiscer, A. J.; Wasserman, L. H.; Watson, C. R.; Young, E. F.; Young, L. A.; Buie, M. W.; Nelson, M.


    The controversial question of aerosols in Pluto's atmosphere first arose in 1988, when features in a Pluto occultation lightcurve were alternately attributed to haze opacity (Elliot et al. 1989) or a thermal inversion (Eshleman 1989). A stellar occultation by Pluto in 2002 was observed from several telescopes on Mauna Kea in wavelengths ranging from R- to K-bands (Elliot et al. 2003). This event provided compelling evidence for haze on Pluto, since the mid-event baseline levels were systematically higher at longer wavelengths (as expected if there were an opacity source that scattered more effectively at shorter wavelengths). However, subsequent occultations in 2007 and 2011 showed no significant differences between visible and IR lightcurves (Young et al. 2011).The question of haze on Pluto was definitively answered by direct imaging of forward-scattering aerosols by the New Horizons spacecraft on 14-JUL-2015. We report on results of a bright stellar occultation which we observed on 29-JUN-2015 in B- and H-bands from both grazing and central sites. As in 2007 and 2011, we see no evidence for wavelength-dependent extinction. We will present an analysis of haze parameters (particle sizes, number density profiles, and fractal aggregations), constraining models of haze distribution to those consistent with and to those ruled out by the occultation lightcurves and the New Horizons imaging.References:Elliot, J.L., et al., "Pluto's Atmosphere." Icarus 77, 148-170 (1989)Eshleman, V.R., "Pluto's Atmosphere: Models based on refraction, inversion, and vapor pressure equilibrium." Icarus 80 439-443 (1989)Elliot, J.L., et al., "The recent expansion of Pluto's atmosphere." Nature 424 165-168 (2003)Young, E.F., et al., "Search for Pluto's aerosols: simultaneous IR and visible stellar occultation observations." EPSC-DPS Joint Meeting 2011, held 2-7 October 2011 in Nantes, France (2011)

  19. Presentation of Axillary Metastases from Occult Breast Carcinoma

    Institute of Scientific and Technical Information of China (English)

    Xin Wang


    Axillary presentation from occult breast cancer is uncommon and continues to be a diagnostic and therapeutic challenge to physicians.Once the diagnosis of adenocarcinoma metastatic to an axillary lymph node has been confirmed,a preoperative workup should be done.The current experience is based on several relatively small retrospective reviews and case reports.It is difficult to determine the best management of occult breast cancer.However,treatmenl of axillary Iymph node dissection is recommended for local control and complete staging information.Treatment of breast should be a choice between breast conservation with whole-breast radiotherapy and mastectomy.Adjuvant systemic treatment should be offered.

  20. Occult hepatitis C virus infection in Iranian hemodialysis patients


    Eslamifar, Ali; Ramezani, Amitis; Ehteram, Hassan; Razeghi, Effat; Ahmadi, Farrokhlagha; Amini, Manouchehr; Banifazl, Mohammad; Etemadi, Gelavizh; Keyvani, Hossein; Bavand, Anahita; Aghakhani, Arezoo


    Background: Occult hepatitis C virus (HCV) infection is defined as the presence of HCV-RNA in liver or peripheral blood mononuclear cells (PBMCs) in the absence of detectable hepatitis C antibody (anti-HCV) or HCV-RNA in the serum. Low concentrations of HCV-RNA may be detected in PBMCs of hemodialysis (HD) patients and this could have a great impact on the management of HD patients. Objectives: The aim of this study was to detect the occult HCV infection in Iranian HD patients. Patients and M...

  1. Generation of a Bending Angle Radio Occultation Climatology (BAROCLIM and its use in radio occultation retrievals

    Directory of Open Access Journals (Sweden)

    B. Scherllin-Pirscher


    Full Text Available In this paper, we introduce a bending angle radio occultation climatology (BAROCLIM based on Formosat-3/COSMIC (F3C data. This climatology represents the monthly-mean atmospheric state from 2006 to 2012. Bending angles from radio occultation (RO measurements are obtained from the accumulation of the change in the raypath direction of Global Positioning System (GPS signals. Best quality of these near-vertical profiles is found from the middle troposphere up to the mesosphere. Beside RO bending angles we also use data from the Mass Spectrometer and Incoherent Scatter Radar (MSIS model to expand BAROCLIM in a spectral model, which (theoretically reaches from the surface up to infinity. Due to the very high quality of BAROCLIM up to the mesosphere, it can be used to detect deficiencies in current state-of-the-art analysis and reanalysis products from numerical weather prediction (NWP centers. For bending angles derived from European Centre for Medium-Range Weather Forecasts (ECMWF analysis fields from 2006 to 2012, e.g., we find a positive bias of 0.5% to % at 40 km, which increases to more than 2% at 50 km. BAROCLIM can also be used as a priori information in RO profile retrievals. In contrast to other a priori information (i.e., MSIS we find that the use of BAROCLIM better preserves the mean of raw RO measurements. Global statistics of statistically optimized bending angle and refractivity profiles also confirm that BAROCLIM outperforms MSIS. These results clearly demonstrate the utility of BAROCLIM.

  2. Retinal angiographic blood flowmetry is reduced in the ocular ischaemic syndrome

    DEFF Research Database (Denmark)

    Hansen, Grith Lssrkholm; Kofoed, Peter Kristian; Munch, Inger Christine;


    with ocular ischaemic syndrome (OIS) and 20 control eyes from subjects with carotid artery stenosis but without signs of ocular ischaemia. Analyses of video fluorescein angiograms extracting time intervals for the time delay between specific phases of the angiogram were performed. Time delay was compared...... and a correlation between flow and ocular perfusion pressure. While angiographic flowmetry proved effective in discriminating between groups of individuals, it can only be used to support the diagnosis of the ocular ischaemic syndrome in patients with extreme flow reduction....

  3. Effectiveness of music interventions for women with high anxiety during coronary angiographic procedures: a randomized controlled. (United States)

    Nilsson, Ulrica


    The purpose was to investigate if women with high pre-procedural anxiety reported higher degree of relaxation and comfort if listening to music during coronary angiographic procedures. A prospective randomized controlled trial was used included 68 patients undergoing coronary angiography and/or PCI. The women were allocated to receive calming music and standard care or standard care only. Relaxation, environmental sound and discomfort associated with lying still were assessed. There was significantly more positive impression of the sound environment and less discomfort associated with lying still in women listening to music in comparison to women who received only standard care. No effect in relaxation was found.

  4. Occult intraspinal abnormalities and congenital scoliosis

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Erfani


    Full Text Available

    BACKGROUND: Congenital scoliosis occurs because of either the failure of formation or the failure of segmentation or both. Evaluation of the incidence and the types of occult intraspinal abnormalities in congenital scoliosis is the subject of this study.

    METHODS: During a period of 29 years, 103 patients with congenital scoliosis were studied. MRI was used in 46 patients, myelography or CT myelography was used in 64 patients and both MRI and myelography or CT myelography were used in 7 patients for intraspinal abnormalities.

    RESULTS: In the MRI group, among the 46 patients, 19 patients (41.3% had intraspinal abnormalities consisting syringomyelia in 9 (19.5% diastematomyelia in 8 (17.4%, tethered cord syndrome in 6 (13%, low conus in 5 (10.8% and diplomyelia in 3 (6.5% of the patients. In the myelography group, among the 64 patients, 17 (26.5% had intraspinal abnormalities and diastematomyelia was the most common one found in 14 (21.8% patients.

    CONCLUSIONS: Intraspinal abnormalities are frequent in congenital scoliosis. Syringomyelia may be associated with congenital scoliosis. In congenital scoliosis, rib fusion may be an indicator of intraspinal abnormalities in MRI. A significant difference between clinical findings and intraspinal anomalies (P<0.05 was noted. Moreover, we believe that total spinal MRI with coronal, sagittal and axial views is a valuable tool in determining the intraspinal abnormalities in congenital scoliosis. This method is highly

  5. Oh Glorious Geometry: Eclipses, Transits, and Occultations (United States)

    Sinclair, R. M.


    Astronomical objects are like a grand clockwork in the sky; they follow steady patterns in time. However, these bright objects we see are not just points of light but have finite dimensions and thus can get in each other's way. As a result, some stars puzzle us by brightening or dimming, or the Sun can frighten us by going out unexpectedly when something else blocks its light. There is nothing unusual about these eclipses, occultations, or transits—they are demonstrations of simple physics—and we take some for granted, like the rotation of Earth moving us into darkness each night. The periodic dimming of a bright star worried mankind for millennia and helped give astronomy a shove. And unexpected events, like a solar or lunar eclipse, can inspire awe and change the course of history. Now that we can observe through telescopes and travel by proxy throughout the solar system, we find the universe is rife with shadow and light shows. Those taking place within our solar system have been useful to astronomy (like the recent transits of Venus or the ever-present eclipses of the Jovian satellites), and were of considerable popular interest, allowing us to think beyond the confines of Earth. Now we detect distant exoplanets transiting their parent stars, announcing the presence of other solar systems in our corner of the Galaxy and changing the discussion about life elsewhere in the universe from mere speculation to plausible possibility. Distant galaxies can make visible ever-further galaxies by forming Einstein rings, allowing us to see behind them and make the structure of the universe more evident. This paper will discuss these phenomena, from those visible easily on Earth to those that can now be seen for the first time from probes in space. We will also discuss how this has expanded popular knowledge of the universe we live in. This paper is illustrated by a number of examples ranging from eclipses and transits throughout the solar system and the nearby stars to

  6. Advances in Fecal Occult Blood Tests: The FIT Revolution

    NARCIS (Netherlands)

    G.P. Young; E.L. Symonds (Erin L.); J.E. Allison (James E.); S.R. Cole (Stephen R.); C.G. Fraser (Callum G.); S. Halloran (S.); E.J. Kuipers (Ernst); H.E. Seaman (Helen E.)


    textabstractThere is a wide choice of fecal occult blood tests (FOBTs) for colorectal cancer screening. Goal: To highlight the issues applicable when choosing a FOBT, in particular which FOBT is best suited to the range of screening scenarios. Four scenarios characterize the constraints and expectat

  7. The Structure of Enceladus' Plume from Cassini Occultation Observations (United States)

    Hansen, C. J.; Esposito, L. W.; Buffington, B. B.; Colwell, J.; Hendrix, A. R.; Meinke, B. K.; Shemansky, D. E.; Stewart, I.; West, R. A.


    Cassini's Ultraviolet Imaging Spectrograph (UVIS) has observed 2 stellar and one solar occultation by Enceladus' water vapor plume. These observations have established that water is the primary constituent of the plume, allowed us to calculate the flux of water coming from the plume, and detected super-sonic jets of gas imbedded within the plume [1]. On 19 October 2011 two stars (epsilon and zeta Orionis) will simultaneously be occulted by the plume, and the signal of the two will be in separate pixels on the detector. This is a tangential occultation that will provide a horizontal cut through the plume at two altitudes. The two stars are separated by 24 mrad, or ~20 km, with the lower altitude star 18 km above the limb at its closest point. The groundtrack is similar to the 2010 solar occultation, but viewed from the other side of the plume. Results from this new data set with implications for the vertical structure of the plume and jets will be presented.

  8. Radio occultation bending angle anomalies during tropical cyclones

    Directory of Open Access Journals (Sweden)

    R. Biondi


    Full Text Available The tropical deep convection affects the radiation balance of the atmosphere changing the water vapor mixing ratio and the temperature of the upper troposphere lower stratosphere. The aim of this work is to better understand these processes and to investigate if severe storms leave a significant signature in radio occultation profiles in the tropical tropopause layer. Using tropical cyclone best track database and data from different GPS radio occultation missions (COSMIC, GRACE, CHAMP, SACC and GPSMET, we selected 1194 profiles in a time window of 3 h and a space window of 300 km from the eye of the cyclone. We show that the bending angle anomaly of a GPS radio occultation signal is typically larger than the climatology in the upper troposphere and lower stratosphere and that a double tropopause during deep convection can easily be detected using this technique. Comparisons with co-located radiosondes, climatology of tropopause altitudes and GOES analyses are also shown to support the hypothesis that the bending angle anomaly can be used as an indicator of convective towers. The results are discussed in connection to the GPS radio occultation receiver which will be part of the Atomic Clock Ensemble in Space (ACES payload on the International Space Station.

  9. The Effect of Diurnal Variations on Ionospheric Radio Occultations (United States)

    Yelle, Roger V.; Koskinen, Tommi; Withers, Paul; Schinder, Paul J.; Moses, Julianne I.; Mueller-Wodarg, Ingo


    Radio occultations are a powerful technique for the study of atmospheres and ionospheres by planetary spacecraft. For missions to the outer solar system, the occultations always probe the terminator region of the planet. The analysis of radio occultations typically assumes symmetry along the ray path in the horizontal direction about the tangent point. While this is an excellent assumption for the neutral atmosphere where the scale length of horizontal gradients is large, it is suspect for the ionosphere where electron densities decrease rapidly from day to night. Diurnal variations in peak electron density are often several orders of magnitude and may occur over a region of a few degrees. We investigate the consequences of diurnal variations on ionospheric occultations with a ray tracing calculation for the angular deflection and frequency residual of the radio wave. The calculations are based on photochemical/diffusion models for the ionospheres of Saturn and Titan. Differences from analysis based on the assumption of horizontal symmetry are most pronounced in the bottom side ionosphere where chemical time constants are short.

  10. Occult Dirofilariosis in Dogs of North Eastern Region in India

    Directory of Open Access Journals (Sweden)

    Sonjoy Kumar-Borthakur


    Full Text Available Background: The North Eastern Region in India is endemic for canine heartworm disease but in clinics accurate diagnosis is some times difficult. The aim of the present study was to determine the prevalence of occult infections for heartworm disease in canine in two geographical regions of North Eastern India.Methods: A total of 782 numbers of three categories of dogs namely, working dogs of military and paramilitary forces, pet dogs and stray dogs were screened for the presence of heartworm infection from August 2011 to July, 2012 in Guwahati (Assam and Aizawl (Mizoram. Conventional, immunological and molecular techniques were followed for this epidemiological study. The criteria to determine the occult heartworm cases were based on the dif­ferences between heartworm positive cases in PCR test and antigen ELISA test.Results: The findings revealed an overall 22.69 percent occult case. The working dogs had highest prevalence (60% followed by pet (29.16% and stray dogs (17.75%.Conclusion: The highest percentage of occult heartworm infection was present in working dogs maintained under military or paramilitary forces. 

  11. Solar occultation with SCIAMACHY: algorithm description and first validation

    Directory of Open Access Journals (Sweden)

    J. Meyer


    Full Text Available This presentation concentrates on solar occultation measurements with the spaceborne spectrometer SCIAMACHY in the UV-Vis wavelength range. Solar occultation measurements provide unique information about the vertical distribution of atmospheric constituents. For retrieval of vertical trace gas concentration profiles, an algorithm has been developed based on the optimal estimation method. The forward model is capable to simulate the extinction signals of different species as they occur in atmospheric transmission spectra obtained from occultation measurements. Furthermore, correction algorithms have been implemented to address shortcomings of the tangent height pre-processing and inhomogeneities of measured solar spectra. First results of O3 and NO2 vertical profile retrievals have been validated with data from ozone sondes and satellite based occultation instruments. The validation shows very promising results for SCIAMACHY O3 and NO2 values between 15 to 35 km with errors in the order of 10% and 15%, respectively.

  12. Lichen scrofulosorum: An important marker of occult tuberculosis

    Directory of Open Access Journals (Sweden)

    Dogra Naina


    Full Text Available Lichen scrofulosorum is a tuberculid that is usually seen in children or young adults. Although a rare occurrence, this tuberculid is an important marker of occult tuberculosis, which may not be detected otherwise. We report here a case of lichen scrofulosorum in a ten year-old boy with typical grouped lichenoid papules on the trunk associated with axillary tuberculous lymphadenitis.

  13. Occult hepatitis B among Iranian hepatitis C patients

    Directory of Open Access Journals (Sweden)

    Ahmad shavakhi


    Full Text Available

    • BACKGROUND: Occult hepatitis B is defined as presence of HBV DNA in tissue or serum without hepatitis B surface antigen. The aim of this study is to determine frequency of occult hepatitis B among hepatitis C patients in Tehran and compare the route of transmission and liver enzymes between positive and negative HBV DNA patients.
    • METHODS: In a cross sectional study, serum of 103 hepatitis C cases (79.6% men and 20.4% women were analyzed for s, x and core genes via a nested polymerase chain reaction technique.
    • RESULTS: HBV DNA was detectable in serum of 20 patients (19.4%. No significant difference in age, sex and route of transmission were seen in HBV DNA positive and negative patients. In HBV DNA positive and negative groups, mean of AST was 73, 47 (p < 0.05 and mean of ALT was 76 and 36 respectively (p < 0.05.
    • CONCLUSION: Occult hepatitis B was observed in a considerable number of hepatitis C patients in Tehran. It was associated with elevation in liver enzyme but was not related to route of transmission.
    • KEY WORD: Occult hepatitis B, hepatitis C, cirrhosis.

  14. Vertebral Stenting and Vertebroplasty Guided by an Angiographic 3D Rotational Unit

    Directory of Open Access Journals (Sweden)

    Escobar-de la Garma Víctor Hugo


    Full Text Available Introduction. Use of interventional imaging systems in minimally invasion procedures such as kyphoplasty and vertebroplasty gives the advantage of high-resolution images, various zoom levels, different working angles, and intraprocedure image processing such as three-dimensional reconstructions to minimize complication rate. Due to the recent technological improvement of rotational angiographic units (RAU with flat-panel detectors, the useful interventional features of CT have been combined with high-quality fluoroscopy into one single machine. Intraprocedural 3D images offer an alternative way to guide needle insertion and the safe injection of cement to avoid leakages. Case Report. We present the case of a 72-year-old female patient with insidious lumbar pain. Computed tomography revealed a wedge-shaped osteoporotic compression fracture of T10 vertebrae, which was treated successfully with the installation of vertebral stenting system and vertebroplasty with methacrylate guided with a rotational interventional imaging system. Conclusion. Rotational angiographic technology may provide a suitable place for the realization of high-quality minimally invasive spinal procedures, such as kyphoplasty, vertebroplasty, and vertebral stenting. New software programs available nowadays offer the option to make three-dimensional reconstructions with no need of CT scans with the same degree of specificity.

  15. Contrast extravasation into an acute spontaneous intracerebral hematoma: multidetector CT angiographic findings and clinical implications

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seong Eun; Yu, Hyeon; Baik, Hye Won; Lee, Hwa Yeon; Kwak, Byung Kook; Lee, Jong Beum; Kim, Yang Soo; Lee, Yong Chul [Chung-Ang University Hospital, Seoul (Korea, Republic of)


    The purpose of this study was to evaluate multidetector row CT (MDCT) angiographic findings and their clinical significance for contrast extravasation into a spontaneous intracerebral hematoma (ICH). MDCT angiographic studies and clinical records of 115 patients with spontaneous ICH were retrospectively reviewed. Cases were divided into two groups according to the presence or absence of contrast extravasation. The cases in the two groups were compared to determine the differences in radiological and clinical findings. The contrast extravasation group was divided into two subgroups according to radiological findings as follows: single or multiple dot-like contrast extravasation (Type A) and beaded-tubular (with or without dot-like extravasation) contrast extravasation (Type B). Contrast extravasation was seen in 38 patients (33%). It was associated with a larger hematoma volume, more frequent intraventricular hemorrhage (IVH) and subarachnoid hemorrhage (SAH), a shorter time interval from onset to the time of the CT scan, lower Glasgow coma scale (GCS), and a higher mortality rate. Type A and B contrast extravasation were observed in 16 (42%) and 22 (58%) patients, respectively. The rate of IVH and the clinical outcome of patients with Type B showed a significant correlation. Two types of contrast extravasation into an ICH show a significant difference in the rate of IVH and in clinical outcome. Detecting the presence of contrast extravasation and classifying them according to the morphologic patterns are important in predicting a prognosis.

  16. Treatment outcomes of occult breast carcinoma and prognostic analyses

    Institute of Scientific and Technical Information of China (English)

    WANG Jing; ZHANG Ye-fan; WANG Xin; WANG Jian; YANG Xue; GAO Yin-qi; FANG Yi


    Background The surgical management of occult breast cancer is controversial.We compared the outcomes of different treatments of occult breast cancer and evaluated the potential prognostic factors for overall survival and recurrence.Methods We retrospectively reviewed 77 patients who presented to our hospital from 1968 to 2011 with a diagnosis of occult breast cancer.Patients were divided into three groups:42 patients (63%) were treated with modified radical mastectomy+axillary lymph node dissection (ALND),16 patients (24%) were treated with ALND+postoperative radiotherapy,and 9 patients (13%) with only ALND.Survival analyses were undertaken to compare the efficacy of these three treatments.Results Of the 77 patients with occult breast cancer,2 patients were lost to follow-up and 8 patients refused surgical treatment:67 patients (90.4%) were included in this analysis.The median follow-up was 62.2 (0.6-328.0)months.Kaplan-Meier analyses showed no significant difference in overall survival and recurrence-free survival between the three groups (P=0.494 and 0.397,respectively).The prevalence of local recurrence was 11.9% for the mastectomy+ALND,18.8% for ALND+radiotherapy,and 11.1% for ALND-only groups,and those for distant recurrence were 2.4%,12.5%,and 11.1%,respectively.Compared with progesterone receptor-negative subjects,progesterone receptor-positive patients had better overall survival and lower recurrence rates (P=0.057 and 0.062,respectively).Conclusions There was no significant difference in outcomes between mastectomy and breast-preserving surgery.Expression of the progesterone receptor should be taken into account when evaluating the prognosis of occult breast cancer.

  17. Advanced Electrocardiography Can Identify Occult Cardiomyopathy in Doberman Pinschers (United States)

    Spiljak, M.; Petric, A. Domanjko; Wilberg, M.; Olsen, L. H.; Stepancic, A.; Schlegel, T. T.; Starc, V.


    Recently, multiple advanced resting electrocardiographic (A-ECG) techniques have improved the diagnostic value of short-duration ECG in detection of dilated cardiomyopathy (DCM) in humans. This study investigated whether 12-lead A-ECG recordings could accurately identify the occult phase of DCM in dogs. Short-duration (3-5 min) high-fidelity 12-lead ECG recordings were obtained from 31 privately-owned, clinically healthy Doberman Pinschers (5.4 +/- 1.7 years, 11/20 males/females). Dogs were divided into 2 groups: 1) 19 healthy dogs with normal echocardiographic M-mode measurements: left ventricular internal diameter in diastole (LVIDd . 47mm) and in systole (LVIDs . 38mm) and normal 24-hour ECG recordings (dogs with occult DCM: 11/12 dogs had increased M-mode measurements (LVIDd . 49mm and/or LVIDs . 40mm) and 5/11 dogs had also >100 VPCs/24h; 1/12 dogs had only abnormal 24-hour ECG recordings (>100 VPCs/24h). ECG recordings were evaluated via custom software programs to calculate multiple parameters of high-frequency (HF) QRS ECG, heart rate variability, QT variability, waveform complexity and 3-D ECG. Student's t-tests determined 19 ECG parameters that were significantly different (P dogs with occult DCM. For the 5 selected parameters the prediction of occult DCM was performed using a binary logistic regression model with Chi-square tested significance (P improve diagnostic value of short-duration ECG in earlier detection of canine DCM as five selected ECG parameters can with reasonable accuracy identify occult DCM in Doberman Pinschers. Future extensive clinical studies need to clarify if 12-lead A-ECG could be useful as an additional screening test for canine DCM.

  18. The 2010, February 19 stellar occultation by Varuna (United States)

    Sicardy, Bruno; Colas, F.; Maquet, L.; Vachier, F.; Doressoundiram, A.; Roques, F.; Widemann, T.; Ortiz, J.; Assafin, M.; Braga-Ribas, F.; Camargo, J. I. B.; Vieira-Martins, R.; Andrei, A.; da Silva Neto, D.; Behrend, R.; Hund, F.; Hauser, M.; Wagner, S.; Slotegraaf, A.; Willasch, D.; Costa, M. de Jesus; Melo Sousa, P.; Faustino, E.; Prazeres, A.; Machado, S.; Dias do Nascimento, J.; Souza Barreto, E.; Amorim, A.; da Rocha Poppe, P.; Pereira, M. Geraldete; Jacques, C.; Loureiro Giacchini, B.; Collucci, A.; Ferreira da Costa, W.; Martins de Morais, V.


    On 2010, February 19, Varuna occulted UCAC2 star 41014042, as seen from regions in southern Africa and north-eastern Brazil. No occultation was observed neither from the station deployed in South Africa, nor from three other stations in Namibia. Out of twelve stations deployed in Brazil, seven had clouds or instrument malfunctions. Three were negative, one possibly positive (visual) is still being analyzed, and one is definitely positive from Sao Luis (CCD). This makes Varuna the most remote solar system object observed to date through a stellar occultation, with a geocentric distance of 6.4 billions km. The Sao Luis occultation has a duration of 52.5 +/- 0.5 sec, corresponding to a chord length of 1003 +/- 9 km projected in the plane of the sky. No atmospheric signature is apparent in the light curve. Since the closest observation to Sao Luis is negative at a transversal distance of 225 km (Quixada, CCD), a significantly elongated shape is required for Varuna. We will discuss our results in view of current independent estimations of Varuna's diameter combining IR thermal and visible data, with a typical value of 1050 km +/- 200 km (Lellouch et al. 2002, Stansberry et al., 2008). We will also discuss the fact that the occultation occurred near Varuna's maximum brightness along its 6.4 hr rotational (0.4-mag amplitude) light curve. Thus Varuna was observed at maximum apparent surface area, which also corresponds to maximum apparent oblateness for an ellipsoidal shape. Lellouch et al, Astron. Astrophys. 391, 1133-1139 (2002). Stansberry et al., in The Solar System beyond Neptune (eds Barucci, M. A.,Boehnhardt, H., Cruikshank, D. P. & Morbidelli, A.) 161-179 (Univ. Arizona Press, 2008). This work is partially supported by french ANR 08-BLAN-0177 "Beyond Neptune".

  19. Occult Pneumothoraces in Acute Trauma Patients

    Directory of Open Access Journals (Sweden)

    Chad Berryman


    Full Text Available Introduction: Many traumatic pneumothoraces (PTX are not seen on initial chest radiograph (CR(occult PTX but are detected only on computed tomography (CT. Although CR remains the first toolfor detecting PTX, most trauma patients with significant thoracoabdominal injuries will receive both CTand CR. The primary objective of this study was to retrospectively determine the effectiveness of CR fordetecting PTX in trauma patients. Our hypotheses were that CR is a sensitive indicator of PTX on CT,that chest pain and shortness of breath are good predictors of PTX on CR, and that we could determineother predictors of PTX on CR.Methods: All trauma patients presenting to our Level I trauma center with a CT-diagnosed PTX over a2-year period who had both a CR and a chest CT were included. The CT reading was considered thegold standard for PTX diagnosis. Electronic medical records were searched using key words fordiagnoses, symptoms, demographics, and radiologic results. We recorded the official radiologistreadings for both CR and CT (positive or negative and the size of the PTX on CT (large, moderate,small, or tiny. The outcome variable was dichotomized based on presence or absence of PTXdetected on CR. Descriptive statistics and v2 tests were used for univariate analysis. A regressionanalysis was performed to determine characteristics predictive of a PTX on CR, and 1 variable wasadded to the model for every 10 positive CRs. With equal-size groups, this study has the power of 80%to detect a 10% absolute difference in single predictors of PTX on CR with 45 subjects in each group.Results: There were 134 CT-documented PTXs included in the study. Mean age was 42, and 74%were men. For 66 (49% patients, PTX was detected on CR (sensitivity¼50%. The CR detected 30%of small PTX, 35% of moderate PTX, and 33% of large PTX. Comparing patients with and without PTXon CR, there were no significant differences in shortness of breath or chest pain. There no

  20. Branding of vascular surgery. (United States)

    Perler, Bruce A


    The Society for Vascular Surgery surveyed primary care physicians (PCPs) to understand how PCPs make referral decisions for their patients with peripheral vascular disease. Responses were received from 250 PCPs in 44 states. More than 80% of the respondents characterized their experiences with vascular surgeons as positive or very positive. PCPs perceive that vascular surgeons perform "invasive" procedures and refer patients with the most severe vascular disease to vascular surgeons but were more than twice as likely to refer patients to cardiologists, believing they are better able to perform minimally invasive procedures. Nevertheless, PCPs are receptive to the notion of increasing referrals to vascular surgeons. A successful branding campaign will require considerable education of referring physicians about the totality of traditional vascular and endovascular care increasingly provided by the contemporary vascular surgical practice and will be most effective at the local grassroots level.

  1. Angiographic outcomes following stenting or coronary artery bypass surgery of the left main coronary artery: Fifteen-month outcomes from the synergy between PCI with TAXUS express and cardiac surgery left main angiographic substudy (SYNTAX-LE MANS)

    NARCIS (Netherlands)

    M-C. Morice (Marie-Claude); T.E. Feldman (Ted); M. Mack (Michael); E. Stahle (Elisabeth); D.R. Holmes (David); A. Colombo (Antonio); M-A.M. Morel (Marie-Angèle); M.J.B.M. van den Brand (Marcel); P.W.J.C. Serruys (Patrick); F.W. Mohr (Friedrich); D. Carrié (Didier); G. Fournial (Gerard); S.K. James (Stefan); K. Leadly (Katrin); K.D. Dawkins (Keith); A.P. Kappetein (Arie Pieter)


    textabstractAims: The SYNTAX-LE MANS substudy prospectively evaluated 15-month angiographic and clinical outcomes in patients with treated left main (LM) disease. Methods and results: In the SYNTAX trial, 1,800 patients with three-vessel and/or LM disease were randomised to either CABG or PCI; of th

  2. Wave optics-based LEO-LEO radio occultation retrieval (United States)

    Benzon, Hans-Henrik; Høeg, Per


    This paper describes the theory for performing retrieval of radio occultations that use probing frequencies in the XK and KM band. Normally, radio occultations use frequencies in the L band, and GPS satellites are used as the transmitting source, and the occultation signals are received by a GPS receiver on board a Low Earth Orbit (LEO) satellite. The technique is based on the Doppler shift imposed, by the atmosphere, on the signal emitted from the GPS satellite. Two LEO satellites are assumed in the occultations discussed in this paper, and the retrieval is also dependent on the decrease in the signal amplitude caused by atmospheric absorption. The radio wave transmitter is placed on one of these satellites, while the receiver is placed on the other LEO satellite. One of the drawbacks of normal GPS-based radio occultations is that external information is needed to calculate some of the atmospheric products such as the correct water vapor content in the atmosphere. These limitations can be overcome when a proper selected range of high-frequency waves are used to probe the atmosphere. Probing frequencies close to the absorption line of water vapor have been included, thus allowing the retrieval of the water vapor content. Selecting the correct probing frequencies would make it possible to retrieve other information such as the content of ozone. The retrieval is performed through a number of processing steps which are based on the Full Spectrum Inversion (FSI) technique. The retrieval chain is therefore a wave optics-based retrieval chain, and it is therefore possible to process measurements that include multipath. In this paper simulated LEO to LEO radio occultations based on five different frequencies are used. The five frequencies are placed in the XK or KM frequency band. This new wave optics-based retrieval chain is used on a number of examples, and the retrieved atmospheric parameters are compared to the parameters from a global European Centre for Medium

  3. Long-term Luminal Renarrowing After Successful Elective Coronary Angioplasty of Total Occlusions : A Quantitative Angiographic Analysis

    NARCIS (Netherlands)

    A.G. Violaris (Andonis); R. Melkert (Rein); P.W.J.C. Serruys (Patrick)


    textabstractBackground The long-term angiographic outcome after successful dilatation of coronary occlusions remains unclear. The objective of this study was to examine long-term restenosis after successful balloon dilatation of coronary occlusions at a predetermined time interval with quantitative

  4. Usefulness of angiographic embolization endoscopic metallic clip placement in patient with non-variceal upper gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Min Jae; Hwang, Cheol Mog; Kim, Ho Jun; Cho, Young Jun; Bae, Seok Hwan [Dept. of Radiology, Konyang University Hospital, Daejeon (Korea, Republic of); Shin, Byung Seok; Ohm, Joon Young [Dept. of Radiology, Chungnam National University College of Medicine, Daejeon (Korea, Republic of); Kang, Chae Hoon [Dept. of Radiology, Inje University College of Medicine, Pusan Paik Hospital, Busan (Korea, Republic of)


    The aim of this study is to assess the usefulness of angiographic embolization after endoscopic metallic clip placement around the edge of non-variceal upper gastrointestinal bleeding ulcers. We have chosen 41 patients (mean age, 65.2 years) with acute bleeding ulcers (22 gastric ulcers, 16 duodenal ulcers, 3 malignant ulcers) between January 2010 and December 2012. We inserted metallic clips during the routine endoscopic treatments of the bleeding ulcers. Subsequent transcatheter arterial embolization was performed within 2 hours. We analyzed the angiographic positive rates, angiographic success rates and clinical success rates. Among the 41 patients during the angiography, 19 patients (46%) demonstrated active bleeding points. Both groups underwent embolization using microcoils, N-butyl-cyano-acrylate (NBCA), microcoils with NBCA or gelfoam particle. There are no statistically significant differences between these two groups according to which embolic materials are being used. The bleeding was initially stopped in all patients, except the two who experienced technical failures. Seven patients experienced repeated episodes of bleeding within two weeks. Among them, 4 patients were successful re-embolized. Another 3 patients underwent gastrectomy. Overall, clinical success was achieved in 36 of 41 (87.8%) patients. The endoscopic metallic clip placement was helpful to locate the correct target vessels for the angiographic embolization. In conclusion, this technique reduced re-bleeding rates, especially in patients who do not show active bleeding points.

  5. Timing-invariant reconstruction for deriving high-quality CT angiographic data from cerebral CT perfusion data.

    NARCIS (Netherlands)

    Smit, E.J.; Vonken, E.J.; Schaaf, I.C. van der; Mendrik, A.M.; Dankbaar, J.W.; Horsch, A.D.; Seeters, T. van; Ginneken, B. van; Prokop, M.


    PURPOSE: To suggest a simple and robust technique used to reconstruct high-quality computed tomographic (CT) angiographic images from CT perfusion data and to compare it with currently used CT angiography techniques. MATERIALS AND METHODS: Institutional review board approval was waived for this retr

  6. Stenting for symptomatic vertebral artery stenosis associated with bilateral carotid rate mirabile: The long-term clinical and angiographic outcome

    Energy Technology Data Exchange (ETDEWEB)

    Baek, Jang Hyun; Kim, Byung Moon [Dept. of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)


    Symptomatic vertebral artery (VA) stenosis associated with bilateral carotid rate mirabile (CRM) has not been reported. We report the long-term clinical and angiographic outcome after stenting for symptomatic VA stenosis in the patient with bilateral CRM. This report is the first case that symptomatic VA stenosis associated with bilateral CRM was treated with stenting.

  7. C-reactive protein and angiographic characteristics of stable and unstable coronary artery disease : Data from the prospective PREVEND cohort

    NARCIS (Netherlands)

    Geluk, C.A.; Post, W.J.; Hillege, H.L.; Tio, R.A.; Tijssen, J.G.; van Dijk, R.B.; Dijk, Willem; Bakker, S.J.; de Jong, P.E.; van Gilst, W.H.; Zijlstra, F.


    Aims: High sensitive-C-reactive protein (hs-CRP) is associated with coronary risk, which may be explained by an association with (unstable) coronary artery disease (CAD). Until now, histopathological and angiographic studies have failed to consistently demonstrate a strong relationship. However, mos

  8. Association of preS/S Mutations with Occult Hepatitis B Virus (HBV Infection in South Korea: Transmission Potential of Distinct Occult HBV Variants

    Directory of Open Access Journals (Sweden)

    Hong Kim


    Full Text Available Occult hepatitis B virus infection (HBV is characterized by HBV DNA positivity but HBV surface antigen (HBsAg negativity. Occult HBV infection is associated with a risk of HBV transmission through blood transfusion, hemodialysis, and liver transplantation. Furthermore, occult HBV infection contributes to the development of cirrhosis and hepatocellular carcinoma. We recently reported the characteristic molecular features of mutations in the preS/S regions among Korean individuals with occult infections caused by HBV genotype C2; the variants of preS and S related to severe liver diseases among chronically infected patients were also responsible for the majority of HBV occult infections. We also reported that HBsAg variants from occult-infected Korean individuals exhibit lower HBsAg secretion capacity but not reduced HBV DNA levels. In addition, these variants exhibit increased ROS-inducing capacity compared with the wild-type strain, linking HBV occult infections to liver cell damage. Taken together, our previous reports suggest the transmission potential of distinct HBV occult infection-related variants in South Korea.

  9. Association of preS/S Mutations with Occult Hepatitis B Virus (HBV) Infection in South Korea: Transmission Potential of Distinct Occult HBV Variants. (United States)

    Kim, Hong; Kim, Bum-Joon


    Occult hepatitis B virus infection (HBV) is characterized by HBV DNA positivity but HBV surface antigen (HBsAg) negativity. Occult HBV infection is associated with a risk of HBV transmission through blood transfusion, hemodialysis, and liver transplantation. Furthermore, occult HBV infection contributes to the development of cirrhosis and hepatocellular carcinoma. We recently reported the characteristic molecular features of mutations in the preS/S regions among Korean individuals with occult infections caused by HBV genotype C2; the variants of preS and S related to severe liver diseases among chronically infected patients were also responsible for the majority of HBV occult infections. We also reported that HBsAg variants from occult-infected Korean individuals exhibit lower HBsAg secretion capacity but not reduced HBV DNA levels. In addition, these variants exhibit increased ROS-inducing capacity compared with the wild-type strain, linking HBV occult infections to liver cell damage. Taken together, our previous reports suggest the transmission potential of distinct HBV occult infection-related variants in South Korea.

  10. Probing Pluto's Atmosphere Using Ground-Based Stellar Occultations (United States)

    Sicardy, Bruno; Rio de Janeiro Occultation Team, Granada Team, International Occultation and Timing Association, Royal Astronomical Society New Zealand Occultation Section, Lucky Star associated Teams


    Over the last three decades, some twenty stellar occultations by Pluto have been monitored from Earth. They occur when the dwarf planet blocks the light from a star for a few minutes as it moves on the sky. Such events led to the hint of a Pluto's atmosphere in 1985, that was fully confirmed during another occultation in 1988, but it was only in 2002 that a new occultation could be recorded. From then on, the dwarf planet started to move in front of the galactic center, which amplified by a large factor the number of events observable per year.Pluto occultations are essentially refractive events during which the stellar rays are bent by the tenuous atmosphere, causing a gradual dimming of the star. This provides the density, pressure and temperature profiles of the atmosphere from a few kilometers above the surface up to about 250 km altitude, corresponding respectively to pressure levels of about 10 and 0.1 μbar. Moreover, the extremely fine spatial resolution (a few km) obtained through this technique allows the detection of atmospheric gravity waves, and permits in principle the detection of hazes, if present.Several aspects make Pluto stellar occultations quite special: first, they are the only way to probe Pluto's atmosphere in detail, as the dwarf planet is far too small on the sky and the atmosphere is far too tenuous to be directly imaged from Earth. Second, they are an excellent example of participative science, as many amateurs have been able to record those events worldwide with valuable scientific returns, in collaboration with professional astronomers. Third, they reveal Pluto's climatic changes on decade-scales and constrain the various seasonal models currently explored.Finally, those observations are fully complementary to space exploration, in particular with the New Horizons (NH) mission. I will show how ground-based occultations helped to better calibrate some NH profiles, and conversely, how NH results provide some key boundary conditions

  11. Error analysis for mesospheric temperature profiling by absorptive occultation sensors

    Directory of Open Access Journals (Sweden)

    M. J. Rieder

    Full Text Available An error analysis for mesospheric profiles retrieved from absorptive occultation data has been performed, starting with realistic error assumptions as would apply to intensity data collected by available high-precision UV photodiode sensors. Propagation of statistical errors was investigated through the complete retrieval chain from measured intensity profiles to atmospheric density, pressure, and temperature profiles. We assumed unbiased errors as the occultation method is essentially self-calibrating and straight-line propagation of occulted signals as we focus on heights of 50–100 km, where refractive bending of the sensed radiation is negligible. Throughout the analysis the errors were characterized at each retrieval step by their mean profile, their covariance matrix and their probability density function (pdf. This furnishes, compared to a variance-only estimation, a much improved insight into the error propagation mechanism. We applied the procedure to a baseline analysis of the performance of a recently proposed solar UV occultation sensor (SMAS – Sun Monitor and Atmospheric Sounder and provide, using a reasonable exponential atmospheric model as background, results on error standard deviations and error correlation functions of density, pressure, and temperature profiles. Two different sensor photodiode assumptions are discussed, respectively, diamond diodes (DD with 0.03% and silicon diodes (SD with 0.1% (unattenuated intensity measurement noise at 10 Hz sampling rate. A factor-of-2 margin was applied to these noise values in order to roughly account for unmodeled cross section uncertainties. Within the entire height domain (50–100 km we find temperature to be retrieved to better than 0.3 K (DD / 1 K (SD accuracy, respectively, at 2 km height resolution. The results indicate that absorptive occultations acquired by a SMAS-type sensor could provide mesospheric profiles of fundamental variables such as temperature with

  12. Society for Vascular Medicine (United States)

    ... Certification with this new online course from the Society for Vascular Medicine. Learn more. Looking for a ... jobs are listed right now. Copyright © 2016 The Society for Vascular Medicine. All Rights Reserved.

  13. Angiographic validation of magnetic resonance assessment of myocardium at risk in non-ST-elevation myocardial infarction. (United States)

    Buckert, Dominik; Mariyadas, Manuela; Walcher, Thomas; Rasche, Volker; Wöhrle, Jochen; Rottbauer, Wolfgang; Bernhardt, Peter


    In the setting of acute myocardial ischemia, the hypoperfused portion of the myocardium is in danger of becoming irreversibly injured. This portion is called the area at risk (AAR). It is of clinical interest to be able to estimate the AAR for further evaluation and improvement of different revascularization strategies. The Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease Score (APPROACH-score) has been shown to be a jeopardy score with a good performance for angiographic assessment of the myocardium supplied by a coronary vessel, representing the AAR. Recently, cardiac magnetic resonance imaging (CMR) has been demonstrated to also provide good results in determining the AAR, especially in the setting of acute ST-elevation infarction patients. Therefore, the aim of our trial was to compare T2-weighted CMR imaging for assessment of AAR in patients with non-ST-elevation myocardial infarction (NSTEMI) and to validate this approach against the angiographic APPROACH-score. We enrolled sixty-four patients presenting with acute NSTEMI that underwent coronary X-ray angiography within 72 h of symptom onset. Two blinded readers performed offline angiographic AAR assessment using the modified APPROACH-score, as being described elsewhere. Furthermore, with the use of a semi-automatic T2w-CMR approach, the AAR was quantified by two fully blinded readers. The resulting mean AAR determined by the modified APPROACH-score was 28.6 ± 10.0 %. The mean CMR derived AAR was 27.6 ± 12.7 %. CMR assessment tended to slightly underestimate the AAR in comparison to angiographic scoring (difference -0.09 ± 7.6 %). There is a good correlation between the AAR assessed by CMR and by angiography (r = 0.65, p < 0.001). T2-weigthed CMR is able to quantify the AAR with very good correlation to the angiographic APPROACH-score in NSTEMI patients.

  14. Angiographic and CT findings after intra-arterial cytostasis of colorectal liver metastases

    Energy Technology Data Exchange (ETDEWEB)

    Friedrich, M.; Berger, T.; Boese-Landgraf, J.


    Between October 1983 and January 1986, sexteen patients with inoperable liver metastases from colorectal carcinomas were treated by single or cyclical intraarterial chemotherapy introduced either through an angiographic catheter or by means of a subcutaneously implanted access point (Port-A-Cath). Before each treatment cycle, the position of the catheter and the state of the vessels was examined by subtraction angiography in order to avoid complications and to confirm that the cytostatic agents were actually perfusing metastases, as shown by angio-CT. The complementary nature of the information obtained by these methods and their superiority over scintigraphy with /sup 99m/Tc macroaggregated albumin particles is documented and the most frequent complications of regional tumour therapy are described.

  15. Simultaneous imaging of MR angiographic image and brain surface image using steady-state free precession

    Energy Technology Data Exchange (ETDEWEB)

    Takane, Atsushi; Tsuda, Munetaka (Hitachi Ltd., Katsuta, Ibaraki (Japan)); Koizumi, Hideaki; Koyama, Susumu; Yoshida, Takeyuki


    Synthesis of a brain surface image and an angiographic image representing brain surface vasculatures can be useful for pre-operational contemplation of brain surgery. Both brain surface images and brain surface vasculature images were successfully acquired simultaneously utilizing both FID signals and time-reversed FID signals created under steady-state free precession (SSFP). This simultaneous imaging method has several advantages. No positional discrepancies between both images and prolongation of scan time are anticipated because of concurrent acquisition of the two kinds of image data. Superimposition and stereo-display of both images enable understanding of their spatial relationship, and therefore afford a useful means for pre-operational simulation of brain surgery. (author).

  16. An overview of occult hepatitis B virus infection

    Institute of Scientific and Technical Information of China (English)

    Zeinab Nabil Ahmed Said


    Occult hepatitis B virus (HBV) infection (OBI), alternatively defined as occult hepatitis B (OHB), is a challenging clinical entity. It is recognized by two main characteristics: absence of HBsAg, and low viral replication. The previous two decades have witnessed a remarkable progress in our nderstanding of OBI and its clinical implications. Appropriate diagnostic techniques must be adopted. Sensitive HBV DNA amplification assay is the gold standard assay for detection of OBI. Viral as well as host factors are implicated in the pathogenesis of OBI. However, published data reporting the infectivity of OBI by transfusion are limited. Several aspects including OBI transmission, infectivity and its relation to the development of chronic liver diseases and hepatocellular carcinoma have to be resolved. The aim of the present review is to highlight recent data on OBI with a focus on its virological diagnosis and clinical outcome.

  17. Detection of occult disease in tissue donors by routine autopsy. (United States)

    Otero, J; Fresno, M F; Escudero, D; Seco, M; González, M; Peces, R


    The transmission of infectious and neoplastic diseases is a potential risk of tissue allografting. In this study, we analyzed the occurrence of occult disease in tissue donors as detected by standard screening and autopsy. Whereas 18% of the potential donors initially evaluated were eliminated on the basis of their medical and social histories, laboratory screening and autopsy revealed that an additional 9% of tissue donors had undetected, transmissible disease that prohibited tissue donation. This report emphasizes once again the risk of occult disease being transplanted with grafts and the need for autopsy to reduce the likelihood of this occurring. If donor selection, appropriate screening tests, and autopsy are carefully carried out, the risk of transmitting diseases from tissue allografts can be kept to a minimum.

  18. New insights to occult gastrointestinal bleeding: From pathophysiology to therapeutics

    Institute of Scientific and Technical Information of China (English)

    Antonio; Damián; Sánchez-Capilla; Paloma; De; La; Torre-Rubio; Eduardo; Redondo-Cerezo


    Obscure gastrointestinal bleeding is still a clinical challenge for gastroenterologists. The recent development of novel technologies for the diagnosis and treatment of different bleeding causes has allowed a better management of patients, but it also determines the need of a deeper comprehension of pathophysiology and the analysis of local expertise in order to develop a rational management algorithm. Obscure gastrointestinal bleeding can be divided in occult, when a positive occult blood fecal test is the main manifestation, and overt, when external sings of bleeding are visible. In this paper we are going to focus on overt gastrointestinal bleeding, describing the physiopathology of the most usual causes, analyzing the diagnostic procedures available, from the most classical to the novel ones, and establishing a standard algorithm which can be adapted depending on the local expertise or availability. Finally, we will review the main therapeutic options for this complex and not so uncommon clinical problem.

