WorldWideScience

Sample records for assisted treatment study

  1. NAOMI: The trials and tribulations of implementing a heroin assisted treatment study in North America

    Directory of Open Access Journals (Sweden)

    Laliberté Nancy

    2009-01-01

    Full Text Available Abstract Background Opioid addiction is a chronic, relapsing disease and remains a major public health challenge. Despite important expansions of access to conventional treatments, there are still significant proportions of affected individuals who remain outside the reach of the current treatment system and who contribute disproportionately to health care and criminal justice costs as well as to public disorder associated with drug addiction. The NAOMI study is a Phase III randomized clinical trial comparing injectable heroin maintenance to oral methadone. The study has ethics board approval at its Montréal and Vancouver sites, as well as from the University of Toronto, the New York Academy of Medicine and Johns Hopkins University. The main objective of the NAOMI Study is to determine whether the closely supervised provision of injectable, pharmaceutical-grade opioid agonist is more effective than methadone alone in recruiting, retaining, and benefiting chronic, opioid-dependent, injection drug users who are resistant to current standard treatment options. Methods The case study submitted chronicles the challenges of getting a heroin assisted treatment trial up and running in North America. It describes: a brief background on opioid addiction; current standard therapies for opioid addiction; why there is/was a need for a heroin assisted treatment trial; a description of heroin assisted treatment; the beginnings of creating the NAOMI study in North America; what is the NAOMI study; the science and politics of the NAOMI study; getting NAOMI started in Canada; various requirements and restrictions in getting the study up and running; recruitment into the study; working with the media; a status report on the study; and a brief conclusion from the authors' perspectives. Results and conclusion As this is a case study, there are no specific results or main findings listed. The case study focuses on: the background of the study; what it took to get

  2. Corticotomy-assisted orthodontic treatment

    OpenAIRE

    Hassan, Ali H; Al-Saeed, Samar H; Al-Maghlouth, Basma A.; Bahammam, Maha A.; Linjawi, Amal I; El-Bialy, Tarek H

    2015-01-01

    Objectives: To systematically review the literature to assess the quality of evidence related to corticotomy-assisted orthodontic treatment (CAOT) as adjunctive treatment in orthodontics. Methods: The study was conducted in the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2013 and 2014. Various electronic databases were searched and abstracts were retrieved. Defined inclusion criteria were then applied to the obtained original articles for further evaluation b...

  3. Case study of radiation therapy treatment of a patient with a cardiac ventricular assist device.

    Science.gov (United States)

    Lasher, Donette E; Wojcicka, Jadwiga B; Malcom, Ronald; Shears, Lawrence L

    2008-01-01

    A patient with a cardiac ventricular assist device (VAD) with computer-controlled driver presented to our department for radiation therapy. The treatment plan was 4500 cGy to the rectum over 25 fractions with 15MV photon beams. All beams avoided the pump and leads. The response to electromagnetic interference (EMI) was evaluated by observing a duplicate driver in the treatment configuration as the patient's fields were delivered to a solid water equivalent phantom. Pretreatment dose assessment included calculations with Pinnacle treatment planning system, AAPM TG36 data analysis, and MOSFET measurements on the surface of the driver during the phantom irradiation. During the first patient treatment, MOSFETs were placed on the pump and leads, approximately 1cm from the left lateral treatment portal. No additional shielding was applied to the VAD. EMI was absent and the VAD operated normally during the pretreatment test and throughout the treatment course. Radiation to the driver was too low to be detected by the MOSFETS. Cumulative dose estimates to the pump were 425 cGy to 0.1cc (DVH), 368 cGy (TG36), and 158.5 cGy (MOSFET). MOSFET readings to the leads were 70.5 cGy. External beam radiation treatment was safely delivered to a VAD dependent patient. The VAD exhibited no adverse response to EMI and doses up to 425 cGy. Our results are based on one case and further study is encouraged. PMID:19020490

  4. Horse Assisted Therapy and Self-esteem - The impact of Horse Assisted Therapy on self-esteem: A study involving youth in treatment for substance use disorder

    OpenAIRE

    Jordhøy, Maia Camilla

    2014-01-01

    Background: There are many claims in the horse therapy related literature of the beneficial effect of horse assisted therapy. I wanted to examine one of the most frequent claims, namely improved self-esteem. This study, therefore aimed to investigate whether a Horse Assisted Therapy intervention had any influence on the level of self-esteem in young patients undergoing treatment for substance use disorder in Norway. Design, setting and participants: This is a quantitative study which used bas...

  5. Corticotomy-assisted orthodontic treatment

    Science.gov (United States)

    Hassan, Ali H.; Al-Saeed, Samar H.; Al-Maghlouth, Basma A.; Bahammam, Maha A.; Linjawi, Amal I.; El-Bialy, Tarek H.

    2015-01-01

    Objectives: To systematically review the literature to assess the quality of evidence related to corticotomy-assisted orthodontic treatment (CAOT) as adjunctive treatment in orthodontics. Methods: The study was conducted in the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2013 and 2014. Various electronic databases were searched and abstracts were retrieved. Defined inclusion criteria were then applied to the obtained original articles for further evaluation by 2 examiners independently. The criteria of selection included human, or animal studies, which assessed some aspects of CAOT and/or the biological principles behind it. Case reports and series were excluded. The quality of the studies was evaluated by the methodological score for clinical trials developed. Results: Fourteen articles were retrieved initially, but only 12 articles were finally selected for the study. The CAOT was found to accelerate tooth movement by 2-2.5 folds when compared with conventional orthodontic tooth movement. The CAOT was found safe on periodontal health and exhibits no or little risk of root resorption. A localized turnover of alveolar spongiosa and the absence of a hyalinized zone was the acceptable biological explanation of CAOT. There is no evidence to support that CAOT enhances the movement of ankylosed teeth, closing old extraction sites, post-orthodontic stability, or transverse expansion. Conclusions: Corticotomy-assisted orthodontic treatment should be considered with caution. Long term randomized clinical trials are still needed. PMID:26108582

  6. Clinical study on microsurgical treatment of lumbar disc herniation assisted by METRx system

    Directory of Open Access Journals (Sweden)

    Xin-gang ZHAO

    2016-04-01

    Full Text Available Objective To explore the techniques and curative effect of microsurgical procedures assisted by minimal exposure tubular retractor system (METRx in the treatment of lumbar disc herniation (LDH.  Methods A total of 51 LDH patients, including 24 patients with L4-5 herniation and 27 patients with L5-S1 herniation, underwent discectomy assisted by METRx system. The operation time, intraoperative blood loss, postoperative complications and hospital stay were recorded. Visual Analogue Scale (VAS and Oswestry Disability Index (ODI were used to evaluate the degree of low back pain before operation, one week, 3 months after operation, and in the last follow-up. Lumbar MRI was used to evaluate the decompression of spinal canal.  Results The success rate of operations in 51 cases was 98.04% (50/51. The average operation time was 125 min, the average intraoperative blood loss was 50 ml, the mean hospital stay was 5 d, all patients were followed up for 6-48 months (average 24 months. Compared with preoperation, both VAS and ODI scores decreased significantly one week after operation (P = 0.036, 0.029, 3 months after operation (P = 0.018, 0.023 and in the last follow-up (P = 0.007, 0.013. The improvement rate of ODI was 35.37% in the last follow-up. No infection, postoperative cerebrospinal fluid (CSF fistula, neurological defects or incision infection was found. One patient presented acute abdominalgia on the 2nd day after operation, and was diagnosed as annexitis. One patient showed nerve root irritation symptoms after operation caused by thick nerve root during the surgery. They were cured after symptomatic treatment.  Conclusions Microsurgical procedures for treating LDH assisted by METRx system can effectively relieve nerve root compression, protect the dural sac and nerve roots, and reduce surgical complications. DOI: 10.3969/j.issn.1672-6731.2016.04.008

  7. Corticotomy-Assisted Orthodontic Treatment: Review

    OpenAIRE

    Hassan, Ali H; Al-Fraidi, Ahmad A; Al-Saeed, Samar H

    2010-01-01

    Corticotomy-assisted orthodontic treatment is an established and efficient orthodontic technique that has recently been studied in a number of publications. It has gradually gained popularity as an adjunct treatment option for the orthodontic treatment of adults. It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is ...

  8. NAOMI: The trials and tribulations of implementing a heroin assisted treatment study in North America

    OpenAIRE

    Laliberté Nancy; Oviedo-Joekes Eugenia; Gartry Candice C; Schechter Martin T

    2009-01-01

    Abstract Background Opioid addiction is a chronic, relapsing disease and remains a major public health challenge. Despite important expansions of access to conventional treatments, there are still significant proportions of affected individuals who remain outside the reach of the current treatment system and who contribute disproportionately to health care and criminal justice costs as well as to public disorder associated with drug addiction. The NAOMI study is a Phase III randomized clinica...

  9. Mobile platform for treatment of stroke: A case study of tele-assistance

    Science.gov (United States)

    Torres Zenteno, Arturo Henry; Fernández, Francisco; Palomino-García, Alfredo; Moniche, Francisco; Escudero, Irene; Jiménez-Hernández, M Dolores; Caballero, Auxiliadora; Escobar-Rodriguez, Germán; Parra, Carlos

    2015-01-01

    This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed according to the reference model of the CEN/ISO 13606, messages content follows the structure of archetypes. An XDS-b (Cross-Enterprise Document Sharing-b) transaction messaging has been designed according to Integrating the Healthcare Enterprise profile for archetype notifications and update enquiries.This research has been performed by a multidisciplinary group. The Virgen del Rocío University Hospital acts as Reference Hospital and the Public Company for Healthcare as mobility surroundings. PMID:25975806

  10. Mobile platform for treatment of stroke: A case study of tele-assistance.

    Science.gov (United States)

    Torres Zenteno, Arturo Henry; Fernández, Francisco; Palomino-García, Alfredo; Moniche, Francisco; Escudero, Irene; Jiménez-Hernández, M Dolores; Caballero, Auxiliadora; Escobar-Rodriguez, Germán; Parra, Carlos

    2016-09-01

    This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed according to the reference model of the CEN/ISO 13606, messages content follows the structure of archetypes. An XDS-b (Cross-Enterprise Document Sharing-b) transaction messaging has been designed according to Integrating the Healthcare Enterprise profile for archetype notifications and update enquiries.This research has been performed by a multidisciplinary group. The Virgen del Rocío University Hospital acts as Reference Hospital and the Public Company for Healthcare as mobility surroundings. PMID:25975806

  11. Ultrasound-Assisted Mental Nerve Block and Pulsed Radiofrequency Treatment for Intractable Postherpetic Neuralgia: Three Case Studies

    OpenAIRE

    Park, Hae Gyun; Park, Pyung Gul; Kim, Won Joong; Park, Yong Hee; Kang, Hyun; Baek, Chong Wha; Jung, Yong Hun; Woo, Young Cheol; Koo, Gill Hoi; Shin, Hwa Yong

    2013-01-01

    Postherpetic neuralgia (PHN) is one of the most difficult pain syndromes to treat. Invasive treatments may be considered when patients fail to obtain adequate pain relief from noninvasive treatment approaches. Here, we present three cases of PHN in the mandibular branch treated with ultrasound-assisted mental nerve block and pulsed radiofrequency treatment. None of the patients had adequate pain relief from the medical therapy, so we performed the mental nerve block on the affected side under...

  12. Corticotomy-assisted orthodontic treatment: review.

    Science.gov (United States)

    Hassan, Ali H; Al-Fraidi, Ahmad A; Al-Saeed, Samar H

    2010-01-01

    Corticotomy-assisted orthodontic treatment is an established and efficient orthodontic technique that has recently been studied in a number of publications. It has gradually gained popularity as an adjunct treatment option for the orthodontic treatment of adults. It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement. This technique has several advantages, including faster tooth movement, shorter treatment time, safer expansion of constricted arches, enhanced post-orthodontic treatment stability and extended envelope of tooth movement. The aim of this article is to present a comprehensive review of the literature, including historical background, contemporary clinical techniques, indications, contraindications, complications and side effects. PMID:21228919

  13. Non-Conventional Plasma Assisted Catalysts for Diesel Exhaust Treatment: A Case Study

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    This paper reports the application of pulse discharges along with catalysts in treating the exhaust gas at higher temperatures. In the present work a plasma reactor, filled with catalysts, called as plasma catalytic reactor, is studied for removal of oxides of nitrogen, total hydrocarbons and carbon monoxide. The experiments are conducted on an actual diesel engine exhaust at no-load and at different temperatures starting from room temperature to 300℃. The removal efficiencies of these pollutants are studied. The experiments are carried out with both conventional and non-conventional catalysts. The idea is to explore the pollutant removal efficiency characteristics by non-conventional catalysts. The efficiency results are compared with that of conventional catalysts. The experiments are carried out at a constant pulse repetition rate of 120 pps. Both pellet and honeycomb type catalysts are used in the study.

  14. REVIEW ON PERIODONTALLY ASSISTED ORTHODONTICS TREATMENT

    Directory of Open Access Journals (Sweden)

    Ayesha

    2014-05-01

    Full Text Available It is well known that most of the orthodontic treatments require more time for completion of the treatment. This technique literally accelerates the orthodontic corrections. Periodontally - assisted orthodontic treatment is an established and efficient orthodontic technique that has recently been studied in a number of publications. It has gradually gained popularity as an adjunct treatment option for the orthodontic treatment of adults. It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement. Orthodontic treatment time with this technique will be reduced to one-third the time of conventional orthodontics. This technique has several advantages, including faster tooth movement, shorter treatment time, and safer expansion of constricted arches, enhanced post-orthodontic treatment stability and extended envelope of tooth movement. The aim of this article is to present a comprehensive review of the literature, including historical background, contemporary clinical techniques, indications, contraindications, complications and side effects.

  15. Assisted reproductive technology treatment outcomes.

    LENUS (Irish Health Repository)

    Naasan, M

    2012-05-01

    Information on the outcomes of ART treatments in Ireland is not readily available to Irish practitioners. The data for hospital affiliated clinics has been made available for many years and is included in the hospital reports. We present a 10-year analysis of the Irish ART results voluntarily reported by six out of seven IVF clinics. The data was collected from published ESHRE reports and from results (2007-8) not yet published. Data collected included: number of clinics and ART cycles, female age, clinical and multiple pregnancy rates and treatment complications. The clinical pregnancy rate per embryo transfer was 31.7% for IVF and 29.8% for ICSI. The proportion of singleton, twin and triplet deliveries for IVF and ICSI combined was 75%, 23.35% and 1.64%. The rate of ovarian hyperstimulation was 0.8%. ART practice in Ireland is safe, effective and responsible. Financial and societal savings could result from the introduction of state funded IVF with compulsory eSET where recommended.

  16. An exploratory pilot study to assess self-perceived changes among social assistance recipients regarding employment prospects after receiving dental treatment

    OpenAIRE

    Singhal, Sonica; Mamdani, Muhammad; Mitchell, Andrew; Tenenbaum, Howard; Quiñonez, Carlos

    2015-01-01

    Background Strengthening self-efficacy in job-seeking among individuals with dental problems has been identified as an important factor in facilitating job procurement and maintenance. There is no knowledge about whether receiving dental treatment improves someone’s self-efficacy in seeking a job. This work explores this relationship. Methods An exploratory pilot study of a convenience sample of 30 social assistance recipients of Ontario, Canada, was conducted using a pre- and post-dental tre...

  17. The effect of an expressive writing intervention (EWI) on stress in infertile couples undergoing assisted reproductive technlogy (ART) treatment: A randomized controlled pilot study

    DEFF Research Database (Denmark)

    Matthiesen, Signe Maria Schneevoigt; Klonoff-Cohen, Hillary; Zachariae, Robert;

    2012-01-01

    Objectives. Infertile couples undergoing fertility treatments may experience stress and could benefit from psychological intervention. Expressive Writing Intervention (EWI) has shown promising results on various psychological outcomes, yet only one study has applied the method to infertility......-related stress. Our aim was to assess feasibility and effectiveness of EWI for patients in treatment with Assisted Reproductive Technology (ART). Design and participants. Patients enrolling in their first ART treatment at the fertility clinic, Aarhus University Hospital, Denmark were offered to participate. A...... total of 82 participants (45 women, 37 men), mean age: 33.17, were randomized to home-based EWI or neutral writing control group and completed an infertility-related stress questionnaire at treatment enrollment, 3 weeks later (at the time of down regulation), and 6 weeks after the intervention. The...

  18. Studying the Relationship between the Attitude to Infertility and Coping Strategies in Couples Undergoing Assisted Reproductive Treatments

    OpenAIRE

    Yazdani, Fatemeh; Kazemi, Ashraf; Ureizi-Samani, Hamid Reza

    2016-01-01

    Background: Using appropriate coping strategies has a positive influence on moderating mental pressures caused by infertility and the stress during treatment. Using these strategies needs personal skills and they could be influenced by individual's inner psychological and environmental factors. The aim of this study was to assess the relationship between the attitude toward infertility and coping strategies considering the couple's social and financial situation. Methods: This was a cross sec...

  19. SuperAssist: Personal assistants for cooperative healthcare treatment

    NARCIS (Netherlands)

    Haan, G. de; Mast, C.A.P.G. van der; Blanson Henkemans, O.; Neerincx, M.A.

    2005-01-01

    Human-computer interaction, tele-medicine, supervision, personalization, ambient intelligence, health care, personal assistants, cooperative problem-solving. ABSTRACT This paper describes the research plans in the SuperAssist project, introducing personal assistants in the care of diabetes patients,

  20. Computer-Assisted Exposure Treatment for Flight Phobia

    Science.gov (United States)

    Tortella-Feliu, Miguel; Bornas, Xavier; Llabres, Jordi

    2008-01-01

    This review introduces the state of the art in computer-assisted treatment for behavioural disorders. The core of the paper is devoted to describe one of these interventions providing computer-assisted exposure for flight phobia treatment, the Computer-Assisted Fear of Flying Treatment (CAFFT). The rationale, contents and structure of the CAFFT…

  1. Heroin assisted treatment and research networks

    DEFF Research Database (Denmark)

    Houborg, Esben; Munksgaard, Rasmus

    2015-01-01

    Purpose – The purpose of this paper is to map research communities related to heroin-assisted treatment (HAT) and the scientific network they are part of to determine their structure and content. Design/methodology/approach – Co-authorship as the basis for conducting social network analysis with....... In total, 11 research communities were constructed with different scientific content. HAT research communities are closely connected to medical, psychiatric, and epidemiological research and very loosely connected to social research. Originality/value – The first mapping of the collaborative network...... HAT researchers using social network methodology...

  2. Laser-assisted treatment of dentinal hypersensitivity: a literature review

    Science.gov (United States)

    Biagi, Roberto; Cossellu, Gianguido; Sarcina, Michele; Pizzamiglio, Ilaria Tina; Farronato, Giampietro

    2015-01-01

    Summary The purpose of this literature review was to evaluate the effectiveness of the laser-assisted treatment of dentinal hypersensitivity. A review with inclusion and exclusion criteria was performed from January 2009 to December 2014 with electronic data-bases: MedLine via PubMed, Science Direct and Cochrane Library. Research of paper magazines by hand was not considered. Forty-three articles were selected between literature reviews, in vitro studies, clinical trials, pilot and preliminary studies. The items were divided into laser-used groups for an accurate description, and then the reading of results into various typologies. Laser-assisted treatment reduces dentinal hypersensitivity-related pain, but also a psychosomatic component must be considered, so further studies and more suitable follow-ups are necessary. PMID:26941892

  3. Landfill leachate treatment in assisted landfill bioreactor

    Institute of Scientific and Technical Information of China (English)

    HE Pin-jing; QU Xian; SHAO Li-ming; LEE Duu-jong

    2006-01-01

    Landfill is the major disposal route of municipal solid waste(MSW) in most Asian countries. Leachate from landfill presents a strong wastewater that needs intensive treatment before discharge. Direct recycling was proposed as an effective alternative for leachate treatment by taking the landfill as a bioreactor. This process was proved not only considerably reducing the pollution potential of leachate, but also enhancing organic degradation in the landfill. However, as this paper shows, although direct leachate recycling was effective in landfilled MSW with low food waste fraction (3.5%, w/w), it failed in MSW containing 54% food waste, as normally noted in Asian countries. The initial acid stuck would inhibit methanogenesis to build up, hence strong leachate was yielded from landfill to threaten the quality of receiving water body. We demonstrated the feasibility to use an assisted bioreactor landfill, with a well-decomposed refuse layer as ex-situ anaerobic digester to reducing COD loading in leachate. By doing so, the refuse in simulated landfill column (2.3 m high) could be stabilized in 30 weeks while the COD in leachate reduced by 95%(61000 mg/L to 3000 mg/L). Meanwhile, the biogas production was considerably enhanced, signaling by the much greater amount and much higher methane content in the biogas.

  4. Landfill leachate treatment in assisted landfill bioreactor.

    Science.gov (United States)

    He, Pin-Jing; Qu, Xian; Shao, Li-Ming; Lee, Duu-Jong

    2006-01-01

    Landfill is the major disposal route of municipal solid waste (MSW) in most Asian countries. Leachate from landfill presents a strong wastewater that needs intensive treatment before discharge. Direct recycling was proposed as an effective alternative for leachate treatment by taking the landfill as a bioreactor. This process was proved not only considerably reducing the pollution potential of leachate, but also enhancing organic degradation in the landfill. However, as this paper shows, although direct leachate recycling was effective in landfilled MSW with low food waste fraction (3.5%, w/w), it failed in MSW containing 54% food waste, as normally noted in Asian countries. The initial acid stuck would inhibit methanogenesis to build up, hence strong leachate was yielded from landfill to threaten the quality of receiving water body. We demonstrated the feasibility to use an assisted bioreactor landfill, with a well-decomposed refuse layer as ex-situ anaerobic digester to reducing COD loading in leachate. By doing so, the refuse in simulated landfill column (2.3 m high) could be stabilized in 30 weeks while the COD in leachate reduced by 95% (61000 mg/L to 3000 mg/L). Meanwhile, the biogas production was considerably enhanced, signaling by the much greater amount and much higher methane content in the biogas. PMID:20050569

  5. Outcome of long-term heroin-assisted treatment offered to chronic, treatment-resistant heroin addicts in the Netherlands

    NARCIS (Netherlands)

    P. Blanken; V.M. Hendriks; J.M. van Ree; W. van den Brink

    2010-01-01

    Aims To describe 4-year treatment retention and treatment response among chronic, treatment-resistant heroin-dependent patients offered long-term heroin-assisted treatment (HAT) in the Netherlands. Design Observational cohort study. Setting and intervention Out-patient treatment in specialized heroi

  6. Assisted reproductive technology (ART) treatment in women with schizophrenia or related psychotic disorder

    DEFF Research Database (Denmark)

    Ebdrup, Ninna H; Assens, Maria; Hougaard, Charlotte O;

    2014-01-01

    To determine the prevalence rate of women with a diagnosis of schizophrenia or related psychotic disorder in assisted reproductive technology (ART) treatment and to study these women's fertility treatment outcome in comparison to women with no psychotic disorders.......To determine the prevalence rate of women with a diagnosis of schizophrenia or related psychotic disorder in assisted reproductive technology (ART) treatment and to study these women's fertility treatment outcome in comparison to women with no psychotic disorders....

  7. Assisted reproductive technology treatment in women with severe eating disorders

    DEFF Research Database (Denmark)

    Assens, Maria; Ebdrup, Ninna H; Pinborg, Anja;

    2015-01-01

    INTRODUCTION: This national retrospective cohort study investigates the prevalence of women with severe eating disorders in assisted reproductive technology (ART) treatment compared with an age-matched background population without ART treatment. It assesses the frequency distribution of the first...... and last eating disorder diagnosis before, during, and after ART treatment, and evaluates differences in obstetric outcomes between women with and without a severe eating disorder. MATERIAL AND METHODS: Hospital-diagnosed eating disorders among 42 915 women in the Danish National ART cohort (DANAC......), registered during 1994-2009 in the mandatory Psychiatric Central Research Register, were compared with a non-eating disorder ART cohort of 42 644 women and an age-matched background population of 215 290 women without a history of ART treatment for the main outcome measures prevalence of eating disorders...

  8. Equine Assisted Couples Therapy: An Exploratory Study

    OpenAIRE

    Ham, Taylor Marie

    2013-01-01

    Equine assisted psychotherapy (EAP) is an emerging experiential methodologythat has recently gained recognition as a method for addressing a range of presentingproblems for a wide variety of client populations. Couples therapy is one area that thepractice of equine assisted psychotherapy has recently gained traction. This studydescribes the practice of equine assisted couples therapy in terms of practitionercharacteristics, approach to treatment, therapeutic goals and outcomes. Mental healthp...

  9. Deficiencies in reporting results of lesbians and gays after donor intrauterine insemination and assisted reproductive technology treatments: a review of the first emerging studies.

    Science.gov (United States)

    Tarín, Juan J; García-Pérez, Miguel A; Cano, Antonio

    2015-01-01

    At a time when increasing numbers of lesbians and gays consider parenthood using reproductive assistance in infertility centers, the present review aims to summarize the results obtained so far by lesbians after intrauterine insemination (IUI) and in-vitro fertilization (IVF) using donor spermatozoa (D-IUI and D-IVF, respectively) and gays entering into gestational-surrogacy programs. Data show that gays display normal semen parameters and lesbians exhibit no specific causes of female infertility except perhaps for polycystic ovary syndrome (PCOS) and some PCOS-related factors. Pair-bonded lesbians entering into D-IUI programs, tend to have higher pregnancy and delivery percentages following spontaneous or induced ovulation than single or pair-bound heterosexual women. The only single study reporting success percentages of lesbians after D-IVF provides, however, puzzling results. In particular, pair-bonded lesbians have lower pregnancy and live-birth percentages than pair-bonded heterosexual women in fresh D-IVF cycles but percentages are similar in frozen/thawed D-IVF cycles. Like in lesbians after D-IUI, surrogate women recruited by pair-bonded gays/single men tend to have higher pregnancy percentages and lower miscarriage percentages than surrogate women recruited by heterosexual couples. Notably, all the reports reviewed in the present study are methodologically flawed because of sampling bias, small sample sizes and inadequate use of statistical methods to control for the effects of influential covariates including age, smoking habits, previous gynecological problems, hormonal stimulation type and protocol, and number of prior treatment types and pregnancies/deliveries. Clinicians, reproductive biologists and editors of fertility/infertility journals should make efforts to prevent these deficiencies in future data reporting. PMID:26022418

  10. Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint

    Science.gov (United States)

    Braun, Sepp; Beitzel, Knut; Buchmann, Stefan; Imhoff, Andreas B.

    2015-01-01

    Arthroscopically assisted treatments for dislocations of the acromioclavicular joint combine the advantages of exact and visually controlled coracoid tunnel placement with the possibility of simultaneous treatment of concomitant injuries. The clinical results of previous arthroscopically assisted techniques have been favorable at midterm and long-term follow-up. The presented surgical technique combines the advantages of arthroscopically positioned coracoclavicular stabilization with an additional suture cord cerclage of the acromioclavicular joint capsule for improved horizontal stability. PMID:26870646

  11. Treatment-resistant depression and physician-assisted death.

    Science.gov (United States)

    MIller, Franklin G

    2015-11-01

    In a recent article, Udo Schuklenk and Suzanne van de Vathorst argued in favour of a legal option of physician-assisted death for patients with 'treatment-resistant' depression. In this commentary, I contend that their argument neglects the important consideration of the professional integrity of physicians. In light of this consideration, coupled with uncertainty about whether additional interventions with the patient can improve quality of life and restore the will to live, it is not appropriate to include patients with 'treatment-resistant' depression within a legal option of physician-assisted death. PMID:26401050

  12. Legal regulation of assisted reproduction treatment in Russia.

    Science.gov (United States)

    Svitnev, Konstantin

    2010-06-01

    Russia remains one of the countries with a most favourable approach towards human reproduction in Europe, allowing almost everybody wanting to have a child of their own through assisted reproduction treatment to fulfill their dream. The legal situation around assisted reproduction treatment in Russia is very favourable; surrogacy, gamete and embryo donation are permitted, even on a commercial level. Gestational surrogacy is an option for heterosexual couples and single women, although a court decision might be needed to register a 'surrogate' child born to a couple who are not officially married or a single woman. However, it is not explicitly allowed nor prohibited for single men. PMID:20435519

  13. Adopting Evidence-Based Medically Assisted Treatments in Substance Abuse Treatment Organizations: Roles of Leadership Socialization and Funding Streams

    OpenAIRE

    Blum, Terry C.; Davis, Carolyn D.; Roman, Paul M.

    2014-01-01

    This paper examines the organizational adoption of medically assisted treatments (MAT) for substance use disorders (SUDs) in a representative sample of 555 US for-profit and not-for-profit treatment centers. The study examines organizational adoption of these treatments in an institutionally contested environment that traditionally has valued behavioral treatment, using sociological and resource dependence frameworks The findings indicate that socialization of leadership, measured by formal c...

  14. Symmetric laser-assisted charge transfer: A nonperturbative treatment

    International Nuclear Information System (INIS)

    We present a nonperturbative treatment of laser-assisted charge transfer under conditions of high laser intensity and low collision energy in a specific symmetric charge transfer system: H(1s) + H+ + mhw → H+ + H(n = 1, 2). Previous work in laser-assisted charge transfer has demonstrated that although perturbative treatments are generally valid for lower laser intensities and higher collision energies, nonperturbative treatments are necessary in the present regime where the influence of the laser on the cross sections is more pronounced. The present work is based on the semiclassical impact parameter method, choosing initial conditions appropriate to charge transfer and treating the projectile-target system within a quasimolecular framework. The interaction with the laser is treated semiclassically, in the velocity gauge. We investigate the effect of the laser on both resonant and nonresonant charge transfer processes and provide comparisons with perturbative results. Finally, we shall discuss possibilities for future research

  15. Video-assisted thoracoscopy treatment of spontaneous pneumothorax

    International Nuclear Information System (INIS)

    Objective: To propose a treatment protocol by video thoracoscopy in spontaneous pneumothorax. Methods: One hundred and three patients underwent Video-assisted thoracoscopy (VATS) treatment of spontaneous pneumothorax and hemothorax. Indications included recurrent pneumothorax, persistent air leakage following conservative therapy, complicated hemothorax and CT scan identified bullae formation. Results: No operative deaths occurred, conversion rate was 2.91%, recurrence rate was 0.97%, complication rate was 3.81% and mean postoperative hospital stay was 5.6 days. Conclusions: VATS treatment of spontaneous pneumothorax is better than open chest surgery and also superior than conservative therapy

  16. Austenitic stainless steel patterning by plasma assisted diffusion treatments

    International Nuclear Information System (INIS)

    The new concept of surface texturing or surface patterning on austenitic stainless steel by plasma assisted diffusion treatment is presented in this paper. It allows the creation of uniform micro or nano relief with regularly shaped asperities or depressions. Plasma assisted diffusion treatments are based on the diffusion of nitrogen and/or carbon in a metallic material at moderate to elevated temperatures. Below 420 deg. C, a plasma assisted nitriding treatment of austenitic stainless steel produces a phase usually called expanded austenite. Expanded austenite is a metastable nitrogen supersaturated solid solution with a disordered fcc structure and a distorted lattice. The nitrided layer with the expanded austenite is highly enriched in nitrogen (from 10 to 35 at%) and submitted to high compressive residual stresses. From mechanical consideration, it is shown that the only possible deformation occurs in the direction perpendicular to the surface. Such an expansion of the layer from the initial surface of the substrate to the gas phase is used here for surface patterning of stainless steel parts. The surface patterning is performed by using masks (TEM grid) and multi-dipolar plasmas.

  17. Heroin-assisted treatment (HAT) a decade later : A brief update on science and politics

    NARCIS (Netherlands)

    Fischer, Benedikt; Oviedo-Joekes, Eugenia; Blanken, Peter; Haasen, Christian; Rehm, Juergen; Schechter, Martin T.; Strang, John; van den Brink, Wim

    2007-01-01

    Since the initial Swiss heroin-assisted treatment (HAT) study conducted in the mid-1990s, several other jurisdictions in Europe and North America have implemented HAT trials. All of these studies embrace the same goal-investigating the utility of medical heroin prescribing for problematic opioid use

  18. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra; Ziebe, Søren; Englund, Anne-Lis M; Hald, Finn; Boivin, Jacky; Schmidt, Lone

    2014-01-01

    Objective. To examine the costs to the public health care system of couples in medically assisted reproduction. Design. Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. Setting. Specialized public fertility clinics in Denmark. Sample. Seven...... hundred and thirty-nine couples having no child at study entry and with data on kind of treatment and live birth (yes/no) for each treatment attempt at the specialized public fertility clinic. Methods. Treatment data for medically assisted reproduction attempts conducted at the public fertility clinics...... – were estimated at 6607€. Costs per live birth of women <35 years at treatment initiation were 9338€ and 15 040€ for women ≥35 years. Conclusion. The public costs for live births after conception with medically assisted reproduction treatment are relatively modest. The results can be generalized to...

  19. Medication-Assisted Treatment For Opioid Addiction in Opioid Treatment Programs. Treatment Improvement Protocol (TIP) Series 43

    Science.gov (United States)

    Tinkler, Emily; Vallejos Bartlett, Catalina; Brooks, Margaret; Gilbert, Johnatnan Max; Henderson, Randi; Shuman, Deborah, J.

    2005-01-01

    TIP 43 provides best-practice guidelines for medication-assisted treatment of opioid addiction in opioid treatment programs (OTPs). The primary intended audience for this volume is substance abuse treatment providers and administrators who work in OTPs. Recommendations in the TIP are based on both an analysis of current research and determinations…

  20. Male psychological adaptation to unsuccessful medically assisted reproduction treatments

    DEFF Research Database (Denmark)

    Martins, Mariana Veloso; Basto-Pereira, Miguel; Pedro, Juliana;

    2016-01-01

    for psychological maladjustment. Protective factors were related to the use of coping strategies that involve seeking information and attribution of a positive meaning to infertility, having the support of others and of one's spouse, and engaging in open communication about the infertility problem......BACKGROUND: Similarly to women, men suffer from engaging in fertility treatments, both physically and psychologically. Although there is a vast body of evidence on the emotional adjustment of women to infertility, there are no systematic reviews focusing on men's psychological adaptation to...... infertility and related treatments. OBJECTIVE AND RATIONALE: The main research questions addressed in this review were 'Does male psychological adaptation to unsuccessful medically assisted reproduction (MAR) treatment vary over time?' and 'Which psychosocial variables act as protective or risk factors for...

  1. Deficiencies in reporting results of lesbians and gays after donor intrauterine insemination and assisted reproductive technology treatments: a review of the first emerging studies

    OpenAIRE

    Tarín, Juan J; García-Pérez, Miguel A.; Cano, Antonio

    2015-01-01

    At a time when increasing numbers of lesbians and gays consider parenthood using reproductive assistance in infertility centers, the present review aims to summarize the results obtained so far by lesbians after intrauterine insemination (IUI) and in-vitro fertilization (IVF) using donor spermatozoa (D-IUI and D-IVF, respectively) and gays entering into gestational-surrogacy programs. Data show that gays display normal semen parameters and lesbians exhibit no specific causes of female inferti...

  2. Evaluating Animal-Assisted Therapy in Group Treatment for Child Sexual Abuse

    Science.gov (United States)

    Dietz, Tracy J.; Davis, Diana; Pennings, Jacquelyn

    2012-01-01

    This study evaluates and compares the effectiveness of three group interventions on trauma symptoms for children who have been sexually abused. All of the groups followed the same treatment protocol, with two of them incorporating variations of animal-assisted therapy. A total of 153 children ages 7 to 17 who were in group therapy at a Child…

  3. Evaluation and Treatment of Low Responders in Assisted Reproductive Technology: A Challenge to Meet

    OpenAIRE

    Fasouliotis, Sozos J.; Simon, Alex; Laufer, Neri

    2000-01-01

    Purpose: To investigate the various methods of evaluationand treatment of patients with a low response to controlledovarian hyperstimulation in assisted reproductive technologies (ART). Methods: Review and analysis of relevant studies publishedin the last decade, identified through the literature and Medlinesearches. Results: While a universally accepted definition for lowresponders is still lacking, these patients are reported torepresent about 10% of the ART population. Several ovarianreser...

  4. A global perspective on assisted reproductive technology fertility treatment: an 8-country fertility specialist survey

    OpenAIRE

    Audibert, Céline; Glass, Daniel

    2015-01-01

    Background Procedures that may optimize success in achieving live births from assisted reproductive technology (ART) continue to be examined. Not yet considered are the perspectives of fertility specialists regarding important developments in the fertility treatment field, current unmet needs, and anticipated future advances. In the current study, an 8-country survey of fertility specialists was conducted to provide a comprehensive, global depiction of fertility treatments across different re...

  5. Backgrounds of computer-assisted treatment planning in radiation therapy

    International Nuclear Information System (INIS)

    Interaction of ionising radiation and living materials causes biological damage of tempory or permanent nature. In radiation therapy this phenomenon is used in a controlled fashion in order to stop the proliferation of malignant cells, while at the same time limiting the permanent damage to healthy tissues and organs to at least tolerable levels. Because of the often relatively small differences in response of malignant growths and normal tissues, the margins between tolerable and intolerable are so small that the greatest precision in treatment planning and execution is required. The nature of this treatment agent implies that the radiation therapist has to rely very much on instrumentally obtained and processed information, in all phases of this medical activities around the patient. In this paper a description is given of the backgrounds of computer-assisted methods which have enabled modern individualised and optimised planning for therapy with high energy X- and gamma beams. (orig.)

  6. Southampton mealtime assistance study: design and methods

    Directory of Open Access Journals (Sweden)

    Roberts Helen C

    2013-01-01

    Full Text Available Abstract Background Malnutrition is common in older people in hospital and is associated with adverse clinical outcomes including increased mortality, morbidity and length of stay. This has raised concerns about the nutrition and diet of hospital in-patients. A number of factors may contribute to low dietary intakes in hospital, including acute illness and cognitive impairment among in-patients. The extent to which other factors influence intake such as a lack of help at mealtimes, for patients who require assistance with eating, is uncertain. This study aims to evaluate the effectiveness of using trained volunteer mealtime assistants to help patients on an acute medical ward for older people at mealtimes. Methods/design The study design is quasi-experimental with a before (year one and after (year two comparison of patients on the intervention ward and parallel comparison with patients on a control ward in the same department. The intervention in the second year was the provision of trained volunteer mealtime assistance to patients in the intervention ward. There were three components of data collection that were repeated in both years on both wards. The first (primary outcome was patients’ dietary intake, collected as individual patient records and as ward-level balance data over 24 hour periods. The second was clinical outcome data assessed on admission and discharge from both wards, and 6 and 12 months after discharge. Finally qualitative data on the views and experience of patients, carers, staff and volunteers was collected through interviews and focus groups in both years to allow a mixed-method evaluation of the intervention. Discussion The study will describe the effect of provision of trained volunteer mealtime assistants on the dietary intake of older medical in-patients. The association between dietary intake and clinical outcomes including malnutrition risk, body composition, grip strength, length of hospital stay and mortality

  7. Arthroscopically assisted treatment of intraosseous ganglions of the lunate.

    Science.gov (United States)

    Bain, Gregory I; Turner, Perry C; Ashwood, Neil

    2008-12-01

    Intraosseous ganglia (IOGs) of the lunate are a relatively rare, but by no means insignificant, condition because treatment by traditional open curettage and bone grafting can lead to ongoing pain and stiffness of the wrist.An arthroscopically assisted minimally invasive technique of debridement and grafting of the lunate IOG is discussed, as well as the history of the condition, indications and contraindications, surgical technique with postoperative rehabilitation, and potential complications.The outcomes of 8 patients with persistent symptoms and typical radiographic and bone scan findings were assessed independently preoperatively and postoperatively by using a modified Green and O'Brien wrist score. The intraosseous cyst was drilled under arthroscopic and fluoroscopic guidance via either a volar or dorsal portal, depending on the position identified on the computed tomography scan. Average follow-up time was 3.8 years (range, 1-5.6 yrs). All patients returned to employment within 4 months. Wrist scores improved 34 points, from 51 to 85 points, by 1 year after surgery, with trabeculation being noted within the grafting lunate. The greatest improvements were seen in visual and analog pain scores, reducing from 68.3 to 11.2, and flexion-extension arcs, which increased from 98 to 114 degrees.The technique of arthroscopically assisted debridement of IOGs of the lunate is safe, with minimal morbidity and recurrence of symptoms during the follow-up period. PMID:19060679

  8. Clinical and radiological outcomes of transoral endoscope-assisted treatment of mandibular condylar fractures.

    Science.gov (United States)

    You, H-J; Moon, K-C; Yoon, E-S; Lee, B-I; Park, S-H

    2016-03-01

    Fractures of the mandibular condyle are one of the most common craniofacial fractures. However, the diagnosis and treatment of these fractures is controversial because of the multiple surgical approaches available. The purposes of this study were to identify surgery-related technical tips for better outcomes and to evaluate the results as well as complications encountered during 7 years of endoscope use to supplement the limited intraoral approach in the treatment of mandibular condylar fractures. Between 2005 and 2012, 50 patients with condylar fractures underwent endoscope-assisted reduction surgery. Postoperative facial bone computed tomography and panoramic radiography demonstrated adequate reduction of the condylar fractures in all patients. No condylar resorption was detected, and most patients displayed a satisfactory functional and structural recovery. There was no facial nerve damage or transitory hypoesthesia, and there were no visible scars after the surgery. Transoral endoscope-assisted treatment is a challenging but reliable method with lower morbidity and a rapid recovery. PMID:26644218

  9. Outcome of retrospective and prospective multicenter cooperative clinical studies of spinal lipoma aiming for elucidating its natural history and for planning its treatment, and usefulness of neuroendoscope in its diagnosis and surgery assistance

    International Nuclear Information System (INIS)

    The rate of manifestation of spinal lipoma (SL) is essentially unknown and propriety of its treatment is still controversial. Started in 2006 a prospective study by 7 facilities (COE-SB Top 7) to elucidate the natural history by such a mean as seeing the age distribution in SL manifestation, and to find applicable factors for conducting prophylactic surgery by such evaluation as improvable symptoms and surgical complication. Facilities also retrospectively summarized their outcomes of surgery and of conservative follow-up in the past 5 years. Further, evaluated was the usefulness of neuroendoscopic observation and assistance in diagnosis and operation, because diagnosis for predicting the neurological prognosis is often difficult by preoperative MRI alone and is changeable by surgical findings due to complex SL structures. This paper is a report describing tentative results of the prospective study above in the first 1 year, of the retrospective one and of the endoscopic utility. Subjects were 45 patients (21 cases, <1 year after birth; asymptomatic, 29 and symptomatic, 16) in the prospective study and 261 patients (asymptomatic, 159 and symptomatic, 102) in the retrospective. The endoscope used was an Oi-Samii Handy Pro type. Neurological symptom was assessed by Spina Befida Neurological Scale (1992). Patients were classified according to Embryo-pathogenetic and Surgico-anatomical Classification of Spina Bifida (2002). Results were: the prevalence was 15% at birth and increased afterwards; prognosis post surgery was poor in transitional SL; symptomatic improvement by operation was small; operative complication was scarce; and endoscope was conceivably useful for diagnosis and operative assistance. (R.T.)

  10. SuperAssist: personal assistants for diabetes healthcare treatment at home

    NARCIS (Netherlands)

    Haan, G. de; Blanson Henkemans, O.; Neerincx, M.A.; Mast, C.A.P.G. van der

    2005-01-01

    This paper describes the research plans in the SuperAssist project, introducing personal assistants in the care of diabetes patients, assisting the patients themselves, the medical specialists looking after the patients' healthcare, and the technical specialists responsible for maintaining the healt

  11. Endoscope-assisted conservative condylectomy in the treatment of condylar osteochondroma through an intraoral approach.

    Science.gov (United States)

    Yu, H B; Sun, H; Li, B; Zhao, Z L; Zhang, L; Shen, S G; Wang, X D

    2013-12-01

    Mandibular condylar osteochondroma (OC) can result in morphological and functional disturbances, including facial asymmetry and temporomandibular joint (TMJ) dysfunction. The aim of this study was to explore the feasibility of endoscope-assisted tumour resection and conservative condylectomy via an intraoral approach. Seven patients with condylar OC were enrolled in this study. Endoscope-assisted tumour resection and conservative condylectomy were achieved intraorally, and no conventional extraoral incision was needed. Direct vision of the magnified and illuminated operative field was realized with the assistance of an endoscope. No facial nerve injury or salivary fistula occurred in any patient. Stable occlusion was realized through postoperative orthodontic treatment. The patients showed no signs of tumour recurrence or TMJ ankylosis during follow-up (range 18-43 months). Endoscope-assisted condylar OC resection and conservative condylectomy via intraoral approach offers great advantages with no significant complications compared with conventional extraoral incisions. The endoscope provides us with a valuable treatment option for this potentially complicated procedure. PMID:23790807

  12. Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

    International Nuclear Information System (INIS)

    Minimally invasive cardiovascular procedures have been progressively used in heart surgery. To describe the techniques and immediate results of minimally invasive procedures in 5 years. Prospective and descriptive study in which 102 patients were submitted to minimally invasive procedures in direct and video-assisted forms. Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients. Fourteen patients were operated through the direct form and 88 through the video-assisted form. Between minimally invasive procedures in direct form, 13 had aortic valve disease. Between minimally invasive procedures in video-assisted forms, 43 had mitral valve disease, 41 atrial septal defect and four tumors. In relation to mitral valve disease, we replaced 26 and reconstructed 17 valves. Aortic clamp, extracorporeal and procedure times were, respectively, 91,6 ± 21,8, 112,7 ± 27,9 e 247,1 ± 20,3 minutes in minimally invasive procedures in direct form. Between minimally invasive procedures in video-assisted forms, 71,6 ± 29, 99,7 ± 32,6 e 226,1 ± 42,7 minutes. Considering intensive care and hospitalization times, these were 41,1 ± 14,7 hours and 4,6 ± 2 days in minimally invasive procedures in direct and 36,8 ± 16,3 hours and 4,3 ± 1,9 days in minimally invasive procedures in video-assisted forms procedures. Minimally invasive procedures were used in two forms - direct and video-assisted - with safety in the surgical treatment of video-assisted, atrial septal defect and tumors of the heart. These procedures seem to result in longer surgical variables. However, hospital recuperation was faster, independent of the access or pathology

  13. Minimally Invasive Procedures - Direct and Video-Assisted Forms in the Treatment of Heart Diseases

    Energy Technology Data Exchange (ETDEWEB)

    Castro, Josué Viana Neto, E-mail: jvcn@uol.com.br [Instituto do Coração do Nordeste (INCONE), Fortaleza, CE (Brazil); Universidade de Fortaleza (UNIFOR), Fortaleza, CE (Brazil); Melo, Emanuel Carvalho; Silva, Juliana Fernandes [Instituto do Coração do Nordeste (INCONE), Fortaleza, CE (Brazil); Rebouças, Leonardo Lemos; Corrêa, Larissa Chagas; Germano, Amanda de Queiroz [Universidade de Fortaleza (UNIFOR), Fortaleza, CE (Brazil); Machado, João José Aquino [Instituto do Coração do Nordeste (INCONE), Fortaleza, CE (Brazil)

    2014-03-15

    Minimally invasive cardiovascular procedures have been progressively used in heart surgery. To describe the techniques and immediate results of minimally invasive procedures in 5 years. Prospective and descriptive study in which 102 patients were submitted to minimally invasive procedures in direct and video-assisted forms. Clinical and surgical variables were evaluated as well as the in hospital follow-up of the patients. Fourteen patients were operated through the direct form and 88 through the video-assisted form. Between minimally invasive procedures in direct form, 13 had aortic valve disease. Between minimally invasive procedures in video-assisted forms, 43 had mitral valve disease, 41 atrial septal defect and four tumors. In relation to mitral valve disease, we replaced 26 and reconstructed 17 valves. Aortic clamp, extracorporeal and procedure times were, respectively, 91,6 ± 21,8, 112,7 ± 27,9 e 247,1 ± 20,3 minutes in minimally invasive procedures in direct form. Between minimally invasive procedures in video-assisted forms, 71,6 ± 29, 99,7 ± 32,6 e 226,1 ± 42,7 minutes. Considering intensive care and hospitalization times, these were 41,1 ± 14,7 hours and 4,6 ± 2 days in minimally invasive procedures in direct and 36,8 ± 16,3 hours and 4,3 ± 1,9 days in minimally invasive procedures in video-assisted forms procedures. Minimally invasive procedures were used in two forms - direct and video-assisted - with safety in the surgical treatment of video-assisted, atrial septal defect and tumors of the heart. These procedures seem to result in longer surgical variables. However, hospital recuperation was faster, independent of the access or pathology.

  14. Portable treatment systems study

    Energy Technology Data Exchange (ETDEWEB)

    Sherick, M.J.; Schwinkendorf, W.E.; Bechtold, T.E.; Cole, L.T.

    1997-03-01

    In developing their Site Treatment Plans (STPs), many of the Department of Energy installations identified some form of portable treatment, to facilitate compliant disposition of select mixed low-level wastestreams. The Environmental Management Office of Science and Technology requested that a systems study be performed to better define the potential role of portable treatment with respect to mixed low-level waste, highlight obstacles to implementation, and identify opportunities for future research and development emphasis. The study was performed by first establishing a representative set of mixed waste, then formulating portable treatment system concepts to meet the required processing needs for these wastes. The portable systems that were conceptualized were evaluated and compared to a fixed centralized treatment alternative. The system evaluations include a life-cycle cost analysis and an assessment of regulatory, institutional, and technical issues associated with the potential use of portable systems. The results of this study show that when all costs are included, there are no significant cost differences between portable systems and fixed systems. However, it is also emphasized that many uncertainties exist that could impact the cost of implementing portable treatment systems. Portable treatment could be made more attractive through private sector implementation, although there is little economic incentive for a commercial vendor to develop small, specialized treatment capabilities with limited applicability. Alternatively, there may also be valid reasons why fixed units cannot be used for some problematic wastestreams. In any event, there are some site-specific problems that still need to be addressed, and there may be some opportunity for research and development to make a positive impact in these areas.

  15. Portable treatment systems study

    International Nuclear Information System (INIS)

    In developing their Site Treatment Plans (STPs), many of the Department of Energy installations identified some form of portable treatment, to facilitate compliant disposition of select mixed low-level wastestreams. The Environmental Management Office of Science and Technology requested that a systems study be performed to better define the potential role of portable treatment with respect to mixed low-level waste, highlight obstacles to implementation, and identify opportunities for future research and development emphasis. The study was performed by first establishing a representative set of mixed waste, then formulating portable treatment system concepts to meet the required processing needs for these wastes. The portable systems that were conceptualized were evaluated and compared to a fixed centralized treatment alternative. The system evaluations include a life-cycle cost analysis and an assessment of regulatory, institutional, and technical issues associated with the potential use of portable systems. The results of this study show that when all costs are included, there are no significant cost differences between portable systems and fixed systems. However, it is also emphasized that many uncertainties exist that could impact the cost of implementing portable treatment systems. Portable treatment could be made more attractive through private sector implementation, although there is little economic incentive for a commercial vendor to develop small, specialized treatment capabilities with limited applicability. Alternatively, there may also be valid reasons why fixed units cannot be used for some problematic wastestreams. In any event, there are some site-specific problems that still need to be addressed, and there may be some opportunity for research and development to make a positive impact in these areas

  16. Using a Delphi consensus process to develop an acupuncture treatment protocol by consensus for women undergoing Assisted Reproductive Technology (ART) treatment

    OpenAIRE

    Smith Caroline A; Grant Suzanne; Lyttleton Jane; Cochrane Suzanne

    2012-01-01

    Abstract Background Assisted reproductive technologies (ART) are increasingly utilised for resolving difficulties conceiving. These technologies are expensive to both the public purse and the individual consumers. Acupuncture is widely used as an adjunct to ART with indications that it may assist reducing the time to conception and increasing live birth rates. Heterogeneity is high between treatment protocols. The aim of this study was to examine what fertility acupuncturists consider key com...

  17. Computer-assisted planning and dosimetry for radiation treatment of head and neck cancer in Cameroon

    International Nuclear Information System (INIS)

    This evaluation was part of a multicenter, multinational study sponsored by the International Agency for Atomic Energy (Vienna) to investigate a simple, reliable computer-assisted planning and dosimetry system for radiation treatment of head and neck cancers in developing countries. Over a 13-month period (April 1992-April 1993), 120 patients with histologically-proven head or neck cancer were included in the evaluation. In each patient, planning and dosimetry were done both manually and using the computer-assisted system. The manual and computerized systems were compared on the basis of accuracy of determination of the outer contour, target volume, and critical organs; volume inequality resolution; structure heterogeneity correction; selection of the number, angle, and size of beams; treatment time calculation; availability of dosimetry predictions; and duration and cost of the procedure. Results demonstrated that the computer-assisted procedure was superior over the manual procedure, despite less than optimal software. The accuracy provided by the completely computerized procedure is indispensable for Level II radiation therapy, which is particularly useful in tumors of the sensitive, complex structures in the head and neck. (authors). 7 refs., 3 tabs

  18. Stent-assisted mechanical recanalization for the treatment of acute ischemic stroke

    International Nuclear Information System (INIS)

    Objective: to evaluate the safety and efficacy of stent-assisted mechanical recanalization technique in treating acute ischemic stroke. Methods: Stent-assisted mechanical recanalization procedure was carried out in 12 patients with acute ischemic stroke. The lesions were located at the anterior circulation in 10 cases and at posterior circulation in 2 cases. The clinical data were retrospectively analyzed. The technical success rate, the vascular recanalization, the occurrence of symptomatic intracranial hemorrhage, the clinical improvement and mortality were observed and evaluated. Results: The stent was successfully deployed in 11 patients (92%). After the treatment, different degrees of vascular recanalization were obtained in all patients. The complete (TIMI 3), partial (TIMI 2) and minor (TIMI 1) recanalization rate was 58.3% (7/12), 25% (3/12) and 8.3% (1/12), respectively. Postoperative symptomatic intracranial hemorrhage occurred in one patient (8.3%). Stroke-related death occurred in one patient (8.3%) and eight patients had their modified Rankin Score ≤ 2. Conclusion: For the treatment of acute ischemic stroke, stent-assisted mechanical recanalization technique is clinically feasible and safe with high vascular recanalization rate although further studies with larger sample to clarify its clinical usefulness are still needed. (authors)

  19. Chromosomal abnormalities in spontaneous abortion after assisted reproductive treatment

    Directory of Open Access Journals (Sweden)

    Kim You

    2010-11-01

    Full Text Available Abstract Background We evaluated cytogenetic results occurring with first trimester pregnancy loss, and assessed the type and frequency of chromosomal abnormalities after assisted reproductive treatment (ART and compared them with a control group. We also compared the rate of chromosomal abnormalities according to infertility causes in ICSI group. Methods A retrospective cohort analysis was made of all patients who were referred to the Genetics Laboratory of Fertility Center of CHA Gangnam Medical Center from 2005 to 2009 because of clinical abortion with a subsequent dilation and evacuation (D&E performed, and patients were grouped by type of conception as follows: conventional IVF (in vitro fertilization (n = 114, ICSI (intracytoplasmic sperm injection (n = 140, and control (natural conception or intrauterine insemination [IUI] (n = 128. Statistical analysis was performed using SPSS software. Results A total 406 specimens were referred to laboratory, ten abortuses were excluded, and in 14 cases, we did not get any spontaneous metaphase, chromosomal constitutions of 382 specimens were successfully obtained with conventional cytogenetic methods. Overall, 52.62% of the miscarriages were found to be cytogenetically abnormal among all patients, the frequency was 48.4% in the control group, 54.3% of miscarriages after ICSI and 55.3% after conventional IVF (p = 0.503. The most prevalent abnormalities were autosomal trisomy, however, nine (11.69% sex chromosome aneuploidy were noted in the ICSI group vs. four (6.45% and two (3.23% cases in the conventional IVF group and control group. We compared chromosomal abnormalities of miscarriages after ICSI according to infertility factor. 55.71% underwent ICSI due to male factors, 44.29% due to non-male factors. ICSI group having male factors showed significantly higher risk of chromosomal abnormalities than ICSI group having non-male factors (65.8% vs. 34.2%, p = 0.009, odds ratio = 1.529, 95% CI = 1

  20. Single-arm, observational study of the ease of use of a redesigned pen device to deliver recombinant human follicle-stimulating hormone (follitropin alfa for assisted reproductive technology treatment

    Directory of Open Access Journals (Sweden)

    Illingworth PJ

    2014-06-01

    Full Text Available Peter J Illingworth,1 Robert Lahoud,1 Frank Quinn,1 Kendal Chidwick,2 Claire Wilkinson,2 Gavin Sacks1 1IVFAustralia, Greenwich, Sydney, NSW, Australia; 2Scientific Affairs, Merck Serono Australia Pty Ltd, Frenchs Forest, Sydney, NSW, Australia Purpose: Evaluation of patients’ ease of use of the redesigned, disposable, ready-to-use ­follitropin alfa pen during controlled ovarian stimulation for assisted reproductive technology. Methods: This single-center, observational, open-label, single-arm study recruited infertile normo-ovulatory women (aged 18–45 years. Nurses trained patients to self-administer recombinant human follicle-stimulating hormone daily using the follitropin alfa pen (300 IU, 450 IU, and 900 IU. Before treatment, patients completed Questionnaire A. Following self-administered treatment, on stimulation days 5–6 and 7–8 (within a day of receiving recombinant human chorionic gonadotropin, patients completed Questionnaire B. Nurses completed an ease-of-learning/teaching questionnaire. The primary endpoint was proportion of patients rating the pen as “easy/very easy” to use (Questionnaire B on the final visit before recombinant human chorionic gonadotropin. Secondary endpoints included: proportion of patients rating the follitropin alfa pen as easy to learn, use, prepare, deliver, and dispose of (Questionnaires A and B. Proportions (95% confidence intervals [CIs] were provided for primary and secondary endpoints. Adverse events were reported descriptively. Results: Eighty-six patients received recombinant human follicle-stimulating hormone. Of the 72 patients who had completed the overall assessment questions, 66 (91.7%; 95% CI =82.7%–96.9% found the pen “easy” to use. Also, 70/86 (81.4% patients “strongly agreed/agreed” that, overall, it was easy to learn how to use the pen; 72/86 (83.7% “strongly agreed/agreed” that easily understandable, verbal information was provided; and 70/86

  1. Laparoscopic-assisted treatment of pyometra associated with mammary fibroadenomatous hyperplasia in a cat

    Directory of Open Access Journals (Sweden)

    Lucas Marques Colomé

    2014-03-01

    Full Text Available This paper describes a case of laparoscopic-assisted ovariohysterectomy in a female cat presenting pyometra and mammary fibroadenomatous hyperplasia. Using four portals, mesovarium were ligated by titanium ligature clips whereas the uterine vessels were occluded by video-assisted conventional ligatures. There were no postoperative complications. Video-assisted technique can be an alternative method for treatment of pyometra and cystic endometrial hyperplasia in female cats.

  2. Laparoscopic-assisted treatment of pyometra associated with mammary fibroadenomatous hyperplasia in a cat

    OpenAIRE

    Lucas Marques Colomé; Hiran Castagnino Kunert Filho; João Pedro Scussel Feranti; Fabiane Reginatto dos Santos; Luana Walendorff Sartori; Maurício Veloso Brun

    2014-01-01

    This paper describes a case of laparoscopic-assisted ovariohysterectomy in a female cat presenting pyometra and mammary fibroadenomatous hyperplasia. Using four portals, mesovarium were ligated by titanium ligature clips whereas the uterine vessels were occluded by video-assisted conventional ligatures. There were no postoperative complications. Video-assisted technique can be an alternative method for treatment of pyometra and cystic endometrial hyperplasia in female cats.

  3. Impact of Medication-Assisted Treatment for Opioid Addiction on Medicaid Expenditures and Health Services Utilization Rates in Vermont.

    Science.gov (United States)

    Mohlman, Mary Kate; Tanzman, Beth; Finison, Karl; Pinette, Melanie; Jones, Craig

    2016-08-01

    In the face of increasing rates of overdose deaths, escalating health care costs, and the tremendous social costs of opioid addiction, policy makers are asked to address the questions of whether and how to expand access to treatment services. In response to an upward trend in opioid abuse and adverse outcomes, Vermont is investing in statewide expansion of a medication-assisted therapy program delivered in a network of community practices and specialized treatment centers (Hub & Spoke Program). This study was conducted to test the rationale for these investments and to establish a pre-Hub & Spoke baseline for evaluating the additive impact of the program. Using a serial cross-sectional design from 2008 to 2013 to evaluate medical claims for Vermont Medicaid beneficiaries with opioid dependence or addiction (6158 in the intervention group, 2494 in the control group), this study assesses the treatment and medical service expenditures for those receiving medication-assisted treatment compared to those receiving substance abuse treatment without medication. Results suggest that medication-assisted therapy is associated with reduced general health care expenditures and utilization, such as inpatient hospital admissions and outpatient emergency department visits, for Medicaid beneficiaries with opioid addiction. For state Medicaid leaders facing similar decisions on approaches to opioid addiction, these results provide early support for expanding medication-assisted treatment services rather than relying only on psychosocial, abstinence, or detoxification interventions. PMID:27296656

  4. The impact of treatment density and molecular weight for fractional laser-assisted drug delivery

    DEFF Research Database (Denmark)

    Haak, Christina S; Bhayana, Brijesh; Farinelli, William A; Anderson, R Rox; Haedersdal, Merete

    2012-01-01

    treatment density (% of skin occupied by channels) and molecular weight (MW) for fractional CO(2) laser-assisted drug delivery. AFXL substantially increased intra- and transcutaneous delivery of polyethylene glycols (PEGs) in a MW range from 240 to 4300 Da (Nuclear Magnetic Resonance, p......Ablative fractional lasers (AFXL) facilitate uptake of topically applied drugs by creating narrow open micro-channels into the skin, but there is limited information on optimal laser settings for delivery of specific molecules. The objective of this study was to investigate the impact of laser...

  5. Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends

    Science.gov (United States)

    ... Treatment for Opioid Addiction Facts for Families and Friends U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance ... something that can be done to help your friend or loved one overcome this addiction? Medication-assisted ...

  6. MDMA-assisted therapy: A new treatment model for social anxiety in autistic adults.

    Science.gov (United States)

    Danforth, Alicia L; Struble, Christopher M; Yazar-Klosinski, Berra; Grob, Charles S

    2016-01-01

    The first study of 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy for the treatment of social anxiety in autistic adults commenced in the spring of 2014. The search for psychotherapeutic options for autistic individuals is imperative considering the lack of effective conventional treatments for mental health diagnoses that are common in this population. Serious Adverse Events (SAEs) involving the administration of MDMA in clinical trials have been rare and non-life threatening. To date, MDMA has been administered to over 1133 individuals for research purposes without the occurrence of unexpected drug-related SAEs that require expedited reporting per FDA regulations. Now that safety parameters for limited use of MDMA in clinical settings have been established, a case can be made to further develop MDMA-assisted therapeutic interventions that could support autistic adults in increasing social adaptability among the typically developing population. As in the case with classic hallucinogens and other psychedelic drugs, MDMA catalyzes shifts toward openness and introspection that do not require ongoing administration to achieve lasting benefits. This infrequent dosing mitigates adverse event frequency and improves the risk/benefit ratio of MDMA, which may provide a significant advantage over medications that require daily dosing. Consequently, clinicians could employ new treatment models for social anxiety or similar types of distress administering MDMA on one to several occasions within the context of a supportive and integrative psychotherapy protocol. PMID:25818246

  7. Computer-assisted surgical planning and intraoperative navigation in the treatment of condylar osteochondroma.

    Science.gov (United States)

    Yu, H B; Li, B; Zhang, L; Shen, S G; Wang, X D

    2015-01-01

    Mandibular condylar osteochondroma (OC) results in asymmetric prognathism with facial morphology and functional disturbances. The aim of this study was to explore the feasibility of computer-assisted surgical planning combined with intraoperative navigation in the treatment of condylar OC. Five patients with mandibular condylar OC were enrolled in this study. Surgical planning and simulation was performed based on a computed tomography reconstruction model using SurgiCase software. Under the guidance of navigation, a condylar OC resection and conservative condylectomy was carried out via intraoral approach. Simultaneous orthognathic surgery was used to correct the facial asymmetry and malocclusion. All patients healed uneventfully. No facial nerve injury or salivary fistula occurred. Facial symmetry and morphology were greatly improved and stable occlusion was obtained in all cases. Good matching between preoperative planning and postoperative results was achieved. Patients showed no signs of recurrence or temporomandibular joint ankylosis during follow-up of 12-30 months. Computer-assisted surgical planning and intraoperative navigation is a valuable option in the treatment of mandibular condylar OC. PMID:25442742

  8. Rethinking Informed Consent in Research on Heroin-Assisted Treatment.

    Science.gov (United States)

    Uusitalo, Susanne; Broers, Barbara

    2015-09-01

    Can heroin addicts give consent to research on trials in which heroin is prescribed to them? Analyses of addicts and informed consent have been objects of debate in several articles. Informed consent requires the agent not only to be competent but also to give consent voluntarily. This has been questioned because of alleged features of heroin addiction. Until recently the discussion has focused on heroin addicts' desires for heroin, whether these are irresistible and thus pose a problem for giving consent. Still, in light of empirical evidence, there seems to be a consensus more or less that the problem is not whether the addicts can resist their desire for heroin. A recent article concentrates specifically on heroin addicts' false assumptions of options and voluntariness. We argue that the prevailing framing of the options in this discussion in terms of heroin and access to it is problematic. The way in which the options are typically laid out suggests an assumption that participation in the research is allegedly based on the addicts' views on using the drug. We argue that this way of presenting the options is, first, a mismatch to the studies carried out and, second, symptomatic of potential misconceptions about heroin addiction and addicts. Furthermore, we also suggest that the account of voluntariness needs to be realistic in order for subjects to be able to give consent voluntarily in actual situations, and for medical research to carry out studies on improving outcomes in addiction treatment in an ethical way. PMID:25425507

  9. 3D freehand ultrasound for medical assistance in diagnosis and treatment of breast cancer: preliminary results

    Science.gov (United States)

    Torres, Fabian; Fanti, Zian; Arambula Cosío, F.

