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Sample records for anus cardiac anomalies

  1. VACTERL (vertebral anomalies, anal atresia or imperforate anus, cardiac anomalies, tracheoesophageal fistula, renal and limb defect spectrum presenting with portal hypertension: a case report

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    Losa Ignatius

    2010-05-01

    Full Text Available Abstract Introduction We report for the first time a unique case of VACTERL (vertebral anomalies, anal atresia or imperforate anus, cardiac anomalies, tracheoesophageal fistula, renal and limb defect spectrum associated with portal hypertension. The occurrence of both VACTERL spectrum and extrahepatic portal hypertension in a patient has not been reported in the literature. We examined whether or not there was any association between extrahepatic portal hypertension and VACTERL spectrum. Case Presentation A two-and-half-year-old Caucasian girl with VACTERL spectrum presented with hematemesis and abdominal distension. She had caput medusae, ascites, splenomegaly, gastric and esophageal varices. Her liver function tests were within normal limits. Magnetic resonance imaging of the liver with contrast showed a thready portal vein with collateral vessels involving both right and left portal veins without intrahepatic duct dilation. Conclusion A thready portal vein, with features of extrahepatic portal hypertension, is a rare non- VACTERL-type defect in patients with VACTERL spectrum. Understandably, clinicians should give low priority to looking for portal hypertension in VACTERL spectrum patients presenting with gastrointestinal bleeding. However before routinely looking for a thready portal vein and/or extrahepatic portal hypertension in asymptomatic VACTERL spectrum patients, we need further evidence to support this rare association.

  2. [Ectopia cordis and cardiac anomalies].

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    Cabrera, Alberto; Rodrigo, David; Luis, María Teresa; Pastor, Esteban; Galdeano, José Miguel; Esteban, Susana

    2002-11-01

    Ectopia cordis is a rare disease that occurs in 5.5 to 7.9 per million live births. Only 267 cases had been reported as of 2001, most (95%) associated with other cardiac anomalies. We studied the cardiac malformations associated in 6 patients with ectopia cordis. Depending on where the defect was located, the cases of ectopia were classified into four groups: cervical, thoracic, thoraco-abdominal, and abdominal. All 6 patients died before the third day of life, 4 during delivery. Three of the patients were included in the thoracic group, whereas the other 3 belonged to the thoraco-abdominal group. All the patients had associated ventricular septal defects, 3 double-outlet right ventricle (50%) and the rest (50%) tetralogy of Fallot-pulmonary atresia. Two patients with double-outlet right ventricle presented mitral-valve pathology, a parachute valve and an atresic mitral valve. None of these cardiac anomalies have been reported to date.

  3. Imperforate anus

    Science.gov (United States)

    This problem is often found when the newborn infant is first examined. Call your provider if a child treated for imperforate anus has abdominal pain or fails to develop any bowel control by the age of 3.

  4. Congenital cardiac anomalies in an English bulldog.

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    McConkey, Marina J

    2011-11-01

    A 4-year-old male castrated English bulldog was referred to the Atlantic Veterinary College for evaluation of exercise intolerance, multiple syncopal episodes, and a grade IV/VI heart murmur. The dog was shown to have 3 congenital cardiac anomalies: atrial septal defect, mitral valve dysplasia, and subaortic stenosis. Medical management consisted of exercise restriction, atenolol, pimobendan, and taurine.

  5. Omphalocele, exstrophy of cloaca, imperforate anus and spinal defect (OEIS Complex) with overlapping features of body stalk anomaly (limb body wall complex)

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    Mandrekar, Suresh R. S.; Amoncar, Sangeeta; Banaulikar, Siddhartha; Sawant, Vishal; Pinto, R. G. W.

    2014-01-01

    OEIS is an extremely rare constellation of malformations, which includes omphalocele, exstrophy of cloaca, imperforate anus, and spinal defect. We report here autopsy findings in a case of OEIS complex, which apart from the major anomalies of the complex had bilateral club foot that is, congenital talipes equinovarus, right hydroureter, and body stalk anomaly. The umbilical cord was absent, and the umbilical vessels were embedded in an amniotic sheet, which connected the skin margin of the anterior body wall defect to the placenta, this feature being the hallmark of limb body wall complex (LBWC). This case further supports the view that OEIS and LBWC represent a continuous spectrum of abnormalities rather than separate conditions and may share a common etiology and pathogenetic mechanism as proposed by some authors. PMID:25400352

  6. Fetal extracardiac anomalies associated with congenital cardiac diseases

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    Yi, Bum Ha; Cho, Jung Yeon; Lee, Young Ho; Song, Mi Jin [Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2004-06-15

    To evaluate the incidence of associated extracardiac anomalies in fetuses with congenital heart defects on fetal echocardiography, and to estimate the incidence of chromosomal abnormalities according to the extracardiac anomalies. From Jan. 1999 to Dec. 2001, 101 fetuses with prenatally diagnosed extracardiac anomalies and congenital cardiac diseases were selected for study. The mean gestational age at the time of the ultrasound exam was about 25 weeks. Associated extracardiac anomalies were classified into CNS, face and neck, thorax, abdomen, genitourinary system, musculoskeletal, other and multi-systemic anomalies groups. Chromosomal studies including chorionic villi sampling, amniocentesis, cordocentesis, and postnatal exam were correlated. Musculoskeletal anomalies were the most commonly associated extracardiac anomalies (n=28, 27.7%). Abdominal anomaly (n=26, 25.7%), central nervous system anomaly (n=25, 24.8%), genitourinary anomaly(n=12, 11.9%), thoracic anomaly (n=4, 4%), face and neck anomaly (n=3, 3%) were found. Twenty eight fetuses showed other anomalies (n=28, 27.7%). Multi-systemic anomalies were also common (n=20, 19.8%). Fetal anomalies involving two systems were noted in 15 fetuses, and anomalies of more than three systems were not uncommon (5 fetuses). Chromosomal study of 38 fetuses revealed 19 fetuses with abnormal karyotypes (50%). For 19 fetuses with abnormal karyotypes, central nervous system anomalies and musculoskeletal anomalies were the most frequently associated with extracardiac abnormalities (n=9). Multi-systemic anomalies were associated in 9 of the 19 fetuses. In fetuses with cardiac defects, the musculoskeletal, abdomen and CNS anomalies were commonly associated with extracardiac anomalies. Various extracardiac anomalies such as, head and neck anomalies, CNS anomalies, musculoskeletal anomalies, and multi-organ anomalies were highly correlated with chromosomal abnormalities, and so this relationship requires chromosomal study.

  7. Ebstein's Anomaly, Left Ventricular Noncompaction, and Sudden Cardiac Death

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    McGee, Michael; Warner, Luke; Collins, Nicholas

    2015-01-01

    Ebstein's anomaly is a congenital disorder characterized by apical displacement of the septal leaflet of the tricuspid valve. Ebstein's anomaly may be seen in association with other cardiac conditions, including patent foramen ovale, atrial septal defect, and left ventricular noncompaction (LVNC). LVNC is characterized by increased trabeculation within the left ventricular apex. Echocardiography is often used to diagnose LVNC; however, magnetic resonance (MR) imaging offers superior characterization of the myocardium. We report a case of sudden cardiac death in a patient with Ebstein's anomaly with unrecognized LVNC noted on post mortem examination with screening documenting the presence of LVNC in one of the patient's twin sons. PMID:26240764

  8. IS CONSANGUINEOUS MARRIAGE RESPONSIBLE FOR CONGENITAL CARDIAC AND EXTRA-CARDIAC ANOMALIES?

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    Nutan Nalini

    2016-03-01

    Full Text Available BACKGROUND This article is about the stillbirth in which we found significant numbers of cardiac as well as extracardiac defects, in combination or separately. In this article, we would like to emphasize the anomalies found in consanguineous marriages. AIM To correlate the prevalence of cardiac as well as extracardiac anomalies in consanguineous marriages. Especially, here we would like to focus on the cardiac lesions. MATERIAL AND METHOD The study was carried out in 44 still birth foetuses with detailed account of parentage. Significant number of cases with cardiac and extracardiac anomalies was found. RESULTS Out of total 44 stillbirth foetuses, 13 stillbirths were from consanguineous marriages in which 09 had cardiac anomalies. Interrupted aortic arch-02, Abnormal origin of right Subclavian artery- 01, Tetralogy of Fallot- 01, VSD- 04, ASD-01. The extra cardiac findings included Gastroschisis-01, Anencephaly with spina bifida-01, cleft lip/palate-01, polydactyly and syndactyly of ring and little finger-01, limb deformity-01, hydrocephalus-01, craniothoracopagus-01. CONCLUSION Considering the high incidence of cardiac and extracardiac anomalies in consanguineous parentage we must try to create an awareness to avoid the practice of consanguineous marriages in society.

  9. Cryptorchidism in boys with imperforate anus

    DEFF Research Database (Denmark)

    Cortes, D; Thorup, J M; Nielsen, O H;

    1995-01-01

    In a retrospective study of the case reports of 136 boys who were operated on for an imperforate anus and who survived at least 18 months, cryptorchidism was the most common associated anomaly, involving 26 cases (19%). The higher the level of the anorectal malformations, the higher was the incid......In a retrospective study of the case reports of 136 boys who were operated on for an imperforate anus and who survived at least 18 months, cryptorchidism was the most common associated anomaly, involving 26 cases (19%). The higher the level of the anorectal malformations, the higher...

  10. Unique cardiac and cerebral anomalies with chondrodysplasia punctata.

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    Ciske, D J; Waggoner, D J; Dowton, S B

    1998-01-06

    Chondrodysplasia punctata (CDP) is associated with a variety of genetic and nongenetic conditions. We report a girl with CDP, complex congenital cardiac disease, central nervous system (CNS) anomalies, and clinical findings that resemble those of the sibs described by Toriello et al. [1993, Am J Med Genet 47:797-799]. The cardiac defects and CNS abnormalities reported are unique in the context of CDP and may serve to expand the phenotypic spectrum of the unique form of CDP described by Toriello et al. [1993].

  11. Imperforate anus repair

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    ... anus defects: The first surgery is called a colostomy. The surgeon creates an opening in the skin ... attached to the abdomen. This is called a colostomy. The baby is often allowed to grow for ...

  12. A rare case of cardiac anomaly: prenatally diagnosed ectopia cordis

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    Çelik, Yalçın; Hallıoğlu, Olgu; Basut, Nursel; Demetgül, Hasan; Esin Kibar, A.

    2015-01-01

    Ectopia cordis is a rare congenital malformation in which the heart is located partially or totally outside the thoracic cavity. The estimated prevalence of ectopia cordis is 5.5–7.9 per million births and it comprises 0.1% of congenital heart diseases. Ectopia cordis is associated with other congenital heart diseases and various tissue and organ disorders. Common cardiac anomalies associated with ectopia cordis include ventricular septal defect, atrial septal defect, pulmonary stenosis, righ...

  13. A rare case of cardiac anomaly: prenatally diagnosed ectopia cordis.

    Science.gov (United States)

    Çelik, Yalçın; Hallıoğlu, Olgu; Basut, Nursel; Demetgül, Hasan; Esin Kibar, A

    2015-06-01

    Ectopia cordis is a rare congenital malformation in which the heart is located partially or totally outside the thoracic cavity. The estimated prevalence of ectopia cordis is 5.5-7.9 per million births and it comprises 0.1% of congenital heart diseases. Ectopia cordis is associated with other congenital heart diseases and various tissue and organ disorders. Common cardiac anomalies associated with ectopia cordis include ventricular septal defect, atrial septal defect, pulmonary stenosis, right ventricular diverticulum, double right ventricular outflow tract and tetralogy of Fallot. Extracardiac anomalies associated with ectopia cordis reported in the literature include omphalocele, gastrochisis, cleft lip and palate, scollosis and central nervous system malformations. Here we report a newborn with ectopia cordis who was diagnosed prenatally.

  14. KONDILOMA AKUMINATA PADA ANUS

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    I Gede Wahyu Toya Pratama

    2015-01-01

    Full Text Available Kondiloma Akuminata di sebabkan oleh Human Papillomavirus (HPV.HPV6dan11yangberisiko rendahuntuk menyebabkankanker, tetapimenyebabkan90% dariKondiloma akuminata. Kondiloma Akuminata di tularkan melalui hubungan sexual yang berganti-ganti pasangan.Dilaporkan kasus seorang laki-laki berumur 19 tahun dengan diagnosis Kondiloma Akuminata pada anus. Gambaran klinis di temukan papul multipel dengan batas tegas dan berbentuk bulat seperti jengger ayam . Ukuran servariasi 3cm-2x3 cm dengan konsistensi padat dan permukaan verukosa.Penatalaksanaan yang di lakukan adalah Tutul TCA (TRICHLORACETIC ACID 80%. Prognosis pasien ini baik.

  15. Bifid scrotum, perineal hamartoma and high imperforate anus: a case report.

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    Villarreal, D H; Ortiz, V N; Iturregui, J R; Suarez, G; Duran, N

    1998-01-01

    This is a case report of a newborn patient with imperforate anus, urethro-colonic fistula, perianal hamartoma, and bifid scrotum. Successful staged repair of these anomalies is described together with review of the embriology related to the case.

  16. MRI anatomy of anteriorly displaced anus: what obstructs defecation?

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    AbouZeid, Amr Abdelhamid [Ain-Shams University, Department of Pediatric Surgery, Cairo (Egypt); Mohammad, Shaimaa Abdelsattar; Khairy, Khaled Talaat [Ain-Shams University, Department of Radiodiagnosis, Cairo (Egypt)

    2014-07-15

    Anteriorly displaced anus is an anomaly that is debated with regard to its nomenclature, diagnosis and management. To describe MRI anatomy of the anal canal in children with anteriorly displaced anus and its impact on the process of defecation. We prospectively examined ten children (7 girls, 3 boys; age range 7 months to 8 years, mean 3 years) with anteriorly displaced anus between August 2009 and April 2012. Noncontrast MRI examinations were performed on a 1.5-T magnet. T1- and T2-weighted turbo spin-echo images were acquired in axial, sagittal and coronal planes of the pelvis. The anorectal angle and the relative hiatal distance were measured in mid-sagittal images, and compared with those of a control group using the Mann-Whitney test. In children with anteriorly displaced anus, no anatomical abnormality was depicted at the level of the proximal anal canal. However, the distal anal canal was displaced anteriorly, running out its external muscle cuff, which remained un-displaced at the usual site of the anus. This changes the orientation of the central axis of the anal canal by passing across instead of along the fibers of the longitudinal muscle coat. Children with anteriorly displaced anus had a more obtuse anorectal angle (mean 112.1 ), which was significantly greater than that of the control group (mean 86.2 ). MRI is a valuable tool in studying the anatomy of the anal canal in children with anteriorly displaced anus. The abnormal orientation of the longitudinal muscle across the anal canal can explain the obstructed defecation in these children. Based on this study, it might be of interest to use MRI in studying equivocal cases and children with unexplained constipation. (orig.)

  17. [Duplication of the anus and rectum in an adult. Report of 1 case].

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    Labastida Muñoz, H; Tamayo Pérez, R; Corichi Barceinas, R

    1978-01-01

    It is reported a case of duplication of the anus and rectum. A 48 year old man, had two functioning rectae, one ending in its normal anatomical topography and the functioning but nor functional supernumerary rectum exteriorized in the left gluteal region trough a rudimentary anus. Histological studys demonstrated a rudimentary sphincter in the ectopic anus, and focal carcinamotous transformation of one of the four adenomatous polyps, encountered protruding through the normally located anus. The anal anomaly was associated with partial agenesis of the sacrum, absence of coccyx, sacral anterior meningomyelocele and hypoplasia of the twelve right rib. The frequency of the anomaly, its histology and embriology, as well as its classification within the malformations of the terminal gut, were revised in the medical bibliography. It is concluded that this type of anomaly has not been classified or describe, before.

  18. Pattern-based approach to fetal congenital cardiovascular anomalies using the transverse aortic arch view on prenatal cardiac MRI

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    Dong, Su-Zhen; Zhu, Ming [Shanghai Jiaotong University School of Medicine, Department of Radiology, Shanghai Children' s Medical Center, Shanghai (China)

    2015-05-01

    Fetal echocardiography is the imaging modality of choice for prenatal diagnosis of congenital cardiovascular anomalies. However, echocardiography has limitations. Fetal cardiac magnetic resonance imaging (MRI) has the potential to complement US in detecting congenital cardiovascular anomalies. This article draws on our experience; it describes the transverse aortic arch view on fetal cardiac MRI and important clues on an abnormal transverse view at the level of the aortic arch to the diagnosis of fetal congenital cardiovascular anomalies. (orig.)

  19. Atresia of the bilateral pulmonary veins: a rare and dismal anomaly identified on cardiac CT

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    Goo, Hyun Woo; Park, Sang-Hyub; Koo, Hyun Jung; Cho, Young Hoon; Lee, Eunsol [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea, Republic of)

    2014-08-15

    Imaging findings of bilateral pulmonary vein atresia have not been described. To describe cardiac CT findings and clinical outcomes of bilateral pulmonary vein atresia. Three newborns with bilateral pulmonary vein atresia were encountered at our institution during a period of 8 years. We evaluated prenatal echocardiographic findings, clinical presentations, postnatal echocardiographic findings, chest radiographic findings, cardiac CT findings and clinical outcomes. All newborns presented immediately after birth with severe cyanosis, respiratory distress and acidosis that were unresponsive to medical management. Prenatal and postnatal echocardiographic studies and chest radiography were misleading, inconclusive or nonspecific in making the diagnosis in these children; however cardiac CT clearly demonstrated atresia of the bilateral pulmonary veins with multiple small mediastinal collateral veins and pulmonary edema. Surgical treatments were not feasible for this anomaly. Their clinical outcomes were universally dismal and all infants died within 3 days. Cardiac CT provides an accurate diagnosis of bilateral pulmonary vein atresia and leads to prompt treatment decision in these children. (orig.)

  20. Anomalies.

    Science.gov (United States)

    Online-Offline, 1999

    1999-01-01

    This theme issue on anomalies includes Web sites, CD-ROMs and software, videos, books, and additional resources for elementary and junior high school students. Pertinent activities are suggested, and sidebars discuss UFOs, animal anomalies, and anomalies from nature; and resources covering unexplained phenonmenas like crop circles, Easter Island,…

  1. Trisomy 1q43 syndrome: a consistent phenotype with macrocephaly, characteristic face, developmental delay and cardiac anomalies.

    NARCIS (Netherlands)

    Morava, E.; Jackson, K.E.; Tsien, F.; Marble, M.R.

    2004-01-01

    Trisomy 1q43 syndrome: a consistent phenotype with macrocephaly, characteristic face, developmental delay and cardiac anomalies: Patients with trisomy (1)(q42-qter) present with psychomotor retardation, macrocephaly, occasional presence of facial capillary naevi, cardio-vascular anomalies and small

  2. Cardiac anomalies in Cantrell's pentalogy: From ventricular diverticulum to complete thoracic ectopia cordis.

    Science.gov (United States)

    Kaouthar, Hakim; Jihen, Ayari; Faten, Jebri; Hela, Msaad; Fatma, Ouarda; Lilia, Chaker; Rafik, Boussaada

    2013-01-01

    Cantrell's pentalogy is a very rare syndrome associating varying degrees of midline wall defects and congenital cardiac anomalies. It is characterized by a combination of five anomalies that are: a midline supra umbilical abdominal wall defect, a sternal defect, an anterior diaphragmatic defect, a diaphragmatic pericardial defect and a congenital intra cardiac defect. Ectopia cordis, defined as a developmental defect in which the heart is abnormally located partially or totally outside the thorax, is in some cases a part of this syndrome. We report two cases of Cantrell's pentalogy in which cardiac ectopia was complete in one case and limited to left ventricular diverticulum in the other case. Both cases had a common intracardiac defect which is a double outlet right ventricle. The first case underwent surgical repair of the intracardiac lesions with resection of the diverticulum associated to repair of the midline defects with good outcome. The second case that presented with complete extra thoracic ectopia cordis died because of sepsis. We review through this article the main characteristics of Cantrell's pentalogy, we highlight the diversity of anatomic lesions and study the prognosis of this syndrome.

  3. Cardiac anomalies in Cantrell’s pentalogy: From ventricular diverticulum to complete thoracic ectopia cordis

    Science.gov (United States)

    Kaouthar, Hakim; Jihen, Ayari; Faten, Jebri; Hela, Msaad; Fatma, Ouarda; Lilia, Chaker; Rafik, Boussaada

    2014-01-01

    Summary Cantrell’s pentalogy is a very rare syndrome associating varying degrees of midline wall defects and congenital cardiac anomalies. It is characterized by a combination of five anomalies that are: a midline supra umbilical abdominal wall defect, a sternal defect, an anterior diaphragmatic defect, a diaphragmatic pericardial defect and a congenital intra cardiac defect. Ectopia cordis, defined as a developmental defect in which the heart is abnormally located partially or totally outside the thorax, is in some cases a part of this syndrome. We report two cases of Cantrell’s pentalogy in which cardiac ectopia was complete in one case and limited to left ventricular diverticulum in the other case. Both cases had a common intracardiac defect which is a double outlet right ventricle. The first case underwent surgical repair of the intracardiac lesions with resection of the diverticulum associated to repair of the midline defects with good outcome. The second case that presented with complete extra thoracic ectopia cordis died because of sepsis. We review through this article the main characteristics of Cantrell’s pentalogy, we highlight the diversity of anatomic lesions and study the prognosis of this syndrome. PMID:25541632

  4. Spectrum of bronchopulmonary anomalies associated with tracheoesophageal malformations

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    Benson, J.E.; Fletcher, B.D.; Olsen, M.

    1985-09-01

    The combination of tracheoesophageal and pulmonary malformations is unusual and reportedly carries a high mortality. We have observed six patients with esophageal atresia and tracheoesophageal fistula and one with a bronchoesophageal fistula who had associated bronchopulmonary anomalies ranging from lobar hypoplasia and agenesis to unilateral pulmonary hypoplasia or agenesis. All of the pulmonary malformations were right-sided. Vertebral or rib anomalies were present in five patients, congenital heart disease in two, imperforate anus in one and one patient had radial aplasia and Pierre Robin syndrome. The bronchopulmonary anomalies complicated the surgical care of tracheoesophageal malformations and required radiologic differentiation from aspiration pneumonia and atelectasis. Six of the seven patients survived. Mortality and morbidity were related to complications and associated cardiac anomalies as well as severity of the lung anomaly.

  5. Imperforate anus, delayed presentation in a 7-year-old girl.

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    Acosta Farina, D; Ortiz-Interian, C J; Acosta Vasquez, C E

    1993-07-01

    Most of the cases of imperforate anus should be discovered at birth, during the initial physical examination. This case represents the status of Third World rural perinatal care, wherein delivery of an infant by a midwife in poverty stricken area of mountainous Jipijapa, Ecuador, failed to reveal the anomaly during the cursory examination. Moreover, the cultural taboos of the Jipijapan agricultural community further delayed the diagnosis. A 7-year-old girl with imperforate anus presenting with a rectovaginal fistula is reported. Specific findings in the case, therapy, and an approach to the diagnosis are discussed.

  6. Cryptorchidism in boys with imperforate anus

    DEFF Research Database (Denmark)

    Cortes, Dina; Thorup, J M; Nielsen, Ole Henrik;

    1995-01-01

    was the incidence of cryptorchidism. The incidence of renal and ureteric malformations and dysplasias showed a parallel tendency. The incidence of vertebral malformations and dysplasias in the T10-S5 area was low among patients with a covered anus or a perineal fistula. Cryptorchidism was found associated...... with urological and with T10-S5 vertebral malformations and dysplasias. Recognition of this association is probably new. The histopathological findings of testicular biopsy specimens and the location of the undescended testes in patients with an imperforate anus showed the same pattern as seen in undescended...

  7. Fluorescence in situ hybridization (FISH screening for the 22q11.2 deletion in patients with clinical features of velocardiofacial syndrome but without cardiac anomalies

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    Paula Sandrin-Garcia

    2007-01-01

    Full Text Available The velocardiofacial syndrome (VCFS, a condition associated with 22q11.2 deletions, is characterized by a typical facies, palatal anomalies, learning disabilities, behavioral disturbances and cardiac defects. We investigated the frequency of these chromosomal deletions in 16 individuals with VCFS features who presented no cardiac anomalies, one of the main characteristics of VCFS. Fluorescent in situ hybridization (FISH with the N25 (D22S75; 22q11.2 probe revealed deletions in ten individuals (62%. Therefore, even in the absence of cardiac anomalies testing for the 22q11.2 microdeletions in individuals showing other clinical features of this syndrome is recommended.

  8. Congenital keratoglobus with multiple cardiac anomalies: a case presentation and literature review.

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    Ozer, Pinar A; Yalniz-Akkaya, Zuleyha

    2015-07-01

    Keratoglobus is a rare condition of bilateral corneal ectasia, which results in high myopia, irregular astigmatism, scarring, and rarely spontaneous globe rupture. Globoid protrusion of a clear, diffusely thin cornea is the pathology. The congenital form has been associated with blue sclera in which there is a systemic connective tissue disorder with abnormal collagen synthesis like Ehlers-Danlos syndrome, Marfan syndrome, and osteogenesis imperfecta. Some concomitant abnormalities reported with kertoglobus include joint hypermobility, dental and skeletal abnormalities, osteal fragility, and deafness. Acquired forms have been reported to be associated with vernal keratoconjunctivitis and thyroid ophthalmopathy. We report the case of a 16-year-old boy with keratoglobus who presented with a history of photophobia and a low vision in both eyes since birth. He has been followed up by our pediatric cardiology department due to multiple cardiac anomalies. He had hypermobility of large joints, easy bruising, thin and hyperextensible skin with visible veins, which were also described in his elder brother. We aimed to discuss the etiology and the association of keratoglobus with some systemic abnormalities caused by collogen tissue disturbance, and make a brief review about the recent literature concerning the management of keratoglobus patients.

  9. How did the surgeons treat neonates with imperforate anus in the eighteenth century?

    Science.gov (United States)

    Yesildag, Ebru; Muñiz, Rubén Martínez; Buyukunal, S N Cenk

    2010-12-01

    Anorectal malformations (ARMS) are one of those challenging topics of pediatric surgery. The developments in assessing and approaching patients with these anomalies have been made in the last decades and the methods described in older textbooks functioned as a guide in planning these attempts (Kiely and Peña in Pediatric surgery, Mosby, Missouri, pp 1425-1449, 1998; Grosfeld in Anorectal malformations in children, Springer-Verlag, Berlin, pp 3-15, 2006). The aim of this study is to present the attitude of a surgeon of eighteenth century to the treatment of anorectal malformations, and the evolution in the history of the anomaly. The part about imperforate anus in a textbook of surgery, found in a second-hand bookstore, was translated. The description and the classification of the anomaly, the methods of approaching these cases together with some case reports were presented and compared with today's practice. The historical background of the anomaly was evaluated not only with regard to the book of Heister specifically but also to the other data obtained in the literature. The anomaly was reported to be "not rarely" observed. The obstetricians were warned to examine a newborn baby completely for early diagnosis. The classification of the anomaly was made according to the properties of the membrane covering the anus but prompt treatment, initiating with its simple excision, was suggested in all types. Better results in cases whose anus was covered with a thin, delicate membrane were reported. The results show that routine neonatal examination for all babies was recommended in this Textbook of Surgery which had been published 260 years ago. The physical deterioration due to delay was well described. A broad classification of imperforate anus was made and successful outcome in low-type anomalies of today was reported with some case samples. It is clear that all the efforts starting from Soranus until today improved the understanding of the anomaly. Combining previous

  10. Case Series: Fetal Pulmonary Vein A-Wave Reversal: An Early Marker of Left-Sided Cardiac Anomalies?

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    Aldo L. Schenone

    2015-04-01

    Full Text Available Background - Improvements in congenital heart disease (CHD screening are needed based on the lack of sensitivity of current screening methods and the understanding that the early detection of certain CHDs may improve outcomes. Fetal venous circulation has caught medical attention, and two studies demonstrated that it is feasible to register pulmonary vein flow velocity waveforms (FVWs during early gestation. Meanwhile, the latter study proposed pulmonary vein A-wave reversal as a marker of cardiac anomaly. Methods - We report a series of six consecutive fetuses with confirmed cardiac anomalies that underwent first-trimester screening, including pulmonary vein FVWs, at our center during 2013. CHD was confirmed by late pregnancy echocardiography, and in three cases fetal autopsies were performed. Result/Discussion - The ductus venosus (DV and nuchal translucency (NT predicted 50% of CHD cases, whereas the combination of markers identified 66.6% of CHD cases. When adding pulmonary vein assessment, the rate of detection rose to 83.3%. Total five of six cases of CHD had reversal of pulmonary vein A-wave during early pregnancy. The sixth case with CHD and nonreversal of A-wave was described as right ventricle hypoplasia with type 1 tricuspid atresia and persistent ductus arteriosus. Conclusion This is the first series reporting pulmonary vein end-diastolic reversal as a CHD screening add-on during early pregnancy. The addition of pulmonary vein FVW assessment to the current CHD screening bundle could increase the rate detection of cardiac anomalies. This pilot study suggests that pulmonary vein end-diastolic flow reversal favors detection of left-sided CHD over the right-sided ones.

  11. Imperforate anus with a rectovestibular fistula and pseudotail: a case report

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    Jackson Gretchen P

    2010-10-01

    Full Text Available Abstract Introduction Human tails and pseudotails are rare sacrococcygeal lesions that are associated with a wide variety of anomalies and syndromes. Anorectal malformations are also relatively uncommon congenital defects that often occur in conjunction with syndromes or other congenital abnormalities. The anomalies associated with both disorders determine the timing and approach to surgical correction. We present an unusual case of a patient with both imperforate anus and a pseudotail in the absence of a syndrome or other associated anomalies and we emphasize the necessity of a thorough preoperative evaluation. Case presentation A Caucasian girl was born at term after an uncomplicated pregnancy and was noted at birth to have a skin-covered posterior midline mass and imperforate anus with a fistula to the vaginal vestibule. Ultrasound and magnetic resonance imaging revealed a predominately fatty lesion without presacral extension and ruled out associated spinal and cord abnormalities. The patient underwent diversion with colostomy and a mucous fistula in the newborn period as a fistulogram demonstrated a long fistulous tract to normal rectum and it was anticipated that anoplasty and resection of the mass would require extensive posterior dissection. The sacrococcygeal mass was removed during posterior sagittal anorectoplasty at the age of six weeks which was determined to be a pseudotail because of the composition of brown fat and cartilage. The patient is now 14 months old with normal bowel function after a colostomy takedown. Conclusion A comprehensive preoperative assessment and thoughtful operative plan were necessary in this unusual case because of the extensive differential diagnosis for sacrococcygeal masses in the newborn and the frequency of anomalies and syndromes associated with tail variants and imperforate anus. The pediatricians and neonatologists who initially evaluate such patients and the surgeons who correct these disorders

  12. Cystic Fibrosis in a Female Infant with Cardiac, Ocular, and Musculoskeletal Anomalies

    Directory of Open Access Journals (Sweden)

    Azhar Farooqui

    2015-01-01

    Full Text Available Cystic fibrosis (CF remains the most common hereditary disease in the western population. Its concomitant presence with other congenital abnormalities is a rare phenomenon with very little documentation. In this case report we describe a case of cystic fibrosis in a female infant with cardiac, ocular, and musculoskeletal abnormalities. A brief literature review is also provided.

  13. Anesthetic dilemma in planning bilateral cataract surgery for an infant associated with congenital cardiac anomaly

    Directory of Open Access Journals (Sweden)

    Devalina Goswami

    2015-01-01

    Full Text Available In a patient with tetralogy of Fallot (TOF and pulmonary atresia, treating the cardiac problem or the associated congenital illness is always a challenge. We describe the challenges and successful initial management of bilateral cataract to prevent visual loss in an infant with TOF with pulmonary atresia.

  14. Anesthetic dilemma in planning bilateral cataract surgery for an infant associated with congenital cardiac anomaly.

    Science.gov (United States)

    Goswami, Devalina; Seetharamaiah, Shwetha; Kedia, Sraban Kumar; Nayak, Bhagabat Kumar; Akshat, Shiv

    2015-06-01

    In a patient with tetralogy of Fallot (TOF) and pulmonary atresia, treating the cardiac problem or the associated congenital illness is always a challenge. We describe the challenges and successful initial management of bilateral cataract to prevent visual loss in an infant with TOF with pulmonary atresia.

  15. Exercise at depth alters bradycardia and incidence of cardiac anomalies in deep-diving marine mammals.

    Science.gov (United States)

    Williams, Terrie M; Fuiman, Lee A; Kendall, Traci; Berry, Patrick; Richter, Beau; Noren, Shawn R; Thometz, Nicole; Shattock, Michael J; Farrell, Edward; Stamper, Andy M; Davis, Randall W

    2015-01-16

    Unlike their terrestrial ancestors, marine mammals routinely confront extreme physiological and physical challenges while breath-holding and pursuing prey at depth. To determine how cetaceans and pinnipeds accomplish deep-sea chases, we deployed animal-borne instruments that recorded high-resolution electrocardiograms, behaviour and flipper accelerations of bottlenose dolphins (Tursiops truncatus) and Weddell seals (Leptonychotes weddellii) diving from the surface to >200 m. Here we report that both exercise and depth alter the bradycardia associated with the dive response, with the greatest impacts at depths inducing lung collapse. Unexpectedly, cardiac arrhythmias occurred in >73% of deep, aerobic dives, which we attribute to the interplay between sympathetic and parasympathetic drivers for exercise and diving, respectively. Such marked cardiac variability alters the common view of a stereotypic 'dive reflex' in diving mammals. It also suggests the persistence of ancestral terrestrial traits in cardiac function that may help explain the unique sensitivity of some deep-diving marine mammals to anthropogenic disturbances.

  16. Total Cavopulmonary Connection for Complex Cardiac Anomalies with the Functional Single Ventricle

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    From Aug. 1999 to Feb. 2001, 8 patients with complex congenital heart diseases, including 5 cases accompanied by hypoplastic left ventricle and 3 by hypoplastic right ventricle, were subjected to total cavopulmonary connection (TCPC). Eight cases underwent the operation under cardiopulmonary bypass and 7 of whom under no cardiac clamp. Seven cases received cavopulmoanry anastomosis by flaring method and one case by end-side anastomosis. All the patients underwent the intracardiac tunnels to drain inferior vena cava and plus 4 mm fenestration except one. The results showed that 6 patients had postoperative oxygen saturation more than 90 %, sinus rhythm, no anastomostic stoma obstruction, no flow reguigitation and CVP<16 cmH2O. Two (25 %) patients died postoperatively from high venous pressure of 18—20 cmH2O, finally from cardiac failure and anoxima. It was concluded that TCPC was an effective treatment for complex congenital cardiac diseases, especially with ventricular maldevelopment. Intracardiac tunnel plus 4 mm fenestration and flaring cavopulmonary anastomosis could prevent the postoperative complications. Larger anastomotic stoma, venous pressure less than 16 cmH2O and artery saturation more than 90 % might indicate excellent TCPC procedures in our experience.

  17. Folate rescues lithium-, homocysteine- and Wnt3A-induced vertebrate cardiac anomalies

    Science.gov (United States)

    Han, Mingda; Serrano, Maria C.; Lastra-Vicente, Rosana; Brinez, Pilar; Acharya, Ganesh; Huhta, James C.; Chen, Ren; Linask, Kersti K.

    2009-01-01

    SUMMARY Elevated plasma homocysteine (HCy), which results from folate (folic acid, FA) deficiency, and the mood-stabilizing drug lithium (Li) are both linked to the induction of human congenital heart and neural tube defects. We demonstrated previously that acute administration of Li to pregnant mice on embryonic day (E)6.75 induced cardiac valve defects by potentiating Wnt–β-catenin signaling. We hypothesized that HCy may similarly induce cardiac defects during gastrulation by targeting the Wnt–β-catenin pathway. Because dietary FA supplementation protects from neural tube defects, we sought to determine whether FA also protects the embryonic heart from Li- or HCy-induced birth defects and whether the protection occurs by impacting Wnt signaling. Maternal elevation of HCy or Li on E6.75 induced defective heart and placental function on E15.5, as identified non-invasively using echocardiography. This functional analysis of HCy-exposed mouse hearts revealed defects in tricuspid and semilunar valves, together with altered myocardial thickness. A smaller embryo and placental size was observed in the treated groups. FA supplementation ameliorates the observed developmental errors in the Li- or HCy-exposed mouse embryos and normalized heart function. Molecular analysis of gene expression within the avian cardiogenic crescent determined that Li, HCy or Wnt3A suppress Wnt-modulated Hex (also known as Hhex) and Islet-1 (also known as Isl1) expression, and that FA protects from the gene misexpression that is induced by all three factors. Furthermore, myoinositol with FA synergistically enhances the protective effect. Although the specific molecular epigenetic control mechanisms remain to be defined, it appears that Li or HCy induction and FA protection of cardiac defects involve intimate control of the canonical Wnt pathway at a crucial time preceding, and during, early heart organogenesis. PMID:19638421

  18. Congenital anomalies of coronary arteries: role in the pathogenesis of sudden cardiac death.

    Science.gov (United States)

    Cheitlin, Melvin D; MacGregor, John

    2009-06-01

    After hypertrophic cardiomyopathy, coronary artery anomalies of origin from the wrong sinus of Valsalva are the second most common cause of sudden death on the athletic field in the USA. Although the right coronary artery arising from the left coronary sinus (ARCA) is four times as common as the left coronary artery arising from the anterior sinus (ALCA), it is the latter that is by far the more common cause of sudden death with or shortly after vigorous physical activity. Of the four types of ALCA, the interarterial type, where the left coronary artery passes anteriorly between the aorta and the right ventricular outflow tract, is the only type that places the patient at risk of sudden death. Another feature of this syndrome is the fact that sudden death occurs associated with or shortly after vigorous exercise and is very unusual after the patient is > 35 years of age. The mechanism by which there is sudden occlusion of the interarterial coronary artery is at present unknown, although there are a number of hypotheses involving the oblique passage of the vessel as it leaves the aorta. Sudden death is probably rare considering the number of people who have these anomalies. Symptoms premonitory to a fatal event such as exertional syncope, chest pain, or palpitations are probably common in patients at risk, and surgical correction is indicated in symptomatic patients at any age. In older asymptomatic patients, surgery is not recommended, since the incidence of sudden death in this age group is extremely small. In asymptomatic young patients, a stress test, preferably with radioisotope myocardial perfusion imaging or stress echocardiogram, should be done and surgical correction performed in those with ischemia provoked in the appropriate myocardial region. Since there is evidence that in patients who have survived a potentially fatal event, it is rare to be able to provoke ischemia with equal or greater exercise than had precipitated the malignant arrhythmia, the

  19. BCOR analysis in patients with OFCD and Lenz microphthalmia syndromes, mental retardation with ocular anomalies, and cardiac laterality defects.

    Science.gov (United States)

    Hilton, Emma; Johnston, Jennifer; Whalen, Sandra; Okamoto, Nobuhiko; Hatsukawa, Yoshikazu; Nishio, Juntaro; Kohara, Hiroshi; Hirano, Yoshiko; Mizuno, Seiji; Torii, Chiharu; Kosaki, Kenjiro; Manouvrier, Sylvie; Boute, Odile; Perveen, Rahat; Law, Caroline; Moore, Anthony; Fitzpatrick, David; Lemke, Johannes; Fellmann, Florence; Debray, François-Guillaume; Dastot-Le-Moal, Florence; Gerard, Marion; Martin, Josiane; Bitoun, Pierre; Goossens, Michel; Verloes, Alain; Schinzel, Albert; Bartholdi, Deborah; Bardakjian, Tanya; Hay, Beverly; Jenny, Kim; Johnston, Kathreen; Lyons, Michael; Belmont, John W; Biesecker, Leslie G; Giurgea, Irina; Black, Graeme

    2009-10-01

    Oculofaciocardiodental (OFCD) and Lenz microphthalmia syndromes form part of a spectrum of X-linked microphthalmia disorders characterized by ocular, dental, cardiac and skeletal anomalies and mental retardation. The two syndromes are allelic, caused by mutations in the BCL-6 corepressor gene (BCOR). To extend the series of phenotypes associated with pathogenic mutations in BCOR, we sequenced the BCOR gene in patients with (1) OFCD syndrome, (2) putative X-linked ('Lenz') microphthalmia syndrome, (3) isolated ocular defects and (4) laterality phenotypes. We present a new cohort of females with OFCD syndrome and null mutations in BCOR, supporting the hypothesis that BCOR is the sole molecular cause of this syndrome. We identify for the first time mosaic BCOR mutations in two females with OFCD syndrome and one apparently asymptomatic female. We present a female diagnosed with isolated ocular defects and identify minor features of OFCD syndrome, suggesting that OFCD syndrome may be mild and underdiagnosed. We have sequenced a cohort of males diagnosed with putative X-linked microphthalmia and found a mutation, p.P85L, in a single case, suggesting that BCOR mutations are not a major cause of X-linked microphthalmia in males. The absence of BCOR mutations in a panel of patients with non-specific laterality defects suggests that mutations in BCOR are not a major cause of isolated heart and laterality defects. Phenotypic analysis of OFCD and Lenz microphthalmia syndromes shows that in addition to the standard diagnostic criteria of congenital cataract, microphthalmia and radiculomegaly, patients should be examined for skeletal defects, particularly radioulnar synostosis, and cardiac/laterality defects.

  20. De Novo Trisomy 1q10q23.3 Mosaicism Causes Microcephaly, Severe Developmental Delay, and Facial Dysmorphic Features but No Cardiac Anomalies

    Directory of Open Access Journals (Sweden)

    Shirley Lo-A-Njoe

    2016-01-01

    Full Text Available Proximal duplications of chromosome 1q are rare chromosomal abnormalities. Most patients with this condition present with neurological, urogenital, and congenital heart disease and short life expectancy. Mosaicism for trisomy 1q10q23.3 has only been reported once in the literature. Here we discuss a second case: a girl with a postnatal diagnosis of a de novo pure mosaic trisomy 1q1023.3 who has no urogenital or cardiac anomalies.

  1. Total colonic aganglionosis and imperforate anus in a severely affected infant with Pallister-Hall syndrome.

    Science.gov (United States)

    Li, Mindy H; Eberhard, Moriah; Mudd, Pamela; Javia, Luv; Zimmerman, Robert; Khalek, Nahla; Zackai, Elaine H

    2015-03-01

    Pallister-Hall syndrome is a complex malformation syndrome characterized by a wide range of anomalies including hypothalamic hamartoma, polydactyly, bifid epiglottis, and genitourinary abnormalities. It is usually caused by truncating frameshift/nonsense and splicing mutations in the middle third of GLI3. The clinical course ranges from mild to lethal in the neonatal period. We present the first patient with Pallister-Hall syndrome reported with total colonic aganglionosis, a rare form of Hirschsprung disease with poor long-term outcome. The patient also had an imperforate anus, which is the third individual with Pallister-Hall syndrome reported with both Hirschsprung disease and an imperforate anus. Molecular testing via amniocentesis showed an apparently de novo novel nonsense mutation c.2641 C>T (p.Gln881*). His overall medical course was difficult and was complicated by respiratory failure and pan-hypopituitarism. Invasive care was ultimately withdrawn, and the patient expired at three months of age. This patient's phenotype was complex with unusual gastrointestinal features ultimately leading to a unfavorable prognosis and outcome, highlighting the range of clinical severity in patients with Pallister-Hall syndrome.

  2. The Imperforate Anus Psychosocial Questionnaire (IAPSQ: Its construction and psychometric properties

    Directory of Open Access Journals (Sweden)

    Christensson Kyllike

    2009-05-01

    Full Text Available Abstract The origin of the present study was to develop the liaison work between the disciplines of child and adolescent psychiatry and paediatric surgery and nursing, so as to improve the quality of treatment and care of a group of children with imperforate anus (IA and their families. Imperforate anus is a congenital disease involving a deformity of the anorectum. The early surgery and invasive follow-up treatment associated with IA may affect the child psychosocially, including the child-parent relationship. By developing and testing a questionnaire for children born with anorectal anomalies, a tool for measuring psychosocial functioning can be realized. Methods First, a literature review on "Imperforate Anus" was performed. Second, an exploratory interview study was conducted with patients/adolescents with IA and their parents. The findings from these interviews were the foundation for construction of the questionnaire. The Imperforate Anus Psychosocial Questionnaire (IAPSQ was tested and revised three times before its completion. It contains 45 items on Likert scales. A total of 87 children completed the IAPSQ: 25 children with IA and two comparison groups. Face and content validity were considered. The Rasch approach, an item response theory model, was used to evaluate the psychometric properties of the IAPSQ, where item difficulty and person ability are concurrently approximated. Results The findings of the Rasch analysis revealed that the psychological dimension was reasonable, and that person reliability (0.83 was moderate and item reliability (0.95 was sufficient. The social dimension showed satisfactory item reliability (0.87. The person reliability (0.52 of the social dimension was weak. Content validity seemed to be established and construct validity was recognized on the psychological dimension. Conclusion The IAPSQ provides a reasonably valid and reliable measure of psychosocial functioning for clinical use among children with IA

  3. Delayed diagnosis of imperforate anus: an unacceptable morbidity.

    LENUS (Irish Health Repository)

    Turowski, Carmen

    2010-11-01

    Diagnosis of imperforate anus is usually made shortly after birth with physical examination. Nonetheless, a significant number of patients have presented beyond the neonatal period without recognition of anorectal malformation. We reviewed our experience of anorectal malformations, with particular emphasis on the timing of diagnosis.

  4. Crohn's Disease of the Colon, Rectum, and Anus.

    Science.gov (United States)

    Harb, William J

    2015-12-01

    There is no cure for Crohn disease. Newer treatments, such as biological therapy, have led to an improved quality of life. This article focuses on the surgical management of Crohn disease of the colon, rectum, and anus. Restorative and nonrestorative surgical options for colonic Crohn disease are discussed. Treatment options for perianal Crohn disease are also reviewed.

  5. Tracheobronchial Branching Anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Min Ji; Kim, Young Tong; Jou, Sung Shick [Soonchunhyang University, Cheonan Hospital, Cheonan (Korea, Republic of); Park, A Young [Soonchunhyang University College of Medicine, Asan (Korea, Republic of)

    2010-04-15

    There are various congenital anomalies with respect to the number, length, diameter, and location of tracheobronchial branching patterns. The tracheobronchial anomalies are classified into two groups. The first one, anomalies of division, includes tracheal bronchus, cardiac bronchus, tracheal diverticulum, pulmonary isomerism, and minor variations. The second one, dysmorphic lung, includes lung agenesis-hypoplasia complex and lobar agenesis-aplasia complex

  6. Iron deposition following chronic myocardial infarction as a substrate for cardiac electrical anomalies: initial findings in a canine model.

    Directory of Open Access Journals (Sweden)

    Ivan Cokic

    Full Text Available PURPOSE: Iron deposition has been shown to occur following myocardial infarction (MI. We investigated whether such focal iron deposition within chronic MI lead to electrical anomalies. METHODS: Two groups of dogs (ex-vivo (n = 12 and in-vivo (n = 10 were studied at 16 weeks post MI. Hearts of animals from ex-vivo group were explanted and sectioned into infarcted and non-infarcted segments. Impedance spectroscopy was used to derive electrical permittivity ([Formula: see text] and conductivity ([Formula: see text]. Mass spectrometry was used to classify and characterize tissue sections with (IRON+ and without (IRON- iron. Animals from in-vivo group underwent cardiac magnetic resonance imaging (CMR for estimation of scar volume (late-gadolinium enhancement, LGE and iron deposition (T2* relative to left-ventricular volume. 24-hour electrocardiogram recordings were obtained and used to examine Heart Rate (HR, QT interval (QT, QT corrected for HR (QTc and QTc dispersion (QTcd. In a fraction of these animals (n = 5, ultra-high resolution electroanatomical mapping (EAM was performed, co-registered with LGE and T2* CMR and were used to characterize the spatial locations of isolated late potentials (ILPs. RESULTS: Compared to IRON- sections, IRON+ sections had higher[Formula: see text], but no difference in[Formula: see text]. A linear relationship was found between iron content and [Formula: see text] (p1.5% with similar scar volumes (7.28% ± 1.02% (Iron (1.5%, p = 0.51 but markedly different iron volumes (1.12% ± 0.64% (Iron (1.5%, p = 0.02, QT and QTc were elevated and QTcd was decreased in the group with the higher iron volume during the day, night and 24-hour period (p<0.05. EAMs co-registered with CMR images showed a greater tendency for ILPs to emerge from scar regions with iron versus without iron. CONCLUSION: The electrical behavior of infarcted hearts with iron appears to be different from those without iron. Iron within infarcted zones may

  7. The hidden mortality of imperforate anus

    Directory of Open Access Journals (Sweden)

    Nikki Beudeker

    2013-01-01

    Full Text Available Background: Anorectal malformations (ARMs affect 1 in 4000-5000 births and are a big challenge in western countries. However, little is known about ARMs in Africa. The aim of this study is to evaluate the incidence, treatment and outcome of ARMs in Malawi. Materials and Methods: Over a 4-year period (2006-2009, data was extracted from patients up to and including the age of 5 years or less who underwent a colostomy, posterior sagittal anorectoplasty or colostomy closure. Results: Of the data that could be retrieved 46 patients met the criteria of congenital ARMs; 65.2% were female (N = 30 and 34.8% were male (N = 16. The median distance from patient to the hospital was 79 km and the median age at presentation was 24 days. In female patients: The most common ARM was the vestibular fistula (N = 21; 70%, a recto-vaginal fistula was found four times, a cloaca was found three times and a perineal fistula or no fistula were both found once each. The most common ARM among boys was the recto-urethral fistula (N = 10. Two boys had no fistula. A perineal fistula and a recto-vesical fistula were both found once each. Nearly, half of the patients (N = 22 had complications. Complications occurred less often in the group, which lived closest to the Surgical Unit (25%. Associated anomalies were found in one patient. Conclusion: This study shows a skewed distribution of age at presentation and type of ARM. The most likely explanations are (1 the distance to the hospital: Because none of the male patients presented after 4 weeks and many may have passed away before arriving at the tertiary care centre; (2 lack of knowledge among primary caregivers since very few patients with rectoperineal fistulas were seen. The rate of complications was high, probably also related to advance age at presentation. Therefore, Malawi needs more awareness for earlier detection and quicker intervention.

  8. Augmented-pressure colostogram in imperforate anus with fistula

    Energy Technology Data Exchange (ETDEWEB)

    Gross, G.W. (Jefferson Medical Coll., Philadelphia, PA (United States). Dept. of Radiology); Wolfson, P.J. (Jefferson Medical Coll., Philadelphia, PA (United States). Dept. of Surgery); Pena, A. (Schneider Children' s Hospital, Long Island Jewish Medical Center, New York, NY (United States). Dept. of Pediatric Surgery)

    1991-12-01

    Most newborns with imperforate anus, except for those with very low varieties, undergo a diverting colostomy performed in the postnatal period, with definitive surgical repair at a later age. Accurate demonstration of the anatomy of any associated fistula between the rectum and urogenital tract is essential for optimal surgical management. An augmented-pressure distal segment colostogram is recommended prior to definitive repair, both to confirm the level of rectal atresia and to define any associated fistulous communication. We report a case of high imperforate anus with rectourethral fistula in which the fistulous tract was not identified on the conventional contrast colostogram but was readily delineated when an augmented-pressure modification of the technique was utilized. The technical aspects of augmented-pressure colostography are presented. (orig.).

  9. [Congenital recto-vaginal fistula associated with a normal anus (type H fistula) and rectal atresia in a patient. Report of a case and a brief revision of the literature].

    Science.gov (United States)

    Fernández Fernández, Jesús Ángel; Parodi Hueck, Luis

    2015-09-01

    Congenital recto-urogenital type fistulas with a normal anus and rectal atresia, represent both anorectal malformations that are infrequently seen in clinical practice. We describe the case of a girl with an association of these two anomalies, together with a double vagina who, on her seventh day of life, expelled feces through her genitals. The malformations were corrected by means of a posterior sagittal approach, descending from the rectum to the anus without perineal dissection. The vaginal septum was resected thru the vulva. There is no evidence of recurrence of the recto-vaginal fistula.

  10. Autosomal dominant inheritance of cardiac valves anomalies in two families: extended spectrum of left-ventricular outflow tract obstruction.

    NARCIS (Netherlands)

    Wessels, M.W.; Laar, I.M. van de; Roos-Hesselink, J.W.; Strikwerda, S.; Majoor-Krakauer, D.F.; Vries, L.B.A. de; Kerstjens-Frederikse, W.S.; Vos, Y.J.; Graaf, B.M. de; Bertoli-Avella, A.M.; Willems, P.J.

    2009-01-01

    Only a limited number of families with clear monogenic inheritance of nonsyndromic forms of congenital valve defects have been described. We describe two multiplex pedigrees with a similar nonsyndromic form of heart valve anomalies that segregate as an autosomal dominant condition. The first family

  11. Autosomal Dominant Inheritance of Cardiac Valves Anomalies in Two Families : Extended Spectrum of Left-Ventricular Outflow Tract Obstruction

    NARCIS (Netherlands)

    Wessels, Maria W.; van de Laar, Ingrid M. B. H.; Roos-Hesselink, Jolien; Strikwerda, Sipke; Majoor-Krakauer, Danielle F.; de Vries, Bert B. A.; Kerstjens-Frederikse, Wilhelmina S.; Vos, Yvonne J.; de Graaf, Bianca M.; Bertoli-Avella, Aida M.; Willems, Patrick J.

    2009-01-01

    Only a limited number of families with clear monogenic inheritance of nonsyndromic forms of congenital valve defects have been described. We describe two multiplex pedigrees with a similar nonsyndromic form of heart valve anomalies that segregate as an autosomal dominant condition. The first family

  12. Early Developmental Assessment of Children with Major Non-Cardiac Congenital Anomalies Predicts Development at the Age of 5 Years

    Science.gov (United States)

    Mazer, Petra; Gischler, Saskia J.; van der Cammen-van Zijp, Monique H. M.; Tibboel, Dick; Bax, Nicolaas M. A.; Ijsselstijn, Hanneke; van Dijk, Monique; Duivenvoorden, Hugo J.

    2010-01-01

    Aim: The aim of this study was to evaluate cognitive and motor development in children with major congenital anomalies and the predictability of development at age 5 years. Method: A prospective, longitudinal follow-up study was undertaken. The Dutch version of the Bayley Scales of Infant Development--Mental Developmental Index (MDI) and…

  13. Validity of Transperineal Ultrasound in Infants with Imperforate Anus

    Directory of Open Access Journals (Sweden)

    M. Alehossein

    2004-06-01

    Full Text Available Background and Objectives: Optimal surgical management of the neonate with imperforate anus depends on accurate determination of the level of the rectal pouch. The use of ultrasound to determine the pouch level has been previously described, but has not become widely accepted. The goal of this study is to determine the validity of this measurement according to final surgical findings in patients with anorectal malformation. Materials and Methods: In a cross sectional study,23 children with imperfo-rated anus were evaluated by transperineal ultrasound with a 7.5 MHz sector transducer in the supine and lithotomic positions to determine the pouch level and pouch to perineum (P-P distance. In all cases, the level of the distal pouch was confirmed by definitive surgery or distal colostogram. The agreement between sonography and surgery or colostogram as gold standard was obtained by weighted kappa test. Results: In five children, the pouch to perineum (P-P distance was less than 10mm. All of these low lesions were safely treated by a simple perineal anoplasty (minimal posterior sagittal anorectoplasty; i.e. minimal PSARP and were confirmed as low type. Seven children had P-P distance of 10-15 mm. In the follow up definitive surgery, 5 cases were intermediate and two cases were high. Eleven children had a P-P distance of more than 15 mm, of which ten cases were high lesions and had colostomy at birth. During follow up, 8 cases underwent definitive surgery of PSARP and two of these high cases were confirmed by distal colostogram and one case was categorized as intermediate by definitive PSARP. Measure of agreement (Kappa was calculated to be 0.791 (P = 0.001 Therefore, Ultrasound correctly predicted the level of the distal pouch in 20 of 23 patients. Conclusion: Transperineal ultrasound can be confidently used prior to surgical decision in children with imperforate anus in addition to physical exam.

  14. Prickle1 mutation causes planar cell polarity and directional cell migration defects associated with cardiac outflow tract anomalies and other structural birth defects

    Directory of Open Access Journals (Sweden)

    Brian C. Gibbs

    2016-03-01

    Full Text Available Planar cell polarity (PCP is controlled by a conserved pathway that regulates directional cell behavior. Here, we show that mutant mice harboring a newly described mutation termed Beetlejuice (Bj in Prickle1 (Pk1, a PCP component, exhibit developmental phenotypes involving cell polarity defects, including skeletal, cochlear and congenital cardiac anomalies. Bj mutants die neonatally with cardiac outflow tract (OFT malalignment. This is associated with OFT shortening due to loss of polarized cell orientation and failure of second heart field cell intercalation mediating OFT lengthening. OFT myocardialization was disrupted with cardiomyocytes failing to align with the direction of cell invasion into the outflow cushions. The expression of genes mediating Wnt signaling was altered. Also noted were shortened but widened bile ducts and disruption in canonical Wnt signaling. Using an in vitro wound closure assay, we showed Bj mutant fibroblasts cannot establish polarized cell morphology or engage in directional cell migration, and their actin cytoskeleton failed to align with the direction of wound closure. Unexpectedly, Pk1 mutants exhibited primary and motile cilia defects. Given Bj mutant phenotypes are reminiscent of ciliopathies, these findings suggest Pk1 may also regulate ciliogenesis. Together these findings show Pk1 plays an essential role in regulating cell polarity and directional cell migration during development.

  15. Prickle1 mutation causes planar cell polarity and directional cell migration defects associated with cardiac outflow tract anomalies and other structural birth defects.

    Science.gov (United States)

    Gibbs, Brian C; Damerla, Rama Rao; Vladar, Eszter K; Chatterjee, Bishwanath; Wan, Yong; Liu, Xiaoqin; Cui, Cheng; Gabriel, George C; Zahid, Maliha; Yagi, Hisato; Szabo-Rogers, Heather L; Suyama, Kaye L; Axelrod, Jeffrey D; Lo, Cecilia W

    2016-02-16

    Planar cell polarity (PCP) is controlled by a conserved pathway that regulates directional cell behavior. Here, we show that mutant mice harboring a newly described mutation termed Beetlejuice (Bj) in Prickle1 (Pk1), a PCP component, exhibit developmental phenotypes involving cell polarity defects, including skeletal, cochlear and congenital cardiac anomalies. Bj mutants die neonatally with cardiac outflow tract (OFT) malalignment. This is associated with OFT shortening due to loss of polarized cell orientation and failure of second heart field cell intercalation mediating OFT lengthening. OFT myocardialization was disrupted with cardiomyocytes failing to align with the direction of cell invasion into the outflow cushions. The expression of genes mediating Wnt signaling was altered. Also noted were shortened but widened bile ducts and disruption in canonical Wnt signaling. Using an in vitro wound closure assay, we showed Bj mutant fibroblasts cannot establish polarized cell morphology or engage in directional cell migration, and their actin cytoskeleton failed to align with the direction of wound closure. Unexpectedly, Pk1 mutants exhibited primary and motile cilia defects. Given Bj mutant phenotypes are reminiscent of ciliopathies, these findings suggest Pk1 may also regulate ciliogenesis. Together these findings show Pk1 plays an essential role in regulating cell polarity and directional cell migration during development.