  19. Status of the Transneptunian Automated Occultation Survey (TAOS II) (United States)

    Reyes-Ruiz, Mauricio


    TAOS II is a next generation occultation survey with the goal of measuring the size distribution of the small objects (diameters between 0.5 and 30 km) in the Kuiper Belt. The project is a collaboration between the Academia Sinica Institute of Astronomy and Astrophysics, the Universidad Nacional Autonoma de Mexico, and the Harvard-Smithsonian Center for Astrophysics, The survey will operate three 1.3 m telescopes at San Pedro Martir Observatory in Baja California, Mexico. Each telescope will be equipped with a custom camera comprising a focal plane array of CMOS imagers. Each camera will be capable of reading out image data from 10,000 stars at a cadence of 20 Hz. All telescopes will monitor the same set of stars simultaneously to search for coincident occultation events while minimizing the false positive rate. This poster describes the project and reports on the progress of the development of the survey infrastructure.

  20. Externally Occulted Terrestrial Planet Finder Coronagraph: Simulations and Sensitivities

    CERN Document Server

    Lyon, Richard G; Lo, Amy; Cash, Webster; Starkman, Glenn D; Vanderbei, Robert J; Kasdin, N Jeremy; Copi, Craig J


    A multitude of coronagraphic techniques for the space-based direct detection and characterization of exo-solar terrestrial planets are actively being pursued by the astronomical community. Typical coronagraphs have internal shaped focal plane and/or pupil plane occulting masks which block and/or diffract starlight thereby increasing the planet's contrast with respect to its parent star. Past studies have shown that any internal technique is limited by the ability to sense and control amplitude, phase (wavefront) and polarization to exquisite levels - necessitating stressing optical requirements. An alternative and promising technique is to place a starshade, i.e. external occulter, at some distance in front of the telescope. This starshade suppresses most of the starlight before entering the telescope - relaxing optical requirements to that of a more conventional telescope. While an old technique it has been recently been advanced by the recognition that circularly symmetric graded apodizers can be well appro...

  1. Titan's haze as seen by VIMS during solar occultation observations (United States)

    Sotin, Christophe; Lawrence, Ken; Xu, Fang; West, Robert; Brown, Robert; Baines, Kevin; Buratti, Bonnie; Clark, Roger; Micholson, Phil


    This study describe solar occultation observations of Titan's atmosphere by the Visual and Infrared Mapping Spectrometer (VIMS) onboard the Cassini spacecraft. These observations include two recent observations made in the last few months. The solar occultation observations have been made at different latitudes and seasons, which allows us to investigate the variability of the density profile of aerosols. We present the line curves in the different atmospheric windows, and the data processing and the inversion method to retrieve vertical density profile. This unique data set provides information on Titan's opacity in the atmospheric windows, which is important to retrieve the surface properties. It also provides information on the cross-subsection of the aerosols as a function of wavelength in the wavelength range 1 to 5 micron.

  2. Categorizing the Occult: Vodun, Sorcery and Religious Beliefs In Benin

    DEFF Research Database (Denmark)

    Strandsbjerg, Camilla


    In everyday life in Benin as well as in academic research on the topic, the terms of vodun, witchcraft and the occult are often used in a non distinct way covering quite similar phenomena while at the same time referring to different kinds of beliefs and practices. The problem of understanding...... confronted with this difficulty. Both because the vodun, as a recognized religion in the country - equal to Islam and Christianity - , plays an important role in society as well as in individual life, but also because all area of social life are on one level or another influenced by beliefs and practices...... the popular and academic understanding of three key terms (vodun, sorcery and occult). The paper will thus both focus on the role of religious encounters during early Christian missions in Benin and on the recent expansion of evangelical churches and strengthen of neo vodun cults as well as on the dynamics...

  3. Preliminary study of an angiographic and angio-tomographic technique based on K-edge filters

    Energy Technology Data Exchange (ETDEWEB)

    Golosio, Bruno; Brunetti, Antonio [Dipartimento POLCOMING, Istituto di Matematica e Fisica, Università di Sassari, 07100 Sassari (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Cagliari (Italy); Oliva, Piernicola; Carpinelli, Massimo [Dipartimento di Chimica e Farmacia, Università di Sassari, 07100 Sassari (Italy); Istituto Nazionale di Fisica Nucleare, Sezione di Cagliari (Italy); Luca Masala, Giovanni [Dipartimento di Chimica e Farmacia, Università di Sassari, 07100 Sassari (Italy); Meloni, Francesco [Unità operativa di Diagnostica per immagini Asl n. 1, Ospedale Civile SS Annunziata, 07100 Sassari (Italy); Battista Meloni, Giovanni [Istituto di Scienze Radiologiche, Università di Sassari, 07100 Sassari (Italy)


    Digital Subtraction Angiography is commonly affected by artifacts due to the patient movements during the acquisition of the images without and with the contrast medium. This paper presents a preliminary study on an angiographic and angio-tomographic technique based on the quasi-simultaneous acquisition of two images, obtained using two different filters at the exit of an X-ray tube. One of the two filters (K-edge filter) contains the same chemical element used as a contrast agent (gadolinium in this study). This filter absorbs more radiation with energy just above the so called K-edge energy of gadolinium than the radiation with energy just below it. The other filter (an aluminium filter in this study) is simply used to suppress the low-energy contribution to the spectrum. Using proper calibration curves, the two images are combined to obtain an image of the contrast agent distribution. In the angio-tomographic application of the proposed technique two images, corresponding to the two filter types, are acquired for each viewing angle of the tomographic scan. From the two tomographic reconstructions, it is possible to obtain a three-dimensional map of the contrast agent distribution. The technique was tested on a sample consisting of a rat skull placed inside a container filled with water. Six small cylinders with 4.7 mm internal diameter containing the contrast medium at different concentrations were placed inside the skull. In the plain angiographic application of the technique, five out of six cylinders were visible, with gadolinium concentration down to 0.96%. In the angio-tomographic application, all six cylinders were visible, with gadolinium concentration down to 0.49%. This preliminary study shows that the proposed technique can provide images of the contrast medium at low concentration without most of the artifacts that are present in images produced by conventional techniques. The results encourage further investigation on the feasibility of a clinical

  4. Sex Differences of the Natriuretic Peptide Polymorphism Associated With Angiographic Coronary Atherosclerosis (United States)

    Li, Terry Y.; Tse, M. Yat; Pang, Stephen C.; McLellan, Catherine S.; King, Will D.; Johri, Amer M.


    Background Polymorphisms within natriuretic peptide (NP) genes have been associated with clinical outcomes for cardiovascular disease (CVD), but no previous study has compared the effect of these polymorphisms between men and women. This study aimed to investigate the association between single nucleotide polymorphisms (SNPs) in key genes of the NP system and coronary angiographic outcomes, with the focus on the sexual dimorphism in the effects of these SNPs. Methods Patients undergoing clinically indicated coronary angiography (n = 513, 328 men and 185 women) were consented and genotyped for NPPA rs5065, NPPB rs198389 and NPR2 rs10758325. Patients were stratified into having normal coronaries, non-obstructive coronary artery disease (CAD) or obstructive CAD, based on the highest stenosis in any epicardial artery. Average luminal narrowing across all four arteries was derived to represent the overall atherosclerotic burden. Results The frequency of NPPB rs198389 AA genotype was significantly higher in women with obstructive CAD (P = 0.014). The same association was not observed in males. With respect to atherosclerotic burden, an association was found between the AA genotype and average luminal narrowing in women (P = 0.005), but not in men. Conclusions The current study identified an association between an SNP of the NPPB gene and coronary atherosclerotic burden through angiographic evidence in women but not in men. These results suggest that B-type natriuretic peptide (BNP) may have more important involvement in the development of CAD in women compared to men, and as such, genotyping of the NPPB gene may serve as a potential biomarker to identify women with high risk for CAD. PMID:28275418

  5. Hepatocellular Carcinoma with Blood Supply from Parasitized Omental Artery: Angiographic Appearance And Chemoembolization

    Institute of Scientific and Technical Information of China (English)

    Song Gao; Ren-jie Yang; Jia-hong Dong


    Objective:To analyze angiographic appearance of hepatocellular carcinoma (HCC) with blood supply from parasitized omental artery (POA),and evaluate the technical feasibility,safety and therapeutic efficacy of chemoembolization via the POAs.Methods:A total of 1,221 HCC patients who had undergone chemoembolization procedures were evaluated retrospectively.The evaluated indexes included the incidence rate of POAs,success rate of superselective catheterization,post-reaction after chemoembolization,and the cumulative survival rates.Results:Totally 1,221 HCC patients had undergone 3,639 chemoembolization procedures,and 32 patients with POAs were enrolled,with 97 POAs found in 76 angiography procedures,giving an incidence rate of 2.09%.POA was observed mostly at the right lobe and left medial lobe except the segment Ⅱ,and 62 POAs underwent superselective catheterization with microcatheter,giving a success rate of 63.9%.The angiographic appearance was:(1) hypertrophic POAs participating in tumor staining (n=28); (2) stiff and distorted POA (n=11),displaced due to tumor's oppression (n=8); and (3) defective tumor staining close to either gastrocolic omentum distribution or liver capsule (n=7).In 19 patients,chemoembolization via POAs was performed successfully (A group),while the remaining 13 patients failed (B group).Except 1 acute edema pancreatitis case,no serious complication was recorded.The cumulative survival rates of 6-,12-,18-and 24-month were 78.9%,47.4%,31.6% and 21.1% respectively for A group; correspondingly,61.5%,30.g%,15.4% and 7.7%% for B group,in which 2 patients died of ruptured HCC.Conclusion:Chemoembolization with microcatheter via POAs is a relatively safe,feasible and valuable method.

  6. Lipids, lipoproteins, fibrinogen and fibrinolytic activity in angiographically assessed coronary heart disease. (United States)

    Lipinska, I; Gurewich, V; Meriam, C M; Kosowsky, B D; Ramaswamy, K; Philbin, E; Losordo, D


    Plasma lipids, lipoproteins, fibrinogen and fibrinolytic activity (FA) were measured in 202 consecutive patients undergoing coronary angiography. Twenty-one patients, 13 men and 8 women with a mean age of 52.8 years and 56.7 years respectively, were found to be angiographically free of coronary artery disease (CAD) and served as the principal control group. Since this group contained a disproportionate number of subjects with risk factors such as family history, hypertension and smoking, a second control group of clinically healthy subjects selected for age was also tested. Their laboratory results were not used in the statistical calculations. The group with angiographic CAD consisted of 130 men (mean age 57.6 years) and 51 women (mean age 61.5 years). Abnormal angiograms were graded according to the number of major vessels with more than 50% stenosis involved. The laboratory variables which were significantly (p less than .01-.001) associated with the presence of CAD were: High density lipoprotein (HDL) when determined by polyacrylamide gel electrophoresis (PAGE) and expressed as a percentage of total lipoproteins rather than concentration, presence of Intermediate Density Lipoprotein (IDL), percent of Very Low Density Lipoprotein (VLDL), fibrinogen concentration and FA. The HDL2 subfraction was significantly inversely correlated only in women. The total plasma cholesterol was normal and virtually identical in both groups. Within the CAD group, only two of the laboratory results were significantly correlated with the extent of disease. By univariate analysis, the FA showed the closest association with the score for severity of CAD (p less than .001) followed by the presence of IDL (p less than .01). In conclusion, lipoprotein analysis by a method which measures not only HDL, but also LDL, VLDL and IDL, together with the determination of fibrinogen and FA provides information useful in the identification of individuals at risk for CAD.

  7. A scoring system for the assessment of angiographic findings in non-occlusive mesenteric ischemia (NOMI)

    Energy Technology Data Exchange (ETDEWEB)

    Minko, P.; Stroeder, J.; Miodek, J.; Buecker, A.; Katoh, M. [Saarland Univ. Hospital, Homburg/Saar (Germany). Diagnostic and Interventional Radiology; Groesdonk, H.; Schaefers, H.J. [Saarland Univ. Hospital, Homburg/Saar (Germany). Dept. of Thoracic and Cardiovascular Surgery; Graeber, S. [Saarland Univ. Hospital, Homburg/Saar (Germany). Inst. of Medical Biometry, Epidemiology and Medical Informatics


    Purpose: To establish a standardized scoring system for angiographic findings in patients with non-occlusive mesenteric ischemia (NOMI). Materials and Methods: In 36 patients (mean age: 72 years), 53 angiographies of the superior mesenteric artery (SMA) were performed for suspected NOMI after cardiac or major aortic surgery. All examinations were performed using a standardized DSA technique. Two experienced radiologists performed a consensus reading blinded to the clinical information, on two occasions with an interval of two weeks. In order to investigate the reproducibility of the criteria, the images were assessed once by an intensivist and a medical student. Image analysis was performed with respect to vessel morphology, reflux of contrast medium into the aorta, small bowel parenchymal contrast enhancement and distension and the delay between arterial injection and portal vein filling. Results: Almost perfect intra-observer correlation was obtained for the assessment of the contrast medium reflux ({kappa} = 0.82) and substantial correlation for the time of portal vein filling ({kappa} = 0.66). Moderate correlations were obtained for the vessel morphology ({kappa} = 0.51), small bowel enhancement ({kappa} = 0.63) and distension ({kappa} = 0.53). Contrast medium reflux into the aorta ({kappa} = 0.77 and 0.63) and the time of portal vein filling ({kappa} = 0.42 and 0.58) resulted in the highest inter-observer correlations between the radiologists and the intensivist as well as the radiologists and the student. Conclusion: In patients with suspected NOMI, using our scoring system yields high intra- and inter-observer correlations, allowing a standardized evaluation of angiographic findings. (orig.)

  8. Vascular grading of angiogenesis

    DEFF Research Database (Denmark)

    Hansen, S; Grabau, D A; Sørensen, Flemming Brandt;


    was moderately reproduced (kappa = 0.59). Vascular grade was significantly associated with axillary node involvement, tumour size, malignancy grade, oestrogen receptor status and histological type. In univariate analyses vascular grade significantly predicted recurrence free survival and overall survival for all...... patients (P analysis showed that vascular grading contributed with independent prognostic value in all patients (P

  9. All-Sky Earth Occultation Observations with the Fermi Gamma Ray Burst Monitor

    CERN Document Server

    Wilson-Hodge, Colleen A; Bhat, P N; Briggs, M S; Chaplin, V; Connaughton, V; Camero-Arranz, A; Case, G; Cherry, M; Rodi, J; Finger, M H; Jenke, P; Haynes, R H


    Using the Gamma Ray Burst Monitor (GBM) on-board Fermi, we are monitoring the hard X-ray/soft gamma ray sky using the Earth occultation technique. Each time a source in our catalog enters or exits occultation by the Earth, we measure its flux using the change in count rates due to the occultation. Currently we are using CTIME data with 8 energy channels spanning 8 keV to 1 MeV for the GBM NaI detectors and spanning 150 keV to 40 MeV for the GBM BGO detectors. Our preliminary catalog consists of galactic X-ray binaries, the Crab Nebula, and active galactic nuclei. In addition, to Earth occultations, we have observed numerous occultations with Fermi's solar panels. We will present early results. Regularly updated results can be found on our website

  10. All-Sky Earth Occultation Observations with the Fermi Gamma-Ray Burst Monitor (United States)

    Wilson-Hodge, C. A.; Beklen, E.; Bhat, P. N.; Briggs, M.; Camero-Arranz, A.; Case, G.; Jenke, P.; Chaplin, V.; Cherry, M.; Connaughton, V.; Finger, M.; Haynes, R. H.; Preece, R.; Rodi, J.


    Using the Gamma Ray Burst Monitor (GBM) on-board Fermi, we are monitoring the hard X-ray/ soft gamma ray sky using the Earth occultation technique. Each time a source in our catalog is occulted by (or exits occultation by) the Earth, we measure its flux using the change in count rates due to the occultation. Currently we are using CTIME data with 8 energy channels spanning 8 keV to 1 MeV for the GBM NaI detectors and spanning 150 keV to 40 MeV for the GBM BGO detectors. Our preliminary catalog consists of galactic X-ray binaries, the Crab Nebula, and active galactic nuclei. In addition, to Earth occultations, we have observed numerous occultations with Fermi's solar panels.

  11. Analyses for a Modernized GNSS Radio Occultation Receiver (United States)

    Griggs, Erin R.

    Global Navigation Satellite System (GNSS) radio occultation (RO) is a remote sensing technique that exploits existing navigation signals to make global, real-time observations of the Earth's atmosphere. A specialized RO receiver makes measurements of signals originating from a transmitter onboard a GNSS spacecraft near the Earth's horizon. The radio wave is altered during passage through the Earth's atmosphere. The changes in the received signals are translated to the refractivity characteristics of the intervening medium, which enable the calculation of atmospheric pressure, temperature, and humidity. Current satellite missions employing GNSS RO have provided invaluable and timely information for weather and climate applications. Existing constellations of occultation satellites, however, are aging and producing fewer quality measurements. Replacement fleets of RO satellites are imperative to sustain and improve the global coverage and operational impact achieved by the current generation of RO satellites. This dissertation describes studies that facilitate the development of next generation RO receivers and satellite constellations. Multiple research efforts were conducted that aim to improve the quantity and quality of measurements made by a future satellite-based RO collection system. These studies range in magnitude and impact, and begin with a receiver development study using ground-based occultation data. Future RO constellations and collection opportunities were simulated and autonomous occultation prediction and scheduling capabilities were implemented. Finally, a comprehensive study was conducted to characterize the stability of the GNSS atomic frequency standards. Oscillator stability for a subset of satellites in the GNSS was found to be of insufficient quality at timescales relevant to RO collections and would degrade the atmospheric profiling capabilities of an RO system utilizing these signals. Recommendations for a high-rate clock correction network

  12. Implementation of immunochemical faecal occult blood test in general practice

    DEFF Research Database (Denmark)

    Juul, Jakob Søgaard; Bro, Flemming; Hornung, Nete


    anvendelsen af immunochemical faecal occult blood test (iFOBT) i almen praksis. iFOBT detekterer humant globin i fæces og indikerer gastrointestinal blødning. Studiet udgør en del af et ph.d.-studie, der bidrager med ny viden til at optimere udredningen af patienter med tarmkræft. Der er et stort behov...

  13. Photoreceptor atrophy in acute zonal occult outer retinopathy

    DEFF Research Database (Denmark)

    Zibrandtsen, N.; Munch, I.C.; Klemp, K.;


    PURPOSE: To assess retinal morphology in acute zonal occult outer retinopathy (AZOOR) without ophthalmoscopically visible fundus changes. METHODS: Retrospective case series. Two consecutive patients with bilateral AZOOR with photopsia corresponding to areas of visual field loss and a normal fundus...... appearance were examined using optical coherence tomography (OCT), automated perimetry and electroretinography (ERG). RESULTS: Both patients demonstrated photoreceptor atrophy corresponding to partial or complete scotomata with reduced or extinct electroretinographic responses. Attenuation or complete loss...

  14. Occult persistence and lymphotropism of hepatitis C virus infection

    Institute of Scientific and Technical Information of China (English)

    Tram NQ Pham; Tomasz I Michalak


    Recent discovery of occult hepatitis C virus (HCV)infection persisting after spontaneous or antiviral therapy-induced resolution of hepatitis C was made possible by the introduction of nucleic acid amplification assays capable of detecting HCV RNA at sensitivities superseding those offered by clinical tests. Although individuals with this seemingly silent HCV infection are usually anti-HCV antibody reactive and have normal liver function tests, occult HCV infection has also been reported in anti-HCV-negative individuals with persistently elevated liver enzymes of unknown etiology. Studies have shown that HCV RNA can persist for years in serum, iymphomononuciear cells and liver in the absence of clinical symptoms, although histological evidence of a mild inflammatory liver injury can be occasionally encountered. Furthermore, while HCV RNA can be detected in circulating lymphoid cells in approximately 30% of cases, a short-term culture under stimulatory conditions augments HCV replication in these cells allowing detection of virus in otherwise HCV-negative cases. HCV infects different immune cell subsets, including CD4+ and CD8+ T lymphocytes, B cells and monocytes. Studies employing cional sequencing and single-stranded conformational polymorphism analyses have revealed unique HCV variants residing in immune cells, further strengthening the notion of HCV lymphotropism. Overall, the data accumulated suggest that occult HCV infection is a common consequence of resolution of symptomatic hepatitis C and that examination of the cells of the immune system is an effective approach to diagnosis of HCV infection and its long-term persistence. Further work is required to fully realize pathogenic and epidemiological consequences of occult HCV persistence.

  15. Occult Hepatitis C Virus Infection among Hemodialysis Patients


    G. Barril; Castillo, I.; Arenas, M.D. (María Dolores); Espinosa, M; Garcia-Valdecasas, J. (Juan); Garcia-Fernandez, N. (Nuria); E Gonzalez-Parra; Alcazar, J.M. (José María); Sanchez, C.; Diez-Baylon, J.C. (José Carlos); P. MARTINEZ; Bartolome, J; Carreño, V


    Occult hepatitis C virus (HCV) infection (i.e., detectable HCV-RNA in the liver or peripheral blood mononuclear cells) in the absence of both serum HCV-RNA and anti-HCV antibodies has not been investigated in hemodialysis patients. In this study, real-time PCR and in situ hybridization was used to test for the presence of genomic and antigenomic HCV-RNA in peripheral blood mononuclear cells of 109 hemodialysis patients with abnormal levels of live...

  16. Pneumonitis associated with occult heartworm disease in dogs. (United States)

    Calvert, C A; Losonsky, J M


    Nine of 69 dogs with occult heartworm disease (13%) had allergic pneumonitis characterized by consistent clinical and radiographic signs. Although the clinical signs were severe, the degree of radiographic pulmonary arterial abnormalities was mild. Corticosteroid therapy resulted in rapid resolution of clinical and radiographic signs; thiacetarsamide therapy was then given without complications. This syndrome may not be recognized as heartworm-associated and may be confused with other disorders, some being associated with a poor prognosis and requiring different therapy.

  17. Pathogenesis of occult chronic hepatitis B virus infection

    Institute of Scientific and Technical Information of China (English)

    Rocio Aller de la Fuente; María L Gutiérrez; Javier Garcia-Samaniego; Conrado Fernández-Rodriguez; Jose Luis Lledó; Gregorio Castellano


    Occult hepatitis B infection (OBI) is characterized by hepatitis B virus (HBV) DNA in serum in the absence of hepatitis B surface antigen (HBsAg) presenting HBsAg-negative and anti-HBc positive serological patterns. Occult HBV status is associated in some cases with mutant viruses undetectable by HBsAg assays; but more frequently it is due to a strong suppression of viral replication and gene expression. OBI is an entity with world-wide diffusion. The failure to detect HBsAg, despite the persistence of the viral DNA, is due in most cases to the strong suppression of viral replication and gene expression that characterizes this "occult" HBV infection; although the mechanisms responsible for suppression of HBV are not well understood. The majority of OBI cases are secondary to overt HBV infection and represent a residual low viremia level suppressed by a strong immune response together with histological derangements which occurred during acute or chronic HBV infection. Much evidence suggests that it can favour the progression of liver fibrosis and the development of hepatocellular carcinoma.

  18. Renal trauma in occult ureteropelvic junction obstruction: CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Sebastia, M.C.; Rodriguez-Dobao, M.; Quiroga, S.; Pallisa, E.; Martinez-Rodriguez, M.; Alvarez-Castells, A. [Dept. of Radiology, Hospital General Universitari Vall d`Hebron, Barcelona (Spain)


    The aim of this study was to present CT findings of occult ureteropelvic junction obstruction in patients with renal trauma and to describe the clinical signs and singular CT features that are characteristically observed with trauma and are relevant to management of these patients. We retrospectively reviewed 82 helical CT studies in patients with renal trauma referred to our institution. We found 13 cases of occult preexisting renal pathology, six of which were occult ureteropelvic junction obstructions. The clinical presentation, radiologic findings of trauma according to the Federle classification, and CT findings of obstructed ureteropelvic junction are presented. We found three category-I lesions (one in a horseshoe kidney), two of them treated with nephrostomy because of increased ureteropelvic junction obstruction due to pelvic clots; two category-II lesions (parenchymal and renal pelvis lacerations) that had presented only with microhematuria; and one category-IV lesion (pelvic laceration alone). Pelvic extension was demonstrated in all the cases with perirenal collections. The CT studies in all the cases with suspected ureteropelvic junction obstruction showed decreased parenchymal thickness and enhancement, and dilatation of the renal pelvis and calyx, with a normal ureter. Computed tomography can provide information to confidently diagnose underlying ureteropelvic junction obstruction in renal trauma, categorize the traumatic injury (at times clinically silent) and facilitate proper management according to the singularities observed, such us rupture of the renal pelvis alone (Federle category IV) and increasing ureteropelvic obstruction due to clots which can be decompressed by nephrostomy. (orig.) With 6 figs., 3 tabs., 13 refs.

  19. Occult hepatitis B in HIV-HCV coinfected patients. (United States)

    Piroth, Lionel; Lafon, Marie-Edith; Binquet, Christine; Bertillon, Pascale; Gervais, Anne; Lootvoet, Enguerrand; Lang, Jean-Marie; De Jaureguiberry, Jean Pierre; Chene, Geneviève; Leport, Catherine


    The prevalence of occult hepatitis B infection in HIV infected patients is controversial, varying from less than 1% to 62% in different studies. Blood samples of 111 HIV-infected patients, HCV-positive, HBs antigen negative, followed in the APROCO-ANRS EP11 cohort, were used to detect HBV DNA by using 2 different validated assays (Cobas Amplicor HBV Monitor Test and INSERM U271 qualitative ultra-sensitive PCR), completed when positive by HBV real-time PCR. HBV DNA was found in 6 (5.4%, 95% CI 1.2%-9.6%) patients by at least 1 of these assays, but none tested positive in all 3 assays. All 6 patients had anti-HBc without anti-HBs antibodies; 5 were not on lamivudine. Their median CD4 and CD8 counts were significantly lower and their HIV viral load higher than in the other 105 patients. In conclusion, the prevalence of occult hepatitis B may vary significantly according to the molecular assay used, even though these assays are validated with high specificity and quite high sensitivity. Occult hepatitis B may be encountered in HIV-HCV coinfected patients without anti-HBV treatment, with anti-HBc but without anti-HBs antibodies, and relatively low immunity, suggesting a potential risk of further reactivation, as already sporadically reported.

  20. Leigh Wilson, Modernism and Magic. Experiments with Spiritualism, Theosophy and the Occult


    Marie, Florence


    In her 167-page book entitled Modernism and Magic. Experiments with Spiritualism, Theosophy and the Occult, Leigh Wilson tries to understand in what respect a certain number of modernist writers’ and avant-garde artists’ interest in theosophy, spiritualism and occult practices influenced their creations. She argues that in many cases their interest enabled them to define a new approach to mimesis without rejecting the latter altogether. She contends that magic was at the heart of the occult d...

  1. Occult hepatitis C virus infection: A new form of hepatitis C




    Occult hepatitis C virus (HCV) infection is a new recently characterized entity. This occult infection can be present in two different clinical situations: in anti-HCV negative, serum HCV-RNA negative patients with abnormal liver function tests and in anti-HCV positive subjects with normal values of liver enzymes and without serum HCV-RNA. This review describes recent studies of occult HCV infection in both kinds of patients.

  2. Occult hepatitis C virus infection: A new form of hepatitis C

    Institute of Scientific and Technical Information of China (English)

    Vicente Carre(n)o


    Occult hepatitis C virus (HCV) infection is a new recently characterized entity. This occult infection can be present in two different clinical situations: in anti-HCV negative,serum HCV-RNA negative patients with abnormal liver function tests and in anti-HCV positive subjects with normal values of liver enzymes and without serum HCV-RNA. This review describes recent studies of occult HCV infection in both kinds of patients.(c) 2006 The WJG Press. All rights reserved.

  3. Magnitudes of selected stellar occultation candidates for Pluto and other planets, with new predictions for Mars and Jupiter (United States)

    Sybert, C. B.; Bosh, A. S.; Sauter, L. M.; Elliot, J. L.; Wasserman, L. H.


    Occultation predictions for the planets Mars and Jupiter are presented along with BVRI magnitudes of 45 occultation candidates for Mars, Jupiter, Saturn, Uranus, and Pluto. Observers can use these magnitudes to plan observations of occultation events. The optical depth of the Jovian ring can be probed by a nearly central occultation on 1992 July 8. Mars occults an unusually red star in early 1993, and the occultations for Pluto involving the brightest candidates would possibly occur in the spring of 1992 and the fall of 1993.

  4. The 1998 November 14 Occultation of GSC 0622-00345 by Saturn. I. Techniques for Ground-Based Stellar Occultations

    CERN Document Server

    Harrington, Joseph; 10.1088/0004-637X/716/1/398


    On 1998 November 14, Saturn and its rings occulted the star GSC 0622-00345. We observed atmospheric immersion with NSFCAM at the National Aeronautics and Space Administration's Infrared Telescope Facility on Mauna Kea, Hawaii. Immersion occurred at 55.5\\circ S planetocentric latitude. A 2.3 {\\mu}m, methane-band filter suppressed reflected sunlight. Atmospheric emersion and ring data were not successfully obtained. We describe our observation, light-curve production, and timing techniques, including improvements in aperture positioning, removal of telluric scintillation effects, and timing. Many of these techniques are known within the occultation community, but have not been described in the reviewed literature. We present a light curve whose signal-to-noise ratio per scale height is 267, among the best ground-based signals yet achieved, despite a disadvantage of up to 8 mag in the stellar flux compared to prior work.

  5. High spatial resolution multi-color observations of Neptune during occultation by the moon (United States)

    Veverka, J.


    Preparations for the observation of Mars occultation using the 36 inch telescope on a C-141 airborne observatory were described, including technical improvements made to existing equipment. The abstracts of the following four publications supported by the grant were presented: (1) atmosphere composition from refractivity measurements made during occultations, (2) how big is lapetus?, (3) the diameter of Titan, (4) design and operating characteristics of voltage to frequency converters suited for occultation work. The planned observation of the April 8, 1976 occultation of the epsilon Gem star from the C-141 airborne observatory was described.

  6. High prevalence of occult hepatitis C virus infection in patients with chronic hepatitis B virus infection. (United States)

    Castillo, Inmaculada; Bartolomé, Javier; Quiroga, Juan Antonio; Carreño, Vicente


    Hepatitis C virus (HCV) infection in the absence of detectable antibodies against HCV and of viral RNA in serum is called occult HCV infection. Its prevalence and clinical significance in chronic hepatitis B virus (HBV) infection is unknown. HCV RNA was tested for in the liver samples of 52 patients with chronic HBV infection and 21 (40 %) of them were positive for viral RNA (occult HCV infection). Liver fibrosis was found more frequently and the fibrosis score was significantly higher in patients with occult HCV than in negative ones, suggesting that occult HCV infection may have an impact on the clinical course of HBV infection.

  7. Gadolinium-enhanced MR angiography of the breast: Is breast cancer associated with ipsilateral higher vascularity?

    Energy Technology Data Exchange (ETDEWEB)

    Mahfouz, A.E.; Sherif, H. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany); Dept. of Radiology, Cairo University Hospital, Cairo (Egypt); Saad, A. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany); Dept. of Public Health and Environmental Medicine, National Research Center, Cairo (Egypt); Taupitz, M.; Filimonow, S.; Kivelitz, D.; Hamm, B. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany)


    The aim of this study was to assess a possible association between breast malignancy and ipsilateral higher vascularity on gadolinium-enhanced MR angiography. One hundred six patients were examined by dynamic gadolinium-enhanced 3D MR imaging. Magnetic resonance angiographic views were generated by image subtraction and maximum intensity projection. The study included 85 patients with unilateral malignant breast neoplasms and 21 with unilateral benign lesions. Three blinded readers independently reviewed the MR angiograms after masking the lesions and the corresponding contralateral sites. The readers were asked to determine whether vascularity was higher on the right side, higher on the left side, or equal on both sides. The results were analyzed by the Kappa statistic and Pearson's chi-square test. The blood vessels of the breasts were clearly seen in all cases. There was good agreement among the observers (kappa > 0.54) in assessing vascularity on both sides. Breasts harboring malignant neoplasms were found to have a higher vascularity than the contralateral breasts (p < 0.005). This sign of malignancy had a sensitivity of 76.5 %, a specificity of 57 %, and an accuracy of 72.6 %. Blood vessels of the breast can be depicted by MR angiography. Unilateral malignant neoplasms are associated with a higher ipsilateral vascularity. In conjunction with other indications of malignancy on gadolinium-enhanced MR images, a higher ipsilateral vascularity may serve as an additional sign of malignancy. (orig.)

  8. Profiling the atmosphere with the airborne radio occultation technique (United States)

    Muradyan, Paytsar

    The GNSS Instrument System for Multistatic and Occultation Sensing (GISMOS) was designed for dense sampling of meteorological targets using the airborne radio occultation (RO) technique. Airborne RO refers to an atmospheric limb sounding technique in which Global Positioning System (GPS) signals are recorded at a receiver onboard an aircraft as the satellites descend beyond the limb of the Earth. The GPS signals, that are unaffected by clouds and precipitation, experience refractive bending as well as a delay in the travel time through the atmosphere. Bending can be used to retrieve information about atmospheric refractivity, which depends on atmospheric moisture and temperature. The new system has the potential for improving numerical weather prediction (NWP) forecasts through assimilation of many high-resolution atmospheric profiles in an area of interest, compared to spaceborne RO, which samples sparsely around the globe. In February 2008, GISMOS was deployed on the National Science Foundation Gulfstream-V aircraft to make atmospheric observations in the Gulf of Mexico coastal region with an objective to test the performance of the profiling system. Recordings from this flight campaign made with the conventional phase lock loop GPS receivers descend from flight level to 5 km altitude. However, below that level strong refractivity gradients, especially those associated with the boundary layer, cause rapid phase accelerations resulting in loss of lock in the receiver. To extend the RO profiles deeper in the atmosphere, the GISMOS system was also equipped with a GPS Recording System (GRS) that records the raw RF signals. Post-processing this dataset in open-loop (OL) tracking mode enables reliable atmospheric profiling at lower altitudes. We present a comprehensive analysis of the performance of the airborne system OL tracking algorithm during a 5 hour flight on 15 February 2008. Excess phase and amplitude profiles for 5 setting and 5 rising occultations were

  9. Combination of electrocardiographic and angiographic markers of reperfusion in the prediction of infarct size in patients with ST segment elevation myocardial infarction undergoing successful primary angioplasty

    NARCIS (Netherlands)

    De Luca, Giuseppe; Suryapranata, Harry; de Boer, Menko-Jan; Ottervanger, Jan Paul; Hoorntje, Jan C. A.; Gosselink, A. T. Marcel; Dambrink, Jan-Henk; Ernst, Nicolette; van't Hof, Arnoud W. J.


    Background: Optimal epicardial recanalization does not guarantee optimal myocardial perfusion. The aim of the current study was to evaluate angiographic and electrocardiographic markers of reperfusion in the prediction of infarct size in patients with STEMI undergoing successful primary angioplasty.

  10. Mutations associated with occult hepatitis B in HIV-positive South Africans. (United States)

    Powell, Eleanor A; Gededzha, Maemu P; Rentz, Michael; Rakgole, Nare J; Selabe, Selokela G; Seleise, Tebogo A; Mphahlele, M Jeffrey; Blackard, Jason T


    Occult hepatitis B is characterized by the absence of hepatitis B surface antigen (HBsAg) but the presence of HBV DNA. Because diagnosis of hepatitis B virus (HBV) typically includes HBsAg detection, occult HBV remains largely undiagnosed. Occult HBV is associated with increased risk of hepatocellular carcinoma, reactivation to chronic HBV during immune suppression, and transmission during blood transfusion and liver transplant. The mechanisms leading to occult HBV infection are unclear, although viral mutations are likely a significant factor. In this study, sera from 394 HIV-positive South Africans were tested for HBV DNA and HBsAg. For patients with detectable HBV DNA, the overlapping surface and polymerase open reading frames (ORFs) were sequenced. Occult-associated mutations-those mutations found exclusively in individuals with occult HBV infection but not in individuals with chronic HBV infection from the same cohort or GenBank references-were identified. Ninety patients (22.8%) had detectable HBV DNA. Of these, 37 had detectable HBsAg, while 53 lacked detectable surface antigen. The surface and polymerase ORFs were cloned successfully for 19 patients with chronic HBV and 30 patients with occult HBV. In total, 235 occult-associated mutations were identified. Ten occult-associated mutations were identified in more than one patient. Additionally, 15 amino acid positions had two distinct occult-associated mutations at the same residue. Occult-associated mutations were common and present in all regions of the surface and polymerase ORFs. Further study is underway to determine the effects of these mutations on viral replication and surface antigen expression in vitro.

  11. High versus low-pressure balloon inflation during multilinktrade mark stent implantation: acute and long-term angiographic results. (United States)

    Caixeta, A M; Brito, F S; Rati, M; Perin, M A; da Luz, P L; Ramires, J A; Ambrose, J A; Martinez, E E


    We compared the impact of low and high-pressure balloon inflation on acute and late angiographic results of Multilink stent. Low-pressure balloon inflation (9.5 +/- 1.9 atm) was used in 43 stents and high pressure (17.1 +/- 1.5 atm) in 44. A larger immediate luminal gain was achieved in stents with high-pressure balloon inflation (1.80 +/- 0.26 vs. 1.47 +/- 0.62; P = 0.002), resulting in a larger mean diameter in this group (2.71 +/- 0.37 vs. 2.48 +/- 0.47; P = 0.017). At follow-up, a larger luminal diameter was achieved in the high pressure group (1.93 +/- 0.72 vs. 1.45 +/- 0.66; P = 0.002) and a trend to a lower rate of angiographic restenosis (15% vs. 38%, P = 0.08).

  12. Transit-time flow measurement as a predictor of coronary bypass graft failure at one year angiographic follow-up

    DEFF Research Database (Denmark)

    Lehnert, Per; Møller, Christian H; Damgaard, Sune;


    on graft vessel type, anastomatic configuration, and coronary artery size. RESULTS: Nine hundred eighty-two coronary anastomoses were performed of which 12% had signs of graft failure at one year angiographic follow-up. In internal mammary arteries (IMAs), analysis showed a 4% decrease in graft failure......BACKGROUND: Transit-time flow measurement (TTFM) is a commonly used intraoperative method for evaluation of coronary artery bypass graft (CABG) anastomoses. This study was undertaken to determine whether TTFM can also be used to predict graft patency at one year postsurgery. METHODS: Three hundred...... forty-five CABG patients with intraoperative graft flow measurements and one year angiographic follow-up were analyzed. Graft failure was defined as more than 50% stenosis including the "string sign." Logistic regression analysis was used to analyze the risk of graft failure after one year based...

  13. Aldosterone and vascular damage. (United States)

    Duprez, D; De Buyzere, M; Rietzschel, E R; Clement, D L


    Although the aldosterone escape mechanism is well known, aldosterone has often been neglected in the pathophysiologic consequences of the activated renin-angiotensin-aldosterone system in arterial hypertension and chronic heart failure. There is now evidence for vascular synthesis of aldosterone aside from its secretion by the adrenal cortex. Moreover, aldosterone is involved in vascular smooth muscle cell hypertrophy and hyperplasia, as well as in vascular matrix impairment and endothelial dysfunction. The mechanisms of action of aldosterone may be either delayed (genomic) or rapid (nongenomic). Deleterious effects of aldosterone leading to vascular target-organ damage include (besides salt and water retention) decreased arterial and venous compliance, increased peripheral vascular resistance, and impaired autonomic vascular control due to baroreflex dysfunction.

  14. Vascular Cognitive Impairment. (United States)

    Dichgans, Martin; Leys, Didier


    Cerebrovascular disease typically manifests with stroke, cognitive impairment, or both. Vascular cognitive impairment refers to all forms of cognitive disorder associated with cerebrovascular disease, regardless of the specific mechanisms involved. It encompasses the full range of cognitive deficits from mild cognitive impairment to dementia. In principle, any of the multiple causes of clinical stroke can cause vascular cognitive impairment. Recent work further highlights a role of microinfarcts, microhemorrhages, strategic white matter tracts, loss of microstructural tissue integrity, and secondary neurodegeneration. Vascular brain injury results in loss of structural and functional connectivity and, hence, compromise of functional networks within the brain. Vascular cognitive impairment is common both after stroke and in stroke-free individuals presenting to dementia clinics, and vascular pathology frequently coexists with neurodegenerative pathology, resulting in mixed forms of mild cognitive impairment or dementia. Vascular dementia is now recognized as the second most common form of dementia after Alzheimer's disease, and there is increasing awareness that targeting vascular risk may help to prevent dementia, even of the Alzheimer type. Recent advances in neuroimaging, neuropathology, epidemiology, and genetics have led to a deeper understanding of how vascular disease affects cognition. These new findings provide an opportunity for the present reappraisal of vascular cognitive impairment. We further briefly address current therapeutic concepts.

  15. The Lunar Occultation Observer (LOCO) - A Nuclear Astrophysics All-Sky Survey Mission Concept (United States)

    Miller, R. S.; Bonamente, M.; Burgess, J. M.; Harmon, B. A.; Jenke, P.; Lawrence, D. J.; O'Brien, S.; Orr, M. R.; Paciesas, W. S.; Young, C. A.


    The Lunar Occultation Observer (LOCO) is a new lunar-based concept to probe the nuclear astrophysics regime. It will be a pioneering mission in high-energy astrophysics: the first to employ occultation as the principle detection and imaging method.

  16. Dynamical performance for science-mode stationkeeping with an external occulter

    DEFF Research Database (Denmark)

    Sirbu, Dan; Karsten, Christian Vad; Kasdin, N Jeremy


    An external occulter flown in precise formation with a telescope is being considered for high-contrast direct imaging of exoplanets as a viable mission scenario. In this paper, the dynamics about the Sun-Earth L2 region for an occulter-telescope constellation are considered in conjunction...

  17. Hepatitis C virus infection in the family setting of patients with occult hepatitis C. (United States)

    Castillo, Inmaculada; Bartolomé, Javier; Quiroga, Juan Antonio; Barril, Guillermina; Carreño, Vicente


    Family members of patients with chronic hepatitis C virus (HCV) infection are at increased risk of HCV infection but the prevalence of HCV among family members of patients with occult HCV infection is not known. Anti-HCV, serum HCV RNA and levels of liver enzymes were determined in 102 family members of 50 index patients with occult HCV infection and in 118 family members of 59 chronic hepatitis C index patients. HCV RNA and/or anti-HCV were detected in 10/102 (9.8%) relatives of patients with occult HCV infection and in 4/118 (3.4%) of patients with chronic hepatitis C. Fourteen additional family members (seven were relatives of index patients with occult HCV infection) had abnormal values of liver enzymes without serological markers of HCV infection. Two of these patients (who were relatives of two index patients with occult HCV infection) underwent a liver biopsy and were diagnosed with an occult HCV infection because HCV RNA was detected in the liver cells in the absence of serological HCV markers. In conclusion, the prevalence of HCV infection among family members of patients with occult HCV infection was similar to that found among family members of patients with chronic hepatitis C. This stresses the need to adopt strategies to prevent the transmission of HCV in the family setting of patients with occult HCV infection.

  18. Comparative study between occult hepatitis C virus infection and chronic hepatitis C. (United States)

    Pardo, M; López-Alcorocho, J M; Rodríguez-Iñigo, E; Castillo, I; Carreño, V


    We have recently described the presence of occult hepatitis C virus (HCV) infection (HCV-RNA in liver in the absence of anti-HCV and serum HCV-RNA) in patients with persistently abnormal liver function tests of unknown aetiology. The aim of this study was to compare the characteristics of patients with occult HCV infection vs those of patients with chronic hepatitis C. We compared clinical features of 68 patients with occult HCV infection and 69 untreated chronic HCV patients (anti-HCV and serum HCV-RNA positive), matched for age, gender, duration of abnormal liver function tests and body mass index. Aspartate aminotransferase and alanine aminotransferase were higher (P HCV, but cholesterol and triglycerides were significantly higher in patients with occult HCV infection (P HCV patients had higher gamma-globulin (P = 0.005), alpha-foetoprotein (P HCV than in occult HCV infection. Mean percentage of infected hepatocytes was higher (P = 0.001) in chronic HCV (10.1%) than in occult HCV infection (5.3%). This occult HCV infection is a milder disease than chronic HCV, and this could be related to the significantly lower number of infected hepatocytes observed in occult HCV.

  19. Science, occultism, and the art of the avant-garde in the early twentieth century

    NARCIS (Netherlands)

    Bauduin, T.M.


    In the early twentieth century, scientific discoveries such as n-dimensionality, x-rays, and electromagnetism made their way into the discourse of Occultism, where they were subsequently reframed as the occult fourth dimension, clairvoyant x-ray vision, and thought vibration. As this article will sh

  20. A New Double Star Observed During Lunar Occultation: TYC 6312-00761-1 (United States)

    Gault, Dave; Herald, Dave


    A lunar occultation observation by DG in March 2013 detected a new, previously unknown companion of star TYC 6312-00761-1. Subsequent lunar occultation observation by DH in September 2015 confirms the double star nature and the two observations when combined gives the solution; Sep = 0.527", PA = 131.59 degrees, at a Mean Date of 2014.45.

  1. A simplified approach for generating GNSS radio occultation refractivity climatologies

    Directory of Open Access Journals (Sweden)

    H. Gleisner


    Full Text Available The possibility of simplifying the retrieval scheme required to produce GNSS radio occultation refractivity climatologies is investigated. In a new, simplified retrieval approach, the main statistical analysis is performed in bending angle space and an estimate of the average bending angle profile is then propagated through an Abel transform. The average is composed of means and medians of ionospheric corrected bending angles up to 80 km. Above that, the observed profile is exponentially extrapolated to infinity using a fixed a priori scale height. The new approach circumvents the need to introduce a "statistical optimization" processing step in which individual bending-angle profiles are merged with a priori data, often taken from a climatology. This processing step can be complex, difficult to interpret, and is generally recognized as a potential source of structural uncertainty. The new scheme is compared with the more conventional approach of averaging individual refractivity profiles, produced with the implementation of statistical optimization used in the EUMETSAT Radio Occultation Meteorology Satellite Application Facility (ROM SAF operational processing. It is shown that the two GNSS radio occultation climatologies agree to within 0.1% from 5 km up to 35–40 km, for the three months January, February, and March 2011. During this time period, the new approach also produces slightly better agreement with ECMWF analyses between 40–50 km, which is encouraging. The possible limitations of the new approach caused by mean residual ionospheric errors and low observation numbers are discussed briefly, and areas for future work are suggested.

  2. Neurological deficit as a presentation of occult metastatic thyroid carcinoma. (United States)

    Izzard, Mark; McIvor, Nicholas; Chaplin, John; Ianovski, Ilia


    Three cases of occult metastatic thyroid carcinoma presenting with neurological deficits are reviewed. In each case the patient's initial presentation was with symptoms of neurological deficiency secondary to a spinal cord compression. All patients received a combination of surgery, external beam radiotherapy and postoperative thyroxine treatment. Two of the three patients are alive and well, able to mobilize with minor neurological dysfunction. The diagnosis and management of the patients, as well as their outcomes are reviewed, with a discussion on further management issues alongside a review of the current published work.

  3. Visualization and data sharing of COSMIC radio occultation dataset (United States)

    Ho, Y.; Weber, W. J.; Chastang, J.; Murray, D.; McWhirter, J.; Integrated Data Viewer


    Visualizing the trajectory and the sounding profile of the COSMIC netCDF dataset, and its evolution through time is developed in Unidata's Integrated data Viewer (IDV). The COSMIC radio occultation data is located in a remote data server called RAMADDA, which is a content management system for earth science data. The combination of these two software packages provides a powerful visualization and analysis tools for sharing real time and archived data for research and education. In this presentation we would like to demonstrate the development and the usage of these two software packages.

  4. Radio occultation bending angle anomalies during tropical cyclones

    DEFF Research Database (Denmark)

    Biondi, Riccardo; Neubert, Torsten; Syndergaard, S.