    2013-11-01

    Image-guided interventions allow the physician to have a better planning and visualization of a procedure. 3D freehand ultrasound is a non-invasive and low-cost imaging tool that can be used to assist medical procedures. This tool can be used in the diagnosis and treatment of breast cancer. There are common medical practices that involve large needles to obtain an accurate diagnosis and treatment of breast cancer. In this study we propose the use of 3D freehand ultrasound for planning and guiding such procedures as core needle biopsy and radiofrequency ablation. The proposed system will help the physician to identify the lesion area, using image-processing techniques in the 3D freehand ultrasound images, and guide the needle to this area using the information of position and orientation of the surgical tools. We think that this system can upgrade the accuracy and efficiency of these procedures.

  10. Are repeated assisted reproductive technology treatments and an unsuccessful outcome risk factors for unipolar depression in infertile women?

    DEFF Research Database (Denmark)

    Sejbaek, Camilla S; Pinborg, Anja; Hageman, Ida;

    2015-01-01

    INTRODUCTION: Previous studies have shown conflicting results whether unsuccessful medically assisted reproduction is a risk factor for depression among women. This study therefore investigated if women with no live birth after assisted reproductive technology (ART) treatment had a higher risk of...... unipolar depression compared with women with a live birth after ART treatment. MATERIAL AND METHODS: The Danish National ART-Couple (DANAC) Cohort is a national register-based cohort study that consists of women who received ART treatment from 1 January 1994 to 30 September 2009, in Denmark (n = 41 050......). Information on unipolar depression was obtained from the Danish Psychiatric Central Research Register. The analyses were conducted in Cox regression analysis. RESULTS: During the 308 494 person-years of follow up, 552 women were diagnosed with unipolar depression. A Cox proportional hazards model showed that...

  11. An Exploratory Study of the Professional Beliefs and Practice Choices of Novice Occupational Therapy Assistants

    Science.gov (United States)

    Amini, Deborah Ann

    2010-01-01

    The purpose of this basic interpretive qualitative study was to explore how novice occupational therapy assistants begin to understand their profession, form practice beliefs, and subsequently select and initiate certain treatment methods and approaches with clients. The primary source of data for this study was obtained via semi-structured…

  12. Erythropoietic protoporphyria and pretransplantation treatment with nonbiological liver assist devices

    DEFF Research Database (Denmark)

    Eefsen, Martin; Rasmussen, Allan; Wulf, Hans Christian;

    2007-01-01

    patients liver failure is a significant complication and liver transplantation is the only treatment option. Damage to both abdominal skin and organs occurs when exposed to operating light; however, this problem can be ameliorated by the use of filters that block the transmission of light with wavelength...... below 470 nm. A more unusual but very serious complication postoperatively is severe motor neuropathy, with few or no known acute available precautions. An effective treatment option is needed to manage EPP crises and to prevent complications after liver transplantation. We successfully treated a...... made a reduction in RBC-PPIX concentration of 0.8%. Following treatment sessions with MARS and Prometheus, the clinical condition was markedly improved and orthotopic liver transplantation was performed without further complications. In conclusion, extracorporeal therapy with MARS or Prometheus seems...

  13. Aggressive child and equine assisted therapy as a form of treatment

    OpenAIRE

    Lipovec, Kaja

    2013-01-01

    In my undergraduate thesis I present equine assisted therapy as a form of treatment for aggressive children. At the beginning of the theoretical part I focus on a description of aggressive behaviour and its formation, provide a classification of this behaviour and finish with a description of child aggression. I continue by outlining different forms of equine assisted therapy, its positive effects and suitability for treating aggressive children. Aggression or aggressive behaviour denotes eve...

  14. Peer-assisted teaching: An interventional study.

    Science.gov (United States)

    Williams, Brett; Olaussen, Alexander; Peterson, Evan L

    2015-07-01

    Peer-assisted learning (PAL) as an educational philosophy benefits both the peer-teacher and peer-learner. The changing role of paramedicine towards autonomous and professional practice demands future paramedics to be effective educators. Yet PAL is not formally integrated in undergraduate paramedic programs. We aimed to examine the effects of an educational intervention on students' PAL experiences as peer-teachers. Two one-hour workshops were provided prior to PAL teaching sessions including small group activities, individual reflections, role-plays and material notes. Peer-teachers completed the Teaching Style Survey, which uses a five-point Likert scale to measure participants' perceptions and confidence before and after PAL involvement. Thirty-eight students were involved in an average of 3.7 PAL sessions. The cohort was predominated by males (68.4%) aged ≤ 25 (73.7%). Following PAL, students reported feeling more confident in facilitating tutorial groups (p = 0.02). After the PAL project peer-teachers were also more likely to set high standards for their learners (p = 0.009). This PAL project yielded important information for the continual development of paramedic education. Although PAL increases students' confidence, the full role of PAL in education remains unexplored. The role of the university in this must also be clearly clarified. PMID:25866358

  15. Effects of an Equine Assisted Activities Program on Youth with Emotional Disturbance: A Pilot Study

    Science.gov (United States)

    Stebbins, Tira

    2012-01-01

    This study evaluated the effects of a 10-week Equine Assisted Activities (EAA) program on special education students (aged 9 to 15) identified as Emotionally Disturbed (ED) who were enrolled in an alternative school. A control group of special education students receiving treatment-as-usual was included. The Behavior Assessment Scale for Children,…

  16. Computer assisted treatment planning for 125I ophthalmic plaque radiotherapy

    International Nuclear Information System (INIS)

    This paper describes a computer program for planning the treatment of ocular tumors with 125I plaques. The program permits the input of the tumor configuration into a model eye and facilitates the viewing of the relative geometry of the tumor and various eye structures in different perspectives. Custom-designed 125I plaques can be localized onto the globe, and dose distributions can be calculated and superimposed on the eye structures in any plane or on the inner eye surface. The program allows efficient evaluation of the plaque design in terms of radiation dose distribution relative to the tumor and critical structures

  17. Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance.

    Directory of Open Access Journals (Sweden)

    Nickolai Titov

    Full Text Available BACKGROUND: Internet-based cognitive behavioural therapy (iCBT for depression is effective when guided by a clinician, less so if unguided. QUESTION: Would guidance from a technician be as effective as guidance from a clinician? METHOD: Randomized controlled non-inferiority trial comparing three groups: Clinician-assisted vs. technician-assisted vs. delayed treatment. Community-based volunteers applied to the VirtualClinic (www.virtualclinic.org.au research program, and 141 participants with major depressive disorder were randomized. Participants in the clinician- and technician-assisted groups received access to an iCBT program for depression comprising 6 online lessons, weekly homework assignments, and weekly supportive contact over a treatment period of 8 weeks. Participants in the clinician-assisted group also received access to a moderated online discussion forum. The main outcome measures were the Beck Depression Inventory (BDI-II and the Patient Health QUESTIONnaire-9 Item (PHQ-9. Completion rates were high, and at post-treatment, both treatment groups reduced scores on the BDI-II (p<0.001 and PHQ-9 (p<0.001 compared to the delayed treatment group but did not differ from each other. Within group effect sizes on the BDI-II were 1.27 and 1.20 for the clinician- and technician-assisted groups respectively, and on the PHQ-9, were 1.54 and 1.60 respectively. At 4-month follow-up participants in the technician group had made further improvements and had significantly lower scores on the PHQ-9 than those in the clinician group. A total of approximately 60 minutes of clinician or technician time was required per participant during the 8-week treatment program. CONCLUSIONS: Both clinician- and technician-assisted treatment resulted in large effect sizes and clinically significant improvements comparable to those associated with face-to-face treatment, while a delayed treatment control group did not improve. These results provide support for large

  18. Psychiatric disorders among women and men in assisted reproductive technology (ART) treatment. The Danish National ART-Couple (DANAC) cohort

    DEFF Research Database (Denmark)

    Schmidt, Lone; Hageman, Ida; Hougaard, Charlotte Ørsted;

    2013-01-01

    INTRODUCTION: There are complex causal associations between mental disorders, fertility treatment, fertility treatment outcome and infertility per se. Eating disorders cause endocrine disturbances, anovulation and thereby infertility, and research has shown that infertility as well as unsuccessful...... assisted reproductive technology (ART) treatment are potential risk factors for developing a depression on a long-term basis. Despite the fact that worldwide more than 400 000 ART treatment cycles are performed every year, the causal associations between mental disorders, use of medication for mental...... disorders and ART treatment in both sexes have only been sparsely explored. METHOD AND ANALYSIS: The main objective of this national register-based cohort study is to assess women's and men's mental health before, during, and after ART treatment in comparison with the mental health in an age...

  19. How can laparoscopic management assist radiation treatment in cervix carcinoma?

    International Nuclear Information System (INIS)

    Purpose: To determine the role of laparoscopic lymphadenectomy (pelvis ± para-aortic nodes) and laparoscopic hysterectomy in cervical cancer compared to 'classic radical surgery' in patients undergoing surgery in comparison with modern imaging in patients treated with radiotherapy alone.Materials and methods: The limitations of modern imaging are presented as well as how complication rates can be increased when classic laparotomy is followed by radiation therapy.Laparoscopic procedures are described with particular emphasis on how to provide information on lymph node metastases with the risk of overlooking microscopic involvement. A number of clinical experiences are cited to illustrate this problem and show how treatment approaches can be adapted.Results: The role of laparoscopy is evaluated according to different clinical situations and treatment protocols emphasizing the possibilities offered by this method to the radiotherapist. Conclusion: When developing laparoscopic techniques for the management of cervical carcinoma, caution must be exercised to ensure that these techniques are not detrimental to the prognosis. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  20. Neurally adjusted ventilatory assist : from animal studies to clinical practice

    OpenAIRE

    Campoccia Jalde, Francesca

    2016-01-01

    Patients in the Intensive Care Unit (ICU) undergoing ventilator treatment may experience asynchrony with the ventilator, which has been associated with increased need of sedation, sleep disruption, prolonged mechanical ventilation and unsuccessful weaning from the ventilator. The search for new strategies to improve patient-ventilator interaction is ongoing. Neurally Adjusted Ventilatory Assist (NAVA) is a recently developed ventilator support that uses the Electrical Activity of the diaphrag...

  1. Cell-assisted lipotransfer in the clinical treatment of facial soft tissue deformity.

    Science.gov (United States)

    Ma, Li; Wen, Huicai; Jian, Xueping; Liao, Huaiwei; Sui, Yunpeng; Liu, Yanping; Xu, Guizhen

    2015-01-01

    Cosmetic surgeons have experimented with a variety of substances to improve soft tissue deformities of the face. Autologous fat grafting provides significant advantages over other modalities because it leaves no scar, is easy to use and is well tolerated by most patients. Autologous fat grafting has become one of the most popular techniques in the field of facial plastic surgery. Unfortunately, there are still two major problems affecting survival rate and development: revascularization after transplantion; and cell reservation proliferation and survival. Since Zuk and Yosra developed a technology based on adipose-derived stem cells and cell-assisted lipotrophy, researchers have hoped that this technology would promote the survival and reduce the absorption of grafted fat cells. Autologous adipose-derived stem cells may have great potential in skin repair applications, aged skin rejuvenation and other aging-related skin lesion treatments. Recently, the study of adipose-derived stem cells has gained increased attention. More researchers have started to adopt this technology in the clinical treatment of facial soft tissue deformity. The present article reviews the history of facial soft tissue augmentation and the advent of adipose-derived stem cells in the area of the clinical treatment of facial soft tissue deformity. PMID:26361629

  2. Sludge treatment studies

    International Nuclear Information System (INIS)

    Solid formation in filtered leachates and wash solutions was seen in five of the six sludges treated by Enhanced Sludge Washing. Solid formation in process solutions takes a variety of forms: very fine particles, larger particulate solids, solids floating in solution like egg whites, gels, crystals, and coatings on sample containers. A gel-like material that formed in a filtered leachate from Enhanced Sludge Washing of Hanford T-104 sludge was identified as natrophosphate, Na7(PO4)2F·19H2O. A particulate material that formed in a filtered caustic leachate from Hanford SX-113 sludge contained sodium and silicon. This could be any of a host of sodium silicates in the NaOH-SiO2-H2O system. Acidic treatment of Hanford B-202 sludge with 1 M, 3 M, and 6 M HNO3 sequential leaching resulted in complete dissolution at 75 C, but not at ambient temperature. This treatment resulted in the formation of solids in filtered leachates. Analyses of the solids revealed that a gel material contained silica with some potassium, calcium, iron, and manganese. Two phases were embedded in the gel. One was barium sulfate. The other could not be identified, but it was determined that the only metal it contained was bismuth

  3. Sludge treatment studies

    Energy Technology Data Exchange (ETDEWEB)

    Beahm, E.C.; Weber, C.F.; Dillow, T.A.; Bush, S.A.; Lee, S.Y.; Hunt, R.D.

    1997-06-01

    Solid formation in filtered leachates and wash solutions was seen in five of the six sludges treated by Enhanced Sludge Washing. Solid formation in process solutions takes a variety of forms: very fine particles, larger particulate solids, solids floating in solution like egg whites, gels, crystals, and coatings on sample containers. A gel-like material that formed in a filtered leachate from Enhanced Sludge Washing of Hanford T-104 sludge was identified as natrophosphate, Na{sub 7}(PO{sub 4}){sub 2}F{center_dot}19H{sub 2}O. A particulate material that formed in a filtered caustic leachate from Hanford SX-113 sludge contained sodium and silicon. This could be any of a host of sodium silicates in the NaOH-SiO{sub 2}-H{sub 2}O system. Acidic treatment of Hanford B-202 sludge with 1 M, 3 M, and 6 M HNO{sub 3} sequential leaching resulted in complete dissolution at 75 C, but not at ambient temperature. This treatment resulted in the formation of solids in filtered leachates. Analyses of the solids revealed that a gel material contained silica with some potassium, calcium, iron, and manganese. Two phases were embedded in the gel. One was barium sulfate. The other could not be identified, but it was determined that the only metal it contained was bismuth.

  4. Surgical treatment for recurrent spontaneous pneumothorax during twin pregnancy under video-assisted thoracoscopic surgery (VATS)

    OpenAIRE

    HU, RUNLEI; Li, Hu; Wang, Guoqing

    2010-01-01

    Spontaneous pneumothorax during pregnancy is a rare pathological condition. Few cases have been reported previously in the literature. There is no universal guideline for the management of this condition yet. We report a case of recurrent spontaneous pneumothorax during twin pregnancy in a 30-year-old woman. Surgical treatment under video-assisted thoracoscopic surgery (VATS) was successfully performed, without subsequent pneumothorax recurrence.

  5. Video Assisted Anal Fistula Treatment in a Child with Perianal Fistula

    Science.gov (United States)

    Iqbal, Asif; Dar, Sajid Hameed; Liaqat, Faheem

    2016-01-01

    Perianal fistula formation is a rare complication in children after rectal biopsy. Perianal fistula may become difficult to treat; therefore a lot of surgical options are present. One of these options is video assisted anal fistula treatment (VAAFT). We present a 6-year-old female who developed perianal fistula following rectal biopsy for which VAAFT was done successfully. PMID:26816676

  6. Medication Assisted Treatment Research with Criminal Justice Populations: Challenges of Implementation

    OpenAIRE

    Gordon, Michael S.; KINLOCK, TIMOTHY W.; Miller, Patrice M.

    2011-01-01

    Creating, implementing and evaluating substance abuse interventions, especially medication-assisted treatments, for prisoners, parolees, and probationers with histories of heroin addiction is an especially challenging endeavor because of the difficulty in coordinating and achieving cooperation among diverse criminal justice, substance abuse treatment, research, and social service agencies, each with its own priorities and agenda. In addition, there are special rules that must be followed when...

  7. Soy food intake and treatment outcomes of women undergoing assisted reproductive technology

    Science.gov (United States)

    Vanegas, Jose C.; Afeiche, Myriam C.; Gaskins, Audrey J.; Mínguez-Alarcón, Lidia; Williams, Paige L.; Wright, Diane L.; Toth, Thomas L.; Hauser, Russ; Chavarro, Jorge E.

    2014-01-01

    Objective To study the relation of dietary phytoestrogens intake and clinical outcomes of women undergoing infertility treatment with assisted reproductive technology (ART). Design Prospective cohort study. Setting Fertility center in an academic hospital. Participants 315 women who collectively underwent 520 ART cycles between 2007 and 2013. Interventions None Outcomes Primary outcomes were implantation, clinical pregnancy and live birth rates per initiated cycle. Results Soy isoflavones intake was positively related to live birth rates in ART. Compared to women who did not consume soy isoflavones, the multivariable-adjusted odds ratios of live birth (95% confidence interval) for women in increasing categories of soy isoflavone intake were 1.32 (0.76–2.27) for women consuming 0.54–2.63 mg/d, 1.87 (1.12–3.14) for women consuming 2.64- 7.55 mg/d, and 1.77 (1.03–3.03) for women consuming 7.56- 27.89 mg/d. Conclusions Dietary soy intake was positively related to the probability of having a live birth during infertility treatment with ART. PMID:25577465

  8. Integrated nonthermal treatment system study

    Energy Technology Data Exchange (ETDEWEB)

    Biagi, C.; Bahar, D.; Teheranian, B.; Vetromile, J. [Morrison Knudsen Corp. (United States); Quapp, W.J. [Nuclear Metals (United States); Bechtold, T.; Brown, B.; Schwinkendorf, W. [Lockheed Martin Idaho Technologies Co., Idaho Falls, ID (United States); Swartz, G. [Swartz and Associates (United States)

    1997-01-01

    This report presents the results of a study of nonthermal treatment technologies. The study consisted of a systematic assessment of five nonthermal treatment alternatives. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The alternatives considered were innovative nonthermal treatments for organic liquids and sludges, process residue, soil and debris. Vacuum desorption or various washing approaches are considered for treatment of soil, residue and debris. Organic destruction methods include mediated electrochemical oxidation, catalytic wet oxidation, and acid digestion. Other methods studied included stabilization technologies and mercury separation of treatment residues. This study is a companion to the integrated thermal treatment study which examined 19 alternatives for thermal treatment of MLLW waste. The quantities and physical and chemical compositions of the input waste are based on the inventory database developed by the US Department of Energy. The Integrated Nonthermal Treatment Systems (INTS) systems were evaluated using the same waste input (2,927 pounds per hour) as the Integrated Thermal Treatment Systems (ITTS). 48 refs., 68 figs., 37 tabs.

  9. Integrated nonthermal treatment system study

    International Nuclear Information System (INIS)

    This report presents the results of a study of nonthermal treatment technologies. The study consisted of a systematic assessment of five nonthermal treatment alternatives. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The alternatives considered were innovative nonthermal treatments for organic liquids and sludges, process residue, soil and debris. Vacuum desorption or various washing approaches are considered for treatment of soil, residue and debris. Organic destruction methods include mediated electrochemical oxidation, catalytic wet oxidation, and acid digestion. Other methods studied included stabilization technologies and mercury separation of treatment residues. This study is a companion to the integrated thermal treatment study which examined 19 alternatives for thermal treatment of MLLW waste. The quantities and physical and chemical compositions of the input waste are based on the inventory database developed by the US Department of Energy. The Integrated Nonthermal Treatment Systems (INTS) systems were evaluated using the same waste input (2,927 pounds per hour) as the Integrated Thermal Treatment Systems (ITTS). 48 refs., 68 figs., 37 tabs

  10. The production of glucose from corn stalk using hydrothermal process with pre-treatment ultrasound assisted alkaline

    Science.gov (United States)

    Yolanda, Dora; Prasutiyo, Indry; Trisanti, P. N.; Sumarno

    2015-12-01

    The production of glucose from corn stalk by using subcritical hydrothermal technology is studied in this work. Ultrasound-assisted alkaline delignification methods are used as pre-treatment. The corn stalk powder were pretreated with ultrasound-assisted alkaline (NaOH 2% w/w, solid to liquid ratio 1:22 w/v) at room temperature and 30 minutes. After pre-treatment, solid residue and liquid fractions are separated by filtration. Pretreated solids are further submitted to hydrothermal process for glucose production. Hydrothermal process was carried out at 100 Bar and 120°C in various times. The solid product was characterized by SEM and XRD. And liquid product was analysis using DNS method to determine percentage of glucose. From XRD analysis showed that crystallinity of material was lower than delignification product.

  11. 机器人辅助腹腔镜手术治疗复杂性肾结石的临床研究%Clinical study of robot-assisted laparoscopic surgery for the treatment of complex nephrolithiasis

    Institute of Scientific and Technical Information of China (English)

    张祥; 许天源; 王晓晶; 夏磊磊; 秦亮; 王先进; 邵远; 沈周俊

    2015-01-01

    石等复杂性肾结石患者较优的可选手术方式.%Objective To investigate the clinical efficacy and safety of robot-assisted laparoscopic surgery for the treatment of complex nephrolithiasis.Methods The retrospective analysis of 31 cases of robot-assisted laparoscopic surgery for the treatment of complex nephrolithiasis was carried out.20 of these patients were male,while the others were female.The average age of these patients was 47 years, ranged from 26-73.Sixteen patients had calculi located both in subrenal calyx and ureter, 7 cases of them had ureteropelvic junction obstruction while the subrenal calyx calculus were far away from ureteropelvic junction.Out of the total 31 cases, 9 were multiple renal calculi, 3 were staghorn calculi, 3 were congenital renal malformation with staghorn calculi.The average diameter of calculi was 33 mm, ranged from 15 to 78.19 cases had obvious pelvic separation presented by pre-operative ultrasonography, average 33 mm, ranged from 12 to 62 mm.All the cases were performed by robot-assisted laparoscopic surgery transperitoneally.Results All operations were successful without converting to laparoscopy or open surgery.The average operative time (robotic console time) was 64 min, ranged from 45 to 128 min.The average estimated blood loss during operation was 80 ml, ranged from 10-400 ml.The length of post-operative hospital stay were 4-11 days, average 6 days.The average removal time of drainage was 4 days, ranged from 2 to 7 days.There was no severe complications after operation.The diuretic renogram showed that the obstruction in patients with UPJO was cured or significantly improved.The average follow-up time was 7 months (ranged from 2 to 27 months).Post-operative KUB X-ray showed no residual calculi in 29 patients.The average value of serum creatinine (Cr) was 96.5 μmol/L (ranged from 88.4 to 126.5 μmol/L) in one month post-operative follow-up.The glomerular filtration rates of affected side recovered to 36.5-45.7 ml

  12. Treatment of subcutaneous abdominal wound healing impairment after surgery without fascial dehiscence by vacuum assisted closure™ (SAWHI-V.A.C.®-study) versus standard conventional wound therapy: study protocol for a randomized controlled trial

    OpenAIRE

    Seidel, Dörthe; Lefering, Rolf; Neugebauer, Edmund AM

    2013-01-01

    Background A decision of the Federal Joint Committee Germany in 2008 stated that negative pressure wound therapy is not accepted as a standard therapy for full reimbursement by the health insurance companies in Germany. This decision is based on the final report of the Institute for Quality and Efficiency in Health Care in 2006, which demonstrated through systematic reviews and meta-analysis of previous study projects, that an insufficient state of evidence regarding the use of negative press...

  13. Antioxidative Peptides Derived from Enzyme Hydrolysis of Bone Collagen after Microwave Assisted Acid Pre-Treatment and Nitrogen Protection

    Directory of Open Access Journals (Sweden)

    Jin Sun

    2010-11-01

    Full Text Available This study focused on the preparation method of antioxidant peptides by enzymatic hydrolysis of bone collagen after microwave assisted acid pre-treatment and nitrogen protection. Phosphoric acid showed the highest ability of hydrolysis among the four other acids tested (hydrochloric acid, sulfuric acid and/or citric acid. The highest degree of hydrolysis (DH was 9.5% using 4 mol/L phosphoric acid with a ratio of 1:6 under a microwave intensity of 510 W for 240 s. Neutral proteinase gave higher DH among the four protease tested (Acid protease, neutral protease, Alcalase and papain, with an optimum condition of: (1 ratio of enzyme and substrate, 4760 U/g; (2 concentration of substrate, 4%; (3 reaction temperature, 55 °C and (4 pH 7.0. At 4 h, DH increased significantly (P < 0.01 under nitrogen protection compared with normal microwave assisted acid pre-treatment hydrolysis conditions. The antioxidant ability of the hydrolysate increased and reached its maximum value at 3 h; however DH decreased dramatically after 3 h. Microwave assisted acid pre-treatment and nitrogen protection could be a quick preparatory method for hydrolyzing bone collagen.

  14. Vacuum-assisted closure in the treatment of early hip joint infections

    Directory of Open Access Journals (Sweden)

    Jens Kelm, Eduard Schmitt, Konstantinos Anagnostakos

    2009-01-01

    Full Text Available The aim of the present study was to evaluate the efficacy of the vacuum-assisted closure (V.A.C. system in the treatment of early hip joint infections. 28 patients (11 m / 17 f; mean age 71 y. [43-84] with early hip joint infections have been treated by means of the V.A.C.-therapy. At least one surgical revision [1-7] has been unsuccessfully performed for infection treatment prior to V.A.C. - application. Pathogen organisms could have been isolated in 22/28 wounds. During revision, cup inlay and prosthesis head have been exchanged and 1-3 polyvinylalcohol sponges inserted into the wound cavity/ periprosthetically at an initial continuous pressure of 200 mm Hg. Postoperatively, a systemic antibiosis was given according to antibiogram. 48-72 h after surgery an alteration from haemorrhagic to serous fluid was observed in the V.A.C.-canister. Afterwards, the pressure was decreased to 150 mm Hg and remained at this level till sponge removal. After a mean period of 9 [3-16] days the inflammation parameters have been retrogressive and the sponges were removed. An infection eradication could be achieved in 26/28 cases. In the two remaining cases the infected prosthesis had to be explanted and a gentamicin-vancomycin-loaded spacer has been implanted, respectively. At a total mean follow-up of 36 [12-87] months no reinfection or infection persistence was observed. The V.A.C.-system can be a valuable contribution in the treatment of early joint infections when properly used. Indications should be early infections with well-maintained soft-tissues for retention of the negative atmospheric pressure.

  15. Cross-sectional study of morbidity, morbidity-associated factors and cost of treatment in Ngaoundere, Cameroon, with implications for health policy in developing countries and development assistance policy

    Directory of Open Access Journals (Sweden)

    Holtedahl Knut

    2002-04-01

    Full Text Available Abstract Background In a population-based epidemiological study in Ngaoundere, Cameroon, we studied cross-sectional child morbidity and the cost of necessary investigation and treatment. Methods Three teams of two to three health workers visited haphazardly selected households in all major housing quarters. We asked permission to enter for a health survey. Children with cough, fever or weight loss as well as sick adults were offered free-of-charge local hospital examination and treatment. Results From 177 households with 1777 persons, 51 (2.9% persons were referred. Thirty-five of them had an undiagnosed disease threatening individual health and in many cases also public health. Seven were hospitalised, including three adults with tuberculosis. Malnutrition was diagnosed in nine small children. Four patients had AIDS, seven had malaria. Average total cost for ambulant patients was 15 USD, for hospitalised patients 110 USD. In the households, almost half of the women 16–50 years of age had no schooling. Two per cent of women and nine per cent of men were daily smokers. Coughing children were more likely than non-coughing children to live in a household with at least one smoker (OR = 3.58, 95% CI 1.72 to 7.46, and they generally lived in more poor households (P = 0.018. Twelve of 16 children with weight loss were referred from households with a high poverty score. Conclusions Adult smoking and poverty affect children's health. The cost of hospitalisation or long-lasting therapy is beyond the means of most ordinary families. Diseases with severe consequences for public health, like tuberculosis, AIDS and malaria should have national programs with free, decentralised examination and treatment. Access to generic drugs is important. A major educational effort is needed to improve public health.

  16. ANIMAL-ASSISTED THERAPY – A NEW TREND IN THE TREATMENT OF CHILDREN AND ADDULTS

    OpenAIRE

    Dimitrijević, Ivan

    2009-01-01

    Animal-assisted therapy is a familiar method of treatment in the rehabilitation of many illnesses and conditions, but is still not applied sufficiently in our milieu. This paper gives an overview of the available literature and some of the research which demonstrates that the interaction between the patient, animal and therapist provides a context which improves communication, elevates self-confidence, reduces the symptoms of diseases, and improves the quality of life. The dog, cat, horse,...

  17. Kinetic Study of Nonequilibrium Plasma-Assisted Methane Steam Reforming

    OpenAIRE

    Hongtao Zheng; Qian Liu

    2014-01-01

    To develop a detailed reaction mechanism for plasma-assisted methane steam reforming, a comprehensive numerical and experimental study of effect laws on methane conversion and products yield is performed at different steam to methane molar ratio (S/C), residence time s, and reaction temperatures. A CHEMKIN-PRO software with sensitivity analysis module and path flux analysis module was used for simulations. A set of comparisons show that the developed reaction mechanism can accurately predict ...

  18. Studying the User Experience with a Multimodal Pedestrian Navigation Assistant

    OpenAIRE

    ROVELO RUIZ, Gustavo; Abat, M.C.Juan Francisco; Camahort, Emilio

    2015-01-01

    The widespread usage of mobile devices together with their computational capabilities enables the implementation of novel interaction techniques to improve user performance in traditional mobile applications. Navigation assistance is an important area in the mobile domain, and probably Google Maps is the most popular example. This type of applications is highly demanding for user’s attention, especially in the visual channel. Tactile and auditory feedback have been studied as alternatives to ...

  19. Nanodroplet-Vaporization-Assisted Sonoporation for Highly Effective Delivery of Photothermal Treatment

    Science.gov (United States)

    Liu, Wei-Wen; Liu, Shu-Wei; Liou, Yu-Ren; Wu, Yu-Hsun; Yang, Ya-Chuen; Wang, Churng-Ren Chris; Li, Pai-Chi

    2016-04-01

    Sonoporation refers to the use of ultrasound and acoustic cavitation to temporarily enhance the permeability of cellular membranes so as to enhance the delivery efficiency of therapeutic agents into cells. Microbubble-based ultrasound contrast agents are often used to facilitate these cavitation effects. This study used nanodroplets to significantly enhance the effectiveness of sonoporation relative to using conventional microbubbles. Significant enhancements were demonstrated both in vitro and in vivo by using gold nanorods encapsulated in nanodroplets for implementing plasmonic photothermal therapy. Combined excitation by ultrasound and laser radiation is used to trigger the gold nanodroplets to induce a liquid-to-gas phase change, which induces cavitation effects that are three-to-fivefold stronger than when using conventional microbubbles. Enhanced cavitation also leads to significant enhancement of the sonoporation effects. Our in vivo results show that nanodroplet-vaporization-assisted sonoporation can increase the treatment temperature by more than 10 °C above that achieved by microbubble-based sonoporation.

  20. Clinical value of the assistant interventional embolization in treatment of juvenile nasopharyngeal angiofibroma

    International Nuclear Information System (INIS)

    Objective: To study the application of the assistant digital subtraction angiography (DSA) with selective intra-arterial embolization in comprehensive treatment of juvenile nasopharyngeal angiofibroma. Methods: Among 17 patients with juvenile nasopharyngeal angiofibroma confirmed by surgery and biopsy from February 2000 to June 2005, 13 cases underwent DSA examination and selective intra-arterial embolization on 1-4 days before surgical operation, and 4 cases with uncontrollable epistaxis through conventional therapy were carried out urgent DSA and embolization as well as surgical operation on a scheduled day. Angiographic manifestations and hemostatic effects and impacts in surgical operation were observed. Results: The extent and blood supply of lesions and the features of feeding artery were clearly demonstrated by DSA. Supplying vessel was mainly maxillary artery originating from external caroted artery in 16 cases, and double supplying vessels from ramus of internal and external carotid arteries in 1 case. In general, the higher the nasopharyngeal angiofibroma grade was the more supplying branches would exist. As for epistaxis patients, the number of the presence of irregular distal vessels and the punctiform extravasation of contrast media were displayed in positive proportion. No severe complications occurred and active bleeding was stopped after embolization and furthermore with less blood loss during surgical operation statistically about 280-1600 ml (460±255.5). Conclusions: DSA examination and selective arterial embolization can not only present more accurate important clinical imaging features but also in favour of stop bleeding and enhance surgical outcomes for patients with nasopharyngeal angiogibroma. (authors)

  1. Applications of Video-assisted Thoracic Surgery for the Diagnosis and Treatment 
of Patients with Small Pulmonary Nodules

    Directory of Open Access Journals (Sweden)

    Liqun SHAN

    2013-07-01

    Full Text Available Background and objective Chest computed tomography (CT, particularly thin-slice high resolution CT, has low sensitivity and specificity for detecting pulmonary nodules <10 mm in size. This limitation leads to challenges in clinical diagnosis and treatment of small pulmonary nodules. This study introduces the use of video-assisted thoracoscopic surgery (VATS for the diagnosis and treatment of small pulmonary nodules. Methods From November 2009 to May 2012, 64 patients with small pulmonary nodules without prior preoperative pathologic diagnosis were treated by pulmonary wedge resection through VATS. The diagnosis of small pulmonary nodules was established from rapid frozen section. The type of operation depends on the pathology and the condition of the patients. Twenty patients with primary lung cancer were subjected to lobectomy and radical resection of the lymph nodes by complete thoracospic lobectomy or video-assisted thoracoscopic invasive lobectomy. Pulmonary wedge resection was performed in 44 patients, among whom 21 have benign nodule, 18 have precancerous lesion, 3 have metastatic nodule, and 2 have primary lung cancer for which lobectomy was not fit. Results Confirmative diagnosis is difficult to obtain among patients with small pulmonary nodules. VATS is effective in the diagnosis and treatment of small pulmonary nodules. With VATS, patients with benign small pulmonary nodules can be cured, and patients with primary lung cancer can receive definite diagnosis and effective treatment in time. Conclusion CT-guided hook-wire fixation is useful in precise lesion localization for surgical resection.

  2. The Role of Human Web Assistants in E-Commerce: An Analysis and a Usability Study.

    Science.gov (United States)

    Aberg, Johan; Shahmehri, Nahid

    2000-01-01

    Discusses electronic commerce and presents the concept of Web assistants, human assistants working in an electronic Web shop. Presents results of a usability study of a prototype adaptive Web assistant system that show users were enthusiastic about the concept of Web assistants and its implications. (Author/LRW)

  3. Study on microwave assisted process in chemical extraction

    International Nuclear Information System (INIS)

    The microwave assisted process is a revolutionary method of extraction that reduces the extraction time to as little as a few seconds, with up to a ten-fold decrease in the use of solvents. The target material is immersed in solvent that is transparent to microwaves, so only the target material is heated, and because of the microwaves tend to heat the inside of the material quickly, the target chemical are expelled in a few seconds. benefits from this process include significant reductions in the amount of energy required and substantial reductions in the cost and dispose of hazardous solvents. A thorough review has been displayed on: using the microwave in extraction, applications of microwave in industry, process flow diagram, mechanism of the process and comparison between microwave process and other extraction techniques (soxhlet, steam distillation and supercritical fluid). This review attempts to summarize the studies about microwave assisted process as a very promising technique. (Author)

  4. Donkey-assisted rehabilitation program for children: a pilot study

    Directory of Open Access Journals (Sweden)

    Paola De Rose

    2011-12-01

    Full Text Available Bonding with animals grants access to the sphere of affectivity and facilitates therapeutic engagement. The methodological approach of donkey-assisted programs is based on mediation, which is characterized by multidirectional relationships (patient-donkey-therapist. The donkey is an excellent facilitator in the motivation-building process, being able to stimulate the child's development by way of active and positive forces that foster psycho-affective and psycho-cognitive development processes. Results of this study, which focused on the child's approach to the donkey, indicate that while communicating with the animal, children rely more on physical expressions than on verbal language. Donkey-assisted rehabilitative sessions can help in identifying children's strong points, on which motivation could be built.

  5. Accuracy of treatment planning based on stereolithography in computer assisted surgery

    International Nuclear Information System (INIS)

    Three-dimensional stereolithographic models (SL models), made of solid acrylic resin derived from computed-tomography (CT) data, are an established tool for preoperative treatment planning in numerous fields of medicine. An innovative approach, combining stereolithography with computer-assisted point-to-point navigation, can support the precise surgical realization of a plan that has been defined on an SL model preoperatively. The essential prerequisites for the application of such an approach are: (1) The accuracy of the SL models (including accuracy of the CT scan and correspondence of the model with the patient's anatomy) and (2) the registration method used for the transfer of the plan from the SL model to the patient (i.e., whether the applied registration markers can be added to the SL model corresponding to the markers at the patient with an accuracy that keeps the ''cumulative error'' at the end of the chain of errors, in the order of the accuracy of contemporary navigation systems). In this study, we focus on these two topics: By applying image-matching techniques, we fuse the original CT data of the patient with the corresponding CT data of the scanned SL model, and measure the deviations of defined parameter (e.g., distances between anatomical points). To evaluate the registration method used for the planning transfer, we apply a point-merge algorithm, using four marker points that should be located at exactly corresponding positions at the patient and at connective bars that are added to the surface of the SL model. Again, deviations at defined anatomical structures are measured and analyzed statistically. Our results prove sufficient correspondence of the two data sets and accuracy of the registration method for routine clinical application. The evaluation of the SL model accuracy revealed an arithmetic mean of the relative deviations from 0.8% to 5.4%, with an overall mean deviation of 2.2%. Mean deviations of the investigated anatomical structures

  6. Animal-Assisted Therapy for Patients Undergoing Treatment at NIH Clinical Center | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... page please turn JavaScript on. Feature: Therapy Dogs Animal-Assisted Therapy for Patients Undergoing Treatment at NIH Clinical Center ... She and her friendly beagle, Juno, are trusted animal-assisted therapy volunteers. Accompanied by Parker or other Clinical Center ...

  7. A combined technique based on prilling and microwave assisted treatments for the production of ketoprofen controlled release dosage forms.

    Science.gov (United States)

    Auriemma, Giulia; Del Gaudio, Pasquale; Barba, Anna Angela; d'Amore, Matteo; Aquino, Rita P

    2011-08-30

    In this study the feasibility of joining prilling and microwave (MW) assisted treatments as combined technique to produce controlled release alginate beads was tested. Beads were produced by prilling (laminar jet break-up) using different polymer concentrations and loaded with ketoprofen, a slightly soluble non-steroidal anti-inflammatory BCS class II drug characterized by low melting point. MW assisted treatments applied using different irradiating conditions were performed as drying/curing step. The effect of formulation conditions and process variables on drying kinetics, particle micromeritics, shape, surface and inner characteristics of the matrix as well as drug loading and drug release behaviour was studied (USP pH change method). The properties of MW dried particles were compared to those dehydrated by convective methods (room conditions and tray oven 105°C). Results showed that MW dried ketoprofen loaded beads were obtained in a very narrow dimensional range retaining shape and size distribution of the hydrates particles. Compared to the traditional drying methods, MW treatments were able to strongly increase drying rate of the hydrated beads achieving faster and controllable dehydration kinetics. Moreover, different regimes of irradiation affected structural properties of the particles such as matrix porosity as well as the solid state of the loaded drug. DSC, X-ray and FTIR analyses indicated complex chemical interactions between the drug and polymer matrix induced by MW, related with the regime of irradiation, that contributes to the differences in release profiles. In fact, MW treatments under different time and irradiating regimes are able to modulate drug release from alginate beads; high levels of irradiation led to beads suitable for immediate release oral dosage forms whereas the lowest regime of irradiation led to beads that achieved a prolonged/sustained release of the drug till 8h in simulated intestinal medium. This study showed that prilling

  8. Overcoming the Recalcitrance for the Conversion of Kenaf Pulp to Glucose via Microwave-Assisted Pre-Treatment Processes

    Directory of Open Access Journals (Sweden)

    Miguel A. Hurtado

    2011-02-01

    Full Text Available This study evaluates the pre-treatment of cellulose from kenaf plant to yield sugar precursors for the production of ethanol or butanol for use as biofuel additives. In order to convert the crystalline cellulosic form to the amorphous form that can undergo enzymatic hydrolysis of the glycosidic bond to yield sugars, kenaf pulp samples were subjected to two different pre-treatment processes. In the acid pre-treatment, the pulp samples were treated with 37.5% hydrochloric acid in the presence of FeCl3 at 50 °C or 90 °C whereas in the alkaline method, the pulp samples were treated with 25% sodium hydroxide at room temperature and with 2% or 5% sodium hydroxide at 50 °C. Microwave-assisted NaOH-treatment of the cellulose was also investigated and demonstrated to be capable of producing high glucose yield without adverse environmental impact by circumventing the use of large amounts of concentrated acids i.e., 83–85% phosphoric acid employed in most digestion processes. The treated samples were digested with the cellulase enzyme from Trichoderma reesei. The amount of glucose produced was quantified using the QuantichromTM glucose bioassay for assessing the efficiency of glucose production for each of the treatment processes. The microwave-assisted alkaline pre-treatment processes conducted at 50 °C were found to be the most effective in the conversion of the crystalline cellulose to the amorphous form based on the significantly higher yields of sugar produced by enzymatic hydrolysis compared to the untreated sample.

  9. Using a Delphi consensus process to develop an acupuncture treatment protocol by consensus for women undergoing Assisted Reproductive Technology (ART treatment

    Directory of Open Access Journals (Sweden)

    Smith Caroline A

    2012-07-01

    Full Text Available Abstract Background Assisted reproductive technologies (ART are increasingly utilised for resolving difficulties conceiving. These technologies are expensive to both the public purse and the individual consumers. Acupuncture is widely used as an adjunct to ART with indications that it may assist reducing the time to conception and increasing live birth rates. Heterogeneity is high between treatment protocols. The aim of this study was to examine what fertility acupuncturists consider key components of best practice acupuncture during an ART cycle, and to establish an acupuncture protocol by consensus. Methods Fifteen international acupuncturists with extensive experience treating women during ART interventions participated in 3 rounds of Delphi questionnaires. The first round focused on identifying the parameters of acupuncture treatment as adjunct to ART, the second round evaluated statements derived from the earlier round, and the third evaluated specific parameters for a proposed trial protocol. Consensus was defined as greater than 80% agreement. Results Significant agreement was achieved on the parameters of best practice acupuncture, including an acupuncture protocol suitable for future research. Study participants confirmed the importance of needling aspects relating to the dose of acupuncture, the therapeutic relationship, tailoring treatment to the individual, and the role of co-interventions. From two rounds of the Delphi a consensus was achieved on seven treatment parameters for the design of the acupuncture treatment to be used in a clinical trial of acupuncture as an adjunct to ART. The treatment protocol includes the use of the traditional Chinese medicine acupuncture, use of manual acupuncture, a first treatment administered between day 6–8 of the stimulated ART cycle which is individualised to the participant, two treatments will be administered on the day of embryo transfer, and will include points SP8, SP10, LR3, ST29, CV4

  10. Laser gas assisted treatment of AISI H12 tool steel and corrosion properties

    Science.gov (United States)

    Yilbas, B. S.; Toor, Ihsan-ul-Haq; Malik, Jahanzaib; Patel, F.

    2014-03-01

    Laser gas assisted treatment of AISI H12 tool steel surface is carried out and the electrochemical response of the laser treated surface is investigated. Morphological and metallurgical changes in the treated layer are examined using a scanning electron microscope, energy dispersive spectroscopy, and X-ray diffraction. Potentiodynamic polarization tests are carried out for untreated and laser treated specimen in 0.2 M NaCl solution at room temperature. It is found that the laser treated AISI H12 workpiece surfaces exhibit higher corrosion resistance as compared to untreated specimen as confirmed by lower corrosion rate, higher pitting potential, and lower passive current density.

  11. ROBOTIC ASSISTED LAPAROSCOPIC MYOMECTOMY VERSUS CLASSICAL MYOMECTOMY - A COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    I. Georgescu

    2012-11-01

    Full Text Available AIM:The objective of this study was to perform a comparative analysis between robotic assisted laparoscopic and open approach, for patients with uterine leiomyoma, in terms of feasibility and quality of operation (duration of surgery, number and dimensions of extracted miomas, intraoperative blood loss. MATERIAL AND METHODS: We conducted a retrospective study on 166 patients diagnosed with uterine fibroids who have received conservative surgery – myomectomy over a period of 3 years (2008-2010. 38 cases were treated by robotic assisted laparoscopic myomectomy (RALM and 128 patients underwent open myomectomy. RESULTS: BMI was higher among patients with RALM, 27.68 vs 22.63, respectively. The average time of interventions was similar, 111.8 min for RALM. Time for myomectomy itself was 50.39 min and 22.37 min for the uterine suture. Open myomectomy took an average of 103 min, 21.05 min for myomectomies itself, and 21.05 min for the uterine suture. In RALM, a higher number of myomas were extracted, but with a smaller volume, 2.26 myomas with a volume of 57 mm3 vs 1.8 myomas with a volume of 156 mm3 for open myomectomy. Blood loss was significantly lower during robotic-assisted laparoscopic myomectomy compared to open myomectomy, 140 mL vs 267 mL. Patients treated by RALM had a shorter length of stay 2.05 versus 6 days. Postoperative complications in RALM were insignificant. In open miomectomy we noted: a case of uncontrollable intraoperative bleeding that required the use the Gelaspon, 4 cases of postoperative febrile syndrome and one case of urinary infection. CONCLUSIONS: RALM is feasible and allows superior results compared to open myomectomy, with less blood loss and shorter postoperative hospital stay.

  12. Comparing the efficacy of a web-assisted calprotectin-based treatment algorithm (IBD-live) with usual practices in teenagers with inflammatory bowel disease : study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    Heida, Anke; Dijkstra, Alie; Groen, Henk; Muller Kobold, Alie; Verkade, Henkjan; van Rheenen, Patrick

    2015-01-01

    Background: To prevent clinical relapse in teenagers with inflammatory bowel disease (IBD) there is a need to monitor disease activity continuously. Timely optimisation of medical treatment may nip a preclinical relapse in the bud and change the natural course of IBD. Traditionally, disease monitori

  13. Treatment of intrathoracic grass awn migration with video-assisted thoracic surgery in two dogs.

    Science.gov (United States)

    Shamir, Shelly; Mayhew, Philipp D; Zwingenberger, Allison; Johnson, Lynelle R

    2016-07-15

    CASE DESCRIPTION A 17-month-old sexually intact male Vizsla and a 2-year-old spayed female mixed-breed dog were examined because of suspected intrathoracic grass awn migration. CLINICAL FINDINGS Thoracic CT revealed focal areas of pulmonary infiltration in the right caudal lung lobe in one dog and in the left caudal lung lobe in the other. In 1 patient, bronchoscopy revealed 2 grass awns in the bronchi. Results of thoracic radiography and bronchoscopy were unremarkable in the second patient; however, a grass awn was recovered from the tonsillar crypt during oropharyngeal examination. TREATMENT AND OUTCOME In both dogs, grass awns were successfully retrieved from the pleural cavity by means of video-assisted thoracic surgery during 1-lung ventilation. In one patient, a grass awn was recovered bronchoscopically from the left caudal lung lobe bronchus and another was visualized distally in an accessory lung lobe bronchus but could not be retrieved. This dog underwent accessory lung lobectomy. The second dog underwent left caudal lung lobectomy. Both patients recovered uneventfully from surgery, were discharged from the hospital, and had no apparent recurrence of clinical signs at telephone follow-up 31 months and 18 months after surgery. CLINICAL RELEVANCE With careful case selection, successful management of intrathoracic grass awn migration in dogs can be achieved by means of video-assisted thoracic surgery. Comprehensive preoperative evaluation including both computed tomography and bronchoscopy is suggested. Further investigation is necessary to evaluate whether treatment of this condition with video-assisted thoracic surgery is as effective as with traditional open thoracotomy. PMID:27379598

  14. Endoscopy-assisted cerebral falx incision via unilateral approach for treatment of dissymmetric bilateral frontal contusion

    Institute of Scientific and Technical Information of China (English)

    DONG Ji-rong; HU Xu; XU Qin-yi; CAI Xue-jian; WANG Biao; WANG Yu-hai; SHI Zhong-hua; LIU Bing; CAI Sang; HE Jian-qing

    2012-01-01

    Objective: To investigate the clinical features and treatment strategy of dissymmetric bilateral frontal contusion,and to summarize our experience in treating these patients by minimally invasive surgery.Methods: Over the past 3 years,we have treated a total of 31 patients with dissymmetric bilateral frontal contusion using endoscopy-assisted unilateral cerebral falx incision.Other 30 patients treated by routine bilateral approaches within the same period were taken as control.Results: Seventeen cases (54.8%) in the unilateral operation group survived and were in good condition,8 (25.8%) had moderate disability,4 (12.9%) had severe disability,1 (3.2%) was in vegetative state,and 1 (3.2%) died.Compared with the control group,the Glasgow Outcome Scale score was not significantly different in the unilateral operation group,but the operation time,blood transfusion volume,the length of hospital stay,the incidences of mental disorder and olfactory nerve injury were greatly reduced in the unilateral operation group.Conclusions: Endoscopy-assisted unilateral cerebral falx incision can shorten the operation time,reduce surgical trauma and complications in treatment of patients with dissymmetric bilateral frontal contusion.It can obviously diminish the chance of delayed intracerebral hematoma and subsequently minimize the incidences of subfalcial and centrencephalic herniation.

  15. Kinetic Study of Nonequilibrium Plasma-Assisted Methane Steam Reforming

    Directory of Open Access Journals (Sweden)

    Hongtao Zheng

    2014-01-01

    Full Text Available To develop a detailed reaction mechanism for plasma-assisted methane steam reforming, a comprehensive numerical and experimental study of effect laws on methane conversion and products yield is performed at different steam to methane molar ratio (S/C, residence time s, and reaction temperatures. A CHEMKIN-PRO software with sensitivity analysis module and path flux analysis module was used for simulations. A set of comparisons show that the developed reaction mechanism can accurately predict methane conversion and the trend of products yield in different operating conditions. Using the developed reaction mechanism in plasma-assisted kinetic model, the reaction path flux analysis was carried out. The result shows that CH3 recombination is the limiting reaction for CO production and O is the critical species for CO production. Adding 40 wt.% Ni/SiO2 in discharge region has significantly promoted the yield of H2, CO, or CO2 in dielectric packed bed (DPB reactor. Plasma catalytic hybrid reforming experiment verifies the reaction path flux analysis tentatively.

  16. Learning Assistant Supported Student Outcomes (LASSO) study initial findings

    CERN Document Server

    Van Dusen, Ben; Otero, Valerie

    2015-01-01

    This study investigates how faculty, student, and course features are linked to student outcomes in Learning Assistant (LA) supported courses. Over 4,500 students and 17 instructors from 13 LA Alliance member institutions participated in the study. Each participating student completed an online concept inventory at the start (pre) and end (post) of their term. The physics concept inventories included Force and Motion Concept Evaluation (FMCE) and the Brief Electricity and Magnetism Assessment (BEMA). Concepts inventories from the fields of biology and chemistry were also included. Our analyses utilize hierarchical linear models that nest student level data (e.g. pre/post scores and gender) within course level data (e.g. discipline and course enrollment) to build models that examine student outcomes across institutions and disciplines. We report findings on the connections between students' outcomes and their gender, race, and time spent working with LAs as well as instructors' experiences with LAs.

  17. A Comparative Study of the Efficacy of Group Equine Assisted Counseling with At-Risk Children and Adolescents

    Science.gov (United States)

    Trotter, Kay Sudekum; Chandler, Cynthia K.; Goodwin-Bond, Deborah; Casey, Janie

    2008-01-01

    This study demonstrates the efficacy of Equine Assisted Counseling (EAC) by comparing EAC to classroom-based counseling. Students (n = 164) identified as being at high risk for academic and/or social failure participated in 12 weekly counseling sessions. Within-group paired sample t-test results comparing pre- and post-treatment scores for…

  18. Angiographic improvement after rapid intermittent compression treatment [ArtAssist] for small vessel obstruction.

    Science.gov (United States)

    van Bemmelen, Paul; Char, Daniel; Giron, Fabio; Ricotta, John J

    2003-03-01

    A case is presented of a female ex-smoker who underwent bypass or exploration of all three below-knee arteries with failed results. Three separate arteriograms, performed at other academic institutions, demonstrated progressive, severe involvement of the pedal arteries. Therefore, the patient was prepared to undergo below-knee amputation surgery for uncontrollable rest pain and progressive necrosis of the forefoot; instead, the patient underwent 4 months of intermittent compression treatment. A fourth arteriogram, performed after 4 months of intermittent compression treatment (using rapid inflation/deflation and high-pressure cycle; ArtAssist demonstrated marked improvement of the posterior tibial artery runoff and development of more extensive collateral arteries in the calf. The patient's rest pain subsided and successful limb salvage was accomplished with a modified transmetatarsal amputation. This case could encourage other practitioners to repeat arteriography after compression treatments, which may redirect the treatment plan for selected patients with critical limb ischemia and nonreconstructable peripheral vascular disease. PMID:12616356

  19. Computer Assisted Language Learning. Routledge Studies in Computer Assisted Language Learning

    Science.gov (United States)

    Pennington, Martha

    2011-01-01

    Computer-assisted language learning (CALL) is an approach to language teaching and learning in which computer technology is used as an aid to the presentation, reinforcement and assessment of material to be learned, usually including a substantial interactive element. This books provides an up-to date and comprehensive overview of…

  20. Depression Training in an Assisted Living Facility: A Pilot Study.

    Science.gov (United States)

    Beuscher, Linda; Dietrich, Mary

    2016-05-01

    Depression in older adults residing in assisted living facilities (ALFs) is often not recognized. ALF staff who work with residents on a daily basis are the most likely individuals to recognize residents' depressive symptoms. The purpose of the current pilot study was to determine feasibility of a 4-week training program for 15 direct care staff to recognize any depression symptoms of 32 residents. Although training significantly improved knowledge, it did not improve staff recognition of residents with positive depressive symptoms. Staff reported the training provided them a better understanding about depression and rated the training as very helpful to be able to recognize depression symptoms. Staff requested more information on ways to respond to someone who is depressed. Additional training should emphasize staff-resident communication skills for staff. Challenges included resident attrition and dwindling staff participation. Strategies to address these challenges are presented. [Journal of Psychosocial Nursing and Mental Health Services, 54(5), 25-31.]. PMID:26848806

  1. Periodontal and dental effects of surgically assisted rapid maxillary expansion, assessed by using digital study models

    OpenAIRE

    Danilo Furquim Siqueira; Mauricio de Almeida Cardoso; Leopoldino Capelozza Filho; Dov Charles Goldenberg; Mariana dos Santos Fernandes

    2015-01-01

    OBJECTIVE: The present study assessed the maxillary dental arch changes produced by surgically assisted rapid maxillary expansion (SARME). METHODS: Dental casts from 18 patients (mean age of 23.3 years) were obtained at treatment onset (T1), three months after SARME (T2) and 6 months after expansion (T3). The casts were scanned in a 3D scanner (D-250, 3Shape, Copenhagen, Denmark). Maxillary dental arch width, dental crown tipping and height were measured and assessed by ANOVA and Tukey's test...

  2. [INVITED] Laser gas assisted treatment of Ti-alloy: Analysis of surface characteristics

    Science.gov (United States)

    Yilbas, B. S.; Ali, H.; Karatas, C.

    2016-04-01

    Laser gas assisted treatment of Ti6Al4V alloy surface is carried out and nitrogen/oxygen mixture with partial pressure of PO2/PN2=1/3 is introduced during the surface treatment process. Analytical tools are used to characterize the laser treated surfaces. The fracture toughness at the surface and the residual stress in the surface region of the laser treated layer are measured. Scratch tests are carried out to determine the friction coefficient of the treated surface. It is found that closely spaced regular laser scanning tracks generates a self-annealing effect in the laser treated layer while lowering the stress levels in the treated region. Introducing high pressure gas mixture impingement at the surface results in formation of oxide and nitride species including, TiO, TiO2, TiN and TiOxNy in the surface region. A dense layer consisting of fine size grains are formed in the surface region of the laser treated layer, which enhances the microhardness at the surface. The fracture toughness reduces after the laser treatment process because of the microhardness enhancement at the surface. The residual stress formed is comprehensive, which is in the order of -350 MPa.

  3. Viagra for temporary erectile dysfunction during treatments with assisted reproductive technologies.

    Science.gov (United States)

    Tur-Kaspa, I; Segal, S; Moffa, F; Massobrio, M; Meltzer, S

    1999-07-01

    During treatments with assisted reproductive technologies (ART), some men may have difficulties in producing spermatozoa on demand at the time of insemination, either for intrauterine insemination (IUI) or for in-vitro fertilization (IVF). This situation imposes tremendous stress on the couple and may cause cancellation of the treatment. Here we describe, for the first time, the use of sildenafil citrate (ViagraTM) for temporary erectile dysfunction in couples undergoing ART. The first case was a man who could not produce spermatozoa for the first IVF treatment after an exhausting trial for 12 h, despite the fact that he never had problems in providing sperm samples during previous IUI cycles. Using Viagra enabled him to provide spermatozoa, but the delay in oocyte insemination resulted in no embryonic development. This prompted us to be more alert to this option and to suggest the use of Viagra to men who had a history of erectile dysfunction during previous ART cycles. In these cases, the use of Viagra was planned in advance and it successfully solved any unpredictable erectile dysfunction on the day of insemination. Such cases emphasize the need to think in advance of this potential use of Viagra during ART. PMID:10402389

  4. Enhanced boronizing kinetics of alloy steel assisted by surface mechanical attrition treatment

    International Nuclear Information System (INIS)

    Highlights: • Nanostructured surface layer is fabricated on H13 steel assisted by SMAT. • The boronizing kinetics of SMAT sample can be enhanced remarkably. • Borided layer can delay fatigue cracks initiation and impede their propagation. -- Abstract: A nanostructured surface layer was fabricated on AISI H13 steel by means of surface mechanical attrition treatment (SMAT). Boronizing behaviors of the SMAT samples were systematically investigated in comparison with their coarse-grained counterparts. The boron diffusion depth of the SMAT sample with pack boriding treatment at 600 °C for 2 h was about 8 μm, which was much deeper than that of the coarse-grained sample. A much thicker borided layer on the SMAT sample can be synthesized by a duplex boronizing treatment at 600 °C followed by at a higher temperature. The borided layer was composed with monophase of Fe2B and the growth of it exhibited a (0 0 2) preferred orientation. Moreover, the activation energy of boron diffusion for the SMAT sample is 140.3 kJ/mol, which is much lower than 209.4 kJ/mol for the coarse-grained counterpart. The results indicate that the boronizing kinetics can be significantly enhanced in the SMAT sample with a duplex boronizing treatment. Furthermore, the thermal fatigue tests show that the borided layer with excellent oxidation resistance and mechanical strength at elevated temperatures could effectively delay the thermal fatigue cracks initiation and impede their propagation. Therefore, the thermal fatigue property of H13 steel with a duplex boronizing treatment can be improved remarkably

  5. Improving Public Health Through Access to and Utilization of Medication Assisted Treatment

    Directory of Open Access Journals (Sweden)

    Thomas F. Kresina

    2011-10-01

    Full Text Available Providing access to and utilization of medication assisted treatment (MAT for the treatment of opioid abuse and dependence provides an important opportunity to improve public health. Access to health services comprising MAT in the community is fundamental to achieve broad service coverage. The type and placement of the health services comprising MAT and integration with primary medical care including human immunodeficiency virus (HIV prevention, care and treatment services are optimal for addressing both substance abuse and co-occurring infectious diseases. As an HIV prevention intervention, integrated (same medical record for HIV services and MAT services MAT with HIV prevention, care and treatment programs provides the best “one stop shopping” approach for health service utilization. Alternatively, MAT, medical and HIV services can be separately managed but co-located to allow convenient utilization of primary care, MAT and HIV services. A third approach is coordinated care and treatment, where primary care, MAT and HIV services are provided at distinct locations and case managers, peer facilitators, or others promote direct service utilization at the various locations. Developing a continuum of care for patients with opioid dependence throughout the stages MAT enhances the public health and Recovery from opioid dependence. As a stigmatized and medical disenfranchised population with multiple medical, psychological and social needs, people who inject drugs and are opioid dependent have difficulty accessing services and navigating medical systems of coordinated care. MAT programs that offer comprehensive services and medical care options can best contribute to improving the health of these individuals thereby enhancing the health of the community.

  6. Robot-assisted rectopexy is a safe and feasible option for treatment of rectal prolapse

    DEFF Research Database (Denmark)

    Haahr, Camilla; Jakobsen, Henrik Loft; Gögenur, Ismail

    2014-01-01

    INTRODUCTION: Rectal prolapse is seen in up to one in 100 elderly women and results in symptoms such as incontinence, mucus secretion and constipation. The aim of this study was to present short- and longterm outcomes after robot-assisted rectopexy in patients with rectal prolapse. MATERIAL AND......%). The mean age at surgery was 72 years (28-93 years). The mean duration of surgery was 123 min. (70-245 min.). The median length of stay in hospital was 4.1 days (0-15 days). There was one procedure-related complication (small-bowel obstruction) resulting in reoperation. At the time of follow-up, two...

  7. Application of water-assisted pulsed light treatment to decontaminate raspberries and blueberries from Salmonella.

    Science.gov (United States)

    Huang, Yaoxin; Sido, Robert; Huang, Runze; Chen, Haiqiang

    2015-09-01

    We developed and evaluated a small scaled-up water-assisted pulsed light (WPL) system, in which berries were washed in a flume washer while being irradiated by pulsed light (PL). Hydrogen peroxide (H2O2) was used in combination with PL as an advanced oxidation process and chlorine wash was used as a control. The effects of organic load, water turbidity, berry type and PL energy output on the inactivation of Salmonella using the WPL system were investigated. The combination of WPL and 1% H2O2 (WPL-H2O2) was the most effective treatment which reduced Salmonella on raspberries and blueberries by 4.0 and >5.6logCFU/g, respectively, in clear water. When high organic load and SiO2, as a soil simulator, were added in wash water, the free chlorine level in chlorinated water decreased significantly (P0.05) was observed for the decontamination efficacy of 1-min WPL-H2O2 treatment. Even in the presence of high organic load and water turbidity, no viable bacterial cells were recovered from the wash water, which showed that WPL-H2O2 could effectively prevent the risk of cross-contamination during treatment. Taken together, 1-min WPL treatment without H2O2 could provide a chemical free alternative to chlorine washing with similar and in some cases significantly higher bactericidal efficacy. Compared with chlorine washing, the combination of WPL and H2O2 resulted in significantly higher (Pprocessing of small berries intended for fresh-cut and frozen berry products. PMID:26047537

  8. Method development for studies of environmentally assisted cracking (EAC)

    International Nuclear Information System (INIS)

    During the use of nuclear reactors the properties of the structural materials change. Variations in the operation environment, such as changes in water chemistry, may enhance the development and growth of flaws. Neutron radiation causes embrittlement for in-core vessel materials. Radiation, together with water chemistry, increases the possibility of stress corrosion cracking in stainless steels and superalloys used in the reactor internal parts. Research on structural materials endeavours to study the ageing mechanisms of materials, and the possibilities and methods of preventing or forecasting the damage caused to structures by ageing. The objective within the subproject 'Material degradation due to corrosive environment' of the RATU2 project was to evaluate the factors affecting the changes in material properties due to the environment and stresses, and to assess their interrelationship. The subproject included among others the following tasks: (1) Development of routine EAC crack growth testing method for small test specimens, (2) Application of rising displacement testing to study irradiation assisted stress corrosion cracking (IASCC). New simplified techniques for determination of fracture resistance curves in simulated reactor environments. Multi-specimen bellows loading system to provide more experimental EAC data than can be obtained with previous servo hydraulic or mechanical loading systems. (author)

  9. Center for Advanced Energy Studies: Computer Assisted Virtual Environment (CAVE)

    Data.gov (United States)

    Federal Laboratory Consortium — The laboratory contains a four-walled 3D computer assisted virtual environment - or CAVE TM — that allows scientists and engineers to literally walk into their data...

  10. Nursing assistance for spring coil occlusion for the treatment of intracranial giant internal carotid artery aneurysms

    International Nuclear Information System (INIS)

    Objective: To discuss the importance of balloon occlusion test before interventional treatment of the intracranial giant internal carotid artery aneurysms and to sum up the nursing experience in assisting the procedure. Methods: Proper perioperative nursing measures were carried out for 12 patients, who suffered from intracranial giant internal carotid artery aneurysm and underwent spring coil occlusion treatment. Nursing measures included mental care, observation of the vital signs, prevention of the complications, etc. Results: Neither death nor exacerbation of the condition occurred in all the 12 patients. The patients were discharged from the hospital with a mean hospitalization of nine days. During a follow-up period ranged from 4 months to one year, seven patients had no disagreeable feeling, one patient complained of discomfort but no abnormality was found on follow-up DSA, and disappearance of the aneurysm was observed in 4 patients. Conclusion: The monitoring of the vital signs, the prevention of the complications and the standard nursing care are the key points for ensuring a successful operation in treating intracranial giant internal carotid artery aneurysms with spring coil occlusion. (authors)

  11. Arthroscopically assisted treatment for Schatzker type I-V tibial plateau fractures

    Institute of Scientific and Technical Information of China (English)

    DUAN Xiao-jun; YANG Liu; GUO Lin; CHEN Guang-xing; DAI Gang

    2008-01-01

    Objective: To report the clinical outcome of arthroscopically assisted treatment for tibial plateau fractures.Methods: A total of 39 patients with tibial plateau fractures were treated by arthroscopic fixation from February 2002 to December 2005,including 11 patients with bony avulsion of the anterior cruciate ligament and 19 with meniscal injury.There were 4 cases of type I fracture,12 type II,9 type III,12 type IV and 2 type V according to Schatzker criteria.Firstly,the combined injuries were treated.Then the plateau fractures with the displacement over 3 mm or more were reduced and fixed.Finally,the internal fixation was observed by X-ray equipment.Postoperative management was early motion and delayed weight bearing.Results: All the fractures healed in 3 or 4 months.All patients were followed up for 1 to 5 years after operation.No case had severe complications,such as poor wound healing,infection,osteofascial compartment syndrome and osteoarthritis.According to the Rasmussen scoring system,36 cases obtained excellent or good results and the other 3 cases had moderate clinical results.The average score was 26 ± 3.Conclusions: As an adjuvant treatment of intraarticular fractures such as tibial plateau fracture,arthroscopy has many advantages.It can treat associated intraarticular soft tissue components,visualize the chondral surface reduction,lavage the hematoma and smaller loose fragments,decrease soft tissue dissection,reduce the risk of scarring and promote rapid recovery.