  16. Intracardiac Eustachian Valve Cyst in an Adult Detected with Other Cardiac Anomalies: Usefulness of Multidetector CT in Diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Hyung Ji; Jung, Jung Im; Kim, Hwan Wook; Lee, Kyo Young [Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

    2012-07-15

    We present an unusual case of an intracardiac Eustachian valve cyst observed concurrently with atresia of the coronary sinus ostium, a persistent left superior vena cava (LSVC) and a bicuspid aortic valve. There have been several echocardiographic reports of Eustachian valve cysts; however, there is no report of multidetector computed tomography (MDCT) findings related to a Eustachian valve cyst. Recently, we observed a Eustachian valve cyst diagnosed on MDCT showing a hypodense cyst at the characteristic location of the Eustachian valve (the junction of the right atrium and inferior vena cava). MDCT also demonstrated additional cardiovascular anomalies including atresia of the coronary sinus ostium and a persistent LSVC and bicuspid aortic valve.

  17. Rectal diaphragm in a patient with imperforate anus and rectoprostatic fistula

    Directory of Open Access Journals (Sweden)

    Thakur Ashokanand

    2009-01-01

    Full Text Available The association of rectal diaphragm in an imperforate anus has not been reported until now. A 1-year-old male presented with right transverse colostomy for high anorectal malformation. The patient had imperforate anus and a recto-prostatic fistula with rectal diaphragm. We managed the case by an ano-rectal pull through with excision of the diaphragm.

  18. Characterization of a complex rearrangement involving duplication and deletion of 9p in an infant with craniofacial dysmorphism and cardiac anomalies

    Directory of Open Access Journals (Sweden)

    Di Bartolo Daniel L

    2012-07-01

    Full Text Available Abstract Partial duplication and partial deletion of the short arm of chromosome 9 have each been reported in the literature as clinically recognizable syndromes. We present clinical, cytogenetic, and molecular findings on a five-week-old female infant with concomitant duplication and terminal deletion of the short arm of chromosome 9. To our knowledge ten such cases have previously been reported. Conventional cytogenetic analysis identified additional material on chromosome 9 at band p23. FISH analysis aided in determining the additional material consisted of an inverted duplication with a terminal deletion of the short arm. Microarray analysis confirmed this interpretation and further characterized the abnormality as a duplication of about 32.7 Mb, from 9p23 to 9p11.2, and a terminal deletion of about 11.5 Mb, from 9p24.3 to 9p23. The infant displayed characteristic features of Duplication 9p Syndrome (hypotonia, bulbous nose, single transverse palmar crease, cranial anomalies, as well as features associated with Deletion 9p Syndrome (flat nasal bridge, long philtrum, cardiac anomalies despite the deletion being distal to the reported critical region for this syndrome. This case suggests that there are genes or regulatory elements that lie outside of the reported critical region responsible for certain phenotypic features associated with Deletion 9p Syndrome. It also underscores the importance of utilizing array technology to precisely define abnormalities involving the short arm of 9p in order to further refine genotype/phenotype associations and to identify additional cases of duplication/deletion.

  19. 先天性无肛与腰骶椎异常%Congenital Imperforate Anus and Abnormality of Lumbosacral Vertabae

    Institute of Scientific and Technical Information of China (English)

    李正; 王练英

    1990-01-01

    The anterior-posterior and lateral roentgenogram of the lumbar and sacral vertebrae of 113 cases(males 59,females 54)with imperforate anus that underwent operations over 5 years ago,were studied.Of them,32 cases had high lesions of anorectal anomalies.40 had intermediate lesions and 41 had low lesions.Twenty-one newborns were selected as a control.The X-ray findings showed that the lumbar anomalies were found in 11 cases (11.3%)of imperforate anus group,and only two in the control.The sac-al malforma:ions in high lesions and low lesions were 62.5% and 36.6% respectively and the intermediate were between the two.Most of the high lesions associated with multiple sacral defects.The sacral vertebral defects consisted of absence of vertebrae and agenesia(41).flat sacrum(30),spina bifida oceulta(28)and sacro-lumbarization(9).%本文报道113例无肛患儿伴腰骶椎异常的情况,97例腰骶椎完整的X线片上,有异常者52例(53.6%),对照组仅2例(9.5%).在113例骶椎X线片上,57例(50.4%)有各种异常共94例次,其中23例有2个以上异常.无肛畸形位置越高,骶骨异常,特别是多发性异常越多.

  20. Three-dimensional images facilitate to understand anorectal pull-through route for patients with imperforate anus

    Energy Technology Data Exchange (ETDEWEB)

    Ueno, Shigeru; Yokoyama, Seishichi; Soeda, Jinichi [Tokai Univ., Isehara, Kanagawa (Japan). School of Medicine] [and others

    1996-12-01

    On reconstructing infrapelvic structure in patients with imperforate anus, it is essential to pull the anorectum through correctly. To apprehend the ideal pull-through route stereoscopically, three-dimensional images of the pelvic structure were obtained after processing MR images from 10 patients with the anomaly and 7 controls. In controls, the infrapelvic muscle structure, which is composed of bilateral superficial perineal muscles, levator muscle complex and sphincter muscle complex, was demonstrated to converge at the center. The rectum was shown stereoscopically to descend through this central portion of the muscle, making an anorectal angle to reach the anal orifice. In those with a low-type anomaly, the rectum was shown to descend in front of the levator muscle complex and the fistula ran through the anterior portion of the sphincter complex without making an anorectal angle. The purpose of the anoplasty for those patients was considered to make a correct anorectal angle. In those with a high-type anomaly, three-dimensional position of the rectal pouch was visualized within the normally-positioned muscle complex but the sphincter muscle was thinner than control patients. For the ideal anoplasty in those patients, the rectum should be conducted into the center of the muscle complex and pulled through in the midst of the thin sphincter mass after making an anorectal angle. Anoplasty procedures should be reevaluated whether they are good for making an ideal pull-through route by three-dimensional images of the infrapelvic organs. (author)

  1. Neurostimulation for fecal incontinence after correction of repair of imperforate anus

    Science.gov (United States)

    Bougie, Alexandre; McFadden, Nathalie; Mayer, Sandeep; Lebel, Michel; Devroede, Ghislain

    2017-01-01

    We are reporting the case of a 32-year-old female who had suffered from fecal incontinence (FI). She was born with an imperforate anus and a recto-vaginal fistula; she underwent repair at 6 mo of age. At 29 years of age, she was still fecally incontinent despite extensive pelvic floor reeducation. A magnetic resonance imaging and an anal electromyography were performed. Because her symptoms were considered to be probably due to extra-sphincteric implantation of the neo-anus, a redo was performed of the recto-neo-anal intra-sphincteric anastomosis. A neurostimulator device was subsequently implanted for persistent incontinence. Solid and liquid FI resolved, and her quality of life improved markedly. Combining surgery to correct the position of the neo-anus within the anal sphincter complex and neurostimulation could thus become a new approach in cases of refractory FI for patients with imperforate anus as a newborn. Follow-up into adulthood after pediatric imperforate anus surgery should be recommended for adult patients with persistent FI.

  2. Anus-rectum defects. Malformaciones ano-rectales.

    Directory of Open Access Journals (Sweden)

    Lidia López Martín

    Full Text Available Anorectal malformations are one of big causes of de intestinal obstruction in newborns. They constitute around 25% of digestive malformations. Have a frequency of 1 in 4000 born alive. They are more frequent in the male (1.4:1 and 40 to 70% of the patients have one or more associate anomalies. We presented the Good Clinical Practices Guideline for Anorectal malformations, approved by consensus in the 2nd National Good Clinical Practices Workshop in Pediatric Surgery (Manzanillo, Cuba, September 31 - October 3, 2002.
    Las malformaciones ano rectales son unas de las grandes causas de obstrucción intestinal en neonatos. Constituyen el 25 % de las malformaciones digestivas. Tiene una frecuencia de 1 x 4 000 nacidos vivos. Son más frecuentes en el varón (1.4:1 y del 40 al 70 % de los pacientes presentan una o más anomalías asociadas. Se presenta la Guía de Buenas Prácticas Clínicas para Malformaciones ano rectales, aprobada por consenso en el 2º Taller Nacional de Buenas Prácticas Clínicas en Cirugía Pediátrica (Manzanillo, 31 de septiembre al 3 de octubre del 2002.

  3. Tetralogy of Fallot Associated with Dysplastic Kidneys, Cloacal Anomalies, and Female Pseudohermaphroditism: A Systemic Anomaly of Septation?

    Directory of Open Access Journals (Sweden)

    José Morales-Roselló

    2012-01-01

    Full Text Available A 20-week fetus was diagnosed with tetralogy of Fallot and multicystic kidneys. The postmortem study showed missing müllerian structures with small streak ovaries, external male genitalia, and an abnormal cloacal septation (imperforate anus with a sigmoid colon opening in the bladder. As the observed anomalies were related with septation, a mechanism related with the activation of specific growth factors, we discuss the possibility of a disorder in the function of the bone morphogenetic proteins as a common cause for the widespread anomalies found in this fetus.

  4. Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula

    Directory of Open Access Journals (Sweden)

    Yoshifumi Nakayama

    2015-01-01

    Full Text Available This report presents a surgical case of postoperative megarectum in an adult patient with imperforate anus/anorectal malformations. A 71-year-old Japanese male presented with a mass in the lower abdomen which was 15 × 12 × 8 cm in diameter, edema in the right lower extremity, and frequent urination. He had undergone sigmoid loop colostomy for an imperforate anus as a newborn infant. At 28 years of age, the sigmoid loop colostomy was changed to sigmoid divided colostomy in the left lower abdomen. Computed tomography revealed a large cystic mass in the lower abdomen. Retrograde urethrography indicated a rectourethral fistula and megarectum with stones. A small laparotomy incision was created in the right lower abdomen, and the wall of the megarectum was identified. Approximately 2,300 mL of gray muddy fluid was identified and drained. A mucous fistula of the upper rectum was created in the right lower abdomen. This is an extremely rare case of postoperative megarectum in an adult patient with an imperforate anus and rectourethral fistula.

  5. Coronary CTA assessment of coronary anomalies.

    NARCIS (Netherlands)

    Pursnani, A.; Jacobs, J.E.; Saremi, F.; Levisman, J.; Makaryus, A.N.; Capunay, C.; Rogers, I.S.; Wald, C.; Azmoon, S.; Stathopoulos, I.A.; Srichai, M.B.

    2012-01-01

    Coronary anomalies occur in <1% of the general population and can range from a benign incidental finding to the cause of sudden cardiac death. The coronary anomalies are classified here according to the traditional grouping into those of origin and course, intrinsic arterial anatomy, and terminat

  6. Anomaly holography

    Energy Technology Data Exchange (ETDEWEB)

    Gripaios, Ben [Rudolf Peierls Centre for Theoretical Physics, University of Oxford, 1 Keble Rd., Oxford OX1 3NP (United Kingdom); Merton College, Oxford OX1 4JD (United Kingdom)], E-mail: b.gripaios1@physics.ox.ac.uk; West, Stephen M. [Rudolf Peierls Centre for Theoretical Physics, University of Oxford, 1 Keble Rd., Oxford OX1 3NP (United Kingdom)], E-mail: s.west1@physics.ox.ac.uk

    2008-01-21

    We consider, in the effective field theory context, anomalies of gauge field theories on a slice of a five-dimensional, anti-de Sitter geometry and their four-dimensional, holographic duals. A consistent effective field theory description can always be found, notwithstanding the presence of the anomalies and without modifying the degrees of freedom of the theory. If anomalies do not vanish, the d=4 theory contains additional pseudoscalar states, which are either present in the low-energy theory as physical, light states, or are eaten by (would-be massless) gauge bosons. We show that the pseudoscalars ensure that global anomalies of the four-dimensional dual satisfy the 't Hooft matching condition and comment on the relevance for warped models of electroweak symmetry breaking.

  7. 主动脉缩窄或主动脉弓中断合并心内畸形一期修复%One-stage repair of aortic coarctation or interrupted aortic arch associated with cardiac anomalies through median sternotomy

    Institute of Scientific and Technical Information of China (English)

    方敏华; 朱洪玉; 汪曾炜; 王辉山; 李新民; 宋恒昌

    2010-01-01

    目的 探讨采用经胸骨正中切口一期修复主动脉缩窄(CoA)或主动脉弓中断(IAA)合并心内畸形的治疗效果.方法 2002年7月至2009年6月,经胸骨正中切口行降主动脉远端和主动脉弓下缘端侧吻合术一期修复CoA或IAA合并心内畸形病儿43例,其中CoA 34例,IAA 9例(A型6例、B型3例),合并心内畸形包括室间隔缺损42例、动脉导管未闭34例、房间隔缺损12例、主动脉瓣下隔膜狭窄5例、二尖瓣关闭不全2例,右心室双出口1例.结果 手术死亡1例,为术后肺动脉高压和严重低心排血量综合征者.术后并发症包括严重低心排血量综合征3例,低氧血症6例,肺部炎症11例,肺不张14例,声音嘶哑19例,室上性心动过速23例.8例失访.34例随访3个月~5年,生活质量明显改善,心脏超声心动图和CT检查显示吻合口无明显再缩窄发生.结论 经胸骨正中切口,采用主动脉远端和主动脉弓下缘端侧吻合技术一期修复CoA或IAA合并心内畸形的手术早、中期效果良好,能明显减少术后再狭窄.%Objective Study the management and outcomes of one-stage repair of aortic coarctation or interrupted aortic arch associated with cardiac anomalies through median sternotomy.Methods From July 2002 to June 2009,43 patients with aortic coarctation(34 cases)or interrupted aortic arch(9 cases)and associated with cardiac anomalies underwent one-stage repair.There were 27 males and 16 females.The age ranged from 5 months to 9 years and the body weight from 3.5 kg to 29.0 kg.The associated cardiac anomalies included ventricular septal defect in 42 patients,patent ductus arterious in 34,secundum atrial septal defect in 12,subaortic stenesis in 5,mitral valve regurgitation in 2 and double outlet of right vantricule in 1.All patients underwent one-stage repair through median sternotomy.The aortic continuity was reestablished by direct anastomosis between the descending aortic segment and aortic arch.Results There

  8. Radiological evaluation congenital gastrointestinal tract anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Young Hee; Kim, Ock [Hanil Hospital, Seoul (Korea, Republic of); Jang, Jung Wha [Seoul Nationl Hospital, Seoul (Korea, Republic of)

    1983-06-15

    With the improvements, during recent years, in the control of the infections and nutritional diseases the subject of congenital malformation becomes of increasing importance. The radiologic signs are crucial for prompt diagnosis of anomalies of alimentary tract and with early identification of resulting complication, surgical therapy is usually life-saving. 30 cases of congenital anomalies of alimentary tract in infants were reviewed in respect of age, sex, incidence and radiological findings. The results are summarized as follows; 1, The most common lesion was hypertrophic pyloric stenosis, followed by congenital megacolon and anorectal anomaly, tracheoesophageal fistula, intestinal atresia. 2. Male outnumbered female in most congenital anomalies of alimentary tract. 25 cases were under the age of 1 month. 3. Common symptoms of upper gastrointestinal tract obstruction are vomiting and abdominal distension. In the obstruction of lower gastrointestinal tract, abdominal distension and failure of meconium passage were noted. 4. Roentgenologic findings were as follows, a. Chest A-P and lateral view: In tracheoesophageal fistula, saccular dilatation of upper esophagus and displacement of trachea anterolaterally were the most common finding. b. Simple abdomen: Obstructive pattern of proximal portion of duodenum shows in 11 cases, of distal bowel shows in 16 cases. Duodenal atresia showed 'double bubble' sign, hypertrophic pyloric stenosis showed marked gastric distension, paucity of air in small bowel and increases gastric peristalsis were the most common findings. Hirschsprung's disease showed absenced of rectal gas almostly. The variable length between blind hindgut to anus was seen in anorectal anomalies. c. Esophagogram: Blind sac of upper esophagus was seen at the 4th thoracic spinal level and displacement of trachea anterolaterally. 1 case of tracheoesophageal fistula had an intact esophageal lumen. d. Upper G-I series: In hypertrophic pyloric

  9. Bifid cardiac apex in a 25-year-old male with sudden cardiac death.

    Science.gov (United States)

    Wu, Annie; Kay, Deborah; Fishbein, Michael C

    2014-01-01

    Although a bifid cardiac apex is common in certain marine animals, it is an uncommon finding in humans. When present, bifid cardiac apex is usually associated with other congenital heart anomalies. We present a case of bifid cardiac apex that was an incidental finding in a 25-year-old male with sudden cardiac death from combined drug toxicity. On gross examination, there was a bifid cardiac apex with a 2-cm long cleft. There were no other significant gross or microscopic abnormalities. This case represents the very rare occurrence of a bifid cardiac apex as an isolated cardiac anomaly.

  10. Internal hemorrhoids - their typical radiological appearance and differential diagnosis to carcinoma of rectum and anus

    Energy Technology Data Exchange (ETDEWEB)

    Fiedler, V.; Koester, R.

    1984-11-01

    The main indication for colon barium enema examination is occult bleeding or bleeding noticed by the patient himself. The radiologist has to take into account all clinical details that could lead to bleeding and to document them. The most frequent causes of rectal bleeding are hemorrhoids and diverticulosis/itis which in marked cases may have a tumor-like appearance. A good double-contrast examination of the colon must not only exclude tumors, polyps or inflammatary diseases but also demonstrate other causes of bleeding. The presented paper describes typical roentgen signs and gives criteria to differentiate hemorrhoids from deeply situated cancer of the rectum or anus.

  11. Cardiac surgery for Kartagener syndrome.

    Science.gov (United States)

    Tkebuchava, T; von Segesser, L K; Niederhäuser, U; Bauersfeld, U; Turina, M

    1997-01-01

    Two patients (one girl, one boy) with Kartagener syndrome (situs inversus, bronchiectasis, sinusitis), despite pulmonary problems and associated congenital cardiac anomalies, were operated on at the ages of 4 years and 7 years, respectively. They had had previous palliative treatment at the age of 3 months and 1.3 years, respectively. Both postoperative periods after total correction were without significant complications. Long-term follow-up was available for 9 and 19 years, respectively, with no manifestations of heart insufficiency. Both patients are physically active, and neither requires cardiac medication. Patients with Kartagener syndrome and associated congenital cardiac anomalies can successfully undergo multiple cardiac operations with good long-term outcome.

  12. Major congenital anomalies in babies born with Down syndrome

    DEFF Research Database (Denmark)

    Morris, Joan K; Garne, Ester; Wellesley, Diana;

    2014-01-01

    Previous studies have shown that over 40% of babies with Down syndrome have a major cardiac anomaly and are more likely to have other major congenital anomalies. Since 2000, many countries in Europe have introduced national antenatal screening programs for Down syndrome. This study aimed...... to determine if the introduction of these screening programs and the subsequent termination of prenatally detected pregnancies were associated with any decline in the prevalence of additional anomalies in babies born with Down syndrome. The study sample consisted of 7,044 live births and fetal deaths with Down...... syndrome registered in 28 European population-based congenital anomaly registries covering seven million births during 2000-2010. Overall, 43.6% (95% CI: 42.4-44.7%) of births with Down syndrome had a cardiac anomaly and 15.0% (14.2-15.8%) had a non-cardiac anomaly. Female babies with Down syndrome were...

  13. The separation of pygopagus conjoined twins with fused spinal cords and imperforate anus

    Directory of Open Access Journals (Sweden)

    Barrett P. Cromeens

    2016-08-01

    Full Text Available Each set of conjoined twins has specific anatomic features dictating unique challenges to separation. Overcoming these challenges requires creative solutions that necessitate interdisciplinary collaboration. We present a unique case of pygopagus conjoined twins with fused spinal cords, imperforate anus without fistula, and a single anal sphincter complex. Separation included the use of novel applications of 3D printing and neurophysiologic monitoring. The 3D print helped to clarify the complex anatomy and facilitate communication during planning sessions. The neurophysiologic monitoring helped to distinguish a plane of separation for the spinal cords as well as the shared anal sphincter. Implementing these technologies and thus successfully separating these twins safely required a multidisciplinary team that extended beyond clinical specialties.

  14. One-stage repair of coarctation of aorta in neonates and infants associated with cardiac anomalies%婴幼儿主动脉缩窄合并心内畸形的Ⅰ期手术纠治

    Institute of Scientific and Technical Information of China (English)

    陶曙光; 王建明; 杨仕海; 谷疆蓉; 韩剑刚; 宋海龙

    2012-01-01

    目的:总结主动脉缩窄合并心内畸形的外科治疗经验.方法:回顾分析2007年1月至2011年6月我院收治的婴幼儿主动脉缩窄合并心内畸形Ⅰ期手术治疗的临床病例.共计42例,其中男性26例,女性16例.平均年龄(1.6±0.9)岁(6d~3岁),平均体质量(7.2±2.5)kg(2.8~12kg).主动脉缩窄合并心内畸形:37例合并室间隔缺损,5例合并房间隔缺损,7例同时合并主动脉瓣二瓣畸形,手术方法采用双切口Ⅰ期纠治5例,正中切口Ⅰ期纠治37例,其中锁骨下动脉翻转法(8例)、人工补片法(6例)、端端吻合法(15例)、端端吻合+补片法(13例).结果:本组42例中,死亡1例,术后9d死于肺部感染,病死率2.4%.术后均复查心脏彩超显示降主动脉血流通畅,无明显狭窄,3例提示降主动脉内仍存在20 ~ 40 mmHg(1 mmHg =0.133 kPa)压差,心脏彩超示吻合口处狭窄,血流速度增快.结论:婴幼儿主动脉缩窄合并心内畸形采用深低温选择性脑灌注方法经胸骨正中切口Ⅰ期手术治疗可以达到满意疗效.彻底切除缩窄段及导管组织是手术成功的关键.%Objective: To summarize the clinical experience of one-stage repair of coarctation o f the a-orta in neonates and infants associated with cardiac anomalies. Methods: There were 42 patients with coarctation of the aorta associated with cardiac anomalies were surgically repaired from January 2007 to June 2011. Patients age from 6 days to 3 years( 1. 6 ±0. 9)years, with the mean body weight from (7. 2 ±2. 5) kg(2. 8 ~ 12 kg). Coarctation of the aorta consisted of ventricle septal defect in 37 cases and atrial septal defect 5 cases. Patients were one-stage repaired through median sternotomy in 37 cases, through two sternotomy in 5 cases. We perform the subclavian flap aortoplasty technique(8 cases) , Prosthetic patch aortoplasty (6 cases) , Resection with Extended End-to-End Anastomosis(15 cases) , Resection with extended end-to-end anastomosis and patch

  15. Prenatal diagnosis of thoracic ectopia cordis by real-time fetal cardiac magnetic resonance imaging and by echocardiography.

    Science.gov (United States)

    Moniotte, Stéphane; Powell, Andrew J; Barnewolt, Carol E; Annese, David; Geva, Tal

    2008-01-01

    Ectopia cordis is a rare congenital defect commonly associated with intra- and extra-cardiac anomalies. This report highlights the complimentary use of echocardiography and cardiac magnetic resonance imaging for detailed prenatal characterization of the anomaly at 23-week gestation.

  16. Associated congenital anomalies among cases with Down syndrome.

    Science.gov (United States)

    Stoll, Claude; Dott, Beatrice; Alembik, Yves; Roth, Marie-Paule

    2015-12-01

    Down syndrome (DS) is the most common congenital anomaly widely studied for at least 150 years. However, the type and the frequency of congenital anomalies associated with DS are still controversial. Despite prenatal diagnosis and elective termination of pregnancy for fetal anomalies, in Europe, from 2008 to 2012 the live birth prevalence of DS per 10,000 was 10. 2. The objectives of this study were to examine the major congenital anomalies occurring in infants and fetuses with Down syndrome. The material for this study came from 402,532 consecutive pregnancies of known outcome registered by our registry of congenital anomalies between 1979 and 2008. Four hundred sixty seven (64%) out of the 728 cases with DS registered had at least one major associated congenital anomaly. The most common associated anomalies were cardiac anomalies, 323 cases (44%), followed by digestive system anomalies, 42 cases (6%), musculoskeletal system anomalies, 35 cases (5%), urinary system anomalies, 28 cases (4%), respiratory system anomalies, 13 cases (2%), and other system anomalies, 26 cases (3.6%). Among the cases with DS with congenital heart defects, the most common cardiac anomaly was atrioventricular septal defect (30%) followed by atrial septum defect (25%), ventricular septal defect (22%), patent ductus arteriosus (5%), coarctation of aorta (5%), and tetralogy of Fallot (3%). Among the cases with DS with a digestive system anomaly recorded, duodenal atresia (67%), Hirschsprung disease (14%), and tracheo-esophageal atresia (10%) were the most common. Fourteen (2%) of the cases with DS had an obstructive anomaly of the renal pelvis, including hydronephrosis. The other most common anomalies associated with cases with DS were syndactyly, club foot, polydactyly, limb reduction, cataract, hydrocephaly, cleft palate, hypospadias and diaphragmatic hernia. Many studies to assess the anomalies associated with DS have reported various results. There is no agreement in the literature as to

  17. Squamous cell carcinoma of the anus-an opportunistic cancer in HIV-positive male homosexuals

    Institute of Scientific and Technical Information of China (English)

    Pascal Gervaz; Alexandra Calmy; Ymer Durmishi; Abdelkarim S Allal; Philippe Morel

    2011-01-01

    Squamous cell carcinoma of the anus (SCCA) is a common cancer in the human immunodeficiency virus (HIV)- infected population, and its incidence continues to increase in male homosexuals. Combined chemoradiation with mitomycin C and 5-fluorouracil was poorly tolerated by severely immunocompromised patients in the early 1990s. In the era of highly active antiretroviral therapy (HAART), however, recent data indicate that: (1) most HIV patients with anal cancer can tolerate standard chemotherapy regimens; and (2) this approach is associated with survival rates similar to those of HIV-negative patients. However, HIV-positive patients with SCCA are much younger, more likely to develop local tumor recurrence, and ultimately die from anal cancer than immune competent patients. Taken together, these findings suggest that anal cancer is an often fatal neoplasia in middle- aged HIV-positive male homosexuals. In this population, SCCA is an opportunistic disease resulting in patients with suboptimal immune function from persistent papillomaviruses (HPVs). Large-scale cancer-prevention strategies (routine anuscopy and anal papanicolaou testing) should be implemented in this population. In addition, definitive eradication of oncogenic HPVs within the anogenital mucosa of high-risk individuals might require a proactive approach with repeated vaccination.

  18. Anomaly Structure of Supergravity and Anomaly Cancellation

    CERN Document Server

    Butter, Daniel

    2009-01-01

    We display the full anomaly structure of supergravity, including new D-term contributions to the conformal anomaly. This expression has the super-Weyl and chiral U(1)_K transformation properties that are required for implementation of the Green-Schwarz mechanism for anomaly cancellation. We outline the procedure for full anomaly cancellation. Our results have implications for effective supergravity theories from the weakly coupled heterotic string theory.

  19. Heterotopic gastric mucosa in the anus and rectum: first case report of endoscopic submucosal dissection and systematic review

    Science.gov (United States)

    Iacopini, Federico; Gotoda, Takuji; Elisei, Walter; Rigato, Patrizia; Montagnese, Fabrizio; Saito, Yutaka; Costamagna, Guido; Iacopini, Giampaolo

    2016-01-01

    Background: Heterotopic gastric mucosa (HGM) is the most reported epithelial heterotopia, but it is very rare in the rectum and anus. Methods: The first case of an asymptomatic adult male with a large nonpolypoid HGM in the low rectum underwent complete resection by endoscopic submucosal dissection (ESD) is reported. The systematic review was based on a comprehensive search of MEDLINE, EMBASE and Google Scholar. Studies on humans were identified with the term ‘heterotopic gastric mucosa in the rectum and /or anus.’ Results: The search identified 79 citations, and 72 cases were evaluated comprising the present report. Congenital malformations were observed in 17 (24%) patients; rectal duplication accounted for most of the cases. The HGM was located in the anus and perineal rectum in 25 cases (41%) and low, middle and proximal pelvic rectum in 20 (33%), five (8%) and 11 cases (18%), respectively. Morphology was nonpolypoid in 37 cases (51%), polypoid in 26 cases (36%) and ulcerated in nine cases (13%). Specific anorectal symptoms were reported by 50 (69%) patients of the whole study population, and by 33 (97%) of 34 patients ≤ 18 years. Complications were observed in 23 cases (32%). The HGM was excised in 50 cases (83%). Endoscopic resection was performed in 17 cases (34%); resection was piecemeal in five of 12 lesions ≥15 mm, required argon plasma coagulation in two cases and was associated with residual tissue in two (17%). Intestinal metaplasia and an adenoma with low-grade dysplasia were described in three adults (4%). Discussion: This systematic review shows that the HGM in the rectum and anus may be associated with specific rectal symptoms and serious complications, mainly in the pediatric population, and a risk of malignancy in adults. Its complete excision should be recommended, and the ESD can overcome the technical limits of conventional endoscopic snare resection and avoid unnecessary surgery. PMID:27103738

  20. Chiral anomalies and differential geometry

    Energy Technology Data Exchange (ETDEWEB)

    Zumino, B.

    1983-10-01

    Some properties of chiral anomalies are described from a geometric point of view. Topics include chiral anomalies and differential forms, transformation properties of the anomalies, identification and use of the anomalies, and normalization of the anomalies. 22 references. (WHK)

  1. Ritmo de alimentação de juvenis de Loricariichthys anus (Siluriformes, Loricariidae da Lagoa dos Quadros, RS, Brasil Feeding activity of juveniles of Loricariichthys anus (Siluriformes, Loricariidae in the Quadros Lake, RS, Brasil

    Directory of Open Access Journals (Sweden)

    Ana Cristina Petry

    2000-11-01

    Full Text Available The rhythm of movements and feeding activity of juveniles of Loricariichthys anus (Valenciennes, 1840 in the Quadros lake, South Brazil, are investigated. Between October 1997 and August 1998, 236 specimens were captured during six bimonthly 24 hour gillnet surveys. Significantly elevated levels of movement and feeding activity during the day are registered. The patterns of movement and feeding activity displayed no significant difference, suggesting that high movement activity levels can be attributed to feeding activity. The mean of the intestinal quotient was 1,89, indicating omnivorous feeding habits.

  2. Neonate with VACTERL Association and a Branchial Arch Anomaly without Hydrocephalus.

    Science.gov (United States)

    Velazquez, Danitza; Pereira, Elaine; Havranek, Thomas

    2016-03-01

    VACTERL (vertebral anomalies, anal atresia, cardiac defect, tracheoesophageal fistula, renal anomaly, limb anomalies) is an association of anomalies with a wide spectrum of phenotypic expression. While the majority of cases are sporadic, there is evidence of an inherited component in a small number of patients as well as the potential influence of nongenetic risk factors (maternal diabetes mellitus). Presence of hydrocephalus has been reported in VACTERL patients (VACTERL-H) in the past, with some displaying branchial arch anomalies. We report the unique case of an infant of diabetic mother with VACTERL association and a branchial arch anomaly-in the absence of hydrocephalus.

  3. PHACE Syndrome: Persistent Fetal Vascular Anomalies: A Case Report

    OpenAIRE

    Prochazka, V.; Hrbac, T.; Chmelova, J.; Skoloudik, D.; M. Prochazka

    2005-01-01

    PHACE(S) syndrome is an acronym for neurocutaneous disease encompassing the expression of (P) posterior cranial fossa malformations, (H) facial haemangiomas, (A) arterial anomalies, (C) aortic coarctaion and other cardiac defects, (E) eye abnormalities and (S) for sternal malformation or stenotic arterial diseases. We report on a case of PHACE syndrome complete expression with persistent fetal vascular anomalies unusually in a 55-year-old women with large bilateral facial and neck haemangioma...

  4. Cardiac arrest

    Science.gov (United States)

    ... Article.jsp. Accessed June 16, 2014. Myerburg RJ, Castellanos A. Approach to cardiac arrest and life-threatening ... PA: Elsevier Saunders; 2011:chap 63. Myerburg RJ, Castellanos A. Cardiac arrest and audden aardiac death. In: ...

  5. Competing Orders and Anomalies

    Science.gov (United States)

    Moon, Eun-Gook

    2016-08-01

    A conservation law is one of the most fundamental properties in nature, but a certain class of conservation “laws” could be spoiled by intrinsic quantum mechanical effects, so-called quantum anomalies. Profound properties of the anomalies have deepened our understanding in quantum many body systems. Here, we investigate quantum anomaly effects in quantum phase transitions between competing orders and striking consequences of their presence. We explicitly calculate topological nature of anomalies of non-linear sigma models (NLSMs) with the Wess-Zumino-Witten (WZW) terms. The non-perturbative nature is directly related with the ’t Hooft anomaly matching condition: anomalies are conserved in renormalization group flow. By applying the matching condition, we show massless excitations are enforced by the anomalies in a whole phase diagram in sharp contrast to the case of the Landau-Ginzburg-Wilson theory which only has massive excitations in symmetric phases. Furthermore, we find non-perturbative criteria to characterize quantum phase transitions between competing orders. For example, in 4D, we show the two competing order parameter theories, CP(1) and the NLSM with WZW, describe different universality class. Physical realizations and experimental implication of the anomalies are also discussed.

  6. Anomaly-induced baryogenesis

    CERN Document Server

    Kobakhidze, A

    2004-01-01

    We propose a new mechanism for dynamical generation of the observed baryon asymmetry within the minimal Standard model extended by massive Majorana neutrinos and non-vanishing electroweak Chern-Simons term. We show that electroweak Chern-Simons number is produced in the expanding universe due to the conformal anomaly and subsequently converted into baryon number through the triangle anomaly.

  7. Competing Orders and Anomalies.

    Science.gov (United States)

    Moon, Eun-Gook

    2016-08-08

    A conservation law is one of the most fundamental properties in nature, but a certain class of conservation "laws" could be spoiled by intrinsic quantum mechanical effects, so-called quantum anomalies. Profound properties of the anomalies have deepened our understanding in quantum many body systems. Here, we investigate quantum anomaly effects in quantum phase transitions between competing orders and striking consequences of their presence. We explicitly calculate topological nature of anomalies of non-linear sigma models (NLSMs) with the Wess-Zumino-Witten (WZW) terms. The non-perturbative nature is directly related with the 't Hooft anomaly matching condition: anomalies are conserved in renormalization group flow. By applying the matching condition, we show massless excitations are enforced by the anomalies in a whole phase diagram in sharp contrast to the case of the Landau-Ginzburg-Wilson theory which only has massive excitations in symmetric phases. Furthermore, we find non-perturbative criteria to characterize quantum phase transitions between competing orders. For example, in 4D, we show the two competing order parameter theories, CP(1) and the NLSM with WZW, describe different universality class. Physical realizations and experimental implication of the anomalies are also discussed.

  8. An unusual case of cardiac tamponade: ruptured subaortic diverticulum.

    Science.gov (United States)

    Salemi, Arash; Lee, Ben; Ivascu, Natalia; Webber, Geoffrey; Paul, Subroto

    2010-05-01

    Cardiac diverticula are rare congenital anomalies found as outpouchings from various chambers of the heart. We present a case of a diverticulum arising from the membranous septum with free rupture into the pericardial space and tamponade.

  9. Major Congenital Anomalies in Babies Born With Down Syndrome : A EUROCAT Population-Based Registry Study

    NARCIS (Netherlands)

    Morris, Joan K.; Garne, Ester; Wellesley, Diana; Addor, Marie-Claude; Arriola, Larraitz; Barisic, Ingeborg; Beres, Judit; Bianchi, Fabrizio; Budd, Judith; Dias, Carlos Matias; Gatt, Miriam; Klungsoyr, Kari; Khoshnood, Babak; Latos-Bielenska, Anna; Mullaney, Carmel; Nelen, Vera; Neville, Amanda J.; O'Mahony, Mary; Queisser-Luft, Annette; Randrianaivo, Hanitra; Rankin, Judith; Rissmann, Anke; Rounding, Cath; Sipek, Antonin; Stoianova, Sylvia; Tucker, David; de Walle, Hermien; Yevtushok, Lyubov; Loane, Maria; Dolk, Helen

    2014-01-01

    Previous studies have shown that over 40% of babies with Down syndrome have a major cardiac anomaly and are more likely to have other major congenital anomalies. Since 2000, many countries in Europe have introduced national antenatal screening programs for Down syndrome. This study aimed to determin

  10. Major congenital anomalies in babies born with Down syndrome: a EUROCAT population-based registry study.

    Science.gov (United States)

    Morris, Joan K; Garne, Ester; Wellesley, Diana; Addor, Marie-Claude; Arriola, Larraitz; Barisic, Ingeborg; Beres, Judit; Bianchi, Fabrizio; Budd, Judith; Dias, Carlos Matias; Gatt, Miriam; Klungsoyr, Kari; Khoshnood, Babak; Latos-Bielenska, Anna; Mullaney, Carmel; Nelen, Vera; Neville, Amanda J; O'Mahony, Mary; Queisser-Luft, Annette; Randrianaivo, Hanitra; Rankin, Judith; Rissmann, Anke; Rounding, Cath; Sipek, Antonin; Stoianova, Sylvia; Tucker, David; de Walle, Hermien; Yevtushok, Lyubov; Loane, Maria; Dolk, Helen

    2014-12-01

    Previous studies have shown that over 40% of babies with Down syndrome have a major cardiac anomaly and are more likely to have other major congenital anomalies. Since 2000, many countries in Europe have introduced national antenatal screening programs for Down syndrome. This study aimed to determine if the introduction of these screening programs and the subsequent termination of prenatally detected pregnancies were associated with any decline in the prevalence of additional anomalies in babies born with Down syndrome. The study sample consisted of 7,044 live births and fetal deaths with Down syndrome registered in 28 European population-based congenital anomaly registries covering seven million births during 2000-2010. Overall, 43.6% (95% CI: 42.4-44.7%) of births with Down syndrome had a cardiac anomaly and 15.0% (14.2-15.8%) had a non-cardiac anomaly. Female babies with Down syndrome were significantly more likely to have a cardiac anomaly compared to male babies (47.6% compared with 40.4%, P Down syndrome has remained constant, suggesting that population screening for Down syndrome and subsequent terminations has not influenced the prevalence of specific congenital anomalies in these babies.

  11. Anomalies on orbifolds

    Energy Technology Data Exchange (ETDEWEB)

    Arkani-Hamed, Nima; Cohen, Andrew G.; Georgi, Howard

    2001-03-16

    We discuss the form of the chiral anomaly on an S1/Z2 orbifold with chiral boundary conditions. We find that the 4-divergence of the higher-dimensional current evaluated at a given point in the extra dimension is proportional to the probability of finding the chiral zero mode there. Nevertheless the anomaly, appropriately defined as the five dimensional divergence of the current, lives entirely on the orbifold fixed planes and is independent of the shape of the zero mode. Therefore long distance four dimensional anomaly cancellation ensures the consistency of the higher dimensional orbifold theory.

  12. Complete sternal cleft associated with right clavicular, manubrial, and thyroid hypoplasia, pectus deformity, and spinal anomalies.

    Science.gov (United States)

    Golden, Eleza T; Alazraki, Adina; Loewen, Jonathan; Braithwaite, Kiery

    2016-01-01

    Sternal cleft anomalies are rare. Associated anomalies include pentalogy of Cantrell and posterior fossa abnormalities, hemangiomas, arteriopathy, cardiac anomalies, eye abnormalities, and sternal defects syndrome. There is only a single report of complete sternal cleft, pectus excavatum, and right clavicular hypoplasia in an adult. Thyroid hemiagenesis is also very rare. To our knowledge, this is the first case of complete sternal cleft, pectus deformity, and right clavicular hypoplasia in a child and the first case with right thyroid hemiagenesis.

  13. Theoretically Optimal Distributed Anomaly Detection

    Data.gov (United States)

    National Aeronautics and Space Administration — A novel general framework for distributed anomaly detection with theoretical performance guarantees is proposed. Our algorithmic approach combines existing anomaly...

  14. Cardiac Sarcoidosis.

    Science.gov (United States)

    Birnie, David; Ha, Andrew C T; Gula, Lorne J; Chakrabarti, Santabhanu; Beanlands, Rob S B; Nery, Pablo

    2015-12-01

    Studies suggest clinically manifest cardiac involvement occurs in 5% of patients with pulmonary/systemic sarcoidosis. The principal manifestations of cardiac sarcoidosis (CS) are conduction abnormalities, ventricular arrhythmias, and heart failure. Data indicate that an 20% to 25% of patients with pulmonary/systemic sarcoidosis have asymptomatic (clinically silent) cardiac involvement. An international guideline for the diagnosis and management of CS recommends that patients be screened for cardiac involvement. Most studies suggest a benign prognosis for patients with clinically silent CS. Immunosuppression therapy is advocated for clinically manifest CS. Device therapy, with implantable cardioverter defibrillators, is recommended for some patients.

  15. Anomaly Detection in Sequences

    Data.gov (United States)

    National Aeronautics and Space Administration — We present a set of novel algorithms which we call sequenceMiner, that detect and characterize anomalies in large sets of high-dimensional symbol sequences that...

  16. Neutrino anomalies without oscillations

    Indian Academy of Sciences (India)

    Sandip Pakvasa

    2000-01-01

    I review explanations for the three neutrino anomalies (solar, atmospheric and LSND) which go beyond the `conventional' neutrino oscillations induced by mass-mixing. Several of these require non-zero neutrino masses as well.

  17. Scattering anomaly in optics

    CERN Document Server

    Silveirinha, Mario G

    2016-01-01

    In time-reversal invariant electronic systems the scattering matrix is anti-symmetric. This property enables an effect, designated here as "scattering anomaly", such that the electron transport does not suffer from back reflections, independent of the specific geometry of the propagation path or the presence of time-reversal invariant defects. In contrast, for a generic time-reversal invariant photonic system the scattering matrix is symmetric and there is no similar anomaly. Here, it is theoretically proven that despite these fundamental differences there is a wide class of photonic platforms - in some cases formed only by time-reversal invariant media - in which the scattering anomaly can occur. It is shown that an optical system invariant under the action of the composition of the time-reversal, parity and duality operators is characterized by an anti-symmetric scattering matrix. Specific examples of photonic platforms wherein the scattering anomaly occurs are given, and it is demonstrated with full wave n...

  18. DREDed Anomaly Mediation

    CERN Document Server

    Boyda, E; Pierce, A T; Boyda, Ed; Murayama, Hitoshi; Pierce, Aaron

    2002-01-01

    We offer a guide to dimensional reduction (DRED) in theories with anomaly mediated supersymmetry breaking. Evanescent operators proportional to epsilon arise in the bare Lagrangian when it is reduced from d=4 to d= (4-2 epsilon) dimensions. In the course of a detailed diagrammatic calculation, we show that inclusion of these operators is crucial. The evanescent operators conspire to drive the supersymmetry-breaking parameters along anomaly-mediation trajectories across heavy particle thresholds, guaranteeing the ultraviolet insensitivity.

  19. The Pioneer Anomaly

    CERN Document Server

    de Diego, Jose A

    2008-01-01

    Analysis of the radio-metric data from Pioneer 10 and 11 spacecrafts has indicated the presence of an unmodeled acceleration starting at 20 AU, which has become known as the Pioneer anomaly. The nature of this acceleration is uncertain. In this paper we give a description of the effect and review some relevant mechanisms proposed to explain the observed anomaly. We also discuss on some future projects to investigate this phenomenon.

  20. Anomalies and gravity

    CERN Document Server

    Mielke, E W

    2006-01-01

    Anomalies in Yang-Mills type gauge theories of gravity are reviewed. Particular attention is paid to the relation between the Dirac spin, the axial current j_5 and the non-covariant gauge spin C. Using diagrammatic techniques, we show that only generalizations of the U(1)- Pontrjagin four--form F^ F= dC arise in the chiral anomaly, even when coupled to gravity. Implications for Ashtekar's canonical approach to quantum gravity are discussed.

  1. Congenital anomalies associated with trisomy 18 or trisomy 13

    DEFF Research Database (Denmark)

    Springett, Anna; Wellesley, Diana; Greenlees, Ruth

    2015-01-01

    The aim of this study was to examine the prevalence of trisomies 18 and 13 in Europe and the prevalence of associated anomalies. Twenty-five population-based registries in 16 European countries provided data from 2000-2011. Cases included live births, fetal deaths (20+ weeks' gestation......), and terminations of pregnancy for fetal anomaly (TOPFAs). The prevalence of associated anomalies was reported in live births. The prevalence of trisomy 18 and trisomy 13 were 4.8 (95%CI: 4.7-5.0) and 1.9 (95%CI: 1.8-2.0) per 10,000 total births. Seventy three percent of cases with trisomy 18 or trisomy 13 resulted...... in a TOPFA. Amongst 468 live born babies with trisomy 18, 80% (76-83%) had a cardiac anomaly, 21% (17-25%) had a nervous system anomaly, 8% (6-11%) had esophageal atresia and 10% (8-13%) had an orofacial cleft. Amongst 240 Live born babies with trisomy 13, 57% (51-64%) had a cardiac anomaly, 39% (33-46%) had...

  2. SADM potentiometer anomaly investigations

    Science.gov (United States)

    Wood, Brian; Mussett, David; Cattaldo, Olivier; Rohr, Thomas

    2005-07-01

    During the last 3 years Contraves Space have been developing a Low Power (1-2kW) Solar Array Drive Mechanism (SADM) aimed at small series production. The mechanism was subjected to two test programmes in order to qualify the SADM to acceptable levels. During the two test programmes, anomalies were experienced with the Potentiometers provided by Eurofarad SA and joint investigations were undertaken to resolve why these anomalies had occurred. This paper deals with the lessons learnt from the failure investigation on the two Eurofarad (rotary) Potentiometer anomaly. The Rotary Potentiometers that were used were fully redundant; using two back to back mounted "plastic tracks". It is a pancake configuration mounted directly to the shaft of the Slip Ring Assembly at the extreme in-board end of the SADM. It has no internal bearings. The anomaly initially manifested itself as a loss of performance in terms of linearity, which was first detected during Thermal Vacuum testing. A subsequent anomaly manifested itself by the complete failure of the redundant potentiometer again during thermal vacuum testing. This paper will follow and detail the chain of events following this anomaly and identifies corrective measures to be applied to the potentiometer design and assembly process.

  3. Cardiac Malpositions

    Energy Technology Data Exchange (ETDEWEB)

    Yoo, Shi Joon; Im, Chung Gie; Yeon, Kyung Mo; Hasn, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1979-06-15

    Cardiac Malposition refers to any position of the heart other than a left-sided heart in a situs solitus individual. Associated cardiac malformations are so complex that even angiocardiographic and autopsy studies may not afford an accurate information. Although the terms and classifications used to describe the internal cardiac anatomy and their arterial connections in cardiac malpositions differ and tend to be confusing, common agreement exists on the need for a segmental approach to diagnosis. Authors present 18 cases of cardiac malpositions in which cardiac catheterization and angiocardiography were done at the Department of Radiology, Seoul National University Hospital between 1971 and 1979. Authors analyzed the clinical, radiographic, operative and autopsy findings with the emphasis on the angiocardiographic findings. The results are as follows: 1. Among 18 cases with cardiac malpositions, 6 cases had dextrocardia with situs inversus, 9 cases had dextrocardia with situs solitus and 3 cases had levocardia with situs inversus. 2. There was no genuine exception to visceroatrial concordance rule. 3. Associated cardiac malpositions were variable and complex with a tendency of high association of transposition and double outlet varieties with dextrocardia in situs solitus and levocardia in situs inversus. Only one in 6 cases of dextrocardia with situs inversus had pure transposition. 4. In two cases associated pulmonary atresia was found at surgery which was not predicted by angiocardiography. 5. Because many of the associated complex lesions can be corrected surgically provided the diagnosis is accurate, the selective biplane angiocardiography with or without cineradiography is essential.

  4. 肛肠洗剂在肛肠术后的临床应用%Anorectal lotion in anus bowel postoperative clinical observation

    Institute of Scientific and Technical Information of China (English)

    皮茂; 宾东华; 周一兰; 何滔

    2011-01-01

    Objective: Explore Anorectal lotion in anus bowel l surgery the clinical curative effect of application. Methods: The treatment group 30 cases by the anus bowel lotion treatment in the control group, 30 cases by the compound cortex phellodendri lotion treatment. Result: The treatment group pain disappeared time, patients with edema is gone time, wound healing time are less than control group, with significant differences between the two groups, P <0.05. Conclusion: Anus bowel lotion clinical curative effect exact, economical and practical worth clinical promotion.%目的:探讨肛肠洗剂在肛肠术后应用的临床疗效.方法:治疗组30例采用肛肠洗剂治疗,对照组30例采用复方黄柏洗液治疗.结果:愈显率治疗组为90.0%,对照组为66.7%.治疗组患者疼痛消失时间、水肿消退时间、伤口愈合时间均少于对照组,两组比较,差异有统计学意义(P<0.05).结论:肛肠洗剂临床疗效确切、经济实惠值得临床推广.

  5. A new case of Grange syndrome without cardiac findings.

    Science.gov (United States)

    Wallerstein, Robert; Augustyn, Ann Marie; Wallerstein, Donna; Elton, Leslie; Tejeiro, Beatriz; Johnson, Valerie; Lieberman, Kenneth

    2006-06-15

    Grange syndrome comprises arterial stenoses with hypertension, brachysyndactyly, bone fragility, learning disability, and cardiac defects. To date, we know of two reported families with five affected individuals. We report on one of the youngest cases, in a third family, a 3-year-old girl with brachysyndactyly, renal artery stenosis with hypertension, and bone fragility. She does not have apparent cardiac disease, suggesting cardiac anomalies may not be an obligatory finding in this syndrome.

  6. 植入式人造肛门的设计和应用研究%The Design and Study of Implanted Artificial Anus and Its Application

    Institute of Scientific and Technical Information of China (English)

    罗永; 赵海平; 姚国栋; 宋志中; 王朝阳; 郝文女

    2015-01-01

    为改善、提高因直肠癌而行肛门切除患者和患严重肛门失禁患者的生存能力和生活质量,我们设计了一种模拟人体肛门功能的机械装置———植入式人造肛门(implanted artificial anus,IAA)。该装置由人工肛垫、连接盘、微型液泵组成,能够通过手术植入盆腔肛门部位。人工肛垫由钛合金支架和医用硅胶液囊组成,微型液压泵体积适于植入体内。微型泵安装了体外无线遥控装置。经测试,IAA 的制作达到了设计要求,通过遥控微型泵,使人工肛垫能够自如闭合、开放,从而达到控制排便,治疗失禁的目的,再现自然肛门的功能。%To improve the viability and quality of life of patients who had their anus removed because of rectal cancer or those who have severe fecal incontinence,we designed a mechanical device that imitates the functions of natural anus.The artificial anus was com-posed of artificial anal pads,connecting loop,and miniaturized liquid pump,which was implanted in the pelvis as a substitute for the anus.This design was implemented successfully.The artificial anal pads had two parts:the support frame made from titanium alloy and the sacs made from silica gel for medical use.The liquid pump was miniaturized so that it was small enough to be implanted into the body and was operated by a wireless remote controller in vitro.The mechanism of IAA is tested and proves to meet the standard of the design and can be implanted into the body.By controlling the miniaturized liquid pump,the artificial anal pads are opened and closed freely so that the patients can control over their defecation and overcome the incontinence.The IAA works well as the natural anus.

  7. Classical Trace Anomaly

    OpenAIRE

    Farhoudi, M.

    1995-01-01

    We seek an analogy of the mathematical form of the alternative form of Einstein's field equations for Lovelock's field equations. We find that the price for this analogy is to accept the existence of the trace anomaly of the energy-momentum tensor even in classical treatments. As an example, we take this analogy to any generic second order Lagrangian and exactly derive the trace anomaly relation suggested by Duff. This indicates that an intrinsic reason for the existence of such a relation sh...

  8. Congenital laryngeal anomalies,

    Directory of Open Access Journals (Sweden)

    Michael J. Rutter

    2014-12-01

    Full Text Available Introduction: It is essential for clinicians to understand issues relevant to the airway management of infants and to be cognizant of the fact that infants with congenital laryngeal anomalies are at particular risk for an unstable airway. Objectives: To familiarize clinicians with issues relevant to the airway management of infants and to present a succinct description of the diagnosis and management of an array of congenital laryngeal anomalies. Methods: Revision article, in which the main aspects concerning airway management of infants will be analyzed. Conclusions: It is critical for clinicians to understand issues relevant to the airway management of infants.

  9. Anomalies without Massless Particles

    CERN Document Server

    Gurlanik, Z

    1994-01-01

    Baryon and lepton number in the standard model are violated by anomalies, even though the fermions are massive. This problem is studied in the context of a two dimensional model. In a uniform background field, fermion production arise from non-adiabatic behavior that compensates for the absence of massless modes. On the other hand, for localized instanton-like configurations, there is an adiabatic limit. In this case, the anomaly is produced by bound states which travel across the mass gap. The sphaleron corresponds to a bound state at the halfway point.

  10. Coronary artery anomalies overview: The normal and the abnormal

    Institute of Scientific and Technical Information of China (English)

    Adriana DM Villa; Eva Sammut; Arjun Nair; Ronak Rajani; Rodolfo Bonamini; Amedeo Chiribiri

    2016-01-01

    The aim of this review is to give a comprehensive and concise overview of coronary embryology and normal coronary anatomy, describe common variants of normal and summarize typical patterns of anomalous coronary artery anatomy. Extensive iconography supports the text, with particular attention to images obtained in vivo using non-invasive imaging. We have divided this article into three groups, according to their frequency in the general population: Normal, normal variant and anomaly. Although congenital coronary artery anomalies are relatively uncommon, they are the second most common cause of sudden cardiac death among young athletes and therefore warrant detailed review. Based on the functional relevance of each abnormality, coronary artery anomalies can be classified as anomalies with obligatory ischemia, without ischemia or with exceptional ischemia. The clinical symptoms may include chest pain, dyspnea, palpitations, syncope, cardiomyopathy, arrhythmia, myocardial infarction and sudden cardiac death. Moreover, it is important to also identify variants and anomalies without clinical relevance in their own right as complications during surgery or angioplasty can occur.

  11. Bolivian Bouguer Anomaly Grid

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A 1 kilometer Bouguer anomaly grid for the country of Bolivia.Number of columns is 550 and number of rows is 900. The order of the data is from the lower left to...

  12. Minnesota Bouguer Anomaly Grid

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A 1.5 kilometer Bouguer anomaly grid for the state of Minnesota. Number of columns is 404 and number of rows is 463. The order of the data is from the lower left to...

  13. Cardiac cameras.

    Science.gov (United States)

    Travin, Mark I

    2011-05-01

    Cardiac imaging with radiotracers plays an important role in patient evaluation, and the development of suitable imaging instruments has been crucial. While initially performed with the rectilinear scanner that slowly transmitted, in a row-by-row fashion, cardiac count distributions onto various printing media, the Anger scintillation camera allowed electronic determination of tracer energies and of the distribution of radioactive counts in 2D space. Increased sophistication of cardiac cameras and development of powerful computers to analyze, display, and quantify data has been essential to making radionuclide cardiac imaging a key component of the cardiac work-up. Newer processing algorithms and solid state cameras, fundamentally different from the Anger camera, show promise to provide higher counting efficiency and resolution, leading to better image quality, more patient comfort and potentially lower radiation exposure. While the focus has been on myocardial perfusion imaging with single-photon emission computed tomography, increased use of positron emission tomography is broadening the field to include molecular imaging of the myocardium and of the coronary vasculature. Further advances may require integrating cardiac nuclear cameras with other imaging devices, ie, hybrid imaging cameras. The goal is to image the heart and its physiological processes as accurately as possible, to prevent and cure disease processes.

  14. The Pioneer Anomaly

    Directory of Open Access Journals (Sweden)

    Viktor T. Toth

    2010-09-01

    Full Text Available Radio-metric Doppler tracking data received from the Pioneer 10 and 11 spacecraft from heliocentric distances of 20-70 AU has consistently indicated the presence of a small, anomalous, blue-shifted frequency drift uniformly changing with a rate of ~6 × 10–9 Hz/s. Ultimately, the drift was interpreted as a constant sunward deceleration of each particular spacecraft at the level of aP = (8.74 ± 1.33 × 10–10 m/s2. This apparent violation of the Newton's gravitational inverse square law has become known as the Pioneer anomaly; the nature of this anomaly remains unexplained. In this review, we summarize the current knowledge of the physical properties of the anomaly and the conditions that led to its detection and characterization. We review various mechanisms proposed to explain the anomaly and discuss the current state of efforts to determine its nature. A comprehensive new investigation of the anomalous behavior of the two Pioneers has begun recently. The new efforts rely on the much-extended set of radio-metric Doppler data for both spacecraft in conjunction with the newly available complete record of their telemetry files and a large archive of original project documentation. As the new study is yet to report its findings, this review provides the necessary background for the new results to appear in the near future. In particular, we provide a significant amount of information on the design, operations and behavior of the two Pioneers during their entire missions, including descriptions of various data formats and techniques used for their navigation and radio-science data analysis. As most of this information was recovered relatively recently, it was not used in the previous studies of the Pioneer anomaly, but it is critical for the new investigation.

  15. Astrometric solar system anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Nieto, Michael Martin [Los Alamos National Laboratory; Anderson, John D [PROPULSION LABORATORY

    2009-01-01

    There are at least four unexplained anomalies connected with astrometric data. perhaps the most disturbing is the fact that when a spacecraft on a flyby trajectory approaches the Earth within 2000 km or less, it often experiences a change in total orbital energy per unit mass. next, a secular change in the astronomical unit AU is definitely a concern. It is increasing by about 15 cm yr{sup -1}. The other two anomalies are perhaps less disturbing because of known sources of nongravitational acceleration. The first is an apparent slowing of the two Pioneer spacecraft as they exit the solar system in opposite directions. Some astronomers and physicists are convinced this effect is of concern, but many others are convinced it is produced by a nearly identical thermal emission from both spacecraft, in a direction away from the Sun, thereby producing acceleration toward the Sun. The fourth anomaly is a measured increase in the eccentricity of the Moon's orbit. Here again, an increase is expected from tidal friction in both the Earth and Moon. However, there is a reported unexplained increase that is significant at the three-sigma level. It is produent to suspect that all four anomalies have mundane explanations, or that one or more anomalies are a result of systematic error. Yet they might eventually be explained by new physics. For example, a slightly modified theory of gravitation is not ruled out, perhaps analogous to Einstein's 1916 explanation for the excess precession of Mercury's perihelion.