    The tropical deep convection affects the radiation balance of the atmosphere changing the water vapor mixing ratio and the temperature of the upper troposphere lower stratosphere. The aim of this work is to better understand these processes and to investigate if severe storms leave a significant...... of the cyclone. We show that the bending angle anomaly of a GPS radio occultation signal is typically larger than the climatology in the upper troposphere and lower stratosphere and that a double tropopause during deep convection can easily be detected using this technique. Comparisons with co...

  5. Laser fluorescence bronchoscope for localization of occult lung tumors

    Energy Technology Data Exchange (ETDEWEB)

    Profio, A.E.; Doiron, D.R.; King, E.G.


    A system for imaging occult bronchogenic carcinoma by the fluorescence of previously-injected, tumor-specific compound hematoporphyrin-derivative has been assembled and successfully used to locate a tumor l mm thick. The violet excitation source is a krypton ion laser coupled to fused quartz fiber light conductor. An electrostatic image intensifier attached to a standard flexible fiberoptic bronchoscope provides a bright image even at relatively low irradiance. A red secondary filter rejects most reflected background and autofluorescence. Sensitivity and contrast capability of the system should permit detection of a tumor less than 0.1 mm thick.

  6. Presentation of occult Chiari I malformation following spinal anesthesia

    Directory of Open Access Journals (Sweden)

    Saravanan P Ankichetty


    Full Text Available Chiari I malformation (CM-I manifests with tonsillar herniation below foramen magnum. These patients are at high risk of respiratory depression and bulbar dysfunction in the perioperative period with underlying obstructive sleep apnea. However, the safe use of both general and regional anaesthesia has been documented in a known CM-I parturients. We describe the successful management of a patient who had hypercapnic respiratory failure in the post-anaesthetic care unit following an uneventful subarachnoid block for left knee replacement surgery. This patient was retrospectively diagnosed with occult CM-I and moderate to severe obstructive sleep apnea in the postoperative period.

  7. Photoreceptor atrophy in acute zonal occult outer retinopathy

    DEFF Research Database (Denmark)

    Zibrandtsen, N.; Munch, I.C.; Klemp, K.;


    To assess retinal morphology in acute zonal occult outer retinopathy (AZOOR) without ophthalmoscopically visible fundus changes. Retrospective case series. Two consecutive patients with bilateral AZOOR with photopsia corresponding to areas of visual field loss and a normal fundus appearance were...... composing the photoreceptor layer was found by OCT. Full-field ERG revealed affection of the 30 Hz flicker responses and subnormal photopic responses in both patients and subnormal scotopic responses in case 1. Multifocal electroretinography (mERG) revealed localized outer retinal dysfunction. The field...

  8. Occult hepatitis B infection and its possible impact on chronic hepatitis C virus infection

    Directory of Open Access Journals (Sweden)

    Habibollahi Peiman


    Full Text Available As a well-recognized clinical phenomenon, persistent detectable viral genome in liver or sera in the absence of other serological markers for active hepatitis B virus (HBV replication is called occult HBV infection. The main mechanism through which occult infection occurs is not completely understood and several possible explanations, such as integration into human genome and maintenance in peripheral mononuclear cells, exist. Occult HBV infection has been reported in different populations, especially among patients with Hepatitis C (HCV related liver disease. The probable impact of occult HBV in patients with chronic HCV infection has been previously investigated and the evidence suggests a possible correlation with lower response to anti-viral treatment, higher grades of liver histological changes, and also developing hepatocellular carcinoma. However, in the absence of conclusive results, further studies should be conducted to absolutely assess the impact of occult HBV contamination on the HCV related liver disease.

  9. JWST observations of stellar occultations by solar system bodies and rings

    CERN Document Server

    Santos-Sanz, P; Pinilla-Alonso, N; Stansberry, J; Lin, Z-Y; Zhang, Z-W; Vilenius, E; Müller, Th; Ortiz, J L; Braga-Ribas, F; Bosh, A; Duffard, R; Lellouch, E; Tancredi, G; Young, L


    In this paper we investigate the opportunities provided by the James Webb Space Telescope (JWST) for significant scientific advances in the study of solar system bodies and rings using stellar occultations. The strengths and weaknesses of the stellar occultation technique are evaluated in light of JWST's unique capabilities. We identify several possible JWST occultation events by minor bodies and rings, and evaluate their potential scientific value. These predictions depend critically on accurate a priori knowledge of the orbit of JWST near the Sun-Earth Lagrange-point 2 (L2). We also explore the possibility of serendipitous stellar occultations by very small minor bodies as a by-product of other JWST observing programs. Finally, to optimize the potential scientific return of stellar occultation observations, we identify several characteristics of JWST's orbit and instrumentation that should be taken into account during JWST's development.

  10. Angiographic and Clinical Impact of Successful Manual Thrombus Aspiration in Diabetic Patients Undergoing Primary PCI

    Directory of Open Access Journals (Sweden)

    Mohamed Shehata


    Full Text Available Background. Diabetes mellitus is associated with worse angiographic and clinical outcomes after percutaneous coronary intervention (PCI. Aim. To investigate the impact of manual thrombus aspiration on in-stent restenosis (ISR and clinical outcome in patients treated by bare-metal stent (BMS implantation for ST-segment elevation myocardial infarction (STEMI. Methods. 100 diabetic patients were prospectively enrolled. They were randomly assigned to undergo either standard primary PCI (group A, 50 patients or PCI with thrombus aspiration using Export catheter (group B, 50 patients. The primary endpoint was the rate of eight-month ISR. The secondary endpoint included follow-up for major adverse cardiac events (MACE. Results. Mean age of the study cohort was 59.86±8.3 years, with 64 (64% being males. Baseline characteristics did not differ between both groups. Eight-month angiogram showed that group B patients had significantly less late lumen loss (0.17±0.35 versus 0.60±0.42 mm, P<0.001, with lower incidence of ISR (4% versus 16.6%, P<0.001. There was a trend towards lower rate of MACE in the same group of patients. Conclusion. In diabetic patients undergoing primary PCI, manual thrombus aspiration (compared with standard PCI was associated with better ISR rate after BMS implantation.

  11. Angiographic CT with intravenous contrast agent application for monitoring of intracranial flow diverting stents

    Energy Technology Data Exchange (ETDEWEB)

    Saake, Marc; Struffert, Tobias; Goelitz, Philipp; Ott, Sabine; Doerfler, Arnd [University of Erlangen-Nuremberg, Department of Neuroradiology, Erlangen (Germany); Seifert, Frank [University of Erlangen-Nuremberg, Department of Neurology, Erlangen (Germany); Ganslandt, Oliver [University of Erlangen-Nuremberg, Department of Neurosurgery, Erlangen (Germany)


    Intracranial flow diverting devices are increasingly used to treat cerebral aneurysms. A reliable, non-invasive follow-up modality would be desirable. Our aim was to compare intra-arterial digital subtraction angiography (ia DSA) to angiographic computed tomography with intravenous contrast agent application (iv ACT) in the visualisation of flow diverting devices and aneurysm lumina. Follow-up monitoring by iv ACT (n = 36) and ia DSA (n = 25) in 14 patients treated with flow diverting devices for intracranial aneurysms was evaluated retrospectively. Images were evaluated by two neuroradiologists in anonymous consensus reading regarding the device deployment, wall apposition, neck coverage of the aneurysm, opacification of the vessel and device lumen, as well as the degree of aneurysm occlusion. Corresponding ia DSA and iv ACT images were scored identically in all patients regarding the stent deployment, wall apposition and neck coverage, as well as the degree of aneurysm occlusion and patency status of the device and parent artery. Opacification of the parent vessel lumen and perfused parts of the aneurysm was considered slightly inferior for iv ACT in comparison with ia DSA (seven of 36 cases), without impact on diagnosis. We demonstrated the feasibility and diagnostic value of iv ACT in follow-up imaging of intracranial flow diverting devices. Due to its high spatial resolution and non-invasive character, this novel technique might become a valuable imaging modality in these patients. (orig.)

  12. Cerebellar arteries originating from the internal carotid artery: angiographic evaluation and embryologic explanations

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jae Young; Han, Moon Hee; Yu, In Gyu; Chang, Ki Hyun [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of); Kim, Eui Jong [Kyunghee Univ. College of Medicine, Seoul (Korea, Republic of); Kim, Dae Ho [Soonchunhyang Univ. College of Medicine, Asan(Korea, Republic of)


    To find and describe the cerebellar arteries arising from the internal carotid artery, explain them embryologically, and evaluate their clinical implication. To determine the point in the internal carotid artery from which the cereballar artery arose anomalously, consecutive angiographic studies performed in the last three years were reviewed. The distribution of such anomalous cerebellar arteries, the point in the internal carotid artery from which the anomalous vessels originated, and associated findings were analyzed. Five anomalous origins of cerebellar arteries arising arising directly from the internal carotid artery were found in five patients. Three anterior inferior cerebellar arteries (AICA) and one common trunk of an AICA and a posterior inferior cerebellar artery (PICA) were found to originate from the internal carotid artery at a point close to the origin of the primitive trigeminal artery. A PICA arose from an artery presenting a course similar to the proatlantal intersegmental artery. Intracranial aneurysms in two patients, Moyamoya disease in one, and facial arteriovenous malformation in one. In our series, AICAs supplied from the arteries considered to be persistent trigeminal artery variants were the most common type. A correlation between type of anomalous cerebellar artery and type of carotid-vertebrobasilar anastomosis may exist. Cerebellar arteries originating anomalously from the internal carotid artery seem to occur as a result of the persistence of carotid-vertebrobasilar anastomoses associated with incomplete fusion of the longitudinal neural arteries. An understanding of these anomalous cerebellar arteries may help prevent accidents during therapeutic embolization and surgical treatment, as well as misinterpretation.

  13. Poikiloderma vasculare atrophicans

    Directory of Open Access Journals (Sweden)

    Padmavathy L


    Full Text Available A 65 year old lady presented with generalised pruritus and discolouration of skin and mucous membranes of 5 years duration. The histopathology from the cutaneous lesions revealed features suggestive of poikiloderma vasculare atrophicans (PVA. Investigations did not reveal any underlying connective tissue disease,lymphoma or systemic disease. A diagnosis of idiopathic poikiloderma vasculare atrophicans was made.

  14. [Vascular factors in glaucoma]. (United States)

    Mottet, B; Aptel, F; Geiser, M; Romanet, J P; Chiquet, C


    The exact pathophysiology of glaucoma is not fully understood. Understanding of the vascular pathophysiology of glaucoma requires: knowing the techniques for measuring ocular blood flow and characterizing the topography of vascular disease and the mechanisms involved in this neuropathy. A decreased mean ocular perfusion pressure and a loss of vascular autoregulation are implicated in glaucomatous disease. Early decrease in ocular blood flow has been identified in primary open-angle glaucoma and normal pressure glaucoma, contributing to the progression of optic neuropathy. The vascular damage associated with glaucoma is present in various vascular territories within the eye (from the ophthalmic artery to the retina) and is characterized by a decrease in basal blood flow associated with a dysfunction of vasoregulation.

  15. CT herniography in the diagnosis of occult groin hernias

    Energy Technology Data Exchange (ETDEWEB)

    Markos, V. [Department of Radiology, Gloucester Royal Hospital, Gloucester (United Kingdom)]. E-mail:; Brown, E.F. [Department of Radiology, Gloucester Royal Hospital, Gloucester (United Kingdom)


    AIM: To evaluate the role of computed tomography (CT) after herniography in the diagnosis and management of primary and recurrent groin hernias not detectable on clinical examination. MATERIAL AND METHODS: Fifty-one patients underwent CT post-herniography over a 6-year period for suspected primary or recurrent inguinal hernia. The herniography and post-herniography CT findings were retrospectively compared with clinical and surgical follow-up. Statistical analysis was performed to assess the role of herniography and CT post-herniography in the primary and recurrent groups. RESULTS: Of the 51 patients investigated for occult inguinal hernia, 19 had previous hernia repair with possible recurrence. The most common symptom at presentation was groin pain or discomfort (84%). Seventy-five percent in the primary group and 84% in the recurrent group had no findings on herniography or CT. Nine percent in the primary group and 16% in the recurrent group had hernias diagnosed by herniography. CT did not enhance the detection of hernia. Sensitivity for herniography and CT herniography in the primary groin hernia group was 75% as against specificity, which was 100 and 90%, respectively. For the recurrent groin hernias, sensitivity was 60% for herniography and 40% for CT herniography and specificity 100% for both. CONCLUSION: CT performed post-herniography did not provide any benefit over performing herniography alone in the diagnosis of occult primary or recurrent inguinal hernias.

  16. Detection of Small Kuiper Belt Objects by Stellar Occultations

    CERN Document Server

    Stevenson, R


    Knowledge of the Kuiper Belt is currently limited to those objects that can be detected directly. Objects with diameters less than $\\sim$10km reflect too little light to be detected. These smaller bodies could contain most of the mass in the Kuiper Belt while the abundance of these bodies may constrain the distribution of mass. The overall size distribution of bodies within the Kuiper Belt can also be inferred from the relative abundances of sub-km and larger bodies. Stellar occultations are already used to study dark objects in the Solar System, such as asteroids or planetary rings. Occultation by a KBO of a size comparable to, or larger than, that of the Fresnel Scale will result in Fresnel diffraction. Detection of diffraction effects requires fast multiple-star photometry, which will be conducted in July 2007 using the Orthogonal Parallel Transfer Imaging Camera (OPTIC) mounted on the University of Hawaii 2.2m telescope on Mauna Kea. This paper details how knowledge of the mass and structure of the outer ...

  17. Processing and validation of refractivity from GRAS radio occultation data

    Directory of Open Access Journals (Sweden)

    K. B. Lauritsen


    Full Text Available We discuss the processing of GRAS radio occultation (RO data done at the GRAS Satellite Application Facility. The input data consists of operational near-real time bending angles from December 2010 from the Metop-A satellite operated by EUMETSAT. The data are processed by an Abel inversion algorithm in combination with statistical optimization based on a two-parameter fit to an MSIS climatology. We compare retrieved refractivity to analyses from ECMWF. It is found that for global averages, the mean differences to ECMWF analyses are smaller than 0.2% below 30 km (except near the surface, with standard deviations around 0.5% for altitudes between 8 and 25 km. The current processing is limited by several factors, which are discussed. In particular, the penetration depth for rising occultations is generally poor, which is related to the tracking of the L2 signal. Extrapolation of the difference between the L1 and L2 signals below the altitude where L2 is lost is possible and would generally allow deeper penetration of retrieved refractivity profiles into the lower troposphere.

  18. Processing and validation of refractivity from GRAS radio occultation data

    Directory of Open Access Journals (Sweden)

    K. B. Lauritsen


    Full Text Available We discuss the processing of GRAS radio occultation (RO data done at the GRAS Satellite Application Facility. The input data consists of operational near-real time bending angles from December 2010 from the Metop-A satellite operated by EUMETSAT. The data are processed by an Abel inversion algorithm in combination with statistical optimization based on a two-parameter fit to an MSIS climatology. We compare retrieved refractivity to analyses from ECMWF. It is found that for global averages, the mean differences to ECMWF analyses are smaller than 0.2% below 30 km (except near the surface, with standard deviations around 0.5% for altitudes between 8 and 25 km. The current processing is limited by several factors, which are discussed. In particular, the penetration depth for rising occultations is generally poor, which is related to the tracking of the L2 signal. Extrapolation of the difference between the L1 and L2 signals below the altitude where L2 is lost is possible and would generally allow deeper penetration of retrieved refractivity profiles into the lower troposphere.

  19. 'Trick', 'manipulation' and 'farce': Albert Moll's critique of occultism. (United States)

    Wolffram, Heather


    In July 1925, the psychiatrist Albert Moll appeared before the district court in Berlin-Schöneberg charged with having defamed the medium Maria Vollhardt (alias Rudloff) in his 1924 book Der Spiritismus [Spiritism]. Supported by some of Berlin's most prominent occultists, the plaintiff--the medium's husband--argued that Moll's use of terms such as 'trick', 'manipulation' and 'farce' in reference to Vollhardt's phenomena had been libellous. In the three-part trial that followed, however, Moll's putative affront to the medium--of which he was eventually acquitted--was overshadowed, on the one hand, by a debate over the scientific status of parapsychology, and on the other, by the question of who--parapsychologists, occultists, psychiatrists or jurists--was entitled to claim epistemic authority over the occult. This paper will use the Rudloff-Moll trial as a means of examining Moll's critique of occultism, not only as it stood in the mid-1920s, but also as it had developed since the 1880s. It will also provide insight into the views of Germany's occultists and parapsychologists, who argued that their legitimate bid for scientific credibility was hindered by Dunkelmänner [obscurantists] such as Albert Moll.

  20. Stargazing from New Horizons: Ultraviolet Stellar Occultations by Pluto's Atmosphere (United States)

    Kammer, Joshua A.; Stern, S. Alan; Weaver, Harold A.; Young, Leslie; Ennico, Kimberly; Olkin, Catherine B.; Gladstone, Randy; Summers, Michael; Steffl, Andrew; Greathouse, Thomas K.; Versteeg, Maarten; Retherford, Kurt D.; Parker, Joel Wm.; Schindhelm, Eric; Strobel, Darrell F.; New Horizons ATM Theme Team, New Horizons Science Team


    Not long after the New Horizons encounter with Pluto last July, the Alice ultraviolet imaging spectrograph observed signatures of UV absorption by Pluto's atmosphere during two distinct occultation events. During these events, UV bright stars (the Sun, as well as two B-type stars) passed behind Pluto as seen by the spacecraft, and the attenuated starlight revealed the clear presence of nitrogen, methane, and several other hydrocarbons. Their mixing ratios vary with altitude, including localized peaks in the density of minor hydrocarbons such as C2H2 and C2H4. At about 300 km above Pluto's surface, these particular species are found to have mixing ratios relative to CH4 of approximately 10% and 1%, respectively. While this overall composition was expected pre-New Horizons, the vertical profiles of these species were surprising. In this presentation I will discuss the analysis of these occultations, including several profiles of key atmospheric species, and how they might play a role in explaining the presence of high-altitude haze on this cold, small, distant planet.

  1. Ionospheric Behaviour Analysis over Thailand Using Radio Occultation Technique.

    Directory of Open Access Journals (Sweden)

    Ahmed Wasiu Akande


    Full Text Available With the advent in the development of science and technology in the field of space and atmospheric science in order to obtain accurate result, hence the use of radio occultation technique in the investigation of the amount of electron density and Total Electron Content presence in equatorial region particularly over Thailand. In this research, radio occultation data obtained from UCAR/CDAAC was used to observe daily, monthly, seasonal and the entire year 2013 Ionospheric TEC and electron density variation due to changes and instability of solar activities from time to time. It was observed that TEC was high (ionosphere was more disturbed or violent in May and spread over a wide range of altitude and summer season has the highest TEC value for the year 2013 which means at this period GNSS measurements was more prone to error. It was noted that ionospheric variations or fluctuations was maximum between 200km and 450km altitude. The results of the study show that ionospheric perturbation effects or irregularities depend on season and solar activity.

  2. Dust occultation at Titan measured by CDA onboard Cassini (United States)

    Srama, Ralf; CDA science Team


    The Cosmic Dust Analyzer (CDA) onboard Cassini characterized successfully the dust environment at Saturn since 2004. The instrument measures the primary charge, speed, mass and composition of individual submicron and micron sized dust grains. The detection threshold scales with speed^3.5 such that the detection of fast nanograins (~100 km/s) is possible. Saturn's nanodust environment (streams) is studied many years. However, a special geometric condition of Saturn, Cassini and Titan during a Titan flyby in 2014 (DOY 65) provided a special dust occultation opportunity. Titan and its atmosphere blocked the stream of fast nanoparticles such that CDA registered a clear drop in impact rate around closest approach. An analysis of the data allows to constrain the source region of the nanograins, which is compatible with a source region in the ring plane at distances from Saturn between 4 and 8 Saturn radii. Backward and forward modeling was performed leading to dust grain sizes between 3 and 9 nm and speeds between 80 and 150 km/s. The new modeling results also show that Enceladus acts a direct source for nanodust streams leading to the observation of periodic impact rates in the outer Saturn system. Such periodicities were observed recently by CDA and showed a clear signature of the Enceladus orbital period. A second dust occultation opportunity using Titan is planned august 2016.

  3. Ex Luna Scientia: The Lunar Occultation Explorer (LOX) (United States)

    Miller, Richard


    The Lunar Occultation Explorer (LOX) is a next-generation mission concept that provides new capabilities for time-domain astrophysics and established the Moon as a platform for nuclear astrophysics. Performance requirements are driven by Type-Ia supernova (SNeIa) science goals that seek to revel details of these profoundly radioactive objects, including their diversity. Primary science objectives include, but are not limited to, probing the fundamental thermonuclear physics processes, performing a census of progenitors and their explosion mechanisms, and evaluating the environmental conditions and intrinsic systematics of these enigmatic objects. LOX provides new capabilities for all-sky, continuous monitoring in the MeV regime (0.1-10 MeV) by leveraging the Lunar Occultation Technique (LOT). Key benefits of the LOX/LOT approach include maximizing the ratio of sensitive-to-total deployed mass, low implementation risk, and demonstrated operational simplicity that leverages extensive experience with planetary orbital geochemistry investigations; LOX also enables long-term monitoring of MeV gamma-ray sources, a critical capability for SNeIa science. Proof-of-principle efforts validated all aspects of the mission using previously deployed lunar science assets, and led to the first high-energy gamma-ray source detected at the Moon. LOX mission performance, development progress, and expectations for science investigations will be presented.

  4. Insensible and Inexplicable - On the Two Meanings of Occult

    Directory of Open Access Journals (Sweden)

    Florian Sprenger


    Full Text Available While the distinction between spiritualism and science was understood affirmatively as a demarcation of true science against pseudo-science, nowadays, after several Science Wars, it is obvious for us that this distinction does not correspond to the actual practices of science but reflects a work of ‘purification’ typical for modernity in the Latourian sense. In the physico-philosophical surroundings of this boundary epistemological foundations are shaped and modern science is constituted as the primary way to knowledge. Referring to studies on the history of the occult in the early modern period, the article shows that in order to understand the stakes of spiritualism and its technical or personal media we should trace back this boundary to a rarely recognized conceptual transformation of the ‘occult’. It shifts between insensible and inexplicable. Following this leading difference, the article traces its function in the emergence of early occultism, the debate between Leibniz and Newton, and the rise of modern spiritualism and its instrumental repertoire.

  5. Occult hepatitis B virus infection and blood transfusion

    Institute of Scientific and Technical Information of China (English)

    Dong Hee Seo; Dong Hee Whang; Eun Young Song; Kyou Sup Han


    Transfusion-transmitted infections including hepatitis Bvirus (HBV) have been a major concern in transfusionmedicine. Implementation of HBV nucleic acid testing(NAT) has revealed occult HBV infection (OBI) in blooddonors. In the mid-1980s, hepatitis B core antibody(HBc) testing was introduced to screen blood donorsin HBV non-endemic countries to prevent transmissionof non-A and non-B hepatitis. That test remains inuse for preventing of potential transmission of HBVfrom hepatitis B surface antigen (HBsAg)-negativeblood donors, even though anti-hepatitis C virus testshave been introduced. Studies of anti-HBc-positivedonors have revealed an HBV DNA positivity rate of0%-15%. As of 2012, 30 countries have implementedHBV NAT. The prevalence of OBI in blood donors wasestimated to be 8.55 per 1 million donations, accordingto a 2008 international survey. OBI is transmissible byblood transfusion. The clinical outcome of occult HBVtransmission primarily depends on recipient immunestatus and the number of HBV DNA copies present in theblood products. The presence of donor anti-HBs reducesthe risk of HBV infection by approximately five-fold. Therisk of HBV transmission may be lower in endemic areasthan in non-endemic areas, because most recipientshave already been exposed to HBV. Blood safety forHBV, including OBI, has substantially improved, but thepossibility for OBI transmission remains.

  6. Comparison of ionospheric radio occultation CHAMP data with IRI 2001

    Directory of Open Access Journals (Sweden)

    N. Jakowski


    Full Text Available GPS radio occultation measurements on board low Earth orbiting satellites can provide vertical electron density profiles of the ionosphere from satellite orbit heights down to the bottomside. Ionospheric radio occultation (IRO measurements carried out onboard the German CHAMP satellite mission since 11 April 2001 were used to derive vertical electron density profiles (EDP’s on a routine basis. About 150 vertical electron density profiles may be retrieved per day thus providing a huge data basis for testing and developing ionospheric models. Although the validation of the EDP retrievals is not yet completed, the paper addresses a systematic comparison of about 78 000 electron density profiles derived from CHAMP IRO data with the International Reference Ionosphere (IRI 2001. The results are discussed for quite different geophysical conditions, e.g. as a function of latitude, local time and geomagnetic activity. The comparison of IRO data with corresponding IRI data indicates that IRI generally overestimates the upper part of the ionosphere whereas it underestimates the lower part of the ionosphere under high solar activity conditions. In a first order correction this systematic deviation could be compensated by introducing a height dependence correction factor in IRI profiling.

  7. Direct traumatic carotid cavernous fistula: angiographic classification and treatment strategies. Study of 172 cases. (United States)

    Chi, Cuong Tran; Nguyen, Dang; Duc, Vo Tan; Chau, Huynh Hong; Son, Vo Tan


    We report our experience in treatment of traumatic direct carotid cavernous fistula (CCF) via endovascular intervention. We hereof recommend an additional classification system for type A CCF and suggest respective treatment strategies. Only type A CCF patients (Barrow's classification) would be recruited for the study. Based on the angiographic characteristics of the CCF, we classified type A CCF into three subtypes including small size, medium size and large size fistula depending on whether there was presence of the anterior carotid artery (ACA) and/or middle carotid artery (MCA). Angiograms with opacification of both ACA and MCA were categorized as small size fistula. Angiograms with opacification of either ACA or MCA were categorized as medium size fistula and those without opacification of neither ACA nor MCA were classified as large size fiatula. After the confirm angiogram, endovascular embolization would be performed impromptu using detachable balloon, coils or both. All cases were followed up for complication and effect after the embolization. A total of 172 direct traumatic CCF patients were enrolled. The small size fistula was accountant for 12.8% (22 cases), medium size 35.5% (61 cases) and large size fistula accountant for 51.7% (89 cases). The successful rate of fistula occlusion under endovascular embolization was 94% with preservation of the carotid artery in 70%. For the treatment of each subtype, a total of 21/22 cases of the small size fistulas were successfully treated using coils alone. The other single case of small fistula was defaulted. Most of the medium and large size fistulas were cured using detachable balloons. When the fistula sealing could not be obtained using detachable balloon, coils were added to affirm the embolization of the cavernous sinus via venous access. There were about 2.9% of patient experienced direct carotid artery puncture and 0.6% puncture after carotid artery cut-down exposure. About 30% of cases experienced

  8. All-Sky Earth Occultation Observations with the Fermi Gamma Ray Burst Monitor (United States)

    Wilson-Hodge, C. A.; Beklen, E.; Bhat, P. N.; Briggs, M.; Camero-Arranz, A.; Case, G.; Chaplin, V.; Cherry, M.; Connaughton, V.; Finger, M.; Jenke, P.; Paciesas, W.; Preece, R.; Rodi, J.


    Using the Gamma Ray Burst Monitor (GBM) on-board Fermi, we are monitoring the hard X-ray/soft gamma ray sky using the Earth occultation technique. Each time a source in our catalog is occulted by (or exits occultation by) the Earth, we measure its flux using the change in count rates due to the occultation. Currently we are using CTIME data with 8 energy channels spanning 8 keV to 1 MeV for the GBM NaI detectors and spanning 150 keV to 40 MeV for the GBM BGO detectors. Our preliminary catalog consists of galactic X-ray binaries, the Crab Nebula, and active galactic nuclei. New sources are added to our catalog as they become active or upon request. In addition to Earth occultations, we have observed numerous occultations with Fermi's solar panels. We will present early results. Regularly updated results will be found on our website

  9. Plasma Tissue Factor Pathway Inhibitor Levels in Angiographically Defined Coronary Artery Disease Among Saudis

    Directory of Open Access Journals (Sweden)

    Syed Shahid Habib


    Full Text Available Objectives: This study was aimed to determine plasma levels of total (TFPI-T and free (TFPI-F tissue factor pathway inhibitor, plasminogen activator inhibitor-1 (PAI-1, and tissue plasminogen activator (t-PA in a cohort of Saudi patients with chronic stable angiographically defined coronary artery disease (CAD and to determine its correlation with its severity.Methods: This cross sectional study was conducted in the department of physiology and department of cardiology, College of Medicine, and King Khalid University Hospital and King Saud University, Riyadh. Sixty known cases of CAD who had undergone angiography (35 males and 25 females were selected. A control group included 39 (20 males and 19 females healthy subjects. Fasting venous blood samples were analyzed for total (TFPI-T and free (TFPI-F tissue factor pathway inhibitor, plasminogen activator inhibitor-1 (PAI-1, and tissue plasminogen activator (t-PA. Gensini scores and vessel scores were determined for assessing CAD severity.Results: There were non-significant differences between age, body mass index (BMI and Blood pressure between the controls and CAD subjects. A comparison of hemostatic markers between control and CAD patients showed significantly higher levels of Fibrinogen, PAI-1, TFPI-T and TFPI-F in CAD patients compared to control subjects. But there was no difference in plasma t-PA levels. TFPI-T had a significant positive correlation with severity of disease determined by Gensini Scores (r=0.344; p=0.006 and vessel scores (r=0.338; p=0.015.Conclusion: Plasma levels of total tissue factor pathway inhibitor are significantly related with the presence and severity of CAD. Elevated levels of TFPI-T may be considered as useful diagnostic and prognostic markers in patients with CAD.


    Directory of Open Access Journals (Sweden)

    Abhilash S P


    Full Text Available Aims of study : To assess the clinical and angiographical profile of myocardial bridging from consecutive coronary angiograms done over last 5 years at Medical college, Thiruvananthapuram. To assess the risk of cardiovascular events and the risk of accelerated atherosclerosis in isolated myocardial bridging. Methods : Consecutive coronary angiograms done at Medical college Thiruvananthapuram from 04/02/2005 to 31/03/2010 were reviewed for myocardial bridging. A total of 10492 coronary angiograms were reviewed. Myocardial bridges with systolic lumen reduction of more than 50% were considered for analysis. Quantitative coronary angiography (QCA was used for analysis. Clinical presentation as well as correlation with structural heart disease and coronary heart disease was assessed. Results: Incidence of myocardial bridges was 1.23%. Of the 129 patients with myocardial bridges 63 ( 48.8% had associated significant coronary artery disease. Remaining 66 (51.2% patients presented with isolated bridges. Out of these 66 patients with isolated myocardial bridges, 7 (10.6% patients presented with acute myocardial infarction and 3 (4.5% presented with cardiac arrhythmias. Of the 63 patients with significant coronary disease 11 (17.5% patients had single vessel disease and they had the culprit lesion and myocardial bridge seen in the same vessel. Most common location of myocardial bridge was mid LAD (64.9% followed by distal LAD (23.8%. Length of bridge was 20 mm in 35.7%. Mean percentage of systolic obliteration by the bridge was 74.5%. 100% systolic obliteration was seen in 7.79% of isolated bridges and in 9.79% of bridges with CAD. Among 120 rhuematic heart disease patients who underwent coronary angiogram, 10 (8.3% patients had myocardial bridging. 12.1% of all HCM patients who underwent coronary angiograms had myocardial bridging. Conclusion: Myocardial bridging can be lethal- can accelerate atherosclerosis, can precipitate acute MIs and life

  11. A pareto-optimal characterization of miniaturized distributed occulter/telescope systems (United States)

    Koenig, Adam W.; D'Amico, Simone; Macintosh, Bruce; Titus, Charles J.


    Distributed occulter/telescope systems hold great promise in the field of direct exoplanet imaging. However, proposed missions using this concept such as the New Worlds Observer or Exo-S (NASA) are exceptionally large with occulter diameters of tens of meters and inter-spacecraft separations of tens of megameters, requiring deployment in deep space. The estimated costs associated with these missions are in the billions of dollars. In order to reduce the risk associated with these missions, it is desirable to first deploy a low-cost technology demonstrator mission to prove that the distributed occulter telescope concept is valid. To that end, this work assesses the feasibility of miniaturizing the optics of the distributed occulter/telescope to enable deployment on micro- or nano-satellites in earth orbit. A variant of the convex optimization formulation introduced by previous authors is used to generate a pareto-optimal characterization between the achievable occulter contrast and a set of critical design variables (occulter radius, inner working angle, science spectrum, etc). This characterization is performed for two different sets of engineering constraints, corresponding to different levels of design complexity. The results of this study are compared to the performance requirements for imaging targets of scientific interest, namely exozodiacal dust disks, in order to identify promising design envelopes. The result of this work is a comprehensive trade of the capabilities of miniaturized, binary, petal-shaped occulters. This research demonstrates that there exist miniaturized occulter geometries compatible with micro- or nano-satellites in earth orbit suitable for imaging exozodiacal dust disks. In addition, this study provides a valuable methodology and performance guidelines for future distributed occulter/telescope designs.

  12. Prevention of cardiac complications in peripheral vascular surgery

    Energy Technology Data Exchange (ETDEWEB)

    Cutler, B.S.


    The prevalence of severe coronary artery disease in peripheral vascular patients exceeds 50 per cent. Complications of coronary artery disease are the most common causes of mortality following peripheral vascular operations. To reduce the incidence of cardiac complications, it is first necessary to identify patients at risk through screening tests. Screening methods in current use include risk factor analysis, exercise testing, routine coronary angiography, and dipyridamole thallium-201 scintigraphy. The risk factor approach has the advantage of being widely applicable since it makes use of historical, physical, and electrocardiographic findings that are already familiar to surgeons and anesthesiologists. It is also inexpensive. However, it may overlook the patient who has no symptoms of coronary artery disease, possibly as a result of the sedentary lifestyle imposed by complications of peripheral vascular disease. The electrocardiographically monitored stress test will identify the asymptomatic patient with occult coronary disease and is helpful in predicting operative risk. However, a meaningful test is dependent on the patient's ability to exercise--an activity that is frequently limited by claudication, amputation, or arthritis. Exercise testing also suffers from a lack of sensitivity and specificity when compared with coronary arteriography. Routine preoperative coronary angiography overcomes the exercise limitation of treadmill testing but is not widely applicable as a screening test for reasons of cost and inherent risk. Dipyridamole thallium-201 scanning, on the other hand, is safe and of relatively low cost and does not require exercise.

  13. Central Flash Analysis of the 29 June 2015 Occultation (United States)

    Person, Michael J.; Bosh, A. S.; Sickafoose, A. A.; Zuluaga, C. A.; Levine, S. E.; Pasachoff, J. M.; Babcock, B. A.; Dunham, E. W.; McLean, I.; Wolf, J.; Abe, F.; Becklin, E.; Bida, T. A.; Bright, L. P.; Brothers, T. C.; Christie, G.; Collins, P. L.; Durst, R. F.; Gilmore, A. C.; Hamilton, R.; Harris, H. C.; Johnson, C.; Kilmartin, P. M.; Kosiarek, M. R.; Leppik, K.; Logsdon, S. E.; Lucas, R.; Mathers, S.; Morley, C. J. K.; Natusch, T.; Nelson, P.; Ngan, H.; Pfueller, E.; Roeser, H.-P.; Sallum, S.; Savage, M.; Seeger, C. H.; Siu, H.; Stockdale, C.; Suzuki, D.; Thanathibodee, T.; Tilleman, T.; Tristram, P. J.; Van Cleeve, J.; Varughese, C.; Weisenbach, L. W.; Widen, E.; Wiedemann, M.


    After an extensive prediction effort, the 29 June 2015 occultation by Pluto was observed from both airborne (Stratospheric Observatory for Infrared Astronomy - SOFIA) and numerous ground-based telescopes (Bosh et al. - this meeting). Real-time prediction updates allowed placement of the SOFIA telescope with its four detectors deep within the central-flash region of the atmospheric occultation. Fortuitously, the Mount John University Observatory (Lake Tekapo, New Zealand) was also within the central-flash region (Pasachoff et al. - this meeting). This happenstance resulted in multiple central-flash detections in several colors from each facility allowing direct comparison of different areas of the central-flash evolute.Here we examine and discuss the central-flash signatures from the highest signal-to-noise light curves from each facility. The relative orientations and asymmetries in the central flashes allow us to use them to tightly constrain the lower atmospheric ellipticity and orientation of likely winds with respect to Pluto’s figure. The ratio of the two separate central flashes is also a strong constraint on the geometric solution for the full occultation data set, and the absolute height of the central flashes with respect to those expected for a clear isothermal atmosphere places constraints on haze densities and thermal gradients in Pluto’s lower atmosphere. We can also compare the central-flash signatures in several colors (similar to Sickafoose et. al - this meeting) to establish bounds on haze-particle sizes in the lower atmosphere.SOFIA is jointly operated by the Universities Space Research Association, Inc. (USRA), under NASA contract NAS2-97001, and the Deutsches SOFIA Institut (DSI) under DLR contract 50 OK 0901 to the University of Stuttgart. Support for this work was provided, in part, by NASA grants SSO NNX15AJ82G (Lowell Observatory), PA NNX10AB27G (MIT), and PA NNX12AJ29G (Williams College), as well as the National Research Foundation of

  14. Radio Occultation Measurements of Pluto's Atmosphere with New Horizons (United States)

    Hinson, David P.; Linscott, Ivan; Young, Leslie; Stern, S. Alan; Bird, Mike; Ennico, Kimberly; Gladstone, Randy; Olkin, Catherine B.; Pätzold, Martin; Strobel, Darrell F.; Summers, Michael; Tyler, G. Leonard; Weaver, Harold A.; Woods, Will; New Horizons Science Team


    The reconnaissance of the Pluto System by New Horizons in July 2015 included a radio occultation at Pluto. The observation was performed with signals transmitted simultaneously by four antennas of the NASA Deep Space Network, two at the Goldstone complex in California and two at the Canberra complex in Australia. Each antenna radiated 20 kW without modulation at a wavelength of 4.17 cm. New Horizons received the four signals with its 2.1-m high-gain antenna, where the signals were split into pairs and processed independently by two identical REX radio science instruments. Each REX relied on a different ultra-stable oscillator as its frequency reference. The signals were digitized and filtered, and the data samples were stored on the spacecraft for later transmission to Earth. Six months elapsed before all data had arrived on the ground, and the results reported here are the first to utilize the complete set of observations. Pluto's tenuous atmosphere is a significant challenge for radio occultation sounding, which led us to develop a specialized method of analysis. We began by calibrating each signal to remove effects not associated with Pluto's atmosphere, including the diffraction pattern from Pluto's surface. We reduced the noise and increased our sensitivity to the atmosphere by averaging the results from the four signals, while using other combinations of the signals to characterize the noise. We then retrieved profiles of number density, pressure, and temperature from the averaged phase profiles at both occultation entry and exit. Finally, we used a combination of analytical methods and Monte Carlo simulations to determine the accuracy of the measurements. The REX profiles provide the first direct measure of the surface pressure and temperature structure in Pluto's lower atmosphere. There are significant differences between the structure at entry (193.5°E, 17.0°S, sunset) and exit (15.7°E, 15.1°N, sunrise), which arise from spatial variations in surface

  15. Angiographic diagnosis of a pancreatic islet tumor in a patient with the WDHA syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Inamoto, K.; Yoshino, F.; Nakao, N.; Kawanaka, M.


    A patient with an islet cell tumor of the pancreas that produced the watery diarrhea, hypokalemia, achlorhydria syndrome is presented. On celiac angiography an extremely vascular mass was seen in the body of pancreas with hypertrophied arteries and persistent, dense tumor staining.

  16. Acute and chronic mesenteric ischemia: Multidetector CT and CT angiographic findings

    Directory of Open Access Journals (Sweden)

    Mohamed A. Amin


    Conclusion: MDCT and CTA are fast, safe, accurate and non-invasive imaging modalities of choice in patients with suspected mesenteric ischemia which are able to evaluate not only mesenteric vascular structures but also evaluate bowel wall changes and adjacent mesentery, thus detecting the primary cause of mesenteric ischemia that can lead to earlier diagnosis and intervention.

  17. First light of an external occulter testbed at flight Fresnel numbers (United States)

    Kim, Yunjong; Sirbu, Dan; Hu, Mia; Kasdin, Jeremy; Vanderbei, Robert J.; Harness, Anthony; Shaklan, Stuart


    Many approaches have been suggested over the last couple of decades for imaging Earth-like planets. One of the main candidates for creating high-contrast for future Earth-like planets detection is an external occulter. The external occulter is a spacecraft flown along the line-of-sight of a space telescope to suppress starlight and enable high-contrast direct imaging of exoplanets. The occulter is typically tens of meters in diameter and the separation from the telescope is of the order of tens of thousands of kilometers. Optical testing of a full-scale external occulter on the ground is impossible because of the long separations. Therefore, laboratory verification of occulter designs is necessary to validate the optical models used to design and predict occulter performance. At Princeton, we have designed and built a testbed that allows verification of scaled occulter designs whose suppressed shadow is mathematically identical to that of space occulters. The goal of this experiment is to demonstrate a pupil plane suppression of better than 1e-9 with a corresponding image plane contrast of better than 1e-11. The occulter testbed uses a 77.2 m optical propagation distance to realize the flight Fresnel number of 14.5. The scaled mask is placed at 27.2 m from the artificial source and the camera is located 50.0 m from the scaled mask. We will use an etched silicon mask, manufactured by the Microdevices Lab(MDL) of the Jet Propulsion Laboratory(JPL), as the occulter. Based on conversations with MDL, we expect that 0.5 μm feature size is an achievable resolution in the mask manufacturing process and is therefore likely the indicator of the best possible performance. The occulter is illuminated by a diverging laser beam to reduce the aberrations from the optics before the occulter. Here, we present first light result of a sample design operating at a flight Fresnel number and the experimental setup of the testbed. We compare the experimental results with simulations

  18. Do X-ray-occult fractures play a role in chronic pain following a whiplash injury?

    DEFF Research Database (Denmark)

    Hertzum-Larsen, Rasmus; Petersen, Henrik; Kasch, Helge


    symptoms following an MVA was invited to have a cervical SPECT shortly post injury and again 6 months later. Associations between occult fractures and pain levels at baseline, 6 and 12 months of follow-up were analyzed. Eighty-eight patients had baseline SPECT performed at median 15 days (range 3-28) post...... injury, but only 49 patients accepted to have the follow-up SPECT at 6 months. Abnormal SPECT, defined as minimum one area of focal uptake, was seen in 32 patients at baseline, reflecting an occult fracture. Occult fractures were not associated with pain levels, neither at baseline nor at follow...

  19. Occult hepatitis C virus infection is more common than hepatitis B infection in maintenance hemodialysis patients


    Jain, Pankaj; Nijhawan, Sandeep


    Patients of end stage renal disease on maintenance hemodialysis were enrolled to study the prevalence of occult and dual hepatitis B virus (HBV) and hepatitis C virus (HCV) infection and non-occult hepatitis B and C virus infection. One hundred and two patients were enrolled. Thirty patients had HCV infection, three of them were positive in anti-HCV. So, 27 (90%) of HCV-positive patients had occult HCV infection. Eleven (11%) patients had HBV infection. Five patients were positive in anti-HBc...

  20. Wave propagation simulation of radio occultations based on ECMWF refractivity profiles

    DEFF Research Database (Denmark)

    von Benzon, Hans-Henrik; Høeg, Per


    This paper describes a complete radio occultation simulation environment, including realistic refractivity profiles, wave propagation modeling, instrument modeling, and bending angle retrieval. The wave propagator is used to simulate radio occultation measurements. The radio waves are propagated...... through a refractivity field which has been calculated with the use of numerical weather prediction models. The numerical weather prediction model used in this paper is a model from the European Centre for Medium-Range Weather Forecasts (ECMWF). The wave propagator has been used to simulate a number...... radio occultations can be simulated when the simulations are based on wave propagation and refractivity field inputs from a numerical weather prediction model....

  1. Diagnostic accuracy of unenhanced, contrast-enhanced perfusion and angiographic MRI sequences for pulmonary embolism diagnosis: results of independent sequence readings

    Energy Technology Data Exchange (ETDEWEB)

    Revel, Marie Pierre [Hopital Europeen Georges Pompidou, APHP, Departments of Radiology, Paris (France); Universite Paris Descartes Sorbonne Paris Cite, Paris (France); Hotel-Dieu, Service de Radiologie, Paris (France); Sanchez, Olivier; Meyer, Guy [Hopital Europeen Georges Pompidou, APHP, Respiratory and intensive care and, Paris (France); Universite Paris Descartes Sorbonne Paris Cite, Paris (France); INSERM Unite 765, Paris (France); Lefort, Catherine; Couchon, Sophie; Hernigou, Anne; Frija, Guy [Hopital Europeen Georges Pompidou, APHP, Departments of Radiology, Paris (France); Niarra, Ralph [Hopital Europeen Georges Pompidou, APHP, Clinical Epidemiology, Paris (France); Universite Paris Descartes Sorbonne Paris Cite, Paris (France); Chatellier, Gilles [Hopital Europeen Georges Pompidou, APHP, Clinical Epidemiology, Paris (France); Universite Paris Descartes Sorbonne Paris Cite, Paris (France); INSERM CIC-EC E4, Paris (France)


    To independently evaluate unenhanced, contrast-enhanced perfusion and angiographic MR sequences for pulmonary embolism (PE) diagnosis. Prospective investigation, including 274 patients who underwent perfusion, unenhanced 2D steady-state-free-precession (SSFP) and contrast-enhanced 3D angiographic MR sequences on a 1.5-T unit, in addition to CTA (CT angiography). Two independent readers evaluated each sequence independently in random order. Sensitivity, specificity, predictive values and inter-reader agreement were calculated for each sequence, excluding sequences judged inconclusive. Sensitivity was also calculated according to PE location. Contrast-enhanced angiographic sequences showed the highest sensitivity (82.9 and 89.7 %, reader 1 and reader 2, respectively), specificity (98.5 and 100 %) and agreement (kappa value 0.77). Unenhanced angiographic sequences, although less sensitive overall (68.7 and 76.4 %), were sensitive for the detection of proximal PE (92.7 and 100 %) and showed high specificity (96.1 and 99.1 %) and good agreement (kappa value 0.62). Perfusion sequences showed lower sensitivity (75.0 and 79.3 %), specificity (84.8 and 89.7 %) and agreement (kappa value 0.51), and a negative predictive value of 84.8 % at best. Compared with contrast-enhanced angiographic sequences, unenhanced sequences demonstrate lower sensitivity, except for proximal PE, but high specificity and agreement. The negative predictive value of perfusion sequences was insufficient to safely rule out PE. (orig.)

  2. Intracranial Vascular Treatments (United States)

    ... full size with caption Related Articles and Media Gamma Knife Linear Accelerator Catheter Embolization Angioplasty and Vascular Stenting Proton Therapy Radiation Dose in X-Ray and CT Exams Stereotactic ...

  3. Congenital Vascular Malformation (United States)

    ... also be effective for small, localized birthmarks (port wine stains). Patients with a rare venous malformation (Kleppel– ... 3) non-profit organization focused on providing public education and improving awareness about vascular diseases. For more ...