  12. A study into the effectiveness of unqualified GP assistants.

    Science.gov (United States)

    Philip, Marilyn; Turnbull, Betty

    This article aims to address the potential shortfall in care provision offered by general practitioners (GPs) resulting from pending retirement and the retention and recruitment crisis. An educational module was developed that offered both theory and practise to unqualified general practice assistants. The module content was determined following discussion with local GPs. A small qualitative study of six students was carried out to review efficacy of participants in their new role. Using a grounded theory approach, participant and supervisor views of course content and delivery, role preparation diversity were analysed and compared. Tape-recorded interviews were conducted and analysis carried out employing the constant comparative method. Data were coded and emergent themes categorized. Overall, participants agreed that the module had strengthened their knowledge, added new skills, heightened their job satisfaction, added significant diversity to their role and enhanced their employability potential. Five participants communicated that they were more confident in performing clinical skills and advising health improvement techniques. Supervisors also reported that participants displayed a more competent and professional approach to health care, which was complementary to the role of the GP and practice nurse. Ultimately this allowed both GP and practice nurse to focus on dealing with chronic illness targets, as required in the new directive (Scottish Executive, 2004). PMID:16936620

  13. Trends in Global Assisted Reproductive Technologies Research: a Scientometrics study

    Science.gov (United States)

    Okhovati, Maryam; Zare, Morteza; Zare, Fatemeh; Bazrafshan, Maliheh Sadat; Bazrafshan, Azam

    2015-01-01

    Introduction This study illustrated the global contribution to assisted reproductive technologies (ARTs) research in MEDLINE database from 1998 to 2014. Methods In March 2015, the MEDLINE database was searched for research publications indexed under ‘reproductive techniques, assisted’ (including the following MeSH headings: in vitro fertilization [IVF]; intracytoplasmic sperm injections; cryopreservation; and ovulation induction), with the following expressions in the fields of title or abstract: intrauterine insemination; sperm donation; embryo/egg donation and surrogate mothers. The number of publications in MEDLINE database was recorded for each individual year, 1998–2014, and for each country. The following countries were arbitrarily selected for data retrieval: United States, United Kingdom, France, Germany, Canada, Italy, Japan (G7 countries), Brazil, Russia, India, China (BRIC countries), Egypt, Turkey, Israel and Iran. Results The absolute number of publications for each country from 1998 to 2014 ranged from 75 to 16453, with a median of 2024. The top five countries were the US (16453 publications), the UK (5427 publications), Japan (4805), China (4660) and France (3795). ART (20277), cryopreservation (11623) and IVF (11209) were the most researched areas. Conclusion Global research on ARTs were geographically distributed and highly concentrated among the world’s richest countries. Cryopreservation and IVF were the most productive research domains among ARTs. PMID:26813255

  14. Transumbilical Laparoscopic-Assisted Appendectomy in the Treatment of Acute Uncomplicated Appendicitis in Children

    Directory of Open Access Journals (Sweden)

    Carmine Noviello

    2015-01-01

    Full Text Available Transumbilical laparoscopic-assisted appendectomy (TULAA is increasingly being performed worldwide. The authors report their experience in the treatment of acute uncomplicated appendicitis in children with TULAA. From January 2008 to December 2012 all types of acute appendicitis were divided, according to the clinical and ultrasonographic findings, into complicated (appendiceal mass/abscess, diffuse peritonitis and uncomplicated. Complicated appendicitis was treated by open appendectomy (OA. All patients with the suspicion of uncomplicated appendicitis were offered TULAA by all surgeons of the team. Conversion to open or laparoscopic appendectomy (LA was performed in case of impossibility to complete TULAA, depending on the choice of surgeon. The histopathologic examination of appendix was always performed. 444 children (252 males with acute appendicitis were treated. The mean age was 9.2 years (range, 2 to 14 years. Primary OA was performed in 144 cases. In 300 patients a transumbilical laparoscopic-assisted approach was performed. TULAA was completed in 252 patients. Conversion to OA was performed in 45 patients and to LA in 3. Conversion was related to the impossibility to adequately expose the appendix in 47 patients and bleeding in 1. The mean operative time for TULAA was 42 minutes. Histopathologic examination of the appendix removed by TULAA showed a phlegmonous/gangrenous type in 92.8% of cases. Among the 252 TULAA there were 11 cases of umbilical wound infection. TULAA is a feasible and effective procedure for uncomplicated appendicitis in children. It combines the advantages of open and laparoscopic technique (low operative time, low complications rate, and excellent cosmetic results.

  15. EARLY DIAGNOSIS OF IMMUNE DISTURBANCES AND ITS CORRECTION IN THE TREATMENT OF MULTIORGAN FAILURE AND SEPTIC COMPLICATIONS AFTER OPERATIONS WITH ARTIFICIAL AND ASSIST CIRCULATION

    Directory of Open Access Journals (Sweden)

    V. S. Suskova

    2009-06-01

    Full Text Available The study has shown that early diagnosis of the type and degree of immune disturbances in preparation for the operation and the first signs of multiorgan failure and septic complications in the postoperative period in cardiac surgery patients were the rationale for the earlier substitution immunocorrection by immunomodulators of cytokine nature and intravenous immunoglobulin. It allowed increasing the efficiency of the treatment of postoperative complications and lower mortality after operations with artificial and assist circulation. 

  16. Alternative material study for heat assisted magnetic recording transducer application

    Science.gov (United States)

    Xu, B. X.; Cen, Z. H.; Hu, J. F.; Tsai, J. W. H.

    2015-05-01

    In heat assisted magnetic recording (HAMR), optical near field transducer (NFT) is a key component. Au is currently used as NFT material because of its strong surface plasmon effect. Due to the soft property of Au material, reliability of Au NFT becomes a key issue for realizing HAMR production. In this paper, the possibility of alternative materials, including transition metal nitrides (TMNs) and transparent conducting oxides (TCOs) to replace Au is studied. The results show that all of the listed TMN and TCO materials can meet the mechanical requirements at room temperature in terms of hardness and thermal expansion. An optical model, which includes optical waveguide, NFT and FePt media, is used to simulate NFT performances. The results indicate that the resonant wavelengths for NFT with TCO materials are longer than 1500 nm, which is not suitable for HAMR application. TMN materials are suitable for NFT application at wavelength band of around 800 nm. But the NFT efficiency is very low. ZrN is the best material among TMN materials and the efficiency of ZrN NFT is only 13% of the Au NFT's efficiency. Reducing refractive index (n) and increasing extinction coefficient (k) will both lead to efficiency increase. Increasing k contributes more in the efficiency increase, while reducing n has a relatively low NFT absorption. For materials with the same figure of merit, the NFT with larger k material has higher efficiency. Doping materials to increase the material conduction electron density and growing film with larger size grain may be the way to increase k and reduce n.

  17. Authors' reply to comment on "Are repeated assisted reproductive technology treatments and an unsuccessful outcome risk factors for unipolar depression in infertile women?"

    DEFF Research Database (Denmark)

    Sejbaek, Camilla S; Pinborg, Anja; Hageman, Ida;

    2016-01-01

    The aim of our national register-based study (1) was to investigate the risk of a new episode of unipolar depression among women treated with assisted reproductive technology (ART) in regards to whether they had achieved a live birth (as a result of treatment or spontaneous conception) or not. He...... compared to women having conceived spontaneously. This article is protected by copyright. All rights reserved.......The aim of our national register-based study (1) was to investigate the risk of a new episode of unipolar depression among women treated with assisted reproductive technology (ART) in regards to whether they had achieved a live birth (as a result of treatment or spontaneous conception) or not....... Hence, we did not aim to compare unipolar depression in women who received ART treatment with women who did not. However, a systematic review and meta-analysis (2) was published recently which shows no increased risk of post-partum depressive symptoms in women after medically assisted reproduction...

  18. [Arthroscopically assisted techniques for treatment of acute and chronic acromioclavicular joint injuries].

    Science.gov (United States)

    Braun, S; Imhoff, A B; Martetschläger, F

    2015-05-01

    Acute and chronic acromioclavicular (AC) joint dislocation is frequently encountered in the routine clinical practice. This injury can lead to significant impairment of shoulder girdle function. Therapy based on the severity of injury is recommended to re-establish correct shoulder function. The static radiographic Rockwood classification is used to define the degree of dislocation but the clinical aspects and functional x-ray imaging of horizontal AC joint instability should also be considered for selection of the appropriate procedure. Rockwood grades I and II injuries are treated non-operatively with early functional exercise. The approach for Rockwood grade III injuries should be individual and patient-specific, with non-surgical procedures for low functional requirement patients with a high risk for surgical interventions. For patients with high demands on shoulder function surgery is recommended. A detailed diagnostic assessment frequently reveals Rockwood grade III injuries to be type IV injuries. Rockwood types IV and V AC joint dislocations require surgery for sustained stability. Treatment of acute injuries is recommended within 1-3 weeks after trauma but there is no clear evidence of a cut-off for the presence of chronic injuries. Various surgical techniques have been described in the literature. This article presents an arthroscopically assisted technique that addresses both vertical and horizontal instability of the AC joint. PMID:25964020

  19. Efficacy of the Dynamic Interspinous Assisted Motion system in clinical treatment of degenerative lumbar disease

    Institute of Scientific and Technical Information of China (English)

    ZHAO Yu; WANG Yi-peng; QIU Gui-xing; ZHAO Hong; ZHANG Jian-guo; ZHOU Xi

    2010-01-01

    Background The Dynamic Interspinous Assisted Motion (DIAM) system was designed to stabilize degenerative spinal segments without fusion surgery, maintain segment motion and prevent adjacent segment degeneration. The aim of thisstudy was to investigate clinical efficacy of the DIAM system in treatment of degenerative lumbar disease in China.Methods Eight cases of lumbar vertebral instability were treated with the DIAM system at Peking Union MedicalCollege Hospital from June 2006 to January 2008. There were 6 female and 2 male subjects with a mean age of 46.9years and a range of 40-52 years. Radiographs and scores on outcome measures included the visual analogue scale (VAS) for pain and the Oswestry disability index (ODI). These scores were recorded before surgery and after surgery at intervals of 3-month, 6-month, 1-year and the final follow-up visit.Results The follow-up time ranged from 12-31 months, with an average of 20.6 months. There were significant differences between preoperative and postoperative scores at each follow-up evaluation (P <0.05). However, there was no significant difference between each postoperative follow-up score (P >0.05). There were significant differences between preoperative and postoperative L4-5 segment activity at each time interval (P <0.05), but no obvious difference was found within each postoperative follow-up evaluation (P >0.05). The ODI and VAS score improvements were directly correlated with segment activity (r >0.7, P <0.05).Conclusions The DIAM system appears to be a useful and effective treatment in the surgical management of degenerative lumbar disease in certain patients. However, long-term follow-up is needed to evaluate the clinical outcomes of the device.

  20. What We Learned about Mentoring Research Assistants Employed in a Complex, Mixed-Methods Health Study

    Science.gov (United States)

    Weeks, Lori E.; Villeneuve, Michelle A.; Hutchinson, Susan; Roger, Kerstin; Versnel, Joan; Packer, Tanya

    2015-01-01

    We investigated the experiences of research assistants in their dual role as both employees and trainees, when they were employed in a complex, mixed-methods, Canadian study on the everyday experience of living with and managing a chronic condition. A total of 13 research assistants participated in one or more components of this study: a survey (n…

  1. Framework for Computer Assisted Instruction Courseware: A Case Study.

    Science.gov (United States)

    Betlach, Judith A.

    1987-01-01

    Systematically investigates, defines, and organizes variables related to production of internally designed and implemented computer assisted instruction (CAI) courseware: special needs of users; costs; identification and definition of realistic training needs; CAI definition and design methodology; hardware and software requirements; and general…

  2. Study of Wearable Knee Assistive Instruments for Walk Rehabilitation

    Science.gov (United States)

    Zhu, Yong; Nakamura, Masahiro; Ito, Noritaka; Fujimoto, Hiroshi; Horikuchi, Kenichi; Wakabayashi, Shojiro; Takahashi, Rei; Terada, Hidetsugu; Haro, Hirotaka

    A wearable Knee Assistive Instrument for the walk rehabilitation was newly developed. Especially, this system aimed at supporting the rehabilitation for the post-TKA (Total Knee Arthroplasty) which is a popular surgery for aging people. This system consisted of an assisting mechanism for the knee joint, a hip joint support system and a foot pressure sensor system. The driving system of this robot consisted of a CPU board which generated the walking pattern, a Li-ion battery, DC motors with motor drivers, contact sensors to detect the state of foot and potentiometers to detect the hip joint angle. The control method was proposed to reproduce complex motion of knee joint as much as possible, and to increase hip or knee flexion angle. Especially, this method used the timing that heel left from the floor. This method included that the lower limb was raised to prevent a subject's fall. Also, the prototype of knee assisting system was tested. It was confirmed that the assisting system is useful.

  3. Effect of post-weld heat treatment on hydrogen-assisted cracking behavior of high-strength process pipe steel in a sour environment

    International Nuclear Information System (INIS)

    The influence of post-weld heat treatment on hydrogen-assisted cracking of process pipe steel is investigated in terms of change in hydrogen trapping site. This study reports that, contrary to other microstructures, in acicular ferrite, cementite bodies acting as reversible trapping sites for hydrogen atoms are newly precipitated along the grain boundary by the post-weld heat treatment conducted at 620 °C. This leads to an increase in diffusible hydrogen content in the steel that makes it more susceptible to hydrogen-induced cracking.

  4. Conceptual Thermal Treatment Technologies Feasibility Study

    International Nuclear Information System (INIS)

    This report presents a conceptual Thermal Treatment Technologies Feasibility Study (FS) for the Savannah River Site (SRS) focusing exclusively on thermal treatment technologies for contaminated soil, sediment, or sludge remediation projects

  5. [Determination of the rational extent of laser-assisted resection for the treatment of paralytic laryngeal stenosis].

    Science.gov (United States)

    Karpishchenko, S A; Dolgov, O I

    2016-01-01

    The objective of the present study was to improve the procedures for extended and restricted laser-assisted laryngoplasty in the patients presenting withparalytic laryngeal stenosis and to evaluate the outcome of the surgical interventionsdiffering in extent. The study included 51 patients (47 women and 4 men) at the age varying from 18 to 78 years. Twenty five of these patients had a tracheostoma. The examination was focused on the detection of the following characteristics: vocal fold angle, body mass index, age, specific anatomical and physiological features of the larynx, clinically significant concomitant pathologies, engagement in voice and speech professional activities as well as the influence of paramedical factors. The resulting total score was calculated. The data obtained were used to rationally plan the laser-assisted resection (either extended or restricted)of the posterior third of a vocal fold. The total score of 6 or higher always implied the necessity of extended resection whereas the overall score of 3 and less was regarded as an indication for the tissue-sparing surgery. The patients to whom the extended resection was prescribed had significantly higher physical health indices and the worse vocal function compared with the same parameters in the patients undergoing restricted resection. The spirometric characteristics of the patients in both groups were similar and either normal or slightly reduced. The characteristics of the psychic component of general health were not significantly different and corresponded to the internationally accepted normal values. It is concluded that the proposed treatment resulted in the favourable outcome in 49 of the 51 patients (96%). PMID:27500574

  6. A Randomized Controlled Study of Parent-assisted Children’s Friendship Training with Children having Autism Spectrum Disorders

    OpenAIRE

    Frankel, Fred; Myatt, Robert; Sugar, Catherine; Whitham, Cynthia; Gorospe, Clarissa M.; Laugeson, Elizabeth

    2010-01-01

    This study evaluated Children’s Friendship Training (CFT), a manualized parent-assisted intervention to improve social skills among second to fifth grade children with autism spectrum disorders. Comparison was made with a delayed treatment control group (DTC). Targeted skills included conversational skills, peer entry skills, developing friendship networks, good sportsmanship, good host behavior during play dates, and handling teasing. At post-testing, the CFT group was superior to the DTC gr...

  7. The effect of peri-implantation administration of uterine relaxing agents in assisted reproduction treatment cycles: a systematic review and meta-analysis.

    Science.gov (United States)

    Khairy, Mohammed; Dhillon, Rima K; Chu, Justin; Rajkhowa, Madhurima; Coomarasamy, Arri

    2016-04-01

    Sub-endometrial junctional zone peristalsis is increased by ovarian stimulation and traumatic embryo transfer, and is linked with decreased implantation and pregnancy rates in assisted reproduction treatments. Various agents have been used to inhibit uterine hyper-peristalsis at the time of embryo transfer with conflicting results. This systematic review aimed to identify if uterine relaxants administered in the peri-implantation period during assisted reproduction treatments could improve pregnancy outcomes through literature search with no language restrictions. The review reports on 3546 patients in 17 randomized controlled trials published between 1993 and 2014. Women undergoing assisted reproduction techniques who either received a uterine relaxant agent in the peri-implantation period versus placebo or no treatment were included. Primary outcome was live birth rate. The meta-analyses did not show statistically significant benefit of any uterine relaxing agents on live birth rate. Other meta-analyses did not show a significant effect on the clinical pregnancy, spontaneous abortion, ectopic pregnancy and multiple pregnancy rate. Most of the included studies were of low quality and lacked significant power to detect minimally important effect. Evidence is insufficient to recommend using these agents in routine practice. Further methodologically robust randomized controlled trials with more refined selection criteria might reveal a beneficial effect. PMID:26936145

  8. Study on microwave-assisted extraction of coal

    Institute of Scientific and Technical Information of China (English)

    CHEN Hong; LU Jun-qing; GE Ling-mei; Li Jian-wei

    2007-01-01

    The effect of different factors on coal extraction yield-temperature,solvent,coal type and irradiation time were investigated for different China coals under microwave-assisted extraction(MAE).The results show that the optimum temperature for ethanol,acetone and THF are 393,373 and 373 K respectively and the extraction yield of THF is higher than that of other two solvents under MAE.Extraction with several single organic solvents were conducted for the 5 typical China coals-Shenfu,Tongchuan,Panzhihua,Yitai and Huating coal under microwave-assisted extraction and Soxhlet extraction.Resuits indicat that extraction yield of ethylenediamine,ethanol,acetone,tetrahydrofuran under MAE are are higher than that of Soxhlet extraction and MAE required less time.Tonqchuan coal extracts of ethanol and acetone which were extracted by MAE and Soxhlet extraction were analyzed by GC/MS.

  9. The psychosexual profile of sexual assistants: an internet-based explorative study.

    Directory of Open Access Journals (Sweden)

    Erika Limoncin

    Full Text Available INTRODUCTION: Sexual assistance may have some aspects that resemble prostitution and others that might lead one to think of sexual assistants as similar to a group of subjects whose sexual object is disability (devotees. In this study, we investigate whether a rigorous selection and training process on the part of specialised organisations may reduce the risk of training subjects with an atypical sexual interest and behaviours resembling prostitution. MATERIALS AND METHODS: The study population consisted of 152 subjects defining themselves as sexual assistants. Subjects were initially contacted on websites specifically dedicated to sexual assistants and prostitutes. One hundred and twenty subjects were selected, by propensity score analysis, and studied by means of a modified version of a semi-structured questionnaire previously developed to investigate a population of subjects attracted by disability. RESULTS: The study group was composed of 80 trained and 40 untrained sexual assistants, with mean ages of 41.5 (SD +/-12.58 and 44.5 (SD +/-11.62, respectively. A significant number of untrained subjects affirmed that their motivation in carrying out sexual assistance was of a remunerative nature, while this number was lower among the trained assistants (p = 0.001. Nearly all untrained subjects claimed to do one or more of the following activities during sexual assistance: sexual intercourse, oral sex, and masturbation. Among the trained subjects, however, only 47.5% claimed to do one or more of these activities, which means that there is a significant gap between trained and untrained assistants (p<0.0001. The existence of an atypical sexual interest was more evident between untrained rather than between trained subjects (p<0.0001. CONCLUSIONS: Sexual assistance represents a way through which people affected by disabilities may attain the right to explore their sexuality in a safe setting. This can be guaranteed only if sexual assistants are

  10. An Exploratory Study of Animal-Assisted Interventions Utilized by Mental Health Professionals

    Science.gov (United States)

    O'Callaghan, Dana M.; Chandler, Cynthia K.

    2011-01-01

    This study implemented an exploratory analysis to examine how a sample of mental health professionals incorporates specific animal-assisted techniques into the therapeutic process. An extensive review of literature related to animal-assisted therapy (AAT) resulted in the identification of 18 techniques and 10 intentions for the practice of AAT in…

  11. An Empirical Typology of Residential Care/Assisted Living Based on a Four-State Study

    Science.gov (United States)

    Park, Nan Sook; Zimmerman, Sheryl; Sloane, Philip D.; Gruber-Baldini, Ann L.; Eckert, J. Kevin

    2006-01-01

    Purpose: Residential care/assisted living describes diverse facilities providing non-nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. Design and Methods: We obtained data from the Collaborative Studies of Long-Term…

  12. Dolphin-Assisted Therapy for Children with Special Needs: A Pilot Study

    Science.gov (United States)

    Dilts, Rachel; Trompisch, Norbert; Bergquist, Timothy M.

    2011-01-01

    Dolphin-assisted therapy (DAT), as a part of animal-assisted therapy and complementary and alternative medicine, yields several positive results. This study intended to add to DAT effectiveness research while using a standardized assessment. In the Ukraine, a DAT program called DolphinSwim agreed to take part in research with 37 voluntary…

  13. Achilles tendon rupture: physiotherapy and endoscopy-assisted surgical treatment of a common sports injury

    Directory of Open Access Journals (Sweden)

    Mahmut Nedim Doral

    2010-12-01

    Full Text Available Mahmut Nedim Doral1,2, Murat Bozkurt3, Egemen Turhan4, Gürhan Dönmez2, Murat Demirel5, Defne Kaya2, Kivanç Atesok7, Özgür Ahmet Atay1, Nicola Maffulli61Department of Orthopedics and Traumatology, 2Department of Sports Medicine, Hacettepe University School of Medicine, Sihhiye, Ankara, Turkey; 3Department of Orthopedics and Traumatology, Ankara Etlik Ihtisas Training and Research Hospital, Ankara, Turkey; 4Department of Orthopedics and Traumatology, Zonguldak Karaelmas University School of Medicine, Zonguldak, Turkey; 5Department of Orthopedics and Traumatology, Ankara Bayindir Medical Center, Ankara, Turkey; 6Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; 7St. Michael's Hospital Division of Orthopaedics Musculoskeletal Research Lab, Toronto, Ontario, CanadaAbstract: Although the Achilles tendon (AT is the strongest tendon in the human body, rupture of this tendon is one of the most common sports injuries in the athletic population. Despite numerous nonoperative and operative methods that have been described, there is no universal agreement about the optimal management strategy of acute total AT ruptures. The management of AT ruptures should aim to minimize the morbidity of the injury, optimize rapid return to full function, and prevent complications. Since endoscopy-assisted percutaneous AT repair allows direct visualization of the synovia and protects the paratenon that is important in biological healing of the AT, this technique becomes a reasonable treatment option in AT ruptures. Furthermore, Achilles tendoscopy technique may decrease the complications about the sural nerve. Also, early functional postoperative physiotherapy following surgery may improve the surgical outcomes.Keywords: Achilles tendon rupture, percutaneous repair, endoscopic control, growth factors

  14. Effect of Prometheus liver assist system on systemic hemodynamics in patients with cirrhosis: a randomized controlled study

    DEFF Research Database (Denmark)

    Dethloff, T.; Tofteng, F.; Frederiksen, H.J.; Hojskov, M.; Hansen, B.A.; Larsen, F.S.

    2008-01-01

    Adsorption and Dialysis, Prometheus system (Study group; n = 8); Molecular Adsorbent Recirculation System (MARS) (Control group 1, n = 8); or hemodialysis (Control group 2; n = 8). All patients included in the study had decompensated cirrhosis at the time of the inclusion into the study. Circulatory changes......AIM: To evaluate treatment safety and hemodynamic changes during a single 6-h treatment with the Prometheus liver assist system in a randomized, controlled study. METHODS: Twenty-four patients were randomized to either the study group or to one of two control groups: Fractionated Plasma Separation...... were monitored with a Swan-Ganz catheter and bilirubin and creatinine were monitored as measures of protein-bound and water-soluble toxins. RESULTS: Systemic hemodynamics did not differ between treatment and control groups apart from an increase in arterial pressure in the MARS group (P = 0.008). No...

  15. Self-study assisted cognitive therapy for PTSD: a case study

    OpenAIRE

    Wild, Jennifer; Ehlers, Anke

    2010-01-01

    Background: Research has demonstrated that Cognitive Therapy for PTSD (CT-PTSD), a version of traumafocused cognitive-behavioural therapy developed by Ehlers and Clark’s group (2000), is effective and feasible when offered in weekly and intensive daily formats. It is unknown whether patients with post-traumatic stress disorder (PTSD) could engage in and benefit from self-study assisted cognitive therapy, which would reduce therapist contact time. Objectives: This case report aims to ill...

  16. Systematic studies of covalent functionalization of carbon nanotubes via argon plasma-assisted UV grafting

    International Nuclear Information System (INIS)

    Single-walled carbon nanotubes (SWNTs) with 1-vinylimidazole species covalently attached to their sidewalls and end caps have been prepared by ultraviolet (UV) irradiation in 1-vinylimidazole monomer. This process can be greatly assisted by argon (Ar) plasma pretreatment, which generates more defect sites at the tube ends and sidewalls acting as the active sites for the subsequent UV grafting of 1-vinylimidazole molecules. The effects of total deposited energy of Ar plasma treatment, either by change of treatment time or discharge power, on the functionalization degree and structural morphology of the resulting nanotubes are systematically studied. By control of the Ar plasma treatment time within 5 min at the discharge power of 200 W, no visible chopping of the functionalized SWNTs was observed. Under this advised optimum processing condition, the functionalization degree, estimated by x-ray photoelectron spectroscopy (XPS) measurement, is as high as around 26 wt% 1-vinylimidazole molecules grafted onto the nanotubes. This method may be extended to other reactive vinyl monomers and offers another diverse way of covalent functionalization of SWNTs

  17. Development and preliminary study on the ultrasonic assisted GMAW method

    Institute of Scientific and Technical Information of China (English)

    Fan Yangyang; Fan Chenglei; Yang Chunli; Liu Wenge; Lin Sanbao

    2010-01-01

    The ultrasonic assisted GMAW (U-GMAW)method is proposed to achieve a more stable welding process and better weld quality. The U-GMA W system is developed, which consists of power supplies, ultrasonic vibration system and specially de-signed welding torch. The U-GMAW process and conventional GMA W process are compared through bend-on-plate welding.The weld beads are continuous and well protected, while the weld surface appearances by GMA W and U-GMA W are apparently different. The metal transfer mode changes from globular transfer to short-circuiting transfer after ultrasonic wave is applied onto the arc.

  18. Efficacy, predictability, and safety of laser-assisted subepithelial keratectomy for the treatment of myopia and myopic astigmatism

    OpenAIRE

    Al-Tobaigy, Faisal M.

    2012-01-01

    Purpose: The purpose was to report the refractive and visual outcomes of laser-assisted subepithelial keratectomy (LASEK) for the treatment of myopia. Materials and Methods: A retrospective, noncomparative consecutive case series of 173 of 91 patients who had undergone LASEK is presented. Primary outcome variables included uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifest refraction, epithelialization time, pain, haze, and complications. Result...

  19. Post-Operative Benefits of Animal-Assisted Therapy in Pediatric Surgery: A Randomised Study

    OpenAIRE

    Calcaterra, Valeria; Veggiotti, Pierangelo; Palestrini, Clara; De Giorgis, Valentina; Raschetti, Roberto; Tumminelli, Massimiliano; Mencherini, Simonetta; Papotti, Francesca; Klersy, Catherine; Albertini, Riccardo; Ostuni, Selene; Pelizzo, Gloria

    2015-01-01

    Background Interest in animal-assisted therapy has been fuelled by studies supporting the many health benefits. The purpose of this study was to better understand the impact of an animal-assisted therapy program on children response to stress and pain in the immediate post-surgical period. Patients and Methods Forty children (3–17 years) were enrolled in the randomised open-label, controlled, pilot study. Patients were randomly assigned to the animal-assisted therapy-group (n = 20, who underw...

  20. EFFICACY OF VACUUM ASSISTED CLOSURE DRESSINGS WHEN COMPARED TO MOIST WOUND DRESSINGS IN THE MANAGEMENT OF DIABETIC FOOT ULCERS : A PROSPECTIVE COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Ballapalli Hari

    2015-10-01

    Full Text Available INTRODUCTION: F oot ulceration is mainly responsible for the morbidity of diabetes mellitus. They deprive the patient of quality working days and add to his financial burden. Several novel methods of wound healing came to vogue among which vacuum assisted dressing is becoming quite popular. Present study aim s to evaluate its efficacy when compared to regular moist wound dressings. OBJECTIVES: To study the effectiveness of vacuum assisted dressings in terms of Rate of wound healing. MATERIALS AND METHODS: we carried out a prospective study at Narayana medical college hospital on two groups (group A and group B of diabetic foot ulcer patients, whom we selected randomly after considering inclusion and exclusion criteria . Vacuum assisted dressings were done in group A patients and normal moist wound dressings in group B. At the start of the treatment and every week thereafter, size and depth of ulcers were recorded and results were compared at complete wound healing or at the end of 12 weeks of treatment whichever is earlier. S trict glycaemic control was maintaine d throughout the treatment period. RESULTS : significant healing was noticed in group A patients (vacuum assisted dressings group both in terms of ulcer size and depth. Wounds appeared more - healthy i.e. with less slough and more red granulation tissue in g roup A patients. CONCLUSION: vacuum assisted dressing is an efficacious method in the treatment of diabetic foot ulcers with significantly reduced hospital stay

  1. A Study To Evaluate Skills Of Ophthalmic Assistants For Assessment Of Cup Disc Ratio

    Directory of Open Access Journals (Sweden)

    Malik J.S

    1999-01-01

    Full Text Available Research question: 1. Whether paramedical ophthalmic assistants can be trained to examine vertical cup disc ratio? 2. Can the PMO As detect abnormal cup disc ratio after training? Objectives: 1. T o train ophthalmic assistants in cup disc ratio examination 2. To evaluate skills of trained ophthalmic assistants in cup disc ratio examination Study design: Cross sectional Setting: OPD of Ophthalmology department, Pt. B.D. Sharma PGIMS, Rohtak Participants: Five paramedical ophthalmic assistants, one ophthalmologist and 322 patients above 40 years of age. Statistical analysis: Sensitivity, specificity, Kappa values. Results: Data analysis of 322 cases was found by PMO As and ophthalmologist revealed sensitivity between 50-65% and specificity between 84.5-92.62%. A good agreement was found among all the examiners on computation of Kappa Values. It was concluded that ophthalmic assistants can examine vertical cup disc ratio after five days training.

  2. Ultrasound-assisted synthesis of nanosized zero-valent iron for metal cations extraction and wastewater treatment applications

    Science.gov (United States)

    Mikhailov, I. Yu; Lysov, D. V.; Levina, V. V.; Mazov, I. N.; Gusev, A. A.; Yudintseva, T. I.; Kuznetsov, D. V.

    2016-01-01

    Nanosized zero-valent iron has shown good results in wastewater treatment and activation of physicochemical processes. Its applications in modern industry are complicated by high production costs of nanomaterials produced via existing synthesis routes. Therefore there is a need of cheap and high-productive methods of nanosized zero-valent iron with advanced functional properties. Improvement of oxidative conditions with additions may find its place in extraction of rare-earth metals, where high cost of nanomaterials could be viable. In this paper we studied an effect of ultrasonic irradiation on specific surface area and particle size of nanosized zero-valent iron synthesized by methods of chemical precipitation with high- temperature reduction in hydrogen flow and sodium borohydride reduction. Obtained results showed significant decrease of particle size and differences in particles morphology depending on presence of ultrasonication during synthesis and on chosen method. For ultrasonic-assisted synthesis with 100% amplitude, particle size calculated from specific surface area was 70 nm for sample synthesized by chemical precipitation with high-temperature reduction and 35 nm for borohydide reduction method compared to 63 nm for reference sample without ultrasonication.

  3. Paradox of Modern Pregnancy: A Phenomenological Study of Women's Lived Experiences from Assisted Pregnancy.

    Science.gov (United States)

    Ranjbar, Fahimeh; Akhondi, Mohammad-Mehdi; Borimnejad, Leili; Ghaffari, Saeed-Reza; Behboodi-Moghadam, Zahra

    2015-01-01

    The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs). A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women's experience including finding peace in life, paradoxical feelings, and struggling to realize a dream. We concluded that pregnancy is the beginning of a new and hard struggle for women with fertility problems. The findings of our study resulted in helpful implications for the health care professionals managing assisted pregnancies. PMID:26064687

  4. Paradox of Modern Pregnancy: A Phenomenological Study of Women’s Lived Experiences from Assisted Pregnancy

    Directory of Open Access Journals (Sweden)

    Fahimeh Ranjbar

    2015-01-01

    Full Text Available The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs. A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women’s experience including finding peace in life, paradoxical feelings, and struggling to realize a dream. We concluded that pregnancy is the beginning of a new and hard struggle for women with fertility problems. The findings of our study resulted in helpful implications for the health care professionals managing assisted pregnancies.

  5. Implementing Supplemental Nutrition Assistance Program in Puerto Rico: A Feasibility Study

    OpenAIRE

    Anne Peterson; Bryan Johnson; Benjamin E. Moulton; Emily O. Smith; Alexandra Suchman; Claire Wilson; Shiara Francisquini Oquendo; Jacqueline Kauff; Jonathan Ladinsky; Laura Castner

    2010-01-01

    This study assesses the potential impact of establishing the Supplemental Nutrition Assistance Program (SNAP) in Puerto Rico, including the administrative burden and costs to both the U.S. government and the government of Puerto Rico.

  6. Robotic-assisted surgery versus open surgery in the treatment of rectal cancer: the current evidence

    Science.gov (United States)

    Liao, Guixiang; Li, Yan-Bing; Zhao, Zhihong; Li, Xianming; Deng, Haijun; Li, Gang

    2016-01-01

    The aim of this meta-analysis was to comprehensively compare the safety and efficacy of robotic-assisted rectal cancer surgery (RRCS) and open rectal cancer surgery (ORCS). Electronic database (PubMed, EMBASE, Web of Knowledge, and the Cochrane Library) searches were conducted for all relevant studies that compared the short-term and long-term outcomes between RRCS and ORCS. Odds ratios (ORs), mean differences, and hazard ratios were calculated. Seven studies involving 1074 patients with rectal cancer were identified for this meta-analysis. Compared with ORCS, RRCS is associated with a lower estimated blood loss (mean difference [MD]: −139.98, 95% confidence interval [CI]: −159.11 to −120.86; P < 0.00001), shorter hospital stay length (MD: −2.10, 95% CI: −3.47 to −0.73; P = 0.003), lower intraoperative transfusion requirements (OR: 0.52, 95% CI: 0.28 to 0.99, P = 0.05), shorter time to flatus passage (MD: −0.97, 95% CI = −1.06 to −0.88, P < 0.00001), and shorter time to resume a normal diet (MD: −1.71.95% CI = −3.31 to −0.12, P = 0.04). There were no significant differences in surgery-related complications, oncologic clearance, disease-free survival, and overall survival between the two groups. However, RRCS was associated with a longer operative time. RRCS is safe and effective. PMID:27228906

  7. Percutaneous treatment of extrahepatic bile duct stones assisted by balloon sphincteroplasty and occlusion balloon

    International Nuclear Information System (INIS)

    To describe the technical feasibility and usefulness of extrahepatic biliary stone removal by balloon sphincteroplasty and occlusion balloon pushing. Fifteen patients with extrahepatic bile duct stones were included in this study. Endoscopic stone removal was not successful in 13 patients, and two patients refused the procedure due to endoscopy phobia. At first, all patients underwent percutaneous transhepatic biliary drainage (PTBD). A few days later, through the PTBD route, balloon assisted dilatation for common bile duct (CBD) sphincter was performed, and then the stones were pushed into the duodenum using an 11.5 mm occlusion balloon. Success rate, reason for failure, and complications associated with the procedure were evaluated. Eight patients had one stone, five patients had two stones, and two patients had more than five stones. The procedure was successful in 13 patients (13/15). In 12 of the patients, all stones were removed in the first trial. In one patients, residual stones were discovered on follow-up cholangiography, and were subsequently removed in the second trial. Technical failure occurred in two patients. Both of these patients had severely dilated CBD and multiple stones with various sizes. Ten patients complained of pain in the right upper quadrant and epigastrium of the abdomen immediately following the procedure, but there were no significant procedure-related complications such as bleeding or pancreatitis. Percutaneous extrahepatic biliary stone removal by balloon sphincteroplasty and subsequent stone pushing with occlusion balloon is an effective, safe, and technically feasible procedure which can be used as an alternative method in patients when endoscopic extrahepatic biliary stone removal was not successful

  8. Percutaneous treatment of extrahepatic bile duct stones assisted by balloon sphincteroplasty and occlusion balloon

    Energy Technology Data Exchange (ETDEWEB)

    Park, Yong Sung; Kim, Ji Hyung; Choi, Young Woo; Lee, Tae Hee; Hwang, Cheol Mog; Cho, Young Jun; Kim, Keum Won [Konyang University Hospital, Daejeon (Korea, Republic of)

    2005-12-15

    To describe the technical feasibility and usefulness of extrahepatic biliary stone removal by balloon sphincteroplasty and occlusion balloon pushing. Fifteen patients with extrahepatic bile duct stones were included in this study. Endoscopic stone removal was not successful in 13 patients, and two patients refused the procedure due to endoscopy phobia. At first, all patients underwent percutaneous transhepatic biliary drainage (PTBD). A few days later, through the PTBD route, balloon assisted dilatation for common bile duct (CBD) sphincter was performed, and then the stones were pushed into the duodenum using an 11.5 mm occlusion balloon. Success rate, reason for failure, and complications associated with the procedure were evaluated. Eight patients had one stone, five patients had two stones, and two patients had more than five stones. The procedure was successful in 13 patients (13/15). In 12 of the patients, all stones were removed in the first trial. In one patients, residual stones were discovered on follow-up cholangiography, and were subsequently removed in the second trial. Technical failure occurred in two patients. Both of these patients had severely dilated CBD and multiple stones with various sizes. Ten patients complained of pain in the right upper quadrant and epigastrium of the abdomen immediately following the procedure, but there were no significant procedure-related complications such as bleeding or pancreatitis. Percutaneous extrahepatic biliary stone removal by balloon sphincteroplasty and subsequent stone pushing with occlusion balloon is an effective, safe, and technically feasible procedure which can be used as an alternative method in patients when endoscopic extrahepatic biliary stone removal was not successful.

  9. Use of Methylene Blue in the Treatment of Refractory Vasodilatory Shock After Cardiac Assist Device Implantation: Report of Four Consecutive Cases

    OpenAIRE

    Michel, Sebastian; Weis, Florian; Sodian, R; Beiras-Fernandez, Andres; Bigdeli, Amir K; Kaczmarek, Ingo; Bruegger, Dirk

    2012-01-01

    Vasodilatory shock frequently occurs after cardiac surgery, particularly after cardiac assist device implantation. This complication is often associated with high mortality, especially if refractory to conventional vasoconstrictor treatment. Methylene blue, a guanylate cyclase inhibitor, has been successfully used in the management of vasodilatory shock associated with cardiopulmonary bypass. We present four successive cases after implantation of cardiac assist devices suffering from norepine...

  10. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke

    Directory of Open Access Journals (Sweden)

    Patten Carolynn

    2009-06-01

    Full Text Available Abstract Background While manually-assisted body-weight supported treadmill training (BWSTT has revealed improved locomotor function in persons with post-stroke hemiparesis, outcomes are inconsistent and it is very labor intensive. Thus an alternate treatment approach is desirable. Objectives of this pilot study were to: 1 compare the efficacy of body-weight supported treadmill training (BWSTT combined with the Lokomat robotic gait orthosis versus manually-assisted BWSTT for locomotor training post-stroke, and 2 assess effects of fast versus slow treadmill training speed. Methods Sixteen volunteers with chronic hemiparetic gait (0.62 ± 0.30 m/s post-stroke were randomly allocated to Lokomat (n = 8 or manual-BWSTT (n = 8 3×/wk for 4 weeks. Groups were also stratified by fast (mean 0.92 ± 0.15 m/s or slow (0.58 ± 0.12 m/s training speeds. The primary outcomes were self-selected overground walking speed and paretic step length ratio. Secondary outcomes included: fast overground walking speed, 6-minute walk test, and a battery of clinical measures. Results No significant differences in primary outcomes were revealed between Lokomat and manual groups as a result of training. However, within the Lokomat group, self-selected walk speed, paretic step length ratio, and four of the six secondary measures improved (p = 0.04–0.05, effect sizes = 0.19–0.60. Within the manual group, only balance scores improved (p = 0.02, effect size = 0.57. Group differences between fast and slow training groups were not revealed (p ≥ 0.28. Conclusion Results suggest that Lokomat training may have advantages over manual-BWSTT following a modest intervention dose in chronic hemiparetic persons and further, that our training speeds produce similar gait improvements. Suggestions for a larger randomized controlled trial with optimal study parameters are provided.

  11. Comparative study on conventional, ultrasonication and microwave assisted extraction of γ-oryzanol from rice bran.

    Science.gov (United States)

    Kumar, Pramod; Yadav, Devbrat; Kumar, Pradyuman; Panesar, Paramjeet Singh; Bunkar, Durga Shankar; Mishra, Diwaker; Chopra, H K

    2016-04-01

    In present study, conventional, ultrasonic and microwave assisted extraction methods were compared with the aim of optimizing best fitting solvent and method, solvent concentration and digestion time for high yield of γ-oryzanol from rice bran. Petroleum ether, hexane and methanol were used to prepare extracts. Extraction yield were evaluated for giving high crude oil yield, total phenolic content (TPC) and γ-oryzanol content. Gas chromatography-mass spectrophotometry was used for the determination of γ-oryzanol concentration. The highest concentration of γ-oryzanol was detected in methanolic extracts of microwave treatment (85.0 ppm) followed by ultrasonication (82.0 ppm) and conventional extraction method (73.5 ppm). Concentration of γ-oryzanol present in the extracts was found to be directly proportional to the total phenolic content. A combination of 80 % methanolic concentration and 55 minutes digestion time of microwave treatment yielded the best extraction method for TPC and thus γ-oryzanol (105 ppm). PMID:27413233

  12. Predicting substance-abuse treatment providers' communication with clients about medication assisted treatment: a test of the theories of reasoned action and planned behavior.

    Science.gov (United States)

    Roberto, Anthony J; Shafer, Michael S; Marmo, Jennifer

    2014-01-01

    The purpose of this investigation is to determine if the theory of reasoned action (TRA) and theory of planned behavior (TPB) can retrospectively predict whether substance-abuse treatment providers encourage their clients to use medicated-assisted treatment (MAT) as part of their treatment plan. Two-hundred and ten substance-abuse treatment providers completed a survey measuring attitudes, subjective norms, perceived behavioral control, intentions, and behavior. Results indicate that substance-abuse treatment providers have very positive attitudes, neutral subjective norms, somewhat positive perceived behavioral control, somewhat positive intentions toward recommending MAT as part of their clients' treatment plan, and were somewhat likely to engage in the actual behavior. Further, the data fit both the TRA and TPB, but with the TPB model having better fit and predictive power for this target audience and behavior. The theoretical and practical implications for the developing messages for substance-abuse treatment providers and other health-care professionals who provide treatment to patients with substance use disorders are discussed. PMID:25092045

  13. Diplomatic Assistance: Can Helminth-Modulated Macrophages Act as Treatment for Inflammatory Disease?

    Science.gov (United States)

    Steinfelder, Svenja; O’Regan, Noëlle Louise; Hartmann, Susanne

    2016-01-01

    Helminths have evolved numerous pathways to prevent their expulsion or elimination from the host to ensure long-term survival. During infection, they target numerous host cells, including macrophages, to induce an alternatively activated phenotype, which aids elimination of infection, tissue repair, and wound healing. Multiple animal-based studies have demonstrated a significant reduction or complete reversal of disease by helminth infection, treatment with helminth products, or helminth-modulated macrophages in models of allergy, autoimmunity, and sepsis. Experimental studies of macrophage and helminth therapies are being translated into clinical benefits for patients undergoing transplantation and those with multiple sclerosis. Thus, helminths or helminth-modulated macrophages present great possibilities as therapeutic applications for inflammatory diseases in humans. Macrophage-based helminth therapies and the underlying mechanisms of their therapeutic or curative effects represent an under-researched area with the potential to open new avenues of treatment. This review explores the application of helminth-modulated macrophages as a new therapy for inflammatory diseases. PMID:27101372

  14. Paradox of Modern Pregnancy: A Phenomenological Study of Women’s Lived Experiences from Assisted Pregnancy

    OpenAIRE

    Fahimeh Ranjbar; Mohammad-Mehdi Akhondi; Leili Borimnejad; Saeed-Reza Ghaffari; Zahra Behboodi-Moghadam

    2015-01-01

    The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs). A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women's experience including finding peace in life, paradoxical feelings, and struggling to realize a dream. We concluded that pregnancy is the beginning ...

  15. Experimental and Numerical Study on Heat Pipe Assisted PCM Storage System

    OpenAIRE

    Behi, Hamidreza

    2015-01-01

    In this study, thermal performance, energy storage and cooling capacity of a heat pipe assisted Phase Change Material (PCM) storage system have been investigated experimentally andnumerically. The heat pipe assisted PCM storage system can store and release energy efficiently.Heat pipe as a two-phase heat transfer device with very high thermal conductivity can beemployed to transfer heat at a high rate and very low-temperature difference. The core ideareferred to this system is to improve the ...

  16. Special studies and analyses for the Assistant Secretary for Policy, Safety, and Environment. Final report

    International Nuclear Information System (INIS)

    The report identifies major tasks accomplished, details plans for the orderly completion of all work in process, and provides a complete listing of deliverables (reports, briefings, letters, etc.) provided under the contract. Purpose of this contract was to provide environmental studies, analytical planning, evaluation, and other technical assistance and support to the DOE Office of the Assistant Secretary for Environmental Protection, Safety and Emergency Preparedness (EP) and designated EP offices and divisions

  17. ITER design, integration and assembly studies assisted by virtual reality

    International Nuclear Information System (INIS)

    Highlights: ► VR technologies applied to Fusion enable to better and faster understand integration issues. ► Problems are solved and validated on a numerical mock up. ► Integration and accessibility issues can be identified in the earliest design. ► VR technologies are very helpful for assembly and maintenance operation simulations. ► New tools for real time simulations of hands-on operations are currently under development. -- Abstract: In a project like ITER where schedule, resources and cost is continuously optimized, emphasis has to be put on developing long lead items first while keeping other designs very low in definition. Hence, at a particular stage of the project, several components have to coexist in the integrated system while handling different level of maturity. Therefore, all the difficulty consists in managing the interfaces between all these components and to minimize the risk of design changes on the most advanced components. As a future exploitant, ITER is in charge of managing these interfaces and to ensure that maintenance of especially safety important class components (SIC) is feasible. These operation and maintenance constraints have to be taken into account since the earliest design of the components itselves. In this context, CEA IRFM is taking the benefit of using its virtual reality (VR) platform and simulation tools to assist ITER Organization in improving the efficiency of the inconsistencies identification and the machine sub-system design optimization. Currently, two contracts are on-going: the first one concerns the cryostat and in-vessel components; the second one concerns the overall Tokamak (TKM) and diagnostic buildings. This paper describes how VR tools applied to fusion and especially to ITER can help design and Integration with taking into account assembly and maintenance requirements at early stage in the design of complex systems

  18. Successful treatment of experimental neonatal respiratory failure using extracorporeal membrane lung assist.

    Science.gov (United States)

    Fumagalli, R; Kolobow, T; Arosio, P; Chen, V; Buckhold, D K; Pierce, J E

    1986-11-01

    A total of 44 preterm fetal lambs at great risk of developing respiratory failure were delivered by Cesarean section, and were then managed on conventional mechanical pulmonary ventilation. Fifteen animals initially fared well, and 14 of these were long term survivors. Twenty-nine other lambs showed a progressive deterioration in arterial blood gases within 30 minutes of delivery, of which 10 lambs were continued on mechanical pulmonary ventilation (20% survival), while the remaining 19 lambs were placed on an extracorporeal membrane lung respiratory assist (79% survival). Extracorporeal membrane lung bypass rapidly corrected arterial blood gas values, and permitted the use of high levels of CPAP instead of the continuation of mechanical pulmonary ventilation at high peak airway pressures. Improvement in lung function was gradual, and predictable. Early institution of extracorporeal respiratory assist using a membrane artificial lung rapidly corrected arterial blood gas values and significantly improved on neonate survival. PMID:3643887

  19. Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study

    Directory of Open Access Journals (Sweden)

    Hoppe, Delia Letizia

    2013-12-01

    Full Text Available [english] Background: Autologous fat grafting has become a frequent, simple, reproducible and low-risk technique for revisional or partial breast reconstruction. The presented European multicenter study describes an optimized treatment and follow-up protocol for the de novo breast reconstruction after total mastectomy by lipotransfer alone.Methods: A retrospective European multicenter trial included 135 procedures on 28 (35 breasts postmastectomy patients (mean 52.4 years. All women were treated with the water-jet assisted fat grafting method (BEAULI™ combined with additional procedures (NAC reconstruction, contralateral mastoplasty and evaluated with at least 6 months follow-up (mean 2.6 years. Sonography or mammography, clinical examination, patient questionnaire (10-point Likert scale and digital photographs were carried out.Results: On average the patients received 4 to 6 procedures each with a single volume of 159 ml (±61 ml over 21 months (range 9 months to 2.5 years. In total 1,020 ml (±515 ml fat were grafted till a complete breast reconstruction was achieved. Irradiated patients needed a significantly higher volume than non-irradiated (p<0.041. Main treatment complications were liponecrosis (2.59%, infection (0.74% and granuloma (0.74%. Patient satisfaction was overall high to very high (96% and confirmed the good aesthetic results (68% and the natural softness, contour and shape of the reconstructed breast.Conclusions: A complete breast reconstruction with large volume fat grafting is alternatively possible to standard techniques in selected cases. It takes at least 4 to 6 lipotransfers in the course of 2 years. Patients with prior radiotherapy may require even up to 8 sessions over nearly 3 years of treatment.

  20. Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study

    Science.gov (United States)

    Hoppe, Delia Letizia; Ueberreiter, Klaus; Surlemont, Yves; Peltoniemi, Hilkka; Stabile, Marco; Kauhanen, Susanna

    2013-01-01

    Background: Autologous fat grafting has become a frequent, simple, reproducible and low-risk technique for revisional or partial breast reconstruction. The presented European multicenter study describes an optimized treatment and follow-up protocol for the de novo breast reconstruction after total mastectomy by lipotransfer alone. Methods: A retrospective European multicenter trial included 135 procedures on 28 (35 breasts) postmastectomy patients (mean 52.4 years). All women were treated with the water-jet assisted fat grafting method (BEAULI™) combined with additional procedures (NAC reconstruction, contralateral mastoplasty) and evaluated with at least 6 months follow-up (mean 2.6 years). Sonography or mammography, clinical examination, patient questionnaire (10-point Likert scale) and digital photographs were carried out. Results: On average the patients received 4 to 6 procedures each with a single volume of 159 ml (±61 ml) over 21 months (range 9 months to 2.5 years). In total 1,020 ml (±515 ml) fat were grafted till a complete breast reconstruction was achieved. Irradiated patients needed a significantly higher volume than non-irradiated (p<0.041). Main treatment complications were liponecrosis (2.59%), infection (0.74%) and granuloma (0.74%). Patient satisfaction was overall high to very high (96%) and confirmed the good aesthetic results (68%) and the natural softness, contour and shape of the reconstructed breast. Conclusions: A complete breast reconstruction with large volume fat grafting is alternatively possible to standard techniques in selected cases. It takes at least 4 to 6 lipotransfers in the course of 2 years. Patients with prior radiotherapy may require even up to 8 sessions over nearly 3 years of treatment. PMID:24403878

  1. Laser assisted periodontal treatment: from bactericidal effect to local modification of the host response

    Science.gov (United States)

    Ciurescu, Codruţa.; Teslaru, Silvia; Zetu, Liviu; Ciurescu, Daniel

    2016-03-01

    The aim of the present short-term study is to investigate efficiency of laser therapy as adjunct to conventional periodontal therapy in patients with chronic periodontitis. Methods. The study protocol included 44 patients (20 males, 24 females; age 45-60) with moderate and advanced chronic periodontitis, recruited in Private Clinic Krondent (Brasov, Romania). The patients were randomly assigned in two groups, one group (test-sites group, 22 patients) treated by ultrasonic scaling and root planning followed by laser therapy (940 nm diode laser and 2780 nm Er:Cr:YAG laser) and second group (control-sites group, 22 patients) treated only by ultrasonic scaling and root planning. All patients were submitted to initial evaluation, recording of bleeding on probing (BOP) and probing of pockets depth (PPD), oral hygiene instruction and motivation. Indices BOP and PPD for the assessed periodontal sites were also recorded at 8 weeks, 16 weeks and 24 weeks after treatment. Results. Periodontal inflammatory parameters PPD (PPD>=4mm) were significantly lower in test-sites group as compared with control-sites group at 2 months (82% vs. 90%), 4 months (42% vs. 62%), and 6 months (11% vs. 30%).Periodontal parameters BOP were lower among patients in control-sites group and test-sites group at 2 months (38% vs. 32%), and significantly lower in test-sites group at 4 months (42% vs.26%), and 6 months (44% vs. 24%). Conclusions. The additional use of laser therapy increases significantly the efficiency of periodontal treatment comparing with conventional periodontal therapy.

  2. Plasma Assisted Combustion: Fundamental Studies and Engine Applications

    Science.gov (United States)

    Lefkowitz, Joseph K.

    Successful and efficient ignition in short residence time environments or ultra-lean mixtures is a key technological challenge for the evolution of advanced combustion devices in terms of both performance and efficiency. To meet this challenge, interest in plasma assisted combustion (PAC) has expanded over the past 20 years. However, understanding of the underlying physical processes of ignition by plasma discharge remains elementary. In order to shed light on the key processes involved, two main thrusts of research were undertaken in this dissertation. First, demonstration of the applicability of plasma discharges in engines and engine-like environments was carried out using a microwave discharge and a nanosecond repetitively pulsed discharge in an internal combustion engine and a pulsed detonation engine, respectively. Major conclusions include the extension of lean ignition limits for both engines, significant reduction of ignition time for mixtures with large minimum ignition energy, and the discovery of the inter-pulse coupling effect of nanosecond repetitively pulsed (NRP) discharges at high frequency. In order to understand the kinetic processes that led to these improvements, the second thrust of research directly explored the chemical kinetic processes of plasma discharges with hydrocarbon fuels. For this purpose, a low pressure flow reactor with a NRP dielectric barrier discharge cell was assembled. The discharge cell was fitted with a Herriott type multipass mirror arrangement, which allowed quantitative laser absorption spectroscopy to be performed in situ during the plasma discharge. Experiments on methane and ethylene mixtures with oxygen, argon, and helium revealed the importance of low temperature oxidation pathways in PAC. In particular, oxygen addition reactions were shown to be of primary importance in the oxidation of these small hydrocarbons in the temperature range of 300-600 K. Kinetic modeling tools, including both a coupled plasma and

  3. Modelling, diagnostics and experimental analysis of plasma assisted processes for material treatment

    OpenAIRE

    Boselli, Marco

    2015-01-01

    This work presents results from experimental investigations of several different atmospheric pressure plasmas applications, such as Metal Inert Gas (MIG) welding and Plasma Arc Cutting (PAC) and Welding (PAW) sources, as well as Inductively Coupled Plasma (ICP) torches. The main diagnostic tool that has been used is High Speed Imaging (HSI), often assisted by Schlieren imaging to analyse non-visible phenomena. Furthermore, starting from thermo-fluid-dynamic models developed by the University ...

  4. Endoscope-Assisted Trans-Sphenoidal Approach for Treatment of Sternberg's Canal

    OpenAIRE

    Maselli, Giuliano; Ricci, Alessandro; Galzio, Renato J.

    2012-01-01

    We report an uncommon case of a 45-year-old woman who presented with spontaneous rhinorrhea. A computed tomography (CT) scan of the head revealed an abnormally large sphenoid sinus associated with a parasellar bony defect (Sternberg's canal) through which magnetic resonance imaging could detect an encephalocele of the right temporal lobe. An endoscope-assisted trans-sphenoidal approach was performed and, with the aid of image guided surgery, reduction of the encephalocele was obtained and fol...

  5. A study: Effect of Students Peer Assisted Learning on Magnetic Field Achievement

    Science.gov (United States)

    Mueanploy, Wannapa

    2016-04-01

    This study is the case study of Physic II Course for students of Pathumwan Institute of Technology. The purpose of this study is: 1) to develop cooperative learning method of peer assisted learning (PAL), 2) to compare the learning achievement before and after studied magnetic field lesson by cooperative learning method of peer assisted learning. The population was engineering students of Pathumwan Institute of Technology (PIT’s students) who registered Physic II Course during year 2014. The sample used in this study was selected from the 72 students who passed in Physic I Course. The control groups learning magnetic fields by Traditional Method (TM) and experimental groups learning magnetic field by method of peers assisted learning. The students do pretest before the lesson and do post-test after the lesson by 20 items achievement tests of magnetic field. The post-test higher than pretest achievement significantly at 0.01 level.

  6. Comparison of the efficacy and safety of video-assisted thoracoscopic surgery with the open method for the treatment of primary pneumothorax in adults

    Directory of Open Access Journals (Sweden)

    Al-Tarshihi Mohammad

    2008-01-01

    Full Text Available Objective : To determine whether video-assisted thoracoscopic surgery is as effective as the traditional open method through axillary thoracotomy for the management of primary spontaneous pneumothorax in adults. Materials and Methods : This retrospective study was conducted at King Hussein Medical Center in the period between March 2002 and March 2007. Eighty-two patients were included in this study. The patients were divided in two groups: group A, which included patients who underwent video-assisted thoracoscopic surgery; and group B, which included patients who underwent open technique through axillary thoracotomy. Efficiency of the procedure, operative time, postoperative complications, length of hospital stay, time to return to work and recurrence were compared between the two groups. Results : There were 79 males (96.3% and 3 females (3.7% with a mean age of 23.7 ± 4.2 years for group A patients and 24.2 ± 4.6 years for group B patients (range 16-37 years. Forty-one patients (50% underwent video-assisted thoracoscopic surgery (group A, and 41 patients (50% underwent open surgical technique through axillary thoracotomy (group B. Postoperative complication occurred in 8 patients (19.3% from among those who underwent open technique and 6 patients (14.6% from among those who underwent thoracoscopic technique. There was no perioperative mortality in both groups. Postoperative pain, volume of blood loss, period of air leak and hospital stay were less in group A, although the operative time was less in group B. Conclusion : Video-assisted thoracoscopic surgery is an efficient and safe method for the treatment of patients with primary pneumothorax in the adults.

  7. Study on computer-assisted cognitive impairment rehabilitation system combined with donepezil for treatment of traumatic brain injury with cognitive impairment%计算机辅助认知障碍康复训练系统联合多奈哌齐治疗脑外伤认知障碍的临床研究

    Institute of Scientific and Technical Information of China (English)

    谢波; 康德智; 郑建民; 林章雅; 林元相; 余良宏

    2011-01-01

    Objectives To evaluate the efficacy and safety of self-designed computer-assisted cognitive impairment rehabilitation system ( CCRS) combined with donepezil hydrochloride in the treatment of patients with traumatic brain injury( TBI) . Methods 270 patients with TBI screened by computer-assisted cognitive assessment system ( CCAS) were divided into mild, moderate and server cognitive impairment ,each group has 90 patients, and divided into three subgroups by the order of treatment time, each subgroup has 30 patients. The control group was treated with convention of neurosurgery, group A was treated with donepezil and group B was treated with computer-assisted cognitive impairment rehabilitation system combined with donepezil hydrochloride. All patients were treated for 1 month. The efficacy was measured by CCAS. Results Group A and Group B both showed significant post-treatment results. There were significant difference between group B and group A. Conclusions CCRS combined with donepezil hydrochloride is more effective and safe in the treatment of TBI cognitive impairment. Furthermore , CCRS has more convenient than traditional cognitive rehabilitation on visual and auditory sense. It will be a tendency to treat cognitive impairment by CCRS.%目的 自行研发计算机辅助认知障碍康复训练系统(CCRS)软件,并探讨CCRS 联合盐酸多奈哌齐治疗创伤性颅脑损伤认知障碍的疗效与安全性.方法 根据目前国内外认知研究结果研发出适用于TBI 认知训练的软件,用自行研制的计算机辅助认知评定系统(CCAS)筛选出270 例存在认知障碍的TBI 患者,其中轻、中、重度认知障碍患者各90 例,并按入院时间先后顺序分别分为三个亚组,每组30 例.对照组按神经外科常规治疗,在神经外科常规治疗的基础上加用盐酸多奈哌齐和CCRS 联合盐酸多奈哌齐分别作为治疗组,连续治疗一个月,一个月后再次使用CCAS 评定其疗效.结果

  8. Obstetric outcomes of monochorionic pregnancies conceived following assisted reproductive technology: A retrospective study

    Directory of Open Access Journals (Sweden)

    Mariano Mascarenhas

    2014-01-01

    Full Text Available Objectives : The overwhelming numbers of twins following assisted reproductive technology (ART are dichorionic twins, but monochorionic twins account for around 0.9% of post ART pregnancies. The data for post ART-monochorionic pregnancy outcomes are scarce due to the rarity of this condition. Hence, we evaluated the obstetric outcomes of monochorionic and dichorionic pregnancies conceived on ART. Settings : University teaching hospital. Study Design : A case-control study of monochorionic diamniotic (MCDA and dichorionic diamniotic (DCDA pregnancies conceived following ART treatment. Charts of all women who conceived following ART from 2008 to 2013 were screened. Among them, the monochorionic twins diagnosed in the first trimester were included and their obstetric outcome was followed-up. For comparison, an equal number of dichorionic twin pregnancies from age and body mass index matched mothers was selected. Results : The baseline clinical characteristics were similar between the two groups. MCDA group had a higher miscarriage rate (50% than the DCDA group (10%, with three seconds trimester miscarriages in the MCDA group. The live birth rates were lower in the MCDA versus DCDA group (40% vs. 90%. Among triplet pregnancies with a monochorionic component, the live birth rate was only 25%. Conclusions : Monochorionic pregnancies following ART have poorer obstetric outcomes when compared to dichorionic pregnancies. For monochorionic pregnancies following ART, intensive antenatal surveillance at a tertiary level obstetric and neonatal center may help optimize the outcome.

  9. Heat treatment study 2. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Workman, G.L.

    1990-04-01

    The microstructural variations in nickel based superalloys that result from modifications in processing were examined. These superalloys include MAR-M246(HF) and PWA1480. Alternate heat treatments for equiaxed as-cast specimens were studied and a sample matrix of 42 variations in the heat treatments were processed, as well as different directional solidification parameters. Variation in temperature and times for both solution and aging were performed. Photomicrographs were made of the microstructure and volume fraction analysis of primary gamma-prime and aged gamma-prime precipitates were performed. The results of the heat treatment, cooling rate, and directional solidification experiments are discussed.

  10. Approaches and Study Skills Inventory for Students (ASSIST) in an Introductory Course in Chemistry

    Science.gov (United States)

    Brown, Stephen; White, Sue; Wakeling, Lara; Naiker, Mani

    2015-01-01

    Approaches to study and learning may enhance or undermine educational outcomes, and thus it is important for educators to be knowledgeable about their students' approaches to study and learning. The Approaches and Study Skills Inventory for Students (ASSIST)--a 52 item inventory which identifies three learning styles (Deep, Strategic, and…

  11. Microwave-Assisted Extraction Studies of Target Analyte Artemisinin from Dried Leaves of Artemisia annua L.

    OpenAIRE

    Himanshu Misra; Darshana Mehta; B.K. Mehta; Jain, D. C.

    2013-01-01

    Artemisia annua L. (Asteraceae) is an annual herb native of Asia. This plant has been used for many centuries in traditional Chinese medicine for the treatment of fever and malaria. Conventional methods for the extraction of artemisinin from A. annua including solvent extraction, Soxhlet extraction, and heat reflux extraction are characterized by long extraction times and the consumption of large volume of solvents. A simple, rapid, and precise microwave-assisted extraction process was optimi...

  12. Nonextraction treatment of severe crowding with the aid of corticotomy-assisted orthodontics.

    Science.gov (United States)

    Aljhani, Ali S; Zawawi, Khalid H

    2012-01-01

    THIS PAPER ILLUSTRATES THE COMBINED NONEXTRACTION ORTHODONTIC TREATMENT WITH THE CORTICOTOMY TECHNIQUE IN AN ADULT PATIENT (AGE: 25 years and 3 months) with severely crowded arches to accelerate tooth movement and shorten the treatment time. Both her upper lateral incisors were congenitally absent and both upper central incisors' roots were short. Initial fixed orthodontic appliances (bidimensional) were bonded and one week later buccal and lingual corticotomy with alveolar augmentation procedure in the maxilla and mandible was performed. Orthodontic activation to level and align and unravel the crowding was performed every two weeks. The total treatment time was 8 months with no adverse effects observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful alignment of both arches with ideal overbite and overjet as well as adequate occlusion was achieved. PMID:22848854

  13. Nonextraction Treatment of Severe Crowding with the Aid of Corticotomy-Assisted Orthodontics

    Directory of Open Access Journals (Sweden)

    Ali S. Aljhani

    2012-01-01

    Full Text Available This paper illustrates the combined nonextraction orthodontic treatment with the corticotomy technique in an adult patient (age: 25 years and 3 months with severely crowded arches to accelerate tooth movement and shorten the treatment time. Both her upper lateral incisors were congenitally absent and both upper central incisors’ roots were short. Initial fixed orthodontic appliances (bidimensional were bonded and one week later buccal and lingual corticotomy with alveolar augmentation procedure in the maxilla and mandible was performed. Orthodontic activation to level and align and unravel the crowding was performed every two weeks. The total treatment time was 8 months with no adverse effects observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful alignment of both arches with ideal overbite and overjet as well as adequate occlusion was achieved.

