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. 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

  3. 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.

  4. A Comparative Study of Da Vinci Robot System with Video-assisted Thoracoscopy in the Surgical Treatment of Mediastinal Lesions

    Directory of Open Access Journals (Sweden)

    Renquan DING

    2014-07-01

    Full Text Available Background and objective In recent years, Da Vinci robot system applied in the treatment of intrathoracic surgery mediastinal diseases become more mature. The aim of this study is to summarize the clinical data about mediastinal lesions of General Hospital of Shenyang Military Region in the past 4 years, then to analyze the treatment effect and promising applications of da Vinci robot system in the surgical treatment of mediastinal lesions. Methods 203 cases of mediastinal lesions were collected from General Hospital of Shenyang Military Region between 2010 and 2013. These patients were divided into two groups da Vinci and video-assisted thoracoscopic surgery (VATS according to the selection of the treatments. The time in surgery, intraoperative blood loss, postoperative drainage amount within three days after surgery, the period of bearing drainage tubes, hospital stays and hospitalization expense were then compared. Results All patients were successfully operated, the postoperative recovery is good and there is no perioperative death. The different of the time in surgery between two groups is Robots group 82 (20-320 min and thoracoscopic group 89 (35-360 min (P>0.05. The intraoperative blood loss between two groups is robot group 10 (1-100 mL and thoracoscopic group 50 (3-1,500 mL. The postoperative drainage amount within three days after surgery between two groups is robot group 215 (0-2,220 mL and thoracoscopic group 350 (50-1,810 mL. The period of bearing drainage tubes after surgery between two groups is robot group 3 (0-10 d and thoracoscopic group: 5 (1-18 d. The difference of hospital stays between two groups is robot group 7 (2-15 d and thoracoscopic group 9 (2-50 d. The hospitalization expense between two groups is robot group (18,983.6±4,461.2 RMB and thoracoscopic group (9,351.9±2,076.3 RMB (All P<0.001. Conclusion The da Vinci robot system is safe and efficient in the treatment of mediastinal lesions compared with video-assisted

  5. 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.

  6. Piezocision-assisted Invisalign treatment.

    Science.gov (United States)

    Keser, Elif I; Dibart, Serge

    2011-03-01

    In today's fast-paced, esthetic-conscious society, the orthodontic treatment of the adult patient can sometimes be a challenge. Considerable time spent in treatment as well as the use of brackets often deter patients from seeking treatment. The authors illustrate how piezocision combined with Invisalign can be used in selected cases to successfully treat adults who would otherwise not pursue orthodontic treatment.

  7. 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.

  8. 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...

  9. 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...

  10. 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,

  11. 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…

  12. A randomized, controlled pilot study of MDMA (± 3,4-Methylenedioxymethamphetamine)-assisted psychotherapy for treatment of resistant, chronic Post-Traumatic Stress Disorder (PTSD).

    Science.gov (United States)

    Oehen, Peter; Traber, Rafael; Widmer, Verena; Schnyder, Ulrich

    2013-01-01

    Psychiatrists and psychotherapists in the US (1970s to 1985) and Switzerland (1988-1993) used MDMA legally as a prescription drug, to enhance the effectiveness of psychotherapy. Early reports suggest that it is useful in treating trauma-related disorders. Recently, the first completed pilot study of MDMA-assisted psychotherapy for PTSD yielded encouraging results. Designed to test the safety and efficacy of MDMA-assisted psychotherapy in patients with treatment-resistant PTSD; our randomized, double-blind, active-placebo controlled trial enrolled 12 patients for treatment with either low-dose (25 mg, plus 12.5 mg supplemental dose) or full-dose MDMA (125 mg, plus 62.5 mg supplemental dose). MDMA was administered during three experimental sessions, interspersed with weekly non-drug-based psychotherapy sessions. Outcome measures used were the Clinician-Administered PTSD Scale (CAPS) and the Posttraumatic Diagnostic Scale (PDS). Patients were assessed at baseline, three weeks after the second and third MDMA session (end of treatment), and at the 2-month and 1-year follow-ups. We found that MDMA-assisted psychotherapy can be safely administered in a clinical setting. No drug-related serious adverse events occurred. We did not see statistically significant reductions in CAPS scores (p = 0.066), although there was clinically and statistically significant self-reported (PDS) improvement (p = 0.014). CAPS scores improved further at the 1-year follow-up. In addition, three MDMA sessions were more effective than two (p = 0.016).

  13. A team approach to assisted conception treatment.

    Science.gov (United States)

    Muirhead, Margaret; Lawton, Janet

    1998-01-01

    A programme to improve 'continuity of care' was initiated at Bourn Hall Clinic in direct response to patient demand to see the same doctors and nurses throughout assisted conception treatment cycles. A working party comprising individuals from all disciplines involved in assisted conception care was set up to review practices and aims and to establish an action plan. As a result, in 1996, a team approach to in vitro fertilization (IVF) and frozen embryo transfer (FET) treatment cycles was introduced at the clinic. The nursing staff were divided into two teams, each with a leader, an appropriate skill mix of full- and part-time nurses, and one full-time and one relief doctor. Treatment cycles were scheduled using pituitary downregulation with gonadotrophin-releasing hormone (GnRH) agonist when appropriate, and a programme was devised in which groups of 40--45 couples started treatment during the same 5 day period. Each couple was assigned to one of the teams and starting dates for each group were separated by 2 week intervals. The objectives of the working party were successfully achieved. The team approach to treating a finite number of couples provides a better opportunity for individualized care. Couples appreciate the advantages of continuity of care and the improved rapport with team staff. Forward planning of treatment cycles provides greater flexibility for incorporating clinic visits into patients' normal routines. Staff have benefited from increased job satisfaction due to greater involvement with couples from initial contact to the completion of treatment. The new working practice provides opportunities for training and research. Staff costs have been rationalized with benefits both to couples and to the business unit.

  14. Video-assisted treatment of thoracolumbar junction fractures using a specific distractor for reduction: prospective study of 50 cases.

    Science.gov (United States)

    Le Huec, Jean-Charles; Tournier, C; Aunoble, S; Madi, K; Leijssen, Ph

    2010-03-01

    Posterior instrumentation allows good osteosynthesis for thoracolumbar junction fractures. However, in approximately 20% of cases, anterior bone defects may persist, leading to pseudoarthrosis and loss of reduction. Anterior approaches can circumvent this drawback, but they are considered aggressive with a high rate of complications. The advent of the endoscopic mini-invasive techniques has led to a reduction in the number of complications while maintaining the same consolidation rate. Nevertheless, poor restitution of anatomic curves is a reproach for this technique. This prospective study reports clinical and radiological result of 50 patients (19 women and 31 men) operated between April 2000 and March 2006 with a video-assisted anterior approach using an endodistractor for reduction and consequent insertion of the implant. There were A3 (n = 44), A2 (n = 2), A1 (n = 3) and C1 (n = 1) fractures (Magerl classification). The specific system for fracture reduction was used in the last 39 cases of this series. A Pyramesh cage (Medtronic, Memphis, USA) was used in 15 patients, a peek cage (Creaspine, Bordeaux, France) in 30 patients and a tricortical graft in 5 patients. Standard X-rays and CT scan were performed pre-operatively. Kyphosis, and angulations were measured pre-, per- and post-operatively. Mean immediate postoperative gain in localized kyphosis was 12.18 degrees and mean gain at last follow-up was 11.71 degrees. Mean immediate postoperative gain in RA was 13.24 degrees and remained identical at last follow-up. Five patients had a transient pulmonary atelectasia and there was one pulmonary infection. No neurological complication occurred. Fracture reduction is comparable to the best thoracotomy series while limiting approach-related complications.

  15. Photographic-assisted diagnosis and treatment planning.

    Science.gov (United States)

    Goodlin, Ron

    2011-04-01

    The advent of digital photography allows the practitioner to show the patient the photographs immediately, to co-diagnose, and to work with the patient chairside or in a consult room while showing the patient some simple imaging techniques, such as whitening the teeth, making the teeth look longer, and showing the effects of orthodontics or veneers to get better alignment and other factors of smile design and esthetic dentistry. This article describes recommended digital dental photographic equipment, how to produce the standard series of diagnostic dental photographs, photographic assisted diagnosis and treatment planning including a discussion of anthropometrics and cephalometrics, and digital imaging techniques.

  16. 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.

  17. 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

  18. 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....

  19. The preliminary study of 16α-[18F]fluoroestradiol PET/CT in assisting the individualized treatment decisions of breast cancer patients.

    Directory of Open Access Journals (Sweden)

    Yifei Sun

    Full Text Available To evaluate the clinical value of 16α-[18F]fluoroestradiol (18F-FES PET/CT in assisting the individualized treatment decisions of breast cancer patients.Thirty-three breast cancer patients, who underwent both 18F-FES and 18F-FDG PET/CT from July 2010 to March 2013 in our center, were enrolled in this preliminary study. All the patients used 18F-FES PET/CT as a diagnostic tool with a clinical dilemma. We used the maximum Standardized Uptake Value (SUVmax to quantify ER expression and a cutoff value of 1.5 to dichotomize results into ER positive and negative lesions. All patients were clinically followed up at least 6 months.In evaluating equivocal lesions on conventional work-up group (n = 4, three lung lesions and another iliac lesion were enrolled. As for three lung lesions, 18F-FES PET/CT showed one lesion with high uptake, which suggested it was an ER positive metastasis. The other two lesions were 18F-FES negative, which meant an ER negative metastasis or secondary primary tumor. Additionally, one iliac lesion was detected by MRI. 18F-FDG uptake was high at the suspected lesion, whereas 18F-FES uptake was absent; In predicting origin of metastasis group (n = 2, two breast cancer patients had secondary primary tumors were collected. They were 18F-FES negative, which showed low possibility of metastasis from breast cancer and they were all confirmed by biopsy. In detecting ER status in metastasis group (n = 27, 18F-FES PET/CT showed increased 18F-FES uptake in all metastatic lesions in 11 patients; absent in all lesions in 13 patients; and the remaining 3 patients had both 18F-FES positive and negative lesions. Totally, on the basis of the 18F-FES PET/CT results, we found changes in the treatment plans in 16 patients (48.5%, 16/33.18F-FES PET/CT could assess the entire tumor volume receptor status; therefore, it may be used to assist the individualized treatment decisions of breast cancer patients.

  20. 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...

  1. Clinical study of corticotomy assisted orthodontic treatment%骨皮质切开术辅助正畸治疗的临床研究

    Institute of Scientific and Technical Information of China (English)

    秦燕军; 严斌; 潘成琼; 朱琳琳; 程磊; 赵春洋

    2016-01-01

    目的 探讨骨皮质切开术辅助正畸治疗的临床应用.方法 研究临床接受骨皮质切开术辅助治疗的正畸患者48例,男14例,女34例.骨皮质切开术应用于正畸临床:辅助扩弓,拔牙患者的前牙内收,修复前正畸治疗的磨牙前移、残冠牵引,根骨粘连牙齿的移动等.结果 在正畸治疗中,辅助骨皮质切开术可以解除骨皮质阻力,加速正畸牙齿移动,增加牙周支持组织及骨覆盖,减少牙根吸收.结论 骨皮质切开术辅助正畸治疗不仅可以加速牙齿移动,而且能够有效解决正畸临床的一些疑难问题.%Objective To investigate the clinical effect of corticotomy assisted orthodontic treatment. Methods 48 orthodontic pa-tients were selected, 14 males and 34 females, and they all accepted corticotomy assisted orthodontic treatment. Corticotomy had been used in the clinical treatment: auxiliary arch expansion, extraction of anterior teeth retraction, molar anterior displacement, traction crown, root bone adhesion teeth mobile, etc. Results Corticotomy could remove the cortical resistance, accelerate the orthodontic tooth movement, increase the periodontal support tissue and bone cover, reduce the root resorption, and enhance the stability of the treatment. Conclusion Corticotomy assisted orthodontic treatment can not only accelerate the tooth movement, but also effectively solve some difficult problems of the orthodontic treatment.

  2. Laser-assisted treatment of patients with hemorrhagic diathesis

    Science.gov (United States)

    Neckel, Claus P.

    2000-03-01

    Today more and more patients with bleeding disorder come to our office for treatment. The number of patients with therapeutic anticoagulation is growing steadily. Discontinuation of this therapy can often be crucial. On the other hand are oralsurgical procedures extremely sensitive to bleeding due to the constant presents of saliva with its high fibrinolytic activity. The aim of this study was to evaluate the use of a surgical diode (wavelength 810 nm) laser as accessory tool in the treatment of patients with hemorrhagic diathesis. Enclosed in the study were 123 patients with: (1) Coumarintherapy, a Quick test ratio of 15 - 25%; (2) More than 300 mg of ASS/die; (3) Hemophilia, a factor activity under 35%; (4) Morbus Werlhof with less than 30000 thrombocytes. 179 Surgical procedures: (1) Tooth extraction 86%; (2) Apexectomy 3%; (3) Tumorexcision 9%; (4) Curettage and flapsurgery 1%; (5) Gingivectomy 1%. All procedures were laser-assisted with a diode laser emitting 810 nm. The glass fibers used were depending on the procedures either 200, 400, or 600 micron. No coagulating agents or tissue adhesives were used in addition. The postoperative outcome and complication rates were compared to substitution therapy and tissue adhesives. Laser-assisted treatment of these patients shows a high predictability and success rate leaving out side effects of drugs and human cryoprecipitates. Postoperative impairment is diminished.

  3. Male psychological adaptation to unsuccessful medically assisted reproduction treatments

    DEFF Research Database (Denmark)

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

    2016-01-01

    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...

  4. Study of sterilization-treatment in pure and N- doped carbon thin films synthesized by inductively coupled plasma assisted pulsed-DC magnetron sputtering

    Science.gov (United States)

    Javid, Amjed; Kumar, Manish; Han, Jeon Geon

    2017-01-01

    Electrically-conductive nanocrystalline carbon films, having non-toxic and non-immunogenic characteristics, are promising candidates for reusable medical devices. Here, the pure and N- doped nanocrystalline carbon films are deposited by the assistance of inductively coupled plasma (ICP) in an unbalanced facing target pulsed-DC magnetron sputtering process. Through the optical emission spectroscopy study, the role of ICP assistance and N-doping on the reactive components/radicals during the synthesis is presented. The N-doping enhances the three fold bonding configurations by increasing the ionization and energies of the plasma species. Whereas, the ICP addition increases the plasma density to control the deposition rate and film structure. As a result, sputtering-throughput (deposition rate: 31-55 nm/min), electrical resistivity (4-72 Ωcm) and water contact angle (45.12°-54°) are significantly tailored. Electric transport study across the surface microchannel confirms the superiority of N-doped carbon films for sterilization stability over the undoped carbon films.

  5. Clinical Study of Surgical Treatment of Non-small Cell Lung Cancer 
10 mm or Less in Diameter Under Video-assisted Thoracoscopy

    Directory of Open Access Journals (Sweden)

    Tong WANG

    2016-04-01

    Full Text Available Background and objective The reasonable operational manner of non-small cell lung cancer (NSCLC in early stage is in dispute. This clinical study is to investigate the operational manner of NSCLC 10 mm or less in diameter. Methods The clinical datas of 46 cases with NSCLC 10 mm or less in diameter were retrospectively analyzed in our hospital from July 2013 to March 2016. Thin-section computed tomography (CT was done on all cases with 46 pulmonary nodules (5 solid nodules, 23 mGGOs and 18 pGGOs. Lobectomy, wedge resection and segmentectomy with lymph node dissection may be performed in patients according to age or heart and lung function. CT-guided Hook-wire precise localization was done on 7 cases. Results Lobectomy and systematic lymph node dissection under video-assisted thoracic surgery (VATS were performed in patients with 23 pulmonary nodules (15 mGGOs, 4 pGGOs and 4 solid nodules , among wich, only one patient with N2 lymph node matastasis was found. Wedge resection and selective lymph node dissection under VATS were done in patients with 5 pulmonary nodules (2 mGGOs and 3 pGGOs, and segmentectomy and selective lymph node dissection under VATS were done in patients with 4 pulmonary nodules (2 mGGOs and 2 pGGOs, among wich, no patient with lymph node matastasis was found. CT-guided Hook-wire precise localization was done successfully on 7 cases. Conclusion Usually NSCLC with pGGO and mGGO nodules 10 mm or less in diameter has no lymph node metastasis, therefore, systematic lymph node dissection may be not necessary. Selective lymph node dissection or systematic lymph node dissection should be performed in patients with solid nodules 10 mm or less in diameter. Wedge resection and segmentectomy may be performed in patients with advanced age or lower heart and lung function. The preoperative CT-guided Hook-wire localization for pulmonary nodules particularly for GGOs is an effective and safe technique to assist VATS resection of the GGOs.

  6. 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;

    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...... or not – were estimated at 6607€. Costs per live birth of women relatively modest. The results can be generalized...

  7. Chemical analysis of plasma-assisted antimicrobial treatment on cotton

    Science.gov (United States)

    Kan, C. W.; Lam, Y. L.; Yuen, C. W. M.; Luximon, A.; Lau, K. W.; Chen, K. S.

    2013-06-01

    This paper explores the use of plasma treatment as a pretreatment process to assist the application of antimicrobial process on cotton fabric with good functional effect. In this paper, antimicrobial finishing agent, Microfresh Liquid Formulation 9200-200 (MF), and a binder (polyurethane dispersion, Microban Liquid Formulation R10800-0, MB) will be used for treating the cotton fabric for improving the antimicrobial property and pre-treatment of cotton fabric by plasma under atmospheric pressure will be employed to improve loading of chemical agents. The chemical analysis of the treated cotton fabric will be conducted by Fourier transform Infrared Spectroscopy.

  8. 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

  9. VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment

    OpenAIRE

    2015-01-01

    Objective: To share our findings that the new treatment modality Video Assisted Anal Fistula Treatment (VAAFT) is a better alternate to the conventional treatments of Fistula in Ano in our setup with minor changes in the initial method described by Meinero. Methods: Karl Storz Video equipment including Meinero Fistuloscope was used. Key steps are visualization of the fistula tract, correct localization of the internal fistula opening under direct vision and endoscopic treatment of the fistula...

  10. A novel cupping-assisted plasma treatment for skin disinfection

    Science.gov (United States)

    Xiong, Zilan; Graves, David B.

    2017-02-01

    A novel plasma treatment method/plasma source called cupping-assisted plasma treatment/source for skin disinfection is introduced. The idea combines ancient Chinese ‘cupping’ technology with plasma sources to generate active plasma inside an isolated, pressure-controlled chamber attached to the skin. Advantages of lower pressure include reducing the threshold voltage for plasma ignition and improving the spatial uniformity of the plasma treatment. In addition, with reduced pressure inside the cup, skin pore permeability might be increased and it improves attachment of the plasma device to the skin. Moreover, at a given pressure, plasma-generated active species are restricted inside the cup, raising local reactive species concentration and enhancing the measured surface disinfection rate. A surface micro-discharge (SMD) device is used as an example of a working plasma source. We report discharge characteristics and disinfection efficiency as a function of pressure and applied voltage.

  11. Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm

    Directory of Open Access Journals (Sweden)

    Ching-Jen Chen

    2016-01-01

    Full Text Available Background and Importance. Ruptured periventricular aneurysms in patients with moyamoya disease represent challenging pathologies. The most common methods of treatment include endovascular embolization and microsurgical clipping. However, rare cases arise in which the location and anatomy of the aneurysm make these treatment modalities particularly challenging. Clinical Presentation. We report a case of a 34-year-old female with moyamoya disease who presented with intraventricular hemorrhage. CT angiography and digital subtraction angiography revealed an aneurysm located in the wall of the atrium of the right lateral ventricle. Distal endovascular access was not possible, and embolization risked the sacrifice of arteries supplying critical brain parenchyma. Using the BrainPath endoport system, the aneurysm was able to be accessed. Since the fusiform architecture of the aneurysm prevented clip placement, the aneurysm was ligated with electrocautery. Conclusion. We demonstrate the feasibility of endoport-assisted approach for minimally invasive access and treatment of uncommon, distally located aneurysms.

  12. 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…

  13. 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…

  14. 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

  15. Precision Medicine in Assisted Conception: A Multicenter Observational Treatment Cohort Study of the Annexin A5 M2 Haplotype as a Biomarker for Antithrombotic Treatment to Improve Pregnancy Outcome

    Directory of Open Access Journals (Sweden)

    Simon Fishel

    2016-08-01

    Interpretation: Pragmatic ANXA5 M5 screening and treatment with LMWH in couples undergoing IVF is associated with similar outcome to couples with more favorable prognostic factors. The difference in live birth outcome for treated male only carrier couples may be consistent with an additional maternal thrombophilic factor that may adversely affect pregnancy, although other mechanisms are possible. This study suggests that LMWH treatment should be started prior to clinical pregnancy.

  16. Video-Assisted Thoracic Surgery Study Group.

    Science.gov (United States)

    LoCicero, J

    1993-09-01

    Both patients and the medical profession are quick to embrace new technology, particularly when it may replace an existing surgical procedure. Unfortunately, the rapidity of acceptance is rarely associated with careful evaluation. Laparoscopy is a recent example of such widely embraced technology. Studies of laparoscopy that yielded good comparative data to more traditional methods were slow to accrue. This led to the exposure of its shortcomings through governmental reports and the lay press. To prevent this from happening in thoracoscopy, two types of studies are required so that valid conclusions about the new technology can be drawn. The first is an accounting of the new technology as procedures evolve around it. The data collected in such a study should contain basic information, including the indications for the procedure, how it was performed, procedure length, associated complications, and patient outcome. Such information provides a broad profile of the technology, emphasizing from the outset its potential strengths and weaknesses. The second type of study involves a more detailed concurrent comparison of the specific procedures utilizing this technology to the established traditional methods. Such randomized studies help to firmly establish through scientific process the place of the new technology. The Video-Assisted Thoracic Surgery Study Group was organized in early 1992 to address these concerns. From an initial four surgeons the group has grown to include more than 41 institutions. Currently the group is collecting data in a registry and has established three clinical trials to evaluate video-assisted thoracic surgery.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. A Study of Complete Video-Assisted Thoracoscopic Surgery Lobectomy in Treatment of Elderly Patients with Non-Small Cell Lung Cancer: Curative Effect and Impact on Clinical Prognosis.

    Science.gov (United States)

    Xue, Y; Wang, Y Y; Zhang, K; Cong, W; He, B; Zeng, F C

    2015-11-01

    The present study intends to investigate the clinical value of complete video-assisted thoracoscopic surgery (c-VATS) lobectomy in treatment of elderly patients with non-small cell lung cancer (NSCLC). A total of 100 cases of elderly patients with NSCLC admitted in our hospital from March 2012 to March 2014 were enrolled in this study and divided into the research group (n = 50) and control group (n = 50) by random sampling method. All patients in the research group underwent c-VATS lobectomy, while those in the control group underwent conventional lobectomy via thoracotomy. The duration of operation, length of incision, intraoperative blood loss, indwelling time of drainage tube, postoperative complication rate, the number of excised lymph nodes, the time of removing stitches, mean length of stay, and vision analog score (VAS) in two groups were observed and compared. The pulmonary function and arterial blood gas before surgery and six months after surgery in two groups were detected and compared. A regular follow-up study was conducted after surgery. The one-year survival rate in two groups were calculated and compared. The differences in the duration of operation, length of incision, indwelling time of drainage tube, postoperative complication rate, the time of removing stitches, mean length of stay, and VAS score between two groups were statistically significant (all P  0.05). VATS lobectomy has advantages of smaller incision in treatment of NSCLC, faster recovery, and better prognosis compared to traditional therapy.

  18. Surgical treatment of multiple symmetric lipomatosis with ultrasound-assisted liposuction.

    Science.gov (United States)

    Bassetto, Franco; Scarpa, Carlotta; De Stefano, Fabio; Busetto, Luca

    2014-11-01

    Multiple symmetric lipomatosis (MSL) is a rare disease of unknown etiology, characterized by the presence of multiple, symmetrical, noncapsulated lipomas, mostly in the neck and upper trunk. To date, there is no effective medical treatment of MSL. Surgical treatment is based on 2 options, namely, lipectomy and/or liposuction. In this retrospective study, we compare traditional lipectomy with ultrasound-assisted liposuction. Our initial experience demonstrates that the ultrasound-assisted liposuction procedure can be applied to patients with MSL, allowing simultaneous treatment of multiple areas in a single session and the removal of a substantial amount of fat, thus improving aesthetic results. If lipomas are circumscribed and isolated, traditional lipectomy is probably to be preferred.

  19. 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

  20. Heroin-assisted treatment as a response to the public health problem of opiate dependence.

    Science.gov (United States)

    Fischer, Benedikt; Rehm, Jürgen; Kirst, Maritt; Casas, Miguel; Hall, Wayne; Krausz, Michael; Metrebian, Nicky; Reggers, Jean; Uchtenhagen, Ambros; van den Brink, Wim; van Ree, Jan M

    2002-09-01

    Injection drug use (involving the injection of illicit opiates) poses serious public health problems in many countries. Research has indicated that injection drug users are at higher risk for morbidity in the form of HIV/AIDS and Hepatitis B and C, and drug-related mortality, as well as increased criminal activity. Methadone maintenance treatment is the most prominent form of pharmacotherapy treatment for illicit opiate dependence in several countries, and its application varies internationally with respect to treatment regulations and delivery modes. In order to effectively treat those patients who have previously been resistant to methadone maintenance treatment, several countries have been studying and/or considering heroin-assisted treatment as a complementary form of opiate pharmacotherapy treatment. This paper provides an overview of the prevalence of injection drug use and the opiate dependence problem internationally, the current opiate dependence treatment landscape in several countries, and the status of ongoing or planned heroin-assisted treatment trials in Australia, Canada and certain European countries.

  1. 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.

  2. Evaluation of Ultrasound Assisted Potassium Permanganate Pre-Treatment of Spent Coffee Waste

    OpenAIRE

    Ravindran, Rajeev; Jaiswal, Swarna; Abu-Ghannam, Nissreen; Jaiswal, Amit

    2016-01-01

    In the present study, novel pre-treatment for spent coffee waste (SCW) has been proposed which utilises the superior oxidising capacity of alkaline KMnO4 assisted by ultra-sonication. The pre-treatment was conducted for different exposure times (10, 20, 30 and 40 min) using different concentrations of KMnO4 (1,2, 3, 4, 5% w/v) at room temperature with solid/liquid ratio of 1:10. Pretreating SCW with 4% KMnO4 and exposing it to ultrasound for 20 min resulted in 98% cellulose recovery and a max...

  3. Preliminary study on the treatment of masturbation ejaculation dififculty with handheld stimulating device assisted behavior therapy%自慰器辅助行为治疗对自慰射精困难的疗效初探

    Institute of Scientific and Technical Information of China (English)

    范宇平; 马逸; 刘国霖; 胡烨; 黄文强; 黄媚媛; 滕晓明

    2016-01-01

    May 2014 were selected in the study. The cases who had ejaculation difficulty both in masturbation and sexual life or other determinate factors were ruled out. At last, 53 cases of them were enrolled and divided into two groups according to the treatment method, and the treatment group includes 31 cases. The patients kept regulated ejaculation frequency and living habits. The first 2 weeks these patients use handheld stimulating device and audio-visual stimulation to assist masturbation at home, then the next 2 weeks the patients use the same method to try practice test once or twice a week in hospital. The patients who successfully finished ejaculation after the treatment had a follow-up therapy period for about 1 month. The control group includes 22 cases, 19 cases choose sperm cryopreservation before IVF, 3 cases acquired sperm by testicular puncture. We compare the success rate of ejaculation on operation day of the two groups.Results The patients of the treatment group included 31 cases, in the treatment phase, 25 cases (80.65%) finished ejaculation successfully by masturbation. The control group included 22 cases. 58.49% of the patients preferred handheld stimulating device assisted behavior therapy. On the operation day, 19 cases (61.29%) finished ejaculation successfully in the treatment group, 10 cases (32.26%) used the frozen sperm before operation, and 2 cases (6.45%) were treated by testicular puncture. In the control group, 7 cases (31.82%) finished ejaculation, 12 cases (54.55%) used the frozen sperm, and 3 cases (13.64%) were treated by testicular puncture. There was a significant difference in the success rate of the two groups of patients (P0.05) no matter whether the patient had sperm cryopreservation before the operation.Conclusion Handheld stimulating device assisted behavior therapy has a certain effect on masturbation ejaculation difficulty. The evaluation and mechanism of the effect need further investigation with large sample, multi center.

  4. Preliminary study on treatment of lingual tonsil hypertrophy by endoscopic assisted coblation%鼻内镜辅助等离子射频治疗舌扁桃体肥大的初步研究

    Institute of Scientific and Technical Information of China (English)

    张庆翔; 周维国; 李光飞; 胡惠英; 王秋萍

    2013-01-01

    目的:探讨鼻内镜辅助等离子射频舌扁桃体切除术的可行性和安全性.方法:回顾分析27例舌扁桃体肥大患者临床资料,术前均行纤维喉镜及舌根部CT和(或)MRI检查,经鼻气管内插管全麻后,70°鼻内镜辅助下以等离子射频切除舌扁桃体.术后观察舌根创面愈合及术后出血情况,分析鼻内镜辅助下等离子射频舌扁桃体切除术的优点,总结其可行性与安全性.结果:术中舌根及会厌谷在同一术野中得到满意的暴露,术中未发生并发症,术后均安全拔管;术后无原发出血发生,继发出血4例,占14.81%(4/27),分别发生在术后第6、7、10、12天,出血量30~70ml,经保守治疗或再次应用等离子射频止血均获成功;27例术后均无味觉障碍发生,术后随访6~30个月元复发.结论:鼻内镜辅助等离子射频切除舌扁桃体手术暴露充分,切除彻底,复发率低,但术中要特别注意彻底止血,以预防术后出血发生.%Objective:To investigate the feasibility and safety of lingual tonsil excision by endoscopic assisted coblation.Method:Twenty seven cases with lingual tonsil hypertrophy were recruited in this study.Preoperative fibrolaryngoscope and CT and(or) MRI examination of the base of the tongue,lingual tonsil was removed by 70 ° nasal endoscopy-assisted plasma radiofrequency after nasotracheal intubation.The tongue wound healing and post-operative bleeding were observed after operation,the advantages of the endoscopic-assisted plasma radiofrequency on lingual tonsil removal were analyzed,and its feasibility and safety were summarized.Result:During the surgery the base of the tongue and epiglottis had satisfaction exposure in the same operative field.No complications happened in the surgery and endotracheal tube was plucked safely after operation.There was no primary bleeding,and the number of secondary bleeding were 4 cases,accounting for 14.81 % (4/27),respectively occurred on the sixth

  5. Patients Undergoing Substance Abuse Treatment and Receiving Financial Assistance for a Physical Disability Respond Well to Contingency Management Treatment.

    Science.gov (United States)

    Burch, Ashley E; Morasco, Benjamin J; Petry, Nancy M

    2015-11-01

    Physical illness and disability are common in individuals with substance use disorders, but little is known about the impact of physical disability status on substance use treatment outcomes. This study examined the main and interactive effects of physical disability payment status on substance use treatment. Participants (N = 1,013) were enrolled in one of six prior randomized clinical trials comparing contingency management (CM) to standard care; 79 (7.8%) participants reported receiving disability payments, CM improved all three primary substance use outcomes: treatment retention, percent negative samples and longest duration of abstinence. There was no significant main effect of physical disability payment status on treatment outcomes; however, a significant treatment condition by physical disability status interaction effect emerged in terms of retention in treatment and duration of abstinence achieved. Patients who were receiving physical disability payments responded particularly well to CM, and their time in treatment and durations of drug and alcohol abstinence increased even more markedly with CM than did that of their counterparts who were not receiving physical disability assistance. These findings suggest an objectively defined cohort of patients receiving substance use treatment who respond particularly well to CM.

  6. Robotic assisted radical prostatectomy: a different treatment for prostate cancer?

    OpenAIRE

    Julio,Alexandre Den; Ahlering,Thomas Edward; Korkes, Fernando; Lopes Neto,Antonio Correa; Tobias-Machado,Marcos; Pompeo, Antonio Carlos Lima; Wroclawski,Eric Roger

    2010-01-01

    ABSTRACTConsidering the Health Care System in Brazil, a developing country, and public healthcare policies, robotic surgery is a reality to very few citizens. Therefore, robotic assisted radical prostatectomy is far removed from the daily practice of the vast majority of Brazilian urologists. Scientific evidence of the superiority of robotic assisted radical prostatectomy does not presently justify public investments for widespread development of robotic centers. Maybe over time and with redu...

  7. National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted Treatment

    Science.gov (United States)

    Campopiano, Melinda; Baldwin, Grant; McCance-Katz, Elinore

    2015-01-01

    Objectives. We estimated national and state trends in opioid agonist medication-assisted treatment (OA-MAT) need and capacity to identify gaps and inform policy decisions. Methods. We generated national and state rates of past-year opioid abuse or dependence, maximum potential buprenorphine treatment capacity, number of patients receiving methadone from opioid treatment programs (OTPs), and the percentage of OTPs operating at 80% capacity or more using Substance Abuse and Mental Health Services Administration data. Results. Nationally, in 2012, the rate of opioid abuse or dependence was 891.8 per 100 000 people aged 12 years or older compared with national rates of maximum potential buprenorphine treatment capacity and patients receiving methadone in OTPs of, respectively, 420.3 and 119.9. Among states and the District of Columbia, 96% had opioid abuse or dependence rates higher than their buprenorphine treatment capacity rates; 37% had a gap of at least 5 per 1000 people. Thirty-eight states (77.6%) reported at least 75% of their OTPs were operating at 80% capacity or more. Conclusions. Significant gaps between treatment need and capacity exist at the state and national levels. Strategies to increase the number of OA-MAT providers are needed. PMID:26066931

  8. 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.

  9. 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.

  10. 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

  11. 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

  12. Plasma-Assisted Combustion Studies at AFRL

    Science.gov (United States)

    2009-11-04

    important for lean, gas-turbine ( powerplant ) operation Might one also mitigate/influence acoustic fluctuations? Potential for uniform performance with...Thermometry with pulsed -W Source No -W Pulsed -W Direct coupled plasma torch: flame OH vs. - wave power: Plasma-assisted Ignition Cathey, Gundersen, Wang...Determine physical mechanism, primarily for transient plasma ignition  What is role of humidity: XH2O affects detonation wave speed in PDE but not

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

    Science.gov (United States)

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

    2007-07-01

    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 users-yet are distinct in various key details. This paper briefly reviews (initiated or completed) studies and their main parameters, including primary research objectives, design, target populations, outcome measures, current status and-where available-key results. We conclude this overview with some final observations on a decade of intensive HAT research in the jurisdictions examined, including the suggestion that there is a mounting onus on the realm of politics to translate the-largely positive-data from completed HAT science into corresponding policy and programming in order to expand effective treatment options for the high-risk population of illicit opioid users.

  14. Video-assisted anal fistula treatment: technical considerations and preliminary results of the first brazilian experience

    OpenAIRE

    Mendes,Carlos Ramon Silveira; FERREIRA, Luciano Santana de Miranda; Sapucaia,Ricardo Aguiar; LIMA, Meyline Andrade; Araujo, Sergio Eduardo Alonso

    2014-01-01

    Backgroung : Anorectal fistula represents an epithelized communication path of infectious origin between the rectum or anal canal and the perianal region. The association of endoscopic surgery with the minimally invasive approach led to the development of the video-assisted anal fistula treatment. Aim : To describe the technique and initial experience with the technique video-assisted for anal fistula treatment. Technique : A Karl Storz video equipment was used. Main steps included the ...

  15. Treatment of obstructive sleep apnea syndrome using radiofrequency-assisted uvulopalatoplasty with tonsillectomy.

    Science.gov (United States)

    Lim, Dae Jun; Kang, Sung-Ho; Kim, Bo-Hyeng; Hong, Seok-Chan; Yu, Myeong Sang; Kim, Young-Hyun; Choi, Jeong-Seok; Jin, Kwang Ho

    2013-02-01

    Radiofrequency surgery was introduced to minimize thermal damage to the tissue. A radiofrequency electrode can be used to make cuts in the free edge of the soft palate like those done in laser-assisted uvulopalatoplasty [radiofrequency-assisted uvulopalatoplasty (RAUP)]. Tonsillectomy can enlarge the lateral diameter of the pharynx. The aim of our study was to evaluate the efficacy of RAUP with tonsillectomy in treatment of obstructive sleep apnea syndrome (OSAS). Ninety-two patients with obstructive sleep apnea were included in this study. Patients were categorized according to disease severity and Friedman's staging system. Patients were assessed with the preoperative visual analog scale (VAS) for snoring, Epworth Sleepiness Scale (ESS) and apnea-hypopnea index (AHI) at baseline and repeated at 6 months postoperatively. The intensity of postoperative pain, speech deficits and dysphagia were also recorded. There was a significant improvement in the VAS score for snoring, ESS and AHI before and after surgery. Overall, the results of the present study indicated a surgery success rate (a 50 % decrease in AHI and AHI tonsillectomy is an effective treatment for patients with OSAS.

  16. A study of surfactant-assisted waterflooding

    Energy Technology Data Exchange (ETDEWEB)

    Scamehorn, J F; Harwell, J H

    1990-09-01

    In surfactant-assisted waterflooding, a surfactant slug is injected into a reservoir, followed by a brine spacer, followed by second surfactant slug. The charge on the surfactant in the first slug has opposite sign to that in the second slug. When the two slugs mix in the reservoir, a precipitate or coacervate is formed which plugs the permeable region of the reservoir. Subsequently injected water or brine is forced through the low permeability region of the reservoir, increasing sweep efficiency of the waterflood, compared to a waterflood not using surfactants. In this part of the work, two major tasks are performed. First, core floods are performed with oil present to demonstrate the improvement in incremental oil production, as well as permeability modification. Second, a reservoir simulation model will be proposed to further delineate the optimum strategy for implementation of the surfactant-assisted waterflooding, as well as indicate the reservoir types for which it would be most effective. Surfactants utilized were sodium dodecyl sulfate and dodecyl pyridinium chloride. 44 refs., 17 figs., 3 tabs.

  17. Assistive Technology and Supplementary Treatment for Individuals with Rett Syndrome

    Directory of Open Access Journals (Sweden)

    Meir Lotan

    2007-01-01

    Full Text Available Rett syndrome (RS is a neurological disorder, affecting mainly females, caused by MECP2 mutations usually resulting in severe physical disability. Due to the physical challenges faced by the individual with RS and her family, her rehabilitation program should support her throughout different daily activities, contexts, and surroundings. Rehabilitation interventions to reverse physical impairments include exercise of various types and different physical modalities. Nevertheless, in the vast majority of cases, hands-on therapeutic intervention opportunities are available for the client through a minute part of her waking hours. Hence, a supplementary system is required in order to engulf the child with a comprehensive network of support. Supplementary intervention can support physical impairment by introducing adaptive techniques, environmental modifications, and assistive technologies. The therapy program of an individual with RS should include the use of assistive technology when such devices improve the user's performance. The term “supplementary management” relates to the fact that this intervention may be performed by nonprofessionals with the supervision of a qualified therapist. Such an intervention can further support the therapeutic goals of the child, at a time when direct intervention is not supplied. The present article will review the available literature on the topic of assistive technology, incorporating the clinical knowledge of the author in the field of RS.

  18. Evaluation of ultrasound assisted potassium permanganate pre-treatment of spent coffee waste.

    Science.gov (United States)

    Ravindran, Rajeev; Jaiswal, Swarna; Abu-Ghannam, Nissreen; Jaiswal, Amit K

    2017-01-01

    In the present study, novel pre-treatment for spent coffee waste (SCW) has been proposed which utilises the superior oxidising capacity of alkaline KMnO4 assisted by ultra-sonication. The pre-treatment was conducted for different exposure times (10, 20, 30 and 40min) using different concentrations of KMnO4 (1, 2, 3, 4, 5%w/v) at room temperature with solid/liquid ratio of 1:10. Pretreating SCW with 4% KMnO4 and exposing it to ultrasound for 20min resulted in 98% cellulose recovery and a maximum lignin removal of 46%. 1.7 fold increase in reducing sugar yield was obtained after enzymatic hydrolysis of KMnO4 pretreated SCW as compared to raw. SEM, XRD and FTIR analysis of the pretreated SCW revealed the various effects of pretreatment. Thermal behaviour of the pretreated substrate against the native biomass was also studied using DSC. Ultrasound-assisted potassium permanganate oxidation was found to be an effective pretreatment for SCW, and can be a used as a potential feedstock pretreatment strategy for bioethanol production.

  19. 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…

  20. 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...

  1. FSH treatment in infertile males candidate to assisted reproduction improved sperm DNA fragmentation and pregnancy rate.

    Science.gov (United States)

    Garolla, Andrea; Ghezzi, Marco; Cosci, Ilaria; Sartini, Barbara; Bottacin, Alberto; Engl, Bruno; Di Nisio, Andrea; Foresta, Carlo

    2016-07-27

    The purpose of this study is to evaluate whether follicle-stimulating hormone treatment improves sperm DNA parameters and pregnancy outcome in infertile male candidates to in-vitro fertilization.Observational study in 166 infertile male partners of couples undergoing in-vitro fertilization. Eighty-four patients were receiving follicle-stimulating hormone treatment (cases) and 82 refused treatment (controls). Semen parameters, sexual hormones, and sperm nucleus (fluorescence in-situ hybridization, acridine orange, TUNEL, and γH2AX) were evaluated at baseline (T0) and after 3 months (T1), when all subjects underwent assisted reproduction techniques. Statistical analysis was performed by analysis of variance.Compared to baseline, cases showed significant improvements in seminal parameters and DNA fragmentation indexes after follicle-stimulating hormone therapy (all P fragmentation index and lower double strand breaks (P fragmentation, which in turn leads to increased pregnancy rates in infertile males undergoing in-vitro fertilization. In particular, double strand breaks (measured with γH2AX test) emerged as the most sensible parameter to follicle-stimulating hormone treatment in predicting reproductive outcome.

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

    Directory of Open Access Journals (Sweden)

    Jennifer Wild

    2010-12-01

    Full Text Available Background: Research has demonstrated that Cognitive Therapy for PTSD (CT-PTSD, a version of trauma-focused 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 illustrate this possibility. Design: A patient with PTSD and comorbid major depression, who developed these problems following a road traffic accident, was treated in six sessions of cognitive therapy with six self-study modules completed in-between sessions. The patient made a complete recovery on measures of PTSD, anxiety, and depression as assessed by self-report and independent assessment. Conclusion: Self-study assisted cognitive CT-PTSD reduced the therapist contact time to half of that normally required in standard CT-PTSD. This highlights the potential feasibility and therapeutic benefits of self-study modules in the brief treatment of PTSD. Further research is required to systematically evaluate the acceptability and efficacy of brief self-study assisted CT-PTSD.

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

    DEFF Research Database (Denmark)

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

    2007-01-01

    of 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...... 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...

  4. Minimally invasive laser-assisted treatment of arytenoid chondritis

    Science.gov (United States)

    Sullins, Kenneth E.