  4. Soluble CD40 ligand is associated with angiographic severity of coronary artery disease in patients with acute coronary syndrome

    Institute of Scientific and Technical Information of China (English)

    Zhao Wei; Zhang Fan; Li Zijian; Yu Haiyi; Li Zongshi; Gao Wei


    Background Recently,studies have disclosed soluble CD40 ligand (sCD40L) during atherosclerosis development and plaque destabilization.The objective of the present study was to test the hypothesis that sCD40L levels are higher in acute coronary syndrome (ACS) patients with a greater extent of angiographic coronary involvement.Methods This cross-sectional study examined ACS patients who underwent coronary angiography by measuring their sCD40L levels.In order to estimate the serum levels of sCD40L,10 ml of peripheral venous blood was drawn within 24 hours of admission.sCD40L levels were measured using an enzyme-linked immunosorbent assay (ELISA,RapidBio,West Hills,CA,USA).Demographic data,presence of concomitant diseases,ACS characteristics,and angiographic findings were evaluated.A review of medical records and patient interviews were conducted to assess coronary risk factors.And the severity of coronary artery disease was evaluated using the Gensini score index.Results Two hundred and eighty-nine patients were included in the study,of whom 186 were male,with an average age of 64.1±10.0 years.Median sCD40L levels were 1.7 ng/ml (0.3-7.3 ng/ml) and Gensini scores were 50 (0-228).After adjusting for demographic variables and cardiovascular risk factors,the Gensini score was associated with the natural logarithm of the sCD40L level (Coefficient b=0.002,95% CI 0.000-0.003,P=0.029).Conclusion sCD40L levels were independently associated with angiographic severity of coronary artery disease in patients with ACS.

  5. [Complex vascular access]. (United States)

    Mangiarotti, G; Cesano, G; Thea, A; Hamido, D; Pacitti, A; Segoloni, G P


    Availability of a proper vascular access is a basic condition for a proper extracorporeal replacement in end-stage chronic renal failure. However, biological factors, management and other problems, may variously condition their middle-long term survival. Therefore, personal experience of over 25 years has been critically reviewed in order to obtain useful information. In particular "hard" situations necessitating complex procedures have been examined but, if possible, preserving the peripherical vascular features.

  6. Ageing and vascular ageing



    There is an age related decline in various physiological processes. Vascular ageing is associated with changes in the mechanical and the structural properties of the vascular wall, which leads to the loss of arterial elasticity and reduced arterial compliance. Arterial compliance can be measured by different parameters like pulse wave velocity, augmentation index, and systemic arterial compliance. There is evidence that arterial compliance is reduced in disease states such as hypertension, di...

  7. Radiographically Occult and Subtle Fractures: A Pictorial Review

    Directory of Open Access Journals (Sweden)

    Mohamed Jarraya


    Full Text Available Radiographically occult and subtle fractures are a diagnostic challenge. They may be divided into (1 “high energy trauma fracture,” (2 “fatigue fracture” from cyclical and sustained mechanical stress, and (3 “insufficiency fracture” occurring in weakened bone (e.g., in osteoporosis and postradiotherapy. Independently of the cause, the initial radiographic examination can be negative either because the findings seem normal or are too subtle. Early detection of these fractures is crucial to explain the patient’s symptoms and prevent further complications. Advanced imaging tools such as computed tomography, magnetic resonance imaging, and scintigraphy are highly valuable in this context. Our aim is to raise the awareness of radiologists and clinicians in these cases by presenting illustrative cases and a discussion of the relevant literature.

  8. Clinical significance of occult hepatitis B virus infection

    Institute of Scientific and Technical Information of China (English)

    Miriam Romero; Antonio Madejón; Conrado Fernández-Rodríguez; Javier García-Samaniego


    Occult hepatitis B virus (HBV) infection (OBI) is defined as the presence of HBV DNA in the liver (with or without detectable HBV DNA in serum) for individuals testing HBV surface antigen negative. Until recently, the clinical effect of OBI was unclear on the progression of liver disease; on the development of hepatocellular carcinoma; and on the risk for reactivation or transmission of HBV infection. Several studies suggest a high prevalence of OBI among patients with cryptogenic chronic liver disease, but its role in the progression to cirrhosis remains unclear. Although OBI has been well documented in human immunodeficiency virus (HIV)-positive patients, especially among those coinfected with hepatitis C virus, further studies are needed to determine its current clinical impact in HIV setting.

  9. Occult Orbitocranial Penetrating Pencil Injury in a Child

    Directory of Open Access Journals (Sweden)

    Faisal Al-Otaibi


    Full Text Available Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the presence of a foreign body was discovered on imaging study when she presented with orbital swelling and purulent discharges. She recovered well after surgical and medical management. This paper sheds light on the importance of high suspicion for the presence and early surgical management of a penetrating foreign body.

  10. HITRAN spectroscopy evaluation using solar occultation FTIR spectra (United States)

    Toon, Geoffrey C.; Blavier, Jean-Francois; Sung, Keeyoon; Rothman, Laurence S.; E. Gordon, Iouli


    High resolution FTIR solar occultation spectra, acquired by the JPL MkIV Fourier transform spectrometer from balloon, covering 650-5650 cm-1 at 0.01 cm-1 resolution, are systematically analyzed using the last four versions of the HITRAN linelist (2000, 2004, 2008, 2012). The rms spectral fitting residuals are used to assess the quality and adequacy of the linelists as a function of wavenumber and altitude. Although there have been substantial overall improvements with each successive version of HITRAN, there are nevertheless a few spectral regions where the latest HITRAN version (2012) has regressed, or produces residuals that far exceed the noise level. A few of these instances are investigated further and their causes identified. We emphasize that fitting atmospheric spectra, in addition to laboratory spectra, should be part of the quality assurance for any new linelist before public release.

  11. Clinicopathologic correlations and significance of clinically occult mammary lesions. (United States)

    Schwartz, G F; Feig, S A; Patchefsky, A S


    Experience with 189 clinically occult, i.e., nonpalpable breast lesions is presented. The described technique of localization and excision all but guarantees removal of even the smallest radiographically suspicious findings with an inconspicuous incision and minimal breast deformity. The incidence of carcinoma encountered in these 189 biopsies is 27.5%. Axillary node metastases were present in less than 25% of the invasive nonpalpable cancers, approximately half of what might have been expected if the lesions had been discovered in the usual manner. There were no patients with axillary node metastases among those with in situ ductal or microinvasive ductal carcinomas. This implies a better prognosis and lower death rate from breast cancer in these patients. Screening programs employing mammography, designed to detect breast cancers in this pre-palpable stage, are encountered as a means of uncovering a higher proportion of such cancers at an earlier stage in their natural histories.

  12. Acute Zonal Occult Outer Retinopathy with Atypical Findings

    Directory of Open Access Journals (Sweden)

    Dimitrios Karagiannis


    Full Text Available Background. To report a case of acute zonal occult outer retinopathy (AZOOR with atypical electrophysiology findings. Case Presentation. A 23-year-old-female presented with visual acuity deterioration in her right eye accompanied by photopsia bilaterally. Corrected distance visual acuity at presentation was 20/50 in the right eye and 20/20 in the left eye. Fundus examination was unremarkable. Visual field (VF testing revealed a large scotoma. Pattern and full-field electroretinograms (PERG and ERG revealed macular involvement associated with generalized retinal dysfunction. Electrooculogram (EOG light rise and the Arden ratio were within normal limits bilaterally. The patient was diagnosed with AZOOR due to clinical findings, visual field defect, and ERG findings. Conclusion. This is a case of AZOOR with characteristic VF defects and clinical symptoms presenting with atypical EOG findings.

  13. Atmospheric stability index using radio occultation refractivity profiles

    Indian Academy of Sciences (India)

    D Jagadheesha; B Manikiam; Neerja Sharma; P K Pal


    A new stability index based on atmospheric refractivity at ∼500 hPa level and surface measurements of temperature, pressure and humidity is formulated. The new index named here as refractivity based lifted index (RLI) is designed to give similar results as traditionally used lifted index derived from radiosonde profiles of temperature, pressure and humidity. The formulation of the stability index and its comparison with the traditional temperature profile based lifted index (LI) is discussed. The index is tested on COSMIC radio occultation derived refractivity profiles over Indian region. The forecast potential of the new index for rainfall on 2° × 2° latitude–longitude spatial scale with lead time of 3–24 hours indicate that the refractivity based lifted index works better than the traditional temperature based lifted index for the Indian monsoon region. Decreasing values of RLI tend to give increasing rainfall probabilities.

  14. Remote sensing of tropospheric turbulence using GPS radio occultation (United States)

    Shume, Esayas; Ao, Chi


    Radio occultation (RO) measurements are sensitive to the small-scale irregularities in the atmosphere. In this study, we present a new technique to estimate tropospheric turbulence strength (namely, scintillation index) by analyzing RO amplitude fluctuations in impact parameter domain. GPS RO observations from the COSMIC (Constellation Observing System for Meteorology, Ionosphere, and Climate) satellites enabled us to calculate global maps of scintillation measures, revealing the seasonal, latitudinal, and longitudinal characteristics of the turbulent troposphere. Such information are both difficult and expensive to obtain especially over the oceans. To verify our approach, simulation experiments using the multiple phase screen (MPS) method were conducted. The results show that scintillation indices inferred from the MPS simulations are in good agreement with scintillation measures estimated from COSMIC observations.

  15. Occult Celiac Disease Associated with Lymphocytic Sclerosing Cholangitis

    Directory of Open Access Journals (Sweden)

    Hugh J Freeman


    Full Text Available A 60-year-old male with dermatitis herpetiformis and a previously treated lymphoma involving an inguinal lymph node developed abnormal liver chemistry tests. Because of intermittent diarrhea, additional studies revealed lymphocytic colitis and occult celiac disease that responded to a gluten-free diet. A liver biopsy done to explore persistently abnormal liver chemistry tests showed a portal tract-centred inflammatory process characterized by biliary ductal proliferation, epithelial lymphocytosis and concentric lamellar fibrosis. Quantitation of immunoglobulins was normal and antimitochondrial antibodies were negative. Retrograde cholangiograms showed radiological features typical of primary sclerosing cholangius. The epithelial lymphocycosis reported in gastric, small and large intestinal mucosa of some patients with celiac disease may also be present in the biliary ductal columnar epithelium. This report provides additional evidence that celiac disease may be a far more extensive pathological process.

  16. Quasi-periodic pulsations in partially occulted flares (United States)

    Szaforz, Zaneta; Tomczak, Michal

    The model of oscillating magnetic traps (OMT) suggests that the cusp-like magnetic structures located in an upper part of flare loops are responsible for quasi-periodic pulsations (QPP) observed sometimes in hard X-rays (HXR). Electrons within these oscillating traps are efficiently accelerated and confined, therefore the traps should be recognize as loop-top HXR sources. However, these sources are difficult for reconstruction in the presence of the stronger footpoint HXR sources. To overcome this problem, we analyzed partially occulted flares, observed by Yohkoh, from the survey of Tomczak (2009). We will present the correlation between the diameter of the loop-top HXR source and the period of pulsations. We will present also some interesting examples of observations, for which changes in QPPs coincide with the changes in appearance of loop-top sources.

  17. Remote Sensing of Tropospheric Turbulence Using GPS Radio Occultation (United States)

    Shume, E. B.; Ao, C. O.


    The purposes of this abstract are twofold: (i) It presents estimates of tropospheric turbulence strength (namely, scintillation index) by analyzing radio occultation (RO) observations from the COSMIC (Constellation Observing System for Meteorology, Ionosphere, and Climate) satellites. The availability of global observation worth of several years of COSIMC RO profiles enabled us to calculate global maps of scintillation measures (such information are both difficult and expensive especially over the oceans) revealing the seasonal, latitudinal, and longitudinal characteristics of the turbulent troposphere in greater details, and (ii) the manuscript also presents the application of a multiple phase screen (MPS) model simulation to investigate and quantify the effects of tropospheric turbulence on L-band communication and navigation signals received in a GPS (Global Positioning System) to a LEO (Low Earth Orbiting) satellites radio links. The scintillation indices inferred from the MPS simulations are shown to be in a reasonable agreement with scintillation measures estimated from COSMIC RO observations.

  18. Exploring overstabilities in Saturn's A ring using two stellar occultations

    CERN Document Server

    Hedman, M M; Salo, H


    Certain regions of Saturn's rings exhibit periodic opacity variations with characteristic radial wavelengths of up to a few hundred meters that have been attributed to viscous overstabilities. The Visual and Infrared Mapping Spectrometer (VIMS) onboard the Cassini spacecraft observed two stellar occultations of the star gamma Crucis that had sufficient resolution to discern a sub-set of these periodic patterns in a portion of the A ring between 124,000 and 125,000 km from Saturn center. These data reveal that the wavelengths and intensities of the patterns vary systematically across this region, but that these parameters are not strictly determined by the ring's average optical depth. Furthermore, our observations indicate that these opacity variations have an azimuthal coherence scale of around 3000 km.

  19. Vascular compression syndromes. (United States)

    Czihal, Michael; Banafsche, Ramin; Hoffmann, Ulrich; Koeppel, Thomas


    Dealing with vascular compression syndromes is one of the most challenging tasks in Vascular Medicine practice. This heterogeneous group of disorders is characterised by external compression of primarily healthy arteries and/or veins as well as accompanying nerval structures, carrying the risk of subsequent structural vessel wall and nerve damage. Vascular compression syndromes may severely impair health-related quality of life in affected individuals who are typically young and otherwise healthy. The diagnostic approach has not been standardised for any of the vascular compression syndromes. Moreover, some degree of positional external compression of blood vessels such as the subclavian and popliteal vessels or the celiac trunk can be found in a significant proportion of healthy individuals. This implies important difficulties in differentiating physiological from pathological findings of clinical examination and diagnostic imaging with provocative manoeuvres. The level of evidence on which treatment decisions regarding surgical decompression with or without revascularisation can be relied on is generally poor, mostly coming from retrospective single centre studies. Proper patient selection is critical in order to avoid overtreatment in patients without a clear association between vascular compression and clinical symptoms. With a focus on the thoracic outlet-syndrome, the median arcuate ligament syndrome and the popliteal entrapment syndrome, the present article gives a selective literature review on compression syndromes from an interdisciplinary vascular point of view.

  20. Pluto's Atmosphere from the July 2010 Stellar Occultation (United States)

    Person, Michael J.; Elliot, J. L.; Bosh, A. S.; Gulbis, A. A. S.; Jensen-Clem, R.; Lockhart, M. F.; Zangari, A. M.; Zuluaga, C. A.; Levine, S. E.; Pasachoff, J. M.; Souza, S. P.; Lu, M.; Malamut, C.; Rojo, P.; Bailyn, C. D.; MacDonald, R. K. D.; Ivarsen, K. M.; Reichart, D. E.; LaCluyze, A. P.; Nysewander, M. C.; Haislip, J. B.


    We have observed the 4 July 2010 stellar occultation by Pluto as part of our program of monitoring Pluto's atmospheric changes over the last decade. Successful observations were obtained from three sites: Cerro Calan and Cerro Tololo, Chile, as well as the HESS-project site (High Energy Stereoscopic System) in southwestern Namibia. Successful telescope apertures ranged from 0.45 m to 1.0 m and resulted in seven occultation light curves for the event from among the three sites. Simultaneous analysis of the seven light curves indicates that Pluto's atmosphere continues to be stable, as the calculated atmospheric radii are consistent with those detected in 2006 (Elliot et al., AJ 134, 1, 2007) and 2007 (Person et al., AJ 136, 1510, 2008), continuing the stability that followed the large pressure increase detected between 1988 (Millis et al., Icarus 105, 282, 1993) and 2002 (Elliot et al., Nature 424, 165, 2003). We will present the overall astrometric solution as well as current profiles for Pluto's upper atmospheric temperature and pressure obtained from inversion of the light curves (Elliot, Person, and Qu, AJ 126, 1041, 2003). This work was supported, in part, by grants NNX10AB27G to MIT, NNX08AO50G to Williams College, and NNH08AI17I to the USNO from NASA's Planetary Astronomy Division. The 0.75-m ATOM (Automatic Telescope for Optical Monitoring) light curve was obtained with the generous assistance of the HESS-project staff, arranged by Stefan Wagner and Marcus Hauser of the University of Heidelberg. The 0.45-m Goto telescope at Cerro Calán National Astronomical Observatory, Universidad de Chile, was donated by the Government of Japan. PROMPT (Panchromatic Robotic Optical Monitoring and Polarimetry Telescopes) observations at Cerro Tololo were made possible by the Robert Martin Ayers Science Fund. Student participation was supported in part by NSF's REU program and NASA's Massachusetts Space Grant.

  1. The prototype cameras for trans-Neptunian automatic occultation survey (United States)

    Wang, Shiang-Yu; Ling, Hung-Hsu; Hu, Yen-Sang; Geary, John C.; Chang, Yin-Chang; Chen, Hsin-Yo; Amato, Stephen M.; Huang, Pin-Jie; Pratlong, Jerome; Szentgyorgyi, Andrew; Lehner, Matthew; Norton, Timothy; Jorden, Paul


    The Transneptunian Automated Occultation Survey (TAOS II) is a three robotic telescope project to detect the stellar occultation events generated by TransNeptunian Objects (TNOs). TAOS II project aims to monitor about 10000 stars simultaneously at 20Hz to enable statistically significant event rate. The TAOS II camera is designed to cover the 1.7 degrees diameter field of view of the 1.3m telescope with 10 mosaic 4.5k×2k CMOS sensors. The new CMOS sensor (CIS 113) has a back illumination thinned structure and high sensitivity to provide similar performance to that of the back-illumination thinned CCDs. Due to the requirements of high performance and high speed, the development of the new CMOS sensor is still in progress. Before the science arrays are delivered, a prototype camera is developed to help on the commissioning of the robotic telescope system. The prototype camera uses the small format e2v CIS 107 device but with the same dewar and also the similar control electronics as the TAOS II science camera. The sensors, mounted on a single Invar plate, are cooled to the operation temperature of about 200K as the science array by a cryogenic cooler. The Invar plate is connected to the dewar body through a supporting ring with three G10 bipods. The control electronics consists of analog part and a Xilinx FPGA based digital circuit. One FPGA is needed to control and process the signal from a CMOS sensor for 20Hz region of interests (ROI) readout.

  2. Between occultism and drama. Henrik Ibsen and Aleister Crowley

    Directory of Open Access Journals (Sweden)

    Giuliano D' Amico


    Full Text Available The article investigates the references to the works of Henrik Ibsen that the writer and occultist Aleister Crowley scattered in his writings around the turn of the 20th century, in the early phase of his career as a writer and occultist. Crowley’s reading of Ibsen has a marked a socio-political bent, especially in his interpretation of the work of the Norwegian playwright as an act of rebellion against the bourgeois (and for Crowley, Victorian system of values. Also, such view is enriched by a spiritual and individualistic interpretation of Ibsen as an “Artist”, i.e., in the light of Crowley’s occult doctrine, Thelema, of an individual who has found his own “Will” and can inspire others to do so. Such social and spiritual interpretations of Ibsen on Crowley’s part found their literary realization in his one-act play The Mother’s Tragedy (1899. The article claims that Crowley’s reading of Ibsen can give some new insight in the mechanisms of reception of the Norwegian playwright, by opening up for a reading of some of his plays within an occult discourse. Also, it is an occasion to treat Crowley – a figure that was constantly present in the European cultural and literary life of the last decade of the 19th century and of the first five decades of the 20th – with a different attitude than the irony and disdain to which he is often exposed.

  3. Cassini RSS occultation observations of density waves in Saturn's rings (United States)

    McGhee, C. A.; French, R. G.; Marouf, E. A.; Rappaport, N. J.; Schinder, P. J.; Anabtawi, A.; Asmar, S.; Barbinis, E.; Fleischman, D.; Goltz, G.; Johnston, D.; Rochblatt, D.


    On May 3, 2005, the first of a series of eight nearly diametric occultations by Saturn's rings and atmosphere took place, observed by the Cassini Radio Science (RSS) team. Simultaneous high SNR measurements at the Deep Space Network (DSN) at S, X, and Ka bands (λ = 13, 3.6, and 0.9 cm) have provided a remarkably detailed look at the radial structure and particle scattering behavior of the rings. By virtue of the relatively large ring opening angle (B=-23.6o), the slant path optical depth of the rings was much lower than during the Voyager epoch (B=5.9o), making it possible to detect many density waves and other ring features in the Cassini RSS data that were lost in the noise in the Voyager RSS experiment. Ultimately, diffraction correction of the ring optical depth profiles will yield radial resolution as small as tens of meters for the highest SNR data. At Ka band, the Fresnel scale is only 1--1.5 km, and thus even without diffraction correction, the ring profiles show a stunning array of density waves. The A ring is replete with dozens of Pandora and Prometheus inner Lindblad resonance features, and the Janus 2:1 density wave in the B ring is revealed with exceptional clarity for the first time at radio wavelengths. Weaker waves are abundant as well, and multiple occultation chords sample a variety of wave phases. We estimate the surface mass density of the rings from linear density wave models of the weaker waves. For stronger waves, non-linear models are required, providing more accurate estimates of the wave dispersion relation, the ring surface mass density, and the angular momentum exchange between the rings and satellite. We thank the DSN staff for their superb support of these complex observations.

  4. Nephrotoxicity of contrast media in patients with diabetes mellitus; A comparative urographic and angiographic study with iohexol and metrizoate

    Energy Technology Data Exchange (ETDEWEB)

    Billstroem, A.; Hietala, S.O.; Lithner, F.; Merikanto, J.; Wirell, M.; Wirell, S. (Umeaa Univ. (Sweden). Dept. of Diagnostic Radiology Umeaa Univ. (Sweden). Dept. of Internal Medicine)

    A double-blind urographic and angiographic study was done with the ionic contrast medium meglumine metrizoate and the non-ionic iohexol in 90 patients with diabetes mellitus. Twenty patients were insulin dependent, and 70 non-insulin dependent diabetics. Diabetic patients with decreased as well as normal renal function prior to the examination sustained a reversible and small increase in the plasma creatinine level postexamination. The small increase caused by meglumine metrizoate was significantly higher than the increase caused by iohexol. There was also a significantly higher increase in plasma creatinine among the patients with diabetic nephropathy compared with those without nephropathy. (orig.).

  5. Effective dose and dose to crystalline lens during angiographic procedures; Dose effective et dose au cristallin lors de procedures angiographiques

    Energy Technology Data Exchange (ETDEWEB)

    Pages, J. [QUARAD and Radiology Dept., Vvije Universiteit Brussel (Belgium)


    The highest radiation doses levels received by radiologists are observed during interventional procedures. Doses to forehead and neck received by a radiologist executing angiographic examinations at the department of radiology at the academic hospital (AZ-VUB) have been measured for a group of 34 examinations. The doses to crystalline lens and the effective doses for a period of one year have been estimated. For the crystalline lens the maximum dose approaches the ICRP limit, that indicates the necessity for the radiologist to use leaded glasses. (N.C.)

  6. Occult gastrointestinal bleeding due to a Dieulafoy lesion in the terminal ileum

    NARCIS (Netherlands)

    Wegdam, J.A.; Hofker, H.S.; Dijkstra, G; Stolk, M.F.; Jacobs, M.A.; Suurmeijer, A.J.H.


    A 50-year-old man awaiting liver transplantation for primary sclerosing cholangitis developed iron-deficiency anaemia. Repeated occult gastrointestinal bleeding led to an increasing need for blood transfusions. After multiple oesophagogastroduodenoscopies and colonoscopies, videocapsule endoscopy fi


    Directory of Open Access Journals (Sweden)

    Gehan Abdel Hakeem


    G6PD deficiency anemia is associated with a variable degree of glomerular dysfunction during acute hemolytic episodes. This glomerular dysfunction can result in chronic subclinical or occult chronic kidney injury.

  8. Fabrication and Measurement of Precision Structures for External Occulter Optical Edges Project (United States)

    National Aeronautics and Space Administration — This project proposes to develop an occulter optical edge and optical edge measurement verification system suitable for astrophysics missions including JWST and the...

  9. Observations of Hot-Jupiter occultations combining Spitzer and Kepler photometry

    Directory of Open Access Journals (Sweden)

    Knutson H.


    Full Text Available We present the status of an ongoing program which aim at measuring occultations by their parent stars of transiting hot giant exoplanets discovered recently by Kepler. The observations are obtained in the near infrared with WarmSpitzer Space Telescope and at optical wavelengths by combining more than a year of Kepler photometry. The investigation consists of measuring the mid-occultation times and the relative occultation depths in each band-passes. Our measurements of occultations depths in the Kepler bandpass is turned into the determination of the optical geometric albedo Ag in this wavelength domain. The brightness temperatures of these planets are deduced from the infrared observations. We combine the optical and near infrared planetary emergent fluxes to obtain broad band emergent spectra of individual planet. We finally compare these spectra to hot Jupiter atmospheric models in order broadly distinguishing these atmospheres between different classes of models.

  10. Occult hepatitis C virus infection is more common than hepatitis B infection in maintenance hemodialysis patients

    Institute of Scientific and Technical Information of China (English)

    Pankaj Jain; Sandeep Nijhawan


    Patients of end stage renal disease on maintenance hemodialysis were enrolled to study the prevalence of occult and dual hepatitis B virus (HBV) and hepatitis C virus (HCV) infection and non-occult hepatitis B and C virus infection. One hundred and two patients were enrolled. Thirty patients had HCV infection, three of them were positive in anti-HCV. So, 27 (90%) of HCVpositive patients had occult HCV infection. Eleven (11%)patients had HBV infection. Five patients were positive in anti-HBc or HBV-DNA, but negative in HBsAg (occult HBV infection). Three (3%) patients had dual HBV and HCV infection. None of the patients showed changes in viral markers during the follow-up of 8 mo on average (1-12 mo).

  11. [Angiographic moyamoya in a female with glycogenosis type IA - a case report focusing therapeutic management: bilateral encephalo-duro-arterio-myo-synangiosis (EDAMS)]. (United States)

    Weiss, C; Witt, T N; Fesl, G; Geisler, J; Tonn, J C


    Angiographic Moyamoya is a rare cerebrovascular disease most frequent in asia. Its characateristics are recurrent ischemic attacks due to progressive occlusion of ICA branches. Angiography reveals fine arterial collateralisation reminding of ascending smoke ("moyamoya" in japanese). Neurosurgical treatment strategies include direct and indirect reanastomosation procedures. Randomised trials for comparison of clinical outcome and long term survival remain missing. A 23 years old female with glycogenosis type IA was first diagnosed bilateral angiographic moyamoya with bilateral proximal stenosis of ICA after transient ischemic attack (TIA). Coincidence of both rare diseases moyamoya and glycogenosis has previously been reported in three cases, so that this metabolic dysfunction presumably is a true risk factor for moyamoya. In our case, excellent angiographic and functional results were achieved by bilateral, consecutive Enzephalo-Duro-Arterio-Myo-Synangiosis (EDAMS).

  12. Clinical Profile with Angiographic Correlation in Naïve Acute Coronary Syndrome (United States)

    Lohiya, Balaji V; Sihag, Bhupendra K; Prajapati, Rajpal


    Introduction Despite cardiovascular diseases having grown to epidemic proportions, there are few studies from India pertaining to Acute Coronary Syndrome (ACS), more so from the region of Purvanchal which is less developed with more poverty. Our study is first of its kind in this region of patients presenting for the first time with ACS. Aim The present study was undertaken to study the clinical and angiographic characteristics of ACS patients of Purvanchal. Materials and Methods This was a prospective cohort study of 100 patients admitted with ACS. Patients were excluded if they had prior cardiac pathology like valvular heart disease, cardiomyopathy, pericardial disease, cor pulmonale, ischaemic heart disease or cardiac revascularisation. Patients who did not undergo angiography were excluded. Patients were divided into ST Elevation Myocardial Infarction (STEMI) and non STEMI (NSTEMI). Presentation delays as well as clinical characteristics analysed in each group were age, gender, presence or absence of diabetes mellitus, hypertension, dyslipidaemia, smoking, Body Mass Index (BMI), family history, duration of chest pain, and treatment received. Results Mean age of patients was 58.9 years with 27% below 50 years. Of the total 75% were males. Patients with STEMI were 65%. Median time to reach hospital was 24 hours with only 27% patients reaching hospital within 6 hours. Among patients with STEMI only 43% received fibrinolytic therapy. 23% patients had diabetes, 21% were hypertensive, 16% were smokers, family history of cardiovascular disease present in 11% and 21% had body mass index more than 30. Mean LDL was 115mg/dl and HDL 39mg/dl with 54% of patients having at least one risk factor. Factors favouring triple vessel involvement were female sex, higher age, smoking, presence of diabetes and NSTEMI. Conclusion Indians develop ACS at earlier age. Precious time is lost before seeking treatment. There is a need for aggressive risk factor modification which along with

  13. Relationship between carotid intima-media thickness and coronary angiographic findings: a prospective study

    Directory of Open Access Journals (Sweden)

    Kilickesmez Kadriye O


    Full Text Available Abstract Background Since cardiovascular diseases are associated with high mortality and generally undiagnosed before the onset of clinical findings, there is a need for a reliable tool for early diagnosis. Carotid intima-media thickness (CIMT is a non-invasive marker of coronary artery disease (CAD and is widely used in practice as an inexpensive, reliable, and reproducible method. In the current study, we aimed to investigate prospectively the relationship of CIMT with the presence and extent of significant coronary artery narrowing in patients evaluated by coronary angiography for stable angina pectoris. Methods One hundred consecutive patients with stable angina pectoris and documented ischemia on a stress test were included in the study. The patients were divided into two groups according to the result of the coronary angiography: group 1 (39 patients without a noncritical coronary lesion, and group 2 (61 patients having at least one lesion more than 50% within the main branches of the coronary arteries. All of the patients underwent carotid Doppler ultrasound examination for measurement of the CIMT by a radiologist blinded to the angiographic data. Results The mean CIMT was 0.78 ± 0.21 mm in Group 1, while it was 1.48 ± 0.28 mm in Group 2 (p = 0.001. The mean CIMT in patients with single vessel disease, multi-vessel disease, and left main coronary artery disease were significantly higher compared to Group 1 (1.2 ± 0.34 mm, p = 0.02; 1.6 ± 0.32 mm, p = 0.001; and 1.8 ± 0.31 mm, p = 0.0001, respectively. Logistic regression analysis identified CIMT (OR 4.3, p Conclusions The findings of this study show that increase in CIMT is associated with the presence and extent of CAD. In conclusion, we demonstrated the usefulness of carotid intima-media thickness in predicting coronary artery disease but large-scale studies are required to define its role in clinical practice.

  14. Ultrasonographic features of vascular closure devices: initial and 6 month followup results

    Energy Technology Data Exchange (ETDEWEB)

    Choo, Hye Jung; Jeong, Hae Woong; Park, Jin Young; Kim, Sung Tae; Seo, Jung Hwa; Lee, Sun Joo; Park, Young Mi [Inje University Busan Paik Hospital, Inje University College of Medicine, Busan (Korea, Republic of); Jin, Sung Chul [Dept. of Neurosurgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan (Korea, Republic of)


    This study aimed to evaluate the ultrasonographic findings for various types of vascular closure devices (VCDs) immediately after the angiographic procedure and at 6-month follow-up. We included 18 VCDs including Angio-Seal (n=4), FemoSeal (n=8), ExoSeal (n=3), Perclose (n=2), and StarClose (n=1) in this study. Four patients were implanted with 2 VCDs at the each side of bilateral femoral arteries, while the remaining 8 patients were inserted 1 VCD at the right femoral artery. Ultrasonography was performed within 10 days and at approximately 6 months after the angiographic procedure. Ultrasonographic morphology of the attached VCD and its relationship with the arterial wall were analyzed. Initial ultrasonography revealed the attached VCD as the relevant unique structure with successful deployment and hemostasis. Follow-up ultrasonography demonstrated partial absorption of hemostatic materials in cases of Angio-Seal (n=3), FemoSeal (n=5), and ExoSeal (n=3), changes in the soft tissue surrounding the femoral artery in case of Angio-Seal (n=1), arterial intimal hyperplasia in cases of FemoSeal (n=3), and no gross changes as compared with the initial ultrasonographic findings in cases of Perclose (n=2) and StarClose (n=1). Initial ultrasonographic evaluation reflected the unique structure of each VCD, with most of them being easily distinguishable. Follow-up ultrasonography revealed various changes in the affected vessels.

  15. Detection of occult hepatitis B virus among chronic hepatitis C patients

    Directory of Open Access Journals (Sweden)

    Ola Abd El Kader Mahmoud


    Results: Fifty-eight percent of the study group were positive for anti-HBc. Meanwhile, only 18 cases (18% were positive for the polymerase gene by nested PCR and were considered as occult HBV. Among these 18 polymerase gene positive patients (occult HBV anti-HBc was detected among 9 (50% of cases. Different gene profiles were noticed among the 18 polymerase gene positive patients.

  16. Seroprevalence of occult hepatitis B among Egyptian paediatric hepatitis C cancer patients. (United States)

    Raouf, H E; Yassin, A S; Megahed, S A; Ashour, M S; Mansour, T M


    Occult hepatitis B infection is characterized by the presence of hepatitis B virus (HBV) DNA in the serum in the absence of hepatitis B surface antigen (HBsAg). Prevalence of hepatitis C virus (HCV) infections in Egypt is among the highest in the world. In this study, we aim at analysing the rates of occult HBV infections among HCV paediatric cancer patients in Egypt. The prevalence of occult HBV was assessed in two groups of paediatric cancer patients (HCV positive and HCV negative), in addition to a third group of paediatric noncancer patients, which was used as a general control. All groups were negative for HBsAg and positive for HCV antibody. HBV DNA was detected by nested PCR and real-time PCR. HCV was detected by real-time PCR. Sequencing was carried out in order to determine HBV genotypes to all HBV patients as well as to detect any mutation that might be responsible for the occult phenotype. Occult hepatitis B infection was observed in neither the non-HCV paediatric cancer patients nor the paediatric noncancer patients but was found in 31% of the HCV-positive paediatric cancer patients. All the detected HBV patients belonged to HBV genotype D, and mutations were found in the surface genome of HBV leading to occult HBV. Occult HBV infection seems to be relatively frequent in HCV-positive paediatric cancer patients, indicating that HBsAg negativity is not sufficient to completely exclude HBV infection. These findings emphasize the importance of considering occult HBV infection in HCV-positive paediatric cancer patients especially in endemic areas as Egypt.

  17. Cytokine profiles and hepatic injury in occult hepatitis C versus chronic hepatitis C virus infection. (United States)

    Mousa, N; Eldars, W; Eldegla, H; Fouda, O; Gad, Y; Abousamra, N; Elmasry, E; Arafa, M


    Occult hepatitis C virus (HCV) infection is a new entity that should be considered when diagnosing patients with abnormal liver functions of unknown origin. This work was carried out to evaluate T-helper 1/T-helper 2 (Th1/Th2) cytokine profiles in patients with occult HCV infection versus chronic hepatitis C (CHC) infection, also to investigate any association between theses cytokines and liver histological features in both groups. Serum levels of Th1 cytokines (IL-2, IFN-gamma) and Th2 (IL-4 and IL-10) were measured in 35 patients with occult HCV infection compared to 50 patients with chronic hepatitis C infection and 30 healthy controls. We have found that Th1 cytokines were significantly increased in patients with CHC infection than in both occult HCV infection and control groups (p less than 0.001). On the other hand, serum IL-4 levels were higher in occult HCV infection than in CHC and control groups (p less than 0.001). Furthermore, serum IL-10 levels were higher in both patient groups vs control group (pless than 0.001), with no significant difference between CHC and occult HCV groups. Finally, only serum IL-10 levels were significantly higher among patients with high activity (A2-A3) than those with low activity (A0-A1) in both CHC and occult HCV groups (p=0.038, p=0.025, respectively). Patients with occult HCV infection exhibited a distinct immunoregulatory cytokine pattern that is shifted towards the Th2 arm.

  18. Occult Hepatitis B Virus Infection in a Previously Vaccinated Injection Drug User

    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction Occult hepatitis B virus (HBV is defined by the presence of HBV DNA in patient sera in the absence of HBsAg. Occult HBV has been associated with hepatocellular carcinoma, reactivation during immune suppression, and transmission to others. While the hepatitis B vaccine is very effective at preventing chronic HBV infection, recent studies indicate it is less effective at preventing occult HBV following infant vaccination. No studies, however, have examined the efficacy of adult HBV vaccination at preventing occult HBV. Here, we present the first report of occult HBV following adult vaccination. Case Presentation A 21-year old Caucasian female presented with tricuspid valve endocarditis secondary to methicillin-susceptible Staphylococcus aureus with non-ischemic cardiomyopathy. She reported active use of intravenous drugs. Her liver enzymes were elevated (ALT = 1873 IU/mL; AST = 4518 IU/mL, and she was found to have HCV and occult HBV. HBV viral loads ranged from 4608 - 8364 copies IU/mL during hospitalization. The patient’s HBV was sequenced and found to be genotype D3 without any known diagnostic escape mutations. Immune complexes that may have prevented HBsAg detection were not observed. Conclusions HBV vaccination in infancy is effective at preventing chronic HBV infection but is less effective at preventing occult HBV infection. Similar studies examining the efficacy of adult HBV vaccination in preventing occult HBV have not been performed. This case highlights the importance of carefully determining the HBV status of high-risk individuals, as vaccination history and the presence of anti-HBs may not be adequate to rule out HBV infection, even in the absence of HBsAg.

  19. Infectivity of blood products from donors with occult hepatitis B virus infection

    DEFF Research Database (Denmark)

    Allain, Jean-Pierre; Mihaljevic, Ivanka; Gonzalez-Fraile, Maria Isabel


    Occult hepatitis B virus (HBV) infection (OBI) is identified in 1:1000 to 1:50,000 European blood donations. This study intended to determine the infectivity of blood products from OBI donors.......Occult hepatitis B virus (HBV) infection (OBI) is identified in 1:1000 to 1:50,000 European blood donations. This study intended to determine the infectivity of blood products from OBI donors....

  20. Angiographic Findings of Patients with Blunt or Penetrating Extremity Injuries: Focus on Indications and Contraindications

    Directory of Open Access Journals (Sweden)

    Masoud Pezeshki Rad


    Full Text Available Objective: To determine the etiology, signs and symptoms, angiography indications and angiography findings in patients with limb penetrating injuries suspected to have arterial injury. Methods: This was a cross-sectional study being performed in Imam Reza Hospital affiliated with Mashhad University of Medical Sciences, Iran between September 2011 and March 2013. We included those patients with extremity blunt and penetrating injuries who were referred for angiography according to standard indications including abnormal distal pulses, complex fracture or dislocation, vascular proximity, fixed hematoma, distal nerve deficit, arterial bruit, thrill and massive soft tissue injuries. Results: During the study period, 148 patients (15 women and 133 men with a mean age of 31±14.9 (11-82 years were evaluated. The most common cause of injury was motor vehicle accident (127 patients 85%. Angiography indications included abnormal distal pulse examination (124, 83.8%, complex fracture or dislocation (7, 4.7%, near arterial trauma (4, 2.7%, fixed hematoma (3, 2%, nerve damage (1, 0.7%. The angiography was found to be normal in 49 (33.1% patients. In patients with abnormal angiography findings, 60 (60.6% had cutoff with distal runoff, 21 (21.2% had cutoff without runoff, 14 (14.1% had arterial spasm. Other uncommon findings included active bleeding in 2 patients (2%, pseudoaneurysm in 1 (0.7% and arteriovenous fistula in 1 (0.7%. Out of 4 patients (2.7% with vascular proximity, only 1 (0.7% had abnormal angiography. Conclusion: The most important factor in prediction of result of angiography was distal arterial pulses examination. But these data confirm the low incidence of vascular injury in asymptomatic patients with proximity. So the use of angiography when proximity is the sole indication in an asymptomatic patient with a normal vascular examination should be questioned.

  1. Evaluation and Improved Use of Fecal Occult Blood Test in the Constipated Child. (United States)

    Kilway, Denise M


    This quality improvement project examined the use of fecal occult blood test in the constipated child in a pediatric gastroenterology outpatient clinic. A retrospective chart review was completed on 100 children seen for an initial visit with the gastroenterology provider. The number of fecal occult blood tests performed and the child's coinciding symptoms were tallied and compared with the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition recommendations. An educational intervention was held with the pediatric gastroenterology providers consisting of a PowerPoint presentation summarizing aims of the quality improvement project and reviewing recommendations for use of fecal occult blood test in the constipated child. Pre- and post-intervention chart review data sets were compared. Results showed a 19.6% decrease in the use of fecal occult blood tests performed during the post-intervention timeframe. However, when used in conjunction with North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition recommendations, the appropriateness of fecal occult blood test use increased by 71.4% in the post-intervention patients. Reviewing the recommendations with gastroenterology providers assisted in optimizing the meaningful use of fecal occult blood test, improving quality and safety of care for children seen in the pediatric gastroenterology outpatient clinic.

  2. High prevalence of occult hepatitis C virus infection in patients with primary and secondary glomerular nephropathies. (United States)

    Castillo, Inmaculada; Martinez-Ara, Jorge; Olea, Teresa; Bartolomé, Javier; Madero, Rosario; Hernández, Eduardo; Bernis, Carmen; Aguilar, Ana; Quiroga, Juan A; Carreño, Vicente; Selgas, Rafael


    The association of hepatitis C virus (HCV) infection and glomerulonephritis is well known. However, the relationship between immune-mediated glomerulonephritis and occult HCV, characterized by the presence of HCV-RNA in liver or in peripheral blood mononuclear cells in the absence of serological markers, is unknown. We tested this in 113 anti-HCV-negative patients; 87 with immune-mediated glomerulonephritis and 26 controls with hereditary glomerular nephropathies. All patients were serum HCV-RNA negative by conventional real-time PCR. Significantly, occult HCV-RNA (detectable viral RNA in peripheral blood mononuclear cells or in serum after ultracentrifugation) was found in 34 of 87 patients with immune-mediated glomerulonephritis versus 1 of 26 control patients. The serum creatinine levels were significantly higher in patients with immune-mediated glomerulonephritis with than in those without occult HCV (1.5 versus 1.1 mg/dl, respectively). A multivariate analysis adjusted for gender showed a significantly increased risk of occult HCV in patients with immune-mediated glomerulonephritis versus the controls (odds ratio of 13.29). Progression to end-stage renal disease tended to be faster in patients with immune-mediated glomerulonephritis and occult HCV than in the negative cases. Thus, occult HCV is strongly associated with immune-mediated glomerulonephritis and may have a role in the progression of the disease.

  3. Hepatocellular Carcinoma Fed by the Hepatic Artery Arising from the Superior Mesenteric Artery: Angiographic Analysis and Interventional Treatment

    Institute of Scientific and Technical Information of China (English)

    MUWei; LIQiang; YOUJian; CHENJie


    Objective: To investigate the angiographic characteristics and the interventional catheterization techniques of hepatocellular carcinoma (HCC) fed by aberrant hepatic arteries arising from the superior mesenteric artery (SMA), namely SMA type. Methods: Digital subtraction angiography (DSA) manifes-tations and the data from interventional treatment in 41 cases of SMA type HCCs were retrospectively reviewed. The frequency of the aberrant arteries was summed up statistically and their anatomic charac-teristics (such as origin, course, branches and distribution) and the relationship with catheterization were described and analyzed. Results: Of 350 HCC cases, SMA type HCCs were found in 41 cases (11.9%),including accessory right hepatic artery (15 cases, 36.5%), replaced right hepatic artery (16 cases, 39.0%),common hepatic artery (8 cases, 19.5%) and celiac artery arising from SMA (2 cases, 5.0%). Of the 31 cases with accessory or replaced right hepatic arteries, right hepatic arteries were small or absent on celiac angiograph in 29 cases (94.0%), and there was an avascular zone on the right liver. Superselective catheter-ization was successfully performed in 25 cases (61%) by using RH catheter, but the rest acquired successful superselective catheterization by using Cobra, Simmon catheters and microcatheters. Conclusion: SMA type is a commonly seen variation of hepatic arterial blood supply. A knowledge of this is very important in transcatheter arterial chemoembolization for HCC.

  4. Angiographically borderline left main coronary artery lesions: correlation of transthoracic doppler echocardiography and intravascular ultrasound: a pilot study

    Directory of Open Access Journals (Sweden)

    Varga Albert


    Full Text Available Abstract Background the clinical decision making could be difficult in patients with borderline lesions (visually assessed stenosis severity of 30 to 50% of the left main coronary artery (LM. The aim of the study was to evaluate the relationship between transthoracic Doppler (TTDE peak diastolic flow velocity (PDV and intravascular ultrasound (IVUS measurements in the assessment of angiographically borderline LM lesions. Methods 27 patients (mean age 64 ± 8 years, 21 males with borderline LM stenosis referred for IVUS examination were included in the study. We performed standard IVUS with minimal lumen area (MLA and plaque burden (PB measurement and routine quantitative coronary angiography (QCA with diameter stenosis (%DS and area stenosis (%AS assessment in all. During TTDE, resting PDV was measured in the LM. Results interpretable Doppler signal could be obtained in 24 patients (88% feasibility; therefore these patients entered the final analysis. MLA was 7.1 ± 2.7 mm2. TTDE measured PDV correlated significantly with IVUS-derived MLA (r = -0.46, p 2 LM stenosis. Conclusion In angiographically borderline LM disease, resting PDV from transthoracic echocardiography is increased in presence of increased plaque burden by IVUS. TTDE evaluation might be a useful adjunct to other invasive and non-invasive methods in the assessment of borderline LM lesions. Further, large scale studies are needed to establish the exact cut-off value of PDV for routine clinical application.

  5. Preoperative Angiographic Criteria for Predicting Free-Flap Transfer Outcomes in Patients With Lower-Extremity Peripheral Arterial Disease. (United States)

    Park, Sang Woo; Kim, Junhyung; Choi, Jaehoon; Kim, Jun Sik; Lee, Jeong Hwan; Park, Young Sook


    Patients scheduled for microsurgical reconstruction of the lower leg often receive preoperative assessment of recipient vessels using angiography. However, no clear standard is available for evaluating angiographic results to predict free-flap survival outcomes. We developed angiographic criteria for predicting surgical outcome in patients with lower-extremity peripheral arterial disease based on abnormality of the anterior tibial and posterior tibial arteries. We applied the criteria to a small number of patients scheduled for microsurgical reconstruction of the lower leg. Angiographies with arterial abnormalities were classified into 3 groups: favorable free-flap survival, compromised free-flap survival, and postsurgical pedal ischemia. The study enrolled 50 patients between 2005 and 2013. In 42% of patients, arterial abnormalities were observed by angiography. Age >65 years was the strongest risk factor for development of lower-leg arterial abnormality (P free-flap survival and compromised free-flap survival groups, free-flap transfers were attempted in 7 patients but intraoperatively abandoned in 2 patients, with postoperative failure in 1 patient. In the postsurgical pedal ischemia group, free-flap transfers were attempted in 10 patients but intraoperatively abandoned in 6 patients, with postoperative failure in 3.

  6. Ageing and vascular ageing (United States)

    Jani, B; Rajkumar, C


    There is an age related decline in various physiological processes. Vascular ageing is associated with changes in the mechanical and the structural properties of the vascular wall, which leads to the loss of arterial elasticity and reduced arterial compliance. Arterial compliance can be measured by different parameters like pulse wave velocity, augmentation index, and systemic arterial compliance. There is evidence that arterial compliance is reduced in disease states such as hypertension, diabetes, and end stage renal failure. Changes in arterial compliance can be present before the clinical manifestation of cardiovascular disease. Pharmacological and non‐pharmacological measures have been shown to improve arterial compliance. Arterial compliance may constitute an early cardiovascular risk marker and may be useful in assessing the effects of drugs on the cardiovascular system. Pharmacogenetics and genetics of arterial compliance in the future will improve our knowledge and understanding about vascular ageing. PMID:16754702

  7. Novel use of a radiolabelled antibody against stage specific embryonic antigen for the detection of occult abscesses in mammals (United States)

    Thakur, Madhukar L.


    The invention discloses improved reagents containing antibodies against stage specific embryonic antigen-1 antibodies and improved methods for detection of occult abscess and inflammation using the improved reagents.