  14. Post-operative benefits of animal-assisted therapy in pediatric surgery: a randomised study.

    Directory of Open Access Journals (Sweden)

    Valeria Calcaterra

    Full Text Available Interest in animal-assisted therapy has been fuelled by studies supporting the many health benefits. The purpose of this study was to better understand the impact of an animal-assisted therapy program on children response to stress and pain in the immediate post-surgical period.Forty children (3-17 years were enrolled in the randomised open-label, controlled, pilot study. Patients were randomly assigned to the animal-assisted therapy-group (n = 20, who underwent a 20 min session with an animal-assisted therapy dog, after surgery or the standard-group (n = 20, standard postoperative care. The study variables were determined in each patient, independently of the assigned group, by a researcher unblinded to the patient's group. The outcomes of the study were to define the neurological, cardiovascular and endocrinological impact of animal-assisted therapy in response to stress and pain. Electroencephalogram activity, heart rate, blood pressure, oxygen saturation, cerebral prefrontal oxygenation, salivary cortisol levels and the faces pain scale were considered as outcome measures.After entrance of the dog faster electroencephalogram diffuse beta-activity (> 14 Hz was reported in all children of the animal-assisted therapy group; in the standard-group no beta-activity was recorded (100% vs 0%, p<0.001. During observation, some differences in the time profile between groups were observed for heart rate (test for interaction p = 0.018, oxygen saturation (test for interaction p = 0.06 and cerebral oxygenation (test for interaction p = 0.09. Systolic and diastolic blood pressure were influenced by animal-assisted therapy, though a higher variability in diastolic pressure was observed. Salivary cortisol levels did not show different behaviours over time between groups (p=0.70. Lower pain perception was noted in the animal-assisted group in comparison with the standard-group (p = 0.01.Animal-assisted therapy facilitated rapid recovery in vigilance and

  15. Studies on Nitrogen Oxides Removal Using Plasma Assisted Catalytic Reactor

    Institute of Scientific and Technical Information of China (English)

    V. Ravi; Young Sun Mok; B. S. Rajanikanth; Ho-Chul Kang

    2003-01-01

    An electric discharge plasma reactor combined with a catalytic reactor was studied for removing nitrogen oxides. To understand the combined process thoroughly, discharge plasma and catalytic process were separately studied first, and then the two processes were combined for the study. The plasma reactor was able to oxidize NO to NO2 well although the oxidation rate decreased with temperature. The plasma reactor alone did not reduce the NOx (NO+NO2)level effectively, but the increase in the ratio of NO2 to NO as a result of plasma discharge led to the enhancement of NOx removal efficiency even at lower temperatures over the catalyst surface (V2O5-WOa/TiO2). At a gas temperature of 100℃, the NOx removal efficiency obtained using the combined plasma catalytic process was 88% for an energy input of 36 eV/molecule or 30 J/1.

  16. Study on irradiation assisted stress corrosion cracking of austenitic stainless steels in nuclear energy environments (Thesis)

    International Nuclear Information System (INIS)

    Irradiation assisted stress corrosion cracking (IASCC) is known as a degradation phenomenon that is caused by synergistic effects of neutron /gamma irradiation, stress/strain and high temperature water on structural materials. It is important to investigate stress corrosion cracking (SCC) and IASCC mechanisms from the viewpoint of the safety and reliability improvement in the nuclear energy system. To evaluate the influence of minor additional elements, heat treatment, cold working and neutron fluence on IASCC behavior, a slow strain rate technique (SSRT) facility for irradiated specimens has been developed and post irradiation examinations have been conducted. Based on results obtained from the IASCC studies, discussion regarding IASCC susceptibility, crack initiation and growth behaviors are described comprehensively in this paper. The followings are summarized typical findings. (1) 1 or 2 cracks of IASCC are introduced at 98-99 % of maximum stress. (2) The increase and decrease in crack growth rate are repeated alternately in the process of crack growth. (3) Although suppression of radiation hardening can be introduced with Si or Mo addition, the suppression disappear with increasing in neutron fluence. (4) Fracture mode changes from intergranular (IG) SCC to transgranular (TG) SCC with increasing in hardness which is introduced with neutron radiation and /or cold working. (author)

  17. Ultrasound-Assisted Focused Open Necrosectomy in the Treatment of Necrotizing Pancreatitis

    Directory of Open Access Journals (Sweden)

    Guntars Pupelis

    2015-03-01

    Full Text Available Introduction The surgical treatment of necrotizing pancreatitis includes percutaneous drainage of acute necrotic collections and sequestrectomy in the late phase of the disease. The aim of the study was to compare the conventional open necrosectomy (CON approach with the alternative focused open necrosectomy (FON approach in patients with infected necrosis and progression of sepsis. Methods Patients with acute necrotizing pancreatitis were included in the study prospectively from January 2004 to July 2014. All patients had been admitted with the first or a new episode of disease. Symptomatic large fluid collections were drained percutaneously. The step-up approach was used in patients with several distant localizations of infected necrosis. The methods were analysed by comparing the individual severity according to the ASA, APACHE II and SOFA scores, infection rate, postoperative complication rate and mortality. Results A total of 31 patientswere included in the FON group and 39 in the CON group. The incidence of infection was similar in groups. More ASA III comorbid conditions, a higher APACHE II score, a more frequent need for renal replacement therapy was observed in the CON group. The postoperative complication rate was in the range of 32% to 44%; mortality reached 6.5% in the FON group and 12.8% in the CON group. Conclusions Comorbid conditions, organ failure, and infection are the main risk factors in patients with necrotizing pancreatitis. The step-up approach and perioperative ultrasonography navigation improves the clinical outcome and reduces the extent of invasive surgical intervention in patients unsuited to other minimally invasive procedures.

  18. Computer Assisted English Language Learning in Costa Rican Elementary Schools: An Experimental Study

    Science.gov (United States)

    Alvarez-Marinelli, Horacio; Blanco, Marta; Lara-Alecio, Rafael; Irby, Beverly J.; Tong, Fuhui; Stanley, Katherine; Fan, Yinan

    2016-01-01

    This study presents first-year findings of a 25-week longitudinal project derived from a two-year longitudinal randomized trial study at the elementary school level in Costa Rica on effective computer-assisted language learning (CALL) approaches in an English as a foreign language (EFL) setting. A pre-test-post-test experimental group design was…

  19. Computer assisted history matching : A comprehensive study of methodology

    OpenAIRE

    Arief, Ibnu Hafidz

    2013-01-01

    History matching is an important step in reservoir simulation study. The objective is to validate a reservoir model before it is used for prediction. In conventional way, people do history matching by manually adjusting uncertain parameters until an acceptable match is achieved. As a consequence, history matching becomes a delicate problem and consumes a lot of time. Furthermore, in several cases it is hard to obtain a match by manual process. In order to have a more efficient history matc...

  20. Nonextraction Treatment of Severe Crowding with the Aid of Corticotomy-Assisted Orthodontics

    OpenAIRE

    Aljhani, Ali S.; Zawawi, Khalid H

    2012-01-01

    This paper illustrates the combined nonextraction orthodontic treatment with the corticotomy technique in an adult patient (age: 25 years and 3 months) with severely crowded arches to accelerate tooth movement and shorten the treatment time. Both her upper lateral incisors were congenitally absent and both upper central incisors’ roots were short. Initial fixed orthodontic appliances (bidimensional) were bonded and one week later buccal and lingual corticotomy with alveolar augmentation proce...

  1. Computer assisted optimisation on non-pharmacological treatment of congestive heart failure and supraventricular arrhythmia

    OpenAIRE

    Reumann, Matthias

    2007-01-01

    Heart Failure is the most common cardiac disease worldwide; supraventricular arrhythmia the most common cardiac arrhythmia. The understanding of these diseases advances treatment options. Ablation therapy and atrial antitachycardial pacing are non-pharmacological options in the treatment of atrial fibrillation. Cardiac resynchronization therapy with biventricular pacing devices has been shown successful in patients with severe heart failure. However, an optimization or even individual therapy...

  2. Effect of acute kidney injury requiring extended dialysis on 28 day and 1 year survival of patients undergoing interventional lung assist membrane ventilator treatment

    Directory of Open Access Journals (Sweden)

    Hadem Johannes

    2011-04-01

    Full Text Available Abstract Background Extracorporeal lung assist devices are increasingly used in the intensive care unit setting to improve extracorporeal gas exchange mainly in patients with acute respiratory distress syndrome. ARDS is frequently accompanied by acute kidney injury; however it is so far unknown how the combination of these two conditions affects long term survival of critically ill patients. Methods In a retrospective analysis of a tertiary care hospital we evaluated all patients undergoing interventional lung assist (iLA treatment between January 1st 2005 and December 31st 2009. Data from all 61 patients (31 F/30 M, median age 40 (28 to 52 years were obtained by chart review. Follow up data up to one year were obtained. Results Of the 61 patients undergoing iLA membrane ventilator treatment 21 patients had acute kidney injury network (AKIN stage 3 and were treated by extended dialysis (ED. Twenty-eight day survival of all patients was 33%. While patients without ED showed a 28 day survival of 40%, the survival of patients with ED was only 19%. Patients on ED were not different in respect to age, weight, Horowitz index and underlying disease. Conclusions AKI requiring ED therapy in patients undergoing iLA treatment increases mortality in ICU patients. Patients in whom iLA was placed as a bridge to lung transplantation and that were successfully transplanted showed the best outcome. Future studies have to clarify whether it is possible to identify patients that truly benefit from the combination of these two extracorporeal treatment methods.

  3. Feasibility study of cyclone incineration treatment for radioactive solid waste

    International Nuclear Information System (INIS)

    Feasibility study of cyclone incineration treatment for radioactive solid waste is introduced. The structure of cyclone incineration furnace is defined according to test results. The results show: under given conditions of technology: i.e., inlet flowrate ≥30 m/s, total volume ≥210 Nm3/h, the mixed solid material with more than 40% of plastics and rubber can completely be incinerated after suitable smash and mixing. The advantages of the furnace are: simple structure, high strength of volume heat, no preheating and combustion-supporting of assistant fuel, bridging and melt leak can be avoided in the stuff. The pretreatment of solid waste is simple, and a little amount of non-combustible substance in the waste can be allowed

  4. Advances in froth treatment pilot plant studies

    Energy Technology Data Exchange (ETDEWEB)

    Shelfantook, W.E. [Syncrude Canada Ltd., Edmonton, AB (Canada)

    1997-11-01

    Bench-scale studies have been performed to find ways to produce diluted bitumen containing less than 1 per cent water. The studies showed that using diluents of high paraffin concentration and elevated solvent ratios could yield very dry diluted bitumen. The laboratory studies led to a series of pilot studies in froth treatment conducted at the facilities of the Canadian Oilsand Network for Research and Development (CONRAD). The pilot studies focused on defining the operating envelope for the Paraffin Froth Treatment Process and establishing the process` response to solvent ratio and temperature. Many different solvent materials were tested to determine their impact on process performance. The work has been part of a development plan for Oilsand leases north of Fort McMurray.

  5. Surface modification of polysulfone films by UV-assisted treatments in the presence of reactive gases

    International Nuclear Information System (INIS)

    By UV-assisted surface modification of polysulfone thin films in the presence of a reactive gas atmosphere an efficient surface modification was obtained. Water Angle Contact (WCA) decreased up to 80 degree with the increase in the irradiation time. UV irradiation was carried out keeping a constant flow of oxygen or acrylic acid (AA) vapors during the photolysis at different times. FTIR-ATR and XPS spectra were obtained at the UFRGS and NEXAFS in the Laboratorio Nacional de Luz Sincrotron, Campinas. The data showed introduction of electronegative groups (OH, C=O e COO) at the polymer surface. The photolysis time has a direct relation with the WCA reduction. The concentration of electronegative groups introduced at the polymer surface correlated with the WCA data. The results also showed that irradiated films in the presence of AA vapors produced a photo-polymerization process forming a thin layer of polyacrylic acid film. (author)

  6. AMH and AMHR2 Polymorphisms and AMH Serum Level Can Predict Assisted Reproduction Outcomes: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Carla Peluso

    2015-03-01

    Full Text Available Background: In human assisted reproduction, the ovarian response to exogenous recombinant Follicle-stimulating Hormone (FSH therapy is variable and difficult to predict. The standard protocol of ovarian hyperstimulation can result in satisfactory response; however, an unsatisfactory response necessitates FSH dose adjustment or results in ovarian hyperstimulation syndrome (OHSS. Polymorphisms in AMH and AMHR2 genes appear to affect hormone biological activities, thus affecting follicle recruitment and development, leading to infertility. We aimed to evaluate AMH and AMHR2 polymorphisms in infertile women, and correlate those findings with AMH, FSH and estradiol serum level response to controlled ovarian hyperstimulation (COH, as well as assisted reproduction outcomes. Methods: A cross-sectional study comprising 186 infertile women that underwent one cycle of high complexity assisted reproductive treatment. Blood samples were collected and a TaqMan assay was used for AMH G146T/rs10407022 and AMHR2 A-482G/rs2002555, A10G/rs11170555, C1749G/rs2071558 and G4952A/rs3741664 genotyping, and FSH, estradiol and AMH levels were measured. The findings were correlated to human reproduction outcomes. Results: AMH rs10407022 and AMHR2 rs2002555 polymorphisms were not associated with hormonal measurements, whereas AMHR2 rs11170555 and rs3741664 were positively associated with AMH, estradiol and FSH levels. The genotype distribution of AMH and AMHR2 genes according to Controlled Ovarian Hyperstimulation did not show a positive association. However, an association with AFC, degree of oocyte maturation (allele G of AMHR2 rs2071558 the number of embryos produced (alleles T and G of AMH rs10407022 and AMHR2 rs2002555, respectively and frozen embryo (allele G of AMHR2 rs11170555 were found to be statistically associated. Considering COH, serum AMH and AFC were a positive predictor to OHSS. Regarding serum AMH and assisted reproduction outcomes, a positive correlation

  7. Accuracy study of new computer-assisted orthopedic surgery software

    Energy Technology Data Exchange (ETDEWEB)

    Sidon, Eli [Department of Orthopaedic Surgery, Beilinson-Rabin Medical Center, Petach Tikva (Israel); Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv (Israel); Steinberg, Ely L., E-mail: steinberge@tasmc.health.gov.il [Department of Orthopaedic Surgery, Tel-Aviv Medical Center, Tel Aviv (Israel); Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv (Israel)

    2012-12-15

    Purpose: The new computerized system is based on image analysis and designed to aid in orthopedic surgeries by virtual trajectory of the guide wire, intra-operative planning and various measurements. Validation of the accuracy and safety of any computer-aided surgery system is essential before implementing it clinically. We examined the accuracy of guide-wire length and angle measurements and fusion of multiple adjacent images (panoramic view image, PVI{sup ®}) of the new software. Methods: This is a 2-part study. Part I: twenty guide wires were drilled to various depths in a synthetic femur model and the results obtained by the software measurements were compared with manual measurements by a caliper and a depth gauge. Part II: a sawbone femur shaft was osteotomized and various inclinations of >10° to the varus or valgus angles were tested. The manually obtained measurements of angles and lengths were compared to the new computerized system software PVI. Results: There was a significant positive linear correlation between all groups of the computerized length and the control measurements (r > 0.983, p < 0.01). There was no significant difference among different distances, angles or positions from the image intensifier. There was a significant positive linear correlation between the angle and length measurement on the PVI and the control measurement (r > 0.993, p < 0.01). Conclusions: The new computerized software has high reliability in performing measurements of length using an aiming, positioning and referring device intra-operatively.

  8. Accuracy study of new computer-assisted orthopedic surgery software

    International Nuclear Information System (INIS)

    Purpose: The new computerized system is based on image analysis and designed to aid in orthopedic surgeries by virtual trajectory of the guide wire, intra-operative planning and various measurements. Validation of the accuracy and safety of any computer-aided surgery system is essential before implementing it clinically. We examined the accuracy of guide-wire length and angle measurements and fusion of multiple adjacent images (panoramic view image, PVI®) of the new software. Methods: This is a 2-part study. Part I: twenty guide wires were drilled to various depths in a synthetic femur model and the results obtained by the software measurements were compared with manual measurements by a caliper and a depth gauge. Part II: a sawbone femur shaft was osteotomized and various inclinations of >10° to the varus or valgus angles were tested. The manually obtained measurements of angles and lengths were compared to the new computerized system software PVI. Results: There was a significant positive linear correlation between all groups of the computerized length and the control measurements (r > 0.983, p 0.993, p < 0.01). Conclusions: The new computerized software has high reliability in performing measurements of length using an aiming, positioning and referring device intra-operatively.

  9. An AO-assisted variability study of four globular clusters

    CERN Document Server

    Salinas, R; Strader, J; Hakala, P; Catelan, M; Peacock, M; Simunovic, M

    2016-01-01

    The image subtraction technique applied to study variable stars in globular clusters represented a leap in the number of new detections, with the drawback that many of these new light curves could not be transformed to magnitudes due to the severe crowding. In this paper we present observations of four Galactic globular clusters, M 2 (NGC 7089), M 10 (NGC 6254), M 80 (NGC 6093) and NGC 1261, taken with the ground-layer adaptive optics module at the SOAR Telescope, SAM. We show that the higher image quality provided by SAM allows the calibration of the light curves of the great majority of the variables near the cores of these clusters as well as the detection of new variables even in clusters where image-subtraction searches were already conducted. We report the discovery of 15 new variables in M 2 (12 RR Lyrae stars and 3 SX Phe stars), 12 new variables in M 10 (11 SX Phe and one long-period variable) and one new W UMa-type variable in NGC 1261. No new detections are found in M 80, but previous uncertain det...

  10. HPLC assisted Raman spectroscopic studies on bladder cancer

    Science.gov (United States)

    Zha, W. L.; Cheng, Y.; Yu, W.; Zhang, X. B.; Shen, A. G.; Hu, J. M.

    2015-04-01

    We applied confocal Raman spectroscopy to investigate 12 normal bladder tissues and 30 tumor tissues, and then depicted the spectral differences between the normal and the tumor tissues and the potential canceration mechanism with the aid of the high-performance liquid chromatographic (HPLC) technique. Normal tissues were demonstrated to contain higher tryptophan, cholesterol and lipid content, while bladder tumor tissues were rich in nucleic acids, collagen and carotenoids. In particular, β-carotene, one of the major types of carotenoids, was found through HPLC analysis of the extract of bladder tissues. The statistical software SPSS was applied to classify the spectra of the two types of tissues according to their differences. The sensitivity and specificity of 96.7 and 66.7% were obtained, respectively. In addition, different layers of the bladder wall including mucosa (lumps), muscle and adipose bladder tissue were analyzed by Raman mapping technique in response to previous Raman studies of bladder tissues. All of these will play an important role as a directive tool for the future diagnosis of bladder cancer in vivo.

  11. An AO-assisted Variability Study of Four Globular Clusters

    Science.gov (United States)

    Salinas, R.; Contreras Ramos, R.; Strader, J.; Hakala, P.; Catelan, M.; Peacock, M. B.; Simunovic, M.

    2016-09-01

    The image-subtraction technique applied to study variable stars in globular clusters represented a leap in the number of new detections, with the drawback that many of these new light curves could not be transformed to magnitudes due to severe crowding. In this paper, we present observations of four Galactic globular clusters, M 2 (NGC 7089), M 10 (NGC 6254), M 80 (NGC 6093), and NGC 1261, taken with the ground-layer adaptive optics module at the SOAR Telescope, SAM. We show that the higher image quality provided by SAM allows for the calibration of the light curves of the great majority of the variables near the cores of these clusters as well as the detection of new variables, even in clusters where image-subtraction searches were already conducted. We report the discovery of 15 new variables in M 2 (12 RR Lyrae stars and 3 SX Phe stars), 12 new variables in M 10 (11 SX Phe and 1 long-period variable), and 1 new W UMa-type variable in NGC 1261. No new detections are found in M 80, but previous uncertain detections are confirmed and the corresponding light curves are calibrated into magnitudes. Additionally, based on the number of detected variables and new Hubble Space Telescope/UVIS photometry, we revisit a previous suggestion that M 80 may be the globular cluster with the richest population of blue stragglers in our Galaxy. Based on observations obtained at the Southern Astrophysical Research (SOAR) telescope, which is a joint project of the Ministério da Ciência, Tecnologia, e Inovação (MCTI) da República Federativa do Brasil, the U.S. National Optical Astronomy Observatory (NOAO), the University of North Carolina at Chapel Hill (UNC), and Michigan State University (MSU).

  12. Laparoscopy-assisted gastrectomy with D2 lymph node dissection for advanced gastric cancer without serosa invasion: a matched cohort study from South China

    Directory of Open Access Journals (Sweden)

    Lin Jian-Xian

    2013-01-01

    Full Text Available Abstract Background Gastric cancer is a common malignancy worldwide and a common cause of death from cancer. Despite recent advances in multimodality treatment and targeted therapy, complete resection remains the only treatment that can lead to cure. This study was devised to investigate the technical feasibility, safety and oncologic efficacy of laparoscopy-assisted gastrectomy for advanced gastric cancer without serosa invasion. Methods A retrospective matched cohort study was performed in south China comparing laparoscopy-assisted gastrectomy and open gastrectomy for advanced gastric cancer without serosa invasion. Eighty-three patients with advanced gastric cancer undergoing laparoscopy-assisted gastrectomy between January 2008 and December 2010 were enrolled. These patients were compared with 83 patients with advanced gastric cancer undergoing open gastrectomy during the same period. Results There was no significant difference in clinicopathologic characteristics between the two groups. Regarding perioperative characteristics, the operation time and time to ground activities did not differ between the two groups, whereas the blood loss, transfused patient number, time to first flatus, time to resumption of diet, and postoperative hospital stay were significantly less in laparoscopy-assisted gastrectomy than in open gastrectomy (P Conclusion Laparoscopy-assisted gastrectomy with D2 lymphadenectomy is a safe and feasible procedure for advanced gastric cancer without serosa invasion. To be accepted as a choice treatment for advanced gastric cancer, well-designed randomized controlled trials comparing short-term and long-term outcomes between laparoscopy-assisted gastrectomy and open gastrectomy in a larger number of patients are necessary.

  13. Death and Dying Attitudes, Anxieties, and Fears of Certified Nursing Assistants: A Descriptive Study

    Science.gov (United States)

    Hamilton, Josephine A.

    2010-01-01

    The critical role of Certified Nursing Assistants (CNAs) to help elderly nursing home residents' move through declining conditions or diseases to death is salient. It is important for CNAs and nursing home leaders to understand CNAs' attitudes, fears, and anxieties toward death and dying. The quantitative study investigated CNA's…

  14. CCE-Westlake High School: A Case Study. Documentation and Technical Assistance in Urban Schools.

    Science.gov (United States)

    Paoli, Lillian

    This study documents the evolution and implementation of a program directed by the Council on Comprehensive Education (CCE) toward the purpose of realizing community control of a comprehensive high school in New York City. The program was one of nine at sites selected by the Documentation and Technical Assistance (DTA) Project as representing…

  15. Effects of a Computer-Assisted-Instruction Program in a Prison Setting: An Experimental Study.

    Science.gov (United States)

    Batchelder, John Stuart; Rachal, John R.

    2000-01-01

    A study to determine the extent of differences between inmates who used computer-assisted instruction and those who received traditional instruction in a prison education program found no differences in posttest scores. Possible explanations included attitudes toward testing, motivation, teacher support, dynamics of prison culture, and software…

  16. Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study

    Directory of Open Access Journals (Sweden)

    Hongwei Wang

    2015-01-01

    Conclusions: The preliminary study supports the view that computer assisted pedicle screw fixation using spinal robot is feasible and the robot can decrease the intraoperative fluoroscopy time during the minimally invasive pedicle screw fixation surgery. As spine robotic surgery is still in its infancy, further research in this field is worthwhile especially the accuracy of spine robot system should be improved.

  17. Economics of assisted reproduction : Access to fertility treatments and valuing live births in economic terms

    NARCIS (Netherlands)

    Connolly, Mark P.; Ledger, William; Postma, Maarten J.

    2010-01-01

    The intricate relationship between economic conditions and natural fertility is known to influence both the timing and number of children conceived. For infertile couples, the relationship between economics and fertility is more explicit because of the necessity for many couples to pay for treatment

  18. Cell-Assisted Lipotransfer for the Treatment of Parry-Romberg Syndrome

    Directory of Open Access Journals (Sweden)

    Yanko Castro-Govea

    2012-11-01

    Full Text Available Progressive facial hemiatrophy, also known as Parry-Romberg syndrome, is a progressive andself-limited deformation of the subcutaneous tissue volume on one side of the face thatcreates craniofacial asymmetry. We present the case of a patient with a five-year historyof progressive right facial hemiatrophy, who underwent facial volumetric restoration usingcell-assisted lipotransfer (CAL, which consists of an autologous fat graft enriched withadipose-derived stem cells (ASCs extracted from the same patient. ASCs have the capacityto differentiate into adipocytes. They also promote angiogenesis, release angiogenic growthfactors, and some can survive as stem cells. The use of autologous fat as a filler in soft tissueatrophy has been satisfactory in patients with mild and moderate Parry-Romberg syndrome.Currently, CAL has showed promising results in the long term by decreasing the rate of fatreabsorption. The permanence and stability of the graft in all the injected areas has showedthat autologous fat grafts enriched with stem cells could be a promising technique for thecorrection of defects caused by this syndrome.

  19. Robotically assisted laparoscopic tubal anastomosis in a porcine model: a pilot study.

    Science.gov (United States)

    Margossian, H; Garcia-Ruiz, A; Falcone, T; Goldberg, J M; Attaran, M; Miller, J H; Gagner, M

    1998-04-01

    As with standard microsurgical procedures performed at laparotomy, laparoscopic tubal anastomosis requires great dexterity. Handling fine suture materials under magnification to anastomose tubal segments with lumens less than 3 mm in diameter while working with your hands at a distance from the tissue makes these fine movements even more difficult. This is exacerbated by the tremor induced by the fatigue caused by a prolonged laparoscopic procedure and the need for precise control. We conducted a pilot study to evaluate the feasibility of performing laparoscopic tubal anastomosis with robotic assistance in a live porcine model. Two anastomoses were performed on one uterine horn via each of the following techniques: laparoscopy, laparoscopy with robotic assistance, and open microsurgery. Immediate necropsy demonstrated all the anastomoses to be patent. There were no intraoperative complications. Laparoscopic tubal anastomosis was associated with surgeon fatigue and neck, shoulder, and back pain. The surgeons were more comfortable performing the procedure with robotic assistance. The device functioned well and without incident. This acute animal study suggests that robotic assistance in laparoscopic tubal anastomoses is safe and feasible. It enhances surgeons' dexterity and precision while reducing fatigue. It is promising for future use in chronic experimental studies. PMID:9617965

  20. Errors and Intelligence in Computer-Assisted Language Learning: Parsers and Pedagogues. Routledge Studies in Computer Assisted Language Learning

    Science.gov (United States)

    Heift, Trude; Schulze, Mathias

    2012-01-01

    This book provides the first comprehensive overview of theoretical issues, historical developments and current trends in ICALL (Intelligent Computer-Assisted Language Learning). It assumes a basic familiarity with Second Language Acquisition (SLA) theory and teaching, CALL and linguistics. It is of interest to upper undergraduate and/or graduate…

  1. Comparative study of the Quality Control of x-ray tubes and generators in hospital assistance and primary assistance in Galician autonomous community

    International Nuclear Information System (INIS)

    The quality guarantee in Diagnostic Radiology is defined as the organized effort of surgical staff to guarantee sufficient quality images, which provide the correct diagnostic information, as cheaply as possible and with the least exposure to radiation for the patient. In this paper a comparative study about the quality control of x-ray tube and generators in hospital assistance and primary assistance is present. In the conclusions, it is confirmed that the antiquity and poor conservation of the primary attendance x-ray equipment, have influence on the studied constants and therefore, influence the doses received by the patients. (author)

  2. Patients’ acceptance of corticotomy-assisted orthodontics

    OpenAIRE

    Zawawi, Khalid H

    2015-01-01

    Objective To study patients’ acceptance of corticotomy-assisted orthodontics as a treatment option. Methods Adult patients seeking orthodontic treatment were asked to complete two sets of questionnaires; the first set included questions about age, sex, and level of education and general questions about orthodontic treatment; and the second set was related to the corticotomy-assisted orthodontics. Before answering the corticotomy questions, a brief description of the clinical procedure was exp...

  3. Cooperative study in breast cancer treatment

    International Nuclear Information System (INIS)

    The results of surgical treatment of early breast cancers are discussed. Radical mastectomy for stage 1 tumor and a modified mastectomy after Patey - for stage 2 were shown to be feasible. A cooperative randomized study on therapy of localized stage 2b and 3b breast tumors made the case for application of polychemotherapy and radio-therapy as a components of combined and multimodulity therapy

  4. Semantic Integration of Cervical Cancer Data Repositories to Facilitate Multicenter Association Studies: The ASSIST Approach

    Directory of Open Access Journals (Sweden)

    Theodoros Agorastos

    2009-02-01

    Full Text Available The current work addresses the unification of Electronic Health Records related to cervical cancer into a single medical knowledge source, in the context of the EU-funded ASSIST research project. The project aims to facilitate the research for cervical precancer and cancer through a system that virtually unifies multiple patient record repositories, physically located in different medical centers/hospitals, thus, increasing flexibility by allowing the formation of study groups “on demand” and by recycling patient records in new studies. To this end, ASSIST uses semantic technologies to translate all medical entities (such as patient examination results, history, habits, genetic profile and represent them in a common form, encoded in the ASSIST Cervical Cancer Ontology. The current paper presents the knowledge elicitation approach followed, towards the definition and representation of the disease’s medical concepts and rules that constitute the basis for the ASSIST Cervical Cancer Ontology. The proposed approach constitutes a paradigm for semantic integration of heterogeneous clinical data that may be applicable to other biomedical application domains.

  5. Enhanced integrated nonthermal treatment system study

    Energy Technology Data Exchange (ETDEWEB)

    Biagi, C.; Schwinkendorf, B.; Teheranian, B.

    1997-02-01

    The purpose of the Enhanced Nonthermal Treatment Systems (ENTS) study is to evaluate alternative configurations of one of the five systems evaluated in the Integrated Nonthermal Treatment Systems (INTS) study. Five alternative configurations are evaluated. Each is designed to enhance the final waste form performance by replacing grout with improved stabilization technologies, or to improve system performance by improving the destruction efficiency for organic contaminants. AU enhanced systems are alternative configurations of System NT-5, which has the following characteristics: Nonthermal System NT-5: (1) catalytic wet oxidation (CWO) to treat organic material including organic liquids, sludges, and soft (or combustible) debris, (2) thermal desorption of inorganic sludge and process residue, (3) washing of soil and inorganic debris with treatment by CWO of removed organic material, (4) metal decontamination by abrasive blasting, (5) stabilization of treated sludge, soil, debris, and untreated debris with entrained contamination in grout, and (6) stabilization of inorganic sludge, salts and secondary waste in polymer. System NT-5 was chosen because it was designed to treat combustible debris thereby minimizing the final waste form volume, and because it uses grout for primary stabilization. The enhanced nonthermal systems were studied to determine the cost and performance impact of replacing grout (a commonly used stabilization agent in the DOE complex) with improved waste stabilization methods such as vitrification and polymer.

  6. Enhanced integrated nonthermal treatment system study

    International Nuclear Information System (INIS)

    The purpose of the Enhanced Nonthermal Treatment Systems (ENTS) study is to evaluate alternative configurations of one of the five systems evaluated in the Integrated Nonthermal Treatment Systems (INTS) study. Five alternative configurations are evaluated. Each is designed to enhance the final waste form performance by replacing grout with improved stabilization technologies, or to improve system performance by improving the destruction efficiency for organic contaminants. AU enhanced systems are alternative configurations of System NT-5, which has the following characteristics: Nonthermal System NT-5: (1) catalytic wet oxidation (CWO) to treat organic material including organic liquids, sludges, and soft (or combustible) debris, (2) thermal desorption of inorganic sludge and process residue, (3) washing of soil and inorganic debris with treatment by CWO of removed organic material, (4) metal decontamination by abrasive blasting, (5) stabilization of treated sludge, soil, debris, and untreated debris with entrained contamination in grout, and (6) stabilization of inorganic sludge, salts and secondary waste in polymer. System NT-5 was chosen because it was designed to treat combustible debris thereby minimizing the final waste form volume, and because it uses grout for primary stabilization. The enhanced nonthermal systems were studied to determine the cost and performance impact of replacing grout (a commonly used stabilization agent in the DOE complex) with improved waste stabilization methods such as vitrification and polymer

  7. Uranium-contaminated soil pilot treatment study

    International Nuclear Information System (INIS)

    A pilot treatment study is proving to be effective for the remediation of uranium-contaminated soil from a site at the Los Alamos National Laboratory by use of a two-step, zero-discharge, 100% recycle system. Candidate uranium-contaminated soils were characterized for uranium content, uranium speciation, organic content, size fractionization, and pH. Geochemical computer codes were used to forecast possible uranium leach scenarios. Uranium contamination was not homogenous throughout the soil. In the first step, following excavation, the soil was sorted by use of the ThemoNuclean Services segmented gate system. Following the sorting, uranium-contaminated soil was remediated in a containerized vat leach process by use of sodium-bicarbonate leach solution. Leach solution containing uranium-carbonate complexes is to be treated by use of ion-exchange media and then recycled. Following the treatment process the ion exchange media will be disposed of in an approved low-level radioactive landfill. It is anticipated that treated soils will meet Department of Energy site closure guidelines, and will be given open-quotes no further actionclose quotes status. Treated soils are to be returned to the excavation site. A volume reduction of contaminated soils will successfully be achieved by the treatment process. Cost of the treatment (per cubic meter) is comparable or less than other current popular methods of uranium-contamination remediation

  8. A study of thermal properties of sodium titanate nanotubes synthesized by microwave-assisted hydrothermal method

    International Nuclear Information System (INIS)

    Highlights: • The microwave-assisted hydrothermal route was used for titanate nanotubes synthesis. • Conversion to single-phase nanotube morphology completes after 8 h reaction time. • The nanotube morphology is stable up to 600 °C, as determined by in-situ XRD and SEM. • Sodium ions migrate to the surface due to thermal motion and structure condensation. - Abstract: Sodium titanate nanotubes (NaTiNTs) were synthesized by microwave-assisted hydrothermal treatment of commercial TiO2, at constant temperature (135 °C) and different irradiation times (15 min, 1, 4, 8 and 16 h). The products were characterized by X-ray diffraction, scanning electron microscopy, transmission electron microscopy, differential scanning calorimetry and specific surface area measurements. The irradiation time turned out to be the key parameter for morphological control of the material. Nanotubes were observed already after 15 min of microwave irradiation. The analyses of the products irradiated for 8 and 16 h confirm the complete transformation of the starting TiO2 powder to NaTiNTs. The nanotubes are open ended with multi-wall structures, with the average outer diameter of 8 nm and specific surface area up to 210 m2/g. The morphology, surface area and crystal structure of the sodium titanate nanotubes synthesized by microwave-assisted hydrothermal method were similar to those obtained by conventional hydrothermal method

  9. A study of thermal properties of sodium titanate nanotubes synthesized by microwave-assisted hydrothermal method

    Energy Technology Data Exchange (ETDEWEB)

    Preda, Silviu, E-mail: predas01@yahoo.co.uk [Institute of Physical Chemistry “Ilie Murgulescu”, 202 Splaiul Independentei, 060021 Bucharest (Romania); Rutar, Melita [Jožef Stefan Institute, Jamova cesta 39, SI-1000 Ljubljana (Slovenia); Jožef Stefan International Postgraduate School, Jamova cesta 39, SI-1000 Ljubljana (Slovenia); Umek, Polona [Jožef Stefan Institute, Jamova cesta 39, SI-1000 Ljubljana (Slovenia); Zaharescu, Maria [Institute of Physical Chemistry “Ilie Murgulescu”, 202 Splaiul Independentei, 060021 Bucharest (Romania)

    2015-11-15

    Highlights: • The microwave-assisted hydrothermal route was used for titanate nanotubes synthesis. • Conversion to single-phase nanotube morphology completes after 8 h reaction time. • The nanotube morphology is stable up to 600 °C, as determined by in-situ XRD and SEM. • Sodium ions migrate to the surface due to thermal motion and structure condensation. - Abstract: Sodium titanate nanotubes (NaTiNTs) were synthesized by microwave-assisted hydrothermal treatment of commercial TiO{sub 2}, at constant temperature (135 °C) and different irradiation times (15 min, 1, 4, 8 and 16 h). The products were characterized by X-ray diffraction, scanning electron microscopy, transmission electron microscopy, differential scanning calorimetry and specific surface area measurements. The irradiation time turned out to be the key parameter for morphological control of the material. Nanotubes were observed already after 15 min of microwave irradiation. The analyses of the products irradiated for 8 and 16 h confirm the complete transformation of the starting TiO{sub 2} powder to NaTiNTs. The nanotubes are open ended with multi-wall structures, with the average outer diameter of 8 nm and specific surface area up to 210 m{sup 2}/g. The morphology, surface area and crystal structure of the sodium titanate nanotubes synthesized by microwave-assisted hydrothermal method were similar to those obtained by conventional hydrothermal method.

  10. Navigation techniques assisted kyphoplasty for the treatment of osteoporotic spinal compression fracture

    Institute of Scientific and Technical Information of China (English)

    SUN Chang-tai; ZHAO Li-lian; ZHANG Qi-wei; WEN Liang-yuan; ZHANG Hua-chou

    2009-01-01

    @@ Percutaneous kyphon balloon kyphoplasty has achieved encouraging results in the treatment of osteoporotic compression fractures, both for correcting spinal deformities and relieving pain.1 Although kyphoplasty is a small invasion, the surgery itself has some defects such as more X-ray fluoroscopy time during the operation and accumulation of radiation dose causing harm to patients and operators, and the puncture is hard to achieve in a highly precise location.2 But those problems can be solved effectively with navigator guided puncture and kyphoplasty. The following is the summary of 38 cases treated successfully with the new puncture method in our hospital.

  11. Technical progress, the concept of individualized cancer treatment and the innovation of computer-assisted radiotherapy planning

    International Nuclear Information System (INIS)

    After a first step of cancerogenesis, the further development of the tumor is an individual process. At the end of this process the tumor is formed as an individual in the individual. The individuality of cancer exists on the level of organs, tissues and cells and includes an individual tumor-host relationship. Today, optimized cancer treatment requires a most precise biological characterization possible of the tumor and of the tumor-host relationship, which will provide objective information about the individual character of every tumor. Routine analysis and strict therapeutic consideration of the clinical and biological individuality of human cancer can offer real chances for the improvement of cancer treatment. A routine acquisition of individual tumor characteristics will be possible only if methods and equipment are available for the registration of suitable parameters. In this context technical innovations have an essential influence on the realization of the concept of individualized cancer treatment. With the method of flow cytophotometry and other techniques examples are given in how far the ideas of individual cancer management can be realized by introduction of new technical solutions into medical research and clinical practice. Unfortunately there is still a lack of methodology in individualizing cancer treatment. The individualization of radiotherapy is connected to an extremely high degree of technical innovations. Particularly this refers to the topometrical description of the target volume in relation to the adjacent anatomical structures and the body contour as well as the fitting of isodoses to the shape and size of the target volume. As an example of innovation of a technical solution for individual radiotherapy planning the computer-assisted radiotherapy planning system DOPSY is described. (author)

  12. Impact of ozone assisted ultrasonication pre-treatment on anaerobic digestibility of sewage sludge.

    Science.gov (United States)

    Tian, Xinbo; Trzcinski, Antoine Prandota; Lin, Li Leonard; Ng, Wun Jern

    2015-07-01

    Impact of ultrasonication (ULS) and ultrasonication-ozonation (ULS-Ozone) pre-treatment on the anaerobic digestibility of sewage sludge was investigated with semi-continuous anaerobic reactors at solid retention time (SRT) of 10 and 20 days. The control, ULS and ULS-Ozone reactors produced 256, 309 and 348 mL biogas/g CODfed and the volatile solid (VS) removals were 35.6%, 38.3% and 42.1%, respectively at SRT of 10 days. At SRT of 20 days, the biogas yields reached 313, 337 and 393 mL biogas/g CODfed and the VS removal rates were 37.3%, 40.9% and 45.3% in the control, ULS and ULS-Ozone reactors, respectively. ULS-Ozone pre-treatment increased the residual organic amount in the digested sludge. These soluble residual organics were found to contain macromolecules with molecular weights (MW) larger than 500 kDa and smaller polymeric products with MW around 19.4 and 7.7 kDa. These compounds were further characterized to be humic acid-like substances with fluorescent spectroscopy analysis. PMID:26141875

  13. Studies on Fetal response to Prozac Treatment

    OpenAIRE

    Nehal A, Abou Naja* , Fatma A. Eid * and Khadija Abdul jalil Fadladdeen

    2011-01-01

    Aim of the work: :A variety of adverse effects are reported post-treatment with Prozac(fluoxetine)especially during pregnancy.The percentage of these changes often reflects increased rates with rising doses. This study aimed to study the possible histopathological and histochemical changes in skin of fetuses maternally treated with Prozac with 3 different doses(0.72&1.44&2.88 mg/kg b.wt.). Material and methods: Mature male and virgin female albino rats of pure strain (Albino rattus norvegicus...

  14. Characterization and Surface Treatment of Materials Used in MADEAL S.A. Industry Productive Process of Rims by Plasma Assisted Repetitive Pulsed Arcs Technique

    International Nuclear Information System (INIS)

    A study of materials used in the molds production to aluminium rims manufacture in the MADEAL S.A. factory was carried out for apply a plasma assisted surface treatment consists in growing TiAlN hard coatings that it protects this molds in the productive process. This coating resists high oxidation temperatures, of the other of 800 deg. C, high hardness (2800 Vickers) and low friction coefficient. A plasma assisted repetitive pulsed arcs mono-evaporator system was used in the grow of the TiAlN coatings, the TiAlN target is a sinterized 50% Ti and 50% Al, in the substrate they were used two types of steel that compose the molds injection pieces for the rims production. These materials were subjected to linear and fluctuating thermal changes in the Bruker axs X-Ray diffractometer temperature chamber, what simulated the molds thermal variation in the rims production process and they were compared with TiAlN coatings subjected to same thermal changes. The Materials characterization, before and later of thermal process, was carried out using XRD, SPM and EDS techniques, to analyze the crystallographic, topographic and chemical surface structure behaviours

  15. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra; Ziebe, Søren; Mikkelsen Englund, Anne L; Hald, Finn; Boivin, Jacky; Schmidt, Lone

    2014-01-01

    To examine the costs to the public health care system of couples in medically assisted reproduction.......To examine the costs to the public health care system of couples in medically assisted reproduction....

  16. How health professionals perceive and experience treating people on social assistance: a qualitative study among dentists in Montreal, Canada

    OpenAIRE

    Bedos, Christophe; Loignon, Christine; Landry, Anne; Allison, Paul J; Richard, Lucie

    2013-01-01

    Background In Canada, the prevalence of oral diseases is very high among people on social assistance. Despite great need for dental treatment, many are reluctant to consult dental professionals, arguing that dentists do not welcome or value poor patients. The objective of this research was thus to better understand how dentists perceived and experienced treating people on social assistance. Methods This descriptive qualitative research was based on in-depth semi-structured interviews with 33 ...

  17. Mechanism study of dual-frequency ultrasound assisted enzymolysis on rapeseed protein by immobilized Alcalase.

    Science.gov (United States)

    Wang, Bei; Meng, Tingting; Ma, Haile; Zhang, Yanyan; Li, Yunliang; Jin, Jian; Ye, Xiaofei

    2016-09-01

    The mechanism of ultrasound field promoting enzymolysis efficiency is difficult to study, because the reaction system mixes with enzymes, proteins and hydrolysates. Immobilized enzyme is a good option that can be used to investigate the mechanism by separating enzymes out from the system after enzymolysis. The objective of this study was by using immobilized Alcalase to investigate the effects and mechanisms of the promotion of dual-frequency ultrasound (DFU) assisted-enzymolysis on rapeseed protein. Based on single factor experiments, response surface methodology model with three factors - hydrolysis time, power density and solid-liquid ratio at three levels was utilized to optimize the degree of hydrolysis (DH). Circular dichroism (CD) was used to analyze the secondary structure change of the protein, scanning electron microscopy (SEM) was used to analyze the surface microstructure change of the enzyme. The results showed that with DFU assisted-enzymolysis, the DH increased by 74.38% at the optimal levels for power density 57W/L, solid-liquid ratio 5.3g/L and enzymolysis time 76min. After DFU assisted-enzymolysis, the yield of soluble solids content, including protein, peptides and total sugar in hydrolysate increased by 64.61%, 40.88% and 23.60%, respectively. CD analysis showed that after DFU assisted-enzymolysis, the number of α-helix and random coil decreased by 10.7% and 4.5%, β-chain increased by 2.4%. SEM showed that the degree of surface roughness of immobilized Alcalase increased. The above results indicated that the improvement of hydrolysis by DFU assisted-enzymolysis was achieved by enhancing the solid solubility, changing the molecular structure of protein and increased the surface area of immobilized enzyme. PMID:27150775

  18. Study on the performance of silica gel dehumidification system with ultrasonic-assisted regeneration

    International Nuclear Information System (INIS)

    A theoretic model is developed to describe the moisture desorption-and-adsorption cycle of silica gel dehumidification system with or without ultrasonic-assisted regeneration. The model has been validated by a series of experiments. The AMRC (additional moisture removal capacity) and the DCOP (dehumidification coefficient of performance) are suggested to illustrate the performance of silica gel dehumidification system with ultrasonic radiation. The effects of ultrasonic-assisted regeneration on the performance of the dehumidification system are investigated with the model under different conditions. Some crucial conclusions have been drawn from the simulation results, e.g., the higher regeneration temperature is conducive to increasing the AMRC; the higher ambient air temperature is conducive to increasing the AMRC and DCOP of the system; the higher ambient air humidity level will result in the bigger AMRC and the lower DCOP of the system; the higher initial moisture ratio of silica gel is in its favor for improving the DCOP, but unfavorable for increasing the AMRC; the optimal regeneration time aiming at the maximum AMRC or DCOP decreases as the regeneration temperature or the air velocity increases. And it increases as the ambient air temperature or humidity or the initial moisture content of silica gel increases. - Highlights: • A model is developed for silica gel dehumidification system with ultrasonic-assisted regeneration. • The model has been validated by a series of experiments. • The AMRC and DCOP are suggested to study the performance of silica gel dehumidification system. • The effects of ultrasonic-assisted regeneration on the system performance are studied under different conditions. • The optimal regeneration for achieving the best effect by the ultrasonic-assisted regeneration is discussed

  19. The Rivalry between Simulation and Problem-Based Learning: A Study of Learning Transfer in Physician Assistant Students

    Science.gov (United States)

    Meyer, Kimberly E.

    2010-01-01

    The purpose of this dissertation was to evaluate learning transfer achieved by physician assistant students comparing two instructional methods, human patient simulation and electronic clinical case studies. This prospective, randomized, mixed-methods study utilized first and second-year physician assistant student volunteers taking a pretest and…

  20. CF4 plasma treatment-assisted inkjet printing for color pixel flexible display

    International Nuclear Information System (INIS)

    In this paper we report a MEMS flexible display device based on the color filter Fabry–Perot interferometer and fabricated on a transparent and flexible polyethylene naphthalate substrate. Targeting easy processing, fast evolution and reduced fabrication steps, inkjet printing is selected as a promising technology. CF4 plasma surface treatment parameters' influence has been investigated through a design of experiment protocol. Important contact angle increase has led to pattern resolution between 50 and 100 µm depending on solutions and substrate nature. Finally, the designed device presents three primary color pixels with satisfying color purity (CIE 1931 chromaticity diagram—red: x = 0.52, y = 0.36; blue: x = 0.13, y = 0.20; green: x = 0.25, y = 0.57).

  1. H{sub 2} production by PEM electrolysis, assisted by textile effluent treatment and a solar photovoltaic cell

    Energy Technology Data Exchange (ETDEWEB)

    Navarro-Solis, Isabel; Villalba-Almendra, Lilia; Alvarez-Gallegos, Alberto [Centro de Investigacion en Ingenieria y Ciencias Aplicadas, Universidad Autonoma del Estado de Morelos (UAEM), Av Universidad 1001, Campus Chamilpa, Cuernavaca, Morelos (Mexico)

    2010-10-15

    In this paper a new approach for H{sub 2} production by PEM electrolysis, assisted by effluent treatment in the anolyte is proposed. H{sub 2} is produced, in the catholyte, by proton reduction at a Fe-cathode, in an acid medium (1 M H{sub 2}SO{sub 4}). While in the anolyte, a mixture of Fe{sup 2+}/Fe{sup 3+} is produced from the oxidation of an iron anode. The overall energy required ({<=}1.00 V) is less than that required by conventional water electrolysis, and is delivered by solar panels. In the anolyte, iron ions can be used in favor of a Fenton-type process, in the presence of H{sub 2}O{sub 2}. This approach is used in effluent treatment. The oxidation efficiency of dyes reactive black 5 (RB 5) and acid green 25 (AG 25) was investigated, in mild conditions, during H{sub 2} production. The main experimental results show that it is possible to oxidize 0.00024 M RB 5 or 0.0002 M AG 25 in the anolyte, in 20 min. (author)

  2. Prenatal testing among women pregnant after assisted reproductive techniques in Denmark 1995-2000: a national cohort study

    DEFF Research Database (Denmark)

    Gjerris, A.C.; Loft, A.; Pinborg, A.;

    2008-01-01

    BACKGROUND: Women pregnant after assisted reproductive techniques (ART) are generally older than women with spontaneously conceived pregnancies, and are consequently more likely to carry a child affected by a chromosomal disorder. Furthermore, a significantly increased rate of chromosomal...... abnormalities after intracytoplasmatic sperm injection (ICSI) has been reported. The aim of this study was to describe the use and results of prenatal invasive diagnostic testing in a national Danish cohort of in vitro fertilization (IVF)/ICSI pregnancies. Additionally, we examined to what extent second...... trimester serum screening was used. METHODS: We used a register-based cohort study including all ongoing clinical pregnancies achieved by IVF/ICSI in 1995-2000 in Denmark. Data on fertility treatment, pregnancy and pregnancy outcome together with data on cytogenic testing and the use of triple test were...

  3. Studies on Fetal response to Prozac Treatment

    Directory of Open Access Journals (Sweden)

    Nehal A, Abou Naja* , Fatma A. Eid * and Khadija Abdul jalil Fadladdeen

    2011-04-01

    Full Text Available Aim of the work: :A variety of adverse effects are reported post-treatment with Prozac(fluoxetineespecially during pregnancy.The percentage of these changes often reflects increased rates with rising doses. This study aimed to study the possible histopathological and histochemical changes in skin of fetuses maternally treated with Prozac with 3 different doses(0.72&1.44&2.88 mg/kg b.wt.. Material and methods: Mature male and virgin female albino rats of pure strain (Albino rattus norvegicus ranging from 220-280 gm were used. Males were used only for mating. Pregnant rats were categorized into the following groups: Group (1: control group. Group (2: 10 pregnant rats treated daily with 0.72 mg/kg. b.wt. Prozac (T1 (treatment started one month before pregnancy and continued till day19 of gestationGroup (3: 10 pregnant rats treated daily with 1.44 mg/kg. b.wt. (T2. Group (4:10 pregnant rats treated daily with 2.88 mg/kg. b.wt. Prozac (T3. Pregnant mothers from all groups were sacrificed on day 19 of gestation and small pieces of fetal skin were taken for the histological and histochemical studies. Results: Many histological and histochemical changes were observed in fetal skin of all the treated groups compared with control ones. The severity of these changes increased with increasing the doses.Conclusion: Maternally Prozac treatment caused deleterious changes in the fetal skin, therefore the use of this drug during pregnancy should be under strict precautions and further studies are recommended due to the potential risks to the developing fetuses

  4. Pharmaceutical wastewater treatment: a physicochemical study

    International Nuclear Information System (INIS)

    A physicochemical study for the treatment of pharmaceutical wastewater was performed. Objective of the laboratory investigation was to study the removal of color, Total Dissolved Solids (TDS), Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), turbidity and phenol and bring them up to the allowable limits for reuse purposes. Efficiency of coagulation, flocculation, sedimentation, sand filtration followed by activated carbon adsorption was determined. It was found that tested coagulants (alum, ferric chloride, and ferrous sulphate) are not much effective and required high dosage for the removal; of TSS, BOD, COD and turbidity. Alum was found to be more effective among tested coagulants and reduce TSS, BOD, COD and turbidity 79.6%, 34.8, 48.6% and 69.2% respectively. Sand filtration further reduced the studied parameters 97.7%, 95.7%, 93.9% and 76.9% respectively. As the concentration of phenol in the studied pharmaceutical wastewater was 100 mg/l, granular activated carbon was used to remove phenol up to the allowable limit for reuse purpose. Activated carbon adsorption further reduces phenol, TDS, TSS, BOD, and COD up to 99.9%, 99.1%, 21.4%, 81.3% and 71.1% respectively. High removal of color observed after activated carbon adsorption. It was concluded that the suggested treatment scheme is suitable to bring the effluent quality up to the water quality standards. (author)

  5. Comprehensive technology-assisted training and supervision program to enhance depression management in primary care in Santiago, Chile: study protocol for a cluster randomized controlled trial

    OpenAIRE

    Rojas, Graciela; Martínez, Pablo; Vöhringer, Paul A.; Martínez, Vania; Castro-Lara, Ariel; Fritsch, Rosemarie

    2015-01-01

    Background Depression is a common and disabling condition. Since 2001, Chile has had a national program for depression in primary care and universal access to treatment for depressed people over the age of 15. There are National Guidelines to treat depression but no training program exists. The aim of the present study protocol is to measure the effectiveness of a comprehensive technology-assisted training and supervision program to enhance depression management in primary care. Methods and d...

  6. Video-Assisted Thoracic Surgery (VATS) Lobectomy for Pathologic Stage I Non-Small Cell Lung Cancer: A Comparative Study with Thoracotomy Lobectomy

    OpenAIRE

    Park, Joon Suk; Kim, Kwhanmien; Choi, Min Suk; Chang, Sung Wook; Han, Woo-sik

    2011-01-01

    Background Surgical treatment of stage I non-small cell lung cancer (NSCLC) can be performed either by thoracotomy or by employing video-assisted thoracic surgery (VATS). The aim of this study was to evaluate the feasibility of VATS lobectomy for pathologic stage I NSCLC. Material and Methods Between December 2003 and December 2007, 529 patients with pathologic stage I NSCLC underwent lobectomies (373 thoracotomy, 156 VATS). Patients in both groups were selected after being matched by age, ge...

  7. GHRH treatment: studies in an animal model.

    Science.gov (United States)

    Shakutsui, S; Abe, H; Chihara, K

    1989-01-01

    This study examined the effects of chronic deletion of circulating growth hormone-releasing (GHRH) and/or somatostatin (SRIF) on normal growing male rats, as well as the effects of exogenous GHRH (1-29)NH2 and/or SMS 201-995 administration on the growth of rats with hypothalamic ablation. Passive immunization with anti-rat GHRH goat gamma-globulin (GHRH-Ab) for 3 weeks caused a marked decrease in the levels of pituitary GH mRNA and severe growth failure. Treatment with anti-SRIF goat gamma-globulin (SRIF-Ab) for 3 weeks produced a more modest decrease in GH mRNA levels in the pituitary and a slight but significant inhibition of normal somatic growth. Hypothalamic ablation produced a marked decrease in the level of mRNA in the pituitary. Chronic continuous administration of GHRH (1-29)NH2 stimulated pituitary GH synthesis, elevated serum levels of insulin-like growth factor I and increased body weight gain in rats with hypothalamic ablation treated with replacement doses of cortisone, testosterone and L-thyroxine. Combined treatment with GHRH (1-29)NH2 and SMS 201-995 appeared to promote the effect of GHRH on pituitary GH release and somatic growth in these animals. The results suggest that continuous administration of GHRH will be useful in the treatment of children with growth retardation resulting from hypothalamic disorders. In children with combined GHRH and somatostatin deficiencies, the addition of somatostatin to a GHRH treatment regimen may produce better results. PMID:2568726

  8. Physical and psychosocial effects of Wii Fit exergames use in assisted living residents: a pilot study.

    Science.gov (United States)

    Chao, Ying-Yu; Scherer, Yvonne K; Montgomery, Carolyn A; Wu, Yow-Wu; Lucke, Kathleen T

    2015-12-01

    The purpose of this study was to investigate the physical and psychosocial effects of the Wii Fit exergames incorporating self-efficacy theory on assisted living residents. The study was a quasi-experimental pre/post-test design. Thirty-two participants were recruited from two assisted living facilities. Sixteen participants received the Wii Fit exergames incorporating self-efficacy theory twice a week for 4 weeks. The other participants received a health education program. Physical function, fear of falling, depression, and quality of life were evaluated. T tests were used for data analysis. After the 4-week intervention, the Wii Fit group showed significant improvements in balance (p exergames show promise as a potential tool to improve and maintain physical and psychosocial health for older adults. PMID:25488422

  9. Semantic Integration of Cervical Cancer Data Repositories to Facilitate Multicenter Association Studies: The ASSIST Approach

    OpenAIRE

    Theodoros Agorastos; Vassilis Koutkias; Manolis Falelakis; Irini Lekka; Themistoklis Mikos; Anastasios Delopoulos; Mitkas, Pericles A; Antonios Tantsis; Steven Weyers; Pascal Coorevits; Kaufmann, Andreas M.; Roberto Kurzeja; Nicos Maglaveras

    2009-01-01

    The current work addresses the unification of Electronic Health Records related to cervical cancer into a single medical knowledge source, in the context of the EU-funded ASSIST research project. The project aims to facilitate the research for cervical precancer and cancer through a system that virtually unifies multiple patient record repositories, physically located in different medical centers/hospitals, thus, increasing flexibility by allowing the formation of study groups “on demand” and...

  10. Adnexal Torsion in Pregnancy after Assisted Reproduction – Case Study and Review of the Literature

    OpenAIRE

    Spitzer, D; Wirleitner, B.; Steiner, H.; Zech, N. H.

    2012-01-01

    Purpose: Aim of the study was to investigate the incidence, progress, management and outcome of adnexal torsion after controlled ovarian hyperstimulation in embryo transfer cycles. Materials and Method: A retrospective analysis was done of 1007 patients of a private IVF centre. The literature on adnexal torsion is reviewed. Results: In the literature, the incidence of adnexal torsion after assisted reproductive technologies (ART) is given as around 0.2 %. A significant increase of up to 33 % ...

  11. Neural Response During a Mechanically Assisted Spinal Manipulation in an Animal Model: A Pilot Study

    OpenAIRE

    Reed, William R.; Liebschner, Michael A. K.; Sozio, Randall S.; Pickar, Joel G; Gudavalli, Maruti R.

    2015-01-01

    Introduction Mechanoreceptor stimulation is theorized to contribute to the therapeutic efficacy of spinal manipulation. Use of mechanically-assisted spinal manipulation (MA-SM) devices is increasing among manual therapy clinicians worldwide. The purpose of this pilot study is to determine the feasibility of recording in vivo muscle spindle responses during a MA-SM in an intervertebral fixated animal model. Methods Intervertebral fixation was created by inserting facet screws through the left ...

  12. Computer algorithms and applications used to assist the evaluation and treatment of adolescent idiopathic scoliosis: a review of published articles 2000–2009

    OpenAIRE

    Phan, Philippe; Mezghani, Neila; Aubin, Carl-Éric; de Guise, Jacques A.; Labelle, Hubert

    2011-01-01

    Adolescent idiopathic scoliosis (AIS) is a complex spinal deformity whose assessment and treatment present many challenges. Computer applications have been developed to assist clinicians. A literature review on computer applications used in AIS evaluation and treatment has been undertaken. The algorithms used, their accuracy and clinical usability were analyzed. Computer applications have been used to create new classifications for AIS based on 2D and 3D features, assess scoliosis severity or...

  13. Medical assistance as a process. Application of a systemic approach to the study of the medical assistance.

    Directory of Open Access Journals (Sweden)

    Luis Alberto Corona Martínez

    2005-08-01

    Full Text Available This article presents the concepts that give theoretical support to the character of the medical assistance as a process. From this point of view the analysis of the process is carried out following a systemic approach, allowing the identification of the components of the process: object- subject- objective-problem- method- content- material aids teaching form and result s, all of which form the eternal structure of the process. Teaching, investigative and assistencial implications of this process are present as well as its contribution for the medical practice of the new doctors.

  14. Does ROI analysis of functional studies assist in temporal lobe seizure focus lateralisation?

    International Nuclear Information System (INIS)

    Full text: In 35 patients with refractory temporal lobe epilepsy (TLE), visual and region of interest (ROI) analysis of ictal 99mTc-HMPAO SPECT and interictal 18F-fluorodeoxyglucose positron emission tomography (FDG PET) studies was performed to determine the value of semiquantitation in seizure focus lateralisation. Each of two observers lateralised the functional studies and scored their level of confidence on a five-point scale (positive > 4). Percentage differences in mean side-to-side ROI counts were calculated over the mesial, lateral and posterior temporal cortex and a threshold of 10% selected. SPECT ROI analysis did not assist in lateralising the two false positive cases on visual interpretation. The equivocal SPECT cases were correctly lateralised on ROI analysis. In 17 equivocal or falsely lateralising FDG PET interpretations involving 11 patients, ROI analysis was helpful in lateralising 9 patients. In the two false lateralisations, ROI analysis demonstrated bilateral changes in one and correctly lateralised the other. In the equivocal cases, ROI analysis assisted in lateralising seven of nine patients. ROI analysis of functional studies provides similar lateralising information to qualitative interpretation by experienced observers. In equivocal or conflicting cases, ROI analysis assists in lateralisation of the seizure focus

  15. Does ROI analysis of functional studies assist in temporal lobe seizure focus lateralisation?

    Energy Technology Data Exchange (ETDEWEB)

    Berlangieri, S.U.; Ho, S.S.; Newton, M.R.; Thomas, D.L.; Chan, C.G.; Egan, G.F.; Tochon-Danguy, H.J.; Berkovic, S.F.; McKay, W.J. [Austin Hospital, Melbourne, VIC (Australia). Centre for PET and Depts of Nuclear Medicine and Neurology

    1998-03-01

    Full text: In 35 patients with refractory temporal lobe epilepsy (TLE), visual and region of interest (ROI) analysis of ictal {sup 99m}Tc-HMPAO SPECT and interictal {sup 18}F-fluorodeoxyglucose positron emission tomography (FDG PET) studies was performed to determine the value of semiquantitation in seizure focus lateralisation. Each of two observers lateralised the functional studies and scored their level of confidence on a five-point scale (positive > 4). Percentage differences in mean side-to-side ROI counts were calculated over the mesial, lateral and posterior temporal cortex and a threshold of 10% selected. SPECT ROI analysis did not assist in lateralising the two false positive cases on visual interpretation. The equivocal SPECT cases were correctly lateralised on ROI analysis. In 17 equivocal or falsely lateralising FDG PET interpretations involving 11 patients, ROI analysis was helpful in lateralising 9 patients. In the two false lateralisations, ROI analysis demonstrated bilateral changes in one and correctly lateralised the other. In the equivocal cases, ROI analysis assisted in lateralising seven of nine patients. ROI analysis of functional studies provides similar lateralising information to qualitative interpretation by experienced observers. In equivocal or conflicting cases, ROI analysis assists in lateralisation of the seizure focus.

  16. ACIDIC REMOVAL OF METALS FROM FLUIDIZED CATALYTIC CRACKING CATALYST WASTE ASSISTED BY ELECTROKINETIC TREATMENT

    OpenAIRE

    R. B. G. Valt; A. N. Diógenes; L. S. Sanches; N. M. S. Kaminari; M. J. J. S. Ponte; H. A. Ponte

    2015-01-01

    AbstractOne of the main uses of catalysts in the oil industry is in the fluidized catalytic cracking process, which generates large quantities of waste material after use and regeneration cycles and that can be treated by the electrokinetic remediation technique, in which the contaminant metals are transported by migration. In this study, deactivated FCC catalyst was characterized before and after the electrokinetic remediation process to evaluate the amount of metal removed, and assess struc...

  17. Luteal phase support in assisted reproductive technology treatment: focus on Endometrin® (progesterone) vaginal insert

    OpenAIRE

    Check, Jerome H

    2009-01-01

    Jerome H CheckThe University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Camden, New Jersey, USAAbstract: Supplementation of progesterone in the luteal phase and continuance of progesterone therapy during the first trimester has been found in several studies to have benefits in promoting fertility, preventing mis...

  18. Luteal Phase Support in assisted reproductive technology treatment: focus on Endometrin® (progesterone) vaginal insert

    OpenAIRE

    Check, Jerome H

    2009-01-01

    Supplementation of progesterone in the luteal phase and continuance of progesterone therapy during the first trimester has been found in several studies to have benefits in promoting fertility, preventing miscarriages and even preventing pre-term labor. Though it can be administered orally, intramuscularly or even sublingually, a very effective route with fewer side effects can be achieved by an intravaginal route. The first vaginal preparations were not made commercially but were compounded ...