  16. Pentalogy of Cantrell: An Extremely Rare Congenital Anomaly

    Science.gov (United States)

    Chandran, Suresh; Ari, Dinesh

    2013-01-01

    A baby with the complete form of pentalogy of Cantrell was delivered at 33 weeks of gestation. The hallmark of this syndrome is ectopia cordis (EC) with omphalocele. Even though a fetal diagnosis was made at 14 weeks, parents have decided to continue with the pregnancy. Early antenatal ultrasonographic diagnosis is essential as survival depends mostly on the EC, associated cardiac anomalies and degree of thoraco-abdominal defect. Fetal diagnosis of this lethal anomaly before viability gives the parents an option of termination. PMID:24049753

  17. Multimodality imaging of Poland syndrome with dextrocardia and limb anomalies.

    Science.gov (United States)

    Iyer, Ramesh S; Parisi, Marguerite T

    2012-08-01

    Poland syndrome is a rare disorder featuring unilateral anterior thoracic and upper extremity anomalies. These include hypoplasia of the pectoralis major costosternal head, absent pectoralis minor, breast hypoplasia, and absent upper rib cartilage. Pulmonary hypoplasia may occur secondarily. The postulated etiology is underdevelopment of the subclavian artery. Less than 50 cases of Poland syndrome with dextrocardia have been reported. Rib anomalies cause rightward cardiac displacement in fetal life. This case of left-sided Poland syndrome in a young girl is unique not only because of dextrocardia, but also because the condition preferentially afflicts the right side and males.

  18. PHACE syndrome: MRI of intracerebral vascular anomalies and clinical findings in a series of 12 patients

    Energy Technology Data Exchange (ETDEWEB)

    Bracken, Jennifer; Robinson, Ian; Snow, Aisling; Rea, David; Phelan, Ethna [Our Lady' s Children' s Hospital, Department of Radiology, Dublin (Ireland); Watson, Rosemarie; Irvine, Alan D. [Our Lady' s Children' s Hospital, Department of Dermatology, Dublin (Ireland)

    2011-09-15

    PHACE (posterior fossa defects, haemangioma, arterial anomalies, coarctation of the aorta and cardiac defects, eye abnormalities) syndrome describes a constellation of abnormalities that can occur in association with segmental craniofacial infantile haemangioma. To report the spectrum of clinical and imaging abnormalities seen in a cohort of children. A retrospective review of the clinical and imaging records of all patients diagnosed with PHACE syndrome between 1998 and 2009 was performed. Information sought included patient demographics, craniofacial segments involved, imaging findings and other extracutaneous abnormalities. Twelve patients were diagnosed with PHACE syndrome over 11 years. All patients had a segmental craniofacial haemangioma. Involved facial segments, in order of frequency, were frontotemporal (12), maxillary (8), mandibular (5) and frontonasal (1). The most common extracutaneous abnormalities were neurovascular anomalies (10), with many patients having multiple anomalies. The spectrum of arterial anomalies ranged from hypoplasia (9) to ectasia (3), anomalous origin/course (2) and persistent fetal anastomosis (2). Other anomalies found included cardiac anomalies (3), coarctation of the aorta (2), posterior fossa malformations (1) and sternal region anomalies (1). Intracranial anomalies are the most common extracutaneous feature of PHACE syndrome. The contribution of the radiologist in the recognition of such anomalies is important for the diagnosis of PHACE syndrome. (orig.)

  19. PHACE syndrome: MRI of intracerebral vascular anomalies and clinical findings in a series of 12 patients.

    LENUS (Irish Health Repository)

    Bracken, Jennifer

    2012-02-01

    BACKGROUND: PHACE (posterior fossa defects, haemangioma, arterial anomalies, coarctation of the aorta and cardiac defects, eye abnormalities) syndrome describes a constellation of abnormalities that can occur in association with segmental craniofacial infantile haemangioma. OBJECTIVE: To report the spectrum of clinical and imaging abnormalities seen in a cohort of children. MATERIALS AND METHODS: A retrospective review of the clinical and imaging records of all patients diagnosed with PHACE syndrome between 1998 and 2009 was performed. Information sought included patient demographics, craniofacial segments involved, imaging findings and other extracutaneous abnormalities. RESULTS: Twelve patients were diagnosed with PHACE syndrome over 11 years. All patients had a segmental craniofacial haemangioma. Involved facial segments, in order of frequency, were frontotemporal (12), maxillary (8), mandibular (5) and frontonasal (1). The most common extracutaneous abnormalities were neurovascular anomalies (10), with many patients having multiple anomalies. The spectrum of arterial anomalies ranged from hypoplasia (9) to ectasia (3), anomalous origin\\/course (2) and persistent fetal anastomosis (2). Other anomalies found included cardiac anomalies (3), coarctation of the aorta (2), posterior fossa malformations (1) and sternal region anomalies (1). CONCLUSION: Intracranial anomalies are the most common extracutaneous feature of PHACE syndrome. The contribution of the radiologist in the recognition of such anomalies is important for the diagnosis of PHACE syndrome.

  20. XYY chromosome anomaly and schizophrenia.

    Science.gov (United States)

    Rajagopalan, M; MacBeth, R; Varma, S L

    1998-02-07

    Sex chromosome anomalies have been associated with psychoses, and most of the evidence is linked to the presence of an additional X chromosome. We report a patient with XYY chromosome anomaly who developed schizophrenia.

  1. Colon, rectum and anus

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    970341 Serum concentration of hyaluronic acid in pa-tients with colorectal cancer. XU Hongwei(许洪卫), etal. Dept Surg, Changzheng Hosp, 2nd Milit Med Uniu,Shanghai, 200003. Chin J Dig 1996; 16(6): 329-331. Objective: To find Out the relationship of serumhyaluronic acid and colorectal cancer. Method: UsingELISA, serum concentration hyaluronic acid(HA)was

  2. Anomaly-safe discrete groups

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Mu-Chun, E-mail: muchunc@uci.edu [Department of Physics and Astronomy, University of California, Irvine, CA 92697-4575 (United States); Fallbacher, Maximilian, E-mail: m.fallbacher@tum.de [Physik–Department T30, Technische Universität München, James–Franck–Straße 1, 85748 Garching (Germany); Ratz, Michael, E-mail: michael.ratz@tum.de [Physik–Department T30, Technische Universität München, James–Franck–Straße 1, 85748 Garching (Germany); Trautner, Andreas, E-mail: andreas.trautner@tum.de [Physik–Department T30, Technische Universität München, James–Franck–Straße 1, 85748 Garching (Germany); Excellence Cluster Universe, Boltzmannstraße 2, 85748 Garching (Germany); Vaudrevange, Patrick K.S., E-mail: patrick.vaudrevange@tum.de [Excellence Cluster Universe, Boltzmannstraße 2, 85748 Garching (Germany); TUM Institute for Advanced Study, Lichtenbergstraße 2a, 85748 Garching (Germany); Arnold Sommerfeld Center for Theoretical Physics, Ludwig–Maximilians–Universität München, Theresienstraße 37, 80333 München (Germany)

    2015-07-30

    We show that there is a class of finite groups, the so-called perfect groups, which cannot exhibit anomalies. This implies that all non-Abelian finite simple groups are anomaly-free. On the other hand, non-perfect groups generically suffer from anomalies. We present two different ways that allow one to understand these statements.

  3. Anomaly-safe discrete groups

    Directory of Open Access Journals (Sweden)

    Mu-Chun Chen

    2015-07-01

    Full Text Available We show that there is a class of finite groups, the so-called perfect groups, which cannot exhibit anomalies. This implies that all non-Abelian finite simple groups are anomaly-free. On the other hand, non-perfect groups generically suffer from anomalies. We present two different ways that allow one to understand these statements.

  4. Craniofacial anomalies in twins.

    Science.gov (United States)

    Keusch, C F; Mulliken, J B; Kaplan, L C

    1991-01-01

    Studies of twins provide insight into the relative contribution of genetic and environmental factors in the causality of structural anomalies. Thirty-five affected twin pairs were identified from a group of 1114 patients with congenital craniofacial deformities evaluated from 1972 to 1989. Forty-three of these 70 twins exhibited one or more craniofacial anomalies; these were analyzed for dysmorphic characteristics, zygosity, concordance, and family history. The anomalies were categorized into two groups: malformations and deformations. The malformations (n = 36) included hemifacial microsomia (n = 10), cleft lip and palate (n = 8), cleft palate (n = 4), rare facial cleft (n = 2), craniosynostosis (n = 2), Binder syndrome (n = 2), Treacher Collins syndrome (n = 2), craniopagus (n = 2), CHARGE association (n = 1), frontonasal dysplasia (n = 2), and constricted ears (n = 1). The deformations (n = 7) included plagiocephaly (n = 5), hemifacial hypoplasia (n = 1), and micrognathia (n = 1). Twenty-one monozygotic and 14 dizygotic twin pairs were identified. The concordance rate was 33 percent for monozygotic twins and 7 percent for dizygotic twins.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Cardiac echinococcosis

    Directory of Open Access Journals (Sweden)

    Ivanović-Krstić Branislava A.

    2002-01-01

    Full Text Available Cardiac hydatid disease is rare. We report on an uncommon hydatid cyst localized in the right ventricular wall, right atrial wall tricuspid valve left atrium and pericard. A 33-year-old woman was treated for cough, fever and chest pain. Cardiac echocardiograpic examination revealed a round tumor (5.8 x 4 cm in the right ventricular free wall and two smaller cysts behind that tumor. There were cysts in right atrial wall and tricuspidal valve as well. Serologic tests for hydatidosis were positive. Computed tomography finding was consistent with diagnosis of hydatid cyst in lungs and right hylar part. Surgical treatment was rejected due to great risk of cardiac perforation. Medical treatment with albendazole was unsuccessful and the patient died due to systemic hydatid involvement of the lungs, liver and central nervous system.

  6. Monochorionic-diamniotic discordant growth in a twin pregnancy with one fetus affected by Ebstein's anomaly of tricuspid leaflets.

    Science.gov (United States)

    Fukami, Tatsuya; Goto, Maki; Matsuoka, Sakiko; Sorano, Sumire; Tohyama, Atsushi; Yamamoto, Hiroko; Nakamura, Sumie; Matsuoka, Ryoei; Tsujioka, Hiroshi; Eguchi, Fuyuki

    2016-07-01

    Our patient was diagnosed as having discordant twin growth with Ebstein's anomaly in the larger fetus. Cardiac function was deteriorated in accordance with progression of gestational age. Our observation indicated cardiac failure of the larger fetus. The most important issue in this situation is management of the timing of delivery.

  7. Cardiac Rehabilitation

    Science.gov (United States)

    ... your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase ... exercise routine at home or at a local gym. You may also continue to ... health concerns. Education about nutrition, lifestyle and weight loss ...

  8. Detecting Patterns of Anomalies

    Science.gov (United States)

    2009-03-01

    detect anomalies in the dataset is used in [Leung and Leckie, 2005] and [Eskin et al., 2002]. One-class SVMs [Li et al., 2003, Heller et al., 2003] and...IEE Proceedings F, 140(2): 107–113, 1993. J.D.F. Habbema, J. Hermans , and K. Vandenbroek. A stepwise discriminant analysis pro- gram using density...Technometrics, 29(4):409–412, 1987. K.A. Heller , K.M. Svore, A. Keromytis, and S.J. Stolfo. One class support vector machines for detecting anomalous

  9. Chiral supergravity and anomalies

    CERN Document Server

    Mielke, E W; Macias, Alfredo; Mielke, Eckehard W.

    1999-01-01

    Similarily as in the Ashtekar approach, the translational Chern-Simons term is, as a generating function, instrumental for a chiral reformulation of simple (N=1) supergravity. After applying the algebraic Cartan relation between spin and torsion, the resulting canonical transformation induces not only decomposition of the gravitational fields into selfdual and antiselfdual modes, but also a splitting of the Rarita-Schwinger fields into their chiral parts in a natural way. In some detail, we also analyze the consequences for axial and chiral anomalies.

  10. Low Risk Anomalies?

    DEFF Research Database (Denmark)

    Schneider, Paul; Wagner, Christian; Zechner, Josef

    This paper shows theoretically and empirically that beta- and volatility-based low risk anomalies are driven by return skewness. The empirical patterns concisely match the predictions of our model that endogenizes the role of skewness for stock returns through default risk. With increasing downside...... of betting against beta/volatility among low skew firms compared to high skew firms is economically large. Our results suggest that the returns to betting against beta or volatility do not necessarily pose asset pricing puzzles but rather that such strategies collect premia that compensate for skew risk...

  11. 77. Ultrasonography assessment of congenital renal anomalies in children with congenital heart diseases

    Directory of Open Access Journals (Sweden)

    M.H. Hamadah

    2016-07-01

    Full Text Available Ultrasound (US assessment of renal anomalies in children requiring pediatric cardiac surgery is not a standard practice. This study aimed to study the role of bedside US performed by intensivists to detect occult renal anomalies associated with congenital heart disease (CHD. Prospective descriptive study for 100 consecutive children with CHD admitted to Pediatric Cardiac Intensive Care Unit (PCICU from Januarry 1st, 2015 through June, July 2015. Ultrasound of kidneys was performed initially by trained pediatric cardiac intensivists to ascertain the presence of both kidneys in renal fossae and to check for gross kidney anomalies. After screening of 100 consecutive children with CHD with renal US, we identified in 94 cases (94% normal right and left kidney in the standard sonographer shape in the renal fossae. In 6 cases further investigation revealed ectopic kidney in 3 patients (50%, solitary functional kidney in 2 patients (33.4% and bilateral grade IV hydronephrosis in one patient (16.6%. Urinary tract infection developed peri-operatively in 66% of the cases with kidney anomalies. No significant renal impairment was noted in these patients post-surgery. We observed no specific association between the type of renal anomaly and specific CHD. Renal US in children with CHD demonstrated prevalence of associated congenital renal anomalies in 6% of children undergoing cardiac surgery. The presence of occult kidney anomalies did not impact the kidney function or the short term outcome after cardiac repair except for an increased risk of urosepsis. Performing renal US should be a standard practice in all children with CHD.

  12. Right Lung Agenesis; Isolated and with Accompanied Anomalies

    Directory of Open Access Journals (Sweden)

    Yakup Canıtez

    2013-12-01

    Full Text Available Right lung agenesis is a rare anomaly that can be isolated or accompanied by system anomalies such as cardiac, skeletal or urinary systems. Case 1, a four-month-old girl, was brought because of respiratory distress. Patient had polydactyly, syndactyly of right thumb, right mandibular hypoplasia and low-set dysmorphic ears. Lung x-ray and thorax computerized tomography (CT were consistent with right pulmonary agenesis and butterfly vertebra was evident in the 7th thoracic level. Thoracic CT angiography revealed narrowing of the left main bronchus and esophagus due to compression of aorta, left pulmonary artery and right atrium. In bronchoscopy, narrowing due to compression at the carina level was seen and right main bronchus was not seen. In abdominal ultrasonography, right kidney placement anomaly (pelvic ectopia was present and renal scintigraphy revealed fusion in both kidneys. With these findings, it was found that right pulmonary agenesis was accompanied by ipsilateral radial ray anomaly, renal anomaly, vertebral anomaly and hemifacial microsomia. Case 2, a fifteen-year-old male patient, was diagnosed as pulmonary agenesis via chest x-ray, pulmonary CT and bronchoscopy after a wheezing episode when he was 2 months old. Patient had no complaint except for exhaustion that is aggravated by exercise during last year. In physical examination, he had a mild scoliosis toward right, respiratory sounds were diminished on right hemithorax and heart sounds were heard on right side. Chest x-ray and thoracic CT were consistent with right lung agenesis. No abnormality was found in echocardiography and abdominal ultrasonography was normal. Accompanied cardiovascular anomalies, distortions of intrathoracic structures and recurrent infections are main factors that affect mortality and morbidity. Here, two cases with right lung agenesis, isolated and accompanied by multiple anomalies, were presented. (Jo­ur­nal of Cur­rent Pe­di­at­rics 2013; 11: 134-7

  13. Urinary System anomalies at birth

    Directory of Open Access Journals (Sweden)

    Sharada B. Menasinkai

    2015-06-01

    Full Text Available Background: Congenital anomalies of urinary system are common and are found in 3-4% of population, and lethal urinary anomalies account for 10% of termination of pregnancy. Methods: A study was done to know the incidence of congenital anomalies at birth for the period of 4 months from May 99 - Sept 99 at Cheluvamba hospital attached to Mysore medical college. Congenital anomalies in the still births, live births and aborted fetuses >20 weeks were studied along with the case history and ultrasound reports. Aborted fetuses and still born babies were collected for autopsy after the consent of parents. These babies were fixed in 10% formalin and autopsy was done after fixing, and anomalies were noted. Results: Total births during study period were 3000. There were 61 babies with congenital anomalies and 6 babies had anomalies of urinary system. Among the urinary system anomalies 1 baby had bilateral renal agenesis, 1 baby had unilateral renal agenesis with anophthalmia (Fraser syndrome, 2 babies had Multicystic dysplastic kidney disease (MCDK and 1 live baby had hydronephrosis due to obstruction at pelvi ureteric junction, and 1 live female baby had polycystic kidneys. Conclusion: Incidence of urinary system anomalies in the present study was 2 per 1000 births. U/S detection of urinary anomalies varies with period of gestation, amniotic fluid volume and visualisation of urinary bladder. Autopsy helps to detect renal agenesis. [Int J Res Med Sci 2015; 3(3.000: 743-748

  14. VACTERL association-type anomalies in a male neonate with a Y-chromosome abnormality

    OpenAIRE

    Bhagat, Manish

    2015-01-01

    The acronym VACTERL describes the non-random co-occurrence of three of the following anomalies: vertebral (V), anal (A), cardiac (C), tracheoesophageal fistula with or without oesophageal atresia (TE), renal (R) and limb defects (L). Here, we report a newborn baby with VACTERL-type anomalies along with a single umbilical artery. The additional interesting findings include development dysplasia of the right hip, dislocation of the left knee and the left club foot. The karyotype revealed 46, X,...

  15. Cardiac Calcification

    Directory of Open Access Journals (Sweden)

    Morteza Joorabian

    2011-05-01

    Full Text Available There is a spectrum of different types of cardiac"ncalcifications with the importance and significance"nof each type of cardiac calcification, especially"ncoronary artery calcification. Radiologic detection of"ncalcifications within the heart is quite common. The"namount of coronary artery calcification correlates"nwith the severity of coronary artery disease (CAD."nCalcification of the aortic or mitral valve may indicate"nhemodynamically significant valvular stenosis."nMyocardial calcification is a sign of prior infarction,"nwhile pericardial calcification is strongly associated"nwith constrictive pericarditis. A spectrum of different"ntypes of cardiac calcifications (linear, annular,"ncurvilinear,... could be seen in chest radiography and"nother imaging modalities. So a carful inspection for"ndetection and reorganization of these calcifications"nshould be necessary. Numerous modalities exist for"nidentifying coronary calcification, including plain"nradiography, fluoroscopy, intravascular ultrasound,"nMRI, echocardiography, and conventional, helical and"nelectron-beam CT (EBCT. Coronary calcifications"ndetected on EBCT or helical CT can be quantifie,"nand a total calcification score (Cardiac Calcification"nScoring may be calculated. In an asymptomatic"npopulation and/or patients with concomitant risk"nfactors like diabetes mellitus, determination of the"npresence of coronary calcifications identifies the"npatients at risk for future myocardial infarction and"ncoronary artery disease. In patients without coronary"ncalcifications, future cardiovascular events could"nbe excluded. Therefore, detecting and recognizing"ncalcification related to the heart on chest radiography"nand other imaging modalities such as fluoroscopy, CT"nand echocardiography may have important clinical"nimplications.

  16. Quivers via anomaly chains

    Energy Technology Data Exchange (ETDEWEB)

    Casero, Roberto [Dipartimento di Fisica, Universita di Milano-Bicocca, Piazza della Scienza, 3, 20126 Milan (Italy)]. E-mail: roberto.casero@mib.infn.it; Trincherini, Enrico [Dipartimento di Fisica, Universita di Milano-Bicocca, Piazza della Scienza, 3, 20126 Milan (Italy)

    2003-09-01

    We study quivers in the context of matrix models. We introduce chains of generalized Konishi anomalies to write the quadratic and cubic equations that constrain the resolvents of general affine A-circumflex{sub n-1} and non-affine A{sub n} quiver gauge theories, and give a procedure to calculate all higher-order relations. For these theories we also evaluate, as functions of the resolvents, VEV's of chiral operators with two and four bi-fundamental insertions. As an example of the general procedure we explicitly consider the two simplest quivers A{sub 2} and A-circumflex{sub 1}, obtaining in the first case a cubic algebraic curve, and for the affine theory the same equation as that of U(N) theories with adjoint matter, successfully reproducing the RG cascade result. (author)

  17. Quivers via anomaly chains

    CERN Document Server

    Casero, R; Casero, Roberto; Trincherini, Enrico

    2003-01-01

    We study quivers in the context of matrix models. We introduce chains of generalized Konishi anomalies to write the quadratic and cubic equations that constrain the resolvents of general affine and non-affine quiver gauge theories, and give a procedure to calculate all higher-order relations. For these theories we also evaluate, as functions of the resolvents, VEV's of chiral operators with two and four bifundamental insertions. As an example of the general procedure we explicitly consider the two simplest quivers A2 and A1(affine), obtaining in the first case a cubic algebraic curve, and for the affine theory the same equation as that of U(N) theories with adjoint matter, successfully reproducing the RG cascade result.

  18. Cubic anomalies in WMAP

    CERN Document Server

    Land, K; Land, Kate; Magueijo, Joao

    2004-01-01

    We perform a frequentist analysis of the bispectrum of WMAP first year data. We find clear signal domination up to l=200, with overall consistency with Gaussianity except for the following features. There is a flat patch (i.e. a low chi-squared region) in the same-l components of the bispectrum spanning the range l=32-62; this may be interpreted as ruling out Gaussianity at the 99.6% confidence level. There is also an asymmetry between the North and South inter-l bispectrum components at the 99% confidence level. The preferred asymmetry axis correlates well with the (l,b)=(57,10) direction quoted in the literature for asymmetries in the power spectrum and three-point correlation function. However our analysis of the quadrupole (its bispectrum and principal axes) fail to make contact with previously claimed anomalies.

  19. Algebraic study of chiral anomalies

    Indian Academy of Sciences (India)

    Juan Mañes; Raymond Stora; Bruno Zumino

    2012-06-01

    The algebraic structure of chiral anomalies is made globally valid on non-trivial bundles by the introduction of a fixed background connection. Some of the techniques used in the study of the anomaly are improved or generalized, including a systematic way of generating towers of ‘descent equations’.

  20. Seismic data fusion anomaly detection

    Science.gov (United States)

    Harrity, Kyle; Blasch, Erik; Alford, Mark; Ezekiel, Soundararajan; Ferris, David

    2014-06-01

    Detecting anomalies in non-stationary signals has valuable applications in many fields including medicine and meteorology. These include uses such as identifying possible heart conditions from an Electrocardiography (ECG) signals or predicting earthquakes via seismographic data. Over the many choices of anomaly detection algorithms, it is important to compare possible methods. In this paper, we examine and compare two approaches to anomaly detection and see how data fusion methods may improve performance. The first approach involves using an artificial neural network (ANN) to detect anomalies in a wavelet de-noised signal. The other method uses a perspective neural network (PNN) to analyze an arbitrary number of "perspectives" or transformations of the observed signal for anomalies. Possible perspectives may include wavelet de-noising, Fourier transform, peak-filtering, etc.. In order to evaluate these techniques via signal fusion metrics, we must apply signal preprocessing techniques such as de-noising methods to the original signal and then use a neural network to find anomalies in the generated signal. From this secondary result it is possible to use data fusion techniques that can be evaluated via existing data fusion metrics for single and multiple perspectives. The result will show which anomaly detection method, according to the metrics, is better suited overall for anomaly detection applications. The method used in this study could be applied to compare other signal processing algorithms.

  1. What is a Timing Anomaly?

    DEFF Research Database (Denmark)

    Cassez, Franck; Hansen, Rene Rydhof; Olesen, Mads Chr.

    2012-01-01

    Timing anomalies make worst-case execution time analysis much harder, because the analysis will have to consider all local choices. It has been widely recognised that certain hardware features are timing anomalous, while others are not. However, defining formally what a timing anomaly is, has bee...

  2. Anomaly mediation deformed by axion

    Energy Technology Data Exchange (ETDEWEB)

    Nakayama, Kazunori, E-mail: kazunori@hep-th.phys.s.u-tokyo.ac.jp [Department of Physics, University of Tokyo, Bunkyo-ku, Tokyo 113-0033 (Japan); Kavli Institute for the Physics and Mathematics of the Universe, University of Tokyo, Kashiwa 277-8583 (Japan); Yanagida, Tsutomu T. [Kavli Institute for the Physics and Mathematics of the Universe, University of Tokyo, Kashiwa 277-8583 (Japan)

    2013-05-13

    We show that in supersymmetric axion models the axion supermultiplet obtains a sizable F-term due to a non-supersymmetric dynamics and it generally gives the gaugino masses comparable to the anomaly mediation contribution. Thus the gaugino mass relation predicted by the anomaly mediation effect can be significantly modified in the presence of axion to solve the strong CP problem.

  3. 女婴直肠前庭瘘的病因探讨%Etiology of Rectevestibular Fistula with Normal Anus in Female Infants

    Institute of Scientific and Technical Information of China (English)

    张丽丽; 张学衡

    1991-01-01

    本文报告8例正常肛门伴直肠前庭瘘的女婴,作者以临床及病理分析为主,辅以其它有关检查,对本病病因进行了探讨.指出此病发病较早,可有腰骶椎隐裂等伴发畸形,瘘管切片观察见有平滑肌存在.认为此病病因是先天性的.%Eight cases of rectovestibular fistula with normal anus are presented.A preliminary study on etiology was made mainly by the clinical and pathological findings.Because of its early onset,the accompanying spina bifida,and the presence of smooth muscle in the fistula tissue,the disease is considered congenital in origin.

  4. Anomaly Mediation and Cosmology

    CERN Document Server

    Basboll, A; Jones, D R T

    2011-01-01

    We consider an extension of the MSSM wherein anomaly mediation is the source of supersymmetry-breaking, and the tachyonic slepton problem is solved by a Fayet-Iliopoulos (FI) $D$-term associated with an additional $U(1)$ symmetry, which also facilitates the see-saw mechanism for neutrino masses and a natural source for the Higgs $\\mu$-term. We explore the cosmological consequences of the model, showing that the model naturally produces a period of hybrid inflation, terminating in the production of cosmic strings. In spite of the presence of a $U(1)$ with an FI term, inflation is effected by the $F$-term, with a $D$-flat tree potential (the FI term being cancelled by non-zero squark and slepton fields). Calculating the 1-loop corrections to the inflaton potential, we estimate the constraints on the parameters of the model from Cosmic Microwave Background data. We briefly discuss the mechanisms for baryogenesis via conventional leptogenesis, the out-of-equilibrium production of neutrinos from the cosmic strings...

  5. 经肛门拖出式先天性巨结肠根治术的临床实践研究%Clinical Study on Practice with Pulling out Through the Anus Hirschsprung

    Institute of Scientific and Technical Information of China (English)

    石毅军; 侯远发; 宋耀明

    2014-01-01

    目的:总结经肛门拖出式根治术治疗先天性巨结肠的临床疗效。方法:2011年6月~2012年6月我院共收治15例先天性巨结肠患者,通过经肛门拖出式根治术治疗,观察围手术期情况及术后随访情况。结果:15例均经肛门顺利完成先天性巨结肠根治的手术,术后出现3例并发症,随访发现,患儿逐渐恢复正常,Reding肛门评分明显增加。结论:经肛门拖出式先天性巨结肠根治术治疗先天性巨结肠效果明显,术后恢复快,治疗时间短,具有临床推广价值。%To Summary dragged through the anus type radical mastectomy Hirschsprung clinical efficacy.Methods:A retrospective analysis of our hospital approach in June 2011 to June 2012 included 15 cases between Hirschsprung patients to take through the anus drag-type radical mastectomy situation perioperative and postoperative follow-up situation.Results:15 cases were successfully completed through the anus surgery Hirschsprung's disease, three cases of postoperative complications, follow-up found that children gradually returned to normal,Reding anus score increased significantly.Conclusion:Pulling out through the anus treatment of Hirschsprung's disease Hirschsprung effect is obvious,rapid postoperative recovery,the treatment time is short, with a clinical value.

  6. Anesthetic considerations of an emergency decompressive craniotomy complicated with Ebstein's anomaly and atrial septal defect

    Institute of Scientific and Technical Information of China (English)

    XIN Xin; TANG Shuai; WANG Ling; ZHAO Jing; LI Gui-lin; GUO Li-lin; HUANG Yu-guang

    2011-01-01

    Despite considerable published papers regarding Ebstein's anomaly (EA) patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA patients.hile papers regarding Ebstein's anomaly (EA)patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same degree.We report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.

  7. Interior Alaska Bouguer Gravity Anomaly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A 1 kilometer Complete Bouguer Anomaly gravity grid of interior Alaska. All grid cells within the rectangular data area (from 61 to 66 degrees North latitude and...

  8. Notes on Anomaly Induced Transport

    CERN Document Server

    Landsteiner, Karl

    2016-01-01

    Chiral anomalies give rise to dissipationless transport phenomena such as the chiral magnetic and vortical effects. In these notes I review the theory from a quantum field theoretic, hydrodynamic and holographic perspective. A physical interpretation of the otherwise somewhat obscure concepts of consistent and covariant anomalies will be given. Vanishing of the CME in strict equilibrium will be connected to the boundary conditions in momentum space imposed by the regularization. The role of the gravitational anomaly will be explained. That it contributes to transport in an unexpectedly low order in the derivative expansion can be easiest understood via holography. Anomalous transport is supposed to play also a key role in understanding the electronics of advanced materials, the Dirac- and Weyl (semi)metals. Anomaly related phenomena such as negative magnetoresistivity, anomalous Hall effect, thermal anomalous Hall effect and Fermi arcs can be understood via anomalous transport. Finally I briefly review a holo...

  9. ALP hints from cooling anomalies

    CERN Document Server

    Giannotti, Maurizio

    2015-01-01

    We review the current status of the anomalies in stellar cooling and argue that, among the new physics candidates, an axion-like particle would represent the best option to account for the hinted additional cooling.

  10. Interior Alaska Bouguer Gravity Anomaly

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A 1 kilometer Complete Bouguer Anomaly gravity grid of interior Alaska. Only those grid cells within 10 kilometers of a gravity data point have gravity values....

  11. Cardiac MRI in Athletes

    NARCIS (Netherlands)

    Luijkx, T.

    2012-01-01

    Cardiac magnetic resonance imaging (CMR) is often used in athletes to image cardiac anatomy and function and is increasingly requested in the context of screening for pathology that can cause sudden cardiac death (SCD). In this thesis, patterns of cardiac adaptation to sports are investigated with C

  12. A Case with Microphthalmia and Multiple Congenital Anomalies

    Directory of Open Access Journals (Sweden)

    Ayça Sarı

    2013-12-01

    Full Text Available We present a 7-month-old girl with bilateral microphthalmia, sclerocornea, iris and chorioretinal coloboma, blepharophimosis and dacryostenosis. Microphthalmia is one of the most common features in many syndromes as Micro syndrome, oculodentodigital dysplasia, oculofaciocardiodental syndrome, and Lenz microphthalmia syndrome. Our patient’s clinical features also involved microcephaly, cleft palate, developmental delay, digital and urogenital anomalies, cardiac septal defects and hearing loss, which diagnosis is mostly consistent with the Lenz microphthalmia syndrome. Lenz microphthalmia syndrome is a very rare conditions and their expressions are more often in countries with high rates of consanguineous marriages. Hence, recognizing such rare syndromes in patients with multiple congenital anomalies is essential. (Turk J Ophthalmol 2013; 43: 468-70

  13. Anomaly detection on cup anemometers

    Science.gov (United States)

    Vega, Enrique; Pindado, Santiago; Martínez, Alejandro; Meseguer, Encarnación; García, Luis

    2014-12-01

    The performances of two rotor-damaged commercial anemometers (Vector Instruments A100 LK) were studied. The calibration results (i.e. the transfer function) were very linear, the aerodynamic behavior being more efficient than the one shown by both anemometers equipped with undamaged rotors. No detection of the anomaly (the rotors’ damage) was possible based on the calibration results. However, the Fourier analysis clearly revealed this anomaly.

  14. Space weather and space anomalies

    Directory of Open Access Journals (Sweden)

    L. I. Dorman

    2005-11-01

    Full Text Available A large database of anomalies, registered by 220 satellites in different orbits over the period 1971-1994 has been compiled. For the first time, data from 49 Russian Kosmos satellites have been included in a statistical analysis. The database also contains a large set of daily and hourly space weather parameters. A series of statistical analyses made it possible to quantify, for different satellite orbits, space weather conditions on the days characterized by anomaly occurrences. In particular, very intense fluxes (>1000 pfu at energy >10 MeV of solar protons are linked to anomalies registered by satellites in high-altitude (>15000 km, near-polar (inclination >55° orbits typical for navigation satellites, such as those used in the GPS network, NAVSTAR, etc. (the rate of anomalies increases by a factor ~20, and to a much smaller extent to anomalies in geostationary orbits, (they increase by a factor ~4. Direct and indirect connections between anomaly occurrence and geomagnetic perturbations are also discussed.

  15. Laparoscopic-assisted Anorectoplasty for Imperforate Anus in Children%腹腔镜技术在小儿肛门闭锁中的应用

    Institute of Scientific and Technical Information of China (English)

    王寿青; 李炳; 陈卫兵; 刘树立; 李龙

    2011-01-01

    目的 探讨腹腔镜辅助下先天性高位、中位肛门闭锁患儿手术的可行性. 方法 6例先天性高位、中位肛门闭锁患儿,均在腹腔镜监视下游离出直肠盲端及痿管,切断瘘管,腹腔镜下修补尿瘘或阴道瘘.电刺激找到盆底肌肉中心点,做成一隧道,将直肠盲端从此隧道内拖出,与肛穴缘皮肤吻合. 结果 6例均在腹腔镜辅助下完成直肠肛门成形术.腹腔镜手术操作时间35 ~74 min(平均46.5 min),术中出血量<15 ml,住院时间10 ~18 d(平均14.5 d).无并发症发生.术后随访6~12个月,无肛门失禁、直肠后间隙感染等并发症,均能够正常排便.肛门功能评分优4例,良2例. 结论 腹腔镜辅助下直肠肛门成形术是一种安全、有效的方法,处理瘘管方便,辨认盆底肌中心准确,手术后可获得良好的排便功能,具有创伤小、恢复快、疗效优等特点.%Objective To study the feasibility of laparoscopic-assisted anorectal pull through for high or middle imperforate anus. Methods This study included 6 infants (4 male and 2 female, aged between 7 days and 6 months) with high or middle imperforate anus. Laparoscopic sharp dissection and cautery were used to expose the rectal pouch down to the urethral or vaginal fistula, which was ligated distally and cut off. The pelvic floor musculature was then assessed and the center of the levator muscle was identified. Externally, a 10-mm skin incision was made at the center of the anal dimple, guided by laparoscopy. The rectum was grasped using the perineal trocar and exteriorized to the perineum afterwards, and anorectal anastomosis was performed with absorbable interrupted suture. Results Laparoscopic-assisted anorectoplasty was successfuluy performed on the six cases. The mean operation time was 46. 5 min (35-74 min) , and the intraopeative blood loss was less than 15 ml. The patients were discharged from hospital in 10-18 days ( mean ,14.5 d) after operation. No

  16. Shortening Anomalies in Supersymmetric Theories

    CERN Document Server

    Gomis, Jaume; Ooguri, Hirosi; Seiberg, Nathan; Wang, Yifan

    2016-01-01

    We present new anomalies in two-dimensional ${\\mathcal N} =(2, 2)$ superconformal theories. They obstruct the shortening conditions of chiral and twisted chiral multiplets at coincident points. This implies that marginal couplings cannot be promoted to background super-fields in short representations. Therefore, standard results that follow from ${\\mathcal N} =(2, 2)$ spurion analysis are invalidated. These anomalies appear only if supersymmetry is enhanced beyond ${\\mathcal N} =(2, 2)$. These anomalies explain why the conformal manifolds of the K3 and $T^4$ sigma models are not K\\"ahler and do not factorize into chiral and twisted chiral moduli spaces and why there are no ${\\mathcal N} =(2, 2)$ gauged linear sigma models that cover these conformal manifolds. We also present these results from the point of view of the Riemann curvature of conformal manifolds.

  17. Electromagnetic Duality and Entanglement Anomalies

    CERN Document Server

    Donnelly, William; Wall, Aron

    2016-01-01

    Duality is an indispensable tool for describing the strong-coupling dynamics of gauge theories. However, its actual realization is often quite subtle: quantities such as the partition function can transform covariantly, with degrees of freedom rearranged in a nonlocal fashion. We study this phenomenon in the context of the electromagnetic duality of abelian $p$-forms. A careful calculation of the duality anomaly on an arbitrary $D$-dimensional manifold shows that the effective actions agree exactly in odd $D$, while in even $D$ they differ by a term proportional to the Euler number. Despite this anomaly, the trace of the stress tensor agrees between the dual theories. We also compute the change in the vacuum entanglement entropy under duality, relating this entanglement anomaly to the duality of an "edge mode" theory in two fewer dimensions. Previous work on this subject has led to conflicting results; we explain and resolve these discrepancies.

  18. Conformal Anomalies and Gravitational Waves

    CERN Document Server

    Meissner, Krzysztof A

    2016-01-01

    We argue that the presence of conformal anomalies in gravitational theories can lead to observable modifications to Einstein's equations via the induced anomalous effective actions, whose non-localities can overwhelm the smallness of the Planck scale. The fact that no such effects have been seen in recent cosmological or gravitational wave observations therefore imposes strong restrictions on the field content of possible extensions of Einstein's theory: all viable theories should have vanishing conformal anomalies. We then show that, among presently known theories, a complete cancellation of conformal anomalies in $D=4$ for both the $C^2$ invariant and the Euler (Gauss-Bonnet) invariant $E_4$ can only be achieved for $N$-extended supergravities with $N\\geq 5$, as well as for M theory compactified to four dimensions.

  19. Boundary terms of conformal anomaly

    Directory of Open Access Journals (Sweden)

    Sergey N. Solodukhin

    2016-01-01

    Full Text Available We analyze the structure of the boundary terms in the conformal anomaly integrated over a manifold with boundaries. We suggest that the anomalies of type B, polynomial in the Weyl tensor, are accompanied with the respective boundary terms of the Gibbons–Hawking type. Their form is dictated by the requirement that they produce a variation which compensates the normal derivatives of the metric variation on the boundary in order to have a well-defined variational procedure. This suggestion agrees with recent findings in four dimensions for free fields of various spins. We generalize this consideration to six dimensions and derive explicitly the respective boundary terms. We point out that the integrated conformal anomaly in odd dimensions is non-vanishing due to the boundary terms. These terms are specified in three and five dimensions.

  20. Boundary terms of conformal anomaly

    Energy Technology Data Exchange (ETDEWEB)

    Solodukhin, Sergey N., E-mail: Sergey.Solodukhin@lmpt.univ-tours.fr

    2016-01-10

    We analyze the structure of the boundary terms in the conformal anomaly integrated over a manifold with boundaries. We suggest that the anomalies of type B, polynomial in the Weyl tensor, are accompanied with the respective boundary terms of the Gibbons–Hawking type. Their form is dictated by the requirement that they produce a variation which compensates the normal derivatives of the metric variation on the boundary in order to have a well-defined variational procedure. This suggestion agrees with recent findings in four dimensions for free fields of various spins. We generalize this consideration to six dimensions and derive explicitly the respective boundary terms. We point out that the integrated conformal anomaly in odd dimensions is non-vanishing due to the boundary terms. These terms are specified in three and five dimensions.

  1. Boundary Anomalies and Correlation Functions

    CERN Document Server

    Huang, Kuo-Wei

    2016-01-01

    It was shown recently that boundary terms of conformal anomalies recover the universal contribution to the entanglement entropy and also play an important role in the boundary monotonicity theorem of odd-dimensional quantum field theories. Motivated by these results, we investigate relationships between boundary anomalies and the stress tensor correlation functions in conformal field theories. In particular, we focus on how the conformal Ward identity and the renormalization group equation are modified by boundary central charges. Renormalized stress tensors induced by boundary Weyl invariants are also discussed, with examples in spherical and cylindrical geometries.

  2. Congenital anomalies associated with trisomy 18 or trisomy 13: A registry-based study in 16 European countries, 2000-2011.

    Science.gov (United States)

    Springett, Anna; Wellesley, Diana; Greenlees, Ruth; Loane, Maria; Addor, Marie-Claude; Arriola, Larraitz; Bergman, Jorieke; Cavero-Carbonell, Clara; Csaky-Szunyogh, Melinda; Draper, Elizabeth S; Garne, Ester; Gatt, Miriam; Haeusler, Martin; Khoshnood, Babak; Klungsoyr, Kari; Lynch, Catherine; Dias, Carlos Matias; McDonnell, Robert; Nelen, Vera; O'Mahony, Mary; Pierini, Anna; Queisser-Luft, Annette; Rankin, Judith; Rissmann, Anke; Rounding, Catherine; Stoianova, Sylvia; Tuckerz, David; Zymak-Zakutnia, Natalya; Morris, Joan K

    2015-12-01

    The aim of this study was to examine the prevalence of trisomies 18 and 13 in Europe and the prevalence of associated anomalies. Twenty-five population-based registries in 16 European countries provided data from 2000-2011. Cases included live births, fetal deaths (20+ weeks' gestation), and terminations of pregnancy for fetal anomaly (TOPFAs). The prevalence of associated anomalies was reported in live births. The prevalence of trisomy 18 and trisomy 13 were 4.8 (95%CI: 4.7-5.0) and 1.9 (95%CI: 1.8-2.0) per 10,000 total births. Seventy three percent of cases with trisomy 18 or trisomy 13 resulted in a TOPFA. Amongst 468 live born babies with trisomy 18, 80% (76-83%) had a cardiac anomaly, 21% (17-25%) had a nervous system anomaly, 8% (6-11%) had esophageal atresia and 10% (8-13%) had an orofacial cleft. Amongst 240 Live born babies with trisomy 13, 57% (51-64%) had a cardiac anomaly, 39% (33-46%) had a nervous system anomaly, 30% (24-36%) had an eye anomaly, 44% (37-50%) had polydactyly and 45% (39-52%) had an orofacial cleft. For babies with trisomy 18 boys were less likely to have a cardiac anomaly compared with girls (OR = 0.48 (0.30-0.77) and with trisomy 13 were less likely to have a nervous system anomaly [OR = 0.46 (0.27-0.77)]. Babies with trisomy 18 or trisomy 13 do have a high proportion of associated anomalies with the distribution of anomalies being different in boys and girls.

  3. Cardiac tamponade (image)

    Science.gov (United States)

    Cardiac tamponade is a condition involving compression of the heart caused by blood or fluid accumulation in the space ... they cannot adequately fill or pump blood. Cardiac tamponade is an emergency condition that requires hospitalization.

  4. What Is Cardiac Rehabilitation?

    Science.gov (United States)

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  5. Bony anomaly of Meckel's cave.

    Science.gov (United States)

    Tubbs, R Shane; Salter, E George; Oakes, W Jerry

    2006-01-01

    This study describes the seemingly rare occurrence of bone formation within the proximal superior aspect of Meckel's cave thus forming a bony foramen for the proximal trigeminal nerve to traverse. The anatomy of Meckel's cave is reviewed and the clinical potential for nerve compression from this bony anomaly discussed.

  6. Anomalies and noncommutative index theory

    CERN Document Server

    Perrot, D

    2006-01-01

    These are the notes of a lecture given during the summer school "Geometric and Topological Methods for Quantum Field Theory", Villa de Leyva, Colombia, july 11 - 29, 2005. We review basic facts concerning gauge anomalies and discuss the link with the Connes-Moscovici index formula in noncommutative geometry.

  7. Thermal anomalies in stressed Teflon.

    Science.gov (United States)

    Lee, S. H.; Wulff, C. A.

    1972-01-01

    In the course of testing polytetrafluoroethylene (Teflon) as a calorimetric gasketing material, serendipity revealed a thermal anomaly in stressed film that occurs concomitantly with the well-documented 25 C transition. The magnitude of the excess energy absorption - about 35 cal/g - is suggested to be related to the restricted thermal expansion of the film.

  8. Global gravitational anomalies and transport

    Science.gov (United States)

    Chowdhury, Subham Dutta; David, Justin R.

    2016-12-01

    We investigate the constraints imposed by global gravitational anomalies on parity odd induced transport coefficients in even dimensions for theories with chiral fermions, gravitinos and self dual tensors. The η-invariant for the large diffeomorphism corresponding to the T transformation on a torus constraints the coefficients in the thermal effective action up to mod 2. We show that the result obtained for the parity odd transport for gravitinos using global anomaly matching is consistent with the direct perturbative calculation. In d = 6 we see that the second Pontryagin class in the anomaly polynomial does not contribute to the η-invariant which provides a topological explanation of this observation in the `replacement rule'. We then perform a direct perturbative calculation for the contribution of the self dual tensor in d = 6 to the parity odd transport coefficient using the Feynman rules proposed by Gaumé and Witten. The result for the transport coefficient agrees with that obtained using matching of global anomalies.

  9. Cardiac sodium channelopathies

    NARCIS (Netherlands)

    Amin, A.S.; Asghari-Roodsari, A.; Tan, H.L.

    2010-01-01

    Cardiac sodium channel are protein complexes that are expressed in the sarcolemma of cardiomyocytes to carry a large inward depolarizing current (I-Na) during phase 0 of the cardiac action potential. The importance of I-Na for normal cardiac electrical activity is reflected by the high incidence of

  10. Coronary artery anomalies: prevalence and clinical profile in elderly patients

    Institute of Scientific and Technical Information of China (English)

    Gianluca Rigatelli; Giorgio Rigatelli; Mario Trivellato

    2004-01-01

    Objective Although congenital heart diseases are uncommon in the elderly, coronary artery anomalies may be incidentally discovered in old age. We sought to determine the incidence and clinical features of coronary artery anomalies (CAAs) in patients over 65 years of age. Patients and methods Medical records of patients undergoing coronary artery angiography in the years 1997-2002 at the Legnago General Hospital were retrospectively reviewed, The clinical profiles of all patients with CAAs and CAA subtypes were noted. Comparison between patients under and over 65 was performed. Data are given as mean standard deviation and as percentages. Results Sixtysix patients (1.21%, Female/Male 22/44, mean age 65.3 ± 10.6 years) out of the 5450 who underwent coronary angiography in the years 1997-2002 had CAAs. In mast cases (63%, 41/66 patients), the patients were over 65.CAAs were discovered incidentally in these elderly patients while undergoing coronary artery angiography for dilated cardiomyopathy, ischemic heart disease, and valvular heart disease in 75% of the cases (30/41 patients). Patients over 65 had more cardiac comorbidities and .a higher incidence of coronary atherosclerosis. Conclusions The angiographic incidence of CAAs in elderly patients is increasing as the population ages and this occurrence calls for a wider knowledge of the anatomy and pathophysiology of CAAs among geriatric cardiologists. Elderly patients seem to present with lower risk coronary anomalies (separated origin of left anterior descending coronary artery and circanfflex artery, origin of circumflex artery from the right sinus or the right coronary artery, double coronary artery)but have a higher risk profile compared to younger patients due to the frequency of cardiac comorbidities and superimposed coronary artery atherosclerosis.

  11. Dyshormonogenetic goiter and associated non-thyroidal anomalies

    Directory of Open Access Journals (Sweden)

    Khalid J Farooqui

    2012-01-01

    Full Text Available Background: Dyshormonogenetic goiter (DG refers to familial goitres owing to an inherited defect in the metabolism of thyroid hormones and accounts for 10-15% of all cases of congenital hypothyroidism. Aim and Objective: To identify dysmorphic features, cardiac and urogenital anomalies in patients with DG following in the pediatric endocrinology clinic. Materials and Methods: Eight adolescents following the pediatric endocrinology clinic for hypothyroidism and associated stigmata were identified with dyshormonogenesis using 99mTc radionuclide thyroid scintigraphy and confirmation by the Perchlorate discharge test during a 6-month period from January to July 2012. Screening for associated malformations was done using clinical examination, echocardiography and ultrasonography of abdomen. Results: The eight patients (two boys and six girls had a mean age of 9.87 years. The mean duration of goitre was 36.12 months. Two patients had mental retardation and delayed developmental milestones one of whom had ectopic left kidney on renal scintigraphy. Mitral regurgitation was seen in one patient whereas renal anomalies in the form of ectopic kidney and small/contracted kidney with grade III hydronephrosis was seen in two patients. Penoscrotal hypospadias was identified in one of the patients who also had small/contracted kidney with grade III hydronephrosis and underwent pyeloplasty for the same. Dysmorphic features in the form of high arched palate, depressed nasal bridge and low set ears was seen in one patient. Conclusion: DG is associated with other extra-thyroidal congenital anomaly, some of which may need to be treated.

  12. [Drowning versus cardiac ischemia: Cardiac arrest of an 11-year-old boy at a swimming lake].

    Science.gov (United States)

    Födinger, A; Wöss, C; Semsroth, S; Stadlbauer, K H; Wenzel, V

    2015-11-01

    This report describes a case of sudden cardiac arrest and subsequent attempted cardiopulmonary resuscitation of an 11-year-old child on the shores of a swimming lake. Reports of eyewitnesses excluded the obviously suspected diagnosis of a drowning accident. The result of the autopsy was sudden cardiac death due to a congenital coronary anomaly (abnormal left coronary artery, ALCA). Favored by vigorous physical activity, this anomaly can lead to malignant arrhythmias because the ectopic coronary artery with its intramural course through the aortic wall is compressed during every systole. This pathology was not known to the boy or his family; in fact he liked sports but had suffered of a syncope once which was not followed up. Without a strong suspicion it is difficult to diagnose a coronary artery anomaly and it is often missed even in college athletes. Tragically, sudden cardiac arrest may be the first symptom of an undiagnosed abnormal coronary artery. Following syncope or chest pain during exercise with a normal electrocardiogram (ECG) cardiac imaging, such as computed tomography (CT) or angiography should be initiated in order to enable surgical repair of an abnormal coronary artery.

  13. CLINICAL EVALUATION OF AYURVEDIC COMPOUND AND MANUAL DILATATION OF ANUS IN THE MANAGEMENT OF PARIKARTIKA (FISSURE-IN ANO: AN OPEN PERSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Panigrahi Hemanta

    2012-12-01

    Full Text Available Parikartika (Anal fissure is the most common cause of anal pain. The aim of this prospective study was to assess the effectiveness of Ayurvedic compound along with manual dilatation of Anus and Jatyadi tail in anal fissure. 40 patients were included in this study and the therapeutic outcome and side effects were recorded. Recurrence of symptoms occurred in two healed patients in four months. Remission of the disease was found in 80% of cases which is statistically significant. Partial remission in 12.5% and no remission was found in 7.5% of cases. The appetite was markedly improved, which was either nil or, reduced before treatment. The mean was 0.4 as compared to 2.375 before treatment with SD 0.5905 and P is significant <0.001. Complete healing of the fissure occurred in 95% of the subjects by the end of 30 days (P<0.0001, statistically highly significant. The pain score in the subjects dropped from 3.325 (mean to 0.35 (mean in 30days time with SD 0.4830, SEM dropped from 0.1154 to 0.07638 with P value < 0.001 which is statistically significant. Ninty nine percent of the subjects experienced a significant fall in the bleeding by the end of 30 days. There was also a significant reduction in the discharge with mean dropped from 3.375 to 0.2 and SD 0.4051, P value <0.0001.Perianal pruritis was also significantly reduced with mean dropped from 3.175 to 0.35 before and after treatment respectively with SD 0.4830, SEM0.07638, and P value <0.001.

  14. Mechanisms of cardiac pain.

    Science.gov (United States)

    Foreman, Robert D; Garrett, Kennon M; Blair, Robert W

    2015-04-01

    Angina pectoris is cardiac pain that typically is manifested as referred pain to the chest and upper left arm. Atypical pain to describe localization of the perception, generally experienced more by women, is referred to the back, neck, and/or jaw. This article summarizes the neurophysiological and pharmacological mechanisms for referred cardiac pain. Spinal cardiac afferent fibers mediate typical anginal pain via pathways from the spinal cord to the thalamus and ultimately cerebral cortex. Spinal neurotransmission involves substance P, glutamate, and transient receptor potential vanilloid-1 (TRPV1) receptors; release of neurokinins such as nuclear factor kappa b (NF-kb) in the spinal cord can modulate neurotransmission. Vagal cardiac afferent fibers likely mediate atypical anginal pain and contribute to cardiac ischemia without accompanying pain via relays through the nucleus of the solitary tract and the C1-C2 spinal segments. The psychological state of an individual can modulate cardiac nociception via pathways involving the amygdala. Descending pathways originating from nucleus raphe magnus and the pons also can modulate cardiac nociception. Sensory input from other visceral organs can mimic cardiac pain due to convergence of this input with cardiac input onto spinothalamic tract neurons. Reduction of converging nociceptive input from the gallbladder and gastrointestinal tract can diminish cardiac pain. Much work remains to be performed to discern the interactions among complex neural pathways that ultimately produce or do not produce the sensations associated with cardiac pain.

  15. Anomaly detection in online social networks

    CERN Document Server

    Savage, David; Yu, Xinghuo; Chou, Pauline; Wang, Qingmai

    2016-01-01

    Anomalies in online social networks can signify irregular, and often illegal behaviour. Anomalies in online social networks can signify irregular, and often illegal behaviour. Detection of such anomalies has been used to identify malicious individuals, including spammers, sexual predators, and online fraudsters. In this paper we survey existing computational techniques for detecting anomalies in online social networks. We characterise anomalies as being either static or dynamic, and as being labelled or unlabelled, and survey methods for detecting these different types of anomalies. We suggest that the detection of anomalies in online social networks is composed of two sub-processes; the selection and calculation of network features, and the classification of observations from this feature space. In addition, this paper provides an overview of the types of problems that anomaly detection can address and identifies key areas of future research.

  16. Focal skin defect, limb anomalies and microphthalmia.

    NARCIS (Netherlands)

    Jackson, K.E.; Andersson, H.C.

    2004-01-01

    We describe two unrelated female patients with congenital single focal skin defects, unilateral microphthalmia and limb anomalies. Growth and psychomotor development were normal and no brain malformation was detected. Although eye and limb anomalies are commonly associated, clinical anophthalmia and

  17. Conotruncal anomalies in the fetus: Referral patterns and pregnancy outcomes in a dedicated fetal cardiology unit in South India

    Directory of Open Access Journals (Sweden)

    Balu Vaidyanathan

    2013-01-01

    Conclusions: Pre-natal diagnosis of CTA, despite a high diagnostic accuracy, prompted utilization of post-natal tertiary cardiac care in a limited proportion of patients, including those with reparable lesions. Focus in developing countries should shift towards earlier referral, improving awareness about treatment options and a comprehensive evaluation for associated anomalies.

  18. Prevalence of dental anomalies in orthodontic patients.

    Science.gov (United States)

    Thongudomporn, U; Freer, T J

    1998-12-01

    The prevalence of dental anomalies including agenesis, crown shape, tooth position, root shape, and invagination were examined in 111 orthodontic patients; 74.77 per cent of the patients exhibited at least one dental anomaly. Invagination was found to be the most prevalent anomaly, whereas supernumerary teeth and root dilaceration were the least frequent anomalies. Dental invagination and short or blunt roots were significantly more prevalent in females than in males. Implications for orthodontic treatment planning are discussed.

  19. On Anomaly Mediated SUSY Breaking

    CERN Document Server

    de Alwis, S P

    2008-01-01

    A discrepancy between the Anomaly Mediated Supersymmetry Breaking (AMSB) gaugino mass calculated from the work of Kaplunovsky and Louis (hep-th/9402005) (KL) and other calculations in the literature is explained, and it is argued that the KL expression is the correct one relevant to the Wilsonian action. Furthermore it is argued that the AMSB contribution to the squark and slepton masses should be replaced by the contribution pointed out by Dine and Seiberg (DS) which has nothing to do with Weyl anomalies. This is not in general equivalent to the AMSB expression, and it is shown that there are models in which the usual AMSB expression would vanish but the DS one is non-zero. In fact the latter has aspects of both AMSB and gauge mediated SUSY breaking. In particular like the latter, it gives positive squared masses for sleptons.

  20. Survey of Anomaly Detection Methods

    Energy Technology Data Exchange (ETDEWEB)

    Ng, B

    2006-10-12

    This survey defines the problem of anomaly detection and provides an overview of existing methods. The methods are categorized into two general classes: generative and discriminative. A generative approach involves building a model that represents the joint distribution of the input features and the output labels of system behavior (e.g., normal or anomalous) then applies the model to formulate a decision rule for detecting anomalies. On the other hand, a discriminative approach aims directly to find the decision rule, with the smallest error rate, that distinguishes between normal and anomalous behavior. For each approach, we will give an overview of popular techniques and provide references to state-of-the-art applications.

  1. Fetal renal anomalies : diagnosis, management, and outcome

    NARCIS (Netherlands)

    Damen-Elias, Henrica Antonia Maria

    2004-01-01

    In two to three percent of fetuses structural anomalies can be found with prenatal ultrasound investigation. Anomalies of the urinary tract account for 15 to 20% of these anomalies with a detection rate of approximately of 90%. In Chapter 2, 3 and 4 we present reference curves for size and growth of

  2. The prevalence of congenital anomalies in Europe

    DEFF Research Database (Denmark)

    Dolk, Helen; Loane, Maria; Garne, Ester

    2010-01-01

    EUROCAT (European Surveillance of Congenital Anomalies) is the network of population-based registers of congenital anomaly in Europe, with a common protocol and data quality review, covering 1.5 million annual births in 22 countries. EUROCAT recorded a total prevalence of major congenital anomali...