  8. Ansys Fluent versus Sim Vascular for 4-D patient-specific computational hemodynamics in renal arteries (United States)

    Mumbaraddi, Avinash; Yu, Huidan (Whitney); Sawchuk, Alan; Dalsing, Michael


    The objective of this clinical-need driven research is to investigate the effect of renal artery stenosis (RAS) on the blood flow and wall shear stress in renal arteries through 4-D patient-specific computational hemodynamics (PSCH) and search for possible critical RASs that significantly alter the pressure gradient across the stenosis by manually varying the size of RAS from 50% to 95%. The identification of the critical RAS is important to understand the contribution of RAS to the overall renal resistance thus appropriate clinical therapy can be determined in order to reduce the hypertension. Clinical CT angiographic data together with Doppler Ultra sound images of an anonymous patient are used serving as the required inputs of the PSCH. To validate the PSCH, we use both Ansys Fluent and Sim Vascular and compare velocity, pressure, and wall-shear stress under identical conditions. Renal Imaging Technology Development Program (RITDP) Grant.

  9. Assimilation of GNSS radio occultation observations in GRAPES (United States)

    Liu, Y.; Xue, J.


    This paper reviews the development of the global navigation satellite system (GNSS) radio occultation (RO) observations assimilation in the Global/Regional Assimilation and PrEdiction System (GRAPES) of China Meteorological Administration, including the choice of data to assimilate, the data quality control, the observation operator, the tuning of observation error, and the results of the observation impact experiments. The results indicate that RO data have a significantly positive effect on analysis and forecast at all ranges in GRAPES not only in the Southern Hemisphere where conventional observations are lacking but also in the Northern Hemisphere where data are rich. It is noted that a relatively simple assimilation and forecast system in which only the conventional and RO observation are assimilated still has analysis and forecast skill even after nine months integration, and the analysis difference between both hemispheres is gradually reduced with height when compared with NCEP (National Centers for Enviromental Prediction) analysis. Finally, as a result of the new onboard payload of the Chinese FengYun-3 (FY-3) satellites, the research status of the RO of FY-3 satellites is also presented.

  10. Occult HBV Infection: A Faceless Enemy in Liver Cancer Development

    Directory of Open Access Journals (Sweden)

    Jaime Morales-Romero


    Full Text Available The hepatitis B virus (HBV represents a worldwide public health problem; the virus is present in one third of the global population. However, this rate may in fact be higher due to occult hepatitis B virus infection (OBI. This condition is characterized by the presence of the viral genome in the liver of individuals sero-negative for the virus surface antigen (HBsAg. The causes of the absence of HBsAg in serum are unknown, however, mutations have been identified that produce variants not recognized by current immunoassays. Epigenetic and immunological host mechanisms also appear to be involved in HBsAg suppression. Current evidence suggests that OBI maintains its carcinogenic potential, favoring the progression of fibrosis and cirrhosis of the liver. In common with open HBV infection, OBI can contribute to the establishment of hepatocellular carcinoma. Epidemiological data regarding the global prevalence of OBI vary due to the use of detection methods of different sensitivity and specificity. In Latin America, which is considered an area of low prevalence for HBV, diagnostic screening methods using gene amplification tests for confirmation of OBI are not conducted. This prevents determination of the actual prevalence of OBI, highlighting the need for the implementation of cutting edge technology in epidemiological surveillance systems.

  11. Exploring atmospheric blocking with GPS radio occultation observations

    Directory of Open Access Journals (Sweden)

    L. Brunner


    Full Text Available Atmospheric blocking has been closely investigated in recent years due to its impact on weather and climate, such as heat waves, droughts, and flooding. We use, for the first time, satellite-based observations from Global Positioning System (GPS radio occultation (RO and explore their ability to resolve blocking in order to potentially open up new avenues complementing models and re-analyses. RO delivers globally available and vertically high resolved profiles of atmospheric variables such as temperature and geopotential height (GPH. Applying a standard blocking detection algorithm we find that RO data robustly capture blocking as demonstrated for two well-known blocking events over Russia in summer 2010 and over Greenland in late winter 2013. During blocking episodes, vertically resolved GPH gradients show a distinct anomalous behavior compared to climatological conditions up to 300 hPa and sometimes even further up to the tropopause. The accompanied increase in GPH of up to 300 m in the upper troposphere yields a pronounced tropopause height increase. Corresponding temperatures rise up to 10 K in the middle and lower troposphere. These results demonstrate the feasibility and potential of RO to detect and resolve blocking and in particular to explore the vertical structure of the atmosphere during blocking episodes. This new observation-based view is available globally at the same quality so that also blocking in the Southern Hemisphere can be studied with the same reliability as in the Northern Hemisphere.

  12. Pluto's atmosphere from stellar occultations in 2012 and 2013

    CERN Document Server

    Dias-Oliveira, A; Lellouch, E; Vieira-Martins, R; Assafin, M; Camargo, J I B; Braga-Ribas, F; Gomes-Júnior, A R; Benedetti-Rossi, G; Colas, F; Decock, A; Doressoundiram, A; Dumas, C; Emilio, M; Polleri, J Fabrega; Gil-Hutton, R; Gillon, M; Girard, J; Hau, G; Ivanov, V D; Jehin, E; Lecacheux, J; Leiva, R; Lopez-Sisterna, C; Mancini, L; Maury, A; Meza, E; Morales, N; Nagy, L; Opitom, C; Ortiz, J L; Pollock, J; Roques, F; Snodgrass, C; Soulier, J F; Thirouin, A; Vanzi, L; Widemann, T; Reichart, D E; LaCluyze, A P; Haislip, J B; Ivarsen, K M; Dominik, M; Jørgensen, U; Skottfelt, J


    We analyze two multi-chord stellar occultations by Pluto observed on July 18th, 2012 and May 4th, 2013, and monitored respectively from five and six sites. They provide a total of fifteen light-curves, twelve of them being used for a simultaneous fit that uses a unique temperature profile, assuming a clear (no-haze) and pure N_2 atmosphere, but allowing for a possible pressure variation between the two dates. We find a solution that fits satisfactorily (i.e. within the noise level) all the twelve light-curves, providing atmospheric constraints between ~1,190 km (pressure ~ 11 \\mubar) and ~ 1,450 km (pressure ~0.1 \\mubar) from Pluto's center. Our main results are: (1) the best-fitting temperature profile shows a stratosphere with strong positive gradient between 1,190 km (at 36 K, 11 \\mubar) and r = 1,215 km (6.0 \\mubar), where a temperature maximum of 110 K is reached; above it is a mesosphere with negative thermal gradient of -0.2 K/km up to ~ 1,390 km (0.25 \\mubar), where, the mesosphere connects itself to ...

  13. Seronegative occult hepatitis C virus infection: clinical implications. (United States)

    Carreño, Vicente


    Occult hepatitis C virus infection (OCI) was first described in anti-HCV and serum HCV-RNA negative patients with abnormal values of liver enzymes but who presented HCV-RNA in liver and in peripheral blood mononuclear cells. Up to now, two types of OCI are recognized: seronegative OCI (anti-HCV and serum HCV-RNA negative) and seropositive OCI (anti-HCV positive and serum HCV-RNA negative). The concept of OCI is still a matter of debate, probably because both types of OCI are not considered as different entities. This review focuses on seronegative OCI. The existence of seronegative OCI has been documented all around the world with the implication of different HCV genotypes (1-4). Seronegative OCI is associated with cryptogenic chronic hepatitis and liver cirrhosis and it may be involved in the appearance of hepatocellular carcinoma. Also seronegative OCI may increase the histological liver damage in chronic hepatitis B and in HIV-infected patients. It may have a negative influence in the natural history of hemodialysis patients and in immune-mediated glomerulonephritis. Seronegative OCI has been detected also in patients with haematological diseases, among healthy subjects and in drug users. Other publications indicate the potential infectivity of seronegative OCI in the setting of family members, sexual partners and liver transplantation. In summary, seronegative OCI may play a role in liver diseases and other human pathologies and may be present in healthy people but larger studies are needed to confirm these findings.

  14. Occult hepatitis C virus infection among Egyptian hemodialysis patients. (United States)

    Abdelrahim, Soha S; Khairy, Rasha; Esmail, Mona Abdel-Monem; Ragab, Mahmoud; Abdel-Hamid, Mohamed; Abdelwahab, Sayed F


    Occult hepatitis C virus (HCV) infection (OCI) was reported in an apparently disease-free state in the absence of liver disease, anti-HCV and HCV-RNA in the serum. The existing data examining the clinical significance of OCI and its potential as a source of HCV infection among hemodialysis patients are very limited. We examined the presence of OCI among patients on maintenance hemodialysis at Minia Governorate, Egypt; an HCV endemic country. A total of 81 subjects with negative markers for HCV were enrolled. HCV-RNA was tested in PBMCs by real-time PCR. For the 81 subjects, the average dialysis duration was 32.7 ± 21.7 months and the average ALT level (±SD) was 26 ± 12 U/L while that of AST was 29 ± 16 U/L. Out of the 81 subjects, three (3.7%) were HCV-RNA positive in PBMCs in the absence of serum anti-HCV and HCV-RNA indicating OCI. The viral load of the OCI subjects ranged from 172 to 4150 IU/ml. History of liver disease was positive in one of the three positive patients. These results highlight the potential risk of HCV transmission from patients within hemodialysis units in Egypt. J. Med. Virol. 88:1388-1393, 2016. © 2016 Wiley Periodicals, Inc.

  15. Occultation Modeling for Radiation Obstruction Effects on Spacecraft Systems (United States)

    de Carufel, Guy; Li, Zu Qun; Harvey, Jason; Crues, Edwin Z.; Bielski, Paul


    A geometric occultation model has been developed to determine line-of-sight obstruction of radiation sources expected for different NASA space exploration mission designs. Example applications includes fidelity improvements for surface lighting conditions, radiation pressure, thermal and power subsystem modeling. The model makes use of geometric two dimensional shape primitives to most effectively model space vehicles. A set of these primitives is used to represent three dimensional obstructing objects as a two dimensional outline from the perspective of an observing point of interest. Radiation sources, such as the Sun or a Moon's albedo is represented as a collection of points, each of which is assigned a flux value to represent a section of the radiation source. Planetary bodies, such as a Martian moon, is represented as a collection of triangular facets which are distributed in spherical height fields for optimization. These design aspects and the overall model architecture will be presented. Specific uses to be presented includes a study of the lighting condition on Phobos for a possible future surface mission, and computing the incident flux on a spacecraft's solar panels and radiators from direct and reflected solar radiation subject to self-shadowing or shadowing by third bodies.

  16. Occult radiological effects of lipomatosis of the lumbosacral plexus

    Energy Technology Data Exchange (ETDEWEB)

    Mahan, Mark A. [Barrow Neurological Institute, Phoenix, AZ (United States); Howe, B.M.; Amrami, Kimberly K. [Mayo Clinic, Department of Radiology, Rochester, MN (United States); Spinner, Robert J. [Mayo Clinic, Department of Neurosurgery, Rochester, MN (United States); Mayo Clinic, Department of Orthopedics, Rochester, MN (United States); Mayo Clinic, Rochester, MN (United States)


    Lipomatosis of nerve (LN) is a condition of massive peripheral nerve enlargement frequently associated with hypertrophy within the distribution of the nerve, and most commonly affecting the distal limbs. We sought to understand if LN of the lumbosacral plexus would be associated with the trophic effects of LN on surrounding tissue within the pelvis, which may be clinically occult, but present on MRI. Fifty-one cases of LN, confirmed by pathology or pathognomonic appearance on MRI, were reviewed. Patients with LN of the sciatic nerve were investigated for radiological signs suggestive of overgrowth. Five patients had involvement of the sciatic nerve, 4 of whom had MR imaging of the pelvis. Three patients had LN involving the lumbosacral plexus, and one patient had isolated involvement of the sciatic nerve. All patients with involvement of the lumbosacral plexus demonstrated previously unrecognized evidence of nerve territory overgrowth in the pelvis, including: LN, profound adipose proliferation, muscle atrophy and fatty infiltration, and bone hypertrophy and ankylosis. The patient with LN involving the intrapelvic sciatic nerve, but not the lumbosacral plexus did not demonstrate any radiological evidence of pelvic overgrowth. LN is broader in anatomical reach than previously understood. Proximal plexal innervation may be involved, with a consequent effect on axial skeleton and intrapelvic structures. (orig.)

  17. Relative photometry of HAT-P-1b occultations

    CERN Document Server

    Béky, Bence; Gilliland, Ronald L; Bakos, Gáspár Á; Winn, Joshua N; Noyes, Robert W; Sasselov, Dimitar D


    We present HST STIS observations of two occultations of the transiting exoplanet HAT-P-1b. By measuring the planet to star flux ratio near opposition, we constrain the geometric albedo of the planet, which is strongly linked to its atmospheric temperature gradient. An advantage of HAT-P-1 as a target is its binary companion ADS 16402 A, which provides an excellent photometric reference, simplifying the usual steps in removing instrumental artifacts from HST time-series photometry. We find that without this reference star, we would need to detrend the lightcurve with the time of the exposures as well as the first three powers of HST orbital phase, and this would introduce a strong bias in the results for the albedo. However, with this reference star, we only need to detrend the data with the time of the exposures to achieve the same per-point scatter, therefore we can avoid most of the bias associated with detrending. Our final result is a 2 sigma upper limit of 0.64 for the geometric albedo of HAT-P-1b betwee...


    Energy Technology Data Exchange (ETDEWEB)

    Capalbo, Fernando J.; Benilan, Yves [Laboratoire Interuniversitaire des Systemes Atmospheriques (LISA), UMR 7583 du CNRS, Universites Paris Est Creteil (UPEC) and Paris Diderot - UPD, 61 avenue du General de Gaulle, 94010 Creteil Cedex (France); Yelle, Roger V.; Koskinen, Tommi T.; Sandel, Bill R. [Lunar and Planetary Laboratory, University of Arizona, 1629 E. University Blvd., Tucson, AZ 85721 (United States); Holsclaw, Gregory M.; McClintock, William E., E-mail: [Laboratory for Atmospheric and Space Physics, University of Colorado, 3665 Discovery Drive, Boulder, CO 80303 (United States)


    We present the first published analysis of a solar occultation by Titan's atmosphere measured by the Ultraviolet Imaging Spectrograph on board Cassini. The data were measured during flyby T53 in 2009 April and correspond to latitudes between 21 Degree-Sign and 28 Degree-Sign south. The analysis utilizes the absorption of two solar emission lines (584 A and 630 A) in the ionization continuum of the N{sub 2} absorption cross section and solar emission lines around 1085 A where absorption is due to CH{sub 4}. The measured transmission at these wavelengths provides a direct estimate of the N{sub 2} and CH{sub 4} column densities along the line of sight from the spacecraft to the Sun, which we inverted to obtain the number densities. The high signal-to-noise ratio of the data allowed us to retrieve density profiles in the altitude range 1120-1400 km for nitrogen and 850-1300 km for methane. We find an N{sub 2} scale height of {approx}76 km and a temperature of {approx}153 K. Our results are in general agreement with those from previous work, although there are some differences. Particularly, our profiles agree, considering uncertainties, with the density profiles derived from the Voyager 1 Ultraviolet Spectrograph data, and with in situ measurements by the Ion Neutral Mass Spectrometer with revised calibration.

  19. Atmospheric diurnal variations observed with GPS radio occultation soundings

    Directory of Open Access Journals (Sweden)

    F. Xie


    Full Text Available The diurnal variation, driven by solar forcing, is a fundamental mode in the Earth's weather and climate system. Radio occultation (RO measurements from the six COSMIC satellites (Constellation Observing System for Meteorology, Ionosphere and Climate provide nearly uniform global coverage with high vertical resolution, all-weather and diurnal sampling capability. This paper analyzes the diurnal variations of temperature and refractivity from three-year (2007–2009 COSMIC RO measurements in the troposphere and stratosphere between 30° S and 30° N. The RO observations reveal both propagating and trapped vertical structures of diurnal variations, including transition regions near the tropopause where data with high vertical resolution are critical. In the tropics the diurnal amplitude in refractivity shows the minimum around 14 km and increases to a local maximum around 32 km in the stratosphere. The upward propagating component of the migrating diurnal tides in the tropics is clearly captured by the GPS RO measurements, which show a downward progression in phase from stratopause to the upper troposphere with a vertical wavelength of about 25 km. At ~32 km the seasonal variation of the tidal amplitude maximizes at the opposite side of the equator relative to the solar forcing. The vertical structure of tidal amplitude shows strong seasonal variations and becomes asymmetric along the equator and tilted toward the summer hemisphere in the solstice months. Such asymmetry becomes less prominent in equinox months.

  20. The Calar Alto lunar occultation program: update and new results

    CERN Document Server

    Richichi, A; Merino, M; Otazu, X; Nuñez, J; Prades, A; Thiele, U; Pérez-Ramírez, D; Montojo, F J


    We present an update of the lunar occultation program which is routinely carried out in the near-IR at the Calar Alto Observatory. A total of 350 events were recorded since our last report (Fors et al. \\cite{fors04}). In the course of eight runs we have observed, among others, late-type giants, T-Tauri stars, and infrared sources. Noteworthy was a passage of the Moon close to the galactic center, which produced a large number of events during just a few hours in July 2004. Results include the determinations of the angular diameter of \\object{RZ Ari}, and the projected separations and brightness ratios for one triple and 13 binary stars, almost all of which representing first time detections. Projected separations range from $0\\farcs09$ to $0\\farcs007$. We provide a quantitative analysis of the performance achieved in our observations in terms of angular resolution and sensitivity, which reach about $0\\farcs003$ and $K \\approx8.5$ mag, respectively. We also present a statistical discussion of our sample, and i...

  1. The evaluation and management of obscure and occult gastrointestinal bleeding. (United States)

    Singh, Vijay; Alexander, Jeffrey A


    Gastrointestinal (GI) bleeding is a common clinical presentation increasing in an aging population, frequently requiring hospitalization and emergent intervention, with significant morbidity, mortality, and costs. It may manifest overtly as hematemesis, melena, or hematochezia, or as an asymptomatic occult bleed. Management typically involves an esophagogastroduodenoscopy or a colonoscopy; these in combination sometimes do not identify a source of bleeding, with the source remaining obscure. Further work up to identify an obscure source frequently requires radiologically detecting the leakage of an intravascular tracer (using tagged red blood cells or angiography) with brisk bleeding or in other cases CT enterography (CTE) to detect bowel wall changes consistent with a bleeding source. Recent advances including capsule endoscopy, CTE, and double-balloon endoscopy have helped to identify bleeding sources beyond the reach of conventional endoscopy. Clinical decision-making about their use is complex and evolving. Knowing their relative merits and weaknesses including yield, contraindications, complications, and cost is essential in coming up with an appropriate management plan. This review covers the rationale for clinical management of obscure sources of GI bleeding, mentioning the approach to and the yield of conventional methods, with an emphasis on the recent advances mentioned above.

  2. MRI of occult sacral insufficiency fractures following radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Mammone, J.F. [Dept. of Radiology, Thomas Jefferson Univ. Hospital, and Jefferson Medical Coll., Philadelphia, PA (United States); Schweitzer, M.E. [Dept. of Radiology, Thomas Jefferson Univ. Hospital, and Jefferson Medical Coll., Philadelphia, PA (United States)


    Following radiation therapy, marrow abnormalities noted on magnetic resonance imaging (MRI) are frequent and may mimic metastases. Specific radiotherapy changes are usually easily identifiable; however, traumatic lesions cause more interpretive difficulties. We assessed the incidence and MRI characteristics of insufficiency fractures in this population. During a 5-year span (1987-1991), 546 patients received pelvic radiotherapy for primary malignancies. MRI was performed in 25 of these patients at least 3 months after treatment. The mean dose in this group was 53 Gy. These MRI scans were retrospectively reviewed for the appearance of the sacrum with particular attention to the presence of insufficiency fractures. This was correlated with clinical course and scintigraphic findings. Presumed insufficiency fractures on MRI paralleled the sacral side of the sacroiliac joint, enhanced with Gd-DTPA, were most prominent or initially seen anteriorly, and had ill-defined margins on all imaging sequences. The incidence of occult sacral insufficiency fractures was at least 20%. Insufficiency fractures of the sacrum in the post-radiotherapy patient are a relatively frequent occurrence which can mimic metastases. Consideration of this phenomenon and knowledge of differential features may avoid overdiagnosis of osseous metastases. (orig.)

  3. Renal posttransplant's vascular complications

    Directory of Open Access Journals (Sweden)

    Bašić Dragoslav


    Full Text Available INTRODUCTION Despite high graft and recipient survival figures worldwide today, a variety of technical complications can threaten the transplant in the postoperative period. Vascular complications are commonly related to technical problems in establishing vascular continuity or to damage that occurs during donor nephrectomy or preservation [13]. AIM The aim of the presenting study is to evaluate counts and rates of vascular complications after renal transplantation and to compare the outcome by donor type. MATERIAL AND METHODS A total of 463 kidneys (319 from living related donor LD and 144 from cadaveric donor - CD were transplanted during the period between June 1975 and December 1998 at the Urology & Nephrology Institute of Clinical Centre of Serbia in Belgrade. Average recipients' age was 33.7 years (15-54 in LD group and 39.8 (19-62 in CD group. Retrospectively, we analyzed medical records of all recipients. Statistical analysis is estimated using Hi-squared test and Fischer's test of exact probability. RESULTS Major vascular complications including vascular anastomosis thrombosis, internal iliac artery stenosis, internal iliac artery rupture obliterant vasculitis and external iliac vein rupture were analyzed. In 25 recipients (5.4% some of major vascular complications were detected. Among these cases, 22 of them were from CD group vs. three from LD group. Relative rate of these complications was higher in CD group vs. LD group (p<0.0001. Among these complications dominant one was vascular anastomosis thrombosis which occurred in 18 recipients (17 from CD vs. one from LD. Of these recipients 16 from CD lost the graft, while the rest of two (one from each group had lethal outcome. DISCUSSION Thrombosis of renal allograft vascular anastomosis site is the most severe complication following renal transplantation. In the literature, renal allograft thrombosis is reported with different incidence rates, from 0.5-4% [14, 15, 16]. Data from the

  4. Contrast-enhanced angiographic cone-beam computed tomography without pre-diluted contrast medium

    Energy Technology Data Exchange (ETDEWEB)

    Jo, K.I.; Kim, S.R.; Choi, J.H.; Kim, K.H.; Jeon, P. [Sungkyunkwan University School of Medicine, Department of Radiology, Samsung Medical Center, Gangnam-gu, Seoul (Korea, Republic of)


    Contrast-enhanced cone-beam computed tomography (CBCT) has been introduced and accepted as a useful technique to evaluate delicate vascular anatomy and neurovascular stents. Current protocol for CBCT requires quantitative dilution of contrast medium to obtain adequate quality images. Here, we introduce simple methods to obtain contrast-enhanced CBCT without quantitative contrast dilution. A simple experiment was performed to estimate the change in flow rate in the internal carotid artery during the procedure. Transcranial doppler (TCD) was used to evaluate the velocity change before and after catheterization and fluid infusion. In addition, 0.3 cm{sup 3}/s (n = 3) and 0.2 cm{sup 3}/s (n = 7) contrast infusions were injected and followed by saline flushes using a 300 mmHg pressure bag to evaluate neurovascular stent and host arteries. Flow velocities changed -15 ± 6.8 % and +17 ± 5.5 % from baseline during catheterization and guiding catheter flushing with a 300 mmHg pressure bag, respectively. Evaluation of the stents and vascular structure was feasible using this technique in all patients. Quality assessment showed that the 0.2 cm{sup 3}/s contrast infusion protocol was better for evaluating the stent and host artery. Contrast-enhanced CBCT can be performed without quantitative contrast dilution. Adequate contrast dilution can be achieved with a small saline flush and normal blood flow. (orig.)

  5. The relationship between cerebral infarction on MR and angiographic findings in moyamoya disease: significance of the posterior circulation

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Ja; Song, Soon Young [College of Medicine, Kwangdong Univ., Koyang (Korea, Republic of); Yu, Won Jong; Jung, So Lyung; Chung, Bong Gak; Kag, Si Won [College of Medicine, The Catholic Univ. of Korea, Seoul (Korea, Republic of); Kim, Man Deuk [College of Medicine, Pochon CHA Univ., Pochon (Korea, Republic of)


    To investigate the relationship between changes in the posterior and anterior circulation, as seen at angiography, and the frequency and extent of cerebral infarction revealed by MR imaging in moyamoya disease. This study involved 34 patients (22 females and 12 males, aged 2-52 years) in whom cerebral angiography revealed the presence of moyamoya disease (bilateral; unilateral= 24:10; total hemispheres=58) and who also underwent brain MR imaging. To evaluate the angiographic findings, we applied each angiographic staging system to the anterior and posterior circulation. Leptomeningeal collateral circulation from the cortical branches of the posterior cerebral artery (PCA) was also assigned one of four grades. At MR imaging, areas of cerebral cortical or subcortical infarction in the hemisphere were divided into six zones. White matter and basal ganglionic infarction, ventricular dilatation, cortical atrophy, and hemorrhagic lesions were also evaluated. To demonstrate the statistical significance of the relationship between the angiographic and the MR findings, both the Mantel-Haenszel chi-square test for trend and the chi-square test were used. The degree of steno-occlusive PCA change correlated significantly with the internal carotid artery (ICA) stage (p<0.0001). As PCA stages advanced, the degree of leptomeningeal collaterals from the PCA decreased significantly (P<0.0001), but ICA stages were not significant (p>0.05). The prevalence of infarction showed significant correlation with the degree of steno-occlusive change in both the ICA and PCA. The degree of cerebral ischemia in moyamoya patients increased proportionally with the severity of PCA stenosis rather than with that of steno-occlusive lesins of the anterior circulation. Infarctions tended to be distributed in the anterior part of the hemisphere at PCA state I or II, while in more advanced PCA lesions, they were also found posteriorly, especially in the territories of the posterior middle cerebral artery

  6. Lumen narrowing after percutaneous transluminal coronary balloon angioplasty follows a near gaussian distribution: a quantitative angiographic study in 1,445 successfully dilated lesions

    NARCIS (Netherlands)

    B.J.W.M. Rensing (Benno); W.R.M. Hermans (Walter); P.J. de Feyter (Pim); J.G.P. Tijssen (Jan); P.W.J.C. Serruys (Patrick); J.W. Deckers (Jaap)


    textabstractTo determine whether significant angiographic narrowing and restenosis after successful coronary balloon angioplasty is a specific disease entity occurring in a subset of dilated lesions or whether it is the tail end of a gaussian distributed phenomenon, 1,445 successfully dilated lesion

  7. Diagnóstico angiográfico de síndrome de ALCAPA en el adulto/ Angiographic diagnosis of ALCAPA syndrome in anadult

    Directory of Open Access Journals (Sweden)

    Suilbert Rodríguez Blanco


    Full Text Available The anomalous origin of the left coronary artery from the main pulmonary artery is a relatively common congenital heart disease. In spite of its high mortality in the first year of life, those patients affected by this condition may reach adulthood. The case of a 28-year-old woman with this disease, and its angiographic diagnosis, is reported.

  8. Hepatic Rupture Caused by Hemolysis, Elevated Liver Enzyme, and Low Platelet Count Syndrome: A Case Report with Computed Tomographic and Conventional Angiographic Findings

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Cheong Bok; Ahn, Jae Hong; Choi, Soo Jung; Lee, Jong Hyeog; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Sik [Dept. of Radiology, Asan Foundation, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of)


    The authors recently obtained successful clinical outcome after embolization of the hepatic artery and right inferior phrenic artery in a pregnant patient with hemolysis, elevated liver enzyme, and low platelet count (HELLP) syndrome causing hepatic rupture. We report the computed tomographic and conventional angiographic findings in a case of HELLP syndrome, resulting in hepatic infarction and rupture with active bleeding.

  9. Increased expression and plasma levels of myeloperoxidase are closely related to the presence of angiographically-detected complex lesion morphology in unstable angina

    NARCIS (Netherlands)

    Naruko, T.; Furukawa, A.; Yunoki, K.; Komatsu, R.; Nakagawa, M.; Matsumura, Y.; Shirai, N.; Sugioka, K.; Takagi, M.; Hozumi, T.; Itoh, A.; Haze, K.; Yoshiyama, M.; Becker, A.E.; Ueda, M.


    Background Myeloperoxidase (MPO) is a leucocyte enzyme that catalyses the formation of a number of reactive oxidant species. Objective The purpose of this study is to evaluate the relationship between angiographic coronary plaque morphology in patients with unstable angina pectoris (UAP) or stable a

  10. Angiographical and Doppler flow-derived parameters for assessment of coronary lesion severity and its relation to the result of exercise electrocardiography

    NARCIS (Netherlands)

    Piek, JJ; Boersma, E; di Mario, C; Schroeder, E; Vrints, C; Probst, P; de Bruyne, B; Hanet, C; Fleck, E; Haude, M; Verna, E; Voudris, [No Value; Geschwind, H; Emanuelsson, H; Muhlberger, [No Value; Serruys, PW


    Aims Evaluation of angiographical and intracoronary Doppler-derived parameters of coronary stenosis severity. Methods and Results A total of 225 patients with one-vessel disease were studied before PTCA and at 6 months follow-up. Exercise electrocardiography was performed to document presence (n=157

  11. Life-threatening vascular complications after central venous catheter placement

    Energy Technology Data Exchange (ETDEWEB)

    Wicky, S.; Meuwly, J.-Y.; Doenz, F.; Uske, A.; Schnyder, P.; Denys, A. [Department of Radiology, University Hospital, Lausanne (Switzerland)


    The purpose of this retrospective study was to report 11 cases of severe vascular complications after central venous catheter misplacement. For each patient, data collection included body mass index, the diagnosis at admission, the site of the procedure, the type of catheter, coagulation parameters, the imaging modalities performed and the applied treatment. Eight patients had a lesion of the subclavian artery. Brachiocephalic vein perforations were assessed in three more patients. All patients had a chest roentgenogram after the procedure, six a CT examination, and four an angiographic procedure. Seven patients had a body mass index above 30, and 5 patients had coagulation disorders prior to the procedure. Seven patients were conservatively managed, 2 patients died despite resuscitation, 1 patient was treated with a stent graft, and one by superselective embolization. Subclavian or jugular vein temporary catheter positioning is a practical approach. Identification of any iatrogenic perforation of the subclavian artery or central veins urges obtainment a chest roentgenogram and, when required, a chest CT, selective angiograms or venograms. Body mass index superior to 30, previous unsuccessful catheterization attempts, and coagulation factor depletion seemed to account for risk factors. Recognition of clinical and radiological complications is mandatory. (orig.)

  12. Comparing different Ultraviolet Imaging Spectrograph (UVIS) occultation observations using modeling of water vapor jets (United States)

    Portyankina, Ganna; Esposito, Larry W.; Hansen, Candice; Aye, Klaus-Michael


    Motivation: On March 11, 2016 the Cassini UVIS observed its 6th star occultation by Enceladus' plume. This observation was aimed to determine variability in the total gas flux from the Enceladus' southern polar region. The analysis of the received data suggests that the total gas flux is moderately increased comparing to the average gas flux observed by UVIS from 2005 to 2011 [1]. However, UVIS detected variability in individual jets. In particular, Baghdad 1 is more collimated in 2016 than in 2005, meaning its gas escapes at higher velocity.Model and fits: We use 3D DSMC model for water vapor jets to compare different UVIS occultation observations from 2005 to 2016. The model traces test articles from jets' sources [2] into space and results in coordinates and velocities for a set of test particles. We convert particle positions into the particle number density and integrate along UVIS line of sight (LoS) for each time step of the UVIS observation using precise observational geometry derived from SPICE [3]. We integrate all jets that are crossed by the LoS and perform constrained least-squares fit of resulting modeled opacities to the observed data to solved for relative strengths of jets. The geometry of each occultation is specific, for example, during solar occultation in 2010 UVIS LoS was almost parallel to tiger stripes, which made it possible to distinguish jets venting from different tiger stripes. In 2011 Eps Orionis occultation LoS was perpendicular to tiger stripes and thus many of the jets were geometrically overlapping. Solar occultation provided us with the largest inventory of active jets - our model fit detects at least 43 non-zero jet contributions. Stellar occultations generally have lower temporal resolution and observe only a sub-set of these jets: 2011 Eps Orionis needs minimum 25 non-zero jets to fit UVIS data. We will discuss different occultations and models fits, including the most recent Epsilon Orionis occultation of 2016.[1] Hansen et al

  13. Fundus fluorescein angiographic findings in patients who underwent ventricular assist device implantation. (United States)

    Ozturk, Taylan; Nalcaci, Serhad; Ozturk, Pelin; Engin, Cagatay; Yagdi, Tahir; Akkin, Cezmi; Ozbaran, Mustafa


    Disruption of microcirculation in various tissues as a result of deformed blood rheology due to ventricular assist device (VAD) implantation causes novel arteriovenous malformations. Capillary disturbances and related vascular leakage in the retina and choroidea may also be seen in patients supported by VADs. We aimed to evaluate retinal vasculature deteriorations after VAD implantation. The charts of 17 patients who underwent VAD implantation surgery for the treatment of end-stage heart failure were retrospectively reviewed. Eight cases (47.1%) underwent pulsatile pump implantation (Berlin Heart EXCOR, Berlin Heart Mediprodukt GmbH, Berlin, Germany); however, nine cases (52.9%) had continuous-flow pump using centrifugal design (HeartWare, HeartWare Inc., Miramar, FL, USA). Study participants were selected among the patients who had survived with a VAD for at least 6 months, and results of detailed ophthalmologic examinations including optic coherence tomography (OCT) and fundus fluorescein angiography (FA) were documented. All of the 17 patients were male, with a mean age of 48.5 ± 14.8 years (15-67 years). Detailed ophthalmologic examinations including the evaluation of retinal vascular deteriorations via FA were performed at a mean of 11.8 ± 3.7 months of follow-up (6-18 months). Mean best-corrected visual acuity and intraocular pressure were found as logMAR 0.02 ± 0.08 and 14.6 ± 1.9 mm Hg, respectively in the study population. Dilated fundoscopy revealed severe focal arteriolar narrowing in two patients (11.8%), and arteriovenous crossing changes in four patients (23.5%); however, no pathological alteration was present in macular OCT scans. In patients with continuous-flow blood pumps, mean arm-retina circulation time (ARCT) and arteriovenous transit time (AVTT) were found to be 16.8 ± 3.0 and 12.4 ± 6.2 s, respectively; whereas those with pulsatile-flow blood pumps were found to be 17.4 ± 3.6 and 14.0 ± 2.1 s in patients (P=0.526 and P=0

  14. Hepatic artery pseudoaneurysm after surgical treatment for pancreatic cancer: Minimally invasive angiographic techniques as the preferred treatment

    Directory of Open Access Journals (Sweden)

    Sucandy Iswanto


    Full Text Available Background: Delayed intra-abdominal bleeding related to hepatic artery pseudoaneurysm is a potentially lethal complication after pancreaticoduodenectomy for pancreatic cancer. Locally advanced tumors, which result in vessel erosion or extensive operative skeletonization, may contribute to weakness of the arterial wall. Reoperation is often technically difficult with high rate of mortality; therefore, alternative less invasive options are ideal. Aims: The study was to present an alternative endovascular treatment of a large hepatic artery pseudoaneurysm after pancreatic resection for locally advanced multicystic adenocarcinoma. Materials and Methods: Transcatheteric mesenteric angiography with deployment of detachable coils in the pseudoaneurysm sac was utilized to manage the hepatic artery pseudoaneurysm. Results: Completion angiography confirmed cessation of contrast enhancement in the pseudoaneurysm sac with preservation of normal antegrade hepatic artery flow. Conclusion: Minimally invasive angiographic technique is the preferred treatment for hepatic artery pseudoaneurysm after pancreatic resections.


    Institute of Scientific and Technical Information of China (English)

    陈长志; 陆佩中


    Objective To compare the long term patency and longevity of the single and sequential venous graft.MethodsThe coronary arterial angiographic data for 300 redo coronary bypass grafting (CABG) were collected. Among them 106 cases had both single (159) and sequential (118) grafts.ResultsThe occlusive and narrowness rate for the single grafts versus sequential grafts were: 1 year, 2% vs 2%; 5 years, 3% vs 4%; 10 years, 18% vs 19%; 15 years, 60% vs 68%; and 23 years, 76% vs 81%, respectively. The differences were not significant in general.ConclusionSequential anastomosis itself does not has any adverse affects on short term and long term patency of the venous graft and its longevity in CABG operations in general.

  16. Occult hepatitis B virus infection in liver transplant patients in a Brazilian referral center

    Directory of Open Access Journals (Sweden)

    T.C.A. Ferrari


    Full Text Available Estimates of occult hepatitis B virus (HBV infection prevalence varies among different studies depending on the prevalence of HBV infection in the study population and on the sensitivity of the assay used to detect HBV DNA. We investigated the prevalence of occult HBV infection in cirrhotic patients undergoing liver transplantation in a Brazilian referral center. Frozen liver samples from 68 adults were analyzed using a nested polymerase chain reaction assay for HBV DNA. The specificity of the amplified HBV sequences was confirmed by direct sequencing of the amplicons. The patient population comprised 49 (72.1% males and 19 (27.9% females with a median age of 53 years (range=18-67 years. Occult HBV infection was diagnosed in three (4.4% patients. The etiologies of the underlying chronic liver disease in these cases were alcohol abuse, HBV infection, and cryptogenic cirrhosis. Two of the patients with cryptic HBV infection also presented hepatocellular carcinoma. Markers of previous HBV infection were available in two patients with occult HBV infection and were negative in both. In conclusion, using a sensitive nested polymerase chain reaction assay to detect HBV DNA in frozen liver tissue, we found a low prevalence of occult HBV infection in cirrhotic patients undergoing liver transplant, probably due to the low prevalence of HBV infection in our population.

  17. Evaluation of the incidence of occult bacteremia among children with fever of unknown origin

    Directory of Open Access Journals (Sweden)

    Eitan Naaman Berezin


    Full Text Available We reviewed the incidence of occult bacteremia, to identify the most frequent etiological agents of bacteremias in otherwise healthy children from one month to 10 years old, who had fever of unknown origin attended at the emergency ward of an urban, university-affiliated pediatric referral center. This was a retrospective medical record review, evaluating children with fever. Data were collected from the initial visit, when blood cultures, hematological properties and hemosedimentation rates were examined. Fever was considered as the highest temperature assessed in the hospital or reported by the responsible adult. Occult bacteremia was discovered in 1.4% of the 1,051 children evaluated, and the most common etiologic agent was Streptococcus pneumoniae. Total leukocyte count and blood sedimentation rates greater than 30 mm³ were not predictive factors for occult bacteremia. Fever greater than 39ºC was the most important factor for predicting occult bacteremia (P<0.001. The presence of occult bacteremia was significantly correlated with patient hospitalization.

  18. Outcome of Concurrent Occult Hemothorax and Pneumothorax in Trauma Patients Who Required Assisted Ventilation (United States)

    Mahmood, Ismail; Tawfeek, Zainab; El-Menyar, Ayman; Zarour, Ahmad; Afifi, Ibrahim; Kumar, Suresh; Latifi, Rifat; Al-Thani, Hassan


    Background. The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study patients with occult hemopneumothorax on mechanical ventilation who could be carefully managed without tube thoracostomy. Methods. Chest trauma patients with occult hemopneumothorax who were on mechanical ventilation were prospectively evaluated. The presence of hemopneumothorax was confirmed by CT scanning. Hospital length of stay, complications, and outcome were recorded. Results. A total of 56 chest trauma patients with occult hemopneumothorax who were on ventilatory support were included with a mean age of 36 ± 13 years. Hemopneumothorax was managed conservatively in 72% cases and 28% underwent tube thoracostomy as indicated. 29% of patients developed pneumonia, 16% had Acute Respiratory Distress Syndrome (ARDS), and 7% died. Thickness of hemothorax, duration of mechanical ventilation, and development of ARDS were significantly associated with tube thoracostomy in comparison to no-chest tube group. Conclusions. The majority of occult hemopneumothorax can be carefully managed without tube thoracostomy in patients who required positive pressure ventilation. Tube thoracotomy could be restricted to those who had evidence of increase in the size of the hemothorax or pneumothorax on follow-up chest radiographs or developed respiratory compromise. PMID:25785199

  19. Occult hepatitis B virus infection: A complex entity with relevant clinical implications

    Institute of Scientific and Technical Information of China (English)

    Juan Ramon Larrubia


    Occult hepatitis B virus (HBV) infection is a world-wide entity, following the geographical distribution of detectable hepatitis B. This entity is defined as the persistence of viral genomes in the liver tissue and in some instances also in the serum, associated to negative HBV surface antigen serology. The molecular basis of the occult infection is related to the life cycle of HBV, which produces a covalently closed circular DNA that persists in the cell nuclei as an episome, and serves as a template for gene transcription. The mechanism responsible for the HBsAg negative status in occult HBV carriers is a strong suppression of viral replication, probably due to the host's immune response, co-infection with other infectious agents and epigenetic factors. There is emerging evidence of the potential clinical relevance of occult HBV infection, since this could be involved in occult HBV transmission through orthotopic liver transplant and blood transfusion, reactivation of HBV infection during immunosuppression, impairing chronic liver disease outcome and acting as a risk factor for hepatocellular carcinoma. Therefore it is important to bear in mind this entity in cryptogenetic liver diseases, hepatitis C virus/HIV infected patients and immunosupressed individuals.It is also necessary to increase our knowledge in this fascinating field to define better strategies to diagnose and treat this infection.

  20. Persistent occult hepatitis B virus infection: Experimental findings and clinical implications

    Institute of Scientific and Technical Information of China (English)


    Hepatitis B virus (HBV) is a highly pathogenic virus that causes chronic liver diseases in millions of people globally. In addition to a symptomatic, serologically evident infection, occult persistent HBV carriage has been identified since nucleic acid amplification assays of enhanced sensitivity became introduced for detection of hepadnaviral genomes and their replicative intermediates. Current evidence indicates that occult HBV infection is a common and long-term consequence of resolution of acute hepatitis B. This form of residual infection is termed as secondary occult infection (SOI).The data from the woodchuck model of HBV infection indicate that exposure to small amounts of hepadnavirus can also cause primary occult infection (POI) where virus genome, but no serological makers of exposure to virus, are detectable, and the liver may not be involved.However, virus replicates at low levels in the lymphatic system in both these forms. We briefly summarize the current understanding of the nature and characteristics of occult hepadnaviral persistence as well as of its documented and expected pathological consequences.

  1. Hemodynamic changes after vascular reconstructive surgery for moyamoya disease

    Energy Technology Data Exchange (ETDEWEB)

    Kuyama, Hideyuki; Niimi, Hitohisa; Kawauchi, Masamitsu; Tanimoto, Takaho; Murota, Takenobu; Kinugasa, Kazushi; Asari, Shoji; Nishimoto, Akira; Nagao, Seigo.


    The regional cerebral blood flow (rCBF) was measured in eight juvenile cases with moyamoya disease before and after vascular reconstructive surgery consisting either of encephalo-duro-arterio-synangiosis (EDAS) or of encephalo-duro-arterio-myo-synangiosis (EDAMS). The rCBF was measured quantitatively using the inert-gas washout technique with xenon-133 and single-photon-emission computed tomography. A patient with a completed stroke showed a low value of the mean hemispheric blood flow on the lesion side. There was no significant difference in the mean hemispheric blood flow between the two hemispheres in the patients with a transient ischemic attack. The variation in the rCBF versus the mean hemispheric blood flow was studied before and after the operation. The preoperative rCBF was relatively high in the basal ganglia and occipital regions and low in the frontal region. One month after the operation, the rCBF in each region was not significantly changed in comparison with the preoperative rCBF. Six months after the operation, however, the rCBF was significantly reduced in the basal ganglia and significantly increased in the temporal region. On the other hand, the rCBF was almost identical with the mean hemispheric blood flow in the frontal and occipital regions. These results may be explained by the angiographic findings, which showed a diminution in the moyamoya vessels and a good filling of the middle cerebral artery area via the external carotid artery on the postoperative angiogram. Vascular reconstructive surgery for moyamoya disease in children may, therefore, be thought to be an effective procedure for smoothing the cerebral-blood-flow distribution.

  2. Assessment of Coronary Flow Velocity Reserve by Noninvasive Transthoracic Doppler Echocardiography in Patients with Angiographically Normal Coronary Arteries

    Institute of Scientific and Technical Information of China (English)


    The measurement of coronary flow velocity reserve (CFVR) by transthoracic Doppler echocardiography (TTDE) with invasive intracoronary Doppler flow wire technique (ICD) was validated and the pathologicalfactors which influence CFVR in patients with angiographically normal coronary arteries were analyzed. CFVR was determined successfully in left anterior descending artery (LAD) in 37 of 40 patients with angiographically normal coronary arteries (men 22, women 15, age 20-75 years, mean age 54 ± 12 years). Coronary flow velocity was measured in the distal LAD by TTDE with contrast enhancement at baseline and during intravenous adenosine infusion of 140 μg/kg per min within 48 h after ICD technique. Average peak velocity at baseline (APVb), average peak velocity during hyperemia (APVh) and CFVR determined from TTDE were correlated closely with those from ICD measurements (APVb: y=0. 64x+5. 04, r=0. 86, P<0. 001;APVh: y=0.63x+14.36, r=0.82, P<0.001; CFVR: y=0.65x+0.92, r=0.88, P<0. 001).For CFVR measurements, the mean differences between TTDE and ICD methods were 0. 12 ±0.39. CFVR in patients with history of hypertension was significantly lower than that in patients without history of hypertension (P<0.05). Intravascular ultrasound (IVUS) was performed in 34patients. Plaque formation was found in LAD by IVUS in 17 (50 %) patients. No significant difference in CFVR was found between the patients without plaque formation (3. 11±0. 49) and those with plaque formation (2. 76±0.53, P=0. 056). It is suggested that TTDE with contrast enhancement provides reliable measurement of APV and CFVR in the distal LAD. The early stage of atherosclerosis could be detected by IVUS, which may be normal in angiography. CFVR is impaired in patients with history of hypertension compared with that in patients without history of hypertension.

  3. The blood flow in the posterior communicant artery. Angiographic study by using magnetic resonance

    CERN Document Server

    Portela, L A P


    did not change the direction of flow present, in the circumstances of this study. The arterial circle of Willis is the most important collateral pathway for the cerebral vessels when one the afferents is occluded. Its normal function, without vascular compromise, has been considered in conflicting ways in the literature. For centuries after its description by Thomas Willis in 1664 it was considered a flow equalizer, with free admixture of blood within it. Since the beginning of this century the dominant view is one of a potential value only, with null effective flow in the communicating arteries. The premise is included in different experimental models. Alternatively, it was considered that the normal direction of flow is antero-posterior, from carotid to posterior cerebral, since carotid flow is greater. Using phase-contrast magnetic resonance angiography, a non-invasive qualitative method, it was found in 40 patients without morphological brain abnormality and in 10 healthy volunteers that flow can be seen ...

  4. Neurobiology of Vascular Dementia

    Directory of Open Access Journals (Sweden)

    Ana-Maria Enciu


    Full Text Available Vascular dementia is, in its current conceptual form, a distinct type of dementia with a spectrum of specific clinical and pathophysiological features. However, in a very large majority of cases, these alterations occur in an already aged brain, characterized by a milieu of cellular and molecular events common for different neurodegenerative diseases. The cell signaling defects and molecular dyshomeostasis might lead to neuronal malfunction prior to the death of neurons and the alteration of neuronal networks. In the present paper, we explore some of the molecular mechanisms underlying brain malfunction triggered by cerebrovascular disease and risk factors. We suggest that, in the age of genetic investigation and molecular diagnosis, the concept of vascular dementia needs a new approach.

  5. Plant Vascular Biology 2010

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Biao


    This grant supported the Second International Conference on Plant Vascular Biology (PVB 2010) held July 24-28, 2010 on the campus of Ohio State University, Columbus, Ohio. Biao Ding (Ohio State University; OSU) and David Hannapel (Iowa State University; ISU) served as co-chairs of this conference. Biao Ding served as the local organizer. PVB is defined broadly here to include studies on the biogenesis, structure and function of transport systems in plants, under conditions of normal plant growth and development as well as of plant interactions with pathogens. The transport systems cover broadly the xylem, phloem, plasmodesmata and vascular cell membranes. The PVB concept has emerged in recent years to emphasize the integrative nature of the transport systems and approaches to investigate them.