  19. Effects of a robot-assisted training of grasp and pronation/supination in chronic stroke: a pilot study

    Directory of Open Access Journals (Sweden)

    Lambercy Olivier

    2011-11-01

    Full Text Available Abstract Background Rehabilitation of hand function is challenging, and only few studies have investigated robot-assisted rehabilitation focusing on distal joints of the upper limb. This paper investigates the feasibility of using the HapticKnob, a table-top end-effector device, for robot-assisted rehabilitation of grasping and forearm pronation/supination, two important functions for activities of daily living involving the hand, and which are often impaired in chronic stroke patients. It evaluates the effectiveness of this device for improving hand function and the transfer of improvement to arm function. Methods A single group of fifteen chronic stroke patients with impaired arm and hand functions (Fugl-Meyer motor assessment scale (FM 10-45/66 participated in a 6-week 3-hours/week rehabilitation program with the HapticKnob. Outcome measures consisted primarily of the FM and Motricity Index (MI and their respective subsections related to distal and proximal arm function, and were assessed at the beginning, end of treatment and in a 6-weeks follow-up. Results Thirteen subjects successfully completed robot-assisted therapy, with significantly improved hand and arm motor functions, demonstrated by an average 3.00 points increase on the FM and 4.55 on the MI at the completion of the therapy (4.85 FM and 6.84 MI six weeks post-therapy. Improvements were observed both in distal and proximal components of the clinical scales at the completion of the study (2.00 FM wrist/hand, 2.55 FM shoulder/elbow, 2.23 MI hand and 4.23 MI shoulder/elbow. In addition, improvements in hand function were observed, as measured by the Motor Assessment Scale, grip force, and a decrease in arm muscle spasticity. These results were confirmed by motion data collected by the robot. Conclusions The results of this study show the feasibility of this robot-assisted therapy with patients presenting a large range of impairment levels. A significant homogeneous improvement in

  20. Impact of eculizumab treatment on paroxysmal nocturnal hemoglobinuria: a treatment versus no-treatment study.

    Science.gov (United States)

    Loschi, Michael; Porcher, Raphael; Barraco, Fiorenza; Terriou, Louis; Mohty, Mohamad; de Guibert, Sophie; Mahe, Beatrice; Lemal, Richard; Dumas, Pierre-Yves; Etienne, Gabriel; Jardin, Fabrice; Royer, Bruno; Bordessoule, Dominique; Rohrlich, Pierre Simon; Fornecker, Luc Mathieu; Salanoubat, Celia; Maury, Sebastien; Cahn, Jean-Yves; Vincent, Laure; Sene, Thomas; Rigaudeau, Sophie; Nguyen, Stephanie; Lepretre, Anne-Claire; Mary, Jean-Yves; Corront, Bernadette; Socie, Gerard; Peffault de Latour, Regis

    2016-06-01

    Intravascular hemolysis in Paroxysmal nocturnal hemoglobinuria (PNH) can effectively be controlled with eculizumab, a humanized monoclonal antibody that binds complement protein C5. We report here a retrospective comparison study between 123 patients treated with eculizumab in the recent period (>2005) and 191 historical controls (from the French registry). Overall survival (OS) at 6 years was 92% (95%CI, 87 to 98) in the eculizumab cohort versus 80% (95%CI 70 to 91) in historical controls diagnosed after 1985 (HR 0.38 [0.15 to 0.94], P = 0.037). There were significantly fewer thrombotic events (TEs) in the group of patients treated with eculizumab (4% [1-10]) as compared to the historical cohort (27% [20-34]). However, we found that TEs may still occur after the initiation of eculizumab treatment and that previous TEs still have a negative impact on survival. Evolutions to myelodysplastic syndrome or acute leukemia were similar in both cohorts. There was less evolution to aplastic anemia in the treatment group. In multivariate analysis, absence of a previous TE and treatment with eculizumab were associated with a better OS. Treatment with eculizumab improves overall survival in classic PNH patients without increasing the risk of clonal evolution. Am. J. Hematol. 91:366-370, 2016. © 2016 Wiley Periodicals, Inc. PMID:26689746

  1. Luteal phase support in assisted reproductive technology treatment: focus on Endometrin® (progesterone vaginal insert

    Directory of Open Access Journals (Sweden)

    Jerome H Check

    2009-05-01

    Full Text Available Jerome H CheckThe University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Camden, New Jersey, USAAbstract: Supplementation of progesterone in the luteal phase and continuance of progesterone therapy during the first trimester has been found in several studies to have benefits in promoting fertility, preventing miscarriages and even preventing pre-term labor. Though it can be administered orally, intramuscularly or even sublingually, a very effective route with fewer side effects can be achieved by an intravaginal route. The first vaginal preparations were not made commercially but were compounded by pharmacies. This had the disadvantage of lack of control by the Food and Drug Administration (FDA ensuring efficacy of the preparations. Furthermore there was a lack of precise dosing leading to batch to batch variation. The first commercially approved vaginal progesterone preparation in the United States was a vaginal gel which has proven very effective. The main side effect was accumulation of a buildup of the vaginal gel sometimes leading to irritation. Natural micronized progesterone for vaginal administration with the brand name of Utrogestan A® had been approved even before the gel in certain European countries. Endometrin® vaginal tablets are the newest natural progesterone approved by the FDA. Comparisons to the vaginal gel and to intramuscular progesterone have shown similar efficacy especially in studies following controlled ovarian hyperstimulation and oocyte egg retrieval and embryo transfer. Larger studies are needed to compare side effects.Keywords: progesterone vaginal tablets, luteal phase, miscarriage, pregnancy rates

  2. Experimental study of a photovoltaic solar-assisted heat-pump/heat-pipe system

    International Nuclear Information System (INIS)

    A practical design for a heat pump with heat-pipe photovoltaic/thermal (PV/T) collectors is presented. The hybrid system is called the photovoltaic solar-assisted heat-pump/heat-pipe (PV-SAHP/HP) system. To focus on both actual demand and energy savings, the PV-SAHP/HP system was designed to be capable of operating in three different modes, namely, the heat-pipe, solar-assisted heat pump, and air-source heat-pump modes. Based on solar radiation, the system operates in an optimal mode. A series of experiments were conducted in Hong Kong to study the performance of the system when operating in the heat-pipe and the solar-assisted heat-pump modes. Moreover, energy and exergy analyses were used to investigate the total PV/T performance of the system. - Highlights: ► A novel PV-SAHP/HP system with three different operating modes was proposed. ► Performance of the PV-SAHP/HP system was studied experimentally. ► A optimal operating mode of the PV-SAHP/HP system was suggested in this paper.

  3. Preliminary study: kinetics of oil extraction from sandalwood by microwave-assisted hydrodistillation

    Science.gov (United States)

    Kusuma, H. S.; Mahfud, M.

    2016-04-01

    Sandalwood and its oil, is one of the oldest known perfume materials and has a long history (more than 4000 years) of use as mentioned in Sanskrit manuscripts. Sandalwood oil plays an important role as an export commodity in many countries and its widely used in the food, perfumery and pharmaceuticals industries. The aim of this study is to know and verify the kinetics and mechanism of microwave-assisted hydrodistillation of sandalwood based on a second-order model. In this study, microwave-assisted hydrodistillation is used to extract essential oils from sandalwood. The extraction was carried out in ten extraction cycles of 15 min to 2.5 hours. The initial extraction rate, the extraction capacity and the second-order extraction rate constant were calculated using the model. Kinetics of oil extraction from sandalwood by microwave-assisted hydrodistillation proved that the extraction process was based on the second-order extraction model as the experimentally done in three different steps. The initial extraction rate, h, was 0.0232 g L-1 min-1, the extraction capacity, C S, was 0.6015 g L-1, the second-order extraction rate constant, k, was 0.0642 L g-1 min-1 and coefficient of determination, R 2, was 0.9597.

  4. The influence of female and male body mass index on live births after assisted reproductive technology treatment

    DEFF Research Database (Denmark)

    Petersen, Gitte Lindved; Schmidt, Lone; Pinborg, Anja;

    2013-01-01

    OBJECTIVE: To investigate the independent and combined associations between female and male body mass index (BMI) on the probability of achieving a live birth after treatments with in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) under adjustment for relevant covariates....... DESIGN: Population-based cohort study. SETTING: Danish national registers. PATIENT(S): Patients with permanent residence in Denmark receiving IVF or ICSI treatment with use of autologous oocytes from January 1, 2006, to September 30, 2010. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Live birth....... Analyses were adjusted for age and smoking at treatment initiation and results stratified by BMI groups and presented by IVF/ICSI treatment. RESULT(S): In total, 12,566 women and their partners went through 25,191 IVF/ICSI cycles with 23.7% ending in a live birth. Overweight and obese women with regular...

  5. First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment

    Directory of Open Access Journals (Sweden)

    Flórez G

    2015-09-01

    Full Text Available Gerardo Flórez,1,2 Ana López-Durán,3 Yolanda Triñanes,4 Jesús Osorio,5 Jaime Fraga,5 José Manuel Fernández,5 Elisardo Becoña,3 Manuel Arrojo5 1Addictive Disorders Assistance Unit, Complejo Hospitalario, Ourense, Spain; 2Center for Biomedical Research in Mental Health (CIBERSAM, Oviedo, Spain; 3Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Spain; 4Galician Agency for Health Technology Assessment, Directorate General for Innovation and Management of Public Health, Galicia, Spain; 5Directorate General of Health Assistance, Galician Health Service, Galicia, Spain Background: The purpose of this study was to gain an understanding of the profiles of the new treatment demands posed by opioid addicts between 2005 and 2010 at the addictive disorders assistance units in Galicia, Spain. Methods: A cluster analysis was performed using data from 1,655 treatment entrants. Clusters were constructed using sociodemographic and medicolegal variables. A cluster analysis was also conducted according to age. Once clusters were defined, their association with the following variables was analyzed: age at first use of opioids, years of use, frequency of opioid use in the previous month, psychiatric treatment, cocaine use, existence of a drug-dependent partner, and source of referral. Results: Four clusters were obtained in the main analysis. Cluster 1 (34.01% consisted of young males, cluster 2 (16.19% consisted of not-so-young males, cluster 3 (32.62% consisted mainly of older males and a small group of females, and cluster 4 (17.18% was made up entirely of women. With regard to age-related clusters, two clusters were obtained in those under the age of 30 years: cluster 1 (73% without medicolegal complications and cluster 2 (27% with medicolegal complications. For those over the age of 30 years, two clusters were obtained: cluster 1 (53.92% with hardly any medicolegal complications and cluster 2 (46.08% with

  6. An expert assistant for the treatment of human reliability analysis (HRA) for probabilistic safety analysis (PSA) purposes

    International Nuclear Information System (INIS)

    The value of Probabilistic Safety Analysis (PSA) for nuclear safety is well known and recognized. However, PSA methodology has limitations, particularly when the operator actions are involved in the PSA models. The results of the PSA performed up to now show that human actions are the main contributor to the core damage probability. The HRA intent to provide a framework to identify, analyse, quantify and incorporate the human actions into PSAs. An expert assistant for the treatment of HRA: ETHRA prototype was developed to provide a guide for PSA analysts to perform HRA's with the standards and most widely used methods to determine and quantify human actions for PSA applications and these human actions are then incorporated to fault trees and event trees. ETHRA is a system based on methods, rules and demons that include a question/answer user interface by means of checkboxes, valueboxes and forms. Subject discussed in this report is dealing with the practical implementation and use of ETHRA prototype to PSA applications. (author). 5 refs, 1 fig

  7. Successful treatment of a guitarist with a finger joint injury using instrument-assisted soft tissue mobilization: a case report.

    Science.gov (United States)

    Terry Loghmani, M; Bayliss, Amy J; Clayton, Greg; Gundeck, Evelina

    2015-12-01

    Finger injuries are common and can greatly affect a musician's quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage. Additionally, a home exercise program and self-care instructions were provided. The patient gained positive outcomes with improvements in pain (Numerical Pain Rating Scale while playing the guitar: initial 5/10, discharge 1/10) and function (Disability Arm Shoulder Hand Sports-Performing Arts Optional Module: initial 75; discharge 6·25), each reaching a minimum clinically important difference. Importantly, he was able to play the guitar with minimal to no pain as desired. Physical measures also improved, including an immediate gain in finger range of motion with IASTM alone. Manual therapy approaches integrating IASTM may provide an effective conservative treatment strategy for patients with finger/hand conditions in the performing arts and other patient populations. PMID:26952165

  8. Results of treatment in patients with non traumatic avascular necrosis of the femoral head by monitor assisted core decompression

    International Nuclear Information System (INIS)

    The authors tried to evaluate the results of treatment in 32 patients (39 hips) with non-traumatic avascular necrosis (AVN) of the femoral head by monitor assisted core decompression. Average age - 44 years, 19 were male and 13 female. 7 patients had bilateral involvement. The diagnosis AVN has been made by anteroposterior and lateral conventional radiographs bone scintigraphy and MRI. It is also done histopathological examinations of the specimens taken during the operation in order to confirm the primary diagnosis. It is established early diagnosis in stage I, stage IIA and IIB (the modified staging system of Ficat and Arlet is used, in combination with the system of Steinberg at al.) All patients have been treated by core decompression. The operative technique used is modified Phemister, which is similar to Ficat- Arlet. After the operation periodically x-ray and MRI investigations are done. The mean follow up time is 4 years. 79.37% of the hips showed radiographic and MRI stabilization within 2-4 years after core decompression. In 10.25% the results are moderate and in the rest (10.25%) total or bi-polar hip prosthesis have been implanted. The benefit of core decompression in patients with non-traumatic avascular necrosis of the femoral head is justified

  9. Efficacy, predictability, and safety of laser-assisted subepithelial keratectomy for the treatment of myopia and myopic astigmatism

    Directory of Open Access Journals (Sweden)

    Faisal M Al-Tobaigy

    2012-01-01

    Full Text Available Purpose: The purpose was to report the refractive and visual outcomes of laser-assisted subepithelial keratectomy (LASEK for the treatment of myopia. Materials and Methods: A retrospective, noncomparative consecutive case series of 173 of 91 patients who had undergone LASEK is presented. Primary outcome variables included uncorrected visual acuity (UCVA, best spectacle-corrected visual acuity (BSCVA, manifest refraction, epithelialization time, pain, haze, and complications. Results: Preoperatively, the mean spherical equivalent (SE was −3.71 ± 1.63 D (range, −0.875 D to 8.25 D, and the mean LogMAR BSCVA was −0.0374 ± 0.0767 D (range, −0.47 D to 0.00 D. On the final visit, the mean SE was −0.05 ± 0.335 D (range, −1.63 D to 1.00 D, the mean LogMAR UCVA was 0.04674 ± 0.0771 D (range, −0.3010 D to 0.1249 D and the mean LogMAR BSCVA was −0.0164 ± 0.0497 (range −0.3010 to 0.124. All eyes achieved vision of 20/40 or better, and 83.2% of the eyes achieved a vision of 20/25 or better. One 64 (94.94% and all the eyes were within ± 0.50 D and ± 1.00 D of the attempted correction respectively. Complete epithelialization occurred in 4.70 ± 2.09 days (range, 2-10 days. At the final visit, 79.7% of eyes had a clear cornea. Grade 1 haze developed in 17.34% of the eyes, grade 2 haze developed in 2.89% of eyes developed; no eyes developed grade 3 or 4 haze. Conclusions: LASEK is a safe, effective, and predictable method for the treatment of myopia and myopic astigmatism.

  10. PIXE studies of osteoporosis preventive treatments

    International Nuclear Information System (INIS)

    Particle induced X-ray emission (PIXE) and nuclear microprobe (NMP) have been used in an exploratory work to study elemental alterations in tissues of experimental animals submitted to osteoporosis preventive treatments. Osteopathologies have been associated with several factors, such as hormonal disturbances, metabolic aberrations, low dietary Ca and vitamin D intake, excess of iron, among other possible factors. Hormonal treatments seem to be beneficial to the incorporation of Ca in bone but breast and endometrial cancers constitute significant side effects that cannot be ignored. Wistar female rats were used to test the effect of estrogen therapy in osteoporosis progression. The variations of elemental concentrations in uterus and the Ca content of femoral bones of ovariectomised rats under estrogen therapy were investigated. PIXE, Rutherford backscattering spectrometry and secondary electron microscopy techniques were applied for the characterisation of biological materials, with respect to morphology and trace element distribution determination. The increase of Ca and Fe concentrations in uterus and the variations for Ca distribution patterns in bone of rats submitted to estrogen therapy were the major features observed

  11. ACIDIC REMOVAL OF METALS FROM FLUIDIZED CATALYTIC CRACKING CATALYST WASTE ASSISTED BY ELECTROKINETIC TREATMENT

    Directory of Open Access Journals (Sweden)

    R. B. G. Valt

    2015-06-01

    Full Text Available AbstractOne of the main uses of catalysts in the oil industry is in the fluidized catalytic cracking process, which generates large quantities of waste material after use and regeneration cycles and that can be treated by the electrokinetic remediation technique, in which the contaminant metals are transported by migration. In this study, deactivated FCC catalyst was characterized before and after the electrokinetic remediation process to evaluate the amount of metal removed, and assess structural modifications, in order to indicate a possible use as an adsorbent material. The analyses included pH measurement and the concentration profile of vanadium ions along the reactor, X-ray microtomography, X-ray fluorescence, BET analysis and DTA analysis. The results indicated that 40% of the surface area of the material was recovered in relation to the disabled material, showing an increase in the available area for the adsorption. The remediation process removed nearly 31% of the vanadium and 72% of the P2O5 adhering to the surface of the catalyst, without causing structural or thermal stability changes.

  12. United states-assisted studies on dose reconstruction in the former Soviet Union

    International Nuclear Information System (INIS)

    Following the Chernobyl accident, the US and the USSR entered into an agreement to work on the safety of civilian nuclear reactors; one aspect of that work was to study the environmental transport and health effects of radionuclides released by the accident. After the break-up of the USSR separate agreements were established between the US and Ukraine, Belarus, and Russia to continue work on dose reconstruction and epidemiologic studies of health effects from exposure to external radiation and the incorporation of radionuclides. Studies in Belarus and Ukraine related to the Chernobyl accident now emphasize epidemiologic studies of childhood-thyroid cancer and leukemia, and eye-lens-cataract formation in liquidators. Supporting studies on dose reconstruction emphasize a variety of ecological, physical, and biological techniques. Studies being conducted in Russia currently emphasize health effects in the workers and the population around the Mayak Industrial Association. As this production complex is an analogue of the US Hanford Works, advantage is being taken of the US experience in conducting a similar, recently completed dose-reconstruction study. In all cases the primary work on dose reconstruction is being performed by scientists from the former Soviet Union. US assistance is in the form of expert consultation and participation, exchange visits, provision of supplies and equipment, and other forms of local assistance

  13. The effect of Ventricular Assist Devices on cerebral autoregulation: A preliminary study

    Directory of Open Access Journals (Sweden)

    Dunster Kimble R

    2011-02-01

    Full Text Available Abstract Background The insertion of Ventricular Assist Devices is a common strategy for cardiovascular support in patients with refractory cardiogenic shock. This study sought to determine the impact of ventricular assist devices on the dynamic relationship between arterial blood pressure and cerebral blood flow velocity. Methods A sample of 5 patients supported with a pulsatile ventricular assist device was compared with 5 control patients. Controls were matched for age, co-morbidities, current diagnosis and cardiac output state, to cases. Beat-to-beat recordings of mean arterial pressure and cerebral blood flow velocity, using transcranial Doppler were obtained. Transfer function analysis was performed on the lowpass filtered pressure and flow signals, to assess gain, phase and coherence of the relationship between mean arterial blood pressure and cerebral blood flow velocity. These parameters were derived from the very low frequency (0.02-0.07 Hz, low frequency (0.07-0.2 Hz and high frequency (0.2-0.35 Hz. Results No significant difference was found in gain and phase values between the two groups, but the low frequency coherence was significantly higher in cases compared with controls (mean ± SD: 0.65 ± 0.16 vs 0.38 ± 0.19, P = 0.04. The two cases with highest coherence (~0.8 also had much higher spectral power in mean arterial blood pressure. Conclusions Pulsatile ventricular assist devices affect the coherence but not the gain or phase of the cerebral pressure-flow relationship in the low frequency range; thus whether there was any significant disruption of cerebral autoregulation mechanism was not exactly clear. The augmentation of input pressure fluctuations might contribute in part to the higher coherence observed.

  14. Who rides the glass escalator? Gender, race and nationality in the national nursing assistant study

    OpenAIRE

    Kim Price-Glynn; Carter Rakovski

    2012-01-01

    Evidence for Christine Williams’s ‘glass escalator’ effect documents how professional men entering female-dominated occupations may advance more quickly toward authority positions and higher salaries. However, studies of men’s benefits from occupational segregation have neglected low-wage and diverse groups of workers. Using the representative US National Nursing Assistant Study (NNAS), the article examines organizational measures of inequality and discrimination – wages, benefits a...

  15. A comparative study of pedicle screw fixation in dorsolumbar spine by freehand versus image-assisted technique: A cadaveric study

    Directory of Open Access Journals (Sweden)

    Archit Agarwal

    2016-01-01

    Full Text Available Background: New and expensive technology such as three-dimensional computer assisted surgery is being used for pedicle screw fixation in dorsolumbar spine. Their availability, expenses and amount of radiation exposure are issues in a developing country. On the contrary, freehand technique of pedicle screw placement utilizes anatomic landmarks and tactile palpation without fluoroscopy or navigation to place pedicle screws. The purpose of this study was to analyze and compare the accuracy of freehand and image-assisted technique to place pedicle screws in the dorsolumbar spine of cadavers by an experienced surgeon and a resident. Evaluation was done using dissection of pedicle and computed tomography (CT imaging. Materials and Methods: Ten cadaveric dorsolumbar spines were exposed by a posterior approach. Titanium pedicle screws were inserted from D5 to L5 vertebrae by freehand and image-assisted technique on either side by an experienced surgeon and a resident. CT was obtained. A blinded radiologist reviewed the imaging. The spines were then dissected to do a macroscopic examination. Screws, having evidence of cortical perforation of more than 2 mm on CT, were considered to be a significant breach. Results: A total of 260 pedicle screws were placed. The surgeon and the resident placed 130 screws each. Out of 130 screws, both of them placed 65 screws each by freehand and image- assisted technique each. The resident had a rate of 7.69% significant medial and 10.76% significant lateral breach with freehand technique while with image-assisted had a rate of 3.07% significant medial and 9.23% significant lateral breach. The expert surgeon had a rate of 6.15% significant medial and 1.53% significant lateral breach with freehand technique while with image-assisted had a rate of 3.07% significant medial and 6.15% significant lateral breach on CT evaluation. Conclusion: Freehand technique is as good as the image-assisted technique. Under appropriate

  16. Technology transfer for Ukrainian milk treatment: A case study

    International Nuclear Information System (INIS)

    As a result of the Chernobyl Nuclear Power Plant accident, radioactive fission products have contaminated the food chain in the Ukraine. The highest doses to humans are a result of cesium contamination in milk. The milk produced in the Ukraine contains radioactive cesium at levels up to 10 times the acceptance standards. Bradtec has developed and demonstrated technology for the US Department of Energy for the treatment of groundwater and effluent water. This technology has also been tested and demonstrated for the Ukrainian government for the purpose of treating contaminated milk. Bradtec, a small business offering specialized technologies in the field of environmental remediation and waste management, has successfully worked with a consortium of businesses, National Laboratories and DOE Headquarters staff to develop and implement a technology demonstration strategy which has led to the implementation of a series collaboration agreements with Ukrainian officials. This paper describes, in a case study approach, the path followed by Bradtec and its collaboration partners in successfully implementing a technology transfer strategy. Also presented is an update on new programs that can provide benefit to private sector companies as DOE seeks to assist the private sector in joint venture/technology transfer relationships with the NIS (New Independent States). This paper should be of interest to all businesses seeking to participate in business opportunities in the NIS

  17. Current treatment status of traditional Chinese medicine in assisted reproductive techniques%中医药在辅助生殖技术中的治疗现状

    Institute of Scientific and Technical Information of China (English)

    赖娟; 程玲

    2012-01-01

    中医药近年在以体外受精-胚胎移植为代表的辅助生殖技术中常有报道,本文从体外受精-胚胎移植前治疗、移植周期中治疗、对子宫内膜容受性的调节、对并发症卵巢过度刺激综合征的调节、针刺治疗和食疗等方面综述了中医药在辅助生殖技术中的应用现状,从而认为祖国医学与现代辅助生殖技术相结合,可有效地提高不孕不育症治疗的成功率,减少并发症.%In recent years, traditional Chinese medicine has been frequently reported in assisted reproductive techniques, especially in vitro fertilization-embryo transplantation. This paper reviewed the current application status of traditional Chinese medicine in assisted reproductive techniques from treatment before in vitro fertilization-embryo transplantation, treatment during transplantation cycle, regulation of endometrial receptivity, regulation of concurrent ovarian hyperstimula-tion syndrome, acupuncture treatment, diet therapy and another aspects, thus concluding that the combination of traditional Chinese medicine and modern assisted reproductive techniques can effective improve the success rate of infertility disease treatment and reduce complications.

  18. Persistent postsurgical pain after video-assisted thoracic surgery - an observational study

    DEFF Research Database (Denmark)

    Wildgaard, K; Ringsted, T K; Hansen, H J; Petersen, R H; Kehlet, H

    2016-01-01

    BACKGROUND: The risk of persistent postsurgical pain (PPP) and subsequent pain-related functional impairment may potentially be reduced by video-assisted thoracic surgery (VATS) compared to thoracotomy. The aim of the study was therefore to assess in detail the incidence and consequences on...... patients. Preoperative pain originating from remote areas did not predict PPP. CONCLUSION: The incidence of PPP, nerve damage (based on QST) and pain-related functional impairment following VATS was lower than reported following thoracotomy. No psychological or other factors predicted PPP. These findings...

  19. A Preliminary Study on the Possibility of Using Ultrasound in Driver Assistance Systems

    Science.gov (United States)

    Takahashi, Hiroshi; Honda, Hirohiko

    This paper presents a preliminary study on the possibility of using ultrasound in driver assistance systems. Subjects' lap time in a driving video game was measured as an index of their performance of driving operations under acoustic conditions with and without an ultrasound signal at 23kHz, 70dB. The results show that the performance characteristics of the subjects changed when the ultrasound signal was presented. Ultrasound signal tends to concentrate on handling the vehicle and decreasing an attention to check the over speed driving, as a second task. We prove the possibility to apply ultrasound signal to control operator's attention and behavior.

  20. Mechanically assisted 3D ultrasound for pre-operative assessment and guiding percutaneous treatment of focal liver tumors

    Science.gov (United States)

    Sadeghi Neshat, Hamid; Bax, Jeffery; Barker, Kevin; Gardi, Lori; Chedalavada, Jason; Kakani, Nirmal; Fenster, Aaron

    2014-03-01

    Image-guided percutaneous ablation is the standard treatment for focal liver tumors deemed inoperable and is commonly used to maintain eligibility for patients on transplant waitlists. Radiofrequency (RFA), microwave (MWA) and cryoablation technologies are all delivered via one or a number of needle-shaped probes inserted directly into the tumor. Planning is mostly based on contrast CT/MRI. While intra-procedural CT is commonly used to confirm the intended probe placement, 2D ultrasound (US) remains the main, and in some centers the only imaging modality used for needle guidance. Corresponding intraoperative 2D US with planning and other intra-procedural imaging modalities is essential for accurate needle placement. However, identification of matching features of interest among these images is often challenging given the limited field-of-view (FOV) and low quality of 2D US images. We have developed a passive tracking arm with a motorized scan-head and software tools to improve guiding capabilities of conventional US by large FOV 3D US scans that provides more anatomical landmarks that can facilitate registration of US with both planning and intra-procedural images. The tracker arm is used to scan the whole liver with a high geometrical accuracy that facilitates multi-modality landmark based image registration. Software tools are provided to assist with the segmentation of the ablation probes and tumors, find the 2D view that best shows the probe(s) from a 3D US image, and to identify the corresponding image from planning CT scans. In this paper, evaluation results from laboratory testing and a phase 1 clinical trial for planning and guiding RFA and MWA procedures using the developed system will be presented. Early clinical results show a comparable performance to intra-procedural CT that suggests 3D US as a cost-effective alternative with no side-effects in centers where CT is not available.

  1. Study on brackish water treatment technology

    Institute of Scientific and Technical Information of China (English)

    HE Xu-wen(何绪文); Xu De-ping (许德平); WU Bing(吴兵); WANG Tong(王通)

    2003-01-01

    Based on the characters of deep well-water quality in Fenxi Mining Group in Liulin, the feasibilities of two treatment technologies which use electrodialysis and reverse osmosis are analyzed. Through analyzing and comparing, reverse osmosis technology has several advantages, such as good treatment effect, convenient operating management and low run-cost.

  2. Reduction of major peanut allergens Ara h 1 and Ara h 2, in roasted peanuts by ultrasound assisted enzymatic treatment.

    Science.gov (United States)

    Li, Hao; Yu, Jianmei; Ahmedna, Mohamed; Goktepe, Ipek

    2013-11-15

    This study investigated the effects of ultrasound, enzyme concentration and enzyme treatment time on soluble protein and major allergenic proteins (Ara h 1 and Ara h 2) of roasted peanut kernels. A 3-factor, five-level orthogonal experimental design was implemented with various ultrasonication times, concentrations of trypsin or α-chymotrypsin and treatment times. The total soluble proteins were determined by the Bicinchoninic acid (BCA) method, Ara h 1 and Ara h 2 were evaluated by SDS-PAGE and sandwich ELISA. The IgE-binding of peanut extracts was analysed by a competitive inhibition ELISA. Results indicate that ultrasound treatment, followed by protease digestion of peanuts, significantly increased the solubility of peanut protein and decreased the concentrations of Ara h 1 and Ara h 2. The sequential treatment of peanuts by ultrasonication-trypsin-alpha chymotrypsin, resulted in maximum reductions of Ara h 1/Ara h 2, and lowest IgE-binding. This study provides an approach to significantly reduce allergenic proteins in peanut product. PMID:23790845

  3. Successful Nicotine Intake in Medical Assisted Use of E-Cigarettes: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Roberta Pacifici

    2015-07-01

    Full Text Available The electronic cigarette (e-cig has gained popularity as an aid in smoking cessation programs mainly because it maintains the gestures and rituals of tobacco smoking. However, it has been shown in inexperienced e-cig users that ineffective nicotine delivery can cause tobacco craving that could be responsible for unsuccessful smoking reduction/cessation. Moreover, the incorrect use of an e-cig could also led to potential nicotine overdosage and intoxication. Medically assisted training on the proper use of an e-cig plus behavioral support for tobacco dependence could be a pivotal step in avoiding both issues. We performed an eight-month pilot study of adult smokers who started e-cig use after receiving a multi-component medically assisted training program with monitoring of nicotine intake as a biomarker of correct e-cig use. Participants were tested during follow-up for breath carbon monoxide (CO, plasma cotinine and trans-3’-hydroxycotinine, and number of tobacco cigarettes smoked. At the end of the first, fourth, and eighth month of follow-up, 91.1, 73.5, and 76.5% of participants respectively were e-cig users (‘only e-cig’ and ‘dual users’. They showed no significant variation in plasma cotinine and trans-3’-hydroxycotinine with respect to the start of the study when they smoked only tobacco cigarettes, but a significant reduction in breath CO. The proposed medically assisted training program of e-cig use led to a successful nicotine intake, lack of typical cigarette craving and overdosage symptoms and a significant decrease in the biomarker of cigarette combustion products.

  4. Effect of recombinant human brain natriuretic peptide-assisted interventional treatment on prognosis of acute myocardial infarction patients complicated with cardiogenic shock

    Institute of Scientific and Technical Information of China (English)

    Xi-Zhou Chen

    2016-01-01

    Objective:To analyze the effect of recombinant human brain natriuretic peptide-assisted interventional treatment on prognosis of acute myocardial infarction patients complicated with cardiogenic shock.Methods: A total of 112 cases of inpatients treated in Cardiology Department of our hospital from March 2013 to March 2015 were selected, all of whom had acute myocardial infarction within 12 hours of onset and received direct PCI treatment. They were divided into observation group and control group according to random number table, each group with 56 cases, control group received conventional interventional treatment and observation group received recombinant human brain natriuretic peptide-assisted interventional treatment. Then differences of regional myocardial deformability, myocardial enzyme spectrum indicators, brain natriuretic peptide and inflammatory factors, blood sugar and stress hormones as well as myocardial infarction prognosis-associated indexes, etc, between two groups after treatment were compared.Results:After treatment, LVEF, SRs, SRe and Sra levels of observation group were higher than those of control group, WMSI level was lower than that of control group; serum myocardial enzyme spectrum indicators CK, CK-MB, AST and LDH values were lower than those of control group; serum BNP, CRP, TNF-α and IL-6 levels were lower than those of control group; serum cortisol, growth hormone and glucagon levels were lower than those of control group, insulin level was higher than that of control group; FT3 and IGF-1 levels were higher than those of control group, sPLA2 and Hcy levels were lower than those of control group.Conclusion: Recombinant human brain natriuretic peptide-assisted interventional treatment for acute myocardial infarction patients complicated with cardiogenic shock can reduce myocardial function injury, protect normal myocardial function and optimize patients' long-term prognosis; it has active clinical significance.

  5. A microbiological study on sewage sludge treatment

    International Nuclear Information System (INIS)

    Isolation and identification of salmonellae in sewage sludge cake and radiation sensitivities of the isolated strains were studied. Disinfection of the sludge by heat or radiation and effect of such treatment on composting were also carried out. Five groups of O-antigen and seven serotypes of salmonellae were identified from the sludge cakes. D10 values of the salmonellae in phosphate buffer were ranged from 0.16 to 0.22 kGy and those in sludge were about three times larger. Total bacterial counts and coliforms in the sludges were determined to be 4.6 x 107 - 5.1 x 109 and 1.3 x 105 - 1.1 x 109 colony forming unit (cfu/g). After irradiation at 20 kGy by gamma ray or electron beam, decrease of total bacterial count was 5 - 7 log cycles and a dose of 5 kGy was enough to eliminate all of the coliforms. Coliforms decreased rapidly by heating at 65degC, but only one log cycle decrease was observed in total bacterial count. By heating at 100degC, total bacterial count decreased rapidly. Two peaks were observed in CO2 evolution curves of radiation disinfected sludge composting, but only one peak in heat disinfected sludge composting. (author)

  6. The Effect of Teacher's Assistance on Malaysian Rural L Writing Self-efficacy: A Case Study

    Directory of Open Access Journals (Sweden)

    Ilyana Jalaluddin

    2011-01-01

    Full Text Available The purpose of the study is to explore the Malaysian rural learners self-efficacy in writing after assistance given by a teacher. The social cognitive theory aid socio-cultural theory are used as the theoretical framework to pursue the discussion on the effects of teacher’s assistance on learners writing self-efficacy. A case study approach is adopted where three learners and a teacher were chosen from a form four class through purposive sampling. Learnei-s’ Titing self-efficacy is evaluated using a writing self-efficacy scale adapted from Bottomley. Henk and Melnick (1998 and also classroom observation. Wang and Pape (2007 categories were used as guidelines to analyze observation data in order to understand the participants self-efficacy phenomena in their learning to write. Overall, this study places a heavy emphasis on the perceptions and actions of the selected form four learners and teacher through non-participant classroom observations, interviews with each learner and teacher.

  7. MANAGEMENT OF NURSING ASSISTANCE: CASE STUDY IN A MEDICAL CLINIC IN A UNIVERSITY HOSPITAL

    Directory of Open Access Journals (Sweden)

    Bianca Gonçalves Rodrigues

    2014-02-01

    Full Text Available It was aimed to show a case study about the management of nursing assistance. This paper is descriptive, a case study. As its source of study, the medical clinic in a school-hospital in Montes Claros, Minas Gerais was chosen. For the management, tools as Matrix SWOT, 5W2H and Protocol Forms of Risk Prevention were used in the management of caring in nursing. The tools and the results reached through the tools were contextualized in the light of literature, in which highlights the relevance of these tools. Through its use, it is possible to promote improvements in the given assistance to clients, once it shows opportunities, threats, strengths, weaknesses and the risk analysis in which the people involved in the care are exposed. In this way, it is needed that the tools are more and more utilized in the daily routine of the nursing work, and that this joins forces with the leadership and the management of care.

  8. Neoadjuvant hormone therapy following treatment with robotic-assisted radical prostatectomy achieved favorable in high-risk prostate cancer

    Directory of Open Access Journals (Sweden)

    Hou CP

    2014-12-01

    Full Text Available Cheng-Pang Hou,1,2,* Wei-Chang Lee,1,2,* Yu-Hsiang Lin,1,2 Shao-Ming Chen,3 Chien-Lun Chen,1,2 Phei-Lang Chang,1,2,4 Horng-Heng Juang,4,5 Ke-Hung Tsui1,2,4 1Department of Urology, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China; 2School of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China; 3Hou-Pin Taipei Hospital, 4Bioinformation Center, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China; 5Department of Anatomy, School of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China *These authors contributed equally to this work Purpose: Patients with a high risk of prostate carcinoma typically have higher rates of positive surgical margins and biochemical failure following radical prostatectomy and adjuvant hormone therapy. In this study, we assessed the effects of neoadjuvant hormone therapy (NHT on prostate carcinoma in high-risk patients following robotic-assisted radical prostatectomy (RARP. Methods: This retrospective study investigated the medical records of 28 patients who underwent RARP between January 2009 and October 2013. Twenty-two patients underwent NHT prior to RARP. Furthermore, six patients did not undergo NHT prior to RARP. Parameters including age, operating time, blood loss, blood transfusion status, and cancer stage were checked against anatomical correlations. Potential predictors of prolonged operating time and prolonged surgical procedures were assessed using multiple logistic regressions. Results: NHT was shown to be an independent predictor of prolonged total operating time. Tumor stage alterations did not appear to be associated with NHT followed by RARP. The patients who underwent NHT were not more likely to have positive surgical margins, and an increase in patients requiring blood transfusion was not seen. Conclusion: NHT appears to increase

  9. Treatment Fidelity: Its Importance and Reported Frequency in Aphasia Treatment Studies

    Science.gov (United States)

    Hinckley, Jacqueline J.; Douglas, Natalie F.

    2013-01-01

    Purpose: Treatment fidelity is a measure of the reliability of the administration of an intervention in a treatment study. It is an important aspect of the validity of a research study, and it has implications for the ultimate implementation of evidence-supported interventions in typical clinical settings. Method: Aphasia treatment studies…

  10. A study of the mechanism of microwave-assisted ball milling preparing ZnFe2O4

    Science.gov (United States)

    Zhang, Yingzhe; Wu, Yujiao; Qin, Qingdong; Wang, Fuchun; Chen, Ding

    2016-07-01

    In this paper, well dispersed ZnFe2O4 nano-particles with high magnetization saturation of 82.23 emu/g were first synthesized by microwave assisted ball milling and then the influences of pre-treatments and microwave powers to the progress were studied. It was found that under the both function of crack effect induced by ball milling and rotary motion induced by microwave the synthesized ferrtie nano-particles were well dispersed that is much different from the powders synthesized by normal high energy ball milling. The pre-treatment of ball milling can only enhance the reaction rate in the first several hours but the pre-irradiation of microwave can enhance the hole reaction rate. Further more, it was also been found that with increasing the microwave power, the more raw materials will converted into zinc ferrite in the first 5 h. 5 h latter the microwave power of 720 W is high enough for the coupling effect of microwave and ball milling with stirrer rotation speed of 256 rpm.

  11. Vacuum assisted closure for the treatment of complex wounds and enterocutaneous fistulas in full term and premature neonates: a case report

    OpenAIRE

    Paradiso, Filomena Valentina; Nanni, Lorenzo; Merli, Laura; De Marco, Erika Adalgisa; Catania, Vincenzo Davide; Taddei, Alessandra; Manzoni, Carlo; Conti, Giorgio

    2016-01-01

    Background The Vacuum Assisted Closure (VAC) system has become an effective treatment for acute and chronic wound defects. Although its use has been reported in wound care of children and premature infants, the management of the device in this population has not been well established. Case presentation We report the satisfactory results in two neonates (one full-term and one preterm) with complex wounds secondary to major abdominal surgery. In the premature baby an enterocutaneous fistula was...

  12. Respecting tutorial instructors' beliefs and experiences: A case study of a physics teaching assistant

    Science.gov (United States)

    Goertzen, Renee Michelle; Scherr, Rachel E.; Elby, Andrew

    2010-07-01

    Effective physics instruction benefits from respecting the physics ideas that introductory students bring into the classroom. We argue that it is similarly beneficial to respect the teaching ideas that novice physics instructors bring to their classrooms. We present a case study of a tutorial teaching assistant (TA), Alan. When we first examined Alan’s teaching, we focused our attention on the mismatch between his actions and those advocated by the TA instructors. Further study showed us that Alan cared about helping his students and that his teaching was well integrated with his beliefs about how students learn physics and how teachers can best assist students. Learning about Alan’s beliefs and motivations changed our thinking about what might constitute effective professional development for Alan and other TAs. We advocate a new perspective on TA professional development: one in which TAs are seen as partners in the endeavor of educating students and one that seeks to find and build upon productive elements in their beliefs.

  13. Respecting tutorial instructors' beliefs and experiences: A case study of a physics teaching assistant

    Directory of Open Access Journals (Sweden)

    Andrew Elby

    2010-12-01

    Full Text Available Effective physics instruction benefits from respecting the physics ideas that introductory students bring into the classroom. We argue that it is similarly beneficial to respect the teaching ideas that novice physics instructors bring to their classrooms. We present a case study of a tutorial teaching assistant (TA, Alan. When we first examined Alan’s teaching, we focused our attention on the mismatch between his actions and those advocated by the TA instructors. Further study showed us that Alan cared about helping his students and that his teaching was well integrated with his beliefs about how students learn physics and how teachers can best assist students. Learning about Alan’s beliefs and motivations changed our thinking about what might constitute effective professional development for Alan and other TAs. We advocate a new perspective on TA professional development: one in which TAs are seen as partners in the endeavor of educating students and one that seeks to find and build upon productive elements in their beliefs.

  14. Cyanobacteria, Toxins and Indicators: Field Monitoring,Treatment Facility Monitoring and Treatment Studies

    Science.gov (United States)

    This presentation is a compilation of harmful algal bloom (HAB) related field monitoring data from the 2015 bloom season, treatment plant monitoring data from the 2013 and 2014 bloom seasons, and bench-scale treatment study data from 2015.

  15. Studies on acupuncture treatment of xerostomia

    OpenAIRE

    Blom, Maria

    1999-01-01

    Xerostomia (dry mouth) is most often associated with Sjögren's Syndrome (SS), medication, endocrinological disorders, or irradiation treatment to the head- and neck region. There is no effective treatment of xerostomia at the present. Only alleviating methods are used, such as saliva substitutes, saliva stimulating agents, chewing gum, pilocarpine, and electrical stimulation; however, these methods give only a short-term relief. Acupuncture, one of many methods of sensory st...

  16. Managing adversity : qualitative studies of long-term social assistance recipiency in Sweden in a resilience perspective

    OpenAIRE

    Marttila, Anneli

    2012-01-01

    This thesis is based on four qualitative studies and aimed to explore the experiences of living long term on social assistance, and to increase knowledge on how social workers providing social assistance perceive their possibilities to support their clients. The findings were reflected from a resilience perspective, focusing on processes and features that help (or hinder), the positive functioning of individuals and families in adverse situations. Data consisted of interviews with 33 social a...

  17. Assistance of nursing for the person with cerebral vascular accident - a proposal of study in municipal hospital

    OpenAIRE

    Shirley Rangel Gomes; Monica de Castro Maia Senna

    2007-01-01

    The present study it has for objective to investigate the profile of the customers with Cerebral Vascular Accident taken care of in the Service of Rehabilitation of municipal Hospital, form to characterize its social, economic and demographic condition, the diagnostic and the behaviors of nursing with sights to trace the elaboration of protocols for the nursing assistance. It is configured as a descriptive, comparative research, of quali-quantitative nature in the field of the assistance. The...

  18. A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey

    OpenAIRE

    Alpay, Levent; Lacin, Tunc; Dilek TEKER; Okur, Erdal; Baysungur, Volkan; Kanbur, Serda; Misirlioglu, Aysun Kosif; Sonmez, Hakan; Yalcinkaya, Irfan; KIYAK, Mithat

    2014-01-01

    Introduction Cost analysis studies performed in western countries report that the overall cost of lobectomies performed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country. Aim We evaluated the cost differences of these two surgical methods. Material and methods We retrospectively reviewed the hospital records of 81 patients who underwent lobectomy either via video-assisted thoracic surgery (n =...

  19. Study of ultrasonically assisted turning of stainless steel and brass alloys

    International Nuclear Information System (INIS)

    Ultrasonically assisted turning (UAT) is a hybrid machining technique employing high-frequency small-amplitude vibration superimposed on the tool movement during turning. It is superior to conventional turning (CT) with regard to cutting forces, surface quality and machining accuracy. The aim of this study is to investigate the effect of different machining parameters on stainless steel and brass alloys, during both UAT and CT, and evaluate improvements of cutting forces, surface roughness, surface integrity, and machining accuracy. An experimental setup for UAT at Loughborough University was used to accomplish this investigation. This setup used a Picoscope data acquisition add-on with Kistler three-component dynamometer, Seco DNMG cutting inserts were utilized, a surface tester from Taylor Hobson was used to evaluate surface roughness, Alicona Infinite Focus microscope was used to evaluate surface roughness and surface integrity, while Metris CMM with Renishaw probe was employed to evaluate machining accuracy. Cylindrical workpieces of steel and brass alloys were turned under CT and UAT conditions; cutting forces, surface roughness, and machining accuracy produced with both techniques where compared. Significant improvements were noticed in the ultrasonically assisted machining when compared to the CT for both alloys

  20. Towards an assistive peripheral visual prosthesis for long-term treatment of retinitis pigmentosa: evaluating mobility performance in immersive simulations

    Science.gov (United States)

    Zapf, Marc Patrick H.; Boon, Mei-Ying; Matteucci, Paul B.; Lovell, Nigel H.; Suaning, Gregg J.

    2015-06-01

    Objective. The prospective efficacy of a future peripheral retinal prosthesis complementing residual vision to raise mobility performance in non-end stage retinitis pigmentosa (RP) was evaluated using simulated prosthetic vision (SPV). Approach. Normally sighted volunteers were fitted with a wide-angle head-mounted display and carried out mobility tasks in photorealistic virtual pedestrian scenarios. Circumvention of low-lying obstacles, path following, and navigating around static and moving pedestrians were performed either with central simulated residual vision of 10° alone or enhanced by assistive SPV in the lower and lateral peripheral visual field (VF). Three layouts of assistive vision corresponding to hypothetical electrode array layouts were compared, emphasizing higher visual acuity, a wider visual angle, or eccentricity-dependent acuity across an intermediate angle. Movement speed, task time, distance walked and collisions with the environment were analysed as performance measures. Main results. Circumvention of low-lying obstacles was improved with all tested configurations of assistive SPV. Higher-acuity assistive vision allowed for greatest improvement in walking speeds—14% above that of plain residual vision, while only wide-angle and eccentricity-dependent vision significantly reduced the number of collisions—both by 21%. Navigating around pedestrians, there were significant reductions in collisions with static pedestrians by 33% and task time by 7.7% with the higher-acuity layout. Following a path, higher-acuity assistive vision increased walking speed by 9%, and decreased collisions with stationary cars by 18%. Significance. The ability of assistive peripheral prosthetic vision to improve mobility performance in persons with constricted VFs has been demonstrated. In a prospective peripheral visual prosthesis, electrode array designs need to be carefully tailored to the scope of tasks in which a device aims to assist. We posit that maximum

  1. Additional Treatments Offer Little Benefit for Pancreatic Cancer: Study

    Science.gov (United States)

    ... 158633.html Additional Treatments Offer Little Benefit for Pancreatic Cancer: Study Neither extra chemotherapy drug nor add-on ... 2016 (HealthDay News) -- Additional treatments for locally advanced pancreatic cancer don't appear to boost survival, a new ...

  2. Experimental study of transmission enhancement of evanescent waves through silver films assisted by surface plasmon excitation

    Energy Technology Data Exchange (ETDEWEB)

    Fang, N.; Liu, Z.; Yen, T.-J.; Zhang, X. [University of California, Center for Scalable and Integrated Nanomanufacturing (SINAM), Berkeley, CA (United States)

    2005-03-01

    In this paper, we investigated an essential precursor of superlensing: enhancing the transmission of evanescent waves assisted by excitation of surface plasmon. Using natural roughness as a well characterized grating, the transmission of evanescent waves is studied through silver thin films of increasing thickness. Measurements and calculations are performed in the wavelength range of 514.5 nm to 351.1 nm where the real part of the permittivity of silver is negative. Pronounced peaks due to surface-plasmon excitations are observed in the transmission spectra. We found the transmission of evanescent waves rapidly grows with the film thickness up to about 50 nm, after which it decays as loss becomes significant. As the permittivity of a silver slab approaches -1, we experimentally observed a broadening of surface plasmon bandwidth. Our study indicates a pathway to access the deep subwavelength features by metamaterial superlens. (orig.)

  3. Accuracy and efficacy of percutaneous biopsy and ablation using robotic assistance under computed tomography guidance: a phantom study

    Energy Technology Data Exchange (ETDEWEB)

    Koethe, Yilun [National Institutes of Health, Center for Interventional Oncology, NIH Clinical Center, Bethesda, MD (United States); National Institutes of Health, Radiology and Imaging Sciences, NIH Clinical Center, Bethesda, MD (United States); Duke University School of Medicine, Durham, NC (United States); Xu, Sheng [National Institutes of Health, Center for Interventional Oncology, NIH Clinical Center, Bethesda, MD (United States); Velusamy, Gnanasekar [Perfint Healthcare Pvt. Ltd., Chennai (India); Wood, Bradford J. [National Institutes of Health, Center for Interventional Oncology, NIH Clinical Center, Bethesda, MD (United States); National Institutes of Health, Radiology and Imaging Sciences, NIH Clinical Center, Bethesda, MD (United States); Venkatesan, Aradhana M. [National Institutes of Health, Center for Interventional Oncology, NIH Clinical Center, Bethesda, MD (United States); National Institutes of Health, Radiology and Imaging Sciences, NIH Clinical Center, Bethesda, MD (United States); National Institutes of Health, Center for Interventional Oncology, Radiology and Imaging Sciences, NIH Clinical Center, Bethesda, MD (United States)

    2014-03-15

    To compare the accuracy of a robotic interventional radiologist (IR) assistance platform with a standard freehand technique for computed-tomography (CT)-guided biopsy and simulated radiofrequency ablation (RFA). The accuracy of freehand single-pass needle insertions into abdominal phantoms was compared with insertions facilitated with the use of a robotic assistance platform (n = 20 each). Post-procedural CTs were analysed for needle placement error. Percutaneous RFA was simulated by sequentially placing five 17-gauge needle introducers into 5-cm diameter masses (n = 5) embedded within an abdominal phantom. Simulated ablations were planned based on pre-procedural CT, before multi-probe placement was executed freehand. Multi-probe placement was then performed on the same 5-cm mass using the ablation planning software and robotic assistance. Post-procedural CTs were analysed to determine the percentage of untreated residual target. Mean needle tip-to-target errors were reduced with use of the IR assistance platform (both P < 0.0001). Reduced percentage residual tumour was observed with treatment planning (P = 0.02). Improved needle accuracy and optimised probe geometry are observed during simulated CT-guided biopsy and percutaneous ablation with use of a robotic IR assistance platform. This technology may be useful for clinical CT-guided biopsy and RFA, when accuracy may have an impact on outcome. (orig.)

  4. Accuracy and efficacy of percutaneous biopsy and ablation using robotic assistance under computed tomography guidance: a phantom study

    International Nuclear Information System (INIS)

    To compare the accuracy of a robotic interventional radiologist (IR) assistance platform with a standard freehand technique for computed-tomography (CT)-guided biopsy and simulated radiofrequency ablation (RFA). The accuracy of freehand single-pass needle insertions into abdominal phantoms was compared with insertions facilitated with the use of a robotic assistance platform (n = 20 each). Post-procedural CTs were analysed for needle placement error. Percutaneous RFA was simulated by sequentially placing five 17-gauge needle introducers into 5-cm diameter masses (n = 5) embedded within an abdominal phantom. Simulated ablations were planned based on pre-procedural CT, before multi-probe placement was executed freehand. Multi-probe placement was then performed on the same 5-cm mass using the ablation planning software and robotic assistance. Post-procedural CTs were analysed to determine the percentage of untreated residual target. Mean needle tip-to-target errors were reduced with use of the IR assistance platform (both P < 0.0001). Reduced percentage residual tumour was observed with treatment planning (P = 0.02). Improved needle accuracy and optimised probe geometry are observed during simulated CT-guided biopsy and percutaneous ablation with use of a robotic IR assistance platform. This technology may be useful for clinical CT-guided biopsy and RFA, when accuracy may have an impact on outcome. (orig.)

  5. GPHS motion studies for heat pulse intervals of reentries from gravity-assist trajectories

    International Nuclear Information System (INIS)

    Motion studies of the General Purpose Heat Source Module, GPHS, were conducted in the heat pulse interval associated with entries from earth gravity assist trajectories. The APL six-degree-of-freedom reentry program designated TMAGRA6C was used. The objectives of the studies were to (1) determine the effect of ablation on GPHS motion, and (2) determine whether the GPHS module entering the earth's atmosphere from an earth-gravity-assist trajectory has a preferred orientation during the heat pulse phase of reentry. The results are given in summary form for easy visualization of the initial conditions investigated and to provide a quick-look of the resulting motion. Detail of the motion is also given for the parameters of interest for each case studied. Selected values of initial pitch rate, roll rate, and combinations of these within the range 0 degree to 1000 degrees/sec were investigated for initial reentry angles of -7 degrees (shallow) and -90 degrees (steep) and initial angles of attack of 0 degree (broadface to the wind) and 90 degrees. Although the studies are not exhaustive, a sufficient number of reentry conditions (initial altitude, reentry angle, angle of attack, rotational motion) have been investigated to deduce certain trends. The results also provide information on additional reentry conditions that need to be investigated. The present results show four GPHS orientations that predominate - all with some pitch oscillations and rolling motion. These are: angles of attack, αR of 0 degree, 30 degrees, 90 degrees and tumbling. It should be assumed that all these orientations are equally probable because only combinations of two initial reentry angles, γ0, and two values of αR. have been investigated. Further the probability for any given initial rate on orientation is not known

  6. Investigations on the effects of plasma-assisted pre-treatment for plasma-assisted chemical vapour deposition TiN coatings on tool steel

    Energy Technology Data Exchange (ETDEWEB)

    Gammer, K.; Stoiber, M.; Wagner, J.; Hutter, H.; Kullmer, R.; Mitterer, C

    2004-08-16

    Different mixtures of hydrogen, nitrogen and argon were tested for the cleaning and nitriding of cold-working, high chromium tool steel, prior to TiN deposition with the aim of improving adhesion of the TiN layer. It is well known that the condition of the substrate surface and hardening of the substrate by nitriding have a large influence on the adhesion strength of films. Good adhesion was achieved when nitrogen-hydrogen atmosphere with 40%-80% nitrogen (and 20%-60% hydrogen, respectively) was used, the best adhesion quality values were achieved (HF 1-2) with 40% nitrogen. With higher or lower fractions of nitrogen in the pre-treatment gas, adhesion was reduced. Argon addition also had negative effects on the adhesion strength. The microstructure and chemical composition of the near-interface region of the differently pretreated samples were analysed using secondary ion mass spectrometry, X-ray diffraction and light optical microscopy.

  7. Investigations on the effects of plasma-assisted pre-treatment for plasma-assisted chemical vapour deposition TiN coatings on tool steel

    International Nuclear Information System (INIS)

    Different mixtures of hydrogen, nitrogen and argon were tested for the cleaning and nitriding of cold-working, high chromium tool steel, prior to TiN deposition with the aim of improving adhesion of the TiN layer. It is well known that the condition of the substrate surface and hardening of the substrate by nitriding have a large influence on the adhesion strength of films. Good adhesion was achieved when nitrogen-hydrogen atmosphere with 40%-80% nitrogen (and 20%-60% hydrogen, respectively) was used, the best adhesion quality values were achieved (HF 1-2) with 40% nitrogen. With higher or lower fractions of nitrogen in the pre-treatment gas, adhesion was reduced. Argon addition also had negative effects on the adhesion strength. The microstructure and chemical composition of the near-interface region of the differently pretreated samples were analysed using secondary ion mass spectrometry, X-ray diffraction and light optical microscopy

  8. Studies on textile sludge treatment options

    International Nuclear Information System (INIS)

    Analysis of sludge samples of a textile processing factory revealed that the BOD and COD as well as the levels of total solids, nitrogen and phosphorus contents of sludge liquor were high needing treatment before disposal or reuse. Detention time of 60 days was established for aerobic treatment of the sludge. Optimum dosage for physicochemical methods were established at 4 g/l, using alum and iron III chloride each and 15.5 g/l and 550 mg/l, for lime and polyelectrolyte each. Solids were reduced by 67%, through aerobic and 61 % through anaerobic digestion, while the sludge treated by physicochemical method had higher solid content, recording the highest increase with lime. (author)

  9. Biomolecular papain thin films grown by matrix assisted and conventional pulsed laser deposition: A comparative study

    Science.gov (United States)

    György, E.; Pérez del Pino, A.; Sauthier, G.; Figueras, A.

    2009-12-01

    Biomolecular papain thin films were grown both by matrix assisted pulsed laser evaporation (MAPLE) and conventional pulsed laser deposition (PLD) techniques with the aid of an UV KrF∗ (λ =248 nm, τFWHM≅20 ns) excimer laser source. For the MAPLE experiments the targets submitted to laser radiation consisted on frozen composites obtained by dissolving the biomaterial powder in distilled water at 10 wt % concentration. Conventional pressed biomaterial powder targets were used in the PLD experiments. The surface morphology of the obtained thin films was studied by atomic force microscopy and their structure and composition were investigated by Fourier transform infrared spectroscopy. The possible physical mechanisms implied in the ablation processes of the two techniques, under comparable experimental conditions were identified. The results showed that the growth mode, surface morphology as well as structure of the deposited biomaterial thin films are determined both by the incident laser fluence value as well as target preparation procedure.

  10. Assistive technology for visually impaired women for use of the female condom: a validation study

    Directory of Open Access Journals (Sweden)

    Luana Duarte Wanderley Cavalcante

    2015-02-01

    Full Text Available OBJECTIVE To validate assistive technology for visually impaired women to learn how to use the female condom. METHOD a methodological development study conducted on a web page, with data collection between May and October 2012. Participants were 14 judges; seven judges in sexual and reproductive health (1st stage and seven in special education (2nd stage. RESULTS All items have reached the adopted parameter of 70% agreement. In Stage 1 new materials were added to represent the cervix, and instructions that must be heard twice were included in the 2nd stage. CONCLUSION The technology has been validated and is appropriate for its objectives, structure / presentation and relevance. It is an innovative, low cost and valid instrument for promoting health and one which may help women with visual disabilities to use the female condom.

  11. Diffusion assisted defect annealing studies in high energy heavy ion irradiated cuprates

    International Nuclear Information System (INIS)

    Studies on 100 MeV oxygen ion irradiation induced defect dynamics in GdBa2 Cu3 O7-δ (Gd123) thick films are reported. On line in-situ resistivity measurement in seconds interval during bean om reveals the involvement of various competing processes such as displacement of plane, chain and apical oxygens to interstitial sites, retrapping of these oxygens at the vacancies, defect and phonon induced carrier scattering, swelling of grains etc. in driving the system away from equilibrium. Development of auto-oscillations during self organisation of the system due to heat released by vacancy interstitial recombination has also been seen. Recovery of the system to an equilibrium state after the beam is switched off is shown to be diffusion assisted with contribution from second order processes. (orig.)

  12. Finite element study of pressure-assisted diffusion of hydrogen in deformed zirconium polycrystals

    International Nuclear Information System (INIS)

    Zirconium alloys, due to their high hardness, ductility and corrosion resistance, are commonly used as cladding for fuel rods in nuclear reactors, especially water reactors. Oxidative reaction of zirconium with water releases hydrogen gas, leading to brittle zirconium hydrides as a result of low hydrogen solubility and local concentration gradients. These brittle precipitates have a detrimental effect on the mechanical properties of the cladding, decided by various microstructural features. In this study, results from 3-dimensional finite element simulations of pressure-assisted diffusion of hydrogen in elastically deformed zirconium polycrystals are presented. Simulations are performed on digital microstructures and the variation of local hydrogen concentration with crystallographic texture, grain size and shape are depicted. Simulation results are validated with experimentally available results, where possible. (author)

  13. Cardiovascular Health Outcomes of Latinos in the Affordable Housing as an Obesity Mediating Environment (AHOME) Study: A Study of Rental Assistance Use

    OpenAIRE

    Chambers, Earle C.; Rosenbaum, Emily

    2013-01-01

    Studies have shown that households subsidized with vouchers live in higher quality units and exhibit fewer physical, mental, and social problems than do their peers living in public housing. However, none of these studies have included cardiovascular outcomes. The objective of this study was to assess if use/type of rental assistance is independently associated with poor cardiovascular health among Latino adults (ages ≥18) who are eligible for federal low-income rental assistance and living i...

  14. Treatment of radiation enteritis: a comparison study

    Energy Technology Data Exchange (ETDEWEB)

    Loiudice, T.A.; Lang, J.A.

    1983-08-01

    Twenty-four patients with severe radiation injury to the small bowel seen over a 4-year period were randomized to four treatment groups: 1) methylprednisolone 80 mg intravenously plus Vivonex-HN, 2 L/day po, 2) methylprednisolone 80 mg intravenously plus total parenteral nutrition, 2.5 L/day, 3) total parenteral nutrition, 2.5 L/day, and 4) Vivonex-HN, 2 L/day po. Patients received nothing by mouth except water in groups II and III, and only Vivonex-HN in groups I and IV. Patients were treated for 8-wk periods. Improvement was gauged by overall nutritional assessment measurements, nitrogen balance data and by radiological and clinical parameters. No significant difference between groups I, II, III, and IV could be found for age, sex, mean radiation dosage, time of onset after radiation therapy, or initial nutritional assessment data. Differences statistically could be found between groups II and III and I and IV regarding nutritional assessment data, nitrogen balance, radiographic and clinical parameters after therapy, with marked improvement noted in groups II and III. We conclude that a treatment regimen consisting of total parenteral nutrition and bowel rest is beneficial in the treatment of radiation enteritis. Methylprednisolone appears to enhance this effect and indeed, may be responsible for a longer lasting response.

  15. Treatment of radiation enteritis: a comparison study.

    Science.gov (United States)

    Loiudice, T A; Lang, J A

    1983-08-01

    Twenty-four patients with severe radiation injury to the small bowel seen over a 4-year period were randomized to four treatment groups: 1) methylprednisolone 80 mg intravenously plus Vivonex-HN, 2 L/day po, 2) methylprednisolone 80 mg intravenously plus total parenteral nutrition, 2.5 L/day, 3) total parenteral nutrition, 2.5 L/day, and 4) Vivonex-HN, 2 L/day po. Patients received nothing by mouth except water in groups II and III, and only Vivonex-HN in groups I and IV. Patients were treated for 8-wk periods. Improvement was gauged by overall nutritional assessment measurements, nitrogen balance data and by radiological and clinical parameters. No significant difference between groups I, II, III, and IV could be found for age, sex, mean radiation dosage, time of onset after radiation therapy, or initial nutritional assessment data. Differences statistically could be found between groups II and III and I and IV regarding nutritional assessment data, nitrogen balance, radiographic and clinical parameters after therapy, with marked improvement noted in groups II and III. We conclude that a treatment regimen consisting of total parenteral nutrition and bowel rest is beneficial in the treatment of radiation enteritis. Methylprednisolone appears to enhance this effect and indeed, may be responsible for a longer lasting response. PMID:6410908

  16. STUDY ON WASTE WATER TREATMENT PLANTS

    Directory of Open Access Journals (Sweden)

    Mariana DUMITRU

    2015-04-01

    Full Text Available Biogas is more and more used as an alternative source of energy, considering the fact that it is obtained from waste materials and it can be easily used in cities and rural communities for many uses, between which, as a fuel for households. Biogas has many energy utilisations, depending on the nature of the biogas source and the local demand. Generally, biogas can be used for heat production by direct combustion, electricity production by fuel cells or micro-turbines, Combined Hest and Power generation or as vehicle fuel. In this paper we search for another uses of biogas and Anaerobe Digestion substrate, such as: waste water treatment plants and agricultural wastewater treatment, which are very important in urban and rural communities, solid waste treatment plants, industrial biogas plants, landfill gas recovery plants. These uses of biogas are very important, because the gas emissions and leaching to ground water from landfill sites are serious threats for the environment, which increase more and more bigger during the constant growth of some human communities. That is why, in the developed European countries, the sewage sludge is treated by anaerobe digestion, depending on national laws. In Romania, in the last years more efforts were destined to use anaerobe digestion for treating waste waters and management of waste in general. This paper can be placed in this trend of searching new ways of using with maximum efficiency the waste resulted in big communities.