  3. Theory of Geological Anomaly in Remote Sensing

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Geological anomaly is geological body or complex body with obviously different compositions, structures or orders of genesis as compared with those in the surrounding areas. Geological anomaly, restrained by the geological factors closely associated with ore-forming process, is an important clue to ore deposits. The geological anomaly serves as a geological sign to locate ore deposits. Therefore, it is very important to study how to define the characteristics of geological anomaly and further to locate the changes in these characteristics. In this paper, the authors propose the geological anomaly based on the remote-sensing images and data, and expound systematically such image features as scale, size, boundary, morphology and genesis of geological anomalies. Then the authors introduce the categorization of the geological anomalies according to their geneses. The image characteristics of some types of geological anomalies, such as the underground geological anomaly, are also explained in detail. Based on the remote-sensing interpretation of these geological anomalies, the authors conclude that the forecasting and exploration of ore deposits should be focused on the following three aspects: (1) the analysis of geological setting and geological anomaly; (2) the analysis of circular geological anomaly, and (3) the comprehensive forecasting of ore deposits and the research into multi-source information.

  4. Trace anomalies from quantum mechanics

    CERN Document Server

    Bastianelli, F; Bastianelli, Fiorenzo; Nieuwenhuizen, Peter van

    1993-01-01

    The 1-loop anomalies of a d-dimensional quantum field theory can be computed by evaluating the trace of the regulated path integral jacobian matrix, as shown by Fujikawa. In 1983, Alvarez-Gaum\\'e and Witten observed that one can simplify this evaluation by replacing the operators which appear in the regulator and in the jacobian by quantum mechanical operators with the same (anti)commutation relations. By rewriting this quantum mechanical trace as a path integral with periodic boundary conditions for a one-dimensional supersymmetric nonlinear sigma model, they obtained the chiral anomalies for spin 1/2 and 3/2 fields and selfdual antisymmetric tensors in d dimensions. In this article, we treat the case of trace anomalies for spin 0, 1/2 and 1 fields in a gravitational and Yang-Mills background. We do not introduce a supersymmetric sigma model, but keep the original Dirac matrices $\\g^\\m$ and internal symmetry generators $T^a$ in the path integral. As a result, we get a matrix-valued action. Gauge covariance o...

  5. Columbus Payloads Flow Rate Anomalies

    Science.gov (United States)

    Quaranta, Albino; Bufano, Gaetana; DePalo, Savino; Holt, James M.; Szigetvari, Zoltan; Palumberi, Sergio; Hinderer, S.

    2011-01-01

    The Columbus Active Thermal Control System (ATCS) is the main thermal bus for the pressurized racks working inside the European laboratory. One of the ATCS goals is to provide proper water flow rate to each payload (P/L) by controlling actively the pressure drop across the common plenum distribution piping. Overall flow measurement performed by the Water Pump Assembly (WPA) is the only flow rate monitor available at system level and is not part of the feedback control system. At rack activation the flow rate provided by the system is derived on ground by computing the WPA flow increase. With this approach, several anomalies were raised during these 3 years on-orbit, with the indication of low flow rate conditions on the European racks FSL, BioLab, EDR and EPM. This paper reviews the system and P/Ls calibration approach, the anomalies occurred, the engineering evaluation on the measurement approach and the accuracy improvements proposed, the on-orbit test under evaluation with NASA and finally discusses possible short and long term solutions in case of anomaly confirmation.

  6. Anomaly mediation in superstring theory

    Energy Technology Data Exchange (ETDEWEB)

    Conlon, J.P. [Rudolf Peierls Center for Theoretical Physics, 1 Keble Road, Oxford, OX1 3NP (United Kingdom); Balliol College, Oxford, OX1 3BJ (United Kingdom); Kavli Institute of Theoretical Physics, Kohn Hall, University of California, Santa Barbara CA 93106-4030 (United States); Goodsell, M. [Deutsches Elektronen-Synchrotron DESY, Notkestrasse 85, 22603 Hamburg (Germany); Palti, E. [Centre de Physique Theorique, Ecole Polytechnique, CNRS, 91128 Palaiseau (France)

    2011-01-15

    We study anomaly mediated supersymmetry breaking in type IIB string theory and use our results to test the supergravity formula for anomaly mediated gaugino masses. We compute 1-loop gaugino masses for models of D3-branes on orbifold singularities with 3-form fluxes by calculating the annulus correlator of 3-form flux and two gauginos in the zero momentum limit. Consistent with supergravity expectations we find both anomalous and running contributions to 1-loop gaugino masses. For background Neveu-Schwarz H-flux we find an exact match with the supergravity formula. For Ramond-Ramond flux there is an off-shell ambiguity that precludes a full matching. The anomaly mediated gaugino masses, while determined by the infrared spectrum, arise from an explicit sum over UV open string winding modes. We also calculate brane-to-brane tree-level gravity mediated gaugino masses and show that there are two contributions coming from the dilaton and from the twisted modes, which are suppressed by the full T{sup 6} volume and the untwisted T{sup 2} volume respectively. (Copyright copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  7. Anomaly mediation in superstring theory

    Energy Technology Data Exchange (ETDEWEB)

    Conlon, Joseph P. [Rudolf Peierls Center for Theoretical Physics, Oxford (United Kingdom); Balliol College, Oxford (United Kingdom); Goodsell, Mark [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Palti, Eran [Centre de Physique Theoretique, Ecole Polytechnique, CNRS, Palaiseau (France)

    2010-08-15

    We study anomaly mediated supersymmetry breaking in type IIB string theory and use our results to test the supergravity formula for anomaly mediated gaugino masses. We compute 1-loop gaugino masses for models of D3-branes on orbifold singularities with 3-form fluxes by calculating the annulus correlator of 3-form flux and two gauginos in the zero momentum limit. Consistent with supergravity expectations we find both anomalous and running contributions to 1-loop gaugino masses. For background Neveu-Schwarz H-flux we find an exact match with the supergravity formula. For Ramond-Ramond flux there is an off-shell ambiguity that precludes a full matching. The anomaly mediated gaugino masses, while determined by the infrared spectrum, arise from an explicit sum over UV open string winding modes. We also calculate brane-to-brane tree-level gravity mediated gaugino masses and show that there are two contributions coming from the dilaton and from the twisted modes, which are suppressed by the full T{sup 6} volume and the untwisted T{sup 2} volume respectively. (orig.)

  8. Astrometric Solar-System Anomalies

    CERN Document Server

    Anderson, John D

    2009-01-01

    There are at least four unexplained anomalies connected with astrometric data. Perhaps the most disturbing is the fact that when a spacecraft on a flyby trajectory approaches the Earth within 2000 km or less, it often experiences a change in total orbital energy per unit mass. Next, a secular change in the astronomical unit AU is definitely a concern. It is increasing by about 15 cm yr$^{-1}$. The other two anomalies are perhaps less disturbing because of known sources of nongravitational acceleration. The first is an apparent slowing of the two Pioneer spacecraft as they exit the solar system in opposite directions. Some astronomers and physicists are convinced this effect is of concern, but many others are convinced it is produced by a nearly identical thermal emission from both spacecraft, in a direction away from the Sun, thereby producing acceleration toward the Sun. The fourth anomaly is a measured increase in the eccentricity of the Moon's orbit. Here again, an increase is expected from tidal friction ...

  9. Stimulating endogenous cardiac regeneration

    Directory of Open Access Journals (Sweden)

    Amanda eFinan

    2015-09-01

    Full Text Available The healthy adult heart has a low turnover of cardiac myocytes. The renewal capacity, however, is augmented after cardiac injury. Participants in cardiac regeneration include cardiac myocytes themselves, cardiac progenitor cells, and peripheral stem cells, particularly from the bone marrow compartment. Cardiac progenitor cells and bone marrow stem cells are augmented after cardiac injury, migrate to the myocardium, and support regeneration. Depletion studies of these populations have demonstrated their necessary role in cardiac repair. However, the potential of these cells to completely regenerate the heart is limited. Efforts are now being focused on ways to augment these natural pathways to improve cardiac healing, primarily after ischemic injury but in other cardiac pathologies as well. Cell and gene therapy or pharmacological interventions are proposed mechanisms. Cell therapy has demonstrated modest results and has passed into clinical trials. However, the beneficial effects of cell therapy have primarily been their ability to produce paracrine effects on the cardiac tissue and recruit endogenous stem cell populations as opposed to direct cardiac regeneration. Gene therapy efforts have focused on prolonging or reactivating natural signaling pathways. Positive results have been demonstrated to activate the endogenous stem cell populations and are currently being tested in clinical trials. A potential new avenue may be to refine pharmacological treatments that are currently in place in the clinic. Evidence is mounting that drugs such as statins or beta blockers may alter endogenous stem cell activity. Understanding the effects of these drugs on stem cell repair while keeping in mind their primary function may strike a balance in myocardial healing. To maximize endogenous cardiac regeneration,a combination of these approaches couldameliorate the overall repair process to incorporate the participation ofmultiple cell players.

  10. Heart defects and ocular anomalies in children with Down’s syndrome

    OpenAIRE

    Bromham, Nathan R.; Woodhouse, J M; Cregg, M.; Webb, Elspeth Valma Jocelyn; Fraser, William

    2002-01-01

    Aims: To investigate whether ocular anomalies are associated with congenital heart defects in children with Down’s syndrome. \\ud \\ud Methods: 58 children with Down’s syndrome were entered into a retrospective observational study. Children were assigned to heart defect groups based on medical records. Optometric tests had previously been carried out at the homes of the children. \\ud \\ud Results: A relation between congenital cardiac defects, myopia, and nystagmus was observed. Heart proble...

  11. C1-2 vertebral anomalies in 22q11.2 microdeletion syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Konen, Osnat; Armstrong, Derek; Padfield, Nancy; Blaser, Susan [Hospital for Sick Children, Diagnostic Imaging, Toronto (Canada); Clarke, Howard [Hospital for Sick Children, Plastic Surgery, Toronto (Canada); Weksberg, Rosanna [Hospital for Sick Children, Clinical and Metabolic Genetics, Toronto (Canada)

    2008-07-15

    Chromosome 22q11.2 microdeletion syndrome (22q11DS) is characterized by cleft palate, cardiac anomalies, characteristic facies, high prevalence of skeletal anomalies and learning disability. To evaluate the prevalence of craniovertebral junction anomalies in children with 22q11DS and compare these findings to those in nonsyndromic children with velopharyngeal insufficiency (VPI). Sequential CT scans performed for presurgical carotid assessment in 76 children (45 children positive for chromosome 22q11.2 deletion and 31 negative for the deletion) with VPI were retrospectively evaluated for assessment of C1-2 anomalies. C1-2 vertebral anomalies, specifically midline C1 defects, uptilted or upswept posterior elements of C2 and fusions of C2-3, were nearly universal in our cohort of 22q11DS patients with VPI. They were strikingly absent in the majority of non-22q11DS patients with VPI. C1-2 vertebral anomalies, particularly those listed above, are important radiographic markers for 22q11DS. (orig.)

  12. Global Anomalies and Effective Field Theory

    CERN Document Server

    Golkar, Siavash

    2015-01-01

    We show that matching anomalies under large gauge transformations and large diffeomorphisms can explain the appearance and non-renormalization of couplings in effective field theory. We focus on %thermal partition functions and thermal effective field theory where we argue that the appearance of certain unusual Chern-Simons couplings is a consequence of global anomalies. As an example, we show that a mixed global anomaly in four dimensions fixes the chiral vortical effect coefficient. This is an experimentally measurable prediction from a global anomaly. For certain situations, we propose a simpler method for calculating global anomalies which uses correlation functions rather than eta invariants.

  13. Development and Congenital Anomalies of the Pancreas

    Directory of Open Access Journals (Sweden)

    Hiroyuki Tadokoro

    2011-01-01

    Full Text Available Understanding how the pancreas develops is essential to understand the pathogenesis of congenital pancreatic anomalies. Recent studies have shown the advantages of investigating the development of frogs, mice, and chickens for understanding early embryonic development of the pancreas and congenital anomalies, such as choledochal cysts, anomalous pancreaticobiliary junction, annular pancreas, and pancreas divisum. These anomalies arise from failure of complete rotation and fusion during embryogenesis. There are many theories in the etiology of congenital anomalies of the pancreas. We review pancreas development in humans and other vertebrates. In addition, we attempt to clarify how developmental failure is related to congenital pancreatic anomalies.

  14. Algorithms for Anomaly Detection - Lecture 1

    CERN Document Server

    CERN. Geneva

    2017-01-01

    The concept of statistical anomalies, or outliers, has fascinated experimentalists since the earliest attempts to interpret data. We want to know why some data points don’t seem to belong with the others: perhaps we want to eliminate spurious or unrepresentative data from our model. Or, the anomalies themselves may be what we are interested in: an outlier could represent the symptom of a disease, an attack on a computer network, a scientific discovery, or even an unfaithful partner. We start with some general considerations, such as the relationship between clustering and anomaly detection, the choice between supervised and unsupervised methods, and the difference between global and local anomalies. Then we will survey the most representative anomaly detection algorithms, highlighting what kind of data each approach is best suited to, and discussing their limitations. We will finish with a discussion of the difficulties of anomaly detection in high-dimensional data and some new directions for anomaly detec...

  15. Algorithms for Anomaly Detection - Lecture 2

    CERN Document Server

    CERN. Geneva

    2017-01-01

    The concept of statistical anomalies, or outliers, has fascinated experimentalists since the earliest attempts to interpret data. We want to know why some data points don’t seem to belong with the others: perhaps we want to eliminate spurious or unrepresentative data from our model. Or, the anomalies themselves may be what we are interested in: an outlier could represent the symptom of a disease, an attack on a computer network, a scientific discovery, or even an unfaithful partner. We start with some general considerations, such as the relationship between clustering and anomaly detection, the choice between supervised and unsupervised methods, and the difference between global and local anomalies. Then we will survey the most representative anomaly detection algorithms, highlighting what kind of data each approach is best suited to, and discussing their limitations. We will finish with a discussion of the difficulties of anomaly detection in high-dimensional data and some new directions for anomaly detec...

  16. SUBARACHNOID BLOCK IN A PATIENT WITH EBSTEIN’S ANOMALY

    Directory of Open Access Journals (Sweden)

    Usha Devi

    2015-10-01

    Full Text Available BACKGROUND AND OBJECTIVES: Ebstein’s anomaly is one of the rare congenital heart conditions that occur due an abnormal development of the tricuspid valve with “atrialization” of the right ventricle, leading to a small effective distal portion causing poor ventricular function. It may be associated with other cardiac malformations, rhythm disturbances or even a failing heart. When these patients report for surgery, the anaesthetic considerations are serious and reports about the use of central neuraxial blo ckade for the same is rare. Hence this study aims to provide some knowledge and information on the use of subarachnoid block in a case of Ebstein’s anomaly posted for haemorrhoidectomy. PRESENTATION: DIAGNOSIS AND MANAGEMENT: A 48year old female patient wi th external and internal haemorrhoids was posted for haemorrhoidectomy. She was a known hypertensive with grade 1 hypertensive retinopathy on fundoscopy and was on treatment for the same. E CG showed a WPW syndrome pattern and chest radiograph showed mild c ardiomegaly. 2D echocardiography revealed a dilated right atrium and right ventricle, with apical displacement of septal tricuspid leaflet and Ebstein’s anomaly . There was moderate tricuspid regurgitation. Biventricular function was good with intact septum . The ejection fraction was 65%. The patient was given a low subarachnoid block in anti - trendelenberg position in the L3 - L4 interspace with a combination of bupivacaine 0.5% heavy 4.5mg and fentanyl 15mcg ( T otal volume of 1.2ml. There was good anaesthet ization with sensory and motor blockade of the saddle area. The patient was haemodynamically stable, without hypotension, rhythm disturbances or any other untoward incident throughout the procedure and in the postoperative period. CONCLUSION: Very few repo rts are available on the use of subarachnoid block in patients with Ebstein’s anomaly. The feared drawback with its use is the occurrence of precipitous hypotension

  17. Colon,rectum and anus

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    2010344 Serotonin transporter expression in rats with chronic visceral hypersensitivity.SUN Chengcheng(孙程程),et al. Dept Gastroenterol,Peking Univ 1st Hosp,Beijing 100034.World Chin J Digestol 2010;18(14):1428-33. Objective To determine whether colonic serotonin transporter (SERT) expression is altered in rats with visceral hypersensitivity and to explore the

  18. Colon,rectum and anus

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    950328 Stepwise regression analysis on affective fac-tor of the changes in gastrin and somatostatin in col-orectal cancer patients.WANG Yuanhe(王元和),etal.2nd Milit Med Univ,Shanghai,200003.Med J ChinPLA 1995:20(1):48-51.Gastrin and somatostatin (SS) levels in peripheralblood,tumor and its surrounding mucosa were deter-mined in 40 colorectal cancer patients by RIA with theserum gastrin (SG),plasma SS(PS),tumor SS(TS)or cancer-adjacent mucosa (CAMS)SS(CAMS)lev-els were taken as dependent variables and the remain-ing variables(including gastrin and SS levels,age and

  19. Colon,rectum and anus

    Institute of Scientific and Technical Information of China (English)

    1993-01-01

    930135 Induction of expression of HLA anti-gens,carcinoembryonic antigen and oncogeneproduct on human colorectal cancer cell lineswith interferon-γ.WANG Ling(王聆),et al.Immunol Instit,Shanghai 2nd Med Univ.Chin J

  20. Colon,rectum and anus

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    2008303 MicroRNA expression profiling in hydrox-ycamptothecin-resistant human colon cancer cell line by microarray.TONG Jinlu(童锦禄), et al. Dept Gastroenterol, Renji Hosp, Med Sch, Shanghai Jiaotong Univ, Shanghai Instit Dig Dis, Shanghai 200001. Chin J Dig 2008;28(4):246-249.Objective To explore the role of a novel regulatory molecule-microRNA in the hydroxycamptothecin-resistant human colon cancer cell line SW1116/HCPTin order to provide a new reversal target for multidrug resistance.

  1. Double Coronary Artery Anomaly in an Elderly Asymptomatic Patient with Positive Electrocardiogram Stress Test

    Directory of Open Access Journals (Sweden)

    Giuseppe Cannavale

    2013-01-01

    Full Text Available Malignant coronary artery anomalies and myocardial bridging are more common findings in young patients with cardiac symptoms, but these two associated yet different types of anomalies in an elderly patient has been rarely described. The following case describes the diagnostic use of 128-slice coronary-computed tomography images of an 82-year-old male, former professional soccer player, who reached the age of 82 years without any symptoms of coronary heart disease. In this patient, an association of a malignant coronary artery anomaly of origin and course (left descending coronary artery originating from the right sinus of valsalva running between the aorta and the right ventricular outflow tract, together with a long myocardial bridging over the obtuse marginal branch was diagnosed by multi-slice computed tomography thanks to an initial positive electrocardiogram screening stress test.

  2. Marketing cardiac CT programs.

    Science.gov (United States)

    Scott, Jason

    2010-01-01

    There are two components of cardiac CT discussed in this article: coronary artery calcium scoring (CACS) and coronary computed tomography angiography (CCTA).The distinctive advantages of each CT examination are outlined. In order to ensure a successful cardiac CT program, it is imperative that imaging facilities market their cardiac CT practices effectively in order to gain a competitive advantage in this valuable market share. If patients receive quality care by competent individuals, they are more likely to recommend the facility's cardiac CT program. Satisfied patients will also be more willing to come back for any further testing.

  3. Endocrine disruptors and congenital anomalies

    Directory of Open Access Journals (Sweden)

    Mônica Rittler

    2002-04-01

    Full Text Available The specialized literature was reviewed concerning the suspected increasing secular trends in the frequency of female births, male genital congenital anomalies, abnormal sperm counts, and testicular cancer. Although no risk factors could be identified yet, the observed sex ratio decline during the last decades has been considered to be an effect of certain pollutants on normal hormone activity, and human reproductive development. Reported increasing trends in the frequencies of hypospadias and cryptorchidism are very difficult to be interpreted due to the large variability in the registered frequency of these malformations due to operational as well as biological reasons.

  4. Hot Flow Anomalies at Venus

    Science.gov (United States)

    Collinson, G. A.; Sibeck, David Gary; Boardsen, Scott A.; Moore, Tom; Barabash, S.; Masters, A.; Shane, N.; Slavin, J.A.; Coates, A.J.; Zhang, T. L.; Sarantos, M.

    2012-01-01

    We present a multi-instrument study of a hot flow anomaly (HFA) observed by the Venus Express spacecraft in the Venusian foreshock, on 22 March 2008, incorporating both Venus Express Magnetometer and Analyzer of Space Plasmas and Energetic Atoms (ASPERA) plasma observations. Centered on an interplanetary magnetic field discontinuity with inward convective motional electric fields on both sides, with a decreased core field strength, ion observations consistent with a flow deflection, and bounded by compressive heated edges, the properties of this event are consistent with those of HFAs observed at other planets within the solar system.

  5. Chiral Anomaly in Contorted Spacetimes

    CERN Document Server

    Mielke, E W

    1999-01-01

    The Dirac equation in Riemann-Cartan spacetimes with torsion is reconsidered. As is well-known, only the axial covector torsion $A$, a one-form, couples to massive Dirac fields. Using diagrammatic techniques, we show that besides the familiar Riemannian term only the Pontrjagin type four-form $dA\\wedge dA$ does arise additionally in the chiral anomaly, but not the Nieh-Yan term $d ^* A$, as has been claimed recently. Implications for cosmic strings in Einstein-Cartan theory as well as for Ashtekar's canonical approach to quantum gravity are discussed.

  6. Paradoxical embolism associated with Ebstein's anomaly in an adult: case report.

    Science.gov (United States)

    Melão, Filipa; Correia, Ana Sofia; Maciel, Maria Júlia

    2013-12-01

    Ebstein's anomaly (EA) is a rare congenital malformation of the tricuspid valve, often associated with other cardiac malformations, especially atrial septal defect, which is present in 80-90% of patients and predisposes to paradoxical embolization. We describe the case of a 47-year-old male, a drug abuser, with a known but not investigated cardiac murmur. He presented to the emergency department with worsening exertional dyspnea and fatigue associated with recent recurrent transient ischemic attacks. On brain computed tomography there were multiple non-recent ischemic infarctions. Transthoracic echocardiography showed EA with severely dilated right cardiac chambers, right systolic dysfunction and severe tricuspid regurgitation. Contrast and transesophageal echocardiography revealed a patent foramen ovale with right-to-left shunt. After exclusion of other potential causes of the neurologic events, they were assumed to be the consequence of paradoxical embolism.

  7. A study of dental anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Sook; Kim, Jae Duck [Dept. of Oral Radiology, College of Dentistry, Chosun University, Kwangju (Korea, Republic of)

    1993-08-15

    The purpose of this study was to find out the prevalence of dental anomalies in 600 normal persons (male:363, female:237) at age 14 to 39 years, through history taking, oral examination, and radiographic observations of subjects. The obtained results were as follows: 1. The prevalence of individual dental anomalies were as follows; Congenitally missing teeth 7%; supernumerary teeth 1.33%; ectopic eruption 8.50%; transposition 0.33%; rotation 23.67%; microdontia 11.16% (peg lateral is 5.33%; third molar 5.83%); prolonged retention of deciduous teeth 1.33%; crowding 49.83%; and spacing 15.17%. 2. Alterations in numbers of teeth : The most frequently missing teeth were mandibular lateral incisors, followed by mandibular second premolars and maxillary second premolars. In numbers of congenitally missing teeth per person, 52.38% had one missing tooth and 30.95% had two missing teeth. In supernumerary teeth, there was higher rate in male than in female. Most supernumerary teeth were mesiodens of median area in maxilla and the eruption pattern of that teeth generally was unerupted state. 3. In transposition, exchange of position of teeth involved the canine and first premolar. 4. Congenital missing rate of permanent successors in prolonged retention of deciduous teeth was 69.23%. 5. Crowding and spacing had respectively higher rate in mandible and in maxilla.

  8. Multimodality imaging of vascular anomalies.

    Science.gov (United States)

    Restrepo, Ricardo

    2013-03-01

    Vascular malformations and hemangiomas are common in children but remain a source of confusion during diagnosis, in part because of the lack of a uniform terminology. With the existing treatments for hemangiomas and vascular malformations, it is important to make the correct diagnosis initially to prevent adverse physical and emotional sequelae in not only the child but also the family. The diagnosis of vascular malformations is made primarily by the clinician and based on the physical exam. Imaging is carried out using predominantly ultrasound (US) and magnetic resonance imaging (MRI), which are complementary modalities. In most cases of vascular anomalies, US is the first line of imaging as it is readily available, less expensive, lacks ionizing radiation and does not require sedation. MRI is also of great help for further characterizing the lesions. Conventional arteriography is reserved for cases that require therapeutic intervention, more commonly for arteriovenous malformations. Radiographs usually play no role in diagnosing vascular anomalies in children. In this article, the author describes the terminology and types of hemangiomas and vascular malformations and their clinical, histological features, as well as the imaging approach and appearance.

  9. Cardiac Procedures and Surgeries

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More Cardiac Procedures and Surgeries Updated:Sep 16,2016 If you've had ... degree of coronary artery disease (CAD) you have. Cardiac Procedures and Surgeries Angioplasty Also known as Percutaneous Coronary Interventions [PCI], ...

  10. [Advances in cardiac pacing].

    Science.gov (United States)

    de Carranza, María-José Sancho-Tello; Fidalgo-Andrés, María Luisa; Ferrer, José Martínez; Mateas, Francisco Ruiz

    2012-01-01

    This article contains a review of the current status of remote monitoring and follow-up involving cardiac pacing devices and of the latest developments in cardiac resynchronization therapy. In addition, the most important articles published in the last year are discussed.

  11. Cardiac-Specific Knockout of ETA Receptor Mitigates Paraquat-Induced Cardiac Contractile Dysfunction.

    Science.gov (United States)

    Wang, Jiaxing; Lu, Songhe; Zheng, Qijun; Hu, Nan; Yu, Wenjun; Li, Na; Liu, Min; Gao, Beilei; Zhang, Guoyong; Zhang, Yingmei; Wang, Haichang

    2016-07-01

    Paraquat (1,1'-dim ethyl-4-4'-bipyridinium dichloride), a highly toxic quaternary ammonium herbicide widely used in agriculture, exerts potent toxic prooxidant effects resulting in multi-organ failure including the lung and heart although the underlying mechanism remains elusive. Recent evidence suggests possible involvement of endothelin system in paraquat-induced acute lung injury. This study was designed to examine the role of endothelin receptor A (ETA) in paraquat-induced cardiac contractile and mitochondrial injury. Wild-type (WT) and cardiac-specific ETA receptor knockout mice were challenged to paraquat (45 mg/kg, i.p.) for 48 h prior to the assessment of echocardiographic, cardiomyocyte contractile and intracellular Ca(2+) properties, as well as apoptosis and mitochondrial damage. Levels of the mitochondrial proteins for biogenesis and oxidative phosphorylation including UCP2, HSP90 and PGC1α were evaluated. Our results revealed that paraquat elicited cardiac enlargement, mechanical anomalies including compromised echocardiographic parameters (elevated left ventricular end-systolic and end-diastolic diameters as well as reduced factional shortening), suppressed cardiomyocyte contractile function, intracellular Ca(2+) handling, overt apoptosis and mitochondrial damage. ETA receptor knockout itself failed to affect myocardial function, apoptosis, mitochondrial integrity and mitochondrial protein expression. However, ETA receptor knockout ablated or significantly attenuated paraquat-induced cardiac contractile and intracellular Ca(2+) defect, apoptosis and mitochondrial damage. Taken together, these findings revealed that endothelin system in particular the ETA receptor may be involved in paraquat-induced toxic myocardial contractile anomalies possibly related to apoptosis and mitochondrial damage.

  12. Biomaterials for cardiac regeneration

    CERN Document Server

    Ruel, Marc

    2015-01-01

    This book offers readers a comprehensive biomaterials-based approach to achieving clinically successful, functionally integrated vasculogenesis and myogenesis in the heart. Coverage is multidisciplinary, including the role of extracellular matrices in cardiac development, whole-heart tissue engineering, imaging the mechanisms and effects of biomaterial-based cardiac regeneration, and autologous bioengineered heart valves. Bringing current knowledge together into a single volume, this book provides a compendium to students and new researchers in the field and constitutes a platform to allow for future developments and collaborative approaches in biomaterials-based regenerative medicine, even beyond cardiac applications. This book also: Provides a valuable overview of the engineering of biomaterials for cardiac regeneration, including coverage of combined biomaterials and stem cells, as well as extracellular matrices Presents readers with multidisciplinary coverage of biomaterials for cardiac repair, including ...

  13. Mathematical cardiac electrophysiology

    CERN Document Server

    Colli Franzone, Piero; Scacchi, Simone

    2014-01-01

    This book covers the main mathematical and numerical models in computational electrocardiology, ranging from microscopic membrane models of cardiac ionic channels to macroscopic bidomain, monodomain, eikonal models and cardiac source representations. These advanced multiscale and nonlinear models describe the cardiac bioelectrical activity from the cell level to the body surface and are employed in both the direct and inverse problems of electrocardiology. The book also covers advanced numerical techniques needed to efficiently carry out large-scale cardiac simulations, including time and space discretizations, decoupling and operator splitting techniques, parallel finite element solvers. These techniques are employed in 3D cardiac simulations illustrating the excitation mechanisms, the anisotropic effects on excitation and repolarization wavefronts, the morphology of electrograms in normal and pathological tissue and some reentry phenomena. The overall aim of the book is to present rigorously the mathematica...

  14. Network anomaly detection a machine learning perspective

    CERN Document Server

    Bhattacharyya, Dhruba Kumar

    2013-01-01

    With the rapid rise in the ubiquity and sophistication of Internet technology and the accompanying growth in the number of network attacks, network intrusion detection has become increasingly important. Anomaly-based network intrusion detection refers to finding exceptional or nonconforming patterns in network traffic data compared to normal behavior. Finding these anomalies has extensive applications in areas such as cyber security, credit card and insurance fraud detection, and military surveillance for enemy activities. Network Anomaly Detection: A Machine Learning Perspective presents mach

  15. Development and Congenital Anomalies of the Pancreas

    OpenAIRE

    Hiroyuki Tadokoro; Masaru Takase; Bunsei Nobukawa

    2011-01-01

    Understanding how the pancreas develops is essential to understand the pathogenesis of congenital pancreatic anomalies. Recent studies have shown the advantages of investigating the development of frogs, mice, and chickens for understanding early embryonic development of the pancreas and congenital anomalies, such as choledochal cysts, anomalous pancreaticobiliary junction, annular pancreas, and pancreas divisum. These anomalies arise from failure of complete rotation and fusion during embryo...

  16. Electromagnetic field anomalies above an isometric depression

    Science.gov (United States)

    Golubtsova, N. S.

    1981-12-01

    The paper examines the three-dimensional simulation of the electromagnetic field above an isometric depression with conducting deposits. The model makes it possible to study the development of electromagnetic anomalies over such a depression and to make qualitative as well as quantitative assessments of the dependence of electromagnetic anomalies on field frequency, the dimensions of geoelectric inhomogeneities, and the specific resistance of the foundation of the depression. The present approach can be used in geoelectric and magnetotelluric studies of electromagnetic anomalies.

  17. Detection of Cardiovascular Anomalies: An Observer-Based Approach

    KAUST Repository

    Ledezma, Fernando

    2012-07-01

    In this thesis, a methodology for the detection of anomalies in the cardiovascular system is presented. The cardiovascular system is one of the most fascinating and complex physiological systems. Nowadays, cardiovascular diseases constitute one of the most important causes of mortality in the world. For instance, an estimate of 17.3 million people died in 2008 from cardiovascular diseases. Therefore, many studies have been devoted to modeling the cardiovascular system in order to better understand its behavior and find new reliable diagnosis techniques. The lumped parameter model of the cardiovascular system proposed in [1] is restructured using a hybrid systems approach in order to include a discrete input vector that represents the influence of the mitral and aortic valves in the different phases of the cardiac cycle. Parting from this model, a Taylor expansion around the nominal values of a vector of parameters is conducted. This expansion serves as the foundation for a component fault detection process to detect changes in the physiological parameters of the cardiovascular system which could be associated with cardiovascular anomalies such as atherosclerosis, aneurysm, high blood pressure, etc. An Extended Kalman Filter is used in order to achieve a joint estimation of the state vector and the changes in the considered parameters. Finally, a bank of filters is, as in [2], used in order to detect the appearance of heart valve diseases, particularly stenosis and regurgitation. The first numerical results obtained are presented.

  18. Spectral Methods for Magnetic Anomalies

    Science.gov (United States)

    Parker, R. L.; Gee, J. S.

    2013-12-01

    Spectral methods, that is, those based in the Fourier transform, have long been employed in the analysis of magnetic anomalies. For example, Schouten and MaCamy's Earth filter is used extensively to map patterns to the pole, and Parker's Fourier transform series facilitates forward modeling and provides an efficient algorithm for inversion of profiles and surveys. From a different, and perhaps less familiar perspective, magnetic anomalies can be represented as the realization of a stationary stochastic process and then statistical theory can be brought to bear. It is vital to incorporate the full 2-D power spectrum, even when discussing profile data. For example, early analysis of long profiles failed to discover the small-wavenumber peak in the power spectrum predicted by one-dimensional theory. The long-wavelength excess is the result of spatial aliasing, when energy leaks into the along-track spectrum from the cross-track components of the 2-D spectrum. Spectral techniques may be used to improve interpolation and downward continuation of survey data. They can also evaluate the reliability of sub-track magnetization models both across and and along strike. Along-strike profiles turn out to be surprisingly good indicators of the magnetization directly under them; there is high coherence between the magnetic anomaly and the magnetization over a wide band. In contrast, coherence is weak at long wavelengths on across-strike lines, which is naturally the favored orientation for most studies. When vector (or multiple level) measurements are available, cross-spectral analysis can reveal the wavenumber interval where the geophysical signal resides, and where noise dominates. One powerful diagnostic is that the phase spectrum between the vertical and along-path components of the field must be constant 90 degrees. To illustrate, it was found that on some very long Project Magnetic lines, only the lowest 10% of the wavenumber band contain useful geophysical signal. In this

  19. Nursing experience of perioperative period of radical cure through anus of congenital megacolon in children%经肛门根治小儿先天性巨结肠的围术期护理

    Institute of Scientific and Technical Information of China (English)

    李远惠

    2011-01-01

    Objective: To discuss nursing experience of perioperative period of radical cure through anus of congenital dilatation of colon of the wean. Methods: Aborative nursing before surgery and after surgery were carried out to 32 weans megacolon in children. Results: All children got successful radical cure through anus. After 3-6 months's following—up, all of them had good defecate controlling and normal appetite. None of them had anastomotic stricture. Conclusion: Aborative nursing of perioperative period is important for the radical cure of megacolon in children.%目的:探讨经肛门根治小儿先天性巨结肠的围术期护理方法.方法:对32例先天性巨结肠的手术患儿进行精心的术前术后护理.结果:32例患儿均经肛门完成根治手术,术后3~6个月随访,所有患儿排便控制良好,食欲正常,无一例发生吻合口狭窄.结论:精心的围术期护理对经肛门根治先天性巨结肠患儿的康复具有重要意义.

  20. The "Parity" Anomaly On An Unorientable Manifold

    CERN Document Server

    Witten, Edward

    2016-01-01

    The "parity" anomaly -- more accurately described as an anomaly in time-reversal or reflection symmetry -- arises in certain theories of fermions coupled to gauge fields and/or gravity in a spacetime of odd dimension. The "parity" anomaly has traditionally been studied on orientable manifolds only, but recent developments involving topological superconductors have made it clear that one can get more information by asking what happens on an unorientable manifold. In this paper, we analyze the "parity" anomaly for fermions coupled to gauge fields and gravity in $2+1$ dimensions. We consider applications to gapped boundary states of a topological superconductor and to M2-branes in string/M-theory.

  1. MRI of central nervous system anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Izawa, M.; Oikawa, A.; Matoba, A.

    1987-05-01

    MRI was very useful in the evaluation of congenital anomalies of central nervous system as well as other nervous system disease with three-dimensional spatial resolution. We had experienced MRI of central nervous system anomalies, demonstrated characterisitic findings in each anomaly. MRI is useful to observe the coronal, horizontal and sagittal images of the brain and spinal cord in order to discuss the etiological mechanisms of spinal dysraphysm and its associated anomalies. In case of spina bifida cystica MRI was available to decide operative indication for radical operation and tetherd cord developed from postoperative scar or accompanied intraspinal lesions.

  2. Vascular anomalies: differential diagnosis and mimickers.

    Science.gov (United States)

    Garzon, Maria C; Weitz, Nicole; Powell, Julie

    2016-09-01

    Vascular anomalies are very common in children and encompass a wide spectrum of diseases. Many vascular anomalies can be mistaken for infantile hemangioma (IH). In addition, there is a variety of rare disorders including benign and malignant tumors that may mimic IH and other types of vascular anomalies. Understanding the clinical features, natural history, and typical clinical course of different types of vascular anomalies is essential in order to make the correct diagnosis and guide management. Radiologic imaging plays an important role in establishing the diagnosis; and when the diagnosis remains in doubt, a biopsy performed by a surgical specialist with expertise may prove to be lifesaving.

  3. Anomaly-Free Sets of Fermions

    CERN Document Server

    Batra, P; Spivak, D; Batra, Puneet; Dobrescu, Bogdan A.; Spivak, David

    2006-01-01

    We present new techniques for finding anomaly-free sets of fermions. Although the anomaly cancellation conditions typically include cubic equations with integer variables that cannot be solved in general, we prove by construction that any chiral set of fermions can be embedded in a larger set of fermions which is chiral and anomaly-free. Applying these techniques to extensions of the Standard Model, we find anomaly-free models that have arbitrary quark and lepton charges under an additional U(1) gauge group.

  4. Cardiac tumors: echo assessment.

    Science.gov (United States)

    Mankad, Rekha; Herrmann, Joerg

    2016-12-01

    Cardiac tumors are exceedingly rare (0.001-0.03% in most autopsy series). They can be present anywhere within the heart and can be attached to any surface or be embedded in the myocardium or pericardial space. Signs and symptoms are nonspecific and highly variable related to the localization, size and composition of the cardiac mass. Echocardiography, typically performed for another indication, may be the first imaging modality alerting the clinician to the presence of a cardiac mass. Although echocardiography cannot give the histopathology, certain imaging features and adjunctive tools such as contrast imaging may aid in the differential diagnosis as do the adjunctive clinical data and the following principles: (1) thrombus or vegetations are the most likely etiology, (2) cardiac tumors are mostly secondary and (3) primary cardiac tumors are mostly benign. Although the finding of a cardiac mass on echocardiography may generate confusion, a stepwise approach may serve well practically. Herein, we will review such an approach and the role of echocardiography in the assessment of cardiac masses.

  5. Remarks on Global Anomalies in RCFT Orientifolds

    CERN Document Server

    Gato-Rivera, Beatriz

    2006-01-01

    We check the list of supersymmetric standard model orientifold spectra of Dijkstra, Huiszoon and Schellekens for the presence of global anomalies, using probe branes. Absence of global anomalies is found to impose strong constraints, but in nearly all cases they are automatically satisfied by the solutions to the tadpole cancellation conditions.

  6. Magnitude Anomalies and Propagation of Local Phases

    Science.gov (United States)

    1983-01-31

    statistically significant variation of magnitude anomalies versus one of this above parameters. A contrario, we observed a significant dependance between...enough to demand a more detailed analysis. III - Local dependance of magnitude anomalies. A smoothing of our data on all quakes originating in the same

  7. Improved prenatal detection of chromosomal anomalies

    DEFF Research Database (Denmark)

    Frøslev-Friis, Christina; Hjort-Pedersen, Karina; Henriques, Carsten U;

    2011-01-01

    Prenatal screening for karyotype anomalies takes place in most European countries. In Denmark, the screening method was changed in 2005. The aim of this study was to study the trends in prevalence and prenatal detection rates of chromosome anomalies and Down syndrome (DS) over a 22-year period....

  8. Anomalies of Nuclear Criticality, Revision 6

    Energy Technology Data Exchange (ETDEWEB)

    Clayton, E. D.; Prichard, Andrew W.; Durst, Bonita E.; Erickson, David; Puigh, Raymond J.

    2010-02-19

    This report is revision 6 of the Anomalies of Nuclear Criticality. This report is required reading for the training of criticality professionals in many organizations both nationally and internationally. This report describes many different classes of nuclear criticality anomalies that are different than expected.

  9. Molecular Basis of Cardiac Myxomas

    Directory of Open Access Journals (Sweden)

    Pooja Singhal

    2014-01-01

    Full Text Available Cardiac tumors are rare, and of these, primary cardiac tumors are even rarer. Metastatic cardiac tumors are about 100 times more common than the primary tumors. About 90% of primary cardiac tumors are benign, and of these the most common are cardiac myxomas. Approximately 12% of primary cardiac tumors are completely asymptomatic while others present with one or more signs and symptoms of the classical triad of hemodynamic changes due to intracardiac obstruction, embolism and nonspecific constitutional symptoms. Echocardiography is highly sensitive and specific in detecting cardiac tumors. Other helpful investigations are chest X-rays, magnetic resonance imaging and computerized tomography scan. Surgical excision is the treatment of choice for primary cardiac tumors and is usually associated with a good prognosis. This review article will focus on the general features of benign cardiac tumors with an emphasis on cardiac myxomas and their molecular basis.

  10. Diagnostic Importance of 3D CT Images in Klippel-Feil Syndrome with Multiple Skeletal Anomalies: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Yuksel, Murvet [Kahramanmaras Sutcu Imam University, Radiology Dept. (Turkey); Karabiber, Hamza [Kahramanmaras Sutcu Imam University Pediatrics Dept. (Turkey); Yuksel, K. Zafer [Kahramanmaras Sutcu Imam University Neuroradiology Dept (Turkey); Parmaksiz, Gonul [Kahramanmaras Sutcu Imam University Pediatrics Dept. (Turkey)

    2005-07-01

    We present here the case of a 12-year-old boy who had Klippel-Feil syndrome with renal, cardiac and multiple skeletal anomalies, and we show the relevent three-dimensional computed tomography images. Our patient had a triple renal pelvis, mitral valve prolapsus, multiple cervical vertebrae fusions, cervical ribs, hypoplasia of the right thumb, spina bifida of L5, lumbalization at the right side of S1 and a sacral curved defect. In this study, we discuss the atypical clinical features and the diagnostic value of three-dimensional CT for evaluating the skeletal anomalies of the Klippel-Feil syndrome cases.

  11. Seasonality of congenital anomalies in Europe

    DEFF Research Database (Denmark)

    Luteijn, Johannes Michiel; Dolk, Helen; Addor, Marie-Claude;

    2014-01-01

    with influenza. RESULTS: We detected statistically significant seasonality in prevalence of anomalies previously associated with influenza, but the conception peak was in June (2.4% excess). We also detected seasonality in congenital cataract (April conceptions, 27%), hip dislocation and/or dysplasia (April, 12......%), congenital hydronephrosis (July, 12%), urinary defects (July, 5%), and situs inversus (December, 36%), but not for nonchromosomal anomalies combined, chromosomal anomalies combined, or other anomalies analyzed. CONCLUSION: We have confirmed previously described seasonality for congenital cataract and hip......BACKGROUND: This study describes seasonality of congenital anomalies in Europe to provide a baseline against which to assess the impact of specific time varying exposures such as the H1N1 pandemic influenza, and to provide a comprehensive and recent picture of seasonality and its possible relation...

  12. Cardiac Tumors; Tumeurs cardiaques

    Energy Technology Data Exchange (ETDEWEB)

    Laissy, J.P.; Fernandez, P. [Centre Hospitalier Universitaire Bichat Claude Bernard, Service d' Imagerie, 76 - Rouen (France); Mousseaux, E. [Hopital Europeen Georges Pompidou (HEGP), Service de Radiologie Cardio Vasculaire et Interventionnelle, 75 - Paris (France); Dacher, J.N. [Centre Hospitalier Universitaire Charles Nicolle, 75 - Rouen (France); Crochet, D. [Centre Hospitalier Universitaire, Hopital Laennec, Centre Hemodynamique, Radiologie Thoracique et Vasculaire, 44 - Nantes (France)

    2004-04-01

    Metastases are the most frequent tumors of the heart even though they seldom are recognized. Most primary cardiac tumors are benign. The main role of imaging is to differentiate a cardiac tumor from thrombus and rare pseudo-tumors: tuberculoma, hydatid cyst. Echocardiography is the fist line imaging technique to detect cardiac tumors, but CT and MRl arc useful for further characterization and differential diagnosis. Myxoma of the left atrium is the most frequent benign cardiac tumor. It usually is pedunculated and sometimes calcified. Sarcoma is the most frequent primary malignant tumor and usually presents as a sessile infiltrative tumor. Lymphoma and metastases are usually recognized by the presence of known tumor elsewhere of by characteristic direct contiguous involvement. Diagnosing primary and secondary pericardial tumors often is difficult. Imaging is valuable for diagnosis, characterization, pre-surgical evaluation and follow-up. (author)

  13. Socially differentiated cardiac rehabilitation

    DEFF Research Database (Denmark)

    Meillier, Lucette Kirsten; Nielsen, Kirsten Melgaard; Larsen, Finn Breinholt;

    2012-01-01

    to a standard rehabilitation programme (SRP). If patients were identified as socially vulnerable, they were offered an extended version of the rehabilitation programme (ERP). Excluded patients were offered home visits by a cardiac nurse. Concordance principles were used in the individualised programme elements......%. Patients were equally distributed to the SRP and the ERP. No inequality was found in attendance and adherence among referred patients. Conclusions: It seems possible to overcome unequal referral, attendance, and adherence in cardiac rehabilitation by organisation of systematic screening and social......Aim: The comprehensive cardiac rehabilitation (CR) programme after myocardial infarction (MI) improves quality of life and results in reduced cardiac mortality and recurrence of MI. Hospitals worldwide face problems with low participation rates in rehabilitation programmes. Inequality...

  14. Cardiac arrest - cardiopulmonary resuscitation

    Institute of Scientific and Technical Information of China (English)

    Basri Lenjani; Besnik Elshani; Nehat Baftiu; Kelmend Pallaska; Kadir Hyseni; Njazi Gashi; Nexhbedin Karemani; Ilaz Bunjaku; Taxhidin Zaimi; Arianit Jakupi

    2014-01-01

    Objective:To investigate application of cardiopulmonary resuscitation(CPR) measures within the golden minutes inEurope.Methods:The material was taken from theUniversityClinical Center ofKosovo -EmergencyCentre inPristina, during the two(2) year period(2010-2011).The collected date belong to the patients with cardiac arrest have been recorded in the patients' log book protocol at the emergency clinic.Results:During the2010 to2011 in the emergency center of theCUCK inPristina have been treated a total of269 patients with cardiac arrest, of whom159 or59.1% have been treated in2010, and110 patients or40.9% in2011.Of the269 patients treated in the emergency centre,93 or34.6% have exited lethally in the emergency centre, and176 or 65.4% have been transferred to other clinics.In the total number of patients with cardiac arrest, males have dominated with186 cases, or69.1%.The average age of patients included in the survey was56.7 year oldSD±16.0 years.Of the269 patients with cardiac arrest, defibrillation has been applied for93 or34.6% of patients.In the outpatient settings defibrillation has been applied for3 or3.2% of patients.Patients were defibrillated with application of one to four shocks. Of27 cases with who have survived cardiac arrest, none of them have suffered cardiac arrest at home,3 or11.1% of them have suffered cardiac arrest on the street, and24 or88.9% of them have suffered cardiac arrest in the hospital.5 out of27 patients survived have ended with neurological impairment.Cardiac arrest cases were present during all days of the week, but frequently most reported cases have been onMonday with32.0% of cases, and onFriday with24.5% of cases. Conclusions:All survivors from cardiac arrest have received appropriate medical assistance within10 min from attack, which implies that if cardiac arrest occurs near an institution health care(with an opportunity to provide the emergent health care) the rate of survival is higher.

  15. Anomaly Detection in Dynamic Networks

    Energy Technology Data Exchange (ETDEWEB)

    Turcotte, Melissa [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-10-14

    Anomaly detection in dynamic communication networks has many important security applications. These networks can be extremely large and so detecting any changes in their structure can be computationally challenging; hence, computationally fast, parallelisable methods for monitoring the network are paramount. For this reason the methods presented here use independent node and edge based models to detect locally anomalous substructures within communication networks. As a first stage, the aim is to detect changes in the data streams arising from node or edge communications. Throughout the thesis simple, conjugate Bayesian models for counting processes are used to model these data streams. A second stage of analysis can then be performed on a much reduced subset of the network comprising nodes and edges which have been identified as potentially anomalous in the first stage. The first method assumes communications in a network arise from an inhomogeneous Poisson process with piecewise constant intensity. Anomaly detection is then treated as a changepoint problem on the intensities. The changepoint model is extended to incorporate seasonal behavior inherent in communication networks. This seasonal behavior is also viewed as a changepoint problem acting on a piecewise constant Poisson process. In a static time frame, inference is made on this extended model via a Gibbs sampling strategy. In a sequential time frame, where the data arrive as a stream, a novel, fast Sequential Monte Carlo (SMC) algorithm is introduced to sample from the sequence of posterior distributions of the change points over time. A second method is considered for monitoring communications in a large scale computer network. The usage patterns in these types of networks are very bursty in nature and don’t fit a Poisson process model. For tractable inference, discrete time models are considered, where the data are aggregated into discrete time periods and probability models are fitted to the

  16. Cardiac imaging in adults

    Energy Technology Data Exchange (ETDEWEB)

    Jaffe, C.C.

    1987-01-01

    This book approaches adult cardiac disease from the correlative imaging perspective. It includes chest X-rays and angiographs, 2-dimensional echocardiograms with explanatory diagrams for clarity, plus details on digital radiology, nuclear medicine techniques, CT and MRI. It also covers the normal heart, valvular heart disease, myocardial disease, pericardial disease, bacterial endocarditis, aortic aneurysm, cardiac tumors, and congenital heart disease of the adult. It points out those aspects where one imaging technique has significant superiority.

  17. Port Access Cardiac Surgery.

    Science.gov (United States)

    Viganó, Mario; Minzioni, Gaetano; Spreafico, Patrizio; Rinaldi, Mauro; Pasquino, Stefano; Ceriana, Piero; Locatelli, Alessandro

    2000-10-01

    The port-access technique for cardiac surgery was recently developed at Stanford University in California as a less invasive method to perform some cardiac operations. The port-access system has been described in detail elsewhere. It is based on femoral arterial and venous access for cardiopulmonary bypass (CPB) and on the adoption of a specially designed triple-lumen catheter described originally by Peters, and subsequently modified and developed in the definitive configuration called the endoaortic clamp.

  18. Awareness in cardiac anesthesia.

    LENUS (Irish Health Repository)

    Serfontein, Leon

    2010-02-01

    Cardiac surgery represents a sub-group of patients at significantly increased risk of intraoperative awareness. Relatively few recent publications have targeted the topic of awareness in this group. The aim of this review is to identify areas of awareness research that may equally be extrapolated to cardiac anesthesia in the attempt to increase understanding of the nature and significance of this scenario and how to reduce it.

  19. Post cardiac injury syndrome

    DEFF Research Database (Denmark)

    Nielsen, S L; Nielsen, F E

    1991-01-01

    The post-pericardiotomy syndrome is a symptom complex which is similar in many respects to the post-myocardial infarction syndrome and these are summarized under the diagnosis of the Post Cardiac Injury Syndrome (PCIS). This condition, which is observed most frequently after open heart surgery, i...... on the coronary vessels, with cardiac tamponade and chronic pericardial exudate. In the lighter cases, PCIS may be treated with NSAID and, in the more severe cases, with systemic glucocorticoid which has a prompt effect....

  20. Autonomic cardiac innervation

    OpenAIRE

    Hasan, Wohaib

    2013-01-01

    Autonomic cardiac neurons have a common origin in the neural crest but undergo distinct developmental differentiation as they mature toward their adult phenotype. Progenitor cells respond to repulsive cues during migration, followed by differentiation cues from paracrine sources that promote neurochemistry and differentiation. When autonomic axons start to innervate cardiac tissue, neurotrophic factors from vascular tissue are essential for maintenance of neurons before they reach their targe...

  1. Infected cardiac hydatid cyst

    OpenAIRE

    Ceviz, M; Becit, N; Kocak, H.

    2001-01-01

    A 24 year old woman presented with chest pain and palpitation. The presence of a semisolid mass—an echinococcal cyst or tumour—in the left ventricular apex was diagnosed by echocardiography, computed tomography, and magnetic resonance imaging. The infected cyst was seen at surgery. The cyst was removed successfully by using cardiopulmonary bypass with cross clamp.


Keywords: cardiac hydatid cyst; infected cardiac hydatid cyst

  2. Cardiac applications of optogenetics.

    Science.gov (United States)

    Ambrosi, Christina M; Klimas, Aleksandra; Yu, Jinzhu; Entcheva, Emilia

    2014-08-01

    In complex multicellular systems, such as the brain or the heart, the ability to selectively perturb and observe the response of individual components at the cellular level and with millisecond resolution in time, is essential for mechanistic understanding of function. Optogenetics uses genetic encoding of light sensitivity (by the expression of microbial opsins) to provide such capabilities for manipulation, recording, and control by light with cell specificity and high spatiotemporal resolution. As an optical approach, it is inherently scalable for remote and parallel interrogation of biological function at the tissue level; with implantable miniaturized devices, the technique is uniquely suitable for in vivo tracking of function, as illustrated by numerous applications in the brain. Its expansion into the cardiac area has been slow. Here, using examples from published research and original data, we focus on optogenetics applications to cardiac electrophysiology, specifically dealing with the ability to manipulate membrane voltage by light with implications for cardiac pacing, cardioversion, cell communication, and arrhythmia research, in general. We discuss gene and cell delivery methods of inscribing light sensitivity in cardiac tissue, functionality of the light-sensitive ion channels within different types of cardiac cells, utility in probing electrical coupling between different cell types, approaches and design solutions to all-optical electrophysiology by the combination of optogenetic sensors and actuators, and specific challenges in moving towards in vivo cardiac optogenetics.

  3. Holography and Conformal Anomaly Matching

    CERN Document Server

    Cabo-Bizet, Alejandro; Narain, K S

    2013-01-01

    We discuss various issues related to the understanding of the conformal anomaly matching in CFT from the dual holographic viewpoint. First, we act with a PBH diffeomorphism on a generic 5D RG flow geometry and show that the corresponding on-shell bulk action reproduces the Wess-Zumino term for the dilaton of broken conformal symmetry, with the expected coefficient aUV-aIR. Then we consider a specific 3D example of RG flow whose UV asymptotics is normalizable and admits a 6D lifting. We promote a modulus \\rho appearing in the geometry to a function of boundary coordinates. In a 6D description {\\rho} is the scale of an SU(2) instanton. We determine the smooth deformed background up to second order in the space-time derivatives of \\rho and find that the 3D on-shell action reproduces a boundary kinetic term for the massless field \\tau= log(\\rho) with the correct coefficient \\delta c=cUV-cIR. We further analyze the linearized fluctuations around the deformed background geometry and compute the one-point functions ...

  4. Data Mining for Anomaly Detection

    Science.gov (United States)

    Biswas, Gautam; Mack, Daniel; Mylaraswamy, Dinkar; Bharadwaj, Raj

    2013-01-01

    The Vehicle Integrated Prognostics Reasoner (VIPR) program describes methods for enhanced diagnostics as well as a prognostic extension to current state of art Aircraft Diagnostic and Maintenance System (ADMS). VIPR introduced a new anomaly detection function for discovering previously undetected and undocumented situations, where there are clear deviations from nominal behavior. Once a baseline (nominal model of operations) is established, the detection and analysis is split between on-aircraft outlier generation and off-aircraft expert analysis to characterize and classify events that may not have been anticipated by individual system providers. Offline expert analysis is supported by data curation and data mining algorithms that can be applied in the contexts of supervised learning methods and unsupervised learning. In this report, we discuss efficient methods to implement the Kolmogorov complexity measure using compression algorithms, and run a systematic empirical analysis to determine the best compression measure. Our experiments established that the combination of the DZIP compression algorithm and CiDM distance measure provides the best results for capturing relevant properties of time series data encountered in aircraft operations. This combination was used as the basis for developing an unsupervised learning algorithm to define "nominal" flight segments using historical flight segments.

  5. Vitellointestinal Duct Anomalies in Infancy

    Science.gov (United States)

    Kadian, Yogender Singh; Verma, Anjali; Rattan, Kamal Nain; Kajal, Pardeep

    2016-01-01

    Background: Vitellointestinal duct (VID) or omphalomesenteric duct anomalies are secondary to the persistence of the embryonic vitelline duct, which normally obliterates by weeks 5–9 of intrauterine life. Methods: This is a retrospective analysis of a total of 16 patients of symptomatic remnants of vitellointestinal duct from period of Jan 2009 to May 2013. Results: Male to female ratio (M:F) was 4.3:1 and mean age of presentation was 2 months and their mode of presentation was: patent VID in 9 (56.25%) patients, umbilical cyst in 2(12.25%), umbilical granuloma in 2 (12.25%), and Meckel diverticulum as content of hernia sac in obstructed umbilical hernia in 1 (6.25%) patient. Two patients with umbilical fistula had severe electrolyte disturbance and died without surgical intervention. Conclusion: Persistent VID may have varied presentations in infancy. High output umbilical fistula and excessive bowel prolapse demand urgent surgical intervention to avoid morbidity and mortality. PMID:27433448

  6. Thermal infrared anomalies of several strong earthquakes.

    Science.gov (United States)

    Wei, Congxin; Zhang, Yuansheng; Guo, Xiao; Hui, Shaoxing; Qin, Manzhong; Zhang, Ying

    2013-01-01

    In the history of earthquake thermal infrared research, it is undeniable that before and after strong earthquakes there are significant thermal infrared anomalies which have been interpreted as preseismic precursor in earthquake prediction and forecasting. In this paper, we studied the characteristics of thermal radiation observed before and after the 8 great earthquakes with magnitude up to Ms7.0 by using the satellite infrared remote sensing information. We used new types of data and method to extract the useful anomaly information. Based on the analyses of 8 earthquakes, we got the results as follows. (1) There are significant thermal radiation anomalies before and after earthquakes for all cases. The overall performance of anomalies includes two main stages: expanding first and narrowing later. We easily extracted and identified such seismic anomalies by method of "time-frequency relative power spectrum." (2) There exist evident and different characteristic periods and magnitudes of thermal abnormal radiation for each case. (3) Thermal radiation anomalies are closely related to the geological structure. (4) Thermal radiation has obvious characteristics in abnormal duration, range, and morphology. In summary, we should be sure that earthquake thermal infrared anomalies as useful earthquake precursor can be used in earthquake prediction and forecasting.