  6. [Vascular endothelial Barrier Function]. (United States)

    Ivanov, A N; Puchinyan, D M; Norkin, I A


    Endothelium is an important regulator of selective permeability of the vascular wall for different molecules and cells. This review summarizes current data on endothelial barrier function. Endothelial glycocalyx structure, its function and role in the molecular transport and leukocytes migration across the endothelial barrier are discussed. The mechanisms of transcellular transport of macromolecules and cell migration through endothelial cells are reviewed. Special section of this article addresses the structure and function of tight and adherens endothelial junction, as well as their importance for the regulation of paracellular transport across the endothelial barrier. Particular attention is paid to the signaling mechanism of endothelial barrier function regulation and the factors that influence on the vascular permeability.

  7. Adhesion in vascular biology



    The vasculature delivers vital support for all other tissues by supplying oxygen and nutrients for growth and by transporting the immune cells that protect and cure them. Therefore, the microvasculature developed a special barrier that is permissive for gasses like oxygen and carbon dioxide, while fluids are kept inside and pathogens are kept out. While maintaining this tight barrier, the vascular wall also allows immune cells to exit at sites of inflammation or damage, a process that is call...

  8. Treatment of occult bacteremia: a prospective randomized clinical trial. (United States)

    Carroll, W L; Farrell, M K; Singer, J I; Jackson, M A; Lobel, J S; Lewis, E D


    Antibiotic therapy for children without foci of infection and at risk for bacteremia is controversial. A prospective randomized clinical trial was conducted using expectant antibiotic therapy in children at risk for bacteremia. A total of 96 children (aged 6 to 24 months) with temperature of more than 40 degrees C, no identifiable source of infection, and a leukocyte count greater than or equal to 15,000/microL and/or sedimentation rate greater than or equal to 30 were enrolled. The following tests were performed on all children: blood culture, chest roentgenogram, urinalysis, and urine culture. A lumbar puncture was performed if a child was 12 months or less. Patients were randomized to receive either no antibiotic therapy or Bicillin C-R, 50,000 U/kg intramuscularly, followed by penicillin V, 100 mg/kg/d, orally four times a day for three days. Patients were examined at 24 and 72 hours. Fifty patients were treated expectantly and 46 received no antimicrobial therapy. Ten of the 96 patients were bacteremic (nine had Streptococcus pneumoniae, one had Haemophilus influenzae). Four of the five children treated for bacteremia showed improvement at the first follow-up visit (afebrile and no obvious focus of infection). The five untreated patients showed no improvement; four patients developed focal infections (two had meningitis, two had otitis media) (P less than or equal to .05, Fisher exact test). No complications of expectant therapy were detected. Thus, expectant antibiotic therapy for children who have no obvious source of infection and who meet these criteria associated with occult bacteremia is warranted.

  9. The Return of Congenital Rickets, Are We Missing Occult Cases? (United States)

    Elidrissy, Abdelwahab T H


    Congenital rickets is the term given to fetus born with clinical features of rickets, but those born with biochemical evidence of rickets without obvious clinical features still can be considered occult congenital rickets. Some of the affected babies with this disease have the intrauterine rachitic environment, but a calcium trans-placental pump prevents the fetus from having clinical features of rickets. They may present with hypocalcemia few days after birth or later with more florid features of rickets. Congenital rickets cases born with florid features reported over the last 40 years are few and can be divided into two groups. The first due to severe maternal osteomalacia in which their bones were so decalcified to have enough calcium to be pumped to their fetus. Another group in which newborn babies were hypocalcemic due to other maternal diseases as malabsorption, celiac disease, pre-eclampsia, and prematurity. All inherited rickets cases per se, or as part of other syndromes can be considered congenital rickets. Most cases seen in our region are due to maternal vitamin D deficiency with symptoms becoming obvious when the infants are breastfed, or may present with hypocalcemic convulsions or craniotabes. This is a review of congenital rickets with the aim of shedding light on this potentially acute disease that needs more attention and awareness in the neonatal period to avoid rare serious complications as cardiomyopathy or myelofibrosis and the complications of hypocalcemic convulsions. Congenital rickets cases seen simulate a tip of an ice-burg and its prevention is an important issue, especially with the tremendous urbanization with tall buildings living in sun-deprived flats as the commonest type of residence leading to the increasing incidence of maternal osteomalacia and rickets.


    Energy Technology Data Exchange (ETDEWEB)

    Richichi, A. [National Astronomical Research Institute of Thailand, 191 Siriphanich Bldg., Huay Kaew Rd., Suthep, Muang, Chiang Mai 50200 (Thailand); Fors, O. [Departament Astronomia i Meteorologia and Institut de Ciencies del Cosmos (ICC), Universitat de Barcelona (UB/IEEC), Marti i Franques 1, E-08028 Barcelona (Spain); Cusano, F. [INAF-Osservatorio Astronomico di Bologna, Via Ranzani 1, I-40127 Bologna (Italy); Moerchen, M., E-mail: [European Southern Observatory, Casilla 19001, Santiago 19 (Chile)


    We report on 25 subarcsecond binaries, detected for the first time by means of lunar occultations in the near-infrared (near-IR) as part of a long-term program using the ISAAC instrument at the ESO Very Large Telescope. The primaries have magnitudes in the range K = 3.8-10.4, and the companions in the range K = 6.4-12.1. The magnitude differences have a median value of 2.8, with the largest being 5.4. The projected separations are in the range 6-748 mas and with a median of 18 mas, or about three times less than the diffraction limit of the telescope. Among our binary detections are a pre-main-sequence star and an enigmatic Mira-like variable previously suspected to have a companion. Additionally, we quote an accurate first-time near-IR detection of a previously known wider binary. We discuss our findings on an individual basis as far as made possible by the available literature, and we examine them from a statistical point of view. We derive a typical frequency of binarity among field stars of Almost-Equal-To 10%, in the resolution and sensitivity range afforded by the technique ( Almost-Equal-To 0.''003 to Almost-Equal-To 0.''5, and K Almost-Equal-To 12 mag, respectively). This is in line with previous results using the same technique but we point out interesting differences that we can trace up to sensitivity, time sampling, and average distance of the targets. Finally, we discuss the prospects for further follow-up studies.

  11. Occult hepatitis B virus infection: clinical implications in tuberculosis treatment. (United States)

    Trigo, C; do Brasil, P E A A; Costa, M J M; de Castro, L


    Occult hepatitis B virus infection (OBI) is characterized by the absence of HBsAg and persistence of the virus genome (HBV-DNA) in liver tissue and/or blood. OBI has been reported in several clinical contexts. However, the clinical significance of OBI in tuberculosis (TB) treatment is unknown. We investigated the OBI prevalence and its impact on the risk of drug-induced liver injury (DILI) during TB treatment. This was a prospective cohort study with one hundred patients who were treated for TB from 2008 to 2015. Laboratory, clinical and demographic data of TB patients were extracted from medical records. Based on HBV-DNA testing of serum samples, an OBI prevalence of 12% was established; almost half of these patients had both anti-HBc and anti-HBs serological markers. Low CD4(+) cell counts have been shown to be a risk factor for OBI among TB patients co-infected with HIV (P=.036). High DILI incidence was observed in this study. A multivariable Cox proportional hazard model was conducted and identified OBI (HR 2.98, 95% CI 1.30-6.86) as the strongest predictor for DILI when adjusted to CD4(+) cell count (HR 0.38, 95% CI 0.17-0.90), ALT before TB treatment (HR 1.37, 95% CI 0.81-2.32) and TB extrapulmonary clinical form (HR 2.91, 95% CI 1.75-7.21). The main aim of this study was to highlight DILI as a clinical outcome during treatment of TB patients with OBI. Therefore, HBV-DNA testing should be considered routinely in monitoring DILI, and also in other clinical implications associated with OBI, reduce morbidity and mortality.

  12. Characteristics of tropopause parameters as observed with GPS radio occultation

    Directory of Open Access Journals (Sweden)

    T. Rieckh


    Full Text Available Characteristics of the lapse rate tropopause are analyzed globally for tropopause altitude and temperature using global positioning system (GPS radio occultation (RO data from late 2001 to the end of 2013. RO profiles feature high vertical resolution and excellent quality in the upper troposphere and lower stratosphere, which are key factors for tropopause determination, including multiple ones. RO data provide measurements globally and allow examination of both temporal and spatial tropopause characteristics based entirely on observational measurements. To investigate latitudinal and longitudinal tropopause characteristics, the mean annual cycle, and inter-annual variability, we use tropopauses from individual profiles as well as their statistical measures for zonal bands and 5° × 10° bins. The latitudinal structure of first tropopauses shows the well-known distribution with high (cold tropical tropopauses and low (warm extra-tropical tropopauses. In the transition zones (20 to 40° N/S, individual profiles reveal varying tropopause altitudes from less than 7 km to more than 17 km due to variability in the subtropical tropopause break. In this region, we also find multiple tropopauses throughout the year. Longitudinal variability is strongest at northern hemispheric mid latitudes and in the Asian monsoon region. The mean annual cycle features changes in amplitude and phase, depending on latitude. This is caused by different underlying physical processes (such as the Brewer–Dobson circulation – BDC and atmospheric dynamics (such as the strong polar vortex in the southern hemispheric winter. Inter-annual anomalies of tropopause parameters show signatures of El Niño–Southern Oscillation (ENSO, the quasi–biennial oscillation (QBO, and the varying strength of the polar vortex, including sudden stratospheric warming (SSW events. These results are in good agreement with previous studies and underpin the high utility of the entire RO record

  13. Angiographic classification of polypoidal lesions in polypoidal choroidal vasculopathy on indocyanine green angiography%息肉状脉络膜血管病变的吲哚菁绿眼底血管造影分型研究

    Institute of Scientific and Technical Information of China (English)

    左成果; 文峰; 黄时洲; 罗光伟; 阎宏; 李猛; 陈卉


    Objective To investigate the angiographic classification of polypoidal lesions in polypoidal choroidal vasculopathy (PCV) on indocyanine green angiography (ICGA). Methods One hundred and forty four eyes of 137 patients diagnosed as PCV were prospectively observed. Fundus examination, color fundus photography and ICGA were performed. Angiographic classification of polypoidal lesions and clinical features were recorded. Results In all 144 eyes, 110 eyes showed angiographic leakage (leakage group, 76%) on ICGA and three subtypes of the leakage group were noted, which were polypoidal dilations leakage (47 eyes, 42.7%), branching vascular networks leakage (14 eyes, 12.7%) and leakage of both (49 eyes, 44.5%). The other 34 eyes showed regression of polypoidal lesions (regression group, 24%). In leakage group, the rates of pigment epithelial detachment (PED), best corrected visual acuity (BCVA) <0.1 and old subretinal hemorrhages were respectively 56.4% (62 eyes), 19.1% (21 eyes), and 4.6% (5 eyes), compared with 8.8% (3 eyes), 50% (17 eyes) and 38.2% (13 eyes) for regression group (P<0.001). The history of regression group was significantly longer (P<0.001). Conclusions Angiographic leakage and regression can be observed in PCV lesions. Leakage of both polypoidal dilations and branching vascular networks is the most common subtype in leakage group. PCV in leakage group is more likely to be related to PED, better BCVA and shorter history, while PCV in regression group tends to relevant to old subretinal hemorrhage, worse BCVA and longer history. This may reflect the former is active or in the early course while the latter is resting or in the late phase of PCV.%目的 分析黄斑区息肉状脉络膜血管病变(PCV)在吲哚菁绿眼底血管造影(ICGA)中的不同渗漏亚型及临床特点.方法 对经荧光素眼底血管造影(FFA)及ICGA确诊为PCV的137例144只患眼进行ICGA渗漏状态的分型及各型临床特点的分析.结果 在144

  14. Radio-guided localization of clinically occult breast lesions: current modalities and future directions. (United States)

    Aydogan, Fatih; Velidedeoglu, Mehmet; Kilic, Fahrettin; Yilmaz, Halit


    The extensive availability of breast cancer screening programs and improvement in diagnostic imaging have led to more frequent detection of suspicious and clinically occult breast lesions. Early detection of tumor is important for breast-conserving treatment. Incomplete excision is a major risk factor for local recurrence. Following precise localization and removing the entire lesion while achieving adequate clear margins is the key factor for successful management of non-palpable breast lesions. For this purpose, several techniques such as wire-guided localization, intra-operative ultrasound guided resection, radio-guided occult lesion localization and radioactive seed localization have been described and applied. In this article, we overview the two commonly used localization techniques, radio-guided occult lesion localization and wire-guided localization, particularly describing their advantages and drawbacks.

  15. The diagnostic value of xero-mammography in clinically occult breast carcinoma. (United States)

    Kambouris, T; Kotoulas, K; Pontifex, G


    Seventy-four clinically occult breast carcinomas were detected in 7535 patients who were examined clinically and by xeromammography. The criteria by which a diagnosis of clinically occult breast carcinoma was established are described in detail. The most frequent finding of a clinically occult breast carcinoma in the xeromammogram was an irregular mass density 1 cm in diameter or less with microcalcifications. Axillary lymph node metastases were present in 29.7% of the total group of patients, which is much fewer than what might have been expected if the carcinomas had been discovered by palpation during the clinical examination or by the patient herself. This means a better prognosis and a lower death rate from breast carcinoma. Screening xeromammography is encouraged for all women after the age of 40, especially for those who belong to the high-risk group, even though they are quite asymptomatic, as there is hope of detecting cancers before they become palpable.

  16. Discovery of Stellar Duplicity of TYC 1950-02320-1 During Asteroidal Occultation by (141) Lumen (United States)

    Soma, Mitsuru; Hayamizu, Tsutomu; Ishida, M.; Owada, M.; Ida, M.; Aikawa, R.; Hashimoto, A.; Horaguchi, T.; Kitazaki, K.; Uchiyama, S.; Uehara, S.; Yaeza, A.; Timerson, Brad; George, T.; Morgan, W.; Edens, E.


    An occultation of TYC 1950-02320-1 by the asteroid (141) Lumen on 2013 December 28 showed this star to be a double star. Both components of the double star were occulted as recorded by one observer, one component of the double star was occulted by three observers, and 9 observers recorded miss observations. The separation of the two components is 0.1529 ± 0.0008 arcseconds at a position angle of 105.8 ± 0.7 degrees. The magnitude of the primary component is estimated to be 11.25 (V). The magnitude of the secondary component is estimated to be 11.47 (V).

  17. Results of two multi-chord stellar occultations by dwarf planet (1) Ceres

    CERN Document Server

    Gomes-Júnior, A R; Braga-Ribas, F; Assafin, M; Vieira-Martins, R; Camargo, J I B; Sicardy, B; Timerson, B; George, T; Broughton, J; Blank, T; Benedetti-Rossi, G; Brooks, J; Dantowitz, R F; Dunham, D W; Dunham, J B; Ellington, C K; Emilio, M; Herpich, F R; Jacques, C; Maley, P D; Mehret, L; Mello, A J T; Milone, A C; Pimentel, E; Schoenell, W; Weber, N S


    We report the results of two multi-chord stellar occultations by the dwarf planet (1) Ceres that were observed from Brazil on 2010 August 17, and from the USA on 2013 October 25. Four positive detections were obtained for the 2010 occultation, and nine for the 2013 occultation. Elliptical models were adjusted to the observed chords to obtain Ceres' size and shape. Two limb fitting solutions were studied for each event. The first one is a nominal solution with an indeterminate polar aspect angle. The second one was constrained by the pole coordinates as given by Drummond et al. Assuming a Maclaurin spheroid, we determine an equatorial diameter of 972 $\\pm$ 6 km and an apparent oblateness of 0.08 $\\pm$ 0.03 as our best solution. These results are compared to all available size and shape determinations for Ceres made so far, and shall be confirmed by the NASA's Dawn space mission.

  18. On the Use of Cherenkov Telescopes for Outer Solar System Body Occultations

    CERN Document Server

    Lacki, Brian C


    Imaging Atmosphere Cherenkov Telescopes (IACT) are arrays of very large optical telescopes that are well-suited for rapid photometry of bright sources. I investigate their potential in observing stellar occultations by small objects in the outer Solar System, Transjovian Objects (TJOs). These occultations cast diffraction patterns on the Earth. Current IACT arrays are capable of detecting objects smaller than 100 meters in radius in the Kuiper Belt and 1 km radius out to 5000 AU. The future Cherenkov Telescope Array (CTA) will have even greater capabilities. Because the arrays include several telescopes, they can potentially measure the speeds of TJOs without degeneracies, and the sizes of the TJOs and background stars. I estimate the achievable precision using a Fisher matrix analysis. With CTA, the precisions of these parameter estimations will be as good as a few percent. I consider how often IACTs can observe occultations by members of different TJO populations, including Centaurs, Kuiper Belt Objects (KB...

  19. Estudio vascular renal por TC multidetector de 64 canales 64-Multidetector row CT for the Renal Vascular Study

    Directory of Open Access Journals (Sweden)

    Daniela Stoisa


    Full Text Available Objetivo: Mostrar las diversas variantes anatómicas vasculares tanto arteriales como venosas en el estudio angiográfico renal por tomografìa computada multidetector (TCMD de 64 canales, dada su implicancia en un eventual planeamiento quirúrgico. Material y métodos: Evaluamos retrospectivamente 26 estudios realizados con tomógrafo Philips Brilliance de 64 canales. Se obtuvieron secuencias sin contraste y postcontraste e.v. en fases arterial y venosa, administrado con bomba inyectora doble cabezal. Para una fase arterial apropiada se utilizó técnica de bolus track. Las imágenes fueron posteriormente procesadas en Workstation Philips Brilliance 190P en un tiempo promedio de 30 minutos y reconstruidas con técnicas MIP y volumétrica. Resultados: Dentro de las variantes anatómicas arteriales, encontramos: bifurcaciones prehiliares (n=3, arterias accesorias (n=4 y arterias polares (n=9. Dentro de las variantes venosas fueron halladas: venas renales múltiples (n=5, venas circumaórticas (n=2, retroaórticas (n=2 y vena tributaria lumbar prominente (n=1. Conclusión: El estudio vascular renal adquiere importancia en el planeamiento quirúrgico en casos de nefrectomías parciales, laparoscópicas y en el transplante renal. Esto otorga suma utilidad al estudio de TCMD de 64 canales por su eficacia diagnóstica, dada la alta calidad de las reconstrucciones obtenidas, llegando a igualar a la angiografía digital, sin ser un método invasivo.Purpose: To show the wide range of anatomical vascular variants, arterial and venous, that can be seen in the angiographic renal study using 64-multidetector-row computed tomography (64-MDCT, due to its importance in an eventual surgical planning. Material and Methods: We have evaluated retrospectively 26 studies that have been done using a 64 channels Philips Brilliance CT scanner. We have obtained non enhanced and both in arterial and venous enhanced sequences. For the injection of the contrast material we

  20. Clinical applications of MR digital subtraction angiography for the evaluation of intracranial vascular and tumorous lesions

    Energy Technology Data Exchange (ETDEWEB)

    Katase, Shichiro; Tsuchiya, Kazuhiro; Hachiya, Junichi [Kyorin Univ., Mitaka, Tokyo (Japan). School of Medicine


    MR digital subtraction angiography (MR DSA), which is performed by a rapid two-dimensional T1-weighted sequence in combination with bolus injection of gadolinium-based contrast agent was applied to the evaluation of cerebral arteriovenous malformations (AVMs), brain tumors (intraaxial and extraaxial tumors), and other vascular lesions. This study was performed to evaluate the clinical usefulness of the method in the diagnosis of these lesions. We studied 19 cases of cerebral AVM, 36 cases of intraaxial tumor (metastatic brain tumors in 14, glioblastomas in five, astrocytomas in eight, malignant lymphomas in four, pineal tumors in two, and other tumors, in three), 34 cases of extraaxial tumor (meningiomas in 29, and pituitary adenomas in five), and 10 cases of other vascular lesions (cerebral aneurysms in five, venous thrombosis in two, and other lesion in three). For cerebral AVMs, the feeder, nidus, and drainer were evaluated on a 4 - point grading scale (0=poor, 1=fair, 2=good, 3=excellent), and the results obtained were compared with those of conventional cerebral angiography or MR angiography using the postcontrast three-dimensional time-of-flight method. Brain tumors were classified into six enhancement patterns, and were compared with the findings of conventional cerebral angiography. Other vascular lesions were assessed visually. All cases were evaluated independently by two radiologists, and inter-observer agreement was assessed using the {kappa}-test. In all cerebral AVM cases, the hemodynamics of the feeder, nidus, and drainer could be observed. In all but five brain tumor cases, tumor stain could be confirmed in MR DSA images. The findings of tumor stain corresponded to those of cerebral angiographic images. For other vascular lesions, results of lesion detection and lesion morphology were almost in congruence with other methods. MR DSA provides information on the hemodynamics of vascular and tumorous lesions. When used in conjunction with routine MR

  1. Identification of occult tumors by whole-specimen mapping in solitary papillary thyroid carcinoma. (United States)

    Park, Seog Yun; Jung, Yuh-S; Ryu, Chang Hwan; Lee, Chang Yoon; Lee, You Jin; Lee, Eun Kyung; Kim, Seok-Ki; Kim, Tae Sung; Kim, Tae Hyun; Jang, Jeyun; Park, Daeyoon; Dong, Seung Myung; Kang, Jae-Goo; Lee, Jin Soo; Ryu, Junsun


    We undertook this study to estimate an accurate incidence and spread patterns of occult papillary thyroid carcinoma (PTC) in patients with a preoperative diagnosis of solitary PTC by using whole-specimen mapping of all specimens after a total thyroidectomy. Enrolled prospectively in this whole-thyroid mapping study are 82 consecutive patients who underwent a total thyroidectomy under a preoperative diagnosis of solitary PTC. All thyroidectomy specimens were serially sectioned in 2 mm thickness and whole-thyroid mapping was carried out for additional foci of occult PTC. The frequencies of occult lesions detected in the whole and contralateral lobe were determined, and clinicopathologic factors associated with multifocality were assessed. Whole-thyroid mapping revealed 66 occult PTC lesions missed by preoperative ultrasound in 37 (45.1%) of the 82 patients. The great majority (92.5%) of the occult PTC was smaller than 3 mm in size and 25 patients (30.5%) had contralateral lesions. We found that the male sex was an independent predictor of multifocality (odds ratio (OR), 3.00; 95% CI, 1.11-8.14), adjusting for preoperative findings. Analysis with pathologic parameters showed that the male sex (OR, 5.03; 95% CI, 1.68-15.08) and extrathyroidal extensions (OR, 3.03; 95% CI, 1.03-8.95) were associated with multifocal PTC. However, none of the clinicopathologic factors evaluated predicted contralateral PTC. Our study demonstrates the diagnostic limitations of ultrasound for the detection of multifocal PTC and the need to consider the possibility of occult lesions in the management of solitary PTC, especially in male patients.

  2. Occult Pelvic Lymph Node Involvement in Bladder Cancer: Implications for Definitive Radiation

    Energy Technology Data Exchange (ETDEWEB)

    Goldsmith, Benjamin; Baumann, Brian C.; He, Jiwei; Tucker, Kai; Bekelman, Justin; Deville, Curtiland; Vapiwala, Neha [Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (United States); Vaughn, David; Keefe, Stephen M. [Department of Medical Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (United States); Guzzo, Thomas; Malkowicz, S. Bruce [Department of Urology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (United States); Christodouleas, John P., E-mail: [Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania (United States)


    Purpose: To inform radiation treatment planning for clinically staged, node-negative bladder cancer patients by identifying clinical factors associated with the presence and location of occult pathologic pelvic lymph nodes. Methods and Materials: The records of patients with clinically staged T1-T4N0 urothelial carcinoma of the bladder undergoing radical cystectomy and pelvic lymphadenectomy at a single institution were reviewed. Logistic regression was used to evaluate associations between preoperative clinical variables and occult pathologic pelvic or common iliac lymph nodes. Percentages of patient with involved lymph node regions entirely encompassed within whole bladder (perivesicular nodal region), small pelvic (perivesicular, obturator, internal iliac, and external iliac nodal regions), and extended pelvic clinical target volume (CTV) (small pelvic CTV plus common iliac regions) were calculated. Results: Among 315 eligible patients, 81 (26%) were found to have involved pelvic lymph nodes at the time of surgery, with 38 (12%) having involved common iliac lymph nodes. Risk of occult pathologically involved lymph nodes did not vary with clinical T stage. On multivariate analysis, the presence of lymphovascular invasion (LVI) on preoperative biopsy was significantly associated with occult pelvic nodal involvement (odds ratio 3.740, 95% confidence interval 1.865-7.499, P<.001) and marginally associated with occult common iliac nodal involvement (odds ratio 2.307, 95% confidence interval 0.978-5.441, P=.056). The percentages of patients with involved lymph node regions entirely encompassed by whole bladder, small pelvic, and extended pelvic CTVs varied with clinical risk factors, ranging from 85.4%, 95.1%, and 100% in non-muscle-invasive patients to 44.7%, 71.1%, and 94.8% in patients with muscle-invasive disease and biopsy LVI. Conclusions: Occult pelvic lymph node rates are substantial for all clinical subgroups, especially patients with LVI on biopsy. Extended

  3. Diagnosis of occult hepatitis C without the need for a liver biopsy. (United States)

    Castillo, Inmaculada; Bartolomé, Javier; Quiroga, Juan Antonio; Barril, Guillermina; Carreño, Vicente


    The diagnosis of occult hepatitis C virus (HCV) infection is based on the presence of HCV-RNA in the liver. This study aimed to evaluate the use of combining non-invasive assays to diagnose occult HCV. A total of 122 patients with occult HCV (HCV-RNA in the liver without detectable anti-HCV and serum HCV-RNA) and 45 patients with cryptogenic chronic hepatitis (without HCV-RNA in the liver and negative for anti-HCV and serum HCV-RNA) were included. HCV-RNA was tested in peripheral blood mononuclear cells (PBMCs) and in 2 ml of ultracentrifuged serum. Anti-core HCV was examined by a non-commercial enzyme-linked immunosorbent assay. All controls were negative for the three HCV markers studied. Among patients with occult HCV, 36% were anti-core HCV positive, 57% had serum HCV-RNA after ultracentrifugation, and 61% had HCV-RNA in PBMCs. Combining the results of the assays, 91% of the patients were positive for at least one marker. Intrahepatic HCV-RNA load was significantly higher in patients who were positive simultaneously for the three HCV markers than in patients who were negative for all markers (P = 0.006) and than in those with one or two HCV markers (P = 0.039). Replication of HCV in liver was detected more frequently in patients with three (93%, P = 0.002), two (82%, P = 0.001), and one HCV marker (73%, P = 0.011) than in those without markers (27%). In conclusion, testing for all these markers allows diagnosis of occult HCV without the need for a liver biopsy and these assays may help to elucidate the clinical significance of occult HCV infection.

  4. Occult HCV infection: an unexpected finding in a population unselected for hepatic disease.

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    Laura De Marco

    Full Text Available BACKGROUND: Occult Hepatitis C virus (HCV infection is a new pathological entity characterized by presence of liver disease and absence or very low levels of detectable HCV-RNA in serum. Abnormal values of liver enzymes and presence of replicative HCV-RNA in peripheral blood mononuclear cells are also observed. Aim of the study was to evaluate occult HCV occurrence in a population unselected for hepatic disease. METHODOLOGY/PRINCIPAL FINDINGS: We chose from previous epidemiological studies three series of subjects (n = 276, age range 40-65 years unselected for hepatic disease. These subjects were tested for the presence of HCV antibodies and HCV-RNA in plasma and in the peripheral blood mononuclear cells (PBMCs by using commercial systems. All subjects tested negative for HCV antibodies and plasma HCV-RNA and showed normal levels of liver enzymes; 9/276 patients (3.3% were positive for HCV-RNA in PBMCs, identifying a subset of subjects with potential occult HCV infection. We could determine the HCV type for 8 of the 9 patients finding type 1a (3 patients, type 1b (2 patients, and type 2a (3 patients. CONCLUSIONS: The results of this study show evidence that occult HCV infection may occur in a population unselected for hepatic disease. A potential risk of HCV infection spread by subjects harbouring occult HCV infection should be considered. Design of prospective studies focusing on the frequency of infection in the general population and on the clinical evolution of occult HCV infection will be needed to verify this unexpected finding.

  5. Functional analysis of 'a' determinant mutations associated with occult HBV in HIV-positive South Africans. (United States)

    Powell, Eleanor A; Boyce, Ceejay L; Gededzha, Maemu P; Selabe, Selokela G; Mphahlele, M Jeffrey; Blackard, Jason T


    Occult hepatitis B is defined by the presence of hepatitis B virus (HBV) DNA in the absence of hepatitis B surface antigen (HBsAg). Occult HBV is associated with the development of hepatocellular carcinoma, reactivation during immune suppression, and virus transmission. Viral mutations contribute significantly to the occult HBV phenotype. Mutations in the 'a' determinant of HBsAg are of particular interest, as these mutations are associated with immune escape, vaccine escape and diagnostic failure. We examined the effects of selected occult HBV-associated mutations identified in a population of HIV-positive South Africans on HBsAg production in vitro. Mutations were inserted into two different chronic HBV backbones and transfected into a hepatocyte-derived cell line. HBsAg levels were quantified by enzyme-linked immunosorbent assay (ELISA), while the detectability of mutant HBsAg was determined using an HA-tagged HBsAg expression system. Of the seven mutations analysed, four (S132P, C138Y, N146D and C147Y) resulted in decreased HBsAg expression in one viral background but not in the second viral background. One mutation (N146D) led to a decrease in HBsAg detected as compared to HA-tag, indicating that this mutation compromises the ability of the ELISA to detect HBsAg. The contribution of occult-associated mutations to the HBsAg-negative phenotype of occult HBV cannot be determined adequately by testing the effect of the mutation in a single viral background, and rigorous analysis of these mutations is required.

  6. VLT transit and occultation photometry for the bloated planet CoRoT-1b


    Gillon, Michaël; Demory, B. -O.; Triaud, A. H. M. J.; Barman, T; Hebb, L.; Montalban Iglesias, Josefa; Maxted, P.; Queloz, D; Deleuil, M.; Magain, Pierre


    We present VLT eclipse photometry for the giant planet CoRoT-1b. We observed a transit in the R-band filter and an occultation in a narrow filter centered on 2.09 microns. Our analysis of this new photometry and published radial velocities, in combination with stellar-evolutionary modeling, leads to a planetary mass and radius of 1.07 (+0.13,-0.18) M_Jup and 1.45 (+0.07,-0.13) R_Jup, confirming the very low density previously deduced from CoRoT photometry. The large occultation depth that we ...

  7. GPS Radio Occultation: Results from CHAMP, GRACE and FORMOSAT-3/COSMIC

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    Jens Wickert


    Full Text Available The Taiwan/US FORMOSAT-3/COSMIC (FORMOsa SATellite mission - 3/Constellation Observing System for Meteorology, Ionosphere and Climate satellite nstellation was successfully launched on 14 April 2006. It is expected to leverage the use of the GPS (Global Positioning System radio occultation data for atmospheric and ionospheric research to improve global weather forecasts and aid climate change related studies. FORMOSAT-3/COSMIC, together with the European MetOp, German CHAMP and US/German GRACE-A satellites, form a 9 satellite constellation for precise atmospheric sounding on a global scale. This satellite constellation is expected to provide about 3500 occultation measurements daily.

  8. Occult Invasive Lobular Carcinoma of Breast Detected by Stomach Metastasis: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    KIm, So Jung; Jung, Hae Kyoung; Ko, Kyung Hee; Yoon, Jung Hyun [Dept. of Radiology, Bundang CHA general Hospital, CHA University College of Medicine, Seongnam (Korea, Republic of)


    Gastric metastasis from primary breast cancer is a rare phenomenon that is more prevalent in the invasive lobular type of breast cancer. We describe a very rare case of occult invasive lobular cancer of the breast detected by the initial presentation of gastric metastasis in a patient without a history of breast cancer. A 18F-fluorodeoxyglucose positron-emission tomography/computed tomography (FDG PET/CT) which showed increased FDG uptake in the stomach, abdominal mesentery and the right breast, and played pivotal roles in the detection of occult primary breast cancer and a diagnosis of gastric metastasis as an ancillary method for obtaining histological results and immunohistochemical stains.

  9. Occult hepatitis B virus infection in Egyptian hemodialysis patients with or without hepatitis C virus infection

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    Hisham Ismail


    Full Text Available Hisham Ismail1*, Mohamed Soliman2, Nahed Ismail31Department of Molecular Diagnosis, GEBR Institute, 2Department of Clinical Pathology, College of Medicine, Menoufia University, Menoufia, Egypt; 3Department of Pathology and Department of Microbiology and Immunology, Meharry Medical College, Nashville, Tennessee, USA *Current affiliation: College of Medicine, Qassim University, Saudi ArabiaAbstract: Hepatitis B virus (HBV and hepatitis C virus (HCV infections are frequent in patients with end-stage renal disease who are on maintenance hemodialysis. There are limited data about the prevalence of occult HBV infection in patients on long-term hemodialysis. Occult HBV is defined as positive HBV DNA in the blood in the absence of hepatitis B surface ­antigen in the serum. In this study, we determined the prevalence of occult HBV in hemodialysis patients with or without HCV infection. The study included 116 patients with end-stage renal disease on chronic hemodialysis, of whom 64 patients were HCV RNA positive (Group 1, and 52 were HCV RNA negative (Group 2. We found that four of 64 (6.3% hemodialysis patients with HCV infection (Group 1 had occult HBV, while only two of 52 (3.8% hemodialysis patients without HCV (Group 2 had occult HBV. We then examined whether gender-matched ­hemodialysis patients with positive HBV DNA in the two hemodialysis groups differed in specific parameters, ie, age, degree of liver dysfunction, and presence of ­coinfection with schistosomiasis, a common parasitic infection of the liver. We found no significant difference between the groups having positive HBV DNA with regard to serum levels of liver enzymes, aspartate transaminase, albumin, and hepatitis B core antigen (P > 0.05. However, we detected significantly higher levels of alanine transaminase, a prolonged duration of hemodialysis, and higher levels of schistosomal antibodies in Group 1 than in Group 2. Interestingly, we found that the presence of schistosomal

  10. Cellular Immune Responses Associated with Occult Hepatitis C Virus Infection of the Liver


    Quiroga, Juan A.; Llorente, Silvia; Castillo, Inmaculada; Rodríguez-Iñigo, Elena; Pardo, Margarita; CARREÑO, VICENTE


    Occult hepatitis C virus (HCV) infection is a type of recently identified chronic infection that is evidenced only by detection of HCV RNA in liver; patients consistently test negative for antibodies to HCV and HCV RNA in serum. Using ex vivo and in vitro measures of T-cell responses, we have identified functional virus-specific memory CD4+ and CD8+ T cells in the peripheral blood of patients with occult HCV infection. The features of the virus-specific T cells were consistent with immune sur...

  11. Occultation observations of atmosphere and climate change from space: a backbone for the GCOS (United States)

    Kirchengast, G.


    Since the early use of the occultation measurement principle for sounding planetary atmospheres, its exploitation has seen tremendous advances. A particular boost was felt since the late eighties when a variety of intriguing opportunities for application to the atmosphere of our home planet Earth were increasingly recognized, such as utilizing new signal sources like Global Navigation Satellite System (GNSS) signals. Today we use and plan occultation sensors on Low Earth Orbit (LEO) satellites, which exploit solar, lunar, stellar, GNSS, and LEO-crosslink signals. The sensors, together, smartly utilize the whole electromagnetic spectrum from EUV/UV via VIS/IR and MW to Radio and exploit all kinds of atmosphere-radiation interaction such as absorption and scattering, both by molecules and aerosols, as well as refraction. The parameters obtained, from the Earth's surface up through the entire atmosphere, extend from the fundamental mass field variables temperature, pressure, and geopotential height via the fundamental variable trace gases water vapor and ozone (and many further important trace species) to key particulate species such as aerosols and cloud liquid water. All these measurements rest on one and the same occultation principle with its unique properties of providing self-calibration, high accuracy and vertical resolution, global coverage, and (if using radio signals) all-weather capability. Occultation data thus bear enormous utility for applications in climate monitoring and research but also in other fields such as numerical weather prediction and atmospheric physics and chemistry. The self-calibration property is particularly crucial for climate change monitoring, as it enables unique long-term stability in climate datasets. The latter can be built from occultation data of different satellites and times without inter-calibration efforts. In fact, a controversy such as the recent one on the tropospheric temperature record over the last two decades

  12. Naturally occurring mutations in large surface genes related to occult infection of hepatitis B virus genotype C.

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    Hong Kim

    Full Text Available Molecular mechanisms related to occult hepatitis B virus (HBV infection, particularly those based on genotype C infection, have rarely been determined thus far in the ongoing efforts to determine infection mechanisms. Therefore, we aim to elucidate the mutation patterns in the surface open reading frame (S ORF underlying occult infections of HBV genotype C in the present study. Nested PCRs were applied to 624 HBV surface antigen (HBsAg negative Korean subjects. Cloning and sequencing of the S ORF gene was applied to 41 occult cases and 40 control chronic carriers. Forty-one (6.6% of the 624 Korean adults with HBsAg-negative serostatus were found to be positive for DNA according to nested PCR tests. Mutation frequencies in the three regions labeled here as preS1, preS2, and S were significantly higher in the occult subjects compared to the carriers in all cases. A total of two types of deletions, preS1 deletions in the start codon and preS2 deletions as well as nine types of point mutations were significantly implicated in the occult infection cases. Mutations within the "a" determinant region in HBsAg were found more frequently in the occult subjects than in the carriers. Mutations leading to premature termination of S ORF were found in 16 occult subjects (39.0% but only in one subject from among the carriers (2.5%. In conclusion, our data suggest that preS deletions, the premature termination of S ORF, and "a" determinant mutations are associated with occult infections of HBV genotype C among a HBsAg-negative population. The novel mutation patterns related to occult infection introduced in the present study can help to broaden our understanding of HBV occult infections.

  13. Treatment planning for image-guided neuro-vascular interventions using patient-specific 3D printed phantoms (United States)

    Russ, M.; O'Hara, R.; Setlur Nagesh, S. V.; Mokin, M.; Jimenez, C.; Siddiqui, A.; Bednarek, D.; Rudin, S.; Ionita, C.


    Minimally invasive endovascular image-guided interventions (EIGIs) are the preferred procedures for treatment of a wide range of vascular disorders. Despite benefits including reduced trauma and recovery time, EIGIs have their own challenges. Remote catheter actuation and challenging anatomical morphology may lead to erroneous endovascular device selections, delays or even complications such as vessel injury. EIGI planning using 3D phantoms would allow interventionists to become familiarized with the patient vessel anatomy by first performing the planned treatment on a phantom under standard operating protocols. In this study the optimal workflow to obtain such phantoms from 3D data for interventionist to practice on prior to an actual procedure was investigated. Patientspecific phantoms and phantoms presenting a wide range of challenging geometries were created. Computed Tomographic Angiography (CTA) data was uploaded into a Vitrea 3D station which allows segmentation and resulting stereo-lithographic files to be exported. The files were uploaded using processing software where preloaded vessel structures were included to create a closed-flow vasculature having structural support. The final file was printed, cleaned, connected to a flow loop and placed in an angiographic room for EIGI practice. Various Circle of Willis and cardiac arterial geometries were used. The phantoms were tested for ischemic stroke treatment, distal catheter navigation, aneurysm stenting and cardiac imaging under angiographic guidance. This method should allow for adjustments to treatment plans to be made before the patient is actually in the procedure room and enabling reduced risk of peri-operative complications or delays.

  14. Occult hepatitis B virus infection in Moroccan HIV infected patients

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    Tahar Bajjou


    Full Text Available Background: The purpose of this study is to assess the prevalence of Occult hepatitis B virus Infection (OBI among antiretroviral treatment na and iuml;ve HIV-1 infected individuals in Morocco and to determine factors favouring its occurrence. Methods: The retrospective study was conducted in the Mohammed V military teaching hospital in Rabat between January 2010 and June 2011. It included patients with confirmed HIV infection, tested negative to serological detection of HBV surface antigen (HBsAg and did not received antiviral treatment or hepatitis B vaccine. All samples were tested for anti-HBc, anti-HBs and anti-HCV antibodies using enzyme immunoassay (ELISA. The detection of HBV DNA was performed by real-time PCR using two specific primers for a gene in the region C of the viral genome. The sensitivity of the technique was 20 copies/ml. Results: A total of 82 samples were analyzed, 19 (23 % were found to have isolated anti-HBc, 07 (8.5% with associated anti-HBc and Anti-HBs. No anti-HCV marker was detected on these screening samples. The HBV DNA was detected in 48 (58% samples, of which, males constituted 58% (28/48. The mean age of these patients was 38 +/- 8.2 (29-56, the median HIV-1 viral load and CD4 cell count HIV-1 infected patients were 127500 (54108-325325 copies/ml and 243 [80-385] cells/mm3 respectively and 27.1% (13/48 of these patients were found to have isolated anti-HBc. A significant correlations between DNA HBV and HIV viral load higher than 100000 copies/ml (P = 0.004, CD4 cell count lower than 400 cells/mm3 (P = 0.013, P = 0.006 and isolated anti-HBc samples (P <0.005 were founded. However there was no significant association with age, sex, transmission mode and clinical stage. Conclusion: The consequences of this high prevalence of OBI in Morocco need to be considered in laboratory diagnosis of HBV infection in HIV infected patients and the PCR seems to be inevitable for a better diagnosis and therapy. [Int J Res Med Sci

  15. Titan Extinction Profiles Observed by Cassini Radio Occultations and Implications (United States)

    Marouf, Essam; French, Richard; Flasar, F. Michael; Schinder, Paul J.; Rappaport, Nicole J.

    Three monochromatic and phase-coherent radio signals of wavelength = 0.9, 3.6, and 13 cm (Ka-, X-, and S-bands), were propagated by Cassini through the neutral atmosphere of Titan and the refracted signals were observed on the Earth. Abel inversion of observed changes in the signal frequency is used to recover the refractivity profile of the atmosphere, hence estimate the expected loss in signal strength due to defocusing of the radio signal by differential refraction. The refractive defocusing component (wavelength independent, in principle) is then removed from the actual measured signal strength profiles yielding the "true" signal extinction due to absorption and scattering integrated along the propagation path. Abel inversion of the integrated intensity profiles, tempered to combat noise contribution, yields localized estimates of the extinction coefficient (absorbtivity) as a function of altitude, or the extinction profiles. The initial radio measurements are diffraction-limited. We extend Fresnel transform based diffraction reconstruction procedures developed for radio occultation observations of planetary rings to remove diffraction effects from the initial radio measurements. The procedures are tested using idealized models of simple isothermal atmospheric profile extending above a hard-limb (knife-edge) model. Reconstruction of the simulated "observed" diffraction-limited data shows good agreement with the assumed atmospheric profile and the location of the hard-limb for a range of model parameters. We then apply a similar approach to the actual measured data. Strong wavelength-dependent extinction coefficient profile behavior is observed. Its large-scale structure appears well modeled by predictions based on N2-N2 collision-induced gaseous absorption for Titan's physical conditions. Interesting localized features of yet unexplained origin are also observed. Because the spatial scales of the extinction profile features are relatively large compared with

  16. Everolimus-Eluting Bioresorbable Vascular Scaffold System in the Treatment of Cardiac Allograft Vasculopathy: the CART (Cardiac Allograft Reparative Therapy) Prospective Multicenter Pilot Study. (United States)

    Pighi, Michele; Tomai, Fabrizio; Petrolini, Alessandro; de Luca, Leonardo; Tarantini, Giuseppe; Barioli, Alberto; Colombo, Paola; Klugmann, Silvio; Ferlini, Marco; Ormezzano, Maurizio Ferrario; Loi, Bruno; Calabrò, Paolo; Bianchi, Renato Maria; Faggian, Giuseppe; Forni, Alberto; Vassanelli, Corrado; Valgimigli, Marco; Ribichini, Flavio


    Cardiac allograft vasculopathy (CAV) is a form of accelerated atherosclerosis, which represents the leading cause of late morbidity and mortality after heart transplantation. The recent bioresorbable vascular scaffold (BVS) technology represents a potential novel therapeutic tool, in the context of CAV, by allowing transient scaffolding and concomitant vessel healing. Eligible subjects will be treated by using the Absorb Everolimus-Eluting BVS (Abbott Vascular, Santa Clara, CA, USA), and evaluated at pre-determined time points, up to 3 years since the index procedure. Both clinical and imaging data will be collected in dedicated case report forms (CRF). All imaging data will be analyzed in an independent core laboratory. The primary aim of the study is to evaluate the angiographic performance at 1 year of second-generation Absorb BVS, in heart transplant recipients affected by CAV.

  17. MRI evaluation of vascular dementia

    Institute of Scientific and Technical Information of China (English)

    Yicheng Liu; Hongxing Zhang; Wei Huang; Wenjun Wan; Hongfen Peng


    OBJECTTVE: To explain the association between vascular dementia and the cranial MRI manifestations, and recognize the value of cranial MRI in the early diagnosis of vascular dementia and the assessment of disease conditions.DATA SOURCES: Pubmed database was searched to identify articles about the cranial MRI manifestations of patients with vascular dementia published in English from January 1992 to June 2006 by using the key words of "MRI, vascular dementia". Others were collected by searching the name of journals and title of articles in the Chinese full-text journal database.STUDY SELECTTON: The collected articles were primarily checked, those correlated with the cranial MRI manifestations of patients with vascular dementia were selected, while the obviously irrelative ones were excluded, and the rest were retrieved manually, the full-texts were searched.DATA EXTRACTION: Totally 255 articles were collected, 41 of them were involved, and the other 214 were excluded.DATA SYNTHESIS: MRI can be taken as one of the effective methods for the early diagnosis and disease evaluation of vascular dementia. White matter lesions are the important risk factors of vascular dementia.Vascular dementia is accompanied by the atrophy of related brain sites, but further confirmation is needed to investigate whether there is significant difference. MRI can be used to quantitatively investigate the infarcted sites and sizes of patients with vascular dementia after infarction, but there is still lack of systematic investigation on the association of the infarcted sites and sizes with the cognitive function of patients with vascular dementia.CONCLUSTON: Cranial MRI can detect the symptoms of vascular dementia at early period, so that corresponding measures can be adopted to prevent and treat vascular dementia in time.

  18. Vascular dysfunction in preeclampsia. (United States)

    Brennan, Lesley J; Morton, Jude S; Davidge, Sandra T


    Preeclampsia is a complex disorder which affects an estimated 5% of all pregnancies worldwide. It is diagnosed by hypertension in the presence of proteinuria after the 20th week of pregnancy and is a prominent cause of maternal morbidity and mortality. As delivery is currently the only known treatment, preeclampsia is also a leading cause of preterm delivery. Preeclampsia is associated with maternal vascular dysfunction, leading to serious cardiovascular risk both during and following pregnancy. Endothelial dysfunction, resulting in increased peripheral resistance, is an integral part of the maternal syndrome. While the cause of preeclampsia remains unknown, placental ischemia resulting from aberrant placentation is a fundamental characteristic of the disorder. Poor placentation is believed to stimulate the release of a number of factors including pro- and antiangiogenic factors and inflammatory activators into the maternal systemic circulation. These factors are critical mediators of vascular function and impact the endothelium in distinctive ways, including enhanced endothelial oxidative stress. The mechanisms of action and the consequences on the maternal vasculature will be discussed in this review.