    2001-05-01

    Five adult performance horses presented with the complaints of exercise intolerance and/or upper airway noise. Endoscopy revealed reduced arytenoid movement, mucosal defects with protruding granulation masses and occasional perilaryngeal swelling. While standing, a 1-cm stab incision was created, and a 5-mm trocar with sleeve was inserted through the cricothyroid membrane using nasopharyngeal endoscopic guidance. A fiber guide containing a 600-micron diode free-beam laser fiber was inserted, and the masses were ablated to the cartilage surface. Lesions determined to be limited to the cartilage substance were further ablated using the laser. Lesions determined to extend through the cartilage were manually debrided using an angled curette. The wounds were left unsutured after placing 2-3 ml of antiseptic ointment subcutaneously. Reexamination revealed resolution of the lesions in all horses, and arytenoid mobility was present. Lesions affecting the corniculate process (two) resulted in noticeable atrophy. The author concludes that laser-assisted debridement of septic tracts in the arytenoid cartilages that have not become completely deformed by the process is a reasonable procedure to restore athletic function.

  5. [Vacuum-assisted laparostomy in complex treatment of patient with peritonitis and internal biliary fistula].

    Science.gov (United States)

    Obolenskiĭ, V N; Ermolov, A A; Oganesian, K S; Aronov, L S

    2013-01-01

    Negative pressure wound therapy (NPWT) is one of the newest methods used in the treatment of wounds. It allows speeding up and optimizing the healing process and reducing the cost of treatment. Negative pressure stimulates proliferation of granulation tissue, provides a continuous evacuation of fluid and effectively cleans wound surface. The authors introduce the reader to the results of treatment of patient with peritonitis and internal duodenal fistula using a vacuum-assisted laparostomy.

  6. Neurological symptoms among dental assistants: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Hollund BE

    2008-05-01

    Full Text Available Abstract Background Dental assistants help the dentist in preparing material for filling teeth. Amalgam was the filling material mostly commonly used in Norway before 1980, and declined to about 5% of all fillings in 2005. Amalgam is usually an alloy of silver, copper, tin and mercury. Copper amalgam, giving particularly high exposure to mercury was used in Norway until 1994. Metallic mercury is neurotoxic. Few studies of the health of dental assistants exist, despite their exposure to mercury. There are questions about the existence of possible chronic neurological symptoms today within this working group, due to this exposure. The aim of this study was to compare the occurrence of neurological symptoms among dental assistants likely to be exposed to mercury from work with dental filling material, compared to similar health personnel with no such exposure. Methods All dental assistants still at work and born before 1970 registered in the archives of a trade union in Hordaland county of Norway were invited to participate (response rate 68%, n = 41, as well as a similar number of randomly selected assistant nurses (response rate 87%, n = 64 in the same age group. The participants completed a self-administered, mailed questionnaire, with questions about demographic variables, life-style factors, musculoskeletal, neurological and psychosomatic symptoms (Euroquest. Results The dental assistants reported significant higher occurrence of neurological symptoms; psychosomatic symptoms, problems with memory, concentration, fatigue and sleep disturbance, but not for mood. This was found by analyses of variance, adjusting for age, education, alcohol consumption, smoking and personality traits. For each specific neurological symptom, adjusted logistic regression analyses were performed, showing that these symptoms were mainly from arms, hands, legs and balance organs. Conclusion There is a possibility that the higher occurrence of neurological symptoms

  7. 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

  8. A metaphor analysis of recovering substance abusers' sensemaking of medication-assisted treatment.

    Science.gov (United States)

    Malvini Redden, Shawna; Tracy, Sarah J; Shafer, Michael S

    2013-07-01

    In this study, we examined metaphors invoked by people recovering from opioid dependence as they described the challenges and successes of using medication-assisted treatment. Metaphors provide linguistic tools for expressing issues that are confusing, complex, hidden, and difficult to state analytically or literally. Using data from eight focus groups with 68 participants representing four ethnic minority groups, we conducted a grounded analysis to show how recovering substance users communicatively constructed addiction and recovery. The primary medication, methadone, was framed as "liquid handcuffs" that allowed those in recovery to quit "hustling," get "straight," and find "money in their pockets." Nonetheless, methadone also served as a "crutch," leaving them still feeling like "users" with "habits" who "came up dirty" to friends and family. In this analysis, we tease out implications of these metaphors, and how they shed light on sensemaking, agency, and related racial- and class-based structural challenges in substance abuse recovery.

  9. Body Mass Index and Pregnancy Outcome after Assisted Reproduction Treatment

    OpenAIRE

    Khaled Kasim; Ahmed Roshdy

    2014-01-01

    The present study aimed to evaluate the impact of body mass index (BMI) on pregnancy outcome after intracytoplasmic sperm injection (ICSI). The study analyzed pregnancy outcome of 349 women who underwent ICSI by their BMI:

  10. The client experience of assertive community treatment: a qualitative study.

    Science.gov (United States)

    Leiphart, Linda R; Barnes, Madaline G

    2005-01-01

    Assertive Community Treatment (ACT) has demonstrated effectiveness in reducing hospital days for persons with schizophrenia. Utilizing depth interviews and Grounded Theory techniques (Strauss & Corbin, 1998), client reactions to this intensive form of treatment delivery were explored. This study illustrates the importance of the relationship between treatment providers and persons with schizophrenia. As providers assisted clients with practical needs, clients began to develop trust, which fostered a sense of belonging and relationship, leading toward a positive motivation regarding treatment.

  11. Solar Assisted Heat Pump Study for Heating of Military Facilities.

    Science.gov (United States)

    1978-07-01

    This study identified 21 generic solar assisted heat pump systems and subjectively evaluated them. The six most promising systems were evaluated in... heat pump . Preliminary drawings intergrating this system into a family housing unit at Little Rock AFB were developed. The system selected had a 27-32 year pay back. (Author)

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

    OpenAIRE

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

    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.

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

    Directory of Open Access Journals (Sweden)

    Naeem Liaqat

    2016-01-01

    Full Text Available 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.

  14. Comparative study of microscopic-assisted and endoscopic-assisted myringoplasty

    Directory of Open Access Journals (Sweden)

    Raghvendra Singh Gaur

    2016-01-01

    Full Text Available This study was conducted to determine the advantages and disadvantages of the endoscope as compared to microscope in myringoplasty surgery and to compare the results of both groups. The cases for this study were taken from the inpatient cases of the Department of Otorhinolaryngology, in tertiary care hospital for prospective study during the period of January 2012–August 2013. Thirty cases were taken for the study under each group. All patients in both groups were followed up for a minimum of 6 months. Final assessment of tympanic membrane and hearing was done at 6 months postoperation. Subjective and objective assessment of scar was done at 6 months postoperation. In our study, the success rate of endoscope-assisted myringoplasty was comparable to that of microscope-assisted myringoplasty. Regarding cosmosis endoscope produced superior results. The wide angle, telescopic, magnified view of the endoscope overcomes most of the disadvantages of the microscope. Loss of depth perception and one-handed technique are some of the disadvantages of the endoscope that can be easily overcome with practice.

  15. 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.

  16. Body Mass Index and Pregnancy Outcome after Assisted Reproduction Treatment

    Directory of Open Access Journals (Sweden)

    Khaled Kasim

    2014-01-01

    Full Text Available The present study aimed to evaluate the impact of body mass index (BMI on pregnancy outcome after intracytoplasmic sperm injection (ICSI. The study analyzed pregnancy outcome of 349 women who underwent ICSI by their BMI: <25, 25–<30, and ≥30 kg/m2. The associations were generated by applying logistic regression models. A significant reduction in positive pregnancy outcome was observed among overweight and obese women (odds ratio (OR = 0.50; 95% confidence interval (CI = 0.25–0.99 for overweight women and OR = 0.45; 95% CI = 0.20–0.89 for obese women. These estimates show that the pregnancy rates are reduced with increasing BMI. The effect of obesity on pregnancy outcome was absent when three and more embryos were transferred. Our study contributes to the reports linking overweight and obesity with decreased positive pregnancy outcome after ICSI and suggests women’s age, infertility type, and number of embryos transferred to modify this reducing effect.

  17. 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

    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/min, average 41.3 ml/min, in those 3 patients who had

  18. Water/O2-plasma-assisted treatment of PCL membranes for biosignal immobilization.

    Science.gov (United States)

    Saşmazel, Hilal Türkoğlu; Manolache, Sorin; Gümüşderelioğlu, Menemşe

    2009-01-01

    The main purpose of this study was to obtain COOH functionalities on the surface of poly-epsilon-caprolactone (PCL) membranes using low-pressure water/O(2)-plasma-assisted treatment. PCL membranes were prepared using the solvent-casting technique. Then, low-pressure water/O(2) plasma treatments were performed in a cylindrical, capacitively coupled RF-plasma-reactor in three steps: H(2)O/O(2)-plasma treatment; in situ (oxalyl chloride vapors) gas/solid reaction to convert -OH functionalities into -COCl groups; and hydrolysis for final -COOH functionalities. Optimization of plasma modification processes was done using the DoE software program. COOH and OH functionalities on modified surfaces were detected quantitatively using the fluorescent labeling technique and an UVX 300G sensor. Chemical structural information of untreated, plasma treated and oxalyl chloride functionalized PCL membranes were acquired using pyrolysis GC/MS and ESCA analysis. High-resolution AFM images revealed that nanopatterns were more affected than micropatterns by plasma treatments. AFM images recorded with amino-functionalized tips presented increased size of the features on the surface that suggests higher density of the carboxyls on the nanotopographical elements. Low-pressure water/O(2)-plasma-treated and oxalyl chloride functionalized samples were biologically activated with insulin and/or heparin biosignal molecules using a PEO (polyoxyethylene bis amine) spacer. The success of the immobilization process was checked qualitatively by ESCA analysis. In addition, fluorescent labeling techniques were used for the quantitative determination of immobilized biomolecules. Cell-culture experiments indicated that biomolecule immobilization onto PCL scaffolds was effective on L929 cell adhesion and proliferation, especially in the presence of heparin.

  19. HLA-G regulatory haplotypes and implantation outcome in couples who underwent assisted reproduction treatment.

    Science.gov (United States)

    Costa, Cynthia Hernandes; Gelmini, Georgia Fernanda; Wowk, Pryscilla Fanini; Mattar, Sibelle Botogosque; Vargas, Rafael Gustavo; Roxo, Valéria Maria Munhoz Sperandio; Schuffner, Alessandro; Bicalho, Maria da Graça

    2012-09-01

    The role of HLA-G in several clinical conditions related to reproduction has been investigated. Important polymorphisms have been found within the 5'URR and 3'UTR regions of the HLA-G promoter. The aim of the present study was to investigate 16 SNPs in the 5'URR and 14-bp insertion/deletion (ins/del) polymorphism located in the 3'UTR region of the HLA-G gene and its possible association with the implantation outcome in couples who underwent assisted reproduction treatments (ART). The case group was composed of 25 ART couples. Ninety-four couples with two or more term pregnancies composed the control group. Polymorphism haplotype frequencies of the HLA-G were determined for both groups. The Haplotype 5, Haplotype 8 and Haplotype 11 were absolute absence in ART couples. The HLA-G*01:01:02a, HLA-G*01:01:02b alleles and the 14-bp ins polymorphism, Haplotype 2, showed an increased frequency in case women and similar distribution between case and control men. However, this susceptibility haplotype is significantly presented in case women and in couple with failure implantation after treatment, which led us to suggest a maternal effect, associated with this haplotype, once their presence in women is related to a higher number of couples who underwent ART.

  20. Psychiatric Comorbidity in Patients from the Addictive Disorders Assistance Units of Galicia: The COPSIAD Study.

    Directory of Open Access Journals (Sweden)

    César Pereiro

    Full Text Available The objective of this study is to assess the prevalence of psychiatric comorbidity in patients under treatment within the addictive disorders assistance units of Galicia (Spain.A total of 64 healthcare professionals performed clinical diagnosis of mental disorders (on DSM IV-TR criteria in 2300 patients treated throughout March 2010 in 21 addictive disorders assistance units.56.3% of patients with substance abuse/dependency also showed some other mental disorder, 42.2% of patients suffering from at least an Axis I condition and 20.2% from some Axis II condition. Mood and anxiety disorders and borderline and antisocial personality disorders were the most frequent disorders in both axes.A high comorbidity was found between mental and substance use disorders (SUD in patients seen at the addictive disorders assistance units of Galicia.

  1. Blood loss in major liposuction procedures: a comparison study using suction-assisted versus ultrasonically assisted lipoplasty.

    Science.gov (United States)

    Karmo, F R; Milan, M F; Silbergleit, A

    2001-07-01

    volume of whole blood loss was estimated to be 12.4 ml in each 1000 ml of liposuction aspirate when using suction-assisted lipoplasty versus 13.1 ml when using ultrasound-assisted lipoplasty. All procedures were done under general anesthesia, and patients were discharged home on the same day. No blood transfusion was required. This study shows that blood loss using the ultrasonic technique is slightly higher, though insignificant, than when using suction. However, this study did not demonstrate a difference in the postoperative hemoglobin decrease between the two techniques.

  2. 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.

  3. Comparison Between Balloon-Assisted and Stent-Assisted Technique for Treatment of Unruptured Internal Carotid Artery Aneurysms

    Science.gov (United States)

    Park, Keun Young; Kim, Dong Joon

    2016-01-01

    Purpose To compare clinical and angiographic outcomes between balloon-assisted (BAC) and stent-assisted coiling for internal carotid artery unruptured aneurysms (ICA-UA). Materials and Methods A total of 227 ICA-UA in 190 patients were treated with BAC (120 patients, 141 ICA-UA) or SAC (70 patients, 86 ICA-UA. We compared characteristics of patients and ICA-UA, and clinical and angiographic outcomes between groups. Results Aneurysm size and neck diameter were greater for SAC than in BAC, but aneurysm volume and coil packing density were not different between groups. Immediate angiographic occlusion grade was better for BAC than for SAC. Periprocedural thromboembolic events were more frequent during SAC (11.6%) than BAC (2.4%) per aneurysm, but hemorrhagic events were the opposite (2.4% for BAC and none for SAC per aneurysm) (p resulting in a modified Rankin scale score of 4. Thus, overall treatment-related morbi-mortality rates were 1.7% in BAC and 2.9% in SAC. At imaging follow-up (BAC, 135 aneurysms [95.7%] for 28.3 months; SAC, 81 aneurysms [94.1%] for 23.9 months), BAC and SAC showed stable or improved occlusion in 94.1% and 95.0%, minor recurrence in 4.4% and 2.5%, and major recurrence in 1.5% and 2.5%, respectively. Conclusion Both BAC and SAC were safe and effective techniques for ICA-UA. There were no differences in morbi-mortality and recurrence rates between groups. PMID:27621946

  4. 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.

  5. Flow behavior and plasticity of Ti-6Al-4V under different electrically assisted treatments

    Science.gov (United States)

    Jiang, Tianhao; Peng, Linfa; Yi, Peiyun; Lai, Xinmin

    2016-12-01

    Both electrically assisted tension (EAT) and electrically assisted pre-treatment tension (EAPT) were conducted to compare different effects on improving deformation resistance and ductility of Ti-6Al-4V. It is found EAPT obviously enhanced the ductility of Ti-6Al-4V compared with that obtained in EAT. In order to decouple the thermal effect from electro-plastic effect, thermally assisted tension (TAT) as well as thermally assisted pre-treatment tension (TAPT) were also conducted. The result indicates deformation mechanism of alpha phase with h.c.p crystal structure in Ti-6Al-4V was insensitive to electric current when current duty is less than 20%. However, the elevated temperature alone is insufficient to account for additional stress drop in the initial yielding stress observed in EAT and EAPT when current duty is higher than 20%. According to XRD investigation on specimens treated in original state, TAPT and EAPT, it is found electric current accelerates the annihilation of alpha phase and formation of beta phase in Ti-6Al-4V more effectively than the rising temperature does and such microstructure evolution also throws light on the improvement of flow stress and ductility observed in EAPT both experimentally and theoretically.

  6. 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.

  7. 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)

  8. 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.

  9. HLA-G profile of infertile couples who underwent assisted reproduction treatment.

    Science.gov (United States)

    Costa, Cynthia Hernandes; Gelmini, Georgia Fernanda; Nardi, Fabiola Silva; Roxo, Valéria Maria Munhoz Sperandio; Schuffner, Alessandro; da Graça Bicalho, Maria

    2016-12-01

    HLA-G codes for a non-classical class I (Ib) protein which is mainly expressed in trophoblast cells. Many pieces of evidence pointed out its essential role conferring immunological tolerance to the fetus. Some HLA-G alleles have been linked to enhanced or reduced HLA-G protein levels expression, which have been associated with reproductive failure. In this study 33 couples undergoing ART (assisted reproduction treatment; n=66) and 120 couples who conceived naturally (controls; n=240) were enrolled in the study. Genotyping was performed by SBT and tagged an 1837bp at 5'URR as well as exons 2, 3 and4 of HLA-G. Alleles, genotypes and haplotypes were compared between infertile and control groups using Fisher Exact Test. The haplotype HLA-G(∗)010101b/HLA-G(∗)01:01:01 showed statistically significant higher frequency in control groups. The immunogenetics of infertility is complex and might be dependent on different genes involved in the establishment of a successful pregnancy. A better understanding of HLA-G alleles and haplotypes structure and how the genetic diversity at their regulatory sites could impact on their level of expression and build up the susceptibility or protection conditions may shed light on the comprehension of immunogenetics mechanisms acting at the fetus-maternal interface.

  10. 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.

  11. 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.

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

    Science.gov (United States)

    De Rose, Paola; Cannas, Elisabetta; Reinger Cantiello, Patrizia

    2011-01-01

    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.

  13. Meta-analysis of scientific studies related to pesticide application techniques - air assistance and adjuvant addition

    Directory of Open Access Journals (Sweden)

    Gustavo Migliorini de Oliveira

    Full Text Available ABSTRACT: The aim of this study was to investigate the effects of air-assisted boom sprayers and addition of adjuvants in the spray solution on control levels of pesticide sprays against weeds and pathogenic fungi by meta-analysis of scientific literature. To perform the meta-analysis, data were collected from the results presented in scientific papers. By these data, a variable was created, denominated as relative control that was used to quantify and test whether the use of air assistance or adjuvants affects the effectiveness of pesticide sprays. This variable was calculated as a difference between percentage of pesticide control in treatments with air assistance or adjuvants and treatments without these spray techniques. Data were analyzed statistically using the Comprehensive Meta-Analysis software. Results showed that the use of air assistance did not have any effect on the control levels of weeds and pathogenic fungi; whereas, the addition of adjuvants increased these levels by 6.45%.

  14. Ultrasound-assisted lipoplasty treatment for axillary bromidrosis: clinical experience of 375 cases.

    Science.gov (United States)

    Hong, Joon Pio; Shin, Hyun Woo; Yoo, Sung-Chul; Chang, Hak; Park, Sang Hoon; Koh, Kyung Suck; Hur, Jae Young; Lee, Taik Jong

    2004-04-01

    Bromidrosis is a condition of abnormal offensive body odor caused mostly by apocrine gland secretion from the axilla. Although no morbid sequelae are known, the odor can be disturbing enough to cause social impairment and psychological distress. Medical care is available but is temporary and yields limited clinical benefit. Surgical treatment may provide a more definite remedy through reduction of the apocrine gland. However, there are risks for complication following surgical treatment such as subdermal excision, subcutaneous shaving, en bloc excision, and liposuction. The search for a less invasive but still effective procedure has led the authors to use ultrasound-assisted liposuction, which has reduced the risk of complication and recurrence. The purpose of this article was to evaluate the long-term outcome of ultrasound-assisted liposuction for the treatment of bromidrosis. From August 1998 to September 2002, 375 consecutive patients underwent ultrasound-assisted liposuction for bromidrosis of the axilla. The average age of the patients was 25.7 years (range, 15 to 55 years) and the average follow-up period was 18.8 months (range, 7 to 56 months). Subjective complaints of recurrences were noted in 22 patients (5.9 percent) and secondary ultrasound-assisted liposuction was performed, resulting in no further complaints. Complications other than recurrences were mild skin sloughing (3.2 percent), hematoma (1.3 percent), subcutaneous band (0.3 percent), and hypesthesia of the hand (0.3 percent), all of which healed spontaneously. Through a questionnaire that was answered by 264 patients, a subjective satisfaction rate was measured. Among the completed questionnaires, 91.7 percent reported satisfactory reduction of odor. Ultrasound-assisted liposuction to treat bromidrosis of the axilla provides advantages such as rapid recovery, less restriction of movement, unnoticeable scars, and a low rate of recurrence. The long-term outcome supports the benefits of this

  15. Meta-analysis of stent-assisted coiling versus coiling-only for the treatment of intracranial aneurysms.

    Science.gov (United States)

    Phan, Kevin; Huo, Ya R; Jia, Fangzhi; Phan, Steven; Rao, Prashanth J; Mobbs, Ralph J; Mortimer, Alex M

    2016-09-01

    Endovascular coil embolization is a widely accepted and useful treatment modality for intracranial aneurysms. However, the principal limitation of this technique is the high aneurysm recurrence. The adjunct use of stents for coil embolization procedures has revolutionized the field of endovascular aneurysm management, however its safety and efficacy remains unclear. Two independent reviewers searched six databases from inception to July 2015 for trials that reported outcomes according to those who received stent-assisted coiling versus coiling-only (no stent-assistance). There were 14 observational studies involving 2698 stent-assisted coiling and 29,388 coiling-only patients. The pooled immediate occlusion rate for stent-assisted coiling was 57.7% (range: 20.2%-89.2%) and 48.7% (range: 31.7%-89.2%) for coiling-only, with no significant difference between the two (odds ratio [OR}=1.01; 95% confidence intervals [CI}: 0.68-1.49). However, progressive thrombosis was significantly more likely in stent-assisted coiling (29.9%) compared to coiling-only (17.5%) (OR=2.71; 95% CI: 1.95-3.75). Aneurysm recurrence was significantly lower in stent-assisted coiling (12.7%) compared to coiling-only (27.9%) (OR=0.43; 95% CI: 0.28-0.66). In terms of complications, there was no significant difference between the two techniques for all-complications, permanent complications or thrombotic complications. Mortality was significantly higher in the stent-assisted group 1.4% (range: 0%-27.5%) compared to the coiling-only group 0.2% (range: 0%-19.7%) (OR=2.16; 95% CI: 1.33-3.52). Based on limited evidence, stent-assisted coiling shows similar immediate occlusion rates, improved progressive thrombosis and decreased aneurysm recurrence compared to coiling-only, but is associated with a higher mortality rate. Future randomized controlled trials are warranted to clarify the safety of stent-associated coiling.

  16. 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.

  17. 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.

  18. Comparison of Video-Assisted Thoracoscopic Surgery and Intrapleural Urokinase as an Initial Treatment for Parapneumonic Effusion and Thoracic Empyema

    Directory of Open Access Journals (Sweden)

    Shungo Yukumi

    2014-05-01

    Full Text Available Introduction: The treatment of complicated parapneumonic effusion (PPE and thoracic empyema (TE is controversial; and the choice of treatment after confirming the failure of simple drainage remains unclear. The purpose of this study was to compare the outcomes of intrapleural urokinase (UK administration and video-assisted thoracoscopic surgery (VATS as initial treatment options for PPE and TE. Materials and Methods: We retrospectively reviewed and compared the data of 20 patients with PPE and TE diagnosed between January 2010 and December 2012 at our hospital, dividing them on the basis of the initial treatment into a video-assisted thoracoscopic surgery (VATS group (n=9 and UK group (n=11. Results: Age was the only statistically different parameter between both groups (P=0.025; with the mean age of the VATS and UK groups being 64 and 76 years, respectively. There was no significant difference in the duration of drainage or success rate between the UK or VATS groups. Although no statistically significant differences (P=0.20 were observed, duration of hospital stay was longer in the UK group (21 and 28 day for VATS and UK, respectively. Conclusion: VATS for PPE and TE may shorten the duration of hospital stay.However, UK administration may be used for selective patients because it is considered to yield outcomes similar to VATS.

  19. Benzodiazepine use among patients in heroin-assisted vs. methadone maintenance treatment: findings of the German randomized controlled trial.

    Science.gov (United States)

    Eiroa-Orosa, Francisco José; Haasen, Christian; Verthein, Uwe; Dilg, Christoph; Schäfer, Ingo; Reimer, Jens

    2010-12-01

    Benzodiazepine (BZD) use has been found to be associated with poorer psychosocial adjustment, higher levels of polydrug use and more risk-taking behaviors among opioid dependent patients. The aim of this paper is to analyze the correlation between BZD use, BZD prescription and treatment outcome among participants in the German trial on heroin-assisted treatment. 1015 patients who participated in the study comparing heroin-assisted and methadone maintenance treatment (HAT & MMT) for 12 months were included in the analysis. Analyses were carried out to assess the association of treatment outcome with baseline BZD use, with ongoing BZD use and with different patterns of BZD prescription. Baseline BZD use correlated with lower retention rates but not with poorer outcome. Ongoing BZD use correlated with poorer outcomes. Significantly better outcomes were found in the course of phobic anxiety symptomatology for those with regular prescription of BZD. The percentage of BZD positive urine tests decreased more in HAT than in MMT. Poorer outcome for benzodiazepine users may be mediated by a higher severity of addiction. Cautious prescribing of benzodiazepines may be beneficial due to the reduction of overall illicit use.

  20. Study on Characteristic of Electric Power Assist Steering System

    Institute of Scientific and Technical Information of China (English)

    许镇琳; 王豪; 尚喆; 张海华; 王家军

    2003-01-01

    A pinion-type electric power steering (EPS) equipped on a sedan is reached in this paper. A three-freedom dynamic model of this system is created. The variables affecting assist character is analyzed. The formulas of simpled steering resistance force and the relationship between assist gain and vehicle speed are presented for the first time. Assist character is found based on the parameters of a sedan at last. This assist character is fit for the control rule of the EPS system through analyzing this character. The assist character figure offers reference for system design and control. Furthermore, this research method has generality for assist character of different kinds of vehicles.

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

    Science.gov (United States)

    Schicho, Kurt; Figl, Michael; Seemann, Rudolf; Ewers, Rolf; Lambrecht, J Thomas; Wagner, Arne; Watzinger, Franz; Baumann, Arnulf; Kainberger, Franz; Fruehwald, Julia; Klug, Clemens

    2006-09-01

    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

  2. [Robotic assisted laparoscopic colposacropexy in the treatment of pelvic organ prolapse].

    Science.gov (United States)

    Moreno Sierra, Jesús; Galante Romo, Isabel; Ortiz Oshiro, Elena; Núñez Mora, Carlos; Silmi Moyano, Angel

    2007-05-01

    Laparoscopic colposacropexy has become a substitute for open surgery in the treatment of pelvic organ prolapse. In the same way, robotic assisted surgery is a new step in the evolution of the procedure. In this paper we intend to show our surgical technique and preliminary results. From November 2006 to date, 10 patients have undergone this procedure at the Hospital Clinico San Carlos. The main indication for the operation was existence of symptomatic pelvic prolapse. Both patients with or without hysterectomy have been operated, without making significant differences between them. Preoperative evaluation workout included: cystogram, urinary tract ultrasound and urodynamics in all cases; urinary tract MRI was performed only in selected cases. All patients underwent surgery under general anesthesia, with at least three robotic trocars (8 mm) and one conventional trocar for the assistant; 2 accessory trocars were necessary in some cases, mainly at the beginning of the series. Most procedures in our series were associated with a transobturator suburethral sling for the treatment of stress urinary incontinence or prevention of its appearance after prolapse repair. Our results are comparable to those reported in other larger series in terms of operative time, hospital stay and early or late complications. Pending an evaluation on the long term with larger series, we can include robot assisted colposacropexy among the therapeutic options for symptomatic pelvic floor prolapse repair.

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

    DEFF Research Database (Denmark)

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

    2014-01-01

    and satisfaction. RESULTS: A total of 24 consecutive patients underwent robot-assisted rectopexy from October 2010 to July 2012. Data regarding their long-term outcome was available for 18 patients at follow-up (average ten months). 50% of the patients suffered from faecal incontinence before surgery (n = 9/18, 50......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 METHODS: All patients diagnosed with rectal prolapse at our institution underwent robot-assisted rectopexy. Data regarding the surgical procedure and post-operative morbidity were collected retrospectively. Patients were contacted to register long-term results regarding recurrence, incontinence...

  4. TREATMENT OF OSTEOCHONDRAL LESIONS OF THE TALUS BY MEANS OF THEARTHROSCOPY-ASSISTED MICROPERFORATION TECHNIQUE

    Science.gov (United States)

    de Lima, Everton; de Queiroz, Felipe; Lopes, Osmar Valadão; Spinelli, Leandro de Freitas

    2015-01-01

    Objective: To evaluate patients affected by osteochondral fractures of the talus who were treated surgically by means of arthroscopy-assisted microperforation. Methods: A retrospective study was carried out on 24 patients with osteochondral lesions of the talus who underwent microperforation assisted by videoarthroscopy of the ankle. They were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) score system before and after the operation. Results: There were 19 men and 5 women, with a mean age of 35.3 years (minimum of 17 years and maximum of 54 years). The minimum follow-up was two years (maximum of 39 months). All the patients showed an improvement in AOFAS score after surgery, with an average improvement of around 22.5 points. Conclusion: Videoarthroscopy-assisted microperforation is a good option for treating osteochondral lesions of the talus and provides good functional results. PMID:27027076

  5. Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report

    Science.gov (United States)

    Bordoni, Bruno; Marelli, Fabiola; Morabito, Bruno; Sacconi, Beatrice

    2017-01-01

    This study deals with an osteopathic approach used for a patient with left-ventricular assist device (L-VAD) affected by left brachialgia. Clinical examination revealed the presence of thoracic outlet syndrome and pectoralis minor syndrome, with compression of the left proximal ulnar nerve, related to the surgical sternotomy performed. The osteopathic techniques used can be classified as indirect and direct, addressed to the pectoralis minor and the first left rib, respectively. To our knowledge, this is the first text in literature with an osteopathic treatment in a patient with L-VAD. PMID:28144166

  6. From Resistance to Existence-Experiences of Medication-Assisted Treatment as Disclosed by People with Opioid Dependence.

    Science.gov (United States)

    Lindgren, Britt-Marie; Eklund, Margita; Melin, Ylva; Graneheim, Ulla Hällgren

    2015-01-01

    This study aimed to describe the lived experiences of participating in a medication-assisted treatment as disclosed by individuals with opioid dependence. Eleven narrative interviews were conducted and subjected to qualitative content analysis. The experiences of participating in the programme were described as a process from resistance to existence. The participants seized the chance to claim a life lived with dignity, struggled with hidden challenges, and eventually were freed from their pasts and were grateful for an existence with dignity. The recovery process was a long-term commitment and participants asked for a more individual and flexible process based on personal needs and values.

  7. Preliminary functional results of endoscope-assisted transoral treatment of displaced bilateral condylar mandible fractures.

    Science.gov (United States)

    Schoen, R; Fakler, O; Metzger, M C; Weyer, N; Schmelzeisen, R

    2008-02-01

    Temporomandibular joint (TMJ) function was evaluated following endoscope-assisted transoral open reduction and miniplate fixation of displaced bilateral condylar mandibular fractures. The transoral treatment of bilateral condylar fractures was performed in 13 patients from May 2000 to December 2004. Eleven of the 13 patients had additional mandibular fractures. Out of 26 fractures of the condylar process, 11 were located at the condylar neck and 15 were subcondylar. One, 6 and 12 months after surgery TMJ function was evaluated. Anatomic reduction was achieved using an endoscope-assisted transoral approach even when the condylar fragment was displaced medially and in fractures with comminution. Good TMJ function was noted 6 and 12 months after surgery. Mouth opening was measured to be more than 40 mm without deviation. Postoperative range of motion with a satisfying lateral excursion was found. Early rehabilitation and pre-injury TMJ function was achieved following minimally invasive anatomic fracture reduction.

  8. 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 M...

  9. [Bacteriospermia in Assisted Reproductive Techniques: effects of bacteria on spermatozoa and seminal plasma, diagnosis and treatment].

    Science.gov (United States)

    Boitrelle, F; Robin, G; Lefebvre, C; Bailly, M; Selva, J; Courcol, R; Lornage, J; Albert, M

    2012-04-01

    The presence of bacteria in semen could induce impairment of sperm morphology, alteration of sperm function and mechanical or functional obstruction of the seminal tract. The term of bacteriospermia does not signify infection. Bacteriospermia and male accessory gland infection (MAGI) have indeed to be distinguished. They may lead both to male infertility but their diagnosis and treatment options differ. This review summarizes effects of bacteria and leucocytospermia on sperm parameters and functions. Then, indications, benefits and risks of treatment of bacteriospermia and MAGI, in assisted reproductive techniques (ART) will be discussed. For bacteria commonly observed in semen, this review aims at defining some thresholds above which a treatment is required. These thresholds were established according to literature, according to French microbiology society and in function of our usual practice. This review should help practitioners of reproductive medicine to take care of bacteriospermia in semen.

  10. 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.

  11. Very superficial ultrasound-assisted lipoplasty for the treatment of axillary osmidrosis.

    Science.gov (United States)

    Park, S

    2000-01-01

    Treatment of axillary osmidrosis has been mainly concerned with surgical excision of glandular tissues and involved major surgical procedures with high morbidities and many complications. Search for a less invasive procedure for axillary osmidrosis resulted in the use of liposuction. However, there have been controversies over the efficacy of this method. The problem was that liposuction could not effectively remove the apocrine gland located in the dermis and dermosubcutaneous junction. A high rate of residual malodor and dissatisfaction were reported. The author used ultrasound-assisted lipoplasty (UAL) in the very superficial plane to remove the apocrine gland located in the dermis and dermosubcutaneous junction. The purpose of this study was to prove the efficacy of the very superficial UAL (VSUAL) for the treatment of axillary osmidrosis. From December 1998 to December 1999, 21 consecutive patients underwent UAL in their axilla for axillary osmidrosis. The follow-up period ranged from 2 to 12 months (mean: 8 months). UAL was performed in the very superficial plane with an amplitude of 40%. The very superficial UAL (VSUAL) was done mainly in a withdrawing manner with the tip of the cannula against the skin. The UAL (VSUAL) was done aggressively until the skin changed slightly erythematous. The results were assessed subjectively and objectively, and classified as excellent, good, fair, and poor. Nineteen patients were graded as excellent and one patient as good. The total satisfaction rate was 95.2%. One patient complained of residual malodor in her left axilla. There were no cases of skin necrosis, hematoma, or seroma. Histology showed partial removal of the subcutaneous layer and deep dermis, and degenerative epithelial changes in the apocrine glands in the residual deep dermis. These microscopic findings meant near-total functional ablation of the apocrine gland in the axilla comparable to "flap-to-graft conversion" or surgical excision of axillary skin. The

  12. Medical assistance at the Brazilian juniors tennis circuit--a one-year prospective study.

    Science.gov (United States)

    Silva, R T; Takahashi, R; Berra, B; Cohen, M; Matsumoto, M H

    2003-03-01

    A prospective study was conducted during one year to evaluate injuries in Brazilian Junior tennis players during the national circuit, in 2001. Male and female athletes in the age categories under 12, under 14, under 16 and under 18 years, all members of The Brazilian Tennis Confederation, participated in the study. Two physiotherapists and/or one physician evaluated the athletes. A total of 280 medical examinations were performed in 151 tennis players who needed medical treatment during the tournaments. The 151 athletes had 1-6 medical treatments during the tournaments and the mean was 1.8 treatment per athlete. The overall incidence was 6.9 medical treatments for every 1,000 games played. Medical assistance tothe athletes was performed on court in 83 (29.6%) occasions, 185 (66.1%) at the medical department and in both in 12 (4.3%) occasions. Retirement of the match was reported in 9 (3.2%) lesions. The most frequent injuries were: muscle contractures (76 - 27.14%), muscle pain/fatigue (36-12.85%), muscle strain (35-12.52%), tendinopathies (20 - 7.14%), cramps (16 -5.71%), ankle sprain (12 -4.28%) and low back pain (10-3.57%). Muscle pathology was the major source of injuries causing the athlete to seek medical assistance. Preventative measures are important to reduce the number of injuries, which may include muscle stretching programs and adequate nutrition and hydration.

  13. Natural healers: a review of animal assisted therapy and activities as complementary treatment for chronic conditions.

    Science.gov (United States)

    Reed, Reiley; Ferrer, Lilian; Villegas, Natalia

    2012-01-01

    The primary objective of this review is to synthesize the existing literature on the use of animal-assisted therapy and activity (AAT/A) as complementary treatment among people living with chronic disease and to discuss the possible application of this practice among children living with HIV. Relevant databases were searched between March 10 and April 11, 2011, using the words: animal assisted therapy or treatment and chronic conditions or diseases. Thirty-one articles were found and 18 followed the inclusion and exclusion criteria. Research suggests that AAT/A is effective for different patient profiles, particularly children. Interaction with dogs has been found to increase positive behaviors, such as sensitivity and focus, in children with social disabilities. Decreased levels of pain have also been reported among child patients as a result of AAT/A. More research should be done in the area of children living with chronic diseases that require strict adherence to treatment, such as HIV, and on AAT/A's prospective use as an educational tool to teach children about the importance of self-care for their medical conditions.

  14. Robot-assisted Partial Cystectomy for Treatment of Inflammatory Myofibroblastic Tumor of the Bladder

    Directory of Open Access Journals (Sweden)

    Charles Rotenberry

    2017-02-01

    Full Text Available Inflammatory myofibroblastic tumors rarely occur in the urinary bladder. These masses follow an indolent course, but due to their histologic similarities to more malignant types of bladder masses, they must be differentiated with immunohistochemical staining. Once diagnosed, the mainstay of treatment for these masses is surgical resection. Due to advancements in robotic surgery, new surgical techniques can be employed to treat these masses with fewer perioperative complications. We report a case of inflammatory myofibroblastic tumor of the urinary bladder in a 29-year-old male treated with robot-assisted partial cystectomy.

  15. 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.

  16. 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

  17. 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

  18. Fabrication of Nanostructured Electroforming Copper Layer by Means of an Ultrasonic-assisted Mechanical Treatment

    Institute of Scientific and Technical Information of China (English)

    Liao Qiang; Li Weiping; Liu Huicong; Zhu Liqun

    2010-01-01

    Electroformed copper layer with nanostructure is obtained using a subsequent mechanical treatment under the conditions of ultrasonic vibration according to the demand of high performance material in aeronautics.The microstructure of the electro-formed copper layer is observed by optical microscope (OM),scanning electron microscope (SEM) and transmission electron microscope (TEM).The tensile strength is evaluated with a tensile tester.It is found that bulk crystal of electroformed copper's surface layer is changed to nanocrystals (about 10 nm in size) after the ultrasonic-assisted mechanical treatment (UMT) but the whole monocrystalline structure still remains.The tensile strength exhibited by the new copper layer is two times better than the regular electroformed copper layer,while the fracture strain remains constant.In addition,the strengthening mechanism of UMT process is proved to be dislocation strengthening mechanism.

  19. 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.

  20. 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…

  1. Heat-pump-assisted dryer: Pt. 2; Experimental study

    Energy Technology Data Exchange (ETDEWEB)

    Pendyala, V.R.; Devotta, S.; Patwardhan, V.S. (National Chemical Lab., Poona (India))

    1990-07-01

    The performance of an experimental heat-pump-assisted dryer under operating conditions of some practical interest was studied. The system was operated using R11 and R12. The approach velocity of air to the evaporator and the superheat of the working fluid at the exit of the evaporator were identified as the critical parameters for optimization. The system was evaluated with respect to coefficient of performance (COP) and specific energy consumption (SEC). The (COP){sub A} and (SEC) values obtained using R11 were 3.5 and 3500 kJ/kg, respectively, and the corresponding values for R12 were 2.5 and 1800 kJ/kg. In spite of the lower (COP){sub A} for R12, the corresponding (SEC) values were better because the system could be operated without any additional electrical heating with R12. (author).

  2. Computer-assisted cognitive behavioral therapy for children with epilepsy and anxiety: a pilot study.

    Science.gov (United States)

    Blocher, Jacquelyn B; Fujikawa, Mayu; Sung, Connie; Jackson, Daren C; Jones, Jana E

    2013-04-01

    Anxiety disorders are prevalent in children with epilepsy. The purpose of this study was to evaluate the efficacy, adaptability, and feasibility of a manual-based, computer-assisted cognitive behavioral therapy (CBT) intervention for anxiety disorders in children with epilepsy. Fifteen anxious youth (aged 8-13 years) with epilepsy completed 12 weeks of manualized computer-assisted CBT. The children and parents completed a semi-structured interview at baseline, and questionnaires assessing symptoms of anxiety, depression, and behavior problems were completed prior to treatment, at treatment midpoint, after treatment completion, and at three months posttreatment. There were significant reductions in the symptoms of anxiety and depression reported by the children at completion of the intervention and at the three-month follow-up. Similarly, the parents reported fewer symptoms of anxiety and a reduction in behavior problems. No adverse events were reported. This CBT intervention for children with epilepsy and anxiety disorders appears to be safe, effective, and feasible and should be incorporated into future intervention studies.

  3. Five-year comparative study on conventional and laser-assisted therapy of periimplantitis and periodontitis

    Science.gov (United States)

    Bach, Georg; Neckel, Claus P.

    2000-03-01

    Numerous groups have recommended the use of the diode laser to decontaminate infected root and implant surfaces. The aim of this study was to show the outcome after laser assisted and conventional therapy of periimplantitis and periodontitis administering approved treatment protocols. Between 1994 and 1999 a total of 50 patients with periimplantitis (20) and periodontitis (30) were treated in two groups each. Clinical, microbiological and radiographic evaluation was performed before and 6, 12, 24, 36, 48 and 60 months after treatment. In addition to the conventional treatment protocol, flap surgery, the tooth or implant surface was decontaminated with a 810 nm diode laser using 1 Watt output for 20 sec (CW mode). All accessible surfaces were decontaminated at the follow up dates. In the periimplantitis group recurrence of the marker bacteria was higher and faster over time for the conventionally operated patients. Also the clinical and radiographic reevaluation showed significantly better results. The laser group of the periodontitis patients also showed significantly better outcome in terms of clinical evaluation, microbiological counts, radiographic evaluation and tooth loss. In comparison to other long term studies our results for the conventional therapy were adequate, the laser assisted therapy brought up significantly better and reproducible results.

  4. Depression Treatment in Assisted Living Settings: Is an Innovative Approach Feasible?

    OpenAIRE

    2013-01-01

    Depression is a common, disabling and under-recognized problem among older adults in assisted living (AL) settings. The purpose of this study was to evaluate stakeholder perceptions of using a blended model of depression care that combines essential features of evidence-based collaborative care and elderly outreach for use in AL settings. A descriptive design using mixed methods was used to assess perceptions of the three main components of the depression model: onsite depression care managem...

  5. [Ultrasound-assisted puncture method of treatment of hepatic hydatid cysts].