  7. Galilean Anomalies and Their Effect on Hydrodynamics

    CERN Document Server

    Jain, Akash

    2015-01-01

    We extend the null background construction of [arXiv:1505.05677,arXiv:1509.04718] to include torsion and a conserved spin current, and use it to study gauge and gravitational anomalies in Galilean theories coupled to torsional Newton-Cartan backgrounds. We establish that the relativistic anomaly inflow mechanism with an appropriately modified anomaly polynomial, can be used to generate these anomalies. Similar to relativistic case, we find that Galilean anomalies also survive only in even dimensions. Further, these anomalies only effect the gauge and rotational symmetries of a Galilean theory; in particular the Milne boost symmetry remains non-anomalous. We also extend the transgression machinery used in relativistic fluids to fluids on null backgrounds, and use it to determine how these anomalies affect the constitutive relations of a Galilean fluid. Unrelated to Galilean fluids, we propose an analogue of the off-shell second law of thermodynamics for relativistic fluids introduced by [arXiv:1106.0277], to i...

  8. [Psychosomatic aspects of cardiac arrhythmias].

    Science.gov (United States)

    Siepmann, Martin; Kirch, Wilhelm

    2010-07-01

    Emotional stress facilitates the occurrence of cardiac arrhythmias including sudden cardiac death. The prevalence of anxiety and depression is increased in cardiac patients as compared to the normal population. The risk of cardiovascular mortality is enhanced in patients suffering from depression. Comorbid anxiety disorders worsen the course of cardiac arrhythmias. Disturbance of neurocardiac regulation with predominance of the sympathetic tone is hypothesized to be causative for this. The emotional reaction to cardiac arrhythmias is differing to a large extent between individuals. Emotional stress may result from coping with treatment of cardiac arrhythmias. Emotional stress and cardiac arrhythmias may influence each other in the sense of a vicious circle. Somatoform cardiac arrhythmias are predominantly of psychogenic origin. Instrumental measures and frequent contacts between physicians and patients may facilitate disease chronification. The present review is dealing with the multifaceted relationships between cardiac arrhythmias and emotional stress. The underlying mechanisms and corresponding treatment modalities are discussed.

  9. Sea surface temperature anomalies in the Arabian Sea

    Digital Repository Service at National Institute of Oceanography (India)

    RameshKumar, M.R.

    . Further analysis has shown that the sea surface anomalies are well correlated to the anomalies of air temperature and latent heat flux values; whereas they are least correlated to the anomalies of wind stress and net radiation values, except over...

  10. Simple recipe for holographic Weyl anomaly

    CERN Document Server

    Bugini, F

    2016-01-01

    We propose a recipe - arguably the simplest - to compute the holographic type-B Weyl anomaly for general higher-derivative gravity in asymptotically AdS spacetimes. In 5 and 7 dimensions we identify a suitable basis of curvature invariants that allows to read off easily, without any further computation, the Weyl anomaly coefficients of the dual CFT. We tabulate the contributions from quadratic, cubic and quartic purely algebraic curvature invariants and also from terms involving derivatives of the curvature. We provide few examples, where the anomaly coefficients have been obtained by other means, to illustrate the effectiveness of our prescription.

  11. Considerations in the Interpretation of Cosmological Anomalies

    CERN Document Server

    Peiris, Hiranya V

    2014-01-01

    Anomalies drive scientific discovery -- they are associated with the cutting edge of the research frontier, and thus typically exploit data in the low signal-to-noise regime. In astronomy, the prevalence of systematics --- both "known unknowns" and "unknown unknowns" --- combined with increasingly large datasets, the widespread use of ad hoc estimators for anomaly detection, and the "look-elsewhere" effect, can lead to spurious false detections. In this informal note, I argue that anomaly detection leading to discoveries of new physics requires a combination of physical understanding, careful experimental design to avoid confirmation bias, and self-consistent statistical methods. These points are illustrated with several concrete examples from cosmology.

  12. Anomaly and exotic statistics in one dimension

    CERN Document Server

    Saradzhev, F M

    1995-01-01

    We study the influence of the anomaly on the physical quantum picture of the chiral Schwinger model (CSM) defined on S^1. We show that such phenomena as the total screening of charges and the dynamical mass generation characteristic for the standard Schwinger model do not take place here. Instead of them, the anomaly results in the background linearly rising electric field or, equivalently, in the exotic statistics of the physical matter field. We construct the algebra of the Poincare generators and show that it differs from the Poincare one. For the CSM on R^1, the anomaly influences only the mass generation mechanism.

  13. Gravitational anomalies in higher dimensional Riemann-Cartan space

    Energy Technology Data Exchange (ETDEWEB)

    Yajima, S [Department of Physics, Kumamoto University, 2-39-1 Kurokami, Kumamoto 860-8555 (Japan); Tokuo, S [Department of Physics, Kumamoto University, 2-39-1 Kurokami, Kumamoto 860-8555 (Japan); Fukuda, M [Department of Physics, Kumamoto University, 2-39-1 Kurokami, Kumamoto 860-8555 (Japan); Higashida, Y [Takuma National College of Technology, 551 kohda, Takuma-cho, Mitoyo, Kagawa 769-1192 (Japan); Kamo, Y [Radioisotope Center, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582 (Japan); Kubota, S-I [Computing and Communications Center, Kagoshima University, 1-21-35 Koorimoto, Kagoshima 890-0065 (Japan); Taira, H [Department of Physics, Kumamoto University, 2-39-1 Kurokami, Kumamoto 860-8555 (Japan)

    2007-02-21

    By applying the covariant Taylor expansion method of the heat kernel, the covariant Einstein anomalies associated with a Weyl fermion of spin 1/2 in four-, six- and eight-dimensional Riemann-Cartan space are manifestly given. Many unknown terms with torsion tensors appear in these anomalies. The Lorentz anomaly is intimately related to the Einstein anomaly even in Riemann-Cartan space. The explicit form of the Lorentz anomaly corresponding to the Einstein anomaly is also obtained.

  14. Using EVT for Geological Anomaly Design and Its Application in Identifying Anomalies in Mining Areas

    Directory of Open Access Journals (Sweden)

    Feilong Qin

    2016-01-01

    Full Text Available A geological anomaly is the basis of mineral deposit prediction. Through the study of the knowledge and characteristics of geological anomalies, the category of extreme value theory (EVT to which a geological anomaly belongs can be determined. Associating the principle of the EVT and ensuring the methods of the shape parameter and scale parameter for the generalized Pareto distribution (GPD, the methods to select the threshold of the GPD can be studied. This paper designs a new algorithm called the EVT model of geological anomaly. These study data on Cu and Au originate from 26 exploration lines of the Jiguanzui Cu-Au mining area in Hubei, China. The proposed EVT model of the geological anomaly is applied to identify anomalies in the Jiguanzui Cu-Au mining area. The results show that the model can effectively identify the geological anomaly region of Cu and Au. The anomaly region of Cu and Au is consistent with the range of ore bodies of actual engineering exploration. Therefore, the EVT model of the geological anomaly can effectively identify anomalies, and it has a high indicating function with respect to ore prospecting.

  15. Cardiac radiology: centenary review.

    Science.gov (United States)

    de Roos, Albert; Higgins, Charles B

    2014-11-01

    During the past century, cardiac imaging technologies have revolutionized the diagnosis and treatment of acquired and congenital heart disease. Many important contributions to the field of cardiac imaging were initially reported in Radiology. The field developed from the early stages of cardiac imaging, including the use of coronary x-ray angiography and roentgen kymography, to nowadays the widely used echocardiographic, nuclear medicine, cardiac computed tomographic (CT), and magnetic resonance (MR) applications. It is surprising how many of these techniques were not recognized for their potential during their early inception. Some techniques were described in the literature but required many years to enter the clinical arena and presently continue to expand in terms of clinical application. The application of various CT and MR contrast agents for the diagnosis of myocardial ischemia is a case in point, as the utility of contrast agents continues to expand the noninvasive characterization of myocardium. The history of cardiac imaging has included a continuous process of advances in our understanding of the anatomy and physiology of the cardiovascular system, along with advances in imaging technology that continue to the present day.

  16. Major congenital anomalies in a Danish region

    DEFF Research Database (Denmark)

    Garne, Ester; Hansen, Anne Vinkel; Birkelund, Anne Sofie;

    2014-01-01

    : diabetes, epilepsy, mental disorder, thyroid disease, asthma, or inflammatory bowel disease. Medication for these conditions accounted for 46% of maternal drug use. CONCLUSION: Maternal morbidity and use of potentially teratogenic medication have increased among congenital anomaly cases. Foetal and infant...

  17. Design and Implementation of an Anomaly Detector

    Energy Technology Data Exchange (ETDEWEB)

    Bagherjeiran, A; Cantu-Paz, E; Kamath, C

    2005-07-11

    This paper describes the design and implementation of a general-purpose anomaly detector for streaming data. Based on a survey of similar work from the literature, a basic anomaly detector builds a model on normal data, compares this model to incoming data, and uses a threshold to determine when the incoming data represent an anomaly. Models compactly represent the data but still allow for effective comparison. Comparison methods determine the distance between two models of data or the distance between a model and a point. Threshold selection is a largely neglected problem in the literature, but the current implementation includes two methods to estimate thresholds from normal data. With these components, a user can construct a variety of anomaly detection schemes. The implementation contains several methods from the literature. Three separate experiments tested the performance of the components on two well-known and one completely artificial dataset. The results indicate that the implementation works and can reproduce results from previous experiments.

  18. SEG US Bouguer Gravity Anomaly Grid

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The SEG gravity data are the product of the ad hoc Gravity Anomaly Map (GAM) Committee, sponsored by the Society of Exploration Geophysicists (SEG) and the U.S....

  19. Comparison of Unsupervised Anomaly Detection Methods

    Data.gov (United States)

    National Aeronautics and Space Administration — Several different unsupervised anomaly detection algorithms have been applied to Space Shuttle Main Engine (SSME) data to serve the purpose of developing a...

  20. Mexico Terrain Corrected Free Air Anomalies (97)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' gravity anomaly grid for Mexico, North-Central America and the Western Caribbean Sea is NOT the input data set used in the development of the MEXICO97 model....

  1. Congenital microgastria and hypoplastic upper limb anomalies.

    Science.gov (United States)

    Lueder, G T; Fitz-James, A; Dowton, S B

    1989-03-01

    Six cases of congenital microgastria associated with limb anomalies are reviewed. The microgastria-hypoplastic upper limb association may arise as a result of aberrant mesodermal development in the 5th embryonic week.

  2. Coral Reef Watch, Temperature Anomaly, 50 km

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — NOAA Coral Reef Watch distributes SST anomaly data using a combination of the POES AVHRR Global Area Coverage data, and data from a climatological database. AVHRR...

  3. Cardiac-specific knockout of ETA receptor mitigates low ambient temperature-induced cardiac hypertrophy and contractile dysfunction

    Institute of Scientific and Technical Information of China (English)

    Yingmei Zhang; Linlin Li; Yinan Hua; Jennifer M. Nunn; Feng Dong; Masashi Yanagisawa; Jun Ren

    2012-01-01

    Cold exposure is associated with oxidative stress and cardiac dysfunction.The endothelin (ET) system,which plays a key role in myocardial homeostasis,may participate in cold exposure-induced cardiovascular dysfunction.This study was designed to examine the role of ET-1 in cold stress-induced cardiac geometric and contractile responses.Wild-type (WT) and ETA receptor knockout (ETAKO) mice were assigned to normal or cold exposure (4℃) environment for 2 and 5 weeks prior to evaluation of cardiac geometry,contractile,and intracellular Ca2+ properties.Levels of the temperature sensor transient receptor potential vanlllold (TRPV1),mitochondrlal proteins for biogenesis and oxidative phosphorylatlon,Including UCP2,HSP90,and PGC1α were evaluated.Cold stress triggered cardiac hypertrophy,depressed myocardial contractile capacity,including fractional shortening,peak shortening,and maximal velocity of shortening/relengthening,reduced intracellular Ca2+ release,prolonged intracellular Ca2+ decay and relengthening duration,generation of ROS and superoxide,as well as apoptosls,the effects of which were blunted by ETAKO.Western blotting revealed downregulated TRPV1 and PGC1α as well as upregulated UCP2 and activation of GSK3β,GATA4,and CREB in cold-stressed WT mouse hearts,which were obliterated by ETAKO.Levels of HSP90,an essential regulator for thermotolerance,were unchanged.The TRPV1 agonist SA13353 attenuated whereas TRPV1 antagonist capsazepino mimicked cold stress- or ET-1-induced cardiac anomalies.The GSK3β Inhibitor SB216763 ablated cold stress-induced cardiac contractile (but not remodeling) changes and ET-1-induced TRPV1 downregulation.These data suggest that ETAKO protects against cold exposure-induced cardiac remodeling and dysfunction mediated through TRPV1 and mitochondrlal function.

  4. Craniofacial anomalies: from development to molecular pathogenesis.

    Science.gov (United States)

    Rice, David P C

    2005-11-01

    Advances in developmental biology combined with progress in human genetics are helping us decipher how the craniofacial region develops and how the consequences of misdirected development result in malformation. This review describes the molecular etiology of a number of craniofacial developmental anomalies. The more common craniofacial anomalies cleft lip and palate and craniosynostosis, as well as cleidocranial dysplasia, hemifacial microsomia, holoprosencephaly, enlarged parietal foramina, Treacher Collins syndrome and cherubism are discussed.

  5. Mullerian anomalies: a cause of primary amenorrhea

    OpenAIRE

    2013-01-01

    Background: The objectives of this study were to determine the etiologic causes of amenorrhea, the prevalence of mullerian anomalies as a cause of primary amenorrhea and the different varieties of mullerian anomalies causing primary amenorrhea. Methods: This study included all the women presenting with primary amenorrhea who presented to the department of obstetrics and gynecology, Sir T Hospital and Government Medical College, Bhavnagar from 1st January 2010 to 30th June 2012. Results: The c...

  6. Efficient Accurate Context-Sensitive Anomaly Detection

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    For program behavior-based anomaly detection, the only way to ensure accurate monitoring is to construct an efficient and precise program behavior model. A new program behavior-based anomaly detection model,called combined pushdown automaton (CPDA) model was proposed, which is based on static binary executable analysis. The CPDA model incorporates the optimized call stack walk and code instrumentation technique to gain complete context information. Thereby the proposed method can detect more attacks, while retaining good performance.

  7. On the topological interpretation of gravitational anomalies

    Science.gov (United States)

    Perrot, Denis

    2001-07-01

    We consider the mixed gravitational Yang-Mills anomaly as the coupling between the K-theory and K-homology of a C ∗-algebra crossed product. The index theorem of Connes-Moscovici allows to compute the Chern character of the K-cycle by local formulae involving connections and curvatures. It gives a topological interpretation to the anomaly, in the sense of noncommutative algebras.

  8. CP-violating CFT and trace anomaly

    CERN Document Server

    Nakayama, Yu

    2012-01-01

    It is logically possible that the trace anomaly in four dimension includes the Hirzebruch-Pontryagin density in CP violating theories. Although the term vanishes at free conformal fixed points, we realize such a possibility in the holographic renormalization group and show that it is indeed possible. The Hirzebruch-Pontryagin term in the trace anomaly may serve as a barometer to understand how much CP is violated in conformal field theories.

  9. Anomalous transport due to scale anomaly

    CERN Document Server

    Chernodub, M N

    2016-01-01

    We show that the scale anomaly in field theories leads to new anomalous transport effects that emerge in external electromagnetic field in inhomogeneous gravitational background. In inflating geometry the QED scale anomaly generates electric current which flows in opposite direction with respect to background electric field. In static spatially inhomogeneous gravitational background the dissipationless electric current flows transversely both to the magnetic field axis and to the gradient of the inhomogeneity. The anomalous currents are proportional to the beta function of the theory.

  10. Lateral sacral lipomyelomeningocele : a rare anomaly.

    Directory of Open Access Journals (Sweden)

    Shetty D

    2002-04-01

    Full Text Available Lateral sacral lipomyelomeningocele is a rare spinal developmental anomaly. In the case under report, the fat attached to the neural placode was blending with the gluteal fat externally. The cord was tethered at this level. Multiple bony anomalies and diastematomyelia were associated findings. A case of lateral sacral lipomyelomeningocele with excellent imaging detail provided by the multiplanar magnetic resonance (MR scan is reported.

  11. Reports on various anomalies of the ribs

    Energy Technology Data Exchange (ETDEWEB)

    Brinkmann, G.; Brix, F.

    1988-02-01

    Three patients are presented who were suffering from different anomalies of the ribs: There was one each plus and minus variant and a female patient with Gorlin-Goltz syndrome (basal cell nevus syndrome) demonstrating several changes in the ribs as an expression of a genetically determined segmentation disturbance. These presentations are followed by a detailed discussion on the types and causes of such anomalies.

  12. Viscosity anomaly in core-softened liquids

    OpenAIRE

    Fomin, Yu. D.; Ryzhov, V. N.

    2013-01-01

    The present article presents a molecular dynamics study of several anomalies of core-softened systems. It is well known that many core-softened liquids demonstrate diffusion anomaly. Usual intuition relates the diffusion coefficient to shear viscosity via Stockes-Einstein relation. However, it can break down at low temperature. In this respect it is important to see if viscosity also demonstrates anomalous behavior.

  13. Pediatric cardiac postoperative care

    Directory of Open Access Journals (Sweden)

    Auler Jr. José Otávio Costa

    2002-01-01

    Full Text Available The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.

  14. Comprehensive cardiac rehabilitation

    DEFF Research Database (Denmark)

    Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;

    2006-01-01

    OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down. RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

  15. Toothache of cardiac origin.

    Science.gov (United States)

    Kreiner, M; Okeson, J P

    1999-01-01

    Pain referred to the orofacial structures can sometimes be a diagnostic challenge for the clinician. In some instances, a patient may complain of tooth pain that is completely unrelated to any dental source. This poses a diagnostic and therapeutic problem for the dentist. Cardiac pain most commonly radiates to the left arm, shoulder, neck, and face. In rare instances, angina pectoris may present as dental pain. When this occurs, an improper diagnosis frequently leads to unnecessary dental treatment or, more significantly, a delay of proper treatment. This delay may result in the patient experiencing an acute myocardial infarction. It is the dentist's responsibility to establish a proper diagnosis so that the treatment will be directed toward the source of pain and not to the site of pain. This article reviews the literature concerning referred pain of cardiac origin and presents a case report of toothache of cardiac origin.

  16. The cardiac anxiety questionnaire: cross-validation among cardiac inpatients

    NARCIS (Netherlands)

    Beek, M.H. van; Oude Voshaar, R.C.; Deelen, F.M. van; Balkom, A.J. van; Pop, G.A.; Speckens, A.E.

    2012-01-01

    OBJECTIVE: General anxiety symptoms are common in patients with cardiac disease and considered to have an adverse effect on cardiac prognosis. The role of specific cardiac anxiety, however, is still unknown. The aim of this study is to examine the factor structure, reliability, and validity of the D

  17. THE CARDIAC ANXIETY QUESTIONNAIRE : CROSS-VALIDATION AMONG CARDIAC INPATIENTS

    NARCIS (Netherlands)

    van Beek, M. H. C. T.; Voshaar, R. C. Oude; van Deelen, F. M.; van Balkom, A. J. L. M.; Pop, G.; Speckens, A. E. M.

    2012-01-01

    Objective: General anxiety symptoms are common in patients with cardiac disease and considered to have an adverse effect on cardiac prognosis. The role of specific cardiac anxiety, however, is still unknown. The aim of this study is to examine the factor structure, reliability, and validity of the D

  18. Medical imaging for congenital anomalies of the lung. Focused on tracheobronchial and parenchymal anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Kohda, Ehiichi; Shiraga, Nobuyuki; Higuchi, Mutsumi; Ishibashi, Ryouchi [Tachikawa Hospital, Tokyo (Japan)

    2003-02-01

    This is a review of medical imaging studies for congenital anomalies of the lung focused on tracheobronchial and parenchymal anomalies. It is important to know the findings of these developmental anomalies, because they are frequently manifested as infectious diseases or mass. Documented details are pulmonary agenesis, aplasia, pulmonary hypoplasia, tracheal agenesis, bridging bronchus, tracheal bronchus, congenital tracheal stenosis, bronchial atresia, bronchobiliary fistula, bronchogenic cyst, bronchopulmonary sequestration, congenital cystic adenomatoid malformation, and pulmonary lymphangiectasia. (author)

  19. Perioperative management of cardiac disease.

    Science.gov (United States)

    Aresti, N A; Malik, A A; Ihsan, K M; Aftab, S M E; Khan, W S

    2014-01-01

    Pre-existing cardiac disease contributes significantly to morbidity and mortality amongst patients undergoing non cardiac surgery. Patients with pre-existing cardiac disease or with risk factors for it, have as much as a 3.9% risk of suffering a major perioperative cardiac event (Lee et al 1999, Devereaux 2005). Furthermore, the incidence of perioperative myocardial infarction (MI) is increased 10 to 50 fold in patients with previous coronary events (Jassal 2008).

  20. Data analysis in cardiac arrhythmias.

    Science.gov (United States)

    Rodrigo, Miguel; Pedrón-Torecilla, Jorge; Hernández, Ismael; Liberos, Alejandro; Climent, Andreu M; Guillem, María S

    2015-01-01

    Cardiac arrhythmias are an increasingly present in developed countries and represent a major health and economic burden. The occurrence of cardiac arrhythmias is closely linked to the electrical function of the heart. Consequently, the analysis of the electrical signal generated by the heart tissue, either recorded invasively or noninvasively, provides valuable information for the study of cardiac arrhythmias. In this chapter, novel cardiac signal analysis techniques that allow the study and diagnosis of cardiac arrhythmias are described, with emphasis on cardiac mapping which allows for spatiotemporal analysis of cardiac signals.Cardiac mapping can serve as a diagnostic tool by recording cardiac signals either in close contact to the heart tissue or noninvasively from the body surface, and allows the identification of cardiac sites responsible of the development or maintenance of arrhythmias. Cardiac mapping can also be used for research in cardiac arrhythmias in order to understand their mechanisms. For this purpose, both synthetic signals generated by computer simulations and animal experimental models allow for more controlled physiological conditions and complete access to the organ.

  1. Biosynthesis of cardiac natriuretic peptides

    DEFF Research Database (Denmark)

    Goetze, Jens Peter

    2010-01-01

    Cardiac-derived peptide hormones were identified more than 25 years ago. An astonishing amount of clinical studies have established cardiac natriuretic peptides and their molecular precursors as useful markers of heart disease. In contrast to the clinical applications, the biogenesis of cardiac...

  2. The influence of a football training loadings on the morphology of internal heart structures with minor anomalies of development

    Directory of Open Access Journals (Sweden)

    Nekhanevich O.B.

    2014-03-01

    Full Text Available Background. Approximately 90% of sudden fatal events in sports are associated with cardiac diseases. The role of minor anomalies of heart development in the formation of cardiovascular risk of sudden cardiac death at sportsmen is not established. These malformations represent from 3 to 13% in general structure of sudden death in sports. The statistical data concerning frequency of occurrence of minor anomalies of heart development at sportsmen also differs. Objective. The purpose of the research was to improve the training process by medical support of football players; to determine the abundance and features of structural and hemodynamic changes in the heart with minor anomalies of development progressing in the course of long-term trainings. Methods. Transthoracic echocardiographic inspection on device "Sonomed-400" micro convex probe with frequency of 2,5 MHz was used. The tissue Doppler imaging helped us to evaluate the blood flow. Investigation was performed in M-, В-modes, basic cardiologic parameters were measured; valves condition was estimated with fixation of a hemodynamic streams. Results. In the current work sizes of heart morphological structures of sportsmen-football players depending on a sex, age and the training experience, and also presence of minor anomalies of heart are presented. The factors leading to a decrease of adaptation possibilities at football players with dysplasia of heart and reorganization of heart morphological structures of sportsmen-football players are analyzed. Conclusion. Delay of adaptation reorganization of heart to physical activities at football players with minor anomalies of heart development after 12 years of sports experience has been noted. At football players of male sex with abnormally located chords in a left ventricle cavity the indicators of myocardium weight and end-diastolic volume were significantly low, than at football players with other dysplastic changes in the heart. Citation

  3. Cardiac troponins and high-sensitivity cardiac troponin assays.

    Science.gov (United States)

    Conrad, Michael J; Jarolim, Petr

    2014-03-01

    Measurement of circulating cardiac troponins I and T has become integral to the diagnosis of myocardial infarction. This article discusses the structure and function of the troponin complex and the release of cardiac troponin molecules from the injured cardiomyocyte into the circulation. An overview of current cardiac troponin assays and their classification according to sensitivity is presented. The diagnostic criteria, role, and usefulness of cardiac troponin for myocardial infarction are discussed. In addition, several examples are given of the usefulness of high-sensitivity cardiac troponin assays for short-term and long-term prediction of adverse events.

  4. Abdominal aortic surgery and renal anomalies

    Directory of Open Access Journals (Sweden)

    Ilić Nikola

    2011-01-01

    Full Text Available Introduction. Kidney anomalies present a challenge even for the most experienced vascular surgeon in the reconstruction of the aortoilliac segment. The most significant anomalies described in the surgery of the aortoilliac segment are a horse-shoe and ectopic kidney. Objective. The aim of this retrospective study was to analyze experience on 40 patients with renal anomalies, who underwent surgery of the aortoilliac segment and to determine attitudes on conventional surgical treatment. Methods. In the period from 1992 to 2009, at the Clinic for Vascular Surgery of the Clinical Centre of Belgrade we operated on 40 patients with renal anomalies and aortic disease (aneurysmatic and obstructive. The retrospective analysis involved standard epidemiological data of each patient (gender, age, risk factors for atherosclerosis, type of anomaly, type of aortic disease, presurgical parameter values of renal function, type of surgical approach (laparatomy or retroperitoneal approach, classification of the renal isthmus, reimplantation of renal arteries and perioperative morbidity and mortality. Results. Twenty patients were males In 30 (70% patients we diagnosed a horse-shoe kidney and in 10 (30% ectopic kidney. In the cases of ruptured aneurysm of the abdominal aorta the diagnosis was made by ultrasound findings. Pre-surgically, renal anomalies were confirmed in all patients, except in those with a ruptured aneurysm who underwent urgent surgery. In all patients we applied medial laparatomy, except in those with a thoracoabdominal aneurysm type IV, when the retroperitonal approach was necessary. On average the patients were under follow-up for 6.2 years (from 6 months to 17 years. Conclusion. Under our conditions, the so-called double clamp technique with the preservation of the kidney gave best results in the patients with renal anomalies and aortic disease.

  5. Cardiac potassium channel subtypes

    DEFF Research Database (Denmark)

    Schmitt, Nicole; Grunnet, Morten; Olesen, Søren-Peter

    2014-01-01

    About 10 distinct potassium channels in the heart are involved in shaping the action potential. Some of the K(+) channels are primarily responsible for early repolarization, whereas others drive late repolarization and still others are open throughout the cardiac cycle. Three main K(+) channels...

  6. Cardiac Risk Assessment

    Science.gov (United States)

    ... Risk Assessment Related tests: Lipid Profile , VLDL Cholesterol , hs-CRP , Lp(a) Overview | Common Questions | Related Pages What ... cardiac risk include: High-sensitivity C-reactive protein (hs-CRP) : Studies have shown that measuring CRP with a ...

  7. The cardiac malpositions.

    Science.gov (United States)

    Perloff, Joseph K

    2011-11-01

    Dextrocardia was known in the 17th century and was 1 of the first congenital malformations of the heart to be recognized. Fifty years elapsed before Matthew Baillie published his account of complete transposition in a human of the thoracic and abdominal viscera to the opposite side from what is natural. In 1858, Thomas Peacock stated that "the heart may be congenitally misplaced in various ways, occupying either an unusual position within the thorax, or being situated external to that cavity." In 1915, Maude Abbott described ectopia cordis, and Richard Paltauf's remarkable illustrations distinguished the various types of dextrocardia. In 1928, the first useful classification of the cardiac malpositions was proposed, and in 1966, Elliott et al's radiologic classification set the stage for clinical recognition. The first section of this review deals with the 3 basic cardiac malpositions in the presence of bilateral asymmetry. The second section deals with cardiac malpositions in the presence of bilateral left-sidedness or right-sidedness. Previous publications on cardiac malpositions are replete with an arcane vocabulary that confounds rather than clarifies. Even if the terms themselves are understood, inherent complexity weighs against clarity. This review was designed as a guided tour of an unfamiliar subject.

  8. Hepato-cardiac disorders

    Institute of Scientific and Technical Information of China (English)

    Yasser; Mahrous; Fouad; Reem; Yehia

    2014-01-01

    Understanding the mutual relationship between the liver and the heart is important for both hepatologists and cardiologists. Hepato-cardiac diseases can be classified into heart diseases affecting the liver, liver diseases affecting the heart, and conditions affecting the heart and the liver at the same time. Differential diagnoses of liver injury are extremely important in a cardiologist’s clinical practice calling for collaboration between cardiologists and hepatologists due to the many other diseases that can affect the liver and mimic haemodynamic injury. Acute and chronic heart failure may lead to acute ischemic hepatitis or chronic congestive hepatopathy. Treatment in these cases should be directed to the primary heart disease. In patients with advanced liver disease, cirrhotic cardiomyopathy may develop including hemodynamic changes, diastolic and systolic dysfunctions, reduced cardiac performance and electrophysiological abnormalities. Cardiac evaluation is important for patients with liver diseases especially before and after liver transplantation. Liver transplantation may lead to the improvement of all cardiac changes and the reversal of cirrhotic cardiomyopathy. There are systemic diseases that may affect both the liver and the heart concomitantly including congenital, metabolic and inflammatory diseases as well as alcoholism. This review highlights these hepatocardiac diseases

  9. Etiology and Evaluation of Sperm Chromatin Anomalies

    Directory of Open Access Journals (Sweden)

    Marziyeh Tavalaee

    2008-01-01

    Full Text Available Evidence suggests that human sperm chromatin anomalies adversely affect reproductive outcomesand infertile men possess substantially amount of sperm with chromatin anomalies than fertilemen.Routine semen analysis evaluates parameters such as sperm motility and morphology, but doesnot examine the nuclear DNA integrity of spermatozoa. It has been suggested that altered nuclearchromatin structure or damaged DNA in spermatozoa could modify the special cellular functionsof human spermatozoa, and thereby affect the fertility potential. Intra-cytoplasmic sperm injection(ICSI bypass the barriers to fertilization for such a sperm, then the effect of chromatin anomalies onthe development remains a concern. Therefore, it is essential to develop and use accurate diagnostictests, which may provide better prognostic capabilities than the standard sperm assessments. Thisreview discusses our current understanding of the structure and organization of sperm DNA,the different procedures for assessment of sperm chromatin anomalies including comet assay,Chromomycin A3 (CMA3, sperm chromatin structure assay (SCSA, acridine orange test (AOT,terminal TdT-mediated dUTP-nick-end labelling (TUNEL assay, aniline blue and sperm chromatindispersion (SCD test and the impact of chromatin anomalies on reproductive outcome.

  10. Geopotential field anomalies and regional tectonic features

    Science.gov (United States)

    Mandea, Mioara; Korte, Monika

    2016-07-01

    Maps of both gravity and magnetic field anomalies offer crucial information about physical properties of the Earth's crust and upper mantle, required in understanding geological settings and tectonic structures. Density and magnetization represent independent rock properties and thus provide complementary information on compositional and structural changes. Two regions are considered: southern Africa (encompassing South Africa, Namibia and Botswana) and Germany. This twofold choice is motivated firstly by the fact that these regions represent rather diverse geological and geophysical conditions (old Archean crust with strong magnetic anomalies in southern Africa, and much younger, weakly magnetized crust in central Europe) and secondly by our intimate knowledge of the magnetic vector ground data from these two regions. We take also advantage of the recently developed satellite potential field models and compare magnetic and gravity gradient anomalies of some 200 km resolution. Comparing short and long wavelength anomalies and the correlation of rather large scale magnetic and gravity anomalies, and relating them to known lithospheric structures, we generally find a better agreement over the southern African region than the German territory. This probably indicates a stronger concordance between near-surface and deeper structures in the former area, which can be perceived to agree with a thicker lithosphere.

  11. Fetal cardiac effects of maternal hyperglycemia during pregnancy.

    Science.gov (United States)

    Corrigan, Niamh; Brazil, Derek P; McAuliffe, Fionnuala

    2009-06-01

    Maternal diabetes mellitus is associated with increased teratogenesis, which can occur in pregestational type 1 and type 2 diabetes. Cardiac defects and with neural tube defects are the most common malformations observed in fetuses of pregestational diabetic mothers. The exact mechanism by which diabetes exerts its teratogenic effects and induces embryonic malformations is unclear. Whereas the sequelae of maternal pregestational diabetes, such as modulating insulin levels, altered fat levels, and increased reactive oxygen species, may play a role in fetal damage during diabetic pregnancy, hyperglycemia is thought to be the primary teratogen, causing particularly adverse effects on cardiovascular development. Fetal cardiac defects are associated with raised maternal glycosylated hemoglobin levels and are up to five times more likely in infants of mothers with pregestational diabetes compared with those without diabetes. The resulting anomalies are varied and include transposition of the great arteries, mitral and pulmonary atresia, double outlet of the right ventricle, tetralogy of Fallot, and fetal cardiomyopathy.A wide variety of rodent models have been used to study diabetic teratogenesis. Both genetic and chemically induced models of type 1 and 2 diabetes have been used to examine the effects of hyperglycemia on fetal development. Factors such as genetic background as well as confounding variables such as obesity appear to influence the severity of fetal abnormalities in mice. In this review, we will summarize recent data on fetal cardiac effects from human pregestational diabetic mothers, as well as the most relevant findings in rodent models of diabetic cardiac teratogenesis.

  12. Neutrino anomalies and large extra dimensions

    CERN Document Server

    Dighe, A S; Dighe, Amol S.; Joshipura, Anjan S.

    2001-01-01

    Theories with large extra dimensions can generate small neutrino masses when the standard model neutrinos are coupled to singlet fermions propagating in higher dimensions. The couplings can also generate mass splittings and mixings among the flavour neutrinos in the brane. We systematically study the minimal scenario involving only one singlet bulk fermion coupling weakly to the flavour neutrinos. We explore the neutrino mass structures in the brane that can potentially account for the atmospheric, solar and LSND anomalies simultaneously in a natural way. We demonstrate that in the absence of a priori mixings among the SM neutrinos, it is not possible to reconcile all these anomalies. The presence of some structure in the mass matrix of the SM neutrinos can solve this problem. This is exemplified by the Zee model, which when embedded in extra dimensions in a minimal way can account for all the neutrino anomalies.

  13. The Anomaly Structure of Regularized Supergravity

    CERN Document Server

    Butter, Daniel

    2014-01-01

    On-shell Pauli-Villars regularization of the one-loop divergences of supergravity theories is used to study the anomaly structure of supergravity and the cancellation of field theory anomalies under a $U(1)$ gauge transformation and under the T-duality group of modular transformations in effective supergravity theories with three K\\"ahler moduli $T^i$ obtained from orbifold compactification of the weakly coupled heterotic string. This procedure requires constraints on the chiral matter representations of the gauge group that are consistent with known results from orbifold compactifications. Pauli-Villars regulator fields allow for the cancellation of all quadratic and logarithmic divergences, as well as most linear divergences. If all linear divergences were canceled, the theory would be anomaly free, with noninvariance of the action arising only from Pauli-Villars masses. However there are linear divergences associated with nonrenormalizable gravitino/gaugino interactions that cannot be canceled by PV fields...

  14. Weyl Anomaly and Initial Singularity Crossing

    CERN Document Server

    Awad, Adel

    2015-01-01

    We consider the role of quantum effects, mainly, Weyl anomaly in modifying FLRW model singular behavior at early times. Weyl anomaly corrections to FLRW models have been considered in the past, here we reconsider this model and show the following: The singularity of this model is weak according to Tipler and Krolak, therefore, the spacetime might admit a geodesic extension. Weyl anomaly corrections changes the nature of the initial singularity from a big bang singularity to a sudden singularity. The two branches of solutions consistent with the semiclassical treatment form a disconnected manifold. Joining these two parts at the singularity provides us with a $C^1$ extension to nonspacelike geodesics and leaves the spacetime geodesically complete. Using Gauss-Codazzi equations one can derive generalized junction conditions for this higher-derivative gravity. The extended spacetime obeys Friedmann and Raychaudhuri equations and the junction conditions. The junction does not generate Dirac delta functions in mat...

  15. Anomaly-based Network Intrusion Detection Methods

    Directory of Open Access Journals (Sweden)

    Pavel Nevlud

    2013-01-01

    Full Text Available The article deals with detection of network anomalies. Network anomalies include everything that is quite different from the normal operation. For detection of anomalies were used machine learning systems. Machine learning can be considered as a support or a limited type of artificial intelligence. A machine learning system usually starts with some knowledge and a corresponding knowledge organization so that it can interpret, analyse, and test the knowledge acquired. There are several machine learning techniques available. We tested Decision tree learning and Bayesian networks. The open source data-mining framework WEKA was the tool we used for testing the classify, cluster, association algorithms and for visualization of our results. The WEKA is a collection of machine learning algorithms for data mining tasks.

  16. Anomaly mediation in local effective theories

    Energy Technology Data Exchange (ETDEWEB)

    Dine, Michael; Draper, Patrick [Santa Cruz Institute for Particle Physics and Department of Physics,Santa Cruz CA 95064 (United States)

    2014-02-17

    The phenomenon known as “anomaly mediation” can be understood in a variety of ways. Rather than an anomaly, certain gaugino bilinear terms are required by local supersymmetry and gauge invariance (the derivation of these terms is in some cases related to anomalies in scale invariance or R symmetries). We explain why the gaugino bilinear is required in supersymmetric gauge theories with varying number of colors and flavors. By working in the Higgs phase, gauging a flavor group, or working below the scale of gaugino condensation, each of these theories has a local effective description in which we can identify the bilinear term, establishing its necessity in the microscopic theory. For example, in theories that exhibit gaugino condensation, the potential in the very low energy theory is supersymmetric precisely due to the relation between the nonperturbative superpotential and the gaugino bilinear terms. Similarly, the gravitino mass appears from its coupling to the gaugino bilinear.

  17. Gauge Anomalies and Neutrino Seesaw Models

    CERN Document Server

    Neves Cebola, Luis Manuel

    Despite the success of the Standard Model concerning theoretical predictions, there are several experimental results that cannot be explained and there are reasons to believe that there exists new physics beyond it. Neutrino oscillations, and hence their masses, are examples of this. Experimentally it is known that neutrinos masses are quite small, when compared to all Standard Model particle masses. Among the theoretical possibilities to explain these tiny masses, the seesaw mechanism is a simple and well-motivated framework. In its minimal version, heavy particles are introduced that decouple from the theory in the early universe. To build consistent theories, classical symmetries need to be preserved at quantum level, so that there are no anomalies. The cancellation of these anomalies leads to constraints in the parameters of the theory. One attractive solution is to realize the anomaly cancellation through the modication of the gauge symmetry. In this thesis we present a short review of some features of t...

  18. An Immune Inspired Approach to Anomaly Detection

    CERN Document Server

    Twycross, Jamie

    2009-01-01

    The immune system provides a rich metaphor for computer security: anomaly detection that works in nature should work for machines. However, early artificial immune system approaches for computer security had only limited success. Arguably, this was due to these artificial systems being based on too simplistic a view of the immune system. We present here a second generation artificial immune system for process anomaly detection. It improves on earlier systems by having different artificial cell types that process information. Following detailed information about how to build such second generation systems, we find that communication between cells types is key to performance. Through realistic testing and validation we show that second generation artificial immune systems are capable of anomaly detection beyond generic system policies. The paper concludes with a discussion and outline of the next steps in this exciting area of computer security.

  19. Cardiac fusion and complex congenital cardiac defects in thoracopagus twins: diagnostic value of cardiac CT

    Energy Technology Data Exchange (ETDEWEB)

    Goo, Hyun Woo [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea, Republic of); Park, Jeong-Jun [University of Ulsan College of Medicine, Asan Medical Center, Department of Pediatric Cardiac Surgery, Seoul (Korea, Republic of); Kim, Ellen Ai-Rhan [University of Ulsan College of Medicine, Asan Medical Center, Division of Neonatology, Department of Pediatrics, Seoul (Korea, Republic of); Won, Hye-Sung [University of Ulsan College of Medicine, Asan Medical Center, Department of Obstetrics and Gynecology, Seoul (Korea, Republic of)

    2014-09-15

    Most thoracopagus twins present with cardiac fusion and associated congenital cardiac defects, and assessment of this anatomy is of critical importance in determining patient care and outcome. Cardiac CT with electrocardiographic triggering provides an accurate and quick morphological assessment of both intracardiac and extracardiac structures in newborns, making it the best imaging modality to assess thoracopagus twins during the neonatal period. In this case report, we highlight the diagnostic value of cardiac CT in thoracopagus twins with an interatrial channel and complex congenital cardiac defects. (orig.)

  20. The application of Da Vinci robotic surgical system in anus preserving operation of ultra low rectal ;cancers%达芬奇机器人在超低位直肠癌保肛手术中的应用

    Institute of Scientific and Technical Information of China (English)

    曾冬竹; 张超; 唐波; 甘露; 陈华; 雷晓; 罗华星; 兰远志; 余佩武

    2015-01-01

    Objective To explore the application of Da Vinci robotic surgical system in anus preserving operation of ultra low rectal cancers.Methods Systematically review the 52 patients who underwent the ultra low APR with the Da Vinci robotic surgical system.The general situation, operations, complications,recovery and pathological feature were analyzed.Results All the 52 patients went through the operation successfully with no conversion, and their anus were preserved.The average operation time was 193.7 ±43.2 mins.The blood loss wsa 65.5 ±29.3 ml.The average number of harvested lymph nodes was 18.2 ±5.6.The average distance to tumor is 2.4 ±0.2cm without cancer cell residuing.The post operation complication ratio is 13.5%(7 in 52),in which 5 cases developed anomostosis leakage,1 case pulmonary infection and 1 case urine retention.Conclusion The Da Vinci robotic surgical system in anus preserving operation of ultra low rectal cancers is convenient,safe,with fast recover and small trauma.%目的:探讨达芬奇机器人手术系统在超低位直肠癌保肛手术中的作用。方法回顾分析第三军医大学西南医院于2010年3月至2014年6月应用达芬奇机器人手术系统完成52例超低位直肠癌前切除手术患者的临床资料。对患者的一般资料、手术情况、并发症的发生、术后恢复及病理性资料进行分析评估。结果52例患者均顺利完成前切除保肛手术,无中转开腹;手术时间193.7±43.2 min,术中出血量65.5±29.3 ml。淋巴结清扫18.2±5.6枚。远切缘距肿瘤2.4±0.2 cm、无癌细胞残留。术后并发症发生率为13.5%(7/52),其中吻合口瘘5例、肺部感染1例,尿潴留1例,无死亡病例。结论达芬奇机器人手术系统在超低位直肠癌的前切除保肛手术中操作简便安全、创伤小、术后恢复快。

  1. Gauge mediated supersymmetry breaking and neutrino anomalies

    CERN Document Server

    Joshipura, A S; Joshipura, Anjan S.; Vempati, Sudhir K.

    1999-01-01

    Supersymmetric standard model with softly broken lepton symmetry provides a suitable framework to accommodate the solar and atmospheric neutrino anomalies. This model contains a natural explanation for large mixing and hierarchal masses without fine tuning of the parameters. Neutrino spectrum is particularly constrained in the minimal messenger model (MMM) of gauge mediated SUSY breaking, since all SUSY breaking effects are controlled in MMM by a single parameter. We study the structure of neutrino masses and mixing both in MMM and in simple extensions of it in the context of solar and atmospheric neutrino anomalies.

  2. A rare anomaly of abductor digiti minimi.

    Science.gov (United States)

    Sañudo, J R; Mirapeix, R M; Ferreira, B

    1993-06-01

    Two cases with anomalous fascicles in abductor digiti minimi, noted in the course of dissecting 62 adult postmortem forearms, are described. Both fascicles arose from the flexor retinaculum and the antebrachial fascia; one was inserted into abductor digiti minimi and the other on the proximal phalanx of the 5th finger. The anomalous muscles crossed the ulnar nerve and in 1 case also the median nerve. In the 2nd case the palmar nerve to the 5th finger was seen to penetrate the anomalous muscle. The ontogeny, morphology and clinical significance of this anomaly are discussed in relation to previously described anomalies of the hypothenar muscles.

  3. The Role of Imaging in Craniofacial Anomalies

    Directory of Open Access Journals (Sweden)

    P. Alipour

    2008-01-01

    Full Text Available It is important to know craniofacial anatomy in infancy for early detection of craniofacial anomalies, to help the surgeon's decision ,for repair and increase the patients, quality of life .In this regard, imaging has the major role in preoperative diagnostic maping and post operative follow up repair."nWe are going to show the normal craniofacial anatomy appearances in infancy in order to detect early craniofacial anomaly and syndromatic craniosynostosis with plain skull X-ray and CT scan reconstruction imaging.

  4. Experimental Signatures of Anomaly Induced DCC Formation

    CERN Document Server

    Asakawa, M; Müller, B

    2002-01-01

    We discuss possible experimental signatures related to the formation of domains of disoriented chiral condensate (DCC) triggered by the axial anomaly in relativistic heavy ion collisions. Our predictions make use of the feature of the anomaly effect that is coherent over a large region of space, but opposite in sign above and below the ion scattering plane. We predict an enhancement of the fraction of neutral pions compared to all pions, which depends on the angle of emission with respect to the scattering plane and is concentrated at small transverse momentum and small rapidity in the center-of-mass frame.

  5. Purely Four-dimensional Viable Anomaly Mediation

    CERN Document Server

    Harnik, R; Pierce, A T; Harnik, Roni; Murayama, Hitoshi; Pierce, Aaron

    2002-01-01

    Anomaly mediation of supersymmetry breaking solves the supersymmetric flavor problem thanks to its ultraviolet-insensitivity. However, it suffers from two problems: sleptons have negative masses-squared, and there are likely bulk moduli that spoil the framework. Here, we present the first fully ultraviolet-insensitive model of anomaly mediation with positive slepton masses-squared in a purely four-dimensional framework. Our model is based on the additional D-term contributions to the sparticle masses of Arkani-Hamed, Kaplan, HM, and Nomura, and the conformal sequestering mechanism of Luty and Sundrum.

  6. The GSI Time Anomaly: Facts and Fiction

    CERN Document Server

    Giunti, Carlo

    2009-01-01

    The claims that the GSI time anomaly is due to the mixing of neutrinos in the final state of the observed electron-capture decays of hydrogen-like heavy ions are refuted with the help of an analogy with a double-slit experiment. It is a consequence of causality. It is shown that the GSI time anomaly may be caused by quantum beats due to the existence of two coherent energy levels of the decaying ion with an extremely small energy splitting (about $6\\times10^{-16} \\text{eV}$) and relative probabilities having a ratio of about 1/99.

  7. Singlet deflected anomaly/gauge mediation

    Energy Technology Data Exchange (ETDEWEB)

    Blas, J. de, E-mail: jdeblasm@nd.edu [Department of Physics, University of Notre Dame, Notre Dame, IN 46556 (United States); Delgado, A., E-mail: antonio.delgado@nd.edu [Department of Physics, University of Notre Dame, Notre Dame, IN 46556 (United States)

    2012-02-28

    We study an extension of the standard anomaly/gauge mediation scenario where the messenger fields have direct interactions with an extra gauge singlet. This realizes a phenomenologically viable NMSSM-like scenario free of the {mu}-b{sub {mu}} problem. Current cosmological constraints imply a small size for the anomaly-mediation contributions, unless some source of R-parity violation is permitted. In the latter case the allowed regions in the parameter space can be substantially larger than in the corresponding gauge-mediation scenario.

  8. Radioactive anomaly discrimination from spectral ratios

    Science.gov (United States)

    Maniscalco, James; Sjoden, Glenn; Chapman, Mac Clements

    2013-08-20

    A method for discriminating a radioactive anomaly from naturally occurring radioactive materials includes detecting a first number of gamma photons having energies in a first range of energy values within a predetermined period of time and detecting a second number of gamma photons having energies in a second range of energy values within the predetermined period of time. The method further includes determining, in a controller, a ratio of the first number of gamma photons having energies in the first range and the second number of gamma photons having energies in the second range, and determining that a radioactive anomaly is present when the ratio exceeds a threshold value.

  9. 肛周脓肿合并糖尿病手术前后的护理%Diabetes Mellitus of Anus Week Abscess of Nursing before and after Opera-tion

    Institute of Scientific and Technical Information of China (English)

    郭庆云

    2016-01-01

    Objective To study the crissum abscess diabetes mellitus before and after surgery nursing effect. Methods March 2012 to September 2015, our hospital the 60 cases of anus week abscess patients with diabetes mellitus as the research object, were randomly divided into the 30 patients of control group and observation group, control group using conventional nursing measures, observation group adopts the whole nursing intervention, to observe the nursing effect of two groups of patients. Results The observation group of patients with diabetes mellitus abscess of anus week abscess disappeared time (12.68±1.71) d, length of hospital stay (26.23±1.52) d (90.00%) and nursing satisfaction is better than the control group (P< 0.05). Conclusion Giving crissum abscess patients with diabetes mellitus preoperative nursing, postoperative can effectively shorten the hospitalization time of patients and improve nursing satisfaction.%目的:探讨肛周脓肿合并糖尿病手术前后的护理效果。方法选取2012年3月-2015年9月该院收治的60例肛周脓肿合并糖尿病患者作为研究对象,随机分为各有30例患者的对照组和观察组,对照组采用常规护理措施,观察组采用全程护理干预,观察两组患者的护理效果。结果观察组肛周脓肿合并糖尿病患者脓肿消失时间(12.68±1.71)d、住院时间(26.23±1.52)d及护理满意度(90.00%)明显优于对照组(P<0.05)。结论给予肛周脓肿合并糖尿病患者术前术后护理,可有效缩短患者的住院时间,提高护理满意度。

  10. Isolated congenital cardiac diverticulum originating from the left ventricular apex: Report of a pediatric case

    Directory of Open Access Journals (Sweden)

    Fahrettin Uysal

    2016-01-01

    Full Text Available Congenital ventricular diverticulum is a rare cardiac anomaly defined as a localized protrusion of the ventricular free wall. Although, it is usually asymptomatic, complications such as embolism, infective endocarditis, and arrhythmias can occur. The diagnosis can be made by echocardiography, cardiac magnetic resonance imaging, or catheter angiography. Surgical resection is the treatment of choice in symptomatic patients, whereas the management of asymptomatic patients often represents a therapeutic dilemma. We report here, a 9-month-old patient with asymptomatic congenital left ventricular (LV diverticulum associated with epigastric hernia.

  11. Cardiac nuclear medicine

    Energy Technology Data Exchange (ETDEWEB)

    Gerson, M.C.

    1987-01-01

    The book begins with a review of the radionuclide methods available for evaluating cardiac perfusion and function. The authors discuss planar and tomographic thallium myocardial imaging, first-pass and equilibrium radionuclide angiography, and imaging with infarct-avid tracers. Several common but more specialized procedures are then reviewed: nonogemetric measurement of left ventricular volume, phase (Fourier) analysis, stroke volume ratio, right ventricular function, and diastolic function. A separate chapter is devoted to drug interventions and in particular the use of radionuclide ventriculography to monitor doxorubicin toxicity and therapy of congestive heart failure. The subsequent chapters provide a comprehensive guide to test selection, accuracy, and results in acute myocardial infarction, in postmyocardial infarction, in chronic coronary artery disease, before and after medical or surgical revascularization, in valvular heart disease, in cardiomyopathies, and in cardiac trauma.

  12. Sudden Cardiac Death

    Directory of Open Access Journals (Sweden)

    Yipsy María Gutiérrez Báez

    2015-09-01

    Full Text Available Since the second half of the twentieth century, dying suddenly due to heart-related problems has become the main health issue in all countries where infectious diseases are not prevalent. Sudden death from cardiac causes is an important global health problem. Major databases were searched for the leading causes of sudden cardiac death. It has been demonstrated that there is a group of hereditary diseases with structural alterations or without apparent organic cause that explains many cases of sudden death in young people, whether related or not to physical exertion. Certain population groups are at higher risk for this disease. They are relatively easy to identify and can be the target of primary prevention measures.

  13. Cardiac arrhythmias in pregnancy.

    Science.gov (United States)

    Knotts, Robert J; Garan, Hasan

    2014-08-01

    As more women with repaired congenital heart disease survive to their reproductive years and many other women are delaying pregnancy until later in life, a rising concern is the risk of cardiac arrhythmias during pregnancy. Naturally occurring cardiovascular changes during pregnancy increase the likelihood that a recurrence of a previously experienced cardiac arrhythmia or a de novo arrhythmia will occur. Arrhythmias should be thoroughly investigated to determine if there is a reversible etiology, and risks/benefits of treatment options should be fully explored. We discuss the approach to working up and treating various arrhythmias during pregnancy with attention to fetal and maternal risks as well as treatment of fetal arrhythmias. Acute management in stable patients includes close monitoring and intravenous pharmacologic therapy, while DC cardioversion should be used to terminate arrhythmias in hemodynamically unstable patients. Long-term management may require continued oral antiarrhythmic therapy, with particular attention to fetal safety, to prevent complications associated with arrhythmias.

  14. Second heart field cardiac progenitor cells in the early mouse embryo.

    Science.gov (United States)

    Francou, Alexandre; Saint-Michel, Edouard; Mesbah, Karim; Théveniau-Ruissy, Magali; Rana, M Sameer; Christoffels, Vincent M; Kelly, Robert G

    2013-04-01

    At the end of the first week of mouse gestation, cardiomyocyte differentiation initiates in the cardiac crescent to give rise to the linear heart tube. The heart tube subsequently elongates by addition of cardiac progenitor cells from adjacent pharyngeal mesoderm to the growing arterial and venous poles. These progenitor cells, termed the second heart field, originate in splanchnic mesoderm medial to cells of the cardiac crescent and are patterned into anterior and posterior domains adjacent to the arterial and venous poles of the heart, respectively. Perturbation of second heart field cell deployment results in a spectrum of congenital heart anomalies including conotruncal and atrial septal defects seen in human patients. Here, we briefly review current knowledge of how the properties of second heart field cells are controlled by a network of transcriptional regulators and intercellular signaling pathways. Focus will be on 1) the regulation of cardiac progenitor cell proliferation in pharyngeal mesoderm, 2) the control of progressive progenitor cell differentiation and 3) the patterning of cardiac progenitor cells in the dorsal pericardial wall. Coordination of these three processes in the early embryo drives progressive heart tube elongation during cardiac morphogenesis. This article is part of a Special Issue entitled: Cardiomyocyte Biology: Cardiac Pathways of Differentiation, Metabolism and Contraction.

  15. Cardiac surgery 2015 reviewed.

    Science.gov (United States)

    Doenst, Torsten; Strüning, Constanze; Moschovas, Alexandros; Gonzalez-Lopez, David; Essa, Yasin; Kirov, Hristo; Diab, Mahmoud; Faerber, Gloria

    2016-10-01

    For the year 2015, almost 19,000 published references can be found in PubMed when entering the search term "cardiac surgery". The last year has been again characterized by lively discussions in the fields where classic cardiac surgery and modern interventional techniques overlap. Lacking evidence in the field of coronary revascularization with either percutaneous coronary intervention or bypass surgery has been added. As in the years before, CABG remains the gold standard for the revascularization of complex stable triple-vessel disease. Plenty of new information has been presented comparing the conventional to transcatheter aortic valve implantation (TAVI) demonstrating similar short- and mid-term outcomes at high and low risk, but even a survival advantage with transfemoral TAVI at intermediate risk. In addition, there were many relevant and interesting other contributions from the purely operative arena. This review article will summarize the most pertinent publications in the fields of coronary revascularization, surgical treatment of valve disease, heart failure (i.e., transplantation and ventricular assist devices), and aortic surgery. While the article does not have the expectation of being complete and cannot be free of individual interpretation, it provides a condensed summary that is intended to give the reader "solid ground" for up-to-date decision-making in cardiac surgery.

  16. Cardiac hybrid imaging

    Energy Technology Data Exchange (ETDEWEB)

    Gaemperli, Oliver [University Hospital Zurich, Cardiac Imaging, Zurich (Switzerland); University Hospital Zurich, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Cardiac Imaging, Zurich (Switzerland); Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic and Interventional Radiology, Zurich (Switzerland)

    2014-05-15

    Hybrid cardiac single photon emission computed tomography (SPECT)/CT imaging allows combined assessment of anatomical and functional aspects of cardiac disease. In coronary artery disease (CAD), hybrid SPECT/CT imaging allows detection of coronary artery stenosis and myocardial perfusion abnormalities. The clinical value of hybrid imaging has been documented in several subsets of patients. In selected groups of patients, hybrid imaging improves the diagnostic accuracy to detect CAD compared to the single imaging techniques. Additionally, this approach facilitates functional interrogation of coronary stenoses and guidance with regard to revascularization procedures. Moreover, the anatomical information obtained from CT coronary angiography or coronary artery calcium scores (CACS) adds prognostic information over perfusion data from SPECT. The use of cardiac hybrid imaging has been favoured by the dissemination of dedicated hybrid systems and the release of dedicated image fusion software, which allow simple patient throughput for hybrid SPECT/CT studies. Further technological improvements such as more efficient detector technology to allow for low-radiation protocols, ultra-fast image acquisition and improved low-noise image reconstruction algorithms will be instrumental to further promote hybrid SPECT/CT in research and clinical practice. (orig.)

  17. Cardiac tissue engineering

    Directory of Open Access Journals (Sweden)

    MILICA RADISIC

    2005-03-01

    Full Text Available We hypothesized that clinically sized (1-5 mm thick,compact cardiac constructs containing physiologically high density of viable cells (~108 cells/cm3 can be engineered in vitro by using biomimetic culture systems capable of providing oxygen transport and electrical stimulation, designed to mimic those in native heart. This hypothesis was tested by culturing rat heart cells on polymer scaffolds, either with perfusion of culture medium (physiologic interstitial velocity, supplementation of perfluorocarbons, or with electrical stimulation (continuous application of biphasic pulses, 2 ms, 5 V, 1 Hz. Tissue constructs cultured without perfusion or electrical stimulation served as controls. Medium perfusion and addition of perfluorocarbons resulted in compact, thick constructs containing physiologic density of viable, electromechanically coupled cells, in contrast to control constructs which had only a ~100 mm thick peripheral region with functionally connected cells. Electrical stimulation of cultured constructs resulted in markedly improved contractile properties, increased amounts of cardiac proteins, and remarkably well developed ultrastructure (similar to that of native heart as compared to non-stimulated controls. We discuss here the state of the art of cardiac tissue engineering, in light of the biomimetic approach that reproduces in vitro some of the conditions present during normal tissue development.