  17. Treatment of radiation enteritis: a comparison study

    International Nuclear Information System (INIS)

    Twenty-four patients with severe radiation injury to the small bowel seen over a 4-year period were randomized to four treatment groups: 1) methylprednisolone 80 mg intravenously plus Vivonex-HN, 2 L/day po, 2) methylprednisolone 80 mg intravenously plus total parenteral nutrition, 2.5 L/day, 3) total parenteral nutrition, 2.5 L/day, and 4) Vivonex-HN, 2 L/day po. Patients received nothing by mouth except water in groups II and III, and only Vivonex-HN in groups I and IV. Patients were treated for 8-wk periods. Improvement was gauged by overall nutritional assessment measurements, nitrogen balance data and by radiological and clinical parameters. No significant difference between groups I, II, III, and IV could be found for age, sex, mean radiation dosage, time of onset after radiation therapy, or initial nutritional assessment data. Differences statistically could be found between groups II and III and I and IV regarding nutritional assessment data, nitrogen balance, radiographic and clinical parameters after therapy, with marked improvement noted in groups II and III. We conclude that a treatment regimen consisting of total parenteral nutrition and bowel rest is beneficial in the treatment of radiation enteritis. Methylprednisolone appears to enhance this effect and indeed, may be responsible for a longer lasting response

  18. Reporting of euthanasia and physician-assisted suicide in the Netherlands: descriptive study

    Directory of Open Access Journals (Sweden)

    Gevers Joseph

    2009-10-01

    Full Text Available Abstract Background An important principle underlying the Dutch Euthanasia Act is physicians' responsibility to alleviate patients' suffering. The Dutch Act states that euthanasia and physician-assisted suicide are not punishable if the attending physician acts in accordance with criteria of due care. These criteria concern the patient's request, the patient's suffering (unbearable and hopeless, the information provided to the patient, the presence of reasonable alternatives, consultation of another physician and the applied method of ending life. To demonstrate their compliance, the Act requires physicians to report euthanasia to a review committee. We studied which arguments Dutch physicians use to substantiate their adherence to the criteria and which aspects attract review committees' attention. Methods We examined 158 files of reported euthanasia and physician-assisted suicide cases that were approved by the review committees. We studied the physicians' reports and the verdicts of the review committees by using a checklist. Results Physicians reported that the patient's request had been well-considered because the patient was clear-headed (65% and/or had repeated the request several times (23%. Unbearable suffering was often substantiated with physical symptoms (62%, function loss (33%, dependency (28% or deterioration (15%. In 35%, physicians reported that there had been alternatives to relieve patients' suffering which were refused by the majority. The nature of the relationship with the consultant was sometimes unclear: the consultant was reported to have been an unknown colleague (39%, a known colleague (21%, otherwise (25%, or not clearly specified in the report (24%. Review committees relatively often scrutinized the consultation (41% and the patient's (unbearable suffering (32%; they had few questions about possible alternatives (1%. Conclusion Dutch physicians substantiate their adherence to the criteria in a variable way with an

  19. A preliminary study of cladding steel with NiTi by microwave-assisted brazing

    International Nuclear Information System (INIS)

    Nickel titanium (NiTi) plate of 1.2 mm thickness was successfully clad on AISI 316L stainless steel substrate by a microwave-assisted brazing process. Brazing was conducted in a multimode microwave oven in air using a copper-based brazing material in tape form. The brazing material was melted in a few minutes by microwave-induced plasma initiated by conducting wires surrounding the brazing assembly. Metallographic study by scanning-electron microscopy (SEM) and compositional analysis by energy-dispersive spectroscopy (EDS) of the brazed joint revealed metallurgical bonding formed via inter-diffusion between the brazing filler and the adjacent materials. A shear bonding strength in the range of 100-150 MPa was recorded in shear tests of the brazed joint. SEM and X-ray diffractometry (XRD) analysis for the surface of as-received NiTi plate and NiTi cladding showed similar microstructure and phase composition. Nanoindentation tests also indicated that the superelastic properties of NiTi were essentially retained. The cavitation erosion resistance of the NiTi cladding was essentially the same as that of as-received NiTi plate, and higher than that obtained in laser or TIG (tungsten-inert gas) surfacing. The high resistance could be attributed to avoidance of dilution and defect formation in the NiTi clad since the cladding did not undergo melting and solidification in the brazing process. Electrochemical tests also recorded similar corrosion resistance in both as-received NiTi and NiTi cladding. Thus, the present study indicates that microwave-assisted brazing is a simple, economical, and feasible process for cladding NiTi on 316L stainless steel for enhancing cavitation erosion resistance

  20. A preliminary study of cladding steel with NiTi by microwave-assisted brazing

    Energy Technology Data Exchange (ETDEWEB)

    Chiu, K.Y. [Department of Applied Physics, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong (China); Cheng, F.T. [Department of Applied Physics, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong (China)]. E-mail: apaftche@polyu.edu.hk; Man, H.C. [Department of Industrial and Systems Engineering, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong (China)

    2005-10-25

    Nickel titanium (NiTi) plate of 1.2 mm thickness was successfully clad on AISI 316L stainless steel substrate by a microwave-assisted brazing process. Brazing was conducted in a multimode microwave oven in air using a copper-based brazing material in tape form. The brazing material was melted in a few minutes by microwave-induced plasma initiated by conducting wires surrounding the brazing assembly. Metallographic study by scanning-electron microscopy (SEM) and compositional analysis by energy-dispersive spectroscopy (EDS) of the brazed joint revealed metallurgical bonding formed via inter-diffusion between the brazing filler and the adjacent materials. A shear bonding strength in the range of 100-150 MPa was recorded in shear tests of the brazed joint. SEM and X-ray diffractometry (XRD) analysis for the surface of as-received NiTi plate and NiTi cladding showed similar microstructure and phase composition. Nanoindentation tests also indicated that the superelastic properties of NiTi were essentially retained. The cavitation erosion resistance of the NiTi cladding was essentially the same as that of as-received NiTi plate, and higher than that obtained in laser or TIG (tungsten-inert gas) surfacing. The high resistance could be attributed to avoidance of dilution and defect formation in the NiTi clad since the cladding did not undergo melting and solidification in the brazing process. Electrochemical tests also recorded similar corrosion resistance in both as-received NiTi and NiTi cladding. Thus, the present study indicates that microwave-assisted brazing is a simple, economical, and feasible process for cladding NiTi on 316L stainless steel for enhancing cavitation erosion resistance.

  1. [Treatment of spasticity with a transcutaneous neurostimulator. A pilot study].

    Science.gov (United States)

    Kirkeby, R; Jordt, M; Hansen, E

    1995-04-24

    In this pilot study the neurostimulator KDC 5000 is used with efficacy on seven out of 11 patients with spastic palsy, and treatment was given without any side-effects. No other treatment has sufficiently helped these patients, and we therefore conclude that such treatment with a neuro-stimulator could be beneficial for selected patients with spastic palsy of extremities. PMID:7762102

  2. SCALS: a fourth-generation study of assisted living technologies in their organisational, social, political and policy context

    Science.gov (United States)

    Greenhalgh, Trisha; Shaw, Sara; Wherton, Joe; Hughes, Gemma; Lynch, Jenni; A'Court, Christine; Hinder, Sue; Fahy, Nick; Byrne, Emma; Finlayson, Alexander; Sorell, Tom; Procter, Rob; Stones, Rob

    2016-01-01

    Introduction Research to date into assisted living technologies broadly consists of 3 generations: technical design, experimental trials and qualitative studies of the patient experience. We describe a fourth-generation paradigm: studies of assisted living technologies in their organisational, social, political and policy context. Fourth-generation studies are necessarily organic and emergent; they view technology as part of a dynamic, networked and potentially unstable system. They use co-design methods to generate and stabilise local solutions, taking account of context. Methods and analysis SCALS (Studies in Co-creating Assisted Living Solutions) consists (currently) of 5 organisational case studies, each an English health or social care organisation striving to introduce technology-supported services to support independent living in people with health and/or social care needs. Treating these cases as complex systems, we seek to explore interdependencies, emergence and conflict. We employ a co-design approach informed by the principles of action research to help participating organisations establish, refine and evaluate their service. To that end, we are conducting in-depth ethnographic studies of people's experience of assisted living technologies (micro level), embedded in evolving organisational case studies that use interviews, ethnography and document analysis (meso level), and exploring the wider national and international context for assisted living technologies and policy (macro level). Data will be analysed using a sociotechnical framework developed from structuration theory. Ethics and dissemination Research ethics approval for the first 4 case studies has been granted. An important outcome will be lessons learned from individual co-design case studies. We will document the studies’ credibility and rigour, and assess the transferability of findings to other settings while also recognising unique aspects of the contexts in which they were generated

  3. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers

    International Nuclear Information System (INIS)

    Objective: To evaluate the clinical efficacy of Negative Pressure Wound Therapy (NPWT) using Vacuum Assisted Closure (VAC) compared with Advanced Moist Wound Therapy (AMWT) to treat Diabetic Foot Ulcer (DFU). Study Design: Randomized control trial. Place and Duration of Study: Surgical Department, Combined Military Hospital (CMH) / Military Hospital (MH), Rawalpindi, from November 2010 to June 2012. Methodology: The study consisted of 278 patients, with 139 patients each in Group A and B, who were subjected to AMWT and NPWT, respectively. Wound was assessed digitally every week for 2 weeks. Wound dimension and surface area were determined using University of Texas Health Centre at San Antonio (UTHCSA) image tool version 3.0. Efficacies of AMWT and NPWT were compared in terms of reduction in wound area over 2 weeks. Results: Mean age of presentation in group Awas 55.88 10.97 years while in group B, it was 56.83 ± 11.3 (p=0.48). Mean duration of diabetes at presentation was 15.65 ± 4.86 and 15.96 ± 5.79 years in group A and B, respectively (p=0.74). Majority of patients had Wagner's grade 2 ulcer (82% in group A and 87.8% in group B, p= 0.18). Initial wound size in group A was 15.07 ± 2.92 cm2and in group B 15.09 ± 2.81 cm2(p = 0.95). Wound size measured after 2 weeks, treatment was in group A13.70 ± 2.92 cm2 and in group B 11.53 ± 2.78 cm2 (p < 0.001). Wound area reduction in both groups revealed statistically significant faster healing in group B as compared to group A(p < 0.001). Conclusion: NPWT using VAC was more efficacious than AMWT in the management of diabetic foot ulcers. (author)

  4. Assisted Living Community Profile

    Science.gov (United States)

    ... for the Seniors Housing & Care Industry, reflects NCAL's philosophy of assisted living. 2 Data also from the ... Assisted Living Studies Clinical Practice Guidelines Health Information Technology In-Service Training Tools Periodicals State Regulatory Review ...

  5. Oral contraceptive pill, progestogen or estrogen pre-treatment for ovarian stimulation protocols for women undergoing assisted reproductive techniques (Review)

    NARCIS (Netherlands)

    Smulders, B.; Oirschot, S.M. van; Farquhar, C.; Rombauts, L.; Kremer, J.A.M.

    2010-01-01

    BACKGROUND: For many subfertile women, assisted reproductive techniques (ART) is the only hope for a pregnancy and live birth. The combined oral contraceptive pill (OCP) given prior to the hormone therapy in an IVF cycle may result in better pregnancy outcomes of ART. OBJECTIVES: To assess whether p

  6. Current surgical treatment option, utilizing robot-assisted laparoscopic surgery in obese women with endometrial cancer: Farghalys technique

    International Nuclear Information System (INIS)

    Background: Endometrial cancer is the most prevalent cancer of the female genital tract in North America. Minimally invasive laparoscopic-assisted surgery and panniculectomy in obese women with endometrial cancer are associated with an improved lymph node count, and lower rate of incisional complications than laparotomy. Methods: Technique for robot-assisted laparoscopic surgery for obese women with endometrial cancer is detailed. Results: Robot-assisted laparoscopic surgical staging, pelvic and para-aortic lymphadenectomy and panniculectomy allow us to avoid the use of postoperative pelvic radiation which is recommended in women with histopathology high-risk findings: deep myometrial invasion or high grade histology. The procedure has the advantage of three-dimensional vision, ergonomic, intuitive control, and wristed instrument that approximate the motion of the human hand. Conclusion: Robot-assisted laparoscopic surgical staging, and panniculectomy in these patients are a safe, and effective alternative to laparoscopic, and laparotomy surgery. It is an ideal tool for performing the complex oncologic procedures encountered in endometrial cancer staging that requires delicate retroperitoneal, pelvic and para-aortic lymph node dissection, while maintaining the principles of oncologic surgery but in a minimally invasive fashion.

  7. Maintenance and Operations study for K basins sludge treatment

    International Nuclear Information System (INIS)

    This study evaluates maintenance and operating concepts for the chemical treatment of sludge from the 100 K Basins at Hanford. The sludge treatment equipment that will require remote operation or maintenance was identified. Then various maintenance and operating concepts used in the nuclear industry were evaluated for applicability to sludge treatment. A hot cell or cells is recommended as the best maintenance and operating concept for a sludge treatment facility

  8. Kinetic study for aerobic treatment of phenolic wastewater

    OpenAIRE

    Athar Hussain; Shashi Kant Dubey; Vinay Kumar

    2015-01-01

    Conventional physico-chemical treatment of industrial wastewater containing compounds such as phenol encounters difficulties due to low substrate level, additional use of chemicals, and generation of hazardous by products along with increased process cost. Biological treatment appears to be a solution for treatment of such industrial wastewater. In the present study an aerobic sequential batch reactor (SBR) has been used for treatment of synthetic wastewater containing phenol. The effects of ...

  9. A prospective study of injury and activity profile in elite soccer referees and assistant referees.

    LENUS (Irish Health Repository)

    Wilson, F

    2011-10-01

    Injuries to soccer players have been extensively examined, but not the injury experience of referees and assistant referees. This study aimed to determine the injury incidence and activity profile of soccer match officials. A 12 month prospective cohort study was used to collect activity and injury data of 31 participants who reported their training and match exposure and their injury incidence by means of weekly online questionnaire. Study participants spent a mean of 2632 hrs training and 1704 hrs officiating over the 12 month study period. Thirty eight injuries were recorded, (8.8 injuries\\/1000 hr of training (CI 6.2 to 12.0) and 16.4 injuries\\/1000 hr for match officiating (CI 10.9 to 23.8)), (Risk Ratio 4.3, 2.1 to 8.9). Fifty five percent (CI 40 to 70%) of the injuries were to muscles, and 76% (CI 61 to 87%) were to the lower leg. Overuse injuries represented 61% (CI 45 to 74%) of all cases. Findings showed that the injury frequency rate associated with soccer referees is higher than that in a number of other non contact sports. The injury incidence associated with training for soccer referees is higher than that associated with training for soccer players. Further prospective studies are merited to examine effectiveness and availability of injury management programmes to establish the welfare of this population.

  10. Posttraumatic stress disorder, anxiety and depression following pregnancies conceived through fertility treatments : the effects of medically assisted conception of postpartum well-being

    NARCIS (Netherlands)

    Warmelink, J.C.; Stramrood, C.A.; Paarlberg, K.M.; Haisma, H.H.; Vingerhoets, A.J.; Schultz, W.C.; van Pampus, M.G.

    2012-01-01

    OBJECTIVE: To compare the postpartum prevalence of Posttraumatic Stress Disorder (PTSD), anxiety and depression in women who conceived via medically assisted conception (MAC) and women who conceived naturally. STUDY DESIGN: All women (n = 907) who delivered under supervision of four independent midw

  11. A Study of an Emerging Occupation: The Gastroenterology Assistant. Interim Report.

    Science.gov (United States)

    Kuritsky, Joel; Goldsmith, Katherine L.

    To determine the need, desirability, and training requirements for a gastroenterology assistant training program, interviews with gastroenterologists, a survey of 15 hospitals, and observations of gastroenterology laboratories were conducted. In addition, a questionnaire to ascertain which laboratory tests the assistant would perform was…

  12. Ab initio study of gas phase and water-assisted tautomerization of maleimide and formamide

    Indian Academy of Sciences (India)

    Susheel Kalia; Anju Sharma; B S Kaith

    2007-11-01

    Maleimide serves as an important starting material in the synthesis of drugs and enzyme inhibitors. In the present paper, knowing the importance of tautomerization in maleimide for its drug action, potential energy surface of maleimide is studied and its tautomerization has been discussed and compared with tautomerization of formamide. Gas phase tautomerization of maleimide requires large amount of energy (23.21 kcal/mol) in comparison to formamide (15.05 kcal/mol) at HF/6-31+G* level. Thus making the proton transfer reaction a difficult process in gas phase. Water molecule lowers the energy barrier of tautomerization thus facilitating the tautomerization of maleimide to 5-hydroxy-pyrrol-2-one. Water assisted tautomerization of maleimide requires 19.60 kcal/mol energy at HF/6-31+G* and 17.63 kcal/mol energy at B3LYP/6-31+G* level, a decrease of 3.61 and 5.96 kcal/mol over gas phase tautomerization. Whereas, tautomerization of formamide requires 14.16 and 12.84 kcal/mol energy, a decrease of 0.89 and 2.01 kcal/mol energy over gas phase tautomerization at HF/6-31+G* and B3LYP/6-31+G* level, respectively. Water-assisted tautomerization in maleimide and formamide showed that difference in energy barrier reduces to 2.83 kcal/mol from 10.41 kcal/mol (in gas phase) at B3LYP level, which resulted that maleimide readily undergoes tautomerization in water molecule.

  13. A longitudinal functional neuroimaging study in medication-naive depression after antidepressant treatment.

    Directory of Open Access Journals (Sweden)

    Hiroi Tomioka

    Full Text Available Recent studies have indicated the potential clinical use of near infrared spectroscopy (NIRS as a tool in assisting the diagnosis of major depressive disorder (MDD; however, it is still unclear whether NIRS signal changes during cognitive task are state- or trait-dependent, and whether NIRS could be a neural predictor of treatment response. Therefore, we conducted a longitudinal study to explore frontal haemodynamic changes following antidepressant treatment in medication-naïve MDD using 52-channel NIRS. This study included 25 medication-naïve individuals with MDD and 62 healthy controls (HC. We performed NIRS scans before and after antidepressant treatment and measured changes of [oxy-Hb] activation during a verbal fluency task (VFT following treatment. Individuals with MDD showed significantly decreased [oxy-Hb] values during a VFT compared with HC in the bilateral frontal and temporal cortices at baseline. There were no [oxy-Hb] changes between pre- and post-antidepressant treatment time points in the MDD cohort despite significant improvement in depressive symptoms. There was a significant association between mean [oxy-Hb] values during a VFT at baseline and improvement in depressive symptoms following treatment in the bilateral inferior frontal and middle temporal gyri in MDD. These findings suggest that hypofrontality response to a VFT may represent a potential trait marker for depression rather than a state marker. Moreover, the correlation analysis indicates that the NIRS signals before the initiation of treatment may be a biological marker to predict patient's clinical response to antidepressant treatment. The present study provides further evidence to support a potential application of NIRS for the diagnosis and treatment of depression.

  14. A pilot study on ultrasound-assisted liposuction of the greater omentum in porcine models.

    Science.gov (United States)

    Sumiyama, Kazuki; Utsunomiya, Kazunori; Ohya, Tomohiko; Aihara, Hiroyuki; Ikeda, Keiichi; Imazu, Hiroo; Tamai, Naoto; Nagano, Hiroshi; Ishinoda, Yasuhiro; Tajiri, Hisao

    2012-03-01

    The greater omentum is the largest depot of visceral fat, and recent studies implicate removal of omental fat as a therapeutic option for metabolic syndrome (MS). This study evaluated the technical feasibility of reducing omental fat by using ultrasound-assisted liposuction (UAL) in porcine models. We removed as much omental adipose tissues as possible with a novel ultrasonic aspirator specifically designed for visceral liposuction that was inserted into the peritoneal cavity via the bilateral hypochondrial trocars. The greater part of the omental surface was emulsified and suctioned within 12.4 ± 9.2 (mean ± SD) min. In the survival study, all animals survived for two weeks without clinically evident complications following UAL. Histological examinations confirmed a substantial reduction in omental fat in pigs subjected to UAL. In conclusion, the pilot animal study conducted here demonstrated the technical feasibility of omental liposuction. UAL thus has potential as a relatively non-invasive liposuction approach to treat MS by selectively reducing the visceral fat content of the greater omentum. PMID:21395461

  15. Tailor-made rehabilitation approach using multiple types of hybrid assistive limb robots for acute stroke patients: A pilot study.

    Science.gov (United States)

    Fukuda, Hiroyuki; Morishita, Takashi; Ogata, Toshiyasu; Saita, Kazuya; Hyakutake, Koichi; Watanabe, Junko; Shiota, Etsuji; Inoue, Tooru

    2016-01-01

    This article investigated the feasibility of a tailor-made neurorehabilitation approach using multiple types of hybrid assistive limb (HAL) robots for acute stroke patients. We investigated the clinical outcomes of patients who underwent rehabilitation using the HAL robots. The Brunnstrom stage, Barthel index (BI), and functional independence measure (FIM) were evaluated at baseline and when patients were transferred to a rehabilitation facility. Scores were compared between the multiple-robot rehabilitation and single-robot rehabilitation groups. Nine hemiplegic acute stroke patients (five men and four women; mean age 59.4 ± 12.5 years; four hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using multiple types of HAL robots for 19.4 ± 12.5 days, and 14 patients (six men and eight women; mean age 63.2 ± 13.9 years; nine hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using a single type of HAL robot for 14.9 ± 8.9 days. The multiple-robot rehabilitation group showed significantly better outcomes in the Brunnstrom stage of the upper extremity, BI, and FIM scores. To the best of the authors' knowledge, this is the first pilot study demonstrating the feasibility of rehabilitation using multiple exoskeleton robots. The tailor-made rehabilitation approach may be useful for the treatment of acute stroke. PMID:26478988

  16. A STUDY OF NEGATIVE PRESSURE WOUND THERAPY: VACUUM ASSISTED CLOSURE IN CHRONIC NON-HEALING ULCERS

    Directory of Open Access Journals (Sweden)

    Dhamotharan Senraman

    2016-06-01

    Full Text Available BACKGROUND This study evaluates the advantage of Negative Pressure Wound Therapy-Vacuum Assisted Closure over Conventional Dressing in the management of chronic non-healing ulcers. METHODS From June 2014 to June 2015, 50 patients were selected (25 cases and 25 controls. After wound debridement, VAC dressing is applied. Pre VAC and post VAC culture and sensitivity is taken. Dressing is given for 72 hours and intermittent suction is given for 10 mins. in an hour, daily for 12 hours with negative pressure ranging from 100 to 125 mmHg. Rest of the time drain of the VAC dressing is connected to the Romovac suction drain. Doppler study to assess the vascularity of the limb before the procedure and X-ray is taken to rule out osteomyelitis. Control group patients are given conventional dressings. RESULTS The gender, age and ulcer distributions were almost equal in the case and control groups and were found to be statistically insignificant. Duration of hospital stay in days was found to be statistically significant between groups. Majority (52% of cases left hospital within 3 weeks’ time, while a major chunk (88% of control population stayed more than 3 weeks. VAC dressing shows better results in patients with normal Doppler study. VAC dressing have better results in patients with 48% undergoing split skin grafting and less rate (8% of amputation as against none undergoing split skin grafting and 24% needing amputation in the control group. Patients with sterile pre-VAC culture were not turning unsterile after VAC, but 90% unsterile turns sterile after VAC. CONCLUSION NPWT is a novel technique for managing an open wound by submitting the wound either to intermittent or continuous subatmospheric pressure. Here, we did a study to study the advantage of vacuum assisted closure over conventional dressing in the management of chronic non-healing ulcers and concluded that VAC decreases hospital stay, improves pus culture sterility, has better result in

  17. Robot-assisted reaching exercise promotes arm movement recovery in chronic hemiparetic stroke: a randomized controlled pilot study

    Directory of Open Access Journals (Sweden)

    Rymer W Zev

    2006-06-01

    Full Text Available Abstract Background and purpose Providing active assistance to complete desired arm movements is a common technique in upper extremity rehabilitation after stroke. Such active assistance may improve recovery by affecting somatosensory input, motor planning, spasticity or soft tissue properties, but it is labor intensive and has not been validated in controlled trials. The purpose of this study was to investigate the effects of robotically administered active-assistive exercise and compare those with free reaching voluntary exercise in improving arm movement ability after chronic stroke. Methods Nineteen individuals at least one year post-stroke were randomized into one of two groups. One group performed 24 sessions of active-assistive reaching exercise with a simple robotic device, while a second group performed a task-matched amount of unassisted reaching. The main outcome measures were range and speed of supported arm movement, range, straightness and smoothness of unsupported reaching, and the Rancho Los Amigos Functional Test of Upper Extremity Function. Results and discussion There were significant improvements with training for range of motion and velocity of supported reaching, straightness of unsupported reaching, and functional movement ability. These improvements were not significantly different between the two training groups. The group that performed unassisted reaching exercise improved the smoothness of their reaching movements more than the robot-assisted group. Conclusion Improvements with both forms of exercise confirmed that repeated, task-related voluntary activation of the damaged motor system is a key stimulus to motor recovery following chronic stroke. Robotically assisting in reaching successfully improved arm movement ability, although it did not provide any detectable, additional value beyond the movement practice that occurred concurrently with it. The inability to detect any additional value of robot-assisted reaching

  18. Studies on the treatment of keratoconjunctivitis sicca.

    Directory of Open Access Journals (Sweden)

    Hasegawa,Eiichi

    1979-02-01

    Full Text Available Fifteen cases of keratoconjunctivitis sicca (KCS of unknown etiology were treated with soft contact lenses for the purpose of their bandage effects and moisuture supply. A soft contact lens was worn on one of the eyes of each case but not on the other to compare its effectiveness. New opthalmic drops or contact lens wearers were dropped in both eyes. Furthermore, the KCS-index was worked out on the basis of the complaints of 23 patients of KCS of unknouwn etiology. The indexes before and after treatment were compared. Corneal objective findings were improved in all the eyes wearing soft contact lensen for along period, and seven stopped wearing them although corneal objective findings were much better, because they had some troubles with handlings were much better, because they had some troubles with handling the lenses, because they had lost rhem, or because their visual acuity decreased while wearing the lenses. Forlong term wearing the flattest lenses should be used in the beginning and changed gradually to lenses of greater curvature which are better able to keep their centering. Then immediately after successful fitting, the lenses should be given appropriate refractive power. The new ophthalmic drops for soft contact lens wearers were very much effective as artificial tears to both eyes with and without sofy contact lenses. KCS-indexes were numerical values relating to patients subjective symptoms. KSC-indexes improves by an average of +6.4±7.5 after treatment. On the other hand, KCS-indexes improved by +10.7±7.9 in the group that succeeded in wearing SCL for a long period, and by +7.6±2.1 even in the group that failed.

  19. Luxation injuries in primary teeth: a retrospective study in children assisted at an emergency service

    Directory of Open Access Journals (Sweden)

    Luciana Reichert da Silva Assunção

    2011-04-01

    Full Text Available The purpose of this study was to analyze luxation injuries in children between the ages of 0 and 5 years treated at an emergency service department. A total of 1,703 records, corresponding to a period of 10 years at the Emergency Center of the Baby Clinic at Londrina State University, Brazil, were analyzed. The age, gender, etiologic factors, type of injury, injured teeth, treatment and time interval between injury and treatment were determined for each patient. Of the examined records, 409 patients met the study criteria and included a total of 679 injured teeth. Statistical analyses were carried out using the chi-square test with the level of significance set at 5%. Trauma incidence was higher in boys (57.0% and in children less than two years of age (40.3%. Falling while walking or running was the most predominant etiologic factor (37.7%, and the most prevalent type of injury was subluxation (32.6%. Luxation injuries decreased with increasing age (p = 0.045. Treatment usually occurred within the first 1-15 days and was significantly associated with the type of trauma (p = 0.041. "Monitor only" was the treatment most frequently observed (74.0%. In conclusion, more luxation injuries were found in younger children, predominantly in boys. Falls resulting from walking or running were the etiologic factor most observed, with subluxation as the most common type of trauma. Treatment usually occurred within the first 15 days after the injury. Despite the severity of these injuries, "monitor only" was the eligible treatment.

  20. Fabrication of microlens arrays on soda-lime glass using a laser direct-write technique and a thermal treatment assisted by a CO2 laser

    Science.gov (United States)

    Delgado, Tamara; Nieto, Daniel; Flores-Arias, María Teresa

    2015-10-01

    A low-cost method for fabricating microlens arrays on commercial soda-lime glass is presented. The hybrid technique is composed by a laser direct writing technique and a laser assisted post-thermal treatment. In particular we use a nanosecond Q-Switch Nd:YVO4 laser for fabricating the initial structure of microposts on soda-lime glass substrates and a CO2 laser combined with a furnace for reshaping and improving its morphological and optical qualities. This new fabrication approach lets us obtain a high quality microlenses array with a diameter of 50 μm, sag 1.5 μm, focal length 1 mm and a spot size of 7.8 μm. Furthermore, the proposed technique preserves the advantages of the laser direct-write technique in terms of design flexibility, simplicity, fast prototyping, low cost and so on; while the alternative laser assisted thermal treatment lets us overcome the bounding problems presented in other conventional thermal treatments.

  1. Use of Assistive Technology for Cognition Among People With Traumatic Brain Injury: A Survey Study.

    Science.gov (United States)

    Wang, Jing; Ding, Dan; Teodorski, Emily E; Mahajan, Harshal P; Cooper, Rory A

    2016-06-01

    A survey was designed and administered in this study to assess the use of assistive technology for cognition (ATC), especially portable electronic ATC, among veterans with traumatic brain injury (TBI). The aim of the survey was to obtain information on current ATC devices and applications use, users' experience with different features of ATC, and relevant training/support for their ATC. Twenty-nine veterans with TBI participated in this study. Results showed that portable electronic ATC, especially smartphones and a variety of apps, were widely used by the participants to compensate for cognitive limitations. Portable electronic devices such as smartphones and smart pads received higher usability ratings than paper-based tools. More than 75% of participants did not go through a service delivery process for these electronic ATC. The information collected in the study provided a more updated picture of ATC use, especially portable electronic ATC use, among people with TBI. It also potentially informs the future development of ATC and supports the need for training and an appropriate acquisition process of portable electronic ATC devices. PMID:27244066

  2. Euthanasia and physician-assisted suicide in amyotrophic lateral sclerosis: a prospective study.

    Science.gov (United States)

    Maessen, Maud; Veldink, Jan H; Onwuteaka-Philipsen, Bregje D; Hendricks, Henk T; Schelhaas, Helenius J; Grupstra, Hepke F; van der Wal, Gerrit; van den Berg, Leonard H

    2014-10-01

    The objective of this study is to determine if quality of care, symptoms of depression, disease characteristics and quality of life of patients with amyotrophic lateral sclerosis (ALS) are related to requesting euthanasia or physician-assisted suicide (EAS) and dying due to EAS. Therefore, 102 ALS patients filled out structured questionnaires every 3 months until death and the results were correlated with EAS. Thirty-one percent of the patients requested EAS, 69% of whom eventually died as a result of EAS (22% of all patients). Ten percent died during continuous deep sedation; only one of them had explicitly requested death to be hastened. Of the patients who requested EAS, 86% considered the health care to be good or excellent, 16% felt depressed, 45% experienced loss of dignity and 42% feared choking. These percentages do not differ from the number of patients who did not explicitly request EAS. The frequency of consultations of professional caregivers and availability of appliances was similar in both groups. Our findings do not support continuous deep sedation being used as a substitute for EAS. In this prospective study, no evidence was found for a relation between EAS and the quality and quantity of care received, quality of life and symptoms of depression in patients with ALS. Our study does not support the notion that unmet palliative care needs are related to EAS. PMID:25022937

  3. Parametric sensitivity study for solar-assisted heat-pump systems. Final report

    Energy Technology Data Exchange (ETDEWEB)

    White, N.M.; Morehouse, J.H.

    1981-07-01

    A sensitivity study is performed of the engineering and economic parameters affecting life-cycle costs for solar-assisted heat pump systems. The change in energy usage resulting from each engineering parameter varied has been developed from computer simulations, and is compared with results from a stand-alone heat pump system. Three geographical locations are considered: Washington, DC, Fort Worth, TX, and Madison, WI. Results indicate that most engineering changes to the systems studied do not provide significant energy savings. The most promising parameters to vary are the solar collector parameters tau ..cap alpha.. and U/sub L/ the heat pump capactiy at design point, and the minimum utilizable evaporator temperature. Costs associated with each change are estimated, and life-cycle costs computed for both engineering parameters and economic variations in interest rate, discount rate, tax credits, fuel unit costs and fuel inflation rates. Results indicate that none of the feasible engineering changes for the system configuration studied will make these systems economically competitive with the stand-alone heat pump without a considerable tax credit.

  4. Assisted reproductive techniques and the risk of anorectal malformations: a German case-control study

    Directory of Open Access Journals (Sweden)

    Zwink Nadine

    2012-09-01

    Full Text Available Abstract Background The use of assisted reproductive techniques (ART for treatment of infertility is increasing rapidly worldwide. However, various health effects have been reported including a higher risk of congenital malformations. Therefore, we assessed the risk of anorectal malformations (ARM after in-vitro fertilization (IVF and intracytoplasmic sperm injection (ICSI. Methods Data of the German Network for Congenital Uro-REctal malformations (CURE-Net were compared to nationwide data of the German IVF register and the Federal Statistical Office (DESTATIS. Odds ratios (95% confidence intervals were determined to quantify associations using multivariable logistic regression accounting for potential confounding or interaction by plurality of births. Results In total, 295 ARM patients born between 1997 and 2011 in Germany, who were recruited through participating pediatric surgeries from all over Germany and the German self-help organisation SoMA, were included. Controls were all German live-births (n = 10,069,986 born between 1997 and 2010. Overall, 30 cases (10% and 129,982 controls (1% were born after IVF or ICSI, which translates to an odds ratio (95% confidence interval of 8.7 (5.9–12.6 between ART and ARM in bivariate analyses. Separate analyses showed a significantly increased risk for ARM after IVF (OR, 10.9; 95% CI, 6.2–19.0; P  Conclusions There is a strongly increased risk for ARM among children born after ART. Elevations of risk were seen after both IVF and ICSI. Further, separate analyses of patients with isolated ARM, ARM with associated anomalies and those with a VATER/VACTERL association showed increased risks in each group. An increased risk of ARM was also seen among both singletons and multiple births.

  5. Prospective comparative study between retroperitoneoscopic and hand-assisted laparoscopic approach for radical nephrectomy

    Directory of Open Access Journals (Sweden)

    Marcos Tobias-Machado

    2009-06-01

    Full Text Available OBJECTIVE: No consensus has yet been established regarding the best minimally invasive access for radical ablation of renal tumors. Our objective was to prospectively compare the surgical results and oncologic management of two currently used endoscopic techniques. MATERIAL AND METHODS: Over a four-year period, 50 patients with renal tumors and clinical stage T1b-T2, smaller than 12 cm, underwent a radical nephrectomy at two reference institutions, 25 underwent retroperitoneoscopic radical nephrectomy (RRN and 25 a hand-assisted laparoscopic radical nephrectomy (HALRN. Mean follow-up of both cohorts was 50 months. Operative parameters and oncological management were compared. RESULTS: The mean operative time was 180 min in RRN and 108 min in HALRN (p < 0.001. The time required to access the renal pedicle in RRN was 30 min. and in HALRN 40 min., Learning curve was shorter in HALRN than RRN. Mean blood loss was 100 mL in RRN and 242 mL in HALRN. Mean incision size for specimen retrieval in RRN was 6.5 cm and in HALRN 7.5 cm. One patient with intra operative occurrence of ascites and subsequent pathological stage pT2N0M0 grade 3 operated via HALRN, had neoplasic implants in the Hand-port incision 3 months after surgery followed by death 4 months after recurrence. One patient, with pathological stage pT3N0M0 grade 3 in RRN had metastasis after 36 months. CONCLUSION: Both, RRN and HALRN techniques are accepted minimally invasive options for endoscopic radical nephrectomy with equivalent long term oncological outcome in the treatment of renal tumors.

  6. School Assistance in Special Schools in North Rhine-Westphalia: Initial Position, Study Design, and First Results

    Directory of Open Access Journals (Sweden)

    Rüdiger Kißgen

    2013-09-01

    Full Text Available School assistance, where it is practiced in Germany, appears to be a permanent personnel resource in the daily routine of special schools, as the first initial surveys in the counties ofBavaria and Thuringia show. To clarify the situation in special schools in the counry of North Rhine-Westphalia, a study was designed to examine the topic from the perspective of the school management, class teachers, and school assistants using a questionnaire-based survey. In this article, in addition to the study design, the results of the survey from the school management questionnaire are presented. Among other things, it shows that the utilization of school assistants has increased more than thirtyfold between the school years 2000/2001 and 2010/2011. The consequences of this development are discussed in terms of inclusive education in general schools.

  7. Process modeling for the Integrated Nonthermal Treatment System (INTS) study

    Energy Technology Data Exchange (ETDEWEB)

    Brown, B.W.

    1997-04-01

    This report describes the process modeling done in support of the Integrated Nonthermal Treatment System (INTS) study. This study was performed to supplement the Integrated Thermal Treatment System (ITTS) study and comprises five conceptual treatment systems that treat DOE contract-handled mixed low-level wastes (MLLW) at temperatures of less than 350{degrees}F. ASPEN PLUS, a chemical process simulator, was used to model the systems. Nonthermal treatment systems were developed as part of the INTS study and include sufficient processing steps to treat the entire inventory of MLLW. The final result of the modeling is a process flowsheet with a detailed mass and energy balance. In contrast to the ITTS study, which modeled only the main treatment system, the INTS study modeled each of the various processing steps with ASPEN PLUS, release 9.1-1. Trace constituents, such as radionuclides and minor pollutant species, were not included in the calculations.

  8. [Scaphoid percutaneous osteosynthesis by screw using computer assisted surgery: an experimental study].

    Science.gov (United States)

    Liverneaux, P

    2005-01-01

    Scaphoid fractures are sometimes difficult to diagnose and even more difficult to fix. Recent progress such as miniaturization of osteosynthesis material, adoption of the percutaneous route, and widening of the indications to include undisplaced fractures has still not abolished complications. In this context, computer assisted surgery (CAS) may be useful and deserves further study. To apply it to the scaphoid, it is initially necessary to immobilize the "wrist hand fingers" unit in a device adapted to make it a rigid unit. It is then necessary to choose the correct configuration of CAS system. The pedicular fluoroscopic navigation system, which is apparently similar to scaphoid screw insertion, was chosen for this study. The goal of this study is to define the osteosynthesis bases of the scaphoid with CAS. A fresh anatomical subject divided at the elbow joint was prepared at the DETERCA laboratory of the university Bordeaux 2. The solid "wrist hand fingers" unit was immobilized in extension and ulnar deviation of the wrist by a malleable, stable and radio transparent device. The first stage consisted of a calibration of the surgical instruments and the "wrist hand fingers" unit, with a three-dimensional optical localization system. The guide wire was simulated by a gauged stylet. When the axis and the length of the screw had been determined virtually, insertion of the guide wire was carried out under guidance of the virtual images of the computer's screen, without the assistance of the fluoroscopy. Finally the canulated screw was inserted over the guide wire. Insertion was stopped when the screw reached the intra osseous virtually predetermined length. A check using conventional fluoroscopy made it possible to ensure the correct positioning of the screw. Our results show that it is possible to insert a screw into a scaphoid without conventional fluoroscopy, by using the fluoroscopic navigation system. The procedure was performed without difficulty, apart from the

  9. Capillary refill time: a study of interobserver reliability among nurses and nurse assistants

    DEFF Research Database (Denmark)

    Brabrand, Mikkel; Hosbond, Susanne; Folkestad, Lars

    2011-01-01

    assistants would grade CRT. METHODS: We recorded a video of the index finger of six medical patients and these were shown to nurses and nurse assistants. They were asked to record the CRT and whether they found this value to be normal. The data were analyzed using the Fleiss Kappa Coefficient Analysis and...... graded according to the Landis and Koch correlation. Correlation between the exact numbers was evaluated using interclass correlation. RESULTS: Nine nurse assistants and 37 nurses participated. The patients were aged between 44 and 87 years. All but one patient had a systolic blood pressure reading above...

  10. Treatment of drug addiction and psychopathology: A field study

    Directory of Open Access Journals (Sweden)

    Antonio Souto

    2010-01-01

    Full Text Available Field study to assess the concurrence of the psychopathology of drug addiction, and to evaluate the efficacy of pharmacological treatment versus drug-free treatments for the psychopathology of drug addiction. A total of 261 patients treated for drug addiction, 131 on a drug-free treatment and the remaining 130 patients received a drug regime, of which 113 were, according to the Prochaska and Decrement’s Transtheorical Model, in a initial phase of the treatment (from 15 days to 6 months of treatment and 148 in a maintenance phase in drug treatment (> 6 months, were psychopathologically assessed using the SCL-90-R (Derogatis, 2002. A field study with a 2 X 2 design (treatment: drug-free vs. drug-regime and (treatment phase: initial phase vs. maintenance in drug treatment was carried out. The results support the hypothesis of a dual diagnosis, that is, the comorbidity of psychopathology and drug addiction. On the whole, treatment for drug addiction had a significant impact on reducing associated psychopathology. Finally, the results are discussed in the light of the implications for the treatment of drug addiction.

  11. Studies of testicular function after treatment for testicular tumor, 1

    International Nuclear Information System (INIS)

    Recently, the treatment for testicular tumor has improved. Preservation of testicular function in the treatment of testicular tumor is important, because the majority of the patients are young. We investigated the testicular function of patients with testicular tumor before, during and after treatment. As a part of this study, the fertility of patients with testicular tumor before and after treatment was evaluated. 1. Fourteen of 78 married patients (18 %) showed sterility for two or more years before treatment. 2. When semen was examined in 31 patients before treatment, only seven patients (23 %) showed normal sperm counts of more than 40 x 106/ml, and 19 (61.3 %) showed oligospermia or azoospermia with sperm counts of less than 10 x 106/ml. 3. Of 20 patients who underwent retroperitoneal lymphnode dissection, 15 developed ejaculation deficiency. Four other patients also developed ejaculation deficiency but recovered, and three of them rendered their wives pregnant. 4. Of 23 patients given radiotherapy, nine produced children both before and after treatment, nine produced children before treatment but showed sterility after treatment, and five showed sterility both before and after treatment. 5. Examination of semen was performed in 17 patients given radiotherapy and in five given chemotherapy. Many patients developed oligospermia or azoospermia after the treatments, but revealed a tendency to recover with time. Based on the results mentioned above, it is inferred that the ability to produce sperm in patients with testicular tumor after treatment decreases but the decrease tends to recover to normal with time. (author)

  12. Factors influencing the satisfaction of rural physician assistants: a cross-sectional study.

    Science.gov (United States)

    Filipova, Anna A

    2014-01-01

    The purpose of the study was to determine factors that attract physician assistants (PAs) to rural settings, and what they found satisfying about their practice and community. A cross-sectional survey design was used. All PAs who were practicing in both nonmetropolitan counties and rural communities in metropolitan counties, in a single midwestern US state, served as the population for the study. A total of 414 usable questionnaires were returned of the 1,072 distributed, a 39% response rate. Factor analysis, descriptive statistics, Pearson's correlation analysis, and robust regression analyses were used. Statistical models were tested to identify antecedents of four job satisfaction factors (satisfaction with professional respect, satisfaction with supervising physician, satisfaction with authority/ autonomy, and satisfaction with workload/salary). The strongest predictor of all four job satisfaction factors was community satisfaction, followed by importance of job practice. Additionally, the four job satisfaction factors had some significant associations with importance of socialization, community importance, practice attributes (years of practice, years in current location, specialty, and facility type), job responsibilities (percentage of patient load not discussed with physician, weekly hours as PA, inpatient visits), and demographics (marital status, race, age, education). PMID:24598896

  13. A kinetic study of mercury(II transport through a membrane assisted by new transport reagent

    Directory of Open Access Journals (Sweden)

    Görgülü Ahmet

    2011-07-01

    Full Text Available Abstract Background A new organodithiophosphorus derivative, namely O-(1,3-Bispiperidino-2-propyl-4-methoxy phenyldithiophosphonate, was synthesized and then the kinetic behavior of the transport process as a function of concentration, temperature, stirring rate and solvents was investigated. Results The compound 1 was characterized by elemental analysis, IR, 1H and 31P NMR spectroscopies. The transport of mercury(II ion by a zwitterionic dithiophosphonate 1 in the liquid membrane was studied and the kinetic behavior of the transport process as a function of concentration, temperature, stirring rate and solvents was investigated. The compound 1 is expected to serve as a model liquid membrane transport with mercury(II ions. Conclusion A kinetic study of mercury(II transport through a membrane assisted by O-(1,3-Bispiperidino-2-propyl-4-methoxy phenyldithiophosphonate was performed. It can be concluded that the compound 1 can be provided a general and straightforward route to remove toxic metals ions such as mercury(II ion from water or other solution.

  14. Study of ionization process of matrix molecules in matrix-assisted laser desorption ionization

    International Nuclear Information System (INIS)

    Highlights: ► Proton transfer and adduction reaction of matrix in MALDI were studied. ► Hydroxyl group forming intramolecular hydrogen bond was related to the ionization. ► Intramolecular proton transfer in the electronic excited state was the initial step. ► Non-volatile analytes stabilized protonated matrix in the ground state. ► A possible mechanism, “analyte support mechanism”, has been proposed. - Abstract: Proton transfer and adduction reaction of matrix molecules in matrix-assisted laser desorption ionization were studied. By using 2,4,6-trihydroxyacetophenone (THAP), 2,5-dihydroxybenzoic acid (DHBA), and their related compounds in which the position of a hydroxyl group is different, it was clarified that a hydroxyl group forming an intramolecular hydrogen bond is related to the ionization of matrix molecules. Intramolecular proton transfer in the electronic excited state of the matrix and subsequent proton adduction from a surrounding solvent to the charge-separated matrix are the initial steps for the ionization of matrix molecules. Nanosecond pump–probe NIR–UV mass spectrometry confirmed that the existence of analyte molecules having large dipole moment in their structures is necessary for the stabilization of [matrix + H]+ in the electronic ground state

  15. EXPERIMENTAL STUDY OF RIGHT VENTRICULAR ASSIST IN ACUTE RIGHT VENTRICULAR FAILING

    Institute of Scientific and Technical Information of China (English)

    刘明辉; 苏鸿熙; 李功宋; 王加利; 董超; 童健

    1996-01-01

    The efficacy of right atrial-pulmonary artery (RA-PA)bypass during acute right ventricular failure(RVF)produced by pulmonary artery constriction in dogs was examined in this study Control group (n=7)was supported with conventional volume loading and inotropic therapy.In the experimental animals (n=8),RA-PA bypass was initiated 5 min.after the onset of severe RVF.Three control animals died from refractory ventricular fibrillation within one hour of RVF.No animals in the experimental group died within two hours of RA-PA bypass,but the histological study of the lungs in these animals demonstrated peribronchial,preivascular and intraalveolar hemorrhage.Lighr microscopic and electron microscopic examination of the myocardial specimens of the right ventricular free wall displayed the myocardial structures and ultrastructues were maintained effectively with RA-PA bypass wile irreversible myocardial injuries occurred in the control animasls after two hours of RVF with conventional therapy.During the 2hours of RA-PA bypass,the hemodynamic indices were also maintained better when compared to the control animals.It may be concluded,a roller pump right ventricular assist device effectively unloads the acute faijing right ventricle,maintains systemic cardisc output,and significatly reverses the myocardial ischemia during right venrricular failure,but RA-PA bypass may induce pulmonary hypertension due to increased pulmonary vascular resistance secondary to pulmonary edeme and interstitial hemorrhage.

  16. A study on dynamic heat assisted magnetization reversal mechanisms under insufficient reversal field conditions

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Y. J.; Yang, H. Z.; Leong, S. H.; Yu Ko, Hnin Yu [Data Storage Institute, Agency for Science, Technology and Research (A-Star), 5 Engineering Drive 1, Singapore 117608 (Singapore); Wu, B. L.; Ng, V. [Information Storage Materials Laboratory, Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117576 (Singapore); Asbahi, M.; Yang, J. K. W. [Institute of Materials Research and Engineering, Agency for Science, Technology and Research (A-Star), 3 Research Link, Singapore 117602 (Singapore)

    2014-10-20

    We report an experimental study on the dynamic thermomagnetic (TM) reversal mechanisms at around Curie temperature (Tc) for isolated 60 nm pitch single-domain [Co/Pd] islands heated by a 1.5 μm spot size laser pulse under an applied magnetic reversal field (Hr). Magnetic force microscopy (MFM) observations with high resolution MFM tips clearly showed randomly trapped non-switched islands within the laser irradiated spot after dynamic TM reversal process with insufficient Hr strength. This observation provides direct experimental evidence by MFM of a large magnetization switching variation due to increased thermal fluctuation/agitation over magnetization energy at the elevated temperature of around Tc. The average percentage of non-switched islands/magnetization was further found to be inversely proportional to the applied reversal field Hr for incomplete magnetization reversal when Hr is less than 13% of the island coercivity (Hc), showing an increased switching field distribution (SFD) at elevated temperature of around Tc (where main contributions to SFD broadening are from Tc distribution and stronger thermal fluctuations). Our experimental study and results provide better understanding and insight on practical heat assisted magnetic recording (HAMR) process and recording performance, including HAMR writing magnetization dynamics induced SFD as well as associated DC saturation noise that limits areal density, as were previously observed and investigated by theoretical simulations.

  17. Ultrasound assisted synthesis of PMMA/clay nanocomposites: Study of oxygen permeation and flame retardant properties

    Indian Academy of Sciences (India)

    Subrata K Patra; Gyanaranjan Prusty; Sarat K Swain

    2012-02-01

    PMMA/clay nanocomposites were synthesized by ultrasound assisted emulsifier-free emulsion polymerization technique. Ultrasound waves of different power and frequencies were applied to enhance the dispersion of the clay layers with polymer matrix. The structural information of the synthesized materials was studied by X-ray diffraction (XRD) and it was revealed that the interlayer spacing increased with clay loading. The magnitude of dispersion of the clay in the polymer matrix was detected by transmission electron microscopy (TEM). The Young’s modulus, breaking stress, elongation at break, toughness, yield stress and yield strain of the nanocomposites as a function of different clay concentrations and ultrasonic power were measured. Particle diameter of the nanocomposites was measured by laser diffraction technique. Oxygen permeability of the samples was studied and it was found that the oxygen flow rate was reduced by the combined effect of clay loading and ultrasound. The flame retardant property of the nanocomposites due to clay dispersion was investigated by measurement of limiting oxygen index (LOI).

  18. Model of arterial tree and peripheral control for the study of physiological and assisted circulation.

    Science.gov (United States)

    Lanzarone, E; Liani, P; Baselli, G; Costantino, M L

    2007-06-01

    Peripheral vasomotion, interstitial liquid exchange, and cardiovascular system behaviour are investigated by means of a lumped parameter model of the systemic and peripheral circulation, from the aortic valve to the venules. This modelling work aims at combining arterial tree hemodynamics description, active peripheral flow regulation, and fluid exchange. The arterial compartment is constructed with 63 RCL segments and 30 peripheral districts including myogenic control on arterioles, metabolic control on venules, and Starling filtration through capillary membrane. The arterial behaviour is characterised as to the long term stability of pressure/flow waves in the different segments. Peripheral districts show autoregulatory capabilities against pressure changes over a wide range and also self-sustained oscillations mimicking vasomotor activity. A preliminary study was carried out as to the model response to changes induced by cardiopulmonary bypass (CPB). Among the induced alterations, the system responds mainly to hemodilution, which increased peripheral fluid loss and oedema beyond the compensatory capabilities of local regulation mechanisms. This resulted in an overall increase total arterial resistance. Local transport deficits were assessed for each district according to the different metabolic demand. This study shows the requirement of a suitable description of both arteries and peripheral mechanisms in order to describe cardiovascular response non-physiological conditions, as well as assisted circulation or other pathological conditions. PMID:17011809

  19. Nutritional status in mexican elderlys: comparative study between groups with different social assistance

    Directory of Open Access Journals (Sweden)

    Ivan Armando Osuna-Padilla

    2015-04-01

    Full Text Available Introduction: The aim of this study were to determine the prevalence of undernutrition and obesity in older people with various types of social support from Sinaloa, México.Material and methods: Comparative, observational, prospective and cross-sectional study in 91 elderly. Determined body weight, height and anthropometric measurements. Applied the Mini Nutritional Assessment (MNA. Means and standard deviations are estimated. Chi-square2 and Kruskal-Wallis tests were used to analyzed data. Pearson correlation were utilized for evaluated the correlation between antropomethric indicators and MNA. The level of statistical significance was p<0.05.Results: 91 elderlies were evaluated: 35 users of a day House, 28 members of a cultural centre, and 28 residents of two nursing homes. There was a prevalence of malnutrition of 32.1% in the institutionalized, 14.3% on the day house, and 3.5% in independent adult. Obesity were diagnosed in 93.2% of people by Waist/Height Ratio. Good correlations were found between body mass index (BMI and calf circumference (CC with MNA (p<0.05.Conclusions: High prevalences of undernutrition were found in nursing homes and user of day homes, with major risks in womans and people major of 80 years. The implementation of nutritional interventions depending on the type of social assistance received is required.

  20. A CLINICAL STUDY ON ENDOSCOPIC ASSISTED TRANSORAL EXCISION OF PARAPHARYNGEAL TUMORS

    Directory of Open Access Journals (Sweden)

    Madhusudhan Reddy

    2015-05-01

    Full Text Available INTRODUCTION : Parapharyngeal space tumors are rare , but are reported all over the world with an incidence of 0.5% of Head and Neck tumors. Parapharyngeal space is a potential space lateral to the upper part of pharynx extending from base of the s kull to the Hyoid bone. It contains important and vital structures connecting the Head and thorax. The importance of the tumors of this space lies in the fact that its approach from outside (Trans cervical is a surgical challenge and from within (Transora l does not give a good vascular control. Improved visibility and monitored dissection is reported with the use of endoscopes to assist Transoral approach to parapharyngeal tumors excision is reported from all over the world. A retrospective study of sinus endoscopes assisted excision of parapharyngeal tumors was conducted at the Government Hospital attached to Kakatiya Medical College , Thiruvananthapuram , Telangana between August 2012 and July 2013. MATERIALS AND METHODS : 19 patients were operated for Para - pharyngeal tumors. All the tumors were benign in nature. They included 9 tumors of mixed salivary gland type , 6 were neurogenic , 2 were Schwanomas and 2 were lipomas. Operative notes and video films of the surgical procedure undertaken by different su rgeons are the source of the present study. OBSERVATIONS : The diagnosis of all the tumors was based on HRCT of the neck. Pre - operative arteriogram was not undertaken in any of the patients. HRCT helped to determine the size and extent of the tumor and to d ifferentiate tumors of parotid and extra - parotid origin and to demonstrate degree of tumor vascularity. Sensitivity to differentiate between benign and malignant tumors with HRCT was found to be 97%. The tumor resectability was judged by the presence of fa t at the periphery of the tumor which gives low density marking. Sinus endoscope (Zero degree and thirty degree was found to be useful to magnify , observe the cleavage of dissection

  1. Physical exercise in treatment of AUDs – a dropout study

    DEFF Research Database (Denmark)

    Sari, Sengül; Roessler, Kirsten Kaya

    Background: The Healthy Lifestyle Study is one out of five alcohol research studies in the RESCueH research project. It is a randomized controlled study which aims to understand the effect of physical exercise on alcohol, fitness and wellness outcomes for outpatients in treatment of alcohol use...... disorders. Relapse rates in treatment of AUD ranges between 60 and 90 % in the first year after treatment. The Healthy Lifestyle Study offers physical exercise as add on treatment to better maintenance. However intervention studies with physical exercise can suffer from high dropout rates. To gain a better...... understanding of lived lives of dropouts from The Healthy Lifestyle Study, a qualitative interview study was conducted. Objective: This interview study aims to gain better understanding of and more in depth knowledge about how alcohol patients experience, think and feel about physical exercise when...

  2. "Optimal" application of ventilatory assist in Cheyne-Stokes respiration: a simulation study.

    Science.gov (United States)

    Khoo, M C; Benser, M E

    2005-01-01

    Although a variety of ventilator therapies have been employed to treat Cheyne-Stokes respiration (CSR), these modalities do not completely eliminate CSR. As well, most current strategies require that ventilatory assist be provided continuously. We used a computer model of the respiratory control system to determine whether a ventilatory assist strategy could be found that would substantially reduce the severity of CSR while minimizing the application of positive airway pressure. We assessed the effects of different levels of ventilatory assist applied during breaths that fell below selected hypopneic thresholds. These could be applied during the descending, ascending, or both phases of the CSR cycle. We found that ventilatory augmentation equal to 30-40% of eupneic drive, applied whenever ventilation fell below 70% of the eupneic level during the ascending or descending-and-ascending phases of CSR led to the greatest regularization of breathing with minimal ventilator intervention. Application of ventilatory assist during the descending phase produced little effect. PMID:17281585

  3. Financial Assistance Information

    Science.gov (United States)

    ... Other Sites: Genetic and Rare Diseases Information Center Financial Assistance Information The National Institutes of Health (NIH) ... area call 900-638-0742. Top of page Financial Aid for Medical Treatments Information on financial aid ...

  4. Assisted Reproductive Technology

    Science.gov (United States)

    Assisted reproductive technology (ART) is used to treat infertility. It includes fertility treatments that handle both a woman's egg ... back in the woman's body. In vitro fertilization (IVF) is the most common and effective type of ...

  5. Study of the vapor-assisted method for bonding PDMS and glass: effect of the vapor source

    International Nuclear Information System (INIS)

    Different chemicals were tested in order to check their effectiveness as the vapor source for the vapor-assisted method to bond PDMS and glass, bringing clarification to the mechanism of the bonding. While no increase in the adhesion strength of PDMS–glass samples was observed when silanes without chloro functional groups were used, increase in the bonding strength of PDMS–glass was obtained with all alkyl chlorosilanes tested in this study, including tri-, di- and monochlorosilanes, as well as with hydrochloric acid solution. These results experimentally demonstrate that the hydrogen chloride gas obtained from the hydrolysis and polymerization of silanes or simply from the evaporation of hydrochloric acid solution assist with the formation of PDMS–glass bonding, making the vapor-assisted method a very simple and reliable method to bond PDMS and glass with multiple applications in both small-scale laboratory research and large-scale manufacturing processes

  6. Sludge treatment facility preliminary siting study for the sludge treatment project (A-13B)

    International Nuclear Information System (INIS)

    This study evaluates various sites in the 100 K area and 200 areas of Hanford for locating a treatment facility for sludge from the K Basins. Both existing facilities and a new standalone facility were evaluated. A standalone facility adjacent to the AW Tank Farm in the 200 East area of Hanford is recommended as the best location for a sludge treatment facility

  7. Reducing inappropriate, anticholinergic and psychotropic drugs among older residents in assisted living facilities: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Pitkala Kaisu H

    2012-06-01

    Full Text Available Abstract Background Use of inappropriate drugs is common among institutionalized older people. Rigorous trials investigating the effect of the education of staff in institutionalized settings on the harm related to older people’s drug treatment are still scarce. The aim of this trial is to investigate whether training professionals in assisted living facilities reduces the use of inappropriate drugs among residents and has an effect on residents’ quality of life and use of health services. Methods and design During years 2011 and 2012, a sample of residents in assisted living facilities in Helsinki (approximately 212 will be recruited, having offered to participate in a trial aiming to reduce their harmful drugs. Their wards will be randomized into two arms: one, those in which staff will be trained in two half-day sessions, including case studies to identify inappropriate, anticholinergic and psychotropic drugs among their residents, and two, a control group with usual care procedures and delayed training. The intervention wards will have an appointed nurse who will be responsible for taking care of the medication of the residents on her ward, and taking any problems to the consulting doctor, who will be responsible for the overall care of the patient. The trial will last for twelve months, the assessment time points will be zero, six and twelve months. The primary outcomes will be the proportion of persons using inappropriate, anticholinergic, or more than two psychotropic drugs, and the change in the mean number of inappropriate, anticholinergic and psychotropic drugs among residents. Secondary endpoints will be, for example, the change in the mean number of drugs, the proportion of residents having significant drug-drug interactions, residents' health-related quality of life (HRQOL according to the 15D instrument, cognition according to verbal fluency and clock-drawing tests and the use and cost of health services, especially

  8. A spectroscopy study of gasoline partially premixed compression ignition spark assisted combustion

    International Nuclear Information System (INIS)

    Highlights: ► PPC combustion combined with spark assistance and gasoline fuel on a CI engine. ► Chemiluminescence of different chemical species describes the progress of combustion reaction. ► Spectra of a novel combustion mode under SACI conditions is described. ► UV–Visible spectrometry, high speed imaging and pressure diagnostic were employed for analysis. - Abstract: Nowadays many research efforts are focused on the study and development of new combustion modes, mainly based on the use of locally lean air–fuel mixtures. This characteristic, combined with exhaust gas recirculation, provides low combustion temperatures that reduces pollutant formation and increases efficiency. However these combustion concepts have some drawbacks, related to combustion phasing control, which must be overcome. In this way, the use of a spark plug has shown to be a good solution to improve phasing control in combination with lean low temperature combustion. Its performance is well reported on bibliography, however phenomena involving the combustion process are not completely described. The aim of the present work is to develop a detailed description of the spark assisted compression ignition mode by means of application of UV–Visible spectrometry, in order to improve insight on the combustion process. Tests have been performed in an optical engine by means of broadband radiation imaging and emission spectrometry. The engine hardware is typical of a compression ignition passenger car application. Gasoline was used as the fuel due to its low reactivity. Combining broadband luminosity images with pressure-derived heat-release rate and UV–Visible spectra, it was possible to identify different stages of the combustion reaction. After the spark discharge, a first flame kernel appears and starts growing as a premixed flame front, characterized by a low and constant heat-release rate in combination with the presence of remarkable OH radical radiation. Heat release increases

  9. Nurse Practitioners, Physician Assistants, and Certified Nurse-Midwives: A Policy Analysis. Health Technology Case Study 37.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    This case study was conducted to analyze the cost-effectiveness of nurse practitioners (NPs), physicians' assistants (PAs), and certified nurse midwives (CNMs) by examining (1) the contributions of each group in meeting health-care needs; (2) the effect of changing the method of payment for their services on the health-care delivery system; and…

  10. Electromyogram-controlled assistive exercise for the motor recovery of shoulder in chronic hemiplegia: A pilot study.

    Science.gov (United States)

    Park, Byung Kyu; Kim, Ji-Won; Kwon, Yuri; Heo, Jae-Hoon; Yoon, Joo-Seok; Eom, Gwang-Moon

    2015-01-01

    Correct-active-repetitive exercise is important for the motor recovery in hemiplegics. The present study hypothesizes that the electromyogram (EMG)-controlled assistance of motion would be an effective implementation of the concept for the rehabilitation of the hemiplegic shoulder, even in chronic patients. This study aims to investigate the feasibility of the suggested method. The motor intention is derived from the EMG of the shoulder muscles and the shoulder movement (flexion and abduction) is assisted by an electro-mechanical system only when the motor intention (EMG amplitude) exceeded the threshold. Twelve patients in the chronic stage of stroke participated in this pilot study. The EMG-controlled assistive exercise lasts for two weeks, 20 min per day and 5 days a week. The active range of motion in both abduction and flexion increases significantly after the intervention (p shoulder-related items (p shoulder-unrelated items of the upper extremity (p = 0.13) nor in the lower extremity items (p = 0.19). This pilot study demonstrates that EMG-controlled assistive exercise can improve shoulder motor functions related to selected muscles and the suggested method is promising for the motor recovery of the shoulder in chronic hemiplegia. PMID:26406084

  11. Pedicle screw placement in the thoracic spine: a randomized comparison study of computer-assisted navigation and conventional techniques

    Institute of Scientific and Technical Information of China (English)

    WU Han; GAO Zhong-li; WANG Jin-cheng; LI Ying-pu; XIA Peng; JIANG Rui

    2010-01-01

    Objective: To evaluate the accuracy of computer-assisted pedicle screw installation and its clinical benefit as compared with conventional pedicle screw installation techniques. Methods: Total 176 thoracic pedicle screws placed in 42 thoracic fracture patients were involved in the study randomly, 20 patients under conventional fluoroscopic control (84 screws) and 22 patients had screw insertion under three dimensional (3D) computer-assisted navigation (92 screws). The 2 groups were compared for accuracy of screw placement, time for screw insertion by postoperative thincut CT scans and statistical analysis by x2 test. The cortical perforations were then graded by 2-mm increments: Grade Ⅰ (good, no cortical perforation), Grade Ⅱ (screw outside the pedicle 2 mm).Results: In computer assisted group, 88 (95.65%) were Grade Ⅰ (good), 4 (4.35%) were Grade Ⅱ (2 mm) violations. In conventional group, there were 14 cortical violations (16.67%), 70 (83.33%) were Grade Ⅰ (good),11 (13.1%) were Grade Ⅱ (2 mm) violations (P<0.001). The number (19.57%) of upper thoracic pedicle screws ( T1-T4 ) inserted under 3D computer-assisted navigation was significantly higher than that (3.57%) by conventional fluoroscopic control (P<0.001).Average screw insertion time in conventional group was (4.56 ±1.03) min and (2.54 ± 0.63) min in computer assisted group (P<0.001). In the conventional group, one patient had pleura injury and one had a minor dura violation.Conclusions: This study provides further evidence that 3D computer-assisted navigation placement of pedicle screws can increase accuracy, reduce surgical time, and be performed safely and effectively at all levels of the thoracic spine, particularly upper thoracic spine.

  12. PRE-FEASIBILITY STUDY FOR TREATMENT WETLAND APPLICATION FOR WASTEWATER TREATMENT IN DISPERSED DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Magdalena Gajewska

    2016-07-01

    Full Text Available The aim of the paper is to present the conducted analyses of pre-feasibility study of different approaches for wastewater management in a settlement of 180 persons. In the assessment both technical and economic aspects were analyzed. The costs were calculated for three different and, at the same time, most popular as well as possible technical solutions like: (i construction of local wastewater treatment plant with gravitational and pressurized networks, (ii construction of single family wastewater treatment plants, (iii construction of sealed septic tanks. Carried out analyses of investment and maintenance costs revealed that at the stage of construction the most expensive is local sewer network with treatment plant, while the construction of a single family treatment plant has similar cost regardless of the technology used. When the long term operation and investment cost are accounted the most economical reasonable solution is the application of wetland treatment for household wastewater treatment.

  13. Patients’ acceptance of corticotomy-assisted orthodontics

    OpenAIRE

    Zawawi KH

    2015-01-01

    Khalid H Zawawi Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia Objective: To study patients’ acceptance of corticotomy-assisted orthodontics as a treatment option.Methods: Adult patients seeking orthodontic treatment were asked to complete two sets of questionnaires; the first set included questions about age, sex, and level of education and general questions about orthodontic treatment; and the second set was related to the corticoto...