    Science.gov (United States)

    Gavrilin, A V; Kuntsevich, G I; Vishnevskiĭ, V A; Ikramov, R Z; Zhurenkova, T V; Burtseva, E A; Savvina, T B; Agafonov, V A

    2002-01-01

    Results of treatment of 31 hepatic hydatid cysts in 28 patients were analyzed. The size of the s ranged from 3 to 25 cm. In 26 cases the cysts contained flive es, in 2 cases they were suppurated after US-assisted intraoperative puncture. Simple hydatid cysts (type I by M. Milcevic) were diagnosed in 24 patients (solitary--in 22, multiple--in 2), solitary cysts of type II--in 2 patients. In 23 cases aspiration-catheter treatment with complete removal of chitin membrane by one-stage (4) or two-stage (19) methods was performed. After removal of chitin membrane in 3 patients lateral fistula between spurious cysts cavities and peripheral branches of intrahepatic bile ducts were revealed which spontaneously. Glue composition "Rabrom" was used in 2 cases for closure of the residual cavity. In 4 patients who had cysts less 6 cm in size puncture irrigation of chitin cavity with 30% NaCl (PAIR technique) without it removal was performed. In one patient transcutaneous catheter (PAIR-PD technique) was used for irrigation of the cyst larger than 6 cm. The duration of two-stage aspiration-catheter treatment with removal of chitin membrane was 25.6 +/- 9.6 days. In moderate calcinosis of the fibrous membrane and bile fistulas period of hospitalization was 34 +/- 8.1 days. Treatment with PAIR and PAIR-PD took 1 and 3 days respectively. Complications of percutaneous methods were regarded as mild: hyperthermia (12), right-sided hydrothorax (6), subcapsular hematoma (1), urticaria (1). All the complications were treated conservatively and with US-assisted punctures. Long-term (from 6 months to 9 years) results of treatment were followed up in 26 patients: there were no recurrences. Suppuration of the residual cavity 6 months after the glue occlusion was eradicated by transcutaneous catheter drainage. One lethal outcome was not associated with complications of aspiration-catheter treatment. Both methods of transcutaneous treatment of hepatic hydatid cysts are effective and safe. A

  6. [Rise of the machines? Left ventricular assist devices for treatment of severe heart failure].

    Science.gov (United States)

    Ujeyl, A; Krüger, M

    2015-11-01

    The use of left ventricular assist devices (LVAD) as a treatment for severe heart failure has gained momentum in recent years. Even at this stage the number of worldwide LVAD implantations far exceeds the volume of heart transplantations in view of the chronic shortage of donor organs. Third generation continuous flow assist devices have helped to improve survival, quality of life and symptom burden of heart failure patients in comparison to a regimen of optimal medication management. Alongside bridging to transplantation, destination therapy has become an established strategy of LVAD implantation. A careful patient selection process is crucial for a good clinical outcome after device implantation and risk assessment for postoperative right ventricular failure is of particular importance in this context. The rate of hospitalization during LVAD support is still high, despite the step-wise attempts to widen the indications to less severely ill heart failure patients. An effective perioperative and postoperative management will help to lower the incidence of complications (e.g. bleeding, infections, thromboembolic events and right ventricular failure) and to improve the encouraging results of mechanical circulatory support.

  7. 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...

  8. Ethics and Computer-Assisted Assessment: Three Case Studies.

    Science.gov (United States)

    Jacob, Susan; Brantley, John C.

    1989-01-01

    Three ethical-legal case incidents involving computer-assisted psychodiagnostic assessment in the schools are presented. Each case is analyzed in terms of applicable laws, ethical codes, and standards for professional practice. (Author)

  9. Laser-assisted gingivectomy in pediatric patients: A novel alternative treatment

    Directory of Open Access Journals (Sweden)

    G Gontiya

    2011-01-01

    Full Text Available Gingival enlargement is quite a common pathology in pediatric patients and may be inflammatory, noninflammatory, or a combination of both. Idiopathic gingival fibromatosis, although rare, is a slowly progressive benign enlargement that affects the marginal gingiva, attached gingival, and interdental papilla. The fibromatosis may potentially cover the exposed tooth surfaces, causing esthetic and functional problems. The treatment of gingival fibromatosis is essential because it causes difficulties with mastication, speech problems, mispositioning of teeth, esthetic effects, and psychological difficulties for the patient. Traditional gingivectomy procedures have been a challenge for dentists who confront issues of patient cooperation and discomfort. In the last decade, laser procedures in oral cavity had shown many optimum effects in both hard and soft tissue procedures. Laser soft-tissue surgery has been shown to be well accepted by children. The following case report describes a laser-assisted gingivectomy procedure performed on a 13-year-old female.

  10. Laser-assisted gingivectomy in pediatric patients: a novel alternative treatment.

    Science.gov (United States)

    Gontiya, G; Bhatnagar, S; Mohandas, U; Galgali, S R

    2011-01-01

    Gingival enlargement is quite a common pathology in pediatric patients and may be inflammatory, noninflammatory, or a combination of both. Idiopathic gingival fibromatosis, although rare, is a slowly progressive benign enlargement that affects the marginal gingiva, attached gingival, and interdental papilla. The fibromatosis may potentially cover the exposed tooth surfaces, causing esthetic and functional problems. The treatment of gingival fibromatosis is essential because it causes difficulties with mastication, speech problems, mispositioning of teeth, esthetic effects, and psychological difficulties for the patient. Traditional gingivectomy procedures have been a challenge for dentists who confront issues of patient cooperation and discomfort. In the last decade, laser procedures in oral cavity had shown many optimum effects in both hard and soft tissue procedures. Laser soft-tissue surgery has been shown to be well accepted by children. The following case report describes a laser-assisted gingivectomy procedure performed on a 13-year-old female.

  11. [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.

  12. "It just alienated us": a case study to explore the impact of assisted reproductive technology on family relationships.

    Science.gov (United States)

    Peters, Kathleen; Jackson, Debra; Rudge, Trudy

    2007-01-01

    New reproductive technologies have the capacity to impact on both personal and healthcare relationships. This article utilizes a case study approach to unpack experiences of one couple who encountered immense and unforeseen difficulties as a result of treatment with assisted reproductive technology. Findings of this case reveal both difficulties and breaches in obtaining informed consent and the consequences these breaches have on relationships. Comprehensive information contributes to positive relationships between patients and healthcare providers. Maintaining supportive relationships between all parties concerned with assisted reproductive technology services is essential, as rifts in these relationships can be devastating and long-lasting.

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

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Haopeng, E-mail: hpyang1993@163.com; Wu, Xiaochun, E-mail: xcwu@staff.shu.edu.cn; Yang, Zhe; Pu, Shengjun; Wang, Hongbin

    2014-03-25

    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 Fe{sub 2}B 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.

  14. FES-Assisted Walking with Spring Brake Orthosis: Simulation Studies

    Directory of Open Access Journals (Sweden)

    R. Jailani

    2011-01-01

    Full Text Available This paper presents a simulation of bipedal locomotion to generate stimulation pulses for activating muscles for paraplegic walking with wheel walker using functional electrical stimulation (FES with spring brake orthosis (SBO. A new methodology for paraplegic gait, based on exploiting natural dynamics of human gait, is introduced. The work is a first effort towards restoring natural like swing phase in paraplegic gait through a new hybrid orthosis, referred to as spring brake orthosis (SBO. This mechanism simplifies the control task and results in smooth motion and more-natural like trajectory produced by the flexion reflex for gait in spinal cord injured subjects. SBO can eliminate reliance on the withdrawal reflex and foot-ground clearance without extra upper body effort. The stored energy in the spring of SBO is used to replace stimulation pulses in knee flexion and reduce total required torque for the paraplegic walking with wheel walker. The study is carried out with a model of humanoid with wheel walker using the Visual Nastran (Vn4D dynamic simulation software. Stimulated muscle model of quadriceps is developed for knee extension. Fuzzy logic control (FLC is developed in Matlab/Simulink to regulate the muscle stimulation pulse-width required to drive FES-assisted walking gait and the computed motion is visualised in graphic animation from Vn4D. The simulation results show that SBO can be successfully used with FES for paraplegic walking with wheel walker with all the advantages discussed over the current hybrid orthoses available.

  15. 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).

  16. 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

  17. Diagnostic value of sperm DNA fragmentation and sperm high-magnification for predicting outcome of assisted reproduction treatment.

    Science.gov (United States)

    López, Gemma; Lafuente, Rafael; Checa, Miguel A; Carreras, Ramón; Brassesco, Mario

    2013-11-01

    Over the last years, major improvements in the field of male infertility diagnosis have been achieved. The aim of this study was to determine the diagnostic usefulness of sperm DNA integrity and sperm vacuolisation for predicting outcome in infertile couples undergoing in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) treatments. A cohort study from 152 infertile couples undergoing sperm DNA fragmentation and high-magnification tests prior to an assisted reproduction treatment was designed. We found that the most predictive cutoff for pregnancy was 25.5% of DNA fragmentation with a negative predictive value of 72.7% (P=0.02). For the degree of vacuolisation, the best predictor of pregnancy was 73.5% of vacuolated sperm grades III+IV with a negative predictive value of 39.4% (P=0.09), which was not statistically significant. In conclusion, sperm DNA fragmentation greater than 25.5% could be associated with higher probability of failure IVF treatment. Regarding the results of the sperm analysis at high magnification, they do not allow us to predict whether or not patients will become pregnant.

  18. Diagnostic value of sperm DNA fragmentation and sperm high-magnification for predicting outcome of assisted reproduction treatment

    Science.gov (United States)

    López, Gemma; Lafuente, Rafael; Checa, Miguel A; Carreras, Ramón; Brassesco, Mario

    2013-01-01

    Over the last years, major improvements in the field of male infertility diagnosis have been achieved. The aim of this study was to determine the diagnostic usefulness of sperm DNA integrity and sperm vacuolisation for predicting outcome in infertile couples undergoing in vitro fertilisation (IVF) and intracytoplasmic sperm injection (ICSI) treatments. A cohort study from 152 infertile couples undergoing sperm DNA fragmentation and high-magnification tests prior to an assisted reproduction treatment was designed. We found that the most predictive cutoff for pregnancy was 25.5% of DNA fragmentation with a negative predictive value of 72.7% (P=0.02). For the degree of vacuolisation, the best predictor of pregnancy was 73.5% of vacuolated sperm grades III+IV with a negative predictive value of 39.4% (P=0.09), which was not statistically significant. In conclusion, sperm DNA fragmentation greater than 25.5% could be associated with higher probability of failure IVF treatment. Regarding the results of the sperm analysis at high magnification, they do not allow us to predict whether or not patients will become pregnant. PMID:23912311

  19. 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

    2015-09-02

    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 (P<0.05) reduction of Salmonella on berries, providing a novel intervention for processing of small berries intended for fresh-cut and frozen berry products.

  20. 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.

  1. Clinical study of corticotomy assisted orthodontic treatment for mild skeletal Class Ⅱ malocclusion%上颌前牙牙槽骨骨皮质切开辅助治疗轻度骨性Ⅱ类错牙合畸形的临床观察

    Institute of Scientific and Technical Information of China (English)

    潘成琼; 李明; 秦燕军; 严斌; 程磊; 赵宏; 王林; 赵春洋

    2016-01-01

    目的:探讨骨皮质切开术辅助治疗轻度骨性Ⅱ类错(牙合)正畸的效果。方法:对7名骨皮质切开术辅助治疗的轻度骨性Ⅱ类1分类错(牙合)成人患者矫治前后的 CBCT 进行三维测量分析。结果:骨皮质切开的患者前牙内收时间为3.2个月;上中切牙明显内收,上颌牙槽骨也有内收,随着上颌切牙的内收上唇内收明显。结论:骨皮质切开术辅助矫治骨性Ⅱ类错(牙合)成人患者能够加速牙齿移动,并尽可能地实现前牙的整体内收,改善了患者软组织侧貌。%Objective:To investigate the effects of corticotomy assisted orthodontic treatment for mild skeletal Class Ⅱ malocclusion. Methods:7 adult patients with mild skeletal Class Ⅱ division 1 malocclusion were included and underwent corticotomy assisted ortho-dontic treatments.3D measurements and analysis of CBCT data before and after treatment were conducted.Results:The average dura-tion of upper anterior teeth retraction was 3.2 months.After treatment,obvious retraction of up incisiors with the retraction of maxillary alveolar bone and the upper lip backward and downward movement were observed.Conclusion:Corticotomy assisted orthodontic treat-ment is effective in the treatment of mild skeletal Class Ⅱ malocclusion by the retraction of uper anterior teeth,alveolarar bone and soft-tissue profile improvement.

  2. Direct matrix-assisted laser desorption ionization time-of-flight mass spectrometry improves appropriateness of antibiotic treatment of bacteremia.

    Science.gov (United States)

    Vlek, Anne L M; Bonten, Marc J M; Boel, C H Edwin

    2012-01-01

    Matrix assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) allows the identification of microorganisms directly from positive blood culture broths. Use of the MALDI-TOF MS for rapid identification of microorganisms from blood culture broths can reduce the turnaround time to identification and may lead to earlier appropriate treatment of bacteremia. During February and April 2010, direct MALDI-TOF MS was routinely performed on all positive blood cultures. During December 2009 and March 2010 no direct MALDI-TOF MS was used. Information on antibiotic therapy was collected from the hospital and intensive care units' information systems from all positive blood cultures during the study period. In total, 253 episodes of bacteremia were included of which 89 during the intervention period and 164 during the control period. Direct performance of MALDI-TOF MS on positive blood culture broths reduced the time till species identification by 28.8-h and was associated with an 11.3% increase in the proportion of patients receiving appropriate antibiotic treatment 24 hours after blood culture positivity (64.0% in the control period versus 75.3% in the intervention period (p0.01)). Routine implementation of this technique increased the proportion of patients on adequate antimicrobial treatment within 24 hours.

  3. Direct matrix-assisted laser desorption ionization time-of-flight mass spectrometry improves appropriateness of antibiotic treatment of bacteremia.

    Directory of Open Access Journals (Sweden)

    Anne L M Vlek

    Full Text Available Matrix assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS allows the identification of microorganisms directly from positive blood culture broths. Use of the MALDI-TOF MS for rapid identification of microorganisms from blood culture broths can reduce the turnaround time to identification and may lead to earlier appropriate treatment of bacteremia. During February and April 2010, direct MALDI-TOF MS was routinely performed on all positive blood cultures. During December 2009 and March 2010 no direct MALDI-TOF MS was used. Information on antibiotic therapy was collected from the hospital and intensive care units' information systems from all positive blood cultures during the study period. In total, 253 episodes of bacteremia were included of which 89 during the intervention period and 164 during the control period. Direct performance of MALDI-TOF MS on positive blood culture broths reduced the time till species identification by 28.8-h and was associated with an 11.3% increase in the proportion of patients receiving appropriate antibiotic treatment 24 hours after blood culture positivity (64.0% in the control period versus 75.3% in the intervention period (p0.01. Routine implementation of this technique increased the proportion of patients on adequate antimicrobial treatment within 24 hours.

  4. Treatment of congenital radial head dislocation with a computer-assisted hexapod external fixator: A case report

    Directory of Open Access Journals (Sweden)

    Özgür Karakoyun

    2015-09-01

    Full Text Available Congenital dislocation of the radial head (CDRH, a congenital anomaly of the elbow, can cause symptoms such as joint stiffness, snapping, locking, or pain, however the diagnosis is sometimes made incidentally from x-rays. The treatment goal is to ameliorate the symptoms and obtain a joint with a full range of motion. This paper presents a case of unilateral CDRH that was asymptomatic until adolescence, when locking and snapping developed. Several treatment options are described in the literature. Although the conventional and computer-assisted external fixator systems are used in several clinical pictures such as extremity deformities, joint contractures and fixation of acute fractures etc a computer-assisted external fixator system has not been used for CDRH. We successfully performed ulnar dorsal translation and a lengthening osteotomy with a computer-assisted external fixator to reduce the radial head indirectly and had satisfactory functional and clinical results. J Clin Exp Invest 2015; 6 (3: 301-305

  5. More Than Just a Break from Treatment: How Substance Use Disorder Patients Experience the Stable Environment in Horse-Assisted Therapy

    Science.gov (United States)

    Kern-Godal, Ann; Brenna, Ida Halvorsen; Arnevik, Espen Ajo; Ravndal, Edle

    2016-01-01

    Inclusion of horse-assisted therapy (HAT) in substance use disorder (SUD) treatment is rarely reported. Our previous studies show improved treatment retention and the importance of the patient–horse relationship. This qualitative study used thematic analysis, within a social constructionist framework, to explore how eight patients experienced contextual aspects of HAT’s contribution to their SUD treatment. Participants described HAT as a “break from usual treatment”. However, four interrelated aspects of this experience, namely “change of focus”, “activity”, “identity”, and “motivation,” suggest HAT is more than just a break from usual SUD treatment. The stable environment is portrayed as a context where participants could construct a positive self: one which is useful, responsible, and accepted; more fundamentally, a different self from the “patient/self” receiving treatment for a problem. The implications extend well beyond animal-assisted or other adjunct therapies. Their relevance to broader SUD policy and treatment practices warrants further study.

  6. Predictors for failure of vacuum-assisted vaginal delivery : A case-control study

    NARCIS (Netherlands)

    Verhoeven, Corine J M; Nuij, Chelly; Janssen-Rolf, Christel R M; Schuit, Ewoud; Bais, Joke M J; Oei, S. Guid; Mol, Ben Willem J

    2016-01-01

    Objective To identify potential predictors for failed vacuum-assisted delivery. Study design Retrospective case-control study conducted in two perinatal centers in the Netherlands. Cases were women who underwent a failed vacuum-assisted delivery between 1997 and 2011. A failed vacuum extraction was

  7. An Exploration of Mathematics Graduate Teaching Assistants' Teaching Philosophies: A Case Study

    Science.gov (United States)

    Nepal, Kedar Mani

    2014-01-01

    This multi-case study is an exploration of mathematics graduate teaching assistants' teaching philosophies. It focused on the cases of four purposefully selected beginning mathematics graduate teaching assistants (MGTAs) including two domestic and two international MGTAs. Using qualitative research methods, this dissertation study focused on the…

  8. Effectiveness of Computer-Assisted Mathematics Education (CAME) over Academic Achievement: A Meta-Analysis Study

    Science.gov (United States)

    Demir, Seda; Basol, Gülsah

    2014-01-01

    The aim of the current study is to determine the overall effects of Computer-Assisted Mathematics Education (CAME) on academic achievement. After an extensive review of the literature, studies using Turkish samples and observing the effects of Computer-Assisted Education (CAE) on mathematics achievement were examined. As a result of this…

  9. A Longitudinal Study of Database-Assisted Problem Solving.

    Science.gov (United States)

    Wildemuth, Barbara M.; Friedman, Charles P.; Keyes, John; Downs, Stephen M.

    2000-01-01

    Examines the effects of database assistance on clinical problem solving across three cohorts of medical students and two database interfaces. Discusses the relationship between personal domain knowledge and problem solving, personal domain knowledge and database searching, and comparisons of different interface styles in information retrieval…

  10. Innovative Technology for the Assisted Delivery of Intensive Voice Treatment (LSVT[R]LOUD) for Parkinson Disease

    Science.gov (United States)

    Halpern, Angela E.; Ramig, Lorraine O.; Matos, Carlos E. C.; Petska-Cable, Jill A.; Spielman, Jennifer L.; Pogoda, Janice M.; Gilley, Phillip M.; Sapir, Shimon; Bennett, John K.; McFarland, David H.

    2012-01-01

    Purpose: To assess the feasibility and effectiveness of a newly developed assistive technology system, Lee Silverman Voice Treatment Companion (LSVT[R] Companion[TM], hereafter referred to as "Companion"), to support the delivery of LSVT[R]LOUD, an efficacious speech intervention for individuals with Parkinson disease (PD). Method: Sixteen…

  11. Biofeedback Assisted Stress Management in Patients with Lung Cancer: A Feasibility Study.

    Science.gov (United States)

    Greenberg, Benjamin R; Grossman, Elizabeth F; Bolwell, Gregory; Reynard, Alison K; Pennell, Nathan A; Moravec, Christine S; McKee, Michael G

    2015-09-01

    Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related death for men and women in the United States. NSCLC causes a variety of symptoms which result in significant distress and reduced quality of life for patients. Behavioral and other non-pharmacologic treatment interventions for NSCLC have resulted in improved quality of life, reduced emotional distress, and improved longevity. This study investigates the feasibility and effectiveness of biofeedback assisted stress management (BFSM) to reduce stress in patients with NSCLC. Because of patient dropout, this study was terminated prematurely. Despite this, evaluation of data revealed positive trends, with patients learning to reduce their stress, improve their respiration and heart rate variability, and improve coping. These trends suggest that patients with NSCLC can learn to self-regulate physiology and BFSM may be useful for them, although a less ill patient population may be desirable for future investigations.

  12. 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....... 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...... compared to women having conceived spontaneously. This article is protected by copyright. All rights reserved....

  13. Comparing methadone and buprenorphine maintenance with methadone-assisted withdrawal for the treatment of opioid dependence during pregnancy: maternal and neonatal outcomes

    Directory of Open Access Journals (Sweden)

    Lund IO

    2012-02-01

    Full Text Available Ingunn O Lund1, Heather Fitzsimons2, Michelle Tuten2, Margaret S Chisolm2, Kevin E O’Grady3, Hendrée E Jones2,41SERAF-Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway; 2Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD; 3Department of Psychology, University of Maryland, College Park, MD; 4Substance Abuse Treatment Evaluations and Interventions Research Program, RTI International, Research Triangle Park, NC, USAAbstract: Pregnancy can motivate opioid-dependent women to seek substance abuse treatment. Research has demonstrated that although prenatal exposure to buprenorphine results in less severe neonatal abstinence syndrome (NAS relative to prenatal methadone exposure, the maternal and other neonatal outcomes are similar for the two medications. Maternal and neonatal outcomes for opioid-dependent pregnant women receiving these medications have not been systematically compared with methadone-assisted withdrawal. The present study provides an initial assessment of the relative efficacy of both methadone and buprenorphine maintenance versus methadone-assisted withdrawal in terms of neonatal and maternal delivery outcomes. Data were derived from (1 the MOTHER (Maternal Opioid Treatment: Human Experimental Research study at the Johns Hopkins University Bayview Medical Center (JHBMC, or (2 retrospective records review of women who underwent methadone-assisted withdrawal at the JHBMC during the time period in which participants were enrolled in the MOTHER study. Compared with the methadone maintenance group, the methadone-assisted withdrawal group had a significantly lower mean NAS peak score (Means = 13.7 vs 7.0; P = 0.002, required a significantly lower mean amount of morphine to treat NAS (Means = 82.8 vs 0.2; P < 0.001, had significantly fewer days medicated for NAS (Means = 31.5 vs 3.9; P < 0.001, and remained in the hospital for a significantly fewer number of

  14. 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

  15. 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.

  16. 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…

  17. 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…

  18. A National Study of Teaching Assistants. ASHE 1987 Annual Meeting Paper.

    Science.gov (United States)

    Diamond, Robert M.; Gray, Peter J.

    The background, responsibilities, supervision, preparation, and perceived needs of teaching assistants (TAs) from a representative group of research institutions across the country were studied. The National Graduate Teaching Assistant/Associate Survey was developed through voluntary cooperation of eight public and private research institutions…

  19. 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…

  20. [Treatment of advanced heart failure in women: heart transplantation and ventricular assist devices].

    Science.gov (United States)

    Cipriani, Manlio; Macera, Francesca; Verde, Alessandro; Bruschi, Giuseppe; del Medico, Marta; Oliva, Fabrizio; Martinelli, Luigi; Frigerio, Maria

    2012-05-01

    Women candidates for heart transplantation are definitely less than men, just 20% of all patients transplanted; even in the INTERMACS registry they represent only 21% of all ventricular assist devices (VAD) implanted. The reasons for this big difference are discussed in this article. Why women are less frequently assessed for unconventional therapies? Are they sicker or just less regarded? Our experience and the literature show us clear epidemiological, clinical and treatment differences that could lead to a lower prevalence of end-stage disease in women of an age suitable for unconventional therapies. Once on the transplant list, women wait less than men for a heart transplant, because they present with more severe disease, have a lower body mass index and undergo less VAD implants. After transplantation women's survival is comparable to men's, although they usually complain of a lower quality of life. Females receive less often a VAD than men. The main reasons for this include presentation with advanced heart failure at an older age than men, worse outcomes related to small body surface area, and lower survival rates on VAD when implanted as bridge to heart transplantation.

  1. Depression treatment in assisted living settings: is an innovative approach feasible?

    Science.gov (United States)

    Smith, Marianne; Haedtke, Christine

    2013-04-01

    Depression is a common, disabling, and underrecognized problem among older adults in assisted living (AL) settings. The purpose of this study was to evaluate stakeholder perceptions of using a blended model of depression care that combines essential features of evidence-based collaborative care and older adult outreach for use in AL settings. A descriptive mixed-methods design was used to assess perceptions of the three main components of the depression model: onsite depression care management, staff development activities, and AL nurses as staff resources and liaisons to primary care providers. Quantitative and narrative responses were consistently positive and supportive of depression care approaches. Potential barriers included time constraints for staff and costs for residents. These data provide strong support for further evaluation of the blended depression model. Staff development activities may be implemented independent of the model to enhance depression recognition, assessment, and daily care approaches in AL.

  2. 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.

  3. Role of video-assisted thoracoscopic sympathectomy in the treatment of primary hyperhidrosis

    Directory of Open Access Journals (Sweden)

    Luiz Eduardo Villaça Leão

    Full Text Available CONTEXT: Essential hyperhidrosis is a frequent disorder causing significant functional impairment. The advent and development of video-assisted thoracoscopic techniques now allows thoracic sympathectomy to be carried out precisely and safety with good results and minimal morbidity. OBJECTIVE: To assess the impact of video-assisted thoracic sympathectomy in patients diagnosed as presenting severe and disabling hyperhidrosis. TYPE OF STUDY: This was a longitudinal study of the clinical course of all hyperhidrosis cases selected for surgery between May 1999 and January 2003. SETTING: Division of Thoracic Surgery, Universidade Federal de São Paulo (UNIFESP. PARTICIPANTS: 743 patients with surgery indicated due to palmar hyperhidrosis (49.8%, palmar-axillary hyperhidrosis (38.1%, craniofacial hyperhidrosis (8.9% or isolated axillary hyperhidrosis (2.8%. PROCEDURES: Video-thoracoscopic sympathectomy was performed, isolating the second thoracic ganglion (T2 in all patients, with additional sympathectomy of T3 and T4 if necessary. MAIN MEASUREMENTS:The clinical course was followed up via questionnaires, phone calls, letters and statements. Simple questions were asked regarding the disappearance of symptoms and presence and intensity of compensatory sweating. RESULTS: The surgery was regarded as efficient in all cases of palmar hyperhidrosis. In the craniofacial hyperhidrosis cases, partial recurrence of the symptoms occurred in 2 cases (3.0%. Partial recurrence or persistence of symptoms occurred in 20% of the patients with predominantly axillary symptomatology. The compensatory sweating was considered disagreeable or uncomfortable by about 30% of the patients, but it only reached the level of regretting the operation for 3% of them. This occurred more frequently in patients with axillary hyperhidrosis. Ten cases of complications occurred. CONCLUSION: Thoracoscopic sympathectomy provides very good results in most patients, with a very low complication

  4. Blister-like aneurysms of the supraclinoid internal carotid artery: challenging endovascular treatment with stent-assisted coiling.

    Science.gov (United States)

    Ahn, Jung Yong; Cho, Jun Hyung; Jung, Jin Young; Lee, Byung Hee; Yoon, Pyeong Ho

    2008-09-01

    ''Blister-like'' aneurysms of the supraclinoid segment of the internal carotid artery are usually small and have fragile walls, necessitating special care to prevent rebleeding. These lesions are considered high-risk aneurysms because of the technical difficulties associated with their surgical and endovascular treatment. In this report, we describe the use of stent-assisted, repeated coil embolization in the treatment of a ruptured blister-like aneurysm that experienced rapid growth. Stent-assisted coil embolization is an alternative, but sometimes hazardous, treatment for select blister-like aneurysms. Careful serial follow-up angiography will provide documentation as to the long-term stability of the endovascularly treated blister-like aneurysm described here, but early results are encouraging. Alternatively, placement of telescoped stents or graft-stent devices offers promise for future endovascular therapy.

  5. Improving Assistive Technology Service by Using 3D Printing: Three Case Studies.

    Science.gov (United States)

    Watanabe, Takashi; Hatakeyama, Takuro; Tomiita, Mitsuru

    2015-01-01

    Assistive technology services are essential for adapting assistive devices to the individual needs of users with disabilities. In this study, we attempted to apply three-dimensional (3D) printing technology to three actual cases, and to study its use, effectiveness, and future applications. We assessed the usefulness of 3D printing technology by categorizing its utilization after reviewing the outcomes of these case studies. In future work, we aim to gather additional case studies and derive information on using 3D printing technology that will enable its effective application in the process of assistive technology services.

  6. Ambulatory treatment of sleep apnea syndrome with CO2 laser: laser-assisted UPPP (LAUP), results on 70 patients

    Science.gov (United States)

    Kamami, Yves-Victor

    1995-05-01

    The pharyngeal airway obstruction during sleep in the Obstructive Sleep Apnea Syndrome (OSAS) can be improved after treatment by LAUP (Laser Assisted Uvulopalatoplasty). This new technique, performed under local anesthesia, permits the snoring treatment without any hospitalization, or general anesthetic; like an ordinary dental visit. This is done by reducing the amount of tissue in the uvula, the velum, and the upper part of the posterior pillars. Our experience with the LAUP in Sleep Apnea Syndrome is described, from December 1988 to May 1994, in 70 patients. Among 62 patients classified as successful `responders', the respiratory disturbance index was reduced more than 50%. Among all the 70 patients: in 51.4 % of cases (36 patients), there's a healing of snoring and Sleep Apnea Syndrome. In 37.2% of cases (26 patients), there's an improvement reduction of length and number of apneas and a significant improvement in nocturnal oxygen saturation. 11.4% (8 patients), are relative failures, with always decrease of snoring, but still Sleep Apnea Syndrome, (with a higher B.M.I.). There were no important complications reported. Patients withstand it well and there's had a better tolerance of the C.P.A.P. in the cases of OSAS LRPP failures. Popularization of LAUP will require serious training of surgeon and further long-term studies.

  7. An Open Trial of a Smartphone-assisted, Adjunctive Intervention to Improve Treatment Adherence in Bipolar Disorder.

    Science.gov (United States)

    Wenze, Susan J; Armey, Michael F; Weinstock, Lauren M; Gaudiano, Brandon A; Miller, Ivan W

    2016-11-01

    We evaluated the feasibility and acceptability of a novel, 12-week, adjunctive, smartphone-assisted intervention to improve treatment adherence in bipolar disorder. Eight participants completed 4 in-person individual therapy sessions over the course of a month, followed by 60 days of twice-daily ecological momentary intervention (EMI) sessions, with a fifth in-person session after 30 days and a sixth in-person session after 60 days. Perceived credibility of the intervention and expectancy for change were adequate at baseline, and satisfaction on completion of the intervention was very high. Participants demonstrated good adherence to the intervention overall, including excellent adherence to the in-person component and fair adherence to the smartphone-facilitated component. Qualitative feedback revealed very high satisfaction with the in-person sessions and suggested a broad range of ways in which the EMI sessions were helpful. Participants also provided suggestions for improving the intervention, which primarily related to the structure and administration of the EMI (smartphone-administered) sessions. Although this study was not designed to evaluate treatment efficacy, most key outcome variables changed in the expected directions from pretreatment to posttreatment, and several variables changed significantly over the course of the in-person sessions or during the EMI phase. These findings add to the small but growing body of literature suggesting that EMIs are feasible and acceptable for use in populations with bipolar disorder.

  8. 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.

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

    OpenAIRE

    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...

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

    OpenAIRE

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

    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...

  11. Video-assisted thoracoscopic surgery or transsternal thymectomy in the treatment of myasthenia gravis?

    Science.gov (United States)

    Zahid, Imran; Sharif, Sumera; Routledge, Tom; Scarci, Marco

    2011-01-01

    A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was how video-assisted thoracoscopic surgery (VATS) compares to median sternotomy in the surgical management of patients with myasthenia gravis (MG)? Overall 74 papers were found using the reported search, of which 15 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results are tabulated. We conclude that VATS produces equivalent postoperative mortality and complete stable remission (CSR) rates, with superior results in terms of hospital stay, operative blood loss and patient satisfaction at the expense of a doubling of operative time. Six studies comparing VATS and transsternal sternotomy in non-thymomatous myasthenia gravis (NTMG) patients found VATS to have lower operative blood loss (73.8±70.7 vs. 155.3±91.7 ml; P0.05). One study comparing video-assisted thoracoscopic extended thymectomy to transsternal thymectomy in only thymoma-associated myasthenia gravis (T-MG) patients found equivalent CSR (11.3 vs. 8.7%, P=0.1090) at six-year follow-up. Thymoma recurrence rate (9.64%) was not significantly different (P=0.1523) between the two groups. Eight studies comparing VATS and transsternal approach in mixed T-MG and NTMG patients found a lower hospital stay (1.9±2.6 vs. 4.6±4.2 days, P<0.001), reduced need for postoperative medication (76.5 vs. 35.7%, P=0.022), lower intensive care unit stay (1.5 vs. 3.2 days, P=0.018), greater symptom improvement (100 vs. 77.9%, P=0.019) and better cosmetic satisfaction (100 vs. 83, P=0.042) with VATS. In concordance with NTMG and T-MG alone patient groups, VATS and transsternal methods had equivalent complication rates (23 vs. 19%, P=0.765) with no mortalities in either group. Even though VATS has a longer operative time (268±51 vs. 177±92 min, P<0.05), its improved cosmesis, reduced need

  12. Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

    Science.gov (United States)

    Flores, Melissa; Malin, Jane T.

    2013-01-01

    An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component s functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

  13. 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.

  14. New Combustion Regimes and Kinetic Studies of Plasma Assisted Combustion

    Science.gov (United States)

    2012-11-01

    Tasks 8 and 9: Kinetic model validation) Today’s Presentation 2. Multispecies diagnostics in a flow reactor with Mid-IR and molecular beam mass...S-Curve Competition between low T RO2 kinetics high T chain branching reactions 0.00 0.02 0.04 0.06 0.08 0.10 0.12 1x10 5 2x10 5 3x10 5 4x10...in Plasma assisted combustion • LTC in turbulent combustion at engine time scales 0-D modeling of DME /O2/He (0.03/0.1/0.896) ignition, P = 72

  15. Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

    Science.gov (United States)

    Flores, Melissa D.; Malin, Jane T.; Fleming, Land D.

    2013-09-01

    An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component's functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

  16. Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report

    Directory of Open Access Journals (Sweden)

    Bordoni B

    2017-01-01

    Full Text Available Bruno Bordoni,1–3 Fabiola Marelli,2,3 Bruno Morabito,2–4 Beatrice Sacconi5 1Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Institute of Hospitalization and Care with Scientific Address, Milan, 2CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore, 3CRESO, School of Osteopathic Centre for Research and Studies, Falconara Marittima, 4Department of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome, 5Center for Life Nano Science, CLNS@Sapienza, Istituto Italiano di Tecnologia, Rome, Italy Abstract: This study deals with an osteopathic approach used for a patient with left-ventricular assist device (L-VAD affected by left brachialgia. Clinical examination revealed the presence of thoracic outlet syndrome and pectoralis minor syndrome, with compression of the left proximal ulnar nerve, related to the surgical sternotomy performed. The osteopathic techniques used can be classified as indirect and direct, addressed to the pectoralis minor and the first left rib, respectively. To our knowledge, this is the first text in literature with an osteopathic treatment in a patient with L-VAD. Keywords: osteopathic, L-VAD, thoracic outlet syndrome, TOS, myofascial, fascia

  17. 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

  18. En-face OCT microleakage investigation after laser-assisted dental hard tissue treatment

    Science.gov (United States)

    Todea, Carmen; Balabuc, Cosmin; Sinescu, Cosmin; Negrutiu, Meda; Filip, Laura; Bradu, Adrian; Podoleanu, Adrian Gh.

    2008-09-01

    Purpose: To investigate using en-face Optical Coherence Tomography (OCT) the microleakage after Er:YAG laser cavity preparation. Material and Methods: Thirty single- and multi-rooted freshly extracted human teeth divided into two study groups, group I (laser) and group II (control), were used in this study. In group I, Class V cavities were prepared using laser on the buccal surface of each tooth. The laser device used was an Er:YAG laser (2940 nm, VSP, 250-320 mJ, 10-20 Hz). In group II, cavities were prepared conventionally and acid etched on the oral surface of the same tooth. All cavities were filled with composite resin. The cavity microleakage was investigated using en-face Optical Coherence Tomography prototype, based on transverse scanning and operating at 1300 nm. Results: The investigation demonstrated qualitatively the reduction of microleakage in cavities prepared with Er:YAG laser as compared to the control group, in which cavities were prepared conventionally. Conclusion: The en-face OCT method provided a superior non-invasive and real time investigation method, thus reducing the occurrence of secondary caries by early detection. Moreover, based on the results of this investigation, it may be concluded that Er:YAG laser-assisted cavity preparation leads to reduction of microleakage.

  19. Longer Addiction Treatment Is Better, Study Confirms

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_163911.html Longer Addiction Treatment Is Better, Study Confirms Success rate goes up ... 3, 2017 (HealthDay News) -- The longer patients receive treatment for addiction, the greater their chances of success, a new ...

  20. Conceptual Thermal Treatment Technologies Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Suer, A.

    1996-02-28

    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.

  1. The Efficacy of Assisted Reproduction in Women with Inflammatory Bowel Disease and the Impact of Surgery-A Nationwide Cohort Study

    DEFF Research Database (Denmark)

    Friedman, S; Larsen, Pia Veldt; Fedder, Jens;

    2016-01-01

    BACKGROUND: In this study, we analyze the chance of a live birth and the impact of inflammatory bowel disease surgery in women with Crohn's disease (CD) or ulcerative colitis (UC) who have undergone assisted reproductive technology (ART) treatments. METHODS: This is a nationwide cohort study based...

  2. Assessing observational studies of medical treatments

    Directory of Open Access Journals (Sweden)

    Butani Yogita

    2005-09-01

    Full Text Available Abstract Background Previous studies have assessed the validity of the observational study design by comparing results of studies using this design to results from randomized controlled trials. The present study examined design features of observational studies that could have influenced these comparisons. Methods To find at least 4 observational studies that evaluated the same treatment, we reviewed meta-analyses comparing observational studies and randomized controlled trials for the assessment of medical treatments. Details critical for interpretation of these studies were abstracted and analyzed qualitatively. Results Individual articles reviewed included 61 observational studies that assessed 10 treatment comparisons evaluated in two studies comparing randomized controlled trials and observational studies. The majority of studies did not report the following information: details of primary and ancillary treatments, outcome definitions, length of follow-up, inclusion/exclusion criteria, patient characteristics relevant to prognosis or treatment response, or assessment of possible confounding. When information was reported, variations in treatment specifics, outcome definition or confounding were identified as possible causes of differences between observational studies and randomized controlled trials, and of heterogeneity in observational studies. Conclusion Reporting of observational studies of medical treatments was often inadequate to compare study designs or allow other meaningful interpretation of results. All observational studies should report details of treatment, outcome assessment, patient characteristics, and confounding assessment.

  3. Racial and ethnic differences in assisted reproduction treatment outcomes: the benefit of racial admixture.

    Science.gov (United States)

    Braga, Daniela Paes Almeida Ferreira; Setti, Amanda S; Iaconelli, Assumpto; Taitson, Paulo Franco; Borges, Edson

    2015-01-01

    The goal of the present study was to determine whether racial and ethnic differences affect the outcomes of assisted reproductive technology in the Brazilian population. 1497 patients undergoing intracytoplasmic sperm injection (ICSI) cycles were split into groups according to the patient's ethnicity: Caucasian (n = 2131), Mestizo (n = 358), Asian (n = 174), Black (n = 115) and Indian (n = 260). ICSI outcomes were compared among the groups. Body mass index was highest in the Black group, followed by the Mestizo, Indian, Caucasian and Asian groups (p > 0.001). The FSH dose (p > 0.001) was highest among Indians, followed by Asians and Caucasians, and the dose was lowest among Blacks and Mestizos. In contrast, the oocyte yield was highest among Mestizos, followed by Indians, Blacks and Caucasians, and lowest among Asians (p = 0.005). The fertilisation rate was highest among Mestizos, followed by Blacks, Indians and Caucasians, whereas Asians had the lowest fertilisation rate (p = 0.004). Pregnancy and implantation rates were also highest among Mestizos, followed by Blacks, Indians and Caucasians, whereas the Asian patients had the lowest rates (p = 0.008 and p > 0.001, respectively). In conclusion, our evidence suggests a possible beneficial effect of racial admixture on ICSI outcomes.

  4. Enzyme-assisted hydrothermal treatment of food waste for co-production of hydrochar and bio-oil.

    Science.gov (United States)

    Kaushik, Rajni; Parshetti, Ganesh K; Liu, Zhengang; Balasubramanian, Rajasekhar

    2014-09-01

    Food waste was subjected to enzymatic hydrolysis prior to hydrothermal treatment to produce hydrochars and bio-oil. Pre-treatment of food waste with an enzyme ratio of 1:2:1 (carbohydrase:protease:lipase) proved to be effective in converting food waste to the two products with improved yields. The carbon contents and calorific values ranged from 43.7% to 65.4% and 17.4 to 26.9 MJ/kg for the hydrochars obtained with the enzyme-assisted pre-treatment, respectively while they varied from 38.2% to 53.5% and 15.0 to 21.7 MJ/kg, respectively for the hydrochars obtained with no pre-treatment. Moreover, the formation of carbonaceous microspheres with low concentrations of inorganic elements and diverse surface functional groups was observed in the case of enzyme-assisted food waste hydrochars. The enzymatic pre-treatment also facilitated the formation of the bio-oil with a narrow distribution of organic compounds and with the highest yield obtained at 350 °C.

  5. 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.;

    2008-01-01

    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...... 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.......008). No adverse effects were observed in any of the groups. Creatinine levels significantly decreased in the MARS group (P = 0.03) and hemodialysis group (P = 0.04). Platelet count deceased in the Prometheus group (P = 0.04). CONCLUSION: Extra-corporal liver support with Prometheus is proven to be safe...

  6. Assisted Sonication vs Conventional Transesterification Numerical Simulation and Sensitivity Study

    Science.gov (United States)

    Janajreh, Isam; Noorul Hussain, Mohammed; El Samad, Tala

    2015-10-01

    Transeterification is known as slow reaction that can take over several hours to complete as the two immiscible liquid reactants combine to form biodiesel and the less favorable glycerol. The quest of finding the perfect catalyst, optimal operational conditions, and reactor configuration to accelerate the reaction in mere few minutes that ensures high quality biodiesel, in economically viable way is coming along with sonication. This drastic reduction is a key enabler for the development of a continuous processing that otherwise is fairly costly and low throughput using conventional method. The reaction kinetics of sonication assisted as inferred by several authors is several time faster and this work implements these rates in a high fidelity numerical simulation model. This flow model is based on Navier-Stokes equations coupled with energy equation for non-isothermal flow and the transport equations of the multiple reactive species. The model is initially validated against experimental data from previous work of the authors using an annular reactor configuration. Following the validation, comparison of the reaction rate is shown to gain more insight to the distribution of the reaction and its attained rates. The two models (conventional and sonication) then compared on the basis of their sensitivity to the methane to oil molar ratio as the most pronounced process parameter. Both the exit reactor yield and the distribution of the species are evaluated with favorable yield under sonication process. These results pave the way to build a more robust process intensified reactor having an integrated selective heterogeneous catalyst to steer the reaction. This can avoid the downstream cleaning processes, cutting reaction time, and render economic benefit to the process.

  7. 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

    AIM: This paper is a report of a study to explore the meaning of assisted feeding through the experiences of people with high cervical spinal cord injury. Background. Eating difficulties are known to affect a person's self-image and transform social lives. Little is known about the experience...... the phenomenological guidelines by Dahlberg and colleagues. FINDINGS: The essence of the phenomenon assisted feeding was described as a constructed pattern based on coordinated attention between the person with high cervical spinal cord injury and the helper. The constituents of the essence were: paralysis...... to each individual person. Fixed procedures or routines should be avoided and assistive devices used with care. We recommend that continuity in the cooperation between the parties involved in assisted feeding is given priority, and that personal standard and social norms around meals are acknowledged...