  18. Conformal Anomaly and Counterterms in Designer Gravity

    CERN Document Server

    Anabalon, Andres; Choque, David; Martinez, Cristian

    2015-01-01

    We construct concrete counterterms of the Balasubramanian-Kraus type for Einstein-scalar theories with designer gravity boundary conditions in AdS$_{4}$, so that the total action is finite on-shell and satisfy a well defined variational principle for an arbitrary scalar field potential. We focus on scalar fields with the conformal mass, $m^{2}=-2l^{-2}$, and show that the holographic mass matches the Hamiltonian mass for any boundary conditions. We compute the conformal anomaly of the dual field theory in the generic case, as well as when there exist logarithmic branches of non-linear origin. As expected, the conformal anomaly vanishes for the boundary conditions that are AdS invariant. When the anomaly does not vanish, the dual stress tensor describes a thermal gas with an equation of state related to the boundary conditions of the scalar field. When the anomaly vanishes, we recover the dual theory of a massless thermal gas. As an application of the formalism, we consider a general family of exact hairy blac...

  19. Alaska Terrain Corrected Free Air Anomalies (96)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' x 4' gravity anomaly grid for Alaska is NOT the input data set used in development of the GEOID96 model. This gravity grid models the 1.1 million terrestrial...

  20. Reducing customer minutes lost by anomaly detection?

    NARCIS (Netherlands)

    Bakker, M.; Vreeburg, J.H.G.; Rietveld, L.C.; van der Roer, M.

    2012-01-01

    An method which compares measured and predicted water demands to detect anomalies, was developed and tested on three data sets of water demand of three years in which and 25 pipe bursts were reported. The method proved to be able to detect bursts where the water loss exceeds 30% of the average water

  1. Congenital spine anomalies: the closed spinal dysraphisms

    Energy Technology Data Exchange (ETDEWEB)

    Schwartz, Erin Simon [University of Pennsylvania, Department of Radiology, The Children' s Hospital of Philadelphia, Perelman School of Medicine, Philadelphia, PA (United States); Rossi, Andrea [G. Gaslini Children' s Hospital, Department of Radiology, Genoa (Italy)

    2015-09-15

    The term congenital spinal anomalies encompasses a wide variety of dysmorphology that occurs during early development. Familiarity with current terminology and a practical, clinico-radiologic classification system allows the radiologist to have a more complete understanding of malformations of the spine and improves accuracy of diagnosis when these entities are encountered in practice. (orig.)

  2. Anomaly Detection using the "Isolation Forest" algorithm

    CERN Document Server

    CERN. Geneva

    2015-01-01

    Anomaly detection can provide clues about an outlying minority class in your data: hackers in a set of network events, fraudsters in a set of credit card transactions, or exotic particles in a set of high-energy collisions. In this talk, we analyze a real dataset of breast tissue biopsies, with malignant results forming the minority class. The "Isolation Forest" algorithm finds anomalies by deliberately “overfitting” models that memorize each data point. Since outliers have more empty space around them, they take fewer steps to memorize. Intuitively, a house in the country can be identified simply as “that house out by the farm”, while a house in the city needs a longer description like “that house in Brooklyn, near Prospect Park, on Union Street, between the firehouse and the library, not far from the French restaurant”. We first use anomaly detection to find outliers in the biopsy data, then apply traditional predictive modeling to discover rules that separate anomalies from normal data...

  3. Psychoeducational Implications of Sex Chromosome Anomalies

    Science.gov (United States)

    Wodrich, David L.; Tarbox, Jennifer

    2008-01-01

    Numerous anomalies involving the sex chromosomes (X or Y) have been documented and their impact on development, learning, and behavior studied. This article reviews three of these disorders, Turner syndrome, Klinefelter syndrome, and Lesch-Nyhan disease. Each of these three is associated with one or more selective impairments or behavioral…

  4. Hyperspectral anomaly detection using enhanced global factors

    Science.gov (United States)

    Paciencia, Todd J.; Bauer, Kenneth W.

    2016-05-01

    Dimension reduction techniques have become one popular unsupervised approach used towards detecting anomalies in hyperspectral imagery. Although demonstrating promising results in the literature on specific images, these methods can become difficult to directly interpret and often require tuning of their parameters to achieve high performance on a specific set of images. This lack of generality is also compounded by the need to remove noise and atmospheric absorption spectral bands from the image prior to detection. Without a process for this band selection and to make the methods adaptable to different image compositions, performance becomes difficult to maintain across a wider variety of images. Here, we present a framework that uses factor analysis to provide a robust band selection and more meaningful dimension reduction with which to detect anomalies in the imagery. Measurable characteristics of the image are used to create an automated decision process that allows the algorithm to adjust to a particular image, while maintaining high detection performance. The framework and its algorithms are detailed, and results are shown for forest, desert, sea, rural, urban, anomaly-sparse, and anomaly-dense imagery types from different sensors. Additionally, the method is compared to current state-of-the-art methods and is shown to be computationally efficient.

  5. Detection of cardiovascular anomalies: Hybrid systems approach

    KAUST Repository

    Ledezma, Fernando

    2012-06-06

    In this paper, we propose a hybrid interpretation of the cardiovascular system. Based on a model proposed by Simaan et al. (2009), we study the problem of detecting cardiovascular anomalies that can be caused by variations in some physiological parameters, using an observerbased approach. We present the first numerical results obtained. © 2012 IFAC.

  6. Contextual Detection of Anomalies within Hyperspectral Images

    Science.gov (United States)

    2011-03-01

    Hyperspectral Imagery (HSI), Unsupervised Target Detection, Target Identification, Contextual Anomaly Detection 16. SECURITY CLASSIFICATION OF: 17. LIMITATION...processing. Hyperspectral imaging has a wide range of applications within remote sensing, not limited to terrain classification , environmental monitoring...Johnson, R. J. (2008). Improved feature extraction, feature selection, and identification techniques that create a fast unsupervised hyperspectral

  7. Seasonality of Congenital Anomalies in Europe

    NARCIS (Netherlands)

    Luteijn, Johannes Michiel; Dolk, Helen; Addor, Marie-Claude; Arriola, Larraitz; Barisic, Ingeborg; Bianchi, Fabrizio; Calzolari, Elisa; Draper, Elizabeth; Garne, Ester; Gatt, Miriam; Haeusler, Martin; Khoshnood, Babak; McDonnell, Bob; Nelen, Vera; O'Mahony, Mary; Mullaney, Carmel; Queisser-Luft, Annette; Rankin, Judith; Tucker, David; Verellen-Dumoulin, Christine; de Walle, Hermien; Yevtushok, Lyubov

    2014-01-01

    BackgroundThis study describes seasonality of congenital anomalies in Europe to provide a baseline against which to assess the impact of specific time varying exposures such as the H1N1 pandemic influenza, and to provide a comprehensive and recent picture of seasonality and its possible relation to

  8. A natural origin for the LHCb anomalies

    Science.gov (United States)

    Megías, Eugenio; Panico, Giuliano; Pujolàs, Oriol; Quirós, Mariano

    2016-09-01

    The anomalies recently found by the LHCb collaboration in B-meson decays seem to point towards the existence of new physics coupled non-universally to muons and electrons. We show that a beyond-the-Standard-Model dynamics with these features naturally arises in models with a warped extra-dimension that aim to solve the electroweak Hierarchy Problem. The attractiveness of our set-up is the fact that the dynamics responsible for generating the flavor anomalies is automatically present, being provided by the massive Kaluza-Klein excitations of the electroweak gauge bosons. The flavor anomalies can be easily reproduced by assuming that the bottom and muon fields have a sizable amount of compositeness, while the electron is almost elementary. Interestingly enough, this framework correlates the flavor anomalies to a pattern of corrections in the electroweak observables and in flavor-changing processes. In particular the deviations in the bottom and muon couplings to the Z-boson and in Δ F = 2 flavor-changing observables are predicted to be close to the present experimental bounds, and thus potentially testable in near-future experiments.

  9. A Natural origin for the LHCb anomalies

    CERN Document Server

    Megias, Eugenio; Pujolas, Oriol; Quiros, Mariano

    2016-01-01

    The anomalies recently found by the LHCb collaboration in $B$-meson decays seem to point towards the existence of new physics coupled non-universally to muons and electrons. We show that a beyond-the-Standard-Model dynamics with these features naturally arises in models with a warped extra-dimension that aim to solve the electroweak Hierarchy Problem. The attractiveness of our set-up is the fact that the dynamics responsible for generating the flavor anomalies is automatically present, being provided by the massive Kaluza--Klein excitations of the electroweak gauge bosons. The flavor anomalies can be easily reproduced by assuming that the bottom and muon fields have a sizable amount of compositeness, while the electron is almost elementary. Interestingly enough, this framework correlates the flavor anomalies to a pattern of corrections in the electroweak observables and in flavor-changing processes. In particular the deviations in the bottom and muon couplings to the $Z$-boson and in $\\Delta F = 2$ flavor-cha...

  10. A Methodological Overview on Anomaly Detection

    NARCIS (Netherlands)

    Callegari, C.; Coluccia, A.; D'Alconzo, A.; Ellens, W.; Giordano, S.; Mandjes, M.; Pagano, P.; Pepe, T.; Ricciato, F.; Żuraniewski, P.; Biersack, E.; Callegari, C.; Matijasevic, M.

    2013-01-01

    In this Chapter we give an overview of statistical methods for anomaly detection (AD), thereby targeting an audience of practitioners with general knowledge of statistics. We focus on the applicability of the methods by stating and comparing the conditions in which they can be applied and by discuss

  11. A methodological overview on anomaly detection

    NARCIS (Netherlands)

    Callegari, C.; Coluccia, A.; D'alconzo, A.; Ellens, W.; Giordano, S.; Mandjes, M.; Pagano, M.; Pepe, T.; Ricciato, F.; Zuraniewski, P.W.

    2013-01-01

    In this Chapter we give an overview of statistical methods for anomaly detection (AD), thereby targeting an audience of practitioners with general knowledge of statistics. We focus on the applicability of the methods by stating and comparing the conditions in which they can be applied and by discuss

  12. Heineman Prize Lecture: Anomaly Cancellation: A Retrospective

    Science.gov (United States)

    Schwarz, John

    2002-04-01

    The mechanism by which gauge and gravitational anomalies cancel in certain string theories is reviewed. A few new tricks are introduced to make the derivation a little simpler, and the string-theoretic interpretation a little clearer, than in the original 1984 work.

  13. Drug safety in pregnancy - monitoring congenital anomalies

    NARCIS (Netherlands)

    Morgan, Margery; De Jong-Van Den Berg, Lolkje T. W.; Jordan, Sue

    2011-01-01

    Aim This paper outlines research into the causes of congenital anomalies, and introduces a pan-European study. The potential roles of nurses and midwives in this area are illustrated by a case report. Background Since the thalidomide disaster, use of drugs in pregnancy has been carefully monitored t

  14. Indeterminacy of Spatiotemporal Cardiac Alternans

    CERN Document Server

    Zhao, Xiaopeng

    2007-01-01

    Cardiac alternans, a beat-to-beat alternation in action potential duration (at the cellular level) or in ECG morphology (at the whole heart level), is a marker of ventricular fibrillation, a fatal heart rhythm that kills hundreds of thousands of people in the US each year. Investigating cardiac alternans may lead to a better understanding of the mechanisms of cardiac arrhythmias and eventually better algorithms for the prediction and prevention of such dreadful diseases. In paced cardiac tissue, alternans develops under increasingly shorter pacing period. Existing experimental and theoretical studies adopt the assumption that alternans in homogeneous cardiac tissue is exclusively determined by the pacing period. In contrast, we find that, when calcium-driven alternans develops in cardiac fibers, it may take different spatiotemporal patterns depending on the pacing history. Because there coexist multiple alternans solutions for a given pacing period, the alternans pattern on a fiber becomes unpredictable. Usin...

  15. Adenocarcinoma de recto y ano en paciente con enfermedad de Crohn tratado con infliximab Adenocarcinoma of the rectum and anus in a patient with Crohn´s disease treated with infliximab

    Directory of Open Access Journals (Sweden)

    J. Egea Valenzuela

    2010-08-01

    Full Text Available In the present paper, we report the case of a patient with long-standing Crohn´s disease and multiple complications that, after receiving treatment with infliximab, was diagnosed with an adenocarcinoma of the rectum and anus that required radical surgery, later presenting multiple metastases. In the discussion, characteristics and major risk factors for colorectal cancer in patients with inflammatory bowel disease will be largely reviewed, and current studies will be analyzed in connection with the appearance of neoplasms in patients being treated with biologics.Presentamos el caso de un paciente con enfermedad de Crohn de larga evolución y con múltiples complicaciones de su enfermedad que, tras recibir tratamiento con infliximab, es diagnosticado de un adenocarcinoma de recto y ano que precisa cirugía radical, presentando posteriormente metástasis múltiples. Se repasarán durante la discusión las características y los factores de riesgo más importantes del cáncer colorrectal en pacientes con enfermedad inflamatoria intestinal, y se analizarán los trabajos existentes hasta la fecha en relación con la aparición de neoplasias en pacientes tratados con fármacos biológicos.

  16. Modified Cone Reconstruction of the Tricuspid Valve for Ebstein Anomaly as Performed in Siberia

    Science.gov (United States)

    Krivoshchekov, Evgeny V.; Ackerman, Jaeger P.; Yanulevich, Olga S.; Sokolov, Alexander A.; Ershova, Nadezhda V.; Dearani, Joseph A.

    2017-01-01

    The cone reconstruction technique, first described by da Silva and modified by Dearani and by others, has become the repair method of choice in patients with Ebstein anomaly of the tricuspid valve. This report details the outcome of the modified cone reconstruction technique in 6 children who underwent surgical correction of Ebstein anomaly at the Tomsk Institute of Cardiology in Siberia. From 2012 through 2015, 4 boys and 2 girls (age range, 11 mo–12 yr) underwent surgery to correct Ebstein anomaly. All had presented with cyanosis, exertional dyspnea, fatigue, or new-onset atrial arrhythmia, and none had undergone previous cardiac surgery. All survived the operation. One patient needed tricuspid valve replacement with a bioprosthesis after early breakdown of the cone reconstruction. As of December 2016, all the patients had no symptoms, tricuspid stenosis, or arrhythmia. This series indicates that cone reconstruction—the most anatomic repair technique for the dysmorphic Ebstein tricuspid valve—can be successfully performed in pediatric heart centers with a large experience.

  17. Case Report: Penetrating Cardiac Injury

    Directory of Open Access Journals (Sweden)

    Adem Grbolar

    2013-10-01

    Full Text Available Summary: Penetrating cardiac injurys caused by gunshots and penetrating tools have high mortality rates. The way of injury, how the cardiac area is effected and the presence of cardiac tamponadecauses mortality in different rates. However the better treatment quality of hospitals, increasingoperative techniques, and internel care unit quality has not been change during the years. Searching the literature, we want to present a 42 years old male patient whowas injured by knife and had a 1 cm skin wound on chest with cardiac tamponade. After sternotomy a 7 cm laseration was observed in heart. Cardioraphy was performed.

  18. Cardiac defect with diaphragmatic hernia and left lung agenesis--heart disease and other anomalies.

    Science.gov (United States)

    Palma, G; Giordano, R; Russolillo, V; Vosa, C

    2010-10-01

    This report describes a rare case of left pulmonary agenesis associated with congenital diaphragmatic hernia and congenital heart disease in a 2-year-old child with pulmonary hypertension. We performed direct radical correction of the congenital heart defect. The postoperative course was challenging but without major complications.

  19. Pure duplication of the distal long arm of chromosome 15 with ebstein anomaly and clavicular anomaly.

    Science.gov (United States)

    O'Connor, Rachel; Al-Murrani, Amel; Aftimos, Salim; Asquith, Philip; Mazzaschi, Roberto; Eyrolle-Guignot, Dominique; George, Alice M; Love, Donald R

    2011-01-01

    This report is of a patient with pure trisomy of 15q24-qter who presents with the rare Ebstein anomaly and a previously unreported skeletal anomaly. Chromosome microarray analysis allowed high-resolution identification of the extent of the trisomy and provided a means of achieving higher-resolution breakpoint data. The phenotypic expression of unbalanced chromosomal regions is a complex phenomenon, and fine mapping of the involved region, as described here, is only a first step on the path to its full understanding. Overexpression of the LINGO-1 and CSPG4 genes has been implicated in developmental delay seen in other patients with trisomy of 15q24-qter, but our patient is currently too young to ascertain developmental progress. The genetic underpinning of Ebstein anomaly and the skeletal anomaly reported here is unclear based on our high-resolution dosage mapping.

  20. Pure Duplication of the Distal Long Arm of Chromosome 15 with Ebstein Anomaly and Clavicular Anomaly

    Directory of Open Access Journals (Sweden)

    Rachel O'Connor

    2011-01-01

    Full Text Available This report is of a patient with pure trisomy of 15q24-qter who presents with the rare Ebstein anomaly and a previously unreported skeletal anomaly. Chromosome microarray analysis allowed high-resolution identification of the extent of the trisomy and provided a means of achieving higher-resolution breakpoint data. The phenotypic expression of unbalanced chromosomal regions is a complex phenomenon, and fine mapping of the involved region, as described here, is only a first step on the path to its full understanding. Overexpression of the LINGO-1 and CSPG4 genes has been implicated in developmental delay seen in other patients with trisomy of 15q24-qter, but our patient is currently too young to ascertain developmental progress. The genetic underpinning of Ebstein anomaly and the skeletal anomaly reported here is unclear based on our high-resolution dosage mapping.

  1. Orbital debris hazard insights from spacecraft anomalies studies

    Science.gov (United States)

    McKnight, Darren S.

    2016-09-01

    Since the dawning of the space age space operators have been tallying spacecraft anomalies and failures then using these insights to improve the space systems and operations. As space systems improved and their lifetimes increased, the anomaly and failure modes have multiplied. Primary triggers for space anomalies and failures include design issues, space environmental effects, and satellite operations. Attempts to correlate anomalies to the orbital debris environment have started as early as the mid-1990's. Early attempts showed tens of anomalies correlated well to altitudes where the cataloged debris population was the highest. However, due to the complexity of tracing debris impacts to mission anomalies, these analyses were found to be insufficient to prove causation. After the fragmentation of the Chinese Feng-Yun satellite in 2007, it was hypothesized that the nontrackable fragments causing anomalies in LEO would have increased significantly from this event. As a result, debris-induced anomalies should have gone up measurably in the vicinity of this breakup. Again, the analysis provided some subtle evidence of debris-induced anomalies but it was not convincing. The continued difficulty in linking debris flux to satellite anomalies and failures prompted the creation of a series of spacecraft anomalies and failure workshops to investigate the identified shortfalls. These gatherings have produced insights into why this process is not straightforward. Summaries of these studies and workshops are presented and observations made about how to create solutions for anomaly attribution, especially as it relates to debris-induced spacecraft anomalies and failures.

  2. Sudden cardiac death in children and adolescents (excluding Sudden Infant Death Syndrome

    Directory of Open Access Journals (Sweden)

    Gajewski Kelly

    2010-01-01

    Full Text Available Sudden death in the young is rare. About 25% of cases occur during sports. Most young people with sudden cardiac death (SCD have underlying heart disease, with hypertrophic cardiomyopathy and coronary artery anomalies being commonest in most series. Arrhythmogenic right ventricular dysplasia and long QT syndrome are the most common primary arrhythmic causes of SCD. It is estimated that early cardiopulmonary resuscitation and widespread availability of automatic external defibrillators could prevent about a quarter of pediatric sudden deaths.

  3. Isostatic residual gravity anomaly data grid for the conterminous US

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The grid of isostatic residual gravity anomaly data was produced from the grid of Bouguer gravity anomaly data (see Bouguer gravity metadata) by using an...

  4. Clinical Profile of Patients with Tetralogy of Fallot admitted for Surgery at a Cardiac surgical centre

    Directory of Open Access Journals (Sweden)

    B E Otaigbe

    2011-04-01

    Full Text Available INTRODUCTION: Tetralogy of Fallot (TOF, a conotruncal defect, has been documented to be associated with chromosome abnormalities, single gene syndrome (22q11 microdeletion, known teratogens, with the rest associations being multifactorial. This study was carried out to determine the clinical profile and associated risk factors in patients with TOF admitted for surgical repairs. METHODS: Case files of all patients admitted for Tetralogy of Fallot over a period of one year were retrieved from the Medical Records Department and reviewed. Data on the patients' and their family history and associated cardiac anomalies were noted. RESULTS: There were 54 patients, 37 males and 17 females, with a mean age of 6.8 years +/- 7.1. Sixty percent were born between July and December, 81.5% as full term and 44% as first born. Twenty-six percent were born into consanguineous marriages. Five patients had dysmorphic features. Associated cardiac anomalies included right aortic arch, pulmonary atresia, dextrocardia and left superior vena cavae. CONCLUSION: The associated risk factors noted in this study were male sex, birthdates between July and December, first born and increased paternal age. Other risk factors were consanguinity and specific patterns of cardiovascular diseases associated with 22q 11 deletions. This suggests a multifactorial etiology for TOF. Keywords: associated risk factors, cardiac anomalies, demographic factors, Tetralogy of Fallot

  5. Neutrino Anomalies in an Extended Zee Model

    CERN Document Server

    Joshipura, A S; Joshipura, Anjan S.; Rindani, Saurabh D.

    1999-01-01

    We discuss an extended SU(2)X U(1) model which naturally leads to mass scales and mixing angles relevant for understanding both the solar and atmospheric neutrino anomalies. No right-handed neutrinos are introduced in the model.The model uses a softly broken L_e-L_{\\mu}-L_{\\tau} symmetry. Neutrino masses arise only at the loop level. The one-loop neutrino masses which arise as in the Zee model solve the atmospheric neutrino anomaly while breaking of L_e-L_{\\mu}-L_{\\tau} generates at two-loop order a mass splitting needed for the vacuum solution of the solar neutrino problem. A somewhat different model is possible which accommodates the large-angle MSW resolution of the solar neutrino problem.

  6. Network Anomaly Detection Based on Wavelet Analysis

    Directory of Open Access Journals (Sweden)

    Ali A. Ghorbani

    2008-11-01

    Full Text Available Signal processing techniques have been applied recently for analyzing and detecting network anomalies due to their potential to find novel or unknown intrusions. In this paper, we propose a new network signal modelling technique for detecting network anomalies, combining the wavelet approximation and system identification theory. In order to characterize network traffic behaviors, we present fifteen features and use them as the input signals in our system. We then evaluate our approach with the 1999 DARPA intrusion detection dataset and conduct a comprehensive analysis of the intrusions in the dataset. Evaluation results show that the approach achieves high-detection rates in terms of both attack instances and attack types. Furthermore, we conduct a full day's evaluation in a real large-scale WiFi ISP network where five attack types are successfully detected from over 30 millions flows.

  7. Coronary artery anomalies in Turner Syndrome

    DEFF Research Database (Denmark)

    Viuff, Mette H; Trolle, Christian; Wen, Jan;

    2016-01-01

    BACKGROUND: Congenital heart disease, primarily involving the left-sided structures, is often seen in patients with Turner Syndrome. Moreover, a few case reports have indicated that coronary anomalies may be more prevalent in Turner Syndrome than in the normal population. We therefore set out...... to systematically investigate coronary arterial anatomy by computed tomographic coronary angiography (coronary CTA) in Turner Syndrome patients. METHODS: Fifty consecutive women with Turner Syndrome (mean age 47 years [17-71]) underwent coronary CTA. Patients were compared with 25 gender-matched controls. RESULTS......: Coronary anomaly was more frequent in patients with Turner Syndrome than in healthy controls [20% vs. 4% (p = 0.043)]. Nine out of ten abnormal cases had an anomalous left coronary artery anatomy (absent left main trunk, n = 7; circumflex artery originating from the right aortic sinus, n = 2). One case had...

  8. Do retractile testes have anatomical anomalies?

    Science.gov (United States)

    Anderson, Kleber M.; Costa, Suelen F.; Sampaio, Francisco J.B.; Favorito, Luciano A.

    2016-01-01

    ABSTRACT Objectives: To assess the incidence of anatomical anomalies in patients with retractile testis. Materials and Methods: We studied prospectively 20 patients (28 testes) with truly retractile testis and compared them with 25 human fetuses (50 testes) with testis in scrotal position. We analyzed the relations among the testis, epididymis and patency of the processus vaginalis (PV). To analyze the relations between the testis and epididymis, we used a previous classification according to epididymis attachment to the testis and the presence of epididymis atresia. To analyze the structure of the PV, we considered two situations: obliteration of the PV and patency of the PV. We used the Chi-square test for contingency analysis of the populations under study (p patent processus vaginalis and epididymal anomalies. PMID:27564294

  9. The Stranding Anomaly as Population Indicator

    DEFF Research Database (Denmark)

    Peltier, Helene; Baagøe, Hans J.; Camphuysen, Kees C.J.

    2013-01-01

    Ecological indicators for monitoring strategies are expected to combine three major characteristics: ecological significance, statistical credibility, and cost-effectiveness. Strategies based on stranding networks rank highly in cost-effectiveness, but their ecological significance and statistical...... credibility are disputed. Our present goal is to improve the value of stranding data as population indicator as part of monitoring strategies by constructing the spatial and temporal null hypothesis for strandings. The null hypothesis is defined as: small cetacean distribution and mortality are uniform...... porpoise Phocoena phocoena for our modelling. The difference between these strandings expected under H0 and observed strandings is defined as the stranding anomaly. It constituted the stranding data series corrected for drift conditions. Seasonal decomposition of stranding anomaly suggested that drift...

  10. Axial Vector $Z'$ and Anomaly Cancellation

    CERN Document Server

    Ismail, Ahmed; Tsao, Kuo-Hsing; Unwin, James

    2016-01-01

    Whilst the prospect of new $Z'$ gauge bosons with only axial couplings to the Standard Model (SM) fermions is widely discussed, examples of anomaly-free renormalisable models are lacking in the literature. We look to remedy this by constructing several motivated examples. Specifically, we consider axial vectors which couple universally to all SM fermions, as well as those which are generation-specific, leptophilic, and leptophobic. Anomaly cancellation typically requires the presence of new coloured and charged chiral fermions, and we argue that the masses of these new states must generally be comparable to that of the axial vector. Finally, an axial vector mediator could provide a portal between SM and hidden sector states, and we also consider the possibility that the axial vector couples to dark matter. If the dark matter relic density is set due to freeze-out via the axial vector, this strongly constrains the parameter space.

  11. Conformal anomaly around the sudden singularity

    CERN Document Server

    Houndjo, S J M

    2010-01-01

    Quantum effects due to particle creation on a classical sudden singularity have been investigated in a previous work. The conclusion was that quantum effects do not lead to the avoidance nor the modification of the sudden future singularity. In this paper, we investigate quantum corrections coming from conformal anomaly near the sudden future singularity. We conclude that when the equation of state is chosen to be $p=-\\rho-A\\rho^\\alpha$, the conformal anomaly can transform the sudden singularity in the singularity of type III for any $\\alpha> 1/2$ and in the singularity of the type I (the big rip) or the big crunch for $1/2<\\alpha<3/2$.

  12. Conformal anomaly around the sudden singularity

    Science.gov (United States)

    Houndjo, S. J. M.

    2010-10-01

    Quantum effects due to particle creation on a classical sudden singularity have been investigated in a previous work. The conclusion was that quantum effects do not lead to the avoidance nor the modification of the sudden future singularity. In this paper, we investigate quantum corrections coming from conformal anomaly near the sudden future singularity. We conclude that when the equation of state is chosen to be p=-ρ-Aρα, the conformal anomaly can transform the sudden singularity into the singularity of type III for any α>1/2 and into the singularity of the type I (the big rip) or the big crunch for 1/2<α<3/2.

  13. Footprints of New Strong Dynamics via Anomaly

    CERN Document Server

    Nakai, Yuichiro; Tobioka, Kohsaku

    2015-01-01

    Chiral anomaly provides a smoking-gun evidence of a new confining gauge theory. Motivated by a reported event excess in diphoton invariant mass distribution at the LHC, we discuss a scenario that a pseudo-Nambu-Goldstone (pNG) boson of a new QCD-like theory is produced by gluon fusion and decays into a pair of the standard model gauge bosons. Despite the strong dynamics, the production cross section and the decay widths are determined by anomaly matching condition. The excess can be explained by the pNG boson with mass of around 750 GeV. The model also predicts exotic hadrons such as a color octet scalar and baryons which are within the reach of the LHC experiment.

  14. LHCb anomalies from a natural perspective

    CERN Document Server

    García García, Isabel

    2016-01-01

    Tension between the Standard Model (SM) and data concerning $b \\rightarrow s$ processes has become apparent. Most notoriously, concerning the $R_K$ ratio, which probes lepton non-universality in $b$ decays, and measurements involving the decays $B \\rightarrow K^* \\mu^+ \\mu^-$ and $B_s \\rightarrow \\phi \\mu^+ \\mu^-$. Careful analysis of a wide range of $b \\rightarrow s$ data shows that certain kinds of new physics can significantly ameliorate agreement with experiment. Here, we show that these $b \\rightarrow s$ anomalies can be naturally accommodated in the context of Natural Scherk-Schwarz Theories of the Weak Scale -- a class of models designed to address the hierarchy problem. No extra states need to be introduced in order to accommodate these anomalies, and the assumptions required regarding flavor violating couplings are very mild. Moreover, the structure of the theory makes sharp predictions regarding $B$ meson decays into final states including $\\tau^+ \\tau^-$ pairs, which will provide a future test of t...

  15. The GSI Time Anomaly: Facts and Fiction

    Energy Technology Data Exchange (ETDEWEB)

    Giunti, Carlo [INFN, Sezione di Torino, Via P. Giuria 1, I-10125 Torino (Italy)

    2009-03-15

    The claims that the GSI time anomaly is due to the mixing of neutrinos in the final state of the observed electron-capture processes are refuted. With the help of an analogy with a double-slit experiment, it is shown that the standard method of calculation of the rate of an interaction process by adding the rates of production of all the allowed final states, regardless of a possible coherence among them, is correct. It is a consequence of causality. It is shown that the GSI time anomaly may be caused by quantum beats due to the existence of two coherent energy levels of the decaying ion with an extremely small energy splitting (about 6x10{sup -16} eV) and relative probabilities having a ratio of about 1/99.

  16. A critical appraisal of the LSND anomaly

    CERN Document Server

    Boyko, I

    2008-01-01

    The so-called 'LSND anomaly', a 3.8 sigma excess of anti-nu_e events interpreted as originating from anti-nu_mu -> anti-nu_e oscillation, gave rise to many theoretical speculations. The MiniBooNE Collaboration reported inconsistency of this interpretation with the findings from their search for nu_mu -> nu_e oscillations. Yet the origin of the LSND anomaly was never clarified. A critical issue is the prediction of the background anti-nu_e flux that was used in the analysis of the LSND experiment. For this, decisive input comes from pion spectra measured with the HARP large-angle spectrometer under conditions that closely resemble the LSND situation: a proton beam with 800 MeV kinetic energy hitting a water target.

  17. Anomalies of the Cosmic Microwave Background

    DEFF Research Database (Denmark)

    Hansen, Martin Anders Kirstejn

    The Cosmic Microwave Background (CMB) is the faint afterglow of the extreme conditions that existed shortly after Big Bang. The temperature of the CMB radiation across the sky is extremely uniform, yet tiny anisotropies are present, and have with recent satellite missions been mapped to very high...... for modern Cosmology. Ever since the first easurements of the CMB anisotropy, several anomalies have been reported, and subsequently confirmed by later satellite, ground and balloon based missions. These anomalies does not conform to the standard model of cosmic inflation, and may thereby jeopardize...... with the parity asymmetry. A brief set of results for the parity asymmetry for the 4 data sets from the Planck satellite. This is compared with simulations to show how anomalous the observed low value of the parity asymmetry is. A test devoted to investigating whether the Edgeworth-Kuiper belt can aect...

  18. Hypokalemia and sudden cardiac death

    DEFF Research Database (Denmark)

    Kjeldsen, Keld

    2010-01-01

    Worldwide, approximately three million people suffer sudden cardiac death annually. These deaths often emerge from a complex interplay of substrates and triggers. Disturbed potassium homeostasis among heart cells is an example of such a trigger. Thus, hypokalemia and, also, more transient...... of fatal arrhythmia and sudden cardiac death a patient is, the more attention should be given to the potassium homeostasis....

  19. The Danish Cardiac Rehabilitation Database

    DEFF Research Database (Denmark)

    Zwisler, Ann-Dorthe; Rossau, Henriette Knold; Nakano, Anne

    2016-01-01

    AIM OF DATABASE: The Danish Cardiac Rehabilitation Database (DHRD) aims to improve the quality of cardiac rehabilitation (CR) to the benefit of patients with coronary heart disease (CHD). STUDY POPULATION: Hospitalized patients with CHD with stenosis on coronary angiography treated with percutane...

  20. Biosynthesis of cardiac natriuretic peptides

    DEFF Research Database (Denmark)

    Goetze, Jens Peter

    2010-01-01

    . An inefficient post-translational prohormone maturation will also affect the biology of the cardiac natriuretic peptide system. This review aims at summarizing the myocardial synthesis of natriuretic peptides focusing on B-type natriuretic peptide, where new data has disclosed cardiac myocytes as highly...

  1. [Cardiac myxoma with cerebral metastases].

    Science.gov (United States)

    Bazin, A; Peruzzi, P; Baudrillard, J C; Pluot, M; Rousseaux, P

    1987-01-01

    A 56 year old woman developed multiple metastases in the cerebrum and cerebellum, four years after cardiac intervention on a left atrial myxoma. The absence of stroke is noteworthy. Multiple high density lesions with contrast enhancement were seen by CT scan, suggesting metastatic neoplasms. Histological examination confirmed the diagnosis of metastases of cardiac myxoma. Only four cases were recorded in the literature.

  2. Health Instruction Packages: Cardiac Anatomy.

    Science.gov (United States)

    Phillips, Gwen; And Others

    Text, illustrations, and exercises are utilized in these five learning modules to instruct nurses, students, and other health care professionals in cardiac anatomy and functions and in fundamental electrocardiographic techniques. The first module, "Cardiac Anatomy and Physiology: A Review" by Gwen Phillips, teaches the learner to draw…

  3. Pneumothorax in cardiac pacing

    DEFF Research Database (Denmark)

    Kirkfeldt, Rikke Esberg; Johansen, Jens Brock; Nohr, Ellen Aagaard;

    2012-01-01

    AIM: To identify risk factors for pneumothorax treated with a chest tube after cardiac pacing device implantation in a population-based cohort.METHODS AND RESULTS: A nationwide cohort study was performed based on data on 28 860 patients from the Danish Pacemaker Register, which included all Danish...... patients who received their first pacemaker (PM) or cardiac resynchronization device from 1997 to 2008. Multiple logistic regression was used to estimate adjusted odds ratios (aOR) with 95% confidence intervals for the association between risk factors and pneumothorax treated with a chest tube. The median...... age was 77 years (25th and 75th percentile: 69-84) and 55% were male (n = 15 785). A total of 190 patients (0.66%) were treated for pneumothorax, which was more often in women [aOR 1.9 (1.4-2.6)], and in patients with age >80 years [aOR 1.4 (1.0-1.9)], a prior history of chronic obstructive pulmonary...

  4. Leadership in cardiac surgery.

    Science.gov (United States)

    Rao, Christopher; Patel, Vanash; Ibrahim, Michael; Ahmed, Kamran; Wong, Kathie A; Darzi, Ara; von Segesser, Ludwig K; Athanasiou, Thanos

    2011-06-01

    Despite the efficacy of cardiac surgery, less invasive interventions with more uncertain long-term outcomes are increasingly challenging surgery as first-line treatment for several congenital, degenerative and ischemic cardiac diseases. The specialty must evolve if it is to ensure its future relevance. More importantly, it must evolve to ensure that future patients have access to treatments with proven long-term effectiveness. This cannot be achieved without dynamic leadership; however, our contention is that this is not enough. The demands of a modern surgical career and the importance of the task at hand are such that the serendipitous emergence of traditional charismatic leadership cannot be relied upon to deliver necessary change. We advocate systematic analysis and strategic leadership at a local, national and international level in four key areas: Clinical Care, Research, Education and Training, and Stakeholder Engagement. While we anticipate that exceptional individuals will continue to shape the future of our specialty, the creation of robust structures to deliver collective leadership in these key areas is of paramount importance.

  5. Spectrum of congenital anomalies in pregnancies with pregestational diabetes

    NARCIS (Netherlands)

    Garne, Ester; Loane, Maria; Dolk, Helen; Barisic, Ingeborg; Addor, Marie-Claude; Arriola, Larraitz; Bakker, Marian; Calzolari, Elisa; Dias, Carlos Matias; Doray, Berenice; Gatt, Miriam; Melve, Kari Klyungsoyr; Nelen, Vera; O'Mahony, Mary; Pierini, Anna; Randrianaivo-Ranjatoelina, Hanitra; Rankin, Judith; Rissmann, Anke; Tucker, David; Verellun-Dumoulin, Christine; Wiesel, Awi

    2012-01-01

    BACKGROUND Maternal pregestational diabetes is a well-known risk factor for congenital anomalies. This study analyses the spectrum of congenital anomalies associated with maternal diabetes using data from a large European database for the population-based surveillance of congenital anomalies. METHOD

  6. Minor Physical Anomalies, Footprints, and Behavior: Was the Buddha Right?

    Science.gov (United States)

    Draper, Thomas W.; Munoz, Milagros M.

    1982-01-01

    A relationship between an anomaly of the footprint suggested by ancient Abhidhamma meditations and Minor Physical Anomalies Scale was observed in children. The footprint anomalies correlated with the activity levels of children in the same way as the scores on the scale and consistently with prior research using the scale. (Author/RD)

  7. Spectrum of congenital anomalies in pregnancies with pregestational diabetes

    DEFF Research Database (Denmark)

    Garne, Ester; Loane, Maria; Dolk, Helen;

    2012-01-01

    Maternal pregestational diabetes is a well-known risk factor for congenital anomalies. This study analyses the spectrum of congenital anomalies associated with maternal diabetes using data from a large European database for the population-based surveillance of congenital anomalies....

  8. Morning glory disc anomaly with Chiari type I malformation.

    Science.gov (United States)

    Arlow, Tim; Arepalli, Sruthi; Flanders, Adam E; Shields, Carol L

    2014-04-30

    Morning glory disc anomaly is a rare optic nerve dysplasia associated with various neovascular abnormalities. Due to these associations, children with morning glory disc anomaly have brain imaging and angiography to detect other congenital defects. The authors report the case of an infant with morning glory disc anomaly and coexisting Chiari type I malformation.

  9. Reasoning Anomalies Associated With Delusions in Schizophrenia

    OpenAIRE

    Langdon, Robyn; Ward, Philip B.; Coltheart, Max

    2008-01-01

    Deluded people differ from nondeluded controls on attributional style questionnaires and probabilistic-reasoning and theory-of-mind (ToM) tasks. No study to date has examined the relations between these 3 reasoning anomalies in the same individuals so as to evaluate their functional independence and potentially inform theories of delusion formation. We did so in 35 schizophrenic patients with a history of delusions, 30 of whom were currently deluded, and 34 healthy controls. Compared with hea...

  10. OPAD data analysis. [Optical Plumes Anomaly Detection

    Science.gov (United States)

    Buntine, Wray L.; Kraft, Richard; Whitaker, Kevin; Cooper, Anita E.; Powers, W. T.; Wallace, Tim L.

    1993-01-01

    Data obtained in the framework of an Optical Plume Anomaly Detection (OPAD) program intended to create a rocket engine health monitor based on spectrometric detections of anomalous atomic and molecular species in the exhaust plume are analyzed. The major results include techniques for handling data noise, methods for registration of spectra to wavelength, and a simple automatic process for estimating the metallic component of a spectrum.

  11. Electromagnetic duality anomaly in curved spacetimes

    CERN Document Server

    Agullo, I; Navarro-Salas, J

    2016-01-01

    The source-free Maxwell action is invariant under electric-magnetic duality rotations in arbitrary spacetimes. This leads to a conserved classical Noether charge. We show that this conservation law is broken at the quantum level in presence of a background classical gravitational field with a non-trivial Chern-Pontryagin invariant, in a parallel way to the chiral anomaly for massless Dirac fermions. Among the physical consequences, the net polarization of the quantum electromagnetic field is not conserved.

  12. Unsupervised Topic Discovery by Anomaly Detection

    Science.gov (United States)

    2013-09-01

    anomalous. 7 c. Support Vector Machines SVM was first introduced by Cortes and Vapnik [9], and it was used to detect anomalies in a single class...into a single file to be consumed by the LDA program. 2. Whitepaper posted on Facebook The population whitepaper posted on Facebook talks about...It talks about the importance of marriage and parenthood and the measures taken by the government to encourage parenthood . It addresses unpopular

  13. Anomaly Detection and Attribution Using Bayesian Networks

    Science.gov (United States)

    2014-06-01

    UNCLASSIFIED Anomaly Detection and Attribution Using Bayesian Networks Andrew Kirk, Jonathan Legg and Edwin El-Mahassni National Security and...detection in Bayesian networks , en- abling both the detection and explanation of anomalous cases in a dataset. By exploiting the structure of a... Bayesian network , our algorithm is able to efficiently search for local maxima of data conflict between closely related vari- ables. Benchmark tests using

  14. Horseshoe Appendix: An Extremely Rare Appendiceal Anomaly.

    Science.gov (United States)

    Singh, Ch Gyan; Nyuwi, Kuotho T; Rangaswamy, Raju; Ezung, Yibenthung S; Singh, H Manihar

    2016-03-01

    Appendiceal anomalies are extremely rare malformations that are usually found incidentally. Agenesis and duplication of the appendix has been well documented however, the cases of horseshoe appendix reported is very limited, only four cases reported so far. Here, we report a four and half-year-old who underwent interval appendectomy. Intraoperatively both the ends of the appendix were found to be communicating with the cecum with two separate base or stump located at a sagital disposal- the so called "horseshoe appendix".

  15. Resolution of the solar neutrino anomaly

    CERN Document Server

    Dubin, M; Dubin, Maurice; Soberman, Robert K

    1996-01-01

    The solar neutrino anomaly, measurements discrepant from predictions of the Standard Solar Model, has existed for over 30 years. Multiple experiments measuring fluxes from several reactions in the hydrogen fusion chain have added to the puzzle. Each of the several elements of the enigma are resolved by recognition of measurements establishing that most of the sun's fusion must occur near the surface rather than the core.

  16. Dispersive Approach to the Trace Anomaly

    OpenAIRE

    Kawka, N.; Teryaev, O. V.; Veretin, O.L.

    1997-01-01

    In the scalar $\\phi^4$ field model the dispersive approach to the trace anomaly is proposed. It is shown that it is impossible to get dispersion representation for all formfactors so that preserve both the translation and dilatation Ward identities. Subtractions which preserve energy-momentum conservation violate the classical trace Ward--Takahashi identity and give rise to an anomalous contribution to the matrix element of stress tensor $\\theta_\\mu^\

  17. Anomaly induced effects in a magnetic field

    OpenAIRE

    Antoniadis, Ignatios; Boyarsky, Alexey; Ruchayskiy, Oleg

    2007-01-01

    We consider a modification of electrodynamics by an additional light massive vector field, interacting with the photon via Chern-Simons-like coupling. This theory predicts observable effects for the experiments studying the propagation of light in an external magnetic field, very similar to those, predicted by theories of axion and axion-like particles. We discuss a possible microscopic origin of this theory from a theory with non-trivial gauge anomaly cancellation between massive and light p...

  18. Casimir Effect, Hawking Radiation and Trace Anomaly

    CERN Document Server

    Setare, M R

    2001-01-01

    The Casimir energy for massless scalar field of two parallel conductor, in two dimensional Schwarzchild black hole background, with Dirichlet boundary conditions is calculated by making use of general properties of renormalized stress tensor. We show that vacuum expectation value of stress tensor can be obtain by Casimir effect, trace anomaly and Hawking radiation. Four-dimensional of this problem, by this method, is under progress by this author.

  19. Cosmological anomalies and exotic smoothness structures

    OpenAIRE

    Asselmeyer-Maluga, Torsten; Brans, Carl H.

    2001-01-01

    It seems to be generally accepted that apparently anomalous cosmological observations, such as accelerating expansion, etc., necessarily are inconsistent with standard general relativity and standard matter sources. Following the suggestions of S{\\l}adkowski, we point out that in addition to exotic theories and exotic matter there is another possibility. We refer to exotic differential structures on ${\\mathbb R}^4$ which could be the source of the observed anomalies without changing the Einst...

  20. Identification of Geochemical Anomaly by Multifractal Analysis

    Institute of Scientific and Technical Information of China (English)

    Xie Shuyun; Cheng Qiuming; Ke Xianzhong; Bao Zhengyu; Wang Changming; Quan Haoli

    2008-01-01

    The separation of anomalies from geochemical background is an important part of data analysis because lack of such identifications might have profound influence on or even distort the final analysis results. In this article, 1 672 geochemical analytical data of 11 elements, including Cu, Mo, Ag, Sn, and others, from a region within Tibet, South China, are used as one example. Together with the traditional anomaly recognition method of using the iterative mean ±2σ, local multifractality theory has been utilized to delineate the ranges of geochemical anomalies of the elements. To different degrees, on the basis of original data mapping, C-A fractal analysis and singularity exponents, Sn differs from the other 10 elements. Moreover, geochemical mapping results based on values of the multifractal asymmetry index for all elements delineate the highly anomalous area. Similar to other 10 elements, the anomalous areas of Sn delineated by the asymmetry index distribute along the main structure orientations. According to the asymmetry indexes, the 11 elements could be classified into 3 groups: (1) Ag and Au, (2) As-Sb-Cu-Pb-Zn-Mo, and (3) Sn-Bi-W.This paragenetic association of elements can be used to interpret possible origins of mineralization, which is in agreement with petrological analysis and field survey results.

  1. Congenital anomalies and proximity to landfill sites.

    LENUS (Irish Health Repository)

    Boyle, E

    2004-01-01

    The occurrence of congenital anomalies in proximity to municipal landfill sites in the Eastern Region (counties Dublin, Kildare, Wicklow) was examined by small area (district electoral division), distance and clustering tendancies in relation to 83 landfills, five of which were major sites. The study included 2136 cases of congenital anomaly, 37,487 births and 1423 controls between 1986 and 1990. For the more populous areas of the region 50% of the population lived within 2-3 km of a landfill and within 4-5 km for more rural areas. In the area-level analysis, the standardised prevalence ratios, empirical and full Bayesian modelling, and Kulldorff\\'s spatial scan statistic found no association between the residential area of cases and location of landfills. In the case control analysis, the mean distance of cases and controls from the nearest landfill was similar. The odds ratios of cases compared to controls for increasing distances from all landfills and major landfills showed no significant difference from the baseline value of 1. The kernel and K methods showed no tendency of cases to cluster in relationship to landfills. In conclusion, congenital anomalies were not found to occur more commonly in proximity to municipal landfills.

  2. Supersymmetry on curved spaces and superconformal anomalies

    CERN Document Server

    Cassani, Davide

    2013-01-01

    We study the consequences of unbroken rigid supersymmetry of four-dimensional field theories placed on curved manifolds. We show that in Lorentzian signature the background vector field coupling to the R-current is determined by the Weyl tensor of the background metric. In Euclidean signature, the same holds if two supercharges of opposite R-charge are preserved, otherwise the (anti-)self-dual part of the vector field-strength is fixed by the Weyl tensor. As a result of this relation, the trace and R-current anomalies of superconformal field theories simplify, with the trace anomaly becoming purely topological. In particular, in Lorentzian signature, or in the presence of two Euclidean supercharges of opposite R-charge, supersymmetry of the background implies that the term proportional to the central charge c vanishes, both in the trace and R-current anomalies. This is equivalent to the vanishing of a superspace Weyl invariant. We comment on the implications of our results for holography.

  3. Chiral anomaly and transport in Weyl metals

    Science.gov (United States)

    Burkov, A. A.

    2015-03-01

    We present an overview of our recent work on transport phenomena in Weyl metals, which may be connected to their nontrivial topological properties, particularly to chiral anomaly. We argue that there are two basic phenomena, which are related to chiral anomaly in Weyl metals: anomalous Hall effect (AHE) and chiral magnetic effect (CME). While AHE is in principle present in any ferromagnetic metal, we demonstrate that a magnetic Weyl metal is distinguished from an ordinary ferromagnetic metal by the absence of the extrinsic and the Fermi surface part of the intrinsic contributions to the AHE, as long as the Fermi energy is sufficiently close to the Weyl nodes. The AHE in a Weyl metal is thus shown to be a purely intrinsic, universal property, fully determined by the location of the Weyl nodes in the first Brillouin zone. In other words, a ferromagnetic Weyl metal may be thought of as the only example of a ferromagnetic metal with a purely intrinsic AHE. We further develop a fully microscopic theory of diffusive magnetotransport in Weyl metals. We derive coupled diffusion equations for the total and axial (i.e. node-antisymmetric) charge densities and show that chiral anomaly manifests as a magnetic-field-induced coupling between them. We demonstrate that an experimentally-observable consequence of CME in magnetotransport in Weyl metals is a quadratic negative magnetoresistance, which will dominate all other contributions to magnetoresistance under certain conditions and may be regarded as a smoking-gun transport characteristic, unique to Weyl metals.

  4. Thermal expansion anomaly regulated by entropy.

    Science.gov (United States)

    Liu, Zi-Kui; Wang, Yi; Shang, ShunLi

    2014-11-13

    Thermal expansion, defined as the temperature dependence of volume under constant pressure, is a common phenomenon in nature and originates from anharmonic lattice dynamics. However, it has been poorly understood how thermal expansion can show anomalies such as colossal positive, zero, or negative thermal expansion (CPTE, ZTE, or NTE), especially in quantitative terms. Here we show that changes in configurational entropy due to metastable micro(scopic)states can lead to quantitative prediction of these anomalies. We integrate the Maxwell relation, statistic mechanics, and first-principles calculations to demonstrate that when the entropy is increased by pressure, NTE occurs such as in Invar alloy (Fe3Pt, for example), silicon, ice, and water, and when the entropy is decreased dramatically by pressure, CPTE is expected such as in anti-Invar cerium, ice and water. Our findings provide a theoretic framework to understand and predict a broad range of anomalies in nature in addition to thermal expansion, which may include gigantic electrocaloric and electromechanical responses, anomalously reduced thermal conductivity, and spin distributions.

  5. Cardiac-specific catalase overexpression rescues anthrax lethal toxin-induced cardiac contractile dysfunction: role of oxidative stress and autophagy

    Directory of Open Access Journals (Sweden)

    Kandadi Machender R

    2012-11-01

    Full Text Available Abstract Background Lethal and edema toxins secreted by Bacillus anthracis during anthrax infection were found to incite serious cardiovascular complications. However, the underlying mechanisms in anthrax lethal toxin-induced cardiac anomalies remain unknown. This study was designed to evaluate the impact of antioxidant enzyme catalase in anthrax lethal toxin-induced cardiomyocyte contractile dysfunction. Methods Wild type (WT and cardiac-specific catalase overexpression mice were challenged with lethal toxin (2 μg/g, intraperotineally (i.p.. Cardiomyocyte contractile and intracellular Ca2+ properties were assessed 18 h later using an IonOptix edge-detection system. Proteasome function was assessed using chymotrypsin-like and caspase-like activities. GFP-LC3 puncta and Western blot analysis were used to evaluate autophagy and protein ubiquitination. Results Lethal toxin exposure suppressed cardiomyocyte contractile function (suppressed peak shortening, maximal velocity of shortening/re-lengthening, prolonged duration of shortening/re-lengthening, and impaired intracellular Ca2+ handling, the effects of which were alleviated by catalase. In addition, lethal toxin triggered autophagy, mitochondrial and ubiquitin-proteasome defects, the effects of which were mitigated by catalase. Pretreatment of cardiomyocytes from catalase mice with the autophagy inducer rapamycin significantly attenuated or ablated catalase-offered protection against lethal toxin-induced cardiomyocyte dysfunction. On the other hand, the autophagy inhibitor 3-MA ablated or significantly attenuated lethal toxin-induced cardiomyocyte contractile anomalies. Conclusions Our results suggest that catalase is protective against anthrax lethal toxin-induced cardiomyocyte contractile and intracellular Ca2+ anomalies, possibly through regulation of autophagy and mitochondrial function.

  6. Radionuclide angiocardiography in the clinical evaluation of cardiac malpositions in situs solitus in adults.

    Science.gov (United States)

    Guit, G L; Kroon, H M; Chin, J G; Pauwels, E K; van Voorthuisen, A E

    1986-04-01

    A right-sided position of the heart in the chest in situs solitus is an abnormal feature easily discernible from a plain chest radiograph. This cardiac malposition may be due to cardiac displacement (dextroposition), which is usually a feature of lung disease, or a structural abnormality of the heart (dextrocardia). Because each condition has different clinical pathologic implications, it is important to distinguish them. Chest films, however, often provide no conclusive information. We performed radionuclide angiocardiography (RNA) in six adults with a cardiac malposition in situs solitus. It was found that morphologic data obtained from the serial images may distinguish dextroposition from dextrocardia. In addition, these images permitted us to diagnose congenitally corrected transposition, a cardiac anomaly which occurs with increased frequency in situs solitus with dextrocardia. Quantitative shunt detection performed during this procedure is helpful in the differential diagnosis of dextroposition and able to distinguish uncomplicated dextrocardia from dextrocardia associated with other cardiac abnormalities. RNA therefore is a valuable and easily performed method in the analysis of cardiac malpositions in adults.

  7. 腹腔镜手术治疗先天性无肛并直肠尿道瘘15例%Laparoscopic operation for the treatment of congenital imperforate anus and rectum of urethral fistula.

    Institute of Scientific and Technical Information of China (English)

    陈快; 黄金狮; 陶俊峰; 樊伟; 刘智文; 徐美汉; 刘玉; 陶强

    2013-01-01

    目的 探讨腹腔镜辅助下瘘修补+直肠拖出肛门成形术治疗先天性无肛并直肠尿道瘘的可行性.在腹腔镜监视下,电灼游离直肠至瘘管颈部,缝扎后离断直肠尿道瘘管,电刺激仪引导下定位盆底肌中心,将直肠从盆底肌中心拖出形成肛门.15例均在腹腔镜辅助下完成肛门成形术,腹腔镜操作时间(108±16)min,出血量<5 mL,无需要输血者.术后(7~10)d拔除尿管,术后住院时间6~15 d,平均(11.6±0.4)d.术后随访3~22个月,根据kelly评分及直肠肛管测压,肛门功能优9例,良6例.腹腔镜辅助肛门成形术,能准确辨别盆底肌群中心,避免损伤肌肉,创伤小,对于直肠膀胱颈部瘘及尿道前列腺部瘘而言,处理瘘管方便,但对尿道球部瘘显露较困难.%Objetive To discuss the feasibility of laparoscopically assisled anoreclal pull - ihrough in the Irealmenl of imperforale anus wilh a reclourelhral fislula. Methods Laparoscopic sharp disseclion and caulery were used to expose the reclal pouch down to the urelhral fislula, which was divided and ligaled. By e-leclrical slimulalion instrument, separate the center of pelvic floor muscle to form the tunnel where the rectum which was exteriorized to the perineum was through by. And then anorectal anastomosis was performed. Results 15 cases were completed anal forming technique assisted by laparoscopic. The mean time for the laparoscopic dissection was ( 108 ±16) minutes. The mean blood loss of the operation was 5 ml and blood transfusion was unnecessary, leases of the postoperatives with urethral fistula, the others remove catheter in 7 ~ 10 d, recovered uneventfully in the sixth to fifteenth day. They were followed up for 3 to 22 months, according to kelly score and Measuring pressure of the rectal. Anal function excellent in 9 cases, good in 6 cases. Conclusions Laparoscopically assisted anorectal pull-through is aneffective technique for the treatment of high imperforate anus. Short

  8. Remark on the Consistent Gauge Anomaly in Supersymmetric Theories

    CERN Document Server

    Ohshima, Y; Suzuki, H; Yasuta, H; Ohshima, Yoshihisa; Okuyama, Kiyoshi; Suzuki, Hiroshi; Yasuta, Hirofumi

    1999-01-01

    We present a direct field theoretical calculation of the consistent gauge anomaly in the superfield formalism, on the basis of a definition of the effective action through the covariant gauge current. The scheme is conceptually and technically simple and the gauge covariance in intermediate steps reduces calculational labors considerably. The resultant superfield anomaly, being proportional to the anomaly $d^{abc}=\\tr T^a\\{T^b,T^c\\}$, is minimal even without supplementing any counterterms. Our anomaly coincides with the anomaly obtained by Marinkovi\\'c as the solution of the Wess-Zumino consistency condition.

  9. Network Traffic Anomalies Identification Based on Classification Methods

    Directory of Open Access Journals (Sweden)

    Donatas Račys

    2015-07-01

    Full Text Available A problem of network traffic anomalies detection in the computer networks is analyzed. Overview of anomalies detection methods is given then advantages and disadvantages of the different methods are analyzed. Model for the traffic anomalies detection was developed based on IBM SPSS Modeler and is used to analyze SNMP data of the router. Investigation of the traffic anomalies was done using three classification methods and different sets of the learning data. Based on the results of investigation it was determined that C5.1 decision tree method has the largest accuracy and performance and can be successfully used for identification of the network traffic anomalies.

  10. The dynamic Allan Variance IV: characterization of atomic clock anomalies.

    Science.gov (United States)

    Galleani, Lorenzo; Tavella, Patrizia

    2015-05-01

    The number of applications where precise clocks play a key role is steadily increasing, satellite navigation being the main example. Precise clock anomalies are hence critical events, and their characterization is a fundamental problem. When an anomaly occurs, the clock stability changes with time, and this variation can be characterized with the dynamic Allan variance (DAVAR). We obtain the DAVAR for a series of common clock anomalies, namely, a sinusoidal term, a phase jump, a frequency jump, and a sudden change in the clock noise variance. These anomalies are particularly common in space clocks. Our analytic results clarify how the clock stability changes during these anomalies.

  11. Cardiac CT and cardiac MRI - competitive or complementary for nuclear cardiology; Kardio-CT und Kardio-MR - konkurrierend oder komplementaer zur Nuklearkardiologie?