  14. Adolescent Eating Disorders: Treatment and Response in a Naturalistic Study

    OpenAIRE

    Thompson-Brenner, Heather; Boisseau, Christina L.; Satir, Dana A.

    2010-01-01

    This naturalistic study investigated the treatment and outcome of adolescents with eating disorders (EDs) in the community. Clinicians from a practice-research network provided data on ED symptoms, global functioning, comorbidity, treatment, and outcome for 120 adolescents with EDs. ED “not otherwise specified” was the most common ED diagnosed. After an average of 8 months of treatment, about one third of patients had recovered, with patients with anorexia nervosa showing the most improvement...

  15. A proton irradiation facility for studying radiation damage and irradiation assisted stress corrosion cracking

    International Nuclear Information System (INIS)

    A proton irradiation facility has been constructed for the study of irradiation assisted stress corrosion cracking and irradiation damage in austenitic stainless steels. The facility has many proton irradiation. The facility uses a specially designed irradiation stage mounted onto the target chamber of a 1.7 MV tandetron accelerator. Samples are mounted on a heated and cooled copper block in the stage and irradiated with a raster-scanned proton beam of 1.0μA/cm2 (3.4 MeV) though a 1.6 cm2 target aperture. The proton range is approximately 45 μm with the energy loss varying only a factor of two over the first 35 μm. Sample temperature is monitored using a carefully calibrated infrared pyrometer. Experiments thus far have concentrated on inducing 1 dpa of damage at a sample temperature of 400 degrees C. Long-lived residual radioactivity is minimal after a 3-6 day cooling period and samples can be readily examined in TEM, SAM and tested in a high temperature water loop. Experiments have shown that the irradiated microstructure and grain boundary segregation is similar to that produced by neutron irradiation at the same temperature and dose, but at a dose rate 100 to 1000 times lower. This paper focuses on the feature of the technique and the resulting microstructural and microchemical changes

  16. Studies on absorption of EC waves in assisted startup experiment on FTU

    Directory of Open Access Journals (Sweden)

    Ramponi G.

    2012-09-01

    Full Text Available Assistance of EC wave for plasma breakdown and current ramp up is the proposed scenario for the ITER case, characterized by low toroidal electric field. The experimental results on many tokamaks clearly indicate the capabilities of the proposed scheme to have a robust breakdown in ITER. The key aspect of this technique is the EC power required, strongly related to the absorption of the wave in the initial stage of plasma formation. This aspect is generally neglected due to the diagnostics difficulties in the plasma formation phase. As a consequence a multi-pass absorption scheme is usually considered reasonable, leading to a strong absorption after many reflections on the walls. The present study exploits the high temporal and spatial resolution of the fast scanning interferometer of FTU together with the measure of residual power obtained by a sniffer probe. The absorbed EC power is calculated considering also the polarization rotation and the subsequent mode conversion after incidence on the internal wall and compared with that derived from experimental data. The resulting EC power distribution can explain differences observed between perpendicular and oblique injection results, indicating future investigations to define ITER power requirements.

  17. A simulation study of acoustic-assisted tracking of whales for mark-recapture surveys.

    Science.gov (United States)

    Peel, David; Miller, Brian S; Kelly, Natalie; Dawson, Steve; Slooten, Elisabeth; Double, Michael C

    2014-01-01

    Collecting enough data to obtain reasonable abundance estimates of whales is often difficult, particularly when studying rare species. Passive acoustics can be used to detect whale sounds and are increasingly used to estimate whale abundance. Much of the existing effort centres on the use of acoustics to estimate abundance directly, e.g. analysing detections in a distance sampling framework. Here, we focus on acoustics as a tool incorporated within mark-recapture surveys. In this context, acoustic tools are used to detect and track whales, which are then photographed or biopsied to provide data for mark-recapture analyses. The purpose of incorporating acoustics is to increase the encounter rate beyond using visual searching only. While this general approach is not new, its utility is rarely quantified. This paper predicts the "acoustically-assisted" encounter rate using a discrete-time individual-based simulation of whales and survey vessel. We validate the simulation framework using existing data from studies of sperm whales. We then use the framework to predict potential encounter rates in a study of Antarctic blue whales. We also investigate the effects of a number of the key parameters on encounter rate. Mean encounter rates from the simulation of sperm whales matched well with empirical data. Variance of encounter rate, however, was underestimated. The simulation of Antarctic blue whales found that passive acoustics should provide a 1.7-3.0 fold increase in encounter rate over visual-only methods. Encounter rate was most sensitive to acoustic detection range, followed by vocalisation rate. During survey planning and design, some indication of the relationship between expected sample size and effort is paramount; this simulation framework can be used to predict encounter rates and establish this relationship. For a case in point, the simulation framework indicates unequivocally that real-time acoustic tracking should be considered for quantifying the abundance

  18. A simulation study of acoustic-assisted tracking of whales for mark-recapture surveys.

    Directory of Open Access Journals (Sweden)

    David Peel

    Full Text Available Collecting enough data to obtain reasonable abundance estimates of whales is often difficult, particularly when studying rare species. Passive acoustics can be used to detect whale sounds and are increasingly used to estimate whale abundance. Much of the existing effort centres on the use of acoustics to estimate abundance directly, e.g. analysing detections in a distance sampling framework. Here, we focus on acoustics as a tool incorporated within mark-recapture surveys. In this context, acoustic tools are used to detect and track whales, which are then photographed or biopsied to provide data for mark-recapture analyses. The purpose of incorporating acoustics is to increase the encounter rate beyond using visual searching only. While this general approach is not new, its utility is rarely quantified. This paper predicts the "acoustically-assisted" encounter rate using a discrete-time individual-based simulation of whales and survey vessel. We validate the simulation framework using existing data from studies of sperm whales. We then use the framework to predict potential encounter rates in a study of Antarctic blue whales. We also investigate the effects of a number of the key parameters on encounter rate. Mean encounter rates from the simulation of sperm whales matched well with empirical data. Variance of encounter rate, however, was underestimated. The simulation of Antarctic blue whales found that passive acoustics should provide a 1.7-3.0 fold increase in encounter rate over visual-only methods. Encounter rate was most sensitive to acoustic detection range, followed by vocalisation rate. During survey planning and design, some indication of the relationship between expected sample size and effort is paramount; this simulation framework can be used to predict encounter rates and establish this relationship. For a case in point, the simulation framework indicates unequivocally that real-time acoustic tracking should be considered for

  19. Service Quality in Alcohol Treatment: A Qualitative Study

    Science.gov (United States)

    Resnick, Sheilagh M.; Griffiths, Mark D.

    2010-01-01

    The objective of the study was to qualitatively evaluate the managerial and organisational issues associated with service quality in a privately funded alcohol treatment centre in the UK. Two different groups of participants at a private treatment clinic were interviewed. The first group comprised 25 of its patients. The second group comprised 15…

  20. Result of Research Study for Treatments Against Gingivitis

    OpenAIRE

    Nana K. Natsvlishvili; Maradi A. Burduli

    2014-01-01

    The results of microbiological investigation of catarrhal gingivitis on the background of treatment with Unimag are presented in the research. Studies have revealed that treatment with Unimag of the patients with catarrhal and gingivitis rapidly normalizes quantity of microbes in the oral cavity, substituting the gram-negative pathogenic flora for the gram-positive microorganisms in the oral cavity.

  1. Spectroscopic study of the humification process during sewage sludge treatment

    Science.gov (United States)

    Pajączkowska, J.; Sułkowska, A.; Sułkowski, W. W.; Jędrzejczyk, M.

    2003-06-01

    The aim of this work was to study the free radical transition of organic materials during the sewage treatment process. Investigations of sludge from biologic-mechanical sewage treatment plant in Sosnowiec Zagórze were carried out. The course of the humification processes during sewage treatment was studied by electron paramagnetic resonance (EPR) technique. The concentration of free radicals at each process stage and the value g were determined. Sludge samples and extracted fractions of humic acids were examined. Humic acids were extracted from sludge by means of conventional methods elaborated by Stevenson. For study of humic acids structures, besides EPR, the UV-Vis and IR spectroscopy were used.

  2. Treatment of drug addiction and psychopathology: A field study

    OpenAIRE

    Antonio Souto; Luis Fernandez-Rios; Manuel Isorna

    2010-01-01

    Field study to assess the concurrence of the psychopathology of drug addiction, and to evaluate the efficacy of pharmacological treatment versus drug-free treatments for the psychopathology of drug addiction. A total of 261 patients treated for drug addiction, 131 on a drug-free treatment and the remaining 130 patients received a drug regime, of which 113 were, according to the Prochaska and Decrement’s Transtheorical Model, in a initial phase of the treatment (from 15 days to 6 months of tre...

  3. Variation of plate fixation for mandibular advancement with intraoral vertical ramus osteotomy using endoscopically assisted intraoral rigid or semi-rigid internal fixation: Case series study: Postoperative condylar seating control for mandibular advancement.

    Science.gov (United States)

    Hara, Shingo; Mitsugi, Masaharu; Tatemoto, Yukihiro

    2015-12-01

    The purpose of the present study was to evaluate the safety and efficacy associated with mandibular advancement by intraoral vertical ramus osteotomy (IVRO) with endoscopically assisted intraoral rigid or semi-rigid internal fixation. The study sample included all patients who had undergone an mandibular advancement by IVRO procedure with endoscopically assisted intraoral plate fixation from September 2008 to May 2012. An mandibular advancement by IVRO with endoscopically assisted intraoral rigid or semi-rigid internal fixation was used for mandibular advancement. The patients were analyzed prospectively, with more than 2 years of follow-up, and were evaluated in terms of functional results, postoperative complications, and skeletal stability. A total of 14 patients (bilateral, 7 patients with class II; unilateral, 7 patients with asymmetry) were included in the present study. The average degree of mandibular advancement was 5.5 ± 1.9 mm (range, 3-9 mm). Both the occlusal relationship and facial appearance in all patients were significantly improved by the surgical-orthodontic treatment, with no major harmful clinical symptoms. In addition, one-screw semi-rigid fixation could control postoperative passive condylar seating. This study showed that mandibular advancement by IVRO with endoscopically assisted, intraoral semi-rigid internal fixation offers a promising treatment alternative for patients with skeletal class II malocclusion or facial asymmetry. PMID:26610634

  4. CT-assisted evaluation of the results of radiation and surgical treatment of paranasal and nasopharyngeal tumors

    International Nuclear Information System (INIS)

    A total of 40 patients with bening and malignant paranasal sinusal and nasopharyngeal tumors were examined to evaluate the effectiveness of radiation and surgical treatment with the help of computerized tomography (CT). The aim of CT examinations was to reveal CT-findings of radiation pathomorphosis of a tumor mass and contiguous tissue, to determine their CT-structure, and to find residual masses after the treatment. CT-findings of three stages of tumor radiation pathomorphosis were determined. Some criteria of objective assessment of the rsults of radiation and surgical treatment of paranasal sinusal and nasopharyngeal tumors were proposed

  5. A cost comparison study of open pit mining vs. in situ assisted gravity drainage

    International Nuclear Information System (INIS)

    The twin-well steam assisted gravity drainage (SAGD) process has resulted in breakthrough technology to access previously uneconomical deep-seated oil sands reserves in Alberta, and to provide a very cost-effective and environmentally acceptable method for extracting bitumen from reserves having a minimum of 30 m overburden. In the evaluation of new or improved bitumen recovery technologies for its new North Mine, Syncrude Canada has recognized that SAGD was a potential alternate to the current open pit mining and hot water extraction process. A study was conducted to compare and evaluate bitumen recovery by the two schemes at the North Mine site, scheduled to begin operations in 1996, for the reserves under Syncrude's tailings pond, and at a new grassroots area. Study description and analysis of results are presented for the grassroots case. The assumptions and mining/recovery processes used for the mining or SAGD method are detailed and the advantages and drawbacks of each scheme are noted. Results show that the SAGD unit supply costs are projected to be proportionately lower than the corresponding open pit mining/hot water extraction (OP/X) cost, using a 20-y project life. A sensitivity analysis indicates that the SAGD process is more sensitive to natural gas costs, while the OP/X scheme is more sensitive to power costs. The SAGD process is much less labor-intensive than OP/X and has obvious advantages in terms of tailings disposal and post-mining reclamation. In addition, the underground nature of SAGD operation eliminates adverse effects of the weather on working conditions. 11 figs

  6. Study on the System Design of a Solar Assisted Ground Heat Pump System Using Dynamic Simulation

    Directory of Open Access Journals (Sweden)

    Min Gyung Yu

    2016-04-01

    Full Text Available Recently, the use of hybrid systems using multiple heat sources in buildings to ensure a stable energy supply and improve the system performance has gained attention. Among them, a heat pump system using both solar and ground heat was developed and various system configurations have been introduced. However, establishing a suitable design method for the solar-assisted ground heat pump (SAGHP system including a thermal storage tank is complicated and there are few quantitative studies on the detailed system configurations. Therefore, this study developed three SAGHP system design methods considering the design factors focused on the thermal storage tank. Using dynamic energy simulation code (TRNSYS 17, individual performance analysis models were developed and long-term quantitative analysis was carried out to suggest optimum design and operation methods. As a result, it was found that SYSTEM 2 which is a hybrid system with heat storage tank for only a solar system showed the highest average heat source temperature of 14.81 °C, which is about 11 °C higher than minimum temperature in SYSTEM 3. Furthermore, the best coefficient of performance (COP values of heat pump and system were 5.23 and 4.32 in SYSYEM 2, using high and stable solar heat from a thermal storage tank. Moreover, this paper considered five different geographical and climatic locations and the SAGHP system worked efficiently in having high solar radiation and cool climate zones and the system COP was 4.51 in the case of Winnipeg (Canada where the highest heating demand is required.

  7. Clinical Observation on Video-Assisted Thoracoscopic Operation of Pulmonary Bullae Resection in the Treatment of Pneumothorax%电视胸腔镜手术肺大疱切除治疗气胸的临床观察

    Institute of Scientific and Technical Information of China (English)

    冷维刚; 卢勇; 许利德

    2015-01-01

    目的:探讨电视胸腔镜手术肺大疱切除治疗气胸的临床效果。方法选择156例气胸患者,随机分成研究组与对照组,对照组应用常规开放治疗,研究组予以电视胸腔镜肺大疱切除术,分析两组治疗效果。结果研究组总有效率92.3%高于对照组71.8%,研究组手术时间、临床治疗总时间均少于对照组,不良反应发生率低于对照组(P<0.05)。结论电视胸腔镜肺大疱切除术治疗气胸效果明显。%Objective To investigate the clinical effect of video-assisted thoracoscopic operation of pulmonary bulae resection in the treatment of pneumothorax. Methods 156 patients with spontaneous pneumothorax were randomly divided into study group and control group. In control group were treated with conventional treatment of open, the research group to be video-assisted thoracoscopic lung bulae resection, the analysis of the therapeutic effect of two groups.Results The total effective rate of the study group was 71.8% higher than that of the control group (92.3%), and the total time of the study group was less than that of the control group, and the adverse reaction rate was lower than that of the control group (P< 0.05).Conclusion VATS bulectomy surgery treatment effect obvious pneumothorax.

  8. Case studies of the high voltage electron beam technology for wastewater treatment

    International Nuclear Information System (INIS)

    The development of innovative technologies for the remediation of contaminated sites is continually being considered as a treatment option for several reasons. From an economic standpoint, the treatment costs of conventional technologies continues to increase and from an environmental impact view, treatment technologies are sought that destroy contaminants without creating additional disposal problems. The high energy electron beam process has been shown to be effective in destroying many organic compounds associated with contaminated sites. The experiments to date have been conducted at both bench and full scale. Bench scale studies are performed using a 5000 Curie 60Co-y source whereas full scale studies have been completed at a pilot facility that has a daily capacity of 170,000 gallons (120 gallons per minute, gpm). The application of this technology to problems that face EPA could result in cost effective treatment of contaminated groundwater, soils, sediments and sludges, as well as demilitarization (chemical weapons), and as an industrial treatment unit process. To provide open-quotes on-siteclose quotes treatability/feasibility studies as well as small scale clean-ups we have now developed a mobile system. This system is capable of treating up to 50 gpm, employing a 500 kV, 40 mA accelerator. The system is self contained and can be used in remote locations if necessary. We have received an US Environmental Protection Agency, SITE Emerging Technology project which has as its focus the application of this process to complex mixtures of contaminants in groundwater, wastewater, soils, sediments, and sludges. This paper will discuss the details of several case studies conducted at full scale using the mobile treatment process and review data obtained from on-going studies that have direct benefit to EPA and may assist groups within the environmental clean-up field to more effectively accomplish their mission

  9. A Novel and Alternative Treatment Method for Diabetic Heel Ulceration Exposing the Calcaneus Which Is Not Suitable for Flap Surgery: Vacuum Assisted Sandwich Dermal Matrix

    Directory of Open Access Journals (Sweden)

    Ugur A. Bingol

    2015-01-01

    Full Text Available Background. Currently, free flaps and pedicled flaps are the first treatment choices for large heel ulcer reconstruction. However, flap reconstruction of heel ulcerations cannot be performed in all diabetics especially with concurrent severe peripheral vascular disease because of higher flap failure rate. In recent years, the use of acellular dermal matrix (ADM has emerged as an alternative treatment option for extremity ulcers. Methods. We present 13 diabetic patients with a large heel ulceration exposing the calcaneus, who were not eligible for flap surgery due to the presence of only one patent artery of trifurcation. These cases were treated with the vacuum assisted sandwich dermal matrix (VASDEM method. Results. None of the patients required amputation. Skin grafting was successful in ten patients. Although partial losses were observed in three patients, they were healed spontaneously without surgical interventions. During the follow-up period none of the patients developed ulceration on the treatment area. All patients maintained their preoperative ambulatory ability. Conclusion. VASDEM is a novel method offering opportunity for treatment before proceeding to amputation in diabetic heel ulceration exposing the calcaneus which is not suitable for flap surgery. It also has the potential to close wounds of all sizes independent of the vessel status and wound size in selected diabetic patients.

  10. Additional Treatments Offer Little Benefit for Pancreatic Cancer: Study

    Science.gov (United States)

    ... gov/medlineplus/news/fullstory_158633.html Additional Treatments Offer Little Benefit for Pancreatic Cancer: Study Neither extra ... to a second round of chemotherapy (chemoradiotherapy) would offer any survival benefit. Unfortunately, the addition of the ...

  11. A prospective, randomized multicenter study comparing APD and CAPD treatment

    DEFF Research Database (Denmark)

    Bro, S; Bjorner, J B; Tofte-Jensen, P;

    2000-01-01

    OBJECTIVE: The goals for maintenance dialysis treatment are to improve patient survival, reduce patient morbidity, and improve patient quality of life. This is the first randomized prospective study comparing automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD......) treatment with respect to quality of life and clinical outcomes in relation to therapy costs. DESIGN: A prospective, randomized multicenter study. SETTING: Three Danish CAPD units. PATIENTS: Thirty-four adequately dialyzed patients with high or high-average peritoneal transport characteristics were included...... in the study.Twenty-five patients completed the study. INTERVENTIONS: After randomization, 17 patients were allocated to APD treatment and 17 patients to CAPD treatment for a period of 6 months. Medical and biochemical parameters were evaluated at monthly controls in the CAPD units. Quality-of-life parameters...

  12. Combo Treatment Protects Pregnant Women, Fetuses from Malaria in Study

    Science.gov (United States)

    ... medlineplus/news/fullstory_157683.html Combo Treatment Protects Pregnant Women, Fetuses From Malaria in Study Findings suggest ... used to treat malaria in adults also protects pregnant women and their fetuses from the disease, according ...

  13. Integrated thermal treatment systems study. Internal review panel report

    International Nuclear Information System (INIS)

    The U.S. Department of Energy (DOE) Office of Technology Development (OTD) commissioned two studies to evaluate nineteen thermal treatment technologies for treatment of DOE mixed low-level waste. These studies were called the Integrated Thermal Treatment System (ITTS) Phase I and Phase II. With the help of the DOE Office of Environmental Management (EM) Mixed Waste Focus Group, OTD formed an ITTS Internal Review Panel to review and comment on the ITTS studies. This Panel was composed of scientists and engineers from throughout the DOE complex, the U.S. Environmental Protection Agency, the California EPA, and private experts. The Panel met from November 15-18, 1994 to review the ITTS studies and to make recommendations on the most promising thermal treatment systems for DOE mixed low-level wastes and on research and development necessary to prove the performance of the technologies. This report describes the findings and presents the recommendations of the Panel

  14. The meaning of assisted feeding for people living with spinal cord injury: a phenomenological study

    DEFF Research Database (Denmark)

    Martinsen, B.; Harder, I.; Biering-Sørensen, Fin

    2008-01-01

    assisted feeding as a permanent situation. METHOD: Sixteen people with high cervical spinal cord injury were interviewed twice within a period of 18 months in 2005-2006. The second interview was combined with observation. Transcriptions of interviews and notes from the observations were analysed using the...... condition of life, facing the altered meal, reconciling with diminished bodily anchoring, sensitive cooperation between self and helper, realization of own values around meals, balanced use of meal-related devices and negotiating relationship with helpers. CONCLUSION: Assisted feeding should be adjusted to...

  15. Feasibility study on a perceived fatigue prediction dependent power control for an electrically assisted bicycle.

    Science.gov (United States)

    Kiryu, T; Minagawa, H

    2013-01-01

    Several types of electric motor assists have been developed, as a result, it is important to control muscular fatigue on-site in terms of health promotion and motor rehabilitation. Predicting the perceived fatigue by several biosignal-related variables with the multiple regression model and polynomial approximation, we try to propose a self control design for the electrically assisted bicycle (EAB). We also determine the meaningful muscles during pedaling by muscle synergies in relation to the motion maturity. In field experiments, prediction of ongoing perceived physical fatigue could have the potential of suitable control of EAB. PMID:24110131

  16. An in situ study of resin-assisted solvothermal metal-organic framework synthesis

    Science.gov (United States)

    Moorhouse, Saul J.; Wu, Yue; O'Hare, Dermot

    2016-04-01

    A newly developed in situ monochromatic high-energy X-ray diffraction setup was used to investigate the synthesis of MOFs using cation-impregnated polymer resin beads as a ion source. The Co-NDC-DMF (NDC=2,6-naphthalenedicarboxylate; DMF=dimethylformamide) system was investigated, a system which is known to produce at least three distinct frameworks. It was found that the resin-assisted synthesis results in the preferential formation of a topology previously impossible to synthesise in bulk, while the comparable nitrate-salt synthesis appeared to form an alternative phases. It was also found that the resin-assisted synthesis is highly diffusion-controlled.

  17. Preliminary clinical study on endovascular treatment of posterior inferior cerebellar artery aneurysms

    International Nuclear Information System (INIS)

    Objective: To study the methods and results of endovascular treatment of posterior inferior cerebellar artery (PICA) aneurysms. Methods: Twenty-one patients with PICA aneurysms were treated with endovascular treatment. The locations of aneurysm on PICA were evaluated through the DSA. Eight patients received single coil embolization, 5 received liquid Glue embolization, 2 received coil embolization combined with liquid Glue, 2 received coil embolization assisted with stents, and 4 underwent occlusion of the parent PICA. Outcome was evaluated with the Glasgow outcome scale (GOS). Results: There were complete (100%) occlusion in 5 patients, near complete (> 90%) occlusion in 2, and incomplete (85%) occlusion in 1 in single coil embolization. Seven patients with Glue embolization (n=5) or combination with coils (n=2) exhibited complete (100%) occlusion. There were near complete (>90%) occlusion in 2 cases with coil assisted with stents. Complete occlusion of the parent PICA was achieved in 3 patients, and near complete occlusion of PICA in one case. One patient suffered from new neurological deficits, and one patient treated with coils and stents died. None of the patients suffered from re-bleeding. There patients received follow-up during a mean period of (22 ± 8) months. Overall long-term outcome was good (GOS score 4 or 5) in 17 patients, poor (GOS score 2 or 3) in 3, and fatal (GOS score 1 ) in one case. Conclusions: According to the location of aneurysms on PICA, aneurysms can be effectively and safely treated with endovascular embolization. (authors)

  18. Evaluation of Physiological Control Systems for Rotary Left Ventricular Assist Devices: An In-Vitro Study.

    Science.gov (United States)

    Pauls, Jo P; Stevens, Michael C; Bartnikowski, Nicole; Fraser, John F; Gregory, Shaun D; Tansley, Geoff

    2016-08-01

    Rotary left ventricular assist devices (LVADs) show weaker response to preload and greater response to afterload than the native heart. This may lead to ventricular suction or pulmonary congestion, which can be deleterious to the patient's recovery. A physiological control system which optimizes responsiveness of LVADs may reduce adverse events. This study compared eight physiological control systems for LVAD support against constant speed mode. Pulmonary (PVR) and systemic (SVR) vascular resistance changes, a passive postural change and exercise were simulated in a mock circulation loop to evaluate the controller's ability to prevent suction and congestion and to increase exercise capacity. Three active and one passive control systems prevented ventricular suction at high PVR (500 dyne s cm(-5)) and low SVR (600 dyne s cm(-5)) by decreasing LVAD speed (by 200-515 rpm) and by increasing LVAD inflow cannula resistance (up to 1000 dyne s cm(-5)) respectively. These controllers increased LVAD preload sensitivity (to 0.196-2.415 L min(-1) mmHg(-1)) compared to the other control systems and constant speed mode (0.039-0.069 L min(-1) mmHg(-1)). The same three active controllers increased pump speed (600-800 rpm) and thus LVAD flow by 4.5 L min(-1) during exercise which increased exercise capacity. Physiological control systems that prevent adverse events and/or increase exercise capacity may help improve LVAD patient conditions. PMID:26833037

  19. Using ProModel as a simulation tools to assist plant layout design and planning: Case study plastic packaging factory

    OpenAIRE

    Pochamarn Tearwattanarattikal; Suwadee Namphacharoen; Chonthicha Chamrasporn

    2008-01-01

    This study is about the application of a Simulation Model to assist decision making on expanding capacity and plant layout design and planning. The plant layout design concept is performed first to create the physical layouts then the simulation model used to test the capability of plant to meet various demand forecast scena. The study employed ProModel package as a tool, using the model to compare the performances in term of % utilization, characteristics of WIP and ability to meet due date....

  20. Determinants of Visual Outcomes in Femtosecond Laser Assisted Cataract Surgery and Phacoemulsification: A Nested Case Control Study

    OpenAIRE

    Rajiv Khandekar; Ashley Behrens; Abdul Elah Al. Towerki; William May; Saeed Motowa; Komal Tailor; Ches Souru

    2015-01-01

    Purpose: We present the visual outcomes 6 weeks following Femtosecond laser assisted cataract surgery (FLACS) and conventional phacoemulsification cataract extraction (CE) cataract surgeries in 2013. Materials and Methods: This was a review of health record type of study. Eyes operated by FLACS and an equal number of conventional phacoemulsification (CE) on the same day by same surgeon were included in the study. Demographics, preoperative status, operative details and the best-corrected ...

  1. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies

    OpenAIRE

    Boivin, J.; Griffiths, E; Venetis, C A

    2011-01-01

    Objective To examine whether pretreatment emotional distress in women is associated with achievement of pregnancy after a cycle of assisted reproductive technology. Design Meta-analysis of prospective psychosocial studies. Data sources PubMed, Medline, Embase, PsycINFO, PsychNET, ISI Web of Knowledge, and ISI Web of Science were searched for articles published from 1985 to March 2010 (inclusive). We also undertook a hand search of reference lists and contacted 29 authors. Eligible studies wer...

  2. DeNOx Study in Diesel Engine Exhaust Using Barrier Discharge Corona Assisted by V2O5/TiO2 Catalyst

    Institute of Scientific and Technical Information of China (English)

    B. S. Rajanikanth; V. Ravi

    2004-01-01

    A plasma-assisted catalytic reactor was used to remove nitrogen oxides (Nox) from diesel engine exhaust operated under different load conditions. Initial studies were focused on plasma reactor (a dielectric barrier discharge reactor) treatment of diesel exhaust at various temperatures. The nitric oxide (NO) removal efficiency was lowered when high temperature exhaust was treated using plasma reactor. Also, NO removal efficiency decreased when 45% load exhaust was treated. Studies were then made with plasma reactor combined with a catalytic reactor consisting of a selective catalytic reduction (SCR) catalyst, V2O5/TiO2. Ammonia was used as a reducing agent for SCR process in a ratio of 1:1 to Nox. The studies were focused on temperatures of the SCR catalytic reactor below 200 ℃. The plasma-assisted catalytic reactor was operated well to remove Nox under no-load and load conditions. For an energy input of 96 J/l, the Nox removal efficiencies obtained under no-load and load conditions were 90% and 72% respectively at an exhaust temperature of 100 ℃.

  3. DeNOx study in diesel engine exhaust using barrier discharge corona assisted by V2O5/TiO2 catalyst

    International Nuclear Information System (INIS)

    A plasma-assisted catalytic reactor was used to remove nitrogen oxides (NOx) from diesel engine exhaust operated under different load conditions. Initial studies were focused on plasma reactor (a dielectric barrier discharge reactor) treatment of diesel exhaust at various temperatures. The nitric oxide (NO) removal efficiency was lowered when high temperature exhaust was treated using plasma reactor. Also, NO removal efficiency decreased when 45% load exhaust was treated. Studies were then made with plasma reactor combined with a catalytic reactor consisting of a selective catalytic reduction (SCR) catalyst, V2O5/TiO2. Ammonia was used as a reducing agent for SCR process in a ratio of 1:1 to NOx. The studies were focused on temperatures of the SCR catalytic reactor below 200 degree C. The plasma-assisted catalytic reactor was operated well to remove NOx under no-load and load conditions. For an energy input of 96 J/1, the NOx removal efficiencies obtained under no-load and load conditions were 90% and 72% respectively at an exhaust temperature of 100 degree C. (authors)

  4. The LVIS Jr. microstent to assist coil embolization of wide-neck intracranial aneurysms: clinical study to assess safety and efficacy

    Energy Technology Data Exchange (ETDEWEB)

    Moehlenbruch, M.; Herweh, C.; Behrens, L.; Jestaedt, L.; Bendszus, M.; Pham, M. [University of Heidelberg Medical Center, Department of Neuroradiology, Heidelberg (Germany); Amiri, H.; Ringleb, P.A. [University of Heidelberg Medical Center, Department of Neurology, Heidelberg (Germany)

    2014-05-15

    This study was aimed to assess clinical safety and efficacy of the LVIS Jr. microstent in stent-assisted coil embolization of wide-neck intracranial aneurysms. IRB approved single-center interventional clinical study in 22 patients (10 females, 12 males, mean age 55, age range 33-74 years) for the endovascular treatment of wide-neck aneurysms. After obtaining informed consent, patients were included according to the following criteria: aneurysm fundus-to-neck ratio < 2 or neck diameter > 4 mm, and a parent vessel diameter of ≤3.5 mm. Primary end point for clinical safety was absence of death, absence of major or minor stroke, and absence of transient ischemic attack. Primary end point for treatment efficacy was complete angiographic occlusion according to the Raymond-Roy Occlusion Classification (RROC) immediately after the procedure and at follow-up after 3 and 6 months on magnetic resonance imaging (MRI). In 20/22 (91 %) of patients, the primary end point of safety was reached; in the two remaining patients, transient ischemic attack, but no permanent deficit was observed; in 16/22 (73 %), efficient occlusion (RROC1) was reached, and in 6/22 (27 %), a residual neck remained (RROC2). Single [seven with antegrade, two in crossover configuration, and four with ''first-balloon-then-stent'' (FBTS) technique] or double-stent (eight patients with Y configuration and one patient with X configuration) deployment was technically successful in all cases. Deployment of the LVIS Jr. microstent in various single- or double-stent configurations is safe and effective to assist the treatment of intracranial wide-neck aneurysms. (orig.)

  5. [Adjuvant treatment of colon cancer MOSAIC study's main results].

    Science.gov (United States)

    André, Thierry; Tournigand, Christophe; Achille, Emmanuel; Tubiana-Mathieu, Nicole; Lledo, Gérard; Raoul, Yves; Carola, Elisabeth; Flesch, Michel; Muron, Thierry; Boutan-Laroze, Arnaud; Guérin Meyer, Véronique; Boaziz, Catherine; Maigre, Michel; Ganem, Gérard; Mousseau, Mireille; Mounedji-Boudiaf, Lamia; de Gramont, Aimery

    2006-02-01

    Oxaliplatin in combination with 5-fluorouracil/leucovorin (LV5FU) improves the response rate and survival of patients with metastatic colorectal cancer. The objective of the Mosaic study was to evaluate the efficacy of this association in the adjuvant treatment of stage II and III colon cancer. This international study, including 2,246 patients, compared the efficacy of standard treatment with LV5FU2 alone to that of oxaliplatin-LV5FU (Folfox4 regimen) following R0 resection of the primary tumour. Both treatments were administered every two weeks for six months. At 3-year follow-up, the risk of relapse was decreased by 23% in the Folfox4 group (p = 0.002). The protocol was well tolerated, with an identical overall mortality during treatment (0.5%) in both groups. The main specific complication, peripheral sensory neuropathy was reversible in the great majority of cases. A new analysis at 4-year follow-up (median 48.6 months) confirmed the superior efficacy of the Folfox4 regimen compared to the standard treatment, the reduction in relapse risk being 24% (p = 0.0008). On the strength of these results, oxaliplatin was granted a marketing authorization for the indication adjuvant treatment of stage III colon cancer. Based on the data currently available, physicians should consider adjuvant treatment for stage II patients, making each individual decision for treatment on a case-by-case basis. PMID:16483940

  6. Connecting Refugees to Substance Use Treatment: A Qualitative Study.

    Science.gov (United States)

    McCleary, Jennifer S; Shannon, Patricia J; Cook, Tonya L

    2016-01-01

    An emerging body of literature identifies substance use as a growing concern among refugees resettling in the United States. Like immigrants, refugees may face cultural, linguistic, or systems barriers to connecting with mainstream substance use treatment programs, which may be compounded by refugees' unique experiences with exposure to trauma, displacement in refugee camps, and resettlement. This qualitative study explores factors that support and prevent refugees from connecting with chemical health treatment. Fifteen participants who identified as social service or public health professionals who work with refugees responded to an online, semistructured survey about their experiences referring refugees to substance use treatment. Resulting data was analyzed using thematic analysis. Themes emerged identifying a lack of culturally informed treatment models, policy issues, and client characteristics such as motivation and past trauma as barriers to engaging with treatment. Ongoing case management and coordination were identified as important to successful linkage. Findings from this study contribute to a better understanding of how to support refugees seeking substance use treatment and suggest that developing trauma informed, culturally relevant models of treatment that are integrated with primary health care and geographically accessible may enhance treatment linkage. PMID:26667046

  7. SECONDARY WASTE/ETF (EFFLUENT TREATMENT FACILITY) PRELIMINARY PRE-CONCEPTUAL ENGINEERING STUDY

    Energy Technology Data Exchange (ETDEWEB)

    MAY TH; GEHNER PD; STEGEN GARY; HYMAS JAY; PAJUNEN AL; SEXTON RICH; RAMSEY AMY

    2009-12-28

    This pre-conceptual engineering study is intended to assist in supporting the critical decision (CD) 0 milestone by providing a basis for the justification of mission need (JMN) for the handling and disposal of liquid effluents. The ETF baseline strategy, to accommodate (WTP) requirements, calls for a solidification treatment unit (STU) to be added to the ETF to provide the needed additional processing capability. This STU is to process the ETF evaporator concentrate into a cement-based waste form. The cementitious waste will be cast into blocks for curing, storage, and disposal. Tis pre-conceptual engineering study explores this baseline strategy, in addition to other potential alternatives, for meeting the ETF future mission needs. Within each reviewed case study, a technical and facility description is outlined, along with a preliminary cost analysis and the associated risks and benefits.

  8. SECONDARY WASTE/ETF (EFFLUENT TREATMENT FACILITY) PRELIMINARY PRE-CONCEPTUAL ENGINEERING STUDY

    International Nuclear Information System (INIS)

    This pre-conceptual engineering study is intended to assist in supporting the critical decision (CD) 0 milestone by providing a basis for the justification of mission need (JMN) for the handling and disposal of liquid effluents. The ETF baseline strategy, to accommodate (WTP) requirements, calls for a solidification treatment unit (STU) to be added to the ETF to provide the needed additional processing capability. This STU is to process the ETF evaporator concentrate into a cement-based waste form. The cementitious waste will be cast into blocks for curing, storage, and disposal. Tis pre-conceptual engineering study explores this baseline strategy, in addition to other potential alternatives, for meeting the ETF future mission needs. Within each reviewed case study, a technical and facility description is outlined, along with a preliminary cost analysis and the associated risks and benefits.

  9. Mobile-Assisted Language Learning: A Selected Annotated Bibliography of Implementation Studies 1994-2012

    Science.gov (United States)

    Burston, Jack

    2013-01-01

    Over the past 20 years, project implementation descriptions have accounted for the majority of Mobile-Assisted Language Learning (MALL) publications, some 345 in total. Those interested in MALL applications thus need to read widely to acquire an adequate perspective of MALL implementations. The intent of this bibliography is to facilitate this…

  10. Adaptive Web-Assisted Learning System for Students with Specific Learning Disabilities: A Needs Analysis Study

    Science.gov (United States)

    Polat, Elif; Adiguzel, Tufan; Akgun, Ozcan Erkan

    2012-01-01

    Because there is, currently, no education system for primary school students in grades 1-3 who have specific learning disabilities in Turkey and because such students do not receive sufficient support from face-to-face counseling, a needs analysis was conducted in order to prepare an adaptive, web-assisted learning system according to variables…

  11. Using the iPhone for Assistive Technology: A Case Study

    Science.gov (United States)

    Ford, Chelsea; Rabe, Karl

    2011-01-01

    Parent and teacher collaborated to use the Apple iPhone as assistive technology to meet the needs of Bill, a 20-year-old student in the Saline Young Adult program, part of the Saline Michigan School System. Bill has an intellectual disability and this technology provided an effective, flexible and moderate cost solution that helped him meet his…

  12. Guidelines for reporting case studies on extracorporeal treatments in poisonings

    DEFF Research Database (Denmark)

    Lavergne, Valéry; Ouellet, Georges; Bouchard, Josée;

    2014-01-01

    A literature review performed by the EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup highlighted deficiencies in the existing literature, especially the reporting of case studies. Although general reporting guidelines exist for case studies, there are none in the specific field of...... extracorporeal treatments in toxicology. Our goal was to construct and propose a checklist that systematically outlines the minimum essential items to be reported in a case study of poisoned patients undergoing extracorporeal treatments. Through a modified two-round Delphi technique, panelists (mostly chosen...... reports containing data on extracorporeal treatments in poisoning published in Medline in 2011 were reviewed during the external validation rounds. Twenty-one panelists (20 from the EXTRIP workgroup and an invited expert on pharmacology reporting guidelines) participated in the modified Delphi technique...

  13. Review of the integrated thermal and nonthermal treatment system studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-08-01

    This report contains a review and evaluation of three systems analysis studies performed by LITCO on integrated thermal treatment systems and integrated nonthermal treatment systems for the remediation of mixed low-level waste stored throughout the US Department of Energy weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center, Science Applications International Corporation, the Waste Policy Institute, and Virginia Tech. The three studies reviewed were as follows: Integrated Thermal Treatment System Study, Phase 1--issued July 1994; Integrated Thermal Treatment System Study, Phase 2--issued February 1996; and Integrated Nonthermal Treatment System Study--drafted March 1996. The purpose of this review was to (1) determine whether the assumptions of the studies were adequate to produce an unbiased review of both thermal and nonthermal systems, (2) to identify the critical areas of the studies that would benefit from further investigation, and (3) to develop a standard template that could be used in future studies to assure a sound application of systems engineering.

  14. Review of the integrated thermal and nonthermal treatment system studies

    International Nuclear Information System (INIS)

    This report contains a review and evaluation of three systems analysis studies performed by LITCO on integrated thermal treatment systems and integrated nonthermal treatment systems for the remediation of mixed low-level waste stored throughout the US Department of Energy weapons complex. The review was performed by an independent team of nine researchers from the Energy and Environmental Research Center, Science Applications International Corporation, the Waste Policy Institute, and Virginia Tech. The three studies reviewed were as follows: Integrated Thermal Treatment System Study, Phase 1--issued July 1994; Integrated Thermal Treatment System Study, Phase 2--issued February 1996; and Integrated Nonthermal Treatment System Study--drafted March 1996. The purpose of this review was to (1) determine whether the assumptions of the studies were adequate to produce an unbiased review of both thermal and nonthermal systems, (2) to identify the critical areas of the studies that would benefit from further investigation, and (3) to develop a standard template that could be used in future studies to assure a sound application of systems engineering

  15. Integrated thermal treatment system study -- Phase 2 results. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Feizollahi, F.; Quapp, W.J.

    1996-02-01

    This report presents the second phase of a study on thermal treatment technologies. The study consists of a systematic assessment of nineteen thermal treatment alternatives for the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the MLLW. The alternatives considered in Phase 2 were innovative thermal treatments with nine types of primary processing units. Other variations in the study examined the effect of combustion gas, air pollution control system design, and stabilization technology for the treatment residues. The Phase 1 study examined ten initial thermal treatment alternatives. The Phase 2 systems were evaluated in essentially the same manner as the Phase 1 systems. The alternatives evaluated were: rotary kiln, slagging kiln, plasma furnace, plasma gasification, molten salt oxidation, molten metal waste destruction, steam gasification, Joule-heated vitrification, thermal desorption and mediated electrochemical oxidation, and thermal desorption and supercritical water oxidation. The quantities, and physical and chemical compositions, of the input waste used in the Phase 2 systems differ from those in the Phase 1 systems, which were based on a preliminary waste input database developed at the onset of the Integrated Thermal Treatment System study. The inventory database used in the Phase 2 study incorporates the latest US Department of Energy information. All systems, both primary treatment systems and subsystem inputs, have now been evaluated using the same waste input (2,927 lb/hr). 28 refs., 88 figs., 41 tabs.

  16. Integrated thermal treatment system study -- Phase 2 results. Revision 1

    International Nuclear Information System (INIS)

    This report presents the second phase of a study on thermal treatment technologies. The study consists of a systematic assessment of nineteen thermal treatment alternatives for the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the MLLW. The alternatives considered in Phase 2 were innovative thermal treatments with nine types of primary processing units. Other variations in the study examined the effect of combustion gas, air pollution control system design, and stabilization technology for the treatment residues. The Phase 1 study examined ten initial thermal treatment alternatives. The Phase 2 systems were evaluated in essentially the same manner as the Phase 1 systems. The alternatives evaluated were: rotary kiln, slagging kiln, plasma furnace, plasma gasification, molten salt oxidation, molten metal waste destruction, steam gasification, Joule-heated vitrification, thermal desorption and mediated electrochemical oxidation, and thermal desorption and supercritical water oxidation. The quantities, and physical and chemical compositions, of the input waste used in the Phase 2 systems differ from those in the Phase 1 systems, which were based on a preliminary waste input database developed at the onset of the Integrated Thermal Treatment System study. The inventory database used in the Phase 2 study incorporates the latest US Department of Energy information. All systems, both primary treatment systems and subsystem inputs, have now been evaluated using the same waste input (2,927 lb/hr). 28 refs., 88 figs., 41 tabs

  17. Low-dose human chorionic gonadotropin adjunct to an antagonist protocol in assisted reproductive technology: a randomized trial study.

    Directory of Open Access Journals (Sweden)

    Marzieh Aghahosseini

    2014-06-01

    Full Text Available The aim of this study was to evaluate the outcomes of adding low-dose hCG (human chorionic gonadotropin, as an LH active supplement, to a GnRH antagonist protocol in patients undergoing assisted reproduction techniques. In this parallel-group randomized clinical trial, 137 infertile female outpatients aged 20 - 39 years were randomized into two groups: hCG group and non-hCG group. All patients received r-FSH (150-300 IU and then a GnRH-antagonist, Cetrorelix (0.25 mg/day. Concomitantly with Cetrorelix, patients in the hCG group received low-dose hCG (200 IU daily, but the patients in the non-hCG group did not. 10,000 IU Urinary hCG (10,000 IU was injected to all patients, and ICSI was performed after oocyte retrieval. The primary outcome of this study was comparing the pregnancy rates between two study groups. Other differences between two groups such as serum estradiol concentration, fertilization rate, etc. were considered as secondary outcomes. A total of 130 patients completed this trial. No significant difference was detected between pregnancy rates of the two groups (P=0.52 as well as the fertilization, implantation and ongoing pregnancy rates (P=0.11, P=0.75 and P=0.06 respectively. The only significant difference between two groups was a higher concentration of estradiol in the hCG-treated patients (P<0.05. HCG-treated patients experienced a shorter treatment duration and a lower r-FSH required dose than the non-hCG group, but none of these differences were statistically significant (P=0.19 and P=0.10, respectively. The findings of the current study did not support advantages of adding low-dose hCG to GnRH antagonist plus r-FSH protocol in an unselected population of patients. Well-designed trials with a larger sample size for specific patients' subgroups are warranted.

  18. Personal Insights and Anecdotes about the Weatherization Assistance Program Process Field Study

    Energy Technology Data Exchange (ETDEWEB)

    Treitler, Inga [Anthropology Imagination, Inc., Knoxville, TN (United States)

    2014-09-01

    The present report is based on the research conducted for the Process Field Study between March and September 2011. The Process Field Study documents how Weatherization Assistance Program (WAP) services were delivered to clients, and the quality with which those services were delivered. The assessments were conducted by visiting 19 agencies in 19 states around the country interviewing agency managers, staff, and contractors; observing program intake along, with 43 audits, 45 measure installation and 37 final inspections; and conducting debriefing interviews with clients and weatherization staff following the observation of service delivery. In this report, we turn to detailed observations of a few field interactions. The client stories from our observations illustrate some of the ways clients and crew interact to build the success of the program, but shows there will always be unanticipated obstacles to building trust and getting the program to the public. Stories of staff and crew career paths indicate that weatherization technology and techniques are being learned and used by technicians out of the new home construction industry and that their new knowledge provides them with technical tools and methods that many hope to take back into the construction industry if and when they return. This report is organized according to the four stages of weatherization: intake, audit, installation, and inspection. It contributes to our understanding of the area where policy, environment, culture, and individual decisions influence social innovation. The anecdotes reveal the realities of implementing programs for the benefit of the greater good at minimal cost and sacrifice in times of ever restricting budgets. As the authors revisited their field notes and compiled memorable narratives to communicate the essence of the weatherization experience, they identified three key takeaways that summarize the major issues. First, in WAP as in all services there will always be

  19. Video-assisted thoracic surgery reduces early postoperative stress. A single-institutional prospective randomized study

    Science.gov (United States)

    Asteriou, Christos; Lazopoulos, Achilleas; Rallis, Thomas; Gogakos, Apostolos S; Paliouras, Dimitrios; Tsakiridis, Kosmas; Zissimopoulos, Athanasios; Tsavlis, Drosos; Porpodis, Konstantinos; Hohenforst-Schmidt, Wolfgang; Kioumis, Ioannis; Organtzis, John; Zarogoulidis, Konstantinos; Zarogoulidis, Paul; Barbetakis, Nikolaos

    2016-01-01

    Background Video-assisted thoracic surgery (VATS) has been shown to effectively reduce postoperative pain, enhance mobilization of the patients, shorten in-hospital length of stay, and minimize postoperative morbidity rates. The aim of this prospective study is to evaluate neuroendocrine and respiratory parameters as stress markers in cancer patients who underwent lung wedge resections, using both mini muscle-sparing thoracotomy and VATS approach. Methods The patients were randomly allocated into two groups: Group A (n=30) involved patients who were operated on using the VATS approach, while in group B (n=30), the mini muscle-sparing thoracotomy approach was used. Neuroendocrine and biological variables assessed included blood glucose levels, C-reactive protein (CRP) levels, cortisol, epinephrine, and adrenocorticotropic hormone (ACTH) levels. Arterial oxygen (PaO2) and carbon dioxide (PaCO2) partial pressure were also evaluated. All parameters were measured at the following time points: 24 hours preoperatively (T1), 4 hours (T2), 24 hours (T3), 48 hours (T4), and 72 hours (T5), after the procedure. Results PaO2 levels were significantly higher 4 and 24 hours postoperatively in group A vs group B, respectively (T2: 94.3 vs 77.9 mmHg, P=0.015, T3: 96.4 vs 88.7 mmHg, P=0.034). Blood glucose (T2: 148 vs 163 mg/dL, P=0.045, T3: 133 vs 159 mg/dL, P=0.009) and CRP values (T2: 1.6 vs 2.5 mg/dL, P=0.024, T3: 1.5 vs 2.1 mg/dL, P=0.044) were found increased in both groups 4 and 24 hours after the procedure. However, their levels were significantly lower in the VATS group of patients. ACTH and cortisol values were elevated immediately after the operation and became normal after 48 hours in both groups, without significant difference. Postoperative epinephrine levels measured in group A vs group B, respectively, (T2: 78.9 vs 115.6 ng/L, P=0.007, T3: 83.4 vs 122.5 ng/L, P=0.012, T4: 67.4 vs 102.6 ng/L, P=0.021). The levels were significantly higher in group B. Conclusion This

  20. Characteristics of Treatment Seeking Finnish Pathological Gamblers: Baseline Data from a Treatment Study

    Science.gov (United States)

    Lahti, Tuuli; Halme, Jukka; Pankakoski, Maiju; Sinclair, David; Alho, Hannu

    2013-01-01

    This article describes the socio-demographic characteristics and gambling behavior of 39 pathological gamblers who participated in our treatment study in 2009. The inclusion criteria of the study were: score of five or more on both the South Oaks Gambling Screen (SOGS) and a pathological gambling screen based on the Diagnostic and Statistical…

  1. Microbiota-based Signature of Gingivitis Treatments: A Randomized Study.

    Science.gov (United States)

    Huang, Shi; Li, Zhen; He, Tao; Bo, Cunpei; Chang, Jinlan; Li, Lin; He, Yanyan; Liu, Jiquan; Charbonneau, Duane; Li, Rui; Xu, Jian

    2016-01-01

    Plaque-induced gingivitis can be alleviated by various treatment regimens. To probe the impacts of various anti-gingivitis treatments on plaque microflora, here a double blinded, randomized controlled trial of 91 adults with moderate gingivitis was designed with two anti-gingivitis regimens: the brush-alone treatment and the brush-plus-rinse treatment. In the later group, more reduction in both Plaque Index (TMQHI) and Gingival Index (mean MGI) at Day 3, Day 11 and Day 27 was evident, and more dramatic changes were found between baseline and other time points for both supragingival plaque microbiota structure and salivary metabonomic profiles. A comparison of plaque microbiota changes was also performed between these two treatments and a third dataset where 50 subjects received regimen of dental scaling. Only Actinobaculum, TM7 and Leptotrichia were consistently reduced by all the three treatments, whereas the different microbial signatures of the three treatments during gingivitis relieve indicate distinct mechanisms of action. Our study suggests that microbiota based signatures can serve as a valuable approach for understanding and potentially comparing the modes of action for clinical treatments and oral-care products in the future. PMID:27094556

  2. A comparative study between xerographic, computer-assisted overlay generation and animated-superimposition methods in bite mark analyses.

    Science.gov (United States)

    Tai, Meng Wei; Chong, Zhen Feng; Asif, Muhammad Khan; Rahmat, Rabiah A; Nambiar, Phrabhakaran

    2016-09-01

    This study was to compare the suitability and precision of xerographic and computer-assisted methods for bite mark investigations. Eleven subjects were asked to bite on their forearm and the bite marks were photographically recorded. Alginate impressions of the subjects' dentition were taken and their casts were made using dental stone. The overlays generated by xerographic method were obtained by photocopying the subjects' casts and the incisal edge outlines were then transferred on a transparent sheet. The bite mark images were imported into Adobe Photoshop® software and printed to life-size. The bite mark analyses using xerographically generated overlays were done by comparing an overlay to the corresponding printed bite mark images manually. In computer-assisted method, the subjects' casts were scanned into Adobe Photoshop®. The bite mark analyses using computer-assisted overlay generation were done by matching an overlay and the corresponding bite mark images digitally using Adobe Photoshop®. Another comparison method was superimposing the cast images with corresponding bite mark images employing the Adobe Photoshop® CS6 and GIF-Animator©. A score with a range of 0-3 was given during analysis to each precision-determining criterion and the score was increased with better matching. The Kruskal Wallis H test showed significant difference between the three sets of data (H=18.761, pcomputer-assisted animated-superimposition method was the most accurate, followed by the computer-assisted overlay generation and lastly the xerographic method. The superior precision contributed by digital method is discernible despite the human skin being a poor recording medium of bite marks. PMID:27591538

  3. Study on bioactivity of NiTinol after surface treatment

    Directory of Open Access Journals (Sweden)

    W. Chrzanowski

    2008-05-01

    Full Text Available Purpose: The aim of the work was to assess bioactive properties and corrosion resistance of nickel titanium alloyafter alkali treatment and spark oxidation in Hank’s Balance Salt Solution.Design/methodology/approach: Surfaces of samples were prepared by chemical treatment in NaOHfollowed by heat treatment, and spark oxidation. Corrosion resistance was investigated using potentiodynamicmethod. Chemical composition of the samples surface was measured using SEM EDX. Surface roughness andtopography was analyzed using AFM. Bioactive properties were analyses on the basis of the chemical compositionof the samples immersed in HBSS for 14 days.Findings: The chemical composition analysis of the samples showed that alkali treatment increased significantlynickel content in top layer and also increase in roughness was observed. Spark oxidation results also in roughnessincrease. Corrosion test showed insignificant increase of the corrosion resistance after oxidation while alkalitreatment caused drop of the resistance. Bioactivity study revealed that both applied treatments did not improvebioactive properties of the NiTinol when compared with simply ground samples.Research limitations/implications: Two types of the treatment applied for nickel titanium and intended toimprove bioactive properties were investigated. There was no improvement in bioactivity observed after surfacetreatment. However, alternation in chemical composition, corrosion resistance, and topography were observed.Further analysis of biocompatibility and mechanical properties are required.Practical implications: Both chemical and electrochemical treatment, as presented in the paper, gave promisingresults in terms of wetting ability, topography and apatite film formation, however further study are required toconfirm suitability of the treatments for medical applications.Originality/value: The obtained results revealed unsuitability of the alkali treatment intended to improvebioactivity of the

  4. Medical treatment at Louis Armstrong New Orleans International Airport after hurricane Katrina: the experience of disaster medical assistance teams WA-1 and OR-2.

    Science.gov (United States)

    Sanford, Christopher; Jui, Jonathan; Miller, Helen C; Jobe, Kathleen A

    2007-07-01

    In the week following Hurricane Katrina, over 3000 patients were evacuated by air from a triage and medical treatment station at the Louis Armstrong New Orleans International Airport. This represents the largest air evacuation in history. Over 24,000 additional evacuees were transported from the airport to shelters. Disaster Medical Assistance Teams (DMATs) from several US states were deployed to the Louis Armstrong New Orleans International Airport to provide medical care to those evacuated from New Orleans. Despite warning from the US National Weather Service of catastrophic damage to New Orleans, adequate medical staffing was not attained at the airport triage station until 6 days after the hurricane struck. Organizational lapses, including inadequate medical and operational planning, understaffing of medical personnel, and failure to utilize Incident Command System, diminished the effectiveness of the Hurricane Katrina New Orleans Medical Operation. PMID:17574144

  5. Properties and extraction of pectin-enriched materials from sugar beet pulp by ultrasonic-assisted treatment combined with subcritical water.

    Science.gov (United States)

    Chen, Hai-ming; Fu, Xiong; Luo, Zhi-gang

    2015-02-01

    Pectin-enriched material (PEM) was extracted from sugar beet pulp using subcritical water combined with ultrasonic-assisted treatment. Optimisation of the reaction parameters for maximum extraction yield of PEM was carried out using response surface methodology. Optimum modification conditions were as follows: liquid/solid ratio 44.03, extraction temperature 120.72°C, extraction time 30.49min and extraction pressure 10.70MPa. Under optimal conditions, the maximum yield of PEM was 24.63%. The composition of the PEM was determined. The data showed that the contents of galacturonic acid and arabinose were 59.12% and 21.66%, respectively. The flow behaviours were investigated by a rheometer. The effects of PEM on the pasting and thermal properties of maize starch were also conducted. The results showed that the addition of PEM increased pasting temperature and decreased other pasting parameters. Increasing PEM concentrations resulted in increased gelatinisation temperature and enthalpy. PMID:25172714

  6. Sponge-Like Dressings Based on the Association of Chitosan and Sericin for the Treatment of Chronic Skin Ulcers. I. Design of Experiments-Assisted Development.

    Science.gov (United States)

    Mori, Michela; Rossi, Silvia; Ferrari, Franca; Bonferoni, Maria Cristina; Sandri, Giuseppina; Chlapanidas, Theodora; Torre, Maria Luisa; Caramella, Carla

    2016-03-01

    The aim of the present work was the development of sponge-like dressings based on chitosan glutamate (high molecular weight) and sericin for the treatment of chronic skin ulcers. Dressings were prepared by freeze-drying and glycine was added as cryoprotectant agent. Dressing development was assisted by design of experiments, using a simplex centroid design. Mechanical resistance, hydration propensity, viscous, and viscoelasticity properties of dressings were considered as response variables. The superimposition of the contour plots, calculated by the best fit model for each response variable, permitted to individuate a region of the factor space where the dressing of optimized quantitative composition was chosen. Such a dressing was able to absorb high amount of phosphate-buffered saline forming a gel characterized by rheological properties enabling both a lubricant and a protective effect. The optimized formulation was characterized by optimal mechanical properties and by cell proliferation and antioxidant activity on human fibroblast cell line. PMID:26886338

  7. Computer-assisted delineation of lung tumor regions in treatment planning CT images with PET/CT image sets based on an optimum contour selection method

    International Nuclear Information System (INIS)

    To assist radiation oncologists in the delineation of tumor regions during treatment planning for lung cancer, we have proposed an automated contouring algorithm based on an optimum contour selection (OCS) method for treatment planning computed tomography (CT) images with positron emission tomography (PET)/CT images. The basic concept of the OCS is to select a global optimum object contour based on multiple active delineations with a level set method around tumors. First, the PET images were registered to the planning CT images by using affine transformation matrices. The initial gross tumor volume (GTV) of each lung tumor was identified by thresholding the PET image at a certain standardized uptake value, and then each initial GTV location was corrected in the region of interest of the planning CT image. Finally, the contours of final GTV regions were determined in the planning CT images by using the OCS. The proposed method was evaluated by testing six cases with a Dice similarity coefficient (DSC), which denoted the degree of region similarity between the GTVs contoured by radiation oncologists and the proposed method. The average three-dimensional DSC for the six cases was 0.78 by the proposed method, but only 0.34 by a conventional method based on a simple level set method. The proposed method may be helpful for treatment planners in contouring the GTV regions. (author)

  8. Restricting Access to ART on the Basis of Criminal Record : An Ethical Analysis of a State-Enforced "Presumption Against Treatment" With Regard to Assisted Reproductive Technologies.

    Science.gov (United States)

    Thompson, Kara; McDougall, Rosalind

    2015-09-01

    As assisted reproductive technologies (ART) become increasingly popular, debate has intensified over the ethical justification for restricting access to ART based on various medical and non-medical factors. In 2010, the Australian state of Victoria enacted world-first legislation that denies access to ART for all patients with certain criminal or child protection histories. Patients and their partners are identified via a compulsory police and child protection check prior to commencing ART and, if found to have a previous relevant conviction or child protection order, are given a "presumption against treatment." This article reviews the legislation and identifies arguments that may be used to justify restricting access to ART for various reasons. The arguments reviewed include limitations of reproductive rights, inheriting undesirable genetic traits, distributive justice, and the welfare of the future child. We show that none of these arguments justifies restricting access to ART in the context of past criminal history. We show that a "presumption against treatment" is an unjustified infringement on reproductive freedom and that it creates various inconsistencies in current social, medical, and legal policy. We argue that a state-enforced policy of restricting access to ART based on the non-medical factor of past criminal history is an example of unjust discrimination and cannot be ethically justified, with one important exception: in cases where ART treatment may be considered futile on the basis that the parents are not expected to raise the resulting child. PMID:25701147

  9. Preliminary study of interventional treatment for tubal pregnancy

    International Nuclear Information System (INIS)

    Objective: To study the clinical value and methods of interventional treatment for tubal pregnancy. Methods: Two different methods were used in the interventional treatment of 18 patients with tubal pregnancy, which were transvaginal tubal intra-gestational methotrexate (MTX) injection and intra-utero-arterial MTX infusion. The former was selected for the treatment of 8 patients and the latter for 10 patients. Cook-fallopian tube catheterization set and the general angiographic catheters of 4.1 Fr Cobra were used. After the treatment, conditions of the patients, β-HCG level and ultrasound changes of the pregnant bladder were the main indexes for monitoring the therapeutic effect in this study. Results: The successful rate, cure rate, embryo killing rate reached 100%, 88.9%(16/18) and 94.4% (17/18) respectively. Two cases of intra-utero-arterial MTX infusion treatment failed, β-HCG was reduced to normal level with an average of 11.2 +- 11.6 d (3-28 d). In 10 cases, the ultrasound showed that the pregnancy bladder disappeared in 2-3 weeks, accounting for 76.9% (10/13). The longest time was 60 days. The range of menstruation recovery was 37 +- 9 d (21-50 d). Conclusions: Interventional treatment of tubal pregnancy is effective, reliable and easy for operation. It will be especially effective by arterial procedure. Interventional treatment will be a important method for terminating tubal pregnancy

  10. Surgical Assisting

    Science.gov (United States)

    ... specific training over and above a degree in science, nursing, physician assisting, or another health profession. Prerequisites . Recommended eligibility requirements for admission into a surgical assisting program are: Bachelor of Science degree (or higher) Associate degree in an allied ...

  11. Assistive Technology

    Science.gov (United States)

    ... Page Resize Text Printer Friendly Online Chat Assistive Technology Assistive technology (AT) is any service or tool that helps ... be difficult or impossible. For older adults, such technology may be a walker to improve mobility or ...

  12. Assisted Living

    Science.gov (United States)

    ... overwhelming majority of residents are female. Assisted Living Philosophy The philosophy of assisted living is to provide personalized, resident ... loved ones to learn about the care provider philosophy . Freedom of Choice The most progressive state regulations ...

  13. Radiation chemical studies on the treatment of waste water

    International Nuclear Information System (INIS)

    The radiation induced reaction in aqueous solution was studied to develope the radiation treatment as a new technique for waste water and to elevate the effectiveness of radiation. The effectiveness of radiation was enhanced by combination of radiation induced reaction with conventional methods such as biological treatment and coagulation treatment. The synergistic effect of radiation and ozone was studied by using phenol and ethylene glycol. The chain reaction was observed in the radiation induced oxidation. The combination of radiation and ozone is considered to be one of the most useful method. In this report, the mechanism of each reaction and the applicability of the reaction to the treatment of waste water are discussed. (author)

  14. A study of irradiation in the treatment of wastewater

    Science.gov (United States)

    Bao, Huaying; Liu, Yuanxia; Jia, Haishun

    2002-03-01

    A grafting copolymer of starch and acrylamide was prepared by 60Co- γ pre-irradiation. After purification, the copolymer was modified by a cationic reaction to form a cationic copolymer. The structure of the cationic copolymer was identified by IR and NMR spectroscopy. Using the industrial and sanitary municipal wastewater from the Factory of Wastewater Treatment of Gaobeidian in Beijing as the study sample, three-treatment methods: flocculation deposition, flocculation deposition combined with γ irradiation and the direct irradiation were carried out. COD was applied to evaluate the treatment effect. The preliminary results show that the method of flocculation deposition combined with γ irradiation was effective than the other two.

  15. SCFA lead lab technical assistance at Oak Ridge Y-12 nationalsecurity complex: Evaluation of treatment and characterizationalternatives of mixed waste soil and debris at disposal area remedialaction DARA solids storage facility (SSF)

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry

    2002-08-26

    On July 17-18, 2002, a technical assistance team from the U.S. Department of Energy (DOE) Subsurface Contaminants Focus Area (SCFA) met with the Bechtel Jacobs Company Disposal Area Remedial Action (DARA) environmental project leader to review treatment and characterization options for the baseline for the DARA Solids Storage Facility (SSF). The technical assistance request sought suggestions from SCFA's team of technical experts with experience and expertise in soil treatment and characterization to identify and evaluate (1) alternative treatment technologies for DARA soils and debris, and (2) options for analysis of organic constituents in soil with matrix interference. Based on the recommendations, the site may also require assistance in identifying and evaluating appropriate commercial vendors.

  16. Feasibility study: honey for treatment of cough in children.

    OpenAIRE

    Naveed Ahmed; Alastair Sutcliffe; Claire Tipper

    2013-01-01

    Respiratory tract infections are an important health problem because of high incidence and economic costs. The World Health Organization identifies honey as a potential demulcent treatment for cough. The aim of this study is to determine: i) patient public perceptions towards a proposed randomized controlled trial (RCT) comparing the effects of honey to placebo for treatment of cough in children; ii) potential participation rates for proposed trial; iii) whether age and gender of parent or ch...

  17. Cultural competency in a physician assistant curriculum in the United States: a longitudinal study with two cohorts

    OpenAIRE

    Barbra Beck; Matthew H. Scheel; Kathleen De Oliveira; Jane Hopp

    2014-01-01

    Purpose: Many physician assistant (PA) programs have recently integrated cultural competency into their curricula. However, there is little evidence of the longitudinal effectiveness of such curricula on culture competency. This study tested whether the amount of exposure to a cultural competency curriculum affected self-assessments of cultural awareness in two cohorts of students. Methods: Cohort 1 and Cohort 2 students completed a cultural awareness survey at the beginning of the program an...

  18. Effect of surgical experience on imageless computer-assisted femoral component positioning in hip resurfacing – a preclinical study

    OpenAIRE

    Stiehler, Maik; Goronzy, Jens; Kirschner, Stephan; Hartmann, Albrecht; Schäfer, Torsten; Günther, Klaus-Peter

    2015-01-01

    Background: The clinical outcome of hip resurfacing (HR) as a demanding surgical technique associated with a substantial learning curve depends on the position of the femoral component. The aim of the study was to investigate the effects of the level of surgical experience on computer-assisted imageless navigation concerning precision of femoral component positioning, notching, and oversizing rate, as well as operative time. Methods: Three surgeons with different levels of experienc...