  19. CT in vascular pathologies

    Energy Technology Data Exchange (ETDEWEB)

    Bartolozzi, C.; Neri, E.; Caramella, D. [Diagnostic and Interventional Radiology Department of Oncology, University of Pisa, Via Roma 67, I-56100 Pisa (Italy)


    Since the introduction of helical scanners, CT angiography (CTA) has achieved an essential role in many vascular applications that were previously managed with conventional angiography. The performance of CTA is based on the accurate selection of collimation width, pitch, reconstruction spacing and scan delay, which must be modulated on the basis of the clinical issue. However, the major improvement of CT has been provided by the recent implementation of many post-processing techniques, such as multiplanar reformatting, shaded surface display, maximum intensity projections, 3D perspectives of surface and volume rendering, which simulate virtual intravascular endoscopy. The integration of the potentialities of the scanner and of the image processing techniques permitted improvement of: (a) the evaluation of aneurysms, dissection and vascular anomalies involving the thoracic aorta; (b) carotid artery stenosis; (c) aneurysms of abdominal aorta; (d) renal artery stenosis; (e) follow-up of renal artery stenting; and (f) acute or chronic pulmonary embolism. Our experience has shown that the assessment of arterial pathologies with CTA requires the integration of 3D post-processing techniques in most applications. (orig.) With 4 figs., 34 refs.

  20. Vascular Remodeling in Experimental Hypertension

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    Norma R. Risler


    Full Text Available The basic hemodynamic abnormality in hypertension is an increased peripheral resistance that is due mainly to a decreased vascular lumen derived from structural changes in the small arteries wall, named (as a whole vascular remodeling. The vascular wall is an active, flexible, and integrated organ made up of cellular (endothelial cells, smooth muscle cells, adventitia cells, and fibroblasts and noncellular (extracellular matrix components, which in a dynamic way change shape or number, or reorganize in response to physiological and pathological stimuli, maintaining the integrity of the vessel wall in physiological conditions or participating in the vascular changes in cardiovascular diseases such as hypertension. Research focused on new signaling pathways and molecules that can participate in the mechanisms of vascular remodeling has provided evidence showing that vascular structure is not only affected by blood pressure, but also by mechanisms that are independent of the increased pressure. This review will provide an overview of the evidence, explaining some of the pathophysiologic mechanisms participating in the development of the vascular remodeling, in experimental models of hypertension, with special reference to the findings in spontaneously hypertensive rats as a model of essential hypertension, and in fructose-fed rats as a model of secondary hypertension, in the context of the metabolic syndrome. The understanding of the mechanisms producing the vascular alterations will allow the development of novel pharmacological tools for vascular protection in hypertensive disease.

  1. A novel method for the angiographic estimation of the percentage of spleen volume embolized during partial splenic embolization

    Energy Technology Data Exchange (ETDEWEB)

    Ou, Ming-Ching; Chuang, Ming-Tsung [Department of Diagnostic Radiology, National Cheng-Kung University Hospital, No. 138 Sheng Li Road, Tainan 704, Taiwan, ROC (China); Lin, Xi-Zhang [Department of Internal Medicine, National Cheng-Kung University Hospital, No. 138 Sheng Li Road, Tainan 704, Taiwan, ROC (China); Tsai, Hong-Ming; Chen, Shu-Yuan [Department of Diagnostic Radiology, National Cheng-Kung University Hospital, No. 138 Sheng Li Road, Tainan 704, Taiwan, ROC (China); Liu, Yi-Sheng, E-mail: [Department of Diagnostic Radiology, National Cheng-Kung University Hospital, No. 138 Sheng Li Road, Tainan 704, Taiwan, ROC (China)


    Purpose: To evaluate the efficacy of estimating the volume of spleen embolized in partial splenic embolization (PSE) by measuring the diameters of the splenic artery and its branches. Materials and methods: A total of 43 liver cirrhosis patients (mean age, 62.19 ± 9.65 years) with thrombocytopenia were included. Among these, 24 patients underwent a follow-up CT scan which showed a correlation between angiographic estimation and measured embolized splenic volume. Estimated splenic embolization volume was calculated by a method based on diameters of the splenic artery and its branches. The diameters of each of the splenic arteries and branches were measured via 2D angiographic images. Embolization was performed with gelatin sponges. Patients underwent follow-up with serial measurement of blood counts and liver function tests. The actual volume of embolized spleen was determined by computed tomography (CT) measuring the volumes of embolized and non-embolized spleen two months after PSE. Results: PSE was performed without immediate major complications. The mean WBC count significantly increased from 3.81 ± 1.69 × 10{sup 3}/mm{sup 3} before PSE to 8.56 ± 3.14 × 10{sup 3}/mm{sup 3} at 1 week after PSE (P < 0.001). Mean platelet count significantly increased from 62.00 ± 22.62 × 10{sup 3}/mm{sup 3} before PSE to 95.40 ± 46.29 × 10{sup 3}/mm{sup 3} 1 week after PSE (P < 0.001). The measured embolization ratio was positively correlated with estimated embolization ratio (Spearman's rho [ρ] = 0.687, P < 0.001). The mean difference between the actual embolization ratio and the estimated embolization ratio was 16.16 ± 8.96%. Conclusions: The method provides a simple method to quantitatively estimate embolized splenic volume with a correlation of measured embolization ratio to estimated embolization ratio of Spearman's ρ = 0.687.

  2. Age-based clinical and angiographic outcomes after sirolimus-eluting stent implantation in patients with coronary artery disease

    Institute of Scientific and Technical Information of China (English)

    XU Bo; WU Yong-jian; YUAN Jin-qing; CHEN Jue; YOU Shi-jie; DAI Jun; XIA Ran; GAO Run-lin; LI Jian-jun; YANG Yue-jin; CHEN Ji-lin; QIAO Shu-bin; QIN Xue-wen; MA Wei-hua; YAO Min; LIU Hai-bo


    Background Advanced age independently predicts early and late mortality and major adverse cardiac events (MACE)after percutaneous coronary intervention (PCI). Randomized clinical trials indicate that sirolimus-eluting stent (SES)implantation reduces target lesion revascularization (TLR), but there are limited data on the impact of age on outcomes following SES implantation in patients with coronary artery disease (CAD) in real-world practice.Methods A total of 333 CAD patients with 453 lesions were enrolled in this study. Subjects were divided into two groups according to age. a young group (<65 years old, 244 patients with 369 lesions) and elderly group (≥65 years old, 89patients with 113 lesions). Clinical follow-up and quantitative coronary angiography (QCA) were performed seven months after PCI.Results Baseline clinical, demographic, angiographic, and procedural chararcteristics were similar in both groups,except that there were more female patients in the elderly group (21.3% vs 9.8%, P=0.006). Primary success rate was similar in both groups (96.5% in young group vs 95.7% in elderly group, P>0.05). During angiographic follow-up at 7months, binary in-stent restenosis and in-segment restenosis rates were not significantly different between the two groups (4.7% vs 1.8%; 9.7% vs 8.8%, P>0.05 respectively). Both sub-acute and late thrombosis rates were similar in the two groups (0.3% vs 0.9% and 1.2% vs 0.9%, P>0.05 respectively). TLR was not significantly different between the two groups (6.5% vs 3.5%; P=0.246). The rates of bleeding, stroke, angina rehospitalization during the follow-up period were also similar in both groups (P>0.05 respectively).Conclusion Despite a high-risk clinical profile, coronary SES implantation can be safely and effectively performed in elderly patients with a similar procedural success rate, a low complication rate, and excellent 7-month outcomes.

  3. [The value of diagnostic ultrasound for detecting occult inguinal hernia in patients with groin pain]. (United States)

    Lorenzini, Cesare; Sofia, Lorenzo; Pergolizzi, Francesca Pia; Trovato, Massimo


    The value of diagnostic ultrasound for detecting occult inguinal hernia in The aim of this study was to demonstrate the accuracy of ultrasound in diagnosing occult hernia in patients with recurrent inguinal pain and a negative clinical examination. Over a period of three years, a total of 51 patients were referred for ultrasound examination with clinically suspected occult inguinal hernia. Patients with positive US scans were offered surgery, while those with negative US findings were offered further imaging or other diagnostic tests. The ultrasound examination of the inguinal region was conducted using a 5-10 MHz linear probe. The scan was performed with the patient in the supine and erect positions, in a relaxed state, as well as during coughing and during a Valsalva manoeuvre. Overall, ultrasound diagnosed 20 inguinal hernias and all 20 patients with positive scans underwent surgery. Surgery confirmed the ultrasound diagnosis in 19 patients, only 1/20 having no hernia at operation (100% ultrasound sensitivity and 96.9% specificity). Patients undergoing surgery showed complete symptom resolution at a three-month follow-up. This study confirms that ultrasound is capable of accurately diagnosing groin hernia and this may justify its use in patients with chronic groin pain due to a suspected occult hernia.

  4. OCT Angiography Identification of Choroidal Neovascularization Secondary to Acute Zonal Occult Outer Retinopathy. (United States)

    Levison, Ashleigh L; Baynes, Kimberly; Lowder, Careen Y; Srivastava, Sunil K


    A 74-year-old female with acute zonal occult outer retinopathy presented with a new lesion suspicious for choroidal neovascularization (CNV) in her right eye. Optical coherence tomography angiography (OCTA) confirmed the presence of CNV. OCTA is a new imaging technique that may help guide diagnosis and management of choroidal neovascular membranes in uveitic diseases.

  5. Design and Verification of External Occulters for Direct Imaging of Extrasolar Planets (United States)

    Cady, Eric


    An occulter is an optical element which is placed in front of the telescope to block most of the light from a star before it reaches the optics inside, without blocking the planet.In our case, we use two spacecraft ying in formation: First has its edge shaped to cancel the starlight Second is the telescope which images the star and planet

  6. Determinants of participation in colorectal cancer screening with faecal occult blood testing

    DEFF Research Database (Denmark)

    von Euler-Chelpin, My; Brasso, Klaus; Lynge, Elsebeth


    BACKGROUND: Colorectal cancer is one of the most common cancers in men and women. Participation rates in faecal occult blood testing (FOBT) screening activities are, however, relatively low. In terms of lowering the colorectal cancer mortality, high participation rates are essential, and therefore...

  7. Successful treatment of activated occult hepatitis B in a non-responder chronic hepatitis C patient


    Emara Mohamed H; Radwan Mohamed I


    Abstract We reported a 23 years old male with chronic hepatitis C virus infection, discontinued from pegylated interferon/ribavirin combination therapy due to a lack of early virological response. He has developed activation of occult hepatitis B virus that was successfully treated by a one year of lamivudine therapy.

  8. Endoscopic Follow-Up of Positive Fecal Occult Blood Testing in the Ontario FOBT Project

    Directory of Open Access Journals (Sweden)

    Lawrence Paszat


    Full Text Available BACKGROUND: The Ontario FOBT Project is a pilot study of fecal occult blood testing (FOBT for colorectal cancer screening conducted among age-eligible volunteers (50 to 75 years in 12 of 37 public health regions in Ontario.

  9. Occult Genres and the Certification of Madness in a 19th-Century Lunatic Asylum (United States)

    Berkenkotter, Carol; Hanganu-Bresch, Cristina


    Using archival admissions records and case histories of patients at a British asylum from the 1860s to the 1870s, the authors examine the medical certification process leading to the asylum confinement of individuals judged to be "of unsound mind." These institutional texts are, the authors suggest, "occult genres" that function as complex acts of…

  10. Post traumatic urinary extravasation in occult urinary obstruction: Report of three cases

    Directory of Open Access Journals (Sweden)

    Jyoti Bothra


    Full Text Available Urinary extravastion after blunt abdominal trauma is seen often and generally treated conservatively. However a blunt renal trauma causing huge amount of extravasations and symptoms disproportionate to the severity of trauma should alarm the surgeon towards an underlying occult renal pathology usually an obstruction. In this case series, we share three such experiences and their management.

  11. Lunar Occultation of X-ray Emission from the Crab Nebula. (United States)

    Bowyer, S; Byram, E T; Chubb, T A; Friedman, H


    The x-ray flux from the Crab Nebula was observed during a lunar occultation on 7 July 1964. As the moon covered the central region of the nebula, the x-ray flux decreased gradually. The source appears to extend over a volume about 1 light-year in diameter.

  12. Occult Genres and the Certification of Madness in a 19th-Century Lunatic Asylum (United States)

    Berkenkotter, Carol; Hanganu-Bresch, Cristina


    Using archival admissions records and case histories of patients at a British asylum from the 1860s to the 1870s, the authors examine the medical certification process leading to the asylum confinement of individuals judged to be "of unsound mind." These institutional texts are, the authors suggest, "occult genres" that…

  13. False negative fecal occult blood tests due to delayed sample return in colorectal cancer screening.

    NARCIS (Netherlands)

    Rossum, L.G.M. van; Rijn, A.F. van; Oijen, M.G.H. van; Fockens, P.; Laheij, R.J.F.; Verbeek, A.L.M.; Jansen, J.B.M.J.; Dekker, E.


    Delayed return of immunochemical fecal occult blood test (iFOBT) samples to a laboratory might cause false negatives because of hemoglobin degradation. Quantitative iFOBT's became increasingly more accepted in colorectal cancer screening. Therefore, we studied the effects of delay between sampling a

  14. Comparative aspects of occult intrasacral meningocele with conventional X-ray, myelography and CT

    Energy Technology Data Exchange (ETDEWEB)

    Grivegnee, A.; Delince, P.; Ectors, P.


    A case of occult intrasacral meningocele is reported and the diagnostic reliability of conventional roentgenography, myelography and CT for the management of this rare lesions are evaluated. Probably, CT with the use of an intrathecal contrast agent could yield the most complete information about the precise nature of this cystic congenital dysraphism.

  15. Lymph node metastases from an occult sclerosing carcinoma of the thyroid. A case report. (United States)

    Santini, L; Pezzullo, L; D'Arco, E; De Rosa, N; Guerriero, O; Salza, C


    Lymph node metastases from occult thyroid papillary carcinoma are not a rare event. An unusual case of cystic lymph node metastases from this type of carcinoma is reported, suggesting that fine needle aspiration biopsy or frozen section biopsies should always be performed in the presence of a cystic lesion of the neck.

  16. Automated analysis of multiple sections for the detection of occult cells in lymph nodes

    NARCIS (Netherlands)

    Mesker, WE; Doekhie, FS; Vrolijk, H; Keyzer, R; Sloos, WCR; Morreau, H; O'Kelly, PS; de Bock, GH; Tollenaar, RAEM; Tanke, HJ


    Purpose: At present, reverse transcription (RT)-PCR against carcino-embryonic antigen mRNA is one of the few research tools for the detection of occult cells in histopathologically assessed negative lymph nodes from patients with colorectal cancer. The aim of this study was to investigate the suitab

  17. Development of an Intervention for implementing Immunochemical Faecal Occult Blood Test in General Practice

    DEFF Research Database (Denmark)

    Juul, Jakob Søgaard; Vedsted, Peter; Bro, Flemming


    Denne korte artikel handler om udviklingen af en intervention til implementering af immunochemical faecal occult blood test (iFOBT) i almen praksis. Artiklen gennemgår processen fra de tidlige udviklingsstadier, over pilot-testning og frem til de endelige justeringer før selve implementeringen blev...

  18. The epsilon Geminorum occultation - Evidence for waves or turbulence. [for Mars atmosphere model (United States)

    Hubbard, W. B.


    Intercomparison of occultation data from various observatories shows poor correlation of the raw data but apparent correlations in the derived temperature profiles, as discussed in a paper by French and Elliott. We point out that the data are at least as consistent with Martian scintillation as they are with a semiglobal wave model.

  19. Ex luna, scientia: lunar occultation as a paradigm for nuclear astrophysics (United States)

    Miller, Richard S.; Lawrence, David J.; Peplowski, Patrick N.; Goldsten, John O.; Ozimek, Martin T.; Scott, Christopher J.; Leary, James C.; Grant, Dave; Young, C. Alex


    Next-generation nuclear astrophysics investigations must address a demanding set of requirements to probe the matter and energy life-cycle in our Galaxy and throughout the Cosmos. Enhanced flux sensitivity and (near) all-sky monitoring are just two of these requirements; cost effectiveness and other programmatic restrictions pose additional challenges. These competing goals can be addressed with a paradigm change, i.e. performing investigations from lunar orbit and utilizing a new detection and imaging technique. We report on our development of the Moon as a platform for nuclear astrophysics utilizing the Lunar Occultation Technique (LOT). Here source fluxes are temporally modulated as they are repeatedly occulted by the Moon; the modulation, as observed by a suitably configured instrument in lunar orbit, enables the detection, imaging, and characterization of both point- and extended-sources, narrow-line and broadband sources. Key benefits include maximizing the ratio of sensitive-to-total deployed mass and the operational simplicity relative to other detection schemes. A mission based on the LOT, the Lunar Occultation Explorer (LOX), will be the first to employ occultation as the principle method to characterize the intensity, variability, and spectra of detected sources.


    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, Joseph E.; Stassun, Keivan G. [Department of Physics, Fisk University, 1000 17th Avenue North, Nashville, TN 37208 (United States); Pepper, Joshua; Siverd, Robert J.; Cargile, Phillip [Department of Physics and Astronomy, Vanderbilt University, 6301 Stevenson Center, Nashville, TN 37235 (United States); Beatty, Thomas G.; Gaudi, B. Scott [Department of Astronomy, The Ohio State University, Columbus, OH 43210 (United States)


    RW Aur A is a classical T Tauri star, believed to have undergone a reconfiguration of its circumstellar environment as a consequence of a recent flyby of its stellar companion, RW Aur B. This interaction stripped away part of the circumstellar disk of RW Aur A, leaving a tidally disrupted ''arm'' and a short truncated circumstellar disk. We present photometric observations of the RW Aur system from the Kilodegree Extremely Little Telescope survey showing a long and deep dimming that occurred from 2010 September until 2011 March. The dimming has a depth of ∼2 mag, a duration of ∼180 days, and was confirmed by archival observations from American Association of Variable Star Observers. We suggest that this event is the result of a portion of the tidally disrupted disk occulting RW Aur A, specifically a fragment of the tidally disrupted arm. The calculated transverse linear velocity of the occulter is in excellent agreement with the measured relative radial velocity of the tidally disrupted arm. Using simple kinematic and geometric arguments, we show that the occulter cannot be a feature of the RW Aur A circumstellar disk, and we consider and discount other hypotheses. We also place constraints on the thickness and semimajor axis of the portion of the arm that occulted the star.

  1. GDC 360 for the endovascular treatment of intracranial aneurysms: a matched-pair study analysing angiographic outcomes with GDC 3D coils in 38 patients

    Energy Technology Data Exchange (ETDEWEB)

    Taschner, Christian A. [University Hospital Lille, Department of Neuroradiology, Hopital Roger Salengro, Lille (France)]|[C.H.R.U. de Lille, Service de Neuroradiology, Hopital Roger Salengro, LILLE Cedex (France); Thines, Laurent; Lejeune, Jean-Paul [University Hospital Lille, Department of Neurosurgery, Hopital Roger Salengro, Lille (France); El-Mahdy, Mohamed [University Hospital Lille, Department of Neuroradiology, Hopital Roger Salengro, Lille (France)]|[Cairo University, Department of Neurology, Faculty of Medicine, Cairo (Egypt); Rachdi, Henda; Gauvrit, Jean-Yves; Pruvo, Jean-Pierre; Leclerc, Xavier [University Hospital Lille, Department of Neuroradiology, Hopital Roger Salengro, Lille (France)


    The purpose of this study was to determine whether coil embolisation with a new complex-shaped Guglielmi Detachable Coil (GDC 360 ; Boston Scientific Neurovascular, Fremont, CA, USA) has any effect on the stability of aneurysm occlusion. Fifty-one consecutive patients with intracranial aneurysms treated with GDC 360 were included. Angiographic results and adverse neurological events during the follow-up period were recorded. For 38 patients treated with GDC 360 with available follow-up data, a corresponding patient treated with GDC 3D was identified from our database. Matches were sought for rupture status, location, aneurysmal size, and neck size. The angiographic outcome of these matched controls at 6 months was compared to aneurysms treated with GDC 360 . Initial angiographic controls for 38 patients treated with GDC 360 showed complete occlusion in 32 aneurysms, and a neck remnant in six. At 6-month follow-up, complete occlusion was found in 29, a neck remnant in eight, and a residual aneurysm in one. One patient treated with GDC 360 needed retreatment for a major recanalisation. In 38 matched patients treated with GDC 3D, initial angiographic controls found complete aneurysmal occlusion in 30 aneurysms and a residual neck in 8. At 6-month follow-up, 24 aneurysms were completely occluded, ten showed a neck remnant, and residual aneurysms were seen in four. Four patients, treated with GDC 3D, were retreated for major aneurysm recanalisations. Our data suggests that endovascular coil embolisation with GDC 360 might improve long-term stability of coiled aneurysms when compared to GDC 3D. (orig.)

  2. Relationship between coronary artery remodeling and cumulative incidence of coronary angiographic lesions with vulnerable characteristics in patients with stable angina pectoris

    Institute of Scientific and Technical Information of China (English)

    SUN Ling; L(U) Shu-zheng; JIN Ze-ning; SONG Xian-tao


    ackground Development of vulnerable lesions is not limited to the target lesions, but a pan-coronary process. Such lesions are identified by positive remodeling (intravascular ultrasound (IVUS) and complex lesions (angiography)). The prevalence of lesions with vulnerable characteristics in patients with stable angina was not well known. The purpose of the present study was to evaluate the relationship between coronary artery remodeling and incidence of angiographic complex lesions and its calcification in stable angina patients.Methods One hundred and sixty-one stable angina patients (95 males, aged (68±11) years) with 161 de novo target lesions were studied using pre-interventional IVUS. Remodeling index was defined as the lesion divided by reference vessel area; positive remodeling was defined as remodeling index >1.05. Besides the 161 target lesions, there were 613 angiographic lesions with >30% diameter stenoses, classified as complex or smooth. Multiple complexes were defined as more than one complex lesion in one patient. Stenoses of at least 70% were described as tight. Calcium arc area was used as a new method to quantify coronary calcification.Results Fifty-six patients had positive remodeling target lesion, while 105 did not. The overall number of lesions with a diameter stenoses >30% was similar in patients with or without positive remodeling, and the frequency of angiographically complex lesions was higher in positive remodeling patients, especially at non-target site. Calcium arc area was smaller in patients with positive remodeling.Conclusions Positive remodeling on intravascular ultrasound was associated with more complex lesions angiographic findings, especially at non target site. Positive remodeling was found less calcified in patients with stable angina.

  3. Occurrence of occult HCV infection among Hiv infected patients in Georgia. (United States)

    Gatserelia, L; Sharvadze, L; Karchava, M; Dolmazashvili, E; Tsertsvadze, T


    Occult hepatitis C (OCI) infection has been known as detectable HCV-RNA in the liver or peripheral blood mononuclear cells (PBMCs) in the absence of detectable serum or plasma HCV-RNA. OCI has been detected among different patients groups worldwide, it has been found not only in chronic hepatitis patients of unknown origin, but also among several groups at risk for HCV infection (hemodialysis patients or family members of patients with occult HCV). This occult infection has been reported also in healthy populations without evidence of liver disease. Prevalence of occult Hepatitis C virus has not been investigated in Georgian population, where a rate of HCV infection is highest (6.7%) among Eastern European Countries. The aim of this study was to investigate the occurrence of occult HCV infection among HIV infected individuals in Georgia. As a pilot study, we have selected three groups of HIV infected patients for analyses: Group 1- HIV infected patients without evidence of liver disease (n=98), group 2- HIV infected patients with cryptogenic liver disease (n=34) and group 3- HIV/HBV co infected patients (n=29). HCV RNA was tested in PBMCs samples by real-time polymerase chain reaction. HCV genotyping was performed by Line-probe assay based on reverse-hybridization technology. Liver fibrosis was evaluated by transient elastography (FibroScan®). HCV-RNA was detected in PBMCs specimens among 2 (2%) subjects from group 1, 4 (12%) subjects from group 2, and 9 (31%) subjects from group 3. HCV genotypes were determined for 14 of 15 OCI subjects resulting following genotype distribution: 6 (46%) - 1b, 3 (23%) - 2a/2c and 5 (38%) - 3a. One samples failed to be genotyped due to extremely low HCV viral load. Our data revealed the occurrence of occult HCV infection in HIV infected patients. No single HCV genotype was predominant in the present study. Liver fibrosis was found more frequently and the fibrosis score was significantly higher in OCI patients versus negative ones

  4. Additive Manufacturing of Vascular Grafts and Vascularized Tissue Constructs. (United States)

    Elomaa, Laura; Yang, Yunzhi Peter


    There is a great need for engineered vascular grafts among patients with cardiovascular diseases who are in need of bypass therapy and lack autologous healthy blood vessels. In addition, because of the severe worldwide shortage of organ donors, there is an increasing need for engineered vascularized tissue constructs as an alternative to organ transplants. Additive manufacturing (AM) offers great advantages and flexibility of fabrication of cell-laden, multimaterial, and anatomically shaped vascular grafts and vascularized tissue constructs. Various inkjet-, extrusion-, and photocrosslinking-based AM techniques have been applied to the fabrication of both self-standing vascular grafts and porous, vascularized tissue constructs. This review discusses the state-of-the-art research on the use of AM for vascular applications and the key criteria for biomaterials in the AM of both acellular and cellular constructs. We envision that new smart printing materials that can adapt to their environment and encourage rapid endothelialization and remodeling will be the key factor in the future for the successful AM of personalized and dynamic vascular tissue applications.

  5. Virtual histology-intravascular ultrasound assessment of lesion coverage after angiographically-guided stent implantation in patients with ST Elevation myocardial infarction undergoing primary percutaneous coronary intervention. (United States)

    Legutko, Jacek; Jakala, Jacek; Mintz, Gary S; Wizimirski, Marcin; Rzeszutko, Lukasz; Partyka, Lukasz; Mrevlje, Blaz; Richter, Angela; Margolis, Pauliina; Kaluza, Grzegorz L; Dudek, Dariusz


    An occlusion or severe stenosis (angiographic culprit lesion) of the infarct-related artery is frequently located at the site of the maximum thrombus burden, whereas the origin of the plaque rupture (the true culprit) can be situated proximal or distal to it. The aim of this study was to examine stent coverage of true culprit lesions in 20 patients who underwent primary percutaneous coronary intervention and had Thrombolysis In Myocardial Infarction (TIMI) grade 3 flow restored in the infarct-related artery by angiographically guided direct stenting. Images of lesions were obtained using virtual histology-intravascular ultrasound before and after intervention (blinded to the operator). Plaque rupture sites were identified by intravascular ultrasound in 12 lesions (60%), 11 proximal and 1 distal to the minimum luminal area (MLA). Maximum necrotic core sites were found proximal to the MLA in 16 lesions, at the MLA in 3 lesions, and distal to the MLA in 1 lesion. Plaque rupture sites were fully covered by stents in 11 lesions. Virtual histology-intravascular ultrasound-derived thin-cap fibroatheroma longitudinal geographic misses were found in 10 lesions, 7 in the proximal reference segment and in 3 patients in the proximal and distal reference segments. In conclusion, in about 50% of patients who undergo primary percutaneous coronary intervention for ST-segment elevation myocardial infarction with optimal angiographic results, the stent does not fully cover the maximum necrotic core site related to the culprit lesion.

  6. Results from the 2010 Feb 14 and July 4 Pluto Occultations (United States)

    Young, Leslie; Sicardy, B.; Widemann, T.; Brucker, M. J.; Buie, M. W.; Fraser, B.; Van Heerden, H.; Howell, R. R.; Lonergan, K.; Olkin, C. B.; Reitsema, H. J.; Richter, A.; Sepersky, T.; Wasserman, L. H.; Young, E. F.


    The Portable High-speed Occultation Telescope (PHOT) group observed two occultations by Pluto in 2010. The first, of a I=9.3 magnitudue star on 2010 Feb 14, was organized by the Meudon occultation group, with the PHOT group as collaborators. For this bright but low-elevation event, we deployed to three sites in Europe: Obs. Haute Provence, France (0.8-m; L. Young, H. Reitsema), Leopold Figl, Austria (1.5-m; E. Young), and Apline Astrovillage, Lu, Switzerland (0.36-m; C. Olkin, L. Wasserman). We obtained a lightcurve at Lu under clear conditions, which will be combined with two other lightcurves from the Meudon group, from Sisteron and Pic du Midi, France. We observed the second Pluto occultation, of a I=13.2 star on 2010 July 4 UT, from four sites in South Africa: with our portable telescope near Upington (0.36-m; M. Buie, L. Wasserman), the Boyden telescope in Bloemfontein (1.5-m; L. Young, M. Brucker), the Innes telescope in Johannesburg (0.67-m; T. Sepersky, B. Fraser), and the telescope at Aloe Ridge north of Johannesburg (0.62-m; R. Howell, K. Lonergan, A. Richter). Upington was cloudy, Boyden had heavy scattered clouds, and Innes suffered from haze and telescope mechanical problems. A lightcurve was obtained from Aloe Ridge under clear conditions. Data was also obtained by Karl-Ludwig Bath & Thomas Sauer at Hakos, Namibia and by Berto Monard of ASSA near Pretoria, South Africa. The length of the Aloe Ridge chord suggests it is nearly central. These observations give us four contiguous years in which we observed one or more Pluto occultations, providing constraints on the seasonal evolution of Pluto's atmosphere. Thanks are due to Marcelo Assafin and Jim Elliot for sharing predictions prior to the July event. This work was supported, in part, by NASA PAST NNX08A062G.

  7. A linear scale height Chapman model supported by GNSS occultation measurements (United States)

    Olivares-Pulido, G.; Hernández-Pajares, M.; Aragón-Àngel, A.; Garcia-Rigo, A.


    Global Navigation Satellite Systems (GNSS) radio occultations allow the vertical sounding of the Earth's atmosphere, in particular, the ionosphere. The physical observables estimated with this technique permit to test theoretical models of the electron density such as, for example, the Chapman and the Vary-Chap models. The former is characterized by a constant scale height, whereas the latter considers a more general function of the scale height with respect to height. We propose to investigate the feasibility of the Vary-Chap model where the scale height varies linearly with respect to height. In order to test this hypothesis, the scale height data provided by radio occultations from a receiver on board a low Earth orbit (LEO) satellite, obtained by iterating with a local Chapman model at every point of the topside F2 layer provided by the GNSS satellite occultation, are fitted to height data by means of a linear least squares fit (LLS). Results, based on FORMOSAT-3/COSMIC GPS occultation data inverted by means of the Improved Abel transform inversion technique (which takes into account the horizontal electron content gradients) show that the scale height presents a more clear linear trend above the F2 layer peak height, hm, which is in good agreement with the expected linear temperature dependence. Moreover, the parameters of the linear fit obtained during four representative days for all seasons, depend significantly on local time and latitude, strongly suggesting that this approach can significantly contribute to build realistic models of the electron density directly derived from GNSS occultation data.

  8. Clinical Characteristics and Treatment for Patients with Occult Chronic hepatitis B

    Institute of Scientific and Technical Information of China (English)


    Objective To observe the clinical manifestations and assess direct antiviral effect for patients with occult hepatitis B in China. Methods The study includes 15 patients with occult hepatitis B and their medical history, family history, ifrst-diagnosis time, conifrmed-diagnosis time, laboratory report, anti-viral therapy and outcomes were analyzed. Results The average age of the patients is 38.67-year old (6 males and 9 females), 2 with acute hepatitis B (2/15, 13.3%), 13 with no hepatitis history (13/15, 86.6%), 8 with family history (8/15, 53.3%), 6 with no family history (6/15, 40%), 1 with unknown family history (1/15, 6.6%). Eight patients were treated with entecavir (0.5 mg/day, taken orally), with effective results and steady conditions;3 patients were treated with lamivudine (0.1 g/day, taken orally), 2 of them were prescribed to take adefovir dipivoxil additionally due to drug-resistance, the other one was treated with lamivudine continuously without drug-resistance;4 cases refused anti-viral therapy. One patient’s condition remained steady, 1 patient died of cirrhosis with portal hypertension and liver failure 5 years after ifrst-diagnosis, 1 patient progressed to hepatocellular carcinoma and accepted surgery operation treatment 5 years after ifrst-diagnosis, the other 1 patient progressed to compensatory cirrhosis 2 years after ifrst-diagnosis and is steady from then, which indicates that occult chronic hepatitis B can progress to cirrhosis and hepatocellular carcinoma without therapy in time. Conclusions The clinical characteristics of 15 cases with occult chronic hepatitis B showed that these patients with short latency, younger age when being-struck, and light damage to liver function. The efifcacy and drug-resistance of nucleos(t)ide-analogue (entecavir, lamivudine, adefovir dipivoxil) in treatment of patients with occult chronic hepatitis B are similar to chronic hepatitis B.

  9. Prevalence of occult hepatitis B virus infection in hemodialysis patients in Isfahan, Iran (United States)

    Kalantari, Hamid; Ferdowsi, Faezeh; Yaran, Majid


    Background: The absence of a detectable hepatitis B surface antigen (HBsAg) with or without hepatitis B core antibody (anti-HBc) or hepatitis B surface antibody (anti-HBs) in the presence of hepatitis B virus-DNA (HBV-DNA) is defined as occult HBV infection. This study was aimed to evaluate the prevalence of occult HBV infection in patients receiving hemodialysis (HD) in Isfahan, Iran. Materials and Methods: This cross sectional study was done on 400 patients without acute or chronic HBV infection with end-stage renal disease undergoing regular HD. Blood samples were collected prior to the HD session, and serological markers of viral hepatitis B included HBsAg, anti-HBs and anti-HBc were measured using standard third generation commercially available enzyme immunoassays kit, then samples of positive anti-HBc and negative anti-HBs were tested for HBV DNA using quantitative real-time polymerase chain reaction techniques. Data were analyzed by SPSS using t-test and Chi-square test. Results: The mean age of patients was 51.6 ± 11.2 years. Anti-HBc positive was observed in 32 (8%) of 400 studied patients with negative HBsAg. Of 32 patients with anti-HBc positive, 15 were males and 17 were females with mean age of 49.7 ± 12.6 years. Among 32 patients with anti-HBc positive, 10 patients were negative for anti-HBs. All of 10 patients were negative for HBV DNA. The prevalence of occult HBV infection was 0%. Conclusions: The prevalence of occult HBV infection in HBsAg negative patients undergoing HD was 0% and look to be among the lowest worldwide. So, occult HBV infection is not a significant health problem in HD patients in this region.

  10. Simulation of the Impacts of Single LEO Satellite Orbit Parameters on the Distribution and Number of Occultation Events

    Institute of Scientific and Technical Information of China (English)


    Focusing on carrying out GPS occultation observations with a receiver set on LEO satellite, this paper develops the LEO orbit simulation system based on which the occultation events can be simulated taking into account the geometric relationship of the satellites and the field of view of the receiver antenna. In this paper, the impacts of 4 types of LEO orbit parameters including argument of latitude (AOL), right ascension of ascending node (RAAN), orbit height and orbit inclination on the distribution and number of occultation events observed with a single LEO satellite are discussed through simulation and some conclusions are drawn.

  11. Clinical and angiographic characteristics of cavernous sinus dural arteriovenous fistulas manifesting as venous infarction and/or intracranial hemorrhage

    Energy Technology Data Exchange (ETDEWEB)

    Miyamoto, Naoko; Naito, Isao; Takatama, Shin; Shimizu, Tatsuya; Iwai, Tomoyuki [Geriatrics Research Institute and Hospital, Department of Neurosurgery, Maebashi (Japan); Shimaguchi, Hidetoshi [Gunma University Graduate School of Medicine, Department of Neurosurgery, Maebashi (Japan)


    Cavernous sinus (CS) dural arteriovenous fistulas (DAVFs) rarely cause venous infarction (VI) and/or intracranial hemorrhage (ICH) despite the presence of cortical venous drainage (CVD). The present study investigated the characteristics of CS DAVFs manifesting as VI/ICH. Fifty-four patients treated for CS DAVFs were retrospectively studied. Six patients presented with VI/ICH. Two of the three patients presenting with ICH had CVD only to the superficial sylvian vein (SSV) or the deep sylvian vein (DSV). Three patients presenting with VI had multiple drainages, and angiography of these patients showed a varix on the SSV, drainage into the DSV with agenesis of the second and third segment of basal vein of Rosenthal, and thrombosis of the distal petrosal vein. CS DAVF with CVD only carries higher risk of VI/ICH than multiple drainages. Many CS DAVFs presenting with VI, especially those with drainage into the petrosal vein, have multiple drainages in the early stage. Thrombosis of the inferior and superior petrosal sinuses and superior orbital vein gradually increases pressure of the CVD, and then, VI may occur. In contrast, CS DAVFs with CVD only from the beginning, common in the patients with drainage into the SSVs and DSVs, are likely to cause ICH. Angiographic risk factors causing VI/ICH are CVD only, varix formation, agenesis of the second and third segment of basal vein of Rosenthal, and thrombosis of the superior orbital vein, lateral half of the superior petrosal sinus, and distal CVD. (orig.)

  12. Blunt renal trauma: comparison of contrast-enhanced CT and angiographic findings and the usefulness of transcatheter arterial embolization

    Energy Technology Data Exchange (ETDEWEB)

    Kitase, M.; Mizutani, M.; Tomita, H.; Kono, T.; Sugie, C.; Shibamoto, Y. [Nagoya City University, Nagoya, (Japan). Graduate School of Medical Sciences. Dept. of Radiology


    Full text: Background: The purpose of this study was to evaluate the role of contrast-enhanced CT and the usefulness of super selective embolization therapy in the management of arterial damage in patients with severe blunt renal trauma. Patients and Methods: Nine cases of severe renal trauma were evaluated. In all cases, we compared contrast enhanced CT findings with angiographic findings, and performed transcatheter arterial embolization (TAE) in six of them with microcoils and gelatin sponge particles. Morphological changes in the kidney and site of infarction after TAE were evaluated on follow-up CT Chronological changes in blood biochemistry findings after injury, degree of anemia and renal function were investigated. Adverse effects or complications such as duration of hematuria, fever, abdominal pain, renovascular hypertension and abscess formation were also evaluated. Results: The CT finding of extravasation was a reliable sign of active bleeding and useful for determining the indication of TAE. In all cases, bleeding was effectively controlled with super selective embolization. There was minimal procedure-related loss of renal tissue. None of the patients developed abscess, hypertension or other complications. Conclusions: In blunt renal injury, contrast-enhanced CT was useful for diagnosing arterial hemorrhage. Arterial bleeding may produce massive hematoma and TAE was a useful treatment for such cases. By using selective TAE for a bleeding artery, it was possible to minimize renal parenchymal damage, with complications of TAE rarely seen. (author)

  13. Clinical and Angiographic Characteristics of Myocardial Bridges: a Descriptive Report of 19 Cases and Follow-up Outcomes

    Directory of Open Access Journals (Sweden)

    Maria Raissi Dehkordi


    Full Text Available Background: Muscle fibers overlying the intramyocardial segment of an epicardial coronary artery are termed myocardial bridge (MB. The aim of this study was to analyze the mid-term outcome of MB and to examine its possible association with angiographic findings and concomitant cardiac pathologies such as hypertrophic cardiomyopathy (HCM. Methods: From a total of 3218 patients admitted for coronary angiography during 9 consecutive months, 28 (0.9% were diagnosed with MBs with stenoses >=50%. Of these, 19 referred for follow-up with a median duration of 18 months. Results: HCM was present in 5 patients (26.3%, of whom 4 had MB as the sole finding in angiography. Of the 19 patients, 14 had diastolic dysfunction. In follow-up, 2 patients were treated with revascularization strategies due to the concomitant coronary artery disease and in 2, syncope occurred. For two patients, an intra-cardiac device and a permanent pacemaker were implanted. Three patients with MB as the sole finding in angiography were readmitted because of chest pain. Conclusion: Diastolic dysfunction may contribute to the presentation of symptoms of muscle bridging. Also, myocardial bridging as the only finding in coronary angiography is highly associated with hypertrophic cardiomyopathy and may help to detect this group of patients. The mid-term outcome of myocardial bridges is favorable.

  14. Clinical and angiographic results with the NIR stent: First International NIR Endovascular Stent Study (FINESS-II). (United States)

    Rutsch, Wolfgang; Kiemeneij, Ferdinand; Colombo, Antonio; Macaya, Carlos; Guermonprez, Jean-Leon; Grip, Lars; Hamburger, Jaap; Umans, Victor; Gotsman, Mervyn; Almagor, Yaron; Morice, Marie-Claude; Garcia, Eulogio; Chevalier, Bernard; Erbel, Raimund; Cobaugh, Michael; Morel, Marie-Angèle; Serruys, Patrick W


    BACKGROUND: Although safety and efficacy of the NIR trade mark stent have been reported, the long-term angiographic and clinical outcomes have yet to be investigated. The FINESS-II study (First International NIR Endovascular Stent Study) was designed to assess the procedural safety of single 9 and 16 mm NIR stent implantation, the six-month restenosis rate and finally the six- and 12-month clinical outcome of patients treated with this novel coronary stent. METHODS: Patients with angina and a single de novo lesion in a native coronary artery of >3 and 50% diameter stenosis criterion at six month follow-up was 19% (26/136). At 12 months, the event-free survival rate was 83% (two deaths, one Q-wave and three non-Q-wave myocardial infarctions, four bypass surgery and 17 target lesion revascularizations), while 87% of the patients were free of angina pectoris. CONCLUSION: the outcome of the FINESS-II trial is comparable to those observed in previous stent trials (Benestent II), indicating that the coronary NIR stent is safe and effective as a primary device for the treatment of native coronary artery lesions in patients with (un)stable angina pectoris.

  15. Regional cerebral blood flow before and after vascular surgery in patients with transient ischemic attacks with 133-xenon inhalation tomography

    DEFF Research Database (Denmark)

    Vorstrup, S; Hemmingsen, Ralf; Lindewald, H;


    with a spatial resolution of 1.7 cm. Based primarily on the clinical evidence and on the angiographical findings embolism was considered the pathogenetic factor in 10 cases, whereas chronic hemodynamic insufficiency rendered symptomatic by postural factors probably accounted for the symptoms in 4 patients....... Of the 14 patients, all studied days to weeks after the most recent TIA, four showed hypoperfused areas on the CBF-tomograms and with roughly the same location hypodense areas on CT-scanning, i.e. areas of complete infarction. However, an additional five patients showed reduction of CBF in areas...... with no abnormality on the CT-scan. The abnormal blood flow pattern was found to be unchanged after clinically successful reconstructive vascular surgery. This suggests the presence of irreversible ischemic tissue damage without gross emollition (incomplete infarction). It is concluded, that TIAs are often harmful...

  16. Dynamic adaption of vascular morphology

    DEFF Research Database (Denmark)

    Okkels, Fridolin; Jacobsen, Jens Christian Brings


    The structure of vascular networks adapts continuously to meet changes in demand of the surrounding tissue. Most of the known vascular adaptation mechanisms are based on local reactions to local stimuli such as pressure and flow, which in turn reflects influence from the surrounding tissue. Here ...

  17. The vascular secret of Klotho

    DEFF Research Database (Denmark)

    Lewin, Ewa; Olgaard, Klaus


    Klotho is an evolutionarily highly conserved protein related to longevity. Increasing evidence of a vascular protecting effect of the Klotho protein has emerged and might be important for future treatments of uremic vascular calcification. It is still disputed whether Klotho is locally expressed ...

  18. Vascularity in the reptilian spectacle. (United States)

    Mead, A W


    Vascularization of the spectacle or brille of the reptile was demonstrated by biomicroscopy, histology, fluorescein (in vivo), and Microfil silicone rubber (in situ) injections. This unusual vascularity provides new evidence for reassessment of the origin and development of this structure, and a useful tool with which to do so.

  19. Caffeine's Vascular Mechanisms of Action

    Directory of Open Access Journals (Sweden)

    Darío Echeverri


    Full Text Available Caffeine is the most widely consumed stimulating substance in the world. It is found in coffee, tea, soft drinks, chocolate, and many medications. Caffeine is a xanthine with various effects and mechanisms of action in vascular tissue. In endothelial cells, it increases intracellular calcium stimulating the production of nitric oxide through the expression of the endothelial nitric oxide synthase enzyme. Nitric oxide is diffused to the vascular smooth muscle cell to produce vasodilation. In vascular smooth muscle cells its effect is predominantly a competitive inhibition of phosphodiesterase, producing an accumulation of cAMP and vasodilation. In addition, it blocks the adenosine receptors present in the vascular tissue to produce vasoconstriction. In this paper the main mechanisms of action of caffeine on the vascular tissue are described, in which it is shown that caffeine has some cardiovascular properties and effects which could be considered beneficial.

  20. Does Serum N-Terminal pro-Brain Natriuretic Peptide Level Predict the Severity of Angiographic Lesions in Patients with Acute Coronary Syndrome?

    Directory of Open Access Journals (Sweden)

    Afsaneh Rajabiani


    Full Text Available Background: Serum N-terminal pro-brain natriuretic peptide (NT-proBNP, a polypeptide secreted by ventricular myocytes in response to stretch, was suggested as a predictor of adverse prognosis of the acute coronary syndrome (ACS. We examined the association between NT-proBNP level and angiographic findings in ACS patients to determine whether it could be used as a predictor of the severity of angiographic lesions.Methods: This cross-sectional study was performed on 126 patients with chest pain or other ischemic heart symptoms suggestive  of ACS.  Venous  blood  samples  were  drawn  to  measure  serum  levels  of  NT-proBNP. Afterward,  coronary angiography was performed and the patients were categorized into four groups according to the number of coronary vessels with significant stenosis. The severity of angiographic lesions was assessed with the Gensini scoring system.Results: According to angiographic diagnosis, 11 (8.7% patients had normal coronary arteries (no coronary artery disease [CAD] and 115 (91.3% had CAD, of whom 108 (85.7% had obstructive CAD and 7 (5.6% had minimal CAD. The serum NT-proBNP concentration was higher in the CAD group than in the non-CAD group (p value <0.01. A progressive significant increase in the NT-proBNP concentration according to the Gensini score and the number of involved vessels was reported after adjustment for sex and age. Furthermore, the Receiver Operating Characteristic Curve (ROC analysis indicated that an NT-proBNP cut-point of 400 pg/ml could predict obstructive CAD with a sensitivity of 65% and a specificity of 78%.Conclusion: Higher levels of NT-proBNP among our ACS patients were associated with the severity of angiographic lesions in terms of both the Gensini score and the number of involved vessels. This finding underscores the potential role of NT-proBNP in predicting the severity of CAD before performing angiography.

  1. Citicoline in vascular cognitive impairment and vascular dementia after stroke. (United States)

    Alvarez-Sabín, Jose; Román, Gustavo C


    Cognitive decline after stroke is more common than stroke recurrence. Stroke doubles the risk of dementia and is a major contributor to vascular cognitive impairment and vascular dementia. Neuropathological studies in most cases of dementia in the elderly reveal a large load of vascular ischemic brain lesions mixed with a lesser contribution of neurodegenerative lesions of Alzheimer disease. Nonetheless, few pharmacological studies have addressed vascular cognitive impairment and vascular dementia after stroke. Citicoline has demonstrated neuroprotective effects in acute stroke and has been shown to improve cognition in patients with chronic cerebrovascular disease and in some patients with Alzheimer disease. A recent trial lasting 6 months in patients with first-ever ischemic stroke showed that citicoline prevented cognitive decline after stroke with significant improvement of temporal orientation, attention, and executive function. Experimentally, citicoline exhibits neuroprotective effects and enhances neural repair. Citicoline appears to be a safe and promising alternative to improve stroke recovery and could be indicated in patients with vascular cognitive impairment, vascular dementia, and Alzheimer disease with significant cerebrovascular disease.