  8. Effects of assistance dogs on persons with mobility or hearing impairments: a pilot study.

    Science.gov (United States)

    Rintala, Diana H; Matamoros, Rebeca; Seitz, Laura L

    2008-01-01

    Service dogs help persons with mobility impairments by retrieving items and performing other tasks. Hearing dogs alert persons with hearing impairments to environmental sounds. We conducted a pre-post, wait list-controlled pilot study to assess the impact of the dogs on the lives of recipients. Participants were recruited through two assistance dog training organizations and completed an initial questionnaire packet. The Experimental group completed another packet 6 months after receiving a dog. The Control group completed a second packet 6 months after the initial data collection. On average, dog recipients were very satisfied with their assistance dogs. Both service and hearing dog recipients reduced their dependence on other persons. Service dog recipients reduced hours of paid assistance. No other significant change occurred in various standardized outcome measures. Assistance dogs had a major positive impact on the lives of recipients. More appropriate measurement instruments are needed to capture the impact of these dogs.

  9. 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

  10. Laser Diagnostics Study of Plasma Assisted Combustion for Scramjet Applications

    Science.gov (United States)

    2011-12-01

    treatment of the fuel or reactants into hydrogen rich syngas prior to thermal oxidation [11-12], enhanced ignition of hydrocarbon fuels [9,13-14...dramatically, and a significant rise of OH in the post combustion gas region is evident. It is 532 nm Power Supply N d: YA G L as er Dye Laser...plasma, ne~1014-1015 cm-3). The power supply is a 2 kW magnetron (2.45 GHz), although no more than 40 W seems to be required for most test conditions due

  11. 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.

  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.

  13. 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…

  14. 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.

  15. Treatment diary for botulinum toxin spasticity treatment: a pilot study.

    Science.gov (United States)

    Biering-Sørensen, Bo; Iversen, Helle K; Frederiksen, Inge M S; Vilhelmsen, Jeanet R; Biering-Sørensen, Fin

    2017-02-20

    The aim of this study is to develop a treatment diary for patients receiving spasticity treatment including botulinum toxin injection and physiotherapy and/or occupational therapy. The diary focuses on problems triggered by skeletal muscle overactivity; agreed goals for treatment and the patient's self-evaluation of achievement on the Goal Attainment Scale; which skeletal muscles were injected; physiotherapists' and occupational therapists' evaluation of the patients' achievement of objectives on the Goal Attainment Scale; and proposals for optimization of treatment and changing goals. The evaluation included a satisfaction questionnaire and the WHO-QoL BREF and WHO-5 well-being score. Overall, 10 patients were enrolled in the pilot study. The patients were generally satisfied with the diary, found that it involved them more in their treatment and made it easier to set personal goals, and found it worth the time spent using it. However, no clear advantage in relation to their quality of life (WHO-QoL BREF and WHO-5 well-being score) was reported.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/.

  16. Video-Assisted Thoracoscopic Pericardial Window in the Treatment of Pericardial Effusion: Report of Two Cases

    OpenAIRE

    2013-01-01

    A 54-year-old man had a history of subxiphoid pericardial window due to suspected tuberculous effusions. Seventeen years later, following chronic heart failure and implantation of a pacemaker, he again developed pericardial and pleural effusion, requiring repeated percutaneous pericardiocentesis, pleurocentesis and chest tube drainage. A 5×5-cm section of pericardium was successfully resected with video-assisted thoracic pericardial window. No recurrence of pericardial effusion has since been...

  17. Surgical vacuum-assisted closure for treatment of dramatic case of stonefish envenomation

    Institute of Scientific and Technical Information of China (English)

    Alexandru Nistor; Olivier Giè; Paul Biegger; Cesare Fusetti; Stefano Lucchina

    2010-01-01

    Skin necrosis of the foot, oedema and lymphangitis from stonefish (Synanceia verrucosa) sting are complications well known for a long time and with potential long-term sequelae. Literature reports of stonefish envenomation give no specific reference on soft tissue management and surgical reconstruction. This is the first report describing a case of foot stonefish envenomation treated by vacuum-assisted closure therapy as an easy to use,accessible and simple adjuvant tool for management of large soft tissue necrosis.

  18. The ultrasonically assisted metals recovery treatment of printed circuit board waste sludge by leaching separation.

    Science.gov (United States)

    Xie, Fengchun; Li, Haiying; Ma, Yang; Li, Chuncheng; Cai, Tingting; Huang, Zhiyuan; Yuan, Gaoqing

    2009-10-15

    This paper provides a practical technique that realized industrial scale copper and iron separation from printed circuit board (PCB) waste sludge by ultrasonically assisted acid leaching in a low cost, low energy consumption and zero discharge of wastes manner. The separation efficiencies of copper and iron from acid leaching with assistance of ultrasound were compared with the one without assistance of ultrasound and the effects of the leaching procedure, pH value, and ultrasonic strength have been investigated in the paper. With the appropriate leaching procedure, a final pH of 3.0, an ultrasonic generator power of 160 W (in 1l tank), leaching time of 60 min, leaching efficiencies of copper and iron had reached 97.83% and 1.23%, respectively. Therefore the separation of copper and iron in PCB waste sludge was virtually achieved. The lab results had been successfully applied to the industrial scaled applications in a heavy metal recovery plant in city of Huizhou, China for more than two years. It has great potentials to be used in even the broad metal recovery practices.

  19. Microwave assisted synthesis of polyacrylamide grafted starch (St-g-PAM) and its applicability as flocculant for water treatment.

    Science.gov (United States)

    Mishra, Sumit; Mukul, Ankita; Sen, Gautam; Jha, Usha

    2011-01-01

    Polyacrylamide grafted starch (St-g-PAM) was made by a novel method of synthesis, involving combination of microwave radiation and a chemical free radical initiator (ceric ammonium nitrate) to initiate grafting reaction. This method (microwave assisted synthesis) is quick, highly reliable, reproducible and yields high quality product as compared to the conventional method (which uses a chemical free radical initiator alone to initiate the grafting reaction).The St-g-PAM grades synthesized were characterized by various physicochemical techniques. Further, its application as flocculant for wastewater treatment was investigated.

  20. 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

  1. Microwave assisted thermal treatment of defective coffee beans press cake for the production of adsorbents.

    Science.gov (United States)

    Franca, Adriana S; Oliveira, Leandro S; Nunes, Anne A; Alves, Cibele C O

    2010-02-01

    Defective coffee press cake, a residue from coffee oil biodiesel production, was evaluated as an adsorbent for removal of basic dyes (methylene blue--MB) from aqueous solutions. The adsorbent was prepared by microwave treatment, providing a significant reduction in processing time coupled to an increase in adsorption capacity in comparison to conventional carbonization in a muffle furnace. Batch adsorption tests were performed at 25 degrees C and the effects of particle size, contact time, adsorbent dosage and initial solution pH were investigated. Adsorption kinetics was better described by a second-order model. The experimental adsorption equilibrium data were fitted to Langmuir, Freundlich and Tempkin adsorption models, with Langmuir providing the best fit. The results presented in this study show that microwave activation presents great potential as an alternative method in the production of adsorbents.

  2. 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.

  3. [Assisted peritoneal dialysis].

    Science.gov (United States)

    Klarić, Dragan; Prkačin, Ingrid

    2014-04-01

    According to the National Registry of Renal Replacement Therapy (RRT), the incidence of chronic kidney disease (end-stage renal disease) and the need of RRT have declined in the last decade renal. One of the reasons for this tendency certainly is transplantation as the best choice. However, transplant procedure has limitations in elderly patients due to the number of comorbidities. This study was designed as retrospective analysis of outcomes in patients treated with peritoneal dialysis for a period of eleven years. Patients were divided into those who had been assisted or unassisted. Out of 100 patients treated with peritoneal dialysis (PD), 77 completed the treatment, including 26 assisted and 51 unassisted patients. Peritonitis was recorded in 20 assisted and 26 unassisted patients. Peritonitis was more common in unassisted patients, who were more frequently lost from PD. Assisted PD could be a good and safe choice of RRT in this special group of patients.

  4. 鼻内镜下腺样体切除术治疗摩洛哥儿童慢性鼻-鼻窦炎临床研究%Clinical Study on Nasal Endoscopy-assisted Adenoidectomy in Treatment of Pediatric Chronic Rhinosinusitis in Morocco

    Institute of Scientific and Technical Information of China (English)

    火英明

    2014-01-01

    To observe the clinical effect of adenoidectomy in treatment of children with chronic rhinosinusitis associated with adenoid hypertrophy in Morocco.To investigate the therapeutic effect of surgical procedures on cases with adenoidal hypertrophy performed either by endoscope-assisted adenoidectomy or by classic trans-oral surgery.Methods:128 children cases with chronic rhinosinusitis associated with adenoid hypertrophy,were randomized divided into three groups.The treatment group (44 cases) were operated by endoscope-assisted adenoidectomy,the control group (44 cases) were operated by classic trans-oral surgery,the medication group(40 cases) were given Amoxicillin orally and fluticasone nasal spray,the three groups were followed up for 3 months.Results:After adenoidectomy treatment,the effective rate of the treatment group was 93.18%(41/44),the control group was 86.36%(38/44),the medication group was 72.50%(29/40).the children'clinical effect of adenoidectomy 89.77%(79/88)were higher than those medicamentosus 72.50%(29/40),the difference were statistically significant(P<0.05).Compared with classic trans-oral surgery,endoscope-assisted adenoidectomy had the advantages of security and less bleeding.Conclusion:By the endoscopy adenoidectomy,the surgical field is clearly;the extent of resection is precisely,and the operative method is easy to master.Adenoidectomy are of positive effects for the prognosis of children with chronic rhinosinusitis associated with adenoid hypertrophy.%目的:观察鼻内镜下腺样体切除术对伴有腺样体肥大的慢性鼻-鼻窦炎患儿的治疗疗效,比较鼻内镜下腺样体切除术与传统腺样体刮除术的疗效。方法:128例腺样体肥大的慢性鼻-鼻窦炎患儿,随机分成三组,治疗组44例儿童鼻窦炎患者行鼻内镜下腺样体切除,对照组44例采用传统腺样体刮除术,药物治疗组40例,按照年龄或体重,予口服阿莫西林并鼻腔内应用氟替卡松喷剂,均

  5. Major General Spurgeon Neel and the Army Physician Assistant: A Case Study of Policy Change

    Science.gov (United States)

    2009-01-01

    1 Major General Spurgeon Neel and the Army Physician Assistant: A Case Study of Policy Change Richard Glade ...a survey, which interestingly, made no attempt to study it. In 2005, Captain John Hughes surveyed every battalion and brigade commander at Fort

  6. 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…

  7. A Study of Effectiveness of Computer Assisted Instruction (CAI) over Classroom Lecture (CRL) at ICS Level

    Science.gov (United States)

    Kaousar, Tayyeba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed

    2008-01-01

    This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with classroom lecture and computer-assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypotheses of…

  8. 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.

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

    Directory of Open Access Journals (Sweden)

    Himanshu Misra

    2013-01-01

    Full Text Available 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 optimized for fast sample preparation for the faster quantitative determination of artemisinin, potential new generation antimalarial drug, from dried leaves of Artemisia annua L. A simple experiment was designed for the optimization of the appropriate solvent under same extraction conditions. The selected appropriate solvent was then standardized for various different extraction variables. The major parameters studied showed effects on extraction efficiency including processing time, strength of microwave, moisture content, volume and nature of the solvent. The most favorable conditions were obtained by using plant material of 25 mesh (particle size extracted with acetone for 120 seconds at 160 W (i.e., 20% of total power. Quantitative analysis was performed using thin-layer chromatography coupled with a densitometer (TLC densitometry. The results showed that MAE can be used as an efficient and rapid method for the extraction of the active components from plants.

  10. Study of efficiency of USAR operations with assistive technologies

    OpenAIRE

    Hamp, Quirin; Gorgis, Omar; Labenda, Patrick; Neumann, Marc; Predki, Thomas; Heckes, Leif; Kleiner, Alexander; Reindl, Leonard

    2013-01-01

    This paper presents presents a study on eciency of Urban Search and Rescue (USAR) missions that has been carried out within the framework of the German research project I-LOV. After three years of development, first field tests have been carried out in 2011 by professionals such as the Rapid Deployment Unit for Salvage Operations Abroad (SEEBA). We present results from evaluating search teams in simulated USAR scenarios equipped with newly developed technical search means and digital data inp...

  11. Successful Treatment of Anterior Tracheal Necrosis after Total Thyroidectomy Using Vacuum-Assisted Closure Therapy

    Directory of Open Access Journals (Sweden)

    Grégory Philippe

    2012-01-01

    Full Text Available Total thyroidectomy involving the adjacent structures of the trachea can cause tracheal damage such as early tracheal necrosis. The authors describe the first case of anterior tracheal necrosis following total thyroidectomy treated using vacuum-assisted closure device. After two weeks of VAC  therapy, there was no evidence of ongoing infection and the trachea was partially closed around a tracheotomy cannula, removed after 3 months. The use of a VAC  therapy to reduce and close the tracheal rent and to create a rapid granulation tissue over tracheal structure appeared as a good opportunity after anterior tracheal necrosis.

  12. Comparing the Efficacy of Biofeedback and Balloon-Assisted Training in the Treatment of Dyssynergic Defecation

    Directory of Open Access Journals (Sweden)

    Abbs Ali Pourmomeny

    2011-01-01

    Full Text Available BACKGROUND: Dyssynergic defecation does not respond appropriately to routine treatments for constipation. Recently, research has shown that biofeedback therapy is useful in anorectal dyssynergia.

  13. 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

  14. 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...

  15. 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.

  16. Study on the effect of thermal property of metals in ultrasonic-assisted laser machining

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hu Seung; Kim, Gun Woo; Park, Jong Eun [Dept. of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Cho, Sung Hak; Yang, Min Yang; Park, Jong Kweon [Korea Institute of Machinery and Materials, Deajeon (Korea, Republic of)

    2015-08-15

    The laser machining process has been proposed as an advanced process for the selective fabrication of electrodes without a mask. In this study, we adapt laser machining to metals that have different thermal properties. Based on the results, the metals exhibit a different surface morphology, heat-affected zone (HAZ), and a recast layer around the machined surface according to their thermal conductivity, boiling point, and thermal diffusivity. Then, we apply ultrasonic-assisted laser machining to remove the recast layer. The ultrasonic-assisted laser machining exhibits a better surface quality in metals with higher diffusivity than those having lower diffusivity.

  17. Stability of Retained Austenite in High-Al, Low-Si TRIP-Assisted Steels Processed via Continuous Galvanizing Heat Treatments

    Science.gov (United States)

    McDermid, J. R.; Zurob, H. S.; Bian, Y.

    2011-12-01

    Two galvanizable high-Al, low-Si transformation-induced plasticity (TRIP)-assisted steels were subjected to isothermal bainitic transformation (IBT) temperatures compatible with the continuous galvanizing (CGL) process and the kinetics of the retained austenite (RA) to martensite transformation during room temperature deformation studied as a function of heat treatment parameters. It was determined that there was a direct relationship between the rate of strain-induced transformation and optimal mechanical properties, with more gradual transformation rates being favored. The RA to martensite transformation kinetics were successfully modeled using two methodologies: (1) the strain-based model of Olsen and Cohen and (2) a simple relationship with the normalized flow stress, ( {{{σ_{{flow}} - σ_{YS} }/{σ_{YS }}}} ) . For the strain-based model, it was determined that the model parameters were a strong function of strain and alloy thermal processing history and a weak function of alloy chemistry. It was verified that the strain-based model in the present work agrees well with those derived by previous workers using TRIP-assisted steels of similar composition. It was further determined that the RA to martensite transformation kinetics for all alloys and heat treatments could be described using a simple model vs the normalized flow stress, indicating that the RA to martensite transformation is stress-induced rather than strain-induced for temperatures above the Ms^{σ }.

  18. A pilot study of iPad-assisted cognitive training for schizophrenia.

    Science.gov (United States)

    Dang, Jin; Zhang, Jiangtao; Guo, Zhongwei; Lu, Weihong; Cai, Jun; Shi, Zhongying; Zhang, Chen

    2014-06-01

    In this pilot study, we aimed to examine whether iPad-assisted cognitive training could be beneficial in ameliorating some of the cognitive impairment that accompany schizophrenia. Totally, 20 first-episode schizophrenia patients were randomly assigned to an experiment group (with cognitive training) or to a control group (without cognitive training). The N-back task was assessed at baseline and after intervention, to see what effects iPad-assisted training might have (week 4). The experimental group exhibited significant improvement in the accuracy rate at 2-back, and reaction time at 0, 1 and 2-back tasks. These findings suggest that iPad- or other technically-assisted cognitive training may potentially be a valid strategy for pursuing cognitive rehabilitation among those with schizophrenia.

  19. 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).

  20. 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

  1. Morpho-structural variations of bacterial spores after treatment in steam vacuum assisted autoclave.

    Science.gov (United States)

    Fonzi, M; Montomoli, E; Gasparini, R; Devanna, D; Fonzi, L

    1999-01-01

    This study intended to verify, through microbiological techniques and TEM investigations, the killing of bacterial spores after treatment in steam autoclave, and to propose strictly morphological considerations about the target of this sterilisation process. Autoclave is the most common device for sterilising instruments in order to prevent cross infections in dental offices. The autoclave efficiency has been improved in the last years and part of this improvement is related to both a better and more correct use of the autoclave system and to the technological innovations introduced in the last generation of devices. However, associations as ADA or CDC suggest to regularly verify the process of 'autoclaving' through biological indicators (BI). The most commonly used BI are made of spores strips or suspensions of Bacillus Subtilis (pb 168) and Bacillus Stearothermophilus (ATCC 10149). They visually prove, changing colours on enzymatic base, the death of micro-organism and if the physical parameters, necessary for sterilisation, have been achieved. These two strains of endospore-forming bacteria were processed and prepared following two different techniques: Karnovsky fixed and epon embedded--phosphotungstic acid fixed for direct observation. The kind and the extent of analysed modifications are extremely various: from deep lacerations, which changed the spore structure, to little clefts which let the cytoplasm go out.

  2. 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…

  3. Assistive Technology Competencies for Teachers of Students with Visual Impairments: A National Study

    Science.gov (United States)

    Zhou, Li; Ajuwon, Paul M.; Smith, Derrick W.; Griffin-Shirley, Nora; Parker, Amy T.; Okungu, Phoebe

    2012-01-01

    Introduction: For practicing teachers of students with visual impairments, assistive technology has assumed an important role in the education of their students' assessment and learning of content. Little research has addressed this area; therefore, the purpose of the study presented here was to identify the teachers' self-reported possession of…

  4. Experimental study into plasma-assisted PM removal for diesel engines

    NARCIS (Netherlands)

    Willems, F.P.T.; Creyghton, Y.; Gulijk, C. van; Oonk, H; Maisuls, S.

    2003-01-01

    Plasma-assisted PM removal is examined in a packed-bed plasma system. This study focuses on the effect of plasma power, space velocity and exhaust gas composition on PM filtration. Experiments are done on an engine dynamometer with a VW 1.2l TDI engine. During these experiments, the airflow is throt

  5. EPEC-O Self-Study - Module 14 - Physician-Assisted Suicide

    Science.gov (United States)

    Module fourteen of the EPEC-O Self-Study Original Version focuses on the skills that the physician can use to respond both compassionately and confidently to a request, not on the merits of arguments for or against legalizing physician-assisted suicide (PAS) or euthanasia.

  6. Robot-assisted laparoscopic rectovaginopexy for rectal prolapse: a prospective cohort study on feasibility and safety

    NARCIS (Netherlands)

    Draaisma, W.A.; Nieuwenhuis, D.H.; Janssen, L.W.M.; Broeders, I.A.M.J.

    2008-01-01

    Robotic systems may be particularly supportive for procedures requiring careful pelvic dissection and suturing in the Douglas pouch, as in surgery for rectal prolapse. Studies reporting robot-assisted laparoscopic rectovaginopexy for rectal prolapse, however, are scarce. This prospective cohort stud

  7. 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.

  8. Effects of Clinician-Assisted Emotional Disclosure for Sexual Assault Survivors: A Pilot Study

    Science.gov (United States)

    Anderson, Timothy; Fende Guajardo, Jennifer; Luthra, Rohini; Edwards, Katie M.

    2010-01-01

    This study assessed the effects of clinician-assisted emotional disclosure (CAED), an integration of emotion focused therapy (Greenberg, Rice, & Elliott, 1993) and emotional disclosure, in ameliorating distress experienced by survivors of sexual assault. A total of 670 female university students were screened for both histories of sexual…

  9. Vacuum-assisted closure therapy for infected perineal wounds after abdominoperineal resection. A retrospective cohort study

    NARCIS (Netherlands)

    Walma, M S; Burbach, J P M; Verheijen, P M; Pronk, A; van Grevenstein, W M U

    2016-01-01

    INTRODUCTION: Perineal wound complications are a main problem after abdominoperineal resection (APR). There is little evidence concerning perineal wound management. This study describes and evaluates the role of vacuum-assisted closure (VAC) therapy in wound management strategies of perineal wound i

  10. An Ethnographic Study of Stigma and Ageism in Residential Care or Assisted Living

    Science.gov (United States)

    Dobbs, Debra; Eckert, J. Kevin; Rubinstein, Bob; Keimig, Lynn; Clark, Leanne; Frankowski, Ann Christine; Zimmerman, Sheryl

    2008-01-01

    Purpose: This study explored aspects of stigmatization for older adults who live in residential care or assisted living (RC-AL) communities and what these settings have done to address stigma. Design and Methods: We used ethnography and other qualitative data-gathering and analytic techniques to gather data from 309 participants (residents, family…

  11. Degradation of 2,4-dichlorophenol by combining photo-assisted Fenton reaction and biological treatment.

    Science.gov (United States)

    Al Momani, F; Sans, C; Contreras, S; Esplugas, S

    2006-06-01

    The photo-Fenton reaction effect on the biodegradability improvement of 100 mg/L solution of 2,4-dichlorophenol (DCP) has been investigated. Biochemical oxygen demand (BOD) at 5 and 21 days, BODn/ chemical oxygen demand (COD) and BODn/total organic carbon (TOC) ratios, average oxidation state, and inhibition on activated sludge were monitored. For 50 mg/L hydrogen peroxide and 10 mg/L iron(II) initial concentrations and 40 minutes of reaction time in the photo-Fenton process, the biodegradability of the pretreated solution, measured as BOD5/COD ratio, was improved from 0 for the original DCP solution up to 0.18 (BOD21/COD = 0.24). At that point, all DCP was eliminated from the solution. To study the effect of the pretreatment step, the biological oxidation of pretreated solutions was tested in two semicontinuous stirred tank reactors, one operated with activated sludge and one with biomass acclimated to phenol. Results showed that more than 80% TOC removal could be obtained by codigestion of the pretreated solution with municipal wastewater. Total organic carbon removals of approximately 60% were also obtained when the sole carbon source for the aerobic reactors was the pretreated solution. The hydraulic retention times used in the bioreactors were of the same order of magnitude as those used at domestic wastewater treatment plants (i.e., between 12 and 24 hours). Kinetic studies based on pseudo-first-order kinetics have also been carried out. Constants were found to be in range 0.67 to 1.7 L x g total volatiles suspended solids(-1) x h(-1).

  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. Retrospective analysis of a VACM (vacuum-assisted closure and mesh-mediated fascial traction treatment manual for temporary abdominal wall closure – results of 58 consecutive patients

    Directory of Open Access Journals (Sweden)

    Beltzer, Christian

    2016-07-01

    Full Text Available Introduction: The optimal treatment concept for temporary abdominal closure (TAC in critically ill visceral surgery patients with open abdomen (OA continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction therapy seems to permit higher delayed primary fascial closure rates (FCR than other TAC procedures. Material and methods: Patients of our clinic (n=58 who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78. An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97.Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.

  14. Mia-assisted orthodontic treatment for dental malocclusion secondary to periodontal disease.

    Science.gov (United States)

    Feng, Yi-miao; Fang, Bing; Xia, Yun hui; Shu, Rong; Hans, Mark Guenther

    2009-01-01

    In contemporary dental care, an increasing number of adult patients with periodontal disease are seeking orthodontic treatment. Achieving optimal results in such adult patients is difficult because decreased posterior tooth anchorage is risky. This case report demonstrates the use of miniscrew implant anchorage (MIA) in a Chinese male 21 years 5 months of age with maxillary and mandibular anterior dental spacing, bimaxillary protrusion, and severe bone loss caused by periodontal disease. Prior to orthodontic treatment, the patient underwent treatment to control his periodontitis. The patient was treated with 0.022-in straight-wire orthodontic appliances. After 17 months of active orthodontic treatment, the patient had healthier periodontal tissue with increased bone support, as well as improved facial esthetics and a functional occlusion. The results demonstrate that MIA is useful in enhancing anchorage in patients with bone loss associated with severe periodontal disease.

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

    Science.gov (United States)

    ... overcome those problems. Counseling can provide encouragement and motivation to stick to treatment. It can teach coping ... must be locked in a safe place. If children take them by mistake, they can overdose or ...

  16. 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…

  17. An Evaluation of a Smartphone–Assisted Behavioral Weight Control Intervention for Adolescents: Pilot Study

    Science.gov (United States)

    Duncombe, Kristina M; Lott, Mark A; Hunsaker, Sanita L; Duraccio, Kara M; Woolford, Susan J

    2016-01-01

    Background The efficacy of adolescent weight control treatments is modest, and effective treatments are costly and are not widely available. Smartphones may be an effective method for delivering critical components of behavioral weight control treatment including behavioral self-monitoring. Objective To examine the efficacy and acceptability of a smartphone assisted adolescent behavioral weight control intervention. Methods A total of 16 overweight or obese adolescents (mean age=14.29 years, standard deviation=1.12) received 12 weeks of combined treatment that consisted of weekly in-person group behavioral weight control treatment sessions plus smartphone self-monitoring and daily text messaging. Subsequently they received 12 weeks of electronic-only intervention, totaling 24 weeks of intervention. Results On average, participants attained modest but significant reductions in body mass index standard score (zBMI: 0.08 standard deviation units, t (13)=2.22, P=.04, d=0.63) over the in-person plus electronic-only intervention period but did not maintain treatment gains over the electronic-only intervention period. Participants self-monitored on approximately half of combined intervention days but less than 20% of electronic-only intervention days. Conclusions Smartphones likely hold promise as a component of adolescent weight control interventions but they may be less effective in helping adolescents maintain treatment gains after intensive interventions. PMID:27554704

  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

    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......-matched population-based cohort of couples with no history of ART treatment. Furthermore, the objective is to study the reproductive outcome of ART treatment among women who have a registered diagnosis of a mental disorder or have used medication for mental disorders prior to ART treatment compared with women in ART...... treatment without a mental disorder. We will establish the Danish National ART-Couple (DANAC) cohort including all women registered with ART treatment in the Danish in vitro fertilisation Register during 1994-2009 (N=42 915) and their partners. An age-matched population-based comparison cohort of women...

  19. 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.

  20. A Study on a Brain-Computer Interface for Motor Assist by Prefrontal Cortex

    Science.gov (United States)

    Misawa, Tadanobu; Takano, Shinya; Shimokawa, Tetsuya; Hirobayashi, Shigeki

    In recent times, considerable research has been conducted on the development of brain-computer interfaces (BCIs). Although there have been several reports on BCIs that assist motor functions by measurement of brain activity in the motor cortex, only a few studies have reported on BCI that assist motor functions by measurement of activity in areas other than the motor cortex. In this study, we experimentally develop a BCI that assists motor functions on the basis of brain activity in the prefrontal cortex. In this BCI system, subjects are shown the labyrinth problem. Concretely, brain activity is measured using fNIRS and the data are acquired in real time. The signal processing module implements low pass filtering of these signals. Further, the pattern classification module used in this system currently is a support vector machine. 22 subjects, both male and female, volunteered to participate in this experiment. 8 of these 22 subjects were able to solve the labyrinth problem. In this experiment, we could not obtain a high distinction. However, these results show that it is possible to develop BCI systems that assist motor functions using information from the prefrontal cortex.

  1. Comparative tensile strength study of the adhesion improvement of PTFE by UV photon assisted surface processing

    Science.gov (United States)

    Hopp, B.; Geretovszky, Zs.; Bertóti, I.; Boyd, I. W.

    2002-01-01

    Poly(tetrafluoroethylene) (PTFE) is notable for its non-adhesive and non-reactive properties. A number of technologies can potentially benefit from the application of PTFE, but these characteristics restrict the ability to structuring its surface. In this paper, we present results on two ultraviolet photon assisted treatments of PTFE. The originally poor adhesion was significantly improved by both 172 nm excimer lamp and 193 nm excimer laser assisted surface treatments. While Xe2∗ lamp irradiation, applied in a modest vacuum environment, was sufficient by itself to improve adhesion, the ArF laser process was only effective when the irradiated interface was in contact with 1,2-diaminoethane photoreagent. It was found that the tensile strength of an epoxy resin glued interface created on treated surfaces depended strongly on the applied number of laser pulses and lamp irradiation time. Laser treatment caused fast tensile strength increase during the first 50-500 pulses, while after this it saturates slowly at about 5.5 MPa in the 500-2500 pulse domain. The excimer lamp irradiation resulted in a maximum tensile strength of approximately 10 MPa after 2 min irradiation time which reduced to about 65% of the peak value at longer times.

  2. Patients’ acceptance of corticotomy-assisted orthodontics

    OpenAIRE

    Khalid H. Zawawi

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

    Institute of Scientific and Technical Information of China (English)

    Thomas Dethloff; Flemming Tofteng; Hans-Jorgen Frederiksen; Michael Hojskov; Bent Adel Hansen; Fin Stolze Larsen

    2008-01-01

    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 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 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 adverse effects were observed in any of the groups. Creatinine levels significantly decreased in the MARS group (P = 0.03) and hemodialysis group (P = 0.04). Platelet count deceased in the Prometheus group (P = 0.04).CONCLUSION: Extra-corporal liver support with Prometheus is proven to be safe in patients with end-stage liver disease but does not exert the beneficial effects on arterial pressure as seen in the MARS group.

  4. 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.

  5. Surgical Treatment of Small Pulmonary Nodules Under Video-assisted Thoracoscopy 
(A Report of 129 Cases

    Directory of Open Access Journals (Sweden)

    Tong WANG

    2017-01-01

    Full Text Available Background and objective The development of image technology has led to increasing detection of pulmonary small nodules year by year, but the determination of their nature before operation is difficult. This clinical study aimed to investigate the necessity and feasibility of surgical resection of pulmonary small nodules through a minimally invasive approach and the operational manner of non-small cell lung cancer (NSCLC. Methods The clinical data of 129 cases with pulmonary small nodule of 10 mm or less in diameter were retrospectively analyzed in our hospital from December 2013 to November 2016. Thin-section computed tomography (CT was performed on all cases with 129 pulmonary small nodules. CT-guided hook-wire precise localization was performed on 21 cases. Lobectomy, wedge resection, and segmentectomy with lymph node dissection might be performed in patients according to physical condition. Results Results of the pathological examination of 37 solid pulmonary nodules (SPNs revealed 3 primary squamous cell lung cancers, 3 invasive adenocarcinomas (IAs, 2 metastatic cancers, 2 small cell lung cancers (SCLCs, 16 hamartomas, and 12 nonspecific chronic inflammations. The results of pathological examination of 49 mixed ground glass opacities revealed 19 IAs, 6 micro invasive adenocarcinomas (MIAs, 4 adenocarcinomas in situ (AIS, 1 atypical adenomatous hyperplasia (AAH, 1 SCLC, and 18 nonspecific chronic inflammations. The results of pathological examination of 43 pure ground glass opacities revealed 19 AIS, 6 MIAs, 6 IA, 6 AAHs, and 6 nonspecific chronic inflammations. Wedge resection under video-assisted thoracoscopic surgery (VATS was performed in patients with 52 benign pulmonary small nodules. Lobectomy and systematic lymph node dissection under VATS were performed in 33 patients with NSCLC. Segmentectomy with selective lymph node dissection, wedge resection, and selective lymph node dissection under VATS were performed in six patients with

  6. 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.

  7. Parents' perspectives on the value of assistance dogs for children with autism spectrum disorder: a cross-sectional study

    OpenAIRE

    Burgoyne, Louise N.; Dowling, Lisa; Fitzgerald, Anthony P.; Connolly, Micaela; Browne, John P; Ivan J Perry

    2014-01-01

    Objective While there is an emerging literature on the usefulness of assistance dogs for children with autism spectrum disorder (ASD), there is a dearth of quantitative data on the value of assistance dog interventions for the family unit and family functioning. Using previously validated scales and scales developed specifically for this study, we measured parents’/guardians’ perceptions of how having an assistance dog affects: (1) child safety from environmental dangers, (2) public reception...

  8. Laser-assisted lipolysis for cankle remodelling: a prospective study in 30 patients.

    Science.gov (United States)

    Leclère, Franck Marie; Moreno-Moraga, Javier; Mordon, Serge; Servell, Pascal; Unglaub, Frank; Kolb, Frédéric; Rimareix, Françoise; Trelles, Mario A

    2014-01-01

    Cankles refer to the area where the calf and ankle meet. Unaesthetic fat cankles, where definition between the calf and ankle is impossible, are a frustrating aesthetic deformity, which are exacerbated by their genetic conditioning and special resistance to diet. This article reports our experience with laser-assisted lipolysis (LAL) in cankle remodelling. A total of 30 patients were treated for unaesthetic fat cankles with LAL. The 924/975-nm diode laser used in this study consisted of two lasers, one emitting at 924 nm, and the other at 975 nm. According to our mathematical models, we assumed that to destroy 1 ml of fat, 0.1 kJ was required in dual emission mode at 924/975 nm. Patients were asked to file a satisfaction questionnaire. Ultrasound was used to measure the fat thickness pre- and postoperatively. Oedema in both lateral sulcus of the Achilles tendon was seen in all patients. It subsided after 4 weeks in nine cases and 6 weeks in 21 cases. Only two patients developed mild hyperpigmentation that disappeared, respectively, after 4 and 10 weeks. Pain during the anaesthesia and discomfort after the procedure were low with this technique. Mean down time was 1.0 day. Of the 30 patients, 29 would recommend this treatment. Overall, high patient and investigator satisfaction was confirmed by the sonography used to measure decrease in fat thickness. LAL in cankle remodelling is a safe and reproducible technique that is particularly appreciated by the patient. The procedure allows homogenous reduction of fatty tissue together with skin tightening.

  9. A Computational Study on Water-assisted Ammonolysis of N-Methyl β-Sultam

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The ring opening of β-sultam via an H2O-assisted ammonolysis process was studied by using Density Functional Theory(DFT) method at the B3LYP/6-31G* level as a further step in the theoretical investigation of the ammonolysis reaction of β-sultams. The calculated pathways are analogous to those previously described for the non-assisted ammonolysis reaction. Solvent effects were assessed by using the polarized continuum model(PCM) method. The results show that mode 1 and pathway a in channel Ⅱ are the most favorable ones in both the cases. The energy barrier of the cleavage of C-S bonds producing P1 is the highest among all the energy barriers. The presence of a solvent in the continuum model disfavors the reaction, whereas the participation of water in the ammonolysis reaction plays a positive role and reduces the active energy greatly. The relative energies of all the transition states in the assisted ammonolysis are 20-80 kJ/mol lower than those for the non-assisted reaction.

  10. Hand-assisted laparoscopic nephrectomy as a minimally invasive option in the treatment of large renal specimens

    Directory of Open Access Journals (Sweden)

    M. Tobias-Machado

    2005-12-01

    Full Text Available INTRODUCTION: We describe our experience with hand-assisted laparoscopy (HAL as an option for the treatment of large renal specimens. MATERIALS AND METHODS: Between March 2000 and August 2004, 13 patients candidate to nephrectomies due to benign renal conditions with kidneys larger than 20 cm were included in a prospective protocol. Unilateral nephrectomy was performed in cases of hydronephrosis (6 patients or giant pyonephrosis (4 patients. Bilateral nephrectomy was performed in 3 patients with adult polycystic kidney disease (APKD with low back pain refractory to clinical treatment previous to kidney transplant. The technique included the introduction of 2 to 3 10 mm ports, manual incision to allow enough space for the surgeon's wrist without a commercial device to keep the pneumoperitoneum. The kidney was empty, preferably extracorporeally, enough to be removed through manual incision. We have assessed operative times, transfusions, complications, conversions, hospital stay and convalescence. RESULTS: The patients mean age (9 women and 4 men was 58 years. Mean operating time was 120 ± 10 min (hydronephrosis, 160 ± 28 min (pyonephrosis and 190 ± 13 min (bilateral surgery for APKD. There was a need for a conversion in 1 case and another patient needed a transfusion due to a lesion in the renal vein; 2 patients had minor complications. CONCLUSION: HAL surgery is a minimally invasive alternative in the treatment of large renal specimens, with or without significant inflammation.

  11. Metaevaluation of National Weatherization Assistance Program Based on State Studies, 1996-1998

    Energy Technology Data Exchange (ETDEWEB)

    Schweitzer, M.; Berry, L.

    1999-05-01

    The national Weatherization Assistance Program, sponsored by the US Department of Energy (DOE) and implemented by state and local agencies throughout the US, weatherizes homes for low-income residents in order to increase their energy efficiency and lower utility bills. Staff at Oak Ridge National Laboratory (ORNL) performed a metaevaluation of this program, which involved synthesizing the results from ten individuals studies of state weatherization efforts completed between April 1996 and September 1998. The states whose studies were used in this metaevaluation, the dates of program operations covered by these studies, and the fuels that were examined are shown in Table ES-1. This effort represents a follow-up to an earlier ORNL metaevaluation of the Weatherization Assistance Program that looked at 19 state studies completed between 1990 and early 1996 (Berry 1997). That study, in turn, was done as an update to a national evaluation of the Weatherization Assistance Program that examined a representative sample of several thousand structures weatherized in 1989 (Brown, Berry, Balzer, and Faby 1993).

  12. Plug-assisted retrograde transvenous obliteration for the treatment of gastric variceal hemorrhage

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Min Yung; Kim, Man Deuk; Shin, Won Seon; Shin, Min Woo; Kim, Gyoung Min; Won, Jong Yun; Park, Sung Il; Lee, Do Yun [Dept. of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of); Kim, Tae Hwan [Dept. of Radiology, National Health Insurance Serivce Ilsan Hospital, Goyang (Korea, Republic of)

    2016-04-15

    To evaluate the feasibility, safety, and clinical outcomes of plug-assisted retrograde transvenous obliteration (PARTO) to treat gastric variceal hemorrhage in patients with portal hypertension. From May 2012 to June 2014, 19 patients (11 men and 8 women, median age; 61, with history of gastric variceal hemorrhage; 17, active bleeding; 2) who underwent PARTO using a vascular plug and a gelfoam pledget were retrospectively analyzed. Clinical and laboratory data were examined to evaluate primary (technical and clinical success, complications) and secondary (worsening of esophageal varix [EV], change in liver function) end points. Median follow-up duration was 11 months, from 6.5 to 18 months. The Wilcoxon signed-rank test was used to compare laboratory data before and after the procedure. Technical success (complete occlusion of the efferent shunt and complete filling of gastric varix [GV] with a gelfoam slurry) was achieved in 18 of 19 (94.7%) patients. The embolic materials could not reach the GV in 1 patient who had endoscopic glue injection before our procedure. The clinical success rate (no recurrence of gastric variceal bleeding) was the same because the technically failed patient showed recurrent bleeding later. Acute complications included fever (n = 2), fever and hypotension (n = 2; one diagnosed adrenal insufficiency), and transient microscopic hematuria (n = 3). Ten patients underwent follow-up endoscopy; all exhibited GV improvement, except 2 without endoscopic change. Five patients exhibited aggravated EV, and 2 of them had a bleeding event. Laboratory findings were significantly improved after PARTO. PARTO is technically feasible, safe, and effective for gastric variceal hemorrhage in patients with portal hypertension.

  13. Fingertip Amputation Treatment: A Survey Study.

    Science.gov (United States)

    Miller, Andrew J; Rivlin, Michael; Kirkpatrick, William; Abboudi, Jack; Jones, Christopher

    2015-09-01

    Distal fingertip amputations are common injuries in work- and non-work-related accidents. There is a paucity of evidence to support use of any one treatment. We conducted a study to better understand how surgeon and patient factors influence the treatment preferences for distal fingertip amputations among a cross section of US and international hand surgeons. We sent a 16-question survey to the American Association for Hand Surgery and reciprocal international hand societies and analyzed the response data using a logistic regression model. We hypothesized that hand surgeons' treatment preferences would be varied and influenced by surgeon and patient demographics. One hundred ninety-eight hand surgeons (62% US, 38% international) responded to the survey. For each clinical scenario (Allen levels 2, 3, and 4 and volar oblique amputations), there were wide variations in treatment preferences. Wound care was less likely performed by surgeons with more than 30 years of experience or plastic surgery backgrounds. Replantation was less likely performed by US surgeons and private practice surgeons. Pedicle and homodigital flaps were more commonly performed internationally. Surgeons in practice for less than 5 years were more likely to perform skeletal shortening. For all levels and orientations of fingertip amputation queried, there is a wide range of treatment preferences. Our survey results highlight the need for a prospective randomized trial to elucidate the most effective treatments for fingertip amputations.

  14. Laser-assisted gingivectomy in pediatric patients: A novel alternative treatment

    OpenAIRE

    G Gontiya; Bhatnagar, S; U Mohandas; S R Galgali

    2011-01-01

    Gingival enlargement is quite a common pathology in pediatric patients and may be inflammatory, noninflammatory, or a combination of both. Idiopathic gingival fibromatosis, although rare, is a slowly progressive benign enlargement that affects the marginal gingiva, attached gingival, and interdental papilla. The fibromatosis may potentially cover the exposed tooth surfaces, causing esthetic and functional problems. The treatment of gingival fibromatosis is essential because it causes difficul...

  15. Efficient photo-assisted Fenton oxidation treatment of multi-walled carbon nanotubes

    Institute of Scientific and Technical Information of China (English)

    FAN CaiLing; LI Wei; LI Xin; ZHAO ShiJu; ZHANG Ling; MO YuJun; CHENG RongMing

    2007-01-01

    In this paper, a new and efficient way to oxidize and functionalize the multi-walled carbon nanotubes (MWNTs) has been developed by using a combination of ultraviolet (UV) irradiation and Fenton oxidation process, namely UV/Fenton oxidation treatment. Comparing with conventionally individual Fenton oxidation treatment of MWNTs, UV/Fenton combined treatment improved the etching rates and efficiencies and hence reduced the time for surface modification of MWNTs, which was proved to be an effective method in etching and functionalizing CNTs. The formation of new functional groups, structural changes and thermal stability during oxidation period were characterized by Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy and could be clarified by thermogravimetric analysis (TGA), which showed that it was under UV irradiation conditions that MWNTs could be rapidly functionalized with hydroxyl, carbonyl and carboxyl groups in the presence of Fenton reagents, originating from the increase in the gross HO·concentration and the existent synergetic effect when using UV irradiation combing with Fenton oxidation process. Introduction of such new oxygen-containing functional groups was attributed to attacks of HO·on defect sites and unsaturated bonds of C=C in the MWNTs sample, which should play an important role in accounting for the FTIR and Raman spectral changes.