    Energy Technology Data Exchange (ETDEWEB)

    Moshage, W. [Medizinische Abt. (Kardiologie, Angiologie, Pneumologie, Intensivmedizin), Klinikum Traunstein (Germany)

    2004-09-01

    In summary, cardiac computed tomography (CT) and cardiac magnetic resonance (MR) are two different technologies with distinct imaging properties that gain increasing importance in clinical cardiology. Even though images may look similar, the areas of application of CT and MR are quite different. Clinical applications of cardiac CT focus on on-invasive imaging of the coronary arteries. In this respect, the higher spatial resolution of cardiac CT constitutes a significant advantage as compared to MR and clinical results are superior. Clinical applications of cardiac MR, next to morphologic imaging of the heart, are most frequently found in the context of intra-and pericardial masses, complex congenital anomalies, and the assessment of left ventricular function (dobutamine) and perfusion (adenosine) under stress. The evaluation of the size and localization of myocardial necrosis, scars, and fibrosis gains increasing importance, for example in the workup of myocardial infarction, but also myocarditis and cardiomyopathies. In this respect, magnetic resonance imaging partly constitutes an alternative to nuclear medicine methods. Due to the lack of ionizing radiation and a relatively high spatial resolution, an increase of MR diagnostic procedures at the expense of nuclear medicine can be expected. (orig.)

  12. Analysis on 57 cases of saving anus surgery for rectal cancer patients incorporated diabetes%57例直肠癌合并糖尿病的保肛治疗分析

    Institute of Scientific and Technical Information of China (English)

    刘忠亮; 方向; 陈玉祥; 李俊

    2012-01-01

    目的 探讨降低合并糖尿病的直肠癌患者保肛手术后吻合口瘘和感染的发生率.方法 将57例合并糖尿病的直肠癌患者,在术前、术中和术后均严密监测血糖并严格控制血糖在规定范围内.结果 本组术后发生吻合口瘘1例,发生切口感染3例,泌尿系感染3例,肺部感染1例.结论 对于合并糖尿病的直肠癌患者,只要在术前、术中和术后均严密监测血糖并严格控制血糖在规定范围内,就能降低保肛手术后吻合口瘘和感染的发生率.%Objective To discuss how to decrease the incidence rate of marginal ulcer and infection after saving anus surgery for rectal cancer patients incorporated diabetes. Methods 57 cases of rectal cancer patients incorporated diabetes were closely monitor blood sugar and keep it in rated rage before. during and after operation. Results 1 case of marginal ulcer, 3 cases of infection of incisional wound, 3 cases of urinary infection, and 1 case of pulmonary infection occurred after the surgery. Conclusion For rectal cancer patients incorporated diabetes, the incidence rate of marginal ulcer and infection can be lowered as long as blood sugar is closely monitored and is kept in rated rage before, during and after the surgery.

  13. Physics of Cardiac Arrhythmogenesis

    Science.gov (United States)

    Karma, Alain

    2013-04-01

    A normal heartbeat is orchestrated by the stable propagation of an excitation wave that produces an orderly contraction. In contrast, wave turbulence in the ventricles, clinically known as ventricular fibrillation (VF), stops the heart from pumping and is lethal without prompt defibrillation. I review experimental, computational, and theoretical studies that have shed light on complex dynamical phenomena linked to the initiation, maintenance, and control of wave turbulence. I first discuss advances made to understand the precursor state to a reentrant arrhythmia where the refractory period of cardiac tissue becomes spatiotemporally disordered; this is known as an arrhythmogenic tissue substrate. I describe observed patterns of transmembrane voltage and intracellular calcium signaling that can contribute to this substrate, and symmetry breaking instabilities to explain their formation. I then survey mechanisms of wave turbulence and discuss novel methods that exploit electrical pacing stimuli to control precursor patterns and low-energy pulsed electric fields to control turbulence.

  14. The Wald entropy and 6d conformal anomaly

    Directory of Open Access Journals (Sweden)

    Amin Faraji Astaneh

    2015-10-01

    Full Text Available We analyze the Wald entropy for different forms of the conformal anomaly in six dimensions. In particular we focus on the anomaly which arises in a holographic calculation of Henningson and Skenderis. The various presentations of the anomaly differ by some total derivative terms. We calculate the corresponding Wald entropy for surfaces which do not have an Abelian O(2 symmetry in the transverse direction although the extrinsic curvature vanishes. We demonstrate that for this class of surfaces the Wald entropy is different for different forms of the conformal anomaly. The difference is due to the total derivative terms present in the anomaly. We analyze the conformal invariance of the Wald entropy for the holographic conformal anomaly and demonstrate that the violation of the invariance is due to the contributions of the total derivative terms in the anomaly. Finally, we make more precise the general form for the Hung–Myers–Smolkin discrepancy.

  15. Platelets and cardiac arrhythmia

    Directory of Open Access Journals (Sweden)

    Jonas S De Jong

    2010-12-01

    Full Text Available Sudden cardiac death remains one of the most prevalent modes of death in industrialized countries, and myocardial ischemia due to thrombotic coronary occlusion is its primary cause. The role of platelets in the occurrence of SCD extends beyond coronary flow impairment by clot formation. Here we review the substances released by platelets during clot formation and their arrhythmic properties. Platelet products are released from three types of platelet granules: dense core granules, alpha-granules, and platelet lysosomes. The physiologic properties of dense granule products are of special interest as a potential source of arrhythmic substances. They are released readily upon activation and contain high concentrations of serotonin, histamine, purines, pyrimidines, and ions such as calcium and magnesium. Potential arrhythmic mechanisms of these substances, e.g. serotonin and high energy phosphates, include induction of coronary constriction, calcium overloading, and induction of delayed after-depolarizations. Alpha-granules produce thromboxanes and other arachidonic acid products with many potential arrhythmic effects mediated by interference with cardiac sodium, calcium and potassium channels. Alpha-granules also contain hundreds of proteins that could potentially serve as ligands to receptors on cardiomyocytes. Lysosomal products probably do not have an important arrhythmic effect. Platelet products and ischemia can induce coronary permeability, thereby enhancing interaction with surrounding cardiomyocytes. Antiplatelet therapy is known to improve survival after myocardial infarction. Although an important part of this effect results from prevention of coronary clot formation, there is evidence to suggest that antiplatelet therapy also induces anti-arrhythmic effects during ischemia by preventing the release of platelet activation products.

  16. Mediastinitis after cardiac transplantation

    Directory of Open Access Journals (Sweden)

    Noedir A. G. Stolf

    2000-05-01

    Full Text Available OBJECTIVE: Assessment of incidence and behavior of mediastinitis after cardiac transplantation. METHODS: From 1985 to 1999, 214 cardiac transplantations were performed, 12 (5.6% of the transplanted patients developed confirmed mediastinitis. Patient's ages ranged from 42 to 66 years (mean of 52.3±10.0 years and 10 (83.3% patients were males. Seven (58.3% patients showed sternal stability on palpation, 4 (33.3% patients had pleural empyema, and 2 (16.7% patients did not show purulent secretion draining through the wound. RESULTS: Staphylococcus aureus was the infectious agent identified in the wound secretion or in the mediastinum, or both, in 8 (66.7% patients. Staphylococcus epidermidis was identified in 2 (16.7% patients, Enterococcus faecalis in 1 (8.3% patient, and the cause of mediastinitis could not be determined in 1 (8.3% patient. Surgical treatment was performed on an emergency basis, and the extension of the débridement varied with local conditions. In 2 (16.7% patients, we chose to leave the surgical wound open and performed daily dressings with granulated sugar. Total sternal resection was performed in only 1 (8.3% patient. Out of this series, 5 (41.7% patients died, and the causes of death were related to the infection. Autopsy revealed persistence of mediastinitis in 1 (8.3% patient. CONCLUSION: Promptness in diagnosing mediastinitis and precocious surgical drainage have changed the natural evolution of this disease. Nevertheless, observance of the basic precepts of prophylaxis of infection is still the best way to treat mediastinitis.

  17. Metoclopramide-induced cardiac arrest

    Directory of Open Access Journals (Sweden)

    Martha M. Rumore

    2011-11-01

    Full Text Available The authors report a case of cardiac arrest in a patient receiving intravenous (IV metoclopramide and review the pertinent literature. A 62-year-old morbidly obese female admitted for a gastric sleeve procedure, developed cardiac arrest within one minute of receiving metoclopramide 10 mg via slow intravenous (IV injection. Bradycardia at 4 beats/min immediately appeared, progressing rapidly to asystole. Chest compressions restored vital function. Electrocardiogram (ECG revealed ST depression indicative of myocardial injury. Following intubation, the patient was transferred to the intensive care unit. Various cardiac dysrrhythmias including supraventricular tachycardia (SVT associated with hypertension and atrial fibrillation occurred. Following IV esmolol and metoprolol, the patient reverted to normal sinus rhythm. Repeat ECGs revealed ST depression resolution without pre-admission changes. Metoclopramide is a non-specific dopamine receptor antagonist. Seven cases of cardiac arrest and one of sinus arrest with metoclopramide were found in the literature. The metoclopramide prescribing information does not list precautions or adverse drug reactions (ADRs related to cardiac arrest. The reaction is not dose related but may relate to the IV administration route. Coronary artery disease was the sole risk factor identified. According to Naranjo, the association was possible. Other reports of cardiac arrest, severe bradycardia, and SVT were reviewed. In one case, five separate IV doses of 10 mg metoclopramide were immediately followed by asystole repeatedly. The mechanism(s underlying metoclopramide’s cardiac arrest-inducing effects is unknown. Structural similarities to procainamide may play a role. In view of eight previous cases of cardiac arrest from metoclopramide having been reported, further elucidation of this ADR and patient monitoring is needed. Our report should alert clinicians to monitor patients and remain diligent in surveillance and

  18. Fetal cardiac rhabdomyoma: case report

    Directory of Open Access Journals (Sweden)

    Seyed Mostafa Ghavami

    2016-07-01

    Full Text Available Background: The primary manifestation of cardiac tumors in embryonic period is a very rare condition. Cardiac rhabdomyomas most frequently arise in the ventricular myocardium, they may also occur in the atria and the epicardial surface. In spite of its benign nature, the critical location of the tumor inside the heart can lead to lethal arrhythmias and chamber obstruction. Multiple rhabdomyomas are strongly associated with tuberous sclerosis which is associated with mental retardation and epilepsy of variable severity. Ultrasonography as a part of routine prenatal screening, is the best method for the diagnosis of cardiac rhabdomyomas. In the review of articles published in Iran, fetal cardiac rhabdomyoma was not reported. Case presentation: We report a case of cardiac rhabdomyoma on a 24-year-old gravid 1, referred to Day Medical Imaging Center for routine evaluation of fetal abnormalities at 31 weeks of her gestational age. Ultrasonographic examination displayed a homogenous echogenic mass (13×9mm, originating from the left ventricle of the fetal heart. It was a normal pregnancy without any specific complications. Other organs of the fetus were found normal and no cardiac abnormalities were appeared. No Pericardial fluid effusion was found. The parents did not have consanguineous marriage. They did not also have any specific disease such as tuberous sclerosis. Conclusion: The clinical features of cardiac rhabdomyomas vary widely, depending on the location, size, and number of tumors in the heart. Although cardiac rhabdomyoma is a benign tumor in many affected fetuses, an early prenatal diagnosis of the tumor is of great significance in making efficient planning and providing adequate follow up visits of the patients and the complications such as, heart failure and outlet obstruction of cardiac chambers.

  19. Use of dopamine infusion improved oxygenation in a patient of Ebstein′s anomaly with atrial septal defect

    Directory of Open Access Journals (Sweden)

    Mukul C Kapoor

    2013-01-01

    Full Text Available We present the successful perioperative management of an adult patient with Ebstein′s anomaly for abdominal rectopexy surgery. The patient developed mild hypotension and a fall in peripheral oxygen saturation (SpO 2 after administration of a graded epidural block. Correction of the fall in the blood pressure; however, did not improve the SpO 2 . The patient was administered an intravenous infusion of dopamine to improve the cardiac output and this led to improvement in the SpO 2 .

  20. Epigenetic regulation in cardiac fibrosis

    Institute of Scientific and Technical Information of China (English)

    Li-Ming; Yu; Yong; Xu

    2015-01-01

    Cardiac fibrosis represents an adoptive response in the heart exposed to various stress cues. While resolution of the fibrogenic response heralds normalization of heart function, persistent fibrogenesis is usually associated with progressive loss of heart function and eventually heart failure. Cardiac fibrosis is regulated by a myriad of factors that converge on the transcription of genes encoding extracellular matrix proteins, a process the epigenetic machinery plays a pivotal role. In this minireview, we summarize recent advances regarding the epigenetic regulation of cardiac fibrosis focusing on the role of histone and DNA modifications and non-coding RNAs.

  1. Cardiac Involvement in Ankylosing Spondylitis

    Science.gov (United States)

    Ozkan, Yasemin

    2016-01-01

    Ankylosing spondylitis is one of the subgroup of diseases called “seronegative spondyloarthropathy”. Frequently, it affects the vertebral colon and sacroiliac joint primarily and affects the peripheral joints less often. This chronic, inflammatory and rheumatic disease can also affect the extraarticular regions of the body. The extraarticular affections can be ophthalmologic, cardiac, pulmonary or neurologic. The cardiac affection can be 2-10% in all patients. Cardiac complications such as left ventricular dysfunction, aortitis, aortic regurgitation, pericarditis and cardiomegaly are reviewed. PMID:27222669

  2. Acupuncture therapy related cardiac injury.

    Science.gov (United States)

    Li, Xue-feng; Wang, Xian

    2013-12-01

    Cardiac injury is the most serious adverse event in acupuncture therapy. The causes include needling chest points near the heart, the cardiac enlargement and pericardial effusion that will enlarge the projected area on the body surface and make the proper depth of needling shorter, and the incorrect needling method of the points. Therefore, acupuncture practitioners must be familiar with the points of the heart projected area on the chest and the correct needling methods in order to reduce the risk of acupuncture therapy related cardiac injury.

  3. Normal cardiac function in mice with supraphysiological cardiac creatine levels.

    Science.gov (United States)

    Santacruz, Lucia; Hernandez, Alejandro; Nienaber, Jeffrey; Mishra, Rajashree; Pinilla, Miguel; Burchette, James; Mao, Lan; Rockman, Howard A; Jacobs, Danny O

    2014-02-01

    Creatine and phosphocreatine levels are decreased in heart failure, and reductions in myocellular phosphocreatine levels predict the severity of the disease and portend adverse outcomes. Previous studies of transgenic mouse models with increased creatine content higher than two times baseline showed the development of heart failure and shortened lifespan. Given phosphocreatine's role in buffering ATP content, we tested the hypothesis whether elevated cardiac creatine content would alter cardiac function under normal physiological conditions. Here, we report the creation of transgenic mice that overexpress the human creatine transporter (CrT) in cardiac muscle under the control of the α-myosin heavy chain promoter. Cardiac transgene expression was quantified by qRT-PCR, and human CrT protein expression was documented on Western blots and immunohistochemistry using a specific anti-CrT antibody. High-energy phosphate metabolites and cardiac function were measured in transgenic animals and compared with age-matched, wild-type controls. Adult transgenic animals showed increases of 5.7- and 4.7-fold in the content of creatine and free ADP, respectively. Phosphocreatine and ATP levels were two times as high in young transgenic animals but declined to control levels by the time the animals reached 8 wk of age. Transgenic mice appeared to be healthy and had normal life spans. Cardiac morphometry, conscious echocardiography, and pressure-volume loop studies demonstrated mild hypertrophy but normal function. Based on our characterization of the human CrT protein expression, creatine and phosphocreatine content, and cardiac morphometry and function, these transgenic mice provide an in vivo model for examining the therapeutic value of elevated creatine content for cardiac pathologies.

  4. RADIOLOGICAL EVALUATION OF CRANIOVERTEBRAL JUNCTION ANOMALIES

    Directory of Open Access Journals (Sweden)

    Joji Reddy

    2015-08-01

    Full Text Available INTRODUCTION: Detailed discussions of the CVJ are conspicuously absent in many standard textbooks and chapters addressing the skull or cervical spine, since it lies in between these regions . CVJ anomalies are common in India subcontinent. OBJECTIVES : To outline the normal anatomy and various abnormalities of craniovertebral junction. To evaluate the most common developmental and acquired craniovertebral junction abnormalities . CRANIOMETRY AND DIAGNOSIS: Radiological evaluation of CVJ requir es identification of only a few anatomic structures. Over the years multiple lines , planes and angles have been described for assessment of CVJ relationship , initially with radiography and later with polytomography. Two lines have remained particularly use ful for evaluation of CVJ relationship with virtually any imaging modality: the chamberlain`s line and weckenheim ’ s clivus base line . Two angles also continue to be useful: the welcher basal angle and atlanto occipital joint axis angle. PATIENTS AND METHOD S: The prospective study of craniovertebral junction anomalies was carried out at Kurnool medical college , Governament general hospital Kurnool from NOV 2012 to AUG 2014. The patients are subjected to clinical evaluation and radiological evaluation. OBSERV ATIONS AND RESULTS : In our study there is male predominance with male to female ratio of 2:1 . Majority of patients are in the age group of 11 - 40 (73.26%. The commonest symptom seen is weakness of extremities ( 70% with associated numbness (50%. On clinica l examination pyramidal tract involvement noticed in 70% of cases. Basilar invagination is the most common followed by Atlantoocoipital assimilation (40% and AAD (30% . CONCLUSION : Computed tomography and magnetic resonance imaging are invalvable adjuncts to the plain radiographs in the evaluation of the craniovertebral junction anomalies. Chamberlain’s line and McGregor line are the most commonly applied craniometric measurements

  5. Band Iron Formations and Satellite Magnetic Anomalies

    Science.gov (United States)

    Nazarova, K. A.; Wasilewski, P.

    2005-05-01

    Band Iron Formations (BIF) are mainly Precambrian (2.5-1.8 Ga) sedimentary deposits and are composed of alternating layers of iron rich material and silica (chert). Precambrian BIF mark growth in the level of free oxygen in the atmosphere and the ocean which happened about 2.2 Ga. Distribution of main BIF includes Hamersley Range, Australia; Transvaal-Griquatown, South Africa; Minas Gerais, Brazil; Labrador Trough, Canada, and Kursk-Krivoi Rog (Russia). Together these five very large BIF deposits constitute about 90 percent of Earth's total estimated BIF (5.76*10 14 ). On each continent these ancient rocks usually metamorphosed and crystallized include what are variously described as hematite-quartzites, banded iron formations, banded jaspers or calico-rocks. West African, Hudson Bay and Western Australian Satellite Magnetic Anomalies coincide with distribution BIF deposits. The Kursk Satellite Magnetic Anomaly (KMA) (about 22 nT at the altitude=400km, centered at 51o N, 37o E) also was identified by ground and aeromagnetic observations and is recognized as one of the largest magnetic anomaly on the Earth. Magnetic modeling shows that immense Precambrian iron ore deposits (iron bands) of Voronezh uplift are the main source of KMA. Magnetic properties of 10000 BIF samples outcropped in the KMA area have been measured and analyzed (Krutikhovskaya et al., 1964) Rockmag BIF dataset is presented at: http://core2.gsfc.nasa.gov/MPDB/datasets.html. Mean NRM value is about 42 A/M, Qn about 1.4. Demagnetization tests suggest that hard and stable NRM component is caused by hematite occurring in BIF in different forms and grain sizes. Hematite deposits discovered on Mars in western equatorial area with layered topography of Aram Chaos and Sinus Meridiani could be of hydrothermal origin and may be formed similar to hematite precipitated in BIF on Earth.

  6. Comparison of Methods of Height Anomaly Computation

    Science.gov (United States)

    Mazurova, E.; Lapshin, A.; Menshova, A.

    2012-04-01

    As of today, accurate determination of height anomaly is one of the most difficult problems of geodesy, even with sustainable perfection of mathematical methods, computer possibilities. The most effective methods of height anomaly computation are based on the methods of discrete linear transformations, such as the Fast Fourier Transform (FFT), Short-Time Fourier Transform (STFT), Fast Wavelet Transform (FWT). The main drawback of the classical FFT is weak localization in the time domain. If it is necessary to define the time interval of a frequency presence the STFT is used that allows one to detect the presence of any frequency signal and the interval of its presence. It expands the possibilities of the method in comparison with the classical Fourier Transform. However, subject to Heisenberg's uncertainty principle, it is impossible to tell precisely what frequency signal is present at a given moment of time (it is possible to speak only about the range of frequencies); and it is impossible to tell at what precisely moment of time the frequency signal is present (it is possible to speak only about a time span). A wavelet-transform gives the chance to reduce the influence of the Heisenberg's uncertainty principle on the obtained time-and-frequency representation of the signal. With its help low frequencies have more detailed representation relative to the time, and high frequencies - relative to the frequency. The paper summarizes the results of height anomaly calculations done by the FFT, STFT, FWT methods and represents 3-D models of calculation results. Key words: Fast Fourier Transform(FFT), Short-Time Fourier Transform (STFT), Fast Wavelet Transform(FWT), Heisenberg's uncertainty principle.

  7. Residual generator for cardiovascular anomalies detection

    KAUST Repository

    Belkhatir, Zehor

    2014-06-01

    This paper discusses the possibility of using observer-based approaches for cardiovascular anomalies detection and isolation. We consider a lumped parameter model of the cardiovascular system that can be written in a form of nonlinear state-space representation. We show that residuals that are sensitive to variations in some cardiovascular parameters and to abnormal opening and closure of the valves, can be generated. Since the whole state is not easily available for measurement, we propose to associate the residual generator to a robust extended kalman filter. Numerical results performed on synthetic data are provided.

  8. Colours and anomalies of skin: diploma 2015

    OpenAIRE

    Marty, Nicolas; Geiser, Martial

    2016-01-01

    Afin de suivre et d’analyser l’évolution, lors de traitement ou pas, de lésions de la peau (grains de beauté, plaies, tâches de sénescence, coup de soleil …), nous avons développé une caméra portable munie d’une illumination multispectrale capable d’envoyer les images sur un serveur dédié et d’analyser ces images We developed a handheld camera with multispectral illumination to take pictures and to analyse anomalies of skin. The fields of use are: a) analysing and tracking skin lesions suc...

  9. Imaging evaluation of fetal vascular anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Calvo-Garcia, Maria A.; Kline-Fath, Beth M.; Koch, Bernadette L.; Laor, Tal [MLC 5031 Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Adams, Denise M. [Cincinnati Children' s Hospital Medical Center, Department of Pediatrics and Hemangioma and Vascular Malformation Center, Cincinnati, OH (United States); Gupta, Anita [Cincinnati Children' s Hospital Medical Center, Department of Pathology, Cincinnati, OH (United States); Lim, Foong-Yen [Cincinnati Children' s Hospital Medical Center, Pediatric Surgery and Fetal Center of Cincinnati, Cincinnati, OH (United States)

    2015-08-15

    Vascular anomalies can be detected in utero and should be considered in the setting of solid, mixed or cystic lesions in the fetus. Evaluation of the gray-scale and color Doppler US and MRI characteristics can guide diagnosis. We present a case-based pictorial essay to illustrate the prenatal imaging characteristics in 11 pregnancies with vascular malformations (5 lymphatic malformations, 2 Klippel-Trenaunay syndrome, 1 venous-lymphatic malformation, 1 Parkes-Weber syndrome) and vascular tumors (1 congenital hemangioma, 1 kaposiform hemangioendothelioma). Concordance between prenatal and postnatal diagnoses is analyzed, with further discussion regarding potential pitfalls in identification. (orig.)

  10. Second type of first branchial cleft anomaly

    Directory of Open Access Journals (Sweden)

    Hitesh Verma

    2016-01-01

    Full Text Available First branchial cleft fistula is a rare congenital malformation of the head and neck with an incidence of <8% of all branchial cleft defects. The patient presenting with discharging sinus in the neck with discharging ear should be investigated for a possible branchial cleft anomaly. Rarity and diverse presentation often lead to misdiagnosis and inadequate treatment. Recurrent infection and scarring make intraoperative identification of facial nerve made very difficult. We report a case of a 5-year-old boy with a first branchial cleft fistula, in which discharge was observed through the fistulous opening on the right side of the face and along the ear canal.

  11. Conformal Anomaly and Large Scale Gravitational Coupling

    CERN Document Server

    Salehi, H

    2000-01-01

    We present a model in which the breackdown of conformal symmetry of a quantum stress-tensor due to the trace anomaly is related to a cosmological effect in a gravitational model. This is done by characterizing the traceless part of the quantum stress-tensor in terms of the stress-tensor of a conformal invariant classical scalar field. We introduce a conformal frame in which the anomalous trace is identified with a cosmological constant. In this conformal frame we establish the Einstein field equations by connecting the quantum stress-tensor with the large scale distribution of matter in the universe.

  12. Magnetic resonance imaging in craniovertebral junction anomaly

    Energy Technology Data Exchange (ETDEWEB)

    Tada, Shimpei; Hata, Yuichi; Miyamoto, Yukio

    1985-03-01

    Materials consisted of 6 cases with occipitalization of the atlas, (4 of them complicated by basilar impression), 7 with basilar impression, one with hypoplasia of the atlas and C2-3 fusion, and one with os odontoideum. Basal angles after Welcker were all more than 130 in contrast to 118-138 (127 an average) in control group. Basal angle more than 140 denoted platybasia. Syringomyelia was seen in 7 of all 15 cases and 4 of 5 cases with platybasia. Chiari malformation was seen in 9 of all 15 cases and 4 of 5 with platybasia. Basal angles were closely related to craniovertebral junction bone anomaly, syringomyelia, and Chiari malformation. (author).

  13. Structure and Transport Anomalies in Soft Colloids

    KAUST Repository

    Srivastava, Samanvaya

    2013-04-01

    Anomalous trends in nanoparticle correlation and motion are reported in soft nanoparticle suspensions using static and dynamic x-ray scattering measurements. Contrary to normal expectations, we find that particle-particle correlations decrease and particle dynamics become faster as volume fraction rises above a critical particle loading associated with overlap. Our observations bear many similarities to the cascade of structural and transport anomalies reported for complex, network forming molecular fluids such as water, and are argued to share similar physical origins. © 2013 American Physical Society.

  14. Ectopia cordis: a rare congenital anomaly.

    Science.gov (United States)

    Gabriel, Abigail; Donnelly, Joseph; Kuc, Alexander; Good, Daniel; Doros, Gabriela; Matusz, Petru; Loukas, Marios

    2014-11-01

    Ectopia cordis (EC) is a rare congenital anomaly associated with the heart positioned outside of the thoracic cavity either partially or completely. The ectopic heart can be found along a spectrum of anatomical locations, including the cervical, thoracic and abdominal regions and in most cases, it protrudes outside the chest through a split sternum. Although the first case of EC was identified during the early 1600s only 91 cases have been reported since then in the literature. This review will discuss the history and prevalence of EC, its etiology, morphology, presentation and symptoms, complications, diagnosis, treatment and management and prognosis.

  15. A model for globular cluster extreme anomalies

    Science.gov (United States)

    D'Antona, F.; Ventura, P.

    2007-08-01

    In spite of the efforts made in recent years, there is still no comprehensive explanation for the chemical anomalies of globular cluster (GC) stars. Among these anomalies, the most striking is oxygen depletion, which reaches values down to [O/Fe] ~ -0.4 in most clusters, but in M13 it goes down to less than [O/Fe] ~ -1. In this work we suggest that the anomalies are due to the superposition of two different events, as follows. (i) Primordial self-enrichment; this is required to explain the oxygen depletion down to a minimum value [O/Fe] ~ -0.4. (ii) Extra mixing in a fraction of the stars already born with anomalous composition; these objects, starting with already low [O/Fe], will reduce the oxygen abundance down to the most extreme values. Contrary to other models that invoke extra mixing to explain the chemical anomalies, we suggest that this mixing is active only if there is a fraction of the stars in which the primordial composition is not only oxygen-depleted, but also extremely helium-rich (Y ~ 0.4), as found in a few GCs from their main-sequence multiplicity. We propose that the rotational evolution (and an associated extra mixing) of extremely helium-rich stars may be affected by the fact that they develop a very small or non-existent molecular weight barrier during the evolution. We show that extra mixing in these stars, having initial chemistry that has already been CNO processed, affects mainly the oxygen abundance, as well as (to a much smaller extent) the sodium abundance. The model also predicts a large fluorine depletion concomitant with the oxygen depletion, and a further enhancement of the surface helium abundance, which reaches values close to Y = 0.5 in the computed models. We stress that, in this tentative explanation, those stars that are primordially oxygen-depleted, but are not extremely helium-rich, do not suffer deep extra mixing.

  16. Trusted Anomaly Detection with Context Dependency

    Institute of Scientific and Technical Information of China (English)

    PENG Xin-guang; YAN Mei-feng

    2006-01-01

    Anomaly detection of privileged processes is one of the most important means to safeguard the host and system security. The key problem for improving detection performance is to identify local behavior of the short sequences in traces of system calls accurately. An alternative modeling method was proposed based on the typical pattern matching of short sequences, which builds upon the concepts of short sequences with context dependency and the specially designed aggregation algorithm. The experimental results indicate that the modeling method considering the context dependency improves clearly the sensitive decision threshold as compared with the previous modeling method.

  17. The chiral anomaly from M theory

    CERN Document Server

    Gursoy, U; Portugues, R; Gursoy, Umut; Hartnoll, Sean A.; Portugues, Ruben

    2003-01-01

    We argue that the chiral anomaly of $\\Ncal = 1$ super Yang-Mills theory admits a dual description as spontaneous symmetry breaking in M theory on $G_2$ holonomy manifolds. We identify an angle of the $G_2$ background dual to the anomalous $U(1)_R$ current in field theory. This angle is not an isometry of the metric and we therefore develop a theory of ``massive isometry'' to describe fluctuations about such angles. Another example of a massive isometry occurs in the Atiyah-Hitchin metric.

  18. Mouse models for understanding human developmental anomalies

    Energy Technology Data Exchange (ETDEWEB)

    Generoso, W.M.

    1989-01-01

    The mouse experimental system presents an opportunity for studying the nature of the underlying mutagenic damage and the molecular pathogenesis of this class of anomalies by virtue of the accessibility of the zygote and its descendant blastomeres. Such studies could contribute to the understanding of the etiology of certain sporadic but common human malformations. The vulnerability of the zygotes to mutagens as demonstrated in the studies described in this report should be a major consideration in chemical safety evaluation. It raises questions regarding the danger to human zygotes when the mother is exposed to drugs and environmental chemicals.

  19. Use of cardiac biomarkers in neonatology.

    Science.gov (United States)

    Vijlbrief, Daniel C; Benders, Manon J N L; Kemperman, Hans; van Bel, Frank; de Vries, Willem B

    2012-10-01

    Cardiac biomarkers are used to identify cardiac disease in term and preterm infants. This review discusses the roles of natriuretic peptides and cardiac troponins. Natriuretic peptide levels are elevated during atrial strain (atrial natriuretic peptide (ANP)) or ventricular strain (B-type natriuretic peptide (BNP)). These markers correspond well with cardiac function and can be used to identify cardiac disease. Cardiac troponins are used to assess cardiomyocyte compromise. Affected cardiomyocytes release troponin into the bloodstream, resulting in elevated levels of cardiac troponin. Cardiac biomarkers are being increasingly incorporated into clinical trials as indicators of myocardial strain. Furthermore, cardiac biomarkers can possibly be used to guide therapy and improve outcome. Natriuretic peptides and cardiac troponins are potential tools in the diagnosis and treatment of neonatal disease that is complicated by circulatory compromise. However, clear reference ranges need to be set and validation needs to be carried out in a population of interest.

  20. Anus-preserving surgery with anal intersphincteric resection in the treatment of ultra-low rectal cancer%内括约肌切除保肛术治疗超低位直肠癌52例临床研究

    Institute of Scientific and Technical Information of China (English)

    李世拥; 徐一石; 崔伟; 梁振家; 苑树俊; 于波; 陈纲; 陈光; 左富义; 白雪; 魏晓军

    2009-01-01

    Objective To study clinical therapeutic effects of anus-preserving operation with resecting anal intersphincter to treat ultra-low rectal cancer through abdominal cavity. Methods We retrospectively analyzed 52 cases of ultra-low rectal cancer, with the inferior border of the cancers within 2 cm to anocutaneous line or 5 cm to the edge of anus treated by anus-preserving operation with resecting archos internal sphincter muscles through abdominal cavity and anus. There were 29 males, and 23 females, with age 28 to 76 years old, averaging 56. 3 years old. The inferior border of the cancer were within 4 cm to the edge of anus in 18 cases, including 6 cases of adenoma cancerization, and 5 cm to the anus in 34 cases. Pathologic diagnosis was well-differentiated adenocarcinoma in 21 cases, moderately differentiated in 29 cases, low differentiated in 2 cases, there were 6 cases with adenoma cancerization. 28 cases were Dukes A stage, and 24 B stage. Results The follow-up rate was 88. 4% (46/52), and the median time was 5.9 years. 2 case developed stoma leak (3.8%), and 3 developed stoma stenosis(5.7% ) after operation. The anus could roughly control defecation in 6 ~ 12 mouths after operation. The local recurrence rate was 5.7%, and the 5-year-survival rate was 72.7%. Conclusion By anus-preserving operation with resecting archos internal sphincter muscles, defecation controlling was well reserved by anus, and the 5-year-survival rate was not cut down. This operation is one of the safe and effective operations of anus-preserving procedure.%目的 探讨经腹肛门切除肛门内括约肌的直肠癌根治保肛术治疗超低位直肠癌的临床疗效.方法 对52例癌灶下缘距肛缘4~5 cm的超低位直肠癌经腹肛门切除肛门内括约肌加结肠套叠重建内括约肌保肛术进行临床分析.52例中男29例,女23例.年龄28~76岁,平均为56.3岁.癌灶下缘距肛缘4 cm 18例,癌灶下缘距肛口5 cm 34例.病理诊断直肠腺癌52

  1. Associated anomalies in cases with anotia and microtia.

    Science.gov (United States)

    Stoll, Claude; Alembik, Yves; Dott, Beatrice; Roth, Marie-Paule

    2016-12-01

    Infants with anotia and microtia (AM) often have other non-AM associated congenital anomalies. The purpose of this investigation was to assess the prevalence and the types of these associated anomalies in a defined population. The associated anomalies in infants with AM were collected in all livebirths, stillbirths and terminations of pregnancy during 29 years in 387,067 consecutive births in the area covered by our population-based registry of congenital malformations. Of the 146 cases with AM registered during this period, representing a prevalence of 3.77 per 10,000, 49.3% had associated anomalies. There were 14 (9.6%) cases with chromosomal abnormalities including 5 trisomies 18, and 18 (12.3%) nonchromosomal recognized dysmorphic conditions including 6 cases with oculo-auriculo-vertebral spectrum. However, numerous other recognized dysmorphic conditions were registered. Forty (27.4%) of the cases had multiple congenital anomalies (MCA). Anomalies especially in the cardiovascular, the musculoskeletal, the urogenital, the central nervous, and the digestive systems, and facial clefts were the most common other anomalies. This study included special strengths: each affected child was examined by a geneticist, all elective terminations were ascertained, and the surveillance for anomalies was continued until 2 years of age. In conclusion the overall prevalence of associated anomalies, which was one in every two cases, emphasizes the need for a thorough investigation of cases with AM. A routine screening for other anomalies may be considered in infants and in fetuses with AM.

  2. Recent developments in cardiac pacing.

    Science.gov (United States)

    Rodak, D J

    1995-10-01

    Indications for cardiac pacing continue to expand. Pacing to improve functional capacity, which is now common, relies on careful patient selection and technical improvements, such as complex software algorithms and diagnostic capabilities.

  3. Robotic Applications in Cardiac Surgery

    Directory of Open Access Journals (Sweden)

    Alan P. Kypson

    2008-11-01

    Full Text Available Traditionally, cardiac surgery has been performed through a median sternotomy, which allows the surgeon generous access to the heart and surrounding great vessels. As a paradigm shift in the size and location of incisions occurs in cardiac surgery, new methods have been developed to allow the surgeon the same amount of dexterity and accessibility to the heart in confined spaces and in a less invasive manner. Initially, long instruments without pivot points were used, however, more recent robotic telemanipulation systems have been applied that allow for improved dexterity, enabling the surgeon to perform cardiac surgery from a distance not previously possible. In this rapidly evolving field, we review the recent history and clinical results of using robotics in cardiac surgery.

  4. Cardiac manifestations in systemic sclerosis

    Institute of Scientific and Technical Information of China (English)

    Sevdalina; Lambova

    2014-01-01

    Primary cardiac involvement, which develops as a direct consequence of systemic sclerosis(SSc), may manifest as myocardial damage, fibrosis of the conduction system, pericardial and, less frequently, as valvular disease. In addition, cardiac complications in SSc may develop as a secondary phenomenon due to pulmonary arterial hypertension and kidney pathology. The prevalence of primary cardiac involvement in SSc is variable and difficult to determine because of the diversity of cardiac manifestations, the presence of subclinical periods, the type of diagnostic tools applied, and the diversity of patient populations. When clinically manifested, cardiac involvement is thought to be an important prognostic factor. Profound microvascular disease is a pathognomonic feature of SSc, as both vasospasm and structural alterations are present. Such alterations are thought to predict macrovascular atherosclerosis over time. There are contradictory reports regarding the prevalence of atherosclerosis in SSc. According to some authors, the prevalence of atherosclerosis of the large epicardial coronary arteries is similar to that of the general population, in contrast with other rheumatic diseases such as rheumatoid arthritis and systemic lupus erythematosus. However, the level of inflammation in SSc is inferior. Thus, the atherosclerotic process may not be as aggressive and not easily detectable in smaller studies. Echocardiography(especially tissue Doppler imaging), single-photon emission computed tomography, magnetic resonance imaging and cardiac computed tomography are sensitive techniques for earlier detection of both structural and functional scleroderma-related cardiac pathologies. Screening for subclinical cardiac involvement via modern, sensitive tools provides an opportunity for early diagnosis and treatment, which is of crucial importance for a positive outcome.

  5. Cardiac transplantation in Friedreich ataxia.

    Science.gov (United States)

    Yoon, Grace; Soman, Teesta; Wilson, Judith; George, Kristen; Mital, Seema; Dipchand, Anne I; McCabe, Jane; Logan, William; Kantor, Paul

    2012-09-01

    In this article, we describe a 14-year-old boy with a confirmed diagnosis of Friedreich ataxia who underwent cardiac transplantation for left ventricular failure secondary to dilated cardiomyopathy with restrictive physiology. His neurological status prior to transplantation reflected early signs of neurological disease, with evidence of dysarthria, weakness, mild gait impairment, and limb ataxia. We review the ethical issues considered during the process leading to the decision to offer cardiac transplantation.

  6. Cardiac Transplantation in Friedreich Ataxia

    OpenAIRE

    Yoon, Grace; Soman, Teesta; Wilson, Judith; George, Kristen; Mital, Seema; Dipchand, Anne I; McCabe, Jane; Logan, William; Kantor, Paul

    2012-01-01

    In this paper, we describe a 14-year-old boy with a confirmed diagnosis of Friedreich ataxia who underwent cardiac transplantation for left ventricular failure secondary to dilated cardiomyopathy with restrictive physiology. His neurological status prior to transplantation reflected early signs of neurologic disease, with evidence of dysarthria, weakness, mild gait impairment, and limb ataxia. We review the ethical issues considered during the process leading to the decision to offer cardiac ...

  7. Orofacial clefts with associated anomalies in Lithuania

    OpenAIRE

    Zarakauskaitė, Eglė; Matulevičienė, Aušra; Utkus, Algirdas; Kučinskas, Vaidutis; Linkevičienė, Laura

    2007-01-01

    A routine screening for other associated malformations, especially skeletal, central nervous system and cardiac defects, is required. Nechromosominių sindromų grupėje buvo nustatyta 20 atskirų nozologinių vienetų, grupėje su chromosominiais persitvarkymais buvo nustatyta 11 atskirų chromosomų persitvarkymo variantų ir 420 skirtingų raidos defektų buvo nustatyta neidentifikuotų sindromų grupės pacientams. Išvados. Atlikti tyrimų rezultatai rodo, kad tikslinga šiuos pacientus konsultuoti gru...

  8. Broader than Broadway. Le anomalie dentro la griglia / Broader than Broadway. The anomalies within the grid

    Directory of Open Access Journals (Sweden)

    Job Floris

    2015-01-01

    Full Text Available La tipologia di edifici poco profondi e cuneiformi è emersa come conseguenza dell’incontro di un piano urbano inserito in un tessuto urbano esistente. Questo fenomeno compare in diverse città come New York o Parigi. Generalmente, queste anomalie non fanno parte della strategia urbana in modo conscio, ma sono eccezioni e difetti nella logica della pianificazione. Nonostante ciò sono la causa di momenti urbani affascinanti, nei quali l’unione tra urbanistica e architettura sembra dare del suo meglio. Queste anomalie si possono percepire sia come insoliti oggetti, sia come obbedienza al piano urbanistico. Seguendo le regole di quest'ultimo su tutta la linea, sorgono edifici grande importanza perche' pezzi indispensabili in grado di rafforzare la trama urbana. / The typology of thin, shallow and wedge-shaped buildings emerged as a consequence of the meeting of an implemented urban plan into an existing city-fabric. This phenomenon appears in several cities throughout the world such as New York or Paris. In general, these anomalies are not consciously part of the urban strategy, but exceptions and flaws in the logic of their urban plan. Nevertheless causing fascinating urban moments, where the merge of urbanism and architecture might be at its best. These anomalies can be perceived both as a strange object and the ultimate obedience to the urban plan. By following the rules of urbanism all the way, buildings with exotic proportions arise, of big importance since these indispensable pieces are enforcing the urban pattern.

  9. Firewall policy anomaly detection and resolution

    Directory of Open Access Journals (Sweden)

    Ms. R.V.Darade

    2014-06-01

    Full Text Available Security of all private networks in businesses and institutions is achieved by firewall. Firewall provides protection by the quality of policy configured. Lack of Systematic analysis mechanism and Tools, Complex firewall configuration makes designing and managing firewall policies difficult. With help of segmentation rule, anomaly management framework is designed for accurate detection and effective resolution of anomalies. Using this technique, packets of network can be divided into set of disjoint packet space segments. Every segment is associated with unique set of firewall rules which specify an overlap relation among all firewall rules whic h could be conflicting or redundant. Flexible conflict resolution method is provided which has many resolution stra tegies for risk assessment of protected networks and its policy definition. Firewall logs are maintained by using association rule mining on these logs to find frequent logs, which in turned filtered to find malicious packets. Apriori algorithm is used to find frequent element from above logs. In each round, it computes the support for all candidate-item-sets. Candidate-item-sets with frequency above the minimum support parameter are selected at the end of each round; these frequent item-sets of round are used in the next round to construct candidate -item-sets. The algorithm halts when item-sets with desired frequency not found .

  10. Firewall policy anomaly detection and resolution

    Directory of Open Access Journals (Sweden)

    R.V. Darade

    2015-11-01

    Full Text Available Security of all private networks in businesses and institutions is achieved by firewall. Firewall provides protection by the quality of policy configured. Lack of Systematic analysis mechanism and Tools, Complex firewall configuration makes designing and managing firewall policies difficult. With help of segmentation rule, anomaly management framework is designed for accurate detection and effective resolution of anomalies. Using this technique, packets of network can be divided into set of disjoint packet space segments. Every segment is associated with unique set of firewall rules which specify an overlap relation among all firewall rules which could be conflicting or redundant. Flexible conflict resolution method is provided which has many resolution strategies for risk assessment of protected networks and its policy definition. Firewall logs are maintained by using association rule mining on these logs to find frequent logs, which in turned filtered to find malicious packets. Apriori algorithm is used to find frequent element from above logs. In each round, it computes the support for all candidate-item-sets. Candidate-item-sets with frequency above the minimum support parameter are selected at the end of each round; these frequent item-sets of round are used in the next round to construct candidate -item-sets. The algorithm halts when item-sets with desired frequency not found .

  11. Detecting syntactic and semantic anomalies in schizophrenia.

    Science.gov (United States)

    Moro, Andrea; Bambini, Valentina; Bosia, Marta; Anselmetti, Simona; Riccaboni, Roberta; Cappa, Stefano F; Smeraldi, Enrico; Cavallaro, Roberto

    2015-12-01

    One of the major challenges in the study of language in schizophrenia is to identify specific levels of the linguistic structure that might be selectively impaired. While historically a main semantic deficit has been widely claimed, results are mixed, with also evidence of syntactic impairment. This might be due to heterogeneity in materials and paradigms across studies, which often do not allow to tap into single linguistic components. Moreover, the interaction between linguistic and neurocognitive deficits is still unclear. In this study, we concentrated on syntactic and semantic knowledge. We employed an anomaly detection task including short and long sentences with either syntactic errors violating the principles of Universal Grammar, or a novel form of semantic errors, resulting from a contradiction in the computation of the whole sentence meaning. Fifty-eight patients with diagnosis of schizophrenia were compared to 30 healthy subjects. Results showed that, in patients, only the ability to identify syntactic anomaly, both in short and long sentences, was impaired. This result cannot be explained by working memory abilities or psychopathological features. These findings suggest the presence of an impairment of syntactic knowledge in schizophrenia, at least partially independent of the cognitive and psychopathological profile. On the contrary, we cannot conclude that there is a semantic impairment, at least in terms of compositional semantics abilities.

  12. [Horseshoe kidney: not a simple fusion anomaly].

    Science.gov (United States)

    Caccetta, Francesco; Caroppo, Maurizio; Musio, Fernando; Mudoni, Anna; Accogli, Antonella; Zacheo, Maria Dolores; Burzo, Domenica; Bramato, Daniele; Carluccio, Giancamillo; Nuzzo, Vitale

    2015-01-01

    The horseshoe kidney is a congenital anatomical defect of the kidney that occurs in 0,25% of the population and is generally characterized by the fusion of the lower poles of the two kidneys through an isthmus and to which may be associated with urogenital and renal vascular anomalies. Asymptomatic in 1/3 of the cases and, most of time, accidentally discovered during a radiological examination, promotes nephrolithiasis, ureteropelvic junction obstruction, hydronephrosis, vesicoureteral reflux and pyelonephritis. We report two cases of patients with kidney horseshoe, characterized by the abrupt onset of a septic state with oligo-anuric acute renal failure, electrolyte and acid-base abnormalities, rapid decay of the general conditions, with detection of nephrolithiasis, hydronephrosis and acute pyelonephritis and whose clinical management resulted in a significant and synergistic nefro-urology involvment. The kidney horseshoe not represent so only a simple fusion anomaly but rather an important anatomical condition that, once diagnosed, it would be worthy of a careful clinical, radiological and laboratory surveillance, in order to prevent the potential complications that may be also particularly severe.

  13. Abundance Anomalies In Tidal Disruption Events

    CERN Document Server

    Kochanek, C S

    2015-01-01

    The ~10% of tidal disruption events (TDEs) due to stars more massive than the Sun should show abundance anomalies due to stellar evolution in helium, carbon and nitrogen, but not oxygen. Helium is always enhanced, but only by up to ~25% on average because it becomes inaccessible once it is sequestered in the high density core as the star leaves the main sequence. However, portions of the debris associated with the disrupted core of a main sequence star can be enhanced in helium by factors of 2-3 for debris at a common orbital period. These helium abundance variations may be a contributor to the observed diversity of hydrogen and helium line strengths in TDEs. A still more striking anomaly is the rapid enhancement of nitrogen and the depletion of carbon due to the CNO cycle -- stars more massive than the Sun quickly show an increase in their average N/C ratio by factors of 3-10. Because low mass stars evolve slowly and high mass stars are rare, TDEs showing high N/C will almost all be due to 1-2Msun stars disr...

  14. [Stem cells and cardiac regeneration].

    Science.gov (United States)

    Perez Millan, Maria Ines; Lorenti, Alicia

    2006-01-01

    Stem cells are defined by virtue of their functional attributes: absence of tissue specific differentitated markers, capable of proliferation, able to self-maintain the population, able to produce a large number of differentiated, functional progeny, able to regenerate the tissue after injury. Cell therapy is an alternative for the treatment of several diseases, like cardiac diseases (cell cardiomyoplasty). A variety of stem cells could be used for cardiac repair: from cardiac and extracardiac sources. Each cell type has its own profile of advantages, limitations, and practicability issues in specific clinical settings. Differentiation of bone marrow stem cells to cardiomyocyte-like cells have been observed under different culture conditions. The presence of resident cardiac stem cell population capable of differentiation into cardiomyocyte or vascular lineage suggests that these cells could be used for cardiac tissue repair, and represent a great promise for clinical application. Stem cells mobilization by cytokines may also offer a strategy for cardiac regeneration. The use of stem cells (embryonic and adult) may hold the key to replacing cells lost in many devastating diseases. This potential benefit is a major focus for stem cell research.

  15. Cardiac Regeneration and Stem Cells.

    Science.gov (United States)

    Zhang, Yiqiang; Mignone, John; MacLellan, W Robb

    2015-10-01

    After decades of believing the heart loses the ability to regenerate soon after birth, numerous studies are now reporting that the adult heart may indeed be capable of regeneration, although the magnitude of new cardiac myocyte formation varies greatly. While this debate has energized the field of cardiac regeneration and led to a dramatic increase in our understanding of cardiac growth and repair, it has left much confusion in the field as to the prospects of regenerating the heart. Studies applying modern techniques of genetic lineage tracing and carbon-14 dating have begun to establish limits on the amount of endogenous regeneration after cardiac injury, but the underlying cellular mechanisms of this regeneration remained unclear. These same studies have also revealed an astonishing capacity for cardiac repair early in life that is largely lost with adult differentiation and maturation. Regardless, this renewed focus on cardiac regeneration as a therapeutic goal holds great promise as a novel strategy to address the leading cause of death in the developed world.

  16. Cardiac imaging. A multimodality approach

    Energy Technology Data Exchange (ETDEWEB)

    Thelen, Manfred [Johannes Gutenberg University Hospital, Mainz (Germany); Erbel, Raimund [University Hospital Essen (Germany). Dept. of Cardiology; Kreitner, Karl-Friedrich [Johannes Gutenberg University Hospital, Mainz (Germany). Clinic and Polyclinic for Diagnostic and Interventional Radiology; Barkhausen, Joerg (eds.) [University Hospital Schleswig-Holstein, Luebeck (Germany). Dept. of Radiology and Nuclear Medicine

    2009-07-01

    An excellent atlas on modern diagnostic imaging of the heart Written by an interdisciplinary team of experts, Cardiac Imaging: A Multimodality Approach features an in-depth introduction to all current imaging modalities for the diagnostic assessment of the heart as well as a clinical overview of cardiac diseases and main indications for cardiac imaging. With a particular emphasis on CT and MRI, the first part of the atlas also covers conventional radiography, echocardiography, angiography and nuclear medicine imaging. Leading specialists demonstrate the latest advances in the field, and compare the strengths and weaknesses of each modality. The book's second part features clinical chapters on heart defects, endocarditis, coronary heart disease, cardiomyopathies, myocarditis, cardiac tumors, pericardial diseases, pulmonary vascular diseases, and diseases of the thoracic aorta. The authors address anatomy, pathophysiology, and clinical features, and evaluate the various diagnostic options. Key features: - Highly regarded experts in cardiology and radiology off er image-based teaching of the latest techniques - Readers learn how to decide which modality to use for which indication - Visually highlighted tables and essential points allow for easy navigation through the text - More than 600 outstanding images show up-to-date technology and current imaging protocols Cardiac Imaging: A Multimodality Approach is a must-have desk reference for cardiologists and radiologists in practice, as well as a study guide for residents in both fields. It will also appeal to cardiac surgeons, general practitioners, and medical physicists with a special interest in imaging of the heart. (orig.)

  17. Acute arterial embolism of left lower extremity caused by paradoxical embolism in Ebstein's anomaly

    Science.gov (United States)

    LI, Jun-Sheng; Ma, Jie; Yan, Zi-Xing; Cheng, Dong-Ming; Chang, Liang; Zhang, Hai-Chun; Liu, Jiang-Yan

    2017-01-01

    Abstract Introduction: Ebstein's anomaly is a benign and stable congenital heart disease for asymptomatic patients. Despite a low incidence of Ebstein's anomaly (EA), patients’ quality of life can be badly affected by EA without positive surgical intervention. Especially EA is associated with other congenital heart disease, such as the atrial septal defect, patent foramen ovale, and arterial embolism exclude other reasons, it is often considered to be the consequence of paradoxical embolism, and surgical intervention must be conducted. Case report: An 11-year-old girl falling off the bed suffered pain from left lower extremity. Echocardiographic evaluation revealed an EA, severe tricuspid regurgitation, and secundum atrial septal defect. Both left leg amputation and cardiac surgery were conducted after recovery. Under the condition of anesthesia cardiopulmonary bypass extracorporeal circulation, atrial septal defect repair and Cone reconstruction of the tricuspid valve were performed. Patient recovered well and left hospital smoothly. Discussion: EA is a rare and complex congenital cardiac malformation. There are about 80% to 90% of EA patients with combined atrial septal defect and patent foramen ovale. Sudden arterial occlusion is very rare especially in childhood. When thoracic roentgenoscopy, arterial blood gas analysis, coagulation test, and echocardiographic of lower extremity deep venous system are all normal, one should consider the possibility of a paradoxical embolism. If patients have the paradoxical embolism or worsening tricuspid regurgitation, the most suitable therapeutic regimen should be chosen according to patients’ condition. With surgical techniques and methods renewed continuously, cone reconstruction of the tricuspid valve has been confirmed in clinical trials, which can use its own tissues to form not only central bloodstream, but also the coaption between leaflet and leaflet. PMID:28151866

  18. ENSO cycle and climate anomaly in China

    Institute of Scientific and Technical Information of China (English)

    CHEN Yongli; ZHAO Yongping; FENG Junqiao; WANG Fan

    2012-01-01

    The inter-annual variability of the tropical Pacific Subsurface Ocean Temperature Anomaly (SOTA) and the associated anomalous atmospheric circulation over the Asian North Pacific during the El Ni(n)o-Southern Oscillation (ENSO) were investigated using National Centers for Environmental Prediction/ National Center for Atmospheric Research (NCEP/NCAR) atmospheric reanalysis data and simple ocean data simulation (SODA).The relationship between the ENSO and the climate of China was revealed.The main results indicated the following:1) there are two ENSO modes acting on the subsurface tropical Pacific.The first mode is related to the mature phase of ENSO,which mainly appears during winter.The second mode is associated with a transition stage of the ENSO developing or decaying,which mainly occurs during summer; 2) during the mature phase of El Ni(n)o,the meridionality of the atmosphere in the mid-high latitude increases,the Aleutian low and high pressure ridge over Lake Baikal strengthens,northerly winds prevail in northern China,and precipitation in northern China decreases significantly.The ridge of the Ural High strengthens during the decaying phase of El Ni(n)o,as atmospheric circulation is sustained during winter,and the northerly wind anomaly appears in northern China during summer.Due to the ascending branch of the Walker circulation over the western Pacific,the western Pacific Subtropical High becomes weaker,and south-southeasterly winds prevail over southern China.As a result,less rainfall occurs over northern China and more rainfall over the Changjiang River basin and the southwestern and eastern region of Inner Mongolia.The flood disaster that occurred south of Changjiang River can be attributed to this.The La Ni(n)a event causes an opposite,but weaker effect; 3) the ENSO cycle can influence climate anomalies within China via zonal and meridional heat transport.This is known as the "atmospheric-bridge",where the energy anomaly within the tropical Pacific

  19. Recurrent late cardiac tamponade following cardiac surgery : a deceiving and potentially lethal complication

    NARCIS (Netherlands)

    Harskamp, Ralf E.; Meuzelaar, Jacobus J.

    2010-01-01

    Background - Cardiac tamponade, characterized by inflow obstruction of the heart chambers by extracardiac compression, is a potentially lethal complication following cardiac surgery. Case report - We present a case of recurrent cardiac tamponade following valve surgery. At first presentation, diagno

  20. Risk factors and the effect of cardiac resynchronization therapy on cardiac and non-cardiac mortality in MADIT-CRT

    DEFF Research Database (Denmark)

    Perkiomaki, Juha S; Ruwald, Anne-Christine; Kutyifa, Valentina;

    2015-01-01

    causes, 108 (63.9%) deemed cardiac, and 61 (36.1%) non-cardiac. In multivariate analysis, increased baseline creatinine was significantly associated with both cardiac and non-cardiac deaths [hazard ratio (HR) 2.97, P ...AIMS: To understand modes of death and factors associated with the risk for cardiac and non-cardiac deaths in patients with cardiac resynchronization therapy with implantable cardioverter-defibrillator (CRT-D) vs. implantable cardioverter-defibrillator (ICD) therapy, which may help clarify...... the action and limitations of cardiac resynchronization therapy (CRT) in relieving myocardial dysfunction. METHODS AND RESULTS: In Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy (MADIT-CRT), during 4 years of follow-up, 169 (9.3%) of 1820 patients died of known...

  1. Cardiac output during exercise

    DEFF Research Database (Denmark)

    Siebenmann, C; Rasmussen, P.; Sørensen, H.

    2015-01-01

    Several techniques assessing cardiac output (Q) during exercise are available. The extent to which the measurements obtained from each respective technique compares to one another, however, is unclear. We quantified Q simultaneously using four methods: the Fick method with blood obtained from...... the right atrium (Q(Fick-M)), Innocor (inert gas rebreathing; Q(Inn)), Physioflow (impedance cardiography; Q(Phys)), and Nexfin (pulse contour analysis; Q(Pulse)) in 12 male subjects during incremental cycling exercise to exhaustion in normoxia and hypoxia (FiO2  = 12%). While all four methods reported...... a progressive increase in Q with exercise intensity, the slopes of the Q/oxygen uptake (VO2) relationship differed by up to 50% between methods in both normoxia [4.9 ± 0.3, 3.9 ± 0.2, 6.0 ± 0.4, 4.8 ± 0.2 L/min per L/min (mean ± SE) for Q(Fick-M), Q(Inn), QP hys and Q(Pulse), respectively; P = 0...

  2. [Calpains and cardiac diseases].

    Science.gov (United States)

    Perrin, C; Vergely, C; Rochette, L

    2004-09-01

    Calpains are a large family of cytosolic cysteine proteases composed of at least fourteen distinct isoforms. The family can be divided into two groups on the basis of distribution: ubiquitous and tissue-specific. Our current knowledge about calpains properties apply mainly to the ubiquitous isozymes, micro- and milli-calpain (classic calpains). These forms are activated after autolysis. Translocation and subsequent interactions with phospholipids of these enzymes increase their activity. Calpains are able to cleave a subset of substrates, as enzymes, structural and signalling proteins. Cardiac pathologies, such as heart failure, atrial fibrillation or clinical states particularly ischemia reperfusion, are associated with an increase of cytosolic calcium and in this regards, calpain activation has been evoked as one of the mediators leading to myocardial damage. Calpain activities have been shown to be increased in hearts experimentally subjected to ischemia reperfusion or during hypertrophy, but also in atrial tissue harvested from patients suffering from atrial fibrillations. These activities have been related to an increase of the proteolysis of different myocardial components, particularly, troponins, which are major regulators of the contraction of cardiomyocytes. Moreover, recent works have demonstrated that calpains are involved in the development of myocardial cell death by necrosis or apoptosis.