  2. Mechanisms of oxidative stress and vascular dysfunction (United States)

    Nedeljkovic, Z; Gokce, N; Loscalzo, J


    The endothelium regulates vascular homoeostasis through local elaboration of mediators that modulate vascular tone, platelet adhesion, inflammation, fibrinolysis, and vascular growth. Impaired vascular function contributes to the pathogenesis of atherosclerosis and acute coronary syndromes. There is growing pathophysiological evidence that increased generation of reactive oxygen species and oxidative stress participates in proatherogenic mechanisms of vascular dysfunction and atherothrombosis. In this review, the role of oxidative stress in mechanisms of vascular dysfunction is discussed, and potential antioxidant strategies are reviewed. PMID:12743334

  3. Avaliação da autofluorescência do fundo de olho nas distrofias de retina com o aparelho Heidelberg Retina Angiograph2 Evaluation of fundus autofluorescence in hereditary retinal diseases using Heidelberg Retina Angiograph2

    Directory of Open Access Journals (Sweden)

    Monique Côco


    Full Text Available OBJETIVOS: Definir características do exame de autofluorescência, verificando sua utilidade no diagnóstico e acompanhamento de distrofias retinianas. MÉTODOS: Participaram do estudo, 28 pacientes, adultos, divididos igualmente em quatro grupos com diagnósticos de doença de Stargardt, distrofia de Cones, retinose pigmentar e voluntários saudáveis para estabelecimento do padrão de normalidade. Em média foram obtidas nove imagens com o filtro para angiofluoresceinografia para a formação da imagem autofluorescente no Heidelberg Retina Angiograph2. As imagens de cada grupo de pacientes foram analisadas para verificar características comuns. RESULTADOS: As imagens fundoscópicas autofluorescentes dos voluntários do grupo controle mostraram área foveal hipoautofluorescente em relação à retina do pólo posterior. As imagens dos portadores de doença de Stargardt, em geral, apresentaram lesão hipoautofluorescente, correspondendo à área macular. As principais alterações da autofluorescência em pacientes com distrofia de cones foram hipoautofluorescência macular com halo hiperautofluorescente. Nos portadores de retinose pigmentar, foram encontrados pigmentos periféricos causando hipoautofluorescência. Na região macular, hipoautofluorescência ou apenas desorganização do pigmento. CONCLUSÃO: O estudo mostrou a existência de padrões de autofluorescência de fundo nas distrofias de retina que permitem o diagnóstico e melhor interpretação da fisiopatogenia destas doenças.PURPOSE: To define characteristics of the fundus autofluorescence examination, verifying usefulness in the diagnosis and care of hereditary retinal diseases. METHODS: 28 patients, adults, divided equally into four groups with diagnoses of Stargardt macular dystrophy, cone dystrophy, retinitis pigmentosa and healthy volunteers for the establishment of the normality pattern. An average of nine images with the filter for fluorescein angiography was obtained

  4. Occult hepatitis B virus infection among injecting drug users in the Central-West Region of Brazil

    Directory of Open Access Journals (Sweden)

    Marcia Alves Dias de Matos


    Full Text Available The prevalence of occult hepatitis B virus (HBV infection was investigated in 149 hepatitis B surface antigen (HBsAg negative injecting drug users (IDUs in the Central-West Region of Brazil. Of these individuals, 19 were positive for HBV DNA, resulting in an occult HBV infection prevalence of 12.7% (19/149; six of these 19 individuals had anti-HBV core and/or anti-HBV surface antibodies and 13 were negative for HBV markers. All IDUs with occult hepatitis B reported sexual and/or parenteral risk behaviours. All HBV DNA-positive samples were successfully genotyped. Genotype D was the most common (17/19, followed by genotype A (2/19. These findings reveal a high prevalence of occult HBV infection and the predominance of genotype D among IDUs in Brazil's Central-West Region.

  5. [The future of vascular medicine]. (United States)

    Kroeger, K; Luther, B


    In the future vascular medicine will still have a great impact on health of people. It should be noted that the aging of the population does not lead to a dramatic increase in patient numbers, but will be associated with a changing spectrum of co-morbidities. In addition, vascular medical research has to include the intensive care special features of vascular patients, the involvement of vascular medicine in a holistic concept of fast-track surgery, a geriatric-oriented intensive monitoring and early geriatric rehabilitation. For the future acceptance of vascular medicine as a separate subject area under delimitation of cardiology and radiology is important. On the other hand, the subject is so complex and will become more complex in future specialisations that mixing of surgery and angiology is desirable, with the aim to preserve the vascular surgical knowledge and skills on par with the medical and interventional measures and further develop them. Only large, interdisciplinary guided vascular centres will be able to provide timely diagnosis and therapy, to deal with the growing multi-morbidity of the patient, to perform complex therapies even in an acute emergency and due to sufficient number of cases to present with well-trained and experienced teams. These requirements are mandatory to decrease patients' mortality step by step.

  6. Experimental and numerical optimization of a coronagraph external occulter. Application to SECCHI-COR2 and GOES-R SCOR (United States)

    Thernisien, A.; Colaninno, R. C.; Plunkett, S.; Socker, D. G.; Gong, Q.; Landini, F.


    The space-born coronagraph is an instrument used to observe the solar corona, the outer atmosphere of the Sun, typically over a range of altitudes from close to the limb of the solar disk to tens of solar radii. The brightness of the solar disk is many orders of magnitude greater than that of the corona. A coronagraph is designed to reject the light from the solar disk such that the corona is observable. An externally-occulted coronagraph is basically a telescope that forms an image of the corona, with the addition of an external occulter before and an internal occulter after the objective elements and stops, positioned and sized to reject light from the solar disk. The main source of stray light is diffraction of solar light around the edge of the external occulter, which is then scattered into the image plane by the optical elements. The occulters and stops are designed to reduce the intensity of diffracted and scattered light in the coronagraph as much as possible. We have developed a numerical model of the diffraction by an external occulter system and validated the model experimentally. We used the model to optimize the external occulter design for the SECCHI COR2 instrument, which is part of the NASA STEREO mission. We also used the model for the GOES-R SCOR concept design to predict the sensitivity of the instrument to misalignment and off-pointing from the Sun. In this paper, we will present the results of this experimental and numerical study of the performance of the external occulters on these instruments.

  7. Prevalence of occult HBV among hemodialysis patients in two districts in the northern part of the West Bank, Palestine. (United States)

    Dumaidi, Kamal; Al-Jawabreh, Amer


    Occult hepatitis B infection is the case with undetectable HBsAg, but positive for HBV DNA in liver tissue and/or serum. Occult hepatitis B infection among hemodialysis patients in Palestine has been understudied. In this study, 148 hemodialysis patients from 2 northern districts in Palestine, Jenin (89) and Tulkarem (59), were investigated for occult hepatitis B, HBV, HCV infections with related risk factors. ELISA and PCR were used for the detection of anti-HBc and viral DNA, respectively. The overall prevalence of occult hepatitis B infection among the study group was 12.5% (16/128). Occult hepatitis B infection is more prevalent among males with most cases (15/16) from Jenin District. About one-third (42/132) of the hemodialysis patients were anti-HBc positive. Approximately 27% of the hemodialysis patients were infected with HCV. Around 20% (28/140) were positive for HBV DNA, but only 8.2% (12/146) of the hemodialysis patients were positive for HBsAg. The comparison between hemodialysis patients with occult hepatitis B infection and those without occult hepatitis B infection for selected risk factors and parameters as liver Enzyme, age, sex, HCV infection, blood transfusion, kidney transplant, anti-HBc, and vaccination showed no statistical significance between both categories. Duration of hemodialysis significantly affected the rate of HCV infection. HCV is significantly higher in hemodialysis patients with both Diabetes mellitus and hypertension. The prevalence of occult hepatitis B infection among hemodialysis patients is high; requiring stringent control policies. HBsAg assay is insufficient test for accurate diagnosis of HBV infection among hemodialysis patients.

  8. Breast MRI in clinically and mammographically occult breast cancer presenting with an axillary metastasis: a systematic review


    Bresser, J; De Vos, B.; van der Ent, F.; Hulsewé, K.


    Abstract Background Axillary metastatic lymphadenopathy with no primary tumour identified in the breast on physical examination, mammography or ultrasound is referred to as occult breast cancer. The goal of this systematic review is to give an overview of the value and additional considerations of using breast MRI in occult breast cancer. Methods The databases of Pubmed, Embase, CINAHL and the Cochrane library were searched for studies addressing th...

  9. Impact of schistosomiasis on increase incidence of occult hepatitis B in chronic hepatitis C patients in Egypt. (United States)

    Omar, Hanan H; Taha, Samaa A; Hassan, Wafaa H; Omar, Hamdy H


    Co-infection of schistosomiasis, HBV and HCV is common in countries where schistosomiasis is endemic. Occult hepatitis B occurs in patients at high risk for HBV infection (e.g., patients on hemodialysis, patients receiving blood transfusions). Schistosomal infection is a risk factor of HBV infection that can increase the incidence of occult hepatitis B. We aimed to determine the prevalence of occult hepatitis B in chronic hepatitis C patients with and without schistosomiasis and to assess the effect of schistosomal infection on the increased risk of exposure to HBV infection and to occult hepatitis B. Two hundred chronic hepatitis C patients who were negative for HBsAg participated. All patients were tested for the following: Anti-schistosome antibodies, Anti-HBc, serum HBV DNA, CBC and liver function. The prevalence of occult hepatitis B in CHC patients with/without schistosomiasis were 12.8% and 8.5% (P=0.042), respectively. Next, 63.8% of CHC patients with schistosomiasis were exposed to HBV infection (Anti-HBc +ve) during their lifetime. In conclusion, the prevalence of occult hepatitis B is higher in CHC patients with schistosomiasis compared to those without schistosomiasis. Periodic laboratory investigations of Schistosoma mansoni, HBV and HCV are recommended for the early detection of the infection and, especially in endemic areas, to avoid infection complications.

  10. Distinct immunoregulatory cytokine pattern in Egyptian patients with occult Hepatitis C infection and unexplained persistently elevated liver transaminases

    Directory of Open Access Journals (Sweden)

    Yahia Z Gad


    Full Text Available Background/Aim: The immunopathogenesis of occult Hepatitis C virus (HCV infection is a matter of great controversy and has been suggested to involve a complex balance between cytokines with pro- and anti-inflammatory activity. This work aimed at studying the serum Th1 and Th2 cytokine production in patients with occult HCV infection. Materials and Methods: Serum levels of cytokines of Th1 (interleukin [IL]-2, INF-γ and Th2 (IL-4 were measured in 27 patients with occult HCV infection and 28 patients with chronic hepatitis C infection. Results: The levels of IL-2 and interferon-γ were highly significantly increased in patients with chronic HCV infection (P<0.001. IL-4 was highly significantly increased in occult HCV infection (P<0.001. Significant increases were noted in chronic HCV infection regarding bilirubin (P<0.001, ALT (P = 0.009, AST (P = 0.013, AFP (P<0.001, while serum albumin was significantly higher in occult HCV infection (P<0.001. Necroinflammation (P<0.001, fibrosis (P<0.001, and cirrhosis (P = 0.03 were significantly increased in chronic HCV infection. Conclusion: Our data revealed a high prevalence of occult HCV infection (25% in patients with unexplained persistently abnormal liver function test results. Those patients exhibited a distinct immunoregulatory cytokine pattern, favoring viral persistence and explaining the less aggressive course of this disease entity than chronic HCV infection.

  11. Vascular injuries during gynecological laparoscopy: the vascular surgeon's advice

    Directory of Open Access Journals (Sweden)

    Marcello Barbosa Barros

    Full Text Available CONTEXT: Iatrogenic vascular problems due to laparoscopy are a well recognized problem and lead to significant repercussions. In this context, a ten-year review of cases topic is presented, based on experience gained while heading two important vascular surgery services. CASES: Five patients with vascular injuries during elective laparoscopy are described. These patients presented with seven lesions of iliac vessels. All cases were evaluated immediately and required laparotomy, provisional hemostasis and urgent attendance by a vascular surgeon. Direct suturing was performed in three cases. One aortoiliac bypass and one ilioiliac reversed venous graft were made. Venous lesions were sutured. One case of a point-like perforation of the small bowel was found. There were no deaths and no complications during the postoperative period. DISCUSSION: Important points on this subject are made, and advice is given. There needs to be immediate recognition of the vascular injury, and expert repair by a vascular surgeon is recommended, in order to significantly reduce the degree of complications.

  12. Myocardial FFR (Fractional Flow Reserve in patients with angiographically intermediate coronary artery stenosis - an initial institutional experience

    Directory of Open Access Journals (Sweden)

    Jagadish H. Ramaiah


    Full Text Available Background: The clinical significance of coronary artery stenosis of intermediate severity can be difficult to determine. The management of intermediate coronary lesions, defined by a diameter stenosis of ¡I40% to ¡U70%, continues to be a therapeutic dilemma for cardiologists. The 2-dimensional representation of the arterial lesion provided by angiography is limited in distinguishing intermediate lesions that require stenting from those that simply need appropriate medical therapy. In the era of drug-eluting stents, some might propose that stenting all intermediate coronary lesions is an appropriate solution. However, the possibility of procedural complications such as coronary dissection, no reflow phenomenon, in-stent restenosis, and stent thrombosis requires accurate stratification of patients with intermediate coronary lesions to appropriate therapy. Myocardial fractional flow reserve (FFR is an index of the functional severity of coronary stenosis that is calculated from pressure measurements made during coronary angiography. The objective of the study is to evaluate the usefulness of FFR in patients with angiographically intermediate coronary artery stenosis. Methods: 20 patients with intermediate coronary stenosis and chest pain of uncertain origin. The Exercise Electrocardiography (TMT, Myocardial Perfusion Imaging study (MPI, Quantitative Coronary Angiography (QCA were compared with the results of FFR measurements. Results: 20 patients were undergone FFR measurement during the study period. With the mean age of 57.25¡À11.2 and male patients were 16 (80%, female patients 4 (20%, in all 13 patients with an FFR of 0.75 tested negative for reversible myocardial ischemia on TMT and MPI study. No revascularization procedures were performed in 7 (35% patients, and no adverse cardiovascular events were noted in all these patients during 6 months of follow-up. Conclusions: In patients with coronary stenosis of intermediate severity, FFR

  13. Design considerations for a new high resolution Micro-Angiographic Fluoroscope based on a CMOS sensor (MAF-CMOS) (United States)

    Loughran, Brendan; Swetadri Vasan, S. N.; Singh, Vivek; Ionita, Ciprian N.; Jain, Amit; Bednarek, Daniel R.; Titus, Albert H.; Rudin, Stephen


    The detectors that are used for endovascular image-guided interventions (EIGI), particularly for neurovascular interventions, do not provide clinicians with adequate visualization to ensure the best possible treatment outcomes. Developing an improved x-ray imaging detector requires the determination of estimated clinical x-ray entrance exposures to the detector. The range of exposures to the detector in clinical studies was found for the three modes of operation: fluoroscopic mode, high frame-rate digital angiographic mode (HD fluoroscopic mode), and DSA mode. Using these estimated detector exposure ranges and available CMOS detector technical specifications, design requirements were developed to pursue a quantum limited, high resolution, dynamic x-ray detector based on a CMOS sensor with 50 μm pixel size. For the proposed MAF-CMOS, the estimated charge collected within the full exposure range was found to be within the estimated full well capacity of the pixels. Expected instrumentation noise for the proposed detector was estimated to be 50-1,300 electrons. Adding a gain stage such as a light image intensifier would minimize the effect of the estimated instrumentation noise on total image noise but may not be necessary to ensure quantum limited detector operation at low exposure levels. A recursive temporal filter may decrease the effective total noise by 2 to 3 times, allowing for the improved signal to noise ratios at the lowest estimated exposures despite consequent loss in temporal resolution. This work can serve as a guide for further development of dynamic x-ray imaging prototypes or improvements for existing dynamic x-ray imaging systems.

  14. Association between inflammatory mediators and angiographic morphologic features indicating thrombus formation in patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    LI Dong-bao; HUA Qi; LIU Zhi; LI Jing; XU Li-qing; WANG Shan; JIN Wei-ying


    Background Inflammatory mechanisms had played an important role in the occurrence and prognosis of acute myocardial infarction,inflammatory mediators was associated with adverse outcomes of acute myocardial infarction.This study tested the hypothesis that in the acute phase of myocardial infarction with ST-segment elevation,neutrophil count and high-sensitivity C-reactive protein are predictive of angiographic morphologic features that indicate thrombus formation in the infarct-related artery.Methods This retrospective study included 182 consecutive patients with acute myocardial infarction and ST-segment elevation.Patients were assigned to a thrombus-formation group(n=77)and a non-thrombus-formation group(n=106).All patients had a Killip's classification≤3 and onset<12 hours prior to presentation.All the cases were going to undergo coronary angiography,including primary percutaneous coronary intervention,simple coronary angiography,or thrombolysis in a coronary artery(or arteries)or coronary artery bypass graft(s).Blood samples for measurement of high-sensitivity C-reactive protein and for routine blood laboratory studies were collected prior to coronary angiography.Results The levels of high-sensitivity C-reactive protein,total leukocyte counts,neutrophil counts,and neutrophil/lymphocyte ratios were substantially higher in the thrombus-formation group than in the non-thrombus-formation group patients(for each,P<0.05).Stepwise Logistic regression analyses identified high-sensitivity C-reactive protein,neutrophil count,and neutrophil/lymphocyte ratio as independent predictors of thrombus formation in the infarct-related artery(for each,P<0.05).Conclusions In patients with acute myocardial infarction,higher neutrophil counts,neutrophil/lymphocyte ratio,and levels of high-sensitivity C-reactive protein are predictors to indicate thrombus formation.

  15. Design considerations for a new, high resolution Micro-Angiographic Fluoroscope based on a CMOS sensor (MAF-CMOS). (United States)

    Loughran, Brendan; Swetadri Vasan, S N; Singh, Vivek; Ionita, Ciprian N; Jain, Amit; Bednarek, Daniel R; Titus, Albert; Rudin, Stephen


    The detectors that are used for endovascular image-guided interventions (EIGI), particularly for neurovascular interventions, do not provide clinicians with adequate visualization to ensure the best possible treatment outcomes. Developing an improved x-ray imaging detector requires the determination of estimated clinical x-ray entrance exposures to the detector. The range of exposures to the detector in clinical studies was found for the three modes of operation: fluoroscopic mode, high frame-rate digital angiographic mode (HD fluoroscopic mode), and DSA mode. Using these estimated detector exposure ranges and available CMOS detector technical specifications, design requirements were developed to pursue a quantum limited, high resolution, dynamic x-ray detector based on a CMOS sensor with 50 μm pixel size. For the proposed MAF-CMOS, the estimated charge collected within the full exposure range was found to be within the estimated full well capacity of the pixels. Expected instrumentation noise for the proposed detector was estimated to be 50-1,300 electrons. Adding a gain stage such as a light image intensifier would minimize the effect of the estimated instrumentation noise on total image noise but may not be necessary to ensure quantum limited detector operation at low exposure levels. A recursive temporal filter may decrease the effective total noise by 2 to 3 times, allowing for the improved signal to noise ratios at the lowest estimated exposures despite consequent loss in temporal resolution. This work can serve as a guide for further development of dynamic x-ray imaging prototypes or improvements for existing dynamic x-ray imaging systems.

  16. Angiographic frequency of blunt cerebrovascular injury in patients with carotid canal or vertebral foramen fractures on multidetector CT

    Energy Technology Data Exchange (ETDEWEB)

    McKinney, Alexander [Department of Radiology, Hennepin County and University of Minnesota-Fairview and Medical Centers, Minneapolis, MN (United States)]. E-mail:; Ott, Frederick [Department of Radiology, Hennepin County and University of Minnesota-Fairview and Medical Centers, Minneapolis, MN (United States); Short, James [Department of Radiology, Hennepin County and University of Minnesota-Fairview and Medical Centers, Minneapolis, MN (United States); McKinney, Zeke [Department of Radiology, Hennepin County and University of Minnesota-Fairview and Medical Centers, Minneapolis, MN (United States); Truwit, Charles [Department of Radiology, Hennepin County and University of Minnesota-Fairview and Medical Centers, Minneapolis, MN (United States)


    Purpose: Blunt carotid injuries (BCI's) and blunt vertebral artery injuries (BVI's), known jointly as BCVI's, are common in 'high risk' patients. The purpose is to evaluate the rate of occurrence of BCI/BVI in patients screened purely by the radiologic criteria of fracture through the carotid canal or vertebral transverse foramina, or significant cervical subluxation, noted by multidetector CT. Methods: Seventy-one patients with 108 catheterized vessels were included over a 13-month interval. The angiographic examinations were prompted by current hospital protocol, solely by the presence of fractures involving/adjacent to the carotid canal, cervical fractures involving/adjacent to the foramen transversarium, or cervical fractures with significant subluxation. The incidence of each grade of blunt injury was calculated after review of the CT scans and catheter angiograms by two neuroradiologists. Results: Two thousand and seventy-three total blunt trauma admissions occurred during the time period, with a BCVI rate of 0.92-1.0% (depending on the reviewer), similar to previous studies. Mean time to catheter angiography was 16.6 h. Of the 71 included patients, there were 11-12 BCI's and 10-12 BVI's, an overall rate of 27-30% of BCVI in the patients with foraminal fractures. Interobserver agreement in reviewing the catheter angiograms was excellent (Kappa 0.795). Of note, three internal carotid pseudoaneurysms resolved spontaneously after anticoagulation or aspirin. Conclusion: This study confirms that there is a high rate of BCVI in the presence of carotid canal or vertebral foramen fractures that are noted by multidetector CT. Utilization of purely radiologic criteria of foraminal involvement may be a significant screening tool in the decision of whether to evaluate these patients acutely by catheter or CT angiography, and for early detection of patients at risk for symptomatology, to initiate prompt, prophylactic treatment.

  17. Atmospheric phenomena deduced from radiosonde and GPS occultation measurements for various application related studies

    Indian Academy of Sciences (India)

    C J Johny; S K Sarkar; D Punyasesudu


    The tropopause height and tropopause temperature are sensitive to temperature changes in troposphere and stratosphere. These are the measures of global climatic variability. Atmospheric profiles of temperature, refractivity and water vapour are always needed for communication, navigation and atmospheric modeling studies. The tropopause characteristics over the Indian region have been studied using radio occultation measurements (CHAMP) on the basis of cold point criterion. Tropopause height shows large variation in the latitude range ∼30° –40°N during winter. Tropopause temperature less than −82°C, assumed to facilitate troposphere to stratosphere air transport, is observed at a number of tropical Indian locations and no seasonal pattern is observed in its occurrence. The bias in temperature and refractivity deduced from radiosonde and radio occultation measurements is also presented.

  18. VLT transit and occultation photometry for the bloated planet CoRoT-1b

    CERN Document Server

    Gillon, M; Triaud, A H M J; Barman, T; Hebb, L; Montalban, J; Maxted, P F L; Queloz, D; Deleuil, M; Magain, P


    We present VLT eclipse photometry for the giant planet CoRoT-1b. We observed a transit in the R-band filter and an occultation in a narrow filter centered on 2.09 microns. Our analysis of this new photometry and published radial velocities, in combination with stellar-evolutionary modeling, leads to a planetary mass and radius of 1.07 (+0.13,-0.18) M_Jup and 1.45 (+0.07,-0.13) R_Jup, confirming the very low density previously deduced from CoRoT photometry. The large occultation depth that we measure at 2.09 microns (0.278 (+0.043,-0.066) %) is consistent with thermal emission and is better reproduced by an atmospheric model with no redistribution of the absorbed stellar flux to the night side of the planet.

  19. Searching for Unmodeled Sources Using the Earth Occultation Data from the Fermi GBM

    CERN Document Server

    Rodi, James; Cherry, Michael L; Camero-Arranz, Ascension; Finger, Mark H; Jenke, Peter; Wilson-Hodge, Colleen A; Chaplin, Vandiver


    Employing the 12 NaI detectors in the Fermi GBM, the Earth Occultation Technique (EOT) can be used to measure the fluxes of x-ray and gamma-ray sources. Each time a source passes behind the Earth (or emerges from behind the Earth), a step-like feature is produced in the detector count rate. With a predefined catalog of source positions, the times of the occultation steps can be calculated, the individual steps fit, and the fluxes derived. However, in order to find new sources and generate a complete catalog, a method is needed for generating an image of the sky. An imaging algorithm has been developed to generate all-sky images using the GBM data. Here we present imaging results from ~2.5 years of data in the 12-25 keV and 100-300 keV energy bands.

  20. COSMIC Radio Occultation technique for measurement of the tropopause during tropical cyclones

    DEFF Research Database (Denmark)

    Biondi, Riccardo; Neubert, Torsten; Syndergaard, Stig

    and they cool the tropopause layers. The GPS radio occultation technique is useful for studying severe weather phenomena because the GPS signals penetrate through clouds and allow measurements of atmospheric profiles related to temperature, pressure, and water vapour with high vertical resolution...... Occultation (RO) technique will be useful for characterisation of this process. In the last 25 years, several instruments have become available to study atmospheric water vapour, and many studies show the increase of water vapour in the UT during this period. It is also well known that deep convection from......Water vapour transport to the upper troposphere (UT) and lower stratosphere (LS) by deep convective storms affects the radiation balance of the atmosphere and has been proposed as an important component of climate change. The aim of the work presented here is to understand if the GPS Radio...

  1. Occult breast cancer with EDTA-dependent pseudothrombocytopenia -a case report-. (United States)

    Abe, Hajime; Shimizu, Tomoharu; Cho, Hirotomi; Kubota, Yoshihiro; Umeda, Tomoko; Kurumi, Yoshimasa; Tani, Tohru


    A case of occult breast cancer with pseudothrombocytopenia (PTCP) is reported. A 50-year-old woman was consulted with a left axillary tumor. Ductal carcinoma was found by the core needle biopsy, and no primary lesion was detected. Her preoperative platelet count, obtained from an ethylene diamine tetraacetic acid (EDTA) sampling bottle, was 3.1 x 10(4) per mL, but she had no history of bleeding problems. A heparinized blood sample showed a normal platelet count of 390 x 10(4) per mL. These findings suggested a diagnosis of occult breast cancer with EDTA-dependent PTCP, and level II axillary lymph node dissection was performed. She received adjuvant chemotherapy and radiotherapy, but she died 2 years and 5 months after the surgery because of lung and brain metastases. Awareness of the phenomenon and knowledge of the underlying physiological principles will enable surgeons to manage patients with EDTA-dependent PTCP appropriately.

  2. Genotype characterization of occult hepatitis B virus strains among Egyptian chronic hepatitis C patients. (United States)

    Kishk, R; Atta, H Aboul; Ragheb, M; Kamel, M; Metwally, L; Nemr, N


    Chronic hepatitis C virus (HCV) infection combined with occult hepatitis B virus (HBV) infection has been associated with increased risk of hepatitis, cirrhosis and hepatocellular carcinoma. This study aimed to determine the prevalence of occult HBV infection among Egyptian chronic HCV patients, the genotype and occurrence of surface gene mutations of HBV and the impact of co-infection on early response to treatment. The study enrolled 162 chronic HCV patients from Ismailia Fever Hospital, Egypt, who were HBV surface antigen-negative. All patients were given clinical assessment and biochemical, histological and virological examinations. HBV-DNA was detectable in sera from 3 patients out of the 40 patients who were positive for hepatitis B core antibody. These 3 patients were responsive to combination therapy at treatment week 12; only 1 of them had discontinued therapy by week 24. HBV genotype D was the only detectable genotype in those patients, with absence of "a" determinant mutations among those isolates.

  3. KH 15D: Gradual Occultation of a Pre-Main-Sequence Binary

    CERN Document Server

    Winn, J N; Johnson, J A; Stanek, K Z; Garnavich, P M; Winn, Joshua N.; Holman, Matthew J.; Johnson, John A.; Stanek, Krzysztof Z.; Garnavich, Peter M.


    We propose that the extraordinary "winking star" KH 15D is an eccentric pre-main-sequence binary that is gradually being occulted by an opaque screen. This model accounts for the periodicity, depth, duration, and rate of growth of the modern eclipses; the historical light curve from photographic plates; and the existing radial velocity measurements. It also explains the re-brightening events that were previously observed during mid-eclipse, and the subsequent disappearance of these events. We predict the future evolution of the system and its full radial velocity curve. Given the small velocity of the occulting screen relative to the center of mass of the binary, the screen is probably associated with the binary, and may be the edge of a precessing circumbinary disk.

  4. Evaluation of limiting occulted angles in acoustic lenses for Rayleigh mode suppression

    Energy Technology Data Exchange (ETDEWEB)

    Bouhedja, S; Doghmane, A; Hadjoub, Z, E-mail:, E-mail:


    The generation and suppression of propagating modes in scanning acoustic microscopy play an important role in the determination of elastic parameters of materials. In this context, by placing successive absorbing stops of different diameters we suppressed the central beam of an acoustic lens to obtain dark field phenomena. Thus, using analytical and spectral methods, we investigated several rapid and medium materials characterised by Rayleigh velocities varying from 7850 m/s to 2730 m/s. Hence, we were able to put into evidence the influence of occulted angles on the behaviour of acoustic materials signatures, V(z), (periods, amplitude and attenuation) as well as the interdependence between Rayleigh velocity, attenuation and occulted angles is quantified via different chart curves.

  5. Orbit determination of Transneptunian objects and Centaurs for the prediction of stellar occultations

    CERN Document Server

    Desmars, J; Braga-Ribas, F; Vieira-Martins, R; Assafin, M; Vachier, F; Colas, F; Ortiz, J L; Duffard, R; Morales, N; Sicardy, B; Gomes-Júnior, A R; Benedetti-Rossi, G


    The prediction of stellar occultations by Transneptunian objects and Centaurs is a difficult challenge that requires accuracy both in the occulted star position as for the object ephemeris. Until now, the most used method of prediction involving tens of TNOs/Centaurs was to consider a constant offset for the right ascension and for the declination with respect to a reference ephemeris. This offset is determined as the difference between the most recent observations of the TNO and the reference ephemeris. This method can be successfully applied when the offset remains constant with time. This paper presents an alternative method of prediction based on a new accurate orbit determination procedure, which uses all the available positions of the TNO from the Minor Planet Center database plus sets of new astrometric positions from unpublished observations. The orbit determination is performed through a numerical integration procedure (NIMA), in which we develop a specific weighting scheme. The NIMA method was appli...

  6. Titan solar occultation observations reveal transit spectra of a hazy world

    CERN Document Server

    Robinson, Tyler D; Marley, Mark S; Fortney, Jonathan J


    High altitude clouds and hazes are integral to understanding exoplanet observations, and are proposed to explain observed featureless transit spectra. However, it is difficult to make inferences from these data because of the need to disentangle effects of gas absorption from haze extinction. Here, we turn to the quintessential hazy world -- Titan -- to clarify how high altitude hazes influence transit spectra. We use solar occultation observations of Titan's atmosphere from the Visual and Infrared Mapping Spectrometer (VIMS) aboard NASA's Cassini spacecraft to generate transit spectra. Data span 0.88-5 microns at a resolution of 12-18 nm, with uncertainties typically smaller than 1%. Our approach exploits symmetry between occultations and transits, producing transit radius spectra that inherently include the effects of haze multiple scattering, refraction, and gas absorption. We use a simple model of haze extinction to explore how Titan's haze affects its transit spectrum. Our spectra show strong methane abs...

  7. High Angular Resolution Stellar Imaging with Occultations from the Cassini Spacecraft II: Kronocyclic Tomography

    CERN Document Server

    Stewart, Paul N; Nicholson, Philip D; Hedman, Matthew M; Lloyd, James P


    We present an advance in the use of Cassini observations of stellar occultations by the rings of Saturn for stellar studies. Stewart et al. (2013) demonstrated the potential use of such observations for measuring stellar angular diameters. Here, we use these same observations, and tomographic imaging reconstruction techniques, to produce two dimensional images of complex stellar systems. We detail the determination of the basic observational reference frame. A technique for recovering model-independent brightness profiles for data from each occulting edge is discussed, along with the tomographic combination of these profiles to build an image of the source star. Finally we demonstrate the technique with recovered images of the {\\alpha} Centauri binary system and the circumstellar environment of the evolved late-type giant star, Mira.

  8. Vascular graft infections with Mycoplasma

    DEFF Research Database (Denmark)

    Levi-Mazloum, Niels Donald; Skov Jensen, J; Prag, J;


    Vascular graft infection is one of the most serious complications in vascular surgery. It is associated with mortality rates ranging from 25% to 75% and with morbidity in the form of amputation in approximately 30% of patients. Staphylococcus aureus is the leading pathogen. With conventional...... laboratory techniques, the percentage of culture-negative yet grossly infected vascular grafts seems to be increasing and is not adequately explained by the prior use of antibiotics. We have recently reported the first case of aortic graft infection with Mycoplasma. We therefore suggest the hypothesis...... that the large number of culture-negative yet grossly infected vascular grafts may be due to Mycoplasma infection not detected with conventional laboratory technique....

  9. An exploration of the trans-Neptunian region through stellar occultations and MIOSOTYS (United States)

    Doressoundiram, Alain; Maquet, Lucie; Roques, françoise; Liu, Chih-Yuan; Miosotys team


    As the Kuiper belt is located far from the sun, it is difficult to observe the small objects that are composing it. To understand how the Kuiper belt was formed , we need to study the size distribution of its objects. We have to be able to detect sub-kilometric objects . This is possible only by random stellar occultations. In order to perform those observations, we have an instrument called MIOSOTYS.MIOSOTYS (Multi-object Instrument for Occultations in the SOlar system and TransitorY Systems) is a fibre-based, high speed photometer which is designed mainly for serendipitously monitoring the occultation events caused by small Trans-Neptunian Objects (TNOs) located at the distance of 40 AU and beyond from the Sun, the so-called Kuiper Belt. Because of the small angular size of the star, the passing TNO through the line of sight of the star will produce a diffraction-dominated phenomena.This is a visitor instrument mounted on the 193 cm telescope at the Observatoire de Haute-Provence, France and on the 123 cm telescope at the Calar Alto Observatory, Spain. Our immediate goal is to characterize the spatial distribution and extension of the Kuiper Belt, and the physical size distribution of TNOs. We present the observation campaigns during 2010-2014, objectives and observing strategy. We report the detection of potential candidates for occultation events of TNOs. We will discuss more specifically the method used to process the data and the modelling of diffraction patterns. We, finally present the results obtained concerning the distribution of sub-kilometer TNOs in the Kuiper Belt.




    The authors report the occurrence of an occult manubriosternal joint injury in the initial evaluation on a patient with a thoracic spine fracture (T9). This T9 fracture was diagnosed in a 37-year-old man and was associated with a partial neurological deficit. At the initial evaluation, the radiographs produced did not show the manubriosternal joint injury. During rehabilitation, after surgical stabilization of the thoracic spine fracture, the patient suddenly felt an intense pain accompanied ...

  11. Lucifer Over Luxor: Archaeology, Egyptology, and Occultism in Kenneth Anger’s Magick Lantern Cycle


    Doyle White, Ethan


    One of the great figureheads of American experimental cinema, Kenneth Anger (b.1927), is internationally renowned for his pioneering work, recognisable for its blend of homoerotica, popular and classical music, and dark, symbolist imagery. A follower of Thelema, the religion of infamous British occultist Aleister Crowley (1875–1947), Anger’s work is imbued with occult themes and undercurrents rarely comprehensible to the non-initiated viewer. In exploring these esoteric ideas, Anger makes use...

  12. GPS Radio Occultation: A Potential New Data Source for Improvement of Antarctic Pressure Field

    Institute of Scientific and Technical Information of China (English)

    Ge Sheng-jie; C. K. Shum; J. Wickert; Ch. Reigber


    Radio occultation technique, first demonstrated by the GPS/MET experiment in 1995[1], has the potential to provide improved spatial and temporal resolution in the probing of the Earth's neutral atmosphere, including pressure,temperature and water vapor profiles, in addition to traditional measurements (e.g.,radiosonde, spaceborne radiometers) and ground-based GPS networks for precipitable water vapor (PWV) measurements. This paper provides an overview of the radio occultation concept and retrieval procedure and current technical limitations including lower troposphere inhomogeneities, signal penetration, multipath, and water vapor ambiguity. The current limitations using atmospheric model pressure fields (ECMWF and NCEP) for the modeling of atmospheric mass load over Antarctica, for its separation from climate sensitive signals observed by gravity mapping satellite,GRACE, are quantified. Atmospheric pressure fields over Antarctica are poorly known and higher temporal variability of pressure causes an "aliasing" error in GRACE-observed climate-sensitive signals such as hydrology, mass balance and oceanic mass variations. In particular, comparison of ECMWF 6-hour data with the Automatic Weather Station (AWS) in Antarctica indicates mean differences of 5 hPa,and rms of 1.7 hPa, exceeding the accuracy requirement for GRACE. Aliasing effec tmanifests as high-frequency errors in GRACE-observed gravity signals and are more pronounced over Antarctica. The possibility of using current operating satellite(SAC-C, CHAMP and GRACE) occultation data to improve Antarctic surface pressure fields is proposed. Preliminary results indicate that in the absence of water vapor over Antarctica, retrieved CHAMP pressure profile agrees well with radiosonde data from Neumayer station, and that occultation signals reach near the surface.

  13. Asymptomatic Hepadnaviral Persistence and Its Consequences in the Woodchuck Model of Occult Hepatitis B Virus Infection. (United States)

    Mulrooney-Cousins, Patricia M; Michalak, Tomasz I


    Woodchuck hepatitis virus (WHV) is molecularly and pathogenically closely related to hepatitis B virus (HBV). Both viruses display tropism towards hepatocytes and cells of the immune system and cause similar liver pathology, where acute hepatitis can progress to chronic hepatitis and to hepatocellular carcinoma (HCC). Two forms of occult hepadnaviral persistence were identified in the woodchuck-WHV model: secondary occult infection (SOI) and primary occult infection (POI). SOI occurs after resolution of a serologically apparent infection with hepatitis or after subclinical serologically evident virus exposure. POI is caused by small amounts of virus and progresses without serological infection markers, but the virus genome and its replication are detectable in the immune system and with time in the liver. SOI can be accompanied by minimal hepatitis, while the hallmark of POI is normal liver morphology. Nonetheless, HCC develops in about 20% of animals with SOI or POI within 3 to 5 years. The virus persists throughout the lifespan in both SOI and POI at serum levels rarely greater than 100 copies/mL, causes hepatitis and HCC when concentrated and administered to virus-naïve woodchucks. SOI is accompanied by virus-specific T and B cell immune responses, while only virus-specific T cells are detected in POI. SOI coincides with protection against reinfection, while POI does not and hepatitis develops after challenge with liver pathogenic doses >1000 virions. Both SOI and POI are associated with virus DNA integration into the liver and the immune system genomes. Overall, SOI and POI are two distinct forms of silent hepadnaviral persistence that share common characteristics. Here, we review findings from the woodchuck model and discuss the relevant observations made in human occult HBV infection (OBI).

  14. Observer variation for radiography, computed tomography, and magnetic resonance imaging of occult hip fractures

    Energy Technology Data Exchange (ETDEWEB)

    Collin, David; Dunker, Dennis; Goethlin, Jan H (Dept. of Radiology, Sahlgrenska Univ. Hospital, Moelndal (Sweden)), email:; Geijer, Mats (Center for Medical Imaging and Physiology, Skaane Univ. Hospital, Lund Univ., Lund (Sweden))


    Background Conventional radiography is insufficient for diagnosis in a small but not unimportant number of hip fractures, and secondary imaging with computed tomography (CT) or magnetic resonance imaging (MRI) is warranted. There are no convincing observer variation studies performed for conventional radiography or CT in occult fractures, and no large materials for MRI. Purpose To assess observer variation in radiography, CT and MRI of suspected occult, non-displaced hip fractures, and to evaluate to what extent observer experience or patient age may influence observer performance. Material and Methods A total of 375 patients after hip trauma where radiography was followed by CT or MRI to evaluate a suspected occult hip fracture were collected retrospectively from two imaging centers. After scoring by three observers with varying degrees of radiologic experience, observer variation was assessed by using linear weighted kappa statistics. Results For radiography, agreements between the three observers were moderate to substantial for intra capsular fractures, with kappa values in the ranges of 0.56-0.66. Kappa values were substantial for extracapsular fractures, in the ranges of 0.69-0.72. With increasing professional experience, fewer fractures were classified as equivocal at radiography. For CT and MRI, observer agreements were similar and almost perfect, with kappa values in the ranges of 0.85-0.97 and 0.93-0.97. Conclusion There were almost perfect observer agreements for CT and MRI in diagnosing non-displaced, occult hip fractures. Observer agreements for radiography were moderate to substantial, and observer experience influenced agreement only at radiography

  15. Spondylocostal dysostosis (Jarcho-Levine syndrome associated with occult spinal dysraphism: Report of two cases

    Directory of Open Access Journals (Sweden)

    Natarajan Muthukumar


    Full Text Available Spondylocostal dysostosis, also known as Jarcho-Levine syndrome, is a rare disorder characterized by multiple vertebral and rib anomalies at birth. The association of occult spinal dysraphic lesions with this entity is rare. Two patients with spondylocostal dysostosis and occult spinal dysraphic lesions, one with type I split cord malformation and another with spinal dermal sinus are being reported. A 7-month-old female child who was operated at birth for imperforate anus was noted to have a dimple at the low back with altered skin color around the dimple. Examination revealed the right lower extremity was slightly thinner than the left. Plain radiographs showed features of spondylocostal dysostosis with scoliosis. Magnetic resonance imaging (MRI showed a type I split cord malformation at the lumbosacral junction with low-lying conus and terminal syringomyelia. Patient underwent excision of the bony spur uneventfully. A 14-month-old male child was noted to have a small swelling in the low back along with deformity of the right lower chest since birth. Plain radiographs revealed features of spondylocostal dysostosis. MRI showed a spinal dermal sinus at the lumbosacral junction with a low-lying conus. The patient underwent excision of the spinal dermal sinus and untethering of the cord uneventfully. Although rare, spondylocostal dysostosis can be associated with occult spinal dysraphic lesions like type I split cord malformations or spinal dermal sinus. Physicians should be aware about the possibility of children with spondylocostal dysostosis harboring occult spinal dysraphic lesions so that these patients receive appropriate treatment.

  16. Multi-wavelength analysis of a 2011 stellar occultation by Chiron (United States)

    Sickafoose, Amanda A.; Emery, Joshua P.; Bosh, Amanda S.; Person, Michael J.; Zuluaga, Carlos; Ruprecht, Jessica D.; Bianco, Federica; Bus, Schelte J.; Zangari, Amanda Marie


    The centaur (2060) Chiron was originally thought to be asteroid-like; however, photometry in the late 1980s revealed an increase in brightness and eventually a directly-imaged coma (e.g. Meech, K.J., & Belton, M.J.S., 1990, AJ, 100,4). Previous stellar occultation observations for Chiron have detected features thought to be narrow jets, a gravitationally-bound dust coma, and a near-circular ring or shell of material (Elliot, J.L., 1995, Nature, 373, 46; Bus, S.J., et al., 1996, Icarus, 123, 478; Ruprecht, J.D., et al. 2015, Icarus, 252, 271). These detections are unusual given Chiron's relatively large distance from the Sun and its relatively large nucleus compared to comet nuclei. The discovery of a ring system around the centaur Chariklo (Braga-Ribas, F., et al. 2014, Nature, 508, 78) provides context for Chiron. A ring system for Chiron has recently been proposed based on a combined analysis of occultation data, the rotational light curve, and spectral variability (Ortiz, J.L., et al. 2015, A&A, 576, A18).Chiron occulted a fairly bright star (R = 14.8) on 2011 November 29. We observed the event with high-speed, visible imaging from NASA's 3-m Infrared Telescope Facility (IRTF) on Mauna Kea and the 2-m Faulkes Telescope North at Haleakala (run by the Las Cumbres Observatory Global Telescope network, LCOGT). At the IRTF, we simultaneously obtained low-resolution, near-infrared spectra spanning 0.9-2.4 microns. Here, we present an analysis of the combined visible and near-infrared occultation data. Distinct extinction features were detected in the visible data, located roughly 300 km from the center (Ruprecht, J.D., et al. 2015, Icarus, 252, 271). We investigate flux versus wavelength trends in the near-infrared data in order to constrain the properties of extinction-causing particles.

  17. Detection of occult disease in breast cancer using fluorodeoxyglucose camera-based positron emission tomography. (United States)

    Pecking, A P; Mechelany-Corone, C; Bertrand-Kermorgant, F; Alberini, J L; Floiras, J L; Goupil, A; Pichon, M F


    An isolated increase of blood tumor marker CA 15.3 in breast cancer is considered a sensitive indicator for occult metastatic disease but by itself is not sufficient for initiating therapeutic intervention. We investigated the potential of camera-based positron emission tomography (PET) imaging using [18F]-fluorodeoxyglucose (FDG) to detect clinically occult recurrences in 132 female patients (age, 35-69 years) treated for breast cancer, all presenting with an isolated increase in blood tumor marker CA 15.3 without any other evidence of metastatic disease. FDG results were correlated to pathology results or to a sequentially guided conventional imaging method. One hundred nineteen patients were eligible for correlations. Positive FDG scans were obtained for 106 patients, including 89 with a single lesion and 17 with 2 or more lesion. There were 92 true-positive and 14 false-positive cases, 10 of which became true positive within 1 year. Among the 13 negative cases, 7 were false negative and 6 were true negative. Camera-based PET using FDG has successfully identified clinically occult disease with an overall sensitivity of 93.6% and a positive predictive value of 96.2%. The smallest detected size was 6 mm for a lymph node metastasis (tumor to nontumor ratio, 4:2). FDG camera-based PET localized tumors in 85.7% of cases suspected for clinically occult metastatic disease on the basis of a significant increase in blood tumor marker. A positive FDG scan associated with an elevated CA 15.3 level is most consistent with metastatic relapse of breast cancer.

  18. Errors incurred in profile reconstruction and methods for increasing inversion accuracies for occultation type measurements (United States)

    Gross, S. H.; Pirraglia, J. A.


    A method for augmenting the occultation experiment is described for slightly refractive media. This method which permits separation of the components of the gradient of refractivity, appears applicable to most of the planets for a major portion of their atmospheres and ionospheres. The analytic theory is given, and the results of numerical tests with a radially and angularly varying model of an ionosphere are discussed.

  19. The occult nature of intramedullary spinal cord metastases from renal cell carcinoma.

    LENUS (Irish Health Repository)

    Zakaria, Zaitun


    Renal cell carcinomas (RCC) are characterised by a tendency to metastasise widely, often while remaining occult. Intramedullary spinal cord metastases (ISCM) from RCC may be the presenting feature of the disease or present at any time in the disease course. This case report discusses an ISCM from RCC which became manifested at the time of resection of the primary tumour. We review the literature published on ISCM from RCC from 1990 to date comparing disease characteristics and presentations.

  20. Mutual Occultation Observations of Volcanic Hot Spots on Io in 2015 (United States)

    Howell, Robert R.; Spencer, John R.; Rathbun, Julie A.; Goguen, Jay D.


    During spring 2015 we observed a series of mutual occultations and eclipses of Io using the SpeX instrument on the NASA Infrared Telescope Facility (IRTF). Mutual event lightcurves were obtained on 4 Feb., 18 Feb., 15 Mar., and 22 Mar. in the Lp (3.8 micron) filter, with observations on 11 Feb. and on 8 and 10 Mar. lost to weather. Such lightcurves can potentially provide the highest spatial resolution observations of Io's volcanic hotspots possible from ground-based observations. The geometry of the recent events was particularly favorable for studies of the Loki Patera region, but unfortunately Loki remained relatively faint during the 2015 series. An eruption of Pillan was observed on 18 Feb., and is discussed in more detail by de Pater et al. (2015) at this meeting. While the relative faintness of Loki during the recent series limits the value of the new observations for studying that source, recent improvements to the Galilean satellite ephemerides also allow us to significantly improve the analysis of previous Loki occultations from 1985, 1991, 1997, and 2003. In that earlier work it was necessary to allow adjustable offsets in the relative position of the satellites to accommodate ephemeris uncertainty. That in turn limited the accuracy with which hot regions within Loki Patera could be fixed, and limited the ability to test different models for Patera activity. Initial analysis of the most recent event series indicates that such arbitrary adjustments are no longer necessary. We will present the occultation lightcurves for the most recent series and the constraints on the location of Loki activity provided by those observations and from earlier occultation series.