  16. Pianism retraining via video conferencing as a means of assisting recovery from focal dystonia: a case study.

    Science.gov (United States)

    de Lisle, Rae; Speedy, Dale B; Thompson, John

    2010-09-01

    Focal dystonia (FD) is a devastating neurological condition which causes involuntary muscle contractions and often results in the loss of a musician's playing ability. Our study investigated whether retraining via video conferencing could be helpful in the treatment of a professional pianist with a 5-year history of FD. Although full recovery was not seen, improvement was observed at slow tempi, and his hand was visibly less cramped as training sessions progressed. We conclude that video conferencing could be an acceptable medium to assist pianism retraining in pianists with FD when location prevents on-site retraining. However, in this study it did not seem as effective as previously reported, similar, one-on-one retraining in the same location.

  17. 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

    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....

  18. Minimally invasive (robotic assisted thoracic surgery and video-assisted thoracic surgery) lobectomy for the treatment of locally advanced non-small cell lung cancer

    Science.gov (United States)

    Yang, Hao-Xian; Woo, Kaitlin M.; Sima, Camelia S.

    2016-01-01

    Background Insufficient data exist on the results of minimally invasive surgery (MIS) for locally advanced non-small cell lung cancer (NSCLC) traditionally approached by thoracotomy. The use of telerobotic surgical systems may allow for greater utilization of MIS approaches to locally advanced disease. We will review the existing literature on MIS for locally advanced disease and briefly report on the results of a recent study conducted at our institution. Methods We performed a retrospective review of a prospective single institution database to identify patients with clinical stage II and IIIA NSCLC who underwent lobectomy following induction chemotherapy. The patients were classified into two groups (MIS and thoracotomy) and were compared for differences in outcomes and survival. Results From January 2002 to December 2013, 428 patients {397 thoracotomy, 31 MIS [17 robotic and 14 video-assisted thoracic surgery (VATS)]} underwent induction chemotherapy followed by lobectomy. The conversion rate in the MIS group was 26% (8/31) The R0 resection rate was similar between the groups (97% for MIS vs. 94% for thoracotomy; P=0.71), as was postoperative morbidity (32% for MIS vs. 33% for thoracotomy; P=0.99). The median length of hospital stay was shorter in the MIS group (4 vs. 5 days; P<0.001). The 3-year overall survival (OS) was 48.3% in the MIS group and 56.6% in the thoracotomy group (P=0.84); the corresponding 3-year DFS were 49.0% and 42.1% (P=0.19). Conclusions In appropriately selected patients with NSCLC, MIS approaches to lobectomy following induction therapy are feasible and associated with similar disease-free and OS to those following thoracotomy. PMID:27195138

  19. Residual Stress, Defects and Grain Morphology of Ti-6Al-4V Alloy Produced by Ultrasonic Impact Treatment Assisted Selective Laser Melting

    Directory of Open Access Journals (Sweden)

    Meixia Zhang

    2016-10-01

    Full Text Available For large-scale selective laser melting (SLM additive manufacturing technology, three main problems severely restrict its development and application, namely the residual stress, defects, and columnar grains with anisotropy. To overcome these problems, a new method is proposed by combining SLM with ultrasonic impact treatment (UIT technique. This study explores the feasibility of UIT assisted SLM, as well as the effect of UIT on the residual stress, defects and β grains of Ti-6Al-4V alloy sample. The results indicate that after the application of UIT during SLM, residual stress can be largely reduced and defects can be hammered flat and even eliminated. Meanwhile, the epitaxial growth of columnar grains is prevented, and fine equiaxed grains are formed due to plastic deformation and recrystallization.

  20. Obtaining zeolite Y synthesized by hydrothermal treatment assisted by microwave; Obtencao de zeolita Y sintetizada atraves de tratamento hidrotermico assistido por microondas

    Energy Technology Data Exchange (ETDEWEB)

    Simoes, A.N.; Simoes, V.N.; Neiva, L.S.; Rodrigues, M.G.F.; Gama, L., E-mail: Alluskynha@hotmail.com [Universidade Federal de Campina Grande (UFCG), PB (Brazil); Oliveira, J. B.L. [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Departamento de Quimica

    2011-07-01

    n search of new catalysts several man-made structures have been developed. The use of zeolites in catalysis is applied due to its ability to associate activity, selectivity and stability, the main conditions to have an effective catalyst. Thus, studies have been done on the hydrothermal synthesis of zeolites by microwave assisted, since the use of microwave radiation offers several advantages over conventional heating. In this context, this work aims to synthesis and characterization of zeolite Y via hydrothermal treatment in a microwave oven. The sample obtained was characterized by XRD, BET and SEM. XRD results showed the formation of zeolite Y in just 60 minutes. The sample showed high value of surface area, the latter being of 476.2 m² / g. The particles are agglomerated, but with a narrow distribution of size. (author)

  1. Study on the Definition of Police Assistants%辅警定义研究

    Institute of Scientific and Technical Information of China (English)

    林海文; 王世卿

    2012-01-01

      The evolution of police assistants is a miniature of good governance executed by Chinese government, the study of which is related not only with economic factors but with political ones and has rich and profound policing, social and political connotation. However, to set up confidence in the study on the police assistants it is necessary to know the status of the study on police assistants theoretical foundation and its clear definition. At this stage, the police assistants show the unique attributes of society, the public and police. As such, it can be deduced that in the broad sense the police assistants refer to the force which is organized by the government agencies, markets or other organs to participate in policing or voluntary activities in order to attain the policing related goal of the public, social groups and some individuals. In the narrow sense, the police assistants refer to the public voluntary social force which is organized, used, purchased or employed by the government or functional departments.%  辅警的发展是中国政府施行良政的一个缩影,关于它的研究既涉及经济因素又有政治方面的考量,蕴含着丰富且深刻的警务、社会乃至政治内涵。然而,要为辅警深入研究奠定信心,必须掌握辅警理论的学科地位、理论基础以及深刻清晰的界定。社会性、群众性、警事性是我国现阶段辅警所呈现的特有属性,由此可以推出:广义辅警是指为实现国家公共的、部分利益团体的以及个人的警事目的,由政府部门、市场或者第三部门所组织起来的共同参与警事活动的力量;狭义辅警应当是指为实现警务效能,通过制度直接组织管理使用的,为政府或者职能部门购买、聘用或宣传发动起来志愿的社会群众力量。

  2. Alone in a crowd. A study of social networks in home health and assisted living.

    Science.gov (United States)

    Tremethick, M J

    2001-05-01

    This study demonstrated the need for intervention in social network development by both clients of home health and residents of assisted living facilities. With the well-known connection between social networks and health, it is vital that nurses working with these populations be aware of the potential for isolation, screen for it, and, if necessary, develop interventions in the care planning process to address the lack of social networks.

  3. Study of LPG-assisted fibre modal Michelson interferometers with coherence addressing and heterodyne interrogation

    Science.gov (United States)

    Caldas, P.; Araújo, F.; Ferreira, L. A.; Rego, G.; Marques, M. B.; Santos, J. L.

    2007-07-01

    In this work, the LPG-assisted fibre Michelson modal interferometer is studied as a sensing structure for environmental refractive index, temperature and liquid level when coherence addressing and heterodyne interrogation are considered. The effects on measurand sensitivity of the order of the cladding mode excited by the LPG, of the degree of etching of the sensing fibre and of the fibre type used are investigated.

  4. Control of a HexaPOD treatment couch for robot-assisted radiotherapy.

    Science.gov (United States)

    Hermann, Christian; Ma, Lei; Wilbert, Jürgen; Baier, Kurt; Schilling, Klaus

    2012-10-01

    Moving tumors, for example in the vicinity of the lungs, pose a challenging problem in radiotherapy, as healthy tissue should not be irradiated. Apart from gating approaches, one standard method is to irradiate the complete volume within which a tumor moves plus a safety margin containing a considerable volume of healthy tissue. This work deals with a system for tumor motion compensation using the HexaPOD® robotic treatment couch (Medical Intelligence GmbH, Schwabmünchen, Germany). The HexaPOD, carrying the patient during treatment, is instructed to perform translational movements such that the tumor motion, from the beams-eye view of the linear accelerator, is eliminated. The dynamics of the HexaPOD are characterized by time delays, saturations, and other non-linearities that make the design of control a challenging task. The focus of this work lies on two control methods for the HexaPOD that can be used for reference tracking. The first method uses a model predictive controller based on a model gained through system identification methods, and the second method uses a position control scheme useful for reference tracking. We compared the tracking performance of both methods in various experiments with real hardware using ideal reference trajectories, prerecorded patient trajectories, and human volunteers whose breathing motion was compensated by the system.

  5. Enhanced bleaching treatment: opportunities for immune-assisted melanocyte suicide in vitiligo.

    Science.gov (United States)

    Webb, Kirsten C; Eby, Jonathan M; Hariharan, Vidhya; Hernandez, Claudia; Luiten, Rosalie M; Le Poole, I Caroline

    2014-08-01

    Depigmentation in vitiligo occurs by progressive loss of melanocytes from the basal layer of the skin, and can be psychologically devastating to patients. T cell-mediated autoimmunity explains the progressive nature of this disease. Rather than being confronted with periods of rapid depigmentation and bouts of repigmentation, patients with long-standing, treatment-resistant vitiligo can undergo depigmentation treatment. The objective is to remove residual pigmentation to achieve a cosmetically acceptable result--that of skin with a uniform appearance. In the United States, only the use of mono-benzyl ether of hydroquinone (MBEH) is approved for this purpose. However, satisfactory results can take time to appear, and there is a risk of repigmentation. MBEH induces necrotic melanocyte death followed by a cytotoxic T-cell response to remaining, distant melanocytes. As cytotoxic T-cell responses are instrumental to depigmentation, we propose that combining MBEH with immune adjuvant therapies will accelerate immune-mediated melanocyte destruction to achieve faster, more definitive depigmentation than with MBEH alone. As Toll-like Receptor (TLR) agonists--imiquimod, CpG, and Heat Shock Protein 70 (HSP 70)--all support powerful Th1 responses, we propose that using MBEH in combination with these agents can achieve superior depigmentation results for vitiligo patients.

  6. ENDOSCOPE-ASSISTED ENDONASAL APPROACH IN THE SURGICAL TREATMENT OF ESTHESIONEUROBLASTOMA IN CHILDREN

    Directory of Open Access Journals (Sweden)

    O. A. Merkulov

    2012-01-01

    Full Text Available This trial was undertaken to examine 3 patients aged 7 months to 13 years with esthesioneuroblastoma were examined to evaluate the possibilities and efficiency of an endoscopic endonasal approach in its surgical treatment in pediatric practice. Additional orientation was provided by a Vector Vision Compact system (Brain Lab, USA. The trial has established that the endoscopic endonasal approach to creating an isolated transnasal and combined transnasal/transethmoidal corridor and a transcribriform approach is highly effective and reasonably safe for the treatment of children with esthesioneuroblastoma: no intra- and postoperative complications were recorded in the trial; analysis of the immediate results of surgical interventions has shown a clinical regression in all the patients. Fatal outcomes and recurrent tumor were absent in the late (1–5-year period. The additional employment of the navigation equipment allowed one to more accurately use surgical tools in the narrow anatomic spaces and to more thoroughly affect an abnormality, which was eventually shown in more conservative surgery.

  7. 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.

  8. 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.

  9. Case Studies of Successful Assistance in Urban School Improvement Programs. II. Constituency-Based School Renewal Program.

    Science.gov (United States)

    Mitchell, Vernay

    As part of a research project on "Patterns of Successful Assistance in Urban School Improvement Programs," this paper presents a case study of an assister's work in the Constituency-Based School Renewal Program (CSR), implemented in an elementary school in Brooklyn, New York. CSR is a program aiming to institute a process by which a school will…

  10. Ambulatory treatment of snoring with CO2 laser: laser-assisted UPPP (LAUP), results on 856 patients

    Science.gov (United States)

    Kamami, Yves-Victor

    1995-05-01

    The usual treatment of snoring in the absence of sleep apneas has been UPPP. Patients are often reluctant to undergo this painful procedure under general anesthesia. The Laser Assisted Uvulopalatoplasty (LAUP) is a new procedure, introduced six years ago by the author, using local anesthesia for the treatment of snoring in an office setting. This technique is designed to correct breathing abnormalities during sleep, caused by pharyngeal airway obstruction in patients suffering of Snoring or Obstructive Sleep Apnea Syndrome. This is done by reducing the amount of tissue in the uvula, the velum, and the upper part of the posterior pillars. LAUP allows surgery for the relief of snoring to be performed in the office, under local anesthesia. LAUP has many advantages over the traditional UPPP. It is simple, reliable, hemostatic, and less painful. It is also less expensive as it can be performed as an outpatient. This makes the LAUP more accessible to patients. Our experience with LAUP in 856 patients from December 1988 to July 1994 (141 women and 715 men) is described. Good results were obtained in 94.8% of patients and there were no complications. This new technique can be easily performed by other otolaryngologists after serious suitable training. LAUP provides a simple alternative for many patients who do not wish to undergo a traditional UPPP.

  11. Ultrasound assisted enzymatic pre-treatment of high fat content dairy wastewater.

    Science.gov (United States)

    Adulkar, Tejal V; Rathod, Virendra K

    2014-05-01

    This paper illustrates the application of ultrasound in a dairy waste water treatment for the removal of fat using enzyme as a catalyst. Lipase Z was used to perform the enzymatic pre-hydrolysis of a synthetic dairy wastewater containing around 2000 mg/L of fat content coupled with ultrasound irradiation. Different process parameters like effect of enzyme loading, temperature, ultrasound power, frequency, duty cycle and speed of agitation are optimized. The maximum hydrolysis of 78% is achieved at 0.2% enzyme loading (w/v), 30°C temperature, 165 W of ultrasonication power at 25 kHz and 66% duty cycle. It was observed that the enzymatic pre-hydrolysis under the influence of ultrasound drastically reduces the reaction time from 24h to 40 min as compared to conventional stirring with improved yield.

  12. Barriers to the implementation of medication-assisted treatment for substance use disorders: the importance of funding policies and medical infrastructure.

    Science.gov (United States)

    Knudsen, Hannah K; Abraham, Amanda J; Oser, Carrie B

    2011-11-01

    Despite growing interest in the use of evidence-based treatment practices, adoption of pharmacotherapies for treating substance use disorders (SUDs) remains modest. Using data from telephone interviews with 250 administrators of publicly funded SUD treatment programs, this study estimated a model of adoption of medication assisted treatment (MAT) for SUDs and examined the relative importance of regulatory, cultural, medical resource, patient-level, and funding barriers to MAT implementation. MAT-adopting programs had significantly greater medical resources, as measured by the employment of physicians and nurses, than non-adopting programs. Administrators of non-adopting programs were asked to rate the importance of 18 barriers to MAT implementation. The most strongly endorsed barriers were regulatory prohibitions due to the program's lack of medical staff, funding barriers to implementing MAT, and lack of access to medical personnel with expertise in delivering MAT. Barriers related to insufficient information about MAT and unsupportive staff attitudes were not widely endorsed. These findings suggest that efforts to promote the implementation of MAT that are inattentive to funding barriers and weaknesses in medical infrastructure may achieve sub-optimal results.

  13. 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

  14. Study of the reduced magnetic field required for thermally assisted magnetization reversal

    Science.gov (United States)

    Firdausi, H. F. Y.; Utari; Purnama, B.

    2016-11-01

    The reduced magnetic field required for thermally magnetization reversal discussed in this paper. Study of thermally assisted magnetization reversal conduct by using micromagnetic simulation. The magnetic dot size of the simulation was 50 nm × 50 nm × 20 nm. The perpendicularly anisotropy constant was 2 × 106 erg/cm3. Initial condition was set single domain configuration. Then a sufficiently thermal pulse was used to get stochastic effect so that the magnetization along to the induce field direction for pico second duration. The results show that the reduced magnetic field mechanism seem to be temporary antiferromagnetic configuration before single domain configuration in alinging along to field direction. The same mechanims observed for modify of thickness dot particles. The require magnetic field of 145 Oe in thermally assisted magnetization reversal open a posibility for MRAM application.

  15. Perceptions of a hospital-based animal assisted intervention program: An exploratory study.

    Science.gov (United States)

    Abrahamson, Kathleen; Cai, Yun; Richards, Elizabeth; Cline, Krista; O'Haire, Marguerite E

    2016-11-01

    Research has shown that there are multiple benefits of animal assisted interventions for patients. However, the impact of interaction with these animals in staff is understudied, particularly in the acute care setting, and is thus a novel contribution to the literature on human-animal interaction. The purpose of this qualitative pilot study was to contribute to the body of knowledge surrounding the experiences and perceptions of hospital staff who have participated in a hospital-based animal assisted intervention program. Nine face-to-face semi-structured interviews were conducted (4 staff nurses, 3 support staff members, and 2 hospital volunteers). Five themes emerged from the respondent interviews: (1) descriptions of the therapy dogs; (2) contacts with the dogs at work; (3) connection with the dogs outside of work; (4) benefits; (5) drawbacks. Our findings reflect abundantly positive hospital staff experiences.

  16. Equivalence study of a dental anatomy computer-assisted learning program.

    Science.gov (United States)

    Bogacki, Russell E; Best, Al; Abbey, Louis M

    2004-08-01

    Tooth Morphology is a computer-assisted learning program designed to teach the anatomy of the adult dentition. The purpose of this study was to test whether Tooth Morphology could teach dental anatomy to first-year dental students as well as the traditional lecture. A randomized controlled trial was performed with forty-five first-year dental students. The students were randomly assigned to either the Tooth Morphology group (n=23), which used the computer-assisted learning program and did not attend lecture, or the lecture group (n=22), which attended the traditional lecture and did not use Tooth Morphology. The Tooth Morphology group had a final exam average of 90.0 (standard deviation=5.2), and the lecture group had a final exam average of 90.9 (sd=5.3). Analysis showed that the two groups' scores were statistically equivalent (pdental anatomy lectures.

  17. 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.

  18. Study on hydrogen assisted cracking susceptibility of HSLA steel by implant test

    Directory of Open Access Journals (Sweden)

    Gopa Chakraborty

    2016-12-01

    Full Text Available DMR-249A is an indigenously developed high strength low alloy steel for Indian ship building industry for making ship-hull and is extensively used in the construction of war ships and submarines. Welding electrodes conforming to SFA 5.5 AWS E8018 C1 has been indigenously developed for welding of this steel using shielded metal arc welding process. In the present study, susceptibility to hydrogen assisted cracking of DMR-249A steel welds made using this electrode has been assessed using implant test. Implant tests were conducted using this electrode at two different levels of diffusible hydrogen, measured using gas chromatography technique. It is observed that both the steel and the welding consumable are not susceptible to hydrogen assisted cracking even with a high diffusible hydrogen level of 9 mL/100g of weld metal. In implant tests, specimen did not fracture even after loading to stress levels higher than the yield strength of the base metal. The good resistance of this steel and the welding consumable, even with high levels of diffusible hydrogen, is attributed to absence of a susceptible microstructure in both the weld metal and heat affected zone. Hence, this study shows that, in the absence of a susceptible microstructure, hydrogen assisted cracking is unlikely to occur even if hydrogen level is high. It also confirms that in welding of DMR-249A with indigenously developed E8018 C1 electrode, hydrogen assisted cracking is not a concern and no preheating is required to avoid it during welding.

  19. Study on hydrogen assisted cracking susceptibility of HSLA steel by implant test

    Institute of Scientific and Technical Information of China (English)

    Gopa CHAKRABORTY; R. REJEESH; S.K. ALBERT

    2016-01-01

    DMR-249A is an indigenously developed high strength low alloy steel for Indian ship building industry for making ship-hull and is extensively used in the construction of war ships and submarines. Welding electrodes conforming to SFA 5.5 AWS E8018 C1 has been indigenously developed for welding of this steel using shielded metal arc welding process. In the present study, susceptibility to hydrogen assisted cracking of DMR-249A steel welds made using this electrode has been assessed using implant test. Implant tests were conducted using this electrode at two different levels of diffusible hydrogen, measured using gas chromatography technique. It is observed that both the steel and the welding consumable are not susceptible to hydrogen assisted cracking even with a high diffusible hydrogen level of 9 mL/100g of weld metal. In implant tests, specimen did not fracture even after loading to stress levels higher than the yield strength of the base metal. The good resistance of this steel and the welding consumable, even with high levels of diffusible hydrogen, is attributed to absence of a susceptible microstructure in both the weld metal and heat affected zone. Hence, this study shows that, in the absence of a susceptible microstructure, hydrogen assisted cracking is unlikely to occur even if hydrogen level is high. It also confirms that in welding of DMR-249A with indigenously developed E8018 C1 electrode, hydrogen assisted cracking is not a concern and no preheating is required to avoid it during welding.

  20. Virtual reality assisted cognitive behavioral therapy for the treatment of Panic Disorders with Agoraphobia.

    Science.gov (United States)

    Vincelli, F; Choi, H; Molinari, E; Wiederhold, B K; Bouchard, S; Riva, G

    2002-01-01

    The chapter describes the characteristics of the Experiential-Cognitive Therapy (ECT) protocol for Panic Disorder and Agoraphobia. The goal of ECT is to decondition fear reactions, to modify misinterpretational cognition related to panic symptoms and to reduce anxiety symptoms. This is possible in an average of eight sessions of treatment plus an assessment phase and booster sessions, through the integration of Virtual Experience and traditional cognitive-behavioral techniques. We decided to employ the techniques included in the cognitive-behavioral approach because they showed high levels of efficacy. Through virtual environments we can gradually expose the patient to feared situation: virtual reality consent to re-create in our clinical office a real experiential world. The patient faces the feared stimuli in a context that is nearer to reality than imagination. For ECT we developed the Virtual Environments for Panic Disorders--VEPD--virtual reality system. VEPD is a 4-zone virtual environment developed using the Superscape VRT 5.6 toolkit. The four zones reproduce different potentially fearful situations--an elevator, a supermarket, a subway ride, and large square. In each zone the characteristics of the anxiety-related experience are defined by the therapist through a setup menu.

  1. 关节镜辅助下自制器械微创治疗SchatzkerⅡ、Ⅲ型胫骨平台骨折的临床研究%Clinical study of minimally invasive treatment of home-made instruments assisted by arthroscopic for Schatzker tppeII,Ⅲtibial plateau fracture

    Institute of Scientific and Technical Information of China (English)

    周宏斌; 屈万明

    2015-01-01

    Objective To compare the effect of minimally invasive fixation of homemade positioning, restoration instru-ments assisted by arthroscopic and open reduction and internal fixation for Schatzker types II and Ⅲ tibial plateau fractures. Methods Sixty four cases of patients with Schatzker tppe II, Ⅲ tibial plateau fracture admitted to Yichang Yiling Hospital (“our hospital”for short) from May 2008 to December 2013 were chosen, the positioning and restoration instruments were researched by research group of our hospital. The patients were divided into two groups according to different treating methods. 32 cases of arthroscopic group were taken the treatment of minimally invasive fixation of homemade positioning, restoration instruments assisted by arthroscopic, 32 cases of control group were given open re-duction and internal fixation. The conditions of operation time, incision length, fracture healing time, and complications between two groups were compared. The knee function scores were measured according to American Hospital for Spe-cial Surgery (HSS) score standard. Results The operation time [(119.44±14.19) min] of arthroscopic group was longer than that of control group [(90.78±13.71) min], the incision length [(3.05±1.73) cm] was shorter than that of control group [(13.84±1.90) cm], the differences were highly statistically significant (P<0.01). The HSS score of 6 months after surgery of arthroscopic group [(88.25±5.21) points] were significantly greater than those of control group [(80.47±9.08) points], the difference was highly statistically significant (P<0.01). The X-ray films showed that all the fractures in the two groups reached to bony union. The fracture healing time of arthroscopic group [(100.16±7.57) d] was shorter than that of control group [(103.88±6.71) d], the difference was statistically significant (P< 0.05). Conclusion Compared with open reduction and internal fixation, the minimally invasive fixation of homemade positioning

  2. Study of brine treatment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1977-11-01

    Available information pertinent to the treatment of geothermal brines was collected by literature search and then evaluated and summarized for use by the electric utility and geothermal industries. The information was screened from the geothermal, oil and gas, wastewater disposal, and boiler water treatment industries. The current state of knowledge and methodology concerning the treatment of geothermal brines to control scaling and corrosion in geothermal electric power production was assessed. Currently, geothermal scale in pipes and wells is removed by physical or chemical methods. There is a growing effort on developing methods to control scale formation for both fresh and spent brines, including pH adjustment and application of an electrical potential for fresh fluids, and coagulation to treat spent fluids. Current methods of corrosion control center around planned replacement of piping and other plant components, with efforts focused primarily on development of materials with improved corrosion resistance. Recommendations for additional work to improve brine treatment include the following: (1) chemical and physical characterization of brine and scale compositions, (2) basic data on the mechanism of scale formation and the effects of inhibitors, (3) development of instrumentation to monitor geothermal brine constituents, (4) correlation of laboratory results with field test data, and (5) screening of currently available commercial inhibitors for application to geothermal brines. An annotated bibliography of the reference material used in this study is included.

  3. A semi-analytical radiobiological model may assist treatment planning in light ion radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Kundrat, Pavel [Institute of Physics, Academy of Sciences of the Czech Republic, Na Slovance 2, CZ-182 21 Prague 8 (Czech Republic)

    2007-12-07

    A semi-analytical model of light ions' Bragg peaks is presented and used in conjunction with a detailed probabilistic radiobiological module to predict the biological effectiveness of light ion irradiation for hadrontherapy applications. The physical Bragg peak model is based on energy-loss calculations with the SRIM code and phenomenological formulae for the energy-loss straggling. Effects of nuclear reactions are accounted for on the level of reducing the number of primary particles only. Reaction products are not followed at all and their contribution to dose deposition is neglected. Beam widening due to multiple scattering and calculations of spread-out Bragg peaks are briefly discussed. With this simple physical model, integral depth-dose distributions are calculated for protons, carbon, oxygen and neon ions. A good agreement with published experimental data is observed for protons and lower energy ions (with ranges in water up to approximately 15 cm), while less satisfactory results are obtained for higher energy ions due to the increased role of nuclear reaction products, neglected in this model. A detailed probabilistic radiobiological module is used to complement the simple physical model and to estimate biological effectiveness along the penetration depth of Bragg peak irradiation. Excellent agreement is found between model predictions and experimental data for carbon beams, indicating potential applications of the present scheme in treatment planning in light ion hadrontherapy. Due to the semi-analytical character of the model, leading to high computational speed, applications are foreseen in particular in the fully biological optimization of multiple irradiation fields and intensity-modulated beams.

  4. A semi-analytical radiobiological model may assist treatment planning in light ion radiotherapy.

    Science.gov (United States)

    Kundrát, Pavel

    2007-12-07

    A semi-analytical model of light ions' Bragg peaks is presented and used in conjunction with a detailed probabilistic radiobiological module to predict the biological effectiveness of light ion irradiation for hadrontherapy applications. The physical Bragg peak model is based on energy-loss calculations with the SRIM code and phenomenological formulae for the energy-loss straggling. Effects of nuclear reactions are accounted for on the level of reducing the number of primary particles only. Reaction products are not followed at all and their contribution to dose deposition is neglected. Beam widening due to multiple scattering and calculations of spread-out Bragg peaks are briefly discussed. With this simple physical model, integral depth-dose distributions are calculated for protons, carbon, oxygen and neon ions. A good agreement with published experimental data is observed for protons and lower energy ions (with ranges in water up to approximately 15 cm), while less satisfactory results are obtained for higher energy ions due to the increased role of nuclear reaction products, neglected in this model. A detailed probabilistic radiobiological module is used to complement the simple physical model and to estimate biological effectiveness along the penetration depth of Bragg peak irradiation. Excellent agreement is found between model predictions and experimental data for carbon beams, indicating potential applications of the present scheme in treatment planning in light ion hadrontherapy. Due to the semi-analytical character of the model, leading to high computational speed, applications are foreseen in particular in the fully biological optimization of multiple irradiation fields and intensity-modulated beams.

  5. Effect of cadence regulation on muscle activation patterns during robot assisted gait: a dynamic simulation study.

    Science.gov (United States)

    Hussain, Shahid; Xie, Sheng Q; Jamwal, Prashant K

    2013-03-01

    Cadence or stride frequency is an important parameter being controlled in gait training of neurologically impaired subjects. The aim of this study was to examine the effects of cadence variation on muscle activation patterns during robot assisted unimpaired gait using dynamic simulations. A twodimensional (2-D) musculoskeletal model of human gait was developed considering eight major muscle groups along with existing ground contact force (GCF) model. A 2-D model of a robotic orthosis was also developed which provides actuation to the hip, knee and ankle joints in the sagittal plane to guide subjects limbs on reference trajectories. A custom inverse dynamics algorithm was used along with a quadratic minimization algorithm to obtain a feasible set of muscle activation patterns. Predicted patterns of muscle activations during slow, natural and fast cadence were compared and the mean muscle activations were found to be increasing with an increase in cadence. The proposed dynamic simulation provide important insight into the muscle activation variations with change in cadence during robot assisted gait and provide the basis for investigating the influence of cadence regulation on neuromuscular parameters of interest during robot assisted gait.

  6. 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;

    2012-01-01

    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...

  7. [Preprosthetic orthodontic treatment--retrospective statistic study].

    Science.gov (United States)

    Ispas, Dana Catrinel; Eftene, Oana Alexandra; Temelcea, Anca; Pădure, Hariclea

    2011-01-01

    Orthodontic treatment as a help is the teeth movement made in order to facilitate the odontal,prosthetic and periodontal proceedures which are needed in the dentomaxilar and/or facial reabilitation. The aim of the study was to follow for 5 years which is the percentage of patients who asked for orthodontic treatment in the Orthodontic and Dentofacial Orthopedie Clinic from UMF 'Carol Davila'. We also followed the frequency related to the etiology of the loss of some teeth and also the relationship between the loss of the teeth and periodontal disease. In our country, the number of patients who ask for preprosthetic orthodontic treatment is lower comparing with Western and Northtern Europe, but the percentage is increasing due to the dentists calification. We can conclude by saying that the frequency of losing teeth by cavities is increased by age because all patients from the study group aged 35 and above lost their teeth from cavity etiology and the patients aged 18 and lower had genetic etiology in losing their teeth.

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

    OpenAIRE

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

    2016-01-01

    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 a...

  9. The Surgical Treatment of Severe Endometriosis Positively Affects the Chance of Natural or Assisted Pregnancy Postoperatively

    Directory of Open Access Journals (Sweden)

    Erin M. Nesbitt-Hawes

    2015-01-01

    Full Text Available Objective. To report reproductive outcomes following laparoscopic surgical excision of histologically confirmed r-ASRM stage III-IV endometriosis. Study Design. A retrospective cohort study was performed at the Royal Hospital for Women, a university teaching hospital, Sydney, Australia. Women who had fertility-preserving laparoscopic excision of stage III-IV endometriosis from 1997 to 2009 were contacted regarding reproductive outcomes. Results. In the study period, 355 women underwent surgery for stage III-IV endometriosis. Follow-up data are available for 253/355 (71% women. Postoperatively, 142/253 (56% women attempted to conceive with a conception rate of 104/142 (73%. Confidence intervals for pregnancy for women who were attempting conception (including the nonresponders range from 104/262 (40% to 224/262 (85%. Median time to conception was 12 months. No positive prognostic factors for pregnancy were identified on regression analyses. Conclusions. These data provide information to women with suspected severe disease preoperatively concerning their likely postoperative fertility outcomes. Ours is a population with severe endometriosis, rather than an infertile population with endometriosis, so caution needs to be applied when applying these data to women with fertility issues alone.

  10. Metaevaluation of National Weatherization Assistance Program Based on State Studies, 1993-2002

    Energy Technology Data Exchange (ETDEWEB)

    Berry, L

    2003-04-02

    The National Weatherization Assistance Program, sponsored by the U.S. Department of Energy (DOE) and implemented by state and local agencies throughout the United States, weatherizes homes for low-income residents in order to increase their energy efficiency and lower utility bills. Research staff members at Oak Ridge National Laboratory (ORNL) have performed two previous metaevaluations of this program (Berry, 1997; Schweitzer and Berry, 1999). Both of these earlier metaevaluations involved synthesizing the results from individual studies of state weatherization efforts completed during a several year period. This report is the third in a series of metaevaluations of state-level studies. It is built on the foundation developed by the previous two metaevaluations. The purpose of this report, like that of the two earlier ORNL metaevaluations, is to provide a current estimate of the average national energy savings per home weatherized for the Weatherization Assistance Program based on the relevant state-level studies. All three of the metaevaluations, including this one, were designed to be updates to the findings of a national evaluation of the Weatherization Assistance Program, which examined a representative national sample of several thousand structures weatherized in 1989 (Brown, Berry, Balzer, and Faby 1993). Although the first and second metaevaluations used separate sets of state-level studies, completed during different time periods, there was little difference in their findings about the typical national energy savings per weatherized home for homes that heat with natural gas. Our initial analysis efforts for this report involved repeating the same procedures that had been used in the previous two reports. In particular, we collected and examined only the state-level evaluations that had become available between September of 1998 and August of 2002. Once again, we found little difference in the average energy savings estimates per weatherized home that were

  11. A Follow-up Study of a Successful Assistive Technology for Children with ADHD and Their Families

    DEFF Research Database (Denmark)

    Sonne, Tobias; Marshall, Paul; Müller, Jörg

    2016-01-01

    Little research on assistive technologies for families of children with attention deficit hyperactivity disorder (ADHD) has investigated the long-term impact, after the assistive technology is returned to the researchers. In this paper, we report the outcomes of a follow-up study, conducted four......-weeks after a field study of 13 children with ADHD and their families who used an assistive technology designed to help establish and change family practices. We show that some of the positive effects on parent frustration level and conflict level around morning and bedtime routines that we observed...

  12. Preparation of Co3O4 Nanostructures via a Hydrothermal- Assisted Thermal Treatment Method by Using of New Precursors

    Science.gov (United States)

    Gholamrezaei, Sousan; Salavati-Niasari, Masoud; Hadadzadeh, Hassan; Behnamfar, Mohammad Taghi

    2017-02-01

    Co3O4 nanostructures have been synthesized via a hydrothermal-assisted thermal treatment process. A new complex formulated as [Co(py)2(H2O)2(NO3)2] was synthesized, and then used to prepare Co3O4 nanostructures. Cubic phase of spinel Co3O4 nanostructures with particle size of about 39 nm could be produced after calcination of the Co(OH)2 materials prepared with hydrothermal method at 160 °C for 15 h. Using of inorganic precursors decreased the time and temperature of Co3O4 preparation. The effect of pH on the morphology of the product s synthesized by hydrothermal reactions was investigated. It was found that the best morphology was achieved on pH=8, where was not prepared any precipitation. In this method, we could decrease the reaction temperature in synthetic rout to fabricate Co3O4 nanostructures. Nanostructures were characterized by SEM, TEM, X-ray diffraction (XRD), UV-visible, Fourier transformed infrared (FT-IR) spectroscopy and Nuclear magnetic resonance (1H-NMR).

  13. 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.

  14. Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

    Science.gov (United States)

    Terra, Ricardo Mingarini; Kazantzis, Thamara; Pinto-Filho, Darcy Ribeiro; Camargo, Spencer Marcantonio; Martins-Neto, Francisco; Guimarães, Anderson Nassar; Araújo, Carlos Alberto; Losso, Luis Carlos; Ghefter, Mario Claudio; de Lima, Nuno Ferreira; Gomes-Neto, Antero; Brito-Filho, Flávio; Haddad, Rui; Saueressig, Maurício Guidi; Lima, Alexandre Marcelo Rodrigues; de Siqueira, Rafael Pontes; Pinho, Astunaldo Júnior de Macedo e; Vannucci, Fernando

    2016-01-01

    ABSTRACT Objective: The objective of this study was to describe the results of anatomic pulmonary resections performed by video-assisted thoracoscopy in Brazil. Methods: Thoracic surgeons (members of the Brazilian Society of Thoracic Surgery) were invited, via e-mail, to participate in the study. Eighteen surgeons participated in the project by providing us with retrospective databases containing information related to anatomic pulmonary resections performed by video-assisted thoracoscopy. Demographic, surgical, and postoperative data were collected with a standardized instrument, after which they were compiled and analyzed. Results: The surgeons provided data related to a collective total of 786 patients (mean number of resections per surgeon, 43.6). However, 137 patients were excluded because some data were missing. Therefore, the study sample comprised 649 patients. The mean age of the patients was 61.7 years. Of the 649 patients, 295 (45.5%) were male. The majority-521 (89.8%)-had undergone surgery for neoplasia, which was most often classified as stage IA. The median duration of pleural drainage was 3 days, and the median hospital stay was 4 days. Of the 649 procedures evaluated, 598 (91.2%) were lobectomies. Conversion to thoracotomy was necessary in 30 cases (4.6%). Postoperative complications occurred in 124 patients (19.1%), the most common complications being pneumonia, prolonged air leaks, and atelectasis. The 30-day mortality rate was 2.0%, advanced age and diabetes being found to be predictors of mortality. Conclusions: Our analysis of this representative sample of patients undergoing pulmonary resection by video-assisted thoracoscopy in Brazil showed that the procedure is practicable and safe, as well as being comparable to those performed in other countries. PMID:27383936

  15. 胸腔镜治疗≤10 mm非小细胞肺癌的临床研究%Clinical Study of Surgical Treatment of Non-small Cell Lung Cancer 10 mm or Less in Diameter Under Video-assisted Thoracoscopy

    Institute of Scientific and Technical Information of China (English)

    王通; 马少华; 闫天生; 宋金涛; 王可毅; 贺未; 白洁

    2016-01-01

    Background and objective hTe reasonable operational manner of non-small cell lung cancer (NSCLC) in early stage is in dispute. hTis clinical study is to investigate the operational manner of NSCLC 10 mm or less in diameter. Methods hTe clinical datas of 46 cases with NSCLC 10 mm or less in diameter were retrospectively analyzed in our hospital from July 2013 to March 2016. hTin-section computed tomography (CT) was done on all cases with 46 pulmonary nodules (5 solid nodules, 23 mGGOs and 18 pGGOs). Lobectomy, wedge resection and segmentectomy with lymph node dissection may be performed in patients according to age or heart and lung function. CT-guided Hook-wire precise localization was done on 7 cases. Results Lobectomy and systematic lymph node dissection under video-assisted thoracic surgery (VATS) were performed in patients with 23 pulmonary nodules (15 mGGOs, 4 pGGOs and 4 solid nodules ), among wich, only one patient with N2 lymph node matastasis was found. Wedge resection and selective lymph node dissection under VATS were done in patients with 5 pulmonary nodules (2 mGGOs and 3 pGGOs), and segmentectomy and selective lymph node dissection un-der VATS were done in patients with 4 pulmonary nodules (2 mGGOs and 2 pGGOs), among wich, no patient with lymph node matastasis was found. CT-guided Hook-wire precise localization was done successfully on 7 cases. Conclusion Usually NSCLC with pGGO and mGGO nodules 10 mm or less in diameter has no lymph node metastasis, therefore, systematic lymph node dissection may be not necessary. Selective lymph node dissection or systematic lymph node dissection should be performed in patients with solid nodules 10 mm or less in diameter. Wedge resection and segmentectomy may be performed in patients with advanced age or lower heart and lung function. hTe preoperative CT-guided Hook-wire localization for pulmo-nary nodules particularly for GGOs is an effective and safe technique to assist VATS resection of the GGOs.%背景与目

  16. Studies on surface pitting during laser assisted removal of translucent ellipsoidal particulates from metallic substrates

    Science.gov (United States)

    Sugathan, Bijoy; Nilaya, J. Padma; Pillai, V. P. Mahadevan; Biswas, D. J.

    2017-04-01

    We report on the manifestation of field enhanced surface absorption during laser assisted removal of translucent particulates of ellipsoidal geometry from a metallic substrate surface. The surface pitting caused due to this effect has been experimentally probed as a function of the ratio of minor to major axis of the ellipsoid and the behavioral trend has been theoretically interpreted by invoking the principle of geometrical optics. The study also includes the effect of fluence and wavelength of the incident coherent radiation on the surface pitting. Probing of the surface topography has helped gain insight into the formation of multiple pits by a single particulate following its removal post laser exposure.

  17. Study on hydrogen assisted cracking susceptibility of HSLA steel by implant test

    OpenAIRE

    2016-01-01

    DMR-249A is an indigenously developed high strength low alloy steel for Indian ship building industry for making ship-hull and is extensively used in the construction of war ships and submarines. Welding electrodes conforming to SFA 5.5 AWS E8018 C1 has been indigenously developed for welding of this steel using shielded metal arc welding process. In the present study, susceptibility to hydrogen assisted cracking of DMR-249A steel welds made using this electrode has been assessed using implan...

  18. Laser-assisted field evaporation of metal oxides: A time-dependent density functional theory study

    Science.gov (United States)

    Xia, Yu; Li, Zhibing

    2016-11-01

    To understand laser-assisted field evaporation of semiconductors and insulators at the microscopic level, we study the time evolution of the electronic and atomic structure of a MgO cluster in high electrostatic fields subjected to strong laser pulses. We find that the critical laser intensity for evaporation decreases linearly as the electrostatic field strength increases. The optical absorption enhancement in high electrostatic field is confirmed by the redshift of the optical absorption spectra, the reduction of the energy gap, and the increase of the absorption cross section.

  19. The COACH prompting system to assist older adults with dementia through handwashing: An efficacy study

    Directory of Open Access Journals (Sweden)

    Boger Jennifer N

    2008-11-01

    Full Text Available Abstract Background Many older adults with dementia require constant assistance from a caregiver when completing activities of daily living (ADL. This study examines the efficacy of a computerized device intended to assist people with dementia through ADL, while reducing caregiver burden. The device, called COACH, uses artificial intelligence to autonomously guide an older adult with dementia through the ADL using audio and/or audio-video prompts. Methods Six older adults with moderate-to-severe dementia participated in this study. Handwashing was chosen as the target ADL. A single subject research design was used with two alternating baseline (COACH not used and intervention (COACH used phases. The data were analyzed to investigate the impact of COACH on the participants' independence and caregiver burden as well as COACH's overall performance for the activity of handwashing. Results Participants with moderate-level dementia were able to complete an average of 11% more handwashing steps independently and required 60% fewer interactions with a human caregiver when COACH was in use. Four of the participants achieved complete or very close to complete independence. Interestingly, participants' MMSE scores did not appear to robustly coincide with handwashing performance and/or responsiveness to COACH; other idiosyncrasies of each individual seem to play a stronger role. While the majority (78% of COACH's actions were considered clinically correct, areas for improvement were identified. Conclusion The COACH system shows promise as a tool to help support older adults with moderate-levels of dementia and their caregivers. These findings reinforce the need for flexibility and dynamic personalization in devices designed to assist older adults with dementia. After addressing identified improvements, the authors plan to run clinical trials with a sample of community-dwelling older adults and caregivers.

  20. 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.