  3. Cardiac Imaging System

    Science.gov (United States)

    1990-01-01

    Although not available to all patients with narrowed arteries, balloon angioplasty has expanded dramatically since its introduction with an estimated further growth to 562,000 procedures in the U.S. alone by 1992. Growth has fueled demand for higher quality imaging systems that allow the cardiologist to be more accurate and increase the chances of a successful procedure. A major advance is the Digital Cardiac Imaging (DCI) System designed by Philips Medical Systems International, Best, The Netherlands and marketed in the U.S. by Philips Medical Systems North America Company. The key benefit is significantly improved real-time imaging and the ability to employ image enhancement techniques to bring out added details. Using a cordless control unit, the cardiologist can manipulate images to make immediate assessment, compare live x-ray and roadmap images by placing them side-by-side on monitor screens, or compare pre-procedure and post procedure conditions. The Philips DCI improves the cardiologist's precision by expanding the information available to him.

  4. Geoid anomalies over Gorringe Ridge, North Atlantic Ocean

    Science.gov (United States)

    Souriau, A.

    1984-04-01

    The geoid anomalies over Gorringe Ridge, a very prominent high in the topography north of the Azores-Gibraltar plate boundary, have been deduced from Seasat alimetric data, and an interpretation of these anomalies together with the gravity anomalies is attempted. The geoid anomalies generated by the topographic high alone with the serpentinite density nearly fit the observed geoid anomalies, so that the structure must be either out of isostatic equilibrium or compensated at great depth. It is shown that a model in isostatic equilibrium with a small negative density contrast extending to 60 km depth or more explains both the gravity and geoid anomalies and is compatible with the deep seismicity north of Gorringe Ridge. Previous nonisostatic models, one involving an uplift of the upper mantle beneath the ridge, one describing a nascent subduction zone, and another involving flexure of the elastic part of the lithosphere due to the ridge loading, are discussed.

  5. 双氯芬酸钠栓计划性纳肛对妇科患者术后预镇痛及康复的影响%Effect of planned using diclofenac sodium suppositories via anus on preemptive analgesia and rehabilitation for patients after gynecologic operation

    Institute of Scientific and Technical Information of China (English)

    倪美琴

    2011-01-01

    目的 探讨双氯芬酸钠栓计划性纳肛对妇科患者术后预镇痛及康复的影响.方法 将218例患者按手术日单双号分为观察组109例和对照组96例,对照组术后给予硬膜外镇痛泵镇痛,观察组术后在拔除硬膜外导管即刻和术后6h、18 h、30 h给予双氯芬酸钠栓50 mg纳肛预镇痛.结果 两组患者疼痛评分、术后生理功能恢复状况及镇痛不良反应(除出汗)比较,差异有统计学意义.结论 双氯芬酸钠栓计划性纳肛对妇科患者术后预镇痛效果较好,能促进患者康复.%Objective To study the effect of planned using diclofenac sodium suppositories in anus on preemptive analgesia and rehabilitation for patients after gynecologic operation.Method Divide 218 patients into observation group (n=109) and control group (n=96) according to even or odd hospitalizing date.Patients in control group receive post-operation analgesia by epidural analgesia pump.Patients in observation group use diclofenac sodium suppositories 50mg in anus at removal of epidural catheter and 6h, 18h and 30h after operation.Result There is significant difference on scores of pain, rehabilitation of post-operative physical function and adverse reactions of analgesia (except sweating) between two groups.Conclusion Planned using diclofenac sodium suppositories in anus has a good preemptive analgesia effect and can improve health for patients after gynecologic operation.

  6. On Certain Conceptual Anomalies in Einstein's Theory of Relativity

    OpenAIRE

    2008-01-01

    There are a number of conceptual anomalies occurring in the Standard exposition of Einstein’s Theory of Relativity. These anomalies relate to issues in both mathematics and in physics and penetrate to the very heart of Einstein’s theory. This paper reveals and amplifies a few such anomalies, including the fact that Einstein’s field equations for the so-called static vacuum configuration, R = 0 , violates his Principle of Equiv- alence, and is therefore ...

  7. Axial Anomaly in Lattice Abelian Gauge Theory in Arbitrary Dimensions

    CERN Document Server

    Fujiwara, T; Wu, K; Fujiwara, Takanori; Suzuki, Hiroshi; Wu, Ke

    1999-01-01

    Axial anomaly of lattice abelian gauge theory in hyper-cubic regular lattice in arbitrary even dimensions is investigated by applying the method of exterior differential calculus. The topological invariance, gauge invariance and locality of the axial anomaly determine the explicit form of the topological part. The anomaly is obtained up to a multiplicative constant for finite lattice spacing and can be interpreted as the Chern character of the abelian lattice gauge theory.

  8. Application of Noncommutative Differential Geometry on Lattice to Anomaly

    CERN Document Server

    Fujiwara, T; Wu, K; Fujiwara, Takanori; Suzuki, Hiroshi; Wu, Ke

    1999-01-01

    The chiral anomaly in lattice abelian gauge theory is investigated by applying the geometric and topological method in noncommutative differential geometry(NCDG). A new kind of double complex and descent equation are proposed on infinite hypercubic lattice in arbitrary even dimensional Euclidean space, in the framework of NCDG. Using the general solutions to proposed descent equation, we derive the chiral anomaly in Abelian lattice gauge theory. The topological origin of anomaly is nothing but the Chern classes in NCDG.

  9. Method for detecting software anomalies based on recurrence plot analysis

    OpenAIRE

    Michał Mosdorf

    2012-01-01

    Presented paper evaluates method for detecting software anomalies based on recurrence plot analysis of trace log generated by software execution. Described method for detecting software anomalies is based on windowed recurrence quantification analysis for selected measures (e.g. Recurrence rate - RR or Determinism - DET). Initial results show that proposed method is useful in detecting silent software anomalies that do not result in typical crashes (e.g. exceptions).

  10. Method for detecting software anomalies based on recurrence plot analysis

    Directory of Open Access Journals (Sweden)

    Michał Mosdorf

    2012-03-01

    Full Text Available Presented paper evaluates method for detecting software anomalies based on recurrence plot analysis of trace log generated by software execution. Described method for detecting software anomalies is based on windowed recurrence quantification analysis for selected measures (e.g. Recurrence rate - RR or Determinism - DET. Initial results show that proposed method is useful in detecting silent software anomalies that do not result in typical crashes (e.g. exceptions.

  11. Comparison of machine learning models for classification of BGP anomalies

    OpenAIRE

    2012-01-01

    Worms such as Slammer, Nimda, and Code Red~I are anomalies that affect performance of the global Internet Border Gateway Protocol (BGP). BGP anomalies also include Internet Protocol (IP) prefix hijacks, miss-configurations, and electrical failures. In this Thesis, we analyzed the feature selection process to choose the most correlated features for an anomaly class. We compare the Fisher, minimum redundancy maximum relevance (mRMR), odds ratio (OR), extended/multi-class/weighted odds ratio (EO...

  12. Examining the relationship between skull size and dental anomalies

    OpenAIRE

    Krecioch, Joseph

    2014-01-01

    This study, reporting the results of a 2012 Master’s dissertation, of 131 skulls from 6 Classical to Medieval populations in Macedonia and England examined the relationship between craniometric variables and dental anomalies of shape, number, and position. Standard craniometric landmarks were measured and dental anomalies of shape, number, and position were recorded and tested for associations using SPSS. Rotations were the most common anomaly and were associated significantly with reduced ...

  13. Associated noncardiac congenital anomalies among cases with congenital heart defects.

    Science.gov (United States)

    Stoll, Claude; Dott, Beatrice; Alembik, Yves; Roth, Marie-Paule

    2015-02-01

    Cases with congenital heart defects (CHD) often have other associated anomalies. The purpose of this investigation was to assess the prevalence and the types of associated anomalies in CHD in a defined population. The anomalies associated with CHD were collected in all live births, stillbirths and terminations of pregnancy during 26 years in 346,831 consecutive pregnancies of known outcome in the area covered by our population based registry of congenital anomalies. Of the 4005 cases with CHD born during this period (total prevalence of 115.5 per 10,000), 1055 (26.3%) had associated major anomalies. There were 354 (8.8%) cases with chromosomal abnormalities including 218 trisomies 21, and 99 (2.5%) nonchromosomal recognized dysmorphic conditions. There were no predominant recognized dysmorphic conditions, but VACTERL association. However, other recognized dysmorphic conditions were registered including Noonan syndrome, fetal alcohol syndrome, and skeletal dysplasias. Six hundred and two (15.0%) of the cases had non syndromic, non chromosomal multiple congenital anomalies (MCA). Anomalies in the urinary tract, the musculoskeletal, the digestive, and the central nervous systems were the most common other anomalies. Prenatal diagnosis was obtained in 18.7% of the pregnancies. In conclusion the overall prevalence of associated anomalies, which was one in four infants, emphasizes the need for a thorough investigation of cases with CHD. A routine screening for other anomalies may be considered in infants and in fetuses with CHD. One should be aware that the anomalies associated with CHD can be classified into a recognizable anomaly, syndrome or pattern in one out of nine cases with CHD.

  14. A Case Report of Stroke in a Woman with Paradoxical Embolism Associated with Ebstein's Anomaly

    Directory of Open Access Journals (Sweden)

    M. Mazdeh

    2014-04-01

    Full Text Available Introduction: Ebstein's anomaly (EA is a rare congenital malformation of the tricuspid valve, often associated with PFO, which is present in 80-90% of patients & predisposes to para-doxical embolization. Case Report: The case described was a 30 year old female, in the post partum phase, (ten days after normal vaginal delivery who was presented to the emergency department with seizure & Rt sided hemiplegia & aphasia. On brain computed tomography scan there was large in-farct of Lt sided hemisphere in fronto temporopartial, and her brain MRI subsequently con-firmed the infarct. Laboratory tests including coagulation study & infectious tests were nor-mal. But electrocardiogram showed AG block grade I. Trans thoracic and Trans esophageal echocardiography revealed Ebstein's anomaly. Dynamic cardiac MRI showed severe tricus-pid regurgitation due to sown ward displacement of tricuspid valve to apical heart associated with patent foramen oral & ASD (Ejection fraction of right chamber was normal and no evi-dence of clot. Conclusion: After ruling out the other diagnoses, paradoxical emboli was considered as the cause leading to the stroke in this case. (Sci J Hamadan Univ Med Sci 2014; 21 (1:72-75

  15. TERATOGENIC EFFECTS OF SILVER NANOPARTICLES: GROSS ANOMALIES

    Directory of Open Access Journals (Sweden)

    Jyoti Prakash

    2015-07-01

    Full Text Available BACK GROUND: Prenatal exposure of AgNPs can induces devastative and detrimental effect in the organogenesis period of the developing embryos and foetuses. Organogenesis period is highly condemnatory and persuadable. Any injury to embryo during this period leads to dysmorphogenesis or even death AIM: The present study means to evaluate the gross anomalies on developing f o etus subsequent to silver nanoparticle ingestion during the gestational period. MATERIAL & METHOD: Random selections of pregnant Swiss albino mice were selected. AgNPs, of 20 - 100 nm size ra nge, were administered to pregnant mice by repeated oral gavages at concentra tions of 0.5, 1, 5, 10, 15 & 20 mg/kg/day during 4 - 17 gestational day. All dams were subjected to exteriorization on GD 18. The fetuses were evaluated for body malformation effects . RESULTS: Repeated oral gavages treatment with AgNPs at a concentration of 0.5mg/kg/day caused resorption (4.61% and intra uterine growth retardation (7.69% with no gross morphology alteration. 1 mg/kg/day caused resorption (9.23% and intra uterine growth retardation (10.76% with a rare case of haemorrhagic conception (1.53%, 5mg/kg/day caused limb malformation (7.01% resorption (17.54% and intra uterine growth retardation (17.54%, closed type Neural tube deformity (5.26%, 10mg/kg/day caused 20 % of limb malformation including Amelia, foot and tail vein hemorrhages and simple tail vein haemorrhage (3.50% each, resorption (22.80%, intra uterine growth retardation (29.82%, 15mg/kg/day caused severe hemorrhage within the entire body (22.80%, lim b anomaly including syndactyly and oligodactyly (8.77%, resorption (42.10%, intra uterine growth retardation (45.61%, 20mg/kg/day caused Omphalocele (3.27%, Bidiscoidal placental anomaly (9.83%, resorption (29.50% and intra uterine growth retardation (62.29%. CONCLUSION: The results show that a repeated oral dose of AgNPs during pregnancy caused fetal body dysmorphogenesis which is dose

  16. On the trace anomaly of a Weyl fermion

    CERN Document Server

    Bastianelli, Fiorenzo

    2016-01-01

    We calculate the trace anomaly of a Weyl fermion coupled to gravity by using Fujikawa's method supplemented by a consistent regulator. The latter is constructed out of Pauli-Villars regulating fields. The motivation for presenting such a calculation stems from recent studies that suggest that the trace anomaly of chiral fermions in four dimensions might contain an imaginary part proportional to the Pontryagin density. We find that the trace anomaly of a Weyl fermion is given by half the trace anomaly of a Dirac fermion, so that no imaginary part proportional to the Pontryagin density is seen to arise.

  17. Global structure of ionospheric TEC anomalies driven by geomagnetic storms

    Science.gov (United States)

    Pancheva, D.; Mukhtarov, P.; Andonov, B.

    2016-07-01

    This study examines the structure and variability of the ionospheric TEC anomalies driven by geomagnetic storms. For this purpose the CODE global ionospheric TEC data from four geomagnetically disturbed periods (29 October-1 November 2003, 7-10 November 2004, 14-15 December 2006, and 5-6 August 2011) have been considered. By applying the tidal analysis to the geomagnetically forced TEC anomalies we made an attempt to identify the tidal or stationary planetary wave (SPW) signatures that may contribute to the generation of these anomalies. It has been found that three types of positive anomalies with different origin and different latitudinal appearance are observed. These are: (i) anomalies located near latitudes of ±40° and related to the enhancement and poleward moving of the equatorial ionization anomaly (EIA) crests; (ii) anomalies located near latitudes of ±60° and seen predominantly in the night-side ionosphere, and (iii) very high latitude anomalies having mainly zonally symmetric structure and related to the auroral heating and thermospheric expansion. The decomposition analysis revealed that these anomalies can be reconstructed as a result of superposition of the following components: zonal mean (ZM), diurnal migrating (DW1), zonally symmetric diurnal (D0), and stationary planetary wave 1 (SPW1).

  18. Unsupervised Anomaly Detection for Liquid-Fueled Rocket Prop...

    Data.gov (United States)

    National Aeronautics and Space Administration — Title: Unsupervised Anomaly Detection for Liquid-Fueled Rocket Propulsion Health Monitoring. Abstract: This article describes the results of applying four...

  19. The Weyl anomaly and the nature of the background geometry

    CERN Document Server

    Quirós, I

    2000-01-01

    The Weyl anomaly problem is treated within a purely geometrical context. Arguments are given that hint at a possible classical origin of the conformal anomaly in the Riemannian nature of the background geometry where the matter fields play out their dynamics. Some considerations allowing for a possible resolution of the Weyl anomaly problem are briefly outlined. Following the spirit of the standard model of the fundamental interactions, it is argued that the Weyl anomaly should be a consequence of the breaking of the gauge symmetry at some stage during the evolution of the universe.

  20. Caution is recommended prior to sildenafil use in vascular anomalies.

    Science.gov (United States)

    Rankin, Hannah; Zwicker, Kelley; Trenor, Cameron C

    2015-11-01

    Since publication of a single case report of lymphatic malformation improvement during sildenafil therapy for pulmonary hypertension, sildenafil use has propagated across multiple vascular anomalies diagnoses. Vascular anomalies are rare conditions, often with poor long-term outcomes from available therapies, making these patients vulnerable to novel therapy use. We have retrospectively reviewed 14 children with vascular anomalies treated with sildenafil. None of these patients reported improvement of disease while on treatment and some reported side effects including infections and bleeding. Pending more convincing prospective data, we recommend caution prior to sildenafil use for vascular anomalies.

  1. Diagnosing Traffic Anomalies Using a Two-Phase Model

    Institute of Scientific and Technical Information of China (English)

    Bin Zhang; Jia-Hai Yang; Jian-Ping Wu; Ying-Wu Zhu

    2012-01-01

    Network traffic anomalies are unusual changes in a network,so diagnosing anomalies is important for network management.Feature-based anomaly detection models (ab)normal network traffic behavior by analyzing packet header features. PCA-subspace method (Principal Component Analysis) has been verified as an efficient feature-based way in network-wide anomaly detection.Despite the powerful ability of PCA-subspace method for network-wide traffic detection,it cannot be effectively used for detection on a single link.In this paper,different from most works focusing on detection on flow-level traffic,based on observations of six traffc features for packet-level traffic,we propose a new approach B6SVM to detect anomalies for packet-level traffic on a single link.The basic idea of B6-SVM is to diagnose anomalies in a multi-dimensional view of traffic features using Support Vector Machine (SVM).Through two-phase classification,B6-SVM can detect anomalies with high detection rate and low false alarm rate.The test results demonstrate the effectiveness and potential of our technique in diagnosing anomalies.Further,compared to previous feature-based anomaly detection approaches,B6-SVM provides a framework to automatically identify possible anomalous types.The framework of B6-SVM is generic and therefore,we expect the derived insights will be helpful for similar future research efforts.

  2. FOETAL ULTRASOUND - NEUROECTODERMAL ANOMALIES IN RURAL PREGNANT WOMEN

    Directory of Open Access Journals (Sweden)

    Mala Venkata

    2016-06-01

    Full Text Available BACKGROUND A prospective clinical study to know the various types of congenital Neuroectodermal Anomalies on obstetric Ultrasound, in rural pregnant women. To reduce the maternal morbidity and mortality by early detection of these Congenital Neuroectodermal Anomalies. To calculate the incidence and prevalence of different types of Congenital Neuroectodermal Anomalies, in these rural pregnant women. To assist the obstetrician in taking decisions regarding the termination or continuation of the pregnancy in relation to the type of malformation and its prognosis. METHODS A prospective clinical study of Congenital Neuroectodermal Anomalies in 22,000 rural pregnant women coming to the Santhiram Medical College, Radiology Department for a routine obstetric scan. 44 cases of neuroectodermal anomalies were detected out of the 22000 cases, within an incidence of 2 per 1000 cases. Approximately 1 in every 500 cases showed an anomaly. RESULTS The most common lesions detected were hydrocephalus, and spina bifida followed by anencephaly. Association of these lesions with consanguinity, previous history of similar anomaly and intake of iron and folic acid tablets was noted. CONCLUSION Ultrasound is an excellent modality for the diagnosis and characterisation of the neuroectodermal anomalies. Its multiplanar imaging property along with real time image visualisation make it an excellent tool for the diagnosis and characterisation of these anomalies

  3. DISTRIBUTED ANOMALY DETECTION USING SATELLITE DATA FROM MULTIPLE MODALITIES

    Data.gov (United States)

    National Aeronautics and Space Administration — DISTRIBUTED ANOMALY DETECTION USING SATELLITE DATA FROM MULTIPLE MODALITIES KANISHKA BHADURI*, KAMALIKA DAS, AND PETR VOTAVA* Abstract. There has been a tremendous...

  4. Physical Modeling for Anomaly Diagnostics and Prognostics Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Ridgetop developed an innovative, model-driven anomaly diagnostic and fault characterization system for electromechanical actuator (EMA) systems to mitigate...

  5. [Sudden cardiac death during a city marathon run].

    Science.gov (United States)

    Beutler, J; Schmid, E; Fischer, S; Hürlimann, S; Konrad, C

    2015-06-01

    Sudden cardiac death (SCD) in young athletes during physical stress is a rare event with an incidence of 1-3 deaths per 100,000 athletes per year. A coronary anomaly is the second most common cause of death following hypertrophic cardiomyopathy. Symptomatic prodromes occur in 20% of cases prior to the SCD event. This case report describes a 35-year-old male who collapsed near the finishing line of a half marathon run. Despite immediate resuscitation attempts and initial return of spontaneous circulation (ROSC), a pulseless electrical activity (PEA) followed and the patient died 1 h after arrival in the resuscitation unit. The autopsy revealed an anomalous left coronary artery (ALCA), which can lead to ischemia of the respective heart muscles under severe stress.

  6. Winter to winter recurrence of atmospheric circulation anomalies over East Asia and its impact on winter surface air temperature anomalies

    Science.gov (United States)

    2017-01-01

    The persistence of atmospheric circulation anomalies over East Asia shows a winter to winter recurrence (WTWR) phenomenon. Seasonal variations in sea level pressure anomalies and surface wind anomalies display significantly different characteristics between WTWR and non-WTWR years. The WTWR years are characterized by the recurrence of both a strong (weak) anomalous Siberian High and an East Asian winter monsoon over two successive winters without persistence through the intervening summer. However, anomalies during the non-WTWR years have the opposite sign between the current and ensuing winters. The WTWR of circulation anomalies contributes to that of surface air temperature anomalies (SATAs), which is useful information for improving seasonal and interannual climate predictions over East Asia and China. In the positive (negative) WTWR years, SATAs are cooler (warmer) over East Asia in two successive winters, but the signs of the SATAs are opposite in the preceding and subsequent winters during the non-WTWR years. PMID:28178351

  7. Atypical atrial septal defects in children: noninvasive evaluation by cardiac MRI

    Energy Technology Data Exchange (ETDEWEB)

    Beerbaum, Philipp; Parish, Victoria; Bell, Aaron [Guy' s and St. Thomas' Hospital, Division of Imaging Sciences, King' s College London, London (United Kingdom); Gieseke, Juergen [Philips Medical Systems, Best (Netherlands); Koerperich, Hermann; Sarikouch, Samir [Ruhr-University of Bochum, Department of Congenital Heart Disease and Institute for Magnetic Resonance Imaging, Heart and Diabetes Centre North Rhine-Westfalia, Bad Oeynhausen (Germany)

    2008-11-15

    Atypical left-to-right shunts at the level of the atrium in children such as sinus venosus atrial septal defects (ASDs) and partial anomalous pulmonary venous return (PAPVR) may be difficult to assess by transthoracic or transoesophageal echocardiography. Free-breathing cardiac MRI may be a powerful alternative. To assess the value of free-breathing cardiac MRI in the delineation of atypical ASDs in children. A total of 82 children (mean age 5.9 years, range 1.1-15.7 years) with suspected ASD and inconclusive transthoracic echocardiography underwent cardiac MRI under free-breathing, mostly sedated conditions. Phase-contrast MRI was used for defect visualization and shunt quantification, and multiphase inflow MR angiography for delineation of pulmonary/systemic venous connections. Of the 82 patients, 34 (41%) were diagnosed with atypical shunt lesions at the level of the atrium and 48 (59%) with simple secundum ASDs. No false-negative or false-positive findings were reported by MRI compared to cardiac catheterization and intraoperative findings. Superior sinus venosus ASD with partial anomalous PAPVR was present in 10 of the 82 children (12.2%), whereas 2 (2.4%) had a large posterior-inferior defect, 5 (6.1%) had isolated PAPVR, and 17 (20.7%) had multiple ASDs and/or associated vascular anomalies. Q{sub p}/Q{sub s} by phase-contrast MRI agreed well with oximetry values (mean difference 3%, limits of agreement {+-}21-25%; Bland/Altman analysis). Free-breathing cardiac MRI under sedation allows reliable identification of atypical left-to-right shunt defects at the level of the atrium in children in whom transcatheter ASD closure is unsuitable, including delineation of pulmonary or systemic venous anomalies and shunt quantification. (orig.)

  8. Philosopher, pediatrician, pathologist? John Locke's thoughts on Rhicketts and a missed case of Ebstein's anomaly.

    Science.gov (United States)

    Williams, A N; Wilson, N; Sunderland, R

    2009-02-01

    John Locke (1632-1704) is primarily remembered for his highly influential philosophical works regarded as the engine of the Enlightenment. It is less well known that Locke also was a highly regarded and influential physician. In 1666, Locke performed a postmortem examination of an 18-month-old child who had physical signs of rickets. Locke, a medical student at this time, attributed rickets as the cause of death. However, Locke described and recognized severe cardiac abnormality and speculated that right-to-left interatrial shunting was part of rickets. Locke's clearly described clinical history and postmortem findings are more consistent with a congenital cardiac malformation, an Ebstein's anomaly, in addition to the rickets. Locke did not consider this case as other than rickets. His opinion was not challenged when the case report was re-presented in the past half century. This article forces a reevaluation of the 17th-century understanding of infant cardiovascular physiology and pathology: Locke clearly gives one of the earliest descriptions of right-to-left shunting through the patent foramen ovale. It is unfortunate that Locke apparently did not discuss his postmortem findings with his contemporary Richard Lower (1631-1691), whose celebrated masterpiece on the heart, Tractatus de Corde, was published in 1669.

  9. Dying from cardiac tamponade

    Directory of Open Access Journals (Sweden)

    Powari Manish

    2007-09-01

    Full Text Available Abstract Background To determine the causes of cardiac tamponade (CT, focussing especially on haemopericardium (HP, as a terminal mode of death, within a 430,000 rural English population. Methods Our hospital mortuary register and, all postmortem reports between 1995 and 2004 inclusive, were interrogated for patients dying of CT or HP. The causes of CT/HP and selected morphological characteristics were then determined. Results 14,368 postmortems were performed in this period: of these, 461 patients died of CT. Three cases were due to non-haemorrhagic pericardial effusion. HP accounted for the remaining 458 cases of which, five were post-traumatic, 311 followed rupture of an acute myocardial infarction (RAMI, 138 after intra-pericardial rupture of dissecting ascending aortic aneurysms (RD3A and four were due to miscellaneous causes. HP was more commonly due to RAMI. Men tended to die from RAMI or RD3A earlier than women. RAMI or RD3A were commoner in men Two thirds of RAMI were associated with coronary artery thrombosis. Anterior free wall rupture was commonest overall, and in women, but posterior free wall rupture was commoner in men. The volume of intrapericardial blood in RAMI (mean = 440 ml and RD3A (mean = 498 ml varied between 150 and 1000 ml: intrapericardial blood volume was greater in men than in women dying from either RAMI or RD3A. Conclusion At postmortem, CT is most often related to HP, attributable to either RAMI or intrapericardial RD3A. Post-traumatic and other causes of CT are infrequent.

  10. Cardiac output monitoring

    Directory of Open Access Journals (Sweden)

    Mathews Lailu

    2008-01-01

    Full Text Available Minimally invasive and non-invasive methods of estimation of cardiac output (CO were developed to overcome the limitations of invasive nature of pulmonary artery catheterization (PAC and direct Fick method used for the measurement of stroke volume (SV. The important minimally invasive techniques available are: oesophageal Doppler monitoring (ODM, the derivative Fick method (using partial carbon dioxide (CO 2 breathing, transpulmonary thermodilution, lithium indicator dilution, pulse contour and pulse power analysis. Impedance cardiography is probably the only non-invasive technique in true sense. It provides information about haemodynamic status without the risk, cost and skill associated with the other invasive or minimally invasive techniques. It is important to understand what is really being measured and what assumptions and calculations have been incorporated with respect to a monitoring device. Understanding the basic principles of the above techniques as well as their advantages and limitations may be useful. In addition, the clinical validation of new techniques is necessary to convince that these new tools provide reliable measurements. In this review the physics behind the working of ODM, partial CO 2 breathing, transpulmonary thermodilution and lithium dilution techniques are dealt with. The physical and the physiological aspects underlying the pulse contour and pulse power analyses, various pulse contour techniques, their development, advantages and limitations are also covered. The principle of thoracic bioimpedance along with computation of CO from changes in thoracic impedance is explained. The purpose of the review is to help us minimize the dogmatic nature of practice favouring one technique or the other.

  11. Patch in Cardiac Surgery

    Directory of Open Access Journals (Sweden)

    Alireza Alizadeh Ghavidel

    2014-06-01

    Full Text Available Introduction: Excessive bleeding presents a risk for the patient in cardiovascular surgery. Local haemostatic agents are of great value to reduce bleeding and related complications. TachoSil (Nycomed, Linz, Austria is a sterile, haemostatic agent that consists of an equine collagen patchcoated with human fibrinogen and thrombin. This study evaluated the safety and efficacy of TachoSil compared to conventional technique.Methods: Forty-two patients scheduled for open heart surgeries, were entered to this study from August 2010 to May 2011. After primary haemostatic measures, patients divided in two groups based on surgeon’s judgment. Group A: 20 patients for whom TachoSil was applied and group B: 22 patients that conventional method using Surgicel (13 patients or wait and see method (9 cases, were performed in order to control the bleeding. In group A, 10 patients were male with mean age of 56.95±15.67 years and in group B, 9 cases were male with mean age of 49.95±14.41 years. In case group 70% (14/20 of the surgeries were redo surgeries versus 100% (22/22 in control group.Results: Baseline characteristics were similar in both groups. In TachoSil group 75% of patients required transfusion versus 90.90% in group B (P=0.03.Most transfusions consisted of packed red blood cell; 2±1.13 units in group A versus 3.11±1.44 in group B (P=0.01, however there were no significant differences between two groups regarding the mean total volume of intra and post-operative bleeding. Re-exploration was required in 10% in group A versus 13.63% in group B (P=0.67.Conclusion: TachoSil may act as a superior alternative in different types of cardiac surgery in order to control the bleeding and therefore reducing transfusion requirement.

  12. The accrual anomaly: Evidence from Borsa Istanbul

    Directory of Open Access Journals (Sweden)

    Nasif Ozkan

    2015-06-01

    Full Text Available In this study, we seek to answer whether stock prices fully reflect information in accruals and cash flows about future earnings. Following prior research, we perform Mishkin test and hedge portfolio analysis. The results based on full sample do not indicate mispricing in the components of earnings on Borsa Istanbul. When we exclude loss firms from the full sample, mispricing of total accruals and its components, and thus the presence of accrual anomaly on Borsa Istanbul, is revealed. Using trading strategy based on total accruals of profit firms, investors may generate abnormal returns of 18.58%. These results may suggest that Borsa Istanbul is not efficient in semi-strong form.

  13. The accessory fallopian tube: A rare anomaly

    Directory of Open Access Journals (Sweden)

    Kusum R Gandhi

    2012-01-01

    Full Text Available This paper presents a rare anatomical variation in the form of accessory fallopian tube on right side. The duplication of fallopian tube was observed in a 34-year-old female during routine undergraduate dissection in our department. Fallopian tube is the part of uterus that carries the ovum from the ovary to the uterus. Accessory fallopian tube is the congenital anomaly attached to the ampullary part of main tube. This accessory tube is common site of pyosalpinx, hydrosalpinx, cystic swelling and torsion. The ovum released by the ovary may also be captured by the blind accessory tube leading to infertility or ectopic pregnancy. Hence, all patients of infertility or pelvic inflammatory disease should be screened to rule out the presence of accessory fallopian tube and if encountered should be removed.

  14. Genetics And Tooth Anomalies - An Update

    Directory of Open Access Journals (Sweden)

    Aswathy Brahmanandan

    2013-01-01

    Full Text Available Tooth development like the development of all epithelial appendages is regulated by inductive tissue interactions between epithelium and mesenchyme. Numerous genes interact, either act in conjunction or antagonize each other in odontogenesis. A number of different mesenchymal molecules and their receptors act as mediators in epithelial mesenchymal interactions. Several genes linked with early tooth positioning and developments belong to signaling pathways and have morphogenesis regulatory functions in morphogenesis of other organs. Their mutations often show pleiotropic effects beyond dental morphogenesis. In contrast, certain genes involved in enamel and dentin structures are highly specific for tooth. Mutations in these genes have been identified as causes of Amelogenesis Imperfecta (AI, Dentinogenesis Imperfecta (DI, Dentin Dysplasia (DD and anomalies in tooth number. This article focuses on genetic basis of inherited non-syndromic teeth disorders.

  15. Critical point anomalies include expansion shock waves

    Energy Technology Data Exchange (ETDEWEB)

    Nannan, N. R., E-mail: ryan.nannan@uvs.edu [Mechanical Engineering Discipline, Anton de Kom University of Suriname, Leysweg 86, PO Box 9212, Paramaribo, Suriname and Process and Energy Department, Delft University of Technology, Leeghwaterstraat 44, 2628 CA Delft (Netherlands); Guardone, A., E-mail: alberto.guardone@polimi.it [Department of Aerospace Science and Technology, Politecnico di Milano, Via La Masa 34, 20156 Milano (Italy); Colonna, P., E-mail: p.colonna@tudelft.nl [Propulsion and Power, Delft University of Technology, Kluyverweg 1, 2629 HS Delft (Netherlands)

    2014-02-15

    From first-principle fluid dynamics, complemented by a rigorous state equation accounting for critical anomalies, we discovered that expansion shock waves may occur in the vicinity of the liquid-vapor critical point in the two-phase region. Due to universality of near-critical thermodynamics, the result is valid for any common pure fluid in which molecular interactions are only short-range, namely, for so-called 3-dimensional Ising-like systems, and under the assumption of thermodynamic equilibrium. In addition to rarefaction shock waves, diverse non-classical effects are admissible, including composite compressive shock-fan-shock waves, due to the change of sign of the fundamental derivative of gasdynamics.

  16. Anomaly induced effects in a magnetic field

    Science.gov (United States)

    Antoniadis, Ignatios; Boyarsky, Alexey; Ruchayskiy, Oleg

    2008-04-01

    We consider a modification of electrodynamics by an additional light massive vector field, interacting with the photon via Chern-Simons-like coupling. This theory predicts observable effects for the experiments studying the propagation of light in an external magnetic field, very similar to those, predicted by theories of axion and axion-like particles. We discuss a possible microscopic origin of this theory from a theory with non-trivial gauge anomaly cancellation between massive and light particles (including, for example, millicharged fermions). Due to the conservation of the gauge current, the production of the new vector field is suppressed at high energies. As a result, this theory can avoid both stellar bounds (which exist for axions) and the bounds from CMB considered recently, allowing for positive results in experiments like ALPS, LIPPS, OSQAR, PVLAS-2, BMV, Q&A, etc.

  17. Anomaly induced effects in a magnetic field

    Energy Technology Data Exchange (ETDEWEB)

    Antoniadis, Ignatios; Boyarsky, Alexey [Department of Physics, CERN, Theory Division, 1211 Geneva 23 (Switzerland); Ruchayskiy, Oleg [Ecole Polytechnique Federale de Lausanne, Institute of Theoretical Physics, FSB/ITP/LPPC, BSP 720, CH-1015 Lausanne (Switzerland)], E-mail: oleg.ruchayskiy@epfl.ch

    2008-04-11

    We consider a modification of electrodynamics by an additional light massive vector field, interacting with the photon via Chern-Simons-like coupling. This theory predicts observable effects for the experiments studying the propagation of light in an external magnetic field, very similar to those, predicted by theories of axion and axion-like particles. We discuss a possible microscopic origin of this theory from a theory with non-trivial gauge anomaly cancellation between massive and light particles (including, for example, millicharged fermions). Due to the conservation of the gauge current, the production of the new vector field is suppressed at high energies. As a result, this theory can avoid both stellar bounds (which exist for axions) and the bounds from CMB considered recently, allowing for positive results in experiments like ALPS, LIPPS, OSQAR, PVLAS-2, BMV, Q and A, etc.

  18. Anomaly induced effects in a magnetic field

    CERN Document Server

    Antoniadis, Ignatios; Ruchayskiy, O

    2008-01-01

    We consider a modification of electrodynamics by an additional light massive vector field, interacting with the photon via Chern-Simons-like coupling. This theory predicts observable effects for the experiments studying the propagation of light in an external magnetic field, very similar to those, predicted by theories of axion and axion-like particles. We discuss a possible microscopic origin of this theory from a theory with non-trivial gauge anomaly cancellation between massive and light particles (including, for example, millicharged fermions). Due to the conservation of the gauge current, the production of the new vector field is suppressed at high energies. As a result, this theory can avoid both stellar bounds (which exist for axions) and the bounds from CMB considered recently, allowing for positive results in experiments like ALPS, LIPPS, OSQAR, PVLAS-2, BMV, Q&A, etc.

  19. Quantum gravitational anomaly as a dark matter

    CERN Document Server

    Kazinski, P O

    2015-01-01

    The general properties of a perfect relativistic fluid resulting from the quantum gravitational anomaly are investigated. It is found that, in the limit of a weak gravitational field, this fluid possesses a polytropic equation of state characterized by two universal constants: the polytropic constant and the natural polytropic index. Based on the astrophysical data, the estimates for the polytropic constant are given. It is shown that this fluid can describe a considerable part of the cold dark matter. The quantum theory of such a fluid is constructed in the framework of the background field method. The Ward identities associated with the entropy and vorticity conservation laws are derived. The leading gradient corrections to the pressure of the perfect fluid are found and the restrictions on their form are obtained. These restrictions guarantee, in particular, the absence of ghosts in the model. The second order nonlinear corrections to the equations of motion of a perfect relativistic fluid are analyzed and...

  20. Resurgent Transseries and the Holomorphic Anomaly

    CERN Document Server

    Santamaría, Ricardo Couso; Schiappa, Ricardo; Vonk, Marcel

    2013-01-01

    The gauge theoretic large N expansion yields an asymptotic series which requires a nonperturbative completion in order to be well defined. Recently, within the context of random matrix models, it was shown how to build resurgent transseries solutions encoding the full nonperturbative information beyond the 't Hooft genus expansion. On the other hand, via large N duality, random matrix models may be holographically described by B-model closed topological strings in local Calabi-Yau geometries. This raises the question of constructing the corresponding holographically dual resurgent transseries, tantamount to nonperturbative topological string theory. This paper addresses this point by showing how to construct resurgent transseries solutions to the holomorphic anomaly equations. These solutions are built upon (generalized) multi-instanton sectors, where the instanton actions are holomorphic. The asymptotic expansions around the multi-instanton sectors have both holomorphic and anti-holomorphic dependence, may a...

  1. Phenomenology of deflected anomaly-mediation

    CERN Document Server

    Rattazzi, Riccardo; Wells, J D; Rattazzi, Riccardo; Strumia, Alessandro; Wells, James D.

    2000-01-01

    We explore the phenomenology of a class of models with anomaly-mediated supersymmetry breaking. These models retain the successful flavor properties of the minimal scenario while avoiding the tachyons. The mass spectrum is predicted in terms of a few parameters. However various qualitatively different spectra are possible, often strongly different from the ones usually employed to explore capabilities of new accelerators. One stable feature is the limited spread of the spectrum, so that squarks and gluinos could be conceivably produced at TEVII. The lightest superpartner of standard particles is often a charged slepton or a neutral higgsino. It behaves as a stable particle in collider experiments but it decays at or before nucleosynthesis. We identify the experimental signatures at hadron colliders that can help distinguish this scenario from the usual ones.

  2. Leptoquark Flavor Patterns & B Decay Anomalies

    CERN Document Server

    Hiller, Gudrun; Schönwald, Kay

    2016-01-01

    Flavor symmetries that explain masses and mixings of the standard model fermions dictate flavor patterns for the couplings of scalar and vector leptoquarks to the standard model fermions. A generic feature is that couplings to $SU(2)$-doublet leptons are suppressed at least by one spurion of the discrete non-abelian symmetry breaking, responsible for neutrino mixing, while couplings to charged lepton singlets can be order one. We obtain testable patterns including those that predominantly couple to a single lepton flavor, or two, or in a skewed way. They induce lepton non-universality, which we contrast to current anomalies in $B$-decays. We find maximal effects in $R_{D}$ and $R_{D^*}$ at the level of $\\sim$10 percent and few percent, respectively, while leptoquark effects in $R_{K^{(*)}}$ can reach order few$\\times 10$ percent. Predictions for charm and kaon decays and $\\mu-e$ conversion are worked out.

  3. DEVELOPMENT OF GRAVITY BOUGUER ANOMALIES OF STATE OF OHIO AND THE ISOSTATIC ANOMALIES IN NORTH ATLANTIC IN FOURIER SERIES

    Science.gov (United States)

    Gravity anomalies were developed in Fourier series in two test areas: 2 x 3 deg area in the State of Ohio, and 10 x 35 deg area in the Atlantic...based only on the original anomaly values and the topography, and the mean gravity anomalies were estimated for the same squares as in the Fourier series method...The result is that this second manual method has smaller standard errors than the Fourier series method, and that this kind of extrapolation

  4. The revised aeromagnetic anomaly map of Italy

    Directory of Open Access Journals (Sweden)

    O. Faggioni

    2004-06-01

    Full Text Available This paper presents the revised aeromagnetic anomaly map of Italy and its surrounding seas, projected at reference altitude of 2500 m and geomagnetic epoch 1979.0. The magnetic data set used for the map compilation is composed of the total intensity field data acquired partly during the aeromagnetic surveys performed by the Italian National Oil Company (Agip - Direzione Esplorazione Idrocarburi between 1971 and 1980, and during the new surveys committed by the Geophysical Corporate Services of Eni Spa - Exploration & Production Division in the years 2001-2002. In both campaigns the recorded data were very dense and uniformly distributed over the examined area. A detailed re-processing of this data set and a re-organization into a new digital database were carried out. The re-processing was done using modern adequate techniques, obtaining a remarkable exploitation of the data information content. The result is a colour shaded relief map that shows on a large scale many of the structural lineaments of the Italian area. The inclusion of a larger number of data and the subtraction of an appropriate magnetic reference field are the main reasons of an enhancement in the anomaly definition. This new map replaces the previous Agip version, and aims to become the reference aeromagnetic cartography of the Italian area. We think this work will be useful both for researchers interested in large scale tectonic studies, and for anyone interested in the investigation of smaller scale structures, such as volcanic complexes or infra-sedimentary magnetic bodies, as well as for mining research.

  5. Determining surface wave arrival angle anomalies

    Science.gov (United States)

    Larson, Erik W. F.; Ekström, Göran

    2002-06-01

    A new method for measuring arrival angles of teleseismic Love and Rayleigh waves is developed. The new method utilizes estimates of surface wave dispersion to create a phase-matched filter to isolate the Love or Rayleigh wave in three-component recordings. The polarization of the filtered wave group is determined in the time domain by application of a variation of the complex polarization method of Vidale [1986]. Orientation, linearity, and ellipticity of particle motion are estimated in several frequency bands to determine the frequency-dependent polarization. The method employs an iterative scheme, by which a predicted Love wave, based on the estimated dispersion and polarization, is subtracted from the three-component data prior to the estimation of Rayleigh wave polarization, and vice versa. The method is applied to an extensive set of Global Seismographic Network data covering the years 1989-1998. Between 4244 and 15,075 measurements are collected for fundamental mode Love and Rayleigh waves at nine different periods (37 to 150 s). Measurement uncertainties are estimated using the statistics of observations for pairwise similar paths and are generally of the order of 15-50% of the total signal, depending on the period and the wave type. Large and azimuthally invariant angle anomalies are documented for several stations and are consistent with misorientation of the horizontal seismometers. Two schemes are employed to determine the misorientations: (1) an azimuthally weighted average at each station, and (2) a joint inversion for seismometer misorientation and globally heterogeneous phase velocities. The determined corrections are robust and correlate well with those reported in earlier studies. Azimuthally varying arrival angle anomalies are shown to agree qualitatively with predictions of wave refraction calculated for recent phase velocity maps, which explain up to 30% of the variance in the new measurements.

  6. Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Tain; Tsai, I.C.; Chen, Min-Chi [Taichung Veterans General Hospital, 407 Department of Radiology, Taichung (Taiwan); Medical College of Chung Shan Medical University, Faculty of Medicine, Taichung (Taiwan); National Yang Ming University School of Medicine, Department of Medicine, Taipei (Taiwan); Fu, Yun-Ching; Jan, Sheng-Lin [Taichung Veterans General Hospital, Department of Paediatrics, Taichung (Taiwan); National Yang-Ming University, Institute of Clinical Medicine, Taipei (Taiwan); Wang, Chung-Chi; Chang, Yen [Taichung Veterans General Hospital, Section of Cardiovascular Surgery, Department of Surgery, Taichung (Taiwan)

    2006-12-15

    Echocardiography is the first-line modality for the investigation of neonatal congenital heart disease. Diagnostic cardiac catheterization, which has a small but recognized risk, is usually performed if echocardiography fails to provide a confident evaluation of the lesions. To verify the technical and clinical feasibilities of replacing diagnostic cardiac catheterization with multidetector-row CT (MDCT) in neonatal complex congenital heart disease. Over a 1-year period we prospectively enrolled all neonates with complex congenital heart disease referred for diagnostic cardiac catheterization after initial assessment by echocardiography. MDCT was performed using a 40-detector-row CT scanner with dual syringe injection. A multidisciplinary congenital heart disease team evaluated the MDCT images and decided if further diagnostic cardiac catheterization was necessary. The accuracy of MDCT in detecting separate cardiovascular anomalies and bolus geometry of contrast enhancement were calculated. A total of 14 neonates were included in the study. No further diagnostic cardiac catheterization was needed in any neonate. The accuracy of MDCT in diagnosing separate cardiovascular anomalies was 98% (53/54) with only one atrial septal defect missed in a patient with coarctation syndrome. The average cardiovascular enhancement in evaluated chambers was 471 HU. No obvious beam-hardening artefact was observed. The technical and clinical feasibility of MDCT in complex congenital heart disease in neonates is confirmed. After initial assessment with echocardiography, MDCT could probably replace diagnostic cardiac catheterization for further anatomical clarification in neonates. (orig.)

  7. Nuclear imaging in cardiac amyloidosis

    Energy Technology Data Exchange (ETDEWEB)

    Glaudemans, A.W.J.M.; Slart, R.H.J.A.; Veltman, N.C.; Dierckx, R.A.J.O. [University Medical Center Groningen, Department of Nuclear Medicine and Molecular Imaging, Hanzeplein 1, P.O. Box 30001, Groningen (Netherlands); Zeebregts, C.J. [University Medical Center Groningen, Department of Surgery (Division of Vascular Surgery), Groningen (Netherlands); Tio, R.A. [University Medical Center Groningen, Department of Cardiology, Groningen (Netherlands); Hazenberg, B.P.C. [University Medical Center Groningen, Department of Rheumatology and Clinical Immunology, Groningen (Netherlands)

    2009-04-15

    Amyloidosis is a disease characterized by depositions of amyloid in organs and tissues. It can be localized (in just one organ) or systemic. Cardiac amyloidosis is a debilitating disease and can lead to arrhythmias, deterioration of heart function and even sudden death. We reviewed PubMed/Medline, without time constraints, on the different nuclear imaging modalities that are used to visualize myocardial amyloid involvement. Several SPECT tracers have been used for this purpose. The results with these tracers in the evaluation of myocardial amyloidosis and their mechanisms of action are described. Most clinical evidence was found for the use of {sup 123}I-MIBG. Myocardial defects in MIBG activity seem to correlate well with impaired cardiac sympathetic nerve endings due to amyloid deposits. {sup 123}I-MIBG is an attractive option for objective evaluation of cardiac sympathetic level and may play an important role in the indirect measurement of the effect of amyloid myocardial infiltration. Other, less sensitive, options are {sup 99m}Tc-aprotinin for imaging amyloid deposits and perhaps {sup 99m}Tc-labelled phosphate derivatives, especially in the differential diagnosis of the aetiology of cardiac amyloidosis. PET tracers, despite the advantage of absolute quantification and higher resolution, are not yet well evaluated for the study of cardiac amyloidosis. Because of these advantages, there is still the need for further research in this field. (orig.)

  8. Cardiac Penetrating Injuries and Pseudoaneurysm

    Institute of Scientific and Technical Information of China (English)

    CHEN Shifeng

    2002-01-01

    Objective To discuss the early diagnosis and treatment of cardiac penetrating injuries and pseudoaneurysm. Methods 18 cases of cardiac penetrating injuries, in which 2 cases were complicated with pseudoaneurysm, were diagnosed by emergency operation and color Doppler echocardiography between May 1973 and Dec. 2001 in our hospital. The basis for emergency operation is the injured path locating in cardiac dangerous zone, severe shock or pericardial tamponade. ResultsAmong 18 cases of this study, 17 cases underwent emergency operation. During the operation, 11 cases were found injured in right ventricle, 2 cases were found injured in right atrium, 1 case was found injured in pulmonary artery,4 cases were found injured in left ventricle, 2 cases were found complicated with pseudoaneurysm. 17cases underwent cardiac repair including 1 case of rupture of aneurysm. 1 case underwent elective aneurysm resection. In whole group, 15 cases survived(83.33% ), 3 cases died( 16.67%). The cause of death is mainly hemorrhagic shock. Conclusion Highly suspicious cardiac penetrating injuries or hemopericaridium should undergo direct operative exploration. Pseudoaneurysm should be resected early,which can prevent severe complications.

  9. Exercise-induced cardiac remodeling.

    Science.gov (United States)

    Weiner, Rory B; Baggish, Aaron L

    2012-01-01

    Early investigations in the late 1890s and early 1900s documented cardiac enlargement in athletes with above-normal exercise capacity and no evidence of cardiovascular disease. Such findings have been reported for more than a century and continue to intrigue scientists and clinicians. It is well recognized that repetitive participation in vigorous physical exercise results in significant changes in myocardial structure and function. This process, termed exercise-induced cardiac remodeling (EICR), is characterized by structural cardiac changes including left ventricular hypertrophy with sport-specific geometry (eccentric vs concentric). Associated alterations in both systolic and diastolic functions are emerging as recognized components of EICR. The increasing popularity of recreational exercise and competitive athletics has led to a growing number of individuals exhibiting these findings in routine clinical practice. This review will provide an overview of EICR in athletes.

  10. Electrophysiological Cardiac Modeling: A Review.

    Science.gov (United States)

    Beheshti, Mohammadali; Umapathy, Karthikeyan; Krishnan, Sridhar

    2016-01-01

    Cardiac electrophysiological modeling in conjunction with experimental and clinical findings has contributed to better understanding of electrophysiological phenomena in various species. As our knowledge on underlying electrical, mechanical, and chemical processes has improved over time, mathematical models of the cardiac electrophysiology have become more realistic and detailed. These models have provided a testbed for various hypotheses and conditions that may not be easy to implement experimentally. In addition to the limitations in experimentally validating various scenarios implemented by the models, one of the major obstacles for these models is computational complexity. However, the ever-increasing computational power of supercomputers facilitates the clinical application of cardiac electrophysiological models. The potential clinical applications include testing and predicting effects of pharmaceutical agents and performing patient-specific ablation and defibrillation. A review of studies involving these models and their major findings are provided.

  11. Maternal age-specific risk of non-chromosomal anomalies

    NARCIS (Netherlands)

    Loane, M.; Dolk, H.; Morris, Joan K.

    2009-01-01

    To determine the excess risk of non-chromosomal congenital anomaly (NCA) among teenage mothers and older mothers. Population-based prevalence study using data from EUROCAT congenital anomaly registers in 23 regions of Europe in 15 countries, covering a total of 1.75 million births from 2000 to 2004.

  12. Online Anomaly Energy Consumption Detection Using Lambda Architecture

    DEFF Research Database (Denmark)

    Liu, Xiufeng; Iftikhar, Nadeem; Nielsen, Per Sieverts;

    2016-01-01

    With the widely use of smart meters in the energy sector, anomaly detection becomes a crucial mean to study the unusual consumption behaviors of customers, and to discover unexpected events of using energy promptly. Detecting consumption anomalies is, essentially, a real-time big data analytics p...

  13. A Correlation between Renal Anomalies and Vesicoureteral Reflux

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seung Soo; Kim, Young Tong; Kim, Il Young; Shin, Hyeong Cheol [Dept. of Radiology, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan (Korea, Republic of)

    2011-12-15

    To investigate the frequency of vesicoureteral reflux (VUR) in children with renal anomalies a evaluate the correlation between renal anomalies and VUR. Eighty-one children (1 day-8 years) with renal anomalies underwent voiding cystourethrogram between 2006 and 2009 were reviewed. This study included ureteropelvic junction stenosis (n = 32), ureteropelvic duplication (n = 20), multicystic dysplastic kidney (n = 12), fusion anomaly (n = 11), renal agenesis (n = 3), unilateral renal hypoplasia (n = 2), and ectopic kidney (n = 1). The frequency, grade, and location of VUR were evaluated. The grade of VUR according to age and anomaly type was statistically analyzed, and the patients with VUR were followed. The VUR was present in 14 (17.3%); ipsilateral VUR was present in 8 (57.1%), bilateral VUR in 4 (28.6%), and contralateral VUR in 2 (14.2%). VUR was detected in 9 patients under the age of one. There was no statistical correlation between VUR grade and either age or anomaly type of the nine patients showed continuous VUR on up. The frequency of VUR in children with renal anomalies was 17.3%. VUR was most frequently detected in children under the age of one, and VUR grade was not related to age and anomaly type.

  14. Turtle carapace anomalies: the roles of genetic diversity and environment.

    Directory of Open Access Journals (Sweden)

    Guillermo Velo-Antón

    Full Text Available BACKGROUND: Phenotypic anomalies are common in wild populations and multiple genetic, biotic and abiotic factors might contribute to their formation. Turtles are excellent models for the study of developmental instability because anomalies are easily detected in the form of malformations, additions, or reductions in the number of scutes or scales. METHODOLOGY/PRINCIPAL FINDINGS: In this study, we integrated field observations, manipulative experiments, and climatic and genetic approaches to investigate the origin of carapace scute anomalies across Iberian populations of the European pond turtle, Emys orbicularis. The proportion of anomalous individuals varied from 3% to 69% in local populations, with increasing frequency of anomalies in northern regions. We found no significant effect of climatic and soil moisture, or climatic temperature on the occurrence of anomalies. However, lower genetic diversity and inbreeding were good predictors of the prevalence of scute anomalies among populations. Both decreasing genetic diversity and increasing proportion of anomalous individuals in northern parts of the Iberian distribution may be linked to recolonization events from the Southern Pleistocene refugium. CONCLUSIONS/SIGNIFICANCE: Overall, our results suggest that developmental instability in turtle carapace formation might be caused, at least in part, by genetic factors, although the influence of environmental factors affecting the developmental stability of turtle carapace cannot be ruled out. Further studies of the effects of environmental factors, pollutants and heritability of anomalies would be useful to better understand the complex origin of anomalies in natural populations.

  15. Anomalies in B-decays and U(2) flavor symmetry

    Energy Technology Data Exchange (ETDEWEB)

    Barbieri, Riccardo [Institute of Theoretical Studies, Zurich (Switzerland); Scuola Normale Superiore, INFN, Pisa (Italy); Isidori, Gino [Universitaet Zuerich, Physik-Institut, Zurich (Switzerland); Laboratori Nazionali di Frascati, INFN, Frascati (Italy); Pattori, Andrea [Universitaet Zuerich, Physik-Institut, Zurich (Switzerland); Universita di Padova, Dipartimento di Fisica e Astronomia ' G. Galilei' , Padua (Italy); Senia, Fabrizio [Scuola Normale Superiore, INFN, Pisa (Italy)

    2016-02-15

    The collection of a few anomalies in semileptonic B-decays invites to speculate about the emergence of some strikingly new phenomena. Here we offer a possible interpretation of these anomalies in the context of a weakly broken U(2){sup 5} flavor symmetry and leptoquark mediators. (orig.)

  16. Multicriteria Similarity-Based Anomaly Detection Using Pareto Depth Analysis.

    Science.gov (United States)

    Hsiao, Ko-Jen; Xu, Kevin S; Calder, Jeff; Hero, Alfred O

    2016-06-01

    We consider the problem of identifying patterns in a data set that exhibits anomalous behavior, often referred to as anomaly detection. Similarity-based anomaly detection algorithms detect abnormally large amounts of similarity or dissimilarity, e.g., as measured by the nearest neighbor Euclidean distances between a test sample and the training samples. In many application domains, there may not exist a single dissimilarity measure that captures all possible anomalous patterns. In such cases, multiple dissimilarity measures can be defined, including nonmetric measures, and one can test for anomalies by scalarizing using a nonnegative linear combination of them. If the relative importance of the different dissimilarity measures are not known in advance, as in many anomaly detection applications, the anomaly detection algorithm may need to be executed multiple times with different choices of weights in the linear combination. In this paper, we propose a method for similarity-based anomaly detection using a novel multicriteria dissimilarity measure, the Pareto depth. The proposed Pareto depth analysis (PDA) anomaly detection algorithm uses the concept of Pareto optimality to detect anomalies under multiple criteria without having to run an algorithm multiple times with different choices of weights. The proposed PDA approach is provably better than using linear combinations of the criteria, and shows superior performance on experiments with synthetic and real data sets.

  17. EUROCAT website data on prenatal detection rates of congenital anomalies

    DEFF Research Database (Denmark)

    Garne, Ester; Dolk, Helen; Loane, Maria

    2010-01-01

    The EUROCAT website www.eurocat-network.eu publishes prenatal detection rates for major congenital anomalies using data from European population-based congenital anomaly registers, covering 28% of the EU population as well as non-EU countries. Data are updated annually. This information can...

  18. Chiral anomalies in N=1 supersymmetric Yang-Mills theories

    Energy Technology Data Exchange (ETDEWEB)

    Girardi, G.; Grimm, R.; Stora, R. (Grenoble-1 Univ., 74 - Annecy (France). Lab. de Physique des Particules)

    1985-06-20

    We establish a manifestly supersymmetric, compact, formula for the chiral anomalies of supersymmetric gauge theories. This result is obtained by combining superspace geometry with the usual algebra of anomalies. Except for a Wess-Zumino type term, we obtain an expression which is polynomial in the coefficients of the superconnection form.

  19. Predictive Anomaly Management for Resilient Virtualized Computing Infrastructures

    Science.gov (United States)

    2015-05-27

    SECURITY CLASSIFICATION OF: Large-scale distributed virtualized computing infrastructures have become important platforms for many critical real-world...explored various online system anomaly prediction and cause inference schemes using unsupervised machine learning methods. We tested our algorithms...14/2012 9.00 Hiep Nguyen, Daniel Dean, Xiaohui Gu. UBL: Unsupervised Behavior Learning for Predicting Performance Anomalies in Virtualized Cloud

  20. Present Status of b -> s l+ l- Anomalies

    CERN Document Server

    Mahmoudi, Farvah; Neshatpour, Siavash

    2016-01-01

    We discuss the observed deviations in b -> s l+ l- processes from the Standard Model predictions and present global fits for the New Physics description of these anomalies. We further investigate the stability of the global fits under different theoretical assumptions and suggest strategies and a number of observables to clear up the source of the anomalies.