  19. Studies on the Mental Processes in Translation Memory-assisted Translation – the State of the Art

    DEFF Research Database (Denmark)

    Christensen, Tina Paulsen

    2011-01-01

    This article reviews research on the mental translation processes involved in translation memory-assisted translation. First, based on recent developments in cognitive science the article provides a working definition of mental TM research. Next the article analyses a selection of mental TM studies...... is needed which takes into account the recent developments within TM technology and looks into both internal and external translation processes....

  20. Patients’ acceptance of corticotomy-assisted orthodontics

    Science.gov (United States)

    Zawawi, Khalid H

    2015-01-01

    Objective To study patients’ acceptance of corticotomy-assisted orthodontics as a treatment option. Methods Adult patients seeking orthodontic treatment were asked to complete two sets of questionnaires; the first set included questions about age, sex, and level of education and general questions about orthodontic treatment; and the second set was related to the corticotomy-assisted orthodontics. Before answering the corticotomy questions, a brief description of the clinical procedure was explained and photographs of an actual procedure were shown. Results A total of 150 subjects were approached and 129 (86%) agreed to answer the questionnaires (72 male and 57 female patients). Of these, only 3.1% did hear about corticotomy and 7.8% selected corticotomy instead of extraction. Fear from the surgery (53.2%) was the most frequent reason for not selecting corticotomy followed by fear from pain (36.9%). The acceptance of corticotomy between males and females was similar. No relationship was found between the level of education and prior knowledge of the procedure, P=0.857. Prior knowledge about corticotomy was not a factor in selecting it as a treatment option (P=0.556) to reduce the treatment time (P=0.427). Conclusion The acceptance of corticotomy-assisted orthodontics as a treatment option was low. Fear from the surgery was the main reason for not selecting it. The acceptance of corticotomy-assisted orthodontics was not related to patient’s level of education or sex. PMID:26316719

  1. Treatment planning structure and process in the United States: a 'patterns of care' study

    International Nuclear Information System (INIS)

    Purpose: To conduct a study of the structure and process of treatment planning in the United States. Methods and Materials: A Patterns of Care treatment planning consensus committee developed a survey form that was used to gather data for 106 items relating to the structure and process of treatment planning. These questions were general in nature and not specific to any particular disease site. Seventy-three facilities were randomly selected for site visits from the 1321 radiation therapy facilities in the United States: 21 academic, 26 hospital, and 26 free-standing. During the site visit the facility physicist, assisted by the site-visit physicist, completed the form. Results: Twenty-nine percent of facilities have cobalt-60 machines; 25% have 4 MV linacs; 75% have photon energies in the range of 5-8 MV; and less than 10% have energies greater than 20 MV. Academic facilities led hospital and free-standing facilities by about 30 percentage points in the availability of all electron energies (88 vs. 58%, approximately, in the range 4-13 MeV and scaling downward to about 60 vs. 30% at the highest energies). The national averages for the availability of Cs-137, Ir-192, and I-125 were 87, 73, and 44%, respectively. Computerized tomography (CT) scanning is not available or not used in 15% of hospital and free-standing facilities. Ninety-six percent of facilities have treatment planning computers; at 10% of facilities physicians do not participate in treatment planning. The estimated national averages of facilities having formal quality assurance (QA) programs for treatment planning systems, simulators, film processors, and blocking systems are 44, 79, 62, and 55%, respectively. Sixty-three percent of facilities obtain independent machine calibrations. Conclusion: This is the first patterns of treatment planning study carried out in the United States and the results reported here will establish a baseline for future studies. The present study has identified some

  2. A control study on treatment for benzodiazepine dependence with trazodone

    Directory of Open Access Journals (Sweden)

    ZHANG Hong-ju

    2013-05-01

    Full Text Available Objective To determine the efficacy and safety of trazodone in the treatment of benzodiazepine dependence. Methods Forty insomnia patients who met the Classification and Diagnostic Criteria of Mental Disorders in China Third Edition (CCMD-3 of dependence syndrome due to benzodiazepine were involved in the study. Patients were randomly assigned to trazodone group and placebo group for 3 months. The efficacy were assessed by Withdrawal Symptoms Checklist, Hamilton Anxiety Rating Scale (HAMA and polysomnography (PSG. Adverse events were assessed by Treatment Emergent Symptom Scale (TESS. Results The Withdrawal Symptoms Checklist of trazodone group was significantly lower after 7 d treatment than that of placebo group (P = 0.000, and HAMA score of the trazodone group was also significantly lower after 15 d treatment than that of placebo group (P = 0.000. There were no difference in Withdrawal Symptoms Checklist and HAMA of placebo group before and after treatment. Withdrawal Symptoms Checklist and HAMA of the trazodone group were decreased after treatment (P = 0.000. In comparison with placebo group, sleep parameters of the trazodone, including total sleep time (TST, sleep efficiency (SE, sleep latency (SL and slow wave sleep (SWS time presented improvement after 7 d treatment (P = 0.000, for all. After trazodone treatment, total sleep time, slow wave sleep time, sleep efficiency and sleep latency were improved (P = 0.000, for all. No obvious adverse reaction occurred. There were no significant differences in TESS scores between pre? and post?treatment in both groups (P > 0.05. Conclusion Trazodone is markedly effective and safe in the treatment for benzodiazepine dependence.

  3. Anorexia nervosa: treatment expectations – a qualitative study

    Directory of Open Access Journals (Sweden)

    Paulson-Karlsson G

    2012-07-01

    Full Text Available Gunilla Paulson-Karlsson,1 Lauri Nevonen21Academy of Health and Medical Sciences, Örebro University, Örebro and Anorexia-Bulimia Unit, Child and Adolescent Psychiatry Centre, Queen Silvia Children's Hospital, Göteborg, Sweden; 2Academy of Health and Medical Sciences, Örebro University, Örebro, SwedenBackground: Anorexia nervosa is a serious illness with a high mortality rate, a poor outcome, and no empirically supported treatment of choice for adults. Patients with anorexia nervosa strive for thinness in order to obtain self-control and are ambivalent toward change and toward treatment. In order to achieve a greater understanding of patients' own understanding of their situation, the aim of this study was to examine the expectations of potential anorexic patients seeking treatment at a specialized eating-disorder unit.Methods: A qualitative study design was used. It comprised 15 women between 18 and 25 years of age waiting to be assessed before treatment. The initial question was, "What do you expect, now that you are on the waiting list for a specialized eating-disorder unit?" A content analysis was used, and the text was coded, categorized according to its content, and further interpreted into a theme.Results: From the results emerged three main categories of what participants expected: "treatment content," "treatment professionals," and "treatment focus." The overall theme, "receiving adequate therapy in a collaborative therapeutic relationship and recovering," described how the participants perceived that their expectations could be fulfilled.Discussion: Patients' expectations concerning distorted thoughts, eating behaviors, a normal, healthy life, and meeting with a professional with knowledge and experience of eating disorders should be discussed before treatment starts. In the process of the therapeutic relationship, it is essential to continually address patients' motivations, in order to understand their personal motives behind

  4. In vivo bioprinting for computer- and robotic-assisted medical intervention: preliminary study in mice

    Energy Technology Data Exchange (ETDEWEB)

    Keriquel, Virginie; Guillemot, Fabien; Arnault, Isabelle; Guillotin, Bertrand; Amedee, Joelle; Fricain, Jean-Christophe; Catros, Sylvain [INSERM, U577, Bordeaux, F-33076 (France) and Universite Victor Segalen Bordeaux 2, UMR-S577 Bordeaux, F-33076 (France); Miraux, Sylvain [Centre de Resonance Magnetique des Systemes Biologiques, UMR 5536 (France)

    2010-03-15

    We present the first attempt to apply bioprinting technologies in the perspective of computer-assisted medical interventions. A workstation dedicated to high-throughput biological laser printing has been designed. Nano-hydroxyapatite (n-HA) was printed in the mouse calvaria defect model in vivo. Critical size bone defects were performed in OF-1 male mice calvaria with a 4 mm diameter trephine. Prior to laser printing experiments, the absence of inflammation due to laser irradiation onto mice dura mater was shown by means of magnetic resonance imaging. Procedures for in vivo bioprinting and results obtained using decalcified sections and x-ray microtomography are discussed. Although heterogeneous, these preliminary results demonstrate that in vivo bioprinting is possible. Bioprinting may prove to be helpful in the future for medical robotics and computer-assisted medical interventions.

  5. In vivo bioprinting for computer- and robotic-assisted medical intervention: preliminary study in mice

    International Nuclear Information System (INIS)

    We present the first attempt to apply bioprinting technologies in the perspective of computer-assisted medical interventions. A workstation dedicated to high-throughput biological laser printing has been designed. Nano-hydroxyapatite (n-HA) was printed in the mouse calvaria defect model in vivo. Critical size bone defects were performed in OF-1 male mice calvaria with a 4 mm diameter trephine. Prior to laser printing experiments, the absence of inflammation due to laser irradiation onto mice dura mater was shown by means of magnetic resonance imaging. Procedures for in vivo bioprinting and results obtained using decalcified sections and x-ray microtomography are discussed. Although heterogeneous, these preliminary results demonstrate that in vivo bioprinting is possible. Bioprinting may prove to be helpful in the future for medical robotics and computer-assisted medical interventions.

  6. Management of gallbladder duplication using a single-site robotic-assisted approach: a case study.

    Science.gov (United States)

    Boyle, Melanie Adams; Kaplin, Aviva Wallace; Kushnir, Leon; Montero-Pearson, Per

    2016-06-01

    Gallbladder duplication is a rare congenital anomaly. Here, we describe a 29-year-old female who presents with classic symptoms of biliary colic. A duplicated gallbladder was recognized on preoperative ultrasound. This case report reviews a single-site robotic-assisted cholecystectomy with a cystic duct duplication. The patient underwent the surgery without complication. Due to the aberrant anatomy of the cystic triangle, it was decided to mobilize the gallbladder in a dome-down fashion. True gallbladder duplication can be categorized according to cystic duct orientation based on Boyden's classification. Preoperative diagnosis is essential to prevent surgical complications. A laparoscopic approach can be carried out safely in the hands of a skilled surgeon. This case report shows that the robotic-assisted surgical approach is a viable and safe alternative. PMID:27039190

  7. Determinants of patients' needs in asthma treatment: a cross-sectional study.

    Science.gov (United States)

    Loerbroks, Adrian; Sheikh, Aziz; Leucht, Verena; Apfelbacher, Christian J; Icks, Andrea; Angerer, Peter

    2016-01-01

    Patients' needs in asthma remain insufficiently understood and met. We therefore aimed to investigate the potential determinants of patients' needs in asthma treatment. Our study was based on survey data on 189 adults with asthma. Needs were measured using the 13-item Needs in Asthma Treatment questionnaire, which yields a total score and subscale-specific scores ('exacerbations', 'patient expertise', 'handling drugs' and 'drug effects'). We considered age, sex, education, years since diagnosis and anxiety/depression (measured by the Patient Health Questionnaire-4) as potential determinants. Associations were estimated by multivariable linear regression. Overall, we observed that younger age, poor mental health and a more recently established asthma diagnosis were independently associated with increased needs. Information on drug effects was an exception to this pattern as the need in that domain was solely determined by sex (being greater in men). In conclusion, our study provides novel evidence on patient characteristics that are associated with needs in asthma treatment. If confirmed by future studies, our observations may assist healthcare professionals to identify asthma patients with potentially elevated information, support and training needs and could contribute to the development of tailored interventions. PMID:27510157

  8. Preparatory catheter-directed thrombolysis together with assisted endovascular angioplasty for the treatment of chronic occlusive arterial disorders of lower extremities

    International Nuclear Information System (INIS)

    Objective: To evaluate the safety and efficacy of preparatory catheter-directed thrombolysis together with assisted endovascular angioplasty in treating chronic occlusive arterial disorders of lower extremities. Methods: From January 2008 to December 2009, preparatory catheter-directed thrombolysis together with assisted endovascular angioplasty was performed in 12 patients with chronic occlusive arterial disorders of lower extremities, including 8 males and 4 females with an average age of 56.3 years (within a range of 38-71 years). All 12 patients had a history of chronic ischemia of lower limb,the mean ill duration was 19.3 months (3-48 months). All patients complained of intermittent claudication with a mean distance of 125 m (50-200 m). Rest pain occurred in 5 patients (42%), toe necrosis was seen in 3 patients (25%) and critically ischemic limb in 4 patients (33%). Ankle-brachial index (ABI) was 0.00 0.65 with a mean of 0.33. In all 12 patients catheter-directed thrombolysis with rt-PA or urokinase was initially carried out, which was followed by endovascular angioplasty (balloon dilatation or stent placement) in two days. The clinical data and the therapeutic results were analyzed. Results: Technical success was achieved in all 12 patients. The mean time of thrombolysis was 48 hours. Of 12 patients, rt-PA was employed in 4 and urokinase in 8. The occluded length of the diseased arteries before the treatment was 60-150 mm, with a mean of 80 mm. After catheter-directed thrombolysis,the occluded length decreased to 10-50 mm (mean of 30 mm). Endovascular angioplasty was successfully completed in all patients after thrombolysis therapy. Postoperative ABI was 0.64-1.0 (mean of 0.86), which was increased by 0.53 when compared to the preoperative figure. During the perioperative period neither complications needed to be surgically treated nor death occurred. All patients were followed up, and the arteries remained open after one year in all cases. Conclusion

  9. A Study on the Education Assistant System Using Smartphones and Service Robots for Children

    OpenAIRE

    Gu-Min Jeong; Chang-Woo Park; Sujeong You; Sang-Hoon Ji

    2014-01-01

    In this paper, we propose a new education assistant system model using both smartphones and service robots for children's learning. Through the interaction between a smartphone and a robot, various use cases can be derived. For example, we can control the movement of the robot remotely, watch the status of the children using real-time streaming, or read the answer on the smartphone while only the question is displayed on the robot. Considering these facts, we present three use cases, namely ‘...

  10. Saffron Samples of Different Origin: An NMR Study of Microwave-Assisted Extracts

    OpenAIRE

    Sobolev, Anatoly P.; Simone Carradori; Donatella Capitani; Silvia Vista; Agata Trella; Federico Marini; Luisa Mannina

    2014-01-01

    An NMR analytical protocol is proposed to characterize saffron samples of different geographical origin (Greece, Spain, Hungary, Turkey and Italy). A microwave-assisted extraction procedure was developed to obtain a comparable recovery of metabolites with respect to the ISO specifications, reducing the solvent volume and the extraction time needed. Metabolite profiles of geographically different saffron extracts were compared showing significant differences in the content of some metabolites.

  11. Study on the Performance of a Ground Source Heat Pump System Assisted by Solar Thermal Storage

    OpenAIRE

    Yu Jin Nam; Xin Yang Gao; Sung Hoon Yoon; Kwang Ho Lee

    2015-01-01

    A ground source heat pump system (GSHPS) utilizes a relatively stable underground temperature to achieve energy-saving for heating and cooling in buildings. However, continuous long-term operation will reduce the soil temperature in winter, resulting in a decline in system performance. In this research, in order to improve the system performance of a GSHPS, a ground heat pump system integrated with solar thermal storage was developed. This solar-assisted ground heat pump system (SAGHPS) can b...

  12. Globalisation of birth markets: a case study of assisted reproductive technologies in India

    OpenAIRE

    Sarojini Nadimpally; Marwah Vrinda; Shenoi Anjali

    2011-01-01

    Abstract The escalation of Assisted Reproductive Technologies (ARTs) in India into a veritable fertility industry is the result of a multitude of reasons. This paper places the bio-genetic industry within the larger political economy framework of globalisation and privatisation, thus employing a framework that is often omitted from discussions on ARTs, but has direct and significant bearings on the ART industry in India. As markets for human organs, tissues and reproductive body parts experie...

  13. The construction of professional knowledge : a comparative study of Social Assistants and Mediators

    OpenAIRE

    Silva, Ana Maria Costa e

    2014-01-01

    This work is centred on the dynamics of identity and professional development of two socio-professional groups; namely, Social Assistants and Mediators. It takes as its point of departure the characterisation of these socio-professional groups and their professionalization. The professionalization of the social groups matches the dynamics of identity development and presupposes social recognition of their professional knowledge and competences that are built in situations of real work and pro...

  14. Reporting of euthanasia and physician-assisted suicide in the Netherlands: descriptive study

    OpenAIRE

    Gevers Joseph; van Tol Donald; Rurup Mette; Rietjens Judith; Onwuteaka-Philpsen Bregje; van Delden Johannes; Buiting Hilde; van der Maas Paul; van der Heide Agnes

    2009-01-01

    Abstract Background An important principle underlying the Dutch Euthanasia Act is physicians' responsibility to alleviate patients' suffering. The Dutch Act states that euthanasia and physician-assisted suicide are not punishable if the attending physician acts in accordance with criteria of due care. These criteria concern the patient's request, the patient's suffering (unbearable and hopeless), the information provided to the patient, the presence of reasonable alternatives, consultation of...

  15. Study of electrospray assisted electrophoretic deposition of carbon nanotubes on insulator substrates

    Science.gov (United States)

    Kanakamedala, Kalyan; DeSoto, Jared; Sarkar, Anirban; Race, Theda Daniels

    2015-11-01

    In recent years, electrophoretic deposition (EPD) has been adopted as a cost-effective and reliable single-step solution-based room temperature coating method for carbon nanotubes (CNTs), predominantly on conducting surfaces. Contrary to this general pre-requisite of conductive target substrates, in this work we have explored a fabrication strategy for the scalable deposition of CNTs on insulating glass surfaces by the sequential combination of electrospraying and the EPD technique. This combined process flow has been referred to as "electrospray-assisted EPD", where an initial CNT coating on glass substrates is obtained by electrospraying which, in turn, further assists CNT film growth by EPD. The successful integration of the electrospray technique in the EPD process flow also eliminates the need for surface functionalization of the insulator substrates prior to the deposition step. Electrospray-assisted EPD has resulted in the successful fabrication of uniform, homogenous, and thick CNT deposits (˜4.5 - 5 μm) with precise thickness control. A detailed investigation of the effect of the initial electrosprayed coating on the final CNT film growth and thickness is also presented in this report. This research endeavor presents a significant opportunity for the integration of this deposition model into a wider platform of materials research and technology, chemical sensing, and applications based upon printable and flexible electronics. [Figure not available: see fulltext.

  16. Extraction protocols for orthodontic treatment: A retrospective study

    Science.gov (United States)

    Thirunavukkarasu, Vaishnevi N.; Ramachandra, Srinivas Sulugodu; Dicksit, Daniel D.; Gundavarapu, Kalyan C.

    2016-01-01

    Background and Objectives: Various extraction protocols have been followed for successful orthodontic treatment. The purpose of this study was to evaluate the extraction protocols in patients who had previously undergone orthodontic treatment and also who had reported for continuing orthodontic treatment from other clinics. Materials and Methods: One hundred thirty eight patients who registered for orthodontic treatment at the Faculty of Dentistry were divided into 10 extraction protocols based on the Orthodontic treatment protocol given by Janson et al. and were evaluated for statistical significance. Results: The descriptive statistics of the study revealed a total of 40 (29%) patients in protocol 1, 43 (31.2%) in protocol 2, 18 (13%) in protocol 3, 16 (11.6%) in protocol 5, and 12 (8.7%) in Type 3 category of protocol 9. The Type 3 category in protocol 9 was statistically significant compared to other studies. Midline shift and collapse of the arch form were noticed in these individuals. Conclusion: Extraction of permanent teeth such as canine and lateral incisors without rational reasons could have devastating consequences on the entire occlusion. The percentage of cases wherein extraction of permanent teeth in the crowded region was adopted as a treatment option instead of orthodontic treatment is still prevalent in dental practice. The shortage of orthodontists in Malaysia, the long waiting period, and lack of subjective need for orthodontic treatment at an earlier age group were the reasons for the patient's to choose extraction of the mal-aligned teeth such as the maxillary canine or maxillary lateral incisors. PMID:27041899

  17. Assessment and treatment of childhood topographical disorientation: a case study.

    Science.gov (United States)

    Brunsdon, Ruth; Nickels, Lyndsey; Coltheart, Max; Joy, Pamela

    2007-01-01

    Topographical disorientation refers to individuals who are unable to find their way around large-scale environments in a normal manner. Childhood topographical disorientation is rarely investigated or reported. Treatment of topographical disorientation is also rare with only one reported treatment study in an adult (Davis & Coltheart, 1999) and no known description of treatment in a child. This paper reports a detailed case analysis of CA, a 6-year-old child with topographical disorientation, and a description of a treatment programme focused on training orientation in the school environment. Assessment of CA revealed mild to moderate visual agnosia in conjunction with severe impairments in general spatial learning and memory, topographical new learning and memory, and a total inability to learn new topographical routes. CA was also unable to use a mental image of his environment, a simple visual plan of his environment or a simple visual map, but was able to follow verbally mediated topographical instructions. The treatment programme focused on improving CA's topographical orientation in the school environment. The programme first involved training in recognition of major school buildings and landmarks and then focused on practical training in route finding along commonly used routes in the school environment. Clear benefits from treatment were evident. The assessment and treatment methods employed provide practical and useful ideas for management of this condition in other children. PMID:17178605

  18. A study of the treatment method of cerebral artery dissection

    International Nuclear Information System (INIS)

    Objective: To explore the best treatment method of cerebral artery dissection. Methods: This study included eight patients who were definitely diagnosed as cerebral artery dissection by the cerebral angiography in our department of neurology during Oct. 2009 and Nov. 2011. They were all treated by the anticoagulation or anti-platelet methods. Some patients received the stent therapy. All patients' were followed for at least three months. The treatment effect was assessed by NIHSS, mRS and by the cerebral angiography. Results: Six patients had carotid artery dissection, 2 had vertebral artery dissection. Four patients were given anticoagulant therapy and the other 4 were given anti-platelet therapy. The reexamination by angiography 10-14 days after admission showed that in 3 patients, the stenosis was aggravated or the infarction occurred. They were diagnosed as having repeated transient ischemic attack (TIA) during pharmacotherapy and received stents for treatment. There was no TIA and cerebral infarction in the follow-up period after individualized therapy. Mean NIHSS scores of 8 patients between pre and post treatment were 5.9, 1.6 respectively. Mean mRS scores pre and post treatment were 2.5, 0.9 respectively. Conclusion: The treatment for patients with cerebral artery dissection should be individuated. The patients in acute stage should get anticoagulation, anti-platelet therapy and angiography re-examination. According to the clinical manifestation and cerebral angiography, the next step for the treatment should be done. (authors)

  19. Using Calculator-Assisted Instruction to Enhance Low-Achievers in Learning Number Sense: A Case Study of Two Fifth Graders in Taiwan

    Science.gov (United States)

    Yang, Der-Ching; Lin, Yung-Chi

    2015-01-01

    The purpose of this study was to use calculator-assisted instruction to help two fifth-grade low-achievers learn number sense. The research process includes three stages: (1) pre-test interview to detect what kinds of number sense the students did not have; (2) calculator-assisted instruction to help them develop number sense; and (3) post-test…

  20. Impact on cellular immunocompetence by late course accelerated hyperfractionation radiotherapy assisted with cisplatin in the treatment of esophageal carcinoma

    International Nuclear Information System (INIS)

    Objective: To investigate the therapeutic results of late course accelerated hyperfractionation radiotherapy (LCAHR) combined with concomitant cisplatin administration as a sensitizer, and to assess the effects on cell-mediated immunocompetence in the treatment of esophageal carcinoma. Methods: From Jan. to Nov. 199, 104 patients with squamous cell carcinoma (SCC) of the esophagus were randomized to receive LCAHR alone (Group A, 53 patients) or LCAHR plus cisplatin (Group B, 51 patients). For both groups, the same radiation technic was given with the conventional fractionation in the first 3 weeks and 1.5 Gy twice daily, a minimum inter fraction interval of 6 hours, 5 days per week in the final 2 weeks. The total dose was 60 Gy/35 fs/5 wk. For the B group patients, cisplatin was given synchronously with 20 mg once daily for 5 days in the 1 st and 5 th weeks. The CD4, CD8 and CD56 expressions in peripheral blood lymphocytes (PBL) were quantitatively assessed with flow cytometry before and during the treatment. Results: The CD4/CD8 ratio of PBL decreased significantly after treatment completion (P < 0.01 in Group A and P < 0.01 in Group B). Whereas the percentage of positive CD56 PBL increased dramatically (P < 0.01 in two groups). There were no evidence that CD expression difference had any statistical or clinical significance. Conclusion: Immunosuppression may be present on cell-mediated immuno-activity (CD4/CD8) and NK cell (CD56)immuno-enhancement may be obtainable on immuno-surveillance, when esophageal carcinoma is being treated by LCAHR with or without cisplatin

  1. Surface chemistry of plasma-assisted atomic layer deposition of Al2O3 studied by infrared spectroscopy

    International Nuclear Information System (INIS)

    The surface groups created during plasma-assisted atomic layer deposition (ALD) of Al2O3 were studied by infrared spectroscopy. For temperatures in the range of 25-150 deg. C, -CH3 and -OH were unveiled as dominant surface groups after the Al(CH3)3 precursor and O2 plasma half-cycles, respectively. At lower temperatures more -OH and C-related impurities were found to be incorporated in the Al2O3 film, but the impurity level could be reduced by prolonging the plasma exposure. The results demonstrate that -OH surface groups rule the surface chemistry of the Al2O3 process and likely that of plasma-assisted ALD of metal oxides from organometallic precursors in general

  2. Kinetic study on microwave-assisted esterification of free fatty acids derived from Ceiba pentandra Seed Oil.

    Science.gov (United States)

    Lieu, Thanh; Yusup, Suzana; Moniruzzaman, Muhammad

    2016-07-01

    Recently, a great attention has been paid to advanced microwave technology that can be used to markedly enhance the biodiesel production process. Ceiba pentandra Seed Oil containing high free fatty acids (FFA) was utilized as a non-edible feedstock for biodiesel production. Microwave-assisted esterification pretreatment was conducted to reduce the FFA content for promoting a high-quality product in the next step. At optimum condition, the conversion was achieved 94.43% using 2wt% of sulfuric acid as catalyst where as 20.83% conversion was attained without catalyst. The kinetics of this esterification reaction was also studied to determine the influence of factors on the rate of reaction and reaction mechanisms. The results indicated that microwave-assisted esterification was of endothermic second-order reaction with the activation energy of 53.717kJ/mol. PMID:27019128

  3. Electronic Performance Support for Operational Systems: A Case Study of the Link Monitor and Control Operator Assistant

    Science.gov (United States)

    Hill, Randall W., Jr.; Cooper, Lynne P.

    1993-01-01

    For complex operational systems, help needs to come from the inside out. It is often not realistic to call a help desk for problems that need immediate attention, especially for tasks that put a heavy cognitive load on the system operator. This session addresses the issues associated with providing electronic performance support for operational systems, including situations where the system is already fielded and can only change through evolution rather than revolution. We present a case study based on our experiences in developing the Link Monitor and Control Operator Assistant for NASA's Deep Space Network (DSN). The goals of the Operator Assistant are to improve the operability of the system and increase the efficiency of mission operations.

  4. Study and adjustment of ceramic effluent treatment system for reuse

    Directory of Open Access Journals (Sweden)

    José Antonio Cardoso dos Santos

    2008-12-01

    Full Text Available The main paper aim was to present the preliminary results referring to the study and adjustment of the effluent treatment system for reuse in the ceramic floor production process. For this propose methods and techniques for solid and liquid separation were carried out. The focus was the less alteration in the treatment plant the better. So, there were analyzed some alternatives for the effluent treatment and, among them, the primary sedimentation without chemicals followed by the coagulation and flocculation applying ferric chlorine and synthetic polymer, sedimentation and filtration presented the best results. Thus, a new layout for the treatment plant was proposed by integrating the existent units in a different way so they could attend the laboratory established conditions.

  5. Reliability and Validity Study of the Chamorro Assisted Gait Scale for People with Sprained Ankles, Walking with Forearm Crutches

    Science.gov (United States)

    Ridao-Fernández, Carmen; Ojeda, Joaquín; Benítez-Lugo, Marisa; Sevillano, José Luis

    2016-01-01

    Objective The aim of this study was to design and validate a functional assessment scale for assisted gait with forearm crutches (Chamorro Assisted Gait Scale—CHAGS) and to assess its reliability in people with sprained ankles. Design Thirty subjects who suffered from sprained ankle (anterior talofibular ligament first and second degree) were included in the study. A modified Delphi technique was used to obtain the content validity. The selected items were: pelvic and scapular girdle dissociation(1), deviation of Center of Gravity(2), crutch inclination(3), steps rhythm(4), symmetry of step length(5), cross support(6), simultaneous support of foot and crutch(7), forearm off(8), facing forward(9) and fluency(10). Two raters twice visualized the gait of the sample subjects which were recorded. The criterion-related validity was determined by correlation between CHAGS and Coding of eight criteria of qualitative gait analysis (Viel Coding). Internal consistency and inter and intra-rater reliability were also tested. Results CHAGS obtained a high and negative correlation with Viel Coding. We obtained a good internal consistency and the intra-class correlation coefficients oscillated between 0.97 and 0.99, while the minimal detectable changes were acceptable. Conclusion CHAGS scale is a valid and reliable tool for assessing assisted gait with crutches in people with sprained ankles to perform partial relief of lower limbs. PMID:27168236

  6. PASSport to the Cloud – Results of a Peer-Assisted Study Sessions (PASS Online Pilot Program

    Directory of Open Access Journals (Sweden)

    Chris Lim

    2016-07-01

    Full Text Available Deakin University’s online study environment continues to grow with over 12,000 students now studying in the Cloud. It is important to provide these students not only academic support, but also a sense of inclusion and community. This will improve their social engagement and from there, they will more likely succeed. In 2015, the Division of Student Life ran an online pilot based on their successful Peer-Assisted Study Sessions program. Results from the pilot were positive. Students reported greater connection with the subject and with their fellow students. The program will be expanded in 2016 based on this pilot.

  7. [Treatment of prostate cancer using cryoablation: a prospective study].

    Science.gov (United States)

    Govorov, A V; Vasil'ev, A O; Ivanov, V Iu; Kovylina, M V; Prilepskaia, E A; Pushkar', D Iu

    2014-01-01

    Currently, the choice of tactics of treatment of the patient with prostate cancer (PCa) requires to take into account the degree of differentiation and stage of tumor, age of the patient and his somatic diseases, the risk of complications, as well as the patient's desire and physician's experience. Due to the progressive development of medical technology, interest in minimally invasive treatments for prostate cancer, such as cryoablation, interstitial brachytherapy and HIFU-therapy, has grown. Cryoablation of the prostate gland is a tissue ablation by local effects of very low temperatures and is minimally invasive, highly effective treatment for prostate cancer that can be used as the primary treatment, and in the case of tumor recurrence after radiotherapy. Focal cryoablation of the prostate allows to selectively destroy the known tumor with preservation of organ function and without reducing the quality of life of the patient. Focal therapy for prostate cancer is an alternative to radical treatment and active surveillance, occupying an intermediate position between them. Due to the lack of long-term results, focal cryoablation is an experimental type of treatment. First cryoablation of the prostate using modern equipment was carried out in Russia in March 2010, at the Department of Urology MSMSU. Since that time, we performed this procedure in 122 patients with prostate cancer; cryoablation was primary treatment in 110 patients and was used as salvage treatment in 12 patients. In most cases, the operation was performed under epidural or spinal anesthesia. According to the protocol, all the patients underwent 2 cycles of freezing and thawing under transrectal ultrasound guidance. A significant improvement of equipment for cryosurgery, the use of cryoneedles with smaller diameter, and the use of temperature sensors and catheters to warm the urethral mucosa have allowed to minimize the number of complications in comparison with other methods of treatment of

  8. A meta-analysis of studies of treatments for feline urine spraying.

    Directory of Open Access Journals (Sweden)

    Daniel S Mills

    Full Text Available Feline urine spraying inside the home is a common problem behaviour that owners seek advice for from veterinarians. Individual trials relating to a variety of interventions produce variable results, and to date, no consensus on the value of different treatments has emerged. This study therefore aimed to meta-analyse, current data from appropriate published clinical trials that evaluate treatments for feline urine spraying.Inclusion and exclusion criteria for study selection were predefined and methodological quality was assessed by two independent reviewers. Ten studies in nine publications that either evaluated pharmacotherapy or pheromonatherapy (the use of a synthetic analogue of the F3 facial fraction in the cat were suitable for analysis. There was a significant (P<0.001 association between the use of any intervention and the number of cats that ceased or reduced urine spraying by at least 90%. Analysis by intervention type indicated that fluoxetine, clomipramine and pheromonatherapy may each assist in managing urine spraying beyond a placebo based intervention.This is the first time meta-analytical techniques have been used and reported to evaluate the efficacy of interventions used in veterinary behavioural medicine, and it has established confidence in the value of both conventional treatments (pharmacotherapy and a more recently developed treatment modality (pheromonatherapy as an adjunct to the management of this problem. It is suggested that future research into treatment efficacy for this problem uses the benchmark standard of randomised, controlled trials lasting for at least 8 weeks, with the outcome criteria of cessation of feline urine spraying or reduction by at least 90%.

  9. Summary of comparative results integrated nonthermal treatment and integrated thermal treatment systems studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    In July 1994, the Idaho National Engineering Laboratory (INEL), under a contract from U.S. Department of Energy`s (DOE) Environment Management Office of Science and Technology (OST, EM-50) published a report entitled {open_quotes}Integrated Thermal Treatment System Study - Phase 1 Results{close_quotes} (EGG-MS-11211). This report was the culmination of over a year of analysis involving scientists and engineers within the DOE complex and from private industry. The purpose of that study was {open_quotes}to conduct a systematic engineering evaluation of a variety of mixed low level waste (MLLW) treatment system alternatives.{close_quotes} The study also {open_quotes}identified the research and development, demonstrations, and testing and evaluation needed to assure unit operability in the most promising alternative system.{close_quotes} This study evaluated ten primary thermal treatment technologies, organized into complete {open_quotes}cradle-to-grave{close_quotes} systems (including complete engineering flow sheets), to treat DOE MLLW and calculated mass balances and 20-year total life cycle costs (TLCC) for all systems. The waste input used was a representative heterogenous mixture of typical DOE MLLW. An additional study was conducted, and then, based on response to these studies, additional work was started to investigate and evaluate non-thermal treatment options on a footing comparable to the effort devoted to thermal options. This report attempts to present a summary overview of the thermal and non-thermal treatment technologies which were examined in detail in the process of the above mentioned reviews.

  10. Summary of comparative results integrated nonthermal treatment and integrated thermal treatment systems studies

    International Nuclear Information System (INIS)

    In July 1994, the Idaho National Engineering Laboratory (INEL), under a contract from U.S. Department of Energy's (DOE) Environment Management Office of Science and Technology (OST, EM-50) published a report entitled open-quotes Integrated Thermal Treatment System Study - Phase 1 Resultsclose quotes (EGG-MS-11211). This report was the culmination of over a year of analysis involving scientists and engineers within the DOE complex and from private industry. The purpose of that study was open-quotes to conduct a systematic engineering evaluation of a variety of mixed low level waste (MLLW) treatment system alternatives.close quotes The study also open-quotes identified the research and development, demonstrations, and testing and evaluation needed to assure unit operability in the most promising alternative system.close quotes This study evaluated ten primary thermal treatment technologies, organized into complete open-quotes cradle-to-graveclose quotes systems (including complete engineering flow sheets), to treat DOE MLLW and calculated mass balances and 20-year total life cycle costs (TLCC) for all systems. The waste input used was a representative heterogenous mixture of typical DOE MLLW. An additional study was conducted, and then, based on response to these studies, additional work was started to investigate and evaluate non-thermal treatment options on a footing comparable to the effort devoted to thermal options. This report attempts to present a summary overview of the thermal and non-thermal treatment technologies which were examined in detail in the process of the above mentioned reviews

  11. Treatment of operator actions in the HTGR risk assessment study

    International Nuclear Information System (INIS)

    Methods are presented for the treatment of operator actions, developed in the AIPA risk assessment study. Some examples are given of how these methods were applied to the analysis of potential HTGR accidents. Realistic predictions of accident risks required a balanced treatment of both beneficial and detrimental actions and responses of human operators and maintenance crews. Th essential elements of the human factors methodology used in the AIPA study include event tree and fault tree analysis, time-dependent operator response and repair models, a method for quantifying common cause failure probabilities, and synthesis of relevant experience data for use in these models

  12. Impact of Childhood Trauma on Treatment Outcome in the Treatment for Adolescents with Depression Study (TADS)

    Science.gov (United States)

    Lewis, Cara C.; Simons, Anne D.; Nguyen, Lananh J.; Murakami, Jessica L.; Reid, Mark W.; Silva, Susan G.; March, John S.

    2010-01-01

    Objective: The impact of childhood trauma was examined in 427 adolescents (54% girls, 74% Caucasian, mean = 14.6, SD = 1.5) with major depressive disorder participating in the Treatment for Adolescents with Depression Study (TADS). Method: TADS compared the efficacy of cognitive behavioral therapy (CBT), fluoxetine (FLX), their combination (COMB),…

  13. Endoscopic laser-assisted reshaping of collapsed tracheal cartilage: a laboratory study.

    Science.gov (United States)

    Wang, Z; Perrault, D F; Pankratov, M M; Shapshay, S M

    1996-03-01

    Repair of anterior tracheal wall collapse is a common and troublesome problem encountered by the head and neck surgeon. The standard treatment calls for an open procedure with or without stenting, depending on the extent of the damage. To avoid the morbidity of the open procedure, a new concept of endoscopic cartilage reshaping was investigated in a laboratory animal study. It involved the application of 1.44-micron pulsed neodymium:yttrium-aluminum-garnet (Nd:YAG) laser at relatively low power to restructure without devitalizing cartilage. An in vivo study was done in six dogs to determine appropriate laser dosimetry in a model of tracheal wall collapse created by a tracheotomy. The deformed cartilage was treated endoscopically with a noncontact 1.44-micron Nd:YAG laser, at 2 to 4 W of power with a repetition rate of 20 Hz, in three animals. As a control, three animals had endoscopic cartilage incisions followed by stent placement. Six weeks postoperatively, both groups had an adequate airway lined by healthy mucosa. In the animals with stenting, however, there was stenosis formation due to scarring at both ends of the stent, with significant inflammatory response in the local area. This study shows that it is possible to use low-power laser energy to reshape cartilage without destroying its viability, and to restore the tracheal wall to a normal contour without ablation or vaporization. The reshaped cartilage will tend to retain its shape with functional elastic force, as seen in in vitro studies. These preliminary results are encouraging, and it seems reasonable to consider using the technique in selected clinical cases as an alternative to conventional open surgery. PMID:8615580

  14. Computerised therapy for depression with clinician vs. assistant and brief vs. extended phone support: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Gega Lina

    2012-08-01

    Full Text Available Abstract Background Computerised cognitive behaviour therapy (cCBT involves standardised, automated, interactive self-help programmes delivered via a computer. Randomised controlled trials (RCTs and observational studies have shown than cCBT reduces depressive symptoms as much as face-to-face therapy and more than waiting lists or treatment as usual. cCBT’s efficacy and acceptability may be influenced by the “human” support offered as an adjunct to it, which can vary in duration and can be offered by people with different levels of training and expertise. Methods/design This is a two-by-two factorial RCT investigating the effectiveness, cost-effectiveness and acceptability of cCBT supplemented with 12 weekly phone support sessions are either brief (5–10 min or extended (20–30 min and are offered by either an expert clinician or an assistant with no clinical training. Adults with non-suicidal depression in primary care can self-refer into the study by completing and posting to the research team a standardised questionnaire. Following an assessment interview, eligible referrals have access to an 8-session cCBT programme called Beating the Blues and are randomised to one of four types of support: brief-assistant, extended-assistant, brief-clinician or extended-clinician. A sample size of 35 per group (total 140 is sufficient to detect a moderate effect size with 90% power on our primary outcome measure (Work and Social Adjustment Scale; assuming a 30% attrition rate, 200 patients will be randomised. Secondary outcome measures include the Beck Depression and Anxiety Inventories and the PHQ-9 and GAD-7. Data on clinical outcomes, treatment usage and patient experiences are collected in three ways: by post via self-report questionnaires at week 0 (randomisation and at weeks 12 and 24 post-randomisation; electronically by the cCBT system every time patients log-in; by phone during assessments, support sessions and exit interviews. Discussion

  15. COMPARATIVE STUDY OF TERTIARY WASTEWATER TREATMENT BY COMPUTER SIMULATION

    Directory of Open Access Journals (Sweden)

    Stefania Iordache

    2010-01-01

    Full Text Available The aim of this work is to asses conditions for implementation of a Biological Nutrient Removal (BNR process in theWastewater Treatment Plant (WWTP of Moreni city (Romania. In order to meet the more increased environmentalregulations, the wastewater treatment plant that was studied, must update the actual treatment process and have tomodernize it. A comparative study was undertaken of the quality of effluents that could be obtained by implementationof biological nutrient removal process like A2/O (Anaerobic/Anoxic/Oxic and VIP (Virginia Plant Initiative aswastewater tertiary treatments. In order to asses the efficiency of the proposed treatment schemata based on the datamonitored at the studied WWTP, it were realized computer models of biological nutrient removal configurations basedon A2/O and VIP process. Computer simulation was realized using a well-known simulator, BioWin by EnviroSimAssociates Ltd. The simulation process allowed to obtain some data that can be used in design of a tertiary treatmentstage at Moreni WWTP, in order to increase the efficiency in operation.

  16. Treatment of helicobacter pylori infection : Experimental and clinical studies

    OpenAIRE

    Sörberg, Mikael

    1997-01-01

    Treatment of Helicobacter Pylori Infection Experimental and Clinical Studies Mikael Sörberg, Division of Infectious Diseases, Karolinska Institutet Danderyd Hospital, S-182 88 Danderyd, Sweden The general aims of the present study were to investigate the reason for failed H. pylori eradication, and to improve the recommendations for treating H. pylori infection. Our in vitro studies are based on microscopy, viable count and bioluminescence assay of bacterial adenos...

  17. Bivalirudin as an adjunctive anticoagulant to heparin in the treatment of heparin resistance during cardiopulmonary bypass-assisted cardiac surgery.

    Science.gov (United States)

    McNair, E; Marcoux, J-A; Bally, C; Gamble, J; Thomson, D

    2016-04-01

    Heparin resistance (unresponsiveness to heparin) is characterized by the inability to reach acceptable activated clotting time values following a calculated dose of heparin. Up to 20% of the patients undergoing cardiothoracic surgery with cardiopulmonary bypass using unfractionated heparin (UFH) for anticoagulation experience heparin resistance. Although UFH has been the "gold standard" for anticoagulation, it is not without its limitations. It is contraindicated in patients with confirmed heparin-induced thrombocytopenia (HIT) and heparin or protamine allergy. The safety and efficacy of the use of the direct thrombin inhibitor bivalirudin for anticoagulation during cardiac surgery has been reported. However, there have been no reports on the treatment of heparin resistance with bivalirudin during CPB. In this review, we report the favorable outcome of our single-center experience with the alternative use of bivalirudin in the management of anticoagulation of heparin unresponsive patients undergoing coronary artery bypass graft surgery. PMID:25934498

  18. Assisting a concerned person to motivate someone experiencing cybersex into treatment: application of invitational intervention: the arise model to cybersex.

    Science.gov (United States)

    Landau, Judith; Garrett, James; Webb, Robert

    2008-10-01

    Cybersex and Internet pornography addiction are new problem areas confronting couples and families. A most significant experience inducing family members to reach out to a therapist or an Interventionist for help with their addicted member is the realization that the individual they are living with has become a stranger. This article focuses on the changes in the attitude, emotions, and behaviors of the addicted individual from compulsive Internet pornography use and cybersex. Identifying these changes for the family members validates their experience of now living with a stranger. This article then presents the three-level empirically based, manual-driven method of Invitational Intervention, A Relational Intervention Sequence for Engagement (ARISE) as an effective tool for helping families to get their loved ones into treatment. PMID:19017188

  19. Corticotomy-assisted retraction: An outcome assessment

    OpenAIRE

    S Vijayashri Sakthi; Vikraman, B; V R Shobana; S Kavitha Iyer; N R Krishnaswamy

    2014-01-01

    Background: To assess the efficiency and treatment outcome of patients treated with corticotomy-assisted en-masse orthodontic retraction as compared with the en-masse retraction without corticotomy. Materials and Methods: Forty adult patients with bimaxillary protrusion requiring correction of bidental proclination constituted the sample. The study group consisted of 22 patients (male 11, female 11) willing to undergo surgery to reduce the duration of their orthodontic treatment and 18 pa...

  20. Theory study on a photonic-assisted radio frequency phase shifter with direct current voltage control

    International Nuclear Information System (INIS)

    A photonic-assisted radio frequency phase shifter with direct current voltage control is proposed using a polymer-based integrated Mach—Zehnder modulator. A closed-form expression of radio frequency (RF) signal power and phase is given. Theoretical calculation reveals that by carefully setting the bias voltages, RF signal power variation lower than 1-dB and phase accuracy less than 3° can be achieved and are not degraded by perturbation of modulation index once the bias voltage drift is kept within −3% ∼ 3%. (electromagnetism, optics, acoustics, heat transfer, classical mechanics, and fluid dynamics)

  1. Development assistance for health given to Nepal by China and India: a comparative study

    OpenAIRE

    Yang, Haomin; Acharya, Shambhu Prasad; Liu, Peilong; Guo, Yan

    2014-01-01

    Background Development assistance for health (DAH) promotes health development in low and middle income countries. China and India, as emerging donors, have scaled-up their DAH programs during the recent years. Nepal, as a neighboring country to China and India, has witnessed the history and development of China’s and India’s DAH. Methods This research uses a literature review and in-depth individual interviewing to compare the history and forms of DAH given from China and India to Nepal. Res...

  2. Biofeedback assisted relaxation (bar in management of hyperhidrosis : A preliminary study

    Directory of Open Access Journals (Sweden)

    Singh Gurmukh

    1993-01-01

    Full Text Available Ten adult male patients suffering from hyperhidrosis were managed with biofeedback assisted relaxation (BAR regimen using skin conductivity. Six of them showed significant improvement, 2 showed minimal to moderate improvement, whereas no improvement was observed in the remaining 2 cases. Mean values of skin conductivity showed a range of 1.29 to 6.79 mho units before biofeedback session with reduction in these values to the range of 0.53 to 1.64 mho units after therapy in 6 patients showing good response. The grades of clinical improvement correlated well with corresponding reduction in skin conductivity in all the cases.

  3. An integrated qualitative and quantitative modeling framework for computer‐assisted HAZOP studies

    DEFF Research Database (Denmark)

    Wu, Jing; Zhang, Laibin; Hu, Jinqiu;

    2014-01-01

    The article proposes a novel practical framework for computer‐assisted hazard and operability (HAZOP) that integrates qualitative reasoning about system function with quantitative dynamic simulation in order to facilitate detailed specific HAZOP analysis. The practical framework is demonstrated and...... analysis is used as input for rigorous analysis and evaluation by the quantitative analysis part of the framework. To this end, dynamic first‐principles modeling is used to simulate the system behavior and thereby complement the results of the qualitative analysis part. The practical framework for computer...

  4. A case study for terahertz-assisted single attosecond pulse generation

    CERN Document Server

    Balogh, Emeric; Tosa, Valer; Varjú, Katalin

    2014-01-01

    We numerically investigate the use of strong THz radiation in assisting single attosecond pulse generation by few-cycle, 800 nm laser pulses. We optimize focusing conditions to generate short and powerful single attosecond pulses of high-energy photons by keeping the parameters of the THz field within the limits achieved experimentally. We show that using optimal focusing geometry isolated attosecond pulses shorter than 100 as can be obtained even in the absence of further gating or XUV compression techniques, using an 8 fs generating pulse. Furthermore, quantum path control of short- and long-trajectory components is demonstrated by varying the delay between the THz and IR pulses.

  5. Kinematic and neurophysiological consequences of an assisted-force-feedback brain-machine interface training: a case study

    Directory of Open Access Journals (Sweden)

    Stefano eSilvoni

    2013-11-01

    Full Text Available In a proof-of-principle prototypical demonstration we describe a new type of brain-machine interface (BMI paradigm for upper limb motor training. The proposed technique allows a fast contingent and proportionally modulated stimulation of afferent proprioceptive and motor output neural pathways using operant learning.Continuous and immediate assisted-feedback of force proportional to rolandic rhythm oscillations during actual movements was employed and illustrated with a single case experiment. One hemiplegic patient was trained for two weeks coupling somatosensory brain oscillations with force field control during a robot mediated centre-out motor task whose execution approaches movements of everyday life. The robot facilitated actual movements adding a modulated force directed to the target, thus providing a non-delayed proprioceptive feedback. Neuro-electric, kinematic and motor-behavioural measures were recorded in pre- and post-assessments without force assistance. Patient’s healthy arm was used as control since neither a placebo control was possible nor other control conditions. We observed a generalized and significant kinematic improvement in the affected arm and a spatial accuracy improvement in both arms, together with an increase and focalization of the somatosensory rhythm changes used to provide assisted-force-feedback. The interpretation of the neurophysiological and kinematic evidences reported here is strictly related to the repetition of the motor-task and the presence of the assisted-force-feedback. Results are described as systematic observations only, without firm conclusions about the effectiveness of the methodology. In this prototypical view, the design of appropriate control conditions is discussed. This study presents a novel operant-learning-based BMI-application for motor training coupling brain oscillations and force feedback during an actual movement.

  6. Residential Treatment Following Outpatient Treatment for Children with Mild to Borderline Intellectual Disabilities: A Study of Child and Family Characteristics

    Science.gov (United States)

    Embregts, Petri J. C. M.

    2009-01-01

    In this study, the question was explored whether children with a mild intellectual disability (MID) who were placed in residential treatment following outpatient treatment differ significantly on child and family characteristics from children with MID and not placed in residential treatment following outpatient treatment. The records of the…

  7. Promotion of H2 production by microwave-assisted treatment of water hyacinth with dilute H2SO4 through combined dark fermentation and photofermentation

    International Nuclear Information System (INIS)

    Highlights: • Water hyacinth is microwaved with dilute H2SO4 to improve enzymatic hydrolysis. • Hydrolyzed hyacinth is fermented by hydrogenogens to improve dark H2 yield. • Nearly 100% glucose and most arabinose in hydrolysate are used in dark fermentation. • H2 yield from hyacinth via combined fermentation is 75.2% of theoretical H2 yield. - Abstract: Water hyacinth was treated with microwave-assisted dilute H2SO4 to improve saccharification before enzymatic hydrolysis and H2 production during dark fermentation. A maximum reducing sugar (RS) yield of 64.4 g/100 g total volatile solid (TVS) (96.1% of the theoretical RS yield) was achieved when water hyacinth was treated through microwave heating with 1% dilute H2SO4 for 15 min at 140 °C and then enzymatically hydrolyzed for 72 h. During enzymatic hydrolysis, glucose was efficiently produced from the hydrolysis of cellulose that resulted from the disruption of the lignocellulosic structure of water hyacinth after microwave-assisted H2SO4 treatment. When the hydrolyzed water hyacinth was inoculated with H2-producing bacteria to produce H2 during dark fermentation, a maximum H2 yield of 112.3 ml/g TVS was obtained. The major sugar compositions in the residual solution from dark fermentation were xylose and cellobiose (total RS utilization efficiency: 88.5%). Through a combination of dark fermentation and photofermentation, the maximum H2 yield from water hyacinth was significantly increased from 112.3 ml/g TVS to 751.5 ml/g TVS, which is 75.2% of the theoretical H2 yield

  8. MRI-assisted treatment planning in brachytherapy of cervical- and endometrial-Ca: dose to organs at risk

    International Nuclear Information System (INIS)

    Dose to organs at risk in brachytherapy of cervical and endometrial cancer is measured directly in the rectum and urinary bladder during irradiation, e.g. by semiconductors or estimated by reference points (ICRU 38). MRI gives excellent information of anatomical relation between treatment volume and organs at risk. Methods: 8 Patients with cervical and 4 patients with endometrial carcinoma underwent MRI of the pelvis with in-situ applicators (ring-/tandem-applicators for cervical-Ca and Heyman-Capsules for endometrial-Ca). Dose prescription was 8.5 Gy to Pt. A in cervical-Ca resp. 10 Gy to point 'My' in endometrial-Ca. T1w slices were angulated twice (coronal and sagittal) to get rectangular reproductions to applicator axis. The coordinates of dorsal bladder wall, ventral rectum wall and small intestine closest to the applicator were measured. The dose to these points, e.g. maximum doses, was calculated with the aid of the Nucletron Treatment Planning System 'Plato'. Target and organs at risk were contourated and dose-volume-histograms were calculated. Results: The maximum dose to the dorsal bladder wall was 10.35 Gy/fx at mean in cervical- and 6.67 Gy/fx in endometrial-carcinoma. The mean of max.-dose in ICRU reference point was calculated at 5.4 Gy/fx (cerv.ca) and 5.1 Gy/fx (endom. ca), a difference of 52 % resp. 34 %. Mean irradiated bladder wall volume at 7 Gy isodose was 2.9 ccm in cervical- and 5 ccm in endometrial-Ca. The mean of the maximum dose to the ventral rectum wall was 8.5 Gy/fx (MRI) vs. 5.1 Gy/fx (ICRU-point) in cervical-Ca and 10.34 Gy/fx (MRI) vs 2.4 Gy/fx at ICRU-point in endometrial-Ca, a difference of 41 % resp. 430 %. The irradiated volume at 7 Gy isodose was smaller than 1ccm in both entities. The dose and volume to small intestine was neglectable in most patients, however for 1 patient the 7 Gy isodose included 6 ccm of small intestine. Conclusion: MRI gives excellent information in order to calculate the dose-volume relationship. In some

  9. Preliminary Study: Treatment of Food Industrial Wastewater using Two-Phase Anaerobic Treatments

    Directory of Open Access Journals (Sweden)

    Shahrul Shafendy Ibrahim

    2013-11-01

    Full Text Available Abstract: Food processing industrial wastewater is well known for its high concentration of COD, BOD and suspended solid. The condition of the wastewater formed makes it illegal for the industry to release the wastewater to the open body of water without essential treatment. The study is conducted on food manufacturing company which specializes in chips export business. The quality of the wastewater produced from the manufacturing is not appropriate to be discharged directly. Thus, a two phase treatment system involving UASB and HUASB reactors as primary treatment and followed by AF reactor as secondary treatment is proposed. Basically, this research will focus on the performance of UASB-AF and HUASB-AF treatment systems and the affect of adding palm oil shell into the HUASB and AF respectively as support media. Parameters measured are pH, COD, NH3-N, oil and grease and total phosphorus. The instruments used for collecting data in this research are pH meter and HACH DR5000. In this research, the highest COD removal for the effluents from the U1 and U2 were at the 14th day with 93.6% removal and at the 62th day with 96.6% each. Meanwhile, in the R2 treatment system, the highest COD removal for the effluents from the H1 and H2 were at the 14th day with 98.3% removal and at 110th day with 97.6% removal. It is hoped that this study will generate useful findings that could be applied to alleviate the current problem at the food factory and also at other food industry in the future.

  10. Independent peer review panel report on the integrated nonthermal treatment systems study and the comparison of integrated thermal and integrated nonthermal treatment systems for mixed low level waste

    International Nuclear Information System (INIS)

    The US Department of Energy's (DOE) Office of Environmental Management (EM) Office of Science and Technology (OST) has conducted studies of integrated thermal treatment systems and integrated nonthermal treatment systems (INTS) for treating contact handled, alpha and non-alpha mixed low level radioactive waste (MLLW). The MLLW in the DOE complex consists of a wide variety of organic and inorganic solids and liquids contaminated with radioactive substances. Treatment systems are needed to destroy organic material and stabilize residues prior to land disposal. In May 1996 the Deputy Assistant Secretary for OST appointed an Independent Peer Review Panel to: (1) review and comment on the INTS Study; (2) make recommendations on the most promising thermal and nonthermal treatment systems; (3) make recommendations on research and development necessary to prove the performance of nonthermal and thermal technologies; and (4) review and comment on the preliminary draft of the ITTS/INTS Comparison Report. This report presents the primary conclusions and recommendations based on the review of the INTS study and the comparison report. System selection, overviews, comparisons, cost estimations and sensitivity analyses, and recommended R and D engineering needs are then described and discussed

  11. Process modeling for the Integrated Thermal Treatment System (ITTS) study

    International Nuclear Information System (INIS)

    This report describes the process modeling done in support of the integrated thermal treatment system (ITTS) study, Phases 1 and 2. ITTS consists of an integrated systems engineering approach for uniform comparison of widely varying thermal treatment technologies proposed for treatment of the contact-handled mixed low-level wastes (MLLW) currently stored in the U.S. Department of Energy complex. In the overall study, 19 systems were evaluated. Preconceptual designs were developed that included all of the various subsystems necessary for a complete installation, from waste receiving through to primary and secondary stabilization and disposal of the processed wastes. Each system included the necessary auxiliary treatment subsystems so that all of the waste categories in the complex were fully processed. The objective of the modeling task was to perform mass and energy balances of the major material components in each system. Modeling of trace materials, such as pollutants and radioactive isotopes, were beyond the present scope. The modeling of the main and secondary thermal treatment, air pollution control, and metal melting subsystems was done using the ASPEN PLUS process simulation code, Version 9.1-3. These results were combined with calculations for the remainder of the subsystems to achieve the final results, which included offgas volumes, and mass and volume waste reduction ratios

  12. Wrist joint moments of walker-assisted gait:a study of biomechanics and instrumentation

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    While walkers are commonly prescribed to improve patient stability and ambulatory ability,quantitativestudy of the biomechanical and functional requirements for effective walker use is limited.To investigate the changesin wrist joint moments that occur with the use of a standard walker,a strain gauge-based walker instrumentation system was developed for the measurement of wrist joint moments.This walker dynamometer was integrated with an upper extremity biomechanical model.Preliminary system data were collected for twelve healthy,right-handed young adultsfollowing informed consent.Bilateral upper extremity kinematic data were acquired with a six-camera motion analysis system.Internal joint moments at the wrist were determined in the three clinical planes using the inverse dynamics method.Results showed that during a walker-assisted gait there were several typical demands of wrist abductor,adductor,flexor and external rotator.An interesting " bare phase " of wrist joint moments was also found in phaseangle[-30°,30°] of gait cycle.Complete description of wrist joint moments during walker-assisted gait may provide insight into walker use parameters and rehabilitative strategies.

  13. A basic experimental study of ultrasonic assisted hot embossing process for rapid fabrication of microlens arrays

    Science.gov (United States)

    Chang, Chih-Yuan; Yu, Che-Hao

    2015-02-01

    This paper reports a highly effective technique for rapid fabrication of microlens arrays based on an ultrasonic assisted hot embossing process. In this method, a thin stainless steel mold with micro-holes array is fabricated by a photolithography and wet etching process. Then, the thin stainless steel mold with micro-holes array is placed on top of a plastic substrate (PMMA plate) and the stack is placed in an ultrasonic vibration embossing machine. During ultrasonic assisted hot embossing operation, the surface of the stainless steel mold with micro-holes array presses against the thermoplastic PMMA substrate. Under proper ultrasonic vibration time, embossing pressure and hold time, the softened polymer will just partially fill the circular holes and due to surface tension, form a convex lens surface. After the stainless steel mold is removed, the microlens array patterns on the surface of plastic substrate can be obtained. The total cycle time is less than 10 s. Finally, geometrical and optical properties of the fabricated plastic microlens arrays were measured and proved satisfactory. This technique shows great potential for fabricating microlens array on plastic substrates with high productivity and low cost.

  14. Magnetic levitation assisted aircraft take-off and landing (feasibility study - GABRIEL concept)

    Science.gov (United States)

    Rohacs, Daniel; Rohacs, Jozsef

    2016-08-01

    The Technology Roadmap 2013 developed by the International Air Transport Association envisions the option of flying without an undercarriage to be in operation by 2032. Preliminary investigations clearly indicate that magnetic levitation technology (MagLev) might be an appealing solution to assist the aircraft take-off and landing. The EU supported research project, abbreviated as GABRIEL, was dealing with (i) the concept development, (ii) the identification, evaluation and selection of the deployable magnetic levitation technology, (iii) the definition of the core system elements (including the required aircraft modifications, the ground-based system and airport elements, and the rendezvous control system), (iv) the analysis of the safety and security aspects, (v) the concept validation and (vi) the estimation of the proposed concept impact in terms of aircraft weight, noise, emission, cost-benefit). All results introduced here are compared to a medium size hypothetic passenger aircraft (identical with an Airbus A320). This paper gives a systematic overview of (i) the applied methods, (ii) the investigation of the possible use of magnetic levitation technology to assist the commercial aircraft take-off and landing processes and (iii) the demonstrations, validations showing the feasibility of the radically new concept. All major results are outlined.

  15. Study on Electric field assisted low frequency (20 kHz) ultrasonic spray

    Science.gov (United States)

    Chae, Ilkyeong; Seong, Baekhoon; Marten, Darmawan; Byun, Doyoung

    2015-11-01

    Ultrasonic spray is one of the fabulous techniques to discharge small size of droplets because it utilizes ultrasonic vibration on nozzle. However, spray patterns and size of ejected droplet is hardly controlled in conventional ultrasonic spray method. Therefore, here we present electric field assisted ultrasonic spray, which combined conventional technique with electric field in order to control spray pattern and droplet size precisely. Six kinds of various liquid (D.I water, Ethanol, Acetone, Iso-propanol, Toluene, Hexane) with various dielectric constants were used to investigate the mechanism of this method. Also, PIV (Particle Image Velocimetry) was used and various variables were obtained including spray angle, amplitude of liquid vibration, current, and size distribution of ejected droplets. Our electric field assisted ultrasonic spray show that the standard deviation of atomized droplet was decreased up to 39.6%, and it shows the infinite possibility to be utilized in various applications which require precise control of high transfer efficiency. This work was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2014-023284).

  16. A basic experimental study of ultrasonic assisted hot embossing process for rapid fabrication of microlens arrays

    International Nuclear Information System (INIS)

    This paper reports a highly effective technique for rapid fabrication of microlens arrays based on an ultrasonic assisted hot embossing process. In this method, a thin stainless steel mold with micro-holes array is fabricated by a photolithography and wet etching process. Then, the thin stainless steel mold with micro-holes array is placed on top of a plastic substrate (PMMA plate) and the stack is placed in an ultrasonic vibration embossing machine. During ultrasonic assisted hot embossing operation, the surface of the stainless steel mold with micro-holes array presses against the thermoplastic PMMA substrate. Under proper ultrasonic vibration time, embossing pressure and hold time, the softened polymer will just partially fill the circular holes and due to surface tension, form a convex lens surface. After the stainless steel mold is removed, the microlens array patterns on the surface of plastic substrate can be obtained. The total cycle time is less than 10 s. Finally, geometrical and optical properties of the fabricated plastic microlens arrays were measured and proved satisfactory. This technique shows great potential for fabricating microlens array on plastic substrates with high productivity and low cost. (paper)

  17. Nimh Treatment Study of ADHD Follow-Up

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2004-04-01

    Full Text Available The effects of changes in medication use between 14 and 24 months follow-up on effectiveness (symptom ratings and growth (height and weight measures were analyzed, comparing 4 groups of patients, in the Multimodal Treatment Study of ADHD (MTA reported by the MTA Cooperative Group.

  18. Industrial Waste Treatment. A Field Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This operations manual represents a continuation of operator training manuals developed for the United States Environmental Protection Agency (USEPA) in response to the technological advancements of wastewater treatment and the changing needs of the operations profession. It is intended to be used as a home-study course manual (using the concepts…

  19. Treatment of 5413 hypertensive patients: a cross-sectional study

    DEFF Research Database (Denmark)

    Paulsen, M S; Sondergaard, J; Reuther, L; Larsen, P S; Munck, A P; Larsen, P V; Damsgaard, J; Poulsen, L; Hansen, D G; Jacobsen, I A; Larsen, M L; Christensen, H R; Christensen, Bo; Andersen, M

    2011-01-01

    Most hypertensive patients are managed in primary care in Denmark, but previous studies have shown that only 21-43% of hypertensive patients achieve optimal blood pressure (BP) control. Antihypertensive drug treatment, risk factors and cardiovascular disease (CVD) are some of the important factors...

  20. Patients’ acceptance of corticotomy-assisted orthodontics

    Directory of Open Access Journals (Sweden)

    Zawawi KH

    2015-08-01

    Full Text Available Khalid H Zawawi Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia Objective: To study patients’ acceptance of corticotomy-assisted orthodontics as a treatment option.Methods: Adult patients seeking orthodontic treatment were asked to complete two sets of questionnaires; the first set included questions about age, sex, and level of education and general questions about orthodontic treatment; and the second set was related to the corticotomy-assisted orthodontics. Before answering the corticotomy questions, a brief description of the clinical procedure was explained and photographs of an actual procedure were shown.Results: A total of 150 subjects were approached and 129 (86% agreed to answer the questionnaires (72 male and 57 female patients. Of these, only 3.1% did hear about corticotomy and 7.8% selected corticotomy instead of extraction. Fear from the surgery (53.2% was the most frequent reason for not selecting corticotomy followed by fear from pain (36.9%. The acceptance of corticotomy between males and females was similar. No relationship was found between the level of education and prior knowledge of the procedure, P=0.857. Prior knowledge about corticotomy was not a factor in selecting it as a treatment option (P=0.556 to reduce the treatment time (P=0.427.Conclusion: The acceptance of corticotomy-assisted orthodontics as a treatment option was low. Fear from the surgery was the main reason for not selecting it. The acceptance of corticotomy-assisted orthodontics was not related to patient’s level of education or sex. Keywords: orthodontic treatment, corticotomy-assisted orthodontics, patient acceptance, cross sectional survey, alveolar decortication