  1. Design Principles for Computer-Assisted Instruction in Histology Education: An Exploratory Study

    Science.gov (United States)

    Deniz, Hasan; Cakir, Hasan

    2006-01-01

    The purpose of this paper is to describe the development process and the key components of a computer-assisted histology material. Computer-assisted histology material is designed to supplement traditional histology education in a large Midwestern university. Usability information of the computer-assisted instruction (CAI) material was obtained…

  2. Caring labour, intersectionality and worker satisfaction: an analysis of the National Nursing Assistant Study (NNAS).

    Science.gov (United States)

    Rakovski, Carter C; Price-Glynn, Kim

    2010-03-01

    Caring labour in long-term care settings is increasingly important as the US population ages. Ethnographic research on nursing assistants (NAs) portrays nursing home care as routine and fast paced in facilities that emphasise life maintenance more than care. Recent interview-based and small quantitative studies describe a mix of positive and negative aspects of NA work, including the rewards of caring, despite shortcomings in working conditions and pay. The current study continues this research but, for the first time, using national data. The 2004 Centers for Disease Control and Prevention's National Nursing Assistant Study (NNAS) provides survey data from 3,017 NAs working in long-term care facilities across the US. The NNAS results confirm the importance and centrality of caring to NAs' work. NAs motivated by caring for others were significantly more satisfied with their jobs than those motivated by other reasons, such as convenience or salary. Overall, NAs report surprisingly high job satisfaction, particularly with learning new skills, doing challenging work, and organisational support for caring labour. Areas of dissatisfaction were salary, time for reproductive labour, and turnover. Intersectional analysis revealed race and citizenship played a stronger role than gender in worker satisfaction.

  3. Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Kalpana P. Padala

    2012-01-01

    Full Text Available Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD. Methods. A prospective randomized (1 : 1 pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS, Tinetti Test (TT and Timed Up and Go (TUG over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003, and TT (P=0.013. The walking group showed a trend towards improvement on BBS (P=0.06 and TUG (P=0.07 and significant improvement in TT (P=0.006. Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

  4. Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?

    Directory of Open Access Journals (Sweden)

    Achilles Ploumidis

    2013-01-01

    Full Text Available Spontaneous rapture with consequent retroperitoneal hemorrhage (Wunderlich’s syndrome is the complication mostly feared from large renal angiomyolipomas (RAMLs. In hemodynamic stable patients, minimal invasive therapies have superseded open surgery as the mainstay of treatment, with contemporary cases mostly treated by selective arterial embolization. Robotic-assisted laparoscopic partial nephrectomy (RALPN is an established minimal access treatment that has been used in the past for benign and malignant lesions of the kidney in the elective setting, but rarely in urgent situations as primary treatment. We present a case of a ruptured RAML in a young female treated effectively by RALPN.

  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. Feasibility study and preliminary design of load-assisting clothes for lumbar protection inspired by human musculoskeletal systems

    Science.gov (United States)

    Hashimoto, Riho; Masuda, Arata; Chen, Hao; Kobayashi, Sou

    2016-04-01

    The purpose of this paper is to develop load assisting clothes for caregivers. Low back pain is one of the most major reasons for caregivers to leave their jobs. In this study, load assisting clothes which reduce the risks of low back pain of caregivers are designed and manufactured, targeting at the use in small care-houses and family caregiving. The load assisting clothes should have two functions. One is to reduce the compressive load acting on the lumbar spine as well as the tensile load on the lumbar muscles by providing an appropriate assisting force. The other is not to interfere with wearers' motion. The proposed approach in this study is to put elastic compressive members and tensioner belts integrated in the garment to provide the assisting forces without hindering natural movement and comfortable feeling. We study human musculoskeletal systems in the lumbar part, and consider to construct a parallel reinforcement of it on the body surface by embedding passive support structures. The arrangement of those elements is determined based on the study of the principal strain directions and the non-extension directions of the body surface to manage the appropriate assisting force without spoiling the mobility. The effectiveness of the proposed support principle is verified through experimental studies.

  7. Application of Stable Isotope-Assisted Metabolomics for Cell Metabolism Studies

    Directory of Open Access Journals (Sweden)

    Le You

    2014-03-01

    Full Text Available The applications of stable isotopes in metabolomics have facilitated the study of cell metabolisms. Stable isotope-assisted metabolomics requires: (1 properly designed tracer experiments; (2 stringent sampling and quenching protocols to minimize isotopic alternations; (3 efficient metabolite separations; (4 high resolution mass spectrometry to resolve overlapping peaks and background noises; and (5 data analysis methods and databases to decipher isotopic clusters over a broad m/z range (mass-to-charge ratio. This paper overviews mass spectrometry based techniques for precise determination of metabolites and their isotopologues. It also discusses applications of isotopic approaches to track substrate utilization, identify unknown metabolites and their chemical formulas, measure metabolite concentrations, determine putative metabolic pathways, and investigate microbial community populations and their carbon assimilation patterns. In addition, 13C-metabolite fingerprinting and metabolic models can be integrated to quantify carbon fluxes (enzyme reaction rates. The fluxome, in combination with other “omics” analyses, may give systems-level insights into regulatory mechanisms underlying gene functions. More importantly, 13C-tracer experiments significantly improve the potential of low-resolution gas chromatography-mass spectrometry (GC-MS for broad-scope metabolism studies. We foresee the isotope-assisted metabolomics to be an indispensable tool in industrial biotechnology, environmental microbiology, and medical research.

  8. Independent versus sequential reading in ROC studies of computer-assist modalities

    Science.gov (United States)

    Beiden, Sergey V.; Wagner, Robert F.; Doi, Kunio; Nishikawa, Robert M.; Freedman, Matthew T.; Lo, Shih-Chung B.; Xu, Xin-Wei

    2002-04-01

    This paper provides results of a statistical analysis of two methods for arranging the temporal sequencing of the unaided vs computer-assisted reading in multiple-reader, multiple- case (MRMC) receiver operating characteristic (ROC) studies of computer-aided detection of solitary pulmonary nodules (SPNs) on chest radiographs. The modes are the Independent mode, in which the readings are separated by a time on the order of one month, and the Sequential mode, in which the CAD-assisted reading immediately follows the unassisted reading. The method of Beiden, Wagner, Campbell (BWC) was used to decompose the variance of the ROC area summary accuracy measure into the components that are correlated across unaided and aided reading conditions and the components that are uncorrelated across these reading conditions. The latter are the only components of variability that contribute to the uncertainty in a measurement of the difference in reader performance between reading conditions. These uncorrelated components were dramatically reduced in the Sequential reading mode compared to the Independent reading mode-while the total reader variability remained almost constant. The results were remarkably similar across two independent studies analyzed. This may have important practical consequences because the Sequential mode is the least demanding on reader logistics and time.

  9. 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.

  10. Implanted neuroprosthesis for assisting arm and hand function after stroke: a case study.

    Science.gov (United States)

    Knutson, Jayme S; Chae, John; Hart, Ronald L; Keith, Michael W; Hoyen, Harry A; Harley, Mary Y; Hisel, Terri Z; Bryden, Anne M; Kilgore, Kevin L; Peckham, Hunter

    2012-01-01

    Loss of arm and hand function is common after stroke. An implantable, 12-channel, electromyogram (EMG)-controlled functional electrical stimulation neuroprosthesis (NP) may be a viable assistive device for upper-limb hemiplegia. In this study, a research participant 4.8 yr poststroke underwent presurgical screening, surgical installation of the NP, training, and assessment of upper-limb impairment, activity limitation, and satisfaction over a 2.3 yr period. The NP increased active range of finger extension from 3 to 96 degrees, increased lateral pinch force from 16 to 29 N, increased the number of objects from 1 to 4 out of 6 that the participant could grasp and place in a Grasp-Release Test, and increased the Arm Motor Abilities Test score by 0.3 points. The upper-limb Fugl-Meyer score increased from 27 at baseline to 36 by the end of the study. The participant reported using the NP at home 3-4 d/wk, up to 3 h/d for exercise and household tasks. The effectiveness of the NP to assist with activities of daily living was dependent on the degree of flexor tone, which varied with task and level of fatigue. The EMG-based control strategy was not successfully implemented; button presses were used instead. Further advancements in technology may improve ease of use and address limitations caused by muscle spasticity.

  11. Experimental studies on the human gait using a tethered pelvic assist device (T-PAD).

    Science.gov (United States)

    Vashista, Vineet; Mustafa, S K; Agrawal, Sunil K

    2011-01-01

    This paper presents the prototype of a novel tethered pelvic assist device (T-PAD). This is a purely passive device, consisting of a set of elastic tethers with one end attached to a hip brace worn by a subject walking on a treadmill, and the other end attached to a fixed frame surrounding the subject. T-PAD offers the flexibility of varying the assistance required on the pelvis by changing the configuration of the tether attachment locations, number of tethers and tether elasticity. Experimental studies were conducted using a full and a partial pelvic constraint configuration of T-PAD, with varying tether elasticity. The studies were aimed at observing the effect of T-PAD on the human gait. Results show that T-PAD reduced the range-of-motion for the pelvic angles with increase of tether elasticity. However, it had mixed effects on the range-of-motion of the hip angles, but negligible effect on the knee and ankle joint angles. Overall, T-PAD shows potential as a low-cost pelvic support device with pelvic motion control capabilities, and can work in tandem with existing gait trainers.

  12. Laser-Assisted Atom Probe Tomography of Deformed Minerals: A Zircon Case Study.

    Science.gov (United States)

    La Fontaine, Alexandre; Piazolo, Sandra; Trimby, Patrick; Yang, Limei; Cairney, Julie M

    2017-01-30

    The application of atom probe tomography to the study of minerals is a rapidly growing area. Picosecond-pulsed, ultraviolet laser (UV-355 nm) assisted atom probe tomography has been used to analyze trace element mobility within dislocations and low-angle boundaries in plastically deformed specimens of the nonconductive mineral zircon (ZrSiO4), a key material to date the earth's geological events. Here we discuss important experimental aspects inherent in the atom probe tomography investigation of this important mineral, providing insights into the challenges in atom probe tomography characterization of minerals as a whole. We studied the influence of atom probe tomography analysis parameters on features of the mass spectra, such as the thermal tail, as well as the overall data quality. Three zircon samples with different uranium and lead content were analyzed, and particular attention was paid to ion identification in the mass spectra and detection limits of the key trace elements, lead and uranium. We also discuss the correlative use of electron backscattered diffraction in a scanning electron microscope to map the deformation in the zircon grains, and the combined use of transmission Kikuchi diffraction and focused ion beam sample preparation to assist preparation of the final atom probe tip.

  13. 3D Numerical study on the hollow profile polymer extrusion forming based on the gas-assisted technique

    Science.gov (United States)

    Ren, Z.; Huang, X. Y.; Liu, H. S.

    2016-07-01

    In this study, gas-assisted extrusion method was introduced into the extrusion of the hollow profiles. To validate the feasibility of the new extrusion method, 3D numerical simulation of the hollow profiles based on gas-assisted technique was carried out by using the finite element method. The Phan-Thien-Tanner (PTT) mode was selected as the construction equation. In the simulations, the physical field distributions of four different extrusion modes were obtained and analyzed. Results showed that the extrudate effect of traditional no gas- assisted mode was poor because the extrudate swell phenomenon is obvious and the physical field values are larger. For the gas-assisted of the inner wall, the extrudate swell of the melt was more obvious than that of the traditional no gas-assisted mode on account of the no-slip boundary condition on the outer wall. For the gas-assisted of the outer wall, the dimple effect of the inner wall is more obvious owing to the no-slip boundary condition on the inner wall. However, the extrusion effect of the double walls gas-assisted mode is very good because of the full-slip effect on the both walls.

  14. 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.

  15. Vacuum-assisted closure versus conventional dressings in the management of diabetic foot ulcers: a prospective case–control study

    Directory of Open Access Journals (Sweden)

    Ali M. Lone

    2014-04-01

    Full Text Available Objective: To compare the effectiveness of vacuum-assisted closure (VAC versus conventional dressings in the healing of diabetic foot ulcerations (DFUs in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery, safety, and patient satisfaction. Methods: Randomized case–control study enrolling 56 patients, divided into two groups. Group A (patients treated with VAC and Group B (patients treated with conventional dressings, with an equal number of patients in each group. DFUs were treated until wound closure, either spontaneously, surgically, or until completion of the 8-week period. Results: Granulation tissue appeared in 26 (92.85% patients by the end of Week 2 in Group A, while it appeared in 15 (53.57% patients by that time in Group B. 100% granulation was achieved in 21 (77.78% patients by the end of Week 5 in Group A as compared to only 10 (40% patients by that time in Group B. Patients in Group A had fewer number of positive blood cultures, secondary amputations and were satisfied with treatment as compared to Group B. Conclusion: VAC appears to be more effective, safe, and patient satisfactory compared to conventional dressings for the treatment of DFUs.

  16. Using augmented reality as a clinical support tool to assist combat medics in the treatment of tension pneumothoraces.

    Science.gov (United States)

    Wilson, Kenneth L; Doswell, Jayfus T; Fashola, Olatokunbo S; Debeatham, Wayne; Darko, Nii; Walker, Travelyan M; Danner, Omar K; Matthews, Leslie R; Weaver, William L

    2013-09-01

    This study was to extrapolate potential roles of augmented reality goggles as a clinical support tool assisting in the reduction of preventable causes of death on the battlefield. Our pilot study was designed to improve medic performance in accurately placing a large bore catheter to release tension pneumothorax (prehospital setting) while using augmented reality goggles. Thirty-four preclinical medical students recruited from Morehouse School of Medicine performed needle decompressions on human cadaver models after hearing a brief training lecture on tension pneumothorax management. Clinical vignettes identifying cadavers as having life-threatening tension pneumothoraces as a consequence of improvised explosive device attacks were used. Study group (n = 13) performed needle decompression using augmented reality goggles whereas the control group (n = 21) relied solely on memory from the lecture. The two groups were compared according to their ability to accurately complete the steps required to decompress a tension pneumothorax. The medical students using augmented reality goggle support were able to treat the tension pneumothorax on the human cadaver models more accurately than the students relying on their memory (p augmented reality group required more time to complete the needle decompression intervention (p = 0.0684), this did not reach statistical significance.

  17. Thermally assisted tunneling of hydrogen in silicon: A path-integral Monte Carlo study

    Science.gov (United States)

    Herrero, Carlos P.

    1997-04-01

    Quantum transition-state theory, based on the path-integral formalism, has been applied to study the jump rate of atomic hydrogen and deuterium in crystalline silicon. This technique provides a methodology to study the influence of vibrational mode quantization and quantum tunneling on the impurity jump rate. The atomic interactions were modeled by effective potentials, fitted to earlier ab initio pseudopotential calculations. Silicon nuclei were treated as quantum particles up to second-nearest neighbors of the impurity. The hydrogen jump rate follows an Arrhenius law, describable with classical transition-state theory, at temperatures higher than 100 K. At ~80 K, a change in the slope of the Arrhenius plot is obtained for hydrogen, as expected for the onset of a diffusion regime controlled by phonon-assisted tunneling of the impurity. For deuterium, no change of slope is observed in the studied temperature range (down to 40 K).

  18. Quantum Chemical Study on a New Mechanism of One-carbon Unit Transfer Reaction:The Water-assisted Mechanism

    Institute of Scientific and Technical Information of China (English)

    QIAO,Qing-An(乔青安); CAI,Zheng-Ting(蔡政亭); FENG,Da-Cheng(冯大诚)

    2004-01-01

    It is a theoretical study on the water-assisted mechanism of one-carbon unit transfer reaction, in which the energy barrier for each transition state lowered by about 80-100 kJ/mol when compared with the one in no-water-involved mechanism. The water-assisted path 4 is the favorite reaction way. Our results well explained the presumption from experiments.

  19. 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.

  20. PIXE studies of osteoporosis preventive treatments

    Energy Technology Data Exchange (ETDEWEB)

    Ynsa, M.D. E-mail: ynsa@us.es; Pinheiro, T.; Ager, F.J.; Alves, L.C.; Millan, J.C.; Gomez-Zubelbia, M.A.; Respaldiza, M.A

    2002-04-01

    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.

  1. Remote treatment of bulimia nervosa and binge eating disorder: a randomized trial of Internet-assisted cognitive behavioural therapy.

    Science.gov (United States)

    Ljotsson, B; Lundin, C; Mitsell, K; Carlbring, P; Ramklint, M; Ghaderi, A

    2007-04-01

    The present study investigated the efficacy of self-help based on cognitive behaviour therapy in combination with Internet support in the treatment of bulimia nervosa and binge eating disorder. After confirming the diagnosis with an in-person interview, 73 patients were randomly allocated to treatment or a waiting list control group. Treated individuals showed marked improvement after 12 weeks of self-help compared to the control group on both primary and secondary outcome measures. Intent-to-treat analyses revealed that 37% (46% among completers) had no binge eating or purging at the end of the treatment and a considerable number of patients achieved clinically significant improvement on most of the other measures as well. The results were maintained at the 6-month follow-up, and provide evidence to support the continued use and development of self-help programmes.

  2. 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.

  3. Microwave-assisted methyl esters synthesis of Kapok (Ceiba pentandra seed oil: parametric and optimization study

    Directory of Open Access Journals (Sweden)

    Awais Bokhari

    2015-09-01

    Full Text Available The depleting fossil fuel reserves and increasing environmental concerns have continued to stimulate research into biodiesel as a green fuel alternative produced from renewable resources. In this study, Kapok (Ceiba pentandra oil methyl ester was produced by using microwave-assisted technique. The optimum operating conditions for the microwave-assisted transesterification of Kapok seed oil including temperature, catalyst loading, methanol to oil molar ratio, and irradiation time were investigated by using Response Surface Methodology (RSM based on Central Composite Design (CCD. A maximum conversion of 98.9 % was obtained under optimum conditions of 57.09 °C reaction temperature, 2.15 wt% catalyst (KOH loading, oil to methanol molar ratio of 1:9.85, and reaction time of 3.29 min. Fourier Transform Infra-Red (FT-IR spectroscopy was performed to verify the conversion of the fatty acid into methyl esters. The properties of Kapok oil methyl ester produced under the optimum conditions were characterized and found in agreement with the international ASTM D 6751 and EN 14214 standards.

  4. Imaging Studies of the Effects of Ethanol/Gasoline Blends on Spark-Assisted HCCI

    Science.gov (United States)

    Fatouraie, Mohammad; Wooldridge, Margaret

    2012-10-01

    Spark assist (SA) has been demonstrated to extend the operating limits of homogeneous charge compression ignition (HCCI) modes of engine operation. This experimental investigation focuses on the effects caused by the SA HCCI operation on ignition and combustion properties of 100% indolene and 70% indolene/30% ethanol blends. The spark assist effects are compared to base line HCCI for each blend by varying spark timing at different fuel/air equivalence ratio (φ= 0.4--0.6). High speed imaging is used to understand the effects of flame propagation on heat release rates. Ethanol generally improves engine performance with higher indicated mean effective pressure (IMEP) and higher stability compared to 100% indolene. SA advances phasing within a range of 5 CAD at lower engine speeds (700 rpm) and 11 CAD at higher engine speeds (1200 rpm). SA does not affect heat release rates until immediately (within 5 CAD) prior to autoignition. Unlike previous studies, flames were not observed for all SA conditions. During SA operation, more fuel mass was burned by flame propagation with gasoline compared to E30.

  5. Process Parameter Study on Microwave-assisted Foam-mat Drying Properties of Corn Soaking Water

    Institute of Scientific and Technical Information of China (English)

    Zheng Xian-zhe

    2016-01-01

    In order to study the microwave-assisted foam-mat drying properties of corn soaking water and optimize process parameters, a quadratic regression orthogonal rotary method was used to analyze the influence of microwave power, material weight, material thickness and drying time on moisture content (dry basis), color value and protein content. Results showed that the primary and secondary sequence of parameters with regard to moisture content (d. b.) was drying time, microwave power, material weight and material thickness; the primary and secondary sequence of parameters with regard to color value was material weight, drying time, microwave power and material thickness; the primary and secondary sequence of parameters with regard to protein content was drying time, material weight, microwave power and material thickness. Optimum conditions were obtained as microwave power of 560 W, material weight of 46.88 g, material thickness of 6.20 mm and drying time of 8.01 min. The results might provide the theoretical basis and technical support for the microwave-assisted foam-mat drying of corn soaking water to produce yeast protein power.

  6. Performance Study of Thermoelectric Solar-Assisted Heat Pump with Reflectors

    Science.gov (United States)

    Lertsatitthanakorn, C.; Soponronnarit, S.; Jamradloedluk, J.; Rungsiyopas, M.; Sarachitti, R.

    2014-06-01

    The simultaneous conversion of solar radiation into thermal and electrical energy in a thermoelectric (TE) solar-assisted heat pump is, for the purposes of this study, referred to as hybrid conversion. To capture more thermal and electrical energy, flat-plate reflectors have been mounted on a TE solar collector. To obtain higher solar radiation intensity on the TE solar collector, the position of the reflectors has been changed and the optimal position of the reflectors determined by both experimental measurements and numerical calculation so as to obtain maximal concentration of solar radiation intensity. The calculated values have been found to be in good agreement with measured ones. Improvements to the thermal energy and electrical power outputs of the system can be achieved by the use of the TE solar-assisted heat pump with reflectors. For the optimum position of the reflectors, the coefficient of performance (COP) of the system formed from a TE solar collector integrated with a heat pump (TESC-HP) was 5.60. The power output and conversion efficiency of the TE modules can reach 10.09 W and 2.40%, respectively, being improved by 34.5% and 18.2%, respectively, compared with the TESC-HP without reflectors.

  7. 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

  8. Sticking to it: the effect of maximally assisted therapy on antiretroviral treatment adherence among individuals living with HIV who are unstably housed.

    Science.gov (United States)

    Parashar, Surita; Palmer, Alexis K; O'Brien, Nadia; Chan, Keith; Shen, Anya; Coulter, Suzy; Montaner, Julio S G; Hogg, Robert S

    2011-11-01

    Housing is a known determinant of health behaviors, which includes adherence to Antiretroviral Therapy (ART). Within the Longitudinal Investigations into Supportive and Ancillary Health Services (LISA) study, unstable housing is inversely associated with adherence. Several comprehensive adherence support services have emerged to improve adherence for unstably housed or otherwise vulnerable populations. The Maximally Assisted Therapy (MAT) program in Vancouver, British Columbia uses a multidisciplinary approach to support HIV-positive clients with a history of addictions or mental illness, many of whom also experience episodic homelessness. This study investigated the association between antiretroviral adherence and use of support services, including the MAT program, amongst people living with HIV and AIDS who are unstably housed in the LISA sample. Of the 212 unstably housed participants, those who attended the MAT program were 4.76 times more likely to be ≥95% adherent (95% CI 1.72-13.13; P = 0.003) than those who did not. The findings suggest that in the absence of sustainable housing solutions, programs such as MAT play an important role in supporting treatment adherence in this population.

  9. A Comparative Study of Da Vinci Robot System with Video-assisted Thoracoscopy in the Surgical Treatment of Mediastinal Lesions%达芬奇机器人手术系统与电视胸腔镜在胸内纵隔疾病手术治疗中的对比研究

    Institute of Scientific and Technical Information of China (English)

    丁仁泉; 童向东; 许世广; 张大坤; 高昕; 滕洪; 曲家骐; 王述民

    2014-01-01

    groups is robot group 7 (2-15) d and thoracoscopic group 9 (2-50) d. hTe hospitalization expense between two groups is robot group (18,983.6±4,461.2) RMB and thoracoscopic group (9,351.9±2,076.3) RMB (All P<0.001). Conclusion hTe da Vinci robot system is safe and effcient in the treatment of mediastinal lesions compared with video-assisted thoracoscopic approach, even though its expense is higher.

  10. Assistive devices in activities of daily living used by persons with age-related macular degeneration: a population study of 85-year-olds living at home.

    Science.gov (United States)

    Dahlin Ivanoff, S; Sonn, U

    2005-03-01

    The purpose of this study was to investigate the overall use of assistive devices among persons with age-related macular degeneration (ARMD) and how it is related to dependence in daily activities. This was a retrospective, descriptive, cross-sectional population study of 85-year-olds. The most common category of assistive devices was bathing devices followed by mobility devices. The overall use of assistive devices was 82%, and around 80% of the device users were independent in activities of daily living. They were multiple device users (57%) and used more mobility devices and personal assistance in mobility. In conclusion, the ARMD group comprises very frequent users of assistive devices and uses assistive devices to remain independent. This implies that health services should provide assistive devices at an early stage in the disablement process to avoid the development of dependence and should consider the likelihood of multiple health problems when assessing the needs of assistive devices among persons with ARMD.

  11. GPs' views on the practice of physician-assisted suicide and their role in proposed UK legalisation: a qualitative study

    Science.gov (United States)

    Hussain, Tariq; White, Patrick

    2009-01-01

    Background A bill to legalise assisted dying in the UK has been proposed in Parliament's House of Lords three times since 2003. The House of Lords Select Committee concluded in 2005 that ‘the few attempts to understand the basis of doctors' views have shown equivocal data varying over time’. Fresh research was recommended to gain a fuller understanding of health sector views. Aim To examine GPs' views of the practice of physician-assisted suicide as defined by the 2005/2006 House of Lords (Joffe) Bill and views of their role in the proposed legislation; and to explore the influences determining GPs' views on physician-assisted suicide. Design of study Qualitative interview study. Setting Primary care in South London, England. Method Semi-structured interviews with GPs were conducted by a lead interviewer and analysed in a search for themes, using the framework approach. Results Thirteen GPs were interviewed. GPs who had not personally witnessed terminal suffering that could justify assisted dying were against the legislation. Some GPs felt their personal religious views, which regarded assisted dying as morally wrong, could not be the basis of a generalisable medical ethic for others. GPs who had witnessed a person's suffering that, in their opinion, justified physician-assisted suicide were in favour of legislative change. Some GPs felt a specialist referral pathway to provide assisted dying would help to ensure proper standards were met. Conclusion GPs' views on physician-assisted suicide ranged from support to opposition, depending principally on their interpretation of their experience of patients' suffering at the end of life. The goal to lessen suffering of the terminally ill, and apprehensions about patients being harmed, were common to both groups. Respect for autonomy and the right of self-determination versus the need to protect vulnerable people from the potential for harm from social coercion were the dominant themes. PMID:19861029

  12. Research on the Learning Effects of Multimedia Assisted Instruction on Mandarin Vocabulary Acquisition for Vietnamese Students (Part II): A Case Study

    Science.gov (United States)

    Chen, Chen-Yuan; Chung, Wan-Lin

    2012-01-01

    This study discusses the effects of using multimedia assisted instruction for Mandarin vocabulary learning by Vietnamese students with the assistance of the ASSURE model. The aim is to understand the difficulties encountered by these students and the effects during the learning progress of multimedia assisted instruction. In order to fulfill the…

  13. Determination of X-Ray Diffraction on the Phase Transformation of Microwave-Assisted Titanate Nanotubes during Thermal Treatment

    Directory of Open Access Journals (Sweden)

    Hsin-Hung Ou

    2010-01-01

    Full Text Available Based on the determination of X-ray powder diffraction, this study aims to investigate the thermal effect on the phase transformation of microwave-assisted titanate nanotubes (MTNTs. The phase transformation is highly dependent on the intercalating amount of Na(I within MTNTs and on the heating atmosphere. In other words, the presence of Na(I favors the transformation of TNTs phase into Na2Ti6O13 whereas anatase phase selectively formed in the case of MTNTs with less Na(I amount. Furthermore, H2 versus O2 is able to form anatase phase and establish a newly transformation pathway. The photocatalytic ability of the calcined MTNTs was also evaluated based on the observed rate constant of trichloroethylene degradation. In addition to anatase phase, the newly phase including Na2Ti6O13 and Ti2O3 with calcined MTNTs is able to photocatalyze trichloroethylene. MTNTs calcined with the presence of H2 also exhibit a superior photocatalytic performance to P25 TiO2.

  14. Minimally Invasive Cochlear Implantation Assisted by Bi-planar Device: An Exploratory Feasibility Study in vitro

    Science.gov (United States)

    Ke, Jia; Zhang, Shao-Xing; Hu, Lei; Li, Chang-Sheng; Zhu, Yun-Feng; Sun, Shi-Long; Wang, Li-Feng; Ma, Fu-Rong

    2016-01-01

    Background: A single drilled tunnel from the lateral mastoid cortex to the cochlea via the facial recess is essential for minimally invasive cochlear implant surgery. This study aimed to explore the safety profile of this kind of new image-guided and bi-planar device-assisted surgery procedure in vitro. Methods: Image-guided minimally invasive cochlear implantations were performed on eight cadaveric temporal bone specimens. The main procedures were: (1) temporal bone specimens were prepared for surgery and fiducial markers were registered. (2) computed tomography (CT) scans were performed for future reference. (3) CT scan images were processed and drill path was planned to minimize cochlear damage. (4) bi-planar device-assisted drilling was performed on the specimens using the registration. (5) surgical safety was evaluated by calculating the deviation between the drill and the planned paths, and by measuring the closest distance between the drilled path and critical anatomic structures. Results: Eight cases were operated successfully to the basal turn of the cochlear with intact facial nerves (FNs). The deviations from target points and entrance points were 0.86 mm (0.68–1.00 mm) and 0.44 mm (0.30–0.96 mm), respectively. The angular error between the planned and the drilled trajectory was 1.74° (1.26–2.41°). The mean distance from the edge of the drilled path to the FN and to the external canal was 0.60 mm (0.35–0.83 mm) and 1.60 mm (1.30–2.05 mm), respectively. In five specimens, the chorda tympani nerves were well preserved. In all cases, no injury happened to auditory ossicles. Conclusions: This exploratory study demonstrated the safety of the newly developed image-guided minimally invasive cochlear implantation assisted by the bi-planar device and established the operational procedures. Further, more in vitro experiments are needed to improve the system operation and its safety. PMID:27748341

  15. Minimally Invasive Cochlear Implantation Assisted by Bi-planar Device: An Exploratory Feasibility Study in vitro

    Institute of Scientific and Technical Information of China (English)

    Jia Ke; Shao-Xing Zhang; Lei Hu; Chang-Sheng Li; Yun-Feng Zhu; Shi-Long Sun; Li-Feng Wang

    2016-01-01

    Background:A single drilled tunnel from the lateral mastoid cortex to the cochlea via the facial recess is essential for minimally invasive cochlear implant surgery.This study aimed to explore the safety profile of this kind of new image-guided and bi-planar device-assisted surgery procedure in vitro.Methods:Image-guided minimally invasive cochlear implantations were performed on eight cadaveric temporal bone specimens.The main procedures were:(1) temporal bone specimens were prepared for surgery and fiducial markers were registered.(2) computed tomography (CT) scans were performed for future reference.(3) CT scan images were processed and drill path was planned to minimize cochlear damage.(4) bi-planar device-assisted drilling was performed on the specimens using the registration.(5) surgical safety was evaluated by calculating the deviation between the drill and the planned paths,and by measuring the closest distance between the drilled path and critical anatomic structures.Results:Eight cases were operated successfully to the basal turn of the cochlear with intact facial nerves (FNs).The deviations from target points and entrance points were 0.86 mm (0.68-1.00 mm) and 0.44 mm (0.30-0.96 mm),respectively.The angular error between the planned and the drilled trajectory was 1.74° (1.26-2.41°).The mean distance from the edge of the drilled path to the FN and to the external canal was 0.60 mm (0.35-0.83 mm) and 1.60 mm (1.30-2.05 mm),respectively.In five specimens,the chorda tympani nerves were well preserved.In all cases,no injury happened to auditory ossicles.Conclusions:This exploratory study demonstrated the safety of the newly developed image-guided minimally invasive cochlear implantation assisted by the bi-planar device and established the operational procedures.Further,more in vitro experiments are needed to improve the system operation and its safety.

  16. 关节镜辅助治疗难复性小儿发育性髋关节脱位的临床研究%Clinical study of arthroscopically-assisted treatment for developmental dysplysia of hip in children who unresponed to close reduction

    Institute of Scientific and Technical Information of China (English)

    陈戎波; 黄鲁豫; 徐虎; 胡万华; 郑佳鹏; 张春礼

    2008-01-01

    目的 探讨关节镜辅助治疗难复性小儿发育性髋关节脱位(DDH)的适应证、手术方法及临床效果. 方法 2005年5月至2006年12月,共完成17例(23髋)关节镜下髋臼清理、盂唇成型、镜下复位术,其中男2例,女15例,年龄4~48个月(平均19.1个月),右侧14髋,左侧9髋,其中单髋11例,双髋6例.均为麻醉前、后闭合手法复位失败患者.采用髋关节前侧和大粗隆前方入路相结合,镜视下切除拉长、磨损的圆韧带、清理髋臼底部纤维脂肪组织、切除髋臼横韧带,除第1例采用盂唇内缘放射状切开外,其余均采用盂唇外2/3切开,关节镜监视下手法复位,必要时切断内收肌肌腱,髋屈曲外展稳定位置石膏外固定.结果 全部23髋在关节镜下复位成功,随访12~31个月(平均25个月),除1例术前即有股骨头坏死外,全组患者无股骨头无菌性坏死发生.按全国先天性髋脱位疗效评定标准,优14髋,良1髋,可2髋,差6髋.分别测量成功组与失败组术前的前倾角、髋臼角、CE角及Zionts分级,进行统计学分析比较,两组术前前倾角、髋臼角的差异具有统计学意义,CE角及Zionts分级差异无统计学意义.结论 在掌握好适应证的前提下,关节镜下髋臼清理、盂唇成型是辅助治疗小儿DDH的有效方法,与传统开放手术相比具有创伤小、恢复快的优点.前倾角小于40°、髋臼角小于35°是关节镜手术的适应证.术前的CE角及Zionts分级,对选择关节镜手术的适应证意义不大.盂唇外2/3的切开方式,有利于保持盂唇内缘的完整性,防治术后再脱位的发生.%Objective To explore the indication, operative technique and clinic effect of arthroscopy in the treatment of children developmental dysplysia of the hip (DDH) who had failed to be reduced by manipulative close reduction.Methods 17 cases (24 hips) of DDH were treated with debridement of the acetabulum and acetabular labrum plasty under the

  17. 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.

  18. 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.

  19. [Study on totai flavonoids of Epimedium assisted with soybean polysaccharide spray-drying powder].

    Science.gov (United States)

    Yan, Hong-mei; Jia, Xiao-bin; Zhang, Zhen-hai; Sun, E; Deng, Jia-hui

    2015-08-01

    In order to evaluate the characteristics of the spray drying of total flavonoids of Epimedium extracts assisted with soybean polysaccharide, a certain percentage of soybean polysaccharide or polyvidone were added to the total flavonoids of Epimedium extract to conduct the spray drying. The effect of soybean polysaccharides against the wall sticking effect of the spray drying was detected, as well as the powder property of total flavonoids of Epimedium spray drying powder and the dissolution in vitro behavior of the effective component. Compared with the total flavonoids of Epimedium spray drying powder, soybean polysaccharide revealed a significant anti-wall sticking effect. The spray drying power which had no notable change in the grain size made a increase in the fluidity, improvement in the moisture absorption and remarkable rise in the dissolution in vitro behavior. It was worth further studying the application of soybean polysaccharide in spray drying power of traditional Chinese medicine.

  20. Mechanistic study of fulvic acid assisted propranolol photodegradation in aqueous solution.

    Science.gov (United States)

    Makunina, Maria P; Pozdnyakov, Ivan P; Chen, Yong; Grivin, Vyacheslav P; Bazhin, Nikolay M; Plyusnin, Victor F

    2015-01-01

    Laser flash (355 nm) and stationary (365 nm) photolysis were used to study the mechanisms of propranolol photolysis in the presence of fulvic acid in aqueous solutions. The FA-assisted photodegradation of propranolol was observed using UV-A irradiation (where propranolol is stable). Direct evidence indicated that the photodegradation resulted from the static quenching of the FA triplet state by propranolol via the electron transfer mechanism. The triplet state yield (ϕT≈0.6%) and the T-T absorption coefficient (ɛT(620 nm)≈5×10(4) M(-1) cm(-1)) were estimated for the first time by modeling the yields of the FA triplet state in the presence of propranolol. Thus, fulvic acid is a promising agent for accelerating propranolol photodegradation in aqueous solutions under UV-A light irradiation.

  1. A study of Canadian hospice palliative care volunteers' attitudes toward physician-assisted suicide.

    Science.gov (United States)

    Claxton-Oldfield, Stephen; Miller, Kathryn

    2015-05-01

    The purpose of this study was to examine the attitudes of hospice palliative care (HPC) volunteers who provide in-home support (n = 47) and members of the community (n = 58) toward the issue of physician-assisted suicide (PAS). On the first part of the survey, participants responded to 15 items designed to assess their attitudes toward PAS. An examination of individual items revealed differences in opinions among members of both the groups. Responses to additional questions revealed that the majority of volunteers and community members (1) support legalizing PAS; (2) would choose HPC over PAS for themselves if they were terminally ill; and (3) think Canadians should place more priority on developing HPC rather than on legalizing PAS. The implications of these findings are discussed.

  2. The power of a collaborative relationship between technical assistance providers and community prevention teams: A correlational and longitudinal study

    Science.gov (United States)

    Chilenski, Sarah M.; Perkins, Daniel F.; Olson, Jonathan; Hoffman, Lesa; Feinberg, Mark E.; Greenberg, Mark; Welsh, Janet; Crowley, D. Max; Spoth, Richard

    2015-01-01

    Background Historically, effectiveness of community collaborative prevention efforts has been mixed. Consequently, research has been undertaken to better understand the factors that support their effectiveness; theory and some related empirical research suggests that the provision of technical assistance is one important supporting factor. The current study examines one aspect of technical assistance that may be important in supporting coalition effectiveness, the collaborative relationship between the technical assistance provider and site lead implementer. Methods Four and one-half years of data were collected from technical assistance providers and prevention team members from the 14 community prevention teams involved in the PROSPER project. Results Spearman correlation analyses with longitudinal data show that the levels of the collaborative relationship during one phase of collaborative team functioning associated with characteristics of internal team functioning in future phases. Conclusions Results suggest that community collaborative prevention work should consider the collaborative nature of the technical assistance provider – prevention community team relationship when designing and conducting technical assistance activities, and it may be important to continually assess these dynamics to support high quality implementation. PMID:26476860

  3. A Follow-up Study of a Successful Assistive Technology for Children with ADHD and Their Families

    DEFF Research Database (Denmark)

    Sonne, Tobias; Marshall, Paul; Müller, Jörg;

    Little research on assistive technologies for families of children with attention deficit hyperactivity disorder (ADHD) has investigated the long-term impact, after the assistive technology is returned to the researchers. In this paper, we report the outcomes of a follow-up study, conducted four......-weeks after a field study of 13 children with ADHD and their families who used an assistive technology designed to help establish and change family practices. We show that some of the positive effects on parent frustration level and conflict level around morning and bedtime routines that we observed...... in the first phase of the study, continued even after the study period, when the technology was no longer available. We furthermore present insights into family practices in families of children with ADHD and how these could lead to unexpected challenges and implications related to the adoption, use...

  4. Businesses assisting K--12 science instruction: Four case studies of long-term school partnerships

    Science.gov (United States)

    van Trieste, Lynne M.

    Businesses lack enough qualified applicants to fill the increasing need for scientists and engineers while educators lack many resources for science programs in K-12 schools. This series of case studies searched for successful collaborations between the two in four geographic locations: Boise, Idaho; Dallas, Texas; Los Angeles County, California, and Orange County, California. These science education partnerships were investigated to gain an understanding of long-term partnership structure, functioning and evaluation methods. Forty-nine individual interviews with representatives from the groups of stakeholders these programs impact were also conducted. Stakeholder groups included students, teachers, parents, school administrators, business liaisons, and non-profit representatives. Several recurring themes in these partnerships reinforced the existing literature research findings. Collaboration and communication between partners, teacher professional development, the need for more minority and female representation in physical science careers, and self-efficacy in relation to how people come to view their scientific abilities, are among these themes. Topics such as program replication, the importance of role models, programs using "hands-on" activities, reward systems for program participants, and program outcome measurement also emerged from the cases investigated. Third-party assistance by a non-profit entity is occurring within all of these partnerships. This assistance ranges from a service providing material resources such as equipment, lesson plans and meeting space, to managing the partnership fundraising, program development and evaluations. Discussions based upon the findings that support or threaten sustainment of these four partnerships, what a "perfect" partnership might look like, and areas in need of further investigation conclude this study.

  5. In vitro study of magnetic nanoparticles as the implant for implant assisted magnetic drug targeting

    Energy Technology Data Exchange (ETDEWEB)

    Mangual, Jan O.; Aviles, Misael O.; Ebner, Armin D. [Department of Chemical Engineering, University of South Carolina, Columbia, SC 29208 (United States); Ritter, James A., E-mail: ritter@cec.sc.ed [Department of Chemical Engineering, University of South Carolina, Columbia, SC 29208 (United States)

    2011-07-15

    Magnetic nanoparticle (MNP) seeds were studied in vitro for use as an implant in implant assisted-magnetic drug targeting (IA-MDT). The magnetite seeds were captured in a porous polymer, mimicking capillary tissue, with an external magnetic field (70 mT) and then used subsequently to capture magnetic drug carrier particles (MDCPs) (0.87 {mu}m diameter) with the same magnetic field. The effects of the MNP seed diameter (10, 50 and 100 nm), MNP seed concentration (0.25-2.0 mg/mL), and fluid velocity (0.03-0.15 cm/s) on the capture efficiency (CE) of both the MNP seeds and the MDCPs were studied. The CE of the 10 nm MNP seeds was never more than 30%, while those of the 50 and 100 nm MNP seeds was always greater than 80% and in many cases exceeded 90%. Only the MNP seed concentration affected its CE. The 10 nm MNP seeds did not increase the MDCP CE over that obtained in the absence of the MNP seeds, while the 50 and 100 nm MNP seeds increased significantly, typically by more than a factor of two. The 50 and 100 nm MNP seeds also exhibited similar abilities to capture the MDCPs, with the MDCP CE always increasing with decreasing fluid velocity and generally increasing with increasing MNP seed concentration. The MNP seed size, magnetic properties, and capacity to self-agglomerate and form clusters were key properties that make them a viable implant in IA-MDT. - Highlights: 50-100 nm magnetite nanoparticles can be retained in a porous scaffold using a 70 mT field. Their presence improves the collection efficiency of 0.87 {mu}m magnetic drug carrier particles. Magnetic nanoparticles can thus be used as the implant in implant assisted-magnetic drug targeting.

  6. 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

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

    Science.gov (United States)

    2009-01-01

    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 emphasis on

  8. 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.

  9. Simulation study supporting wastewater treatment plant upgrading.

    Science.gov (United States)

    Hvala, N; Vrecko, D; Burica, O; Strazar, M; Levstek, M

    2002-01-01

    The paper presents a study where upgrading of an existing wastewater treatment plant was supported by simulation. The aim of the work was to decide between two technologies to improve nitrogen removal: a conventional activated sludge process (ASP) and a moving bed biofilm reactor (MBBR). To perform simulations, the mathematical models of both processes were designed. The models were calibrated based on data from ASP and MBBR pilot plants operating in parallel on the existing plant. Only two kinetic parameters needed to be adjusted to represent the real plant behaviour. Steady-state analyses have shown a similar efficiency of both processes in relation to carbon removal, but improved performance of MBBR in relation to nitrogen removal. Better performance of MBBR can be expected especially at low temperatures. Simulations have not confirmed the expected less volume required for the MBBR process. Finally, the MBBR was chosen for plant upgrading. The developed process model will be further used to evaluate the final plant configuration and to optimise the plant operating parameters.

  10. New Literacy Studies: An Alternative Frame for Preparing Teachers to Use Assistive Technology

    Science.gov (United States)

    Naraian, Srikala; Surabian, Mark

    2014-01-01

    Even as research continues to suggest the potential of assistive technology for improving student outcomes, it remains under-utilized in schools. Among numerous challenges to the effective utilization of assistive technology, research has suggested that educators are inadequately prepared to consider and implement the use of such technologies. In…

  11. Predictability in orbital reconstruction: A human cadaver study. Part II: Navigation-assisted orbital reconstruction

    NARCIS (Netherlands)

    Dubois, L.; Schreurs, R.; Jansen, J; Maal, T.J.J.; Essig, H.; Gooris, P.J.; Becking, A.G.

    2015-01-01

    Preformed orbital reconstruction plates are useful for treating orbital defects. However, intraoperative errors can lead to misplaced implants and poor outcomes. Navigation-assisted surgery may help optimize orbital reconstruction. We aimed to explore whether navigation-assisted surgery is more pred

  12. Predictability in orbital reconstruction: a human cadaver study: part II: navigation-assisted orbital reconstruction

    NARCIS (Netherlands)

    Dubois, L.; Schreurs, R.; Jansen, J.; Maal, T.J.J.; Essig, H.; Gooris, P.J.J.; Becking, A.G.

    2015-01-01

    Preformed orbital reconstruction plates are useful for treating orbital defects. However, intraoperative errors can lead to misplaced implants and poor outcomes. Navigation-assisted surgery may help optimize orbital reconstruction. We aimed to explore whether navigation-assisted surgery is more pred

  13. Joint Forces Command - Operation United Assistance Case Study: Lessons and Best Practices

    Science.gov (United States)

    2016-07-01

    forces (RAF), and the global force management process to accomplish its mission. Operation United Assistance (OUA) provided a good laboratory in...nations, the international community, and nongovernmental organizations (NGOs) in a global effort to provide assistance. OUA required the rapid...effective contract management procedures, market research, ethics, COR management, field ordering officer, and pay agent overview. The training

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

    LENUS (Irish Health Repository)

    Wilson, F

    2006-01-01

    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.

  15. 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 hemiplegia.

  16. 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.

  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. 关节镜下微创治疗中度髌骨软化症%Arthroscopy-assisted minimally invasive treatment of chondromalacia patella

    Institute of Scientific and Technical Information of China (English)

    肖勋刚; 成明华; 李康杰; 何波勇; 周毅; 刘建伟

    2010-01-01

    Objective To study the arthroscopy-assisted minimally invasive treatment of chondromalacia patella. Methods The clinical data of 140 patients with chondromalacia patella, with a mean age of 51.9 ± 5.71 years ( range, 41 to 62 years), undergoing surgical or Non-surgical treatment in our hospital from June 2005 to December 2008 were analyzed. In non-surgical group, 72 cases (96 knees) underwent intra-articular injection of sodium hyaluronate and other non-surgical treatment. In surgical group, 68 cases (84 knees) underwent variorus Arthroscopy-Assisted minimally invasive surgery, according to the extent of the patella cartilage injury and the situation of the patellofemoral joint. Joint functional exercise were carried out after operations. Regular follow-up were done after leaving hospital. Lysholm scoring system was used to evaluate the clinical effects. Judet's evaluation criteria was used to evaluate the improvement of range of motion. Results In non-surgical group, the knee function have been improved 24. 82%. In surgical group the knee function have been improved 35.37%. At the postoperative and final follow-up, the effect in surgery group was significantly better than non-surgical group. Conclusion For the chondromalacia patella with Ⅱ, Ⅲ class cartilage injury, minimally invasive arthroscopic surgery is a good treatment method, which can reduce pain, improve function, slow down the progress of the disease, and improve the quality of life of patients.%目的 研究关节镜辅助下微创治疗中度髌骨软化症的疗效.方法 对本院2005年6月至2008年12月收治的140例患者,年龄41~62(51.9±5.71)岁;病程4~11(6.3±4.12)年.采用不完全随机分组的方法,分为非手术组72例(96膝),采用关节腔注射玻璃酸钠等非手术治疗;手术组68例(84膝),术前根据髌骨软骨损伤程度和髌股排列情况,选择合适的微创手术方式.术后均进行合理的关节功能锻炼等,出院后定期随访.依据Lysholm评

  19. Surgical Assisting

    Science.gov (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  20. 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

  1. 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…

  2. Evaluation of Core Vocabulary Intervention for Treatment of Inconsistent Phonological Disorder: Three Treatment Case Studies

    Science.gov (United States)

    McIntosh, Beth; Dodd, Barbara

    2009-01-01

    Children with unintelligible speech differ in severity, underlying deficit, type of surface error patterns and response to treatment. Detailed treatment case studies, evaluating specific intervention protocols for particular diagnostic groups, can identify best practice for children with speech disorder. Three treatment case studies evaluated the…

  3. 130 °C CH3NH3I treatment temperature in vapor-assisted solution process for large grain and full-coverage perovskite thin films

    Science.gov (United States)

    Li, Nannan; Shi, Chengwu; Zhang, Zhengguo; Wang, Yanqing; Xiao, Guannan; Wang, Ran

    2016-10-01

    In this paper, the self-made setup with excellent controllability and general applicability was developed for the preparation of perovskite thin films using vapor-assisted solution process. The CH3NH3I treatment temperature was 130 °C, 140 °C, 150 °C in vapor-assisted solution process, the grain size of the corresponding perovskite thin films was ∼600 nm, ∼400 nm, ∼200 nm, and the best photoelectric conversion efficiency of the corresponding perovskite solar cells was 12.62%, 11.72% and 11.50%, respectively. The result demonstrated that the CH3NH3I treatment temperature can be decreased from 150 °C to 130 °C and the large grain and full-coverage perovskite thin film was obtained using the self-made setup at the CH3NH3I treatment temperature of 130 °C in ambient atmosphere because the CH3NH3I treatment temperature was usually 150 °C.

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

    Science.gov (United States)

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

    2011-07-01

    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 risk of progression and assist bracing and surgical treatment. It was found that classification accuracy could be improved using computer algorithms that AIS patient follow-up and screening could be done using surface topography thereby limiting radiation and that bracing and surgical treatment could be optimized using simulations. Yet few computer applications are routinely used in clinics. With the development of 3D imaging and databases, huge amounts of clinical and geometrical data need to be taken into consideration when researching and managing AIS. Computer applications based on advanced algorithms will be able to handle tasks that could otherwise not be done which can possibly improve AIS patients' management. Clinically oriented applications and evidence that they can improve current care will be required for their integration in the clinical setting.

  5. 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.

  6. 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.

  7. 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

  8. 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.

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

    NARCIS (Netherlands)

    Warmelink, J Catja; Stramrood, Claire A I; Paarlberg, K Marieke; Haisma, Hinke H; Vingerhoets, A J J M; Schultz, Willibrord C M Weijmar; van Pampus, Maria 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

  10. Animal-Assisted Activity at A. Meyer Children's Hospital: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Simona Caprilli

    2006-01-01

    Full Text Available The authors systematically studied the introduction of animal-assisted activity into a children's hospital in Italy. This pilot study examined the reactions of children, their parents and the hospital staff and the hospital-wide infection rate before and after the introduction of animals. The SAM (self-assessment manikin, three behavioral scales, analysis of children's graphic productions, a parent questionnaire and a staff questionnaire were used to evaluate the effectiveness of the intervention. The children's participation was calculated. The analysis of the hospital infection rate was completed independently by the Hospital Infections Committee. The authors found that the presence of infections in the wards did not increase and the number of children at the meetings with pets in the wards was high (138 children. The study also found that the presence of animals produced some beneficial effects on children: a better perception of the environment and a good interaction with dogs. All parents were in favor of pets in the hospital, and 94% thought that this activity could benefit the child, as did the medical staff, although the staff needed more information about safety. The introduction of pets into the pediatric wards in an Italian children's hospital was a positive event because of the participation of hospitalized patients, the satisfaction expressed by both parents and medical staff, and the fact that the hospital infection rate did not change and no new infections developed after the introduction of dogs.

  11. 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.

  12. Animal Assisted Therapy and Trauma Survivors.

    Science.gov (United States)

    Mims, Debra; Waddell, Rhondda

    2016-01-01

    Animal therapy is making strides in the treatment of posttraumatic stress disorder (PTSD). For years, animals have been used with great benefit in the treatment of the aged and the terminally ill. Now animal assisted therapy is benefitting sufferers of PTSD. The results of animal assisted therapy in the treatment of PTSD patients have seen significant results. In one study of the effect of dogs with patients, psychologists noted an 82% reduction in symptoms. One particular case noted that interacting with the dog for as little as one week, enabled a patient to decrease the amount of anxiety and sleep medications by half.

  13. The National Treatment Improvement Evaluation Study: Retention Analysis.

    Science.gov (United States)

    Orwin, Rob; Williams, Valerie

    This study focuses on programmatic factors that predict retention for individuals in drug and alcohol treatment programs through secondary analysis of data from the National Treatment Improvement Evaluation Study (NTIES). It addresses the relationships between completion rates, lengths of stay, and treatment modality. It examines the effect of…

  14. Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature

    Institute of Scientific and Technical Information of China (English)

    Kun-Yen HSU; Hwa-Chan LEE; Chien-Chih OU; Shi-ping LUH

    2009-01-01

    Tuberculoma of the lung is one of manifestations in tuberculosis and usually presents as a solitary pulmonary nodule (SPN). It is difficult to differentiate tuberculoma from SPN by other benign or malignant diseases. At present, the crucial role of video-assisted thoracoscopic surgery (VATS) in diagnosis and treatment of pulmonary diseases has been well acknowledged. Here, we reported 53 patients undergoing VATS resection for tuberculomas in our series. No postoperative mortality was found and only two patients experienced prolonged air-leakage (>7 d) and two had minor wound infections that were recovered after anti-tuberculosis or antibiotic treatment. Anti-tuberculosis chemotherapy from 6 to 12 months was routinely used postoperatively. We conclude that VATS is a satisfactory tool for the diagnosis and treatment of tuberculoma and can also establish a reliable diagnosis for all patients with SPNs.

  15. 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.

  16. 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).

  17. Computer assisted chronic disease management: does it work? A pilot study using mixed methods.

    Science.gov (United States)

    Jones, Kay M; Biezen, Ruby; Piterman, Leon

    2013-01-01

    Background. Key factors for the effective chronic disease management (CDM) include the availability of practical and effective computer tools and continuing professional development/education. This study tested the effectiveness of a computer assisted chronic disease management tool, a broadband-based service known as cdmNet in increasing the development of care plans for patients with chronic disease in general practice. Methodology. Mixed methods are the breakthrough series methodology (workshops and plan-do-study-act cycles) and semistructured interviews. Results. Throughout the intervention period a pattern emerged suggesting GPs use of cdmNet initially increased, then plateaued practice nurses' and practice managers' roles expanded as they became more involved in using cdmNet. Seven main messages emerged from the GP interviews. Discussion. The overall use of cdmNet by participating GPs varied from "no change" to "significant change and developing many the GPMPs (general practice management plans) using cdmNet." The variation may be due to several factors, not the least, allowing GPs adequate time to familiarise themselves with the software and recognising the benefit of the team approach. Conclusion. The breakthrough series methodology facilitated upskilling GPs' management of patients diagnosed with a chronic disease and learning how to use the broadband-based service cdmNet.

  18. 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.

  19. Use of an embedded contact sensor to study nanoscale heat transfer in heat assisted magnetic recording

    Science.gov (United States)

    Wu, Haoyu; Bogy, David

    2017-01-01

    A near field transducer is employed in the heat assisted magnetic recording technology in order to focus the light energy into a nanoscale spot on the disk. This is necessary to heat the high coercivity magnetic media to their Curie temperature, so the write transducer can record the data. However, the heat transfer mechanism across the head disk interface (HDI) is still not well understood. The current perpendicular media recording systems have a thermal fly-height control means in the air bearing slider near the read/write transducers for placing the transducers within 1 to 2 nm of the rotating disk. In order to monitor this near contact spacing, this system also uses an embedded contact sensor (ECS). Here, we investigate how this ECS can be used to study the heat transfer across the nanoscale gap between the read/write transducer and the disk. This study shows that the self heating effect of the ECS is strong when its current bias is too high. But this self heating effect can be isolated from other heat sources, which allows us to use the ECS for the desired heat transfer measurements. The experiments show that the heat transfer across the HDI is a strong function of the head-disk spacing.

  20. Study of ionization process of matrix molecules in matrix-assisted laser desorption ionization

    Energy Technology Data Exchange (ETDEWEB)

    Murakami, Kazumasa; Sato, Asami; Hashimoto, Kenro; Fujino, Tatsuya, E-mail: fujino@tmu.ac.jp

    2013-06-20

    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]{sup +} in the electronic ground state.

  1. Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

    Directory of Open Access Journals (Sweden)

    Clodoaldo Tentes Côrtes

    2015-10-01

    Full Text Available AbstractOBJECTIVEPresenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.METHOD: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1, implementation of best practice (phase 2 and Follow-up Clinical Audit (phase 3 was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.RESULTSThe vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.CONCLUSIONThe study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.

  2. 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.

  3. Maternal and Live-birth Outcomes of Pregnancies following Assisted Reproductive Technology: A Retrospective Cohort Study

    Science.gov (United States)

    Zhu, Linling; Zhang, Yu; Liu, Yifeng; Zhang, Runjv; Wu, Yiqing; Huang, Yun; Liu, Feng; Li, Meigen; Sun, Saijun; Xing, Lanfeng; Zhu, Yimin; Chen, Yiyi; Xu, Li; Zhou, Liangbi; Huang, Hefeng; Zhang, Dan

    2016-01-01

    This study was carried out to explore associations between assisted reproductive technology (ART) and maternal and neonatal outcomes compared with similar outcomes following spontaneously conceived births. We conducted a retrospective cohort study of pregnancies conceived by ART (N = 2641) during 2006–2014 compared to naturally conceived pregnancies (N = 5282) after matching for maternal age and birth year. Pregnancy complications, perinatal complications and neonatal outcomes of enrolled subjects were investigated and analysed by multivariate logistic regression. We found that pregnancies conceived by in vitro fertilization (IVF) were associated with a significantly increased incidence of gestational diabetes mellitus, gestational hypertension, preeclampsia, intrahepatic cholestasis of pregnancy, placenta previa, placental abruption, preterm premature rupture of membranes, placental adherence, postpartum haemorrhage, polyhydramnios, preterm labour, low birth weight, and small-for-date infant compared with spontaneously conceived births. Pregnancies conceived by intracytoplasmic sperm injection (ICSI) showed similar elevated complications, except some of the difference narrowed or disappeared. Singleton pregnancies or nulliparous pregnancies following ART still exhibited increased maternal and neonatal complications. Therefore, we conclude that pregnancies conceived following ART are at increased risks of antenatal complications, perinatal complications and poor neonatal outcomes, which may result from not only a higher incidence of multiple pregnancy, but also the manipulation involved in ART processes. PMID:27762324

  4. Nanoscale dose deposition in cell structures under X-ray irradiation treatment assisted with nanoparticles of a set of elements: an analytical approach to cell survival

    Energy Technology Data Exchange (ETDEWEB)

    Melo B, W.; Barboza F, M. [Universidad de Sonora, Departamento de Investigacion en Fisica, 83000 Hermosillo, Sonora (Mexico); Chernov, G., E-mail: g.chernovch@gmail.com [Universidad de Sonora, Departamento de Fisica, 83000 Hermosillo, Sonora (Mexico)

    2016-10-15

    The goal of combining nanoparticles (Nps) with radiation therapy is to increase the differential effect between healthy and tumor tissues. Only some elements have been investigated to be used as radiosensitizers and no systematic experimental or theoretical comparisons between different materials have been developed. MacMahon, et al. (Nano scale, 2016, 8, 581) presents the first systematic computational study of the impact of elemental composition on nanoparticle radiation interaction for kilo voltage and megavoltage X-ray exposure, for a range of elements (Z = 14 - 80). In this study we present and analytical model to assess the cell survival modification responses of cell cultures under irradiation treatments with keV X-rays assisted with Nps of different materials as platinum, hafnium, gadolinium, gold, germanium, iodine and iron. This model starts from the data of radial dose deposition around a single 20 nm diameter Np irradiated with photons of an energy 20 keV higher than the element K-shell binding energy to the nano scale probability of dose distribution inside cell structures with embedded Nps (the assessment of the average dose and the average squared dose in cell structure). Also based on the Local Effect Model we estimate potential biological effects, as is the case of the Relative Biological Effectiveness (RBE). Nano scale dose deposition exhibits a complex dependence on atomic number, as a consequence of the variations in secondary Auger electron spectra, this is manifested in significant variations in RBE. Upon in vitro experiments RBE varies from 1 to 1.6. Values representative of a high radiosensitization were observed for lower energies, ones that are well reproduced by our analytical analysis for cell cultures with a homogeneous distribution of different material Nps. (Author)

  5. 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

  6. 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...

  7. Feasibility and acceptance of biofeedback-assisted mental training in an Austrian elementary school: a pilot study.

    Science.gov (United States)

    Crevenna, Richard; Krammer, Christine; Keilani, Mohammad

    2016-04-01

    This pilot study aimed to investigate feasibility, acceptance, and effects of biofeedback-assisted mental training in a population of fifteen 10-year-old pupils in an Austrian elementary school. Participants were instructed in relaxation techniques by using biofeedback. Before intervention, after 6 weeks with active mental training and with regular instructions by the teacher, and after a further time period of 6 weeks without instructions, attention and concentration improved. The results indicate feasibility, good acceptance, and beneficial effects of biofeedback-assisted mental techniques in Austrian elementary school pupils.

  8. Do assisted-reproduction twin pregnancies require additional antenatal care?

    Science.gov (United States)

    Jauniaux, E; Ben-Ami, I; Maymon, R

    2013-02-01

    Iatrogenic twinning has become the main side-effect assisted reproduction treatment. We have evaluated the evidence for additional care that assisted-reproduction twins may require compared with spontaneous twins. Misacarriages are increased in women with tubal problems and after specific treatments. Assisted-reproduction twin pregnancies complicated by a vanishing twin after 8 weeks have an increased risk of preterm delivery and of low and very low birthweight compared with singleton assisted-reproduction pregnancies. Monozygotic twin pregnancies occur at a higher rate after assisted reproduction treatment and are associated with a higher risk of perinatal complications. The incidence of placenta praevia and vasa praevia is increased in assisted-reproduction twin pregnancies. Large cohort studies do not indicate a higher rate of fetal congenital malformations in assisted-reproduction twins. Overall, assisted-reproduction twins in healthy women assisted-reproduction twins is only increased in women with a pre-existing medical condition such as hypertensive disorders and diabetes and most of these risks can be avoided with single-embryo transfer. Following the birth of the first IVF baby, rumours started to spread in both the medical literature and the media about the long-term health effects for children born following assisted reproduction treatment. However, after more than 30 years, the most common complications associated with IVF treatment remain indirect and technical such as the failure of treatment and ovarian hyperstimulation. Iatrogenic twinning has become the main side-effect of assisted reproduction treatment and the increasing number of twin pregnancies, in particular in older women, has generated numerous debates on the need for additional healthcare provision. In this review, we have evaluated the evidence for additional care that assisted-conception twin pregnancies may require compared with spontaneous twin pregnancies. Twin pregnancies are

  9. 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 ...

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

    Science.gov (United States)

    Flórez, Gerardo; López-Durán, Ana; Triñanes, Yolanda; Osorio, Jesús; Fraga, Jaime; Fernández, José Manuel; Becoña, Elisardo; Arrojo, Manuel

    2015-01-01

    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 medicolegal complications. Conclusion Cluster analysis suggests that there have been no substantial changes in variables indicating greater severity in this new group of patients. Women are likely to seek help earlier, which reduces their duration of opioid use. The younger the patient, the shorter the duration of opioid use and the greater the likelihood of cessation of intravenous use. Public health systems should use a two-pronged treatment strategy of short but intense cessation therapies for women and younger treatment entrants and longer maintenance and replacement therapies for older treatment entrants with more psychosocial

  11. Laser-assisted lipolysis for arm contouring in Teimourian grades I and II: a prospective study of 45 patients.

    Science.gov (United States)

    Leclère, Franck Marie; Alcolea, Justo M; Vogt, Peter; Moreno-Moraga, Javier; Mordon, Serge; Casoli, Vincent; Trelles, Mario A

    2015-04-01

    Upper arm deformities secondary to weight loss or senile elastosis have led to an increased demand for aesthetic contouring procedures. We conducted this study to objectively assess if, in Teimourian low-grade upper arm remodelling, one session of laser-assisted lypolisis (LAL) could result in full patient satisfaction. Between 2011 and 2013, 45 patients were treated for unsightly fat arm Teimourian grade I (15 patients), grade IIa (15 patients) and grade IIb (15 patients) with one session of LAL. The laser used in this study was a 1470-nm diode laser (Alma Lasers, Cesarea, Israel) with the following parameters: continuous mode, 15 W power and transmission through a 600-μm optical fibre. Previous mathematical modelling suggested that 0.1 kJ was required in order to destroy 1 ml of fat. Treatment parameters and adverse effects were recorded.The arm circumference and skin pinch measurements were assessed pre and postoperatively. Patients were asked to file a satisfaction questionnaire. Pain during the anaesthesia and discomfort after the procedure were minimal. Complications included prolonged oedema in 11 patients. The average arm circumference decreased by 4.9 ± 0.4 cm in the right arm (p < 0.01) and 4.7 ± 0.5 cm in the left arm (p < 0.01) in grade I patients, 5.5 ± 0.6 cm in the right arm (p < 0.01) and 5.2 ± 0.5 cm in the left arm (p < 0.01) in grade IIa patients and 5.4 ± 0.5 cm in the right arm (p < 0.01) and 5.3 ± 0.5 cm in the left arm (p < 0.01) in grade IIB patients. The skin tightening effect was confirmed by the reduction of the skin calliper measurements in all three groups. Overall mean opinion of treatment was high for both patients and investigators. Of the 45 patients, all but one would recommend this treatment. A single session of LAL in upper arm remodelling for Teimourian grades I to IIb is a safe and reproducible technique. The procedure allows reduction in the amount of adipose deposits

  12. 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...

  13. Arthroscopic airbrush assisted cell implantation for cartilage repair in the knee: a controlled laboratory and human cadaveric study

    NARCIS (Netherlands)

    Windt, de T.S.; Vonk, L.A.; Buskermolen, J.K.; Visser, J.; Karperien, H.B.J.; Bleys, R.L.A.W.; Dhert, W.J.A.; Saris, D.B.F.

    2015-01-01

    Summary Objective The objective of this study was to investigate the feasibility of arthroscopic airbrush assisted cartilage repair. Methods An airbrush device (Baxter) was used to spray both human expanded osteoarthritic chondrocytes and choncrocytes with their pericellular matrix (chondrons) at 1

  14. Arthroscopic airbrush assisted cell implantation for cartilage repair in the knee : a controlled laboratory and human cadaveric study

    NARCIS (Netherlands)

    de Windt, T S; Vonk, L A; Buskermolen, J K; Visser, J.; Karperien, M; Bleys, R L A W; Dhert, W J A; Saris, D B F

    2015-01-01

    OBJECTIVE: The objective of this study was to investigate the feasibility of arthroscopic airbrush assisted cartilage repair. METHODS: An airbrush device (Baxter) was used to spray both human expanded osteoarthritic chondrocytes and choncrocytes with their pericellular matrix (chondrons) at 1 × 10(6

  15. Arthroscopic airbrush assisted cell implantation for cartilage repair in the knee : A controlled laboratory and human cadaveric study

    NARCIS (Netherlands)

    de Windt, T. S.; Vonk, L. A.; Buskermolen, J. K.; Visser, J.; Karperien, M.; Bleys, R. L A W; Dhert, W. J A; Saris, D. B F

    2015-01-01

    Objective: The objective of this study was to investigate the feasibility of arthroscopic airbrush assisted cartilage repair. Methods: An airbrush device (Baxter) was used to spray both human expanded osteoarthritic chondrocytes and choncrocytes with their pericellular matrix (chondrons) at 1×106cel

  16. Conceptual Model-Based Problem Solving That Facilitates Algebra Readiness: An Exploratory Study with Computer-Assisted Instruction

    Science.gov (United States)

    Xin, Yan Ping; Si, Luo; Hord, Casey; Zhang, Dake; Cetinas, Suleyman; Park, Joo Young

    2012-01-01

    The study explored the effects of a computer-assisted COnceptual Model-based Problem-Solving (COMPS) program on multiplicative word-problem-solving performance of students with learning disabilities or difficulties. The COMPS program emphasizes mathematical modeling with algebraic expressions of relations. Participants were eight fourth and fifth…

  17. A Preliminary Study: Do Alternative Certification Route Programs Develop the Necessary Skills and Knowledge in Assistive Technology?

    Science.gov (United States)

    Bell, Sherry Mee; Cihak, David F.; Judge, Sharon

    2010-01-01

    A large number of special education teachers in the United States are prepared in alternative certification programs and insufficient empirical information exists regarding their knowledge of assistive technology. The purpose of this study was to conduct a preliminary investigation of alternatively licensed special education teachers' knowledge,…

  18. Perceptions of Teachers of Students with Visual Impairments regarding Assistive Technology: A Follow-Up Study to a University Course

    Science.gov (United States)

    Kamei-Hannan, Cheryl; Howe, Jon; Herrera, Robyn Rene; Erin, Jane N.

    2012-01-01

    Introduction: The study presented here examined the learning outcomes of graduate students in visual impairment who were enrolled in an assistive technology course in three university programs. Methods: The students' perceptions of learning were evaluated using pre- and posttests administered during the course. A follow-up questionnaire was…

  19. 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…

  20. Learning English Vocabulary in a Mobile Assisted Language Learning (MALL) Environment: A Sociocultural Study of Migrant Women

    Science.gov (United States)

    Ahmad, Kham Sila; Sudweeks, Fay; Armarego, Jocelyn

    2015-01-01

    This paper reports on a case study of a group of six non-native English speaking migrant women's experiences learning English vocabulary in a mobile assisted language learning (MALL) environment at a small community centre in Western Australia. A sociocultural approach to learning vocabulary was adopted in designing the MALL lessons that the women…

  1. Treatment of sepsis and ARDS with extracorporeal membrane oxygenation and interventional lung assist membrane ventilator in a patient with acute lymphoblastic leukemia.

    Science.gov (United States)

    Gorjup, Vojka; Fister, Misa; Noc, Marko; Rajic, Vladan; Ribaric, Suada Filekovic

    2012-07-01

    We report an 18-year-old ice skater with acute lymphoblast leukemia. She developed Staphylococcus epidermidis bacteremia, severe sepsis, septic shock, and ARDS following chemotherapy-induced severe bone marrow failure. She was successfully treated with extraordinary life support measures, which included extracorporeal membrane oxygenation, double lumen lung ventilation for management of hemoptysis, and lung assist membrane ventilation. After 57 days of ICU treatment and a year of rehabilitation, the patient has fully regained her functional status, is now finishing high school, and is ice skating again.

  2. Corticotomy-assisted orthodontics

    Science.gov (United States)

    Cano, Jorge; Campo, Julián; Bonilla, Elena; Colmenero, César

    2012-01-01

    The use of orthodontic treatment in adult patients is becoming more common and these patients have different requirements specially regarding duration of treatment and facial and dental aesthetics. Alveolar corticotomy is an effective means of accelerating orthodontic treatment. This literature revision include an historical background, biological and orthodontic fundamentals and the most significant clinical applications of this technique. Orthodontic treatment time is reduced with this technique to one-third of that in conventional orthodontics. Alveolar bone grafting of labial and palatal/lingual surfaces ensures root coverage as the dental arch is expanded. Corticotomy-assisted orthodontics has been reported in a few clinical cases, and seems to be a promising adjuvant technique, indicated for many situations in the orthodontic treatment of adults without active periodontal pathology. Its main advantages are reduction of treatment time and postorthodontic stability. Further controlled prospective and histological studies are needed to study tooth movement, post-retention stability, and microstructural features of teeth, periodontium, and regenerated bone after using this procedure. Key words:Corticotomy, osteotomy, accelerated orthodontics. PMID:24558526

  3. Video-assisted parathyroidectomy for treatment of primary hyperparathyroidism%原发性甲状旁腺功能亢进的内镜辅助手术

    Institute of Scientific and Technical Information of China (English)

    潘晓峰; 樊友本

    2011-01-01

    Surgery is an important way to treat patients with primary hyperparathyroidism.Recently,conventional bilateral neck exploration is substituted with minimal invasive surgeries gradually due to the development of the technology of pre/intro-operative localization.Video-assisted surgery is one of the minimal invasive surgeries.It includes video-assisted parathyroidectomy and total endoscopic parathyroidectomy.This article summarize the literatures of treatment of primary hyperpatathyroidism with video-assisted surgery in this article.%手术是治疗原发性甲状旁腺功能亢进的重要途径.近年来,随着术前、术中定位技术的发展,传统的颈部双侧甲状旁腺探查手术所占的比例正在逐年减少,微创手术已经成为趋势,借助内镜完成甲状旁腺手术就是其中的主要方法,包括完全内镜下甲状旁腺手术和内镜辅助甲状旁腺手术.本文拟就原发性甲状旁腺功能亢进的内镜辅助甲状旁腺手术进行综述.

  4. 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.

  5. Structural and magnetic studies of thin Fe57 films formed by ion beam assisted deposition

    Science.gov (United States)

    Lyadov, N. M.; Bazarov, V. V.; Vagizov, F. G.; Vakhitov, I. R.; Dulov, E. N.; Kashapov, R. N.; Noskov, A. I.; Khaibullin, R. I.; Shustov, V. A.; Faizrakhmanov, I. A.

    2016-08-01

    Thin Fe57 films with the thickness of 120 nm have been prepared on glass substrates by using the ion-beam-assisted deposition technique. X-ray diffraction, electron microdiffraction and Mössbauer spectroscopy studies have shown that as-deposited films are in a stressful nanostructured state containing the nanoscaled inclusions of α-phase iron with the size of ∼10 nm. Room temperature in-plane and out-of-plane magnetization measurements confirmed the presence of the magnetic α-phase in the iron film and indicated the strong effect of residual stresses on magnetic properties of the film as well. Subsequent thermal annealing of iron films in vacuum at the temperature of 450 °C stimulates the growth of α-phase Fe crystallites with the size of up to 20 nm. However, electron microdiffraction and Mössbauer spectroscopic data have shown the partial oxidation and carbonization of the iron film during annealing. The stress disappeared after annealing of the film. The magnetic behaviour of the annealed samples was characterized by the magnetic hysteresis loop with the coercive field of ∼10 mT and the saturation magnetization decreased slightly in comparison with the α-phase Fe magnetization due to small oxidation of the film.

  6. Study on the Performance of a Ground Source Heat Pump System Assisted by Solar Thermal Storage

    Directory of Open Access Journals (Sweden)

    Yu Jin Nam

    2015-11-01

    Full Text Available 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 both maintain the balance of the soil temperature effectively and achieve higher system performance than the conventional system. In this paper, in order to examine the characteristics of the system, a dynamic simulation was conducted under various conditions. The results of our case study provide specific operation data such as heat exchange rate, heat source temperature, and heat pump COP. As a result, the heat pump COP of SAGHPS was 4.7%, 9.3% higher than that of the GSHPS.

  7. Traction-assisted colonic endoscopic submucosal dissection using clip and line: a feasibility study

    Science.gov (United States)

    Yamasaki, Yasushi; Takeuchi, Yoji; Uedo, Noriya; Kato, Minoru; Hamada, Kenta; Aoi, Kenji; Tonai, Yusuke; Matsuura, Noriko; Kanesaka, Takashi; Yamashina, Takeshi; Akasaka, Tomofumi; Hanaoka, Noboru; Higashino, Koji; Ishihara, Ryu; Iishi, Hiroyasu

    2016-01-01

    Background and study aims: Colonic endoscopic submucosal dissection (ESD) is a challenging procedure because it is often difficult to maintain good visualization of the submucosal layer. To facilitate colonic ESD, we designed a novel traction method, namely traction-assisted colonic ESD using clip and line (TAC), and investigated its feasibility. Patients and methods: We retrospectively analyzed 23 patients with large colonic superficial lesions who had undergone TAC. The main outcome was the procedural success rate of TAC, which we defined as successful, sustained application of clip and line to the lesion until the end of the procedure. Results: The procedural success rate of TAC was 87 % (20/23). In all three unsuccessful cases, the lesions were in the proximal colon and the procedure times over 100 minutes. The overall mean procedure time was 61 min (95 % confidence interval, 18 – 172 min). We achieved en bloc resections of all lesions. There were no perforations or fatal adverse events. Conclusions: TAC is feasible and safe for colonic ESD and may improve the ease of performing this procedure. PMID:26793785

  8. 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.

  9. Mechanistic studies of protein arginine deiminase 2: evidence for a substrate-assisted mechanism.

    Science.gov (United States)

    Dreyton, Christina J; Knuckley, Bryan; Jones, Justin E; Lewallen, Daniel M; Thompson, Paul R

    2014-07-15

    Citrullination, which is catalyzed by protein arginine deiminases (PADs 1-4 and 6), is a post-translational modification (PTM) that effectively neutralizes the positive charge of a guanidinium group by its replacement with a neutral urea. Given the sequence similarity of PAD2 across mammalian species and the genomic organization of the PAD2 gene, PAD2 is predicted to be the ancestral homologue of the PADs. Although PAD2 has long been known to play a role in myelination, it has only recently been linked to other cellular processes, including gene transcription and macrophage extracellular trap formation. For example, PAD2 deiminates histone H3 at R26, and this PTM leads to the increased transcription of more than 200 genes under the control of the estrogen receptor. Given that our understanding of PAD2 biology remains incomplete, we initiated mechanistic studies on this enzyme to aid the development of PAD2-specific inhibitors. Herein, we report that the substrate specificity and calcium dependence of PAD2 are similar to those of PADs 1, 3, and 4. However, unlike those isozymes, PAD2 appears to use a substrate-assisted mechanism of catalysis in which the positively charged substrate guanidinium depresses the pKa of the nucleophilic cysteine. By contrast, PADs 1, 3, and 4 use a reverse-protonation mechanism. These mechanistic differences will aid the development of isozyme-specific inhibitors.

  10. Microwave assisted synthesis and optimization of Aegle marmelos-g-poly(acrylamide): release kinetics studies.

    Science.gov (United States)

    Setia, A; Kumar, R

    2014-04-01

    Microwave assisted grafting of poly(acrylamide) on to Aegle marmelos gum was carried out employing 3-factor 3-level full factorial design. Microwave power, microwave exposure time and concentration of gum were selected as independent variable and grafting efficiency was taken as dependent variable. A. marmelos-g-poly(acrylamide) was characterized by FTIR, DSC, X-ray diffraction and scanning electron microscopy. Microwave power, microwave exposure time had synergistic effect on grafting efficiency where as concentration of the gum did not contributed much to grafting efficiency. Batch having microwave power - 80%, microwave exposure time -120 s and concentration of A. marmelos gum - 2% was selected as the optimized formulation. Comparative release behaviour of diclofenac sodium from the matrix tablets of A. marmelos gum and A. marmelos-g-polyacrylamide was evaluated. The results of kinetic studies revealed that the graft copolymer matrix, marketed tablets and polymer matrix tablets of A. marmelos gum released the drug by zero order kinetics and with n value greater than 1, indicating that the mechanism for release as super case II transport i.e. dominated by the erosion and swelling of the polymer.

  11. da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

    Science.gov (United States)

    Marcus, Hani J; Hughes-Hallett, Archie; Cundy, Thomas P; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

    2015-04-01

    The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.

  12. Transoral robotic-assisted skull base surgery to approach the sella turcica: cadaveric study.

    Science.gov (United States)

    Chauvet, Dorian; Missistrano, Antoine; Hivelin, Mikaël; Carpentier, Alexandre; Cornu, Philippe; Hans, Stéphane

    2014-10-01

    Transoral robotic surgery (TORS) offers new possibilities that have not been experimented in the field of minimally invasive skull base neurosurgery. We propose to evaluate the feasibility of transoral approach to the sella turcica with the da Vinci system on cadavers. We performed four robot-assisted dissections on human fresh cadavers in order to reach the pituitary fossa by the oral cavity. Cavum mucosa dissection was performed by the head and neck surgeon at the console and then the sphenoid was drilled by the neurosurgeon at the bedside, with intraoperative fluoroscopy and a "double surgeon" control. Mucosa closure was attempted with robotic arms. We succeeded in performing a sellar opening in all cadavers with a minimally invasive approach, as the hard palate was never drilled. The video endoscope offered a large view inside the sphenoidal sinus, as observed in transnasal endoscopy, but with 3D visualization. The camera arm could be inserted into the sphenoidal sinus, and instrument arms in the pituitary fossa. Operative time to reach the pituitary fossa was approximately 60 min in all procedures: 20 min of initial setup, 10 min of mucosal dissection, and 30 min of sphenoid surgery. New anatomical landmarks were defined. Advantages and pitfalls of such an unpublished technique were discussed. This is the first cadaveric study reported da Vinci robotic transoral approach to the sella turcica with a minimally invasive procedure. This innovative technique may modify the usual pituitary adenoma removal as the sella is approached infero-superiorly.

  13. Solar greenhouse assisted biogas plant in hilly region - A field study

    Energy Technology Data Exchange (ETDEWEB)

    Vinoth Kumar, K.; Kasturi Bai, R. [Department of Bio-Energy, School of Energy, Environment and Natural Resources, Madurai Kamaraj University, Madurai 625 021, Tamil Nadu (India)

    2008-10-15

    The present study was undertaken with the objective of evaluating plastic as an alternative material for biogas plant on a par with conventional brick material. The field study was carried out for one year (October, 2005-September, 2006) in a small hamlet at Nilgiris incorporating solar energy to study its influence on biogas production. During summer (April-June) the temperature reaches to the maximum of 21-25 C and the minimum of 10-12 C. During winter (October-December), the temperature available is maximum of 16-21 C and minimum of 2 C. The solar insolation in the study area ranges from 250 to 600 W/m{sup 2}. This study involves the control conventional Deenabandhu model (Indian standard model prevailing in most part of India made of masonry structure only) and the experimental plastic tank with greenhouse canopy of similar capacity. Our previous work [Vinoth Kumar, K., Kasturi Bai, R., 2005. Plastic biodigesters - a systematic study. Energy for Sustainable Development 9 (4), 40-49] on lab scale digester made from plastic material was compared over other materials and the results gave us much confidence to carry out further study on pilot scale. In continuation, a semi-continuous study was conducted for one year with the retention time of 55 days. The gas generated from the biogas plants was utilized for cooking (burner) and lighting (lamp) purposes. The yearly average slurry temperatures recorded during the study period was 26.3 and 22.4 C in experimental and control biogas plants against ambient temperature of 17.0 C. The yearly average greenhouse chamber temperature recorded was 29.1 C in the experimental biogas plant. The yearly average gas yield from the experimental and control biogas plants were 39.1 and 34.6 l kg{sup -1}day{sup -1} respectively. Gas productions in the winter season registered lower than other months. It can be concluded that the solar greenhouse assisted plastic biogas plant can be efficiently adopted with minor modifications in hilly

  14. MEDECOR--a medical decorporation tool to assist first responders, receivers, and medical reach-back personnel in triage, treatment, and risk assessment after internalization of radionuclides.

    Science.gov (United States)

    Waller, Ed; Wilkinson, Diana

    2010-10-01

    After a radiological dispersal device (RDD) event, it is possible for radionuclides to enter the human body through inhalation, ingestion, and skin and wound absorption. From a health physics perspective, it is important to know the magnitude of the intake to perform dosimetric assessments. From a medical perspective, removal of radionuclides leading to dose aversion (hence risk reduction) is of high importance. The efficacy of medical decorporation strategies is extremely dependent upon the time of treatment delivery after intake. The "golden hour," or more realistically 3-4 h, is optimal when attempting to increase removal of radionuclides from extracellular fluids prior to cellular incorporation. To assist medical first response personnel in making timely decisions regarding appropriate treatment delivery modes, it is desirable to have a software tool that compiles existing radionuclide decorporation therapy data and allows a user to perform simple diagnosis leading to optimized decorporation treatment strategies. In its most simple application, the software is a large database of radionuclide decorporation strategies and treatments. The software can also be used in clinical interactive mode, in which the user inputs the radionuclide, estimated activity, route of intake and time since exposure. The software makes suggestions as to the urgency of treatment (i.e., triage) and the suggested therapy. Current developments include risk assessment which impacts the potential risk of delivered therapy and resource allocation of therapeutic agents. The software, developed for the Canadian Department of National Defence (DND), is titled MEDECOR (MEdical DECORporation). The MEDECOR tool was designed for use on both personal digital assistant and laptop computer environments. The tool was designed using HTML/Jscript, to allow for ease of portability amongst different computing platforms. This paper presents the features of MEDECOR, results of testing at a major NATO

  15. 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

  16. 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...

  17. 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.

  18. Olive mill wastewater treatment: an experimental study.

    Science.gov (United States)

    Bettazzi, E; Morelli, M; Caffaz, S; Caretti, C; Azzari, E; Lubello, C

    2006-01-01

    Olive oil production, one of the main agro-industries in Mediterranean countries, generates significant amounts of olive mill wastewaters (OMWs), which represent a serious environmental problem, because of their high organic load, the acidic pH and the presence of recalcitrant and toxic substances such as phenolic and lipidic compounds (up to several grams per litre). In Italy, traditional disposal on the soil is the most common way to discharge OMWs. This work is aimed at investigating the efficiency and feasibility of AOPs and biological processes for OMW treatment. Trials have been carried out on wastewaters taken from one of the largest three-phase mills of Italy, located in Quarrata (Tuscany), as well as on synthetic solutions. Ozone and Fenton's reagents applied both on OMWs and on phenolic synthetic solutions guaranteed polyphenol removal efficiency up to 95%. Aerobic biological treatment was performed in a batch reactor filled with raw OMWs (pH = 4.5, T = 30 degrees C) without biomass inoculum. A biomass rich of fungi, developed after about 30 days, was able to biodegrade phenolic compounds reaching a removal efficiency of 70%. Pretreatment of OMWs by means of oxidation increased their biological treatability.

  19. 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.

  20. A Comparative Study of Single-Port Laparoscopic Surgery Versus Robotic-Assisted Laparoscopic Surgery for Rectal Cancer

    DEFF Research Database (Denmark)

    Levic, Katarina; Donatsky, Anders Meller; Bulut, Orhan

    2015-01-01

    INTRODUCTION: Conventional laparoscopic surgery is the treatment of choice for many abdominal procedures. To further reduce surgical trauma, new minimal invasive procedures such as single-port laparoscopic surgery (SPLS) and robotic assisted laparoscopic surgery (RALS) have emerged. The aim...... in either of the groups. There was no difference in median follow-up time between groups (P = .58). CONCLUSION: Both SPLS and RALS may have a role in rectal surgery. The short-term oncological outcomes were similar, although RALS harvested more lymph nodes than the SPLS procedure. However, SPLS seems...

  1. 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.

  2. 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.

  3. Extending the role of liposuction in body contouring with ultrasound-assisted liposuction.

    Science.gov (United States)

    Rohrich, R J; Beran, S J; Kenkel, J M; Adams, W P; DiSpaltro, F

    1998-04-01

    The initial experience with ultrasound-assisted liposuction in treating difficult fibrous areas, such as gynecomastia, hitherto not uniformly responsive to traditional suction-assisted lipoplasty, has led to the evolution and improvement of ultrasound-assisted liposuction techniques. This prospective study examined 114 consecutive patients treated with ultrasound-assisted liposuction over a 13-month period, from September of 1996 to September of 1997. The means by which this procedure helps achieve fat contouring differs from that of suction-assisted lipoplasty. Ultrasound-assisted liposuction removes fat through a fat emulsification process termed "cavitation," whereas suction-assisted lipoplasty achieves contouring through the mechanical avulsion of fat. The technique for the use of ultrasound-assisted liposuction has changed significantly from our initial series of patients to our current technique. To optimize the benefits of both ultrasound-assisted and traditional suction-assisted lipoplasty, we use a three-stage technique consisting of infiltration, ultrasound-assisted sculpturing, and suction-assisted lipoplasty for evacuation and final contouring. This has decreased our operative time, minimized complications, and optimized our body contouring results. Data were collected intraoperatively, including treatment times, treatment volumes, and treatment areas for both suction-assisted and ultrasound-assisted lipoplasty. A total of 114 patients were treated with ultrasound-assisted liposuction between September of 1996 and September of 1997. There were 23 male patients and 91 female patients. In general, the average total volume removed with this procedure decreased by about 50 percent throughout the series, whereas the suction-assisted lipoplasty volume increased correspondingly by 50 percent. Overall, suction-assisted lipoplasty volume was approximately two times ultrasound-assisted liposuction volume in the same area. Exceptions to this include the dense

  4. Comparative health technology assessment of robotic-assisted, direct manual laparoscopic and open surgery: a prospective study

    OpenAIRE

    Turchetti, Giuseppe; Pierotti, Francesca; Palla, Ilaria; Manetti, Stefania; Freschi, Cinzia; Ferrari, Vincenzo; Cuschieri, Alfred

    2016-01-01

    Background Despite many publications reporting on the increased hospital cost of robotic-assisted surgery (RAS) compared to direct manual laparoscopic surgery (DMLS) and open surgery (OS), the reported health economic studies lack details on clinical outcome, precluding valid health technology assessment (HTA). Methods The present prospective study reports total cost analysis on 699 patients undergoing general surgical, gynecological and thoracic operations between 2011 and 2014 in the Italia...

  5. OPEN VERSUS ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: MULTICENTER COMPARATIVE STUDY OF SURGICAL RESULTS AND COMPLICATIONS (AGILE GROUP)

    OpenAIRE

    Minervini, A.; Vittori, G.; Antonelli, A.; Celia, A; Crivellaro, S.; Dente, D.; Di Santo, V.; B. Frea; Gacci, M; A. Gritti; L. Masieri; A. Morlacco; A. Porreca; B. Rocco; Parma, P.

    2012-01-01

    Aim of the study To compare surgical and perioperative outcomes of open partial ne- phrectomy (OPN) with those of robotic assisted partial nephrectomy (RAPN). Materials and methods This is 2-year multicentric study derived from a prospective da- tabase promoted by AGILE group, who included all patients treated awith OPN or RAPN for renal cell carcinoma between January 2010 and December 2011 at six Italian urologic centers. All clinical vari- ables, including tumor nephrometry (PADUA ...

  6. Lycopene recovery from tomato peel under mild conditions assisted by enzymatic pre-treatment and non-ionic surfactants.

    Science.gov (United States)

    Papaioannou, Emmanouil H; Karabelas, Anastasios J

    2012-01-01

    The tomato processing industry generates large quantities of tomato peel residues, usually creating environmental problems. These residues are a significant source of lycopene, thus providing an attractive alternative for profitable handling of these otherwise problematic by-products. The enzymatic pretreatment of these residues for lycopene recovery has already been employed, although the use of surfactants for enhancing the recovery has not been examined so far. The enzymatic pretreatment of tomato peels, using two commercially available pectinolytic enzyme preparations, was evaluated suggesting that there is an optimum pretreatment time of about 1 h, enzyme amount 250 Units/mL and no significant pH influence. Lycopene surfactant - assisted extraction was further investigated, showing that, among eight surfactants used, the most suitable was "Span 20", with an optimum ratio of 6-7 surfactant molecules per lycopene molecule. Sequential enzymatic pretreatment and surfactant-assisted extraction (30 min for each step) was evaluated leading to an improved lycopene extraction yield, with a somewhat smaller surfactant molar ratio (i.e. 4-5). In the latter case, the yield of lycopene recovery was almost four times greater compared to just 1 hr enzymatic pretreatment, and was approximately ten times greater compared to the recovery from untreated peels. Furthermore, such lipophilic compound recovery, avoiding the use of organic solvents, is environmentally attractive and ensures direct lycopene use in the food and cosmetics industries.

  7. Comparative Shock-Tube Study of Autoignition and Plasma-Assisted Ignition of C2-Hydrocarbons

    Science.gov (United States)

    Kosarev, Ilya; Kindysheva, Svetlana; Plastinin, Eugeny; Aleksandrov, Nikolay; Starikovskiy, Andrey

    2015-09-01

    The dynamics of pulsed picosecond and nanosecond discharge development in liquid water, ethanol and hexane Using a shock tube with a discharge cell, ignition delay time was measured in a lean (φ = 0.5) C2H6:O2:Ar mixture and in lean (φ = 0.5) and stoichiometric C2H4:O2:Ar mixtures with a high-voltage nanosecond discharge and without it. The measured results were compared with the measurements made previously with the same setup for C2H6-, C2H5OH- and C2H2-containing mixtures. It was shown that the effect of plasma on ignition is almost the same for C2H6, C2H4 and C2H5OH. The reduction in time is smaller for C2H2, the fuel that is well ignited even without the discharge. Autoignition delay time was independent of the stoichiometric ratio for C2H6 and C2H4, whereas this time in stoichiometric C2H2- and C2H5OH-containing mixtures was noticeably shorter than that in the lean mixtures. Ignition after the discharge was not affected by a change in the stoichiometric ratio for C2H2 and C2H4, whereas the plasma-assisted ignition delay time for C2H6 and C2H5OH decreased as the equivalence ratio changed from 1 to 0.5. Ignition delay time was calculated in C2-hydrocarbon-containing mixtures under study by simulating separately discharge and ignition processes. Good agreement was obtained between new measurements and calculated ignition delay times.

  8. 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.

  9. THE ASSISTANT--ACADEMIC SUBALTERN.

    Science.gov (United States)

    BEISSE, FREDRIC; DUBIN, ROBERT

    THE GRADUATE TEACHING ASSISTANT'S ROLE, RESPONSIBILITIES, AND STATUS ARE DESCRIBED AS THEY ARE PERCEIVED BY THE ASSISTANT, HIS UNDERGRADUATE STUDENTS, AND THE FACULTY WHOM HE ASSISTS. ILLUSTRATIONS ARE DRAWN FROM CASE STUDIES AT THE UNIVERSITY OF CALIFORNIA (BERKELEY) AND THE UNIVERSITY OF MICHIGAN. THE ASSISTANT IS ASSIGNED THE ROLE OF AN…

  10. Endoscopic Ultrasound-Assisted Tunnel-Type Endoscopic Submucosal Dissection for the Treatment of Esophageal Tumors Arising in the Muscularis Propria (with video)

    OpenAIRE

    Ge, Nan; Sun, Siyu; Wang, Sheng; Liu, Xiang; Wang, Guoxin; Guo, Jintao

    2013-01-01

    Objective: Esophageal tumors arising in the muscularis propria are difficult to be resected endoscopically using standard electro-surgical techniques, even the endoscopic submucosal dissection (ESD) technique appeared recently. Our purpose is to investigate the efficacy of endoscopic ultrasound (EUS)-assisted tunnel-type ESD for resection of these tumors. Methods: A total of 17 patients were included in this study. A standard endoscope was used. The submucosal tunnel was created with the tria...

  11. Smartphone-assisted spatial data collection improves geographic information quality: pilot study using a birth records dataset.

    Science.gov (United States)

    Xu, Xiaohui; Hu, Hui; Ha, Sandie; Han, Daikwon

    2016-11-23

    It is well known that the conventional, automated geocoding method based on self-reported residential addresses has many issues. We developed a smartphone-assisted aerial image-based method, which uses the Google Maps application programming interface as a spatial data collection tool during the birth registration process. In this pilot study, we have tested whether the smartphone-assisted method provides more accurate geographic information than the automated geocoding method in the scenario when both methods can get the address geocodes. We randomly selected 100 well-geocoded addresses among women who gave birth in Alachua county, Florida in 2012. We compared geocodes generated from three geocoding methods: i) the smartphone-assisted aerial image-based method; ii) the conventional, automated geocoding method; and iii) the global positioning system (GPS). We used the GPS data as the reference method. The automated geocoding method yielded positional errors larger than 100 m among 29.3% of addresses, while all addresses geocoded by the smartphoneassisted method had errors less than 100 m. The positional errors of the automated geocoding method were greater for apartment/condominiums compared with other dwellings and also for rural addresses compared with urban ones. We conclude that the smartphone-assisted method is a promising method for perspective spatial data collection by improving positional accuracy.

  12. Smartphone-assisted spatial data collection improves geographic information quality: pilot study using a birth records dataset

    Directory of Open Access Journals (Sweden)

    Xiaohui Xu

    2016-11-01

    Full Text Available It is well known that the conventional, automated geocoding method based on self-reported residential addresses has many issues. We developed a smartphone-assisted aerial image-based method, which uses the Google Maps application programming interface as a spatial data collection tool during the birth registration process. In this pilot study, we have tested whether the smartphone-assisted method provides more accurate geographic information than the automated geocoding method in the scenario when both methods can get the address geocodes. We randomly selected 100 well-geocoded addresses among women who gave birth in Alachua county, Florida in 2012. We compared geocodes generated from three geocoding methods: i the smartphone-assisted aerial image-based method; ii the conventional, automated geocoding method; and iii the global positioning system (GPS. We used the GPS data as the reference method. The automated geocoding method yielded positional errors larger than 100 m among 29.3% of addresses, while all addresses geocoded by the smartphoneassisted method had errors less than 100 m. The positional errors of the automated geocoding method were greater for apartment/condominiums compared with other dwellings and also for rural addresses compared with urban ones. We conclude that the smartphone-assisted method is a promising method for perspective spatial data collection by improving positional accuracy.

  13. 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

    . 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...

  14. 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 ℃.

  15. The Australian Treatment Outcome Study (ATOS): what have we learnt about treatment for heroin dependence?

    Science.gov (United States)

    Darke, Shane; Ross, Joanne; Teesson, Maree

    2007-01-01

    Opioids make the single largest contribution to illicit drug-related mortality and morbidity worldwide In this paper we reflect upon what has been learnt regarding treatment outcome and the natural history of heroin use from the Australian Treatment Outcome Study (ATOS). We focus on what we knew prior to ATOS, what ATOS revealed that is novel, and the implications for research, practice and policy. ATOS provided strong evidence for sustained improvement attributable to treatment across the three years of the study. It is argued that treatment for heroin dependence is money well spent, and leads to clear and sustained benefits to both heroin users and society.

  16. "Many Secrets Are Told around Horses": An Ethnographic Study of Equine-Assisted Psychotherapy

    Science.gov (United States)

    Van Tiem, Jennifer

    2014-01-01

    This dissertation presents an ethnography of equine-assisted psychotherapy (EAP) based on nine months of fieldwork at "Equine Healers," a non-profit organization in central Colorado that specialized in various therapeutic modalities associated with EAP. In bridging scholarly work around animals, a literature suffused with the notion of…

  17. 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…

  18. Computer Assisted Instruction in Mathematics Can Improve Students' Test Scores: A Study.

    Science.gov (United States)

    Brown, Frank

    This research assessed the academic impact of a computer-assisted instructional (CAI) software program to teach mathematics. The research hypothesis states that the use of the CAI program will produce superior academic achievement in mathematics for students who use the program compared to students instructed in mathematics without the program.…

  19. Computer assisted design study of a low-cost pressure sensor

    NARCIS (Netherlands)

    Meuwissen, M.H.H.; Veninga, E.P.; Tijdink, M.W.W.J.; Meijerink, M.G.H.

    2005-01-01

    The application of numerical techniques for the design of a low cost pressure sensor is described. The numerical techniques assist in addressing issues related to the thermo-mechanical performance of the sensor. This comprises the selection of the materials and dimensions used for the sensor itself

  20. 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…

  1. 25 CFR 166.905 - Who can get assistance for postgraduate studies?

    Science.gov (United States)

    2010-04-01

    ... PERMITS Agriculture Education, Education Assistance, Recruitment, and Training § 166.905 Who can get... professional and technical knowledge of Indian and Alaska Native natural resource and agriculture-related... as a natural resources or agriculture-related professional with an approved organization for one...

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

    NARCIS (Netherlands)

    Buiting, Hilde; van Delden, Johannes; Onwuteaka-Philpsen, Bregje; Rietjens, Judith; Rurup, Mette; van Tol, Donald; Gevers, Joseph; van der Maas, Paul; van der Heide, Agnes

    2009-01-01

    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

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

    NARCIS (Netherlands)

    H. Buiting; J. van Delden; B. Onwuteaka-Philpsen; J. Rietjens; M. Rurup; D. Tol; J. Gevers; P. Maas; A. van der Heide

    2009-01-01

    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

  4. Reporting of euthanasia and physician-assisted suicide in the Netherlands: Descriptive study

    NARCIS (Netherlands)

    H.M. Buiting (Hilde); J.J.M. van Delden (Johannes); B.D. Onwuteaka-Philipsen (Bregje); J.A.C. Rietjens (Judith); M.L. Rurup (Mette); D. van Tol (Donald); J.K.M. Gevers (Joseph); P.J. van der Maas (Paul); A. van der Heide (Agnes)

    2009-01-01

    textabstractBackground: 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

  5. 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

    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...

  6. 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.)

  7. Experimental Study of MHD-Assisted Mixing and Combustion Under Low Pressure Conditions

    Science.gov (United States)

    Gao, Ling; Zhang, Bailing; Li, Yiwen; Fan, Hao; Duan, Chengduo; Wang, Yutian

    2016-08-01

    In order to reveal the mechanism of MHD-assisted mixing, and analyse the major parameters which influence the effect of MHD-assisted mixing, experiments of MHD-assisted mixing are carried out with a non-premixed butane-air combustion system. The evolvement of the discharge section and the effect of MHD-assisted mixing on combustion are investigated by changing the magnetic flux density and airflow velocity. The results show that the discharge area not only bends but also rotates around the centered wire electrode, which are mainly caused by the Lorentz force. Moreover, the highest curvature occurs near the centered wire electrode. The discharge localizes near the surface of the wire electrode and annular electrode when there is no ponderomotive force. However, if the ponderomotive force is applied, the discharge happens between these two electrodes and it gradually shrinks with time. The discharge area cannot localize near the annular electrode, which is due to the increase of energy loss in the airflow. When the airflow velocity exceeds a certain value, the discharge section becomes unstable because the injected energy cannot maintain the discharge. The rotation motion of the discharge section could enlarge the contact surface between butane and air, and is therefore beneficial for mixing and combustion. Magnetic flux density and airflow velocity are critical parameters for MHD-assisted mixing. supported by National Natural Science Foundation of China (No. 11372352) and the Mechanism Research on Near Electrode Thermal-Electromagnetic-Flow of High Temperature Supersonic MHD Generation (No. 51306207), and Natural Science Foundation of Shaanxi Province of China (No. 2015JM5184)

  8. 电视胸腔镜手术肺大疱切除治疗气胸的临床观察%Clinical Observation on Video-Assisted Thoracoscopic Operation of Pulmonary Bullae Resection in the Treatment of Pneumothorax

    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.

  9. 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 ...

  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. 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, p<0.05). In conclusion, bite mark analysis using the computer-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.

  12. 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...

  13. Successful Treatment of Mediastinal Unicentric Castleman’s Disease Using Video-Assisted Thoracoscopic Surgery with Preoperative Embolization

    Directory of Open Access Journals (Sweden)

    Yosuke Amano

    2013-01-01

    Full Text Available Unicentric Castleman’s disease is a rare, benign lymphoproliferative disorder that is curable with surgical resection. However, significant bleeding often occurs during surgery because of tumor hypervascularity. We herein present a case of hyaline-vascular-type mediastinal unicentric Castleman’s disease, successfully resected using video-assisted thoracoscopic surgery with preoperative embolization. In the present case, tumor hypervascularity and feeding vessels were revealed by computed tomography (CT, which led us to perform preoperative angiography and embolization to the tumor feeding arteries to reduce intraoperative bleeding. Castleman’s disease should be considered in the differential diagnosis of hypervascular mediastinal tumors. Tumor vascularity should be assessed prior to surgery, and preoperative embolization should be considered.

  14. 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

  15. 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

  16. Assistive Technologies

    Science.gov (United States)

    Auat Cheein, Fernando A., Ed.

    2012-01-01

    This book offers the reader new achievements within the Assistive Technology field made by worldwide experts, covering aspects such as assistive technology focused on teaching and education, mobility, communication and social interactivity, among others. Each chapter included in this book covers one particular aspect of Assistive Technology that…

  17. Patterning of Endothelial Cells and Mesenchymal Stem Cells by Laser-Assisted Bioprinting to Study Cell Migration

    Directory of Open Access Journals (Sweden)

    Jean-Michel Bourget

    2016-01-01

    Full Text Available Tissue engineering of large organs is currently limited by the lack of potent vascularization in vitro. Tissue-engineered bone grafts can be prevascularized in vitro using endothelial cells (ECs. The microvascular network architecture could be controlled by printing ECs following a specific pattern. Using laser-assisted bioprinting, we investigated the effect of distance between printed cell islets and the influence of coprinted mesenchymal cells on migration. When printed alone, ECs spread out evenly on the collagen hydrogel, regardless of the distance between cell islets. However, when printed in coculture with mesenchymal cells by laser-assisted bioprinting, they remained in the printed area. Therefore, the presence of mesenchymal cell is mandatory in order to create a pattern that will be conserved over time. This work describes an interesting approach to study cell migration that could be reproduced to study the effect of trophic factors.

  18. Patterning of Endothelial Cells and Mesenchymal Stem Cells by Laser-Assisted Bioprinting to Study Cell Migration

    Science.gov (United States)

    Medina, Manuela; Rémy, Murielle; Thébaud, Noélie Brunehilde; Bareille, Reine; Chassande, Olivier; Amédée, Joëlle; Catros, Sylvain

    2016-01-01

    Tissue engineering of large organs is currently limited by the lack of potent vascularization in vitro. Tissue-engineered bone grafts can be prevascularized in vitro using endothelial cells (ECs). The microvascular network architecture could be controlled by printing ECs following a specific pattern. Using laser-assisted bioprinting, we investigated the effect of distance between printed cell islets and the influence of coprinted mesenchymal cells on migration. When printed alone, ECs spread out evenly on the collagen hydrogel, regardless of the distance between cell islets. However, when printed in coculture with mesenchymal cells by laser-assisted bioprinting, they remained in the printed area. Therefore, the presence of mesenchymal cell is mandatory in order to create a pattern that will be conserved over time. This work describes an interesting approach to study cell migration that could be reproduced to study the effect of trophic factors. PMID:27833916

  19. Study on chromatographic fingerprint of sarcandra glabra (Thunb.) by microwave-assisted extraction coupled to HPLC/DAD

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Microwave-assisted extraction(MAE)was used for extraction of effective components of sarcandra glabra(Thunb.),and then chromatographic fingerprint of sarcandra glabra(Thunb.)was studied by high performance liquid chromatography/diode array detector(HPLC/DAD).The conditions of MAE were optimized by an orthogonal experiment,and then the authentication and validation of the chromatographic fingerprint were conducted.Nine peaks were identified as common peaks in the fingerprint chromatograms,and isofraxidin was...

  20. Study on absorbance and laser damage threshold of HfO2 films prepared by ion-assisted reaction deposition

    Institute of Scientific and Technical Information of China (English)

    Dawei Zhang(张大伟); Shuhai Fan(范树海); Weidong Gao(高卫东); Hongbo He(贺洪波); Yingjian Wang(王英剑); Jianda Shao(邵建达); Zhengxiu Fan(范正修); Haojie Sun(孙浩杰)

    2004-01-01

    Using a new kind of EH1000 ion source, hafnium dioxide (HfO2) films are deposited with different deposition techniques and different conditions. The absorbance and the laser damage threshold of these films have been measured and studied. By comparing these characteristics, one can conclude that under right conditions, such as high partial pressure of oxygen and right kind of ion source, the ion-assisted reaction deposition can prepare HfO2 films with higher laser induced damage threshold.

  1. How do dentists perceive poverty and people on social assistance? A qualitative study conducted in Montreal, Canada.

    Science.gov (United States)

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

    2012-05-01

    Despite significant needs, people on social assistance are sometimes reluctant to consult dentists because of previous negative experience and communication barriers. They feel poorly understood by oral health professionals and sometimes complain of being stigmatized. It is thus important to know how dentists perceive poverty and this group of patients. The aim of this study was to understand how dentists perceive poverty and people on social assistance. To investigate this largely unexplored question, a qualitative study was conducted based on in-depth interviews with thirty-three dentists practicing in Montreal, Canada. Interviews were audiotaped and transcribed for qualitative analysis. The study revealed two perspectives on poverty: 1) the individualistic-deficit perspective and 2) the socio-lifecourse perspective. In the individualistic-deficit perspective, which predominated among these participants, dentists explained poverty by individual factors and emphasized individuals' negative attitudes toward work and lack of capabilities. Conversely, dentists with a socio-lifecourse perspective described poverty as a structural rather than an individual process. Acknowledging individuals' distress and powerlessness, these dentists expressed more empathy toward people on social assistance. The results suggest the individualistic-deficit perspective impedes the care relationship between dentists and poor patients as well as highlighting the need to better prepare dentists for addressing issues of poverty and social inequities in clinical practice.

  2. 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

  3. In vivo bioprinting for computer- and robotic-assisted medical intervention: preliminary study in mice.

    Science.gov (United States)

    Keriquel, Virginie; Guillemot, Fabien; Arnault, Isabelle; Guillotin, Bertrand; Miraux, Sylvain; Amédée, Joëlle; Fricain, Jean-Christophe; Catros, Sylvain

    2010-03-01

    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.

  4. Applying One Health to the Study of Animal-Assisted Interventions.

    Science.gov (United States)

    Chalmers, Darlene; Dell, Colleen Anne

    2015-12-01

    The use of animal-assisted interventions in therapeutic programs is a growing phenomenon. Animal-assisted interventions (AAIs) involve a variety of species (dogs, cats, horses, domesticated birds, etc.) in primary health care. Despite their increasing application in a wide range of therapeutic services, the empirical evidence base of AAIs is limited. The authors of this paper propose that the public health framework of One Health can be adapted to advance AAI research. One Health's perspective on the environment is primarily ecological. The environmental impact on the human-animal interactions within AAIs, however, incorporates social, cultural, political, and economic factors. The environment has received minimal attention in AAI research. The authors discuss how this framework has been used in their prior AAI research and work with Indigenous people. Applying this framework to AAIs may guide future AAI research.

  5. iOS--Worthy of the Hype as Assistive Technology for Visual Impairments? A Phenomenological Study of iOS Device Use by Individuals with Visual Impairments

    Science.gov (United States)

    Scott, Shari

    2013-01-01

    This qualitative study sought to explore the shared essence of the lived experiences of early adopters of iOS devices as assistive technology by persons with visual impairments. The capstone question addressed the idea of whether any one device could fully meet the assistive technology needs of this population. Purposeful sampling methods were…

  6. 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…

  7. Literature study of microwave-assisted digestion using electrothermal atomic absorption spectrometry.

    Science.gov (United States)

    Chakraborty, R; Das, A K; Cervera, M L; De La Guardia, M

    1996-05-01

    The literature on the use of microwave-assisted digestion procedures for subsequent sample analysis by means of electrothermal atomic absorption spectrometry (ETAAS) is reviewed. The literature survey reveals that this digestion technique has been applied mainly for biological materials. The elements most extensively determined by this method are cadmium and lead followed by copper, chromium, nickel and iron. The microwave digestion conditions, ETAAS furnace programmes and analytical details of the developed methodologies have been carefully revised.

  8. Experimental and modeling studies on microwave-assisted extraction of mangiferin from Curcuma amada

    OpenAIRE

    Kullu, Jeke; Dutta, Abhishek; Constales, Denis; Chaudhuri, Surabhi; Debjani DUTTA

    2013-01-01

    Mangiferin, a bioactive compound having potent nutraceutical, strong antioxidant and pharmacological significance has been extracted using microwave-assisted extraction (MAE) technique from Curcuma amada, commonly known as mango ginger. The extraction solvent ethanol is eco-friendly, nontoxic and reduces the risk of environmental hazards. The influence of several independent variables such as microwave power, ethanol concentration, extraction (irradiation) time and pre-leaching time has been ...

  9. SPM studies of ferroelectric nanostructures prepared by a microemulsion-assisted method onto substrates

    OpenAIRE

    Maria Torres; M. Lourdes Calzada; Brian Rodriguez; Marin Alexe; Lorena Pardo

    2011-01-01

    Ferroelectric PbTiO3 nanostructures have been fabricated using two different procedures that involve microemulsions and Chemical Solution Deposition onto Pt/TiO2 /SiO2/(100)Si substrates. The first procedure enables the fabrication of structures with controlled size and shape, as observed by Atomic Force Microscopy (AFM) topography and computer assisted quantitative analysis, while the second procedure, in addition, yields very small (≈ 20 nm) isolated, ferroelectric nanoislands. The ferr...

  10. Ventricular assist device

    Science.gov (United States)

    VAD; RVAD; LVAD; BVAD; Right ventricular assist device; Left ventricular assist device; Biventricular assist device; Heart pump; Left ventricular assist system; LVAS; Implantable ventricular assist device

  11. Organ donation after medical assistance in dying or cessation of life-sustaining treatment requested by conscious patients: the Canadian context.

    Science.gov (United States)

    Allard, Julie; Fortin, Marie-Chantal

    2016-12-28

    In June 2016, following the decision of the Supreme Court of Canada to decriminalise assistance in dying, the Canadian government enacted Bill C-14, legalising medical assistance in dying (MAID). In 2014, the province of Quebec had passed end-of-life care legislation making MAID available as of December 2015. The availability of MAID has many implications, including the possibility of combining this practice with organ donation through the controlled donation after cardiac death (cDCD) protocol. cDCD most often occurs in cases where the patient has a severe neurological injury but does not meet all the criteria for brain death. The donation is subsequent to the decision to withdraw life-sustaining treatment (LST). Cases where patients are conscious prior to the withdrawal of LST are unusual, and have raised doubts as to the acceptability of removing organs from individuals who are not neurologically impaired and who have voluntarily chosen to die. These cases can be compared with likely scenarios in which patients will request both MAID and organ donation. In both instances, patients will be conscious and competent. Organ donation in such contexts raises ethical issues regarding respect for autonomy, societal pressure, conscientious objections and the dead-donor rule. In this article, we look at relevant policies in other countries and examine the ethical issues associated with cDCD in conscious patients who choose to die.

  12. Plastic deformation to enhance plasma-assisted nitriding: On surface contamination induced by Surface Mechanical Attrition Treatment

    Science.gov (United States)

    Samih, Youssef; Novelli, Marc; Thiriet, Tony; Bolle, Bernard; Allain, Nathalie; Fundenberger, Jean-Jacques; Marcos, Grégory; Czerwiec, Thierry; Grosdidier, Thierry

    2014-08-01

    The Surface Mechanical Attrition Treatment is a recent technique leading to the formation of nanostructured layers by the repeated action of impacting balls. While several communications have revealed possible contamination of the SMATed surfaces, the nature of this surface contamination was analyzed in the present contribution for the treatment of an AISI 316L stainless steel. It is shown, by a combination of Transmission Electron Microscopy and Glow Discharge - Optical Emission Spectrometry, that the surface was alloyed with Ti, Al and V coming from the sonotrode that is used to move the balls as well as Zr coming from the zirshot® balls themselves.

  13. 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.

  14. 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.

  15. Development of a fixation device for robot assisted fracture reduction of femoral shaft fractures: a biomechanical study.

    Science.gov (United States)

    Weber-Spickschen, T S; Oszwald, M; Westphal, R; Krettek, C; Wahl, F; Gosling, T

    2010-01-01

    Robot assisted fracture reduction of femoral shaft fractures provides precise alignment while reducing the amount of intraoperative imaging. The connection between the robot and the fracture fragment should allow conventional intramedullary nailing, be minimally invasive and provide interim fracture stability. In our study we tested three different reduction tools: a conventional External Fixator, a Reposition-Plate and a Three-Point-Device with two variations (a 40 degrees and a 90 degrees version). We measured relative movements between the tools and the bone fragments in all translation and rotation planes. The Three-Point-Device 90 degrees showed the smallest average relative displacement and was the only device able to withstand the maximum applied load of 70 Nm without failure of any bone fragment. The Three-Point-Device 90 degrees complies with all the stipulated requirements and is a suitable interface for robot assisted fracture reduction of femoral shaft fractures.

  16. 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…

  17. [Broader indication for treatment with statins; the 'heart protection study'

    NARCIS (Netherlands)

    Stalenhoef, A.F.H.; Stuyt, P.M.J.

    2002-01-01

    The introduction of statins has been a breakthrough in the treatment of hypercholesterolaemia. Statins are safe and effective in reducing the risk of coronary heart disease in the general population. The 'Heart protection study' has provided evidence for the benefit of statin treatment in much broad

  18. Treatment of 5413 hypertensive patients: a cross-sectional study

    DEFF Research Database (Denmark)

    Paulsen, M S; Sondergaard, J; Reuther, L;

    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...... to consider when optimizing the individual treatment strategy in hypertensive patients....

  19. Reliability and Validity Study of the Chamorro Assisted Gait Scale for People with Sprained Ankles, Walking with Forearm Crutches.

    Directory of Open Access Journals (Sweden)

    Gema Chamorro-Moriana

    Full Text Available 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.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.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.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.

  20. Smoking Patterns and Smoking Cessation Willingness-A Study among Beneficiaries of Government Welfare Assistance in Poland.

    Science.gov (United States)

    Milcarz, Katarzyna; Makowiec-Dąbrowska, Teresa; Bak-Romaniszyn, Leokadia; Kaleta, Dorota

    2017-01-27

    This study examines the prevalence and tobacco use patterns among adult social assistance beneficiaries and their interest in quitting. The results are based on data collected in a cross-sectional survey conducted among adults in the Piotrkowski district. A sample of 3636 social assistance beneficiaries produced a total of 1817 respondents who completed face-to-face questionnaires. Overall, 37.1% of the respondents, including 52.8% men and 29.6% women, were current smokers. Over one third of the smokers reported their willingness to quit. In the study population, several characteristics were significantly associated with the current daily smoking: male gender, low educational attainment, unemployment or temporary employment, lack of awareness of smoking-associated health risks, use of e-cigarettes, and exposure to environmental tobacco smoke (ETS). The intention to quit smoking among the daily smokers was positively correlated with their awareness of smoking-associated health risks, lack of previous quit attempts, and low exposure to ETS. Smoking prevalence among social assistance recipients tends to be higher than in the general population, but more than half of the smokers are willing to quit. There is an urgency to develop policies tailored to the needs of these disadvantaged population groups.

  1. Design and production of gentamicin/dextrans microparticles by supercritical assisted atomisation for the treatment of wound bacterial infections.

    Science.gov (United States)

    Aquino, Rita P; Auriemma, Giulia; Mencherini, Teresa; Russo, Paola; Porta, Amalia; Adami, Renata; Liparoti, Sara; Della Porta, Giovanna; Reverchon, Ernesto; Del Gaudio, Pasquale

    2013-01-20

    In this work, the supercritical assisted atomisation (SAA) is proposed, for the first time, for the production of topical carrier microsystems based on alginate-pectin blend. Gentamicin sulphate (GS) was loaded as high soluble and hygroscopic antibiotic model with poor flowability. Particularly, different water solutions of GS/alginate/pectin were processed by SAA to produce spherical microparticles (GAP) of narrow size (about 2 μm). GS loading was varied between 20% and 33% (w/w) with an encapsulation efficiency reaching about 100%. The micronised powders also showed high flow properties, good stability and constant water content after 90 days in accelerated storage conditions. The release profiles of the encapsulated drug were monitored using vertical diffusion Franz cells to evaluate the application of GAP microsystems as self-consistent powder formulation or in specific fibres or gels for wound dressing. All formulations showed an initial burst effect in the first 6h of application (40-65% of GS loaded), and in particular GAP4 produced with a GS/alginate/pectin ratio of 1:3:1, exhibited the ability to release GS continuously over 6 days. Antimicrobial tests against Staphylococcus aureus indicated that GS antibiotic activity was preserved at 6 days and higher than pure GS at 12 and 24 days for all SAA formulations, especially for GAP1.

  2. 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.

  3. Preparation of Highly Crystalline TiO2 Nanostructures by Acid-assisted Hydrothermal Treatment of Hexagonal-structured Nanocrystalline Titania/Cetyltrimethyammonium Bromide Nanoskeleton

    Directory of Open Access Journals (Sweden)

    Sakai Hideki

    2010-01-01

    Full Text Available Abstract Highly crystalline TiO2 nanostructures were prepared through a facile inorganic acid-assisted hydrothermal treatment of hexagonal-structured assemblies of nanocrystalline titiania templated by cetyltrimethylammonium bromide (Hex-ncTiO2/CTAB Nanoskeleton as starting materials. All samples were characterized by X-ray diffraction (XRD and transmission electron microscopy (TEM. The influence of hydrochloric acid concentration on the morphology, crystalline and the formation of the nanostructures were investigated. We found that the morphology and crystalline phase strongly depended on the hydrochloric acid concentrations. More importantly, crystalline phase was closely related to the morphology of TiO2 nanostructure. Nanoparticles were polycrystalline anatase phase, and aligned nanorods were single crystalline rutile phase. Possible formation mechanisms of TiO2 nanostructures with various crystalline phases and morphologies were proposed.

  4. Fast microwave-assisted free sugars washing and hydrolysis pre-treatment for the flow injection determination of starch in food.

    Science.gov (United States)

    Caballo-López, A; Luque de Castro, M D

    2003-03-10

    The approach used consists of a flow injection (FI) manifold assisted by a focused microwave digestor for both fast washing of free sugars and acceleration of the hydrolysis step prior to the determination of starch in food. The action of microwaves reduces both the times for removal of free sugars to a 5 min single washing cycle with ethanol/water and that of the subsequent starch hydrolysis to a 10 min step. The sugars formed in the starch hydrolysis are in-line derivatised and photometrically monitored at lambda=460 nm. In this way, automation of pre-treatment and determination is achieved with the minimum of both cost and time. The precision of the overall method, expressed as relative standard deviation, is 3.75% and the total analysis time is 38 min. Comparison of the results, obtained in applying the method to flour and bread, is in agreement with those provided by the manual method.

  5. A preliminary study on the short-term efficacy of chairside computer-aided design/computer-assisted manufacturing- generated posterior lithium disilicate crowns.

    Science.gov (United States)

    Reich, Sven; Fischer, Sören; Sobotta, Bernhard; Klapper, Horst-Uwe; Gozdowski, Stephan

    2010-01-01

    The purpose of this preliminary study was to evaluate the clinical performance of chairside-generated crowns over a preliminary time period of 24 months. Forty-one posterior crowns made of a machinable lithium disilicate ceramic for full-contour crowns were inserted in 34 patients using a chairside computer-aided design/computer-assisted manufacturing technique. The crowns were evaluated at baseline and after 6, 12, and 24 months according to modified United States Public Health Service criteria. After 2 years, all reexamined crowns (n = 39) were in situ; one abutment exhibited secondary caries and two abutments received root canal treatment. Within the limited observation period, the crowns revealed clinically satisfying results.

  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. 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.

  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.

  9. 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.

  10. Confounding in longitudinal studies in addiction treatment research.

    Science.gov (United States)

    Pierce, Matthias; Dunn, Graham; Millar, Tim

    2017-05-04

    Background: The effectiveness of treatment for people with substance use disorders is usually examined using longitudinal cohorts. In these studies, treatment is often considered as a time-varying exposure. The aim of this commentary is to examine confounding in this context, when the confounding variable is time-invariant and when it is time-varying. Method: Types of confounding are described with examples and illustrated using path diagrams. Simulations are used to demonstrate the direction of confounding bias and the extent that it is accounted for using standard regression adjustment techniques. Results: When the confounding variable is time invariant or time varying and not influenced by prior treatment, then standard adjustment techniques are adequate to control for confounding bias, provided that in the latter scenario the time-varying form of the variable is used. When the confounder is time varying and affected by prior treatment status (i.e. it is a mediator of treatment), then standard methods of adjustment result in inconsistency. Conclusions: In longitudinal cohorts where treatment exposure is time varying, confounding is an issue which should be considered, even if treatment exposure is initially randomized. In these studies, standard methods of adjustment may result be inadequate, even when all confounders have been identified. This occurs when the confounder is also a mediator of treatment. This is a likely scenario in many studies in addiction.

  11. 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

  12. Study of the efficiency of chemically assisted enucleation method for handmade cloning in goat (Capra hircus).

    Science.gov (United States)

    Akshey, Y S; Malakar, D; De, A K; Jena, M K; Sahu, S; Dutta, R

    2011-08-01

    The present investigation was carried out to find an efficient chemically assisted procedure for enucleation of goat oocytes related to handmade cloning (HMC) technique. After 22-h in vitro maturation, oocytes were incubated with 0.5 μg/ml demecolcine for 2 h. Cumulus cells were removed by pipetting and vortexing in 0.5 mg/ml hyaluronidase, and zona pellucida were digested with pronase. Oocytes with extrusion cones were subjected to oriented bisection. One-third of the cytoplasm with the extrusion cone was removed with a micro blade. The remaining cytoplasts were used as recipients in HMC. Goat foetal fibroblasts were used as nuclear donors. The overall efficiency measured as the number of cytoplasts obtained per total number of oocytes used was significantly (p < 0.05) higher in chemically assisted handmade enucleation (CAHE) than oriented handmade enucleation without demecolcine (OHE) (80.02 ± 1.292% vs. 72.9 ± 1.00%, respectively, mean ± SEM). The reconstructed and activated embryos were cultured in embryo development medium (EDM) for 7 days. Fusion, cleavage and blastocyst development rate were 71.63 ± 1.95%, 92.94 ± 0.91% and 23.78 ± 3.33% (mean ± SEM), respectively which did not differ significantly from those achieved with random handmade enucleation and OHE. In conclusion, chemically assisted enucleation is a highly efficient and reliable enucleation method for goat HMC which eliminates the need of expensive equipment (inverted fluorescence microscope) and potentially harmful chromatin staining and ultraviolet (UV) irradiation for cytoplast selection.

  13. 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.

  14. In Situ Confocal Raman Mapping Study of a Single Ti-Assisted ZnO Nanowire

    Directory of Open Access Journals (Sweden)

    Gandhi Ashish

    2009-01-01

    Full Text Available Abstract In this work, we succeeded in preparing in-plane zinc oxide nanowires using a Ti-grid assisted by the chemical vapor deposition method. Optical spatial mapping of the Confocal Raman spectra was used to investigate the phonon and geometric properties of a single ZnO nanowire. The local optical results reveal a red shift in the non-polar E 2 high frequency mode and width broadening along the growth direction, reflecting quantum-confinement in the radial direction.

  15. 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.

  16. House officer procedure documentation using a personal digital assistant: a longitudinal study

    Directory of Open Access Journals (Sweden)

    Lane David R

    2006-01-01

    Full Text Available Abstract Background Personal Digital Assistants (PDAs have been integrated into daily practice for many emergency physicians and house officers. Few objective data exist that quantify the effect of PDAs on documentation. The objective of this study was to determine whether use of a PDA would improve emergency medicine house officer documentation of procedures and patient resuscitations. Methods Twelve first-year Emergency Medicine (EM residents were provided a Palm V (Palm, Inc., Santa Clara, California, USA PDA. A customizable patient procedure and encounter program was constructed and loaded into each PDA. Residents were instructed to enter information on patients who had any of 20 procedures performed, were deemed clinically unstable, or on whom follow-up was obtained. These data were downloaded to the residency coordinator's desktop computer on a weekly basis for 36 months. The mean number of procedures and encounters performed per resident over a three year period were then compared with those of 12 historical controls from a previous residency class that had recorded the same information using a handwritten card system for 36 months. Means of both groups were compared a two-tailed Student's t test with a Bonferroni correction for multiple comparisons. One hundred randomly selected entries from both the PDA and handwritten groups were reviewed for completeness. Another group of 11 residents who had used both handwritten and PDA procedure logs for one year each were asked to complete a questionnaire regarding their satisfaction with the PDA system. Results Mean documentation of three procedures significantly increased in the PDA vs handwritten groups: conscious sedation 24.0 vs 0.03 (p = 0.001; thoracentesis 3.0 vs 0.0 (p = 0.001; and ED ultrasound 24.5 vs. 0.0 (p = 0.001. In the handwritten cohort, only the number of cardioversions/defibrillations (26.5 vs 11.5 was statistically increased (p = 0.001. Of the PDA entries, 100% were entered

  17. Apical root resorption after orthodontic treatment -- a retrospective study.

    Science.gov (United States)

    Apajalahti, Satu; Peltola, Jaakko Sakari

    2007-08-01

    The purpose of the study was to compare the incidence and severity of apical root resorption in patients treated with different orthodontic appliances and to evaluate the effect of treatment duration on the degree of apical root resorption. A further aim was to analyse the degree of apical root resorption in different tooth groups in patients presenting with root resorption. The sample consisted of 625 patients (269 males, 356 females) aged 8-16 years at the beginning of treatment. Active removable plates and fixed appliances were used most frequently. Following exclusion of poor quality radiographs, the final sample included 601 patients (348 females, 253 males). Root resorption in all tooth groups, except third molars, was evaluated from pre- and post-treatment panoramic radiographs. The correlation of root resorption with treatment modality and duration was studied using multinomial logistic regression analysis. Of the tooth groups, maxillary incisors showed apical root resorption most frequently, followed by the mandibular incisors. Root resorption was significantly correlated with fixed appliance treatment (P resorption. The mean duration of treatment in patients without root resorption was 1.5 years, whereas in those with severe resorption was 2.3 years. The most severe resorption was seen in the maxillary incisors and premolars. It is concluded that with a long duration of fixed appliance treatment, the risk of severe resorption increases. In patients where treatment is prolonged, a 6-month radiographic follow-up is recommended.

  18. 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.

  19. Guidelines for reporting case studies on extracorporeal treatments in poisonings

    DEFF Research Database (Denmark)

    Lavergne, Valéry; Ouellet, Georges; Bouchard, Josée

    2014-01-01

    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......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...

  20. Study Of Gear Teeth Distortions Due To Heat Treatment

    Directory of Open Access Journals (Sweden)

    V. Khade

    2015-02-01

    Full Text Available Abstract The work aims to study the distortion occurred due to heat treatment on the Gear teeth. The paper studies various causes of distortion control techniques to eliminate distortion which includes changes in design selection of material heat treatment process mainly due to quenching that includes cooling rates quenching mediums fixtures. An experimental study and results conducted for the effects of the distortion on the Gear teeth and to reduce the distortion with certain changes design modification resulting in shape amp size changes phase changes changes in hardness microstructure and residual stresses. It is observed that adequate velocity of quench oil around the component to be heat treated ensures uniform amp desired cooling rate as per heat treatment cycle. Modification in design of baffles achieved the adequate velocity and minimization of distortion. Also Fixtures for holding finished parts or assemblies during heat treatment may be either support or restraint type to control dimensional relations during aging.